WQ0006906_Regional Office Historical File Pre 2018 (7)

2019
Town of Taylorsville
2019 Annual Report
Land Application Program
Permit No. WQ0006906
0
RECEIVE
FEB 18 '020
MOORESVILLE RErIONAL OFFICE
FEB 112020
'Iffl:000M jR6GESSIHGUtV
G
RECEIVEDINCD��IDWR
FEB 1 12020
Non-Disch U9
permitfing

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0006906 County: Alexander Year:
Facility Name (as shown on permit): Town of Taylorsville
Land Application Operator: Southern Soil Buildes, Inc. Phone:
Land application of residuals as allowed by the permit occurred during the past calendar year?
a Yes D No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
336-957-7871
Total number of application fields in thepermit:
7
Total number of fields utilized for land application during the year:
4
Total amount of dry tons applied during the year for all application sites:
92.02
Total number of acres utilizes for land application during the year:
58.2
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2019 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. FA Yes No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three
(3) copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T.] 1 1 1 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
T)lm o obo rri Ko 111r 4�e� 4c::
Permittee Name and Title (type or print) Signature of Permittee Date
Signature of Preparer*
Date SiR attire
d Applier
a-y- to 0
Date
(if different from Permittee) (if different fl-om Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T J 102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0006906
Facility Name:
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Analvsis Data
Town of Taylorsville
WQ0006906
Town of Taylorsville
Laboratory:
1)
2)
3)
4)
5)
Waypoint
Parameter
(mg/kg)
Conc.
Limit
(mg/k )a
Sample or Composite Date
6-3-2019
Percent Solids (%)
NA
15
Arsenic
75
5
Cadmium
85
1.25
Copper
4,300
281
Chromium
NA
25
Lead
840
17.3
Mercury
57
0.491
Molybdenum
75
4.09
Nickel
420
12.8
Selenium
100
5
Zinc
7,500
1070
Total Phosphorus
NA
13100
TKN
NA
83100
Ammonia -Nitrogen
NA
6000
Nitrate and Nitrite
NA
523
For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system desiIn
gned
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."
Z 11 e7v 20
Signature of Prep arer * Date
*Preparer is defined FR Part 503.9(r) and 15A NCAC 2T .1 102 (26) DENR FORM RSSF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - ]B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number:
Facility Name:
Residual Source
NPDES # or WQ#:
WWTP Name:
WQ0006909
Rncirinal Analvcic data
Town of Taylorsville
WQ0006909
Town of Taylorsville
Laboratory:
1)
2)
3)
4)
5)
Waypoint
Sample or Composite Date
Parameter
(mg�g)
Potassium
1300
Sulfur
7220
Calcium
128000
Magnesium
3620
Sodium
1030
Iron
8520
Aluminum
168
Manganese
168
Organic N
77100
pH
12.1
SAR
0.14
PAN
26653
"I certify, under penalty of law, that this document was prepared under 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
signific nt penalties for submitting false"information, including the possibility of fines and imprisonment for knowing violations."
:/412-0�
Signature arer * -
*Prepare coed in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
Date
DENR FORM RSSF - B (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 28.47
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Ieenhour Owner: Owen 1Cel10L11- Predominant Soil Series: CeB2
Acres Used: 19.3 Acres Permitted: 19.3 Site #: 08 01 Field #: 0801
Residual Analysis Data (Heavy Metals and 'Total Phosphorus use mE/kLj. % Solids use Raw Percent #l:,
Sample or
Com-
posite
Date
1,
6/3/19
L2J
L�J
`t
51
6
L_�j
8
11
12
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos-
horns
13100
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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".
a--(,w0
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Town of Taylorsvi Ile Total Dry Tons Applied (Annual):
WQ0006906 Cation Exchange Capacity (non 503 only):
Owen Icenhour Owner: Owen lcehour Predominant Soil Series:
13.1
Acres Permitted: 13.1 Site #: 08 04 Field #:
22.77
CeB2
0804
Residual Analysis Data (Heavy Metals and Total Phosphorus use m0k2, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
6/3/19
L3J4
5 j
6
7
—81
9
10_r
Ill
12
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos-
horus
13100
Annual Heavv lvletal Nield Loadings t( alculated in Ihs/acre):
MEMO1
111
1 III
1 111
1 III
1 111
1 111
1 111
1 111
1 111
1 1
1 11�
1 ill
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 Ile
1 111
1 111
1 11�
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1 111
1 Ill
1 III
1 III
1 III
1 111
1 III
1 III
1 III
1 III
1 111
1•
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1 111
1 Ill
1 III
1 III
1 111
1 111
1 III
1 III
1 III
1 III
1 111
1 1:
1 1.1
1 111
1 III
1 III
1 111
1 111
/ 111
1 111
1 III
1 III
1 III
1 111
MITI .1
1 11
1 Ill
1 111
1 III
1 111
1 III
1 111
1 III
1 III
1 111
1 III
1 111
1 11
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1 1 �
1 III
1 Ill
1 III
1 III
1 Ill
1 III
1 III
1 III
1 III
1 Ill
1 111
1 1
1 1��
1 111
1 III
1 III
1 III
1 III
1 III
1 III
1 III
1 III
1 Ill
1 III
1 1..
1 1
1 111
1 111
1 III
1 III
1 III
1 111
1 111
1 III
1 111
1 111
1 III
1 1
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1 111
1 III
1 111
1 III
1 111
1 III
1 111
1 Ill
1 III
1 III
1 111
•
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1 III
1 III
1 Ill
1 111
1 111
1 Ill
1 Ill
1 III
1 111
1 Ill
phorus
i cci uiy, waver henauy ul iaw, Mat MIS aocumeni was prepared unaer 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".
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Town of Taylorsville
WQ0006906
Clyde Hendren
Total Dry Tons Applied (Annual): 42.59
Cation Exchange Capacity (non S03 only):
Owner: Clyde Hendren Predominant Soil Series:
23.4 Acres Permitted:
23.4 Site #: CH 01 Field #:
PcB2
CH 01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
6/3/19
21
3
4 1
51
61
21
8
9;
1
2
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos=
horus
13100
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
1 1 :
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
.'®
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
KIT# Me
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1 111
1 111
1111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
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1 1•
1 l l l
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11/
1 1
1 1.
1 111
1 111
1 111
1 111
1 I l l
1 111
1 111
1 I l i
1 111
1 I l l
1 111
1 1.
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
'
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 110
1 111
1 1
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1 1�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
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1 111
1 111
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1 111
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1 111
1 I I I
1 111
1 111
1 111
1 111
1 I l l
1 111
1 111
1 011
1 111
:•
Total
•M
1 111
1 111
1 110
1 111
1 111
1111
1111
1 Ill
1 111
1 111
1 111
.:�
..
"1 certify, under penalty of law, that this document was prepared under 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".
)710-V
7�/
Signature of Land Applier
2-4-2vxt
Date
DENR FORM MFLSF (12/2006)

ANNUAL, METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Town of Taylorsville Total Dry Tons Applied (Annual): 18.98
WQ0006906 Cation Exchange Capacity (non 503 only):
Phillip Hoover Owner: Phillip Hoover Predominant Soil Series:
14.7 Acres Permitted: 14.7 . Site #: PH 01 Field #:
PcB2
PH 01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/lcg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 i
6/3/19
2
3
4
5
6
7
�81
9
10
11
12
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
.0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos-
horus
13100
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
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.1 certtiy, unuer penalty of ►aw, tnat this aocument was preparea unuer 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".
17,
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsvi Ile Total Dry Tons Applied (Annual):
Permit #: WQ0006906 - Cation Exchange Capacity (non 503 only):
Operator: Carol Price Owner: Carol Price Predominant Soil Series:
Acres Used: 7 Acres Permitted: 7 Site #: CP 01 Field #:
7.59
F e132
CP 01
Residual Analvsis Data (Heavv Metals and Total Phosphorus use mg/ksy. % ,qnlirlc 11CP Raw PnrrPnt in.
Sample or
Com-
posite
Date
1
6/3/19
21
3
4
5!
6
71
8 v
v j
101
11]
12
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos-
horus
13100
ti1111ua1 ucavy 1r1G1a1 d`1C1U LUIIU1112N (l.alculaLe❑ In inwacre.i^
Total•
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Total
Pllos-
pliorus
KMIPPPW
__. -._j, -- ..,.., 1­1....1G11, ­ 43 1),c1jn, cu mn,ror 111y lllrecllon 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".
Z�7,,h
Signature of Lan Applier Date
DENR FORM MFLSF (12/2006)

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" 1N A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Taylorsville WQ Permit #: WQ0006906 Field #: 08 01 Acres Utilized: 19.3
Land Owner: Owen Icenhour Annual Dry Tons Applied: 28.4603 Site #: 08 01 Acres Permitted: 19.3
Operator: Owen Icenhour Predominant Soil Series: CeB2 Cation Exchange Capacity (non 503):
Crop I Name: Fescue Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN:
_
Y c
�
Q
Volume applied
PP
(enter one) Solids/
Li Liquid
9
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet
Moist)
Precip.
Past 24
Hrs.
inches
D
cu -
= �'
rt
°
o
°
p _
�, -
w
w
c� "
x w
�
TKN
mg/kg
z Y
= j
d
Q 0
R.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
6-2019
195000
3.5
1.475
WQ0006906
dry
0
s
0.5
0.3
83100
6000
523
78.606
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
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
rOTALS:
01
195000
As
Cd
Cu
Cr
Pb
Rg
Mo
Ni
Se
Zn
1 P
78.606 .
0.000
Lime Applied
Annuallbs/acre
0.015
0.004
0.829
0.074
0.051
0.001
0.012
0.038
0.015
3.157
38.645
Date
Ibs/ac
prior Years Cumulative lbs/ac
0.318 1
0.333
36
0.214
0.218
34
34.429
35.258
1338 1
1.719
1.793
NA
2.77
2.821
267
0.181
0.182
15
0.447
0.459
NA
2.89
2.928
374 1
4.171
4.186
89
125.548
128.705
2498
0
-urrent Cumulative lbs/ac
'ermitted C. P. L_ R.****
3ermit PAN Limit Ist/2nd Crop
216
`I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
Iualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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: 13.1
Land Owner: Owen Icenhour
Operator: Owen Icenhour
Crop I Name: Fescue
Annual Dry Tons Applied: 22.7682
Predominant Soil Series: CeB2
Crop l Max. PAN: 216
Site #: 08 04 Acres Permitted: 13.1
Crop 2 Name:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
_
0
Volume applied
pp
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
A lied er
PP P
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste. etc)
Soil
Cond.
(Dry,
Wet
Moist)
Precip.
Past 24
Hrs.
inches
D
K _
T
o
-
o
w
w -
�; -
;� F.
a
iti "
-
x. `;
o
TKN
mg/kg
z D
�
o 3
°° °
�•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of CropType
yP
Receivin- Residual
`
Application
Crop 1
Crop 2
Crop 1
Crop 2
6-2019
156000
3.5
1.738
W00006906
dry
0
s
0.5
0.3
83100
6000
523
92.647
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
Residuals Applications totals on FORM
FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
OT
156000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
92..647
0.000
Lime Applied
Annuallbs/acre
0.017
0.004
0.977
0.087
0.060
0.002
0.014
0.044
0.017
3.719
45.536
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.266 0.178 29.499 1.233 2.421 0.172 0.358 2.64 6.29 137.584
0.283 0.182 30.476 1.320 2.481 0.174 0.372 2.684 6.307 141.303
36 34 1338 NA 267 15 NA 374 89 2498
216
0
Current Cumulative Ibs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
i certuy, under penalty of law, that this document was prepared under 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
4- **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
v
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED Ol`
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Taylorsville WQ Permit #: W 0006906 Field #:
Q CH O1 Acres Utilized: 23.4
Land Owner: Clyde Hendren Annual Dry Tons Applied: 42.6904 Site #: CH 01 Acres Permitted: 23.4
Operator: Clyde Hendren Predominant Soil Series: PcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop l Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
10-2019
Volume applied
(enter one) Solids/
Liquid
Yds Gallons
o/a
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet
)
Preci p.
Past 24
Hrs.
inchesoMoist
D
8
o%TeCu.
o
w W
c� -
`-�'
TKN
mglkg
z
o
GQ
mg/k
e
L
PAN Applied
Ibs/acre)
Crop ]
Crop 2
292500
3.5
1.824
WQ0006906
dry
0
s
0.5
0.3
83100
6000
523
97.250
1 NA
FOTALSI 01 2925001
Annual lbs/acre
Prior Years Cumulative lbs/ac
�urrent Cumulative lbs/ac
permitted C. P. L. R.****
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
o
0.000
.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
As
Cd
I Cu
Cr
I Pb
I H
Mo
Ni
Se
Zn
P
97.250
0.018
0.005
1.023
0.091
0.063
0.002
0.015
0.047
0.018
3.895
47.684
0.025
0.017
1.991
0.188
0.137
0.006
0.042
0.087
2-22
33.714
37.609
0.043
0.022
3.014
0.279•
0.200
0.008
0.057
0.134
2.238
36
34
1338
NA
267
15
NA
374
89
2498
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Name of Crop Type
Receiving Residual
Application
Crop 1 Crop 2
Fescue
0.000 1 Lime Applied
Date lbs/ac
0
'ermit PAN Limit 1 st/2nd Crop
194
`I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations.,,
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date Mineralization Rates: Compost-0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM. FSF (12/2006)

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 ofTaylorsville WQ Permit#: W 0006906 Field #
Q PH 01 Acres Utilized: 14:7
Land Owner: Phillip Hoover Annual Dry Tons Applied: 18.9735 Site #: PH 01 Acres Permitted: 14.7
Operator: Phillip Hoover Predominant Soil Series: PcB2 Cation Exchange Capacity (non 503):
Crop l Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
Y
CO
Ca
Volume applied
PP
enter one Solids/
( )
Liquid
Cu. Yds Gallons
a
/o
Solids
Volume
Iced per
Applied P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#.
Fen., Animal
Waste, etc )
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
D
K �
- 0
o w
0-=-
o
w _
�; -
� N
c� "
w
=
TKN
mg/kg
z Y
o 3
°°
2 2.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10-2019
130000
3.5
1.291
WQ0006906
dry
0
s
0.5
0.3
83100
6000
523
68.803
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
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
roTALS:
01
130000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
68.803
0.000
Lime Applied
Annuallbs/acre
0.013
0.003
0.726
0.065
0.045
0.001
0.011
0.033
0.013
2.763
33.824
Date
lbs/ac
Prior Years Cumulative Ibs/ac
0.304
0.317
36
0.04
0.043
34
4.976
5.702
1338 1
0.48
0.545
NA
0.334
0.379
267
0.013
0.014
15
0.102
0.113
NA 1
0.225
0.258
374
6.883
6.896
89 1
101.573
104.336
2498
0
Current Cumulative lbs/ac
Permitted C. P. L- R.****
Permit PAN Limit 1 st/2nd Crop
194
"1 certify, under penalty of law, that this document was prepared under 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."
Signature of Land Applier
9--,-1- )�o 2,6
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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 #: CP 01 Acres Utilized: 7
Land Owner: Carol Price Annual Dry Tons Applied: 7.5894 Site #: CP 01 Acres Permitted: 7
Operator: Carol Price Predominant Soil Series: F eB2 Cation Exchange Capacity (non 503):
Crop I Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
• �,
c
�
r)
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds GeIIOnS
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc )
Soil
Cond.
(Dry,
Wei
Moist)
Precip.
Past 24
Hrs.
inches
D
K
T _
0 w
w
N
�
z ;
c-
w
o
TKN
mg/kg
z D
= o
d
3 2w"
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( Ibs/acre)
Name of CropType
YP
Receiving Residual
`
Application
Crop ]
Crop 2
Crop ]
Crop 2
10-2019
52000
3.5
1.084
WQ0006906
dry
0
s
0.5
0.3
83100
6000
523
57.794
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
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
r0TALS:1
01
520001
As
Cd
Cu
Cr
Pb
HQ
Mo
Ni
Se
Zn
P
57.794
0.000
Lime Applied
Annuallbs/acre
0.011
0.003
0.609
0.054
0.038
0.001
0.009
0.028
0.011
2.320
28.401
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.03
0.041
36 1
0.019
0.022
34
2.009
2.618
1338
0.175
0.229
NA
0.151
0.189
267
0.006
0.007
15
0.05
0.059
NA
0.078
0.106
374 1
0.05
0.061
89
5.731
8.051
2498
0
:�urrent Cumulative lbs/ac
Permitted C. P. L. R.****
3ermit PAN Limit Ist/2nd Crop
194
.1-certiiy, uncier penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
Iualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
EM
Signati.fre of Land Applier
2-y -J-c J
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Report Number: 19-156-0205
•
Account Number: 46381 W 7621 Whitepine Road, Richmond, VA 23237
Waypoint Main .804-743-9401 ° Fax [phone]
ANALYTICAL www_waypointanalytical.com
Send To: Southern Soil Builders Project : Taylorsville
Dennis Key
958 Hoots Road
Roaring River, NC 28669
REPORT OF ANALYSIS Date Sampled: 6/3/2019 12:45:00
Lab Number: 66761 Date Received: 06/05/2019 00:00
Sample Id : Taylorsville Date Reported: 06/12/2019
Total Solids *
3.50
CJR
06/10/2019 13:24
SM-254OG
Moisture *
96.50
CJR
06/10/2019 13:24
SM-2540G
Total Kjeldahl Nitrogen
8.31
83100
250
JPJ
06/11/2019 14:00
SM-4500-NH3C-TKN
Phosphorus
1.31
13100
50.0
KKM
06/10/2019 07:44
601 OD
Potassium
0.13
1300
50.0
KKM
06/10/2019 07:44
601 OD
Sulfur
0.72
7220
50.0
KKM
06/10/2019 07:44
601 OD
Calcium
12.80
128000
1250
KKM
06/10/201918:24
601 OD
Magnesium
0.36
3620
50.0
KKM
06/10/2019 07:44
6010D
Sodium
0.10
1030
250
KKM
06/10/2019 07:44
6010D
Iron
8520
50.0
KKM
06/10/2019 07:44
6010D
Aluminum
18800
50.0
KKM
06/10/2019 07:44
6010D
Manganese
168
5.00
KKM
06/10/2019 07:44
6010D
Copper
_
281
2.50
KKM
06/10/2019 07:44
6010D
Zinc
1070
12.5
KKM
06/10/2019 07:44
6010D
Ammonia Nitrogen
0.60
6000
100
JPJ
06/12/2019 11:00
SM-4500-NH3C
Organic N
7.71
77100
250
06/11/2019 14:00
CALCULATION
Nitrate+Nitrite-N
523
4.79
ZBD
06/07/201912:45
4500NO3F-2011
All values are on a dry weight
basis except as noted by asterisk. Detection
limit on all N series
is on a wet basis.
B-Analyte detected in blank H - Beyond Holding Time
Our a^., *Iffer.i
are .... f.r... ,.-'CIC.a"ram 2't:Y ^.%. r.;.�3Ril.iirii4.5.
a.^•.. 1rur=rt be
Pauric McGroary
.i>�-�,::..>�i%r¢,.
Al-
... :., rliF'•:?SE.:ir ti;i)r,• ,, .;. .. ` y ,;eu•q,
Agronomist
U­C —4F ❑

Report Number: 19-156-0205
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Waypoin
ANALYTICAL
Project : Taylorsville
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9403 0 Fax [phone]
www.waypolhtanalytical.com
REPORT OF ANALYSIS Date Sampled: 6/3/2019 12:45:00
Lab Number: 66761 Date Received: 06/05/2019 00:00
Sample Id : Taylorsville Date Reported: 06/12/2019
k.duiiiiu))i
1.25
1.00
KKM
06/10/2019 07:44
6010D
Chromium
25.0
2.50
KKM
06/10/2019 07:44
6010D
Nickel
12.8
117.3
2.50
KKM
06/10/2019 07:44
6010D
Lead
3.00
KKM
06/10/2019 07:44
6010D
Arsenic
<5.00
5.00
KKM
06/10/2019 07:44
6010D
Mercury
0.491
0.0157
KKM
06/10/201915:16
SW-7471B
Selenium
<5.00
5.00
KKM
06/10/2019 07:44
6010D
pH.
12.1
JSL
06/11/2019 05:53
9045D
Molybdenum
4.09
2.50
KKM
06/10/2019 07:44
6010D
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.
B-Analyte detected in blank H - Beyond Holding Time MG
1. .:U!IS ,:r. ,..:r c..: u., ...':`i7c vyC• <+ ,r r °'8i US9 Oi Vi!. :ire iii:i, f!?:)v
,!T!,'O.",i;;r:r� r:........., U!' J8: , r.. j s?':., �. _...... t; •:)(�
'o,t;;)?,a,,. U)E?:e5t!N,i or?r?;; corr:Dt;:?vlri%xr,.,.;tt,'.,;:<:�;:_• ,,.,•: :,��:. •r� r... Pauric McGroary
<.t,.... .G. • i.4.5 .,.rf. dl... .:;"[i?%'.9. C?LC+.R, a::'?;C3!'7CEi??�^iS Yl""; (;ni;C 03�&7i?'rt!'i(t OUf ,L'7iC%[t?,'i:'Ea: cY,.!?.`?::P.l.lN+r;
Agronomist
PaaP F of R

SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L M M /L
36.05 4480 126.7
Na (.ME)
1.567391
Ca�M�
224
Mg (MEN
1 10.55833
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.144733 (From Mg/L entered above)
SAR= 0.147731 (From ME entered below)
Na ME
Ca (ME)
Mg (ME)
1.6
1 224
10.6
The amour
amount of E
Permitting I

'A►
Mineralization
Rate TKN NH3 NO
0.3 83100 6000 523
PAN Surface
26653 mg/kg
53.306 lbs/dry ton
0
Ibs total PAN
#DIV/01
Ibs PAN/acre
PAN Injection
29653 mg/kg
59.306 lbs/dry ton
0
Ibs total PAN
#DIV/0!
Ibs PAN/acre
Dry Tons/1000 gal.
0.14595
1st year PAN
Surface lbs.
0
1st year PAN
Injected lbs.
0
lbs./acre
Surface
#DIV/0!
lbs./acre
Injected
#DIV/0!
as decimal Total drV Acres
NO2 % Solids tons/year Applied on
0 0.035
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + l(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
"..-

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15623
Client:
Carol Price
Advisor: Zach Key
:. �:'•t„
~'�����
Predictive
912 Boston Rd
Southern Soil Builders,
> z t.t r,<: �
'f I, -i"
Ta lorsville, NC 28681
Y
Inc.
Soil Report Mehlich-3 Extraction
958 Hoots Rd
Sampled County.: Alexander
Roaring River, NC 28669
Links to Helpful Information
Client ID: 448752
Advisor ID: 231531
Sampled: 11/05/2019
Received: 11/12/2019 Completed: 12/03/2019 Farm:
Sample ID: CP1
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre) N P2O5
K2O
Mg S Mn Zn
Cu B
Information
Lime History:
1 -Fescue/OGrass/Tim, M 0.0 120-200 0
40
0 0 pH$ 0
0 0
Note: 12 Note: $
2 - 0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.27 1.19 6.9
93 0.5 6.6 150 49 81 9 42
152
99 214 214
299 0.1 1
North Carolina
j
l`IZ>iLZ.t 7t:1°.� I'wl'':i tii ..i'!' •n.�,
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

NCDABCS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15623
Carol Price
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report
Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either .
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at onE
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-1
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1Mn-Al2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-1
manganese index
notations appear on the soil report, refer to Note: Secondary Nutrients and Micronutrients In general, homeowners do not
M-O
N
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
nitrogen
sodium
ncaqr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncagrgov/agronomi/obpart4.htmt find information that
P-1
phosphorus index'
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
WN
weight per volume
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Nln-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routine)
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr.gov/aaronomi/uvrst.htm

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15626
'
Client:
Owen Icenhour
Advisor: Zach Key
{_ �° ,;. �•. t-f�', Predictive
716 Stikeleather Rd.
Southern Soil Builders,
Hiddenite, NC 28636
Inc.
SoilRep ®�-� Mehlich-3 Extraction
958 Hoots Rd
9n` {
Sampled County: Alexander
Roaring River, NC 28669
Links to Helpful Information
Client ID: 123035
Advisor ID: 231531
Sampled: 11/05/2019 Received: 11/12/2019 completed: 12/03/2019 Farm:
Sample ID: 0801
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, M 0.0 120-200 0
40
0 0
pH$
0
0 0
Note: 12 Note:
2 - 0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM%_ WN CEC BS% Ac pH P-1 K-I Ca% Mg%
S-1
Mn-I
Mn-All Mn-Al2
Zn-I
Zn-AI
Cu-I Na ESP SS -I NO3-N
0.36 0.76 44.9 100 0.0 7.6 608 52 95 4
93
134
74
1447
1447
1293 0.2 0
Sample ID: 0804
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, M 0.0 120-200 0
40
0 0
pH$
0
0 0
Note: 12 Note:
2 - 0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1
Mn-I
Mn-All Mn-AI2
Zn-1
Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.32 0.97 29.2 100 0.0 7.8 261 50 95 4
72
140
74
787
787
787 0.2 1
North Carolina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler. Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
ReportNo. FY20-SLO15626
Owen Icenhour
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
Ac
B
exchangeable acidity
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at oni
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
Fertilizer
ESP
exchangeable sodium percent
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
HM%
K-I
percent humic matter
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-I
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
N
nitrogen
ncagr.gov/agronomi/pubs_htm.
Na
sodium
NO3-N
nitrate nitrogen
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
ORG
organic soil class
the exact fertilizer grade recommended on the report, visit www ncagr gov/agronomi/obpart4 hind information that
pH
P-1
current soil pH
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
WN
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-Al
zinc availability index
remaining 16 (P-I, K-1, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-1, Zn-Al, Cud, S-1, SS -I, Na, ESP, SS -I, NO3-N (not routine]
Zn-1
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaqrqov/agronomiluvrsthtm

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Client: Phillip Hoover
Predictive
-;rr-`::� '�;_;�•, 37 Carolina Lane
Taylorsville, NC 28681
Soil RepoRepoft Mehlich-3 Extraction
Sampled County: Alexander
Links to Helpful Information
Client ID: 438308
Sampled: 11/05/2019 Received: 11/12/2019 Completed: 12/03/2019 Farm:
Sample ID: PH1 Recommendations: Lime
Crop (tons/acre) N
Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200
2 - 0.0
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg°/
0.27 1.06 10.4 100 0.0 7.4 122 32 90 8
.0orth Carolina
Report No. FY20-SLO15624
Advisor: Zach Key
Southern Soil Builders,
Inc.
958 Hoots Rd
Roaring River, NC 28669
Advisor ID: 231531
Nutrients (lb/acre) More
P205 K20 Mg S Mn Zn Cu B Information
0 70 0 0 pH$ 0 0 0 Note: 12 Note:
Soil Class: Mineral
S-1 Mn-1 Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
45 216 125 318 318 371 0.2 2
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 ofAariculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15624
Phillip Hoover
Page 2 of 2
Understanding the Soil Report: explanation .of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at one
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-1
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
%CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-I
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
M-O
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
N
nitrogen
ncagr.gov/agronomi/pubs.htm.
Na
sodium
NO3-N
nitrate nitrogen
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft . If you cannot find
ORG
pH
organic soil class
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncaar.gov/agronomi/obpart4 htmtffind information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
WN
weight per volume
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-1, K-1, Ca%, Mg%, Mn-1, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-1, SS -I, Na, ESP, SS -I, NO3-N (not routine)
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaqr.govlagronomiluvrst.htm

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SL015625
i rr
i�, 4 ram'•.
Predictive
Client: Clyde Hendren
PO Box 732
Advisor: Zach Key
ram. E"r ,.-'•�t
Taylorsville,
Southern Soil Builders,
Mehlich-3 Extraction
Soil Report
NC 28681
Inc.
958 Hoots Rd
.,.
Sampled County: Alexander
Roaring River, NC 28669
Links to Helpful Information
Sampled: 11/05/2019
Received: 11/12/2019 Completed: 12/03/2019 Farm:
Client ID: 438306
Advisor ID: 231531
Sample ID: CH1
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, M 0.0 120-200 50
80 0 0 0 0
0 0
Note: 12
2 - 0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-1 Mn-All Mn-AI2 Zn-I Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.46 1.07 8.2
88 1.0 6.3 36 30 66 20 40
202 133 167 167
83 0.1 1
, . :North Carolina
A.1=:
[A' r ,
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: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15625
Clyde Hendren
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report
Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on
Ca
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of.
K-I
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based or, test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1Mn-AI2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-1
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not
M-0
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
N
nitrogen
ncaqr.gov/agronomi/pubs.htm.
Na
sodium
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncagr..qov/agronomi/obpart4.htm#f�find information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
WN
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-I, K-1, Ca%, Mg%, MnA Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routine)
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www•ncagr.gov/agronomi/uvrst.htm

r
Ume. atabilizvtioin
i*n of iaIorWlte V1iWi'S� Loctatioh:
Date:
26 Zo J 4
Time:
060 0
Gallons •lt at. �al•rt�rted
�..
start
PH
1U,000
Notes:
Date: Zo Dads; Z7 ZG fg
Time; /f u p Time: 05 d o
t.imt< & tv>�p av er dorreoied
Added 2 hears ph .& terrvp. eft r parr ct d
�- N 22 hours
503 Requirements: 12 Minimum t i 5 Niinirnuin
Strut pH tatcen immediately after Ame addition,
pH.roadings taken Witty in approved lotu oodiurn glass eloctrado probe. pH Maier )vas callibrated to a pH of W prior to a arnpiing.
'9
G
z
6
c
c
O
m
0
0
ti
0
0
N

0>
ram.
0
N
N
Co
00
N
Co
D
I
r
Lime stabilization
i�t•�aj+�ot:TOwn tsf iaylr� ville W11Vi'P' f
Date; 2-3 Z-at g
Time: d o
allorts p .& tern p- ai barrrfrotl
start k
to h?�' j-7 1 s
Notes:
Date: 23 Zal g
Time. la o a
AddM 2 hours
Po0o Gn . 1�_ . y� j g'c,
6G3 Aequlmmenf,4:
Time: o
forreoted ph l tempd otter 6orrectij-
H - 22 hours 9/TiTF
i� QJlinkrrtrt�t 115 Mlnlmum
&tart pH taken Immodiately after HMO addition,
• pH. readings taken with art approved lot'sod tlm glage ofoctrade probe, pH Motor VMS calllbrated to a pFl of 10 prior to tampling,
i
f4-��
Operator:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Taylorsvi Ile WQ Permit Number: WQ0006906
WWTP Name: Town of Taylorsv.ille NPDES Number: NCO026271
Monitoring Period: From 1/1/2019 To 12/31/2019
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time,/temp) Ll
Alt B (Alk Treatment) 0
Alt. C (Prior Testing)[]
AIt.D (No Prior Test) I_l
I Process to Further Reduce Pathogengs El
If applicable to alternative performed (Class A only indicate "Process to Further Reduce Pathogens":
Compost [
Heat Drying El
Heat Treatment LI,
Thermophilic El
Beta Ray El
Gamma Ray 0
Pasteurization
Class B:
JAIt. (1) Fecal Density D
Alt. (2) Process to Significantly Reduce Pathogens Z
If applicable to alternative performed (Class B onlN) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization
Air Drying C1
Composting lff
Aerobic Digestion L1
Anaerobic Digestion
.... ...... .. .
_..
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
g y
um er o
Excee-
en
Frequency
of Analysis
Sample
Type
Analytical
Tech -
ni e
Minimum
Geo. Mean
Maximus
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.I (VS reduction) El
Alt. 2 (40-day bench) Ll
Alt. 3 (30-day bench)
Alt. 4 (Spec. Oz uptake) U
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization 0
_q
Alt 7 (Drying - Stable) Q
JAIt. 8 (Drying - Unstable) Ll
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) I._l
No vector attraction reduction alternatives were performed El
C:ERTWIC;A IOA STATEMENT (please check the appropriate statement)
21 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
11 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requiremen.ts have been met. I am aware that there are
significant penalties for false certificatio i including fine and imprisonment."
l/aD �s U2� Gvwi P Dennis Key Southern Soil Builders, Inc.
reparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signature of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CPR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
DENR FORM PVRF 02T (12/2006)

W " 00'
EPA
NPDES Biosolids E-Reporting Coming Soon
Biosolids Annual Reporting will be available via the NPDES
NeT eReporting Tool (NeT) after 12/21/2016. 2016 Biosolids
Annual Reports are due from facilities by 2/21/2017 and
NPDES eReporting Tool are required to be submitted electronically according to the
NPDES Electronic Reporting Rule.

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncigr.gov/4gronomil
Report No. FY19SL008392
1TtrAe,
Predictive
Client:
Carol Price
Advisor:
Zach Key
?-
912 Boston Rd
Southern Soil Builders, Inc.
Soil Report
Mehlich-3 Extraction
Taylorsville, NC 28681
958 Hoots Rd
,k
Roaring River, NC 28669
'
Links to Helpful Information
Sampled: 10/08/201 B
P
Sampled County :Alexander
Received: 10117/2018
Farm: Not Provided
Completed: 10/26/2018
Client ID: 448752,
Advisor ID: 231531
Sample ID: CP1
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre) N P205
K20 Mg S
Mn Zn
Cu B
Information
Lime History:
1-Fescue/OGrassrrim, M
0.4 120-200 0
80 0 0
0 0
0 0
Note: 12
2 -
D.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 crr?; NO3-N in mg/dn?]:
Soil Class:
Mineral
HM% • WN
CEC BS % Ac _ pH
P-1 K-1 • . Ca%, Mg% .
S-1 . , Mn-I Mn-Ali . Mn-AI2
Zn-I Zn-AI .
,Cu-I Na,. ESP. SS -I • NO3-N.
0.32 1.11
6.0 73 1.6 5.8
77 29 59 12
40 126 93
136 136
176 0.1 2
North Carolina
rL' i tii
Tobacco Trust Fund Commission
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.
SteveTroxler, Commissioner of Agriculture

r
2018
Town of Taylorsville
2018 Annual Report
Land Application Program
Permit No. WQ0006906
M'p'J
RECEIVED/NCDENR/DWR
FEB 18 2019
WLIROS
MOORESVILLE REGIONAL OFFICE
FFR 12 ?019
DIAM, SECTION
INFORMATION FROCESSING UNIT

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0006906
County:
Facility Name (as shown on permit):
Land Application Operator:
Alexander Year:
Town ofTaylorsville
2018
Southern Soil Builders, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
$ Yes 0 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Total number of application fields in the rnit:
7
Total number- of fields utilized for land application during the year:
5
Total amount of dry tons applied during the year for all application sites:
189.22
Total number of acres utilizes for land application during the year:
F 77.5
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2018 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. 2 Yes L o{ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three
(3) copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Urnits in 15A NCAC 02T .1 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .l 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1 1 1 1 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and rernediations.
1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
B n
Z A GUI r;�r /mac
Permittee Name an itle (t>j r print) Signature of Permittee Date
Signature of Preparer*
Date Si
of Land
l✓
plier
Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .l 102 (26) DENR FORM ACF (12/2006)

r
ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in -FORM RSSF - B
WQ Permit Number: WQ0006906 Laboratory: 1) Waypoint
Facility Name: Town of Taylorsville 2)
Residual Source WQ # or WQ0006906 3)
NPDES #: 4)
WWTP Name: Town of Taylorsville 5)
Residual Analvcic Data
Parameter
(mg/kg)
Cone.
Limit
(m /k )a
Sample or Composite Date
4-19-18
Percent Solids (%)
NA
5.63
Arsenic
75
3
Cadmium
Copper
Chromium
W0.405
Lead
Mercury
Molybdenum
75
5
Nickel
420
5.96
Selenium
100
5
Zinc
7,500
620
Total Phosphorus
NA
8630
TKN
NA
33700
Ammonia -Nitrogen
NA
3720
Nitrate and Nitrite
2 Fnr —4 rn A;; l.....1 F ,..1:«:
NA
2.43
- --- -- •-•-� -••� �-1 —, .v 1111—aLlV11 111111LJ 11SLCu 111 MIS form are not applicable. Keterence the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under 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 inf mation, including the possibility of fines and imprisonment for knowing violations."
7
Signature of Preparer
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0006906 Laboratory: 1)
Facility Name: Town of Taylorsville 2)
Residual Source WQ0006906 3)
NPDES # or WQ#: 4)
WWTP Name: Town of Taylorsville 5)
Residual Analvsis Data
Waypoint
Parameter
(mg/kg)
Sample or Composite Date
4-19-18
Moisture
94.36
Potassium
970
Sulfur
3730
Calcium
92300
Magnesium
1670
Sodium
685
Iron
5360
Aluminum
11900
Manganese
93.4
Organic N
29980
PH
12
SAR
0.145
PAN
10856.4
"I certify, under penalty of law, that this document was prepared under 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."
Signature of PreparK * Date
*Preparer is defined in 40 CFR Part 5019(r) and 15A NCAC 2T _ l 102 (26)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 18.31
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Carol Price Owner: Carol Price Predominant Soil Series: F eB2
Acres Used: 7 Acres Permitted: 7 Site #: CP 01 Field #: CP 01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or L 2 3 4 5 11 L6 7 8 T9� 1pJ �2
Com-
posite
Date 4/19/18
Solids
5.63
Arsenic
3
Cadmium
2
Copper
168
Chromium
13.6
Lead
13.5
Mercury
7.405
Molyb-
denum
Nickel
5.96
Selenium
5
Zinc
620
Total
Phos-
8630
horus
(Calculated in lbs/acre):
Annual Heavy Metal Field Loadings
Total 3�
_ 5� 6 7 8 9� 0 11 12
DT/Ac./
,.�
App.
Event 2.62
0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016
0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010
0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6000 0.879
Arsenic
0.016
0.000
0.000
Cadmium
0.010
0.000
0.000
Copper
'hi
0.879
0.000
0.000
0.071
0.000
0.000
0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.071
0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.071
0.000 0.0 00 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002
Lead
0.071
0.000
0.000
Mercury
Molyb-
0,002
0.000
0.000
denum
0.026
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.026
Nickel
0.031
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.031
Selenium
0.026
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.026
Zinc
3.244
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.244
Total
Phos-
horus
45.152
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
45.152
"I certify, under penalty of law, that this document was prepared under my direction
or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the
information
I am aware that there are significant penalties for submitting false information, including the
submitted.
fines
imprisonment for knowing violations".
possibility of and.
�f
Signature of Land Ap ier Date
DENR FORM MFI qF Iioionnr_N

ANNUAL, METALS FIEI_,D LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual):
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Clyde Hendren Owner: Clyde Hendren Predominant Soil Series:
Acres Used: 23.4 Acres Permitted: 23.4 Site #: CH 01 Field #:
32.03
PcB2
CH 01.
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg % Solids use Raw Percent #)•
Sample or
11
1 21
3
4
5j
8]
�9�
10
11
12
Com-
posite
Date
4/19/18
% Solids
5.63
Arsenic
3
Cadmium
2
Copper
168
Chromium
13.6
Lead
13.5
Mercury
0.405
Molyb-
5
denum
Nickel
5.96
Selenium
5
Zinc
620
Total
Phos-
8630
horus
A _1
TT_ _ _ TT
1
Annual Heavy ivicta► rie►a i oaainLs IUalculatect in lbs/acre):
TotalEvent
1 11:
1 /11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111IKU
111
1 11:
•+
eel
1 111
1 111
I I11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
...
1 �.1
1 ell
1 lol
1 111
1 111
1 111
1 111
1 eel
1 111
1 ell
1 Ile
0.000
1 1
1 /11
1 111
1 111
1 III
1 III
1 III
1 111
1 III
1 I11
1 eel
0.000
1 1
0 1
1 111
1 Ile
1 111
1 111
1 lee
1 III
1 Ill
a 111
1 ell
1 111
1 lee
1 1
1 11
1 ell
1 111
1 111
1 ell
1 111
1 Ill
1 111
1 lee
1 111
1 ell
1 Ill
1 11
•• '
1 1 �
1 Ill
1 Ill
1 111
1 Ile
1 ell
1 111
1 111
1 111
1 111
1 111
1 111
1 1 �
1 1 .
1 III
lees
Ill)
eee)
lees
ell)
1 111
ell)
1 111
)ell
1 111
1 1
1 1
1 lee
1 Ile
1 lee
1 III
1 111
1 eel
1 111
1 111
1 of
1 Ill
1 111
1 1
®
•°:
1 111
1 eel
1 lee
1 eel
1 111
1 Ill
0 eee
1 eel
1 eee
! 111
1 Ill
.•:
Total
Phos-
. •
1 lee
1 eel
1 ell
1 111
1 III
1 111
1 lee
1 111
1 111
1 111
1 111
. •
phorus
► MIS LIOCUmentwas prepare un er my c u•ect►c 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".
17
Signature of Land Ap 'Fier
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual):
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Phillip Hoover Owner: Phillip Hoover Predominant Soil Series:
Acres Used: 14.7 Acres Permitted: 14.7 Site #: PH 01 Field #:
4.1.20
PcB2
PH 01
Residual Analvsis Data (Heavy Metals nnrd Tntal Phnenhnrlle „moo mn/lrrr o/ C-uA n __. n--_.._A u.-
Sample or
LjJ
1 4
5
6
_7j
8
9 J
10
Llj
12
Com-
posite
Date
4/19/18
% Solids
5.63
Arsenic
3
Cadmium
2
Copper
168
Chromium
13.6
Lead
13.5
Mercury
0.405
Molyb-
5
denurn
Nickel
5.96
Selenium
5
Zinc
620
Total
Pllos-
8630
IloruS
------...... ., i♦ VF..11"I - ju-61116J
k-aluuintud iii iusiacre):
Total
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
y
App.
s
Event
2.80
Arsenic
0.017
0.600
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0. 000
0.017
Cadmium'
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0..000
0.000
0.011
Copper
0.942
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.942
Clll'onll11111
0.076
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.076
Lead
0.076
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.076
Mercury
0.002
0.000
0.000
0.000
0.000
0.000Molyb
0.000
0..000
0.000
0.000
0.000
0.000
0.002
0.000
0.028
denurn
enum
0.028
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0..000
Nickel
0.033
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.033
Selenium 0.028 0.600 0.000 0.000 0.000 0:000
0.000
0.000 0.000
0.000
0.000
0.000
0.028
Zinc 3.476 0.0,00 0.000 0.000 0.000 0.000
0.000
0.000 0.000
0.000
0.000
0.000
3.476
Total
Ph 48.380 O.Q00 0.000 0.000 0.000 0.000
0.000
0.000 0.000
0.000
0.000
0.000
48.380
ru
horus
"I certify, under penalty of law, that this document was prepared under 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".
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 74.77
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Icenhour Owner: Owen Icenhour Predominant Soil Series: CeB2
Acres Used: 19.3 Acres Permitted: 19.3 Site #: 0801 Field #: 0801
Residual Analvsis Data (Ilenvv Metals anri rnt.i Ph[..-h--... of a_1!-1_
Sample or
;
121
3
415
-- -- -'---1"""
6
"" """
78
•••b' •mob,
�..J va•uJ
9j
UJI.
10
1\a YY 1 Gl
11
I:GLLL 1"f�:
12 j
Com-
posite
Date
4/19/18
% Solids
5.63
Arsenic
3
Cadmium
2
Copper
168
Chromium
13.6
Lead
13.5
Mercury
0.405
Molyb-
5
denum
Nickel
5.96
Selenium
5
Zinc
620
Total
Phos=
8630
horns
e nnnol
" . AiT..+-I
Ti l..l,7
T ... ..lt�_
ir_■
_ ■
----••-••• ..., 1.1V.[ I A-MAu LVau111g'J
k%.aicu►aLeu in ibsiacre):
Total
DT/Ac./
App.
Event
1 i
3.87
2
3
4
5
6
7
9
10 F
11 I
12
Arsenic
0.023
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.023
Cadmium
0.015
0.000
0.000 1.
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.015
Copper
1.302
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.302
Chromium
0.105
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.105
Lead
0.105
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.105
Mercury
denuniMolyb
denum
0.003
0.039
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
0.003
0.000
0.039
Nickel
0.046
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.046
Selenium
0.039
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.039
Zinc 4.804 0..000. 0:000 0.000 0.000 0.000
Total
0.000
0.000 0.000
0.000
0.000
0.000
4.804
Phos- 66.865 0.000 0.000 0.000 0.000 0.000
horns
0.000
0.000 0.000
0.000
0.000
0.000
66.865
"I certify, under penalty of law, that this document was prepared under 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".
Signature of Land Applier
Date
DENR FORM MFI SF r19i,)nnF)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 22.89
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Isenhour Owner: Matthew Shannon Predominant Soil Series: CeB2
Acres Used: 13.1 Acres Permitted: 13.1 Site #: 0804 Field #: 0804
Residual Analvsis Data (Heavv Metals and Tntal nhn,� h.,.....0_.!_3_
Sample or
Com-
posite
Date
4/19/18
2
-
3
4�
- ---
5
-- ----c---�-
6
—., ..••,
7
•, •••b, •.b,
8
, v �..
9
1v 0 uoa.
10
i.a vy 1 cl
11
%:V tt).
12
% Solids
5.63
Arsenic
3
Cadmium
2
Copper
168
Chromium
13.6
Lead
13.5
Mercury
0.405
Molyb-
denum
5
Nickel
5.96
Selenium
5
Zinc
620
Total
Phos-
horus
Anneal
8630
NPavv 1Via+'.1
V.-Fi
Total
App.
Event-
1 1 1
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
••.-
1
1111
1 111
1 111
1 111
1 101
1111
1 111
1 Ile
1 111 I
l 1�:
1 111
1 111
1 111
1 111
1 Ill
loll
1 Ill
1 III
1 Ill I
1 l'
1 111
1 111
1 Ile
1 lee
1 eel
1 eel
1 ell
1 III
1 Ill I
.-o b
III
1 1
1 ell
1 III
1 Ill
1 111
1 Ill
1 111
1 III
1 111
1 III
1 111
1 Ill
1 Ill
1 III
1 Ill
1 III
1 111
1 111 I
1 III I
1 1
I Ill
1 ell
1 111
a Ile
1 111
1 111
1 Ill
1 101
1 111 I
1 1
1 Ill
0 Ill
1 III
1 Ill
1 111
1 Ill
1 III
1 Ill
1 Ile I
®
..
Phos-
_phorus
..
1 111
1 Ill
1 III
1 Ill
1 111
1 III
1 Ill
1 111
1 111 '
1 111
1 111
1 1 1
1 111
1 111
1 11
1 111
1 111
1
1 111
1 111
1 1�
1 111
1 111
1 11
1 Ile
1 111
1 1
1 111
1 111
1 1
/ 101
1 111
1 1
e 111
1 111
0.000 1 0.000 130.153
vva, 1,re1jareu unuer my uirection 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".
Signature of Land Appli r Date
DENR FORM MFI SF (iqi?nnrN

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 ofTaylorsville WQ Permit #: WQ0006906 Field #: PH[ 01 Acres Utilized: 14.7
Land Owner: Phillip Hoover Annual Dry Tons Applied: 41.2023 Site #: PH 01 Acres Permitted: 14-7
Operator: Phillip Hoover Predominant Soil Series: PcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Cron 2 Name• r, I NA D A XT.
.
_
°
N o
Volume applied
pp
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)Wet,
Soil
Cond.
(Dry,
Moist)
Precip.
Past 24
Hrs.
inches
D
K -a
a
- 'o
o m
-
o
w
� -
�
�'
CD
N
TKN
mglkg
z D
r :
o .3
O
m
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4-2018
175500
5.63
2.803
WQ0006906
Dry
0
s
0.5
0.3
33700
3720
2.43
60.859
0.000
NA
0.000
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
Lime Applied
TOTALS: 0 1755001
Annuallbs/acre
Prior Years Cumulative lbs/ac
As
0.017
0.287
Residuals Applications totals on FORM FSF supp ( attach FORM
Cd Cu I Cr I Pb I Hg Mo N1
0.011 0.942 0.076 0.076 0.002 0-028 0.033
0.029 4.034 0.404 0.258 0.011 0.074 0.192
FSF supp to this form):
Se Zn P 60.859 0.000
0.028 3.476 48.380
6.855 98.097
6.883 101.573
89 2498
194
Date
1 bs/ac
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Crop
.4T
0.304
36
0.040 4.976 0.480 0.334 0.013 0.102 0.225
34 1338 NA 267 15 NA 374
_ -__ __.,, ....., t,....,.,, ,,, ,.11, ,a. «A uLA-UlAMI11 was preparea unaer my clirectton or supervision in accordance with a system designed to assure that
qualified personnel properly el
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."
1, a *Application Method: S -Surface, IN -Injection, INC -Incorporation
k **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
el
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

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 ofTaylorsville WQ Permit #• WQ0006906 Field #• CP 01 Acres Utilized: 7
Land Owner: Carol Price Annual Dry Tons Applied: 18.3121 Site #: CP 01 Acres Permitted: 7
Operator: Carol Price Predominant Soil Series: F eB2 Cation -Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
L r
0J �
0
C]
Volume applied
PP
(enter one) Solids/
Li Liquid
9
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet
Moist)
Precip.
Past 24
Hrs.
inches
K 0
_
- �'
2 w
+ o
o
,�
_
�, F.
*
o
x r
TKN
mg/kg
Z
�' j
o
o° o
P.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( Ibs/acre)
Name of CropType
yP
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4-2018
78000
5.63
2.616
WQ0006906
Dry
0
s
0.5
0.3
33700
3720
2.43
56.801
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
0.006
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
01
78000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
56.801
0.000
Lime Applied
Annual
Ibs/acre
0.016
0.010
0.879
0.071
0.071
0.002
0.026
0.031
0.026
3.244
45.152
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.014
0.030
36 1
0.009
0.019
34 1
1.13
2.009
1338
0.104
0.175
NA
0.08
0.151
267
0.004
0.006
15
0.024
0.050
NA
0.047
0.078
374
0.024
0.050
89
2.487
5.731
2498
10-18
1000
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Crop
194
"I certify, under penalty of law, that this document was prepared under 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."
/-a?-poi
Signature of Ldnd Applier Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

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 #: W 0006906 Field # Q - CH O1 Acres Utilized: 23.4
Land Owner: Clyde Hendren Annual Dry Tons Applied: 32.0462
Site #: CH 01 Acres Permitted: 23-4
Operator: Clyde Hendren Predominant Soil Series: pcB2
Cation- Exchange
e Capacity (non 503):
Crop 1 Name: Fescue Cro 1 M PA 194
O
O�
O
Ca
p ax. N. Crop 2 Name: Crop 2 Max. PAN:
Volume applied
(enter one) Solids/
Liquid
Solids
Cu. Yds Gallons
4-2018 136500 1 5.63
Volume
Applied per
Acre
(Dry Tans/Ac)
1.369
Residual Sources
(NPDES #, WQ#.
Fert., Animal
Waste, etc )
WQ0006906
SO1l
Cond.
(Dry,
Wet,
Moist)
Dry
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Precip. D
o
z D
Past 24
y 5
CD
TKN
d
Hrs.
z
� �
Q-
N'
N•
inches
0
mg/kg
mg/kg
0 s
0.5
0.3
33700
3720
Nitrate
and
Nitrite
mg/kg
2.43
TOTALS: 0 136soo .
As
0.008
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
CdT
r Pb H Mo Ni Se Zn P�nnuallbs/acre
0.00537 0.037 0.001 0.014 0.016
3rior Years Cumulative lbs/ac
urrent Cumulative lbs/ac
'ermitted C. P. L. R.****
'ermit PAN Limit Ist/2nd Crop
0.017
0.025
36
0.01251
0.01788
34
0.1
0137
267
0.005
0.006
15
0.028
0.042
NA
0.014
1.698
23.629
0.071
2.206
32.016
0.087
2.220
33.714
374
89
2498
PAN Applied
( Ibs/acre)
Crop I
29.736
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
29.736
Crop 2
NA
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 111
Name of Crop Type
Receiving Residual
Application
Crop 1 Crop 2
Fescue
Lime Applied
Date lbs/ac
0
_.... 194
I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
el
a _ ' *Application Method: S - Surface, IN - Injection, INC - Incorporation
3 "�I **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of ^ and Applier Date J Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

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 01 Acres Utilized: 19.3
Land Owner: Owen Icenhour Annual Dry Tons Applied: 74-7746 Site #: 08 01 Acres Permitted:-] 9.3
Operator: Owen Icenhour Predominant Soil Series: CeB2 Cation Exchange Capacity (non 503): -
Crop 1 Name: Fescue Crop I Max. PAN- 216 Croy 2 Name- Crnn) 'Mav PAN -
o
c
11-2018
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
318500
%
Solids
5.63
Volume
A lied er
PP P
Acre
(Dry Tons/Ac)
3.874
Residual Sources
(NPDES #, WQ#.
Fert., Animal
Waste, etc)Wet,
WQ0006906
Soil
Cond.
(Dry,
Moist)
Dry
Precip.
Past 24
Hrs.
inches
0
D
� _
a
s
<
o
� �
_
co -
* _
0.5
X
w
N'
w
* 0
0.3
TKN
mg/kg
33700
D
z -
= -
o D
0°
�'
mg/kg
3720
Nitrate
and
Nitrite
mg/kg
2.43
PAN Applied
( lbs/acre)
Name of CropType
yP
Receiving Residual
Application
PP
Crop 1
84.123
Crop 2
Crop I
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
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
Annuallbs/acre
01 318sob
As
0.023
Cd
0.015
I Cu
1.302
Cr
0.105
Pb
0.105
Hg
0.003
1\4o
0.039
Ni
0.046
Se I
0.039
Zn
4.804
P
66.865
84.123 0.000
Lime
Date
Applied
lbs/ac
Prior Years Cumulative lbs/ac
0.295
0.318
36
0.199
0.214
34
33.127
34.429
1338
1.614
1.719
NA
2.665
2.770
267
0.178
0.181
15
0.408
0.447
NA_
2.846
2.892
374
4.132
4.171
89
120.744
125.548
2498
..
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop--
..... . - - 216
�__„ Yam==a==y V, is W, Mai uus uucument was prepared under 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."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
a3-26 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

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: 13.1
Land Owner: Matthew Shannon Annual Dry Tons Applied: 22.8902 Site #: 08 04 Acres Permitted- 13.1
-Operator: Owen Icenhour Predominant Soil Series: CeB2 Cation Exchange Capacity tnon 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN:
O Y
y c
Q
Volume applied
(enter one) Solids/
Liquid
9
Cu. YdS G8110nS
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tcns/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc*
)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
D
K
n _
8 o'
Q R
o
_
�; -
w
9 w
=
0
TKN
mg/kg
z D
_'
o B
°� o
P.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
11-2018
97500
5.63
1.747
WQ0006906
Dry
0
s
0.5
0.3
33700
3720
2.43
37.940
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 1
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:-6
I
97506
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
37.940
0.000
Lime Applied
Annual
lbs/acre
0.010
0.007
0.587
0.048
0.047
0.001
0.017
0.021
0.017
2.166
30.153
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.256
0.266
36
0.171
0.178
34 1
28.912
29.499
1338
1.185
1.233
NA
2.374
2.421
267
0.171
0.172
15
0.341
0.358
NA
2.619
2.640
374
6.273
6.290
89
135.418
137.584
2498
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
.............. ....... .
- 216
"1 certify, under penalty of law, that this document was prepared under 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
R t S f 0 5 I t' /I 1 0
Signature of Land Applier Date
o iz ion a e. ur ace - . , njec ion ncorporat�on - .
xxx Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested 40.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

Report Number: 18-113-0209
ON•
Account Number: 46381 1/1/aypoi ntz. 7621 Whitepine Road, Richmond, VA 23297
Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
Send To: Southern Soil Builders Project : Taylorsville
Dennis Key
958 Hoots Road
Roaring River, NC 28669
REPORT OF ANALYSIS Date Sampled: 4/19/2018 11:30:00
Lab Number: 60182 Date Received: 04/23/2018 00:00
Sample Id : Taylorsville Date Reported: 05/04/2018
Total Solids '
5.63
56300
100.0
'JM
04/23/2018 15:45
SM-2540G
Moisture '
94.36
100.0
JM
04/23/2018 15:45
SM-2540G
Total Kjeldahl Nitrogen
3.37
33700
50.0
R D
04/24/2018 08:45
SM-4500-NH3C-TKN
Total Phosphorus
0.86
8630
100
SMC
04/27/2018 17:33
6010C
Total Potassium
0.10
970
100
SMC
04/26/2018 16:32
6010C
Total Sulfur
0.37
3730
100
SMC
04/26/2018 16:32
6010C
Total Calcium
9.23
92300
100
SMC
04/27/2018 17:33
6010C
Total Magnesium
0.17
1670
100
SMC
04/26/2018 16:32
6010C
Total Sodium
0.07
685
100
SMC
04/26/2018 16:32
6010C
Total Iron
5360
100
SMC
04/26/2018 16:32
6010C
Total Aluminum
11900
100
SMC
04/26/2018 16:32
6010C
Total Manganese
93.4
5.00
SMC
04/27/2018 17:33
6010C
Total Copper
168
5.00
SMC
04/27/2018 17:33
6010C
Total Zinc
620
5.00
BKN
04/26/2018 16:32
6010C
Ammonia Nitrogen
0.37
3720
50.0
JM
04/24/2018 08:54
SM-4500-NH3C
Organic N
3.00
29980
50.0
04/24/2018 08:45
CALCULATION
Nitrate+Nitrite-N
<2.43
2.43
MMT
04/25/2018 08:33
4500NO3F-2011
All values are on a dry weight basis except as noted by asterisk. Detection
limit on all N series is on a wet basis.
In C G
00r4
u
•-
Pauric McGroary
Agronomist

Report Number: 18-113-0209
Account Number: 46381
Send To: Southern Soil Builders,
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 60182
Sample Id : Taylorsville
Y"� �y
1;y x�wY..
Waypoint
ANALYTICAL
Total Cadmium
<2.00
Total Chromium
13.6
Total Nickel
5.96
Total Lead
13.5
Total Arsenic
<3.00
Total Mercury
0.405
Total Selenium
<5.00
pH '
12.0
Calcium Carbonate Equivalent
20.70 207000
Total Molybdenum
<5.00
Comments:
NC CERT#257
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
Project : Taylorsville
REPORT OFANALYSIS
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Date Sampled: 4/19/2018 11:30:00
Date Received: 04/23/2018 00:00
Date Reported: 05/04/2018
2.00
SMC
04/27/201817:33
6010C
5.00
SMC
04/27/201817:33
6010C
5.00
SMC
04/27/201817:33
6010C
5.00
SMC
04/27/201817:33
6010C
3.00
SMC
04/27/201817:33
6010C
0.400
SMC
04/24/2018 16:18
SW-7471 B
5.00
SMC
04/27/201817:33
6010C
1.0
R D
04/24/2018 08:45
9045D
2500
R D
04/26/2018 12:20
AOAC 955.01
5.00
SMC
04/27/201817:33
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.
?Wit, Inc Gam'
Pauric McGroary
Agronomist

PAN
Mineralization
as decimal
JTotal dry
tons/year
JAcres
I Applied on
Rate
0.3
TKN
33700
NH3
13720
NO3
2.43
NO2
0
% Solids
0.0563
PAN Surface
10856.43 mg/kg 21.71286 lbs/dry ton
0 1 lbs total PAN
#DIV/01 jibs PAN/acre
PAN Injection
12716.43 mg/kg 25.43286 lbs/dry ton
0 Ibs total PAN
#DIV/01 jibs PAN/acre
Dry Tons/1000 gal.
0.234771
1st year PAN
Surface lbs.
0
1st year PAN
Injected lbs.
0
lbs./acre
Surface
#DIV/0!
lbs./acre
Injected
#DIV/0!
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + l(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: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
-Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L Mg(Mq/Ll
38.56 5196.49 94.02
Na ME
Ca (ME)
Mg --(ME)
1.676522
1 259.8245
7.835
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.144922 (From Mg/L entered above)
SAR= 0.145222 (From ME entered below)
a ME
NI
Ca ME
-i
M ME
1.68
259.82
7.84
The amount of exchangeable sodium ions vei
amount of exchangeable calcium & magnesiu
Permitting guidance is if greater than 10 requi

Lime Stabilization
Project; � i
f lt1 T torsvIIIe fVV% Location;
gate. ! zl; /, � mate: i r, Date; i z6 !
eti /- Z3 o TIMe: zwi Tlme: p-3y
�i��IQtt p f t mp. -- -
1is- oo start
Notes
a)
Operator:
0
N
C
CO
ut, Carr ctett 't:i�ne & temp afi�ir oor-m—Cfed ph & temp, after Crrected
Added 2 hours H 22 hours pti
;va nequume Pnts. m minimion
Stara pH taken Immedla(ely after Hine addition.
• pH,raadtngs taken with an spproved low sodium glass olaoirodo probe. pH Meter was cafffbrated to a pH of to prlar to sampling.
115 Minlminn
;va nequume Pnts. m minimion
Stara pH taken Immedla(ely after Hine addition.
• pH,raadtngs taken with an spproved low sodium glass olaoirodo probe. pH Meter was cafffbrated to a pH of to prlar to sampling.
115 Minlminn

c�
a
r
0
N
N
CO
9
00
N
CO
D
.. Lime Stabilization
Project; TOm of i� iars�iiie YiI�1 p +i
om—
Date: I Z ��
71me: p, a
7(J/13134
��301�4�4
t. 60 rew(
do-,
Notes:
Operator.-
Date: i ter- Date; a >
Time: ! Y b a � Time:
ER ...... I
%/o 0
de p � hour eiteP Corrected p�h & tempo after orrecte4
�dti 2 hours 4
N 22 hours H
/Z. I Y 1.-1,& 0 fS-4e-
503 fiequlramenl,,: 12 Mfntrnum 11 F Mtrdmnai
• P16d pH taken (mmedietely after Gnr® addition,
• pN, raedmgs taken wish an approved low erodium glass aloatrodo probe. pH Meter won caNibrnted to n pH of 10 prior to sarnpHng.
y

N
Lime Stabilization
Project: _ . _ ._..."rown of TNIGrevllle WWTPZ--
r`
o _
N Date; Date: / / ._.-.
late: / Z 1
N Time: Uj Q Ttnl$� O U 'lime: 0 �'C�
°°eliQ�e ���
p feMP ef�ker 0-0rrected Ph +� temp. after . orreet�s
start PH Added 2 hours H
- hours _ H
�Ur°� %3j1� r'2.9Z.. j�s� vGn. IL,4 j70� fZ,� /Z,�.% 12, t
5C3 Hequlrements: 17. Minimum t 15 Mkdmum
Burt pH taken immediately alter mite addition.
• pli.roadiings taken with en approved low sodium glass vloatrade probe. pH Meter was aa8ibrated to a pit of to prior to sampling.
L
Q
39:Operator-, ... . (
co
r
r
:!7
V
C
(0

CL
Lime Stabilization
Project; 'Town of Tavlorsv,ille WW rP i.oaCptigA:
rn
0
N
•
Date.
% L ✓� ! lj M
1
`nme:
v '? v o
04
�allona p A teR. PIAI.
Mart
Notes:
m
L
`0
0
I—
0
3
0
m
r`
0
Co
Co
N
C
(U
Operator:
©ate: zrS J
Date: i 7L,
iinte: ago o
gated I ph $ tampn ftrr
PH Added 2 hours
'fr0=6,,,.
!i0$ Hsquln3menit;: 1? M_ intraaltrl
Start pH fatten Immediately after lime addition,
PH,roadings taken with an approved low sodium glass eloatrpdo probe. pH Meter was aallibreted to a pH of to prior to sampling,
t 15 MtnImum

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: .Town ofTaylorsville WQ Permit Number: WQ0006906
WWTP Name: Town ofTaylorsville NPDES Number: NCO026271
Monitoring Period: From 1/1/2018 To 12/31/2018
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑
Alt. C (Prior Testing)❑
A1t.D (No Prior Test)
1 Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate."Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic El
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
jAlt. (1) Fecal Density ❑
Alt. (2) Process to Significantly Reduce Pathogens 2
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
.❑
Lime Stabilization; ®
Air Drying
Composting ❑
jAerobic Digestion 0
Anaerobic Digestion ❑
- . .....::.:.:. .
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
g y
Number o
Excee-
n s
Frequency
of Analysis
Sample
yP
Type
na ytica
Tech-
ni ue
MinimumGeo.
Mean
Maximu
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform
3 MPN per 4 grams
total solid (dry
weigh t
vector Attraction Reduction (!SA NCAC 02T .1107) -Please indicate alternative performed:
Alt.I (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. Oz uptake) ❑
Alt. 5 (14-Day Aerobic) Ll
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
jAlt. 8 (Drying - Unstable)
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed
CERTIFICATIO STATEMENT (please check the appropriate statement)
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penallties for fa se certification including fine and imprisonment."
Dennis Key Southern Soil Builders, Inc.
Preparer Name apd Titl (type or print) Land Applier Name and Title (if applicable)(type or print)
Signature of Preparer* Date Sign ure of Lai d Appliet (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY19-SL008253
Predictive
Client:
Phillip Hoover
Advisor:
Zach Key
';.,.
37 Carolina Lane
Southern Soil Builders, Inc.
.`� Soil Report
fs;
Mehlich-3 Extraction
Ta lorsville, NC 28681
y
958 Hoots Rd
Roaring River, NC 28669
tia �
Sampled County: Alexander
a Links to Helpful Information
Sampled: 10/08/2018
Received: 10/15/2018
Farm: Not Provided
Completed: 10126/2018
Client ID: 438308
Advisor ID: 231531
Sample ID: PH1
Recommendations:
Lime
Nutrients (lb/acre)
More
----_--- -
—Crop. -- - - - - - .
..(tonslacre) - ..-N- P_2O5
K2O- - - Mg—_---5_--_-- --Mn-
- Zn-.
Cu. ._B . _
-Information- __--
Lime History:
11-Fescue/OGrass[Tim, M
0.0 120-200 0
50 0 0
pH$ 0
0 0
I Note: 12 Note:
2 -
0.0
Test Results junits - WN in glcrrr3; CEC and Na in meq/100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1 Ca% Mg%
S-1 Mn-I Mn-All Mn-Al2
Zn-I Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.32 0.96 17.7 99 0.2 7.3
108 44 89 9
46 153 89
524 524
436 0.1 1
North Carolina Reprogramming of the laboratory -information -management system that makes this report possible is
i. 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.
Tobacco Trust fund Commission - Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncac
No. FY19-SL008392
`•....
Predictive
� .
lv.l �'i xl•-
{'t
Soil Re ort
�
Mehlich-3 Extraction
Links to Helpful Information
Sampled: 10/08/2018
Received: 10117/2018
Farm: Not Provided
Completed: 10126/2018
Sample 1D: CP1
Recommendations:
Lime
Crop
(tons/acre) N
Advisor: Zach Key
Southern Soil Builders, Inc.
958 Hoots Rd
Roaring River, NC 28669
Advisor ID: 231531
More
�n------ -emu ----o ----information--'-
Lime History: 1-Fescue/OGrass/Tim, M 0.4 120-200 0 80 0 0 0 0 0 0 1 Note: 12
2 - 0.0
Test Results [units - WN in g1crrr3; CEC and Na in meg1100 crrit; NO3-N in mgldrrr3]: Soil Class: Mineral
HM % W/V CEC BS % Ac pH P-1 K-1 Ca % Mg % S-1 Mnd Mn-All Mn-Al2 Zn-1 Zn-AI Cu-1 Na ESP SS4 NO3-N
0.32 1.11 6.0 73 1.6 5.8 77 29 59 12 40 126 93 136 136 176 0.1 2
North Carolina
Tobacco Trust Fund Commission
Client: Carol Price
912 Boston Rd
Taylorsville, NC 2868 i
Sampled County: Alexander
Client ID: 448752
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

Page 1 of 1
Report Number: 19-002-0676
Account Number:46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River NC 28669
Waypoint
ANALYTICAL
'.Every acre... Every year. "rm
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax [phone]
www.waypointanalytical.com
Grower: Owen Icenhour
SOIL ANALYSIS REPORT Analytical Metbod(s): Mehlich 3 SMP BufferpH Lcss On Ignition Water off
Date Received: 01/02/2019 Date Of Analysis: 01/03/2019 Date Of Report: 01/03/2019 NC = North Carolina Fertility Index Value
OM
W/V
ENR
Phosphorus
Potassium
Magnesium
Calcium
Sodium
pH
Acidity
C.E.0
Sample ID
Lab
Field ID
Number
%
Soil
IbslA
M3
K
Mg
Ca
Na
Soil
Buffer
H
Rate
Class
pp m Rate
pp m Rate
pp m Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
P H
Index
meq/100g
meq/100g
08-01
13961
12.9
150
675 VH
86 L
192 VL
6728 VH
25 VL
7.3
0.0
35.6
VHH
NC = 562
NC = 44
08 04
13962
6.9
150
310 VH
266 VH
113 VL
3656 VH
19 VL
7.5
0.0
19.9
H
MIN
NC = 258
NC = 136
Percent Base Saturation
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper
Boron
Soluble Salts
Sample ID
Field ID
K
Mg
Ca
Na
H
NO3 N
S
Zn
Mn
Fe
Cu
B
SS
%
%
%
%
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ms/cm Rate
OS 0i
0.6
4.5
94.5
0.3
0.0
35 H
42.6 VH 1
18 M
175 VH
17.4 VH
1.1 M
NC=73
NC=1065.0
NC=113
NC=870.0
OS 04
3.4
4.3
91.9
0.4
0.0
30
VH
19 M
171 VH
13.9VH
0.9 M
7H27.0
NCC=675.0
NC=119
NC=695.0
Values on this repot- represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. ? m, &
H (High), VR (Very Rigs?). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = ibs/A, Soluble by'"
C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Analysis prepared by: WaypointAnaiytical Virginia, Inc.
Pauric McGroay

mop-modo
u
•fiulld"IFIR of aolid D 4 jr) l.µi EI aE pa;(?eglllpo ek)m JOWN Hd 'Ognad opoapoolo S(M16 uanlpo;3 hkol pemddo Lw gllM umlei soulpevj'Hpd
uolalpp' ®«ill Jel1k' AIs)elPa►,uuu U0401 Hd ppl5
navf�d9j�jl
un►u►IuIV�E y �.} _ wr►qu►Nq e4
AT/ .n(-a-.I,-jrJ 7"Zl
;�r+ucau��aln'b'e'�f[j F—;15
1-�,OV I , Y I oo,,
..-L4 o J.-­­
jTd
�L 1 q d

Town of Taylorsville
2017 Annual Report
Land Application Program
Permit No. WQ0006906
APR 1 -1 2018
ss", C, UNIT
RECP-IVED/NCDEMR/DWR
APR 2 3 2018
WQROS
MOORESVILLE REGIONAL OFFICE

E&r4r4uAL LArNv AYYL1l,Al1"iN L.EK1*1Y1UA*110iN FUR1V1
'WQ Permit#: WQ0006906
County:
Alexander
Year: 2017
Facility Name (as shown on permit):
Land Application Operator:
Town of Taylorsville
Southern Soil Builders, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
Ri Yes 01 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Total number of application fields in thepermit: 1 7
Total number of fields utilized for land application during the year: 2
Total amount of dry tons applied during the year for all application sites: 67.54
Total number of acres utilizes for land application during the year: 32.4
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2017 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. R' Yes ED No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, underpenalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprison nt for knowing violations."
PR A o t �'
Permittee Name a d Title (type or int) Signature of Permittee Date
-(l -(y I /11.
Signature of Preparer* Date Sig&ture of Land Applier Date y
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T. 1102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0006906
Facility Name: Town of Taylorsville
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Aualvsis Data
Taylorsville WWTP
Laboratory: 1) Waypoint Analytical, Inc.
2)
3) _
4)
5)
Parameter
Conc.
Limit
Sample or Composite Date
OWN
Percent Solids (0/-)
Molybdenum
.-0l 3ui xauG unpwai MURMUR me ceumg concentration tints listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under 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 f se information, including the possibility of fines and imprisonment for knowing violations."
211-? -11 1�
Signature of Preparer * Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (i 2i2nnR)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0006906 Laboratory:
Facility Name: Town of Taylorsville
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analvsis Data
Taylorsville WWTP
1) Waypoint Analytical, Inc.
2)
3)
4)
5)
Parameter
(mg/kg)
Sample or Composite Date
Potassium
-----------
--t certtiy, under penalty of law, that this document was prepared under 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 forbmitting false information, including the possibility of fines and imprisonment for knowing violations."
�� ll
Signature of Preparer
e�/����
Date
Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF - B (12/2006)

tvillI uAl,1vtr,iAL,5 r1E'LJ) WADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual):
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Icenhour Owner: Owen Icenhour Predominant Soil Series:
Acres Used: 19.3 Acres Permitted: 19.3 Site #: 0801 Field #:
Residual Analvsis Data (Heave Metale and T.+.l -n__ of
9 •.
0801
Sample
1
2
3j
1415
or
6
7
8
9
10
11
12
Com-
posite
Date
4/18/17
Solids
4.45
Arsenic
. 3
Cadmium
.2
Copper
1*76
Chromium
12.2
Lead
13.8
Mercury
0.44
Molyb-
denum
5
Nickel
5.33
Selenium
5
Zinc
438
Total
Phos-
8240
horus
Total
DT/Ac./
App.
Event
2.63
L-3J
1415
6
7
8 1
Lqj1
o
11
12
y
w
y
Arsenic
Cadmium
0.016
0.011
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
0.000
0.011
Copper
Chromium
0.924
0.064
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
0.924
0.000
0.064
Lead
0.072
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.072
Mercury
Molyb-
denum
0.002
0.026
0.000
0.000
0.000
.0000
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
0.002
0.000
0.026
Nickel
Selenium
Zinc
Total
Phos-
horus
"I certifv,
0.028
0.026
2.300
43.260
under
0.000
0.000
0.000
0.000
penalty of
0.000
0.000
0.000
0.000
lnw_ that
0.000
0.000
0.000
0.000
thin_-
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 1
0.000
0.028
0.000
0.000
0.026
0.000
0.000
2.300
0.000
0.000
43,260
-- r _ „r---.....,..-I "Ij uAA U%,LIVU Vr SUpervision In accoroance
with a system designed to assure that qualified personnel properly gathered and evaluated the information S d,
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
(/•�"' �
Signature of Land Applier
Date
f1FNR P:f)Rnn nnci ec r�nrnnno�

rk1Niv uH1, IVIEIAL6 FIELD LOAD NG SUMMARY FORM*
I
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 16.89
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only)::
Operator: Owen Isenhour Owner: Matthew Shannon Predominant Soil Series:
Acres Used: 13.1 Acres Permitted: 13.1 Site #: 0804 Field #: 0804
Residual Analvsis Data (Heave Metals and Tn+.ai W_n-_ r, ,. ,
Sample or
Com-
posite
Date
1
4/18/17
2
3
4
5
6
_7
..�, ns,
8
.0 0viiuN
' 9
use
F10
nave rercent
,11
if):
12
--
% Solids
4.45
Arsenic
3
Cadmium
2
Copper
176
Chromium
12.2
Lead
13.8
Mercury
0.44
Molyb-
denum
5
Nickel
5.33
Selenium
5
Zinc
438
Total
Phos-
horus
Anneal
8240
Heave X40+Q1
Ti._IA
T
k_µ=�uaamu iu jjuniacre);
Total 1 2 3
DT/Ac./
4
i 5
�6
7
-
8 9
10
11
12
--
,_3
App.
a
Event 1.29
Arsenic 0.008 0.000
0.000 0.000
0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.008
0.000
0.000 0.000
0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.005
0.000
0.000 0.000
0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.454
WO.O
0.000
0.000 0.000
0.000
0.000
0.000
0.000 .0000.000
0.000
0.000
0.031
0.000
0.000 0.000
0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.036
0.000
Molyb-
0.000 0.000
0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.001
denum 0.013 0.000
0.000 0.000
0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.013
Nickel 0.014 0.000
0.000 0.000
0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.014
Selenium 0.013 0.000
0.000 0.000
0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.013
Zinc 1.129 0.000
0.000 0.000
0.000
0.000
6.000
0.000 0.000
0.000
0.000
0.000
1.129
Total
Phos- 21.243 0.000
horus
0.000 0.000
0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
21.243
"I certify, under penalty of law, that this document
was prepared under 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
imprisonment
penalties for submitting false information,
including the possibility of fines and
for knowing
violations".
Signature of Land Applier
Date
nFniR Pnann hACI CC 1an,-nnnan

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 01 Acres Utilized: 19.3
Land Owner: Owen Icenhour Annual Dry Tons Applied: 50.6592 Site #: 08 01 Acres Permitted: 19.3
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)
QLiquid
Volume applied
enter one Solids/
( )
Cu. Yds Gallons
u
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
5-2017
273000
4.45
2.625
WQ0006906
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
)TALS:1 01 2730001
nnual lbs/acre
-ior Years Cumulative lbs/ac
urrent Cumulative lbs/ac
:rmitted C. P. L. R.****
-701-1 Cond.
Precip.
� y
o
��.
Z
Nitrate
wry'
Past 24
cY b
w
w n
m
TKN
a
ooa o
and
Wet,
Hrs.
o
s� -.
c
o
w
Nitrite
Moist)
inches
ts
p
mg/kg
mg/kg
1 240
mg/kg
1 368
dry
0
s
0.5
0.3
37200
As
Residuals Applications totals
Cd Cu Cr
on FORM FSF supp ( attach
Pb LIZ Mo I
FORM FSF supp to this form):
Ni Se Zn I P
0.016
0.011
0.924
0.064
0.072
0.002
0.026
0.028
0.026
2.300
43.260
0.279
0.188
32.203
1.55
2.593
0.176
0.382
2.818
4.106
118.444
0.295
0.199
33.127
1.614
2.665
0.178
0.408
2.846
4.132
120.744
36
34
1338 1
NA
267
15
NA
374
89
PAN Applied
( lbs/acre)
Crop 1
60.770
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
60.770
Crop 2
NA
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Name of Crop Type
Receiving Residual
Application
Crop 1 Crop 2
Fescue
0.00.0 Lime Applied
Date I lbs/ac
xmit PAN Limit lst/2nd Crop -
2498
216
certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ialified 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
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
r1GNR F(IRPA ccc ie�i�nnr_�

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
Land Owner: Matthew Shannon
Operator: Owen Icenhour
Crop 1 Name: Fescue
WQ Permit #: WQ0006906 Field #: 08 04
Annual Dry Tons Applied: 16.8864 Site #: 08 04
Predominant Soil Series: CeB2
Crop 1 Max. PAN: 216 Crop 2 Name:
Acres Utilized: 13.1
Acres Permitted: 13.1
Cation Exchange Capacity (non 503):
Cron 2 Max- PAN!
°
u; o
ce
Q
5-2017
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
91000
%
Solids
4.45
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
1.
Residual Sources
(NPDES #, WQ#,
Fert. Animal
Waste, etc)
WQ0006906
Soil
Cond.
(Dry,
Wet,
Moist)
dry
Preci P•
Past 24
Hrs.
inches
0
cc b
a o.
s
C
o
,y �;
M �
°
*
°
0.5
w'
o
*
o
°
0.3
TKN
mg/kg
37200
Z
Gt
°
aQ °
° w'
mg/kg
240
Nitrate
and
Nitrite
mg/kg
368
PAN Applied
(lbs/acre)
Name of CropType
Receiving Residual
Application
PP
Crop 1
29.844
Crop 2
NA
Crop 1
Crop 2
Fescue
0.000000
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
)TAI s:
nnuallbs/acre
0 9100o
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
As Cd Cu Cr Pb Hg Mo Ni Se Zn P 29.844 0.000
0.008 0.005 0.454 0.031 0.036 0.001 0.013 0.014 0.013 1.129 21.243
0.248 0.166 28.458 1.154 2.338 0.17 0.328 2.605 6.26 134.289
0.256 0.171 28.912 1.185 2.374 0.171 0.341 2.619 6.273 135.418
36 34 1338 NA 267 15 NA 374 1 89 2498
-
216
Lime Applied
Date lbs/ac
rior Years Cumulative lbs/ac
urrent Cumulative lbs/ac
�rmitted C. P. L. R.****
;rmit PAN Limit 1st/2nd Crop
< _ _■,, uuuor ycrrarry yr raw, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ialified 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."
1 /1--
Signature of Land Applier
l-7Z-iv
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FCF r19/9nnrn

Page: 1 of 2
Report Number: 17-111-0204
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Waypoint
ANALYTICAL
Project : Taylorsville
NC Cert#257
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
REPORT OFANALYSIS Date Sampled: 4/18/2017 14:00:00
Lab Number: 63530 Date Received: 04/21/2017 00:00
Sample Id :Taylorsville Date Reported: 05/01/2017
-+.1+0
440UU
100.0
JM
04/21/2017 15:00
SM-2540G
Moisture *
95.54
100.0
JM
04/21/2017 15:00
SM-254OG
Total Kjeldahl Nitrogen
3.72
37200
50.0
R D
04/24/2017 09:00
SM-4500-NH3C-TKN
Total Phosphorus
0.82
8240
100
MOS
04/24/2017 18:31
6010C
Total Potassium
0.13
1320
100
MOS
04/24/2017 18:31
6010C
Total Sulfur
0.49
4890
100
MOS
04/24/2017 18:31
6010C
Total Calcium
14.80
148000
100
MOS
04/24/2017 18:31
6010C
Total Magnesium
0.19
1920
100
MOS
04/24/2017 18:31
6010C
Total Sodium
0.10
1010
100
MOS
04/24/2017 18:31
6010C
Total Iron
5220
100
MOS
04/24/2017 18:31
6010C
Total Aluminum
19400
100
MOS
04/24/2017 18:31
6010C
Total Manganese
72.9
5.00
MOS
04/24/2017 18:31
6010C
Total Copper
176
5.00
MOS
04/24/2017 18:31
6010C
Total Zinc
438
5.00
MOS
04/24/2017 18:31
6010C
Ammonia Nitrogen
0.22
2240
50.0
R D
04/25/2017 09:00
SM-4500-NI3C
Organic N
3.50
34960
50.0
04/24/2017 09:00
CALCULATION
Nitrate+Nitrite-N
368
2.22
SJB
04/27/2017 09:58
4500NO3F-2011
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and con`dentiai use of our clients, and may not be reproduced in whole or part, nor may any reference be made 9'1�a-mm
to the work, the results. or the company m any advei;ising. news release, or otherpubli- announcernenis without obtaining our prior written authorization.
Debbie Holt
Laboratory Supervisor

Page: 2 of 2
Report Number: 17-111-0204
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Waypoint-10
ANALYTICAL
Project : Taylorsville
NC Cert#257
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Lab Number: 63530 REPORT OFANALYSIS Date Sampled: 4/18/201714:00:00
Sample Id :Taylorsville
Date Received: 04/21/2017 00:00
rin4n De.,...+..,a. nCIA411,,,-,
Total Chromium
Total Nickel
Total Lead
Total Arsenic
Total Mercury
Total Selenium
PH (Standard Units)
Calcium Carbonate Equivalent
Total Molybdenum
12.2
5.33
13.8
<3.00
0.440
<5.00
12.10
40.80 408000
<5.00
Comments:
CCE, SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
G.UU
5.00
5.00
5.00'
3.00
0.400
5.00
1.00
2500
5.00
NIUJ
MOS
MOS
MOS
MOS
SJB
MOS
JM
RD
MOS
04/24/2017 18:31
04/24/2017 18:31
04/24/2017 18:31
04/24/2017 18:31
04/24/2017 18:31
04/25/2017 14:51
04/24/2017 18:31
04/24/2017 09:00
04/28/2017 12:25
04/24/2017 18:31
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 no; be reprodt:ced in v✓hole orpart, nor may any reference be made
to the evorR, the results. or the company in any advedisino. news release, or other public an; rouncernents withoul oblaining our pr for written authorization.
6010C
6010C
6010C
6010C
6010C
SW-7471 B
6010C
SW-9045D
AOAC 955.01
6010C
Debbie Holt
Laboratory Supervisor

PAN
Mineralization
Rate TKN NH3 NO3
0.3 37200 2240 1 368
PAN Surface
1197 6 mg/kg
I23.952 lbs/dry ion
1617.718 1 lbs total PAN
49.92957 lbs PAN/acre
PAN In'ection
13096 mg/kg
26.192 lbs/dry ton
1769.0©11 lbs total PAN
54.599 lbs PAN/acre
D Tons/1000 gal.
0.185565
1st year PAN
lbs./acre
Surface lbs.
Surface
1617.71808
49.92957037
1st year PAN
lbs./acre
Injected lbs.
Injected
1759.GG758
54.59900247
n;07.044571
cirnal Total dry Acres
NO2 tons/year Applied on
0 67.54 1 32.4
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + l(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: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L M M /L
44.94 6586 85.4
1.953013
Ca ME
Mg (ME).
329.3
7.116667
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.150654 (From Mg/L entered above)
SAR= 0.150352 (From ME entered below)
Na ME
Ca (ME)
Mg (ME)
1.95
1 329.3
1 7.12
The amour
amount of E
Permitting I

I nUUr.ry A M V l+:CI UR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Taylorsville
WWTP Name: Town of Taylorsville
Monitoring Period: From 1/1/2017 To
WQ Permit Number:
NPDES Number:
12/31/2017
Pathogen Reduction (15A NCAC 02T .1106)- Plenae indirafa javal o..h.a..oa ,,,.a ,,...._ .._
WQ0006906
NCO026271
Class A:
Alt. A (tine/temp) (
_ ______ ______..__ .�..,� .s�•a1aV�rY
Alt B (Alk Treatinent)1
�,,., a1LG■u�lL1VG 1JC11ur111Cu:
Alt. C (Prior Testing)G
Alt.D (No Prior Test) Cj
Process to Further Reduce Padiogengs E.]
If applicable to alternative
performed (Class A only) indicate."Process to Further Reduce Pathogens":
Compost 0
Heat Drying ![ 1 Heat Treatment ! 4 Thernlophilic [fit
Beta Ray EJ
Gamma Ray Cs Pasteurization ( i
Class B:
jAlf. (1) Fecal Density 0
Alt. (2) Process to Significantly Reduce Pathogens C_
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization Ll Air Drying C-1 Con posting i J Aerobic Digestion i
' '
Anaerobic
brc st Dr e '
g ron 0
If applicable to alternative performed (Class A or Class B) complete the following monitoring
-Numb—crol
data:
Parameter
Allowable Level
Pathogen Density
Frequency
Sample
Analytical
Minimutr.
Geo. Mean
axim
Units
in Sludge
Excee-
of Analysis
y
Type
Tech-
2 x 10 to the N,N
e
ni ue
6th power
per gram of
Fecal Coliform
total solids CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
3 NTN per 4 grams
(in lieu of fecal
total solid (dry
coliform
weight
Vector Atfraefinn
Karl,...+.a., !l C
A AU-1 A n
n'Sm .9.9 nnX
Alt.1 (VS reduction) � ¢
Alt. 2 (40-day bench) (. ,`,
"1LV11iQL1VG 1JG11u1111CU.
Alt. 3 (30-day bench) r_-i Alt. 4 (Spec. Oz uptake) '-•
Alt. 5 (14-Day Aerobic) Cl
Alt. 6 (Alk. Stabilization Cl
Alt 7 (Drying - Stable) (,� Alt. 8 (Drying - Unstable) i-;1
Alt. 9 (Injection) 0
Alt. 10 (Incorporation) Di
No vector attraction reduction alternatives were performed
-
­—,..•,l, 1 WIL—Su check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
i "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met" (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
13 62') & DES (Okc Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(tY15e or print)
Signature of Preparer* Date Signa re of L Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
nFNR FCIRIU P\/Pr: MT ! 01-Innan

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
°°`T°'?eµ Predictive
Report No. FY18-SL008866
°moo Client: Owen Icenhour
Advisor: Southern Soil Builders, Inc.
A Soil Report Mehlich-3 Extraction
716 Stikeleather Rd.
Hiddenite, NC 28636
958 Hoots Rd
Roaring River, NC 28669
oM� Links to Helaful Information
��- Sampled: 10/06/2017
Sampled County: Alexander
Received: 10/12/2017
Farm: Not Provided
Completed: 10/25/2017
Client ID: 123035
Advisor ID: 231531
Sample ID: 0801
Recommendations: Lime
Nutrients (1b/acre)
Lime History:
Crop (tonslacre) N P2O5 K2O Mg S
1-Fescue/OGrass/Tim, M 0.0 120-200
Mn
Zn Cu B
More
Information
0
2 -
10 0 0
pH$
0 0 0
Note: 12 Note:
Test Results [units - WN in g/cO; CEC and Na in meq/100 cmR; NO3-N in mg/dn-PI:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1 Mn-1 Mn-All Mn-Al2
Zn-I
Zn-AI Cu-I Na ESP SS-1 NO3-N
0.56 0.98 32.6 100 0.0 7.6 539 76 94 5
Sample ID: 0804 Recommendations:
67 144 80
1150
1150 905 0.2 1
Lime
Nutrients (lb/acre)
Crop (tons/acre) N PzOS
Lime History: 1- Fescue/OGrass/Tim, M 0.0 120-200
K2O Mg S
Mn
Zn Cu B
More
Infor
Information
0
2 _
0 0 0
pH$
0 0 0
Note: 12 Note: $
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cmR; NO3-N in mg/dO]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1 Mn-I Mn-All Mn-Al2
Zn-I
Zn-AI Cu-1 Na ESP SS -I NO3-N
0.60 0.91 21.0 99 0.2 7.3 290 129 87 9
52 166 96
904
904 711 0.1 0
North Carolina
11 �31
Tobacco Trust Fund Commission
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
Owen Icenhour
Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY18-SL008866
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
�
If testing finds that soil pH is too low for the crop(s)indicated, a lime recommendation will be in units
Bc
exchangeable acidity
g•
given of either
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not
BS%
boron
% CEC occupied by basic cations
possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on
time, even if the report recommends more. You can apply the in
Ca%
% CEC occupied by calcium
rest similar increments every six months until the full rate
is applied. If MG is recommended and lime is needed, dolomitric
CEC
cation exchange capacity
use lime.
Cu-1
copper index
Fertilizer
ESP
exchangeable sodium percent
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
HM%
K-1
percent humic matter
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being'grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrienf levels. If $, pH$, $pH, C or Z
Mn-I
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
NI-O
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
N
nitrogen
ncagr.gov/agronomi/pubs.htm.
Na
sodium
NO3-N
nitrate nitrogen
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
organic soil class
the exact fertilizer grade recommended on the report, visit wwwncagr.gov/agronomi/obpart4 hLm- fsfi nd information that
pH
pH
P-I
pH
current soil in
index
may help p
y p you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphorus
phosphate
Test Results
S-1
sulfur index
SS-1
soluble salt index
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
WN
Zn-AI
weight per volume
zinc availability index
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel
available)] indicate levels of nutrients
Zn-I
zinc index
plant or other fertility measurement. Visit www.ncagrgovlagronomiluvrst.htm

Lime Stabilization
Project; —TOW11 of Location: i
; z Date: �� �`1 Date: o
TIMG: TWO,
.Ax
...A... r,....._
Ci2
P�B�PW
C�ar��t�
��ha& ��
��s6en
..�_
000
._ -start
�3,®' l G°�
-lZ $�-
Add _ 2 hours _ ,_ _ 2 hours
'� �G�L i2.67— l0- i2—Y /POlgo`
12.Z0
Motes;
5u3 maquiremerns : 1p wirnmum
Stprt pH taken immediately after lin'ie addition.
• pli, readings laken with an approved low sodiurn glass eloolrodo probe, pH Meter vvao eallibveted to a. pNi of 10 prior to sampling.
7
i 7 5 minimum

W.
4 FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page _/_ of Z
Permit No.: WQ0029635
Facility Name: Sunset Pointe Residential Subdivision
County: Rowan
Month: February
Year: 2018
PPI:
Flow Measuring Point: ❑Influent ❑s Effluent ❑No Flow generated
Parameter Monitoring Point: ❑Influent ❑Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code — 1P
50050.
00400
00310
00940
31616
00610
00625
00620
00665
70300
00530
cU
�10
w
Q F
0
C
Q
m
1- (n
0
lO
=
C
O
.00_
O
€ C
N :�
U
c
E
Q
° aCi
Y
p Z
F.
N
0
O y
1-
a
N w
O y o
WO y
O G. O
u1
-
24-hr
hrs
GPD"
su
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
41600
2
4,600
RECE
IVED/NCD
MRQWP
3
4,600
4
0
5
4,600
61
4,600
' V,�
WQRO:'
T
0
_
MOORES\
ILLE REO.
DNIAL OFFICE
8
4,600-
9
14:00
3
0
6.31
10
0
11
11:00
0.5
0
6.31
121
0
`'raS'ie
73
0-
r
14
0
15
0
16
0
17
0
18
0
19
0
20
10:00
6
0
6.42
21
0
22
0
23
0
24
•0
25
0
26
10:30
3
0
6.81
29
33
13.22
16.58
0.48
25
8
27
0
28
0
29
30
31
Average:
986
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUEI
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUES
#VALUE!
Daily Maximum:
4,600
6.81
29.00
33.00
13.22
16.58
0.48
25.00
8.00
Daily Minimum:
0
6.31
29.00
33.00
13.22
16.58
0.48
25.00
8.00
Sampling Type:
Recorder
Grab
Grab "
Grab
Grab
Grab
Grab
Grab
Grab I
Grab
Grab
Monthly Limit:
2,325,000
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Daily Limit:
75,000
na
na
na
na
na
na
na
na
na
na
Sample Frequency:
daily
1/wk
1/mo
3/yr
1/mo
1/mo
1/m0
1/mo
1/m0
3/yr
1/mo

i
FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page , of Z
Sampling Person(s) Certified`Laboratories
Name: Lynn Aldridge Name: Statesville Analytical # 440
Fame: Name: Rowan WW Management # 5621
Does all monitoring data .and sampling frequencies meet the requirements in Attachment A of your permit? Ocompllant i]Non-Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s). of the non-compliance and describe -the corrective
..... .., ��.,� au ..�l1Oa+ILQU41UV11Q1 JIIQQW n
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Lynn Aldridge. Permittee: Sunset Pointe Subdivision
Certification No,:. SI.993778 WW 993294 Signing Official: Lynn Aldridge
Grade: 2 Phone Number: 704-431-5266 Signing Official's Title: Owner, Rowan Wastewater Management
Has the ORC changed since the previous NDMR? Elyes QN0 Phone Number: 704-431-5266 Permit Expiration: 2/29/2020
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
18 3/26/2018
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated. the Information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the Information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, Including the possibility of tines and Imprisonment for.
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1_ of
Permit No.: WQ0029635
Facility Name: Sunset Pointe Residential Subdivision
County: Rowan
Month: February
Year: 2018
Did irrigation occur
this facility?
.Field Name:
"- 2
Field Name:
3
Field Name:
Field Name:
Area (acres):
2,51
Area (acres):
2.54
Area (acres):
Area (acres):
at
Cover Crop:Pine
Trees
Cover Crop:
p'
Pine Trees
Cover Crop:
p'
Cover Crop:
p:
DYES ❑No
Hourly Rate (in):
0.3
Hourly Rate (in):
0.3
Hourly Rate -(in):
Hourly Rate (in):
Annual Rate (in):
40.27,
Annual Rate (in):
40.27
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
'DYES - ONO
Field Irrigated?
DYES [:]NO
Field Irrigated?
OYES ❑NO
Field Irrigated?
OYES ONO
p
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0
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°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2,300
10.3.
0.03
0.03
2,300
10.3
0.03
0.03
2
2,300
10.3
0.03
0.03
2,300
10.3
0.03
0.03
3
2,300
10.3
-0.03
0.03
2,300
10.3
0.03
0.03
4
1.14
0
0
0.00
0.00
0
0
0.00
0.00
5
2,300
10.3
0.03
0.03
2,300
10.3
0.03
0.03
6
2,300
10.3
0.03
0.03
2,300
10.3
0.03
0.03
7
1.26
0
0
0.00
0.00
0
0
0.00
0.00
8
2,300
10.3
0.03
0.03
2,300
10.$
0.03
0.03
9
PC
57
9
0-
0
0.00
0.00
0
0
0.00
0.00
lol
0.46
.0
0
0.00
0.00
0
-0
0.00
0.00
11
r
62
0.56
9
.0
0
0:00
0.00.
0
0
0.00
0.00
12
0
0
0.00-
0.00
0
0
0.00
0.00
13
0
0
0.00
0.00.
0-
0
0.00
0.00
14
0
0
0,00
0.00
0
0
0.00
0.00
15
0
0
0.00
0.00
0
-0
0.00
0.00
161
1
0
0
0.00
0.00
0,
0
0.00
0.00
17
0.19
-0
0
0.00
0.00
0
0
0.00
0.00
18
0
0
0.00 -
0.00
0
0
0.00
0.00
19
0.11
0'
0
0.00
0.00
0
0
0.00
0.00
20
PC
70
8
0
0
0.00
0.00
0
0.
0.00
0.00
21
0
0
0.00
0.00
0
0
0.00
0.00
221
1
0
0
0.00
0.00
0 -
0
0.00
0.00
23
0
10
0.00
0.00
0
0
0.00
0.00
24
0
0
0.00
0.00
0
0
0.00
0.00
25
0
0
0.00
0.00
0
0
0.00
0.00
26
r
60
7.25
0
0
0.00
0.00
0
0
0.00
0.00
27
0
.0
0.00
0.00
0
0
0.00
0.00
281
1
0
0
0.00
0.00
0
0
0.00
29
30
31L
-
gO2
Monthly
Loading:
13,800
0.20
4.60
13,800
0
0.00
0
0.0012
Month Floating Total (in):

NPDES Reporting Form
NPDES PERMIT NO. NCG500000 DISCHARGE NO. NCG500180 MONTH_,A4ZV,' YEAR 1�aI7 <� 1
FACILITY NAME: A&E INC 2 CLASS COUNTY A> V /�
OPERATORIN CHARGE (ORC) GRADE PHONE �` `/-
CHECK BOX IF ORC HAS CHANGES PERSON(S) COLLECTING SAMPLES .IDti.✓ t", XM"7z—
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P.O. BOX 29535
RALEIGH NC 27626-0535
(SIGNATURE OF OPERATOR IN CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
w
U
u-
c
w
0 L
C
_
�I
Cr LL!
U CC
-
V1
t.0
0
O
O

Facility Status: (Please check one. of the following)
All monitoring data and sampling frequencies meet permit requirements
All monitoring data and sampling frequencies do NOT meet permit requirements
Compliant
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation,
maintenance, etc., and a time table for improvements to be made.
"I certify, under penalty of law, that this document and all attachments were prepared,under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the Information sub-
mitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and com-
plete. I am aware that there are significant penalties for submitting false Information, including the possibility of fines and
Imprisonment for knowing violations."
.(Sig ature of Permittee) (Date)
FARAIMETER CODES
00010 Temperature
00556 Oil and Grease
00050 Dissolved Fluoride
01077 Silver
39510 PCPS
00065 Stream stage
00600 Total Nitrogen
01002 Total Arsenic
010137 Total Vanadium
39941 Roundup
00076 Turbidity
00610 Ammonia Nitrogen
01027 Cadmium
01092 'Zinc
50047 Max. flow during
24•hr, period
00300 Dissolved Oxygen
00625 rotal Kieldahl
01032 Hexavafent Chromium
01105 Total Aluminum
50048 Min, flow during
Nitrogen
24•hr. period
00310 BUD,
00665 Total Phosphorous
01034 Chromium
01147 Total Selenium
50050 Flow
00340 COD
00720 Cyanide
01037 Total Cobalt
31504 Total Coliform
50060 Total Residual
Chlorine
00400 pH
00745 Total Sulfide
01042 Copper
31614 Fecal Coliform,
71880 Formaldehyde
MPN, Tube
C0500 Total Solids
00927 Total Magnesium
01045 Total Iron
31616 Fecal Coliform
71900 Mercury
00530 TSS
00929 Total Sodium
01051 Lead
32730 Total Phenolics
81318 Ferrocyandies
00545 Settleable Solids
00940 Total Chloride
01067 Nickel
38260 MBAs
86652 Time
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.

FORM ON YELLOW PAPER ONLY
11
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FArni ITV INFnRMATInN Please Print Clearly or Type
Facility Name: Gold Hill Airpark
Permit Name (if different):
Facility Address: 285 Aviation Ln
Gold Hill NC 28071
(Contact Person: John Ciolino Telephone#: [phone]
Well Location/Site Name: Gold HillAirpark No. of wells to be sampled: 3
ERMIT Number: WQ00003687 Expiration Date:
on -Discharge UIC
PDES - Other
L ID NUMBER (from Permit): MW-1 Date sample collected: 3/22/18
Depth: 16 ft. Well. Diameter: 2 in.
i to Water Level 32546:3 ft, below measuring point Screened Interval 6 ft. to 16 ft.
luring Point is 1.4 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: gallons
and
YES L1 NO
Ite,sample analyzed, 3122/1e Laboratory Name: Pace Analytical
1RAMETERS NOTE:'Values; should reflect dissolved and colloidal concentrations.
COD 003,35 mg/L Nitrite (NO2) as N oo615 mg/L
Coliform: MF Fecal 31616 ND /100mL Nitrate (NOj) as N 00620 .g3 mg/L
Coliform: MF Total 3,1504 /100mL 'Phosphorus: Total as P oo665 _ _ _ mg/L
(Note: Use MPN method for highly turbid samples) Ortho h05 hate 70507 /L
Ived Solids:Total`70300 93.0
mg/L
pH (Lab) 00403 5.7
units.
TOC oo680 4.1
mg/L
Chloride 0094o 7.7
mg/L
Arsenic oi.o02 _
ug/L
Grease and Oils 00562
mg/L
Phenol 32730
ug/L
Sulfate 00945'
mg/L
ific Conductance 00095
µMhos
Total Ammonia ooslo ND
mg/L
(Ammonia Nitrogen; �NH3 as N; Ammonia Nitrogen, Total)
TKN as N 00625
mg/L
p p
mg
Al - Aluminum oil o5
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027 -
ug/L
Chromium: Total 01034
ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
ug/L
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese olo55
ug/L
Ni - Nickel 01067
ug/L
'PE OF PERMITTED OPERATION BEINGMONITORED
N. Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation: -
❑ Rotary Distributor ❑ Land Application of Sludge
Water Source Heat Pump ❑ Other:
FIELD ANALYSES: 'WAS
pH 00400: 6.2 units Temp. 000.to: 103/22l °C
DRY at
Spec. Cond. 000aa: µMhos
time ofsampling
Odor 00065: None
check
Appearance Cloudy
here:❑
Certification No. 12
Pb - Lead 01051 ug/L
Zn - Zinc olo92 - mg/L
Other (Specify, Compounds and Concentration Units):
APR 17 2NA
ORGANICS: (by GC, GC/MS,'HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab'Report Attached? ❑ Yes (1) ❑ No (0)
VO.0 78732 method #
method #
method # _-
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
VVV- RCv. G/Gu lu

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEi?1l1iTMENTEN1ttROt t Ni c NATUPAL RESOURCES
GROUNDWATER QUALITY MONITORING:
• •
!nsiONOFWATERi�A Y4.WPRr A1104PR0;6isslrr UMT
COMPLIANCE REPORT FORM
1 17MAIL SERVCCEC£NTERjjftALgiGH,Nc�i6991&17 none, (949)7333221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ00003687 Expiration Date: 9/30/20
Facility Name: Gold Hill Airpark
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 285 Aviation Ln
TYPE OF PERMITTED OPERATION BEING MONITORED
Gold Hill S r`6i' NC
28071 County Rowan
❑■ Lagoon El Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: John Ciolino
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Gold Hill Airpark
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
(from Permit)_
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 3122/18
FIELD ANALYSES:
WAS
Well Depth: 12 ft.
Well Diameter: 2 in.
pH 00400: 6.12 units Temp. 000lo: 8 °C
DRY at
Depth to Water Level 82546: 3 ft. below measuring point Screened Interval: 2 ft. to
12 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 1.4 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000e5: None
check
Volume of water pumped/bailed before sampling:
1
gallons
Appearance Cloudy
here:
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:3/22118
Laboratory Name: Pace Analytical
Certification No. 12
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 ND
/100mL
Nitrate (NO3) as N 00620 1.7
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Notes Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 67.0
mg/L
Al -Aluminum o11os
mg/L
pH (Lab) 00403 5.12
units
Ba - Barium 01007
ug/L
TOC 00680 1.3
mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 6.2
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937 _
mg/L VOC 78732: method #
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
John Ciolino
Permittee (or Authorized Agent) Name and Title - Please print or type
Authorized Agent)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: twiall d 14
anI copy to, li
COMPLIANCE REPORT FORM
=acility Name: Gold Hill Airpark
permit Name (if different):
acility Address: 285 Aviation Ln
Gold'. Hill (smm) NC 28071 County Rowan
act Person= John Ciolino Telephone#: [phone]
Location/Site Name: Gold Hill Airpark No. of wells to be sampled: 3
WELL ID NUMBER (from Permit): MW-3 Date sample collected: 3/22/18
Well Depth: 25 ft. Well Diameter: 2 in..
P g p ff.
Depth to Water Level 62sa6: 15 ft, below measuring Dint Screened Interval: 15 ft: to 25
Measuring Point is 1.2 ft.. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling.- 1 gallons
\RAMETERS NOTE: Values should reflect dissolve
COD 00335
mg/L
Coliform: MF'Fecal 31616 ND
/100mL
Coliform: MF Total 31504
/1 OOmL
(Note: Use MPN method for highly tgrbid samples)
solved Solids:Total 70300 109
mg/L
pH' (Lab) 00403 4.9 ,
units
TOC oosso 10.5
mg/L
Chloride 00946 18.8
mg/L
Arsenic 01002.
ug/L
Grease and Oils 00552_
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L.
ecific Conductance 000ss
µMhos
Total Ammonia 00610 ND
mg/L
(Ammonia Nitrogen; NH3as N; Ammonia;Nitrogen, Total)
TKN as N 00625
mg/L
RMIT Number: WQ00003687 ExpirationDate: 9/30/20
m-Discharge -_ UI.0
'DES Other
!PE OF PERMITTED OPERATION, BEING MONITORED
A Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
El Water Source Heat Pump 0 Other:
FIELD ANALYSES:
WAS
pH 00400: 5.45 units Temp: 00010:_9 °C
DRY at.
Spec. Cond. 000sa µMhos
timeof
Odor000m: None _
check
Appearance Cloudy
here;❑
Laboratory Name: PacerAnalytical Certification No. 12
colloidal,concentrations.
Nitrite (NO2) as N omis mg/L Pb -Lead o1o51 ug/L
Nitrate (NO3) as N 0062b 2.5 mg/L Zn -Zinc 01092 mg/L.
Phosphorus: Total as'P 00665
mg/L.
Orthophosphate 7-0507 -
mg/L
Al - Aluminum o1105
_ mg/L
Sa - Barium o1007
ug/L
Ca - Calcium Dods
mg/L
Cd - Cadmium olo27
ug/L
Chromium: Total o1o34
ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
ug%L
Hg - Mercury 71900
ug/L
K- Potassium 00931
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese o1o55
ug/L
Ni - Nickel 01067
ug/L
Other (Specify Compound'' and Concentration Units):
ORGANICS: (by GC,,'GC/MS;, HPLC).
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 78132: method #
method :#
method '#
method #' -
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs mg/L Effluent Total VOCs` _ mg/L VOC-Removal%
Uw-bs Kev.zi2ulu

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) pnn. / of :7
Permit No.: WQ0038341
Facility
Name-
Creekstone
Subdivision
WWTF
County:
Iredell
—
Month:
I
February
Year:
I
2018
-
PPI: 001 Flow Measuring
Point:
Dinfluent
[DEffluent
E]No
flow
Monitoring
Point:
ElInfluent
[DEffluent
[]Groundwater
Lowering
ElSurface
Water
generated
Parameter
Parameter
Code
50050
0 310
00620
00600
00400
00530
00076
EIVED/d.
0
—H
E
0
1
r
U p
C
E
L)
M
0
e �JL�Z�,_"",
, t "
a
,OACL
Fn
0 K 75
B
0
0
�17;Z_A
ap
(n U)
:3
g
WQ
24-hr
his.
mg1L
mg/L
mg/L
_Su
E
__,m_gk`T
gIL
m.
2
3
4
S�
5
397
6
74
7
8
_0
......
9
15:00
.5
7.8
12
D"l,
13
Z�
T
;
F111
ZZA
NI
14
'6
16 17:00 0.5
F- -
777 7
17
7.7
18
�N
­0
L1
_T 7
% ...........
10
20
X13:300
77,F
21 13:30 5
0.5
<2
Fa
17,4
22
<2.6
K
23 14:00 7_1�_
Y
7.42
-A
o
24
25
z
26 - 74_673%-7!,�z
27
2''
0
J
zZ 02
7
T
28
'T71
—7 29 -P
yL�
30
41'
_1Z
Average:
,
U0
o oo
17.40
0.00
Daily Maximum: V,
2.00
0.10
17.4
�1_1,
Daily Minimum:
2.00
ci�
C)
1 10,
2
.6o
Sampling Type: "k
"M
Grab
Gr
,10
Grab
q
F­,5`l0
17.4
7.42
60
jV
Limit:
10
4:
4
Grab
Grab
Grab
Grab
RecoiderMonthly
Daily Limit:
5
15 2 5 6
Sample Frequency vContmuous,i
6-9
10
10
Monthly Monthly
5 X Week
rvionthly ,qbhti

_ _ FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of
Permit No.: /e10
• - Subdivision-•-
-•
1 18
• irrigation occur
Field
•
at this facility?
Area (acres):
. . . . . . .
Area (acres):
Cover Crop:
ONE
Cover Cr
Ann
••
-
■ •
Field ..
■ •
•
■ •Field
Irrigated?■
e
Belli
I
®m
©
m-____
®®®®
�iii
1 1 •
1 1 •
®®®®
----
m___
__
®®_®�
1 1 •
1 1 •
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m
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®�®®�
1 1•
1 1•
®
___
__
®®®®
��
1 1 •
1 1 •
®®®®
-_--
Monthly... .12
j®jj�j//:�j�jjjjjjjj-�%j�ji'j/�j�/j
Month Total (in):
Floating

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _I- of
Permit No.: •11 13948
• • Carolina Brick - Gold
'•
1
Measuring Point: ■ G 0 generated•.
■ ■ ■ ■
•

FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _�,'> Of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? OCompliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: David Frame
Permittee: Old Carolina Brick - Gold Hill
Certification No.: 636046
Signing Official: David Frame
Grade: SI Phone Number: 704-636-8850
Signing Official's Title: President
Has the ORC changed since the previous NDMR? ❑Yes ❑� No
Phone Number: 704-636-8850 Permit Expiration: 2/28/2022
4/7/2018
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

F,ORM: NDAP,-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ( of-2
1N11 •4:
• • • • •
'•
1
• irrigation occur
at this facility'?
•
Area (acres):
Cover Crop:
. '.
1Hourly
'.te (in):
Hourly '-
1Annual
Rate (in):
W_ Tm IMMIn.
Annual Rate (in).,
.••.
T •- ••
•Field
Irrioated?•
•Field
irrigated?■
•
m
___
_-
---_
-_--
-_--
-_--
®___
__
---_
----
-_--
-�--
• n t h I y L •.• i n .
/ 11
1 11
�
1 11
j/�///
1 11
• n t h F I • , t i n . T •
i///////
j/////-j///0,
�'
////////W//�j
W/70//

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pagec�r_of_
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance With the specified freeboard heights in your permit?
OCompliant []Non -Compliant
Compliant ❑Non -Compliant
❑� Compliant ❑Non -Compliant
ECompliant ❑Non -Compliant
[ZCompliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: David Frame
Permittee:
Old Carolina Brick Gold Hill
Certification No.: 636046
Signing Official: David Frame
Grade: SI Phone Number: 704-636-8850
Signing Official's Title: President
Has the ORC changed since the previous NDARA? ❑yes ONO
Phone Number: 704-636-8850 Permit Exp.: 2/28/22
r
4/7/18
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

YORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
ii
Permit No.: WQ0003687
Facility Name: Gold Hill Airpark
I County: Rowan
Month: March
IN
•
•
•
ti
!. .
11
[SWIM
11
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..IF1
1

,FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
1
Sampling Person(s) Certified Laboratories
Name: John Ciolino Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? fa Compliant o Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: John Ciolino
Permittee: Gold Hill Airpark
Certification No.: 999877
Signing Official: John Ciolino
Grade: Phone Number: 704-209-1062
Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? o Yes n No
Phone Number: 704-209-1962 Permit Expiration: 9/30/20
1 4/6/18("z
4/6/18
Sign re Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh. North Carolina 27699-1617

�Oi?<:j; NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0003687
Facility Name: Gold Hill Airpark
County: Rowan
Month: March
Year: 2018
Did irrigation occur
at this facility?
® YES ° NO
Field Name:
1
Field Name:
Field Name:
Field Name:
Area (acres):
4.868
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Grass
Cover Crop:
Cover Crop:
-
Cover Crop:
Hourly Rate (in)q
0.02
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (In) ;
31.2
Annual Rate (in):
Annual Rafe (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
®YES a No
Field Irrigated?
° YES ° NO
Field irrigated?
° YES n No
Field Irrigated?
° YES ° NO
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14,400
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14,400
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0.11
0.02
29
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14,400
360
0.11
0.02
30
R
31
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9,200
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0.07
0.02
Monthly Loading:
282,800
2'14
12.19
0
0.00
0
OA0
0
0.00
12 Month Floating Total (in):

„ORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page —I— of
Permit No.: WQ0002001
Facility Name: Waters Edge
County: Rowan
Month: February
Year: 2018
PPI:
Flow Measuring Point: ❑Influent ❑Effluent ❑✓ No Flow generated
Parameter Monitoring Point: ❑Influent ❑Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code
50050
00400
70300-
00310
31616-
00610
00625
00620
00600
00666
00530
00940
60060
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2
0
3
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#VALUE!
#VALUE!
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#VALUE!
#VALUE!
Daily Maximum:
0.
7.00
0.10
Daily Minimum:
a
6.77
0.03
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
n/a
n/a
n/a
n/a
n/a
Daily Limit:
n/a
n/a
n/a
n/a
n/a
Sample Frequency:
3/yr
3/yr
3/yr
3/yr
31yr

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• _FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ?-- of -Z—
EICompliant ❑Non-Compllant
'Were adequate measures taken to prevent. effluent ponding in or runoff from the sites? ❑Compliant. [:]Non -Compliant
Was a suitable vegetative cover maintained on all sitee as specified in your permit? QCompllamt []Non -Compliant
Were all setbacks listed in your permit maintained for every application .to each _permitted site? QCompiiant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard :heights in your permit? ❑p compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional shppts if nocaeenn,
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Lynn A.Idridge
Petmittee-
Waters Edge•
Certification No.: $I 9.93778 WW 993294
signing Official: Lynn Aldridge
Grade: 2 Phone.Number:. 704-431-5266
Signing Officials Title: Owner, Rowan Wastewater Management
Was the ORC changed since the previous NDAR-1? ❑yesQNo
Phone Number: 704431-5266 Permit Exp.: 5/31/21
3/26/18
3/26/18
Signature Date
Signature Date
By,thissignature,'Icertify that this report is accurrate and complete: to the best of my.knowledge.
I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a systemdesigned to assure that all qualified personnel property gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. learn aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations..
Mail Original and Two Copies -to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

' `"'"" ""'""""'""
NON -DISCHARGE
MONITORING
REPORT
(NDMR)
Page i—of
°permit No.: WQ0020881
Facility
Name:
Div. Of
Parks & Rec
(Lake
Norman SP)
county:
Iredell
Month: February
Year:
2018
Pei:
Flow Measuring
Point:
Dlnfluent
❑Effluent
❑No
Flow generated
Parameter
MonitoringPoint:
❑Influent Q Effluent ❑ ❑Groundwater Lowering ❑Surtaoe
Water
Parameter Code —�
- 50050
50060
00400
C0310
31616:
00610
'00630
00620
00625:
00530
00665
M
1
Rf
`
H
24-hr
0
1= ULLGyC
hrs
GPD
743-
R d
of
11 mg/L
°
su
C
U
In
0
mg/L
tl
U.
#/100 mL
E
a
mg/L
"
mglL
`�C
Z
mg/L
am.
t
� 'a
Oao
w
W
B = '-
°
o
tO -
O
a.
a
. ;�V
WOROS
'
J
mg/L
mg/L
mg/L.
`5
- H
FFICE
2
743
„
3
743,
4
743
5
743
6
743
7
15:00
0.67
743
0.006
7.01
8
9
10
11
12
743
743
q
egv�
13
14
15
16
17
11:000.674743
0.01
7.18
+>,J
f r•
����`*
-
18
19
-743..
20
743 .
21
743
22
743
23
13:00
0.75
743
0.003
7.41
'
24
743 .
25
`743
-
26
743
27
12:00
1
-743
0.005
7A8
28
743
_
29
30
.
31
Average:
743
0.01
Daily Maximum:
743
0.01
7.41
Daily Minimum:
Sampling Type:
743
Recorder
0.00
Grab
7.01
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:
Monthly
+lyWeekly

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page A of,;)--,
Sampling Person(s) Certified Laboratories
Name: Matthew Bryan Cartner Name: Statesville Analytical, Inc.
Name: Name:
uoes aii monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
actinn(s) taken Attnrh arlditinnal ehnote if ne. --
Operator in Responsible Charge (ORC) Certification Permittee Certification
�F
ORC: Robert Charles White Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 1004687 Signing Official: Jarid Church
Grade: S2 Phone Number: 336-549-8990 Signing Officials Title: Park Ranger
Has the ORC charged since the previous.AIDMR? []Yes ONO Phone Nu er 704-52876350 Permit Expiration: 3/18/1900
Signature Date
By this signature, I certify that this report is accurrate and complete io the best of my knowledge.
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.

vV 1 '
NON -DISCHARGE
APPLICATION REPORT (NDAR-1)
Page
Permit No.: WQ0020881
Facility Name:
Lake Norman
State Park
i
of
p�
Did irrigation occur
Field Name'
A
Field Name:
County: Iredell
Month:
February
Year:
2018
at this facility?
Area (acres):
1,715
Area (acres):
g
1.715
Field Name;
Area
_
Field Name:
Cover Crop:
Woodland
Cover Crop:
Woodland
(acres):
,
Area (acr'es):
2YES ONO,
Hourly Rate (in):_
0,4'; .
Hourly Rate (in):
Cover Crop:
`;
Cover Crop:
0.4
Hourly Rate (in):
Annual Rate (in):
- 30.16
Annual Rate (in):
30.16
Hourly Rate (in):
Field Irrigated?
[IYEs ONo:
Field Irrigated?
2YEs
Annual Rate (in):
Annual Rate (in):
m
ONOField
Irri ated?
9
OYESQ
-"
Field Irrigated?
OYESa
❑NO
FWeaFreeboard
ym
E._ m
° L E "'°
�.
�,c o,` c
E
m y v
d d
E ,_ m2
°� E �,rn
�, c o c
�v no
E
a, a
m a
m
c a H c'
> Q, t
o v.
G m R• .o co
o o. x o
. ° a E
o a •`
'v E o v
❑ 10 >< o co
y m
m
a E
r
�, c,
ja 'o
o
E o.-0
E m ..
�. c
E❑
J
Q
J _ ol
:-.>Q_ F.•` ,.
..0J,...
..�X = J
1�0
Q F
G M
•W 2 0_
ft ft
gal
J
AS
1
, _ min
in in
gal min
in in
..gal min
in
2
-
.in
gal min
in
in
3
4
6
7
R 48 2.3
8
9
10
12
13
14
1s
16
C 74 2.25
17
10,500 80
0.23 0.17
18
19
20
21
22
23
C 73 2.3
24
25
26
27
C 57 2.3
28
0.3
30
'
31
,
Monthly Loading:
p
0.00
12 Month Floating Total (in):
10,500
0.23
0.
0.00
6.02.
5.58
0
0.00

FORM: NDAR-1 08-11. NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page'' of o`l
Did the application rates exceed the limits in Attachment B of your permit? (]Compliant ❑Non Compliant
i
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Ecompliant ❑Non Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑p Compliant ❑Non -Compliant '
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? pcompliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the.date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Robert Charles White Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 1004687 Signing Official: Jared Church
Grade: S2 Phone Number: 336-549-8990 Signing Officials Title: Park Ranger
Has the-ORC changed since the previous NDAR-1? ❑Yes 2No Phone Nu a 704-528- 351 Permit Exp.: 9/30/20
3- /q3�/
Signature
Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page '—'of_
,•re.It No.: 11111 •
_
• •• • •_
. •
-•
1 18
I Flow Measuring Point: Elinfluent E]Effluent F/1No flow generated
Parameter Monitoring Point: Oinfluent F—]Effluent []Groundwater Lowering 0surface water
. .-
•
w
IP 1
11 1
w
u
11•..
�
11'.
11'
�•
11' •
11 I
C
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m
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Y
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ORM: NDMR05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_of_4_
WQ0001 177
Facility Name: Innospec Performance.
'•wan
Month: FebruaryParameter
Code I.
1.11
1 1
-®----®-®-®-®-
m
1.11
�®:1.
-®-®-®-®-®-®-
1.
. 11
----®-®-®-®-
1.
'®-®-®-®-®--®-
• •
. .
-®--®-®-®-®-

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _2_ of _4_
r✓
Permit No.: WQ0001077
Facility Name: Innospec Performance Chemicals - Salisbury Facility
County: Rowan
Month:-Jantva7 G"v
Year: 2018
PPI: 002
Flow Measuring Point: ❑ Influent 0 Effluent Ira No Flow generated
Parameter Monitoring Point: ❑ Influent - 0 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -►
', 150050' ,'
00310
01027,
01034
0.1042
01051
; ..0.1,067 ..
00610
;0.0625•
00620
'i00556 :,
00340
; 004'00; ` ±
32730
i' ,WQ09C-!
00530
o
>
O
E
-%;
o
o
E
X _
lOMl
O
CU
>
Q.O
1
v
oO
woE
CnO
m
24-hr
hrs
GPD, ,
mg/L
mglL , ;
mglL
mglL, ;'
mg/L
mglL.:,:
mg/L
' �f 4rf IL'._. ;
mg/L
mglL, ';
mg/L
su``_ ::
mg/L
� , mglL :;
mg/L
2
0530
8
_ ..'A...
3
0830
2
"Q
4
0815
2
Or .. ,
5
0630
8
0_.
715i
6
0700
8
0'
;
7
1 0600
1 8
;0
8
0545
8
'0- `.;
;` -. . ,
6:96.
9
0715
8
0
10
0815
2
0.
r
,
11
0625
2
0
e +
_
A
12
0615
8
13
0700
8
0'
14
0800
2
-0
16
0830
8
0:
17
0830
8
0 ,.
7f09
18
0800
8
;0,.
20
0600
8
�0:
•16
211
0615
8
70. ._
3330
i :0;0028,•
0.015
p,04.-.:_;
0.0048
00,14;;,.:
<0.5
896., ;!
0.1613
'611-_.';
4350
_ 6:9;7a'.^
0.11
:'• r268 ^•
566.67
22
0615
8
r.
23
0615
8
0
t
24
0830
2
0`
25
0830
2
26
0600
8
0'
8:4i
271
0615
8
0' '
28
0615
8
29
I
30
31
Average:
;• ,0 }
3,330.00
:: 000Q
0.02
'-J.O. 04,
0.00
0:01•1
0.00
%8;06 I
0.16
61,1, 00;,
4,350.00
;
0.11
2 6$
566.67
Daily Maximum:
•0
3,330.00
0,00,'•
0.02
0:04 '
0.00
0,01 ..,'
0.50
„ $'06.:
0.16
;. 61t1 00, f
4,350.00'
Oi00,, ;;
0.11
2 68,? -_'
566.67
Daily Minimum:
; _ 0+_ .
3,330.00
0.00-:"
0.02
0.04,
0.00
0 01 ,
0.50
:8106:
0.16
; ;61-1 d0:-.;
4,350.00
0'00,' ::
0.11
:' 2:68', .'
566.67
Sampling Type:
; Recorder •,
Grab
aGrab
Grab
Grab `'
Grab
;Grab. 1
Grab
Grab •_
Grab
? Greb._;. i
Grab
Grab', -
Grab
i., - Grab, -,`I
Grab
Monthly Limit:
18;000`1-7
Daily Limit:
Sample Frequency:
',Continuous'
Monthly
"'Monthly'
Monthly
''Monthly''
Monthly
P'-Monthly,
Monthly
',rMonthiy%7
Monthly 1i,'Monthly-,`.;l
Monthly
-Weekly:.r
Monthly
r"Mchthly. ,';
Monthly

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page_3_ of_4_
WQ0001 177
Facility Name: Innospec Performance• . Rowan
11
•.enerated-
In ndwater Lowerinal
•.
of I
•
T.
�®'
liaily Minimum:
Sampling •
��--
Monthly Limit:�
t .
SampleFrequency:�'�-®-

IV
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_ of -3-
Permit No.: WQ0001077
Facility Name: Innospec Performance Chemicals - Salisbury Facility
County: Rowan
Month: February
Year: 2018
Did irrigation
6 IdjN'am'e'
1
Field Name:
2-1
--field Aam"p":!,,
Field Name:
2-4
occur
at this facility?
0 YES 121 NO
_4�
Area (acres):
1.14
':Ai��ja -,
(acres),
Area (acres):
1.44
lcOer?qrop
-,Fescue
Cover Crop:
Fescue
1C
. i .1 6�erbr" p:;
0
F'
escue
Cover Crop:
Fescue
4, iri)
'HoUrl 'iRa
Hourly Rate (in):
0.25
A-rZ5 I
Hourly Rate (in):
0.25
Afinual',i at (in):;
Annual Rate (in):
26
rAnnualFRat'.(In)Annual
Rate (in):
26
Weather
Freeboard
,Field IrrId0t60,,
YtES!, NOj­:'
Field Irrigated?
0 YES 0 NO
r4g* ?.
t Ell YES, ![D NO -'
Field Irrigated?
E:I YES [21 NO
o
0
-
E
0
�p
(13
0
Cn
U) J3
CL W
.2
>, CL
CL
L6 !L
A),1J,7 � , ,
1
,
R
V
Jim"
M.,
a
",1=11, =.""r-
"o..
E . Q-)
E
rn
p:
cm
>1 r_
W
E >%
M
>< 0
0
_j
013",
i CL
�E,
­,C).
E
'!
E,
m,"Z.
T , , mi-p
0
'0"
a
E R
M
-
0 CL
>
g
=M :am
o
E
M
E
0 ca
0
I
OF
in
ft
ft
.
gal
I min
in
in
a If �1!
"jdn'16�
T_":Iw
gal
min
in
in
1
1 PC
37
0
2.1
2
R
34
0.8
2.1
3
PC
22
0
3
4
R
34
1
2.9
5
PC
35
0.2
2.5
6
PC
32
0
2.3
71
R
1 50
1.2
2.3
j
8
PC
41
0
2.2
9
PC
33
0
2.1
10
R
49
0.2
2.
11
R
63
0.2
2.1
12
R
61
0.2
2.1
131
R
1 43
0
2.1
14
PC
46
0
2.1
is
C
64
0.5
2.1
w
16
C
70
0
2.1
17
R
46
0
2.1
18
R
45
0.1
1 2.2
"R
:'j
191
R
1 44
0.1
2.2
20
PC
52
0
2.2
21
PC
59
0
2.2
22
PC
61
0
2.3
23
PC
58
0
2.3
24
PC
54
0
2.4
77. F.- 7
1
ry
251
PC I
63
0.1
2.5
26
R
55
0.1
2.4
27
PC
34
0
2.4
28
PC
43
0
2.4
29
30
1311
1
I Monthly
Loading-
0.."OV f
0
0.00
RM1.7-
0'
0:00,
0
0.00
1 12 Month Floating Total (in): l
2.20
qn�
---------

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-11) Page —2— of —3—
PermitNo.: WQ0001077
Facility Name: Innospec Performance Chemicals - Salisbury Facility
County: Rowan
Month: February
M Z.- I �Alj UZI
Did irrigation occur
at this facility'?
0 YES Ul NO
Cover Crop:
Cover Crop:
nzz�
Hourly Rate
Hourly Rate (in):
—
EMCEE=
son
lm.mmml�l�
mmml.�M�Mmll
E0
BE==
1111111111111IM1111
M o n t h I ffi W.
1111
V/0"M/l/�
11111111101111111111
� 0111111.
111111MI!
1111
VOWN0 I
V//////, �
1111

1%
FORM: NDMLR 05-16 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _1_ of -3-
Permit No.: W00001077
Facility Name: Innospec Performance Chemicals - Salisbury Facility
County: Rowan
Month: February
Year: 2018
Field Name:
I
Field Name:
2-2
17
N
Field Name:
2-5
%"A'
Area (acres):
4
Area (acres):
0.92
Area (acres):
1.09
Cover Crop:
Fescue
C over Crop:
Fescue
Cover Crop'
i Fescue
Cover Crop:
Fescue
Load Type:
PAN
Load Type:
PAN
Vi
Load Type:
PAN
q mp-
Field Loaded?
0 YES 21 NO
Field Loaded?
0 YES Q NO
ILI
Field Loaded?
❑ YES p NO
Z
z
z
z
Z
z
> cc
N,
, I
;
Q '0
0
<
Z
dr
>
E R
co
0
-T
Ex
,,,�L, go
0­
E
a.
CL
ca
0
E 2
�0
0
0
_j
J'�Es, Jo�k4
Cn C
0) CO
0
j
E z
<
0 0.
CU 0
_j
"�, 0 � "v
E z
r
> 0
0
=
�
>
0
a.
,
v,
>
0
L)
0
4
0
Month
mg/L
lbs/ac
lbs/ac
a[
m
lbs/aG
lbs /ac
-,
gal
13,200
�m 9:
9
1 g/L
1 1,
MID
@KJOW4�
gal
mg/L
lbs/ac
lbs/ac
March
13.1
0.4
0.4
40
14,937
13.1
1.8
1.8
7,802
13.1
1.8
1.8
April
0
3.64
0.0
0.4
6A68
7­4� 77
.0 V- 7
f�;
0
3.64
0.0
1.8
z
0
3.64
0.0
1.8
May
0
23.62
0.0
0.4
'l
0
23.62
0.0
1.8
52
77,
T7 ,
0
23.62
0.0
1.8
June
0
39.88
0.0
0.4
0
39.88
0.0
1.8
0
39.88
0.0
1.8
July
0
34.13
0.0
0 .4
t,314",1 3,
0
34.13
0.0
1.8
0
34.13
0.0
1.8
August
0
3.7
0.0
0.4
,
o
0
3.7
0.0
1.8
1,7
0
3.7
0.0
1.8
September
39,600
31.44
2.6
3.0
9,958 1
31.44
2.8 1
4.6
7, -
17,802
31.44
4.3
6.1
October
26,400
31.23
1.7
4.7
19,916
31.23
5.6
103
17,802
31.23
4.3
10.3
November
66,000
14.11
1.9
6.6
&
9,958
14.11
1.3
11.5
Aq,1
17,802
14.11
1.9 1
12.2
December
13,200
14.11
0.4
7.0
9 4, 69
14.11
0.6
12.2
5,934
14.11
0.6
12.9
January
0 1
3.79
0.0
7.0
0
3.79
0.0
12.2
0
3.79
0.0
12.9
February
0
2.68
0.0
7.0
0
2.68
0.0
12.2
0
2.68
0.0
12.9
12 Month Floating PAN Load
7.0
12.2r^i1k0a3)i
12.9
(lbs/ac/yr):
Annual PAN Load Limit
300
(lbs/ac/yr):l

1% FORM: NDMLR 05-16 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page -2- of -3-
Permit No.: WQ0001077
Facility Name: Innospec Performance Chemicals - Salisbury Facility
County: Rowan
Month: February
Year: 2018
Field Name:
2-6
`fl'&ldN"i�
Field Name:
am e:i
�jle­?*,,­�,�, I
Field Name:
Area (acres):
1.62•
Area (acres):
Area (acres):
Cover Crop:
Fescue
­77 - 7
77777777777
1,
Cove r Crop:
16 over;C
Cover Crop:
Load Type:
PAN
WT
777777777777
Load Type:
Load Type:
Field Loaded?
El YES R1 NO
00
Ij,
Field Loaded?
0 YES [I NO
"'d !;K de.
Field Loaded?
0 YES 0 NO
"a
E 2D
0
>
Z 0
(L
(D
> 0
<
z
(L
o
0
a)
ca
(U 0
E z
= <
a.
C),
llv,
E .2o
0
>
0
0
0
>
0
E
L)
q
-51,
, , ��<
�i I ��
4) M
0 CL
>
0
(D P
ID
0
W
0
0
a)
>
0
E -J
Month
gal
mg/L
lbs/ac
lbs/ac
gar
g�L�,,,
c�,
gal
mg/L
lbs/ac
lbs/ac
9IL
gal
mg/L
lbs/ac
lbs/ac
March
0
13.1
0.0
0.0
3
S
April
0
3.64
0.0
0. 0
77
a-,
May
0
23.62
0.0
0.0
June
0
39.88
0.0
0.0
A,
July
0
34.13
0.0
0.0
August
4,394
3.7
0.1
0.1
September
8,788
31.44
1.4
1.5
October
8,788
31.23
1.4
2.9
November
4,394
14.11
0.3
3.2
N�t
December
1 0
14.11
0.0
3.2
January
0
3.79
0.0
3.2
February
0
2.68
0
0.0
3 ,2
3.2
12 Month Floating PAN Load
(lbs/ac/yr):
3A.2
0.0
Annual PAN Load Limit
(lbs/ac/yr):l
300
30

FORM: NDMLR05-16 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _3_of_3_
Did the mass loading rates exceed the limits in Attachment B of your permit? 0 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
acilon(s) taken. Httach additional sheets if necessary.
The PAN calculation is based on the average of the previous 12 months of nitrate analysis. The contracted laboratory failed to run the required analysis in February.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: James Cloyd White IV Permittee: Vic Jameson
Certification Number: 25861 Signing Official: Allen Robey
Grade: SI Phone Number: [phone] Signing Official's Title: Senior SHE Manager, Performance Chemicals, NA
Has the ORC changed since the previous NDMLR? ❑ Yes p No Phone No.: [phone] Permit Exp.: 7/31/21
Signature Date f Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the
Information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false Information, including the
possibility of fines and Imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

GW-59A COMPLIANCE REPORT FORM Permit #bd�,MW-
(Submit one each nwnitoring period with GW-59 forms.)
1
Enter date monitoring results were due. -i,01 ) Will this monitoring report (GW-59 and GW-59A)
YES
'
be submitted' after the established due date?
2
Was any required information missing on the GW-59 report, forms? ,
NO
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identi nation number(s) and
explain the problems encountered in obtaining the required information:
y
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES'
�N
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is ."YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES'
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 ,is `NO' skip to section 8.
if the answer to question 5 is "YES list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO" contact the Regional Office within 90 days: an evaluation may be
required to determine the impact the waste disposal system is havinq at the review and compliance
boundaries surrounding this facility. Failure to do so may subict the permttee to a Nofic ` ofyio'lafton'!' :
r lb "' °'
3
fines, and/or penalties.
'b
S
The person completing this portion'(GW--59A) of the monitoring report should sign -below and submit this
form with G W-59 forms for required wells to the address provided'ai'the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
;report (Compliance ReportGW-59A) is true_and complete to the best of my knowledge.
t
Signature of Permittee (or A thorized Agent) Date
JJ, GW-59A 12/8/2003
�f

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 07/31/2021
Facility Name: Innospec Performance Chemicals
Non -Discharge WQ0001077 UIC
Permit Name (if different):
NPDES Other
Facility Address: 50.0 Hinkle Lane
TYPE OF PERMITTED OPERATION BEING MONITORED
Salsibury, NC 28144
County Rowan
❑ Lagoon ❑ Remediation: Infiltration Gallery
(city) (State) (zip)
X Spray Field ❑ Remediation:
Contact Person: Clay White
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Long Ferry Road
No. of wells to be sampled:
6
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-6
Date sample collected: 03/05/2018
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diameter: 2
in.
pH 00400: 5:82 units Temp. 000lt:15 °C
DRY at
Depth to Water Level 82546: 16 ft. below measuring point Screened Interval: 30
ft. to 15
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000m: NIL
sampling,
Volume of water pumped/bailed before sampling: 7
gallons
Appearance Clear
check
here:❑
Samples for metals were collected unfiltert X YES
El NO and field acidified: X YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/6/18 to 3123/18
Laboratory Name:
Statesville Analytical Certification No, 440
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 78 mg/L
AI - Aluminum 01105
mg/L MBAS = <0.1 mg/L
pH (Lab) 00403 units
Ba - Barium 01007
_ ug/L
DO = 9.34
TOC 00680 1.1 mg/L
Ca - Calcium 00916
mg/L ORP mV = 66.7 _
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
9.13 ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <15 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) U No (0)
Specific Conductance 00095 64.5 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Allen Robey, Senior SHE Manager, Performance Chemcials, NA
Permittee (or Authorized Aqent) Name and Title - Please print or type
(Date)
GW-59 Rev.8/2013

=DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
ICOMPLIANCEREPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Innospec Performance_ Chemicals_
Permit Name (if different):
Facility Address: 500 Hinkle Lane
Salsib_ury, NC 28144 County Rowan
act Person: Clay White Telephone#:,[phone]
Location/Site Name Long Ferry Road No. of wells to be sampled: 6
(from Permit)
PERMIT Number: Expiration Date: 07/31/2021
Non -Discharge W00001077 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor I] Land Application of Sludge
Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-7 Date sample collected: 03/05/2018
Well Depth: 38 ft. Well Diameter 2 in.
Depth to Water Level 82546 29 ft. below measuring point Screened Interval: 38 ft. to 18 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 4.5 gallons
Samples for metals were collected unfilterr X YES ❑ NO and field acidified: X YES ❑ NO
FIELD ANALYSES:
pH 00400: 5.70 units Temp. 0001c 16.4 °C
Spec. Cond. 00094: uMhos
Odor 00085. NIL
Appearance Clear
Ite sample analyzed: 3/6/18'to 3/23/18 Laboratory Name: Statesville Analytical _ Certification No, 440
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oosls mg/L Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 /100ml- Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus
(Note: Use MPN method for highly turbid samples) Orth
Ived Solids:Total 703oo
64 mg/L
pH (Lab) 00403
units
TOC oomo
0.91 mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
<15 mg/L
ific Conductance oo095
24.3 µMhos
Total Ammonia 00610
mg/L
(Ammonia Nitrogen;: NH3 as N, Ammonia
Nitrogen, Total)
TKN as N 00625
mg/L.
: Total as P 00665 mg/L
ot, r, ate 7oeoi mg/L
AI - Aluminum 01105 mg/L
Ba Barium 01007 ug/L
Ca - Calcium 00916 mg/L
Cd Cadmium 01027 ug/L
Chromium: Total 01034 ug/L
Cu Copper 01042 mg/L
Fe - Iron 01045 40.3 ug/L
Hg Mercury 71900 ug/L
K - Potassium 00931 mg/L
Mg - Magnesium 00927 mg/L
Mn - Manganese 01055' ug/L
Ni - Nickel 01067 ug/L
Other (Specify Compounds and Concentration Units):
MBAS = <0.1 mg/L
DO = 7.65
ORP mV = 73.4
ORGANICS: (by GC; GC/MS, HPLC)
(Specify test and method A. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) No ❑X
method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Allen Robey, Senior SHE Manager, Performance Chemcials, NA 01
Permittee (or Authorized Aqent) Name and Title - Please print or We Sionature of
DRY at
time of
sampling,
chec"
here:11

GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES- INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 'Phone: [phone]
FACILITY INFORMATION Please Prr❑tCieadyorType
PERMIT Number: Expiration Date: 07/31/2021_
Facility Name: Innospec Performance Chemicals
Non -Discharge WQ0001077 UIC _
NPDES Other
Permit Name (if different):
Facility Address: 500 Hinkle Lane
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Salsibury, NC 28144 County Rowan
(city) (state) (zip)
X Spray Field Remediation:
Contact Person: Clay White
_ Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Long Ferry Road
No. of Wells to be sampled:
6
❑ Water Source Heat Pump ❑ Other:
(from Permit)
TAW, IN RMATION
If WELL
WELL ID NUMBER (from Permit): MW78
Date sample collected: 03/05/2018 FIELD ANALYSES:
WAS
Well Depth: 40 ft.
Well Diameter: 2 in.
pH 00400: 5.81 units Temp. 000lc 15.9 °C
DRY at
Depth to Water' Level 82546: 32 ft. below measuring point
Screened Interval: 40 ft.
to 20 ft. Spec. Cond. 00094: "Mhos
time of
Measuring Point is 3 ft, above land surface
Relative M.P. Elevation:
ft. Odor 00085: NIL
sampling,
Volume of water pumped/bailed before sampling: 4
gallons
Appearance Clear
checlr—
Samples for metals were collected unfilterr X YES
❑ NO and field acidified- X YES
❑ NO
here:"
LABORATORY INFORMATION
Date sample analyzed: 3/6/18 to 3/23/18
Laboratory Name:
Statesville_ Analytical Certification No. 440
PARAMETERS NOTE: Values should reflect dissolved and, colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NQ3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
.(Note: use MPN method. for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 82 mg/L
Al -Aluminum olto5
mg/L MBAS —s0.1 mg/L
pH (Lab) 00403 units
Ba - Barium 01007 _ _
ug/L DO = 6.85
TOC 00680 1.8 mg/L
Ca - Calcium 00916
mg/L ORP mV = 67.6
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS:.(by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
44.3 ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <15 mg/L
Hg -Mercury 71900
ug/L Lab Report Attached? " Yes (1) U No (0)
Specific Conductance 000s5 46.1 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mgaL method #
(Ammonia Nitrogen: NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01o55
ug/L method #
TKN as N 00625 mg/L
Ni - Nickel wos7
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Allen Robey, Senior SHE Manager, Performance Chemcials, NA
Permittee (or Authorized Aaent) Name and Title Please print or tvpe.

GROUNDWATER QUALITY MONITORING:
,
,
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 'Phone: 919=607-6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 07/31/2021
Facility Name: Innospec Performance Chemicals
Non -Discharge WQ0001077 UIC
Permit Name (if different):
NPDES Other
Facility Address: 500 Hinkle Lane
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
S_ alsibu , NC28144 County Rowan
(City) (state)
Rip)
X Spray Field ❑ Remediation:.
Contact Person: Clay White
Telephone_ #: (704), 639-7920
❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name 500'Hinkle _Lane
No. of wells to be sampled:
6
❑ Water Source Heat Pump ❑ Other:
(from Permit)
- -
SAMPLING INFORMATION
_
If WELL
WELL ID NUMBER (from Permit): MW-1.0
Date sample collected;
FIELD ANALYSES:
WAS
Well Depth: 50 ft.
Well Diameter: 2 in.
pH 00400: units Temp. 000lo: oC
'DRY at
Depth to Water Level 82546: ft. below measuring point Screened Interval: 50 ft.
to 25 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: NIL
sampling,
Volume of water pumped/bailed before sampling:
gallons
Appearance Clear
cheep--)
Samples for metals were collected unfilter, X
YES
❑ NO and field
_ acidified: X YES
❑ NO
here:l X
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2).as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L, Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/1 OOmL
Phosphorus: Total as P 00665
mg/L
(Nate: use MPN method for highly turbid Samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units);_
issolved Solids:Total70300
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba- Barium 01007 _
ug/L
TOC omo
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? Ffl Yes (1 [X No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 006io
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total).
Mn - Manganese 01055
ug1L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Allen Robey, Senior SHE Manager, Performance Chemcials,.NA
Permittee (or Authorized Aoent) Name and Title - Please orintor type

GROUNDWATER' QUALITY MONITORING:
°
° r
DEPARTMENT OF ENVIRONMF=NT-&-NATURAL-RESOURCES
DIVISION OF WATER RESOURCES' -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
* ° °
1017 MAIC;SERVICE CENTER,,`RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION Please Print Cleady or Type
PERMIT Number: Expiration Date: 07/31/2021
Facility Name: Innospec Performance Chemicals
Non -Discharge W00001077 UIC
NPDES Other
Permit Name (if different):
Facility Address: 500 Hinkle Lane
TYPE OF PERMITTED OPERATION BEING MONITORED'
❑ Lagoon ❑ Remediation: Infiltration Gallery
Salsibu. , NC 28144 CountW Rowan
(City) - (state) (zip)
X Spray Field ❑ Remediation:
Contact Person: Clay White
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name 500 Hinkle Lane
No. of wells to be sampled:
6
❑ Water Source Heat Pump ❑ Other:
-
(from Pennil)
SAMPLING 1 FORMA
If WELL
WELL ID NUMBER (from Permit): MW-11
Date sample collected: 03/05/2018 FIELD ANALYSES:
WAS
Well Depth: 69 ft.
Well Diameter: 2 in.
pH 00400: 6.17 units Temp. 000lc 15.1 °C
DRY at
Depth to Water Level 82546: 51 ft. below measuring point Screened Interval: 69 ft.
to 35 ft. Spec. Cond. o0094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: NIL
sampling,
Volume of water pumped/bailed before sampling: 9
gallons
Appearance Clear
chec"
Samples for metals were collected unfilterr X YES
❑ NO and field acidified: X YES
❑ NO
here:
LABORATORY INFORMATION
Date sample analyzed: 3/6/18 to 3/23/18
Laboratory Name:
Statesville Analytical_ Certification No. 440.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616' /100mL
Nitrate. NO
( 3) as N 00620
m /L Zn - Zinc 01092
g mg/L
Coliform: MF Total 31504 /1`00mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 50 mg/L
Al -Aluminum 01105
mg/L MBAS = <0.1 mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L DO = 8.84
TOC 00680 0.85 mg/L
Ca - Calcium 00916
mg1L ORP mV = 46.6
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
9.4 ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <15 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? Yes (1 QNo (0)
Specific Conductance 00095 46.5 µMhos.
K- Potassium o0937
mg/L method #
Total Ammonia 0o6lo rng/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N: Ammonia Nitrogen, Total)
Mn -- Manganese 01055
ug/L , method # _
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Allen Robey, Senior SHE Manager, Performance Chemcials, NAw�z �3
Permittee (or Authorized Aaent) Name and Title - Please print or tune Sionature of Permittee (orAuthoj ed Aaent) (Date)'

SUBMIT FORM ON YELLOW PAPER ONLY MW
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: ABF FreightSystems, Inc. - Belmont Terminal
Permit Name (if different):
Facility Address: 325 Peach Orchard Road
Belmont (stfeet) NC 28012 County Gaston
(City) (State) (Zip)
Contact Person: Shaun McCaffrey Telephone#: [phone]
Well Location/Site Name: No. of wells to be sampled: 2
PERMIT Number: WQ0000612 Expiration Date: 11/30/2022
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
© Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
ELL ID NUMBER (from Permit): MWVVQ
-1
1
Date sample collected: 02/21/18 *
FIELD ANALYSES:11
WAS LI-
Well Depth: 48.20 ft.
Well Diameter: 2 in.
pH 00400:
units Temp. 000lo: oC
DRY at
Depth to Water Level 82546: 47.93
Screened Interval: ft. to ft.
Spec. Cond. 00094:
µMhos
time of
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m:
sampling,
Volume of water pumped/bailed before sampling: Well Dry
* gallons
Appearance
Well Dry *
check
here:❑
Samples for metals were collected unfiltered: El YES
NO and field acidified: El YES NO
LABORATORY INFORMATION
Date sample analyzed: N!A (Well Dr vl Laboratory Name: Research & Analytical Laboratories, Inc.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. RECEI43KD/NCDENR/DWR
COD 00335 mg/L
Nitrite (NO2) as N oo615 mg/L
Pb - Lead oio51
ug/L MAR 2 6 2018
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620 mg/L
Zn -Zinc 01092
mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 mg/L
WQROS
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 mg/L
MpORESVILLE REGIONF�I OFF
Other (Specify Compounds and Concentration Units):
lsso ved Solids:I atal 70300
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) oo403
units
Ba - Barium 01007
ug/L
_
TOG oo68o
mg/L
Ca - Calcium cos16
mg/L
d •#�
Chloride 00940
mg/L
Cd - Cadmium 01027
u /L
9
q
a --
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
-W A
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
0R(AIttf&�
F�Ii t7 S, HPLC)
Phenol 32730
ug/L
Fe -Iron oloas
uglL
(Specify te�Zst�/j
ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached?
!�/)pes (1) No (0)
specific Conductance 000ss
µMhos
K -Potassium 00937
mg/L
VOC 78732:
method #
Total Ammonia o0610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L VOC Removal%
Be (or Authorized Agent) Name and Title - Please print or type S)gnat re of Permtttee (or Authorized Agent) )
GW-59 Rev.2/2010

IAW a.
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY INFORMATION, PROCESSING UNIT
COMPLIANCE REPORT FORM, 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please FrintClearly orType PERMIT Number: WQ0000612 Expiration Date: 11J30/2022
Facility Name: ABF Freight Systems, Inc. - Belmont Terminal Non -Discharge X UIC
Permit Name (if different): NPDES Other
Facility Address: 325 Peach Orchard Road TYPE OF PERMITTED OPERATION BEING MONITORED
Belmont t'"°ec1 NC 28012 County Gaston ©Lagoon El Remediation: Infiltration Gallery
ic.ty) (sOte.) (zip) ❑ Spray Field ❑ Remediation:
Contact Person: Shaun McCaffrey Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: No. of wells to be sampled: 2 ❑ Water Source Heat Pump ❑ Other:
_...... _.. .......
WELL ID NUMBER
If WELL
(from Permit): MW-2
Date sample collected: 02/21/18 *
FIELD ANALYSES:
WAS
Well Depth: 39-00 ft.
Well Diameter: 2 in.
pH 00400: units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 39.00 ft.
Screened Interval: ft. to
ft- Spec. Cond. 00094: µMhos
time of
Measuring Point is ft. above land surface Relative M.P. Elevation: ft.
Odor oo0a5:
sampling,check
Volume of water pumped/bailed before sampling:
Well Dry ` gallons
Appearance Well Dry
here:❑
Samples for metals were collected unfiltered:
El YES ❑ NO and field acidified: El YES El NO
X
Date sample analyzed: NIA (Well DW Laboratory Name: Research & Analytical Laboratories, Inc. Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note use MPN method for highly turbid samples) Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
)Issolved Soiids:Total 70300
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo6ao
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) 0 No (0)
specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia 00610 mg/L Mg - Magnesium 00927 mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese o1o5s ug/L method #
TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
G W-59
Rev. 2/2010

SLIShOT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
I-AGILJ IT INFORMATION Preass ennr taewiyor type
Facility Name. ASF Freight Systems, Inc. - Belmont Terminal
Permit Name (if different):
Facility Address. 325 Peach Orchard Road
Belmont NC 28012 County Gaston
rSlar? 0111
act Person: Shaun McCaffrey Telephonek 479-785-6142
LocationlSite Name: No. of wells to be sampled: 2
DEPAR77LIENT OF ENVIRONMENT& NATURAL RESOURCES
E?MSfOX OF WATER QUALITY -INFORMATION PROCESSING UN[T
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994 $17 Phone: [phone]
PERMIT Number: VVGD000612
Expiration Date: 1113012022
Non -Discharge X
UIC
N POES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
19 Lagoon
❑ Remedlation: Infiltration Gallery
❑ Spray Field
❑ Remedialion:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other.
WELL ID NUMBER (from Permit): MWI 3 Date sample collected: 02t21118 '
Well Depth: 39.00 ft.
Well Diameter: 2 in.
Depth to Water Level 82546: 39.C10 ft. Screened Interval: fL to ft.
Measuring Point is ft. above [and surface Relative M.P. Elevation. ft.
Volume of water pumped/bailed before sampling: We[] Dry' gallons
Sample& for inetals were collected unfiltered ❑ YES ❑ NO ,
YES
FIELD ANALYSES:
pH oa400:
Spec. Cond. 00094-
Odor 000es:
Appearance Well Dry
units Temp. Doom. °C DRY at
pMhos lime of
sampling,
Date sample analyzed:_ N"ell DrVI
Laboratory Name:
Research SAnaiyticaf Laboratories, fnc. Certification No. REMWED/NCDENR/l7
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00035
mg/L
Hi1trite (NO,) as N outs
mg/L
Pb - Lead alasi uglL MAR 2 6 G J 18
Colifofm: MF Fecal 31616
1100mL
Nitrate (NO3) as N 00620
mgrL,
Zn - ZIne 010s2 nigh
Cor[rorm: MF Total 31504
1100mL
Phosphorus: Total as P oows
mg1L
WQROS
(nine
Orthophosphate 7o5o7
mg/L
Other (Specify Compounds and ConcentNQQFfi4y.LLE REGIONAL
Dissolved Soiids:Total7o3oo
mg1L
AI- Aluminum 011os L
pH (Lab) w4a3
units
Ba - Barium 010o7
TOC waao
Chloride oom
mglL
mg1L
Ca -Calcium oo916
Cd - Cadmium aio27 MAR
Arsenic oiaw
uglL
Chromium: Total i71o34
u l i
,
Grease and Oils 005s2
mgR
Cu - Copper 01042
pp
sw
,cr ntn;s ..
ORGANICS: (by GC. GCIMS, HPLC)
Phenol 32730
uglL
Fe -Iron oioas
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
rnglL
Ijg - Mercury 71900
ug)L
Lab Report Attached? Cl Yes (1) ] No (a)
Specific Conductance oea95
ymhos
K - Potassium oas37
mg1L
►fOC 70732: method #
Total Ammonia aosia
M9&
h1g -Magnesium 0o927
mg1L
, method #
[Aammnia NAragw. NH3 asIt. hmmnia Nltragerk Talall
Mn - Manganese oio55
ugilL
method #
TKN as N oa625
mglL
Ni - Nickel oia67
ugR-
method #
For Remediation Systems Only lAttach Lab Ranarisk
1nflupnt Tn+ai Vnr_c•
r.,nn Grfl.: 1 Tn1�l __,r
v
m
m
m
�o
aVo
a,
0
rs
0
M
00
V
t
m
m
ca
M.
N
N
Kev_ 712ol u

Mao
S .Southern.
S Soil
$ Builders, Inc.
Brian Eades:
958 Hoots Road Roaring River, NC 28669
[phone] .• Fax [phone]
RECEIVEDINCDENRIDWR
FEB 13 Z017
WQROS
MOORESVILLE REGIONAL OFFICE
Enclosed you will find your 2016 Land Application Annual Report. Please sign were
indicated. You will sign where it says Prepare as you are the ORC of the WWTP. The
Town Manager will need to sign as the Permittee.
Keep one (1) copy for your records
Send three (3) copies to the NCDENR by March 1 st at:
NCEQ-DWQ
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Submit one electronic copy to the EPA by February 21, 2017 using the information on
the following page. (The EPA will not allow me access to complete the form)
If you have any questions or concerns, feel free to contact me at any time at (336) 957-
7871 or at [e-mail]
Thank you,
Zach Key
Southern Soil Builders, Inc.

17; .
Town of
Taylorsville201
MR�
'I=C E 1VrED
FEB 0 3 2017
iriormat on Processing UniI
rCB ®�
i ilor mat on Procassirq unit
11", Sscfion
Town of Taylorsville, NC
2016 Annual Report
Land Application Program
Permit No, WQ0006906

V
pplication Operator:
Southern Soil Builders, Inc. Phone: [phone]
pplication of residuals as allowed by the permit occurred during the past calendar year?
es ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Rpeidnale A.,,.�;_--
Total number of a lication fields in the ermit: 7
Total number of fields utilized for land application during the year: 5
Total amount of dry tons applied during the year for all application sites: 172.37
Total number of acres utilizes for land application during the year: 77.5
Part B -Annual Comaiance Statement:
Facility was compliant during calendar year 2016 with all conditions of the.land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. 21 Yes
No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T. 1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources,
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
Permittee Name and Title (type or print)
Signature of Permittee Date
Z-1 Z: � 2--- �� 2 3
Signature of Preparer* , ^ °� ���
Date Si ature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0006906 Laboratory: ]) Waypoint Analytical
Facility Name: Town of Taylorsville 2)
Residual Source WQ # or 3)
NPDES #: NC0026721
WWT4)P Name: Taylorsville WWTP 5)
Residual Analysis Data
Conc.
Parameter Limit mit Sample or Composite Date
(mg/kg) m a 5-13-16
Molybdenum
'For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under 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 fo bmittin false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Date
6 J DENR FORM RSSF (12/2006)

"J" uvu 6uMMARY FORM*
ttach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
rarcmiliity�Name: Town of Taylorsville pt #: WQ0006906 Total Dry Tons Applied (Annual): 16.49
Operator: Carol Price Cation Exchange Capacity (non 503 only):
Acres Used: 7 Owner: Carol Price Predominant Soil Series: F e B2
Acres Permitted: 7 _
Site #: CP 01 Field #: CP Ol _
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, %Solids use Raw Percent Sample or 1 2 3 4 5 s , Rt #):
Com-
posite
Date
% Solids
Arsenic
Cadmium
Lead
Nickel
Selenium
Zinc
Total
Phos-
Annual
Total��
DT/Ac./
App.
Event
Arsenic
Cadmium
Lead
Mercury
Nickel
Selenium
Zinc
Total
5113116
5.53
3
2
240
22
17
0.9
5
10
5
528
9870
in
0.014
0.009
1.130
0.104
0.080
0.004
0.024
0.047
0.024
2 487
Phos- 46.488 0.000 0.000 0.000 0.000 0.000 0.000 0000 0000
..
horus
I certify, under penalty of law, that this document was prepared 0.000 0.000 0.000 46.488
under my direction or supervision in acco
vith a system designed to assure that qualified personnel properly rdance
evaluated th
am aware that there are significant penalties for submitting false nformat on, including the Possibility
submitted.
nprisonment for knowing violations". P ty off fines and
2.36
0.014
0.009
1.130
0.104
0.080
0.004
0.024
0.147
0.024
2.487
1 111
1 11t
1 It'll
1 111
1 off
1--
1--
1 101
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 Ilt
t 111
1 111
1 111
No
1 11t
1 III
1 111
1 111
1 111
I fit
1 111
1 111
t 111
1 111
1 111
1 111
fill
1 111
1 111
1 111
1 I t l
1 111
1 111
1 111
1 111
1 111
1 111
1 tll
1 111
1 11!
1 111
1 111
1 111
1 111
1 111
! 111
®®®
1 111
1 111
1 111
1 111
! 111
®®
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 Ilt
1 111
1 111
1 111
-gnature of Land A plier
Date
MN
0.000
0.000
0.000.
0.000.
0.000
0.000
0.000
0.000
0.000
0.000
U00
0.000
0.000
0.000
U00
0.000
0.000
0.000

_ --- -•_. _�,�,, ,• �,,�,�, �,v,1-wuvu ,-)u1V1MAKY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted; in Annual Report
acuity Name:
Permit #:
Operator:
Acres Used:
Residual
Anal)
Sample or
1
Com-
posite
Date
5113116
Solids
5.53
Arsenic
3
Cadmium
2
Copper
240
22
17
0,9
5
Mn
10
55289870
1
Annuai
heavy
Total
1 1
DT/Ac./
App,
Event
1.41
Arsenic
0.008
Cadmium
0:006
Copper
0.676
hromiu
0,062
Lead
0.048
Mercury
0.003
Town of Taylorsville Total Dry Tons Applied (Annual): 32.97
WQ0006906 Cation Exchange Capacity (non 503 only):Cl de Hendren Owner: Clyde
-
Hendren Predominant Soil Series: PcB2
23.4 Acres Permitted: 23.4 Site #: CH 01 Field #: CH 01
,is Data (Heavy Metals and Total P
in 1
Mum
r
1 1!1
1 1!1
! 111
1 111
1 111
1 111
1 111
1 111
! 111
! 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 !11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
OA00
0.000
0.000
0.000
0.000
0.028
0.000
0.000
0.000
0.000
0.000
Id0.014
0.014
0.000
0.000
00000.000
1.488
0.000
0.000
0.000
0.000
0.000
27.814
0,000
0.000
0.000
0.000
0.000
7 J
1 91
10
11
12
H
0
0.000
0.000
0.000
0.000
.0:000
0.000
0.008
0.000
6.000
0.000
0.000.
U00
0.000
0,006
0.000
0.000
0.000
0.000:
0;000
0,000
0.676
0.000
0.000
0.000
0.000
0:000
0.000
0.062
0.000
0.000
0.000
0.000•
000
0Mon
0. 000
0.048
0.000
0.000
0.000
0.000
0.000
0.003
0.0000.0000:0000.000
0.000
0.014
0000
0.000
0000
0.000
.0.000
0.028
0.000 0.000
0.000
M00
0.000
0.000
0.014
0.000 0.000
0.000
0.000:
0.000
0.000
1.488
0.000 0.000
0.000
0.000
0.000
0.000
27.814
'I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
vith a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
am aware that there are significant penalties for submitting false information, including the possibility of fines and
mprisonment for knowing violations".
ignature of Land Applier
Date

---- ­" `---u LvA"IINU NUNINIARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submittedlin Annual Report
Pacility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 41.97
Permit #: WQ0006906 Cation Exchange Capacity
Operator: PhillipHoover g P ty (non 503 only)::
Owner: Phillip Hoover Predominant Soil Series: PcB2
Acres Used: 14.7 Acres Permitted: 14.7
Site #: PH 01 Field #: PH Ol
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #l: Camnla nr 1 1 1 9F I Q1 I A I I_
Com-
posite
Date
5/13/16
Solids
5.53
Arsenic
3
2
Cadmium
Copper
240
Mromium
22
Lead
17
Mercury
0.9
5
denum
Nickel 10
Selenium 5
Zinc 528
Total
Phos- 9870
annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total 1 2 3 4 5
DT/Ac./
6
7
8 9
10
11
12
App.
H
Event 2.86
Arsenic 0.017 0.000 0.000 0.000 0.000
:admium 0.011 0.000
0.000
0.000
0.000 0.000
0.000
:0:000
0.000
y
0.017
0.000 0.000 0.000
Copper 1.370 0.000 0.000 0.000 0.00.0
0.000
0.000
0.000 0.000
0.000
.0.000
0.000
0.011
bromium 0.126 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
1.370
Lead 0.097 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
0.126
Mercury 0.005 0.000 0.060 0.0 00 0.000
0.000
0.000
0.000 0.000
0.000
0.000
0.000
.0.000
0.000
0.000
0.097
0.005
denumKTo-lyb0.029 0.000 0.000 0.000 0.000
denum
0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.029
ENNickeli0.029 0.000 0.000 0.000 0.000
eniu0.029 0.000
0.000
0.000
0.000 0.000
0.000
:0.000
0.000
0.057
0.000 0.000 0.0000.000
Zinc3.015 0.000 0.000
0.000
0.0000;000
0.000
0:000
0.000
0.029
0.000 0.000
Total
0.000
0.000
0.000 0.000
0.000
0.000
0.000
3.015
Phos- 56.358 0.000 0.000 0.000 0.000
horus
0.000
0.000
0.000 0.000
0.000
0.000
0.000
56.358
1 certify, under penalty of law, that this document
was prepared under
ith a system designed to assure that
my direction or supervision in accordance
qualified personnel properly gathered and evaluated the
am aware that there are significant penalties for submitting
information submitted.
iprisonment for knowing violations".
false information, including the possibility of fines and
gna ure of Land Applier
Date
nr-wires r---.. .. .._

Attach this form to the corresponding Field Loading Summary Form to be submitted '
rmacilty Name: Town of Taylorsville din Annual Report
Permit #: WQ0006906 Total Dry Tons Applied) (Annual): 56.95
Operator: Cation Exchange Capacity (non 503 on
Owen Icenhour Owner; Owen Icenhour �y)�
Acres Used: 19.3 Acres Permitted; Predominant Soil Series:
19.3 Site #: CeB2
Residual Analysis Data (Heavy_ 08 01 Field #: 08 Ol
Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #
Sample or 1 2 3 4
Com- 5 6 8 9 10 )•
11 12
posite
Date 5113116
Vo Solids 5.53
Arsenic 3
Cadmium 2
Copper 240
Chromiu 22
Lead, 17
Mercury 0.9
Molyb-
denum 5
Nickel 10
Selenium 5
Zinc 528
Total
Phos- 9870
horus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total 1 2 3 4
DT/Ac./ 5 6 7 g
9 10 12
App. H
Event 2.95 a
Arsenic 0.018 0.000 0.000 0.000 0.000 0.000 0.00.0 0.000 0.000
y
Cadmium 0.012 0.000 0.000 0.000 0.000;0.000 0.000
0.018
Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.00( 0.000 0.012
PP 1.416 0.000 0.0.00 0.000 0.000 0.000
:hromi 0.130 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.416
0.000 0.000 0.000 0.000 0.000 0.000 0.000
Lead 0.100 0.000 0.000 0.000 0:000 0.000 0.130 Merc 0.000 0.000 0.000 0.000 0.000 0.0001
ury 0.005 0.000 0.000 . 0.000 0.000 0.000 0.000 0.000 0.000 0.000 ! . 000 0.000 0.100
Molyb-
denum 0.030 0.000 0.000 0.000 0.000 0.000 0.000 0.000 00 0.000 0.005
Nickel 0.059 0.000 0.000 0.000 0.000 0:000 0.000 0.030
:elenium 0.030 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 0.030
Zinc 3.116 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
Total 0,000 0.000 3.116
Phos- 58.253 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.
)horus 000 0.000 0.000 58.253
certify, under penalty of law, that this document was prepared under my direction or
ith a system designed to assure that qualified personnel properly gathered
im aware that there are significant penalties for submittingfalse information, supefivision in accordance
g d and evaluated the information submitted.
prisonment for knowing violations", ormation, including the possibility of fines and
'niture of Land Applier
Date

r
---", - `u l.iL, tit,7 r1ELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville
Permit #: Total Dry Tons Applied (Annual): 23.99
WQ0006906 Cation Ca aci
Exchange
Operator: Owen Icenhour g P ty (non 503 only):
Owner: Matthew Shannon PredominaA't Soil Series: CeB2
Acres Used: 13.1 Acres Permitted: 13.1
Site #: 0804 Field #: 08 04
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids rise Raw Percent #1:
Sample or 1 1213 4 _
Com-
posite
Date
5113116
Lo Solids
5.53
Arsenic
3
Cadmium
2
Co er
Molyb-
Annual
Total
DT/Ac./
Heavy
Metal Field Loadings
2 3
(Calculated
4
in lbs/acre):
5 6
7
g
9
10
12
App.
Event
1.83
o
Arsenic
Cadmium
Copper
;hromiu
Lead
Mercury
Molyb-
denum
Nickel
Selenium
Zinc
Total
0.011
0.007
0.879
0.08107
0.062
0.003
0.018
0.037
0.018
1.934
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
0.0:00
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
0:0.00 0.000
0.000 0.000
0000 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
7000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000.
0:000;
0.000
0.0001
0.000'
0.000
0.000
0.000 `
0.000
0.000 i
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
`U:000 0.000
0.000 0.000
0.000 0.000
0.011
0.011
0.879
0.081
0.062
0.003
0 .018
0.037
0.018
1.934
Phos-
horus
36.144
0.000 0.000
0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000 0.000
36.144
I certify, under penalty of law, that this document was prepared under my direction or supejrvision in accordance
'ith a system designed to assure that qualified personnel properly gathered and evaluated thq information submitted.
am aware that there are significant penalties for submitting false information, including theipossibility of fines and
nprisonment for knowing violations".
01V%_1 Ar
gn ture of Land Applier
Date

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 01 Acres Utilized: 19,3
Land Owner: Owen Icenhour Annual Dry Tons Applied: 56.9584 Site #• 08 01 Acres Permitted: 19.3
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:
o
Volume applied
PP
(enter one) Solids/ %
Volume
Applied
Residual Sources
Soil
Cond.
Precip.
Y
b
c
��,
Z
Nitrate
PAN Applied
Name of CropType
t °
Liquid Solids
per
Acre
(NPDES #, WQ#
�Y�
Past 24
a �'
m
;
TKN
o
and
lbs/acre
( )
Receiving Residual
Q ,
Fert, Animal
Wet,
Iirs.
o
a
�:
w
Nitrite
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Moist)
inches
o.
C
o
0
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
5-2016
247000 5.53
2.951
WQ0006906
dry
0
s
0.5
0.3
30700
6510
115
62.725
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
0.060
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):
WALS: 01 247000 ... ...__
As
Cd Cu Cr Pb I Hg Mo Ni Se Zn P 62.725 0.000
_
Lime Applied
nnuallbs/acre
0.018
0.012 1.416 0.130 0.100 0.005 0.030 0.059 0.030 3.116 58.253
Date Ibs/ac
rior Years Cumulative lbs/ac
0.261
0.176 30.787 1.42 2.493 0.171 0.352 2.759 4.076 115.328
0.188 32.203 1.550 2.5 33 0.176 0.382 2.818 4.106 118.444
urrent Cumulative Ibs/ac
0.279
-rmitted C. P. L. R.****
36
34 1338 NA 267 15 NA 374 89 2498
;rmit PAN Limit 1st/2nd Crop
_........_ _ _ . .
I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
aalified 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
�S **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
11
DENR FORM FSF (12/2006)

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
Land Owner: Matthew Shannon
Field # • 08 04
Acres Utilized: 13.1
Annual Dry Tons Applied: 23.9825 Site #: 08 04
Operator: Owen'Icenhour
Predominant Soil Series: CeB2
Acres Permitted: 13.1
Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue
Crop 1 Max. PAN: 216 Crop 2 Name:
Crop
2 Max. PAN:
Volume applied
w
Volume
Soil
Residual Sources Precip. y C z
(enter one) Solids/ o
o /o
Cond- u Nitrate
Applied per (NPDES #, WQ#, Past 24 b x w
o
PAN Applied Name of Crop Type
QLiquid Solids
Acre
TKN
FertAnimal �� Hrs o r ° 0° and
(lbs/acre Receiving Residual
)
Cu. Yds GeIIOnS
(Dry Tons/Ac)
Waste, etc) Wei a o _. * m Nitrite
Application
5-2016 104000 5.53
Moist inches o
1.831 WQ0006906 ) mync9 mg/kg mg/kgCrop
�5 0
1 Crop 2 Crop 1 Crop 2
0.000
s 0.5 0.3 30700 6510 115
38.910 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
DTALS: '.
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
0.000 0.000
0 104000.
As
Cd Cu Cr Pb H Mo Ni Se Zn P
-
38.910
nnual lbs/acre
0.0] 1
0.007 0.879 0.081 0.062 0.003 0.018 0.037
0.000 Lime Applied
tzor Years Cumulative lbs/ac
0.237
0.018 1.934 36.144
0.159 27.579 1.073 2.276
Date lbs/ac
urrent Cumulative lbs/ac
0.248
0.167 0.31 2.568 6.242 132.355
0.166 28.458 1.154 2.338
-rmitted C. P. L. R.****
0.170 0.328 2.605 6.260 134.289
36
34 1338 NA 267 1
5 NA 1 374 89 2498
;rmit PAN Limit lst/2nd Crop
.....
certify, under penalty of law, that this document was prepared under my direction or suP
ervision in accordance with a system designed to assure that
ialified 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."
- )6/ *Application Method: S - Surface, IN - Injection, INC - Incorporation
�S i1 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
11
DENR FORM FSF (12/2006)

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 #: CP 01
Land Owner: Caro] Price Annual Dry Tons Applied: 16.4880 Acres Utilized: 7Operator: Carol Price Site #: Cp 01 Acres Permitted: 7
Predominant Soil Series: F+' a B2
Crop 1 Name: Fescue Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: 194 Crop 2 Name:
Crop 2 Max. PAN:
Volume applied-- Volume Soil
(enter one) Solids/ o Residual Sources Precip. a C 4
/o Applied per (NPDES # WQ#/, Cond. p 24 K �o :� � t Nitrate Name of Crop Type
Liquid ' w w �, TKN o 9 and PAN Applied
Q Solids Acre p� , Animal (Dry, Hrs. o C �; o Receiving Residual
2' * cn lbs/acre
Cu. Yds Gallons Waste etc Wet, o * �« * m w Nitrite ( ) Application
(Dry TonslAc) ) Moist) inches 0 o-
10-2016 71500 5.53 2.355 WQ0006906 mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2
0:000
dT3 0 s 0.5 0.3 30700 6510 115 50.062 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): U.000 0.000
'OTA1:S: 0 71500 ........... - ..... _.. _ . ... _ _ .
s Cd Cu MO
rl
0Cr Pb H Ni Se Zn
�nual lbs/acre - -
P 50.062 0.000 Lime A lied
.014 0.009 1.130 0.104 0.080 0.004 0.024 0.047 0.024 2.487 46.488
or Years Cumulative lbs/ac p
0 0 0 0 0 0 0 Date lbs/ac
0 0
.urrent Cumulative lbs/ac 0.014 0.009 1.130 0.104 0.080 0.004 0.024 0.047 0.024 2.487
ermitted C. P. L. R.**** 36 34 1338 NA 1 267eN 15snrop NA
Limit 374 89 2498
certi 194
fy, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant g e that
for including the possibility of fines and imprisonment for knowing violations.', g ificant penalties for submitting false
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant LoadinLy Rate
11
DENR FORM FSF (12/20061

PLEASE ANNUAL, LAND APPLICATION FIELD SUMMARY FORM
MAKE A COOF
PY THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Town of Taylorsville PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Land Owner: Phillip Hoover WQ Permit #: WQ0006906
Field #: pH 01 Acres Utilized: 14.7
Operator: PhillipAnnual Dry Tons Applied: 41.9694
Hoover Site #- pg
o w
0
Q
Ol
11
Applied per
Residual Sources
(NPDES # WQ#
Soil
Cond.
Preci
24
C
Z
Nitrate
Name of Crop Type
Acre
Fert., Animal
�
Past
E
° =
° °'
=r
TKN 0
and
PAN Applied
Receiving Residual
(dry Tons/Ac)
Wes, etc)
Wet,
m
a o
��,
w
Nitrite
(lbs/acre)
Application
2.855
WQ0006906
Moist)
inches
o
�
mg/kg mglkg
mglkg
Crop 1 Crop 2
Crop 1
Crop 2
0.000
0
s
0.5
0.3
30700 6510
115
60.681 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
OTALS_ .. .. Residuals Applications totals on FO 0.000 0.000
0 182000 RM FSF supp ( attach FORM FSF supp to this form):
...._ ._..._ ......
uallbs/acre As Cd
Cu Cr Pb H MO Ni Se I Zn P 60.681 0.000 Lime Applied
'rior Years Cumulative lbs/ac 0.017 0.011 1.370 0.126 0.097 0.005 0.029 0.057 0.029 3.015 56.358
0.27
-urrent Cumulative lbs/ac 0.018 2.664 0.278 0.161 0.006 0.045 0.137 6.829 3.015 Date lbs/ac
'emutted C. P. I, R **** 0.287 0.029 4:034 0.404 0.25895.082
'ermit PAN I 0.011 0.074 0.192 6.855 98.097
Limit Ist/2nd Crop 3.. 34 1338 NA 267
_ 15 1 NA
I ce
rhfy, under
74 89 2498
,penalty of law,
jualified p , that this document was prepared under my direction or supervision in accordance with a system designed to assure that
ersonnel properly gathered and evaluated the information submitted. I am are supervision
nformation, including the g
possibility of fines and imprisonment for knowing violations." that there are significant penalties for submitting false
*Application Method: S - Surface, IN - Injection, INC - Incorporation
Signae of Land Applier i l� **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (19/9006)

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" 1N A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Taylors viIle
Land Owner: Clyde Hendren WQ Peet #: W00006906 Field #: CH 01 Acres Utilized: 23.4
Annual Dry Tons Applied: 32.9759
Operator: Clyde Hendren Sit
Predominant Soil Series: pcB2 e #: CH 01 Acres Permitted: 23.4
Crop 1 Name: Fescue Cation Exchange Capacity (non 503)•
o
Q�
Crop 1 Max. PAN: 194 Crop 2 Name: .
Volume applied Crop 2 Max. PAN:
(enter one) Solids/
Liquid Solids
C�yYds�GalonsIE2:016 5.53
. ��..� UI 143000�
Annual lbs/acre
'rior Years Cumulative lbs/ac
:urrent Cumulative lbs/ac
'ermitted C. P. L.L. R ** ***
.ermit PAN Limit lst/2nd Ci
Volume
Residual Sources
Soil
Precip.
o
Applied per
(NPDES #, WQ#,
Cond.
p� 24
�a
W '
w
a
w ti
z
Nitrate
PAN
Applied
Name of Crop Type
Acre
Fert,Animal'°
Hrs
o w'
;
�, m
TKN
o
O
and
( 11) )
Receiving Residual
(Dry Tons/Ac)
Wes, etc)
Wet,
a o
w
*
w'
Nitrite
Application
Moist)
inches
;:3
o
1.409
WQ0006906
dry
0
a
m9a
mg/kg
ma/ka
Crop 1
Crop 2
Crop 1 Crop 2
0.000
s
0.5
0.3
30700
6510
115
29.952
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. -
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
As
Residuals Applications total11 s o11 n FORM FSF su pp (attach FORM FSF supp to this form):
0.000
0.000
'
0.008
Cd Cu
0.006 0.676
Cr
0.062
Pb
0.048.
29.952
0.000
_....
Lime Applied
0.009
0.006 0.855
0.089
0.052
0.003
0.002
0.014
0.028
0 014
1.488
27 814
Date lbs/ac
0.017
0.012 1.531
0.151
0.100
0.005
0.014
0.043
2.192
30.528
6
3
34 1338
NA
0.028
0.071
2.206
32.016
11 -
267
IS
NA
374
89
2498
certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
ualified personnel properly gathered and evaluated the information submitted. I am aware that there are si nificant yubmi to assure that
[formation, including the possibility of fines and imprisonment for knowing violations." g penalties for submitting false
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier *** Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

Page: 1 of 2
Report Number: ber: 16-137-0203
Account Number: 46381
Send To: SOUTHERN
SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: s7299
—Sample Id: TAYLORSVILLE
total Solids
kloisture
Total Kjeldahl Nitrogen
TOlal Phosphorus
Total Potassium
T041 Sulfur
Total Calcium
Total Magnesium
Total Sodium
Total Iron
TotalAluminum
Total Manganese
Total Copper
Total Zinc
Ammonia Nitrogen
Organic N
Nitrate+Nitrite-N
Total Cadmium
v
Waypoint
ANALYTICAL
55300
30700
9870
1720
5450
178000
2810
831
8090
22600
109
240
528
6510
24190
115
All Values are on a dry wei
<2.0
ghf basis exc
11
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.Waypointanalytical.com
Project: TAYLORSVILLE
NC CERT#257
REPORT OF ANALYSIS
Date Sampled: 5/13/2016 10:00:00
Date Received: 05/16/2016 00:00
Date Reported: 05/18/2016
05/16/2016 13:25
05/16/2016 13:25
05/17/2016 08:24
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 11:40
05/17/2016 00:00
05/17/2016 00:00
SB 05/17/2016 08:25
ept as noted b KM 05/1
=urt U 16 11:40
reportsa:;dr y asterisk. Detection limit on all N series is on a wet basis.
ette'� are for the exclusive a,�d confi
or ho d-7ti - corrpayi.,7 ar a/use of ourcl.%ents. and
Yadveriisino. r7ei, �aY not br. rr.•pr0rluccd rn Wholo or nr. norm, 7n, r,k,,once by rnudr,
�s release, or of/7er public errnounrr?rrul p r
nfs ;• Y any
vithout obfnutlnq our prior tvrillcn ;uthor'lkfdian
5.53
94.47
3.07
0.99
0.17
0.55
17.80
0.28
0.08
0.65
2.42
100.0
100.0
10.0
100
100
100
100
100
100
100
100
5
5
5
10.0
10.0
2.00
2.0
RD
RD
SB
KM
KM
KM
KM
KM
KM
KM
KM
KM
KM
KM
SB
SM-254OG
SM-254OG
SM-4500-NH3C-TKN
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SM-4500-NH3C
CALCULATION
SM-450ONO3F
SW 6010C

Report Number:
Account Number:
Page: 1 of 2
16-137-0203
46381
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
e
Waypointa"Im
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 a Fax [phone]
www.waypointanalytical.com
Project: TAYLORSVILLE
NC CERT#257
REPORT OF ANALYSIS Date Sampled: 5/13/2016 10:00:00
Lab Number: 57299 Date Received: 05/16/2016 00:00
Sample Id : TAYLORSVILLE Date Renorted- 05/1R/9nis
JJJUU
iuu.0
RD
05/16/201613:25
SM-254OG
Moisture *
94.47
100.0
RD
05/16/2016 13:25
SM-254OG
Total Kjeldahl Nitrogen
3.07
30700
10.0
SB
05/17/2016 08:24
SM-4500-NH3C-TKN
Total Phosphorus
0.99
9870
100
KM
05/17/2016 11:40
SW 6010C
Total Potassium
0.17
1720
100
KM
05/17/2016 11:40
SW 6010C
Total Sulfur
0.55
5450
100
KM
05/17/2016 11:40
SW 6010C
Total Calcium
17.80
178000
100
KM
05/17/2016 11:40
SW 6010C
Total Magnesium
0.28
2810
100
KM
05/17/2016 11:40
SW 6010C
Total Sodium
0.08
831
100
KM
05/17/2016 11:40
SW 6010C
Total Iron
8090
100
KM
05/17/2016 11:40
SW 6010C
Total Aluminum
22600
100
KM
05/17/2016 11:40
SW 6010C
Total Manganese
109
5
KM
05/17/2016 11:40
SW 6010C
Total Copper
240
5
KM
05/17/2016 11:40
SW 6010C
Total Zinc
52-8.
5
-Kalil
05/1-7/201-611:40
SW'601-0C
Ammonia Nitrogen
0.65
6510
10.0
SB
05/17/2016 00:00
SM-4500-NH3C
Organic N
2.42
24190
10.0
05/17/2016 00:00
CALCULATION
Nitrate+Nitrite-N
115
2.00
SB
05/17/2016 08:25
SM-450ONO3F
Total Cadmium
<2.0
2.0
KM
05/17/2016 11:40
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.
eporfs and letters are for the exclusive and confidential use of our clients. and may not be reproduced ;r whole or Dar . nor may any r eference be made
ork. the rasuits, or the company in any advaitisino. news release, or otherpubiic announcements without obtaining ourprior written authorization.
Debbie Holt

Page: 2 of 2
Report Number: 16-137-0203
Account Number: 46381
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
AMML
•
Waypoint
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Project: TAYLORSVILLE
NC CERT#257
REPORT OFANALYSIS Date Sampled: 5/13/2016 10:00:00
Lab Number: 5729,9 Date Received: 05/16/2016 00:00
Sample Id : TAYLORSVILLE Date Reported: 05/18/2016
a
KM
05/17/2016 11:40
SW 6010C
Total Nickel
10
5
KM
05/17/2016 11:40
SW 6010C
Total Lead
17
5
KM
05/17/2016 11:40
SW 6010C
Total Arsenic
<3.0
3.0
KM
05/17/2016 11:40
SW 6010C
Total Mercury
0.9
0.4
KM
05/17/2016 09:00
SW-7471 B
Total Selenium
<5.0
5.0
KM
05/17/2016 11:40
SW 6010C
pH (Standard Units) Y 12.18
2.00
SB
05/17/2016 08:24
SW-9045D
Total Molybdenum
5
5
KM
05/17/2016 11:40
SW 6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE LRB WAS OUT OF LIMITS FOR "Mn" AND "Ni".
ACCEPTABLE.
THE MATRIX SPIKE WAS OUT OF LIMITS FOR "AI" AND "Cr". ALL OTHER QC DATA IS
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
iL
ettcisaref or the exc2sive and confidential use of our cliens. andmaynot be mproducedinwhole orpart. nor may anyreference be made
esults, or the company ire. any advedising. news release, or other public announcements wit bout obtaining cur prior writter, authorization.
Debbie Holt

PAN
Mineral- ation
Rate� T_
0.3 30700
hLH3 NO3
6510 115
-PAN-Surface
10627 mg/k9
21.254 Ibs/dry ton
3663.552 Ibs total PAN
47.27164 Ibs PAN/acre
�ection
13882 mg kg
27.764 Ibs/dry ton
4785.681 Ibs total PAN
61.75072 Ibs PAN/acre
Tons/1000
al.
0.230601
1st Year PAN,
Surface Ibs.
3663.55198
1st year PAN
In "ected Ibs,
4785-68068
Ibs./acre
Surface
4727163845
lbsJacre
Injected
61.7507184.5
as decimal Total dry r�=NO2 % Solids tons/year_Applied on
-0 - - 0.0553 _ . 1.72..37 77.5
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + l(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
1000 X 8.34 X %solids X sp gravity". "=dry tons/1000901
2000
0.3 C 30 (51d) -�
°'3 C2et190)
-7Z�
v - 230(,G
t 5 4 0 '-

'11

Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L M M /L .
45.95 9843.4 1 155,39
Na (ME)
Ca ME)
I-T--
gIME
11,997826
I 492,17
1 12.94917'
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.125712 (From Mg/I_ entered above)
SAR= 0.125219 (From ME entered below)
1
Na ME
Ca (ME)
Mg (ME)
1.99
1 492.17
1 12.95
1-7 f t2 • �s
f
The amour
amount of E
Permitting i

a
-Bupd�ueR o4 �+� Ol Jti Md e � p�� ecaa �a1�q�y Md '0gox1 �A� �� �r �W pe�o.+d� ue yl!� ue� sBu�eu Hd .
awl jQP *wdm"4 LOM 14d pi.4S -
u�u 3 � t cf f n,uu iii �wanut�tl £ti9
On�fee
fid stnN H sinoy Toppv 1
. '8 Ica Jew duetope
T j4datu suai#us
E 7 :W(3
�, :uvlist�a� d1AhM *llama
uolpzlll 4owI 1
r
r
r
ri
-,
z
rr
CS
z

n
a
Li
T
L
•r
me ftbilization
Town of lm-&!sviQe WA wp 1.ocatlon: � �-
,nme:
Date: -2 two: ?rJ C
me: /o S TIwte: O's
i>!r#ons
iemp. �It. orroctsdPH
sw
& jiff sftjw
coRj@W—
#� Wm. after
rrec d
`
PH
•�
Added
2 hours
����,����
Note*.
- Slam pH tef m lntmedla* alter lira addition.
' pH. read u(P iW*n whin an approM low Wa *" glaaa eleotro& praba. pH Mew was ed b oW to a pH of 10 prtor IQ "ar°Mtn$-
y
Brat:
C

N
S7
A
2
L
Lime Stabilization
Projed; _ Town of ialLw8wile wwrp t.•ocation:
Dow rf loc'I:Zol 6
L
Date• F1 2 I/ [date: MY b Zola
Tline: rizo Time: a�Zo
GxifOE s
i. ta#
L.Im@PH
& tMP Aw
Cotes+ W
ph &r after
CormcWd
smart
Nodded
2 hours
-
22 hours
H" OCU
/;, -7
3-0
I ,' -1 0
S0 Z5-0c-
/.1.. �-d
/ JL-
/f 15 t
No#8:.
M
W3 FARLOgaw1w 12 M+ti; UM
• Siam pH t�9cart irta�aia(y aRer rim ardcSrrion.
pal readings taken Ohm approved row softm Mass afoolroda probe. pH Meter was eeArmtsd to a pH of 10 pdar rao aarWOng.
to
It S fMwM41m
C

Lime Siiization
Town of Wmsvtpe WWTP Lacdticxn: ,�
l �Zal
'Rate: o 0 0
Date: f 3 20
ilnte: // o v
Date; zo f
Time: L
Ume
Added
a temp afar
2 hom
al"Yjice{
pH
fi 8 iii p—
22 hours
rraaw
>
aw .m lu nnermc a i61f IMUM
AM& probe. pH Mew was odbmW to a pH of 10 pAw 6o sonpHng.
�1 �l.VnI1R1nR
11

Lima Stabilization
�na�aE: Town of T"%"Mft WWt' 1tKiar�: der
Dee; r � ?,eE ._
Date: 4 zap L
q
ogo o l a74
f
Won C
P.
CarfecW
mad F hours r Ph r
12
Mf t7_9
6C3�ltq ,�+Y+trt�nuru t1 fiwift,on
Nat+
Stall pH ftwoommoy dw i fm www.
p". 'Wmn wflh I" BWOM tar Sodlum Vkm dtftotmck • Of Mcw was cdAuslad to a pH a1 t Q prior to mmpling.
4
D
r
0
fn
• H
r
r
rn
-Q
Operator: -
'D
n
0)
m
m

1 •�
Lime Stabilization
Town of T atsvl11'� La�stbn�
D�ber E
Ddw 41 n za! C
Tina; Q 3 s
ice:
Time: to s
Titne� o� 3`
• � �: 1211NnkRurn of 6lblk�imu�
WOW
art W 181W hm"AMy Aw lime nd&d .
'ph
dings t"" w;th rn X*mvfd low eoC'vrn 9UM &WrO& probe. PH IOW wea CWbmWto a pH of to prior to *MpUpg.
y
D
h"I
m
W

• .►
Une Stabilization
Rro1w; Town of_Taylamwk Yffwrp Location: Di�est,�
201 L Date: S( l8 l Deis; , Y271 2.411.
Thy: a �a o Tim: /o a a Tlme: oW 6
s
p
ePH
tau+
Added
p p +�
2 hogs
WnW.mfter
22 haws
Co6jj�
01.
2r1:2j
o
d. 4
QW rmqumw leRtlG: 12 Mr oum
• Fes.►g"W take► w"h M RPPMVW low Wd m glans abWrodo Wob f i�laoer was oaglExai®d to a PH 1opr4or no ramplInq.
-opentor. ___ 6--f
115 ►d o"Im
i

Lime Stabilizat1cm
•..
pm#we. ` Town of Te lorevftq W1l1fTR Lacedlcrt: D r "
ode:
Onto:
Time: At 4 3
Dew: r 14 zo/ L
T!r«1Ete: dl y S`
Qe#iortE
p.OR
cwec*d
IFmo
pR I tamer aftw
coffwted
phsett aimCorrscftd
Added
2 hours
22 hours
f
f
p
)
•'
hied E tekAn knmedliar * Aer HiTw add w.
• PH. read p iaken wish an approved low #o m Sleet eiaoiimtle probe. PH Meter waecaftrated loa pH at fa priorto "mpHag.
L
- --Operator. - ---- -- -- - - ----- - - --- --

r r,%- i vi( ATTRACTION REDUCTION FORM (02T Rules)
acility Name: Town of Taylorsville
WWTP Name: Town of Taylorsville �'�'Q Permit Number: WQ0006906
Monitoring Period: From NPDES;Nu�mber: NCO026271
1/1/2016 To 12/31/2016
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alter native performed:
Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Frio% Testing) ❑
A1t.D (No Prior Test) ❑ Process to Further Reduce P�athogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens,
Compost ❑ Heat`Diying ❑ Heat Treatment ❑
Beta Ray ❑ Gamma Ra ❑ THein4j ophilic ❑
Pasteurization ❑ :>:<:>::»>:;;:...
Class B: Alt. (1) Fecal Density
❑ Alt. (2) Process to Significant) Reduce ogees
Pat v❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilizatio0
AAir Di in ❑
Cposting 13leroh1)10.t4nn n
lg16ro ❑
If applicable to alternative perf�
Parameter Allowable Level
in Sludge
2 x 10 to the MPN
6th power
per gram of Fecal Coliform total solids CFU
1000 mpn per gram
of total solid (dry
tss A or Class B) com fete the
Pathogen Density
Geo. MeanMaximUnits
Excee- I III
-1- of
baimonelia bacteria 3 MPN per 4 grams
(in Iieu of fecal total solid (dry
coliform) weight)
Vector Attraction Reduction (15A NCAC 02T .1107) -Please indicate alternative pgrfo
'Alt. 1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4
Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 0 Alt 7 Drying Stable) ❑Alt. 8
( rY g - i
Alt. 9 (Injection) ❑ AIt. 10 (Incorporation) ❑ No vector attraction reduction alter: ati
CERTIFICATION STATEMENT (please check the appropriate statement)
0 "I certify, under penalty of law, that the pathogen requirements in 15A NCA(
vector attraction reduction re uirement in 15A NCAC 02T .1107 have been m
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAI
vector attraction reduction requirement in 15A NCAC 02T .1107 have not;bee
if you check this statement attach an explanation why you have not met one o>�
re uirements.)
"This determination has been made under my direction and supervision in accordance v
designed to ensure that qualified personnel properly gather and evaluate the information
that the pathogen and vector attraction reduction requirements have been met. I am m4
significant penalties for false certification including fine and imprisonment."
I data:
Sample a ytic
Tech -
Type
ed:
ec. Oz uptake) ❑
ying - Unstable) ❑
were performed ❑
02T .1106 and the
4.99
'02T .1106 and the
i met." (Please note
both of the
th the system
used to determine
re that there are
Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) — Land Applier Name and Title (if a licable
pp � )(type or print)
Signature of Preparer*
Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)

NCDA&CS Agronomic Division Phone: [phone]
,5 '`�`�. Predictive
Soil Report
4 :y ;
Website: www,ncagr.gov/agronomi/ ReportNo. FY17-SL013487
Client: Southern Soil Builders, Inc. Advisor:
958 Hoots Rd
Roaring River, NC 28669
Mehlich-3 Extraction
Sampled County: Alexander
Sampled: 11/07/2016 Received: 11/08/2016 Completed: 12/01/2016
Sample ID: CP1 Recommendations: Lime
Crop (tons/acre) N P2O5
Lime History: I _ Fescue/OGrassTm, M 0.0 120-200 0
2-
Fann:
K2O
0
Nutrients (Ib/acre)
Mg S Mn Zn
0 0 0 0
Cu
0
_Links to Helpful Information
More
B More
0 Note: 12
Test Results [units - W/V in g/crrP; CEC and Na in meq/100 cniP; NO3-N in mg/dnP]:
HM% W/V CEC BS% Ac pH P-1 K4 Ca% Mg% S4
9.4 93 0.6 6.2 102 83 75. 14 55
CHI Recommendations: Lime
Crop (tons/acre) N P2O5
1 _ Fescue/OGrassTm, M 0.0 120-200 0
2-
FResults
Mn-I
143
Kz0
30
Soil Class: Mineral
Mn-All MnAl2 Zn4 Zn-AI
100 281 281
Nutrients (Ib/acre)
Mg S Mn Zn
0 0 pH$ 0
Cu-1
152
Cu
0
Na ESP SS-1 NO3-N
0.1 1
B More
Information
0 Note: 12 Note:
units - W/V in g/cm3; CEC and Na in meq/100 cO; NO3-N in mg/drrr�]:Soil
CEC BS% Ac pH P-1 K-1 Ca% Mg% S4
13.1 98 0.2 6.7 69 56 79 17 45
Sample ID: PHI Recommendations: Lime
Crop (tons/acre) N P2O5
Lime History: 1 _ Fescue/OGrass�m, M 0.0 120-200 0
2-
Mn-I
78
K2O
20
Class: Mineral
Mn-AI1 MnAl2 Zn-I Zn-AI
53 244 244
Nutrients (lb/acre)
Mg S Mn Zn
0 0 pH$ 0
Cu-I
114
Cu
0
Na ESP SS-1 NO3-N
0.1 1
B More
Information
0 Note: 12 Note:
Test Results [units - W/V in g/cd; CEC and Na in meq/100 crn;; NO3-N in mg/do]:
HM% W/V CEC BS% Ac pH P4 K-1 Ca% Mg% S-1
0.36 1.02 12.7 97 0.4 6.6 114 65 78 17 45
Mn-I
127
Soil Class: Mineral
Mn-All Mn Al2 Zn-I Zn-AI
85 421 421
Cu-I
417
Na ESP SS-1 NO3-N
0.1 1
North Carolina Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
1
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
loh:lucA' iru%" �,,,•.j - Sieve Trox

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY17-SL013487
Sample ID: 0801
Lime History:
Recommendations: - Lime
rop (tons/acre) N P2O5
1 -Fescue/OGrassMm, M 0.0 120-200 0
2-
Page 2 of 3
Nutrients (Ib/acre)
More
B More
0 Note: 12 Note:
K2O
0
Mg S Mn
0 0 pH$
Zn
0
Cu
0
Test Results [units - WN in g/carp; CEC and Na in meq/100 co; NO3-N in mg/dO]:
Soil Class: Mineral
HM% WN CEC
0.36 0.95 37.0
Sample ID: 0804
Lime History:
BS% Ac pH P-I K-1 Ca% Mg% S-1
100 0.0 7.2 506 175 92 6 94
Recommendations: Lime
Crop (tons/acre) N P2O5
1-Fescue/OGrassMm, M 0.0 120-200 0
2-
Mn4
108
Mn-All Mn-Al2 Zn-1
63 1137
Zn-AI
1137
Cu-I
747
Na ESP SS-1 NO3-N
0.1 0
Nutrients (Ib/acre)
More
Information
0
0 Note: 12 Note:
K2O
0
M g S
0 0 pH$
Zn
0
0
0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cmP; NO3-N in mg/dO]:
Soil Class: Mineral
HM% WN CEC
0.27 0.95 33.0
BS% Ac pH P4 K-1 Ca% Mg% S-1
100 0.0 7.2 350 187 91 6 92
Mn4
119
Mn-All
70
Mn-Al2 Zn-I
1024
Zn-AI
1024
Cu-I
702
Na ESP SS4 NO3-N
0.1 0
i

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomct ,
Report No. FY17-SLO13487
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 lb/1000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K 1 and P-1 values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
neagr.gov/agronomitpubs.htm.
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
the exact fertilizer grade recommended on the report, visit www ncaar gov/aoronomi/oboart4 htrnff find information that
may help you choose a comparable aftemate. For more information, read A Homeowner's Guide to Fertilizel
Test Results
Report Abbreviations
Ac
B
BS%
Ca%
CEC
Cu-I
ESP
HM%
K4
K2O
Mg%
MIN
Mn
Mn-All
Mn-AI2
Mn-1
M-0
N
Na
NO3-N
ORG
PH
P4
P2O5
S-1
SS-1
WN
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn AI
remaining 16 [P-I, K-1, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na,_ESP, SI -I., NO3-N_(not.routine Zn4
-avaitabte)] indicate levels of plant nutrients or other fertility measurement. Visit
www.ncagr.gov/apronomi/uvrst htm
Page 3 of 3
exchangeable acidity
boron
% CEC occupied by basic cations
% CEC occupied by calcium
cation exchange capacity
copper index
exchangeable sodium percent
percent humic matter
potassium index
potash
% CEC occupied by magnesium
mineral soil class
manganese
Mn-availability index for crop I.
Mn-availability index for crop 2
manganese index
mineral -organic soil class
nitrogen
sodium
nitrate nitrogen
organic soil class
current soil pH
phosphorus index
phosphate
sulfur index
soluble salt index
weight per volume
zinc availability index
zinc index

RECEIVED/NCDENR/DWR
AUG U 9 2016
WQROS
MOORESVILLE REGIONAL OFFICE
Town of
Taylorsville 2 0 15
Town of Taylorsville, NC
2015 Annual Report
Land Application Program
Permit No. WQ0006906
j

tirIIN UAI LAiNU AFFEIC;A'I'ION CERTIFICATIOlN FORM
WQ Permit#: WQ0006906 County: Alexander Year: 2015
Facility Name (as shown on permit): Town of Taylorsville
Land Application Operator: Southern Soil Builders, Inc. Phone: 336-9,57-8909
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes L No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary•
Total number of application fields in the permit= 5 1
Total number of fields utilized for land application during the year 3
Total amount of dry tons applied during the year for all application sites: 203.44
Total number of acres utilizes for land application during the year; 78.2
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2015 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. RI Yes 0 No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required a d three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Poll ii tant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 4( CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T. 1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of viola 'ions are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurre(.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
771
PermitAt Name and Title (type or prm )
7 —Z S.a 1,
Signature of Permittee
Signature of Preparer* Date t6ature of Lad Applier
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) InFNR FnRnn Ar.F ra'))
�01.14—

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0006906 Laboratory: 1)
Facility Name: Town of Tayorsville 2)
Residual Source WQ # or NCO026721 3)
NPDES #: 4)
WWTP Name: Taylorsville WWTP 5)
Residual Analvsis Data
A&L Eastern Labs
Limit
Sample or Composite Date
J Cadmium
Chromium
Molybdenum
1 V1 au11auu ulsposal iacuiiies me ceumg concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under 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
Signature of Preparer *
information, including the possibility of fines and imprisonment for knowing violations."
11
LB -/ 6
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)

tiaU'" x , 1V.... 1 tvilo 1' 1L,L11 LVI'1Lil\ V 0 V 1V1avj_ - Y r MIXIVI
Attacl} this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 65.93
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Phillip Hoover Owner: Philip Hoover Predominant Soil Series: PcB2
Acres Used: 14.7 Acres Permitted: 14.7 Site #: PH1 Field #: PH1
Residual
Analysis
Data
(Heavy
Metals and Total Phosphorus use mg/kg, % Solids use
Raw Percent #):
Sample or
Com-
posite
Date
11
5/4/�5
'�` 1
3
4J
5]
6
7
8
9
101
11
12
% Solids
6.9�
Arsenic
3
Cadmium
21
Copper
29'
�hromiu
31
Lead
18,
Mercury
0.7
Molyb-
denum
5
Nickel
15
Selenium
70
Zinc
10690
Total
Phos-
horus
272�0
I
Annual
Heavyy
Metal Field Loadings
(Calculated in lbs/acre):
Total
DT/Ac./
App.
Event
1
^�
4.4,
2
_�
4
_5
J_8 I
9 J
10 I
11
12
o
W
"
Arsenic
0.027
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
1 0.000
0.027
Cadmium
0.01;
8
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.018
Copper
2.664
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.664
hromium
0.27,8
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.278
Lead
0.161
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.161
Mercury
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Molyb-
denum
0.045
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.045
Nickel
0.135
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.135
Selenium
6.826
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.826
Zinc
95.082
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
95.082
Total
Phos-
horus
241. 84
{
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
243.984
"I certify, under penalty of law, that this document was prepared under my direction
or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
[ am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
/ Ir
Sign . ure of Larid Applier Date
DENR FORM MFLSF (12/2006)

L-.l. V. - 11..•.1ALL3 1'LJLL LvtilJll\V 0UIVIIVItvnY 1VUIC1Y1...
Attac h this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 47.09
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Clyde Hendren Owner: Clyde Hendren Predominant Soil Series: PcB2
Acres Used: 32.7 Acres Permitted: 32.7 Site #: CH1 Field #: CHI
Residual Aualvsis Data (Heavy Metals and Total Phosnhorus use mu/kor_ 0/. Rnlidq ncp Raw Wrren+ ff)-
Com-
posite
Date
Total
Phos-
Eiunuai
Heil
y ivtetai rieia i.oaaings
kt-aicutatea in iusiacre):
Total
1 1
21
3
4
5J
6
7
8
9j
10
11
12
DT/Ac./
y
c
App.
w
Event
1.
4
y
Arsenic
0.009
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.009
Cadmium
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Copper
0.8
5
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.855
Chromium
0.089
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.089
Lead
0.052
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.052
Mercury
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
Molyb-
denum
0.0�4
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.014
Nickel
0.043
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.043
Selenium
2.102
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.192
Zinc
30.5,,28
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
30.528
Total
Phos-
78.3�36
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
78.336
"I certify, un er penalty of law, that this document was prepared under 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".
Si ature of L�nd Applier Date
DENR FORM MFLSF (12/2006)

11l 11� v tiL11111� 1 t1.Lti7 V11AL11 LVLiL1L\" 0U 1VIlYII_VMI I'VICLYI'
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 50.86
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Icenhour Owner: Owen Icenhour Predominant Soil Series: CeB2
Acres Used: 20.7 Acres Permitted: 20.7 Site #: 0801 Field #: 0801
Residual A alysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent # :
.-•
Com-
posite
Date
II
m
mi
Total
•
..
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
DT/Ac./
App.
Event
1
21
31
4
51
6
_7j
1819
101
ill
12
o
2.46
Arsenic
1 0.015
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.015
Cadmium
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
Copper
1.459
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.459
Chromium
0.152
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.152
Lead
0.088
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.088
Mercury
0. 03
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
denum
0.025
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.025
Nickel
0.074
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.074
Selenium
3.7, 40
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
1 3.740
Zinc
1 52.088
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
52.088
Total
Phos-
horus
133�661
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
133.661
"I certify, under penalty of law, that this document was prepared under 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".
Signature of Land Applier
J-cl - I g"
Date
DENR FORM MFLSF (12/2006)

_ � . _ , _. _ ___.
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Na e: Town of Taylorsville Total Dry Tons Applied (Annual): 39.56
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Icenhour Owner: Owen Icenhour Predominant Soil Series: CeB2
Acres Used: 10.1 Acres Permitted: 10.1 Site #: 0804 Field #: 0804
Residual A al sis Data Hea ].Metals and T t h r
Com-
posite
Date
-
total
Ph.
..
11
cIkuu..ai llUavy 1v1GLdl r1C1U LjUaUIIIIj!S it-Miculatea In Ins/nereF
Total
rf
1 31
L4J
151
LfJ71
8
9
10 F
11
12
DT/Ac./
H
App.
0
Event
3.)2
y
Arsenic
0.124
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Cadmium
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Copper
2.327
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.327
Clu-omium
0.243
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.243
Lead
0.1141
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.141
Mercury
0.(05
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.005
denum
0.0�39
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.039
Nickel
0.118
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.118
Selenium
5.9,62
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
5.962
Zinc
83.640
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
83.040
Total
Phos-
213.',085
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
213.085
horus
j
"I f
1
ce i y, un er pena ty of law, thatt this document was prepared under 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".
/l 21 I,-?`„td
Sig ature of L�nd Applier Date
DENR FORM MFLSF (12/2006)

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:-T-own-of-Taylorsville--- wn-Pa,;,;,�W�O^v069i,6 Field #: t-rii Acres Utilized: 14.7
_......
Land Owner: Phillip Hoover Annual Dry Tons Applied: 65.9329 Site #: PHI Acres Permitted: 14.7
Operator: Phillip Hoover
Crop 1 Name: Fescue
Predominant Soil Series: PcB2
Crop 1 Max. PAN: 194 Crop 2 Name:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o Y
Volume applied
PP �
Volume
Residual Sources
Soil
Precip.
�vY
o
�
Z �
Nitrate
Name of Crop Type
°� o
(enter one) Solids/
%
Applied per
PP P
(NPDES #, WQ#,
Cond.
Past 24
� o
c�
�
%� co
TKN
o �
and
PAN Applied
Receivin Residual
g
0
Q
r
T iquid
Solids
Acre
Fert., Animal
(r
D
We
Hrs.
- �
I a
C u
.,
o �'
, w
I
o
I o
Nitrite
,bs/acre
I )
I Application�Nf I
%u. Yds Gallons
as.� y"
R'
Crop 1
Crop 2
Crop 1
Crop 2
(Dry Tons/Ac)
)
Moist)
inches
�
o
o
o
mg/kg
mg/kg
mg/kg
5-2015
227500
6.95
4.485
WQ0006906
dry
0
s
0.5
0.3
27200
1870
2
76.572
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
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form)---
.'OTALS:l
01 227500
As
Cd
Cu
Cr
Pb
HR
Mo
Ni
Se
Zn
P
76.572 0.000
Lime Applied
krutuallbs/acre
7027
0.018
2.664
0.278
0.161
0.006
0.045
0.135
6.826
95.082
243.984
Date lbs/ac
3rior Years Cumulative lbs/ac
0
0.027
36
0
0.018
34
0
2.664
1338
0
0.278
NA
0
0.161
267
0
0.006
15
0
0.045
NA
0
0.135
374
0
6.826
89
0
95.082
2498
2urrent Cumulative lbs/ac
'ermitted C. P. L. R.****
'ermit PAN Limit 1st/2nd Crop
194
:T •1..
x Ceftiiy, unuer penaity of ►aw, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
** Mineralization Rates: Compost -0.1 anaerobiall digested -0.2
Signature of Land Applier Date p � Y g
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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.
FaciUt a-.e: T own of T z orsv le W-QPermit #: WQ0006906 Field #: CHI Acres Utilized: 32.7
Land Owner: Clyde Hendren Annual Dry Tons Applied: 47.0949 Site #: CHI Acres Permitted: 32.7
Operator: Clyde Hendren
Crop 1 Name:
Fescue
Predominant Soil Series: PcB2
Crop 1 Max. PAN: 194 Crop 2 Name:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Q
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
o'0
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
W
Moist)
Precip.
Past 24
Hrs.
inches
Y
012
I o w
o
w
N'
�3
�
w CD
N
0
TKN
mg/kg
Z
rT
o
I
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/ape
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5-2015
162500
6.95
1.440
WQ0006906
dry
0
s
0.5
0.3
27200
1870
2
24.587
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
1 0.000
0.000
1
0.000
0.000
0.000
1
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):
'OTALS:
Of
1625001
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
24.587
0.000
Lime Applied
Vmuallbs/acre
0.009
0
0.009
36
0.006
0
0.006
34
0.855
0
0.855
1338
0.089
0
0.089
NA
0.052
0
0.052
267
0.002
0
0.002
15
0.014
0
0.014 1
NA
0.043
0
0.043
374
2.192
0
2.192
89
30.528
0
30.528
2498
78.336
Date
lbs/ac
'rior Years Cumulative lbs/ac
�urrent Cumulative lbs/ac
'ermitted C. P. L. R.****
'ermit PAN Limit 1st/2nd Crop
194
'I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
1'9--ev 1 r-
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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-af-Taylor-sville- ----- W(7-pQ i ; yrrr�00©�90.� F:rl�#: �o ^vi Acres 'Jtiiized: 20.7
Land Owner: Owen Icenhour
Operator: Owen Icenhour
Crop 1 Name: Fescue
Annual Dry Tons Applied: 50.8625
Predominant Soil Series: CeB2
Site #: 08 01
Crop 1 Max. PAN: 216 Crop 2 Name:
Acres Permitted: 20.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Volume applied
PP
Volume
Residual Sources
Soil
Precip.
a
C
o
Z I
Nitrate
Name of CropT e
C)
°
°
(enter one) Solids/
%
Applied per
PP P
(Np Q
DES #, W #
Cond.
Past 24
� ��
w ?;
w ,
Ty
and
PAN Applied
Receiving Residual
°
Liquid
Solids
Acre
Fert., Animal
wry'
Hrs.
o w
N'
-
wq o
c�
Nitrite
(lbs/acre)
Application
Q
I Yds I Gallor
Wane, etc)
Wet,a
� �
* w
I
w
I
I
Crop 1
Crop 2
Crop 1
Crop 2
Cu. is
(Dry T ons/Ac)
Moist)
inches
�
1:1
1 mg/kg
mg/kg
mg/kg
12-2015
175500
6.95
2.457
WQ0006906
dry
0
s
0.5
0.3
27200
1870
2
41.948
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
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
rOTA1.S:
01
1755001
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
41.948
0.000
Lime Applied
knnuallbs/acre
0.015
0.010
1.459
0.152
0.088
0.003
0.025
0.074
3.740
52.088
133.661
Date
lbs/ac
'nor Years Cumulative lbs/ac
0.246
0.261
36 1
0.166
0.176
34
29.328
30.787
1338
1.268
1.420
NA
2.405
2.493
267
0.168
0.171
15
0.327
0.352
NA 1
2.685
2.759
374 1
0.336
4.076
89 1
63.24
115.328
2498
-urrent Cumulative lbs/ac
3ermitted C. P. L. R.****
ermit PAN Limit 1 st/2nd Crop
_.
216
I cernry, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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-Nam -ownofTaylorsville W-Q-PeFn##: WQ0006906 Field-#: 08 0 Acres-Utifted.!- J -
Land Owner: Owen Icenhour Annual Dry Tons Applied: 39.5597 Site #: 08 04 Acres Permitted: 10.1
Operator: Owen Icenhour
Crop 1 Name:
Fescue
Predominant Soil Series: CeB2
Crop 1 Max. PAN: 216 Crop 2 Name:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
«' o
Q
Volume applied
PP
enter one Solids/
( )
Liquid
Cu- Vrig (,�Ilnng
o
/o
Solids
Volume
Applied per
PP P
Acre
�n^ Tpi�anC�
���r �
Residual Sources
(Np Q
DES # W #,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
We
Moist)
Precip.
Past 24
Hrs.
Inches
a
c� b
a o'
ory w
*
o
7� w`
--
�'
o'
w •,
o
*
5
TKN
I
mgficg
Z
o
uv o
I cl PO
mgiKg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of CropType
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
12-2015
136500
6.95
3.917
WQ0006906
dry
0
s
0.5
0.3
27200
1870
2
66.868
NA
Fescue
0.000
0.000
0.000
0.000
0.060
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):
'OTALS:
0
136500
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
66.868
0.000
Lime Applied
knnuallbs/acre
0.024
0.213
0.237
36
0.016
0.143
0.159
34
2.327
25.252
27.579
1338
0.243
0.83
1.073
NA
0.141
2.135
2.276
267
0.005
0.162
0.167
15
0.039
0.271
0.310
NA
0.118
2.45
2.568
374
5.962
0.28
6.242
89
83.040
49.315
132.355
2498
213.085
Date
lbs/ac
'rior Years Cumulative lbs/ac
:urrent Cumulative lbs/ac
'ermitted C. P. L. R.****
ermrt PAN Limit is 2nd Crop
216
`I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
"Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier
Date
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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
A&L Eastern Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
Project: TAYLORSVILLE/NC CERT#257
REPORT OF ANALYSIS Date Sampled: 5/4/2015 11:30:00
Lab Number: 61790 Date Received: 05106/2015 00:00
Sample Id : TAYLORSVILLE Date Reported: 05/12/2015
Moisture
Total Kjeldahl Nitrogen
Total Phosphorus
Total Potassium
Total Sulfur
Total Calcium
Total Magnesium
Total Sodium
Total Iron
Total Aluminum
Total Manganese
Total Copper
Total Zinc
Ammonia Nitrogen
Organic N
Nitrate+Nitrite-N
Total Cadmium
V.JJ
93.05
2.72
1.06
0.15
0.52
21.40
0.33
0.10
0.19
2.53
A"191 i
27200
10600
1530
5230
214000
3250
963
7930
16900
178
297
761
1870
25330
<2.00
<2.0
iuu.0
100.0
10.0
100
100
100
100
100
100
100
100
5
5
5
10.0
10.0
2.00
2.0
1 \D
RD
JM
KM
KM
KM
KM
KM
KM
KM
KM
KM
KM
KM
JM
JM
KM
05/06/2015 14:39
05/06/2015 14:39
05/07/2015 09:00
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 14:01
05/07/2015 09:00
05/07/2015 09:00
05/07/2015 09:00
05/07/2015 14:01
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Car 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.
II '
SM-2540G
SM-2540G
S M-4500-N H3C-TKN
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SM4500-NH3C
CALCULATION
SM-450ONO3F
SW 6010C
Debbie Holt

Page: 2 of 2
Report Number: 15-126-0204 R
A&L Eastern]Laboratories, Inc.
Account Number: 46381 7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
www.aleastern.com
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Project: TAYLORSVILLE/NC CERT#257
REPORT OF ANALYSIS
Lab Number: 61790
Sample Id: TAYLORSVILLE
Date Sampled: 5/4/2015 11:30:00
Date Received: 05/06/2015 00:00
Date Reported: 05/12/2015
Total Chromium
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 "1\11-14-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.
Ounrepons 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

SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg: Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L Mq Mq/L)
66.92 1 14873 1 226.13
2.909505
743.65
18,134-,i'i 7
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
(From Mq/I_ entered above)
=SAR;= 0.1H8523 (Fj-orrj IViC_ rntc red 1)E�Iow)
Na ME
Ca (MIS
Mq (ME)
2.9
743.65
18.844
The amour
amount of E
Permitting I

Mineralization
as decimal
ITotal dry
tonsivea
lAcres
Applied on
Rate
TKN
NH-3
NO3
NO2
% Solids
PAN Surface
PANiacre
PAN Injection
-10461711bs total PAN
Dry Tonm/1000 gal.
'
..
&1R(FKN-NH3)+ +.5(NH3)+NO3+ND2 =mg/kg
K8 H3)+1(NH3)+NO3+NO2 =mo/ko
mo/kox.02 =Ibs/dryhm
2000

Analytical Results
Southern Soil Builders
958 foots Road
Roari g River, NC 28669
Rece! a Date: 12/21/2--015
Reported: 01/11/2016
For:
Comments:
Samplg
Number
Parameter
151221123-01
Corrosivity .
151221 123-01
Ignitability
151221
23 01
Reactivity
151221-23-01
TCLP
Respectfully submitted,
hi0;,.-tiv
Dena Byers
NC Cert #440,
NCDW Cert #37755,
EPA # C00909
Sample ID Result Unit Method Analyzed Analyst
Taylorsville
See
SW-846
01/06/2016
PACE
Attached
Taylorsville
See
1010M
01/06/2016
PACE
Attached
Taylorsville
See
SW-846
01/06/2016
PACE
Attached
Taylorsville
See
as Noted
01/06/2016
PACE
Attached
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

Condition of Receipt
Sample Number 151221-23-01 Temp on Arrival: 3
Parameter Schedule: Reactivity
Received on Ice
Parameter Schedule: Corrosivity
Received on Ice
Parameter Schedule: Ignitability
Received on Ice
Parameter Schedule: TCLP
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2

Client:
15
_T
nh
STATESVIELLE ANALYTICAL
122 Court Street - P.O. Box 228
Address:
Statesville, NC 28687
(704) 8724697
Contact Person: Phone#
FAX# 3 3 cv., c.
Chain of
C-astody Re . cord
PO # Requisitioned by: Date)
Customer
Sample 1D#
Lab -ID #
Time Sampled
(Grab Only)
Date Sampled
(Grab On ly)
E2
d
E
o
Matrix
Parameters requested for analysis
Sludgel
w
I WW
(5
U
Z- Z_
If L
FC 0 C 'j-
err I —
Relinquished by:
Time
am, pm) Date
'k
Sampled by:
Received by:
Time
M
a '',P—rn' Date I'
Transported by:
Z
Relinquished by -
Time
am, pm Date
HnIrlinn timnc mn+-
Received by:
Time
am, pm Date
Composite Sampjin�j #11:
Compliance work:
Time begin— am, pm Date
Non-compliahce work:
Time end —am, PM Date
Lab Comments:
,Cornoosite Sampling #2:
Time begin— am, pm Date
Time end —am, pm Date

Analytical
wwwpacetebs.com
ANALYTICAL RESULTS
Project: 151221-23
Pace Project No.: 92280830
1-
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
sample:
151ZZ1-Z3
Parameters
Lab ID: 92280830001
Results Units
Collected: 12/21/15 12:45
Report Limit DF
Received: 12/22/15 10:40 Matrix: Water
Prepared Analyzed CAS No. Qual
8081 GCIS
Pesticides,
TCLP
Analytical Method: EPA 8081
Preparation Method: EPA
3510
Leachate Method/Date: EPA 1311; 12/28/15 14:00
gamma-BHC
(Lindane)
ND ug/L
2.5 5
12/29/15 13:00
01/06/16 14:47
58-89-9
Chlorda
a (Technical)
ND ug/L
15.0 5
12/29/15 13:00
01/06/16 14:47
57-74-9
Endrin
ND ug/L
2.5 5
12/29/15 13:00
01/06/16 14:47
72-20-8
Heptachlor
epoxide
ND ug/L
2.5 5
12/29/15 13:00
01/06/16 14:47
1024-57-3
Methoxychlor
Toxaphene
ND ug/L
5000 5
12/29/15 13:00
01/0611614:47
72-43-5
ND ug/L
15.0 5
12/29/15 13:00
01/06/16 14:47
8001-35-2
Decachldrobiphenyl (S)
0
%
10-138
5
12/29/15 13:00
01/06/16 14:47
2051-24-3
Tetrachlo-o-m-xylene (S)
0
%
10-110
5
12/29/15 13:00
01/06/16 14:47
877-09-8
8082 GCS PCB
Analytical Method: EPA 8082 Preparation Method:
EPA 3510
PCB-101I (Aroclor 1016)
ND
ug/L
5.0
1
12/30/15 12:45
12/31/15 23:48
12674-11-2
PCB-122�11 (Aroclor 1221)
ND
ug/L
5.0
1
12/30/15 12:45
12/31/15 23:48
11104-28-2
PCB-1232 (Aroclor 1232)
PCB-124j (Aroclor 1242)
ND
ND
ug/L
5.0
1
12/30/15 12:45
12/31/15 23:48
11141-16-5
ug/L
5.0
1
12/30/15 12:45
12/31/15 23:48
53469-21-9
PCB-124a (Aroclor 1248)
ND
ug/L
5.0
1
12/30/15 12:45
12/31/15 23:48
12672-29-6
PCB-1254 (Aroclor 1254)
ND
ug/L
5.0
1
12/30/15 12:45
12/31/15 23:48
11097-69-1
PCB-1Z (Aroclor 1260)
SurrogatI es
ND
ug/L
5.0
1
12/30/15 12:45
12/31/15 23:48
11096-82-5
Decachlorobiphenyl (S)
86
%
10-132
1
12/30/15 12:45
12/31/15 23:48
2051-24-3
8151 Chl Qrinate Herbicide TCLP
Analytical Method: EPA 8151 Preparation Method: EPA 3510
2,4-D
ND
mg/L
0.010
1
01/03/16 15:20
01/04/16 22:21
94-75-7
2,4,5-TP Silvex)
ND
mg/L
0.010
1
01/03/16 15:20
01/04/16 22:21
93-72-1
2,4-DCAA (S)
6010 MET ICP, TCLP
Arsenic
Barium
Cadmium
Chromium
Lead
Selenium
Silver
7470 Mercury, TCLP
Mercury
8270 MSS IV TCLP Sep Funnel
1,4-Dichlo robenzene
2,4-Dinitrotoluene
I
D3,S0
D3,S0
69 % 42-142 1
01/03/16 15:20
01/04/16 22:21
19719-28-9
Analytical Method: EPA 6010 Preparation Method: EPA
3010A
Leachate Method/Date: EPA 1311; 12/23/15 13:40
ND mg/L 0.050 1
12/24/1511:50
12/28/1518:49
7440-38-2
0.61 mg/L 0.25 1
1212411511:50
12/28/1518:49
7440-39-3
ND mg/L 0.0050 1
12/24/1511:50
12/28/1518:49
7440-43-9
ND mg/L 0.025 1
12/24/1511:50
12/28/1518:49
7440-47-3
ND mg/L 0.025 1
12/24/1511:50
12/28/1518:49
7439-92-1
ND mg/L 0.10 1
12/24/1511:50
12/28/1518:49
7782-49-2
ND mg/L 0.025 1
12/24/1511:50
12/28/1518:49
7440-22-4
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 12/23/15 13:40
ND mg/L 0.00020 1
12/28/1510:40
12/28/1514:24
7439-97-6
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 12/28/15 14:00
ND ug/L 50.0 1
01/04/16 10:00
01/05/16 09:50
106-46-7
ND ug/L 50.0 1
01/04/16 10:00
01/05/16 09:50
121-14-2 L3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 01 /081/2016 02:08 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 22

Analytical
www.pacelabs.corn
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
151221-23
Pace P
loject No.: 92280830
Sample]
161221-23
Lab ID: 92280830001 Collected: 12/21115 12:45
Received: 12/22/15 10:40 Matrix: Water
Parameters
Results
Units
Report Limit
DF
Prepared
Analyzed
CAS No. Qual
8270 MSSV
TCLP Sep Funnel
Analytical Method:
EPA 8270
Preparation Method:
EPA
3510
Leachate Method/Date: EPA 1311; 12/28/15 14:00
Hexachl
HexachIbrobenzene
ro-1,3-butadiene
ND
ug/L
50.0
1
01/04/16 10:00
01/05/16 09:50
87-68-3
I
ND
ug/L
50.0
1
01/04/16 10:00
01/05/16 09:50
118-74-1
Hexachl
roethane
ND
ug/L
50.0
1
01/04/16 10:00
01/05/16 09:50
67-72-1
2-Methyl henol(o-Cresol)
ND
ug/L
50.0
1
01/04/16 10:00
01/05/16 09:50
95-48-7
3&4-Met
ylphenol(m&p Cresol)
ND
ug/L
50.0
1
01/04/16 10:00
01/05/16 09:50
Nitroben ene
ND
ug/L
50.0
1
01/04/16 10:00
01/05/16 09:50
98-95-3
Pentachlorophenol
ND
ug/L
100
1
01/04/16 10:00
01/05/16 09:50
87-86-5
Pyridine
ND
ug/L
50.0
1
01/04/16 10:00
01/05/16 09:50
110-86-1
2,4,5-Tri hlorophenol
ND
ug/L
50.0
1
01/04/16 10:00
01/05/16 09:50
95-95-4
2,4,6-Trihiorophenol
ND
ug/L
50.0
1
01/04/16 10:00
01/05/16 09:50
88-06-2
Surrogates
Nitrobenfene-d5 (S)
33
%
12-102
1
01/04/16 10:00
01/05/16 09:50
4165-60-0
2-Fluorobiphenyl (S)
35
%
13-107
1
01/04/16 10:00
01/05/16 09:50
321-60-8
Terpheny1-d14 (S)
72
%
21-132
1
01/04/16 10:00
01/05/16 09:50
1718-51-0
Phenol-dl6 (S)
16
%
10-110
1
01/04/16 10:00
01/05/16 09:50
13127-88-3
2-Fluoro'Iphenol (S)
2,4,6-Triiromophenol (S)
18
61
%
%
10-110
1
01/04/16 10:00
01/05/16 09:50
367-12-4
27-108
1
01/04/16 10:00
01/05/16 09:50
118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260 Leachate Method/Date: EPA 1311; 12/28/15
11:34
Benzene
ND
ug/L
5.0
1
01/05/16 14:39
71-43-2
2-Butanone (MEK)
477
ug/L
100
10
01/06/16 12:50
78-93-3
Carbon tetrachloride
Chlorobekzene
ND
ug/L
5.0
1
01/05/16 14:39
56-23-5
Chloroform
ND
ug/L
5.0
1
01/05/16 14:39
108-90-7
1,4-Dichlorobenzene
ND
ug/L
5.0
1
01/05/16 14:39
67-66-3
1,2-Dichlbroethane
ND
ug/L
5.0
1
01105/1614:39
106-46-7
ND
ug/L
5.0
1
01/0511614:39
107-06-2
1,1-DichlQroethene
ND
ug/L
5.0
1
0110511614:39
75-35-4
Tetrachlo�oethene
ND
ug/L
5.0
1
01/05/16 14:39
127-18-4
Trichloroethene
Vinyl chloride
ND
ug/L
5.0
1
01/05/16 14:39
79-01-6
Surrogates
ND
ug/L
5.0
1
01/05/16 14:39
75-01-4
1,2-Dichloroethane-d4 (S)
107
%
70-130
1
01/05/16 14:39
17060-07-0
Toluene-d8 (S)
112
%
67-135
1
01/05/16 14:39
2037-26-5
4-Bromofjuorobenzene (S)
105
%
70-130
1
01/05/16 14:39
460-00-4
1010 Flashpoint,Closed Cup
Analytical Method:
EPA 1010
Flashpoint
>200
deg F
70.0
1
01/04/16 13:35
9040 pH
Analytical Method:
EPA 9040
pH
5.5
Std. Units
0.10
1
12/23/15 12:05
H6
9095 Pai
i 1: Filter Liquid Test
Analytical Method:
EPA 9095
Free Liquids
FAIL
1.0
1
12/24/15 14:05
REPORT OF LABORATORY
ANALYSIS
This report shall not be reproduced, except in full,
Date: 01 /08/2016 02:08 PM
without
the written consent of Pace Analytical Services, Inc..
Page 5 of 22

A
Pace Analytical Services, Inc.
9800 Kinsey Ave. Suite 100
ceAnalytical 078
Huntersville, NC 26078
II
I �
wmvpacelabs,com [phone]
ANALYTICAL RESULTS
Project: 1 151221-23
Pace Project No.: 92280830
Sample:)
151221-23
Parameters
Lab ID: 92280830001 Collected: 12/21/15 12:45
Results Units Report Limit DF
Received: 12/22/15 10:40 Matrix: Water
Prepared Analyzed CAS No. Qual
733C Rel
Cyanide
Analytical Method: SW-846 7.3.3.2
ctive
Cyanide,
Reactive
0.010 mg/L 0.010 1
12/29/15 21:49
734S Reactive
Sulfide
Analytical Method: SW-846 7.3.4.2
Sulfide, RI
eactive
ND mg/L 1.0 1
12/29/15 14:15
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 01/Q8/2016 02:08 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 22

N
r
n
9
N
N
7l
D
]D
N
i]
Lame Stabilization
pit. _ Town 4# orSAIIa WWTP Location. €des%r 2
Date; 3 2-3
nme: v9ob
Iens I PH&IMP-st
/Z. IV �
�A �pr • �. �� F � f'
TimeT Il 6 O
A►ddad 2 hours
lyr
f,L 1. 3 � =/9 124
SOS R&Qulre :
D`iLt; 3 7► f /�
Tin* 0100
Coffooted ph 8um1pe after
/L
r " hours
Z I2— II.gy 14704
12 iAini m rn
- S""t PH taken invrledalgy atler iaw addition,
f"►eodWV taken Ik t Mn apptoved lour sodium des electrode probe. PH Muter was calMbrated to a ply of tQ pdur to aampling.
11 5 FrfintRtum

< d*
OIL
S)
N
V�
ti7 i
D•.
AI
i
l7
Lire Slabiftaton
Prc4ec#: Town of Worsvine WWTP Location: €Merl
z 5 MCI ate- 3 ay r �
;30J Time,.[./i 3 O T#rr�a: (;5 e
Celkorte .A tonp. at.
Added
PH T6 term after
hours
Corfeoted
ph & WT. Triter I
22 hours
Uo-rr iced
�J
/Z,9 0 00 7 �L
j
/ r
�j/S �
r2
%+� .7 os
j
! 2. Y 3
11. 72.-
2,0 ,C
j yH.�
!i S r
Operator:
50 EAgUwem title: MAU1iMum
Start pH is W ImatedtaWy after ime addition.
pH.f r" taken with are Wpmad !ow cod rm gim aWrode probe. pH Mew was cd twated to a pH of 10 prior to sompilPg.
3
115 Wftum

Cv
m
w
v
Lime aStabIlIzation
►ro�aot; Town Of Taylorawne wwtP Locaftn;
n
D
V
V
T7
D
A.
V
V
Lim;
Date; Z 3 i 5' Date: EIZZ�f r �
Time: if y S Tune: v s-
CelHons
gyp. st.
$mart
ormted
�l.irrte
Added
iemp after
2 hoursjRH
Corr d
ph & teV, situ` tt"s�:tidd
22 hours
y, P
/7-.79
2 9"
12 . b Y
rs
/z-•S2-
Z� ��
1z. a
1�.�`r /�°'` A7 f
WOW
Openitor
watiet"l9BRklnw 7£Mwwntrn
Slart pH taken it adlatety attar ime addEtion.
- pH-resciNs taken vAlh on appro ad low mdiurn 91 ws tzlWmde pmbo. pH Mew w" caMbrated to a pH of 10 prior to samplWg.
t 1€ MWmiim

w
cs
Line Stabilltatiot
PrO)6d: , 'Town of_Taylwseift WWTP Loc dlon: Di ester '
W
J
J
H
LO
af
D
J
n
Date: -3 7-3 1&_
Tittle: jv.a o
Date: 3 j'S' r' Date.
Time: !Zd rime, jvoo
Gallons,
tta np. at.
Comwted
-Ume
Added
PR & timp tfer
2 hours
Corrected
pH--
ph & ISMA iwf
22 hours
rrecis�
pH
12,o,
12. -7qT
2aQL
/Z.IV
�(Sa
t2.3
!, 77
�Zj
1 •(
ors mgwremem: tY mini in
Pratt pH taken fromwd ai6i Aw Time arddidw.
pH.readhgs taken with an approad taw sodium gtwe electrode prone. p)4 Mew was c&Mrawd to a pal of 10 prior to wmpiipg.
y
11"7 i

--•-1 — . —_.� " .. L-]Ll." V A!.%-JLvXX rA11.11v1v xtmijul.11ViV rUR1V1 (u'r Rules)
Facility Name: Town of Taylorsville WQ Permit Number: WQ0006906
WWTPI Name: Town of Taylorsville NPDES Number: NCO026271
Monitorl,ng Period: From 1/1/2015 To 12/31/2015
Pathoeen Reduction (15A NCAC 02T -1106) -Please indiontn Laval anhiavrarl 0.,.1
Clas A:
Alt. A (time/temp)
Alt B (Alk Treatment) ®
Alt. C (Prior Testing)El
I
AID (No Prior Test) 13
Process to Further Reduce Pathogengs F-I
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost l�
Heat Drying ElHeat
Treatment ElThermophilic
ElBeta
Ra�, Ej
Gamma Ray ®
Pasteurization
Clas§ B:
Alt. (1) Fecal Density ®
I Alt. (2) Process to Significantly Reduce Pathogens RJ
If applic ble to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization 21 Air Drying ® composting ® Aerobic Digestion 0
Anaer ob c Digestion soon
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter Allowable Level Pathogen Density Number o
Frequency Sample a ytica
in Sludge Minim Geo. Mean axim Excee- Units
of Analysis Type Tech-
Ce
2 x 10 to the
MPN
6th power
Fecal Coliform
per gram of
total solids
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonell
bacteria
3 MPN per 4 grams
(in lieu o�fecal
total solid (dry
colifo,
m
wei ht
v■ rI�Lti aLuvii INUUMA,uu k1Z3ti l'M lrLil. uz. 1 .11u riease maicate alternative performed:
Th.I (VS eduction) ® Alt. 2 (40-day bench) [I Alt. 3 (30-day bench) ® Alt. 4 (Spec. 02 uptake) 1l
klt. 5 (14{bay Aerobic) ® Alt. 6 (Alk. Stabilization 21 Alt 7 (Drying - Stable) ® I Alt. 8 (Drying - Unstable) Ej
k1t. 9 (Inj ction) [j Alt. 10 (Incorporation) ® No vector attraction reduction alternatives were performed El
rERTIF CATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
j requirements.)
"This de
designed
that the
significai
ermination has been made under my direction and supervision in accordance with the system
to ensure that qualified personnel properly gather and evaluate the information used to determine
athogen and vector attraction reduction requirements have been met. I am aware that there are
t penalties for false certification including fine and imprisonment."
S, 0EC
Preparer Name and Title (type or print)
7- z8-(,(-
Dennis Key Southern Soil Builders, Inc.
Land Applier Name and Title (if applicable)(type or print)
Signature �of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
I
i
j DENR FORM PVRF 02T (12/2006)

Page 1 of 1 ,
Report Number: 15-357-0687
Account Number: 46381 ry ``i= � 7621 V4hitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
_ __ SendTo: _SOUTHERN_ S_OIL_B_UILDERS _ _ _ _ _ ANALYTICAL www.waypointanalytical.com
DENNIS KEY 'Every acre... Every year."n, Grower: SOUTHERN SOIL BUILDERS
958 HOOTS ROAD
ROARING RIVER NC 28669
SOIL ANALYSIS REPORT Analytical Method(s):
Mehlich 3
Date Received: 12/23/2015 Date Of Analysis: 12/28/2015 Date Of Report: 01/04/2016
Om
WN
ENR
Phosphorus
Potassium
Magnesium
Calcium
Sodium
pH
Acidity
C.E.0
Sample ID
Lab
o
Field ID
Number
�o
Soil
Ibs/A
Mehlich 3
Reserve
K
Mg
Ca
Na
Soil
Buffer
H
Rate
Class
m Rate pp
ppm Rate
ppm Rate
ppm Rate
ppm
Rate
ppm
Rate
pH
Index
meq/100g
meq/100g
08-01
25446
8.0
150
448 VH
83 L
138 L
2560
VH
5
VL
6.9
0.2
14.4
VH
I MIN
NC = 373
NC = 42
08-04
25447
11.2HMO
150
320 VH
186 H
115 L
3164
VH
8
VL
7 2
0.0
18.0
VH
NC = 267
NC = 95
CHI
25448
4.5
131
18 L
L
192 H
M
5
VL
rNC
[862
6.6
0.4
6.6
M
MIN
NC = 15
= 45
PH1
25449
4.5
132
101 VH
69 L
130 H
741
M
5
VL
MH
NC = 84
NC = 35
6.2
0.7
5.7
Percent Base Saturation
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper
Boron
soluble Salts
Chloride
Aluminum
Sample ID
Field ID
K
Mg
Ca
Na
H
NO3N
S
Zn
Mn
Fe
Cu
B
SS
Cl
AI
%
%
%
%
%
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm
Rate
ppm Rate
ppm
Rate
ms/cm Rate
ppm Rate
ppm
08-01
23 M
17.6 VH
17 M
225
VH
8.5 VH
0.9
M
1.5
8.0
88.9
0.2
1.4
NC=48
NC=440.0
1 NC=106
NC=425.0
08-04
H
2O.3 VH
21 H
135
VH
10.5 VH
1.3
H
2.6
9.0
87.9
0.2
0.0
�27
NC=56
NC=507.5
NC31
NC=525.0
CHI
4 VL
H
9 L
121
VH
1.0 M
0.4
L
3.4
24.2
65.3
0.3
6.1
�4.0
NC=8
NC=100.0
NC=56
NC=50
PH1
L
H
M
VH
6.8 VH
0.4
L
3.1
19.0
65.0
0.4
12.3
�15 16.9
�20 182
NC=31
NC=172.5
NC=125
NC=340.0
values on ims report represent me plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. �
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppby- `m x 2 = Ibs/A, Soluble
C.E.C. - Cation Exchange Capacity. Salts ms/em x 640 = ppm. Analysis prepared by: Waypoint Analytical Virginia, Inc.
Pauric McGroary

,'V
Lime Stabifization
Project: _.._ �01A n 0 ia-Y OIisY!I—IeW ffP Location; Digester
Date: /oZ Date; /A�ze��at°��'�. .
-�xa9�oa�s —Of ee np. Alt. Corrected pH & IeMP after Correoted ph & tempd miter Corrected
start___ pH _Addend 2 hours _ 1 ' 22 hovers _._. .�.
Notes:
603 Requlrement5: 12 inlu mm
Start pH taken Immediately alter limo addition,
• pH, readings taken with an approved low sodium glass ralootrode probe, pH Meter was callibrated to �t pH of 10 prior to sampling.
116 Minllnum

Lime Stabilization
WWTP
Location;
Digester 2'
Oahe:
D a le«.
if
Time:
o � 7 �
Time: /0 3
Time:
ilions _p temp. at. C6irrected pH & temp after Corrected ph & temp. dfft& corrected
star!___ . _ pH _Add _ 2 hours H M 22 hours �H
a,�� iz.7 r/z.s�� .L%s"a0C iz.�a Z� /z.ss AV
_......w....n �__ ....._. ..._.:... �. ,�..�.
Notes:
503 Hequirements: 12 Minknum 119 MInIMmin
:tart pi -I taken Immediately after lime addition,
• pH. readings taken with an approved low codiurn glass elootrode probe, pH Motor was callibrated to a 01 o►10 prior to awnpling.
h
_ ._S�_Y -_.-.-_...._......�........_._._.

40
Lime Stabilization
Project... 'Town of. aVIRLSY!—IIeMTP— Location. Digesler3
Date: D
ate Date:
�Ila�n .� � ►oa�p. �t. �sairr� tt"d *I c �e�� after
parr et~a� ply terra�,n a��Q r orrec e1r
Mart Added hours _pH 22 hours k�
r Zlruo �a,� �z� � � �v _ f 2- 3M // 9ql
Mos..
Operator:
bus mquirements: 17. iminirnwn 115 MINIM
St6rt pH taken Immediately after lime addition,
• pH.readings taken with an approved low codiurn glass elootrodo probe, pH Motor was calllbrated to a pl•i of 10 prior to sampling.

., /
Lome Stabilization
Project: Town of'TayIMSYaiie WWTP i o". Lion: Digester ----__
Date; /_o/z� i s� Date; M %) z7_77?' Date:
Time: Iv 6a 111ne: /u)o Time, G�
Wiens
FAH & *Mp. st
Corie6,ted
Lhne
PH & tamp after
Corrected
ph Memp. after
Comnted
start
Added
2 hour
H
22 hours
8o,aav
12,3
/Z,6-2 -
4106 �,S
h,'Y2 I Zo
1Z.3`'),
!/. 86 220
Notes;
tins Maquiremants: 12 Miniminn 11.5 Minimum
Start pH taken immediately after lime addition.
plq readings taken with an approved low sodium glass electrode probe. pH Motor was callibrated to a pl-I of W prior to Sampling.

Fi=-
AL
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald van der Vaart
Governor Secretary
April 1, 2015
Mr. David Robinette, Public Works Director
67 Main Avenue Drive
Taylorsville, North Carolina 28681
Subject: Acknowledgement of Receipt of the 2014 Annual Report
Towh of Taylorsville -Permit No.: WQ0006906-
Land Application of Residuals
Alexander County
Dear Mr. Robinette:
The Mooresville Regional Office received and reviewed the 2014 Annual Report for the above
permit. Records submitted appeared to meet permit requirements.
A permit modification application was submitted for the addition of new fields and that process is
nearing completion. I may be reached by phone at [phone] or email
(maria.schutteCcD-ncdenr.gov) should you have questions regarding the existing permit or the
modification.
1��j - "'Sul
Maria Schutte, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
CC: - Brian Eades, Wastewater Plant Operator (email)
Dennis Key c/o Zach Key, Southern Soil Builders (email)
Ed Hardee, LAU Compliance, CO -Raleigh (email)
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28155
Phone: [phone] Fax: Jor-663-6040 / Customer Service 1-877-623-6748
Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

:P
D 1 v i s � 01 N, G F vvli V iz- FR Q U 111 ITY'
FEB I G 2015
IQ 0 P, E --- Vi 1- L, E F', E. C, i�Ov .A{.. 0 F F I C; E
FEB i 2015
Rp
IOINFORMATIOWROCESSING UNIT
Town of
Taylorsville
Town of Taylorsville, NC
2014 Annual Report
Land Application Program
Permit No. WQ0006906

Permit#: WQ0006906 County:
acility Name (as shown on permit):
PLand Application Operator:
Land application of residuals as allowed by the permit occurred dur
Yes ® No - If No, skip Part A, and Part B and proceed to]
generated but not land applied, please attach an explanation on how
Southern Soil
Total number of
Total number of fields utilized for land application
Total amount of dry tons applied during the year for all
Total number of acres utilizes for land application
Town of
Inc.
Year: 2014
Phone: [phone]
g the past calendar year?
C. Also, If residuals were RECEIVED
DIVISION OF INATFIR QUALI-
residuals were handled.
FEB 16 2015
in the permit:
.ring the year:
lication sites:
ring the year:
MO TZESVILLE REGUN aL OF
149.65
30.8
Part B - Annual Comniance Statement:
Facility was compliant during calendar year 2014 withlallconditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. VYes ® No
If no please, provide a written description why the facility was not coipliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted Isites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals! during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Pat 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
i
8) All monitoring and reporting requirements in 15A NCAC 02T. I 111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
i
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
;and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
w
la�l�vrs v� �l j . �• w lJ
Permittee Name and Title (type or print) Signaft re of Permittee Date
Signature of Preparer* Date Si attire of LarIFAppller Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T. 1102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B `
WQ Permit Number: WQ0006906
Facility Name: Town of Taylorsville
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Analvcic Data
NCO026271
Taylorsville WWTP
Laboratory:
1)
2)
3)
4)
5)
A&L Eastern Laboratories, Inc.
Parameter
(mg/kg)
Conc.
Limit
(mg/kg)'
Sample or Composite Date
6-10-14
Percent Solids (%)
NA
6.74
Arsenic
75
3
Cadmium
85
2
Copper
4,300
363
Chromium
NA
39
Lead
840
24
Mercury
57
0.5
Molybdenum
75—
5--
---
-
--
-
— -- —
—
--- -
Nickel
420
21
Selenium
100
5
Zinc
7,500
1240
Total Phosphorus
NA
15100
TKN
NA
38700
Ammonia -Nitrogen
NA
4750
Nitrate and Nitrite
a Fnr enrf— A;o,,-1 F ..141*—.
NA
+7..,...,.:7:__
46
_
-_-____ ___ ______a _ .. ..u,...... ,.,�u., �.��.., .0 u,l, IV1111 aac 11vL appncaoie. icererence me malvlctual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under 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 'tting false mfor tion, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer *
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)

Attach this form to the corresponding Field Loading Summary)
P
Name: Town of Taylorsville Tc
#: WQ0006906 Cation Exchange
ator: Owen Isenhour Owner: Owen Icenhou
Acres Used: 20.7 Acres Permitted: 20.7 S
Residual Analvsis Data (Heave Metals and Tntal Phncnhnrnc ••eP
Form to be submitted in Annual Report
4al Dry Tons Applied (Annual): 138.69
rapacity (non 503 only):
Predominant Soil Series: CeB2
ite #: NC -AL -08-01 Field #: NC-AL-08-01
mn/L-tr o/ C''nRAo »00 -D- .
Com-
posite
Date•
• .
'••
��
• •
uai ilea r,' lrlcial 1' IGIU LUUUIHV,J 1 %-iUCUIa LCU in ios/acre n
DT/Ac./
App.
Event
6.70
-
IF
c
�
y
Arsenic
0.040
0.000
0.000
0.000
0.000
0.000
0.000
0I.000
1 0.000
0.000
0.000
0.000
0.040
Cadmium
0.027
0.000
0.000
0.000
0.000
0.000
0.000
0000
0.000
0.000
0.000
0.000
0.027
Copper
4.864
0.000
0.000
0.000
0.000
0.000
0.000
0000
0.000
0.000
0.000
0.000
4.864
Clifomium
0.523
0.000
0.000
0.000
0.000
0.000
0.000
01000
0.000
0.000
0.000
0.000
0.523
Lead
0.322
0.000
0.000
0.000
0.000
0.000
0.000
01000
0.000
0.000
0.000
0.000
0.322
Mercury
0.007
0.000
0.000
0.000
0.000
0.000
0.000
0i000
0.000
0.000
0.000
0.000
0.007
Molyb-
denum
0.067
0.000
0.000
0.000
0.000
0.000
0.000
0000
0.000
0.000
0.000
0.000
0.067
Nickel
0.281
0.000
0.000
0.000
0.000
0.000
0.000
0000
0.000
0.000
0.000
0.000
0.281
Selenium
0.067
0.000
0.000
0.000
0.000
0.000
0.000
0?000
0.000 1
0.000
0.000
0.000
0.067
Zinc
16.616
0.000
0.000
0.000
0.000
0.000
0.000
0!000
0.000
0.000
0.000
0.000
16.616
Total
Phos- 202.340 0.000 0.000 0.000 0.000 0.000 0.000 0 000 0.000 0.000 0.000 0.000 202.340
phorus
"I certify, under penalty of law, that this document was prepared under) 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 infor�ation, including the possibility of fines and
imprisonment for knowing violations".
Signature of Lan Applier Date
DENR FORM MFLSF (12/2006)

Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Ili
ty Name: Town of Taylorsville Total Dry Tons Applied (Annual): 10.96
ermit #: WQ0006906 Cation Exchange Capacity (non :503 only):
Operator: Owen Icenhour Owner: Owen Icenho�r Predominant Soil Series: CeB2
Acres Used: 10.1 Acres Permitted: 10.1 ' ite #: NC-AL-08-04 Field #: NC-AL-08-04
Residual Analvsis Data (Heave Metals and Tntal of
Com-
posite
!Date
--- ----
--. _., ­� ..,... � U".....ga
k%-alumatcu in i"N/acre):
Total
1213
1
LLF51
1617
11 81
1 9 1
1101Ill
1
12
DT/Ac./
c
App.
Event
1.09
Arsenic
0.007
0.000
0.000
0.000
0.000
0.000
0.000
0000
0.000
1 0.000
0.000
0.000
0.007
Cadmium
0.004
0.000
0.000
0.000
0.000
0.000
0.000
017000
0.000
0.000
0.000
0.000
0.004
Copper
0.788
0.000
0.000
0.000
0.000
0.000
0.000
0i000
0.000
0.000
0.000
0.000
0.788
C12i.01niUM
0.085
0.000
0.000-1
0.000
0.000
0.000
0.000
O 000
0.000
0.000
0.000
0.000
0.085
Lead
0.052
0.000
0.000
0.000
0.000
0.000
0.000
01000
0.000
0.000
0.000
0.000
0.052
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0000
0.000
0.000
0.000
0.000
0.001
Molyb-
denum
0.011
0.000
0.000
0.000
0.000
0.000
0.000
01000
0.000
0.000
0.000
0.000
0.011
Mickel
0.046
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.046
Selenium
0.011
0.000
0.000
0.000
0.000
0.000
0.000
01000
0.000
0.000
0.000
0.000
0.011
Zinc 2.691 0.000 0.000 0.000 0.000 0.000 0.000 0000 0.000 0.000 0.000 0.000 2.691
Total
Phos- 32.767 0.000 0.000 0.000 0.000 0.000 0.000 0000 0.000 0.000 .0.000 0.000 32.767
horus
"I certify, under penalty of law, that this document was prepared under) my direction or supervision in accordance
with a system designed to assure that qualified personnel red
properly gathc 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".
Signature of Land pplier
Date
DENR FORM MFLSF (12/2006)

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 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 Capacity Exchange Ca g p ty (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN:
Volume applied Volume Soil
C. PP Residual Sources Precip. Y o Z Nitrate Name of CropType
° (enter one) Solids/ % Applied per Cond. b P ,� 7y � PAN Applied
° PP P (NPDES #, WQ#, Past 24 �» w �, w TKN o and ReceivingResidual
C. Liquid Solids Acre (Dry, 5 F' o a p= 00 o (lbs/acre)
Fert. Animal Hrs. o �' cD
Q Waste, etc Wet,
a, o � � * �' � R. Nitrite Application
Cu. Yds Gallons (Dry Tons/Ac) ) Moist) inches �3 0 mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2
6-2014 325000 6.74 4.413 WQ0006906 dry 0 s 0.5 0.3 15100 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 - - --- - fl:000----0:000 - --
_.. ..
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
rOTALS-1 01 494000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 74.130 0.000 Lime Applied
- ..
annual lbs/acre 0.040 - ----0:027----4.8b4- 0.-523-----0322--- --0:007- --0:067-- - 0:281 _- _ 0:U67 - 16:616- s/ac
202.340- "- - -- -- - - - --Date ---lb
'rior Years Cumulative lbs/ac 0.206 0.139 24.464 0.745 2.083 0.161 0.26 2.404 0.269 46.624
�urrent Cumulative lbs/ac 0.246 0.166 29.328 1.268 2.405 0.168 0.327 2.685 0.336 63-240
'ermitted C. P. L. R.**** 36 34 1338 NA 267 15 1 NA 374 89 2498
?ermit PAN Limit 1 st/2nd Crop 216
`I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** MineralizationatC-0.1, digested -0.2 Signature of Land Applier Date on es: Compost anaerobiall y
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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
Land Owner: Owen Icenhour
Operator: Owen Icenhour
Crop 1 Name: Fescue
WQ Permit #: W00006906 Field #: 08 04
Annual Dry Tons Applied: 10.9613 Site #: 08 04
Predominant Soil Series: CeB2
Crop 1 Max. PAN: 216 Crop 2 Name:
Acres Utilized: 10.1
Acres Permitted: 10.1
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Volume applied
Volume
Residual Sources
Soil
Precip.
y
C
o
z
Nitrate
Name of Crop Type
(enter one) Solids/
%
Applied per
PP P
(NPDES #, WQ#,
Cond.
Past 24
cc
Py w
�, =
w
TKN
o
and
PAN Applied
ReceivingResidual
Q
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
E
*
==
w
ac o
2 �.
Nitrite
(lbs/acre)
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste etc )
Wet,
Moist)
inches
*
o
o
0
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
11-2014
39000
6.74
1.085
WQ0006906
dry
0
s
0.5
0.3
15100
4750
1 46
11.994
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.600
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
--0.0.00..-- -
-
-
--
---
- -
-
----
-
--
Residuals Applications totals on FORM
FSF supp (attach FORM
FSF supp to this form):
r0TALS:1
01 390001
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P 11.9941 0.000
Lime Applied
4nnuallbs/acre
0.007
0.206
0.213 1
36
0.004
0.139
0.143
34
0.788
24.464
25.252 1
1338
0.085
0.745
0.830
NA
0.052
2.083
2.135
267
0.001
0.161
0.162
15
0.011
0.26
0.271
NA
0.046
2.404
2.450
374
0.011
0.269
0 280
89 1
2.691
46.624
49 �15
2498
32.767
Date lbs/ac
?rior Years Cumulative lbs/ac
�urrent Cumulative lbs/ac 1
?ermitted C. P. L. R.****
ermit PAN Limit 1st/2nd Crop
216
I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
I_),
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

Page: 1 of 2 _
Report Number: 14-164-0205 y A&L Eastern Laboratories Inc.
Account Number: 46381L
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
Submitted By: ZACH KEY
www.aleastern.com
Send To: SOUTHERN SOIL BUILDERS Project: TAYLORSVILLE
DENNIS KEY NC CERT # 257
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 55902 REPORT OF ANALYSIS Date Sampled: 6/10/2014 14:30:00
Date Received: 06/13/2014 00:00
Sample Id : TAYLORSVILLE Date Reported: 06/19/M14
"-•
V 1 - V V
I UU.0
im
06/13/2014 14:44
SM-2540G
Moisture "
93.26
100.0
JM
06/13/2014 14:44
SM-2540G
Total Kjeldahl Nitrogen
3.87
38700
10.0
JM
06/16/2014 09:04
SM-4500-NH3C-TKN
Total Phosphorus
1.51
15100
100
KM
06/16/2014 14:53
SW 6010C
Total Potassium
0.16
1600
100
KM
06/16/2014 14:53
SW 6010C
Total Sulfur
0.66
6570
100
KM
06/16/2014 14:53
SW 6010C
Total Calcium
13.40
134000
100
KM
06/16/2014 14:53
SW 6010C
—Total-Magnesium ---
-0.34
3380
T00
KM
06/16/2014 14.53
SW 6010C
Total Sodium
0.10
986
100
KM
06/16/2014 14:53
SW 6010C
Total Iron
12000
100
KM
06/16/2014 14:53
SW 6010C
Total Aluminum
13400
100
KM
06/16/2014 14:53
SW 6010C
Total Manganese
240
5
KM
OF/16!2014 14:53
SIY' 6010C
Total Copper
363
5
KM
06/16/2014 14:53
SW 6010C
Total Zinc
1240
5
KM
06/16/2014 14:53
SW 6010C
Ammonia Nitrogen
0.48
4750
10.0
JM
06/16/2014 09:04
SM-4500-NI3C
Organic N
3.39
33950
10.0
06/16/2014 09:04
CALCULATION
Nitrate+ N itrite-N
46.0
2.00
JM
06/16/2014 09:05
SM-450ONO3F
Total Cadmium
2.0
2.0
KM
06/16/2014 14:53
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.
Currepoifs and letters are for the exclusive and confidential use of our clients, and may not be reproducecl in whole or part, nor, pray any reference be made 9�/Wmm
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

Page: 2 of 2 r _.
Report Number: 14-164-0205
Account Number: 46381
Submitted By: - ZACH KEY
www.aleastem.com
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
A&L Eastern Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
Project: TAYLORSVILLE
NC CERT # 257
REPORT OF ANALYSIS Date Sampled: 6/10/201414:30:00
Lab Number: 55902 Date Received: 06/13/2014 00:00
Sample Id: TAYLORSVILLE Date Reported: 06/19/2014
' -1 V", """""'
Ju
5
KM
06/16/2014 14:53
SW 6010C
Total Nickel
21
5
KM
06/16/2014 14:53
SW 6010C
Total Lead
24
5
KM
06/16/2014 14:53
SW 6010C
Total Arsenic
3.0
3.0
KM
06/16/2014 14:53
SW 6010C
Total Mercury
0.5
0.4
KM
06/16/2014 09:00
SW-7471 B
Total Selenium
5.0
5.0
KM
06/16/2014 14:53
_
SW 6010C
pH (Standard Units) "
11.45
2.00
JM
06/16/2014 09:00
SW-9045D
--Total-Molybdenum---
— <5
KM---
667f6/2014 14:53
SW 6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE MSD WAS OUT OF LIMITS FOR "NO3/NO2-N".THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Cr" AND "Ni". 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.
Our,reooas and!etters 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 Me work. the results, or the company in any advertising. news release, or other public announcements without obtaining cur pr for written authorization.
Debbie Holt

PAN
Mineralization
as decimal
ITotal dry
tons/year
IAcres
App ied on
Rate
0.3
TKN
38700
NI-H3
4750
NO3
46
NO2
0
% Solids
0.0674
150
0
PAN Surface
12606 mg/kg
25.212 Ibsldr+7 ton
3781.8
Ibs total PAN
t-IDIVIOI
jibs PAN/acre
PAN Injection
1498,11 mglkg
29.982 lbs/drj ton
4494F
Ibs total PAN
#DIVIOI jibs
PAN/acre
Dry Tons/1000 gal.
0.281068
1st year PAN
Surface lbs.
3781.8
1st year PAN
Injected lbs.
4494.3
lbs./acre
Surface
#D I V/0!
lbs./acre
Injected
#D!V/01
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + l(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
1000 X 8.34 X %solids X sp. gravity
2000
"=dry tons/1000gal."

F
SAR
IF Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equ
CAR = 0.188353 (From Mg/L entered ab
SAR= 0.'187759 (
Na ME
Ca ME
451.58
MgLME1
2.88
18.98
Na M /L . Ca M /L MaLM-911
66.45 9031.E 1 227.812
Na ME
Cca ME
Mg (MEA
2.88913
451.58
18. D8433
+ Mg Milli equivalent)]0.5 power
ME entered below)
The amour
amount of E
Permitting I

Description: 140610-31
Matrix: Sludge
Project: Waste Characterization
TCLP Volatile Organics by GCMS
^ - ENCO Orlando certified analyte [NC 424J
Analyte I'CAS Numbed
Results
1,1-Dichloroethene [75-35-4]A
< 0.09
1,2-Dichloroethane [107-06-2]A
< 0.06
2-Butanone [78-93-3]A
< 0.4
Benzene [71-43-2]A
< 0.07
Carbon Tetrachloride [56-23-5]A
< 0.09
Chlorobenzene [108-90-7]A
< 0.07
Chloroform [67-66-3]A
< 0.08
Tetra chloroethene [127-18-4]A
< 0.08
Trichloroethene [79-01-6]A
< 0.09
Vinyl chloride [75-01-4]A
< 0.07
Surrogates_
Resu/ts
4-Bromofluorobenzene
0.050
Dibromofluoiomethane
0,045
Toluene-&
0.048
TCLP Semivolatile Organics by GCMS
^ - ENCO Or/ando certified analyte [NC 424]
Anahtte rC/1S Number]
Results
1,4-Dichlorobenzene [106-46-7]A
< 0.02
2,4,5-Trichlorophenol [95-95-4]A
< 0.02
2,4,6-Trichlorophenol [88-06-2]A
< 0.03
2,4-Dinitrotoluene [121-14-2]A
< 0.02
2-Methylphenol[95-48-7]A
< 0.02
3 & 4-Methylphenol
0.16
[108-39-4/106-44-5]A
Hexachlorobenzene [118-74-1]A
< 0.02
Hexachlorobutadiene [87-68-3]A
< 0.02
Hexachloroethane [67-72-1]A
< 0.02
Nitrobenzene [98-95-3]A
< 0.02
Pentachiorophenol[87-86-5]A
< 0.04
Pyridine [110-86-1]A
< 0.02
ANALYTICAL RESULTS
Lab Sample ID: C407555-01
Sampled: 06/ 10/14 14:05
Sampled By: Client
Flaa Units DF MDL Pp( t Batch Method
D mg/L 100 0.09 0.1 4F25019 EPA 8260E
D mg/L 100 0.06 0.1 4F25019 EPA 8260E
D mg/L 100 0.4 0.5 4F25019 EPA 6260B
D mg/L 100 0.07 0.1 41725019 EPA 8260B
D mg/L 100 0.09 0.1 41`25019 EPA 8260E
D mg/L 100 0.07 0.1 41`25019 EPA 8260E
D mg/L 100 0.08 0.1 4F25019 EPA 82608
D mg/L 100 0.08 0.1 4F25019 EPA 8260E
D mg/L 100 0.09 0.1 41`25019 EPA 8260E
D mg/L 100 0.07 0.1 4F25019 EPA 8260B
DF / e L %o Re Rec ! i h et o
1 0.0500 100910 41-142 4F25019 EPA 82608
1 0.0500 9090 53-146 4F25019 EPA 82608
1 0. 5500 95 % 41-146 4F25019 EPA 8260B
Fa
Surrogates
e u
DF
2,4,6-Tribromophenol
0.19
1
2-Fluoroblphenyl
011
1
2-Fluorophenol
0.067
1
Nitrobenzene-d5
0.11
i
Pheno/-d5
0,044
1
Terphenyl-d14
0.22
1
units
DF
MAD
pOL
Bat cft
Method
mg/L
1
0.02
0.10
4F19017
EPA 8270D
mg/L
1
0.02
0.10
4F19017
EPA 8270D
mg/L
1
0.03
0.10
4F19017
EPA 8270D
mg/L
1
0.02
0.10
41`19017
EPA 8270D
mg/L
1
0.02
0.10
4F19017
EPA 8270D
mg/L
1
0.04
0.10
4F19017
EPA 8270D
mg/L
1
0.02
0.10
4F19017
EPA 8270D
mg/L
1
0.02
0.10
4F19017
EPA 8270D
mg/L
1
0.02
0.10
4F19017
EPA 8270D
mg/L
1
0.02
0.10
4F19017
EPA 8270D
mg/L
1
0.04
0.10
41`19017
EPA 8270D
mg/L
1
0.02
0.10
41`19017
EPA 8270D
°o Re
% Rec Lin{
Ba
metb
78 %
47-128
4F19017
EPA 9270D
43 %
44-102
4Fi9017
EPA 8270D
27 %
25-79
4F19017
EPA 8270D
44 %
43-112
4F19017
EPA 8270D
18 %
14-54
4F19017
EPA 8270D
89 %
65-122
4F19017
EPA 8270D
i w.encolabs.com
Received: 06/11/14 13:30
Work Order: C407555
% Solids: 6.80
n ed
06/25/14 18:55
06/25/14 18:55
06/25/14 18:55
06/25/14 18:55
06/25/14 18:55
06/25/14 18:55
06/25/14 18:55
06/25/14 18:55
06/25/14 18:55
06/25/14 18:55
n /z
0612511418:55
0612511418:55
0612511418:55
nal e
06/20/14' 23:03
06/20/14 23:03
06/20/14 23:03
06/20/14. 23:03
06/20/14! 23:03
06/20/14! 23:03
06/20/14123:03
06/20/14123:03
06/20/14123:03
06/20/14123:03
06/20/14 23:03
06/20/14 23:03
a/ e
06120/i4 23:03
06120114 Z3:03
06120114 23:03
06120114 23:03
06120114 4?3.,03
06/20/14 23:03
BY Notes
]AJ
JAI
JAI
JAI
JAI
JAI
JAI
JAI
]AI
JAI
BY Notes
JAJ
JAJ
JAJ
By Notes
jr,
in
in
in
in
in
j0
jri
jr,
in
jr,
in
BY Notes
jfi
jfl QM-14,
QS-03
jfi
Jfl
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full.
Page 4 of 21

1t:14R t � �• �eS � y a ��ipv ��
Description: 140610-31
Matrix: Sludge
Project: Waste Characterization
TCLP
Pesticides by GC
,�
^ - L-Wo Orlando certified analyte [NC 424]
_Analvte rCAS Numberl
Chlordane (tech) [12789-03-6]A
Endrin [72-20-8]A
gamma-BHC [58-89-9]A
Heptachlor[76-44-8]A
Heptachlor epoxide [1024-57-3]A
Methoxychlor [72-43-5]A
Toxaphene[8001-35-2]A
Surrogates
2,4,5,E-TCMX
Decachlorobiphenyl
YCLP Herbicides by GC
^ ENCO Orlando certified analyte [NC 424]
YTICAL RESULTS
Lab Sample ID: C407555-01
Sampled: 06/10/14 14:05
Sampled By: Client
Received: 06/11/14 13:30
Work Order: C407555
% Solids: 6.80
esults
Flag
Units
DF
MQL FQ
Batch
Method
Analyzed
Ay Notes
< 0.00032
mg/L
1
0.00032 0.00050
41`17026
EPA 8081B
06/23/14 14:16
RC
<
mg/L
1
0.0000140.000050
4F17026
EPA 8081B
06/23/14 14:16
RC
0.000014
<
mg/L
1
0.000020 0.000050
4F17026
EPA 8081B
06/23/14 14:16
RC
0.000020
<
mg/L
1
0.000018 0.000050
4F17026
EPA 8081B
06/23/14 14:16
RC
0.000018
<
mg/L
1
0.000018 0.000050
4F17026
EPA 8081E
06/23/14 14:16
RC
0.000018
<
mg/L
1
0.000020 0.000050
41`17026
EPA 8081E
06/23/14 14:16
RC
0.000020
< 0.00048
mg/L
1
0.00048 0.00050
4F17026
EPA 80818
06/23/14 14:16
RC
Resu is
PF
i e v/
oo Re
% Rec Limits
Sa
Method
Ana a
By Notes
0.0032
1
00500
65 %
38-142
4Fi7026
EPA 8081B
0612311414:16
RC
0.0044
1
00500
89 %
34-159
4F17026
EPA 8081B
06123114 14:16
RC
Analvte rCAS Numberl Results Flag
2,4,5-TP (Silvex) [93-72-1]A < 0.0002
2,4-D [94-75-7]A < 0.0003
Surrogates Resu/ts DF
2, 4-DCAA 0,0071 1
TCLP Metals by 6000/7000 Series Methods
I=:
^ - ENCO Orlando certified analyte [NC 4247
Analvte rCAS Numberl Results Flan
Mercury [7439-97-6]A < 0.0002
Classical Chemistry Parameters
- ENCO Orlando certified analyte [NC 9241
Analyte rCAS Numberl Results I�iq
Cyanide (total) [57-12-5]A 1.6
pH [ECL-0062]A 12
TCLP Metals by 6000/7000 Series Methods
^ - ENCO Jacksonw1le certified analyte [NC 442]
Analvte rCA5 Numberl Results Flan
Arsenic[7440-38-2]A < 0.178
Barium [7440-39-3]A 0.106 J
Cadmium [7440-43-9]A < 0.00425
Chromium [7440-47-3]A < 0.0325
Lead [7439-92-1]A < 0.0550
Selenium [7782-49-2]A < 0.165
Silver [7440-22-4]A < 0.0300
nits
DF
MDL P12L
Batch
Method
Analyzed
By Notes
mg/L
1
0.0002 0.0005
4F24025
EPA 8151A
06/27/14 21:10
RC
mg/L
1
0.0003 0.0005
4F24025
EPA 8151A
06/27/14 21:10
RC
ke Lv/
eo Re
9ro Rec L bw
flatcl)
et
Ana/ ed
By Notes
0100
71 %
68-139
4F24025
EPA 8151A
06127114 21:10
RC
nits
DF
MDL
ELL
Ratch
MethodAnalyzed
f Notes
mg/L
1
0.0002
0.002
4F16007
EPA 7470A
06/20/14 10:09
IR
>L
DF
M4
ASS
Batch.
Method
AnalyzedBy
Notes
1/kg dry
1
1.4
1.5
4F18012
EPA 9014
06/19/14 14:20
MMM
i Units
1
1.0
1.0
4F23017
EPA 9045D
06/24/14 21:30
MMM q
Inits
DE
MDL
MI
Batch
Method
Analyzed
Ay Notes
mg/L
1
0.178
0.250
41`20003
EPA
6010C
06/23/14
13:50
ACV
mg/L
1
0.0158
0.250
4F20003
EPA
6010C
06/23/14
13:50
ACV
mg/L
1
0.00425
0.0250
41`20003
EPA
6010C
06/23/14
13:50
ACV
mg/L
1
0.0325
0.250
4F2000:3
EPA
6010C
06/23/14
13:50
ACV
mg/L
1
0.0550
0.500
4F20003
EPA
6010C
06/23/14
13:50
ACV
mg/L
1
0.165
1.00
41`20003
EPA
6010C
06/23/14
13:50
ACV
mg/L
1
0.0300
0.250
4F20003
EPA
6010C
06/23/14
13:50
ACV
FINAL This report relates only to the sampl� as received by the laboratory, and may only be reproduced in full. Page 5 of 21

Description: 140610-31
Matrix. Sludge
Project: Waste Characterization
Classical Chemistry Parameters
Analvte rCAS Numberl
Flashpoint [ECL-0063]
ANALYTICAL RESUL
Lab Sample ID:
Sampled:
Sampled By:
C�=Gnn)
www.encolabs.com
71 Received: 06/11/14 13:30
14:05 Work Order: C407555
% Solids:
es Its Flaa Units DF MDL POL Batch Method Analyzed ft Notes
> 200 OF 1 4F20007 EPA 1O10A O6/20/14 14:51 SMA
FINAL This report relates only to the sample as received by the laboratory, �nd may only be reproduced in full. Page 6 of 21

www.encolabs.com
SAMPLE DETECTION SUM
Client ID: 140610-31
Lab ID: C
407555-0
Analyte
jle%L l;5.
Flaq MQL
P46
Units
Method �Notes
3 & 4-Methylphenol
0.16
0.04
0.10
mg/L
EPA 8270D
Barium - TCLP
0.106
J 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 tnay only be reproduced in full. Page 3 of 21

@NC:G:)
www.encolabs.com
SAMPLE SUMMARY/LABORATORY �HRONICLE I
Client ID: 140610-31
Lab ID:
C407555-01
Sampled: 06/10/14 14:05 Received: 06/11/14 13:30
Parameter
Hold Date/Time(sl
Preo Date/Trme(s)
-
Analvsis Date/Time(s)
EPA 1010A
06/24/14
06/20/14
30
06/20/14 14:51
EPA 6010C
12/07/14
12/17/14
06/20/14
9:46
06/23/14 13:50
EPA 7470A
07/08/14
07/17/14
06/19/14
2:53
06/20/14 10:09
EPA 8081B
O6/17/14
07/28/14
06/18/14
4:30
06/23/14 14:16
EPA 8260E
06/18/14
07/09/14
06/25/14
8:16
06/25/14 18:55
EPA 8270D
O6/17/14
07/29/14
06/19/14
3:12
EPA 9014
06/24/14
06/18/14
0:50
06/19/14 14:20
EPA 9045D
06/24/14 14:54
06/24/14
4:40
06/24/14 21:30
Client ID: 140610-31
Lab ID:
C407555-OIRE1
ampled: 06/10/14 14:05 Received: 06/11/14 13:30
Parameter
Hold Date/Timejs2
PrevD i
e s
Analysis Date/Time(s)
EPA 8 15 1A
06/17/14
08/03/14
06/24/14
5:00
06/27/14 21:10
FINAL This report relates only to the sample as received by the laboratory, and ray only be reproduced in full. Page 2 of 21

J
3
I
project: Towle of Tlweville WWTR Location: Digested
!o �oltj' Date: �, 0 1o"y Oate',Zofc}-
Time: Tlme: r z.1 t, Time:
�Ilo
t+, MIX 9t
Cormcted
L—Ime
PH & tem #t+er
Coned
ph &Moms. - r
►rested
r
Added
hours
,22 hours
PH
f
7e
,0�
S`a6
2.1}7 �3
/D-. 0
2 a�
/A
�Z
0pMtor
.1
5U?p FaQuIremwds: 12 Minh-mrn 11 5lY4RIta qlM
-- Start W taken irnmediaWy after lime addition,
-PH Tmx*ntgs taken Wth an approved ktw sodium glass elWrode probe. pH Meter urea cspibrutod toe pH of a o prior to sampling,

Lime Stabilization
40
Projwte Town of Tayiorsville WWTP LocatioM: Dionler 3
ti
tote: 6 j a �� �elte: b 1 Dam: 6 fE 2419
Tom: o Tnme: /a y s" Time:
Calls pN & temp. at
start
rrected
H
Lkm
Added
& temp after
3 hours
CoirrecW
PH
ph A temp. after
22 hours
Corrected
N
bo5
9-0
el
l�.�a a13,`
&M MrWOS: t2 MlnlmkiM t 1-5 Nkrarnarn
Notes;
Slarl pH taken immediawy arfler liras addiliaa
PH madings lakes with are approued iow sodium glass edeClrode pra}re, pH flketer was o0brated to a PH of 4d prior is sampling.
Operator:

v
Ll
D
L
L
,
I.
Lime Stabilization
Projed: _ Torn of Taylarsvift WWrP ration, Dq ter 2
Ode: li gate: bate: 4 rl ao /Y
lime: e T eo Time: a Time: 01,00
�tfiorlsPR
&ternP. at
stwt
arre *d
^Uie
Addeo
pH & #erne after
2 hours
Corrected
pH
pig $ tentip. after
22 #tours
Corrected
PH
crn
Not=
Owator:
SCf RaQuiremenis: 12 Mnimim+
&tart pH taken imrnedWely after line addition.
• pH ►tiea+dinp laison with an approved low sodium glass eWrode probe. pH Meter was ce!llbra*d to a pH d 10 prior to sampling_

9
1J
S
L
0.
Ume Stabilization
Town of TrAorsvots wwTP
Location:
Date:
TiMe'
l0 3 -2—
Date: 9 o ui
Dim- 4j 2o�f�
Tlf m: / Z 3 Z-�j
Time- to
GallonS
P1 dr temp. fttt
'-Lima
a temp after'
Comted
ph & temp. after
CO
$
H
Added
2�hours
22 hours
13L -cx
%J Fw°G
fL r
t%1 � �n
r
�G.� i E +`
%�.�!
- � ��•
I �
5M3 rlequirenwne :,: 12 R&ftwn If 5 Mwmum
Start pH taken immediately after t;rne adctltion.
PH readogs taken Wth an approved tow sodium yfass oWro de probe. pH Mmr was O&Mbrated to a pH aP 14 prior to menpiing.

•5uadwas at goad 0t P Ad 8 O] PN9JgWO %am JSaIM Hd 'arwd apat"Ea sset6 wrTos mot panaadde ue yam L*Ne► e6.)tpees Ltd
'' wppe "I Jaw Apletpaw" uept Hd Lim
LunLum S-Ii flMIUMM 71 YllL ua esa anlw�. inn
Oz
P "0+
sinoq ZZ Nd
)P � MWM
$inoy z,
AeUe dival V Nd
POPPV
1
W
P640"ti
4e •I umq V
S Q0B
t �atsa6 C# .0 jeoo-j d1,N41Eik 0111AS Vj �o UA%O L :10004d
I/
/4
L
f
r
r
Kr
1
a
to

Lime Stabilization
W
Project: _ Town of Twooreville WWTP Location: Dcgt3 IW 2
R
Dot@; �! iQ / Late: /? i vl ��}a#$ #2 Zol
lame: d� TIme; /1 a o + Time: os v,0
Gallons
PR & temp. OF
start
COrMCW
H
tame
Added
PR & tamp aftr
2 hours
C*rreoted
H
ph & temp. after
22 hours
r to
03f60ir
lZ�i�`
f�-Z
4V�r
Mite$;
aVs hagw Mertm: 12 RAIn MIOM 11 5 3NIrnrlrn
Stan pH taken imrnedai* a#w ime addition.
PH re&&VS taken V*h an aWomd taw wdiurn glass aWrode probe. pf-I Mew was cribraW to a pH of i o prior io sampling.

-q
9
Y
Lime Stabilizidion
Prot: Town of Ta forsville WWTP Location: p[gestw
Date: mate: A+ 3 Za/ Dais•
Time: f tn�• to 5" Time. /a • �-
ai ors
pH A fiiifiii at
rrereteci
t,in►e
PH aftew Corroated tee WWCorrected
start
_
Added
2 hours/
K
+� )
}
? / ..�Q_ho_
Not:
Sperator:
aW TvJwxJffTwrTM: ne IMArIMllum 11.5 MM9 RUM
Slart pH taken immediaWy after feats addltioa.
PH reading iakan vaith an approved low sodium yWs ef0drode probe. pH Wter was vafribrated to a pH of W prior to sampt;rrg.

7
D
d
L
Urm Stabilization
Project: Town of TaYlorsuille WWTp Location: Dlgesw f
Date; Date: 1/ 3 zo,� Date- f/ .+ Y
Tfrne: E�o Time: 12.o o Time: l o a &
Gallons
pkl & tim—p. at
start
m ted
H
f.inte
Added
pi~! &temp otter Corrector] fah & temp. after Coffec t
2 hours 22 hogs
Stall pH iften kvuTged'ately air lima addbm.
PH r8adPrigs taken with an approved low sodkfrn g4me electrode pfobef. PH M6ater was oafflbrated to a pH of 10 prior to sampling.

Ail llUAL.rAIUVULA A1V1) VECTOR A'
Name: Town of Taylorsville
Name: Town of Taylorsville
ng Period: From
1/1/2014
n Reduction (15A NCAC 02T _11n61
REDUCTION FORM (02T Rules)
WQ Permit Number:
NPDES Number:
12/31/2014
—1 ..,.1.3 .. 3 _-a _1 ---_- -
WQ0006906
NCO026271
Class A:
Alt. A (time/temp) ®
- _I _ __--- _--- .-__----- I�-,.,,
It B (Alk Treatm
,.�,,,,v,—
nt) ®
{ill" "JL MGl ilA61VG pul-lul-Illuu:
Alt. C (Prior Testing) El
Alt.D (No Prior Test) ® Pro
ess to Further Reduce Pathogengs El
If applicable to alternative
performed (Class A only) indicate "Proc
ss to Further Reduce Pathogens":
Compost ❑I
Heat Drying ® Heat Treatme
t ® Thermophilic
Beta Ray ®I
Gamma Ray ® Pasteurizatio
ignificantly Reduce Pathogens
Class B: I Alt. (1) Fecal Density [31 Alt. (2) Process to
If applicable to alternative performed (Class B only) indicate "Process
to Significantly Reduce Pathogens":
Lime Stabilization Air Drying ® Qom
]Lcsting ® Aerobic Digestion G�
Anaerobic Dig
ge str on
estion
Ifapplicable
pp cable to alternative performed (Class A or Class B) cor►iplete
the following monitoring data:
Allowable Level Pathogen Density
Parameter g en
Number o Analytical
Frequency Sample
in Sludge m Geo. Mean axim
Excee-
Units of Analysis Type Tech-
-
c s
2x 10tothe
WN
6th power
per gram of
Fecal Coliform
total solids
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
3 WN per 4 grams
(in lieu of fecal
total solid (dry
coliform)
weight)
Vectnr Attrartinn
Rnr7nnt;n., ilCA
N!'+An
n'fm .1.9nn',
'"I
Alt.1 (VS reduction) ®
Alt. 2 (40-day bench) ®
Alt. 3 (30-Tay
.aiwa Al"LA V c FVIJUl7IlCU:
bench) ® Alt. 4 (Spec. 02 uptake) [�
Alt. 5 (14-Day Aerobic) ElAlt.
6 (Alk. Stabilization
Alt 7 (Dryi
g - Stable) ® Alt. 8 (Drying - Unstable)
Alt. 9 (Injection) G]
Alt. 10 (Incorporation) ®No
vector
ttraction reduction alternatives were performed
• _ �1-=••••�...-u�.�,.. laic a�l]ll-UPI-litIU statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCA4 02T .1107 have been met."
"I certify, under penalty of law, that the pathogen re uirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCA 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
i nis determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather an 1 evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and im risonment."
Denni� Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signature of Preparer*
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102
Applier (if applicable)
Date

Report Number: 14-342-0606
Account Number:46381
A
J4�.
Send To: SOUTHERN SOIL BUILDERS
wwwaleastern.com
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER NC 28669
Date Received: 12/08/2014 Date OfAnalvsis: 12/0q/901A
A&L Eastern Laboratories
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
i
Grower: Submitted By: ZACH KEY
SOUTHERN SOIL BUILDERS Farm ID:
SOIL ANALYSIS REPORT Analytical Method(s):
n_, _ e%c In Mehlich 3
Sample ID
Field ID
1
Lab
Number
07026
Organic Matter
Phosphorus
-r Potassium V
t
T
Magnesium Calcium Sodium
pH
Acidity
C.E.0
% Rate ENR
Ibs/A
7.7 VH 150
Mehlich 3
ppm Rate
404 VH
NC = 337
Reserve
ppm Rate
K
ppm Rate
584 VH
NC = 299
Mg Ca Na
ppm Rate ppm Rate ppm Rate
Soil Buffer
pH Index
H
meq/100g
meq/100g
313 H 1496 M 27 VL
6.1 6.74
1.9
13.6
07027
6.4 H 150
467 VH
NC=389
61 VL
NC=31
272
M
2335 H 32
VL
64
1.4
15.6
07028
6.6 H 150
191 VH
NC=159
159 H 294
NC=81
H
1330 M 21
VL
5.9 6.73
2.0
11.6
08-04
07029
2.6 M 89
148 VH
NC = 123
160 VH 289
NC = 82
VH
952 M 22
VL
6-0 6.79
1.4
9.1
08-01
'
07030
2-9 M 91
225 VH
NC=187
:�:]
311 VH 388
NC=159
VH
1312 M 20
VL
63
1-3
11.9
Sample ID
Field ID
1
K
11.0
Percent Base Saturation Nitrate Sulfur
Mg Ca Na H NON S
ppm 3 Rate ppm Rate
•
19.2 55.0 0.9 13.7 24 M
Zinc Manganese
Zn Mn
.,r,t„ Rat"
morn at" ppm. Rate
17.5 VH 15 M
Iron Copper Boron
Fe Cu B
ppm Rate ppm Rate I ppm Rate
367 VH 17.2 VH 0.9 M
soluble Salts Chloride
SS CI
ms/cm Rate ppm Rate
Aluminum
AI
ppm
NC = 50
NC = 437.5 NC = 94
NC = 860-0
1.0
14.5
74-8
0.9 g•g
23 M
28-4 VH 17 M
215 VH 18.8 VH 1.0 M
NC=48
NC=710.0 NC=106
NC=940.0
3.5
21-1
57-3
0.8 17.1
20 M
23.1 VH 14 M
212 VH 12.8 VH 0.8 M
NC=42
NC=577.5 NC=88
NC=640.0
)8-04
77
4.5
26.5
52.3
1-1 15-3
17 M 14.7
H 48 H
197
VH I : VH 0.3
VL
NC = 35
NC = 117.5 NC = 300
NC = 340-0
J8-01
6-7
27.2
55.1
0.7 10.6
17 M
11.4 VH 25 H
269
VH 12.4 VH
0.6
M
alues on this report represent the plant available
nil Ds:..
nutrients
in the
Explanation of svmhnls•
NC = 35
_ °/ lnarr n
NC = 285.0 NC = 156
� .., r
NC = 620.0
•• - -- - -...-. •�• .--•• � � � iup- appues io sampte(s) tested. Samples are retained a
um , poun s per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing.
(High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble c Qo�y/
.E.C. - Cation Exchange Capacity. by: « (Il 61 0
Salts mS/cm x 640 =ppm. Analysis prepared by: A&L Eastern Laboratories, Inc. �
Pauric McGroary

FEBRUARY THURSDAY
pgdu -12
2013 52nd day--313 days foi
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4�
FEB 19 Z014
VVA 11_11 WUhL, I I a.rU I IUN
WFORMATION PROCESSING UNIT
Town of
Taylorsville201,
Town of Taylorsville, NC
2013 Annual Report
Land Application Program
Permit No. WQ0006906
RECEIVED
�iVlSlO� 3 OF V13A„ER QUALITY
FEB 2 4 2014
SV)JP SECTION
MOORESVILLE RcO10i,,AL OFMCE
C 4rl,&

Alexander
Year:
2013 03
EEPPPPP— ANNUAL LAND APPLICATION CERTIFICATION FORM
Q Permit#: WQ0006906 County:
Facility Name (as shown on permit):
Land Application Operator:
Town ofTaylorsville
Southern Soil Builders, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Total number of application fields in thepermit:
3
Total number of fields utilized for land application during the year:
2
Total amount of dry tons applied during the year for all application sites:
149.245
Total number of acres utilizes for land application during the year:
30.8
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2013 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. 0 Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1 I I I were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) AI I operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
klOrl(s ,) r-eL;-H R-
Permittee Name and Title (type or print) Signature of Permittee Date
k!)& 4, ��r
Signature of Preparer*
Date
Signature of JAnd Applier
Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0006906 Laboratory: 1) A&L Eastern Labs
Facility Name: Town of Taylorsville 2)
Residual Source WQ # or NCO026271 3)
NPDES #: 4)
WWTP Name: 5)
Residual Analysis Data
Parameter _ -
Sampleor • •• - Date
Molybdenum
Nitrate and Nitrite
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under 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."
Signature of Preparer *
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:.
Acres Used:
Town of Taylorsville Total Dry Tons Applied (Annual):
WQ0006906 Cation Exchange Capacity (non 503 only):
Owen Icenhour Owner: Owen Icenhour Predominant Soil Series
20.7 Acres Permitted:
20.7 Site #: NC-AL-08-01
90.89
CeB2
Field #: NC-AL-08-01
Residual Analysis Data (Heavy Metals and Total Phosphorus use ingAg. % Solids use Raw Percent #l:
Sample or
Com-
posite
Date
1j
4/2/ 13
2 J
3 J
4]
151
L6J7
J
8
v 9
10
11
12
% Solids
1 4.14
Arsenic
3
Cadmium
2
Copper
286
Chromium
29
Lead
17
Mercury
0.9
Molyb-
denum
5
Nickel
13
Selenium
5
Zinc
785
Total
Phos-
horus
12900
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 11
L 2j
L3J4
L5
6
7
8j
9
10
11
12
DT/Ac./
' 1
0
App.
>v
Event
4.39
y
Arsenic
0.026
0.000
0.000
0.000
0.000
0.000
0.000
0.00.0
0.000
0.000
0.000
0.000
0.026
Cadmium
0.018
0.000
0.000 1
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
1 0.018
Copper
2.512
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.512
Chromium
0.255
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.255
Lead
0.149
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.149
Mercury 1
0.008
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.008
Molyb-
denum
0.044
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.044
Nickel
0.114
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.114
Selenium
0.044
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.044
Zinc
6.894
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.894
Total
Phos-
113.288
0.000
0.000
0.000
0.000
0.00.0
0.000
0.000
0.000
0.000
0.000
0.000
113.288
horus
"1 cer[ity, under penalty of law, that this document was prepared under 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".
,�= 1' z
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Town of Taylorsville Total Dry Tons Applied (Annual):
WQ0006906 Cation Exchange Capacity (non 503 only):
Owen Icenhour Owner: Owen Icenhour Predominant Soil Series:
10.1 Acres Permitted:
10.1
58.35
CeB2
Site #: NC-AL-08-04 Field #: NC-AL-08-04
Residual Analysis Data (Heavy Metals and Total Phosphorus use mu/ku- 0/. Rnlidv irve Raw PPrc•Pn* �tl•
Sample or
1 1 1
L2J3
L4J
L 5j
L6J
7
0
L8J
9
10 _--
11 _--12
Y- "'•
Com-
posite
Date
4/2/13
% Solids
4.14
Arsenic
3
Cadmium
2
Copper
286
Chromium
29
Lead
17
Mercury
0.9
Molyb-
5
denum
Nickel
13
Selenium
5
Zinc
785
Total
Phos-
12900
horus
A ..1
ri..
_�_t Tt_■
r
■•
Annual reravy ivietal rieiu uoauings lt_,alculatea in lbs/acrel:
Total
n
L2 J
3 J
L4]L5J
6
7 J
8
9 J
LOJ
11 J
12
DT/Ac./
�]
APp-
>v
Event
5.78
y
Arsenic
0.035
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
1 0.000
0.000
0.000
1 0.035
Cadmium
0.023
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.023
Copper
3.304
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.304.
Chromium
0.335
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.335
Lead
0.196
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.196
Mercury
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
Molyb-
denum
0.058
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.058
Nickel 1
0.150
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.150
Selenium
0.058
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.058
Zinc
9.070
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
9.070
Total
Phos-
149.047
0.000
0.000
LOOO
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
149.047
horus
f
1
ce i y, uer pena ty of law, that this document was prepared under 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".
Signature of Land Ap ier
1--/,-,-1'I
Date
DENR FORM MFLSF (12/2006)

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
Land Owner: Owen Icenhour
Operator: Owen Icenhour
Crop 1 Name: Fescue
WQ Permit #: WQ0006906 Field #: 08 01
Annual Dry Tons Applied: 90.8939 Site #: 08 01
Predominant Soil Series: CeB2
Crop 1 Max. PAN: 216 Crop 2 Name:
Acres Utilized: 20.7
Acres Permitted: 20.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
QLiquid
Volume applied
(enter one) Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(].IpDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
( ry
Wet
Moist)
Precip.
Past 24
Hrs.
inches
D
K v
°
a w
* °
°
o
w
=
z=
w
* "
TKN
mg/kg
Z
q 9
�o
° �.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
]bs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4-2013
227500
4.14
1.897
WQ0006906
dry
0
s
0.5
0.3
44900
3620
53.1
54.063
NA
Fescue
11-2013
299000
4.14
2.494
WQ0006906
dry
0
s
0.5
0.3
44900
3620
53.1
71.055
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1
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):
(TOTALS:
0
526500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
I P
125.1181
0.000
Lime Applied
Annuallbs/acre
0.026
0.18
0.206
36
0.018
0.121
1 0.139
34
2.512
21.952
24.464
1338
0.255
0.49
0.745
NA
0.149
1.934
2.083
267
0.008
0.153
0.161
15 1
0.044
0.216
0.260
NA
0.114
2.29
2.404
1 374
0.044
0.225
0.269
89
6.894
39.73
46.624
2498
113.2881
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
216
"I certify, under penalty of law, that this document was prepared under 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."
Signature of Land Applier
H LI -11
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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: 58.3516 Site #: 08 04 Acres Permitted: 10.10
Operator: Owen Icenhour Predominant Soil Series: Cel32 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop l Max. PAN: 216 Cron 2 Name: 4-. 1 lure., v A N.
c
° y
o
Q
4-2013
11-2013
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
149500
188500
%
Solids
4.14
4.14
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
2.555
3.222
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste etc)
WQ0006906
WQ0006906
Soil
Cond.
(Dry'
Wet.
Moist)
dry
dry
Preci P•
Past 24
Hrs.
inches
0
0
y
4 "a
ro
o w
Q _
o
s
s
<
o
�,
* N'
* �,
o
o
0.5
0.5
w
* -
* o'
0.3
0.3
TKN
mg/kg
44900
44900
z Y
;' El
o E3
°0 �
o �•
mg/kg
3620
3620
Nitrate
and
Nitrite
mg/kg
53.1
53.1
PAN Applied
(lbs/acre)
Name of CropType
ReceivingResidual
Application
Crop 1
72.814
91.808
Crop 2
NA
Crop 1
Crop 2
Fescue
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
TOTALS: 01 338000
Annuallbs/acre
As
0.035
Residuals
Cd
0.023
Applications
Cu
3.304
totals on FORM FSF supp ( attach FORM FSF supp
Cr Pb H Mo Ni Se
0.335 0.196 0.010 0.058 0.150 0.058
to this form):
Zn P 164.622 0.000
9.070 149.047
6.247
15.317
2498
Lime A lied
Date lbs/ac
Prior Years Cumulative lbs/ac
0.175
0.011
3.747
0.343
0.307
0.025
0.065
0.15
0.045
Current Cumulative lbs/ac
0.210'
0.034
7.051
0.678
0.503
0.035
0.123
0.300
0.103
Permitted C. P. L. R.****
36
34
1338
NA
26 1
15
NA 1
374
89
Permit PAN Limit 1st/2nd Crop
1
216
- -�- --„ --- F�==a.=y V_ =aw, Luau Lu15 uucument was preparea unaer 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
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signatu e of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

PAN
Mineralization
as decimal
ITotal dry
tons/year
lAcres
Applied on
1 30.8
Rate
0.3
TKN
44900
NH3
3620
NO3
53.1
NO2
0
% Solids
0.0414
1 149.245
PAN Surface
14247.1 mg/kgmg/kg 28.4942 lbs/dry ton
4252.617 1 lbs total PAN
138.072 Ibs PAN/acre
PAN Injection
16057.1 mg/kgmg/kg 32.1142 lbs/dry ton
4792.884 lbs total PAN
155.6131 lbs PAN/acre
Dry Tons/1000 gal.
0.172638
1st year PAN
Surface lbs.
4252.616879
1st year PAN
Injected lbs.
4792.883779
lbs./acre
Surface
138.0719766
lbs./acre
Injected
155.6131097
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2
mg/kg x .002
MR(TKN-NH3) + l(NH3)+NO3+NO2
mg/kg x .002
=mg/kg
=Ibs/dry ton
=mg/kg
=Ibs/dry ton
1000 X 8.34 X %solids X sp. , gravity _ "=dry tons/1000gal."
2000

PPPPPPP-
SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L M M /L
53.164 1 4968 1 115.092
Na ME
2.311478
Ca (ME)
M ME
1 248.4
1 9.591
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.203518 (From Mg/L entered above)
SAR= 0.203476 (From ME entered below)
Na ME
Ca (ME)
1 248.4
Mg (ME)
2.311
1 9.591
The amour
amount of E
Permitting I

P, ppppp-
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 4/2/2013
Reported: 4/17/2013
For: Taylorsville
Sample ID
Parameter
Cust ID
Result Units
Method
Date
Analyzed Analyst
130402-36
Corrosivity
Taylorsville
See Attached
SW-846
4/16/13 PACE
130402-36
Ignitability
Taylorsville
See Attached
1010M
4/16/13 PACE
130402-36
Reactivity
Taylorsville
See Attached
SW-846
4/16/13 PACE
130402-36
TCLP
Taylorsville
See Attached
1311
4/16/13 PACE
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NC00909
P.O. Box 228 • Statesville, North Carolina 28687. 704/872/4697

Client: UA ,0, n S a.
•) S �(.
`-
—
STATESVILLEANALYTICAT
122 Court Street • P.O. Box 228
Statesville, NC 28687
[phone]
n
Address: q S H Q �A S �`
R.f .� N ` a KG1A
YContact
_
Person: Za` 1
l
Phone # 3c
_ q 5 y�
FAX#
Chain of
Custody Record
PO # Requisitioned by: (Time Date)
Customer
Sample ID#
Lab -ID #
Time Sampled
(Grab Only)
Date Sampled
(Grab Only)
a
t°
a
E
3
Matrix
Parameters requested for analysis
Sludge
yy
yyyy
C ,
is
Relinquished by:
Time iy
am, Date �/ �3
Sampled by: /4d
Received by:
ii�`
Tima, ,? �j am m ate
Transported b
G'
Relinquished by:
Time
am, pm Date
Holding times met:
Received by:
Time
am, pm Date _/_/
Compliance work:
Composite Sampling
#1:
Time begin
am, pm
Date _/_/_
Non-compliance work:
Time end
am, pm
Date _/_/_
Lab Comments:
Composite Sampling
#2:
Time begin
am, pm
Date
Time end
am, pm
Date _/_/

Analytical
..pscelabs.com
Project: 130402-36
Pace Project No.: 92153205
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: 130402-36 Lab ID: 92153205002 Collected: 04/02/13 11:30 Received: 04/03/13 09:50 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
8081 GCS Pesticides, TCLP
gamma-BHC (Lindane)
Chlordane (Technical)
Endrin
Heptachlor epoxide
Methoxychlor
Toxaphene
Surrogates
Decachlorobiphenyl (S)
Tetrachloro-m-xylene (S)
8151 Chlorinate Herbicide TCLP
2,4-D
2,4,5-TP (Siivex)
Surrogates
2,4-DCAA (S)
6010 MET ICP, TCLP
Arsenic
Barium
Cadmium
Chromium
Lead
Selenium
Silver
7470 Mercury, TCLP
Mercury
8270 MSSV TCLP Sep Funnel
1,4-Dichlorobenzene
2,4-Dinitrotoluene
Hexachloro-1,3-butadiene
Hexachlorobenzene
Hexachloroethane
2-Methyl phenof(o-Cresol)
3&4-Methylphenol(m&p Cresol)
Nitrobenzene
Pentachlorophenol
Pyridine
2,4,5-Trichlorophenol
Date: 04/17/2013 02:47 PM
Analytical Method: EPA 8081 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 04/04/13 08:24
ND ug/L
5.0
10
04/05/13 09:16
04/16/13 04:11
58-89-9
ND ug/L
30.0
10
04/05/13 09:16
04/16/13 04:11
57-74-9
ND ug/L
5.0
10
04/05/13 09:16
04/16/13 04:11
72-20-8
ND ug/L
5.0
10
04/05/13 09:16
04/16/13 04:11
1024-57-3
ND ug/L
10000
10
04/05/13 09:16
04/16/13 04:11
72-43-5
ND ug/L
30.0
10
04/05/13 09:16
04/16/13 04:11
8001-35-2
0 %
10-138
10
04/05/13 09:16
04/16/13 04:11
2051-24-3 D3,S4
0 %
10-110
10
04/05/13 09:16
04/16/13 04:11
877-09-8
Analytical Method: EPA 8151
Preparation Method:
EPA 3510
ND mg/L
0.010
1
04/11/13 08:00
04/12/13 12:50
94-75-7
ND mg/L
0.010
1
04/11/13 08:00
04/12/13 12:50
93-72-1
95 %
70-130
1
04/11/13 08:00
04/12/13 12:50
19719-28-9
Analytical Method: EPA 6010
Preparation Method:
EPA 3010
Leachate Method/Date: EPA 1311;
04/04/13 21:00
ND mg/L
0.050
1
04/05/13 16:25
04/06/13 23:06
7440-38-2
1.1 mg/L
0.25
1
04/05/13 16:25
04/06/13 23:06
7440-39-3
ND mg/L
0.0050
1
04/05/13 16:25
04/06/13 23:06
7440-43-9
ND mg/L
0.025
1
04/05/13 16:25
04/06/13 23:06
7440-47-3
ND mg/L
0.025
1
04/05/13 16:25
04/06/13 23:06
7439-92-1
ND mg/L
0.10
1
04/05/13 16:25
04/06/13 23:06
7782-49-2
ND mg/L
0.025
1
04/05/13 16:25
04/06/13 23:06
7440-22-4
Analytical Method: EPA 7470
Preparation Method:
EPA 7470
Leachate Method/Date: EPA 1311;
04/04/13 21:00
ND ug/L
0.20
1
04/10/1311:05
04/10/1315:44
7439-97-6
Analytical Method: EPA 8270
Preparation Method:
EPA 3510
Leachate Method/Date: EPA 1311;
04/04/13 08:24
ND ug/L
50.0
1
04/04/13 08:30
04/04/13 20:53
106-46-7
ND ug/L
50.0
1
04/04/13 08:30
04/04/13 20:53
121-14-2
ND ug/L
50.0
1
04/04/13 08:30
04/04/13 20:53
87-68-3
ND ug/L
50.0
1
04/04/13 08:30
04/04/13 20:53
118-74-1
ND ug/L
50.0
1
04/04/13 08:30
04/04/13 20:53
67-72-1
ND ug/L y 50.0
1
04/04/13 08:30
04/04/13 20:53
95-48-7
167 ug/Ljl'
50.0
1
04/04/13 08:30
04/04/13 20:53
ND ug/L
50.0
1
04/04/13 08:30
04/04/13 20:53
98-95-3
ND ug/L
100
1
04/04/13 08:30
04/04/13 20:53
87-86-5
ND ug/L
50.0
1
04/04/13 08:30
04/04/13 20:53
110-86-1
ND ug/L
50.0
1
04/04/13 08:30
04/04/13 20:53
95-95-4
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 22

ical
Mcom
Project: 130402-36
Pace Project No.: 92153205
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: 130402-36 Lab ID: 92153205002 Collected: 04/02/13 11:30 Received: 04/03/13 09:50 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8270 MSSV TCLP Sep Funnel Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 04/04/13 08:24
2,4,6-Trichlorophenol
ND ug/L
50.0
1
04/04/13 08:30
04/04/13 20:53
88-06-2
Surrogates
Nitrobenzene-d5 (S)
44 %
12-102
1
04/04/13 08:30
04/04/13 20:53
4165-60-0
2-Fluorobiphenyl (S)
43 %
13-107
1
04/04/13 08:30
04/04/13 20:53
321-60-8
Terphenyl-d14 (S)
62 %
21-132
1
04/04/13 08:30
04/04/13 20:53
1718-51-0
Phenol-d6 (S)
26 %
10-110
1
04/04/13 08:30
04/04/13 20:53
13127-88-3
2-Fluorophenol (S)
30 %
10-110
1
04/04/13 08:30
04/04/13 20:53
367-12-4
2,4,6-Tribromophenoi (S)
64 %
27-108
1
04/04/13 08:30
04/04/13 20:53
118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260
Benzene
ND ug/L
100
20
04/15/13 19:06
71-43-2
2-Butanone (MEK)
ND ug/L
200
20
04/15/13 19:06
78-93-3
Carbon tetrachloride
ND ug/L
100
20
04/15/13 19:06
56-23-5
Chlorobenzene
ND ug/L
100
20
04/15/13 19:06
108-90-7
Chloroform
ND ug/L
100
20
04/15/13 19:06
67-66-3
1,4-Dichlorobenzene
ND ug/L
100
20
04/15/13 19:06
106-46-7
1,2-Dichloroethane
ND ug/L
100
20
04/15/13 19:06
107-06-2
1,1-Dichloroethene
ND ug/L
100
20
04/15/13 19:06
75-35-4
Tetrachloroethene
ND ug/L
100
20
04/15/13 19:06
127,18-4
Trichloroethene
ND ug/L
100
20
04/15/13 19:06
79-01-6
Vinyl chloride
ND ug/L
100
20
04/15/13 19:06
75-01-4
Surrogates
1,2-Dichloroethane-d4 (S)
103 %
70-130
20
04/15/13 19:06
17060-07-0
Toluene-d8 (S)
105 %
67-135
20
04/15/13 19:06
2037-26-5
4-Bromofluorobenzene (S)
102 %
70-130
20
04/15/13 19:06
460-00-4
Dibromofluoromethane (S)
106 %
70-130
20
04/15/13 19:06
1868-53-7
Percent Moisture Analytical Method: ASTM D2974
Percent Moisture 95.9 % 0.50 1 04/05/13 00:00
1010 Flashpoint,Closed Cup Analytical Method: EPA 1010
Flashpoint >200 deg F 70.0 1 04/10/13 18:00
Reactive Sulfide Analytical Method: SW-846 7.3.4.2
Sulfide, Reactive ND mg/kg 100 1 04/12/13 17:30
9045 pH Soil Analytical Method: EPA9045
pH at 25 Degrees C 11.8 Std. Units 0.10 1 04/11/13 14:00
733C S Reactive Cyanide Analytical Method: SW-846 7.3.3.2
Cyanide, Reactive ND mg/kg 0.025 1 04/12/13 16:22
Date: 04/17/2013 02:47 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 22

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Lim Stabilization
Prat: TOWn of InLJorsville WWTP � Location: Qigsste� �
W. ' zba Witte: Z :zt zap -3 Date:. J2
Time.[a S za #rae: v �.: � Tlttle: 11-0
C agarks
pH ik tom. at
rt .
rr�
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me
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lD to np r
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crt tcd
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q
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= SW PH iak'Dn jMMdktdly pR»r km addition.
Pk ffib W Isken w4th W appmvod kw sodium gta% ak)eh%ode probo. pH Maur wns agANkmoil to a W of 10 prior 10 sobn*g.
ratan: -
14.5 WU*w)&IM

N
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Q
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b'
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Lime Stabilization
Prcged: Town of Taylorsvriie WWTP Lacettk�t�: Digeaie��._
DOM: t a t ?.v13 Bate: u i7 Date. Z 2013
Tuna.. o yea o Time: o v O 0 &6
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—LFm-i--'-'pR
& tamp after
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start
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2- hours
W .
22 hours
Boa°
/2-34
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1'2.10
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.
r
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Operator:
OU-5 nmulre"nt8; 12 s initnuta
$fart pH tpken Unrrtadintefy after, Ime addition.
pH read*to takon *Ah an app►o%ed law sodium; gkss electrode probe: PH Mawr *aaa,sd&ated to a pH of 10 prier to serupling.
4 15 f41WIRIOira

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,so
L
Lime Stabilization
Projed: Town of Tayiorsviife' WT,,P Lc�tiop: D+gea
Mete. Z ; zo1.3. Oe e: Z !' w/� We-.
Inme v $ a Tinie: �s--a Time:. t
©8116ns
a temp.. et
start
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H . Added
p & p sfiw
2 hours
CormeWd
RH,
ph&Iamp.~
22 .t"r'sPH
Carmeted
. ,� �
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� �
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Operator
5D3 Pla*r&rwJS 12,Mhk»iro
f'rt PH t*m Intro st* alien Rrm actd#tioit.
PH Ns*Qs iakon iw "I an gppmvod low mum gWw d6wrode probe, pH Meter was cagibraW to it pH of 14 prior is aemOing.
At 5 MINMUM

Lime Stablkation
Prc Ct,
Town of T Iorsvlffo WMT1
Loc"On:
Di estac+ -
Date:
.z zI 3
Dafe:
Date: Z z zal3
Time:
Tinw
Time:
E,�al onaAlWiF
M
r
eNcted
l.intie
Added,
p & temO efker
2 hour*H
Corrected
.
-oh & FW—M.
22,h�wrs
rre ted
3�4600
?
�z.�
Sao �,.
i�z.���
f2,�
1 f 3 lNhli UM
NOW-.
Stwt PH taken im6ofttsly alien Mr w addlbodt.
PH reOd;i VS taken WOv an appmverd law sodium glass ekxdmde prhbe- pH Mew wn CoMbrated to a pH of 10 prtcr to aaampiing.
opuldor: — ag
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Prot: Town of T arevilie WWT'P k ocation: big�s9er
/4 _'! p_" r 3 Dale' O —/<i .toJ d l/—,�d 137
Time. /o 3 o D:'�te�
i'b�e. � �. � rs Yittlet la 3 D
G bone
# rp, et
l ater
PH a test
Cta�Mew
pf� i9antp.
ICc�rracled
400000
Stat#OH
/��6� 2S'
fz.��
■665a
ride
� � �.,►s
2 hours
��.1� � b
PH
`3
22 hours
�a S7-
N
0.6 S-
Notes:
vu i Twwwarram WS IC w"W w r
SM pH taken irruned'&j* after liras ack fdion.
PH raadkW taken with an approved tow sodium glam Yi@otrodv probe. pH Ishtar worsa 00brWed to it pH oil 10 prior to Sat*gk g.
11.5 i►WkWIUm

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..

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plo t: i2w—n of T I�rsvilk W1MTP Locallon: dig t 3
Date: /0 — /0 -� 2.a r 3 Data: /d w 1 �0 -2013 Dat&: 15 - 7f -,1?15
Tim : 0 4.00 Time: // a 0 Time. 0400
Gaitic ne
pR I temp. sit
rreeteei
Imp after
&orreadd
ph & tamp. efts 6orrea ed
art
. H Added
2 hours
22 hours
` 7-
25'" I%
Notew
mm 4iowvernram- 12 "mum
Sind Pk taken immmdiateiy after HmO addition,
PH FOWW gfe takeh with an approved IoW sodkim glWe *look rode pfobe. pH Motor was oa lbrated is it pl i bI 10 prJor to sampling.
l
UpemWr: -'
i 1.S Wmjm

lU/ 11/ LU1J IU. ei/- 0Lt5b'dLLk7 VJ TAYLORSVILLE WWTP PAGE 01
Iwo
I

Page: i of 2
Report Number: 6381 -0205
Account Number: 46381 A&L Eastern Laboratories, Inc.
v
�
Submitted By: ZACH KEY
7621 Whltepine Road Richmond, Virginia 23237 (004) 743J401 Fax [phone]
www.aleaatern.com
Send To: SOUTHERN SOIL BUILDERS Project: TAYLORSVILLE
DENNIS KEY NC CERT#257
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 92796 REPORT OF ANALYSIS Date Sampled: 4/2/2013 11:30:00
Sample Id: TAYLORSVILLE
Date Received: 04/03/2013 00:00
na4o Ronnhnrl• r1Alrialnn4�
Moisture '
IUU.0
im
04/03/201315:00
95.86
100.0
JM
04/03/2013 15:00
Total Kjeldahl Nitrogen
4.49
44900
10.0
JM
Total Phosphorus
1.29
12900
04/04/2013 08:44
Total Potassium
100
KM
04/04/2013 12:16
0.20
1990
100
KM
04/04/2013 12:16
Total Sulfur
0.67
6730
100
KM
04/04/2013 12:16
Total Calcium
12.00
120000
100
KM
04/04/2013 12:16
Total Magnesium
0.28
2780
100
KM
04/04/2013 12:16
Total Sodium
0.13
1260
100
KM
04/04/2013 12:16
Total Iron
8760
100
KM
04/04/2013 12:16
Total Aluminum
15400
100
KM
04/04/2013 12:16
Total Manganese
148
Total Copper
5
KM
04/04/2013 12:16
Total Zinc
286
5
KM
04/04/2013 12:16
Ammonia Nitrogen
785
5
KM
04/04/2013 12:16
0.36
3620
10.0
JM
04/04/2013 08:44
Organic N
4.13
41280
10.0
04/04/2013 08:44
Nitrate+Nitrite-N
53.1
2.00
JM
04/04/2013 08:45
Total Cadmium
<2.0
2.0
KM
04/04/2013 12:16
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
SM-2540G
SM-2540G
SM-4500-NH3C-TKN
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SM-4500-NH3C
CALCULATION
SM-450ONO3F
SW 6010C

Page: 2 of 2
Report Number: 13-093-0205 A A&L Eastern Laboratories, Inc.
Account Number: 46381 7621 Whltepine Road Richmond, Virginia 23237 (804) 7434401 Fax [phone]
Submitted By: ZACH KEY wwwaleastem.com
Send To: SOUTHERN SOIL BUILDERS Project: TAYLORSVILLE
DENNIS KEY NC CERT#257
958 HOOTS ROAD
ROARING RIVER, NC 28669
REPORT OF ANALYSIS Date Sampled: 4/2/2013 11:30:00
Lab Number: 92796 Date Received: 04/03/2013 00:00
Sample Id: TAYLORSVILLE Date Reported: 04/08/2013
Total Chromium
29
5
KM
04/04/2013 12:16
SW 6010C
Total Nickel
13
5
KM
04/04/2013 12:16
SW 6010C
Total Lead
17
5
KM
04/04/2013 12:16
SW 6010C
Total Arsenic
3.0
3.0
KM
04/04/2013 12:16
SW 6010C
Total Mercury
0.9
0.4
KM
04/05/2013 09:00
SW-7471 B
Total Selenium
<5.0
5.0
KM
04/04/2013 12:16
SW 6010C
pH (Standard Units) *
12.18
2.00
JM
04/04/2013 08:44
SW-9045D
Total Molybdenum
<5
5
KM
04/04/2013 12:16
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", "Cr",
"K", "P", AND "S". 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
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

P"UAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
cility Name: Town of Taylorsville WQ Permit Number: WQ0006906
WWTP Name: Town of Taylorsville NPDES Number: NCO026271
Monitoring Period: From 1/1/2013 To 12/31/2013
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑
Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) ❑
Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
I Thei7nophilic ❑
Beta Ray ❑
Gamma Ray ElPasteurization
El
Class B:
1 Alt. (1) Fecal Density ❑
Alt. (2) Process to Significantly Reduce Pathogens p
If applicable to alternative performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization 21
Air Drying ❑ I
Composting ❑
jAerobic Digestion ❑
Anaerobic Digestion El:.
..1. _..... ........
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number of
Excee-
nces
Frequency
of Analysis
Sample
Type
Analytical
Tech -
i oue
inim
Geo. Mean
axim
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.I (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
I Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization 0
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
4L,—nD 1F-9 `l vwTP ort G Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land V�t
App Name and Title (if applicable)(type or print)
- '?../ L/ � cl- l-t
Signature of Preparer* Date Signature of Lan Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

Page 2 of 3
Report Number: 13-354-0652
Account Number:46381 @ig
wwtllraleattMrn co n
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER NC 28669
Date Received: 12/20/2013 Date Of Analysis: 12/23/2013
A&L Eastern Laboratories
7621 Whltepine Road Rkhmond, Virginia 23237 (604) 7434401 Fax [phone]W
Grower:
SOUTHERN SOIL BUILDERS Farm ID:
SOIL ANALYSIS REPORT Analytical Method(s):
Mehlich 3
Date Of Report: 12/23/2013
Organic Matter
Phosphorus
Potassium
Magnesium
Calcium
Sodium
pH
Acidity
C.E.0
Sample ID
Lab
Field ID
Number
% Rate ENR
Mehlich 3
Reserve
K
Mg
Ca
Na
Soil
Buffer
H
Ibs/A
ppm Rate
ppm Rate
ppm Rate
ppm
Rate
pp m
Rate
pp m
Rate
pH
Index
meq/100g
meq/100g
07888
6.1 H 150
62 H
25 VL
166
H
754
L
15
VL
5.1
6.61
3.2
8.5
NC = 52
NC = 13
ttllir
07889
5.0 H 135
85 H
56 VL
108
L
j 646
L
19
VL
4.5
6.33
6.0
10.4
NC=71
NC=29
"P
07890
3.7 M 118
114 L
26 VL
193
H
1 387
L
13
VL
5.1
6.76
1.7
4.5
NC=12
NC=13
0801
07892
5.7 H 150
157
H
109 M
186
H 11072
M
11
VLJ
6.3
0.9
8.1
NC=47
NC=56
802
07893
4.7 M 120
172 VH
120 L
134
L
3045
VH
14
VL
7 2
F0.0
16.7
NC = 143
NC = 61
Percent Base Saturation
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper
Boron
Soluble Salts
Chloride
Aluminum
Sample ID
Field ID
K
Mg
Ca
Na
H
NO3N
S
Zn
Mn
Fe
Cu
B
SS
CI
Al
%
%
%
%
%
ppm Rate ppm Rate
ppm Rate
ppm Rate
ppm
Rate
ppm Rate
ppm
Rate
ms/cm Rate
ppm Rate
ppm
14 L
6.6 H
45 H
118
VH
1.5 M
0.5
L
0.8
16.3
44.4
0.8
37.4
NC=29
NC=165.0
NC=281
NC=75.0
Ml�
M
H
VH
VH
4.7 VH
L
1.4
8.7
31.1
0.8
58.0
117
13.5
168
1170
10.5
NC = 35
NC = 87.5
NC = 425
NC = 235.0
L
3.0 M
M
VH
1.2 M
L
1.5
17.2
43.0
1.3
37.9
112
120
187
10.4
NC=25
NC=75.0
NC=125
NC=60.0
0801
9 VL
4.5 H
73 VH
109
VH
2.7 H
0.7
M
3.5
19.1
66.2
0.6
10.5
NC=19
NC=112.5
NC=456
NC=135.0
802
8 VL
11.1 VH
VH
VH
4.9 VH
H
1.8
6.7
91.2
0.4
0.0
11711
190
113
NC=17
NC=277.5
NC=1113
NC=245.0
values on (his report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. me G�
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble by: pWy .
C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Analysis prepared by: A&L Eastern Laboratories. Inc.
Pauric McGroary

Page 3 of 3
Report Number: 13-354-0652
Account Number: 46381 99
Send To: SOUTHERN SOIL BUILDERS w1lvYrskashrttcom
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER NC 28669
Date Received: 12/20/2013 Date Of Analysis: 12/23/2013
3
A&L Eastern Laboratories
7621 Whitepine Road Richmond, Virginia 23237 (604) 7439401 Fax (604) 271-WG
Grower:
SOUTHERN SOIL BUILDERS
SOIL ANALYSIS REPORT Analytical Method(s):
Mehlich 3
Date Of RBDOrt: 12123/2013
Farm ID:
ID
Organic Matter
Phosphorus
Potassium
Magnesium
Calcium
Sodium
pH
Acidity
C.E.0
Sample
Field ID
Lab
Number
/o a ENR
Rate
Mehlich 3
Reserve
K
Mg
Ca
Na
Soil
Buffer
H
Ibs/A
ppm Rate
ppm Rate
ppm Rate
ppm Rate
pp m
Rate
ppm Rate
pH
Index
meq/100g
meg1100g
804
07894
5.8 H 150
81
H
87 L
215 H
846
M
12 VL
NC=67
NC=45
6.2
0.9
7.2
Percent Base Saturation
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper
Boron
Soluble Salts
Chloride
Aluminum
Sample ID
Field ID
K
Mg
Ca
Na
H
NO3N
S
Zn
Mn
Fe
Cu
B
SS
Cl
AI
%
%
%
%
%
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ms/cm Rate
ppm Rate
ppm
804
10 L
3.1 M
26 H
72 VH
1.6 H
0.6 M
3.1
24.9
58.8
0.7
12.1
NC=21
NC=77.5
NC=163
NC=80.0
values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing.
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble
C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Analysis prepared by: A&L Eastern Laboratories, Inc.
Pauric McGroary

Pat McCrory
Governor
4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Thomas A. Reeder
Acting Director
Mr. David Robinette, Public Works Director
67 Main Avenue Drive
Taylorsville, NC 28681
Dear Mr. Robinette:
John Skvarla
Secretary
July 10, 2013
Subject: Acknowledgement of Receipt of the 2012 Annual Report
Town of Taylorsville - Permit No.: WQ0006906
Land Application of Residuals
Alexander County
The Mooresville Regional Office (MRO) received and reviewed the 2012 Annual Report
(AR) for the above permit. The spreadsheet for Sodium Absorption Ratio (SAR) appears to be
incorrect. The values and units for Calcium, Sodium & Magnesium, should be verified and the
SAR value recalculated; otherwise, the data submitted appears to be in accordance with
requirements of your permit. The MRO plans to conduct an on -site facility inspection within the
calendar year; however, if you have any immediate concerns or questions, please contact me at
[phone].
Sincerely,
Maria Schutte
Environmental Specialist
cc: Brian Eades, Wastewater Plant Operator (email)
Dennis Key c/o Zach Key, Southern Soil Builders (email)
Chonticha McDaniel, Residuals Management, CO-LAU (email)
Division of Water Quality I Aquifer Protection Section I Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville; North Carolina 28115
Phone: [phone] Fax: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
One
NorthCarolina
Nawally

PFFF,
REUEIVED
FEB 2 12013
WATERUALITY SECTION
INFORMATIOQN PROCESSING UNIT
Town of
Taylorsville
. . . . . . . . . . . . . . . . .
Town of Taylorsville, NC
2012 Annual Report
Land Application Program
Permit No. WQ0006906
0�1
FAD 2 5 2013

ANNUAL LAND APPLICATION CERTIFICATION FORM
PFermit#: WQ0006906 County:
acility Name (as shown on permit):
Land Application Operator:
Alexander
Year: 2012
Town of Taylorsville
Southern Soil Builders, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Annhention Snmmnrv-
Total number of application fields in thepermit: 3
Total number of fields utilized for land application during the year: 2
Total amount of dry tons applied during the year for all application sites: 147.83
Total number of acres utilizes for land application during the year: 30.8
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2012 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. 0 Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .I 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40'�CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Quality.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submittink false information, including the
possibility of fines and imprisonment for knowing violations."
le WV I 7-AyUes vrA�- ` n -
D AL) x c -i 4--c. P-41 . © . •f z ��'• �3
Permitte ame and Title (type or print) Signature of Permittee Date
de —
Signature of Preparer* Date Si ature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0006906
Facility Name: Town of Taylorsville
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Analvsis Data
NCO026271
Laboratory: 1) A&L Eastern Labs
2)
3)
4)
5)
Parameter
Conc.or
Limit
• .• Date
Percent Solids
Total Phosphorus
lot
for surface uisposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under 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
enalt' for submitting fallse information, including the possibility of fines and
imprisonment for knowing violations."
Signature of Preparer *
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .I 102 (26) DENR FORM RSSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
ttach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
cility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 110.89
FPermit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Icenhour Owner: Owen Icenhour Predominant Soil Series: CeB2
Acres Used: 20.7 Acres Permitted: 20.7 Site #: AL-08 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Com-
posite
Date
MENEM
MENU
no
0
Total
Phos-
phoruslMENEEMENEENE,
Annual Heaw Metal Field Loadings (Calculated in lbs/acre):
Total
1
2 j
_3j
4
51
6j
7j
81
9j
10
11
12
DT/Ac./
°
App.
Event
5.36
Arsenic
0.021
1 0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.021
Cadmium
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Copper
3.182
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.182
Chromium
0.311
0.000
0.000
0.000
0.000
0.000
0.000
0.000,
0.000
0.000
0.000
0.000
0.311
Lead
0.257
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.257
Mercury
0.017
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.017
Molyb-
0.054
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.054
denum
Nickel
0.139
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.139
Selenium
0.043
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.043
Zinc
1 5.346
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
5.346
Total
Phos-
127.497
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
127.497
horus
"I certify, under penalty of law, that this document was prepared under 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".
.+w.; ? l -1 -7-13
Signa r of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
ttach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
r
ame: Town of Taylorsville Total Dry Tons Applied (Annual): 36.96
WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Icenhour Owner: Owen Icenhour Predominant Soil Series: CeB2
Acres Used: 10.1 Acres Permitted: 10.1 Site #: AL-08 Field #: 4
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
OWPOPTIM
Com-
posite
I Date
On
NONE
013
a
a
B
MEMO
Total
Phos-
phorusMENEEMENEENE,
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2 j
_3j
4j
5
6j
7j
8j
9j
10
11
12
DT/Ac./
0
App.
in
Event
3.66
Arsenic
0.015 1
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.00.0
0.015
Cadmium
0.007
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.007
Copper
2.173
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000.
0.000
2.173
Chromium
0.212
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.212
Lead
0.176
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.176
Mercury
0.012
0.000
0.000
0.000
0.000
0.000
0.000'
0.000
0.000
0.000
0.000
0.000
0.012
Molyb-
0.037
0.000
0.000
0.000
0.000
0.000
0.000
0.000,
0.000
0.000
0.000
0.000
0.037
denum
Nickel
0.095
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.095
Selenium
0.029
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.029
Zinc
3.652
1 0.000'
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
3.652
Total
Phos-
87.084
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
87.084
horus
"I certify, under penalty of law, that this document was prepared under 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".
7)�� )111'� /-17,1-1
Signatu of Land App ier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Town ofTaylorsville
Land Owner: Owen Icenhour
Operator: Owen Icenhour
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0006906 Field #: AL-08
Annual Dry Tons Applied: 110.8730 Site #: 1
Predominant Soil Series: CeB2
Crop 1 Name: Fescue Crop 1 Max. PAN:
216
Crop 2 Name:
Acres Utilized: 20.7
Acres Permitted: 20.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
S.
0
is
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet
Moist)
Precip.
Past 24
Hrs.
inches
a
K b
5 '�
o F .
* o
o
w °:
7�
w
* N'
+
0
TKN
mg/kg
z Y
El
o 9
ao o
� w•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4-2012
234000
5.05
2.381
WQ0006906
dry
0
s
0.5
0.3
39400
4160
47.5
60.463
NA
Fescue
9-2012
292500
5.05
2.976
WQ0006906
dry
0
s
0.5
0.3
39400
4160
47.5
75.579
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):
TOTALS:
01
526500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
136.0421
0.000
Lime Applied
Annuallbs/acre
0.021
0.011
3.182
0.311
0.257
0.017
0.054
0.139
0.043
5.346
127.4971
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.159
0.11
18.77
0.179
1.677
0.136
0.162
2.151
0.182
34.384
Current Cumulative lbs/ac
0.180
0.121
21.952
0.490
1.934
0.153
0.216
2.290
0.225
39.730
Permitted C. P. L. R.****
36
34
1338
NA
267
15
1 NA
374
89
2498
Permit PAN Limit 1st/2nd Crop
I
F 216
"I certify, under penalty of law, that this document was prepared under 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."
Signature of Land Applier
/-17'1;7
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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
Land Owner: Owen Icenhour
Operator: Owen Icenhour
Crop 1 Name: Fescue
WQ Permit #: WQ0006906 Field #: AL-08
Annual Dry Tons Applied: 36.9577 Site #: 4
Predominant Soil Series: CeB2
Acres Utilized: 10.1
Acres Permitted: 10.1
Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN:
o
0
O
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NPDES # WQ#
Fert. Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
E b
F
o w
a0.
* o
C
o
;o ;
w �.
r. _
« N'
*�'
c,
w ,
�
* N
*R,
0
TT{N
mg/kg
Z Y
B
c
ao o
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4-2012
39000
5.05
0.813
WQ0006906
dry
0
s
0.5 1
0.3
39400
4160
47.5
20.653
NA
Fescue
9-2012
136500
5.05
2.846
WQ0006906
dry
0
s
0.5
0.3
39400
4160
47.5 -
72.286
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
1
0.000
1 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):
TOTALS:
=7s500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
92.939
0.000
Lime Applied
Annual lbs/acre
0.015
0.007
2.173
0.212
0.176
0.012
0.037
0:095
0 629
3.652
87.084
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.16
0.004
1.574
0.131
0.131
0.013
0.028
0.055
0.016
2.595
Current Cumulative lbs/ac
0.175
0.011
3.747
0.343
0.307
0.025
0.065
0.150
0.045
6.247
Permitted C. P. L. R.****
36
1 34
1 1338
1 NA
267
1 15
1 NA
1 374
1 89
1 2498
Permit PAN Limit Ist/2nd Crop
1,
216
"I certify, under penalty of law, that this document was prepared under 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."
Signature of Land Applier
Date_
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Page: 1 of 2
Report Number: 12-115-0202
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 87551
Sample Id: TAYLORSVILLE
The One Source.
A&L Eastern Laboratories
7621 Whftpine Road Richmond, Virginia 23237 [phone] Fax [phone]
Project: TAYLORSVILLE
NC CERT#257
REPORT OF ANALYSIS
------- ---Total-Solids'---------------------------5.05-------5050(1-__.
Moisture '
94.95
Total Kjeldahl Nitrogen
3.94
39400
Total Phosphorus
1.19
11900
Total Potassium
0.24
2420
Total Sulfur
0.74
7440
Total Calcium
16.10
161000
Total Magnesium
0.44
4420
Total Sodium
0.12
1220
Total Iron
12700
Total Aluminum
17800
Total Manganese
146
Total Copper
297
Total Zinc
499
Ammonia Nitrogen
0.42
4160
Organic N
3.52
35240
Nitrate+Nitrite-N
47.5
Total Cadmium
1.0
Date Sampled: 4/23/2012 09:00:00
Date Received: 04/24/2012 00:00
Date Reported: 04/30/2012
---------10a.0---------JM------04/24/20L2
�529-------SM-2540G-,--------------
100.0
JM
04/24/201215:29
SM-254OG
10.0
JM
04/25/2012 08:44
SM-4500-NH3C-TKN
100
KM
04/25/2012 12:26
SW 601 OC
100
KM
04/26/2012 12:26
S.W 601 OC
100
KM
04/25/2012 12:26
SW '601 OC
100
KM
04/25/2012 12:26
SW 601 OC
100
KM
04/25/2012 12:26
SW 601 OC
100
KM
04/25/2012 12:26
SW 601 OC
1
KM
04/25/2012 12:26
SW 601 OC
10
KM
04/25/2012 12:26
SW 601 OC
1
KM
04/25/2012 12:26
SW 601 OC
1
KM
04/25/2012 12:26
SW 601 OC
1
KM
04/25/2012 12:26
SW 601 OC
10.0
JM
04/25/2012 08:44
SM-4500-NI3C
10.0
04/25/2012 08:44
CALCULATION
2.00
JM
04/25/2012 08:45
SM-450ONO3F
1.0
KM
04/25/2012 12:26
SW 601 OC
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.
e• - n.noa

Page: 2 of 2
Report Number: 12-115-0202
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
The One Source,
A &L Eastern Laboratories
7621 Whitepine Road Richmond, Virginia 23237 (ON) 743-9401 Fax [phone]"
Project: TAYLORSVILLE
NC CERT#257
Lab Number:' 87551 REPORT OF ANALYSIS Date Sampled: 4/23/2012 09:00:00
Sample Id: TAYLORSVILLE Date Received: 04/24/2012 00:00
Date Reported: 04/30/2012
---- Total -Chromium- __.-
Total Nickel
Total Lead
Total Arsenic
Total Mercury
Total Selenium
pH (Standard Units) 12.35
Total Molybdenum
Comments:
QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Fe", "P", AND "Se"- ALL OTHER QC DATA,IS ACCEPTABLE.
--29----------5
-- —
13
5
24
5
2.0
1.0
1.6
- 0.4
4.0
1.0
0.01
<5
5.
—KM---------04/25/20.42
'12:26---------SW-6010C------.
KM
04/25/2012 12:26
SW 601OC
KM
04/25/2012 12:26
SW 6010C
KM
04/25/2012 12:26
SW 6010C
KM
04/25/2012 09:00
SW-1471 B
KM
04/25/2012 12:26
SW 6010C
JM
04/25/2012 08:44
SW-9045D
KM
04/25/2012 12:26
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
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

WE
Mineralization
as decimal
ITotal dry
tons/year
IAcres
Applied on
30.8
Rate
0.3
TKN
39400
NH3
4160
NO3
47.5
NO2
0
% Solids
0.0505
147.83
PAN Surface
12699.5 1 mq/kq 25.399 lbs/dry ton
3754.734 Ibs total PAN
121.907 Ibs PAN/acre
PAN Injection
14779.5 m /k 29.559 lbs/dry ton
4369.707 Ibs total PAN
141.8736 Ibs PAN/acre
Dry Tons/1000 gal.
0.210585
1st year PAN
Surface lbs.
3754.73417
1st year PAN
Injected lbs.
4369.70697
lbs./acre
Surface
121.9069536
lbs./acre
Injected
141.8736029
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + l(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
1000 X 8.34 X %solids X sp. -gravity
2000
"=dry tons/1000gal."

IPSodium Absorption Ratio
PNa : Sodium (Mg/L) Equivalent weight: 23
Ca : Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na(Mg/L) Ca M /L MgLM /L
61.61 1 813.05 221
Na fME1
Ca ME
40.6525
Mg_ LMffi7
2.678696
18.41667
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.492899 (From Mg/L entered above)
SAR= 0.493136 (From ME entered below)
Na (ME)
Ca (ME)
1 40.65
Mg (ME)
2.68
1 18.42
The amour
amount of
Permitting i

Lime Stabilization
Project: Town of "i`a�riarsvilPe 1PliWTP _ Location: Digesters
p,.
Date.• Date; Date: I VA Aa 11
Tlme' ds3b Time: /o 3 o Time: d2;1 o
Gallons
p & temp. at
Corrected
_ Lime
pH & temp after
Corrected
ph & temp. after
Corrected
start
pH
Added
2 hours
pH
22 hours
H
%boon
jZ.4o
f �yG
3
ZellGn
%L.S'O
�o•�
�Z.3�
/r4S'
JgV`
/
lj• %�
L
ow requirements: 12 minirnum 115 Mlnlmum
Note
Start pH taken immediately after lime addition.
pH readings taken with an approved low sodium glass electrode probe. pH Meter was callibrated to a pH of 10 prior to sampling.
Operator:

Lime Stabilization
ProjW;
Town cf iayiors�►ille UVlIVi'f'
Location:
Digeste!3
Date:
s -LO 1 -x-r Date:
3 - Z ,7- - 24>) Z
Date:
'Time:
0,9 v
Time:
//'r-1-o
Time:
v 11 Y6
Gallons
PH A temp. at
start
Corrected
pH
Lime
Bedded
pH & temp after
2 hours
Corrected
pH
ph & temp. after
22 hours
Corrected
PH
1201000
/z .°i�
� ��
J�.• t; y
yroO,,
�Z.'s"?
�O �'
/L• 3 B
/I. �Qi
r'�f°`'
fj• 6
50 Hequlrements: u minimum 11 5 minimum
Notes:
Start pH taken immediately after lime addition,
pH readings taken with an approved low sodium glass electrode probe. pH Meter was callibrated to a pH of 10 prior to sampling.
Operator:

Lime Stabilization
Proje t: Town of Taylorsville WWTP Location: Digeste4
Date: 3-Z�-�i-i-Date: 3- 44 -40 PL -
Date,
Time: vd3 a Time: l d 3 a Time: o All3 0
Gallons
PH & temp. at
Corrected
lime
pH & temp after
Corrected
ph & temp. after
Corrected
start
H
Added
2 hours
H
22 hours
H
Iaovoo
/2.99
/ -.6-
t 0,0 JAL
lL►�lI %�°c'
)Z.ZO
149Y /73
/1.6'8
(Votes:
Start pH taken immediately after lime addition.
• pH readings taken with an approved low sodium glass elootrode probe. pH Meter was eallibrated to a pH of 10 prior to sampling.
Operator:

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 9/27/2012
Reported: 10/23/2012
For: Taylorsville
Sample ID
Parameter
Cust ID
Result Units
Method
Date Analyzed
Analyst
120927-10
Corrosivity
Taylorsville
See Attached
SW-846
10/17/12
PACE
120927-10
Ignitability
Taylorsville
See Attached
1010M
10/17/12
PACE
120927-10
Reactivity
Taylorsville
See Attached
SW-846
10/17/12
PACE
120927-10
TCLP
Taylorsville
See Attached
1311
10/17/12
PACE
Respectfully submitted,
a/V,10- 0111'r
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NC00909
I
P.O. Box 228 • Statesville, North Carolina 28687. 704/872/4697

aceAnalytical
www.pecefabs.00m
Project: 120927
Pace Project No.: 92133320
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
aampie: 1ZUU27-10 Lab ID: 92133320001 Collected: 09/27/12 11:48 Received: 09/28/12 13:15 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8081 GCS Pesticides, TCLP SPE Analytical Method: EPA 8081 Preparation Method• EPA 3535
gamma-BHC (Lindane)
Chlordane (Technical)
Endrin
Heptachlor epoxide
Methoxychlor
Toxaphene
Surrogates
Decachlorobiphenyl (S)
Tetrachloro-m-xylene (S)
8151 Chlorinate Herbicide TCLP
2,4-D
2,4,5-TP (Silvex)
Surrogates
2,4-DCAA (S)
•
Leachate Method/Date: EPA 1311; 10/08/12 14:45
ND ug/L
2.5
5
10/10/12 12:30
10/17/12 13:44
58-89-9
ND ug/L
15.0
5
10/10/12 12:30
10/17/12 13:44
57-74-9
ND ug/L
2.5
5
10/10/12 12:30
10/17/12 13:44
72-20-8
ND ug/L
2.5
5
10/10/12 12:30
10117/1213:44
1024-57-3
ND ug/L
5000
5
10/10/12 12:30
10/17/12 13:44
72-43-5
ND ug/L
15.0
5
10/10/12 12:30
10/17/12 13:44
8001-35-2
0 %
10-138 5
0 %
10-110 5
Analytical Method: EPA 8151
ND mg/L
0.010 1
ND mg/L
0.010 1
97 %
70-130 1
10/10/12 12:30 10117/1213:44 2051-24-3 D3,S4
10/10/12 12:30 10/17/12 13:44 877-09-8 S4
10/09/12 08:00 10/10/12 17:49 94-75-7
10/09/12 08:00 10/10/12 17:49 93-72-1
10/09/12 08:00 10/10/12 17:49 19719-28-9
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA 3010
Leachate Method/Date: EPA 1311; 10/04/12 05:30
Arsenic
ND mg/L 0.025 1 10/05/12 06:15
10/05/12 23:18
7440-38-2
Barium
Cadmium
0.25 mg/L 0.050 1 10/05/12 06:15
10/05/12 23:18
7440 39-3
Chromium
ND mg/L 0.0050 1 10/05/12 06:15
10/05/12 23:18
7440-43-9
Lead
ND mg/L 0.025 1 10/05/12 06:15
10/05/12 23:18
7440-47-3
Selenium
ND mg/L 0.025 1 10/05/12 06:15
10/05/12 23:18
7439-92-1
Silver
ND mg/L 0.10 1 10/05/12 06:15
10/06/12 19:32
7782-49-2
ND mg/L 0.025 1 10/05/12 06:15
10/05/12 23:18
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA7470 Preparation Method: EPA7470
Leachate Method/Date: EPA 1311; 10/04/12 05:30
Mercury
ND ug/L 0.20 1 10/05/12 19:15
10/08/12 15:01
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 10/08/12 14:45
1,4-Dichlorobenzene
ND ug/L 50.0 1 10/10/12 08:45
10112/1210:52
106-46-7
2,4-Dinitrotoluene
ND ug/L 50.0 1 10/10/12 08:45
10/12/12 10:52
121-14-2
Hexachloro-1,3-butadiene
ND ug/L 50.0 1 10/16/12 08:45
10/12/12 10:52
87-68-3
Hexachlorobenzene
ND ug/L 50.0 1 10/10/12 08:45
10/12/12 10:52
118-74-1
Hexachloroethane
ND ug/L 50.0 1 10/10/12 08:45
10/12/12 10:52
67-72-1
2-Methyl phenol(o-Cresol)
ND ug/L 50.0 1 10/10/12 08:45
10/12/12 10:52
95-48-7
3&4-Methylphenol(m&p Cresol)
208 ug/L 50.0 1 10/10/12 08:45
10/12/12 10:52
Nitrobenzene
ND ug/L 50.0 1 10/10/12 08:45
10/12/12 10:52
98-95-3
Pentachlorophenol
ND ug/L 100 1 10/10/12 08:45
10/12/12 10:52
87-86-5
Pyridine
ND ug/L 50.0 1 10/10/12 08:45
10/12/12 10:52
110-86-1
2,4,5-Tnchlorophenol
ND ug/L 50.0 1 10/10/12 08:45
10/12/12 10:52
95-95-4
Date: 10/23/2012 03:15 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
I
Page 4 of 20

FraceAlnllyfical"celabs.com
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 120927
Pace Project No.: 92133320
Sample: 120927-10 Lab ID: 92133320001 Collected: 09/27/12 11:48 Received: 09/28/12 13:15 Matrix: Solid
Results reported on a 'di weight" basis
Parameters
Results Units Report Limit
DF
Prepared Analyzed
CAS No. Qual
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 10/08/12 14:45
2,4,6-Trichlorophenol
Surrogates
ND ug/L
50.0
1
10/10/12 08:45 10/12/12 10:52
88-06-2
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
34 %
12-102
1
10/10/12 08:45 10/12/12 10:52
4165-60-0
Terphenyl-d14 (S)
33 %
57 %
13-107
1
10/10/12 08:45 10/12/12 10:52
321-60-8
Phenol-d6 (S)
17 %
21-132
1
10/10/12 08:45 10/12/12 10:52
1718-51-0
2-Fluorophenol (S)
25 %
10-110
1
10/10/12 08:45 10/12/12 10:52
13127-88-3
2,4,6-Tribromophenol (S)
47 %
10-110
1
10/10/12 08:45 10/12/12 10:52
367-12-4
27-108
1
10/10/12 08:45 10/12/12 10:52
118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260
Benzene
2-Butanone (MEK)
ND ug/L
ND ug/L
125
25
10/12/12 16:05
71-43-2
Carbon tetrachloride
ND ug/L
250
25
10/12/12 16:05
78-93-3
Chlorobenzene
ND ug/L
125
25
10/12/12 16:05
56-23-5
Chloroform
ND ug/L
125
25
10/12/12 16:05
108-90-7
1,4-Dichlorobenzene
ND ug/L
125
25
10/12/12 16:05
67-66-3
1,2-Dichloroethane
ND ug/L
125
25
10112/1216:05
106-46-7
1,1-Dichloroethene
ND ug/L
125
25
10/12/12 16:05
107-06-2
Tetrachloroethene
ND ug/L
125
125
25
25
10/12/12 16:05
75-35-4
Trichloroethene
ND ug/L
125
25
10/12/12 16:05
127-18-4
Vinyl chloride
ND ug/L
125
25
10/12/12 16:05
79-01-6 ;
Surrogates
10/12/12 16:05
75-01-4
1,2-Dichloroethane-d4 (S)
Toluene-d8 (S)
107 %
70-130
25
10/12/12 16:05
17060-07-0
4-Bromofiuorobenzene (S)
92 %
98 %
67-135
25
10/12/12 16:05
2037-26-5
Dibromofluoromethane (S)
102 %
70-130
25
10/12/12 16:05
460-00-4
70-130
25
10/12/12 16:05
1868-53-7
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
98.7 %
0.10
1
10/01/12 14:43
1010 Flashpoint,Closed Cup
Analytical Method: EPA 1010
Flashpoint
>200 deg F
70.0
1
10/18/12 17:00
Reactive Sulfide
Analytical Method: SW-846 7.3.4.2
Sulfide, Reactive
ND mg/kg
100
1
10/12/12 11:30
9045 pH Soil
Analytical Method: EPA 9045
pH at 25 Degrees C
12.0 Std. Units
0.10
1
10/04/12 13:00
733C S Reactive Cyanide
Analytical Method: SW-846 7.3.3.2
Cyanide, Reactive
ND mg/kg
0.025
1
10l03/12 16:21
Date: 10/23/2012 03:15 PM REPORT OF LABORATORY ANALYSIS Page 5 of 20
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

PrNNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
me: Town of Taylorsville WQ Permit Number: WQ0006906
me: Town of Taylorsville NPDES Number• NCO026271
Period:. From 1/1/2012 To 12/31/2012
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
1 Alt B (Alk Treatment)'❑
I Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) ❑
1 Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alt. (1) Fecal Density ❑
Alt. (2) Process to Significantly Reduce Pathogens p
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization p
Air Drying ❑
Composting ❑
Aerobic Digestion ❑
Anaerobic e Di ti
g s on
........... .
If applicable to alternative performed (Class A or Class B) complete the following
monitoring
data:
Parameter
Allowable Level
in
in Sludge
Pathogen Density
Number ot
Excee-
Frequency
of Analysis
y
Sample
Type
Analytical
Tech -
nioue
Minim
Geo. Mean
axim
Unitsences
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.l (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt: 3 (30-day bench) ❑
Alt. 4 (Spec. Oz uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization 0
Alt 7 (Drying - Stable) ❑
lAlt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not.met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
�VVE-s oee-L
repar r Name and Title (type or print)
Signature of Preparer* Date
Dennis Key Southern Soil Builders, Inc.
Land Applier Name and Title (if applicable)(type or print)
Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No.
FY13-SLO1175
Client:
Southern Soil Builders, Inc.
Advisor.-
Predictive
958 Hoots Rd
Roarin River, NC
9
28669
Soil Repo ft Mehlich-3 Extraction
County:
Alexander
Sampled: Received: 10/29/2012
completed: 11/06/2012
Farm:
Links to Helpful Information
Sample ID: 0801
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P206
K20
Mg S
Mn Zn
Cu B
Information
Lime History:
1-Fes/OG/Tim,M 0.0
120-200 0
0
0 0
pH$ 0
0 0
Note: 12 Note:
2 -
$pH
Test Results [units - WN in g/cd; CEC and Na in meq/100 ed; NO3-N in mg/dnft
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2
Zn-I Zn-AI
Cu-1 Na ESP SS-1 NO3-N
1.02 0.97
23.7 100 0.0 7.0 519 136
89 8 63
172
105
915 915
749 0.2
1
Sample ID: 0804
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P205
K20
Mg S
Mn Zn
Cu B
Information
Lime History:
1 - Fes/OG/Tim, M 0.0
120-200 0
0
0 0
pH$ 0
0 0
Note: 12 Note:
2 -
$pH
Test Results [units - WN in g/cd; CEC and Na in meq/100 cd; NO3-N in mg/dd]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2
Zn-I Zn-AI
Cu-I Na ESP SS4 NO3-N
0.76 1.00
14.7 98 0.2 6.7 259 91
81 14 58
101
68
559 559
520 0.1
1
North Carolina
i��lx,u+. in,+t Fur.J C,�+rnn,+sion
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
1

MCDEHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly. Eaves Perdue Coieen H. Sullins
Governor Director g�
July 28, 2010
CERTIFIED MAIL # 7009 0820 0001 0529 8636
RETURN RECEIPT REQUESTED
David Matthew Robinette
Town of Taylorsville
204 Main Avenue Drive
Taylorsville, NC 28681
Subject: NOTICE OF VIOLATION (NOV-2010-PC-0900)
FAILURE TO SUBMIT ANNUAL REPORT
Permit No. WQ0006906
Town of Taylorsville Residuals Land Application Program
Alexander County
Dear Mr. Robinette:
This Notice of Violation is being sent to you for failure to submit the 2009 annual report.
One of the requirements of your non -discharge permit is the submittal of an annual
report to the Division of Water Quality by March 1st of each year. As of this date, our
records indicate that the 2009 annual report has not been submitted for the subject
facility.
Failure to act in accordance with the terms, conditions, or requirements of your permit
may result in the assessment of civil penalties of up to $25,000.00 per violation per day_ ,
in accordance with North Carolina General Statute §143-215.6A.
Please respond to this notice of violation within 15 calendar days of its receipt, either by
submitting three copies of the annual report or records, indicating the report was
submitted. Submit to:
Ed Hardee
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raieiah, North Carolina 27699-1636
Location: 2728 Capital Boulevard. Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 918-715-6048 t Customer Service: 1-877-623-6748
Internet: www.ncwateroualitv.ora
An Eaual Opportuniiv 1 Affirmative Action EmOover
No liCai"oaina
A
fwa­aI4�,

Nothing in this letter should be taken as relieving from you the responsibility for failing to
submit the annual report in a timely manner. A decision as to the appropriateness of an
enforcement action will be made following the receipt of your response.
If you; have any questions regarding this letter, please contact Ed Hardee of our Central
! = Offic"e=staff;'at,(9`1;9) 715-6189.
L
Sincerely,
Jon Risgaard, Supervisor
Land Application Unit
JR:eh
cc: E«resvi9ie Regan l iiee .
Permit Fies W00006906
Land Application Unit

Town of ° Taylorsvilte
"The Brushy Mountain Gateway"
67 Main Avenue Drive
Taylorsville, North Carolina 28681
828.632.2218 (Phone) • 828.632.7964 (Fax)
ww w. taylorsvillenc.com
Towin of Taylorsville
M.tt,
r
v.
».. y . t....... I ��. •, t4`'v � i 6't tr.^'° ��� 4gj[�1q
APR �011
Information ,- i;nli
DWC„✓BCG
'llhc Town of Tavlomville does not discriminate on the basis of mce, color, national origin,
scx, relig on, age or disability in employment or the provision of services.

Town ofTaylors ville
"The Brushy Mountain Gateway"
67 Main Avenue Drive
Taylorsville, North Carolina 28681
828.632.2218 (Phone) • 828.632.7964 (Fax)
www. taylo rsvillenc.com
2010 Annual Report
Town of Taylorsville, NC
NC Permit WQ0006 06
Enclosed is the Annual Monitoring Report as required by the above referenced permit.
P,1 AY— 2 2011 e
In 2010 the Town of Taylorsville land applied 240,000 gallons at a solids percentage of 2.33% (or
23.32 dry tons) of bio solids to 20.7 acres of permitted land.
*Assembled to the best of our knowledge, all of the following monitoring information is enclosed:
23 pages of Laboratory Data (TCLP, etc.) for the Town's WWTP sludge
All four (4) WWTP digester lime stabilization records for the single (1) 2010 sludge haul in April 2010
PLA's truck loading record with attached paid bill to PLA for services rendered.
60-day Annual Sludge Report extension e-mail copy from NCDENR Office.
For several years now, PLA (Precision Land Application, Inc.- Chris Alexander as ORC-336-902-
9318 or 336-957-8839) has taken care of all sampling, field testing, and bio solids handling. The Town of
Taylorsville had scheduled a sludge haul for May 2011, and Chris had conducted testing of our sludge
and field as of 12/30/2010. -
Sinc--e that time, we only recently discovered that- he-is_-n-o longer -going to haul_-
-
our sludge. Furthermore, while attempting to find another company to dispose of our sludge we
discovered that Chris Alexander has abandoned the Town's bio solids contract in every way; including the
completion of our 2010 annual sludge report.
As soon as the Town discovered that laboratory data had not been secured by Mr. Alexander
from December 30, 2010, the Town paid $1394 to Statesville Analytical to secure the data for 2010 for
ourselves. In the last two months, the Town has been aggressively pursuing another contract sludge
hauling company to assist us. Synagrow, Bio-Nomic, and Merrell Brothers have been contacted. Mr.
Alexander of PLA had assured us as recently as February 2011 that he would finish this annual report;
but has since refused to answer any calls from the Town of Taylorsville. In February of 2011, Mr. Brian
Eades who operates the Town's WWTP contacted Mr. Ed Hardee of NCDENR in Raleigh to secure a 60
day extension to file the 2010 Annual Sludge Report by May 1st. Mrs. Ellen Huffman of the Mooresville
NCDENR Office was also consulted in this matter. The Town was instructed to obtain the laboratory
information from 2010, and to do the best we can in assembling the data. Mr. Brian Eades and I have
assembled this data to the best of our knowledge, and are not licensed Land Applicators.
Since our contract ORC (Mr. Chris Alexander of PLA) cannot be located; the Town feels that it's
best not to attempt to fill out forms that we do not understand. However, this information we are providing
NCDENR in triplicate is submitted as a "good faith effort" in this situation. If we can further clarify any of
the information provided please contact us at your convenience at 828-632-2218. Thank you.
Sincerely
G—
David Robinette, ublic Works Director/Brian Eades, WWTP ORC
The Town of Taylr nville dries not discriminate on the b"L,, of rare, color, national origin,
> �, rcliynon, age or disability in emple,ymenr or the provision of services.

Print Page 1 of 1
From: Hardee, Ed ([e-mail])
To: [e-mail];
Date: Tue, March 1, 2011 1:50:48 PM
Cc: [e-mail];
Subject: Annual Report Extension
Mr. Eades,
This email grants you an extension until May 1, 2011, to submit your 2010 annual report for permit
WQ0006906, per our phone conversation.
The link below is for the Land Application Unit Reporting Forms. Under the Residuals tab you can use
02H Land Application Report Forms or 02T Land Application Report Forms.
http://portal.ncdenr.org/web/wq/aps/lau/reporting
This permit expired 9-30-2007. It is a condition of your permit that at least six months prior to the
expiration of the permit to request its extension. A permit renewal application is due to the Division of
Water Quality no later than six months prior to the expiration date. To date the Division has no record of
a renewal application being submitted. Please submit a renewal application.
Ed Hardee
Aquifer Protection Section
Land Application Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
Phone [phone]
Fax [phone]
----- --- --- - - ----- - - ---- --- ----- - - - - ----- --- -------- ----------- ---- ----- - - ------ -
DISCLAIMER: Per Executive Order No. 150, all e-mails sent to and from
this account are subject to. the North Carolina Public Records Law and
may be disclosed to third parties.
http://us.mg6.mail.yahoo.com/de/launch?.gx=1&.rand=8jevjakvOuphl 4/20/2011

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES1111111111111111111111111111
2 0.1 0 P R 0 1 01 9 4 !IN`
INVOICE G !'
Annual Permit Fce CC
This annual lee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your 9
permit. It is required of any person holding a permit for any lime during the annual fee period, regardless of the facility's operating
status. Failure to pay the Ice by the due date will subject the permit to revocation. Operating without a valid permit is a violation ,Q
and is subject to a $10,000 per day line. If the permit is revoked and you later decide a Permit is needed, you must reapply, with the �f
understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions.
Permit Number: WQ0006906 Annual Fee Period: 2010-11-01 to 2011-10-31
Alexander County
Town of Taylorsville Residuals Land Application Program Invoice Date: 10/12/10
Duc Datc: 11/11/10
David Matthew Robinette Annual Fee: $810.00
Town of Taylorsville
204 Main Ave Dr
Taylorsville, NC 28681
Notes:
I . A $25.00 processing fec will be charged for returned checks in accordance with the North Carolina General Slalulc 25-3-512.
2. Non -Payment of this fec by the paymcnl duc dale will initiate the permit revocation process.
Remit payment to:
NCDENIZ - Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
4. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance ]cc Coordinator at
919-507-6321. _

TOWN OF TAYLORSViLI_I:
ACCOUNT NO. VENDOR �t E CHECK NO.
VOUCHf:R INVOICE NUMBER INV. DAl'E-Net�EHNR INVUICfVY B N IJAtIi'Y F�MOUNI' PAID DISCOUhJ806-6AF(LN
00009013 102710 10/27/2010 2,480.00 2,480.00 . 30.8100.3300
CHECK TOTAL
Check Dale: 10/27/2010 $2,480.00.

Town of Taylorsville VIVVTP
p7ate;��3-lB--Lail
Lime Stabilization
Late: 73 - 2 �, !c�
'Finns• li aU,
Digester i
Date: 3 /7 - z v / o
nl e: 090 0
Gallons
pH & temp. at
start
Covrectcd
_jq___...._.
- �alme PH & temp after
Added 2 hours
CorQeded
PH
ph & lti;mp. after
22 hours
Corrected
pH
/� Elk
zs'sa
/'0 00 l4� /3 , S �'�
_
/3.
Notes:
5M HNmirermums: 12 Minimum
Stan pH taken immediately after lime addition.
pFl readings taken with an approved low sodium glass oloctrodo probe. OH Meter was callibrated to a pFI of 10 prior to sampling.
11.5 Mlnlmum

Lime, Stabilization
Project-.
Town of Taylorsville WASP
r Location:
Digester 2
Date. 3 -72 --2-o i-
'rime:
Date: A 4-2,o A)
Date 2-01
_9
Timet—
Time:
GnIlans
Wg-fiin—np- at
Corrected
Lime
PHi &.ei:np after
Corre-eted
ph&temp. after
Carrected
start
PH
Added
2 h6urs
PH
22 hours
PH
0 0
S U
503 9equirements: 12 Minimum 11 5 Minimum
Notes:
Start pH taken immediately atter lime addition,
pH readings taken with an approved low sodium glass electrode probe,: pH Meter was callibrated to a pH of 10 prior to a-afripling.
Operator:

0.
Lime Stabilization
i
Town of Taylersvil le WWTP L.0, cation. Dige
ster 3
Date: r 3 — Da�m: u 3 —17 r 2.v l U DElte. 3 /3 - 2,0 l0
Time: 0306) Time -
Notes:
Operator:
Lime PIH & temp after Corrected ph & temp. after Corrected
—Stark PH
Added 2 hoOrs _pt! 22 hours
0 ms 2, e-
/'3,9 d-0. A0 0 (-)
/A '754
nu q 11.5 Minim uln
me utrements: i? A;iinifnurri
Start 04 takel) immediately after lime addition.
pf-I readings taken with an approved IOW S0diUM glass electrode probe, pH Meter was callibrated to a pl-I of 10 prior to sili-nplilig.

Lime Stabilization
Project,
)FOWn of 'Faviersville W�V'J*P
Digester 4
Date-
Time:
7 —i0)0
—0 1-0-0
Dais..
Date: 1,3 --2,0 37
Time;U
Tima:
Gaijlons
/0o 00 o
PH ?-, temp. a
start
1411, 0
are
Urea PH & 'lamp after
Added 2 hours
ve-
o0c) lis, f3.
Corrected, ph & temp. after Correactee,
PH 22 hours PH
12— 0
!A13 Requirements: 12 Minimum 11.5 klinirntim
Notes-
- Start pVI taken irvirnedialoly after time addition,
- pH readings taken with an approved lo%,,f sodium glass Plecirode probe. pt-I Motor was callibrated io a pl-I of, 10 prior to sampling,
Operator:

18-E It I : '3 Al 11-41 Town of Taulorsvi I le
Precis -ion Land Application, Inc.
4C,22 White Plains Rd
Roaring River, NC 28669
Bill To
Tom of Taviovs-ville
David Rabinerw
204 N—Aaln -kvcnuc Or. SE
Twylorsville, NC 28661
Invoice
Date ':nvcice
4,'13120 10

TOWN OF: T YIDRSAl-LE
ACCOUNT NO,
UOIJCHEA �lvltJiFOtC c NUMBER
fi()Wi192 9122 0.
a
I:c_I
i Tr
,1
Cherk Late: (1412W2010
iU
_%
GHEGK TOTAL
$1 D, SC,'DAQ

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Rpr 13 2011 11-.09AM Statesville Analytical 704-378-2-87 Page 1.
statz6vie& anaytka., gne,
122-Coy rt Street
P.O. Box 228.
Statesville, M-28887
[phone]
Prz�cisidn LandApofications, Inc.
4022- -Whffe Plaihs Rd:
Raoring River, NG 28669
Invoice
DATE INVOICE 0
If 17/2011 138030 j
PwdsionlarldApplications, Inc.
40224ftb.'Plaihs--Rd.
Rabfing-River'. NC 28869
p0#40b
TERMS
SLANMT PO
WORK ORDER
Taylomiille
Net 30
1001230-6
DESCRIPTION
QU.A14TrFf
RATE
AMOUNT
'Mezls Analysis- Waste -Water Analysis.
13
21M
260 ' 00
% Solids
1
1-6.00
16.00
-Mercury - Waste W&ta Analysis
1
33.00
Ignitability --Sl*e A-rinlysis
1
6340
63.00
A m-monia as Nitrogen
1
17.00
417,00
NitateNitrite - Wasft Water Analysis
I
2SAD
25.00
pH.
1.
9.00
8.00
Resetd-vity.ArWysis - Wa�sW Vater Ainlysis
1
85.00
Total Phosphorm
1
23.00
25-00
TCLP - NIB Olid = Sludge Analysis.
1
925.00
825-00
Total rjeldWil- Yttrogen Wasft Water Analysis
1
3:5.00
35M
Sales Tax
7.75%
0,00
'It's been a plciasure working with YOU I
Total $1,394.00
=1poTT&nt! ?1eaR include invoice number wia, payment,.

Rpr 13 2011 110 30RM 5ta eSVI11e Hnal3tzca_ "U4 -d itf-c rts r
P3g'-- .:;
Precision Land Application, Inca
4022 While. Plains Fed.
Roaring River Nf- �-8569
ntered 1213012010
Reported: 211MC-11
For, Taty'_orsville COMpasite
Rezpacifully subrsitted,
VI in
Dena Myem
NC Cert ;0,
NGDW Cort.437755,
EPA NCO0909
TO. Box- 22€ 4 5tatesnlle, i40tth C2xcljna 2W 0 7(JA7` 14697

Apr 13 2011 i1:30AN Statesville Analytical
704•-879-2:'97 ;:?oe 1
Statesville Anaiy�i, Inc.
132 CaLmt Str+�y P.
Sox 228
Statesville, PAC 28687
(704) kti72-4697
0411 2Co91
SALE
VISA
x-a .. �38
Exp. bats:
xx I xx
Name'.
Torun of Taylorsville
Autti, Coda:
623339
Trara.ID:
ME007E722.272
-low: $1 „394.00
QuickBooks Trans. No:
Merci,ont Mo.: 5247710004383824
Tbar)kE you for your business
CUSTOMER : UPY

Apr 13 2011 11:30AM Statesville Anal--tical Page e-
R
Analy-ti, cal Results
Precision- LandApplication, Inc.
4022'+ bite PIaigis Rd.
Roaring River NC 28669
Entered 12i30W10
Reported: 2//612011
For Taylorsville Composite
sample 10
pafemculst
ID
�a
Resuft Unfts
Meihod
DuteAhalyzed
AnaW
1001.230-6
% Solids
T-i. C'.omposile
2.33
%
SPA25406
115/11
CL
100123"
Alumhum-f9-arrdVsoii:K.1-Composite
121
mgAg
SM-3111 C
1/47/11
MD
1 D01230-9
Arsenic -solid
T-1 Composite
0.515
rngrlcg
SM 3113 S
1/17,' 11
MD
1001230-6
Cadmiun'.-
T-1 Composite
0,10
mglkg
SM31115
1113111
MD
1001230-6
Caldum-PBamelsoiid T• 1 Composite
169
rrtgikg
SM 31 t 1 0
1127M 1
MD
1001230-6.
Copper-Flamelsolid T-1 Gmpmite
532
MgAg
S.1311 to
1120111
MD
i 1001230-£
corrosholsy
T-1 Composite
See Attached
W-345
1117111
PACE
100123G�
Ignitabi0j
T-1 € omposite
Seer AUuh.ed
1010M
1117111,
PACE
1001230-6
lead-fumacalsolid
T-1 Composite
35.2
Mglkg
S€df311113
1112/1'(
MD
1001230-6
Magnesium-
T-1 composite
1.,83
Mg1q
SM 3111. D
1127111
MD
1001230­6
Mercury -solid
T-1 Composite
4,3
mg*g
245.1
2114AI
MD
100123C 6
Molodenurn -
T-1 Composite
See Attached
mpg
EPA20067
1115111
PACE
1001230-8
tdHM-aoiid
T-1 C'or, *site
5,624
rnglkg
SM45D0NH3S 116111,
u1.
1001230-6
Nickel-Fbma/30111%
T-1 Cordite
21.
mg*g
SM31115
1MY1I
MD
1001230-0
NOM02•-3011d
T-1 Composite
1,137
mWkg
Si4500F/A.
1/12PI'e
CL
1001230-8
Pik
T-1 Composite
6.83 STD units
SM,4SX-HS
12130110
CL
1001.230-6
Potassium!-IGPlaolid T-1 Coailassite
2.Atiar oe?
rr &,g
EPA200.T
1/15f11
P.S.CE
1001230-6
Reanvit/
T-1 Cmate
See Atta esd
SVV-846 -
1/1711",
'PACE
1001230-8
Sei"iurn-solid
T-1 Compenito
<0.43
rr°N xj
SM 3113 8
1/25311
MID
1001230-5
Sodium -solid
T-I Composite
;peg A'lta"'tssd
-mglkg
SM 33111 ,S'
IIIVI1
PACE
100123-0-8
T.Pi,oephorcua-solWT-g Composite
'3433
mge%g
SM4,5h CPE
'I/1Sr`i1
CL
1001230-6
TC:LP
T-1 C osit:
See tsttarhed
1311
1117/'11
PACE
100,1230 6
TM -ad -hi
T-1 Composite
60,137
mgft
SM45G[iNWIS V14/11
CL
1001^30.5
ZMC'Piaulw-sdid
T-1 Com_vmi:w
858
mcglkg
SM311 18
1120/11
MD
RC), Box 228 A Statewvile, North.Carclina 2EOV7 7 04/S724697

RAr- 13 2011 1 1 , 30AM Statesville Anal - ti Ya,. 704-$'78-2787
pa;e
Precislon Laney Application, Inc.
4.022 White. Plains Rd.
Roaring River NC 20-669
;mere,: 12d=21010
Reported: 211M011
For `l'uyiorsville Composite
Respectfully submitted,
Dena Myers
NC Cerf 40,
NGDW Celt*37755,
EPA NCO0909
T.O. 3cx 22€ -a Sw _1le, NozLt Gambna 2_A3687 ® WA/87-9/4697

r
ien N.
Addf�s: z 224
�-
4t� �.
PO st trace ne!e)
ed Ei d K -card
c,bcner' _� — Ilsh-I� -- Tiaws ,, 4a`saeryaleit: a, Aiptstr'"
6 iDk Gxab.l�n4i} (. 4bOt777
iYi
1 s_ -
r
n I .} ",�.. 1, � ---
n Dat:..:� I __ ��ampj6di by:. .
tY
--- r4Tim �° -- Transported
:! j?@Ih)qui3PiG-d bii:. Time afi , ImI Ddia fi
l
— O�i'B��It3.11€b'i File
Time ReG
- .. ---. - — ----- - — . -- - — CompWince wore .

Apr 13 2011 11:32RM
Statesville Analytical
704-878-2787 page 5
/(0
• (
i R ro yoc ar t3oa•OMS, ki- A ftvda:al $®r> �
RPiffti ti8 eii ty 10, Kam. SUIT i00
••�•
r
A <4�v/;, ,pNC V=4 a7b s,M, rIC aa01:13
ff
�veV)2�i71 YE iw:PP:i9,
ANAL { OPAL RESULTS
Prejec4: 1001230-6
Pace Project Alo.: 9285039
Saamp}a: 10Q12
Lab10: SMCWia1 Callbc%& 1213W10 17:15
%•dad: 01,W1,1 .i:4o MuVjle utter
P3r'amoifn
Ramb
unila RtiMd UrrtAt 7F
Prapa lrad Ana)yrzd CAS Nu alai
SIS1 ONCRin als Horblci<a TCLP
AnaPocal ?1.e119aad:
EFTA, 8151
214-0
NC eTWtlL
0.01-0 1
41 1?s S1 1&.20 01/14111 03:26 S4-75-7
2,4,5---fP (Silvexi
NIA mgit
0.010 1
01/1?}11 16:3i1 01114Ji1 03:26 93-72-1
7,4-DCPA(S)
117 %
70-130 1
01/12111 16:20 01)14/11 03:26 '1971D-2t1-9
200.7 MEY 1C P
AnxFftmf Adethod:
EPA 200.7 Propsrarllaan Method; EPA 2N.7
Moiybdetaum
70.6 tVL
5.0 1
01/13/11 IOW O1(1511 03:32 74-39-98-7
Paboalurn
07105 - LVL
Z.5000 5
01/13M 10,10 01/17/11 14:09' 744C-0334
Snrliurn
G1DOV ug/L
50t?0 1
01113/1f iC;SC; O1/1w11 02:52 74-4G,13-5
0090 MET ICP, TCLP
.analtitt!0e1 Resod:
EPA 6010 PreMm ion MWIW: EPA! Vi 10
Laoctmle Mthod/Dets: EPA 1311; 01IM3111 16:40
Amnt
NO wWA.
OM-5 i
01114/'li 16:15 CIM7111 12:03 744D-3t1-2
Sariaarn
1.3 nig/L
0.50 1
01114111 15AS v1/i7/11 '12:03 7440-31G4
GadmIum
MD mg/a.-
0.,!XZO 1
011'-VI 1.18:15 01(17111 12:03 7440-43-2
C.hMMiurn
MD rrey/L
U:025 1
U111V'it 1615 OW V1.1 12:03 74.4?-47-3
Leed
ND mg/L
M25 1
011141f 13:15 l)1/17111 12:0'i 74 a2-1
Setardum
HD mgL
tom 1
0111411 16,1 x 01/17111 12.03 177x249-2
Silver
NO rng L
0.1,125 1
01: 14/11 13:15 0/17(11 12:03 74`W-22-4
r �~ 347t1 Mmum 7--LIP
1
Analy'dml AAoftcRJ:
EPA 7470 Pnepa ratter Mulhod: CPA 7470
LeachmM MMhockDatu: EPA 1311;D1/13111 16:40
ma rYurp
ND ukVL
0.2D 1
0111.4111 W30 0117/11 12:5 0 7434-57-6
827IMM TCLP Up FumW
AnrityilcW M~.:
EPA t�'170 Repatrmficn ;MtHiod: Ea A :a31 D
L.eaidute ttia161Pio�I/Datta: EPA 1311; °11Q5/10.9'3:C0
1,4-0id iorobanaerie
ND ugtL
530.0 1
01/05/11 s-M 01rW/11 17:45 106 40=j
2: CialfmlNUerar�
ND ram; L
50.0 1
OVOU'll 09W 01107111 17:46 121-14-2
1l xsd;1 -1:a Ui.t®d1 ►�
ND LVI
50-1) 1
01106111 00:30 01,107111 17:45 67-8&3
4iexadllorobemona
NO ugi/L
:50.0 1
01!GS111 06:30 01107N917:4/5. 11w4-1
1 b t®Clilt3roFtliEPB
NO u19/L
50.0 1
01 -TV 11 02:&C)- 011h)Vll 17:46 87-M-1
ZCi4nfhy1�41eraol(r,Cr a:ol)
N13UgIL
60.0 1
01/QSE II09:10 0110714117:45 Be-43-7
Cram)
Taal L�GrL
60.0 1
01IW11 09:30 091117/11 M45
(t�rcbenaerae
NO 41
50.4.1 1
01.06111 09:50 -01r'0 M 17:45 0S-55-3
r�riticarophaezil
PO u9I
50-0 1
Colfoell1.09:30 01/D7111 17:45 37-86-5
Pyridine
NO ug,L
60.0 1
01tt06111 09:30. OV67111 17:451 110-86-1
2,3,5-Trichiorcoenoi
NO. ug,L
60.0 t
01106/11 80:30 Ca fWfll 17:45 Mr"
2,4t5'7�oj,jom ;*
NO ugR
40.0 1
011CIC114' W-30 O-/10-I 11 17:45 63-06-2
NItrobertz tlu (8)
59 %
12-102 1
0.110G,'11" 09:30 01107/i i 17:45 4165-F,0-0
2-RumtA,,IAr64 (S)
tit %
1.3-107 .1
011W11 09:30 04,107(11 17:45 3Z1-CO-5
Teagawny(-dl4(u)
68 *A
21.132 1
00*11'09:30 Cl.07(11 17:45 171o�1-D
Phomi-d6 (S)
2.0 ?v
10-fili 1
01/0t1/11 tii>:_30 01107/11 •17:45 13127-33-3
2-FtuomVNnoi(8)
32 °6
10A10 1
0110f1111*10 01107111 17:45 367-1e-s
2,4;3-Trii =opharfal (S) ,
03'0d
27AW 1
O'lTt}8='3 N:'30 01(07M1 17:46 !1849-6
Date: OIW2011 04:59 PM
REPORT
OF LA50RAToFZY."jAL1«#o Page 4 nr 19
This
Tp= ShM rzd bfi rf5pfcauced, aw-apt in Soli,
VitihGit zlo vmthn cv*dnt of Pace Aulj5cw oordea Im..
C
.onv.

npr 13 2011 1 1 -.338M Statesville Ana l �jt i ca i 704-878 -2787 ;gag€' C.
ft" Arealgl%W &a rvates, Dne. lna
r 2226 %Vafntdu rx. r1f W ,GrmuyAviv. Z,;Ru 1CO
tmmPxmhbaa�e Miwdiie, NC; 2LIB04 r#untwavilit•.: Pic, ZFX'm
183 )251i 11 1-5 (704)3 t 54J 2
ANALYTICAL RESUV8
Project: 1001230.8
Pete FTO;Pct NO.: 928ti039
&9srmple: 1012304
LAWD: M6wF713bti41 COir j: 1213,AU'I"B:15
RaCeWed: 01fUY1111:40 MELEuC VIBIM
Figranews
Raub Urilts
Raport, Umn
OF
Pr8P811111 Andlyzsri
CF:3 NO, QuM
am wsv
AnalyticalMetttod: EPA 3260
Banana
ND ugly
1E'.5
&3
01JOW11 20:26
71-43v2
2-Mwona (MEK)
IND agA.
3W
33
01/0M1 20:2455
76-�3 ,)
Carbontpiem lorkkq
NO ugJL
1e-5
33
01106191 20:20
W-23-6
Ch:orobsnzare
NO ug/L
1W-
3:3
0'VOW11 20:26
IW-Gib-7
Chirmfe m
ND uUL
166
13
0103,11 2016
V-W-3
1,443ic darcbenzatio
w Uglt.
lez
33
i}ii :11 M26
1i�Prdk'.7
12-Mchlomathans
til3 uglL
I
33
r✓ :Cal11 20:26
-107-06-2
1,9 •Dichtaroethane
WU ugIL
tf35
N3
u`'1Fi)sd'it 20:2B
75-95
I� s&dnmethane
ND uglL
ityiS
3.
U!1081 9 2D:26
127-1�
Irk-Ha-oettt ,we
ND UGIL
16S
3.3
L"itii15191 213:28
7fr01-6
Ifewld1lande
No upfl
im
33
U1iW11 20:26
76.01-4
i,2 4tr�ai�rcrattrarc 4 ia)
122 %
70-1=-
33
011r05/i1 211:28
174`30.07-�
7�dust 9 rl8 (3j
7176 %
67-135
35
01jW19 20:216
2037.26-5
4-Grumodiu mbecnr*48)
B6 %
70-130
3
01JC}3f11 20:'M
4aG-M-4
Mff0,.1VAu0r6melit m (-S)
107 %
70-130
3?
011MIN 20:M
1 ;3-7
1010 Fla, hpWrtf,CJ*wd Gags
AnIE ylicsl Methad: EPA 1,0i0
Fiwehpaint
p1910deg F
70.0
1
01l13.111 13:11
90U Suffldo lfttw
MaVicel MsMud: EPA 9031.
$uirlde
ND mgA.
500
1
O'1.-t li I&M
184- u2 -S --X$
W" PH
Aina!yi;cul ide#wd: EPA 9040
PH
(1.0 SW. Un4s
0.10
'1
0:06
Hb
012 Cyanida, Tow
Analy lmf A4alhad: EPA 90.1.
Cyanide
0.0103n.40-
t:.010
9
0,1XVM 02:9K 01k711115:
57-12-
Chtkr: 01120M11 04:5, 1PU ?DEPORT OF L SORATO RY ANA .YIMS
Ttu lx p6h atmi r= n inmuncl, 6=w. iir ns i,
wis;ia.zIto wftn'-wwi;:tP-ar*Pnhw� il8er kd,4...Irs<
a' RO°4
Pzguaof19

Apr 13 '2-1011 11:34RN Statesville Analtjtical '704-979-2787
pagaz
Pace A,ftw &Kvk", W-
2225 €2.'u, pxs Ov.
(M d �Z 5 4-7 1715
January 20, 2011
PAS. Dona Mayers
`-' I State!,Ale Analbyteal
122 Court Street
PO Box 226
IS Skatevville, NC,28677
RE: Prof ed-. 1001230-6
Pace Project No.: 926W39
f,YweA,wJyW.aI 48iw3c%o, Im
980D Y;rKw)kV*. SLan I Do
HmLvwlb�, !,,'(; 2.W78
CUIA)675. W82
Door Ms. Mayers:
Endasod are-ft snatr yfte rweivfd by the [:Rb0ratP4,fr.Y On JaIlLINy 03,- 2011.
lie fe t6 rala 101-4.-tv the wnplpq 11-ndWO.W.Imthis reom RM2 Its riV a i'ted-b are! r. wnfo I m to th, a
most ,mi.riant NLIAC stailidardsi v0Ada Wa 00enyh"ated In the brty of the
report.
Analyses we. re, p erkarwi - at? w- - Pe w., A n a PA. i r,& I - So ry sa I r, call 1C .;?I irleAlre_-d on:01a
page fbr ZnMyska Unibap. 0tvkAm*JS0 Iootnot�ld-
if you heva any conceming-v,,is ilawt, please feel free "I't writec', me,
Bonnie McFee
bonnie.rnakv6Qp,acelabs=m
Pr(�ed Manag&
Endosurm
REPOffl' OF LABORATORY AKkUITSIS
Tnis myz shall not to rW*w>Y4, wAW in flig,
vftioul t� vgMwi conswtal Inc..
Page1 of V)

Apr 13 2011 11 .34,11 Statesville Analytical ?04-870-•2787
pale 8
a�y> s gran AshoWle, MC ZU04
{928)25d-7� 7B
JER111FICA I NS
tPY*.ri: 100`1230.6
Pace Prc4aci No.: 92S5MS
t0moM Bah Cert:l cram Do
8 EmA Tower Orcle, Crmmd 9imch, FL 3217.4
MkWgsan Cedflkzdon ilk 9911
Xatant�a Ce.twlmeii 4`: 41320
V!6s.issipui Ceatificatcn: FL NELAC Recioredtj
ldamma Cartfctrslun4:A20736
Mssf4ntia Cartificatlon 0: Cal007'4
Cclorado CwHicalon: FL NEE AC Roaproci�y
Nvzds CerItxatlon: FL NELAC q> -idly
Com,oclicut CeAtltatk+n A. PH a216
t&w Haanmp%Wru CsrtskaUor±M 23i8
rlrrid8 Catl6tt ttm;d: ir83079
Now Jersey CerlNirxau FL75i
Georgia CestMcatlon tt: 956
New YLwk (;Witicaticn S: 11608
GWrn Cet''frC89ILY•1: FL NELAC Reciprrx k
North Carc4he EnvirorssY.f s Ral Celt- 3cate t-: 667
Hrawali Can on: FL NELAC Recipmc4y
North Camllna:Certifirsfion *:.127?0
ka r-sau wtficalion 9; E-10383
F xltsylvanlai Cer ftet.m-* 63m 77
KSY:taeky Cartifmdon 1t: 9406C
' Paosrzo Rl- CerMcatlon 4; FL01264
Lcs Wana Caa,ficatlon-1: LA090012
%nrutswe CerMoation #:'-fNf.V-974
LouLEria ErMmnrrssnls 1 CartlBrale d: 0;W07
Texas; C-arilkadom. FL JdclA; FZecipaaclty
laielm CeibkWlon V: FL1284
V4g1rtia QntMc&9on X: 00432
Msmachuaatts'C'eflifiCdlen & ilk-FL126A
VWuirinp.C4i;d tagon: FLs4EL+C medput4
Cttarioft cero j" IDS
3F300 Kiney*AA i -ate 100; HuMe rs,0111s, MC 28078
Lc LftarlaaLIFEAP CarU&don 6: 04M4
Now an w;y NC612
NoM CalrrAlr,>a Crin1dn0;Mee_l`.e3tif6C`at1Gt -* 22�77D6
hJrrtisCaau+irars Flwsaid'.�v1C.tsa r~�rtfiifi;allort �:.�3�2
NC(M Cliff jr3U t at8r C4e.1fict:+Jon 0. 12
��g�t�r;!•a'Cfic�-�ti�n �:'68.407&!
South Caniha Cerfifttation 0 9S 08WI
l�,mmlgz*v!!is Cras.�getaYt� lQEs
B Alv*cZ Dc., AxN--vUFe:-NC 28tit14
Concm<41; ui C iiticztdm t3::PH-D1G8
Fmsldtt NEUVICardfwAlon t E87648.
mdhtf dB C Y :i4t�4: Rr9•lr C030
Mev saas2y.Lr3itltkgtl�aii #;, FJG Oi.i .
Nadh Cerolin Bioe iiY C,ta� Uficutlon: 9
North CamOna DrtnkhV VktsrCeryfl6ftr1A 37712
SOUK('. MIne Dais Hr.1 Water Carl. 4: *M05003
Virgtrk 0wJficaftn 0 0021.3
Co1'u ac4imit Cwtifltatf s s 1 i fli'aa
Florid diNF__i. P-Cairtiii:V#W.*: E87 a27
.L6k&;kas61DHH 1ri6king.V+darter 0lA t 00031
Waet Mgjlroa CortHjcation 0: 357
North Camtiia_MAMOV #; 4D
Pcn51cy1Vefnie Criatiftrat(ari �: rs3•�857i3
fauna Coat30001A
Sat�;�s s;�i�Jirta:C�ftific�tlara.#: i3(td3b1
Zinlc Cm idxrT+t6ori. i.0007p?
Virgi,Nai Crr-AW"Aion-g:"3.96
A�EPC*t—i QV: LABORATORY AMAI-YSIS
Thatre-p-11WMI: not tazpmmu, DMW
m nmA ttt %ArtUrn Ccratam cf P=a Afw 64c si 5arfkw. Irm.
Pe$a ArmrJVWW r3raeekka, tnc�
c�x�y,a. sass�oo
mil4 ravW�, A.", OCT?
(7L64)875-b)82
paye2 of 19

Apr 13 2011 11:33AM Statesville Analzi ical 704-873-2'187 ;pace 3
ArPC" AnAVVAai E,urirueb,ine. Pet:aSltaaFyttt�E".k�+�1cs�*, me
tom/ 22HPru- ewLh. i1Y<%C1mim—plAvn. &fw100
1 (S?6)254-7'76 (?L+4 Bi'.r DIZ
IR"PLE r. NALY E COUNT
Project: 1001230-8
Pace Projed No.: 22M39
ArwyWo
LiulLy �an��4vIU
hrxrtaRas
t{Ws°s�_-
,42841MV001 Y 1012304 EP0 3i51
LON
3
PASP:)
5'A 200.7
SHE
3
PASI-A
EE"n @e O
we
7
FlAcli�.
ERA7470
.lMV1
1
Prtic.I-A
EPAU70
SPJ
i9
P.AS!-v^
EPA M;)
OL.K
I o
PASQ1 1
EPA 1010
F ILM
1
PASI-A
EPA 0034
A.P D
1
YASI-0
EPA 040
MLM
1
PASI-A
EPA E012
HEM
1
PA-'Z!-O
REPORT OF !.eABORkTORY A14ALYSIS
This t&;&-d aW rot W reow4ow, axc 0 h tell,
wlfiart the v lb! a cme wn of PumAuNdcsl SoNim, Inc.
�t "s
s(
Pago 3 of 1.9

Apr 13 <<C11 11.35Ai, Statesville Anal�jt'ical 704-878-2787 ;gage i L1
, �0
/ -`� � �nraaet
I
pry: 100123"
PmC9ProWd NU:: 12e50"Q
Pm -A Avotf W Suvicts, tnc.
222.5 Wt� Dr.
(d.^8)254-7176
QUALM. r COMTROL DATA
I'IIIA 8161
QC Batch: aC5V/3857 AIT.Q 'h�rj molhad:
UC ®d( irttlpd: �7A81S4 Anvy3is Dewlipuon: 8151 GCS HaMddes TCIP
Assodated l� Somr1au: 9285030001
k1cTFiOJ BLANr* 15$MYY m _ Ma&x: MAIN
A iodated Lab Sarlptes: 9285039001
i�.eRrz 3erutosv:, trio.
13W M(.InwJ Ate. f 100
Hur(cAr4y4.R, NG cL07zi
Mar*
P--P tl'lg
�E7rflT(19°.lat"
Una
(at?ed!(Z
Urail
Atlsfyxad
ND
T11g11
NO (J.i;iD
31113!11 21.43
2, -0
g�
82 7(r1331
0111"Al21A3
24s1CPA05)
1._ABORAT%RZY CO.4T,RCL StVJPLE:
16WS2
spike
LG:°.
'�� 3F
Ric
ParatwAsr
Units
Cunt.
timA -
—__
% Rae Limits
�W,
C1uai Pcrs -
2,4,6-TP (Si"a c)
:t�P� -- —
Al2
0.071
86
MAW
2 4-ii
mglL
.0f
0.052
91
7i11:70
2.4-I)CPA, (S)
%
_
----15053�—
Al"Fc{X Sayt {mac & �:i'4iL( $S !4{i= CMdPLI�. 47'E: 8'35�152
i'arsrr:�der
(Ci W4
2.4-U
2,4-r7CPA. (S)
Date: f}1i^r.tl422CIi 04:59 Pivl
tuts
MSO
92©`"yL`3 OOI
WIte
Spil4a
..Ms
Mut)
?Jl$
S7
°la K'
UP ml � utl
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F�.88ti�(
t�2ev
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— 012.
0!2
W~ 0,012
y 0.05 �
97
� 127
7`l-130 28
np,;L Hip
Qt3
tyS
O455
0058
92
96
7G-1:fi 4
lop-
100
79A 30
%
.
RE:.pOMI' G. F LASOPtillTORY AM LY St
Th!n rvFv^rt va9i nd tie m p ducad. C;mpt in U.
,,vdhu:r G��a m5rr crd,rieztte4 Pa:�2.An0iY",:�I ;,�r�t+rss,1, tr,�..
et

Rpr 13 2011 11:36AM Statesville Analytical ?04-876-2797 page 11
lhyce 0kfmh tW SOV(Cta< hsc
220 River da Dr.
QUALITY CXYMOL DATA
Pr*ct: 1 Q012304
Paca Project No.: 9285M9
x salich: ads RP/7-f�0 'bna0ywi meow: EPA200.7
QC Batch hialhod: EPA 200.7 Anthos Description: 20),7 ME7
AssWsted Lab Samples: 9285039001
METHOC BLARK; 550907
- Matrix: MdaW
Az"&,,,i Lab Ssrrtpisa:
928303900l
Blank Repor&ig
Pa zax4ar
Units
Rasuit Lnnit
Anatyzod QuaMa-s
NO -- 5.0
01/14111 10:47
Pr aerdum
uglL
NO 50t:0
4111411 1Q:47
8cx: m
ugrL
NO 5G03
01 i14111 10:47
Pme AEI U mimS, Inc.
490A rung-WAwa. 6uiiti 1CO
mn -,wis
(700)875•Wu-.
Spike
LCS
LCS % 174,&C
pwaineter
Unlle
Una
Rwji,
% Rua Lrnits auvfium
><RlS4�ftd.I�3fi:ltii
ugIL
- -iit}D_
408.._.__
90..--.---$5_115
Pends&i�m
ug1L
6s Q
4 3J
98 82-115
Sadlum
uglL
6000
43°C1J
97 85 ?15
MATRIX $Plies SAMPLE:
9286.56wo1 Spike
1AS ma i-6r
Pamrnemr
Unie
Readt Gone.
Rmuit % Fm Lit1its : ttaii46
-._ _.._
Mcilybdurwm, -- ---
ugn
7.0 v�7
424 9770}-130
urtamiur
uglL
IBM 5000
7930 121 73-130
€.cesium
ap1L
21100 5000
27000 11 a 7 G-'130
MATRIX 5i'iY.S �t�tiv
550911
92BW2001
Spike
PAs skis % Rojo.
Para mater
UnM
ftgut
Cone-
-
Result SRell-, L�1its Qmalhi;rs
---
moyi wrn - ---- --d
_ _ jgiL
ND
6w
514 1t72 7s}130
PatsesiLn1'
ug"L
6571
5330
S^-40 110 70-139
Scidlum
w,;IL
10000
5000
1 Y3 300 125 7r 1l 30
SAMPLE DUPLICATE 550910
92855f3$901 Dup
Parunoter units F ult f esut RPQ Diu §it a 3
hAetybdernw - � U011. �._..._taD tdi3 -------------- __.�._....�
llatmiLm ugiL 6.4 m911. V= 2
soulum LW- 124 rrW. L 1220DO t
Daw: cif,20.=11 04:59 am, REPORT OF LABORATORY ANALYSIS
i hfa r@t X I nol pu NP odu4ama, tctcw in Nk,
ArXat the HMt�an =am 09 P-cu Aflq deal =e+vi,=,1rw...
�?CP
PEge 7 of t

Apr 13 2711 11:35AM Statesville Analytical
i
Pr*a 10012330-6
i'ece Prmjoa too.: 9765i9
W.PL'c DLFUCATE: 930912
Parameter
Mcl +bdLtnum
powsim
Sod if.a,,
704 -37 -27 t7
PWA Am§wt�t 8ftMZ44. iw-
2226 RhrrrskW Dr.
AsreoWlo, NC 25304
{tee>25e-7178
QUALITY CONTROL DATA
92$34,MC2 oup
Untie Raeult it&aui
tQ/L 14.5 �12.1
ugtt Moo 21200
uWL 134000 12,BfY30
PPD Quali: ers
d ?9
i
B
paoge 1.2
! o,,u QrA ytk--d bwNkuu. rm
�erx rj;wwAwA, WU I O
;7041a75-Uu
,'atte: 01120(.0?1 f}5:5R PM iPZPOP,r Or -LABORATORY 1.Ar'i-t-. i P9�k El o?'17
TUS report ►hall ncs b& ra Wot I;M, a xzpt h AA
uhthoiA the wIftYi rat at?aa:s*
oaa„'
a

Apr 13 2011 11:36AN Ststesvill,9 Rnal.,:itical ?04-378--2797
FRCa 13
A:Awvftvj Urvitkar. , M.
/CIO 2m RNW*iao n r.
i 2tw,4
Q'UAl,JTV,C,M4iR0L DATA
Pn*cl: 100123M
92=9
OC swtch M4,Illod: E. PA3 0 4 0 AmifW4 Das?.�Iplkn ac 10 MET TOLL
Ausoc:atml Lab Sampies: 926039ifOl
VIETHODBLANK: Matrix: 'Wevar
A,-i*dsr*d Lqb SanpWs: K2,85M,9001
Wnk
Ropotting
Arbanic
NO
0.W25
W117111 11:42
sedum
rnglL
No
U.W
OlilVll 11:42
cadmium
rrGIL
fqO
0.0mv)
0111711.1
17111 "N;42
chrom . um,
NO
0. W-I-)
ol I P. T il li:.4.1
Lead
NO
0,M5
01117ill 11:42
S*cklil
N 0
0.10
Q : M 71 li 11:42
VIV&
it)VA.
NO
0,M5
O°M?114111:42
L.A60PATQRY,C0NTRCL$At,APLE: 554M
Pa" Aft"gd fwtt I=, WK.
03W fCm&:WA%-z. Sdbo ICO
HQ"&-MIZ, No
SOW
LC;3
L25
X Roo
"�fmtar
Urafu
0,011C.
Rwiuil
"/a Roo,
"JITIS Quafflegn
7t1�,,—,T-----
eficun
—.1n
. *
8441L=
rngA.
2.6
Vs
lols
50-120
cadmium
nq&
2.5
2.5
4P
� 'o
86-120
C.hr6tflium
mgAL,
-6
112
84- , -10
Lead
mgfi.
Z5
2,3
6P6
COD-120
sewflium
iNIL
2115
3.0
I 119
Vi--1120
um-f
mg&
1.2
1.3
107
WM2.%7
MATRIX SPIKE SAIVLE:
M6423008
spilram
IAS
NIS
% Roc,
fxtraen lei
Lh)hs
Rimil
10cm
RenLA
� Rec:
Urnfm Q"Niat's
NO
2.5
7. I-k
-10
IL
75-17-15
Bad=
01481
2.5
12, f,
66
Ced-Mum
0418
15
1.2
83
7.9-125
Chromium
wq&
U.041 J
.2.6
212
109
75-125
Unid
mVL
0.16
6.5
2.2
83
7 -5- 12-0
&4enkwn
fro;
ND
2.5
3.6
104
15.1 ?It
NO
4.2
1.2
94
75-126
Arseric mUlL NO NO
svtffn rfQIL 0.9.4 0.1M
Cadm�jm ND '40
,rgfL No NO
0.026 ji RIT
DAIF: oil=.Wl I L*M.551-,M Clu, LAISOW, On, JuiALY'sis Page 9 of Is
'Timis raMj SkM!l rC4 b6 (!WojtAWJ, jgoef�t �r, fijl.
Of . Fa0 AMi Vm::W 1XI.

Apr- 13 2J11 11.37RM Statesville Anal�-,-tical 7C4--878-2787
a d x&u AavzVksf Scxvkm Inc.
2225 RNO*6V M7
AgW4W, %C 2SW4
mrcvwswwL=v
! (�SJ:25.3-7978
QUALMY CONTROL DATA
Prosst 1001230-$
Paw Przje4t No.: 928M39
SMPLE ULFUCA1E:��-
9264Q51002
F'�r9rnefei ilnl;a Result
Ssl�urn mglL ND
Wier rrQ& tbD
QLP
Rwft RPD 4Cit�4lfl+aric
.042J ..+ _.
ND
rpa?,e 14
Pow Auyl� si 3cMus, Mr.
W,W-1 Krcay,lwa, 5:,Pe GO
Kilte Aim-b, -A, 26073
pap 10 of 140

Apr 13 2011 11:;3719M Stat=suille Rraldtical 704-878-278'7 page 15
d Mhovi3a, NZ; VA04 2EO73
(ci412:rL-717S (%4a975•9092
QUALITY CONTROL DATA
pro,lac1: 1001
Fuca pNoct Pto.: €7295M
QC Fstch: MERP+3243. - Anaojeh.Mcthod: EPA7474
QC BatchPlbathcd EPA7470 Anaiytata D®s,vi�son: YCTD f>��.ryrCL�'
AUodated Lab S mples: 92M39001
aAETi9:3D LLANK: 551817 - �--Cdletrix: Water
Aasodm%-d Leb Samples: 9285M9001
Blank ReNr In
Faramokw Eirrttls Rewt Unit An&-ybe-J `0ttali£�
Mwoury - M� UG/L. -� MD 0.20 01117M 2:41]
LABORAT-O Y CONTROL SA MPt. E 551818
SaNe LCE L(-'S % Rac
Fetart r Un" cor.c. Resuil Ret. L n . `�lafrEktr�
luloral. - - ----- ugJL -- 2.6 � 2:7,�
MATRIX SPIKE SAMPLE: 651$20- -- -
92A6423008 Spike M-8 Ms
Paraltt;3w Urgin -_ R"Ult Cam. Nk.WtA %Ree _ Ur.'Itij �C:r:t3ifCtrirl; -
me=N - - — u9lL Na 2.5 2.3 89 ?5 925
.uLflstFtE L)l1PLlCA'tE: 55i814
92848510M pup
Ppr3 new Units 4 ooLit Rowlt RP23 c43C1"rfie
Wkerct6y - ---- uc�lL - - SIC t -[)
PaGe 11 of 119

aUr^ 13 21-11 11.:38AM Statesville Analytical 704-379-2787
:age 16
d, F�toS113flIaf'Rtt.4aS tfar�a,'re:..
(>` - mrrrc GDtfPf beret A41edge, NO 2MC-4
WALnYCONTROL DATA
I' I-d: 10e01270-6
`ace prod No.: 92esoa9
78—atc : ­ OEKT!12ua -- - ul�i rzis,hleg cd: �EPA 827'o
QC Butch Method: Eta 3510 Arxlysl� Desuip6m: B270 i CL-' M S W
Asaociated Lab Sample �r�A flJ3U01
WfFi: D BLANK- 5,19523 Motft Ywhu r
,�e:c�cia4ed L�$ ; anr�das: 92S3t�3�+ai
R�rfrdn�tT�r
'.,d-Qlc:>'rlrx�tvar'se•r�c� .�
2,4, 5-1'�i cwlrr,;pllrne!
2,, , 6-i'rt Gt�Ckt7g)h9 not
'.-Ar18:.''r,�9jitvtrcl(r�-Ge�af;
3rl&p Cmiol)
hteuait�4 urrr.l; 3-tiiadi�n+a
hrs�a dllctnc�'f5t n9asirtb
13�tacillaatira3 ��
r�lttrolxn�zasne
{''�rTtAC1'1I t�'CipF'siSil Oi
2M-TIbromc0ard (S)
2-FIucrophonclraj
mtroba-were-d3 (8)
phwiel-d8 (6)
Twphanyl•d14 (S)
'Nark
Chinn,
pevult
aig/L
MD
u�%L
ND
uy+i
NO
iigt*L
No
UGA-
ND
ugIL
ND
UWi.
PUS
u*L
NO
ug,z
NO
ug,i.
NID
it &
ND
u6t
ND
%
75
95
65
27
%
44
%
>8
%
74•
Ropo,t.
Unit
Ar lyzed Cnr:g65ata
tKi:C7
UL•UTlii 'tti:21
Pil.0.
t111!571111fi.,?1
60.0
U'h311118:31
W.0
01:t07M tu21
5n.1.1
01107J'1716:71
50.0
OT10MI M-21
60.0
011071it 1&.211
50.0
01107A1. 1E:21
65;.0
01l07/9 t 16:21
.�i
0.1• FO7! 11 1 U:2 i
50.0
Q1J07N116:21
1$ i tt'3
01107111 16:29
10-110
GliVi1S.16:21
12-10.2
01.1071ll1E:21
1C=19D
A110711116:21
01)07M116:21
PK4. JUU64MM IWALOB, Irrc.
saw, aim IN
K. -oW&
LABORATORY ACC? i ROL:3A9r13'bir 54W97_-�_..-------
parenteler
1 "t-10lchicrob¢rxwe
2.4,5-Tdchlcmph4nol
z,d, 6-Tr3 cttltsrtiy'h�nriZ
2,4-(.}IIrnQrr?lolumma
2•#,S��r/1phe�strka=C:rerx�)
3�4 ,§i�lrriplsKn91(irra:gt�-�gol;
Flartitchdo?C-1,3=bui�idlrs:�r
Hta�llorobbf►aesi�
Harzact'�Euree��s .
!vl$I'4�SSrtZOfld
?ssnlartalorvpF;t-�1�
Pyle ino
2.4,0-Trak.rompho^a;l, )
2-,Fluomb�t''1(8)
2-E-'1u€,ir pheital (5)
M rbemono-015 (`a')
p1wol-4 9 (8)
Terrttrr)tl-du (s)
;:ai+ CV20.�2(k1' O4:59 PM
Unite
Spine
c1mc.
LCS
R3P1 i
LGS
.% Rc,
% Roc
Limi-3 Quallh5ru
----- _
---_-2d 1
tr1 00
uqL
WIV
408
82
39-108
k*L
5t7+?
415
83
40-1 tC4-
uWL
440
8a
42-1(*
ugJL
500
U2
SR
39-1181
�-*L
50.0
Im
82
tU ? 10
UWL
40
241
48
10-110
OVIL
3Go
396
.79
39-421
U9L .
500
212
42
? 0-110
UVL
5x
316
83
UAW
to.'L
1Llpi
fsr',8
cote
rx L
8DO
IN
-10
10-1 S 0
89
2=f-108
%
r7
+3-107
%
40
10•-11 O
%
aI,
t2-1G2
9S
27
1A-11 fi
7E
21-116
T�dc re: aar: irall no. ra�rccc+� er,1, ,Ax zpt in fsAi,
,g tnu? 5f4 w0U-,n t meankc! 'aca.4narlte 1. sa a , in4..
Rag ;-12 0 'ICJ

Apr 13 2011 11:38AM Statesville Analytical 704-878-R?97 page 1^
axe AnwyffC& 1scmm. im Pwc:s o,-vl UrAces, lror_
a25 Rovia'vida Rr E3Pr lGtiticay A.Ve. &lAe 1e0
% Ftirl�v:3A, HC 2ZLYia o-{Lm.xwr!N, r1C 28M
.ptt+o#kesvn
tt+22t3)2�i797t3 (!Q-iy37:ieaH2
QUALITY CdMTROL, DATA
Projert 1001233�6
Pax Project No.: 92B5039
QC ftch: MSVP13885 firdlys13 P.14rhod: EPA8280
QC E.t.'�1f+lteihad: EPA82e0 Artiyeis 7&.crptiun: 6260 NIGV TCLP
Assodated Lab Samples: 92M39001
METH[309L, JK:
Associated Lab Sampiits:
Peram9lEro
9285MG01
Unks
mabix_ `Ju abur
SIZI-A Reptrrling
Reau:rt rL01M!L
AnatyzW C�Jal'tpm
�-
1,1-C4ctrlor- tt>lsrra
ugn_
tvr:
5.Q
Q1 i J1 l MR
1,2-01CiI10rx,,ltli Me-
U01L
Mp.
5.0
Olic311104:50
1,4-Lri&tombeltzena
l{q/L
MD
5.0
01IGui:i e&:50
2-Burtsnot 'RWK)
u31L
ND
10.0 -
011ra111 09:50
Benzene
ug)L
ND
5.0
D7JWf1109.50
Carbon Lq r . fide
ugA.
ND
5.0
01ICd11.1 09:50
cnwobarnzore -
LWL
hip
5.0
D.I.- 11 09:50
C'bwofeem
uglL
. ND'
.6.0
DVO&T•1 09,50
T ohlorMlion-a
ug)L
ND
5.0
01105l1109:50
Tcir ioroelhene
uWL
,14D
s;0
0'1Iml1 09:50
Vinyl v itarfda
uglL
)VD
5.0
0d /M- 11 09:50
1,2-C!::tt)oroath&,,&d4 (8)
%
tC'I
71D-130
0U"W1.09:50
$-aroma Cr"obsr +ie.(•$)
%
r38
0-130
Olfiwl1:09:50
Mr-um6tiuormaham (5)
°,6
10.4
7G-1n
". ti1Jr3Ei41'1 09,60
Toluenr 8 (�)
36
10&
'75f-I g,
©1iWII 09:50
LA8ORATC,RY W4-1 ROL akMPLE: 5489�0
mararnatar
L)nits
Spito
Conc.
LCS
RawdJ
LCS
`ia Rec
% FCC
Urolts Qualliva
-�
1,1 CiCt1WtD6tYe3lB
u6lL�
Y 50
45'0
90
70-141
1,2 pichtrire©h`isrta
ug1L
50
47.5
98
70.139
1,4�ictrlarcbns, ene
*L
50.
43.7
87.
7LM41
2-BA? (MM
WL
100
98:5
99
5S-15C
Be xena
u91L
50
45.4
8'
7Cr132
maroon ta"tblorlde
LWL
5.0
55.4
1111
70-1!9C,
Morobanzana
ug/L
50
44.4
89
70.13'r
ChltxdiDrm
L#L .
50
48.5
97
70-130
Tetracliortsoi3 om
u91L
50
45.4
91
70-137
T ric:l wo®L~me
ugR
50
46.2
92
TD-131
Vinyl.Morit4D
U91L
60
51-7
103
.56-14"
1.Z->�c9slOrs ih `(Bj
%
96
70-1:)Q
t�romoRt 9�a:an~ t&]
%
102
i,-130
to r n fluorortte2trerra t5]
%
107
70-1:.V
Toluatre d8 (S)
%
101
617-135

Apr 13 2011 11:3SAN Statesville AnalSt,ical 704-878-2787 page 18
Pam Ares @t Y! g vioov (nG. Vnco Af *VtW SVV C6 InC_
22255 Mv"ds A:. K32aru Rva. S shi 1 t11
�i A&w4e, PC 2WO4 2bUa
MB)2E4-7176 (J !}675 iF092
QUALWY CONTRdL DATA
PfRJJetY: tOG1230.6
Fwe Ptoect Me.: 92MO39
QG Batch: WjET 15039 — — 64�alysle !�latfur9: EPA 1010
QC Batch MmYod: EPA1010 Ansf 318 Desw tlon: 1010 Rash Paint. Ccsed Cup
A:aaidaled Lab Samom 9205039MI
S4W
MPLE MPLICATE:551060 -
9285101 Clue
Parsrna5ar Unk Reouft F"Ssuit RPD, Qualifier-6
P304,14 of 19

Ap- 13 2011 11:40RM Statesville Rnal�jtical 704-878-2797 Page 19
/!
/e P"a An]ly S 2"'3, icia. Flog AM yPr�ai as�rAC", 11w.
Zhu0 5 Fjwniia Lr 6= Fjrr.W Nie Siatti iC0
mara:�ae�iPiaar� Asfirnift. N:2ftG4 hunw-waa. NG 2�C.7e
{e'?8)25�7t76 (7C�jG75-fri�2
I
QUALITY CONTROL DATA
PrIed: 100123M
Pac* Prop®d M.: 92B5039
QO Batc`�. 4VETi5738 Amlysle Method: i PAW-14
QC Psdch thsihod: EPA9034 Ana,yrls Deswp(ion: 9034 Sulfide Mister
A& oclatnd Lbb SarrVes: 028':30380D1
ME91400BLANK: 15?SS4 Matrix: VMter
Associated Lab Sampiew. W86039901
Bla11Ot Reporting
F�nem�ta Units ftsult t:mk AeaFyzed CtJalifiwu
Sulfite ----- r t No 1,40 D4l06111 15:30 r -
LABORATORY Gc3SJTROLSAMPLE: 157395
Spirtm LCS LCS '3b Rz�:
Parameter UnU Cons. N&LA %lied Limits Quairfiiem
Snide M91L 8 6.2 1C4 T . 8( -Vn
KATMX SPIKE SAMPLE:-----
=50?MO1 Spike is N13 3b Pc�c
Pvrambtw Lintz Rt+:z'+a Cix R uk % Reif Limit-. CiUftlil°}.trs
ufte M91L - - - NO 30c i 3110 97 -—W-120
S? PI.E DUPLICATE: 1b73fdd.
9285038001 QuP
Par rta�mr . Lkitw Rc%Lgt Re" RFD rwwl'eFdra
9iiNtde mq& NO ND
Page 15 at 19

Apr 1:3 2011 11:41RM
r'
l
f
Prgiett 1001230-6
Pasco Project No.: 92ff O39
Statesville Rnalbtical 704-878-2787
Pace fmutybml Savbaa. Arm.
2225 Ri+erske CX
AShOWUO, NC MU
(a2fJ)2&-7176
QUALITY CONTROL DATA
page 20
Paw Ans cal Smvkaa, Atx.
O&M 4mmyAve. Su?a 1GO
Hwtmwdm,
QC Butch: WET114%. 6 " Arm"- a Ms4hod: EPA 9040
QC Batch WOW: EPANAO Analysfa 04wriptlrn: 9040 ryM
AatudMedLai) Sarrofec 92W039001
SAMPLE GL'FLIGATE: ;b48125
92W991001 Dup
Pwarmter Unb rkesut R"JR RPD Qualifiang
pN 51d. Units �—..�.—.._.—�-� 5.3 ___.---- 0 H6
Page 16 6f 19

CSJI I I I if-11.1 J'v Cl u " 3 v 1 11 C mfltll yu l ucii tu_r-0 ! 0__C f Q I
a Fmea rina!'ytbcmi , lrsc.
o l 2= Rivard&: On
m ewe Po i , NC 7.MA
ft9.2�2�..8-7178
QUALM COWTROL DATA
Prc& 1001230 t'
Pace Pr*d No.: M6039
OC Batch: WE.TAM39 Analyeie Method: EPA 0012
CC Batch Maftd: EPA W12 Analysis d88zripgon: 9012 Cyanide
Aasodated Lacs SsAvptris: 9285MW OI
METWX' BLANK: 167515
Assoclatad Lab Samples: 9285039001
Faramater Liras
rrQ/L
Cyarlde
Eilank Reporting
Result Unit An&lyzed Gaalifem
ND O.010 DiWf1 i 15:44
r•,=E,- LI
Pace Asaifticsl &*Vv. , ksc.
Ww iCax Y AW staid 1co
kurtsf ani , MC MIS
(7U4)875-08F2
LABORATORY CONTROLSAMPLF: lams
Spike LCS LC,S V4 Per-
Fmramew urita. Gone Rosult 56 Riav Limits Qmlfflaru
CyanL3s moll.Gb ©.tea w �11p__
W: ( SPIKE & IVATRiX 8PIKL DUPLICATE 457517 ��.16 a518
WIS M W
3524IZIMI .Spike US PASO MS kvi&C %pw
P>Srarr�irar unita of4a'ag. , Cond. G:rm Ragult `a9S A *A lam: "ei iieC L1(nflL - I�PD QUM
.05 .06 0:06 �0.049 • 1t ) 99 80-12D i
u.
P&C,s 17 of IS

Elba 13 2011 11:41RN Statesville Ar�alyticai 704-878-?'787 Page 2,2
/7
,� Vg+y o ` l A"iy9col Um�aao, eeeo. AreaM/ilaai tea , tree.
�
A' aR Rkwtklo Or. MW Irnosyava. Sulie 100
/ roaeuam b3c�r Aai d4a.KC 2eUN Hunbmwille, PVC 28n7S
f (SM &1-7176 (7")e7S.G092
QUAUFIERS
Project 1009230-3
Pace Project No.: 9258039
DEFIINMCWS
OF- DkIlon £actor if tole Feportaet data rit re to rJuMm in sample prey mfiun, dilu", of
tha sample a14ua1;, or rrrsisture corftnL
lU - rdgt Desected at or above• adjusted mpcdng tlrnil:
J - EsdrrtatfA comentretfon Sbaae the sdJusted rrmt zd d"ctlors-Rrrtt and lowlaw the Haju€tmd ra.,-40hsq !lrnit.
VDL -Adjusted Method Deteetlon Limit.
S- Surmg&z
1,2-Ltiphanyfhydrazina (8274 listed anawl dewrpoaes to Ambertzem.
Ccnsistee;=t salih EPA guidd4er , ix 1r3 i� data sra diagiayed and have been ur ed is -_d&0UUtG % ,WovarY Dry d RPIL) valu+;Ta.
LCS(D) ..Labcratory Cenfrol:SoW.10 (Duplicme)
map • 41&rha Spike APRima)
DLF • Sample Duplicate
RPD - Relativtr Percent Difbemnce
NC - Not Calcedabie.
SG - Sillas Gel.. Cleari-up
U - Indicaltm ttrri cmmPasrd vms anaty d lor; but rent .0atersW.
M14 iJRrbsodi her yterrfitac tlacoer a aiid con tt1:L psr mod; ft om. flhh {larrsrie using WleblPd d2 G. The result rWrted for
each ane+t®:ls'� carnbine d'rtreriraeion:
Paca Analytl al is NEL AP ar Ye .' GonW-yow ftm Ph4.for-tiro Wnvtit llez of =edited dhatybn.
IORAS
PASI-A
Pwa,1mtyleal.SeMcce.-AsWHIe
PAST-C
Psm Arsalinlcgl Ser&w - cicricw
PASI-O
P ,&tatydcsl Service -Ormond @beat
ANALY E 41LJAUFIERS
03 Swrog avps dilutod dua.to:tkxl,prseerica of high lewle at> #t that at a".yrtes or ott>rr m�t+xr lniarf&rsic .
He r #S#2ia od acted mor fin 16.mlmoMar'eamoe crlls "Aun,
R1 RPD vahse waa outeitle controllhr&
Dal.w: 0imr2oll 04E9 PAA
REPORT OF LABOR tT'ORf ARAs.YSIS
71ft mfx d i0AI not be rai cW, E-XD t st s'tdi,
vstftxLl tra vtFttlan tGt4�¢d s1.I�a F al Sanir,*e, Im.
Page 18 of 19

Apr- 13 2011 11:429hi Statasville Anal,:J-rical 704-878-2787 page 23
® Pzea A"Pjtfeni zwfie^ Inc. fPWO Arr Vftal SOVioeq, in*.
9twerwde Dr. MW 5u" Ave. Suite 10 Aigleville, K, 21W4 Nuntempla, NC M76
i
Projed: 100123"
Pace Project No.: ^sue 4039
Lip ID .
sumpie 10
CIt: asAfah miefa'ioai
tie: ftkGh.
Anatyttical d
Batch
35059013t ----
1t1it9�3dD�B
EFA9id1 ��
-_GCS's/2-857
EPAil51
GCSY12953
029503wal
10t =4
EDA2003
Rr1I rn7710
EsPA210:.;
ICP.n124
vp $S�i;9001
100123
EPA 3010
tNgPRP,7'2 3
EPA W10
ICPf7132
99003,3601
100t23"
_P€t7470
MErRF=48
I PA7470
MEId:!e304
92r3W.21304,
10 123"
EPA 3610
0EKTf'123Q
ERA 3270
is &SV14501
928M038001
100123M
EPA,GMC
WW'1366E
9298039%1
EPA1010
VYET/1503v
N8Momi
104=0-8
EPAGM4
Vv 7r2i7 s8
92W. 43900i
loom"
EPA90U
UtfETt14(�8
9c&biUNI
10012;1 -d
EPA9012
VETPAT39
EFA9012
VETA18064
Date:0112CYYoll 04:613P41 FfEPOr%T OF s..;ARMATORY-ANLP3UV3118 Page 19oi19

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
June 11, 2008
CERTIFIED MAIL # 7006 2150 0003 5466 7349
RETURN RECEIPT REQUESTED
David M. Robinette
Town of Taylorsville
204 Main Ave. Dr.
Taylorsville, NC 28681
Subject: NOTICE OF VIOLATION (NOV-2008-PC-0411)
FAILURE TO SUBMIT ANNUAL REPORT
Permit No. WQ0006906
Town of Taylorsville Residuals Land Application Program
Alexander County
Dear Mr. Robinette:
Coleen H. Sullins, Director
Division of Water Quality
JUN 1 3` 2003
NC DENR MRO
DWQ -Aquifer Protection
One of the requirements of your non -discharge permit is the submittal of an annual report to the
Division of Water Quality by March 1st of each year. As of this date, our records indicate that the
2007 annual report has not been submitted for the subject facility.
Failure to act in accordance with the terms, conditions, or requirements of your permit may
result in the assessment of civil penalties of up to $25,000.00 per violation per day, in
accordance with North Carolina General Statute § 143-215.6A.
Please respond to this notice of violation within 15 calendar days of its receipt, either by
submitting three copies of the annual report or records, indicating the report was submitted.
Submit to:
Ed Hardee
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Nothing in this letter should be taken as relieving from you the responsibility for failing to
submit the annual report in a timely manner. A decision as to the appropriateness of an
enforcement action will be made following the receipt of your response.
NoflrthCarolina
Naturally
Aquifer Protection Section • 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone: [phone]
Internet: http://h2o.enr.state.ne.us 2728 Capital Boulevard Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper Customer Service: [phone]

If you have .any questions regarding this letter, please contact Ed Hardee of our Central Office
staff at [phone].
Sincerely,
m H. Colson, P.E., Supervisor
Land Application Unit
KHC:eh
cc: 1:.7ores,5111,e P,e �;.,:ona 4:afi77e Al S _
APS Central Files
Land Application Unit

2008 Annual Report
Town of Taylorsville, NC
NC Permit WQ0006906
1D E 0 V IE
,
MAR 16 2009
i C OF if � Vhd-
QWQ - Arms ;er. Protection
Enclosed is the Annual Monitoring Report as required by the above referenced permit.
In 2008 the Town of Taylorsville land applied 594,000 gallons (48.05 dry tons) of
biosolids to 20.7 acres of permitted land.
All monitoring information for the following is enclosed:
Pathogen Reduction
Vector Attraction Reduction
Biosolids Analysis
Soil Analysis
Field Loadings
PLA is dedicated to providing safe, environmentally sound, and cost-effective land
application services to our clients. If there are any questions or comments concerning
this report, please contact our office.
Sin c rely,
C•
i ames C. Alexander
President
4022 White Plains Rd. 0 Roaring River, NC 28669
N
�;;�ssin9
• [phone]

Contents
Certification Statement
Biosolids Analysis
Field Loadings
%7
k
Pathogen and Vector Attraction Reduction 4
Soil Analysis

ANNUAL LAND APPLICATION CERTIFICATION FORM
Permit#: WQ0006906 County:
Facility Name (as shown on permit):
Land Application Operator:
Alexander
Year: 2008
Town of Taylorsville WWTP
Precision Land Application, Inc.
Phone: [phone]
Land application of residual solids as allowed by the permit occurred during the past calendar year?
eYes ❑ No If No, skip Part A, and Part B and proceed to the certification. Also, if residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A:
Total number of application fields in permit: 4
Total number of fields land application occurred during the year: 1
Total amount of dry tons applied during the year for all application sites: 48.05
Total number of acres land application occurred during the year: 20.7
Part B:
Facility was compliant during calendar year 2008 with all conditions of the land application permit
(including but not limited to items 1-12 below) issued by the Division of Water Quality. 62` Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain
corrective action taken.
1. Only residuals approved for this permit were applied to the permitted sites.
2. Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at
least 6.0 or the limit specified in the permit.
3. Annual soils analysis were performed on each site receiving residuals during the past calendar year and three
(3) copies of laboratory results are attached.
4. Annual TCLP analysis was performed and three (3) copies of certified laboratory results are attached.
5. All other monitoring was performed in accordance with the permit and reported during the year as required
and three (3) copies of certified laboratory results are attached.
6. The facility did not exceed any of the Pollutant Concentration Limits in Table 1 of 40 CFR Part 503.13 or the
Pollutant Loading Rates in Table 2 of 40 CFR part 503.13 (applicable to 40 CFR Part 503 regulated facilities).
7. All general requirements in 40 CFR Part 503.12 and management practices in 40 CFR Part 503.14 were
complied with (applicable to 40 CFR Part 503 regulated facilities).
8. All operations and maintenance requirements in the permit were complied with or, in the case of a deviation,
prior authorization was received from the Division of Water Quality.
9. No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of
violations are attached to include appropriate actions and remediations.
10. Vegetative cover as specified in the permit was maintained on this site and the crops grown were removed
in accordance with the crop management plan
11. No runoff of residuals from the application sites oproper LMwaters has occurred.
12. All buffer requirements as specified on t Q' r were ained duringpp eacNi7application of residuals.
"I certify, under penalty of law, that the a! info -mat' , to the bkof any knowledge and belief, true,
accurate, and complete. I am aware that t 'i-x are Wgnifi an penalt-gVsvfcarXUbiftn -ft. false information,
= M jz, ornr,'d1n Pro
including the possibility of fines and impr �6 en or ka� ing violdions. '
r
/ o g
Permittee Name and Title (type or print) of ttrre of Perm-if£ee, Date
S
Signature of Pre Date Sig ure of 1`4�ntl Applier Date
(if different from Permittee) ((if'different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r)
DENR FORM ACF (5/2003)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Attach this form to the corresponding Annual Report
Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form.
Permit Number: WQ0006906
Facility Name: Town of Taylorsville WWTP
NPDES # or NCO026271
WQ#:
WWTP Name:
Residual Analysis Data
Town of Taylorsville WWTP
Laboratory: 1) Statesville Analytical
2)
3)
4)
5)
Sample
• •sit- -Percent
-----------
Solids
IN
NJ
"I certify, under penalty of law, that this document was prepared under 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 g alties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
,,�E, 2 1 Z,;3, lo 19
Signature of Preparer Date
DENR FORM RSSF (5/2003)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Attach this form to the corresponding Annual Report
Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form.
Permit Number: WQ0006906 Laboratory: 1) Statesville Analytical
Facility Name: Town of Taylorsville WWTP 2)
NPDES # or NCO026271 3)
WQ#:
4)
WWTP Name: Town of Taylorsville WWTP 5)
7?ooi�lc.�l Arolcreie il.�f�
Sample• CompositeDate
1
MMM
Wmmimlw♦
--
Magnesium
Potassium
i
--------=--
------------
"I certify, under penalty of law, that. this document was prepared under 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."
(a�::21 Z 2$GJ.
Signature of Preparer Date
DENR FORM RSSF-B (5/2003)

Mar 04 2009 12:41PM Statesville nnalytical
704-878-2787
P.1
Analytical Results
Precision Land Application, Inc.
4022 White Plains Rd.
Roaring River NC 28669
Entered 4/7/2008
Reported: 3/4/2009
Sample Remark
For: TaylorsMlle
Sample ID
Parameter
Cusi ID
Result Units
Method
Date Analyzed
Ana"t
08047-2
% Solids
T-1
1.94
%
SM2540B
4/14/08
MD
08047-2
Aluminum-flamelsoliid T-1
5,103
mg/kg
SM 3111 D
4114108
MD
08047-2
ArsenialCP/solid
T-1
0.0029
mg/kg
EPA200.7
4111108
MD
08047-2
Cadmium-
T-1
0.73
mg/kg
SM3111 B
4/17108
MD
08047-2
Calcium-Flame/solid
T-1 .
34,7$4
mg/kg
SM 3111 D
4/17/08
MD
08047-2
Copper-Flame/solld
T-1
2B9
mg/kg
SM31118
4/17/08
MD
08047-2
Corrosivity
T-1
See Attached
SW-w
4/21/08
PACE
08047-2
Ignitability
T l
See Attached
1010M
4121 /08
PACE
08047-2
Lead-furnace/solid
T-1
17.16
mg/kg
SM3111B
4111108
MD
08047-2
Magnesium-
T-1
2,010
mg/kg
SM 3111 D
4117108
MD
08047-2
Mercury-olid
T-1.
<0.01
mg/kg
245.1
4115108
MD
08047-2
Molybdenum -
T-1
26.7
mglkg
EPA200.7
4/21/08
PACE
08047-2
NH3N-solid
T-1
25,923
mg/kg
SM4500NH364115109
CL
080472
Nickel-Flame/solid
T-1
8.14
mg/kg
SM3111B
4114108
MD
08047-2
NO3NO2-solid
T-1
35.4
mg/kg
SM4500F/A
4/14/08
CL
08047 2
Potassium-ICP/solid
T-1
81800
mg/kg
EPA200.7
4/22JOS
PACE
08047-2
Reacwity
T-1
See Attached
SW-846
4/22108
PACE
08047-2
T.Phosphorous-solid
T 1
37,887
mg/kg
SM450OPE
4111/08
CL
08047-2
TCLP
T-1
Sae Attached
1311
4121108
PACE
08047-2
TKN-solid
T-1
66,567
mg/kg
SM4500NH3B 4111/08
CL
08047-2
Zinc-Flame/solid
T-1
345
mg/kg
SM3111B
4/17108
MD
P.O. Bog 228 • Statesville, North Carolina. 28687.704/872/4697

Jun 18 2008 11:09AM Statesville Analytical 704-878-2787
P.3
Analytical Results
Precision Lane! Application, Inc. For Taylorsville
4022 White Plains Rd.
Roaring River NC 28669
Entered 41712008
Reported: 6/17/2008
Sample Remark
Sample IC
Parameter
Cuat ID
Result
Units
Method
Date Ana"d
Analyst
08047-2
% Solids
T-1
1.94
%
SM2540B
4/14/08
MD
08047-2
Aluminum-flame/solid T-1
5,103
mg/kg
SM 3111 D
4/14/08
MD
08047-2
Arsenic4CP/solid
T-1
0.0029
mg/kg
EPA200.7
4/11/08
MD
08047-2
Cadmium-
T-1
0.73
mg/kg
SM3111B
4/17/08
MD
08047-2
Calclum-Flame/soNd
T-1
34,794
mg/kg
SM 3111 D
4117108
MD
08047-2
Copper-Flamelsoiid
T-1
289
rng/kg
SM3111 B
4/17/08
MD
08047-2
Corrosivity
T-1
See Attached
SW-846
4/21/08
PACE
08047-2
Ignftability
T-1
See Attached
1010M
4121/08
PACE
08047-2
Lead-fumacelsolid
T 1
17.16
mg/kg
SM3111 B
4/11/08
MD
06047-2
Magnesium-
T 1
2,010
mg/kg
SM 3111 D
4/17/08
MD
08047-2
Mercury -solid
T-1
<0.01
mg/kg
245.1
4115/08
MD
08047-2
Molybdenum -
T-1
26.7
mglkg
EPA200.7
4121108
PACE
08047-2
Nickel-Flame/solid
T-1
6.14
mgl kg
SM3111 B
4114108
MD
08047-2
NWN02-solid
T-1
35.4
mg/kg
SM460OF/A
4114/08
CL
08047-2
Potassium-ICP/solid
T-1
81800
mg/kg
EPA200.7
4/22108
PACE
08047-2
Reactivity
T-1
See Attached
SW-846
4/22108
PACE
08047-2
Selenium-11313/solld
T-1
0.0064
mg/kg
EOA200.7
4/14108
MD
08047 2
Sodium-ICPlsolld
T-1
3,376
mg/kg
EPA200.7
4/17/08
MD
08047-2
T.Phosphorous-solar!
T-1
37,887
mg/kg
SM450OPE
4/11/08
CL
06047-2
TCLP
T-1
See Attached
1311
4/21/08
PACE
08047-2
TKN-solid
T-1
66,567
mg/kg
SM4500NI-13B4/11/08
CL
08047-2
Zinc-Flamelsolid
T 1
34, �
mg/kg
SM3111B
4/17/08
MD
P.O. Box 228 • Statesville, North Carolina 28687. 704/87214697

Wce
A/78/�.,�+� Pace Analytical Services, Inc. Pace Analytical Services, Inc.
1J601 2225 Riverside Dr. 9800 Kincey Ave. Suite 100
wwpacelebsoom Asheville, NC 28804 Huntersville, NC 28078
ry
[phone] [phone]
ANALYTICAL RESULTS
Project: 08047
Pace Project No.: 9216958
Sample: 08047-2
Parameters
Lab ID: 9216958001 Collected: 04/08/08 00:00 Received: 04/09/08 08:55 Matrix: Water
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8081 GCS Pesticides, TCLP SPE
Analytical Method: EPA 8081
Preparation Method: EPA 3535
gamma-BHC (Lindane)
ND ug/L
0.50
1 04/21/08 00:00 04/23/08 01:01
58-89-9
Chlordane (Technical)
ND ug/L
3.0
1 04/21/08 00:00 04/23/08 01:01
57-74-9
Endrin
ND ug/L
0.50
1 04/21/08 00:00
04/23/08 01:01
72-20-8
Heptachlor epoxide
ND ug/L
0.50
1 04/21/08 00:00
04/23/08 01:01
1024-57-3
Methoxychlor
ND ug/L
1000
1 04/21/08 00:00
04/23/08 01:01
72-43-5
Toxaphene
ND ug/L
3.0
1 04/21/08 00:00
04/23/08 01:01
8001-35-2
Decachlorobiphenyl (S)
14 %
10=138
1 04/21/08 00:00
04/23/08 01:01
2051-24-3
Tetrachloro-m-xylene (S)
46 %
.10-110
1 04/21/08 00:00
04/23/08 01:01
877-09-8
200.7 MET ICP
Analytical Method: EPA 200.7
Preparation Method: EPA 200.7
Molybdenum
518 ug/L
5.0
1 04/10/08 11:40
0421/08 18:26
7439-98-7
Potassium
81800 ug/L
50000
10 04/10/08 11:40
04/22/08 13:31
7440-09-7
6010 MET ICP, TCLP
Analytical Method: EPA 6010
Preparation Method: EPA 3010
Arsenic
ND mg/L
0.025
1 04/17/08 13:03
04/17/08 18:57
7440-38-2
Barium
0.057 mg/L
0.025
1 04/17/08 13:03
04/17/08 18:57
7440-39-3
Cadmium
ND mg/L
0.0050
1 04/17/08 13:03
04/17/0818:57
7440-43-9
Chromium
ND mg/L
0.025
1 04/17/08 13:03
04/17/08 18:57
7440-47-3
Lead
ND mg/L
0.025
1 04/17/08 13:03
04/17/08 18:57
7439-92-1
Selenium
ND mg/L
0.050
1 04/17/08 13:03
04/17/08 18:57
7782-49-2
Silver
ND mg/L
0.025
1 04/17/08 13:03
04117/0818:57
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Mercury
0.94 ug/L
0.20
1 04/17/08 09:50
04/17/08 14:51
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
1,4-Dichlorobenzene
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
106.46-7
2,4-Dinitrotoluene
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
121-14-2
Hexachloro-1,3-butadiene
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
87-68-3
Hexachlorobenzene
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
118-74-1
Hexachloroethane
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
67-72-1
2-Methylphenol(o-Cresol)
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
95-48-7
3&4-Methylphenol(m&p Cresol)
6090 ug/L
500
10 04/18/08 00:00
04/22/08 10:17
Nitrobenzene
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
98-95-3
Pentachlorophenol
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
87-W5
Pyridine
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
110-86-1
2,4,5-Trichlorophenol
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
95-95-4
2,4,6-Trichlorophenol
ND ug/L
50.0
1 04/18/08 00:00
04/21/08 20:05
88-06-2
Nitrobenzene-d5 (S)
58 %
30-150
1 04/18/08 00:00
04/21/08 20:05
4165-00-0
2-Fluorobiphenyl (S)
56 %
30-150
1 04/18/08 00:00
04/21/08 20:05
321-60-8
Terphenyl-il4 (S)
54 %
30-150
1 04/18/08 00:00
04/21/08 20:05
1718-51-0
PhenoW6 (S)
16 %
25-150
1 04/18/08 00:00
04/21/08 20:05
131274!1&3 SO
2-Fluorophenol (S)
25 %
25-150
1 04/18/08 00:00
04/21/08 20:05
367-12-4
2,4,6-Tdbromophenol (S)
67 %
25-150
1 04/18/08 00:00
04/21/08 20:05
118-79-6
Date: 04/252008 03:02 PM REPORT OF LABORATORY ANALYSIS Page 3 of 15
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
CCq
q7 C
�rJ wiz

1�;alceAnalytical
1' www.pacelabscwn
i
Project: 08047
Pace Project No.: 9216958
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
sample: usual-z Lab ID: 9216958001 Collected: 04/08/08 00:00 Received: 04/09/08 08:55 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8260 MSV TCLP
Analytical Method: EPA 8260
Benzene
ND ug/L
100
20
04/11/08 12:39
71-43-2
2-Butanone (MEK)
ND ug/L
206
20
04/11/08 12:39
78-93-3
Carbon tetrachloride
ND ug/L
100
20
04/11/08 12:39
56-23-5
Chlorobenzene
ND ug/L
100
20
04/11/08 12:39
108-90-7
Chloroform
ND ug/L
100
20
04111/0812:39
67-W3
1,4-Dichlorobenzene
ND ug/L
100
20
04/11/08 12:39
106-46-7
1,2-Dichloroethane
ND ug/L
100
20
04/11/08 12:39
107-06-2
1, 1 -Dichloroethene
ND ug/L
100
20
04/11/08 12:39
75-354
Tetrachloroethene
ND ug/L
100
20
04/11/08 12:39
127-18-4
Trichloroethene
ND ug/L
100
20
04/11/08 12:39
79-01-6
Vinyl chloride
ND ug/L
100
20
04/11/08 12:39
75-01-4
1,2-Dichloroethane-d4 (S)
98 %
79-120
20
04/11/08 12:39
17060-07-0
Toluene-d8 (S)
100 %
70-120
20
04/11/08 12:39
2037-26-5
4-Bromofluorobenzene (S)
100 %
87-109
20
04/11/08 12:39
460-00-4
Dibromofluoromethane (S)
95 %
85-115
20
04/11/08 12:39
1868-53-7
1010 Flashpoint,Closed Cup
Analytical Method: EPA 1010
Flashpoint
>220 deg F
70.0
1
04/22/08 15:25
9040 pH
Analytical Method: EPA 9040
pH 6.4 Std. Units 0.10 1 04110/0817:26 H6
Date: 04/25/2008 03:02 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
40 p�1 L
tip`! r„ •\� f=
Page 4 of 15

ace Analytical e `
www.paceiahs.com
Ms. Bonnie McKee (Project Manager)
Pace Analytical Services, Inc
Charlotte Laboratory
9800 Kincey Avenue, Suite 100
Huntersville, NC 28078
Client Site: Charlotte Laboratory
Client Ref:: 9216958/Statesville
Pace Analytical Services, Inc.
5203 Triangle Lane
Exhort, PA 15632
Phone: [phone]
Fax: [phone]
Lab Project ID:
08-2827
Lab Sample ID:
0804-1992
Client Sample ID:
9216958001/08047-2
Sample Matrix:
Aqueous
Date Sampled:
04/08/2008
Date Received:
04/09/2008
Test
Method Result
Reporting
Limit Units
Analyst
Analysis
Method
Blank
Cyanide (Reactive)
_=
7.3.3.2/90140) I < 1 0
1.0
Date
Blank ID
Result
Sulfide (Reactive)
.
903Q(�) 17
i mg/f
i
BKN 04/2212008
0072847-1
:. I
3.3 i mg/I
BKH 04/22/2008
0072842-1
<2.0
t1) U.S. Environmental Protection Agency, 1996, Test Methods for Evaluating Solid Waste, SW-846, 3rd ed., Office of Solid Waste and
Emergency Response, Washington, DC.
Sample Comments: Results reported on an as received basis. Rx Sulfide: Insufficient sample volume to
perform duplicate.
REPORT. OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
` c x ActoRal
Page 2 of 2 I

ANNUAL M-ETALS FIELD LOAllW� U SUMIVIAKV >N VXIVI-
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Taylorsville WWTP Total Dry Tons Applied (Annual):
•111••1.
Cation Exchange Capacity (non 503 only):
Owen leenhour Owner:
20.7 Acres Permitted:
20.7 Site #:
Same
AL8 Field #:
48.05
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample
or Com-
posite
Date
1 1
4/7/08
2
3
4j
5
6j
7j
8 j
9 j
10 J
IIJ
12
% Solids
1.94%
Arsenic
1 0.0029
Cadmium
0.73
Chromium
Copper
289
Lead
17.6
Mercury
0.01
Molyb-
denum
26.7
Nickel
8.14
Selenium
0.0064
Zinc
345
Total
Phos-
horus
37887
Annual Heavv Metal Field LoadinLys (Calculated in lbs/acre):
��00000000000�
�iLti'itfitrYi0000000�00
�
��
'Total
Phos-
MENNEN
NEENEEM
phorus
"I certify, under penalty of law, that this document was prepared under 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 th/d possibility of'fn! and imprisonment for knowing violations"
if r; -3 " do
Signature ,of Land Ap Jilier­' Date
x See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form
DENR FORM MFLSF (5/2003)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
Facility Name
Owner
Site #: AL8
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Taylorsville WWTP
Owen Icenhour
Field #:
Permit #: WQ0006906 Annual Dry Tons Applied: 48.053412
Operator: same
1 Acres Utilized: 20.7
Cation Exchange Capacity (non 503):
Acres Permitted: 20.7
Specify
Site
Inches
Appli-
Vola-
Miner-
Ammo
Ni-
Must Select
*
Gal.
4
° y
Totals
%
Dr � Tons Per
Residual
Cond.
Precip.
cation
tili-
ali-
pia-
trate
Crop I or Crop
p p
o
Cu.Yd.
per
Solid
Acre
Sources
Dry,
Past 24
Meth-
zation
nation
TKN
Ni-
and
PAN 1
PAN 2
2
,
Report
Crop 1
Crop 2
Q
Totals
Acre
s
(Summarize)
Wet
e,
Hrs.
od *
Rate
Rate
trogen
Nitrite
X
in Gal.
Moist
Apr 08
72,000
3478.3
1.94
0.281384348
Digester
Dry
0
S
0.5
0.3
66567
25923
35.4
14.1762
#######
Fescue
1
May 08
108,000
5217.4
1.94
0.422076522
Digester
Dry
0
S
0.5
0.3
66567
25923
35.4
21.2643
#######
Fescue
2
Jun 08
300000
14493
1.94
1.172434783
Digester
Dry
0
S
0.5
0.3
66567
25923
35.4
59.0675
#######
Fescue
3
July 08
114000
5507.2
1.94
0.445525217
Digester
Dry
0
S
0.5
0.3
66567
25923
35.4
22.4456
#######
Fescue
4
0
0
0
0
5
0
0
0
0
6
0
0
0
0
7
0
0
0
0
8
110
0
0
0
0
9
0
0
0
0
0
0
0
0
11
0
0
0
0
12
TOTALS:
28696
As
Cd
Cr
Cu
1 Pb
H
Mo
Ni
Se
Zn
P
PAN 1
PAN 2
Lime Applied
Annuallbs/acre
0.000013456 0.00339 0 1.34096 0.08166 4.6E-05 0.12389 0.03777 3E-05 1.6008 175.796 116.954 0
Date
lbs/ac
Current Cumulative lbs/ac
0.135845256 0.10393 0 15.2936 1.4979 0.10776 0.12389 2.02424 0.15902 28.7325
0.1358318 0.10054 0 13.9526 1.41624 0.10771 0 1.98647 0.15899 27.1317
36 34 N/A 1 1338 267 15 1 N/A 374 89 1 2498
250
Prior Years Cumulative lbs/ac
Permitted-C. P. L. R.***
Permit PAN Limit 1st/2nd Crop
"I certify, under penalty of law, that this document was prepared under 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."
( /? �r-L 3_tl -c�� *Application Method: S - Surface, IN - Injection, INC - Incorporation
Si Iattfie d'f Land Applier Date **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 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 # 1 to MFLSF column # 1.
DENR FORM FSF (5/2003)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM
Facility Name: Town of Taylorsville WWTP Permit Number:
WWTP Name: Town of Taylorsville WWTP NPDES Number:
Monitoring Period: From 1/l/2008 To 12/31/2008
WQ0006906
NCO026271
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A:
Alternative 1 ❑
Alternative 2 ❑
Alternative 3 ❑
Alternative 40
Alternative 5 ❑
Alternative 6 ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alternative 1 ❑
Alternative 2 ❑
Alternative 3 ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ff
I Air Drying ❑
Composting ❑
jAerobic Digestion ❑
Anaerobic Digestion❑
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
g
Number o
Excee-
dences
Frequency
of Analysis
Sample
Type
Analytical
Tech-nique
Minimurr
Geo. Mean
Maximud
Units
Fecal Coliform
2 x 10 to the 6th
power MPN per
gram of total
solids or 2 x 10 to
the 6th power
CFU per gram of
1000 mpn per
gram of total solid
(dry weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4
grams total solid
(dry weight)
Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed:
Option 1 ❑ Option 2 ❑ Option 3 ❑ Option 4 ❑ Option 5 ❑
Option 6 2r Option 7 ❑ 1 Option 8 ❑ Option 9 ❑ Option 10 ❑
No vector attraction reduction options were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
Ur "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check
this statement attach an explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the
system designed to ensure that qualified personnel properly gather and evaluate the information
used to determine that the pathogen and vector attraction reduction requirements have been met. I
am aware that there are significant penalties for false certification including fine and imprisonment."
3 )/ /✓Yn1 �.p (G,G 1
Preparer Name and Title (type or print) Land A
Signature of Preparer Date Sign,
ti
Precision Land Application, Inc.
ier Name a9d"Titje (if applicable)(type or print)
2d'y C� ci
of Land Applir (if applicable) Date
DENR FORM RF (5/2003)

Lime Stabiiizaticm
Project: Town of Taytorsville WWTP Location:
tester 1
Date: , 3 08
Time: 0 3ao
Gallorfs
start
131 y
Notes:
Date: o
Time:
Added 2 hours
A
3 Itt, Qo-7
503 Reyukemeres:
Date: I 0
T'i1ne: a 96v
Uorrected ph & temp. after Correctec
PH 7y ./� 22 hours %) H
/JI D.i 2� JZtW / G17 /
12 Mkfturu 11.6 Wrdmtun
8" pH taken immedWGly after lime addWion.
PI r IrVa taken wig an approved tow sodium * W drode probe. p 4 Meyer was c8ftratod to a pH of 10 prior to eawoN.
Operator:

Lime Stabilization
Project; Town of Tsylorsviffe W1NTp Looetfon: p;gmter 2
Date. 30 6 S
Gallons pH & temp, aj Comet
start H
C 9a06 9z 13, 73
Notes:
Dale:
8Time:
po
o
— urr>te
pH & teanp after
Added
2 hours
2-a
503 PIM*rements-
Date:
Time: v gop
Omected ph & temW. after Dorrectet
22 hours pH
12 Mitirnurn 11 51A"mum
Start PH taken i nrnedlalety after ime addWm,
• pH readings lakes with an approved pow 80diW71 glass electrode probe. pH Meter was cekibrated to a pH of 10 prior 10 sampling.
Operator: a0z,

Lime Stabilization
Prole Town of Taylorsvi lie WWTp
Location. Digester 3
Date: a B
Time: o 3�
--- Ga"ons pH $ temp. at COrrtacl
start H
o
,pO�O ) I /3.J) /3,75
Notes:
OperMor'
Dale: N3<--
Time:
LFij pH & temp after
Added 2 hours
3, qo
Date" y 3 c S
Time: o
Corrected ph & ternp, after
l-! 22 hours
12 Minimum
Start pH taken immedat* eater fame addition.
pH readrngs taken with en apprvv®d low sodium glass elect rode probe, pH {ulster W%3 catiibrated to a pH of 10 prior to sampling.
/Z, Us-
11.5 Wmnum

Lime Stabilization
Project, Town of Taylorsmllle WWTP Location: Di er 4
Date: L o
Time•
Gallons pH i� trams, at
Notes:
tatarQ
/�tl
Date:
Time
urm pH & temp after
Added 2 hotxs
�,,Vo =13, o z—
say Requi w*f .-
Date. y 3
Time•
Corrected ph &tmV. after
22 hours
/Z, FL/
12 M mum
Start t" taken Mnedtetely after {ante as dditf m
- pH readings taken wlttl an aMovaad low aim glass 09c"de probe. PH
Meter was ca3ttbrated to a pH of 10 prior 10 sampling.
1
Operator
1 }.5 Atirfftit�s►t

Ume Stabilization
Project: Town of Ta*rsviit WINTP Location: Dgester t
Date: Date: `7 4 Date: '7 0 0
Time. O qe-c Time: /idG
Time: v So a
Gaiiodts WHIP. an rrected _ Lime
start pH Added
LS-)o6� �o 13,1�- l3,lo ZoauA
Notes:
Operator:
PH & ternp after
Corrected
ph & term. after
Corrected-
2 hours
22 hours
pH
Z-c-
/1, 2-0
au rseWramerns: 12 MlnimUtn
Sta# pti taken knmadiet* after fi me addition.
pH MedOV9 taken with an approved low sodium glass eiodrode probe. pH Meter was caftrated to a pH of 10 prior to ssmping.
11.6 1 IN941"

Lime Stabilisation
Project. Town of Taa&rsville WWTp Location- Digester 2
Date; F�Y�
Date: G o
Time:
idle: o
Time: Time:
Gafl®ns or teaanp, at Corrected Lime
stwt H Added
S,ada Zv°
Notes:
Operator:
PH tamp aft&7
CQtreoted
ph & temp. after
Corrected
2 fours
H
22 Fours
PH
2-z
1z,I3
1.c mnrnirn
Start PH taken immediately after ime addition.
PH readings taken with an aWroved lore sodium glace electrode probe. pH Meter was esltiloreted to a pH of 10 prior to sampling.
11 5 Minimum

m
w
m
N
Lime Stabili #ionCD
Pfoject.- Towrl of Ta Lo
Y�rsvilie WVyTp
Loaat on. Dftgestw 3
N
M
Data: o o °°
lime; o Date. Z. ;$co
Date: b it o 8 w
Time: �� o Time: iQ
Gallons pH & tern at o 9 0 o N
co
atart p C oed L& temp after Corrected � temp, after
Added 2 hours Connected ZZ hotN$
OIL
'%3 P"gl"rarn t2Minimum
Notes: 11.5 Minimum
• Start PH taken immediet* alter gme additfoe.
• PH rGadngs taken with an approved bw sodium glans electrode Probe. pH Mier waa calibrated to a PH of 10 Prior to sampNn . � 9
ad
H
D
Z
L�Operator:
m
D
U
m
1n
E
D
G7
m

Lime Stabilization
Project: Town of Taylorevilte 1i'V TP
Location: oigester 4
Date:
I/ 6 0�6
Time•
Gsllorts
pN & temp. at rrect
starl
�aa�Q
�y� /3, 3
Operator:
Date: H!60!E]
Time:
ime pH 6 =houirs
after
Added 2
jfoa� %3 Zvi_ /3,//
503 Eiequirernereis:
Date: .6
Time: c>
H 22 hours PH
13.10 aO /Z,4X3 A-1-7
12 Ilinirnum 11.5 Wrimum
- Start pH taken immediately eRer Kona &MA'jan.
- PH readings taken with an appro vd Iow sodwm 94M electodo probe. pH Meier was caMbreied to a PH of 10 prior ID sampling,

Report Number: A&L EASTERN LABORATORIES INC. � T
R09030-0039 ' j( j
7621 Whitepine Road •Richmond, Virginia 23237-2214
FM
Account Number: Phone [phone] • Fax [phone]
46387 Website: www.al-labs-eastem.com • E-mail: [e-mail]
Send To: PRECISION LAND APP INC Grower: PLA Submitted By: CHRIS ALEXANDER
4022.WHITE PLAINS RD
ROARING RIVER, NC 28669
Farm I D: Field I D:
SOIL ANALYSIS REPORT
Analytical Method(s):
Page: 1 Date Received: 1 /30/2009 Date of Analysis: 1 /31/2009 Date of Report: 2/3/2009 N
Organic Matter
Phosphorus
Potassium
Magnesium
Calcium
Sodium
pH
Acidity
C.E.C.
Sample
Number
Lab
Number
% ENR
Ibs/A Rate
Available
ppm Rate
Reserve
ppm Rate
K
ppm Rate
MG
ppm Rate
CA
ppm Rate
NA
ppm Rate
Soil
pH
Buffer
Index
H
meq/100g
meq/100g
AL8-1
7096
8.9 150 VH
383 VH
NC=319
432 VH
NC=221
433 H
1825 M
6.1
6.7
2.2
16.0
Sample
Number
Percent Base Saturation
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper
Boron
Soluble
Salts
Chloride
Aluminum
K
%
Mg
%
Ca
%
Na
%
H
%
NO3-N
ppm Rate
SO4-3
ppm Rate
ZN
ppm Rate
MN
ppm Rate
FIE
ppm Rate
CU
ppm Rate
B
ppm Rate
CL
ppm Rate
AL
ppm Rate
ms/cm Rate
AL8-1.
6.9
22.5
56.9
13.7
9 VL
NC=23
48.4 VH
NC=1210
54 VH
NC=338
268 VH
3.3 VH
NC=165
0.8 M
r,c.Fiv This report applies to the sample(s) tested. Samples are retained a
Values on this report represent the plant available nutrients in the soil on a dry weight basis. Explanation of symbols: % (percent), ppm (parts per million), Ibs/A (pounds per acre), maximum of thirty days after testing. Soil Analysis prepared by:
A & L EASTERN AGRICt�LTURAL LABORATORIES, INC.
Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). ms/cm (milli -mhos per centimeter), meq/100g (milli -equivalent per 100 grams). a 1
ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = Ibs/A, Soluble Salts ms/cm x 640 = ppm. by CCi __
aul Chu, Ph.D.

Report Number:
R09030-0039
Account Number: A&L EASTERN LABORATORIES9 INC. {
46387 7621 Whitepine Road • Richmond, Virginia 23237-2214 I a #L
Phone[phone] o Fax [phone]
Website: www.al-labs-eastem.com e E-mail: [e-mail]
To: PRECISION LAND APP INC For: PLA Copy To: CHRIS ALEXANDER
4022 WHITE PLAINS RD
ROARING RIVER, NC 28669
Date Received: 01 /30/2009
Date Reported: 02/03/2009 SOIL FERTILITY RECOMMENDATIONS Page: 1
Sample
Lime
Nitrogen
Phosphate
Potash
Magnesium
Sulfur
Zinc
Manganese
Iron
Copper
Boron
ID
Intended Crop
Yield Goal
TonslA
N
P205
K20
Mg
s
Zn
Mn
Fe
Cu
B
IbIA
Ib1A
Ib1A
Ib1A
IbIA
IbIA
Ib1A
Ib1A
Ib1A
IbIA
AL8-1
Fescue
4 tons
1.3
50
0
0
0
20
0.0
0
0
0
0.0
Sample AL8-1: Apply additional 50 pounds of nitrogen after every cutting and harvest of hay.
"The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made." A&L Eastern Laboratories, Inc.�� e{
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the _
work, the results, or the company in any advertising, news release, or other public announcements without obtaining our priorwritten authorization. Copyright 1977. Paul Chu, Ph.D.
ALE-R.,