WQ0012404_Application_20200706

'REPARED FOR:
CF Industries Holdings, Inc.
4 Parkway North Suite 400
Deerfield, IL 60015-2590
S&ME, Inc.
3201 Spring Forest Road
Raleigh, NC 27616
June 18, 2020

s
a
s
June 18, 2020
North Carolina Department of Environmental Quality
Division of Water Resources — UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Attention: Non -Discharge Permitting Unit
Reference: Application for Permit Renewal
Land Application of Nitrogen -Enriched Groundwater
CF Nitrogen, Inc.
Permit No. WQ0012404
S&ME Project No. 1040-98-044U
Non -Discharge Permitting Unit:
On behalf of CF Nitrogen, Inc. (CFN), S&ME, Inc. (S&ME) is submitting the enclosed permit renewal package for continued
operation of the subject nitrogen -enriched groundwater land application program. Note that this program, which has been
operating since 1998, is for the application of nitrogen -enriched groundwater only, and land application of biological residuals
is not permitted. Consistent with previous application packages and Unit guidance, the following information is included:
Non -Discharge Groundwater Remediation Permit Application Form
CFI — Nitrogen Enriched Groundwater Product Information Sheet
Landowner Agreement Form / Lessee Agreement Form
Toxicity Characteristic Leaching Procedure Analysis Results
The program has not been modified since the current permit was issued, and no permit modifications are being requested. If
the Unit proposes any modifications to the permit conditions, we request that a draft version of the revised permit be provided
to allow S&ME, CFN, and NCDEQ to work together to ensure that all parties agree with the modified permit conditions.
If there is any further information required or questions regarding this application, please do not hesitate to contact S&ME at
919-872-2660 or CFN at [phone] for further assistance.
Sincerely,
S&ME, Inc.
Jason Volker, LSS, ORC
Project Manager
919-880-3137
[e-mail]
cc: Ms. Diane Diks, CHMM, CPEA (CF Nitrogen, Inc.)
Tom Raymond, PE, PMP, RSM
Principal Environmental Engineer / Vice President
919-801-5359
[e-mail]
S&ME, Inc. 13201 Spring Forest Road I Raleigh, NC 27616 1 p 919.872.2660 1 www.smeinc.com

APPENDIX NO. TITLE
I Non -Discharge Groundwater Remediation Permit Application Form
II Nitrogen Enriched Groundwater Product Information Sheet
III Landowner and Lessee Agreement Forms
IV Toxicity Characteristic Leaching Procedure Analysis Results

Appendix I - Non -Discharge Groundwater Remediation Permit
Application Form

State of North Carolina
Department of Environment and Natural Resources - Division of Water Resources
Non -Discharge Groundwater Remediation Permit Application Form
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED UNLESS ALL APPLICABLE ITEMS ARE INCLUDED
APPLICATION INFORMATION
Application Date:
5/27/2020
Application Type:
Renewal
* New Projects — DWR to assign application #
** Renewals/Modifications — Enter Permit #
WQ0012404
Fee Submitted: (refer to fee schedule at
http://Portal.ncdenr.org/web/wq/aps/lau/f ees)
Choose an item.
* For new projects: complete this page, signature page, and supply all attachments.
** For renewals: complete this page and signature page.
For modifications: complete this page, signature page, and supply relevant attachments.
Applicant's Name (specify the name of the
municipality, corporation, individual, etc.):
CIF Nitrogen, Inc.
Owner or Signing Official's Name and Title
(person legally responsible for the facility
and its compliance):
Kelvin Roth — Vice President
Environmental, Health, Safety & Quality
Mailing Address:
4 Parkway North, Ste., 400 Deerfield, IL 60015
Telephone Number:
[phone]
Email Address:
[e-mail]
Facility Name (name of the project site; be
consistent throughout application package):
CIF Nitrogen
Physical Address:
Farmers Chemical Road, Winton, NC
County:
Hertford
Geographic Coordinates:
36.368045,-76.868332
Contact Person (who can answer
questions about application):
Jason Volker
Telephone Number:
919-880-3137
Email Address:
[e-mail]
Non -Discharge Groundwater Remediation Permit Application Revised MAY 7, 2015

Professional Engineer's Certification:
Name and Complete Address of Engineering Firm: S&ME, Inc., 3201 Spring Forest Road
City: Raleigh __ State: NC Zip: 27616
Telephone Number: [phone] Fax Number: [phone]
Thomas P. Raymond
Industries Nitrogen
, 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��I�''jnda,,�s
reviewed this material and have judged it to be consistent with the proposed design. SA
North Carolina Professional Engineer's Seal, Signature, and Date: �;•°Q-Q 2 : y
SEA
z 16760 -
�� d'•.��G mac'.• '` ��
iNE0`
Applicant's Certification (signing authority must be in compliance with
and c :
that t17is application for
has been reviewed by me and is accurate and complete to the best Kmy knowledge, I understand
that if all required parts of this application are not completed and that if all required supporting
information and attachments not lnctuded, this application package will be returned to me as
incomplete.
Signature ___.. _ Date
SEND TWO COPIES OF THE COMPLETE APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, TO THE FOLLOWING ADDRESS:
DIVISION OF WATER RESOURCES — UIC PROGRAM
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: (919) 8074496
Non -Discharge Groundwater Remediation Permit Application Revised MAY 7, 2015

Appendix II - Nitrogen Enriched Groundwater Product Information
Sheet

CF Nitrogen, Inc. — Nitrogen Enriched Groundwater
Product Information Sheet
Produced By Site Location
CF Nitrogen, Inc. CF Nitrogen, Inc.
4 Parkway North, Suite 400 100 Farmers Chemical Road
Deerfield, Illinois 60015-2590 Cofield, North Carolina 27922
For technical information on this product contact S&ME, Inc.
Mr. Jason Volker, Program Manager [phone]
or
For site scheduling on this product contact Granville Farms, Inc.
Mr. Jay Bryant, Site Manager [phone]
Nitrogen Enriched Groundwater is generated by a groundwater recovery system located at the
former Farmers Chemical site in Cofield, NC. The groundwater recovery system is composed of nine
recovery wells with a transfer pump station and a one million gallon storage basin with a groundwater
transfer and loading system with dual loading bays for tanker trucks. The recovered nitrogen
enriched groundwater contains a high nitrogen value for application as a nitrogen fertilizer.
Nitrogen Enriched Groundwater is a material that is permitted for bulk distribution.
Provisions for Application
Application of Nitrogen Enriched Groundwater is prohibited except in accordance with the
provisions specified in the Application Information Sheet. Application must conform to standards
identified in Permit WQ0012404 and include but are not limited to:
Setbacks (feet)
Private or public water supply sources 100
Surface waters (streams - intermittent and perennial, perennial waterbodies, and wetlands) 100
Surface water diversions (ephemeral streams, waterways, dithces) 25
Groundwater lowering ditches (where the bottom of the ditch intesects the SHW'I) 25
Wells with exception to monitoring wells 100
Bedrock outcrops 25
Application Information Sheet
1. The Nitrogen Enriched Groundwater is designed for use as a nitrogen fertilizer. Applications of
Nitrogen Enriched Groundwater should be made in accordance with approved application standards
and WQ0012404 permit conditions.

2. Nitrogen Enriched Groundwater shall not be applied to flooded, frozen, or snow covered areas.
3. Application and storage of Nitrogen Enriched Groundwater must be conducted in such a way as to
prevent runoff from the application or storage site to any surface water.
4. Applications of Nitrogen Enriched Groundwater must be applied to an actively growing crop or within
30 calendar days of an actively growing crop.
5. Applications of Nitrogen Enriched Groundwater shall be applied uniformly at a rate equal to or less
than the hydraulic rate for the site and the soils or the agronomic rate of the crop as specified by the permit and
most recent analysis; whichever is most limiting.
6. Applications and loading rates of Nitrogen Enriched Groundwater shall be applied at rates that comply
with realistic yield expectations based on the predominant soil series and crops found at:
http://nutrients.soil.ncsu.edu/yields/
CF Nitrogen — Nitrogen Enriched Groundwater
Approximately Contains:
50 to 75 lbs. Plant Available Nitrogen / 8,500 — 12,500 gallons*
<1 lbs. Phosphorus / 8,500 — 12,500 gallons*
12 to 15 lbs. Potassium / 8,500 — 12,500 gallons*
See Granville Farms for a copy of the most recent analysis and loading rates.
Granville Farms will provide a copy of the nutrients that were actually applied per acre to
individual fields. An example of this type of form is attached.
NITROGEN ENRICHED GROUNDWATER RECEIPT FORM
I , (printed name) have received gallons
of CF Nitrogen — Nitrogen Enriched Groundwater, CF Nitrogen — Nitrogen Enriched
Groundwater product information sheet, and a copy of the most recent analysis of the product.
I have read these documents and agree to adhere to the directions specified on the Landowner
Agreement Attachment and the Product Information Sheet.
Signature of Receiver Date of Receipt

FNTTRO-GEN, INC. - TUNIS, NORTH CAROLINA
&, INC.
Field Loading Rate Report - Nitrogen Enriched GmmKhvater
PERMIT # W0012404
OWNER:
OPERATOR:
RESIDUAL SOURCE: Nitrogen Enriched Oruundwater
PervW ted Acres: 29.2 Crop: Wheat Prednnunant Soil: Boaneau - Bo
FEELD
DATE
ACRUS
IM ZED
TOTAL
GALLONS
CALLUNS
PER ACRE
Am
lnfgc
Nutrients [Ibsfae)
FkN
F
K
44
Q 1-19
29.2
45%0N
15,719
5
= 1.4f,
U."_' .
4.'
Site No.
Q2-19
'
121,40U
4,144
27
Annual Totals
51iD_000
Q_27
5.77
91 IRYELiit
(Ibs}acre! ear}

Appendix III - Landowner and Lessee Agreement Forms

State of North Carolina
Department of Environmental Quality
Division of Water Resources
LANDOWNER AGREEMENT ATTACHMENT FOR
CF NITROGEN, INC.
Nitrogen Enriched Groundwater is generated by a groundwater recovery system located at the former
Farmers Chemical site in Cofield, NC. The groundwater recovery system is composed of nine recovery wells
with a transfer pump station and a one million gallon storage basin with a groundwater transfer and loading
system with dual loading bays for tanker trucks. The recovered Nitrogen Enriched Groundwater contains a
nitrogen value for application as a nitrogen fertilizer, and is permitted by the Division of Water Resources
(Permit WQ0012404) for bulk distribution. This agreement is to allow the distribution of Nitrogen Enriched
Groundwater onto properties whose owner is herein giving written consent for the responsible application of
this resource.
INSTRUCTIONS TO THE APPLICANT:
A. Prepare a separate attachment form for each landowner other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and
the lessee/operator.
B. If the landowner wishes to exclude certain fields from use, a list of excluded fields along with a description
of the excluded areas, shall be attached to this Agreement.
AGREEMENT FOR THE LAND APPLICATION OF NITROGEN ENRICHED GROUND WATER
TO LAND APPLICATION SITES NOT OWNED BY THE PERMITTEE
The undersigned landowner or his representative hereby permits:
CF Nitrogen, Inc.
c/o CF Industries, Inc.
4 Parkway North, Suite 400
Deerfield, Illinois 60015-2590
Telephone [phone]
E-mail [e-mail]
hereinafter referred to as the Permittee, to land apply nitrogen -enriched ground water, as defined above, to be
applied onto sites owned by the undersigned landowner in the following counties:
in accordance with the stipulations and restrictions
as given in this Agreement, provided the Permittee and the lessee (if required) of the site agree to meet the
requirements of, and follow, the Lessee Agreement Attachment prepared by the Division of Water Resources.
The following fields shall be excluded from this agreement (List fields by parcel #, specific location, or other
identifying manner, as well as County name. Indicate "not applicable" if there are no fields to exclude. Attach
separate list if provided space in insufficient):
The lessee, the landowner or his representative receives, in consideration, full use of the nutrient value of the
applied nitrogen enriched ground water while the Permittee receives, in consideration, the use of the land
application site(s) described below for the beneficial use of the nitrogen enriched ground water. This Agreement
shall remain in effect for the length of the Division's permit for the nitrogen enriched ground water land
application program and shall be automatically renewed each time this permit is renewed.
FORM: CF Industries LOAA 01072016 Page 1 of 3 Attachment D

L STIPULATIONS:
1. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with
reference to the subject matter of this Agreement.
2. Notification of cancellation of this Agreement for any or all approved sites shall be immediately forwarded
to DEQ-DWR, Land Application Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. Telephone
[phone].
3. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at
any reasonable time for the purpose of determining compliance with the Division's nitrogen enriched ground
water land application program permit; may inspect or copy any records that must be kept under the terms
and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate.
LANDOWNER RESPONSIBILITIES
4. The landowner or his representative authorizes the Permittee, local officials, and State officials or their
representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12
months after termination of, this Agreement.
5. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements
with another municipality, contractor, or other permitted entity for the land application site(s) specified by
this Agreement. The land application of any additional nitrogen enriched ground water or waste, other than
that generated by the nitrogen enriched ground water source -generating facilities specified by the Division's
nitrogen enriched ground water land application program permit, is prohibited.
6. The landowner or his representative will furnish the Permittee with information regarding the amount and
analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied
to the land application site(s). For fields operated by a lessee, the lessee will supply this information for
the landowner in accordance with the Lessee Agreement.
7. The landowner or his representative will inform the Permittee of any revisions or modifications to the
intended use and cropping patterns for the land application site(s) prior to each planting season to enable the
Permittee to amend this Agreement and schedule nitrogen enriched ground water land application events at
appropriate periods. For fields operated by a lessee, the lessee will supply this information for the
landowner in accordance with the Lessee Agreement.
8. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or
their representatives to inspect the land application site(s) prior to, during, and after any nitrogen enriched
ground water land application event and to established monitoring facilities on or near the land application
site(s) as required by the nitrogen enriched ground water land application program permit.
PERMITTEE RESPONSIBILITIES
Prior to the land application of Nitrogen Enriched Groundwater, the Permittee shall enter into an
agreement with the lessee that includes the following conditions.
9. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land
application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In
addition, the current landowner shall give a notice to the new landowner that gives full details of the nitrogen
enriched ground water applied at the land application site(s).
10. The Permittee has provided the landowner or his representative with information and data concerning the
nitrogen enriched ground water land application program, including an analysis of constituents of the nitrogen
enriched ground water, nitrogen enriched ground water application methods, schedules for typical cropping
patterns, and a description of the equipment used by the Permittee.
11. The Permittee shall provide the landowner or his representative with a copy of the nitrogen enriched ground
water land application program permit that has been most -recently issued by the Division prior to
commencement of any nitrogen enriched ground water land application event. This permit will specify
limitations and other restrictions prescribed by the laws and regulations.
12. For fields leased for operation by a third party, the Permittee will obtain a signed Lessee Agreement for all
sites approved under this agreement prior to the application of Nitrogen Enriched Groundwater to those sites.
FORM: CF Industries LOAA 01072016 Page 2 of 3 Attachment D

13. Within the limits of the Division's nitrogen enriched ground water land application program permit, the
Permittee will determine nitrogen enriched ground water application rates and schedules based on crop
patterns and the predominant soil series of each respective field. In no case shall more Nitrogen Enriched
Groundwater be applied than was requested by the landowner, his representative, or by the lessee.
14. Specific nitrogen enriched ground water land application area boundaries shall be clearly marked on the land
application site(s) by the Permittee and/or his representative prior to and during a nitrogen enriched ground
water land application event.
15. The Permittee shall provide an annual summary of the application activities to the owner each year. In the
event there is no activity on a site during a given year, the annual summary document is not required to be
provided to the owner.
IL ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY:
15A NCAC 02pL .0107(d) prohibits water supply wells within the compliance boundary of any site . However,
15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such
that the water supply well is situated outside of the compliance boundary provided the groundwater standards can
be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map
showing the newly proposed compliance boundary to the application package)
❑ A re -defined compliance boundary is approved as part of this agreement.
Landowner's Certification:
❑ I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make
decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am
otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use
of the land application site(s) on behalf of the deeded landowners. I certify that I have read this Agreement,
understand the stipulations, alternatives for water supply wells inside the compliance boundary, and restrictions,
and do hereby grant permission to the Permittee to land apply nitrogen enriched ground water to the land
application site(s) as specified herein. This document shall be used in conjunction with the Lessee Agreement
Attachment form (FORM: LAA 01072016), which describes the responsibilities and obligations of the leasing
party(s).
Landowner name:
Landowner address:
City: State: Zip:
Home/business phone: Cell phone:
Signature: Date:
Permittee's Certification:
❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as
specified herein.
Signing official name:
Signature:
*** END OF FORM: LOAA ***
Date:
FORM: CF Industries LOAA 01072016 Page 3 of 3 Attachment D

State of North Carolina
Department of Environmental Quality
Division of Water Resources
LESSEE AGREEMENT ATTACHMENT FOR CF NITROGEN, INC.
Nitrogen Enriched Groundwater is generated by a groundwater recovery system located at the former
Farmers Chemical site in Cofield, NC. The groundwater recovery system is composed of nine recovery wells
with a transfer pump station and a one million gallon storage basin with a groundwater transfer and loading
system with dual loading bays for tanker trucks. The recovered Nitrogen Enriched Groundwater contains a
high nitrogen value for application as a nitrogen fertilizer, and is permitted by the Division of Water Resources
(Permit WQ0012404) for bulk distribution. This agreement is to allow the distribution of Nitrogen Enriched
Groundwater onto properties whose lessees are herein giving written consent for the responsible application
of this resource.
INSTRUCTIONS TO THE APPLICANT:
A. Prepare a separate attachment form for each set of land application sites that are owned by a landowner
and operated by a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF NITROGEN ENRICHED GROUND WATER
TO PRIVATELY OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
CF Nitrogen, Inc.
c/o CF Industries, Inc.
4 Parkway North, Suite 400
Deerfield, Illinois 60015-2590
Telephone [phone]
E-mail [e-mail]
hereinafter referred to as the Permittee, to land apply nitrogen -enriched ground water, as defined above, to be
applied onto the sites listed in the following site list, which includes the identification information for the field,
its approximate acreage, the county, the owner, the intended crops, and the intended use or deposition of the
crops in accordance with the stipulations and restrictions as given in this Agreement.
The lessee, the landowner or his representative receives, in consideration, full use of the nutrient value of the
applied nitrogen enriched ground water while the Permittee receives, in consideration, the use of the land
application site(s) described above for the beneficial use of the nitrogen enriched ground water. This Agreement
shall remain in effect for the length of the Division's permit for the nitrogen enriched ground water land
application program.
The undersigned lessee or his representative and the Permittee agree to abide with the following restrictions
and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels
this Agreement.
FORM: CF Industries LAA 110914 Page 1 of 3 Attachment E

L STIPULATIONS:
1. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with
reference to the subject matter of this Agreement.
2. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at
any reasonable time for the purpose of determining compliance with the Division's nitrogen enriched ground
water land application program permit; may inspect or copy any records that must be kept under the terms
and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate.
LESSEE RESPONSIBILITIES
3. The lessee or his representative shall not enter into any additional waste disposal contracts or agreements
with another municipality, contractor, or other permitted entity for the land application site(s) specified by
this Agreement. The land application of any additional nitrogen enriched ground water or waste, other than
that generated by the nitrogen enriched ground water source -generating facilities specified by the Division's
nitrogen enriched ground water land application program permit, is prohibited.
4. Should the lessee or his representative lease or otherwise permit the use of the land application site(s) by a
third party, the lessee shall be responsible to ensure that the third party agrees and complies with the terms
and conditions of this Agreement.
5. The lessee or his representative will furnish the Permittee with information regarding the amount and analysis
of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land
application site(s).
6. The lessee or his representative will inform the Permittee of any revisions or modifications to the intended
use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee
to amend this Agreement and schedule nitrogen enriched ground water land application events at appropriate
periods.
7. The lessee or his representative recognizes that the land owner has authorized the Permittee, local officials,
and State officials or their representatives to inspect the land application site(s) prior to, during, and after any
nitrogen enriched ground water land application event and to established monitoring facilities on or near the
land application site(s) as required by the nitrogen enriched ground water land application program permit.
8. The lessee or his representative authorizes the Permittee, local officials, and State officials or their
representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12
months after termination of, this Agreement.
PERMITTEE RESPONSIBILITIES
9. The Permittee has provided the lessee or his representative with information and data concerning the nitrogen
enriched ground water land application program, including an analysis of constituents of the nitrogen
enriched ground water, nitrogen enriched ground water application methods, schedules for typical cropping
patterns, and a description of the equipment used by the Permittee.
10. The Permittee shall provide the lessee or his representative with a copy of the nitrogen enriched ground water
land application program permit that has been most -recently issued by the Division prior to commencement
of any nitrogen enriched ground water land application event. This permit will specify maximum application
rates, limitations, and other restrictions prescribed by the laws and regulations.
11. Within the limits of the Division's nitrogen enriched ground water land application program permit, the
Permittee will determine nitrogen enriched ground water application rates and schedules based on crop
patterns and the predominant soil series of each respective field. In no case shall more Nitrogen Enriched
Groundwater be applied than was requested by the lessee.
12. Specific nitrogen enriched ground water land application area boundaries shall be clearly marked on the land
application site(s) by the Permittee or his representative prior to and during a nitrogen enriched ground water
land application event.
13. The Permittee shall provide an annual summary of the application activities to the lessee each year. In the
event there is no activity on a site during a given year, the annual summary document is not required to be
provided to the lessee.
14. The Permittee shall provide the lessee a copy of the signed Landowner Agreement Form prior to entering
into this agreement.
FORM: CF Industries LAA 01072016 Page 2 of 3 Attachment E

Field IDl
Field Location Information
Approx.
Acreage
County
Owner
Intended Crops and
Crop Use
' Field ID number must correlate to the field ID number to be included in the DWR permit. If the field ID number is not available
at the time of completion of this agreement, they may be left blank, and may be added by the Permittee prior to submittal of the
agreement to the Division.
Lessee's/Operator's Certification:
❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as
specified herein.
❑ I certify that I have received a copy of the signed Landowner Agreement Form authorizing use of the fields
covered in this agreement for the application of Nitrogen Enriched Groundwater.
Lessee/operator name: _
Lessee/operator address:
City:
Home/business phone:
Signature:
State:
Cell phone:
Zip:
Date:
Permittee's Certification:
❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as
specified herein.
Signing official name:
Signature:
*** END OF FORM: LAA ***
Date:
FORM: CF Industries LAA 01072016 Page 3 of 3 Attachment E

Appendix IV — Toxicity Characteristic Leaching Procedure Analysis

aceAnalytical a ANALYTICAL REPORT
National Center for Testing & Innovation February 13, 2020
S&ME Inc. -Raleigh NC
Sample Delivery Group: L11852O8
Samples Received
Project Number:
Description:
Report To:
02/01/2020
CFN itrogen
Ed Woloszyn
3201 Spring Forest Road
Raleigh, NC 27616
Entire Report Reviewed By
Tom Mellette
Project Manager
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace
Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067and
ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the information provided,
and as the samples are received.
JEl
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 1 of 23

TABLE OF CONTENTS
ONE LAB. NATIONWIDE. *
Cp: Cover Page
Tc: Table of Contents
Ss: Sample Summary
Cn: Case Narrative
Sr: Sample Results
CFN 2020 L1185208-01
Qc: Quality Control Summary
Wet Chemistry by Method 9012 B
Wet Chemistry by Method 9034-9030B
Wet Chemistry by Method 9045D
Wet Chemistry by Method D93/1010A
Mercury by Method 7470A
Metals (ICP) by Method 6010D
Volatile Organic Compounds (GC/MS) by Method 8260D
Chlorinated Acid Herbicides (GC) by Method 8151A
Pesticides (GC) by Method 8081B
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
GI: Glossary of Terms
al: Accreditations & Locations
Sc: Sample Chain of Custody
1
2
3
4
5
5
7
7
8
9
10
11
12
14
16
17
18
20
21
22
ACCOUNT: PROJECT: SDG: DATE/TIME:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37
PAGE:
2 of 23

CFN 2020 L1185208-01 Waste
SAMPLE
SUMMARY
Collected by
Ed Woloszyn
Collected date/time
01/31/2010:00
ONE LAB. NATIONWIDE.
Received date/time
02/01/20 08:30
FP
Method
Batch
Dilution Preparation
Analysis
Analyst
Location
date/time
date/time
F
Preparation by Method 1311
WG1422229
1 02/04/2012:29
02/04/2012:29
CGD
Mt. Juliet, TN
Preparation by Method 1311
WG1423665
1 02/06/2014:11
02/06/2014:11
BAA
Mt. Juliet, TN
Wet Chemistry by Method 9012 B
WG1425081
1 02/09/20 22:52
02/10/2015:30
JER
Mt. Juliet, TN
Wet Chemistry by Method 9034-9030B
WG1424860
1 02/08/2017:00
02/08/2017:00
LDT
Mt. Juliet, TN
Wet Chemistry by Method 9045D
WG1422429
1 02/06/201158
02/06/2013:00
MSP
Mt. Juliet, TN
Fn
Wet Chemistry by Method D93/1010A
WG1424142
1 02/11/2012:21
02/11/2012:21
MJA
Mt. Juliet, TN
Mercury by Method 7470A
WG1424329
1 02/07/2017:12
02/09/2013:37
TCT
Mt. Juliet, TN
Metals (ICP) by Method 6010D
WG1424371
1 02/07/2017:51
02/09/2013:44
EL
Mt. Juliet, TN
Fr
Volatile Organic Compounds (GC/MS) by Method 8260D
WG1422938
1 02/06/20 03:08
02/06/20 03:08
ACG
Mt. Juliet, TN
Chlorinated Acid Herbicides (GC) by Method 8151A
WG1424850
1 02/09/20 00:06
02/10/2014:25
KLM
Mt. Juliet, TN
FC
Pesticides (GC) by Method 8081B
WG1425127
1 02/10/20 06:43
02/10/2016:12
HMH
Mt. Juliet, TN
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
WG1425055
1 02/09/2016:51
02/10/20 0135
AO
Mt. Juliet, TN
GI
SAI
RC
ACCOUNT:
PROJECT:
SDG:
DATE/TIME:
PAGE:
S&ME Inc. -Raleigh NC
1040-98-044U
L1135203
02/13/20 13:37
3 of 23

CASE NARRATIVE
ONE LAB. NATIONWIDE. *
All sample aliquots were received at the correct temperature, in the proper containers, with the FP
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples FC
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my FS
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data. 0
Fr
FC
F,
Tom Mellette F
Project Manager
RC
Project Narrative
All Reactive Cyanide results reported in the attached report were determined as totals using method 9012B.
All Reactive Sulfide results reported in the attached report were determined as totals using method 9034/9030B.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 4 of 23

CFN 2020
Collected date/time: 01/31/20 10:00
Preparation by Method 1311
SAMPLE RESULTS - 01
L1185208
Result Qualifier
Prep
Batch
Analyte
date / time
TCLP Extraction
2/6/2020 2:1117 PM
WG1423665
TCLP ZHE Extraction -
2/4/202012:29:59 PM
WG1422229
Fluid 1
2/6/2020 2:1117 PM
WG1423665
Initial pH N/A
2/6/2020 2:1117 PM
WG1423665
Final pH N/A
2/6/2020 2:1117 PM
WG1423665
Wet Chemistry by Method 9012 B
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/kg mg/kg date / time
Reactive Cyanide ND 0.250 1 02/10/202015:30 WG1425081
Wet Chemistry by Method 9034-9030B
Result Qualifier RDL
Analyte mg/kg mg/kg
Reactive Sulfide ND 25.0
Wet Chemistry by Method 9045D
Dilution Analysis Batch
date / time
1 02/08/202017:00 WG1424860
Result Qualifier Dilution Analysis Batch
Analyte su date / time
Corrosivity by pH 6.97 T8 1 02/06/202013:00 WG1422429
Sample Narrative:
L1185208-01 WG1422429: 6.97 at20.8C
Wet Chemistry by Method D93/1010A
Result
Analyte Deg. F
Ignitability DNI at170
Mercury by Method 7470A
Qualifier Dilution Analysis Batch
date / time
1 02/11/202012:21 WG1424142
Result Qualifier RDL Limit
Analyte mg/I mg/I mg/I
Mercury ND 0.0100 0.20
Metals (ICP) by Method 6010D
Result
Qualifier RDL
Limit
Analyte
mg/I
mg/I
mg/I
Arsenic
ND
0.100
5
Barium
ND
0.100
100
Cadmium
ND
0.100
1
Chromium
ND
0.100
5
Lead
ND
0.100
5
Selenium
ND
0.100
1
Silver
ND
0.100
5
Volatile Organic Compounds (GC/MS) by Method
8260D
Result
Qualifier RDL
Limit
Analyte
mg/I
mg/I
mg/I
Benzene
ND
0.0500
0.50
Carbon tetrachloride
ND
0.0500
0.50
Chlorobenzene
ND
0.0500
100
Chloroform
ND
0.250
6
ACCOUNT:
PROJECT:
S&ME Inc. -Raleigh NC
1040-98-044U
Dilution Analysis Batch
date / time
1 02/09/202013:37 WG1424329
Dilution Analysis
Batch
date / time
1 02/09/202013:44
WG1424371
1 02/09/202013:44
WG1424371
1 02/09/202013:44
WG1424371
1 02/09/202013:44
WG1424371
1 02/09/202013:44
WG1424371
1 02/09/202013:44
WG1424371
1 02/09/202013:44
WG1424371
ONE LAB. NATIONWIDE. *
Fp
Fc
FS
Fn
Fc
�GI
SAI
Rc
Dilution Analysis
Batch
date / time
1 02/06/2020 03:08
WG1422938
1 02/06/2020 03:08
WG1422938
1 02/06/2020 03:08
WG1422938
1 02/06/2020 03:08
WG1422938
SDG:
DATE/TIME: PAGE:
L1135203
02/13/20 13:37 5 of 23

CFN 2020
SAMPLE RESULTS
- 01
ONE LAB. NATIONWIDE.
Collected date/time: 01/31/20 10:00
L1185208
Volatile Organic Compounds (GC/MS) by Method 8260D
Result
Qualifier RDL
Limit
Dilution
Analysis
Batch
F
Analyte
mg/I
mg/I
mg/I
date/time
1,2-Dichloroethane
ND
0.0500
0.50
1
02/06/2020 03:08
WG1422938
F
1,1-Dichloroethene
ND
0.0500
0.70
1
02/06/2020 03:08
WG1422938
2-Butanone (MEK)
ND
0.500
200
1
02/06/2020 03:08
WG1422938
Tetrachloroethene
ND
0.0500
0.70
1
02/06/2020 03:08
WG1422938
F
Trichloroethene
ND
0.0500
0.50
1
02/06/2020 03:08
WG1422938
Vinyl chloride
ND
0.0500
0.20
1
02/06/2020 03:08
WG1422938
Fn
(S) Toluene-dH
102
80.0-120
0210612020 03.08
WG1422938
(S) 4-Bromofluorobenzene
97.6
77.0-126
0210612020 03.08
WG1422938
(S)1,2-Dichloroethane-d4
93.9
70.0-130
021061202003.08
WG1422938
Chlorinated Acid Herbicides (GC) by Method 8151A
Fc
Result
Qualifier RDL
Limit
Dilution
Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
7G1
2,4,5-TP (Silvex)
ND
0.00200
1
1
02/10/202014:25
WG1424850
2,4-D
ND
0.00200
10
1
02/10/202014:25
WG1424850
SAI
(S)2,4-DichlorophenylAcetic Acid
107
14.0-158
021101202014.25
WG1424850
Pesticides (GC) by Method
8081B
Rc
Result
Qualifier RDL
Limit
Dilution
Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
Chlordane
ND
0.00500
0.03
1
02/10/202016:12
WG1425127
Endrin
ND
0.00500
0.02
1
02/10/202016:12
WG1425127
Heptachlor
ND
0.00500
0.0080
1
02/10/202016:12
WG1425127
Lindane
ND
0.00500
0.40
1
02/10/202016:12
WG1425127
Methoxychlor
ND
0.00500
10
1
02/10/202016:12
WG1425127
Toxaphene
ND
0.0100
0.50
1
02/10/202016:12
WG1425127
(S) Decochlorobiphenyl
105
10.0-128
0211012020 16.12
WG1425127
(S) Tetrochloro-m-xylene
85.5
10.0-127
0211012020 16.12
WG1425127
Semi Volatile Organic Compounds
(GC/MS) by Method 8270E
Result
Qualifier RDL
Limit
Dilution
Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
1,4-Dichlorobenzene
ND
0.100
7.50
1
02/10/2020 0135
WG1425055
2,4-Dinitrotoluene
ND
0.100
0.13
1
02/10/2020 0135
WG1425055
Hexachlorobenzene
ND
0.100
0.13
1
02/10/2020 0135
WG1425055
Hexachloro-1,3-butadiene
ND
0.100
0.50
1
02/10/2020 0135
WG1425055
Hexachloroethane
ND
0.100
3
1
02/10/2020 0135
WG1425055
Nitrobenzene
ND
0.100
2
1
02/10/2020 0135
WG1425055
Pyridine
ND
0.100
5
1
02/10/2020 0135
WG1425055
3&4-Methyl Phenol
ND
0.100
400
1
02/10/2020 0135
WG1425055
2-Methylphenol
ND
J4 0.100
200
1
02/10/2020 0135
WG1425055
Pentachlorophenol
ND
0.100
100
1
02/10/2020 0135
WG1425055
2,4,5-Trichlorophenol
ND
0.100
400
1
02/10/2020 0135
WG1425055
2,4,6-Trichlorophenol
ND
0.100
2
1
02/10/2020 0135
WG1425055
(S) 2-Fluorophenol
39.7
10.0-120
0211012020 01.35
WG1425055
(S) Phenol-d5
23.6
10.0-120
0211012020 01.35
WG1425055
(S) Nitrobenzene-d5
63.6
10.0-127
0211012020 01.35
WG1425055
(S) 2-Fluorobiphenyl
66.5
10.0-130
0211012020 01.35
WG1425055
(S) 2,4, 6-Tribromophenol
120
10.0-155
0211012020 01.35
WG1425055
(S) p-Terphenyl-d14
82.7
10.0-128
0211012020 01.35
WG1425055
ACCOUNT:
PROJECT:
SDG:
DATE/TIME: PAGE:
S&ME Inc. -Raleigh
NC
1040-98-044U
L1135203
02/13/20 13:37 6 of 23

WG1425081 QUALITY CONTROL SUMMARY
Wet Chemistry by Method 9012 B L1185208-01
Method Blank (MB)
(MB) R3498506-1 02/10/201526
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
Reactive Cyanide U 0.0390 0.250
L1185208-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1135203-01 02/10/2015:30 • (DUP) R3493506-3 02/10/2015:31
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte mg/kg mg/kg %_
Reactive Cyanide ND 0.000 1 0.000 20
L1185667-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1135667-01 02/10/20 15:44 • (DUP) R3493506-4 02/10/20 15:45
Original Result DUP Result DUP RPD
Dilution DUP RPD DUP Qualifier
(dry) (dry) Limits
Analyte mg/kg mg/kg
Reactive Cyanide U 0.000 1 0.000 20
Laboratory Control Sample (LCS)
(LCS) R3498506-2 02/10/201527
Spike Amount LCS Result LCS Rec.
Analyte mg/kg mg/kg
Reactive Cyanide 2.50 2.55 102
Rec. Limits LCS Qualifier
85.0-115
L1186097-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
ONE LAB. NATIONWIDE. *
(OS) L1136097-01 02/10/2015:51 • (MS) R3493506-5 02/10/2015:52 • (MSD) R3493506-6 02/10/2015:53
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mg/kg mg/kg
Reactive Cyanide 1.67 ND 1.14 1.44 68.6 86.7 1 75.0-125 J6 J3 23.3 20
L1186102-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1136102-01 02/10/20 15:54 • (MS) R3493506-7 02/10/20 15:55 • (MSD) R3493506-8 02/10/20 15:56
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mg/kg mg/kg
Reactive Cyanide 1.67 ND 0.609 1.16 36.6 69.4 1 75.0-125 J6 J3 J6 62.0 20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 7 of 23

WG1424860
Wet Chemistry by Method 9034-9030B
Method Blank (MB)
(MB) R3498084-1 02/03/201700
MB Result MB Qualifier MB MDL
Analyte mg/kg mg/kg
Reactive Sulfide U 7.63
Laboratory Control Sample (LCS)
(LCS) R3498084-2 02/08/201700
Spike Amount LCS Result LCS Rec.
Analyte mg/kg mg/kg
Reactive Sulfide 100 88.2 88.2
QUALITY CONTROL SUMMARY
L1185208-01
MB RDL
mg/kg
25.0
Rec. Limits LCS Qualifier
70.0-130
ONE LAB. NATIONWIDE. *
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 3 of 23

WG1422429 QUALITY CONTROL SUMMARY
Wet Chemistry by Method 9045D L1185208-01
Laboratory Control Sample (LCS)
(LCS) R3497517-1 02/06/201300
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte su su
Corrosivity by pH 10.0 9.97 99.7 99.0-101
Sample Narrative:
LCS: 9.97 at18.7C
ONE LAB. NATIONWIDE. *
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 9 of 23

WG1424142 QUALITY CONTROL SUMMARY
Wet Chemistry by Method D93/1010A L1185208-01
L1185083-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1135033-01 02/11/2012:21 • (DUP) R3493777-3 02/11/2012:21
Original Result DUP Result Dilution DUP RPD
Analyte Deg. F Deg. F
Ignitability 117 119 1 1.69
L1185764-02 Original Sample (OS) • Duplicate (DUP)
DUP Qualifier DUP RPD
Limits
%
10
(OS) L1135764-02 02/11/2012:21 • (DUP) R3498777-4 02/11/2012:21
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte Deg. F Deg. F
Ignitability 136 132 1 2.97 10
L1185807-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1135307-01 02/11/20 12:21 • (DUP) R3498777-5 02/11/20 12:21
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte Deg. F Deg. F
Ignitability 130 126 1 3.11 10
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3498777-1 02/11/2012:21 • (LCSD) R3498777-2 02/11/2012:21
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD
Analyte Deg.F Deg.F Deg.F
Ignitability 82.0 82.5 82.5 101 101 97.0-103 0.000
RPD Limits
10
ONE LAB. NATIONWIDE. *
Cp
ITC]
FSS
[Cn]
5
Sr
�GI
1711
FSc
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 10 of 23

WG1424329
Mercury by Method 7470A
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1185208-01
(MB) R3498234-1 02/09/201323
MB Result MB Qualifier
MB MDL
MB RDL
Analyte mg/I
mg/I
mg/I
Mercury U
0.00333
0.0100
Laboratory Control Sample (LCS)
(LCS) R3493234-2 02/09/20 13:29
Spike Amount LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte mg/I mg/I
Mercury 0.0300 0.0313
104
80.0-120
L1185087-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1135037-01 02/09/20 13:31 • (MS) R3493234-3 02/09/20 13:33 • (MSD) R3493234-4 02/09/2013:35
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD
Analyte mg/I
mg/I
mg/I
mg/I
Mercury 0.0300
ND
0.0310
0.0303 103 101 1 75.0-125 2.20
L1185208-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1135203-01 02/09/20 13:37 • (MS) R3493234-5 02/09/2013:39 • (MSD) R3493234-6 02/09/20 13:41
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD
Analyte mg/I
mg/I
mg/I
mg/I
Mercury 0.0300
ND
0.0284
0.0264 94.6 88.0 1 75.0-125 7.26
ONE LAB. NATIONWIDE. *
RPD Limits
20
RPD Limits
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 11 of 23

WG1424371
Metals (ICP) by Method 6010D
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1185208-01
(MB) R3498223-1 02/09/201323
MB Result
MB Qualifier
MB MDL
MB RDL
Analyte mg/I
mg/I
mg/I
Arsenic U
0.0333
0.100
Barium U
0.0333
0.100
Cadmium U
0.0333
0.100
Chromium U
0.0333
0.100
Lead U
0.0333
0.100
Selenium U
0.0333
0.100
Silver U
0.0333
0.100
Laboratory Control Sample (LCS)
(LCS) R3498223-2 02/09/201330
Spike Amount
LCS Result
LCS Rec.
Rec. Limits
Analyte mg/I
mg/I
Arsenic 10.0
9.55
95.5
80.0-120
Barium 10.0
9.57
95.7
80.0-120
Cadmium 10.0
9.48
94.8
80.0-120
Chromium 10.0
9.78
97.8
80.0-120
Lead 10.0
9.69
96.9
80.0-120
Selenium 10.0
9.82
98.2
80.0-120
Silver 2.00
1.73
86.3
80.0-120
LCS Qualifier
L1185087-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1135037-01 02/09/2013:33 • (MS) R3493223-4 02/09/2013:39 • (MSD) R3493223-5 02/09/2013:41
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Arsenic
10.0
ND
9.41
9.51
94.1
95.1
Barium
10.0
0.411
9.79
9.90
93.8
94.9
Cadmium
10.0
ND
9.37
9.48
93.7
94.8
Chromium
10.0
ND
9.62
9.73
96.2
97.3
Lead
10.0
ND
9.56
9.63
95.6
96.3
Selenium
10.0
ND
9.66
9.79
96.6
97.9
Silver
2.00
ND
1.69
1.71
84.3
85.5
ONE LAB. NATIONWIDE. *
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
1 75.0-125
1.07
20
1 75.0-125
1.14
20
1 75.0-125
1.18
20
1 75.0-125
1.18
20
1 75.0-125
0.793
20
1 75.0-125
1.37
20
1 75.0-125
1.47
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 12 of 23

WG1424371 QUALITY CONTROL SUMMARY
Metals (ICP) by Method 6010D L1185208-01
L1185208-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1135203-01 02/09/20 13:44 • (MS) R3493223-6 02/09/20 13:47 • (MSD) R3493223-7 02/09/20 13:49
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Arsenic
10.0
ND
9.35
9.35
93.5
93.5
Barium
10.0
ND
9.84
9.89
97.9
98.3
Cadmium
10.0
ND
9.46
9.49
94.6
94.9
Chromium
10.0
ND
9.76
9.82
97.6
98.2
Lead
10.0
ND
9.51
9.58
95.1
95.8
Selenium
10.0
ND
9.56
9.61
95.1
95.6
Silver
2.00
ND
1.70
1.73
85.2
86.5
ONE LAB. NATIONWIDE. *
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
1 75.0-125
0.0397
20
1 75.0-125
0.417
20
1 75.0-125
0.270
20
1 75.0-125
0.630
20
1 75.0-125
0.696
20
1 75.0-125
0.487
20
1 75.0-125
1.55
20
ACCOUNT:
S&ME Inc. -Raleigh NC
PROJECT:
1040-98-044U
SDG: DATE/TIME:
L1135203 02/13/20 13:37
PAGE:
13 of 23

WG1422938
Volatile Organic Compounds (GC/MS) by Method 8260D
Method Blank (MB)
(MB) R3497365-2 02/05/20 2319
QUALITY CONTROL SUMMARY
L1185208-01
ONE LAB. NATIONWIDE. *
MB Result
MB Qualifier
MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
Benzene
U
0.0167
0.0500
Carbon tetrachloride
U
0.0167
0.0500
Chlorobenzene
U
0.0167
0.0500
Chloroform
U
0.0833
0.250
1,2-Dichloroethane
U
0.0167
0.0500
1,1-Dichloroethene
U
0.0167
0.0500
2-Butanone (MEK)
U
0.167
0.500
Tetrachloroethene
U
0.0167
0.0500
Trichloroethene
U
0.0167
0.0500
Vinyl chloride
U
0.0167
0.0500
(S) Toluene-dH
107
80.0-120
(S) 4-Bromofluorobenzene
94.5
77.0-126
(S) 1,2-Dichloroethane-d4
104
70.0-130
Laboratory Control
Sample (LCS)
(LCS) R3497365-1 02/05/20 2124
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte
mg/I
mg/I
Benzene
0.250
0.293
117
70.0-123
Carbon tetrachloride
0.250
0.258
103
68.0-126
Chlorobenzene
0.250
0.250
100
80.0-121
Chloroform
0.250
0.243
97.2
73.0-120
1,2-Dichloroethane
0.250
0.203
81.2
70.0-128
1,1-Dichloroethene
0.250
0.230
92.0
71.0-124
2-Butanone (MEK)
1.25
1.61
129
44.0-160
Tetrachloroethene
0.250
0.233
93.2
72.0-132
Trichloroethene
0.250
0.291
116
78.0-124
Vinyl chloride
0.250
0.281
112
67.0-131
(S) Toluene-dH
100
80.0-120
(S) 4-Bromofluorobenzene
103
77.0-126
(S) 1,2-Dichloroethane-d4
104
70.0-130
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 14 of 23

1
WG1422938 QUALITY CONTROL
Volatile Organic Compounds (GC/MS) by Method 8260D L1185208-01
L1184980-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
SUMMARY
ONE LAB. NATIONWIDE.
C
(OS) L1184980-01 02/06/20 13:08 • (MS) R3497601-3 02/06/2013:28 • (MSD) R3497601-4 02/06/20 1343
p
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec. Dilution Rec. Limits MS Qualifier
MSD Qualifier RPD
RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
%
%
%
%
%
z
TC
Benzene 0.250
0.116
0.337
0.317
88.4
80.4 1
17.0-158
6.12
27
Carbon tetrachloride 0.250
ND
0.218
0.197
87.2
78.8 1
23.0-159
10.1
28
FS
Chlorobenzene 0.250
ND
0.253
0.243
101
97.2 1
33.0-152
4.03
27
Chloroform 0.250
ND
0.261
0.242
104
96.8 1
29.0-154
7.55
28
1,2-Dichloroethane 0.250
ND
0.249
0.234
99.6
93.6 1
29.0-151
6.21
27
[Cn]
1,1-Dichloroethene 0.250
ND
0.218
0.198
87.2
79.2 1
11.0-160
9.62
29
2-Butanone (MEK) 1.25
ND
1.39
1.35
ill
108 1
10.0-160
2.92
32
5Sr
Tetrachloroethene 0.250
ND
0.244
0.225
97.6
90.0 1
10.0-160
8.10
27
Trichloroethene 0.250
ND
0.236
0.212
94.4
84.8 1
10.0-160
10.7
25
Vinyl chloride 0.250
ND
0.195
0.171
78.0
68.4 1
10.0-160
13.1
27
(S) Toluene-dH
104
105
80.0-120
(S) 4-Bromofluorobenzene
99.9
101
77.0-126
7G1
(S) 1,2-Dichloroethane-d4
98.1
98.4
70.0-130
FAI
FSC1
ACCOUNT:
PROJECT:
SDG:
DATE/TIME:
PAGE:
S&ME Inc. -Raleigh NC
1040-98-044U
L1135203
02/13/20 13:37
15 of 23

WG1424850
Chlorinated Acid Herbicides (GC) by Method 8151A
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1185208-01
(MB) R3498505-1 02/10/201341
MB Result
MB Qualifier
MB MDL
MB RDL
Analyte mg/I
mg/I
mg/I
2,4-D U
0.000667
0.00200
2,4,5-TP (Silvex) U
0.000667
0.00200
(S) Z4-Dichlorophenyl Acetic 64.4
14.0-158
Acid
Laboratory Control Sample (LCS)
(LCS) R3498505-2 02/10/201355
Spike Amount
LCS Result
LCS Rec.
Rec. Limits
Analyte mg/I
mg/I
2,4,5-TP (Silvex) 0.0500
0.0342
68.4
50.0-125
2,4-D 0.0500
0.0336
67.2
50.0-120
(S) Z4-Dichlorophenyl Acetic
68.8
14. 0-158
Acid
LCS Qualifier
L1184750-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1134750-01 02/10/20 15:53 • (MS) R3493505-3 02/10/20 16:03 • (MSD) R3493505-4 02/10/20 16:23
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
2,4,5-TP (Silvex)
0.0500
U
0.0351
0.0330
70.2
66.0
2,4-D
0.0500
U
0.0342
0.0323
68.4
64.6
(S) Z4-Dichlorophenyl Acetic
79.6
76.6
Acid
ONE LAB. NATIONWIDE. *
Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
1 50.0-125 6.17 20
1 50.0-120 5.71 20
14.0-158
ACCOUNT: PROJECT: SDG:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203
DATE/TIME:
02/13/20 13:37
PAGE:
16 of 23

WG1425127
Pesticides (GC) by Method 8081B
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1185208-01
(MB) R3499457-1 02/10/201407
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
Gamma BHC
U
0.00167
0.00500
Endrin
U
0.00167
0.00500
Heptachlor
U
0.00167
0.00500
Methoxychlor
U
0.00167
0.00500
Chlordane
U
0.00167
0.00500
Toxaphene
U
0.00333
0.0100
(S) Decachlorobiphenyl
155
11
10.0-128
(S) Tetrochloro-m-xylene
97.2
10.0-127
Laboratory Control Sample (LCS)
(LCS) R3499457-2 02/10/20 1420
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte
mg/I
mg/I
Gamma BHC
0.0100
0.00849
84.9
55.0-129
Endrin
0.0100
0.00887
88.7
57.0-134
Heptachlor
0.0100
0.00823
82.3
27.0-132
Methoxychlor
0.0100
0.00561
56.1
54.0-155
(S) Decachlorobiphenyl
119
10.0-128
(S) Tetrochloro-m-xylene
75.7
10.0-127
L1184752-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1134752-01 02/10/20 14:45 • (MS) R3499457-3 02/10/20 14:57 • (MSD) R3499457-4 02/10/20 15:10
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Gamma BHC
0.0100
U
0.00982
0.00801
98.2
80.1
Endrin
0.0100
U
0.0103
0.00846
103
84.6
Heptachlor
0.0100
U
0.00977
0.00816
97.7
81.6
Methoxychlor
0.0100
U
0.00737
0.0149
73.7
149
(S) Decachlorobiphenyl
144
120
(S) Tetrochloro-m-xylene
89.0
70.7
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
1 14.0-141
20.3
1 10.0-160
19.6
1 16.0-136
18.0
1 10.0-160
J3 P 67.6
10.0-128
11
10.0-127
ONE LAB. NATIONWIDE. *
RPD Limits
40
39
40
34
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 17 of 23

WG1425055 QUALITY CONTROL SUMMARY
Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1185208-01
Method Blank (MB)
(MB) R3493324-2 02/09/20 23:51
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
1,4-Dichlorobenzene
U
0.0333
0.100
2,4-Dinitrotoluene
U
0.0333
0.100
Hexachlorobenzene
U
0.0333
0.100
Hexachloro-1,3-butadiene
U
0.0333
0.100
Hexachloroethane
U
0.0333
0.100
Nitrobenzene
U
0.0333
0.100
Pyridine
U
0.0333
0.100
2-Methylphenol
U
0.0333
0.100
3&4-Methyl Phenol
U
0.0333
0.100
Pentachlorophenol
U
0.0333
0.100
2,4,5-Trichlorophenol
U
0.0333
0.100
2,4,6-Trichlorophenol
U
0.0333
0.100
(S) Nitrobenzene-d5
39.2
10.0-127
(S) 2-Fluorobiphenyl
39.8
10.0-130
(S) p-Terphenyl-d14
63.0
10.0-128
(S) Phenol-d5
13.7
10.0-120
(S) 2-Fluorophenol
21.1
10.0-120
(S) 2,4, 6-Tribromophenol
107
10. 0-155
Laboratory Control Sample (LCS)
ONE LAB. NATIONWIDE. *
(LCS) R3498324-1 02/09/20 23:31
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte mg/I
mg/I
1,4-Dichlorobenzene 0.500
0.145
29.0
18.0-120
2,4-Dinitrotoluene 0.500
0.300
60.0
49.0-124
Hexachlorobenzene 0.500
0.342
68.4
44.0-120
Hexachloro-1,3-butadiene 0.500
0.156
31.2
19.0-120
Hexachloroethane 0.500
0.144
28.8
15.0-120
Nitrobenzene 0.500
0.148
29.6
27.0-120
Pyridine 0.500
0.186
37.2
10.0-120
2-Methylphenol 0.500
0.139
27.8
28.0-120 J4
3&4-Methyl Phenol 0.500
0.161
32.2
31.0-120
Pentachlorophenol 0.500
0.327
65.4
23.0-120
2,4,5-Trichlorophenol 0.500
0.259
51.8
44.0-120
2,4,6-Trichlorophenol 0.500
0.234
46.8
42.0-120
(S) Nitrobenzene-d5
28.5
10.0-127
(S) 2-Fluorobiphenyl
37.7
10.0-130
(S) p-Terphenyl-d14
74.3
10.0-128
ACCOUNT:
PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC
1040-98-044U L1185208 02/13/20 13:37 18 of 23

WG1425055 QUALITY CONTROL SUMMARY
Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1185208-01
Laboratory Control Sample (LCS)
(LCS) R3498324-1 02/09/20 23:31
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/I mg/I
(S) Phenol-d5 13.0 10.0-120
(S) 2-Fluorophenol 19.4 10.0-120
(S) 2,4, 6-Tribromophenol 118 10. 0-155
ONE LAB. NATIONWIDE. *
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 19 of 23

GLOSSARY OF TERMS
Guide to Reading and Understanding Your Laboratory Report
ONE LAB. NATIONWIDE. *
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and ifyou have additional questions please contact your project representative.
Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name,
Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data, Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
u
Fc
FS
(dry)
Results are reported based on the dry weight ofthe sample. [this will only be present on a dry report basis for soils].
MDL
Method Detection Limit.
Fn
ND
Not detected at the Reporting Limit (or MDL where applicable).
RDL
Reported Detection Limit.
Fr
Rec.
Recovery.
RPD
Relative Percent Difference.
SDG
Sample Delivery Group.
Fc
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and
(S)
Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be
detected in all environmental media.
U
Not detected at the Reporting Limit (or MDL where applicable).
Analyte
The name ofthe particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
F
Ifthe sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
Dilution
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the
Rc
result reported has already been corrected for this factor.
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications ofthe Qualifier in the Case Narrative if applicable.
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. Ifthere was
no measurable result returned for a specific analyte, the result in this column may state "ND" (Not Detected) or "BDL"
Result
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty
(Radiochemistry)
Confidence level of 2 sigma.
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
This section ofthe report includes the results ofthe laboratory quality control analyses required by procedure or
Summary (Qc)
analytical methods to assist in evaluating the validity ofthe results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This is the document created in the field when your samples were initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession ofthe
samples from the time of collection until delivery to the laboratory for analysis.
This section ofyour report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)
This section ofthe Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier Description
J1 Surrogate recovery limits have been exceeded, values are outside upper control limits.
J3 The associated batch QC was outside the established quality control range for precision.
J4 The associated batch QC was outside the established quality control range for accuracy.
J6 The sample matrix interfered with the ability to make any accurate determination, spike value is low.
P RPD between the primary and confirmatory analysis exceeded 40%.
T8 Sample(s) received past/too close to holding time expiration.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
S&ME Inc. -Raleigh NC 1040-98-044U L1135203 02/13/20 13:37 20 of 23

ACCREDITATIONS
& LOCATIONS
ONE LAB. NATIONWIDE.
Pace National is the only environmental laboratory accredited/certified to support your work nationwide
from one location. One phone call, one point of contact,
one laboratory. No other lab is as
accessible or prepared to handle your needs throughout the country. Our capacity and capability from our
single location laboratory is comparable to the collective
totals of the network
laboratories in our industry. The most significant benefit to our one location design is the design of our laboratory
campus. The model is conducive to accelerated
productivity, decreasing
Cp
turn -around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium
quality and prompt service allows us to be YOUR
LAB OF CHOICE.
Not all certifications held by the laboratory are applicable to the results reported in the attached report.
Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace
National.
Fc
State Accreditations
Alabama 40660
Nebraska
NE-OS-15-05
FS
Alaska 17-026
Nevada
TN-03-2002-34
Arizona AZ0612
New Hampshire
2975
Arkansas 88-0469
New Jersey—NELAP
TNO02
Fn
California 2932
New Mexico
n/a
Colorado TN00003
New York
11742
Connecticut PH-0197
North Carolina
Env375
Fr
Florida E87487
North Carolina'
DW21704
Georgia NELAP
North Carolina 3
41
Georgia' 923
North Dakota
R-140
Fc
Idaho TN00003
Ohio—VAP
CL0069
Illinois 200008
Oklahoma
9915
7G1
Indiana C-TN-01 f
Oregon
TN200002
Iowa 364
Pennsylvania
68-02979
Kansas E-10277
Rhode Island
LA000356
Kentucky' 6 90010
South Carolina
84004
Kentucky 2 16
South Dakota
n/a
Louisiana A130792
Tennessee'"
2006
Louisiana' LA180010
Texas
T104704245-18-15
Rc
Maine TN0002
Texas 5
LABO152
Maryland 324
Utah
TN00003
Massachusetts M-TNO03
Vermont
VT2006
Michigan 9958
Virginia
460132
Minnesota 047-999-395
Washington
C847
Mississippi TN00003
West Virginia
233
Missouri 340
Wisconsin
9980939910
Montana CERT0086
Wyoming
A2 LA
Third Party Federal Accreditations
A2LA— ISO17025 1461.01
AIHA-LAP,LLC EMLAP
100789
A2 LA — ISO 17025 5 1461.02
DOD
1461.01
Canada 1461.01
USDA
P330-15-00234
EPA—Crypto TN00003
' Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity "Chemical/Microbiological 5 Mold
6 Wastewater n/a Accreditation not applicable
Our Locations
Pace National has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices, please contact
our main office. Pace National performs all testing at our central laboratory.
WA
MT ND
OR
ID SD
VWY
` NV T NE
T UT
CA co
KS
W o �AZ NM O�
T TX
AK
� . b
C,
fo • B HI 4 S
ACCOUNT: V PROJECT:
S&ME Inc. -Raleigh NC 1040-98-044U
ME
MN
WVI NY
MI T
IA T PA 4
OH
Mo
IL Ihi
T T WV
VAT
KY
N * r�
AR
MS AL GA
LA
FL
SDG: DATE/TIME: PAGE:
L1135203 02/13/20 13:37 21 of 23

Company Name/Address
Billing Information:
Analysis/Container/Preservative
Chain of Custody Page_LofL
S & ME (SMERLNC)
3201 Spring Forest Road
4*Esc
Raleigh, North Carolina 27616
L•A B 5-C•1•E-N C E S
12065 Lebanon Rd
Mount Juliet, TN 37122
Phone: aM-158-5858 _
Shone: fl00-767-5859 y I
rar ets-Ise-sas9
-- —
=9
�
,
U
�
�
`
{
iy
Report t0: Email To:
Ed Woloszyn [e-mail]
PrOj2Ct �+ % City/State /- -e-4
V
Description: /—ry / f / /�f' (�y6/+� Collected: �,G
L # G
Phone:[phone]
Fax: [phone]$
Client Pro)ect #
v'qV
Lab Project
C237
Template:
Prelogin:
TSR: Mellette
Cooler:
Collected by (print):
Site/Facility iD #
P.O. #
Collected by (signature):
/F
Immediately /
Packed on Ice N Y �✓
Rush? (Lab MUST Be Notified)
_ Same Day ...........................200%
_Next Day__ .......... ............. 100%
_Two Day ..... .............. ......... ..50%
_ Three Day ............ ................. 25%
Date Results Needed
Email? _No ILYes
FA_No _Yes
X?
No.
of
shippedVla: Raleigh Sery
Sample ID
Comp/Grab
Matrix *
Depth
Date
Ti me
ntrs
Rem./contaminant
Sample It (lab only)
* Matrix: SS - Soil GW - Groundwater WW - W
��tewater DW - Drinking Water OT- Other pH Temp
JJas
`—i
Remarks: 5 O 166 IV b Flow Other Hold a
CL
Relinquished by : (Signature) Date: Time: Received by- gna Samples returned via: ❑ UPS Condition: (lab use only)
O
,r PAL)
dEx ❑ Courier © �ariL
Relinquis4�7�nau Date: Time:Tempe°C Bottles Received:COC Seal Intact: Y N_GFIA
Relinure)
Dat
Time:
R ei ed for lao by: (Signature)
Date: Time:
pH Checked: i4CF:

�_IIiwoa
8. Only the land application sites owned by individuals who have signed a completed Landowner
Agreement Attachment and, if applicable, a Lessee Agreement Attachment, are approved for nitrogen -
enriched ground water land application. A completed Landowner Agreement Attachment and Lessee
Agreement Attachment (see Attachments D and F) must be kept on file by the Permittee and available
for inspection. The appropriate Attachments (FORM: CF Industries LOAA 010720 t 6 for landowners
and FORM: CF Industries LAA 01072016 for lessees) will be signed and submitted to the Division as
part of the residuals annual report. [15A NCAC 02'f .1104(c)(4)]
9. The Permittee shall not land apply nitrogen -enriched ground water to a land application site owned by
others unless the agreement between the Permittee and the landowner/lessee or operators (see attached
forms) is in full force and effect. The Landowner Agreement Attachment (FORM: LOAA 01072016)
shall be considered renewed at the same time the permit is renewed. Should a landowner or lessee
terminate its agreement with the Permittee, the Permittee shall inform the Washington Regional Office,
Water Quality Regional Operations Section, to remove all of the sites associated with that owner or
lessee from the list of sites on Attachment B. If the Lessee has changed during a given permit cycle,
the Lessee Agreement Attachment (FORM: LAA 01072016). [15A NCAC 02T .1 104(c)(4)]
IV. MONITORING AND REPORTING REQUIREMENTS
Any Division required monitoring (including groundwater, plant tissue, soil and surface water analyses)
necessary to ensure groundwater and surface water protection shall be established, and an acceptable
sample reporting schedule shall be followed. [15A NCAC 02T .0108(c)]
2. The nitrogen -enriched ground water shall be analyzed to demonstrate they are non -hazardous under the
Resource Conservation and Recovery Act (RCRA). Nitrogen -enriched ground water that tests or is
classified as a hazardou 'c waste under 40 CFR n 261 shall D_qt be used or disposed under this
�j corrosivity, ignttability, reactivi , and toxicity characteristic leaching
procedure (TCLP shall be ornie a e e uency sped red in Attachment A, and the Permittee
s a maintain these results for a minimum of five years. Any exceptions from the requirements in this
condition shall be specified in Attachment A.
The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter
is in parentheses).
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1, 1 -Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Lndrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide)
0.008
Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
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