WQ0016247_Regional Office Historical File Pre 2018 (4)

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SYNAGRO CENTRAL, LLC
284 BOGER ROAD
MOCKSVILLE,NORTH CAROLINA 27028
Subject: Attachment B Certification
Permit No. WQ0016247
Synagro Western Piedmont RLAP
Alexander County -
Dear Mr. Puryear:
In accordance with your permit modification request received November 30,2015, and subsequent
additional information received January 19, 2016 and January 20, 2016, we are forwarding herewith a
modified Attachment-B; certified 'February 11, 2016 to Synagro Central, LLC for the subject residuals
program.
This certification is being issued to modify Attachment B by:
Addition of 23 fields in Stanly County totaling 305.2 acres, those fields being NC-ST-01-01 to
07, NC-ST-02.01 and -02, NC-ST-03-01 to -07, NC-ST-04-01 to -05, NC-ST-15-01 and -03.
In addition, it should be noted that Field NC-ST-03-01 is located next to a church. To: avoid any
future problems, it is recommended that application activities be coordinated with the church's activities.
This modified Attachment B shall be effective from the date of certification until February 28, 2018
(i.e. expiration date of the current permit); shall void Attachment B of Permit No. WQ0016247 that was
previously certified. on March 27, 2009, and shall be subject -to the conditions and limitations as specified
therein and well as those specified in the above -referenced permit. Please replace the Attachment B of
Permit No: W00016247 that was issued on March 27, 2009 with this modified Attachment B.
Please note that only the maps for any new residuals -generating sources and/or land application
sites are attached to this letter. .It is the Permittee' s responsibility to ensure -that a.complete permit is.
created.by inserting these documents into the previously issued permit.
If any. parts, requirements, and/or limitations contained in this certification or modified Attachment
B are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30
days following receipt of the certification. This request shall be in the form of a written petition; conforming
to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative He
at 6714 Mail- Service Center, Raleigh, North Carolina 27699.6714. Unless such demands are made, this
permit shall be final and binding.
State of North Carolina I Environmental Quality I Water Resources J Water Quality Permitting 1.Non-Discharge Permitting
1617 Mail, Service Center I Raleigh, North Carolina 27699-1617
919 807 6464

f
Mr. Marshall Puryear
February 11, 2016
Page 2 of 2
If you need any additional information concerning this matter;' please contact Troy Doby at (919)
807-6336 or [e-mail].
Sincerely,
S. Jay Zimmerman, P.G., Director
Division of Water Resources
cc: Alexander County Health Department (Electronic Copy)
Iredell County Health Department (:Electronic Copy)
Stanly County Health Department (Electronic Copy)
Mooresville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

ATTACHMENT S - Approved Land Application Sites
Synagro Central, LLC
Certification Date: February 11, 2016
Permit Number: WQ0016247 Version: 3.2
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net Acreage
Dominant Soil Series
Footnotes
NC-AL-13-OIA
Millsaps, Arlene
Millsaps, Danny
Alexander
35.8814000
-81.0278000
13.5-
Pacolet
NC-AL-I3-OIB
Millsaps, Arlene
Millsaps, Danny
Alexander
35.8778000
-81.1258000
16.0
U32 - Cecil
NC-AL-13-02
Millsaps, Danny
Millsaps, Danny
Alexander
35.880000'
-81.1350000
16.6
CfB2 - Cecil
IVC-AL-14-01A
Payne, Timothy L
Alexander
35.8667000
-81.1361000
19.2
Rion
NC-AL-14-OIB
Payne, Timothy L
Alexander
35.872200'
-81.1333000
22.7
CfB2 - Cecil
NC-AL-14-02
Payne, Timothy L
Alexander
35.8558000
-81.1344000
43.4
Rion
NC-AL-14-03
Payne, Timothy L
Alexander
35.8550000
-81.1381000
232
C1132 - Cecil
NC-AL-14-04
Payne, Timothy L
Alexander
35.854400'
-81.141900'
10.2
CfB2 - Cecil
NC-AL-14-05
Payne, Timothy L
Alexander
35.8464009
-81.1336000
27.9
CfB2 - Cecil
Total for Alexander County
192.7
NC-IR-20-01
Phillips, Dennis
Iredell
35.797500'
-80.776100'
11.4
Appling
NC-IR-20-02
Phillips, Dennis
Iredell
35.7975000
-80.7722000
13.2
CfB2 - Cecil
NC-IR-20-03
Phillips, Dennis
Iredell
35.7997000
-80.7669000
11.6
CfB2 - Cecil
NC-IR-20-04A
Phillips, Dennis
Iredell
35.7961000
-80.7592000
44.2
CfB2 - Cecil
NC-IR-20-04B
Phillips, Dennis
Iredell
35.8056000
-80.7608000
11.6
CfB2 - Cecil
NC-IR-20-06
Phillips, Dennis
Iredell
35.800800'
-80.768100'
18.6
Helena
NC-IR-20-07
Phillips, Dennis
Iredell
35.8028000
-80.7694000
13.9
Helena
NC-IR-20-08
Phillips, Dennis
Iredell
35.8064000
-80.767800'
11.2
Appling
NC-IR-20-09
Phillips, Dennis
Iredell
35.8050000
-80.7661000
12.2
CfB2 - Cecil
NC-IR-20-11
Phillips, Dennis
Iredell
35.7767000
-80.763900'
41.6
CfB2 - Cecil
NC-IR-20-12
Phillips, Dennis
Iredell
35.8081000
-80.7658000
4.0
CfB2 - Cecil
NC-IR-22-01
Robertson, William C
Porter, Eddie
Iredell
35.8453000
-80.7458000
18.1
CfB2 - Cecil
NC-IR-22-02
Robertson, William C
Porter, Eddie
Iredell
35.8486000
-80.7425000
28.9
CfB2 - Cecil
NC-IR-22-03
Robertson, William C
Porter, Eddie
Iredell
35.8489000
-80.7464000
15.2
CfB2 - Cecil
NC-IR-22-04
Robertson, William C
Porter, Eddie
Iredell
35.846900'
-80.7483000
10.7
CfB2 - Cecil
WQ0016247 Version 3.2 Attachment B Pagel of 3

ATTACHMENT D - Approved Land Application Sites
Synagro Central, LLC
Certification Date: February 11, 2016
Permit lumber: WQ0016247 Version: 3.2
Field/ Site
Owner
Lessee
County
Latitude
Longitude
A eta
Dominant Soil Series
Footnotes
NC-IR-23-01
Page, Loraine P
Porter, Eddie
Iredell
35.8392000
-80.7286000
17.2
CfB2 - Cecil
NC-IR-23-02
Page, Loraine P
Porter, Eddie
Iredell
35.8356000
-80.7264000
32.4
CfB2 - Cecil
NC-IR-23-03
Page, Loraine P
Porter, Eddie
Iredell
35.849700'
-80.727200'
23.0
CfB2 - Cecil
NC-IR-23-04
Page, Loraine P
Porter, Eddie
Iredell
35.8411000
-80.7233000
13.7
CfB2 - Cecil
NC-IR-23-05
Page, Loraine P
Porter, Eddie
Iredell
35.8378006
-80.7219000
16.1
CfB2 - Cecil
NC-IR-25-01
Gantt, Boyd
Warren, William R Bob
Iredell
35.8011000
-80.7864000
15.8
CfB2 - Cecil
NC-IR-29-01
Knox, Mary H
Knox, Ben
Iredell
35.7317000
-80,7528000
42.1
Mecklenburg
Total for Iredell County
426.7
NC-ST-01-01
Misenheimer, Donald
Stanly
35,291352'
-803453020
5.9
TbB - Tarrus
1
NC-ST-01-02
Misenheimer, Donald
Stanly
35.2911030
-80.3478420
7.0
GeB - Georgeville
1
NC-ST-01-03
Misenheimer, Donald
Stanly
35.290570'
-80.3504440
10.6
TcB2 - Tarrus
1
NC-ST-01-04
Misenheimer, Donald
Stanly
35.2883980
-80.350485°
17.6
TcB2 - Tarrus
1
NC-ST-01-05
Misenheimer, Donald
Stanly
35.3262250
-80.3498040
17.3
BaB - Badin
2
NC-ST-01-06
Misenheimer, Donald
Stanly
35.3280680
-80.3537690
22.3
BaB - Badin
2
NC-ST-01-07
Misenheimer, Donald
Stanly
35.3277220
-80.3378270
26.2
TbB - Tarrus
3
NC-ST-02-01
Little, Sylvestor
Stanly
35.2105280
-80.283348'
16.0
BaB - Badin
4
NC-ST-02-02
Little, Sylvester
Stanly
35.2103980
-80.2812380
5.3
BaB - Badin
4, 9, 10,11
NC-ST-03-01
Ridenhour, Robert B
Stanly
35.3643970
-80.3743130
19.1
BaB - Badin
5
NC-ST-03-02
Ridenhour, Robert B
Stanly
35.3635260
-80.3723670
3.3
BaB - Badin
5
NC-ST-03-03
Ridenhour, Robert B
Stanly
35.368943'
-80.3741420
24.6
BaB - Badin
5
NC-ST-03-04
Ridenhour, Robert B
Stanly
35.3781820
-80.3642930
8.4
GoC - Goldston
6
NC-ST-03-05
Ridenhour, Robert B
Stanly
35.375559'
-80.361261.0
12.4
GoC - Goldston
6
NC-ST-03-06
Ridenhour, Robert B
Stanly
35.372552'
-80.3622990
4.0
GoC - Goldston
6
NC-ST-03-07
Ridenhour, Robert B
Stanly
35.3695180
-80.360506'
18.1
BaB - Badin
6
NC-ST-04-01
Anderson, Henry W
Stanly
35.2325190
-80.311782'
26.8
BaB - Badin
7
WQ0016247 Version 3.2 Attachment B Page 2 of 3

ATTACHMENT B - Approved Land Application Sites
Synagro Central, LLC
Certification Date: ]February 11, 2016
Permit Number: WQ0016247 Version: 3.2
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Aeret a
Dominant Soil Series
Footnotes
NC-ST-04-02
Anderson, Henry W
Stanly
35.2362560
-80.3068560
12.8
GoC - Goldston
7
NC-ST-04-03
Anderson, Henry W
Stanly
35.2338200
-80.3056160
6.9
BaB - Badin
7
NC-ST-04-04
Anderson, Henry W
Stanly
35.231576'
-80.307522'
8.9
BaB - Badin
7
NC-ST-04-05
Anderson, Henry W
Stanly
35.2296330
-80.3095580
6.7
MhB - Misenheimer
7
NC-ST-15-01
Hinson, Clyde Keith
Stanly
35.2410940
-80.2844130
3.7
GoC - Goldston
8
NC-ST-15-02
Hinson, Clyde Keith
Stanly
35.2440340
-80.2829760
9.2
BaB - Badin
8
NC-ST-15-03
Hinson, Clyde Keith
Stanly
35.241001'
-80.2817180
1.9
BaB - Badin
8
Total for Stanly County
295.0
Total
914.4
1. See Figure 1.
2. See Figure 2.
3. See Figure 3,
4. See Figure 4.
5. See Figure 5.
6. See Figure 6.
7. See Figure 7.
8. See Figure 8.
9. A reduced setback from a residence under separate ownership has been approved for this land application site. Residuals may be land applied within 100 feet of the residence owned by Frances
Little Efird of 9803 Stogner-Little Road, Oakboro, NC 28129, regardless of whether a surface or a subsurface application method is used.
10. A reduced setback from a residence under separate ownership has been approved for this land application site. Residuals may be land applied within 100 feet of the residence owned by Harry
Stogner of 9905 Stogner-Little Road, Oakboro, NC 28129, regardless of whether a surface or a subsurface application method is used.
11. A reduced setback from a residence under separate ownership has been approved for this land application site. Residuals may be land applied within 100 feet of the residence owned by Michael
D. Marlon of 9953 Stogner-Little Road, Oakboro, NC 28129, regardless of whether a surface or a subsurface application method is used.
WQ0016247 Version 3.2 Attachment B Page 3 of 3

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-LEGEND
APPLICATION AREA
- — — — — - ' PRIVATE ROAD
— - - — STREAM
- DRAIN
--�- FENCE
PROPERTY LINE
APPLICATION MAP
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
.a compliance boundary is established either 250 it 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.
GRAPHIC SCALE
1" = 660'
660 0 660,
Figure 3
NC-ST-01
Field 7

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At
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11
I >orrvrirrrrrif
I
3
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101 *1
Fields 1-2

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4T
Ell
V6
r\j
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Moll
Lem RIO
A/1' r/4
, Z
';
All
MOP,

APPLICATION MAP
-71
�P
ti
r 01
y, 7
.•'x" �;24-s i ,.
0Zv-
tire;..
y
3
y�
L
arm
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LU
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LEGEND
APPLICATION AREA UNSUITABLE AREA
-
—�—n— — - PRIVATE ROAD WATER
GRAPHIC SCALE
— - - — STREAM ONSITE HOUSE
1" = 660'
— - — DRAIN OFFSITE HOUSE
669
0 660'
P
X X— FENCE OUTBUILDING
PROPERTY LINE WELL
Q
Figure O
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-ST- 15
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

Water
ENVIRONMENTAL QUALITY
Januar , -20, 2016
Marshall Puryo-ar— . Te6fikal 8'er-vi q- es, -Manager
184..bogerl-oad-
Dear Mr. Turyear,;.
F&T' Q,1QRQjVY
tiovemox
DONALD R. VAN` DER VA.ART
Sgrretcity
S. JAY �I1VItiIER1VIAN'
80 V Subject Application No W-QQ_ 1 Z47 q
Jk iti'd`riAi1hf6rmati6h Reque§t-
Syhdkro.'W69tem'P,iedmontRL,AP
Residuals'ManagMe t"PrOgram
Alexander County' .
Divisionof Water Resources.' Ceinthil A Rq-i naA ,h s- ,rOviowed e application: package received
N6vembev-3-O', 2015 However, additional, information isrequired bef6re the review�may.- be-.completeO.-
Please -'address the epwrid.later i alhI6, close of -1 on.February 520,16
L, Field.,.NC,-$T-- 1021& bounded ,-,on. the eastand west by. creeks.. Vfovid'emew-,Map .with these ,;E�4jiisity
buffers and the acreage on Oyisod"LASCA- 13"form..
C 'b Her - adjustment ., lh:%addffi6n,there i : s a ,2,.� Fiel&N -�ST-01 05 has a knoll with steep requiring a u
0-t4f,shou,d 'Proyidd new, maps widi'th, ..a
:well the 74f house q
the acreage oii,a,,revised ,LA SC4,143 form.
-j. 'F "I may be properly
,A
.34from the
f9&th& boundary, Dou61Pcheck this, 6itherreyise,tmap, acreage
: or indicate.
ffid,jf has,b6,eii,pr9per1y buffered on, -.'the in
#'ieid.N-C'.a5.T=1'5'-'021-splanted '-iil:tWo-.diffekentbtops,—row,,crops"andfescue.. Createtwosepatatefield&'
buiheIcliff6rent, crops. Incaddition;..,there,'is a drainageof6dfurein,21fieNE; portion of the fescue -field,
o Prot/ i elilevisc( form.,I
new maps . yv e fth gcrea _e:ge
D.,
Please be -aware that -you are xesponsiblb,&rmeefing 611'reqifirements set forfh ui North Caroliga rules and
y:ePJ Any oversightsP, 0". review -e4- application, A, PA* �sul the
.Afican . made in .responding tothd, outstanding ifems,Or
f4 toptoyi4ethe 7;additional iiBbrmailoIron orb&flbre the4bpy requesfe4mvIresult
l
in yout
m- retu- e ;asincomplete,; �appliIpAtj6nb,e-.,g . rh
Ple4w,rq',fercAcq the ,s#Wect,ap e ormation, All revised; application number when proyi4in&thq�.requ requested iiif
4,
0 -�964�4,,Ahd i ate ,ttie� WI and/or additional documentation , 6411 be three ie signed, nee
submitted to my attention. at th6alddress"below..
MO Puree ;enter, IRWOA NnrOCarolina :V09M, 1-7,

Mr. Marshall Puryeaf
January 5, 20l6
;Page!2 oft
If,you have at y'questions di is request; please-do:not hesitate to contact meat (919j; 8o7-633.E-:or
troy.doby@ncdenrgov. Thank you fczr your cooperation,:
Sincerely;.,
Tro Roby, PEngineer
Division of Water Resouzces
cc: Mooresville Regional Office; Water. Quality Regional Operation -Section, :(Eledtronic Copy)
Perinit.A- olication.File-W.Q0,016247

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APPLICATION. MAP
{,T
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Ul
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s4.. y, f; y,r� 'l =y� A j EEp•s '` 4
v+
LEGEND
1, ci APPLICATION AREA UNSUITABLE AREA
---n—n—�- PRIVATE ROAD WATER
GRAPHIC SCALE
— - - — STREAM ONSITE HOUSE
1"=660'
660'
- DRAIN OFFSITE HOUSE
0 660'
X X X FENCE OUTBUILDING
PROPERTY LINE 0 WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C�ST� 15
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

LAND. APPLICATION SITE- CERTIFICATION.
Land application sites currently certified: 619.4 net acres and Total to be certified: 914.4 net acres.
H. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codes
Site/Field ID
Landowner s
O
Lessees or Operator(s)
O
Net Acres
County
tY
Crop(s) s
PO
Predominant Soil
Series.Nameb
Mapping Unix
or Rep. Slope
N
NC-ST-02-02
Sylvester Little
Sylvester Little
5.3
Stanly
Row Crops
Badin
BaB
N
NC-ST-03-01
Robert B.' Ridenhour
Robert B. Ridenhour
19.1
Stanly
Fescue
Badin
BaB
N
NC-ST-03-02
Robert B. Ridenhour
Robert B. Ridenhour
3.3
Stanly
Fescue'
Badin'
BaB .
N
NC-ST-03-03
Robert B. Ridenhour
Robert B. Ridenhour
24.6
Stanly
Fescue
Badin
BaB
N
NC-ST-03-04
Robert B. Ridenhour
Robert B. Ridenhour
8.4
Stanly
Fescue-
Goldston
GoC
N
NC-ST-03-05
Robert B. Ridenhour
Robert B. Ridenhour
12.4
Stanly
Fescue
Goldston
GoC ..
N
NC-ST-03706
Robert B. Ridenhour
Robert B. Ridenhour
4.0
Stanly
Fescue _
Goldston
GoC
rN
NC-ST-03.07
Robert B. Ridenhour
Robert B. Ridenhour
is .1.
Stanly
Fescue
Badin
BaB
`Status Code. for land application sites are: ♦ N (New) ♦ K (Renewed) ♦ M (Modined) + i ( iransierrea) + U (ueieted)
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)
CL 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
Class
NC-ST-02-02
35.210398
-80.281238
NAD83
MAP
Second
03-07-14-13-17
C
-NC-ST-03-0.1
35.364397
-80.374313
NAD83
MAP
Second
03=07-12-13-17-31-5.1-1
C
NC-ST-03=02
M.363526
40.372367:
NAD83
MAP
Second
03-07=12-13-17-31-5-1-1
C
NC=ST-0303
35.368843
=80.374142
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-04
.35.378182
-80.364293.
NAD83
:MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-05
35.375559
m80.361261
NAD83
MAP
Second
03-07-12-1347-31-54-1
C
NC-ST-03-06
35.372552
-80.362299
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-07
35.369518
780360506
NAD83
MAP.
Second
03-07-12-13-17-31.5-1-1
C
Note: Please keep the site information (1.) and waterbody intonnation (11.) or the same field on the same page.
FORM: LASC 11-13

LAND :A.PPLICATION SITE CERTIFICATION
Applicanes. name: Synaao
Land application sites currently certified- 619.4 net acres and Total to be certified: 914.4 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field ID
Landowners
O
Lessees or Operator(s)
O.
Net Acres
County
ty
Crop(s) s
PO
Predominant Soil
Series Name b
Mapping Unit
or Rep. Slope'
N
NC-ST-01-01
Don Misenheimer
Don Misenheimer
5.9
Stanly
Row Crops
Tarrus
TbB
N
NC-ST-01-02
Don Misenheimer
Don .Misenhei ner
7.0
Stanly
Row Crops
Georgeville
GeB
N
NC-ST-01-03.
Don Misenheimer
Don Misenheimer.
10.6
Stanly
Row Crops
Tames
T6132
N
NC-ST-01L04'
Don Misenheimer
Don Misenheimer
17.6
Stanly
Row Crops
Tarrus
T6132
N
NC-ST-01-0.5
Don Misenheimer
Don Misenheinaer
17.3
Stanly
Row Crops
Badin
BaB
N
NC-ST-01-06:
DonMisenheimer
Don Wsenheimer
22.3
Stanly
Row Crops :
Badin
BaB
N
NGST-01-07
Don Misenheimer
Don Misenheirner
26.2
Stanly
Row Crops
Tarrus
TbB
N
NC-ST-02-01
Sylvester Little
Sylvester Little "
16.0
Stanly.
Row Crops
Baden
BaB
$.Status Code for land application sites are: ♦ N (New) ♦,R (Renewed} ♦ M (Modified) ♦ T (Transferred) t 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 Ce$2)
r W ATPi.RRnnv iNn cir,ASSTFICATIONS 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
Class
NC-ST-01-01
35.291352
-80,345302
NAD83
MAP:
Second
03-07-13-13-17-31-5-5
C
NC=ST-01-02
35.29110')
-80.347842
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC- ST-01-03
35.290570
-80.350444
NAD83
MAP
Second
03-07-13-13-17=31-5-5
C
NC-ST-01-04
35.288398
-80.350485
NAD83
MAP
Second
03-07-13-�13-17-31-5-5
C
NC-ST-01-05,
35.326225
-80.349804
NAD83
MAP
Second
03-07-13-13-17-3175
C
NC-ST-01-06
35.328068
-80.353769
NAD83
MAP
Second
03-07-13-13-17-31-5
C
NC-ST-01-07.
35.327722
-80.337827
NAD83
MAP
Second
03-07-.13-13-17-31-5
C
NC-ST-02-01
35210528
=80.283348
NAD83
MAP
Second
03-07-14-13-17
C
Note: Please keep the site information (I.) and waterbody information (11.) of the same field on the same page.
FORM: LASC 11-13
Page I

LAND APPLICATION SITE CERTIFICATION
Land application sites currently certified: 619.4 net acres and Total to be certified: MA net acres.
III. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status .
Code*
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County -
Crop(s)
Predominant Soil
Series Name b
Mapping Unit
. Rep. Slope
or
N
NC-ST-04-01
Henry W. Anderson
Henry W. Anderson
26.8
Stanly
Fescue.
Badin
BaB
N
NC-ST-04-.02
Henry W. Anderson
Henry W. Anderson
12.8
Stanly
Fescue
Goldston
GoC
N
N C-ST-04-03.
HenryW. Anderson.
Henry W. Anderson
6.9
Stanly
Fescue
Badin-
]3aB
N
NC-ST-04-04
Henry W. Anderson
Henry W. Anderson
8.9
Stanly
Fescue
Badin
BaB
N
NC-ST-04-05
Henry W. Anderson
Henry W. Anderson
6.7
Stanly
Fescue
Misenheimer
MhB
N
NC-ST-15-01
Clyde K. Hinson
Clyde K. Hinson
3.7
Stanly
Fescue
Goldston
GoC
N
NC-ST-15-02
Clyde K Hinson
Clyde K. Hinson
9.2
Stanly
Fescue
Badin
BaB.
-N
NC-ST-15-03
Clyde K. Hinson
Clyde K. Hinson
1.9
Stanly
t_--_1,0-W—Crops
Badin
BaB
`Status Code for land application sites are: + iN (New) • x 1Kenewea) + rvl k1.vloUU1Gu)
.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 2-811/o slope Cecil in Anson County the mapping unit is CeB2)
C'ILWATFRBODY AND CLASSIFICATIONS INFORMATION (See. Instruction C): .
Site/Field ID
Latitude.
Longitude
Location
Datum
Location Method Code
o
Location AccuracyWaterbody
Subbasin and
Stream Index No.
'Current and Proposed
Class
NC-ST-04-01
.35.232519.
-80.311782
NAD83
... MAP
Second
03-07-13-13-177311-5-5.
C
NC-ST-04-02
35.236256
-80.306856
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-03
35.233820 .
-80 3005616
NAD83-
MAP
Second
03-07-13713-17-31-5-5
C .
NC-ST-04-04.
35231576
-80.307522
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-05
35229633
=80.309558
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST�15-01
35.241094
-80.284418
NAD83.
MAP
Second
03-07-14-13-17-31-5-5
C
NC-ST-15-02
35.244034
-80.282976
NAD83
MAP
Second
03-07-14-13-17-31-5
C.
NC=ST-15=03
35241001
- 80.281118
NAD83
MAP
Second
03-07-14-13-17-31-5
C
Note: Please keep the site information (L) and waterbody information (W of the same field on the same page.
FORM: LASC 11-13
Page 3

Schutte, Maria
From: Doby, Troy
Sent: Tuesday, January 05, 2016 10:47 AM
To: Schutte, Maria
Subject: FW: Western Piedmont LASC (updated) WQ0016247
Attachments: LASC Western. Piedmont WQ0016247.pdf
Maria,
think this answers one of the points in your staff report. I thought I had forwarded it to you when I received it, but I had
not. Apologies for that. This is the LASC that will stand until Synagro sends response to add info letter.
Troy.
From: John Andrew Culp [mailto:[e-mail]]
Sent: Wednesday, December 02, 2015 12:11 PM
To: Doby, Troy <[e-mail]>
Cc: Marshall Puryear <[e-mail]>
Subject: Western Piedmont LASC (updated) WQ0016247
Troy,
Attached is the updated LASC form 11-13 for the Synagro Western Piedmont permit modification. The few
fields in question was a typo on my part. The attached LASC reflects the new acreages. Please contact me with
any questions.
Thanks,
John Andrew Culp
Technical Services Specialist
iaculDO-SYNAGRO.com
1-704-574-5291 x 1016 direct
1-704-574-5291
SYNAGRO
12701 Lancaster Hwy Pineville, NC 28134
1

LAND APPLICATION SITE CERTIFICATION
Applicant's name: SynaQ,ro
Land application sites currently certified: 619.4 net acres and Total to be certified: 976.9 net acres.
1. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
b
Series Name
Mapping Unit
or Rep. Slope`
N
NC-ST-01-01
Don Misenheimer
Don Misenheimer
6.4
Stanly
Row Crops
Tarrus
TbB
N
NC-ST-01-02
Don Misenheimer
Don Misenheimer
9.6
Stanly
Row Crops
Georgeville
GeB
N
NC-ST-01-03
Don Misenheimer
Don Misenheimer
11.2
Stanly
Row Crops
Tarrus
TcB2
N
NC-ST-01-04
Don Misenheimer
Don Misenheimer
19.0
Stanly
Row Crops
Tan -us
TcB2
N
NC-ST-01-05
Don Misenheimer
Don Misenheimer
19.2
Stanly
Row Crops
Badin
BaB
N
NC-ST-01-06
Don Misenheimer
Don Misenheimer
23.1
Stanly
Row Crops
Badin
BaB
N
NC-ST-01-07
Don Misenheimer
Don Misenheimer
26.2
Stanly
Row Crops
Tarrus
TbB
N
NC-ST-02-01
Sylvester Little
Sylvester Little
16.0
Stanly
Row Crops
Badin
BaB
'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)
C. 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
Class
NC-ST-01-01
35.291352
-80.345302
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-01-02
35.291103
-80.347842
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-01-03
35.290570
-80.350444
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-01-04
35.288398
-80.350485
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-01-05
35.326225
-80.349804
NAD83
MAP
Second
03-07-13-13-17-31-5
C
NC-ST-01-06
35.328068
-80.353769
NAD83
MAP
Second
03-07-13-13-17-31-5
C
NC-ST-01-07
35.327722
-80.337827
NAD83
MAP
Second
03-07-13-13-17-31-5
C
NC-ST-02-01
35.210528
-80.283348
NAD83
MAP
Second
03-07-14-13-17
C
Note: Please keep the site information (I.) and waterbody information (11.) of the same field on the same page.
FORM: LASC 11-13 Page 1

LAND APPLICATION SITE CERTIFICATION
Land application sites currently certified: 619.4 net acres and Total to be certified: 976.9 net acres.
II. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field ID
Landowner(s)
Les see(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
b
Series Name
Mapping Unit
or Rep. Slope
N
NC-ST-02-02
Sylvester Little
Sylvester Little
5.3
Stanly
Row Crops
Badin
BaB
N
NC-ST-03-01
Robert B. Ridenhour
Robert B. Ridenhour
19.1
Stanly
Fescue
Badin
BaB
N
NC-ST-03-02
Robert B. Ridenhour
Robert B. Ridenhour
3.3
Stanly
Fescue
Badin
BaB
N
NC-ST-03-03
Robert B. Ridenhour
Robert B. Ridenhour
24.6
Stanly
Fescue
Badin
BaB
N
NC-ST-03-04
Robert B. Ridenhour
Robert B. Ridenhour
8.4
Stanly
Fescue
Goldston
GoC
N
NC-ST-03-05
Robert B. Ridenhour
Robert B. Ridenhour
13.4
Stanly
Fescue
Goldston
GoC
N
NC-ST-03-06
Robert B. Ridenhour
Robert B. Ridenhour
4.0
Stanly
Fescue
Goldston
GoC
N
NC-ST-03-07
Robert B. Ridenhour
Robert B. Ridenhour
18.1
Stanly
Fescue
Badin
BaB
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)
CI: WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
SitelField ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
NC-ST-02-02
35.210398
-80.281238
NAD83
MAP
Second
03-07-14-13-17
C
NC-ST-03-01
35.364397
-80.374313
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-02
35.363526
-80.372367
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-03
35.368943
-80.374142
NAD83
MAP
Second
03-07-12-1347-31-5-1-1
C
NC-ST-03-04
35.378182
-80.364293
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-05
35.375559
-80.361261
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-06
35.372552
-80.362299
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-07
35.369518
-80.360506
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
Note: Please keep the site information (I.) and waterbody information (11.) of the same field on the same page.
FORM: LASC l 1-13 Page 2

LAND APPLICATION SITE CERTIFICATION
Land application sites currently certified: 619.4 net acres and Total to be certified: 976.9 net acres.
III. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code",
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope
N
NC-ST-04-01
Henry W. Anderson
Henry W. Anderson
26.8
Stanly
Fescue
Badin
BaB
N
NC-ST-04-02
Henry W. Anderson
Henry W. Anderson
12.8
Stanly
Fescue
Goldston
GoC
N
NC-ST-04-03
Henry W. Anderson
Henry W. Anderson
6.9
Stanly
Fescue
Badin
BaB
N
NC-ST-04-04
Henry W. Anderson
Henry W. Anderson
8.9
Stanly
Fescue
Badin
BaB
N
NC-ST-04-05
Henry W. Anderson
Henry W. Anderson
6.7
Stanly
Fescue
Misenheimer
MhB
N
NC-ST-15-01
Clyde K. Hinson
Clyde K. Hinson
3.7
Stanly
Fescue
Goldston
GoC
N
NC-ST-15-02
Clyde K. Hinson
Clyde K. Hinson
12.5
Stanly
Fescue
Badin
BaB
N
NC-ST-16-01
O. Kemp Morgan
O. Kemp Morgan
43.4
Stanly
Fescue
Badin
BaB
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 2-80/a slope Cecil in Anson County the mapping unit is CeB2)
CILWATERBODY 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
Class
NC-ST-04-01
35.232519
-80.311782
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-02
35.236256
-80-306856
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-03
35.233920
-80.305616
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-04
35.231576
-80.307522
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-05
35.229633
-80.309558
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-15-01
35.241094
-80.284413
NAD83
MAP
Second
03-07-14-13-17-31-5-5
C
NC-ST-15-02
35.244034
-80.282976
NAD83
MAP
Second
03-07-14-13-17-31-5
C
NC-ST-16-01
35.215826
-80.287672
NAD83
MAP
Second
03-07-14-13-17-31-6
C
Note: Please keep the site information (I.) and waterbody information (N.) of the same field on the same page.
FORM: LASC 11-13 Page 3

LAND APPLICATION SITE CERTIFICATION
Land application sites currently certified: 619.4 net acres and Total to be certified: 976.9 net acres.
IV. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
b
Series Name
Mapping Unit
pP g
or Rep. Slope
N
NC-ST-16-02
O. Kemp Morgan
O. Kemp Morgan
8.9
Stanly
Fescue
Badin
BaB
'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)
CIII. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction Q:
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
NC-ST-16-02
35.214091
-80.294286
NAD83
MAP
Second
03-07-14-1347-29
C
FORM: LASC l 1-13 Page 4

State of North Carolina
Department of Environmental Quality
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
Division of Water Resources
November 30, 2015
RECEIVED/NCDENR/DWR
To: J00WQR0MQAhdrew Pitner_/ C.ore_y_BaSJ ger
From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting Unit
WQROS
MOORESVILLE REGIONAL OFFICE
Permit Number: WQ0016247 Permit Type: Land Application of Residual Solids (503)
Applicant: Synagro Central, LLC Project Type: Major Modification
Owner Type: Organization Owner in BIMS? Yes
Facility Name: Synagro Western Piedmont RLAP Facility in BIMS? Yes
Fee Category: Non -Discharge Major Fee Amount: $395 - Major Modification
Comments/Other Information:
Attached, you will find all information submitted in support of the above -referenced application for your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
® Return this form completed.
❑ Attach an Attachment B for Certification
® Return a completed staff report.
❑ 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: /l`�� n�� Q L
Date: /2— u / f-
FORM: \k%QROSNDARR 09-15 Page 1. of 1

"ILESchutte, Maria
From: Schutte, Maria
Sent: Wednesday, December 30, 2015 2:32 PM
To: Doby, Troy
Cc: Pitner, Andrew, Basinger, Corey
Subject: WQ0016247 Staff Report
Attachments: WQ0016247 WQROSNDARR-12302015.pdf
Troy,
I would like this email to serve as the staff report for this Synagro Western Piedmont RLAP modification. In this request
they are moving land that was with the former Oakboro RLAP permit #WQ0005387 and adding a couple of new -
fields. All land is in Stanly County and at this time planned for the convenience of applying the Oakboro (now known as
the West Stanly WWTP) residuals (although by the permit language they could apply from any approved sources.)
I met with Drew Culp on Dec. 211 and viewed the fields we could — a couple were too soft to drive around & due to time
constraints the group of fields under NC-ST-03 were NOT driven to, but were viewed in the office by computer. Per
conversation with Mr. Culp, you & he have already worked out a property line issue between fields NC-ST-01-03 &
04. Below are my findings and request for map buffer & acreage corrections:
• .I am of the opinion that Marshall Puryear should not designate himself as ORC of these permits unless he is
going to routinely perform the field duties of the ORC position. I am okay with him designating himself as a
backup ORC. You & I discussed this over the phone briefly a while ago - CO two cents on this thought is
appreciated.
• What do you think about requesting a copy of Synagro's equipment calibration records? This is a BIMS &
general program question not specific to this permit. I have asked several folks about calibration with the
answer typically being I'm sure the equipment has been tested but I don't know the last date — that paperwork
is maintained at our offices. I do not see this subject as being worthy of an NOV because the times I have
viewed an active application the vehicles have appeared to be well maintained with an even distribution
pattern; however, the documentation side of the question could be viewed as a violation.
• Should the acreage data in Form LASC 11-13 agree with the applicable acres listed in their site summary
tables? Example: NC-ST-01-01 is 4.6 Net acres on LASC form and 6.4 acres on the Site summary form. There is
also a disagreement between forms for NC-ST-01-02 & 04.
• NC-ST-16-01 & 02 are being removed due to a recent ownership change in which new signatures could not yet
be acquired.
• NC-ST-15-02 portions of the fields are in row crop — create another field designation to separate from the fescue
fields plus need to add a drainage feature buffer in NE portion of the fescue field & re -draw maps accordingly.
• NC-ST-03-01 This one is just a cautionary note: The property to the west is_a Church —it is a good idea to be
considerate of church activities if this field is used.
• NC-ST-02-01 There. is a missing house buffer west of the chicken houses & a missing well buffer between the
chicken house, but I do not believe either will change the applicable acres as the entire area around the chicken
house has already been buffered out. I will leave it to the CO to determine if a new map is really necessary.
• NC-ST-01-06 Remove the 2 small elongated portions along the road —very narrow and unlikely to apply on —
adjust acreage.
• NC-ST-01-05 Adjust this field for the slope buffer at the knoll and add the well behind the white house.
• NC-ST-01-02 Field is bounded on the East a West by creeks — adjust buffers and acreage accordingly.
I am okay with the permit modification upon receipt of the corrected maps. Please contact me with questions!

Thank You & Have a Very Happy New Year!
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(a)ncdenr.gov
610 East Center Avenue
Suite 301
Mooresville, NC 28115
K;I-Z�-.
Nothing Compares---,.ti.
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

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Woter Resources
ENVIROMMENTAL OUAUTY
November 30, 2015
MARSHALL PURYEAR — TECHNICAL SERVICES MANAGER
SYNAGRO CENTRAL, LLC
284 BOGER ROAD
MOCKSVILLE, NORTH CAROLINA 27028
Dear Mr. Puryear:
PAT IVICCRORY
DONALD R. VAN DER VAART
f
S. JAY ZIMMERMAN
Un ector
RECEIVED/NCDENR/DWI%
a
WQROS _
MOORESVILLE REGIONAL OPFI `I
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 November 30, 2015. 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 [phone] or [e-mail].
Sincerely,
Nathaniel D. Thornburg, Supe ' or
Division of Water Resources
cc: JooresvJde aegaorla: �3".ffce, Wa eiia"lity`Re °ional O`�rataons+eioi
Permit File WQ0016247
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919 807 6464

April 24, 2015
Mr. Marshall Puryear — Manager
Synagro Central, I LC
284 Boger Road
Mocksviile, NC 27028
Subject: Attachment A Certification
Permit No. WQ0016247
Synagro Western Piedmont RLAP
Alexander County
Dear Mr. Puryear:
In accordance with your permit modification request received April 10, 2015, we are forwarding
herewith modified Attachment A, certified April 24, 2015, to Synagro Central, LLC for the subject
residuals program.
This certification is being issued to modify Attachment A by: Addition of 300 dry tons per year
from the West Stanly WWTP in Stanly County.
This modified Attachment A, shall be effective from the date of certification until February 28,
2018 (i.e. expiration date of the current permit); shall void Attachment A of Permit No. WQ0016247 that
was previously certified on March 27, 2009, and shall be subject to the conditions and limitations as
specified therein and well as those specified in the above -referenced permit. Please replace the
Attachment A of Permit No. WQ0016247 issued on March 27, 2009, with this modified Attachment A.
Please note that only the maps for any new residuals -generating sources and/or: land application
sites are attached to this letter. It is the Permittee's responsibility to ensure that a complete permit is
created by inserting these documents into the previously issued permit.
If any parts, requirements, and/or limitations contained in this certification or modified
Attachment A are unacceptable, you have the right to request an adjudicatory hearing upon written
request within 30 days following receipt of the certification. This request shall be in the form of a written
petition, con. forniing to Chapter 15013. of the '.North Carolina General Statutes and filed with the Office of
Administrative Hearings at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such
demands are made, this permit shall be final and binding.
If you need any additional information concerning this matter, please contact Troy Doby at (919)
807-6336 or [e-mail].
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone]Internet: http:/lportal.ncdenr.org/webiwa
An Equal Cpporlunity? Atfinmative Action Employer— Made in part with recycled paper

Mr. Marshall Pury°ear
April 24, 2015
Page 2 of 2
Sincerely,
J Zimmerman, Director
Division of Water Resources
cc; Alexander County Health Department (Electronic Copy)
Iredell County Health. Department (Electronic Copy)
Mooresville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Beth Buffington — Protection and Enforcement Branch (Electronic Copy)
Centrals Files
Digital Permit Archive (Electronic Copy)

Y
ATTACI-INIENT A - Approved Residual Sources
Permit Number: WQ0016247 Version: 3.0
Certification Date: April 24, 2015
Synagro, WWT, Inc. — Synagro Western Piedmont Residuals Land Application Program
Maximum
Monitoring
Monitoring Frequency
Approved
Owner
Facility Name
County
Permit Number
Issued By
` Is 503?
Dry Tons
Frequency for
for Condition IV. 3.
Mineralization
Per Year
Condition IV. 2,
and Condition IV. 4. a
Rate
City of Statesville
Fourth Creels
Iredell
NCO031836
DWQ
Yes
1,055.7
Annually
Quarterly
.30
WWTP
City of Statesville
Third Creek
WWTP
i Iredelt
NCO02.0591
DWQ
Yes
972.9
Annually
Quarterly
30
Stanly County
West Stanly
Stanly
NC0043532
DWQ
Yes
300.0
Annually
Quarterly
.30
Utilities
W WTP
Total
2,328.E
" Monitoring frequencies are based on the actual dry tons applied per year, unless specified. The Monitoring Frequency. Requirements Table below shall be used to
determine appropriate sampling frequency. The Permittee is responsible for managing program to assure that adequate sampling is performed.
Monitoring Freauencv Reauirements
Dry'rons Applied
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and
15A NCAC 021' .111)
<319
1/Year
=>319 - <1,650
l/ Quarter (4 times per year)
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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
W-1
Division of Water Resources NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
April 10, 2015 RECENEDINCDENRIDWR
To: MRO-WQROS: Michael Parker / Andrew Pitner APR 17 Z015
From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting Unit WORDS
MOORESVILLE REGIONAL OFFICE
Permit Number: WQ0016247 Permit Type: Land Application of Residual Solids (503)
Applicant: Synagro Central, LLC
Owner Type: Organization
Facility Name: City of Statesville RLAP
Fee Category: Non -Discharge. Major
Comments/Other Information:
Project Type: Major Modification -
Owner in BIMS? Yes
Facility in BIMS? Yes
Fee Amount: $395 - Major Modification
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.
� I
RO-WQROS Reviewer: ;gz�'"*
Date: LI— ����
FORM: WQROSNDARR 0 1- 15 Page 1 of 1

AF&I
��®
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
April 10, 2015
MARSHALL PURYEAR — MANAGER
SYNAGRO CENTRAL, LLC
284 BOGER ROAD
MOCKSVILLE, NORTH CAROLINA 27028
Dear Mr. Puryear:
Donald R. van der Vaart
Secretary
Subject: Acknowledgement of
Application No. WQ0016247
City of Statesville RLAP
Residuals Management System
Alexander County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on April 10, 2015. 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 [phone] or [e-mail].
Sincerely,
2T--Jon Risgaard, Branch Manager
Division of Water Resources
cc: Mooresville Regional Office, Water Quality Regional Operations Section
Permit File WQ0016247
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: htta://Portal.ncdenr.oro/weblwo
An Equal Opportunity 1 Affirmative Action Employer— Made in part with recycled paper

Central Files: APS _ SWP _
4/10/2015
Permit Number WQ0016247 Permit Tracking Slip
Program Category
Status
Project Type
Non -discharge
In review
Major modification
Permit Type
Version
Permit Classification
Land Application of Residual Solids (503)
E
Individual
Primary Reviewer
Permit Contact Affiliation
troy.doby
Scott D. Berg
Coastal SWRule
284 Boger Rd
Mocksville
NC 27028761E
Permitted Flow
Facility Name �` 1 } Major/Minor Region
City of Statesville Residuals Land Application Pro m I ( Major Mooresville
( Location Address ��(�VJ43, County
PO Boz 1119-- ---- J " ____
Alexander
Facility Contact Affiliation
Statesville NC 286871111 / Gwen Kraus
3501 Asiatic Ave
Owner Curtis Bay MD 21226
Owner Name Owner Type
Synagro Central LLC Non -Government
Owner Affiliation
6220 A Hackers Bend C ourtt
Dates/Events Winston Salem NC 27103977
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
5/28/1999 4/10/2015
Regulated Activities Requested /Received Events
Wastewater treatment and disposal RO staff report received
RO staff report requested
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

0
November 16, 2015
AOL -a
North Carolina Department of Environment and Natural Resources
�C�IVED��ENR�DVV�
Division of Water Resources
Aquifer Protection Section -Land Application Unit NOV 3,0 2015
1636 Mail Service Center
Raleigh, NC 27699-1636 Water Quality
Permitting Sect'on
>111M Re: Application for Modification of Permit # WQ0016247-Synagro Western Piedmont
Dear Jon Risgaard:
Synagro is submitting the application to modify the referenced residuals land application
permit. Many of the fields listed as "new," are fields that were in the expired Oakboro land
application permit. I have assumed, since that permit has expired, it is better to call them
"new" rather than "transfer." Forms RLAP 11-13, CBN 11-13, and LASC 11-13 are included,
along with other required forms. Please note on page 2 of RLAP 11-13, part 111.1 requires the
location of the processing facility. This permit contains three processing facilities. In that
particular section, for this modification only, I put the location for the West Stanly WWTP as it
is likely the only source to be utilized for these new sites.
If you have any questions or require additional information, please feel free to contact me at
[phone] ext. 16 or via e-mail at [e-mail].
JA
Regards,
_ RECEIVED/NCDENR/DWR
DEC ® 2 2015
Drew Culp
Technical Services Specialist
WQR05
MOORESVILLE REGIONAL OFFICE
12701 Lancaster Hwy Pineville, NC 28134
Phone: [phone] Fax: [phone]

CSEVEDIDE State of North Carolina
Department of Environment and Natural Resources
NOv `�01 Division of Water resources
ivision of Water Resources ENQAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INST & llO-Wt'R FORM: RLAP 03-15 & 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/lazr
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 03-15) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 03-15) 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.
E. 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 I New Permit j Major Modification '
Major (land are permitted for > 300 acres) j $1,310 ! $395
Minor (land are permitted for < 300 acres) 1 $810 I $245
' - 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 for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes
not previously permitted. There is no fee for minor modifications to a permit.
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 (Maybe Required— See 15A NCAC 1 C .0300)
Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the
residuals treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands
are used for the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 03-15 Pagel 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.
® Submit the O&M Plan in accordance with I5A NCAC 02T. I 110 and include at a minimum:
® 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;
❑C 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
.110202). 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)
❑ 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.
INSTRUCTIONS FOR FORM: RLAP 03-15 Page 2 of 3

❑ 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
I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new
sites)
❑ 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.
J. 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 .1 104(d)(4) and current Division Policy
available at: http://portal.ncdenr.org/web/wq/aps/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 .l 104(d)(2). For Modifications, submit an updated
site map specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ 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.
❑ 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)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1 104(d)(5) and current Division Policy
available at: http://portal.ncdenr.or web/wq/a s/p 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., G1S, deed or article of incorporation), or
❑ 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(f), or
El 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:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 03-15
Page 3 of 3

�1RliUV F�
`.���E���pIDF State of North Carolina
D.WRNQv 3 ,�`�� � Department of Environment and Natural resources
Division of Water resources
[vision of Water Resources Watej-OU C 02T. 1100 — RESIDUALS LAND APPLICATION PROGRAM
;p,,fmitting SectionFORM: RLAP 03-15
I. APPLICANT INFORMIATION:
1. Applicant's name: Synagro Central LLC
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Marshall Puryear Title: Technical Services Manager
Applicant's mailing address: 284 Boger Road
City: Mocksville State: NC Zip: 27028-
Telephone number: 336 998-7150 Email Address: mpurvearna)synagro.com
2. Consultant's name: License Number (for P.E.):
Affiliation: ❑ On Staff ❑ Retained (Firm: )
Consultant's mailing address:
City: ' State: Zip: -
Telephone number: Email Address:,
3. Agronomist's name: Marshall Puryear License Number: 29442
Affiliation: ❑ N/A Z On Staff ❑ Retained (Firm:_)
Agronomist's mailing address: 284 Boger Road
City: Mocksville State: NC Zip: 27028-
Telephone number: (3� 998-7150 Email Address: [e-mail]
4. Soil Scientist's name: Eric Thompson License Number: 1238
Affiliation: ❑ N/A R On Staff ❑ Retained (Firm: l
Soil Scientist's mailing address: 284 Boger Road
City: Mocksville State: NC Zip: 27028-
Telephone number: [phone] Email Address: [e-mail]
5. Fee submitted: $395 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, ❑ renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00016247
Date of most -recently issued permit: 03/27/2009
Date of most -recently certified Attachment A (if different than the permit): 04/24/2015
Date of most -recently certified Attachment B (if different than the permit): 03/27/2009
FORM: RLAP 03-15 Pagel of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 24939-B Barbees Grove Road
City: Oakboro State: NC Zip: 28129
Coordinates: Latitude: 350 14' 08.62" Longitude: 80' 16' 07.78"
Datum: NAD 83 Level of accuracy: second
Method of measurement: Man
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
Marshall Puryear
Synagro
994465
Back -Up ORC
John Andrew Culp
Synagro
1000733
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: N/A
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitroeen ,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: 2,329 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
35.77
42.18
83,294
98,221
Five -Year Maximum Adjusted
54.03
60.44
125,809
140,736
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
Row Crops
324.7
Addition of 136.0 acres
Hay
294.2
Addition of 159.4 acres
Pasture
358.0
Addition of 62.1 acres
Total:
------
Methods
Surface
Incorporation or Injection
Total:
976.9
Total addition of 357.5 acres
FORM: RLAP 03-15 Page 2 of 5

c. Residuals Land Application Summary: 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
Application Rate
(lbs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Fear Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
1665.9
1964.4
2516.2
2814.7
100
832.9
982.2
1258.1
1407.4
150
555.3
654.8
838.7
938.2
200
416.5
491.1
629.0
703.7
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.): N/A
7. Specify type of residuals program (See Instruction F): ® Non -dedicated ❑ 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;
❑ 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: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
0
Land Application Siite
Certification. doc
FORM: RLAP 03-15 Page 3 of 5

Note. Item III. Applicable to Dedicated Program with fixed irrigation system only.
-- DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ Drip
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:
feet below ground surface. Rules 15A NCAC 02T .0505(p) 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?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading hate
in/hr
Recommended
Loading Rate
in/ r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Area
ft2
Number of
Nozzles
Maximum Application
Rate allons/hr)
Design Annual Loading
Bate allons/ r
nDesign
Total
..- .
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Pa a Number
Wetted diameter of nozzles
$
Wetted area of nozzles
ft2
- -
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
-
FORM: RLAP 03-15 Page 4 of 5

blicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
Che 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 ❑ No, Explain;
1, Marshall Purvear Technical Services Manager
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Synaaro Central LLC
(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.
)`tote: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.613, any person who knowingly makes any
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
D exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: �'� ,� `f .GM"/— Date: ,. l y
FORM: RLAP 03-15 Page 5 of 5

OPERATIONS AND MAINTENANCE PLAN
RESIDUALS LAND APPLICATION FOR WQ0016247 (Synagro Western Piedmont RLAP)
Operational Functions
The operational function of this project will involve Synagro performing the hauling and spreading of material from the
facilities listed on the most recent Attachment A. The material will be loaded onto tractor trailers or spreader trucks
and hauled to land application sites. It will be spread at agronomic rates, as determined by the nutrients and metals
sample that is current for that monitoring period. When not applied directly from spreader trucks, the method of
application varies: material from the City of Statesville's WWTP's will be dumped in the field and loaded into a cake
spreader while material from the West Stanly WWTP will be transferred to a liquid spreader. In each case, spreading
equipment will be properly calibrated and maintained to apply the residuals in an even and consistent manner. Most of
the fields applied are used for forage production. The resulting crop will either be grazed or cut for hay for animal feed.
Some fields may be in row crop production for animal consumption. For all fields, application rates will be determined
by the realistic nitrogen rate, as published by NCSU in its RYE database, for the specific county, crop, and soil.
SAFETY MEASURES
Synagro believes in operating in a safety conscious manner and requires the participation of all employees in quarterly
online safety courses. These courses are designed to help employees recognize safety issues and take steps to prevent
accidents from occurring. In addition, all Synagro employees have full authority to stop operations if they think any
aspect of the operation is going to cause environmental or personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule as recommended by the Synagro fleet manager for the equipment
necessary to complete the job.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247 (Synagro Central)
Inspection Plan
.1pections for the land application of residuals will be conducted on a weekly basis at the land application site during the land
application activities of this project. The inspection frequency is based on the time frame that it is going to take to complete the
project and the amount of dry tons to be land applied from this facility. The inspections will consist of inspecting a current field
that is being applied as well as inspecting random fields that have been completed. These inspections will consist of:
1. Verifying that the Pre -Operations Check List has been completed and signed by both Operations and Technical staff.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance
plan.
4. Insuring that the field has been flagged properly and that all buffers are being adhered to.
5. Insuring that the Crop and Landowner Verification form has been filled out.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the criteria for land
application.
7. The records will be kept in the project files in the respective office for the project.
S. The Permittee or Inspector shall report by telephone to Mooresville Regional Office at 704-663-1699 as soon as possible
but no later than 24 hours after or the next working day following the occurrence or the first knowledge of the
occurrence of the following.
• Any occurrence with the land application program resulting in the land application of significant amounts of
material that is abnormal in quantity or characteristics.
• Any failure of the distribution system that results in the release to surface waters.
• Any time that self -monitoring indicates that the facility has gone out of compliance with the permit.
• Any process failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
• Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at i-
800-662-7956,1-800-858-0368, or 1-919-733-3300. These numbers are to be called in the event of a release to
surface waters or imminent failure of a storage system when the event occurs outside of normal business hours.
• Within 5 days of the first notice of an occurrence a written response in the form of a letter shall be sent to DENR
outlining the actions taken or purposed actions taken to ensure that the problem does not reoccur. Persons
responsible for inspections on this project are as follows:
Marshall Puryear, Technical Services Manager or his designee.
Marshall Puryear is the designated land application ORC for this project and his designees are the backup ORCs for this project.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land application is occurring. This will
result in one round of sampling to occur before land application commences in order to insure that the residuals are
suitable for land application. Based on the dry tonnage of this plant this will be one sample for all parameters per
year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1, 2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1,1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2, 4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachlorethane (3.0)
2,4,5-Trichlorophenol (400.0)
M-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP ( Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
residuals will also be sampled based on the chart below for the followine constituents
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
pH
Plant Available Nitrogen (calculation)
Selenium
Sodium
% Total Solids
Total Kjeldahl Nitrogen
Zinc
In order to meet pathogen requirements the material will be sampled for fecals to prove that the residuals have met the
pathogen requirements of the permit. The vector attraction requirements will be meet through the material passing a 30 day
bench scale test. The 30 day bench scale samples will be pulled from the sample port on the piping going to the belt press. The
samples that will be pulled for the TCLP, nutrient and metals sample and the fecal samples to prove that the material is suitable
for land application will be pulled from the final cake material. The nutrient, metal and TCLP sample will be collected randomly
and consist of at least 30 individual samples mixed together in order to get the composite sample for these parameters. This
material is very consistent based on the fact that these residuals are mixed throughout the entire treatment process. The
following people are responsible for sampling:
Marshall Puryear, Technical Services Manager/ORC or his designee.

SPILL RESPONSE PLAN
PROJECT: SYNAGRO CENTRAL Permit W00016247
-- THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and equipment is to
be utilized. In the event additional labor and equipment is required, assistance may be requested from the City of
Statesville, County of Stanly, the NC Department of Transportation, and other private contractors as necessary. .
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
h of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
_____yrial. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition, if possible.
6. NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Mooresville regional office of the NCDENR by telephone [phone]) as
soon as possible, but not more than 24 hours after, or on the next working day following the occurrence. The Operations
Manager shall provide a written report within 48 hours of the spill to the Technical Services Director. The report shall list
all relative information and actions taken. Synagro Central personnel will file a written report to the Mooresville Regional
office of the NCDENR within 5 days of the occurrence. For after hours reporting the Division's emergency number shall
be called to report all incidences (800-662-7956 or 800-858-0368 or 919-733-3300)

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
Hvlslon of Water Resources
INSTRUCTIONS FOR FORM: LASC 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 website at.
http: //portal. ncdenr. org/weblwglaps/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 11-13 or FORM: SDR 11-13).
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 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.
® 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.
ID 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) s Modified (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
9
County Board
Notification. doc
Im
V/
Land Owner
Agreement
(If applicable)
Im
✓
✓
✓
✓
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 11-13 Pagel of 3

Required Item
Status Code
N
I R
T
I 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 Land Owner (Fields may not
be permitted to multiple Permittees over the same timeperiod)
* 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)
• Aerial Photography with Ground Control (AER)
• Cadastral Survey (SUR)
• Conversion from Coordinate Plane (CP)
• Conversion from Township -Section -Range (TSR)
• Conversion from Universal Trans Merc (UTM)
• Map" Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
• Digital or Raw Photo Extraction (EXT)
• Geodetic Quality GPS Survey (GEO)
• LORAN-C Navigation Device (LOR)
• Navigation Quality GPS (GPS)
• Remote Sensing (RS)
• Zip Code Centroid (ZIP)
❑ 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/wq/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://por-tal.ncdenr.orp-/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/bims/reports/reportsWB.html. If this link does not work, open
http://portal.ncdenr.org/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
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.
INSTRUCTIONS FOR FORM: LASC 11-13 Page 2 of 3

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
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
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
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
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
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
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 11-13 Page 3 of 3

LANI 'PLICATION SITE CERTIFICATION
Applicant's name: Synagro
Land application sites currently certified: 619.4 net acres and Total to be certified: 976.9 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code aMapping
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Name
Unit
or Rep. Slope`
N
NC-ST-01-01
Don Misenheimer
Don Misenheimer
4.6
Stanly
Row Crops
Tarrus,
TbB
N
NC-ST-01-02
Don Misenheimer
Don Misenheimer
7.0
Stanly
Row Crops
Georgeville
GeB
N
NC-ST-01-03
Don Misenheimer
Don Misenheimer
11.2
Stanly
Row Crops
Tarrus
TcB2
N
NC-ST-01-04
Don Misenheimer
Don Misenheimer
18.6
Stanly
Row Crops
Tarrus
TcB2
N
NC-ST-01-05
Don Misenheimer
Don Misenheimer
19.2
Stanly
Row Crops
Badin
BaB
N
NC-ST-01-06
Don Misenheimer
Don Misenheimer
23.1
Stanly
Row Crops
Badin
BaB
N
NC-ST-01-07
Don Misenheimer
Don Misenheimer
26.2
Stanly
Row Crops
Tarrus
TbB
N
NC-ST-02-01
Sylvester Little
Sylvester Little
16.0
Stanly
Row Crops
Badin
BaB
'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)
C. 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 Class Proposed
NC-ST-01-01
35.291352
-80.345302
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-01-02
35.291103
-80.347842
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-01-03
35.290570
-80.350444
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-01-04
35.288398
-80.350485
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-01-05
35.326225
-80.349804
NAD83
MAP
Second
03-07-13-13-17-31-5
C
NC-ST-01-06
35.328068
-80.353769
NAD83
MAP
Second
03-07-13-13-17-31-5
C
NC-ST-01-07
35.327722
-80.337827
NAD83
MAP
Second
03-07-13-13-17-31-5
C
NC-ST-02-01
35.210528
-80.283348
NAD83
MAP
Second
03-07-14-13-17
C
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 11-13
Page 1

LANI IPLICATION SITE CERTIFICATION
Land application sites currently certified: 619.4 net acres and Total to be certified: 976.9 net acres.
II. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codes
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Name
Mapping Unit
or Rep. Slope'
N
NC-ST-02-02
Sylvester Little
Sylvester Little
5.3
Stanly
Row Crops
Badin
BaB
N
NC-ST-03-01
Robert B. Ridenhour
Robert B. Ridenhour
19.1
Stanly
Fescue
Badin
BaB
N
NC-ST-03-02
Robert B. Ridenhour
Robert B. Ridenhour
3.3
Stanly
Fescue
Badin
BaB
N
NC-ST-03-03
Robert B. Ridenhour
Robert B. Ridenhour
24.6
Stanly
Fescue
Badin
BaB
N
NC-ST-03-04
Robert B. Ridenhour
Robert B. Ridenhour
8.4
Stanly
Fescue
Goldston
GoC
N
NC-ST-03-05
Robert B. Ridenhour
Robert B. Ridenhour
13.4
Stanly
Fescue
Goldston
GoC
N
NC-ST-03-06
Robert B. Ridenhour
Robert B. Ridenhour
4.0
Stanly
Fescue
Goldston
GoC
N
NC-ST-03-07
Robert B. Ridenhour
Robert B. Ridenhour
18.1
Stanly
Fescue
Badin
BaB
Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) o 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)
CI. WATERBODYY 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.
Current and Proposed
P
Class
NC-ST-02-02
35.210398
-80.281238
NAD83
MAP
Second
03-07-14-13-17
C
NC-ST-03-01
35.364397
-80.374313
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-02
35.363526
-80.372367
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-03
35.368843
-80.374142
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-04
35.378182
-80.364293
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-05
35.375559
-80.361261
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-06
35.372552
-80.362299
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
NC-ST-03-07
35.369518
-80.360506
NAD83
MAP
Second
03-07-12-13-17-31-5-1-1
C
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 11-13
Page 2

LANI 'PLICATION SITE CERTIFICATION
Land application sites currently certified: 619.4 net acres and Total to be certified: 976.9 net acres.
III. LAND APPLICATION SITE INFORMATION (See Instruction B):
Predominant Soil
Status
Codea
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Mapping Unit
Series Name
or Rep. Slope`
N
NC-ST-04-01
Henry W. Anderson
Henry W. Anderson
26.8
Stanly
Fescue
Badin
BaB
N
NC-ST-04-02
Henry W. Anderson
Henry W. Anderson
12.8
Stanly
Fescue
Goldston
GoC
N
NC-ST-04-03
Henry W. Anderson
Henry W. Anderson
6.9
Stanly
Fescue
Badin
BaB
N
NC-ST-04-04
Henry W. Anderson
Henry W. Anderson
8.9
Stanly
Fescue
Badin
BaB
N
NC-ST-04-05
Henry W. Anderson
Henry W. Anderson
6.7
Stanly
Fescue
Misenheimer
MhB
N
NC-ST-15-01
Clyde K. Hinson
Clyde K. Hinson
3.7
Stanly
Fescue
Goldston
GoC
N
NC-ST-15-02
Clyde K. Hinson
--Clyde K. Hinson
12.5
Stanly
Fescue
Badin
BaB
N
NC-ST-16-01
O. Kemp Morgan
O. Kemp Morgan
43.4
Stanly
Fescue
Badin
BaB
OtnLus wuc iur HUM appilCanun secs are: • iv knew) • x (Kenewea) ♦ M (Moainea) ♦ 1 (1 ransterred) ♦ D (Deleted)
n 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)
CII. 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.
Current and Proposed
p
Class
NC-ST-04-01
35.232519
-80.311782
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-02
35.236256
-80.306856
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-03
35.233820
-80.305616
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-04
35.231576
-80.307522
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-04-05
35.229633
-80.309558
NAD83
MAP
Second
03-07-13-13-17-31-5-5
C
NC-ST-15-01
35.241094
-80.284413
NAD83
MAP
Second
03-07-14-13-17-31-5-5
C
NC-ST-15-02
NC-ST-16-01
35.244034
35.215826
-80.282976
-80-287672
NAD83
NAD83
MAP
MAP
Second
Second
03-07-14-13-17-31-5
03-07-14-13-17-31-6
C
C
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 11-13
Page 3

LAND PLICATION SITE CERTIFICATION
Land application sites currently certified: 619.4 net acres and Total to be certified: 976.9 net acres.
IV. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codes
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
b
Series Name
Mapping Unit
or Rep. Slope`
N
NC-ST-16-02
O. Kemp Morgan
O. Kemp Morgan
8.7
Stanly
Fescue
Badin
BaB
'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)
CIII. 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
NC-ST-16-02
35.214091
-80.294286
NAD83
MAP
Second
03-07-14-13-17-29
C
FORM: LASC 11-13 Page 4

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
)ivision of Water Resources COUNTY BOARD NOTHFICATION
INSTRUCTIONS FOR FORM: CBN 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 Quality Permitting Section's Non -Discharge Permitting Unit website at:
http: //portal. ncdenr. org/web/wglaps/1 au
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 11-13).
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 11-13):
® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-13). 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 11-13).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:
hiip://portal.ncdenr.org/web/wq/syM/ws/wswM
® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone].
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:
hitp://ivww.secretM.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:
hn://portal.ncderLr.org/web/wg/home/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 r� for to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 11-13 Page 1 of 1

w mod®
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Date: 10/30/15
To: Name of Chairman to the Board of County Commissioners: Jann Lowder
Complete mailing address: Stanly Commons, 1000 North First Street, Suite 10
City: Albemarle
State: NC Zip: 28001
County where land application sites are located: Stanly
Donald R. van der Vaart
Secretary
From: Applicant's name: Synago Central, LLC (on behalf of the Division of Water Resources in accordance with
Session Law 2013-340)
Contact person and title: Drew Culp, Technical Services Specialist
Complete mailing address: 12701 Lancaster Highway
City: Pineville
Telephone number: [phone]
State: NC Zip: 28134
E-mail address: jaculp@syna rg o.com
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
_4ources 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: Mooresville
Complete mailing address: 610 East Center Avenue, Suite 301
City: Mooresville State: NC Zip: 28115
Telephone number: [phone]
Expected date of application submission: 11/09/15
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
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NorSti Carolina 27699-1617
Phone: [phone] ''1 Internet: http://Portal.ncdenr,org/weblwq
An Equal Opportunity 1 Affirmative Action Employer -Made in part with recycled paper FORM: CHIN 1 1-13

October 30, 2015
Jann Lowder
Stanly County Chairman, Board of Commissioners
1000 North First Street
Albemarle, NC 26001
ATTN:
Ms. Lowder
REFERENCE: Modification of Permit No. WQ0016427
Synagro Western Piedmont
Land Application of Residual Solids Permit
Dear Ms. Lowder,
Synagro is submitting an application to the State of North Carolina's Department of
Environment and Natural Resources to modify the permit referenced above. Listed below are
the requested modifications to the existing permit as they pertain to land application sites in
your county.
• Adding site NC-ST-01 (114.7 acres)
• Adding site NC-ST-02 (21.3 acres)
• Adding site NC-ST-03 (90.9 acres)
• Adding site NC-ST-04 (62.1 acres)
• Adding site NC-ST-15 (16.2 acres)
• Adding site NC-ST-16 (52.3 acres)
This letter and state form (CBN 11-13) are being sent to you in accordance with the rules and
regulations mandated by the North Carolina Department of Environment and Natural
Resources. The enclosed form should contain all of the information that is necessary to
inform you of the requested modification. However, if you require additional information or
have further questions about the included information, please contact me immediately. My
contact information is included below.
Kind
regards,
Drew �C p
Technical Services Specialist
Synagro Central, LLC
(704)-574-5291
iaculp @sv_naciro.com
Enclosures: CBN 11-13 form, site summary, vicinity map, and list of sources of material
12701 Lancaster Hwy Pineville, NC 28134
Phone: [phone] Fax: [phone]

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID: NC-ST-01
Owners Name: Don Misenheimer
Address: 20283 Ridgecrest Rd.
Oakboro, NC 28129
Phone: M - (980)-621-9002
Operator: same
Fields ADDlicable Acres Croo(s)
Date: 10/30/2015
Stanly County
RYE -based
annual PAN
Limits Predominant Soil Latitude &
(Ib/ac/vrl Series Loneitude
ST-01-01
6.4
Row Crops
crop based
Tarrus (TbB)
35 17 29 N
80 20 45 W
ST-01-02
9.6
Row Crops
crop based
Georgeville (GeB)
35 17 28 N
80 20 53 W
ST-01-03
11.2
Row Crops
crop based
Tarrus (TbB)
3517 27 N
80 2102 W
ST-01-04
19.0
Row Crops
crop based
Tarrus (TbB)
35 17 19 N
80 2103 W
ST-01-05
19.2
Row Crops
crop based
Badin (BaB)
35 19 34 N
80 20 55 W
ST-01-06
23.1
Row Crops
crop based
Badin (BaB)
35 19 39 N
80 2114 W
ST-01-07
26.2
Row Crops
crop based
Tarrus (TbB)
35 19 41 N
80 20 17 W
TOTAL 114.7
NOTES:

in VICINITY MAP
-- 12C5
ca
c ,
It a
uzr •
12I0 n
ya`
I1--
sl RIG
ttte tzzt 1PJ ���•
Izxr O�J°n0
ti
°SOnr 3n It3a
1 x1a
v
St Ixx7 �9.
4 =,
I IxJ _
_ - gala
Izla
a`
1214
S�
N C+
7
tlxa 5tpith Gwceryy ,
' e
P�01
Inz
I xxt
�
°0PosdRd
a
GRAPHIC SCALE
1" = 4,000'
4,000' 0 4,000'
r ne 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.
C
E
N
NC-ST-01
Fields 1-7

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID: NC-ST-02 Date: 10/30/2015
Owners Name: Sylvester Little
Address. 9885 Stogner-Little Rd.
Oakboro, NC 28129
Phone- M - (980)-621-5660
Operator- same
Stanly County
RYE -based
annual PAN
Limits Predominant Soil Latitude &t
Fields Anolicable Acres Croo(s) (ib/ac/vr) Series Longitude
ST-02-01
16.0
Row Crops
crop based
Badin (BaB)
35 12 38 N
80 17 01 W
T-02-02
F
5.3
Row Crops
crop based
Badin (BaB)
35 12 38 N
8016 52 W
TOTAL 21.3
NOTES-

0
.,.E
19rG
7
?d 41g��e9
tars
VICINITY MAP
I
Is_a
v
1
4'
191:
}
a j
y
r
r5
�i
e G e..
Q3n: uJ2 Al
p
' 19i5
1917
€;•
1.
gtq
013
-47
it
44
GRAPHIC SCALE
1'° = 4,000'
4,000' 0 4,000'
I Illllllltl0 sa®
i ne 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.
Fields 1-2
NC©ST©02

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID., NC-ST-03
Owners Name., Robert Ridenhour
Address.- 30349 Bridge Rd.
Mt. Pleasant, NC 29124
Phone., M - (704)-699-8519
Operator., same
Fields Applicable Acres Croo(s)
Date., 10/30/2015
Stanly County
RYE -based
annual PAN
Limits Predominant Soil Latitude &
(Ib/ac/vri Series Loneitude
ST-03-01
19.1
Fescue
163
Badin (BaB)
35 2153 N
80 22 28 W
ST-03-02
3.3
Fescue
163
Badin (BaB)
35 2150 N
802221W
ST-03-03
24.6
Fescue
163
Badin (BaB)
35 2210 N
80 22 24 W
ST-03-04
8.4
Fescue
152
Goldston (GoC)
35 22 42 N
80 2152 W
ST-03-05
13.4
Fescue
152
Goldston (GoC)
35 22 31 N
80 2141 W
ST-03-06
4.0
Fescue
152
Goldston (GoC)
35 22 21 N
80 2158 W
ST-03-07
18.1
Fescue
163
Badin (BaB)
35221 0 N
80 2139 W
TOTAL 90.9
NOTES.,
��

VICINITY MAP
7 �f
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.
N C-ST-03
Fields 1-7

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID: NC-ST-04
Owners Name: Henry W. Anderson
Address: 12828-A Sunrise Ln.
Oakboro, NC 28129
Phone: M - (704)-485-8006
Operator: same
Stanly County
RYE -based
annual PAN
Limits
Fields Applicable Acres Crop(s) (lb/ac/yr)
Date: 10/30/2025
Predominant Soil Latitude &
Series Longitude.
ST-04-01
26.8
Fescue
163
Badin (BaB)
35 13 56 N
8018 51 W
ST-04-02
12.8
Fescue
152
Goldston (GoC)
35 1412 N
80 18 22 W
ST-04-03
6.9
Fescue
163
Badin (BaB)
35 14 01 N
8018 20 W
ST-04-04
8.9
Fescue
163
Badin (BaB)
35 13 55 N
8018 25 W
ST-04-05
6.7
Fescue
147
Misenheimer (MhB)
35 13 42 N
8018 36 W
TOTAL 62.1
NOTES:
e
/,2t

VICINITY MAP
c
ff
D
�
i
I IMI"Rd
Ilav��c
I3x5
1 t•
�1
✓1
19x3
91G 1.IC1:
rr
•t
CN�
ci
195n
70 Rd
00
-
�p5
1911
n lx
QD
197'_
PAC
VVoy
191x
^I91i ,
IJvi
n pls
7
g
t
a
1
JN
{
E
GRAPHIC SCALE
1" = 4,000'
4,000' 0 4,000'
I I
� I
I I le 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-ST-04
Fields 1-5

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID: NC-ST-15
Owners Name: Clyde K. Hinson
Address: 13323 Booger Hollar Rd
Oakboro, NC 28129
Phone: M - (704)-485-3275
Operator: same
Fields Applicable Acres Crops)
Date: 10/30/2015
Stanly County
RYE -based
annual PAN
Limits Predominant Soil Latitude &
(lb/ac/vr) Series Longitude
ST-15-01
3.7
Fescue
152
Goldston (GoC)
35 14 28 N
80 17 04 W
ST-15-02
12.5
Fescue
163
Badin (BaB)
35 14 39 N
80 17 00 W
TOTAL 16.2
NOTES:

VICINITY MAP
1
a
z
V)
1119
e.
0
�7�P�Rd
�a
ley Rd
ida11'¢V
1979
6 r5
b
(iJ'r llp-r,
19T5
i�51
143
( 422
�6
AYt
C
J]MlE'.. Nd
z
' C
s
i
I569
1970
W
I 1959
197]
P
`? 1
Gfuv2 Rd
�rt 19:A
P�oNo Rd
`.
1
o
Ci 19i0 1917
�� 1917 tr
t
r
__ 13E
h
i�
as
iJ:
�
9
m� yY
s
a
�f
19i9
GRAPHIC SCALE
1" = 4,000'
4,000- 0 4,000-
I
i ne 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-ST-15
Fields 1-2

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID: NC-ST-16
Owners Name: O. Kemp Morgan
Address: 9904 NC Hwy. 138
Oakboro, NC 28129
Phone: M - (704)-985-5167
Operator: same
Fields Applicable Acres Croo(s)
Date: 10/30/2015
Stanly County
RYE -based
annual PAN
Limits Predominant Soil Latitude &
(lb/ac/vr) Series I nnaitit a
ST-16-01
43.4
Fescue
163
Badin (BaB)
35 13 04 N
8017 14 W
ST-16-02
8.9
Fescue
163
Badin (BaB)
3512 53 N
8017 30 W
1 V 1 AL 3Lo3
NOTES:

VICINITY MAP
'u
t 15T'_
195? C
I 1919
r!all�,�.Rd
Qe
�
�•E�
Mlwi
I
\1�
191 i
f
19.6
Rd
31'
`� 195,7 � 2C51
6w5
oae
Qe
1
:l k7ioic 14T5 P ti�
19]0 141:
`� _.
Re
1]9
dome;
v
-
4
i
GRAPHIC SCALE
1° ®4,000'
4,000' 0 4,000'
I 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-ST-16
Fields 1-2

Sources: Synagro Western Piedmont
City of Statesville -Fourth Creek WWTP
City of Statesville -Third Creek WWTP
Stanly County Utilities -West Stanly WWTP

El'Agent
-O Address;
Id
et : 5y (Printed Name) C. Date of Delive.
9590, 94©3 p21,7 5Z46. 966p 79 delivery add s ifferen from item"1? O Yes
- YES, enter delivery address below: © No
J4A!nJ
tit? ltloRM _ FA5,77 ,
MAtele. l � 001 3.-Service Type
Get4ified Nlail Express Mail
L Registered © Return Receipt for Merchwidi:
0 "Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Eee), O Yes_
2.- Article Number. _ .. . - - .: _ _ - "
- (rransferfri ffl1701!5 O'U401 db041 21,1.E i86®`3
PS Form 38 February 2004 Domestic Return Receipt
102595-02.M-15

D--
WR
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 11-13
r..se 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 Quality Permitting Section's Non -Discharge Permitting Unit website at.
http: //portal. ncdenr. org/web/wg/aps/1au
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
undersigned landowner or his representative hereby permits:
Applicant's name: S ry_iagro Central. LLC
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application sites) (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)
NC-ST-01-(01-07)
No
Row Crops
Animal Feed, Forage,
Fiber
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.
"'s Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
Il 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 of3

1. 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.
7 The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
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 time 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.
ESTRICTIONS:
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
compliance boundary to the application package)
® 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 Drop -ram:
(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
power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
;eded 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:
Address: ®.��� lam°
City: State: Al C' Zip: V 2
®� E-mail address:
Phone: o
Signature: Date:
.�
NORTH CAROLINA, �� COUNTY
I, the undersigned Notary Public do hereby certify that ® n t le) JZ o'21&f
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
M_k
WITNESS my hand and official seal this the
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
,20 B�
JOHN A. CULP
TAW PUI
klenbur+0 County
North Carolina
1ssW Expires 04/13/2019
y 0
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:
Date:
Zip:
I certify that I have read this Agreement and do hepreby agr a to abide by the stipulations and restrictions as specified herein.
Si nin official name: M S 114 / r ►` � v A— y � �L
g g
Signature:
Date:
FORM: LOA 11-13 Page 3 of 3

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID: NC-ST-01
Owners Name: Don Misenheimer
Address: 20283 Ridgecrest Rd.
Oakboro, NC 28129
Phone: M - (980)-621-9002
Operator: same
Fields Applicable Acres Croo(s)
Date: 10/30/2025
Stanly County
RYE -based
annual PAN
Limits Predominant Soil Latitude &
(lb/ac/vrl Series Lnncitude
ST-01-01
6.4
Row Crops
crop based
Tarrus (TbB)
35 17 29 N
80 20 45 W
ST-01-02
9.6
Row Crops
crop based
Georgeville (GeB)
35 17 28 N
80 20 53 W
ST-01-03
11.2
Row Crops
crop based
Tarrus (TbB)
35 17 27 N
80 2102 W
ST-01-04
19.0
Row Crops
crop based
Tarrus (TbB)
3517 19 N
80 2103 W
ST-01-05
19.2
Row Crops
crop based
Badin (BaB)
35 19 34 N
80 20 55 W
ST-01-06
23.1
Row Crops
crop based
Badin (BaB)
35 19 39 N
80 2114 W
ST-01-07
26.2
Row Crops
crop based
Tarrus (TbB)
35 19 41 N
80 20 17 W
TOTAL 114.7
NOTES:

0 APPLICATION MAP �-
.L
c
LEGEND
APPLICATION AREA
UNSUITABLE AREA
O
WATER
— — — — — — PRIVATE ROAD
— — — — STREAM
®
ONSITE HOUSE
— DRAIN
.
OFFSITE HOUSE
X X X FENCE
OUTBUILDING
PROPERTY LINE
0
WELL
�mpliance 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.
'P
i
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-ST-01
Fields 5-6

LA
APPLICATION F
- — — — — - PRIVATE ROAD
— - - — STREAM
DRAIN
- X X FENCE
PROPERTY LINE
APPLICATION MAP
LEGEND
REA '
UNSUITABLE AREA
O
WATER
®
ONSITE HOUSE
OFFSITE HOUSE
0
OUTBUILDING
0
WELL
1 npliance 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.
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-ST-01
Field 7

TOPOGRAPHIC MAP
l
2L
Ln
1 ( Q2V ^. F 1
12
-
F 4
g9 ,� 'k„l7N f] ICff r ..0
' ..�, � J f� f . '� ,✓.� j t M rho- 1 �t r "k ' f
1� i�i' idii I�� /f :p}tia•' a �d f�� � �" J , r �� _ �
l.k'
4
y
s
GRAPHIC SCALE
1" _ 800'
800' 0 800'
1 f
1 npliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-ST-01
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 1.4

TOPOGRAPHIC MAP
Cr.
1134
L7
�l 1341r
WWI,
Nif
%
1%
GRAPHIC SCALE
1 11
= 1,000'
1,000, 0 1,000'
npliance 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-ST-01
Fields 5-7

VICINITY MAP
n�a , c,�ohRuv
ON
? 4
,
h 122T �1''
b
_ 1214t_ 77') go-• y ���. P
GRAPHIC SCALE
111 = 4,000'
4,000' 0 4,000'
I 1
I" �=6 1
mpliance 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.
N C-ST-01
Fields 1-7

SOIL SURVEY
GRAPHIC SCALE
1"=800'
800, 0 800'
mpliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-ST-0 1
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 1-4

SOIL SURVEY
GRAPHIC SCALE
1" = 1,000'
1,000' 0 1,000'
7 npliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-ST-01
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 5-7

NCDA&CS eni' mic Division
Phone: [phone]
Predictive
Soil Report
Mehlich-3 Extraction
Website: www.p, ^ •r.gov/agronoml/
Client: Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Sampled County: Stanly
Sampled: Received: 07/28/2015 completed: 08/05/2015 Farm: NC-ST-01 (Don Misenheimer)
Report No. F" 9-SL001719
Advisor:
Links to Helpful Information
Na
Sample ID: 05
Recommendations:
Lime
Ib/acre
Nutrients ( )
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Corn, grain
0.6
120 - 160 10
40
0
0
0
0
0
0
Note: 3
2 - Corn, grain
0.0
120 - 160 10
40
0
0
0
0
0
0
Note: 3
Test Results [units - WIV in g/cd; CEC and Na in meg1100 cnr3; NO3-N in mg/dnP]:
Soil Class:
Mineral
HM% WIV
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2 Zn-I
Zn-AI
Cu-I
Na
ESP SS-1 NO3-N
0.46 0.92
9.6 84 1.6 5.6
56 50
57 24
37
107
81
81
174
174
88
0.1
1
Sample ID: 06
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 - Corn, grain
0.0
120 - 160 60
60
0
0
0
0
0
0
Note: 3
2 - Corn, grain
0.0
120 - 160 60
60
0
0
0
0
0
0
Note: 3
Test Results [units - WIV in g/crrP; CEC and Na in meq/100 cirri; NO3-N
in mgldrrP]:
Soil Class:
Mineral
HM% WIV
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na
ESP SS -I NO3-N
0.36 0.93
10.0 88 1.2 6.0
34 41
59 27
35
80
65
65
996
996
147
0.1
1
Sample ID: 07
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1- Corn, grain
1.3
120 - 160 0
0
0
0
0
0
0
0
Note: 3
2- Corn, grain
0.0
120 - 160 0
0
0
0
0
0
0
0
Note: 3
Test Results [units
- WIV in glcnrl; CEC and Na in meq/100 cm3; NO3-N in mg/dO]:
Soil Class:
Mineral
HM% WIV
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I
Na
ESP SS-1 NO3-N
0.60 0.97
7.0 70 2.1 5.1
69 83
47 16
48
423
271
271
144
144
74
0.1
1
North Carolina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

Report Number
15-208-0520 Page: 1 of 2
Account Number
08155
Send To: SYNAGRO CENTRAL/W STANLY
WAYNE BRADY
12701 LANCASTER HWY
PINEVILLE , NC 28134
Client: NC-ST 012WEST STANLY
DON MISENHEIMER
Lab No Sample ID
Sample Date and Time
24878 05
24879 06
24880 07
A&L Easter► Laboratories, Inc.
7621 WhRepine Road Richmond, Virginia 23237 (804 74M401 Fax [phone]
wiwnira%ast�m.toln
REPORT OF ANALYSIS
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
ppm
< 0.400 1.95
< 0.400 1.95
< 0.400 3.52
Purchase Order:
Report Date: 8/5/2015
Date Received : 7/27/2015
rawc° me 11"O
Pauric McGroary.

State of North Carolina
D W- Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 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 Quality Permitting Section's Non -Discharge Permitting Unit website at.
http: //portal. ncdenr. org/web/wA/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: Synagro Central, LLC
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)
NC-ST-02-(01-02)
No
Row Crops
Animal Feed, Forage,
Fiber
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.
s Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
�....11 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, modifaes or cancels this Agreement.
FORM: LOA 11-13 Page 1 of 3

L 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.
The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
T. 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.
S. 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 pattems 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.
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: NC-ST-02 Fields 01 and 02
(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)
El 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
~;garding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
:ceded 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: elf f7go ,ej S ° 4Ile,
Address: ?gV,5- S:�!qA%d-w-
City: ®A- .1P_ dP State: /VC Zip: ® �
Phone: �� o &-Z4 m E-mail address: p
Signature: Date:
NORTH CAROLINA, �� r,�o� COUNTY
I, the undersigned Notary Public do hereby certify that
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
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
o/MAM
e
,20 /s-
JOHN A. CULP
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:
Date:
Zip:
I certify that I have read this Agreement and do/)hereybgree to abide by the stipulations and restrictions as specified herein.
Signing official naRq: �% 1�A h�ri�1-
Signature:
Date:
FORM: LOA 11-13 Page 3 of 3

50 State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
<vision of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 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 website at:
http: //portal. ncdenr. org/web/wq/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(bl(2lffor habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreement:
® Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 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 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)
undersigned property owner hereby permits:
Applicant's name:L-L-C'
Applicable Field ID: 5T v Da - ®a
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address of property: `% 6 ®,3 ,S 4-v P- � 1-4414. 9d
City: OA k6 oyLa State: N G Zip: afrl 74
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:
Signature:
Date: d-�� 5
FORM: SWA 11-13 Page 1 of 1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Ision of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 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 Quality Permitting Section's Non -Discharge Permitting Unit website at:
http://portal.ncdenr.or /wg eb/wq/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)[for habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreement:
® Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 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 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)
___ _ndersigned property owner hereby permits: .
Applicant's name: ���
Applicable Field ID: 57-' OQ
hereinafter referred to as the Permittee, to land apply residuals within too feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address of property: 9705 5*09 m4 a L 1-we. pi
City: 0,4"0e. a State:
.A/c c Zip: e2 Sri 2
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.
Ud 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:
Date:
FORM: SWA 11-13 Page 1 of 1

State of North Carolina
10 Department of Environment and Natural Resources
Division of Water Resources
____slon of Water Resources FORM:
WAIVER AGREEMENT (FOIL RESIDUALS PROGRAM)
FORM: SWA 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 Head 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/wclaas/lay
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) hi 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 11-13).
A. Setback Waiver Agreement:
X Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 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 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)(habitab➢e residences)
aic undersigned property owner hereby permits:
Applicant's name: 53 ynv" r~ m,"
Applicable Field ID: S77® ®A m ® I
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address of property: 9953 S+Vne�, > ,L'+4_1e_
City: 0,4 kboot 0 State: n/ C_ Zip: 'asl® 22
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 Perm/iittee to land apply residuals to land application site(s) as specified herein.
Property owner name:
Signature:
Date:
FORM: SWA 11-13
Page 1 of 1

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID. NC-ST-02
Owners Name. Sylvester Little
Address. 9885 Stogner-Little Rd.
®akboro, NC 28129
Phone. M - (980)-621-5660
Operator. same
Fields AoDlicable Acres Crenlsl
Date. 20/30/2015
Stanly County
RYE -based
annual PAN
Limits Predominant Soil Latitude &
/lb/ar/vrl CoAgNe �.....,a..d,.
ST-02-01
16.0
Row Crops
crop based
Badin (BaB)
35 12 38 N
8017 01 W
ST-02-02
5.3
Row Crops
crop based
Badin (BaB)
35 12 38 N
8016 52 W
TOTAL 21.3
NOTES.

APPLICATION MAP
LEGEND
APPLICATION AREA
UNSUITABLE AREA
— — — — — — PRIVATE ROAD
O
WATER
— — — — STREAM
ONSITE HOUSE
— DRAIN
OFFSITE HOUSE
FENCE
OUTBUILDING
PROPERTY LINE
0
WELL
...a 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.
�A
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-ST-02
Fields 1-2
r

O U
l l
t � }
t v "`ddd
a
Y Y .
GRAPHIC SCALE
1 °' � 800'
800' 0 800'
compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-O"T-02
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

GRAPHIC SCALE
1" = 4,000'
4,000' 0 4,000'
..a 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.
0
�•
NC-ST-02
Fields 1-2

SOIL SURVEY
GRAPHIC SCALE
1" = 660'
660' 0 660'
..,a compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-Si'®2
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

DW-,R
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
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 website 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 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
a ..� undersigned landowner or his representative hereby permits:
Applicant's name: Synago Central. LLC
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)
NC-ST-03-(01-07)
No
Hay/Pasture
Animal Feed, Forage,
Fiber
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.
Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
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 parry agrees and complies with the terms and conditions of this Agreement.
The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
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.
;ESTRICTIONS:
,. 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: NC-ST-03 Fields 01 and 04-07
(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)
r] 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
-slower of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
;ded 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:
Address: 303 qT Breadve-
City: /#-/ . '01a 05. b 7�- State: )VZip: ay.7
Phone: 701 m 5%Z " 6 5*.Z/ E-mail address:
Signature: Date:
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that ��¢ a ��� a .1 P'
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 11 , 20 0�
, Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
JOHN A. CULP
VAmk9enburg County
Nodh Carolina
JAy 00"MWw Expires 04113iAIO
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:
Perinittee's Certification:
State:
E-mail address:
Date:
Zip:
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: %Y/ 4l � Ada -,��U/)_ye4%I
Signature:
Date: ( ( ( C) %/� S
FORM: LOA I 1-13 Page 3 of 3

APPLICATION MAP
LEGEND
APPLICATION AREA
PRIVATE ROAD
�W
WATER
— — — — STREAM
DRAIN
-X--�—�— � FENCE
PROPERTY LINE
ONSITE
HOUSE
OFFSITE HOUSE
OUTBU
WELL
ILDING
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.
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-ST-03
Fields 1-3

APPLICATION MAP
— — — — STREAM
®
ONSITE HOUSE
— DRAIN
.
OFFSITE HOUSE
X X X FENCE
OUTBUILDING
PROPERTY LINE
WELL
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.
GRAPHIC SCALE
1" = 660'
660' 0 660'
N C-ST-03
Fields 4-7

TOPOGRAPHIC MAP
{,y...
e-
i Al
0
osi ,.n
ec
• y,
GRAPHIC SCALE
1"=1,000'
1,000. o 1,0oa
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.
N C-ST-03
Fields 1-7

�E
VICINITY MAP
GRAPHIC SCALE
1" = 4,000'
4,0001 0 4,000'
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-ST-03
Fields 1-7

State of North Carolina
Department of Environment and Natural Resources �-,, W�RDivision of Water Resources
Division of Water Resources 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
suyyortine documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
http. /1portal. ncdenr. orj/web/wg/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
indersigned landowner or his representative hereby permits:
Applicant's name: Synaaro Central. LLC
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)
NC-ST-04-(01-05)
No
Hay/Pasture
Animal Feed, Forage,
Fiber
77
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.
Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
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 of3

1. 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.
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.
-ESTRICTIONS:
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: NC-ST-04 Fields 01-05
(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
power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
ceded 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: i e 1v v vy, , / /y e p ',
Address: 'i . y
City: ow L'/i�� State: _��� Zip:
Phone: E-mail address: A s CI / ` t
Signature: fl�'�/ ! .r { ��%�i' Date:�,��
NORTH CAROLINA, ` COUNTY
I, the undersigned Notary Public do hereby certify that I+e-o% w-!j W _ eer S on
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 M
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
(Dq-0S—P.09
' '_
,20 1
NOTARY PU13LIC
MeCkl0figUit Couaity
Noah 66W%
*lbaelas M61i 901M 04%9312099
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:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official
Signature:
Date: / ( / 0 ,Y
FORM: LOA 11-13 Page-3-of-3—

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID: NC-ST-04
Owners Name: Henry W. Anderson
Address: 12828-A Sunrise Ln.
Oakboro, NC 28129
Phone: M - (704)-485-8006
Operator: same
Stanly County
RYE -based
annual PAN
Limits
Fields Applicable Acres Croo(s) (lb/ac/vrl
Date: 10/30/2025
Predominant Soil Latitude &
Series Lnneitude
ST-04-01
26.8
Fescue
163
Badin (BaB)
35 13 56 N
8018 51 W
ST-04-02
12.8
Fescue
152
Goldston (GoC)
35 1412 N
8018 22 W
ST-04-03
6.9
Fescue
163
Bailin (BaB)
35 14 01 Ng018
20 W
ST-04-04
8.9
Fescue
163
Bailin (BaB)
35 13 55 N
80 18 25 W
ST-04-05
6.7
Fescue
147
Misenheimer (MhB)
35 13 42 N80
18 36 W
TOTAL 62.1
NOTES:

TOPOGRAPHIC MAP
-
= t f
*;
t
-
s
l
r t
GRAPHIC SCALE
1" = 1,000'
1,000' 0 1,000'
.. ra 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.
•-q 5
�
NC-ST-04
Fields 1-5

VICINITY MAP
1916
O,
O
�7�e�Rd
IlmleY Rtl Ne��e`Ic
I
1963
4�
I `
19iJ a-
1
tale tint,
-
20S' Sy
y
P�orz° Au
By l
S,F,
.,•3
G
�. 191
1112
o
1976
c`�
1970 :1917
t ` A
1917
VV�
3
• -
L9f,
U2
..
1
C.
C12-
( A'
133
1109
1'
�
-x
(I
__ _
0wncfih�
_N2
~
• t
zv
_
J•
1693
_. K ..
GRAPHIC SCALE
1'° = 4,000'
4,000' 0 4,000'
le 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.
N C-ST-04
Fields 1-5

SOIL SURVEY
GRAPHIC SCALE
1" _ 800'
800' 0 800'
..,a compliance boundary is established either 250 ft from the residuals application area or 50 feet within C'ST�®4
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 1-5

Mate of Aortn uarouna
Department of Environment and Natural Resources
Division of Water Resources
®ivision of Water Resources 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 Quality Permitting Section's Non -Discharge Permitting Unit website at:
h(W.-11portal. ncdenr. oM1web/wg/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
- undersigned landowner or his representative hereby permits:
Applicant's name: Synagro Central, LLC
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)
NC-ST-15-(01-02)
No
Ray/Pasture
Animal Feed, Forage,
Fiber
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.
s Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
11 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 of3

1. 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.
' The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
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.
ESTRICTIONS:
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
compliance boundary to the application package)
a map showing the newly proposed
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
r] 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
over of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
;ded 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. . . , i
Landowner name:
Address:
C'LVP r� 1T44 �J 1 d SwV
City: K 6® �Z> State: AIC Zip:
Co rVJ
Phone: �® �3� �� E-mail address: Lf �'-� �i I �� ®"� ��
Signature:
Date:
NORTH CAROLINA, � 1U �� —COUNTY I�
I, the undersigned Notary Public do hereby certify that C /� f�-�' 4 4 g o K
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
3�-
WITNESS my hand and official seal this the
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
520 0 5-
JOHN A. GULP
Mecklenburg Dou*
NoM Carolina
Expims 00131%
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:
Date:
Zip:
I certify that I have read this Agreement and do hereby ee to abide by the stipulations and restrictions as specified herein.
Signing official name: i � S /1'4't !�y 64 �
f; g ,
Signature: �/ l Z ��L Date: �(�
FORM: LOA 11-13 Page 3 of 3

SITE SUMMARY
Western Piedmont
WQ0016247
Site ID: NC-ST-15
Owners Name: Clyde K. Hinson
Address: 13323 Booger Hollar Rd
Oakboro, NC 28129
Phone: M - (704)-485-3275
Operator: same
Fields Applicable Acres Crop(s)
Date: 10/30/2015
Stanly County
RYE -based
annual PAN
Limits Predominant Soil Latitude &
(lb/ac/yr) Series Longitude
ST-15-01
3.7
Fescue
152
Goldston (GoC)
35 14 28 N
8017 04 W
ST-15-02
12.5
Fescue
163
Badin (BaB)
35 14 39 N
8017 00 W
TOTAL 16.2
NOTES:

II
LEGEND
APPLICATION AREA
177-7-1
UNSUITABLE AREA
WATER
— — — — — — PRIVATE ROAD
— — — — STREAM
®
ONSITE HOUSE
— DRAIN
.
OFFSITE HOUSE
FENCE
❑
OUTBUILDING
PROPERTY LINE
0
WELL
. — , Mpliance 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.
GRAPHIC SCALE
1" = 660'
660' 0 660'
NEW-
NC-ST-15
Fields 1-2

TOPOGRAPHIC MAP
GRAPHIC SCALE
1" = 660'
660' 0 660'
....,npliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-ST-15
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

VICINITY MAP
GRAPHIC SCALE
1 4,000'
4,000' 0 4,000'
-npliance 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.
N C-ST- 15
Fields 1-2

SOIL SURVEY
GRAPHIC SCALE
1"=660'
660' 0 660'
'I I,. ,,,,mpliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-ST-15
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
ields 1-2

NCDA&CS Aar mic Division
Phone: [phone]
Predictive
Soil Report
Mehlich-3 Extraction
Website: www.r-- 'mr.gov/agronomi/
Client: Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Sampled County: Stanly
Sampled: Received: 07/28/2015 Completed: 08/05/2015 Farm: NC-ST-15 (Keith Hinson) .
Report No. F"r)-SL001720
Advisor:
Links to Helpful Information
Na
Sample ID: 01
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 - Fescue/OGrassrrim, 1
0.0
120-200 50
70
0
0
pH$
0
0 0
Note: 12 Note:
2 - Fescue/OGrassfrim,
0.0
120-200 50
70 .
0
0
pH$
0
0 0
Note: 12 Note:
Test Results [units - WN in glcrn3; CEC and Na in meq/100 cm3; NO3-N in mgldrrP]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I Na
ESP SS-1 NO3-N
0.36 0.78
13.4 93 0.9 6.7
37 34
63 29
32
222
140
140
240
240
115 0.1
1
Sample ID: 02
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 - Fescue/OGrassrrim, 1
0.0
120-200 50
60
0
0
0
0
0 0
Note: 12
2- Fescue/OGrassrrim,
0.0
120-200 50
60
0
0
0
0
0 0
Note: 12
Test Results [units - WN in g/cm3; CEC and Na in meg1100 cnt3; NO3-N
in mg/dm3]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-Ali
Mn-AI2
Zn-I
Zn-AI
Cu-I Na
ESP SS-1 NO3-N
n_sR 0.76
12.0 87 1.6 6.2
36 39
60 25
31
186
125
125
204
204
105 0.1
1
North Carolina
0' J
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

Report Number
15-208-0521 Page: 1 of 1
Account Number
08155
Send To: SYNAGRO CENTRALIW STANLY
WAYNE BRADY
12701 LANCASTER HWY
PINEVILLE , NC 28134
Client: NC-ST 151WEST STANLY
KEITH HINSON
Lab No Sample ID
Sample Date and Time
24881 01
24882 02
A &L Eastem Laboratories, Inc.
99 7621 Whitepine Road Richmond, Virginia 23237 (804) 74"401 Fax [phone]
wwwaleastern.com
REPORT OF ANALYSIS
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
ppm
< 0.400 5.26
< 0.400 6.88
Method Reference:
Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Soil Sci. Plant Anal. 25:1409-1416.
USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current
Revision
Submitted By: DREW CULP
Purchase Order:
Report Date: 8/5/2015
Date Received : 7/27/2015
pofir, m` 11"Or
Pauric McGroary

Nraary va a�va ru vra ..���...
Department of Environment and Natural Resources
RV Division of Water Resources
Division of Water Resources `1 LAND OWNER AGREEMENT
FORM: LOA 11-13
se 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 [dater Quality Permitting Section's Non -Discharge Permitting Unit website at:
http //portal ncdenr. or /g web/�/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
undersigned landowner or his representative hereby permits:
Applicant's name: Synag•o Central LLC
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)
NC-ST-16-(01-02)
No
Hay/Pasture
Animal Feed, Forage,
Fiber
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
II be renewed each time this permit is renewed.
'rne 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.
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.
tESTRICTIONS:
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 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 Dower of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
eded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
-reement 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: State: Zip:
Phone: 0Ll �� � E-mail address:
Signature: Date:
NORTH CAROLING,
COUNTY
I, the undersigned Notary Public do hereby certify that ®`
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the /Y
day of
Signature and seal:
My commission expires:
,20
Lessee's/Operator's Certification:�10�913ia019
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:
Perinittee's Certification:
I certify that I have read this Agreement and do
Signing official name:
Signature:
State:
E-mail address:
Date:
Zip:
agree to abide by the stipulations and restrictions as specified herein.
v itV.,/L-
Date: ( ! /v
Page 3 of
FORM: LOA 11-13

APPLICATION MAP
LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
X X FENCE
PROPERTY LINE
0
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
)mpliance 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.
GRAPHIC SCALE
1" = 660'
660' 0 660'
N C-ST©16
Fields 1-2

TOPOGRAPHIC MAP
GRAPHIC SCALE
1 °' = 000'
809 0 800,
impliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-ST-16
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

VICINITY MAP
yi: p 19i5
ft m
o,
r?S//pyRd
� Pa
°InOt`1
19T3
sy,
y
Ctf
Pao
o
6�
ht'2
S
t�
1353
�
S
l
13w
/
\
l\
1
{
¢1
Group Rd li 5 195.1 3WI
Rd
ail-
C' 6_
1917
1L'3! '
1
1
1905
r
19N � �qC .py �11Irr
i}
' ;sX
GRAPHIC SCALE
1 °' 0 4,000'
4,000' 0 4,000'
mpliance 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-ST-16
Fields 1-2

SOIL SURVEY
GRAPHIC SCALE
1 " = 660'
660' 0 660'
)mpliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-ST-16
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

NCDA&CQ A^ wic Division Phone: [phone]
Predictive
Soil Report
WeDsite: www.r jr.gov►agronomu
Client: Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Mehlich-3 Extraction
Sampled County: Stanly
Sampled: Received: 07/28/2015 completed: 08/05/2015 Farm: NC-ST-16 (O. Kemp Morgan)
Sample ID: 01
Kecommenoations:
6I►11V
Crop
(tons/acre)
N P
Lime History:
1 - Fescue/OGrass/Tim, 1
0.0
120-200
2 - Fescue/OGrass/Tim,
0.0
120-200
Test Results [units - WIV in g/cirri; CEC and Na in meq/100 cO; NO3-N in mg/drn3]:
HM% WIV
CEC BS% Ac pH
P-1 K-I
Ca% Mg%
0.36 0.83
12.6 95 0.6 6.8
33 40
76 17
Sample ID: 02
Recommendations:
Lime
Crop
(tonslacre)
N F
Lime History:
1 - Fescue/OGrass/Tim, 1
1.1
120-200
2 - Fescue/OGrass/Tim,
0.0
120-200
Test Results [units - WIV in glcO; CEC and Na in meg1100 cm3; NO3-N
in mgldnr3]:
HM% WIV
CEC BS% Ac pH
P-1 K-I
Cal/6 Mg%
n rr, n R9
6 9 68 2.2 5.4
25 29
41 26
orth Carol na
ski ''"''•.`' r
Iollx"au j rsi;; 1=Uisi.l'ivChitislo5:aitr��
Report No. r "46-SL001721
Advisor:
Links to Helpful Information
NUUMIILA- kIWI AC)
-
•••--•—
K20
Mg
S
Mn
Zn
Cu
B
Information
60
0
0
pH$
0
0
0
Note: 12 Note:
60
0
0
pH$
0
0
0
Not 12 Note:
Soil Class:
Mineral
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na
ESP
SS4 NO3-N
31
299
185
185
141
141
100
0.2
2
Nutrients (lb/acre)
More
K20
Mg
S .
Mn
Zn
Cu
B
Information
80
0
0
0
0
0
0
Note:12
80
0
0
0
0
0
0
Note:12
Soil Class:
Mineral
S-1
Mn-1
Mn-All
Mn-AI?_
Zn-I
Zn-AI
Cu-I
Na
ESP
SS-1 N034
29
263
175
175
99
99
64
0.1
1
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

Report Number
15-208-0522 Page: 1 of 1
Account Number
08155
Send To: SYNAGRO CENTRAL/W STANLY
WAYNE_ BRADY
12701 LANCASTER HWY
PINEVILLE , NC 28134
Client: NC-ST-161WEST STANLY
O. KEMP MORGAN
Lab No Sample ID
Sample Date and Time
24883 01
OiLl A&L Eastern Laboratories, Inc.
7621 Whltepine Road Richmond, Virginia 23237 [phone] Fax [phone]
www.alea6tern.cam
REPORT OF ANALYSIS
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
ppm
< 0.400 3.76
Method Reference:
Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Soil Sci. Plant Anal. 25:1409-1416.
USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current
Revision
Submitted By: DREW CULP
Purchase Order:
Report: Date: 8/5/2015
Date Received : 7/27/2015
porif- m` 60wr
Pauric McGroary

Report Number
15-209-0505 Page: 1 of 1
Account Number
08155
Send To: SYNAGRO CENTRAL/W STANLY
WAYNE BRADY
12701 LANCASTER HWY
PINEVILLE , NC 28134
Client: NC-ST 161WEST STANLY
O. KEMP MORGAN (PERMITTNG)
Lab No Sample ID
Sample Date and Time
25066 02
A&L Eastern Laboratories, Inc.
7621 Whltepine Road Richmond, Virginia 23237 [phone] Fax (004) 27"446
m,
wwwaleastem.co n
REPORT OF ANALYSIS
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
ppm
< 0.400 1.33
Submitted By: DREW CULP
Purchase Order:
Report Date: 8/5/2015
Date Received : 7/28/2015
f
Method Reference:
Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Soil Sci. Plant Anal. 25:1409-1416.
USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current
Revision
pofic- A 1�1
Pauric McGroary

SYNAGRO WESTERN PIEDMONT RLAP
WQ#0016247
SOIL SCIENTIST CERTIFICATION
This is to certify that soil and site evaluations (listed below) were conducted on the
proposed application sites for the Synagro Western Piedmont RL AP. The
evaluations consisted of hand auger borings and descriptions of the soils on the
application sites; collection of soil fertility samples using standard soil sampling
methods; location of property lines, residences, wells, and surface water features;
identification of required buffer areas, and generation of application area maps.
All hand auger borings included in this package were either performed by me or
under my direct supervision.
ST-01: fields 5-7
ST-15 o fields 1-2
ST-16: Melds 1-2

SYN.AGRO
SOIL DESCRIPTION SHEET"
Project: em,.o� e�
Site: f Field:
Acres (gross): Acres (net):
A Residuals Management Company
Landowner: r��n�E'l'��tr�.�E
Sample Slope:
Crop: &LBJ e8geg'
SOIL.
PROFILE
DESCRIPTIONS
Horizon
Depffi
Texture
Color
Structure Mottles
PROFILE A �11P
-7.,(-Xry e &
Depth to SHWT: ' ' i
Depth & type of restrictive layer:
Soil Series:
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
a I a Q Ze. P V - P /® d� � ,-b) ® <,& °, P-1
Described By:
Legend
Texture Structure Grade
s Sand 1 Weak
I Loam 2 Moderate
si Silt 3 Strong
c Clay
Date:
Structure Type
gr
Granular
abk
Angular Blocky
pl
Platy
sbk
Subangular Blocky
pr
Prismatic
sg
Single Grained
cpr
Columnar
m
Massive

SOIL DESCRIPTION SHEET
Project: Ld ",,f �L
SYNAG
A Residuals Management Company
Landowner: 6.
Site: �l - a I Field: Sample #: Slope: Z-
Acres (gross): Acres (net): Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color
Structure Mottles
PROFILE i4rr
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series: 4MA4n
Horizon Depth Texture Color
Structure Mottles
PROFILE R
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By: Date: , . a
Legend
Texture Structure Grade Structure Type
s Sand 1 Weak gr Granular abk Angular Blocky
I Loam 2 Moderate p1 Platy sbk Subangular Blocky
si Silt 3 Strong pr Prismatic sg Single Grained
c Clay cpr Columnar m Massive

SYNAGP�O
SOIL DESCRIPTION SHEET A Residuals Management Company
Project: I rplmgf Landowner: !AhA 6a,
Site: Field:% Sample #: Slope:
Acres (gross): Acres (suet): Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth
Texture
Color Structure Mottles
PROFILE A�
"
e
SQ-Sa
a&,
I
Depth to SHWT:
Depth & type of restrictive
layer:
Soil Series: 1' a d
Horizon Depth Texture Color Structure Mottles
PROFILE E
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By:
Legend
e
Date: 7 , P 4 f
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

Site: NC'5,1-s Oq
rnlnr
Date �1,75hq
Structure Mottles
Ell
®
PUT M
Dominant Series Series in Field: 4ugmzmw Lu3v,&,F Kelf QN44Ae i �pJf 1)4
Depth to SHWT: a.6 f` 1
Depth to Restrictive Layer: a j
Site: HOC-5T-4o5' Date
rnlnr Strurture Mottles
AO
2.
' YK M
ilk,
i�
'fa- 16
JM
�.
Dominant Series in Field: f, �6 � 50MIrar
Depth to SHWT: 1/6f
Depth to Restrictive Layer:��
Site: JVC -$'r- 0& Date
tj--.*_-- r%--+&. Tnv+„rn rnlnr Structure Mottles
ChoCf
D,✓�
Siil�
®
�
ILL ll .',, !
Im" Will
P/I MP
Dominant Series in Field: kvulftlw L.%Pull-j
Depth to SHWT:
Depth to Restrictive Layer:
Edward Stephens ##1331
ag,nnQrI
c. A,%*IAC V-S

Site: NC -Sr - 07
iV -r-..4... r-Inr
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Depth to SHWT: V-
Depth to Restrictive Layer:
Site: Date
U—A— r'tmr%+k Tayfiirp rninr Structure Mottles
Dominant Series in Field:
Depth to SHWT:
Depth to Restrictive Layer:
Site: Date
Dominant Series in Field:
Depth to SHWT:
Depth to Restrictive Layer:
Edward Stephens #1331
I

SOIL DESCRIPTION SHEET
SYNAGNO
1-000 -
A Residuals Management Company
Project:
Landowner -
Sits: <
Field:
Sample #:
S9Gpe:
Acres (gross): -
Acres (not):
- Crop:
Lwnfa
SOIL
PROFILE
DESCRIPTIONS
Florizon
Depth
Texture
Color
Structure bottles
PROFILE A Jp
-7
2,MeA
ofg4/f
Depth to SHWT: ae
Depth & type of restrictive layer:
Soil Series:
Horizon Depth Texture C010F Structure Mottles
PROFILE B
Depth to SHWT,
Depth & type of restrictive layer:
SoU Series:
Described By:
Legend
10 17 t q 0�
VAA- , A 0 e,,,
Date: 16 46"fo
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I Loam
2 Moderate
P1
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive
M.

SYNAGR
SOIL DESCRIPTION SHEET
A Residuals Management Company
Project: e
Landowner:`
Site:
Field:
Sample #:
Slope:
Acres (gross):
Acres (net):
Crop: a,
SOIL
PROFILE
DESCRIPTIONS
Horizon
Depth
Texture
Color
Structure Mottles
PROFILE A
'
q
Depth to SHVVT:®
Depth & type of restrictive layer:
Soil Series: RANA
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHVVT:
Depth & type of restrictive layer:
Soil Series:
(Votes:
Described By:
Legend
Date: v -?P- 6 ¢ f
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

N1)
SYNAGRO
SOIL DESCRIPTION SHEET
Project:
Site: a Field:
Acres (gross): nacres (net):
A Residuals Management Company
Landowner:
Sample #: Slope: Z
Crop: �I-V
SOIL PROFILE DESCRIPTIONS
Horizon
Depth
Texture
Color
PROFILE A
040
a-
I .
�_
r
Depth to SHWT: 721
Depth & type of restrictive layer:
Soil Series: a
Horizon
PROFILE B
Structure
Mottles
J
Depth Texture Color Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: 7s�1/ ��BF
Described By: Date: ti
Legend
Texture Structure Grade Structure Type
s Sand 1 Weak gr Granular abk Angular Blocky
I Loam 2 Moderate pl Platy sbk Subangular Blocky
si Silt 3 Strong pr Prismatic sg Single Grained
c Clay cpr Columnar m Massive

SOIL DESCRIPTION SHEET
Project: 0 L 1,6. C-D a otj
�0111/
SYNAGR
A Residuals Management Company
Landowner: __ l
�� x
Site: n - 4
Field:
Sample #:
Slope: 2—
Acres (gross):
Acres (net):
Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth
Texture Color
Structure Mottles
PROFILE A �a
fir. RvG
c^ (l
,y��dqo
z Ja w? g914
Depth to SHWT:
0
Depth & type of restrictive layer: q 1�
Soil Series:
Horizon Depth
Texture Color
Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: �
�� z�` i � ��A ? �;
�
� � � � �n &_
,
e
Described By: � �'
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Date: .—
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
Angular Blocky
I Loam
2 Moderate
pl
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

HCDENR
North Carolina Department of Environment and Natural Resources
F ., ,,.;Crory
Governor
April 24, 201-5
Mr. Marshall Puryear — Manager
Synagro Central, LLC
284 Boger Road
Mocksville, NC 27028
Subject: Attachment A Certification
Permit No. WQ0016247
Synagro Western Piedmont RLAP
Alexander County
Dear Mr. Puryear:
Donald R. Van der Vaart
Secretary
In accordance with your permit modification request received April 10, 2015, we are forwarding
herewith modified Attachment A, certified April 24, 2015, to Synagro Central, LLC for the subject
residuals program.
This certification is being issued to modify Attachment A by: Addition of 300 dry tons per year
from the West Stanly WWTP in Stanly County.
This modified Attachment A shall be effective from the date of certification until February 28,
2018 (i.e. expiration date of the current permit); shall void Attachment A of Permit No. WQ0016247 that
was previously certified on March 27, 2009, and shall be subject to the conditions and limitations as
specified therein and well as those specified in the above -referenced permit. Please replace the
Attachment A of Permit No. WQ0016247 issued on March 27, 2009, with this modified Attachment A.
Please note that only the maps for any new residuals -generating sources and/or land application
sites are attached to this letter. It is the Permittee's responsibility to ensure that a complete permit is'
created by inserting these documents into the previously issued permit:
_If any parts, requirements, and/or limitations contained in this certification or modified
Attachment A are unacceptable, you have the right to request an adjudicatory hearing upon written
request within 30 days following receipt of the certification. This request shall be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of
Administrative Hearings at 6714 Mail Service Center,.Raleigh, North Carolina 27699-6714. Unless such
demands are made, this permit shall be final and binding.
If you need any additional information concerning this matter, please contact Troy Doby at (919)
807-6336 or [e-mail].
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: htto://portal.ncdenr.orglwe4M
An Equal Opportunity 1 Affirmative Action Employer— Made in part with recycled paper

Mr. Marshall Puryear
April 24, 2015
Page 2 of 2
Sincerely,
S. J Zimmerman, Director
Division of Water Resources
cc: Alexander County Health Department (Electronic Copy)
Iredell County Health Department (Electronic Copy)
Mooresville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Beth Buffington — Protection and Enforcement Branch (Electronic Copy)
Centrals Files
Digital Permit Archive (Electronic Copy)

-ly Eaves Perdue
Governor
"AF'iPrAA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
March 27, 2009
TODD SHEARIN, TECHNICAL SERVICES DIRECTOR
SYNAGRO-WWT, INC
284 BOGER ROAD
MOCKSVILLE, NORTH CAROLINA 27028
Dear Mr.Shearin:
RECEIVED
A- PR 15 2009
a.
Subject: Permit No. WQ0016247
Synagro-WWT, Inc
City of Statesville Residuals Land
Application Program
Third Creek WWTP
Iredell County
Dee Freeman
Secretary
In accordance with your permit renewal request received December 29, 2008, we are forwarding
herewith Permit No. WQ0016247, dated March 27, 2009, to Synagro-WWT, Inc for the continued
operation of the subject land application of residuals solids. program. Site NC-IR-28 which contained
51.2 acres is not being renewed in this permit. Also, there are some minor acreage increases because of
the 100 foot compliance boundary being used.
This permit shall be effective from the date of issuance until February 28, 2014, shall void Permit
No. WQ0016247 issued June 18, 2004, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements in this permit. Failure to establish
an adequate system for collecting and maintaining the required operational information will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding.
Please note that on September 1, 2006 State Administrative Code 15A NCAC Subchapter 02T —
Waste not Discharged to Surface Water was adopted. This permit incorporates the requirement of these
rules. Remember to take the time to review this permit thoroughly, as some of the conditions
contained therein may have been added, changed, or deleted from those in previously issued permits.
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-674t3
Internet: www.nmaterouality.ong
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
NathlrallY

1V11. L711Ga1ll1
March 27, 2009
Page 2 of 2
If you need additional information concerning this matter, please contact Alice M. Wessner at
[phone] or [e-mail].
Sincerely,
i
-�-Coleen H. Sullins
cc: Iredell County Health Department
Mooresville Regional Office, Aquifer Protection Section
APS Central Files
LAU Files.

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
1s CJ
LAND APPLICATION OF RESIDUAL SOLIDS PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Synagro-WWT, Inc.
Iredell County
FOR THE
continued operation of a residuals land application program for the City of Statesville and consisting of the
land application of residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A to the land application sites listed in the most recently -certified
Attachment B with no discharge of wastes to surface waters, pursuant to the permit renewal application
package received on December 29, 2008 and in conformity with the project plan, specifications, and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until February 28, 2014, shall void Permit
No. WQ0016247 issued June 18, 2004, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES (please review the entire permit for reporting monitoring and other on -going activitiesl
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period
of time and under such conditions and limitations as it may deem appropriate. Please note that Rule
15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
iI. PERI<'ORPA,ANCE STANDARDS
1. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface waters or groundwater resulting from the operation of this residuals land application program
WQ0016247 Version 3.0 Shell Version 090204 Page 1 of 14

2. No residuals other than those generated by the residuals source -generating facilities listed in the
most recently -certified Attachment A of this permit shall be approved for land application in
accordance with this permit.
3. Only the land application sites listed in the most recently certified Attachment B of this permit are
approved for residuals land application. A permit modification application is required for any new
land application sites to be added to Attachment B.
4. The pollutant concentrations in any residuals that are land applied to any land application site shall
not exceed the following Ceiling Concentrations (i.e., dry weight basis):
Parameter
Ceiling Concentration
(milligrams per kilogram)
Arsenic
75
Cadmium
85
Copper
4,300
Lead
840
Mercury
57
Molybdenum
75
Nickel
420
Selenium
100
Zinc
7,500
5. The pollutant loading rates on any land application site shall not exceed the following Cumulative
Pollutant Loading Rates (CPLRs):
Parameter
CPLR
(pounds per acre)
Arsenic
36
Cadmium
34
Copper
1,338
Lead
267
Mercury
15
Molybdenum
n/a
Nickel
374
Selenium
89
Zinc
2,498
The Permittee shall determine compliance with the cumulative pollutant loading rates using one of
the following methods:
a. Use site specific analytical data from all historical land application events not
otherwise exempted.
b. For land on which land application events of residuals has not occurred or for which
the data is incomplete, use background concentrations through representative sampling
WQ0016247 Version 3.0 Shell Version 090204 Page 2 of 14

6. When residuals are land applied under the conditions of this permit, the Class B pathogen reduction
requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction requirements
in 15A NCAC 02T .1107 (a) shall be met. Additionally, an evaluation shall be performed that
demonstrates the residuals' ability to comply with this requirement. Upon request,. a copy of this
evaluation, including all test results and calculations, shall be submitted. Only residuals that are
generated by the residuals source -generating facilities that are identified as being exempt from this
condition in the most recently -certified Attachment A shall not, be required to comply with the
specified pathogen reduction and vector attraction reduction requirements.
7. The facilities permitted herein must be constructed and maintained according to the following
setbacks.
a. For residuals treatment and storage facilities, the following minimum setbacks shall be maintained
(all distances in feet):
Description of Setback
Setback
i. Habitable residence or place of public assembly under separate ownership or not
to be maintained as part of the project site
100
ii. Property lines
50
iii. Private or public water supply
100
iv. Surface waters (streams — intermittent and perennial, perennial waterbodies,
and wetlands)
50
v. Wells with exception to monitoring wells
100
b. When land applying residuals to any land application site, the following setbacks shall be
maintained (all distances in feet):
Setback by type of application
Surface
Surface
Application
Application
by
Injection /
Description of Setback
by Vehicle'
Irrigation'
Incorporationa
i. Habitable residence or place of public assembly
under separate ownership or not to be
maintained as part of the project site
400
400
200
ii. Habitable residence or places of public assembly
owned by the permittee, the owner of the land,.
or the lessee/operator of the land to be
maintained as part of the project site
0
200
0
iii. Property lines
50
150
50
iv. Public right of way
50
50
50
v. Private or public water supply
100
100
100
vi. Surface Waters (streams — intermittent and
perennial, perennial waterbodies, and wetlands)
100
100
50
aexcept where a setback waiver agreement was signed to allow for the land application of residuals within, 100
feet of a habitable residence or places of public assembly under separate ownership as specified in Attachment
B.
Specific residuals land application area boundaries shall be clearly marked on each land application
site prior to and during a residuals land application event.
WQ0016247 Version 3.0 ' Shell Version 090204 Page 3 of 14

9. Residuals and other sources of Plant Available Nitrogen (PAN) shall be land applied to all land
application sites at or below agronomic rates. Appropriate agronomic rates shall be calculated using
expected nitrogen requirements based on the Realistic Yield Expectations (RYE) for each approved
land application site. Realistic Yield Expectations for crop types and specific fields or soils types
shall be determined by using any of the following methods:
a. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department of Soil Science. The Department webpage is located at:
http://nutiients.soil.ncsu.edu/yields!
b. Site Specific Historical Data for crop types on specific fields or soil types by calculating the
mean of the best three yields of the last five consecutive crop harvests for each field.
c. If the RYE cannot be determined using methods 9(a) or (b) above, RYE can be established
from specially developed soil interpretation records for Nutrient Management Planning, Farm
Service Agency Records, university trials, or inference from crop performance on soil with
very similar physical and chemical features.
d. Realistic Yields .Expectations and acceptable nitrogen application rates that ,use the above
methodology are required parts of many agricultural planning documents. The Permittee may
use the RYE and appropriate agronomic rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by Senate Bill 1217 Interagency Group- Guidance
Document: Chapter 1. Guidance for the completion of the plan can be found at:
httv://www.enr.state.nc.us/DSWC/paaes/guidance docs.html.
iii. Certified Nutrient Management Plan as outlined by Natural Resources Conservation
Services (MRCS): These plans must meet the USDA-NRCS 590 Nutrient Management
Standards, which are available at:
ftp://ftp-fc.sc.egov.usda.gov/NHO/practice-standards/standards/590.pdf.
e. For any crop type for which the RYE and appropriate nitrogen application rate cannot be
determined, the Permittee shall contact the Division to determine necessary action.
10. If the land application sites are to be overseeded or doublecropped (e.g., bermuda grass in the
summer and rye grass in the winter with BOTH crops to receive residuals or corn and small grain
both to receive residuals), then the second crop shall receive an application of PAN at a rate of no
greater than 50 pounds per acre per year. This practice shall be allowed as long as the second crop is
to be harvested. If the second crop is to be planted for erosion control only and is to be tilled into the
soil, then no residuals shall be land applied to these sites because the PAN will essentially be
returned to the soil.
Prior to application of PAN to permitted sites at rates exceeding the agronomic rate, the Permittee
must submit and receive approval by the Division.
WQ0016247 Version 3.0 Shell Version 090204 . Page 4 of 14

11. Should any of the residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A of this permit contain a high salt content (i.e., high sodium
adsorption ratio (SAR) of ten (10) or higher), the Permittee shall obtain and implement
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 other agronomist regarding sodium application rate, soil amendments (e.g., gypsum,
etc.) or other ameliorative mechanism for maintaining the integrity of the site in terms of suitability
for land application of residuals and maintaining conditions conducive to crop growth. The
Permittee shall maintain written records of each monitoring event that includes details of the sites
covered and rate of soil amendment application.
12. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The Compliance
Boundary for each land application site is established at either 250 feet from the residuals land
application area or 50 feet within the property boundary, whichever is closest to the residuals land
application area. Per 15A NCAC 2T .0105(h), upon the request by the Permittee the Compliance
Boundary may be located closer to the waste disposal area (provided the groundwater standards can
be met at the newly established Compliance Boundary). Any approved relocation of the
COMPLIANCE BOUNDARY will be noted in the most recently -certified Attachment B of this
permit. An exceedance of Groundwater Standards at or beyond the Compliance Boundary is subject
to remediation action according to 15A NCAC 2L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
13. The REVIEW BOUNDARY shall be established around each land application site midway between
the Compliance Boundary and the perimeter of the residuals land application area. Any exceedance
of Groundwater Quality Standards at the Review Boundary shall require action in accordance with
15A NCAC 2L .0106 (d)(1).
14. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be
notified at least 24 hours prior to the initial residuals land application event to any new land
application site. In addition, the appropriate county manager's office shall be notified prior to the
initial residuals land application event on any new site so that they will be aware that residuals land
application activities have commenced on the site.
15. The Aquifer Protection Section of the appropriate Division's regional office shall be notified at least
24 hours prior to the initial residuals land application event on any new land application site. Such
notification to the Regional Aquifer Protection Supervisor shall be made during normal office hours
(i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding State Holidays. A
list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at http://miv�A!.enr.state.nc.us/htnil/re2ionaloffices.litml.
III. OPERATION AND MAINTENANCE REQUIltEMENTS
The residuals land application program shall be effectively maintained and operated at all tunes as a
non -discharge system to prevent the discharge of any wastes resulting from the operation of this
program.
WQ0016247 Version 3.0 Shell Version 090204 Page 5 of 14

2. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T .1110 including operational functions, maintenance schedules, inspection plan,
sampling and monitoring plan, safety measures, and a spill response plan. The inspection portion of
the plan shall include the following information:
a. Names of personal responsible for conducting the inspections
b. Description of inspection plan describing how the frequency of inspections and location of
inspections are determined to assure that inspections are representative of land application
program.
c. Description of record keeping requirements meeting requirements of permit Conditions IV.9.
d. Description of required actions meeting the requirements of permit.Condition IV. 11 to be taken
by the inspector in the event that noncompliance is observedduring an inspection.
The. sampling and monitoring portion of the plan shall include the following information:
e. Names and position of personnel responsible for conducting the sampling and monitoring;
f. Required sampling frequency specified in Attachment B of the permit;
g. Description of sampling and monitoring procedures to gather representative sampling for each
sampling period. Note that fluctuation in temperature, flow, and other operating conditions can
affect the quality of the residuals. The sampling plan must account for any foreseen fluctuations
in compost residuals quality, and indicate sampling times accordingly to ensure compliance
during the most limiting times (e.g. small facilities that apply multiple times per year, but have
an annual sampling frequency may need to sample and document compliance. with the pathogen
reduction requirements during winter months when pathogen reduction is most likely to be
negatively affected by cold temperatures).
Any modification to the O&M Plan shall be approved by the Division. The most recent O&M Plan
shall be submitted to the Mooresville Regional Office for review and approval.
3. In the event that the residuals land application program is not operated satisfactorily, including the
creation of nuisance conditions due to improper operation and maintenance, the Permittee shall cease
land applying residuals to the site, contact the Aquifer Protection Section of the appropriate Division
of Water Quality's (Division) regional office, and take any immediate corrective actions as may be
required by the Division.
4. Upon classification of the residuals land application program by the Water Pollution Control System
Operators Certification Commission (WPCSOCC), the Permittee shall designate a certified land
application/residuals operator to be in responsible charge (ORC) of the program. The operator shall
hold a certificate of the type classification assigned to the program by the WPCSOCC. The
Permittee shall also designate a certified back-up operator of the appropriate type to comply with the
conditions of 15A NCAC 8G .0201.
This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals or the application causes contravention of surface water or groundwater standards and may
be revoked unless the land application sites are maintained and operated in a manner that will protect
the assigned water quality standards of the surface waters and groundwater.
A copy of this permit shall be maintained in all manned equipment at the land application sites when
residuals are being land applied during the life of this permit. The spill prevention and control plan
shall be maintained in all residuals transport and application vehicles.
WQ0016247 Version 3.0 Shell Version 090204 Page 6 of 14

7
I
10
11
Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying
residuals from the land application sites onto adjacent properties or into any surface waters.
Adequate procedures shall be provided to prevent surface runoff from carrying any land applied or
stored residuals into any surface waters.
No residuals shall be stored at any land application site at any time, unless written approval has first
been requested and obtained from the Division.
Bulk residuals shall not be applied to the land under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen, or snow-covered or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation unless the bulk residuals are injected or incorporated within
a 24-hour period following the residuals land application event;
f. During a measurable precipitation event (i.e., >.01" per hour) or within 24 hours following a
rainfall event of 0.5 inches or greater in a 24-hour period. Any emergency residuals land
application measures shall first be approved in writing by the Division;
g. If the slope for land is greater than 10 percent when bulk liquid residuals are surface applied, and
if the slope of the land is greater then 18 percent with bulk liquid residuals are injected or
incorporated;
h. If the pH is not maintained in the soil, residuals, and lime mixture, greater than 6.0, on land
application sites onto which residuals are applied. Residuals may be applied to the sites
provided that sufficient amounts of lime is also applied to achieve a final pH of the soil mixture
of at least 6.0, or if an agronomist provides information indicating that the pH of the soil,
residuals, and lime mixture is suited for the specified crop type. Any approved variations to the
acceptable soil pH (6.0) for land application will be noted in the most recently certified
Attachment B of this permit.
i. If the land does not have an established vegetative cover in accordance with the crop
management plan outlined by the local Cooperative Extension Office, the Department of
Agriculture and Consumer Services, the Natural Resource Conservation Service, or other
agronomist unless the bulk residuals are incorporated within a 24-hour period following the
residuals land application event or injected (This requirement does not apply to no -till
fields);
j. If the vertical separation of the seasonal high water table and the depth of residuals application is
less than one foot;
k. If the vertical separation of the depth to bedrock and the depth of residuals application is less
than one foot;
For land onto which bulk residual that do not meet the Class A Pathogen Reduction Requirements
(15ANCAC 02T .1106(b)), the following public access restrictions apply:
WQ0016247 Version 3.0 Shell Version 090204 Page 7 of 14

a. Public access to public contact sites shall be restricted for one calendar year after any residuals
land application event. Such controls may include the posting of signs indicating the activities
conducted at each site;
b. Public access to land that is not a public contact site shall be restricted for 30 days after any
residuals land application event. Such controls may include the posting of signs indicating the
activities conducted at -each site.
12. For land onto which bulk residual that do not meet the Class A pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following harvesting and grazing restrictions apply:
a. Animals shall not be allowed to graze on land application sites for 30 days after any residuals
land application event. Sites that are to be used for grazing shall have fencing that will be used
to prevent access after each event;
b. Food crops, feed crops, and fiber crops shall not be harvested for 30 days after any residuals land
application event;
c. Food crops with harvested parts that touch the residual/soil mixture and are totally above the
land surface (e.g., .tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14
months after any residuals land application event;
d. Food crops with harvested parts below the surface of the land (i.e., root crops such as potatoes,
carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application
event when the residuals remain on the land surface for four months or longer prior to
incorporation into the soil;
e. Food crops with harvested parts below the surface of the land shall not be harvested for 38
months after any residuals land application event when the residuals remain on the land surface
for less than four months prior to incorporation into the soil;
f. Turf grown on land where residuals are applied shall not be harvested for 12 months after any.
residuals land application event.
13. This permit shall become voidable unless the agreements between the Permittee and the landowners
and lessees or operators of any land application sites listed in the most recently -certified Attachment
B of this permit not owned.by the Permittee are in fall force and in effect. These agreements shall
be considered expired concurrent with the expiration date of the permit and shall be renewed at the
same time the permit is renewed.
14. Upon entering an agreement with landowners to apply residuals to a land application site, the
Permittee shall require of the landowner or lessee/operator a statement detailing the volume of
nutrient sources (waste residuals, manufactured fertilizers, manures, or other animal waste products)
other than the residuals to be applied by the Permittee, that have been applied to the land, and a copy
of the most recent Nutrient Management Plan (NMP), if available, for the fields within the
agreement. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste
Utilization Plan (WUP) or Certified Nutrient Management Plan (CLAMP) shall also be
considered a Nutrient Management Plan.
The NMPs must be provided only for those operations where a NMP is required by the US
Department of Agriculture — National Resources Conservation Service (NRCS) or other State
Agencies. The Permittee shall rely on the provided information to calculate appropriate reductions
in allowable nutrient loading rates. If the calculation shows that the agronomic rates in the NMP
(including PAN) have already been met or exceeded on a field, no additional residuals shall be land
applied to that field.
WQ0016247 Version 3.0 Shell Version 090204 Page 8 of 14

IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue analyses)
deemed necessary by the Division to ensure protection of the environment shall be established, and
an acceptable sampling and reporting schedule shall be followed.
2. Residuals generated by each residuals source -generating facility listed in the most -recently -certified
Attachment A of this permit shall be analyzed to demonstrate that they are non -hazardous under the
Resource Conservation and Recovery Act (RCRA). A corrosivity, ignitability, and reactivity
analysis as well as a Toxicity Characteristics Leaching Procedure (TCLP) analysis shall be
conducted on residuals generated by each residuals source -generating facility listed in the most
recently -certified Attachment A of this permit.' The analyses shall be performed at the frequency
specified in the most recently -certified Attachment A of this permit, and the results shall be
maintained on file by the Permittee for a minimum of five years.
If residuals generated by a particular residuals source -generating facility are insufficient to require a
land application events during a required sampling period as specified in the most recently -certified
Attachment A of this permit (e.g. no land application occur during an entire year when annual
monitoring is required), no sampling data is required during the period of inactivity. The Permittee
shall submit an annual report, as required in condition IV. 10., even in the event that no land
application events occur during an entire year; the annual report shall include an explanation for
missing sampling data.
The TCLP analysis shall include the following parameters (i.e., note the regulatory level in
milligrams per liter in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Bdnzene (0.5)
1,1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008)
Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
An analysis shall be conducted on residuals generated by each residual source -generating facility
listed in the most recently certified Attachment A of this permit. The analysis shall be performed at
the frequency specified in the most recently certified Attachment A of this permit, and the results
shall be maintained on file by the Permittee for a minimum of five years. The analysis shall include,
but shall not necessarily be limited to, the following parameters:
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Magnesium pH
Mercury Plant Available Nitrogen
(by calculation)
Molybdenum Selenium
Nickel Sodium
WQ0016247 Version 3.0 Shell Version 090204 Page 9 of 14

Calcium
Copper
Lead
Sodium Adsorption Ratio
(SAR)
Nitrate -Nitrite Nitrogen
Phosphorus
Potassium
% Total Solids
TKN
Zinc
If residuals generated by a particular residuals source -generating facility are insufficient to require a
land application events during a required sampling period as specified in the most recently -certified
Attachment A of this permit, the Permittee shall make up the missed sampling either by taking
additional samples during land application events previous to a planned period of inactivity or by
taking additional samples during land application events immediately following the period of
inactivity. If no land application events occur during a complete calendar year, the Permittee need
not make up the missed sampling events for that year. The Permittee shall submit an annual report,
as required in condition IV. 10., even in the event that no land application events occur during an
entire year; the annual report shall include an explanation of additional sampling data intended to
compensate for periods of inactivity, or an explanation for missing sampling data
4. Residuals generated by each residuals source -generating facility listed in the most recently -certified
Attachment A of this permit shall be monitored for compliance with Condition H. 6. The monitoring
shall be performed at the frequency specified in the most recently -certified Attachment- A of this
permit, and data to verify pathogen and vector attraction reduction of the residuals shall be
maintained on file by the Permittee for a minimum of five years. The required data shall be specific
to the stabilization process utilized, but also shall be sufficient to demonstrate clear compliance with
the Class A pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (b) or the Class B
pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction
reduction requirements in 15A NCAC 02T .1107 (a) shall be met. In addition, the Environmental
Protection Agency (EPA) certification statements concerning compliance with pathogen reduction
requirements, vector attraction reduction requirements, and management practices shall be
completed at the frequency specified in the most recently -certified Attachment A of this permit by
the proper authority or authorities, if more than one is involved (i.e., either the person who prepares
the residuals, -the person who derives the material, or the person who applies the residuals). Only
residuals that are generated by the residuals source -generating facilities that are identified as being
exempt from Condition H. 6. in the most recently -certified Attachment A of this permit shall not be
required to comply with this monitoring requirement.
5. A representative annual soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site on which a residuals land application event in the respective calendar year
has occurred or is to occur, and the results shall be maintained on file by the Permittee for a
minimum of five years. The Standard Soil Fertility Analysis shall include, but is not necessarily
limited to, the following parameters:
Acidity Exchangeable Sodium Percentage (by calculation)
Calcium Magnesium Phosphorus
Cation Exchange Capacity Manganese Potassium
Copper Percent Humic Matter Sodium
Base Saturation (by calculation) pH Zinc
Laboratory analyses of parameters as required by Condition IV. 1., Condition IV. 2., Condition IV.
3., and Condition IV. 4. shall be performed/gathered on the residuals as they are to be land applied.
WQ0016247 Version 10 Shell Version 090204 Page 10 of 14

7. Laboratory analyses of parameters as required by Condition IV. I., Condition IV. 2., Condition IV.
3., Condition IV. 4., and Condition IV. 5. shall be in accordance with 15A NCAC 02B .0505.
8. Proper records shall be maintained by the Permittee tracking all residuals land application events.
These records shall include, but are not necessarily limited to, the following information:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Method of land application;
e. Weather conditions (e.g., sunny, cloudy, raining, etc.);
f. Predominant Soil Mapping Unit (e.g., CbB2);
g. Soil conditions (e.g., dry, wet, frozen, etc.);
h. Type of crop or crops to be grown on field;
i. Nitrogen Application Rate based on RYEs.
j. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, wet
ton per acre, or kilograms per hectare;
k. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre,
wet tons per acre, or kilograms per hectare (if applicable);
1. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, wet tons per acre, or kilograms per hectare (if applicable); and
m. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds
per acre of phosphorus applied to each field.
9. All records required as part of this permit shall be retained a minimum of five years.
10. Three copies of an annual report shall be submitted on or before March 151. The annual report shall
meet the requirements described in the Instructions For Residuals Application Annual Reporting
Forms. The most recent instructions for reporting and annual report forms are available on the Land
Application Unit website at http://h2o.enr.state.nc.us/lau/compliance.html, or can be obtained by
contacting the Land Application Unit directly. The annual report shall be submitted to the following
address:
NCDENR-DWQ
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
11. Noncompliance Notification
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number 704-
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
WQ0016247 Version 3.0 Shell Version 090204 Page 11 of 14

�iA
a. Any occurrence with the land application program .which. results in the land application of
significant amounts of wastes which are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to receiving waters.
c. Any time that self -monitoring information indicates that the facility has gone out of compliance
with the conditions and limitations of this permit or the parameters on which the system was
designed.
d. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate residual treatment.
e. Any spillage or discharge from a vehicle or piping system during transportation of residuals.
For any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure,' etc.) outside normal business hours must be reported to the Division's
Emergency Response personnel at telephone number [phone], [phone], or (919) 733-
3300.
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five (5) days following first knowledge of the occurrence. This report must outline the actions taken
or proposed to be taken to ensure that the problem does not recur.
Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation
of the subject facilities.
2. Prior to each residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport, and application facilities to prevent malfunctions and deterioration,
operator errors, and discharges that may cause or lead to the release of wastes to the environment, a
threat to human health, or a nuisance. The Permittee shall maintain an inspection log or summary
including at least the date and time of inspection, observations made, and any maintenance, repairs,
or corrective actions taken by the Permittee. This log of inspections shall be maintained by the
Permittee for a period of five years from the date of the inspection and shall be made available to the
Division or other permitting authority, upon request.
Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises, or place on or related to the land application
sites or facilities at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records that must be kept under the terms and conditions of this permit; and
may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
This permit shall become voidable unless the residuals land application events are carried out in
accordance with the conditions of this permit, the supporting materials, and in the manner approved
.I
by the Division. i
i
�i
WQ0016247 Version 3.0 Shell Version 090204 Page 12 of 14

2. This permit shall be effective only with -respect to the nature and volume of residuals described in
the application and other supporting data.
3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statutes § 143-
215.6A through § 143-215.6C.
4. The annual administering and compliance fee shall be paid by the Permittee within 30 days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate
action to revoke this permit, as specified by 15 NCAC 2T .0105 (e).
5. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other government agencies (local, state,
and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer
rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC
Chapter 4 and under the Division's General Permit NCGO10000, and any requirements pertaining to
wetlands under 15A NCAC 02B .0200 and 02H .0500.
6. This permit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and
monitoring requirements the Division deems necessary in order to protect the environment and
public health adequately.
7. This permit shall not be automatically transferable. In the event that there is a desire for the
residuals land application program to change ownership or to change the name of the Permittee, a
formal permit request shall be submitted to the Division documentation from the parties involved
and other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved.
Permit issued this the 27th day of March, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
or geenylSullins, Director
givision of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0016247
WQ0016247 Version 3.0 Shell Version 090204 Page 13 of 14

ATTACHMENT A - Approved Residual Sources
1Perndt Dumber: WQ0016247 Version: 3.0
Certification Date: April 24, 2015
Synagro, WWT,1nc. — Synagro Western' Piedmont Residuals Land Application. Program.
Maximum
Monitoring
Monitoring Frequency
Approved
Owner
Facility Name
County
Permit Number
Issued By
Is 503?
Dry Tons
Frequency for
for Condition IV. 3.
Mineralization
Per Year
Condition IV. 2.
and Condition IV. 4.'
Rate
City of Statesville
FourrtWh Creel-,
Iredell
NC0031836
DWQ
Yes
1,055.7
Annually
Quarterly
.30
City of Statesville
Thud Creels W WTP
Iredell
NC0020591
DWQ
Yes
972.9
Annually
. Quarterly
.30
Stanly County
Utilities
West Stanly
WWTp
Stanly
NC0043532
DWQ
Yes
300.0
Annually
Quarterly
30
Total
2,328.E
Twomtoring frequencies are based on the actual dry tons applied per year, unless specified. The Monitoring Frequency Requirements Table below shall be used to
determine appropriate sampling frequency. The Permittee is responsible for managing program to assure that adequate sampling is performed.
MonitorinL Frequencv Requirements
Dry Tons Applied
(short tons -per year)
Monitoring Frequency
(Established in 40 CFR 503 and
15A NCAC 02T .111)
<319
1/Year
=>319 - <1,650
1/ Quarter (4 times per year)
=>1,650 - <16,500
1/60 Days (6 times per year)
=>16,500
1/month (12 times per year)

ATTACHMENT B - APPROVED LAND APPLICATION SIT-L'a
Permit Number: WQ0016247 Version: 3.0
Synagro, WWT, Inc. - City of Statesville Residuals Land Application Program
Certification Date: �.-, - , %2009
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net Acreage
Dominant
Soil Series
NC-AL-13-OIA
Millsaps, Arlene
Millsaps, Danny
Alexander
35052'53"
81001'40"
13.50
Pacolet
NC-AL-13-01 B
Millsaps, Arlene
Millsaps, Danny
Alexander
35052'40"
81007133"
16.00
Cecil
NC-AL-13-02
Millsaps, Danny
Millsaps, Danny
Alexander
35052'48"
81008'06"
16.60
Cecil
NC-AL-l4-01A'
Payne, Timothy L
Alexander
35052'00"
81008,10"
19.20
Rion
NC-AL-14-01 Ba
Payne, Timothy L
Alexander
35052'20"
81007'60"
22.70
Cecil
NC-AL-14-02a
Payne, Timothy L
Alexander
35051'21"
81008'04"
43.40
Rion
NC-AL-14-03a
Payne, Timothy L
Alexander
35051'18"
81008'17"
23.20
Cecil
NC-AL-14-04a
Payne, Timothy L
Alexander
35051'16"
81008131"
10.20
Cecil
NC-AL-14-05a
Payne, Timothy L
Alexander
35050'47"
81008'01"
27.90
Cecil
NC-IR-20-01
Phillips, Dennis
Iredell
35047'51"
80046'34"
11.40
Appling
NC-1R-20-02
Phillips, Dennis
Iredell
35047'51"
80046'20"
13.20
Cecil
NC-IR-20-03
Phillips, Dennis
Iredell
35047'59"
80046'01"
11.60
Cecil
NC-.IR-20-04A
Phillips, Dennis
Iredell
35047'46"
80045'33"
44.20
Cecil
NC-IR-20-04B
Phillips, Dennis
Iredell
35048'20"
80045'39"
11.60.
Cecil
NC-IR-20-06
Phillips, Dennis
Iredell
35048'03"
80046105"
18.60
Helena
NC-IR-20-07
Phillips, Dennis
Iredell
35048'10"
80046'10"
13.90
Helena
NC-IR-20-08
Phillips, Dennis
Iredell
35048'23"
80046'04"
11.20
Appling
WQ0016247 Version 3.0 Attachment B Page I of 2

ATTACHMENT B - APPROVED LAND APPLICATION SITES (continued)
Permit Number: WQ0016247 Version: 3.0
Synagro, WWT, Inc. - City of Statesville Residuals Land Application Program
Certification Date: 03/27/2009
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net Acreage
Dominant
Soil Series
NC-IR-20-09
Phillips, Dennis
Iredell
35048'18"
80045'58"
12.20
Cecil
NC-IR-20-11
Phillips, Dennis
Iredell
35046'36"
80045'50"
41.60
Cecil
NC-IR-20-12
Phillips, Dennis
Iredell
35048'29"
80045'57"
4.00
Cecil
NC-IR-22-01
Robertson, William C
Porter, Eddie
Iredell
35050143"
80044'45"
18.10
Cecil (CFB2)
NC-IR-22-02
Robertson, William C
Porter, Eddie
Iredell
35050'55"
80044'33"
28.90
Cecil (CFB2)
NC-IR-22-03
Robertson, William C
Porter, Eddie
Iredell
35050'56"
80044'47"
15.20
Cecil (CFB2)
NC-IR-22-04
Robertson, William C
Porter, Eddie
Iredell
35050'49"
80044'54"
10.70
Cecil (CFB2)
NC-IR-23-01
Page, Loraine P
Porter, Eddie
Iredell
35050'21"
80043'43"
17.20
Cecil (CFB2)
NC-IR-23-02
Page, Loraine P
Porter, Eddie
Iredell
35050'08"
80043'35"
32.40
Cecil (CFB2)
NC-IR-23-03
Page, Loraine P
Porter, Eddie
Iredell
35050'59"
80043'38"
23.00
Cecil (CFB2)
NC-IR-23-04
Page, Loraine P
Porter, Eddie
Iredell
35050'28"
80043'24"
13.70
Cecil (CFB2)
NC-IR-23-05
Page, Loraine P
Porter, Eddie
Iredell
35050'16"
80043'19"
16.10
Cecil (CFB2)
NC-IR-25-01
Gantt, Boyd
Warren, William R Bob
Iredell
35048'04"
80047'11"
15.80
Cecil 1
NC-IR-29-01
Knox, Mary H
Knox, Ben
Iredell
35043'54"
80045'10"
42.10
Mecklenburg
TOTAL
619.4
"Setback waiver has been granted, reducing the setback requirement to 100 feet from 400 feet for surface application by vehicle and by surface
irrigation and from 200 feet for injection or incorporation.
WQ0016247 Version 3.0 Attachment B Page 2 of 2

April 9, 2015
N.C. Department of Environment and Natural Resources
Water Quality Section
Non -Discharge Permitting Unit —Aquifer Protection Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
ATTENTION: Mr. Jon Risgaard
REFERENCE: APPLICATION FOR MODIFICATION OF PERMIT FOR
SVNAGRO CENTRAL, LLC (W00016240)
Mr. Risgaard:
Synagro Central, LLC is submitting a request to modify land application permit number
WQ0016247. Synagro, as the holder of this permit, is requesting to add the West Stanly
WWTP (NC0043532) owned by Stanly County Utilities. Synagro intends to land apply these
residuals on the currently permitted land, thus no additional land is being requested to be
added at this time.
Synagro is also requesting to change the name on the permit from Synagro-WWT Inc., to
Synagro Central LLC. Synagro would also like to have The City of Statesville Residuals Land
Application Program Third Creek WWTP removed from the permit name.
Synagro is enclosing the permit modification fee of $395.00, as well as one original and two
copies of the permit application as required on form RLAP. Synagro is also including a copy
of the current permit as required on form RLAP.
This application package contains the information necessary to complete the modification
of this permit. However, if you require any additional information or have further questions
about the information presented herein, please contact me at [e-mail] or at
[phone] ext. 317. 1 look forward to working with you to ensure a timely and efficient
review of this application.
Sincerely,
Alxlm��
Marshall Puryear
Technical Services Manager
Synagro Central, LLC
284 Boger Road, Mocksville, NC 27028
Phone: [phone] Fax: [phone] [phone]

DWR.
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 03-15 & 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
supportina documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
http:/1Portal. ncdenr. orghyeb/wg/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 03-15) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 03-15) 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 Enviromnent 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)
$1,310
$395
Minor (land are permitted for < 300 acres)
$810
$245
1 - A major modification shall be defined as any perinit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes
not previously permitted. There is no fee for minor modifications to a permit.
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 (Maybe Required —See 15A NCAC 1 C .0300)
!❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the
residuals treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands
are used for the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 03-15 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.
® Submit the O&M Plan in accordance with 15A NCAC 02T .1110 and include at a minimum:
® 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;
N. 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
.110202). 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)
❑ 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.
INSTRUCTIONS FOR FORM: RLAP 03-15 Page 2 of 3

❑ 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
I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new
sites)
❑ 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.
J. 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.org/web/wq/aps/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.
❑ The design documents must include the following minimum items:
❑ 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.
❑ 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)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy
available at: hap://portal.ncdenr.org/web/wq/aps/lau/policies.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ 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:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 03-15 Page 3 of 3

L;e.
State of forth Carolina
Department of ]Environment and Natural Resources
Division of Water Resources
Division o meter Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 03-15
L APPLICANT INFORMATION:
1. Applicant's name: Synagro Central LLC
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal Q. State ❑ Municipal '❑ County
Signature authority's name per 15A NCAC 02T .0106: Marshall Puryear. Title: Technical Services Manager
Applicant's mailing address: 284 Boger Road
City: Mocksville State: NC Zip: 27028
Telephone number: (336) ; 998 ' 7150 Email Address: mpu ery ar a,synagro.com
2. Consultant's name:: License Number (for P.E.).
Affiliation: ❑ On Staff ❑ Retained (Firm: )
Consultant's mailing address:
City:' State: i Zip: -
Telephone number: (_) _' Email Address:
3. Agronomist's name: Marshall Puryear License Number: 29442
Affiliation: N/A ® On Staff ❑Retained (Firm: i)
Agronomist's mailing address: 284 Boger Road
City: Mocksville State: NC Zip: 27028 1
Telephone number: [phone] Email Address: [e-mail]
4. Soil Scientist's name: Eric Thompson License Number: 1238
Affiliation:''❑ N/A ® On Staff ❑ Retained (Firm: ! )
Soil Scientist's mailing address: 284 Boger Road
City: Mocksville State: NC Zip: 27028-1
Telephone number: [phone] Email Address: [e-mail]
5. Fee submitted: $395 (See Instruction B)
H. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, ❑ renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0016247
Date of most -recently issued permit: 03/27/2009
Date of most -recently certified Attachment A (if different than the permit): 03/27/2009
Date of most -recently certified Attachment B (if different than the permit): 03/27/2009
FORM: RLAP 03-15 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 24939-B Barbees Grove Road
City: Oakboro State: NC Zip: 28129
Coordinates: Latitude: 35' 14' 08.62" Longitude: 800 16' 07.78"
Datum: NAD 83 Level of accuracy: second
Method of measurement: Man
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
Marshall Puryear
Synagro
994465
Back -Up ORC
Eric Thompson
Synagro
29096
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:
4. 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: 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
46.80
49.41
14,041
14,824
Five -Year Maximum Adjusted
70.21
72.82
21,063
21,846
b. Land Application Site Use SumniaiT: 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
Row Crops
100.4
Hay
250
Pasture
264
Total:
Methods
Surface
Incorporation or Inj ection
Total:
619.4
FORM: RLAP 03-15 Page 2 of 5

c. Residuals Land Application Sunin:ary: 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
Application Rate
abs PA1V/ac yr)
Acres Required Using
First -Fear PAN Concentrations
Acres Required Using
Five -Fear Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
280.8
296.5
421.3
436.9
100
140.4
148.2
210.6
218.5
150
93.6
98.8
140.4
145.6
200
70.2
74.1
105.3
109.2
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): ® Non -dedicated '❑ 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;
❑ 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: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
IR
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
z Rui
Land Application Site
Certification. doc
FORM: RLAP 03-15 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ Drip
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:
feet below ground surface. Rules 15A NCAC 02T .0505(p) 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?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified: z
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 ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met: I
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field Zone
Design Area
(ftZ
Number of
Nozzles
Maximum Application
Rate allons/hr)
Design Annual Loading
Rate ( allons/ r)
i
......... _. -
--
Total
-
-
f '4 Y k
W
Plan Sheet
Specification
Spray Irrigation Design Element
Number
Pa a Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ftZ
Nozzle capacity
gpm
..
Nozzle manufacturer / model
Elevation of highest nozzle
ft
.....I...
-. _.__-__...:
FORM: RLAP 03-15 Page 4 of 5

?plicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
-Ljie applicant or any affiliate has not been convicted of an enviromnental 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 No, Explain;
I, Marshall Puryear Technical Services Manager
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Synagro Central LLC
(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, injtmctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Note: In accordance with North Carolina General Statutes §143-215.6A and §143-215.613, any person who knowingly makes any
,e statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Al//
W
Signature: Date: D
FORM: RLAP 03-15 Page 5 of 5

Mate of Forth Carolina
Department of (Environment and Natural Resources
Division of Water Resources
,Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 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 website at:
http: //portal. ncdenr. org/web/wc laps/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 11-13, FORM: DCAR 11-13, or FORM: SDR 11-13).
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 11-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 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.
❑ 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 fi-om a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 11-13 Page 1 of 1

RIESM,,,ILS SOURCE FACILITY SUMMARY
Applicant's name: S�nagro Central LLC
Status Facility Permit Folder Facility Name County Permit Number Maximum Dry Tons Per Year
Code' Current `' Proposed
N Stanly County Utilities West Stanly WWTP Stanly NC0043532 0 300
a Status Code for source facility are: o N (New) o R (Renewed) o M (Modified) o D (Deleted)
v The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 11-13 Page 1

State of North Carolina
DWR
Department of (Environment and Natural Resources
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 11-13
1. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: West Stanley WWTP
2. Facility permit holder is: ❑ Federal, ❑ State, 0 Local Government, or ❑ Private.
Facility permit issued by: ® Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: ! ).
3. Facility contact person and title: Donna Davis Utilities Director
Complete mailing address: 1000 1 s` Street Suite 12
City: Albemarle State: NC Zip: 28001= i
Telephone number: [phone] E-mail address: ddavis =,stanlycoun . nc. -ov
4. Facility physical address: 24939-B Barbees Grove Road
City: Oakboro State: NC Zip: 28129-
Coordinates: Latitude: 35' 14' 08.62" Longitude: 80' 16' 07.78"
Datum: NAD 83 Level of accuracy: second
Method of measurement: map
5. Purpose of the facility:
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: 1 % industrial and % domestic)
❑ other (explain: i , ).
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow: 0.900 MGD and facility average daily flow: 0.494 MGD
8. Average amount of residuals being generated at this facility 200 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 300,000 gallon digester
Type and volume of residuals storage (i.e., outside of residuals treatment units):
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
40 CFR Part 503 or 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
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 11-13 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 0 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 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: 03/11/2015
Passed corrosivity test: N yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: M yes ❑ no. Flashpoint: >200 °F (> 140T)
Passed reactivity test: _E 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 11-13 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: A&L Eastern Labs Inc and Date of analysis: 03/06/2015
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(ing/kg)
Result
(mg/kg)
Arsenic
75
41
6.0
Cadmium
85
39
< 2.0
Copper
4,300
1,500
340
Lead
840
300
23
Mercury
57
17
1.0
Molybdenum
75
n/a
17
Nickel
420
420
22
Selenium
100
100
6.0
Zinc
7,500
2,800
828
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 and Date of analysis: I
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(m9/k9)
Chromium
(mg/kg)
Nickel
(nzg/kg)
[] > 0 but < 25
30
200
210
F] > 25 but < 50
34
220
240
n > 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 11-13 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 1.15 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: A&L eastern Labs Inc and Date of analysis: 03/06/2015
Parameter
Result
(mg/kg)
Aluminum
14500
Ammonia -Nitrogen
2610
Calcium
21600
Magnesium
3730
Nitrate -Nitrite Nitrogen
4100
pH (Standard Unit)
6.60
Phosphorus
18600
Potassium
3780
Sodium
3580
Total Kjeldahl Nitrogen
62600
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.63
[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: 30 %. This
rate is a (check one): ® default value, or [n 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 (1st) Year PAN
Five -Year
Maximum Adjusted PAN
(mg/kg)
(nzg/kg)
Surface
23,402
35,105
Injection/Incorporation
24,707
36,410
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 11-13 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 salnzonella 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 Hehninth Ova.
❑ Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T. 1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, E] heat treatment,
❑ thermophilic aerobic digestion, beta ray irradiation,
_❑ gamma ray irradiation, or H pasteurization.
b. For Land Application of Class B:
jo Alternative 1 [15A NCAC 02T. 1 106(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 E] 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.
El Exempt -If Daily Cover Alternative is chosen in Item I1.8. below [15A NCAC 02T.1106(a)(2)].
0 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).
Alternative 2 [15A NCAC 02T.I 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.1107(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. 1 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(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.I 107(a)(10)] - Incorporation.
❑. Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T. 1 107(b)(2)].
El 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 11-13 Page 5 of 5

SKILL RESPONSE PLAN
PROJECT: SYNAGRO CENTRAL Permit W00016247
iN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPELL CLEAN-UP ACTIVITIES:
The Operations Manager shall take humediate charge and initiate clean-up activities. Synagro labor and equipment is to
be utilized. In the event additional labor and equipment is required, assistance may be requested from the County of
Stanly, the NC Department of Transportation, and other private contractors as necessary. .
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
r nploy front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
ach of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.
6. NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Mooresville regional office of the NCDENR by telephone [phone]) as
soon as possible, but not more than 24 hours after, or on the next working day following the occurrence. The Operations
Manager shall provide a written report within 48 hours of the spill to the Technical Services Director. The report shall list
all relative information and actions taken. Synagro Central personnel will file a written report to the Mooresville Regional
office of the NCDENR within 5 days of the occurrence. For after hours reporting the Division's emergency number shall
6-. called to report all incidences (800-662-7956 or 800-858-0368 or 919-733-3300)

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247
Operational Functions
The operation function of this project is going to involve Synagro preforming the hauling and spreading of the WWTP
liquid. The material will be loaded on to tractor trailers or spreader trucks and hauled to land application sites. It is
going to be spread at agronomic rates that are determined by the nutrient and metal sample that is current for that
monitoring period. The Stanly Co WWTP material is going to be spread with a liquid spreader that will utilize pressure to
spread the material in an even and consistent pattern. The material is going to be land applied on fields that have grass
growing on them that are going to either be grazed or cut for hay for animal feed. Some fields may be in row crop
production and rates will be determined by RYE for the crop that is going to be grown for animal consumption.
SAFETY MEASURES
Synagro believes in operating in a safety conscious manner and has all employees participate in quarterly online safety
courses that are designed to help its employees recognize safety issues and take steps to prevent accidents from
occurring. In addition all Synagro employees have the authority to stop operations if they think any aspect of the
operation is going to cause environmental or personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule as recommended by the Synagro fleet manager for the equipment
!cessary to complete the job.

OPERATIONS ARID MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247 (Synagro Central)
Inspection Plan
Iispections for the land application of residuals will be conducted on a weekly basis at the land application site during the land
application activities of this project. The inspection frequency is based on the time frame that it is going to take to complete the
project and the amount of dry tons to be land applied from this facility. The inspections will consist of inspecting a current field
that is being applied as well as inspecting random fields that have been completed. These inspections will consist of:
1. Verifying that the Pre -Operations Check List has been completed and signed by both Operations and Technical staff.
2. - Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance
plan.
4. Insuring that the field has been flagged properly and that all buffers are being adhered to.
S. Insuring that the Crop and Landowner Verification form has been filled out.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the criteria for land
application.
7. The records will be kept in the project files in the respective office for the project.
8. The Permittee or Inspector shall report by telephone to Mooresville Regional Office at 704-663-1699 as soon as possible
but no later than 24 hours after or the next working day following the occurrence or the first knowledge of the
occurrence of the following.
Any occurrence with the land application program resulting in the land application of significant amounts of
material that is abnormal in quantity or characteristics.
o Any failure of the distribution system that results in the release to surface waters.
m Any time that self -monitoring indicates that the facility has gone out of compliance with the permit.
© Any process failure that results in the system not adequately treating the residuals.
s Any spill or discharge from a vehicle or piping system during residuals transportation.
• Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 1-
800-662-7956, 1-800-858-0368, or 1-919-733-3300. These numbers are to be called in the event of a release to
surface waters or imminent failure of a storage system when the event occurs outside of normal business hours.
• Within 5 days of the first notice of an occurrence a written response in the form of a letter shall be sent to DEN
outlining the actions taken or purposed actions taken to ensure that the problem does not reoccur. Persons
responsible for inspections on this project are as follows:
Eric Thompson Technical Services Specialist or his designee
Eric Thompson is the designated land application ORC for this project and his designees are the backup ORCs for this project.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land application is occurring. This will
result in one round of sampling to occur before land application commences in order to insure that the residuals are
suitable for land application. Based on the dry tonnage of this plant this will be one sample for all parameters per
year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1, 2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1,1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2, 4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachlorethane (3.0)
2,4,5-Trichlorophenol (400.0)
M-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP ( Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
"'`e residuals will also be sampled based on the chart below for the following constituents
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
pH
Plant Available Nitrogen (calculation)
Selenium
Sodium
Total Solids
Total Kjeldahl Nitrogen
Zinc
In order to meet pathogen requirements the material will be sampled for fecals to prove that the residuals have met the
pathogen requirements of the permit. The vector attraction requirements will be meet through the material passing a 30 day
bench scale test. The 30 day bench scale samples will be pulled from the sample port on the piping going to the belt press. The
samples that will be pulled for the TCLP, nutrient and metals sample and the fecal samples to prove that the material is suitable
for land application will be pulled from the final cake material. The nutrient, metal and TCLP sample will be collected randomly
and consist of at least 30 individual samples mixed together in order to get the composite sample for these parameters. This
material is very consistent based on the fact that these residuals are mixed throughout the entire treatment process. The
following people are responsible for sampling:
Eric Thompson Technical Services Specialist /ORC or his designee.

Quantitative Jusfific atio 11 for Residuals Production Rate
Facility:
West Stanly Wastewater Plant
Requested Permitted Rate:
300 dry tons/year
Justification: Synagro is basing the request for 300 dry tons a year based on historically
spreading around 200 dry tons per year. We are requesting 300 dry tons per year to allow for
growth of the area.

ResMuals Sampfgng Man
Stayniy CO Nest Stanly WWTP
Nutrients and Metals Analysis
Sampling Point: Digester
Sampling Frequency: 1 time a year
Sample Type: Composite
Lab: A&L Eastern Agricultural Laboratories, Inc.
Pathogen (Fecal Coliform Density Demonstration)
Sampling Point: Digester
Sampling Frequency: 1 time per year
Sample Type: Grab
Lab: PAR labs
Vector Attraction Reduction
Sampling Points: Lagoon
Sampling Frequency: 1 Time per year
Sample Type: Composte
Lab: PAR Labs
TCLP + RCI
Sampling Point: Lagoon
Sampling Frequency: Annually
Sample Type: Composite
Lab: Summit Environmental Technologies, Inc
6'lza vok .-JI-Et f

R 0 11. Pr- A 0 r. 1.1 P ATE - R r- L- I A B L- r.
-AB0P,A-rC)R'I-ES, INC
M'%VNV.l"Rl AIKCO)l
RE,PORT OF ANALYSES
ALEp., DRU.v CULP
SYNAGRO
!sue AST ER HWY
'PINEVILLE, NC 28134-
PROJEC'i' MAME: jUT-1 14
DA'2-1': 08/29/14
SAMPLE' mar R- '115'i38 SAMPLE TD- OAKi�ORO 50-2'170 2014
DATE SAlJ.LED- 07/31/14
DATE RECEIVED- 07/31/14 SAMPLE-R- DiC
TTME Rl-'s'CEIVED- '1255 DE-1-IMPEl) RY- DC
Page I of 'I
SAMPLE MATRIX- SO
,-PTME SMPT1,ED-- 0830
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
ANIL,,),YS-'.-S METHOD DATE SIRE -B Y RESUF-,T UNITS
30 DAY 13ENCH SCALE TEST Vat 0 8 1/ 01 /14 PE ATTACHE"D
LABORaTOJRY D1 REECTOR,
P.O. Box 4114 83 - Charlotte. \N(' 28241-1483
Phone: [phone] T Vnx: 588-18.335

PROM r'T'`ACCU RA-rT<=• REI..IAOL-!=
I.�iI30A2ATORIES' INC
WWW.PARLABS.CCIM
30 ®ay Bench Scale Extended Aeration Test
Percent Volatile Solids Reduction
E)Ejl,`11 �. 1'1 •tiYL�l..k ,:
S i Itl Hl7 f4O
OAKBORO 50-2170 2014
i:,. ;il -
115130
`-
08/01/14
4jticy El ..._
08/29114
Start: End:
TS
0.2243
0.2251
TS%
1.47%
1.47%
VS
0.1442
0.1430
VS%
64.29%
63.53%
I N
0.00332
yOUT
0,00339959
FSVR (Mass Balance)
-2.41 %
FSVR (Van Kleeck)
3.25%
FSVR (Mass Balance) <15%
YES
FSVR (Van Kleeck) <15%
YES
R0.11ox411483 ® Charlouc, NC 28241-1483
Phone: (704) S88.8333 a Fax: [phone]

rI-AASSORATORIES. INC
www.pariabs.com
Shipping:
2217 Graham Park Drive
Charlotte, NC 28273
CHAIN OF CUSTODY
PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Mailing:
PO Box 411483
Charlotte, NC 28241-1483
It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North
and -Natural Hesources.
j Company Name (billing)
ji SYNAGRO CENTRAL
I Address
12701 LANCASTER HWY
City, State Et zip code
PINEVILLE NC 28134
Point of Contact Et Telephone Number
PRE tv C uLP. To y- S7V - s2 9!
Sample
Taken By:
SIGNATURE
Comments/ Special Instructions
4 t'% ce:l s el
4 �,Plm�J
Blow j 0 .
PRINTED NAME
ARE SAMPLES FOR STATE or EPA REPORTING? YES X NO
"Sample Type: DW WW GWMW HW Soil Other AL
Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C
*Field Preserved: Yes No _Teflon Liner/Zero Headspace: Yes No n/a
!dual Chlorine checked at time of sampling (YIN): Dechlorination Necessary (Y/N):
Client Sample I.D.
(Sample Location / Number)
Comp
Grab
Preserv.
Set Up
Date/Time
Collection
Date/Time
Analyses
Requested
Sn o J. P o for
/
�7 3 1 �►/$:
_
uisned by: uate/ i ime
Received y:
1
DaterNme
uished by: Date/Ti e , .
Received by:
Daterrime
Dmposlte G=Grab DW=Drinking Water VVW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste **See
_.... Side

_
p js:---kv
s•weu \ecc
/k: 0I-'AT0 kI£s,IN C
REPORT of 2 BE3
AtEn: eE c;122
5Y3 RD .
;2701 LAN ST Y
PlNE2IbtE, INC 28 34-
OJE N . : JUL 14
DATE: 08/29/14
SANIPLE NUMBRR-
115139
SAMPLE ID- 0AKBOR0 50-2170
2014
-
SAMPLE MATRIX SO
D&2E SA SSD-
07/31Z14
TIRE SAINIIPD- 0830
DATE Rz2alveo-
07/31/14
5 H2 R- DC-
R EI D £Y� 9J
TI R ElfVE -
1255
DELIVERED -
DC
TYPE S 2£E- G,.:,ab
Page ] of 1
AN 2SIS
ANYGIS
xE'T eoD
DAIVE
II2R BY
RESULT SNITS
3EC&G COLIFORM
( ,l. MEAN)
SK 9221
E o8/01/14,
1020 PzE
125,es2 I wZg
ol
LABORATORY ■I&�TO a �_
P.O. [ Iii .,�241%G%
2l e (704)588$yl.Fax: [phone]

py-
PROMPT-AC(CURRCLiPf�L[T
2217 Graham Park Drive
PO Box 411483
Charlotte, NC 28241-1483
NC Cert # 20: SC Cert # 99003001
SYNAGRO
OAKBORO 50-2170 2014
wf„V�ilt:at.1`o;?;UL
07/31/14
FECAL COLIFORM, GEOMETRIC MEAN
SM 9221 E
Jl"C
155139
1
2,930
2.19%
133,801.82
2
3,093
2.29%
135,075.94
3
2,819
2.33%
121,006.13
4
3,105
2.34%
132,674.90
5
2,882
2.28%
126,411.26
6
2,785
2.24%
124,331.02
7
2,533
2.31 %
109,650.57
125,852

PAR
LABOAATO INC.
www.parlabs.eom
Shipping:
2217 Graham Park Drive
Charlotte, NC 28273
CHAIN OF CUSTODY
PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Mailing:
PO Box 411483
Charlotte, NC 28241-1483
It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North
_ �r— .. .... ......... --- ---
Company Name (billing)
Comments/ Special Instructions
SYNAGRO CENTRAL
Address
12701 LANCASTER HVUY
City, state Et zip code
PINEVILLE NC 28134
Point of Contact It Telephone Number
PRE CV&P 701I-57'/- V271
Sample
Taken By: SIGNATURE
PRINTED NAME
ARE SAMPLES FOR STATE or EPA REPORTING? YES _x_NO
*Sample Type: Dw ww GWMvu Hw soil other
Sample Temp at time of sampling: ° C Sample Temp upon receipt: _ ° C
"Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No nla
:sidual Chlorine checked at time of sampling (YIN): Cechlorination Necessary (YIN):
Client Sample I.D.
(Sample Location I Number)
Comp
Grab
Preserv.
Set Up
Date]Time
Collection
DaterPme
�nalyses
equested
4I'+K.4OP-0
.re
c7 31 1`9
fd'l �� ✓� es� ¢ 1 1 �,�
I
R inquished by: Date/Time I Kecelvery;j
ua[er i ime
�
inquished by: Daterri e! Received by: r'J Date/Time
-Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste -See
___er Side

Summit Environmental Technologies, Inc.
3310 Win St.
�;r�igr}hlflEkltlL CFs nLr ,i CtryahogaFalls, Ohio44223
TEL: [phone] FAX- [phone]
March 11, 2015
Drew Culp
Synagro, NC 28134
12701 Lancaster Hwy
Pineville, NC 28134
TEL: [phone]
FAX: [phone]
RE: West Stanly WWTP
Dear Drew Culp:
Website: ht p.Avivtv.settek.con:
Order No.: 15030093
Summit Environmental Technologies, Inc. received 1 sample(s) on 3/3/2015 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,
Dr. Mo Osman
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
A2LA 0724.01, Alabama 41600, Arizona A.Z0788, 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, Pennsylvania 68-01335, Rhode Island LA000317, South Carolina 92016001, Tennessee TN04018, 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 8

't. .1 1 P
L7, .7.L-Summit Environmental Technologies, Inc.
! 3310 Win St.
Workorder
Oryahoga Falls, Ohio 4 4223
Sample Summary
Vir,
"ivl
C
TEL: [phone] FAY' [phone]
WO#: 15030093
Website: htty.'Ariviv.settek.com
11-Mar-15
CLIENT:
Synagro, NC 28134
Project:
West Stanly WWTP
LabSamplelD Client Sample ll)
Tag No Date Collected
Date Received Matrix
15030093-001
West Stanly YONTP 2015
3/2/2015 9:30:00 AM
3/3/2015 10:45:00 AM Sludge
Page 2 of 8

tt f�
y
Sunm:it Environmental Technologies, Inc.
3310 Win St.
lC,)l,s�����
Narrative
��lL. 1 V
Case
t ".rl t�ll'1E`,I I �L Gcf r ,Ir�LU3c l= Aa'.,
Cuyahoga Falls, Ohio 44223
WO#: 15030093
AnLL , , n mLa , atorf ,;
TEL: [phone] FAX: [phone]
Date: 3/11/2015
Website: hap:11mmp.settek.com
CLIENT: Synagro, NC 28134
Project: West Stanly WWTP
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 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.
Any comments or problems with the analytical events associated with this report are noted below.
Original
Page 3 of 8

Stinnnit Environmental Technologies, Inc.
Analytical Report
.3310 Win St.
U IT
1( pp"C;: Cqyahoga Falls, Ohio 44223 (base report)
TEL: [phone] FAX.- [phone] WO#: 15030093
253
Website: hQ.-1Aj,ww.settekconz Date Reported: 3/11/2015
CLIENT: Synagro, NC 28134 Tag Number:
Matrix: SLUDGE Collection Date: 3/2/2015 9:30:00 AM
Lab ID: 15030093-OOIA
Project: West Stanly WWTP
Client Sample ID West Stanly WWTP 2015
Analyses Result RL Qual Units DF Date Analyzed
RCI
PH (SM4500-H+ B)
pH
A4500-H+B Analyst: DHC
5.49 s.u.@20.4C 1 3/412015 10:30:00 AM
Qualiflers: .
Value exceeds Maximum Contaminant Level.
C
Value is below Minimum Compound Limit.
E
Value above quantitation range
H
Holding times for preparation or analysis exceeded
M
Manual Integration used to determine area response
N
Tentatively identified compounds
No
Not Detected at the Reporting Limit
0
RSD is greater than RSDlhnit
P
Second column confirmation exceeds
PL
Permit Limit Original
R
RPD outside accepted recovery limits
RL
Reporting Detection Limit
U
Samples with CalcVal < MDL
Page 4 of 8

Summit Environmental Technologies, Inc. WO#: 15030093
3310 Win St.
C:ryahogaFalls, Ohio 44223 Date Reported: 3/11/2015
f_;';•o.ra; , , ;;^ TEL: [phone] FAX. [phone] Company: Synagro, NC 28134
Website: http://ii,ii,ip.settek.coni Address: 12701 Lancaster Hwy
Pineville NC 28134
Received: 3/3/2015
Project#: West Stanly WW
TCLP Metals Analysis (6010)
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
West Stanly WWTP
001
3/2/2015
TCLP Arsenic(As)
0.500
ND mg/L
Sludge
EPA 6010 C
1
5.00
3/5/2015
VVK
2015
West Stanly WWTP
001
3/2/2015
TCLP Barium(Ba)
5.00
ND mg/L
Sludge
EPA 6010 C
1
100
3/5/2015
VVK
2015
West Stanly WWTP
001
3/2/2015
TCLP Cadmium(Cd)
0.100
ND mg/L
Sludge
EPA 6010 C
1
1.00
3/5/2015
VVK
2015
West Stanly WWTP
001
3/2/2015
TCLP Chromium(Cr)
0.200
ND mg/L
Sludge
EPA 6010 C
1
5.00
3/5/2015
VVK
2015
West Stanly WWTP
001
3/2/2015
TCLP Lead(Pb)
0.500
ND mg/L
Sludge
EPA 6010 C
1
5.00
3/5/2015
VVK
2015
West Stanly WWTP
001
3/2/2015
TCLP Selenium(Se)
0.500
ND mg/L
Sludge
EPA 6010 C
1
1.00
3/5/2015
VVK
2015
West Stanly WWTP
001
3/2/2015
TCLP Silver(Ag)
0.500
ND mg/L
Sludge
EPA 6010 C
1
5.00
3/5/2015
VVK
2015
TCLP Mercury Analysis (1311/7470)
___ent ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
West Stanly WWTP 001 3/2/2015 TCLP Mercury 0.00200 ND mg/L Sludge EPA 7470 A 1 0.200 3/5/2015 ALJ
2015
SVOC SW-846: 8081-TCLP Pesticides
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
West Stanly WWTP
001
3/2/2015
Chlordane, total
0.0250
ND mg/L
Sludge
EPA 8081 B
1
0.0300
3/6/2015
AMZ
2015
West Stanly WWTP
001
3/2/2015
Toxaphene
0.0500
ND mg/L
Sludge
EPA 8081 B
1
0.500
3/6/2015
AMZ
2015
West Stanly WWTP
001
3/2/2015
Endrin
0.00250
ND mg/L
Sludge
EPA 8081 B
1
0.0200
3/6/2015
AMZ
2015
West Stanly WWTP
001
3/2/2015
gamma-BHC
0.00250
ND mg/L
Sludge
EPA 8081 B
1
0.400
3/6/2015
AMZ
2015
West Stanly WWWP
001
3/2/2015
Heptachlor
0.00250
ND mg/L
Sludge
EPA 8081 B
1
0.00800
3/6/2015
AMZ
2015
West Stanly WWTP
001
3/2/2015
Heptachlor epoxide
0.00250
ND mg/L
Sludge
EPA 8081 B
1
0.00800
3/6/2015
AMZ
2015
West Stanly WWTP
001
3/2/2015
Methoxychlor
0.00250
ND mg/L
Sludge
EPA 8081 B
1
10.0
3/6/2015
AMZ
2015
Page 5 of 8

Sunnnit Environmental Technologies, Inc.
WO#:
15030093
r160t`ri IP,7G� G .}rJ �L , 1_ ;, 47
3310 Win St.
Cuyahoga Falls, Ohio 44223
Date Reported:
3/11/2015
r
TEL: [phone] FAX. [phone]
Company:
Synagro, NC 28134
Website: http:/hvtiviv.settek.com
Address:
12701 Lancaster Hwy
Pineville NC 28134
Received:
3/3/2015
Project#:
West Stanly WW
VOC by GC/MS (8260)-TCLP
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
West Stanly WWTP
001
3/2/2015
1,1-Dichloroethene
0.100
ND mg/L
Sludge
EPA 8260 B
1
0.700
3/5/2015
JCR
2015
West Stanly WWTP
001
3/2/2015
1,2-Dichloroethane
0.100
ND mg/L
Sludge
EPA 8260 B
1
0.500
3/5/2015
JCR
2015
West Stanly WWTP
001
3/2/2015
Benzene
0.100
ND mg/L
Sludge
EPA 8260 B
1
0.500
3/5/2015
JCR
2015
West Stanly WWTP
001
3/2/2015
Carbon tetrachloride
0.100
ND mg/L
Sludge
EPA 8260 B
1
0.500
3/5/2015
JCR
2015
West Stanly WWTP
001
3/2/2015
Chlorobenzene
0.100
ND mg/L
Sludge
EPA 8260 B
1
100
3/5/2015
JCR
2015
West Stanly WWTP
001
3/2/2015
Chloroform
0.100
ND mg/L
Sludge
EPA 8260 B
1
6.00
3/5/2015
JCR
2015
West Stanly WWTP
001
3/2/2015
Tetrachloroethene
0.100
ND mg/L
Sludge
EPA 8260 B
1
0.700
3/5/2015
JCR
2015
West Stanly WWTP
001
3/2/2015
Trichloroethene
0.100
ND mg/L
Sludge
EPA 8260 B
1
0.500
3/5/2015
JCR
2015
;t Stanly WWTP
001
3/2/2015
Vinyl chloride
0.200
ND mg/L
Sludge
EPA 8260 B
1
0.200
3/5/2015
JCR
i
West Stanly WWTP
001
3/2/2015
MEK
2.00
ND mg/L
Sludge
EPA 8260 B
1
200
3/5/2015
JCR
2015
SVOC 8270 TCLP BNA List
Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
West Stanly WWTP
001
2015
3/2/2015
1,4-Dichlorobenzene
0.100
ND mg/L
Sludge
EPA 8270 C
1 7.50
3/7/2015
AKE
3/2/2015
2,4,5-Trichlorophenol
0.250
ND mg/L
Sludge
EPA 8270 C
1 400
3/7/2015
AKE
3/2/2015
2,4,6-Trichlorophenol
0.250
ND mg/L
Sludge
EPA 8270 C
1 2.00
3/7/2015
AKE
3/2/2015
2,4-Dinitrotoluene
0.100
ND mg/L
Sludge
EPA 8270 C
1 0.130
3/7/2015
AKE
3/2/2015
Cresols, Total
5.00
ND mg/L
Sludge
EPA 8270 C
1 200
3/7/2015
AKE
3/2/2015
Hexachloro-1,3-
0.100
ND mg/L
Sludge
EPA 8270 C
1 0.500
3/7/2015
AKE
butadiene
3/2/2015
Hexachlorobenzene
0.100
ND mg/L
Sludge
EPA 8270 C
1 0.130
3/7/2015
AKE
3/2/2015
Hexachloroethane
0.100
ND mg/L
Sludge
EPA 8270 C
1 3.00
3/7/2015
AKE
3/2/2015
Nitrobenzene
0.100
ND mg/L
Sludge
EPA 8270 C
1 2.00
3/7/2015
AKE
3/2/2015
Pentachlorophenol
0.250
ND mg/L
Sludge
EPA 8270 C
1 100
3/7/2015
AKE
3/2/2015
Pyridine
0.250
ND mg/L
Sludge
EPA 8270 C
1 5.00
3/7/2015
AKE
Page 6 of 8

{
Summit Environmental Technologies, Inc.
-
WO#:
15030093
1I .
•,','IF��PIPdF 'i I s-it„Lo I t_:, a
3310 Win St.
CzryahogaFalls, Ohio 44223
Date Reported:
3/11/2015
TEL: [phone] FAX.- [phone]
Company:
Synagro, NC 28134
Website: http:/lmmv.settek.con:
. Address:
12701 Lancaster Hwy
Pineville NC 28134
Received:
3/3/2015
Project#:
West Stanly WW
SVOC SW-846: 8321 Herbicides-TCLP
Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RcgLvl Run Analyst
West Stanly WWTP 001 3/2/2015 2,4-D 5.00 ND mg/L Sludge EPA 8321 A 1 10.0 3/6/2015 AMZ
2015
West Stanly WWTP 001 3/2/2015 2,4,5-TP 0.500 ND mg/L Sludge EPA 8321 A 1 1.00 3/6/2015 AMZ
2015
Page 7 of 8

I + } f� l'i
II
Sunnnit Environmental Technologies, Inc.
WO#:
15030093
3310 Win St.
r IVI ic0hIP,1G` I'..L"9_�,.. 6LoSi 5,JP,
C:ryahogaFalls, Ohio44223
Date Reported:
P
3/11/2015
�` -�II
t'-'='`li l-:- "!"•3i�:,`
TEL: [phone] FAX.- [phone]
Company:
Synagro, NC 28134
Wehsite: htto:/hvim.settek.com
Address:
12701 Lancaster Hwy
Pineville NC 28134
Received:
3/3/2015
Project#:
West Stanly WW
Client ID# Lab ID# Collected Analyte Result Units Matrix Method DF RL Run Analyst
West Stanly WWTP 001 3/2/2015 Flashpoint (200°F) >200 °F Sludge EPA 1010 1 3/10/2015 TAH
2015
West Stanly WWTP 001
2015
West Stanly WWTP 001
2015
West Stanly WWTP 001
2015
3/2/2015 Total PCBs
3/2/2015 Cyanide, Reactive
3/2/2015 Sulfide, Reactive
ND mg/L Sludge EPA 8082 1 0.000200 3/9/2015 AKE
ND ppm Sludge EPA 9014 1 0.500 3/4/2015 TIR
ND ppm Sludge EPA 9034 1 25.0 3/4/2015 TIR
Page 8 of 8

Rev, 12
Date: 07127/13
Summit Environmental Tiachnologies, Inc.
Cooler Receipt Form
ci Initia!s of p rsor, in 4 .- Cn�tgr and sarnples;
01i4rit: f %
-
r
Order Number. :a
c; 3
1s f
pate ReCe YEd. Re
Tnie ceived.
— —L1-t`.. l— Cate con!er(s, a ened antl samples InSRecfed
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h[ rtaer of Coolers+i3aK'es:
NF
Shipper: EDEX UPS D1iL Nkborne US Postal Walk-in Pickup 6,hdr.
Per,kaging- Peanuts ;, ble- 11�Jr�ap Pauct Foam felon. olhcr.r.
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NA
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Fi2dlologicai Testing Instrument serial#3512T Y
fse pcg'e 2 for scan r
NA
sulisj
"Use 1 sheet #tersample for Radlologtcal Testing, If somplP
Immediately.' is HOT, thlological safety officer must
be net tied
f -0—C filled out proper?y /i y-�''
(.�- N
NrA
eumples in separate bags 5'
N
WA
Ss; ;ale containers intact`
NA
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5err pie I t el(5) Complete {I], date, etc.)
f V
N
NA
Labe (s) agree with C-o.i�:
CorreCfeonfe7 used
--
Y ,,, i
N
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WA
NA
Suffldi-nt somplereceived
N
WA
E+uhb.es absent from - o mL vials``
Y
MA
Sarnples lvith bubbles -6mm are acceptable.
Indicate bubble size V >Emm.
VMS Chant conlacted about samples
Y N
L+'Aclient sand new samples
Y N
'1•+Illnt COFti.3�t;
pa,er'Tme-
togged in by,
GAOC SHAREplpaeument Control Templates - Tracking',Cooler iarcelpl farm Rev. 12 07-27-1;,'doc Paqe 1 irl2

Page:.1 of 2
Report Number. 15-062-0205
Account Number: 46477
Submitted.By: DREW CULP
Send To: SYNAGRO CENTRAL LLC/OAKBORO
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028
Lab Number: 60458
Samp1 Id : WS-2015
A &L Eestem Laboretofies, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
v
,hmaleaslemxom
Project: WEST STANLEYWWTP
NG CERT#257
REPORT OPANALVSIS
Date Sampled: 3/212015 09:15:00
Date Received: 03/03/2615 00:00
Date Reported 03/0612015
Total Solids *
1.15
11500
100 0
JM
03/03/2015 13:59
SM-2540G
Moisture
98.85
100.0
JM
63/03/201513:59
SM-2540G
Total Kjeldahi Nitrogen
6.26
62600
10.0
JM
03/04/2015 08:15
SM-4500-NH3C-TKN
Total Phosphorus
1.86
18600
100
KM
03/04/2015 1229
SW 6010C
Total Potassium
0.38
3780
100
KM
03/04/201512.29
SW 6010C
Total Sulfur
1.00
9960
100
KM
03/04/2015 12:29•
SW 6010C
Total Calcium
2.16
21600
100
KM
03/04/201512:29
SW 6010C
Total Magnesium
0.37
3730
100
KM
03/04/2015'12:29
SW 6010C
Total Sodium
0.36
3580
100
KM
03/04/2015 12:29
SW 6010C
Total Iron
18700
100
KM
03/04/2015 12,29
SW 6010C
Total Aluminum
14500
100
KM'
03/04/2015 12:29
SW 6010C
Total Manganese
529
5
KM
03/041201512 29
SW 6010C
Total Copper
340
5
KM
03104/201512:29
SW 6010C
Total Zinc
•828
5
KM
03/04/2015 12:29
SW 6010C
Ammonia Nitrogen
0.26
2610
10.0
JM
03/04/2015 08:15
5M-4500-NH3C
Organic N
6.00
59990
10.0
03/04/2015 08:15
CALCULATION
Nitrate}Nitrite-N
4100
2.00
JM
03104/2015 08:15
SM-450ONO3F
Total Cadmium
oc2.0
2.0
KM
03704/2015 12:29
SW 6010C
All values. are on a dry weight'basis except.as noted byasterisk, Detection limit on all N_series is on a wet basis.
d',.r xvM rr ,n.,t :•'iI •d,n!e n�';rrt: rlrr�v;;:r 1;:v,W".f 0+ ,,,�:'iC
C�,.tr re,^,v.is an, 1:,,,er.^, are f �r I!±a �sClt.�srrr: and ec?nlrtlerlcl(trscr cl our ctt., i....0 c rr;,=.t . r„ 1e �r`„^, . c u�:e:C �n :. � _ .. ,
86�
to the work, the resul(s, or !N, r.; lnn:,rsy u; .-,ny q;'ir. hsb7h, novis rt:fensv. or cdhcr pub!,r a nnounrgri',eols tvNioul r,C!i xnrn>; o:•rpnr'r wn!fon ;ndherit,ditu .
Debbie Holt

Page: 2 of 2
Report Number: 15-062-0205
Account Number: 46477
Submitted By: DREW CULP
Send'To: SYNAGRO CENTRAL LLC/OAKBORO
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028
Lab.Humber : 60458
Sample Id : WS 2015
n A&L Eastern Laboratories,. Inc.
7621 Whftepme Road Richmond. Virginia 23237 IBM) 743-9401 FaX (8D4) 271-6446
w+rawaleasterncom
Project: WEST STANLEY WWTP
NC CERT#257
REPORT OF ANALYSIS Date Sampled: 3/2/2015 09:15:00
Date Received: 03/03/2015 00:00
Date Reported: 03/06/2015
Total Chromium
40
5
KM
03/04/2015 12:29
SW 6010C
Total" Nickel
22
5
KM
03/04/2015 12:29
SW 6010C
Total Lead
23
5
KM
03/04/2015 12.-29
SW 6010C
Total Arsenic
6.0
3.0
KM
03104/2015 12:29
SW 6010C
Total Mercury
1.0
0.4
KM
03/04/20.15 09:00
SW-7471 B
Total Selenium
6.0
5.0
KM
03/04/2015 12:29
SW 6010C'
pH (Standard Units) *
6.60
2.00
JM
03/04/2015 08:15
SW-9045D
Total Molybdenum
17
5
KM
03/04/2015 12:29
SW-6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Cr", "Fe", "P", AND "Se". ALL OTHER QC DATA.IS ACCEPTABLE.
All values are on a dry weight basis except -as noted by.asterisk. Detection limit on all N series is on a wet basis.
S7ri1?'•"h?rJt7S and fe(lBrs :alp; Inr il)_rxrluslva>;InC,'r;nnhdun(ri;(use Ct(oUr"CfiBrls 3nt7ln<!V:7:)ih@:nrrp;u". nnr,;^.,`rV:?(?V rttiE•rsn; bu ni,'yri%,
lo.rhe oiork. (11C ftSUt;R, Lw(hr, in any Jdvo!v.ilnq. rv',w; rY�(lt2ati, elr ort orpt.11110.9tY?gtJfer;rJr)11:I?(S'vFi(%?CA!! r1b(1:NU.^.i(tltl.t+rr4!' W!""U^ i,U(iiC'fi�clrh}'1
Debbie Holt

"LING LOG##
A'& L EPe"Ll
•••_._.:
'OF CUSTODY
76ZY �I'
Richman
j� 45-06Z-D2D5
� {�f �{IVl�ll�llid►fit. a �D77zD�.s
ERD ANALYSIS
CO
"OMER:
S1�i GRO SOUTHEAST
0
aoal?as.
RAL oa1aao ,Z39_48
'ARE W
SYNA
S71(�ST S77ii�I1_Ef VV1IViP
pling procedures
IECT MANAGER:
of these samples.
`/SAMPLER
9: t 74q
) S 7
%&L
CUSTOMER
!SAMPLING
SAMPLE
# OP SAMPLING METHOD
METHOD
.AB #
SAMPLE LD.
LOCA1710I4
TYPE
CONTAINERS 'DATE 71ME PRESERVED SHIPPED
1Nds¢ 5+4#jlj Wwnn
50-Z170 (lor5?
Wv
ffQ
f pax u d9.•!5 LC�"
t
elinquished by Sample . Date Time Recieved b : REMARKS;
elinquished by: bate! Tore Redeved by:
.elinquished by:
,IAL INSTRUCTIONS:
Date Time Recieved by:
kMPLE
ANALYSIS REQUEST
I.D.
SLi
SL2
AIHg N
i O N
Organic
R
Cd
Cr
Ni
Pb
As
Hg
Se
pH
CaCO
dvi
Voiatlle
Solids
MeCI
MOB-N
,I
PO1,00
1 too
PW
-too
low
loot
Pow
too'1*4w
1#01ow
PO
lose
Total Solids (Moisture), Total Kjeldaht Nitrogen, Phosphorus, and Potassium
Basic Test SLi plus Sulfur, Calcium, Magnesium, Sodium, iron; Aluminum, Manganese, Copper and Zinc
White — A & L Canary — MANAGER COPY

-mA_ -
MCDERmift
North Carolina Department of Environment and Natural Resources
Division o; Water Quality
erly Eaves Perdue Coleen H. Sullins
uovernor Director MVED
March 27, 2009
TODD SHEARIN, TECHNICAL SERVICES DIRECTOR
SYNAGRO-WWT, INC
284 BOGER ROAD
MOCKSVILLE, NORTH CAROLINA 27028
Dear Mr.Shearin:
APR 15 2009
103
Subject: Permit No. WQ0016247
Synagro-WWT, Inc
City of Statesville Residuals Land
Application Program
Third Creek WWTP
Iredell County
Dee Freeman
Secretary
In accordance with your permit renewal request received December 29, 2008, we are forwarding
herewith Permit No. WQ0016247, dated March 27, 2009, to Synagro-WWT, Inc for the continued
operation of the subject land application of residuals solids program. Site NC-IR-28 which contained
51.2 acres is not being renewed in this permit. Also, there are some minor acreage increases because of
the 100 foot compliance boundary being used.
This permit shall be effective from the date of issuance until February 28r2LOI�)4,hallvoidPermit
No. WQ0016247 issued June 18, 2004, and shall be subject to the conditions anons as specified
therein. Please pay particular attention to the monitoring requirements in this permit. Failure to establish
an adequate system for collecting and maintaining the required operational information will result in
future compliance-problem
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding.
Please note that on September 1, 2006 State Administrative Code 15A NCAC Subchapter 02T —
Waste not Discharged to Surface Water was adopted. This permit incorporates the requirement of these
rules. Remember to take the time to review this permit thoroughly, as some of the conditions
contained therein may have been added, changed, or deleted from those in previously issued permits.
AQUIFER PROTECTION SECTION
1636 (Nail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588: FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet: wwvr.ncwaternuality.org
An Equal Opportunity 1 Anrmaiive Action Employer
Noi liCaj.alina
�7ff

Mr. Shearin
March 27, 2009
Page 2 of 2
If you need additional information concerning this matter, please contact Alice M. Wessner at
[phone] or [e-mail].
Sincerely,
i
- Coleen H. Sullins
cc: Iredell County Health Department
Mooresville Regional Office, Aquifer Protection Section
APS Central Files
LAU Files.

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
17_� lmUr" 12A
LAND APPLICATION OF RESIDUAL SOLIDS PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Synagir®-VVWT9 Inc.
Iredell County
FOR THE
continued operation of a residuals land application program for the City of Statesville and consisting of the
land application of residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A to the land application sites listed in the most recently -certified
Attachment B with no discharge of wastes to surface waters, pursuant to the permit renewal application
package received on December 29, 2008 and in conformity with the project plan, specifications, and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until February 28, 2014, shall void Permit
No. WQ0016247 issued June 18, 2004, and shall be subject .to the following specified conditions and
limitations:
I. SCHEDULES [please review the entire permit for reporting monitoring and other on -going activities]
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period
of time and under such conditions and limitations as it may deem appropriate. Please note that Rule
15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
R. PERa O'1VY1APdCE 0 A - __ LY
1. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface waters or groundwater resulting from the operation of this residuals land application program
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2. No residuals other than those generated by the residuals source -generating facilities listed in the
most recently -certified Attachment A of this permit shall be approved for land application in
accordance with this permit.
3. Only the land application sites listed in the most recently certified Attachment B of this permit are
approved for residuals land application. A permit modification application is required for any new
land application sites to be added to Attachment B.
4. The pollutant concentrations in any residuals that are land applied to any land application site shall
not exceed the following Ceiling Concentrations (i.e., dry weight basis):
Parameter
Ceiling Concentration
(milligrams per kilogram)
Arsenic
75
Cadmium
85
Copper
4,300
Lead
840
Mercury
57
Molybdenum
75
Nickel
420
Selenium
100
Zinc
7,500
5. The pollutant loading rates on any land application site shall not exceed the following Cumulative
Pollutant Loading Rates (CPLRs):
Parameter
CPLR
(pounds per acre)
Arsenic
36
Cadmium
34
Copper
1,338
Lead
267
Mercury
15
Molybdenum
n/a
Nickel
374
Selenium
89
Zinc
2,498
The Permittee shall determine compliance with the cumulative pollutant loading rates using one of
the following methods:
a. Use site specific analytical data from all historical land application events not
otherwise exempted.
b. For land on which land application events of residuals has not occurred or for which
the data is incomplete, use background concentrations through representative sampling
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6. When residuals are land applied under the conditions of this permit, the Class B pathogen reduction
requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction requirements
in 15A NCAC 02T .1107 (a) shall be met. Additionally, an evaluation shall be performed that
demonstrates the residuals' ability to comply with this requirement. Upon request, a copy of this
evaluation, including all test results and calculations, shall be submitted. Only residuals that are
generated by the residuals source -generating facilities that are identified as being exempt from this
condition in the most recently -certified Attachment A shall not be required to comply with the
specified pathogen reduction and vector attraction reduction requirements.
7. The facilities permitted herein must be constructed and maintained according to the following
setbacks.
a. For residuals treatment and storage facilities, the following minimum setbacks shall be maintained
(all distances in feet):
Description of Setback
Setback
i. Habitable residence or place of public assembly under separate ownership or not
to be maintained as part of the project site
100
ii. Property lines
50
iii. Private or public water supply
100
iv. Surface waters (streams — intermittent and perennial, perennial waterbodies,
and wetlands)
50
v. Wells with exception to monitoring wells
100
b. When land applying residuals to any land application site, the following setbacks shall be
maintained (all distances in feet):
Setback by type of application
Surface
Surface
Application
Application
by
Injection /
Description of Setback
by Vehicle'
Irrig4tion1l
Incorporation'
i. Habitable residence or place of public assembly
under separate ownership or not to be
maintained as part of the project site
400
400
200
ii. Habitable residence or places of public assembly
owned by the permittee, the owner of the land,
or the lessee/operator of the land to be
maintained as part of the project site
0
200
0
iii. Property lines
50
150
50
iv. Public right of way
50
50
50
v. Private or public water supply
100
100
100
vi. Surface Waters (streams — intermittent and
perennial, perennial waterbodies, and wetlands)
100
100
50
"except where -a setback waiver agreement was signed to allow for the land application of residuals within 100
feet of a habitable residence or places of public assembly' under separate ownership as specified in Attachment
B.
8. Specific residuals land application area boundaries shall be clearly marked on each land application
site prior to and during a residuals land application event.
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Residuals and other sources of Plant Available Nitrogen (PAN) shall be land applied to all land
application sites at or below agronomic rates. Appropriate agronomic rates shall be calculated using
expected nitrogen requirements based on the Realistic Yield Expectations (RYE) for each approved
land application site. Realistic Yield Expectations for crop types and specific fields or soils types
shall be determined by using any of the following methods:
a. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department of Soil Science. The Department webpage is located at:
httT)://nLitiients.soil.nesti.edu/yiclds!
b. Site Specific Historical Data for crop types on specific fields or soil types by calculating the
mean of the best three yields of the last five consecutive crop harvests for each field.
C. If the RYE cannot be determined using methods 9(a) or (b) above, RYE can be established
from specially developed soil interpretation records for Nutrient Management Planning, Farm
Service Agency Records, university trials, or inference from crop performance on soil with
very similar physical and chemical features.
d. Realistic Yields Expectations and acceptable nitrogen application rates that use the above
methodology are required parts of many agricultural planning documents. The Permittee may
use the RYE and appropriate agronomic rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by Senate Bill 1217 Interagency Group- Guidance
Document: Chapter 1. Guidance for the completion of the plan can be found at:
http://www.enr.state.nc.us/DSWC/-Pages/guidance docs.html.
iii. Certified Nutrient Management Plan as outlined by Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards, which are available at:
ftp•//ftp-fc sc egov usda gov/NHQ/practice-standards/standards/590.pdf.
For any crop type for which the RYE and appropriate nitrogen application rate cannot be
determined, the Permittee shall contact the Division to determine necessary action.
10. If the land application sites are to be overseeded or doublecropped (e.g., bermuda grass in the
summer and rye grass in the winter with BOTH crops to receive residuals or corn and small grain
both to receive residuals), then the second crop shall receive an application of PAN at a rate of no
greater than 50 pounds per acre per year. This practice shall be allowed as long as the second crop is
to be harvested. If the second crop is to be planted for erosion control only and is to be tilled into the
soil, then no residuals shall be land applied to these sites because the PAN will essentially be
returned to the soil.
Prior to application of PAN to permitted sites at rates exceeding the agronomic rate, the Permittee
must submit and receive approval by the Division.
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11. Should any of the residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A of this permit contain a high salt content (i.e., high sodium
adsorption ratio (SAR) of ten (10) or higher), the Permittee shall obtain and implement
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 other agronomist regarding sodium application rate, soil amendments (e.g., gypsum,
etc.) or other ameliorative mechanism for maintaining the integrity of the site in terms of suitability
for land application of residuals and maintaining conditions conducive to crop growth. The
Permittee shall maintain written records of each monitoring event that includes details of the sites
covered and rate of soil amendment application.
12. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The Compliance
Boundary for each land application site is established at either 250 feet from the residuals land
application area or 50 feet within the property boundary, whichever is closest to the residuals land
application area. Per 15A NCAC 2T .0105(h), upon the request by the Permittee the Compliance
Boundary may be located closer to the waste disposal area (provided the groundwater standards can
be met at the newly established Compliance Boundary). Any approved relocation of the
COMPLIANCE BOUNDARY will be noted in the most recently -certified Attachment B of this
permit. An exceedance of Groundwater Standards at or beyond the Compliance Boundary is subject
to remediation action according to 15A NCAC 2L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
13. The REVIEW BOUNDARY shall be established around each land application site midway between
the Compliance Boundary and the perimeter of the residuals land application area. Any exceedance
of Groundwater Quality Standards at the Review Boundary shall require action in accordance with
15A NCAC 2L .0106 (d)(1).
14. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be
notified at least 24 hours prior to the initial residuals land application event to any new land
application site. In addition, the appropriate county manager's office shall be notified prior to the
initial residuals land application event on any new site so that they will be aware that residuals land
application activities have commenced on the site.
15. The Aquifer Protection Section of the appropriate Division's regional office shall be notified at least
24 hours prior to the initial residuals land application event on any new land application site. Such
notification to the Regional Aquifer Protection Supervisor shall be made during normal office hours
(i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding State Holidays. A
list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at http://N�,wNv.eiir.state.nc.us/html/regionaloffices.htnil.
ffi. OPERATION AND MAINTENANCE REQUIREMENTS
l . The residuals land application program shall be effectively maintained and operated at all times as a
non -discharge system to prevent the discharge of any wastes resulting from the operation of this
program.
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2. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T .1110 including operational functions, maintenance schedules, inspection plan,
sampling and monitoring plan, safety measures, and a spill response plan. The inspection portion of
the plan shall include the following information:
a. Names of personal responsible for conducting the inspections
b. Description of inspection plan describing how the frequency of inspections and location of
inspections are determined to assure that inspections are representative of land application
program.
c. Description of record keeping requirements meeting requirements of permit Conditions IV.9.
d. Description of required actions meeting the requirements of permit Condition IV. 11 to be taken
by the inspector in the event that noncompliance is observed during an inspection.
The sampling and monitoring portion of the plan shall include the following information:
e. Names and position of personnel responsible for conducting the sampling and monitoring;
f. Required sampling frequency specified in Attachment B of the permit;
g. Description of sampling and monitoring procedures to gather representative sampling for each
sampling period. Note that fluctuation in temperature, flow, and other operating conditions can
affect the quality of the residuals. The sampling plan must account for any foreseen fluctuations
in compost residuals quality, and indicate sampling times accordingly to ensure compliance
during the most limiting times (e.g. small facilities that apply multiple times per year, but have
an annual sampling frequency may need to sample and document compliance with the pathogen
reduction requirements during winter months when pathogen reduction is most likely to be
negatively affected by cold temperatures).
Any modification to the O&M Plan shall be approved by the Division. The most recent O&M Plan
shall be submitted to the Mooresville Regional Office for review and approval.
3. In the event that the residuals land application program is not operated satisfactorily, including the
creation of nuisance conditions due to improper operation and maintenance, the Permittee shall cease
land applying residuals to the site, contact the Aquifer Protection Section of the appropriate Division
of Water Quality's (Division) regional office, and take any immediate corrective actions as may be
required by the Division.
4. Upon classification of the residuals land application program by the Water Pollution Control System
Operators Certification Commission (WPCSOCC), the Permittee shall designate a certified land
application/residuals operator to be in responsible charge (ORC) of the program. The operator shall
hold a certificate of the type classification assigned to the program by the WPCSOCC. The
Permittee shall also designate a certified back-up operator of the appropriate type to comply with the
conditions of 15A NCAC 8G .0201.
5. This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals or the application causes contravention of surface water or groundwater standards and may
be revoked unless the land application sites are maintained and operated in a manner that will protect
the assigned water quality standards of the surface waters and groundwater.
6. A copy of this permit shall be maintained in all manned equipment at the land application sites when
residuals are being land applied during the life of this permit. The spill prevention and control plan
shall be maintained in all residuals transport and application vehicles.
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7. Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying
residuals from the land application sites onto adjacent properties or into any surface waters.
Adequate procedures shall be provided to prevent surface runoff from carrying any land applied or
stored residuals into any surface waters.
No residuals shall be stored at any land application site at any time, unless written approval has first
been requested and obtained from the Division.
10. Bulk residuals shall not be applied to the land under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen, or snow-covered or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation unless the bulk residuals are injected or incorporated within
a 24-hour period following the residuals land application event;
f. During a measurable precipitation event (i.e., >.01" per hour) or within 24 hours following a
rainfall event of 0.5 inches or greater in a 24-hour period. Any emergency residuals land
application measures shall first be approved in writing by the Division;
g. If the slope for land is greater than 10 percent when bulk liquid residuals are surface applied, and
if the slope of the land is greater then 18 percent with bulk liquid residuals are injected or
incorporated;
h. If the pH is not maintained in the soil, residuals, and lime mixture, greater than 6.0, on land
application sites onto which residuals are applied. Residuals may be applied to the sites
provided that sufficient amounts of lime is also applied to achieve a final pH of the soil mixture
of at least 6.0, or if an agronomist provides information indicating that the pH of the soil,
residuals, and lime mixture is suited for the specified crop type. Any approved variations to the
acceptable soil pH (6.0) for land application will be noted in the most recently certified
Attachment B of this permit.
i. If the land does not have an established vegetative cover in accordance with the crop
management plan outlined by the local Cooperative Extension Office, the Department of
Agriculture and Consumer Services, the Natural Resource Conservation Service, or other
agronomist unless the bulk residuals are incorporated within a 24-hour period following the
residuals land application event or injected (This requirement does not apply to no -till
fields);
j. If the vertical separation of the seasonal high water table and the depth of residuals application is
less than one foot;
k. If the vertical separation of the depth to bedrock and the depth of residuals application is less
than one foot;
11. For land onto which bulk residual that do not meet the Class A Pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following public access restrictions apply:
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a. Public access to public contact sites- shall be restricted for one calendar year after any residuals
land application event. Such controls may include the posting of signs indicating the activities
conducted at each site;
b. Public access to land that is not a public contact site shall be restricted for 30 days after any
residuals land application event. Such controls may include the posting of signs indicating the
activities conducted at each site.
12. For land onto which bulk residual that do not meet the Class A pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following harvesting and grazing restrictions apply:
a. Animals shall not be allowed to graze on land application sites for 30 days after any residuals
land application event. Sites that are to be used for grazing shall have fencing that will be used
to prevent access after each event;
b. Food crops, feed crops, and fiber crops shall not be harvested for 30 days after any residuals land
application event;
c. Food crops with harvested parts that touch the residual/soil mixture and are totally above the
land surface (e.g., .tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14
months after any residuals land application event;
d. Food crops with harvested parts below the surface of the land (i.e., root crops such as potatoes,
carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application
event when the residuals remain on the land surface for four months or longer prior to
incorporation into the soil;
e. Food crops with harvested parts below the surface of the land shall not be harvested for 38
months after any residuals land application event when the residuals remain on the land surface
for less than four months prior to incorporation into the soil;
f. Turf grown on land where residuals are applied shall not be harvested for 12 months after any.
residuals land application event.
13. This permit shall become voidable unless the agreements between the Permittee and the landowners
and lessees or operators of any land application sites listed in the most recently-certified.Attachment
B of this permit not.owned:by the Permittee are in full force and in effect. These agreements shall -
be considered expired concurrent with the expiration date of the permit and shall be renewed at the
same time the permit is renewed.
14. Upon entering an agreement with landowners to apply residuals to a land application site, the
Permittee shall require of the landowner or lessee/operator a statement detailing the volume of
nutrient sources (waste residuals, manufactured fertilizers, manures, or other animal waste products)
other than the residuals to be applied by the Permittee, that have been applied to the land, and a copy
of the most recent Nutrient Management Plan (NMP), if available, for the fields within the
agreement. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste
Utilization PIan (WCTP) or Certified Nutrient Management Plan (CLAMP) shall also be
considered a Nutrient Management Plan.
The NMPs must be provided only for those operations where a NMP is required by the US
Department of Agriculture — National Resources Conservation Service (NRCS) or other State
Agencies. The Permittee shall rely on the provided information to calculate appropriate reductions
in allowable nutrient loading rates. If the calculation shows that the agronomic rates in the NMP
(including PAN) have already been met or exceeded on a field, no additional residuals shall be land
applied to that field.
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W. MONITORING AND REPORTING REOUMEMENTS
Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue analyses)
deemed necessary by the Division to ensure protection of the environment shall be established, and
an acceptable sampling and reporting schedule shall be followed.
2. Residuals generated by each residuals source -generating facility listed in the most -recently -certified
Attachment A of this permit shall be analyzed to demonstrate that they are non -hazardous under the
Resource Conservation and Recovery Act (RCRA). A corrosivity, gnitability, and reactivity
analysis as well as a Toxicity Characteristics Leaching Procedure (TCLP) analysis shall be
conducted on residuals generated by each residuals source -generating facility listed in the most
recently -certified Attachment A of this permit.' The analyses shall be performed at the frequency
specified in the most recently -certified Attachment A of this permit, and the results shall be
maintained on file by the Permittee for a minimum of five years.
If residuals generated by a particular residuals source -generating facility are insufficient to require a
land application events during a required sampling period as specified in the most recently -certified
Attachment A of this permit (e.g. no land application occur during an entire year when annual
monitoring is required), no sampling data is required during the period of inactivity. The Permittee
shall submit an annual report, as required in condition IV. 10., even in the event that no land
application events occur during an entire year, the annual report shall include an explanation for
missing sampling data.
The TCLP analysis shall include the following parameters (i.e., note the regulatory level in
milligrams per liter in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1,1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0) '
Hexachloroethane (3.0)
2,4,5-T. nchlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
An analysis shall be conducted on residuals generated by each residual source -generating facility
listed in the most recently certified Attachment A of this permit. The analysis shall be performed at
the frequency specified in the most recently certified Attachment A of this permit, and the results
shall be maintained on file by the Permittee for a minimum of five years. The analysis shall include,
but shall not necessarily be limited to, the following parameters:
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Magnesium pH
Mercury Plant Available Nitrogen
(by calculation)
Molybdenum Selenium
Nickel Sodium
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Calcium
Copper
Lead
Sodium Adsorption Ratio
(SAR)
Nitrate -Nitrite Nitrogen
Phosphorus
Potassium
% Total Solids
TKN
Zinc
If residuals generated by a particular residuals source -generating facility'are insufficient to require a
land application events during a required sampling period as specified in the most recently -certified
Attachment A of this permit, the Permittee shall make up the missed sampling either by taking
additional samples during land application events previous to a planned period of inactivity or by
taking additional samples during land application events immediately following the period of
inactivity. If no land application events occur during a complete calendar year, the Permittee need
not make up the missed sampling events for that year. The Permittee shall submit an annual report,
as required in condition IV. 10., even in the event that no land application events occur during an
entire year; the annual report shall include an explanation of additional sampling data intended to
compensate for periods of inactivity, or an explanation for missing sampling data
4. Residuals generated by each residuals source -generating facility listed in the most recently -certified
Attachment A of this permit shall be monitored for compliance with Condition H. 6. The monitoring
shall be performed at the frequency specified in the most recently -certified Attachment. A of this
permit, and data to verify pathogen and vector attraction reduction of the residuals shall be
maintained on file by the Permittee for a minimum of five years. The required data shall be specific
to the stabilization process utilized, but also shall be sufficient to demonstrate clear compliance with
the Class A pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (b) or the Class B
pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction
reduction requirements in 15A NCAC 02T .1107 (a) shall be met. In addition, the Environmental
Protection Agency (EPA) certification statements concerning compliance with pathogen reduction
requirements, vector attraction reduction requirements, and management practices shall be
completed at the frequency specified in the most recently -certified Attachment A of this permit by
the proper authority or authorities, if more than one is involved (i.e., either the person who prepares
the residuals, the person who derives the material, or the person who applies the residuals). Only
residuals that are generated by the residuals source -generating facilities that are identified -as being
exempt from Condition II. 6. in the most recently -certified Attachment A of this permit shall not be
required to comply with this monitoring requirement.
A representative annual soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site on which a residuals land application event in the respective calendar year
has occurred or is to occur, and the results shall be maintained on file by the Permittee for a
minimum of five years. The Standard Soil Fertility Analysis shall include, but is not necessarily
limited to, the following parameters:
Acidity
Calcium
Cation Exchange Capacity
Copper
Base Saturation (by calculation)
Exchangeable Sodium Percentage (by calculation)
Magnesium Phosphorus
Manganese Potassium
Percent Humic Matter Sodium
pH
Zinc
6. Laboratory analyses of parameters as required by Condition IV. 1., Condition IV. 2., Condition IV.
3., and Condition W. 4. shall be performed/gathered on the residuals as they are to be land applied.
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7. Laboratory analyses of parameters as required by Condition IV. 1., Condition IV. 2., Condition IV.
3., Condition IV. 4., and Condition IV. 5. shall be in accordance with 15A NCAC 02B .0505.
8. Proper records shall be maintained by the Permittee tracking all residuals land application events.
These records shall include, but are not necessarily limited to, the following information:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Method of land application;-
e. Weather conditions (e.g., sunny, cloudy, raining, etc.);
f. Predominant Soil Mapping Unit (e.g., CbB2);
g. Soil conditions (e.g., dry, wet, frozen, etc.);
h. Type of crop or crops to be grown on field;
i. Nitrogen Application Rate based on RYEs.
j. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, wet
ton per acre, or kilograms per hectare;
k. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre,
wet tons per acre, or kilograms per hectare (if applicable);
1. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, wet tons per acre, or kilograms per hectare (if applicable); and
in. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds
per acre of phosphorus applied to each field.
9. All records required as part of this .permit shall be retained a minimum of five years.
10. Three copies of an annual report shall be submitted on or before March I". The annual report shall
meet the requirements described in the Instructions For Residuals Application Annual Reporting
Forms. The most recent instructions for reporting and annual report forms are available on the Land
Application Unit website at http://h2o.enr.state.nc.us/lau/compliance.html, or can be obtained by
contacting the Land Application Unit directly. The annual report shall be submitted to the following
address:
NCDENR-DW Q
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
11. Noncompliance Notifcatfon
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number 704-
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
WQ0016247 Version 3.0 Shell Version 090204 Page 11 of 14

a. Any occurrence with the land application. program .which. results in the land application of
significant amounts of wastes which are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to receiving waters.
c. Any time that self -monitoring information indicates that the facility has gone out of compliance
with the conditions and limitations of this permit or the parameters on which the system was
designed.
d. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate residual treatment.
e. Any spillage or discharge from a vehicle or piping system during transportation of residuals.
For any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure, etc.) outside normal business hours must be reported to the Division's
Emergency Response personnel at telephone number [phone], [phone], or (919) 733-
3300.
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five (5) days following first knowledge of the occurrence. This report must outline the actions taken
or proposed to be taken to ensure that the problem does not recur.
V. INSPECTIONS
1. Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation
of the subject facilities.
2. Prior to each residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport, and application facilities to prevent malfunctions and deterioration,
operator errors, and discharges that may cause or lead to the release of wastes to the environment, a
threat to human health, or a nuisance. The Permittee shall maintain an inspection log or summary
including at least the date and time' of inspection, obseivations "made, and any maintenance, repairs,
or corrective actions taken by the Permittee. This log of inspections shall be maintained by the
Permittee for a period of five years from the date of the inspection and shall be made available to the
Division or other permitting authority, upon request.
Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises, or place on or related to the land application
sites or facilities at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records that must be kept under the terms and conditions of this permit; and
may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
1. This permit shall become voidable unless the residuals land application events are carried out in
accordance with the conditions of this permit, the supporting materials, and in the manner approved
by the Division.
WQ0016247 Version 3.0 Shell Version 090204 Page 12 of 14

2. This permit shall be effective only -with -respect to the nature and volume of residuals described in
the application and other supporting data.
3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statutes § 143-
215.6A through § 143-215.6C.
4. The annual administering and compliance fee shall be paid by the Permittee within 30 days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate
action to revoke this permit, as specified by 15 NCAC 2T .0105 (e).
5. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other government agencies (local, state,
and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer
rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC
Chapter 4 and under the Division's General Permit NCGO10000, and any requirements pertaining to
wetlands under 15A NCAC 02B .0200 and 02H .0500.
This permit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and
monitoring requirements the Division deems necessary in order to protect the environment and
public health adequately.
This permit shall not be automatically transferable. In the event that there is a desire for the
residuals land application program to change ownership or to change the name of the Permittee, a
formal permit request shall be submitted to the Division documentation from the parties involved
and other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved.
Permit issued this the 27th day of March, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
of eenySullins, Director
K
ision of Water Quality
By Authority of the Environmental Management Commission
Permit Dumber WQ0016247
WQ0016247 Version 3.0 Shell Version 090204 Page 13 of 14

ATTACHME A - Approved Residual Sources
Permit Number: WQ0016247 Version: 3.0
Synagro, WWT, Inc. - City of Statesville Residuals Land Application Program
Certification Date: 03/27/2009
Maximo
Monitoring
Monitoring
in Dry
Frequency
Frequency for
Approved
Owner
Facility Name
County
Perinit Number
Issued By
Is 503?
Tons Per
for
Condition IV. 3.
Mineralization
Year
Condition
and Condition 1V.
Rate
IV. 2.
4.1
City of
Fourth Creek
Iredell
NCO031836
DWQ
Yes
1, 055.7
Annually
y
uarterl
Quarterly
30
Statesville
WWTP
City of
Third Creek
Iredell
NCO020591
DWQ
Yes
972.9
Annually
Quarterly
.30
Statesville
WWTP
Total
1
2,028.6
a Monitoring fi•equencies are based on the actual dry tons applied per year, unless specitied. The Monitoring P'requency Requirements Table
below shall be used to determine appropriate sampling frequency. The Permittee is responsible for managing program to assure that adequate
sampling is performed.
Monitorino Frpanenev'Reauirements
Dry Tons Generated
(short tons per year)
Monitoring ]Frequency
(Established in 40 CIFR 503 and
15A NCAC 02T.111)
<319
I/Year
=>319 - <1,650
l/ Quarter (4 times per year)
=>1,650 - <16,500
1/60 Days (6 times per ear)
=>16,500
1/month (12 times per year)
WQ0016247 Version 3.0 Attachment A Pagel of 2

ATTACHMENT B - APPROVE, D LAND APPLICATION SITLS
Permit Number: WQOO16247 Version.- 3.0
Synagro, PVT, Inc. - City of Statesville Residuals Land Application Program
Certification Date: 03/27/2009
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net Acreage
Dominant
Soil Series
NC-AL-13-01A
Millsaps, Arlene
Millsaps, Danny
Alexander
35052'53"
81"01'40"
13.50
Pacolet
NC-AL-13-01 B
Millsaps, Arlene
Millsaps, Danny
Alexander
35052'40"
81007'33"
16.00
Cecil
NC-AL-13-02
Millsaps, Danny
Millsaps, Danny
Alexander
35052'48"
81008'06"
16.60
Cecil
NC-AL-14-01 A°
Payne, Timothy L
Alexander
35052'00"
81008'10"
19.20
Rion
NC-AL-14-01 B"
Payne, Timothy L
Alexander
35052'20"
81007'60"
22.70
Cecil
NC-AL-14-02a
Payne, Timothy L
Alexander
35°51'21"
.81008'04"
43.40
Rion
NC-AL-14-03"
Payne, Timothy L
Alexander
35"51'18"
81008'17"
23.20
Cecil
.NC-AL-14-04"
Payne, Timothy L
Alexander
35051'16"
81008'31"
10.20
Cecil
NC-AL-14-05"
Payne, Timothy L
Alexander
35050'47"
81008,01"
27.90
Cecil
NC-IR-20-01
Phillips, Dennis
Iredell
35047'51"
80046'34"
11.40
Appling
NC-IR-20-02
Phillips, Dennis
Iredell
35047'51"
80°46'20"
13.20
Cecil
NC-IR-20-03
Phillips, Dennis
Iredell
35047'59"
80046'01"
11.60
Cecil
NC-IR-20-04A
Phillips, Dennis
Iredell
35047'46"
80045'33"
44.20
Cecil
NC-IR-20-04B
Phillips, Dennis
Iredell
35048'20"
80045'39"
11.60.
Cecil
NC-IR-20-06
Phillips, Demos
Iredell
35048'03" '
80046'05"
18.60
Helena
NC-IR-20-07
Phillips, Dennis
Iredell
35048'10"
80046'10"
13.90
Helena
NC-IR-20-08
Phillips, Dennis
Iredell
35048'23"
80046'04"
11.20
Appling
WQ0016247 Version 3.0 Attachment B Pagel of 2

ATTACHMENT B - APPROVED LAND APPLICATION SITES (continued)
Permit Number: WQ0016247 Version: 3.0
Synagro, WWT, Inc. - City of Statesville Residuals Land Application Program
Certification Date: 03/27/2009
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net Acreage
Dominant
Soil Series
NC-IR-20-09
Phillips, Dennis
Iredell
35048'18"
80045'58"
12.20
Cecil
NC-IR-20-11
.Phillips, Dennis
Iredell
35046'36"
80°45'50"
41.60
Cecil
NC-IR-20-12
Phillips, Dennis
Iredell
35048'29"
80045'57"
4.00
Cecil
NC-IR-22-01
Robertson, William C
Porter, Eddie
Iredell
35050'43"
80044'45"
18.10
Cecil (CFB2)
NC-IR-22-02
Robertson, William C
Porter, Eddie
Iredell
35050'55"
80044'33"
28.90
Cecil (CFB2)
NC-IR-22-03
Robertson, William C
Porter, Eddie
Iredell
35050'56"
80044'47"
15.20
Cecil (CFB2)
NC-IR-22-04
Robertson, William C
Porter, Eddie
Iredell
35050'49"
80044'54"
10.70
Cecil (CFB2)
NC-IR-23-01
Page, Loraine P
Porter, Eddie
Iredell
35050'21"
80043'43"
17.20
Cecil (CFB2)
NC-IR-23-02
Page, Loraine P
Porter, Eddie
Iredell
35050'08"
80°43'35"
32.40
Cecil (CFB2)
NC-IR-23-03
Page, Loraine.P
Porter, Eddie
Iredell
35050'59"
80043'38"
23.00
Cecil (CF132)
NC-IR-23-04
Page, Loraine P
Porter, Eddie
Iredell
35050'28,"
80°43'24"
13.70
Cecil (CFB2)
NC-IR-23-05
Page, Loraine P
Porter, Eddie
Iredell
35050'16"
80043'19"
16.10
Cecil (CF132)
NC-IR-25-01
Gantt, Boyd
Warren, William R Bob
Iredell
35048'04"
80047'11"
15.80
Cecil
NC-IR-29-01
Knox, Mary H
Knox, Ben
Iredell
35043'54"
80045'10"
42.10
Mecklenburg
TOTAL
619.4
"Setback waiver has been granted, reducing the setback requirement to 100 feet from 400 feet for surface application by vehicle and by surface
irrigation and from 200 feet for injection or incorporation.
WQ0016247 Version 3.0 Attachment B Page 2 of 2