WQ0016247_Regional Office Historical File Pre 2018 (9)

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TODD SHEARIN, TECHNICAL SERVICES MANAGER
SYNAGRO
6620 HACKERS BEND CT.
WINSTON-SALEM, NC 27103-9778
Dear Mr. Shearin:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
June 7, 2006
FIL, E
Subject: .AttachmentB Certification
Permit No. WQ0016247
SYNAGRO
City of Statesville- land application
program
Iredell County
In accordance with your permit modification application package received on January 19, 2006;
we are forwarding herewith a modified Attachment B, certified June 7, 2006, to SYNAGRO for the
subject residuals land application program.
This certification is being issued to modify Attachment B with the addition of 330.4 acres of new
land for the City of Statesville's land application program. Please replace the existing Attachment B of
Permit No. WQ0016247 that was previously certified on 06/18/2004, with this modified Attachment
B. Note that only the ' vicinity and buffer maps for any new and modified land application sites are
attached to this modified Attachment B. It is the Permittee's responsibility to ensure that a complete
permit is created by inserting this modified Attachment B and vicinity and buffer maps into Permit No.
WQ0016247, and making sure to retain any vicinity and buffer maps for any existing and unmodified
land application sites.
This modified Attachment B shall be effective from the date of certification; shall v6id
Attachment B that was previously certified on 06/18/2004; and shall be subject to the conditions and
limitations as specified therein as well as those specified in the above -referenced permit. As always,
remember to take the time to review this modified Attachment B thoroughly, as some of the
conditions contained therein may have been changed since the last certification. Note that this modified
Attachment B is hereby incorporated by reference into Permit No. WQ0016247, issued on�06/1'R81�20Q4 ,';0
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 from 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.
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal Opportunity Action Employer
Internet http://h2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
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4b..
Attachment B Certification
Permit No. WQ0016247
If ypu need any additional information concerning this matter, please contact Ms. Ellen Huffman
by telephone at (764)' 663-1699, [e-mail]. .
Sincerely,
or Alan W. Klimek, P.E.
cc: City of Statesville
Iredell County Health Department
Mooresville Regional Office -Aquifer Protection Section Files
Aquifer Protection Section Central Files
LAPCU Files
LAPCU Residuals Program Coordinator

ATTACHMENT B - Approved Land Application Sites
Permit Number: WQ0016247
Synagro-WWT Inc City of Statesville Residuals Land Application Program
Dominant
Net
GW
-Field/Zone Id
Owner
Lessee
County
Latitude
Longitude
Soil Series
Acreage
Restrictions
NC AL 11-03
Mecimore, Elbert
Childers, Walter Curtis
Alexander
35°53'32"
81 °08'45"
Pacolet
11.50 •
GW-A
NC AL 11-04
Mecimore, Elbert
Childers, Walter Curtis
Alexander
35°53'16"
81 °09'04"
Davidson
41.00
GW-A
NC AL 9-01A
Icenhour, Boone
Childers, Walter Curtis
Alexander
35°53'35"
81 °08'56"
Cecil
8.00
GW-A
NC AL 9-02
Icenhour, Boone
Payne, Jason C
Alexander
35°53'35"
81 °09'56"
Pacolet
17.80
GW-A
NC AL 9-03
Icenhour, Boone
Childers, Walter Curtis
Alexander
35°53'46"
81 °09'14"
Pacolet
38.50
GW-A
NC AL 9-07
Icenhour, Boone
Childers, Walter Curtis
Alexander
35°49'60"
81 °05'31"
Cecil
12.00
GW-A
NC AL 9-08
Icenhour, Boone
Childers, Walter Curtis
Alexander
35°49'55"
81 °05'39"
Pacolet
35.50
GW-A
NC AL 9-09
Icenhour, Boone
Childers, Walter Curtis
Alexander
35°52'26"
81 °06'27"
Cecil
30.50
GW-A
NC AL 9-10
Icenhour, Boone
Childers, Walter Curtis
Alexander
35°52'57"
81 °07'24"
Cecil
27.40
GW-A
NC AL 9-11
Icenhour, Boone
Childers, Walter Curtis
Alexander
35°52'43"
81 °07'23"
Cecil
18.30
GW-A
NC-AL-12-01
Alexander, Pauline
Hoover, Robert
Alexander
35°48'48"
81°07'15"
Pacolet
35.50
GW-A
NC-AL-12-02
Alexander, Pauline
Hoover, Robert
Alexander
35°48'57"
81°07'15"
Pacolet
14.70
GW-A
NC-AL-12-03
Alexander, Pauline
Hoover, Robert
Alexander
35°49'06"
81 *07'15"
Cecil
12.20
GW-A
NC-AL-12-04
Alexander, Pauline
Hoover, Robert
Alexander
35°49'21"
81 °05'20"
Davidson
97.40
GW-A
NC-AL-13-OIA
Millsaps, Arlene
Millsaps, Danny
Alexander
35'52'53"
81°01'40"
Pacolet
10.70
GW-A
NC-AL-13-OIB
Millsaps, Arlene
Millsaps, Danny
Alexander
35°52'40"
81°07'33"
Cecil
16.00
GW-A
NC-AL-13-02
Millsaps, Danny
Millsaps, Danny
Alexander
35°52'48"
81°08'06"
Cecil
16.60
GW-A
NC-AL-14-OIA
Payne, Tim L
Alexander
35°52'00"
81°08'10"
Rion
19.20
GW-A
NC-AL-14-OIB
Payne, Tim L
Alexander
35°52'20"
81°07'60"
Cecil
22.70
GW-A
NC-AL-14-02
Payne, Tim L
Alexander
35°51'21"
81°08'04"
Rion
43.40
GW-A
NC-AL-14-03
Payne, Tim L
Alexander
35°51'18"
81°08'17"
Cecil
23.20
GW-A
NC-AL-14-04
Payne, Tim L
Alexander
35°51'16"
81°08'31"
Cecil
10.20
GW-A
NC-AL-14-05
Payne, Tim L
Alexander
35°50'47"
81°08'01"
Cecil
27.90
GW-A
NC-AL-9-01B
Barbara & Steven Sprinkle
Alexander
35°53'30"
81'09'11"
Pacolet
18.50
GW-A
Total For Countv
Alexander
608.70
NC-IR-25-01
Gantt, Boyd
Warren, William R (Bob)
Iredell
35°48'04"
80*47'11"
Cecil
15.80
GW-A
NC-IR-25-02
Patrom, Jimmy
Warren, William R (Bob)
Iredell
35°47'29"
80°46'56"
Pacolet
7.40
GW-A
NC-IR-27-01
Ketchie, William A
Warren, William R (Bob)
Iredell
35°52'25"
80°42'53"
Pacolet
9.30
GW-A
NC-IR-27-02
Ketchie, William A
Warren, William R (Bob)
Iredell
35'52'15"
80°42'59"
Pacolet
14.70
GW-A
NC-IR-28-01
McLaughlin, John
Warren, William R (Bob)
Iredell
35°46'30"
80°46'20"
Mecklenburg
10.20
GW-A
NC-IR-28-02
McLaughlin, John
Warren, William R (Bob)
Iredell
35°46'40"
80*46'15"
Mecklenburg
11.50
GW-A
NC-IR-28-03
McLaughlin, John
Warren, William R (Bob)
Iredell
35°46'29"
80'46'11"
Mecklenburg
11.60
GW-A
NC-IR-28-04
McLaughlin, John
Warren, William R (Bob)
Iredell
35°46'32"
80°46'02"
Mecklenburg
12.70
GW-A
NC-IR-28-05
McLaughlin, John
Warren, William R (Bob)
Iredell
35'46'16"
80°46'05"
Mecklenburg
5.20
GW-A
NC-IR-29-01
Knox, Mary H
Knox, Ben
Iredell
35°43'54"
80°45'10"
Mecklenburg
42.10
GW-A
Total For County
Iredell
140.60
Total
749.20
GWA- is dominated by soils with a mean seasonal high water table greater than three feet below the land surface. Residuals land application events may
occur on these sites year round.
WQ0016247 Attachment B certified June 7, 2006

of vdATFR Michael F. Easley, Governor
o� PG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
1
o -c
Alan W. Klimek, P.E., Director
Division of Water Quality
February 22, 2006
Jonathan Hill
Synagro-WWT, Inc.
6220 A Hackers Bend Court
Winston-Salem, NC 27103-9778
Subject: Acknowledgement of Application No. WQ0016247
City of Statesville Residuals Land Application Program
Land Application of Residual Solids (503)
Alexander
Dear Mr. Hill:
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your
permit application and supporting materials on January 19, 2006. This application package has been
assigned the number listed above and will be reviewed by Andrew Pitner.
The reviewer will perform a detailed review and contact you with a request for additional information if
necessary. To ensure the maximum efficiency in processing permit applications, the Division requests
your assistance in providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to
final action by the Division. Please also note at this time, processing permit applications can take as long
as 60 - 90 days after receipt of a complete application. To check on the status of your application, you
can visit http://h2o.enr.state.nc.us/bims/Reports/reportsPermits.htm1.
If you have any questions, please contact Andrew Pitner at 704-663-1699, or via e-mail at
[e-mail]. If the reviewer is unavailable, you may leave a message, and they will
respond promptly. Also note that the Division has reorganized. To review our new organizational chart,
go to http://h2o.enr.state.nc.us/documents/dwq orgchart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT.
Sincer ly,
IIv
fobKi H.Colson, P. .
Supervisor
cc: (Booresville--Regional-Office; Water Quality Section
Scott Berg, Synagro South, Inc.
Permit Application File WQ0016247
D CCC! 0W
c LEG 2 3 '1006
IBC UEI�li : iVIZ�
DWQ - Aquifer Protection
NorthCarolina
Naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: http://h2o.enr.state. nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

o f VgATF9 Michael F. Easley, Governor
o� �G William G. Ross Jr., Secretary
} North Carolina Department of Environment and Natural Resources
1
O �C
Alan W. Klimek, P.E., Director
Division of Water Quality
February 22, 2006
Jonathan Hill
Synagro-WWT, Inc.
6220 A Hackers Bend Court
Winston-Salem, NC 27103-9778
Subject: Acknowledgement of Application No. WQ0016247
City of Statesville Residuals Land Application Program
Land Application of Residual Solids (503)
Alexander
Dear Mr. Hill:
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your
permit application and supporting materials on January 19, 2006. This application package has been
assigned the number listed above and will be reviewed by Andrew Pitner.
The reviewer will perform a detailed review'and contact you with a request for additional information if
necessary. To ensure the maximum efficiency in processing permit applications, the Division requests
your assistance in providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to
final action by the Division. Please also note at this time, processing permit applications can take as long
as 60 - 90 days after receipt of a complete application. To check on the status of your application, you
can visit http://h2o.enr.state.nc.us/bims/Reports/reportsPermits.htm1.
If you have any questions, please contact Andrew Pitner at 704-663-1699, or via e-mail at
[e-mail]. If the reviewer is unavailable, you may leave a message, and they will
respond promptly. Also note that the Division has reorganized. To review our new organizational chart,
go to http://h2o.enr.state.nc.us/documents/dwg orgchartpdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT.
Sin;Ki
vV
foH. Colson, P. .
Supervisor
cc: Mooresville Regional Office, Water Quality Section
Scott Berg, Synagro South, Inc.
Permit Application File WQQ016247)
C��COWIt �
F F B 2 .' 2006
NC DENR CRO
DWQ - A uifer Protection
NorthCarolina
Naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: http://h2o.enr. state. nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

0
THIS .•
SYNAGRO SOUTH
1800 BERING`DRIVE, SUITE 1000
HOUSTON TX 77057.
[phone] Ext. 0000
PAY: Three Hundred Twenty Five bollars And 00 Cents
TO THE
ORDER
OF N.C. DEPT. OF ENVIRONMENT,
AND NATURAL RESOURCES
1617 MAIL SERVICE CENTER:
RALEIGH NC 27699-1617 .
peQ�ir �ytDDi�r�ri�v� - �'� 00�10 2`i�
"O0000354 26 111' 1:0719 23 2841: 87650ill 0 157?v

'lll
SYNAGRO,
A Residuals Management Company
January 19, 2006
NCDENR - Division of Water Quality
Land Application Unit, Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
ATTENTION: Ms. Shannon Thornburg
REFERENCE: MODIFICATION OF LAND APPLICATION PERMIT WQ0016247
Synagro, Inc. (City of Statesville Third and Fourth Creek WWTP's)
Dear Ms. Thornburg:
Please find enclosed one original and three copies of Synagro's permit modification application
for your review. We wish to modify this permit to',add�33f 4:net acres contained in six new farm
sites. The new proposed total amount of permitted acreage for this program 792 as es: No
source -related changes are proposed herein. A check in the amount of $325.00, fora major
modification of a noh-discharge major permit, is also attached.
This application is believed to contain all of the pertinent information necessary to complete the
requested modification of the Statesville permit. However, if you require additional information
or have further questions please contact me at sber Ana sra.coln of by phone at (336) 766-
0328, ext. 12Z._ Thank you in advance for your timely and efficient review of this modification
application.
Sincerely,
SYNAGRO, Inc.
Scott D. Berg
Technical Services Manager
Enclosure: Permit Modification Application Package
$325.00 modification fee
6220-A Hackers Bend Court, Winston-Salem, NC 27103 e Ph: [phone] • Fax: [phone] • Toll Free: [phone]

A Residuals Management Company
APPLICATION FOR MODIFICATION OF
PERMIT NO. WQ0016247
RESIDUALS LAND APPLICATION PROGRAM
SYNAGRO-WWT, INC.
CITY OF STATESVILLE PROGRAM
STATESVILLE, NORTH CAROLINA
A better tomorrow for our Client Triangle: The GENERATOR, The LANDOWNER, and The ENVIRONMENT
Prepared by:
SYNAGRO, INC.
6220-A Hackers Bend Court
Winston-Salem, NC 27103
Toll Free: [phone]
Fax: [phone]
January 2006
!i

Table of Contents
Section # Title
Section 1 Attachment Order 1: Non -Dedicated Residuals Land Application Programs
Form
Attachment Order 1 a: Signing Official Delegation Letter .
Section 2 Attachment Order 3: Land Application Certification Attachment
Attachment Order 3-a: Watershed Classification Attachment
Attachment Order 3-b: County Manager Notification Attachment form(s)
Alexander County
Iredell County
Site Specific Information (by Application Site)
Site Summary Sheet .
Attachment Order 3-c: Landowner Agreement
Attachment Order 3-d: Buffer Waiver Agreement(s) (where appropriate)
Attachment Order 3-e: Vicinity, Topographic, Aerial, Buffer (Application
Area), and Soil Maps
Attachment Order 3-f: Soil Evaluation (where required)
Attachment Order 3-f: Soil and Agronomic Evaluation (General Information)
Attachment Order 3-g: Cumulative Pollutant Loading Rates

Attachment Order 1:
Non -Dedicated Residuals Land Application Programs Form
(NDRLAP form)

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: (to be'completed by DWQ)
I. GENERAL INFORMATION (See Instruction B.): .
1. Applicant's name: Synagro-WWT, Inc.
2. Signing official's name and title: Jonathan Hill, Technical Services Director, Synagro South
3. Complete mailing address of applicant: 6220-A Hackers Bend Ct
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336 ) 766-0328 Facsimile number: ( 336 ) 766-8652
E-mail address: jhill(a_synagro.com
4. Name and complete mailing address of contact person and/or consulting firm who prepared application:
Scott Berg, Smagro, Inc., 6220-A Hackers Bend Ct
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336 ) 766-0328 Ext. 127 Facsimile number:( 336) 766-8652
E-mail address: sber2asvnasro.com
5. County where residuals land application program is headquartered: Iredell
6. County(ies) where residuals source -generating facilities are located: Iredell
7. County(ies) where land application sites are located: Alexander, Iredell
8. Fee submitted: $
H. PERMIT INFORMATION:
1. Application is for: ❑ new, ® modified, ❑ renewed permit (check all that apply).
2. If this application is being submitted to renew or modify an existing permit, provide the following:
the permit number W00016247 ,
the most recent issuance date June 18, 2004 , and the expiration date Mgy 31, 2009
Date of most -recently certified Attachment A: June 18, 2004
Date of most -recently certified Attachment B: June 18, 2004
FORM: NDRLAP 02/02 Page 2 of 5 Attachment Order 1

3. Check all that apply to the requested permit modification:
❑
INCREASE
❑
DECREASE
the maximum permitted annual dry tonnage for existing residuals
source -generating facility(ies) certified for this residuals land
application program.
❑
ADD
❑
DELETE
residuals source -generating facility(ies) to/from those certified for
this residuals land application program.
❑
INCREASE
❑
DECREASE
the net acreage associated with land applications site(s) currently
certified for this residuals land application program.
®
ADD
❑
DELETE
land application site(s) to/from those certified for this residuals
land application program.
❑
OTHER.
Explain:
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Who will be responsible for the day-to-day management of the residuals land application program:
❑ Permittee or ® residuals management firm. If a residuals management firm, complete the following:
Firm contact person and title: Frankie Singleton, Senior Operations Manager
Firm name and complete mailing address: Synagro, Inc.
6220-A Hackers Bend Ct.
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336 ) 766-0328 Facsimile number:( 336 ) 766-8652
E-mail address: [e-mail]
2. 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
Scott Berg
Synagro
LA22731
Back -Up ORC
Jonathan Hill
Synagro
LA27659
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:
FORM: NDRLAP 02/02 Page 3 of 5 Attachment Order 1

3. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrosen 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: 2028.6 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
35.78
36.43
72,591
73,905
Five -Year Maximum Adjusted
58.49
59.14
118,661
119,976
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
0
Row Crops
283.4
Hay
228.1
Pasture
237.7
Total:
749.2
Methods
Surface
749.2
Incorporation or Injection
0
Total:
749.2
Restrictions
Year -Round
749.2
Seasonal
0
-�
Total:=
--- — — —
_ "749.2-
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 -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
70
1,037
1,056
1,695
1,714
150
484
493
791
800
250
290
296
475
480
FORM: NDRLAP 02/02 Page 4 of 5 Attachment Order 1

4. Identify and provide a plan as well as a schedule to resolve any issues that would prevent all of the residuals
currently certified and proposed for certification to be land applied without exceeding agronomic rates or
violating any of North Carolina's standard permit conditions governing residuals land application programs
(e.g., not enough storage, not enough land, etc.): N/A
Applicant's Certification:
I, Jonathan Hill , attest that this application for the modification
of the City of Statesville's Land Application Program has been reviewed by me and is accurate and
complete to the best of my knowledge. I understand that the Division of Water Quality may not conduct a technical
review of this program and approval does not constitute a variance to any rules or statutes unless specifically granted
in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate
enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no
claim against the Division of Water Quality should a condition of this permit be violated. I also understand that if all
required parts of this application are not completed and that if all required supporting information and attachments
are not included, this application package will be returned to me as incomplete. Note: In accordance with North
Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false statement,
representation, or certif cation in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
not to exceed $10,00s v#11 as civil penaltig up to $25,000 per violation.
Signature: Date: lelo5
THE COMPLETED APPLICATION PACKAGE,
INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service: By Courier/Special Delivery:
1636 MAIL SERVICE CENTER 2728CAPITAL BOULEVARD ROOM NO. 1C 130
RALEIGH, NORTH CAROLINA 27699-1639 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
*** END OF FORM NDRLAP 02/02 ***
FORM: NDRLAP 02/02 Page 5 of 5 Attachment Order I

Attachment Order la:
Signing Official Delegation Letter

COPY
August 17, 2005
Mr. Ed Hardy
NCDENR-DWQ
Aquifer Protection Section
1617 Mail Service Center
Raleigh, -NC 27699-1617
Subject: Permitting Signature Authority
Dear Mr. Hardy:
As an appropriate signing official for Synagro-WWT, Inc. as designated by 15A NCAC 2H .0206, I hereby
delegate authority to sign and certify all permit applications, reports or other permit related documents to
the following staff for the following permits types and/or -permit numbers:
Position
Person Currently in Position
Permit Tvae or Permit Number
Technical Services Director
Jonathan Hill
Land Application Permit No.
MOO(City of Statesville
If you have any questions, please contact me at the following:
Permittee/Applicant name (please print): _ Shelby Lowe
Title: Regional Vice President
Complete mailing address: 4512 Brittmoore Rd
City: Houston State: TX Zip: 77041
Telephone number: ( 832 ) 467-1212 Facsimile number: ( 832 ) 467-0785

__wwII\
Applicant's name: Synagro-WWT. Inc.
Check all that apply: ❑ NEW RESIDUALS LAND APPLICATION PROGRAM ❑ RENEWED RESIDUALS LAND APPLICATION PROGRAM
® ADD ❑ DELETE this/these land application site(s) to/from those certified for this residuals land application program.
❑ INCREASE ❑ DECREASE the net acreage associated with this/these land application site(s) currently certified for this residuals
land application program.
❑ OTHER Explain:
Land application sites currently certified: 418.8 net acres and proposed for certification: 330.4 net acres. Total to be certified: 749.2 net acres.
Approximate percentages: 0 % forested, 100 % ag`r`icultural, and 0 % reclamation sites.
I. LAND APPLICATION SITE INFORMATION (See Instruction B.):
1. Complete the following table with the requested information:
Status
Code
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
County
Net
Acres
Predominant
Soil Series
Soil
CEC
N
NC-AL-13-OIA
Arlene Millsaps
Danny Millsaps
Alexander
10.7
Fairview
16.5
N
NC-AL-13-OIB
Arlene Millsaps
Danny Millsaps
Alexander
16.0
Clifford
16.5
N
NC-AL-13-02
Danny Millsaps
Danny Millsaps
Alexander
16.6
Clifford
7.5
N
NC-AL-14-OIA
Timothy Lee Payne
Timothy Lee Payne
Alexander
19.2
Rhodhiss
8.3
N
NC-AL-I4-OIB
Timothy Lee .Payne
Timothy Lee Payne
Alexander
22.7
Clifford
8.3
N
NC-AL-14-02
Timothy Lee Payne
Timothy Lee Payne
Alexander
43.4
Rhodhiss
7.0
N
NC-AL-14-03
Timothy Lee Payne
Timothy Lee Payne
Alexander
23.2
Clifford
7.0
N
NC-AL-14-04
Timothy Lee Payne
Timothy Lee Payne
Alexander
10.2
Clifford
11.3
N
NC-AL-14-05
Timothy Lee Payne
Timothy Lee Payne
Alexander
27.9
Fairview
10.0
N
NC-IR-25-01
Boyd Gantt
William R. "Bob" Warren
Iredell
15.8
Cecil
9.4
N
NC-IR-25-02
Jimmy Patrom
William R. "Bob" Warren
Iredell
7.4
Pacolet
8.8
FORM: LASCA 02/02 Page 2 of 2 Attachment Order 3

N
NC-IR-27-01
William A. Ketchie
William R. "Bob" Warren
Iredell
9.3
Fairview
9.1
N
NC-IR-27-02
William A. Ketchie
William R. "Bob" Warren
Iredell
14.7
Fairview
7.2
N
NC-IR-28-01
John McLaughlin
William R. "Bob" Warren
Iredell
10.2
Mecklenburg
8.9
N
NC-IR-28-02
John McLaughlin
William R. "Bob" Warren
Iredell
11.5
Mecklenburg
9.2
N
NC-IR-28-03
John McLaughlin
William R. "Bob" Warren
Iredell
11.6
Mecklenburg
20.4
N
NC-IR-28-04
John McLaughlin
William R. "Bob" Warren
Iredell
12.7
Mecklenburg
21.2
N
NC-IR-28-05
John McLaughlin
William R. "Bob" Warren
Iredell
5.2
Mecklenburg
12.7
N
NC-IR-29-01
Mary H. Knox
Ben Knox
Iredell
42.1
Mecklenburg
7.0
*** END OF FORM LASCA 02/02 ***
FORM: RSCA 02/02 Page 2 of 3 Attachment Order 2

Attachment Order 3a — Watershed Classification Attachment

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
WATERSHED CLASSIFICATION ATTACHMENT
FOR RESIDUALS PROGRAMS
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional application processing and review time.
For more information or for an electronic version of this form, visit our web site at: http://h2o. enr. state. no. us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without a corresponding residuals program application
form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare the attachment form with the requested information for each location where the residuals
program activities are planned to occur within a particular regional office county coverage.
✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary.
✓ Use a portion of an 8.5-inch 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.
✓ Latitudes and longitudes must reported as being based on either the NAD 27 or the NAD 83 data systems.
✓ Acceptable methods of determining location latitudes and longitudes and their corresponding codes are as
follows:
♦ Address Matching (ADD) ♦ Digital or Raw Photo Extraction (EXT)
♦ Aerial Photography with Ground Control (AER) ♦ Geodetic Quality GPS Survey (GEO)
♦ Cadastral Survey (SUR) ♦ LORAN-C Navigation Device (LOR)
♦ Conversion from Coordinate Plane (CP) ♦ Navigation Quality GPS (GPS)
♦ Conversion from Township -Section -Range (TSR) ♦ Remote Sensing (RS)
♦ Conversion from Universal Trans Merc (UTM) ♦ Zip Code Centroid (ZIP)
♦ Map Interpretation by Digital or Manual Extraction (MAP)
✓ Location accuracy must be provided to the nearest unit (e.g., nearest second, tenth of a second, etc.).
C. Mail or fax the attachment form and the map portions to the appropriate regional office for review and
to obtain the waterbody and classification information.
✓ A list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/.
✓ The Division will not consider this attachment form to be complete until it is completed by the appropriate
regional office.
To: Regional office: Mooresville Regional Office
Address of regional office: 610 East Center Avenue, Ste 301
City: Mooresville State: NC Zip: 28115
Facsimile number: ( 704 ) 663-6040
Please provide me with -the waterbody name(s), stream index number(s), and current/proposed
classification(s) of the surface waters that are closest to and downslope from the location(s) where the
proposed residuals program activitieA67c planned to occur, as identified on the attached map segment.
Signature of regional office staff- Date: DS
FORM: WSCA 02/02 Page 1 of 2 Attachment Order 3-a

a
Location ID
County
Latitude
Longitude
Location
Datum
Location
Method
Code
Location
Accuracy
Waterbody Subbasin
and
Stream Index No.
(To Be Completed by
DWQ)
Current and
Proposed Class
(To Be Completed
by DWQ)
NC-AL-13-01A
Alexander
35.52.53 N
81.01.40 W
NAD 27
'MAP
SECOND
NC-AL-13-01B
Alexander.
35.52.40 N
81.07.33 W
NAD 27
MAP
SECOND
, 7_
W6
11�C-AL-13-02
Alexander
35.52.48 N
81.08.06 W
NAD 27
MAP
SECOND
WS
NC-AL-14-01A
Alexander
35.52.00 N
81.08.10 W
NAD 27
MAP
SECOND
1 u
NC-AL-14-01B
Alexander
35.52.20 N
81.08.00 W
NAD 27
MAP
SECOND
li N
NC-AL-14-02
Alexander
35.51.21 N
81.08.04 W
NAD 27
MAP
SECOND
:f I cQ '2
WS
NC-AL-14-03
Alexander
35.51.18 N
81.08.17 W
NAD 27
MAP
SECOND
t 1 _ 70 _6
NC-AL-14-04
Alexander
35.51.19 N
81.08.31 W
NAD 27
MAP
SECOND
Vt 14
�5
C-AL-14-05
Alexander
35.50.47 N
81.08.01 W
NAD 27
MAP
SECOND
ti i
vv
NC-IR-25-01
Iredell
35.48.04 N
80.47.11 W
NAD 27
MAP
SECOND
NC-IR-25-02
Iredell
35.47.29 N
80.46.56 W
NAD 27
MAP
SECOND
_101? -01-0
NC-IR-27-01
Iredell
35.52.25 N
80.42.53 W
NAD 27
MAP
SECOND `
& � � az_
C-IR-27-02
Iredell
35.52.15 N
80.42.59 W
NAD 27
MAP
SECOND
NC-IR-28-01
Iredell
35.46.30 N
80.46.20 W
NAD 27
MAP
SECOND
0 Utz'
/ -/off-��
NC-IR-28-02
Iredell
35.46.40 N
80.46.15 W
NAD 27
MAP
SECOND
ANC-IR-28-03
Iredell
35.46.29 N
80.46.11 W
NAD 27
MAP
SECOND
ANC-IR-28-04
Iredell
35.46.32 N
80.46.02 W
NAD 27
MAP
SECOND
/,4
NC-IR-28-05
Iredell
35.46.19 N
80.46.05 W
NAD 27
MAP
SECOND
NC-IR-29-01
Iredell
35.43.54 N
80.45.10 W
NAD 27
MAP
SECOND
C/2—
""END OF FORM RWSCA 02/02 ***
FORM: RWSCA 02/02
Page 2 of 2
Attachment Order 3-a

Attachment Order 3b
County Manager Notification Attachment Form(s)

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
COUNTY MANAGER NOTIFICATION ATTACHMENT
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to submit all of the required items will lead
to additional application processing and review time.
For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state. nc. us/ndpz/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without a corresponding residuals program application
form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each county in which the land application sites for which the
applicant is seeking certification are located.
C. Mail the attachment form to the appropriate county manager by certified mail with a return receipt
requested
✓ The most current publication of the Directory of State and County Officials may be downloaded from the web
site at: http://www.secretary.state.nc.us/pubsweb/direct.asp.
✓ A list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/.
D. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form prior to
submission of the application to the Division for review.
To: County where land application sites are located: Alexander
Name and complete address of county manager: Rick French
621 Liledown Rd
City: Taylorsville State: NC ' Zip: 28681
This is to notify you that the applicant listed in Item I. 1. of this attachment form will be submitting an
application for the land application of residual solids to land in your county to the Division of Water Quality
(Division) for review. During this review, the Division will ensure that all federal and state regulations are
enforced. Maps of the land application sites included in this application will be available at the following
location no later than the listed expected application date:
Name and complete address of appropriate regional office: Mooresville Regional Office
610 E. Center Avenue, Ste 301
City: Mooresville State: NC Zip: 28115
Telephone number: ( 704 ) 663-1699 Facsimile number: ( 704 ) 663-6040
Expected date of application submission: January 6, 2006
Actual date of application submission (to be completed by DWQ):
Deadline for county manager response (to be completed by DWQ):
Should you desire to'comment on this application as it related to your interests, 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 Water Quality Supervisor of
the appropriate regional office at the telephone number provided above. Thank you in advance for your
attention to this matter.
FORM: CMNA 02/02 Pagel of 2 Attachment Order 3-b

I. GENERAL INFORMATION:
1. Applicant's name: Synagro, Inc.
2. Signing official's name and title: Jonathan Hill
Technical Services Director, Southern Region
3. Complete mailing address of applicant: Synam South
6220-A Hackers Bend Ct
City: Winston-Salem State: NC Zip: 27103
Telephone number: 336) 766-0328 Facsimile number: ( 336 ) 766-8652
E-mail address: jhill(a_,synagro.com
4. Name and complete mailing address of contact person and consulting firm who prepared application:
Scott Berg, Synagro, 6220-A Hackers Bend Ct
City: Winston-Salem State: NC Zip: 27103
Telephone number: 336 ) 766-0328 Facsimile number: ( 336 ) 766-8652
E-mail address: sbergnsynagro.com
H. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, and/or ❑ renewed permit.
2. If this application is being submitted to renew or modify an existing permit, provide:
the permit number W00016247 ,
the most recent issuance date June 18, 2004 , and the expiration date MU 31, 2009
Date of most -recently certified Attachment A: June 18, 2004
Date of most -recently certified Attachment B: June 18, 2004
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION
1. County (ies) where residuals source -generating facilities are located: Iredell
2. Purpose of the residual source -generating facilities (check all that apply):
® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial mixed with domestic wastewater, and/or
(approximate percentages: % industrial and % domestic)
❑ other (explain:
3. Are land application sites currently certified for this residuals land application program in this county:
®yes [—]no. If yes, provide the total number of acres (i.e., excluding buffers) that are certified: 418.8 acres
(approximate percentages: % forested, 100 % agricultural, and % reclamation sites).
4. This application, if approved by the Division, will certify 189.9 additional acres (i.e., excluding buffers) in
this county for this residuals land application program (approximate percentages: 0 % forested, 100 %
agricultural, and 0 % reclamation sites).
*nX END OF FORM CMNA 02/02 ***
FORM: CMNA 02/02 Page 2 of 2 Attachment Order 3-b

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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Aleq
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A. Signature
X ❑ Agent
C ❑ Addressee
B(,—�,ive_d by (Pripted.Name) O.p7tOe o�eliy.%r
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
.❑ Certified Mall Q ExpresaMali
❑ Registered ❑ Return Receipt for Merchandise
t❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra.Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7005 0390 0005 1935 3189
PS Form 3811, February:2004 Domestic Return Receipt 102565-02-M-15410

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
COUNTY MANAGER NOTIFICATION ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to submit all of the required items will lead
to additional application processing and review time.
For more information or for an electronic version of this form, visit our web site at: http: //h2o: enr. state. nc. us/ndpzd
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachmentform for review without a corresponding residuals program application
form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each county in which the land application sites for which the
applicant is seeking certification are located.
C. Mail the attachment form to the appropriate county manager by certified mail with a return receipt
requested.
✓ The most current publication of the Directory of State and County Officials may be downloaded from the web
site at: http://www.secretary.state.nc.us/pubsweb/direct.asp.
✓ A list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/.
D. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form prior to
submission of the application to the Division for review.
To: County where land application sites are located: Iredell
Name and complete address of county manager: Joel Mashburn
200 S. Center Street
City: Statesville State: NC Zip: 28677
This is to notify you that the applicant listed in Item I. 1. of this attachment form will be submitting an
application for the land application of residual solids to land in your county to the Division of Water Quality
(Division) for review. During this review, the Division will ensure that all federal and state regulations are
enforced. Maps of the land application sites included in this application will be available at the following
location no later than the listed expected application date:
Name and complete address of appropriate regional office: Mooresville Regional Office
610 E. Center Avenue, Ste 301
City: Mooresville' State: NC Zip:
Telephone number: (_704 ) 663-1699 Facsimile number: (_704 ) 663-6040
Expected date of application submission: January 6, 2006
Actual date of application submission (to be completed by DWQ):
Deadline for county manager response (to be completed by DWQ):
Should you desire to comment on this application as it related to your interests, 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 Water Quality Supervisor of
the appropriate regional office at the telephone number provided above. Thank you in advance for your
attention to this matter.
FORM: CMNA 02/02 Page 1 of 2 Attachment Order 3-b

I. GENERAL INFORMATION:
1. Applicant's name: . Synagro, Inc.
2. Signing official's name and title: Jonathan Hill
Technical Services Director, Southern Regional
3. Complete mailing address of applicant: Synagro
6220-A Hackers Bend Ct
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336 ) 766-0328 Facsimile number: ( 336 ) 766-8652
E-mail address: ihillna,synagro.com
4. Name and complete mailing address of contact person and consulting firm who prepared application:
Scott Berg, Synaaro, 6220-A Hackers Bend Ct
City: Winston-Salem State: NC Zip: 27103
Telephone number: (_336 ) 766-0328 Facsimile number: (__336 766-8652
E-mail address: [e-mail]
H. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, and/or ❑ renewed permit.
2. If this application is being submitted to renew or modify an existing permit, provide:
the permit number W00016247 ,
the most recent issuance date June 18, 2004, , and the expiration date May 31, 2009
Date of most -recently certified Attachment A: June 18, 2004
Date of most -recently certified Attachment B: June 18, 2004
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION
1. County(ies) where residuals source -generating facilities are located: Iredell
2. Purpose of the residual source -generating facilities (check all that apply):
® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial mixed with domestic wastewater, and/or
(approximate percentages: % industrial and % domestic)
❑ other (explain: ).
3. Are land application sites currently certified for this residuals land application program in this county:
❑ yes ® no. If yes, provide the total number of acres (i.e., excluding buffers) that are certified: _ acres
(approximate percentages: % forested, % agricultural, and % reclamation sites).
4. This application, if approved by the Division, will certify 140.5 additional acres (i.e., excluding buffers)
in this county for this residuals land application program (approximate percentages: 0 % forested,
100 % agricultural, and 0 % reclamation sites).
*** END OF FORM CMNA 02/02 ***
FORM: CMNA 02/02 Page 2 of 2 Attachment Order 3-b

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item 4 if Restricted Delivery is desired, Agent
'� Print your name and address on the reverse X Addressee
so that we can return, the card to you. B, Re eived by (Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits. '
Article Addressed to:
J�el IV46ti &wo
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
10 Registered ❑ Return Receipt forMerchandise
❑ Insured Mail ❑ C.O.D.
4..Restricted Delivery? (Extra Fee). ❑ Yes
2. Article Number
(/ransf7005 0390 0005 1935 3196
er from service label)
PS Form 3811, February.2004 Domestic Return Receipt 1025s5 02-M-1540

Site Specific Information (by application site)
• Site Summary Sheet
• Attachment Order 3-c:
Landowner Agreement Attachment Form
•. Attachment Order 3-d:
Buffer Waiver Agreement Attachment(s)
• Attachment Order 3-e:
Vicinity; Topographic, Aerial, Buffer
(Application Area), and Soil Maps
Attachment Order 3-f:
Soils Evaluation (where applicable)

SITE SUMMARY
CITY OF STATESVILLE
STATESVILLE, NC
Site ID:
NC-AL-13
Owner:
ZArlene
Millsaps (Fields 1A & 1 B)
Danny Millsaps (Field 2)
Address:
662 Lee Matheson Road
Taylorsville, NC 2W81
Phone:
28) 632-4548 home
A828) 320-5759 cell
Operator:
Danny Millsaps
Address:
662 Lee Matheson Road
Taylorsville, NC 28681
Phone: [phone] cell
Estimated
�'7 `� �- 1��
i otai Applicable Predominant Latitude &-
Fields Acres Acres Crnn/cl Kura roi► Qe%il Ccrinc 1
1A
21.2
10.7
Fescue (p)
2-10
Fairview
Pau (
35.52.53 N
81.01.40 W
1 B
24.5
16.0
Fescue (p)
2-10
Clifford
,( -;i,
35.52.40 N
81.07.33 W
2
28.2
16.6
Fescue (h)
2-10
Clifford
-- (
35.52.48 N
F81.08.06
W
TOTALS 73.9 43.3
Notes:
Date: 12/01 /05

A-44 0,fpfl), Meff ap-5
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for ar.-electronic version of this form, visit our web site at: http:11h2o. enr.state.nc. us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ --Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and -operated by
a lessee/operator (i.e., if applicable) other than the applicant.
A copy of the completed and appropriately executed attachment form must be provided to the landowner and the
lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Synasro-WWT Inc
omplete mailing address of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip: 27103
Telephone number: 336 ) 766-0328 Facsimile number:( 336 ) 766-8652
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies)
onto the following land application sites) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions
as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or Disposition of
Crops
Residuals Source -Generating
Facilities
f
rccew. Pk�TIUlZi
Livestock feed
Statesville -3rd Creek and 4th Creek
WWTpc
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 sitv(s) described above for the disposal of the residuals.
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.
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: LOAA 02/02 Pagel of 3 . Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality,
contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional
residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application
program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of
this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this.
Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of
the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non-Discharge'Permitting Unit, 1617
Mail Service -Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. The request shall contain the. appropriate forms and agreements. In addition, a notice shall be given by the current landowner to
the new landowner that gives full details -of the residuals applied or incorporated at the land application site(s).
8. 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, and a description
of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals Iand application program permit that has been
most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum
application rates, limitations, and other restrictions prescribed by the laws and regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that
residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also
applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will
determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
14'. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the
landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human- consumption shall be harvested in accordance with the conditions of the Division's residuals land application
program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the
land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the
land application site(s) as required by the residuals land application program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation -of credentials, enter and inspect any
property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with
the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of
this permit; or may obtain samples of groundwater, surface water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their. representatives to take necessary soil,
surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

II. RESTRICTIONS:
Landowner's Certification:
❑ I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding -the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s)-are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals -to the land
application site(s) as specified herein.
Landowner name: Azk11,r,?A4!5
p
Signature: j Date: / 2j D� ,9Sr
NORTH CAROLINA, /�- �► ��� COUNTY
I, the undersigned Notary Public do hereby certify that ( Mlllw5 personally
appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand, o cial seal this th 3y day -of �_�deVhbr'r 20 f
Signature and seal. 0,
_
OFFICIAL SEAL
My commission expires: 51d-7/ 0 � Notary Riblic, North Carolina
COUNTY OF FORSYTH
FRANKIE D. SI GL QN
-My Commission Expires 7 C� 1
Lessee's/Operator's Certification:
["I certify that I have read this Agreement and do hereby agree to abide by the stipulations and -restrictions as specified herein.
Lessee/operator name: 1. ,0v 1V1W1<nA-
Signature:
Permittee's Certification:
2( I certify that -I have read
Signing official name:
Signature:
Date: - 'yo - 05`
and do hereby agree to abide by the stipulations and restrictions as specified herein.
�lonathar, e. kJ1
* * * END OF FORM LOAA 02/02 * * *
Date:
FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c

,VA441 Ubti lte?PS
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o. enr. state. nc. us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachmentform for each set of land application sites that are owned by a landowner and operated by
a lessee/operator (i.e., if applicable) other than the applicant.
A copy of the completed and appropriately executed attachment form must be provided to the landowner and the
lessee/operator.
AGREEMENT FOR THRLAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Svnaero-WWT. Inc.
)mplete mailing address of applicant: 6220A Hackers Bend Court
City: Winston-Salem IState: NC Zip: 27103
Telephone number: ( 336 ) 766-0328 Facsimile number: ( 336 ) 766-8652
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies)
onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions
as given in .this Agreement:
Site/Field ID_
Land Use or
Cropping Patterns
Intended Use or Disposition of
Crops
Residuals Source -Generating
Facilities
�d2
�e
Livestock feed
Statesville -3rd Creek arid. Creek
k ap
VJUITSIC-Az-1
The landowner or his representative receives, in consideration, full -use of the nutrient value of the applied residuals while
the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality,
contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional
residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application
program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of
this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors,. and assigns of the parties hereto with reference to the subject matter of this
Agreement.
-5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of
the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to
the new landowner that gives full details of the residuals applied or incorporated at the land application site(s).
8. 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, and a description
of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been
most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum
application rates, limitations, and other restrictions prescribed by the laws and regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that
residuals may be land applied when the land -application site has a pH of less than 6.0, provided that a sufficient amount of lime is also
applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will
determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the
landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application
program permit.
19. The landowner or his -representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the
land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the
land application site(s) as required by the residuals land application program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any
property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with
the Division's residuals land application program, permit; may inspect or copy any records that must be kept under the terms and conditions of
this permit; or may obtain samples of groundwater, surface water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil,
surface water, and groundwater samples during the term of, and for 12_months after termination of, this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

II. RESTRICTIONS:
Landowner's Certification:
❑ I certify that I am a deeded landowner of the above -referenced land application site(s) and- am authorized to make decisions
regarding the use of the land application-site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the -stipulations and restrictions; and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified -herein. I'l � n
Landowner n e: 7_ ,.¢ i9 4 is / f6414
Signature: VV n 11
1 Date:
NORTH CAROLINA, A 1-( y e-4A apf COUNTY
I, the undersigned Notary Public do hereby certify that 061VI AV personally
appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal t is the 319 day of 5 9,46rh I er , 200
Signature and seal:
My commission expires: 5/2-7
OFFICIAL SEAL
9� Notary Public, North Carolina
.`4 COUNTY OF FORSYTH
FRANKIE D. INGLETON _
My Commission Expires ti
Lessee's/Operator's Certification:
❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree -to abide by the stipulations and restrictions as specified herein.
Signing official name: ra-thar
Signature: Date: L_2�D
* * * END OF FORM LOAA 02/02
FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c

1''SYNAGR-0
VICINITY MAP
A Residuals Afanagemcnt Company
COUNTY OWNER Alekfid MLII�,5 0A.)8)

4
SYNAGRO
TOPOGRAPHIC MAP
OWNER Aa,: �:X/-,c /) 9 1 //M d SCALE: I
PHOTOQUAD/YEAR
1"Ve-xz 13
1
A Residuals Management Company
ldlO" FIELDS A /R. 2-
CONTOUR iNTERvAL20

'OSYNAGRO,
AERIAL REFERENCE MAP
0
A Residuals Management Company
W;
COUNTY OWNER Akre C. /�1+� l�
y

ym, SYNAGRO-
APPLICATION AREA MAP A Residuals hfanagement Company
Owner e4�!'✓1r F �vy /ill i,t� Scale: I" Field #
AleA/ i_3
CK)
CD
STREAM
DRAIN
SURFACE WATER
FENCE
STORAGE AREA
Total
Acres V-- 9
Ci:)
APPLICATION AREA
N
HOUSE
❑
OUTBUILDING
0
WELL
SOIL DESCRIPTION
PROPERTY LINE C L,
Net Acres-
- — — — — —
PRIVATE ROAD
FORESTED AREA
UNSUITABLE
SUITABLE FOR
INCORPORATION,
8-12% SLOPE

SYNAGRO
Soil Map
A Residuals Afanagevnent Cmnrany
OWNER Alemf 1A116Ae8 A 18) IV 1 AA:-jL2 FIELDS
COUNTY SHEET 3 SCALE: F' = 24c
SOIL SERIES

SOIL, DESCRIPTION SHEET
Project:
Site: Field:
gYNAG O
A Resirinals Afanageuoent Company
Landowner: A1L f/r;fi
Sample #:- Slope:
Acres (gross): Acres (net): Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A Ar D- c� 2,`;" Y&c
� yZ `1A
Depth to SHWT: �7 ,^
Depth & type of restrictive layer:"
Soil Series: W?1 , E 0��
Horizon Depth Texture
PROFILE B
Depth to SHWT:
Depth-& type of restrictive layer:
Soil- Series:
-Notes:
Described By:
Legend
Color Structure Mottles
Date: ,�� � '�
'-
Z
a
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

4 SYNAG O
SOIL DDESCRIPTION SHEET
A Residaalf Management Company
Project: Landowner: ��'�.`i;
=SR . oc-Alt, u Field: Sample #: Slope: 2-
Acres. (gross): Acres (net): Crop:'
SOIL PROFILE DESCRIPTIONS
Horizon
PROFILE A AP
Depth
Texture-
L
Color
g1-i
Structure
Mottles
Depth to SHWT: �r
Depth & type of -restrictive layer: =yS
Soil Series: i,u I6:
Horizon Depth Texture Color Structure
PROFILE B
Depth to SHWT:
_Depth & type of restricti-ve layer:
Soil Series:
Notes:
Described By:
Le end
Texture . Structure Grade
s Sand 1 Weak
I Loam 2 Moderate
si Silt 3 Strong
c Clay
'1- — Date:
Structure Type
gr Granular abk
pl Platy sbk
pr Prismatic sg
cpr Columnar m
Mottles
4
Angular -Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SHEET
Project:
Site: d— & - 3 Field: Z..-
4� SYNAG R0
A Residmalt AfanaKemeut Company
Landowner: all -we
Sample-#: Slope: 2--
Acres (gross): Acres (net;: Crop: _,� �- Y�
SOIL PROFILE DESCRIPTIONS
Horizon .
Depth
Texture Color
Structure
Mottles
PROFILE A
-
Z , j 1111,14,�„''
PROFILE B
Notes:
Depth to SHWT: -;>, ?
Depth & type of restrictive -layer:
Soil Series: t.-g
Horizon Depth Texture Color Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Described By: "" .,, Date:
Legend
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
E
Angular Blocky
Subangular Blocky
Single Grained
Massive

Copies To:
1/3/2006
Agronomist comments C -- 12, $
The heavy metal report is found on a separate page. Using Mehlich 3 as a soil test extractant, background levels of
these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 5.0 ppm, cadmium (Cd)- 0.2
ppm, chromium (Cr)- 0.3 ppm, lead (Pb)- 4.0 ppm, nickel (Ni)- 0.7 ppm, & selenium (Se)- 0.2 ppm
(FY2003-2005). Although the above metals here are not believed to pose a concern for plant growth, continue to
monitor these and note where elevated above background levels.
Note any lime and fertilizer recommendations. Where soil test phosphorus (P) is very high (P-I > 100), crops will
not respond to additional P applied.
David H. Hardv. Agronomist
iacau ipL ulaL1U11
tf 11G11;L1111C
LICI U111111C11Us111U11Jc.' r. ,'>
Sample No. Last Crop
Mo Yr T/A
Crop or Year. LimN P205 K2 S Cu Zn B Mn See Note _
01
1st Crop: Fes/OG/rim,M 0 120-200 0 0 0 0 0 0 .0 pH$ 12
2nd Crop: Fes/OG/rim,M 0 120-200 0 0 0 0 0 0 .0 pH$ 12
Test Results
Soil Class IN% W/V
CEC BS%
Ac PH P-I K-I
Ca% Mg% Mn-I Mn-AI(1) Mn-AI(2) Zn-1 Zn-Al
Cit-I S-I SS -I NO3-N ATI4-N Na
MIN 0.66 1.06
16.5 95.0
0.9 6.7 338 277
61.0 25.0 98 65 65 ' 517 517
377 50 0.1
Fiield Information.
Applied` Ltme'
; Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year
Lime AP205 K20 Mg S
Cn Zn B Mn See Note
02
1st Crop: Fes/OG/rim,M
.9T 120-200 90-110 0-20 0 0
0 0 .0 0 12
2nd Crop: Fes/OG/rim,M
0 120-200 90-110 0-20 0 0
0 0 .0 0 12
Test Results
Soil Class IIM% W/V CEC BS% Ac PH P-I KI Ca% J*% Mn-1 Mn-AI(1)An-Al(2) Zn-I Zn-AI Cu-I S-I SS -I NO3-N AU4-N Na
MIN 0.41 1.17 7.5 69.0 2.3 5.6 17 83 46.0 18.0 157 111 ill 77 77 85 82 0.1

NCDA&CS:A .onomi.k ,x
gr ision Phone (919)733', 2655.} Web Side www ncagr:camfagronomi( z; p� j
Heavy'Metal Soil Test Report Report #: 1s2°1
Millsaps, Danny &Arlene
667 Lee Matheson Rd.
Taylorsville, NC 28681
MEHLICH-3 EXTRACTION
Alexander County
Ouestions concerning these analyses should be referred to the Agronomic Division, Soil Testing
Cd All Pb Se Cr As AI Fe
Sample Cadmium Nickel Lead Selenium Chromium Arsenic Aluminum Iron
ID.---- =-------------------------------------------------------------------------mg/dm3 (ppm)--------------------------------------------------------------------------------
01 0.10 0.50 0.50 0.00 0.10 4.40 762.90 102.00
02 0.00 0.50 0.50 0.00 0.20 6.80 1,237.00 107.60

Report Nu )r:
R05339-0-i-
Acount Number:
46493
A&L Eastern Labortories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone]
Fax No. [phone] Email: [e-mail]
TO: SYNAGRO SE/STATESVILLE
6220A HACKERS BEND CT
WINSTON SALEM, NC 27103
Date Received: 12/2/05 Date Reported: 12/06/2005
RE: DANNY MILLSAPS SYNAGRO SE/STATESVILLE
PO# 20511-1
REPORT OF ANALYSIS
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made 1*
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Paul Chu, Ph.D.
Page: 1

Report Number:
R05339-0127 A&L Eastern Laboratories, Inc.
Account Number: 7621 Whitepine Road Richmond, Virginia 23237 [phone]
46493 Fax No. [phone] Email: [e-mail]
Send To: SYNAGRO SE/STATESVILLE Grower: DANNY MILLSAPS
6220A HACKERS BEND CT PO# 20511-1
WINSTON SALEM, NC 27103
SOIL ANALYSIS REPORT
Page: 1 Date Received: 12/2/2005 Date of Analysis: 12/3/2005 Date of Report: 12/6/2005
Submitted By: SYNAGRO SE/STATESVILLE
Analytical Method(s):
n,e
nab��
.
A�ic)�,�U
q
lja
bt
.
>a
Erm+
w.X"
r,...s..
.% a
,
4
01
4043
02
4044
`
Bora
F •S•; 7'� 2"
� 'Uk -i\ �' i "•�^ � 'i`> i.
��,aSs3 � S'. >-�'�. .. `.. 1�4
'f.. �.. .....`. ..
, �< .y... , h -i z r 4 .".�.: c . .•' .Po 7 ., .. .<:. "-., a
:.a " xL ., c �..':� ,.. xaw A� .{;.
'
,.. .�
!e rt . _.v ..... ,. :; z ....z. ss �.r...� . :... .. �.; _. .., 1... _s.
� ..
s.. ., z.. ....t.._ •c„ `�, ;.� ,
.„».r . �, '+.a ,i;.'� ema -'� a.
: , •, . r_:. �Ra a pm�,�Rat� a.,l2p�'!3! Rite Fate ms/cm� Rath - zR
.. ,. x .P <Qpf�
01
02
This report applies to the sample(s) tested. Samples are retained a
Values on this report represent the plant available nutrients in the soil. Explanation of symbols: % (percent), ppm (parts per million), Ibs/A (pounds per acre), maximum of thirty days after testing. Soil Analysis prepared by:
Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). mslcm (milli -mhos per centimeter), meq/100g (milli -equivalent per 100 grams). A aL EASTERN LABORATORIES, INC.
ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = Ibs/A, Soluble Salts ms/cm x 640 = ppm. by:
Paul Chu, Ph.D.

Site ID:
Owner:
Address:
Phone:
Operator:
Address:
Phone:
SITE SUMMARY
CITY OF STATESVILLE
STATESVILLE, NC
NC-AL-14
Timothy Lee Payne
1265 Paynes Dairy Road
Taylorsville, North Carolina 28681
[phone] cell, [phone] home, (828) .635-8178 barn
same
Estimated
Total Applicable
Fields Acres Acres
/o ,0
0 Y,,`/5
Predominan/ Latitude &
Cron(s) Slone (%) Soil Series/ Lonaitude
1A
25.4
19.2 ✓
row crop
2-6
Rhodhiss
C Q
35.52.00 N
81.08.10 W
1 B /
J
29.1
22.7
row crop
2-6
Clifford /
01rAl _
35.52.20 N
81.08.00 W
2 `r,•'
56.4
43.4
row crop
2-8
Rhodiss/
i N'\ ,
35.51.21 N
81.08.04 W
3
27.1
23.2
row crop
2-8
Clifford
Cl1.C.tt
35.51.18 N
81.08.17 W
4 ,.
17.9
10.2 ✓
row crop
2-6
Clifford QQ
35.51.16 N
81.08.31 W
5
44.1
27.9
row crop
2-10
Fairview�/�
�wC,c) SCE
35.50.47 N
81.08.01 W
TOTALS 200.0 146.6
Notes:
Date: 01 /17/06

.Si�ycEi✓i//P.
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state.nc. uslndpul
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner.and operated by
a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy 'of the completed and appropriately executed attachment form must be provided to the landowner and the
lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: S�nagro-WWT, Inc.
3omplete mailing address of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip: 27103
Telephone number: 336 ) 766-6328 Facsimile number: ( 336 ) 766-8652.
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies)
onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions
as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or Disposition of
Crops
Residuals Source -Generating
Facilities
J
Livestock feed
Statesville -3rd Creek and 4th Creek
The landowner, or his representative receives, in consideration, full use of the nutrient value of the applied residuals while
the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOAA 02/02 Pagel of 3 Attachment Order 3-c

I. STIPULATIONS:
I. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality,
contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional
residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application
program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of
this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this
Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of
the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to
the new landowner that gives full details of the residuals applied or incorporated at the land application site(s).
8. 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, and a description
of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been
most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum
application rates, limitations, and other restrictions prescribed by the laws and regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that
residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also
applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit; the landowner or his representative and the Permittee will
determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the
landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application
program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the
land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the
land application site(s) as required by the residuals land application program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any
property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with
the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of
this permit; or may obtain samples of groundwater, surface water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil,
surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

H. RESTRICTIONS:
Landowner's Certification:
XI certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified herein.
Landowner
Date: / _//
NORTH CAROLINA, IGS (6rI ( COUNTY
I, the undersigned Notary Public do hereby certify that //ice �� %�QV17C— personally
appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand ansl.official seal this the 9Aday of lac.�d��/ 2005 r
Signature and seal:
My commission expires: S �-7
OFFICIAL SEAL
Notary Public, North Carolina
COUNTY OF FORSYTH
�*MIJXFRANKIE D. SINGL ON
My Commission Expires � 7
Lessee's/Operator's Certification:
❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Signature:
Date:
Permittee's Certification:
E� I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
***
OF FORM LOAA 02/02 ***
Date: 12 f� O
FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
BUFFER WAIVER AGREEMENT ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For nsore information or for an electronic version of this form, visit our web site at: http://h2o. enr.state. nc. us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 0)(5)(A)(ii) or (iii)
is being sought.
✓ Any other buffers required by 15A NCAC 211 .0219 0)(5), other than those referenced above, cannot be waived through
execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided'to the property owner.
AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 2H .0219 0)(5)(A)(ii) and (iii)
The undersigned property owner hereby permits:
Applicant's name: Synagro-WWT, Inc.
:omplete mailing address -of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip:
Telephone number: ( 336 ) 766-0328 Facsimile number: ( 336
E-mail address:
766-8652
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 to ated at the following:
Location address of property:
City:State: - L Zip:�� �
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
® I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner
Signature:
*** END OF FORM LOAA 02/02 ***
Date: L/_ /6 _D 5—
FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d

— Z
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
BUFFER WAIVER AGREEMENT ATTACHMENT
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For snore information or for an electronic version of this form, visit our web site at: http://h2o. enr.state.nc.usln.dpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 211.0219 0)(5)(A)(ii) or (iii)
is being sought.
✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above; cannot be waived through
execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 0)(5)(A)(ii) and (iii)
The undersigned property owner hereby permits:
Applicant's name: SynaQro-WWT, Inc.
�omplete mailing address -of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336 )
E-mail address:
766-0328
Facsimile number: ( 336
766-8652
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: r-.-,, I — 11*�) /
Location�ess of property: — / U L—
City: �G�%.�,�/' d, , State: a C" Zip:
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner'owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
® I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner name: �. Tl�'(� f �" ID A 1-- 1 U X
Signature: rf n /)/1 QLi-!Date:
L'
*** END OF FORM LOAA 02/02 ***
FORM: BWAA 02/02 Page 1 of 1 Attachment Order.3-d

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
BUFFER WAIVER AGREEMENT ATTACHMENT
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http:11h2o.enr.state.nc.us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 211.0219 0)(5)(A)(ii) or (iii)
is being sought.
✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be waived through
execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 0)(5)(A)(ii) and (iii)
The undersigned property owner hereby permits:
Applicant's name: SLnagro-WWT, Inc.
Complete mailing address of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip:
Telephone number: ( 336
E-mail address:
766-0328 Facsimile number: ( 336 ) 766-8652
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: .J y Jut Uh c�uu(.
City: / D/ S��t /f 0 State: Zip: '1,?!
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 Penmittee to land apply residuals to land application site(s) as specified herein.
Property owner
Signature:
S
*** END OF FORM LOAA 02/02 *** -
Date: l// /��D I
FORM: BWAA 02/02 Page I of I Attachment Order 3-d

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
BUFFER WAIVER AGREEMENT ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state.nc.us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 0)(5)(A)(ii) or (iii)
is being sought.
✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be waived through
execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 (j)(5)(A)(ii) and (iii)
The undersigned property owner hereby permits:
Applicant's name: Synagro-WWT, Inc.
Complete mailing address -of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336
E-mail address:
766-0328 Facsimile number: ( 336
766452
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: 3971 PA @- �J .
City: /n-� S(A IIC State: w' L Zip: 14601
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 1 have read and understand this Agreement and do
hereby grant permission to they Permittee to land apply residuals to land application site(s) as specified herein.
Property owner name:
Signature: _
*** END OF FORM LOAA 02/02 ***
Date: l w5ar
FORM: BWAA 02/02 Page I of 1 Attachment Order 3-d

SYNAGRO
VICINITY MAP
A Residuals AfanaA anent Company
G^� ♦.....,.
..... " O __ 4q JONNNY.'::,:.;, a .o Op9 -ik ``e}
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COUNTY OWNER

N SYNAGRO
TOPOGRAPHIC MAP
A Residuals Management Company
OWNER T,i,g 2. SCALE: I" =�06t FIELDS
PHOTOQUAD/YEAR /)), 25z1111e &vAi? CONTOUR INTERVAL ®'

SYNAGRO
AERIAL REFERENCE MAP
COUNTY 41�e/AMQ� -y <' OWNER Till
we
A Residuals Manqgvnent Company

SYNAGB,,,0
AERIAL REFERENCE MAP
COUNTY AYAJI-A�k-) OWNER 7144
J
A Residuals iWanogement Company

4 SYNAGRO
AERIAL REFERENCE MAP
A Residuals Management Company
Pnivnc�
COUNTY / �, , " r OWNER T,r,,,, ,

I
SYNAG 0
APPLICATION AREA MAP
4
A
/ - die14 S. PAyn, -1
Z - "A.tRY D. Fax
3 - f^QkY�/1/a�,nrt Dysery,
'y
D
A Rerrdrtals Management Company
S VIA
111
Owner Td�`i
��%'
Scale: 1" = l Cy Field # M% /3
Total
Acres/ ��
Net Acres Yl q
. — >
STREAM[
APPLICATION AREA —
— — — — — PRIVATE ROAD
DRAIN
HOUSE
FORESTED AREA
OSURFACE
WATER
❑
OUTBUILDING
UNSUITABLE
FENCE
0
WELL .
STORAGE AREA
O
SOIL DESCRIPTION
SUITABLE FOR
O
INCORPORATION, •
®
PROPERTY LINE
8-12% SLOPE

Y1VAG 0
.- -
Owner /1-m Z, Pxy4' Scale: V = Field #
CD
.O
STREAM
DRAIN
SURFACE WATER
FENCE
STORAGE AREA
PROPERTY LINE
Total
Acres //,�/, /
Net Acres
APPLICATION AREA -
- - - - - PRIVATE ROAD
HOUSE
FORESTED AREA
❑
OUTBUILDING
UNSUITABLE
0
WELL
O
SOIL DESCRIPTION
SUITABLE FOR
INCORPORATION,
®
8-12% SLOPE

NO
SYNA( O
Owner 77n 2, Scale: V _ 4�6 Field #
/V(-A L ry
Total Acres 3'�/� Net Acres 2 7, 9
. _ > STREAM
DRAIN
SURFACE WATER
FENCE
STORAGE AREA
PROPERTY LINE
Ci)
- APPLICATION AREA
- - - - - - PRIVATE ROAD
HOUSE
FORESTED AREA
❑
OUTBUILDING
UNSUITABLE
0
WELL
O
SOIL DESCRIPTION
SUITABLE FOR
®
INCORPORATION,
8-12% SLOPE

SYNAGRO
Soil Map
OWNER 1-m 2, �q vn
A Residuals tbfanagentent Company
FIELDS O-
COUNTY .�, 1" �� SHEET S CALE: 1 " = Z 40 Q
SOIL SERIES

SOIL DESCRIPTION SHEET
Project:
11N-1 SYNAG 0
d Residuals Management Company
Landowner: �� A ' ' I.,
Site: Field: Sample #: Slope: 2
Acres (gross): Acres (net): crop: ,M'f
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color
Structure Mottles
PROFILE A AP 6-7 �`�,'�1 A
f
41. -1-13
-Depth to SHWT: s A
Depth & type of restrictive layer: ?�
S.oi!- Series: ek1,bA1,<e1*
Horizon Depth Texture Color
Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: A4 lzWW -7, ' e_4aLt #JVgA L. .�. � �',Y.._ /Alter �./'aS"i► CS
Legend
Texture
s Sand
I Loam
si Silt
c Clay
Described By:' Date: jdAlf ,)"
Structure Grade
1 Weak
2 Moderate
3 Strong
Structure Tvoe
gr
Granular
abk
pl
Platy
sbk
pr
Prismatic
sg
cpr
, Columnar
m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SKEET
Project: ,��R ` � e I-XI,
Site: d4 - k-. ; -1 Field:
Acres (gross): I Acres (net):
, SYNAG 0
A Reririnals Alanageinva Cmnpany
Landowner: L . AWC
Sample #: Slope:
Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color
Structure
Mottles -
PROFILE A V��&4yo . 4&M
-.5Y��� �
Depth to SHWT:
Depth & type of restrictive layer: 3 C�
Soil Series:L�t`'
Horizon Depth Texture Color
Structure
Mottles
PROFILE B 4P �D- Z.>`p'' YA-
�-
Depth to SHWT: 3�-
-Depth & type of restrictive -layer:
Soil Series: i'�- ►`�
Notes:
Described By:
Date:
Ab.130Ar
Legend
Texture
Structure Grade
Structure Tv►�e
s Sand'
1 Weak
gr
Granular abk
Angular Blocky
I Loam
2 Moderate
pl
Platy sbk
Subanguular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

SOIL DESCRIPTION SHEET
Project:
ry ,,r,.
��Lr
Site: tJZ - -- t{-1 Field: 2-
NO.!
Xqym SYNAGPO
A Resulnals Management Company
Landowner: Py.
Sample-#: Slope: 7_
Acres (gross): Acres (net): Crop: _Xt.,3 o,4 � �� ' } , � s. '
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A AP j 0- % /L �t;11 /a
Y
I 2�C ' i c e el— 2, 5yje t," f�Yre'
Depth to SHWT:
Depth-& type of
restrictive layer: `� t
Soil Series: /ter-(�DSS
Horizon Depth Texture Color Structure Mottles
PROFILE B-
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: ,I
DVS t,J'tiS�
Described By: Date: /-dAr � /a
w
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 SBEET
Project:t--
a
Site: ` Field:
Acres (gross):
Horizon
PROFILE A
AM
SYNAGRO
A Residuals Management Company
r
Landowner: �' _ '" •$-!` ,.
Sample #: Slope: 2-.
Acres (net): Crop: _ 8u.,gJ (
SOIL PROFILE DESCRIPTIONS
Depth
Texture
Color
l
Al,
f
Depth to SHWT: 7
Depth & type of restrictive layer:
Soil Series: 6-° P,
Horizon Depth Texture
PROFILE B
Depth to-SHWT:
Depth & type of restrictive layer:
Soil Series:
Described By:
Legend
Structure
tar
14 Le
Mottles
Color Structure Mottles
A
Date: t a t
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
` m
SYNAGRO
A Residuals Afanagemnet Company
Project:Landowner:��
Site: AIC- 14 Field: Sample #: Slope: 3
Acres (gross): Acres (net): Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A ?_ 4- 7
"1-zG I
Depth to SHWT:
Depth & type -of restrictive layer: >
Soil Series:..
Horizon Depth Texture Color Structure Mottles
PROFILE-13
Depth to SHWT:
Depth. & type of restrictive layer:
Soil Series: ,+
Notes:
Described By: Date:
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
Angular Blocky
I Loam
2 Moderate
pi
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

SYNAGOO
SOIL DE S CFJPTION STET A Reridnalr txanageinva company
Project: �� � �v� # Landowner: —rs-M L. t-,1 i5
Site: �' Field::_ Sample #: Ziope: 3
Acres (gross): Acres (net): Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth
PROFILE A 10-6
Texture
s'�z
Color St cture —Mottles
Z.t':Q�',� r
ram,+ , V/ 7S
a5-2-5
2 1 13
2. Sys' ,-i
2,5y
Depth to SHWT:
Depth & type of restrictive layer: -.2;-
Soil-Series: L,%(VJC-J
Horizon. Depth
Texture
Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: 2dr-c ref 5 WA AiADF ea,wl °e
C6L, l V # A4 & s _a iV tA 1nlCLu61C5-
Described By: Date: lv -- —a—
Leciend
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

NUDA&UN Agronomic Division Phone: [phone] Web Site: wiiNv.ncagr:coni/agronolni/
Report No: 15202
Gr
Payne, Tim L.
Copies To:
C/OSuperior Jersey Farm
Payne Dairy Rd.QCt.�
oil Test Report
1265
Taylorsville, NC 28681
�)
Farm.' NC-AL-14
1/3/2oo6 SERVING N.C. RESIDENTS FOR OVER 60 YEARS
Alexander County
Agronomist Comments
:1--3
The heavy metal report is found on a separate page. Using Mehlich 3 as a soil test ex1ractant, background levels of
these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 5.0 ppm, cadmium (Cd)- 0.2
ppm, chromium (Ci)- 0.3 ppm, lead (Pb)- 4.0 ppm, nickel (Ni)- 0.7 ppm, & selenium (Se)- 0.2 ppm
(IY2003-2005). Although the above metals here are not believed to pose a concern for plant gromli, continue to
monitor these an([ note where elevated above background levels.
Note any lime and fertilizer recommendations. \Where soil test pliospliorus (P) is very high (P-1
> 100), crops will
not respond to additional P applied.
David 1-1. Hardy, Agronomist
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime
N P205 K20
S C1t Zn B Mn See Note
Ol
1st Crop: Soybeans 0
0 30-50 10-30
0 0 0 0 0 3
2nd Crop: Small Grains 0
80-100 30-50 10-30
0 0 0 0 .0 0 3
Test Results
Soil Class HM% . 1V/V CEC BS% Ac pH P-I K-I Ca% Alg%
Aln-I Zn-I
Zit -AI Cu-1 S-1 SS-1 Ms -A' Mh-N Na
MIN 0.56 1.08 8.3 82.0 1.5 5.9 43 62 59.0 20.0
119 83 83 177
177 205 59 U.I
Field Information
Applied Lime
Recommendations
Sample A'o. Last Crop
Mo Yr T/A
Crop or Year Lime
N P205 K20
S Cu Zn B AM See Note
02
1st Crop: Corn Grain 1 2T
120-160 130-150 70-90
0 0 0 0 .0 0 3
2nd Crop: Small Grains 0
80-100 130-150 70-90
0 0 U 0 A) 0 3
Test Results
Soil Class * IIM% IV/V CEC BS% Ac pH P-I K-1 Ca% Atq%
Mn-1 Mn-Al(1) Mn-M(2) Zn-1
Zn-AV Cu-1 S-I SS-1 A'O.s-N M1-1-N Ald
111N 0.46 1.17 To 69.0 2.2 5.3 2 28 47.0 20.0
5d 49 42 100
100 68 268 0.1
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime
N P205 K20
At S Cn Zn B rlln See Note
03
1st Crop: Corn Grain 0
120-160 80-100 30-50
0 0 0 U .0 U 3
2nd Crop: Small Grains 0
80-100 80-100 30-50
0 0 0 U .0 0
Pest Results
Soil Class IN% 1V/V CEC BS% Ac pll P-1 K-1 GYM% fft,%
Mn-1 Mn-r11(1) Ahr-AI(2) Zn-1
Zn-Al Cm-1 S-1 SS-1 AVs-N M-r-N Na
MIN 0.36 1.211 7.0 83.0 1.2 6.1 22 48 55.0 24.0
65 54 47 146
146 80 M (). I

NCDA&CS Agronomic Division Phone: [phone] Web Site: Ni1«,.iicagr.com/agrononii/ Grower:
Payne, Tim L.
Report No:
15'202
Pg ?
Field lnforr, in
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year
Lune
N P205
K20
Mg S
Cn
Zn
B
Mn
See Note
04
1st Crop: Corn Grain
0
120-160 0
30-50
0 0
0
0
.0
0
3
211d Crop: Small Grains
0
80-100 0
30-50
0 0
0
-0
.0
0
3
Test Results
Soil Class IN% 1V/V
CEC BS%
Ac pH P-I K 1
Ca% Afg%
41jr-I Ain-Al(1) Mn-AI(2) Zn-1
Zn-Al
Cu-I
S-I
SS-1
A03-N 1VI4-N
Na
MIN 0.41 1.10
11.3 89.0
12 6.3 155 50
62.0 25.0
111 79 72
797
797
235
59
U.I
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year
Lune
P205
KO
At S
Czr
Zn
B
AM
See Note
05
1st Crop: Corn Grain
0
120-160 0-20
0
0 0
0
0
.0
pII$
3
211d Crop: Small Grains
0
80-100 0-20
0
0 0
0
0
.0
pll$
3
Test Results
Soil Class IN% 1V/V
CEC B5%
Ae pH P-1 K-I
Ca% Mg%
M114 M11-AI(1)Mn-AI(2) Zvi -I
Zn-Al
Cn-I
S-I
SW
NO3-N AH4-N
Nit
MIN 0.46 1.12
10.0 90.0
1.0 6.6 61 166
53.0 28.0
96 65 58
317
317
124
49
0.1

KDAUS Agronomic Division Phone: [phone] AWeb Site: %fiw.nc.igr.com/agronomi/
Pg 1
Heavy Meta Soil TestRelbort Payne, Tim L.
C/OSuperior Jersey Farm
1265 Payne Dairy Rd.
MEHLICH-3 EXTRACTION Taylorsville, NC 28681
Alexander County
Questions concerning these analvses should be referred to the Agronomic Division, Soil Testing
Cd -
Ni
P b
Se Cr
Sample
Crulniium
Nickel
Lead
Selenirrnz Chromium
ID------------------------------------------------------------------------------In6din3
(ppin) ----------
02
0.00
1.20
0.00
0.00 0.40
03
0.00
0.70
0.60
0.00 . 0.20
01
0.00
1.00
0.90
0.00 0.20
04
0.20
0.70
2.60
0.00 0.10
05
0.10
0.50
3.50
0.00 0.10
Report #: M02
As
Al
Fe
Arsenic
---------------------------------------------------------
Ahunhwin
Iron
6.50
1,158.00
121.10
5.10
877.70
101.40
6.50
1,059.00
75.10
6.30
929.10
146.30
5.50.
874.10
74.80

Report Nu r:
R0533A&L Eastern Labortories Inc.
Acount Nuumbmb er: ount '
46493
7621 Whitepine Road Richmond, Virginia 23237 [phone]
Fax No. [phone] Email: [e-mail]
TO: SYNAGRO SE/STATESVILLE RE: TIM PAYNE SYNAGRO SE/STATESVILLE
6220A HACKERS BEND CT PO# 20511-1
WINSTON SALEM, NC 27103
Date Received: 12/2/05 -Date Reported: 12/06/2005 REPORT OF ANALYSIS Page: 1
x
t:, a _.,... ..:�.. ,.. .«,v. r 'k .n..:> ...._ a. ...fi... r 'E.:.. ., ...sx;« ,.. :a.. .... 'Y-:: <« «t b Y .<,. «.. E....
<, „e'-..«.....,>�.. _.M.. ?* `$: •,.. ,.am. ,k ta... ,. v. L ,. vt .<..., v ,F. ? ..',a�...
_, .. .. .... ,. ..,.. . -� ......:...,.. z � ..: c,tstt: ,.., ., .,....�� .. �« sv
,. ,.. ,, ,... a a ,. .»✓<..< .. .. °ax ,...„g.'?'S i
d.:. +.+. .. f" •x' �.. ._..., ,... .,... ,, r.;, e,.. bst�.�.. <k«'d 4 .t.. f ...
,,. .. .. <.... r,. , , ' , «:' �� .. A fk. ,.;.r a. 2 ...�.A.• .,..: S�ss?am t;`�t'. u.�\ .., r.s ,. .. _. Y ... «... �d'3
4038 01 A
Mehlich 3 Mercury
< 0.10000
mg/kg
SW846-7471A
......... _.................... _...... _._._...._.._........._. _._._. ___. __. _._ __Mehlich
3 Molybdenum _...._...____.._._. _.
< 1.00000
mg/kg
SW846-6010B
............................... ..................... _......... ............ __........ ................_..._.....................
4039 02
Mehlich 3 Mercury
< 0.10000
mg/kg
............ .... ...... ...... .......
SW846-7471A
_..... _................. _. __. ___............_. ___._._..-Mehlich
3 Molybdenum. _.__._.
< 1.00000
mg/kg
SW846-6010B _._................... _........... _......................... _...... _ _.. ......._._....._....
4040 03
Mehlich 3 Mercury
< 0.10000
mg/kg
... .....
SW846-7471A
Mehlich 3-Molybdenum..._.............. _.._..... ..........._......... ...._................
..._.
_ 1.00000......
mg/kg
SW846-6010B
._... __ ........ _
4041 04
Mehlich 3 Mercury
< 0.10000
mg/kg
SW846-7471A
............ ..................................._...................................................................._............_Mehlich.._3
Molybdenum.............................................................................._�...-�....0..
mg/kg
_._............................... ....................................................
SW846-6010B
,......... _......................_.._..............................................._...._._................................._......._.........................._......
4042 05
Mehlich 3 Mercury
< 0.10000
mg/kg
_
SW846-7471A
_.................._.
Mehlich 3 Molybdenum
< 1.00000 _._._................._..................._._......................................................_........................................
_ mg/kg
SW846-6010B .................................................... ......................
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made'+?�
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Paul Chu, Ph.D.

Report Number:
R05339-0126 A&L Eastern Laboratories, Inc.
Account Number: 7621 Whitepine Road Richmond, Virginia 23237 [phone]
46493 Fax No. [phone] Email: [e-mail]
Send To: SYNAGRO SE/STATESVILLE Grower: TIM PAYNE
6220A HACKERS BEND CT PO# 20511-1
WINSTON SALEM, NC 27103
SOIL ANALYSIS REPORT
Page: 1 Date Received: 12/2/2005 Date of Analysis: 12/3/2005 Date of Report: 12/6/2005
Submitted By: SYNAGRO SE/STATESVILLE
Analytical Method(s):
n t of
� tlos
ores
:s,Patas rum.
a n
�
` � •��.
M.�
ENR
�. `Avallabte
:'Rene e .
�.
� �
�;'.
�_�•.
� .
� �
�� �
, ..�«.
, ?.�>.,. �. ....:•
.z n
:kx� v ....�..
i..,,.4 .. �.
,. t ,., , , ..
�`,: >
mow.: �- '�•>; r
t �. �:
bs1A Rate.
H m ..,,Rate
p m,> a R to
pm Rate
_ p ~
prn Rate
p � -
Rate
�?m �
Elate
pH � lni�z
rt7e OOg
eq�lobgr�
01
4038
02
4039
03
4040
04
4041
05
4042
�4 Percent
w .. s:.... .. .. ,.?x,. ,... .. �. ,.
F3ase:Saturatron....Nrtr ko Su ur=,:, z...
e, r,,,
, .,,« ,v.,..«;{
Nlangqnese �lrarl Copper
,, ,,
Boron.:
.,.a ,. >i ?':. .its a
Soluble
.:>::
Chlonde�
.':':> �•.:#;:... ':;.
_..,F
Sample.
,«. ,..... �.,
.«.� ,.. ,. .,.... ..� ..,.... ���.; .« ..-.... ,� , ,.�, ,. ,I� .
.,� �w„ .Ztrrc,,,,„,
,;
�
�'�
. AWmrnum.
r.
>�
s
sr, �
rfi
Salts
umber
o .,,:
D b o..
o k
to ✓o to
., ,
G
AL
�,ka
!o m .s =Rate x: , :- , � �.., Rate m:>��:Ra
.... b....«, , ,.>,.�, h, pP.. �..pni . pp._ fe
_. � e _, «��
;. Y A., . ,:_
. PRm�jRate pm Mate Pm
, ,_.+3 � �p
,
^ Rate pm
.. � . ^ ^, ,P .
Rate m r Rate '
..mstc
_
p Pm Raie
P prrt Rite
01
02
03
04
05
This report applies to the sample(s) tested. Samples are retained a
Values on this report represent the plant available nutrients in the soil. Explanation of symbols: % (percent), ppm (parts per million), Ibs/A (pounds per acre), maximum of thirty days after testing. Soil Analysis prepared by:
A & L EASTERN LABORATORIES, INC.
Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). ms/cm (milli -mhos per centimeter), meq/100g (milli -equivalent per 100 grams). C'"I
ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = Ibs/A, Soluble Salts ms/cm x 640 = ppm. by:`r*'
Paul Chu, Ph.D.

SITE SUMMARY
CITY OF STATESVILLE
\STATESVILLE, NC
Site ID:
\
Owner:
Field 1
( )
Address:
ke RoadNC
LBd
28625Phone:
254Operator:Warren
Address:
8 Mocksville Road
atesville, NC 28625
r704)
Phone:
872-2070
Jimmy Patrom (Field 2)V\
370 New Salem Road
Statesville, NC 28625 ).
[phone]
�2- 0
Total Applicable Predominant Latitude.&
Fields Acres Acres Cron(s) Slone (%) Soil Series - Lonaitude
1
27.1
15.8
Fescue hay
2-6
Cecil
35.48.04 N
80.47.11 W
2
11.2
7.4
Fescue hay
2-6
Pacolet
35.47.29 N
80.46.56 W
TOTALS 38.3 23.2
Notes: Contact Bob Warren for application events
Date: 01 /17/06

13 ay �� ►��/w,� ����,
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORMMAYBE PHOTOCOPIED FOR USE ASAN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state. nc. us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by
a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the
lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Synagro-WWT. Inc.
.'omplete mailing address of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip: 27103
Telephone number: 336 ) 766-0328 Facsimile number:( 336 ) 766-8652
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies)
onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions
as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns "
Intended Use or Disposition of
Crops
Residuals Source -Generating
Facilities
1
Livestock feed
Statesville -3rd Creek and 4th Creek
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while
the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOAA 02/02 Pagel of 3 - Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality,
contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional
residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application
program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of
this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this
Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of
the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to
the new landowner that gives full details of the residuals applied or incorporated at the land application site(s).
8. 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, and a description
of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been
most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum
application rates, limitations, and other restrictions prescribed by the laws and regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that
residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also
applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will
determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the
landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application
program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the
land application site(s) prior to, during, and after any residuals land application event and.to established monitoring facilities on or near the
land application site(s) as required by the residuals land application program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any
property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with
the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of
this permit; or may obtain samples of groundwater,- surface water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil,
surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c ..

II. RESTRICTIONS:
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified herein.
Landowner name:
Signature:
Date: -&- Z ell, -_
NORTH CAROLINA, r COUNTY
I, the undersigned Notary Public do hereby certify that personally
appeared before me this day and acknowledgePj
e execution of a forgoing instrument.
WITNESS my hand andVfficial seal this the d f , 206S
Signature and
My commission
Lessee's/Operator's Certification:
N[ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/opei
Signature:
Permittee's Certification:
Er I certify that I have read this Agreement and do
Signing official name:
Signature:
reby agree to abide by the stipulations and restrictions as specified herein.
OF FORM LOAA 02/02 ***
Date:
FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by
a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the
lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Synagro-WWT, Inc.
'omplete mailing address of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip:
Telephone number: ( 336 ) 766-0328 Facsimile number:( 336 ) 766-8652
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) .6.
onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions
as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or Disposition of
Crops
Residuals Source -Generating
Facilities
Ald �,Q 25 _
Livestock feed
Statesville-3rdCreek vWTpcand 4th Creek
r
-
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while
the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality,
contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional
residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application
program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of
this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this
Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of
the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to
the new landowner that gives full details of the residuals applied or incorporated at the land application site(s).
8. 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, and a description
of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been
most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum
application rates, limitations, and other restrictions prescribed by the laws and regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that
residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also
applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will
determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the
landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application
program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the
land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the
land application site(s) as required by the residuals land application program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any
property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with
the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of
this permit; or may obtain samples of groundwater, surface water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil,
surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

II. RESTRICTIONS:
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified herein.
Landowner name: Ti wx VVxu PR,-6,10M
Signature: f� \ Date: -?
NORTH CAROLINA,COUNTY
I, the undersigned Notary Public do hereby certify that , personally
appeared before me this day and acknowledged the due excu, ion ofithfing instrument.
WITNESS my hand icial seal this the �� ay of � , 20 Sf.
Signature and se 1:
O/ d
My commission ire : •'' '•
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator na e: l 1.1 I �t0rur v-e v\
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. ,
Signing official name: -Y r
Signature: Date: 1Z os
*** END OF FORM LOAA 02/02 ***
FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c

S WA G: FC0
VICINITY MAP
COUNTY -77,2,f r1ell
OWNER
,7_1 ni'lrl
A Residuals Management Company

TOPOGRAPHIC MAP
' 1J1 SYNAG�O
M
A Kesiduah Afawgement Company
�A
OWNER ijv 67Ax1 - l�wze I SCALE: 1FIELDS
.Tim,,nY a-62,)m - t iel,�' ?
PHOTOQUAD/YEAR=v;' 1%f a 5 t`�`�' CONTOUR INTERVAL /D

IIJI' SYNAGF�O
AERIAL REFERENCE MAP
A Residuals Afanaganent Company
COUNTY - 2�1 A°I OWNER Oa t/r_-,,I' �'

11
SYNAGRO
AERIAL REFERENCE MAP
A Residuals Afanagonent Company
COUNTY OWNER \7 '611)`Iv
Ae-,772 7

�= SYNAGf�O
APPLICATION AREA MAP A Residuals Management, Company
Owner -goye-1, �7A"v—1
Scale: 1" _
eZO Field #
T l A a r7
N A
/�
. — > STREAM
— >
DRAIN
OSURFACE
WATEI
��—
FENCE
CD
STORAGE AREA
PROPERTY LINE
ota
cres
et cres
C-1)
APPLICATION AREA
— — — — — —
PRIVATE ROAD
■
HOUSE
FORESTED AREA
❑
OUTBUILDING
UNSUITABLE
0
WELL
O
SOIL DESCRIPTION
SUITABLE FOR
®
INCORPORATION,
8-12% SLOPE

N
SYNAGIRO
APPLICATION AREA MAP
A Residuals Alanagement Company
Owner J / ro "n v
Scale: 1" _
�'r'
Field #
Ne-X12-2:5 - d. 2-
. —> STREAM
row. ;J1
SURFACE WATER
FENCE
STORAGE AREA
PROPERTY LINE
Total
Acres / o
Net Acres
APPLICATION AREA,
— — — — — —
PRIVATE ROAD
HOUSE
FORESTED AREA
❑
OUTBUILDING
UNSUITABLE
0
WELL
SOIL DESCRIPTION
SUITABLE FOR
®
INCORPORATION,
8-12% SLOPE

SYNAGP\O
Soil Map
A Reridualt Managmnent Company
r
OWNER 804 �, r�l i�F, e./� /� �7; w1 mY A14-11221,11 6'52,1 Z FIELDS
COUNTY �f' C.-� L SHEET 33 SCALE: 1" = 1220'
SOIL SERIES Le7 , '2 P/

SOIL DESCRIPTION SHEET
Project: ! _A-M V
Site: - 2 s Field: 1
Landowner:
SYNAG O
A Reridltalt Management Company
Slope: 2-
Acres (gross): Acres (net): Crop: R-read""
- Sample #:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A AP el - .oa. Ste ' ' 1 VLit
-
Depth to SHWT: --,' �
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
Described By: Date: L0os
Legend
Texture Structure Grade Structure Twe
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:
Site: 112 - 2-5 Field:
Nor SYNAGFO
A Residuals Management Company
Landowner: /'" -000'01)
Sample #:
Acres (gross): I Acres (net): I Crop: rafd `
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure
PROFILE A _ I- /A—
Depth to SHWT: -> 3 4
Depth & type of restrictive layer: , 3�
Soil Series:
Horizon Depth Texture Color Structure
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: d, b � - - FirtA
Slope:
Mottles
Mottles
Described By: `'� Date: / z o rf e �
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

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NCDA&CS Agronomic Division Phone: [phone] Web Site: wv.iicagr.com/agronomi/ Pg I
5203
Heavy Meta Soil Test Roo tort Warren, Bobby (Bob) Report #: 1
818 Mocksville Rd.
Statesville, NC 28625
MEHLICH-3 EXTRACTION
Iredell County
Oaestions concerninE these analvses should be referred to the Amnomic Division, Soil Testing
Cd Ni P b Se Cr Av Al Fe
Sample Cadmium Nickel Lewl Selenium Chromium Arsenic Aluminum Iron
ID------------------------------------------------------------------------------ImIdm3 (ppm)------------------------------------------- -------------------------------------
01 0.00 0.30 3.10 0.00 0.10 6.70 1,044.00 62.30
02 0.10 0.50 1.60 0.00 0.10 5.80 1,068.00 85.10

Report Nv r:
R05339-0-i -u
Acount Number:
46493
TO:
A&L Eastern Labortories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone]
Fax No. [phone] Email: [e-mail]
SYNAGRO SE/STATESVILLE RE: BOB WARREN SYNAGRO SE/STATESVILLE
6220A HACKERS BEND CT PO# 20511-1
WINSTON SALEM, NC 27103
Date Received: 12/2/05 Date Reported: 12/06/2005 REPORT OF ANALYSIS
Page: 1
4036 1 Mehlich 3 Mercury
< 0.10000
mg/kg
SW846-7471A
..... _.........._.__._._. _.. _. _._.... . _
...__.__...Mehlich..3..Molybdenum.................. ..........................
_.._........... I...�.1.00000
_........................................._........._................_._.......__....._..............................................................._........................................................................................................................................................I...................
mg/kg
SW846-6010B
4037 2 Mehlich 3 Mercury
< 0.10000
mg/kg
SW846-7471A
................. --- ..............._. _._.... _...._Mehlich._3...Molybdenum......_.............................._._..................................._.......00000......................................._mg/kg
SW846-6010B
............................. _...... .... ................................................................................. .................. _....................... ......................... ................... ..._..
i< n Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be madeto the the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Paul Chu, Ph.D.

SITE SUMMARY
CITY OF STATESVILLE
STATESVILLE, NC
Site ID:
NC-IR-27
Owner:
William A. Ketchie
Address:
141 Battle Road
Statesville, N.C. 28625
Phone:
[phone]
Operator:
William R."Bob" Warren
Address:
818 Mocksville Road
Statesville, NC 28625
Phone:
704) 872-2070
Estimated
Total
Applicable
Fields --, Acres
Acres Cron(s)
/0y
V
Predominant Latitude &
Slone (0/.1 Soil Series Lonnitude
1
13.2 .
9.3
Fescue hay
2-6
F irview
�L
35.52.25 N
80.42.53 W
2 V
16.5
14.7
Fescue hay
2-10
Fairview
35.52.15 N
80.42.59 W
TOTALS 29.7 24.6
Notes: Contact Bob Warren for
ication events
Date: 01 /17/06

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.uslndpul
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by
a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the
lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Synacro-WWT, Inc.
;omplete mailing address of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip: 27103
Telephone number: (336 ) 766-0328 Facsimile number:( 336 ) 766-8652
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies)
onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions
as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or Disposition of
Crops
Residuals Source -Generating
Facilities
Livestock feed
Statesville -3rd Creek and 4th Creek
WWTP-'
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while
the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality,
contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional
residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application
program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of
this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this
Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of
the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to
the new landowner that gives full details of the residuals applied or incorporated at the land application site(s).
8. 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, and a description
of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been
most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum
application rates, limitations, and other restrictions prescribed by the laws and regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that
residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also
applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will
determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the
landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application
program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the
land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the
land application site(s) as required by the residuals land application program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any
property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with
the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of
this permit; or may obtain samples of groundwater, surface water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil,
surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

II. RESTRICTIONS:
Landowner's Certification:
XI certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land.
application site(s) as specified herein. ,
Landowner name:
I1
Signature: Y v Date:
NORTH CAROLINA, / //C//OUNTY / -
I, the undersigned Notary Public do hereby certify that Zel.111'4— -i � . Ae. 7`- -494IC J personally
appeared before me this day and acknowledged the
WITNESS my hand and icial seal this the
Signature and s
My commission ires:
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do©hereby
u Lessee/operator name:
c s//
Signature:
execution of the forgoing instrument.
20 0.-
ee to abide by the stipulations and restrictions as specified herein.
..
Date: / / — Z "
Permittee's Certification:
M"'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: 11 na �� ��u��� d
Signature:
***
OF FORM LOAA 02/02 ***
Date:
FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c

1-MM SYNAGRO
VICINITY MAP
COUNTY -7e-e766Z--Z- OWNER.
/71
7
A Residuals Management Company

SYe]�.AGRO
TOPOGRAPHIC MAP
A Residuals Afanagcmrent Company
OWNER SCALE: I" = / D FIELDS
PHOTOQUAD/YEAR ?f - (�/Ki1?:�I 4,v�Arue , CONTOUR INTERVAL JZ)

� `lSYNAGRO
AERIAL REFERENCE MAP
COUNTY OWNER
Ile,-
A Residuals Alanaganent Company

N SYNAGRO
A PPT ,TC A TTON A R F, A MAP A xeflduaIr hr&mvvFf)pmt Cimh my
Owner/,Gt��1 '' fl / Scale: 1" _
AJ14
> STREAM
CD
GD
SURFACE WATER
FENCE
STORAGE AREA
PROPERTY LINE
Total
Acres , F. fa -
APPLICATION AREA
HOUSE
❑
OUTBUILDING
0
WELL
O
SOIL DESCRIPTION
6? Field # `,> V-
,
Net Acres o2 V 0
— — — — — — PRIVATE ROAD
FORESTED AREA
UNSUITABLE
ffffi SUITABLE FOR
INCORPORATION,
8-12% SLOPE

SYNAGIRO
Soil Map
A Re idi<alr Manugameni Company
OWNER A ilo& / 1&1z4-X/�'_ C FIELDS A/
COUNTY -':' R SHEET Z4 SCALE: P' =
SOIL SERIES Ail /�1/1 0,1

SOIL DESCRIPTION SKEET
Project: 31" I&N'�`
SiteField:
SYNAGRO,
A Residuals Management Company
Landowner: K �1"
Sample #:
Acres (gross): Acres (net): Crop: C6-rr g-
SOIL PROFILE DESCRIPTIONS
Slope: X
Horizon Depth Texture Color Structure Mottles
PROFILE A L Y'A
r Yle Y
Depth to SHWT: >
Depth & type of restrictive layer:
Soil Series:
-y�yAL �������,� (�� �'at.�8�'g ��., ��
Horizon Depth Texture
PROFILE B
Color Structure Mottles
Depth to SHWT:.
Depth & type of restrictive layer:
Soil Series:
Notes: iN A f w& ss «'
Described By: Date: 12 deg .0
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:
Site: - Field: '
Acres (gross): Acres (net):
SYNAG Q
A Residuals Management Company
Landowner:
Sample #: Slope: 3
Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure
PROFILE A Ao 0-6 L- rev °Y
Depth to SHWT: > �
Depth & type of restrictive layer:
Soil Series: 0004onvo e
Horizon Depth Texture
PROFILE D
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: /j
Described By:
Legend
Texture Structure Grade
s Sand 1 Weak
I Loam 2 Moderate
si Silt 3 Strong
c Clay
Color Structure
An-Y-Ar t-k� -
Mottles
Mottles
Date: 1X JQ....4,1
U
Structure Type
gr
Granular
abk
Angular Blocky
pl
Platy
sbk
Subangular Blocky
pr
Prismatic
sg
Single Grained
cpr
Columnar
m
Massive

NCDA&CS Agrr nic Division Phone: [phone] Web Site: www.ncagr.ce—/agronomi/ Report No: 15204
Grom Ketchie, William Co/)ies To:
9 141 Battle Rd.
Statesville, NC 28625 i)
L3. oil Test Rep' ort
Far7rt: NCIR-27
1/3/2006 SERVING N.C. RESIDENTS FOR OVER 60 YEARS Iredell County
Agronomist Comments \
:�::k :k :x :x �I::k :x :k %I::�::k :�::k :x :k :x >k :x :k :�::�::k -k :x :k :k :I::k :x :k -Y• -k :x :k :k :k :k :k :k :k :x :R a::k :k :x :k :x 8::k :k :x :k :k :k -k d::k Y::�::R :I::k a::x =k :k * � a::k a: � :k :I: a::x a:
This is a revised report. The last sample was not found on the previous report. Please replace that report with this
one. 1/03/06
:k:i::i::l::k :k:l: =r• �::r.:i::k:k:l::x:k:k:k:r• :i::i::l::r• :k :i;:k:i::i::k :i::i::k:i::r.:i::x:k �::k:ky::x:x:x a::k:x:x * :k:x :k �k:k:k:k:R :k :i::i::k x::k:i::k:x:r• -k y::x:x:x �=k �: �::k =x �:
The heavy metal report is found on a separate page. Using Melilich 3 as a soil test ex1ractant, background levels of
these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 5.0 ppnl, cadnliUtll (Cd); 0.2
ppill, CI11'o111i11111 (Cr)- 0.3 1)pill, lead (Pb)- 4.0 ppm, nickel (Ni)- 0.7 ppm, & selenium (Se)- 0.2 ppm
(FY2003-2005). Note a slightly elevated lead (Pb) level in sample 02. Vttlougll the above metals here are not
believed to pose a concern for plant growth, continue to monitor these and note where elevated above background
levels.
C -- 12, $
Note any lime and fertiliser recomnlendatioils. Monitoring plant nutrition by tissue sampling can be 1)elpf it in ,
monitoring nutrients such as phosphorus which is very low here.
David 11. Hardy, Agronomist
Field Information Applied Lime Recommendations
Sample No. Last Crop Mo Yr T/A Crop or Year Lime P2O5 KO O0g S Crr Zn G SlYOtP
UI 1st Crop: Fes/OG/rim,M 0 120-200 130-150 20-40 0 o U 0 .0 p11 ll 1122
211(1 Crop: Fes/OG/I'inl,M 0 120-200 130-150 20-40 0 0 0 0 .0 pl l$ 12
`Test Results
Soil Class HM% W/V
CEC ES%
AC pH P-I K-I
Ca% Mg%
Mn-I Mn-AI(1)Mn-AI(2) Zn-I Zn-AI Cu-I S-I SS-! NOj-IV NIi-N ��11
MIN • 0.27 1.09
9.1 88.0
1.1 6.5 3 57
60.0 25.0
145 96 96 96 96 93 41

Ketchie, William
Report No: 15''204 rg
ADA&CS Agre- -mic Division Phone: [phone] Web Site: mvw.ncagr.com/agronomi/ Grower:
Field Informa.--,t
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime P205
KO Mg S Cit
Zn B Mn See Note
07
1st Crop: Fes/OG/ hn,M 0 120-200 100-120
90-110 0 15-20 0
0 .0 pf 1$ 12
and Crop: Fes/OG/ hn,M 0 120-200 100-120
90-110 0 15-20 0
0 .0 p11$ 12
'Pest Results
Soil Class IB1% W/V CEC BS% Ac pH P-1 K-I Ca% ft% Mn-1 A1n-Al(1) Mn-AI(2) Z11-1 Zn-AI C11-1
MIN 0.36 1.29 7.2 97.0 0.2 7.1 12 20 76.0 20.0 247 145 145 158 158 56
S-1 SS-1 A'OS-N IH4-N Afa
25 0.0
r

NCDA&CS AO-iomic Division Phone: [phone] Web Site: u vw.ncagr.enm/agronomi/
Heavy Metal Soil Test Relhort Report #: 15204
Ketcl�ie, William
141 Battle Rd.
Statesville, NC 28625
MEHLICH-3 EXTRACTION
Iredell County
Ouestions concerning these analvses should be referred to the Agronomic Division, Soil Testing
Cd Ni
P b
Se Cr As
Al
Fe
Sample Cadtniunz Nickel
Lend
Selenium Chrouuunz Arsenic
Alruninum
Iron
---mq/dm3(PPm)------------------------------------------------------------------------------
Ol 0.00 0.30
3.80
0.00 0.00 5.40
883.20
56.90
02 0.10 0.60
7.60
0.30 0.10 4.50
648.00
65.40

Report Nu, r:
R05339-0'i --4
Acount Number:
46493
A&L Eastern Labortories, . Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone]
Fax No. [phone] Email: [e-mail]
TO: SYNAGRO SE/STATESVILLE
6220A HACKERS BEND CT
WINSTON SALEM, NC 27103
Date Received: 12/2/05 Date Reported: 12/06/2005
RE: WILLIAM KETCHIE SYNAGRO SE/STATESVILLE
PO# 20511-1
REPORT OF ANALYSIS
Page: 1
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made .:,� ��£� ��+��-~•
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. i
Paul Chu, Ph.D.

Report Number:
R05339-0124 A&L Eastern Laboratories, Inc.
Account Number: 7621 Whitepine Road Richmond, Virginia 23237 [phone]
46493 Fax No. [phone] Email: [e-mail]
Send To: SYNAGRO SE/STATESVILLE Grower: WILLIAM KETCHIE Submitted By: SYNAGRO SE/STATESVILLE
6220A HACKERS BEND CT PO# 20511-1
WINSTON SALEM, NC 27103
SOIL ANALYSIS REPORT
Page: 1 Date Received: 12/2/2005 Date of Analysis: 12/3/2005 Date of Report: 12/612005 Analytical Method(s):
.Or `ariic;Matte : _ p.
_.
:S rn to �L'ab p F � 9 Catcrum � 5odtum � FpH Acrdtty C E CF :'
x
In ENR ,... ,
;Number Ni>I bar c, � ���-
, M:
< � IbslA ,....ate t? � '� �:,. m z:�,ate �-. 'm� •+Rate.: m-
01-1 4034
10-1 4035
e.
Copper � Borpn Sotuble Chloride 'Aluminum,
.� °, �
K M Ca£ Na Satts : F
N,u"m er 9 N NO3 N SO4 5 zN a MN FE„ C1 B G b a 0 E spa 0 it leers.
>..... : -. m Rate m Rate m: ,•Rate . m:, ..:Rate _1?p ._. ,_.x � +, pp_,. , �pp.,.., _ .+. T, pR._ .pm , ,.Ppm .Rate x�?p!r?e .Rate ,pprt)o� ��tate rtastem Rite ppr� : � Rater p�m Rate
01-1
10-1
This report applies to the sample(s) tested. Samples are retained a
Values on this report represent the plant available nutrients in the soil. Explanation of symbols: % (percent), ppm (parts per million), Ibs/A (pounds per acre), maximum of
A thirty days after testing. Soil Analysis prepared by:
A 8 L EASTERN LABORATORIES, INC.
Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). ms/cm (milli -mhos per centimeter), meq/100g (milli -equivalent per 100 grams). {—) i I
ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = Ibs1A, Soluble Salts mslcm x 640 = ppm. by: ':,L,(jJ, I,—
Aul Chu, Ph.D.

Site ID:
Owner:
Address:
Phone:
Operator:
Address:
Phone:
Fields
SITE SUMMARY
CITY OF STATESVILLE
STATESVILLE, NC
� O
O
704) 872-2070
Estimated l
Total Applicable Predominant Latitude &
Acres Acres Crnn/s1 Slnnp 1041 Snil Spriac 1 nnnitnrla
-NC-IR-28
John McLaughlin
676 New Salem Raod
Statesville, N.C. 28625
(704)87_3=1.939
William R."Bob" Warren
818 Mocksville Road
Statesville, NC 28625
0
10.2
10.2
escue pasture
2-6
Mecklenburg
35.46.30 . N
00.46.20 W
co 2
14.8
11.5
Fescue pasture
2-6
Mecklenburg
35.46.40 N
80.46.15 W
-03
20.1
11.6
Fescue pasture
2-10
Mecklenburg
5.46.29 N
80.46.11 W
r,D4
= 13.2
12.7
Fescue pasture
2-6
Mecklenburg
35.46.32 N
80.46.02 W
t5
5.9
5.2
Fescue pasture
2-10
Mecklenburg
35.46.16 N
80.46.05 W
TOTALS 64.2 51.2
Notes: Contact Bob Warren for application events
Date: 01 /17/06

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM AMYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state.nc. us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding,residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by
a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner ' and the
lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Syagro-WWT, Inc.
:�omplete mailing address of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip: 27103
Telephone number: 336 ) 766-0328 Facsimile number:( 336 ) 766-8652
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies)
onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions
as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or Disposition of
Crops
Residuals Source -Generating
Facilities
FGLi�$ I —I
�LIC' P1146TCe lc
Livestock feed
Statesville -3rd Creek and 4th Creek
WWT
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while
the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOAA 02/02 Pagel of 3 Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality,
contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional
residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application
program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of
this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this
Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of
the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to
the new landowner that gives full details of the residuals applied or incorporated at the land application site(s).
8. 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, and a description
of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been
most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum
application rates, limitations, and other restrictions prescribed by the laws and regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that
residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also
applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will
determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the
landowner or his representative prior to and during a residuals land application event.
16. 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).
17. Animals shall not be grazed on the land application site(s) for a 30-day period following It 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application
program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the
land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the
land application site(s) as required by the residuals land application program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any
property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with
the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of
this permit; or may obtain samples of groundwater, surface water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil,
surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

II. RESTRICTIONS:
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified herein.
Landowner name:
Signature:
NORTH CAROLINA,
I, the undersigned Notary Public do hereby certify that
COUNTY
Date: // �_ , f) S
personally
appeared before me this day and acknowledged the due ex-euTttion of the forgoing instrument.
WITNESS my hand an ial seal this the day, o�%"�1'e`�'/ 20
Signature and sea
My commission e�ir
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agr a to
Lessee/operator n ze
l k
Signature: ti r�
Permittee's Certification:
M11I certify that I have read this Agreement and do hereby
Signing official name:
Signature:
***
by the stipulations and restrictions as specified herein.
Date:
abide by the stipulations and restrictions as specified herein.
OF FORM LOAA 02/02 ***
Date:
FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c

SYNAGR
VICINITY MAP
A Residuals Management Company
t
COUNTY OWNER f

SYNAGRO.
TOPOGRAPHIC MAP
A Residuals Management Company
OWNER SCALE: 1" = /660 FIELDS /,2 3,'/ 7
PHOTOQUAD/YEAR .<4. sr F CONTOUR INTERVAL

SYNAGRO
AERIAL REFERENCE MAP
A Residuals Management Company
COUNTY OWNER A 0,'? t.

SYNAGIRO
APPLICATION AREA MAP A Residuals Afanagement Company
Owner �Tok?
19VZ.4U!i A N'11
Scale: I" _
6k, Q Field #
Total
Acres to L/
Net Acres
. —>
STREAM
APPLICATION AREA
— — — — — —
PRIVATE ROAD
. —>
DRAIN
HOUSE
FORESTED AREA
CDSURFACE
WATER
❑
OUTBUILDING
UNSUITABLE
FENCE
0
WELL
STORAGE AREA
O
SOIL DESCRIPTION
SUITABLE FOR
O
®
INCORPORATION,
PROPERTY LINE
5-12% SLOPE
ri

ON
SYNAGRO
Soil Map
A Reuiduals Afanagmsent Company
., I , 6e-, -2,5)
OWNER-JWti FIELDS 5,
COUNTY Z SHEET SCALE:
SOIL SERIES //Ve e�AZI

SOIL DESCRIPTION SKEET
Project:
Site: ��� Field:
SYNAG 0
A Resirditah Management Company
Landowner: 0Ile t te,e</. A,,$&/
Sample #:
Acres (gross): Acres (net): Crop: /!�fe- yj-
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure
PROFILE A b-7 <i �/- 1 r
'7 `J'$ Z 4-I oe Y/9 1 ^r r
Depth to SHWT: � 3 &
Depth & type of restrictive layer: C-
Soil Series: All S- ,e-4OS44 Ogee,
Horizon Depth Texture
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: 04 o4`fie
Described By:
Legend
Slope: 1-
Mottles
Color Structure Mottles
A
Date: e2 i , "it
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

SYNAGRO
SOIL DESCIIIPTION SHEET
Project:
Site: i 2-9
Acres (gross):
Horizon
PROFILE A IP
r�
PROFILE B
Field: 2-
Acres (net):
A Residuals Affanagement Company
Landowner: c L1"14 .
Sample #: Slope: 2.
Crop: rin'e/� -
SOIL PROFILE DESCRIPTIONS
Depth
Texture
- Color Structure
4.1-7
t-J-23
Zt-
2.SY,12 /6 IP4
7-3-
iQiO t c10 w^
Depth to SHWT: >
Depth & type of restrictive layer:
Soil Series:
Horizon Depth Texture
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: 9r �(o.
Described By:
Legend
Mottles
Color Structure Mottles
Date:
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

AMIN SYNAGIRO
SOIL DESCRIPTION SHEET
Project: 6A-(aya i,C
Site: lle. Zg Field:
A Residuals Management Company
Landowner: '0e
Sample #:
Acres (gross): Acres (net): Crop: c.`�6yr
SOIL PROFILE DESCRIPTIONS
Slope:
Horizon Depth
PROFILE Al�-
Texture Color
Structure Mottles
3-d�
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series: r`, s ('teLerNi3v0 .r
Horizon Depth
Texture Color
Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: 0,j-BlrA VA
Described By: �
Dater
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

SYNAGIRO
SOIL DESCRIPTION SHEET
Project: V,�
Site: J/�• ZJ Field:
Acres (gross):
Acres (net):
A Residuals Management Company
Landowner: 614,
Sample #: Slope: Z-
Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A o-& Ca- q13 �t r
�� �-'�• ! i' L ' • C •'� S � �OGaB' L. fir,
Depth to SHWT: T�
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: m/ A
Described By:
Legend
Date: 12-16r /,,'S
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

SYNAGRO
SOIL DE S CIZIETION SHEET A Re idualt [Management Company
Project: �j 14 TI C"�Y1 6 Landowner: &I,AJ
Site: 1/t ' 11 Field: _ Sample #: Slope:
Acres (gross): Acres (net): Crop:��«
SOIL PROFILE DESCRIPTIONS
Horizon
PROFILE A
Depth Texture
0_1� 4'1-
712 Z 1.1
Color Structure Mottles
I r,z' ' t 111
SY/- 11d4 w.- 41
Depth to SHWT: >3 C
-Depth & type of restrictive _layer: >
Soil Series: Wr..€° Z'�-C Clk ;�',�6;'
Horizon Depth Texture
PROFILE B
Color Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer: .
Soil Series:
Notes:
Described By:
Legend
Date: a,7/4
-r
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
Suba:n.gular Blocky
Single Grained
Massive

NCDA&CS Agronomic Division Phone: [phone] Web Site: Y,rnv.ncagr.com/agronomi/
Report No: 15205
Gr,
McLaughlin, John
6'01)ies To:
676 New Salem Rd.
�s
ozl est Report
Statesville, NC 28625
i
Paid: NC-IR-28
1/3/2006 SERVING N.C. RESIDENTS FOR OVER 60 YEARS
Iredell County
Agronomist Comments
C -- 1
The heavy metal report is found on a separate page. Using Mehlich 3 as a soil test ex1ractant, background levels of
these metals typically seen in NC soils when analyzed are as follows: arsenic (f1s)- 5.0 ppm, cadmium
(Cd)- 0.2
ppm, chrornil.1111 (Cr)- 0.3 ppm, lead (Pb)- 4.0 ppm, nickel (Ni)- 0.7 pp111, S selenium (Se)- 0.2 ppm
(FY2003-2005). Althougll the above metals hell' are not believed to pose a concern for plant groMli, continue to
monitor these and Mote where elevated above background levels.
Note any lime and fertilizer recommendations. Monitoring plant nutrition by tissue sampling can be helpful in
monitoring nutrients such as phosphorus which is very low here.
David 11. IIardy, Aggroiiomist
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime
ATP205 KO
jVg S Cu Zu B j11n See A'ote
O1
1st Crop: Fes/OG/rim,M 0
120-200 120-140 0
0 0 0 0 .0 0 12
211d Crop: Fes/OG/rim,M 0
120-200 120-140 0
0 0 0 0 .0 0 .12
Test Results
Soil Class LW% W/V CEC BS% Ac pH P-I K-I Ca% rlfg%.
Aln-I Mir-AI(1) Mn-Al(2)
Zn-I Zn-Al Cu-I . S-1 SS -I A'03-N ATI4-N A'a
,MI1\ 0.51 1.09 8.9 84.0 1.4 63 6 124 55.0 23.0
S34 513 513
105 105 132 30 0.0
Field Information
Applied Lime
Recommendations
Sample A'o. Last Crop
Mo Yr T/A
Crop or Year Lime
N P205 K20
S Cit Zn B Mn See !Vote.
02
1st Crop: Fes/OG/rim,M 0
120-200 120-140 0
0 0 0 0 .0 0 12
2nd Crop: Fes/OG/I'im,M 0
120-200 120-140 0
0 0 0 0 .0 0 12
Test Results
Soil Class H111% 1V/V CEC BS% Ac pH P-I K-1 Ca% Jtq%
Mn-I Mii-AI(1) Mn-AI(2)
Zn-I Zn-Al Cu-1 S-1 SS-1 A'Os-N N1-1-A, AW
MIN 0.66 1.13 9.2 85.0 1.4 6.2 6 122 55.0 24.0
991 609 609
114 114 145 32 0.0
Field Information
Applied Lime
Recommendations
Sample 11'o. Last Crop
Mo Yr T/A
Crop or Year Lime
N P205 K20
Atq S Cu Zn B hIn See Note
03
1st Crop: Fes/OG/I'im,M .51'
120-200 140-160 0
0 0 0 0 .0 0 12
211d Crop: Fes/OG/1'im,M 0
120-200 140-i60 0
0 0 0 0 .0 0 12
Test Results
Soil Class IN% lG/V CEC &% Ac pH P-I K-I Ca% Nq%
Aln-1 Mn-AI(1)Mn-M(2)
Zn-1 Zn-Al Cu-1 S-1 SS-1 A'Os-N All-,-N Na
MIN 0.13 1.03 20.4 91.0 1.9 5.8 0 223 50.0 35.0
1 S 1 126 126
51 51 174 108 0.1

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ZZ
ZSI
61Z
61Z 16� 16£ tE9
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DIV N-1'1IV V-FON
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03-09 OSI-0�1 OOZ-OZI
0
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0
0
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03-09 OSI-M OOZ-OZI
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s�lnsau 1saZ
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0
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0 0
0 091-0�1 OOZ-OZ1
0
W`u11,1/Op/s3;1 :dadpuZ
ZI
0
0'
0
0
0 0
0 091-0� 1 OOZ-OZI
JL'
b\`Luil/OO/sa;1 :dorO lsl
►;0
a/0,kl aaS
u1N
8
llz
1119
S
0 zly sOzd �1L—
aur17
.oval JO 4'0.r0
V/J JA 0W
d0j.9 lsv7 -0,V apfuivS,
suopupuauimawd
aullrl pallddv
uc 11.10lui plai j
�IIUOl1OBV C�.VV(I.)N
�. Qr1 50 O :oU laod;m uilof `11110nY,naly :da,vOdl) Ifluouo.I rIluoi I''au'A1A111 :ajlS (ja;j� SS�L-� V616)
:auolfd I101SIAi(I

P%%,LYt1CXUO AgFU11U1111L L11YlblUll JrIIU11C. kJ1 y) / JJ-LU77 11'CU 31MIVIVIY.ill:itgl-.UUIII/ilgi-OIIUIIll/
rg 1
Heavy Metal Soil Test Re1b®rt
Renort
� It: 1520�
McLaughlin, John
676 New Salem Rd.
Statesville, NC 28625
MEHLICH-3, EXTRACTION
Iredell County
Questions concerning these analyses should be referred to the Agronomic Division, Soi1,,Testing
01 Al P b Se
Cr As
AI
Fe
Sample CatIIIIi1p71 Nickel Lead Selenium
Chromium Arsenic
Aluminum
Iron
ID ---------------------------------------- m /diO
01 0.00 0.50 0.20 0.00
0.00 5.70
986.70
64.60
02 0.00 0.50 0.00 0.00
0.10 5.70
1,046.00
72.00
03 0.00 0.20 0.00 0.00
0.00 6.00
1,052.00
116.60
04 0.00 0.30 0.00 0.10
0.00 5.60
1,067.00
121.80
05 0.10 0.60 5.60 0.20
0.10 3.10
606.70
138.20

Report Nur
R0533
A&L Eastern Labortories, Inc.
-01
Acount Nuumbmb er: ount
46493 7621 Whitepine Road Richmond, Virginia 23237 [phone]
Fax No. [phone] Email: [e-mail]
TO: SYNAGRO SE/STATESVILLE RE: JOHN MCLAUGHLIN SYNAGRO SE/STATESVILLE
6220A HACKERS BEND CT NI-IR-28
WINSTON SALEM, NC 27103
Date Received: 12/2/05 Date Reported: 12/06/2005 REPORT OF ANALYSIS
4029 1
Mehlich 3 Mercury
Mehlich 3 Molybdenum
P.O. NUMBER: PO#20511-1
< 0.10000 mg/kg SW846-7471A
< 1.00000 mq/kq SW846-6010B
Page: 1
4030 2 Mehlich 3 Mercury < 0.10000 mg/kg SW846-7471A
__. _. _._................_._Mehlich 3 Molybdenum .................................................<
_.._.__._. < 1.00000 mg/kg SW846-6010B
................._._._..........-...___.._...._..............._....._.__......._................_. ................................._...................._........................................................................................................._................._........................._........_............................................................_.........................................................................:...........
4031 3 Mehlich 3 Mercury < 0.10000 mg/kg SW846-7471A
Mehlich3 Molybdenum < 1.00000 mg/kg SW846-6010B......_.._................ ...... _..... ._........._............_....__...... __..._.._................._.__................................................................_._.__......... ................................. .. --.................................................................................................._.................................................................._............... .
4032 4
Mehlich 3 Mercury
Mehlich 3 Molybdenum
< 0.10000 mg/kg SW846-7471A
< 1.00000 mq/kq SW846-6010B
4033 5 Mehlich 3 Mercury < 0.10000 mg/kg SW846-7471A
.......... __...............:..........._.._._........... I .................. _... _.......... . _...... _..............................................................._......._Mehlich.._3....Molybdenum........_........... < 1.00000 mg/kg SW846-6010B
................................. ........................................ ........................................................................ __....... _........ ............................. ........................ ..... .................................... I..........
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part nor may any reference be made I
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Paul Chu, Ph.D.

SITE SUMMARY
CITY OF'STATESVILLE .
STATESVILLE, NC
Site ID: NC-IR-29
Owner: Mary H. Knox
Address: 3485 Amity Hill Road
Cleveland, NC 27013
Phone: [phone]
Operator: Ben Knox
Address: 3485 Amity Hill Road
Cleveland, NC 27013 jp
Phone: [phone] mobile
Estimated
Total Applicable Predominant Latitude &
Fields Acres Acres Croo(s) Slone (%) Soil Series Lonaitude
1 ✓
58.4
42.1
row crops
2-8
Mecklenburg
35.43.54 N
80.45.10 W
TOTALS 58.4 42.1
Notes: Coordinate application events (and access) with Ben Knox. Note locked gate in south portion
of field.
Date: 12/14/05

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the
instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to
additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state. nc. uslndpul
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form
NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by
a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the
lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Synagro-WWT, Inc.
'omplete mailing address of applicant: 6220A Hackers Bend Court
City: Winston-Salem State: NC Zip: 27103
Telephone number: 336 ) 766-0328 Facsimile number:( 336 ) 766-8652
E-mail address:
hereinafter referred to as� the Permittee, to land apply residuals from the following residuals source -generating facility(ies)
onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions
as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or Disposition of
Crops
Residuals Source -Generating
Facilities
A1&12-27J0
�
lCd40
Livestock feed
Statesville -3rd Creek and 4th Creek
WWT c
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while
the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c

I. STIPULATIONS:
I. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality,
contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional
residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application
program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of
this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this
Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of
the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to
the new landowner that gives full details of the residuals applied or incorporated at the land application site(s).
8. 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, and a description
of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been
most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum
application rates, limitations, and other restrictions prescribed by the laws and regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that
residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also
applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will
determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his -representative will furnish the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the
landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application
program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the
land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the
land application site(s) as required by the residuals land application program permit.
20. 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 Iand.application site(s) at any reasonable time for the purpose of determining compliance with
the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of
this permit; or may obtain samples of groundwater, surface water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil,
surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

Il. RESTRICTIONS:
Landowner's Certification:
® I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified herein.
Landowner name: 67 r A
Signature: ROLINAtiL - Date:
NORTH CA, 1. re d e I 1 COUNTY
I, the undersigned Notary Public do hereby certify that ct l i� . Kh o i personally
appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand anfficial seal this the ��' day of De C cm he.j , 20
Signature and seal:r'►'`
OFFICIAL '=AL.
—1 d a Public. Carolina
My commission expires: S Notary
JSVTN
FRANKIE f, -.;vuLETON
My Camm180lon Expires . 5
Lessee's/Operator's Certification:
8"'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:
Signature:
Date: --//
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
OF FORM LOAA 02/02 ***
Date:
FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c

SYNAG O
VICINITY MAP
A, Residuals Management Company
COUNTY OWNER Aky A16yl1l'y
NC -- 2 - 0,7

SYNAGBO
TOPOGRAPHIC MAP
f
jjt f
41sr e
�
"k 'd
AfR 'e,
k ';N'
�N
i
%
A Residuals Mamqewent Company
4
%
X'$
OWNER 1-142V I) A0K SCALE: V= - FIELDS
PHOTOQUAD/YEAR CONTOUR INTERVAL-AQ

t)�1 m SYNAGP\O
AERIAL REFERENCE MAP A Residuali Management Company
COUNTY OWNER 111,4U en&,<
Ale -,7- 42

����
SYNAGRO
APPLICATION AREA MAP A xesdmals Afanasement Company
Owner Scale: 1" lField #
Ale--,Z'/�- � � Total Acres J8 Net A2
. > STREAM
DRAIN
SURFACE WATER
FENCE
STORAGE AREA
QAPPLICATION
AREA
— — — — — —
PRIVATE ROAD
ROUSE
FORESTED AREA
❑
OUTBUILDING
UNSUITABLE
0
WELL
O
SOIL DESCRIPTION
SUITABLE FOR
PROPERTY LINE (4 '
INCORPORATION,
5-12% SLOPE

SYNAGRO
Soil Map
A Residuals Management Company
OWNER
-------------
e ", W�c -,-x V-
z7--
FIELDS
COUNTY—.T�6-
SHEET
SCALE: I"=
1,32 0
I
SOIL SERIES 111z?e11Z-Ae,',1

SOIL DESCRIPTION SKEET
O SYNAGRO,
A Reridnah Management Company
Project: L Landowner:.
i
Site: Field: Sample #: Slope: Z
Acres (gross): Acres (net): Crop: e -- LLO
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color. Structure Mottles
PROFILE A A io 0 r `7 1- f me `1, Gas,.
E 77Tz� s9
Depth to SHWT:
Depth & type of restrictive layer:
-Soil Series: a110r1-1 eaLt_0 A-_ 14 Jw.J4
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: 1#4 A "sue .4,
_ Described By:
Legend
Date: i iAdZ t, r'
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
An_qular Blocky
Subangular Blocky
Single Grained
Massive

A&GS A op mic Davision Phone. 1 .73 ..265 Web Site. www.nca :c®in%a ' onom .' :. Re or. _ . 1520
Growe Knox Grain Farms
Copies To:
attn:Mary H. Knox
3485 Amity Hill Rd:
Cleveland, NC 27013
� oilest ep 0 rt
Farm: NC-IR-29
12/30/2005 SERVING N.C. RESIDENTS FOR OVER 60 YEARS Iredell County
Agronomist Comments
A 3
The heavy metal report is found on a separate page. Using Mehlich 3 as a soil test extractant, background levels of
these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 5.0 ppm, cadmium (Cd)- 0.2
ppm, chromium (Cr)- 0.3 ppm, lead (Pb)- 4.0 ppm, nickel (Ni)- 0.7 ppm, & selenium (Se)- 0.2 ppm
(FY2003-2005). Although the above metals here are not believed to pose a concern for plant growth, continue to
monitor these and note where elevated above background levels.
Note any lime and fertilizer recommendations. Monitoring plant nutrition by tissue sampling may be helpful for
nutrients such as phosphorus which is low here.
David H. Hardy, Agronomist
-F1eld Informati®n
Apphed�Lime
Recotnmendatio � �' 3
ns
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime N P205 K20 Mg S
Cu Zn B Mn See Note
01
1st Crop: Corn Grain 1T 120-160 90-110 50-70 0 0
0 0 .0 0 3
2nd Crop: Soybeans. 0 0 90-110 50-70 0 0
0 0 0 3.
Test Results
Soil Class HM% W/V CEC BS% Ac pH P-I ICI Ca% Mg% Mn-I Mn-AI(1)Mn-AI(2) Zn-I Zn-AI
Cu-I S-I SS -I NO3-N NH4-N Na
MIN 0.46 1.20 7.0 74.0 1.8 5.3 18 38 55.0 17.0 795 494 487 62 62
182 46 0.0

NCDA&CS Agronomic Division Phone: [phone] Web Site: www.neagr.com/agronomi/
.I�eav M tc�l S 'l T t R t
P
Report #: 15206
Knox Grain Farms
attn:Mary H. Knox
3485 Amity Hill Rd.
MEHLICH-3 EXTRACTION Cleveland, NC 27013
Iredell County
Questions concerning these analyses should be referred to the Agronomic Division, Soil Testing
Gil Ni P b Se Cr As AI Fe
Salllple C&I"lil[ni Nickel Lead Selenium Chromillm Arsenic Alunzinlun Iron
ID------------------------------------------------------------------------------mq/dm3(ppin) ----------------------------------------------------------------------------
01 0.00 0.20 0.00 0.00 0.00 6.50 1,371.00 76.40
1

Report Nu 1r:
R05339-0 i —d
Acount Number:
46493
A&L Eastern Labortories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone]
Fax No. [phone] Email: [e-mail]
TO: SYNAGRO SE/STATESVILLE
6220A HACKERS BEND CT
WINSTON SALEM, NC 27103
Date Received: 12/2/05 Date Reported: 12/06/2005
RE: MARY H. KNOX SYNAGRO SE/STATESVILLE
PO# 20511-1
REPORT OF ANALYSIS
Page: 1
.^a.
�... -:
M as
sa
4 - 4045 1 Mehlich 3 Mercury < 0.10000 mg/kg SW846-7471A
_ Mehlich 3 Molybdenum < 1.00000 mg/kg SW846-6010B
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Paul Chu, Ph.D.

Report Number:
R05339-0128 A&L Eastern Laboratories, Inc.
Account Number: 7621 Whitepine Road Richmond, Virginia 23237 [phone]
46493 Fax No. [phone] Email: [e-mail]
Send To: SYNAGRO SE/STATESVILLE Grower: MARY H. KNOX
6220A HACKERS BEND CT PO# 20511-1
WINSTON SALEM, NC 27103
SOIL ANALYSIS REPORT
Page: 1 Date Received: 12/2/2005 Date of Analysis: 12/3/2005 Date of Report: 12/6/2005
M;.
Submitted By: SYNAGRO SE/STATESVILLE
Analytical Method(s):
O r9�
�'� P .
Cr
�
N1a m
4S
CalCruln
Sodrurr►
� `H
A` rdrt
77,7
�E
.. �.,
Sample
,.. �,
Lab3
� ... _... .�"..",. , , .,. ,, ,.: s
.... �.; . � . _ . �,���
,�
�
„ 3,-,.✓.,. kr
,
;a:�. .1i e. ,::ti
Fi. t :: � e..
. ,..' .:+��eu
. _.< cs-a.., ,:
, Sx:..::' , .i ,.,?..
:. m .... �"..
z„• •.:. :W. ....
�. .a ...... xe'
..... •... ,..,
"i
.a.g,
�
f� ,3d.
Vu Iear
H
�:. pm
P
...
1
4045
e
ro
.eoa
'o:�i
pCPr
:.
A.
o
nRmukas
mfem
h
M
N
a�i'uAltrbsi
�:usay"
�Ri
YNe
,►�d?
p
�Ppm�
atx �� msS:FS;lc
_.AP
ShlG
�i
aeteY
Plnt,B
Punm�i.
1
This report applies to the sample(s) tested. Samples are retained a
Values on this report represent the plant available nutrients in the soil. Explanation of symbols: % (percent), ppm (parts per million), Ibs/A (pounds per acre), maximum of thirty days after testing. Soil Analysis prepared by:
A & L EASTERN LABORATORIES, INC.
Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). ms/cm (milli -mhos per centimeter), meq/100g (milli -equivalent per 100 grams).
ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = Ibs/A, Soluble Salts ms/cm x 640 = ppm. by:
Paul Chu, Ph.D.

Attachment 3-f:
Soils and Agronomic Information
(General Information)

CITY OF STATESVILLE
SOIL SCIENTIST CERTIFICATION
This is to certify that soil and site evaluations were conducted on the proposed
application sites for The City of Statesville by Synagro South (Synagro Inc). The
soil and site 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
myself or under my direct supervision.
Eri . T mpson, L.S.S.
No. 1238
December 2005
• Danny and Arlene Millsaps -Site NC-AL-13
Fields 1A,1B, and 2
• Timothy Payne — Site NC-AL-14
Fields 1A through 5
• Bob Warren — Site NC-IR-25
Fields 1 and 2
• William Ketchie — Site NC-IR-27
Fields 1 and 2
• John McLaughlin — Site NC-IR-28
Fields 1 through 5
• Mary Knox — Site NC-IR-29
Field 1

AGRONOMIST REPORT
Synagro South (Synagro) is operating a land application program for the recycling/beneficial reuse
of wastewater biosolids produced at the City of Statesville's Third Creek and Fourth Creek
WWTPs. The agronomist report is submitted as a crucial step in the review of potential receiver
sites for the program. Several factors should be taken into consideration in determining a site's
suitability to receive biosolids. These factors are:
• Site Investigation
• Topography
• Soils
• Biosolids Characteristics and Loading Rates
• Crop Management
Site Investi ag tion
The site investigation consisted of a physical observation of each proposed site in which the
following parameters were evaluated:
• Soil Characteristics
• Slope
• Cropping Systems
• Location of Property Lines
• Location of Residences
• Location of Wells and Surface Water Features
Site specific information is enclosed (Attachment Order 3-e) for each site evaluated. Application
area maps delineating the proposed application areas within each field are also enclosed.
Topography
The slope of each site was evaluated during the site investigation. The slope for the individual
sites ranges from 0 to 10 percent for surface application and 0 to 18 percent for sub -surface
injection. -Areas of excessive slope have been eliminated from the application areas.
Soils
Soil fertility samples were collected from each site and were analyzed for standard soil fertility
parameters and regulated metals content. Soil testing of the sites included in this application
indicates that the soil pH is moderately acidic on some sites. The pH of these sites will be
adjusted by the addition of agricultural lime in order to achieve optimal crop production. The
lime recommendations are generally made based on raising the pH to a minimum of 6.0.

Biosolids Characteristics and Loading Rates
Biosolids samples are collected per event by Synagro and analyzed by an independent
laboratory. The biosolids analysis report and calculations indicate that the residuals are non-
hazardous and non -toxic. Both the soils and the crops should be able to assimilate the proposed
loadings of liquids, solids, nitrogen, phosphorus, heavy metals, and salts known to be in the
residuals. This assessment is based on the biosolids analysis provided, the planned application
rate, proper crop management guidelines and adherence to permit requirements. On an annual
basis, nitrogen is considered to be the most limiting characteristic of these biosolids. However,
soil tests should be reviewed annually.
Crop Mana ement
Based on the site and soil evaluations, crop nutrient requirements and the nutrient content of the
biosolids, all sites should readily assimilate the residuals, however crop rotations and
management practices should be evaluated prior to each application to account for changes in the
proposed crop rotation and land use objectives. Site -specific cropping patterns are discussed
further in the Site Descriptions contained in the Site Summary Sheet. Crop management
guidelines that will be of importance for these sites will be:
• timing of application events with plant nutritional needs and periods of plant dormancy,
• split applications to prevent hydraulic overloading or nutrient leaching,
• performance of proper stabilization methods to fit crop and soil needs,
• establishment of suitable vegetative cover current agricultural sites,
• incorporation or injection of residual solids on fields that have a high incidence of flooding,
• maintenance of proper vegetative cover on more sloping areas with runoff potential, and
• proper coordination between application events and crop harvesting.
Land application should provide an environmentally acceptable means of beneficial reuse of the
biosolids provided all the parameters of the agronomist report and the requirements of the permit
are followed.
(M �
r- r/Y
&'/ - Z , .
Jonathan E. Hill
Agronomist

Attachment Order 3-g:
Cumulative Pollutant Loading Rate Data
(Does not apply to Sites in this Application)

e°
MEMORANDUM
To: Kim Colson
Through:
DIVISION OF WATER QUALITY
GROUNDWATER SECTION
Debra Watts
December 17, 2003
NC DEPT. OF ENVIRONMENT
AND NATURAL RESOURCES
RECEIVED
DEC 2 2 2003
MOORESVILLE REGIONAL OFFICE
M-GROUNDWATER SECTION
From: David Goodrich
Subject: City of Statesville / Synagro-WWT, Inc. Land Application Program
Iredell County
WQ0016247/GW03149
The Groundwater Section is in receipt of the subject application to renew and modify
existing Permit Number WQ0016247, issued to Synagro-WWT on October 25, 2001. The current permit
allows the City to apply 2,028.60 dry tons of residuals generated by the City's Third Creek and Fourth
Creek Wastewater Treatment Plant facilities onto approximately 417.30 applicable acres on 16 sites in
Alexander County. Groundwater monitoring is not required under the conditions of the existing permit,
and each of the 16 permitted sites was approved for year-round application.
The proposed modifications involve the deletion of 156.70 applicable acres on six sites. A
total of 259.00 acres will be renewed, and 195.50 acres on four sites will be added to the program (see
Figures 1 through 14). Each of the eleven renewed sites has had its acreage adjusted. These changes will
collectively result in a total applicable area of approximately 418.80 acres for the entire program on
fifteen sites. A number of the renewed sites have been decreased in acreage due to the imposition of new
buffers from new off -site houses or on -site water supply wells. Some of the renewed sites have increased
acreage due to the clearing of overgrown land and the redrawing of maps with a higher level of accuracy.
The new sites (NC-AL-12-1, 12-2, 12-3, and 12-4) were evaluated by a soil scientist to
assess their ability to treat residuals. The evaluations included consultation with county soils reports and
test borings at each of the new sites. Thit test borings indicated mean seasonal high water table elevations
at depths greater than three feet below land surface, qualifying the sites for the year-round application of
residuals. The four new sites were visited by personnel from the'Division of Water Quality on December
11, 2003. The soil types and physical features of each site were found to be consistent with the
information submitted in the application package.
The ability of all of the sites to collectively treat the intended loading of residuals from
the perspective of the uptake of Plant Available Nitrogen (PAN) was evaluated by comparing the
intended loading rate to the intended cropping practices and projected uptakes of the sites. According to
C:/My Documents/GW03149.doc Page 1 of 3 Rev. Jul-01

1 i '
the application form, 324.10 acres, or approximately 77% of the total area, will be receiving surface
applications. The remaining acreage will be receiving subsurface applications. Assuming aproportional
distribution, 39,545 pounds of PAN will be applied to the 324.10 acres. Allowing for the carry-over of
nitrogen from one year to the next due to mineralization, the five-year maximum adjusted PAN will be
64,476 pounds of nitrogen. The intended crop for these areas is fescue (which has an uptake of 250
pounds per acre per year), and this represents a nitrogen uptake capability of 81,025 pounds per year
(approximately 97% of the total residuals). This figure is well above the intended application rate of
64,476 pounds. The remaining 94.70 acres will be receiving subsurface applications. Assuming a
proportional distribution, 12,080 pounds of PAN will be applied to this acreage each year. Allowing for
the carry-over of nitrogen from one year to the next, the five-year maximum adjusted PAN for
subsurface application will be 19,489 pounds of nitrogen. The application form indicates that the row
crops will be used for animal feed. Conservatively assuming that the row crop is silage corn (which has
an.uptake of 200 pounds per acre per year), planting 94.70 acres in this crop would represent a nitrogen
uptake capability of 18,940 pounds per year. These figures indicate that the 324.10 acres intended for
surface applications should receive slightly more (78%) than their proportional share (77%) of the
residuals in order to keep the subsurface applications within those fields' collective nitrogen uptake
capability of 18,940 pounds of PAN per year. There should be no problem in achieving this.
The Groundwater Section has reviewed the subject application to renew and modify the existing permit
and recommends re -issuance of the permit with the following conditions:
APPLICATION AREAS COVERED BY THIS PERMIT
NC-AL-9-1A
Boonelcenhour/ waiter
Alexander
JV X1bLiug
o.VV
••-"
- -
Curtis Childers
NC-AL-9-1B
Barbara and Steven
Alexander
Existing
18.50
, GW-A
1,2
Sprinkle/ Walter Curtis
Childers
NC-AL-9-2
Boone Icenhour/ Walter
Alexander
Existing
17.80
GW-A
1,2
Curtis Childers
NC-AL-9-3
Boone Icenhour/ Walter
Alexander
Existing
38.50
GW-A
1, 2
Curtis Childers
NC-AL-9-7
Barbara and Steven
Alexander
Existing
12.00
GW-A
3, 4
Sprinkle/ Walter &urtis
Childers
NC-AL-9-8
Barbara and Steven
Alexander
Existing
35.50
GW-A
3, 4
Sprinkle/ Walter Curtis
NC-AL-9-9
Childers
Boone Icenhour/ Walter
Alexander
Existing
30.50
GW-A
5,6
Curtis Childers
NC-AL-9-10
Boone Icenhour/ Tim
Alexander
Existing
27.40
GW-A
5, 7
Payne
C:/My Documents/GW03149.doc Page 2 of 3 Rev. Jul-01

I
NC-AL-9-11
Boone Icenhour/ Tim
Alexander
Existing
18.30
GW-A
5,7
Payne
NC-AL-11-3
Elbert Mecimore/
Alexander
Existing
11.50
GW-A
8, 9
Walter Curtis Childers
NC-AL-11-4
Elbert Mecimore/
Alexander.
Existing
41.00
GW-A
10,11
Walter Curtis Childers
NC-AL-12-1
Pauline H. Alexander/
Alexander
New
35.50
GW-A
12,13
Robert S. Hoover
NC-AL-12-2
Pauline H. Alexander/
Alexander
New
14.70
GW-A
12,13
Robert S. Hoover
NC-AL-12-3
Pauline H. Alexander/
- Alexander
New
12.20
GW-A
12,13
Robert S. Hoover
NC-AL-12-4
Pauline H. Alexander/
Alexander
New
97.40
GW-A
12,14
Robert S. Hoover
Total 418.80
Area
Note: Basis of Approval for the indicated field is Condition GW-A as follows:
GW-A. These sites are dominated by soils with mean seasonal high water tables greater than
three (3) feet below the land surface. Application of residuals may occur throughout the year.
1) Applicable Boundaries:
a) The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in 15A
NCAC 2L, Groundwater Classifications and Standards. The Compliance Boundary for the
disposal system individually permitted on or after December 30,1983 is established at either 250
feet from the waste disposal area, or 50 feet within the property boundary, whichever is closest to
the waste disposal area. An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subj ect to remediation action according to 15A NCAC 2L .0106(d)(2).
b). The REVIEW BOUNDARY is established around the disposal systems midway between the
Compliance Boundary and the perimeter of the waste disposal area. Any exceedance of standards
at the Review Boundary shall require action in accordance with 15A NCAC 2L .0106(d)(1).
2) Additional Requirements:
Any groundwater quality monitoring, as deemed necessary by the Division, shall be
provided.
If there are any questions please call David Goodrich at [phone].
Attachments: FIGURES 1 through 14.
C:/My Documents/GW03149.doc
Page 3 of 3
Rev. Jul-01

TOPOGRAPHIC MAP
(1A,Z,3)
OWNER j3o0ne1:ceQ dour SCALE:
F-Ar6a"L4Sjtkn 5pY{rikJz (fie -Id 16)
SYNAGRO \`
A Residuals Management Company
FIGURE 1
lit
N—rLw CITY OF STATESVILLE
LAND APPLICATION PROGRAM
PHOTOQUAD/YEAR Tau I a ►3 U i I l e, [ NCB 19.70 IREDELL COUNTY
WQ0016247/GW03149
LOCATION MAP FOR SITES
NC-AL-9-1A, 9-18, 9-2 AND 9-3

YPLICATION AREA MAP
11 SrMGRO
A Rerrdwh Management Company
ek
e Boone
� � Icehour
CpL)
O W
3 �
d
O
pL
Oil slk �' Barber
a and
hokse II Steve-n Sp;'rnkle
_ Properi�
O
0q �g
`� SG.rnue I 016
(khakaan fPa `5�\10�31
d 4�
wco W r PQ.4'V eorlcrele
I _.,��,� ♦� ♦ ho se S�
Owner 1300 he I
A ,—T3
J Scale: 1"
= (; , l„ O Field # fig,,, j$) -2.; 3
13ar6ami S�VtA spnv kJe- $)
Total
Acres 11
?. a Net Acres g a• g
• - 0 STREAM
APPLICAT
FIGURE 2
- DRAIN
■
HOUSE
CITY OF STATESVILLE
LAND APPLICATION PROGRAM
C vq POND
o
OUTSUILD
IREDELL COUNTY
FENCE
WELL
WQ0016247/GW03149
O STORAGE AREA
c
SOIL DES(
DETAIL MAP FOR SITES
NC-AL-9-1A, 9-113, 9-2 AND 9-3

O SYNAGM
TOPOGRAPHIC MAP A Retidualt Management Company
#VNER a2aS�2I I _SCALE:rl
•.' , &w
• •• P. •
FIGURE 3
CITY OF STATESVILLE
LAND APPLICATION PROGRAM
IREDELL COUNTY
WQ0016247/GW03149
LOCATION MAP FOR SITES
NC-AL-9-7 AND 9-8

SYNAGRO.
APPLICATION AREA MAP
8t9
■
r
a
7
®�®'0
A Residuals Management Cm,
R I(•ag
Owner en
Scale: V = to (o0 l Field
Total
Acres -7 I , (� Net Acres lit 7•
• • -� STREAM
APPLICATION AREA = _ _ : = PRIVATE ROAD
• DRAIN
■
HOUSE FIGURE 4
CITY OF STATESVILLE
® POND
o
ovTBVILDnv LAND APPLICATION PROGRAM
FENCE
d
WELL IREDELL COUNTY
O STORAGE AREA
p
SOIL DESCRI WQ0016247/GW03149
DETAIL MAP FOR SITES
NC-AL-9-7 AND 9-8

SYNAG
OWNER rb m S-,-V n SDEUP-leSCALE: 1"gd-,212
(3o0 he xcekj6 w- (10 � I I)
PHOTOQUADNEAR 'dde r - CNcI 15 5-0
A Residuals Management Company
FIGURE 5
CITY OF STATESVILLE
LAND APPLICATION PROGRAM
IREDELL COUNTY
WQ0016247/GW03149
LOCATION MAP FOR SITES
NC-AL-9-9, 9-10 AND 9-11

�0 SYNAGRO.
APPLICATION AREA MAP A Recidudli Management Company
Owner a 1-ka �e�en � 'v, kl� Scale: V = (o O Field #
Dperafnf, 1 &I4pir ('.. eV-9 Total Acres ,35,O Net Acres
• • —� STREAM APPLICATION AREA = _ _ _ = PRIVATE ROAD
DRAIN ■ HOUSE FIGURE 6
® POND a OUTBUILDING CITY OF STATESVILLE
FENCE RS WELL LAND APPLICATION PROGRAM
p SOIL DESCRI] IREDELL COUNTY
O STORAGE AREA WQ0016247/GW03149
DETAIL MAP FOR SITE
NC-AL-9-9

m
APPLICATION AREA MAP A Ruidwh Mamagem _ Comte
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r Lifa°v� Lshuy-
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sc
rye
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.prope.rt-� li'ne
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owner nnn P
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Scale: 1" _ (,1,
.o Field # �
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Total
Acres 5$. S
Net Acres 45. 7
• • -- 0
STREAM
APPLICATION AREA
= _ _ _ = PRIVATE ROAD
- • .--0�
DRAIN
■
HOUSE
FIGURE 7
CITY OF STATESVILLE
®
POND
O
OUTBUILDING LAND APPLICATION PROGRAM
ii
FENCE
Jd
WELL
IREDELL COUNTY
O
STORAGE AREA
p
SOIL DESCRII
WQ0016247/GW03149
DETAIL MAP FOR SITES
NC-AL-9-10 AND 9-11

SYNAG 0
OWNER Flhickf' Me ci more, SCALE: 1" 4-2L
PHOTOQUAD/YEAR Tlg 1 o rs ui I I� Cn(G 1 Imo?'
A Residuals Managemw Company
riuu lrn, a
CITY OF STATESVILLE
LAND APPLICATION PROGRAM
IREDELL COUNTY
WQ0016247/GW03149
LOCATION MAP FOR SITE
NC-AL-11-3

APPLICATION AREA MAP
zYNAGRQ.
A Residuals Management Company
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proper+ I Inc v �/
a
19It
■
p ).n d L
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Owner Elbert e a morel Scale: I = lot,,o Field # J
Total Acres 15.9 Net Acres
• • -� STREAM APPLICATION AREA _ _ _ = PRIVATE ROAD
• --� DRAIN ■ HOUSE FIGURE 9
® POND o OUTSUILDIP CITY OF STATESVILLE
FENCE WELL LAND APPLICATION PROGRAM_
IREDELL COUNTY
O STORAGE AREA p SOIL DESCF WQ0016247/GW03149
DETAIL MAP FOR SITE
NC-AL-11-3

TOPOGRAPMC
MAP
No
Evil
SYNAGRO
A Residuals Management Company
OWNER Fl hpxL Efarmna, SCALE: 1FIGURE 10 CITY OF S ILLE
LAND APPLICATION PROGRAM
PHOTOQUAD/YEAR_i�C-�q 7� IREDELL COUNTY
JJ WQ0016247/GW03149
LOCATION MAP FOR SITE
NC-AL-11-4

011--o SYNAGRO
'PLICATION AREA MAP
A Residuals Management Cant
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•
Jokn n j Mari
E Iber+
Kle d mo re
it ouSf ■ ■ ■
ana ■
Proper
■ ■
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O
�s
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CPL)
Owner El�- lRe C,I iorP Scale: 1" _ L (, 0 Field # 4
Total Acres sy; g Net Acres 41.0
• • --� STREAM APPLICATION AREA = _ _ = PRIVATE ROAD
• --� DRAIN IN HOUSE FIGURE 11
® POND p OUTBUILDIN CITY OF STATESVILLE
FENCE frj WELL LAND APPLICATION PROGRAM
IREDELL COUNTY
O STORAGE AREA p SOIL DESCR WQ0016247/GW03149
DETAIL MAP FOR SITE
NC-AL-11-4

f{i
0 SYNAGRO
TOPOGRAPHIC MAP
OWNER PAO 9 fidXAdPP2 SCALE: 1" �1
PHOTOQUAD/YEAR Lof,l't-�OIJA�ll-CVe-3 i
A Retiduah Management Company
V 1lT U tCL 16
CITY OF STATESVILLE
LAND APPLICATION PROGRAM
IREDELL COUNTY
WQ0016247/GW03149
LOCATION MAP FOR SITES
NC-AL-12-1 THROUGH 12-4

� SYNAGRO-
APPLICATION AREA MAP A Rafiduals ArQ�fagemenr C,u,_,pauy
• • —j STREAM
• —�
DRAIN
POND
FENCE
—j�----3f--
STORAGE AREA
Total Acres_ �� Sov.�y
APPLICATION ARFIA
HOUSE CI
Net Acres�dir s 4.4,Aj -
Di->wATC RnAfl
FIGURE 13
TY OF STATESVILLE
OUTsuILDIi. LAND APPLICATION PROGRAM
�f NVELL IREDELL COUNTY
solL Dcsci W00016247/GW03149
DETAIL MAP FOR SITES
NC-AL-12-1 THROUGH 12-3

APPLICATION AREA MAP
SYNAG R0
A Raidualr Alanagement Company
Owner
A., : -"dwa a
Scale: Field #
Total
Acres �e SuM Ae Net Acres fs�r �vri►� Py
---- - • —�
STREAM
APPLICATION AREA — — — PRIVATE ROAD
-- . —�
DRAIN
HOUSE
FIGURE 14
POND
OUTBUILD CITY OF STATESVILLE
FENCE
WELL LAND APPLICATION PROGRAM
IREDELL COUNTY
C�J
STORAGE AREA
�
SOIL DES(
WQ0016247/GW03149
DETAIL MAP FOR SITE
--' `- -
PRO&Rry a"is-
NC-AL-12-4

"� �� tom,• ��� ��-� � ..- G�ws- Co
e,
�t
Groundwater Section Regional Office Staff Report
Non Discharge Permit Application' Review
f
A: Header, Information
COO p�`7
page 1 of 5
Facility Name c tt o
Third & Fourth Creek VVMPs
System Ca acit Waste Source
4 +6 =10 gpd Imunicipal

s
0
Groundwater Section Regional Office Staff Repor page 2 of s
Non -Discharge Permit Application"Review
Date Permit No.
11-Dec-03 I IWQ0016247
B. Site Inspection
This section is required for each individual site. Attach as rna4 copies as necessary.
Site Identification (name, number,etc). County Inspection Date
NC-AL-12 Alexander/Hoover fields 14 Alexander 11-Dec-03
No site inspection performed at this time
Agencies represented during Inspection: .Characterise the artificial drainage network and update map(s) accordingly
Agency Name (spacing; depth, standing water.etc).
Distance between application fields and nearest:
Streams >100
Residences >400
Supply wells >250
Property Lines 50
Verify site & soil conditions with application documents: (Note any
observable differences In topography, geology, wetlands,etc). Update
map(s) accordingly.
Fields 1&2 - Pacolet VFleld 3 - Cecil Field
T'
RO Staff Report
Other'site concerns:

Nf
Groundwater Section Regional Office Staff Report
Non -Discharge Permit Application Review"
Date Permit No.
11-Dec-03 I IWQ0016247
B. Site Inspection
page 3 of 5
Site Identification (name, number,etc). County Inspection Date
NC-AL-9 Icenhour/Childers and Sprinkle/Payne Alexander
No site Inspection performed at this time 5X
Agencies represented during Inspection: Characterise the artificial drainage network and update map(s) accordingly
Name
Distance between application fields and nearest:
Streams
Residences
Supply wells
Property Lines
Verify site & soil conditions with application documents. (Note any
observable differences In topography, geology, wetlands,etc). Update
map(s) accordingly.
Other slte concerns:
water,etc).
RO Staff Report

7'
t
v a,
Groundwater S' ec
Alon.�Regional Office Staff Report '
Non' -Discharge PermiYApplicatlon Review
Date Permit No: ,<
11-Dec-03 I IWQ0016247
B. Site Inspection y
� S }
Siteidentlflcatioo (name;'number,etc).
Mecimore/Childers
No site Inspection performed at this time ❑X
Agencies represented during Inspection:
Distanc6, etween application fields and nearest:
Streams
Residences
Supply wells
Property Lines
Verify site & soil conditions with application documents, (Note;any-"
observable differences In topography,'geology, wetlands,etc); Update
map(s) accordingly.
RO Staff Report
r
page 4 of 5
b ' Irspectlon Date
lie the artificial dralhage network and update map(s) accordingly
dao4h afanilinn'wa4ar .fcv

yP
Lt
page 5 of 5
NC -AL 12 fields 1-4 are new fields. The permittee requests adjustments to permitted acreage for NC-AL-9 fields resulting In a net gain of 9 acres. NC-AL-11 fields 3 & 4 have lost
acreage (total 22.1 acres) due to the presence of new houses or well buffers. There Is also a request to delete Harold Brinkley AL-9 fields 5 & 6, Owen Icenhour AL-10 field 1, and David
Meclmore AL-11 field 1 (total 156.7 acres deleted). Recommend approval of these modifications.
List of sites coverers ny tnis permit application,
(attach additional sheets) If necessary)
Site ID
Number. Property Owrier Name Coun
RO Staff Report
E s'"
$itd kii
.%(Applicabl
Date
r

f
NON -DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
Date: 12-11-2003 County: Alexander
To: Non -Discharge Permitting Unit Permitee: Statesville
NDP1J Reviewer: Sue Homewood Application No.: W00016247
Regional Login No: 03-114
GENERAL INFORMATION
1. This application is (check all that apply): ❑ New Z Renewal
❑ Minor Modification ® Major Modification
❑ Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
® Land Application of Residuals ❑ Attachment.313 included as appropriate ® 503 regulated ❑ 503
exem pt
❑ Distribution of Residuals ❑ Surface Disposal
2. Was a site visit conducted in order to prepare this report? ® Yes or ❑ No.
a. Date of site visit: 12-04-03
b. Person contacted and contact information: Johnathan Hill, SYNAGRO 336./766-0328 ext.128
c. Site visit conducted by: Ellen Huffman, MRO WQ, Peggy Finley, MRO GW
d. Inspection report attached: ❑ Yes or ® No.
3. Is the following information entered into the BIMS record for this application correct?
E Yes or 7 No. If no, please complete the following or indicate that it is correct or. the current
application.
For Treatment Facilities: The treatment information is already in BIMS
a. Location:
b. Driving Directions:
c._ USGS Quadrangle Map name and number:
d. Latitude: Longitude:
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
For Disposal Sites: This information (except for driving directions) has been entered into BIMS bv_
MRO. See the application for directions to each field.
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
FORM: NDSRR 03/02 1

N
,l
DESCRIPTION OF WASTE(S) AND FACILITIES
1. Are there appropriately certified ORCs for the facilities? ® Yes or ❑ No.
Operator in Charge: Jerry Byerlly Certificate #: l 31 S3
Back- Operator in Charge: Martin Mabe Certificate #: 22753
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage,
effluent storage, etc) of the treatment facilities adequate for the type of waste and disposal system?
ill Yes or ❑ No. If no, please explain:
3. Are the site conditions (soils, topography, etc) maintained appropriately and adequately assimilating
the waste? M Yes or ❑ No. If no, please explain:
4. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
® Yes or ❑ No. If no, please explain:
5. Are the existing application rates (hydraulic or nutrient) still acceptable? ® Yes or ❑ No. If no,
please explain:
6. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ® No. If yes, please
attach a map showing conflict areas or attach any new maps you have received from the applicant to
be incorporated into the permit: Please note that field acreages have chan7ed for NC-AL-9
(Icenhour/Sprinkle) and NC -AL -I I (Mecimore) since the last permit cycle These changes are noted
in the application and have been entered into BIMS.
7. Is the type and/or volume of waste(s) as written in the existing permit correct? ❑C Yes or ❑ No.. if
no, please explain: _
R, is the descriptinn of the facilities as written in the existing permit correct? Z Yes or ❑ No. If no;
please explain:
9. Has a review of all self -monitoring data been conducted? 71 Yes or ❑ No. Please summarize any
findings resulting from this review:
10. Check all that apply: No compliance issues; ❑ Notice(s) of violation .within the last permit cycle;
❑ Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently
under moratorium. If any items checked, please explain and attach any documents that may help
clarify answer/comments (such as NOV, NOD etc):
11. Have all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with?
❑ Yes or ❑ No. If no, please explain: N/A
12. Are there any issues related to compliance/enforcement that should be resolved before issuing this
permit? ❑ Yes or ❑ No. If yes, please explain: N/A
FORM: NDSRR 03/02 2

r
9
EVALUATIONAND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.: Please veriffi- the stream
classifications for NC-AL-12 fields 1-4. I am not sure if thev fall under 11-73-(2.5) or 1 I-73-(0.5).
Due to buffer changes, net acreages have been corrected in BIMS for all fields associated with NC-
AL-9 and all fields associated with NC-AL-11.
2. List any items that you would like NDPU to obtain through an additional information request. Make
sure that you provide a reason for each item:
None
3. List specific Permit conditions that you recommend to be removed from the permit when issued.
Make sure that you provide a reason for each condition:
None
4. List specific special conditions or compliance schedules that you recommend to be included in the
permit when issued. Make sure that you provide a reason for each special condition:
None
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review of draft permit by regional office; ® Issue; ❑ Deny. If deny, please state
reasons:
6. Signature of report preparer:
'n
Signature of WQS regional supervisor:
Date:
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: NDSRR 03/02 3

NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
Date: November 7, 2003
To: ❑
Forrest Westall, ARO-WQS
❑
Paul Rawls, FRO-WQS
-a s leason, M�Rt ��
❑
Ken Schuster, RRO-WQS
❑
Jim Mulligan, WaRO-WQS
❑
Rick Shiver, WiRO-WQS
❑
Steve Mauney, WSRO-WQS
❑ Debra Watts, CO-GWS
Copies Sent to CO-GWS: 2
Copies Sent to RO-WQ., :
❑ Distribute 0 Copies to RO-GWS
From: Sue Homewood, Non -Discharge Permitting Unit
Telephone: [phone] ext. 502 Fax: [phone]
E-Mail. [e-mail]
A. Permit Number: W00016247
B. Owner• Syna rg_o
C. Facility/Operation: City of Statesville's Residual Land Application Program
❑ Proposed ® Existing ❑ Facility ❑ Operation
D. Application:
1. Pennit Type: ❑ CS (O&M) ❑ Surface Irrigation ❑ Reuse ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
For Residuals: ® Land App. ❑ D&M ❑ Surface Disposal
® 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ❑ Minor Mod. ® Renewal r0 Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
For RO-WQS:
® Return a Completed Form NDARR. ❑ Attach Attachment B for Certification by the NDPU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete
Attachment B for certification. Refer to the RPP SOP for additional detail.
For CO-GWS:
® Return a Memorandum with Permit Condition Recommendations.
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 Non -Discharge Permitting Unit contact person listed above.
RO-WQS Reviewer:
CO-GWS Reviewer:
Date:
Date:
FORM: NDARR 09/02 Page 1 of 1

OF W A rF9
\off Q .�
Shelby B. Lowe
Regional Vice President
Synagro South
6220-A Hackers Bend Ct.
Winston-Salem, NC 27103
Michael F.-Easley, Governor
`�4 William G. Ross Jr., Secretary
1 North Carolina Department of Environment and Natural Resources
November 6, 2003
Subject: Acknowledgement of Application No. WQ0016247
City of Statesville Residuals Land Application Program
Non -Dedicated Residuals Land Application
Iredell County
Dear Mr. Lowe:
Alan W. Klimek, P.E., Director
Coleen H. Sullins, Deputy Director
Division of Water Quality
SIC DEPT. OF FA fib
AND NATURAL RESOURCic0
m71E1 VE 0a
NOW 10
::(.'.�,:• , { •yip,')
The Non -Discharge Permitting Unit of the Division of Water Quality (Division) acknowledges receipt of
your permit application and supporting materials on October 27, 2003. This application package has been
assigned the number listed above and will be reviewed by Sue Homewood.
The reviewer will perform a detailed review and contact you with a request for additional information if
necessary. To ensure the maximum efficiency in processing permit applications, the Division requests
your assistance in providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to
final action by the Division. Please also note at this time, processing permit applications can take as long
as 60 - 90 days after receipt of a complete application.
If you have any questions, please contact Sue Homewood at 919-733-5083, extension 502, or via e-mail
at [e-mail]. If the reviewer is unavailable, you may leave a message, and they will
respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT.
Sincerely,
Kim H. Colson, P.E.
Supervisor_
cc: W+o5resvi ii'- Regio' al[TCtffi-ce�W-aterAQuality ,-Section
Permit Application File WQ0016247
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet http://h2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
DENR Customer Service Center
An Equal Opportunity Action Employer
Telephone [phone]
50% recycled/10% post -consumer paper

SYNAGIZO
A Residuals Management Company
is
<s4cr
APPLICATION FOR PERMIT RENEWAL AND MODIFICATION
BIOSOLIDS LAND APPLICATION PROGRAM
CITY OF STATESVILLE
STATESVILLE9 NORTH CAROLINA
A better tomorrow for our'Client Triangle: The GENERATOR, The LANDOWNER, and The
ENVIRONMENT
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦
Prepared by:
SYNAGRO SOUTHEAST
6220-A Hackers Bend Ct.
Winston-Salem, NC 27103
Toll Free: 1.877.267.2687
Fax: [phone]

S G
YNA RO.
A Residuals Management Company
October 24, 2003
NCDENR
Division of Water Quality
Non -Discharge Permitting Unit
.1617 Mail Service Center
Raleigh, NC 27699-1617
ATTENTION: Mrs. Shannon Thornburg
oc , �'sEcrro�
�., �003
"In-Dsmarg4 ,
REFERENCE: Renewal & Modification of Permit WQ0016247
Synagro, Inc. (City of Statesville's Third and Fourth Creek WWTP's)
Dear Mrs. Thornburg:
Please find enclosed one original and three copies of Synagro's permit renewal/modification
application for your review. With this renewal we wish to delete 156.7 buffered acres of the 405
currently permitted acres. We wish to renew 223.3 acres for continued land application activities while
adding 195.5 net acres in this modification package. Please note that some fields have decreased in net
acreage due to buffers from off -site houses or on -site wells while other fields have increased in acreage.
Increases are due to the clearing of overgrown land and the redrawing of maps with updated aerial
photographs and recalculated acreage. Cumulative loading rate data is available in Attachment Order 3-g.
Please note that if data is not provided for a field, the field has never received residual applications under
this permit.
There is no request at this time to change the amount of residuals certified for land application.
The City of Statesville is certified to land apply 2,028.6 dry tons of residuals each year, with�972.9 dry
tons from Third Creek WWTP and 1,055.7 dry tons from Fourth Creek WWTP. As mentioned in
Attachment Order 2-c: Quantitative Justification for Residuals Production, Fourth Creek WWTP is
currently producing and land applying.a. lime -stabilized, Class A material in absence of its aerobically
digested Class B material. Third Creek WWTP is land applying on average 300 dry tons per year of
residuals. Synagro would like to maintain the amount of residuals certified at 2,028.6 dry tons per year to
allow for any increases in residuals production that may occur. A sufficient landbase shall also be
maintained to support the amount of residuals as evident in calculations from Section 1 (NDRLAP Form).
Please contact me at 336-766-0328, ext. 128. or [e-mail]. if you have any questions
pertaining to this renewal/modification package. -
Sincerely,
Jonathan E. Hill
Technical Services Director
Synagro, Inc
Enclosure: Permit Package
$325.00 modification fee
6220-A Hackers Bend Court, Winston-Salem, NC 27103 • Ph: [phone] • Fak: [phone] • Toll Free: [phone]

Deleted Sites
The following sites should be deleted from Permit No. WQ0016247: �
The Harold Brinkley site
AL-09-04
-05 :s
-06 37.1 acres I
The Owen Icenhour site
AL-10-01 ,/ 11.1 acres
The David Mecimore site
AL-11-01
-02
108.5 acres
156.7 acres to be deleted
MG DEPT. OF WRONMENi
MD NATURAL RESOURCES.
NMESIMU-17, : ' ON AL OFFICE
NOV 10 2003
� z�9

Table of Contents
Section # Title
Section 1 Attachment Order 1: Non -Dedicated Residuals Land
Application Programs Form
Attachment Order 1-a: Signing Official Delegation Letter
Section 2 Attachment Order 2: Residuals Source Certification Attachments
Attachment Order 2-a: Vicinity Map for Treatment Plant
Attachment Order 2-b: Process Flow Diagram / Narrative
Attachment Order 2-c: Quantitative Justification for Residuals Production
Attachment Order 2-d: Sampling Plan
Section 3 Attachment Order 3: Land Application Certification Attachment
Attachment Order 3-a: Watershed Classification
Attachment Order 3-b: County Manager Notification
Site Specific Information (per application site):
Site Summary Sheet
Attachment Order 3-c: Landowner Agreement
Attachment Order 3-d: Buffer Waiver Agreement(s) (If appropriate)
Attachment Order 3-e: Vicinity and Buffer Maps
Attachment Order 3-f: Soils and Agronomic Evaluation
Attachment Order 3-f: Soil and Agronomic Evaluation (General Information)
Attachment Order 3-g: Cumulative Pollutant Loading Rate Data
NJ

Attachment Order 1
Non -Dedicated Residuals Land Application Programs Form

��� Z-I? -/ 1b7 - � 6r, �

I.
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: 7 (to be completed by DWQ)
GENERAL INFORMATION (See Instruction B.):
1. Applicant's name: Synagro, Inc.
2. Signing official's name and title: Shelby B. Lowe, Regional Vice President, Synagro South
3. Complete mailing address of applicant: 6220-A Hackers Bend Ct
*061
City: Winston-Salem State:. NC Zip: 27103
Telephone number: ( 336 ) 766-0328 Facsimile number: ( 336 ) 766-8652
E-mail address: ihill(a,synagro.com
4. Name and complete mailing address of contact person and/or consulting firm who prepared application:
Jonathan Hill, Synagro, Inc., 6220-A Hackers Bend Ct
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336 ) 766-0328 Ext. 128 Facsimile number: ( 336) 766-8652
E-mail address: ihill(@,,svnaero.com
5. County where residuals land application program is headquartered: Iredell
6. County(ies) where residuals source -generating facilities are located: Iredell
7. County(ies) where land_ application sites are located: Alexander
8. Fee submitted: $ 325
II.
1.
2.
PERMIT INFORMATION:
Application is for: ❑ new, ® modified, ® renewed permit (check all that apply).
If this application is being submitted to renew or modify an existing permit, provide the following:
the permit number W00016247 ,
the most recent issuance date 05/28/1999 , and the expiration date 04/30/2004
Date of most -recently certified Attachment A: N/A
Date of most -recently certified Attachment B: N/A
FORM: NDRLAP 02/02 Page 2 of 5 Attachment Order 1

3. Check all that apply to the requested permit modification:
INCREASE
F1 DECREASE
the maximum permitted annual dry tonnage for existing residuals
source -generating facility(ies) certified for this residuals land
application program.
ADD
DELETE
residuals source -generating facility(ies) to/from those certified for
this residuals land application program.
®
INCREASE
® DECREASE
the net acreage associated with land applications site(s) currently
certified for this residuals land application program.
®
ADD
® DELETE
land application site(s) to/from those certified for this residuals
land application program.
OTHER.
Explain:
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Who will be responsible for the day-to-day management of the residuals land application program:
Ej Permittee or ® residuals management firm. If a residuals management firm, complete the
following:
Firm contact person and title: Martin Mabe, Operations Manager
Firm name and complete mailing address: _ Synagro, Inc.
6220-A Hackers Bend Ct.
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336 ) 766-0328, ext. 112 Facsimile number:( 336) 766-8652
E-mail address: inmabe(@,synagro.com
2. 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
Jerry Byerly
City of Statesville
13183
Back -Up ORC
Martin Mabe
Synagro
22753.
Additional­B-a-c'k-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:
FORM: NDRLAP 02/02 Page 3 of 5 Attachment Order 1

3. 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: 2028.E 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
25.19
25.89
51100
52520
Five -Year Maximum Adjusted
41.07
41.77
83315
84735
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
0
Row Crops
94.7
Hay
146.5
Pasture
177.6
Total:
418.8
Methods
Surface
324.1
Incorporation or Injection
94.7
Total:
418.8
Restrictions
Year -Round
418.8
Seasonal
0
Total:
418.8
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 -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
70
730
751
1191
1211
150
341
351
556
565
250
205
211
334
339
FORM: NDRLAP 02/02 Page 4 of 5 Attachment Order 1

4. Identify and provide a plan as well as a schedule to resolve any issues that would prevent all of the residuals
currently certified and proposed for certification to be land applied without exceeding agronomic rates or
violating any of North Carolina's standard permit conditions governing residuals land application programs
(e.g., not enough storage, not enough land, etc.): none
Applicant's Certification:
Shelbv B. Lowe
attest that this application for the renewal/modification of
Permit W00016247 has been reviewed by me and is accurate and complete to the best of my knowledge. I
understand that the Division of Water Quality may not conduct a technical review of this program and approval
does not constitute a variance to any rules or statutes unless specifically granted in the permit. Further, any
discharge of residuals to surface waters or the land will result in an immediate enforcement action, which may
include civil penalties, injunctive rel• f, and/or criminal prosecution. I will make no claim against the Division of
Water Quality sh ld a conditio this permit be violated. I also understand that if all required parts of this
application are n complete d that if all required supporting information and attachments are not included, this
application pack a will retu d to me as incomplete. Note: In accordance with North Carolina General
Statutes § 143-2 5 6A d § 143- 15.6B, any person who knowingly makes any false statement, representation, or
certification in plicatio hall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed
$10,000 as we c vi n ies up 00 per violation.
Signature- � Date:
��
THE COMYLETED APPLICATION PACKAGE,
INCLUDING ALL S PPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
By Courier/Special Delivery:
512 NORTH SALISBURY STREET, SUITE 1219
RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
*** END OF FORM NDRLAP 02/02 ***
FORM: NDRLAP 02/02 Page 5 of 5 Attachment Order 1

freo
Attachment Order 2
Residuals Source Certification Attachments

Third Creek Wastewater Treatment Plant

Applicant's name: Synagro, Inc.
Check all that apply: ❑ NEW RESIDUALS PROGRAM ® RENEWED RESIDUALS PROGRAM
❑ INCREASE ❑ DECREASE the maximum permitted annual dry tonnage for this residuals source -
generating facility certified for this residuals program.
Current: and proposed: dry tons per year.
❑ ADD ❑ DELETE this residuals source -generating facility to/from those certified for this
residuals program.
I.
❑ OTHER Explain:
RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Name of facility: Third Creek WWTP
2. Facility permit holder: City of Statesville
Facility permit holder is (check one): ❑ federal, ❑ state, ® local government, or ❑ private.
Facility permit number: NCO020591
Facility permit issued by (check one): ® Div. of Water Quality, ❑ Div. of Environmental Health, or
❑ other (explain: ).
3. If the facility permit is not issued by the Div. of Water Quality, complete the following:
a. Facility contact person and title:
Facility complete mailing address:
City: State: Zip:
Telephone number: ( ) Facsimile number:(_)
E-mail address:
b. Facility complete location address:
City: State: Zip:
County:
Latitude: and longitude:
4. Purpose of the facility (check one):
® 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, or
(approximate percentages: % industrial and % domestic)
❑ other (explain: ).
5. Is the facility required to have an approved pretreatment program: ® yes ❑ no.
If yes, please specify whether or not such a pretreatment has been approved: ® yes ❑ no.
6. Facility permitted/design flow: 4.0 MGD and facility average daily flow: 2.0 MGD.
7. Maximum amount of residuals to be certified for this facility: 973 dry tons per year.
FORM: RSCA 02/02 Page 2 of 8 Attachment Order 2

8. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: A one million gallon aerobic digester
Type and volume of residuals storage (i.e., outside of residuals treatment units): Residuals transferred to
Fourth Creek facility for storage on concrete storage pad. (200' x 50' covered, 200' x 400' uncovered)
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under (check one): ® 40 CFR Part 503 or 40 CFR Part 257.
2. Specify if residuals are intended for (check one):
Land Application/Distribution (Class A or Equivalent).
Complete all items EXCEPT Items II.4b., 4c., 7b., and 7c.
® Land Application (Class B or Equivalent).
Complete all items EXCEPT Items II.4a., 4c., 7a., and 7c.
Surface Disposal.
Complete all items EXCEPT Items 1I.4a., 4b., 5., 7a., 7b., and 8.
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non-
hazardous under RCRA:
a. Are the residuals are listed in 40 CFR §261.31-§261.33: yes ® no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
§261.24: yes ® 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: Environmental Science Corp. and date of analysis: 01/17/03
Passed corrosivity test: ® yes no. pH: 6.9 s.u. (2 < pH < 12.5).
Passed ignitability test: ® yes 0 no. Flashpoint: >170 °F (> 140°F).
Passed reactivity test: ® yes no. HCN: <0.12 mg/kg (<250) & H,S: <25.0 mg/kg (<500).
TCLP Parameter
Limit
(mg/L)
Result
(nag/L)
TCLP Parameter
Limit
(mg/L)
Result
(nag/L)
Arsenic
5.0
<0.05
Hexachlorobenzene
0.13
<0.10
Barium
100.0
0.24
Hexachloro-1,3-Butadiene
0.5
<0.10
Benzene
0.5
<0.05
Hexachloroethane
3.0
<0.10
Cadmium
1.0
<0.05
Lead
5.0
<0.05
Carbon Tetrachloride
0.5
<0.05
Lindane
0.4
<0.005
Chlordane
0.03
<0.03
Mercury
0.2
<0.001
Chlorobenzene
100.0
<0.05
Methoxychlor
10.0
<0.005
*** TABLE CONTINUES ON NEXT PAGE ***
FORM: RSCA 02/02 Page 3 of 8 Attachment Order 2

*** TABLE CONTINUED FROM. PREVIOUS PAGE ***
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
Chloroform
6.0
<0.05
Methyl Ethyl Ketone
200.0
<2.5
Chromium
5.0
<0.05
Nitrobenzene
2.0
<0.10
m-Cresol
200.0
<0.10
Pentachlorophenol
100.0
<0.10
o-Cresol
200.0
<0.10
Pyridine
5.0
<0.10
p-Cresol
200.0
<0.10
Selenium
1.0
<0.05
Cresol
200.0
<0.20
Silver
5.0
<0.05
2,4-D
10.0
<0.002
Tetrachloroethylene
0.7
<0.05
1,4-Dichlorobenzene
7.5
<0.10
Toxaphene
0.5
<0.10
1,2-Dichloroethane
0.5
<0.05
Trichloroethylene
0.5
<0.05
1, 1 -Dichloroethylene
0.7
<0.05
2,4,5-Trichlorophenol
400.0
<0.10
2,4-Dinitrotoluene
0.13
<0.10
2,44-Trichlorophenol
2.0
<0.10
Endrin
0.02
<0.005
2,4,5-TP (Silvex)
1.0
<0.002
Heptachlor and its Hydroxide
0.008
<0.005
Vinyl Chloride
0.2
<0.05
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 40 CFR Part 503 or 40 CFR Part
257:
a. For Class A or Equivalent: Fill in the following table with the results of the latest analyses (i.e., on a
dry weight basis) for the following metal parameters: laboratory:
and date of analysis:
Parameter Analysis
Required
for Permitting by NC
if Residuals are
Regulated Under...
Parameter
Ceiling
Concentration
(rng/kg)
Monthly
Average
Concentration
(mg/kg)
Result
(ing/kg)
40 CFR Parts 257 and 503
Arsenic
75
41
40 CFR Parts 257 and 503
Cadmium
85
1
40 CFR Parts 257 and 503
Copper
4,300
1,500
40 CFR Parts 257 and 503
Lead
840
300
40 CFR Parts 257 and 503
Mercury
57
17
40 CFR Parts 257 and 503
Molybdenum
75
n/a
40 CFR Parts 257 and 503
Nickel
420
420
40 CFR Parts 257 and 503
Selenium
100
100
40 CFR Parts 257 and 503
Zinc
7,500
2,800
FORM: RSCA 02/02 Page 4 of 8 Attachment Order 2

b. For Class B or Equivalent: 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 Agricultural Labs
and date of analysis: 04/09/03
Parameter Analysis Required
for Permitting by NC
if Residuals are Regulated Under...
Parameter
Ceiling
Concentration
(177g/k,)
Result
(177g/icg)
40 CFR Parts 257 and 503
Arsenic
75
3.28
40 CFR Parts 257 and 503
Cadmium
85
5.5
40 CFR Parts 257 and 503
Copper
4,300
319
40 CFR Parts 257 and 503
Lead
840
108
40 CFR Parts 257 and 503
Mercury
57
1.30
40 CFR Parts 257 and 503
Molybdenum
75
10
40 CFR Parts 257 and 503
Nickel
420
49
40 CFR Parts 257 and 503
Selenium
100
3.71
40 CFR Parts 257 and 503
Zinc
7,500
519
c. For Surface Disposal. Fill in the following table with the results of the latest analyses (i.e., on a dry
weight basis) for the following metal parameters: laboratory:
and date of analysis:
Parameter Analysis Required
for Permitting by NC
if Residuals are Regulated Under...
Closest Distance
to Property Lines
(meters)
Arsenic
(mg/kg)
Chromium
(rng/kg)
Nickel
(177g/kg)
40 CFR Parts 257 and 503
> 0 but < 25
30
200
210
40 CFR Parts 257 and 503
> 25 but < 50
34
220
240
40 CFR Parts 257 and 503
> 50 but < 75
39
260
270
40 CFR Parts 257 and 503
> 75 but < 100
46
300
320
40 CFR Parts 257 and 503
> 100 but < 125
53
360
390
40 CFR Parts 257 and 503
> 125 but < 150
62
450
420
40 CFR Parts 257 and 503
> 150
73
600
420
FORM: RSCA 02/02 Page 5 of 8 Attachment Order 2

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 14.83 %.
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 rnicronutrient parameters: laboratory: A&L Agricultural Labs
and date of analysis: 04/09/03
Parameter
Result
(mg/kg
Aluminum
18500
Ammonia -Nitrogen
1800
Calcium
14800
Magnesium
4400
Nitrate -Nitrite Nitrogen
16
pH
7.40
Phosphorus
15400
Potassium
4200
Sodium
2700
Total Kjeldahl Nitrogen
50000
c. Using the results listed in Item 1I. 5b. above, calculate the sodium adsorption ration (SAR): 1.92
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the
residuals: 30 %. This rate is a ® default value or actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or
provide technical justification as to why the selected default value is appropriate to be applied to these
residuals:
Calculate the PAN for the residuals (i.e., on a dry weight basis) and list the results in the following table:
Application Method
First Year
Five -Year
PAN
Maximum Adjusted
PAN
(mg/kg)
(mg/kg)
Surface
15,375
24,780
Injection/Incorporation
16,275
25,680
e. Are the residuals are a registered fertilizer with the NC Department of Agriculture and Consumer
Services: EJ yes ® no. If yes, provide date of registration approval:
the current registration number:
and the fertilizer equivalent: %, %, and %.
FORM: RSCA 02/02 Page 6 of 8 Attachment Order 2

6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the
residuals and list the results of the latest analyses
None
7. Pathogen Reduction Determination: Specify which alternative(s) will be used to meet the pathogen
reduction requirements:
a. For Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids.
OR
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the following (except for residuals regulated under 40 CFR Part 257 that are to be distributed):
❑ Alternative 1 [40 CFR §503.32 (a)(3)] - Time/Temperature Compliance.
❑ Alternative 2 [40 CFR §503.32 (a)(4)] - Alkaline Treatment.
❑ Alternative 3 [40 CFR §503.32 (a)(5)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [40 CFR §503.32 (a)(6)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [40 CFR §503.32 (a)(7)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment, ❑ pasteurization,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation, or ❑ gamma ray irradiation.
❑ Alternative 6 [40 CFR §503.32 (a)(8)] - PFRP-Equivalent Process.
Explain:
b. For Class B or Equivalent:
® Alternative 1 [40 CFR §503.32 (b)(2)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [40 CFR §503.32 (b)(3)] - Process to Significantly Reduce Pathogens (PFRP).
Specify one: ❑ .aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
❑ Alternative 3 [40 CFR §503.32 (b)(4)] - PSRP-Equivalent Process.
Explain:
❑ Not Applicable -Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution.
c. For Surface Disposal:
❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover.
❑ 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 IL 7b. above.
❑ Not Applicable -Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution.
FORM: RSCA 02/02 Page 7 of 8 Attachment Order 2

8. Vector Attraction Reduction Determination: Specify which alternative(s) will be used to meet the vector
attraction reduction requirements:
❑ Alternative 1 [40 CFR §503.33 (b)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [40 CFR §503.33 (b)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
® Alternative 3 [40 CFR §503.33 (b)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
® Alternative 4 [40 CFR §503.33 (b)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [40 CFR §503.33 (b)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [40 CFR §503.33 (b)(6)] - Alkaline Stabilization.
❑ Alternative 7 [40 CFR §503.33 (b)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [40 CFR §503.33 (b)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [40 CFR §503.33 (b)(9)] - Injection.
❑ Alternative 10 [40 CFR §503.33 (b)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover.
❑ Alternatives for Animal Processing Residuals Only:
Specify one: ❑ injection, ❑ incorporation, or ❑ lime addition to raise pH to 16.
❑ Not Applicable - Non -Animal Processing Residuals Regulated under 40 CFR Part 257 with NO
Domestic
Wastewater Contribution.
*** END OF FORM RSCA 02/02 ***
FORM: RSCA 02/02 Page 8 of 8 Attachment Order 2

Fourth Creek Wastewater Treatment Plant

Applicant's name: Synagro, Inc.
Check all that apply: ❑ NEW RESIDUALS PROGRAM ® RENEWED RESIDUALS PROGRAM
❑ INCREASE ❑ DECREASE the maximum permitted annual dry tonnage for this residuals source -
generating facility certified for this residuals program.
Current: and proposed: dry tons per year.
❑ ADD ❑ DELETE this residuals source -generating facility to/from those certified for this
residuals program.
I.
❑ OTHER Explain:
RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Name of facility: Fourth Creek WWTP
2. Facility permit holder: City of Statesville
Facility permit holder is (check one): ❑ federal, ❑ state, ® local government, or ❑ private.
Facility permit number: NCO031836
Facility permit issued by (check one): ® Div. of Water Quality, ❑ Div. of Environmental Health, or
❑ other (explain: ).
3. If the facility permit is not issued by the Div. of Water Quality, complete the following:
a. Facility contact person and title:
Facility complete mailing address:
City: State: Zip:
Telephone number: ( ) Facsimile number: ( )
E-mail address:
b. Facility complete location address:
City: State: Zip:
County:
Latitude: and longitude:
4. Purpose of the facility (check one):
® 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, or
(approximate percentages: % industrial and % domestic)
❑ other (explain: )
5. Is the facility required to have an approved pretreatment program: ® yes ❑ no.
If yes, please specify whether or not such a pretreatment has been approved: ® yes ❑ no.
6. Facility permitted/design flow: 6 MGD and facility average daily flow: 2.8 MGD.
7. Maximum amount of residuals to be certified for this facility: 1,056 dry tons per year.
FORM: RSCA 02/02 Page 2 of 8 Attachment Order 2

8. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: One 2 million gallon aerobic digester
Type and volume of residuals storage (i.e., outside of residuals treatment units):
One 200' x 400' uncovered storage pad and one 200' x 50' covered storage pad
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under (check one): M 40 CFR Part 503 or 40 CFR Part 257.
2. Specify if residuals are intended for (check one):
Land Application/Distribution (Class A or Equivalent).
Complete all items EXCEPT Items Il. 4b., 4c., 7b., and 7c.
® Land Application (Class B or Equivalent).
Complete all items EXCEPT Items I1. 4a., 4c., 7a., and 7c.
Surface Disposal.
Complete all items EXCEPT Items II.4a., 4b., 5., 7a., 7b., and 8.
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non-
hazardous under RCRA:
a. Are the residuals are listed in 40 CFR §261.31-§261.33: ❑ yes M no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
§261.24: 0 yes M no. Fill in the following tables with the results of the latest toxicity
characteristic leaching procedure (TCLP) analysis as well as those for corrosivity, ignitability, and
reactivity: laboratory: Environmental Science Corp. and date of analysis: 12/17/02
Passed corrosivity test: M yes ❑ no. pH: 6.7 s.u. (2 < pH < 12.5).
Passed ignitability test: M yes ❑ no. Flashpoint: >170 °F (> 140°F).
Passed reactivity test: M yes Ej no. HCN: <0.005 mg/kg (<250) & H,S: <25.0 mg/kg (<500).
TCLP Parameter
Limit
(mg/L)
Result
077g/L)
TCLP Parameter
Limit
(nWL)
Result
(nzg/L)
Arsenic
5.0
<0.05
Hexachlorobenzene
0.13
<0.10
Barium
100.0
0.15
Hexachloro-1,3-Butadiene
0.5
<0.10
Benzene
0.5
<0.05
Hexachloroethane
3.0
<0.10
Cadmium
1.0
<0.05
Lead
5.0
0.14
Carbon Tetrachloride
0.5
<0.05
Lindane
0.4
<0.005
Chlordane
0.03
<0.03
Mercury
0.2
<0.001
Chlorobenzene
100.0
<0.05
Methoxychlor
10.0
<0.005
*** TABLE CONTINUES ON NEXT PAGE ***
FORM: RSCA 02/02 Page 3 of 8 Attachment Order 2

*** TABLE CONTINUED FROM PREVIOUS PAGE ***
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
Chloroform
6.0
<0.05
Methyl Ethyl Ketone
200.0
<2.5
Chromium
5.0
<0.05
Nitrobenzene
2.0
<0.10
m-Cresol
200.0
<0.10
Pentachlorophenol
100.0
<0.10
o-Cresol
200.0
<0.10
Pyridine
5.0
<0.10
p-Cresol
200.0
<0.10
Selenium
1.0
<0.05
Cresol
200.0
<0.20
Silver
5.0
0.087
2,4-D
10.0
<0.002
Tetrachloroethylene
0.7
<0.05
1,4-Dichlorobenzene
7.5
<0.10
Toxaphene
0.5
<0.10
1,2-Dichloroethane
0.5
<0.05
Trichloroethylene
0.5
<0.05
1,1-Dichloroethylene
0.7
<0.05
2,4,5-Trichlorophenol
400.0
<0.10
2,4-Dinitrotoluene
0.13
<0.10
2,4,6-Trichlorophenol
2.0
<0.10
Endrin
0.02
<0.005
2,4,5-TP (Silvex)
1.0
<0.002
Heptachlor and its Hydroxide
0.008
<0.005
Vinyl Chloride
0.2
<0.05
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 40 CFR Part 503 or 40 CFR Part
257:
a. For Class A or Equivalent: Fill in the following table with the results of the latest analyses (i.e., on a
dry weight basis) for the following metal parameters: laboratory:
and date of analysis:
Parameter Analysis
Required
for Permitting by NC
if Residuals are
Regulated Under...
Parameter
Ceiling
Concentration
(nsg/kg)
Monthly
Average
Concentration
(mg/kg)
Result
(mg/kg)
40 CFR Parts 257 and 503
Arsenic
75
41
40 CFR Parts 257 and 503
Cadmium
85
39
40 CFR Parts 257 and 503
Copper
4,300
1,500
40 CFR Parts 257 and 503
Lead
840
300
40 CFR Parts 257 and 503
Mercury
57
17
40 CFR Parts 257 and 503
Molybdenum
75
n/a
40 CFR Parts 257 and 503
Nickel
420
420
40 CFR Parts 257 and 503
Selenium
100
100
40 CFR Parts 257 and 503
Zinc
7,500
2,800
FORM: RSCA 02/02 Page 4 of 8 Attachment Order 2

b. For Class B or Equivalen 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 Agricultural Labs
and date of analysis: 01/02/03
Parameter Analysis Required
for Permitting by NC
if Residuals are Regulated Under...
Parameter
Ceiling
Concentration
(mg/kg)
Result
(mg/kg)
40 CFR Parts 257 and 503
Arsenic
75
6.41
40 CFR Parts 257 and 503
Cadmium
85
4.4
40 CFR Parts 257 and 503
Copper
4,300
363
40 CFR Parts 257 and 503
Lead
840
59
40 CFR Parts 257 and 503
Mercury
57
1.78
40 CFR Parts 257 and 503
Molybdenum
75
19
40 CFR Parts 257 and 503
Nickel
420
46
40 CFR Parts 257 and 503
Selenium
100
6.39
40 CFR Parts 257 and 503
Zinc
7,500
506
c. For Surface Disposal: Fill in the following table with the results of the latest analyses (i.e., on a dry
weight basis) for the following metal parameters: laboratory:
and date of analysis:
Parameter Analysis Required
for Permitting by NC
if Residuals are Regulated Under...
Closest Distance
to Property Lines
(meters)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
40 CFR Parts 257 and 503
> 0 but < 25
30
200
210
40 CFR Parts 257 and 503
> 25 but < 50
34
220
240
40 CFR Parts 257 and 503
> 50 but < 75
39
260
270
40 CFR Parts 257 and 503
> 75 but < 100
46
300
320
40 CFR Parts 257 and 503
> 100 but < 125
53
360
390
40 CFR Parts 257 and 503
> 125 but < 150
62
450
420
40 CFR Parts 257 and 503
> 150
73
600
420
FORM: RSCA 02/02 Page 5 of 8 Attachment Order 2

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 16.77 %.
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 Agricultural Labs
and date of analysis: 01/02/03
Parameter
Result
(mg/kg)
Aluminum
20800
Ammonia -Nitrogen
700
Calcium
14700
Magnesium
4900
Nitrate -Nitrite Nitrogen
33
pH
7.10
Phosphorus
19500
Potassium
3300
Sodium
2300
Total Kjeldahl Nitrogen
41400
c. Using the results listed an Item II. 5b. above, calculate the sodium adsorption ration (SAR): 1.71
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the
residuals: 30 %. This rate is a ® default value or EJ 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:
Calculate the PAN for the residuals (i.e., on a dry weight basis) and list the results in the following table:
Application Method
First Year
Five -Year
PAN
Maximum Adjusted
PAN
(mg/kg)
(nsg/kg)
Surface
12,595
20,535
Injection/Incorporation
12,945
20,885
e. Are the residuals are a registered fertilizer with the NC Department of Agriculture and Consumer
Services: yes ® no. If yes, provide date of registration approval:
the current registration number:
and the fertilizer equivalent: %, %, and %.
FORM: RSCA 02/02 Page 6 of 8 Attachment Order 2

6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the
residuals and list the results of the latest analyses : None
7. Pathogen Reduction Determination: Specify which alternative(s) will be used to meet the pathogen
reduction requirements:
a. For Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids.
OR
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the following (except for residuals regulated under 40 CFR Part 257 that are to be distributed):
❑ Alternative 1 [40 CFR §503.32 (a)(3)] - Time/Temperature Compliance.
❑ Alternative 2 [40 CFR §503.32 (a)(4)] - Alkaline Treatment.
❑ Alternative 3 [40 CFR §503.32 (a)(5)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [40 CFR §503.32 (a)(6)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [40 CFR §503.32 (a)(7)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment, ❑ pasteurization,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation, or ❑ gamma ray irradiation.
❑ Alternative 6 [40 CFR §503.32 (a)(8)] - PFRP-Equivalent Process.
Explain:
b. For Class B or Equivalent:
® Alternative 1 [40 CFR §503.32 (b)(2)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [40 CFR §503.32 (b)(3)] - Process to Significantly Reduce Pathogens (PFRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
❑ Alternative 3 [40 CFR §503.32 (b)(4)] - PSRP-Equivalent Process.
Explain:
❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution.
c. For Surface Disposal:
❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover.
❑ 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.
❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution.
FORM: RSCA 02/02 Page 7 of 8 Attachment Order 2

8. Vector Attraction Reduction Determination: Specify which alternative(s) will be used to meet the vector
attraction reduction requirements:
❑ Alternative 1 [40 CFR §503.33 (b)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [40 CFR §503.33 (b)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
® Alternative 3 [40 CFR §503.33 (b)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
® Alternative 4 [40 CFR §503.33 (b)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [40 CFR §503.33 (b)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [40 CFR §503.33 (b)(6)] - Alkaline Stabilization.
❑ Alternative 7 [40 CFR §503.33 (b)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [40 CFR §503.33 (b)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [40 CFR §503.33 (b)(9)] - Injection.
❑ Alternative 10 [40 CFR §503.33 (b)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover.
❑ Alternatives for Animal Processing Residuals Only:
Specify one: ❑ injection, ❑ incorporation, or ❑ lime addition to raise pH to 10.
❑ Not Applicable - Non -Animal Processing Residuals Regulated under 40 CFR Part 257 with NO
Domestic
Wastewater Contribution.
*** END OF FORM RSCA 02/02 ***
FORM: RSCA 02/02 Page 8 of 8 Attachment Order 2

Attachment Order 2-a
Vicinity Map for Treatment Plant

MSYNAG 0
VICINITY MAP
A RetiJnalr Management Company
COUNTY 1 recl ill OWNER TIC W am d rnu fh ('�-eelc- WOTPs

\ SrMGM0
A Reriduals Management Company
OWNER Tlj,,jfd,0-g cN 1t)bJTP SCALE: 1" �, aonol
PHOTOQUAD/YECONTOUR INTERVAL / d f �-

\� � ���
///� P\Q
A Residuals Management Company
OWNER—&ur+k Creek WLJSCALE: V AJ R000'
PHOTOQUAD/YEAR Sys u i [ ie. �= a.s � CNG 7 CONTOUR INTERVAL IQJL

Attachment Order 2-lb
Process Flow Diagrain/Narrative

THIRD CREEK WWTP` PROCESS DESCRIPTION:
Third Creek WWTP, with a design capacity of 4 MGD, treats approximately
2.0 MGD. Influent flows through two mechanical barscreens with 1 inch
openings. Screened influent is pumped to two 2 million gallon aeration
basins. The aeration design and operation is extended aeration with aeration
mixing provided by five platform aerators. After aeration, mixed liquor
flows to two circular clarifiers operating in parallel. Clarified water is then
disinfected through a chlorine contact chamber and discharged to Third
Creek. Return activated sludge is returned from the clarifiers to the aeration
basins or is wasted to a one million gallon aerobic digester with surface
aeration and mixing. Digested sludge is dewatered through a belt press to
approximately 18% solids.
FOURTH CREEK WWTP PROCESS DESCRIPTION:
The Fourth Creek WWTP, with a design capacity of 6 MGD, treats on
average 2.8 MGD. Influent flow is screened through two mechanically
cleaned barscreens with 3/a inch openings and then pumped to two three
million gallon aeration basins. The aeration design and operation is
extended aeration with aeration and mixing provided by six platform
aerators. From aeration, mixed liquor flows to three final circular clarifiers
in parallel. Clarified water is then disinfected through a chlorine contact
chamber/post aeration basin and discharged to Fourth Creek. Return
activated sludge from the clarifier is returned to the aeration basins by four
return pumps or is wasted as waste activated sludge to one two million
gallon aerobic. digester. Aeration and mixing in the digester is provided by
three platform aerators. At the completion of digestion, sludge is pumped to
a gravity belt thickener (approximately 6% solids) and then tothe plate and
frame filter press and dewatered to approximately 15% solids.

Third Creek WWTP
Statesville, NC chlorine
Facility Design Flow: 4.0 MGD chamber
Average Daily Flow: 2.0 MGD
Clarifier
Aeration Basin
(2MG)
bar screens
Aeration Basin influent
(2MG)
screw pumps
Aerobic
Digester
(1 MG) ,
Clarifier
belt press
Dewatered material is transferred
to Fourth Creek WWTP for storage.
Third
Creek

_ MH
PLANT INFLUENT
BAR SCREENS
INFLUENT
PUMP STATION s � — — — — — — —
w 00-11000
STALIME SLUDGE J r o
TREATMENT FACILITIES - - - I
I I FLOW
1 1 DISTRIBUTION
SLUDGE PRESS BOX
11 0 0 0 0
TRUCK STORAGE r'�- o o o J I
I I AERATION
SLUDGE SLUDGE 1
PUMPS THICKENER I A ® NO-
O
AEROBIC
SLUDGE.
DIGESTER
(2. MG�
METERING
FLUME
AERATORS I
I
Q 1
A A
AERATORS
0 I
O
I
1
L,..�`.
SLUDGE
PUMPS STATION P '
BLOWERS I I _ /_ — _ _ — —
�. L_L__� RAS_
IAIR I C.BASIN E i
0D AERATORS
AERATION
BASIN
NO. 2
CLARIFIERS
DRAWING NO. 1371R1001

Attachment 2-c
Quantitative Justification for Residuals Production

Residuals Production Rate
Third Creek WWTP:
Third Creek WWTP is land applying on average 300 dry tons of
aerobically digested cake each year. The residuals are typically between
17-20% solids. The treatment plant is currently permitted for 973 annual dry
tons of residuals and at this time there is no request to change the amount of
residuals certified. Being permitted for 973 dry tons per year should allow
for any increases.in residuals production or increases in solids that may
occur over the next 5 years. Calculations in Section 1 (NDRLAP Form)
show that there is sufficient acreage to meet the amount of residuals
certified.
Fourth Creek WWTP:
Fourth Creek WWTP is currently producing and land applying a lime
stabilized, Class A material in the absence of its aerobically digested Class B
material. The treatment plant is permitted for 1,056 annual dry tons of Class
B residuals per year and at this time there is no request to change the amount
of residuals certified. Calculations in Section 1 (NDRLAP Form) show that
there is sufficient acreage to meet the amount of residuals certified.

Residuals Sampling Plan
City of Statesville Land Application Program
Third Creek WWTP
Note: Residuals from Third Creek WWTP are transferred to Fourth Creek WWTP
facility where they are stored on the covered concrete storage pad.
Nutrient and Metal Analysis
Sampling Point: Covered concrete storage pad at Fourth Creek facility
Sampling Frequency: Quarterly
Sample Type: Composite
Lab: A&L Eastern Agricultural Laboratories, Inc.
Pathogen (Fecal Coliform)
Sampling Point: Covered concrete storage pad at Fourth Creek facility
Sampling Frequency: Quarterly
Sample Type: 7 Grab samples total
Lab: Statesville Analytical Laboratory
Vector Attraction Reduction (SOUR or 30 Day Bench Test)
TCLP
Sampling Point: One million gallon aerobic digester at Third Creek facility
Sampling Frequency: Quarterly
Sample Type: 7 samples periodically taken during the monitoring quarter (SOUR)
Composite sample for 30 Day Bench Test
Lab: In-house lab
Sampling Point: Covered concrete storage pad at Fourth Creek Facility .
Sampling Frequency: Annual
Sample Type: Composite
Lab: Environmental Science Corp.

Residuals Sampling Plan
City of Statesville Land Application Program
Fourth Creek WWTP
Note: Fourth Creek WWTP residuals are stored. and sampled separately from the Third
Creels WWTP residuals that utilize the same covered storage pad.
Nutrient and Metal Analysis
Sampling Point: Covered concrete storage pad
Sampling Frequency: Quarterly
Sample Type: Composite
Lab: A&L Easter Agricultural Laboratories, Inc.
Pathogen (Fecal Coliform)
Sampling Point: Covered concrete storage pad
Sampling Frequency: Quarterly
Sample Type: 7 Grab samples total
Lab: Statesville Analytical Laboratory
Vector Attraction Reduction (SOUR or 30 Day Bench Test)
TCLP
Sampling Point: Two million gallon aerobic digester
Sampling Frequency: Quarterly
Sample Type: 7 samples periodically taken during the monitoring quarter (SOUR)
Composite sample for 30 Day Bench Test
Lab: In-house lab
Sampling Point: Covered concrete storage pad
Sampling Frequency: Annual
Sample Type: Composite.
Lab: Environmental Science Corp.

Attachment Order 3
Land Application Certification Attachment

Applicant's name: • SYnagro, Inc.
Check all that apply: R NEW RESIDUALS LAND APPLICATION PROGRAM ® RENEWED RESIDUALS LAND APPLICATION PROGRAM
® ADD ❑ DELETE this/these land application site(s) to/from those certified for this residuals land application program.
® INCREASE ® DECREASE the net acreage associated with this/these land application site(s) currently certified for this residuals
land application program.
❑ OTHER Explain:
Land application sites currently certified: 223.3 net acres and proposed for certification: 195.5 net acres. Total to be certified: 418.8 net acres.
Approximate percentages: 0 % forested, 100 % agricultural, and 0 %reclamation sites.
I. LAND APPLICATION SITE INFORMATION (See Instruction B.):
1. Complete the following table with the requested information: .
Status
Code
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
County
Net
Acres
Predominant
Soil Series
Soil
CEC
R
NC-AL-9-IA
Boone Icenhour
Walter Curtis Childers
Alexander
8.0
Cecil
3.5
R
NC-AL-9-1B
Barbara and Steven Sprinkle
Walter Curtis Childers
Alexander
18.5
Pacolet
6.3
R
NC-AL-9-02
Boone Icenhour
Walter Curtis Childers
Alexander
17.8
Pacolet
5.9
R
NC-AL-9-03
" "
" "
Alexander
38.5
Pacolet
6.6
R
NC-AL-9-07
Barbara and Steven Sprinkle
Walter Curtis Childers
Alexander
12.0
Cecil
5.5
R
NC-AL-9-08
" "
" "
Alexander
35.5
Pacolet
4.3
R
NC-AL-9-09
Boone Icenhour
Walter Curtis Childers
Alexander
30.5
Cecil
3.4
R
NC-AL-9-10
Boone Icenhour
Tim Payne
Alexander
27.4
Cecil
5.6
R
NC-AL-9-11
" "
" "
Alexander
18.3
Cecil
3.0
R
NC-AL-11-03
Elbert Mecimore
Walter Curtis Childers
Alexander
11.5
Pacolet
9.2
R
NC-AL-11-4
""
""
Alexander
41.0
Davidson
9.4
FORM: LASCA 02/02 Page 2 of 2 Attachment Order 3

Attachment Order 2®d
Sampling Plan

N
NC-AL-12-01
Pauline H. Alexander
Robert S. Hoover
Alexander
35.5
Pacolet
8.3
N
NC-AL-12-02
CC cc
""
Alexander
14.7
Pacolet
7.4
N
NC-AL-12-03
CC
""
Alexander
12.2
Cecil
7.5
N
NC-AL-12-04
""
""
Alexander
97.4
Davidson
8.4
*** END OF FORM LASCA 02/02 ***
Note: Changes that should be made in renewed permit are indicated in bold type.
See site summaries for details of increases and decreases in acreage.
Several currently permitted sites have increased in acreage due to clearing of land.
FORM: RSCA 02/02 Page 3 of 7 Attachment Order 2

Attachment Order 3-a
Watershed Classification

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
WATERSHED CLASSIFICATION ATTACHMENT
FOR RESIDUALS PROGRAMS
(THIS FORM A4AY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional application processing and review time.
For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state. naus/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without a corresponding residuals program application
form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare the attachment form with the requested information for each location where the residuals
program activities are planned to occur within a particular regional office county coverage.
✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary.
✓ Use a portion of an 8.5-inch 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.
✓ Latitudes and longitudes must reported as being based on either the NAD 27 or the NAD 83 data systems.
✓ Acceptable methods of detennining location latitudes and longitudes and their corresponding codes are as
follows:
♦ Address Matching (ADD) ♦ Digital or Raw Photo Extraction (EXT)
♦ Aerial Photography with Ground Control (AER) ♦ Geodetic Quality GPS Survey (GEO)
♦ Cadastral Survey (SUR) ♦ LORAN-C Navigation Device (LOR)
♦ Conversion from Coordinate Plane (CP) ♦ Navigation Quality GPS (GPS)
♦ Conversion from Township -Section -Range (TSR) ♦ Remote Sensing (RS)
♦ Conversion from Universal Trans Merc (UTM) ♦ Zip Code Centroid (ZIP)
♦ Map Interpretation by Digital or Manual Extraction (MAP)
✓ Location accuracy must be provided to the nearest unit (e.g., nearest second, tenth of a second, etc.).
C. Mail or fax the attachment form and the map portions to the appropriate regional office for review and
to obtain the waterbody and classification information.
✓ A list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/.
✓ The Division will not consider this attachment form to be complete until it is completed by the appropriate
regional office.
To: Regional office: Mooresville Regional Office
Address of regional office:
919 North Main St.
City: Mooresville State: NC Zip: 28115
Facsimile number: ( 704 ) 663-6040
Please provide me with the waterbody name(s), stream index number(s), and current/proposed
classification(s) of the surface waters that are closest to and downslope from the location(s) where the
proposed residuals program activities are planned to occur, as identified on the attached map segment.
Signature of regional office staff: Date:
I� o6
FORM: RWSCA 02/02 Page I of 2 Attachment Order 3-
a

Location ID
County
Latitude
Longitude
Location
Location
Location
Waterbody Subbasin
Current and
Datum
Method
Accuracy
and
Proposed Class
Code
Stream Index No.
(To Be Completed
(To Be Completed by
by DWQ)
DWQ)
NC-AL-09-01
Alexander
35° 53' 30" N
81° 09' 11" W
NAD 27
MAP
SECOND
NC-AL-09-02
Alexander
35° 53' 35" N
81° 08' 56" W
NAD 27
MAP
SECOND
/ _ Ci _ 7-
NC-AL-09-03
Alexander
35° 53' 46" N
81° 09' 14" W
NAD 27
MAP
SECOND
7-��.67
NC-AL-09-07
Alexander
35° 50' 00" N
81° 05' 31" W
NAD 27
MAP
SECOND
- 7 3
NC-AL-09-08 40
Alexander
35° 49' 55" N
81° 05' 39" W
NAD 27
MAP
SECOND
�� }�� `S•�
NC-AL-09-09
Alexander
35° 52' 26" N
81° 06' 27" W
NAD 27
MAP
SECOND�—
//-7 3 (Ii, 6){✓�_�
f
NC-AL-09-10
Alexander
35° 52' 57" N
81° 07 24" W
NAD 27
MAP
SECOND
Tu„
NC-AL-09-11
Alexander
35° 52' 43" N
81° 07 23" W
NAD 27
MAP
SECOND
NC-AL-11-03
Alexander
35° 53' 32" N
81° 08' 45" W
NAD 27
MAP
SECOND
Lily
NC-AL-11-04
Alexander
35° 53' 16" N
81° 09' 04" W
NAD 27
MAP
SECOND
NC-AL-12-01
Alexander
35° 48' 48" N
81° 0715" W
NAD 27
MAP
SECOND
_ 7 S
NC-AL-12-02
Alexander
35° 48' 57" N
81° 07' 15" W
NAD 27
MAP
SECOND
NC-AL-12-03
Alexander
35° 49' 06" N
81° 07' 15" W
NAD 27
MAP
SECOND
NC-AL-12-04
Alexander
1 35° 49' 21" N
81° 05' 20" W
NAD 27
MAP
SECOND
j
5
*** END OF FORM RWSCA 02/02 ***
FORM: RWSCA 02/02 Page 2 of 2 Attachment Order 3-
a

Attachment Order 3-b
County Manager Notification

USPS - Track & Confirm
Page 1 of 1
UNITED STATfS_
POSTAL SERVICE
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"Track & Confirm
Current Status
You entered 7002 3150 0004 1032 7232
Your item was delivered at 10:59 am on October 01, 2003 in
TAYLORSVILLE, NC 28681.
tM
Notification Options
f. Track & Confirm by email what is this? � -
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Enter label number:
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zzPOSTAL INSPECTORS site map contact us government services
Preserving the Trust Copyright©1999-2002 LISPS. All Rights Reserved.Terms of Use Privacy Policy
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http://trkcnfrml.smi.usps.com/netdata-cgi/db2www/cbd_243.d2w/output 10/8/2003

State of North Carolina
Department of Environment and Natural Resources:
Division of Water Quality
COUNTY MANAGER NOTIFICATION ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL).
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to submit all of the required items will lead
to additional application processing and review time.
For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.uslndpul
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without a corresponding residuals program application
form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application.package being returned.
B. Prepare a separate attachment form for each county in which the land application sites for which the
applicant is seeking certification are located.
C. Mail the attachment form to the appropriate county manager by certified mail with a return receipt
requested.
✓ The most current publication of the Directory of State and County Officials may be downloaded from the
web site at: http://www.secretary.state.nc.us/pubsweb/direct.asp.
✓ A list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/.
D. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form prior to
submission of the application to the Division for review.
To: County where land application sites are located: Alexander
Name and complete address of county manager: Rick French
255 Liledoun Rd
City: Taylorsville State: NC Zip: 28681
This is to notify you that the applicant listed in Item I. 1. of this attachment form will be submitting an
application for the land application of residual solids to land in your county to the Division of Water Quality
(Division) for review. During this review, the Division will ensure that all federal and state regulations are
enforced. Maps of the land application sites included in this application will be available at the following
location no later than the listed expected application date:
Name and complete address of appropriate regional office: Mooresville Regional Office
919 North Main St
City:
Mooresville
State: NC
Zip: 2811
Telephone number: ( 704 ) 663-1699 Facsimile number: ( 704 )
Expected date of application submission: October 31, 2003
Actual date of application submission (to be completed by DWQ):
Deadline for county manager response (to be completed by DWQ):
663-6040
Should you desire to comment on this application as it related to your interests, 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 Water Quality Supervisor of
the appropriate regional office at the telephone number provided above. Thank you in advance for your
attention to this matter.
FORM: CMNA 02/02 Page 1 of 2 Attachment Order 3-b

1. GENERAL INFORMATION:
1. Applicant's name: Synagro, Inc.
2. Signing official's name and title: Shelby Lowe, Regional Vice President
3. Complete mailing address of applicant:
6220-A Hackers Bend Ct
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336 ) 766-0328 Facsimile number:( 336 ) 766-8652
E-mail address: ihill(a,synagro.com
4. Name and complete mailing address of contact person and consulting firm who prepared application:
Jonathan Hill. Svnasro. 6220-A Hackers Bend Ct
City: Winston-Salem State: NC Zip: 27103
Telephone number: ( 336 ) 766-0328 Facsimile number: ( 336 ) 766-8652
E-mail address: ihill a,synagro.com
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, and/or ® renewed permit.
2. If this application is being submitted to renew or modify an existing permit, provide:
the permit number WQ0016247
the most recent issuance date May 28. 1999 , and the expiration date April 30, 2004
Date of most -recently certified Attachment A: NA
Date of most -recently certified Attachment B: NA
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION
1. County(les) where residuals source -generating facilities are located: Iredell (City of Statesville)
2. Purpose of the residual source -generating facilities (check all that apply):
® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial mixed with domestic wastewater, and/or
(approximate percentages: % industrial and % domestic)
❑ other (explain:
3. Are land application sites currently certified for this residuals land application program in this county:
® yes ❑ no. If yes, provide the total number of acres (i.e., excluding
buffers) that are certified: 405.0 acres (approximate percentages: 0 % forested, 100 %
agricultural, and 0 % reclamation sites).
4. This application, if approved by the Division, will certify 195.5 additional acres (i.e., excluding buffers)
in this county for this residuals land application program (approximate percentages: 0 % forested,
100 % agricultural, and 0 % reclamation sites).
** END OF FORM CMNA 02/02 ***
FORM: CMNA 02/02 Page 2 of 2 Attachment Order 3-b

Site ID:
Owners Names:
Operators:
Address:
Phone:
SITE SUMMARY
CITY OF STATESVILLE
Statesville, North Carolina
NC-AL-9
Boone Icenhour
Walter "Curtis" Childers
(fields 1-9)
2303 Old Landfill Rd.
Taylorsville, NC 28681
[phone]
Estimated
Total Applicable
Fields / Acres Acres
Barbara and Steven Sprinkle
Tim Payne
(fields 10,11)
1265 Paynes Dairy Rd.
Taylorsville, NC 28681
[phone] (house)
[phone] (barn)
[phone] (cell)
Predominant
Croo(s) Slooe (%) Soil Series
Latitude &
Longitude
1 A
(� � I.J
17.6
8.0
fescue
0-10
Cecil
5° 53' 30" N
810 09' 11 " W
_,,,1 B
S r11'
28.0
18.5 -
row crop
0-10
Pacolet
350 53' 35" N
810 08' 56" W
2
22.4
17.8
fescue
0-10
Pacolet
A50 53' 35" N
810 09' 56" W
3
49.2
38.5
fescue
0-10
Pacolet A350
53' 46" N
810 09' 14" W
7
19.6
12.0
fescue
0-10
Cecil
350 50' 00" N
810 05' 31" W
8
52.0
35.5
fescue
0-10
Pacolet
° 49' 55" N
810 05' 39" W
9
35.0
30.5
row crop
0-10
Cecil
35° 52' 26" N
810 06'_27"-W
10
36.5
27.4
row crop
0-10
Cecil
° 52' 57" N
810 07' 24" W
11
22.0
18.3
row crop
0-10
Cecil
350 52' 43" N
810 07' 23" W
TOTALS •282.3 206.5
Notes: "Curtis" Childers is operator for fields 1-9. Tim Payne operates fields 10 and 11 .
Boone Icenhour owns fields 1A,2,3,10, and 11. Barbara and Steven Sprinkle own fields 1B,7,8, and 9.
Some fields have lost acres due to new houses and 250 ft. buffers from on -site wells. Also note several
fields have gained acres due to clearing of land and/or redrawing of maps with updated aerial photos.
Date: 10/15/03
i

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.uslndpul
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner
and operated by a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and
the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: City of Statesville
Complete mailing address of applicant
P.O. Box 1 1 11
City: Statesville State:
Telephone number: ( 704 )
878-3438
NC Zip
28687
Facsimile number: ( 704 ) 878-8655
E-mail address: david ionesna,ci.statesville.nc.us
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -
generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in
accordance with the stipulations and restrictions as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or
Disposition of Crops
Residuals Source -Generating
Facilities
NC-AL-9-113 and 9
row crops
animal feed
Third Creek WWTP and
NC-AL-9-7 and 8
fescue
feed or forage
Fourth Creek WWTP
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied
residuals while the Permittee receives, in consideration, the use of the land application site(s) described above
for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following
restrictions and stipulations until such time as written notification, given 30 calendar days in advance,
modifies or cancels this Agreement.
FORM: LOAA 02/02 Pagel of 3 Attachment Order 3-6

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with
another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement.
The land application of any additional residuals or waste, other than that generated by the residuals source -generating
facilities specified by the Division's residuals land application program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply
with all provisions of this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the
subject matter of this Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18
months from the date of the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge
Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application
site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be
given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the
land application site(s).
9 The Permittee has provided the landowner or his representative with information and data ccacernina the residuals laaid-
application program, including an analysis of constituents of the residuals, residuals application methods, schedules for
typical cropping patterns, and a description of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program
permit that has been most -recently issued by the Division prior to commencement of any residuals land application event.
This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and
regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The
only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that
a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the
Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of
other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application
site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee
and/or the landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land
application program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their
representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to
established monitoring facilities on or near the land application site(s) as required by the residuals land application
program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose
of determining compliance with the Division's residuals land application program permit; may inspect or copy any
records that must be kept under the terms and conditions of this permit; or may .obtain samples of groundwater, surface
water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to
take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of,
this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

H. RESTRICTIONS:
Landowner's Certification:
❑ I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to
_,_ IaKe decisions regarding.the use of the land appiidation site(s)' on behalf of othix-deeded 'landowners OR that,l,. '.
am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the
use of the land application site(s) on behalf of the deeded landowners. 1 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 and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified herein.
NORTH CAROLINA, (a lex dr;jer,.` :,.., COtJNTY
I, 30r,0 ,-Y, E_ a:11 , a notary public of $vf r County, North Carolina, certify that
IJaj-4e r CvrAC S Cl,:lAe.rs personally appeared before me this day, and being duly sworn, stated that in his
presence Sever, R Sow Ole BA. bra L. Snc:n�le(signed) ( t foregoing instrument.
WITNESS y hand and icial seal, this the -a * day of�e�� 200 ti,���NANr�6s����'
Notary Public �\ N o TA R y•'•` �-
My commission expires .rVne as , 2006 .
-a* • ON.
PUBLIC
Lessee's/Operator's Certification: ���� �'9 •••. • •• • •' �v�*��
❑ I certify that I have read this Agreement and do hereby agree to abide by the ti� VA
Y�W%Wstrictions as
specified herein. //��
Lessee/operator name: kjx �'F`G�` llw(I r_AI f 14 e/`S
Signature: 6417Date: 'D5
Permittee's
❑ I certify tha I have read this
specified her n.
Signing of
Signature:
hereby agree to abide by the stipulations and restrictions as
*** END OF FORM LOAA 02/02 ***
Date:
FORM: LOAA 02/02 Page 3 of 3 . Attachment Order 3-c

State of North Carolina
Department of Environment and Natural Resources ;
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORH MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.uslndpul
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner
and operated by a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and
the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: City of Statesville
Complete mailing address of applicant: P.O. Box 1 1 11
City: Statesville State: NC Zip: 28687
Telephone number: ( 704 ) 878-3438 Facsimile number:( 704) 878-8655
E-mail address: david iones(a)ci.statesville.nc.us
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -
generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in
accordance with the stipulations and restrictions as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or
Disposition of Crops
Residuals Source -Generating
Facilities
NC-AL-94A
fescue
feed or forage
Third Creek WWTP and
NC-AL-9-2 and 3
""
""
Fourth Creek WWTP
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied
residuals while the Permittee receives, in consideration, the use of the land application site(s) described above
for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or .his representative and the Permittee agree to abide with the following
restrictions and stipulations until such time as written notification, given 30 calendar days in advance,
modifies or cancels this Agreement.
FORM: LOAA 02/02 Pagel of 3 Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with
another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement.
The land application of any additional residuals or waste, other than that generated by the residuals source -generating
facilities specified by the Division's residuals land application program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply
with all provisions of this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the
subject matter of this Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18
months from the date of the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge
Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application
site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be
given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the
land application site(s).
8. The Permittee has provided the landowner or his representative with information and. data conoerning the residuals land
application program, -including an analysis of constituents of the residuals, residuals application methods, schedules for
typical cropping patterns, and a description of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program
permit that has been most -recently issued by the Division prior to commencement of any residuals land application event.
This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and
regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The
only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that
a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the
Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of
other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application
site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee
and/or the landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land
application program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their
representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to
established monitoring facilities on or near the land application site(s) as required by the residuals land application
program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose
of determining compliance with the Division's residuals land application program permit; may inspect or copy any
records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface
water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to
take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of,
this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

H. RESTRICTIONS:
Landowner's Certification:
❑ I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to
T:,. make -decisions regarding the use of the'iand application site(s) on behalf of other deeded landowners_ O :Lhat I
am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the
use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land
application site(s) are not included in any waste disposal contract or agreement with another municipality,
contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the
stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specifie`dd herein.
Landowner name:
Signature: ��� ,�,r- o,�..�i�nti.I .� / Date: /q —,1/r9 — Ot�
NORTH CAROLINA, _A fm,,,,der COUNTY
11 SOr--y, v. E kill , a notary public of r County, North Carolina, certify that
1�ec Cyc 4:c c1,;1� r� personally appeared before me his day, and being duly sworn, stated that in his .
presence [j,,re me ur (signed) the foregoing instrument.
WITNESSmy hand�an fficial seal, this the -a3 day of %e , 20 Da ``���P�H
Notary Public �� ••• •••/<< ��
NOTAPy'•
My commission expires June ad , 2008. _ *' NOW*
o
—
PUBLIC =
Lessee's/Operator's Certification: ��G,9 • •' v ���
❑ I certify that I have read this Agreement and do hereby agree to abide by thwoatio, restrictions as
specified herein. Lessee/operator nam�/LP
e:- WoJ+,_, C,. o-4-, r (� 1 A ft- 5
Signature: OWA.Ci1 a Ztj4 C �� Date: ( — 73 —_9
Permittee's Certification:
❑ I certify that I have read this
specified herein.
Signing official
Signature:
and dorhereby agree to ide by the stipulations and restrictions as
OF FORM LOAA 02/02 ***
Date:
FORM: LOAA/02/02 Page 3 of 3 Attachment Order 3-c

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.uslndpul
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner
and operated by a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and
the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: City of Statesville
Complete mailing address of applicant: PO Box 1111
City: Statesville State: NC Zip: 28687
Telephone number: ( 704 ) 878-3438 Facsimile number: (�704 ) 878-8655
E-mail address: david iones(a,ci.statesville.nc.us
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -
generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in
accordance with the stipulations and restrictions as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or
Disposition of Crops
Residuals Source -Generating
Facilities
NC-AL-9-
Corn silage, small grain
Animal feed & forage
Third Creek WWTP &
(10&11)
Fourth Creek WWTP
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 sites) described above
for the disposal of the residuals.
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.
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: LOAA 02/02 Pagel. of 3 Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with
another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement.
The land application of any additional residuals or waste, other than that generated by the residuals source -generating
facilities specified by the Division's residuals land application program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply
with all provisions of this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the
subject matter of this Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18
months from the date of the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge
Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application
site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be
given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the
land application site(s).
8. The Permittee h9s,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, and a description of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program
permit that has been most -recently issued by the Division prior to commencement of any residuals land application event.
This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and
regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The
only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that
a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the
Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Pennittee 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).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee
and/or the landowner or his representative prior to and during a residuals land application event.
16. 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 ofsigns that indicate the activities being conducted at the land application site(s).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land
application program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their
representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to
established monitoring .facilities on or near the land application site(s) as required by the residuals land application
program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose
of determining compliance with the Division's residuals land application program permit; may inspect or copy any
records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface
water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to
take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of,
this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

IL RESTRICTIONS:
Landowner's Certification:
❑ I certify that 1 am a deeded landowner of the above -referenced land application site(s) and am authorized to
� -• ; :,.;; `' ' make-decisioiis regarding the use of the'"i�nd application site(s) on behalf cif other deeded landowners a ;ihat I
am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the
use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land
application site(s) are not included in any.waste disposal contract or agreement with another municipality,
contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the
stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified herein.
Landowner name/Yd��
Signature: j�v� ,�/'.r- e,��r/1`,•i-�o/ Date:Dt-
NORTH CAROLINA, K1 ex a nd e c. COUNTY
I, F. N;11 , a notary public of Surry County, North Carolina, certify that
WNV- er CU4t.s 01 er, ' personally appeared before me this day, and being duly sworn, stated that in his
presence Qoo•ne =cen our (signed) (eeienw4ed-ged the the foregoing instrument.
WITNES yhand and official seal, this the •d day of jam_, 20o3
Np1 HAIV F i�
i
Notary Public ���� �� • • • •'•: S'��i�
My commission expires lihe *-;tb , 20 o4.
Lessee's/Operator's Certification:
❑ I certify that I have read this
specified herein. n �
Permittee's Certification:
❑ I certify that I
specified herei:
Signing official
Signature: _
FORM: LOAA 02/02
NorAR •
�� �• uBLIC °°
agree to abide by the �Gs %ctions as
i����►UNt►��� N
Date: 9f 3 1 03
read this Agree ent and do hereby agree to abide by the stipulations and restrictions as
dd r'1
*** END OF FORM LOAA 02/02 ***
Page 3 of 3
Date:;
Attachment Order 3-c

State of North Carolina ,k..
Department of Environment and Natural Resources
Division of Water Quality
BUFFER WAIVER AGREEMENT ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H -.0219
(j)(5)(A)(ii) or (iii) is being sought.
✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be
waived through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 2H .0219 (j)(5)(A)(ii) and (iii)
The undersigned property owner hereby permits:
Applicant's name: City of Statesville
Complete mailing address of applicant: PO Box l 111
City: Statesville State: NC Zip: 28687
Telephone number: ( 704 ) 878-3438 Facsimile number: ( 704 ) 878-8655
E-mail address: david ionesna,ci.statesville.nc.us
hereinafter referred to as the Permittee, to land apply residuals within OD 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: r
City: �a..+..J1111IZU, State: / 1/ C .Zip: 02762 .1
.17
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:
*** END OF FORM LOAA 02/02 ***
Date: _3— D ..3
FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d

SYNAGRO
VICINITY MAP
A Ruidmalr Alanagmmt Company
G L
"OUNTY OWNER Pao ►mac `f-ccpi h o u (IAaa 3, , 10 f l)
'Bavlaak& � 5-i--Lk 1 SPrivi k e.(1 R) 7,9)9)

SYNAGRID
TOPOGRAPHIC MAP
A Residuals Management Company
�I AA) 3)
OWNER T3o�ne �ce� l�ou�r- SCALE: 1" N 2oMl FIELDS 1—.3
?"6am4 Sie Lkri 5.p►6,i Q f- (field. 10
PHOTOQUAD/YEAR Tau l o a u i l l -e, C NCI I 1 9 70 CONTOUR INTERVAL_ ZQ 0 f +;

1AM;l SY NAG 0
A Residuals Management Co.p ny
OWNER SCALE: 1" .Q ,�o�� FIELDS 77,
OPe►-aibr—WAI_.Vr -• c"A k
PHOTOQUAD/YEAR CN c 19 7o CONTOUR INTERVAL-20-1±

SYNAG O
A Residuals Management company
OWNER Barba►-r, AS-I-eypn .Ypil' kIeSCALE: 1"� ,�orY� FIELDS �l - I I
J�00he0t II�
PHOTOQUAD/YEAR I-fi ddc►-i i 4�e CN C l CONTOUR INTERVAL a o -.

AERIAL REFERENCE MAP
\11// SYNAGBO
A Residuals Management Company
COUNTY F l e wy de r OWNER BOO LE, IC-M O L C
13�,cv-!�'c.+z��`Sfev.�n Sprinkle (�B�

AERIAL REFERENCE Al"
;,iur' SYNAGR
A Residuals Management Company

AERIAL REFERENCE MAP
�\Jtlg cTYNAGF
A Residuals Managount Company

MA
mp `YNAG R.0.
APPLICATION AREA MAP A Residuals Ma,4semer Company
a
Owner 13oo vie Tr e L� Scale: 1" = („ � O �
Field # & i B
.(-Reid--,
Bctrba,c-a, �} S%.►J2}'1 S pn n kJ e, C � B)
..
Total Acres 11 `7. a Net Acres
• '. —� STREAM APPLICATION AREA =
- _ _ _
PRIVATE ROAD
---- • —� DRAIN N. ROUSE -
FORESTED AREA
POND O OUTBUILDING'
UNSUITABLE
04 FENCE ' !� ; WELL
O STORAGE AREA p SOIL- DESCRIPTION
SUITABLE FOR
INCORPORATION,
8-12% SLOPE

SYNAGRO.
APPLICATION AREA MAP A Residuals Management Company
Owner Arm �eVe� Shvi
vthle,
Scale: V = G G01
Field
Total .
Acres -71, (,, Net Acres 4 7; 5
• • --'! STREAM
APPLICATION AREA =
_ _ _ = PRIVATE ROAD
• -� DRAIN
■
HOUSE 4
FORESTED AREA
® POND
0
OUTBUILDING .
UNSUITABLE
woo
FENCE
Ri
WELL
O STORAGE AREA.
p
SOIL DESCRIPTION
SUITABLE FOR
WO INCORPORATION,
8-12% SLOPE

'PLICATION AREA MAP
SYNAGPv0
A Residuals Management Company
Owner &j-6cyn S�g-jienS-0-1a k je. Scalec 1" = Field #
C�perat��' lnliA l r"., ('.hL�ciP� Total Acres 35.0 Net Acres _ 8n, 5
• " --3 STREAM APPLICATION AREA _ - . _ _ = PRIVATE ROAD
• DRAIN . ■ HOUSE FORESTED AREA
® POND 0 OUTBUILDING . UNSUITABLE
FENCE Jd WELL
O STORAGE AREA p SOIL DESCRIPTION SUITABLE FOR
INCORPORATION,
8-12% SLOPE

ON
SYNAG 0
APPLICATION AREA MAP
A Residuals Mauage ment Compan,
Owner Bnh P Tccnhh u r
Scale: 1" Field # fT I
�exa-iDr Ti m
Total Acres 5S. S
Net Acres
L-F5.7
• ' -� STREAM
APPLICATION AREA
= - - _ _
. PRIVATE ROAD
---_ • -� DRAIN
/ HOUSE
FORESTED AREA
® POND
p OUTBUILDING
UNSUITABLE
FENCE
id WELL
O STORAGE AREA
p SOIL DESCRIPTION
SUITABLE FOR
INCORPORATION,
8-12% SLOPE

SY1NAG O
Soil Map
A Residualr Afanagawil Company
OWNER Spore .cciqhn�►^�(�;a3) SCALE: 1FIELDS 1--.3
�ivbw.��5{�v�.�spn'nrte CIB)
COUNTY A le.xa4 der SHEET 3
SOIL SERIES Occl1 haro let

1)I/, SYNAG1\0
Soil Map
A Residualr tlfauagemon Company
OWNER T3CLr6 m e2min Sn LkCALE: 11
1
= 000 ' FIELDS 2) 8
COUNTY SHEET
SOIL SERIES Cec.i I ) PAco I et

SYNAGRO
Soil Map
A Residuals Management Comipany
OWNER Rr�C etc. Tcenhnur�lo ,rr� SCALE: I" _ . nn�' FIELDS `l — 11
73 � /'' nz��2l� , P V llae 9
COUNTY 8 I a n4ef SHEET and7
SOIL SERIES C eG I , Paco f -f

SITE SUMMARY
CITY OF STATESVILLE
Statesville, North Carolina % / %�
Site ID: NC-AL-1 1
Owners Name:. Elbert Mecimore Operator: Walter "Curtis" Childers
Address: 128 Taylorsville MFG Rd. 2303 Old Landfill Rd.
Taylorsville, NC 28681 Taylorsville, NC 28681
Phone: [phone] [phone]
Estimated
Total Applicable Predominant Latitude &
Fields Acres Acres Crop(s) Slope (%) Soil Series Longitude
3
fi5,9
11.5
fescue
0-10
Pacolet
5° 53' 32" N
810 08' 45" W
4
5`4�
41.0,
fescue
0710
Davidson
35° 53' 16" N
810 09' 04" W

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional processing and review time for the application.
For more information or for an electronic version of thisform, visit our web site at. http:11h2o.enr.state.nc.us/ndpu/
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner
and operated by a lessee/operator (i.e.- if applicable) other than the applicant. :.
✓ A copy of vic cmrfleted and appropriately executed attachment form must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: City of Statesville
Complete mailing address of applicant: PO Box 1111
City: Statesville State: NC Zip: 28687
Telephone number: ( 704 ) 878-3438 Facsimile number: ( 704 ) 878-8655
E-mail address: david iones ,ci.statesville.nc.us
hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -
generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in
accordance with the stipulations and restrictions as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or
Disposition of Crops
Residuals Source -Generating
Facilities
NC-AL-I1-3,
PCL%&, 'e-
I71tA Creek WWTP arJ
KC_R L- I I- q
h Pas u�
Fot,ir-fl,, Cree .:� W W T P
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied
residuals while the Permittee receives, in consideration, the use of the land application site(s) described above
for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree 'to abide with the following
restrictions and stipulations until such time as written notification, given 30 calendar days in advance,
modifies or cancels this Agreement.
FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with
another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement.
The land application of any additional residuals or waste, other than that generated by the residuals source -generating
facilities specified by the Division's residuals land application program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply
with all provisions of this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the
subject matter of this Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18
months from the date of the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge
Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application
site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be
given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the
land application site(s).
--3.. The Permittee has provided the landowneror his repres°untative wit% information• and data concerning the residuals 1 and
application program, including an analysis of constituents of the residuals, residuals application methods, schedules -for
typical cropping patterns, and a description of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program
permit that has been most -recently issued by the Division prior to commencement of any residuals land application event.
This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and
regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The
only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that
a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the
Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of
other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application
site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee
and/or the landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land
application program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their
representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to
established monitoring facilities on or near the land application site(s) as required by the residuals land application
program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose
of determining compliance with the Division's residuals land application program permit; may inspect or copy any
- records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface
water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to
take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of,
this Agreement.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

H. RESTRICTIONS:
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 cegarding fib"use of the land application site(s) on behalf of other'deeded landowners OR that I
am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the
use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land
application site(s) are not included in any waste disposal contract or agreement with another municipality,
contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the
stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified herein.
r
Landowner name/:? r &Ae,�,f
Signature: t ��'' is'' O�,�� ""�� Date: 9' •�C ,� - a�
NORTH CAROLINA, -aI euaer COUNTY
I, Sora�ti.ar N:1\ , a notarypublic of_Sl !rCounty, North Carolina, certify that
\J 1Aer C,-Ecri.,, pegrsonally appeared before me this day, and being duly sworn, stated that in his
presence 16er1 >» r;w.or (signed) the foregoing instrument.
WI S my ha�/nd% d official seal, this the 1 day of S 2 ��' NTHA
LTV I ---�,
Notary Public* ; " N 0 rq ••y�r
My commission expires June a6 ,200,6 .
NG AU84 pC
Lessee's/Operator's Certification: '%�,p •.
❑ I certify that I have read this Agreement and do hereby agree to abide' M41,4 and restrictions as
specified herein.
Lessee/operaattor'name: ( Ina 1 L_ r ` A l I Ae r%
Signature: W o�� � %.... � o ��_ o _, � Date: _ _ 1 c�" .23 - c3
Permittee's Certification:
❑ I certify that I have read
specified herein.
Signing officiaN
Signature:
FORM: LOAA 2/02
do hereby a�r to abide by the stipulations .and restrictions as
OF FORM LOAA 02/02 ***
Page 3 of 3
Date:
Attachment Order 3-c

VICINITY MAP
A Resddmah Mamagemem! Company

S•MG O
A Residuals Management Company
OWNER Zl h.Q�-t td p_ ci mole, SCALE: 1 " AJa00d' FIELDS 3
PHOTOQUAD/YEAR Ta u�(I If CONTOUR INTERVAL oZ f+.

f
�� SYNAGl�Q
TOPOGRAPHIC MAP
A Reaidwh Management Company
OWNER FlbPrf Mecrmore, SCALE: 1" od �-cwI FIELDS I
PHOTOQUAD/YEAR-Sino� Pbi mi LnrG7 119 70 CONTOUR INTERVAL�QL

AERIAL REFERENCE MAP
�YNAG�
A Reriduals Management Company
i .a 11' i' u' //1

,114 s A.J 1 1 \1 1V -
AERIAL REFERENCE Al" A Residuals Management Company

SYNAGRO
APPLICATION AREA MAP
A Residuals Management Campany
Owner
Scale: 1" =
Field # _ 3
Total Acres 15, q
Net Acres
j �, S
• • --� STREAM
APPLICATION AREA
= — _ _ =
PRIVATE ROAD
• —� DRAIN
/ HOUSE -.
FORESTED AREA
® POND
O OUTBUILDING
UNSUITABLE
FENCE
id WELL
O STORAGE AREA
p SOIL DESCRIPTION
SUITABLE FOR
INCORPORATION,
8-12% SLOPE

APPLICATION AREA MAP
SYNAGRO.
A Residuals Management Company
Owner E1 berf lhp ali mio re. Scale: 1" _ (n t, 0 Field # 4
Total Acres ,!N: A Net Acres 4I. 0
• • —3 STREAM
APPLICATION AREA
= _ _ _ =
PRIVATE ROAD
• —� DRAIN
■ HOUSE
FORESTED AREA
® POND
O OUTBUILDING
Q%,)
UNSUITABLE
FENCE
fd WELL
O . STORAGE AREA
p SOIL DESCRIPTION
SUITABLE FOR
INCORPORATION,
8-12% SLOPE

��UJI�
SYNAGRO,
Soil Map
A Residuals Management Company
OWNER Elkcr-� er snore SCALE: P _ FIELDS 3
COUNTY I.-- xa n d e r
SOIL SERIES Occi 1, taco lei
SHEET 3

SYNAGP..,Q
Soil Map
A Residuals Afanagemenl Conpany
OWNER ffierf Wac�m-ace SCALE: I" _ cww l FIELDS y-
COUNTY blexanjer
SOIL SERIES-bayidsoU, Ma.Sad a
SHEET r+

SITE SUMMARY
CITY OF STATESVILLE
Statesville, North Carolina
Site ID: NC-AL-12
Owners Name: Pauline H. Alexander /
Operator: Robert S. Hoover I✓Z4-v'
Address: 2544 Drumstand Road
Stony Point, NC 28678
Phone: [phone]
Estimated
Total Applicable Predominant Latitude &
Fields Acres Acres CroD(s) Slope M Soil Series Longitude
1
54.8
35.5
fescue
0-10
Pacolet
°48'48" N
81007' 15" W
2
18.2
14.7-
fescue
0-10
Pacolet
35148'57" N
81 °07' 15 "W
3
19.1
12.2
fescue
0-10
Cecil
35049'06" N
81 °07' 15"W
4
142.8
97.4
fescue
0-10
Davidson
35°49'21 "N
81 °05' 20"W
TOTALS 234.9 159.8
Notes:
Date: 10/02/03

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional processing and review time for the application.
For more information or for an. electronic version of this form, visit our web site at: http://h2o. enr.state.nc.uslndpul
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner
and operated by a lessee/operator (i.e., if applicable) other than the applicant.
✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and
the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY -OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's.name: _ City of Statesville
Complete mailing address of applicant: PO Box 1111
City: Statesville State: NC Zip: 28687
Telephone number: (_704 ) 878-3438 Facsimile number: ( 704) 878-8655
E-mail address: david [e-mail]
hereinafter referred to as the Permittee, to land apply residuals from the following residuals ,source -
generating facility(ies) onto the following land application site(s) (i.e., see attached buffer , maps) in
accordance with the stipulations and restrictions as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or
Disposition of Crops
Residuals Source -Generating
Facilities
Wr,AL-12,-
Fescue
LiveeeA
76A QVIML UUTP a-
F(WA, Creek ►f
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied
residuals while the Permittee receives, in consideration, the use. of the land application site(s) described above
for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this,permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following
restrictions and stipulations until such time as written notification, given 30 calendar days in advance,
modifies or cancels this Agreement.
FORM: LOAA 02/02 Page 1 of - Attachment Order 3-c

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with
another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement.
The land application of any additional residuals or waste, other than that generated by the residuals source -generating
facilities specified by the Division's residuals land application program permit, is prohibited.
2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply
with all provisions of this Agreement.
3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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.
4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the
subject matter of this Agreement.
5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18
months from the date of the most recent residuals land application event.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge
Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application
site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be
given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the
land application site(s).
8. 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, and a description of the equipment used by the Permittee.
9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program
permit that has been most -recently issued by the Division prior to commencement of any residuals land application event.
This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and
regulations.
10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The
only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that
a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0.
11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis.
12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the
Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples.
13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of
other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application
site(s).
14. 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.
15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee
and/or the landowner or his representative prior to and during a residuals land application event.
16. 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).
17. 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.
18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land
application program permit.
19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their
representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to
established monitoring facilities on or near the. land application site(s) as required by the residuals land application
program permit.
20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose
of determining compliance with the Division's residuals land application program permit; may inspect or copy any
records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface
water, or leachate.
21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to
take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of,
this Agreement.
FORM; LOAA 02/02 Page 2 of 3 Attachment Order 3-c

II. RESTRICTIONS:
Landowner's Certification:
❑ I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to
make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I
am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the
use of the land application site(s) on behalf of the deeded landowners. 1 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 and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land
application site(s) as specified herein.
Landowner name: a"li ne_ H. H l e xcA nd e r
Signature: _ ��,1, 2t., 4Q, ,U � Date: ;
NORTH CAROLINA, kiexo jer COUNTY
1, ;—: TN;\\ , a notary public of SJrc)! County, North Carolina, certify that
Robed S, 1Aoo\f ex personally appeared before me this day, and being duly sworn, stated that in his
presence Povl;r . N. (signed) b thVtfpjr��'ing instrument.
WITNESS my hand and official seal, this the a.7 day of �1�-INN 2003 AN E •h,�����''
Notary Public N p T A R Y •:
My commission expires Aur e as , 20 06 . u `� P • •
Lessee's/Operator's Certification: •• • •.• •V`:
❑ 1 certify that I have read this Agreement and do hereby agree to abide by the stiIdl�l3k`;'t4ictions as
specified herein.
Lessee/operator name:
Signature:
Permittee's Certification:
❑ I_ certify that I gave read this
specified herei / 0
Signing of
Signature:
Date:
do ereby agree to Abide by the stipulations and restrictions as
/.,- _.
END OF FORM LOAA 02/02 ***
Date:
FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c

SYNAGBO
VICINITY MAP
A Residuals Management Company
COUNTY 4LLCY,1jAj6ffe OWNER lla&wq E M
t � ( ojJl
f�c,� la -

�14 d� j
`� SYNAGRO
TOPOGRAPHIC MAP
A Residuals Management Company
OWNER /� 0 udr' - AdM02 SCALE: 1 " �% ®� � FIELDS �- `�
PHOTOQUADIYEAR AMP- �bn�� ClJr-311'7 0 CONTOUR INTERVAL ZO R

AERIAL REFERENCE AIAP
A Residuals Management Company
COUNTY-4 L,& /4-IJ b u/? OWNER AAIAJS' /-/. kayhMOgz

Dl$ Y13 31tv"T �IaNAO
IV W v AjNaOD
,tuvdruoD ,u—ovz vw r�mrprray y
df)V AS 1:
/Wl
Q V w aDNau' Aare l aV

.� SYNAGRO
APPLICATION AREA MAP A Residuals Man gcment Company
• —�
STREAM
—�f
DRAIN
POND
--�
FENCE
STORAGE AREA
Total
Acres S 5oAo27
Net Acres',' tj„,4„4�—
APPLICATION AREA
— — — PRIVATE ROAD
HOUSE
FORESTED AREA
OUTBUILDING
WELL
SOIL DESCRIPTION
\\ UNSUITABLE
SUITABLE FOR
INCORPORATION,
8-12% SLOPE

SYNAGRO
APPLICATION AREA MAP
A Residuals A1.,wgemmt Cmupany
Owner r�41w, J4 P. A,,sw-m v "e Scale: 1" ti � � � ' Field #
• • —� STREAM
DRAIN
Total AcresNet Acres sir ��irnPy
© APPLICATION AREA — — — PRIVATE ROAD �\
HOUSE FORESTED AREA
POND
OUTBUILDING UNSUITABLE
FENCE
WELL \\
STORAGE AREA
4%
SOIL DESCRIPTION SUITABLE FOR
INCORPORATION,
0-12% SLOPE

N)Y
SYNNAGI\O
Soil Map
A Residuals Management Company
OWNER Aui.inJs- P. A E- ' IWSCALE: I" � 200t)' FIELDS L q
COUNTY AL�YFfE�
SHEET L -7
SOIL SERIES e, 6AVVoJ, A4e6LF- , A A-: 'Vi, t:.-)

SOIL DESCRIPTION SHEET
Project: (r ; �,/ + z.
Site: +de-` 41-- ` / Z. Field:
SYNAGR
A Residuals Alanagenunt Company
Landowner:
Sample #: Slope:
Acres (gross): SY 9 Acres (net): 3 C.,C Crop: ug-
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture
Color
Structure
Mottles
PROFILE A
, Yle 4A
1A,
� 1
2, SY 2
1, VI
Depth to SHWT: 3
Depth & type of restrictive layer:
Soil Series: �t r�l
l���v `s
���(-�•� -
�1 c ru - d®,?
Horizon Depth Texture
Color
Structure
Mottles
PROFILE B
Notes:
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Described By:
Date:
Legend
—
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

SOIL DESCRIPTION SHEET
SYNAGRO
A Residuals Managwmt Company
Project:
,5r�6 i/cz�-�
Lan downer:
Site: Field: 2-
Sample #:
Slope:
Acres (gross): �� Acres (net): Crop:
SOIL PROFILE
DESCRIPTIONS
Horizon Depth Texture
Color Structure
. Mottles
PROFILE A
A Cyr
fly,
-S�i�
Depth to SHWT:
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:
Described By: - ��'"
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

SYNAGIFU, ..
SOIL DESCRIPTION SHEET AResiduals AfanagementCompany
Project:flVi� Landowner: [-41r�.tJi�,
Site: A[611---1 Field: Sample #: Slope: _
Acres (gross): Acres (net): 2 Z Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth
Texture
Color
Structure Mottles
PROFILE A Ae 6- V7c
r-
%>S�4I- `11
)l/y��(,
1°° ZF5 %fir.•
c.�
a yf° `14,
Depth to SHWT:
> 3
Depth & type of restrictive
layer:
��6a
Soil Series: r,,4
.fV, ��r1
Horizon Depth
Texture
Color
Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By: /
Zz _
Date:`:"fr�'j%'
Legend
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

=+!
SYNAGRO
SOIL DESCRIPTION SHEET A RaidualiManagmw Company
Project: ►V-f Landowner: tPL-i"I � . .gM lwl s
Site:Field: Sample #: Slope:
Acres (gross): Y2 , � Acres (net): ' ?, Crop:
SOIL PROFILE
DESCRIPTIONS
Horizon Depth Texture
Color
Structure Mottles
PROFILE - ri-f
7
Depth to SHWT: >s c
Depth & type of restrictive layer: > }
.
Soil Series:. f'
Horizon . Depth Texture
Color
Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By:
Legend
Texture
Structure Grade
s Sand
' 1 Weak.
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

z:-
NCDA.A :� Dms�on. 00 Reed =Cr 3 eek Road h NC 2`
Y 9).733 °55 Report
w , :.. zr. _ �, u .Ra1ei g_ . .27607-646 N Z7`
;rower: Hoover, Robert S. Copies to:. Synagro So A
2544 Drumstand Rd.
P Stony Point, NC 28678
oilTest Report SynagroSoutheast
Farm: Attn: Jonathan Hill
6490 Stadium Dr, PO Box 1770
9/ 8/03 SERVING N.C. CITIZENS FOR OVER 50 YEARS Alexander Count Clemmons NC 27012
Agronomist Comments:
The heavy metal results are shown on a separate report. The nickel levels in all samples and the chromium level in samples 01, 02, and 03 are elevated above what is typically seen in North
Carolina soils. Heavy metal concentrations however are not believed to pose a threat to crops grown on this land. Note soil pH is lower than desired in all samples except sample 04. Refer to the
recommendations shown below for any lime or fertilizer that .may be needed to sustain normal crop growth.
DeAnn Frederick A ronomist
Field Information '
"
_
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime N A05 Ie0 Mg . Cu Zn B Mn See Note
01, Fes/0G/Pim,M _
1st Crop: Fes/0G/Tim,M 1T 120-200 0-20 0 0 0 0 0 12
2nd Crop:
Test Results
Soil Class HM% W/V CEC BS% Ac pH P-I K-I Ca% Mg% Mn-I Mn-AI (1) Mn-AI (2) Zn-I Zn-AI Cu-I . S-I SS-1 NO-N NIL-N Na
MIN 0.7 1.02 8.3 78.0 1.8 5.2 59 176 50.0 17.0 201 138 130 130 235 88 0.2
1e. F ld Information
�
lied Lime
-Recoumendations
, , .,
,.
Sample No. Last Crop
Ko Yr T/A
Crop or Year Lime N R05 Kzo Mg Cu Zn B Mn See Note
02 Fes/OG/Tim,M
1st Crop: Fes/OG/Tim,M .9T 120-200 0 0 0 0 0 0 12
2nd Crop:
Test Results
Soil Class . HM% W/V CEC BS% Ac pH P-I K-I Ca% Mg% Mn-I Mn-AI (1) Mn-AI (2) Zn-I Zn-AI Cu-I S-I SS -I N0.1-N Mb-N Na
MIN 1.02 1.16 7.4 78.0 1.6 5.3 158 142 52.0 17.0 188 130 223 223 245 58 0.1
)meld Information '
��
lied.Lme
Reco�nmendahotisy
Sample No. Last Crop
p p
o Yr T A
/
Crop or Year Lime N h0s K0 Cu Zn B�
Mg Mn See Note
03 Alfalfa, E .
1st Crop: Fes/OG/Tim,M .8T 120-200 0 0 0 0 0 0 12
2nd Crop:
Test Results
Soil Class HM% W/V CEC BS% Ac pH P-I K-I Ca% Mg% Mn-I Mn-AI (1) Mn-AI (2) Zn-I Zn-AI Cu-I S-I SS-1 NO3-N AU-N Na
MIN 0.97 1.15 7.5 80.0 1.5 5.4 152 176 51.0 17.0 208 " . 142 319 319 406 56 0.1

NVDA r a
Sample No. Last Crop
o Yr T/A
Crop or Year
Lime N R05 K0 Mg Cu
Zn B Mn See Note
04 Alfalfa, E
1st Crop: Fes/OG/Tim,M
0 120-200 30-50 0 0 0
0 0 12
2nd Crop:
Test Results
Soil Class HM% W/V
CEC BS%
Ac pH P-I K I
Ca% Mg% Mn-I Mn-AI (1) Mn-AI (2) 7,n-I Zn-AI
Cu-I S-I SS -I NO3-N NIh-N Na
MIN 0.41 1.06
8.4 92.0
0.7 6.0 42 209
54.0 26.0 568 358 162 162
204 95 0.1

NCDA onomic Division 4300 Reedy Creek Road
Heavy Metal Soil Test Report
MEHLICH-3 EXTRACTION
sigh, NC 27607-6465 [phone] '
Hoover, Robert S. Report #: 03527
2544 Drumstand Rd.
Stony Point, NC 28678
Alexander County
Questions concerning these analyses should be referred to the Agronomic Division, Soil Testing Section
t
Cd
Ni
Pb
Se
Cr Al
As
Sample
Cadmium .
Nickel
Lead
Selenium
Chromium Aluminum
Arsenic
mg1din3 (ppm)
ID
0.00
0.00
0.30
4.800
4.60
O1
0.00
1.50
02
0.00
2.10
0.00
0.00
0.40
5.
03
0.10
2.30
1.30
0.00
0.30
4.20
04 ..
0.00
0.70
0.00.
0.00
0.20

Report Number: A&L EASTERN AGRICULTURAL LABORATORIES, INC.
2003=R246-098 7621 Whitepine Road . Richmond, Virginia 23237 • [phone]
Fax No. [phone] AIL
Account # 46493
0
Send To: SYNAGRO SE/STATESVILLE Grower: PO#50-2084 HOOVER Samples Submitted By:
6220A HACKERS BEND CT STATESVILLE PERMITTING JONATHAN HILL
WINSTON SALEM, NC 27103
Date of Report: 09/05/2003 Page: 1 TOTAL SOIL ANALYSIS REPORT
Date Received: 09/02/2003
Date of Analysis: 09/03/2003
M
Nit _'eh ;.
ro9
„P.htis fiorus.;
P
Potassium
Sulfur .
.Calcwm3':
Ma neslum
5otlmm
Iron
Aluminum
Nlan anese :
, Co n'
Zinc
Ammonia
b
,,; Nitrate •'-
Sam'te
P
lab
N
r Mg
Na
Pe
AI
Curs 'Zn
„>
Nitrogen&
v
n
y
r;Mn
1
'
k
;;Nitrogen
Number
Nuro ber
mglkg
mglhg
mgrkg �
liglkg
r mglkg
m9�9 y
' m9�9
mglk9s,.-�
m91k9
rn9�9��
m91k9 •
�9�9
'S
{
u!n9�9
;m9/k9
1
21486
2
21487
3
21488
4
21489
t
a
h ad- c
Arsenic
;Merou
Seeniyml
Or amc �
Total
=.Silver �
OM b
C �
"blot b-..
� Cobalt
Cd
Cr
Nf
Pb
As Y
N
Se'
Nitro en
C
,N
fta4to
enumMo
Co
mg�g
m99
mglkg
mglkg
mglkgs
f'combustlon
t
s
'-
mg?k9
m9g
m99
(megl1A00gjmglkg
%
m9�9
mgg
Y, .a .. f„�^.
:aFw v.�+.P e',,.n.r.
tti Kr -•
..£_
<, .. <nn s
_
1
<0.01
< 1
2
<0.01
< 1
3 s
<0.01
< 1
4
<0.01
< 1
MEHLICH EXTRACTION
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the
work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
This report applies to the sample(s) tested. Samples are retained a
maximum of thirty days after testing.
A & L EASTERN AGRICULTURAL LABORATORIES, INC.
by:
C. Norman Jones

Attachment Order 3-f
Soils and Agronomic Evaluation
(General Information)

AGRONOMIST REPORT
Synagro Southeast (Synagro) is operating a land application program for the
recycling/beneficial reuse of wastewater biosolids produced at the City of Statesville's Third
Creek and Fourth Creek WWTPs. The agronomist report is submitted as a crucial step in
the review of potential receiver sites for the program along with a review of currently -
permitted sites. Several factors should be taken into consideration in determining a site's
suitability to receive biosolids. These factors are:
• Site Investigation
• Topography
• Soils
• Biosolids Characteristics and Loading Rates
• Crop Management
Site Investigation
The site investigation consisted of a physical observation of each proposed site in which
the following parameters were evaluated:
• Soil Characteristics
• Slope
• Cropping Systems
• Location of Property Lines
• Location of Residences
• Location of Wells and Surface Water Features
Site specific information is enclosed (See Attachment Order 3-e and 34) for each site
evaluated. Application area maps delineating the proposed application areas within each
field are also enclosed.
Topography
The slope of each site was evaluated during the site investigation. The slope for the
individual sites range from 0 to 10 percent for surface application and 0 to 18 percent for
sub -surface injection. Areas of excessive slope have been eliminated from the
application areas.
Soils
Soil fertility samples were collected from each new site and were analyzed for standard
soil fertility parameters and regulated metals content. The results of these analyses are
reported in Attachment Order 3-e for site NC-AL-12. Sgil testing of the sites included in
this application indicates that the soil pH is moderately acidic on most sites and should be
adjusted by the addition of lime prior to or during land application activities being
performed in order to achieve optimal crop production. The lime recommendations are
generally made based on raising the pH to a standard of 6.0.

0
Biosolids Characteristics and Loading Rates
Biosolids samples are collected and analyzed by an independent laboratory (See Am1ual
Reports). The analysis reports and calculations indicate that the residuals are non-
hazardous and non -toxic. Both the soils and the crops should be able to assimilate the
proposed loadings of liquids, solids, nitrogen, phosphorus, heavy metals, aluminum, and
salts known to be in the residuals. This assessment is based on the analysis provided, the
planned application rate, proper crop management guidelines and adherence to permit
requirements. Nitrogen is considered to be the most limiting characteristic of these
residuals, however, soil tests should be reviewed annually to identify any changes in the
nutrient status of the soil. Cumulative loading rates will be maintained on all fields in the
program just as they are for every other project Synagro operates. This, along with
proper liming of the fields, will allow Synagro to avoid creating toxic aluminum levels in
the soils of the receiver sites.
Crop Management
Based on the site and soil evaluations, crop nutrient requirements and the nutrient content
of the residuals, all sites should readily assimilate the residuals, however crop rotations
and management practices should be evaluated prior to each application to account for
changes in the proposed crop rotation and land use objectives. Site -specific cropping
patterns are listed in the Site Summary in Attachment Order 3-e for each land application
site. Crop management guidelines that will be of importance for these sites will be:
• timing of application events with plant nutritional needs and periods of plant
dormancy,
• split applications to prevent hydraulic overloading or nutrient leaching,
• performance of proper stabilization methods to fit crop and soil needs,
• establishment of suitable vegetative cover on current agricultural sites,
• incorporation or injection of residual solids on fields that have a high incidence of
flooding,
• maintenance of proper vegetative cover on more sloping areas with runoff potential,
and
• proper coordination between application events and crop harvesting.
Land application should provide an environmentally acceptable means of beneficial reuse
of the residuals provided all the parameters of the agronomist report and the requirements
of the permit are followed.
G
Melanie L. McKinney
Agronomist

CITY OF STATESVILLE
SOIL SCIENTIST CERTIFICATION
This is to certify that soil and site evaluations were conducted on the proposed application sites (listed
below) for the City of Statesville by Synagro South. The soil and site 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, location of residences, location of
wells and surface water features, identification of all required buffers areas, and generation of
application area maps. All auger borings included in this package were either perfonned by myself or
under my direct supervision.
Eric N. Th pson, L.S.S.
No. 1238
SITES
NC-AL-12 fields 1-4

Attachment Order 3-g
Cumulative Metal Loadings
*Please note that fields not included in this section have not
received residuals applications and therefore no cumulative
metal loading rate data is available.

10/24/03 CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF: 10/24/2003
*** The Cumulative metals for this report come from HISTORY records (i.e., a monthly report has been produced and the loadings have been archived to history.) ***
In cases where a trace metal was not tested or tracked the loading will be displayed as < 0.001
Date
St Co./Site Field Last Applied As Cd Cr Cu Pb Ham, MO Ni Se Zn
NC AL 00009 0002 Jan-02 0.046 0.079 0.885 5.039 1.876 0.008 0.080 0.565 0.036 7.230

10/24/03 CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF: 10/24/2003
*** The Cumulative metals for this report come from HISTORY records (i.e., a monthly report has been produced and the loadings have been archived to history.) ***
In cases where a trace metal was not tested or tracked the loading will be displayed as < 0.001
Date
St Co./Site Field Last Applied As Cd Cr Cu Pb Hg MO Ni Se Zn
NC AL 00009 0007 May-03 0.042 0.071 1.182 4.100 1.388 0.017 0.129 0.630 0.048 6.670

10/24/03 CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF: 10/24/2003
*** The Cumulative metals for this report come from HISTORY records (i.e., a monthly report has been produced and the loadings have been archived to history.) ***
In cases where a trace metal was not tested or tracked the loading will be displayed as < 0.001
Date
St Co./Site Field Last Applied As Cd Cr Cu Pb Ham. MO Ni Se Zn
NC AL 00009 0008 May-03 0.072 0.106 1.667 7.077 2.057 0.026 0.315 0.893 0.106 10.14

10/24/03 CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF: 10/24/2003
*** The Cumulative metals for this report come from HISTORY records (i.e., a monthly report has been produced and the loadings have been archived to history.) ***
In cases where a trace metal was not tested or tracked the loading will be displayed as < 0.001
Date
St Co./Site Field Last Applied As Cd Cr Cu Pb H. mil. MO Ni Se Zn
NC AL 00011 0001 Apr-01 0.536 0.155 2.044 8.657 1.781 0.048 0.552 1.228 0.221 10.71

10/24/03 CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF: 10/24/2003
*** The Cumulative metals for this report come from HISTORY records (i.e., a monthly report has been produced and the loadings have been archived to history.) ***
In cases where a trace metal was not tested or tracked the loading will be displayed as < 0.001
Date
St Co./Site Field Last Applied As Cd Cr Cu Pb Hq MO Ni Se Zn
NC AL 00011 0003 Apr-00 0.051 0.048 0.717 2.593 0.894 0.003 0.089 0.259 0.011 2.187

10/24/03 CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF: 10/24/2003
*** The Cumulative metals for this report come from HISTORY records (i.e., a monthly report has been produced and the loadings have been archived to history.) ***
In cases where a trace metal was not tested or tracked the loading will be displayed as < 0.001
Date
St Co./Site Field Last Applied As Cd Cr. Cu Pb Hg MO Ni Se Zn
NC AL 00011 0004 May-03 0.002 0.004 0.066 0.229 0.078 <0.001 0.007 0.035 0.003 0.373

SYNAGRO
A Residuals Management Company
December 10, 2003
Sue Homewood
Division of Water Quality
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Application Now.1NQQ_0�15247e' __W
Additional Information Request
City of Statesville
Dear Mrs. Homewood:
NC DEPT. OF ENVIRONMENT.
AND NATURAL RESOURCE$
MOORESVILLE r'77GIONAL OFFICE
gEC 1 52003
IVED
WNT-ER 0tJA11` qFrT"'
DEC 12 20
Non-DiSCM19epermittirn.
Please find enclosed three copies of the information requested in your December 9, 2003
Additional Information Request for the subject permit application package. The following item
is addressed.
1. A TCLP analysis for the Fourth Creek WWTP, dated October 31, 2003.
This item was not required as part of the permit application due to the Fourth Creek facility
meeting all of the criteria listed in the second item in section C on page 1 of 1 of the RSCA form.
This item states, in part, that lab data should not be included if land application has occurred in
the last three years. This raises some concerns about possible delays in the future if the Division
only has access to the last two years' annual reports.
If I can be of further assistance or if you need additional information please contact me
immediately.
Sincerely,
;_;41 �_ //-/
Jonathan E. Hill
Technical Services Director
Synagro Southeast, Inc.
6220-A Hackers Bend Court, Winston-Salem, NC 27103 • Ph: [phone] 0 Fax: [phone] • Toll Free: [phone]

j
1Lebanon
R
Mtt.. Juliet, TN
3 7122
ENVIRONMENTAL
1-800-767-5859
SCIENCE CORP
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
REPORT OF ANALYSIS
Mr. Jonathan Hill
October 31,2003
Synagro South Region
" 6220 A -=Hackers Bend Ct.
Winston-Salem, NC 27103
ESC, Sample
#.: 1,132128-01
Date Received October 23, 2003
Description Fourth Creek WWTP
Site ID
FOURTH CK WWTP
Sample ID FOURTH CREEK WWTP
Project #
50-2084
Collected By Eric Thompson
Collection Date 10/21/03 18:30
Parameter
Result Det. Limit
Units
Method
Date
Dil.
Corrosivity Non -Corrosive
9040A
10/25/03
1
Ignitability DNI
up to 170
Deg. F
D4982
10/27/03
1
PH
6.7
su
9045C
10/23/03
1
Reactive CN (SW846 7.3.3.2)
BDL 0.12
mg/kg
9012A
10/28/03
1
Reactive Sulf.(SW846 7.3.4.1).
BDL 25.
mg/kg
9030B
10/28/03
1
Cheli Boucher, ESC Representative
BDL - Below Detection Limit
Det. Limit - Estimated Quantitation Limit(EQL)
Laboratory Certification Numbers:
A2LA - 1461-01, AIHA - 100789, AL - 40660, CA - I-2327, CT- PH-0197, FL - E87487, GA -.923, IN - C-TN-01
KY - 90010, KYUST - 0016, NC - ENV375,DW21704, ND - R-140, SC-.84004, TN - 2006, VA - 00109, WV - 233
Note:
The reported analytical results relate only to the sample.submitted.
This report shall not be reproduced, except in full, -without the written approval from ESC.
Reported: 10/30/03 13:28 Printed: 10/31/03 15:36
Page 1 of 5

Lebanon R
Mtt.. 3 Juliet, TN 7122
ENVIRONMENTAL
1-800-76
i-5859
SCIENCE CORP.
Fax (615)
758-5859
Tax I.D.
62-0814289
Est. 1970
REPORT OF ANALYSIS
Mr. Jonathan Hill
October 31,2003
Synagro South Region
6220 A -Hackers Bend Ct.
Winston-Salem, NC 27103
ESC Sample
# L132128-02
Date Received October 23, 2003
Description Fourth Creek WWTP
Site ID
FOURTH CK
WWTP
Sample ID FOURTH CREEK WWTP
Project
50-2084
Collected By Eric Thompson
Collection Date 10/21/03 18:30
Parameter
Result
Det. Limit
Units
Reg. Limit
Method
Date
Dil
TCLP Extraction
-
1311
10/23/03
1
Mercury
BDL
0.0010
mg/l
0.20
7470A
10/25/03
1
Arsenic
BDL
0.050
mg/1
5.0
6010B
10/25/03
1
Barium
0.12
0.050
mg/1
100
6010B
10/25/03
1
Cadmium
BDL
0.050
mg/l
1.0
6010B
10/25/03
1
Chromium
BDL
0.050
mg/1
5.0
6010B
10/25/03
1
Lead
BDL
0.050
mg/1
5.0
6010B
10/25/03
1
Selenium
BDL
0.050
mg/l
1.0
601013
10/25/03
1
Silver
BDL
0.050
mg/1
5.0
6010B
10/25/03
1
TCLP ZHE Extraction
-
1311
10/23/03
1
TCLP Volatiles
Benzene
BDL
0.050
mg/1
0.50
8260B
10/25/03
1
Carbon tetrachloride
BDL
0.050
mg/1
0.50
8260B
10/25/03
1
Chlorobenzene
BDL
0.050
mg/1
100
8260B
10/25/03
1
Chloroform
BDL
0.050
mg/1
6.0
8260B
10/25/03
1
1,2-Dichloroethane
BDL
0.050
mg/1
0.50
8260B
10/25/03
1
1,1-Dichlorcethene
BDL
0.050
mg/1
0.70
8260B
10/25/03
1
2-Butanone (MEK)
BDL
2.5
mg/1
200
8260B
10/25/03
1
Tetrachloroethene
BDL
0.050
mg/1
0.70
8260B
10/25/03
1
Trichloroethene
BDL
0.050
mg/1
0.50
8260B
10/25/03
1
Vinyl chloride
BDL
0.050
mg/1
0.20
8260B
10/25/03
1
Surrogate Recovery
Dibromofluoromethane
93.
% Rec.
8260B
10/25/03
1
Toluene-d8
100
% Rec.
8260B
10/25/03
1
4-Bromofluorobenzene
110
% Rec.
8260B
10/25/03
1
TCLP Pesticides
Chlordane
BDL
0.0050
mg/1
0.030
8081A
10/28/03
1
Endrin
BDL
0.0050
mg/1
0.020
8081A
10/28/03
1
Heptachlor
BDL
0.0050
mg/1
0.0080
8081A
10/28/03
1
Lindane
BDL
0.0050
mg/1
0.40
8081A
10/28/03
1
Methoxychlor
BDL
0.0050
mg/1
10.
8081A
10/28/03
1
Toxaphene
BDL
0.010
mg/1
0.50
8081A
10/28/03
1
Surrogate Recovery
Decachlorobiphenyl
84.
% Rec.
8081A
10/28/03
1
Laboratory Certification Numbers:
A2LA - 1461-01, AIHA - 100789, AL - 40660, CA -
I-2327, CT-
PH-0197,
FL - E87487,
GA - 923,
IN - C-TN-01
KY - 90010, KYUST - 0016, NC - ENV375,DW21704,
ND - R-140,
SC - 84004,
TN - 2006,
VA - 00109, WV - 233
Page 2 of
5

ENVIRONMENTAL
SCIENCE CORP.
Mr. Jonathan Hill
Synagro South Region
6220 A -Hackers Bend Ct.
Winston-Salem, NC 27103
Date Received October 23, 2003
Description Fourth Creek WWTP
Sample ID
Collected By
Collection Date
FOURTH CREEK WWTP
Eric Thompson
10/21/03 18:30
12065 Lebanon Rd.
Mt. Juliet, TN 37122
[phone]
1-800-767-5859
Fax [phone]
Tax I.D. 62-0814289
Est. 1970
REPORT OF ANALYSIS
October 31,2003
ESC Sample # L132128-02
Site ID FOURTH CK WWTP
Project : 50-2084
Parameter
Result
Det. Limit
Units
Reg. Limit
Method
Date
Dil
Tetrachloro-m-xylene
78.
% Rec.
8081A
10/28/03
1
TCLP Herbicides
2,4,5-TP (Silvex)
BDL
0.0020
mg/l
1.0
8151A
10/29/03
1
2,4-D
BDL
0.0020
mg/l
10.
8151A
10/29/03
1
Surrogate Recovery
2,4-Dichlorophenyl Acetic Acid
69.
6 Rec.
8151A
10/29/03
1
TCLP Semi-Volatiles
1,4-Dichlorobenzene
BDL
0.10
mg/l
7.5
8270C
10/28/03
1
2,4-Dinitrotoluene
BDL
0.10
mg/l
0.13
8270C
10/28/03
1
Hexachlorobenzene
BDL
0.10
mg/l
0.13
8270C
10/28/03
1
Hexachloro-1,3-butadiene
BDL
0.10
mg/l
0.50
8270C
10/28/03
1
Hexachloroethane
BDL
0.10
mg/l
3.0
8270C
10/28/03
1
Nitrobenzene
BDL
0.10
mg/l
2.0
8270C
10/28/03
1
Pyridine
BDL
0.10
mg/l
5.0
8270C
10/28/03
1
m&p-Cresol
BDL
0.10
mg/l
400
8270C
10/28/03
1
o-Cresol
BDL
0.10
mg/l
200
8270C
10/28/03
1
Pentachlorophenol
BDL
0.10
mg/l
100
8270C
10/28/03
1
2,4,5-Trichlorophenol
BDL
0.10
mg/l
400
8270C
10/28/03
1
2,4,6-Trichlorophenol
BDL
0.10
mg/l
2.0
8270C
10/28/03
1
Surrogate Recovery
Nitrobenzene-d5
62.
o Rec.
8270C
10/28/03
1
2-Fluorobiphenyl
67.
o Rec.
8270C
10/28/03
1
p-Terphenyl-d14
86.
% Rec.
8270C
10/28/03
1
Phenol-d5
50.
% Rec.
8270C
10/28/03
1
2-Fluorophenol
50.
6 Rec.
8270C
10/28/03
1
2,4,6-Tribromophenol
58.
s Rec.
8270C
10/28/03
1
yle`
Cheli Boucher, ESC Representative
BDL - Below Detection Limit
Det. Limit - Estimated Quantitation Limit(EQL)
Laboratory Certification. Numbers:
A2LA - 1461-01, AIHA - 100789, AL - 40660, CA - I-2327, CT- PH-0197, FL - E87487, GA - 923, IN - C-TN-01
KY - 90010, KYUST - 0016, NC - ENV375,DW21704, ND - R-140, SC - 84004, TN - 2006, VA - 00109, WV - 233
Note:
The reported analytical results relate only to the sample submitted.
This report shall not be reproduced, except in full, without the written approval from ESC.
Reported: 10/30/03 13:28 Printed: 10/31/03 15:36
Page 3 of 5

Attachment A
List of Analytes with QC Qualifiers
Sample # Analyte
Qualifier
L132128-02 2-Butanone (MEK)
J3
1,4-Dichlorobenzene
J3
Hexachloro-1,3-butadiene
J3
Hexachloroethane
J3
Nitrobenzene
J3
Pyridine
J3
m&p-Cresol
J3
o-Cresol
J3
2,4,5-Trichlorophenol
J4
2,4,6-Trichlorophenol
J3
Lead
J4
Selenium
J4
Silver
J4
Page 4 of 5

Attachment B
Explanation of QC Qualifier Codes
Qualifier Meaning
J3 The associated batch QC was outside the established quality control range
for precision.
J4 The associated batch QC was outside the established quality control range
for accuracy.
Qualifier Report Information
ESC utilizes sample and result qualifiers as set forth by the EPA Contract Laboratory Program and
as required by most certifying bodies including NELAC. In addition to the EPA qualifiers adopted
by ESC, we have implemented ESC qualifiers to provide more information pertaining to our analytical
results. Each qualifier is designated in the qualifier explanation as either EPA or ESC.
Data qualifiers are intended to provide the ESC client with more detailed information concerning
the potential bias of reported data. Because of the wide range of constituents and variety of
matrices incorporated by most EPA methods,it is common for some compounds to fall outside of
established ranges. These exceptions are evaluated and all reported data is valid and useable
unless qualified as 'R' (Rejected).
Definitions
Accuracy - The relationship of the observed value of a known sample to the
true value of a known sample. Represented by percent recovery and
relevant to samples such as: control samples, matrix spike recoveries,
surrogate recoveries, etc.
Precision - The agreement between a set of samples or between duplicate samples.
Relates to how close together the results are and is represented by
Relative Percent Differrence.
Surrogate - Organic compounds that are similar in chemical composition, extraction,
and chromatography to analytes of interest. The surrogates are used to
determine the probable response of the group of analytes that are chem-
ically related to the surrogate compound. Surrogates are added to the
sample and carried through all stages of preparation and analyses.
Control Limits
2-Fluorophenol 31-119 Nitrobenzene-d5 43-118 Dibromfluoromethane 79-126 83-119
Phenol-d5 12-134 2-Fluorobiphenyl 45-128 Toluene-d8 81-114 82-116
2,4,6-Tribromophenol 51-141 Terphenyl-d14 43-137 4-Bromofluorobenzene 65-129 72-126
TIC - Tentatively Identified Compound: Compounds detected in samples that are
not target compounds, internal standards, system monitoring compounds,
or surrogates.
Page 5 of 5

Alternate billing information: Anal sls/Container/Preservative Chain of Custod
S na ro South Region �`A64 �Vufy s Page J- of
y
6220 A -Hackers Bend Ct. S �;-7 -L,JEs
Winston-Salem NC 27103 3_3 7�SS{ k Prepared by:
ENVIRONMENTAL
� I
-7 -moo
Report to: 6t �1G�t , h• I' Email: SCIENCE CORP.
�y r @synagro.corn I
roject t D�r-f� icy/State -- ;i iii f 1 12065 Lebanon Road
Description: ILri", �� �- Lni� V 1 Collected
V `�itL L aIG Mt. Juliet, TN 37122
"1
Client Project #: Lab Project # a r a Phone [phone]
hone: [phone] t
AX: [phone] i�""� Yj FAX [phone]
AMSCO-TCLP
ollecte�b (print): Site/Facility ID#: P O : Z
; �#
ollected by (signature): Rush? ( Lab MUST Be Notified) Date Results Needed
((I ,,� � � � � x ' i CoCode AMSCO (lab usexonly)
_Same Day..................200% x ti I Template/PreloguiT9 45
o t
_Next Day ................. 100% `I i ;Cooler #
Email? —No X Yes No ,U
/ Two Da 50%
y " ' JJ
Packed on Ice N Y t/ — FAX? No Yes op s W x i s` t c' y ;Shy ed Via r
,�; I PP rkedEX.Ground
Sample ID Comp/Grab Matrix' Depth Date Tin;r; Cntrs
4
Remarks/Contaminant Sample # lab only)
-oc•t �eert,)<�1T1' Cr,mp W —, is �3 ) o3G , y
.Or"ek LA'07P Co t)A w "94v 1° I o
'A4atrix: SS - Soil GW - Groundwater WW - WasteWater DW - Drinking Water OT - Other j pH Temp
Remarks: > > C, �i1. Paz °�-( j, f7�
��7-E—y{-'�- ��j-- � y 1 Flow_ Other
NIL,N1c�J� i anti/� PtJ��c��S�
Relinquished by: (Signature) Date: j Time: Received by: (Signature) Samples returned via: LJ UPS Condthon ,(lab use only)
3 ❑ FedEx❑Courier ❑
Relinquished by* (Signatuppj Date: Time: Received by (tgrtdtu;�) Temp Bottles Received h 1( J,�
"- 3 li
err' �' .', �^ � + L-' ✓ �
Relinquishedty. (5ign�atrixp) Date: Time: eceived forlab by ( atw r Date Time pH Checked x NCF
s'/.0 Lam. - x