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HomeMy WebLinkAboutWQ0016247_Regional Office Historical File Pre 2018 (3)State of North Carolina Department of Environmental Quality DW Division of Water Resources WATER QUALITY REGIONAL OPERATIONS SECTION 777 Division ofWaterResources NON -DISCHARGE APPLICATION REVIEW REQUEST FORM May 4, 2017 'CO�WQIi(�}SAndreW To: Pitri.erJ reyBasi r From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting Unit Permit Number: WQ0016247 Applicant: Synagro Central, LLC Owner Type: Organization Facility Name: Synagro Western Piedmont RLAP Signature Authority: William P. Cotter Permit Type: Land Application of Residual Solids (503) Address: 284 Boger Road, Mocksville, North Carolina 27028 0 Fee Category: Non -Discharge Major n Comments/Other Information: Project Type: Major Modification Owner in RIMS? Yes Facility in RIMS? Yes Title: Regional Vice President County: Alexander Fee Amount: $395 - Major Modification r 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: Date: ?�f i FORM: WQROSNDARR 09-15 Page 1 of 1 Schutte, Maria From: Schutte, Maria Sent: Thursday, June 08, 2017 5:57 PM To: Price, Bev, Doby, Troy Cc: Pitner, Andrew Subject: WQ0016247 Synagro Western Piedmont RLAP Hello Bev and Troy, We have spoken on the phone about this one a couple of times. I am not sure the best way to handle all review comments, but am offering a couple since I said I would. Bev is doing most of the work, so deserves the credit (I am not entering anything in BIMS on this one). * The modification is to add new sources and new or transferred land for those sources all of which is located in the ARO. * Per the recent email from Bev to you and Nathaniel, the new fields have not been sampled for baseline metals. * I do not see locations of the soil borings noted on the maps. * The Soil Survey Map designation for NC-CD-02 field 4 appears cut off to me. I could not follow the classification contours. * There is a signed "Acknowledgement of Field Transfer" letter included, but it is not dated. My comments are few, I hope they are somewhat helpful. Maria Maria Schutte Environmental Specialist Water Quality Regional Operations Section Division of Water Resources North Carolina Department of Environmental Quality 704 663 1699 office 704 235 2184 direct Maria.schutte@ncdenr.gov 610 East Center Avenue Suite 301 Mooresville, NC 28115 Email correspondence to and from this address is -subject to the North Carolina Public Records Lazar and may be disclosed to third parties. i Water Resources ENVIRONMENTAL QUALITY May 4, 2017 WILLIAM P. COTTER — REGIONAL VICE PRESIDENT SYNAGRO CENTRAL, LLC 284 BOGER ROAD MOCKSVILLE, NORTH CAROLINA 27028 Dear Mr. Cotter: ROY COOPER Governor MICHAEL S. REGAN Secretary S. JAY ZIMMERMAN Director Subject: Acknowledgement of Application No. WQ0016247 Synagro Western Piedmont RLAP Residuals Management System Alexander County The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on May 4, 2017. 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 troy.doby@ncdenr.gov. Sincerely, �i Nathaniel D. Thornburg, Supervisor Division of Water Resources cc: lo�r..esvleegional�®ffce, Water Quality RegionalO.peiations Section Permit File WQ0016247 ___Nothing Compares'" 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 919-807-6332 C RECEIVED/NCDEQ/DWR MAY 0 4 2017 Non -Discharge p®rmMing Unit �E�E1VE�i��rt�r.�� PR 2, 2017 N p;sch"frg'3 ermiit►ng Unit Application for Modification of Land Application Permit #WQ0016247 Synagro Western Piedmont 1 4/18/17 N.C. Department of Environment and Natural Resources Division of Water Quality �ECEiVEDir�C���Q�NR Aquifer Protection Section — Land Application Unit Q 2017 1636 Mail Service Center APR Raleigh, NC 27699-1636 Non -Discharge permitting Unit ATTENTION: Mr. Nathaniel Thornburg REFERENCE: APPLICATION FOR MODIFICATION OF PERMIT # WQ0016247 Synagro Western Piedmont Dear Mr. Thornburg: On behalf of Synagro Western Piedmont, Synagro is submitting this application to modify the referenced residuals land application permit. New vicinity, application, topographic, and soil maps are being submitted for all new sites. All fields are listed, on form "LASC", as "modified" or "transferred." New Residual Sources being added to this permit are as listed: '<�C, -Granite Falls WWTP -Granite Falls WTP o9/-°o �Fs -Columbus WWTP Q 15�c00 New land application sites added to this permit are as listed: 04,, -CD-02 fields 1-5 -PO-06 fields 1-3°ram -PO-07 fields 1-2 Transferred land application sites include: -CD-15-01 This application package should contain all of the information necessary to complete the requested modification of Synagro Western Piedmont's permit. However, if you require additional information or have further questions, please contact me at 336-703-8681 or ebrucegsynagro.com. Thank you in advance for the timely and efficient review of this modification application. Sincerely, Erik Bruce ,--W,NR Division of Wafter Resources G � d f I;FR 2� 0 Z017 State of North Carolina ment and Natural Resources Division of Water Resources 15A NCA C 02T .d)100 — RESIDUALS LAND APPLICATION PROGRAM INST,RU&I�7`1�1NOR FORM: RLAP 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, and/or land application of Class B residuals (may include residuals that are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under 15A NCAC 02T. I 100. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Residuals Land Application Program (FORM: RLAP 11-13) Application: (All Application Packages): Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 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. The Applicant's Certification on Page 5 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) 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 New Permit Major Modification 1 Major (land are permitted for > 300 acres) F $1,310 $395 Minor (land are permitted for < 300 acres) $810 $245 1 - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage; adds additional land application areas not previously approved; 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. D. Environmental Assessments (May be Required — See 15A NCAC 1C .0300) EJ 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: RLAP 11-13 Page 1 of 3 E. 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 .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. ] 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. 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. THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY. F. Program Determination ❑. Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T .1102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable: Any land application site certified for the residuals land application program that receives residuals at rates or frequencies greater than agronomic rates. Any land application site certified for the residuals land application program that is used primarily for residuals disposal, and agricultural crop production is of secondary importance. Any land application site certified for the residuals land application program that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system. Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program falls under the dedicated program definitions. G. Program Information Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system. ❑ Provide an explanation of the dedicated system and its operation. H. Detailed Site Maps (All New or Modification Application Packages) Ej Submit three (3) sets of standard size plans and two (2) sets of 11" by 17" plans (electronic format is acceptable - Adobe PDF only). For Modifications, submit plans specific to the modification(s) only. Plans must include the following minimum items: A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site relief and showing all facility related structures and fences within the land application area. The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s). ❑ Delineation of the review and compliance boundaries ❑ Setbacks as required by 15A NCAC 02T .1108 Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s). ❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray irrigation zones as they will be operated. Plans must depict a completed design and 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. However, the plans may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION INSTRUCTIONS FOR FORM: RLAP 11-13 Page 2 of 3 I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites) E] Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops and their ability to accept the proposed application rates. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity) [� Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy available at: http•//portal ncdenr.or web/wq/Us/lau/policies. The document shall be signed, sealed and dated by a qualified professional. K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation facilities fed through fixed supply system) ] Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or Professional Land Surveyor in accordance with 15A NCAC 02T .1104(d)(2). For Modifications, submit an updated site map specific to the modification(s) only. E] The design documents must include the following minimum items: !0. Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new units or are critical to the understanding of the complete process; Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the finished product including leaking testing; and [] Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head curve analysis for each pump, and irrigation design. L] Soil mapping units shown on all disposal sites. L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or irrigation facilities fed through fixed supply systems) Q Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy available at: http://portal.nedenr.org/web/wq/Us/lau/policies. M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment or irrigation components) El Property ownership documentation shall consist of one of the following: Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or Q Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or An easement running with the land specifically indicating the intended use of the property and meeting the requirements of 15A NCAC 02L .0107(fl, or A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or survey map. 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: 1636 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1636 TELEPHONE NUMBER: (919) 807-6300 By Courier/Special Delivery: 512 N. SALISBURY STREET RALEIGH, NORTH CAROLINA 27604 FAX NUMBER: (919) 807-6496 INSTRUCTIONS FOR FORM: RLAP 11-13 Page 3 of 3 State of North Carolina Department of Environment and Natural Resources Division of Water Resources Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM FORM: RLAP 11-13 I. APPLICANT INFORMATION: 1. Applicant's name: Synagro Central LLC Applicant type:[ Individual Corporation] General Partnership] Privately -Owned Public Utility Federal 0 State Municipal] County Signature authority's name per 15A NCAC 02T .0106: Bill Cotter Title: Regional Vice President Applicant's mailing address: 284 Boger Rd City: Mocksville State: NC Zip: 27028-. Telephone number: (336) 790-1610 Email Address: Bc.otter@synagro.com 2. Consultant's name: = License Number (for P.E.): ; Affiliation: EOn Staff Retained (Firm: ) Consultant's mailing address: i.: City:_ � State:':..'- 1 Zip:1 11 Telephone number: 1- Email Address:: Y i 3. Agronomist's name:: _ J! License Number: 1 Affiliation: ]] N/A On Staff Q Retained (Firm:[ ) Agronomist's mailing address: city: State:l Zi 1 p. Telephone number: (_) s _ ! Email Address: 4. Soil Scientist's name: Chris Murray License Number: 1284 Affiliation: ',I[ N/A Q On Staff 0 Retained (Firm: Soil Scientist's mailing address: 8004 Linville Rd Suite C2 City: Oak Ridge State: NC Zip: 273 10_ NQ�_U�sc�a6C Telephone number: 336 662-5487 Email Address: Chris@piedmontsoil.com 5. Fee submitted: 245 (See Instruction B) II. PERMIT INFORMATION: 1. Application is for (check all that apply): F1 new, 0, modified, 13 renewed permit 2. If this application is being submitted to renew or modify an existing permit, provide the following: Permit number: MOO16247 Date of most -recently issued permit: 3/27/09 Date of most -recently certified Attachment A (if different than the permit): 4/24/15 Date of most -recently certified Attachment B (if different than the permit): 2/11/16 FORM: RLAP 11-13 Page 1 of 5 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Residuals Processing Facility's physical address: 284 Boger Rd City: Mocksville State: NC Zip: 27028- . Coordinates: Latitude: 350 58' 27" Longitude: 800 58' 06" Datum: NAD83 Level of accuracy: second Method of measurement: MAP 2. County where residuals land application program is headquartered: Davie 3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC Nate Roth Synagro Central 1001672 Back -Up ORC Erik Bruce Synagro Central 1003528 Additional Back -Up ORCs (if applicable) If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: I Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 325 dry tons per year. PAN Pounds of PAN per Dry Ton (Weighted Average) Pounds of PAN per Year Surface Incorporation or Injection Surface Incorporation or Injection First -Year 40.26 43.16 13084 14027 Five -Year Maximum Adjusted 56.3 59.2 18297 19240 b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation L`_1 Row Crops ; _ Hay 66.2 Pasture 57.2 9 Total: 123.4 Methods Surface 123.4 ! �f Incorporation or Injection r Total: 123.4 FORM: RLAP 11-13 Page 2 of 5 c. Residuals Land Application Summafy: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Acres Required Using Acres Required Using Application Rate First -Year PAN Concentrations Five -Year Maximum Adjusted PAN gbs PAN/ac yr) Concentrations Surface Incorporation or Surface Incorporation or Injection Injection 50 261.7 280.5 365.9 384.8 100 130.8 140.3 183 192.4 150 87.2 93.5 122 128.3 200 65.4 70.1 91.5 96.2 6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction practices not in place, etc.): 7. Specify type of residuals program (See Instruction F): 21. Non -dedicated El Dedicated If Dedicated, specify the following (check all that apply): [] Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic rates, explain; ] Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop production is of secondary importance, explain; I. E Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system, explain; ! _ IV. RESIDUALS SOURCE INFORMATION: (Not required if no new, renewed, or modified residuals source) Complete and submit the following Residuals Source Certification and all associated documentation. H Residuals Source Certification V. LAND APPLICATION SITE INFORMATION: (Not required if no new, renewed, or modified land application site) Complete and submit the following Land Applications Site Certification and all associated documentation. H Land Application Siite Certification. doc FORM: RLAP 11-13 Page 3 of 5 Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only. I. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM 1. The irrigation system is: [I Spray EjDrip 2. Disposal system is: - ]' existing [] proposed. 3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: 1�` feet below ground surface. Rules 15A NCAC 02T .0505(12l requires at least one -foot vertical separation between SHWT and ground surface. 4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area? E; Yes or 0 No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if structures are to be maintained or modified: I ! 5. Loading rates recommended by the Soil Scientist Evaluation: Recommended Recommended Soil Series Fields within Soil Area Loading Rate Loading Rate in/hr in/ r ' 6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? Yes or El No If No, explain why 15A NCAC 02T .0505(n) is not met: .. r 7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system): Field / Zone Design Area Number of Maximum Application Design Annual Loading ft2 Nozzles Rate allons/hr Rate allons/ r) L Total 1 Spray Irrigation Design Element Plan Sheet Specification Number Pa a Number Wetted diameter of nozzles Wetted area of nozzles ---- ' $z Nozzle capacity ;�- gpm Nozzle manufacturer / model Elevation of nozzle highest hi h g —�1ft FORM: RLAP 11-13 Page 4 of 5 1pplicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106): 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. Yes II No, Explain; F-7 (Signature Authority's Name — PLEASE PRINT) (Title) attest that this application for (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. 'Vote: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any Mse 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. 6" 2 Signature: 1'11�16 Date: � ,� FORM: RLAP 11-13 Page 5 of 5 �OF W ATF9Q State of North Carolina �O G Department of Environment and Natural Resources =� r Division of Water Quality 0 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 (LAU) web site at: hyp://portal.ncdenr.org/web/wcla sp /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 08-11) 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. ❑ For 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. 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 I. 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: SYnagro Western Piedmont Status Code' Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year Current n Proposed M Town of Granite Falls, NC Granite Falls WWTP Caldwell NCO021890 200 200 M Town of Granite Falls, NC Granite Falls WTP Caldwell NCO082546 45 45 M Town of Columbus, NC Columbus WWTP Polk NCO021369 80 80 a Status Code for source facility are: s N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted) b The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility). SUNSIARY FOR FORM: RSC 08-11 Page 1 O� WATF9 QState of North Carolina �0 G Department of Environment and Natural Resources T' Division of Water Quality a '< RESIDUALS SOURCE CERTIFICATION amopp, FORM: RSC 08-11 I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: Granite Falls WWTP 2. Facility permit holder is: El. Federal, [1 State, ® Local Government, or - Private. Facility permit issued by: Div. of Water Quality, Div. of Environmental Health, or [] Other (explain: 3. Facility contact person and title: Chris Graybeal, Water Resources Director, Complete mailing address: PO Drawer 10 City: Granite Falls State: NC Zip: 28630 i Telephone number: 828) 396-7111 E-mail address: grgybeal@uanitefallsnc.com granitefallsnc.com 4. Facility physical address: 60 Meandering WU City: Granite Falls State: NC Zip: 28630' Coordinates: Latitude: 35' 47' 54" Longitude: 81° 24' 36" Datum: NAD83 Level of accuracy: second Method of measurement: MAP 5. Purpose of the facility: 0 treatment of municipal wastewater, treatment of 100% domestic wastewater, Q treatment of potable water, ❑ treatment of 100% industrial wastewater, treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: ! I % industrial and ! i % domestic) other (explain: ). 6. Does the facility have an approved pretreatment program: E Yes Z. No 7. Facility permitted/design flow: 0_9 MGD and facility average daily flow: 0_3 MGD 8. Average amount of residuals being generated at this facility 10.7 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: Aerobic Digestion—250,000 gallons per year Type and volume of residuals storage (i.e., outside of residuals treatment units): Two 500,000 gallon Digesters II. RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under: N: 40 CFR Part503 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: Biological] 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 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 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: ❑ yes M 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 Environmental and Date of analysis: 9/13/16 Passed corrosivity test: E_ yes 'El no. pH:5.46 s.u. (2 < pH < 12.5) Passed ignitability test: yes [] no. Flashpoint: >140 °F (> 140°F) Passed reactivity test: Elyes ❑no. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500) TCLP Parameter Limit (mg/1) Result (mg/1) TCLP Parameter Limit (mg/1) Result (mg/1) Arsenic 5.0 ND Hexachlorobenzene 0.13 ND Barium 100.0 ND 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 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 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 DistributionlEand 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: WWToint Anal. ical and Date of analysis: 8/25/16 Parameter Ceiling Concentration Limits (ClassA & ClassB) (mg/kg) Monthly Average Concentration Limits (Class A Only) (mg/kg) Result (mg/kg) Arsenic 75 41 5.13 Cadmium 85 39 <2 Copper 4,300 1,500 221 Lead 840 300 64.2 Mercury 57 17 6.6 Molybdenum 75 n/a 7.42 Nickel 420 420 23.5 Selenium 100 100 <5 Zinc 7,500 2,800 585 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: I i and Date of analysis: Distance from Disposal Unit to Boundary to Closest Property Line (meters, check one) Arsenic (mg/kg) Chromium (mg/kg) Nickel (mg/kg) E] > 0 but < 25 30 200 210 El > 25 but < 50 34 220 240 El > 50 but < 75 39 260 270 F] > 75 but < 100 46 300 320 F1 > 100 but < 125 53 360 390 > 125 62 450 420 Result (mg/kg FORM: RSC 08-11 Page 3 of 5 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 1.13 %. 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: WMToint Anal- 'cal and Date of analysis: 8/25/16 Parameter Result (mg/k9) Aluminum 23300 Ammonia -Nitrogen 4420 Calcium 29000 Magnesium 4430 Nitrate -Nitrite Nitrogen 9930 pH (Standard Unit) 5.52 Phosphorus 24500 Potassium 6240 Sodium 2790 Total Kjeldahl Nitrogen 46900 c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.43 [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: 0_3 %. This rate is a (check one): E] default value, or M' 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: { 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�k� (mg/kg) Surface 24,884 33,171 Injection/Incorporation 27,094 35,381 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: i FORM: RSC 08-11 Page 4 of 5 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. F] 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.1106(b)(3)(A)] - Time/Temperature Compliance. Alternative 2 [15A NCAC 02T.I 106(b)(3)(13)] - Alkaline Treatment. ❑ Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. ❑( Alternative 4 [15A NCAC 02T. 1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. ❑ Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). Specify one: �El composting, ❑ heat drying, ❑ heat treatment, thermophilic aerobic digestion, ❑ beta ray irradiation, gamma ray irradiation, or ❑ pasteurization. b. For Land Application of Class B: ❑ Alternative 1 [15A NCAC 02T.1106(c)(1)] -Fecal Coliform Density Demonstration. Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP). Specify one: 0 aerobic digestion, ❑ air drying, ❑ anaerobic digestion, ❑ composting, or 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. Q Exempt - If Daily Cover Alternative is chosen in Item II.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.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). ❑ Alternative 2 [15A NCAC 02T. 1 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). �( Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). Q Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes. E[ Alternative 6 [15A NCAC 02T. 1 107(a)(6)] - Alkaline Stabilization. Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals. Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals. Alternative 9 [15A NCAC 02T. I 107(a)(9)] - Injection. Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation. ❑( Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)]. ❑ 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 Residuals Sampling Plan Synagro Residuals Land Application for WQ0016247 Town of Granite Falls, NC Nutrients and Metals Analysis (WWTP and WTP) • Sampling Point: Digester • Sampling Frequency: Annual or Specific Event • Sample Type: Composite • Lab: Waypoint Analytical Pathogen Reduction (Alkaline Stablization) (WWTP only) 0 Sampling Point: Digester • Sampling Frequency: Per event • Sample Type: Composite • Lab: PH tested on site Vector Attraction Reduction (Alkaline Stablization) (WWTP only) TCLP • Sampling Point: Digester • Sampling Frequency: Per event • Sample Type: Composite a Lab: PH tested on site • Sampling Point: Digester • Sampling Frequency: Annual • Sample Type: Composite 9 Lab: Summit Environmental Technologies, Inc 5YN4aGRO Vicinity Map ef RID Granada ",Cw- 6raeada Farmlist- CrOnIta Fall. zz ERI 06','n, GO., oil 6 284 Boger Road, MocksvIlle, NC 27028 Phone: (336) 998-1150 0 Fax: 336-998-8450 -il M, I WL' Process Flow Diagram WOIVVTP c 1 l '.- C.ie 1 i -� o �— I o Iv 284 Boger Road, Mocksville, NC 27028 Phone: (336) 998-7150 0 Fax: 336-998-8450 Quantitative Justification for Residuals Granite Falls WWTP Granite Falls WWTP is currently permitted for a maximum of 200 dry tons per year. In 2016 there were 10.7 dry tons land applied, and in 2015 no residuals were land applied. At this time the maximum dry tonnage of 200 is suitable for the needs of this facility. msummout F,PvVIRDh169ENTAL`GECPVOOLor�JES, UNQ Ar,aP rural Labaaa3 odes September 13, 2016 Erik Bruce Synagro 284 Boger Rd. Mocksville, NC 27028 TEL: (336) 998-7150 FAX: (336) 998-8450 RE: Granite Falls WWTP Dear Erik Bruce: Summit Environmental Technologies, Inc. 3310 Win St. Cuyahoga Falls, Ohio 44223 TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htto://wivw.settek.com Order No.: 16081125 Summit Environmental Technologies, Inc. received 1 sample(s) on 8/18/2016 for the analyses presented in the following report. There were no problems with the analytical events associated with this report unless noted in the Case Narrative. Quality control data is within laboratory defined or method specified acceptance limits except where noted. If you have any questions regarding these tests results, please feel free to call the laboratory. Sincerely, fF Jr a-- ", r� Jennifer Woolf Project Manager 3310 Win St. Cuyahoga Falls, Ohio 44223 Alabama 41600, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC E87688, Georgia E87688, Idaho OH00923, Illinois 200061, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Louisiana 04061, Maryland 339, Massachusetts M-OPH923, Minnesota 409711, New Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and 631, North Dakota R-201, Ohio Drinking Water 4170, Ohio VAP CL0052, Oklahoma 9940, Oregon OH2O0001, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-11-5, Region 8 8TMS-L, USDAIAPHIS P330-11-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and 1581, Washington C891, West Virginia 248 and 9957C and E87688, Wisconsin 399013010 Page 1 of 8 Page 1 of 10 fl"' Summit Environmental Technologies, Inc. Case �T$)C rative 3310 Win St.1 VFBEP:VIFtOhIldIENTAL`rECHtOOLOGJFS, UPI-Q. Cuyahoga Falls, Ohio 44223 WO#: 16081125 Analyrkrral1-aboralod'les TEL: (330) 253-8211 FAX: (330) 253-4489 Website: http://Wiviv.settek.com Date: 9/13/2016 CLIENT: Synagro Project: Granite Falls WWTP WorkOrder Narrative: 16081125: This report in its entirety consists of the documents listed below. All documents contain the Summit Environmental Technologies, Inc., Work Order Number assigned to this report. Paginated Report including Cover Letter, Case Narrative, Analytical Results, Applicable Quality Control Summary Reports, and copies of the Chain of Custody Documents are supplied with this sample set. Concentrations reported with a J-Flag in the Qualifier Field are values below the Limit of Quantitation (LOQ) but greater than the established Method Detection Limit (MDL). Method numbers, unless specified as SM (Standard Methods) or ASTM, are EPA methods. Estimated uncertainty values are available upon request. Analysis performed by DBM, VRM, or SFG were performed at Summit Labs 2704 Eatonton Highway Haddock, GA 31033 All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as "dry weight" using the "-dry" designation on the reporting units. Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of the cover letter that may or may not pertain to this report. The information contained in this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of Summit Environmental Technologies, Inc. or the customer 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. This report is believed to meet all of the requirements of NELAC or the accrediting / certifying agency. Any comments or problems with the analytical events associated with this report are noted below. Original Page 2 of 8 Page 2 of 10 RISUl"NuT Summit Environmental Technologies, In, Qualifiers and Acronyms 3310 Win 5 Gil" VIROtdPa1EMY'ALT'EC PaOLQG18., ONC. Cuyahoga Falls, Ohio 4422 WO#: 16081125 Arral,rllcaP Laboraiorles TEL: (330) 253-8211 FAX.- (330) 253-446 Website: http:/Avww.settek.co. Date: 9/13/2016 These commonly used Qualifiers and Acronyms may or may not be present in this report. Qualifiers U The compound was analyzed for but was not detected. J The reported value is greater than the Method Detection Limit but less than the Reporting Limit. H The hold time for sample preparation and/or analysis was exceeded. D The result is reported from a dilution. E The result exceeded the linear range of the calibration or is estimated due to interference. MC The result is below the Minimum Compound Limit. * The result exceeds the Regulatory Limit or Maximum Contamination Limit. m Manual integration was used to determine the area response. N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response. P The second column confirmation exceeded 25% difference. C The result has been confirmed by GC/MS. X The result was not confirmed when GUMS Analysis was performed. B/1M13+ The analyte was detected in the associated blank. G The ICB or CCB contained reportable amounts of analyte. QC-/+ The CCV recovery failed low (-) or high (+). R/QDR The RPD was outside of accepted recovery limits. QL-/+ The LCS or LCSD recovery failed low (-) or high (+). QLR The LCS/LCSD RPD was outside of accepted recovery limits. QM-/+ The MS or MSD recovery failed low (-) or high (+). QMR The MS/MSD RPD was outside of accepted recovery limits. QV-/+ The ICV recovery failed low (-) or high (+). S The spike result was outside of accepted recovery limits. Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for additional information Acronyms ND Not Detected RL Reporting Limit QC Quality Control MDL Method Detection Limit MB Method Blank LOD Level of Detection LCS Laboratory Control Sample LOQ Level of Quantitation LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit QCS Quality Control Sample CRQL Contract Required Quantitation Limit DUP Duplicate PL Permit Limit MS Matrix Spike RegLvl Regulatory Limit MSD Matrix Spike Duplicate MCL Maximum Contamination Limit RPD Relative Percent Different MinCL Minimum Compound Limit ICV Initial Calibration Verification RA Reanalysis ICB Initial Calibration Blank RE Reextraction CCV Continuing Calibration Verification TIC Tentatively Identified Compound CCB Continuing Calibration Blank RT Retention Time RLC Reporting Limit Check CF Calibration Factor DF Dilution Factor RF Response Factor This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting. Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this list or for additional information regarding the use of these Qualifiers on reported data. Original Page 3 of 8 Page 3 of 10 Summit Environmental Technologies, Inc. Workorder SUMMIT 3310 Win St. M 6-PZVIROhIPAEN`rALTECHLMOLCG1;.�, INC. Cuyahoga Falls, Ohio 44223 Sample SummaryAr:alftlralL;?barkaloi'les TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 16081125 Website: http:/hviviv.settek.com 13-Sep-16 CLIENT: Synagro Project: Granite Falls WWTP Lab SampleID Client Sample ID Tag No Date Collected Date Received Matrix 16081125-001 Granite Falls WWTP 8/17/2016 10:45:00 AM 8/18/2016 10:10:00 AM Sludge Page 4of8 Page 4 of 10 mo t. SUMAMIT Summit Environmental Technologies, Inc. Analytical Report � 3310 Win St. CFy4rIROMMENTAL`BiEOL'{iC�MOGIES,OPM. Cuyahoga Falls, Ohio44223 (base report) Analyffr.arJ' TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 16081125 Website: h�W:/Avww.settek.com Date Reported: 9/1312016 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 8/17/2016 10:45:00 AM Lab ID: 16081125-001A Project: Granite Falls WWTP Client Sample ID Granite Falls WWTP Analyses Result RL Qual Units DF Date Analyzed RCI SW9045D Analyst: CXS PH (SW9045D) pH 5.46 s.u.@20.8eC 1 8/26/2016 4:00:00 PM Qualifiers: H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response ND Not Detected at the Reporting Limit PL Permit Limit RL Reporting Detection Limit W Sample container temperature is out of limit as specified at testcode Original Page 5 of 8 Page 5 of 10 Summit Environmental Technologies, Inc. WO#: 16081125 summiffir tFt$VIRORlfalFMTALTECIIJtJOLa�l_S, INC L— 3310 Win St. Cuyahoga Falls, Ohio 44223 Date Reported: 9/13/2016 AraPyticaP t at aaatorler TEL: (330) 253-8211 FAX: (330) 253-4489 Company: Synagro Website: htto:/Avww.settek.com Address: 284 Boger Rd. Mocksville NC 27028 Received: 8/18/2016 Project#: Granite Falls W TCLP Metals Analysis (6010) Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WWTP 001 8/17/2016 TCLP Arsenic(As) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 8/23/2016 WK Granite Falls WWTP 001 8/17/2016 TCLP Barium(Ba) 5.00 ND mg/L Sludge EPA 6010 C 1 100 8/23/2016 WK Granite Falls WWTP 001 8/17/2016 TCLP Cadmium(Cd) 0.100 ND mg/L Sludge EPA 6010 C 1 1.00 8/23/2016 WK Granite Falls WWTP 001 8/17/2016 TCLP Chromium(Cr) 0.200 ND mg/L Sludge EPA 6010 C 1 5.00 8/23/2016 WK Granite Falls WWTP 001 8/17/2016 TCLP Lead(Pb) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 8/23/2016 WK Granite Falls WWTP 001 8/17/2016 TCLP Selenium(Se) 0.500 ND mg/L Sludge EPA 6010 C 1 1.00 8/23/2016 WK Granite Falls WWTP 001 8/17/2016 TCLP Silver(Ag) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 8/23/2016 WK TCLP Mercury Analysis (1311/7470) Client 1D# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WWTP 001 8/17/2016 TCLP Mercury 0.00200 ND mg/L Sludge EPA 7470 A 1 0.200 8/23/2016 ALJ SVOC SW-846: 8081-TCLP Pesticides Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WWTP 001 8/17/2016 Chlordane, total 0.0100 ND mg/L Sludge EPA 8081 B 1 0.0300 8/23/2016 JBN Granite Falls WWTP 001 8/17/2016 Toxaphene 0.0200 ND mg/L Sludge EPA 8081 B 1 0.500 8/23/2016 JBN Granite Falls WWTP 001 8/17/2016 Endrin 0.00100 ND mg/L Sludge EPA 8081 B 1 0.0200 8/23/2016 JBN Granite Falls WWTP 001 8/17/2016 gamma-BHC 0.00100 ND mg/L Sludge EPA 8081 B 1 0.400 8/23/2016 JBN Granite Falls WWTP 001 8/17/2016 Heptachlor 0.00100 ND mg/L Sludge EPA 8081 B 1 0.00800 8/23/2016 JBN Granite Falls WWTP 001 8/17/2016 Heptachlor epoxide 0.00100 ND mg/L Sludge EPA 8081 B 1 0.00800 8/23/2016 JBN Granite Falls WWTP 001 8/17/2016 Methoxychlor 0.00100 ND mg/L Sludge EPA 8081 B 1 10.0 8/23/2016 JBN VOC by GC/MS (8260)-TCLP Client ID# Lab 1D# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WWTP 001 8/17/2016 1,1-Dichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 8/23/2016 MES Granite Falls WWTP 001 8/17/2016 1,2-Dichloroethane 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/23/2016 MES Granite Falls WWTP 001 8/17/2016 MEK 2.00 ND mg/L Sludge EPA 8260 B 1 200 8/23/2016 MES Granite Falls WWTP 001 8/17/2016 Benzene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/23/2016 MES Granite Falls WWTP 001 8/17/2016 Carbon tetrachloride 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/23/2016 MES Granite Falls WWTP 001 8/17/2016 Chlorobenzene 0.100 ND mg/L Sludge EPA 8260 B 1 100 8/23/2016 MES Granite Falls WWTP 001 8/17/2016 Chloroform 0.100 ND mg/L Sludge EPA 8260 B 1 6.00 8/23/2016 MES Granite Falls WWTP 001 8/17/2016 Tetrachloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 8/23/2016 MES Granite Falls WWTP 001 8/17/2016 Trichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/23/2016 MES Granite Falls WWTP 001 8/17/2016 Vinyl chloride 0.200 ND mg1L Sludge EPA 8260 B 1 0.200 8/23/2016 MES Papg!o MD Summit Environmental Technologies, Inc. WO#: 16081125 sumforf ENVIROMMENTALTECPNOLOGIES,9F-C 3310 Win St. Cuyahoga Falls, Ohio44223 Date Reported: 9/13/2016 Analy, caf 1.abaraiofies TEL: (330) 253-8211 FAX.- (330) 253-4489 Company: Synagro Website: httD:/Avww.settekcom Address: 284 Boger Rd. Mocksville NC 27028 Received: 8/18/2016 Project#: Granite Falls W SVOC 8270 TCLP BNA List Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WWTP 001 8/17/2016 1,4-Dichlorobenzene 0.0800 ND mg/L Sludge EPA 8270 C 2 7.50 8/24/2016 CxA Granite Falls WWTP 001 8/17/2016 2,4,5-Trichlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 400 8/24/2016 CxA Granite Falls WWTP 001 8/17/2016 2,4,6-Trichlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 2.00 8/24/2016 CxA Granite Falls WWTP 001 8/17/2016 2,4-Dinitrotoluene 0.100 ND mg/L Sludge EPA 8270 C 2 0.130 8/24/2016 CxA Granite Falls WWTP 001 8/17/2016 Cresols, Total 4.00 ND mg/L Sludge EPA 8270 C 2 200 8/24/2016 CxA Granite Falls WWTP 001 8/17/2016 Hexachloro-1,3- 0.100 ND mg/L Sludge EPA 8270 C 2 0.500 8/24/2016 CxA butadiene Granite Falls WWTP 001 8/17/2016 Hexachlorobenzene 0.100 ND mg/L Sludge EPA 8270 C 2 0.130 8/24/2016 CxA Granite Falls WWTP 001 8/17/2016 Hexachloroethane 0.0800 ND mg/L Sludge EPA 8270 C 2 3.00 8/24/2016 CxA Granite Falls WWTP 001 8/17/2016 Nitrobenzene 0.0800 ND mg/L Sludge EPA 8270 C 2 2.00 8/24/2016 CxA Granite Falls WWTP 001 8/17/2016 Pentachlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 100 8/24/2016 CxA Granite Falls WWTP 001 8/17/2016 Pyridine 0.200 ND mg/L Sludge EPA 8270 C 2 5.00 8/24/2016 CxA SVOC SW-846: 8321 Herbicides-TCLP Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WWTP 001 8/17/2016 2,4-D 5.00 ND mg/L Sludge EPA 8321 A 1 10.0 8/26/2016 BJH Granite Falls WWTP 001 8/17/2016 2,4,5-TP 0.500 ND mg/L Sludge EPA 8321 A 1 1.00 8/26/2016 BJH Summit Environmental Technologies, Inc. WO#: 16081125 3310 Win St. �CdVIROPJPa1ENT,1L�iJ ClWedc]LQa�7�$, �PaC Cuyahoga Falls, Ohio 44223 Date Reported: 9/13/2016 Avallet1ral.t.fl'bonaforles. TEL: (330) 253-8211 FAX.- (330) 253-4489 Company: Synagro Website: httn://www.settekcom Address: 284 Boger Rd. Mocksville NC 27028 Received: 8/18/2016 Project#: Granite Falls W Client ID# Lab ID# Collected AnaIyte Result Units Matrix Method DF RL Run Analyst Granite Falls WWTP 001 Granite Falls WWTP 001 Granite Falls WWTP 001 8/17/2016 Flashpoint (140°F) 8/17/2016 Cyanide, Reactive 8/17/2016 Sulfide, Reactive >140 °F Sludge EPA 1010 1 8/25/2016 TAH ND mg/Kg Sludge EPA 9014 1 0.500 8/23/2016 MS ND mg/Kg Sludge EPA 9034 1 25.0 8/23/2016 MS PagRaO 0fIC Summit Environmental Teci>Inologies, Inc- Analysis Request/Ch ain of Custody 5-110 VAfiw Street i rlr Summit rmvironniental TeMtttottigie-S. Int:; •use 6111Y Ctiyalw6a Falls, Ohio 44223 Tel, 330.253.5211 Fax: 330.253.4489 Paae� --0f SCt l�tt. Company Name (Please Print) Prajerl-Nante Analytical Parameters and Melh6ds" Campi ny AJ e:: j Projrct Aililrmss .(1 .., u a Mvt✓ksv-llli Z-7621K 1 Client Phone Mo.,Ficpart ut 336 POa O'a . ` a %81 Client I':LK 14n, I!�c; sV: Pn� R�wt1L PClfi c 1. � C 1 Client Gtnaiil Please, Email It • �ut��_pl�tfs+ V -� _ �"ij I�t.%� ��i •F4`.'� S.0 •1...t.-i M .Qntttc No. :: umact PeTson �il.tr Q(`viZ. ;! U `t = J Sample-d by, Clicel: if Obit) VAP samples ✓ �] Date Sample Identification Coffcrted Collectrd C7 U. to ^` Z Notes/Comrnents: ill Rib, by: Date I Time N111va. is :tpprnvcil Rush Requested Ily: try int, m=*r � llatc 10 tht' lalioauc,ty 1111! client retains tt,e pink (sage. 1.15921 :r{q uJ pa550-E :eu4u jelecj :to -jum ;uaJJo N h' sajdwLmmau puns-* ailo ilIM saldwes;noge pppquoo austps seAA '+iw9� 7J a<!s a[q�lnq �ieaJpul ajq, ds�oe eae tuwg> salggnq, tpW, ssjdweS , 1 4 N A v.slarn Itu 01, W0 4 IMSV eaigg(,$ 4 awg Bu1piQ43 ulgJln4 ppnpoaa sejdweS !N Q panJaaea eiduiss luela_wn5 IN N .l pesn s4eulrgoaa EaaiJo� N r1� ' D-O-Q LflJm tease (s)Ea92"t w N =•�� •�aL;. •c, a�aJdusoo (s;lea-J e;duaes ti. ; c'Ja uir ci�}1,>P'.iii :', •�Iw 1Je yiiy \. ' � zi�6'ui.S.€^o�SJB?CiC9aa;duJ�g e;eaBdes Ill -jduaec �7Yfv j3J ' pedoaa ma P=JEg 0-0-: i19:•"?'4'� E,l`',, :7 �9 J' J.' l r.,r�x E�aE tigE 'A'a"+;'3E,CoLutm; ega'.10K$1.0id uta arsei Jaa Fe fl asp v ! . 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(S{J Si j UEOsdDy Z Sped 9--S) �:5£r .f'aeS.;U.ewftiisui i;I�gS4.L E=�J-rezE7%Em 'vlly :.Ja r� 8C4 3R1;3 bJi (AD t-gsaJd ui 3-00 �re ^ ^ 1�2r131 S;BB$%1U;Sr'y Wit, 7'i ID; u, dai 1%r: 9'y]jq U-= J dsc� :se lC? =-m:-rd a"oja.gJJ4• -Jj10 ac4r ..'.eddl4s r� ` _�s ; eaid'es.pue.�: 'dlt'J �—:s�s:cogt�.iaEoo� }o as4'-unrE I I'}- _e:ao •,a?.a;;� :• -: CI,anacaoe� aJC� aJ'�1es'( u'-/4'le�'/filtJ9oads y uo ea,o s;�i ris: 4V jxv i 1 .O 1' 5, Q_ r--:e Page: 1 of 2 Report Number: 16-231-0201 Account Number: 46622 Submitted By: Marshall Puryear Send To: Synagro Central LLC/ Technical Mary Brewer 284 Boger Road Mocksville , NC 27028 Lab Number: 59127 Sample Id : Granite Falls WWTP Waypoint.(2) ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Project: Granite Falls WWTP NC Cert#257 REPORT OF ANALYSIS Date Sampled: 8/17/2016 10:45:00 Date Received: 08/18/2016 00:00 Date Reported: 08/2512016 Total Solids * 1.13 11300 100.0 JM 08/18/2016 15:15 SM-2540G Moisture * 98.87 100.0 JM 08/18/2016 15:15 SM-254OG Total Kjeldahl Nitrogen 4.69 46900 10.0 JM 08/19/2016 10:15 SM-4500-NH3C-TKN Total Phosphorus 2.45 24500 100 D H 08/22/2016 17:07 6010C Total Potassium 0.62 6240 100 SLH 08/19/2016 11:26 6010C Total Sulfur 1.30 13000 100 SLH 08/19/2016 11:26 6010C Total Calcium 2.90 29000 100 SLH 08/19/2016 11:26 6010C Total Magnesium 0.44 4430 100 SLH 08/19/2016 11:26 6010C Total Sodium 0.28 2790 100 SLH 08/19/2016 11:26 6010C Total Iron 25600 100 D H 08/22/2016 17:07 6010C Total Aluminum 23300 100 SLH 08/19/2016 11:26 6010C Total Manganese 245 5.00 SLH 08/19/2016 11:26 6010C Total Copper 221 5.00 D H 08/22/2016 17:07 6010C Total Zinc 585 5.00 D H 08/22/2016 17:07 6010C Ammonia Nitrogen 0.44 4420 10.0 JM 08/19/2016 10:15 SM-4500-NI3C Organic N 4.25 42480 10.0 08/19/2016 10:15 CALCULATION Nitrate+Nitrite-N 9930 0.040 JM 08/19/2016 10:15 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. 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 Laboratory Supervisor Page: 2 of 2 Report Number: 16-231-0201 Account Number: 46622 Submitted By: Marshall Puryear Send To: Synagro Central LLC/ Technical Mary Brewer 284 Boger Road Mocksville , NC 27028 Lab Number: 59127 Sample Id : Granite Falls WWTP • Waypoint. ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Project; Granite Falls WWTP NC Cert#257 REPORT OF ANALYSIS Date Sampled: 8/17/2016 10:45:00 Date Received: 08/18/2016 00:00 Date Reported: 08/25/2016 Total Cadmium <2.00 2.00 SLH 08/19/2016 11:26 6010C Total Chromium 43.7 5.00 SLH 08/19/2016 11:26 • 6010C Total Nickel 23.5 5.00 SLH 08/19/2016 11:26 6010C Total Lead 64.2 5.00 SLH 08/19/2016 11:26 6010C Total Arsenic 5.13 3.00 SLH 08/19/2016 11:26 6010C Total Mercury 6.60 0.400 KMM 08/24/2016 11:00 SW-7471A Total Selenium <5.00 5.00 SLH 08/19/2016 11:26 6010C pH (Standard Units) " 5.52 , JM 08/19/2016 10:15 SW-9045D Total Molybdenum 7.42 5.00 D H 08/22/2016 17:07 6010C Comments: 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. 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 Laboratory Supervisor Lime Stabilization Of Aerobic Digested Sludge "1`o Meet Vector And Pathogen Reduction Requirements Town Of Granite Falls Lime Stabilization For Land Application Of Class "B" Sludge Date fl>2-1QIke Analyst_ � -CQL4JCC POUndS Slurry Added �a�J� � Time: l�, Start, Lime Addition �_ End lime Addition. Date: Time: 540.&M pl-I Belore Lime '54, CotTeeted PH Temp. Time �� Date �2-�P- Ii- pH After- Lime il. Corrected pH Temp. Time Date a-�-1 pH After- Lime Corrected pli 1] • ifs Temp. 2,3.7 Time 1 U Date !?I.2ri-Ib pH After E.ime 5 Corrected pH 12.-142 Temp._ Time Uate�� pH After I-ime LZL44 Corrected pH B 23S� Temp. ��_ Time 3,47 Date 91-2_!�y�6 pl 1 24 HOUrs After Lime ° v� ,Corrected pl l "Temp 2j'I Timc�0Date q'�®"«' pH Correction: pll above 25'c: Temp - 25 ( 0.03) PH below 25°c: 25 - Temp (0.03) O� WATF9 State of North Carolina QG Department of Environment and Natural Resources �2 Division of Water Quality '< RESIDUALS SOURCE CERTIFICATION FORM: RSC 08-11 I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: Granite Falls WTP 2. Facility permit holder is: 0: Federal, 0 State, N' Local Government, or Ef Private. Facility permit issued by: Div. of Water Quality, 0Div. of Environmental Health, or Other (explain: 3. Facility contact person and title: Chris Gra�beal Complete mailing address: PO Drawer 10 City: Granite Falls I State: NC Zip: 28630 Telephone number: (828) 396-7111 E-mail address: Graybealnn,Qranitefallsnc.com 4. Facility physical address: 100 Lakeside Ave City: Granite Falls State: NC Zip: 28630-F 11 Coordinates: Latitude: 35' 47' 16" Longitude: 81' 26' 24" Datum: NAD83 Level of accuracy: second Method of measurement: MAP 5. Purpose of the facility: treatment of municipal wastewater,] treatment of 100% domestic wastewater, �I treatment of potable water,] treatment of 100% industrial wastewater, [f treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: r % industrial and 1 ! % domestic) other (explain: I ). 6. Does the facility have an approved pretreatment program: l] Yes No 7. Facility permitted/design flow: 2_5 MGD and facility average daily flow: 1 MGD 8. Average amount of residuals being generated at this facility 9 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: 600,000 Gallon Settling Basin Type and volume of residuals storage (i.e., outside of residuals treatment units): 250,000 Gallon Storage Tank H. RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under: 0 40 CFR Part503 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: El Biological M 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 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: E yes no. If yes, list the number(s): i I b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- 261.24: . 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: Summit Environmental Technologies and Date of analysis: 8/31/16 Passed corrosivity test: ® yes no. pH:6.27 s.u. (2 < pH < 12.5) Passed ignitability test: yes] no. Flashpoint: >140 °F (> 140°F) Passed reactivity test: N yes []no. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500) TCLP Parameter Limit (mg/1) Result (mg/1) TCLP Parameter Limit (mg/1) Result (mg/1) Arsenic 5.0 ND Hexachlorobenzene 0.13 ND Barium 100.0 ND 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 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 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: Wwoint Anal ical and Date of analysis: 8/25/16 Parameter Ceiling Concentration Limits (ClassA & ClassB) (mg1kg) Monthly Average Concentration Limits (Class A Only) (mg1kg) Result (mg1kg) Arsenic 75 41 8.68 Cadmium 85 39 <2 Copper 4,300 11500 42.2 Lead 840 300 19.9 Mercury 57 17 <0.400 Molybdenum 75 n/a <5 Nickel 420 420 20 Selenium 100 100 <5 Zinc 7,500 2,800 87 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: i I and Date of analysis: Distance from Disposal Unit to Boundary to Closest Property Line (meters, check one) Arsenic (mg/kg) Chromium (mg/kg) Nickel (mg/kg) 0 > 0 but < 25 30 200 210 (] > 25 but < 50 34 220 240 {] > 50 but < 75 39 260 270 > 75 but < 100 46 300 320 [] > 100 but < 125 53 360 390 > 125 62 450 420 Result (mg/kg) FORM: RSC 08-11 Page 3 of 5 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 2.42 %. 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: Waypoint Anal ical and Date of analysis: 8/25/16 Parameter Result (mg/kg) Aluminum 134000 Ammonia -Nitrogen 1240 Calcium 1080 Magnesium 1850 Nitrate -Nitrite Nitrogen 82.6 PH (Standard Unit) 6.36 Phosphorus 1970 Potassium 1750 Sodium 253 Total Kjeldahl Nitrogen 12400 c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.17 [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: 0_4 %. This rate is a (check one): E] default value, or E 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:: I 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) (m9/k9) Surface 5167 7569 Injection/Incorporation 5787 8189 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:. FORM: RSC 08-11 Page 4 of 5 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.1106(b)(3)(A)] - Time/Temperature Compliance. Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment. Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. [] Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. [( Alternative 5 [15A NCAC 02T.I106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). Specify one: ]] composting, Q heat drying, ❑ heat treatment, thermophilic aerobic digestion, ❑ beta ray irradiation, ❑ gamma ray irradiation, or pasteurization. For Land Application of Class B: Z Alternative 1 [15A NCAC 02T.1106(c)(1)] -Fecal Coliform Density Demonstration. ❑ Alternative 2 [15A NCAC 02T.1106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP). Specify one: R. aerobic digestion, ❑ air drying, ❑ anaerobic digestion, [] composting, or El. 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 11. 7b. above. Exempt -If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)]. Fj Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. S. Vector Attraction Reduction (VAR ): 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). i] Alternative 2 [15A NCAC 02T. 1 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). Alternative 3 [15A NCAC 02T. 1 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). ❑ Alternative 5 [15A NCAC 02T. 1 107(a)(5)] - 14-Day Aerobic Processes. ❑ Alternative 6 [15A NCAC 02T. 1 107(a)(6)] - Alkaline Stabilization. ❑ Alternative 7 [15A NCAC 02T. I 107(a)(7)] - Drying of Stabilized Residuals. Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals. El Alternative 9 [15A NCAC 02T. 1 107(a)(9)] - Injection. Alternative 10 [15A NCAC 02T. I 107(a)(1 0)] - Incorporation. ❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [I5A NCAC 02T.I 107(b)(2)]. 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 SYNAGR� Vicinity Map P j A IL L -A 40 41 G To D ITO Falls �7 bi K> L SI F,7 284 Boger Road, Mocksville, NC 27028 Phone: (336) 998-7150 0 Fax; 336-998-8450 f�. Process Flow'®iagram WTP l �e o,Y- (ij De.&(Om VI\Ck+v\-!� -PO J- ,-I T S S 4/ 284 Boger Road, Mocksville, NC 27028 Phone: (336) 998-7150 0 Fax: 336-998-8450 Quantitative Justification for Residuals Granite Falls WTP Granite Falls WTP is currently permitted for a maximum of 45 dry tons per year. In 2016 there were 18.17 dry tons land applied, and in 2015 no residuals were land applied. At this time the maximum dry tonnage of 45 is suitable for the needs of this facility. E5SUMMIT Giv'JIROPJP+IEN7}1L`6'��'IF9�16LiV��ico,Qi11C August 31, 2016 Erik Bruce Synagro 284 Boger Rd. Mocksville, NC 27028 TEL: (336) 998-7150 FAX: (336) 998-8450 RE: Granite Falls WTP Dear Erik Bruce: Summit Environmental Technologies, Inc. 3310 Win St. Cuyahoga Falls, Ohio 44223 TEL: (330) 253-8211 FAX: (330) 253-4489 Website: httn•//www.settekcom Order No.: 16081126 Summit Environmental Technologies, Inc. received 1 sample(s) on 8/18/2016 for the analyses presented in the following report. There were no problems with the analytical events associated with this report unless noted in the Case Narrative. Quality control data is within laboratory defined or method specified acceptance limits except where noted. If you have any questions regarding these tests results, please feel free to call the laboratory. Sincerely, Jennifer Woolf Project Manager 3310 Win St. Cuyahoga Falls, Ohio 44223 Alabama 41600, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC E87688, Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Louisiana 04061 and LA12004, Maine 2012015, Maryland 339, Massachusetts M-OPH923, Minnesota 409711, Montana CERT0099, New Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and 631, Ohio Drinking Water 4170, Ohio VAP CL0052, Oklahoma 9940, Oregon OH2O0001, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-11-5, Region 8 8TMS-L, USDA/APHIS P330-11-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and 1581, Washington C891, West Virginia 248 and 9957C and E87688, Wisconsin 399013010 Page 1 of 29 Page 1 of 31 AM ZIMMIART Summit Environmental Technologies, Inc. 3310 Win St. Case Narrative MVIRONLIENTALTEOHNOLOGIFS, ONG. Cuyahoga Falls, Ohio 44223 WO#: 16081126 ArfabiUcsI L<ftrafovies TEL: (330) 253-8211 FAX.- (330) 253-4489 Date: 8/31/2016 Websiie: hQ.-1A4ww.settekcom CLIENT: Synagro Project: Granite Falls WTP WorkOrder Narrative: 16081126: This report in its entirety consists of the documents listed below. All documents contain the Summit Environmental Technologies, Inc., Work Order Number assigned to this report. Paginated Report including Cover Letter, Case Narrative, Analytical Results, Applicable Quality Control Summary Reports, and copies of the Chain of Custody Documents are supplied with this sample set. Concentrations reported with a J-Flag in the Qualifier Field are values below the Limit of Quantitation (LOQ) but greater than the established Method Detection Limit (MDL). Method numbers, unless specified as SM (Standard Methods) or ASTM, are EPA methods. Estimated uncertainty values are available upon request. Analysis performed by DBM, VRM, or, SFG were performed at Summit Labs 2704 Eatonton Highway Haddock, GA 31033 All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as "dry weight" using the "-dry" designation on the reporting units. Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of the cover letter that may or may not pertain to this report. The information contained in this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of Summit Environmental Technologies, Inc. or the customer 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. This report is believed to meet all of the requirements of NELAC or the accrediting / certifying agency. Any comments or problems with the analytical events associated with this report are noted below. Original Page 2 of 29 Page 2 of 31 summit Environmental Technologies, Inc. Case Narrative UMMIT 3310 Win St. ,T ru"TIF�R"onIPeeNTALTECHNOLMES, UPIC. Cuyahoga Falls, Ohio 44223 WO#: 16081126 /ira i ilr�l t_-Jor5iories TEL: (330) 253-8211 FAX: (330) 253-4489 Date: 8/31/2016 Website: ham•11www.settek.com CLIENT: Synagro Project: Granite Falls WTP Prep Sample QC Comments: 16081332-007A 268716: Prep Comments for SVPrep_TCLP(8151), Sample 16081332-007A: This sample was extracted by SW846:3580A (Waste Dilution) due to matrix; Matrix caused excessive emulsion to form Analytical Sequence QC Comments: ccv 20ppb ccv081 945820: Analytical Comments for VOC-MSTR_NPW(8260), Sample ccv 20ppb ccv081, Batch ID R58256 : The VOC CCV (Batch R58256) exhibited poor recovery for Hexachloroethane; The method exhibited control as demonstrated by method -specified SPCCs and CCCs meeting Acceptance Criteria. DETL check shows adequate instrument sensitivity. Analytical Sequence QC Notes: 40ng CAL STD SVOC-MSTR_NPW(8270): The SVOC CCV (Batch R) exhibited outlying recoveries for several analytes; The method exhibited control as demonstrated by Method Specified CCCs meeting Acceptance Criteria. Original Page 3 of 29 Page 3 of 31 Summit Environmental Technologies, 3310 Win 6 Qualifiers and Acronyms Pf PP;VIRONFiIEN' A.LILOCH€ZOLOGIES, EPIC. Cuyahoga Falls, Ohio 442� WO#: 16081126 'TSUIAMIT ArMytrraf Laboratories TEL: (330) 253-8211 FAX: (330) 253-445 Date: 8/31/2016 Website: ham:/Avww.settek.co. These commonly used Qualifiers and Acronyms may or may not be present in this report. Qualifiers U The compound was analyzed for but was not detected. J The reported value is greater than the Method Detection Limit but less than the Reporting Limit. H The hold time for sample preparation and/or analysis was exceeded. D The result is reported from a dilution. E The result exceeded the linear range of the calibration or is estimated due to interference. MC The result is below the Minimum Compound Limit. * The result exceeds the Regulatory Limit or Maximum Contamination Limit. to Manual integration was used to determine the area response. N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response. P The second column confirmation exceeded 25% difference. C The result has been confirmed by GC/MS. X The result was not confirmed when GC/MS Analysis was performed. B/MB+ The analyte was detected in the associated blank. G The ICB or CCB contained reportable amounts of analyte. QC-/+ The CCV recovery failed low (-) or high (+). R/QDR The RPD was outside of accepted recovery limits. QL-/+ The LCS or LCSD recovery failed low (-) or high (+). QLR The LCS/LCSD RPD was outside of accepted recovery limits. QM-/+ The MS or MSD recovery failed low (-) or high (+). QMR The MS/MSD RPD was outside of accepted recovery limits. QV-/+ The ICV recovery failed low (-) or high (+). S The spike result was outside of accepted recovery limits. Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for additional information Acronyms ND Not Detected RL Reporting Limit QC Quality Control MDL Method Detection Limit MB Method Blank LOD Level of Detection LCS Laboratory Control Sample LOQ Level of Quantitation LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit QCS Quality Control Sample CRQL Contract Required Quantitation Limit DUP Duplicate PL Permit Limit MS Matrix Spike RegLvl Regulatory Limit MSD Matrix Spike Duplicate MCL Maximum Contamination Limit RPD Relative Percent Different MinCL Minimum Compound Limit ICV Initial Calibration Verification RA Reanalysis ICB Initial Calibration Blank RE Reextraction CCV Continuing Calibration Verification TIC Tentatively Identified Compound CCB Continuing Calibration Blank RT Retention Time RLC Reporting Limit Check CF Calibration Factor DF Dilution Factor RF Response Factor This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting. Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this list or for additional information regarding the use of these Qualifiers on reported data. Original Page 4 of 29 Page 4 of 31 s Surnmit Environmental Technologies, Inc. Workorder SUMMIT- _ 3310 Win St. EPvVIR01'.]PjIEWFrALffMCHtdOLOCIESt MO. Cuyahoga Falls, Ohio 44223 Sample Summary Anzty t ca l C a.Q•ioratoirios TEL: (330) 253-8211 FAX. (330) 253-4489 WoA: 16081126 Website: ht�-/Avww.settek com1Avww.settek com 3I Aug-16 CLIENT: Synagro Project: Granite Falls WTP Lab SampleID Client Sample ID Tag No Date Collected Date Received Matrix 16081126-001 Granite Falls WTP 8/17/2016 11:00:00 AM 8/18/2016 10:10:00 AM Sludge Page 5 of 29 Page 5 of 31 f'SUIAMIT Summit Environmental Technologies, Inc. 3310 Win St. WO#: 16081126 Date Reported: 8/31/2016 nr FCa4fiRON.FilE't4T)ILTi!C9 tZOL�r.1C5, OPIC Ca aho a Falls, Ohio 44223 t g At; al fUr_al Laboraioriee, TEL: (330) 253-8211 FAX.- (330) 253-4489 Company: Synagro Website: httD•/Avww.settek.com Address: 284 Boger Rd. Mocksville NC 27028 Received: 8/18/2016 Project#: Granite Falls WT TCLP Metals Analysis (6010) Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WTP 001 8/17/2016 TCLP Arsenic(As) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 8/22/2016 WK Granite Falls WTP 001 8/17/2016 TCLP Barium(Ba) 5.00 ND mg/L Sludge EPA 6010 C 1 100 8/22/2016 WK Granite Falls WTP 001 8/17/2016 TCLP Cadmium(Cd) 0.100 ND mg/L Sludge EPA 6010 C 1 1.00 8/22/2016 WK Granite Falls WTP 001 8/17/2016 TCLP Chromium(Cr) 0.200 ND mg/L Sludge EPA 6010 C 1 5.00 8/22/2016 WK Granite Falls WTP 001 8/17/2016 TCLP Lead(Pb) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 8/22/2016 WK Granite Falls WTP 001 8/17/2016 TCLP Selenium(Se) 0.500 ND mg/L Sludge EPA 6010 C 1 1.00 8/22/2016 WK Granite Falls WTP 001 8/17/2016 TCLP Silver(Ag) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 8/22/2016 WK TCLP Mercury Analysis (1311/7470) Client ID# Lab ID# Collected AnaIyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst -unite Falls WTP 001 8/17/2016 TCLP Mercury 0.00200 ND mg/L Sludge EPA 7470 A 1 0.200 8/22/2016 ALJ SVOC SW-846: 8081-TCLP Pesticides Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WTP 001 8/17/2016 Chlordane, total 0.0100 ND mg/L Sludge EPA 8081 B 1 0.0300 8/22/2016 JBN Granite Falls WTP 001 8/17/2016 Toxaphene 0.0200 ND mg/L - Sludge EPA 8081 B 1 0.500 8/22/2016 JBN Granite Falls WTP 001 8/17/2016 Endrin 0.00100 ND mg/L Sludge EPA 8081 B 1 0.0200 8/22/2016 JBN Granite Falls WTP 001 8/17/2016 gamma-BHC 0.00100 ND mg/L Sludge EPA 8081 B 1 0.400 8/22/2016 JBN Granite Falls WTP 001 8/17/2016 Heptachlor 0.00100 ND mg/L Sludge EPA 8081 B 1 0.00800 8/22/2016 JBN Granite Falls WTP 001 8/17/2016 Heptachlor epoxide 0.00100 ND mg/L Sludge EPA 8081 B 1 0.00800 8/22/2016 JBN Granite Falls WTP 001 8/17/2016 Methoxychlor 0.00100 ND mg/L Sludge EPA 8081 B 1 10.0 8/22/2016 JBN SVOC SW-846: 8151 Herbicides-TCLP Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WTP 001 8/17/2016 2,4-D 1.00 ND mg/L Sludge EPA 8151 A 1 10.0 8/27/2016 JBN Granite Falls WTP 001 8/17/2016 2,4,5-TP 0.100 ND mg/L Sludge EPA 8151 A 1 1.00 8/27/2016 JBN j�1 Summit Environmental Technologies, Inc. 3310 Win St. WO#: 16081126 Date Reported: 8/31/2016 PGSA�IROPJPa1EPJ`r%.LTiECliit'Z�IL.OG9:cS, aP=C Cu aho a Falls, Ohio 44223 Y g �9-R� .0nEl,rticzl L..: ongfO606 TEL: (330) 253-8211 FAX.- (330) 253-4489 Company: Synagro Website: htto://www.settekcom Address: 284 Boger Rd. Mocksville NC 27028 Received: 8/18/2016 Project#: Granite Falls WT VOC by GC/MS (8260)-TCLP Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WTP 001 8/17/2016 1,1-Dichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 8/22/2016 MES Granite Falls WTP 001 8/17/2016 1,2-Dichloroethane 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/22/2016 MES Granite Falls WTP 001 8/17/2016 MEK 2.00 ND mg/L Sludge EPA 8260 B 1 200 8/22/2016 MES Granite Falls WTP 001 8/17/2016 Benzene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/22/2016 MES Granite Falls WTP 001 8/17/2016 Carbon tetrachloride 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/22/2016 MES Granite Falls WTP 001 8/17/2016 Chlorobenzene 0.100 ND mg/L Sludge EPA 8260 B 1 100 8/22/2016 MES Granite Falls WTP 001 8/17/2016 Chloroform 0.100 ND mg/L Sludge EPA 8260 B 1 6.00 8/22/2016 MES Granite Falls WTP 001 8/17/2016 Tetrachloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 8/22/2016 MES Granite Falls WTP 001 8/17/2016 Trichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/22/2016 MES Granite Falls WTP 001 8/17/2016 Vinyl chloride 0.200 ND mg/L Sludge EPA 8260 B 1 0.200 8/22/2016 MES SVOC 8270 TCLP BNA List lient ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Granite Falls WTP 001 8/17/2016 1,4-Dichlorobenzene 0.0800 ND mg/L Sludge EPA 8270 C 2 7.50 8/24/2016 CxA Granite Falls WTP 001 8/17/2016 2,4,5-Trichlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 400 8/24/2016 CxA Granite Falls WTP 001 8/17/2016 2,4,6-Trichlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 2.00 8/24/2016 CxA Granite Falls WTP 001 8/17/2016 2,4-Dinitrotoluene 0.100 ND mg/L Sludge EPA 8270 C 2 0.130 8/24/2016 CxA Granite Falls WTP 001 8/17/2016 Cresols, Total 4.00 ND mg/L Sludge EPA 8270 C 2 200 8/24/2016 CxA Granite Falls WTP 001 8/17/2016 Hexachloro-1,3- 0.100 ND mg/L Sludge EPA 8270 C 2 0.500 8/24/2016 CxA butadiene Granite Falls WTP 001 8/17/2016 Hexachlorobenzene 0.100 ND mg/L Sludge EPA 8270 C 2 0.130 8/24/2016 CxA Granite Falls WTP 001 8/17/2016 Hexachloroethane 0.0800 ND mg/L Sludge EPA 8270 C 2 3.00 8/24/2016 CxA Granite Falls WTP 001 8/17/2016 Nitrobenzene 0.0800 ND mg/L Sludge EPA 8270 C 2 2.00 8/24/2016 CxA Granite Falls WTP 001 8/17/2016 Pentachlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 100 8/24/2016 CxA Granite Falls WTP 001 8/17/2016 Pyridine 0.200 ND mg/L Sludge EPA 8270 C 2 5.00 8/24/2016 CxA Pa e77 of V Summit Environmental Technologies,Inc. 3310 Win St. analytical Report TSUMMIT (base report) FG;VIRON?jlEt4T'ALY-EC NOLtl-9_S, aP&G_ Cuyahoga Falls, Ohio 44223 WO#: 16081126 Analtyk caf L<iboratorieg TEL: (330) 253-8211 FAX: (330) 253-4489 Website: htty•Ilwww.settek com Date Reported: 8/31/2016 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 8/17/2016 11:00:00 AM Lab ED: 16081126-OOIA Project: Granite Falls WTP Client Sample ED Granite Falls WTP Analyses Result RL Qual Units DF Date Analyzed RCI SW1010 Analyst: TAH FLASHPOINT DETERMINATION (1010) Flashpoint (140°F) >140 °F 1 8/25/2016 10:37:32 AM RCI SW9014 Analyst: MS REACTIVE CYANIDE (9014/7.3.3.2) Cyanide, Reactive ND 0.500 mg/Kg 1 8/23/2016 5:11:00 PM RCI SW9045D Analyst: CXS PH (SW9045D) pH 6.27 s.u.@20.6°C 1 8/26/2016 4:00:00 PM RCI SW9034 Analyst: MS REACTIVE SULFIDE (9034) Sulfide, Reactive ND 25.0 mg/Kg 1 8/23/2016 6:11:00 PM Qualifiers•• H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response ND Not Detected at the Reporting Limit PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit W Sample container temperature is out of limit as specified at tesmode Original Page 8 of 29 Page 8 of 31 Summit Environmental Technologies, Inc. QC SUMMARY REPORT S.3310 Win St. fErOWIff i`rar�t���Kr°°°4 SAL o h4:HNOL t'GIES, INC Cuyahoga Falls, Ohio 44223 WO#: 16081126 wfo-r. TEL: (330) 253-8211 FAX.• (330) 253-4489 31 Aug-I6 Website: http://wivw.settek.com Client: Synagro Project: Granite Falls WTP BatchID: 22491 Sample ID MB-22491 SampType: MBLK TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 8/22/2016 RunNo: 58219 Client ID: PBW Batch ID: 22491 TestNo: SW6010C SW3010A Analysis Date: 8/22/2016 SegNo: 946312 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qua[ TCLP Arsenic(As) ND 0.500 TCLP Barium(Ba) ND 5.00 TCLP Cadmium(Cd) ND 0.100 TCLP Chromium(Cr) ND 0.200 TCLP Lead(Pb) ND 0.500 TCLP Selenium(Se) ND 0.500 TCLP Silver(Ag) ND 0.500 Sample ID LCS-22491 SampType: LCS TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 812212016 RunNo: 58219 Client ID: LCSW Batch ID: 22491 TestNo: SW6010C SW3010A Analysis Date: 8/22/2016 SegNo: 946313 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLPArsenic(As) 2.03 0.500 2.000 0 102 bu lzu TCLP Barium(Ba) ND 5.00 2.000 0 103 80 120 TCLP Cadmium(Cd) 2.07 0.100 2.000 0 104 80 120 TCLP Chromium(Cr) 2.01 0.200 2.000 0 101 80 120 TCLP Lead(Pb) 2.05 0.500 2.000 0 103 80 120 TCLP Selenium(Se) 2.03 0.500 2.000 0 102 80 120 TCLP Silver(Ag) 1.02 0.500 1.000 0 102 80 120 Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Page 9 of 29 Page 9 of 31 SummitEnvironmentalTechnologies,Inc. QC SUMMARY REPORT L7-n-t 3310 Win St. Erviwonromrd IAL o bq;HWUtuGl7zs, INC Cuyahoga Falls, Ohio 44223 WO#: 16081126 ArtaPVfl;caf Labbraforfor TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: h�•/hviviv settek.com 31 Aug-I6 Client: Synagro Project: Granite Falls WTP BatchlD: 22491 Sample ID 16081129-001AMS SampType: MS TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 812212016 RunNo: 58219 client ID: BatchQC Batch ID: 22491 TestNo: SW6010C SW3010A Analysis Date: 8/22/2016 SegNo: 946316 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLPArsenic(As) 2.20 0.500 2.000 u 'i.iU I iov TCLP Barium(Ba) ND 5.00 2.000 0 98.0 70 130 TCLP Cadmium(Cd) 2.08 0.100 2.000 0 104 70 130 TCLP Chromium(Cr) 1.96 0.200 2.000 0 98.0 70 130 TCLP Lead(Pb) 2.03 0.500 2.000 0 102 70 130 TCLP Selenium(Se) 2.30 0.500 2.000 0 115 70 130 TCLP Silver(Ag) 0.610 0.500 1.000 0 61.0 70 130 S Sample ID 16081129-001AMSD SampType: MSD TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 8/22/2016 RunNo: 58219 Client ID: BatchQC Batch ID: 22491 TestNo: SW6010C SW3010A Analysis Date: 812212016 SegNo: 946317 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Arsenic(As) 2.27 0.500 2.000 0 114 70 130 2.200 3.13 20 TCLP Barium(Ba) ND 5.00 2.000 0 100 70 130 0 0 20 TCLP Cadmium(Cd) 2.13 0.100 2.000 0 106 70 130 2.080 2.38 20 TCLP Chromium(Cr) 2.00 0.200 2.000 0 100 70 130 1.960 2.07 20 TCLP Lead(Pb) 2.10 0.500 2.000 0 105 70 130 2.030 3.39 20 TCLP Selenium(Se) 2.40 0.500 2.000 0 120 70 130 2.300 4.26 20 TCLP Silver(Ag) 0.620 0.500 1.000 0 62.0 70 130 0.6100 1.63 20 S Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 10 of 29 Page 10 of 31 sularolT Summit Environmental Technologies, Inc. 3310 Win Sr. QC SUMMARY REPORT ENV IKOINTPIUN IAI. D bUHNIOLUGIES, INC Cuyahoga Falls, Ohio 44223 WO#: 16081126 ltw�f;+fFcaP L3fa�rstPat4=� TEL: (330) 253-8211 FAX.- (330) 253-4489 3I Aug-16 Website: hup-//wivw.settek.com Client: Synagro Project: Granite Falls WTP BatchID: 22508 Sample ID mb-22508 SampType: mblk TestCode: tclp-svoc-cpe Units: mg1L Client ID: PBW Batch ID: 22508 TestNo: SW8081A SW3510C Analyte Result PQL SPK value SPK Ref Val Chlordane, total ND 0.0100 Toxaphene ND 0.0200 Endrin ND 0.00100 gamma-BHC ND 0.00100 Heptachlor ND 0.00100 Heptachlor epoxide ND 0.00100 Methoxychlor ND 0.00100 Prep Date: 8/22/2016 RunNo: 58201 Analysis Date: 8/2212016 ' SegNo: 946194 %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ d Sample ID Ics-22508 SampType: Ics TestCode: tclp-svoc-cpe Units: mg/L Prep Date: 8/22/2016 RunNo: 58201 client ID: LCSW Batch ID: 22508 TestNo: SW8081A SW3510C Analysis Date: 8/22/2016 SegNo: 946195 analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Endrin 0.00958 0.00100 0.0100 0 95.8 zu -lot gamma-BHC 0.00787 0.00100 0.0100 0 78.7 22 137 Heptachlor 0.00827 0.00100 0.0100 0 82.7 24 121 Heptachlor epoxide 0.00859 0.00100 0.0100 0 85.9 27 152 Methoxychlor 0.0115 0.00100 0.0100 0 115 10 199 Qualifiers: :k Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Page 11 of 29 Page 11 of 31 lg SummitEnvironmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT h e:r.VlttOWAUN 1AL a k4fBiNULUGIES, ONC Cuyahoga Falls, Ohio 44223 wo#: 16081126 lt� _ Analyftar TEL: (330) 253-8211 FAX.- (330) 253-4489 31 Aug-16 Website: http•/%viviv.settekcom Client: Synagro prniect: Granite Falls WTP $atchlD: 22508 Sample ID 16081074-001ams SampType: ms TestCode: tclp-svoc-cpe Units: mg/L Prep Date: 8/22/2016 RunNo: 58201 Client ID: BatchQC Batch ID: 22508 TestNo: SW8081A SW3510C Analysis Date: 812212016 SegNo: 946196 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Endrin 0.0100 0.00100 0.0100 U 1UU cU iui gamma-BHC 0.00898 0.00100 0.0100 0 89.8 22 137 Heptachlor 0.00878 0.00100 0.0100 0 87.8 24 121 Heptachlor epoxide 0.00955 0.00100 0.0100 0 95.5 27 152 Methoxychlor 0.0118 0.00100 0.0100 0 118 10 199 Sample ID 16081074-001amsd SampType: msd TestCode: tclp-svoc-cpe Units: mg/L Prep Date: 812212016 RunNo: 58201 Client ID: BatchQC Batch ID: 22508 TestNo: SW8081A SW351OC Analysis Date: 8/22/2016 SegNo: 946197 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Endrin 0.00768 D.00100 0.0100 0 76.8 20 157 0.01 DO 26.5 30 gamma-BHC 0.00676 0.00100 0.0100 0 67.6 22 137 0.00898 28.2 30 Heptachlor 0.00710 0.00100 0.0100 0 71.0 24 121 0.00878 21.2 30 Heptachlor epoxide 0.00746 0.00100 0.0100 0 74.6 27 152 0.00955 24.5 30 Methoxychlor 0.00931 0.00100 0.0100 0 93.1 10 199 0.0118 23.7 30 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine 0 RSD is greater than RSDlimit R RPD outside accepted recovery limits Qual Original Page 12 of 29 Page 12 of 31 i3 Summit Environmental Technologies, Inc. u m to i T 3310 Win St. QC SUMMARY REPORT r r&t l!t�a+NranaN IAL I hUHHULUVIES, ONC Cuyahoga. Falls, Ohio 44223 WO#: 16081126 AnalfClcal Labaralarins TEL: (330) 253-8211 FAX.- (330) 253-4489 31 Aug-16 Website: httD://iviviv.settek.com Client: Synagro Project: Granite Falls WTP BatchII): 22509 Sample ID 16080889-005AMS SampType: MS TestCode: SVOC-bna_tc Units: mg/L Prep Date: 8/2212016 RunNo: 58321 Client ID: BatchQC Batch ID: 22509 TestNo: SW8270C SW3510C Analysis Date: 812312016 SegNo: 947337 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 1,4-Dichlorobenzene 0.245 0.0800 0.4000 0 61.3 10 134 2,4,5-Trichi orophenol 0.318 0.200 0.4000 0 79.4 27 154 2,4,6-Trichlorophenol 0.310 0.200 0.4000 0 77.6 27 154 2,4-Dinitrotoluene 0.311 0.0400 0.4000 0 77.8 29 149 Cresols, Total ND 4.00 1.200 0 43.7 20 125 Hexachloro-1,3-butadiene 0.271 0.0160 0.4000 0 67.7 14 126 Hexachlorobenzene 0.305 0.0400 0.4000 0 76.2 10 162 Hexachloroethane 0.274 D.0800 0.4000 0 68.5 30 123 Nitrobenzene 0.279 0.0800 0.4000 0 69.8 25 190 Pentachlorophenol 0.286 0.200 0.4000 0 71.4 10 186 Pyridine ND 0.200 0.4000 0 42.3 10 130 mQMR Sample ID 16080889-005AMSD SampType: MSD TestCode: SVOC-bna_tc Units: mg/L Prep Date: 8/2212016 RunNo: 58321 Client ID: BatchQC Batch ID: 22509 TestNo: SW8270C SW3510C Analysis Date: 8/23/2016 SegNo: 947338 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 1,4-Dichlorobenzene 0.190 0.0800 0.4000 0 47.4 10 134 0.2452 25.6 30 2,4,5-Trichlorophenol 0.259 0.200 0.4000 0 64.8 27 154 0.3176 20.2 30 2,4,6-Trichlorophenol 0.258 0.200 0.4000 0 64.4 27 154 0.3104 18.6 30 2,4-Dinitrotoluene 0.256 0.0400 0.4000 0 63.9 29 149 0.3112 19.6 30 Cresols, Total ND 4.00 1.200 0 36.3 20 125 0 0 30 Hexachloro-1,3-butadiene 0.228 0.0160 0.4000 0 57.0 14 126 0.2708 17.2 30 Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit Page 13 of 29 P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Page 13 of 31 Summit Environmental Technologies, Inc. QC SUMMARY REPORT 3310 Win St. f S U Mato I ir Er.V1ffVVW1Ui4IAL I EU i0 ULUUMS, INC Cuyahoga Falls, Ohio 44223 WO#: 16081126 l An,9111elcai Laborafc+rt(n; TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: ham-Mviviv settek.com 3I Aug-l6 Client: Synagro Project: Granite Falls WTP BatchID: 22509 Sample ID 16080889-005AMSD SampType: MSD TestCode: SVOC-bna_tc Units: mglL Prep Date: 8/22/2016 RunNo: 58321 Client ID: BatchQC Batch ID: 22509 TestNo: SW8270C SW3510C Analysis Date: 812312016 SegNo: 947338 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qua[ Hexachlorobenzene 0.249 0.0400 0.4000 0 62.3 10 162 0.3048 20.1 30 Hexach[oroethane 0.229 0.0800 0.4000 0 57.2 30 123 0.2740 18.0 30 Nitrobenzene 0.239 0.0800 0.4000 0 59.8 25 190 0.2792 15.4 30 Pentachlorophenol 0.236 0.200 0.4000 0 59.1 10 186 0.2856 18.9 30 Pyridine ND 0.200 0.4000 0 27.3 10 130 0 0 30 Rm Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 14 of 29 Page 14 of 31 Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT MSUMMIT tErWIAf0' dtaletd lk6 6 hUHROULUCBLti.ES, ONC Cuyahoga Falls, Ohio 44223 WO#: 16081126 fi!?ar'yf!'caP Labonglaricr � TEL: (330) 253-8211 FAX.- (330) 253-4489 3I Aug-16 Website: htto:/hvlvw.settek.com Client: Synagro Project: Granite Falls WTP BatchID: 22509 Sample ID MB-22509 SampType: MBLK TestCode: SVOC-bna tc Units: mg/L Client ID: PBW Batch ID: 22509 TestNo: SW8270C SW3510C Analyte Result PQL 1,4-Dichlorobenzene ND 0.0400 2,4,5-Trichlorophenol ND 0.100 2,4,6-Trichlorophenol ND 0.100 2,4-Dinitrotoluene ND 0.0200 Cresols, Total ND 2.00 Hexachloro-1,3-butadiene ND 0.00800 Hexachlorobenzene ND 0.0200 Hexachloroethane ND 0.0400 Nitrobenzene ND 0.0400 Pentachlorophenol ND 0.100 Pyridine ND 0.100 SPK value SPK Ref Val Sample ID LCS-22509 SampType: LCS TestCode: SVOC-bna_tc Units: mg/L Client ID: LCSW Batch ID: 22509 TestNo: SW8270C SW3510C Analyte Result PQL 1,4-Dichlorobenzene 0.350 0.0400 2,4,5-Trichlorophenol 0.356 0.100 2,4,6-Trichlorophenol 0.357 0.100 2,4-Dinitrotoluene 0.354 0.0200 Cresols, Total ND 2.00 Hexachloro-1,3-butadiene 0.319 0.00800 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds Prep Date: 8/22/2016 RunNo: 58244 Analysis Date: 812212016 SegNo: 945620 %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual QC+ Prep Date: 8/22/2016 RunNo: 58244 Analysis Date: 812212016 SegNo: 945621 SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ 0.4000 0 87.5 10 134 0.4000 0 89.1 27 154 0.4000 0 89.2 27 154 0.4000 0 88.6 29 149 0.8000 0 79.3 20 125 0.4000 0 79.7 14 126 B Analyte detected in the associated Method Blank E Value above quantitation range J Analyte detected below quantitation limits M Manual Integration used to determine Original ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit PL Permit Limit R RPD outside accepted recovery limits Page 15 of 29 Page 15 of 31 _ 4x �` SummitEnvironmental Technologies, Inc. 3Ohi Win St. QC SUMMARY REPORT ti tr;vlttr�7+ntrnkral,�t= os;a;�iBaULu�IEs, aMC Cuyahoga Falls, Ohio 44223 WO#: 16081126 Il AnallfYaBf Label afatltes TEL: (330) 253-8211 FAX (330) 253-4489 31 Aug-16 Website: http://wiviv.settek.com Client: Synagro Project: Granite Falls WTP BatchID: 22509 Sample ID LCS-22509 SampType: LCS TestCode: SVOC-bna_tc Units: mg/L Prep Date: 8/22/2016 RunNo: 58244 client ID: LCSW Batch ID: 22509 TestNo: SW8270C SW3510C Analysis Date: 8/22/2016 SegNo: 945621 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual Hexachlorobenzene 0.333 0.0200 0.4000 U 63.0 i U i oc Hexachloroethane 0.312 0.0400 0.4000 0 78.1 30 123 Nitrobenzene 0.316 0.0400 0.4000 0 79.1 25 190 Pentachlorophenol 0.310 0.100 0.4000 0 77.5 10 186 Pyridine ND 0.100 0.4000 0 21.4 10 130 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits mQC+ Original Page 16 of 29 Page 16 of 31 SummitEnvironmental Technologies, Inc. 3310 Win St. aa_S U M M I mr QC SUMMARY REPORT 'I+� EnvIxr0 li IAt. G 11tUH�aULUGIBS, IMC Cuyahoga Falls, Ohio 44223 WO#: 16081126 n 4!^a1; f �`ce1 f r?Fadr�lai tws TEL: (330) 253-8211 FA.K- (330) 253-4489 31 Aug-16 Website: htti2 vuvw.settek.corn Client: Synagro Project: Granite Falls WTP BatchID: 22511 Sample ID MB-22511 SampType: MBLK TestCode: HG_TCLP(74 Units: PPM Prep Date: 8/22/2016 RunNo: 58231 Client ID: PBW Batch ID: 22511 TestNo: SW7470A SW7470A Analysis Date: 812212016 SegNo: 945414 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Mercury ND 0.00200 Sample ID LCS-22511 SampType: LCS TestCode: HG_TCLP(74 Units: PPM Prep Date: 8/2212016 RunNo: 58231 Client ID: LCSW Batch ID: 22511 TestNo: SW7470A SW7470A Analysis Date: 8/22/2016 SegNo: 945415 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Mercury 0.00414 0.00200 0.00400 0 104 80 120 Sample ID 16081129-001AMS SampType: MS TestCode: HG_TCLP(74 Units: PPM Prep Date: 812212016 RunNo: 58231 Client ID: BatchQC Batch ID: 22511 TestNo: SW7470A SW7470A Analysis Date: 8/22/2016 SegNo: 945420 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Mercury 0.00421 0.00200 0.00400 0 105 75 125 Sample ID 16081129-001AMSD SampType: MSD TestCode: HG TCLP(74 Units: PPM Prep Date: 812212016 RunNo: 58231 Client ID: BatchQC Batch ID: 22511 TestNo: SW7470A SW7470A Analysis Date: 8/2212016 SegNo: 945421 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Mercury 0.00412 0.00200 0.00400 0 103 75 125 0.00421 2.16 20 Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit limits Page 17 of 29 P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery Page 17 of 31 I„� Summit Environmental Technologies, Inc. QC SUMMARY REPORT � � 3310 Win Sr. tirzywE)nra1kW iAL- a bt;m uLUGIES, Oetc Cuyahoga Falls, Ohio 44223 WO#: 16081126 1`Sr�r;,fef 3a Cr[Joniglarh- TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htta://wivw.settek.com 31 Aug-16 Client: Synagro Project: Granite Falls WTP BatchID: 22511 Sample ID 16081129-001AMSD SampType: MSD TestCode: HG TCLP(74 Units: PPM Client ID: BatchQC Batch ID: 22511 TestNo: SW7470A SW7470A Analyte Result PQL SPK value SPK Ref Val Prep Date: 8/22/2016 RunNo: 58231 Analysis Date: 8/2212016 SegNo: 945421 %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit P Second column confirmation exceeds PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 18 of 29 Page 18 of 31 f-�-- -'SUMMIT Summit Environmental Technologies, 117C. 3310 Win St. tr;u14fU1NrA %N IAL a ha:MULUGILs, INC Cuyahoga Falls, Ohio 44223 AlMaaly Fl*Cal Lrsbor.9aat;o-: TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htty.-Mvivw.settek con: QC SUMMARY REPORT WO#: 16081126 31 Aug-16 Client: Synagro Project: Granite Falls WTP BatchID: 22653 Sample ID mb-22653 SampType: mblk TestCode: tclp-svoc-her Units: mgtL Prep Date: 8/24/2016 RunNo: 58555 Client ID: PBW Batch ID: 22653 TestNo: SW8151A SW8151A Analysis Date: 812712016 SegNo: 952681 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ 2,4-D ND 1.00 2,4,5-TP ND 0.100 Sample ID Ics-22653 Client ID: LCSW Analyte SampType: Batch ID: Ics 22653 Result TestCode: tclp-svoc-her Units: mg/L TestNo: SW8151A SW8151A PQL SPK value SPK Ref Val %REC Prep Date: 812412016 Analysis Date: 8/27/2016 LowLimit HighLimit RPD Ref Val RunNo: 58555 SegNo: 952682 %RPD RPDLimit Qual 2,4-D ND 1.00 0.450 0 102 62.6 125 2,4,5-TP 0.420 0.100 0.450 0 93.3 52.5 128 Sample ID 16081126-001ams SampType: ms TestCode: tclp-svoc-her Units: mg/L Prep Date: 8/24/2016 RunNo: 58555 Client ID: Granite Falls WTP Batch ID: 22653 TestNo: SW8151A SW8151A Analysis Date: 8/27/2016 SegNo: 952683 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 2,4-D ND 1.00 0.450 0 94.3 37 105 2,4,5-TP 0.367 0.100 0.450 0 81.6 38 106 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 19 of 29 Page 19 of 31 y� 1 f�— —� Summit Environmental Technologies, Inc. S U mmoir 3310 Win St. Envixrarta ANNiAL oIgUR ULUMES, INC Cuyahoga Falls, Ohio 44223 AnalyUaaP TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htt12•1Awwiv.settek.com QC SUMMARY REPORT WO#: 16081126 3I Aug-16 Client: Synagro ]Project: Granite Falls WTP BatchlD: 22653 Sample ID 16081126-001amsd SampType: msd TestCode: tclp-svoc-her Units: mg/L Prep Date: 8/24/2016 RunNo: 58555 Client ID: Granite Falls WTP . Batch ID: 22653 TestNo: SW8151A SW8151A Analysis Date: 8/27/2016 SegNo: 952684 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual 2,4-D ND 1.00 0.450 0 96.0 37 105 0 0 30 2,4,5-TP 0.377 0.100 0.450 0 83.8 38 106 0.367 2.63 30 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 20 of 29 Page 20 of 31 SUMMIT SummitEnvironmentalTechnologies,Inc. QC SUMMARY REPORT 3310 Win St. EnVlt[OVIANN IRL o hUHNULUGMS, ONC Cuyahoga Falls, Ohio 44223 WO#: 16081126 ftrafyflt sP 1�siaarParFe TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: http://wwiv.settek.com 31 Aug-16 Client: Synagro Project: Granite Falls WTP BatchID: R58256 Sample ID Ics 20ppb Ics082 SampType: LCS TestCode: VOC-MSTR_ Units: mg/L Prep Date: RunNo: 58256 3lient ID: LCSW Batch ID: R58256 TestNo: SW8260B Analysis Date: 812212016 SegNo: 945821 4nalyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua] 1,1-Dichloroethene 0.0200 0.00500 0.0200 0 99.t3 t'I 130 Benzene 0.0199 0.00500 0.0200 0 99.2 75 137 Chlorobenzene 0.0197 0.00500 0.0200 0 98.4 77 132 Trichloroethene 0.0193 0.00500 0.0200 0 96.5 64 119 Sample ID mblk SampType: MBLK TestCode: VOC-MSTR Units: mg/L Client ID: PBW Batch ID: R58256 TestNo: SW8260B Analyte Result PQL SPK value SPK Ref Val 1,1-Dichloroethene ND 0.00500 1,2-Dichloroethane ND 0.00500 MEK ND 0.0250 Benzene ND 0.00500 Carbon tetrachloride ND 0,00500 Chlorobenzene ND 0.00500 Chloroform ND 0.00500 Tetrachloroethene ND 0.00500 Trichloroethene ND 0.00500 Vinyl chloride ND 0.00200 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds Prep Date: RunNo: 58256 Analysis Date: 812212016 SegNo: 945823 %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 21 of 29 Page 21 of 31 Summit Environmental Technologies, Inc. QC SUMMARYREPORT summur 3310 Win St. f EnVIMiiWAuN IAL S hUMULUGtrs, INC Cuyahoga Falls, Ohio 44223 W09: 16081126 AnalyUcaf L3i7a,rforl 5; TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htt.//iviviv.sett.ek.com 3I Aug-16 o Client: Synagro Proiect: Granite Falls WTP BatchID: R58256 Sample ID 16081208-001ams Client ID: BatchQC Analyte SampType: MS Batch ID: R58256 Result TestCode: tclp-VOC-MS Units: mg/L TestNo: SW8260B PQL SPK value SPK Ref Val %REC Prep Date: Analysis Date: 812212016 LowLimit HighLimit RPD Ref Val 1,1-Dichloroethene 0.219 0.100 0.200 0 109 39.9 160 1,2-Dichloroethane 0.207 0.100 0.200 0 104 42.5 157 MEK ND 2.00 1.00 0 ill 16.6 227 Benzene 0.226 0.100 0.200 0.0296 98.4 38.1 155 Carbon tetrachloride 0.208 0.100 0.200 0 104 40.8 162 Chlorobenzene 0.222 0.100 0.200 0 ill 35.7 168 Chloroform 0.221 0.100 0.200 0 110 18.3 199 Tetrachloroethene 0.229 0.100 0.200 0 115 10 261 Trichloroethene 0.218 0.100 0.200 0 109 23.8 175 Vinyl chloride 0.204 0.200 0.200 0 102 10 165 Sample ID 16081208-001amsd SampType: MSD TestCode: tclp-VOC-MS Units: mg/L Prep Date: Client ID: Batch= Batch ID: R58256 TestNo: SW8260B Analysis Date: 8/2212016 Analyte Result PQL 1,1-Dichloroethene 0.196 0.100 1,2-Dichloroethane 0.177 0.100 MEK ND 2.00 Benzene 0.199 0.100 Carbon tetrachloride 0.178 0.100 Chlorobenzene 0.195 0.100 Chloroform 0.189 0.100 Qualifiers: k Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds RunNo: 58256 SegNo: 945836 %RPD RPDLimit Qual RunNo: 58256 SegNo: 945837 SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual 0.200 0 98.0 39.9 160 0.219 11.0 25 0.200 0 88.7 42.5 157 0.207 15.5 25 1.00 0 99.6 16.6 227 0 0 25 0.200 0.0296 84.6 38.1 155 0.226 13.1 25 0.200 0 89.2 40.8 162 0.208 15.4 25 0.200 0 97.6 35.7 168 0.222 12.9 25 0.200 0 94.4 18.3 199 0.221 15.7 25 B Analyte detected in the associated Method Blank E Value above quantitation range J Analyte detected below quantitation limits M Manual Integration used to determine Original ND Not Detected at the Reporting Limit 0 RSD is greater than RSDlimit PL Permit Limit R RPD outside accepted recovery limits Page 22 of 29 Page 22 of 31 Summit Environmental Technologies, Inc. QC SUMMARY REPORT Ir3310 Win St. �RlialkT7IA6 U kVs1iC4rJJ—U"elE5, anC Cuyahoga Falls, Ohio 44223 WO#: 16081126 /t! �DyCt:cai L�f+tiP Parie TEL: (330) 253-8211 FAX: (330) 253-4489 3I Aug-16 Website: http //www.settek.com Client: Synagro Project: Granite Falls WTP BatchID: R58256 Sample ID 16081208-001amsd Client ID: BatchQC SampType: MSD Batch ID: R58256 TestCode: tclp-VOC-MS TestNo: SW8260B Units: mg/L Prep Date: Analysis Date: 8/22/2016 RunNo: 58256 SegNo: 945837 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual Tetrachloroethene Trichloroethene Vinyl chloride 0.197 0.190 ND 0.100 0.200 0.100 0.200 0.200 0.200 0 0 0 98.4 95.1 92.2 10 23.8 10 261 0.229 175 0.218 165 0.2D4 15.3 25 13.5 25 200 25 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 23 of 29 Page 23 of 31 Sunsmit Environmental Technologies, Inc. QC SUMMARY REPORT M--sul"MIT 3310 Win St. erdV11f01r4fn1PN IRI, I2XH7dULUCg1!!S, INC Cuyahoga Falls, Ohio 44223 WO#: 16081126 �l �alyll caP L�sl�or�parF�3a TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: hup.-Mvivw.settek.corn 3X Aug-l6 Client: Synagro Project: Granite Falls WTP BatchID: R58353 Sample ID MB-R58353 SampType: MBLK TestCode: Cyanide,Rea Units: mglKg Prep Date: RunNo: 58353 Client ID: PBS Batch ID: R58353 TestNo: SW9014 Analysis Date: 8/2312016 SegNo: 948123 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Cyanide, Reactive ND 0.500 Sample ID LCS-R58353 SampType: LCS TestCode: Cyanide,Rea Units: mg/Kg Prep Date: RunNo: 58353 Client ID: LCSS Batch ID: R58353 TestNo: SW9014 Analysis Date: 8/23/2016 SegNo: 948124 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Cyanide, Reactive 1.01 0.500 1.000 0 101 85 110 Qualifiers: 1K Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 24 of 29 Page 24 of 31 Summit Environmental Technologies, Inc. QC SUMMARY REPORT SUMMKIr 3310 Win St. LraVJffUiNldlkN IAA 1 L-UHRULUGIE1S, INC Cuyahoga Falls, Ohio 44223 WO#: 16081126 fi 7tralydlcai L�var�Pot;e TEL: (330) 253-8211 F.9X.• (330) 253-4489 3I Aug-16 Website: http://`vivw.settek.com Client: Synagro BatchID: R58353 Project: Granite Falls WTP Sample ID 16081331-004AMS SampType: MS TestCode: Cyanide,Rea Units: mg/L Client ID: BatchQC Batch ID: R58353 TestNo: SW9014 Analyte Cyanide, Reactive Result PQL SPK value SPK Ref Val 1.06 0.500 1.000 0 Sample ID 16081331-004AMSD SampType: MSD TestCode: Cyanide,Rea Units: mg/L Client ID: BatchQC Batch ID: R58353 TestNo: SW9014 Analyte Cyanide, Reactive Result PQL SPK value SPK Ref Val 1.07 0.500 1.000 0 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds Prep Date: Analysis Date: 8/23/2016 %REC Lowl-imit HighLimit RPD Ref Val 106 81.3 118 Prep Date: Analysis Date: 8/23/2016 %REC Lowl-imit HighLimit RPD Ref Val 107 81.3 118 1.056 B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit RunNo: 58353 SegNo: 948134 %RPD RPDLimit Qua[ RunNo: 58353 SegNo: 948135 %RPD RPDLimit Qua] 1.60 5 E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 25 of 29 Page 25 of 31 SummitEnvironmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT t ENVItiCJWAHN Iau o Lasatr4U1-U-cars, INC Cuyahoga Falls, Ohio 44223 WO#: 16081126 -_ .1rr�ilyLFcaP Cgudra8att�r'S TEL: (330) 253-8211 FAX.- (330) 253-4489 31 Aug-I6 Website: ham.-1Avww.settek.com Client: Synagro Project: Granite Falls WTP BatchID: R58355 Sample ID MB-R58355 SampType: MBLK TestCode: Sulfide,React Units: mg/L Prep Date: RunNo: 58355 Client ID: PBW Batch ID: R58355 TestNo: SW9034 Analysis Date: 812312016 SegNo: 948183 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Sulfide, Reactive ND 25.0 Sample ID LCS-R58355 SampType: LCS TestCode: Sulfide,React Units: mg/L Prep Date: RunNo: 58355 Client ID: LCSW Batch ID: R58355 TestNo: SW9034 Analysis Date: 8/23/2016 SegNo: 948184 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Sulfide, Reactive 4730 25.0 4750 0 99.6 85 115 Sample ID 16081331-004AMS SampType: MS TestCode: Sulfide,React Units: mg/L Prep Date: RunNo: 58355 Client ID: BatchQC Batch ID: R58355 TestNo: SW9034 Analysis Date: 8/23/2016 SegNo: 948185 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Sulfide, Reactive 4840 25.0 4750 0 102 75 125 Sample ID 16081331-004AMSD SampType: MSD TestCode: Sulfide,React Units: mg/L Prep Date: RunNo: 58355 Client ID: BatchQC Batch ID: R58355 TestNo: SW9034 Analysis Date: 8/23/2016 SegNo: 948186 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Sulfide, Reactive 4740 25.0 4750 0 99.8 75 125 4840 2.09 30 Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit Page 26 of 29 P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Page 26 of 31 - Summit Environmental Technologies, Inc. QC SUMMARY REPORT SUPAMI 3310 Win St. t-TWI tOINTAPH IAL a EuHWLUGt!5, INC Cuyahoga Falls, Ohio 44223 WO#: 16081126 A-11l,-flcaf LFr[a0r�l1rip, TEL: (330) 253-8211 FAX.- (330) 253-4489 3I Aug-16 Website: htrR•Ilwivw.settek.com Client: Synagro Project: Granite Falls WTP Sample ID 16081331-004AMSD SampType: MSD TestCode: Sulfide,React Units: mg/L Client ID: BatchQC Batch ID: R58355 TestNo: SW9034 Analyte Result PQL SPK value SPK Ref Val Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds BatchID: R58355 Prep Date: RunNo: 58355 Analysis Date: 8/23/2016 SegNo: 948186 %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDL]mit Qua] B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 27 of 29 Page 27 of 31 S M Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT —'� Er4VIKOW 0W4IAL 0 MMWOULUGIES, 1KC Cuyahoga Falls, Ohio 44223 WO#: 16081126 lt�QPtrt,'.'4a� L�sEa�r �nnou TEL: (330) 253-8211 FAX.- (330) 253-4489 3I Aug-16 Website: hW.-Illvwiv.settek.com Client: Synagro Project: Granite Falls WTP BatchID: R58375 Sample ID LCS-R58375 SampType: LCS TestCode: FlashPt S(10 Units: °F Client ID: LCSS Batch ID: R58375 TestNo: SW1010 Analyte Result PQL SPK value SPK Ref Val Flashpoint (140°F) 84.0 77.00 0 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds Prep Date: RunNo: 58375 Analysis Date: 812512016 SegNo: 948615 %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual 109 100 110 B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 28 of 29 Page 28 of 31 Summit Environmental Technologies, Inc. QC SUMMARY REPORT RISUfArOIT 3310 Win St. EvavltlOVIAPN IA6 I ?;4:IUP EJLUG1E-S, INC Cuyahoga Falls, Ohio 44223 W09: 16081126 Alnalyfloal TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: h�://�viviv.settek.com 31 Aug-16 Client: Synagro Project: Granite Falls WTP BatchID: R58498 Sample ID 16081125-001ADUP SampType: DUP TestCode: pH_S(9045D) Units: s.u.@20.9°C Prep Date: RunNo: 58498 Client ID: BatchQC Batch ID: R58498 TestNo: SW9045D Analysis Date: 812612016 SegNo: 951161 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual pH 5.44 Qualifiers: " Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank 7 Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits iU Original Page 29 of 29 Page 29 of 31 Summit Environmental Technolo6es, Inc. 331,()'kNrin'Str&t Ci►yaiioga Falls, Ohio 4422-3 Analysis Request/Chain of Custody For Summit Einvirribinewal Tbclinqlngies. hic. 11-W only I pa.e 7- dr--L—. S,---T Do-7 ': _ 16 Eftar"V c r-071-rr1E. `6"tie `fit J11tiP1S Of 00:✓ r4 CO--, ter 3C CirL i Q lY&.f !t:IniG'Et _ ll _2W % s ' p Q3�E v_Cia�;i1 9iJ �'.",Gi 3t"i�1 _M'S t•:irh��ii=Ci: '�4,}`11 J Muribar of Coofers/f1'oxes' 1 N/A <<PP a'h!g(ser UPS, DHL Airborne US l=ostal Wallin Fic.tca? 3ths `^— >='.GkOginr�: t3ean_�tsF,blg lnirs� �u17CP ''Igr.. I•!:1 rtG J'v im. "awe on capletftcow Custody Ses!s 9rt2•r` r; r,-` ✓;-O-C h plas4'ic N iVir: :ce 51ae Ica S,amjr:r~ae:r,NerattlrB tt'�ryUr id9nG2(i4S% >rF �•G. Ac s'U RadiclogtralTesifnc Irsuumentseriaj?3S 27 rrJ ;sue p=gz .for scan rasuits) Z7,110w�{ adialoglani iew !f, S2rtlWba fs.r9t1�. fha dic3+ `cal trier iodinYs fyr.. ai +r r e; tra L_, neypi l�C, C•7-G t31 p 1ul onnDerh: Q2 I� t�,rR 3ai?tples In eeparfe bags i' td fdir. sample coniainers jn act'• �. OVA -if na, list broker) si rimP!efel:_ Sample tabs°f 6) omnplate fiD. dr-IG, e;c , vl,'i Labetfc) agrea ivith C-C-C G . Cotreci container usad GY NIA SuMcisntsample received IV/A Samples received within holding time N Bubblos absent from Oft 6L vials" y N " Samples %vith:bubbtes <6mrn ara acceptable. Indite bubbtQ.Grze if >emm. VJes.clfam Contacted about samples y lv Wiff client send nbwsamples y Ill ClfantoontacL Dale/The.,_ Logged In by:- Comments: — Page 31 of 31 Page: 1 of 2 Report Number: 16-231-0202 Account Number: 46622 Submitted By: Marshall Puryear Send To: Synagro Central LLC/ Technical Mary Brewer 284 Boger Road Mocksville , NC 27028 Lab Number: 59128 Sample Id : Granite Falls WTP Waypoint.(D ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Project: Granite Falls WTP NC Cert#257 REPORT OF ANALYSIS Date Sampled: 8/17/2016 11:00:00 Date Received: 08/18/2016 00:00 Date Reported: 08/25/2016 Total Solids * 2.42 24200 100.0 JM 08/18/2016 15:15 SM-254OG Moisture " 97.58 100.0 JM 08/18/2016 15:15 SM-2540G Total Kjeldahl Nitrogen 1.24 12400 10.0 JM 08/19/2016 10:15 SM-4500-NH3C-TKN Total Phosphorus 0.20 1970 100 D H 08/22/2016 17:09 6010C Total Potassium 0.18 1750 100 SLH 08/19/2016 11:27 6010C Total Sulfur 0.49 4850 100 SLH 08/19/2016 11:27 6010C Total Calcium 0.11 1080 100 SLH 08/19/2016 11:27 6010C Total Magnesium 0.19 1850 100 SLH 08/19/2016 11:27 6010C Total Sodium 0.03 253 100 SLH 08/19/2016 11:27 6010C Total Iron 36200 100 D H 08/22/2016 17:09 6010C Total Aluminum 134000 100 SLH 08/19/2016 11:27 6010C Total Manganese 867 5.00 SLH 08/19/2016 11:27 6010C Total Copper 42.2 5.00 D H 08/22/2016 17:09 6010C Total Zinc 87.0 5.00 D H 08/22/2016 17:09 6010C Ammonia Nitrogen 0.12 1240 10.0 JM 08/19/2016 10:15 SM-4500-NH3C Organic N 1.12 11160 10.0 08/19/2016 10:15 CALCULATION Nitrate+Nitrite-N 82.6 2.00 JM 08/19/2016 10:15 4500NO317-2011 All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. 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 otherpublic announcements without, obtaining our prior written authorization. Debbie Holt Laboratory Supervisor Page: 2 of 2 Report Number: 16-231-0202 Account Number: 46622 Submitted By: Marshall Puryear Send To: Synagro Central LLC/ Technical Mary Brewer 284 Boger Road Mocksville , NC 27028 Lab Number: 59128 Sample Id : Granite Falls WTP • WaypRint. AYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Project: Granite Falls WTP NC Cert#257 REPORT OFANALYSIS Date Sampled: 8/17/2016 11:00:00 Date Received: 08/18/2016 00:00 Date Reported: 08/25/2016 Total Cadmium <2.00 2.00 SLH 08/19/2016 11:27 6010C Total Chromium 84.5 5.00 SLH 08/19/2016 11:27 6010C Total Nickel 20.0 5.00 SLH 08/19/2016 11:27 6010C Total Lead 19.9 5.00 SLH 08/19/2016 11:27 6010C Total Arsenic 8.68 3.00 SLH 08/19/2016 11:27 6010C Total Mercury <0.400 0.400 KMM 08/24/2016 11:00 SW-7471A Total Selenium <5.00 5.00 SLH 08/19/2016 11:27 6010C pH (Standard Units) 6.36 JM 08/19/2016 10:15 SW-9045D Total Molybdenum <5.00 5.00 D H 08/22/2016 17:09 6010C Comments: 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. 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 Laboratory Supervisor I. H. State of North Carolina Department of Environment and Natural Resources Division of Water Quality RESIDUALS SOURCE CERTIFICATION FORM: RSC 08-11 RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: Columbus WWTP 2. Facility permit holder is: ❑ Federal, ❑ State, 0 Local Government, or ❑ Private. Facility permit issued by: ❑ Div. of Water Quality, ❑ Div. of Environmental Health, or ❑ Other (explain: 3. Facility contact person and title: Jason Phillips, ORC Complete mailing address: PO BOX 146 City: Columbus State: NC Zip: 28772 ; I Telephone number: 828 894-3055 E-mail address: jason.phillips@columbusnc.com 4. Facility physical address: 355 Levi Rd City: Columbus State: NC Zip: 28722-; _! Coordinates: Latitude: 35' 15' 12" Longitude: 820 09' 57" Datum: NAD83 Level of accuracy: second Method of measurement: MAP 5. Purpose of the facility: E treatment of municipal wastewater, [] treatment of 100% domestic wastewater, ❑ treatment of potable water, [] treatment of 100% industrial wastewater, ❑ treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: % industrial and % domestic) ❑ other (explain: I). 6. Does the facility have an approved pretreatment program: ❑. Yes No 7. Facility permitted/design flow: 0.800 MGD and facility average daily flow: 0.125 MGD 8. Average amount of residuals being generated at this facility 24 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: Aerobic Digestion One —1 500 000 gallon Aeration Basin Two 120,000 Gallon Clarifiers Type and volume of residuals storage (i.e., outside of residuals treatment units): 250,000 gallon Digester RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under: 40 CFR Part503 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: Biological ❑ Non -Biological FORM: RSC 08-11 Page 1 of 5 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). 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 no. If yes, list the number(s): I b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- 261.24: ❑ 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: Summit Environmental and Date of analysis: 8/11/16 Passed corrosivity test: Z yes Q no. pH:6.46 s.u. (2 < pH < 12.5) Passed ignitability test: M yes ❑ no. Flashpoint: >140 °F (> 140°F) Passed reactivity test: H yes ❑no. HCN: ND mg/kg (<250) & HzS: ND mg/kg (<500) TCLP Parameter Limit (mg/l) 1 Result (mg/l) TCLP Parameter Limit (mg/1) Result (mg/1) Arsenic 5.0 ND Hexachlorobenzene 0.13 ND Barium 100.0 ND 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 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 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 DistributionlLand 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: Environmental Testing Solutions and Date of analysis: 6/9/15 Parameter Ceiling Concentration Limits (Class-4 & ClassB) (m9/k9) Monthly Average Concentration Limits (Class A Only) (m9/k9) Result (mg/kg) Arsenic 75 41 <10.8 Cadmium 85 39 <4.32 Copper 4,300 1,500 739 Lead 840 300 39.3 Mercury 57 17 <2 Molybdenum 75 n/a 11.3 Nickel 420 420 24.4 Selenium 100 100 <10.8 Zinc 7,500 2,800 946 b. For Surface Disposal Unit (landfll): 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: J and Date of analysis: ' . Distance from Disposal Unit to Boundary to Closest Property Line (meters, check one) Arsenic (mg/kg) Chromium (mg/kg) Nickel (mg/kg) ❑ > 0 but < 25 30 200 210 ❑ > 25 but < 50 34 220 240 ❑ > 50 but < 75 39 260 270 ❑ > 75 but < 100 46 300 320 ❑ > 100 but < 125 53 360 390 El > 125 62 450 420 Result (mg/kg) FORM: RSC 08-11 Page 3 of 5 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 4_7 %. 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: Environmental Testing_ Solutions and Date of analysis: 6/19/15 Parameter Result (mg/k9 Aluminum 21800 Ammonia -Nitrogen 4000 Calcium 23900 Magnesium 2430 Nitrate -Nitrite Nitrogen 42.7 pH (Standard Unit) 7.1 Phosphorus 17400 Potassium 2310 Sodium 1400 Total Kj eldahl Nitrogen 52100 c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0_5 [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: 0_3 %. This rate is a (check one): ❑ default value, or 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: i 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 (mg1kg) (mg/kg) Surface 16473 25856 Injection/Incorporation 18473 27856 6. Other Pollutants Determination_: Specify whether whether or not there are any other pollutants of concern in the residuals and provide the results of the latest analyses: ^I FORM: RSC 08-11 Page 4 of 5 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. I 106(b)(3)(A)] - Time/Temperature Compliance. [( Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment. ❑ Alternative 3 [15A NCAC 02T. 1 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. ❑ Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. ❑ Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment, ❑ thermophilic aerobic digestion, ❑ beta ray irradiation, ❑ gamma ray irradiation, or ❑ pasteurization. b. For Land Application of Class B: Alternative 1 [15A NCAC 02T. I 106(c)(1)] - Fecal Coliform Density Demonstration. ❑ Alternative 2 [15A NCAC 02T.1106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP). Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion, ❑ composting, or ® lime stabilization. c. For Surface Disposal: ❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item H. 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 II.8. below [15A NCAC 02T.I 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. I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). C( Alternative 2 [15A NCAC 02T. I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). ® Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). Z. Alternative 4 [15A NCAC 02T. 1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). ❑ Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes. Alternative 6 [15A NCAC 02T. I 107(a)(6)] - Alkaline Stabilization. ❑ Alternative 7 [15A NCAC 02T. 1 107(a)(7)] - Drying of Stabilized Residuals. ❑ Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals. ® Alternative 9 [15A NCAC 02T. I 107(a)(9)] - Injection. Alternative 10 [15A NCAC 02T.I107(a)(10)] - Incorporation. ❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(b)(2)]. ❑ 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 map° 0 Vicinity Map Googie ® `s Smlth Day a 2� 0 _s 0E SmAh's Bluest Gass FarmO o 284 Boger Road, Mocksville, NC 27028 Phone: (336) 998-7150 0 Fax: 336-998-8450 Process Flow Narrative Columbus WWTP Flow enters the plant at the headworks grit collection system. It then enters a-1,500,000 Aeration Basin. Sludge is then pumped to one of two 120,000 gallon Clarifiers. The solids are then pumped to a 260,000 gallon Digester for land application. Water from the Clarifiers can either be pumped back to the headworks, or to the Contact Chamber for chlorine/dechlorinization. Treated water from the Contact Chamber is discharged into the creek. Quantitative Justification for Residuals Columbus WWTP Columbus WWTP is permitted for 80 dry tons of residuals per year. In 2016, approximately 35 dry tons were removed from the digester and hauled to a landfill. In 2015 there were 24.2 dry tons land applied. At this time the maximum permitted dry tons of 80 is suitable for the amount of dry tons generated at this facility. Residuals Sampling Plan Synagro Residuals Land Application for WQ0016247 Town of Columbus, NC Nutrients and Metals Analysis • Sampling Point: Digester • Sampling Frequency: Annual or Specific Event • Sample Type: Composite • Lab: Waypoint Analytical Pathogen Reduction (Alkaline Stablization) • Sampling Point: Digester • Sampling Frequency: Per event • Sample Type: Composite • Lab: PH tested on site Vector Attraction Reduction (Alkaline Stablization) TCLP • Sampling Point: Digester • Sampling Frequency: Per event • Sample Type: Composite • Lab: PH tested on site • Sampling Point: Digester • Sampling Frequency: Annual or as specified in Permit • Sample Type: Composite 0 Lab: Summit Environmental Technologies, Inc Summit Environmental Technologies, Inc. 1 I 3310 Win St. P1oIRONdL9eF1t,hL�Ei1-)uoL+ i iMF-- Cuyahoga Falls, Ohio44223 i; .O.t;aiy: rcF? L,9 n, N!TEL: (330) 253-8211 Ft1X.• (330) 253-4489 August 24, 2016 Brandon McCameron Synagro 284 Boger Rd. Mocksville, NC 27028 TEL: (336) 998-7150 FAX: (336) 998-8450 RE: Columbus Dear Brandon McCameron: Website: httD•//www.settelccom Order No.: 16071625 Summit Environmental Technologies, Inc. received 1 sample(s) on 7/28/2016 for the analyses presented in the following report. There were no problems with the analytical events associated with this report unless noted in the Case Narrative. Quality control data is within laboratory defrled or method specified acceptance limits except where noted. If you have any questions regarding these tests results, please feel free to call the laboratory. Sincerely, ffliff"MM-11VAl- Holly Florea Project Manager 3310 Win St. Cuyahoga Falls, Ohio 44223 Alabama 41600, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC E87688, Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Louisiana 04061 and LA12004, Maine 2012015, Maryland 339, Massachusetts M-OPH923, Minnesota 409711, Montana CERT0099, New Hampshire 2996, New Jersey 011006, New York 11777, North Carolina 39705 and 631, Ohio Drinking Water 4170, Ohio VAP CL0052, Oklahoma 9940, Oregon 0112O0001, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-I1-5, Region 8 8TMS-L, USDA/APHIS P330-11-00244, Utah OH0092320 11- 1, Vermont VT-87688, Virginia 00440 and 1581, Washington C891, West Virginia 248 and 9957C and E87688, Wisconsin 399013010 Page 1 of 27 Page 1 of 29 Summit Environmental Technologies, Inc. Case Narrative 3310 Win St. Cuyahoga �� ��� tris►IIRrJhIPelEhl`rt1L�" Gt�L`J+�LC4�:�s; �ri4-Falls, Ohio 44223 WO#: 16071625 r^rra;i tr�� t,vt�aru +rr., TEL: (330) 253-8211 FAX: (330) 253-4489 Website: ham•1Avw1v.se1tek.com Date: 8/24/2016 CLIENT: Synagro Project: Columbus WorkOrder Narrative: 16071625: This report in its entirety consists of the documents listed below. All documents contain the Summit Environmental Technologies, Inc., Work Order Number assigned to this report. Paginated Report including Cover Letter, Case Narrative, Analytical Results, Applicable Quality Control Summary Reports, and copies of the Chain of Custody Documents are supplied with this sample set. Concentrations reported with a J-Flag in the Qualifier Field are values below the Limit of Quantitation (LOQ) but greater than the established Method Detection Limit (MDL). Method numbers, unless specified as SM (Standard Methods) or ASTM, are EPA methods. Estimated uncertainty values are available upon request. Analysis performed by DBM, VRM, or SFG were performed at Summit Labs 2704 Eatonton Highway Haddock, GA 31033 All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as "dry weight" using the "-dry" designation on the reporting units. Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of the cover letter that may or may not pertain to this report. The information contained in this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of Summit Environmental Technologies, Inc. or the customer, 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. This report is believed to meet all of the requirements of NELAC or the accrediting / certifying agency. Any comments or problems with the analytical events associated with this report are noted below. Original Page 2 of 27 Page 2 of 29 Summit Environmental Technologies, Inc. Case Narrative fIT3310 Win St. - Aml UWIRO ,IfilENTALl rr;H-NOLOIT! s�:irt _ Cuyahoga Falls, Ohio 44223 WO#: 16071625 —�! t nabitrol f_a[ 3J eTt7%ia TEL: (330) 253-8211 FAX: (330) 253-4489 Website: htto://rovivtiv.settek.com Date: 8/24/2016 CLIENT: Synagro Project: Columbus Prep Sample Comments: 16071625-001A 257183: Prep Comments for SVPrep_PCB_S(3550), Sample 16071625-OOIA: Multi - phased sample Analytical Sequence Sample Comments: 16071625-001A 920408: Analytical Comments for SVOC-PCB_S(8082), Sample 16071625-001A, Batch ID 21884: Sample exhibited high recovery for Surrogate: DCB; Surrogate: TCMX exhibited control. Analytical Comments for SVOC-bna_tclp(8270), Sample 16071625-001A, Batch ID 22326 : Sample extracted past hold time for TCLP SVOC Analysis. Analytical Comments for tclp-svoc-cpest tclp(8081), Sample 16071625-001a, Batch ID 22508 Sample was extracted past hold time for TCLP Pesticides Analysis. Analytical Sequence QC Comments: MB-21884 920403: Analytical Comments for SVOC-PCB_S(8082), Sample MB-21884, Batch ID 21884 : The PCB Method Blank (Batch 21884) exhibited high recovery for Surrogate: DCB; Surrogate: TCMX exhibited control. LCS-21884 920404: Analytical Comments for SVOC-PCB_S(8082), Sample LCS-21884, Batch ID 21884: The PCB LCS (Batch 21884) exhibited high recovery for Surrogate: DCB; Surrogate: TCMX exhibited control. 1660 CCV 5,000 P 920406: Analytical Comments for SVOC-PCB_S(8082), Sample 1660 CCV 5,000 P, Batch ID R57046 : CCV exhibited high recovery for Surrogate: TCMX Surrogate; DCB exhibited control LCSD-21884 920407: Analytical Comments for SVOC-PCB_S(8082), Sample LCSD-21884, Batch ID 21884: The PCB LCSD (Batch 21884) exhibited high recovery for Surrogate: DCB; Surrogate: TCMX exhibited control. Original Page 3 of 27 Page 3 of 29 t ya Summit Environmental Technologies, In c-->- g• Qualifiers and Acronyms , 3310 Win 5 ir,N,i(IROl• MENTAL 6ECH J0 Cuyahoga Falls, Ohio 442; WO#: 16071625 TEL: (330) 253-8211 FAX.- (330) 253-446 Website: htto://ivwiv.settekco Date: 8/24/2016 These commonly used Qualifiers and Acronyms may or may not be present in this report. Qualifiers U The compound was analyzed for but was not detected. J The reported value is greater than the Method Detection Limit but less than the Reporting Limit. H The hold time for sample preparation and/or analysis was exceeded. D The result is reported from a dilution. E The result exceeded the linear range of the calibration or is estimated due to interference. MC The result is below the Minimum Compound Limit. * The result exceeds the Regulatory Limit or Maximum Contamination Limit. in Manual integration was used to determine the area response. N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response. P The second column confirmation exceeded 25% difference. C The result has been confirmed by GC/MS. X The result was not confirmed when GC/MS Analysis was performed. BIM13+ The analyte was detected in the associated blank. G The ICB or CCB contained reportable amounts of analyte. QC-/+ The CCV recovery failed low (-) or high (+). R/QDR The RPD was outside of accepted recovery limits. QL-/+ The LCS or LCSD recovery failed low (-) or high (+). QLR The LCS/LCSD RPD was outside of accepted recovery limits. QM-/+ The MS or MSD recovery failed low (-) or high (+). QMR The MS/MSD RPD was outside of accepted recovery limits. QV-/+ The ICV recovery failed low (-) or high (+). S The spike result was outside of accepted recovery limits. Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for additional information Acronyms ND Not Detected RL Reporting Limit QC Quality Control MDL Method Detection Limit MB Method Blank LOD Level of Detection LCS Laboratory Control Sample LOQ Level of Quantitation LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit QCS Quality Control Sample CRQL Contract Required Quantitation Limit DUP Duplicate PL Permit Limit MS Matrix Spike RegLvl Regulatory Limit MSD Matrix Spike Duplicate MCL Maximum Contamination Limit RPD Relative Percent Different MinCL Minimum Compound Limit ICV Initial Calibration Verification RA Reanalysis ICB Initial Calibration Blank RE Reextraction CCV Continuing Calibration Verification TIC Tentatively Identified Compound CCB Continuing Calibration Blank RT Retention Time RLC Reporting Limit Check CF Calibration Factor DF Dilution Factor RF Response Factor This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting. Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this list or for additional information regarding the use of these Qualifiers on reported data. Original Page 4 of 27 Page 4 of 29 Summit Environmental Technologies, Inc. 5 ` 3310 Win St. In ,� lhis'dl t�hl PalEhl PAL VEC1°�JtJL7+ux �,.'ViC Cuyahoga Falls, Ohio 44223 11 +rt�,r P,r�9 t:, c 7+:3i,aac TEL: (330) 253-8211 FAX. (330) 253-4489 Website: htto•1Avww.settek.com CLIENT: Synagro Project: Columbus Workorder Sample Summary WO#: 16071625 24 Aug-16 Lab SampleID Client Sample ID Tag No Date Collected Date Received Matrix 16071625-001 Columbus 7/27/2016 11:00:00 AM 7/28/2016 11:00:00 AM Sludge Page 5 of 27 Page 5 of 29 tv y Summit Environmental Technologies, Inc. Analytical Report q ! 3310 Win St. S .r 11, (base report) ePWIR0hITAIENTAL ECH�U0LO't1_'5,MC- Cuyahoga Falls, Ohio 44223 k ,�rrr�Fyill aai i:li�.� a"r.;7et. TEL: (330) 253-8211 FAX: (330) 253-4489 WO#: 16071625 Website: hup.,1Avwiv.settek.com Date Reported: 8/24/2016 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 7/27/2016 11:00:00 AM Lab ID: 16071625-001A Project: Columbus Client Sample ID Columbus Analyses Result RL Qual Units DF Date Analyzed RCI SW9045D Analyst: DHC PH (SW9045D) pH 6.46 s.u.@22.6C 1 8/11/2016 2:45:00 PM Qualifiers: H holding times for preparation or analysis exceeded M Manual Integration used to determine area response ND Not Detected at the Reporting Limit PL Permit Limit RL Reporting Detection Limit W Sample container temperature is out of limit as specified at testcode Original Page 6 of 27 Page 6 of 29 Summit Environmental Technologies, Inc. WO#: 16071625 I ��+ w�] 3310Win St. f r P !_�! 1444���IC Cuyahoga Falls, Ohio 44223 Date Reported: 8/24/2016 e� Ir4 �� I�OhIPa1Et1Ts9L �C�C�'1�JLC , J''S�7?.4�: l ArrHq-r n 3i TEL: (330) 253-8211 FAX: (330) 253-4489 Company: Synagro Website: hito://iviviv.settek.com Address: 284 Boger Rd. Mocksville NC 27028 Received: 7/28/2016 Project#: Columbus TCLP Metals Analysis (6010) Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Columbus 001 7/27/2016 TCLP Arsenic(As) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 7/29/2016 WK Columbus 001 7/27/2016 TCLP Barium(Ba) 5.00 ND mg/L Sludge EPA 6010 C 1 100 7/29/2016 WK Columbus 001 7/27/2016 TCLP Cadmium(Cd) 0.100 ND mg/L Sludge EPA 6010 C 1 1.00 7/29/2016 WK Columbus 001 7/27/2016 TCLP Chromium(Cr) 0.200 ND mg/L Sludge EPA 6010 C 1 5.00 7/29/2016 WK Columbus 001 7/27/2016 TCLP Lead(Pb) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 7/29/2016 WK Columbus 001 7/27/2016 TCLP Selenium(Se) 0.500 ND mg/L Sludge EPA 6010 C 1 1.00 7/29/2016 WK Columbus 001 7/27/2016 TCLP Silver(Ag) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 7/29/2016 WK TCLP Mercury Analysis (1311n470) Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst "-Iumbus 001 7/27/2016 TCLP Mercury 0.00200 ND mg/L Sludge EPA 7470 A 1 0.200 7/29/2016 ALJ SVOC SW-846: 8081-TCLP Pesticides Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Columbus 001 7/27/2016 Chlordane, total 0.0100 ND mg/L Sludge EPA 8081 B 1 0.0300 8/22/2016 JBN Columbus 001 7/27/2016 Toxaphene 0.0200 ND mg/L Sludge EPA 8081 B 1 0.500 8/22/2016 JBN Columbus 001 7/27/2016 Endrin 0.00100 ND mg/L Sludge EPA 8081 B 1 0.0200 8/22/2016 JBN Columbus 001 7/27/2016 gamma-BHC 0.00100 ND mg/L Sludge EPA 8081 B 1 0.400 8/22/2016 JBN Columbus 001 7/27/2016 Heptachlor 0.00100 ND mg/L Sludge EPA 8081 B 1 0.00800 8/22/2016 JBN Columbus 001 7/27/2016 Heptachlor epoxide 0.00100 ND mg/L Sludge EPA 8081 B 1 0.00800 8/22/2016 JBN Columbus 001 7/27/2016 Methoxychlor 0.00100 ND mg/L Sludge EPA 8081 B 1 10.0 8/22/2016 JBN VOC by GC/MS (8260)-TCLP Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Columbus 001 7/27/2016 1,1-Dichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 7/29/2016 MES Columbus 001 7/27/2016 1,2-Dichloroethane 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 7/29/2016 MES Columbus 001 7/27/2016 MEK 2.00 ND mg/L Sludge EPA 8260 B 1 200 7/29/2016 MES Columbus 001 7/27/2016 Benzene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 7/29/2016 MES Columbus 001 7/27/2016 Carbon tetrachloride 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 7/29/2016 MES Columbus 001 7/27/2016 Chlorobenzene 0.100 ND mg/L Sludge EPA 8260 B 1 100 7/29/2016 MES Columbus 001 7/27/2016 Chloroform 0.100 ND mg/L Sludge EPA 8260 B 1 6.00 7/29/2016 MES Columbus 001 7/27/2016 Tetrachloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 7/29/2016 MES Columbus 001 7/27/2016 Trichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 7/29/2016 MES r'nlumbus 001 7/27/2016 Vinyl chloride 0.200 ND mg/L Sludge EPA 8260 B 1 0.200 7/29/2016 MES f' t I Summit Environmental Technologies, Inc. 3310 Win St. WO#: 16071625 l�J Date Reported: 8/24/2016 ry � 6isF4+IFiCyNIPutEhJ'I's1L� l:lut'•1�LtfGl'�S,lidG; Cz�3'h ao a Falls, Ohio 44223 g 4m�1„t ca.P t_r:`n, ill. i�as TEL: (330) 253-8211 FAX. (330) 253-4489 Company: Synagro Website: http://www.settek.com Address: 284 Boger Rd. Mocksville NC 27028 Received: 7/28/2016 Project#: Columbus SVOC 8270 TCLP BNA List Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Columbus 001 7/27/2016 1,4-Dichlorobenzene 0.0800 ND mg/L Sludge EPA 8270 C 2 7.50 8/22/2016 CxA Columbus 001 7/27/2016 2,4,5-Trichlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 400 8/22/2016 CxA Columbus 001 7/27/2016 2,4,6-Trichlorophenol 0.200 ND mg1L Sludge EPA 8270 C 2 2.00 8/22/2016 CxA Columbus 001 7/27/2016 2,4-Dinitrotoluene 0.100 ND mg/L Sludge EPA 8270 C 2 0.130 8/22/2016 CxA Columbus 001 7/27/2016 Cresols, Total 4.00 ND mg/L Sludge EPA 8270 C 2 200 8/22/2016 CxA Columbus 001 7/27/2016 Hexachloro-1,3- 0.100 ND mg/L Sludge EPA 8270 C 2 0.500 8/22/2016 CxA butadiene Columbus 001 7/27/2016 Hexachlorobenzene 0.100 ND mg/L Sludge EPA 8270 C 2 0.130 8/22/2016 CxA Columbus 001 7/27/2016 Hexachloroethane 0.0800 ND mg/L Sludge EPA 8270 C 2 3.00 8122/2016 CxA Columbus 001 7/27/2016 Nitrobenzene 0.0800 ND mg/L Sludge EPA 8270 C 2 2.00 8/22/2016 CxA Columbus 001 7/27/2016 Pentachlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 100 8/22/2016 CxA Columbus 001 7/27/2016 Pyridine 0.200 ND mg/L Sludge EPA 8270 C 2 5.00 8/22/2016 CxA SVOC SW-846: 8321 Herbicides-TCLP Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Columbus 001 7/27/2016 2,4-D 5.00 ND mg/L Sludge EPA 8321 A 1 10.0 8/12/2016 BJH Columbus 001 7/27/2016 2,4,5-TP 0.500 ND mg/L Sludge EPA 8321 A 1 1.00 8/12/2016 BJH . � psi .�� � ��• Summit Environmental Technologies, Inc. 3310 Win Si. l7 7� �n`c11ytIC`clll i�aCpOrt 71";k�KT (consolidated) EsrVic, Cuyahoga Falls, Ohio44223 253-8211 FAX.- (330) 253-4489 WO#: 16071625 hmairt ry P P_n1 �t 3Tt�YF TEL: (330) Website: http.-Mvww.settek.com Date Reported: 8/24/2016 CLIENT: Synagro Collection Date: 7/27/2016 11:00:00 AM Project: Columbus Lab ID: 16071625-001 Matrix: SLUDGE Client Sample ID Columbus Analyses Result RL Qual Units DF Date Analyzed RCI SW1010 Analyst: TAH FLASHPOINT DETERMINATION (1010) Flashpoint (140°F) >140 °F 1 8/7/2016 1:59:09 PM PCBS (SW8082) SW8082 SW3550C Analyst: BJH SVOC PCB (8082) 7-AROCHLORS Total PCBs ND 1.20 mg/Kg 1 7/29/2016 10:21:00 PM RCI SW9014 Analyst: MS REACTIVE CYANIDE (9014/7.3.3.2) Cyanide, Reactive ND 0.500 mg/Kg 1 7/28/2016 6:34:00 PM RCI SW9034 Analyst: MS REACTIVE SULFIDE (9034) Sulfide, Reactive ND 25.0 mg/Kg 1 7/28/2016 6:34:00 PM Qualifiers: H Holding times for preparation or analysis exceeded ND Not Detected at the Reporting Limit RL Reporting Detection Limit M Manual Integration used to determine area response PL Permit Limit W Sample container temperature is out of limit as specified at testcode Original Page 9 of 27 Page 9 of 29 � _j - Summit Environmental Technologies, Inc. 3310 Win St. (1! SUMMARY �j®R�' \,C L �.�.� j� II� vt�t�.urdPlrt•�1�a. a t ice at r��ls, Fa Cuyahoga Falls, Ohio 44223 WO#: 16071625 TEL: (330) 253-8211 FAY..- (330) 253-4489 24 Aug-16 Website: ham•1Av1vw settek corn Synagro Client: Proiect: Columbus BatchID: 21884 Sample ID MB-21884 SampType: MBLK TestCode: SVOC-PCB_ Units: mg/Kg Prep Date: 7/28/2016 RunNo: 57046 Client ID: PBS Batch ID: 21884 TestNo: SW8082 SW3550C Analysis Date: 7/29/2016 SegNo: 920403 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Total PCBs ND 0.0500 0 0 Sample ID LCS-21884 SampType: LCS TestCode: SVOC-PCB_ Units: mg/Kg Prep Date: 7/28/2016 RunNo: 57046 client ID: LCSS Batch ID: 21884 TestNo: SW8082 SW3550C Analysis Date: 7/29/2016 SegNo: 920404 knalyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual Fotal PCBs Sample ID LCSD-21884 Client ID: LCSS02 Analyte Total PCBs 0.322 0.0500 SampType: LCSD Batch ID: 21884 Result 0.337 0.330 u TestCode: SVOC-PCB_ Units: mg/Kg TestNo: SW8082 SW3550C PQL SPK value SPK Ref Val 0.0500 0.330 0 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds yt.b -iU iai Prep Date: 7/28/2016 Analysis Date: 7/29/2016 %REC LowLimit HighLimit RPD Ref Val 102 10 137 0.322 B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit RunNo: 57046 SegNo: 920407 %RPD RPDLimit Qual 4.45 30 E Value above quantitation range M Manual Integration used to determine 0 RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 10 of 27 Page 10 of 29 Lty �T .1 t Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT �r:;tile' b1�iN l l6h ri (� JiFd�JLFFf_t=_s, ;r;c Cuyahoga Falls, Ohio 44223 WO#: 16071625 /L�'23'I',Pd4aP `:7177,CPI7FJRt= TEL: (330) 253-8211 FAX.- (330) 253-4489 24 Aug-16 Website: http•/hvww settelc.coni Client: Synagro Project: Columbus BatchID: 21920 Sample ID MB-21920 SampType: MBLK TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 7/29/2016 RunNo: 5.7084 Client ID: PBW Batch ID: 21920 TestNo: SW6010C SW3010A Analysis Date: 7/29/2016 SegNo: 920628 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Arsenic(As) ND 0.500 TCLP Barium(Ba) ND 6.00 TCLP Cadmium(Cd) ND 0.100 TCLP Chromium(Cr) ND 0.200 TCLP Lead(Pb) ND 0.500 TCLP Selenium(Se) ND 0.500 TCLP Silver(Ag) ND 0.500 Mtl-TCLP-7(6 Units: mg/L Prep Date: 7/29/2016 RunNo: 57084 Sample ID LCS-21920 SampType: LCS TestCode: Client ID: LCSW Batch ID: 21920 TestNo: SW6010C SW3010A Analysis Date: 7/29/2016 SegNo: 920629 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ TCLP Arsenic(As) 2.01 0.500 2.000 u W ! ou iV TCLP Barium(Ba) ND 5.00 2.000 0 96.5 80 120 TCLP Cadmium(Cd) 1.99 0.100 2.OD0 D 99.5 80 120 TCLP Chromium(Cr) 2.01 0.200 2.000 0 100 80 120 TCLP Lead(Pb) 2.05 0.500 2.000 0 103 80 120 TCLP Selenium(Se) 2.06 0.500 2.000 0 103 • 80 120 TCLP Silver(Ag) 0.990 0.500 1.000 0 99.0 80 120 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine 0 RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 11 of 27 Page 11 of 29 SummitEnvironmental Technologies, Inc. QC SUMMARY REPORT 3310 Win. St. �C �j cwiatr�roar�i aaeyl.r eavua�t�s,artr. Cuyahoga Falls, Ohio44223 WO#: 16071625 Ca6orarn* p-- TEL: (330) 253-8211 FAX.- (330) 253-4489 24 Aug-16 Website: hity.Ilivww.settek.com Client: Synagro Project: Columbus BatchID 21930 Sample ID MB-21930 Client ID: PBW Analyte TCLP Mercury Sample ID LCS-21930 Client ID: LCSW Analyte TCLP Mercury SampType: MBLK TestCode: HG TCLP(74 Units: PPM Batch ID: 21930 TestNo: SW7470A SW7470A Result PQL SPK value SPK Ref Val ND 0.00200 Prep Date: 7/29/2016 RunNo: 57114 Analysis Date: 712912016 SegNo: 919692 %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual SampType: LCS TestCode: HG TCLP(74 Units: PPM Prep Date: 7/29/2016 RunNo: 57114 Batch ID: 21930 TestNo: SW7470A SW7470A Analysis Date: 7/29/2016 SegNo: 919693 Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 0.00409 0.00200 0.00400 0 102 80 120 Sample ID 16071654-002AMS Client ID: BatchQC SampType: MS Batch ID: 21930 TestCode: HG_TCLP(74 Units: PPM TestNo: SW7470A SW7470A Prep Date: 712912016 RunNo: 57114 Analysis Date: 7/29/2016 SegNo: 919713 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ TCLP Mercury 0.00445 0.00200 0.00400 0 111 75 125 Sample ID 16071654-002AMSD Client ID: BatchQC SampType: MSD Batch ID: 21930 TestCode: HG_TCLP(74 Units: PPM TestNo: SW7470A SW7470A Prep Date: 712912016 Analysis Date: 7/29/2016 RunNo: 57114 SegNo: 919714 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ TCLP Mercury 0.00448 0.00200 0.00400 0 112 75 125 0.00445 0.672 20 Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded 7 Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit 0 RSD is greater than RSDlimit Page 12 of 27 P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Page 12 of 29 �= `I tr Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT a. Falls, Ohio � vl�T-31NM1NIA1. Q UH.F4.dLUU1_S.s,NEI Cuyahoga WO#: 16071625 TEL: (330) 253-8211 FAX: (330) 253-4489 24 Aug-16 Website: ham•/fiaivw settek.com Client: Synagro Project: Columbus BatchID 21930 Sample ID 16071654-002AMSD SampType: MSD TestCode: HG_TCLP(74 Units: PPM Client ID: Batch= Batch ID: 21930 TestNo: SW7470A SW7470A Analyte Result PQL SPK value SPK Ref Val Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds Prep Date: 7/29/2016 RunNo: 57114 Analysis Date: 712912016 SegNo: 919714 %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qua[ B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to detennine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 13 of 27 Page 13 of 29 Sunsnzit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT En �Pw'd 1TC!. �Fd Pr91.Pdlt41> d4' �C8d4'J L�J� 1. ;r, nP9 r: Cuyahoga Falls, Ohio 44223 TEL: 253-8211 FAX.- (330) 253-4489 WO#: 16071625 AP.Aa' W--ai (330) 24Aug-16 Website: http•1Awivw.settek.cons Client: Synagro BatchID: 22326 Project: Columbus Sample ID MB-22326 Client ID: PBW Analyte 1,4-Dichlorobenzene 2,4,5-Trichlorophenol 2,4, 6-Trichlorophenol 2,4-Dinitrotoluene Cresols, Total Hexachloro-1,3-butadiene Hexachlorobenzene Hexachloroethane Nitrobenzene Pentachlorophenol Pyridine Sample ID LCS-22326 Client ID: LCSW SampType: MBLK TestCode: SVOC-bna_tc Units: mg/L Batch ID: 22326 TestNo: SW8270C SW3510C Result PQL SPK value SPK Ref Val ND 0.0200 ND 0.0500 ND 0.0500 ND 0.0100 ND 1.00 ND 0.00400 ND 0.0100 ND 0.0200 ND 0.0200 ND 0.0500 ND 0.0500 TestCode: SVOC-bna_tc Units: mg/L SampType: LCS Batch ID: 22326 TestNo: SW8270C SW3510C Analyte Result PQL 1,4-Dichlorobenzene 0.116 0.0200 2,4,5-Trichlorophenol 0.146 0.0500 2,4,6-Trichlorophenol 0.137 0.0500 2,4-Dinitrotoluene 0.147 0.0100 Cresols, Total ND 1.00 Hexachloro-1,3-butadiene 0.110 0.00400 Qualifiers: k Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds Prep Date: 8/12/2016 Analysis Date: 8/22/2016 %REC Lowl-imit HighLimit RPD Ref Val Prep Date: 8/12/2016 Analysis Date: 8/22/2016 SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val 0.2000 0 57.8 10 134 0.2000 0 73.0 27 154 0.2000 0 68.4 27 154 0.2000 0 73.6 29 149 0.4000 0 32.8 20 125 0.2000 0 54.8 14 126 RunNo: 58244 SegNo: 945606 %RPD RPDLimit Qua[ QC+ RunNo: 58244 SegNo: 945607 %RPD RPDLimit Qual m B Analyte detected in the associated Method Blank E Value above quantitation range J Analyte detected below quantitation limits M Manual Integration used to determine Original ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit PL Permit Limit R RPD outside accepted recovery limits Page 14 of 27 Page 14 of 29 ICI tv Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT I' �r.vl tr�:PaFn N Lr41-. 0 , Ada gut"�r� z, iFdC Cuyahoga Falls, Ohio 44223 253-8211 FAX.- (330) 253-4489 WO#: 16071625 L; Czar„ in{rer- TEL: (330) 24 Aug-I6 Website: htto'/hvww.settek.com Client: Synagro Batchll): 22326 Project: Columbus Sample ID LCS-22326 SampType: LCS TestCode: SVOC-bna_tc Units: mg/L Prep Date: 8/12/2016 Client ID: LCSW Batch ID: 22326 TestNo: SW8270C SW3510C Analysis Date: 8/22/2016 Analyte Result PQL SPK value SPK Ref Val %REC LowL[mit Highl-imit RPD Ref Val Hexachlorobenzene Hexachloroethane Nitrobenzene Pentachlorophenol Pyridine 0.132 0.0766 0.130 0.0659 0.131 0.0100 0.2000 0.0200 0.2000 0.0200 0.2000 0.0500 0.2000 0,0500 0.2000 0 0 0 0 0 65.9 38.3 64.8 33.0 65.4 10 30 25 10 10 162 123 190 186 130 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confimlation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit RunNo: 58244 SegNo: 945607 %RPD RPDLimit Qua[ E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits m m QC+ Original Page 15 of 27 Page 15 of 29 t Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT Cuyahoga Falls, Ohio44223 WO#: 16071625 jy '� �1i �r wlKrzt,rw Nrf.r- u I;HW�Lr �r_S, arar. err �t Pd31 C cpFa;ra torir=:- TEL: (330) 253-8211 FAX.- (330) 253-4489 24 Aug-16 Website: hIIp•/%vww.settek.conz BatchIl): 22508 Client: Synagro Project: Columbus Sample ID mb-22508 SampType: mblk TestCode: tclp-svoc-cpe Units: mg/L Prep Date: 8/22/2016 RunNo: 58201 Client ID: PBW Batch ID: 22508 TestNo: SW8081A SW3510C Analysis Date: 812212016 SegNo: 946194 Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Analyte Chlordane, total ND 0.0100 Toxaphene ND 0.0200 Endrin ND 0.00100 gamma-BHC ND 0.00100 Heptachlor ND 0.00100 Heptachlor epoxide ND 0.00100 d Methoxychlor ND 0.00100 RunNo: 58201 Sample ID Ics-22508 SampType: Ics TestCode: tclp-svoc-cpe Units: mg/L Prep Date: 8/22/2016 Batch ID: 22508 TestNo: SW8081A SW3510C Analysis Date: 8/22/2016 SegNo: 946195 Client ID: LCSW Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Analyte Endrin 0.00968 0.00100 0.0100 0 95.8 20 157 gamma-BHC 0.00787 0.00100 0.0100 0 78.7 22 137 Heptachlor 0.00827 0,00100 0.0100 0 82.7 24 121 Heptachlor epoxide 0.00859 0.00100 0.0100 0 85.9 27 152 Methoxychlor 0.0115 0.00100 0.0100 0 115 10 199 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 16 of 27 Page 16 of 29 rl-:�R- Summit Environmental Technologies, Inc. QC SUMMARY REPORT Itv3310 I si:7 Win. St. �r vlHr fdPati 6 �l e,h t 7-dUsdC�Li�<s1_ti, iP:G Cuyahoga Falls, Ohio 44223 WO#: 16071625 TEL: (330) 253-8211 FAX: (330) 253-4489 24 Aug-16 Website: http://iviviv.settek eon? Synagro BatchYD: 22508 Client: Project: Columbus Sample ID 16081074-001ams Client ID: BatchQC SampType: ms Batch ID: 22508 TestCode: tclp-svoc-cpe TestNo: SW8081A Units: mg/L SW3510C Prep Date: Analysis Date: 8/22/2016 8/22/2016 RunNo: 58201 SegNo: 946196 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qua] Endrin gamma-BHC Heptachlor Heptachlor epoxide Methoxychlor 0.0100 0.00898 0.00878 0.00956 0.0118 0.00100 0.0100 0.00100 0.0100 0.00100 0.0100 0.00100 0.0100 0.00100 0.0100 0 0 0 0 0 100 89.8 87.8 95.5 118 20 22 24 27 10 157 137 121 152 199 Sample ID 16081074-001amsd Client ID: BatchQC SampType: msd Batch ID: 22508 TestCode: tclp-svoc-cpe TestNo: SW8081A Units: mg/L SW3510C Prep Date: Analysis Date: 8/22/2016 8/22/2016 RunNo: 58201 SegNo: 946197 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual 0.00100 0.0100 0 0.00100 0.0100 0 0.00100 0.0100 0 0.00100 0.0100 0 0.00100 0.0100 0 76.8 67.6 71.0 74.6 93.1 20 157 0.0100 22 137 0.00898 24 121 0.00878 27 152 0.00955 10 199 0.0118 26.5 30 28.2 30 21.2 30 24.5 30 23.7 30 Endrin gamma-BHC Heptachlor Heptachlor epoxide Methoxychlor 0.00768 0.00676 0.00710 0.00746 0.00931 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 17 of 27 Page 17 of 29 r�--�— Summit Environmental Technologies, Inc. QC SUMMARY REPORT 3310 Win St. IIIj+ Lr. JI 4Ca1rarall ir�.l r ��i [�L�s��t-S, ar;�: Cuyahoga Falls, Ohio 44223 WO#: 16071625 r -j3 'mif r i;sus to TEL: (330) 253-8211 FAX' (330) 253-4489 Website: hup 11wives settek.con: 24 Aug46 Client: Synagro BatchIID: R57107 Project: Columbus Prep Date: RunNo: 57107 Sample ID MB-R57107 SampType: MBLK TestCode: Cyanide,Rea Units: mg/Kg Client ID: PBS Batch ID: R57107 TestNo: SW9014 Analysis Date: 7/28/2016 SegNo: 919507 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual Cyanide, Reactive ND 0.500 Sample ID LCS-R57107 Client ID: LOSS SampType: LCS Batch ID: R57107 TestCode: Cyanide,Rea Units: mg/Kg TestNo: SW9014 Prep Date: RunNo: 57107 Analysis Date: 712812016 SegNo: 919508 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Cyanide, Reactive 1.06 0.500 1.000 0 106 85 110 Sample ID 16071224-001AMS Client ID: BatchQC SampType: MS Batch ID: R57107 TestCode: Cyanide,Rea Units: mg/Kg TestNo: SW9014 Prep Date: RunNo: 57107 Analysis Date: 712812016 SegNo: 919579 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qua] Cyanide, Reactive 1.08 0.500 1.000 0 108 85 115 Sample ID 16071224-001AMSD Client ID: BatchQC SampType: MSD Batch ID: R57107 TestCode: TestNo: Cyanide,Rea Units: mg/Kg SW9014 Prep Date: Analysis Date: 712812016 RunNo: 57107 SegNo: 919580 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qua] Cyanide, Reactive 1.03 0.500 1.000 0 103 85 115 1.077 4.17 30 Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit Page 18 of 27 g P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Page 18 of 29 .. Summit Environmental Technologies, Inc. QC SUMMARY i PORT `C .elf � 3310 Win St. I, { �r JI?{EuFd�a91 PJ IF44. ° ' aszavLs� t c, s�tc Cuyahoga Falls, Ohio 44223 TEL: 253-8211 FAX.- (330) 253-4489 WO#: 16071625 e ✓1,nH� i,� 10"iP Cr Czs�.r to, it .- (330) 24 Aug-16 Website: htto'Mvww.settek.com Client: Synagro BatchID: R57107 Project: Columbus Sample ID 16071224-001AMSD SampType: MSD TestCode: Cyanide,Rea Units: mg/Kg Client ID: BatchQC Batch ID: R57107 TestNo: SW9014 Analyte Result PQL SPK value SPK Ref Val Prep Date: RunNo: 57107 Analysis Date: 7/28/2016 SegNo: 919580 %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qua[ Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Page 19 of 27 Page 19 of 29 j t ( � Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT _ EcwiHraiIl JLilI..�Fm.3C7'UL�J ILS,sr9E. Cuyahoga Falls, Ohio44223 WO#: 16071625 it ,aY,;r; {;E{tf.r;i Cr i.}�.r. /�,riee• TEL: (330) 253-8211 FAX: (330) 253-4489 24 Aug-16 Website: htty'/hvww settek.com Client: Synagro BatchdD: R57110 Project: Columbus Sample ID MB-R57110 Client ID: PBS Analyte Sulfide, Reactive Sample ID LCS-R57110 Client ID: LCSS Analyte Sulfide, Reactive SampType: MBLK TestCode: Sulfide,React Units: mg/Kg Batch ID: R57110 TestNo: SW9034 Result PQL SPK value SPK Ref Val ND 25.0 Prep Date: RunNo: 57110 Analysis Date: 712812016 SegNo: 919629 %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual SampType: LCS TestCode: Sulfide,React Units: mg/Kg Prep Date: RunNo: 57110 Batch ID: R57110 TestNo: SW9034 Analysis Date: 7/28/2016 SegNo: 919630 Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 2990 25.0 3000 0 99.7 85 130115 Sample ID 16071224-001AMS SampType: MS TestCode: Sulfide,React Units: mg/Kg Prep Date: RunNo: 57110 Client ID: BatchQC Batch ID: R57110 TestNo: SW9034 Analysis Date: 7/2812016 SegNo: 919631 Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Analyte Sulfide, Reactive 3030 25.0 3000 0 101 80 120 Sample ID 16071224-001AMSD Client ID: BatchQC SampType: MSD Batch ID: R57110 TestCode: Sulfide,React Units: mglKg TestNo: SW9034 Prep Date: Analysis Date: 7/2812016 RunNo: 57110 SegNo: 919632 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 25.0 3000 0 98.0 80 120 3030 3.02 30 Sulfide, Reactive 2940 Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit R RPD outside accepted recovery limits Page 20 of 27 P Second column confirmation exceeds PL Permit Limit Page 20 of 29 Summit Environmental Technologies, Inc. QC SUMMARY REPORT 3310 Win. St. hf Er t Itiu, rd676'N IAl. t UHRJULU,:;I $, "ING Cuyahoga Falls, Ohio 44223 WO#: 16071625 w El _. .�4naAdlc"3* i L bor-nir)"".0 TEL: (330) 253-8211 FAX.• (330) 253-4489 24 Aug-I6 Website: htt•//www.settek.com y Client: Synagro Project: P Columbus BatchlD: 1257110 Sample ID 16071224-001AMSD SampType: MSD TestCode: Sulfide,React Units: mg/Kg Client ID: BatchQC Batch ID: R57110 TestNo: SW9034 Analyte Result PQL SPK value SPK Ref Val Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds Prep Date: RunNo: 57110 Analysis Date: 7/28/2016 SegNo: 919632 %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 21 of 27 Page 21 of 29 Summit Environmental Technologies, Inc. ORT QC SUMMARY i REPORT }1,b 3310 Win St. j � r d13iruPd�91 ,I I tSl,'� s t4aa�JL�.F'�t*-S_ ('zr� Cuyahoga Falls, Ohio 44223 WO#: 16071625 TEL: (330) 253-8211 FAX.- (330) 253-4489 24-Aug-16 Website: http•//www.settekcom Client: Synagro BatchlD: R57135 Project: Cohunbus Sample ID Ics 20ppb Ics072 SampType: LCS TestCode: VOC-mstr_np Units: mg/L Prep Date: Client ID: LCSW Batch ID: R57135 TestNo: SW8260B Analysis Date: 7/29/2016 Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val Analyte 1,1-Dichloroethene 0.0242 0.00500 0.0200 0 121 71 138 Benzene 0.0190 0.00500 0.0200 0 95.2 75 137 Chlorobenzene 0.0214 0.00500 0.0200 D 107 77 132 Trichloroethene 0.0204 0.00500 0.0200 0 102 64 119 Sample ID mblk SampType: MBLK TestCode: VOC-mstr_np Units: mg/L Client ID: PBW Batch ID: R57135 TestNo: SW8260B Analyte Result PQL 1,1-Dichloroethene ND 0.00500 1,2-Dichloroethane ND 0.00500 MEK ND 0.0250 Benzene ND 0.00500 Carbon tetrachloride ND 0.00500 Chlorobenzene ND 0.00500 Chloroform ND 0.00500 Tetrachloroethene ND 0.00500 Trichloroethene ND 0.00500 Vinyl chloride ND 0.00200 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds SPK value SPK Ref Val Prep Date: Analysis Date: 7/29/2016 %REC LowLimit HighLimit RPD Ref Val B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit RunNo: 57135 SegNo: 920073 %RPD RPDLimit Qual RunNo: 57135 SegNo: 920075 %RPD RPDLimit Qual E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 22 of 27 Page 22 of 29 _ 1 M Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT <C 1. _I FfJ. M t r wl""NW1 . i Ak 6 ,;2T?Jr]LEI IES, ,N G Cuyahoga Falls, Ohio 44223 O TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 16071625 ln;;ti; 1C� t' L;�taSar,aPn�ie 24 Aug-16 Website: httD://ivivw.settek com Client: Synagro P Columbus BatchID: R57135roject: Sample ID 16071619-001ams SampType: MS Client ID: BatchQC Batch ID: R57135 Analyte TestCode: tclp-VOC-mst Units: mg/L TestNo: SW8260B Result PQL SPK value SPK Ref Val Prep Date: RunNo: 57135 Analysis Date: 7/29/2016 SegNo: 920085 %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 1,1-Dichloroethene 0.221 0.100 0.200 0 111 39.9 160 1,2-Dichloroethane 0.197 0.100 0.200 0 98.4 42.5 157 MEK ND 2.00 1.00 0.0579 95.7 16.6 227 Benzene 0.205 0.100 0.200 0 103 38.1 155 Carbon tetrachloride 0.203 0.100 0.200 0 101 40.8 162 Chlorobenzene 0.217 0.100 0.200 0 108 35.7 168 Chloroform 0.193 0.100 0.200 0 96.4 18.3 199 Tetrachloroethene 0.191 0.100 0.200 0 95.4 10 261 Trichloroethene 0.204 0.100 0.200 0 102 23.8 175 Vinyl chloride 0.217 0.200 0.200 0 109 10 165 Sample ID 16071619-001amsd SampType: MSD Client ID: BatchQC Batch ID: R57135 Analyte Result TestCode: tclp-VOC-mst Units: mg/L TestNo: SW8260B PQL SPK value SPK Ref Val %REC Prep Date: RunNo: 57135 Analysis Date: 7/2912016 SegNo: 920086 Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 1,1-Dichloroethene 0.228 0.100 0.200 0 114 39.9 160 0.221 2.85 25 1,2-Dichloroethane 0.207 0.100 0.200 0 103 42.5 157 0.197 4.86 25 MEK ND 2.00 1.00 0.0579 103 16.6 227 0 0 25 Benzene 0.210 0.100 0.200 0 105 38.1 155 0.205 2.50 25 Carbon tetrachloride 0.215 0,100 0.200 0 107 40.8 162 0.203 5.80 25 Chlorobenzene 0.227 0.100 0.200 0 114 35.7 168 0.217 4.73 25 Chloroform 0.204 0.100 0.200 0 102 18.3 199 0.193 5.60 25 Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit Page 23 of 27 P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Page 23 of 29 . aq Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT tMI'VINUMANN 1VHW.ULFJU1'=j, sr, I AL R 3 Cuyahoga Falls, Ohio 44223 WO#: 16071625 Lrbam-VF'T.tPEz TEL: (330) 253-8211 FAX.- (330) 253-4489 24-Aug-16 Website: htt1).-1Avww.settekcom Client: Synagro Project: Columbus BatchID: R57135 Sample ID 16071619-001amsd Client ID: BatchQG SampType: MSD Batch ID: R57135 TestCode: telp-VOC-Mst TestNo: SW8260B Units: mg/L Prep Date: Analysis Date: 7129/2016 RunNo: 67135 SeqNo: 920086 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual Tetrachloroethene Trichloroethene Vinyl chloride 0.202 0.213 0.242 0.100 0.200 0.100 0.200 0.200 0.200 0 0 0 101 106 121 10 23.8 10 261 0.191 175 0.204 165 0.217 5.80 25 4.27 25 10.8 25 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to determine 0 RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 24 of 27 Page 24 of 29 41�i Summit Environmental Technologies, Inc. QC SUMMARY "PORT lu rut Fal Cuyahoga Falls, Ohio 44223 WO#: 16071625 TEL: (330) 253-8211 FAX' (330) 253-4489 Website: httI).-1Avww.settek.com 24-Aug-16 Client: Synagro BatchID: R57442 Project: Columbus Sample ID LCS-R57442 Client ID: LCSS SampType: LGS Batch ID: R57442 TestCode: FlashPt—S(10 Units: 'F TestNo: SWI010 Prep Date: RunNo: 57442 Analysis Date: 8/712016 SeqNo: 928443 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual - Flashpoint (140°F) 84.0 77.00 0 109 100 110 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit E Value above quantitation range M Manual Integration used to deten-nine 0 RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 25 of 27 Page 25 of 29 Fk ffA Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY "PORT - Er V i1r,NNrAi i{,,baatvti=. Cuyahoga Falls, Ohio 44223 W09: 1607162S +tr.P4pr'c p E Irie:m- TEL: (330) 253-8211 FAX., (330) 253-4489 24 Aug-l6 Website: h�://�vivw.settelr.com Client: Synagro BatchID: R57699 Project: Columbus Sample ID 16071625-001ADUP SampType: DUP TestCode: pH_S(9045D) Units: s.u.@22.6C Prep Date: Client ID: Columbus Batch ID: R57699 TestNo: SW9045D Analysis Date: 8/11/2016 Analyte pH Result PQL SPK value SPK Ref Val %REC LowLimit Highl-imit RPD Ref Val 6.46 6.460 Qualifiers: * Value exceeds Maximum Contaminant Level. H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. P Second column confirmation exceeds B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected at the Reporting Limit PL Permit Limit RunNo: 57699 SegNo: 934689 %RPD RPDLimit Qual 0 10 E Value above quantitation range M Manual Integration used to determine O RSD is greater than RSDlimit R RPD outside accepted recovery limits Original Page 26 of 27 Page 26 of 29 a umfort Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT 1' _ tr4VJKQ1Nr,1NN 1A1. 0 b%ZH dULf. G1LS, €NU. Cuyahoga Falls, Ohio 44223 W09: 16071625 i.'1� _, IOt; tt� P'r-3i Lrias�.r .tar4:n TEL: (330) 253-8211 FAY.- (330) 253-4489 Website: httv:/hvivw.settelc.coni 24 Aug-16 Client: Synagro Project: Columbus BatchID: R57699 ;ample ID LCS-R57699 SampType: LCS TestCode: pH_Oil(9045 Units: s.u.@23.2C Prep Date: RunNo: 57699 ;lient ID: LCSW Batch ID: R57699 TestNo: SW9045D Analysis Date: 8/11/2016 SegNo: 934662 malyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua] pH 7.04 7.000 0 101 90 11D Sample ID 16080613-001ADUP SampType: DUP TestCode: pH_Oil(9045 Units: s.u.@24.8C Prep Date: RunNo: 57699 Client ID: Batch= Batch ID: R57699 TestNo: SW9045D Analysis Date: 8/11/2016 SegNo: 934664 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual pH 5.93 0 0 5.900 0.507 10 Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine Original MC Value is below Minimum Compound Limit. ND Not Detected at the Reporting Limit O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Page 27 of 27 Page 27 of 29 Sy tQ CD N) 00 0 C.0 ==vm Summit Environmental Technologies, Inc. OzOrAVU �►xlalysis Request/Ch.ain of Custody 3310 WIh-Street' Fbr Sairtifflt Environmentid Technologies, Inc. use only - c. Ljyjh $211 Fax; 3A253AW Cuyahoga Falls, QhiQ -44223 Tel-, 330,.253. page .—of_ VTF�.n kP. P�i n t I �"aly�ficalFi�tfttvieterg �Abd M�dbods ILA hone No: Report to WA Client M No. P �%daL �Rl .1� ❑ PO# Plegse- Ail Results d Quote NO. in sampleMenti6cmien jg 'A D, 0— main coliwiid Cnitected uIvlkd Box Rush Re quoted By: rhite and yellow pages -ql No; Cornihqnts: Must be approved by lab Mana!!_j -91 li�fary� p client retains the pink page; 8 es .13 — aC Rom,. as Su>rimit Environmental Technologies., Inc. Cooler Receipt'Form Eff-Ai— Dsiv 07114nS Initials of person inspecting cooler and samples: <,— cJ client: (n(A �{ g Order'Number. Date Received: � 1 " Time Received: Gate coolers} opened and samples inspected: Number of Gaolersl6oxes: N/A Shipper Ed EX UPS OHL Airborne US. Postal Walk-in Pickup Other:. Packaging: Peanuts Bu ole p Paper Foam None Other:_ Tape on coolenbox; N NIA Custody Seals intact Y N fR C-0-0.in plastic (D N NIA Ice Blue ice. ." / absent I melted NIA Sample Temperature IR Gun #16020459 CF�d :(3 °C °t; NIA Radiofogical Testing instrument serlal #35127 Y N fA (see page 2 for scan results) —Use 1 sheet per sample for Radiotogical Testing. If sample Is KOT, the Radiological Safety Officer must be notified immediately. C-o-C filled out properly Y N N/A Samples in separate bags aY N NIA Sample containers intact' N N/A `If no, list broken.sample(s): -Sample labels) complete (ID, date, etc.) N NIA Label(s) agree with C-O=C h N N/A Correct containers used N N/A 5u{fidentsample received N NIA Samples received within holding time N Bubbles absent from 40 mL vials— Y N t l " Samples with bubbles <6mm are acceptable: Indicate bubble size if }6mm. Was.client contacted about samples Y N Mill client send new samples Y N Client contact Logged in by:. comments: Rage 1 of 2 Page 29 of 29 rot ENM011 MENTAL Ettvirarnliental Testing Solutions Project: 351 Depot St. J Cahvultus WWTP Asheville, NC 2g801-4310 Work Order: 5050583 Reporled: 06/16/15 14:44 Sample Data Sample Number 5050583-01 Sample Description Columbus WWTP Sludge- Crrab collected on 05/14/15 OR:10 Parameter _` Gone-ral Chemistry Parameters Nitratd as N, extaautable -Result -..��. ND Reporting Limit MIR 88.0 mglkg dry DF 1.00 AnA zed 3 05l29/15 09:55 11.1elhad EPA 921OA Ttiag Anal it $afCh Nitrite as N, extraolable 42,7 792 ntg/irgdry 9.00 OS/2$/15 J6:00 SMASooTdg2E-2Ui1 LDS B5E6997 Total ICJVitro eldahl Ben 52100 1100 mglkg dry 2,OD 05126/15 16;29 EPA 351.2 RBl B5E1030 Total Nitrogen(TKN+Nitrate+Nitrito 52IOU 1 f OQ nrg/k!S dry LD B5E0380 Totai Solids 2..D0 05/26115 16:29 - LDY BSE0904 4,60 0.10 % 1.00 05/18/15 IS:30 SM25400 LC 1351306S5 total Meta ls Mercury ND 2.0 nrl lkg dry 5.00 0512WI1 10: I5 EPA 747113 Aluminum 27800 logo nrg/kgdry 50.0 06/15/15 14-40 EPA6010c DE' B5EO911 Arsenic ND lo.8 mg/kgdry 1.00 06/12/15 04:19 EPA60t0e ML � BSFo258 Ca[ Cadmium ND 4.32 niE/kg dry 1.00 06/12/15 04:19 EPA 6010C MLRB5F0258 Calccium 23900 1080 ing/kg dry. 50.0 O6/12115 04: t 0 EPA 6010C MLR 135F0258 Copper 739 4.32 -9&g dry 1,00 06/12/15 04:19 EPA 6010C MLR 135F0258 Lead 39.3 10.8 mgtkgdry 1.00 061,2115 04:19 FPA6DIDC MU 85170258 Magnesium 2430 53.9 mg/kg dry 5.00 06115115 14:42 EPA &MC AdLR BSF•0258 Molybdenum 11,3 10,8 nrg/kg dry 1.00 06/12/15 04:19 EPA 60100 MLR $5F0258 Nickel 24.4 10.8 mg/kg dry I.00 06/12/15 04:19 EPA 6010C 1v1LA 115170258 Potassium 2310 21.6 mglkg dry 1.00 06/15115 14:45 EPA GotOC MLR 35PO258 Selenium ND 10.8 /kg q� mgd 1,00 06/12/15 04:19 1�'A 601oC MLR 135F0258 Sodium 1400 IOR mg/kgdry 5.00 06112115 04:16 }3PA6010C MLR BSF0258 Total Phosphorus as P 17400 r132 argft dry 50.0 06/12/15 04:10 MLR 135F0258 zinc 946 21.6 ntrrjlcgdry 1,00 06!12115 04:19 r;PA601oC MLR B5F0258 r1PA6u10r. MLR B5F0258 PO Box 5655 I Greenvtila,SC 29606 142(, Faildorest Way I Greenville, SC 29607 1 rnaln 864,232.1556 I fax 864.23).6140 I'ogelsandcallcoi 17risre ` anamployee-owned ahtlanals 1441 pnrrnru} rmrborrprorhrcrd, eecvptb{firlf, rrrrhnnnrl'i/(p7rperllrlsci07rIY0�AXugel;rX ti171cnit, Ina y �fi T�ry rr ex�� g�.espr e& .CHAINOF CUSTODY RECORD O, ORDER- Mailing PO BOXS555 Shipping 426 Fairforest Way 2158 Stoneridge Drive Address: GfeermlleSC29606 Address: GreenvIsleSC29607 Columbia, SC29210 Phone (864) 232-1556 Fax (864) 232-6140 Phone (803) SCS-8999 Client Name Address Report To: �) i Email Address Tele,-ham e •• # PO## Proiect# l�+o � V z a° jj I 3 m n- ; iifet'ed��sJ o 1 I Cooled es No) ContainerType(Plast(c/GI s) Container Volume (mo t I -- Sample Type Ara Composite) SasMple Source (YM, GIN, +OW, SW,' , Ocher) Pi c>Ezla�r Otl COUetS] A— None E—HQ I—ZnAcetate B — N NO3 F — %2$zC3 J — HZP04 C-1-12504 G—Boric Acid K-MCAA D-NeOH H- Ascorbic Acid L- r_ QL CDP 1' rt L_._ l � I it & C vVORKoBDER YFS DATE 7TME SAMPLE DESCRIPTION COMMENTS p � 0�Jt iS G�CO • -- "-r' �j •UjU- ire ' f � I f SAMPLER —RELINQUISHED BY: I DATE/T)ME: � RECEIVED BY: 1_ ''� �^�'^ I 2. RELIN'JISHED BY: DATE/TIME: RECEIVI:D/By: r 4. g //�' ot, RELINQUISHED BY: DATF/i IME: RECEIVED BY: 5' 6. DATECIMME: ( v r DA,T ! F.J77 M E. ^--) ) . DAt iME: Composite Start Date: Composite Start i ime: Time or Flow (Circle one) )nitials: 1RELINQUISHED BY: 7. Possible Flazardsassoc ated with samples Non-H DATE/TIME: rd ❑FI r— RECEIVED BY. 8- DATEJTIME: Temperature of blank or representative sample At time of Collection ^C At time of lab receipt _ ; . S oC aza amenable n Irritant L—j Poison Ij u�RtaTown �ther Forth Revised July, 2o14 Page o{ The sludge produced from Columbus WWTP meets pathogen and vector reduction through alkaline stabilization. At this time, we have not spread any lime stabilized material for this WWTP, therefore, no lime calculation sheets are on record. 284 Boger Road, Mocksville, NC 27028 Phone: (336) 998-7150 0 Fax: 336-998-8450 �O�WAT�RQG State of North Carolina O Department of Environment and Natural Resources r � Division of Water Quality LAND APPLICATION SITE CERTIFICATION INSTRUCTIONS FOR FORM: LASC 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 (LAU) web site at: http:/lportal. ncdenr. org/web/wq/aps/lau General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without a corresponding application form (FORM: RLAP 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. Land Application Site Certification (FORM: LASC 08-11): ® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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. ❑ For new or renewed permits, submit the requested information for all land application sites. ® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the proposed modification. Land Application Site Information: ® The status of the land application site with respect to this residuals land application program must be provided in table I. The status categories and their corresponding codes are as follows: ♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D) ® Attach the following in accordance with each status code: Status Code Required Item N R T M I -= County Manager ✓ Notification arm., Land Owner ✓ `� Agreement (If applicable) ✓ ✓ ✓ ✓ Setback Waiver Agreement An updated vicinity/setback map in accordance with the "Map Guidance for Residuals Land Application Permits" ✓ ✓ ✓ A soils and agronomic evaluation in accordance with the "Soil Scientist Evaluation Policy" ✓ An updated accounting of the land application site's cumulative ✓ pollutant loading rates (CPLRs) INSTRUCTIONS FOR FORM: LASC 08-11 Page 1 of 3 Required Item Status Code N R T M For previously permitted sites without a soil series name indicated in the Attachment B, submit County Soil Survey Map (or equivalent) clearly ✓ indicate the location of the land application site and in accordance with the soil map requirements in the "Soil Scientist Evaluation Policy" Acknowledgement of field transfer from Permittee relinquishing field ✓ Acknowledgement of field transfer from Land Owner (Fields may not be permitted to multiple Permittees over the same time period) * This item may be required for land application site with a status code "M", please contact the Division if you need assistant in determining attachment requirements. ® Crop Type should include the most likely crop types for the life of the permit (five years). ® Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or name of the soil series as provided by the licensed soil scientist. ® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping unit. If a representative slope is provided, it must be determined accordingly: ® For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8% would have a representative slope of 6%. ® New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist. ® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as follows: • Address Matching (ADD) • Digital or Raw Photo Extraction (EXT) • Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO) • Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR) • Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS) • Conversion from Township -Section -Range (TSR) • Remote Sensing (RS) • Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP) • Map Interpretation by Digital or Manual Extraction (MAP) C. Waterbody and Classifications Information: (new sites only) ® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ® Surface water body classifications information may be found at: http://portal.ncdenr.or web/w /ps/csu ❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices. ❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: http://portal.nedenr.org/web/wq/home/ro ❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned subbasins, location descriptions, stream index numbers and established classifications. 1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area should be submitted with the permit application regardless of whether a Stream classification was completed). 2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as "UT to stream name" as the waterbody name. 3. Open the link http://h2o.enr.state.ne.us/biTns/reports/reportsVVB.html. If this link does not work, open http://portal.nedenr.or web/wq`/�s/csu/classifications and download weekly -updated classification lists for named waterbodies. ❑ Stream Classification Process: One of the options below may be used depending on the known initial project information. ❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED INSTRUCTIONS FOR FORM: LASC 08-11 Page 2 of 3 1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide the proper location descriptions if multiple runs. 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Select the proper county from the List all Waterbodies in county, hydrologically report. 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Use the Clickable basin map to hydrologically sorted list report. 2. Click on the approximate project location to bring up the hydrologically sorted list. 3. Locate the name of the identified waterbody (from General Directions) on the list. 4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 5. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ Notes on index number and unnamed streams: Unnamed Streams 15A NCAC 02B .0301(i). ❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned to the stream segment to which it is tributary (at the point of entry) except: (A) unnamed streams specifically described in the schedule of classifications; (B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or (C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted. ❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the basin: Unnamed Tributaries Entering Other States or for Specific Basin Areas Hiwassee River Basin Streams entering Georgia or Tennessee shall be classified "C Tr." Little Tennesse River Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah Basin And Savannah River drainage area entering South Carolina shall be classified "B Tr." River Drainage Area French Broad River Streams entering Tennessee will be classified "B." Basin Watauga River Basin Streams entering the State of Tennessee are classified "C." Broad River Basin Streams entering South Carolina are classified "C." New River Basin Streams entering the State of Tennessee are classified "C." Catawba River Basin Streams entering South Carolina are classified "C." Yadkin -Pee Dee River Streams entering Virginia are classified "C," and such streams entering South Carolina are Basin classified "C." Lumber River Basin Streams entering South Carolina are classified "C Sw." Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or Roanoke River Basin described shall carry the classification "B," and all backwaters of Lake Gaston and the North Carolina portion of streams tributary thereto not otherwise named or described shall carry the classification "C and B. Chowan River Basin Streams entering Virginia are classified "C." Tar -Pamlico River All drainage canals not noted in the schedule are classified "C Sw." except the main drainage Basin canals to Pamlico Sound and its bays which shall be classified "SC." Pasquotank River Basin All drainage canals not noted in the schedule are classified "C." INSTRUCTIONS FOR FORM: LASC 08-11 Page 3 of 3 LAND APPLICATION SITE CERTIFICATION Applicant's name: S�nagro Western Piedmont Land application sites currently certified: 914.4 net acres and Total to be certified: 123.4 net acres. I. LAND APPLICATION SITE INFORMATION (See Instruction B): Status Code' Site/Field ID Landowner() s or O s Lessee() Operator(s) Net Acres Count y s) Crop(s) Predominant Soil Series Name b Mapping Slope' or Rep. Slope N CD-02-01 John Hayes Shane Wilson 13.3 Caldwell Fescue Fairview 4-6% N CD-02-02 John Hayes Shane Wilson 11.2 Caldwell Fescue Fairview 7% N CD-02-03 Troy E Wilson Shane Wilson 15.7 Caldwell Fescue Fairview 8% N CD-02-04 Jennie B Wilson Shane Wilson 6.4 Caldwell Fescue Fairview 5% N CD-02-05 J. Dykes Wilson Shane Wilson 11.1 Caldwell Fescue Fairview- Woolwine 5% T CD-15-01 Kim Prestwood Kim Prestwood 14.6 Caldwell Fescue Fairview 2-8% N PO-06-01 Robert and Linda Holbert Bill Davis 8.1 Polk Fescue Cecil/Pacolet 5% N PO-06-02 Robert and Linda Holbert Bill Davis 16.2 Polk Fescue Cecil/Pacolet 5% 'Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted) b Soil Series Name (i.e. Appling, Cecil, etc.) 'Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2) II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C): Site/Field ID Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. Current and Proposed p Class CD-15-01 350 51' 10" 8103113911 NAD 83 ADD Nearest Second 11-55-02-1 Q ? __ CD-02-01 350 48' 37" 810 29' 9" NAD 83 ADD Nearest Second I1-47-1 WS-IV CD-02-02 350 48' 27" 810 29' 21" NAD 83 ADD Nearest Second 11-47-1 WS-IV CD-02-03 350 48' 17" 810 29' 28" NAD 83 ADD Nearest Second 11-47-1 WS-IV CD-02-04 350 48' 18" 8102913911 NAD 83 ADD Nearest Second 11-47-1 WS-IV CD-02-05 350 48' 7" 810 30' 11" NAD 83 ADD Nearest Second 11-47-1 WS-IV PO-06-01 350 14' 54" 820 4' 57" NAD 83 ADD Nearest Second 9-29-46-3 C PO-06-02 350 14' 49" 820 4' 54" NAD 83 ADD Nearest Second 9-29-46-3 C Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page. FORM: LASC 08-11 Page 1 LAND , 'LICATION SITE CERTIFICATION Applicant's name: S�gr%Wesfern;Piedino Land application sites currently certified: 91f4:4 net acres and Total to be certified: & 3:4 net acres. I. LAND APPLICATION SITE INFORMATION (See Instruction B): Status Site/Field Predominant Soil Code" ID Landowner(s) Lessee(s) or Operator(s) Net Acres County Crops) Mapping Unit Series Name or Rep. Slope` N PI0=06 031 Dale Edwar sdsd �'ill'Davis' 7�2� P:ol�l Fames ,Cecil%Pacohe� �''6%0" N 0Ot7 0 ann _and+Ethan+Ethan Edwards )a y,and Ethan Edwards Il, t0 o escu' Cecil/Pacolet N F6 7=02 [R;oy!and, Emogene. Tay,,l"oil and:+Ethan:Edwards? 0FAIR,-� �eseue� - acolati� — F-7 N r N s t f _ a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted) b Soil Series Name (i.e. Appling, Cecil, etc.) `Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2) H. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C): Site/Field ID Latitude Longitude g _ Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. 9 46 3i 9,�2 Current and Class Proposed P � 06 03 350 S' 43, 82'° ' 4�,Wrr NAD 83 ADD Nearest Second NAD 83 ADD Nearest Second P r S° fl' � 3i" C 0 u I j' 7 810 N't1�4" , L! tom; NAD 83 NAD 83 ADD ADD Nearest Second Nearest Second r�to r r 4" t� f no l' [—s" i"; + NAD 83 ADD Nearest Second f —; 01 ;J 710 0, D, NAD 83 ADD Nearest Second L� E ,° �, I Ir 1E i .� NAD 83 ADD Nearest Second _ , •,��.,� Note: Please keep the site ° i�r r_'" information (I.) and ^-5 ,° (_ "I +sin waterbodv information NAD 83 (TT 1 of ADD tlip camp Nearest Second L� FORM: LASC 08-11 Page 1 State of North Carolina DW- Department of Environment and Natural Resources Division of Water Resources g Division of Waiter 6Reso�umes COUNTY BOARD NOTIFICATION INSTRUCTIONS FOR FORM: CBN 08-13 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 (LAU) web site at: hyp •/%rtal ncdenr. orb/web/ivglaps/lau General — This notification is intended to provide the county board in which the land application site is proposed to be located with general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review without a corresponding residuals program application form (FORM: RLAP 08-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. County Board Notification (FORM: CBN 08-13): ] Submit the completed and appropriately executed County Board Notification (FORM: CBN 08-13). Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. Prepare a separate County Board Notification (FORM: CBN 08-13) for each county in which the proposed land application sites are located. B. Critical Watershed Areas Information: Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas. [� For more information regarding Water Supply Watershed Protection Program, please visit the Division website at: http://portal.ncdenr.orgLweb/wq/smM/ws/`wswR 1C] If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call (919) 807-6337. C. Notification Package Submission: f] Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the notification package also be sent to the County Manager. ® The most current publication of the Directory of State and County Officials may be downloaded at: http://www.secretary.state.nc.us/pubsweb/direct.aspx A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: http://portal.ncdenr.org/web/wq/home/ro. X The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage (i.e., a copy of "Residuals Source Facility Summary" is adequate but not required). The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a copy of "Land Application Site Certification" is adequate but not required). D. Proof of Submission: Z Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment prior to submission of the application to the Division for review. INSTRUCTIONS FOR FORM: CBN 08-13 Page 1 of 1 ,, RMENR 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 Date: rl)A' 1-7 -- To: Name of Chairman to the Board of County Commissioners: _ Ae-lie f` Complete mailing address: I T -1 '4 Q LOU r-'\C"J Se, 5t City: =C_CWV`^6,J`' State: I_ TNL Zip: County where land application sites are located: I-1 Epo1 k From: Applicant's name: I T_ � (on behalf o the Division of Water Resources in accordance with Session Law 2013- 340) Sv,�.S CR-N} m� (--- Contact person and title: E- k l) c'''c"C i Complete mailing address: &-5e-r a'A — Lzip: City: I l�cc_IcSs zI IQ State: _ I N Telephone number: �''-� E-mail address: �� b �%Ge- Subject: Notification of residual land application site proposal This is to notify you that the Applicant listed above will be submitting an application to the Division of Water Resources for the land application of residual solids to site(s) located in your county. During this review, the Division will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals - generating sources and locations of the proposed land application sites. Please forward this letter and its associated attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and Planning Department) if applicable. More information of the land application sites included in this application will be available at the following Division of Water Resources Regional Office: Name of appropriate regional office: I Qr�G.eV�l1e- f�oq�a+nGY.� C>-rZ�t.C'_ Complete mailing address: 9 ----1 Z096 J S 1 ���`W`�`� -76 City: State: ��� N Zip: 'Z 8_?`7 Z Telephone number: Expected date of application submission: Should you desire to cominent on this application, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification, or if you would like more information, please contact the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. Enclosures: Source Facility Summary Land Application Site Summary Maps FORM: CBN 08-13 Page 1 of 1 Residuals Source Summary Columbus Wastewater Treatment Plant is located in Polk County, NC. It is permitted for a maximum dry tonnage of 80 per, year. Site ID: PO-07 Owners Name: Address: Phone: Operator: Total SITE SUMMARY Town of Columbus Columbus, NC Danny and Ethan Edwards 160 Floyd Blackwell Rd Tryon, NC 28782 828-817-0402 Danny and Ethan Edwards Roy and Emogene Taylor 321 Me Tr Columbus, NC 28722 828-863-2677 Predominant Latitude & Qv= Cnil Gariac Lnnaitude t-lelas 1 10,6 Fescue 209 CeB2 35 13' 20" N 825'3" W 2 g,p Fescue 158 PaC2 35 13' 33" N 82 5' 14" W Totals 19.6 Date: 04/04/17 V VICINITY MAP 13 Az Vy Unkl WV ns 41 Wyl \: "•�J J ` .�/ J'''� ,� � tII`I�; rl� ,�I 'f�\ •/qJ� �J ��//`v \�G �q0'��\ ` I`Itt11 • } 1`�///(�� /JIj llr.i M1. (' �AR�Js� WU i',✓ "�> 7 I f( `zt Vi � .��&.`--- J �/f""J\ �-;:��V!'��_-. `�•• 1. J—"�..�-� ;If•• S\J1 al /J{�� f/_{I,� ! '1I ,., �• C (�`��-- �•��:�. �` \ \: � �:r' ��•r `; �``� \f} 1()� J �\~,�� r.—��� !� ��.{`j JJ1 1 �\�vhen F�WAipaJAI; � �•, . �i� P0, of ��`��'� j � 'tl � e•,I:� V ' 1\`�-�ll l ,����n� `\ � � . � yy �-r-�`��, n� � a �,� ��� � � S LJ��w � � •fir--� / •�� �.` ,� ., � ;. ---��� �:� 4J+1\)/(/// Y ,.ram �� ���-, ,�. �7��,:.. lUC r_ GRAPHIC SCALE 1" = 4,000' 4,000' 0 4,000' I I The compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area, The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. NC-PO-07 Fields 1-2 � a..---� � "gx Z.p �"'* �:'r+-` „,t. � ♦ '.'�x'L„� 't" ,..'FAY . 'fit �_' � � • e -y,, t .36 9� # �. -y f t� i 1 i/✓f � F ! F._rd. AAl d✓ �- �+' .. ^'"sty-'" . ,y =� + -d � r �• yr" r 17 t, t �tT' • s y's f � f �ht -_ &��i4 ".;'� ''� � I�' s � \{8 I a r^ 07 �,, y � ...i * ^ ,.�. a i Ufa �r• '�. r � fir; Aq t � � y4 Site ID: PO-06 Owners Name: Address: Phone: Operator: Total t:..1A Anroc SITE SUMMARY Town of Columbus Columbus, NC Robert and Linda Holbert 190 Floyd Blackwell Rd Tryon, NC 28782 828-863-2718 William (Bill) Davis 828-899-1681 Dale Y Edwards 160 Floyd Blackwell Rd Tryon, NC 28782 828-863-4882 Predominant Latitude & C_rnnlcl RYF Snil SPriPs Lonnitude 1 ~ 8.1 Fescue (P) 209,156 CeB2 35 14' 54" N 82 4' 57" W 2 16.2 Fescue (P) 209, 156 CeB2 35 14' 49" N 82 4' 54" W 3 7.2 Fescue (P) 209, 156 CeB2 35 14' 43" N 82 4' 46" W Totals 31.5 Date: 04/04/17 N �.• yl ' r y� 1 „f' 9 �. 1 r�'��, � 1;. � 4 r;;� E 7 { of Y - ,r" s�`s{ - .. ' ♦ r e + '�W �° l�)Irv',,J�p� "'�7�i , ••. 't, .. � � . jtii omr VI IU- IVA i L1 SL •�"+ f�l�d ✓✓ �dJ�JJ''�.9+'J'' ,y✓�� .�"— �',�' �5 ��� t�� y7a.Y. =F`, ✓d %D b �1.v�' I ,�^. �.'r.(F. ► yam' .y� { `�•'��� � � ;" i Y t'rrtjr 'x°-- da A�i1�f.,a �A �._ .�,ri�+� � (`• � � �, :r, s .iy jf Ip d�D �9 i't ��� t --• ,!y !- �' Y '- 3t � F J �jJ it 'rs.?� ,>✓�4 ,:.� -}. ,(Y. •¢-_. i �. f •z t > ,�' >•� ►�'J� dl b♦3 � S t1 �. ~ fit. tt'a a s4 f .'',t-44r y �,; ¢•, y.// r+dJ;�b d d l ch 7 �'`;�• y{T rJ .j5 �t [ -. t'•t Pr' �iv'"d d� r ;-',Wr a � �r � `'`'^!!* } r'G � •t i � , • j ` � i+a 4"4 P f a .r1�, d �4, � , � �, , ;; +u 1 .. 9 _ .._ �- ,-.£�M .- ', iry.�.'_ •4 mph �`r.. `�id. VICINITY MAP '� .� it C' ••.,�� �� 1� 1U'09 � Yam.\ � ` y._--..J�.. 17 ';�Y" r � •` 1�4,� .cam.`-_ `\'�.� "-' �VOi .>/ � i � •� h . • `� •�. i%r,,', , `l►l' ram; o fig �� r'l.t J `'� t L/���) —.� 'I'; �`!,e dk• \`'1 11 JA �� � t �< ,�j •fir ��' �r� � ,r � >Ji Ri p' i>_ +. � a 7 � i � \ r5� ��f �av�#• � G. ^ \ � 1 !b l�,c flew A v�tt UIV U !� J f; C,cY ,�_v, � ` 3 J \tom, ��� { r. � L��, t(J r-• fp 111Vi GRAPHIC SCALE 1" = 4,000' 4,000' 0 4,000' compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. NC-PO-06 Fields 1-3 Complete items 1, 2, and 3. Also complete T.A. SI afire item 4;if Restricted Delivery is desired.Agent "., ®Print your name and address on the reverse , so that we can return the card to you. 0 Ad dressee. - IC Attach this card to the back of the mailplece, t ed by (Pdnted Name) C 'Date of Dellvery" 4 .or on the front if space permits. - 4 1. Article.Addressed.to D. 'Is delivery -dress different from Rem .1? 'Yes' 1 If YES enter delivery address below: 13No q 3. , Service Typs Certified Mail D F*mss Mail l 0 Reglstemd 13 Return Receipt for Merchandise ® Insured Mail ® C.O.D. - - 4. Restelcted`DeliverytI '(�rtra Fse) 0 Yes . 2. Article.Number -- (Transferf h seoce lablel)t ; !. [] 9 16 8 C1 — € a'a �� 617 Q O'21r2 , p ■ S Form 3811, February2004 Qomestic Refum Recgl t _ . p 1A2595 02 M-0540� State of North Carolina Department of ]Environment and Natural Resources _ - R Division of Water Resources blvislon of Water Resources COUNTY BOARD NOTIFICATION INSTRUCTIONS FOR FORM: CBN 08-13 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 (LAU) web site at: http://portal.ncdenr. orb/web/wq/aps/Zau General — This notification is intended to provide the county board in which the land application site is proposed to be located with general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review without a corresponding residuals program application form (FORM: RLAP 08-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. County Board Notification (FORM: CBN 08-13): f Submit the completed and appropriately executed County Board Notification (FORM: CBN 08-13). Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. Prepare a separate County Board Notification (FORM: CBN 08-13) for each county in which the proposed land application sites are located. B. Critical Watershed Areas Information: f Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas. For more information regarding Water Supply Watershed Protection Program, please visit the Division website at: http://portal.ncdenr.org/web/wq/sM/ws/wswp ❑ If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call (919) 807-6337. C. Notification Package Submission: Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the notification package also be sent to the County Manager. The most current publication of the Directory of State and County Officials may be downloaded at: http://www.secretary.state.ne.us/pubsweb/direct. aspx ® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: hftp://portal.ncdenr.org_/web/Wgihome/ro. �] The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage (i.e., a copy of "Residuals Source Facility Summary" is adequate but not required). The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a copy of "Land Application Site Certification" is adequate but not required). D. Proof of Submission: ® Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment pLior to submission of the application to the Division for review. INSTRUCTIONS FOR FORM: CBN 08-13 Page 1 of 1 NC®ENR 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 Date:,/11 1-7 To: Name of Chairman to the Board of County Commissioners: Complete mailing address: i �'a B4O*' Z-2- o City: , r- -_=� L.e.na t ~ State: W L Zip: County where land application sites are located: f C-AAvj,?,lk From: Applicant's name: (on behalf of the Division of Water Resources in accordance with Session Law 2013- Contact person and title: = , Complete mailing address: I I� City: I �G�,kS��o1° State: i i GEC. Zip: Telephone number: ( ) [1 = ° E-mail address: �_� 1z r C—? 5-� �t� s,c� • ` ' "'° ,ubject: Notification of residual land application site proposal This is to notify you that the Applicant listed above will be submitting an application to the Division of Water Resources for the land application of residual solids to site(s) located in your county. During this review, the Division will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals - generating sources and locations of the proposed land application sites. Please forward this letter and its associated attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and Planning Department) if applicable. More information of the land application sites included in this application will be available at the following Division of Water Resources Regional Office: % Name of appropriate regional office: r� 5 � i -___ Complete mailing address: -T-� Z �`�� V 3 City: �� Mi 5 t. �. State: ! C_ Zip: Telephone number:") Expected date of application submission: Should you desire to comment on this application, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification, or if you would like more information, please contact the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. 'enclosures: Source Facility Summary Land Application Site Summary Maps FORM: CBN 08-13 Page 1 of 1 Residuals Source Summary Granite Falls Wastewater Treatment Plant is located in Caldwell County, NC. It is permitted for a maximum dry tonnage of 200 per year. Granite Falls Water Treatment Plant is also located in Caldwell County, NC. It is permitted for a maximum dry tonnage of 45 per year. Site ID: Owners Name: Address: Phone: Operator: Fields SITE SUMMARY Town of Granite Falls Granite Falls, NC NC-CD-02 Jennie B Wilson (Field 4) 2100 Dry Ponds Rd Granite Falls, NC 28630 828-396-2568 Shane Wilson 828-292-1846 Total Acres Cron(s) J. Dykes Wilson (Field 5) 4649 Sawmills School Rd Granite Falls, NC 28630 828-228-3707 Predominant Latitude & RYE Snil RpriPc I nnnifiirla 4 6.4 Fescue (H) 194 FaB2 Fairview 35 48' 18" ' N 81 29' 39" W 5 11.1 Fescue (P) 133 WoB Fairview- Woolwine 35 487' N 81 30' 11" W TOTALS 17.5 Notes: Date: 03/21 /17 :: t l - ° 4 ,' .---.may ----r,..,. _ r _ : + • _ Ij ' _ ♦ �, ter! i{'µ } f r� ��/'--v: iA 1 - �.� • a ,.r,.,�.T'� 3'.,•_ q F -,?t ! tom. � .. X111 :Is 0 '.. 1, \x.��. , � j+° ✓r f j �� � �i �• a a rt?' k'C'l, G, rwv�ry r:, r� tr - 1 `� f ^{�'jk+Y 5 t `T . �^ _ .'-'-.r r,•. ; r, J � _ � ' ram' ' 4+�9�_ � �. J/.�_+�.rs �J✓J. � _ ..y1rZ'. . ... .. .. �i'�/t. irr �S_. �_/.J 1 SITE SUMMARY Town of Granite Falls Granite Falls, NC Site ID: NC-CD-02 Owners Name: John Hayes (Field 1 and 2) 4597 Hickory Nut Ridge Rd Address: Granite Falls, NC 28630 Phone: 828-292-4294 Operator: Shane Wilson 828-292-1846 Troy E Wilson (Field 3) 2868 Dry Pond Rd Granite Falls, NC 28630 828-496-0832 Total Predominant Latitude & Fields Acres Cron(s) RYE Soil Series Lonnitudle 1 13.3 Fescue (H) 194 FaB2 Fairview 35 48' 37" N 81 29' 9" W 2 11.2 Fescue (H) 194 FaB2 Fairview 35 48' 27" N 81 29' 21" W 3 15.7 Fescue (H) 194 FaB2 Fairview 35 48' 17" N 81 29' 28" W Totals 40.2 Date: 03/21 /17 a qz,, A�4� t f/ �,•,m► _► a 1. ,tyL ( �'.. f �1� �}� �•�IJ�a. e'i' er' �+f��•,/ \ ��•. �! _ � . ,� .�G— ,,NIA>�"^ 7, � )7Y7b: T (,✓'!Te !�'/',�,+1`y'1�1-:�1�f�� ` '— � � Iv Aw po •r �_ +. 7 j ! � '�` a .. `�� :sera'.': .?r J':"': ^.rf•r A � b-1(i � ,.�d��,�� %; � ^'v ,. "tom";'''• \`.r..�,.�' \�� a1�2:'. 7,.ia�.. . , �. i 7r a� /' ft%+s� - .f r- V ter_ A•��....,(_y� .-+`a .� 'tee �, r✓�'�`>", r� e��{ Crab i'•�r!�✓1� +. f • � t s4^.f '} � i�t }rip.' S .Y��_� VICINITY MAP GRAPHIC SCALE 1" = 2,000' 2,000- 0 2,000' ie compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. NC-CD-02 Fields 1-5 A Complete items 1, 2, and 3. Also complete' . .item Of Restricted Delivery is:desired. ,M :Print :your name and address on the reverse so •that ,we can return ,the .card.to you. ® Attach this.card to the back of the,mailpiece, or on_the front if space permits. "I..Articls Addressed to:rt,! y , % ..y ...� 13 Agent l ❑ Addressee,; B. Received by (Printed fllame) C. Date of Delivery ,.j D. Is delivery address&fen:nt from item 1? ❑ Yes.. j If YES, enter deliveryaddress below: ❑ .No } ,�1 I YO l f�QeAffied Mill -® Exgnass Hflall 0 Registered Return Receipt for Merchandise Ej Insured Mail 13 c.o.D. I 4 Reshtcfed De6vey? {Extra Fee) D yes 2. Article}}Number ! (Transfer;ftrhseivice/a�v( � i I 7Qb9 i�6 f' L7p[]❑ i Lt�E__Q� j ILi.. r f 617❑ 22q PS Form 3811, February2004' Domestic Return Receipt - - =595 02-M-1Mj 9 Site ID: Owners Name: Address: Phone: Operator: Total Fields Acres SITE SUMMARY Town of Granite Falls Granite Falls, NC NC-CD-02 John Hayes (Field 1 and 2) 4597 Hickory Nut Ridge Rd Granite Falls, NC 28630 828-292-4294 Shane Wilson 828-292-1846 Troy E Wilson (Field 3) 2868 Dry Pond Rd Granite Falls, NC 28630 828-496-0832 Predominant Latitude & Cron(s) RYE Soil Series I nnniturle 1 13.3 Fescue (H) 194 FaB2 Fairview 35 48' 37" N 81 29' 9" W 2 11.2 Fescue (H) 194 FaB2 Fairview 35 48' 27" N 81 29' 21" W 3 15.7 Fescue (H) 194 FaB2 Fairview 35 48' 17" N 81 29' 28" W Totals 40.2 Date: 03/21 /17 State of North Carolina DRepartment of Environment and Natural Resources Division of Water Resources —W 15A NCAC 02T .1100 — LAND OWNER AGREEMENT °Division of Water Resources FORM: LOA 11-13 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 we site at: http: //portal. ncdem . orgAveb/wq/aps/lau General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) b- ()Z 7�� s■_i Ha. w� .� 5�2 The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. Phis Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and hall be renewed each time this permit is renewed. The undersigned landowner 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: LOA 11-13 Page 1 of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. 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. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Perinittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide 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). 11. 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 residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; 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 permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. [. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. HI. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15.A 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 compliance boundary to the application package) Z A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) boundary and attach a map showing the newly proposed ❑ The land application field(s) ID: _ , is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 11-13 Page 2 of 3 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 the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: J a w Address: CState: Aj C, Zip: `L-B & Z3 0 Phone:�S — Z E-mail address: Signature: Date: ( l � f %' NORTH CAROLINA, _C a 1 dy j (eAk COUNTY I, the undersigned Notary Public do hereby certify that vd,,� •��� personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the � � `���0 0LPH � y day of �--�� )20 My Signature and seal:2021 20 My commission expires: _}� �, �) Q—() p 2-10 2 �4?'®,, ►covet Lessee's/Operator's Certification: I certify that I have read this Agreement and do hereby sagree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: _5,/7� Address: )14/9 City: G ; z-llS State: Zip: 5LOW-5 C/ Phone: IV- —1 ;rr46 E-mail address: ��`" Se,✓ c Signature: 5 — Date: Permittee's Certification: 6,1 /!3 /�,:�)17 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: �(!'/�C ✓} C�"J��e Signature: Date: 7 FORM: LOA 11-13 Page 3 of 3 State of North Carolina Department of Environment and Natural Resources Division of Water Resources D Islon of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 11-13 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 we site at: http: //portal. ncdenr. or g/weblwglapsllazt General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: _c ���- e V- hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application' site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. 'his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and hall be renewed each time this permit is renewed. The undersigned landowner 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: LOA 11-13 Page 1 of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. 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. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide 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). 11. 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- residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; 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 permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. I. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. 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 compliance boundary to the application package) ZT A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) showing the newly proposed ❑ The land application field(s) ID: . is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 11-13 Page 2 of 3 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 the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: % t ^ 5 0p) Address: 4- , 0 6 Ad � City: .6 r--i2 I L ' �l //� State: / Zip: a �i Phone: ��J%fi ,,3 2-- E-mail address:eIr Signature: "Gl Date: NORTH CAROLINA, C,, �� COUNTY I, the undersigned Notary Public do hereby certify that Troy C w 0 s n, J r- personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the 8. � 1� `�0LP/Y.c�°O day of n va U V-L__ 120 / 1 11 G 9�� s 20 Signature and seal: ' R My commission expires: Lee 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. Lessee/operator name: -�C �%2e� !%s�,;�✓ Address: Y6q City: xG C` /& State: Zip: Phone: v_gg- "- — lgqtl, E-mail Signature: /' r�� `�-� —�G� Date: de f � 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 off Signature: FORM: LOA 11-13 Page 3 of 3 Site ID: Owners Name: Address: Phone: Operator: Total Fields Acres SITE SUMMARY Town of Granite Falls Granite Falls, NC NC-CD-02 Jennie B Wilson (Field 4) 2100 Dry Ponds Rd Granite Falls, NC 28630 828-396-2568 Shane Wilson 828-292-1846 J. Dykes Wilson (Field 5) 4649 Sawmills School Rd Granite Falls, NC 28630 828-228-3707 Predominant Latitude & Croq(s) RYE Soil Series Lonaitude 4 6.4 Fescue (H) 194 FaB2 Fairview 35 48' 18" ' N 81 29' 39" W 5 11.1 Fescue (P) 133 WoB Fairview- Woolwine 35 487' N 81 30' 11" W TOTALS 17.5 Notes: Date: 03/21 /17 APPLICATIOR MAP _ -.,r uic1.' 41 a- @/ I we" �. .` fl i P ;Oz iVow 44 4,07 i •y �f�.• -,� �i��jy��:4� i. ?9.f'�r �!. � ,� ,j' � q� 9 � aoere. / � • ��. � - _ rA� .� - ry f '+ � .. + 1 '7✓Jf�j�' y %� T '�'d; a.. !, /// )Y rr'9^�dlr 7/Y�"� Im • rl -A, 1 ' y. ,. �✓ye^SB.P.eva` Fl�vn,,; t'r������ �����frC`Y ��1 � \ - J '' - _ -.- �.:�� �_ . ��.... Y;y 'r 4r,4 •f � �/'�'tiY'�'/ µ._ -� :-1 ,+�y�S C.as„f , y i , ,,vv s I AA 44 i y.�; '• y � !��'-{ ` �,{r � \4k ; qIl 1 , d—I�� �lpy+r�y�,�`%*�f ,y. fl ,, r i m _��lf�lw^' + " + ,% le �`��' ., �1�__ �iQ`�F� fl � )+ %..`\ 1 j �� 4 � �•"1ya� � q� ,- i',ry� 1jMs9 � �,. , FL' I \.�Y�,d�,J9 p_. ;� �+/Y/ ��. r r 2 \ _—� ..�/�}.i'-�r • _ i' i 7 of� .. �� �` �19 ,�, � �✓aeq �. ���,� r. % �+ �rf�. �- ,.: ', ,.,r1_ rti :� • +y ; ��.dr ! ,(� .. y�\ r'�� :'®ia `'`t`";d+f h > g yr, •Y�� y • ' - �`'+%., /i;�% - ah• \ r -% -:✓�'• > a..� ' -r:'. ..a.. D Itr�' ir��� f� r Y /,Yf;3y� _ ,• `�i'rl/,y}' `; r + �r r / � • kF,.» '��{t r �� i� r/ ✓i/ J1r �/�' � ,y�r�rr 1 /4 ,/.• YY )tiy ., y• ` �j l' yL� I —J J �."//� �� _+®A� �-:oz y�✓ q.:` e r :f, .,� ilk/Y�o',�y�!j,:v�ir{,�•!! Jr! ��i -�, v'y' ✓ iy.' '�i"y. ! r }y�'1.,` j' dt ,%! JJ J ''%r r r', r ✓•r9J ',� 3 i.+r �+,Y{- �y�;�:,, + � •, r •4, r .,. f..� ✓ 'd III, � :i J�, � � .Yrp� �!M'• , , '`S•S4 ,�9�rs � r Y. I ;rYi 4 i N I .. �♦ � � ..iw �Fh` ' � 4 :V tivL N = ` � a " •• • ' r'% r { I .. � . � % "�!'�r.. - , �'' �t. ._. .ram r. 'r%,.e`/.'°.:. �Y . r . • : i'.��./`' Yy.. ..- `' 9'i .i,��i sr !s_�;.'i/✓. A ',ta�`,` VICINITY MAP GRAPHIC SCALE 1" = 2,000' 2,000- 0 2,000- Fhe compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. NC-CD-02 Fields 1-5 `�, +�'Y'✓ % � �>�- ;•-- w- ; „ ` --- �- - ;,- ' ..,-.,,r r `sty^- E3� 'r I � • � _ �..A __.,:s\ r �r: tr;"�N } '';.• f , � ,' � _ J -' II+1, � �+R irk? �'.`e++ � `• 1 CL." ;.r.-•r--� ., C. IT ,r�--' 1'l .'.�-tr ;,oaC, j, ri�7713�� ' :; a( �r . -- ;`j►, i 1 ,-�+ ? �j� �+1 '� �• js I� � � � _J'r �. �l 1(�� �� A' �'k t �� �'�'r�s�'1 � ,. � �`i r— i ,. R ti ^'�;��.. ' • '� 'Heft i• do . r:_r+'' ,,' ��. ��,'ky- "r� � .. � , �1 � v v 1 _ _ S R le ,tv 3=-�:� . 4..,; ` _ 4 _ •_ _ _ 'ems � '�• ..::. � t,-__ MAP - - I 'if ") f 1kf t lod Ar I; 113 i }.. * 41 � _..yr '•�: dr. �s,t 1j � � J '�. J � �•' '� _'!r•• '! _ �.— _��. .;.. O''�F,� �'+��` '�`����.:._�•.., '�;: ,; , .--J—:-:-DRY'POAVaS-Rb.-, J1 V'. �t - _ "s : %' { •~- x'' 1 ,fir -%` ' J V GRAPHIC SCALE 1"=1,000' 1,000' 0 1,000' 'he compliance boundary is established either 250 ft from the residuals application area or 50 feet within A I C_c ®_O� In the property boundary, whichever is closest to the application area. The review boundary is established � V midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1q -5 State of North Carolina Department of Environment and Natural Resources Division of Water Resources ..WR 15A NCAC 02T .1100 — LAND OWNER AGREEMENT Iiivlslon of !plater Resources FORM: LOA 11-13 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 we site at: http://portal. ncdenr. org/web/wq/aps/lau General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC I 1-13) 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) C-D-0-2- -t. Nes ttq `-Li4vc"e A .. -A The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. Phis Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner 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: WA 11-13 Pagel of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application sites) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals. land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide 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). 11. 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 residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application sites) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State- officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application sites) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. —1. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, I5A NCAC 02T .0105(hl 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 fields) ID: (Please include the rationale for the requested re -location of the compliance boundary and attach compliance boundary to the application package) a map showing the newly proposed ;Z A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new oroeram: (Name of the new program) FORM: LOA 11-13 Page 2 of 3 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 the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name:f%/� Vy I CcSd%� Address: ��/�� �% .&J/Ids City: State: &� Zip: �U � : 0 Phone:E-mail address: > Signature: �GI/� Z J, Date: 1 - / 3' 0 NORTH CAROLINA, COUNTY I, the undersigned Notary Public do hereby certify that 3 � _r, A personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the �����Lp ll������s� day of 120 JULY �T Signature and seal: i' _ W 20 M JMy commission expires: s j ZO, %41 s%190 1 rrl aG A 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. Lessee/operator name: �/" �GaGv+�.�..� i'v Address: City: C; r� <rf� u ll-S' State: /L/C- Zip: Phone:'�-9� ���� E-mail ad ess:_��r^ ZS o:°�C+�fJ�� Signature: _ �; �� —/ / Date: 3 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: My&vy 6117ywN Signature: Date: FORM: LOA I 1-13 Page 3 of 3 State of North Carolina Department of Environment and Natural Resources P, Division of Water Resources vision of W Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 11-13 '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 we site at: http: //portal. ncdenr. orghvebhvq/aps/lazy General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .I 100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: hereinafter referred to as the"ermittee, to land apply residuals from the following facility(ies) onto the following land application site(s). (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. Chis Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner 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: LOA 11-13 Pagel of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for -the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. 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. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide 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). 11. 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 residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; 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 permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. I. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. 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 marls 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 compliance boundary to the application package) e A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) showing the newly proposed ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 11-13 Page 2 of 3 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 the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: t_ ffl Address: vir'({ �1(ci� 1'In E �- s �(i .f9��2- 442 City: !� 4 � sue- u S State: Zip: ' Phone: A 2 9- - ? ®% E-mail address: Signature: Date: ) l NORTH CAROLINA, (IA Lj�e A COUNTY I, the undersigned Notary Public do hereby certify that A . t),./ '� W ti � Sc ;n personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the a�` �` �����►.°.��t ��;�r�4i� day of KU <:X_r o , 20 ` ��` �SION �9r e 9 Signature and seal: ° �LLI ,IUL.Y rn go = 2021 My commission expires: Sop i _0ZA d& C, 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. Al,Lessee/operator name: A Jf7 c�, e- a". X QC) /V Address: qb ` h,,e l 61 r City: �� d '�z ® �'�� State: AIL Zip: � �% r ,.- z7 Phone: � � � E-mail address: 5okee '� �e'� °�' �cc Signature: Date: t�O /'-3 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 off Signature: FORM: LOA 11-13 Page 3 of 3 Soil Profile Descriptions in Field Locations Project: Granite Falls, WQ0001618 % Slope: 4-6% Site: CD-02 Crop: Forage/Pasture Farm: Shane Wilson Farm Conducted By: GC Murray Field: 1 Date: 2/2/2017 Boring #: 1 Soil Series: Fairview N N v O O O O c U U O >C N N •c L O -r fall) 5 5 O o � w 1 w N 1 Q 2 O 5 N V) 2 O 5 O U X re y N 5 L 1 + O t) K i rn 4+ C) rn I T YO'NM E,N T RAL ABBMFUEE L PA w " LL f- N i U Qi c) N O w rn S rn n Ap 1 0-8 7.5YR 4/41 moist sl wk med gr fr ns np Bt 8-32 2.5YR 4/8 - - - - moist c mod med sbk fi s p BC 32-48 2.5YR 418 - - - - moist cl mod med sbk fi ss sp Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade Structure Type wk weak gr granular m moderate pl platy str strong pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) Soil Profile Descriptions in Field Locations Project: Granite Falls, WQ0001618 % Slope: 7% Site: CD-02 Crop: Forage/Pasture Farm: Shane Wilson Farm Conducted By: GC Murray Field: 2 Date: 2/2/2017 Boring #: 2 Soil Series: Fairview N N .00 O O v 0 0 r U U o x a, N � r O S 'all5 �: r `NJ - dimi 0 1 RD . JlaNfflim"iTnj -_ ABEMATER PA w c N a w w as 0 R N c � C7 cq F - N a� c U)N O o m m m y x U L) L) N U) 0 O O S Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pl platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) Soil Profile Descriptions in Field Locations Project: Granite Falls, WQ0001618 % Slope: 8% Site: CD-02 Crop: Forage/Pasture Farm: Shane Wilson Farm Conducted By: GC Murray Field: 3 Date: 2/2/2017 Boring #: 3 Soil Series: Fairview N N -C O O U O O r U U O K m N a.. � T+ 5 T n 5 �IE�Ni[mBA88=9MEL PR ONM�EN R'L w w p w N 0. d U U) Ln 7 d C Q C N O U a) L L °.' O Om m 01 O � N X 7 7 7 in S fY S ` rn rn rn S U, c � Y +' v rn n Ap 1 0-6 7.5YR 4/4 - - - - moist sl wk med gr fr ns np AB 6-11 7.5YR 4/4 - - - - moist scl wk med sbk fr ss np Bt 11-32 2.5YR 4/8 - - - - moist c mod med sbk fi s p BC 32-37 2.5YR 4/8 - - - - moist cl mod med sbk fi ss sp C 37-48 - - - - - moist sl - - structureless fr ns np Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sid silty clay loam Structure Grade Structure Type wk weak gr granular m moderate pl platy str strong pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Seasonal High Water Table: Structure Size Depth (") Type (apparent/perched) f fine - I - med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Soil Profile Descriptions in Field Locations Project: Granite Falls, WQ0001618 % Slope: 5% Site: CD-02 Crop: Forage/Pasture Farm: Shane Wilson Farm Conducted By: GC Murray Field: 4 Date: 2/2/2017 Boring #: 4 Soil Series: Fairview `o `o U c 0 0 c U U o T 111) 51 S R U111jrrIH V� r - _ ArTE®. 15A a, w c e c y U) U U w H w n 0 ++ w+ o O O S S N Vj S d � U w v n v � o N C 'n N y d c C� V � Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sic] silty clay loam Structure Grade Structure Type wk weak gr granular m moderate pl platy str strong pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) Soil Profile Descriptions in Field Locations Project: Granite Falls, WQ0001618 % Slope: 5% Site: CD-02 Crop: Forage/Pasture l Farm: Shane Wilson Farm Conducted By: GC Murray Field: 5 Date: 2/2/2017 Boring #: 5 Soil Series: Fairview/Woolwine Complex N N .O O O v O O c U U O K d r n S S w w p N o- fd U (n N C U G N O Q fn i CD &- O tO. ry O C� d X N V V U N 0 Ap 0-8 7.5YR 4/41 moist sl wk med gr fr ns np Bt2 8-32 2.5YR 4/8 - - - - moist c mod med sbk fi s p BC 32-42 2.5YR 4/8 - - - - moist scl wk med sbk fi s p CR* 42-48 - - - - - - - - - structureless fr ns np *Fragments of parent material present Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pl platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) GRANITE FALLS PROJECT WQ 0001618 SOIL SCIENTIST CERTIFICATION This is to certify that soil profile evaluations were conducted on the proposed application sites for the Granite Falls project by Piedmont Environmental Associates, P.A. on behalf of Synagro Central, LLC. The evaluations consisted of hand auger borings and descriptions of the soils on the application sites. All hand auger borings included in this package were either performed by me or under my direct supervision. All other work performed for this permit application was conducted by Synagro Central, LLC. G. Christopher Murray, L.S.S. No. 1284 Granite Falls Project, Various Fields Site ID: Owners Name: Address: Phone: Operator: Applicable Fields Acres SITE SUMMARY Town of Granite Falls Granite Falls, NC NC-CD-15 Kim and Nora Prestwood 390 Pleasant Hill Rd Lenoir, NC 28645 828-320-7317 Kim Prestwood Predominant Latitude & Cron(s) RYE Soil Series Lonaitude 1 14.6 Fescue (P) 146 FaB2 Fairview 35 51' 10" N 81 31' 39" W TOTALS 14.6 Notes: Date: 03/21 /17 IMMOLWAN . ,F FA 0011 IPA Y 113 ���ly ��i j\ \��A,I�' /,�`lI 't�� f � � �ir� �� •] f.� {i�` �.. , , {_ _ ZIP Al i ~� a r. •�'`l ff \` �Y. `,�^_�i-r .,y dl. `-yi 1 , -, y' } I�,�{/�f,{�g�!F�`Y�'�i\.��..22.��'��1 >.rj - � Y l _� l,rJy �D..�; �z�'f•+''�'�u� ; ._ .' , 'Y �jY`,i<.c\/� .y ft \ r• r `�P `� n `��;- - fir, Cam.. I ��e"91wr..ianr"' zz _"V�S7_" w `°�a �' i� a• �a 6,a✓9.9f,�,> e I _ r� 1 r �. - �4.1'�rf •'lie �,•>� �' � � �,u3 / - r�� 44 ra ol X-J- yy� d �-\4 \ � " rA � t ,y_� i/1 1t /. !ll. �11r"'�. �, � s;•; _`,.r• ' .f+ r ri', - t• , 4 , L � 1 SOIL SIRTET R c�wL Imo, lo4 I fib x 4 i7i { p �`� ' va Amy oj iF ' - -• TOPOGRAPHIC MAP J �. -"ask•, � ,�� ��-• A Ar i Y •� It p µ:-�, J1 GRAPHIC SCALE 1"=660' 660' 0 660' 'he compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. NC-CD-15 Field 1 0. VICINITY MAP �h12WAYhERES'R s` I'w.\ , f 1 I', MIS �iY MDAN a�i . rf S d CCRh?YAZ Sun$ LNU *� l,� `1 f�,— � �-,_ - ''•ter! � �'�--`•-'.`\ � --. `� ---� `� �`al_O}!C8[O!iY `�� f,1rrY _ ~' _' ''� { -' � ! �_'�y HOP:DALE PR, .: 7 • �.`_ : _�" ��� � ',. • ,, � �`�`�•`:_ )�"-�:� A tial '`�, �� ' f . - r `` f I ram-' - —CEDARAV ¢ h - � - cdjdli �.�`a �� +�~ UR 1— ^`- .-��f-MQ unt Lill d. ? �r 'FFri � - 4� Lo "'�. (]cio"y �\`� v _,,.••� —"'a �~ 1}I t �`�,'� igo° �_.-'-'� �''1,-���;:� _ ,,jam-�:� •�_ __, _, ,"..%�i - -.��{ � � C ��"�`\- "•--� s � � t �-�• " `,-•, '�.! ,J�'��1�C1�� C1L1-s,�hsrfrr,sQ � �•./ll? _" '`�Sj 4 LOAK DR `D_..� GUN7AIN.RD• re otiz�� J�(�� 1 , f �a �N GRAPHIC SCALE 1" = 2,000' 2,000' 0 2,000' the compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-CD-1 5 in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Field 1 State of North Carolina Department of Environment and Natural Resources e Division of Water Resources D I of Water Resaurees 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 11-13 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 we site at: http: //portal. ncdenr. org/web/wq/aps/lazc General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby Applicant's name: 0 hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ]D Lease (yes/no) . Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) ` �"-,�m ww Y�G �,aG�vr� ,The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. 'his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned....landowner 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: LOA 11-13 Page 1 of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. 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. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). . 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide 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). 11. 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 residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; 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 permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. A. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. IMALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits' water supply wells within the compliance boundary. 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) V A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) The land application field(s) ID: L1_1�) 0 [ S- i , is currently permitted under another residuals land application program; Permit Number WQ: (30a E (0, Co . The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the pre iously p xmitted residuals land application program and transferred into the new program; 15; v lnF- (Name of the new program) FORM: LOA 11-13 Page 2 of 3 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 the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. 1___N Landowner name: oo c� Address: ))3 IN6- MA- PC n City: aG eN o f r State: Zip: 3 Phone:d� �2C� — %� J� E-mail address: Signature: Date: NORTH CAROLINA, �c1AA W Qj\ COUNTY I, the undersigned Notary Public do hereby certify that k a ,r., k� f''-c- S4.t-_�C s� personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the Q �1 ,�°°°°��O�LP11 day of Jqv u� , 20 U 20 Signature and seal: i My commission expires: Jk�-A 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. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail address: I certify that I have read this Agreement and do here Signing official name: Signature: Zip: Date: to abide by the stipulations and restrictions as specified herein. Date: 3 FORM: LOA 11-13 Page 3 of 3 Acknowledgement of Field Tram The City of Granite Falls, NC (permit # WQ0001618) hereby-gr,.._ permission for the transfer of land application site CD-15-01 to Synagro western Piedmont (permit # WQ0016247). Upon receipt of the applied -for attachment B, Granite .Falls will relinquish this land from their p r it. (f Current Permittee Signature Land Owner Signature Site ID: PO-06 Owners Name: Address: Phone: Operator: Total Fields Acres SITE SUMMARY Town of Columbus Columbus, NC Robert and Linda Holbert 190 Floyd Blackwell Rd Tryon, NC 28782 828-863-2718 William (Bill) Davis 828-899-1681 Dale Y Edwards 160 Floyd Blackwell Rd Tryon, NC 28782 828-863-4882 Predominant Latitude & Crop(sl RYE Soil Series Lonaitude 1 8.1 Fescue (P) 209, 156 CeB2 35 14' 54" N 82 4' 57" W 2 16.2 Fescue (P) 209, 156 CeB2 35 14' 49" N 82 4' 54" W 3 7.2 Fescue (P) 209, 156 CeB2 35 14' 43" N 82 4' 46" W Totals 31.5 Date: 04/04/17 y` _- �, j WOO � r a � � � � � 6 ® � �4 . ' '�• to .� �^ ® 1 1 1• 1 �� 1• / 1 TV, v Al VICINITY MAP yv , Ojmi�, Jf , i. �\ y4.i (, � /. d� , '\. � ��1 �� � 1� \ ,'6crs� ,i 9� k' tl �t `f� '\1 �! �—_� ��� � •�J .r'`n - � t. � � �.\ �11 ��� �_. ��, a ~'. - �• - � , �.?� .. '`'Y � �..��• \�'Jj "'t �� li `��' t•'"y i!( ,/. ��111 lr ( 1 %'} �� S - . J�L1 --k, , J�lj�jm jo .I , f ^: U� I Iitko I �' ?t�' `�% .•'�,� 1� f �� Jl ] �! � � 9' '-' � �� , '� `✓ � \_ . �� t i ��� �-�5.�-��='! ,�:-��`��� V ,� � •'' �`�`�,j'� 'tJ �iw :\�� h.. 1;�t\, Jr �\r- i ram. Z\ N"m IA_� GRAPHIC SCALE 1" = 4,000' 4,000' 0 4,000' ie compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. NC-PO-06 Fields 1-3 SOIL SURVEY GRAPHIC SCALE 1 " = 660' he compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. NC-PO-06 Fields 1-3 TOPOGRAPHIC MAP 77 Ice OYD-BLACK,j/(`j. .IT 4�tia � 10 0 ,� iy . •\' II Mom,-! .% - GRAPHIC SCALE I" = 800' 800, 0 800, I I 'he compliance boundary is established either 250 ft from the residuals application area or 50 feet within A I C_P lJ V ®_OG in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1-3 State of North Carolina Department of Environment and Natural Resources -W-RDivision of Water Resources 'tDivision of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 11-13 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 we site at: http:/lportal. ncdenr. or hveb/tivq/aps/lau General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class 13 residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: L hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-tilUover-seed/ pasture) The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner 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: LOA 11-13 Page 1 of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section Il) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. 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. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide 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). 11. 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 residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; 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 permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. II. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and -for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. M.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. 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. PIease 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) Uf A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name ofthe new program) FORM: LOA 11-13 Page 2 of 3 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 the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name:��1/1r� Address: d l City: �r q 0 ) State: _J is i �•1 Phone: '6 0 _ ' < l � E-mail address:, Sign re: NORTH CAROL7NA, `7 0 Cc I, the undersigned Notary Public do hereby certify that Zip: J,,P T ,g� ye�o �tassion,ra-�'p�:, ui � 20LY in" m' personally appeared before me this day and acknowledged the due execution of the forgoing instrumeA��j.® G9g� could" WITNESS my hand and official seal this the 2-St�� day of Signature and seal: My commission expires: Lessee's/Operator's Certification: �S' I certify that I have read thiq Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: e G / i 9` Address: ?, t S 0 .10" 6 4— City: V`� State: —71 C. Zip: Phone: _ tY -E-mail address. Signature: 1AJ Date: '' 01 — 1: 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: Date: 01 FORM: LOA 11-13 Page 3 of 3 State of North Carolina Department of Environment and Natural Resources Division of Water Resources " Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 11-13 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 we site at: http: //portal. ncdenr. org/iveb/tiyq/aps/lau General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: S PtEA "I 0 hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease es/no (Y ) Land Use or Cropping Patterns PP� g Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) jP'0 e We -. 3 "./-0—S E� cov r'e— A V10 Vt%. A` @ The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. ' The undersigned landowner 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: LOA 11-13 Page 1 of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application sites) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section )[1) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. 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. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide 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). 11. 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 residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; 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 permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. 11. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and -for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to, be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land dpplication event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III.ALTERNA=i S FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. 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 not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new nroaram: (Name ofthe new program) FORM: LOA 11-13 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced Iand 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 the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application sites) as specified herein. Landowner name: i) Q( o N c� S Address: 1 (o D H old 1 6' A- 4L,4- , L l2 9 City: State: - %�,�/ Zip: a X �— ..,eXe►111111PlsUiii. Phone: Signature: NORTH CAROLINA, I, the undersigned Notary Public do hereby certify that personally appeared before me this day and acknowledged thdue execution of the forgoing instrument. 7t� WITNESS my hand and official seal this the day of Signature and seal: My commission expires: - � j Lessee's/Operator's Certification: I certify that I have read this �greement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Lip 6/i, Address: - �1 U - /,�/ City: State: +"<f, Zip: Phone: 1111 S Er -mail address: Signature: Date: ' U —1 7 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 off Signature: FORM: LOA 11-13 Page 3 of 3 Soil Profile Descriptions in Field Locations Project: Polk County, WQ0016247 Site: P06 Field: 1 Boring #: P06_1 N N -C O O V = O O r U U O x m N iC O -r rl S S % Slope: 5% Crop: Forage/Pasture Conducted By: GC Murray Date: 3/1 /2017 Soil Series: Cecil/Pacolet _ m W N a� N m O x N X L L 0 S 0 S fY S L- n n �EN��hRAO�NyEM TRLL: ta86001FYfE®. ilk v W O } (A C N Uc � zee N_ v L. O (O n S n d m®� vae�® • • ��®mom pzyrz MI. vaa�o • • ��®©o Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pl platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Seasonal High Water Table: Structure Size Depth (") Type (apparent/perched) f fine - I - med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Soil Profile Descriptions in Field Locations Project: Polk County, WQ0016247 Site: P06 Field: 2 Boring #: P06_2 N N Gi L L U O O O O c U U x NO .c L +2 + T r1 S 51 % Slope: 5% Crop: Forage/Pasture Conducted By: GC Murray Date: 3/1 /2017 Soil Series: Cecil/Pacolet EN I O� NENTAl: FiiE6. PR w LU r- O N UJ (L c CC 0 c N +O+ c L) a U U) F- y '3 (D c 1 1 1 •C N_ O Q fq U i L iv O a� a� X L •F •F •O N X L L L N O O d •O y , , .1_r •O S S fY S L rn rn rn S m � vaa�® • • ��®mom ��Nzyrz ME vaa�o • • ��®©e Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pi platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Seasonal High Water Table: Structure Size Depth (") Type (apparent/perched) f fine - med medium Moist Consisten fr friable vfr very friable fi firm vfi very firm Soil Profile Descriptions in Field Locations Project: Polk County, WQ0016247 % Slope: 4-6% Site: P06 Crop: Forage/Pasture Field: 3 Conducted By: GC Murray Boring #: P06_3 Date: 3/1/2017 Soil Series: Cecil/Pacolet � N � L L v O O O O U U O X a� N 1. L dam+ T r1 S S U w ❑ � '3 O N Q fn N Qi _ 4+ y S S d ❑ r- O 0 x N U) w W A S 1 L K L N 1 L BEN IRONM�ENTAt F18�IFYfE®L Pf� v W a. N F� Ln •C 1 C V L)J Y N L O v fC rn S n n Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pl platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) POLK COUNTY PROJECT WQ 0016247 SOIL SCIENTIST CERTIFICATION This is to certify that soil profile evaluations were conducted on the proposed application sites for the Polk County project by Piedmont Environmental Associates, P.A. on behalf of Synagro Central, LLC. The evaluations consisted of hand auger borings and descriptions of the soils on the application sites. All hand auger borings included in this package were either performed by me or under my direct supervision. All other work performed for this permit application was conducted by Synagro Central, LLC. G. Christopher Murray, L.S.S. No. 1284 Polk County Project, Various Fields I Site ID: PO-07 Owners Name: Address: Phone: Operator: Total Fields Acres SITE SUMMARY Town of Columbus Columbus, NC Danny and Ethan Edwards 160 Floyd Blackwell Rd Tryon, NC 28782 828-817-0402 Danny and Ethan Edwards Cron(s) RYE Roy and Emogene Taylor 321 Me Tr Columbus, NC 28722 828-863-2677 Predominant Latitude & Soil Series Lonaitude 1 10.6 Fescue 209 CeB2 35 13' 20" N 82 5' 3" W 2 9.0 Fescue 158 PaC2 35 13' 33" N 82 5' 14" W Totals 19.6 Date: 04/04/17 State of North Carolina Department of ]Environment and Natural Resources Division of Water Resources Division o€ Water Resources D�_W- 15A NCAC 02T .1100 - LAND OWNER AGREEMENT FORM: LOA 11-13 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 we site at.- hgp:// portaL ncdenr. ors/web/wq/aps/lau General - This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: W e-S+�-r— ? 1 J V1-- hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease es/no (y ) Land Use or Cropping Patterns pp� g Intended Use of Crops Residuals Source (optional) Special note (no-tilUover-seed/ pasture) 1! a b ,FQ 0 g The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner 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: LOA 11-13 Pagel of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. 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. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. , 10. The landowner or his representative will provide 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). 11. 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 Pern ittee to amend this Agreement and' schedule residuals land application events at appropriate periods. 12, Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; 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 permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. 11. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and -for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. M.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. 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) ZA re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: . is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 11-13 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced Iand 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 the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landown Address: City: 7M%V) State: A) L Phone: — -s 11 E-mail address: Signature: Date: NORTH CAROLINA, ?O b IC COUNTY Zip: �� T( d I, the undersigned Notary Public do hereby certify that A S -}- Iw s personally appeared before me this day and acknowledged due execution of the forgoing instrument. � -2, r .a�i►H1lilllq�sj� WITNESS my hand and official seal this the day of Signature and seal: My commission expires: Lessee's/Operator's Certification: Li �L P/y PBSIoro� �.QG MtY9Nn= 20 m 2021 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permuittee's Certification: I certify that I have read this Agreement and do F Signing official name: NMI Signature: State: E-mail Date: Zip: by agrgeabide by the stipulations and restrictions as specified herein. Date: -z /�W l -7 FORM: LOA 11-13 Page 3 of 3 State of North Carolina Department of Environment and Natural Resources Division of Water Resources }Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 11-13 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 conies of the application and supporting documentation For more information, visit the Water QuaZity Permitting Section's Non -Discharge Permitting Unit we site at: http: //portal. ncdenr. org/web/iva/aps/Zau General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other'than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-tilllover-seed/ pasture) �S vie The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner 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: LOA 11-13 Page 1 of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third parry, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section Il) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. 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. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide 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). 11. 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 sites) prior to each planting season to enable the Permittee to amend this Agreement and7 schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; 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 permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. Il. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and -for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3, Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. M.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. 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 not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 11-13 Page 2 of 3 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 the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: C..+'-£v,� 4 Address: Dc - I 1 e, ­T'i-0, City: V, State: C zip: Z 6 7 2 2-- Phone: t') �L lr Zr, -7-7 E-mail address: ` Signature: l.+-Date: NORTH CAROLINA, �� I COUNTY I, the undersigned Notary Public do hereby certify that �� - I cy to r + AIJ personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the day of 7e.1L r'v20 f Signature and seal: LP�'®��'ii�s My commission expires: .)1 ` -- JAN.; aa ea ar�r �a Lessee's/Operator's Certification: W _2®- 2®21 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as Lessee/operator name:�fff�%/� r9- ►� Address: }p /A1,00 2!/ 'CT(a City: State: /t C Zip: 0' If )- Phone: t E-mail address: Ica A , f 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: five (ka tz, f-Ite Signature: Date: 3 /;> E711 / 7 FORM: LOA 11-13 Page 3 of 3 State of North Carolina Department of Environment and Natural Resources Division of Water Resources �w Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM) FORM: SWA 08-13 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 (LAU) web site at: http:/1portal. ncdenr. orb/web/wg/aps/lau General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2)ffor habitable residences or place of public assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13). A. Setback Waiver Agreement: ❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 08-I1) 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. ❑ Prepare a separate agreement for each property from which a waiver is being sought. ❑ Any other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through execution of this agreement. ❑ A copy of the completed and executed agreement must be provided to the property owner. AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habble residences) fhe undersigned property owner hereby permits: Applicant's name: Applicable Field ID: 4-V4 S S hereinafter referred to as the Permittee, to land apply residuals within feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following: m Location address of property: "t PS 00. City: i"_Di tAtr�l�S State: NJ e Zip: Gam] This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar days i advance, modifies or cancels this Agreement. I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein. Property owner name: Signature: 1 \AV'0- t- A C%A Wl— L— am FORM: SWA 08-13 Page 1 of 1 State of North Carolina Department of Environment and Natural Resources Division of Water Resources ow a _ SETBACK WAIVER AGREEMENT 'Division of Waterr Resources (FOR RESIDUALS PROGRAM) FORM: SWA 08-13 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 (LAU) web site at. http://portal. ncdenr. org/web/wq/ups/lau General - This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2)[for habitable residences or place of public assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13). A. Setback Waiver Agreement: ❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 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. ❑ Prepare a separate agreement for each property from which a waiver is being sought. ❑ Any other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through execution of this agreement. ❑ A copy of the completed and executed agreement must be provided to the property owner. AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences) fhe undersigned property owner hereby permits: Applicant's name: Applicable Field ID: hereinafter referred to as the Permittee, to land apply residuals within the residence or place of public assembl located at the following: Location address of property: 3 3 I e- l\ic--s t City: 0 1 U�bLA S State: /V c— J 44 feet (i.e., cannot be less than 100 feet) of G'1 Zip: ---� --)- This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein. Property owner name: r Signature: e-V1 Date: "l FORM: SWA 08-13 Page 1 of 1 VICINITY MAP L��\ _ (I r�`"`� g ��j�L r �.�\_� ,� _ I� ! C�� lam' � ��/ � �(�',R, • �� . `y [J. t ivy, j{ �' \ / f. `•7.3 f /R f,wetii_ \�,1'-' L� . -Cyr r Ln Wk UN ' / I .:�; Ilicl.dry✓/',-"'�g—c, F"��;� �ill�.\}�_ 1 '1 "� � �J(�J, i�� �`�����'. r GRAPHIC SCALE 1" = 4,000' 4,000' 0 4,000' t t he compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-P O-07 in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1-2 +� , �' $' C,\ 7 �,/' _ '� t •fir '� .+,�� � ' f C 710 ��f JciG,fir/ e ze, f�AMYa�A.'''�'fJ�.6 & 9 MW lY,' � �f• ..;�:. �" 4 ry 1 a ® yr. _ _ ' " I. '� }.� . 'fie wi • i � �'r` ok f� ti .-�1 • ",. - F „ _; - x' y + � ..,� � ,:�..s' � �f y4 _ of �,r.<: *" _ .Yt *. '�y�t s-";•`' �'` 1, .�� .. � � _ ' f.{-iii'�,_ � • � �` „a,` �:. 'k y�{+ � `y din c �'"t !• .i`,�,�'-f L � ` � _ ,� !� i �-.'.M�« ,:, v .'i` . ,��'- `.. y f 1. rY 'kr � �T }�.. x ' I f s Syr .GULI- F ]i�n � r� .. > v v . 0 a -.b - � i� �i a k, »"'t' • .i� �* i � .r^;" , ` ��'. 7 �f��+ � `, �i-�--. Jn j' iAi %A� � In ., ,,• ff A t Esc � C ot ' � � .^r.R P ►.` > .a 'ice �a,ii; � 4� lkiku,� il-** TOPOGRAPHIC MAP 411 ME T .. 2 �� 1 N`tz Un 7 1 �" � 1 GRAPHIC SCALE V = 800' 800' 0 800, he compliance boundary is established either 250 ft from the residuals application area or 50 feet within A I C_P®_07 V I in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1-2 Soil Profile Descriptions in Field Locations Project: Polk County, WQ0016247 Site: P07 Field: 1 Boring #: P07_1 W N t O O V c O O c U U o y N01 L ++ O C % Slope: 4-5% Crop: Forage/Pasture Conducted By: GC Murray Date: 3/1 /2017 Soil Series: Cecil/Pacolet 0 w CI N c a 0 d N 0 v c (� O ^p y U) N 0 O U) O 1 ARE J R}! Aaa=FYiEE, PR wIL v I d H N a N U m �+ c v N Y L O v f0 •n S n n` Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pl platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr veryfriable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) Soil Profile Descriptions in Field Locations Project: Polk County, WQ0016247 Site: P07 Field: 2 Boring #: P07_2 (q N O O U = O O r U U O O X N L i2 0 O rri W S O S % Slope: 6% Crop: Forage/Pasture Conducted By: GC Murray Date: 3/1 /2017 Soil Series: Pacolet as w LU = Q m 4) N C m U41 C O U o U) L 0 L) fA L U O S O S a) rV O S O 4� �. rn .1 m FH3Ba[XRTES. PR U w (L d F- Ln y O N 0 � U a) E V N Y + U a0 p en S n n Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pl platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) POLK COUNTY PROJECT WQ 0016247 SOIL SCIENTIST CERTIFICATION This is to certify that soil profile evaluations were conducted on the proposed application sites for the Polk County project by Piedmont Environmental Associates, P.A. on behalf of Synagro Central, LLC. The evaluations consisted of hand auger borings and descriptions of the soils on the application sites. All hand auger borings included in this package were either performed by me or under my direct supervision. All other work performed for this permit application was conducted by Synagro Central, LLC. G. Christopher Murray, L.S.S. No. 1284 Polk County Project, Various Fields