WQ0006906_Regional Office Historical File Pre 2018 (4)

PAT MCCRORY
%. Govemor
DONALD R. VAN PER VAART
M Secretary
Water Resources
.ENVIRONMENTALQUACITY - S. JAY ZIMMERMAN
Director
April 6, 2016
DAVID ODOM —:TOWN MANAGER
TOWN OF TAYLORSVILLE
204 MAIN AVENCE.DRIVE
TAYLORSVILLE, NORTH CAROLINA 28681
Subject: Permit No: WQ000006906
Town of Taylorsville RLAP
Land Application of Class B
Residuals (Non -Dedicated)
Alexander County
Dear Mr. Odom:
In accordance with your permit major modification and renewal request received January 8, 2015,
and subsequent additional information received February 11, 2016 and March 14, 2016, we are forwarding
herewith Permit No. WQ000.006906 dated April 6, 2016, to Town of Taylorsville for the continued
operation,of the subject residuals management program. Please note that this renewed permit shall become
effective on July 1, 2016 (i.e. the day after the expiration date of the existing permit).
Modifications to the subject permitare as follows:
1. . Addition of 7.0 acres in Alexander County (Field CP 1).
2. Adjustment of buffer boundaries and acreages of existing fields.
3: Increase in the amount of residuals processed from 150 tons/year to 300 tons/year at the
Taylorsville WWTP.
This permit shall be effective from July 1, .2016 until June 30, 2021, shall void Permit No.
WQ000006906 issued March 23, 2015, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A and B or
they may differ from the previous permit issuance. Failure to establish an adequate system for collecting
and maintaining the required operational. information shall result in future compliance problems.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, NC27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919,807 6464

The Compliance Boundary is established either 250 feet from the perimeter of the residuals application area or 50 feet within
the property boundary, whichever is closer. The Review Boundary is established midway between the Compliance Boundary
c•ti and the perimeter of the residuals appllcation_area
-^—
e.IL
n
,5 1, V1.Ct M MIt
S
F r Field 08-02
r
.� # -- •����',�; • � s z has ;:_e° ,t I r
It � 4` C.,�,- Z. i . � �-•yk,,'T� �r�.h . 7 . { {
- Buffers
Property Line (501�
" Perennial Stream �100')
House 400')
Well (100')
x 4 Legend
-' Propery Line
Field Boundary o Well
Perennial Stream] House
t= Surface Water
Unused Area
leentlour, Owen: Buffer Map N
ParcelTexan: rCoun7 Figure 1
Alexander County, PVC w e
0 375 750 1.500 Feet a
' i- I Produced:Octobar.2016
35.8758 •81.0994 North Carolina State lane, NA083 Shaffer Soil Services CLC

g « ',.�a
@.
461
hAL
Ilk
1
R11 ,v.Ia��
Property Line (50'
Perennial Stream
,x
(100')
House (400')
Well
,L
(1000 )
r
Legend
�, t Y•i
— ' Propery Line
.14
Fiefd Boundary p Well
Perennial Stream House
The Compliance Boundary is established either 250 feet from the perimeter of the residuals application area or 50 feet within
��_ Surface Water
the property boundary, whichever is closer_ The Review Boundary is established midway between the Compliance Boundary
® Unused Area
and the perimeter of the residuals application area
ap,
aannon Matthew- Buffers Map —
Pa
Alexander County, NC 0 250 500
I I i L I I
µ
1,000 Feet Figure 2
" I
L
North Carelma State lane NAD83
Produced.October.'2015
Shaffer Soil Services, LLC

} The Compliance Boundary is established either 250 feet from the perimeter of the residuals application area or 50 feet within
the property boundary, whichever is closer. The Review Boundary is established midway between the Compliance Boundary
and the perimeter of the residuals application area.
Al
gr`� :.�. .
^ B -
i�,,4 '�•t v
k
p Fuld 2
r
9.3 acres
Fiel 1
23.4 cres
1
i
F
t ✓
Buffers
[� Property Line (50')
j Perennial Stream (100')'
(� Surface Water (100')
House (1001).
House (400')
Legend
�— Proper y Line
-- Field Boundary O Well
Perennial Stream 0 House;
d -;
�b
i Surface Water-isic- F��e�
Unused Area
u
lC OneMap aNC'Center for Geogrt�p Iq, nform on and.A;:
Bbard
Land Application: Hendren, Clyde Leverne
PIN:3769308303
Alexander County, NC 0 250
w
Soo 1,000 FeetFi90 gur e 3 ,
-81.1484 Nort C
Produced: ce20c35,9026,
aane Shat servisn

The Compliance Boundary is established either 250 feet from the perimeter of the residuals application area or 50 feet within
the property boundary, whichever is closer The Review Boundary is established midway between the Compliance Boundary
and the perimeter of the residuals application area.
Rd.
Jet J.
r � -
_p
Xs :r
Q x7 -
x5
x �t2�
7.0 acres
�'f 4 Buffers
IZ
Property Line (50'
Perennial Stream 000')
'r r Intermittent Stream (25 )
r House 100
House 400')
Well 100
Logend _
Propery Une Unused Area .
Field Boundary O Well
Perennial Strearn L. House
fntermittentl Stream x. Soil Bore
Price, Carol: Buffer Map - — --
Parcel: 0009501 y�
0 125 250 560 Feet �1re 4 ;
36.905, -81 1532 L-----A------ ' L1 1 July 2015
afarandarCouniV. NC North Carolina Stateplane, NAD83 Shaffer Soll Services. Inc.

FiLE
Wit�r Resources':
V-4.ViR'64MENTAL 6uALify
April 6,-2016:
' 'OWN , � NAMk
DAVMOWNI."T ' MA
TOWN 6F TAYLXRSVI -LE
204 MAINAVE_NVF1
T-AY­i.ok8V1i,jLE, NORTH CAROLINA 28681
bbar'M't. Odkift;
TO` M. C, W R_ Y
GO ve- r_n­or
PPNALD'1�. VAN DER. :VAART
Secretary
5. -SAY VMMEIAMAN
'Subject j:
TQw.A.,Qf Toyllorsvill6-RLAP.
Land Applicationr Of Class B'
Residuals -' Dedicated)'
Alexander.Count Y
.In�accordance with your and rene.w.al�:requesf�received"lanuaF.y-"S, 21015
ariil,sAs ­ .. _. , . .� March. 14 � 7 1 v
,Jnfprrq pp�o*vqd Fc�brua an&: are f6tward-iog, _ry _0 16 we
herewiih,Perr,'aitNa�'W..QO00006906 dated Apfil,6, 2016,46.Town OfTayforsVil1e. for the ;continued
.operation:6 the SAO residuals mAnaPmetit pxqgrarp_ Please -note ihai this renewed pen-nif shall become
0.0. the ayafter at OafO f the existing perin
4
-
Moifcations
io,r the.sqbject perpiit,are as fojows;- -
1. Addfiibii.6f7.'O'acres iiiAlexander C6uAty,(Fi6ldCpl)-
'i; A-djusiment of buMr -b.o,un'darfes.and::acreages -6f-.existi.nafi6lds.
3:, IncricaseAft, the, aftioikit;6f, residuals pracesse i, ftni the
T_aylorsvilleFVVW'rP-.,
This, 'Oeffiiitshall be: 6ffective'.fthi Jul 4, 20,16 unfit June. 3.9, .202:1, shall 'void 'Pein-nit. Nb.-
,"0600,06-00.6,issued -'March .-2-31,2,015, and: shall be: s0jectAoAhe�qonditims and limitafilOns, as specified,
�tpdd
therein. Plieft"S'd pay part ipb &"A listed"ii AttacluAetits,;A, and ]E� pt 00, t 0040oring mquirOftipnts It
lheymay,.dimr.
:.,fon-th-e,pTeviousp-erm- it issuance., Tdilure, to.,.establish- in adequate, .­sysrtem.for..ocollecting
Mdnahitaining t-he-re ired operationalirformAtionshdlttesult in:future compliance pobl6ng
If'-any parts,,.xequirements or-linfit4ti6ris contained intYspermit: ,are ,-unaccept:dble5 the Nrnuttee
followingreceipt;-ofhasAhe Iri - t to request ana�4 cgp-r-y.1 uppq wq, eAjqqqost'within 30 days `right
h.
'it., Tils,request" O.m -he-, ftfi. th North
this -permit pehn -'s all"b" "'t i'.f6 oiwritteil Petition cobf1b, rrmn�,,,
.P _o, ap. er, 0 :� e
:Carolina., General Statutes and. filed" wiih the
,,Offce-,6f,Admin, tis,t,rative--,Hearihgs,,a­
t 6714 MalloService.
Center, Raleigh, NQ,2769 nlo�s$qph,dMawd pOpi is permit it�lwlinding
8i fe_of,Rorth b2rbftna I Envtronine6W Quali . ty] ._Water. . Resources . I I j , Water - Quality 'P"t"'g'(Non Dtsci a7. ge . Benno*
I
1"617'
e NprthC"R 6il' cecqpter, �W ig-b�
919'30T6464

4
Mn David OM"i
April„6,;,2Q16
Page,21of 2
lfyou-need additional information.concemingthis.perin t; please contact TroyDoBy.at;(g1.9) .867
6336 or troX.dobyAncdenr:t4ov,
5incerPll�y,
S:.Jay Zimmerman? P;G:, Dired tor..
Division. of Water -Resources
cce Alexander Coung Health Department (El c' ongic Copy -
Moores le Re tonal Office ,Water u (i Re tonal py)rations Section:(Electronic::Capy)
Zach.K;e Southem oil.Builders .Inc. Electronic Co
Beth Buffington Protection and E'nforcementBranah (0cCtror is Copy)
17igital Permit Archive. (Electronic Copy)
Gentral.,Ples .

NORTH-CAROLINA.
ENVIRONMENTALMAX80EXENT COATI US-SION
WAAT-Mg
$t of ENVIgONMENTAL,QUALrrY.
RALEIGH
LAND AppLjcAT� 0 CLASS B RESIDUALSTERMrr (NON -DEDICATED)
In. acC6rdauce._with the D-r, -sons qfAAi6 `21 of ChaPferGeneral 143, Statut6s,6fN CarbliMfas
amended, and.other.ap ficable Law Rules; and
PE"' I $'SION"IS":HEREBYGRA,NTED-TO,
Town of
Alexander County
FOkJ,HE:
continued operation oft, residudIsmanagementprogah for Town .o f TayIorsville-anconsisting of the
land 4pplicaiion- of Cla§s,B, ,residuals grerat �y the. app roved, facilities listed yin: Affachrrid tf nQ ;i 'ge :o wastes to :sufface waters, pursuant. to- the
Approved sites li4ed.in';Attachmehi B with: dikh,t-­.f
application :i� spbsequent-additiondlinf6rfii on
2016� 'information f6e6,iVJ&,d 6 -Division. of
'ithib tingdatAs equen#yMedand,approved by the
I Resources; .and coffofftfity. v Water; s4ppo ubs
Department dfE romnental.'Q'uality and considered apart ffthis,pdt-mit. The i&641id dispdsatofresiduals
.
are regulated :under Title 40.;Code of ...... Federal legulgfigns.Part'501. 'This., permit does; not exempt ;the
, ,
P.qrMittee from, complying viththe federal: regulations..
261,0, until June A,2021, 9ha1l,void.PeftnhN4,. WQ
Thisponnit.slid1l4doff�cOv fronfju�,fk�-. 0000,00996
i , gpeeil March 25i201-5,and shall be`gubjjecttb the following specified conditions and -limitations:
f. 'SCHEDULES
1., No, Iat.erthan.sJrc nonths,ptibrto the ekpkdti6n<oIhis-Petnut,.Oe PeTnittO shattr6(mesCrenewalOf-
f'ihe request,, will rdv b:
-this., perinit- bmOfficidlDivisfibu fb,rals.- 'Up.oA,recelpf 0 st, iheDivisibifw, ieVv 1h
-6 ,facilities.described therein, w he:p,�t,-mitfgrs�u6h.period..,of
adequacy f-the, . re, n,;�kn ..if warranted,
time 'and under such conditions and limitations as, it may, deeith, appropriate_: Pledso note. "Rule 15A,
XC-,kC,".02T.',O,I-.0.5(d)-,k,64uii.ds 4,qdatpdsite Moto be submittedwithlihe,ponnitrenewdl.'ap- cation..
�pli
L.0 N�C.02T:;'61,08(b)
A _(2),.02T,.01Q5(d),,02T; 091
nry, Z,
d ,p
or surfkewater, at all tiines,so:,
, ,
there is no discharge. to 'surface; waters; nor any 'c'oiliraveiftibn, of groundwater.
standards. In tIhe eventihe facilities, -TO a perfornsad 66WIi joclu4ng the of
pr lqngO
nuisnce d6nditidng ,
due to iMpropor operation and.maintenance-.1h ePerniit�6e,Shdll�iiiiinediaiely'ce se,
1drid qppjym'g, residuals to 1he,sft&,, c16ntd&Vthe Mooresville yeg q office ��sppe - A r, and take :any
unino4jate dojTe:ctiv,e actions: [Q.S�i 43-2 15-41
WQPO,06*Version 0 Shell Version 15,1201 Page 1 of 12.

2'.- This permit shall not relieve
the,pprmittpe Of responAility for damages: to
groundwater' or surface;
water .'reg0jog frorii the operationofthis'residuals management .program A
02L.01001
3. 04Iyf,&sidbdl&gdhbfatW by the facilities listed in Aitachment Aare, approved for land 'application
,accordance with ihispermif, fGS;143-Z-1-5,11]
,4. Only the sites HOW in AttholuitefitBaro approved for residual' land 11. a& ti. s ap C-11O.",
pro p
5. 'Pollutant -concentrations ' in '- residuals applied to land application sites listed in Attachment 13' shall.,noi
.exceed the following d weight basi' or Cumulative Pomat ht
_oWi49- �QOM,fig Concentri'aitions i.e.,, dry S)-
Loading Rates (.CPIAU):
Pararnefer
Ceiling Coh6entrItti6h'
*111—PM$ Pee kilo aM
)
CPLR.
.oundser acre
p).
Arsenio:
7-5,
3.6
C.adihihTh.
85"
34
Copper
4,3 60
338
Lead
840
167
Mercury
.51
15
Mb bdenum
IY
'75
Nickel
420
374
'Selenium
1.00
89
ziho;
7,500'-
The Permittees'hadl determine compliance 'with -the CPQZs using One ofth-following methods:
1. le all
c lAtiYb A, of pollutants, using,, actual -analytical data from 11;
historical. land application events of residuals, or
b; For land where residtfal§applidatidti have not ocd 6r-fbr Whiclithe required data is incomplete,
by d6terminnig liackground concentrations through representative s 'if o.saxoplifig.
(I 5A X(ACI-OiT . 11#51
& Residuals; that'afe land, applied, shall. meet Class Rpathogen reduction Too u-ir-emd At9 ift'l 5A NCAC, 02T
-shall- a NCAC, I
.1.106(a)and (6) ]�Nctiifqtls,,i;p,-fh,is,,,requirefficht bo,& specified in -A [15ANiCA�,O-IT
7., "Bi6logicafresiduals, (i.e. residuals generated during; the treatmentc ,bf domestic or aiiimal.,proce'ssing
'
wastewater, qt-tficl biological ;treatment: of -industrial was
tewater; as identified. n Attd.dhrlrid4t,A)
ilie& '11, meet one of -the vector� attia onreiductibn:-aliOn' ' ifi15ANCACUT
that -are � land app sha
atives
l 102(a) Exceptions to isj.jrequirement shall.W specified d in Attachment.A. 115A NCAC 02-T -J'107]
WO'0'r 06§66�'. �4on4k �$IIPIIfsld Vdji,1-1 201
, ­� L -I - I - -.. --51- :Page 2 olf-,1121

8, Seibacksfor Class'B land,application. sites shall be; as follows:,
�Setback by' "application "typb,
Vehicular'irr
.iOlio;l
injeai&n t
Setback 1P on-
Surface
Surface
.
hieprporation
pP
Application
Habitableyresidence otplaceof -public assembly
para,e o , rship, br'hot t- e--, a amea as.400
,
part of the ,projedt site.
;Habitabler residence -1 "0 -2ssornblv
pAce or p. Acps , fpubli.d
.Owned by ihePermittoc, the :owner of;the lando ''the -
0
200
0.
lessee/operator of the land to be� maintained as -part
of the. Pt_LctAito
Property lines
;50
150
SO:
Public :right of way
50
50
50;
Private or public -water supply
100
100
100.
p,w,4tars,(streams ;,—.,intermittent :,4n :pe, ial,
1t10
50
perennial Wdterbbdieg, and wetlands).00
Surface; Water diversions (ephemeral streams..
25
waterways; ditches.'
Groundwater I, qw,,.q,ring--difches,(wfiere the bottom of
25
100
25
the, ditch, intersects the-SHW'T).
Subsurffice groundwater lowering system
100
0'
Wellst -W 11'9-
ion, o, mom orifig.,'
1:001,
1 09i
Bedrock outcrops
.25
25.
'25
Top of,916 f b � kfti' t- f of -slope p,vm. an-, -en,.s or cuts 0 tWd.fdefort
15
15-1
115
more in: iverticatheight
Buij0g"fOimd4tip#s ,or bascrqeqts
0'
Water- lin-
10
O
Swimming pools
_
100:
Nitrification fields-.
20
and prpva fro'd in­theWater JQuality al Operations Setfidd. of the appropy . iate xq&nal office in Attachment B".ofthis .permit.
[15AN,JC-ACO2T'.­1IQ8]
9. Land-applicationareas-shallbe QlearlY�marked on each site -prior to and.dur-ing,quy- residuals application
:Odht. .[15A,!iCAC--'02T:;.Q108(b)(9]
'Vage:'� of 12 WO 0O6_066^Version4,O' Sh&Version"151261,

10; Bulk residual,s= and other sources of - Plant Available Nitrogen (PAN) shall notbeapplied in exceedance:
bf'agr-oftomic, rates., Appropriate agronomic rates, shall be- calculated. using expe�ztqd iji . gen
, .4 1 ­ .11 1 . calculated. .1 using . .40
requirements based,,on the determined Realistic Yi6ld'Expectations (RYE).using
�kyv, ng any of the4ollo
m6thods: wing,
a. Division's pre -approved site ,specific 'historical data for specifi
c iccrop or soil types._by
ea''I
calculating
the mean of the; best threo-.ytejdsvf the last fiV consecutive: crop -harvests for each field.
b. North Ca'r'o-tifiaHist6fi'c'.al'Dataf6r specific crop -and -soil types aszorovided by North Carolina State
University Departiment.of Soil Science (hML//ntitrients.'goil.nd'su.6du/` -index A copy-yi6lds/
shall b&keptoh file dodr6priftted.,ever'y, ' fi ive,years inaccordancewith Condition, IV.5.
c. If the RYE cannot be determined using methods ,(6'),or (b) iibbve; the Periji-tti
i ee may use the RYE
and appropriate, , nutrient app
lication reported ortod-.ih,.any-ofthe:,,followihg,,docume.nts:
i, Crop management plan as -.0 uilined 'by the local Cooperative: Extension. Office; the North
Carolina. o Department f Agriculture and, Consumer Services,. the Natural- Resource
.
Conservation SprViod, or other agronomist.
if, Waste 'Utilization Plan as outlined by the Senate Bill 1217 Tritptagehley Guidance
Document:, Chapter 1.
(bl!p://,www-.ncagr.gov/SWC/tech/documents/9th Guidancg;'Ijod. 1001,92.pdf
ui; Peothed Nutrient Management Plan; As outlined -by the Natural Resources Conservation
Services (MRCS,). 'These plans, must meet -the US
DA NRCS 599 Nqtfieiit Management
Standairds (ftt):/ff( &.sc.ejov.usja.goy/N*H'_ - /pract-9 ice tandards/staiidards/`590.pdf),
A. 1the .RYE ,And appropriate I I nutrient application,ratescannot be determinedi the.Permittee shall
contai6tthe Division to detennine'nee.c.�,ssEiryaction.:
I 5A NCAQ:02T , I 11Q9(b)(I)(k)1
M When residuals are-Jand applied tolgrazed pasture- bay crop realistic nitrogen rate shall be.re duced by
25%'ift-N , accordance with the USDA .590 Nutrient Managemerit'St . andards., tt5A R-.',Q'AC'Ott
.0108(b
12. If landapplication sites at6to be ovdr-seeded or.dduble-cropped (e.g. ,,bermuda grass in the summer
and.. `-rye-grass_ in the winter with ;b6thcrops. to ,receive residuals), then" an-,
th , s�e n crop can receive
.an-,
, co_d
application of PAN at a ratenot to exceed 50 pounds
per acre per yeat, (lbs/-ad/yr). This practice may.
be:WloWed as [brig as th6spcond drop i§'tO:be harvested or gazed. If the..secon I d crop is _io;be plant
for erosionzontr6tonly, and is to be-filled,into the soil, then no,. additional PAN be a 5
_sfiaii , applied. I A.
NCAC. 02T_.0-1169(b)(I)j
13, Prior landApplication;of -residualscontaining,,-a,sodiu-tn.adsorptlo.n ratio (SAR),6f 4,0bi% higher, 'the
'Permittee- shall obtain and implement recommendations: fromat.] following:
cast,Oiie of the followi ;-the-local
Coopetative, Extefisioft, Office.;,, the Department of Agriculture. and Consumer Services; ;the Natural
Resource Conservation Service -,-a Nort}i Carolina Licensed' Soil. Scientist; of"aft aAton6misi. The
reed dh btis 8hAllad&e§9rthd §di
0 lum.appicat on
' Ii i ' rate, soil. amendments (e.g, gypsutn,.etc,), or'A
mec ani'sm, for maintainingsite; integrity and conditions,conduciv, e- taa p&-,h. Th 0 - ovyt ePei-mitte6 shall
maintain
niaiii written records of ' these-'rdc�ohiifteiidatiojig'aiidddtdils6ft'h'eir'-iniplement�ation. [15ANCI­
02TAM(b)(J)
VN0606966 Version.44, rs
ye tfl,:ZQ! Page.4 of 12

14, These residuals ;land application. sites were 'individually permitted on or after December 3.0, 19$3;
thdref6ob, the, compliance. boundary, is .established at either. 250:feet.from. the,.residual land application
area, or 50 feetwithinthe- propertybound tr
y,; try, whichever" Iclo§est.tp the residuall d S _an app
lication area.
Afi,:expeQdance' of groundwater standards '.at.. ;or beyo
nd `the. complianc!a 'boundary is' subject to
x6inediAtion action according to 15A. NCAC 021 .0106(d)(2) as well -as �enforcexneni actions.- in
accordance with North Carolfria. General, Statute I . , 6A, through 143-215 6G Any ,ap
proved.
'relocation of the COMPLIANCE BOUNDARY 'will be, noted :in Attachment B. [15ANCACO2L
15. The -review bou'ndty­8h6ll be established ifildway''betWeen the ibompliance-b- undary,and,the residual
land,application area. Any exceedance of groundwater standards at -the review boundary shall require
accordance [l,5ANCAC_,02L..0l,081
.action in _T4
M. OPERATION AND MAINTENANCE RWUMEARNTS
1. :A6- residuals. managdinent -program shall. be properly'niainta-ml'cd and operated at all times. The
Program. shall` be effOdtively maintained' and operated as a non discharge: systein I to prevent, any
s
cotiiravept!.pq,or.-,suffaco'watetptgroundwater. st,in-da't,.Id U5ANCACI,2TIJ1J01
2, The: `Mooresville. Regiondl Office, , -A IePhone. number (7I041) '68-t1'699, and the appropriate 'local
government o ,ffici4l'(Le.'d ' ' ' ­ I -
pOnty niqp�ge '6 iy triana. ir shall be notified .At.1past 48
hodis p ribrA6 the ., ihiti;ilfesiduaN land applicati6ftto. Any new land application site. Niotificatiodio the
xegional supervisor shallbe made from 8OO;a.m-.;unfil 5.06p.m. o, .'IVfoiday'ihrough VriMay, excluding
ding
State Holidays. (BA
,N C AC 02Y,
I The'Mooresville Regional Office shall bemolified,,via email or telephone,-7 �03 99, at least 2­4, ,(,,.Q4) 46_ - .-I -
-hours prior ,toconducting an,yajar id..applicatioftac�tivitv. Such notification shall indicate, ata,mimmum;
the anficip'41eid application� ti. "times, field'IDs,,and'46cation of"land-appticafibn.E!cii,�i.iie,5. if it:6come§ ,
pecessary to ,apply toadditional-iieldsdue,io unforeseen events, the Regional Office shalfbe, notified
prior ,tocommencing,.theapplication .tothose fi6l.ds'., [15ANCACO2T.0108.(b)(1)].
4. The Nrtnie6e -shall maintain an approvedOperaionand Maintenance,�Plan(O&M Modifications ,-�1­1 - )O
DiviI- P46rlw , i'Oha, The -O&M Plan�
;to the 04M.Man e­, approved byth& sion utilization of the new
at the m_i6itnum,,shalI-inclua&-
q, 'Opqratipriaf Puftcti6ns.,
b. Maintenance.s6hedules;
C. Safety mpa5u ;
A Spill response plan;
-e. Inspectio6 plan including following infortmition: in-c
L. Name's.'aiid/6ttitle§,6fpers'onnel.,res-'ponsiblefbr.condue.iiiig,'theinspections;
-Ij Frequen n of insvedions,. Includ e; to be, - conducted_ , and .
iqg� tholq WO_ by QRC
procedures to, assure. that, the, selected locailoh('s). and inspection frequency are represeniative,
of the'residuals management prqgram;
'iii 11 D" ta-I'd description f 't" d hdi 'e'c' 'd k g and. actions to'be� taken
Q,p. i, p, �_esprip ion-.0, insp-.0c, ion,projx�, ures inc U ingr ­ or - eepm
by the inspector the P observed':,pursuant to -the non"
pector in e event-that.;noncompliance 'liance is: observe qmpliance
g ,iiotification.requirementsItWddtthemohitdfln* ''d ati....reporting.,
Sampling and momtor'ihg:plan_ihchIdift9theg
fdllowin in. formation:
. �
11 9 i
'��s,ap4l tjf!09,�_ per$otMd­­ sOmding, ,'an.Jhoh
g;
i 1 Detai led, description of.mor itoring procedures including parameters 10-be monitored-
tsi6n 4.0: A.. iuv
t , j
Or* il_15 ... Page 5.'of-42

i. Sampling frequeiicy and procedures to assure that representative samples are being collected.
Fluctuation in temperature,.flow, and other operating conditions can affect,the.quality Of the
gathered. .
residuals. during a particular sampling event. The sampling plan.shall.account �for any
foreseen fluctuations in residuals quality and 'indicate -lie most limitiiig,tiines for ,residuals to
meet pathogen and" vector; attraction. reduction requirements. (e,g. facilities that land apply
multiple times per year but have an annual sampling frequency, may, need °to. sample during
winter months when pathogen reduction is most likely to. be. ,negatively affected by cold
temperatures):
[1,5A NCAC 02T .11001
5. Upon the Water Pollution Control System" Operators Certficafioi Connmission.'s (WPCSOCC)
classification.of the facility,"the Permittee�shall'designate and employ a certified operator'inresponsible
charge (O'RC)'and one or more certified "operators_as back-up ORCs, in a"ccordance With. lSA NCAC
OSG ,0201. The. ORC or his back-up shall visit the, facilities: in. accordance with. l"SA NCAC 08G: ,0204,
or as specified in the most recently approved O&M plan:(i.e,., see Condition III:. 4;),, and shall comply
with all other conditions of 15A NCAC 08G_ ON. Poi more, informationregarding classification.and
designation'requirements, p_lea'se contact the,-DivWon, of Water itesources' .Protection and Enforcem_erit
Branch -at (919)'707-9105'. ['15A NCAC 02T.0.A1]
6. When the, Reririitteeaand, applies bulk residuals, a.copyof this permit and a copy•of"O&M Plan shall be
:.
maintained at the land application sites durin& land application activities. [15A. NCAC 02T
ntned in.allttee "transports" or land applies b
maraiulk residuals,, the, spill 'control provisions shall be
7. ni e: Perm residuals transport and::application,vehicles. [15ANC,AC .02T .11,10]
81. Residuals shall not: be storedat any `land application. site, unless written approval 495,"been requested
and received from theg Division.: ,[G S:: 143-2I5A]
19. When the,°P&nnittee land applies bulk residuals, _adequate measures shall' be taken to `prevent, wind
erosion and" surface ,runoff from conveying." residuals from the, land application, sites: onto adjacent
properties or into st rface; waters: rG:S,143 215.1 ],
10, When the. Permitiee.land applies bulk. residuals,,a suitable vegetative :cover. shall be maintained on land
application sites onto which. residuals are ap'pli"ed, or applications shall be in"accordance °with he crop
management plan outlined by the local Cooperative Extension Office; the Department of.Agriculture:
and�,Consumer Services, the Natural .RQsource..Conservation Service; or an, agronomist and as"approved
by" 6-Division. [15A NCAC 02T .1109(b)(1)]'
1,1: Bulk residuals shall not be'land applied,.. under the,foll'owing conditions:
a. If the residuals`are likely -to adversely affect athreatened or endangered species listed under section
4 of the Endangered Species Act or its designated critical _habitat'
b.. If the ;application causes prolonged. nuisance conditions;
c . Ifthe l'and:fails to" assimilate the bulk 'residuals or the application causes the cot trWentioi of surface
water_or groundwater standards;.
d:. If the land: is flooded;, frozen or "snow=covered;, or -is otherwise. in .a condition such,thai runoff'of the
residuals would occur;,
e: Within'the:100-year: flood elevaiion,•ur less the'bulk residuals are'iiijecfe&or ncorporatedwithiri "a
24-hour period.following a:residuals land'application event;
f. Durrng a measurable precipitation event (i.e., greater than 0.01, inch per hour) ::or within �24:"hours
following a rainfall event of 0 5- inches orgreater in a 24 hour period;
WQ0006W0 Vern an 4.0' Shell Version-451201 Page;6 of 12

& PP_ If the'slo 'is greater. t4 %-
10-for,surffice..eapplied liquid residuals, or if theslope is greater
18% for injected or incorporated: bWkJiqufd residuals;
Ji. If the 'soil pH is,not'inaintained 7at, U or. greater, -unless sufficient amounts- of lime are applie-d.to
achieve a,-,finatTsoil pH of at least, 6.0,---or if amagronomisi provides'iriformaiion,indicafing that. the,
p1l of the soil, residuals and, lime mixture is suitable for the.-Vopified crop'.,A_,n.,y'4p.prpvelcL-,varliati.ons,
to the ­4cqptablq.soil.pff (OM will be noted in -this -permit;
i. If the'land does 'ndfhave an cover unless the re§iduals4re-ineorporated or
injected within a24-hourperiod k1lowing a residuals land application 6,vbftt, MY-Iiiel4that'i
J.s in a
USDA no- till'program shalfbo_texemptc4 froffi--meetiftg this vegetative -cover requirement;
J; If Ahe vertical separation betw_e6ft th& seasonal, high water tabl
e and:'thedepth of residuals
application isless than one foot?>
k. If the vertical separation of bedrock Arid the depth 4fegi'duals application is Jess than one foot;,
1. Application s�9P�d,&:a.gPnomicrates.
[_15A.NCAC-',02T. J. 10,91,
11. The following publig access, restrict" ply to residual land application sites--.,,,
ions, apply
a. P'tiblic access to piibl 6, contact golf courses, •parks, ball fields �, etc.),,- shall be, restricted
;for 3 05. -,d * 4ys 4 a res-iduals.land,application event-,-,
�h be ,access; t qftqr, q residuals land
b�. Public- ac Qhori-Pablic: contact s al) restricted for 3 days
-application-,eve.nt .
115ANCAC,02T.1109(b)(2)]
1'3..Publk access controls shall 'include,the%posting of. signsviih. ajfiinim ' area of-.3.1' squaref, I bet
11.51 x 2').. Each 'sigitshAll indicate the conducted aveach site, permit -number; and name and
contacfinf6rination, including the Permitted of applicato?'s.t0lephood number.. Sip shall be posted
in. a clearlyI visible apd-cons icuousmanner at, the,entrance,tol,each JAnd,ap
V3 .0licati,6n site 'ddrihg_AA;ihd
'h­'1-­bl­-,access -testrictions required -under Condition:111.12.
a
application event; and for as, longt e " pp, is
Ap ply
14.'The, following harvesting d Azing: restriction's 'a '1 '4 dual lan& application sites after each
rves , ng an �gr apply'to residual �plic_
TO,
land..4pplicatign event-.,
Harvestin afid 'Giaz'in' g­D'e-sic"ri - tidn'
9 p
'Restricted
Du'ratiow,
Animals-§h�ll,,not,beallowe�d.togf�Ze-duriii land applip.a.tJom, aciiyities,and
_g
restricted pen'. oUS.ites-thatare to . beuse&fbr, grazing shall have fefi6ing,tb
30 d4ys
ent e'ds:s after eachland,apphcatzon event..
Food crops; feqd,crop s.and fiber crops shall,nofbe harvoted,fot .
Wdays
Tuff grownd shallnoi be harvested for:
,.Onll�irld�W,hp�oTpsjdualshaye,been.ai)p�li e
12 months
,Food crops withharvested parts, that touch 'tM residimi/sdil mixture 44d,40
:totally above -the ;-land surface_ (a.g-.-,.toba,cco,melons; Pucumbers,,squash, etc)'
f4 months
shall not be,.harv,_e§t6,d for.
When the-residuals.remaiii O'n'the , land surface for f6ur" rk)hths'or longe
incpvora6pqJritq,thp sail, fpod,.-crops --with harvested parts -below -the land
20 months
surface '','°eitq-,): shall noibe
(e.g.,.ro'6t &609, suclids-potatoes,, carrots, fad' hgs,
liaTyestea for:
When tluexesidofs,'rcmaiq on, the'land surfacefor-Jessilianhur-Months prior to
incorporation intollidwil, food -crops with har Vested parts below the.land
-3 8. months
surface shall n qbe'harves.fea for
WQ0069KYer9 AQ� `81idt"Version '15,420f kagel of 12

[I 5A NQAQ .02T .1109(b)(3)]
15. The Permittee shall acquire from .each land .,or owner I es §ee/operaior a statement detailing the volume
of other n4rkni'sour6e's, (i.e., manufactured- fertilizers;manures - or- animal waste 7 - other products) that
have been.a 6liediothesite,and a,copy f the most recontNi0jert Manageme
nt (NMI') for those
operations where , a NMP. , is required by, the US Department of Agriculture — National Resources
Conse-tvAti6n.Service (MRCS) or other State Agencies. The Permittpe shall calculate allowable. nutrient.
,
loading rates based onthe provideinf6rft4ti6r'and,use,-a0propriatereductions,
For the -purpose of this permit condition, a Crop - Manageme Plan (CMP), Wa
ste Utilization, Plan
(WUP) or Certified Nutrient Management Plan. (CLAMP) shall also be considered a Nutrient
M4nageir(drit-Plah.. [15A NCAC 02T,0I08(b)(1), 02T. 1-1 04(6)'.(4)]
16. No residuals. shall be landapplied'iInless the submitted Land ChAterAgreement Attachment (LOAA-)
between the Permitted and , landowners ri Ors o lessees/operators of the land application site is.in'full force,
and effect. These agreements shall be -,considered expired concurrent With the permit expiration date,
and shall be renewed during -the permitreneWal process. [15ANCACMT.1104(c)(4)]
IV.. MONITORING AND.REPORTING REOUIREMkNTS;
I _ Any Division -required monitoring '(including groundwater, plant tissue, soil' an surface d. urf 6 Water
dnalysbs) ne- - ssar)� to ensure groundwater and. surface water pr e ti n
��ce � 1-1. ot - c - o sh - All'be. established,, and an
acceptable sample reporting schedule. shall be followed.
I 5A NCAC 02T .010 &(c)]
I ResidiiAls. shall. be analyzed to demonstrate, they'lare non -hazardous under. t'&Iesourcp Conservation, h R
and Recovery Act,(RCRA). Residuals that. tests: bi,is classified as, a hazardous,or toxic waste widef40
CM Part ,261 shall p n�Abe:ukd0e-,dis osed under this permit. The ,,analyses [.corrcigjv,-,,4Y' 190 itability,,_
'
reactivity,., and. toxicity characteristic leaching procedurei (T1QLP)J shall be performed at the
frequencyspecified in. Attachment A, _arid the. Periritteeshallmaintainthese:re8ults f6r a fti r. Odn Of:
five years.. Any exceptions fr6mlhe requirements in'thi . S condition s'fi-'ll`b - sped A
a­j, e,sp9ciied in Attachment,
The- TCLPanalysis-shall include the'f6ftowing am .meters (the pEif regulatory level in milligrams per liter
is M. pgrpnthe4qs);
Arsenic (5.0):
IJ-Dichlor6bbizeiie (7.5)
Nitrobenzene-(Z.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentaolilptop C
.Benzene: (0.5)
1, I-Dichloroethylerid,(O,
'Pyridine (5.0),
,Cadmium, .0)
G
2,4--Dihitrot6ldene (0 .13)
Selenium (1..Q)
'Cdrbbfi tetrachloride (0.5)
Endrin.(Ok)
-Silver. (5,,0)
Chlordane (0.03)
Hex chlo - obe ze e (0.13)
M' r n . n
Tetracliloroe�tbyleqe(Q.
Chlorobenzene '(,,I GO. 0)'
fleptachlor, (and its hydroxide)
( 0.008)-
Toxaphene..,(O.-5)
.Chloroform (6.0)
Hexachloro-1,,3-butadiene,(0.,5)
TrichlofOOthylend,
Chromium (5.0)
flexadhlofoeth e-(3.0)
2,4,5-Trichloroplienol (400.0)
M-.Cresol (2.99.0)
Lead. (5
ZAKrc grophendt(IO i id
.i
o-Crescil:
Lind' -ane ' (OA)
2,4,5*_TP'(SilveX)(1,.J0)
p-Cresol (20,0:0),
Mercury (0.2)
Vmyl clloride(0.2)
lCi6§61(200.0)
1vlethoxycblorc(10.0,).
22,4-D (10.0)
Methyl ethyl ketone (200.0)
115ANCA ;0 , 4)C 13A.01 2( _-j,,02T,ll01.,:02T_.lIO5_]
Wwww Vorgic,.4i, 4A. Shell Version ,154 - 201
Page of 12

I AnaualysisAA. be, ;conducted .bn,:I residuals,, irom, each soutcc,'gctieratfng -, fk !ity_at the :6Ndeqqy
specified in AttachmentA, and the. Permittec. shatImaintAiii the results for a. minimum.of five,years.
The andlysi-sAallinclude tho-,QloWi &-parameters.
Aluminum
Mercury,
Potassium,
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel'
$odiiiih
cadmium
Nitrate-NftAlb Nitrogen
'$odium Adqbtption,Rati.o,
(SAR)
Calcium
Percent Total: Solids
TKN
Copper
pH
Zinc
'Lead,
Phosphorus.
Magnesium:
'Plant A-vailable'N'itrogen
ftcalculation)
[j,SA-N-CAC.
4. Residuals shall to monitored for: co'hipliandc', with -pathogen and vector attraction Tedubtio'n
requirements: e ,jremeni&at f1i . frequency specified in,Attadhment A,,and afilie,time indicated in the sampling and
d O&MI61an.The required data shall,be.specific.: to the stabitizatiostabilizationmoilitoiing.8��ctioii-s-Ofthe�.appr,ove
,process utilized, and sufficient to demonstrate. 'do' hipliarice With 'the - Class B. pathogen reduction
rOqdiremen,ts inLSA NQAC .1106 (4) and-,(4),.and onevector attraction reductionreouirementin
15ANCAG02T.1107 (a) shall -be met - Any ,exceptions from the requirements ifiLthiscondition shall
be specified in Affachment A. [15ANCAd.= .1M6, 02T.-11'07, Oft . 1-1,11
5. An annual reprie§eritatiV6 soils afiMy§is--(i.e.,!Standafd Soil FditilityAhliilys`19) .slia11 be conducted -residu ahi h on-
-application:.each. land application site listed. in Attachment'B. on which �Is land applicaii -eventwill, occur
in. the res ectjY& ,calendar year. This
s analysis ,shall be in-, aeeordance W the "Guidance idcc on Soil
Sampling '.located �in,the Sampling Ifigtructibls section .of the NC DTATtmehtof I
Agriculture &
-Consumer Services' webs ite-,'Ii' -)/www-.ncagr.gov&gonom S.
j�bub fifinI,ThqPenn' atte.e.shallmiintalil
these regult§- and a'descriptiowof the s.arnpl.inlg.rndtho,dologi6sused -to' ,ddtemililia.d•soit:fertitity-fcir a,period
of no 'less ihanTi've years,. an& shall.be made available tothe Division ton upon,reqPest. Ata-mifiimum, the
Standard, Si1l,lV. -t.h-,ijtr.A- na shall --
clu.d"e.,the f-o.l.ipwin-
g-T
A6idi
txchngeaOeSodium
[ I _A(OT JI'll(d)l
15ANCA .
6. Laboratoryparameter applied,
p meter analyses shall on thexesiduals-as, they are land d pp l4ed, and shall
be inaccordance *014e in !-,SAXC �[15A NCAC
WQ0096900"Y s on 4.0 Shell Versrori i
PA96!9 bf 12-

7. The %mitteb shall maintain records tracking all residual land application events. At aminimum, these
records shall include the following:.
a. Sourc;d,oftosldiia4;
b. Date of land'application'-.
6. Location of 1444 application site, te, f Wd, or zone number as listed,in -Attachment B);.
.d. Approximate areas -applied prox- te areas q ed to (acres):
e,. Method,of land application;.
f., Weather,conditions (e.,&,, sunny, cloudy -, raining; etc.);
g. V're0oni'In4nt Soil Mapping unit (e.g.,. QbB2);,
h. Soil conditions (eg, dry, wet, frozen;- etc.);
i.. Type pf,' rQp'or,crops to be grown on. field,
j. Nitrogen Application Rate based. on. RYEs, (if using data obtained. from the, North. Carolina State:
UniversityD'epirtment-,of-Soil..Science Web§,it,ei,tbd'ptiiitoutpage -shall be k6pOnfile: and reprinted:
:every fiv.eye#rs);.
k. Volume -of residuals land applied in -gallon pet -acre, cubic,: yaralp-
pr acre,dry tons perwadre, or wet
ton.peracre;
1. Volume°of animal. waste or other nutrient source apptied-in gallons per acre; 4ty.10h per acre. or
vvot tons per act"
in. Volumeofsoil_amendmeni&"(e-.g;, lime, gypsum,.etc) 4ppliedin.g4llons per acre,dry temper AcTP,,
or wet ton per acre", -and
110 Annqals;and -cumulative totals in. ,dry,fons per,, acre of residuals as well as; animal waste and other
sources ,_of ,nutrients (e.g., if applicable), annual and cumulative pounds, por'acropfeach heavy metal,
shall. include, but shall, not' be limited.. to, arsenic, cadmium,. copper, lead mercury.;-miwn,, p
.inolybdenuro,,nickel,.seleniitm,,,and zinc),,,annual pounds per- acre of PAN, and anftualjjounds per
acre of bhosphorus,7.4pplied toleaph. field,'
5 A' NCAC_02T..0109,,(9)]
9., Three copi'es,oflan-antivaI ,report shall be submitted: oh or before Match Pl. The anhtfal.f6 oft shall
mdetthe. requirements described intheInstructions for Residuals Application. Annual Rep ortin.-
,Forms
instructions for . reporting and -annual 'report. forms. `are. -.available.
Mg. cittiii.iicde&.'br6vdb/wQ/ap§/Iau/iepbrtiiig; or can be obtained by, contacting the Land
.ApplicationUhitAire6ily. The annual.-report,shall:b.csubmitted -tothe.f,611owing,40dress-
Piyj$Jon'..,of Water Resources
'Information, Processing Unit
10-7 Mail Service- Center,
Raleigh,'North Catolina,2,7.699-1-617
[ I SA NCAC 02T114
WQ0606906 Vprsiow4.0 Shefl-Version'l-51201 Page 10 of 12
I

9, Noncompliance. Notification
The Permittee shall report by., telephone : to the Mooresville Regional Office; telephone nutriber, (704
003-1,699,,16§soon ask b§si.ble butin no casemorethan24.hours or:qn,�yfhq.next
Ong
the. occurrence or-first'knowledge-&f the occurrence of y..4. All the -followings
a. 'Land application of residuals Anorinal in quantity
or:characteristic
h. Any.failure ofthe Jand application program -resulting in axelease, of material to surface waters;
cAny ,tune- self monitoring ihdkates' the-, facility- has gone; out- of tompliawe with its 'pei-mit..
IiInitatiofts.,
A Any process, unit failure, due, P known 'Of UfikndWn reasons,, render
ing ring the' facility incapable of,
adequate _residual 'treatment.
•e. Any spill or disqliArgeftqMa vehicle
.Any emergency rqquiring immediate reporting..(e.g., discharges to surface waters, - aters, imminent faiRife of
a storage structure, etc) outside normal:busmess Hours shall be "reported tdthe'DiAsion's.Emergency
Response personnel At.tO!ephQne,44mftk',,(800,).66277-95'6,(-8aO),8-.8-016$ or(910)7B-3SOO'jws6ns
reporting such bocurrences by telephone shall also fie -,A written, report in lettdf f6rin, within five days
folio
wing of the This report - h 11 dt in6 the actions-takenorproposed to
be qqqq ep o, s. a o I
be taken, to oostito that tho, 61 does d6f.recur. ['1'5ANCAC- OIT OfO5�1 ;.62T
pro . em ..0108(b)(1)]
VI., INSPECTIONS
'I. The,Pbuftittee Aajl Obov
-ide adequate inspection and maintenance to. ensure: :proper operation of the
subjOctfacilities and, shaff,be'jp ac.co-rdan-oc withthe 'approved O&M.'Plan. [15ANCACO2T-.01.68.(h)]
27, PfIrpt toeach bulk resid
uals event- the Permiftee or his: designee shall
inspect: the
residuals ,storage; transport and: application facilitiesIto preven malfunctions,deterioration and..
operator errOr's. which may :cause the. release of was
tes to the
threat to: hurnan-health .or. a. public- nuisance, The Permittee shall maintain . an, inspection: log ­,that
includes; at 4 m- iniffum, the date ;and
. . time inspection, observations ations made; and Any maintenance;.
Apce,
repAirs,. orc0c rm-Actiohs taken. TheTermiffee shall maintain this,
inspection log for -a period,,.bf five,
years ,from-Ahedate ofiiispection,,iAnd'this log shall fio,lbiAde, available to the D&isiOhupon request,.
[j-,'5A_NiCACA2T.0_l0
1, An -authorized. Division reppegentativeiftAy, upon inspect
y duly.. P Pr,6�i�htatioii'6f'ci6d&ntials, enter, and inspe.
any property; PTPMis6 rel d10 the4and. a�p lication. sites. or., f46i e rein
p Mtyi, s or. place 0 - _Ate
-p
04fty reasonable time- for the purpose of determining compliance with. this pertnit;may inspect -or copy
any ,records,required,to, be maintained under the terms and cohditiom, of this permit; and may., 9611'ect
gr U water ,044dWater, d of Jdachate samples. [G.-S. 1412 1534)(1)]
VI. GENERAL CONIATION9
1. jFdilure tocom the conditions and, -.I' itation ai ed.heir,�ih.,mEiy,,sti�jeetth(�.Pennittee.to.an-
P,,Y W, Im. .,S,-ront h
e-nforeementacti6n.'by�,,the ))� 'Y is on in accordance with Noith;Carolinal"Ge' '
ncril..Stitutes, 143-215.6A to
W.3-215.6C., [6-3'. T4_3.-2,l5'.�6 A to 143-21-5.'6C)
I This, permit shall becorfte° voidable if
the residuals land
--i
'application events are not carried ,out in
accOrdance'vth.the conditions of thispernft.[15ANCAC02T.04101'
3. This permit is'-effective,on-ly,with,,r-e-,-sgectt,b the', n-'a--tt"t-t"&'--atidlvoltiiia'e'.bf residuals described in thq,pormit:
application and th'" Ing documentation,:
206'VdM'dh 4.0 Version Tageli of,12,
Shell ion,4SI .20 J

The issuance of this permit does';not exempt the Portnitt frOincomplying with any and..all statutes,
M
rules,- regulations.;o di ich may be imposed by other jurisdicd
- r or, mances�:W.h jurisdictional governmentia e genct s
local, state, andfedoral). Ofparticular -concern to th -appli6dble,fiVet'buff6r-t,—ales in
q Division Ar&
an ' d-'sedimentalion control requirements in 15A NCAC Chapter 4 and
under the, DivisioWs General-Permit-N.CGO10000; any.requirements pertaining to wetlands under 15A
NCAC 02B.02.00.,and Q2H.0500;;arid documentation_ of,comp
liance With Article'.21 Pa:it'6..Of Chapter
143: Of the Obhofal Statutes- F 15ANCAC 02Y.0.1 05(c)(6)]
-change ] h name, a formal.
5. In the -event the residual's program s ownership 'or t46 Nithitt poe c anges.his ,
pprmit,mo ' dificat * ionxequest shall tie` submitted -to the Division. 'This request shall- be made on official
Division forms,, and shall include appropriate documentation from, the 'parties.. 'partids"Ju,volved and other
supporting, docuirientatlonas necessary, The Permittepbf record shall remAin. -fully- responsible for
maintainin&and operating.- the,.residual's program permitted herein until a permit -Is issued to the new,
owner. [15ANCAC02T.0104]
6. This permit is. subject to revocatioh.or unilateralmodification upon 6May notice from the Division
Director, in whole or part for the requirementstisted in 15 AN,CAC 021,0110. [15.A NCAC 02T.0110]
71. Unless the. Division Director, grants, -a variance.,. expansion of the permitted -residuals program contained
- BAN
herein, shall not be- granted if the Permitiee exemlilifies'any of the criteria in 07.0120(b).
_( [15AN A( 01 �T-.01120
8. The Permiftee- shall pay;,the.an.nu6l, fee within 30 days after being
n billed by Division. Failure I topay, I g I � the ­ ' annual fee accordingly shall be cause for the Division to rovokeithi
49cor i gly s permit. [15,A NCAC 02T-
.0105(6)(3)]
Permit issued tbis'the-6ffi day of April 2016
6
NORTH CAROLINA.ENVIRONMENTAL MANAGEMENT COMMISSION
Jay Zimmorrnan, Director
4� Division of Water- Resources
By Authority of the"Environmental Mana(yernent.Commission,
Pefinit Ndtfib,0 WQQ006996
W—O0606006, Version 4.0Shell-Version -15,12.01 Page,l2,of 12

ATTACHMENT A - App:foved"RestditaLS -➢'' ' ''S
Town'qf Tayltirsvle
Vpft,fipfi.., ate
ifjc41
Permit Number WQ0.006906 -Wrgion: 4,0,
P,6r*it,
Diologiq0I
Maximum
In
Dry Tons:
Monitoring
F.req'ueney.,1or
Monitoring
Frequency for'
Monitoring
Ffequencyfbf
Paffiogen.k
,porovOq
A
'Mineralization
Ovv-ner,l
Tadlit*-Niiine
Cotfnty--
Number'
_lie d aji,:,
S u S,
Per'Year'
Non -hazardous.
'Mcials and :
-
VOW Attraction
Rate
#k.ntg
-Nd
I— . ­ .
Red _ti6nS 4
'tio
'Town of Taylorsville
-TaylorsvilleWW T P,
Alexander
14t0626ftl,
Yes-
300
Once per, permit
Annually
Annually.
-.0.3
Total
306
I MaziMU mDryIjonspe -.car is the -amouni;ofresiduats,appro-yeif,',f6rland application from -each , tted facilit
'LP; ign .,,Pprmi't�i�onditionIV,.2.
2. Ah4yseglo.46nionsdate t�g,,'rdidtitd8�Are�non-hazardbu8,(i:e., Tic itabitiiy,,,reaqdvii�,� and corrosIvfty)'as,seipujatedunder
:4, Analyses of pathogen and vector aftiaction reductiong as stipulated under vehnit C&IdItidif I,V.. 4.
Ifno: :land applicaiion--evejitso.ce.ur.dur'mg,-a:reqpiredsainplingperiod (e.gi-iibland .application (ice year when annual
gisfequiked then'*)
sampling data; &,req utireddurmg.,=the period.of inactivity: The,annual,repoftshall include.an explanAtiow for. missing sampling data. Those required to submit the an'
report to:kPAmay'lievequired to:make,up-the missed sampling; contact the­XPA f6r,additionai'informa:tion:and:,cl'a'rification.
WQ00606906,V,6rsion,4.0Atiachment.A. Page, 1,of 1

�' M Do"1 • '

ATTACHWNV3A prayed L d,Applicatj®nS,it0S
"TQ*n,_"qf'T'a^ rMHe
yl o
C-005cation Date: April,6; 2 - 016
PermitNimber: W00006006 Version. 4.0
FieldI.Site
Owner
jltMee
County.
Latitude
Longitude
Nef.Acrea&:
.0ominant 8bil Series`
'Footnotes
NC AL�08-Ox`'Iccullour,0wen
Alexander
3_5._872808°
81.1 3( 476
19,3
CeBZ--Ucil
14CmAL-'08-02
.Icaihoq, Owen
Alexander,
35-M.69146'
­91.1000890
103
C6B2-- Cecil
NC;'AL08=04
Shannon, Mafthew.& Shannon; -Jeanie M.
Alexander
35.�7Z3_3�10!
78L0997861?,
01.11
�4_C- rAL-,CH'O i
Hendren C yoe4eft ferick
n &.1 qj )jqjpne:
Alexander.
35.903YbOP:
'914563946
23.4
P Tacolb
cB2
&
NC�A,LwCQ,
Hendren; ClydelevernkHendien- Madehe,
A lek der'
�5 9�q 3
.1.14711,9()
0
Cc,42"­ Cecil
NC AL-GP-01
Pride; , Carol
Alexander
35.904
81. 53139'
7.0
M2 - Fairview:
NC-AL-PH-01
flooy-er,.PhiHip
Al exander
35.8 999'170�
-81'115.0429
141
OcB2­,Pacolet
Total
97.1
Ls �ee.rigure�:
2. SeeTigurc_-2.
3, qo:figu
-4, Sed,'Fjguie4.
,5. See Figurje,,'$:
A, mdiibed setba6k.566," r`psjd­` der'..s'' a'rat Qwnprship,has.been. approved' ribis lan&ap�ficatiion:site. Residual b I d 'I dwi i bavid
WAP qgqpAn_ ��P. s, May-:, q,, an . app i� � th ril 00,feetAfthe rqsid_e_nc.e%owmed"by
'Linda. Odbinat,1078B6stoti.,Road�dfid.1100:Bdstdnl�,qa�0,.T�Yj�f�,�ille,,NC-29681,rqgkq!6ss�ofwhether.,asurfac-�ora��bsurTace:applicationftiethodistised.
.7.- Aredtided setback fr6ma-resi residence under ownership has been apprbved-f6rIhis,ldfid applicat omsit6. Residuals '.Ue land:applied.within .. I I— - �_ . , , -,. .4 land ­ ­i­ _ ., ­inay, - 100 feet. of the.residende.-owned byThillip
AlIdn,116over.Eit.3 18 Boston Branch, Tvlqrs�41(�, NC I., regardless of whetber,a su e-gr a subsurface applicatiori'method is -used:
A reduced-setback,froma residence: tinder. separate, ownership has.been.approved for - this ]a-ind.q' 1j'qA. onti 'gite. ReMduals,maybe land.Appli ed.within 160'feet,of the residence '6Wned,,bv'Michaej,
'ToddHqQv, Of whether,a-surfaceot,,PP
�asuUsutfice application method is'used,
WQ00006906 'Version 4 0 Aitachment, A.
Page1 ijf

The Compliance Boundary is established either 250 feet from the perimeter of the residuals application area or 50 feet within
the property boundary; whichever is closer. The Review Boundary is established midway between the Compliance Boundary
and the perimeter of the residuals application area.
# 1
e:T
v
} {
'.�
_ f
x
y
,�- �
a
Field Q8-02�'�
-._ __ -
j
r
e - _
v
hour, Owen: Buffer Map
DI: 0013847
nder County, NO
0
L
Z
� t�
��•
au
xFBuffers
,
i
X
G
Z '^ 3
I 1 1
S Perennil Stream
v N
%. Well , 1
!Legend
• , ery Line
f[4[
Field Boundaryre
r f
• House
Surface Water
�l
'f�
"
Figure I -�
00 Feet
Produced, October.

.A I

PW
ri
The Compliance Boundary is established either 2S0 feet from the perimeter of the residuals application area or 50 feet within
the property boundary, whichever is closer. The Review Boundary is established midway between the Compliance Boundary r.
and the perimeter of the residuals application area.
h
.4 ,
13
x7'
x5
-
q
:a x7.0 e.
iy O t.
cres
yyob
n
�« a
!A.
c �;
4,
.w g
a
r
-
�
g uffe rs
Pf opertV Line (50' ;
Perennial Streamio0'
Intermittent Stream (2�')
s
G
Aw
e
I House 100'
4r�O0'
1
3
Y
�Hp/Q�1�J
YY ell (� 0')
- -
Legend
r`=
Propery dine ME Unused area
Well
5
Field Boundary b
Perennial Stream House
Intermittent! Stream x Soil Bore A",
Price Carol: Buffer Map
Parcel: O00950
0
125 250
500 FeetFigure igui e 4 M ,
36,905, -81 1532
Alexander GOUOI. NC
i
_- ____
1I I I Ar 1 July 2016
_North Carolina Stateplane, NA083 Shafer Soil Servlcas I'nr

AN`
31-
Buffers
Property Line (501)
Perennial Stream (1001)
A,
Surface Water (1001)
House (1001)
House (400')
Legend
Propery Line -
Field Boundary 0 Well
ff
Perennial Stream A House
Surface Water
-3-1
NC OneM
®Unused Area
Board
Land Application: Hoover, Phillip G
PIN* 3768391163
Alexander County, NC
Figure 5
0
125
250
500 Fee,
i
3$.8994, -81.1605
I L --1
Narth Onmfi;� KbAnn-a' ZZ _. _Produced: Dec, MS

0
S Southern`
S Soil
B I Builders, Inc:
Wednesday, March 09, 2016
958 Hoots Road Roaring River, NC 28669
(336) .957-8909 Fax [phone]
RECEIVED/NCDENR/DWR
MAR 16 2016
WQROS RECEIVED/NMENWR
MOORESVILLE REGIONAL OFFICE
North Carolina Department of Environmental Quality
Division of Water Resources a
Water Quality Permitting
Non -Discharge Permitting
1617 Mail Service Center .
Raleigh, NC 27699-1617
Reference: Town of Taylorsville
Permit No. WQ0003281
Additional Information Request
Dear Mr. Doby:
MAR 1 4 2016
Edon -Discharge
Permitting Unit
Enclosed with this letter, in triplicate, is the requested additional information for the permit
renewal package for the Town of Taylorsville land application permit WQ0006906.
The updated information included is:
A. An update sampling plan
B. An updated spill plan reflecting the new information requested
C. Update Maps with the requested information, and updated buffers.
If you have any questions or concerns, please contact me at [e-mail]
or at 336-957-7871.
Sincerely,
Zach Key
Southern Soil Builders, Inc.

City of Taylorsville, WWTP
Permit No. WQ0003281
SAMPLING PLAN
RECEIVEDINC DEQIDWR
MAR 14 2016
Non -Discharge
Permitting Unit
Annually, if a land application event occurs, grab samples are collected from the sludge
digesters. These samples will be combined to form individual grab samples to be sent to a laboratory for
analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or early
February) these samples may have to be taken in December so results can be obtained before the land
application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for a nutrient analysis, and a TCLP test.
These tests will be taken by Southern Soil Builders, Inc. All samples with the exception of the composite
residual sample will be taken to Statesville Analytical or any other NC certified laboratory. The
composite residual sample will be sent to Waypoint Analytical or any other NC certified laboratory. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The Pathogen Reduction requirement will be achieved using alternative 2 [15A NCAC
02T.110(c)(2)], or commonly known as lime stabilization. In alkaline stabilization, the addition of
sufficient alkali to raise the pH to at least a 12 at 250C and maintain a pH of equal to or greater than 12
for 2 hours and a pH equal to or greater than 11.5 for 22 more hours.
The Vector Attraction Reduction requirement will be met using alternative 6 [15A NCAC
02T.1107(a)(6)], or commonly known as lime stabilization. In alkaline stabilization, the addition of
sufficient alkali to raise the pH to at least a 12 at 250C and maintain a pH of equal to or greater than 12
for 2 hours and a pH equal to or greater than 11.5 for 22 more hours.
Annually, if land application occurs, a composite residual sample will be collected from the
sludge holding tank and analyzed, prior to a land application event for: Cadmium, Copper, Lead,
Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia Nitrogen, Calcium, Nitrate
Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN, Sodium. From this information,
the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR) will be calculated. This sample
will collected in a non -breakable container, at least one quart in size. From this information, the plant
available nitrogen (PAN), and a sodium absorption Ration (SAR) will be calculated.
A full TCLP test, including corrosivity, ignitability, and reactivity will be taken in two (2) gallon
containers from the sludge holding tank. This test will be run annually, unless prior approval is granted
from the division to reduce this requirement to once per permit cycle.

0
SPILL CONTROL PLAN- Southern Soil Builders, Inc.
Town of Taylorsville, NC - WQ0006906
RECEIVEDUDENWR
MAR 14 Zu ,o
Non -Discharge
In the event of a spill, the following should be taken IMMEDITALY. Permitting Unit
1. Make sure all personal and bystanders are safe- if not contact emergency
services
2. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
3. Contain the spill. Use straw bales or earthen barrier to form a dike to contain the
spill.
4. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as much
of the spilled material as possible. Use straw to soak -up the remaining material.
Dispose of the same in a landfill.
5. Flush the roadways with water if needed. If the spill occurred on a tillable area, till
the same into the soil and spread lime if necessary. If a spill occurs on private
property, final clean-up should be to the satisfaction of the owner.
6. Notification. (This should be done as soon as safely possible.)
A. Southern Soil Builders, Inc. Main Office [phone]
B. Town of Taylorsville, WWTP- [phone]

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

The Compliance Boundary is established either 250 feet from the perimeter of the residuals application area or 50 feet within
the property boundary, whichever is closer. The Review Boundary is established midway between the Compliance Boundary
and the perimeter of the residuals application area.
B
Ogto w
ro d.
Z\
c
x 1
� M
X 6
4
x
7 !:
1.
ik
pJ
L
00
7.0 acres 0
Fieid CPk1 1-IC
Yfk
y Buffers
Property Line (50'
Perennial Stream
1� (100'))
Intermittent Stream (25 )
$A RJ k Vi l House 100'�
a "! �I��/ous(e 400'
�i i� e l l � 0' )
Legend -
Prcpery Line MM Unused Area
Field Boundary G Well
Perennial Stream n, House
s•.•o. Intermittentl Stream x Soil Bare
Price, Carol: Buffer Map
Marcel: 0009501 0 125 250 500 Feet
35 905, -81 1532 l I i I i i- July 2015
Alexander County, NC� North Carolina Stateplane NAD83 _ _ _ Shaffer Soil Services, Inc.

The Compliance Boundary is established either 250 feet from the perimeter of the residuals application area or 50 feet within; ,
the property boundary, whichever is closer. The Review Boundary is established midway between the Compliance Boundary
and the perimeter of the residuals application area
•� � � is .,h ���' is ��`� nt,+"v4 -. 5: :� •*.-
yA ® Y. Y fir i i.:.
an E 7 :p 'k,. r '.
} ;
� t
�t
IF
E.- Cbt
t r
Field 2 ; .Al;'
9.3 acresys
Y
4
F
�` 23.4 cres �` "r•
1�9
qk
Buffers
0 Property Line (50')
0 Perennial Stream (100')
0 Surface Water (100') 1
0 House (100') mu
0 House (400')�
Legend
Propery Line
Field Boundary o Well -"
Perennial Stream 0 House
Surface Water „04-K„ Fene� t `
® Unused Area "ANC OneMap,,NC Center for Geographic\lnformatibn and Analysis NC 9A 1
_T1 Boar
Land Application: Hendren, Clyde Leverne
PIN:3769308303
Alexander County, NC 0 250 500 1,000 Feet
L___ _ t i I I I I I I Produced: Dec. 2015
35,9026,-81.1484 North Carolina state lane, NAD83, feet Shaffer Soil Services, Inc.

i
-1.100.a ti'��y, 'J }tn, �. j,' ,/ ♦ .. 1 I - Hi •'I �i' T
V. 3
.-.
5,
_ f
F
The Compliance Boundary is established either 250 tcet from the perimeter of the residuals application area or 50 feet within
the property boundary, whichever is closer. The Review Boundary is established midway between the Compliance Boundary
and the perimeter orthe residuals application area_
ihannon Matthew: Buffers Map
'a rcel: 137 329
A
9
Buffers
Property Line (50'
Perennial Stream ()100')
House (400')
Well (100')
Legend
-= Propery Line
Field Boundary
Perennial Stream
a C� Surface Water
® Unused Area
0 Well
House
lexander County, NC 0 250 500
�I _ r 1,000 Feet
i � I
North cerolina State plane NAD83 _Produced: October. 2015

0
S Southern
� Soil
$ Builders, Inc.
Monday, September 12, 2011
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Subject: Town of Taylorsville, NC
Permit No. WQ0006906
] j �
P 5'
958 Hoots Road Roaring River, NC 28669
[phone] 9 Fax [phone]
As requested in a letter received from NCDENR-APS, updated maps have been included
with the letter.
The aerial maps show the property lines, and the two other set of maps show the
compliance and review boundary and the application map drawn to a bigger scale.
The compliance and review boundary maps and the application maps have been drawn
on two different set of maps due to the confusion it causes when attempting to read the
maps. With so many lines on one map, it is hard to tell the difference between what one
set of lines represents versus what another line represents; the maps start to look like a
spider web
If you have any questions or concerns, please contact me at
[e-mail] or at 336-957-7871.
Sincerely,
Za h Key
Southern Soil Builders, Inc.
RECEIVED / DENR / DVUQ
Aquifer Protc-diOn Section

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Beverly Eaves Perdue
Governor
David M. Robinette
Town of Taylorsville
204 Main Avenue Drive
Taylorsville, NC 28681
ihY�i�
rites
HR-
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
May 26, 2011' . "Y
t " ..?, , MAY 3 12011
Subject: Acknowledgement of Application No. WQ0006906
Town of Taylorsville Residuals Land Application Program
Land Application of Residual Solids (503)
Alexander
Dear Mr. Robinette:
Dee Freeman
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and supporting materials
on May 23, 2011. This application package has been assigned the number listed above and will be reviewed by David Goodrich.
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 David Goodrich at 919-715-6162, 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,
Yk.
for Jon Risgaar
LAU Supervisor
cc:
`. ooresvibl Regional Offi e, Aqui er Pro ctionlSectio
Southern Soil Builders, Inc (Zach Key - 958 Hoots Road, Roaring River, NC 28669)
Permit Application File WQ0006906
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet: www.ncwaterpualitv.mg
An Equal Opportunity \ Affirmative Action Employer
�TOne
%��`

1
Central Files: APS SWP
05/26/11
Permit Number
WQ0006906
Permit Tracking Slip
Program Category
Status Project Type
Non -discharge
In review Renewal
Permit Type
Version Permit Classification
Land Application of Residual Solids (503)
A Individual
s�g
Primary Reviewer
p '�" "; =: - r' '� 't },
Permit Contact Affiliation
david.goodrich
='"',,,.'' A"""'
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David Matthew Robinette
Coastal SW Rule
204 Main Ave Dr
Taylorsville NC 28681
4
Permitted Flow
cam;- '*' -`'' <'
Facility
Facility Blame Major/Minor Region
Town of Taylorsville Residuals Land Application Minor Mooresville
Program
Location Address County
204 Main Ave Dr Alexander
Taylorsville NC 28681 Facility Contact Affiliation
Owner Name
Town of Taylorsville
Scheduled
Orig Issue App Received Draft Initiated Issuance
03/18/92 05/23/11
Owner Type
Government - Municipal
Owner Affiliation
David Matthew Robinette
204 Main Ave Dr
Taylorsville NC 28681
Public Notice Issue Effective Expiration
Regulated Activities Reauested/Received Events
Wastewater treatment and disposal RO staff report requested
RO staff report received
outfall NU I
Waterbody Name Stream Index Number Current Class Sub basin

O� VV A TFR State of North Carolina
A QG� C� r0� Department of Environment and Natural Resources
r? r Division of Water Quality
0
Aquifer Protection Section
Regional Staff Report
June 20, 2011
To: Aquifer Protection Section Central Office Application No.: WQ0006906
Attn: David Goodrich Permmittee.'Town-of Taylorsville, Alexander_ County_:
From: Ellen Huffman
Mooresville Regional Office
I. GENERAL SITE 'VISIT INFORMATION
1. Was a site visit conducted? ❑ Yes or ® No
a. Date of site visit: N/A
b. Site visit conducted by: N/A
c. Inspection report attached? ❑ Yes or ® No
d. Person contacted: and their contact information: (_) - ext.
e. Driving directions:
H. EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS , .
Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes Z No ❑ N/A
ORC: James Alexander Certificate #:17567 *invalid Backup ORC: Michael Testerman Certificate #:14806
A new ORC will need to be designated.
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
If no, please explain:
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No
If no, please explain:
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ® No
If yes, please explain:
5. Is the residuals management plan adequate? ® Yes or ❑ No
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑ No ®N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No
If no, please explain:
FORM: APSRSR 04-10 Page 1 of 3

10. Were monitoring wells properly constructed and located? ❑ Yes ❑ No ® N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑ No ® N/A
If no, please complete the following (expand table if necessary):
12. Has a review of all self -monitoring data been conducted (e.g., NDMR, NDAR, GW)? ® Yes or ❑ No
Please summarize any findings resulting from this review: There are annual report issues for 2010. The permittee
has worked very hard to get needed data from the contractor who has been unresponsive to the requests. The
permittee has been able to get compliance data from the lab.
13. Are there any permit changes needed in order to address ongoing BIMS violations? ® Yes or ❑ No
If yes, please explain: This permit should be issued in 2T format New maps will be needed. Permit should be
issued with new maps as a requirement.
14. Check all that apply:
❑ No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
® Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
NOV was for 2010 annual report. There were extenuating circumstances involving the old contractor.
15. Have all compliance dates/conditions in the existing permit been satisfied? ® Yes ❑ No ❑ N/A
If no, please explain:
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No❑N/A
If yes, please explain:
III. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
If yes, please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
None.
3. List specific permit conditions recommended to be removed from the permit when issued: None.
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
I Condition I Reason
Maps I Maps are old and need to be updated. I
I ORC I A new ORC will need to be designated. I
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
❑ Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
6. Signature of report preparer:
Signature of APS regional sul
Date: U. Zd' - +
FORM: APSRSR 04-10 Page 2 of 3

AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM
Date: May 27, 2011 -
To: ❑
Landon Davidson, ARO-APB
❑
Art Barnhardt, FRO-APS
X
Andrew Pitner, MRO-APS
❑
Jay Zimmerman, RRO-APS
From: David Goodrich, Land App]
Telephone: [phone]
E Mail: david.soodrich@nc
-
`',a ❑ David May, WaRO-APS
;;"�.; ❑ Charlie Stehman, WiRO-APS
w
_ t❑ Sherri Knight, WSRO-APS
n b1n"irj`
[phone]
A. Permit Number-�`_W00'0'0690:6,: -
B. Owner: Town of Taylorsville
C. Facility/Operation: Town of Taylorsville Land Application Program
❑ Proposed X Existing X Facility
D. Application:
1. Permit Type: ❑ Animal ❑ Surface Irrigation ❑
❑ Recycle ❑ FE Lagoon ❑
❑ UIC - (5A7) open loop geothermal
F07- Residuals: X Land App. ❑ D&M
X 503 ❑ 503 Exempt
X Operation
Zeuse ❑ H-R Infiltration
GW Remediation (ND)5I Injection
❑ Surface Disposal
❑ Animal
2. Project Type: ❑ New ❑ Major Mod. f ❑ Minor Mod. X Renewal 7 Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
Statutory Date: 08/21/2011
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:
X Return a Completed APSARR Form. - Please comment
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certification from the RO. *
Remember that you will be responsible for coordinating site visits and reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a'copy
of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact person
listed above.
RO-APS Reviewer:
/ Date: W 1'a6�/
FORM: APSARR 07/06 Page 1 of 1

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t:::.;
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RECEIVED ! DENR I DWQ
Aquifer Protection Section
MAY 2 3 2011
1 � •_...^ ���' i^ ._'....-�..v]1a-... u .jL oaw:.c+r .+mwc
i� i8' 5R48Md
MAY 3 1 2011 t)
d.K
TOWN OF TAYLORSVILLE, NC
RENEWAL PACKAGE FOR:
WQ0006906
LAND APPLICATION OF RESIDUAL SOLIDS

.. ?n d � � ,.3e

S
S
B
Southern
Soil
Builders, Inc.
Monday, May 16, 201 1
958 Hoots Road Roaring River, NC 28669
[phone] . Fax �336)7-��qq40
RECEI ED 1 D 1 D�IVi1
uer otection Section
North Carolina Department of Environmental and Natural Resources
Division of Water Quality
Aquifer Protection Section
Land Application Unit
2728 Capital Boulevard
Raleigh, NC 27604
Reference: Renewal of Permit WQ0006906
Town of Taylorsville, NC
Southern Soil Builders, Inc, is under contract with the Town of Taylorsville,
NC to provide assistance in the renewal of Permit WQ0006906 for the land
application of residual solids.
Your attention in the review of this permit renewal application will be
greatly appreciated. Please contact me with any question or concerns at
[e-mail] or at [phone].
Sincerely,
G�✓
Zach Key
Southern Soil Builders, Inc.

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAM
(FORM: NDRLAP 070807)
The Division of Water Quality will not accept this application unless all the instructions are followed. Failure to
submit all of the required items will lead to additional processing and review time.
For more information, visit our web site at: http /%rta! ncdenr. ors/web/wq/aps/(azr
A. Application Form: (All Application Packages):
✓ Submit one original and two copies of the completed application package. Any changes made to this form will result in the
application being returned. The Division of Water Quality will only accept application packages that have been fully
completed and all applicable items are addressed.
✓ Non -dedicated residuals land application programs are ones in which all land application sites do not meet the criteria in 15A
NCAC 02T .1102(12). Specifically, a residuals land application program cannot be designated as non -dedicated if any of the
following is applicable:
♦ Any land application site certified for the residuals land application program that receives residuals at rates or
frequencies greater than agronomic rates.
♦ Any land application site certified for the residuals land application program that is used primarily for residuals
disposal, and agricultural crop production is of secondary importance.
♦ Any land application site certified for the residuals land application program that receives residuals through fixed
irrigation facilities or irrigation facilities fed through a fixed supply system.
✓ The signing official must meet the criteria stipulated in 15A NCAC 02T .0106(b). An alternate person may be designated as
the signing official, provided that a delegation letter from a person who meets the referenced criteria is submitted. The
delegation letter does not have to be,resubmitted if the signing official has not changed since the last permitting action
associated with this residuals land application program.
✓ If this project involves a modification of an existing permit, submit one copy of the existing permit.
✓ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application' packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages):
✓ For new permits submit a check in the amount of $1,310 if over or equal to 300 acres of land are being permitted for
application (Major Permit), or $810 if less than 300 acres of land are being permitted for application (Minor Permit), made
payable to: North Carolina Department of Environment and Natural Resources (NCDENR). Major modification fee are $395
and $245, respectively.
C. Cover Letter (All Application Packages)
✓ Submit a cover letter, which lists all items and attachments included in the application package as well as a brief project
description.
✓ If necessary for clarity, include attachments to the application form. Such attachments will be considered part of the
application package and should be numbered to correspond to the section to which they refer.
D. Environmental Assessments (May be Required — See 15A NCAC I .0300):
✓ Submit one copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
E. Submission of Application Packages:
✓ To determine which attachment forms and supplemental attachments are required to make a complete application package,
read the instructions of each attachment form carefully. Application packages should be organized and bound (i.e., stapled,
placed in three-ring binder, etc.) in the following order prior to submission:
♦ Cover letter and application fee.
♦ Attachment Order 1: Non -Dedicated Residuals Land Application Programs (FORM: NDRLAP).
➢ Attachment Order 1-a: Signing official delegation letter.
♦ Attachment Order 2: Residuals Source Certification Attachment (FORM: RSCA).
♦ Attachment Order 3: Land Application Site Certification Attachment (FORM: LASCA).
✓ The application package should be sent to the address at the end of this application form. Do not submit this application
package to any Division regional office.
Page 1 of 6 Attachment Order 1
FORM: NDRLAP 070807

State of North Carolina RECEIVED I DENR I DWQ
Department of Environment and Natural ResoureeVuifier protection Section
Division of Water Quality MAY 2 3 2011
NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS
(FORM: NDRLAP 070807)
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIG
Application Number:
OWNERSHIP INFORMATION:
I . Specify whether the process facility is owned by:
❑ County; ❑ Federal; ® Municipal; ❑ State; ❑ Non -Government.
to b� completed by DWQ) ;1
MAY 3 1 2011
5
2. Owner's name (please specify the name of the municipality, corporation, individual, etc.)
Town of Tavlorsville, NC
Mailing address: 204 Main Avenue Drive
City: Taylorsville State: NC Zip: 28681
Physical address: 204 Main Avenue Drive
State: NC Zip: 28681
Telephone number: ( 828) 632-5280 Facsimile number: 828 632-2079
E-mail address: sbe [e-mail]
3. Signing official's name and title: (See Instruction A)
David M Robinette
Mailing address: 204 Main Avenue Drive
City: Tavlorsville State: NC Zip: 28681
Physical address: 204 Main Avenue Drive
City: Taylorsville State: NC Zip: 28681
Telephone number: [phone] Facsimile number: [phone]
E-mail address: [e-mail]
I1. PERMIT INFORMATION:
1. Application is for: ❑ new, ❑ modified, ® renewed permit (check all that apply).
2. Fee Submitted: $ 0.00 (See Instruction B)
3. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number W00006906
Most recent issuance date 10-03-2002 , and the expiration date 9-30-2007
Date of most -recently certified Attachment A: 10-3-2002
Date of most -recently certified Attachment B: 10-3-2002
FORM: NDRLAP 070807 Page 2 of 6 Attachment Order I

4. 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.
❑ ADD ❑ DELETE residuals source -generating facility(ies) to/from those certified.
❑ INCREASE ❑ DECREASE the acreage associated with land applications site(s).
❑ ADD
❑ OTHER.
❑ DELETE land applic,
Explain:
site(s) to/from those certified.
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. County where residuals land application program is headquartered: Alexander
2. County(ies) where residuals source -generating facilities are located: Alexander
3. County(ies) where land application sites are located:
l 4. Program contact person and/or consulting firm who p epared application:
Mailing address: 958 Hoots Road
City: Roaring River State:
Physical address: 958 Hoots Road
City: Roaring River S1
Telephone number: (336) _957-7871 I
E-mail address: zkevna,southemsoilbuilders
Zip: 28669
_NC Zip: _28669
ile number: (336 ) _957-8940_
5. Who will be responsible for the day-to-day manageml nt of the residuals land application program:
❑ Permittee or ® residuals management firm. If a residuals management firm, complete the following:
Firm contact person and title: Dennis Ke
Firm name: Southern Soil Builders, Inc.
Mailing address: 958 Hoots Road
City: Roaring River State: NC Zip: 28669
Telephone number: [phone] Facsimile number: [phone]
E-mail address: dkeyna southemsoilbuilders com
FORM: NDRLAP 070807 Page 3 of 6
Attachment Order 1

Gel
List the Operator In Responsible Charge (ORC) and Il 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
Dennis Key
Southern Soil Builders, Inc.
15704
Back -Up ORC
Zach Key
Southern Soil Builders, Inc.
27660
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:
7. Complete the following tables regarding management
a. Plant Available Nitrogen Summary: Determine
by all residuals source -generating facilities as cu
t` application and list the results in the following tat
Maximum amount of residuals to be certified:
residuals land application program:
maximum plant available nitrogen (PAN) generated
tly certified and proposed for certification with this
dry tons per year.
PAN
Pounds of
(Weighted
PAN per Dry Ton
Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
44.66
62.06
6699.81
9309.81
Five -Year Maximum Adjusted
47.5
66.02
7127.4
9904.05
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
0
Hay
0
Pasture
51.4
Total:
51.4
Methods
Surface
51.4
Incorporation or Injection
0
Total:
51.4
Restrictions
Year -Round
51.4
Seasonal
0
Total:
51.4
FORM: NDRLAP 070807 Page 4 of 6 Attachment Order 1

c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the
residuals as currently certified and proposed for l certification assuming the scenarios listed in the
following table:
Assumed
Acres Required Using
Acres Required Using
Application Rate
First -Year PAN Concentrations
Five -Year Maximum Adjusted PAN
abs PANlac yr)
Concentrations
Surface
Incorploratlon
or
Surface
Incorporation or
Injection
Injection
50
133.9
1!86.18
142.5
198.06
100
66.99
93.09
71.25
99.03
150
44.66
62.06
47.5
66.02
200
33.4
46.5
35.6
49.5
8. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application
of the proposed residuals due to the violation of North Zolina Administrative Code (e.g. not enough storage,
not enough land, vector reduction practices not in place, etc.)
***FORM: NDRLAP
ON NEXT PAGE***
FORM: NDRLAP 070807 Page 5 of 6 Attachment Order 1

RECEIVED I DENR / DWQ
Aquifer Protection Section
MAY 2 3 2011
Applicant's Certification:
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or
abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees under Rule
2T .0105.
® Yes ❑ No, Explain;
and is accurate and complete to the best of my knowledge. I
conduct a technical review of this program and approval does
specifically granted in the permit. Further, any discharge of
immediate enforcement action, which may include civil pens
will make no claim against the Division of Water Quality
understand that if all required parts of this application ar
information and attachments are not included, this applicatioi
In yy��accordance with North Carolina General Statutes § 143-2
m�lces any false statement, representation, or certificatioi
misdemeanor, which may include a fine not to exceed $10,00(
Signature:
attest that this application for
has been reviewed by me
inderstand that the Division of Water Quality may not
iot constitute a variance to any rules or statutes unless
-siduals to surface waters or the land will result in an
ties, injunctive relief, and/or criminal prosecution. I
iould a condition of this permit be violated. I also
not completed and that if all required supporting
package will be returned to me as incomplete. Note:
5.6A and § 143-215.6B, any person who knowingly
in any application shall be guilty of a Class 2
as well as civil penalties up to $25,000 per violation.
Date: ".5- I . r 1
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
DMSION OF WATER QUALITY
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE
By Courier/Special Delivery:
2728 CAPITAL BOULEVARD
RALEIGH, NORTH CAROLINA 27604
: [phone]
FORM: NDRLAP 070807 Page 6 of 6 Attachment Order 1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
RESIDUALS SOURCE CERTIFICATION ATTACHMENT
(FORM: RSCA 070807)
(THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are
followed. Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at;
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without a corresponding residuals program application
form (FORM: NDRLAP, FORM: DRS, or FORM: S�RS).
✓ Any changes to this attachment form will result in the application package being returned.
✓ For new residuals programs or renewed residuals programs, submit a separate attachment form for each
residuals source -generating facility to be certified for this residuals program.
✓ For modified residuals programs in which any modification to the certified residuals -source generating
facilities is proposed, submit a separate attachment for for only those residuals source -generating facilities
that are affected by the proposed modification.
✓ The attachment should be organized prior to submission in the following order (i.e., by facility):
♦ Attachment Order 2: Residuals Source Certification Attachment (FORM: RSCA).
➢ Attachment Order 2-a: Vicinity map.
➢ Attachment Order 2-b: Process flow diagram and/or narrative.
➢ Attachment Order 2-c: Quantitative justification for residuals production rate.
➢ Attachment Order 2-d: Sampling plan.
➢ Attachment Order 2-e: Laboratory analytical reports and operational data.
B. Residuals Source -Generating Facility Information:
✓ Attach a vicinity map that shows the location of the facility and meets all of the criteria in the latest version of
the document entitled "Guidance for the Preparation o Vicinity/Buffer Maps for North Carolina Residuals
Permitting Programs."
✓ Attach a detailed narrative and/or process flow diagram that describes how the residuals are to be generated,
treated, processed, and stored at the facility.
✓ Attach a quantitative justification for the value provil in item 1. 8. Ensure that the amount of residuals
listed is the maximum amount expected to be generated by the facility for the life of the permit. In addition,
ensure that this amount is equivalent to that which is agItually to be land applied, distributed, and/or disposed,
including any chemicals, amendments, or other additive that are added to the residuals during processing.
C. Residuals Quality Information:
✓ Attach a detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In
addition, ensure that the plan details how the facility and/or the residuals are monitored for any applicable
pathogen reduction and vector attraction reduction requirements. Note that all sampling and monitoring must
be completed on the residuals as they are to be land applied, distributed, and/or disposed.
✓ Attach reports for all laboratory analyses used to complete this attachment form. Attach documentation that
the facility complies and/or the residuals comply with �ny applicable pathogen reduction and vector attraction
reduction requirements.
✓ Item I1. 3. does not have to be completed for facilitiels that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only.
FORM: RSCA 070807 Page 1 of 8 Attachment Order 2

State of North Carolina
Department of Environment and Natural Resou
Division of Water Quality
RESIDUALS SOURCE CERTIFICATION ATTAC
(FORM: RSCA 070807)
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGIN.
Applicant's name: _
Check all that apply:
❑ INCREASE
es..
..rah �!•� ._i. � 1`�y.. ,�,'.�.. ...a I....+M,a 5
1 ,NT 2011 .g }
s M AY 3 1
Ld
❑ NEW RESIDUALS PROGRAM ® RENEWED RESIDUALS PROGRAM
❑ DECREASE the maximum permitted annual dry tonnage for this residuals source -
generating facility certified for this residuals program.
Current: 150 Dry Tons/yr. and proposed: 150 Dry Tons/yr.
❑ ADD ❑ DELETE this residuals source -generating facility to/from those certified for this
residuals program.
❑ OTHER Explain:
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Name of facility: Town of Taylorsville WWTP
2. Facility permit holder: Town of Taylorsville
Facility permit holder is (check one): ❑ federal, ❑ state, ® local government, or ❑ private.
Facility permit number: NCO026271
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:
Telephone number:
E-mail address:
b. Facility complete location address:
City:
Latitude:
4. County where facility is located: Alexander
State:
Zip:
Facsimile number: ( ) _
State: Zip:
and longitude:
5. 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:
FORM: RSCA 070807 Page 2 of 8 Attachment Order 2

6. Does the facility have an approved pretreatment program: ® yes ❑ no
7. Facility permitted/design flow: 0.830 MGD and facility average daily flow: 0.430 MGD.
8. Average amount of residuals being generated at this facility25 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Two 2) 100,000 gallon digesters
Two (2) 65,000 gallon digesters
Type and volume of residuals storage (i.e., outside of residuals treatment units):
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals arc 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., 7b., and 7c:
® Land Application (Class B or Equivalent).
Complete all items EXCEPT Items II.4b., 7a., and 7c.
❑ Surface Disposal.
Complete all items EXCEPT Items I1.4a., 5., 7a., 7b., and 8.
***FORM: RSCA CONTINUES ON NEXT PAGE***
FORM: RSCA 070807 Page 3 of 8 Attachment Order 2

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: Pace Analytical and date of analysis: 12-30-10
Passed corrosivity test: ® yes ❑ no. pH: 6.9 s.u. (2 < pH < 12.5).
Passed ignitability test: ® yes ❑ no. Flashpoint: 200 °F (> 140°F).
Passed reactivity test: ® yes ❑ no. HCN: .0019 mg/kg (<250) & H2S: ND mg/kg (<500).
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
1.33
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
ND
Mercury
0.2
ND
Chlorobenzene
FO.O3
ND
Methoxychlor
10.0
ND
Chloroform
.
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
0.201
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
0.201
Selenium
1.0
ND
Cresol
200.0
0.201
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
l,l-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSCA 070807 Page 4 of 8 Attachment Order 2

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the
residuals do not violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Class A or Class B: Fill in the following table with the results of the latest analyses (i.e., on a dry
weight basis) for the following metal parameters:
Laboratory: A&L Eastern Laboratories, Inc` and date of analysis: 5-3-2011
Parameter
Ceiling
Concentration Limits
(ClassA & C1assB)
(mg/kg)
Monthly Average
Concentration Limits
(For Class A Only)
(mglkg)
Result
(mg/kg)
Arsenic
75
41
4
Cadmium
85
39
1
Copper
4,300
1,500
398
Lead
840
300
33
Mercury
57
17
3.3
Molybdenum
75
n/a
7
Nickel
420
420
14
Selenium
100
100
4
Zinc
7,500
2,800
656
b. 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:
Closest Distance
to Property Lines
(meters)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
> 0 but < 25
30
200
210
> 25 but < 50
34
220
240
> 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
> 125 but < 150
62
450
420
> 150
73
600
420
FORM: RSCA 070807 Page 5 of 8 Attachment Order 2

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 3.51 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the
following nutrient and micronutrient parameters: laboratory: A&L Eastern Laboratories, Inc.
and date of analysis: 5-3-2011
Parameter
Result
(mg/kg, dry weight)
Aluminum
13400
Ammonia -Nitrogen
17400
Calcium
57000
Magnesium
175
Nitrate -Nitrite Nitrogen
42.7
pH (Standard Unit)
7.63
Phosphorus
14500
Potassium
2960
Sodium
2060
Total Kjeldahl Nitrogen
62700
c. Using the results listed in Item Il. 5b. above, calculate the sodium adsorption ration (SAR): 0.43
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: Default rate for Aerobically Digested 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
22332.7
23758.19
Injection/incorporation
31032.7
29170.7
e. Are the residuals 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 070807 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. Patho en 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 VirusNiable Helminth Ova.
❑ Alternative 4 [40 CFR §503.32 (a)(6)] - No Prior Testing for Enteric VirusNiable 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 1I.7b. above.
❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution.
FORM: RSCA 070807 Page 7 of 8 Attachment Order 2

I
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 -Biological Residuals with NO Domestic Wastewater Contribution.
FORM: RSCA 070807 Page 8 of 8 Attachment Order 2

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TOWN OF TAYLORSVILLE WWTP .SCHEMATIC
A.
FLOW SPLITTER BOX
B.
AERATION BASIN NO. 1
C.
AERATION BASIN NO.2
D.
CLARIFIER NO. 1
E.
CLARIFIER NO. 2
F.
AEROBIC DIGESTER NO.
G.
AEROBIC DIGESTER NO.
H.
AEROBIC DIGESTER NO.
FORCEMAIN
PLANT COMPONENTS
I.
AEROBIC DIGESTER NO. 4
J.
CHLORINE CONTACT CHAMBER
K.
DECHLORINATION CHAMBER
L.
RECYCLE PUMPING STATION NO. 1
M.
RECYCLE PUMPING STATION NO. 2
1 N.
SCUM PUMPING STATION NO. 1
2 0.
SCUM PUMPING STATION NO. 2
3 P.
SLUDGE DECANT PUMPING STATION

Quantitative Justification for Residuals Production Rate
In the following three years the Town of Taylorsville, NC has produced the following Dry Tons to be land
applied:
2008: 48.05 DT
2009: 0 DT
2010: 25.26 DT
Thjs is a three year average of 24.44 Dry Tons per year. The 150 Dry Tons requested in this permit
renewal should be more than sufficient to handle the amount of residuals being produced by the Town
of Taylorsville.

Taylorsville, NC WWTP Sampling Plan
WQ006906
Annually, if a land application event occurs during a calendar year, grab samples
are collected from the digesters. Samples from the digesters will be combined to form
individual grab samples to be sent to a laboratory for analysis. If a land application event
is to occur in the early part of a calendar year (i.e. in January or early February) these
samples may have to be taken in December so results can be obtained before the land
application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for nutrient analysis, and
TCLP test. These samples will be sent to a state certified laboratory for analysis.
The pathogen and vector attraction requirements are met through alkali
stabilization.
Annually, if land application occurs during a calendar year, a composite residual
f solid sample will be analyzed for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum,
Ammonia nitrogen, Calcium, Nitrate nitrogen, Nitrogen, Magnesium, % total solids, pH,
phosphorus, Potassium, TKN, and Sodium.
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption
Ratio (SAR) will be calculated. This sample will be collected in a non -breakable plastic
container, at least one quart in size.
A soil test will also be collected annually from any fields that receive residuals during the
calendar year.

Annually, a composite TCLP sample will be collected to include:
Aresenic
Hexachlorobenzene
Barium
Hexachloro-1, 3-Butadiene
Benzene
Hexachloroethane
Cadium
Lead
Carbon Tetrachloride
Lindane
Chlordane
Mercury
Chlorobenzene
Methoxychlor
Chloroform
Methyl Ethyl Ketone
Chromium
Nitrobenzene
M-Cresol
Pentachlorophenol
O-Cresol
Pyridine
P-Cresol
Selenium
Cresol
Silver
2, 4-D
Tetrachloroethylene
1, 4-Dichlorobenzene
Toxaphene
pH for Corrosivity
Flash point for ignitability
Sulfides and Cyanides for reactivity
1,2-Dichloroethane
1 <1-Dichloroethylene
2,4-Dinitrotoluene
Endrin
Heptachlor and its Hydroxide
Trichloroethylene
2, 4, 5-Trichlorophenol
2, 4, 6-Trichlorophenol
2, 4, 5-TP (Silvex)
Vinyl Chloride
This sample must contain at least Two (2) gallons for proper analysis to take place.

Page: 1 of 2
Report Number: 11-125-0201
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 82220
Sample Id : TAYLORSVILLE
L A&L Eastern Laboratories, Inc.
7621 White -pine Road Richmond, Virginia 23237 [phone] Fax (804) 271.WG
www.aleastem.com
Project: TAYLORSVILLE
NC CERT#257
REPORT OF ANALYSIS Date Sampled: 5/3/2011 15:00:00
Date Received: 05/05/2011 00:00
Date Reported: 05/10/2011
Total Solids "
3.51
35100
100.0
MW
05/06/2011 07:45
SM-254OG
Moisture'
96.49
100.0
MW
05/06/201107:45
SM-2540G
Total Kjeldahl Nitrogen
6.27
62700
10.0
JM
05/06/2011 07:59
SM-4500-NH3C-TKN
Total Phosphorus
1.45
14500
100
KM
05/06/2011 11:52
SW 6010C
Total Potassium
0.30
2960
100
KM
05/06/2011 11:52
SW 6010C
Total Sulfur
0.91
9070
100
KM
05/06/2011 11:52
SW 6010C
Total Calcium
5.70
57000
100
KM
05/06/2011 11:52
SW 6010C
Total Magnesium
0.22
2150
100
KM
05/06/2011 11:52
SW 6010C
Total Sodium
0.21
2060
100
KM
05/06/2011 11:52
SW 6010C
Total Iron
15200
1
KM
05/06/2011 11:52
SW 6010C
Total Aluminum
13400
10
KM
05/06/2011 11:52
SW 6010C
Total Manganese
175
1
KM
05/06/2011 11:52
SW 6010C
Total Copper
398
1
KM
05/06/2011 11:52
SW 6010C
Total Zinc
656
1
KM
05/06/2011 11:52
SW 6010C
Ammonia Nitrogen
1.74
17400
10.0
JM
05/06/2011 07:59
SM-4500-NH3C
Organic N
4.53
45300
10.0
05/06/2011 07:59
CALCULATION
Nitrate+Nitrite-N
42.7
1.00
JM
05/10/201108:25
SM-450ONO3F
Total Cadmium
1.0
1.0
KM
05/06/2011 11:52
SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is
on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in
whole or part, nor may any reference be made
4&d�
to the work. the results. or the company in any advertising,
news release, or other public
announcements without obtaining oar prior written authorization.
Debbie Holt

Page: 2 of 2
Report Number: 11-125-0201
Account Number: 46381
Submitted By: 7ACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 82220
Sample id : TAYLORSVILLE
A&L Eastern Laboratories, Inc.
7621 Whltepine Road Richmond, Virginia 23237 (804) 7433401 Fax [phone]
www.aleastem.com
Project: TAYLORSVILLE
NC CERT#257
REPORT OF ANALYSIS Date Sampled: 5/3/2011 15:00:00
Date Received: 05/05/2011 00:00
Date Reported: 05/10/2011
Total Chromium
33
5
KM
05/06/2011 11:52
SW 6010C
Total Nickel
14
5
KM
05/06/2011 11:52
SW 6010C
Total Lead
33
5
KM
05/06/2011 11:52
SW 6010C
Total Arsenic
4.0
1.0
KM
05/06/2011 11:52
SW 6010C
Total Mercury
3.3
0.4
KM
05/06/2011 09:00
SW-7471 B
Total Selenium
4.0
1.0
KM
05/06/2011 11:52
SW 6010C
pH (Standard Units) "
7.63
0.01
JM
05/06/2011 07:59
SW-9045D
Total Molybdenum
7
5
KM
05/06/2011 11:52
SW 6010C
Comments:
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made
to the work, the results. or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Debbie Holt

Apr 13 2011 11.:32AM Statesville Analytical - 704-878-2787 page 5
pwey Anrlyftw 8errk+a4, Ina.
Z= RNenide pr.
kaNavflia, WC 2ew4
(112e1264.71 T6
ANALYT"L RESULTS
Pace Arrytloal Bavwso, L-
9e110 l0,nep Ava 300100
Nl7a MAN, K 26070
(7Dd)6'54ow
pnnjecx 1001230.6
Pace project No.: 9266039
Sample, 10012304 Lab C M00001 C 0giad: 12f30110 13:15' Received: o11C3/11 11:40 Mtt X Y%tler
Faramelen Raub WAS Roport UP* OF _Prep rvd /t'1e tod CAS No Qua;
i161 Chiorinigte Her4lalde TCV
2,4-0
2,4,5-TP (SiIV"
2,4-0CPA (S)
*0.7 MET 1CP
Mo- oftnum
Pamaalum
Sodium
i010 MET ICP, TCLP
Ai saaiic
Barwn
Cadmium y
ChranwrP!
Lead
Sebrllurn
SI?W
74" K61C r7, TCLP
Merriry
g2rg M&OV TCLF Sep funnel
1,4-Dld%IorWanZGM
2.4-01nNrot2Iuene
HexaCllao-1 ,3-puted1"
Hexacrilwobenzene
Hexaaniwoeth"
2-W*0*iprxnvK0tir-Q1)
tty4~3l(m6p Crea01)
prrrAo-Acmpheml
Pyridine
2,4,5•Trlrllbr09tW0
2,4,6 Trigh0r*pheW
N vbernt v*45 09)
Z-M"QOiphenyl (5)
Terpherryw 14 (8)
phen01.d6 (S)
2-Flaoroph911101(8)
2,4'fJ-Trbmm0Phen01(8)
Maydcel Mtathod: EPA 6101
ND Irq&
0.010 1
01M2fl1 16:30 01!14111 03:2e 94.76.7
NO mall
0.010 1
01/12/11 16:30 01114111 03:26 93-72.1
01M211118:30 01114/1103:219 10719.26-9
1171%
7D•130 1
Aneytloel Method: EPA 200.7 PteWvOon Method: EPA 200-T
5'0 1
01,13/11 1050 O1/15/11 02:52 7439.4e-7
70.6 up/L
2bOW 6
01/13r111050 0111Vil14:09 7440-M-7
07109.uglL
5000 1
01113/11 10:5fi 01/16/11 a2-.0 7440•-23-5
e1D00 Ug/L.
Alaryticel Memgd: F pA 6010 Preperatbn M1etlloe: EPA 3010
Laed-sta Methodl09m: EPA 13l1; 01/13/11 16:40
NO MWt
0.025 1
01/14/11 16:15 01117111 12:03 7440%Z-2
1,3 MQ&
0.50 1
01114/11 le:15 0 /17/11 12:03 7440.39.3
NO moo
0.0060 1
01fl4/11 18:1S 01117/11 12,033 7440-439
ND nqk
0.026 1
01114/11 10:15 01/':T111 12:03 7440.47.3
0.020 1
01/14/11 1t1:15 01/17/11 12-03 7439.82-1
NO MOIL
ND m9ti
0.10 1
Le1114/11 18:15 01/17111 120 7762.0-2
0.025 1
01114/11 i8:15 01/17/11 12:03 7440.22.4
NO MD/L
/vralyllael MclW: EPA 74TO preparvtlon Mothod: EPA T4TO
Lvad191e MvftoDate: EPA 1311; Oil13111 16:40
0.2D 1
01114/11 18 3D O1r17111 12d30 743�57�
NO ugfL
Ar&"W Magwod: EPA $270 Prape Wirt MMhod: EPA 3610
Le9dwt® MWoWData: EPA 1311; 01/05I70.10:00
NO uprl
60.0 '.
C1106/11 0930 01/07/11 17:45 1D6� 84
NO t#L
50.0 1
01/06/1109 0 01/07/11 17:46 121-14-2
50.0 1
01ro6/11 09:30 01107/11 1TA5 874%-3
NO upli
50.0 1
01f06111 09:30 01107r1 17,43 118-74-1
NO Lp4
50.9 1
01/OB/11 02:30 Ou07/11 17:46 67-72.1
NO Lek
50.0 1
0110fi/11 0920 01107M1 17:46 9845.7
NO W&
201 LO
50.0 1
01r00/11 09:30 01107r1 17:45
$0.0 1
01ro8/11 09:30 01107r1 1TA5 WW3
NO upA
50.0 1
01f06/11 09:30 01107111 17:45 67-8e-6
NO u9n
60.0 1
01(06/11 00:30 01ro7rl 17:45 110-WI
NO ug/L
6D.0 1
01/0@111 69:3D 01/07/11 17:45 96.%4
NO ug)L
60.0 1
01J06/11 D9:30 01t07/11 17:46 o&46.2
NO ug/L
12-/02 1
01108111 09:3D 0110T/11 17:45 4165-60-0
69 %
52 %
13407 1
01AX111 091D 01107/11 17:45 321-W4
%
21.132 1
01106/11.04:30 01107f11 1T:46 iTI&41-0
10.110 1
01/06/11 D9:30 01 t07n 1 17:46 13127-8& 3
20 %
10.110 1
01/04111 09,30 01/07/11 17:45 367-12.4
32 %
27-106 1
01/06/11 D8:30 01107/11 17:45 118-7M
93 %
Data: 01/Z012011 04'69 PM REPORT OF LABORATORY ANALYSIS
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Pere 4 of 19

Apr 13 2013 11:33AM Statesville Analytical 704-878-2787 Page
Po" Ansty W SWVkW Pece Andy&W SwvLW, ine.
2�• 2226 Rh*Wde Lk. mt',GnoeyAvw SU" 100
�, Aeherlle, NC 1IW4 Huntmi W. NG 28M
(529)254-717E (7W)B75-M2
ANALYTICAL RESULTS
prop�t: 1001230-4
Peae Frojea No.: 92MM9
-- -
-------
Sampw: 10912304
Lab -ID: 67MWWOI C 1600d: 12130110
13:15
Rena M' 011"l l 11:40 glom Y'iatet
Fwanetern
Reaulb Units
Resort umh
OF
Prepvrvd Ajyaty:od
CAS No Q AI
a26a MV TCLP
Anaydcal Memd: EPA 3260
ND ug&
10.9
33
Ot109111 20:26
71-t3-2
Benzene
NO ug/L
3x
31
Ot/09/1120:20
76-4J-3
?�•.lhtuwne (MEK)
NO W&
185
33
0110G11 20:20
W-2"
Carbon ts"choride
NO K&
166
33
W106111 20:25
10a-90-7
Cnbnobenzene
ND uQ&
165
33
0106M M-215
67. *-3
Chbo9ortn
ND uplL
1w
33
U1/05'11 10:26
tOb48-)
1,4-0adiorobanzene
ND uyL
106
33
01i(1$,r11 20:26
10 46-2
1.2-0(�hbrodhene
ND vok
1H6
33
U'If0Wi120:26
75.364
1,1.Dlahloroethwa
ND
it36
3,
01mtdl1l 20:26
127.16-4
TerlmlamMerW
ND uplL
,6b
.68
83
Mi0af1120:26
76-01-8
Tri�ktoefaw
N ufi�
33
O06h tl1 20:28
71-4
0-0
1/v�yl o1lFonde
122 16
70.130
33
01l0E1i1 2C:20
17000-07-0
t.2-0idlbroethantd4 t:S)
108 %
67.13E
33
OSfOfil11 20:20
203T•264
TWA a (S)
'�
7D-130
33
01I1 20:26
0811
460-00-4
om 4-D:olluoroben2w a (�
IV 16
TO.130
33
01/0611 70:1a
1 B68E3-7
D(brorndtil�, r eaterw (6)
1010 Flaehpalt Olosed Mp
Ana"cal Method: EPA 1010
aZDO.dog F
70.0
1
01l13/11 131i
Fleehpoird
W 34 Su Mde YVwW
Artayowl Mwood: EPA Wu
Slaw
ND mg)L
Soo
1
01IWl 15:30
1 J6-25-F- M
W" PM
Ana"Opt Method: EPA ONO
0.0 $W Unlb
0.10
1
01)(4/11 15:06
H6
PH
t1012 Cyardda, TOW
Mayoral Method: EPA 9012
0.0411 m9A
0.010
1
M:ib oi)07111 15:54 57-12-5
Cyanide
Oeb: G1J2ty?A11 04:59 pw REPORT OF LA6ORATORY ANALYSIS
1 Ne neon ehal rat * t•prvouaed, eaaapt In Iul.
v,i h" thevRihm mvw..d of Pia A-uytlrnl awviompa Iif &.1 �
re
Page E of 19

May 12 2011 2: 49PM Statesville Analytical page 1
PaorrAw� . Nrc.
•
0 Ead Twm Ctrde
OrmOtd Beech, FL 32174
I �We7
ANALYTICAL RESULTS
Project 92850381WI230.6
Pace Project No.: 3524300
Sample: 1001230-4
Lab Ilk 928SD39MI
Co6ectad: 12/30110 13:15
Rera►reQ: DIAMi 10:40 Malmc
Weber
Parameters
Result/ unfits
Report LWI
DP
Prepared
Analyzed
CAS No. Quad
8"1 GCS Pwtldd&% TCLP
AnxVkml [MeVmd: EPA 8081 Preperaller► A3ethed: EPA 3510
Leachow MethodfDate. EPA 1311; OV1112011:00
eamnm43HC (1irdanc)
ND mg1L
0.0010
1
01/12/11 11:20
01113111.11:61
58-8"
Chlordane (recurs®!) -
NO nu1L
0.0050
1
01 f 12/11 11:20
01113111.11:51
67 74.9
Endrin
NO mg1L
0.0010
1
D1/12(11 11:20
01/13111 11:61
72-20-8
HepfaMror
NO mg1L
0.0010
1
01112/11 11:20
01113/11 li:51
76-448
Heptachlorepoxdde
ND-mgL
0.0010
1
0111211111:20
0111311111.51
1024-57-3
Methoxyddor
NO mg1L
0.0010
1
01112/11 11:20
01113111 11.61
72-13-3
Toxephene
NO mg1L
0.0050
1
Qi112111 11:20
01113/11 11:51
8001-36-2
DecuhlomWpherglf (S)
99 %
70-130
1
01112/11 11:20
01113M1 11:51
2D51-24-3
Tetr8ctlbro-rtti-xybrl0 (S)
97 %
70.130
1
01112MI 11I0
01/13111 11:51
677-0"
6161 Chlorteab Hermclda TCLP
2,4-D
2,4.5-TP (Sikax)
2,4-DCPA (S) ;
9034 Sulfide Vfti r
Gde
9012 Cyanide. Tofu
cyaride
Annalytlraf Method: EPA8151 Prmpamt1on Method: EPA3610
NO mg1L 0.010 1 011i211i 16:30 .01114/11 O&ZBi W75-7
NO mq& 0.010 1 01112M1 16:30 01114/f1 0326 93-721
117 % M1370 1 01112MI 10:30 01114M 0325 19719-28.9
Ar►alydcel Method: EPA 9034
NO mglL 50.0. 1 01/06/11 .15-30 18496-2" D3
AnaVam Method: EPA W2 Preparation Method: EPA 9M 2
Q-"9 mg+L 0.010 1 01106/11 02:15 01WRI 15:54 57-12-5
Page 8 of 14

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND APPLICATION SITE CERTIFICATION ATTACHMENT
(FORM: LASCA 070807)
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed.
Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at: htip 11porta! ncdenr. org/web/walaps/lau
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.
✓ For new residuals land application programs or renewed residuals land application programs, submit the requested
information for all land application sites to be certified for this residuals land application program.
✓ For modified residuals land application programs in which any new/transferred land application sites or modification to the
certified land application sites are proposed, submit the requested information for only those land application sites that are
new/transferred or affected by the proposed modification.
B. Land Application Site Information:
✓ Additional copies of Page 4 of 4 of this attachment form may be used if necessary.
✓ The status of the land application site with respect to this residuals land application program must be provided in the table in
Item I. 1. The status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) Transferred (T)
✓ If this is the first time that an application package is being submitted using Form NDRLAP, then a Watershed Classification
Attachment (FORM: WSCA) must be completed for all existin land application sites.
✓ For each land application site with a status code of N, attach the following in the order specified:
♦ Attachment Order 3: Land Application Site Certification Attachment (FORM: LASCA).
➢ Attachment Order 3-a: Watershed Classification Attachment (FORM: WSCA).
➢ Attachment Order 3-b: County Manager Notification Attachment (FORM: CMNA).
➢ By Land Application Site:
■ Attachment Order 3-c: Landowner Agreement Attachment (FORM: LOAA).
■ Attachment Order 3-d: Setback Waiver Agreement Attachment (FORM: SWAA).
• Attachment Order 3-e: An updated vicinity/buffer map that meets all of the criteria in the latest version of the
document entitled "Guidance for the Preparation of Vicinity/Buffer Maps for North Carolina Residuals
Permitting Programs.", including review and compliance boundaries.
■ Attachment Order 3-f. A soils and agronomic evaluation that meets all of the criteria in the latest version of
the document entitled "Soil Scientist Evaluation Guidance Document."
✓ For each land application site with a status code of R attach the following in the order specified:
♦ Attachment Order 3: Land Application Site Certification Attachment (FORM: LASCA).
➢ By Land Application Site:
■ Attachment Order 3-c: Landowner Agreement Attachment (FORM: LOAA).
■ Attachment Order 3-d: Setback Waiver Agreement Attachment (FORM: SWAA).
■ Attachment Order 3-e: An updated vicinity/buffer map (i.e., see above for criteria guidance).
■ Attachment Order 3-: An updated accounting of the land application site's cumulative pollutant loading rates
(CPLRs) that are required by the permit of the residuals land application program from which the site is being
transferred.
***INSTRUCTIONS CONTINUE ON NEXT PAGE***
FORM: LASCA 070807 Page 1 of 3 Attachment Order 3

Attachment Order 3-h: (For sites without a previously permitted soil series name indicated in Attachment "B")
County Soil Survey Map (or equivalent) clearly indicating the location and name of the all land application
sites without a previously permitted soil type. The map must be legible and to a scale where the sites can be
easily identified and differentiated from adjacent sites. The predominant soil -mapping units must be shown
for each site. The map must include the mapping unit legend, the County name, the Applicants name, and the
permit number. The Permittee must note in the narrative and provide documentation supported by a licensed
soil scientist for approval of any soil -mapping unit submitted in this form that has not been previously
approved and differs from that shown in the County Soil Survey.
✓ For each land application site with a status code of M, contact the appropriate Division's regional office to determine
attachment requirements.
✓ For each land application site with a status code of T, attach the following in the order specified:
♦ Attachment Order 3: Land Application Site Certification Attachment (FORM: LASCA).
➢ Attachment Order 3-a: Watershed Classification Attachment (FORM: WSCA).
➢ Attachment Order 3-b: County Manager Notification Attachment (FORM: CMNA).
➢ By Land Application Site:
■ Attachment Order 3-c: Landowner Agreement Attachment (FORM: LOAA).
■ Attachment Order 3-d: Setback Waiver Agreement Attachment (FORM: SWAA).
■ Attachment Order 3-e: An updated vicinityfbuffer map that meets all of the criteria in the latest version of the
document entitled "Guidance for the Preparation of VicinityBuffer Maps for North Carolina Residuals
Permitting Programs."
■ Attachment Order 3-g: An updated accounting of the CPLRs (i.e., see above for criteria guidance).
■ Attachment Order 34: Acknowledgement of field transfer from Permittee relinquishing field.
■ Attachment Order 3-i: Acknowledgement of field transfer from Land Owner. Fields may not be permitted to
multiple Permitees over the same time period.
{
✓ Crop Type should include the most likely crop types for the life of the permit (5 years).
✓ Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
✓ Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site
must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note
that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping
unit. If a representative slope is provided, it must be determined accordingly:
♦ Sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), may determine the representative slope by using
the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8% would
have a representative slope of 6%.
♦ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil
scientist.
FORM: LASCA 070807 Page 2 of 4 Attachment Order 3

Applicant's name: Town of Taylorsville
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.
❑ OTHER Explain:
Land application sites currently certified: 62.5 net acres and Total to be certified: 51.4 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B.):
1. Complete the following table with the requested information:
Status
Code a
Site/Field
ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series
Name*
Mapping
Unit or Rep.
Slope **
R
08-01
Owen Icenhour
20.7
Alexander
Fescue
Cecil
CeB2
R
08-02
Owen Icenhour
20.6
Alexander
Fescue
Cecil
CeB2
R
08-04
Owen Icenhour
10.1
Alexander
Fescue
Cecil
Ce132
Status Code for land application sites are: ♦ N (New) ♦ K (Kenew) ♦ m (Moainea) • i t i r3nsrerrea)
* Soil Series Name (i.e Cecil)
** Mapping Unit must be consistent with those used in the County Soil Survey (ie for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
FORM: LASCA 070807 Page 3 of4 Attachment Order 3

WATERSHED CLASSIFICATION ATTACHMENT (FORM: WSCA 10-06)
Applicant's name: Town of Ta lorsville `" '
Site/Field
ID
County
Latitude
3 5 Z Z
Longitude
Location
Datum
Location
Method
Code
Location
Accuracy
Waterbody Subbasin and
Stream Index No.
Current and
Proposed Class
08-01
Alexander
81.06.02
81.06.OY
NAD83
MAP
.01
Elk Shoal Creek
WS-Iv
08-02
Alexander
35.52.34
81.05.59 54
NAD83
MAP
.01
Elk Shoal Creek
WS-IV
08-04
Alexander
35.52.W Z Z
81.0f/02
NAD83
MAP
.01
Elk Shoal Creek
WS-1v
1, 26.CL )/, `' , attest that this attachment form has been prepared by me and is accurate and complete to the best
of my knowledge. 1-understand that if all required parts of this attachment are not completed and that if all required supporting information is not included, this
application package will be returned as incomplete.
Signature
FORM: WSCA 10-06 Page 5 of 5
5- ra-11

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, visil our web site at:
h118://portal.nedenr.or AvebAvq/aps/tau
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP, and FORM: LASCA).
✓ 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: Town of Taylorsville
Complete mailing address of applicant: 204 Main Avenue Drive
City: Taylorsville State: NC Zip: 28681
Telephone number: [phone] Facsimile number: [phone]
E-mail address: [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
08-01
Pasture/Hay
Animal Feed
Taylorsville
08-02
Pasture/Hay
Animal Feed
Taylorsville
08-04
Pasture/Hay
Animal Feed
Taylorsville
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied
residuals while the Permittee receives, in consideration, the use of the land application site(s) described above
for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application
program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following
restrictions and stipulations until such time as written notification, given 30 calendar days in advance,
modifies or cancels this Agreement.
FORM: LOAA 090814 Pagel of 3 Attachment Order 3-c

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 until all
of the site restrictions (under Section III) are met.
6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land
Application Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636.
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, the current landowner shall give a notice 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. Residuals may be applied to the sites with a pH of less than 6 provided that sufficient amounts
of lime is also applied to achieve a final pH of the soil mixture of at least 6.0, or if an agronomist provides
information indicating that the pH of the soil, residuals, and lime mixture is suited for the specified crop
type.
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. 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.
17. 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.
18. 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 090814 Page 2 of 4 Attachment Order 3-c

II. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY:
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC
02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water
supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the
newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map
showing the newly proposed compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
III. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control
public access to the land application site(s) during active use and for the 12-month period following a
residuals land application event. Such controls may include the posting of signs that indicate the activities
being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land
application event. Land application sites that are to be used for grazing shall have fencing that will be used
to prevent access during these periods after such residuals land application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land
application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface
shall not be harvested for a 14-month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period
following a residuals land application event when the residuals remain on the land surface for four months
or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period
following a residuals land application event when the residuals remain on the land surface for less than four
months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a
residuals land application event.
Landowner's Certification:
® 1 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, alternatives for water supply wells inside the compliance boundary, and restrictions, and do hereby
grant permission to the ermittee to land apply residuals tohe land application site(s) as specified herein.
Landowner name:�```-'t�
Landowner address:
City:
State: /" - C ' Zip:
Phone: L gr` /!! C
Signature:-� Date:
NORTH CAROLINA, COUNTY
1, the undersigned Notary Public do hereby certify that o'^j ell T r Pr, h 6v r
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
I /-ati ..����un►r►r►n..
WITNESS my hand and official seal this the
day of I't�`l.
Signature and c
My commission
FORM: LOAA 090814 Page 3 of 4
. rt
F)
Public
r►►ission ExplreS
3
y0 P
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AttacOYdab iQrdet`�-c

Lessee's/Operator's Certification:
❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as
specified herein.
Lessee/operator name:
Lessee/operator address:
City: state: alp:
Phone:
Signature: Date:
Permittee's Certification:
certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as
specified herein. j
Signing official name: I /�4 ✓�� ✓ j goo} Iry i N -±4'�
Signature: T:>—� ll.a Date:
*** END OF FORM: LOAA ***
1
�\ FORM: LOAA 090814 Page 4 of 4 Attachment Order 3-c

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Alexander County - GIS/Mapping System
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GoMAPS - Alexander County NC Public Access
Page 1 of 1
Alexander County - GIS/Mapping System
Identify Layer. Muse map rips
Parcels (Map Tips Available)
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- - - - - - PRIVATE ROAD
DRAIN
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SURFACE WATER
❑
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� UNSUITABLE
ri A
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OSTORAGE
S
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SOIL DESCRIPTION
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FORESTED AREA
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a4ew1w,14, �0 ;

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Taylorsville Permit #: WQ0006906 Annual Dry Tons Applied: 25.26186
Owner: Owen Icenhour Operator• O I h
• wen ce our Cation Exchange Capacity (non 503):
Site #: AL8 Field #: 01 Acres Utilized: 20.7 Acres Permitted: 20,7
o -a Gal. Totals % Residual Cond. Inche
Cur. Dry per Solid Tons Per Sources Dry, Precil
Report
�
Totals Acre s Acre (Summarize) Wet,
Past 2
in Gal. , , . . Hrs.
umgg�nmcm
v�
v�
v�
v�
vv
■vim
0
1
As
Cd Cr
Cu
Pb
Annual lbs/acre
0.0012566
0.00024 #######
1.29808
0.08589
Current Cumulative lbs/ac
0.1370566
0.10417 #######
16.5881
14979.1
Prior Years Cumulative lbs/ac
0.1358
0.10393 0
15.29
14979
Perm itted C. P. L. R. * * *
36
34 NA
1338
267
Permit PAN Limit 1 stl2nd Crop
"I certify, under penalty of law, that this document was d d
Appli-
cation
I Meth-
od*
Vola-
tili-
zation
Rate**
Miner-
ali-
zation
Rate
TKN
Ammo
nia-
Ni-
trogen
Ni-
trate
and
Nitrite
PAN 1
PAN 2
Must Select
Crop 1 or Crop
2
*
Crop 1
Crop 2
s
0.5
0.3
50137
5624
1077
42.0858
#######
Fescue
1
0
0
2
0
0
3
0
0
4
0
0
5
0
0
6
0
0
7
0
0
0
0
8
9
0
0
0
0,
1
11
0
0
12
Hg
Mo
Ni
Se
Zn
P
PAN 1 I
PAN 2
Lime A
lied
0.01049
0.00017
0.05124
0.00105
2.09352
8.37652
42.08581
0
Date
Ibs/ac
0.1182 0.12406 2.07548 0.16007 30.826
0.10771 0.12389 2128.7325
1374 1 89 1 2498
250
prepare un er my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorooration - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
* * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into
the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # I to MFLSF column # 1.

UNITED STATES DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
ALEXANDER CC
SOIL LEGEND
Map units symbols and names are alphabetical. Map unit symbols are letters or a combination of letters and a
number. The first leltet is capitalized and is the lust letter of the map unit name. The second letter is
lowercase. The third letter is capitalized and indicates the class of slope. A final number of 2 indicates that the
soil is moderately eroded.
SYMBOL NAME
AcD Ashe-Cleveland complex, B to 25 percent slopes. stony
AcE Ashe-Cleveland complex, 25 to 60 percent slopes, stony
Be8 Bethlehem gravelly sandy loam, 2 to 8 percent slopes
BOG Bethlehem gravelly sandy loam, 8 to 15 percent slopes
BIC Bethlehem -Urban land complex, 2 to 15 percent slopes
BsC2 Braddock and Hayesville clay foams, 6 to 15 percent slopes, eroded
BsQ2 Braddock and Hayesville clay loams, 15 to 25 percent slopes, eroded
BuA Buncombe loamy sand, 0 to 0 percent slopes, occasionally flooded
CeB2 Cecil sandy clay loam, 2 to B percent slopes, eroded
CIB Cecil -Urban land complex, 2 to 8 percent slopes
rcent slopes, frequently
oded
CnF Cleveland -Rock e
outcrop opcomplex, 6 to 90 percent slopes
CsD Cowee-Saluda complex, 8 to 25 percent slopes, stony
CsE Cowee-Saluda complex, 25 to 60 percent slopes, stony,
Da02 Davidson clay loam, 2 to 8 percent slopes, eroded
DaC2 Davidson clay loam. 8 10 15 percent slopes, eroded
Do8 Dogue sandy loam, 2 to 6 percent slopes, rarely flooded
EcD Evard-Cowee complex, 8 to 25 percent slopes. stony
EcE Evard-Cowee complex, 25 to 60 percent slopes, stony
HbC Hibriten very cobbly sandy loam, 8 10 15 percent slopes
HbE Hibriten very cobbly sandy loam, 15 10 60 percent slopes
MaB2 Masada sandy clay loam, 2 to 8 percent slopes, eroded
MaC2 Masada sandy clay loam, B Io 15 percent slopes, eroded
PaD Pacolel sandy loam, 15 to 25 percent slopes
Pc82 Pacolel sandy clay loam, 2 to 8 percent slopes, eroded
PcC2 Pacolel sandy clay loam, 8 to 15 percent slopes, eroded
puC Pacolet-Urban land complex, 2 to 15 percent slopes
RnC Rion sandy loam, B to 15 percent slopes
RnD Rion sandy loam, 15 to 25 percent slopes
RnE Rion sandy loam, 25 to 45 percent slopes
RwB Rion -Wedowee complex. 2 to 8 percent slopes
RxA Riverview line sandy loam, 0 to 2 percent slopes, frequently flooded
SIB State sandy loam, 2 to 6 percent slopes
TIB Tate -French complex, 2 10 10 percent slopes
UdC Udonhents-Urban land complex, 010 15 percent slopes
WeA Wehadkee loam, 0 to 2 percent slopes, frequently flooded

Dwer)
�C� h it Ovr-

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Town of Taylorsville
Land application sites currently certified: ;103.8 net acres and Total to be certified: O."i net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codes
Site/Field
ID
Landowners
O
Lessees or Operator(s)
O
Net Acres
County
tY
Crop(s) s
PO
Predominant Soil
b
Series Name
Mapping Unit
or Rep. Slope'
R
08-01
Owen Icenhour
19.3
Alexander
Fescue
Cecil
CeB2
R
08-02
Owen Icenhour
10.3,
Alexander
Fescue
Cecil
CeB2
R
08-04
Matthew Shannon
OwenIcenhour
13.1
Alexander'
Fescue
Cecil
CeB2
R
PH1
Phillip Hoover
14.7
Alexander
Fescue
Pacolei
PcB2
R
CHI
Clyde Hendren
32.7
Alexander
Fescue
Pacolet
PcB2
N
CPI
Carol Price
7.0
Alexander
Fescue
Fairview,-
FcB2
N
a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
° Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
H. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
P
Class
08-01
350 52' 22.1 l"
810 06' 11.33"
NAD 83
ADD
Nearest Second
11-73-(0.5) Elk Shoal Creek
WS-IV
WS-IV
08-02
350 52' 36.89"
810 06' 00.32"
NAD 83
ADD
Nearest Second
11-73-(0.5) Elk Shoal Creek
WS-IV
WS-N
08-04
350 52' 20.39"
'810 05' 59.23"
NAD 83
ADD
Nearest Second
11-73-(0.5) Elk Shoal Creek
WS-N
WS-IV
PHI
350 53' 59.70"
'81° 09' 01.95"
NAD 83
ADD
Nearest Second
11-69-7-(0.7) Glade Creek
WS-IV
WS-IV
CHi
350 54' 14.04"
810 09' 01.42"
NAD 83
ADD
Nearest Second
11-69-7-(0.7) Glade Creek
WS-IV
WS-IV
CP1'
35054' ;16.67"
'810 09'-11.30"
NAD 83
ADD
Nearest Second
11-69-7-(0.7) Glade Creek
WS-IV
WS-IV
° ' "
° ' If
NAD 83
ADD
Nearest Second
° '
°
NAD 83
ADD
Nearest Second
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 11-15 Page 1

9ivision of Witter Resources
CE
FEB I i 2016
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
F�Inf1-�1SCh�«1v FORM: LOA 11-15
pemilulity --
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit we site at:
hIU2:// op rtal.ncdenr.oty_1Web/wg1a s/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
belo,w.
A. Land Owner Agreement (FORM: LOA 11-15):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 11-15) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: o W ,n o� �`� v rs ,, I l e
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
0..��
e
T__424-
RECEIVED/NCDEN,
/DVVR
FEB 15 2
16
wa
MOORESVILLE REGIONAL
OPPICE
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
FORM: LOA 11-15 Pagel of 3

S Southern
S Soil
B I Builders, Inc.
Monday, February 08, 2016
958 Hoots Road Roaring River, NC 28669
[phone] .• Fax [phone]
North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Permitting
Non -Discharge Permitting
1617 Mail Service Center
Raleigh, NC 27699-1617 RECEIVEDACDENR/DWR
Reference: Town of Taylorsville FEB 15 2016
Permit No. WQ000 a-r 610(0 VVQROS
Additional Information Request KIOORESVILLE EE: IC,,NIAL o-FlCE
Dear Mr. Doby:
-
1 I_. L.) .. L j t U
PCi'i7iiC-ii1
Enclosed with this letter, in triplicate, is the requested additional information for the permit
renewal package for the Town of Taylorsville land application permit WQ0006906. The field in
question, 08-04 is indeed owned by Mr. Shannon and is in a long term lease by Mr. Icenhour.
The updated information included is:
A. An updated land owner's agreement showing Matthew Shannon as the land owner
and Owen Icenhour as the Lessee.
B. An Updated Land Application Site Certification showing the changes in field 08-04
of Matthew Shannon as the land Owner and Owen Icenhour as the lessee.
If you have any questions or concerns, please contact me at [e-mail]
or at 336-957-7871. '
Sincerely,.
Zach Key
Southern Soil Builders, Inc.

Schutte, Maria
From:
Schutte, Maria
Sent:
Friday, February 05, 2016 7:04 PM
To:
Doby, Troy
Cc:
Pitner, Andrew; Basinger; Corey
Subject:
WQ0006909 Taylorsville Staff Report
Attachments:
WQ0006909 Taylorsville WQROSNDARR Form-02052016.pdf, RE: WQ0003281 Belmont
Staff Report
Hello Troy,
Please consider this email as the staff report for this RLAP renewal with major modification. Many of my comments
below are the same ones noted in my recent Belmont WWTP staff report to David Goodrich, because Southern Soil
Builders is also the LA contractor for this permit and they are attempting to use generic language in all of their plans
(O&M, Spill & Sampling). I have attached David's email and draft add info letter for your convenience — hopefully you
can copy/paste and save a little time.:
They are requesting to up their dry tons to 300/yr. but this is still below the magic 319 DT/yr., so sampling requirements
will not change.
They are adding some new fields and you have already noted an ownership/lessee signature issue, which I discussed
with Zach Key and he is working on acquiring signatures from both to eliminate the issue.
The Sampling Plan does not accurately describe PVAR for this facility. They use lime stabilization only, so the
references to Fecal sampling and 38%VS reduction, etc. should be removed.
o I questioned to David Goodrich about the statement that says samples will be collected in December to
receive results in time to land apply in January or February. And his response was that, that is okay ... just
an FYI for consistency.
o They specify the lab used, but I think they should keep this part generic and just state a NC certified
laboratory will be used, so they have flexibility.
• Page 2 of the Spill Plan (#6) states the ARO — when it should say the MRO - & their "reporting" permit language
in inaccurate they should use ours — 24hrs to contact, written response in 5 days. (See David's comments)
• The field buffer maps should have the Main Road names. (See David's comments — he also added language
about the compliance & review boundaries, which I missed.)
• The field naming scheme is "unique" —fit to our NC-CO-001-01 naming method (Also covered in David's
attachment).
• Field CHI-1 has a cross fence running from the buffer @ the Barn South to the buffer at the closest house —
currently they cannot access the west part of the field w/o cutting the fence, which appears to be a 1 stfand
electric fence for the cattle. May be temporary (?) but should probably be noted on the map.
• Owen Icenhour fields 08-01 and 08-04 will both require a property line buffer since the 04 parcel is now owned
by Carol Price.
• Need a field ID on map CPL
• The LASC form shows the closest down -slope SW as Alamance. I thought maybe it should say Alexander. Is this
correct?
• The TCLP, etc. Non -hazardous data submitted is from 2014. They will need another sampling event in the next
permit cycle.
I am okay with renewal, upon receipt of any additional information you feel is warranted.

Thanks!
Maria
Maria Schutte
Environmental Specialist
Water Quality Regional Operations Section
Division of Water Resources
North Carolina Department of Environmental Quality
704 663 1699 office
704 235 2184 direct
Maria.schutte(D-ncdenr.gov
610 East Center Avenue
Suite 301
Mooresville, NC 28115
5 t'Nothing Compares...
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division
WATER QUALITY REGIONAL OPERATIONS SECTION
NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
January 12, 2016
To:a 'OSAndzews`v4age3
RECEIVED/NCDENR/DyW
JAN 14 2016
From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting Unit MOORESVILLWQROS
E REGIONAL OFFICE
Permit Number: WQ0006906 Permit Type: Land Application of Residual Solids (503)
Applicant: Town of Taylorsville
Owner Type: Municipal
Facility Name: Town of Taylorsville RLAP
Fee Category: Non -Discharge Minor
Comments/Other Information:
Project Type: Renewal with Major Modification
Owner in BIMS? Yes
Facility in BIMS? Yes
Fee Amount: $245 - Major Modification
Attached, you will find all information submitted in support of the above -referenced application for your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
® Return this form completed.
❑ Attach an Attachment B for Certification
® Return a completed staff report.
❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and
return it to the appropriate Central Office Water Quality Permitting Section contact person listed above.
K'O-WQROS Reviewer:
Date: l ��
FOP,N4: WQROSNDARR 09-15 Page 1 of 1

trVater Resources
EPIVIRO;IMEN TAIL QUALITY
DAVID ODONI — TOwN MANAGER
TOwN OF TAYLORSVILLE
204 MAIN AVENUE DRIVE
TAYLORSVILLE, NORTH CAROLINA 28681
Dear Mr. Odom:
RECEIVEDINCDENRVNR PAT NiCCRORY
JANZ01
DONALD R. VAN DER VAART
WQROS
tJI00RESVILLE REGIONAL OFFICE
S. JAY ZINiNiERNiAN
Dtr scfvr
January 12, 2016
Subject: Acknowledgement of
Application No. WQ0006906
Town of Taylorsville RLAP
Residuals Management System
Alexander County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on January 8, 2016. Your application package has been assigned the
number listed above, and the primary reviewer is Troy Doby.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Troy Doby at [phone] or [e-mail].
Sincerely,
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
cc: l+/looresv�l�i eRegT'"o""n'a51>[4�ft"e i ate�fuai�l:ty egona t3peraions S'in
Permit File WQ0006906
State of North Carolina J Environmental Quality � Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919 807 6464
�.'�"-tia�Lv n "c�>rt�R - �.'3��i m'xir.'�r3sa�t1�d.�24.E�'�'k��v�'3-�:`u+�e�tw:`2�_ iS �°`•.M1lq .'C':y5�:s x..C.a _.�: ..k.. T'4�.AF - rd � .�s,.itvi'�I

S Southern
S Soil
$ Builders, Inc.
958 Hoots Road Roaring River, NC 28669
[phone] .0 Fax [phone]
RECEIVED/NCDENR/DWR
JAN 14 2016
WQROS
MOORESVILLE REGIONAL OFFICE
RECEIVED/NCDFQ/DWR
Thursday, December 31, 2015
JAN082018
North Carolina Department of Environmental Quality
Division of Water Resources Non -Discharge.
Water Quality Permitting Section permitting Unit
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Reference: Permit Modification and Renewal for Town of Taylorsville, NC
Permit No. WQ0006906
Addition of Land and Renewal
Southern Soil Builders, Inc. is assisting the Town of Taylorsville, NC in the modification and
renewal of its current land application permit WQ0006906.
One modification is the addition of one new land owner and 7 acres of land, which is in fescue
and will be used for animal feed.
The second modification is increasing the allowable dry tons per year from the current 150 dry
tons to 300 dry tons per year. With the recent new additions of land in 2014 and the current
addition of 7 acres will allow the Town to increase the amount of dry tons per year land applied.
Your attention to this permit modification and renewal package is greatly appreciated. If you
have any questions or concerns, please feel free to contact me at 336-957-7871 or at
[e-mail]
Sincerely,
Zach Key
Southern Soil Builders, Inc.

RECEIVED/NCDEQ/DWR
Division of Water
State of North Carolina
JAN 0 8 2016 ' Department of Environmental Quality
Division of Water Resources
"�nb®T .1100 —RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 11-15 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order,to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Fails re to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
hl4p:// --ortal, ncdenr. oly./Tt eb/w�g/aPs/lazc
General — This application is �or treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land ApplicatProgram (FORM: RLAP 11-15) Application: (All Application Packages):
❑ Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 11-15) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .010ffb). An
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC. 02T .0106 �).
❑ If this project is for a modification of an existing permit, submit one copy of the existing permit.
❑ Please submit this aication form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposedfacility(ies) for application packages involving new or changes to treatment and storage units,
B. Application Fee (New an Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility classification New Permit I Major Modification 1
Major (land are permitted for > 300' acres) $1,310 $395
I
Minor (land are per itted for < 300 acres) $810 $245
A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes
not previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
❑ List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC I C .0300)
❑ Submit a copy of the findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any m
ment anditigating factor(s) from the Environmental Assessment (EA) that impact the construction of the
residuals treatstorage facilities. An EA may also be required for private systems if any public funds and/or lands
are used for the construction of the subject facilities.
f
INSTRUCTIONS FOR FORM: RLAP 11-15
I
Pagel of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
❑ Submit the O&M Plait in accordance with 1 SA NCAC 02T .1 l 10 and include at a minimum:
❑ Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by wliom the fimctions are to be conducted.
❑ Maintenance scheddules; may include equipment calibration, maintenance of signs, etc.
❑ Safety measures; ay include safety training program, manuals, signs, etc.
❑ Spill response plan; including control, containment, remediation, emergency contact information, etc.
❑ Inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(E) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the
event that noncomppliance is observed.
❑ Sampling and mo ritoring plan including the following information;
❑ Names and titles f personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event.
The sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling fi•equency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDIT ONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals 1 nd application programs are ones in which land application sites meet the criteria in 15A NCAC 021'
.1102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are
applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals. disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed
irrigation facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicaed program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New oi• Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of 1 I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general locatio>� map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of a71 wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT
FOR CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be
labeled with the phrase; FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 11-15 Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new
sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover
crops and their abilityfito accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15—A NCAC 02T .1104fd)(4) and current Division Policy
available at: h://po tal.ncdenr.or web/wq/al?s/lau/policies. The document shall be signed, sealed and dated by a qualified
professional.
K. Engineering Design Doi
facilities fed through fixes
❑ Submit engineering
and/or Professional I
site map specific to tl
❑ The design document
❑ Engineering plan;
new units or are c.
❑ Specifications de:
finished product ii
❑ Engineering calct
curve analysis for
❑ Soil mapping unit
L. Water Balance (All Nei
irrigation facilities fed thr
❑ Submit a completed
available at: _ht_tp;//po
M. Property Ownership Do
or irrigation components)
❑ Property ownership d
❑ Legal documentat
❑ Written notarized
❑ An easement ruar.
of 15A NCAC 021
iments (All New or Modification Application Packages with fixed irrigation facilities or irrigation
supply system)
-sign documents that have been signed, sealed, and dated by a NC licensed Professional Engineer
[nd Surveyor in accordance with 15A NCAC 02T .1 104(d)(2). For Modifications, submit an updated
modification(s) only.
must include the following minimum items:
for the facility and equipment except those previously permitted unless they are directly tied into the
tical to the understanding of the complete process;
ribing materials to be used, method of construction, and means for ensuring quality and integrity of the
;luding leaking testing; and
ations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
ach pump, and irrigation design.
shown on all disposal sites.
Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
ugh fixed supply systems)
id accurate water balance in accordance with 15A NCAC 02.T .110 (d)(5) and current Division Policy
mentation (All New or Modification Application Packages involving new and/or relocated treatment
mentation shall consist of one of the following:
of ownership (i.e., GIS, deed or article of incorporation), or
:nt to purchase agreement signed by both parties with a plat or survey map, or
with the land specifically indicating the intended use of the property and meeting the requirements
107(fl. or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACIKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTHI CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 11-15
Page 3 of 3

i
State of North Carolina
' iRECEl1/tjp/NCDEQ/pyyR
Department of Environmental Quality
R
I
JAN O g 1016 ]Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
Non -Discharge. FORM: RLAP 11-15
I. APPLICANT INFORMATION:
1. Applicant's name: Tc
Applicant type: ❑ individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ federal ElState ® Municipal ❑ County
Signature authority's pame per 15A NCAC 02T .0106: David Odom Title: Town Mana er
Applicant's mailing address: 204 Main Avenue Drive
City: Taylorsville State: NC Zip: 28681
Telephone number: [phone] Email Address: townmanaaei-@taylorsvillenc:.com
2. Consultant's name: Zach Key License Number (for P.E.):
Affiliation: ❑ On Staff ® Retained (Firm: Southern Soil Builders, Inc.)
Consultant's mailing address: 958 Hoots Road
if
4
City: Roaring River State: NC Zip: 28669
Telephone number: [phone]
Agronomist's name:
Affiliation: ❑ N/A ❑ On Staff
Agronomist's mailing address: _
City: Sta�e:
Telephone number: CH
Email Address: [e-mail]
License Number:
❑ Retained (Firm: )
Zip: -
Email Address:
Soil Scientist's name: Karl Shaffer License Number; 1009
Affiliation: ❑ N/A j ❑ On Staff ® Retained (Firm: Shaffer Soil Services, Inc.)
Soil Scientist's mai
City: Pittsboro S
Telephone number:
5. Fee submitted: 24:
II. PERMIT INFORMA7
address: 685 Sanford Road
NC Zip:27312
)) 542-5803 Email Address: [e-mail]
(See Instruction B)
1. Application is for (check all that apply): ❑ new, ® modified, ® renewed permit
2. If this application is b1 ing submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0006906
Date of most -recently issued permit: 7-6-2011
Date of most -recently certified Attachment A (if different than the permit): 7-6-2011
Date of most -recently certified Attachment B (if different than the permit): 7-6-2011
FORM: RLAP 11-15 Page 1 of 5

i
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
i
1. Residuals Processing facility's physical address: Minni ag n Ln.
City: Taylorsville
Coordinates: Latitude :� 350 54' 12"
Datum: NAD83
Method of measurem(
2. County where residua
3. List the Operator In
certification numbers,
State: NC Zip: 28681
Longitude: 81 ° 11' 50"
Level of accuracy: 01"
:: MAP
land application program is headquartered: Alexander
;sponsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
id their affiliations in the following table:
Designation ;
Name
Affiliation
Certification Number
ORC
Dennis Key
Southern Soil Builders, Inc.
15704
Back -Up ORC
Zach Key
Southern Soil Builders, Inc.
27660
Additional Back -pp
ORCs
(if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide
the candidates' names;, affiliations, and an estimated time schedule for each candidate's completion of the required training
school and certification test:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in
the following table:
Maximum amount �of residuals to be certified: 300 dry tons per year,
PAI
Pounds of PAN per Dry Ton
Pounds of PAN per Year
i
(Weighted Average)
Surface
Incorporation
Surface
Incorporation
or Injection
or Injection
First-Yllear
17.072
18.942
5121.6
5682.6
Five -Year Maxirnurn Adjusted
18.35
20.36
5507.09
6110.32
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified
and proposed for certification with this application:
Category
i
I Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
0
I Hay
i
Pasture
97.1
—
Total:
97.1
Methods
Surface
97.1
Incorporation or Injection
0
i
Total:
97.1
FORM: RLAP 11-15 Page 2 of 5

IV.
V
c. Residuals Land Application Suntntary: 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 I
Application Rate
abs 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
50
102.43
113.65
110.14
112.20
I
100
51.216
56.82
55.07
61.1
150
34.14
37.88
36.7
40.73
200
25.6
28.41
27.53
30.55
i
6. If applicable, provided a plan and a schedule to resolve any known issues that would prevent land application of the.proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector
reduction practices not in place, etc.):
7. Specify type of residrals program (See Instruction F): ® Non -dedicated ❑ Dedicated
If Dedicated, specify Ithe following (check all that apply):
❑ Residuals progra� contains any land application site(s) that receives residuals at. rates or frequencies greater than
agronomic rates, el plain;
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of selcondary importance, explain;
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or
irrigation facilities, fed through a fixed supply system, explain; _
RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the llowing Residuals Source Certification and all associated documentation.
Residuals Source
Certification
LAND APPLICATION �ITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the tbilowing Land Applications Site Certification and all associated documentation.
ELI
Land Application Siite
Certification. doc
FORM: RLAP 11-15 i Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ Drip
i
2. Disposal system is: [] existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation:
feet below ground surface. Rules 15A NCAC' 02T .0505(p). requires at least one -foot vertical separation between SHWT and
ground surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No 1 If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
in/hr
Recommended
Loading Rate
in/ r
i
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If]No, explain why 15A NCAC 02T .0505 n is not met:
I
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field / Zone
Design
Area
z
ft
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate ( allons/ r
i
I
I
i
_
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification�
lie Number
Wetted diameter of nozzles
It
Wetted area of nozz�es
ft
Nozzle capacity
gpm
Nozzle manufactureF' / model
/
Elevation of highest� nozzle
ft
FORM: RLAP 11-15 ; Page 4 of 5

i
Applicant's Certification (signing authority must be in compliance with ]aA NCAC 02T ,0106):
The applicant or any affiliate' has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have: been exhausted or abandoned, are compliant with
any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
�4 Yes ❑ No, Ekplain;
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for _i ow
(Facility Name)
has been reviewed by me aiA is accurate and complete to the best of my knowledge. I understand that the Division of Water
Resources may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes
unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate
enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resourcesi should a condition of this permit be violated. I also understand that if all required parts of this
application are not completeoi and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215,6B, any person who knowingly makes any
false statement, representation,, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
not to exceed $10,000 as well as civil penalties up to $25,000 per violation,
Signature: Date: _
I
FORM: UAP 11-15 Page 5 of 5

Operation and Maintenance Plan
Taylorsville, NC
Permit No. WQ0006906
In accordance to the requirements set forth by the North Carolina
Department of Environmental and Natural Resources using
NCGS 143-2115.1 and 143-215.3(a) based on 15A NCAC 02T .1 10,
Taylorsville, NC is implementing this Operation and Maintenance Plan.
i
The project ;manager of the land application event will make sure a daily
check off is ,performed at the start of each work day. This inspection is to
prevent any spills, leaks, or run-offs.
The daily check -off will consist of inspection the following itE3ms:
1. Access to the facility will be controlled with a locked gate and
signs to prevent any unauthorized entry into the complex.
2. AII pumps and hose will be checked at the start of each day for
leaks or loose fittings.
3. Allitanker valves are closed prior to loading and lids are closed
prior to transport.
i
4. Alldump trailers or dump trucks gates are tightly fastened and
do not leak prior to transport.
5. All�on road equipment is check as per DOT regulations for any
safety or mechanical hazards or issues.
6. All!equipment is secured at the end of each working day to
prevent any tampering or unauthorized use.
i
The ORC or lback up ORC will inspect the field after each land application
event to make sure all regulations as required by the permit are followed.
Also the project manager at the end of each working day during a land
applicationjevent will make sure that all gates if present are closed.
All samples shall be taken as early as possible before the first application
event of the calendar year to make sure the facility is compliance.
The samples will be taken in a matter that is representative of the residuals
and all grab samples will be mixed prior to be placed in to the containers

that will go to the laboratory. These samples must be collected and
transported as outlined in the Sampling Plan attached to this O&M Plan.
i
All records of these laboratory results as well as the annual report and
loading rates will be kept on file for a minimum of five (5) years.
Also, in the unlikely event of a spill or unintended release of residuals,
actio%s should be immediately taken as outlined in a copy of the
spill control plan attached.

SAMPLING PLAN
Taylorsville, NC
Annually, ifla land application event occurs, grab samples are collec
Samples from the digester will be combined to.form individual grab sampei
for analysis. If a land application event is to occur in the early part of a calenu..
early February) these samples may have to be taken in December so results can be oc
land application event, as some results take 30+ days to receive.
These indiv'dual grab samples are collected and tested for fecal coliform analy,,,, ­­,,,, 0
reduction, nutrient 'analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)]; 38% lN h
volatile solids reduction. This option will be attempted first due to it being the most cost effective. One
sample will be takeat the aeration basin and labeled "B". The next sample will be labeled "A" and be
taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the sample
being at least a.q.la�rti.n_quan.ti_ty..-_.____---------- -----
_
both option 1 and 3 are used and volatile solids reduction cannot be achieved; the sludge`
holding tank will be;' stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)], commonly known \
as lime stabilization. r s
Fecal Colifo'rm is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,,000,000) MPN per gram. These samples will be placed in 250m1 containers and
placed on ice, in a ci oler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, ifland application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. phis sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by A&L Labs.

SPILL CONTROL PLAN- Southern Soil Builders, Inc.
Taylorsville, NC- Permit No. WQ0006906 ?
In the event of a spill, the following should be taken IMMEDITALY.
i
1. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
I
i
2. Contain the spill. Use straw bales or earthen barrier to forma dike to contain the
spill.
i
i
I
i
3. Cleanup .,� Employ vacuum trucks, dump trucks, and loaders to remove as much
of the spilled material as possible. Use straw to soak -up the remaining material.
Dispose of the same in a landfill.
4. Flush the oadways with water if needed. If -the spill occurred on a tillable area, till
the same into the soil and spread lime if necessary. If a spill occurs on private
property, final clean-up should be to the satisfaction of the owner.
5. Notification. (This should be done as soon as safely possible.)
A. Souuthern Soil Builders, Inc. Main Office [phone]
I
B. Taylorsville, NC WWTP [phone]
C. NCDENR, Moorsville Regional Office [phone]

P.
D. County Emergency Services (Sheriff, Fire
i
Reporting. The project manager shall detail hog
that was (taken. A written report shall be given
soon as possible, and within 24 hours of the spill
I
7. Spill Prevention. The easiest way to clean a spill is to prevent one.
i
I
i
A. Ensure loading personal watch the vehicle being loaded.
i
i
B. En'sure all valves and lids are closed.
I
C. Inspect all seals and replace if necessary.

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 11-15
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce'the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
hitp: //portal. ncdem•. Qrg/tinebltii�"s/lau
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T.1 100. Do not submit this certification for review without
a corresponding application 'form (FORM: RLAP 11-15, FORM: DCAl12 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC I 1-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
❑ Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
❑ For each source facility, attach the following:
❑ Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "10ap Guidance fOl.
Residuals Land Application Permits".
❑ Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
❑ Quantitative justification for residuals production rate - A quantitative justification :for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
❑ Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for an), applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
❑ For each source facility, attach the following:
❑ Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
❑ Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 11-15 Page I of 1

IDU RESALS S"C"U.."M L rAL1L1 T Y J U YINIARY
Applicant's rare: `i awn of TgyIo.Sy.»e
Status Facility Permit holder Facility Name County Permit Number Maximum Dry Tons Per Year
Codes
Current n Proposed
M Town of Taylorsville Town of Taylorsville Alexander WQ0006906 150 300
'Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 11-15 Page 1

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 11-15
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Town of Taylorsville
2. Facility permit holder is: ❑ Federal, ❑ State, ® Local Government, or ❑ Private.
Facility permit issued by: ® Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: ),
3. Facility contact person and title: Brian Eades
Complete mailing address: 204 Main Avenue Drive
City: Taylorsville State: NC Zip: 28681
Telephone number: 828) 632-5280 E-mail address: [e-mail]
4. Facility physical address: Minni an Ln.
City: Taylorsville State: NC Zip: 28681
Coordinates: Latitude: 35' 54' 12" Longitude: 81 ° I 50"
Datum: NAD83 Level of accuracy:.01".
Method of measurement: MAP
5. Purpose of the facility:
® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow: 0.430 MGD and facility average daily flow: 0.830 MGD
8. Average amount of residuals being generated at this facility 25 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Two 100,00 gallon digesters & Two 65,000 gallon digesters
Type and volume of residuals storage (i.e., outside of residuals treatment units):
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
® 40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 021'.1 102 6 as:
Z Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 11-15 Page 1 of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ® no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ® 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: Enco Labs and Date of analysis: 6-10-2014
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: T (> 140T)
Passed reactivity test: ®yes ❑no. HCN: 1_6 mg/kg (<250) & HzS: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(Mg/1)
TCLP Parameter
Limit
(mg/1)
Result
(Mg/1)
Arsenic
5.0
0.178
Hexachlorobenzene
0.13
0.02
Barium
100.0
0.106
Hexachloro-1,3-Butadiene
0.5
0.02
Benzene
0.5
0.07
Hexachloroethane
3.0
0.02
Cadmium
1.0
0.00425
Lead
5.0
0.0550
Carbon Tetrachloride
0.5
0.09
Lindane
0.4
0.00002
Chlordane
0.03
0.00032
Mercury
0.2
0.0002
Chlorobenzene
100.0
0.07
Methoxychlor
10.0
0.00002
Chloroform
6.0
0.08
Methyl Ethyl Ketone
200.0
0.4
Chromium
5.0
0.0325
Nitrobenzene
2.0
U2
m-Cresol
200.0
0.16
Pentachlorophenol
100.0
0.04
o-Cresol
200.0
0.02
Pyridine
5.0
0:02
p-Cresol
200.0
0.16
Selenium
1.0
0.165
Cresol
200.0
0.16
Silver
5.0
0:03
2,4-D
10.0
0.0071
Tetrachloroethylene
0.7
0.08
1,4-Dichlorobenzene
7.5
0.02
Toxaphene
0.5
0.00048
1,2-Dichloroethane
0.5
0.06
Trichloroethylene
0.5
0.09
1,1-Dichloroethylene
0.7
0.09
2,4,5-Trichlorophenot
400.0
0.02
2,4-Dinitrotoluene
0.13
0.02
2,4,6-Trichlorophenol
2.0
OA3
Endrin
0.02
0.000014
2,4,5-TP (Silvex)
1.0
.0002
Heptachlor and its Hydroxide
0.008
0.000018
Vinyl Chloride
0.2
0.07
FORM: RSC 11-15 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: A&L Labs and Date of analysis: 5-4-2015
Parameter
Ceiling
Concentration Limits
(C1assA & ClassB)
(m9/k9)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
3
Cadmium
85
39
2
Copper
4,300
1,500
297
Lead
840
300
18
Mercury
57
17
0.7
Molybdenum
75
n/a
5
Nickel
420
420
15
Selenium
100
100
5
Zinc
7,500
2,800
761
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:.
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
❑ > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
❑ > 125
62
450
420
Result (mg/kg)
FORM: RSC 11-15 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 6.95 %.
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 Labs and Date of analysis: 5-4-15
Parameter
Result
(mg/kg)
Aluminum
16900
Ammonia -Nitrogen
1870
Calcium
214000
Magnesium
3250
Nitrate -Nitrite Nitrogen
2
pH (Standard Unit)
12.19
Phosphorus
10600
Potassium
1530
Sodium
963
Total Kjeldahl Nitrogen
27200
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.148
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (:PAN) of the residuals: 30 %. This
rate is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1") Year PAN
Five -Year
Maximum Adjusted PAN
(mg�k�
(mg/kg)
Surface
8536
9178.5
Injection/Incorporation
9471
10183.9
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 11-15 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T^I 106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T. 1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
❑ Alternative 1 [15A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
® Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or 0 lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
❑ Exempt -If Daily Cover Alternative is chosen in Item 11.8. below [ 15A NCAC 021'.1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution,
Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [15A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale 'Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T. I 107(a)(5)] - 14-Day Aerobic Processes.
® Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
❑ Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the: nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 11-15 Page 5 of 5

VICINITY MAP
Tossv of Taylorssille, SIC
Waste Water Treatment Plant
Minaigau Lane
Tn)iotsville, NC 28681
0
M nrligan Ln
Google
Schm.9ceflowuSporrs 8
Co'(eeIlru� e
Ift,fle Shop
(k;l
Chevy Di
Ualfas Ca���t,,
e
A AA
❑uirCtr FRhlrl
69a�reaL�D13600gle Tanm ;:?Pa,y wdfeedback wh,

A
MH
TOWN OF TAYLORSVILLE WWTP SCHEMATIC
FORCEMAIN
B I- -i D
RAS L WAS
F G
RAS WAS
N
RAS WAS
0
RAS M WAS
H I
M
C E
A.
FLOW SPLITTER BOX
B.
AERATION BASIN N0. 1
C.
AERATION BASIN NO.2
D.
CLARIFIER NO. 1
E.
CLARIFIER NO. 2
F.
AEROBIC DIGESTER N0. 1
G.
AEROBIC DIGESTER NO. 2
H.
AEROBIC DIGESTER NO. 3
PLANT COMPONENTS
I. AEROBIC DIGESTER NO. 4
J. CHLORINE CONTACT CHAMBER
K. DECHLORINATION CHAMBER
L. RECYCLE PUMPING STATION N0. 1
M. RECYCLE PUMPING STATION NO. 2
N. SCUM PUMPING STATION NO. 1
0. SCUM PUMPING STATION NO. 2
P. SLUDGE DECANT PUMPING STATION

Quantitative Justification for Residuals Production Rate
In the following three years the Town of Taylorsville, NC has produced the following Dry Tons to be land
applied:
2008: 48.05 DT
2009: 0 DT
2010: 25.26 DT
2011: 76.12
2012: 147.83
2013: 149.2
This is a six year average of 74.41 Dry Tons per year, however the last two years the Town has gotten
close to its current 150 Dry Ton limit. The requested increase to 300 Dry Tons will give the Town enough
so not to exceed its permitted dry ton limit.

SAMPLING PLAN
Taylorsville, NC
Annually, if a land application event occurs, grab samples are collected from the digester,
Samples from the digester will be combined to form individual grab -samples -to be sent to a laboratory
for analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or
early February) these samples may have to be taken in December so results can be obtained before the
land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, volatile solids
reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied,
The vo-l.atil_e_s LU_dswill-first be attempted to be achieved using option 1 [503.33(b)(1)]; 38%
volatile solids reduction, This option will be attempted first due to it being the most cost effective. One
;sample will be taken at the aeration basin and labeled "B". The next sample will be labeled "A" and be
taken from the digester.
e" If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day_ -bench scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken fro m-the-dig'6 fer with the sample
being at-I-east-a-quart.i.n_..quantity_
-If both option 1 an 3 aare used and volatile solids reduction cannot be achieved; the sludge
holding tank will be stabilized using sufficient alkaline to meet option 6 [503,33(b)(6)], commonly known �?
as lime stabilization.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained,
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by A&L Labs.

Page: 1 of 2
Report Number: 15-126-0204
Account Number: 46381
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
AzL A&L Eastern Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
wwwaleastem.com
Project: TAYLORSVILLE/NC CERT#257
REPORT OF ANALYSIS Date Sampled: 5/4/2015 11:30:00
Lab Number: 61790 Date Received: 05/06/2015 00:00
Sample Id : TAYLORSVILLE Date Reported: 05/12/2015
lotalSolids
6.95
69500
100.0
RD
05/06/201514:39
SM-2540G
Moisture *
93.05
100.0
RD
05/06/2015 14:39
SM-2540G
Total Kjeldahl Nitrogen
2.72
27200
10.0
JM
05/07/2015 09:00
SM-4500-NH3C-TKN
Total Phosphorus
1.06
10600
100
KM
05/07/2015 14:01
SW 6010C
Total Potassium
0.15
1530
100
KM
05/07/2015 14:01
SW 6010C
Total Sulfur
0.52
5230
100
KM
05/07/2015 14:01
SW 6010C
Total Calcium
21.40
214000
100
KM
05/07/2015 14:01
SW 6010C
Total Magnesium
0.33
3250
100
KM
05/07/2015 14:01
SW 6010C
Total Sodium
0.10
963
100
KM
05/07/2015 14:01
SW 6010C
Total Iron
7930
100
KM
05/07/2015 14:01
SW 6010C
Total Aluminum
16900
100
KM
05/07/2015 14:01
SW 6010C
Total Manganese
178
5
KM
05/07/2015 14:01
SW 6010C
Total Copper
297
5
KM
05/07/2015 14:01
Sire 6010C
Total Zinc
761
5
KM
05/07/2015 14:01
SW 6010C
Ammonia Nitrogen
0.19
1870
10.0
JM
05/07/2015 09:00
SM-4500-NH3C
Organic N
2.53
25330
10.0
05/07/2015 09:00
CALCULATION
Nitrate+Nitrite-N
<2.00
2.00
JM
05/07/2015 09:00
SM-450ONO3F
Total Cadmium
<2.0
2.0
KM
05/07/2015 14:01
SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exc;usi✓e and ^orkden?ia; use o,` ot;r clieWs. and m2i iiu ire reproduced in whole or part. no;' may any reference be r;ade
iC ti -e wcrk. the ; esults. or the compai y in ary adverising..news rejease. or of^=; public announcements ✓dihout obtan7ina our prier writter% author 17 tinn.
Debbie Holt

Page: 2 of 2
Report Number: 15-126-0204
Account Number: 46381
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
99A&L Eastern Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
www.aleastem.com
Project: TAYLORSVILLE/NC CERT#257
REPORT OF ANALYSIS Date Sampled: 5/4/2015 11:30:00
Lab Number: 61790 Date Received: 05/06/2015 00:00
Sample Id: TAYLORSVILLE Date Reported: 05/12/2015
iotai unromium
31
5
KM
05/07/2015 14:01
SW 6010C
Total Nickel
15
5
KM
05/07/2015 14:01
SW 6010C
Total Lead
18
5
KM
05/07/2015 14:01
SW 6010C
Total Arsenic
3.0
3.0
KM
05/07/2015 14:01
SW 6010C
Total Mercury
0.7
0.4
KM
05/11/2015 09:00
SW-7471B
Total Selenium
<5.0
5.0
KM
05/07/2015 14:01
SW 6010C
pH (Standard Units) * 12.19
2.00
JM
05/07/2015 09:00
SW-9045D
Total Molybdenum
<5
5
KM
05/07/2015 14:01
SW 6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE
PURPOSES.
QUALIFIER: THE LRB WAS OUT OF LIMITS FOR "Mn". THE MATRIX SPIKE WAS OUT OF LIMITS
FOR " Al", "As",
"Cr", "Mg, AND "NH4-N".
ALL OTHER
QC DATA IS ACCEPTABLE..
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Cur repor?s and tatters are for the exe'usrie and confidential use of cur clients. and may riot be reproduced in r✓ro1e or ;)art. nor may any reference be .made
:a ,.o; .:. ,„e results. or t e cor;,pai;y irn a)y a: eriisiny, news release, or oi,'rer public announcements-wiuneut oDiarnrng our pnor v✓ritten authorization.
Debbie Holt

MW
Mineralization Rate TKN -F-NH3 NO3
0.3 27200 1870 2
PAN Surface
35361mg/kg 17.072 lbsldry toll
512-1.61lbs toL,-I PMI
#D11,110! jibs FANI/ac.re
PAN Injection
F-9471 Irnglikg 18.942 F-bS!.dhf -'or,
5682.611bs total PAN
I Ilbs PANIacre
Dry Tons/1000 gal.
0.28981:5
1st year PAN
Sur face Ibs.
F- b121.6
1st year PAN
Injected lbs.
5682.61
lbs./acre
Surface
lbs./acre
Injected
as decimal Total dry Acres
NO2 % Solids tons/year Applied on
0 0.0695 300 0
MR(TKN-NH3)+ +.5(NH3)+NO3+NO2 =mg/kg
mg/kg x.002 =Ibs/dry ton
MR(TKN-NH3) + I (NH3)+NO3+NO2 =mg/kg
mg/kg x.002 =Ibs/dry ton
1000 X 8.34 X %solids X sp. gravity "=dry tons/1000gal."
2000

SAR
Sodium Absorption Ratio
Na(MgLl— Ca(M /L) MgjMg/U
Na: Sodium (Mg/L) Equivalent weight: 23
66.92 14873 1 226.13
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
f\a {MC=_) C as!•�E:.)TIL,16116!f�E_)
2.9095Eia 743.65.'4'(7
Milli Equivalent = Mg/L / Equivalent weight The amour
amount of E
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
Permitting I
SAR == 0.14901 (From Mg/L.eante?re d above)
SAR= 0.148[32 (Frorn ME entered below)
Na ME
Ca MEN I
Mg (ME)
2.9
743.65
18.844

www.encolabs.com
ANALYTICAL RESULTS
~r
Description: 140610-31
Lab Sample ID: C407555-01
Received: 06/11/14
13:30
Matrix: Sludge
Sampled.06/10/14
14:05
Work Order: C407555
Project: Waste Characterization
Sampled By:Client
% Solids:
6.80
®�
o
TCLP Volatile Organics by GCMS'
^ - fNCO Orlando certified analyte [NC 424]
Analyte [CAS Numberl
Results
Flag
Units
DF
MDI, PQL
Batch
Method
Analyzed
By
Notes
1,1-Dichloroethene [75-35-4]^
< 0.09
D
mg/L
100
0.09 0.1
4F25019
EPA 8260B
06/25/14 18:55
JAJ
1,2-Dichloroethane [107-06-2]^
< 0.06
D
mg/L
100
0.06 0.1
4F25019
EPA 8260B
06/25/14 18:55
JAI
2-Butanone [78-93-3]^
< 0.4
D
mg/L
100
0.4 0.5
41`25019
EPA 8260B
06/25/14 18:55
JAJ
Benzene [71-43-2]^
< 0.07
D
mg/L
100
0.07 0.1
4F25019
EPA 8260B
06/25/14 18:55
JAJ
Carbon Tetrachloride [56-23-5]^
< 0.09
D
mg/L
100
0.09 0.1
41`25019
EPA 8260E
06/25/14 18:55
JAJ
Chlorobenzene [108-90-7]^
< 0.07
D
mg/L
100
0.07 0.1
4F25019
EPA 8260B
06/25/14 18:55
JAI
Chloroform [67-66-3]^
< 0.08
D
mg/L
100
0.08 0.1
4F25019
EPA 8260E
06/25/14 18:55
JAI
Tetrachloroethene [127-18-4]^
< 0.08
D
mg/L
100
0.08 0.1
41`25019
EPA 8260E
06/25/14 18:55
JAI
Trichloroethene [79-01-6]^
< 0.09
D
mg/L
100
0.09 0.1
4F25019
EPA 82608
06/25/14 18:55
JAI
Vinyl chloride [75-01-4]^
< 0.07
D
mg/L
100
0.07 0.1
4F25019
EPA 8260E
06/25/14 18:55
JAJ
Surrogates
Resu/-
DF
Spike Lv/
%Rec
o/ Rec Limits
Batch
Metho
Analyze d
By
Notes
4-Bromofluorobenzene
0.050
1
0,0500
100 %
41-142
4F25019
SA 8260B
0612511418:55
JAJ
Dfbromofluoromethane
0.045
1
0.0500
90 %
53-146
4F25019
EPA 82608
0612511418:55
JAJ
Toluene-d8
0.048
1
0.0500
96 %
41-146
4F25019
EPA 8260B
0612511418:55
ZU
TCLP Semivolatile Organics by GCMS
^ - ENCO Orlando certified analyte [NC 424)
lnalvte [CAS Numberl
Results
Iraq
Units
DF
MDL POLL
Batch
Method
Analyzed
Ay
Notes
1,4-Dichlorobenzene [106-46-7]^
< 0.02
mg/L
1
0.02 0.10
4F19017
EPA 8270D
06/20/14 23:03
if,
2,4,5-Trichlorophenol[95-95-4]^
< 0.02
mg/L
1
0.02 0.10
41719017
EPA 8270D
06/20/14 23:03
jr,
2,4,6-Trichlorophenol[88-06-2]^
< 0.03
mg/L
1
0.03 0.10
4F19017
EPA 8270D
06/20/14 23:03
jfi
2,4-Dinitrotoluene [121-14-2]^
< 0.02
mg/L
1
0.02 0.10
4F19017
EPA 8270D
06/20/14 23:03
jfi
2-Methylphenol[95-48-7]^
< 0.02
mg/L
1
0.02 0.10
4F19017
EPA 8270D
06/20/14 23:03
jfi
3 & 4-Methylphenol
0.16
mg/L
1
0.04 0.10
4F19017
EPA 8270D
06/20/14 23:03
jr,
[108-39-4/106-44-5]^
Hexachlorobenzene [118-74-1]^
< 0.02
mg/L
1
0.02 0.10
4F19017
EPA 8270D
06/20/14 23:03
jfi
Hexachlorobutadiene [87-68-3]^
< 0.02
mg/L
1
0.02 0.10
4F19017
EPA 8270D
06/20/14 23:03
jr,
Hexachloroethane [67-72-1]^
< 0.02
mg/L
1
0.02 0.10
4F19017
EPA 8270D
06/20/14 23:03
jfi
Nitrobenzene [98-95-3]^
< 0.02
mg/L
1
0.02 0.10
4F19017
EPA 8270D
06/20/14 23:03
jr,
Pentachlorophenol[87-86-5]^
< 0.04
mg/L
1
0.04 0.10
4F19017
EPA 8270D
06/20/14 23:03
jfi
Pyridine [110-86-1]^
< 0.02
mg/L
1
0.02 0.10
4F19017
EPA 8270D
06/20/14 23:03
jfi
Surrogates
Resu/ts
DF
Spike L v/
% Re c
% Rec Ii is
B tc
Method
Ana-lyzed
By
Notes
2,4,6-Tribromopi7enol
0.19
1
0,250
78 %
47.128
4F19017
EPA 8270D
06120114 23:03
jfi
2-Fluorobiphenyl
0.11
1
0.250
43 %
44-102
4F19017
EPA 8270D
06120114 23:03
jfi
QM-14,
2-Flucrophenol
0.067
1
0.250
27 %
25-79
4F19017
EPA 8270D
06120114 23:03
jfi
Q5-03
Nitrobenzene-d5
0.11
1
0.250
44 %
43-112
4F19017
EPA 8270D
D6120114 23:03
jfi
Phenol-d5
0.044
1
0.250
18 %
14-54
4F19017
EPA 8270D
06120114 23:03
jfi
Terphenyl-d14
0.22
1
0.250
89 %
65-122
4FI9017
EPA 8270D
06120114 23:03
jfi
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 4 of 21

ANALYTICAL RESULTS
Description: 140610-31 Lab Sample ID: C407555-01
Matrix: Sludge Sampled: 06/10/14 14:05
Project: Waste Characterization Sampled By: Client
TCLP Pesticides by GC
^ - ENCO Orlando certified analyte ANC 424]
vFm�am v��az
Analvte rCAS Numberl
Results
Flaa
Units
DF
MDL PQL
Batch
Chlordane (tech) [12789-03-6]^
< 0.00032
mg/L
1
0.00032 0.00050
4F17026
Endrin [72-20-8]^
<
mg/L
1
0.000014 0.000050
4F17026
0.000014
gamma-BHC [58-89-9]^
<
mg/L
1
0.000020 0,000050
4F17026
0.000020
Heptachlor[76-44-B]^
<
mg/L
1
0.000018 0.000050
4F17026
0.000018
Heptachlor epoxide[1024-57-3]^
<
mg/L
1
0.000018 0.000050
4F17026
0.000018
Methoxychlor[72-43-5]^
<
mg/L
1
0.000020 0.000050
4F17026
0.000020
Toxaphene [8001-35-2]^
< 0.00048
mg/L
1
0.00048 0.00050
4F17026
Surrooates
Resu/ts
OF
Spike L /
% Re
o�ec Limits
Ba ch
1,4,5,6-TCMX
0.0032
1
0.00500
65 %
38-142
4F17026
Decachlorobiphenyl
0.0044
1
0.00500
89 %
34-159
4Fi7026
TCLP Herbicides by GC
^ - ENCO Orlando certified analyte [NC 424]
tnalvte [CAS Number]
Results
Flaa
Units
DF
MDL, POL,
Batch
1,4,5-TP (Silvex) [93-72-1]^
< 0.0002
mg/L
1
0.0002 0,0005
41`24025
2,4-D [94-75-7]^
< 0.0003
mg/L
1
0.0003 0.0005
4F24025
Surrooates
Results
DF
Spike Lv/
010 Rec
% Rec Limits
Batc
2,4-DG4A
0.0071
1
0.0100
71 %
68-139
4F24025
TCLP Metals by 6000/7000 Series
Methods
^ - ENCO Orlando cent fled analyte [NC 424.7
Analvte [CAS Number]
Results
Flaa
Units
P-E
MDL pQ
Batch
Mercury [7439-97-6]^
< 0,0002
mg/L
1
0.0002 0.002
4F16007
Classical Chemistry Parameters
s
- ENCO Orlando certified analyte [NC 424]
e�$maa�
Analvte rCAS Number]
Results
F ac
Units
DF
MDL PQL
Batch
Cyanide (total) [57-12-5]^
1.6
mg/kg dry
1
1.4 1.5
41`18012
pH [ECL-0062]^
12
pH Units
1
1.0 1.0
41`23017
TCLP Metals by 6000/7000 Series Methods
- ENCO Jacksonville certified analyte [NC 941]
Analvte rCAS Numberl
Results
Flaa
Unfits
DF
MDL P(OL
Batch
Arsenic[7440-38-2]^
< 0.178
mg/L
1
0.178 0.250
41`20003
Barium [7440-39-3]^
0.106
J
mg/L
1
0.0158 0,250
41`20003
Cadmium [7440-43-9]^
< 0.00425
mg/L
1
0.00425 0.0250
41`20003
Chromium [7440-47-3]^
< 0.0325
mg/L
1
0,0325 0.250
41`20003
Lead [7439-92-1]^
< 0.0550
mg/L
1
0.0550 0.500
41`20003
Selenium [7782-49-2]^
< 0.165
mg/L
1
0.165 1.00
41`20003
ilver[7440-22-4]^
< 0.0300
mg/L
1
0.0300 0.250
4F20003
Received: 06/11/14 13:30
Work Order: C407555
% Solids: 6.80
Method
, Analyzed
Ay Notes
EPA 8081E
06/23/14 14:16
RC
EPA 8081B
06/23/14 14:16
RC
EPA 80818
06/23/14 14:16
RC
EPA 8081E
06/23/14 14:16
RC
EPA 8081B
06/23/14 14:16
RC
EPA 8081E
06/23/14 14:16
RC
EPA 8081E
06/23/14 14:16
RC
Afeth
Analyzed
By (Votes
EPA 8081E
0612311414:16
RC
EPA 8081B
0612311414:16
RC
Method
Analyzed
Ay Notes
EPA 8151A
06/27/14 21:10
RC
EPA 8151A
06/27/14 21:10
RC
_ gthod
Ana/peed
By Notes
EPA 8151A
06127114 21:10
RC
Method Analyzed ft Notes
EPA 7470A 06/20/14 10:09 IR
Method Analyzed By Notes
EPA 9014 06/19/14 14:20 MMM
EPA 9045D 06/24/14 21:30 MMM Q
!vLethod
Analyzed
EPA
6010C
06/23/14
13:50
EPA
6010C
06/23/14
13:50
EPA
6010C
06/23/14
13:50
EPA
6010C
06/23/14
13:50
EPA
6010C
06/23/14
13:50
EPA
6010C
06/23/14
13:50
EPA
6010C
06/23/14
13:50
By Notes
ACV
ACV
ACV
ACV
ACV
ACV
ACV
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 5 of 21

A P
I Jj, "M, � •, t� 2,
1
Description: 140610-31
Matrix: Sludge
Project: Waste Characterization
Classical Chemistry Parameters
Analvte rCAS Number]
Flashpoint [ECL-0063]
ANALYTICAL RESULTS
os��ynu� �tpmua
Results Flag Units
> 200 OF
Lab Sample ID: C407555-01
Sampled: 06/ 10/ 14 14:05
Sampled By:Client
DF MDL POL Batch Method
I 4F20007 EPA 1010A
Received: 06/ 11/14 13:30
Work Order: C407555
% Solids:
Analyzed AM Notes
06/20/1414:51 SMA
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. Page 6 of 21

SAMPLE DETECTION SUMMARY
Client ID: 140610-31
Lab ID:
C407555-01
nal to
Results
Fl g h�D�
(p�L
Units
Method Notes
3 & 4-Methylphenol
0.16
0.04
0.10
mg/L
EPA 8270D
Barium - TCLP
0.106
3 0.0158
0.250
mg/L
EPA 6010C
Cyanide (total)
1.6
1.4
1.5
mg/kg dry
EPA 9014
pH
12
1.0
1.0
pH Units
EPA 9045D Q
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 3 of 21

www.encolabs.com
SAMPLE SUMMARY/LABORATORY CHRONICLE
Client ID: 140610-31
Lab ID:
C407555-01
�"�'-'
Sampled: O6/10/14 14:05 Received: 06/11/14 13:30
Parameter
Hold Date/Time(s)
Preu Date/Time[s1
An�alvsis Date/Time(s) ���
EPA 101OA
06/24/14
06/20/14
14:30
06/20/14 14;51
EPA 6010C
12/07/14
12/17/14
06/20/14
09;46
06/23/14 13:50
EPA 7470A
07/08/14
07/17/14
06/19/14
12;53
06/20/14 10:09
EPA 8081E
06/17/14
07/28/14
06/18/14
14:30
06/23/14 14:16
EPA 8260B
06/18/14
07/09/14
06/25/14
08:16
06/25/14 18:55
EPA 8270D
06/17/14
07/29/14
06/19/14
13:12
EPA 9014
06/24/14
06/18/14
10:50
06/19/14 14:20
EPA 9045D
06/24/14 14:54
06/24/14
14:40
06/24/14 21:30
Client ID: 140610-31
Lab ID:
C407555-01RE1
Sampled. 06/10/14 14:05 Received: 06/11/14 13:30 1
Parameter
Hold Date/rime(s)
Prep Date/Time(s)
Analysis Date/Time(s)
EPA 8151A
06/17/14
08/03/14
06/24/14
15:00
06/27/14 21:10
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. Pane 9 of 91

Division of Water Resou
Please use the following it
instructions and checking
information requested. F:
permit application. Unles
supporting documentation
For more inform
General — This certification
water treatment plant or other
without a corresponding apl
Unless otherwise noted, the A
below.
A. Land Application Site C
❑ Submit the complete
do not make any una
to the application ma
refer.
❑ For new or renewed
❑ For modified permit
proposed modificatic
-3. Land Application Site Ii
❑ The status of the Ian(
status categories and
♦ New (N) ♦ I
❑ Attach the following
State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 11-15
ctions as a checklist in order to ensure all required items are submitted. Adherence to these
provided boxes will help produce a quicker review time and reduce the amount of additional
e to submit all of the required items will lead to additional processing and review time for the
visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
htt /portal_nedent_,oil webhwe�/aps/lau
Ies detailed information of receiving sites for land application of Class B residuals (may include
residuals) in accordance with 15A NCAC 02T .1 100, Do not submit this certification for review
ion form (FORM: RLAP 11-15 or FORM: SDR 11-15).
mt shall submit one original and two copies of the application and supporting documentation listed
tion (FORM: LASC 11-15):
and appropriately executed Land Application Site Certification (FORM: LASC 11-15) form. Please
horized content changes to this form. If necessary for clarity or due to space restrictions, attachments
be made, as long as the attachments are numbered to correspond to the section and item to which they
-mits, submit the requested information for all land application sites.
submit the requested information for qnly those sites that are new, transferred or affected by the
rmation:
application site with respect to this residuals land application program must be provided in table I. The
heir corresponding codes are as follows:
;newed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
n accordance with each status code:
Status Code
Required Item
N
R
T
M
I
County Board
Notification. doe
Land Owner
'�
✓
✓
Agreement
(If applicable)
LJ Iij
i
✓
✓
✓
✓
Setback Waiver
Agreement
An updated vic nity/setback map in accordance with the "Min Guidance
for Residuals an M olication Permits"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
Evaluation Polio"
✓
INSTRUCTIONS FOR FORM: LASC 11-15
Pagel of 3

An updated accounting of the land application site's cumulative
pollutant loading rates (CPLRs)
Status Code
Required Item
N
—
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
✓
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multi le Permittees over the same timeperiod)
* This item may Ile required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
❑
Crop Type should in
❑
Predominant Soils S
name of the soil serif
❑
Predominant Soil M
site must be provide,
note that the soil mE
mapping unit. If a r
❑ For sites previoi
information on 1
by using the avc
would have a re
❑ New Sites to be 1
❑
Acceptable methods
follows:
xde the most likely crop types for the life of the permit (five years).
ies Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or
as provided by the licensed soil scientist.
iping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
ping units are variable between Counties, so care should be taken in properly identifying the correct
resentative slope is provided, it must be determined accordingly:
ly permitted for use, but do not have an established soil mapping unit (the mapping unit provides
th the soil series name and the slope of the soil), the Applicant may determine the representative slope
.ge slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
esentative slope of 6%.
-miffed must have slopes determined as part of the soils report prepared by a licensed soil scientist.
)r determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
Address Matching (ADD)
Aerial Photography, with Ground Control (AER)
• Cadastral Survey (
• Conversion from C
• Conversion from T
• Conversion from L
• Map Interpretation
C. Waterbody and Classifi
❑ Use an 8.5 by 11-it
residuals program ac
map portion must be
❑ Surface water body c
❑ Any questions co
❑ A list of the Dil
•dinate Plane (CP)
nship-Section-Range (TSR)
ersal Trans Men (UTM)
Digital or Manual Extraction (MAP)
• Digital or Raw Photo Extraction (EXT)
• Geodetic Quality GPS Survey (GEO)
• LORAN-C Navigation Device (LOR)
• Navigation Quality GPS (GPS)
• Remote Sensing (RS)
•Z.ip Code Centroid (ZIP)
3tions Information: (new sites only)
h copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
vities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
ibeled with the map name and number, the identified location, and be of clear and reproducible quality.
ions information may be found at: littp:Hportal.ncdonr.or web/wq/ps/csu
the waterbody and its classification, please contact the Division's regional offices.
is regional offices, their county coverage, and their contact information may be downloaded at:
❑ General lnstructio�s: There are 17 river basins in North Carolina. Each basin. has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the ames of all the closest down slope surface waiters -from the project: site. For unnamed tributaries, see
Table 1: Unna ed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream ame" as the waterbody name.
3. Open the lilittp://li2o.em•.state.nc.us/bims/re op i.ts/i• )ortsWB.html. If this link does not work, open
http://poi•tal.nedenr.org/web/wq/ps/csu/classifications_ and download weekly -updated classification lists for named
waterbodies.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
INSTRUCTIONS FOR FORM: LASC 11-15 Page 2 of 3

'
Select proper basin from the List all Waterbodies in Meuse
Hydrologi,cally
report. Sort hydrologically as this will provide the propF
runs.
2. Locate the name of the identified waterbody (from General Directions) on the list
3. For multipl listings of the same waterbody name in the report, select and verif
"source" in the description means the beginning of the waterbody segment (m,
4. Record all Basins, Stream Index Numbers and Classifications applicable to tha'
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATEF
1. Select the pii I Alamance
oper county from the List all Waterbodies in
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multipl6 listings of the same waterbody name in the report, select and verify the lol
"source" in the description means the beginning of the waterbody segment (most upstrea.
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN
1. Use the Cli
2. Click on th
3. Locate the
4. For multipl
"source" in
5. Record all
❑ Notes on index r.
U Any stream w
to the stream:
(A) unnamed
(B) unnamed
(C) after Nor
approved
❑ The followin€
basin:
3ASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
cable basin map to hydrologically sorted list report.
approximate project location to bring up the hydrologically sorted list.
ame of the identified waterbody (from General Directions) on the list.
listings of the same waterbody name in the report, select and verify the location description. The term
he description means the beginning of the waterbody segment (most upstream point).
asins, Stream Index Numbers and Classifications applicable to the project.
and unnamed streams:
uch is not named in the schedule of stream classifications carries the same classification as that assigned
,gment to which it is tributary (at the point of entry) except:
streams specifically described in the schedule of classifications;
ieshwaters tributary to tidal saltwaters will be classified "C"; or
amber 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
Iredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
river basins have different policies for unnamed streams entering other states or for specific areas of the
i
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse Ri*
Basin And Savannahs
River Drainage Are4
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad Riverl
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Bas41
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
I
INSTRUCTIONS FOR FORD: LASC 11-15
Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Town of Tavlorsville
Land application sites currently certified: 103.8 net acres and Total to be certified: 97.1 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
StatuCodes
Code'
Site/Field
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
b
Series Name
Mapping Unit
or Rep. Slope_
R
08-01
Owen Icenhour
19.3
Alexander
Fescue
Cecil
CeB2
R
08-02
Owen Icenhour
10.3
Alexander
Fescue
Cecil
Ce132
R
08-04
Owen Icenhour
13.1
Alexander
Fescue
Cecil
CeB2
R
PHI
Phillip Hoover
14.7
Alexander
Fescue
Pacolet
PcB2
R
CHI
Clyde Hendren
32.7
Alexander
Fescue
Pacolet
PcB2
N
CP1
Carol Price
7.0
Alexander
Fescue
Fairview
FcB2
N
N
" Status Code for land application sites are: ♦ N (New) o R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
`Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
g
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Class Proposed
08-01
350 52' 22.11"
810 06' 11.33"
NAD 83
ADD
Nearest Second
11-73-(0.5) Elk Shoal Creek
WS-IV
WS-IV
08-02
350 52' 36.89"
810 06' 00.32"
NAD 83
ADD
Nearest Second
11-73-(0.5) Elk Shoal Creek
WS-IV
WS-IV
08-04
350 52' 20.39"
81- 05' 59.23"
NAD 83
ADD
Nearest Second
11-73-(0.5) Elk Shoal Creek
WS-1V
WS-IV I
PHI
350 53' 59.70"
81° 09' 01.95"
NAD 83
ADD
Nearest Second
11-69-7-(0.7) Glade Creek
WS-IV
WS-IV
CHI
350 54' 14.04"
810 09' 01.42"
NAD 83
ADD
Nearest Second
11-69-7-(0.7) Glade Creek
WS-IV
WS-IV
CPI
350 54' 16.67"
810 09' 11.30"
NAD 83
ADD
Nearest Second
11-69-7-(0.7) Glade Creek
WS-IV
WS-IV
°
° ' If
NAD 83
ADD
Nearest Second
° ' "
° ' If
NAD 83
ADD
Nearest Second
more: Please Keep the site intormation (1.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 11-15 Page 1

ANN v Ai., LAND APPLICATION FIELD S U MNLAR Y FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town ofTaylorsville WQ Permit #- WQ0006906 Field #: 08 01 Acres Utilized: 20.7
Land Owner: Owen Icenhour Annual Dry Tons Applied: 138.8427 Site #• 08 01 Acres Permitted: 20.7
Operator: Owen Icenhour Predominant Soil Series: CeB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN:
a� t~
o
(enter one) Solids/
%
A lied er
PP P
1%.C;„uUU1 ouurces
(NPDES #, WQ#,
Cord.
rIculp.
Past 24
�
cc
o
w
w
TKN
9
Nitrate
PAN Applied
Name of CropType
Co
Liquid
Solids
Acre
Fe « t W �,
(D�>
zr s
_
w z
D
o
°
and
( lbs/acre)
Receiving Residual
g
Q
Cu. Yds Gallons
Waste, etc)
Wet,
ii a
* 0
o
x w
u`
Nitrite
APphcanon
Crop 1
Crop 2
Crop 1
Crop 2
(Dry Tons/Ac)
Moist)
inches
o
mg/kg
mg/kg
mg/kg
6-2014
325000
6.74
4.413
WQ0006906
dry
C
s
10.5
0.3
15100
1 4750
46
48.770
NA
Fescue
11-2014
169000
6.74
2.295
WQ0006906
dry
0
s
0.5
0.3
15100
4750
46
25.360
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
DTALS:
01 494000
As
Cu Cr Pb H Mo Ni Se
E02
Zn P 74.130 0.000
Lime A lied
Lnnual
lbs/acre
0.040
4.864 0.523 0.322 0.007 1 0.067 0.281 0.067
I6.616 202.340
46.624
63.240
249i;
Date lbs/ac
nor Years Cumulative lbs/ac
0.206
0.139
24.464
0.745
2.083
0.161
0.26
2.404
0.269
'urrent Cumulative lbs/ac
0.246
0.166
29.328
1.268
2.405
0.168
0.327
2.685
0336
ermitted C_ P. L. R.****
36
34
133-S
*i^_
267
15
NA
374
89 i
ermit PAN Limit lst/2nd Crop
i 216
I c-er-tify-under-penalty-of-law,-that-this-document-was7prepaYed under my direction or supervision m actor ante witti a system designed to assure that
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
iformation, including the possibility of fines and imprisonment for knowing violations."
s
Signature of Lard Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface- 0.5, Injection/Incorporation - 1.0
*** ill rale7 Lion Rates: Compost -0l 7 luiall . digested n
M__e____ 2._..__ a.., . t' .t, aua2rvvisuy ui�cnteu -V.2,
aerobically digested -0.3, raw sludge -0.4
****C.P_L.R.: Cumulative Pollutant Loading Rate
nCKIO ClIOhA r, "II

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Taylorsville WQ Permit #• WQ0006906 Field #• 08 04 Acres Utilized: 10.1
Land Owner: Owen Icenhour Annual Dry Tons Applied: 10.9613 Site #• 08 04 Acres Permitted: 10.1
Operator: Owen Icenhour Predominant Soil Series: CeB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN:
[�
1-2014
1 Volnrrre applred
(enter one) Solids/
r z- -
Cu. YdS Gallons
39000
%
Solids
5.74
I Volume
Applied per
I PP
' r
(Dry Tons/Ac)
1.085
Residual Sources
I
! (NPDES #, WQ#,
i•ert., Animal
Waste, etc )
`�JQ0006>906
Sold
Cond.
I (Dry,
Wet,
Moist)
dry
Precip.
I Past 24
-.__
iz.�.
inches
0
a
I co
o
o
s
o-
I �y i'
! N-
* w
0.5
P0 5
w
t.
I * R_
0
0.3
TKN
mg/kg
15100
z a
°
I o
! Go °
� w
mg/kg
4750
Nitrate
I and
!
Nitrite
mg/kg
46
rAN A tied
I Pp
(1bs/acre)
Name of Crop Twe
I Receiving Residual I
b
Application
Crop 1
1I.994
Crop 2
Crop 1
Crop 2
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
DTAI,S:
.nnuallbs/acre
OF 39000
As
0.007
Residuals
Cd
0.004
Applications totals
Cu Cr
0.788 0.085
on FORM FSF supp ( attach FORM
Pb Hg Mo Ni
0.052 0.001 0.011 0.046
FSF supp
Se
0.011
to this form):
Zn P 11.994 0.000
2.691 32.767
46.624
49.315
2498 '
Lime Applied
Date
lbs!ac
rior Years Cumulative lbs/ac
0.206
0.139
24.464
0.745
2.083
0.161
0.26
2.404
0.269
urrent Cumulative lbs/ac
0.213
0.143
25.252
0.830
2.135
0.162
0.271
2.450
0.280
;fte i C n L *�34
1338
NA
267
15
NA
374
89 '
:unit PAN Limit Istl2nd Crop
216
£-certify, under penalty of -law, thaftGis documen was prepared under my direct on or supervision in accordance with a system designed to assure that
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
.formation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
) 5- **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Appiier Date
* :1ireralization Rates: Compost -0., anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

State of North Carolina
DW,RDepartment of Environment and Natural Resources
i
Division of Water Resources
Division of Water Resou Ices
COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM: CBN 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless i otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
i
i
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
hgp.•//portal.ncdenr. qM/weJ�/ws/lau
General — This notification is intended to provide the county board in which the land application site is proposed to be located with
general information on the si4e, location and type of residuals land application proposed to occur in their county, and to give them an
opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for
fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review
without a corresponding residuals program application form (FORM: RLAP 11-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below. '
A. County Board Notification (FORM: CBN 11-13):
❑ Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-13). Please do not make any
unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may
be made, as long as t�e attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate County Board Notification (FORM: CBN 11-13) for each county in which the proposed land application
sites are located.
B. Critical Watershed Areas Information:
1
❑ Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas.
❑ For more information regarding Water Supply Watershed Protection Program, please visit the Division website at:
❑ If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone].
C. Notification Package Submission:
❑ Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to
the appropriate Comity Board by certified mail with a return receipt requested. It is recommended that a copy of the
notification package also be sent to the County Manager.
❑ The most current I publication of the Directory of State and County Officials may be downloaded at:
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http.//Uortal.ncdenr.oI rg�web/wq/honie
❑ The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage
(i.e., a copy of "Residuals Source Facility Summary" is adequate but not required).
❑ The land application I site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a
copy of "Land Application Site Certification" is adequate but not required).
D. Proof of Submission:
❑ Attach an 8.5 by 11-itch copy of the return receipt to the back of this attachment prior to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 11-13 Page I of I

i
S Southern
S Soil
B Builders, Inc
Thursday, December 03, 2015
Larry Yoder, Chap rman of the Board
Alexander County; Board of Commissioners
621 Liledoun Road
Taylorsville, NC28681
Subject; County Board Notification
Mr. Yoder;
958 Hoots Road. Roaring River, NC 28669
[phone] Fax [phone]
The Town of Tay�orsville is in the process of permitting additional land for their land application
program of residual solids. This land is located just east of the Town of Taylorsville at 912
Boston Road.
This additional land is owned by Carol Price PIN 3769 212155
i
If you have any question or concerns, please feel free to contact me at 336-957-7871 or at
[e-mail]
Sincerely,
Zach Key
Southern Soil Bui tders, Inc.

v
= - EV
)R
Forth Carolina DepartrnEmt of Environmont and Natural Resources
DIVI;31011 of Water Resources
Miter (duality F'rograms
Pat McCrory Thomas A. Reeder John E:, Skvarla, III
Governor Director Secretary
Date: 12-3-15
To: Name of Chairmaii to the Board of County Commissioners: Lara Yoder
Complete mailingladdress: 621 Liledoun Road
City: Taylorsvillei State: NC Zip: 28681
i
County where land, application sites are located: Alexander
From: Applicant's name:! Town of Taylorsville (on behalf of the Division of Water Resources in accordance with
Session Law 2013340)
Contact person and title: Zach Key
Complete mailing address: 958 Hoots Road
City: Roaring Rivier State: NC Zip: 28669
Telephone number; [phone] E-mail address: [e-mail]
Subject: Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal: and state regulations are enforced. Attached to this form is information regarding residuals -
generating sources and locations of the proposed land application sites. Please forward this letter and it:3 associated
attachments to the approp#`iate Department within your County (i.e., Health or :Environmental Health Department and
Planning Department) if applicable.
More information I,of the land application sites included in this application will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regior'a] office: Mooresville Regional Office
Complete mailing address: 610 East Center Avenue
City: Mooresville State: NC Zip: 28115
Telephone number: (704) ffi-1699
Expected date of application submission: 12-31-2015
Should you desire lto comment on this application, please do so no later than 30 calendar days following the
expected application submission date. If you have any questions or comments about this notification, or if you would like
more information, please contact the appropriate regional office at the telephone number provided above. Thank you in
advance for your attention to this matter.
3nclosures: Source Fac{lity Summary
Land Applilcation Site Summary
Maps
FORM: CBN 11-13 Page 1 of 1

• Complete Items 1, 2, and 3.
N 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 mailplece,
or on the front if space permits.
A. Sig t re --
X 13 Agent
13 Addressee
Received b i, Name) ate of Delivery
41
1. Article Addressed to:
D. Is deliv address different from Item 12 ❑ Yes
\I I
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If YES, enter delivery address below: I --]No
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❑ Certified Mall Restricted Delivery
Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
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Collect on Delivery_ Restricted Delivery
❑ Signature ConfirmatlonTM
7 015 0640 0000 D O 0 6 3 6
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PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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Division of Water Resources
of North Carolina
Department of Environmental Quality
of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 11-15
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional proces ing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two c pies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting g Unit we site at.,
ham;//portal.nedenr. or /w� eb/wq/aps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiv ' g sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15 NCAC 02T .1 100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and su' porting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 11-15):
❑ Submit the completed and appropriately executed Land Application Site Certification (FO : LASC 11-15) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to pace restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the ection and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the Landow ier and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELYI OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
0
hereinafter referred to as the Permittee, to land apply residuals from the following facility(i s) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and estrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(y )
Land Use or
Cropping Patterns
pp g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
VV-\
The landowner or his representative receives, in consideration, full use of the nutrient value of th applied residuals while the
?ermittee receives, in consideration, the use of the land application site(s) described above for the isposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals la d application program and
shall be renewed each time this permit is renewed.
FORM: LOA 11-15 Pagel of 3

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.
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or a eements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restr ctions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Nonischarge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
5. The Permittee: must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives fiill det ils of the residuals applied at the
land application site(s). I
6. The Permittee has provided the landowner or his representative with information and data concerning the c
including an analysis of constituents of the residuals, residuals application methods, schedules for typical
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior t
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residue
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedule
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the inter
the land application site(s) prior to each planting season to enable the Permittee to amend this Agrees
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) b
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or
inspect any property, premises, or place on or related to the land application site(s) at any reasonable tin
compliance with the permit; establish monitoring facilities on or near the land application site(s) as require
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, grout
term of, and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to c
application sites) during active use and for the 12-month period following a residuals land application ever,
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land ap
sites that are to be used for grazing shall have fencing that will be used to prevent access during these
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surfacf
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month p
application event when the residuals remain on the land surface for four months or longer prior to incorporati
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month p
application event when the residuals remain on the land surface for less than four months prior to incorporati
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a resit
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A 1
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is sit
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
V. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
boundary and attach a
❑ The land application field(s) ID: _ is c
residuals land application program; Permit Number WQ: The land owner hereby
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land al
into the new program;
land application program,
patterns, a description of
commencement of any residuals
tall be applied to achieve a final
and lime mixture is suitable for
based on crop patterns, results of
and analysis of other sources of
.ed use and cropping patterns for
ent and schedule residuals land
the Permittee, the landowner, or
ieir representatives to; enter and
for the purpose of determining
by the permit; copy any records
water, or soil samples during the
rol public access to the land
Such controls may include the
event. Land application
after such residuals land
ication event.
shall not be harvested for a 14-
od following a residuals land
into the soil.
od following a residuals land
into the soil.
ds land application event.
eck one)
AC 02T .0105(h) allows the
ed outside of the compliance
irk one of the following;
showing the newly proposed
permitted under another
ledge that by signing this
n program and transferred
(Name of the new program)
FORM: LOA 11-15
Page 2 of I

Landowner's Certification;
I certify that I am a deed
regarding the use of the la�
a power of attorney or of
deeded landowners, I ce
agreement with another rri
understand the stipulatio 7
field transfer, and do her
herein,
Landowner name:
Address: U
I
city: TL\ s
Phone: f
Signature:
NORTH CAROLIN.
I, the undersigned N
personally appeared
WITNESS /m/�y) hand
day of 0CY h
Signature and seal: -
My commission exp
Lessee's/Operator's Cer
I certify that I have read
Lessee/operator name: -
Address:
City:
Phone:
Signature:
Permittee's Certification:
ed landowner of the above -referenced land application site(s) and am authorized to make decisions
id application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
er legal delegation, to make decisions regarding the; use of the land application site(s) on behalf of the
ify that the above -referenced land application site(s) are not included in any waste disposal contract or
micipality, contractor, or other permitted entity, Furthermore, I certify that I have read this Agreement,
, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
)y grant permission to the Permittee to land apply residuals to the land application site(s) as specified
Q 1;nu� Lr\
State: A) Zip: 9.968 I
E-mail address:
Date: Id-d.) -iS
P i,�XU,Jer COUNTY
ry Public do hereby certify that /'h: )L p C 14, v e-t—
fore me this day and acknowledged the due execution of the forgoing instrument.
d official seal this the
20
Vol
IV/Z y = --
p my
'tion:
i C'4 R O L�N4\\���\\\
//��lIIIIIIIIVI1\\\\
hs Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein,
State:
E-mail
Date:
Zip:
I
I certify that I have read tl IS Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein,
Signing official name: odoft% _
—
Signature:/ Date:
FORM: LOA 11-15 I; Pahe 3 of 3

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resour res 15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 11-15
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking t ie provided boxes will help produce a quicker, review time and reduce the amount of additional
information requested. Fail )re to submit all of the required items will lead to additional processing and review time for the
permit application. Unless ' therwise noted the Applicant shall submit one original and two copies of the application acid
supporting documentation
For more informa ,ton, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit we site at;
http // oa7al._i7cclertllor L(�LILU/ups/l ILI
General — This document is a agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may inclu e water treatment plant or other type residuals) in accordance with 15A NCACT02T ,1100, Do not
submit this agreement for re iew without a corresponding application form (FORM: RLAP 11-15).
Unless otherwise noted, the Alplicant shall submit one original and two copies of the application and supporting documentation listed
below,
A. Land Owner Agreement (FORM: LOA 11-15):
❑ Submit the completec and appropriately executed Land Application Site Certification (FORM: LASC 11-15) form. Please
do not make any una thorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer,
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the comple ed and appropriately executed agreement must be provided to the landowner and the lessee/operator,
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:'Too n -� r� LorS �; 1 ie_
hereinafter referred to as t ie Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see ttached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
(yes/no)
ease
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
©� c)
esc j
Ui1 mc•I �"C�
_�
o (3 t-1
Aj v
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
°ermittee receives, in conside ation, the use of the land application site(s) described above for the disposal of the residuals.
Phis Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
FORM: LOA 11-15 Page] of3

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.
I. STIPULATIONS:
1. The landowner or his re esentative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or is representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure t. at the third party agrees and complies with the terms and conditions of this Agreement,
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellat'on of this Agreement shall be immediately forwarded to NCDENR-DW12, Non -Discharge Permitting Unit, 1617
Mail Service Center, Ral Xgh, NC 27699-1617.
5. The Permittee must requ 'st and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provid4.d the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of ;0nstituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by th Permittee.
7. The Permittee will provi e the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event an a copy of the results of each soil analysis,
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, un ess an agronomist provides information indicating that the PI -I of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his rep esentative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the per itted application limits.
10. The landowner or his representative resentative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, vpregulated animal waste, etc.) that have been applied to the land application site(s)
11. The landowner or his rep
the land application site)
application events at appr
12. Specific residuals land aF
his representative prior to
13. The landowner or his rep
inspect any property, pre
compliance with the perry
that must be kept under th
term of, and 12 months of
II, RESTRICTIONS:
1. Appropriate measures m
application site(s) during
posting of signs that indic
2. Animals shall not be graz
sites that are to be used
application events,
3. Food crops, feed crops, ar
4. Food crops with harvester
month period following a
5. Food crops with harveste
application event when the
6. Food crops with harveste
application event when the
7. Turf grown on land where
III. ALTERNATIVES FOR WA
15A NCAC 02L .0107(d) p
compliance boundary to be I
boundary provided the ground
❑ A re -defined compliance b
(Please include the ratior
compliance boundary to th
® A re -defined compliance b
sentative will inform the Permittee of any revisions or modifications to the intended use and cropping,patterns for
) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
3riate periods.
lication area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
nd during a residuals land application event.
:sentative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
ises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
:; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
r termination of, this Agreement.
be taken by the Permittee and/or the landowner or his representative to control public access to the land
ive use and for the 12-month period following a residuals land application event. Such controls may include the
the activities being conducted at the land application site(s).
on the land application site(s) for a 30-day period following a residuals land application event. Land application
grazing shall have fencing that will be used to prevent access during these periods after such residuals land
I fiber crops shall not be harvested for a 30-day period following a residuals land application event,
parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
;siduals land application event.
I parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
residuals remain on the land surface for four months or longer prior to incorporation into the soil.
parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
residuals remain on the land surface for less than four months prior to incorporation into the soil.
-esiduals are applied shall not be harvested for a 12-month period following a residuals land application event.
PER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
)hibits water supply wells within the compliance boundary. However, 15A NCAC 02T ,0105(I) allows the
aced closer to the waste disposal area, such that the water supply well is situated outside of the compliance
vater standards can be met at the newly -established compliance boundary. Please mark one of the following;
undary is needed for field(s) ID: le for the requested re -location of the compliance boundary and attach_ a map showing the newly proposed
application package)
andary is not needed for this site,
V. ACKNOWLEDGEMENT O,)F FIELD TRANSFER: (if needed)
❑ The land application field() ID: is currently permitted under another
residuals land application • rogram; Permit Number WQ: _. The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new projzram:
(Name of the new program)
FORM: LOA 11-15
n,,,,o 'I 47

Landowner's Certification;
I certify that I am a de
regarding the use of the
a power of attorney or o
deeded landowners, I cc
agreement with another i
understand the stipulatio
Field transfer, and do he
herein.
Landowner name;
Address; 9 l f
City;
Phone;
Signature;
ed landowner of the above -referenced land application site(s) and am authorized to make decisions
rd application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
,r legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
Ify that the above -referenced land application site(s) are not included in any waste disposal contract or
micipality, contractor, or other permitted entity, Furthermore, I certify that I have read this Agreement,
, restrictions, alternatives for water supply we113 inside the compliance boundary, acknowledgement of
;y grant permission to the Permittee to land apply residuals to the land application site(s) as specified
t'i R Yl J. cen h;fr
5 i; \ C 1 L rj k e, PlJ
_ State; �j �-
�61 y 0 _ E-mail address;_
Zip;
Date:
NORTH CA-ROLIN4, , G+,cpc�— COUNTY
I, the undersigned N tary Public do hereby certify that Q h �a., r
Personally appeared before me. this day and acknowledged the due execution of the forgoing, instrument,
WITNESS my hand Ind official seal this the qa�
day of , 20 1 S'� �x����� V�I?Ck
/s P
Signature and seal; � �.,�JY,• � ti
My commission expii• s; _ 7'��'�� _ wo 011 C� N
Lessee's/Operator's Cerdfic; tion; �''�, �y �0�,.`��
I certify that I have read
Lessee/operator name;
Address;
City; _
Phone;
Signature;
Pernrittee's Certification;
1 certify that I have read
Signing official name;
Sigilatiire;
///j01?rT Hr rC'p.\\\\���
s Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein,
State;
E-mail address;
Date:
Zip; _
Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein,
���ttJ �Cacm
Date;
FORM; LOA 11-15 1

State of .North Carolina
y Department of Environmental Quality
A ,
Division of Water Resources
Division of Water Resources 15A NCAC 021'.1100 -- LAND OWNER AGREEMENT
FORM: LOA 11-115
Please use the following insructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application, Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
I
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit we site at,
/?ttp_//�tal,/7cclertr�gr�e6/�-v��/ups/dart
General — This document is a� agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 021' .1100. Do not
submit this agreement for re� iew without a corresponding application form (FORM: RLAP 1145).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below. 1
A. Land Owner Agreement! (FORM: LOA 11-15):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 1.1-15) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer,
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the comple�Ied and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name, ow rN i u� �o rs �, 11
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field IDs/no
(Y,
ease
)
Land Use or
Cropping Patterns
pP• g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
es C
I
-
I
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
="ermittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
=his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
hall be renewed each time this permit is renewed.
i FORM: LOA 11-15 Page I of 3

The undersigned landown
stipulations until such time
I. STIPULATIONS:
1. The landowner or his rel
entity for the site(s) sped
2. Should the landowner or
be responsible to ensure 1
3. The landowner or his rep
4.
Notification of cancellat
Mail Service Center, Rai,
5.
The Permittee must requ
landowner. In addition, t
land application site(s),
6.
The Permittee has provid
including an analysis of
the equipment used by th
7.
The Permittee will provi�
land application event ani
8.
If the soil pH of the land
soil pH of at least 6.0, un
the specified crop.
9.
The landowner or his rep;
soil samples, and the perr
10.
The landowner or his re
nutrients (e.g., fertilizer, t
or his representative and the Permittee agree to abide with the following restrictions and
written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
3entative shall not enter into any additional residuals application contracts or agreements with another permitted
d by this Agreement.
representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
the third party agrees and complies with the terms and conditions of this Agreement,
entative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
of this Agreement shall be immediately forwarded to NCDFNR-DWR, Non -Discharge Permitting Unit, 1617
h, NC 27699-1617.
and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
d the landowner or his representative with information and data concerning the residuals land application program,
mstituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
Permittee,
the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
a copy of the results of each soil analysis.
ipplication site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
;ss an agronomist provides information indicating that the pII of the soil, residuals and lime mixture is suitable for
:sentative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
itted application limits.
resentative will provide the Permittee with information regarding the amount and analysis of other sources of
iregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during Ictive use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicg4e the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used #;or grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, an;d fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a r;',esiduals land application event.
5. Food crops with harveste, parts below the surface of the land shall not be. harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when thel residuals remain on the land surface for less than four months prior to incorporation into the soil,
7. Turf grown on land where iresiduals are applied shall not be harvested for a 12-month period following a residuals land application event,
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105L2 allows the
compliance boundary to be Oaced closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID: _
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to th� application package)
® A re -defined compliance boundary is not needed for this site,
J. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application freld(�) ID: is currently permitted under another
residuals land application l��rograrn; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is reque�trng that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new Droaram:
(Name of the new program)
FORM: LOA I1-15 1)— 1) _V0

i
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners, I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: C Re-elrey-\
Address: '3 c1 u
city: �` k's" .I I
Phone, AM - Ohl., S�
Tot% 'zua
State: /VC
E-mail address:
zip: 9 --Sq 1
Signature: �✓"�a� l�c.,d�_ —Date: Y �-01i-1—
NORTH CAROLINA, I'eX-,)e r COUNTY
III —
I, the undersigned Notary Public do hereby certify that f /4'r" c11 e ►1
personally appeared before me this day and acknowledged the due execution of the forgoing instrument,
WITNESS my hand a;nd official seal this the l j�
day of I1 Lek M b-e
Signature and seal:
My commission exp4es: - `I" 1''?01
Lessee's/Operator's Certification:
I certify that I have read
Lessee/operator name:
Address:
320
Z"tk. j r
Wilkes County _
10
CA R 0 `\\\��
s Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein,
City: State: zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read th s Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
j od
Signing official named t c, �, u
Signature:
Date:
FORM: LOA 11-15
Rona Z .,F'2

i
Landowner's Certification:
I certify that I am a df
regarding the use of the
a power of attorney or
deeded landowners, I c
agreement with another
understand the stipulatic
field transfer, and do he
herein,
Landowner name: _
Address: 1 3 `l u
led landowner of the above -referenced land application site(s) and am authorized to make decisions
nd application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
ter legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
tify that the above -referenced land application site(s) are not included in any waste disposal contract or
unicipality, contractor, or other permitted entity, Furthermore, I certify that I have read this Agreement,
restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
by grant permission to the Permittee to land apply residuals to the land application site(s) as specified
L }'_jc)C l+er\Jre_r-\
city: 1'�J )ups' 1 I
0A Wr% 9Un
Zip: _9 9- -91 _
Phone: - ��� ' �3" 'qC1 m E-mail address:
Signature: 1� �, Date: 9 -a
I
NORTH CAROLIN�, ��Xu�caeJ" _ COUNTY
I, the undersigned Nol ary Public do hereby certify that (- i j-eJr 14.en t)l e ►' \
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of (' ,etc M b_e
Signature and seal:
My commission exp(ies: n `f - `( -'7U!
Lessee's/Operator's Certific'tion:
State: VC
2-'k'�l r
0MERN
lkes
Wlr r,Upi
Coun
/?O�Ty CA R 0\'%��`
��I�hIJF111tF11����\
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein,
Lessee/operator name:
Address:
City:
Phone:
I
Signature:
i
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
I certify that I have read th�ss Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: n`` odu0,
i, V,
---
Signature:
Date:
FORM: LOA 11-15 I D, Z P.,

State of North Carolina
1)W,,R �
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 —LAND OWNER AGREEMENT
FORM: LOA 11-15
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking t e provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless lotherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
i
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit we site at:
htt // ortal.ncdenr,or /iveb/iv /a s/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for r Iview without a corresponding application form (FORM: RLAP-11-15).
Unless otherwise noted, the A�plicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 11-15):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 11.-15) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may, be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant. I
❑ A copy of the computed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
I
AGREEMENT FIOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner lor his representative hereby permits:
Applicant's name: Ou O 1 U, lorl jr �1-�
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see lattached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cropping Patterns
PP` g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
cei
i
i
II
i
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
'ermittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
f his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time thus permit is renewed.
FORM: LOA 11-15 Page 1 of 3

The undersigned landowne� 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.
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or 11is representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure t)�at the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his re. I sentative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellatign of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617
Mail Service Center, Rale}gh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, tl a current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
i
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and copy of the results of each soil analysis.
8. If the soil pH of the land�-.pplication site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site( ) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to ind during a residuals land application event.
13. The landowner or his rep,esentative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures mgIst be taken by the Permittee and/or the landowner or his representative to control public: access to the land
application site(s) during Ictive use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicte the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, an� fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be: harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the! residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where esiduals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WA ER SUPPLY WELLS INSIDE THE, COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 1 SA NCAC 02T .010� allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside: of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the ration�le for the requested re -location
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
of the compliance boundary and attach a map showing the newly proposed
�. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field() ID: _ is currently permitted under another
residuals land application [grogram; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program:
(Name of the new program)
FORM: LOA 11-15
PaaP 7 of Z

Landowner's Certification;
l certify that I am a deeded landowner of the above -referenced land application site(s) an.d am authorized to make decisions
regarding the use of the and 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 I icipality, contractor, or other permitted entity, Furthermore, I certify that I have read this Agreement,
understand the stipulatio ;s, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do lie�eby grant permission to the Permitter to land apply residuals to the land application site(s) as specified
herein.
Landowner name: C
Address: 91),
city; 'Te-�,Iu.rsj;)t e
Phone.
Signature:
1 1"r"c
' 0' P o
-1i'6'5-g
State: NC-
E-mail address:
Zip:
Date: )>J''.�'t•►S
NORTH CAROLIN4, Iz 'c:�ctP� COUNTY
I, the undersigned N�tary Public do hereby certify that —Ch'o) �f c'e
personally appeared efore me this day and acknowledged the due execution of the forgoing instrument,
WITNESS my hand Pd official seal this the °' _` ����I111111►�No��F,�
day of rc­m�j�r— ' 20 JS— a`\\�PG
Signature and seal; ` ��C� _ = N�tarY PubllC
My commission expi!`Mikes-
-
Lessee's/Operator's Certif e tion; '%0 H CP0��`��
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein,
Lessce/operator narne:
Address:
City: —
Phone:
Signature:
Pernrittee's Certification:
I certify that I have read
Signing official name: _
S ignahu•e:
State:
E-mail address:
Date:
Gip: _
Agreement and do hereby agree to abide by the stipulations and restrictions as specified hereby.
✓ Cx'tU Gl
Date: --
FORM: LOA 11-15 1

State of North Carolina
¢t'
4 j Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
Please use the following instructions as a checklist in order do ensure all required items are submitted, Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested, Faiire to submit all of the requiredlitems will lead to additional processing and review time for the
permit application. Unles&btherwise noted, the Applicant shall submit one original and two copies of the application and
supportinp, documentation
For more inform lion, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
/7oltal..nede�lr. orb;/i•i eb/tii c�/cr�s/luar
General — This document isI�n agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of projeq� site(s) in accordance with 15A..NCi1C_.0)f ,.L•1�Fi_(b)(2)lfor habitable residences or place of public
assembly only]. Do notsubmilt this agreement for review withqut a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreeri�ent:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) form, Please do not
make any unauthorized conterit changes to this form, If necessary for clarity or due to space restrictions, attachments to the
application may be iiade, as long as the attachments are;numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each property from w114ch a waiver is being sought.
❑ Any other setbacks;' required by l .`i/�_ NCAC 02T .1 108, other than those referenced above, cannot be. waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T ,1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name:
Applicable Field ID:
hereinafter referred to as the Permittee, to land apply residuals within feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address of property': 11�41dd 30ZV v /0�1/
Ci �At-IiarsY-- State: �/U�— zip: z2kP
n/ --
1
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application programland shall be renewed each tin¢ this permit is renewed, In addition, this Agreement shall only
remain in effect for as lon !' as the undersigned property owner owns the property described herein.
The undersigned propenty owner agrees to abide by this 4greement 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,
✓!t�
Property owner name: l ,�A
1
Signature; Date:
Page I of 1
FORM.: SWA 11-13

7 R
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checkingjthe provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supportinfz documentation]
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at;
/7tt _//��ortal im em, orgLYi�_e)�LV C 7s/la�ar
General - This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A.NCAC 02T_J.l08 �L22.Z[for habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) form, Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be ;made, as long as the attachments are numbered to correspond to the section and item to which they refer,
❑ Prepare a separate Egreement for each property from which a waiver is being sought.
❑ Any other setbacks required by 15LANQ' 021 .1108, other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY .15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Tavlorsville
Applicable Field ID:
hereinafter referred to as the Permittee, to land apply residuals within too feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address of property; 1 I � v s f a,�/ 1S I- a IV ck
City; `7A V /v hS U J '/1_ State: _ (lie-- zip: _ ;A-
-----
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program land shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as longlas the undersigned property owner owns the property described herein.
The undersigned propert!� 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 tothePermitte-A-Ile
/]
e]to land apply residuals to land application site(s) as specified herein.
Property owner Pa1n' : ri ►' ��' 7- r `e h H G oye �
Signature:
Date:
FORM: SWA I1-13
Page 1 of 1

R
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and cheekingi the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at,
I tt�//hortul.ncdet?r•;org/r>>eb/tiv_c�uhs/lcru
General — This document *is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCACO21' 1108_(for habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) form, Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement foi• each property from which a waiver is being sought.
❑ Any other setback's required by 15A NC`AC 02=1'__11Q8, other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Tavlorsville
Applicable Field ID:
hereinafter referred to as ti he Permittee, to land apply residuals within J0 ® 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;: 3 %�
City: o l^ _su . //�,: State: 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 jand shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long las 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 oar cancels this Agreement.
❑ I certify that I am a de�ded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of otter deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission Ito the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner name:
Signature:
Date: 12-5� ,)�/
FORM: SWA 11-13
Page 1 of 1

Carol Price
Field: CPI

3
r s
0010
It
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' fix: r ri v
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Legend
W !
�• ,r < `j ,.d� r_ . _T� Propery Line
®® 500 Parcel Buffer 6' Well
r Perennial Stream ® House
rUcIntermittent Stream
Price Carol: Site Overview
Parcel: 0009501
o 150 500 1,000 Fcct
35.905,-81.1532 i i July 2015
Ale a ounty, JYQ North Carolina State lane NA.D83 Shaffer Soil Services, Inc.

5
17
x
x l
X 5
F
4 2
x x
7.0 acres
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l x 3
r
Buffers
. Y
` Property Line (50'
fr . Perennial Stream (100'
t Intermittent Stream (25 )
ANVHouse 100'
�. t ... House �00°
z
Well (1 0')
� f
Legend
3 - Propery Lire Unused Area
Field Boundary c Well
Perennial Stream Q House
Intermittentl Stream x Soil Bore
Price, Carol: Buffer Map
Parcel: 0009501 0 125 250 500 Feet
35.905, -81 1532 I r r i I r r ° I July 2015
Alexander County, NC North Carolina Stateplane NAD83 Shaffer Soil Services, Inc.

Clyde Hendren
Field: CHI

i�
-..
..
._
Legend
500' Buffer
O Well
Parcel
®House
Perennial Stream
-I
NC OneMa
0 Surface Water
Board
Land Application - Overview: Hendren, Clyde Leverne
PIN:3769308303�
Alexander County, NC
0 375 750
1,500 Feet
35.9026,-81,1484
I I I I I i i I Produced: Dec. 2015
North Carolina stateplane NAD83 feet Shaffer Soil Services, Inc.

Phillip Hoover
Field: PH 1

kl°'
Legend
ProTery Line
0 Well
50 Parcel Buffer
Perennial Stream A House
ti NC OneMal F----i Surface Water
Board
Land Application Overview: Hoover, Phillip G
PIN: 3768391163
Alexander County, NC 0 250 500 1,000 Feet
I I I I I L L I Produced: Dec. 2015
35.8994, -81.1505 North Carolina stateplane, NAD83, feet Shaffer Soil Services, Inc.

J,
i
;L
ass -
i
Field 1
14.7 acres
35. a
Buffers
t
r �,: 'C� Property Line (501)
O Perennial Stream (1001)
Surface Water (100')
House (100')
Land Application: Hoover, Phillip G
PIN: 3768391163
Alexander County, NC 0
35.8994.-81.1505 L
125 250
= House (400')
Legend
® Propery Line
Field Boundary O Well
Perennial Stream A House
Surface Water
Unused Area
500 Feet
N
K/-�—E
s
Produced: Dec. 2015
Shaffer Soil Services, Inc.
J C"

Owen Icenhour
Fields:
08-01
1: 1
1' •

oul.
-k.'
Leger
Pe
Cl I

I
ion Matthew: Overview Map
1 3�329
er County, NC
0 250 500 1,000 Feet
I I a I 1 9 1 n I
Legend
Propery Line 0 Well
500' Parcel Buffer ®House
Perennial Stream
Surface Water
Produced: October. 2015
;haffer Soil Services. LLC

SITE EVALUATION AND SOIL REPORT
SOUTHERN SOIL BUILDERS, IINC®
ALEXAN®ER COUNTY, NC
JULY21,2015
PinSBOR0, no9��c((.���27312
oNl19-54dOqv'�uY803

July 21, 2015
Mr. Zach Key
Southern Soil Builders, Inc.
958 Hoots Road
Roaring River, NC 28669
Subject: Site Evaluation for Wastewater Residuals Application Fields
Carol Price Property — Parcel 0009501
Alexander County, NC
On July 9, 2015, 1 evaluated the cleared fields on the above named property for potential for wastewater
residuals (Class B) application. The property is owned by Ms. Carol Price of 912 Boston Road,
Taylorsville, NC.
The purpose of this evaluation was to review the soils for suitability for residuals application as required
by 15 A NCAC 02T and the subsequent site evaluation policies found in the Soil Scientist Evaluation
Policy document from September, 2008. This report will document the site evaluation details and
includes all required reporting information therein. I also took soil fertility samples from each of the
proposed fields and these samples were analyzed for the required fertility analysis. This report also
includes the watershed classification attachment from the application supplement LASC-page 4.
The field evaluation resulted in the decision to set up this site as 1 field for residuals application. The site
is small and consists of the same soil type. Overall, this field is well suited to residuals application. The
field has slopes ranging from 2 percent to over 10 percent. As the site is proposed for surface application
of residuals, the field portions with slopes exceeding 10 percent have been marked off- this will be
shown on the site maps attached herein. The slopes in the useable portion of the field range from 2 to
10 percent. Soil borings were completed over the field and the location of these borings is found on the
attached site maps.
The soils reflected by all soil borings are in the Fairview soil series. These coincide with the soils as
mapped by USDA (map attached depicts Pacolet series which correlated before the mesic soils line
changed, changing the soils to Fairview). Most of the areas are moderately eroded with a thin topsoil
ranging from 2 to 4 inches in depth. Fairview soils are well drained with a clayey subsoil. Soil depth to
hard bedrock exceeds 7 feet and depth to soft, well -weathered bedrock is 4 to 7 feet. No soils (after
excluding the slopes exceeding 10 percent) are limiting to land application. One detailed soil description
to 7 feet is provided for this field to be added to the residuals application permit. None of the areas
evaluated is in a floodplain or contains jurisdictional wetlands. With the exception of required setbacks
for homes, wells, rights -of -way, and/or property lines, and with the exception of the slope areas
exceeding 10 percent that are buffered out, the remainder of the field is suitable for residuals
application. There is a high level of consistency among the soil borings across this tract, with only slight
variability in depth to highly weathered parent material. The soil evaluation confirmed the soil mapping
by the National Cooperative Soil Survey, and this map is attached in this report. Because of this, no
distinct map unit lines have been mapped on the site maps- all areas shown are the same soil type and
consistent with the, soil survey and thus the map just depicts the boring location and field name along
with a notation of the field portions where slopes exceed 10 percent. Setbacks to all required features

have been mapped out, and these must be flagged at the time of residuals application. The slope areas
exceeding 10 percent will also need to be flagged out at the time of residuals application.
The field is in fescue pasture, and grazed by several horses. The pasture condition shows good ground
coverage with no need for revegetation. Occasional broadleaf and grassy weeds are present but pose no
concern for residuals application.
The next section of this report will include information common to the entire project. It includes:
• General site location map
• Copy of the soil sample transmittal sheets for Price and soil test results
• Copy of the Official Series Description for the Fairview soils found in the evaluation
• Watershed Classification Sheet from form LASC-page 4 with maps
• Nutrient management RYE tables for nitrogen loading rate as per 2T rules for Fairview soils for
Alexander County.
The following section will show the field evaluation details with soil descriptions, field summary, and an
overview field map and a detailed land application map with all setbacks and features noted.

Location Map

- --- • - --"JJ""UGSI nup://www.mapquest.com/print?a=app,core.bc8483b2d97a5f] 0939
Notes
t, f i
piques L
Map of:
912 Boston Rd
Tayiorsville, NC 28681-3147
VLu I Map Quest, Inc. Use of directions and maps Is subject to the Map Quest Terms of Use, We make no guarantee of the accuracy of their content, road conditions or route
usability. You assume all risk of use. Vavr•Tenns of Use

INDIVIDUAL FIELD MAPS WITH SOIL
DESCRIPTIONS

PRICE FIELD 1
This field, minus required buffering for slopes exceeding 10 percent, and required setbacks from
surface waters, property lines, wells, homes, and rights -of -way is suitable for land application of
residuals/blosolids. All soils classify as Fairview sandy loam or sandy clay loam, 2 to 10 percent slopes,
moderately eroded. Past erosion is severe in select areas. This field is in fescue pasture. Crop health
and conservation practices are adequate to prevent future erosion.
Price Farm- Field 1
Following is the general overview and detailed site map for this field. The soils as found in the field
match the USDA soil map (map attached depicts Pacolet series which was correlated before the mesic
soils line changed, changing the soils to Fairview), which is also attached. The attached detailed site map
shows the location of the soil borings that were completed as well as required setbacks and useable
acreage for residuals application. The soils all classify in the Fairview soil series. Taxonomic class: Fine,
kaolinitic, mesic, Typic Kanhapludults. Following is a representative description of the soils to seven feet.
The table below shows the remaining soil characteristics key parameters.
The center coordinates of the field are: Latitude: N 350 54.2.972911, Longitude: W 81' 9.16337'
Soil
Depth to
Bedrock
Depth to
Slope
Slope range
Landsca eeries
p
Restrictions
q
(in)
SHWT in
( )
around soil
Position
For residuals
rview
>84
>84
6
boring (%)
—
application
5 7
Linear sideslope
—
NONE
2
Fairview
>48
>48
6
5-8
Linearsideslope
—
NONE
3
Fairview
>49
>49
7
5-8
—
Linear si.deslop.e
_—
NONE
4
Fairview
>49
>49
6
5-8
Convex ridge
NONE
5
Fairview
>49
>49
4
3-6
Convex ridge
—
NONE
6
Fairview
>50
>50
3
2-4
Headslope
--
NONE
7
Fairview
>50
�50
5
4-7
Linear sic9eslope
NONE:
There is one home on the property owned by the landowner and setback waivers are proposed. A 100-
foot well buffer is imposed at each home. The attached detailed map depicts that 7.0 acres is available
for residuals application with surface application.

SOIL DESCRIPTION SHEET FOR RESIDUALS APPLICATION
SHAFFER SOIL SERVICES, INC. DATE: _�, `920/z;-
COUNTY / L,�(�eI/ PROJECT NAMiE�`" /X--ln J �-%T) , DESCRIPTION BY: Karl A. Shaffer L S.S.
Ui �i > c rrV P, CP
DEDICATED SITE? ONOMIIC SITE? PARCEL NO. D 0 0 7S0/
FIELD NUMBER ��� LANDSCAPE POSITION SOIL SERIES o rvr'Pi.L� L` SLOPE% (o CLASSIFICATION
INCLUSIONS & % /O ,���
HORIZON DEPTH (InD TEXTURE MATRIX COLOR
MOTTLES STRUCTURE CONSISTENCE
. OTHER
L� /
SCL-
-7S` pe'%-
6
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CL
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�
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Z —'�R ��
I co
-514
L-.
� _ �
Sci-
,�
/v
DEPTH TO SEASONAL `WETNESS (in) > �� �� ,q /
TYPE OF WATER TABLE � V
SUITABILITY FOR RESIDUALS APPLICATION? ES. NO
RESTRICTIONS/CONCERNS o1,(-5
LA e IT6.d DE & J.S_ jyP
- Z d '72�1_4 �— -- n
LONGITUDE U,/- 69t "? /6 ?
COMMENTS✓e7l
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{ Field boundary 0 WE.11
Perennial Stream House
Intermittentl Stream x Soil Bore
Carol. Buffer Map
Parcel: 0009501
0 125 250 500 Feet
Alexander County NC July 2015
North Carolina Stateplane NAD83 Shaffer Soil Services, Inc.

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ce, Carol: Site Overview
Parcel: 0009501
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" ® Intermittent Stream
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Inter mittent Stream
AN
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500 1,000 Foot
J July 2015
forth Carolina Stateplane, IVADFi3 — Shaffer Soil Services, Inc.

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}
Price, Carol: NRCS Soils Site Map -
Parcel:0009501
0 250 500 1,000 Feel s
35.905,-81.1532 hdr�_ ! I July 2015
Ale.randerCounPV NC North Carolina State plane, NAD83 __ Shaffer Soil Servioes, Inc.

Soil Sample, Transmittal Sheets
Soil Test Results
Carol Price Farm

FormA-D-13 (March2010) SOIL SAMPLE INFORMATION — HEAVY
EAqO METALS
SAMPLE TYPE
Hea.vyr Metals Te ($25 pe e)
for regulate
not applicable for -homeowners I
0 Submit samples April 1—Dec 15 oniv.
SAMPLE_ INFORMATInm DAVAA U'r
NCDA&CS Agronomic Division SoU Testing Section
iMalling Address: 1040 Mail Service Center, Raleigh NC 27699-1040.
,sIca 1-Add res-s SUP sEedl=x) 430- Remy Creek Road, rRaleigh HC 27607
Phone: (91S) 733-2665 Web Address: www.ncagt:govlagronoml
FOR OFFICE USE ONLY
I REPORT
- DATE REC`D
INITIAL.
��GUL7Lp�.��o
a �
�z
9 ;
a - -
r ML',1b6U �KM1
FARM iD
FEE TOTAL
AMT PAID
METHOD OF PAYMENT
( ) CASH
• (poywt►Ie@®A1CY9AffC✓I)
( ) MONEY ORDER
( ) ESCROW (provue
°'ccowdnwne balm)
-- -- - --• - ' - — .-.. yrss awe rra�sl
LAST NAME FIRST NAME
�� /% ��
'%,UF ZULIAN 110 If -ILK RECIPIENT
E �] FIRST NAM
LA9XI:
per`
SAMPLE DATE
/ /J
ADDRESS J
J161.40
�
ADDRESS
�J
COUNTY (where coneceea)
'�iYI/'dP,jam`
CITY STATE ZIP
'�` 1�•%! = /C U691
CITY ' // STATE ZIP
�`�L'51�
PHONE
(---) --- --
PHONE
( Jz�)
NUMBER OF SAMPLES
E-MAILADDRESS ❑ Do Riot notify me when report is available.
E-MAILS^ADDRESS C❑ Do Not notify me when report is available.
LAB NUMBER SAMPLE
LIME APPLIED WITHIN You must specify a crop CODE to receive a recommendation (see reverse side of form) (Leave blank) IDENTIFICATION PAST 12 MONTHS
Tons/Acre Month Year FIRST CROP CODE SECOND CROP CODE
1 ®i
2
3
4
5
s
s
s
10
11
12
21 antr you, for using agronomic services to manage nutrients and sra---°•ard environmental quality. —Steve 7Troxlear, Coannissioner - ' gr culture

%7wiL- Q^mri—r— unlrumiyiA I 1ujm — N.C* Soil Only
ROUTINE SAMPLES NCDA&CS Agronomic Division Still Testing Section
April-Novernber: no fee Mailing Address: 1040 Dail Service Center, Raleigh NC 27699-1040
"December -March: $4 1sample Physical Address (UPS/FedEx): 4300 Fleetly Creek Read, Raleigh NC 27607
Phone: [phone]- Website: ei wwmcagr.govfagrononti
SAMPLE INFORMATION PAYMENT GROWER INFORMATION (paeans Swint ®agtbty) CONSULTANTIOTHER RECIPIENT
FARM 1D (op2lonal)
FEE TOTAL
METHOD OF PAYMENT�
ESCROW ACCOUNT ONLY
(wRite account name belOw)
LAST AAME IRST NAME
,
LAST NAME FIRST NAME
ADDRESS (In N.C. where samples were coll'ectedy
) ^^�� p�}7A �°7J' /��y/� I
�! {r Y (1 ✓ d ©� `r�f
ADDRESS
SAMPLE DATE (epiioeao
"7 ®r �
f /
To pay with credit card, you 2
use ordine sample submission.
NC COUNTY (u,ltiere caillecteal)
I /fix
2�»ia�rd+ears'
V"'NCj01'&C8:$ainpl�a
I►axss ondg�..Ff g�:rlid
a' 1ei acceptei7:
>Iaecs.i
itiri oin Q$. p
CITY l oT AT NC zip
Q ��i^✓ C1r �' �l
CITY STATE ZIP
�i% /J
r
O
PHONE
(---) — — — — — — — —
PHONE
NUMBER OF SAMPLES
E-MAILADDRES�S❑ Not notify me when report is available.
j q�i
E-flMAILADDRESS [IW Not notify me when repoorrt is available.
By submitting this form to the NCDA&CS Agronomic Division, I attest that the accompanying, samples were collected in North Carolina.
LIME APPLIED WITHIN You must specify a crop CODE to receive a recommendation (see reverse -side of fora)
LAB NUMBER SAMPLE pAST12 MONTHS
(Leave blank) IDENTIFICATION
Tons/Acre Month Year FIRST CROP CODE SECOND CROP CODE
1 0 o
z
T'baank you for using agronomic services to manage nutrients and safeguard environmental quality. — Steve Troxler, Commissioner ofAg a cullaare

A&L Analytical Laboratories,. Inc.
2790 Whitten Rd • Memphis • TN - 38133 • 901.213.2400 • Fax [phone]
SOIL SAMPLE INFORMATION SHEET
Nam.r/ .•// • .•• m•e i
//�� f� / r
®,Cs�'Fc'Ys'i7l J�rrI.�G�S ��f'''49 PYiG(J
?ffq�s",A9r z 34s7a>1 Rd
rac �&6?d
P6,'bh5) AAC 2�73
Rleace check wmpleri In column provi0ed If Herbicide or
Nematode
analysts cequesferd.. if H..001clde„ , . se:lnd
name of Herbicide in Add,. Into boox belsrw.
41
G-
1
n" M - Org4nic Matter, Phosphorous, Potassium, Calcium, Magnesium, pH, Buffer pH
M - SIM plus any two of the following: Sodium, Sulfate -Sulfur, Boron, Zinc, Manganese, Iron, Copper. Each additional
test (above two) cost $2.00.
M - S1M.. If all oftha followin : Sodium SulfateSulfur, Boron .Zinc Man anese, Iron Co er.
Ps• CODE S
FIELD CROPS FORAGE CROPS
1. Barley 101. Alfalfa Hay 161. Coastal Bermuda Hay
5, Canola 103. Alfalfa/Cool Season Grass Hay 162. Coastal Bermuda Pasture
TURFGRASS
10. Corn 106. AlfalfaAIVarm Season Grass Hay 172. Cool Season Grass Pasture
512. Bahiagrass Lawn
11. Com/Soybeans Rotation 116. Bahiagrass Hay 173. Cool Season Grass Hay
513. Bahiagrass Sod Production
12, Corn - No Till 117. Bahiagrass Pasture 161. Fescue Hay
517. Bentgrass Green
13. Corn Silage 121. Common Bermuda Hay 182. Fescue Pasture
521. Bermudagrass Athletic Field
20, Cotton 122. Common Bermuda Pasture 183. Fescue/Legume Hay
522. Bermudagrass Fairway
21. Cotton - No Till 123. Common Bermuda/Legume Hay 184. Fescue/Legume Pasture
523. Bermudagrass Green
25. Grain Sorghum 124. Common Bermuda/Legume Pasture 237. R e rass
524, Bermudagrass Lawn
30. Oats INDICATE TYPE OF GRASS AND/OR LEGUME
525. Bermudagrass Sod Production
32. Peanuts
526. Bermudagrass Tee
34. Popcorn 297. OTHER HAY _ _
533. Bluegrass Lawn
35. Rapeseed
534. Bluegrass Sod Production
36. Rice 298. OTHER PASTURE
546. Centipede Lawn
39. Rye
547. Centipede Sod Production
45. Soybeans 299. CRP
561. Fescue Athletic Field
46. Soybeans - No Till VEGETABLE CROPS FRUIT & NUT CROPS 563. Fescue Lawn
51. Sugarcane - Plant 307. Beans - Lima 381. Spinach 400. Apples
564. Fescue Sod Production
52. Sugarcane - Stubble 309. Beans - Snap 382. Squash 410. Blueberries
576. St. Augustine Lawn
62. Tobacco- Burley 320. Cabbage 383. Sweet Corn 420. Citrus
577. St Augustine Sod Production
63. Tobacco - Dark 322. Cantaloupe 384. Sweet Potato(ton) 430. Grapes
583. Zoyslagrass Lawn
64. Tobacco - Flue Cured 330. Cucumbers 391. Sweet Potato(bu) 470. Peaches
584. Zoysiagrass Sod Production
75. Wheat 340. Garden 385. Tomatoes 475. Pecans
78. Wheat Silage/Com Silage 369. Peppers 398. Watermelons 490. Strawberries
92.. Wheat/Beans Double Crop,
�. �� ,�ot.®l
1402 79 D
Submittal of information sheet to A&L Analytical Laboratories, Inc. is acceptance of our terms and conditions. All prices are subject to change without notice.
Additional fees may be charged to client If sample requires additional preparation procedures.

ew�.vrco�a.7 Fiuronomic vivision
Phone: [phone]
Predictive®
V�i® ®\eporl4.
w—Lo Le: vvwiwr.ncagr.gov/agronomil
Client: Carol Price
912 Boston Rd
Taylorsville, NC 28681
Mehiich-3 Extraction
Sampled County : Alexander
Sampled: 06/27/2015 Received: 07/10/2915 Completed: Q7/20/2015 Farm:
Report No. FY16-SL000514
Advisor: Shaffer Soil Services, Inc.
- Karl/Kristin Shaffer
W Sanford -Rd
Pittsboro, NC 27312,
Links to Helpful Information
Sample ID: 01
p
I '--'—
Recommendations:
Limp
Alutr;
•
Na
Crop
Mons/acre)
,� „'-•,;�—�—�---.a".�
I �i,IW �I Vlc7l.I Cj;
N P2O5
K2O
Mg S
Lime History:
1-Fescue/OGrass/Tim, 1
1.2
120-200 0
20
0
Mn
Zn CO B
2- Fescue/OGrass/Tim,
0.0
120-200 0
20
(}
0
0
0
0 0 0
0
0 0 0
Test Results [units -WN in g/cd; CEC and Na in meq/100 cm3; NO3-N in mg/Irr?]:
Soil Class:
Mineral
HM°! YVA, CEC
BS% Ac pn
P-i K-li
Ca% Mg°/® $4
Mn4
Mn-All
Mn-Al2
Zn-I
Zn AI Cu-1 Na
0.46 1.13 6.5
65 2.2 5.3
91 63
45 16 36
108
82
82
187
187 169 0.1
North Carolina
ltiformation
Note: 12
Note: 12
ESP SS-1 NO3-N
2
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Careiina Tobacco Trust Fund Commissign.
Thank you for usipg agronomic seNices to manage nutrients and safeguard environmental quality.
Steve Troxler Commissioner of Agriculture

Report Number
15-194-0563 Page: 1 of 1
Account Number
07337
Send To: SHAFFER SOIL SERVICES
KARL SHAFFER
685 SANFORD RD
PITTSBORO , NC 27312
L-i
A&L Easton Lab®rat®�ies, Inc.
c 7621 Whitepine Road Richmond, Virginia 23237 B04 743-9401 _
9 ( _) Fax [phone]
wm aleaStern.corn
Client: 912 BOSTON RD 2TAYLORSVILLE NC 28681
CAROL PRICE REPORT OFAIINALYSIS
Total Mercury Total Molybdenum
SW-7471B SW 6010C
Lab No Sample ID ppm
Sample Date and Time
22610 01 <0.4 <5
Method Reference:
USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current
Revision
Purchase Order :
Report Date: 7/17/2015
Date Received : 7/1312015
Pauric McGroary

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY16-SL002093
Client: Carol Price
Advisor: Shaffer Soil Services, Inc.
Heavy Metals 912 Boston Rd
- Karl/Kristin Shaffer
Ta lorsville, NC 28684
Y
685 Sanford Rd'
5 'y Soil Report Mehlich-3 Extraction
`.<
Pittsboro, NC 27312
. •/� Sampled County: Alexander
sampled: 06/27/2015 Received: 08/04/2015 Completed: 08/06/2015 Farm:
Links to Helpful Information
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using McAAh�'lli'ich 3 as a soil test
extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1
ppm, chrormm (Cr)- n 2 ppm lead
(Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Although the above metals here are not believed to
pose a concern
these and note where elevated above background levels. Note any lime and fertilizer recommendations. Ja athi Kamalakanthan 8/6/2015
for plant growth, continue to monitor
Sample ID: 01
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn
Cu B
Information
Lime History:
1- Fescue/OGrass/Tim, 1 1.3 120-200 0 20 0 0 0 0
0 0
Note: 12
2- Fescue/OGrass/Tim, 0.0 120-200 0 20 0 0 0 0
0 0
Note: 12
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cnr3; NO3-N in mg/dr73]: Soil Class: Mineral
HM% WN CEC BS% ' Ac pH P4 K-1 Ca% Mg% S4 Mn-I Mn All Mn AI2 Zn-I Zn-AI
Cu4 Na ESP SS4 NO3-N
0.46 1.09 6.8 64 2.5 5.3 90 68 42 16 31 116 87 87 186 186
163 0.1 1
Heavy Metals (parts per million): Arsenic, 0.4 Cadmium, 0.0 Nickel, 0.3 Chromium, 0.2 Lead,
4.1 Selenium, 0.3
North Carolina
APW
11+AcO i:u,r t una C x;rna >i na
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

PROJECT EVALUATION AND SITE MANAGEMENT PLAN
7.0 acres are available for surface residuals application.
The field currently exists in established fescue pasture and hayland. Crop health on the pasture fields is
adequate. There are several horses but no cattle, so this field will be treated as non -grazed.
Addition of residuals must be monitored such that the known application rates of nitrogen, phosphate,
potash, and lime equivalent are taken into account with respect to the soil test recommendations, or
the RYE limit as given from the nutrient management tables. The permanent hay/pasture supplies
adequate erosion control for those fields, however, judgment must be applied when applying liquid
biosolids to fields where slopes exceed 6 percent as runoff may occur.
2T rules require the use of nutrient management RYE guidance when defining application rates of
residuals. The nitrogen rate from this document for Fairview soils is 194 Ibs/acre per year
The soil test results are applicable for all nutrients, and lime, EXCEPT NITROGEN. For nitrogen, the
realistic tables from NCSU are applied. If the sites are grazed by cattle at normal stocking rates, a 25%
reduction must be applied (total N/acre/year =145 pounds).
The soil fertility test results are in another section of this report. Follow recommendations for all
nutrients (except N) and follow the lime recommendation.
Price soil test:
The field has a low soil pH and requires a lime rate of 1.2 tons/acre. If the applied wastewater residuals
are handled in a manner that would render them as a liming source, then the residuals should be
tested for their liming equivalency (also called calcium carbonate equivalency) to insure that soil pH is
maintained in the proper range.
Phosphate and potash soil test indices are above 50 which shows adequate P and K. No additional
amendments are recommended. The basic cations are all in good ratio. Overall, the soil test shows
normal agronomic management and does not indicate any parameters that pose a concern for residuals
application. Copper and Zinc are high but nowhere near levels of concern. It indicates that perhaps a
small amount of poultry litter has been in this field in the past. Other metals will be discussed below.
With adequate erosion control as currently exists, P and other nutrient losses should not be a concern.
Exchangeable sodium percentage for this field is 2. ESP levels above 15 generate a level of concern for
sodium. This field shows no concern, and sodium will not be limiting for residuals application. ESP is a
parameter that should be calculated annually as residuals are applied to help with sodium monitoring.
Metals:
Soils were evaluated for regulated metals as required by 2T rules. Samples were submitted to 2
laboratories: A&L for mercury and molybdenum; and NCDA&CS for the 6 metals they analyze. Results
are found in the appropriate report section.
Total mercury and molybdenum are below detect level and thus no concern shows for these metals.
Results for Arsenic, Cadmuim, Nickel, Chromium, Lead, and Selenium are founbd on the NCDA&CS soil
test report number FY16-SL002093 dated 8/6/2015. The results are shown in table format below.

Metal
NCDA test result (ppm)
Metal total (lb/acre)
EPA metal limit—kg/ha (lb/acre)
Arsenic
0.4
0.8
_
41(36)
Cadmium
0
0
39 (34)
Nickel
0.3
0.6
420 (374)
Chromium
0.2
0.4
NA
Lead
4.1
8.2
300 (267)
Selenium
0.3
0.6
100 (89)
No metals concerns exist at this site.
Hay/Agronomic Management
The hay should be cut or grazed using sound agronomic practices. Removal of the crop is required to
insure continued nutrient uptake and removal from the system. If the fescue crop appears damaged or
diseased, soil and plant tissue samples may be used to diagnose the problem. You should not apply
residuals on any fields/crops where plant tissue appears unhealthy or lacks sufficient density to hold the
residuals in place on the field. The application permit will specify the set -out time for grazing animals,
and this must be coordinated with the landowner. Typically, grazing requires 3 or more management
areas: one where the animals are, one where residuals have recently been applied and waiting the set -
out time, and one where residuals are actively being applied.
SUMMARY
All soils and sites as shown in this report are suitable for residuals application. The soils are consistent as
mapped on the soil survey and meet all required separations to bedrock and seasonal high water table.
I appreciate the opportunity to perform this service for you. Please contact me if you have any
questions.
Sincerely,
Karl Shaffer, L. .S.
Shaffer Soil Services, Inc.
Attachments: Invoice

Copy of the official .'Series Eescription
Fairview soils

-- — r�,.., - • n�v,r w '5enes
httl)s://soilseries.sc.egov.usda.gov/OSD—Docs/l,'/FAIIZVIE"
LOCATION FAIRVIEW NC+VA
Established Series
R.TL-DCC/Rev. JAK/DTA
02/2008
MLRA(s): 136 (mesic part)
MI -RA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina
Depth Class: Very deep
Drainage Class (Agricultural): Well drained
Internal Free Water Occurrence: Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
Landscape: Piedmont upland
Landform: Hill, ridge, interfluve
Geomorphic Component: Crest, interfluve, side slope, nose slope, head slope
Hillslope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum from felsic metamorphic or igneous rock
Slope: 2 to 60 percent
Elevation (type location): 1260 feet
Frost Free Period (type location): 174 days
Mean Annual Air Temperature (type location): 57 degrees F.
Mean Annual Precipitation (type location): 44 inches
TAXONONUC CLASS: Fine, kaolinitic, mesic Typic Kanhapludu.lts
TYPICAL PEDON: Fairview sandy clay loam (in an area of Fairview sandy clay loam, 8 to 15 percent
slopes, moderately eroded), on a convex 11 percent slope in pastureland. (Colors are for moist soil)
Ap1--0 to 10 centimeters (0.0 to 3.9 inches); brown (7.5YR 4/4) crushed sandy clay loam; weak medium
granular, structure; friable, slightly sticky, slightly plastic; low excavation difficulty;
throughout; 1 percent nonflat angular indurated 2- to 75-millimeter schist fragments and 4 percent nonflat
angular indurated 2- to 75-millimeter quartz fragments; moderately acid, pH 5.7; clear wavy boundary.
Ap2--10 to 23 centimeters (3.9 to 9.1 inches); strong brown (7.5YR 4/6) crushed sandy clay loam; weak
fine subangular blocky structure, and weak medium subangular blocky structure; friable, slightly sticky,
slightly plastic; low excavation difficulty; common fine roots throughout; common in moderatne mica flakes;
e-
continuity tubular pores; 1 percent fine red (2.5YR 4/8), moist, clay bodies and 1 percent fine 1 percent nonflat angular indurated 2- to 75-millimeter schist fragments and 4 percent nonflat angular
indurated 2- to 75-millimeter quartz fragments; moderately acid, pH 5.7; (Ap horizon is typically 2 to 30

JMUR11 aeries Lescnpnon - rALKVIEW Series
https:Hsoilseries.sc.egov.usda.gov/OSD—Docs/F/FAIRVIEW.Ii
centimeters thick); clear wavy boundary.
Bt--23 to 61 centimeters (9.1 to 24.0 inches); red (2.5YR 4/8) broken face clay; moderate medium
subangular blocky structure; firm, slightly sticky, moderately plastic; moderate, excavation difficulty;
common fine roots throughout; common fine moderate -continuity tubular pores; 25 percent discontinuous
faint red (2.5YR 5/8), moist, clay films on all faces of peds; 10 percent fine mica flakes; 1 percent nonflat
angular indurated 2- to 75-millimeter quartz fragments; strongly acid, pH 5.3; (Bt horizon is typically 20
to 60 centimeters thick); gradual wavy boundary.
BCt--61 to 74 centimeters (24.0 to 29.1 inches); red (2.5YR, 4/8) broken face clay loam; moderate
medium subangular blocky structure; friable, slightly sticky, slightly plastic; moderate excavation
difficulty; 1 percent discontinuous faint red (2.5YR 5/8), moist, clay films on vertical faces of peds; 10
percent fine mica flakes; 2 percent nonflat angular indurated 2- to 75-millimeter schist fragments and 4
percent nonflat angular indurated 2- to 75-millimeter quartz fragments and 5 percent flat very angular
weakly cemented 2- to 150-millimeter schist fragments; strongly acid, pH 5.3; (BC horizon is typically 0
to 75 centimeters thick); gradual wavy boundary.
C--74 to 200 centimeters (29.1 to 78.7 inches); red (lOR 5/6) broken face loam; massive; friable, slightly
sticky, slightly plastic; low excavation difficulty; common fine roots throughout; common fine moderate -
continuity tubular pores; 10 percent fine mica flakes; 1 percent nonflat angular indurated 2- to
75-millimeter schist fragments and 2 percent nonflat angular indurated 2- to 75- millimeter quartz
fragments and 10 percent flat very angular weakly cemented 2- to 150-millimeter schist fragments;
strongly acid, pH 5.3.
TYPE LOCATION: Surry County, North Carolina; about 2.5 miles west of Dobson, 1000 feet northwest
of the intersection of Secondary Roads 1001 and 1124, in a pasture; USGS Bottom topographic
quadrangle; lat. 36 degrees 24 minutes 03 seconds N. and long. 80 degrees 46 minutes 25 seconds W.
MANGE IN CHARACTERISTICS:
Depth to top of Argillic horizon: 1 to 15 inches
Depth to base of Argillic horizon: 15 inches or more
Depth to Bedrock: Greater than 60 inches '
Rock Fragment Content: 0 to 40 percent in the A and E horizons and 0 to 30 Pei -cent in the B and C
horizons; mostly gravel, cobbles or stones, but may include channers and flagstones
Pararock Fragment Content: 0 to 15 percent, throughout; mostly paragravel or paracobbles, but may
include parachanners and paraflagstones
Soil Reaction: Extremely acid to moderately acid throughout. Limed soils are typically moderately acid or
slightly acid in the upper part.
Mica Content: 0 to 20 percent, by volume mica flakes in the A, E and B horizons, and 0 to 30 percent in
the BC and C horizons
Other Features: Clayey part (greater than 35 percent clay) of the argillic horizon is less than 24 inches
thick and typically extends to a depth of less than 30 inches
RANGE OF INDIVIDUAL, HORIZONS:
A horizon (if it occurs):
Color --hue of 5YR to 1 OYR, value of 3 to 6, chroma of 2 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
rc

—"A�iai ­3 -escnption-rALKVIEW Series
https://soilseries. sc.egov.usda.gov/OSD_Docs/F/FAIRvmW.
Ap horizon:
Color --hue of 5YR to 1 OYR, value of 3 to 6, chroma of 2 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam. Eroded phases include sandy clay
loam or clay loam.
E horizon (if it occurs):
Color --hue of 5YR to JOYR, value of 4 to 6, chroma of 3 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
BE or BA horizons (if they occur):
Color --hue of 2.5YR to 7.5YR, value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --fine sandy loam, loam, sandy clay loam, or clay loam
Bt horizon:
Color --hue of 1 OR to 5YR, value of 4 or 5, chroma of 4 to 8
Texture (fine -earth fraction) --clay loam, sandy clay, or clay
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or
yellow
BC horizon or BCt or CB horizon (if they occur):
Color --hue of 1 OR to 7.5YR, value of 4 or 6, chroma of 4 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, loam, sandy clay loam, or clay loam
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or
yellow
C horizon:
Color --hue of 1 OR to 7.5YR, value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, loam, sandy clay loam, or clay loam saprolite
Non-redoximorphc mottles (:if they .occur) --masses of saprolite in shades ,of shades of red, brown, or
yellow
COMPETING SERIES:
Clifford soils --clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60
inches thick
Hawesville soils --are on elevations above 2000 feet
Nathalie soils --clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60
inches thick .and have B:t horizons with browner hue
Toast soils --have subsoils with browner hue
Westfield soils --have paralithic contact at 40 to 60 inches
Woolwine soils --have paralithic contact at 20 to 40 inches
GEOGRAPHIC SETTING:
Landscape: Piedmont upland
Landform: Hill, ridge, interfluve
Geomorphic Component: crest, Interfl.uve, side slope, nose slope, head slope
Hillslope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum from felsic metamorphic or igneous rock such as mica. schist, gneiss, granite
gneiss, mica gneiss, granodiorite, and granite

unicia, aeries iiesmption - FAIRVIEW Series
hftps://soilseries.sc.egov.usda.gov/OSD—Docs/F/FAIR.VIEW,
Slope: 2 to 60 percent
Elevation: 300 to 1400 feet
Frost Free Period: 160 to 205 days
Mean Annual Air Temperature: 52 to 57 degrees
Mean Annual Precipitation: 40 to 55 inches
GEOGRAPMCALLY ASSOCIATED SOILS:
Braddock soils --formed in old alluvium; on adjacent high terraces
Buckhall soils --have mixed mineralogy and a browner subsoil; -on similar Iandforms
Clifford soils --the clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to
60 inches thick; on similar landforms
Elioak soils --have more mica in the subsoil and formed in residuum from micaceous .crystalline rock such
as muscovite schist; on similar landforms
Minnieville soils --formed in residuum from hornblende gneiss or hornblende schist and have moderate
shrink -swell potential; on similar landforms
Rhodhiss soils --have a fine -loamy particle -size class; on similar landforms
Stott Knob soils -have paralithic contact at a depth of 20 to 40 inches and have a fine -loamy particle -size
class; on similar landforms
Toast soils --have subsoils with browner hue; on similar landforms
Westfield soils --have paralithic contact at a depth of 40 to6'0 inches;on similar i-andfouns
Wintergreen soils --formed in old alluvium; on adjacent high terraces
Woolwine soils --have paralithic contact at a depth of 20 to 40 inches; on similar landforms
DRAINAGE AND PERMEABILITY.
Depth Class: Very deep
Drainage Class (Agricultural): Well drained
Internal Free Water Occurrence: Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff. Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
USE AND VEGETATION:
Major Uses: Cultivated crops, pasture, and woodland
Dominant Vegetation: Where cultivated --corn, tobacco, small grain, hay, and apples. Where forested --
Eastern white pine, Virginia pine, red oak, white oak, post oak, hickory, blackgu.m, red maple, yellow
poplar, and dogwood.
DISTRIBUTION AND EXTENT:
Distribution: Virginia and North Carolina
Extent: Moderate
MLRA SOIL, SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Ralejigh, North Carolina.
SERIES ESTABLISHED: Surry County, North Carolina; 2003.
REMARKS: Fairview soils were previously mapped as Pacolet soils. The April 1997 relocation of the

---•...... vv_ iw ai OWIPLIVu - rtflttV M W Genes
https://soilseries.sc-egov.usda.gov/OSD—Dor,s/F/FAlp,VIEW
mesic/thermic line in North Carolina and Virginia necessitated the establishrrient of the Fairview series as
a mesic counterpart. The 2008 revision is intended to limit the amount of mica allowed in the Fairview
series. Fairview is not intended to replace Madison soils in the mesic region.
Diagnostic horizons and features recognized in this pedon:
Ochric epipedon--the zone from the surface to 9 inches (ApI and Ap2 horizons)
Argillic horizon --the zone from 9 to 24 inches (Bt horizon)
Kandic horizon --the zone from 9 to 29 inches (Bt & BC horizons).
Other soil features identified with this pedon:
Series control section--0 to 60 inches
ADDITIONAL DATA:
Laboratory Data: No laboratory data available.
Database Information:
Typical Pedon Data Mapunit ID82665
User Pedon ID--88NC171001
TABULAR SERIES DATA:
Slope Airtemp FrFr/Seas Precip Elevation
2-60 52-57 160-205 40-55 300-1400
SOI-5 FloodL F1oodH Watertable Kind Months Bedrock Hardness
NONE >6.0
>60
SOI-5 Depth
Texture
3-Inch No-10
Clayo
-CEC-
0-9
SL FSL L
0-10 75-100
8-20
4-10
0-9
SCL CL
0-10 75-100
20-35
2-10
9-24
SC CL C
0-10 55-100
35-60
2-12
24-60
SL FSL L
SCL CL
0-10 55-100
10-30
1-10
SOI-5 Depth
-pH-
O-M.
Salin Permeab Shnk-Swll
0-9
3.6-6.0
0.5-2
2.0-6.0
LOW
0-9
3.6-6.0
0.5-1
0.6-2.0
LOW
9-24
3.6-6.0
0-0.5
0.6-2.0
LOW
24-60
3.6-6.0
0-0.5
0.6-6.0
LOW
National Cooperative Soil Survey
U.S.A.
5

Watershed Classification with Maps

bttn://nudoucmuyo.urugio.o*enl�udex,btiolYid=,
/
Surface water Classification
Stream Index:
11-60-7-(0.3)
Stream Name:
Glade Creek
Description:
From source to
Alexander County SR
1604
- Classification:
C
Class, Date/
August 31, 1974
River Basin:
Catawba
What does this
Class. mean?
zoornit
_
_`-
�
/ \ U
' \ H�
! 36.015 -81.214Degraes
\~/

Nutrient management RYE tables
Fairview soils
Alexander County.

- - http://yields.soil,ncsu.edu/index.php#c,
Realistic Yields for FCB2e Fairview sandy clay loam, 2 to 8 pfmt
moderately eroded in Alexander County
Realistic
cr®�
Nitrogen
Nitrogen
Yield
Factor
Rate (lbs/acre)
Barley (Grain)
— ----- -- --- -. -- - . - - ---- ---- _ .... __. __....._....-
_.._.. 67 Bushels
1.49
�®
9 9
Corn (Grain)
_...............
129 Bushels
-- --
0.92
- - - - ----- - --
119
Corn (Silage)
-._ 19.6 Tons
_.,....--_-----..
10.9
214
Cotton
637 Pounds
0.081
--------- - - --
52
orghum (Silage)
__ _..----- - -- --- - - -
- _16.7 Tons
7.6----
-- —
Oats (Grain)
83 Bushels
1.13
- - --127 - ---- --
94
Peanuts
.._........... .._...... ----- _ - - - -- - - --- --
unds
d s__-
0 Po--
-
()
Rye (Grain)
-- --_n
.----------
49 Bushels
------
2.01
- -- --
98
Small Grain (Silage)
8.8 Tons
11.1
98
Sorghum (Grain)
--._...-- - --- --- - -----------
4.9 CWT
1.72
84
Soybeans (Double Cropped)
33 Bushels
0
Soybeans (Full Season)
-----.-.._. -
39 Bushels
0
0
-- ... ----------- — -- - ----
Soybeans (Double Cropped - Manured)
- - - - -- -- --- --
33 Bushels
—-------
3.89
0
-- — - --- - —
130
Soybeans (Full Season - Manured)
- ---- --
39 Bushels
3.89
- -------.._..... - ---- - ---------
Tobacco (Burley)
------------ -- ------------
------
152
---- - - - --
0 Pounds
0.074
Tobacco (Flue Cured)
-----------------------------------------------------_ __ ..__-_�._.
2 548 Pounds
0.02.9
----- -- —
Triticale (Grain)----
69 Bushels
- --------------4
1.52
---------..---
104
Tropical Corn (Silage)
- -- -- --- - - ----- - -- ----- - - -- - --- -
-- 19.6 Tons
-
6.5--12
------- - --
7--
Wheat (Grain)-- - --- -
49 Bushels
--
2.01
Bahiagrass (Hay)
---------- ----_
...__
3.s
4 Ton
.. ._-- 4 Tons
44
�-1
51
Caucasion/Old World Bluestem (Hay)
— --
3.4 Tons
-- ---- - ---
44
-- -- —
--
Common Bermudagrass (Hay)
3.4 Tons
44
151
Dallisgrass (Hay)
151
-- -- ---------- - --- -- --.._ ---- - ----
3.4 Tons
- ----ns
44
Fescue (Hay)
-- --- _ ----- - -- -- - --- - ---- - __- - --- - -
-- --
4,4 Tons
- ---
- - - ---...
44
__ -151 --- - __.....-
Hybrid Bermudagrass (Hay)
-- ----- .....--
4.4 Tons
— ._-...._.--
44
---....194_._..._..---._ _....- -
Hybrid Bermudagrass overseeded with Rescuegrass
0 Tons
44
194
(Hay)
0
Mixed Cool Season Grass (Hay)
-.._......__...__........_...__ _ _ ...---.._.. -
3.2. Tons
44
-- -- - _ - --- - ---------------
Orchardgrass (Hay)
---... - --- - ---
- --- - ------
- 140
---- - --
----.---------...__---..-------------------------_------------------------------3.4
Tons
Pearl Millet (Hay)
- _ --- --- -- -- - - --..-- - - - -- -
--------.44-----
3.7 Tons
-
----
49
----151------------ ----
18 0
Rescuegrass (Hay)
3. - --- -- -
0 Tons
-..._- --- -
44
- - -- ._....__....__...
------ _.---
Sorghum Sudan (Hay)
- ...._.._..._..._._._._.__ --- - __
-- --- --- - -
4.2 Tons
--...- - - _
49
.._.. - -�...- ....-...._._...._..._. ----
--- ---------- - ---- --------
Timothy Grass (Hay)
- ------ ------
0 Tons
- - -
-_ 204 ......-....__._......... --
44
3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Southern Soil Builders
Land application sites currently certified: 0 net acres and Total to be certified: 7_0 net acres.
L LAND APPLICATION SITE INFORMATION (See Instruction B):
Status Site/Field
Codes ID Landowner(s) Lessee(s) or Operator(s) Net Acres County Crop(s)
N 1 C
N arol Price NA
7.0 Alexander Fescue Hay
N
N
N
N
N
N
a Status Code for land application sites are: ® N (New) ® R (Renewed ® M
'Soil Series Name (i.e. Appling, Cecil, etc.) ) (Modified) s T (Transferred) e D (Deleted)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
U. WATERB®DY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID I Latitude I Longitude I Location Location Method Code
Datum Location Accuracy
1 1-35 ° 54' 18" I 810 09' 10" I NAD 83 f ADD
Nearest Second
°
Note_ Please keep the site information (I.)
FG>pM: LASC l I-i3
NAD 83
° NAD 83
NAD 83
° NAD 83
NAD 83
° NAD 83
° NAD 83
and waterbody information (I1.) of
ADD Nearest Second
ADD Nearest Second
ADD Nearest Second
ADD Nearest Second
ADD Nearest Second
ADD Nearest Second
ADD Nearest Second
same field on the same page.
Predominant Soil
Series Name Mapping Unit
or Rep. Slope`
Fairview 2-8%
Waterbody Subbasin and
Stream Index; No. Current and Proposed
Class
11-69-7-(0.7) Glade Creek- trib to
Catawba River WS-N WS-1V
Page 1

S Southern
S Soil
B I Builders, Inc.
Wednesday, December 31, 2014
958 Hoots Road Roaring River, NC 28669
[phone] Fax [phone]
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Reference: Permit Modification for Town of Taylorsville, NC
Permit No. WQ0006906
Addition of Land
RECEIVED
N.C. Dept of ENR
Im
WINSTON-SAI_EM
REGIONAL OFFICE
DIVISION RECL!VED
OF WATER QUALITY
•BAN 2 2 2015
SUVP SECTIOs°V
MOORESVILLE REGIONAL OFFICE
Southern Soil Builders, Inc. is assisting the Town of Taylorsville, NC in the modification of its
current land application permit WQ0006906. This modification is to add 52.4 acres of land to the
current permit.
This land is on two parcels, which are owned by different land owners but are right next to each
other only separated by a fence. Both fields are in fescue, which will be used for animal feed.
Your attention to this permit modification package is greatly appreciated. If you have any
questions or concerns, please feel free to contact me at 336-957-7871 or at
[e-mail]
Sincerely,
Zach Key
Southern Soil Builders, Inc.

WATER QUALITY REGIONAL OPERATIONS SECTION
APPLICATION REVIEW REQUEST FORM _
RECEIVED
r.. N.C. Dept of ENR
Date: January 14, 2015
JAN 15 2015
To: WSRO-WQROS: Corey Basinger / Sherri Knight W INSTON-SAI_EM
REGIONAL OFFICE
From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting Unit
Telephone: [phone] Fax: [phone] E-Mail: [e-mail]
RECEIVED
A. Permit Number: WQ0006906 DIVISION OF WATER QUALITY
B. Applicant: Town of Taylorsville JAN 2 2 2015
C. Facility Name: Town of Ta lorsville Residuals Land Application Program St�y�� cis 7 Y:1i�
MOORESVILLE REGIONAL OFFICE
D. Application:
Permit Type: Land Application of Residual Solids (503)
Project Type: Major Modification
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 45 calendar days, please take the following actions:
® Return a completed WQROSARR Form.
❑ Attach a classification rating sheet.
❑ Attach Attachment B for Certification.
® Return a completed WQROSSR Staff Report
❑ Attach Well Construction Data Sheet.
❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact
person listed above.
RO-WOROS Reviewer: Date:
FORM: WQROSARR 02-14 Page 1 of 1

0 *IAr
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
January 13, 2015
David Robinette — Public Works Director
Town, of Taylorsville
204 Main Avenue Drive
Taylorsville, NC 28681
Dear Mr. Robinette:
Donald R. van der Vaart
Secretary
Subject: Acknowledgement of
Application No. WQ0006906
Town of Taylorsville Residuals
Land Application Program
Residuals Management System
Alexander County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on January 13, 2015. Your application package has been assigned the
number listed above, and the primary reviewer is Troy Doby.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests:
'Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have, any questions, please contact
Troy Doby at [phone] or [e-mail].
Sincerely,
6)(J
Jon Risgaard, Supervisor
Division of Water Resources
cc: Mooresville Regional Office, Water Quality Regional Operations Section
Zach Keyes — Southern Soil Builders, 958 Hoots Rd, Roaring River, NC 28669
Permit File WQ0006906
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: http://Portal.ncdenr.om/web/wq
An Equal Opportunity 1 Affirmative Action Employer— Made in part with recycled paper

Permit Number WQ0006906
Program Category
Non -discharge
Permit Type
Land Application of Residual Solids (503)
Primary Reviewer
troy.doby
Coastal SWRule
Permitted Flow
Facility
Central Files: APS _ SWP
1/13/2015
Permit Tracking Slip
Status
Project Type
In review
Major modification
Version
Permit Classification
B
Individual
Permit Contact Affiliation
David Matthew Robinette
204 Main Ave Dr
Taylorsville NC 28681
Facility Name Major/Minor Region
Town of Taylorsville Residuals Land Application Program Minor Mooresville
Location Address County
204 Main Ave Dr Alexander.
-
Facility Contact Affiliation
Taylorsville NC ' 28681
owner
Owner Name Owner Type
Town of Taylorsville Government- Municipal
Owner Affillation -
David Matthew Robinette
204 Main Ave Dr
Dates/Events Taylorsville NC 28681
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
3/18/1992 1/13/2015
Regulated Activities (Requested /Received Events
Wastewater treatment and disposal RO staff report received
RO staff report requested
Cutffa l l
Waterbody Name Streamindex Number Current Class Subbasin

S Southern
S Soil
B I Builders, Inc.
Wednesday, December 31, 2014
958 Hoots Road Roaring River, NC 28669
[phone] Fax [phone]
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Reference: Permit Modification for Town of Taylorsville, NC
Permit No. WQ0006906
Addition of Land
RECEIVED
N.C. Dept. of ENR
JAN 15 2015
WINSTON-SA EM
REGIONAL OF ICE
VED
DIVISION OF WATER QUALITY
JAN 2 2 2015
u� �> ':v- ON
MOORESVILLE REGIONAL OFFICE
Southern Soil Builders, Inc. is assisting the Town of Taylorsville, NC in the modification of its
current land application permit WQ0006906. This modification is to add 52.4 acres of land to the
current permit.
This land is on two parcels, which are owned by different land owners but are right next to each
other only separated by a fence. Both fields are in fescue, which will be used for animal feed.
Your attention to this permit modification package is greatly appreciated. If you have any
questions or concerns, please feel free to contact me at 336-957-7871 or at
[e-mail]
Sincerely,
13 2015
Zach Key
Southern Soil Builders, Inc.

�.�.'
^:Y :. �.

State of North Carolina
Department of Environment and Natural Resources
ILMW�x;
J Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 —RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 11-13 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
fir//Portal. ncdenr. oLg/Li>eb/ )q/g gs/lcnr
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 021' .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 11-13) Application: (All Application Packages):
❑ Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 11-13) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A. NCAC 02T.00106(b).
❑ If this project is for a modification of an existing permit, submit one copy of the existing permit.
❑ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environment and
Natural Resources (NCDENR).
❑ STANDARD REVIEW — Submit the appropriate fee for all new and major modification applications as listed in the table
below.
STANDARD APPLICATION REVIEW FEES:
Facility Classification
Major (land are permitted for > 300 acres)
Minor (land are permitted for < 300 acres)
New Permit
$1,310
$810
Major Modification r
$395
$245
- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved; adds additional residuals sources; or includes the addition of new
treatment or storage units/processes not previously permitted. There is no fee for minor permit modifications.
C. Cover Letter (All Application Packages)
❑ List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC; 1C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the
residuals treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands
are used for the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 11-13
Page 1 of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
❑ Submit the O&M Plan in accordance with 15A NCAC 02T, 1110 and include at a minimum:
❑ Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
❑ Maintenance schedules; may include equipments calibration, maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals, signs, etc.
❑ Spill response plan; including control, containment, remediation, emergency contact information, etc.
❑ Inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the
event that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles of personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event.
The sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
1 ] 02 12 . Specifically, a residuals land application program is designated as dedicated if any of the following are
applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed
irrigation facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT
FOR CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be
labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 11-13 Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new
sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover
crops and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: /lau/policies. The document shall be signed, sealed and dated by a qualified
professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
❑ Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer
and/or Professional Land Surveyor in accordance with 15A NCAC 02T .1104(d) . For Modifications, submit an updated
site map specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the
new units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T J 104(d)(5) and current Division Policy
available at: http //dal_ncdenr_o1:g/web/wo/aps/lau/iLolicies.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An easement running with the land specifically indicating the intended use of the property and meeting the requirements
of 15A NCAC 02L, ,0107(i), or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 11-13 Page 3 of 3

t
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 11-13
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Taylorsville
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ® Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: David M Robinette Title: Public Works Director
Applicant's mailing address: 204 Main Avenue Drive
City: Taylorsville State: NC Zip: 28681-
Telephone number: [phone] Email Address: dobinetteg_taylorsvillenc.com
2. Consultant's name: Zach Key License Number (for P.E.):
Affiliation: ❑ On Staff ® Retained (Firm: Southern Soil Builders, Inc.)
Consultant's mailing address: 958 Hoots Road
City: Roaring River State: NC Zip: 28669-
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name:
Affiliation: ❑ N/A ❑ On Staff
Agronomist's mailing address:
City: State:
Telephone number: (_) _-
4. Soil Scientist's name: Karl Shaffer
Affiliation: ❑ N/A ❑ On Staff
License Number:
❑ Retained (Firm: )
Zip: _-
Email Address:
License Number: 1009
® Retained (Firm: Shaffer Soil Services, Inc.)
Soil Scientist's mailing address: 685 Sanford Road
City: Pittsboro State: NC Zip: 27312-
Telephone number: [phone] Email Address: [e-mail]
5. Fee submitted: $245.00 (See Instruction B)
11. PERMIT INFORMATION:
RECENEMENRIDWR
J,1� N 1 3 2015
1. Application is for (check all that apply): ❑ new, ® modified, ❑ renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Pen -nit number: W00006906
Date of most -recently issued permit: 7-6-2011
Date of most -recently certified Attachment A (if different than the permit): 7-6-2011
Date of most -recently certified Attachment B (if different than the permit): 7-6-2011
FORM: RLAP 11-13 Page I of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: M.inni an Ln.
City: Taylorsville State: NC Zip: 28681
Coordinates: Latitude: 35' 54' 12" Longitude: 81' 1 P 50"
Datum: NAD83 Level of accuracy: 0 1 "
Method of measurement: MAP
2. County where residuals land application program is headquartered: Alexander
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
2
Designation
Name
Affiliation
Certification Number
ORC
Dennis Key
Southern Soil Builders, Inc.
15704
Back -Up ORC
Zach Key
Southern Soil Buildes, Inc.
27660
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:
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: 150 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted overage)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
25.212
29.962
3781.8
4494.3
Five -Year Maximum Adjusted
27.22
32.35
4084.34
4853.84
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
0
Hay
0
Pasture
103.8
Total:
103.8
Methods
Surface
103.8
Incorporation or Injection
0
Total:
103.8
FORM: RLAP 11-13 Page 2 of 5

c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
(lbs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
75.6
89.8
81.6
97.0
100
37.8
44.9
40.8
48.5
150
25.2
29.9
27.2
32.3
200
18.9
22.4
20.4
24.2
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector
reduction practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): ® Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than
agronomic rates, explain;
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or
irrigation facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
4.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Siite
Certif ication. doc
FORM: RLAP 11-13 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ Drip
2. Disposal system is: ❑ existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation:
feet below ground surface. Rules _15A NCAC 02T .0505(j)) requires at least one -foot vertical separation between SHWT and
ground surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
in/hr
Recommended
Loading Rate
in/ r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T.050501). is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field / Zone
Design Area
ft2
Number of
Nozzles
Maximum Application
Rate ( allons/hr)
Design Annual Loading
Rate ( allons/ r
Total
�x+tT",
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft2
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 11-13 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
'he applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
roper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with
any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
❑ Yes ❑ No, Explain;
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for U Id r\ u4 C-h i o
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water
Resources may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes
unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate
enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215 ,6B, any person who knowingly makes any
false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: ; Date: /?/ f
REDEIVEDODENDWR
JAN 13 2015
FORM: RLAP 11-13 Page 5 of 5

Operation and Maintenance Plan
Taylorsville, NC
Permit No. WQ0006906
In accordance to the requirements set forth by the North Carolina
Department of Environmental and Natural Resources using
NCGS 143-215.1 and 143-215.3(a) based on 15A NCAC 02T .1 10,
Taylorsville, NC is implementing this Operation and Maintenance Plan.
The project manager of the land application event will make sure a daily
check off is performed at the start of each work day. This inspection is to
prevent any spills, leaks, or run-offs.
The daily check -off will consist of inspection the following items:
1. Access to the facility will be controlled with a locked gate and
signs to prevent any unauthorized entry into the complex.
2. All pumps and hose will be checked at the start of each day for
leaks or loose fittings.
3. All tanker valves are closed prior to loading and lids are closed
prior to transport.
4. All dump trailers or dump trucks gates are tightly fastened and
do not leak prior to transport.
5. All on road equipment is check as per DOT regulations for any
safety or mechanical hazards or issues.
6. All equipment is secured at the end of each working day to
prevent any tampering or unauthorized use.
The ORC or back up ORC will inspect the field after each land application
event to make sure all regulations as required by the permit are followed.
Also the project manager at the end of each working day during a land
application event will make sure that all gates if present are closed.
All samples shall be taken as early as possible before the first application
event of the calendar year to make sure the facility is compliance.
The samples will be taken in a matter that is representative of the residuals
and all grab samples will be mixed prior to be placed in to the containers

that will go to the laboratory. These samples must be collected and
transported as outlined in the Sampling Plan attached to this O&M Plan.
All records of these laboratory results as well as the annual report and
loading rates will be kept on file for a minimum of five (5) years.
Also, in the unlikely event of a spill or unintended release of residuals,
actions should be immediately taken as outlined in a copy of the
spill control plan attached.

SAMPLING PLAN
Taylorsville, NC
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory
for analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or
early February) these samples may have to be taken in December so results can be obtained before the
land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, volatile solids
reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)]; 38%
volatile solids reduction. This option will be attempted first due to it being the most cost effective. One
sample will be taken at the aeration basin and labeled "B". The next sample will be labeled "A" and be
taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the sample
being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the sludge
holding tank will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)], commonly known
as lime stabilization.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by A&L Labs.

SPILL CONTROL PLAN- Southern Soil Builders Inc.
Taylorsville NC- Permit No WQ0006906
In the event of a spill, the following should be taken IMMEDITALY.
1. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
2. Contain the spill. Use straw bales or earthen barrier to form a dike to contain the
spill.
3. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as much
of the spilled material as possible. Use straw to soak -up the remaining material.
Dispose of the same in a landfill.
4. Flush the roadways with water if needed. If the spill occurred on a tillable area, till
the some into the soil and spread lime if necessary. If a spill occurs on private
property, final clean-up should be to the satisfaction of the owner.
5. Notification. (This should be done as soon as safely possible.)
A. Southern Soil Builders, Inc. Main Office [phone]
B. Taylorsville, NC WWTP [phone]
C. NCDENR, Moorsville Regional Office [phone]

D. County Emergency Services (Sheriff, Fire Dept.) 911
6, Reporting. The project manager shall detail how the spill occurred and all action
that was taken. A written report shall be given to the --As e Hle,re ional office as c (�
soon as possible, and within 24 hours of the spill or next workin
' - g day
nA}%_( "e'f i_� .'tl�;-.w1 ,.;'.,a''.,•! l✓a vu?, �/ , r
� pr 7. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed.
C. Inspect all seals and replace if necessary.

State of North Carolina
t
Department of Environment and Natural Resources
bF :,• 'F
Division of Water Resources
I
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. _Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at,
http: //portal. ncclenr, or/web/wc�/�s/1 azr
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-13, FORM: DCAR 11-13, or FORM: SDR I1-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-13):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
❑ Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
❑ For each source facility, attach the following:
❑ Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "MaGeiclarlce i'or
Residuals Land Application Permits",
❑ Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
❑ Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
❑ Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
❑ For each source facility, attach the following:
❑ Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
❑ Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 11-13 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Town of Taylorsville
Status Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year
Code a Current b Proposed
M Town of Taylorsville Town of Taylorsville Alexander WQ0006906 150 150
'Status Code for source facility are: ♦ N (New) ♦ R (Renewed) m M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 11-13 Page 1

State of North Carolina
,,,...iii Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 11-13
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
l . Facility Name: Town of Tavlorsville
2. Facility permit holder is: ❑ Federal, ❑ State, ® Local Government, or ❑ Private.
Facility permit issued by: ® Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: ).
3. Facility contact person and title: Brian Eades
Complete mailing address: 204 Main Avenue Drive
City: Tavlorsville State: NC Zip: 28681
Telephone number: [phone] E-mail address:
4. Facility physical address: Minnig_an Ln.
City: Taylorsville State: NC Zip: 28681
Coordinates: Latitude: 35' 54' 12" Longitude: 81' 11' 50"
Datum: NAD83 Level of accuracy:.01"
Method of measurement: MAP
5. Purpose of the facility:
® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow: 0.830 MGD and facility average daily flow: 0.430 MGD
8. Average amount of residuals being generated at this facility 25 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Two 100,000 gallon digesters Two 65,000 gallon digesters
Type and volume of residuals storage (i.e., outside of residuals treatment units):
H. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
® 40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 021.1 102(6) as:
® Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 11-13 Page I of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ® no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ® 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: Enco Labs and Date of analysis: 6-10-2014
Passed corrosivity test: Z yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: Z yes ❑ no. Flashpoint: 200 °F (> 140°F)
Passed reactivity test: ® yes Ono. HCN: 1_6 mg/kg (<250) & HzS: ND mg/kg (<500)
TCLP Parameter
Limit
(Mg/1)
Result
(Mg/1)
TCLP Parameter
Limit
(Mg/1)
Result
(Mg/1)
Arsenic
5.0
0.178
Hexachlorobenzene
0.13
0.02
Barium
100.0
0.106
Hexachloro-1,3-Butadiene
0.5
0.02
Benzene
0.5
0.07
Hexachloroethane
3.0
0.02
Cadmium
1.0
0.00425
Lead
5.0
0.0550
Carbon Tetrachloride,
0.5
0.09
Lindane
0.4
0.00002
Chlordane
0.03
0.00032
Mercury
0.2
0.0002
Chlorobenzene
100.0
0.07
Methoxychlor
10.0
0.00002
Chloroform
6.0
0.08
Methyl Ethyl Ketone
200.0
0.4
Chromium
5.0
0.0325
Nitrobenzene
2.0
0.02
m-Cresol
200.0
0.16
Pentachlorophenol
100.0
0.04
o-Cresol
200.0
0.02
Pyridine
5.0
0.02
p-Cresol
200.0
0.16
Selenium
1.0
0.165
Cresol
200.0
0.16
Silver
5.0
0.03
2,4-D
10.0
0.0071
Tetrachloroethylene
0.7
0.08
1,4-Dichlorobenzene
7.5
0.02
Toxaphene
0.5
0.00048
1,2-Dichloroethane
0.5
0.06
Trichloroethylene
0.5
0.09
1,1-Dichloroethylene
0.7
0.09
2,4,5-Trichlorophenol
400.0
0.02
2,4-Dinitrotoluene
0.13
0.02
2,4,6-Trichlorophenol
2.0
0.03
Endrin
0.02
0.000014
2,4,5-TP (Silvex)
1.0
0.0002
Heptachlor and its Hydroxide
0.008
0.000018
Vinyl Chloride
0.2
0.07
FORM: RSC 11-13 Page 2 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 6.74 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: A&L Eastern Labs and Date of analysis: 6-10-2014
Parameter
Result
(mg/kg)
Aluminum
13400
Ammonia -Nitrogen
4750
Calcium
134000
Magnesium
3380
Nitrate -Nitrite Nitrogen
46
pH (Standard Unit)
11.45
Phosphorus
15100
Potassium
1600
Sodium
986
Total Kjeldahl Nitrogen
38700
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.18
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1") Year PAN
Five -Year
Maximum Adjusted PAN
(M91k9)
(mg/kg)
Surface
12,606
13,614
Injection/Incorporation
14,981
16,179
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC I 1-13 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior- Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T. 1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
❑ Alternative 1 [15A NCAC 02T.1106(c)(1)] -Fecal Coliform Density Demonstration.
® Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ® time stabilization.
c. For Surface Disposal.
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
❑ Exempt -If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution,
Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1 107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [15A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
® Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T. I 107(a)(9)] - Injection.
❑ Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [ 15A NCAC 02T.1107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 11-13 Page 5 of 5

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E.
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F.
AEROBIC DIGESTER N0. 1
G.
AEROBIC DIGESTER NO. 2
H.
AEROBIC DIGESTER NO. 3
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PLANT COMPONENTS
I. AEROBIC DIGESTER NO. 4
J. CHLORINE CONTACT CHAMBER
K. DECHLORINATION CHAMBER
L. RECYCLE PUMPING STATION N0. 7
M. RECYCLE PUMPING STATION NO. 2
N. SCUM PUMPING STATION N0. 1
0. SCUM PUMPING STATION NO. 2
P. SLUDGE DECANT PUMPING STATION

Quantitative Justification for Residuals Production Rate
In the following three years the Town of Taylorsville, NC has produced the following Dry Tons to be land
applied:
2008: 48.05 DT
2009: 0 DT
2010: 25.26 DT
2011: 76.12
2012: 147.83
2013: 149.2
This is a six year average of 74.41 Dry Tons per year. The 150 Dry Tons requested in this permit renewal
should be more than sufficient to handle the amount of residuals being produced by the Town of
Taylorsville.

SAMPLING PLAN
Taylorsville, NC
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory
for analysis. If a land application event is to occur in the early part of a calendar year (Le, January or
early February) these samples may have to be taken in December so results can be obtained before the
land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, volatile solids
reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)]; 38%
volatile solids reduction. This option will be attempted first due to it being the most cost effective. One
sample will be taken at the aeration basin and labeled "B". The next sample will be labeled "A" and be
taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the sample
being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the sludge
holding tank will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)], commonly known
as lime stabilization.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by A&L Labs.

RState of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at;
htt //Portal.ncdenr.o;Zlvebl�vq/ 6/lau
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1 100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 11-13 or FORM: SDR 11-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below,
A. Land Application Site Certification (FORM: LASC 11-13):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
❑ The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Required Item
Status Code
N
R
T
M
County Board
✓
Notification. doc
Land Owner
`/
Agreerrent
(If applicable)
It
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "n9Guidanre
for Residuals Land_AmAcation Permits"
V
`�
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
h_valuation Poligy"
✓
An updated accounting of the land application site's cumulative
pollutant loading rates (CPLRs)
✓
✓
INSTRUCTIONS FOR FORM: LASC 11-13 Pagel of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in I Alamance __1 county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B 030_ 1M.
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 11-13 Page 3 of 3

Required Item
Status Code
N I R I T M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly ✓
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation IV' -
Acknowledgement r"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same time period)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
❑ Crop Type should include the most likely crop types for the life of the permit (five years).
❑ Predominant Soils Series Name must be either the name of the. soil indicated in Attachment `B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
❑ Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
❑ Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified Iocation, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: litt r://i)ortal.nedenr.oi-/web/wq/ s/csu
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
lrtt��ortal.ncdenr.or web/w�c/home/ro
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link littp://h2o.enr.state.nc,uus/bim_ s/-ei)orts/reportsWB,I)ttnl. If this link does not work, open
littp:Hportal.ncdenr.ot-g/web/wq/ps/csu%classifications and download weekly -updated classification lists for named
waterbodies.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information,
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from1 Neuse the List all Waterbodies in -1 Basin sorted
Hydrologically
report. Sort hydrologically as this will provide the proper location descriptions if multiple
runs.
INSTRUCTIONS FOR FORM: LASC 11-13 Page 2 of 3

LAND ArPLICATION SITE CERTIFICATION
Applicant's name: Town of Taylorsville
Land application sites currently certified: 51.4 net acres and Total to be certified: 103.8 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
StatuCodes
Code'
R
Site/Field
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope`
N
PHI
Phillip Hoover
13.7
Alexander
Fescue
Pacolet
PcB2
N
CHI
Clyde Hendren
38.7
Alexander
Fescue
Pacolet
PcB2
N
N
N
N
N
N
a Status Code
for land a
lication site ♦ N
pp s are. (New) ♦ (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
H. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
g
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
p
Class
PHI
350 53' 59.70"
810 09' 01.95"
NAD 83
ADD
Nearest Second
Glade Creek 11-69-7-(0.7)
WS-IV
WS-IV
CHI
350 54' 14.04"
810 09' 01.42"
NAD 83
ADD
Nearest Second
Glade Creek 11-69-7-(0.7)
WS-IV
WS-IV
° 'It
0 IfNAD
83
ADD
Nearest Second
° ' if
° ' It
NAD 83
ADD
Nearest Second
0 1 It
° ' "
NAD 83
ADD
Nearest Second
° 'It°
'11NAD
83
ADD
Nearest Second
0 ' 11
° ' "
NAD 83
ADD
Nearest Second
Note- P1P.ACP. kPPn the Cite
01 If°
i,,fnrr .f;— (T \ —A
' it
NAD 83
iTT 1 _r..i_
ADD
_ --1 1 ,
Nearest Second
--
I
I
-::]
--.Y L111—aauvu kxi.) Ui Liic JQIhe held on The same page.
FORM: LASC 11-13 Page 1

S Southern
S Soil
$ Builders, Inc.
Wednesday, November 12, 2014
Lary Yoder, Chairman of the Board
Alexander County Board of Conunissioners
621 Liledoun Road
Taylorsville, NC 28681
Subject: County Board Notification
Mr. Yoder:
958 Hoots Road Roaring River, NC 28669
[phone] Fax [phone]
The Town of Taylorsville is in the process of permitting additional land for their land application
program of residual solids. This land is located just east of the Town of Taylorsville on Boston
Road.
This additional land is owned by Phillip Hoover PIN 3768391163 and Clyde Hendren PIN
3769308303.
If you have any question or concerns, please feel free to contact me at 336-957-7871 or at
[e-mail]
Sincerely,
Zach Key
Southern Soil Builders, Inc,

n.... State of North Carolina
• Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM: CBN 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
htt��://pQrtal.ncdenr•.or Aveblivglaps/laar
General — This notification is intended to provide the county board in which the land application site is proposed to be located with
general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an
opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for
fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review
without a corresponding residuals program application form (FORM: RLAP 11-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. County Board Notification (FORM: CBN 11-13):
❑ Submit the completed and appropriately executed County Board Notification (FORM: CBN I 1-13). Please do not make any
unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may
be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate County Board Notification (FORM: CBN 11-13) for each county in which the proposed land application
sites are located.
B. Critical Watershed Areas Information:
❑ Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas.
❑ For more information regarding Water Supply Watershed Protection Program, please visit the Division website at:
htt�//poortal.ucdenr.or /web/wci/swp/ws/w,W
❑ If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone].
C. Notification Package Submission:
❑ Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to
the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the
notification package also be sent to the County Manager.
❑ The most current publication of the Directory of State and County Officials may be downloaded at:
http://�A,NA,w. secretarLstate.nc. us/t)ubsweb/direct.aspx
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
hap://portal.nedennor/web/wq/home/ro.
❑ The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage
(i.e., a copy of "Residuals Source Facility Summary" is adequate but not required).
❑ The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a
copy of "Land Application Site Certification" is adequate but not required).
D. Proof of Submission:
❑ Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment r>l 1or to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 11-13 Page 1 of I

Al2"r3"
EO'N
Borth Carolina Department of Environment and (natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A, Reeder John E. Skvarla, III
Governor Director Secretary
Date: 11-10-2014
To: Name of Chairman to the Board of County Commissioners: Larry Yoder
Complete mailing address: 621 Liledoun Road
City: Taylorsville State: NC Zip: 28681
County where land application sites are located: Alexander
From: Applicant's name: Town of Taylorsville (on behalf of the Division of Water Resources in accordance with
Session Law 2013-340)
Contact person and title: Zach Key
Complete mailing address: 958 Hoots Road
City: Roaring River State: NC Zip: 28669
Telephone number: [phone] E-mail address: [e-mail]
Subject: Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -
generating sources and locations of the proposed land application sites. Please forward this letter and its associated
attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and
Planning Department) if applicable.
More information of the land application sites included in this application will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regional office: Mooresville Regional Office
Complete mailing address: 610 East Center Avenue
City: Mooresville
State: NC
Telephone number: [phone]
Expected date of application submission: 12-1-2014
Zip: 28115
Should you desire to comment on this application, please do so no later than 30 calendar days following the
expected application submission date. If you have any questions or comments about this notification, or if you would like
more information, please contact the appropriate regional office at the telephone number provided above. Thank you in
advance for your attention to this matter.
Enclosures: Source Facility Summary
Land Application Site Summary
Maps
FORM: CBN 11-13
Page 1 of 1

■ Cotplete Items 1, 2, and 3. Also complete
item 4If Restricted Delivery Is desired.
■ Print your'riame and address on the reverse
so that we can return the card to you.
■- Attach this card;to the back of the mailplece,
or on the front. -If space permits.
1. Article Addressed for
rro,r,
T7 O/c
A nature
X � /�•s ) ❑ Agent
l� ❑ Addressee''
4Received Printed Name) 10, Date of Delivery
D. Is dellver� address -different from Item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4, Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number a 0 (Transfer from service label) 3090 00 0 0 8930
i PS Form 3811, February 2004
l
7500
Domestic Return Receipt-- ------__1.
s 0
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9r
r r r r r• r
f ,D
Postage $
A N�,
fU
Certified Fee
(,^
0
Return Receipt Fee
(Endorsement Required)
P tmark
H
C7
1, r e
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Restricted Delivery Fee
(Endorsement Required)
p
N®� 1
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20M
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Postage &Fees
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Sent To _
arr,ri;,r's
Streer, Apl. No,;
[�-
or PO Box No, �j
...............
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City, Stafe, ZIP*4 ........:!h..�..:Td' .........
All Sales NO on Slanos and Poslay8.
Refunds lot Cuarmleed Services Only,
CUSTOMER COPY
Order Statros al USPS.comishop or call
i•800•SlMN, Co to
USPS.cwWldnship to orini shipainp
labels diih posiaae. for other into call
1.800•AMUSPS,
02595.02•M•1540

DWR
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources LAND OWNER AGREEMENT
FORM: LOA 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
ltttp://�ortal.ncclenr or /ri�eb/ti>>cr/a/�s/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 1 SA IVCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 11-13):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ 'A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Town of Taylorsville
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Pill
NO
Hay
Animal Feed
Special note
(no-till/over-seed/
pasture)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
Phis Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
_;hall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 11-13
Pagel of 3

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met,
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636
Mail Service Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105Lh allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
N. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 11-13

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners, I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name; P )N` 11; C, L ok� ,4v -Ur
Address; 3�) (qro "" Ln
e
City: cl ivState; )V C. Zip:
C
8
Phone: a - 3 r% -ol `) (,� ) E-mail address:
Signature:"��/y-i�.��✓ �.� C� /
Date:
NORTH CAROLINA, In /COUNTY
I, the undersigned Notary Public do hereby certify that I k )1.? 6 NQ j.,iTd—
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
�h
WITNESS my hand and official seal this the
day of N40,�ijs' 20
Signature and seal; GC >•t � �t'
My commission expir s: �' q-) 0 tiA = Wllkes County
Lessee's/Operator's Certification:
ICIP"R
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name;
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail
Date;
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: ��°zni� d9 / q c! /r�,�a ✓; %`�_.
Signature: Z /
Date:
FORM: LOA 11-13

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
http: /1portal. ncde«r. orb eb/i i�/ans/l au
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1 100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP I1-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 11-13):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Town of Taylorsville
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
no-till/over-seed/
pasture)
CH1
NO
Hay
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 11-13 Pagel of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement,
2, Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement,
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636
Mail Service Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner, In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis,
8. If the soil pH of the land application site(s) is not maintained at 6,0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event,
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the ternis and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement,
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14••
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A. NCAC, 02T .01,05L�) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID: _
(Please include the rationale for the requested re -location of
compliance boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
[ne compliance boundary and attach a map showing the newly proposed
IV, ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and tans erred
into the new oroiaram:
(Name of the new program)
FORM: LOA 11-13

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity, Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein,
Landowner name: r 1,;� el' e M -P nc� r e m
y n
Address; 1 3 r; � u i,) �s 70a1 !" u4
City
Phon
�'�� lU�s.,• �1 { State:
e: �� -` " i 38 E-mail address:
Signature; Date;
NORTH CAROLINA, f 7 )-I-y,-,ate r COUNTY
Zip: a 8 gg 1
I, the undersigned Notary Public do hereby certify that C 1 d
personally appeared before me this day and acknowledged the due execution of the forgoing instrument,
WITNESS my hand and official seal this the
day of [Je r,e•n 61 " , 20 14
Signature and seal: �- -74— & k,< xc,�_
My commission expires: t4' q e
Lessee's/Operator's Certification:
N
°tor
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: �JPc �o' ✓; Me—
Signing
��z-i $c . N u� ��.s�L.. Date:
FORM: LOA 11-13 Pane. ' of �

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at;
htth_//��o�7al, ncdet�j'. ol'�;/IVLh�1VC�lll)s/Icra�
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC _0'2,T l_108�b)L2)1for habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) form, Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each property from which a waiver is being sought.
❑ Any other setbacks required by 15A NCAC 021'1.0-8., other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Taylorsville
Applicable Field ID:
hereinafter referred to as the Permittee, to land apply residuals within J0 0 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:
City: State: Zip: 2—Sln�
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division)
land application program and shall be renewed each time this permit is renewed. In addition, th
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 notifi4
days in advance, modifies or cancels this Agreement.
ermit for the residuals
Agreement shall only
, given 30 calendar
❑ I certify that I am a deeded property owner of above -referenced property and am authorized to mak decisions regarding this
property on behalf of other deeded property owners, Furthermore, I certify that I have read and understa ad this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner name:
Signature:
Date:
FORM: SWA 11-13 1 Page 1 of 1

State of North Carolina
D
„a> "Department of Environment and Natural Resources
Division of Water Resources
, 0 4a
Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
Litt/portal,ncdenr'.or ItiUebltiVp�a7s� /lazy
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1 108(b)(2ffor habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each property from which a waiver is being sought.
❑ Any other setbacks required by 15A NCAC 021' .1108, other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Taylorsville
Applicable Field ID:
hereinafter referred to as the Permittee, to land apply residuals within 2 6 0 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: %� 't ;36,-7v,� XU
City: State: ,/ tr zip: 2 96PI
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: Avr d 414A-1
Signature:
Date:
FORM: SWA 11-13
Page I of 1

F
V.,State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
V
Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
l�tl� _//��ortal• 1?cdenj'. 01'g�YVe1)�YVc�cl�l gar
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 021' 1108(b)(2 ffor habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) form. Please do not
make any unauthorized content changes to this form, If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each property from which a waiver is being sought.
❑ Any other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through
execution of this agreement,
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Taylorsville
Applicable Field ID:
hereinafter referred to as the Permittee, to land apply residuals within 1 0 O 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: 3 / 9 )�?) 0.5 fc,41 6 1­- B ry C-A
City: ­ 7�+ V /v hS , &_ State: (Ve_ Zip: �1_ 9 1� gi
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:
I l,,,o Alle h go o ve r—
Date: _ 12--° 9-•'l6
FORM: SWA 11-13 Page 1 of 1

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Alexander County
Fields: PHI, CHI
Permit WQ0006906

SITE EVALUATION AND SOIL REPORT
SOUTHERN SOIL BUILDERS, INC.
PHILLIP HOOVER AND CLYDE HENDREN PROPERTIES
ALEXANDER COUNTY, NC
SEPTEMBER 15, 2014
SHAFFER SOIL SERVICES., IN
PinsBoRo,
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SHAFFER SOIL SERVICES, INc.
685 SANFORD ROAD
Pinswm, N.C. 27312
919-54203
September 15, 2014
Mr. Zach Key
Southern Soil Builders, Inc.
958 Hoots Road
Roaring River, NC 28669
Subject: Site Evaluation for Wastewater Residuals Application Fields
Clyde Hendren Property— Parcel 0008174
Phillip Hoover Property - Parcel 0008264
Alexander County, NC
On September 8, 2014, 1 evaluated the cleared fields on the above named properties for potential for
wastewater residuals application. The properties are owned by Mr. Clyde Hendren of Boston Road,
Taylorsville and Phillip Hoover of Carolina Lane, Taylorsville, NC. The properties are approximately 1.5
miles east of Taylorsville along U.S. 64 and south along Boston Road.
The purpose of this evaluation was to review the soils for suitability for residuals application as required
by 15 A NCAC 02T and the subsequent site evaluation policies found in the Soil Scientist Evaluation
Policy document from September, 2008. This report will document the site evaluation details and
includes all required reporting information therein. I also took soil fertility samples from each of the
proposed fields and these samples were analyzed by the NCDA&CS soils lab for the required fertility
analysis.
Overall, these fields are well suited to residuals application. Each field has slopes ranging from 2 percent
to over 10 percent. As the site is proposed for surface application of residuals, the field portions with
slopes exceeding 10 percent have been marked off- this will be shown on the site maps attached herein.
The slopes in the useable portion of the fields range from 2 to 10 percent. Soil borings were completed
over the fields and the location of these borings is found on the attached site maps.
The soils in ALL fields and reflected by all soil borings are in the Cecil and Pacolet soil series, with a
predominance of Pacolet soils. These coincide with the soils as mapped by USDA (maps attached). Most
of the areas are moderately eroded with a thin topsoil ranging from 2 to 6 inches in depth. Pacolet soils
are somewhat shallower than Cecil in the depth of the clayey Bt horizons. In all cases, soil depth to
bedrock exceeds 7 feet and no soils are limiting to land application. Cecil and Pacolet soils are well -
drained, with a clayey subsoil and soil depth exceeding 24 inches to parent material. Soil depth to parent
material ranges from 28 to 60 inches over the site. At least one detailed soil description to 7 feet is
provided for each field to be added to the residuals application permit. None of the areas evaluated is in
a floodplain or contains jurisdictional wetlands. With the exception of required setbacks for homes,
wells, rights -of -way, and/or property lines, and with the exception of the slope areas exceeding 10
percent that are buffered out, the remainder of the fields is suitable for residuals application. There is
a high level of consistency among the soil borings across these tracts, with only slight variability in depth
to highly weathered parent material. The soil evaluation confirmed the soil mapping by the National
Cooperative Soil Survey, and this map is attached in this report. Because of this, no distinct map unit
lines have been mapped on the site maps- all areas shown are the same soil type and consistent with
the soil survey and thus the map just depicts the boring location and field names along with'a notation

of the field portions where slopes exceed 10 percent. There are no surface waters adjacent or within
100 feet of the field areas. Setbacks to all cultural features will need to be mapped out, and flagged at
the time of residuals application. The slope areas exceeding 10 percent will also need to be flagged out
at the time of residuals application.
I numbered the fields solely for purpose of submitting the soil samples. The fields may be numbered
however you wish for purpose of your permitting. Hendren field 1 is the large, western section of the
farm; Hendren field 2 is the eastern section of the farm (these two fields are separated by the
drainageway) and Hendren Field 3 in the northern section nearest the road. All fields are in fescue
pasture. Hoover field 1 is in fescue pasture and immediately south of Hendren Field 1.
The pasture condition for all fields, both farms, shows excellent ground coverage with no need for
revegetation. Occasional broadleaf and grassy weeds are present but pose no concern for residuals
application.
The next section of this report will include information common to the entire project. It includes:
• General site location map
• Copy of the soil sample transmittal sheets for Hendren and Hoover - NCDA&CS (2)
• Copy of the soil survey map for each field (2)
• Copy of the Official Series Description for the Pacolet and Cecil soils found in the evaluation
• Nutrient management RYE tables for nitrogen loading rate as per 2T rules (Cecil and Pacolet soils
have been correlated out of the Alexander County soil survey. Tables submitted are from Iredell
County, NC)
The following section will show the field evaluation details with soil descriptions, field summaries, and
field sketch maps.

;L SERVICES, INC.
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NCQ,t►aCg Agronomic olvision N -N.C.soil-
Mailing Address: 1040 Soil Testin��w`U"�QE'uG�
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LAB NUMBER SAMPLE LIME APPLIED WITHIN You must specify a crop CODE to receive a
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Thank you for using agronomic services to manage nutrients and safeguard environmental quality, —Steve T1►oxlerI Commissioner of, culture

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Official Series Description - CECIL, Series
https://soilseries.se.egov.usda.gov/OSD—Docs/C/CECIL.htmi
LOCATION CECIL NC+AL GA SC VA
Established Series
Rev. DTA, RHB
02/2007
CECIL SERIES
The Cecil series consists of very deep, well drained moderately permeable soils on ridges and side slopes of the Piedmont uplands. They are
deep to saprolite and very deep to bedrock. They formed in residuum weathered from felsic, igneous and high-grade metamorphic rocks of the
Piedmont uplands. Slopes range from 0 to 25 percent. Mean annual precipitation is 48 inches and mean annual temperature is 59 degrees F. near
the type location.
TAXONOMIC CLASS: Fine, kaolinitic, thermic Typic Kanhapludults
TYPICAL PEDON: Cecil sandy loam --forested. (Colors are for moist soil unless otherwise stated.)
Ap--O to 8 inches; dark yellowish brown (IOYR 4/4) sandy loam; weak medium granular structure; very friable; slightly acid; abrupt smooth
boundary. (2 to 8 inches thick)
Btl--8 to 26 inches; red (IOR 4/8) clay; moderate medium subangular blocky structure; firm; sticky, plastic; common clay films on faces of
peds; few fine flakes of mica; strongly acid; gradual wavy boundary.
Bt2--26 to 42 inches; red (I OR 4/8) clay; few fine prominent yellowish red (5YR 5/8) mottles; moderate medium subangular blocky structure;
firm; sticky, plastic; common clay films on faces of peels; few fine flakes of mica; very strongly acid; gradual wavy boundary. (Combined
thickness of the Bt horizon is 24 to 50 inches)
BC--42 to 50 inches; red (2.5YR 4/8) clay loam; few distinct yellowish red (5YR 5/8) mottles; weak medium subangular blocky structure;
friable; few fine flakes of mica; very strongly acid; gradual wavy boundary. (0 to 10 inches thick)
C--50 to 80 inches; red (2.5YR 4/8) loam saprolite; common medium distinct pale yellow (2.5Y 7/4) and common distinct brown (7.5YR 5/4)
mottles; massive; very friable; few fine flakes of mica; very strongly acid.
TYPE LOCATION: Franklin County, North Carolina; about 9.7 miles west of Louisburg on North Carolina Highway 56 to Franklinton, about
Of 5

utticial Series Description - CECIL Series
https://soilseries.sc.egov.usda.gov/OSD—Does/C/CECIL.htm'
4.4 miles south on U.S. Highway 1, about 0.4 mile east on North Carolina Highway 96, about 500 feet north of the road, in a field; Franklinton
USGS topographic quadrangle; lat. 36 degrees 02 minutes 24 seconds N. and long. 78 degrees 29 minutes 27 seconds W.
RANGE IN CHARACTERISTICS: The Bt horizon is at least 24 to 50 inches thick and extends to 40 inches or more. Depth to bedrock
ranges from 6 to 10 feet or more. The soil ranges from very strongly acid to moderately acid in the A horizons and is strongly acid or very
strongly acid in the B and C horizons. Limed soils are typically moderately acid or slightly acid in the upper part. Content of coarse fragments
range from 0 to 35 percent by volume in the A horizon and 0 to 10 percent by volume in the Bt horizon. Fragments are dominantly gravel or
cobble in size. Most pedons have few to common flakes of mica in the Bt horizon and few to many flakes of mica in the BC and C horizons.
The A or Ap horizon has hue of 2.5YR to 10YR, value of 3 to 5, and chroma of 2 to 8. A horizons with value of 3 are less than 6 inches thick.
The texture is sandy loam, fine sandy loam, or loam in the fine earth fraction. Eroded phases are sandy clay loam, or clay loam in the fine earth
fraction.
The E horizon, where present, has hue of 7.5YR or 1 OYR, value of 4 to 6, and chroma of 3 to 8. It is sandy loam, fine sandy loam, or loam in
the fine -earth fraction.
The BA or BE horizon, where present, has hue of 2.5YR to 1 OYR, value of 4 to 6, and chroma of 3 to 8. It is sandy clay loam, loam, or clay
loam.
The Bt horizon averages 35 to 60 percent clay in the control section but may range to 70 percent in some subhorizons. It has hue of lOR or
2.5YR, value of 4 or 5, and chroma of 6 or 8. Hue also ranges to 5YR if evident patterns of mottling are lacking in the Bt and BC horizons.
Mottles that are few and random are included. The Bt horizon is clay loam, clay, or sandy clay and contains less than 30 percent silt.
The BC horizon has hue of 1 OR to 5YR, value of 4 or 6, and chroma of 4 to 8. Mottles in shades of yellow or brown are few to common in some
pedons. The texture is sandy clay loam, clay loam, or loam.
The C horizon is similar in color to the BC horizon or it is variegated. It is loamy saprolite weathered from felsic, igneous and high-grade
metamorphic rocks.
COMPETING SERIES: These are the Appling, Bethlehem, Geor eville, Herndon, Madison, Nanford, Nankin, Pacolet, Saw, Tan -us, and
Wedowee series in the same family. Those in closely related families are the Cataula, Chestatee, Cullen, Hulett, Lloyd, Mayodan, and
or
Mecklenburg series. Appling soils have dominant hue of 7.5YR or yellower where hue is 5YR it has evident patterns of mottling in a
subhorizon of the Bt or BC horizon. Bethlehem soils have soft bedrock at depths of 20 to 40 inches. Cataula soils have a perched water table at
2 to 4 feet, Chestatee soils contain more than 15 percent, by volume, coarse fragments throughout. Cullen soils have more clay in the Bt
horizon. Mayodan and Mecklenburg soils have mixed mineralogy and in addition, Mayodan soils formed in Triassic age sediments and
Mecklenburg soils formed from basic diabase parent material. Georgeville, Herndon, Nanford, and Tarrus soils formed in Carolina slate and
of 5

Utticial Series Description - CECIL Series
https://soilseries.se.egov.usda.gov/OSD—Docs/C/CECIL.htin]
contain more than 30 percent silt. Hulett, Nankin, and Wedowee soils have a Bt horizon with hue of 5YR or yellower. In addition, Nankin soils
formed from marine sediments. Lloyd soils have rhodic colors to depths of 40 inches or more. Madison, Pacolet, and Wedowee soils have
thinner argillic horizons. Saw soils have hard bedrock at depths of 20 to 40 inches.
GEOGRAPHIC SETTING: Cecil soils are on nearly level to steep Piedmont uplands. Slope gradients are 0 to 25 percent, most commonly
between 2 and 15 percent. These soils have developed in weathered felsic igneous and high-grade metamorphic rocks. Average annual
precipitation is about 48 inches. Mean annual soil temperature is about 59 degrees F.
GEOGRAPHICALLY ASSOCIATED SOILS: In addition to the competing Applin , Bethlehem, Cataula, Chestatee, Cullen, Lloyd
Madison, Mecklenburg, Pacolet, Saw, and Wedowee series these are the Durham, Louisburg, Rion, and Worsham series. Durham, Louisburg,
and Rion soils have less clay in the Bt horizon. Worsham soils are poorly drained and are around the heads of drains.
DRAINAGE AND PERMEABILITY: Well drained; medium to rapid runoff, moderate permeability.
USE AND VEGETATION: About half of the total acreage is in cultivation, with the
remainder in pasture and forest. Common crops are small grains, corn, cotton, and tobacco.
DISTRIBUTION AND EXTENT: The Piedmont of Alabama, Georgia, North Carolina,
South Carolina, and Virginia. The series is of large extent, with an area of more than 10 million acres.
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina
SERIES ESTABLISHED: Cecil County, Maryland; 1899.
REMARKS: The June 1988 revision changed the classification to Typic Kanhapludults and recognized the low activity clay properties of this
soil as defined in the Low Activity Clay Amendment to Soil Taxonomy, August 1986. The December 2005 revision changed the type location
from Catawba County, North Carolina to a more representative location. The May 2006 revision changed language in competing series for
Wedowee.
Diagnostic horizons and features recognized in this pedon are:
Ochric epipedon--the zone from the surface of the soil to a depth of 8 inches (Ap horizon)
Kandic horizon --the zone between 8 and 42 inches meets the low activity clay
requirement in more than 50 percent of the horizon (Btl and Bt2 horizons)
Argillic horizon --the zone between 8 and 42 inches (Btl and Bt2 horizons)
ADDITIONAL DATA: McCracken, R. J., editor: Southern Cooperative Series Bulletin 61, issued January, 1959, Virginia Agricultural
Experiment Station, Blacksburg, Virginia. Soil Survey of Catawba County, North Carolina, issued 1975. Soil Survey of Forsyth County_ North
of 5

vrnciai Genes JOescription - CECIL Series
https://soilseries.sc.egov.usda.gov/OSD_Docs/C/CECIL.htn
Carolina, issued 1976.
MILRA--136
REVISED--09/1997, RLV, 12/2005, DTA; 05/2006, RM
TABULAR SERIES DATA:
SOI-5 Soil Name Slope Airtemp FrFr/Seas Precip Elevation
NCO018 CECIL 0-25 57-65 175-200 45-55 200-900
NCO268 CECIL 0-25 57-65 160-190 44-55 300-800
SOI-5
F1oodL
FloodH Watertable
Kind
Months
Bedrock
Hardness
NCO018
NONE
>6.0
-
NCO268
NONE
>6.0
-
-
>60
-
>60
SOI-5
Depth
Texture
3-Inch
No-10
Clayo
-CEC-
NC0018
0-8
SL FSL L
0-5
80-100
5-20
1-5
NCO018
0-8
GR-SL GR-L GR-FSL
5-15
55-85
5-20
1-5
NCO018
0-8
SCL CL
0-5
75-100
20-35
5-10
NCO018
8-50
C CL
0-5
92-100
35-70
3-12
NCO018
50-80
VAR
_
NCO268 0-8 GR-SCL GR-CL
NCO268 8-50 C CL
NCO268 50-80 VAR
0-10 60-85 20-35 5-10
0-5 90-100 35-70 3-12
SOI-5
Depth
-pH-
O.M.
Salin
Permeab
Shnk-Swll
NCO018
0-8
4.5-6.5
0.5-1.0
0-0
2.0-6.0
LOW
NCO018
0-8
4.5-6.5
0.5-1.0
0-0
2.0-6.0
LOW
NCO018
0-8
4.5-6.5
0.5-1.0
0-0
0.6-2.0
LOW
NCO018
8-50
4.5-5.5
0.0-0.5
0-0
0.6-2.0
LOW
NCO018
50-80
NCO268
0-8
4.5-6.0
0.5-1.0
0-0
0.6-2.0
LOW
NCO268
8-50
4.5-5.5
0.0-0.5
0-0
0.6-2.0
LOW
NCO268
50-80
of 5

vrriciai genes Description - PACOLET Series
https://soilseries.se.egov.usda.gov/0SD—Docs/P/PACOLET.htff
LOCATION PACOLET SC+AL GA NC VA
Established Series
Rev. ECH-DJD;DTA
08/2008
PACOLET` SERIES
The Pacolet series consists of very deep, well drained, moderately permeable soils that formed in residuum weathered mostly from felsic
igneous and metamorphic rocks of the Piedmont uplands. Slopes commonly are 15 to 25 percent but range from 2 to 60 percent.
TAXONOMIC CLASS: Fine, kaolinitic, thermic Typic Kanhapludults
Ti'PICAL PEDON: Pacolet sandy loam - forested. (Colors are for moist soil.)
A--O to 3 inches; brown (7.5YR 5/4) sandy loam; few fine distinct yellowish red (5YR 5/8) mottles; moderate medium granular structure;
friable; many fine and medium roots; strongly acid; clear wavy boundary. (1 to 12 inches thick)
Bt1--3 to 23 inches; red (2.5YR 4/6) clay; moderate medium subangular blocky structure; firm, slightly sticky; common distinct clay films on
fine pores; moderately acid; gradual wavy boundary.
faces of peds; common fine and medium roots; common very
Bt2--23 to 29 inches; red (2.5YR 4/6) clay; common fine prominent reddish yellow (7.5YR 7/8) mottles; moderate medium subangular bloc
ky
structure; firm, slightly sticky; common distinct clay films on faces of peds; common very fine pores; few fine flakes of mica; moderately acid;
gradual wavy boundary. (Combined thickness of the Bt horizon is 12 to 26 inches)
BC--29 to 37 inches; red (2.5YR 4/6) clay loam; many medium prominent reddish yellow (7.5YR 7/8) mottles; weak medium subangular
blocky structure; friable; few fine flakes of mica; strongly acid; gradual wavy boundary. (3 to 15 inches thick)
C1--37 to 52 inches; mottled red (2.5YR 4/6) and reddish yellow (7.5YR 7/8) clay loam saprolite; massive; friable; thin discontinuous distinct
clay seams in cracks; few fine flakes of mica; strongly acid; gradual wavy boundary. (10 to 20 inches thick)
C2--52 to 80 inches; light yellowish brown (1 OYR 6/4) loam saprolite; common medium prominent red (2.5YR 4/6) and strong brown (7.5YR
5/8) mottles; massive; friable; strongly acid.
)f 4

vrnciai benes Description - PACOLET Series
https://soilseries.sc-egov.usda.gov/OSD—Docs/P/PACOLET.htm
TYPE LOCATION: Chester County, South Carolina; 3.4 miles south of Chester in Chester County; 1.3 miles south of junction of State
Highways 16 and 350; 3,700 feet northeast of junction of State Highways 16 and 171; 0.9 mile northeast of junction of unpaved State Highway
394 and unmarked county road and unpaved private road leading north; 35 feet northeast of unpaved private road.
RANGE IN CHARACTERISTICS: The Bt horizon is at least 10 to 24 inches thick and extends to a depth of 18 to 30 inches. Depth to a lithic
contact is more than 60 inches. The soil is very strongly acid to slightly acid in the A horizon, and very strongly acid to moderately acid
throughout the rest of the profile. Content of rock fragments, dominantly gravel, ranges from 0 to 35 percent in the A and E horizons, and 0 to
15 percent in the Bt horizon. Most pedons have few to
common flakes of mica in the solum, and few to many in the C horizon.
The A horizon has hue of 5YR to IOYR, value of 3 to 5, and chroma of 1 to 6. In eroded areas, hue ranges to 2.5YR and chroma ranges to 8.
The A horizon commonly is sandy loam, but ranges to loamy coarse sand, loamy sand, fine sandy loam or loam in the fine -earth fraction. In
eroded areas, it is clay loam or sandy clay loam in the fine -earth fraction.
The E horizon, where present, has hue of 5YR to 10YR, value of 4 to 6, and chroma of 3 to 8. It commonly is sandy loam, but ranges to loamy
coarse sand, loamy sand, fine sandy loam, loam in the fine -earth fraction.
The BA or BE horizon, where present, and the upper part of the Bt in most pedons, has hue of 2.5YR to 1 OYR, value of 4 to 6, and chroma of 3
to 8. It is clay loam, sandy clay loam, or loam.
The Bt horizon has hue of 1 OR or 2.5YR, value of 4 or 5, and chroma of 6 or 8. Mottles in shades of red, yellow, or brown are in the upper part
of the Bt horizon in some pedons and in the lower part of the Bt horizon in most pedons. Texture is clay, sandy clay, or clay loam.
The BC horizon has hue of 1 OR to 5YR, value of 4 or 5, and chroma of 6 or 8 commonly with mottles in shades of red, yellow, or brown. The
BC horizon of some pedons is mottled in shades of red, yellow, or brown. It is clay loam, sandy clay loam, loam, or sandy loam.
The C horizon has hue of 1 OR to 1 OYR, value of 4 or 5, and chroma of 3 to 8 commonly with mottles in shades of red, yellow, or brown or is
multicolored. Texture is loamy saprolite weathered from felsic crystalline rock.
COMPETING SERIES: These are the Applin , Bethlehem Cecil, Geor eville, Herndon, Lloyd, Madison, Nanford, Nankin, Saw, Tarrus, and
Wedowee series. Appling and Cecil soils have a thicker clayey Bt horizon. Bethlehem soils have a paralithic contact within 20 to 40 inches of
the surface. Georgeville, Herndon, Nanford, and Tarrus soils formed from Carolina slate and have more than 30 percent silt. Lloyd soils have
value of 3 in at least part of the Bt horizon. Madison soils contain more mica. Nankin soils formed from marine sediments. Saw soils have a
lithic contact within 20 to 40 inches of the surface. Wedowee soils have Bt horizons with hue of 5YR or yellower.
GEOGRAPHIC SETTING: Pacolet soils are on gently sloping to very steep Piedmont uplands. Slopes commonly are 15 to 25 percent but
of 4

uiriciai Genes Description - PACOLET Series
https://soilseries.se.egov.usda.gov/OSD—Docs/P/PACOLEThtm)
range from 2 to 60 percent. The soils formed in material weathered mostly from felsic igneous and metamorphic rocks. The mean annual
temperature ranges from 59 to 66 degrees F, the frost -free season ranges from 190 to 240 days, and the mean annual precipitation ranges from
37 to 60 inches.
GEOGRAPHICALLY ASSOCIATED SOILS: In addition to the competing Applin ,
Bethlehem, Cecil, Lloyd, Madison, Saw, and Wedowee series, these are the Cataula, Lockhart, Louisburg, Rion, and Wateree series. Cataula
soils have a perched water table at 2 to 4 feet. Lockhart soils have more than 35 percent rock fragments in the particle -size control section.
Louisburg, Rion, and Wateree soils have less than 35 percent clay in the particle -size control section.
DRAINAGE AND PERMEABILITY: Well drained; runoff is medium to rapid; permeability is moderate.
USE AND VEGETATION: Most areas are in forests of pine and mixed hardwoods. Cleared areas are used for small grain, hay, and pasture.
DISTRIBUTION AND EXTENT: The Piedmont of Alabama, Georgia, North Carolina, South Carolina, and Virginia. The series is of large
extent
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina
SERIES ESTABLISHED: Catawba County, North Carolina, 1969.
REMARKS: The December 1987 revision recognized the low activity clay property of this soil and reclassification to Kanhapludults. Pacolet
soils were formerly mapped as a thin solum phase of the Cecil series.
Diagnostic horizons and features recognized in this pedon are:
Ochric epipedon - the zone from the surface of the soil to a depth of 3 inches (A horizon).
Argillic and Kandic horizon - the zone from 3 to 29 inches below the surface (Btl and Bt2 horizons).
MLRA=136
ADDITIONAL DATA:
TABULAR SERIES DATA:
SOI-5 Soil Name Slope Airtemp FrFr/Seas Precip Elevation
SCO015 PACOLET 2-60 59-66 190-240 37-60 200-900
SCO107 PACOLET 2-60 59-66 190-240 37-60 200-900
SOI-5 FloodL FloodH Watertable Kind Months Bedrock Hardness
of 4

utticial Series Description - PACOLET Series
https:Hsoilseries.sc-egov.usda.gov/OSD—Does/P/PACOLET.htm
SCO015
NONE
>6.0
-
>60
SCO107
NONE
>6.0
-
>60
SOI-5
Depth
Texture
3-Inch No-10
Clay%
-CEC-
SC0015
0-3
SL FSL L
0-2
80-100
8-20
4-7
SCO015
0-3
CL SCL
0-1
90-100
20-35
4-10
SCO015
0-3
LS LCOS
0-3
70-100
4-15
2-5
SCO015
3-29
SC CL C
0-1
80-100
35-65
6-18
SCO015
29-52
CL SCL SL
0-2
70-100
15-30
5-12
SCO015
52-80
SL FSL L
0-2
70-100
10-25
4-10
SCO107
0-3
GR-LS GR-LCOS
0-3
65-85
4-15
2-5
SCO107
0-3
GR-SL GR-FSL
0-3
70-85
8-20
4-7
SCO107
0-3
GR-CL GR-SCL
0-3
70-90
27-35
4-10
SCO107
3-29
SC CL C
0-1
80-100
35-65
6-18
SCO107
29-52
CL SCL SL
0-2
70-100
15-30
5-12
SCO107
52-80
SL FSL L
0-2
70-100
10-25
4-10
SOI-5
Depth
-pH-
O.M.
Salin
Permeab
Shnk-Swll
SCO015
0-3
4.5-6.5
.5-2.
0-0
2.0-6.0
LOW
SCO015
0-3
4.5-6.5
.5-1.
0-0
0.6-2.0
LOW
SCO015
0-3
4.5-6.5
.5-2.
0-0
2.0-6.0
LOW
SCO015
3-29
4.5-6.0
0.-.5
0-0
0.6-2.0
LOW
SCO015
29-52
4.5-6.0
0.-.5
0-0
0.6-2.0
LOW
SCO015
52-80
4.5-6.0
0.-.5
0-0
0.6-2.0
LOW
SCO107
0-3
4.5-6.5
.5-2.
-
2.0-6.0
LOW
SCO107
0-3
4.5-6.5
.5-2.
0-0
2.0-6.0
LOW
SCO107
0-3
4.5-6.0
.5-2.
0-0
0.6-2.0
LOW
SCO107
3-29
4.5-6.0
0.-.5
0-0
0.6-2.0
LOW
SCO107
29-52
4.5-6.0
0.-.5
0-0
0.6-2.0
LOW
SCO107
52-80
4.5-6.0
0.-.5
0-0
0.6-2.0
LOW
National Cooperative Soil Survey
U. S.A.
of 4

dutrient Management in North Carolina
http://nutrients.soil.ncsu.edu/yieldsfindex.php#county
Realistic Yields for Cali: Cecil sandy loam, 2 to 6 percent slopes in Iredell
County
Realistic
Estimated Phosphorus
Nitrogen
Nitrogen
Removal
Crop
Yield
Factor
Rate (Ibs/acre)
(Ibs Pao5/acre)
Barley (Grain)
79 Bushels
1.49
118
30
Corn (Grain)
147 Bushels
0.92
135
65
Corn (Silage)
22.5 Tons
10.9
246
77
Cotton
735 Pounds
0.081
60
21
Sorghum (Silage) 19.1 Tons 7.6 145 57
Oats (Grain)
100 Bushels
1.13
113
25
Peanuts
0 Pounds
0
0
0
Rye (Grain)
59 Bushels
2.01
118
19
Small Grain (Silage)
10.8 Tons
11.1
120
58
Sorghum (Grain)
59 CWT
1.72
101
44
Soybeans (Double Cropped)
41 Bushels
0
0
33
Soybeans (Full Season)
49 Bushels
0
0
39
Soybeans (Double Cropped - Manured)
41 Bushels
3.89
160
33
Soybeans (Full Season - Manured)
49 Bushels
3.89
191
39
Tobacco (Burley)
0 Pounds
0.074
0
0
Tobacco (Flue Cured)
3136 Pounds
0.029
91
16
Triticale (Grain)
82 Bushels
1.52
125
27
Tropical Corn (Silage)
22.5 Tons
6.5
147
77
Wheat (Grain)
59 Bushels
2.01
118
29
Bahiagrass(Hay)
3.7 Tons
44
162
42
Caucasion/Old World Bluestem (Hay)
3.9 Tons
44
172
47
Common Bermudagrass (Hay)
3.7 Tons
44
162
44
Dallisgrass (Hay)
3.7 Tons
44
162
48
Fescue (Hay)
4.9 Tons
44
216
77
Hybrid Bermudagrass (Hay)
4.9 Tons
44
216
60
Hybrid Bermudagrass overseeded with Rescuegrass
0 Tons
44
0
0
Mixed Cool Season Grass (Hay)
3.4 Tons
44
151
49
Orchardgrass(Hay)
3.9 Tons
44
172
57
Pearl Millet (Hay)
4.2 Tons
49
204
55
Rescuegrass(Hay)
0 Tons
44
0
0
Sorghum Sudan (Hay)
4.7 Tons
49
228
65
Timothy Grass (Hay)
0 Tons
44
0
0
Dr. David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
f 2 9/9/2014 9:12 AM

--- i.auai r,"ILGLLL III LV Vl ul l.arouna
http://nutrients.soil.nesu.edu/yieldsfindex.php#count5
Realistic Yields for Pc132: Pacolet sandy clay loam, Z to 6 percent slopes,
moderately eroded in Iredell County
Realistic
Estimated Phosphorus
Crop
Nitrogen
Nitrogen
Removal
Yield
Factor
Rate (Ibs/acre)
(Ibs P2O5/acre)
Barley (Grain)
67 Bushels
1.49
99
Corn (Grain)
25
129 Bushels
0.92
119
57
Corn (Silage)
19.6 Tons
10.9
214
Cotton
67
Sorghum (Silage)
637 Pounds
0.081
52
18
Oats (Grain)
16.7 Tons
7.6
127
-
50
83 Bushels
1.13
94
21
Peanuts
0 Pounds
p
0
Rye (Grain)
0
Small Grain (Silage)
49 Bushels
2.01
98
16
Sorghum (Grain)
8.8 Tons
11.1
98
48
Soybeans (Double Cropped)
49 CWT
1.72
84
37
33 Bushels
0
0
27
Soybeans (Full Season)
39 Bushels
p
Soybeans (Double Cropped - Manured)
33 Bushels
3.89
0
31
—
Soybeans (Full Season - Manured)
130
27
39 Bushels
3.89
152
31
Tobacco (Burley)
0 Pounds
0.074
0
Tobacco (Flue Cured)
2548 Pounds
— —
0.029
74
0
Triticale (Grain)
69 Bushels
1.52
104
13
Tropical Corn (Silage)
19.6 Tons
6.5
23
Wheat (Grain)
127
67
49 Bushels
2.01
98
-
25
Bahiagrass (Hay)
3.4 Tons
44
151
Caucasion/Old World Bluestem (Hay)
3.4 Tons
39
Common Bermudagrass (Hay)
44
151
41
Dallisgrass (Hay)
3.4 Tons
44
151
42
Fescue (Hay)
Hybrid Bermudagrass (H
3.4 Tons
4.4 Tons
44 151
44 194
45
69
ay) 4.4 Tons 44 _ 194
Hybrid Bermudagrass overseeded with Rescuegrass 0 Tons 44
fHavl 0
54
0
Mixed Cool Season Grass (Hay) 3.2 Tons 44
140 45
Orchardgrass (Hay) 3.4 Tons 44
151 50
Pearl Millet (Hay) 3.7 Tons 49
180 49
Rescuegrass (Hay) 0 Tons 44
0 0
Sorghum Sudan (Hay) 4.2 Tons 49
204 58
Timothy Grass (Hay) 0 Tons 44
0 0
Dr. David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
n/n I1n1A n. ,n ♦.�

INDIVIDUAL FIELD MAPS WITH SOIL
DESCRIPTIONS
AND FIELD SUMMARIES
HENDREN FIELDS 1, 2, 3
HOOVER FIELD 1

HENDREN FIELDS 1-3
These entire three fields, minus required buffering for slopes exceeding 10 percent, and required
setbacks from surface waters, property lines, wells, homes, and rights -of -way is suitable for land
application of residuals/biosolids. All soils classify as Cecil and Pacolet sandy loam or sandy clay loam,
2 to 10 percent slopes, moderately eroded. These fields are in fescue pasture.
A total of 15 soil borings were performed in these 3 fields. The attached site map shows the location of
the soil borings that were completed. The soils all classify in the Cecil and Pacolet soil series. Taxonomic
class: Fine, kaolinitic, thermic, Typic Kanhapludults. The following pages show a representative
description of the soils in each field. A table then shows the remaining soil characteristics key
parameters.
Hendren Farm- Field 1
Soil
Boring #
Soil
Series
Depth to
Bedrock
(in)
Depth to
SHWT (in)
Slope
%
Restrictions
For residuals
application
Latitude
Longitude
1
Pacolet
>86
>86
4
NONE
35*54.182'
-081*08.987'
2
Pacolet
>46
>46
7
NONE
35*54.148'
-081*08.980'
3
Pacolet
>44
>44
3
NONE
35°54.107'
-081°08.967'
4
Pacolet
>47
>47
8
NONE
35*54.081'
-081°08.916'
5
Cecil
>87
>87
4
NONE
35°54.104'
-081°08.923'
6
Cecil
>48
>48
6
NONE
35054.179'
-081008.955'
7
Cecil
>48
>48
2
NONE
35*54.213'
-081*08.989'
8
Pacolet
>44
>44
5
NONE
35°54.276'
-081*09.055'
9
Cecil
>45
>45
8
NONE
35*54.202'
-081*09.112'
Hendren Farm- Field 2
Soil
Boring #
Soil
Series
Depth to
Bedrock
(in)
Depth to
SHWT (in)
Slope
%
Restrictions
For residuals
application
Latitude
Longitude
10
Pacolet
>43
>43
8
NONE
35'54.272'
-081*08.934'
11
Pacolet
>45
>45
8
NONE
35*54.269'
-081008.902'
12
Pacolet
>88
>88
6
NONE
35°54.212'
-081*08.810'
13
Cecil
>42
>42
7
NONE
35°54.175'
-081*08.797'
14
Pacolet
>45
>45
6
NONE
35°54.143'
-081*08.766'

MAP PREPARED FOR FIELD APPLICATION OF RESIDUAI
ALL SITES SUITABLE FOR RESIDUALS APPLICATION
HENDREN FIELDS 1, 2, 3
I, Karl A. Shaffer, L.S.S. determine that this area and soil evaluation are accurate and reliable and support
the application of wastewater residuals onto this site.
Land Application: Hendren, Clyde Leverne
PIN: 3769308303 0 210 420 8I Feet
Alexander County, NC North Carolina stateplane, NAD83, feet
�E
E
Shaffer Soil Services, LC
Produced: Sept. 2014

PaAP-
5errFil)e,
Soil Description Sheet Date l 4
�'
Project Name enl reA t'a tit County 1' llQt,dz K Soil Description by:
.Field No. 1 Boring No. (with lat and long) / 39`25,t /g�'
Vegetation F�e--c u-e PaS, u � Landscape position Rlda — nvex Slope 4-
Other relevant information o re „D C-L: W C,0, 19CJA„ s¢
Horizon
AP
Depth
(inches)
d -s
'Texture
sC-
Matrix
Color
y1013
75YR6?4'
bottles
_
_
Structure
(grade, size, type)
�-
i S6k
Consistence
;gyp sf
V¢K-
-fir
I
e
N -S IAI P
N s/PV P
Other (restrictive horizons, coarse
fragments, etc.)
C
'5-YR
—
z sBK .
SZ F
SC
29-1
ct-
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—
513K
0 i
CZ
¢�- i
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s y
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ao- 4® 52,
eU"ide4w e 0-P m �Gz
�,
M
Vfr
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C4
19-9(
LS
!'
'!
�1,Vp
Depth to seasonal wetness -;­ 86 r1 Type of water table AIA
Most restrictive horizon (for Ksat) AI
Other comments 5es/s Ab"r /'c-5 Ww C-pp %co cry

\ Rc) � �.���� ,• {�) �� l 4 YLerrm ,, f 1�p%_.
Soil Description Sheet Date
Project Name Amd ren Fa rrn County -11der• Soil Description by: fir/
Field No. ! Poring No. (with lat and long) $
Vegetation ��s�,�� Da s h�t� Landscape position ualoSlope
Other relevant information v '
Horizon
Depth
(inches)
'Texture
Matrix
Color
Mottles
Structure
(grade, size, type)
Consistence
1 106f
ev`7r�4
Other (restrictive horizons, coarse
agments, etc.)
0-
4-16
5a-
-�'4
--
f 5
Pr
5S�✓VP
1542,
i O -- 3 2
C
2 S'Y'R�l
wt ���
• '�
s
V ^�
3 2- 4• e
C cL
Z• 5 Y /C�
vex s f<
�`►' �Fr-
A
��
4l --q
CL
Z.S Al
Gr
49-73
L
z.s'ra4
vrr
C�
73 -- 07
��
Z Y �/
r
L
.Depth to seasonal wetness "° 97v Tvne of water tahlr X/a
Most restrictive
Other comment

Soil Description Sheet
Project Name Date
Field No. County /-1Cp-uainc f-� Soil Description by: a r/
Vegetation_ fps Gc1e Boring No. (with lat and long)
`R`S�'''� Landscape position slQ/� ,��,®�,
Other relevant information -- Zwp --Sly' �'� Sloped
Horizon Depth 'Texture Matrix 1VI t 1
(inches)
Color
o t es
Structure
(grade,-- siz(
-
Ap
scl-
�0,24141
�Q�
2► - Z 1
CL
Z. s�1,e��
�'•� � s
2 a� �� k
9 CC
Z 7-•33
sCL
Z.s �
C 1
33 -J 4
s�.
z. W
IV bV
P1��
C Z
54 - 7,
51-
` sy� ��
r�
M
/4
Consistence
--
Other (restrictive horizons—_______
, coarse
fragments, etc.)
A.
�t pv.
4
V #-r
/V lAe P
z4 Pe h'f
/�
1/f ��dci5e
A1S1A/
6rs��/ Gvea��e�rnUls
Depth to seasonal wetness � g el 4
Most restrictive horizon (for Ksat) Type of water table
Other comments 5�.:/� �v; f� /� �•

L�C,es/ ✓e61e::5—° �s�Ol� �N3�' /�QF�I/���jG � er � �Gt�,sc_ d�s�
O1(s«
Soil Description Sheet
project Name Fare" Date 1414
Meld No. 3 �oairaty - 'c� � -Soil,De Description r
'Vegetation f_c >�oraaag No. (with lit and long) �'
Landscape position die` N 6c
Other relevant information
Slope s�
Horizon Depth Texture Matrix Mottles
(inches) Structure consistence Color ( ade, size, t e) l'';¢° Other (restrictive horizons, co rsea
J fraoanents, etc.)
,9f / — ,z
+ Z rep 31
c-
S-t 3 s I --46 C
D
Y_(,, I CL
;i
:vC 5R40f_.&%j
Z74Z"W. �i ekr
=�8L
ION
f
i
"VS
6�ieCo.0-eou:�-
v 4—
LL /vp
Depth to seasonal wetness -7 g °'
Most restrictive horizon (for F-sat) _e Type of water table A/4
Other comments

Hendren Farm- Field 3
Soil
Soil
Depth to
Depth to
Slope
Restrictions
Latitude
Longitude
Boring #
Series
Bedrock
SHWT (in)
%
For residuals
(in)
application
15
Cecil
>85
>85
4
NONE
35054.411'
-081008.952'
HOOVER FIELD 1
This entire field, minus required buffering for slopes exceeding 10 percent, and required setbacks from
surface waters, property lines, wells, homes, and rights -of -way is suitable for land application of
residuals/biosolids. All soils classify as Cecil and Pacolet sandy loam or sandy clay loam, 2 to 10
percent slopes, moderately eroded. This field is in fescue pasture.
A total of 4 soil borings were performed in this field. The attached site map shows the location of the
soil borings that were completed. The soils all classify in the Pacolet and Cecil soil series. Taxonomic
class: Fine, kaolinitic, thermic, Typic Kanhapludults. The following pages show a representative
description of the soils in each field. A table then shows the remaining soil characteristics key
parameters.
Hoover Farm — Field 1
Soil
Boring #
Soil
Series
Depth to
Bedrock
(in)
Depth to
SHWT (in)
Slope
%
Restrictions
For residuals
application
Latitude
Longitude
1
Pacolet
>46
>46
6
NONE
35053.969'
-081009.066'
2
Pacolet
>46
>46
6
NONE
35054.018'
-081009.061'
3
Cecil
>86
>86
8
NONE
35054.021'
-081008.995'
4
Pacolet
>48
>48
7
NONE
35*54.019'
-081°08.927'

HOOVER FIELD 1
'7
APMggre
MAP PREPARED FOR FIELD APPLICATION OFR'E�SIDUALS
ALL SITES SUITABLE FOR RESIDUALS APPLICATION
----------- ,
. . . . . . . . . . . 7
A
t;q
U) L
LL L
sa
L
w LLJ
"'61 X
1, Karl A. Shaffer, L.S.S. determine that this area and soil evaluation are accurate and the application of wastewater residuals onto this site. reliable and support
V 4
apping Units: Hoover, Hhillip G
IN: 3768391163 0 125 250 500 Feet
lexander I I I I I
North Carolina state plane, NAD83,feet Shaffer soii Services, LLC
Produced: Sept. 2014

I it
� �Ci tl i fds! i3G�rY�t m>�c �y�.'ac 1�1 Crl,3 Nn /�AGrGacc-..��
Soil Description Sheet
Project Name sVe,�-
.Field No.-
_
—��r
County �� �� .
Date �
Boring No. (with lat and long) �-- Soil
Vegetaticin
Description y_
L,andsca e Position P�
Other relevant information D¢d,P�- l l' P ` ��'� s5 L--
_/� ac�c 3fv — .s
y in C�re�'
Slope
Horizon .Depth 'Texture
(inches)
Matrix Mottles
Color Structure Consistence
al
(wade, size, t e)
Other (restrictive horizons, coarse
cif
fraainents, etc.)
;r
rVS d
/V P
41--(1 5C�
sore —
4-
Ivs
49 --72
ZiG�
e,1111 d i m 'b �/"VP
P/
.Depth to seasonal wetness '�
Most restrictive horizon (for Ksat) r Type of water table /VAI
Other comments

PROJECT EVALUATION AND SITE MANAGEMENT PLAN
Once the site buffers are mapped out, the field acreage for each field may be determined.
All fields currently exist in established fescue pasture. Crop health is adequate. Addition of residuals
must be monitored such that the known application rates of nitrogen, phosphate, potash, and lime
equivalent are taken into account with respect to the soil test recommendations, or the RYE limit as
given from the nutrient management tables. The permanent hay/pasture supplies adequate erosion
control for those fields, however, judgment must be applied when applying liquid biosolids to fields
where slopes exceed 6 percent as runoff may occur.
2T rules require the use of nutrient management RYE guidance when defining application rates of
residuals.
The nutrient management tables are shown in a previous section. The soil test results are applicable for
all nutrients, and lime, EXCEPT NITROGEN. For nitrogen loading, all fields may be treated the same for
both Hendren and Hoover tracts. The soils are a mix of Cecil and Pacolet soil series. Cecil soils allow up
to 216 pounds N per acre per year, and eroded Pacolet soils allow up to 194 pounds N per acre per year.
An average of these N points will be used to reflect the mix of Cecil and Pacolet soils in the field. Further,
as the sites are grazed, a 25% reduction must be applied. This results in the following nutrient
recommendation for N:
Average N rate (hay) of 205#N/acre-yr X 0.75 (grazing factor) = 153 pounds N /acre -year from all
sources, including residuals. If grazing is ceased, the full 205 #N/acre-yr can be applied.
The soil test results are on the following page. Follow recommendations for all nutrients (except N) and
follow the lime recommendation.
Hendren soil tests
All 3 fields show proper pH maintenance with no liming agent recommended. If the applied wastewater
residuals are handled in a manner that would render them as a liming source, then the residuals
should be tested for their liming equivalency (also called calcium carbonate equivalency) to insure
that soil pH is maintained in the proper range.
All 3 fields require phosphorus and the farmer/manager should be apprised of the P amendments
available in the wastewater residuals.
All 3 fields require potassium and the farmer/manager should be apprised of the K amendments
available in the wastewater residuals. Note that the crop health should improve substantially with the P
and K amendments.
With adequate erosion control as currently exists, P and other nutrient losses should not be a concern.
Fields HEN1 and HEN3 should receive a sulfur amendment of 20 pounds per acre at the next schedules
fertilization. No micronutrients are recommended and existing levels are adequate. The soil CEC ranges
from 7 to 8 which reflect good organic matter levels and site management for these fields.

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi
Report No. FY15-SL005090
,.
Client:
Clyde Hendren
Advisor: Karl/Kristin Shaffer
/, { ;���• •'�, Predictive
PO Box 732
685 Sanford Rd
Taylorsville, NC 28681
Pittsboro, NC 27312
•;->Mehlich-3 Extraction
Soil Report
Sampled County: Alexander
Sampled: 09/08/2014 Received: 09/10/2014
Completed: 09/18/2014
Farm:
Links to Helpful Information
Sample ID: HEN1
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 - Fescue/OGrass/Tim, 1 0.0
120-200 80
50
0 20
0
0
0
2 - Fescue/OGrass/Tim, 0.0
120-200 80
50
0 20
0
Note: 12
0
0
0 0
Note: 12
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P4 K4
Ca% Mg% S-1
Mn-1
Mn-All Mn-AI2
Zn4
Zn-AI
Cu-1 Na ESP SS4 NO3-N
0.41 1.01 7.9 88 1.0 6.2 23 45
58 27 25
120
86 86
143
143
55 0.1 1
Sample ID: HEN2 Recommendations: Lime
Nutrients (lb/acre)
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
More
Cu B Information
Lime History: 1 - Fescue/OGrass/Tim, 1 0.0
120-200 110
60
0 0
0
0
0
2 - Fescue/OGrass/Tim, 0.0
120 200 110
6D
0 0
0
0 Note: 12
0
0 0 Note: 12
Test Results [units - WN in g/cO; CEC and Na in meq/100 crrr3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P4 K4
Ca% Mg% S-1
Mn-1
Mn-Ali Mn-Al2 Zn4
Zn Al
Cu-1 Na ESP SS4 NO3-N
0.46 0.99 7.4 88 0.9 6.1 14 41
58 27 26
97
73 73
74
74
32 0.1 1
Sample ID: HEN3 Recommendations: Lime
Nutrients (lb/acre)
Crop (tonslacre)
N P2O5
K2O
Mg S
Mn
Zn
More
Cu B Information
Lime History: 1 - Fescue/OGrass/Tim, 1 0.0
120-200 110
50
0 20
0
0
0
2 - Fescue/OGrass/Tim, 0.0
120-200 110
50
0 20
0 Note: 12
0
0
0 0 Note: 12
Test Results [units - WN in g/crtt3; CEC and Na in meg1100 crn3; NO3-N in mg/do]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S4
Mn-1
Mn-All Mn-Al2 Zn-1
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.46 0.94 7.9 89 0.9 6.2 15 42
60 26 23
143
99 99
91
91
42 0.0
North Carolina
l
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: (919)
i�1a`Ct..t71 �� kb(
:r Predictive
Soil Report
'hA�'tiitti75�'• ..
655 Website: www-ncagr-gov/agronomcl
Client: Phillip Hoover
37 Carolina Lane
Taylorsville, NC 28681
Metllich-3 Extraction
Sampled County: Alexander
sampled; 09/08/2014 Received: 09/10/2014 Completed: 09/18/2014 Farm;
Sample 1D: HOV1
Recommendations:
Lime
Crop
(tonslacre)
N P205
Lime History:
1 - Fescue/OGrass/Tim, 1
0.0
120-200 0
2 - Fescue/OGrassrrim,
0.0
120-200 0
Test Results [units - WN in glcO; CEC and Na in meq/100 crrP; NO3-N in mg/dO]:
HM% WN CEC
BS% Ac pH
P4 K4
Ca% Mg% S-1
0.41 0.97 7.2
83 1.2 5.9
74 62
56 22 24
North Carolina
14
.sa
'%.�ce;u •Sru;E.�..,�.t,''Wt}at.�lcyr:
Report No. FY15-SL
Advisor: Karl/Kristin Shaffer
685 Sanford Rd
Pittsboro, NC 27312
K20
20
20
Nutrients (lb/acre)
Mg S
Mn
Zn
0 20
0
0
0 20
0
0
Soil Class:
Mineral
Mn4
Mn-All Mn-Al2
Zn4
Zn-AI Cu4
134
97 97
288
288 315
Links to Helpful Information
More
Cu B Information
0 0 Note:12
0 0 Note_ 12
Na ESP SS4 NO3-N
0.0
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

Hoover soil test
This field shows proper pH maintenance with no liming agent recommended. If the applied wastewater
residuals are handled in a manner that would render them as a liming source, then the residuals
should be tested for their liming equivalency (also called calcium carbonate equivalency) to insure
that soil pH is maintained in the proper range.
No phosphorus is required. The farmer/manager should be apprised of the P amendments available in
the wastewater residuals.
This field requires a small potassium amendment which will likely be met with a residuals application.
The farmer/manager should be apprised of the K amendments available in the wastewater residuals.
With adequate erosion control as currently exists, P and other nutrient losses should not be a concern.
This field should receive a sulfur amendment of 20 pounds per acre at the next schedules fertilization.
No micronutrients are recommended and existing levels are adequate. The soil CEC is 7.2 which reflect
good organic matter levels and site management for this field.
Hay/Agronomic Management
The hay should be cut or grazed using sound agronomic practices. Removal of the crop is required to
insure continued nutrient uptake and removal from the system. If the fescue crop appears damaged or
diseased, soil and plant tissue samples may be used to diagnose the problem. You should not apply
residuals on any fields/crops where plant tissue appears unhealthy or lacks sufficient density to hold the
residuals in place on the field. The application permit will specify the set -out time for grazing animals,
and this must be coordinated with the landowner. Typically, grazing requires 3 or more management
areas: one where the animals are, one where residuals have recently been applied and waiting the set -
out time, and one where residuals are actively being applied.
The sodium levels for all fields are very low at 0.0 to 0.1 meq/100 cc. The ESP is a calculated value from
the soil test sodium and cation exchange capacity. The following table shows each field ESP:
Soil test number
Calculated ESP value
HEN 1(west side, borings 1-9)
1.27
HEN 2 (east side, borings 10-14)
1.35
HEN 3 (north field, boring 15)
0
HOV 1 (one field only)
0
ESP levels above 15 generate a level of concern for sodium. None of these fields shows any concern, and
sodium will not be limiting for residuals application. ESP is a parameter that should be calculated
annually as residuals are applied to help with sodium monitoring.

SUMMARY
All soils and sites as shown in this report are suitable for residuals application. The soils are consistent as
mapped on the soil survey and meet all required separations to bedrock and seasonal high water table.
I appreciate the opportunity to perform this service for you. Please contact me if you have any
questions.
Attachments: Invoice
Sincerely,
v4
Karl Shaffer, L.S. .
Shaffer Soil Services, Inc.
PN

North Carolina Department of LYYnronment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director, Division of Water Quality
Mr. Zach Key
Southern Soil Builders, Inc.
958 Hoots Road
Roaring River, North Carolina 28669
Subject: Updated Maps for
Permit WQ0006906
Town of Taylorsville
Alexander County
Dear Mr. Key:
Dee Freeman
Secretary
September 16, 2011
The Mooresville Regional Office has received the requested updated maps for WQ0006906 from the
Central Office. We appreciate your quick response time in submitting these maps, however; there is some
data missing on the maps (attached, with notes): For your convenience, I have included the latest map
guidance with this letter. Please re -submit a legible vicinity map, application area maps with legends,
topographic maps, and a legible soils map. Please note that separate compliance and review maps are no
longer necessary. See page 2, number 4 of map guidance document (enclosed).
If you need any additional information concerning this matter, please contact me at 704-235-2186 or
email me at Ellen Huffman(crDNCDENR.gov.
Sincerely,
02 / - �
Ellen Huffman, Enviro ental Specialist
Division of Water Quality / Aquifer Protection Section / Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone] l Fax: [phone] ! Customer Service: 1-877-623-6748
Internet www.nmvaterquality.org
An Fnual Ccnorunity t Affirmative Action Employer
Nne
orthCarohna
Nawaliff

HCDEHR
Borth Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
July 6, 2011
David M. Robinette, Director of Public Works
Town of Taylorsville
204 Main Avenue Drive
Taylorsville, NC 28681
Subject: Permit No. WQ0006906
_ -_ Dee. rreernan
__Secretary
JUL2011 y"
� 6 �dY--
. h'i',10.
Town of Taylorsville
Town of Taylorsville Residuals Land Application Program
Non -Dedicated Land Application of Residual Solids (503)
Alexander County
Dear Mr. Robinette:
In accordance with your permit renewal application_ request received through Southern Soil
Builders on May 23, 2011, and subsequent additional information received by the Technical Assistance
and Certification Unit on June 23, 2011, we are forwarding herewith Permit No. WQ0006906, dated July
6, 2011, to the Town of Taylorsville for the continued operation of the subject residuals management
program. Please note that Field NC-AL-08-03 is being removed from the permit, lowering the available
application area from 62.5 to 51.4 available acres.
This permit shall be effective from the date of issuance until June 30, 2016, shall void Permit No.
WQ0006906 issued October 3, 2002, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A and B for
they may differ from the previous permit issuance. Failure to establish an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
Please note that on September 1, 2006, North Carolina Administrative Code Title 15A
Subchapter 02T — Waste not Discharged to Surface Waters was adopted. Accordingly, this permit
incorporates the requirements of these rules, therefore, please take the time to review this permit
thoroughly. The following conditions have been added, modified or deleted from those in the last permit
issuance
➢ Condition I.I. — Requires the timely submission of detailed site maps
➢ Condition I.2. — Requires the timely submission of permit renewal forms
➢ Condition I.3. — Requires notifying the Regional Office prior to land application
➢ Condition I.4. — Requires the timely implementation of public access controls
➢ Condition II.1. —Requires the program to be effectively maintained and operated
AQUIFER PROTECTION SECTION
1636 Nail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748��� .
Olie
Internet: htto:f(oortal.ncdenr.oralwebiwo/aos
An Equal Opportunity \ Affirmative Action Employer
7' atwn( f

Mr. David M. Robinette
July 6, 2011
Page 2 of 2
➢ Condition H.10. —Requires bulk applications in accordance with Realistic Yield Expectations
➢ Condition II.11. — Imposes a reduction of nitrogen application rates
➢ Condition H.13. - Imposes application restrictions based on the Sodium Adsorption Ratio
Condition II1.11. — Imposes bulk application restrictions
➢ Condition M.13. — Addresses controls on public access
➢ Condition 111.15. — Addresses volumes of other nutrient sources applied to the fields
➢ Condition IV.3. — Lists analyses to be performed on residuals
➢ Condition IV A. —
Addresses requirements with pathogens and vector attraction reduction
➢ Condition IV.7. —
Addresses recording requirements for residual application events
➢ Condition IV.9. —
Addresses the submission of an annual report on the program
➢ Condition IV.10.
— Addresses noncompliance notification
➢ Condition V.I. —
Requires adequate inspection and maintenance of the facilities
➢ Condition VI.7. —
Allows the Division Director permit revocation or unilateral modification
➢ Condition VI.8. —
Prohibits expansion of the program under certain circumstances
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6.714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact David Goodrich at (919)
715-6162 or [e-mail].
Sincerely,
o�• oleen H. Sullins
cc: Ale xa nde ,-County Health -Department
oresville�Regional Office;Aqurfer ProteetioiSeciio
Zach Key, Southern Soil Builders, Inc., 958 Hoots Road, Roaring River, NC 28669
Technical Assistance and Certification Unit
Permit File WQ0006906
Notebook File WQ0006906

NORTH CAROLINA
i
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF CLASS B RESIDUAL SOLIDS PERMIT (NON -DEDICATED)
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town of Taylorsvllle,
Alexander County
FOR THE
continued operation of a residuals management program for the Town of Taylorsville and consisting of
the land application of Class B. residuals generated by the approved facilities listed in Attachment A to the
approved sites listed in Attachment B with no discharge of wastes to surface waters, pursuant to the
application received May 23, 2011, and subsequent additional information received by the Division of
Water Quality, and in conformity with other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit. The use and
disposal of residuals are regulated under Title 40 Code of Federal Regulations Part 503. This permit does
not exempt the Permittee from complying with the federal regulations.
This permit shall be effective from the date of issuance until June 30, 2016, shall void Permit No.
WQ0006906 issued October 3, 2002 and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
Within 60 days of permit issuance, the Permittee shall submit two original copies of an updated site
map for each of the three sites with a scale no greater than 1-inch equals 100 feet; however, special
provisions may be granted upon prior approval for large properties. At a minimum, the map shall
include the following information:
a. The location of property boundaries within 500 feet of the disposal areas.
b. The location of compliance and review boundaries.
c. The date the map is prepared and/or revised.
The map and any supporting documentation shall be sent to the Division of Water Quality, Aquifer
Protection Section, 1636 Mail Service Center, Raleigh, NC 27699-1636.
2. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
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P
3. The permittee shall be in full compliance with the regional office notification requirements
established in Condition III.3. within 180 days of permit issuance.
4. Within 180 days of permit issuance, the Permittee shall implement the public access controls
specified under Permit Condition 12I.13.
H. PERFORMANCE STANDARDS
1. The subject residuals management program shall be effectively maintained and operated at all times
so there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, the Permittee shall immediately cease land
applying residuals to the site, contact the Mooresville regional office's Aquifer Protection Section
supervisor, and take any immediate corrective actions.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this residuals management program.
3. Only residuals generated by the facilities listed in Attachment A are approved for land application in
accordance with this permit.
4. Only the sites listed in Attachment B are approved for residuals land application.
5. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not
exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant
Loading Rates (CPLRs):
Parameter
Ceiling Concentration
(milligrams per kilogram)
CPLR
.(pounds per acre)
Arsenic
75
36
Cadmium
85
34
Copper
4,300
1,338
Lead
840
267
Mercury
57
15
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
89
Zinc
7,500
2,498
The Permittee shall determine compliance with the CPLRs using one of the following methods:
a. By calculating the existing cumulative level of pollutants using actual analytical data from all
historical land application events of residuals, or
b. For land where residuals application have not occurred or for which the required data is
incomplete, by determining background concentrations through representative soil sampling.
6. Residuals that are land applied shall meet Class B pathogen reduction requirements in 15A NCAC
. 02T .1106 (a) and (c). Exceptions to this requirement shall be specified in Attachment A.
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7. Biological residuals (i.e. residuals generated during the treatment of domestic or animal processing
wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A)
that are land applied shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T
.1107(a). Exceptions to this requirement shall be specified in Attachment A.
8. Setbacks for land application sites shall be as follows:
Setback by application type
(feet)
Setback Description
Vehicular
Irrigation
Surface
Surface
Injection /
Application
Application
corporation
Habitable residence or place of public assembly
under separate ownership or not to be maintained as
400'
400'
200'
part of the project site
Property lines
50
50
50
Public right of way
50
50
50
Private or public water supply, waters classified as
SA or SB, or any Class I or Class II impounded
100
100
100
reservoir used as a source of drinking water
Surface waters (streams — intermittent and perennial,
perennial waterbodies, and wetlands), any streams
classified as WS or B, or any other stream, canal,
100
100
50
marsh, or coastal waters or any other lake or
impoundment
Upslope interceptor drains and upslope surface water
10
10
10
diversions
Downslope interceptor drains, downslope surface
water diversions, downslope groundwater drainage
25
-,25
25
systems, or downslope surface drainage ditches
'This setback distance may be reduced to a minimum of 100 feet upon written consent of the owner
and approval from the Aquifer Protection Section of the appropriate Divison's regional office in
Attachment B of this permit.
9. Land application areas shall be clearly marked on each site prior to and during any residuals
application event.
10. Bulk residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in
exceedance of agronomic rates, unless authorized by the Division. Appropriate agronomic rates shall
be calculated using expected nitrogen requirements based on the determined Realistic Yield
Expectations (RYE) using any of the following methods:
a. Division's pre -approved site specific historical data for specific crop or soil types by calculating
the mean of the best three yields of the last five consecutive crop harvests for each field.
b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department of Soil. Science (http://www.soil.ncsu.edu/programs/nmp/ iY elds/). A
copy shall be kept on file and reprinted every five years in accordance with Condition IV.7.
c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE
and appropriate nutrient application rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
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Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance
Document: Chapter 1(http://www.enr.state.nc.us/DSWC/paves/guidance docs.html).
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards(ftp://ftp-fe.se.e;aov.usda.gov/NHQ/practice-standards/standards/590i)df).
d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall
contact the Division to determine necessary action.
11. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by
25% in accordance with the USDA-NRCS 590 Nutrient Management Standards.
12. If land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer
and rye grass in the winter with both crops to receive residuals), then the second crop can receive an
application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may
be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted
for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied.
13. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the
Permittee shall obtain and implement recommendations from at least one of the following: the local
Cooperative Extension Office; the Department of Agriculture and Consumer Services; the Natural
Resource Conservation Service; a North Carolina Licensed Soil Scientist; or an agronomist. The
recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a
mechanism for maintaining site integrity and conditions conducive to crop growth. The Permittee
shall maintain written records of these recommendations and details of their implementation.
14. The compliance boundary residual land application sites shall be specified in accordance with 15A
NCAC 02L .0107(b). These sites were individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the residual land application
area, or 50 feet within the property boundary, whichever is closest to the residual land application
area. An exceedance of groundwater standards at or beyond the compliance boundary is subject to
remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C. Any approved
relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B.
15. In accordance with 15A NCAC 02L .0108, the review boundary shall be established midway between
the compliance boundary and the residual land application area. Any exceedance of groundwater
standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106.
III. OPERATION AND MAINTENANCE REQUIREMENTS
The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards.
2. The Mooresville Regional Office, telephone number [phone], and the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at least
48 hours prior to the initial residuals land application event to any new land application site.
Notification to the Aquifer Protection Section's regional supervisor shall be made from 8:00 a.m.
until 5:00 p.m. on Monday through Friday, excluding State Holidays.
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3. The Mooresville Regional Office shall be notified via email or telephone, [phone], at least 24
hours prior to conducting any land application activity. Such notification shall indicate, at a
minimum, the anticipated application times, field IDs, and location of land application activities. If it
becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be
notified prior to commencing the application to those fields.
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T .1110. Modifications to the O&M Plan shall be approved by the Division prior to
utilization of the new plan. The O&M Plan, at the minimum, shall include:
a) Operational functions;
b) Maintenance schedules;
c) Safety measures;
d) Spill response plan;
e) Inspection plan including the following information:
i. Names and titles of personnel responsible for conducting the inspections;
ii. Frequency and location of: inspections, including those -to be: conducted byw-the ORC, and
procedures to assure that the selected location(s) and inspection frequency are representative
of the residuals management program;
iii. Detailed description of inspection procedures including record keeping and actions to be
taken by the inspector in the event that noncompliance is observed pursuant to the
noncompliance notification requirements under the monitoring and reporting section of the
permit;
f) Sampling and monitoring plan including the following information:
i. Names and titles of personnel responsible for conducting the sampling and monitoring;
ii. Detailed description of monitoring procedures including parameters to be monitored;
iii. Sampling frequency and procedures to assure that representative samples are being collected.
Fluctuation in temperature, flow, and other operating conditions can affect the quality of the
residuals gathered during a particular sampling event. The sampling plan shall account for
any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that
land apply multiple times per year but have an annual sampling frequency, may need to
sample during winter months when pathogen reduction is most likely to be negatively
affected by cold temperatures).
5. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the facility, the Permittee shall designate and employ a,_ certified, _operator„ in
responsible charge (ORC) and one or more certified operators as back-up ORCs in accordance with
15A NCAC 08G .0201. The ORC or their back-up shall visit the facilities in accordance with 15A
NCAC 08G. 0204, or as specified in the most recently approved O&M plan (i.e., see Condition
III.4.), and shall comply with all other conditions of 15A NCAC 08G. 0204. For more information
regarding classification and designation requirements, please contact the Division of Water Quality's
Technical Assistance & Certification Unit at [phone].
6. When the Permittee land apply bulk residuals, a copy of this permit and a copy of O&M Plan shall be
maintained at the land application sites during land application activities.
7. When the Permittee transport or land apply bulk residuals, the spill control provisions shall be
maintained in all residuals transport and application vehicles.
8. Residuals shall not be stored at any land application site, unless written approval has been requested
and received from the Division.
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When land applying bulk residuals, adequate measures shall be taken to prevent wind erosion and
surface runoff from conveying residuals from the land application sites onto adjacent properties or
into surface waters.
10. A suitable vegetative cover shall be maintained on land application sites onto which residuals are
applied in accordance with the crop management plan outlined by the local Cooperative Extension
Office, the .Department of Agriculture and Consumer Services, the Natural Resource Conservation
Service, or an agronomist and as approved by the Division.
11. Bulk residuals shall not be land applied under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated within
a 24-hour period following a residuals land application event;
f. During a measurable precipitation event (i.e., greater than 0.01 inch per hour), or within 24 hours
following a rainfall event of 0.5 inches or greater in a 24-hour period;
g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than
18% for injected or incorporated bulk liquid residuals;
h. If the soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to
achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the
pH of the soil, residuals and lime mixture is suitable for the specified crop. Any approved
variations to the acceptable soil pH (6.0) will be noted in Attachment B;
i. If the land does not have an established vegetative cover unless the residuals are incorporated or
injected within a 24-hour period following a residuals land application event;
If the vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot;
k. If the vertical separation of bedrock and the depth of residuals application is less than one foot.
1. Application exceeds agronomic rates.
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g.,
1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information, including the Permittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each land application site during a land
application event, and for as long as the public access restrictions required under Permit Condition
III.12. apply.
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14. The following harvesting and grazing restrictions apply to residual land application sites after each
land application event:
Harvesting and Grazing Description
Restricted
Duration
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
30 days
prevent access after each land application event.
Food crops, feed crops and fiber crops shall not be harvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
14 months
shall not be harvested for:
When the residuals remain on the land surface for four months or longer prior to
incorporation into the soil, food crops with harvested parts below the land
20 months
surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be
harvested for:
When the residuals remain on the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
38 months
surface shall not be harvested for:
15. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume
of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that
have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for
those operations where a NMP is required by the US Department of Agriculture — National Resources
Conservation Service (MRCS) or other State Agencies. The Permittee shall calculate allowable
nutrient loading rates based on the provided information and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan.
16. No residuals shall be land applied unless the submitted Land Owner Agreement Attachment (LOAA)
between the Permittee and landowners or lessees/operators of the land application site is in full force
and effect. These agreements shall be considered expired concurrent with the permit expiration date,
and shall be renewed during the permit renewal process.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sample reporting schedule shall be followed.
2. Residuals shall be analyzed to demonstrate they are non -hazardous under the Resource Conservation
and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity, and toxicity
characteristic leaching procedure (TCLP)] shall be performed at the frequency specified in
Attachment A, and the Permittee shall maintain these results for a minimum of five years. Any
exceptions from the requirements in this condition shall be specified in Attachment A.
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The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter
is in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1, 1 -Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide)
(0.008)
Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
Once the residuals have been monitored for two years at the frequency specified in Attachment A, the
Permittee may submit a permit modification request to reduce the frequency of this monitoring
requirement. In no case shall the monitoring frequency be less than once per permit cycle.
An analysis shall be conducted on residuals from each source generating facility at the frequency
specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years.
The analysis shall include the following parameters:
Aluminum
Mercury
Potassium
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
(SAR)
Calcium
Percent Total Solids
TKN
Copper
pH
Zinc
Lead
Phosphorus
Magnesium
Plant Available Nitrogen
(by calculation)
4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling
and monitoring sections of the approved O&M plan. The required data shall be specific to the
stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen
reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction
requirement in 15A NCAC 02T .1107 (a) shall be met. Any exceptions from the requirements in this
condition shall be specified in Attachment A.
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An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B on which a residuals land application event will
occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instructions section of the NC Department of Agriculture &
Consumer Services' website (http://www.neagr.gov/agronomi/pubs.htm). The Permittee shall
maintain these results and a description of the sampling methodologies used to determine soil fertility
for a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 15A NCAC 02B .0505.
7. The Permittee shall maintain records tracking all residual land application events. At a minimum,
these records shall include the following:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Approximate areas applied to (acres);
e. Method of land application;
f. Weather conditions (e.g., sunny, cloudy, raining, etc.);
g. Predominant Soil Mapping Unit (e.g., CbB2);
h. Soil conditions (e.g., dry, wet, frozen, etc.);
i. Type of crop or crops to be grown on field;
j. Nitrogen Application Rate based on RYEs (if using data obtained from the North Carolina State
University Department of Soil Science Website, the printout page shall be kept on file and
reprinted every five years);
k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet
ton per acre;
1. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or
wet tons per acre;
in. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, or wet tons per acre; and
n. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per
acre of phosphorus applied to each field.
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All laboratory analyses of residuals, ground water, or surface water shall be made by a laboratory
certified by the Division for the required parameter(s) under 15A NCAC 02H .0800 or 15A NCAC
2H .1100.
Three copies of an annual report shall be submitted on or before March 1 ". The annual report shall
meet the requirements described in the Instructions for Residuals Application Annual Reporting
Forms. Instructions for reporting and annual report forms are available at
http://portal.ncdenr.org/web/wq/a-Ds/lau/reporting, or can be obtained by contacting the Land
Application Unit directly. The annual report shall be submitted to the following address:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
10. Noncompliance Notification
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence with the land application program resulting in the land application of significant
amounts of wastes that are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to surface waters.
Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
WQ0006906 Version 3.0 Shell Version 101116 Page 10 of 12

V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan.
2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and application facilities to prevent malfunctions, facility deterioration
and operator errors resulting in discharges, which may cause the release of wastes to the
environment, a threat to human health or a public nuisance. The Permittee shall maintain an
inspection log that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log
for a period of five years from the date of inspection, and this log shall be made available to the
Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at any reasonable time for the purpose of determining compliance with this permit; may inspect or
copy any records required to be maintained under the terms and conditions of this permit; and may
collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the residuals land application events are not carried out in
accordance with the conditions of this permit.
3. This permit is effective only with respect to the nature and volume of residuals described in the
permit application and other supporting documentation.
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO10000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. In the event the residuals program changes ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate documentation from the parties involved and other
supporting documentation as necessary. The Permittee of record shall remain fully responsible for
maintaining and operating the residuals program permitted herein until a permit is issued to the new
owner.
6. This permit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and
monitoring requirements the Division deems necessary in order to protect the environment and public
health adequately.
7. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
WQ0006906 Version 3.0 Shell Version 101116 Page 11 of 12

Unless the Division Director grants a variance, expansion of the permitted residuals program
contained herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC
02T .0120(b).
The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 6th day of July 2011
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
i
or en H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0006906
WQ0006906 Version 3.0 Shell Version 101116 Page 1.2 of 12

ATTACHMENT A - Approved Residual Sources
Town of Taylorsville
Residuals Source -Generating Facility
Certification Date: July 6, 2011
Permit Number: WQ0006906 Version: 3.0
Monitoring
Maximum
Monitoring
Monitoring
Frequency for
Approved
Owner
Facility Name
County
Permit
Biological
Dry Tons
Frequency for
Frequency for
Pathogen &
Mineralization
Number
Residuals
Per Year
Non -hazardous
z
Metals and
s, s
Vector Attraction
Rate
Characteristics
Nutrients
Reductions 4, 5
Town of Taylorsville
Town of Taylorsville W WTP
Alexander
NC0026271
Yes
150.00
Annually
Aimually
Annually
0.30
Total
150.00
1. Maximum Dry Tons per Year is the amount of residuals product approved for distribution from the permitted facility.
2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA. Permit application indicated that lime stabilization will be performed to meet pathogen reduction
requirements and that alkaline stabilization will be performed to meet vector attraction reductions. However, other methods listed under 15A NCAC 02T .1106(b) and .1107(a) can also be used to
demonstrate compliance with this permit requirement.
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
Dry Tons Generated
short tons per ear)
Monitoring Frequency
Established in 40 CFR 503 and 15A NCAC 02T .1111
<319
1 /Year
=>319 - <1,650
I/ Quarter (4 times per year)
=>1,650 - <16,500
1/60 Days (6 times per year)
_> 16,500
I/month 12 times per year)
If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is
required), then no sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data.
Thoserequired to submit the annual report to EPA may be required to make up the missed sampling, contact the EPA for additional information and
clarification.
Page 1 of 1

ATTACHMENT B — Approved Land Application Sites Permit Number: WQ0006906 Version: 3.0
Town of Taylorsville
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Acret a
Dominant Soil Series
Footnotes
NC-AL-08-01
Icenhour, Owen
Alexander
35052' 17"
81006'02"
20.70
CeB2 — Cecil Sandy Clay Loam
NC-AL-08-02
Icenhour, Owen
Alexander
35052'34"
81005'59"
20.60
CeB2 — Cecil Sandy Clay Loam
NC-AL-08-04
Icenhour, Owen
Alexander
35052' l7"
81005'59"
10.10
CeB2 — Cecil Sandy Clay Loam
Total for County
Alexander
51.40
Total
51.40
Page 1 of 1

HCDEHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 6, 2011
David M. Robinette, Director of Public Works
Town of Taylorsville
204 Main Avenue Drive
Taylorsville, NC 28681
Subject: Permit No. WQ0006906
Town of Taylorsville
Town of Taylorsville Residuals Land Application Program
Non -Dedicated Land Application of Residual Solids (503)
Alexander County
Dear Mr. Robinette:
In accordance with your permit renewal application request received through Southern Soil
Builders on May 23, 2011, and subsequent additional information received by the Technical Assistance
and Certification Unit on June 23, 2011, we are forwarding herewith Permit No. WQ0006906, dated July
6, 20'l1, to the Town of Taylorsville for the continued operation of the subject residuals management
program. Please note that Field NC-AL-08-03 is being removed from the permit, lowering the available
application area from 62.5 to 51.4 available acres.
This permit shall be effective from the date of issuance until June 30, 2016, shall void Permit No.
WQ0006906 issued October 3, 2002, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A and B for
they may differ from the previous permit issuance. Failure to establish an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
`Please -note 11R on September 1, 2006, North Carolina Admirdstrative Code Title 15
Subchapter 02T — Waste not Discharged to Surface Waters was adopted. Accordingly, this pern
incorporates the requirements of these rules, therefore, please take the time to review this perm
`y thoroughly' b The following _—_ conditions have been added, P
modified or deleted from those in the last ern
l b
issuance
a Condition I.I. — Requires the timely submission of detailed site maps
Condition 1.2. — Requires the timely submission of permit renewal forms
}> Condition I.3. — Requires notifying the Regional Office prior to land application
➢ Condition I.4. — Requires the timely implementation of public access controls
9 Condition Il.l . —Requires the program to be effectively maintained and operated
AQUIFER PROTECTION SECTION
1636 Nail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard. Raleigh, North Carolina 27604 One
919-733-3221 1 FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service:1-877-623-6748
Internet: htto:/ioortai.ncdenr.oraiwebiwolaos Ncri floi.lria
�¢ g eil
An Equal Opportunity y Affirmative Action Employer

Mr. David -M. Robinette - '>
July 61:2011
j
Page 2 of 2
➢
Condition II.10. — Requires bulk applications in accordance with Realistic Yield Expectations
➢
Condition 11.11. — Imposes a reduction of nitrogen application rates
➢
Condition II.13. - Imposes application restrictions based on the Sodium Adsorption Ratio
➢
Condition III.11. —Imposes bulk application restrictions
➢
Condition III.13. — Addresses controls on public access
➢
'Condition III.15. — Addresses volumes of other nutrient sources applied to the fields
➢
Condition IV.3. — Lists analyses to be performed on residuals
➢
Condition IV.4. — Addresses requirements with pathogens and vector attraction reduction
➢
Condition IV.7. — Addresses recording.requirements for residual application events
➢
Condition IV.9. — Addresses the submission of an annual report on the program
➢
Condition IV.10. — Addresses noncompliance notification
➢
Condition V.1. — Requires adequate inspection and maintenance of the facilities
➢
Condition VI.7. — Allows the Division Director permit revocation or unilateral modification
➢
Condition VI.8. — Prohibits expansion of the program under certain circumstances
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact David Goodrich at (919)
715-6162 or [e-mail].
Sincerely,
oleen H. Sullins
cc: Alexander County Health Department
Mooresville Regional Office, Aquifer Protection Section
Zach Key, Southern Soil Builders, Inc., 958 Hoots Road, Roaring River, NC 28669
Technical Assistance and Certification Unit
Permit File WQ0006906
Notebook File WQ0006906

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF CLASS B RESIDUAL SOLIDS PERMIT (NON -DEDICATED)
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town ®f Tayl®rsvllle
Alexander County
FOR THE
continued operation of a residuals management program for the Town of Taylorsville and consisting of
the land application of Class B residuals generated by the approved facilities listed in Attachment A to the
approved sites listed in Attachment B with no discharge of wastes to surface waters, pursuant to the
application received May 23, 2011, and subsequent additional information received by the Division of
Water Quality, and in conformity with other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit. The use and
disposal of residuals are regulated under Title 40 Code of Federal Regulations Part 503. This permit does
not exempt the Permittee from complying with the federal regulations.
This permit shall be effective from the date of issuance until Tune 30, 2016, shall void Permit No.
WQ0006906 issued October 3, 2002 and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
Within 60 days of permit issuance, the Permittee shall submit two original copies of an updated site
map for each of the three sites with a scale no greater than 1-inch equals 100 feet; however, special
provisions may be granted upon prior approval for large properties. At a minimum, the map shall
include the following information:
a. The location of property boundaries witlun 500 feet of the disposal areas.
b. The location of compliance and review boundaries.
c. The date the map is prepared and/or revised.
The map and any supporting documentation shall be sent to the Division of Water Quality, Aquifer
Protection Section, 1636 Mail Service Center, Raleigh, NC 27699-1636.
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the pernut for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
WQ0006906 Version 3.0 Shell Version 101116 Paee 1 of 12

3. The permittee shall be in full compliance with the regional office notification requirements
established in Condition IH.3. within 180 days of permit issuance.
4. Within 180 days of permit issuance, the Permittee shall implement the public access controls
specified under Permit Condition HI.13.
II. PERFORMANCE STANDARDS
1. The subject residuals management program shall be effectively maintained and operated at all times
so there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, the Permittee shall immediately cease land
applying residuals to the site, contact the Mooresville regional office's Aquifer Protection Section
supervisor, and take any immediate corrective actions.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this residuals management program.
3. Only residuals generated by the facilities listed in Attachment A are approved for land application in
accordance with this permit.
4. Only the sites listed in Attachment B are approved for residuals land application.
5. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not
exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant
Loading Rates (CPLRs):
Parameter
Ceiling Concentration
(milligrams per kilogram)
CPLR
(pounds per acre)
Arsenic
75
36
Cadmium
85
34
Copper
4,300
1,338
Lead
840
267
Mercury
57
15
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
89
Zinc
7,500
2,498
The Permittee shall determine compliance with the CPLRs using one of the following methods:
a. By calculating the existing cumulative level of pollutants using actual analytical data from all
historical land application events of residuals, or
b. For land where residuals application have not occurred or for which the required data is
incomplete, by determining background concentrations through representative soil sampling.
6. Residuals that are land applied shall meet Class B pathogen reduction requirements in 15A NCAC
. 02T .1106 (a) and (c). Exceptions to this requirement shall be specified in Attachment A.
WQ0006906 Version 3.0 Shell Version 101116 Page 2 of 12

7. Biological residuals (i.e. residuals generated during the treatment of domestic or animal processing
wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A)
that are land applied shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T
.1107(a). Exceptions to this requirement shall be specified in Attachment A.
8. Setbacks for land application sites shall be as follows:
Setback by application type
(feet)
Setback Description
Vehicular
Irrigation
Injection /
Surface
Surface
corporation
Application
Application
Habitable residence or place of public assembly
under separate ownership or not to be maintained as
400'
400'
200'
part of the project site
Property lines
50
50
50
Public right of way
50
50
50
Private or public water supply, waters classified as
SA or SB, or any Class I or Class H impounded
100
100
100
reservoir used as a source of drinking water
Surface waters (streams — intermittent and perennial,
perennial waterbodies, and wetlands), any streams
classified as W.S or B, or any other stream, canal,
100
100
50
marsh, or coastal waters or any other lake or
impoundment
Upslope interceptor drains and upslope surface water
10
10
10
diversions
Downslope interceptor drains, downslope surface
water diversions, downslope groundwater drainage
25
25
25
systems, or downslope surface drainage ditches
'This setback distance may be reduced to a minimum of 100 feet upon written consent of the owner
and approval from the Aquifer Protection Section of the appropriate Divison's regional office in
Attachment B of this permit.
9. Land application areas shall be clearly marked on each site prior to and during any residuals
application event.
10. Bulk residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in
exceedance of agronomic rates, unless authorized by the Division. Appropriate agronomic rates shall
be calculated using expected nitrogen requirements based on the determined Realistic Yield
Expectations (RYE) using any of the following methods:
a. Division's pre -approved site specific historical data for specific crop or soil types by calculating
the mean of the best three yields of the last five consecutive crop harvests for each field..
b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department of Soil Science (http:HwwNN,.soil.ncsu.edu/proUrams/nmp/yields/). A
copy shall be kept on file and reprinted every five years in accordance with Condition IV.7.
c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE
and appropriate nutrient application rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
WQ0006906 Version 3.0 Shell Version 101116 Page 3 of 12

Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance
Document: Chapter 1 (http://www.enr.state.nc.us/DSWC,Ipaaes/--uidance docs.html).
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards(ftn://ftp-fc.sc.egov.usda.�ov/NHQ/practice-standards/standards/590.pd�f ..
d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall
contact the Division to determine necessary action.
11. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by
25% in accordance with the USDA-NRCS 590 Nutrient Management Standards.
12. If land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer
and rye grass in the winter with both crops to receive residuals), then the second crop can receive an
application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may
be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted
for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied.
13. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the
Permittee shall obtain and implement recommendations from at least one of the following: the local
Cooperative Extension Office; the Department of Agriculture and Consumer Services; the Natural
Resource Conservation Service; a North Carolina Licensed Soil Scientist; or an agronomist. The
recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a
mechanism for maintaining site integrity and conditions conducive to crop growth. The Permittee
shall maintain written records of these recommendations and details of their implementation.
14. The compliance boundary residual land application sites shall be specified in accordance with 15A
NCAC 02L .0107(b). These sites were individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the residual land application
area, or 50 feet within the property boundary, whichever is closest to the residual land application
area. An exceedance of groundwater standards at or beyond the compliance boundary is subject to
remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C. Any approved
relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B.
15. In accordance with 15A NCAC 02L .0108, the review boundary shall be established midway between
the compliance boundary and the residual land application area. Any exceedance of groundwater
standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106.
III. OPERATION AND MAINTENANCE REQUIREMENTS
The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards.
2. The Mooresville Regional Office, telephone number [phone], and the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at least
48 hours prior to the initial residuals land application event to any new land application site.
Notification to the Aquifer Protection Section's regional supervisor shall be made from 8:00 a.m.
until 5:00 p.m. on Monday through Friday, excluding State Holidays.
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3. The Mooresville Regional Office shall be notified via email or telephone, [phone], at least 24
hours prior to conducting any land application activity. Such notification shall indicate, at a
minimum, the anticipated application times, field IDs, and location of land application activities. If it
becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be
notified prior to commencing the application to those fields.
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T .1110. Modifications to the O&M Plan shall be approved by the Division prior to
utilization of the new plan. The 0&M Plan, at the minimum, shall include:
a) Operational functions;
b) Maintenance schedules;
c) Safety measures;
d) Spill response plan;
e) Inspection plan including the following information:
i. Names and titles of personnel responsible for conducting the inspections;
ii. Frequency and location of inspections, including those to be conducted by the ORC, and
procedures to assure that the selected location(s) and inspection frequency are representative
of the residuals management program;
iii. Detailed description of inspection procedures including record keeping and actions to be
taken by the inspector in the event that noncompliance is observed pursuant to the
noncompliance notification requirements under the monitoring and reporting section of the
permit;
f) Sampling and monitoring plan including the following information:
i. Names and titles of personnel responsible for conducting the sampling and monitoring,
ii. Detailed description of monitoring procedures including parameters to be monitored;
iii. Sampling frequency and procedures to assure that representative samples are being collected.
Fluctuation in temperature, flow, and other operating conditions can affect the quality of the
residuals gathered during a particular sampling event. The sampling plan shall account for
any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that
land apply multiple times per year but have an annual sampling frequency, may need to
sample during winter months when pathogen reduction is most likely to be negatively
affected by cold temperatures).
Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the facility, the Permittee shall designate and employ a certified operator in
responsible charge (ORC) and one or more certified operators as back-up ORCs in accordance with
15A NCAC 08G .0201. The ORC or their back-up shall visit the facilities in accordance with 15A
NCAC 08G. 0204, or as specified in the most recently approved O&M plan (i.e., see Condition
II1.4.), and shall comply with all other conditions of 15A NCAC 08G. 0204. For more information
regarding classification and designation requirements, please contact the Division of Water Quality's
Technical Assistance & Certification Unit at [phone].
6. When the Permittee land apply bulk residuals, a copy of this permit and a copy of O&M Plan shall be
maintained at the land application sites during land application activities.
When the Permittee transport or land apply bulk residuals, the spill control provisions shall be
maintained in all residuals transport and application vehicles.
8. Residuals shall not be stored at any land application site, unless written approval has been requested
and received from the Division.
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When land applying bulk residuals, adequate measures shall be taken to prevent wind erosion and
surface runoff from conveying residuals from the land application sites onto adjacent properties or
into surface waters.
10. A suitable vegetative cover shall be maintained on land application sites onto which residuals are
applied in accordance with the crop management plan outlined by the local Cooperative Extension
Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation
Service, or an agronomist and as approved by the Division.
11. Bulk residuals shall not be land applied under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated within
a 24-hour period following a residuals land application event;
f. During a measurable precipitation event (i.e., greater than 0.61 inch per hour), or within 24 hours
following a rainfall event of 0.5 inches or greater in a 24-hour period;
g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than
1 8 % for injected or incorporated bulk liquid residuals;
h. If the soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to
achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the
pH of the soil, residuals and lime mixture is suitable for the specified crop. Any approved
variations to the acceptable soil pH (6.0) will be noted in Attachment B;
i. If the land does not have an established vegetative cover unless the residuals are incorporated or
injected within a 24-hour period following a residuals land application event;
j. If the vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot;
k. If the vertical separation of bedrock and the depth of residuals application is less than one foot.
1. Application exceeds agronomic rates.
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g.,
1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information, including the Permittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each land application site during a land
application event, and for as long as the.public access restrictions required under Permit Condition
III.12. apply.
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14. The following harvesting and grazing restrictions apply to residual land application sites after each
land application event:
Harvesting and Grazing Description
Restricted
Duration
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
30 days
prevent access after each land application event.
Food crops, feed crops and fiber crops shall not be harvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
14 months
shall not be harvested for:
When the residuals remain on the land surface for four months or longer prior to
incorporation into the soil, food crops with harvested parts below the land
20 months
surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be
harvested for:
When the residuals remain on the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
38 months
surface shall not be harvested for:
15. The Permittee shall acquire from each landowner or lessee/operator a statementdetailing the volume
of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that
have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for
those operations where a NMP is required by the US Department of Agriculture — National Resources
Conservation Service (MRCS) or other State Agencies. The Permittee shall calculate allowable
nutrient loading rates based on the provided information and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan.
16. No residuals shall be land applied unless the submitted Land Owner Agreement Attachment (LOAA)
between the Permittee and landowners or lessees/operators of the land application site is in full force
and effect. These agreements shall be considered expired concurrent with the permit expiration date,
and shall be renewed during the pen -nit renewal process.
rV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sample reporting schedule shall be followed.
2. Residuals shall be analyzed to demonstrate they are non -hazardous under the Resource Conservation
and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity, and toxicity
characteristic leaching procedure (TCLP)] shall be performed at the frequency specified in
Attachment A, and the Permittee shall maintain these results for a minimum of five years. Any
exceptions from the requirements in this condition shall be specified in Attachment A.
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The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter
is in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1,1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide)
(0.008)
Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
Once the residuals have been monitored for two years at the frequency specified in Attachment A, the
Permittee may submit a permit modification request to reduce the frequency of this monitoring
requirement. In no case shall the monitoring frequency be less than once per permit cycle.
3. An analysis shall be conducted on residuals from each source generating facility at the frequency
specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years.
The analysis shall include the following parameters:
Aluminum
Mercury
Potassium
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
(SAR)
Calcium
Percent Total Solids
TKN
Copper
pH
Zinc
Lead
Phosphorus
Magnesium
Plant Available Nitrogen
(by calculation)
4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling
and monitoring sections of the approved O&M plan. The required data shall be specific to the
stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen
reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction
requirement in 15A NCAC 02T .1107 (a) shall be met. Any exceptions from the requirements in this _
condition shall be specified in Attachment A.
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An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B on which a residuals land application event will
occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instructions section of the NC Department of Agriculture &
Consumer Services' website(http:/,/www.ncaar.aovllagronomi/pul)s.htm). The Permittee shall
maintain these results and a description of the sampling methodologies used to determine soil fertility
for a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 15A NCAC 02B .0505.
7. The Permittee shall maintain records tracking all residual land application events. At a minimum,
these records shall include the followin-:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Approximate areas applied to (acres);
e. Method of land application;
f. Weather conditions (e.g., sunny, cloudy, raining, etc.);
g. Predominant Soil Mapping Unit (e.g., CbB2);
h. Soil conditions (e.g., dry, wet, frozen, etc.);
i. Type of crop or crops to be grown on field;
j. Nitrogen Application Rate based on RYEs (if using data obtained from the North Carolina State
University Department of Soil Science Website, the printout page shall be kept on file and
reprinted every five years);
k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet
ton per acre;
1. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or
wet tons per acre;
in. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
tn
acre, or wet tons per acre; and
n. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per
acre of phosphorus applied to each field.
WQ0006906 Version 3.0 Shell Version 1011 ] 6 Page 9 of 1?

8. All laboratory analyses of residuals, ground water, or surface water shall be made by a laboratory
certified by the Division for the required parameter(s) under 15A NCAC 02H .0800 or 15A NCAC
211.1100.
9. Three copies of an annual report shall be submitted on or before March 15t. The annual report shall
meet the requirements described in the Instructions for Residuals Application Annual Reporting
Forms. Instructions for reporting and annual report forms are available at
http://uortal.ncdenr.or�,/web/wa/aDs/lau/reportin, or can be obtained by contacting the Land
Application Unit directly. The annual report shall be submitted to the following address:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
10. Noncompliance Notification
The Pennittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence with the land application program resulting in the land application of significant
amounts of wastes that are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to surface waters.
Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
WQ0006906 Version 3.0 Shell Version 101116 Page 10 of 12

V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan.
2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and application facilities to prevent malfunctions, facility deterioration
and operator errors resulting in discharges, which may cause the release of wastes to the
environment, a threat to human health or a public nuisance. The Permittee shall maintain an
inspection log that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log
for a period of five years from the date of inspection, and this log shall be made available to the
Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at any reasonable time for the purpose of determining compliance with this pennit; may inspect or
copy any records required to be maintained under the terms and conditions of this pennit; and may
collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
This permit shall become voidable if the residuals land application events are not carried out in
accordance with the conditions of this permit.
This permit is effective only with respect to the nature and volume of residuals described in the
permit application and other supporting documentation.
The issuance of this permit does not exempt the Pernittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCG010000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of.
Chapter 143 of the General Statutes.
5. In the event the residuals program changes ownership or the Permittee changes their name, a formal
pennit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate documentation from the parties involved and other
supporting documentation as necessary. The Permittee of record shall remain fully responsible for
maintaining and operating the residuals program permitted herein until a permit is issued to the new
owner.
6. This permit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and
monitoring requirements the Division deems necessary in order to protect the environment and public
health adequately.
7. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
. Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
WQ0006906 Version 3.0 Shell Version 101116 Page I 1 of 12

Unless the Division Director grants a variance, expansion of the permitted residuals program
contained herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC
02T .0120(b).
The Permittee shall .pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 6th day of July 2011
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
i
or en H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0006906
WQ0006906 Version 3.0 Shell Version 101116 Page 12 of 12

ATTACHMENT A - Approved Residual Sources
Town of Taylorsville
7
Residuals Source -Generating Facility
Certification Date: July 6, 2011
Permit Number: WQ0006906 Version: 3.0
Monitoring
Maximum
Mon
1�I
Monitoringacne
9 Y for
rroved
Approved
pl
Facility Name
County
Permit
Number
Residua
Residuals
Dry Tons
Frequency for
Non -hazardous
Frequency for
Metals and
Pathogen &
g
Mineralization
Per Year
Characteristics Z
Nutrients 3' S
vector Attraction
4, 5
Rate
Reductions
Town of Taylorsville
Town of Taylorsville WWTP
Alexander
NC0026271
Yes
150.00
Annually
Annually
Annually
0.30
Total
150.00
1, Maximum Dry Tons per Year is the amount of residuals product approved for distribution from the permitted facility.
2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA. Permit application indicated that lime stabilization will be performed to meet. pathogen reduction
requirements and that alkaline stabilization will be performed to meet vector attraction reductions. However, other methods listed under 15A NCAC 02T .1106(b) and .1 107(a) can also be used to
demonstrate compliance with this permit requirement.
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
Dry Tons Generated
short tons per ear
Monitoring Frequency
Established in 40 CFR 503 and 15A NCAC 02T .1111
<319
1[Year
=>319 - <1,650
I/ Quarter 4 times per year
_> 1,650 - <16,500
1/60 Days (6 times per year
=>16,500
I/month (12 times per year)
If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is
required), then no sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data.
Those required to submit the annual report to EPA may be required to make up the missed sampling, contact the EPA for additional information and
clarification.
Page 1 of 1

ATTACHMENT B — Approved Land Application Sites Permit Number: WQ0006906 Version: 3.0
Town of Tavlorsville
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Acret a
Dominant Soil Series
Footnotes
NC-AL-08-01
Icenhour, Owen
Alexander
35'52' 17"
81 °06'02"
20.70
CeB2 — Cecil Sandy Clay Loam
NC-AL-08-02
Icenhour, Owen
Alexander
35°52'34"
81005'59"
20.60
CeB2 — Cecil Sandy Clay Loam
NC-AL-08-04
Icenhour, Owen
Alexander
35052' 17"
81005'59"
10.10
CeB2 — Cecil Sandy Clay Loam
701cr1 for Comity
Alexander
51.40
Total
51.40
Page 1 of 1

HCDENR
North Carolina Department of Environment and Natura
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
July 6, 2011
David M. Robinette, Director of Public Works
Town of Taylorsville
204 Main Avenue Drive
Taylorsville, NC 28681
Dear Mr. Robinette:
Resources
Dee Freeman
Secretary
Subject: Permit No:W.
__000:690=6_
Town of Taylorsville
Town of Taylorsville Residuals Land Application Program
Non -Dedicated Land Application of Residual Solids (503)
Alexander County
In accordance with your permit renewal application request received through Southern Soil
Builders on May 23, 2011, and subsequent additional information received by the Technical Assistance
and Certification Unit on June 23, 2011, we are forwarding herewith Permit No. WQ0006906, dated July
6, 2011, to the Town of Taylorsville for the continued operation of the subject residuals management
program. Please note that Field NC-AL-08-03 is being removed from the permit, lowering the available
application area from 62.5 to 51.4 available acres.
This permit shall be effective from the date of issuance until June 30, 2016, shall void Permit No.
WQ0006906 issued October 3, 2002, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A and B for
they may differ from the previous permit issuance. Failure to establish an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
Please note that on September 1, 2006, North Carolina Administrative Code Title 15A
Subchapter 02T — Waste not Discharged to Surface Waters was adopted. Accordingly, this permit
incorporates the requirements of these rules, therefore, please take the time to review this permit
thoroughly. The following conditions have been added, modified or deleted from those in the last permit
issuance
)�> Condition I.I. — Requires the timely submission of detailed site maps
➢ Condition I.2. — Requires the timely submission of permit renewal forms
➢ Condition I.3. — Requires notifying the Regional Office prior to land application
➢ Condition 1.4. — Requires the timely implementation of public access controls
Condition II.1. —Requires the program to be effectively maintained and operated
AQUIFER, PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard. Raleigh, North Carolina 27604 One
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919.715-60481 Customer Service: 1-877-623-6748 11 e, • r t,
Internet:htto:lloortal.ncdenr.ora/wehlwa/aDs 1`'�a, r.11�.-,cla0E1><ea
An Equal Opportunity \ Afrirmative.Action Employer ' �`

f P
Mr. David M. Robinette
July 6, 2011
Page 2 of-')
➢
Condition II.10. —Requires bulk applications in accordance with Realistic Yield Expectations
➢
Condition U.11. — Imposes a reduction of nitrogen application rates
➢
Condition H.13. - Imposes application restrictions based on the Sodium Adsorption Ratio
➢
Condition III.11. — Imposes bulk application restrictions
➢
Condition III.13. — Addresses controls on public access
➢
'Condition Ill.15. — Addresses volumes of other nutrient sources applied to the fields
➢
Condition IV.3. — Lists analyses to be performed on residuals
➢
Condition IV A. — Addresses requirements with pathogens and vector attraction reduction
➢
Condition IV.7. — Addresses recording requirements for residual application events
➢
Condition N.9. — Addresses the submission of an annual report on the program
➢
Condition IV.10. — Addresses noncompliance notification
➢
Condition V.1. — Requires adequate inspection and maintenance of the facilities
➢
Condition VI.7. — Allows the Division Director permit revocation or unilateral modification
➢
Condition VI.8. — Prohibits expansion of the program under certain circumstances
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact David Goodrich at (919)
715-6162 or david.goodrich@ncdenngov.
Sincerely,
or oleen H. Sullins
cc: Alexander County Health Department
Mooresville Regional Office, Aquifer Protection Section
Zach Key, Southern Soil Builders, Inc., 958 Hoots Road, Roaring River, NC 28669
Technical Assistance -and Certification Unit
Permit File WQ0006906
Notebook File WQ0006906

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF CLASS B RESIDUAL SOLIDS PERMIT (NON -DEDICATED)
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town of Taylorsvllle
Alexander County
FOR THE
continued operation of a residuals management program for the Town of Taylorsville and consisting of
the land application of Class B residuals generated by the approved facilities listed in Attachment A to the
approved sites listed in Attachment B with no discharge of wastes to surface waters, pursuant to the
application received May 23, 2011, and subsequent additional information received by the Division of
Water Quality,, and in conformity with other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit. The use and
disposal of residuals are regulated under Title 40 Code of Federal Regulations Part 503. This permit does
not exempt the Permittee from complying with the federal regulations.
This permit shall be effective from the date of issuance until June 30, 2016, shall void Permit No.
WQg006906 issued October 3, 2002 and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
Within 60 days of permit issuance, the Permittee shall submit two original copies of an updated site
map for each of the three sites with a scale no greater than I -inch equals 100 feet; however, special
provisions may be granted upon prior approval for large properties. At a minimum, the map shall
include the following information:
a. The location of property boundaries within 500 feet of the disposal areas.
b. The location of compliance and review boundaries.
c. The date the map is prepared and/or revised.
The map and any supporting documentation shall be sent to the Division of Water Quality, Aquifer
Protection Section, 1636 Mail Service Center, Raleigh, NC 27699-1636.
2. No later than six months prior to the expiration of this pennit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
WQ0006906 Version 3.0 Shell Version 101116 Page 1 of 12

3. The permittee shall be in full compliance with the regional office notification requirements
established in Condition III.3. within 180 days of permit issuance.
4. Within 180 days of permit issuance, the Permittee shall implement the public access controls
specified under Permit Condition III.13.
II. PERFORMANCE STANDARDS
1. The subject residuals management program shall be effectively maintained and operated at all times
so there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, the Permittee shall immediately cease land
applying residuals to the site, contact the Mooresville regional office's Aquifer Protection Section
supervisor, and take any immediate corrective actions.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this residuals management program.
3. Only residuals generated by the facilities listed in Attachment A are approved for land application in
accordance with this permit.
4. Only the sites listed in Attachment B are approved for residuals land application.
5. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not
exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant
Loading Rates (CPLRs):
Parameter
Ceiling Concentration
(milligrams per kilogram)
CPLR
(pounds per acre)
Arsenic
75
36
Cadmium
85
34
Copper
4,300
1,338
Lead
840
267
Mercury
57
15
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
89
Zinc
7,500
2,498
The Permittee shall determine compliance with the CPLRs using one of the following methods:
a. By calculating the existing cumulative level of pollutants using actual analytical data from all
historical land application events of residuals, or
b. For land where residuals application have not occurred or for which the required data is
incomplete, by determining background concentrations through representative soil sampling.
6. Residuals that are land applied shall meet Class B pathogen reduction requirements in 15A NCAC
. 02T .1106 (a) and (c). Exceptions to this requirement shall be specified in Attachment A.
WQ0006906 Version 3.0 Shell Version 101116 Page 2 of 12

7. Biological residuals (i.e. residuals generated during the treatment of domestic or animal processing
wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A)
that are land applied shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T
.1107(a). Exceptions to this requirement shall be specified in Attachment A.
8. Setbacks for land application sites shall be as follows:
Setback by application type
(feet)
Setback Description
Vehicular
Irrigation
Injection /
Surface
Surface
corporation
Application
Application
Habitable residence or place of public assembly
under separate ownership or not to be maintained as
400'
400'
200'
part of the project site
Property lines
50
50
50
Public right of way
50
50
50
Private or public water supply, waters classified as
SA or SB, or any Class I or Class II impounded
100
100
100
reservoir used as a source of drinking water
Surface. waters (streams — intermittent and perennial,
perennial waterbodies, and wetlands), any streams
classified as WS or B, or any other stream, canal,
100
100
50
marsh, or coastal waters or any other lake or
impoundment
Upslope interceptor drains and upslope surface water
10
10
10
diversions
Downslope interceptor drains, downslope surface
water diversions, downslope groundwater drainage
25
25
25
systems, or downslope surface drainage ditches
'This setback distance may be reduced to a minimum of 100 feet upon written consent of the owner
and approval from the Aquifer Protection Section of the appropriate Divison's regional office in
Attachment B of this permit.
9. Land application areas shall be clearly marked on each site prior to and during any residuals
application event.
10. Bulk residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in
exceedance of agronomic rates, unless authorized by the Division. Appropriate agronomic rates shall
be calculated using expected nitrogen requirements based on the determined Realistic Yield
Expectations (RYE) using any of the following methods:
a. Division's pre -approved site specific historical data for specific crop or soil types by calculating
the mean of the best three yields of the last five consecutive crop harvests for each field.
b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department of Soil Science (littp://wN�,w.soil.ncsu.edu/proo-rams/nmpivields/). A
copy shall be kept on file and reprinted every five years in accordance with Condition IV.7.
c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE
and appropriate nutrient application rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
WQ0006906 Version 3.0 Shell Version 101116 Page 3 of 12

Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance
Document: Chapter 1 (htLtp:-//vrvw.enr.state.nc.us/DSWC/pages/--uidance docs.html).
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards (ftp•//t)-fc sc. evov usda gov/NHQ/practice-standards/standards/590.pdf.).
d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall
contact the Division to determine necessary action.
11. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by
25% in accordance with the USDA-NRCS 590 Nutrient Management Standards.
12. If land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer
and rye grass in the winter with both crops to receive residuals), then the second crop can receive an
application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may
be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted
for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied.
13. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the
Permittee shall obtain and implement recommendations from at least one of the following: the local
Cooperative Extension Office; the Department of Agriculture and Consumer Services; the Natural
Resource Conservation Service; a North Carolina Licensed Soil Scientist; or an agronomist. The
recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a
mechanism for maintaining site integrity and conditions conducive to crop growth. The Permittee
shall maintain written records of these recommendations and details of their implementation.
14. The compliance boundary residual land application sites shall be specified in accordance with 15A
NCAC 02L .0107(b). These sites were individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the residual land application
area, or 50 feet within the property boundary, whichever is closest to the residual land application
area. An exceedance of groundwater standards at or beyond the compliance boundary is subject to
remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C. Any approved
relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B.
15. In accordance with 15A NCAC 02L .0108, the review boundary shall be established midway between
the compliance boundary and the residual land application area. Any exceedance of groundwater
standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106.
III. OPERATION AND MAINTENANCE REQUIREMENTS
The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards.
2. The Mooresville Regional Office; telephone number [phone], and the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at least
48 hours prior to the initial residuals land application event to any new land application site.
Notification to the Aquifer Protection Section's regional supervisor shall be made from 8:00 a.m. _.
until 5:00 p.m. on Monday through Friday, excluding State Holidays.
WQ0006906 Version 3.0 Shell Version 101116 Page 4 of 12

3. The Mooresville Regional Office shall be notified via email or telephone, [phone], at least 24
hours prior to conducting any land application activity. Such notification shall indicate, at a
minimum, the anticipated application times, field ]Ds, and location of land application activities. If it
becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be
notified prior to commencing the application to those fields.
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T .1110. Modifications to the O&M Plan shall be approved by the Division prior to
utilization of the new plan. The 0&M Plan, at the minimum, shall include:
a) Operational functions;
b) Maintenance schedules;
c) Safety measures;
d) Spill response plan;
e) Inspection plan including the following information:
i. Names and titles of personnel responsible for conducting the inspections;
ii. Frequency and location of inspections, including those to be conducted by the ORC, and
procedures to assure that the selected location(s) and inspection frequency are representative
of the residuals management program;
iii. Detailed description of inspection procedures including record keeping and actions to be
taken by the inspector in the event that noncompliance is observed pursuant to the
noncompliance notification requirements under the monitoring and reporting section of the
permit;
f) Sampling and monitoring plan including the following information:
i. Names and titles of personnel responsible for conducting the sampling and monitoring,
ii. Detailed description of monitoring procedures including parameters to be monitored;
iii. Sampling frequency and procedures to assure that representative samples are being collected.
Fluctuation in temperature, flow, and other operating conditions can affect the quality of the
residuals gathered during a particular sampling event. The sampling plan shall account for
any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that
land apply multiple times per year but have an annual sampling frequency, may need to
sample during winter months when pathogen reduction is most likely to be negatively
affected by cold temperatures).
Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the facility, the Permittee shall designate and employ a certified operator in
responsible charge (ORC) and one or more certified operators as back-up ORCs in accordance with
15A NCAC 08G .0201. The ORC or their back-up shall visit the facilities in accordance with 15A
NCAC 08G. 0204, or as specified in the most recently approved O&M plan (i.e., see Condition
IIIA.), and shall comply with all other conditions of 15A NCAC 08G. 0204. For more information
regarding classification and designation requirements, please contact the Division of Water Quality's
Technical Assistance & Certification Unit at [phone].
6. When the Permittee land apply bulk residuals, a copy of this permit and a copy of O&M Plan shall be
maintained at the land application sites during land application activities.
When the Permittee transport or land apply bulk residuals, the spill control provisions shall be
maintained in all residuals transport and application vehicles.
8. Residuals shall not be stored at any land application site, unless written approval has been requested
and received from the Division.
WQ0006906 Version 3.0 Shell Version 101116 Page. 5 of 121

9. When land applying bulk residuals, adequate measures shall be taken to prevent wind erosion and
surface runoff from conveying residuals from the land application sites onto adjacent properties or
into surface waters.
10. A suitable vegetative cover shall be maintained on land application sites onto which residuals are
applied in accordance with the crop management plan outlined by the local Cooperative Extension
Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation
Service, or an agronomist and as approved by the Division.
11. Bulk residuals shall not be land applied under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated within
a 24-hour period following a residuals land application event;
f. During a measurable precipitation event (i.e., greater than 0.01 inch per hour), or within 24 hours
following a rainfall event'of 0.5 inches or greater in a 24-hour period;
Cr. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than
18% for injected or incorporated bulk liquid residuals;
h. If the soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to
achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the
pH of the soil, residuals and lone mixture is suitable for the specified crop. Any approved
variations to the acceptable soil pH (6.0) will be noted in Attachment B;
i. If the land does not have an established vegetative cover unless the residuals are incorporated or
injected within a 24-hour period following a residuals land application event;
j. If the vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot;
k. If the vertical separation of bedrock and the depth of residuals application is less than one foot.
1. Application exceeds agronomic rates.
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
13. Public access controls shall include the posting of signs with a minimum, area of 3 square feet (e.g.,
1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information, including the Pennittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each land application site during a land
application event, and for as long as the public access restrictions required under Permit Condition
II1.12. apply.
WQ0006906 Version 3.0 Shell Version 101116 Page 6 of 12

14. The following harvesting and brazing restrictions apply to residual land application sites after each
land application event:
Harvesting and Grazing Description
Restricted
Duration
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
30 days
prevent access after each land application event.
Food crops, feed crops and fiber crops shall not be harvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
14 months
shall not be harvested for:
When the residuals remain on the land surface for four months or longer prior to
incorporation into the soil, food crops with harvested parts below the land
20 months
surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be
harvested for:
When the residuals remain on.the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
38 months
surface shall not be harvested for:
15. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume
of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that
have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for
those operations where a NMP is required by the US Department of Agriculture — National Resources
Conservation Service (NRCS) or other State Agencies. The Permittee shall calculate allowable
nutrient loading rates based on the provided information and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan.
16. No residuals shall be land applied unless the submitted Land Owner Agreement Attachment (LOAA)
between the Permittee and landowners or lessees/operators of the land application site is in full force
and effect. These agreements shall be considered expired concurrent with the pen -nit expiration date,
and shall be renewed during the permit renewal process.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sample reporting schedule shall be followed.
2. Residuals shall be analyzed to demonstrate they are non -hazardous under the Resource Conservation
and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity, and toxicity
characteristic leaching procedure (TCLP)] shall be performed at the frequency specified in
Attachment A, and the Permittee shall maintain these results for a minimum of five years. Any
exceptions from the requirements in this condition shall be specified in Attachment A.
WQ0006906 Version 3.0 Shell Version 101116 Page 7 of 121

The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter
is in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1, 1 -Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide)
(0.008)
Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
Once the residuals have been monitored for two years at the frequency specified in Attachment A, the
Permittee may submit a permit modification request to reduce the frequency of this monitoring
requirement. In no case shall the monitoring frequency be less than once per permit cycle.
An analysis shall be conducted on residuals from each source generating facility at the frequency
CD
specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years.
The analysis shall include the following parameters:
Aluminum
Mercury
Potassium
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
(SARJ"
Calcium
Percent Total Solids
TKN
Copper
pH
Zinc
Lead
Phosphorus
Magnesium
Plant Available Nitrogen
(by calculation)
4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling
and monitoring sections of the approved O&M plan. The required data shall be specific to the
stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen
reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction
requirement in 15A NCAC 02T .1101 (a) shall be met. Any exceptions from the requirements in this _
condition shall be specified in Attachment A.
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An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B on which a residuals land application event will
occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instructions section of the NC Department of Agriculture &
Consumer Services' website(http://www.nca(gr.aov/agronomi/pul)s.htm). The Permittee shall
maintain these results and a description of the sampling methodologies used to determine soil fertility
for a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 15A NCAC 02B .0505.
7. The Permittee shall maintain records tracking all residual land application events. At a minimum,
these records shall include the following:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Approximate areas applied to (acres);
e. Method of land application;
f. Weather conditions (e.g., sunny, cloudy, raining, etc.);
g. Predominant Soil Mapping Unit (e.g., CbB2);
li. Soil conditions (e.g., dry, wet, frozen, etc.);
i. Type of crop or crops to be grown on field;
j. Nitrogen Application Rate based on RYEs (if using data obtained from the North Carolina State
University Department of Soil Science Website, the printout page shall be kept on file and
reprinted every five years);
k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet
ton per acre;
1. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or
wet tons per acre;
in. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, or wet tons per acre; and
n. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per
acre of phosphorus applied to each field.
WQ0006906 Version 3.0 Shell Version 101116 Page 9 of 12

All laboratory analyses of residuals, ground water, or surface water shall be made by a laboratory
certified by the Division for the required parameter(s) under 15A NCAC 02H .0800 or 15A NCAC
2H .1100.
9. Three copies of an annual report shall be submitted on or before March I". The annual report shall
meet the requirements described in the Instructions for Residuals Application Annual Reporting
Forms. Instructions for reporting and annual report forms are available at
http://portal.nedenr.org/web/wq/aus/lau/reporting, or can be obtained by contacting the Land
Application Unit directly. The annual report shall be submitted to the following address:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
10. Noncompliance Notification
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence with the land application program resulting in the land application of significant
amounts of wastes that are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to surface waters.
Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].1'ersons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
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V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan.
Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and application facilities to prevent malfunctions, facility deterioration
and operator errors resulting in discharges, which may cause the release of wastes to the
environment, a threat to human health or a public nuisance. The Permittee shall maintain an
inspection log that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection lob
for a period of five years from the date of inspection, and this lob shall be made available to the
Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at anv reasonable time for the purpose of determining compliance with this permit; may inspect or
copy any records required to be maintained under the terms and conditions of this permit; and may
collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the residuals land application events are not carried out in
accordance with the conditions of this permit.
3. This pen -nit is effective only with respect to the nature and volume of residuals described in the
permit application and other supporting documentation.
4. The issuance of this pen -nit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO 10000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. In the event the residuals program changes ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate documentation from the parties involved and other
supporting documentation as necessary. The Permittee of record shall remain fully responsible for
maintaining and operating the residuals program permitted herein until a permit is issued to the new
owner.
6. This permit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and
monitoring requirements the Division deems necessary in order to protect the enviromnent and public
health adequately.
7. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
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Unless the Division Director grants a variance, expansion of the permitted residuals program
contained herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC
02T .0120(b).
9. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 6th day of July 2011
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
i
or en H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0006906
WQ0006906 Version 3.0 Shell Version 101116 Page 12 of 12

ATTACIEO'1ENT A - Approved Residual Sources
Town of Taylorsville
F
Residuals Source -Generating facility
Certification Date: July 6, 2011
Permit Number: WQ0006906 Version: 3.0
Monitoring
Maximum
Dlonitoring
Monitoring
Fre Frequency for
9 Y
A moved
PI
Owner
Facility Name
County
Permit
Number
Biological
Residuals
Dry Tons
I
Frequency for
Nor -hazardous
Frequency for
Metals and
Pathogen &
g
Mineralization
Rate
Per Year
Characteristics 2
Nutrients 3, 5
Vector ReductionsAttr4, 5
Town of Taylorsville
Town of Taylorsville WWTP
Alexander
NC0026271
Yes
150.00
Annually
Annually
Annually
0.30
Total
150.00
1. Maximum Dry Tons per Year is the amount of residuals product approved for distribution from the permitted facility.
2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA. Permit application indicated that lime stabilization will be performed to meet pathogen reduction
requirements and that alkaline stabilization will be performed to meet vector attraction reductions. However, other methods listed under 15A NCAC 02T .1106(b) and .1 107(a) can also be used to
demonstrate compliance with this permit requirement.
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
Dry Tons Generated
short tons per 'ear
Monitoring Frequency
Established in 40 CFR 503 and 15A NCAC 02T .1111
<319
1/Year
=>319 - <1,650
1/ Quarter 4 times per year
_> 1,650 - <16,500
1/60 Days (6 times per year
=>16,500
I/month (12 times per year
If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is
required), then no sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data.
Those required to submit the annual report to EPA may be required to snake up the missed sampling, contact the EPA for additional information and
clarification.
Page 1 of 1

ATTACHMENT B — Approved Land Application Sites. Perinit Nntnber: WQ0006906 Version: 3.0
Town of Tavlorsville
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net
Acreage
Dominant Soil Series
Footnotes
NC-AL-08-01
Icenhour, Owen
Alexander
35'52' 17"
81'06'02"
20.70
Ce132 — Cecil Sandy Clay Loam
NC-AL-08-02
Icenliour, Owen
Alexander
35052'34"
81005'59"
20.60
Ce132 — Cecil Sandy Clay Loam
NC-AL-08-04
Icenhour, Owen
Alexander
35052' 17"
81005'59"
10.10
CeB2 — Cecil Sandy Clay Loam
Total for C011171p
Ale-rander
51.40
Total
51.40
Page 1 of 1

HCDEHR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
July 6, 2011
David M. Robinette, Director of Public Works
Town of Taylorsville
204 Main Avenue Drive
Taylorsville, NC 28681
Natural ouch
L
Dee Freeman
Secretary
Subject: Permit No. WQ0006906
Town of Taylorsville
Town of Taylorsville Residuals Land Application Program
Non -Dedicated Land Application of Residual Solids (503)
Alexander County
Dear Mr. Robinette:
In accordance with your permit renewal application request received through Southern Soil
Builders on May 23, 2011, and subsequent additional information received by the Technical Assistance
and Certification Unit on June 23, 2011, we are forwarding herewith Permit No. WQ0006906, dated July
6, 2011, to the Town of Taylorsville for the continued operation of the subject residuals management
program. Please note that Field NC-AL-08-03 is being removed from the permit, lowering the available
application area from 62.5 to 51.4 available acres.
This permit shall be effective from the date of issuance until June 30, 2016, shall void Permit No.
WQ0006906 issued October 3, 2002, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A and B for
they may differ from the previous permit issuance. Failure to establish an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
Please note that on September 1, 2006, North Carolina Administrative Code Title 15A
Subchapter 02T — Waste not Discharged to Surface Waters was adopted. Accordingly, this permit
incorporates the requirements of these rules, therefore, please take the time to re-,riew this permit
thoroughly. The following conditions have been added, modified or deleted from those in the last permit
issuance
➢ Condition I.I. — Requires the timely submission of detailed site maps
➢ Condition I.2. — Requires the timely submission of permit renewal forms
➢ Condition I.3. — Requires notifying the Regional Office prior to land application
➢ Condition I.4. — Requires the timely implementation of public access controls
➢ Condition 111. —Requires the program to be effectively maintained and operated
AQUIFER, PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 capital Boulevard. Raleigh, North Carolina 27604 One _
Phone: [phone] FAX 1: 919-715-0586; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748 11 l b Cali 0�.1I1a
Internet htm:lloortal.ncdenr.om/web wa/aos l� oil r
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Ar, Equal Opportunity 1 Affirmative Action 8mplovef�

Mr. David M. Robinette
July 6, 2011
Page 2 of 2
- ➢
Condition H.1.0. —
Requires bulk applications in accordance with Realistic Yield Expectations
➢-'
Condition ]LI 1. —
Imposes a reduction of nitrogen application rates
➢
Condition H.13. -
Imposes application restrictions based on the Sodium Adsorption Ratio
➢
Condition III.11.
— Imposes bulk application restrictions
➢
Condition M.13.
— Addresses controls on public access
➢
Condition III.15.
— Addresses volumes of other nutrient sources applied to the fields
➢
Condition IV.3. —
Lists analyses to be performed on residuals
➢
Condition IVA. —
Addresses requirements with pathogens and vector attraction reduction
➢
Condition IV.7. —
Addresses recording requirements for residual application events
➢
Condition IV.9. —
Addresses the submission of an annual report on the program
➢
Condition IV.10.
— Addresses noncompliance notification
➢
Condition V.I. —
Requires adequate inspection and maintenance of the facilities
➢
Condition VI.7.
— Allows the Division Director permit revocation or unilateral modification
➢
Condition VI.8.
— Prohibits expansion of the program under certain circumstances
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact David Goodrich at (919)
715-6162 or [e-mail].
Sincerely,
or oleen H. Sullins
cc: Alexander County Health Department
Mooresville Regional Office, Aquifer Protection Section
Zach Key, Southern Soil Builders, Inc., 958 Hoots Road, Roaring River, NC 28669
Technical Assistance and Certification Unit
Permit File WQ0006906
Notebook File WQ0006906

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF CLASS B'RESIDUAL SOLIDS PERMIT (NON -DEDICATED)
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town ®f Taylorsvllle
Alexander County
FOR THE
continued operation of a residuals management program for the Town of Taylorsville and consisting of
the land application of Class B residuals generated by the approved facilities listed in Attachment A to the
approved sites listed in Attachment B with no discharge of wastes to surface waters, pursuant to the
application received May 23, 2011, and subsequent additional information received by the Division of
Water Quality, and in conformity with other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit. The use and
disposal of residuals are regulated under Title 40 Code of Federal Regulations Part 503. This permit does
not exempt the Permittee from complying with the federal regulations.
This permit shall be effective from the date of issuance until June 30, 2016, shall void Permit No.
WQ0006906 issued October 3, 2002 and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
Within 60 days of permit issuance, the Permittee shall submit two original copies of an updated site
map for each of the three sites with a scale no greater than 1-inch equals 100 feet; however, special
provisions may be granted upon prior approval for large properties. At a minimum, the map shall
include the following information:
a. The location of property boundaries within 500 feet of the disposal areas.
b. The location of compliance and review boundaries.
c. The date the map is prepared and/or revised.
The map and any supporting documentation shall be sent to the Division of Water Quality, Aquifer
Protection Section, 1636 Mail Service Center, Raleigh, NC 27699-1636.
2. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will re,6ew the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
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3. The permittee shall be in full compliance with the regional office notification requirements
established in Condition I11.3. within 180 days of permit issuance.
4. Within 180 days of permit issuance, the Permittee shall implement the public access controls
specified under Permit Condition III.13.
H. PERFORMANCE STANDARDS
1. The subject residuals management program shall be effectively maintained and operated at all times
so there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, the Permittee shall immediately cease land
applying residuals to the site, contact the Mooresville regional office's Aquifer Protection Section
supervisor, and take any immediate corrective actions.
2. This permit shall not relieve the Perrttee of their responsibility for damages to groundwater or
surface water resulting from the operation of this residuals management program.
3. Only residuals generated by the facilities listed in Attachment A are approved for land application in
accordance with this permit.
4. Only the sites listed in Attachment B are approved for residuals land application.
5. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not
exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant
Loading Rates (CPLRs):
Parameter
Ceiling Concentration
(milligrams per kilogram)
CPLR
(pouiads per acre)
Arsenic
75
36
Cadmium
85
34
Copper
4,300
1,338
Lead
840
267
Mercury
57
15
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
89
Zinc
7,500
2,498
The Permittee shall determine compliance with the CPLRs using one of the following methods:
a. By calculating the existing cumulative level of pollutants using actual analytical data from all
historical land application events of residuals, or
b. For land where residuals application have not occurred or for which the required data is
incomplete, by determining background concentrations through representative soil sampling.
6. Residuals that are land applied shall meet Class B pathogen reduction requirements in 15A NCAC
. 02T .1106 (a) and (c). Exceptions to this requirement shall be specified in Attachment A.
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7. Biological residuals (i.e. residuals generated during the treatment of domestic or animal processing
wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A)
that are land applied shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T
.1107(a). Exceptions to this requirement shall be specified in Attachment A.
8. Setbacks for land application sites shall be as follows:
Setback by application type
(feet)
Setback Description
Vehicular
Irrigation
Surface
Surface
�J ection /
Application
Application
corporation
Habitable residence or place of public assembly
under separate ownership or not to be maintained as
400'
400'
200'
part of the project site
Property lines
50
50
50
Public right of way
50
50
50
Private or public water supply, waters classified as
SA or SB, or any Class I or Class II impounded
100
100
100
reservoir used as a source of drinking water
Surface waters (streams — intermittent and perennial,
perennial waterbodies, and wetlands), any streams
classified as WS or B, or any other stream, canal,
100
100
50
marsh, or coastal waters or any other lake or
impoundment
Upslope interceptor drains and upslope surface water
10
10
10
diversions
Downslope interceptor drains, downslope surface
water diversions, downslope groundwater drainage
25
25
25
systems, or downslope surface drainage ditches
'This setback. distance may be reduced to a minimum of 100 feet upon written consent of the owner
and approval from the Aquifer Protection Section of the appropriate Divison's regional office in
Attachment B of this permit.
9. Land application areas shall be clearly marked on each site prior to and during any residuals
application event.
10. Bulk residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in
exceedance of agronomic rates, unless authorized by the Division. Appropriate agronomic rates shall
be calculated using expected nitrogen requirements based on the determined Realistic Yield
Expectations (RYE) using any of the following methods:
a. Division's pre -approved site specific historical data for specific crop or soil types by calculating
the mean of the best three yields of the last five consecutive crop harvests for each field.
b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department of Soil Science (htti)://wv,v,.soil.ncsu.edu/uroarams!nmD/vields/). A
copy shall be kept on file and reprinted every five years in accordance with Condition IV.7.
c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE
and appropriate nutrient application rates reported in any of the following documents:
i. Crop management plan as outlined by the' local Cooperative Extension Office, the North
WQ0006906 Version 3.0 Shell Version 101116 Page 3 of 12

Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance
Document: Chapter 1 (http://wvm7.enr.state.ne.us/DSWC/paiy-es/p-uidance docs.htnil).
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards (ftu'//ft)-fc sc egov usda gov/NIIQ/practice-standards/standards/590.pdf).
d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall
contact the Division to determine necessary action.
11. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by
25% in accordance with the USDA-NRCS 590 Nutrient Management Standards.
12. If land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer
and rye grass in the winter with both crops to receive residuals), then the second crop can receive an
application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may
be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted
for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied.
13. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the
Permittee shall obtain and implement recommendations from at least one of the following: the local
Cooperative Extension Office; the Department of Agriculture and Consumer Services; the Natural
Resource Conservation Service; a North Carolina Licensed Soil Scientist; or an agronomist. The
recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a
mechanism for maintaining site integrity and conditions conducive to crop growth. The Permittee
shall maintain written records of these recommendations and details of their implementation.
14. The compliance boundary residual land application sites shall be specified in accordance with 15A
NCAC 02L .0107(b). These sites were individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the residual land application
area, or 50 feet within the property boundary, whichever is closest to the residual land application
area. An exceedance of groundwater standards at or beyond the compliance boundary is subject to
remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C. Any approved
relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B.
15. In accordance with 15A NCAC 02L .0108, the review boundary shall be established midway between
the compliance boundary and the residual land application area. Any exceedance of groundwater
standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106.
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards.
2. The Mooresville Regional Office, telephone number [phone], and the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at least
48 hours prior to the initial residuals land application event to any new land application site.
Notification to the Aquifer Protection Section's regional supervisor shall be made from 8:00 a.m. —.
until 5:00 p.m. on Monday through Friday, excluding State Holidays.
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3. The Mooresville Regional Office shall be notified via email or telephone, [phone], at least 24
hours prior to conducting any land application activity. Such notification shall indicate, at a
minimum, the anticipated application times, field IDs, and location of land application activities. If it
becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be
notified prior to commencing the application to those fields.
4. The Permittee shall maintain an approved Operation and Maintenance Plan .(O&M Plan) pursuant to
15A NCAC 02T .1110. Modifications to the O&M Plan shall be approved by the Division prior to
utilization of the new plan. The 0&M Plan, at the minimum, shall include:
a) Operational functions;
b) Maintenance schedules;
c) Safety measures;
d) Spill response plan;
e) Inspection plan including the following information:
i. Names and titles of personnel responsible for conducting the inspections;
ii. Frequency and location of inspections, including those to be conducted by the ORC, and
procedures to assure that the selected location(s) and inspection frequency are representative
of the residuals management program;
iii. Detailed description of inspection procedures including record keeping and actions to be
taken by the inspector in the event that noncompliance is observed pursuant to the
noncompliance notification requirements under the monitoring and reporting section of the
permit;
f) Sampling and monitoring plan including the following information:
i. Names and titles of personnel responsible for conducting the sampling and monitoring;
ii. Detailed description of monitoring procedures including parameters to be monitored;
iii. Sampling frequency and procedures to assure that representative samples are being collected.
Fluctuation in temperature, flow, and other operating conditions can affect the quality of the
residuals gathered during a particular sampling event. The sampling plan shall account for
any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that
land apply multiple times per year but have an annual sampling frequency, may need to
sample during winter months when pathogen reduction is most likely to be negatively
affected by cold temperatures).
Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the facility, the Permittee shall designate and employ a certified operator in
responsible charge (ORC) and one or more certified operators as back-up ORCs in accordance with
15A NCAC 08G .0201. The ORC or their back-up shall visit the facilities in accordance with 15A
NCAC 08G. 0204, or as specified in the most recently approved O&M plan (i.e., see Condition
IIIA.), and shall comply with all other conditions of 15A NCAC 08G. 0204. For more information
regarding classification and designation requirements, please contact the Division of Water Quality's
Technical Assistance & Certification Unit at [phone].
6. When the Permittee land apply bulk residuals, a copy of this permit and a copy of O&M Plan shall be
maintained at the land application sites during land application activities.
7. When the Permittee transport or land apply bulk residuals, the spill control provisions shall be
maintained in all residuals transport and application vehicles.
8. Residuals shall not be stored at any land application site, unless written approval has been requested
and received from the Division.
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9. When land applying bulk residuals, adequate measures shall be taken to prevent wind erosion and
surface runoff from conveying residuals from the land application sites onto adjacent properties or
into surface waters.
10. A suitable vegetative cover shall be maintained on land application sites onto which residuals are
applied in accordance with the crop management plan outlined by the local Cooperative Extension
Office, the .Department of Agriculture and Consumer Services, the Natural Resource Conservation
Service, or an agronomist and as approved by the Division.
11. Bulk residuals shall not be land applied under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated within
a 24-hour period followinga residuals land application event;
f. During a measurable precipitation event (i.e., greater than 0.01 inch per hour), or within 24 hours
following a rainfall event of 0.5 inches or greater in a 24-hour period;
g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than
1 8 % for injected or incorporated bulk liquid residuals;
h. If the soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to
achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the
pH of the soil, residuals and lime mixture is suitable for the specified crop. Any approved
variations to the acceptable soil pH (6.0) will be noted in Attachment B;
i. If the land does not have an established vegetative cover unless the residuals are incorporated or
injected within a 24-hour period following a residuals land application event;
j. If the vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot;
k. If the vertical separation of bedrock and the depth of residuals application is less than one foot.
1. Application exceeds agronomic rates.
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g.,
1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information, including the Permittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each land application site during a land
application event, and for as long as the public access restrictions required under Permit Condition
III.12. apply.
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14. The following harvesting and brazing restrictions apply to residual land application sites after each
land application event:
Harvesting and Grazing Description
Restricted
Duration
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
30 days
prevent access after each land application event.
Food crops, feed crops and fiber crops shall not be harvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
14 months
shall not be harvested for:
When the residuals remain on the land surface for four months or longer prior to
incorporation into the soil, food crops with harvested parts below the land
20 months
surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be
harvested for:
When the residuals remain on the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
38 months
surface shall not be harvested for:
15. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume
of other nutrient sources (i.e.,. manufactured fertilizers, manures, or other animal waste products) that
have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for
those operations where a NMP is required by the US Department of Agriculture — National Resources
Conservation Service (I\rRCS) or other State Agencies. The Permittee shall calculate allowable
nutrient loading rates based on the provided information and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan.
16. No residuals shall be land applied unless the submitted Land Owner Agreement Attachment (LOAA)
between the Permittee and landowners or lessees/operators of the land application site is in full force
and effect. These agreements shall be considered expired concurrent with the permit expiration date,
and shall be renewed during the permit renewal process.
N. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sample reporting schedule shall be followed.
2. Residuals shall be analyzed to demonstrate they are non -hazardous under the Resource Conservation
and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity, and toxicity
characteristic leaching procedure (TCLP)] shall be performed at the frequency specified in
Attachment A, and the Permittee shall maintain these results for a minimum of five years. Any
exceptions from the requirements in this condition shall be specified in Attachment A.
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The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter
is in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1,1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide)
(0.008)
Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
Once the residuals have been monitored for two years at the frequency specified in Attachment A, the
Permittee may submit a permit modification request to reduce the frequency of this monitoring
requirement. In no case shall the monitoring frequency be less than once per permit cycle.
3. An analysis shall be conducted on residuals from each source generating facility at the frequency
specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years.
The analysis shall include the following parameters:
Aluminum
Mercury
Potassium
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
(SAR)
Calcium
Percent Total Solids
TKN
Copper
pH
Zinc
Lead
Phosphorus
Magnesium
Plant Available Nitrogen
(by calculation)
4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling
and monitoring sections of the approved O&M plan. The required data shall be specific to the
stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen
reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction
requirement in 15A NCAC 02T .1107 (a) shall be met. Any exceptions from the requirements in this _
condition shall be specified in Attachment A.
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An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B on which a residuals land application event will
occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instructions section of the NC Department of Agriculture &
Consumer Services' website (http://www.ncagr.,,ov/agronomi/pubs.htm). The Pennittee shall
maintain these results and a description of the sampling methodologies used to determine soil fertility
for a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Huinic Matter
Zinc
Copper
pH
6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 15A NCAC 02B .0505.
7. The Permittee shall maintain records tracking all residual land application events. At a minimum,
these records shall include the following:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Approximate areas applied to (acres);
e. Method of land application;
f. Weather conditions (e.g., sunny, cloudy, raining, etc.);
g. Predominant Soil Mapping Unit (e.g., CbB2);
h. Soil conditions (e.g., dry, wet, frozen, etc.);
i. Type of crop or crops to be grown on field;
j. Nitrogen Application Rate based on RYEs (if using data obtained from the North Carolina State
University Department of Soil Science Website, the printout page shall be kept on file and
reprinted every five years);
k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet
ton per acre;
1. Volume of animal waste or other nutrient source applied in gallons per acre; dry ton per acre, or
wet tons per acre;
in. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, or wet tons per acre.- and
n. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), an ival pounds per acre of PAN, and annual pounds per
acre of phosphorus applied to each field. -
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All laboratory analyses of residuals, ground water, or surface water shall be made by a laboratory
certified by the Division for the required parameter(s) under 15A NCAC 02H .0800 or 15A NCAC
2H .1100.
9. Three copies of an annual report shall be submitted on or before March 1 ". The annual report shall
meet the requirements described in the Instructions for Residuals Application Annual Reporting
Forms. Instructions for reporting and annual report forms are available at
http://aortal.nedenr.org/,,.veb/wq/ai)s/lau/reporting, or can be obtained by contacting the Land
Application Unit directly. The annual report shall be submitted to the following address:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
10. Noncompliance Notification
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence with the land application program resulting in the land application of significant
amounts of wastes that are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to surface waters.
Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
WQ0006906 Version 3.0 She]] Version 101116 Page 10 of 12

V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan.
2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and application facilities to prevent malfunctions, facility deterioration
and operator errors resulting in discharges, which may cause the release of wastes to the
environment, a threat to human health or a public nuisance. The Permittee shall maintain an
inspection log that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken. The Pernittee shall maintain this inspection log
for a period of five years from the date of inspection, and this log shall be made available to the
Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at any reasonable time for the purpose of determining compliance with this permit; may inspect or
copy any records required to be maintained under the terms and- conditions of this permit; and may
collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action'by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the residuals land application events are not carried out in
accordance with the conditions of this permit.
This permit is effective only with respect to the nature and volume of residuals described in the
permit application and other supporting documentation.
The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO 10000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. In the event the residuals program changes ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate documentation from the parties involved and other
supporting documentation as necessary. The Permittee of record shall remain fully responsible for
maintaining and operating the residuals program permitted herein until a permit is issued to the new
owner.
6. This pen -nit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and
monitoring requirements the Division deems necessary in order to protect the environment and public
health adequately.
7. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
VA100006906 Version 3.0 Shell Version 101116 Paue l I of 12

Unless the Division Director grants a variance, expansion of the permitted residuals program
contained herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC
02T .0120(b).
9. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 6th day of July 2011
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
i
or en H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0006906
WQ0006906 Version 3.0 ShellVersion 101116 Pay=e 12 of 12)

ATTACIll1•IENl' A - Approved Residual Sources
Town of Taylorsville
r .
Residuals Source -Generating Facility
Certification Date: July 6, 2011
Permit Number: WQ0006906 Version: 3.0
Monitoring
Maximum
b4onitoriog
Monitoring
Fre uenc for
9 Y
Approved
PP
Owner
Facility Name
County
Permit
Number
Biological
Residuals
Dry Tons
Frequency for
Non -hazardous
Frequency for
Metals and
Pathogen &
g
Vector
Mineralization
Rate
Per Year
Characteristics z
Nutrients 3's
Reductions
Reductions
Town of Taylorsville
Town of Taylorsville WWTP
Alexander
NCO026271
Yes
150.00
Annually
Annually
Annually
0.30
Total
_
150.00
1. Maximum Dry Tons per Year is the amount of residuals product approved for distribution from the permitted facility.
2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA. Permit application indicated that lime stabilization will be performed to meet pathogen reduction
requirements and that alkaline stabilization will be perfon-ned to meet vector attraction reductions. However, other methods listed under 15A NCAC 02T .1106(b) and .1 107(a) can also be used to
demonstrate compliance with this permit requirement.
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
Dry Tons Generated
short tons per ear
Monitoring Frequency
Established in 40 CFR 503 and 15A NCAC 02T .1111
<319
1 /Year
=>319 - <1,650
1/ Quarter 4 times per year
=>1,650 - <16,500
1/60 Days (6 times per year
=>16,500
I/month (12 times er year)
If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is
required), then no sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data.
Those required to submit the annual report to EPA may be required to make up the missed sampling, contact the EPA for additional information and
clarification.
Page 1 of 1

ATTACIIDIENT B — Approved Land Application Sites
Town of Tavlorsville
Permit Number: WQ0006906 Version: 3.0
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Aeret c
Dominant Soil Series
Footnotes
NC-AL-08-01
Icenhour, Owen
Alexander
35052' 17"
81 °06'02"
20.70
CeB2 — Cecil Sandy Clay Loam
NC-AL-08-02
Icenhour, Owen
Alexander
35°52'34"
81005'59"
20.60
CeB2 — Cecil Sandy Clay Loam
NC-AL-08-04
Icenhour, Owen
Alexander
35052' 17"
81005'59"
10.10
CeB2 — Cecil Sandy Clay Loam
Total for Count),
Alexander
51.40
Total
51.40
Page 1 of 1

d.
6V42- -Y L
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
October 3, 2002
MR. DAVID M. ROBINETTE, PUBLIC WORKS DIRECTOR
TOWN OF TAYLORSVILLE
204 MAIN AVENEUE DRIVE
TAYLORSVILLE, NC 28681
Dear Mr. Robinette:
M AY 3 1 2011
,,.war sr.[r, •a
Subject: Permit No. WQ0006906
Town of Taylorsville
Town of Taylorsville Residuals Land
Application Program
Land Application of Residual Solids (503)
Alexander County
In accordance with your permit modification and renewal application package received on
January 14, 2002 as well as the additional information received on January 17, 2002; and March 4, 2002;
we are forwarding herewith a modified and renewed Permit No. WQ0006906, dated October 3, 2002, to
the Town of Taylorsville for the subject residuals land application program.
This permit shall be effective from the date of issuance until September 30, 2007; shall void
Permit No. WQ0006906, issued on March 18, 1998; and shall be subject to the conditions and limitations
as specified therein. Make note of this permit's expiration date and the fact that a permit renewal
application is due to the Division of Water Quality (Division) no later than six months prior to that date
(i.e., see Condition VI. 7.), as the Division does not send reminders to apply for permit renewal.
This permit approves the continued operation of the residuals land application program for
another five-year cycle. Please note the change in site numbering system in this permit. As always,
remember to take the time to review this permit thoroughly, as some of the conditions contained
therein may have been added, changed, or deleted since the last issuance. Pay particular attention to the
monitoring requirements in this permit. Failure to establish an adequate system for collecting and
maintaining the required operational information will result in future compliance problems.
If any parts, requirements, and/or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. 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
NCDENR
Internet http://h2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper

If you need any additional information concerning this matter, please contact Mr. J. R. Joshi by
telephone at [phone], extension 363, or via e-mail at jaya.joshi @ncmail.net.
Sincerely,
for Alan W. Klimek, P. E.
cc: Mr. Martin E. Mabe, Synagro South, Inc.
Alexander County Health Department
Mooresville Regional Office -Water Quality Section
Mooresville Regional Office -Groundwater Section
Central Office -Groundwater Section
Technical Assistance and Certification Unit
Non -Discharge Compliance/Enforcement Unit
Water Quality Central Files
NDPU Files -4
NDPU Residuals Program Coordinator
2

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF RESIDUAL SOLIDS (503) PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town ®f Tayl®rsVllle
Alexander County
FOR THE
continued operation of a residuals land application program for the Town of Taylorsville and consisting of
the land application of residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A to the land application sites listed in the most recently -certified
Attachment B with no discharge of wastes to surface waters, pursuant to the permit modification and
renewal application package received on January 14, 2002 as well as the additional information received
on January 17, 2002; and March 4, 2002; and in conformity with the project plan, specifications, and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until September 30, 2007; shall void
Permit No. WQ0006906, issued on March 18, 1998; and shall be subject to the following specified
conditions and limitations:
I. PERFORMANCE STANDARDS
The residuals land application program shall be effectively maintained and operated as a non -
discharge system to prevent the discharge of any wastes resulting from the operation of this
program.
2. This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals adequately and may be rescinded unless the land application sites are maintained and
operated in a manner that will protect the assigned water quality standards of the surface
waters and groundwater.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface waters or groundwater resulting from the operation of this residuals land application
program.

4. In the event that the residuals land application program is not operated satisfactorily, including
the creation of nuisance conditions, the Permittee shall cease land applying residuals to the
site, contact the Water Quality Section of the appropriate Division of Water Quality's
(Division) regional office, and take any immediate corrective actions as may be required by
the Division.
No residuals other than those generated by the residuals source -generating facilities listed in
the most recently -certified Attachment A of this permit shall be approved for land application
in accordance with this permit.
6. The pollutant concentrations in any residuals that are land applied to any land application site
shall not exceed the following Ceiling Concentrations (i.e., dry weight basis):
Parameter
Ceiling Concentration
(milligrams per kilo ram)
Arsenic
75
Cadmium
85
Copper
4,300
Lead
840
Mercury
57
Molybdenum
75
Nickel
420
Selenium
100
Zinc
7,500
When residuals are land applied under the conditions of this permit, the Class A pathogen
requirements and site restrictions in 40 CFR Part 503.32(a) or the Class B pathogen
requirements and site restrictions in 40 CFR Part 503.32(b), and one of vector attraction
reduction requirements in 40 CFR Part 503.33 shall be met. Additionally, an evaluation shall
be performed that demonstrates the residuals' ability to comply.with this requirement. Upon
request, a copy of this evaluation, including all test results and calculations, shall be submitted.
Only residuals that are generated by the residuals source -generating facilities that are
identified as being exempt from this condition in the most recently -certified Attachment A
shall not be required to comply with the specified pathogen reduction and vector attraction
reduction requirements.
Only the land application sites listed in the most recently -certified Attachment B of this permit
are approved for residuals land application.
This permit shall become voidable unless the agreements between the Permittee and the
landowners and lessees or operators of any land application sites listed in the most recenty-
certified Attachment B of this permit not owned by the Permittee are in full force and effect.
These agreements shall be considered expired concurrent with the expiration date of the permit
and shall be renewed at the same time the permit is renewed.
10. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be
notified at least 24 hours prior to the initial residuals land application event to any new land
application site. In addition, the appropriate county manager's office shall be notified prior to
the initial residuals land application event on any new site so that they will be aware that
residuals land application activities have commenced on the site.
1)

11. The Water Quality Section of the appropriate Division's regional office shall be notified at
least 24 hours prior to the initial residuals land application event on any new land application
site. Such notification to the Regional Water Quality Supervisor shall be made during normal
office hours (i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding
State Holidays. A list of the Division's regional offices, their county coverage, and their
contact information may be downloaded from the web site at http://h2o.enr.state.nc.us/ndpu/.
II. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities and land application sites shall be properly maintained and operated at all times.
Upon classification of the residuals land application program by the Water Pollution Control
System Operators Certification Commission (WPCSOCC), the Permittee shall designate a
certified land application/residuals operator to be in responsible charge (ORC) of the program.
The operator shall hold a certificate of the type classification assigned to the program by the
WPCSOCC. The Permittee shall also designate a certified back-up operator of the appropriate
type to comply with the conditions of 15A NCAC 8G .0202.
No residuals shall be stored at any land application site at any time, unless written approval
has first been requested and obtained from the Division.
4. A copy of this permit shall be maintained in all manned equipment at the land application sites
when residuals are being land applied during the life of this permit. A spill prevention and
control plan shall be maintained in all residuals transport and application vehicles.
When land applying residuals to any land application site, the following buffer zones shall be
maintained at all times:
a. 400 feet from residences or places of public assembly under separate ownership for
surface application methods; however, the buffer zone requirement may be reduced to a
minimum of 100 feet upon written consent of the owner and approval from the Water
Quality Section of the appropriate Division's regional office in Attachment B of this
permit;
b. 200 feet from residences or places of public assembly under separate ownership for
subsurface application methods; however, the buffer zone requirement may be reduced to
a minimum of 100 feet upon written consent of the owner and approval from the Water
Quality Section of the appropriate Division's regional office in Attachment B of this
permit;
c. 100 feet from any public or private water supply source, waters classified as SA or SB,
and any Class I or Class H impounded reservoir used as a source of drinking water for
both methods;
d. 100 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal
waters and any other lake or impoundment for surface application;
e. 50 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal
waters and any other lake or impoundment for subsurface application;
f. 50 feet from property lines for both surface and subsurface application methods;
g. 50 feet from public right of ways for both surface and subsurface application methods;
3

h. 10 feet from upslope interceptor drains and surface water diversions for both surface and
subsurface application methods; and
i. 25 feet from downslope interceptor drains, surface water diversions, groundwater drainage
systems, and surface drainage ditches for both surface and subsurface application methods.
Some of the buffers specified above may not have been included in previous permits for this
residuals land application program. However, any land application sites that are listed in the
most recently -certified Attachment B of this permit, but were approved with different buffers
shall be reflagged to comply with these buffers.
6. Maximum slope for land application of residuals shall be 10 percent for surface application
methods and 18 percent for subsurface application methods.
Specific residuals land application area boundaries shall be clearly marked on each land
application site prior to and during a residuals land application event.
The metal loading rates on any land application site shall not exceed the following
Cumulative Pollutant Loading Rates (CPLRs):
Parameter
CPLR
(kilograms per hectare)
CPLR
founds per acre)
Arsenic
41
36
Cadmium
1
34
Copper
1,500
1.338
Lead
300
267
Mercury
17
15
Molybdenum
n/a
n/a
Nickel
420
374
Selenium
100
89
Zinc
2,800
2.498
�. An acceptable pH shall be maintained in the soil, residuals, and lime mixture, greater than 6.0,
on all land application sites onto which residuals are land applied to ensure optimum yield for
the crops specified in Condition H. 13. The agronomist shall provide information on the pH
best suited for the specified crop and.the soil type.
10. Should any of the residuals generated by the residuals source -generating facilities listed in the
most recently -certified Attachment A, of this permit contain a high salt content (i.e., high
sodium adsorption ratio (SAR) of five or higher), the exchangeable sodium percentage (ESP)
or other method as approved by the Division, using the results from the annual soils analysis
as required by this permit, shall be monitored on all of the land application sites. The local
Cooperative Extension Office, the Department of Agriculture and Consumer Services, the
Natural Resource Conservation Service, a North Carolina -licensed Soil Scientist, or other
agronomist shall review the results and make recommendations regarding soil amendments
(e.g., gypsum, etc.) or other ameliorative mechanism for maintaining the integrity of the site in
terms of suitability for land application of residuals and maintaining conditions conducive to
crop growth. The Permittee shall implement such recommendations accordingly and shall
maintain written records of each monitoring event that includes details of the sites covered and
rate of soil amendment application.
51

11. Prior to land applying residuals to any land application site that has previously received or is
intended to receive animal waste (e.g., poultry litter, etc.) or other source of nutrients (e.g.,
fertilizer, etc.) in the future, the Permittee shall obtain information pertaining to the volume
and analysis of the applied waste/nutrients from the landowner and/or lessee/operator of the
site. The Permittee shall be responsible for verifying the volume of residuals that may be land
applied to the site such that the plant available nitrogen (PAN) loading rate for the specified
crop (i.e., see Condition II. 13.) shall not be exceeded by all of the sources of PAN applied.
Should the maximum PAN loading rate be met or exceeded, then no additional residuals shall
be land applied to the site.
12. A suitable vegetative cover, as listed in Condition II. 13., shall be maintained on land
application sites onto which residuals are land applied in accordance with the crop
management plan outlined by the local Cooperative Extension Office, the Department of
Agriculture and Consumer Services, the Natural Resource Conservation Service, or other
agronomist and as approved by the Division.
13. Residuals and other sources of PAN shall be land applied to all land application sites at
agronomic rates in accordance with the crop management plan outlined by the local
Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer
Services, the Natural Resource Conservation Service, or other agronomist. Under no.
circumstances shall the following PAN loading rates land applied to any site exceed the
following for the specified crops:
PAN
PAN
Crop
(pounds per
Crop
(pounds per
acre per year)
acre per year)
Alfalfa
200
Forest
75
(Hardwood or Softwood)
Bermuda Grass
(Hay or Pasture)
?20
7
Milo
100
Blue Grass
120
Small Grain
100
(Wheat. Barley, or Oats)
Corn
160
Sorghum or Sudex
180
(Grain)
(Pasture)
Corn
200
Sorghum or Sudex
220
(Silage)
(Silage)
Cotton
70
Soybeans
200
Fescue
250
Timothy, Orchard, or
200
Rye Grasses
The Permittee shall apply for and receive a modification of this permit before land applying
residuals on any land application site that is to be established in a crop other than those listed
above. A maximum PAN loading rate for the desired crop shall be approved with the permit
modification.
If the land application sites are to be overseeded (e.g., bermuda grass in the summer and rye
grass in the winter with BOTH crops to receive residuals), then the second crop shall receive
an application of PAN at a rate of no greater than 50 pounds per acre per year. This practice
shall be allowed as long as the second crop is to be harvested. If the second crop is to be
planted for erosion control only and is to be tilled into the soil, then no residuals shall be land
applied to these sites because the PAN will essentially be returned to the soil.
5

Residuals shall not be land applied at rates greater than agronomic rates, unless authorized by
the Division.
14. Animals shall not be grazed on any land application site for 30 days after any residuals land
application event. Sites that are to be used for grazing shall have fencing that will be used to
prevent access after each event.
15. Food crops, feed crops, and fiber crops that do not come in contact with the residuals shall not
be harvested for 30 days after any residuals land application event.
16. Food crops with harvested parts that touch the residual/soil mixture and are totally above the
land surface (e.g., tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14
months after any residuals land application event.
17. Food crops with harvested parts below the surface of the land (i.e., root crops such as potatoes,
carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application
event when the residuals remain on the land surface for four months or longer prior to
incorporation into the soil.
18. Food crops with harvested parts below the surface of the land shall not be harvested for 38
months after any residuals land application event when the residuals remain on the land
surface for less than four months prior to incorporation into the soil.
19. Turf shall not be harvested for one year after any residuals land application event.
20. Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying
residuals from the land application sites onto adjacent properties or into any surface waters.
21. Adequate procedures shall be provided to prevent surface runoff from carrying any land
applied or stored residuals into any surface waters.
22. Surface -applied residuals shall be plowed or disced within 24 hours after land application on
land application sites with no cover crop established.
23. For land application sites that are prone to flooding or within the 100-year flood elevation,
residuals shall be land applied only during periods of dry weather. The residuals shall be
incorporated into the soil within 24 hours after land application.
24. Residuals shall not be land applied during inclement weather or until 24 hours following a
rainfall event of 0.5-inch or greater in 24 hours. Any emergency residuals land application
measures shall first be approved in writing by the Division.
25. Residuals shall not be land applied to any land application site that is flooded, frozen, or
snow-covered.
26. Appropriate measures shall be taken to control public access to the land application sites
during active site use and for the 12-month period following the last residuals land application
event. Such controls may include the posting of signs indicating the activities being
conducted at each site.

III. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue
analyses) deemed necessary by the Division to ensure protection of the environment shall be
established, and an acceptable sampling and reporting schedule shall be followed.
2. Residuals generated by each residuals source -generating facility listed in the most -recently -
certified Attachment A of this permit shall be analyzed to demonstrate that they are non-
hazardous under the Resource Conservation and Recovery Act (RCRA). A corrosivity,
ignitability, and reactivity analysis as well as a Toxicity Characteristics Leaching Procedure
(TCLP) analysis shall be conducted on residuals generated by each residuals source -
generating facility listed in the most recently -certified Attachment A of this permit. The
analyses shall be performed at the frequency specified in the most recently -certified
Attachment A of this permit, and the results shall be maintained on file by the Permittee for a
minimum of five years. If residuals generated by a particular residuals source -generating
facility are land applied at a frequency less than that which is specified in the most recently -
certified Attachment A of this permit, the analyses shall be required for each residuals land
application event. Only residuals that are generated by the residuals source -generating
facilities that are identified as being exempt from this condition in the most recently -certified
Attachment A of this permit shall not be required to comply with this monitoring requirement.
The TCLP analysis shall include the following parameters (i.e., note the regulatory level in
milligrams per liter in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5) Pentachlorophenol (100.0)
Benzene (0.5)
1,1-Dichloroethylene (0.7) Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13) Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02) Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13) Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
-Chloroform (6.0) .
Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0) 2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4) 2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (02) Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
After the residuals have been monitored as specified above for two years at the frequency
specified in the most recently -certified Attachment A of this permit, the Permittee may submit
a request to the Division for a permit modification to request a reduction of this monitoring
requirement. In no case, however, shall the frequency of monitoring be less than once per
permit cycle.
7

An analysis shall be conducted on residuals generated by each residuals source -generating
facility listed in the most recently -certified Attachment A of this permit. The analysis shall be
performed at the frequency specified in the most recently -certified Attachment A of this
permit, and the results shall be maintained on file by the Permittee for a minimum of five
years. If residuals generated by a particular residuals source -generating facility are land
applied at a frequency less than that which is specified in the most recently -certified
Attachment A of this permit, an analysis shall be required for each residuals land application
event. The analysis shall include, but shall not necessarily be limited to, the following
parameters:
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Percent Total Solids
pH
Phosphorus
Potassium
Selenium
Sodium
Total Kjeldahl Nitrogen
Zinc
Plant Available Nitrogen
(by calculation)
After the residuals generated by a particular residuals source -generating facility have been
monitored for two years at the frequency specified in the most recently -certified Attachment A
of this permit, the Permittee may submit a request to the Division for a permit modification to
reduce the frequency of this monitoring requirement. In no case, however, shall the frequency
of this monitoring be less than once per year when a residuals land application event_ of
residuals generated by the residuals source -generating facility occurs during that year.
4. Residuals generated by each residuals source -generating facility listed in the most recently -
certified Attachment A of this permit shall be monitored for compliance with Condition I. 7.
The monitoring shall be performed at the frequency specified in the most recently -certified
Attachment A of this permit, and data to verify pathogen and vector attraction reduction of the
residuals shall be maintained on file by the Pem-ittee for a minimum of five years. The
required data shall be specific to the stabilization process utilized, but also shall be sufficient
to demonstrate clear compliance with the Class A pathogen reduction requirements in 40 CFR
Part 503.32(a) or the Class B pathogen reduction requirements and site restrictions in 40 CFR
Part 503.32(b) as well as one of vector attraction reduction requirements in 40 CFR Part
503.33. In addition, the Environmental Protection Agency (EPA) certification statements
concerning compliance with pathogen reduction requirements, vector attraction reduction
requirements, and management practices shall be completed quarterly by the proper authority
or authorities, if more than one is involved (i.e., either the person who prepares the residuals,
the person who derives the material, or the person who applies the residuals). Only residuals
that are generated by the residuals source -Generating facilities that are identified as being
exempt from Condition I. 7. in the most recently -certified Attachment A of this permit shall
not be required to comply with this monitoring requirement.
Laboratory analyses as required by Condition III. 2., Condition III. 3., and Condition III. 4.
shall be performed/gathered on the residuals as they are to be land applied. Furthermore,
analytical determinations made pursuant to the monitoring and reporting requirements of this
permit shall be made by a laboratory certified by the Division for the required parameter(s)
under 15A NCAC 211.0800 or 15A NCAC 2H .1100.

Proper records shall be maintained by the Permittee tracking all residuals land application
events. These records shall include, ,but are not necessarily limited to, the following
information:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number);
d. Method of land application;
e. Weather conditions (i.e., sunny, cloudy, raining, etc.);
f. Soil conditions (i.e., dry, wet, frozen, etc.);
g. Type of crop or crops to be grown on field;
h. Volume of residuals land applied in gallons per acre, dry tons per acre, or kilograms per
hectare;
i. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per
acre, or kilograms per hectare (if applicable);
j. Volume of soil amendments (i.e., lime, gypsum, etc.) applied in gallons per acre, dry ton
per acre, or kilograms per hectare (if applicable); and
k. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and
other sources of nutrients (i.e., if applicable), annual and cumulative pounds per acre of
each heavy metal (i.e., shall include, but shall not be limited to, arsenic, copper, lead,
mercury, molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and
annual pounds per acre of phosphorus applied to each field.
A representative annual soils analysis (i.e., Standard Soil Fertility Analysis) shall be
conducted on each land application site on which a residuals land application event in the
respective calendar year has occurred or is to occur, and the results shall be maintained on file
by the Permittee for a minimum of five years. The Staridafd"Soil Fertility Analysis shall
include, but is not necessarily limited to, the following parameters:
Acidity
Calcium
Cation Exchange Capacity
Copper
Base Saturation (by calculation)
Exchangeable Sodium Percentage (by calculation)
Magnesium Phosphorus
Manganese Potassium
Percent Humic Matter Sodium
me
Zinc
S. Three copies of all required monitoring and reporting requirements as specified in Condition
III. l., Condition III. 2., Condition III. 3., Condition III. 4., Condition III, 5., Condition III, 6.,
and Condition III. 7. shall be submitted annually on or before March lst of the year following
the residuals land application event to the following address:
NCDENR-DWQ
Water Quality Section
Non -Discharge Compliance/Enforcement Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

9. Noncompliance Notification:
The Permittee shall report by telephone to the Water Quality Section of the Division's
Mooresville Regional Office at telephone number [phone], as soon as possible, but in
no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence with the residuals land application program that results in the land
application of significant amounts of residuals that are abnormal in quantity or
characteristic.
b. Any failure of the residuals land application program resulting in a release of material to
receiving waters.
c. Any time that self -monitoring information indicates that the residuals land application
program has gone out of compliance with the conditions and limitations of this permit or
the parameters on which the program system was designed.
d. Any process unit failure, due to known or unknown reasons, that render the residuals land
application program incapable of adequate residuals treatment.
e. Any spillage or discharge from a vehicle or piping system transporting residuals to the
application site.
Persons reporting such occurrences by telephone shall also file a written report in letter form
within five days following first knowledge of the occurrence. This report shall outline the
actions taken or proposed to be taken to ensure that the problem does not recur.
IV. GROUNDWATER REQUIREMENTS
1. Land Application Site Requirements:
a. Each land application site identified with a GW-A in the most recently -certified
_... Attachment_B of this permit 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 throughout the year.
b. Each land application site identified with a GW-B in the most recently -certified
Attachment B of this permit is dominated by soils with a mean seasonal high water table
between one and three feet below the land surface. Residual land application events on
these sites shall be prohibited from December through March, inclusive. No residuals
shall be land applied to these sites when the vertical separation between the depth of
residuals land application and the water table is less than three feet. The actual- water
table depth for seasonally -restricted soils shall be verified by soil borings.within 24 hours
prior to any residuals land application event that occurs from April through November,
inclusive. The number of borings advanced shall be sufficient to characterize water table
conditions across the land application site adequately. Any open borings shall be properly
filled with native soil, prior to the residuals land application event, to decrease the chance
of any residuals contaminating the groundwater.
10

2. Annlicable Boundary Requirements:
a. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The
Compliance Boundary for each land application site is established at either 250 feet from
the residuals land application area or 50 feet within the property boundary, whichever is
closest to the residuals land application area. An exceedance of Groundwater Quality
Standards at or beyond the Compliance Boundary is subject to immediate remediation
act] on.according to 15A NCAC 2L .0106 (d)(2).
b. The REVIEW BOUNDARY shall be established around each land application site
midway between the Compliance Boundary and the perimeter of the residuals land
application area. Any exceedance of Groundwater Quality Standards at the Review
Boundary shall require action in accordance with 15A NCAC 2L .0106 (d)(2).
Additional Requirements:
a. Any groundwater quality monitoring, as deemed necessary by the Division, shall be
provided.
V. INSPECTIONS
Prior to each residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport, and application facilities to prevent malfunctions and
deterioration, operator errors, and discharges that may cause or lead to the release of wastes to
the environment, a threat to human health, or a nuisance. The Permittee shall maintain an
inspection log or summary including at least the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken by the Permittee. This log of
inspections shall be maintained by the Permittee for a period of five years from the date of the
inspection and shall be made available to the Division or other permitting authority, upon
request.
2. Any duly authorized officer, employee, or representative of the Division may, upon
presentation of credentials, enter and inspect any property, premises, or place on or related to
the land application sites or facilities at any reasonable time for the purpose of determining
compliance with this permit; may inspect or copy any records that must be kept under the
terms and conditions of this permit; and may obtain samples of groundwater, surface water, or
leachate.
VI. GENERAL CONDITIONS
This permit shall become voidable unless the residuals land application events are carried out
in accordance with the conditions of this permit, the supporting materials, and in the manner
approved by the Division.
2. This pen -nit shall be effective only with respect to the nature and volume of residuals described
in the application and other supporting data.
Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina General
Statutes § 143-215.6A through § 143-215.6C.
11

The annual administering and compliance fee shall be paid by the Permittee within 30 days
after being billed by the Division. Failure to pay the fee.accordingly may cause the Division
to initiate action to revoke this permit, as specified by 15 NCAC 2H .0205 (c)(4).
The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(i.e., local, state, and federal) which have jurisdiction, including, but not limited to, applicable
river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation control requirements
in 15A NCAC Chapter 4 and under the Division's General Permit NCG0100000, and any
requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC .0500.
This permit may be modified, revoked, and/or reissued to incorporate any conditions,
limitations and monitoring requirements the Division deems necessary in order to protect the
environment and public health adequately.
The Permittee, at least six months prior to the expiration of this permit, shall request its
extension. Upon receipt of the request, the Division shall review the adequacy of the facilities
and residuals land application program described therein, and if warranted, shall extend the
permit for such period of time and under such conditions and limitations as it may deem
appropriate.
This permit shall not be automatically transferable. In the event that there is a desire for the
residuals land application program to change ownership or to change the name of the
Permittee, a formal permit request shall be submitted to the Division documentation from the
parties involved and other supporting materials as may be appropriate. The approval of this
request shall be considered on its merits and may or may not be approved.
Permit issued this the third day of October, 2002.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
or Alan W. Klimek, P. E., Director /
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0006906
12

A'n'ACl NIENT A - Approved Residual Source-Generalint; hacililics
Permit Ali), 11 Q0006906
Town of Teglorsrille
Town of Taflorsw'lle Residuals Land Application Progran
Owner
Facility Name
County
Permit Number
Issued By
Is 503?
Maximum
Monitoring
Monitoring
Approved
Dry Tons
Frequency for
Frequency foi•
Mineralization
Per fear
Condition 111. 2.
Condition 111. 3. and
Rule
Condition 111. 4.
Town of'I'u lorsville
Town of Ta lorsville \NWTP
Alexander
NC0026271
DWQ
503
150.00
Annuall
Annually'
0.30
Total
1
1 150.00
'If land application of residuals occurs at a frequency less than annually, a residula analysis shall be conducted for each instance of land application.
Permit No. \VQ0006906
Page I of I Certification Date: Oclober3, 2002

ATTACHMENT I3 - Approved Land Application Sites
Permit No. HIQ0006906
Town of Taylorsville
Town of Taylorsville Residuals Land Application Program
Site/field ID
Landowner
Lessee/Operator
County
Latitude
Lougitpde
Net Acreage
Applicable
Restriction in
Condition 1V. 1.
NC-AL-08-01
ICCnhUUI', OWC❑
Alexander
35.52.17
81.06.02
20.70
GW-A
NC-AL-08-02
Icenhour, Owen
Alexander
35.52.34
81.05.59
20.60
GW-A
NC-AL-08-03
Icenhour, Owen
Alexander
35.52.32
81.05.46
11.10
GW-A
NC-AL-08-04
Icenhour, Owen
Alexander
35.52.17
81.06.02
10.10
GW-A
Total For County
Alexander
62.50
Total
62.50
Permit No. WQ0006906 Page I of I Certification Date:Oclober 3, 2002

I. f
VICINITY MAP
SYNAGRO
A 2aiduall Maaagemerl ComAa�y
l oLJ--NTL = OWNER
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