WQ0003902_Regional Office Historical File Pre 2018 (3)

177
HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins TIMAR
Dee Freeman
Governor Director Secretary
March 18, 20109 �110
MR. MARTIN WILCE, PUBLIC WORKS DIRECTOR
CITY OF NEWTON
P.O. BOX 550
NEWTON, NORTH CAROLINA 28658
Dear Mr. Wilce:
Protection
Subject: Permit Application WQ0003902I
Additional Information Request
City of Newton Residuals Land
Application Program
Catawba County
The Land Application. Unit has completed a primary technical review of the subject permit
application package. At this time, additional information is required before we may continue our
review. Please address the following items no later than April 16, 2010.
1. Please submit maps showing delineation of Compliance and Review Boundaries for all
new fields.
Note that the Compliance Boundary for each land application site is established at either 250 feet
from the residuals land application area or 50 feet within the property boundary, whichever is
closest to the residuals land application area. The review boundary shall be established around
each land application site midway between the Compliance Boundary .and the perimeter of the
residuals land application area.
Please reference the subject application number when providing the requested information.
Two copies of all revised information should be submitted to my attention at the address below.
Division of Water Quality
Land Application Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
Attention: Chonticha McDaniel
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet www.ncwaterouality.org
An Equal Opportunity 1 Affirmative Action Employer
fU
y� 11
One
N oi-thCarolina
WMI9 �V

XN'i
EHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
Please be aware that you are responsible for meeting all requirements set forth in North Carolina
rules and regulations. Any oversights that occurred in the review of the subject application
package are still the responsibility of the applicant. In addition, any omissions made in
responding to the above items may result in future requests for additional information.
Please note that failure to provide this additional information on or before the above requested
date may result in your application being returned as incomplete.
.114
If you have any questions regarding this request, please do not hesitate to contact me at (919)
715-6188 or via e-mail at [e-mail]. Thank you for your cooperation.
Mocksville, NC 27028)
Permit Files WQ0003902
Sincerely,
Chonticha McDaniel
Environmental Engineer
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2128 Capital Boulevard, Raleigh. North Carolina 27604
Phone: [phone] \ FAX 1: 919-715-0588: FAX 2: 919-715-6048 \ Customer Service: 1-877-623-6748
Internet: www.ncwaterguality.org
An Equal Opportunity 1 Affirmative Action Employer
One
Non-th iCarol 1.n7 a
WMI1

SYNAGP-x0.
A Residuals Management Company
March 22, 2010
N.C. Department of Envirolnnent and Natural Resources
Division of Water Quality
Aquifer Protection Section — Land Application Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
ATTENTION: Ms. Chonticha McDaniel
RECEIVED I DENR I DWO
AQUiFFR-PR0TFf,TinN R C71ON
MAR
Zulu
REFERENCE: APPLICATION FOR MODIFICATION OF PERMIT # WQ0003902
CITY OF NEWTON
Dear Ms. McDaniels:
Per your Additional Information Request Letter dated March 18, 2010 Synagro is responding on
behalf of the City of Newton. Enclosed please find two copies of "Compliance and Review
Boundary Maps" for the fields in sites NC-CA-20 and NC-CA-21, which are being proposed for
addition to the referenced land application permit.
You should now have all of the information necessary to complete the requested modification of
the Newton permit. However, if you require any additional information or have further questions
about this application, please contact me at sberg_a,syna ro.com or phone number (336) 998-
7150, ext. 13. Thank you in advance for the timely and efficient review of this modification
application.
Sincerely,
Scott D. Berg
SYNAGRO
Technical Services Manager
enclosure
cc: City of Newton
RED
284 Boger Road • Mocksville, NC 27028-7619 9 Ph: [phone] 0 Fax: [phone] • Toll Free: [phone]

RECEIVEDIDENRIDWQ
AQUIFFR'PRnTF(•TION SECTION 'Je
OR 2
zu�u SYNAGRO
;r COMPLIANCE AND REVIEW BOUNDARY MAP A R.,dnalt Mairagenenl Company
- 7L1-- z_q'?
b4�w
Compliance Boundary_ . ..-
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Review boundary y �.
COUNTY da-1 Ao-
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North Carolina Department or-nvironment and Natural Resources
DuVrf lY waves PerdLle
Governor
Division of Water Quality
Coleen H. Sullins
Director
April 1, 2010
MR. MARTIN WILCE, PUBLIC WORKS DIRECTOR
CITY OF NEWTON
P.O. Box 550
NEWTON, NORTH CAROLINA 28658
Dear Mr. Wilee:
D L5 eta
APR -- 6 2010
NC D�ICIR MM O
DWQ - A l.lifer Protection
Subject: Attachment B Certification
Permit No. WQ0003902
City of Newton
Land Application of Residual Solids
Catawba County
In accordance with your permit modification application package received on February 10, 2010,
and subsequent additional information received March 23, 2010; we are forwarding herewith a modified
Attachment B, certified April 1, 2010, to the City of Newton for the subject residuals land application
program.
Tliis certification is being issued to modify Attachment B by adding 11 new fields totaling 298.8
acres and deleting an existing site NC-CA-15-8 (12.9 acres) which is located within the critical area of a
water supply watershed as defined in Rule 15A NCAC 02B .0202 and in accordance with the Division's
notification letter dated November 25, 2009.
Please replace the existing Attachment B of Permit No. WQ0003902 that was previously
certified on August 6, 2009, with this modified Attachment B. Note that only the vicinity and buffer
maps for any new and modified land application sites are attached to this modified Attachment B. It is
the Pennittee's responsibility to ensure that a complete permit is created by inserting this modified
Attachment B and vicinity and buffer maps into Pen -nit No. WQ0003902, issued on June 1, 2006, and
making sure to retain any vicinity and buffer maps for any existing and unmodified land application sites.
This modified Attachment B shall be effective from the date of certification; shall void
Attachment B of Permit No. WQ0003902 that was previously certified on August 6, 2009; and shall be
subject to the conditions and limitations as specified therein and well as those specified in the above -
referenced permit. As always, remember to take the time to review this modified Attachment B
thoroughly, as some of the conditions contained therein may have been changed since the last
certification. Note that this modified Attaclunent B is hereby incorporated by reference into Permit No.
WQ0003902, issued on June 1, 2006.
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone]', FAX 1:.919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet: www.ncwatemualitv.org
Oflc .
No1_ 1.-11_—_,aro1 nC� L
F
An Equal Opportumy \ Afrrmnve Action Employer

Mr. Wilce
April 1, 2010
Page 2
On August.5, 2009, Session Law 2009-406, entitled "An Act to Extend Certain GoverL
v _ Approyvals� Affecting the;Development of Real Property within the State," was enacted by the
s General -Assembly and isigned into law. The Act, known as the Permit Extension Act of 2009,
extends the expiration date.of certain government approvals and permits.
allon-discharge permit, WQ0003902, issued by the Divisho,$pfWater Quality falls within the
scope of this Act and is therefore being extended until May 31, lease note per your permit, a
rrenewal application must still be submitted six months in advance of the extended expiration date.
If any parts, requirements, and/or limitations contained in this certification or modified
Attachment B are unacceptable, you have the right to request an adjudicatory hearing upon written
request within 30 days following receipt of the certification. This request shall be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of
Administrative Hearings at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such
demands are made, this permit shall be final and binding.
If you need any additional information concerning this matter, please contact Chonticha
McDaniel by telephone at [phone] or via e-mail at [e-mail].
Sincerely,
I
or Coleen H. Sullins.
cc: Scott D. Berg/Synagro (284 Boger Rd., Mocksville, NC 27028)
Catawba County Health Department
aoresvf21 e °.j nTa: fer Protect+i ; - Q1�
APS Central Files
APS Files
LAU Residuals Program Coordinator

ATTACHMENT B - Approved Land Application Sites
Permit No. TT'Q0003902
City oJ'Ne►vton
City of Newton Residuals Laud Application Program
Site/Field Ill
Landowner
Lessee/Operator
County
Latitude
Longitude
Net
Acreage
Dominant
Soil Series
Applicable
Restriction in
Condition IV. 1.
NC-CA-07-01
Smyre, Jeffery L
Catawba
35037'47"
81010'50"
9.50
Hiwassee
GW-A
NC-CA-07-02
Smyre, JefferyL
Catawba
35'37'50"
81010'50"
15.10
Cecil
GW-A
NC-CA-07-03
Smyre, Jeffery L
Catawba
35037'54"
81010'50"
6.50
Hiwassee
GW-A
NC-CA-08-01
Simpson, William H
Catawba
35033'50"
81016'27"
9.10
Hiwassee
GW-A
NC-CA-08-02
Simpson, William H
Catawba
35033'50"
81016'36"
17.20
Hiwassee
GW-A
NC-CA-08-03
Simpson, William H
Catawba
35033'52"
81016'48"
14.60
Hiwassee
GW-A
NC-CA-14-OIA
Lee, Nelda
Waters, Chuck
Catawba
35'34'28"
81018'05"'
19.30
Hiwassee
GW-A
NC-CA-14-OIB
Lee, Nelda
Waters, Chuck
Catawba
35034'25"
81018'14"
10.00
Hiwassee
GW-A
NC-CA-14-OIC
Lee, Nelda
Waters, Chuck
Catawba
35034'22"
81017'51"
9.30
Hiwassee
GW-A
NC-CA-14-02A
Lee, Nelda
Waters, Chuck
Catawba
35034'20"
81017'53"
23.70
Hiwassee
GW-A
NC-CA-14-02B
Lee, Nelda
Waters, Chuck
Catawba
35034'09"
8101759"
3.10
Hiwassee
GW-A
NC-CA-14-03
Lee, Nelda
Waters, Chuck
Catawba
35034'09"
81017'38"
28.80
Hiwassee
GW-A
NC-CA-14-04
Lee, Nelda
Waters, Chuck
Catawba
35034'25"
81018'21"
12.70
Hiwassee
GW-A
NC-CA-15-01
Fox, Conley
Fox, Conley
Catawba
35048'45"
81009'52"
11.20
Hiwassee
GW-A
NC-CA-15-02
Fox, Conley
Catawba
35048'51"
81009'48"
3.70
Hiwassee
GW-A
NC-CA-15-03
Fox, Conley
Catawba
35048'57"
81009'51"
7.90
Enon
GW-A
NC-CA-15-04
Fox, Conley
Catawba
35049'04"
81009'54"
4.90
Cecil
GW-A
NC-CA-15-05
Fox, Conley
Catawba
35049'04"
81009'50"
1.40
Cecil
GW-A
NC-CA-15-06
Fox, Conley
Catawba
35049'13"
81009'53"
5.90
Cecil
GW-A
NC-CA-15-07
Fox, Conley
Catawba
35049'05"
81009'42"
19.30
Cecil
GW-A
NC-CA-15-09
Fox, Conley
Catawba
35049'04"
81009'22"
1.70
Cecil
GW-A
NC-CA-15-10
Fox, Conley
Catawba
35049'01"
81009'18"
1.90
Cecil
GW-A
NC-CA-15-11
Fox, Conley
Catawba
35048'56"
81009'56"
7.90
Cecil
GW-A
NC-CA-16-01
Biggerstaff, Richard
Catawba
35033'42"
81015'27"
12.00
Pacolet
GW-A
NC-CA-16-02
Biggerstaff, Richard
Catawba
35033'33"
81015'11"
13.90
Cecil
GW-A
NC-CA-17-01
Berry, Jane
Waters, Chuck
Catawba
35034'52"
81017'46"
4.10 .
Cecil
GW-A
NC-CA-17-02
Beny, Jane
Waters, Chuck
Catawba
35'34'49"
81017'42"
3.80
Cecil
GW-A
NC-CA-17-03
Berry, Jane
Waters, Chuck
Catawba
35034'47"
81'17'37"
9.70
Pacolet
GW-A
Permit No. WQ0003902 Page 1 of 3 Certification Date: April 1, 2010

ATTACHMENT B - Approved Land Application Sites
Permit No. TVQ0003902
City of Nemtorr
Cite of 'Nervton Residuals Land Application Progran:
Site/Field ID
Landowner
Lessee/Operator
County
Latitude
Longitude
Net
Acreage
Dominant
Soil Series
Applicable
Restriction in
Condition IV. 1.
NC-CA-17-04
Berry, Jane
Waters, Chuck
Catawba
35034'35"
81017'37"
26.70
Cecil
GW-A
NC-CA-17-05
Berry, Jane
Waters, Chuck
Catawba
35034'33"
-81017'43"
6.00
Hiwassee
GW-A
NC-CA-17-06
Berry, Jane
Waters, Chuck
Catawba
35034'22"
81017'36"
9.10
Pacolet
GW-A
NC-CA-17-07
Berry, Jane
Waters, Chuck
Catawba
35034'47"
81"17'54"
29.30
Hiwassee
GW-A
NC-CA-17-08
Berry, Jane
Waters, Chuck
Catawba
35034'38"
81018'04"
21.80
Hiwassee
GW-A
NC-CA-17-09
Berry, Jane
Waters, Chuck
Catawba
35034'49"
81018'19"
10.20
Cecil
GW-A
NC-CA-18-01
Hunsucker, Bruce
Goins, Gordy
Catawba
35'34'17"
1 81014'12"
27.40
Davidson
GW-A
NC-CA-18-02
Hunsucker, Bruce
Goins, Gordy
Catawba
35034'19"
81014'27"
16.80
Hiwassee
GW-A
NC-CA-18-03
Hunsucker, Bruce
Goins, Gordy
Catawba
35034'05"
81013'59"
5.10
Davidson
GW-A
NC-CA-18-04
Hunsucker, Bruce
Goins, Gordy
Catawba
35034'03"
81014'14"
15.20
Davidson
GW-A
NC-CA-18-05
Hunsucker, Bruce
Goins, Gordy
Catawba
35033'55"
81014'21"
9.30
Davidson
GW-A
NC-CA-20-03
Sherrill, Harold
Saine, Wally
Catawba
35"35'54"
81015'47"
32.80
Lloyd
GW-A
NC-CA-20-04
Sherrill, Harold
Saine, Wally
Catawba
35036'08"
81"15'41"
19.80
Lloyd
GW-A
NC-CA-20-05
Sherrill, Harold
Saine, Wally
Catawba
35036'11"
81015'58"
37.80
Lloyd
GW-A
NC-CA-20-06
Sherrill, Harold
Saine, Wally
Catawba
35036'07"
81016'08"
8.00
Lloyd
GW-A
NC-CA-20-07
Sherrill, Harold
Saine, Wally
Catawba
35037'55"
81015'35"
37.90
Lloyd
GW-A
NC-CA-20-08
Sherrill, Harold
Saine, Wally
Catawba
3503Tl l"
81)15'27"
16.70
Lloyd
GW-A
NC-CA-20-09
Sherrill, Harold
Saine, Wally
Catawba
35037'04"
81 ° f 5'55"
35.80
Lloyd
GW-A
NC-CA-20-10
Sherrill, Harold
Saine, Wally
Catawba
35037'00"
8196'07"
29.70
Lloyd
GW-A
NC-CA-20-11
Sherrill, Harold
Saine, Wally
Catawba
3596'43"
81()16'17"
14.80
Lloyd
GW-A
NC-CA-21-01
Warlick, Thoinas
Saine, Wally
Catawba
35036'59"
81015'31"
26.50
Lloyd
GW-A
NC-CA-21-02
Warlick, Thomas
Saine, Wally
Catawba
35036'41"
81015'41"
39.00
Lloyd
GW-A
NC-CA-30-OIA
Jarrett, Larry
Catawba
35048'56"
81019'09"
10.70
Hiwassee
GW-A
NC-CA-30-OIB
Jarrett, Larry
Catawba
35035'19"
81019'05"
7.90
Hiwassee
GW-A
NC-CA-30-02 1
Jarrett, Larry
Catawba
35035'29"
81019'l9"
14.20
Iliwassee
GW-A
NC-CA-32-01
Siginon, Ronnie
Catawba
35038'03"
81006'01"
13.70
Appling
GW-A
NC-CA-32-02
Siginon, Ronnie
Catawba
35039'45"
81°06'41"
7.30
Appling
GW-A
NC-CA-111-01
City Of Newton
Richard, James
Catawba 1
35'37'35"
81014'05"
3.30
Cecil
GW-A J
Permit No. W00003902
Page 2 of 3
Certification Date:

ATTACHMENT B - Approved Land Application Sites
Permit No. IVQ0003902
City of Newton
City q f Newton Residuals Land Application Progrant
Site/Field Ill
Landowner
Lessee/Operator
County
Latitude
Longitude
Net
Acreage
Dominant
Soil Series
Applicable
Restriction in
Condition 1V. 1.
NC-CA-111-02
City Of Newton
Richards, James A
Catawba
35037'45"
81014'05"
4.90
Hiwassee
GW-A
Total For County
Catawba
825.90
NC-LT-119-01
Canipe, Bobby
Goins, Gordy
Lincoln
35033'19"
81018'18"
11.50
Pacolet
GW-A
NC-LT-119-02
Goins, Gordy
Goins, Gordy
Lincoln
35033'14"
81018'11"
5.40
Pacolet
GW-A
NC-LT-119-03
Goins, Gordy
Goins, Gordy
Lincoln
35033'13"
81018'21"
7.50
Pacolet
GW-A
NC-L'T-119-04
Goins, Gordy
Goins, Gordy
Lincoln
35033'10"
81018'23"
5.40
Pacolet
GW-A
Total For County
Lincoln
29.80
Total
855.70
'A reduced buffer from a residence under separate ownership has been approved for this land application site. Residuals may be land applied to within 100 feet
of the residence owned by Ms. Virginia Parker of 8164 Reepsville Road, Lincohiton, NC 28092, Ms. Sheila Drum of Reepsville Road, Lincolnton, NC 28092,
and Ills. Rita Neill of 308 Wiggins Road, Mooresville, NC 28115, regardless of whether a surface or a subsurface application method is used.
Permit No. W00003902 Page 3 of 3 Certification Date: April 1, 2010

ICINITY MAP
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SY NA.GPIO
A Keirduali Management Company
COUNTY ��i`tQGuD G OWNER

APPLICATION AREA MAP
Owner
CD
O
STRE M
DRAIN
SURFACE NVATER
FENCE
STORAGE AREA
PROPERTY LINE
n nettauatt management
Scale: V' _ 4:�Wo Field #
t otal
Acres 5 SkMjy1
.iNet Acres �W5y y nWp l
Ci)APPLICATION
AREA
— — — — — — PRIVATE ROAD
HOUSE
FORESTED AREA
❑
OUTBUILDING
UNSUITABLE
0
NIVELL
O
SOIL DESCRIPTION
t. I
i SUITABLE FOR
INCORPORATION,
8-12% SLOPE

PPLICATION AREA MAP
r
r
�rf
Y lw-7m
A Residuals Management Company
Owner 171AQeLf7 J`hcze / II
Scale: V =
10�0 Field #
Total
Acres See 5ummatr Net Acres
5e 5ucumW
— > STREAM
APPLICATION AREA
— — — — — —
PRIVATE ROAD
--7 DRAIN
HOUSE
FORESTED AREA
CDSURFACE \VATER
❑
OUTBUILDING
UNSUITABLE
-3, FENCE
WELL
STORAGE AREA
SOIL DESCRIPTION
SUITABLE FOR
O
INCORPORATION,
_ PROPERTY LINE
8-1.2% SLOPE

APPLICATION AREA MAP
Owner �%�i�DCoyl1��i�,e/1�-%/l6lC' G'�-21�j Scale: 1" = CraCaCJ Field # �y
CD
O
STREAM `
DRAIN
SURFACE WATER
FENCE
STORAGE AREA
PROPERTY LINE
Total
Acres 6f& 6u►x�1a
APPLICATION AREA
®
ROUSE
❑
OUTBUILDING
0
SMELL
O
SOIL DESCRIPTION
Net Acres �L4 arm gie e
- PRIMATE ROAD
FORESTED AREA
UNSUITABLE
SUITABLE FOR
INCORPORATION,
8-12% SLOPE

ILICATIQN AREA MAP
A�III�
SYNAGRO-
A Residuals Management Company
Owner �l D�G� J5A'!5;A _ Scale: V _ Field #
Total
Acres ,5&
Net Acres
6
STREAM
APPLICATION AREA —
— — _ — —
PRIVATE ROAD
DRAIN
HOUSE`S
J "
FORESTED AREA
SURFACE WATER ❑
OUTBUILDING
UNSUITABLE
`; X X
FENCE
G
WELL
OSTORAGE
AREA
SOIL DESCRIPTION
SUITABLE FOR
SINCORPORATION,
PROPERTY LINE
5-12% SLOPE

VICINITY MAP
A Residuals A4amgemenr C
h
COUNTY OWNER �phJaS GT%"Q�U�
Ne --4�- -2/

`� �) 11Nl� T.
PLICATION AREA AIAP
ON, ner %�70�'la5 Q,�f C� (lve-�'.�Gl� Field #
Total
Acres'Sife Net Acres
67e4 AamL" k
—�
STREAM (\�
APPLICATION AREA — — — — — —
PRIVATE ROAD
DRAIN
HOUSE
FORESTED AREA
CDSURFACE
WATER ❑
OUTBUILDING
UNSUITABLE
„
FENCE 0
WELL
STORAGE AREA O
SOIL DESCRIPTION 4�
SUITABLE FOR
INCORPORATION,
PROPERTY LINE
8-12% SLOPE

as Perdue
Governor
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
November 25, 2009
MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR
CITY OF NEWTON
POST OFFICE BOX 550
NEWTON, NORTH CAROLINA 28658
Dear Mr.. Martin:
�reernan
F C t5 0 M E rerntary
M-I
Subject: Notification of Residuals Land
Application Fields within a Water
Supply Watershed Critical Area
Permit No. WQ0003902
Land Application of Residuals Solids
Catawba County
Recent review of the Non -discharge permit, WQ0003902, issued by the Division of Water
Quality (DWQ) indicates that the following permitted residuals land application fields are located within
the critical area of a water supply watershed as defined in Rule 15A NCAC 02B .0202.
Field/Zone Id
Owner
Lessee
County
Latitude
Longitude
NC-CA-15-08
Fox, Conley
Catawba
35049'20"
81009'29"
15A NCAC 02B .0100 and .0200 rules require that classified water supplies be protected through local
and state programs which limit development and restrict certain types of discharges and land uses in a
defined watershed area. Restrictions include no new permitted sites for land application of residuals in
critical areas of water supply watersheds. DWQ records show that noted fields were .permitted after
adoption of the water supply watershed protection rules, and therefore are considered "new permitted
.sites" and are subject to the restrictions.
DWQ encourages you to reevaluate the need for land application on these fields, and we request that you
consider removing these fields from the permit and from use as soon as possible. Please be advised that
removal of the noted fields from the residuals management permit will take place during the next
permitting action.
Please submit a written response within 30 days of this notification acknowledging receipt of this letter as
well as outlining an action plan for removal of the fields from the subject permit, verifying the field
location in or out of the critical area, and if necessary, any other proposed action. The response shall be
sent to both of the following:
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet: www.ncwaterouality.oro
An Equal Opportunity \ Affirmative Action Employer
ne
NorthCarohna
Natlmally

Jon Risgaard Julie Ventaloro
NC DENR-DWQ NC DENR-DWQ
Aquifer Protection Section, Wetlands and Stormwater Branch
1636 Mail'Service Center 1617 Mail Service Center
Raleigh NC27604-1636 Raleigh, NC 27699-1617
DWQ has taken recent step to improve the permit application review process to better assure that no new
j site's are. permitted within critical areas of water supply watersheds. In February 2009, the DWQ sent a
:.l.a(t r to local county...health departments in an effort to improve communication between DWQ and local
health departments, provide information on the residuals program, and outline the County's role in the
permitting process. In addition, updates were made to the County Managers Notification Attachment
form, which is completed as part of an application to permit new fields. The updated attachment requires
that the applicant submit to the County Manager location information as well as maps verifying that all
newly proposed fields are not within critical watershed areas. The amended application will help County
and DWQ staff screen applications and will also help to educate applicants on the Water Supply
Watershed Protection rules applicable to residuals application.
Information on the Residuals Management Program, as well as updated attachment forms can be found at:
http://112o.enr.state.ne.us/lau/main.litm1, or you may contact Aquifer Protection Section staff at (919) 733-
3221.
Additional information on the water supply watershed protection program can be found at:
http://h2o.enr.state.ne.us/wswp/index.html, or you may contact Julie Ventaloro at [phone], email
julie.ventaroro(,ncdenr.gov.
Thank you in advance for your cooperation.
Sincerely,
Jon Risgaard
Aquifer Protection Section
cc: �1V'oore$; " e Re Tonal �fi!ice, Aquiifer Ptntectiom Section
Julie Ventaloro - NPSACOU, Wetlands & Stormwater Branch, DWQ
Catawba County Health Department.
APS Permit File WQ0003902
2

APA
{EHR
Borth Carolina Department of Environment arid -natural Resources
Perdue
Governor
DANNY SIGMON
CITY OF NEWTON
P.O. Box 550
NEWTON, NORTH CAROLINA 28658
Dear Mr. Sigmon:
Division of Water QUallt}' n 22
Coleen H. Sullins u lS [ ee Freeman
Director IRn
1' Secretary
August 21, 2009
Subject: Attachment A Certification
Permit No.: WQ0003902
City of Newton
Land Application of Residual Solids (503)
Catawba County
In accordance with your permit modification request received on July 22, 2009, we are
forwarding herewith a modified Attachment A, certified August 21, 2009, to the City of Newton for the
subject residuals land application program. This certification is being issued to reduce the monitoring for
TCLP parameters from annually to once per permit cycle.
Please replace the existing Attachment A of Permit No. WQ0003902, that was previously
certified on June 1, 2006, with this modified Attachment A. It is the Permittee's responsibility to
ensure that a complete permit is created by replacing the previously certified Attachment A with this
revised version.
This modified Attachment A shall be effective from the date of certification, shall void
Attachment A of Permit No. WQ0003902 that was previously certified on June 1, 2006, and shall be
subject to the conditions and limitations as specified therein and well as those specified in the above -
referenced permit. As always, remember to take the time to review this modified Attachment A
thoroughly, as some of the conditions contained therein may have been changed since the last
certification. Note that this modified Attachment A is hereby incorporated by reference into Permit No.
WQ003902, issued on June 1, 2006.
If any parts, requirements, and/or limitations contained in this certification or modified
Attachment A are unacceptable, you have the right to request an adjudicatory hearing upon written
request within 30 days following receipt of the certification. This request shall be in the from of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of
Administrative Hearings at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such
demands are made, this permit shall be final and binding.
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Interne:: www.ncwateraualitv.ora
An Equal Opportunity, Affirmative Action Employer
One
N rthCarolina
,�Mmm

Mr. Danny Sigmon
August 21, 2009
Page 2 of 2
If you need any additional information concerning this matter, please contact Lori Montg
by te-f0phbheat`(919) 715=6187 or via e-mail at [e-mail].
Sincerely
jr
lm
-� Coleen H. Sullins
cc: ORuillepRe o 'Te-,=MZ—QAptr ec iori S i
Permit File WQ0003902
Notebook File WQ0003902

ATTACHMENT A - Approved Residual Source -Generating Facilities
Pern:it No. WQ0003902
City ofNetivton
City of Neivtorr Residuals Land Application Program
Owner
Facility Name
County
Permit
Issued By
Is 503?
Maximum
Monitoring Frequency
Monitoring Frequency
Approved
Number
Dry Tons
for Condition III. 2.
for Condition III. 3. and
Mineralization
Per Year
Condition III. 4.
Rate
City of Newton.
Clark Creek WWTP
Catawba
NC0036196
DWQ
503
3438.0
Once per permit cycle
Every 60 days
.30
Total
3433.0
Permit No. WO0003902 Page 1 of 1 Certification Date: August 21, 2009

William G.'Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR
CITY OF NEWTON
POST OFFICE BOX 550
NEWTON, NORTH CAROLINA 28658
Subject: Permit No. WQ0003902
City of Newton
Residuals Land Application Program
Land Application of Residual Solids (503)
Catawba County
Dear Mr. Wilson:
In accordance with your permit renewal application package received on April 15, 2005, we are
forwarding herewith a renewed Permit No. WQ0003902, dated June 1, 2006, to the City of Newton for
the operation of a wastewater residuals land application program. In this permit, a total of 413.0 acres are
being renewed, 226.3 acres of existing land are being deleted, and 250.2 acres of new land are being
added with a new total of 663.2 acres of permitted land.
This permit shall be effective from the date of issuance until May 31, 29AI;' shall void Permit No.
WQ0003902, issued on September 8, 2000; and shall be subject to the conditions and limitations as
specified therein. Make note of this permit's expiration date and the fact that a permit renewal
application is due to the Division of Water Quality (Division) no later than six months prior to that date
(i.e., see Condition VI. 7.), as the Division does not send reminders to apply for permit renewal.
This permit approves the continued operation of the residuals land application program for
another five-year cycle. As always, remember to take the time to review this permit thoroughly, as
some of the conditions contained .therein may have been added, changed, or deleted since the last
issuance. Pay particular attention to the monitoring requirements in this permit. Failure to establish an
adequate system for collecting and maintaining the required operational information will result in future
compliance problems.
If any parts, requirements, and/or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this permit shall be final
and binding.
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636
Internet: http://h2o.enr.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
One
NorthCarolina
yatura!!y
Phone [phone] Customer Service
Fax [phone]
Fax [phone]

Mr. Martin D. Wilson
June 1, 2006
Page 2
:.f..�youneeii and xa
1 by telephone at (9
YA,T3
31 information concerning this matter, please contact Ms. Ch
5-6188, or via e-mail at [e-mail].
�Si
for Alan W. Klimek, P.E.
cc: Mr. Scott Berg, Synagro Southeast, Inc.
Catawba County Health Department
Lincoln County Health Department
Mooresville Regional Office - Aquifer Protection Section
Technical Assistance and Certification Unit
APS Central Files
APS Files
LAU Residuals Program Coordinator

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF RESIDUAL SOLIDS (503) PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
City of Newton
Catawba County
FOR THE
continued operation of a residuals land application program for the City of Newton and consisting of the
land application of 3,438 dry tons per year oiresiduals generated by the residuals source -generating
facilities listed in the. most recently -certified Attachment A to approximately 663.2 acres of the land
application sites listed in the most recently -certified Attachment B with no discharge of wastes to surface
waters, pursuant to the permit renewal application package received on April - 15, 2005 and in conformity
with the project plan, specifications, and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until May 31, 2011; shall void Permit No.
WQ0003902, issued on September 8, 2000; and shall be subject to'the following specified conditions and
limitations:
I. PERFORMANCE STANDARDS
1. The residuals land application program shall be effectively maintained and operated as a non -
discharge system to prevent the discharge of any wastes resulting from the operation of this
program.
2. This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals adequately and may be rescinded unless the land application sites are maintained and
operated in a manner that will protect the assigned water quality standards of the surface
waters and groundwater.
3. The issuance.ofthis permit shall not relieve the Permittee of the -responsibility for damages to
surface waters or groundwater resulting from the operation of this residuals land application
program.

4. In the event that the residuals land application program is not operated satisfactorily, including
the creation of nuisance conditions, the Permittee shall cease land applying residuals to the
site, contact the Aquifer Protection Section of the appropriate Division of Water Quality's
(Division) regional, office, and take any immediate corrective actions as may be required by
the Division.
5. No residuals other than those generated by the residuals source -generating facilities listed in
the most recently -certified Attachment A of this permit shall be approved for land application
in accordance with this permit.
6. The pollutant concentrations in any residuals that are land applied to any land application site
shall not exceed the following Ceiling Concentrations (i.e., dry weight basis):
Parameter
Ceiling Concentration
(milligrams per kilogram)
Arsenic
75
Cadmium
85
Copper
4,300
Lead
840
Mercury
57
Molybdenum
75
Nickel
420
Selenium
100
Zinc,._
7,500
7. When residuals are land applied under the conditions of this permit, the Class A pathogen
requirements and site restrictions in 40 CFR Part 503.32(a) or the Class B pathogen
requirements and site restrictions in 40 CFR Part 503.32(b), and one of vector attraction
reduction requirements in 40 CFR Part 503.33 shall be met. Additionally, an evaluation shall
be performed that demonstrates the residuals' ability to comply with this requirement. Upon
request, a copy of this evaluation, including all test results and calculations, shall be
submitted. Only residuals that are generated by the residuals source -generating facilities that
are identified as.being exempt from, this condition in the most recently -certified Attachment A
shall not be required to comply with the specified pathogen reduction and vector attraction
reduction requirements.
8. Only the land application sites listed in the most recently -certified Attachment B of this permit
are approved for residuals land application.
9. This permit shall become voidable unless the agreements between the Permittee and the
landowners and lessees or operators of any land application sites listed in the most recently -
certified Attachment B of this permit not owned by the Permittee are in full force and effect.
These agreements shall be considered expired concurrent with the expiration date of the
permit and shall be renewed at the same time the permit is renewed.
10. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be
notified at least 24 hours prior to the initial residuals land application event to any new land
application site. In addition, the appropriate county manager's office shall be notified prior to
the initial residuals land application event on any new site so that they will be aware that
residuals land application activities have commenced on the site.
2

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

h. 10 feet from upslope interceptor drains and surface water diversions for both surface and
subsurface application methods; and
i. 25 feet from downslope interceptor drains, surface water diversions, groundwater drainage
systems, and surface drainage ditches for both surface and subsurface application methods.
Maximum slope for land application of residuals shall be 10 percent for surface application
methods and 18 percent for subsurface application methods.
7. Specific residuals land application area boundaries shall be clearly marked on each land
application site prior to and during a residuals land application event.
8. The metal loading rates on any land application site shall not exceed the following
Cumulative Pollutant Loading Rates (CPLRs):
Parameter
CPLR
(kilograms per hectdre)
CPLR
(pounds per acre)
Arsenic
41
36
Cadmium
39
34
Copper
1,500
1,338
Lead
300
267
Mercury
17
15
Molybdenum
n/a
n/a
Nickel
420
374
Selenium
100
89
Zinc
2,800
-" 2,498
9. An acceptable pH shall be maintained in the soil, residuals, and lime mixture, greater than 6.0,
on all land application sites onto which residuals are land applied to ensure optimum yield for
the crops specified in Condition II. 13. The agronomist shall provide information on the pH
best suited for the specified crop and the soil type.
10. Should any of the residuals generated by the residuals source -generating facilities listed in the
most recently -certified Attachment A of this permit contain a high salt content (i.e., high
sodium adsorption ratio (SAR) of five or higher), the exchangeable sodium percentage (ESP)
or other method as approved by the Division, using the results from the annual soils analysis
as required by this permit, shall be monitored on all of the land application sites. The local
Cooperative Extension Office, the Department of Agriculture and Consumer Services, the
Natural Resource Conservation Service, a North Carolina -licensed Soil Scientist, or other
agronomist shall review the results and make recommendations regarding soil amendments
(e.g., gypsum; etc.) or other ameliorative mechanism for maintaining the integrity of the site in
terms of suitability for land application of residuals and maintaining conditions conducive to
crop growth. The Permittee shall implement such recommendations accordingly and shall
maintain written records of each monitoring event that includes details of the sites covered
.and rate of soil amendment application.
4

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

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

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

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

6. Proper records shall be maintained by the Permittee tracking all residuals land application
events. These records shall include, but are not necessarily limited to, the following
information:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number);
d. Method of land application;
e. Weather conditions (i.e., sunny, cloudy, raining, etc.);
f. Soil conditions (i.e., dry, wet, frozen, etc.);
g. Type of crop or crops to be grown on field;
h. Volume of residuals. land applied in gallons per acre, dry tons per acre, or kilograms per
hectare;
i. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per
acre, or kilograms per hectare (if applicable);
j. Volume of soil amendments (i.e., lime, gypsum, etc.) applied in gallons per acre, dry ton
per acre, or kilograms per hectare (if applicable); and
k. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and
other sources of nutrients (i.e., if applicable), annual and cumulative pounds per acre of
each heavy metal (i.e., shall include, but shall not be limited to, arsenic, cadmium, copper,
lead, mercury, molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN,
and annual pounds per acre of phosphorus applied to each field.
7. A representative annual soils analysis (i.e., Standard Soil Fertility Analysis) shall be
conducted on each land application site on which a residuals land application event in the
respective calendar year has occurred or is to occur, and the results shall be maintained on file
by the Permittee for a minimum of five years. The Standard Soil Fertility Analysis shall
include, but is not necessarily limited to, the following parameters:
Acidity Exchangeable Sodium Percentage (by calculation)
Calcium Magnesium Phosphorus
Cation Exchange Capacity Manganese Potassium
Copper Percent Humic Matter Sodium
Base Saturation (by calculation) pH Zinc
8. Three copies of all required monitoring and reporting requirements as specified in Condition
III. 1., Condition Ill. 2., Condition III. 3., Condition III. 4., Condition III, 5., Condition III, 6.,
and Condition III. 7. shall be submitted annually on or before March 1 st of the year following
the residuals land application event to the following address:
NCDENR-DWQ
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
0

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

Applicable Boundary Requirements:
a. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The
Compliance Boundary for each land application site is established at either 250 feet from
the residuals land application area or 50 feet within the property boundary, whichever is
closest to the residuals land application area. An exceedance of Groundwater Quality
Standards at or beyond the Compliance Boundary is subject to immediate remediation
action according to 15A NCAC 2L .0106 (d)(2).
b. The REVIEW BOUNDARY shall be established around each land application site
midway between the Compliance Boundary and the perimeter of the residuals land
application area. Any exceedance of Groundwater Quality Standards at the Review
Boundary shall require action in accordance with 15A NCAC 2L .0106 (d)(1).
Additional Requirements:
a. Any groundwater quality monitoring, as deemed necessary by the Division, shall be
provided.
V. INSPECTIONS
1. Prior to each residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport, and application facilities to prevent malfunctions and
deterioration, operator errors, and discharges that may cause or lead to the release of wastes to
the environment, a threat to human health, or a nuisance. The Permittee shall maintain an
inspection log or summary including at least the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken by the Permittee. This log of
inspections shall be maintained by the Permittee for a period of five years from the date of the
inspection and shall be made available to the Division or other permitting authority, upon
request.
2. Any duly authorized officer, employee, or representative of the Division may, upon
presentation of credentials, enter and inspect any property, premises, or place on or related to
the land application sites or facilities at any reasonable time for the purpose of determining
compliance with this permit; may inspect or copy any records that must be kept under the
terms and conditions of this permit; and may obtain samples of groundwater, surface water, or
leachate.
VI. GENERAL CONDITIONS
1. This permit shall become voidable unless the residuals land application events are carried out
in accordance with the conditions of this permit, the supporting materials, and in the manner
approved by the Division.
2. This, permit shall be effective only with respect to the nature and volume of residuals described
in the application and other supporting data.
Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina General
Statutes § 143-215.6A through § 143-215.6C.
11

4.
a
The annual administering and compliance fee shall be paid by the Permittee within
after being billed by the Division. Failure to pay the fee accordingly may cause the I
to initiate action to revoke this permit, as specified by 15 NCAC 2H .0205 (c)(4).
The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(i.e., local, state, and federal) which have jurisdiction, including, but not limited to, applicable
river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation control requirements
in 15A NCAC Chapter 4 and under the Division's General Permit NCG010000, and any
requirements pertaining to wetlands under 15A NCAC 2B..0200 and 15A NCAC .0500.
6. This permit may be modified, revoked, and/or reissued to incorporate any conditions,
limitations and monitoring requirements the Division deems necessary in order to protect the
environment and public health adequately.
7. The Permittee, at least six months prior to the expiration of this permit, shall request its
extension. Upon receipt of the request, the Division shall review the adequacy of the facilities
and residuals land application program described therein, and if warranted, shall extend the
permit for such period of time and under such conditions and limitations as it may deem
appropriate.
This permit shall not be automatically transferable. In the event that there is a desire for the
residuals land application program to change ownership or to change . the name of the
Permittee, a formal permit request shall be submitted to the Division documentation from the
parties involved and other supporting materials as may be appropriate. The approval of this
request shall be considered on its merits and may or may not be approved.
Permit issued this. the firsx day of June, 2006.
NORTH CARAINA ENV,4PTJMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0003902
12

ATTACHMENT A - Approved Residual Source -Generating Facilities
PertnitNo. WQ0003902
City ofNetvtoit
City of Neivton Residuals Land Application Progrant
Owner
Facility Name
County
Permit
Number
Issued By
Is 503?
Maximum
Dry Tons
Monitoring
Frequency for
Monitoring Frequency
for Condition III.3. and
Approved
Mineralizatio
Per Year
Condition III.2.
Condition III.4.
n Rate
City of Newton
Clark Creek WWTP
Catawba
NC0036196
DWQ
503
3438.0
Annuall
Every 60 days
.30
Total
3438.0
-
,PSI
Permit No. WO0003902
Page 1 of 1
Certification Date: June 1, 2006

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COUNTY
CATAWBA
OWNER CITY OF NEWTON
/y'#'felrilewl 2A

ATTACHMENT B - Approved Land Application Sites
PerinitNo. WQ0003902 ,
City of Neivton
City of Newton Residuals Land Application Progrant
Site/Field ID
Landowner
Lessee/Operator
Cgunty
Latitude
Longitude
Net Acreage
Applicable
Restriction in
Condition IV. 1.
NC-CA-07-01
NC-CA-07-02
Smyre, leffery L
Smyre, Jeffery L
Catawba
Catawba
35037'47"
35037'50"
81010'50"
81010'50"
9.50
15.10
GW-A
GW-A
NC-CA-07-03
NC-CA-08-01
Sinyre, Jeffery L
Simpson, WilliarnH
Catawba
Catawba
35037'54"
35033'50"
81010'50"
81016'27"
6.50
9.10
GW-A
GW-A
NC-CA-08-02
Simpson, William H
Catawba
35033'50"
81016136"
17.20
GW-A
NC-CA-08-03
Simpson, William
Catawba
35033'52"
81016'48"
14.60
GW-A
NC-CA-14-OIA
Lee, Nelda
Waters, Chuck
Catawba
35034'28"
81018105" .
19.30
GW-A
NC-CA-14-01B
NC-CA-14-01C
Lee, Nelda
Lee, Nelda
Waters, Chuck
Waters, Chuck
Catawba
Catawba
35034'25"
35034'22"
81018'14"
8101751"
10.00
GW-A
9.30
GW-A
NC-CA-14-02A
NC-CA-14-02B
NC-CA-14-03
NC-CA-14-04
NC-CA-15-01
Lee. Nelda
Lee, Nelda
Lee, Nelda
Lee, Nelda
Fox, Conley
Waters. Chuck
Waters, Chuck
Waters, Chuck
Waters, Chuck
Fox, Conley
Catawba
Catawba
Catawba
Catawba
Catawba
35034'20"
35034109"
35034'09"
35034'25"
35048'45"
81017'53"
81017'59"
81017'38"
81018'21"
81009'52"
23.70
3.10
28.80
GW-A
GW-A
GW-A
12.70
GW-A
11.20
GW-A
GW-A
NC-CA-15-02
Fox, Conley
Catawba
35048'51"
81009148"
3.70
NC-CA-15-03
NC-CA-15-04
NC-CA-15-05
NC-CA-15-06
Fox, Conley
Fox, Conley
Fox, Conley
Fox, Conley
Catawba
Catawba
Catawba
Catawba
35048'57"
35049'04"
35049104"
35049'13"
81009'51"
81009'54"
81009'50"
81009'53"
7.90
GW-A
4.90
GW-A
1.40
GW-A
5.90
GW-A
NC-CA-15-07
NC-CA-15-08
Fox, Conley
Fox, Conley
Catawba
Catawba
35049'05"
35049'20"
81009'42"
81009'29"
19.30
12.90
GW-A
GW-A
NC-CA-15-09
Fox, Conley
Catawba
35049'04"
81009'22"
1.70
GW-A
NC-CA-15-10
NC-CA-15-11
NC-CA-16-01
NC-CA-16-02
NC-CA-17-01
NC-CA-17-02
Fox, Conley
Fox, Conley
Biggerstaff. Richard
Biggerstaff. Richard
Berry, Jane
Berry, Jane
Waters, Chuck
Waters, Chuck
Catawba
Catawba
Catawba
Catawba
Catawba
Catawba
35049'01"
35048'56"
35'33'42':
35033'33"
35034'52"
35034'49"
81009'18"
81009156"
81*15'27"
W15'11"
81017'46" 1
81017'42"
1.90
GW-A
7.90
12.00
13.90
4.10
GW-A
GW-A
GW-A
GW-A
3.80
GW-A
Permit No. WQ0003902 Page 1 of 3 Certification Date:

ATTACHMENT B - Annrnvpri Land A"ication Sites
Permit No. WQ0003902
City ofNeivtoit
City of Newton Residuals Land Applicatiola Progranc
Site/Field ID
Landowner
Lessee/Operator
County
Latitude
Longitude
Net
Acreage
Applicable
Restriction in
NC-CA-17-03
Berry, Jane
Waters Chuck
Catawba
Condition IV.1.
NC-CA-17-04
Berry, Jane
Waters, Chuck
Catawba
35034'47"
81°17'37"
9.70
GW-A
NC-CA-17-05
Berry, Jane
Waters, Chuck.
Catawba
35°34'35"
81°17'37"
26.70
GW-A
NC-CA-17-06
Berry,. Jane
Waters, Chuck
Catawba
35°34'33"
81°17'43"
6.00
GW-A
NC-CA-17-07
Berry, Jane
Waters, Chuck
Catawba
35°34'22"
81°17'36"
9.10
GW-A
NC-CA-17-08
Berry, Jane
Waters, Chuck
Catawba
35°34'47"
81°17'S4"
29.30
GW-A
NC-CA-17-09
Berry, Jane
Waters, Chuck
Catawba
35034'38"
81018'04"
21.81,
GW-A
NC-CA-18-01
Hunsucker, Bruce
Goins, Gordy
Catawba
35°34'49"
81°18'19"
10.20
GW-A
NC-CA-18-02
Hunsucker, Bruce
Goins, Gordy
y
Catawba
35°34'17"
81°14'12"
27.40
GW-A
NC-CA-18-03
Hunsucker, Bruce
Goins, Gordy
Catawba
35°34'19"
81°14'27"
16.80
GW-A
NC-CA-18-04
Hunsucker, Bruce
Goins, Gordy
Catawba
35034'05"
81°13'S9"
5.10
GW-A
NC-CA-I8-05
Hunsucker, Bruce
Goins, Gordy
Catawba
35°34'03"
81°14'14"
15.20
GW-A
NC-CA-30-OIA
Jarrett, Larry
35°33'55"
81°14'21"
9.30
GW-A
NC-CA-30-01B
JarrettL
, arry
Catawba
35°48'56"
81019'091,
10.70
GW-AGW-A
NC-CA-30-02 a
Jarrett, Larry
Catawba
35035'191,
°
8119'O5"
7.90
NC-CA-32-01
Sigmon, Ronnie
Catawba
35°35'29"
81019'191,
14.20
GW-A
NC-CA-32-02-
Sigmon, Ronnie
Catawba
35038'03"
81°06'O1"
13.70
GW-A
NC-CA--M-01
Turbyfill Proper ties
Canipe, Bill
Catawba
35°39'45"
81°06'41"
7..7
30
GW-A
NC-CA-35-02A
Turbyfill Properties
Canipe, Bill
Catawba
35°34'04".
81°15'02"
21.50
GW-A
NC-CA-35-02B
Turbyfill, Properties
Canipe, Bill
Catawba
35034'1311
81°15'36"
5.20
GW-A
NC-CA-35-02C
Turbyfill, Properties
Canipe, Bill
Catawba
35°34'09"
81°15'29°
6.50
GW-A
NC-CA-35-03A
Turbyfill Properties
Canipe, Bill
Catawba
35034'1111
81°15'22"
8•90
GW-A
NC-CA-35-03B
Turbyfill, Properties
Canipe, Bill
Catawba-,
35°33'59"
81°15'08"
41.60
GW-A
NC-CA-111-01
City Of Newton
Richard, James
Catawba
35°33'S8"
9.70
GW-A
NC-CA-111-02
Total For County
City Of Newton
Richards, James A
Catawba
Catawba
35037'35"
35°37'45"
81°14105"
3.30
GW-A
NC-LT-119-01
Canipe; -Bobby
Gordy
Catawba
81014'05"
4.90
633.40
GW-A
NC-LT-119-02
Goins, Gordy
y
Goins, Gordy
Lincoln
Lincoln �
35-33-19"
81018'18"
11.50
GW-A
Permit No. WQ0003902
35°33'14"
81°18'11"
5.40
GW-A
Page
2 of 3
Certification
Date: June 1, 2006

ATTACHMENT B - Approved Land Application Sites
Permit No. WQ0003902
City of Newton
City of Newton Residuals Land Application Program
Site/Field ID
Landowner
Lessee/Operator
County
Latitude
Longitude
Net Acreage
Applicable
Restriction in
Condition IV. 1.
NC-LT-I19-03
Goins, Gordy
Goins, Gordy
Lincoln
35033113"
81018'21"
7.50
GW-A
NC-LT-I19-04
Goins, Gordy
Goins, Gordy
Lincc'.ln
35033'10"
81018'23"
5.40
GW-A
Total For County
Lincoln
29.80
Total
663.20
'A reduced buffer from a residence under separate ownership has been approved for this land application site. Residuals maybe land applied to within 100 feet of
the residence owned by Ms. Virginia Parker of 8164 Reepsville Road, Lincolnton, NC 28092, Ms. Sheila Drum of Reepsville Road, Lincohiton, NC 28092, and
Ms. Rita Neill of 308 Wiggins Road, Mooresville, NC 28115, regardless of whether a surface or a subsurface application method is used.
bA reduced buffer from a residence under separate ownership has been approved for this land application site. Residuals maybe land applied to within 100 feet of
the residence owned by Ms. Harriet A. Turbyfill of 6691 and Mr. Michael McNeil of 6770 Startown Road, Maiden, NC 28652, regardless of whether a surface
or a subsurface application method is used.
Permit No. WQ0003902
6
Page 3 of'3
Certification Da

COUNTY ; P.: _ OWNER je r-f:�

APPLICATION AREA MAP
C
Owuer J-af-
Seale -* lit_ Field ff 1-3
,7m
Ive
Totrd
Acres 39 -q
IV. At Acres-3-16-1--
t.PFUCATION AREA.-
PRIVATE ROAD
DRAW
HOUSE
FORESTED .AREA
CD.
SURFACE . *WATM
El
om'unDING
UNSUITABLE.
FENCE...
WET"L
STORAGE AIUU
O
SOIL DESCREMON.
SUITABLE FOR
INCORPORATION
..........
PROPERTY LINE
S-12% SLOPE

Owner i// C—Lill
/�.5y
Scale: V = � Field # —
''
Total
Acres �/S, �
'Net Acres
y0,
\j. STREAM
CiD.
APPLICATION AREA .
— — -- ..
PRIVATE ROAD.. .
----- . DRAIN
®
HOUSE w .. '
�
FORESTED AR A .
SURFACE WATER
❑
OUTBUIUDING
UNSUITABLE
_., ,. .. FENCE
S STORAGE AREA
O .
SOIL DESC MMON
SUITABLE FOR
INCORPORA�"I©h'.
PROPERTY LINE .
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-9
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SOIL DESCRIPTION
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PROPERTY LINE
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0 11 NAU10%,U)
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.lity Report I ECHO I US EPA
Enforcement and
Compliance History Online
Detailed Facility Report
Facility Summary
CITY OF NEWTON, CLARK CREEK
WASTEWATER TREATM
1407 MCKAY ROAD SR 2014, NEWTON,
NC 28658
FRS (Facility Registry Service) ID:
110001493973
EPA Region: 04
Latitude: 35.627833
Longitude:-81.233983
Locational Data Source: FRS
Industry:
Indian Country: N
Page 1 of 5
Enforcement and Compliance Summary
} S" Y (5 Dare £Last C PE S Qtrs d,NC Qns thS .. t Inf nasalE f eot Formal Enfosem) {Pe In -A F mul Eof iEPA Cues (5: Pe m fr EPA
1.. ... .., ... Y ) 1 P�.......� (NmPh ....i( f12). -. ... V �°" ......._^ ..._SS.L_,...1..._ Aetl s(s years) _€ Am .(?Y.....,.>
CAA — 08/102010 No V1.1adoe 0 0 — — -- — --
IdeutiGed
C— 9 I.M.1Violnda. 12
Regulatory Information
Clean Air Act (CAA):
(NC0000003701800263)
Clean Water Act (CWA): Major,
Permit Effective (NC0036196),
Minor, Permit Effective
(NCG110033)
Resource Conservation and
Recovery Act (RCRA): No
Other Regulatory Reports
Air Emissions Inventory (EIS): 14634211
Greenhouse Gas Emissions (eGGRT): No
Information
Toxic Releases (TRI): No Information
Compliance and Emissions Data Reporting
Interface (CEDRI): No Information
httns://echo.epa.izov/detailed-facility-report?fid=110001493973
4/11/2019

�cility Report I ECHO I US EPA
Page 3 of 5
Smmte
CWA
Sn—ID
NCO036196
Sys[ .......
ICP
Inpecn Typo ........
Evaluation
lead Ag ry..........
State
D[ ....
I129/2018
_.... Fndmg (if pphcable)
CWA
NCO036196
ICP
Evaluation
State
0522/2018
CWA
NCO036196
ICP
Evaluation
State
10/06/2016
CWA
NCO036196
ICP
Audit
State
06/14rO 16
CWA
NCO036196
ICP
Audit (ll/)
State
0611412016
CWA
NC-6196
ICP
- Biamonitorivg
State
06/14/2016
CWA
NC1036196
ICP
Audit
State
061l4rOl6
'
CWA
NCO036196
ICP
Evaluation
S—
06/10/2015
CWA
NCO036196
ICP
Eval-ivv
State
06/10/2015
CWA
NCO036196
ICP
Evaluanon
State
06/10/2015
Entries in italics are not considered inspections in official counts.
Compliance Summary Data
' ID......._,_..
-... C ....�. , .,
t SNC (S pptncam N mplunmy_HPV,(litgis Pq..,,ty V 1 e)„
Content A, Of
-._,. ,Qns, W NC (N ompliavee) (f 12)_
S, D ta last Ref hed
CAA
11C0000001101800263
No
04/062019
0
04/052019
CWA
NCO036196
No
IJ312018
12
04/OS20I9
CWA
NCG110033
No
12131/2018
0
04/052019
Three -Year Compliance History by Quarter
Facility -Level Status
No ld.dRed I de tired No I Violation
No I laenfiiffied No I deontifed No I dViol
o tired No I denhfied No I dantlfied No I Violation
named No I Violation
No I leetiG� No I d
HPV History
Violation Agency Programs Panutants -
Type
Stawte' Pr P R tavW lan T RI
.: > e QT QT
R2 ----
Q TR3 - R4 -'- TRS TR6
Q-1
Tft7
Q TR.B
4 TR9
C
( 16 �
N
...—......._CWA So _. ,ID NC003fi196) ..... 01/01-0321/,
04/01-0N30/16
6
16
%10109/id16 10/01 IY31/16 01/OI 0391/17 04/01-0N70/17 (
/30 ._ _
07/0109/30/U
,._
IO/O11A1/17
.�_,._..,.
_01/01-03/31/I8
.._...�...._...
04/0
Violation
Violation
Violation Viotanov Violation Violation
Violation
Violation
Violation
V
FecOity-Level Status
Iaev60etl
Iaennficd
IdentlRed Itlensifietl Idevlified den�ea
ld-tiflM
denti0ed
Identlfied
Id
(ion—ly Noncompliance Repays
Reportable
Reportable
Reportable
Reportable
Rep=ble
Reportable
Repmtablc
Reportable
Reparable
Re.
Hismry
Nonwmpliance
Nancompli—a
Noncompliance
Noncompliance
Nancompltance
Noneomphmse
Navcomp!i n
NovmmpEance
Novwmph—s
Nom
Pollutant
Disch
Point
Fr q
_
Cblc^, ....
CWA
rot.0
tesidaal
001
NMth
.,alait or
CWA
II
Mtbly
plc_nte.7
CWA
Sehds.
•tsl
s:u1::.=sur,
001
Mthly
43%
-CWA
Sol Is.
cut.s
001
NMth
269%
Late or Missing Discus e
Mavitaring Report (DM1IR)
M1ieesuremevb
Cvuntsof Lvte DMR
f
4
Mwsurcmems
Cotmts of Missing DMR
.l
.�
i
,
Meamre.nwnre
'
u
httns://echo.ena. izov/detailed-facility-report?fid=110001493973
4/11/2019

of 5
Sar
__. _......�._.
CWA
S s........ ,.....
ICP
..._..,
NC0036196
".
NodceofVialation
l®d ....
State
DenI:.
07/052018
CWA
ICP
NCO036196
NoticeofViolation
State
06/042018
CWA
ICP
NCO036196
Notice of Vi.Wioo
Stare
08/052015
CWA
ICP
NC00361%
Notice ot'Violatioo
State
06/162014
('
Lead
1 ued/Fded
SeN ra/Aco F de 1
Stat /Lod
SEP
Co A tton �.
E Snarte
i
Syst
� La /Sect
S U) Arn Type Ca N
.. ,-_?6F°cY
C N
._...... ..................
Set[I b/Arn
Date.,, ,.., -
.�^.N Noah),
- Petully --
Cost i
Cot ,.
CWA'
ICP
OTHER
NPDES/NC0036196 Admmrstraa" tic;-I0181 E8 State
City of
08/032018 t
08/03/2018
Formal OiiL`
Newton
CWA
ICP
OTHER
NPDESINCO036196
strative-
NC.I.yt,q
State
Neat.
0921/2015
1
0921/1015
J
Formal
CWA
ICP
OTHER
NPDES/NC0036196
Administrative-
NC.LL'-2014-
State
City of
07/18/'ta114
1
07/I8/2014
Formal
Newton
Environmental Conditions
Water Quality
_WB .
--Comb-d '. NumherofC50 3 12 Drgrt WBD (Wat abed Boundary ,WBD (WatershedBmadaryD reset)
t
,.�.v..
Stale Wa[erbody Name (ICIS�
_-
Impaired lmP d'i'. Ca of lmpaum q )by
Watershed with ESA
. _
'. Permit ID Sewer (C b d S ar Dmaset) HUC (RAD (Reach Address S bon rah d Na a (RAD (R ch -
(Int g tad C pl
W CI P()
(Etd gated Sp re A t}
Syatemv OverO ) Quffab .:__...,,,,, ... �..b )),,,,,_„_. ,..,...,,._, Address Damb—))
- ..�..
_, Int, att 9Y?! )),,,_
�..,_....—._ __._ `....,, ,,,,,,_____ .•.-_-,.hated
Aquatic Species?, _
703(D) CAUSEUNKNOWN-
NC0036196 030501020302 Upper Clark Creek
Lined 5 IMPAIREDBIOTAI
Yea
MERCURY
303(D)
CAUSE UNKNOWN -
NCOII0033
030501020302
Upper Clark Creek
Listed
5
IMPAIRED BIOTA
Yea
MERCURY
Waterbody Designated Uses
t R h Code w ';body Name m . E apt mf ul R tt al U Aquattc Li Use -
... .. ....-.mm,
Shelffis6 Use Beach Closure Ntthm Lan Y r..... - B h Cl W t6i Last Tw Y
03050102000040 Clark Creek No No Yes
No
No
No
030501.20--0
Clark Creek
No
No
Yes
No
No
No
Air Quality
N mtwn tArm7 P B tam()
Appl bl N muammeot Standard( )
No Oeone
No
lead
Yes
Particulate Matter
PM-2.5 (1997)
No
Carbon Monoxide
No
Nitrogen Dioxide
No
Su1fim Dioxide
httns://echo. ena. izov/detailed-facility-report?fid=110001493 973
4/11/2019

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02-03-'15 15:34 TO- 97046636040 FROM P0001/0003 T-333 F-400
R'
CITY OF
P.O. Box 550 . Newton, NC 28658 . [phone]
"THE HEART 4F CA"fAWBA CUM"
Facsimile Message Corner Sheet
Clark Creek INWTP
PO Box 550
1407 McKay Rd
Newton, NC 28668
TO: riGhu fT�
Phone # [phone]
Fax # [phone]
Number of Pages: X + Cover
bate:
From: i n,., Fax Number: 76tj. GG3, 66gp
e IC AlewbtJ
ElWhen box is checked, receipt of this fax must be acknowledged by a phone call to 828.695.4346

02-03-'15 15:34 TO- 97046636040 FROM- P0002/0003 T-333 F-400
Water Pollution Control System Operator pesignatlon Form
WPC80CC
NCAC 15A 8G .0201
Permittee Owner/Officer Name;
Mailing Address: &X <5 c)
/�/ vr-► State: 1< Zip: 'NsG51 - _ Phone i#: (Ut
City: — -
Email address: -�%1>+ v —
Signature; Date'
.................1 ..,.........I.f................ f....................if.tiff/f�................f.................. ........ ...........a.•a....
Facility Name: a _ &eLjo +v�a
SUBMIT A SEPARATIE IFoRm FoR EACH TYPE SYSTEM!
Eggilttx Typ.-O rade:
Biological WWTP Surface irrigation _
PbysicaKhemieal Land Application
Collection System _ �T
I Iff 1....,.r.......................fff..a..,.......,.ff................. ..f........a..........ff.ff............. .................. ,,.,..........
operator in Responsible Charge (URC) j
Paint bull blame: pu e
Certicaie :Rz�a
t< Work Phone #:
Signature:
Date-
"l�ifq th�1 a��b rttp�tmstgnattmras•the•Uperator-in•ResponsibleChe►�e-fo�tls�iheilily-noted�xunda.atend.and-wifl-abWe-by-the_rula�
and regulations pertaining to tho mponsibilities Ofthe ORC os eet forth in 1SA NCAC 090.0204 and Failing to do se can result in Disciplinary
Actions by the Water Pollution Control System Operators Ccttillcation Comtuission"
...............f................if.................ffa.............fffff............Mo.................f,f1i..............ifflf................
Back -'Up Operator in Responsible Charge (BU ORC)
Print Full Name:
Certificate "Type / Grade / Number:
Work Phone #: 0 4l I
Signature: Date:
"I certify that I agree to nay designation as a sack -up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulatiom pertaining to the trsponsibilides of the BI3 ORC as set forth in 15A NCAC 090 ,0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators CartMcation Commission."
.......... .......................................................:..........................................................I............
1tlall, fax or email the W pCSCCC, 1619 Mail Service Center, Rater h NC 27699-1618 Fax. 9I9.715.2726
original to:
Hall or fax a copy to the Asheville
appropriate Regional gjr1ce: 2090 US Hwy 70
Swannanoa 28778
Pax: W.299.7043
Phone: W-296A300
Washington
043 Washington Stl Mall
Washington 27899
Fax: [phone]
Phout, 252.946.6481
Fayetteville
Mooresville
Raleigh
225 Oreen St
610 E Center Ave
3800 Barrett tar
Suite 714
Suite 301
Raleigh 27609
Fayetteville28301-5043
Mooresville28115
Fax.-919.511.4718
Fax:910AS6.0707
Fax:[phone]
Phone:919.791A200
Phone, 910.433.3300
Phone; 704,60.1699
Wilmington
Winston-Salem
127 Cardinal Dr
585 Waughtawn St
Wilmington 28405-2845
Winston-Salem 27107
Fax:[phone]
Fax:[phone]
Phone.[phone]
Phone:336,771.5000
Revised 03-2t114

02-.03-'15 15:35 TO-
97046636040
FROM-
P0003/0003 T-333 F-400
Facility Name: tji T _�,_
d i l4 ew f om - (_Iae k
fee k_ _
Permit #: " 400 3g0,��
Baek�Up Operator in Responsible Charge (BU ORC) .
Print Full Name: tzar k &OMM
Certificate Type / Grade / Number. LA f .25-00 8 Work Phone #: (W) OC- 43 4
Date: 213 ! 15'
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 080.0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name_ �.l - ma ev1 G .-Tt> IvF_-<
Certificate Type (Grade /Number:i 2 Q0 Work Phone #:� 3"7v
Signature: X7ate: Z- I
"I certify that I a ee to my designation as a B -up Operator in Responsible Charge for the facility rioted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15ANCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollutioa Control System Operators Certification Commission,"
.................................................................................................................................................
Back -Up Operator in Responsible Charge (BU ORC)
1?cintlull_Name: -.—
Certificate Type / Grade / Number:
Work Phone #:
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible, Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15ANCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Rack -Up Operator in Responsible Charge (BU ORC)
Print Full Name:
Certificate Type / Grade / Number:
Signature:
Work Phone #:
Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15ANCAC 08Gr .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission,"
.........................................................................................................................................................................
Revised 03-2014

♦♦ alGl
1 Val YbiVll VVi161 Vl k-y jamxaa VF%,x "Iml LV�7i�la[a �ravla i va iii
♦1 r CSOCC
NCAC 15A 8G .0201
RECEIVEDJ(VCDENRIDWR
Permittee Owner/Officer Name:
Q
Mailing Address: P 0• box 5 S 0
City: �y State: N L Zip: Z16 � - Phone #: ����iJtLL
Email address: dG elt Ael-,I- ton n C 15<ll/
Signature:
Late: 7--/0--15
Facility, Name: C1 A/ewAm _ c lA/fir Gwk w i, TYO Permit ®a ®3 ? o 1
County: CA LAW46 4
SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM!
Facility Type/Grade (CHECK ONLY ONE):
Biological Collection Physical/Chemical Surface Irrigation Land Application
Operator in Responsible Charge (ORC)
Print Full Name: tiT4miF5 Tl'of Email: .�go.,,P.� e A etvA-A/tC,
Certificate Type / Grade /.Number'. Work Phone #: t Z1 ` 0 5 A 39 0 ,
Signature: " `� Date: -7/ `7/ 15
`T certify that I afire o my designation as the Operator in Responsible Charge for the facility noted. i understand and ;gill abide by the rules
and regulations pe g to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission."
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: R4 a l-' wre/I C f Email: �� wrar Ce neaaAm i << 14)11.1
Certificate Type / Grade / Number.: �'x� p1�� AM P-os'Ad) Work Phone #: Z S Z 2-9
eol6gy
Signature: Zt�—� Date: :Z
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Maid fax_ or email the WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 Fax: [phone]
owl to: mail x certadmin(a�acdenrao:
Mail or fax a coon to the Asheville
appropriate Regional Office: 2090 US Hwy 70
Swannanoa 28778
Fax:[phone]
Phone: [phone]
Washington
943 Washington Sq Mall
Washington 27889
Fax: [phone]
Phone: [phone]
Fayetteville
225 Green St
Suite 714
Fayetteville 28301-5043
Fax: [phone]
Phone: [phone]
Wilmington
127 Cardinal Dr
Wilmington 28405-2845
Fax: [phone]
Phone: [phone]
Mooresville
610 E Center Ave
Suite 301
Mooresville 28115
Fax:[phone]
Phone: [phone]
Winston-Salem
450 W. Hanes Mall Rd
Winston-Salem 27105
Fax: [phone]
Phone: [phone]
Raleigh
3800 Barrett Dr
Raleigh 27609
Fax:[phone]
Phone:[phone]
Revised 05-2015

XOENR R.
North Carolina Department of Ernvir;.onment. antl Natural'Resouroes
Pat-McCro:r,
':Governor
December 29, 2014
James Wentz — Public Works Director
City of Newton
PO Box 550
Newton, NC 28658
Dear Mr. Wentz:
;John-E;:Skvarla III
:Secretary,
Subject: Acknowledgement of
Application No. WQ0003902
City of Newton Residuals Land
Application Program
Residuals Management System
Catawba County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on December 23, 2014. Your application package has been assigned
the number listed above, and the primary reviewer is Troy Doby.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Troy Doby at [phone] or [e-mail].
Sincerely,
Jon Risgaard, Supervisor
Division of Water Resources
cc: Mooresville Regional Office, Water Quality Regional Operations Section
Marshall Puryear — Synagro Central LLC; 284 Boger Rd, Mocksville NC 27028
Permit File WQ0003902
Non -Discharge P6inn iing Unil
,161TMai1_$ervice.Center; Raleigh, Nor0i Carolina-27699-1S17
Phonei 919-B07-6464.1 Internet . htfiainorfai.ncdenr:cvlweblvrg
An Equal Opportunity ti Afnfmalive A66n Empl( li:z Made : i part with recyc ed pzFer

ATER QUALITY REGION.
APPLICATION REVI]
Date: December 30, 2014
To: MRO-WQROS: Michael Parker / Andrew Pitner
T
From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting
Telephone: [phone] Fax. [phone] E-Mail. [e-mail]
A. Permit Number: WQ0003902
B. Applicant:. City of Newton
C. Facility Name: City of Newton Residuals Land Application Program
D. Application:
Permit Type: Land Application of Residual Solids (503)
Project Type: Renewal with Minor Modification
E. Comments/Other Information:
❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 45 calendar days, please take the following actions:
® Return a completed WQROSARR Form.
❑ Attach a classification rating sheet.
❑ Attach Attachment B for Certification.
® Return a completed WQROSSR Staff Report
❑ Attach Well Construction Data Sheet.
❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact
person listed above. 1 --
RO-WQROS Reviewer: /% �/ ��.(.W 1�► Date: Z
FORM: WQROSARR 02-14 Page 1 of 1

December 22; 20140
N.C. Department of Environment and Natural Resources
DEC 3 .1 2014
Water Quality Section:
Non -Discharge Permitting Unit —Aquifer Protection Unit
❑
1636 Mail Service Center
Raleigh, NC 276991636
j
ATTENTION: Mr.'Jon Risgaard
sll.i Ea
I,
.:REFERENCE:: RENEWAL OF CITY OF NEWTON LAND APPLICATION
r.; P� i DD FC . 3 1 2014 6
RIMI T
:
Al
WQ0003902
Pal D ENR iArR,0
l7'/'Ir7 Aquifer PrntrCpi(?f1
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Mr. Risgaard:
_
Synagro'Central LLC is submitting a request to renew a land application program for residuals
generated by'the City_of Newton Wastewater Treatment.Plant. One original; and four copies
...
of this application to renew the referenced residuals are included. Two existingaites, CA=08
..... .....
and:CA-:CAtotaling 73.7 applicable acres; are being removed. 'Also,.all other -:existing sites -
will -reflect minor modifications due to remapping. The total acreage for the proposed
renewal -is 923.7 acres.
Syn.agro is requestinga more. stringent compliance. boundary of 10.0', rather than the.typical
250' boundary. The nature'of the land application. program (i.e:; agronomic rates) ensures.:
that no adverse effects to -groundwater will occur.
This application package contains the information necessary to -complete the certification of this .
permit.. However; if you require any additional -information or have further. questions about the
information presente.d.herein,.please conta.ct:'me at [e-mail]'or at.my.phone.number ..
_
(864) 871-315.7. 1 look forward to Working with you to. ensure a_timely:and efficient. review 0-this
application.
Sincerely, :...:
Will Hodges
Technical:Services Specialist
:
Synagro Central, LLC ®C01
284 Boger Road, Mocksville, NC 27028
Phone::[phone] Fax: [phone] [phone] -::

Table of Contents

W ATFRQG State of North Carolina
Department of Environment and Natural Resources
T Division of Water Quality
_N� RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (EAU) web site at:
http://portal. ncdenr. org/web/wAlaps/lay
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 08-11) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 08-11) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T..0106(b).. An
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T .0106(b).
® If this project is for a modification of an existing permit, submit one copy of the existing permit.
® Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environment and
Natural Resources (NCDENR).
❑ STANDARD REVIEW Submit the appropriate fee for all new and major modification applications as listed in the table
below.
® EXPRESS REVIEW — Visit the Express Review,webpage for the Express Fee Schedule:
STANDARD APPLICATION REVIEW FEES:
Facility Classification � _ New Permit Major Modification 1
.. --------- -- ------- p > jr------------I .
Major ( land are permitted for 300 acres $1,310 $395
Minor (land are permitted for < 300 acres) $810 $245 .
- - - - --- ---- - -- - - -- --
I - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved; adds additional residuals sources; or includes the addition of new
treatment or storage units/processes not previously permitted. There is no fee for minor permit modifications.
C. Cover Letter (All Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required— See 15A NCAC 1C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities. .
INSTRUCTIONS FOR FORM: RLAP 08-11 Pagel of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
® Submit the O&M Plan in accordance with 15A NCAC 02T .1110 and include at a minimum:
® Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
® Maintenance schedules; may include equipments calibration, maintenance of signs, etc.
Z Safety measures; mayinclude safety training program, manuals,, signs, etc.
® Spill response plan; including control, containment, remediation, emergency contact information, etc.
® Inspection plan including the following information;
® Names and titles of personnel responsible for conducting the inspections.
® Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the
event that noncompliance is observed.
® Sampling and monitoring plan including the following information;
® Names and titles of personnel responsible for conducting the sampling and monitoring.
Detailed description of monitoring procedures including parameti ers to be monitored.
® Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event.
The sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.110202). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site -certified for the residuals land application. program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for .the residuals land application program that receives residuals through fixed
irrigation facilities or irrigation facilities fed through a fined supply system.
❑ Please contact the Aquifer Protection Section if you need any assistance in determining whether your residuals program falls
under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a. conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New.or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of I " by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
Plans must include the following. minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells =(including usage and construction details if available), streams (ephemeral, intermittent, and
perennial),:springs, lakes, ponds, and other surface drainage features within.500 feet of the land application site(s).
❑ Delineation of the review and" compliance boundaries
Setbacks as required by 15A NCAC 02T. 1108
0 Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show. each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will. be operated::
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled
with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 08-11 Page 2 of 3

I. Project Evaluation and Receiver. Site Management Plan (All New pplication Packages or Modifications that include new
sites)
�] Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover
crops and their ability to accept the proposed application rates.
Hydrogeologic Report (All New Application Packages or 1VlodificationIinvolving increasing the total design capacity)
0 Submit: a detailed:hydrogeologic evaluation in accordance with 1SA NCAC 02T .1104(d)(4) and current Division Policy
available at: http://portal.ncdenr.or web/wq/aps7lau/policies. The document shall be signed, sealed and dated by a qualified
professional.:
K. Engineering Design Documents (All New .or Modification Application Packages with fixed irrigation facilities. or irrigation
facilities fed.through fixed supply system)
0 Submit engineering design documents that have been signed, sealed, and dated:by-a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .1 104d 2 .. For Modifications, submit an updated site map
specific to the modification(s) only.
The design documents must include the following minimum items:
[] Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the
new units or are critical to the understanding of the complete process;
[] Specifications describing materials. to be used, method of constion, and means for ensuring quality and integrity of the
finished product including leaking testing; and
[] Engineering calculations including hydraulic and pollutant loading, sizing- criteria, hydraulic profile, total dynamic head
curve analysis for each pump, -and irrigation design.
Soil mapping units shown on all disposal sites.:
L. Water: Balance (All New Application Packages or: Modifications 'tha include new sites 'utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
0 Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104 d 5 and current Division Policy
available at: http://portal.ncdenr.or web/wq/aps/lau/policies::
M. Property Ownership Documentation All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components). . .
Property ownership documentation shall consist of oneof the following:
d Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
M Written notarized intent to purchase agreement signed by- both parties with a plat or survey map, or
L] An easement running with the land specifically indicating_ the intended use of the property and meeting the requirements of -
15A NCAC 02L .0107(fl,- or
A written notarized lease agreement signed by both parties, indicating the intended use of the property, as: well as a plat or
:survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL.A
SUPPORTING INFORMATION. AND MATERIALS, SHALL BE SENT TO THE FOLLOWINGDDRESS:.
NORTH CAROLINADEPARTMENT:OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER:QUALITY"
-
AQUISFER PROTECTION . ECTION
.. .. LAND APPLICATION SNIT
By U.S.:Postal Service: By Courier/Special Delivery::
1636 MAIL SERVICE CENTER 2728 CAPITAL BOULEVARD
RALEIGH; NORTH CAROLINA 27699-1636 RALEIGH, NORTH:CAROLINA 27604
TELEPHONE NUMBER-: {919) 733 3221 .: FAX NUMBER: [phone]
i
INSTRUCTIONS FOR FORM: RT AP 08-11 Page 3 of 3

�OF W ATFRQ State of North Carolina
1O Department of Environment and Natural Resources
co T Division of Water Quality
5btud,:1
r- -1 1 RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 08-11
I. APPLICANT INFORMATION:
1. Applicant's name: City of Newton
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership El Privately -Owned Public Utility
[] Federal ElState ® Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: James Wentz Title: Public Works Director
Applicant's mailing address: P.O. Box 550
City: Newton State: N.C. Zip: 28658
Telephone number: [phone] Email Address: dwentz ,newtonnc.gov
_I.
2. Consultant's name: Will Hodges License Number (for P.E.): .
I
Affiliation: ❑ On Staff ® Retained (Firm: Synapro Central, LLC)
Consultant's mailing address: 284 Boger Rd
City: Mocksville State: N.C. Zip: 27028
Telephone number: [phone] Email Address: whodges ,synago.com
I
3. Agronomist's name: Marshall PMear License Number: 29442
Affiliation: ❑ On Staff ® Retained (Firm::Synagro Central, LLC)
Agronomist's mailing address: 284 Boger Rd.
City: Mocksville State: N.0 Zip: 27028
Telephone number: 336) 998-7150 ext 17 Email Address: [e-mail]
4. Soil Scientist's name: Eric Thompson License Number: 1238
Affiliation: ❑ On Staff ® Retained (Firm: Synagrro Central, LLC)
Soil Scientist's mailing address: 284 Boger Rd.
City: Mocksville State: N.C. Zip: 27028
Telephone number: [phone] ext 12 Email Address: [e-mail]
5. Fee submitted: $0.00 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, 0 renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide. the following:
Permit number: W00003902...
Date of most -recently issued permit: 06/01/2006
Date of most -recently certified Attachment A (if different than the permit): 08/21/2009
Date of most -recently certified Attachment B (if different than the pe it): 04/01/2010
FORM: RLAP 08-11
Page 1 of 5

i
i
i
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 1407 McKayoad_
City: Newton State: N.C. Zip: 28658
Coordinates: Latitude: 35° 37' 41" Longitude: 81,° 14' 02"
Datum: NAD83 Level of accuracy: second
Method of measurement: MAP
I.
2. County where residuals land application program is headquartered: Lincoln
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table: I
I
Designation
Name
Affiliation
Certification
Number
ORC
Mike Cox
Synagro Central, LLC
LA 13191
Back -Up ORC
William Hodges
Synagro Central, LLC
LA 997282
Additional Back -Up ORCs
Danny Sigmon
WWTP Superintendent
LA25008
if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test: �^
i
Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Sutnnzary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and.proposed for certification with this application and list the results in . .
the following table:
Maximum amount of residuals to be certified: 1300 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
11.63
16.18
.39,972
55,615.
Five -Year Maximum Adjusted
16.21
20.76
55,734
71,377
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified
and proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
Row Crops
27.5.
Hay
83.2
Pasture
813
Total:
923.7
Methods
Surface
923.7
Incorporation or Injection
Total:
923.7
FORM: RLAP 08-11 Page 2 of 5

i
c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Acres Required Using
Acres Required Using
Application Rate
First -Year PAN Concentrations
Five -Year Maximum Adjusted PAN
(lbs PANIac yr)
Concentrations
Surface
Incorporation or
Surface
Incorporation or
Injection
Injection
50
799.4
1112.3
1114.7
1427.5
100
399.7
556.2
557.3
713.8
150
266.5
370.8
i
1 371.6
i
475.8
200
199.9
278.1
278.7
365.9
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector
reduction practices not in place, etc.)::
7. Specify type of residuals program (See Instruction F): ® Non -dedicated E] Dedicated.
If Dedicated, specify the following (check all that apply):
❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than
agronomic rates, explain;
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;'.
Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or
irrigation facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE: INFORMATION: (Not required if no new, re ewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Not required if no ni w, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Site
Certification. doc
FORM: RLAP 08-11

Note: Item III. Applicable to Dedicated Program with fixed irri atg_ion system only.
DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ Drip
2. Disposalsystem is: 0 existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: '
feet below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation between SHWT and
ground surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or n No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:'
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
in/hr
Recommended
Loading Rate
in/ r)
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
0 Yes or ❑ .No If No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field /Zone
Design Area
(ft2)
Number of
Nozzles
Maximum Application
Rate ( allons%hr)
Design Annual Loading
Rate ( allons/ r)
Total1
U`0
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft2
Nozzle capacity
gpm
Nozzle manufacturer / model
Elevation of highest nozzle
ft

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
ie applicant or any affiliate has not been convicted of an environmental! crime, has not abandoned a wastewater facility without
r_ 3per closure, does not have an outstanding civil penalty where all appeals Lve been exhausted or abandoned, are compliant with any
active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
Z Yes ❑ No, Explain;:
I,
(Signature Authority's Name — PLEASE PRINT)
attest that this application for
(Facility Name)
(Title)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Quality
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless
specifically granted in the permit. Further, any discharge of residuals to (surface waters or the land will result in an immediate
enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Quality should a condition of this permit be violated. I also understand that if all required parts of this application
are not completed and that if all required supporting information and attachments are not included, this application package will be
returned to me as incomplete.
Note: In accordance with North Carolina General Statutes §143-215.6A and §143-215.613, any person who knowingly makes any
false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: AJV Date:
FORM: RLAP 08-11 Page 5 of 5

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0003902 (City of Newton)
Operational Functions
The operational function of this project involves land applicatiion of residuals for the City of Newton's
wastewater. This material will be loaded onto tractor trailers or "spreader trucks" and hauled to land
application sites. The residuals will be spread at agronomic raites, as determined by a recently analyzed
nutrients and metals sample. The material will be land applied with a liquid applicator that will use
pressure to achieve a consistent spread pattern. The fields applied will have a crop, either established or
planted soon after application, which is to be utilized for animal consumption.
Safety Measures
Synagro believes in operating in a safety -conscious manner -and has all employees participate in
quarterly online safety courses. These courses are designedlto help employees recognize safety issues
and take steps to prevent accidents from occurring. In addition, all Synagro employees have the
authority to stop operations if they think any aspect of the operation could cause environmental or .
personal harm.
Maintenance Schedule
i
Synagro will follow the maintenance schedule specified by their fleet management section for the
equipment necessary to complete the job.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR W00003902 (City of Newton)
i
Inspection Plat)
Inspections will be conducted on a weekly basis at the land applicatii
frequency is based on the time frame to complete the project and the
facility. The inspections will consist of inspecting a field that is currei
fields that have been completed. These inspections will consist of:
1. Verifying that the "Pre -Operations Check List" has been com
staff.
2. Checking the calculated loads to insure the correct amount c
3. Insuring that all manned equipment has a copy of the spill a
maintenance plan.
4. Insuring that the field has been flagged properly and that all
S. Insuring that the "Crop and Landowner Verification" form h:
6. Verifying that the residuals have been adequately sampled t
i site during activities of this project. Inspection
amount of dry tons to be land applied from the
ly being applied as well as inspecting random
leted and signed by both operational and technical
residuals are being land applied.
itrol plan, the permit, and the operations and
uffers are being adhered to.
been filled out.
confirm compliance.
The records will be kept in the project. files in the respective office fo i the project. The Permittee or Inspector shall
report by telephone to the NCDENR/DWQ Mooresville Regional Office at 704-663-1699, as soon as possible, but no later
than 24 hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the
following.
• Any occurrence with the distribution program resulting in the land application of significant amounts of
material that is abnormal in quantity or characteristics.
• Any failure of the program that results in a release of material to surface waters.
• Any time that self -monitoring information indicates that the program has gone out of compliance with
the permit.
• Any process unit failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 800-662-
7956, 8007858-0368, or 919-733-3300. These numbers are to be called in the event of a release to surface waters or the
imminent failure of a storage system when the event occurs outside of normal business hours. Within 5 days of the first
notice of an occurrence, a written response in the form of a letter shall be sent to DENR outlining the actions taken or
proposed actions taken to ensure that the problem does not recur.
Persons responsible for inspections on this project are as follows:
Will Hodges Technical Services Specialist, or his designee (Will Hodges is the designated backup land application
ORC for this project.)

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0003902 (City of Newton)
Sampling Plan
Sampling for this project consists of sampling the residuals once, per.permit cycle during the permit renewal
process.
The residuals shall be sampled once per
permit cycle for the following: (Regulatory level in -milligrams per liter in
parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5 )j
Nitrobenzene (2.0)
Barium (100.0)
1, 2-Dichloroethane (0.5) j
Pentachlorophenol (100.0)
Benzene (0.5)
1, 1-Dichloroethylene (0.7)
Pyridine (5.0)
.Cadmium (1.0)
2, 4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-l;3-butad)ene (0.5)
Trichloroethylene (0.5).
Chromium (5.0)
Hexachlorethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol.(200.0)
Lead, (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP.( Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
The residuals will also be sampled; based on the chart below, for the following constituents
Dry Tons Generated
(short tons per year
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111) .
<319
1 time per year.
=>319-<1,650-_
T per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)- - -
Aluminum Magnesium pH
Ammonia_Nitrogen Mercury Plant Available Nitrogen (calculation)
Arsenic Molybdenum Selenium
Cadmium Nickel Sodium
Calcium Nitrate -Nitrite Nitrogen %Total Solids
Copper Phosphorous.. Total Kjeldahl Nitrogen.
Lead Potassium Zinc
Sodium. Adsorption Ratio (SAR).;
In order to meet pathogen and vector requirements, the material will be lime stabilized. Lime will be added until the pH
of the material reaches 12 or greater and this must be sustained for two hours. After maintaining a 2-hr pH of 12, the pH
must continue to maintain a pH of 11.5 or greater for an additional 22 hours. Once this is accomplished, the material is
considered to be suitably treated for pathogen and vector reduction and can be land applied. The samples will be taken
from holding tanks. Additional samples will be taken for TCLP/RCI and nutrients and metals analysis.: Methods of
sampling will follow the conditions of the permit and applicable regulations.
The following people are responsible for sampling:
i Will Hodges, Technical Services Specialist, or his designee.
Danny Sigmon, City. of Newton ORC

SPILL RESPONSE PLAN
DROJECT: CITY OF NEWTON Permit WQ0003902
IN THE UNLIKELY EVENT OF A SPILL. THE FOLLOWING ACTIONS SHALL BE TAKEN IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor.and equipment is to
be utilized. In the event additional labor and equipment is required, assistance may be requested from the City of
Newton or the NC Department of Transportation, and other private contractors as necessary.
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged: transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
f iploy front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
ich. of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the
remaining material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush: sweeper if needed, and apply lime to the spill area upon the approval of.the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the
satisfaction of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill
area to its original condition if possible.
6. NOTIFICATION:
As soon as.possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Mooresville regional office of the NCDENR by telephone [phone]) for the
City of Linc.olnton as soon as possible; -but not more than 24 hours after, or on the next working day following the
occurrence. The Operations Manager shall provide a written report within 48 hours of the spill to the Technical Services -
Director. The report shall list all relative information and actions taken. Synagro Central personnel will file a written
)ort to the Mooresville Regional office of the NCDENR within 5 days of the occurrence. For after hours reporting the
rision's emergency number shall be called to report all incidences (800-662-7956 or 800-858-0368 or 919-733-3300).

Attachment Order 2:
Residuals Source Certification Attachment
(RSCA form)

OF w�TF9 State of North Carolina
�0 QG Department of Environment and Natural Resources
r Division of Water Quality
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount. of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http: //portal. ncdenr. org/web/wd/aps/lay
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 08-11, FORM: DCAR 08-11, or FORM: SDR 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 08-11):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed pennits, submit, a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
n Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification -for the value provided in Item 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including. any chemicals, amendments, or other additives that are added. to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of.residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 08-11 Page 1 of 1

RESILuALS SOURCE FACILITY SUMMARY
Applicant's name: City of Newton
Status Maximum Dry Tons Per Year
Facility Permit Holder Facility Name County Permit Number
Code Current `' Proposed
R City of Newton Clark Creek WWTP Catawba NC0036196 3438 3438
'Status Code for source facility are: ♦ N (New) s R (Renewed) ♦ M (Modified) ♦ D (Deleted)
v The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 08-11
Page 1

�0F WATF94,
State of North Carolina
�� Department of Environment and Natural Resources
Division of Water Quality
Q RESIDUALS SOURCE CERTIFICATION
FORM: RS.0 08-11
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Newton WWTP
2. Facility permit holder is: L] Federal, State, 0 Local Government,.or] Private.
Facility permit issued by:. . Div. of Water Quality, Div. of Environmental Health,
or 0 Other (explain: L_).
3. Facility contact person and title: Danny Sigmon, ORC
Complete mailing.addre.ss: P.O. Box 550:
City:. Newton State`. NC Zip: 28658
Telephone number: (828 695-4346 E-mail address: dsi_ on e,newtonne.goe
4. ;Facility physical address: 1407 McKay Road
City: Newton State: NC Zip: 28658'
Coordinates:: Latitude: 350 37' 41" Longitude: 81° 14' 02"
-
Datum: NAD83 Level -of accuracy: Second
Method -of measurement: MAR
5. - Purpose. of the facility:
j treatment of municipal wastewater, ❑ -treatment of 100% domestic wastewater,
-
treatment of potable water, El:'treatment of 100% industrial wastewater,
[( treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: F %: industrial and { %domestic)
other (explain:;
- 6. Does the facili have an approved pretreatment program: Yes No
tY.. Pp. p p.. � �. � , .
7. Facility permitted/design flow: 5_0 . MGD and facility average daily flow: I_2 MGD
8. Average amount of residuals being generated;at this facility 3438 drytons per year.
9. Specify the following regarding treatment and storage volumes available at:the facility:
Type and volume of residuals treatment: Lime Stabilization, four holding tanks, 220,000 gallons each
Type and volume of residuals: storage (i.e., outside of;residuals treatment units); N/A
II. RESIDUALS QUALITY INFORMATION (See Instruction .C.)::
Specify if residuals are.regulated under: -.
40 CFR Part 503 or [] 40 CFR Part 257.
Note: Only residuals that are generated: during domestic/municipal wastewater treatment processes are regulated under.: 40
CFR Part 5.03, otherwise, the residuals are regulated under 40 CFR Part 257..
2. Specify if residuals are -defined under 15A NCAC 02T.1102(6) as:
Biological �: � :: Non -Biological
Note: Biological residuals are :residuals that. have been. generated during the treatment . of domestic. wastewater; animal ..
processing wastewater, or the biological: treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fxed filmsystems) -
.FORM: RSC 08-11
Page 1 of 5 ..:

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. .Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes 0 no.
If yes, list the number(s): i _I
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40.CFR §261.21-
261.24: ❑yes no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Summit Environmental Technologies Inc. and Date of analysis: 11-19-2014
Passed corrosivity test: ® yes [] no. pH: 6_4 s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes [] no. Flashpoint: >200 °F (> 140T)
Passed reactivity test: 0 yes t] no. HCN: ND mg/kg (<250) & HzS: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/l)
Result
(mg/1)
TCLP Parameter
Limit
(mg/1)
Result
(Mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
-3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
, ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine .
.5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
M
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
214,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND .
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 08-11 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105. .
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: A & L Eastern Labs Inc. and Date of analysis: 10-02-2014
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic-
75
41
3.0
Cadmium
85
39
<2.0
Copper
4,300
1,500
198
Lead
840
300
13
Mercury.
57
17
<0.4
Molybdenum
75
n/a
>5.0
Nickel
420
420
26
Selenium
100
100
>5.0
Zinc
7,500
2,800
933
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: ) and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg
Nickel
(mg/kg)
> 0 but <25
30
200
210
> 25 but < 50
34
220
240
t] > 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
❑ > 125
62
450
420
Result (mg/k
FORM: RSC-08-11 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 9.01 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: A & L Eastern Labs Inc. and Date of analysis: 10/02/2014
Parameter
Result
(mg/kg)
Aluminum
20500
Ammonia -Nitrogen
4550
Calcium
168000
Magnesium
5590
Nitrate -Nitrite Nitrogen
13.3
pH (Standard Unit)
11.23
Phosphorus.
9000
Potassium
736
Sodium
772
Total Kjeldahl Nitrogen
16300
c. Using the results :listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.15
[Note: If residuals contain SAR of 10 or higher, the applicant shall.obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism_ for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): default value, or actually established.
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (P) Year PAN
Five -Year.
Maximum Adjusted PAN
(mg�k�
(mg/kg)
Surface
5,813
8,106
Inj ection/Incorporation
8,088
10,381
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: No
i
7. Pathogen Reduction: Per 15A NCAC 02T.1106 specify -how residuals will meet the pathogen reduction requirements:
FORM: RSC 08-11 Page 4 of 5

a. For Distribution/Land Application of Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density.that.is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
E Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
] Alternative 2 [15A NCAC 02T. 1 106(b)(3)(B)] - Alkaline Treatment.
Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15ANCAC 02T.1106(b)(3)(D)] -No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one:. ❑ composting, El heat drying, ]heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑. gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
d Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A: NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one:: [] aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ®, lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item Il. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
❑ Exempt -If Daily _Cover Alternative is chosen in Item 11.8. below [15ANCAC 02T.-1106(a)(2)].
] Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. -
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
Jg Alternative 1 [15A NCAC 02T. 1 107(a)(1)] - 38%.Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15ANCAC 02T.1101(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
..Alternative-3 [15A NCAC 02T. 1 107(a)(3)] - 30-DayBench Scale Test (Aerobic:Digestion).
❑ Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ . Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day.Aerobic Processes.
w Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization
Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals. .
. Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals..
Alternative 9 [15A NCAC 02T. I 107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.1107(a)(10)] -. Incorporation.
. Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)]...
] Not Applicable - Non -Biological Residuals with NO Domestic Wastewater. Contribution.
Note: For animal processing residuals,: only alternatives 9 or.10 may be chosen due to the. nuisance conditions that typically
occur when these residuals are applied and left on the land- surface.
FORM: RSC 08-.11 Page 5 of 5

Attachment Order 2-a:
Vicinity Map

VICINITY MAP
q` I-lam+ltnn 7� F d s
§, t•g1, rF r.
Ln
9J.
-
o'
2�i1T � 2ri72 �•�55
y�Yt7
S u14 id sari, ^_ _
1 'q. `
Ir
C A -
2Ui8 2i13
.. .
1
v
N5 iG i 1:.�`it 11: Cit'.�t' M1t;i2
�
er'
GRAPHIC SCALE
1" = 2,500'
2,500' 0 2,500'
is compliance boundary is established either 250 ft from the residuals application area or 50 feet within
NEWTON
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application.area. All
locations are approximate.
WWTP'..'.

Attachment Order 2-b:
Process Flow Diagram

too
LOCATION SCHEDULE
x13oo
STRUCYURE
LEGEND POINT N
E
LOCATED
,CONSTRUCTION
-'ACCESS ROAD
REACTOR CLARIFIER NO.*
A CENTER 10.39.5
7.12.0
REACTOR CLARIFIER NO.!"
B CENTER - 9.35.5
7.12.0
LIME/GRIT FACILITIES
C NECOANER10.17.5
8.079
BLOWER PAD
0 NECORNER 9.69.25
B.07,0
. " AERATION BASIN 110.
E NECORNER IO.87.5
6.42.0..
•
AERATION BASIN NO.
F :NECORNER 9.775
6.42.0'
SECONDARY CLART7EN NO,
G CENTER 3.33.5
3.r1.0
"
SLUDGE HOLDING -TANK NO.
H CENTER 5.725
7.37.83
SLUDGE HOING TANK NO.
OI
1 CENTER 5.72.5
B:01.49
1
11
SLUDGE. PUMPING BUILDING
J-SECORNER 5.30.5 .
7.85.66
INf1IiIe,4 : pNm p bly
K
devmtcrfn5 bids
1- .
fillers M
CII
back wusk bas�a T
%A) fhLera+
e fFli, en*
300 \\
.10
\\
NEW FENCE
20. OFF BACK
OF CURB \ �9
NEW FENCE\\\\
20' OFF Q
r1 \
MATCH LINE
N 10b I
EI00 ?..{:i;, y.r•.r f`'- 00_
\ 4 /• ... .C, '.MC - CENTER
`�._% \•.� EXISTING MN
j/..
NOTES:
•. GR�� -1. CONSTRUCTION ACCESS ONLY BY CONSTRUCTION ACCESS
/' : ; ,•� 2. FENCE - 6 FT•.CHAIN LINT( WITH.3 STRANDS BARBED'WIRE.
j/ MATCH D. IG'. REPLACE•FENCE AT ABANDONED. PLANT
d5 REQUIRED.
t SEAL in
3322
(rJ' reua CAW 1a. NT[ uvmeN wrt. - 1¢a N0.
,. CITY OF NEWTON CL:ARK CREEK PLANT EXPANSION'-•N9.02A.2AF
"W N 10O ° 200 WIOGSENGIIU�ERS: „n G'I
� I �' `" ' "°` WASTEWATER FACILITIES AREA PLAN
i r✓ ,4D
I 1 ' NOV. A90
I
i
H111,
Jw1
_r.
O
�s VEy j132N
I
7 (•G sr
/
�w� ktS.
ro
O
11 �.
I.rl.10
3 e
D'JIkDP
I

Attachment Order 2-c:
Quantitative Justification for Residuals Production

Quantitative Justification for Residuals Production
Currently, the City of Newton's WWTP is permitted for 3,438 dry tons of annual production.
There is no request at this time to change this amount. The facility permitted/design flow is 5
MGD. Even if this maximum amount is reached, we would still be under the permitted 3,438
dry tons of annual production.
Total Dry Tons = gallons of residuals X % solids X 8.34 lbs./gallon
2,000 lbs./ton
(5,000,000 X 0.0900 X 8.34 lbs./gallon)/ 2,000 Ibs./ton = -1,877 dry tons
Y._.

Attachment Order 2-d:
Sampling Plan

Residuals Sampling Plan
City of Newton Land Application Program :(WWTP)
Nutrient and Metal Analysis
WWTP
Sampling Point:
Holding Tank
Sampling Frequency:
Bi-monthly
Sample Type:
Composite
Lab: , .
A & L Eastern.Labs
Pathogen Reduction
WWTP.
:Sampling Point:
Holding Tank
Sampling Frequency:
Bi-monthly
Sample Type: ;
Composite
Lab:
Newton Lab
Vector Attraction Reduction
WWTP
Sampling Point:
Holding Tank
Sampling Frequency:
Bi-monthly
Sample Type:
Composite
Lab:
Newton Lab
TCLP/RCI
WWTP
Sampling Point:.
Holding Tank
Samp ing Frequency:
-
Once per permit cycle
Sample Type:.. .
p Yp
Composite .
Lab:
-.-Summit Environmental Technologies: Inc.

Attachment -Order 2-e:
Laboratory Analytical Reports

Page: 1 of 2
Report Number: 14-190-0213
Account Number: 46476
Submitted By: WILL HODGES
Send To:: SYNAGRO CENTRAL LLC/NEWTON
MaryBrewer
284 BOGER RD
MOCKSVILLE , NC 27028
Lab Number: 56372
Sample Id : NEWTON HOLDING TANK #2
y
Ac�L Easfern Laboraf®roes lnc.
At 7621 WhltepineRoad Richmond, Virginia 23237 (8D4) 743.8401 Fax [phone]
J
wtivw.alDaeFern.coltL
.... Project:.NEWTON.HOLDING TANK #2
NC CERT#257
REPORT OF ANALYSIS
Date Sampled: 7/7/2014 00:00'00
Date Received: "07/09/2014 00:00
Date Reported: 0711412014
I otal Solids *
7.90
79000
100.0
JM
07/09/2014 15:29
8M-2540G
Moisture "
92.10
100.0
JM
07/09/2014 15:29
SM-25400
Total Kjeldahl Nitrogen
2.00
20000
10.0
JM.
07/10/2014 08:50
SM-4500-NH3C-TKN.
Total Phosphorus
1.03
10300
100
KM
07/10/2014 14:12
SW 601OC
Total.Potassium
0.09
915
100
KM
07/10/2014 14:12,
SW 6010C
Total Sulfur
0.49
4890
100
KM
07/10/2014 14:12
SW 6010C
Total Calcium
16.00"
160000
100
KM
07/10/2014 14:12
SW 6010C
Total Magnesium
0.49
4900
100
KM
07/10/2014 14:12
SW 6010C
Total Sodium
0.09
875
100
KM
07/1012014 14:12
SW 6010C
Total Iron
12100
100
KM
07/10/2014 14:12
SW 6010C
Total Aluminum
17500
100
KM
07/10/20.14 14:12
SW 6010C
Total Manganese
513
6
KM
07/10/2014 14:12
SW 6010C
Total Copper
232
5
KM
07/10/2014 14:12
SW 6010C
Total Zinc
913
5
KM
07/10/2014 14:12
SW 6010C
Ammonia Nitrogen
0.49
4940
10.0
JM
07/10/20.14 08:50
SM-4500-NH3C
Organic N
1.51
15060
10.0
07/10/2014 08:50
CALCULATION
Nitrate+Nitrite-N
24A
2.00
JM
07/10/2014 0"8:50
SM4500NO3F
Total Cadmium
<2;0
2.0
KM
07/10/2014 14:12
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.
_ .r,, .... Yrl ., r-9"....
rL .- (i i... .. 1:,. ,.., �ib1
r ➢! . t.,. ,. ft .49i'
•u
.. .i
..
.:'6 ./ : rl. _ fi "7 .�'T'. . ,. rrr
i. r „".: `f!`_ l, r.'i_ .i1- .,
j,,...4l. .i ,'Ir1i .... ,.. .'!i •tii `I' i r.0
, _ 1. .
.i. . i.i. . 1....
Debbie Halt

Page: 2 of 2
14
A�F—^�L_--•E:a°.4s�t-e.~=n===-'=La=-bo.rat�-o•�•r-r�i,e�s.,,�Inc.
-190-0213
Account Number- 46476�L,17J
7621.Whltepine Road Richmond, Virginla 23237 [phone] Fax [phone]G
Submitted By: WILL HODGES w4wi,aleastern,cam
Send To: SYNAGRO CENTRAL LLC/NEWTON Project: NEWTON HOLDING TANK 92
Mary Brewer NC CERT#257
284 BOGER RD
MOCKSVILLE, NC 27028
REPORT OF ANALYSIS Date Sampled: 7/7/2014.00:00:00
Lab Number: 56372 Date Received: 07/09/2014 00:00
Sample Id : NEWTON HOLDING TANK #2 Date Reported: 07/14/2014
,...a�. - :_., . .,,'.r—a^,ascq, Y"'—•r,..: e•.c•.+-.�
.. �.,o ..,�,,_.. t1 ipc:« ��� e3' NC �'A;r,:7v "f?'_.Y;,a - '�r•Es4 �, ��ak i�., ,^�, :ni+�`�Py�, r.� ,}16. l2.f�
{�( E Via �j3• G 7jy`{j( '��bdt l } WeL1Y ., r iti rQS. y
f `+SA'q{•. .Sn7� fVF�.^S'n,. .t•+_tl• k''' .';'r^'! i'a u` ...,, , v' „.r���,,,f, �tr ki•.- ue: 7: "Y'F 7"f): „ s!,.S �Ji+e,..-;..•;, ,f •.r .yy,.;6 { �: M' _
r1 -(1 ...; ''• IF ..� r� ,y4 ¢3,a Yd';C .. f; in . a i" 'v •vdL''"- Y'„keg r . P •F"� a i3'.?.;y'y$. 'if... gl�ld. G; n S1�`:.
f; t:ti /- `i IY7 3 ,�"sz;.te '��,�, �.�"�j� y1 : e 1� del �.r,,G✓; "g•-'l`.7:s'`y
N.:r.,.w'` J ,,,n,..,.„, 4'rSt,_r�.etti,..�.,..+�.51..L.-. x�7; u-"t. r,•.� i. "'fit. ,ib1. {-yi, .� �y�t.hhs vY �p•+r k i '1 ' F4.
.�...�6e...:?ku,..,+4.1" :..1 s a?.1 2;.,.d•;N"'`�, 1. .. ;2 P,,,' -RA 4Z^ �,
TotalChromium 28 5 KM 07/10/2014 14:12 SW 6010C
Total Nickel 19 5 KM 07/10/2014 14:12 SW 6010C
Total. Lead 12. 5 KM 07/10/2014 14:12 SW 6010C
Total Arsenic 3.0 3.0 KM 07/10/2014 14:12 SW 6010C
Total Mercury 0.6 0.4 KM 07/11/2014 09`:00 SW-7471B
Total Selenium <5.0 5.0 KM 07110/2014 14,12 SW 6010C
pH (Standard Units) * '11.49 2.00 RJN 07/10/2014 08:50 SW-9045D
Calcium Carbonate Equivalent 38.70 387000 100 JM 07110/2014.'00:00 AOAC 955*01
Total Molybdenum <5 5 KM 07/10/201414:1.2 SW 6010C.
Comments:
CCE, SULFUR AND ORGANIC.NITROGEN NOT FOR COMPLIANCE PURPOSES.
THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "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.
. � Ir,:..::�: .,., .. :;�-: ., ;1•c•. .. ,IN . .',. .d. c t ..';i,. In,7.. 1 ,..,.....,...:;f:., . .r....- .......,.. v
Debbie Holt

SAMPLING LOG A L E III(Nllllll(IBIIII((IIIIIBIIiIf ll11111111IIIllf l(�I'llll(Illllill 0 -0�:0
7621 W SYN
RICI1mL AGRO CENTRAL ILG� lE NTON I,,,: I�.3S ANALYSIS
.. NEWTON HOLDING TANK ,12 CORD
CUSTOMER: SYNAGRO 804174'
11�l 7..�.,,,�.(�
i attest that' the proper field sampling procedures
PROJECT MANP,GEH:i����
-
were used during the collection of these samples.
Phone:) l t
J
zc)z
SAMPLER
A & L CUSTOMER
SAMPLING
SAMPLE
# OF SAMPLING METHOD METHOD
LAID-4- SAMPLE I.O.
LOCATION
TYPE
CONTAINERS DATE TIME, PRESERVED SHIPPED
7 �3
}Relinquished by Sampler: ,i � Date Tirne ReclevEd by: REMARKS:
Relinquished by: r , Date Time Redeved by: — —
Relinquished by: Date Time Rocieved by:
SPECIAL INSTRUCTIONS: erA Cooler 4- f #X {0 4, '�Il et ty S �.�4ssn� "- T 1-a•A•ed? �"r��e�
For monitoring purposes. P'Oif:
S PLE
ANALYSIS REQUEST
I.D.
SLi
SL2 E`HH,-1t
NO343
Orgaclic
td
Cd , . Cr
Ni
Pb
As
Ns9
Se
pH
I CeCO3
equiv.
vo►atile1:
SOIIds
Mo
I CI
NO 44
x
POT
i'9100
1,00
I ploPICI
i
100
Per
i
SLI : Total Solids (Moisture), Total Kieldahl. Nitrogen, Phosphorus, and Potassium
SL2' Basic Test SL1 Plus Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese; Copper and Zinc

Year 14%/`/ Sfudge Grab Sampling
Date
•
sample'l.D.
G rab #1 ..::
Gra
Collection.
Analysis
Collection
. -
'By..
Time
PHI Corr. pH
Temp.,
By
By
Time
PH/ C
r�r
,�,'1.,z.5
i "
C Ise-
'1
�Z�►'
<� ��� ��'�.
li � a�,,.CfiC�•rlu,
�•���
ft;����t'/
C�1,�Ij (.J;;"J�
��.��
�u•"�
�i;��
�(.�tj�
�: r,
qlllllz-.
c
y.
I�zs'
.7r`"
i`1,�
/ J.
9
2� .3S
Z�
t2,3a
G
noM.
OOFI
i o,
iar
,�1
30 SAr
�, z
.:
�
,
s,1.40
717
Collect #1 sample for pH when.aank is read for-testin
y 9
Sampling Collect #2`sample at least 2.hours after ;first sample.
Guide. lines: Collect #3 samft'at least22bours after second sample. :.
Camnln rriief 6rrivo i6 iah urithin i:� mirnitac of rnllarfiinn

ata
Grab #3
Collection::.
By,: Date The. PH/Corr. PH '
re v 1Z7 }
fw
/ �, � .. `fit.. ���• /� _
;S
is measured,in °C : pM 2550 ,B-2000
in s.u.
4500.H+6-200.0
to 7.l�°r.
Analysis
.Temp,
' �
2 ,��
:.
jBy
��
i
i2
Analysis
:pH
Temp.:
By .
2./'
o
,1:�
:�
Temperature
PH. is -measured
pH, .SM
nH is MrractPii

Summit Environmental Technologies, Inc.
MnSUMAMINt 3310 Win St.
ri ';VJrOPJ6.1EhJ'idi.L I lttu;es, I,%c Ctryahoga Falls, Ohio 44223
!l.rial'ytic.3f Labt7a-ato,rivil, TEL: [phone] FAX- [phone]
Website: http://wrviv.settek.con2
December 11, 2014
Will Hodges
Synagro
284 Boger Rd.
Mocksville, NC 27028 .
TEL: [phone]
FAX: [phone]
RE: Newton WWTP
Order No.: 14111885
Dear Will Hodges:
Summit Environmental Technologies, Inc. received 1 Sample(s) on 11/21/2014 for the analyses
presented in the following report.
There were no problems with the analytical events associated with this report unless noted in the
Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits except
where noted.
If you have any questions regarding these tests results, please feel free to call the laboratory.
Sincerely,.
Dr. Mo Osman
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
A2LA 0724.01, Alabama 41600, Arizona AZ0788, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC
E87688, Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank)
3, Kentucky 90146, Louisiana 04061 and LA12004, Maine 2012015, Maryland 339, Massachusetts M-OPH923, Minnesota 409711, Montana CERT0099,
New Hampshire 2996, New Jersey 011006, New York 11777, North Carolina 39705 and 631, Olio Drinking Water 4170, Olio VAP CL0052, Oklahoma
9940, Oregon 0I-1200001, Pennsylvania 68-01335, Rhode Island LA000317, South Carolina 92016001, Tennessee TN04018, Texas T104704466-11-5,
Region 8 8TMS-L, USDA/APFIIS P330-11-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and 1581,.Washington C891, West
-Virginia 248 and 9957C and E87688, Wisconsin399013010
Pagel of 6
Page 1 of 8

Szrmmit Environmental Technologies, Inc. Workorder
3310 Win St.
Cuyahoga Falls, Ohio 44223 Sample Summary
TEL: [phone] FAX.- [phone] WO#: , 14111885
Website: htto://rviviv.settek.coni 11-Dee-14
CLIENT: Synagro
Project: Newton WWTP
Lab SampleID Client Sample ID Tag No Date Collected Date Received Matrix
14111885-001 Newton WWTP 11/19/2014 4:30:00 PM 11/21/2014 9:45:00 AM Solid

iT Summit Environmental Technologies, Inc.
3310 Win St: Case is
Narrative.
fi t+196hd�.7 R: f 4L $ " RQLOt;IZS; i' Ke _ Czryahoga Frills, Ohio 44223 WO#: ' 14111885
a ril%�ti"i P t,3f��rslatie'I=• TEL: [phone] FAX: [phone].
j t /11/2014
Websi erh�.Ilivivw.settek.com Dater 12

i
-cam Summit Environmental Technologies, Inc.
WO#: 14111885
3310 Win St.
FNVIRL1PAIEblTAL 1ECHN 7WpL'c5, Oc
Cuyahoga Falls, Ohio 44223 Date Reported: 12/11/2014
knalyticst Lrxboratorfe
TEL: [phone] FAX.- [phone]
Company: Synagro
we bsite: htto://ivivw.settek.com
Address: 284 Boger Rd.
Mocksville NC 27028
Received: 11/21/2014
Project#: Newton WWTP
TCLP Metals Analysis (6010)
Client ID# Lab 1D# Collected Analyte
Rep Lmt Result Units
Matrix Method DF
RegLvl Run Analyst
Newton WV TP 001 11/19/2014 TCLP Arsenic(As)
0.50 ND mg/L
Solid EPA 6010 C 1
5.0 11/28/2014 WK
Newton WWTP 001 11/19/2014 TCLP Barium(Ba)
5.0 ND mg/L
Solid EPA 6010 C 1
100 11/28/2014 WK
Newton WWTP 001 11/19/2014 TCLP Cadmium(Cd)
0.10 ND mg/L
Solid EPA 6010 C 1
1..0 11/28/2014 WK .
Newton WWTP 001 11/19/2014 TCLP Chromium(Cr)
0.20 ND mg/L
Solid EPA 6010 C 1
5.0 11/28/2014 WK
Newton WV TP 001 11/19/2014 TCLP Lead(Pb)
0.50 ND mg/L
Solid EPA 6010 C 1 .
5.0 11/28/2014 WK
Newton WWTP 001 11/19/2014 TCLP Selenium(Se)
0.50 ND mg/L
Solid EPA 6010 C 1
1.0 11/28/2014 WK
Newton WWTP 001 11/19/2014 TCLP Silver(Ag)
0.50 ND mg/L
Solid EPA 6010 C 1
5.0 11/28/2014 WK
TCLP Mercury Analysis (1311/7470)
Client ID#
Lab ID# Collected Ana lyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Newton WWTP
001 11/19/2014 TCLP Mercury
0.0020 ND mg/L
Solid
EPA 7470 A
1
0.20
11/28/2014
ALJ
SVOC SW-846: 8081-TCLP Pesticides
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Newton WWTP
001 11/19/2014. Chlordane, total
0.020 ND mg/L
Solid
EPA 8081 B
1
0.030
12/2/20.14
JBN
Newton WWTP
001 11/19/2014 Toxaphene
0.040 ND mg/L
Solid
EPA 8081 B
1
0.50
12/2/2014
JBN
Newton WWTP
001 11/19/2014 Endrin
0.0020 ND mg/L
Solid
EPA 8081 B
1 -
0.020
12/2/2014
JBN
Newton WWTP
001 11/19/2014 gamma-BHC
0.0020 ND mg/L
Solid
EPA 8081 B
1
0.40
12/2/2014
JBN
Newton WWTP
001 11/19/2014. Heptachlor
0.0020 ND mg/L
Solid
EPA 8081 B
1
0.0080
12/2/2014
JBN
Newton WWTP
001 11/19/2014 Heptachlor epoxide
0.0020 ND mg/L
Solid
EPA 8081 B
1
0.0080
12/2/2014
JBN
Newton WWTP
001 11/19/2014 Methoxychlor
0.0020 ND mg/L
Solid
EPA 8081 B
1
10
12/2/2014
JBN
SVOC
SW-846: 8151 Herbicides-TCLP
-
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst -
Newton WWTP -
001 11/19/2014 2,4-D
0.11 ND mg/L
Solid
EPA 8151 A
1
10
12/11/2014
JBN
Newton WWTP
001 11/19/20142,4,-TP
0.11 ND mg/L
Solid
EPA 8151 A
1
1.0.
12/11/2014
JBN

Summit Environmental Technologies, Inc.
WO#: 14111885
3310 Win St.
Fb!'I AIIStEht9Al g 9 t9�ii�t C. Cuyahoga Falls, Ohio44223 .Date Reported: 12/11/2014
Aharytiral TEL: [phone] FAX.• [phone] Company: Synagr0
Website: http:/Avtivmsettek.com
Address: 284 Boger Rd.
o 1VI cksville NC. 27028
Received: 11/21/2014
Project# Newton WWTP
VOC by GEMS (8260)-TCLP
Client ID# Lab ID# Collected An lyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
Newton WWTP
001
11/19/20141,1-Dichloroethen.e
al.b
ND mg/L
Solid
EPA 8260 B
-- 1
0.70
11/28/2014
MES
Newton WWTP
001
11/19/2014 1,2-Dichloroethane
0.10.,
ND mg/L
Solid
EPA 8260 B
1
0.50
11/28/2014
MES. .
,.
Newton WWTP
001
11/19/2014. Benzene
q 0.10
ND mg/L
Solid ::
EPA 8260.E
1
0.50
11/28/2014
MES'
Newton WWTP
001
11/19/2014 Carbon
tetrachloride
0.1.0
ND mg/L
Solid
EPA 8260 B.
1 .'
0.50.
.11/28/2014
MES
Newton WWTP
001
11/19/2014 Chlombenzene
0.1.0
ND mg/L
Solid
EPA. 8260 B
1
100
1;1/28/2014
• MES
.
Newton WWTP..:
001
11/19/2014 Chloroform
0.10 -
- -:ND mg/L
Solid •
_ EPA 8260 B
1
6:0
11/28/2014
MES
Newton WWTP
001.11/19/2014
Tetrachloroethene
0.10
-ND mg/L
Solid" :'EPA
8260B
1
" 0.70
11/28/2014
MES
Newton WWTP
001
11/19/2014Trichloroethene
0.10
ND mg/L
Solid
EPA 8260 B
: 1
0.50.
11/28/2014
MES
Newton WWTP
001
11/19/2014 Vinyl
chloride
0:20
ND mg/L
Solid
EPA:8260 B
:1 ::
0.20
11/28/2014
MES
Newton WWTP
001
11/19/2014 MEK
2.0-:
ND mg/L
Solid ':
EPA 8260 B
1
200
11/28/2014
MES
SVOC 8270 TCLP BNA List
r ' t ID#:
Lab.1D#. Collected An
llyte ..
_Rep Lmt ;Result Units
Matrix_:
Method,
DF
RegLvl
Run Analyst
I i WWTP
001
11/19/20141,4-Dichlorobenzene
0.10
ND mg/L
Solid
EPA 8270 C
; 1
7.5 =
-12/1/2014
AKE
Newton:WWTP
001
11/19/20142,4,5-Trichlorophen6l
0.25
ND mg/L
Solid
EPA8270C.
1
400
12/1/201.4
-AKE
NewtonWWTP
001
11/19/20142,4,6-Trichlorophenol.
0.25-
ND mg/L
Solid .
-EPA 8270C
1
2.0
12/1/2014
AKE .
Newton WWTP :.
001 :
11/19/2014 2,4-Dinitrotoluene
- 0.10.
ND mg/L
Solid
EPA 8270 C
1
0.13
12/1/2014
AKE
-
'AKE
Newton WWTP
001
11/1.9/.2014 Cre,ols,
Total;;
5.0
ND mg/L
-.Solid
EPA 8270 C.:
1 .
200:
12/1/2014
Newton WWTP
001
11hk014Hexachloro-1,3-
0.10
ND mg/L
Solid
EPA8270C,
1
0.50
1211/201.4
AKE
buta
iene .
Newton WWTP
001
11/19/2014:Hem
ichlorobenzene
0.10
ND mg/L :.
Solid
EPA 8270 C
1
0:13
12/1/2014
AKE
Newton WWTP
001
11/19/2014 Hexachloroethane
0.10
ND mg/L
Solid
EPA 8270 C
1
3.0 .
12/1/2014
AKE
Newton.WWTP
001
11/19/2014 Nitirc
benzene
0.10
ND mg/L
Solid
EPA 8270 C.
1
2.0-
12/1/201.4
AKE
Newton WWTP
001:
11/19/2014 Penachlorophenol
_
0.25
ND mg/L
Solid
;EPA 8270 C:
1
100
12M/2014
AKE .
Newton WWTP
I•
001 :
11/19/2014 Pyri
ine
0.25.
ND mg/L
Solid
EPA 8270 G
1
5.0
12/1/2014
AKE
s.

e AM I
StmzmitEnvironmental Technologies, Inc.
IT 3310 Win St.
WO#: 14111895
aS
4A�IRrsffPlFt:TmL IECYNIIOLO,ut=.5,
.-.t,.
Cuyahoga Falls, Ohio 44223
Date Reported: 12/11/2014
Agar' icaf f *bProvQ60f
TEL: [phone] FAX: [phone]
Company: Synagro
Website: http://rvivwsettek.com
Address: 284 Boger Rd.
Mocksville NC 27028
Received: 11/21/2014
Project#: Newton WWTP
Client ID# Lab ID# Collected Ani
lyte
Result Units
Matrix Method DF RL .
Run Analyst
Newton WWTP 001 11/19/2014, Flalshpoint
(140°F)
>200 °F
Solid EPA 1010 1
11/25/2014 TAH
Newton WWTP 001 11/19/2014 Jal
PCBs
ND mg/Kg
Solid EPA 8082 1 0.033.
11/28/2014 AKE
Newton WWTP 001. 11/19/2014 Cyanide,
Reactive
-ND ppm
Solid. EPA 9014 1 0.50
11/25/2014 TIR.
Newton WWTP -001 11/1-912014 pH
6.4 s.u.
Solid EPA 9045 D 1
11/21/2014 . AYS
Newton WWTP 001 11/19/2014 Sulfide,
Reactive
ND ppm
Solid EPA 9034 -- 1 25
11/25/2014 TIR

Summit Et vironmentt111.Technologies,-Inc. ' /Cha r � i0 x
Analysis �teques
1.1�ehnal n of
3310. 4Vin str�ec ..,
Cuyahoga Galls,
use
• r5nmmit Inironrttcn
Ohio44223
Tel' 310. .8211 Fax:[phone]Page .
e
titers tttnd M thods'
Company:N9tIM, (trnse Ptinf)
Project'NdnW
Analyt-W Param
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I•
•. CClMUMS . .. w
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CCreth Im' Nu.;
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Report to
'lien Fx a ease t>< Q
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...
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•
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amp2�identifiratlon
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u
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c h eslCommenls• .{t�ftaf'r�
n7
to -
red by
to ...:V
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..,, ... ,:
a 9,?G4
141uii hdovom l y a�
LawK�n
Rosh R nn
Ctlttcyctetl Bi"..,..,�•�.,�.,: by tab moon
ftesclvsd 101a b. t
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.
_ Whi ld and yellow p.gMm stmuld omompaq samples to the tubormMY, The cibent.tuotn4 rite pink P

Attachment Order 3:
Land Application Site Certification Attachment
(LASCA form)

�OF WAT�c9Q State of North Carolina
�O G Department of Environment and Natural Resources
r Division of Water Quality,
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time. for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http: //portal. ncdenr. o/web/wcj%aps/laar
General — This: certification provides. detailed information of receiving sites for land application of Class 13 residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 08-11 or FORM: SDR 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation: listed
below.
A. Land Application Site Certification (FORM: -LASC 08-11):
Submit the completed and appropriately. executed. Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made,'as long as.the attachments are numbered. to.correspond.toAhe section and item to which -they refer..
® For new or renewed permits, submit the requested information for all land application sites:
0 Formodified permits, submit the requested 'information for only those sites that are new, transferred or affected by the
proposed modification.
Land Application Site Information:
The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as. follows:
♦ New (N) Renewed (R) ♦ Modified (M) ♦ Transferred-(T) e Deleted (D)
® Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
IK�
County Manager
Notification
Land Owner
Agreement
{If applicable)
KY
✓
✓ :
✓
✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance witlr the "Map Guidance
✓
✓
✓
x
for Residuals Land Application Permits"
.
A soils and agronomic evaluationin accordance with the "Soil Scientist
�. .
Evaluation Policv"
An updated accounting of the land application-. site's cumulative
✓
pollutant loading rates (CPLRs)
INSTRUCTIONS FOR FORM: LASC 08-11 Page 1 of 3 . .

Status Code
Required Item
N
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
✓
✓
✓
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Permittee relinquishing field
✓
Acknowledgement of field transfer from Land Owner (Fields may not
✓
be pennitted to multiple Permittees over the same time period)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
® Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit; or
name of the soil series as provided by the licensed soil scientist.
® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
® For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (ENT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion. from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: http://portal.ncdenr.or web/wq/ps/csu
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http://porial.ncdenr.org/web%wq/home/ro
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit. application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas; Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link http://h2o.enr.state.nc.us/bims/reports/reportsWB.html. If this link . -does not work, open
http://portal.ncdenf.ore/web/wq/ps/csu/classifications and download weekly -updated -classification lists for named
waterbodies.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Error! Objects, cannot be created from.editing.field codes.
Basin sorted Error! Objects cannot be created from editing field codes. report. Sort hydrologically as this will
provide the proper location descriptions if multiple runs.
INSTRUCTIONS. FOR FORM: LASC 08-11 . Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means,the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in Error! Objects cannot be created from editing field
codes. county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list,
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location'to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301Q.
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga .River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C,' and such streams entering South Carolina are
classified "C."
Lumber River Basin .
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that: all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named. or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are, classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified"SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 08-11 Page 3 of 3

LAND � PLICATION SITE CERTIFICATION
Applicant's name: City of Newton
Land application sites currently certified: 855.7 net acres and Total to be certified: 923.7 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code
Site/Field
ELandowner(s)
Lessees) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope'
' M
CA-07-01
Denise Lina Smyre
Jeffery Smyre :
10.4,
Catawba
Fescue Pasture
Cecil
CeC2
M
M
CA-07-02
CA-07-03
Denise Lina Smyre
Denise Lina Smyre
Jeffery Smyre
Jeffery Smyre
15.1
8.0
Catawba
Catawba
Fescue Pasture
Fescue Pasture
Cecil
Cecil
CaB
CaB
M
CA-14-1A
Nelda Lee
Chuck Waters
2 1. 3
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-14-1B
Nelda Lee
Chuck Waters
9.1
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-14-1C
Nelda Lee
Chuck Waters
8.2
Catawba
Fescue Pasture
Lloyd
LdC2
M
CA-14-2A
Nelda Lee
Chuck Waters
27.5
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-14-2B
Nelda Lee
Chuck Waters
4.9
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-14-03
Nelda Lee
Chuck Waters
33.4
Catawba
Fescue Pasture
Lloyd
LcB
" .M
CA-14-04
Nelda Lee
Chuck Waters
10.8
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-15-01
Conley Fox
Steve Fox
13.5
Catawba
Fescue Pasture
Clifford
CfB
M
CA-15-02
Conley Fox
Steve Fox
6.6
Catawba
Fescue Pasture
Rasalo-Zion
RaB
M
CA-15-03
Conley Fox
Steve Fox
11.0
Catawba
Fescue Pasture
Rasalo-Zion
RaB
M
CA-15-04
Conley Fox
Steve Fox
9.6
Catawba
Fescue Pasture
Clifford
CfC
M
CA-15-05
Conley Fox
Steve Fox
1.6
Catawba
Fescue Pasture
Clifford
CfC
M
CA45-06
Conley Fox
Steve Fox
5.2
Catawba
Fescue Pasture
Clifford
CfC
M
CA-15-07
Conley Fox
Steve Fox
19.5
Catawba
Fescue Pasture
Clifford
CfB
M
CA-15-09
Conley Fox
Steve Fox.
1.1
Catawba
Fescue Pasture
Clifford
CfD
M
CA-15-10
Conley Fox
Steve Fox
22.1
Catawba
Fescue Pasture
Clifford
CfC
M
CA-15-11
Conley Fox
Steve Fox
6.7
Catawba
Fescue Pasture
Clifford
CfC
M
CA-16-01
Richard Biggerstaff
Richard Biggerstaff
12.0
Catawba
Fescue Pasture
Cecil
CaB
M
CA-16-02
Richard Biggerstaff
Richard Biggerstaff
15.0
Catawba
Fescue. Pasture
Lloyd
LdB2
FORM: LASC 08-11
Page 1

LAND,,. PLICATION SITE CERTIFICATION
M
M
v M
M
M
CA-17-01
CA-17-02
CA-17-03
CA-17-04
CA-17-05
Jane Berry
Jane Berry
Jane Berry
Jane Berry
Jane Berry
Chuck Waters
Chuck Waters
Chuck Waters
Chuck Waters
Chuck Waters
5.6
4.4
11.3
25.5
7.0
Catawba
Catawba
Catawba
Catawba
Catawba
Fescue Pasture
Fescue Pasture
Fescue Pasture
Fescue Pasture
Fescue Pasture
Lloyd
Lloyd
Lloyd
Lloyd
Lloyd
LcC
LcC
LdC2
LcB
LdB2
M.
CA-17-06
Jane Berry
Chuck Waters
10.7
Catawba
Fescue Pasture
Lloyd
LdB2
M
M
- M
M
' M
M
CA-17-07
CA-17-08
CA-17-09..
CA-18-01
CA-18-02
CA-18-03
Jane Berry
Jane Berry
Jane Berry
Roger and Gina Martin
Roger and Gina Martin
Roger and Gina Martin
Chuck Waters
Chuck Waters
Chuck Waters
Gordy Goins
Gordy Goins
Gordy Goins
30.3
21.6
9.9
30.4
23.9
7.1
Catawba
Catawba
Catawba
Catawba
Catawba
Catawba
Fescue Pasture
Fescue Pasture
Fescue Pasture
Fescue Pasture
Fescue Pasture
Fescue Pasture
Lloyd
Lloyd
Lloyd
Lloyd
Cecil
Cecil
LcC
LcB
LcB
LcC
CeC2
CaB
T
CA-18-04
Bruce Hunsucker
Gordy Goins
15.0
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-18=05
Bruce Hunsucker
Gordy Goins
11.2
Catawba
Fescue Pasture
Lloyd
LcB
" M
M
CA-20-03
CA-20-04
Harold Sherrill
Harold Sherrill
Wally Saine
Wally Saine
4.1.7
24.5
Catawba
Catawba
Fescue Pasture
Fescue Pasture
Lloyd
Lloyd
LdC2
LdC2
M
CA-20-05
Harold Sherrill
Wally Saine
43.4
Catawba
Fescue Pasture
Lloyd
LdC2
M
CA-20-06
Harold Sherrill
Wally Saine
12.5
Catawba
Fescue Pasture
Lloyd
LdC2
M
CA-20-07
Harold Sherrill
Wally Saine.
47.3
Catawba
Fescue Pasture
Lloyd .
LcB
M
CA-20-08
Harold Sherrill
Wally Saine
22.0
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-20-09
Harold Sherrill
Wally Saine
47.5
Catawba
Fescue Pasture
Lloyd
LdC2
- M
CA-2040
Harold Sherrill .
Wally Saine
36.0
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-20-11
Harold Sherrill :
Wally Saine
23.2
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-21-01
Thomas Warlick
Wally Saine
27.5
Catawba
Row Crop
Lloyd
LcB
J M
CA-21-02
Thomas Warlick
Wally Saine
50.7
Catawba
Fescue Hay
Lloyd
LcB
M
CA-32-01
Ronnie Sigmon
Ronnie Sigmon
12.2
Catawba
Fescue Hay
Appling
AsB
M
- M
CA-32-02
CA-111-01
Ronnie Sigmon
City of Newton
Ronnie Sigmon
Wally Saine
7.4
3.0
Catawba
Catawba
Fescue Pasture
Fescue Hay
Appling
Pacolet
AsB
PaE3
M
CA-111-02
City of Newton
Wally Saine
4.3
Catawba
Fescue Hay
Lloyd
LcB
Page 2

LAND . - PLICATI®N SITE CERTIFICATION
M
LT-119-01
Rebecca Pate
Gordy Goins .
10.3
Catawba
Fescue Pasture
Madison
MdB2
M
LT-119-02
Gordy Goins
Gordy Goins
3.8
Catawba
Fescue Hay
Lloyd
LdB2
M
LT-119-03
Gordy Goins
Gordy Goins
9.2
Catawba
Fescue Hay
Cecil
CeB2
M
LT-119-04
Gordy Goins
Gordy Goins
10.7
Catawba
Fescue Pasture
Cecil
CeB2
D
NC-CA-08
William Simpson
William Simpson
9.1
Catawba
Fescue Hay
`¢ D
NC-CA-08
William Simpson
William Simpson
17.2
Catawba
Fescue Hay
<. D
NC-CA-08
William Simpson
William Simpson
14.6
Catawba
Fescue Hay
D
NC-CA-30
Larry Jarrett
Larry Jarrett
10.7
Catawba
Fescue Pasture
D
NC-CA-30
Larry Jarrett
Larry Jarrett
7.9
Catawba
Fescue Pasture
D
NC-CA-30
Larry Jarrett
Larry Jarrett
14.2
Catawba
Fescue Pasture
a Status Code for land application sites are: + N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling; Cecil, etc.)
'Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
FORM: LASC 08-11
Page 3

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

SITE SUMMARY
City of Newton
Newton, NC
Site ID:
NC-LT-119 .
Owner:
Rebecca Pate
Gordy Goins
Address:
3980 Killian Road
2924 Blackburn Bridge Road
Lincolnton, NC 28092
Lincolnton, NC 28092
Phone:
[phone]
[phone]
Operator:
Gordy.Goins
Address:
2924 Blackburn Bridge Road
Lincolnton, NC.28092
Phone:
[phone]
Catawba
:
Estimated
RYE -based Predominant Latitude & .
Applicable
Annual PAN limits Soil Series Longitude
Fields
Acres Crop(s)
(pounds/acre/year) (map unit) .. AM.S)
Madison
35°33'18.2" N
..1
10.3
Fescue (pasture)
hay 167/pasture 125
(MdB2)
81'18'10.7" W
Lloyd
35°33'12-.8" N -
2
-3.8
Fescue (.hay)
hay 216/pasture 162
(LdB2)
81°18'08.8" W
Cecil
35°33'11 9" N
3
9.2
Fescue (hay)
hay 209/pasture 156
(Ce:B2)
81'18'21.1" W
Cecil
35'33'07.8" N
4
10.7
Fescue (pasture)
hay 209/pasture 156
(CeB2)
81-18'18.7" W

&-t- - ajI
pF �ATF9 State of North Carolina
Department of Environment and Natural Resources
r Division of rater Quality
p -< LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of -the required items will lead to additional processing and review. time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site.at:
http •//portal. ncdenr. org/web/wq/aps/lay
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
Q. Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Les Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or .his represent-"--,- 16--hy permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance .with the stipulations:. and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
( no-till/over-seed/
pasture)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
his Agreement shall remain in effect for the length of the Division's .permit for the. residuals land application program and
snail be renewed each time this permit is renewed.
The undersigned landowner or his. _representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by: the Permittee, the landowner, or
his representative prior to and during a residuals land application 'event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4.. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land. surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface. of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12=month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
13-A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please marls one of the following;
2A re -defined compliance boundary is needed for field(s) ID: fIC" �A�i d
(Please include the rationale for the- requested re -location of the compliance boundary and attach a map, showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
n'. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is.requesting that the fields) be removed from the previously permitted residuals land application program and transferred
into the'new program;
(Name of the new program)
FORM: LOA 08-11 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Pernuttee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: C_tlb ece_ i� MT-t
Address:
City: State: 1 V CZip: ! c�
Phone: �U 7 g U E-mail address: r—� t 6-�rh a; �• C' 0;� 1
Signature: Date: P
NORTH CAROLINA, ! Yl C' a I r) COUNTY
I, the undersigned Notary Public do hereby certify that &bea6,
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official.seal this the
day of 1 /P.fM htif
Signature and seal: dM/10,%
My commission expires: �L✓l16,
Lessee's/Operator's Certification:
0
do- 6. Fbl I I I ' NOT,
PUBLIC
;� CQUN�O e
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: s'C� f A ZV-7 S
1
Phone:
Signature:
Permittee's Certification:
Date: Z
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions- as specified herein.
Signing. official name: C,N,3 Wait? —
Signature: :�.,� ' Date:
FORM: LOA 08-11 Page 3 of 3

Department of Environment and Natural Resources.
>_ Division of Water Quality
® ':= LAND OWNER AGREEMENT
' FORM: LOA 08-11:
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the: provided -boxes will help produce a quicker review time and reduce the .amount: of additional
information requested. Failure to submit all of:the required items will lead to additional processing and review time for, the
permit application. .Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more: information or for an electronic version of this form,. visit the Land Application Unit (LAU) web site at.-"
htfp: //portal. ncd enr. orQ/iveb/wg/aps/la u
General= This document is an agreement between the ;Applicant and land owner(s) of residuals receiving sites for land application of
Class. B .-residuals may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do -not'
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11):
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
. A. Land Owner Agreement (FORM: LOA 08-11):
® ubmit the completed and appropriately executed Residuals Source Certification.(FORM: LASC 08-11). form. Please do not .
Make any unauthorized. content changes to this form.: If necessary for clarity or due to: space restrictions, attachments to the.
application may be made, as long as the attachments are numbered to correspond to the ,section and item to which they refer.
repare a separate agreement for each, set of land application sites that are owned or operated by an entity other :than the
Applicant. .
copy of_the completed and appropriately executed agreement must.be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LANDAPPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's: name: uz> . .
hereinafter referred to as the Permittee, to land apply residuals 'from' the following facility(ies) onto the following land
application site(s) -(i.e., see attached setback niaps) in accordance with the stipulations :and restrictions as given in this
Agreement:. .
Site/Field !.. Lease Land Use or de Use of Crops',Residuals So ( Special
note .
arcs
(yes/no) Cropping Patterns Intended U no-till/over-seed/
(optional)
pasture)
e landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee:receives; in consideration, the use of the land application site(s) described.above for the disposal of the residuals.
This 'Agreement shall remain ineffect for the length of the Division's permit for the residuals land application program, and
i
allbe renewed each time this pernut is renewed.
'he undersigned landowner or his epresentative, and the Permittee . agree to abide with. the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance; modifies or cancels this Agreement.
FORM: LOA 08-11
Page l of 3

I. The landowner or fiis representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section I1) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR=DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. .The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In -addition, the current landowner shall give a notice to the.new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an,analysis of constituents of the residuals; residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied toachieve a final.
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil the specified crop. , residuals and lime mixture is suitable for
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee:with information regarding the amount and, analysis of :other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to.the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to . amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application:site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local, officials, and State officials or their representatives to; enter and
'
inspect any property, premises, or place on or related: to the land. application site(s) at any reasonable: time for the purpose of determining
Compliance with the permit; establish monitoring facilities on or near the land application site(s) as: required by the permit; copy any records
that must be kept under: the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, -this Agreement.
11. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to :the land
application sites) during active use and for the 12-month.period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application sites) for a 30-day periodfollowing a residuals land application event. Land application
sites that are to be used for grazing, shall have fencing that will be used: to prevent
application events. access during these. periods after such residuals land
3. Food crops,, feed crops,:and fiber.crops shall not be harvested for a 30-day period following a residuals land.application event.
4. Food crops with harvested parts that touch the residuals/soil mixtu
month period fore and are totally above the land -surface shall not be harvested for a 14-
llowing a residuals land application event.
5.. Food crops:'with harvested parts below the surface of the land shall not be harvested fora 20-month period following.a residuals -land
application event when the residuals remain on the land surface for four months or. longer prior to incorporation into the. soil.
6. Food'crops with harvested parts below the surface of the land shall not be harvested for. a 38-month: period following a residuals land
application event when the residuals remain.on the land_surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested fora 12-month period following a residuals land application event.
HLALTERNATIFIES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check. one)
15A .NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, l5A NCAC 02T 0105(h1 allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
A re -defined compliance boundary is needed for field(s) ID: - p I tci
(Please include the rationale for the requested re=location of the compliance bound
compliance boundary to the application package) Y and attach a map showing the newly proposed
[] A re -defined compliance boundary is not needed for this site.
IF7. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) :. .
❑ The land application field(s) ID:
residuals land application program; Permit NumberWQ: is currently permitted under another
Tbe igning this
agreement, he/she is requesting that the field(s) be removed from the previously permitted aid owner
hereby
ana application program aridthat by stransferred
into the new program;
(Name of the new:program) .
FORM: LOA 08-11
Page 2 of 3

Laandowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners.. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: / �'vi . �°,•�c �C1a�tS �-�
Address: . b u A_1_�aQd P J
.ff .
City: 0.A9 err' !�% State: P- ' zip:
Phone: 3 Z 3 Z E-mail address:
Signature:
Date:. 26
NORTH CAROLINA, ,
COUNTY
` aee �
ti ©I��e&Adrsigned Notary Public do hereby certify that 4 0� 1�
>prortalFpeared before me this day and acknowled ed the due execution of the:forgoing instrument.
SS m y viand and official seal this the
UV* Of A- Q,
er
y a , 20 1
Aigpq. did seal_9: !
( My commission expires:
Lessee's/Operator's Certification:
I certify that I have -read this Agreement and do hereby agree to abide by the stipulations and restrictions -as specified herein.
Lessee/operator name:
Address:
City: State:
Zip:
Phone: E-mail address:
Signature:
Date:
Permittee's Certification:
I certify that I have.read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: s3nii1ir 6 L./0
Signature:
Date:
r.

VICINITY MAP
{
A:{r1
P.
-
I
T
i
Wt
uJR:"I N
ik
r
1:
t
}
',�
i`
Y
q
A
ri
uompliance:boundary is established either 250:ft from the residuals application area or 50 feet within: N
in the property boundary, whichever is closest to the application area. The review boundary is established : C-LT' .� 9
midway between the compliance: boundary -and the perimeter of the residuals application area. -All
locations are approximate.
Field 1-4.

TOPOGRAPHIC MAP
aW Y
1. CIA I I IN .
'A' o
yc
N,
R.�
'N2
a-j
'N\4
F
.sh
�
L
�1?0111 I N
71-
q q
GRAPHIC SCALE
V. 660'
660' .0 660'
.11 it compliance boundary is established either 250 ft from the residuals application area or 50 feet within:
. : : Wi-J-111 9
in the property boundary, whichever is closest to the application area..: The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate,,
. . . . . . . . . . . . . . . . Fields 1-4

APPLICATION MAP
MaiiW5't-^^€
�---W i f'ig• � � la`s :. •�wk' , s d a
*r p
�,,c ,.�'�y ci i.:ya yla �'�fl r+ � 4,�� �'...,� $Ty��x��'� +, .• � '�rd? 1, ":'
j�40s
Y ;f4. {.s,�lY eP♦ ''r` .� p� r.u'r �s:'A � l� �! ! y 4 # Ft' L< � '® �
` �•`' to ,qqe;}dr, +C'"l`•M.au` •+�"',� `' k t .v-k 1 i
r az.b � � t� '.`I,s � �'"-- , i`- a �,� �� � r,�.� � ti.. � �'4 \"�t�� � to .y•m,.#y ., a { rl'
Ci-'F
s 0 �z"� k � i �VVI rC�siur`a '`t �S.`¢-` . �A�"•'""�Px '&�. '{�'�^`;.
r°
—t ,F t. ° •+y'�4.,y yr .^i* Ewa7W
t
tNil
it
h,
.. H00_
EIR RD
Y
¢
r'J
,% s
` rl
i ���a-� .. _
4
�,
t, \ sr*�
--
y
� l'T..6' x�4t � �.� ry -•..
��$,,
�
O
®y
tY�,;
2-1
r{'• -il ."' - ` f. , !. ♦ w w � xy r µe. ('k smm y � 2' y
vft.
4. s
,a 3'.•� �. e - t t €!� •!�, x. . �` p. \ ' �C,�.°� #� 4t '+a�� h,t£r� ��`"+,ar ��1'��, ,�
} .sl !y �'' - �.t�: is<i�� sad, s s� � � -i��,, �,y�` "�` tv a•����rz � ra T; ��€.
}s, r' c" .t f a �M t �t � � c=,�xn�'F'•iq''�.���'�` r '6�,�,'�`t .'fi. a a.. i `"�. �` i;
L •7p ■ }'7 �f - N t6�4'hr. " < ..4�ku'+ y, 4 }
' 6 ..' 1 +{.•3 x 1 .� i5 � r r asb•� x d r � aY .,� .r � '4 z�4 '}• �, � '� y �_
i t tf € F .a c y r ..W '`'ri A�'a �! • { Py.n,. •, is�' �; {.' .. ._ ix. N z,jy .i y t ry "'7, 4 # t� ..
:a { ratan, ,S-z%i if^ ✓ ,,, ..a: . `ir€C= S 4 $'z \ 1
v♦ '" v ado-. �, '.�•"e� r�r !' 4 S s ti .;, c n? � l h 3 ; :a },
'r. -•(. v d. � r.a, h `�,� ' r �', r „<8... s zd °, � �, � , c �. ?� a 3:F ;
LEGEND
APPLICATION AREA
UNSUITABLE AREA
— — — — — — PRIVATE ROAD
` V�
WATER
— — — — STREAM
®
ONSITE HOUSE
— DRAIN
®
OFFSITE HOUSE
FENCE
OUTBUILDING
PROPERTY LINE.
WELL
compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
111 = 660'
660' 0 660'
NC-LT-119
Fields 1-4

SOIL SURVEY
1�k �t'
s� r �.t
,, rt
-- 4 I it )� % • • 4 �' 1 �4i.
A'4
Y .
�,'�r)� kM rY trai tiff '1 .1
T al.1�(� '.Y. •.>.�.. ,.,.f `1Q'{ Y -J�y�
,¢b
♦♦. .. f 43 .ptlyp y '
d .4' 1 i ;A4 ` _ �� Eil,j'`h U ~4, i�� 1. 1 Yti 4�i 5 q'I!'{M k� R 3•.'t•�
.
,IN-'A•q
+�'�'k}' � .4 .fir) 3 L°:rt �• - t*t
in E.
F, >� "'FOOOfff'7a"i
A�t:!j
LY K. i:•y >f isM
{V-Alk
05 IF
1[4�" tr, _`, "Tt F ,� 1 ry A7 -�• i~ - t yr'£ ` T�1 ��
r"
g.
,jn�`a
ytP _,a:s xtyer. p v
a1 +
T f� 1 2 'k�
.A•
�4i1�:.Y_:`5'E.f.
_
oil air A •*q y, yY :t 4 5 3 �' V ' V T ^i ,
GRAPHIC SCALE
1" = 500'
500' 0 500'
tte compliance boundary is established either 250 ft from the residuals application area or 50 feet within
NC—LT-1 19
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-4

CUMULATIVE METAL LOADINGS (LBS/ACRE)'-AS OF
12/22/2014
:The Cumulative metals for this report come from LTD Period Table records' (Le. a Monthly ,Report has been produced and the loadings have been archived to History.
In cases where a trace metal lab result was Not Reported to $ynagro 'or tracking of,the metal loading was Not Required the loading on the report is displayed as "NR"
Date
Field ID.:
Last Applied As Cir Cu Pb....
Cd
Hg Mo N i w Se
Zn
NC-LT-00119-0=0001
04/2014 0.1195 0.1017 1.6953 7.8608 0.5395
0.0113. 0.2174 0.6232 0.0901
24.26712
N C-LT=001.19-0' 0002:.
04/2014 0.0534 , : 0.0695: 0.5785 : 3.3721 0.2142
0.0072 0.0909 :0.2720 0.0555
11.0500
NC-LT-00119-0-0003
•
04/201:4 0.1205' 0.1.030 1:8287 8.1057 :0.5572
0.0180 0.2537 0.6803 0.1098
25.6051
NCT-
4
0/10.1237 0:1009:.1.8.100: 8:2647 0.5713
0.0184 0.2301 0.6677 0.0976
25.89214L
Page: 1 of 1
12/22/2014

..SITE SUMMARY
City of Newton
Newton, NC
Site ID:
NC-CA-111
Owner:
DannySigmon - City of Newton
Address:
P.O..Box 550
Newton, NC 28658 ..
Phone:
[phone]:
-
O.perator:.
Wally Saine .
Address:
-:701 Westside Drive
-
-
Newton, NC-28658
Phone:
(828) 234=5958
Catawba
Estimated
RYE -based ..Predominant . Latitude &
Applicable
Annual PAN=limits Soil Series Longitude
Fields
Acres- Crops)
('pounds/acre/year).:' (map unit) (D.M.S)
1
3.0
Fescue (hay)
hay 139/pasture :104
P acolet
��
35°40 02,4 N
'05159
(PaE3)
813" W
.
Lloyd
35 39"46 7" N:
2
..4.3
fescue (hay) .
hay 216/pasture 162
(LcB)...:
81706'39.7" W

1O� - (. )� - /� �� r 1 B C IJ auar. YPa 1 V VY Wl VCII Vililal
Y Department of Environment and Natural Resources
Division of Water Quality
© LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. - Adherence to these
instructions and checking the provided boxes .will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application.: Unless otherwise noted, the Applicant shall submit one original and twoconies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU)- web site at.
fattp: //portal.ncdenr. org/web/tivq/aps/lau
General.— This document is an agreement between the Applicant and land owner(s)-of residuals receiving sites -for land application of
Class B-residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and'supporting documentation listed
below.
A.. Land Owner Agreement (FORM: LOA 0841):
[Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If -necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments. are numbered to correspond to the section and item to which they refer.
MPrepare a separate agreement for each set of land application sites that are owned or operated by an entity other: than the
Applicant.
['��A copy of the completed and appropriately executed agreement must be provided to the landowner and.the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s). (i.e., see attached, setback snaps) in accordance with the stipulations and restrictions as given in this:
Agreement:
Site/Field ID Lease Land Use or Residuals Source Special note
(yes/no) Cropping Patterns Intended Use:of Crops (optional) (no-tiwover-seed/
- pasture) .:
IBC -CA- ii i-
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall. remain in effect for the length of the Division's permit for the residuals land application program and
hall be renewed each time this permit is renewed.
Che undersigned landowner or his. representative and the Permittee -agree to abide with the following restrictions and
stipulations until -such time as written notification, given -30 calendar days'in advance, modifies or. cancels this Agreement.
FORM: LOA 08-11 Pagel of 3

L STIPULATIONS°
I. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit; 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee- must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner. shall give a. notice to the new landowner that gives full details of the residuals applied: at the
land application_ site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,:
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping '
the equipment used bythe Permittee. patterns, adescription of
:7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of -
soil samples, and the permitted application limits. . .
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e:g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s):.
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the. land application site(s) prior to each planting season to enable the:Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.: -
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and:during a residuals land application event:
13. The landowner or his representative hereby authorizes the Permittee, local officials, and -State officials or their representatives to; enter.and
inspect any property, premises, or place:on or related to the land application: site(s) at any reasonable time for the purpose of determining
compliance with the permit, establish monitoring facilities on or near the land application site(s) as required by the permit; :copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, thisAgreement:
TI. RESTRICTIONS:
1. Appropriate measures :must be taken by the Permittee and/or the landowner or his representative to control public access to the and
application site(s) during active use and for. the 12-month period following a residuals land application event. Such controls may include the
Posting of signs that indicate the activities being conducted at the land application site(s).
2.-: Animals shall not be grazed on the land application site(s) for a 30=day period. following a residuals land application event. Land application
sites that are to be used for grazing shall have.. fencing that will be used to application events. prevent:access .during these: periods after such residuals land
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4.:Food crops: with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall :not. be harvested for a 14-
month period following a residuals land application event.
5. Food .crops with harvested parts below the surface of :the land shall .not be harvested fora 20=month period following a residuals :land
application event when the residuals remain on the land:surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land. shall not :be harvested for a 38-month: period following a residuals land "
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.::
III.ALTERNATIVES FOR WATER SUPPLY. WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A. NCAC 02L .0107(d) prohibits water supply wells -within the compliance boundary. However, 15A NCAC 02T 0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of :the compliance
boundary -provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale: for the :requested re location of the: compliance boundary and attach a map showing the newly proposed
comp lance boundary to. the application package)
0 A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEI)GEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: .
residuals land application program; Permit Number W is currently permitted under another
Q The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 08-11
age 2 of 3

LandownerN Certification:
I certify that I am a deeded landowner of the above -referenced land application. sites) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make; decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the.above-referenced land, application site(s) are not included in any waste disposal' contract. or
agreement: with another municipality, contractor, or other permitted: entity. Furthermore, I certify that I have read this Agreement-,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field -transfer, and do hereby grant permission to the Permittee to :land appl
herein. y residuals.to the land application site(s) as specified
Landowner name:
.. n
Address:.: Po S
_City: -A/e k)1o)J State: hzC _
Zip:
Phone:�28, y y(p E-mail address: 7 rn4�V /l�cyo�lUC Q
Signatur Dater ! 9 :1 y

VICINITY MAP
.AN
GRAPHIC SCALE
1 2,5.00'
2,500' 0 2,500'
i ne compliance boundary is established either 250 ft from the residuals application area 6r:50 feet within
..NC-CA-1 I I
in the property boundary, whichever is closest to the application area. The review boundary is established.
,midway between the compliance boundary and the perimeter of the residuals application area. All
locations are.approximate..
Fields 1-2

TOPOGRAPHIC MAP
y;. S t 51
h
.leJ, `• CiTf41.1WO
al,
1 j k
'`•.: IE .e � _ ,, �+ ,` „� may? � ,
,
x
y s�r
Il tdw
ti CO, 'L g.,• r S I tl 0.' I _ t �..• r • y -' �,'
A`
ZI
4 1.1 — ^°w`'*. y<.,, ff . � �" � f r� a r,1' ", � t , x 1, y� f • e � � r �I Y Ij .� 'T _ ey.
j: 431 �i I t_I
.: Ill ie . l _. � 4, ! I � s � t.` l.' "• � * .�� ��
GRAPHIC SCALE
1.I = 660'
660' 0 660'
I
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C®CA-.111
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
.locations are approximate.: Fields 1-2

APPLICATION MAP
�^
Fit
(.7
/
:'°c�s 1i'!�_7'�`f�''I'•
+r`w'"" T S
l ° l
-.
�� _ �..,�jYr Wit, 1 , �,'• . + .-r,L�`� WW4 a k
�''�Ar �,.
Z
f
�., -' • ��. } �� yyr,♦{�[.
''Y P{ �yT4`rfls'1j:'.
WiN
J `� 'e t l �`1 i
•7i
,l �O �
�� 1.J Y 9 . J
~i 1
�'
,y�
i 4.. * A _ '...,�q„fr� ta- .1R #�*i i Y�r�•ar
� 4 t'�L;,� � 1
4 , ' 71
t
xa�r
f c mot) :3 >r` �' .. �`!' r� .c,y' '�• `MS e�.�'i SS .i\.. � p r'
, � �',
'�.•, G �y`y1'V�, ! �+�t., � t ''.. I y,1 \ �, 'tl it !
' 1. %�fl , S,
�
t
,JA t� 5'� c tj. %�!.. f �t� R .�,�'" j "'
;x i •
..
/ ; ' �`' ! : t``;i' xt�� .`+fit ., � ; �; � * , � � � . ,s *.\u ` l' M � � a'� � v ' �, .� \ ' •�,
i
,'
♦i Olt SQ/tF '�'J k - �N o .;� a i L.`' ,� �®i3
t`: �w► 4 .e'i,,
T
LEGEND
17-7-71
APPLICATION AREA UNSUITABLE AREA
—
— — — — — PRIVATE ROAD O WATER GRAPHIC SCALE
— — — — STREAM ® ONSITE HOUSE
1 " = 660'
660'
0 660'
— DRAIN . OFFSITE HOUSE
X X X FENCE OUTBUILDING
PROPERTY LINE 0 WELL
i ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
NC-CA-1 11
in the
property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-2

501LSURVEY �
GRAPHIC SCALE
1 500'
500, 0 500'
I e compliance boundary is established:either 250 Urom th6residuals application area or 50 feet within NC CM
in the property boundary, whichever is closest to the application area. The review boundary is established: ,
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1 -2

SITE SUMMARY
City of Newton
Newton, NC
Site ID:
NC-CA-32.
Owner:
Ronnie Sigmon
Address:
456:Dover Street
Claremont,.NC 28610
Phone:
[phone].
Operator:
Same
Catawba
Estimated ::
RYE -based Predominant °Latitude &
Applicable
Annual PAN limits Soil Series Longitude
Fields
Acres Crop(s)
(pounds/acre/year) (map unit) (D.M.S)
1
12.2 ;
Fescue (hay).
hay 237/pa5ture 177.
n Applig
35 °40'02 4" N
(AsB)
g1°05159 3" W.
2
7.4
Fescue :(pasture).
hay 23.7/pasture 177
Appling . '
35°39'46.7" N
(AsB.)

U al"I"'. UL 1 V lYL t11 %Llal 1Y1111a
Department of Environment and Natural Resources
> r—� Division of Water Quality
LAND OWNER AGREEMENT:
FORM: LOA 08-11:
Please use the following instructions as a checklist in order to ensure all required items are submitted_.. Adherence to these.
instructions and checking the provided :boxes. will help produce a quicker review time and reduce the amount of :additional
information requested. Failure to submit all:of the required items. will lead to additional processing and review time for the
permit application.` Unless otherwise noted: the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http: //portal.ncdenr, orQ/web/wc�laps/lau
General — This ,document is anagreernent between the Applicant and land owner(s) of residuals receiving sites. for land application of:
Class & residuals (may include water treatment plant or other type residuals) in accordance: with- 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall: submit one original and two copies of the application and -supporting: documentation listed
below,
A. Land; , ner Agreement (FORM: LOA 08-11)•
/ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not .
make any unauthorized content changes to this form: If necessary for clarity or due to space restrictions, attachments to:the
application may be made, as long as the attachments, are numbered to correspond to the section and item to which they refer.
Q-11repave a separate agreement for each set of land, application sites that are owned or operated. by an entity other than the
A plicant.
�Apcopy: of the completed and appropriately executed agreement must be provided to the landowner and the lessee/o erator
P
AGREEMENT FOR ThE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
rr
Applicant's name: ' a h C)�': F��
���
hereinafter referred to as the Permittee, to land -:apply- residuals from the following facility(ies) onto the following land
application site(s).;(i.e., see attached setback maps) in accordance with the stipulations: and restrictions as given in this
.Agreement:. '
Site/Field ID . Lease -:Land Use or Special note
Intended Use:of Crops Residuals Source .. .
(yes/no) Cropping Patterns p (optional) (no-tilvover-seed/
' pasture)
al :. (a rye n*to lei'
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residualswhile the
Permnttee receives, in consideration, the use of the land application site(s). described above for the disposalof the residuals.
This Agreement shall;ren ain in.effect.for the length of the Division's permit for the:residuals land application program,and
hall be renewed each, time this permit is renewed.
Che undersigned landowner. or his representative; and the Permittee :agree to abide with ' the following restrictions and .
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11
1
Page of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third p, the lan
be responsible to ensure that the third party agrees and complies with the terns and conditions of this Agreement. artydowner shall
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules'for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applid to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture e
is suitable for
the specified crop.
.9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits. .
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
I I- The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permamend this Agreement and schedule residuals landittee to
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Pennittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
'1. RESTRICTIONS:
I. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent
application events. access during these periods after such residuals land
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
. application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than foul months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
HI.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02'[ 0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
� AA re -defined compliance boundary is needed for field(s) ID: _I) C-- C J� — ;
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: -(if needed)
❑ The land application field(s) ID:
residuals land application program; Permit Number WQ: is currently permitted under another
agreement, he/she is requesting that the field(s) be removed from the reviousl The land owner hereby acknowledge that by signing this
into the new program; P Y Pernritted residuals land application program and transferred
(Name of the new program)
FORM: LOA 08-11
Page 2 of 3 .

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary,, acknowledgement of
field transfer, and do' hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address:
City: ��CtCCironc�,^�� State: A16
�-, Zip:
Phone: E-mail address:
• F a
Signature: ` �Y► l/
f Dater
NORTH CAROLINA, Day i COUNTY
I, the undersigned Notary Public do hereby certify that W; j j H®j!j f (initials•0alA
personally
appeared before me this day, and, being duly sworn, stated that ' his/her presenceROA11e, -
the attached document and acknowledged the due execution the oing instrument.
WITNESS my hand and official seal this the day r20 / e�
Signature and seal:
My commission expires: /b®u'vfAke- / ` � �� j� F��Ao yAG
A OA_
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations
Lessee/operator name:
Address:
City: State:
Phone:
Signature:
Perniittee's Certification:
E-mail address:
Date:
Zip:
as specified herein.
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions, as specified herein.
Signing official name:�t'f�5
Signature:
Date:
FORM: LOA 08-11
Page 3 of 3

VICINITY MAP
ra,
4
lC
L.
5
GRAPHIC SCALE
V = 2,000'
2,000' 0 2,000'
i ne compliance boundary is established. either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-CA-32
Fields 1-2

TOPOGRAPHIC MAP
GRAPHIC SCALE
V, = 800'
800' 0 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-CA-32
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-2

APPLICATION MAP
n
APPLICATION AREA
fed
- — — — — - PRIVATE ROAD �W WATER
GRAPHIC -SCALE
— _ — STREAM ,: ONSITE HOUSE .
� , _. 660'
-
660' .
0 660,
— DRAIN: OFFSITE HOUSE
-X— FENCE . -. OUTBUILDING
PROPERTY LINE 0 WELL ..
ne compliance boundary is:established either 250 ft:from the residuals application area or 50 feet within
NC -CA-32
in the property boundary, whichever is closest to the application area. The review_ boundary is established::
midway between the compliance boundary and the perimeter of the residuals application area: All
locations are approximate.
Field 1

APPLICATION MAP
1 G('2r:Klr)
APPLICATION AREA
UNSUITABLE AREA
—--n—n�— PRIVATE ROAD
OW
WATER
— — — — STREAM
ONSITE HOUSE
— DRAIN
.
OFFSITE HOUSE
FENCE
❑
OUTBUILDING
PROPERTY LINE
0
WELL
i ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
N C-CA-32
Field 2

X7, TO
f`j\' r z
71
IL
or
•• a n q, �� `� `* r_r7 � `� Ib ) `� � ' S ate. C `^g�,i� '` w : � �.' tY,} °' � � - y� � ..,� �'� � . ..
ar'a. •.� '�a./• / i� � v r � alrt `�,�.., �j4�'.. � t i ��p '� m � ± k • e
-. '� t,} � 1� 8 '"s ` 9.{�t3h.7�r } :, { t jhs.`_ r ,t.a'1P•'Y�'a' a 'G r/} � � '� ��. r � : � d
.�' r ' �� f �, it , ,�'F i �✓ � i { 6771C'C
�
r
�` e; r'�•K"i>� `�ysr a` .� , `g y Lsi 0.-�r°;y71+ -','ai
•.r:,� �r ,.. +v' 'a.•. S ri[i:tirre.aea._,Y'.•�. .Jsw'�i.� � e'''..'E� � 1. w„l.'.,. c � s .,i '.•� ..

SITE SUMMARY
City of Newton
Newton, NC ..
Site ID:
NC-CA-21
Owner:
Thomas Warlick
Address:.
P.O. Box 267. .
Newton, NC 28658 :
Phone:
[phone]
Operator::
Wally Saine
Address:
707 Westside Drive
Newton, NC-28658
Phone:
[phone]
Catawba
Estimated
RYE -based
Predominant
Latitude & .
.:Applicable
Annual PAN limits
Soil Series
Longitude
Fields:_:
Acres Crop(s)
(pounds/acre/year)::;
(map unit)
(D.M:S)
Corn
grain -131
Lloyd
35'36'56.4". N
1.
27.5 °
Wheat
98
(LCB)
:81°15'32.0" W
Soybeans
DC-145/FS -172_
2
50.7
Fescue (pasture)
hay 216/pasture 162
-
Lloyd
;(LcB)
35`36'43.9'.'. N
`81°15'49.8" W

p�O� W A T �RQG
Ti
l d .d State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies -of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http //portal ncdenr org/web/wglaps/lay
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other. than the
Applicant.
[i]�A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:.
Applicant's name:.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions: as given in this
Agreement:
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
o
(optional)
Special note
no-till/over-seed/
pasture)
Site/Field ID
l C "C() ' 121 C .
The -landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the.residuals.
ais Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.:.
Page 1 of 3
FORM: LOA 08-11

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under. Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land_ application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
rm
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops,.feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
HLALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
re -defined compliance boundary is needed for field(s) ID: C"
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
-",.ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 08-11 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor; or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
THOMAS W. WARLICK
Landowner name: _ P.O. BOX 267
Address: NEWTON, N.C. 28658-0267
City:
Zip:
Phone: E-mail address:
f
ignature: /'2 - PVLL tit Date: �1y ;
Y
NORTH CAROLINA, Ct�r� �=- COUNTY
I, the undersigne otary Publi do hereby certify that V S All, 4-Aa Yl`
personally appeared before me this day and acknowledged the due execution of the forgoing instrument..,
WITNESS my hand and official seal this the f
day of 1pay`elnbc,r- , 20 /�Z
Signature and seal: °✓���L'�t/ea ���'Crr a% �✓�`f t �S °� o a a n�i a -
�,� My commission expires: �,'••q,C.OUo�A@4�
sQ®�oeaoae9aao`
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
�
Lessee/operator name: , r
Address: 701 Wed
d
City: ^�J State: Al. d t ZipOQ :0 00
Phone: 5a U E-mail address:
a o
Signature: e lU� Date:
r
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: `l �a� Gv�On•
Signature: Date:. k)-`l�1
FORM: LOA 08-11 Page 3 of 3

VICINITY MAP
F261 -,
i
_
70=17. I
7
Y
Ca
77
f f t
c % 1 a, lkr?
da QJJ
GRAPHIC SCALE
1" = 4,000'
4,000- 0 4,000-
i
i ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
NC 'CA'2
in the property boundary, whichever is closest to the application area. The review boundary is established
.
midway between the compliance boundary and the perimeter of the residuals application area. All
locations
Field 1-2
are approximate.

TOPOGRAPHIC MAP
GRAPHIC SCALE
1" = 800'
800, 0 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area: All
locations are approximate.
N C-CA-21
Fields 1-2

APPLICATION MAP
PC
LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
X X X FENCE
PROPERTY LINE
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
i ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1"=660'
660' 0 660'
N C-CA-21
Fields 1-2

SOIL SURVEY
GRAPHIC SCALE
1" = 800'
800, 0 800,
i iic compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-CA-21
Fields 1-2

CUMULATIVE METAL .LOADINGS (LBS/ACRE) AS OF 12/22/2014

SITE SUMMARY
City of Newton.
:-
Newton, NC
Site ID:
. NC-CA-20..:
Owner:
Harold Sherrill, Sherrill Furniure Company
Address::
P.O. Box 189
Hickory, NC 28603
Phone:
. [phone]
Operator:
Wally Saine
Address:
707 Westside Drive
Newton, NC 28658
Phone: :.
[phone]
Catawba
Estimated
RYE=based Predominant Latitude
Applicable
Annual PAN limits Soil Series. Longitude
Fields
Acres Crop(s)
(pounds/acre/'year) (map unit) (D M Si
3
41.7-
Fescue (pasture)
::hay 202/pasture 151
Lloyd
35'35'54.3"..N
(LdC2)
81°15-46.3" W
4
24.5
Fescue (pasture)
hay 202/pasture 151.Lloyd
35°36'08.6" N
(LdC2):
81°15'39.6': W
-5
43.3 '
Fescue (pasture)
-hay 202/pasture 151
Lloyd
(LdC2)
:81°15.'58.6' W
6 .:
12.5.
Fescue (pasture)
hay 202/pasture 151
Lloyd
35°36'09.2" N
=....
(LdC2):81°16'09.5"W
7
47.3
Fescue (pasture)
hay 216/pasture 162
Lloyd
35°37'33.5" N
(LcB)
'81°15'38.6" W
:.8.:
22.0 :
Fescue (pasture)
hay216/pasture 162.
Lloyd ;
35°37'17.9'=:N
(LcB) :
81°15'30.5" W
9
47.5
Fescue (pasture)
hay 202/pasture:151
Lloyd
:35°36'59.7" N
(LdC2) :
81°15'57.8" W
10
36.0
Fescue (pasture)
:hay 216/pasture 162
Lloyd "
35°37'02.1" N
(LcB)
81°16'06.4" W
11
23.2 _
Fescue (pasture)
hay 216/pasture 162
Lloyd
: 35°36'44.6" N
(LcB) :
81"16'17.1":W

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested.. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (EAU) web site at.-
http: //portal. ncdenr. org/web/wp/aps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T A 100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
E4-16ubmit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content. changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
DI -Prepare a separate agreement for each set of land application sites. that are owned or operated by an entity other than the
Applicant.
L A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
'roe undersigned landowner or his representative hereby permits:
Applicant's name: �,; � A-i; VN
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
01 @(,,
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
s Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
-__ll be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or.cancels this Agreement.
FORM: LOA 08-11 Page 1 of 3

I. STI, ULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by. this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application. Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals -applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by. the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied .to achieve a final
soil pH of at least 6.0,.unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee-will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide. the Permitted with information regarding the amount and analysis of -other sources_ of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). .
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and.
inspect any property, premises, or:place on or related to the land application site(s) at any reasonable time for the purpose of:determining
compliance with the perrnit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take: necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
�. _LESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land .
application site(s)..during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a- residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals- land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil:
6. Food crops with harvested parts below the surface of the land shall not be; harvested for a 38-morith period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied. shall not be harvested for a 12-month period following a residuals land application event.
M. ALTERNATIVES: FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check.one)
15A NCAC 02L .0107(d) prohibits water :supply wells within the: compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
L re -defined compliance boundary is needed for field(s) ID: CA -]2C,-� � d � j (�'
(Please include the rationale for the requested re -_location of the compliance boundary. and attach a map showing the newly proposed
compliance boundary to the application package)
A re -defined compliance boundary is not needed for this -site.
IV. ACKNOWLEDGEMENT OF FIELD: TRANSFER: (if needed)
The land application fields) ID: is .currently permitted under another
residuals land application program;.Permit Number WQ: The land -owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land,application pro gram.and transferred
into the new program;
(Name of the new program)
FORM: LOA 08-11 . Page 2 of 3

Landowners Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Aano
---
Address:
City: e �l, aly j State: �� Zip: �� ©
Phone: V0 2 _ 6 XG. E-mail address: a// 11-21e✓ �lf�f%/I�CL/%�!/1 '/T�s�lc'• �c
Signature: Date:
NORTH CAROLINA,L I,CI�� COUNTY
I, the undersigned Not Public do hereby certify that 1 V�
I� �Y Y fY �,.. � v�nlllllllll►r�.
personally appeared before me this day and acknowledged the due execution of the forgoing
WITNESS my hand and official seal this the
. i
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
720.
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/ol
Address:
City: AkUAn&_ State: Zip:
Phone: 7—SIL0 E-mail address:
Signature: Date: 13
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions. as specified herein.
Signing official name: _
Signature:
FORM: LOA 08-11
INL-Mej G1aqf--,,
Date:�-
Page 3 of 3

VICINITY MAP
GRAPHIC SCALE
1" = 4,000'
4,0000 4,000'
is compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area.. The -review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-20
Field 3-11

QA TOPOGRAPHIC O-GRAPHIC MAP
t
z
� UFU
i41
iv compliance boundary is -established either 250' ft from the residuals application area or 50 feet within
in the property boundary, whichever is closes - : NC-CA-
ry t to the application area: The review. boundary is 20
:
midway between the compliance boundary and the perimeter of the reis Nuals. appli cation area: All
locations are approximate,
6 Fields-: 3

TOPOGRAPHIC MAP
r
,
- .I
'^�,!
,
r`r
Pip •'6
.,r,
,
•i.. i d
GRAPHIC SCALE
I" = 800'
800, 0 800,
i I iu compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-CA-20
Fields 7-8

TOPOGRAPHIC MAP
t7iYrR7at, i�w qG TiEtI lY:l� t ` l iii3
`` -fit j t i ( •J C �r�` t Ill, —^` �+— 1• /`r �/ ,l`Y \•"
: +. � - f J tl _ �(1 � : '(il - �,. f ,.,�,. p' ! F . �t l \ ,'1 ti .�, � • l ,�, -✓."r' J
�`✓ rr ::. . �: te�_�. �.t �y44�77'' .ft1 .,1 �� '. � _ fr �
1 � '
'•. �t ���,� C 1't .1 F 1 i �:� - �' t tT 11^A t u t :C� i f 5 't ,,•-� 4 y Y;:1
r �/J
10
t r titi>:<<•, . , '`� ` `� \;, i ,; . � — ctiT tit << , ,�� � '�--.
-''jf t ' �. I 4 1 -�r> ✓" Y 4... ;:: `�.• .ti 4.5
j,! ,r- t! ��,� •Y ._ � f.- 4ti fr/ +ffr. .'`r'% i7r J fu. .�;,;�,� , - -
#� !� � i4 t. __-7 1 ' a� � '` F r 1 � ,�!`' � � _ ...�,. � qJ•J _
4.
_:17 11 rl _ Yy9;Y
��
{ 1
r 1 it: compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. :The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-20
Fields 9-11

LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
— FENCE
PROPERTY LINE
APPLICATION MAP
O
0
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
Jc uUmpliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-CA-20
Fields 3-6

LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
Ate.
X X X FENCE
PROPERTY LINE
APPLICATION MAP
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL -
uumpliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance' boundary and the perimeter of the residuals application area. All
locations are approximate,
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-CA-20
Fields 7-8

APPLICATION MAP
�,( 4 F�j+X-�.Yyy�, '. 3, •. ' ��$�A'p� �/L'Spy)
1 ,1� J YjJ .Y r. �h � "Y4 v`6'fd`•��•1 ♦ ♦'. ���g 0 �4��
t• a r
�� �,j />/'���'�� 'I"�' ♦► ♦ ,:'pia pt f- � ♦
�a � � ♦ ♦ ♦ �� r how �'k*. ►f
'RsJ'� • ► ♦� urn .�
r> . �• .. III♦ ► ' * � t
v
LEGEND
APPLICATION AREA
UNSUITABLE AREA
— — — — — — PRIVATE ROAD
O
WATER
— — — — STREAM
®
ONSITE HOUSE
— DRAIN
.
OFFSITE HOUSE
-- FENCE
OUTBUILDING
PROPERTY LINE
0
WELL
it: uUmpliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1"=660'
660' 0 660'
NC-CA-20
Fields 9-10

LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
109.10
-)" X X FENCE
PROPERTY LINE
APPLICATION MAP
O
0
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
i compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-CA-20
Field 11

SOIL SURVEY
4 h S` p A fy t, _ Z „�. t' y arA '!'. {°• ' Ly .u" t x •'"'r *"e.?` .� ty{A r} at:
'�. � +�I.e�aT i �h. A � ,Ar AA'' '�' +"¢ �•�` �• to �,. '�G� � •' y.+p � 7 e... r. 'j P d �
Fj.
�yt� � E a �, r s A' t `��`���$ � � �5 '� 49� s"��� ',a. + t �����!'�A�`.'}6_'k�s.0 • A V ,� J : ,�
�
A'. �� s.I� V ♦.pf'w, ( ., l., y t�-�• Ay 'fvyn \ % 'f
'� i� 1�+T. F ` .ni•� K M -',►• ,`t c" i�' . 4 "5*�� � 'S,�-"'Ait F,¢ y'� � ,.
�. �
+i...i ♦ � ...�---} �,. i� { , #V. ,}y "v "`�i.,�- ik {. F t i�" Yn7` +'. .� �+.3;. `F4�
4 `, � � t � 4'yf,4}�� � � R t�e7t��� sew :� •��{ � .W�'el 5 1�xJ�'�^�" .. a ,��1 A' S _�,�,_ } 4T l�j,ny.
IV
/SY -A
�Q�`: N ..;t� �{!�" � •„f.. i �ti _ X, n7k !; a*fa '� t
.i
�e f i A T Y y."k4'T.'p,�r d 'ays R1A
i*)
i A•Xt7l �y,K "~��^-1M�Iyj '�` 2e� t�i� t..�Ye wf- .qw �.i
sTl�. �c. rrAsprTSL1 ,�,rb►,►�'1 ?3.ir
.y�
SZ-
A
f VI � ..x l^v�.�
lY yf L +� .�♦ S" �
.: %•} T(t F `�, .1`'4 14 ",}' �'� lAyy�G''M �'FA��y�t b`�'p. �� _ �.� r„,`��
' A JS _ ffi4 is 5 • y R�Xy Vn' 1 Psis al 'ef.'.i._ •^-�.F`+�• `
91
1
GRAPHIC SCALE
1"=800'
800, 0 800'
I ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-CA-20
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 3-6

SOIL SURVEY
GRAPHIC SCALE
1" = 660'
660' 0 660'
i i it: compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-CA-20
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 7-8

SOIL SURVEY
�'�" st�.� r-� °/ � 6 '!--' - 4'�Y .• ��' _sue �ics\��� � �T '°�
311
ni° 1 aF '" 3 a� „• L .v 1� r r
'� 'p• t� � - �"" nr � "'..�"" ?-'a�-ffi 1�''*�.',� ems, � �s ..�• "'Mk�
16
.y� `q yam• };' A � S i � N^' 4�IT P ••
gS"�,
21
k i
Ir
'� f i� aii 1• ''Zs .: Cf F.
4
t �
W�-
CK + .
'� � 'a� �', fir►- r , . �- .� 7�,
a �"s
t' F '� S �c 4 Y-• e i
NF3y � 1
tit# •'i RV
JA
in
41
OW
,�y F ,t v .-, �t�� �� � _ ; � +y�. F � ,S` ° r -. , s �" .u�°e w^�;_ �w � •�}'y „��`�r"2'�iq, 'S,5 a p � "t;•, �1 �!� h�T1'M•- �d �. k 1i t� ��!+]R � t * F> 3 i "i
� o\'g• °C eA� L,y,Sw3 � ' S Y -. t+a*•T.F+flr,,. ��` fi:r "" j �..
LZ
r
r '
GRAPHIC SCALE
I" = 800'
i ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-20
Fields 9-11

CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF
12/22/2014
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been
archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as
"NR"
Date
Field ID
Last Applied
As. Cd Cr Cu Pb
q
IVIo
Ni
Se
Zn
NC CA-00020-0-0001
05/2013
0.0248 0.0160 0.1810 13.2922 0.0757
0.0099
0.0599
0.3099
0.0501
2.3765
NGCA-00020-0-0002,,
05/2012
0.0125,.. 0.0078 0.1345 9.3851 0.0548
0.0050
0.0391
0:2301
0.0299
1.8341
NC-CA-00020-0-0003
10/2014
0.0938 0.0491 0.9921 5.6018 0.3678
0:0113
0.1417
0.6771
0.1265
22.8350
NC=CA-00020-0-0005
08/2013
M780 0.0323 0.7319 3.9983 0.2468
0.0078
0.0975
0.3712
0.0841
12.4234
NC-CA-00020-0-0007
01/2014
0.0577 0.0250 0.7075 3.2957 0.2423
0.0066
0.1069
0.2819
0.0587
10.9389
NC-CA-00020-0-0008
10/2014
0.0902. 0.0394 0.9857 5.0281 0.3520
0.0103
0.1669
0.3952
0.0923
17.2342
NC-CA-00020-0-0009 ..
10/2013
0.0693 0.0319 0.6433 3.3988 0.2561
0.0133
0.0933
0.3362
0.0772
12.3600
NC CA-00020-0-0010
06/201.2
0.0420 0.0176 0.8192 3.1068 0.1968
0.0126
0.0882
0.2695
0.0244.
9.9059
NC-CA-00020-0-00.11
01/2014
0.0426 0.0123 0.5435 2.1938. 0.1649
0.0044
0.0839
0.1646
0.0260
6.3732
Page`. 1 of 1
12/22/2014

SITE SUMMARY
f
City o Newton
Newton, NC
Site ID:
NC-CA-18
Owner:
Bruce Hunsucker_
Roger and Gina Martin
Address:
P.O. Box 4
810 Lafayette Drive
Maiden, NC 28650
Albemarle, NC 28001
Phone:
[phone]..
[phone]
Operator:
Gordy Goins
Address:
2924 BlackburnBridge Road
Lincolnton, NC 28092
Phone:
[phone]
Catawba
Estimated
RYE -based Predominant Latitude &
Applicable
Annual PAN limits Soil Series Longitude
C;eMe
errne rrrsn(c1
(nrnindt/acre/vear) (man unit) (D.M.S)
Lloyd
35°34'17.0" N
1
30.4
Fescue. (pasture)
hay 202/pasture 151
(LcQ
81*14'10.3" W
Cecil
35°34'19.5" N
2
23.9
Fescue (pasture).
hay 202/pasture 151
(CeC.2).:
81°14'27.4" W
Cecil
35°34'04.2" N
3
7.1
Fescue (pasture) -
hay 216/pasture 162
(CaB)
81'13'57.6" W
Lloyd-,.
35°34'04.-6" N
4
15.0 :
Fescue (pasture)
hay 216/pasture 162
(LcB)
81'14'15..2" W
Lloyd
35°33'54.5" N
5
11.2
Fescue (pasture)
hay 216/pasture 162
(LcB) .
81.14'24.3" .W
TOTAL
t 87.6
Notes:

�. WATF9 State of North Carolina
QG Department of Environment and Natural Resources
r Division of Water Quality
p LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
htW:11portal. ncdenr. org/web/wglaps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with,15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 0.8-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed.
below.
A. Land Owner Agreement (FORM: LOA 08-11):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application maybe made, as long as the attachments are numbered to correspond to the section and item to -Which they refer.
Prepare a separate agreement for each set of land application sites that are owned or operated by .an entity other than the
Applicant.
A copy of the completed and appropriatelyexecuted agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or
Applicant's, name:
representative hereby permits:
,..r 4e&-j k 1)
,r
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cropping Patterns
PP� g
Intended Use of Crops
P
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
C-
& �a
�
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
hall be renewed each time this permit is renewed.
The undersigned landowner or. his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Pagel of 3

I.—TIPULATIONS:
r. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
a..tity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at_appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee; local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
u. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the Iand surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
M. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply .wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please marls one of the following;
9�(A re -defined compliance boundary is: needed for field(s) ID: 46 — C4 — / 8 — %/ 3
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
TV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 08-11 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this. Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Pennittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: L �•°` °--
Address: �T aV l� n ��ow—
`U
I �(�P%l l l� Zip:
City: _ Stater
Phone: ` U� ` ~ 22" 0 E-mail address: C
41C
Signature: Date:
o ld
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do ereby certify that t2�j �r 2� iy .
cz �� /1l;�1°�tGN
personally appeared before me this day and acknowledged the due execution of the forgoing instrumeh,�'
WITNESS my hand and official seal this the
f
day of /Y1 B- 'L� 20
n 3
Signature and sea]: x=t�J �.
Iat� �� _iJe►�s; `s
My commission expires: IAAiU 1�601A?UYGUU�c�YP�/U�1 L�U ���P71�1 UU
�77p �" t (.(_ r
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and
'restrictions as specified herein.
Lessee/operator name: 4�l r`,4 c � (b � �`l.
(�
Address: 2- 11 U . OdE i.3Lij,1 r i ill , Q . Ed .
+/i ,J.
City: (,1 iTl CQ P�jState: !' Zip:
le
t�vr
Phone: Ji1-�p7; - ( E-mail address: { girls '. C��i
Signature: r,.s „'ma`s--- — Date:
r Z l
Perinittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: Tigvki �' -z ►yl
Signature: _ ✓/- �, t/" g �r Date:
FORM: LOA 08-11
Page 3 of 3

p.
,C) Department of Environnent and Natural Resources
CIO r Division of Water Quality
'C LAND OWNER AGREEMENT,
FORM: LOA 08711.
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will:lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application: Unit (LA O), web site at:
lattp: //portal.ncdertr. org/webAvq/aps/la.0
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B-residuals (may include water treatmentplant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review -without a corresponding application form (FORM: RLAP 08-11).
Unless, otherwise noted, the Applicant_ shall submit one original and two copies of the application and supporting documentation listed
below. .
A. Land wner Agreement (FORM: LOA 08-11):.: .
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC-08-11) form! Please do not
make any unauthorized content changes to this form. if necessary for clarity or due to space restrictions, a to krnents to: the
.'c
application:may be made, as long: as the attachments are numbered to correspond to the section and item to ` � hih: they refer:
M//Prepare a separate agreement for each:set of land application sites that are owned or operated:by an entity other than the
�AA plicant.
copy.of the completed and appropriately executed agreement must be provided to the landowner and the lesse%perator. .
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: (f iy ( Oe Zt 9
hereinafter referred to as the Permittee, to .land apply. residuals from the .following facility(ies) onto the following land
application site(s) (i.e., see. attached setback maps) in accordance - with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land :Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
peci
Special note
(no-tiWover-seed/
pasture) ,
vC .. d
6
The landowner or his representative receives; in consideration, full use of the nutrient value of the applied residuals while the ,
Permittee receives, in consideration,, the use of the land application site(s) described. above for the disposal of the residuals..
This Agreement shall remain in effect for the length of the Division's permit for the residuals .land application program and .
shall be renewed each time this permit is renewed.
The. undersigned .landowner_ or his. representative and the Permittee agree: to. abide with. the following restrictions. -and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels -this Agreement..
FORM: LOA 08-11 Page i of 3

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s)'to a third party, the landowner shall
-be responsible to ensure that the third.party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain:a permit modification from the.Division prior to a transfer of the land application site(s) to a new'
landowner. In addition,. the. current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,.
including an analysis of constituents of the residuals, residuals application methods, schedules for:typical cropping patterns, n description of,
the equipment used by the. Permitted.
7. The Permittee will provide the landowner or his representative with a copy of the residuals. permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH 'of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permitted with information regarding the amount and analysis of other. sources of
nutrients (e:g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the, land application site(s) .prior- to each planting season to enable the .Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.:
12. Specific residuals land application_ area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place :on or related to the land: application site(s) at any reasonable time for the -purpose of determining
compliance :with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that .must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of; and 12 months after termination of,.this Agreement::
H. RESTIUCTIONS:.
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the :12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2.: Animals shall not be grazed on the land. application site(s) fora 30=day period following a residuals land application event. Land:application
sites that are to .be used for grazing shall have, fencing that will be used to prevent. access during these periods after such residuals. land
application events.
3. Food -crops, feed crops, and fiber crops shall not be harvested for a 30-day period following aresiduals land application event.
4.: Food crops with harvested parts that touch the residuals/soil mixture and are totally above. the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5 Food crops with harvested parts below the surface of the land shall not be harvested for a 20=1110nth period following :a residuals :land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6.. Food crops with harvested parts below the surface of the land shall not: be harvested for a 38-month period: following a. residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
. 7: Turf grown on land where residuals are applied shall not be harvested: for a 12-month period following a residuals land application event. .
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please cheek one)
15A NCAC 02L .0107(d) prohibits water supply wells within the, compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply.well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established complianc- h-nndary. Please mark one of the following; :.
re -defined compliance boundary is needed for field(s) ID: _
(Please include the rationale : for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance;
p boundary to the application package),
A re -defined compliance boundary is not needed.for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER- (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: - The land owner hereby acknowledge that by signing :this
agreement, he/she.is requesting that the field(s) be removed from the previously permitted residuals land into the new program; application program and transferred

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal:contract or,
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land ,application site(s) as specified
herein.
Landowner name: Armce- Jim 5tAex r-
Address: 6. T� 7
City: G1 iState: Zip:
Phone: �2✓/ `-i l E-mail address:
Signature: Date: !i ! �i '' Cif
NORTH CAROLINA, /;th uG 9 - COUNTY .
I, the undersigned Notary Public do hereby.certify that (- i) GC : t) n's (i C.,V p i� O
personally appeared before me this day and acknowledged the due execution of the forgoing nstrtlmi:
WITNESS my hand and official seat this.the J All
day of
20 :
y
Signature and seal:,,w�
f u
My commission expires: ,
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein..
Lessee/operator name:. �Q �'� e V) CA
Address: c;t. , A-ct= b:a r y
City: / r 1 /0 C43 a/Ai l r State: �/ r �, Zip: l% l
Phone:9 S '73 7 a 3 Z ��.. /E�-mail address:
Signature: �. �� l�arP le),• 4- o 2 /j l G
JPermittee's Certification:
I certify that I have read .this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name;
Signature: /-� Date: z� j
FORM: LOA 08-11 Page 3 of 3

VICINITY MAP
Fl DO 5
At. me
005
F256
pi "661361U
i: A

TOPOGRAPHIC MAP
The compliance boundary is established either 250 ft- from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are. approximate.
N-C-CA,-1 8
Fields 1®5

APPLICATION MAP
M741C
..
sf:r y sk��. k. YM d� •9'^�.x"�.F d'Ps. ) ?i�i� ��+,.;? 'a����.. psi
_ �. ��'
..
.L°'.
- .- LEGEND
APPLICATION AREA::. UNSUITABLE AREA
— — — — — - PRIVATE ROAD WATER -
GRAPHIC SCALE
-:-STREAM .: ONSITE HOUSE
®::
1 11 _ 660'
660'
0 . 660'
— DRAIN OFFSITE HOUSE
-; —x x FENCE OUTBUILDING .
PROPERTY LINE ,.WELL
The compliance boundary is established either.250 ft from the residuals application area or 50 feet within
N C-CA..18
in the property boundary, whichever is closest to the application area. 'The review boundary is established_
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are -approximate:
Fields 1-5=

SOIL SURVEY
�+ ; ;�F/s #. * v• i�' � r.ry�.a' `-' ...F't r'�yS rt 'g � t; r.�y , ..
20
®r
��, =silk �yt��` � \ 4`.vF '`I�yi. �`y�' . { �v�re ;• � � x .3..
yT,�•�,�isa ^*'¢u 4�.i,,�z.:.7 rl A, .i . �.> a• i X7� 7 a.�i°`�,�v �A' `��?;2.3, �,. � ya';,
a Y�,� i � ; �1� � } � � � 4 ¢,q �f � } 'fr � � fir• i
�{�,` i�°�+?��{� •+s�+� x '', ` .r�# t,a�j1� �i�r :. �° � a''�{,,l,.? r. 'lY � r+���- �I..
e i '-4 ».
(r '� nth.:'' #.ry ..g"� •l' "V.�} - OLPT :�.. W1
, y
i �'" t ,��»:,7ji. ak„.�. tiFi `;lg�a l^ A� - hF�l�`' 'i �•..l°���
1.--
to i.,• � �� . .' .n � dFy i� f�� le
f fly
LV
GRAPHIC SCALE
1" = 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC -CA _ 1 8
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-5

'CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF
12/22/2014
The Cumulative metals for this report come from LTD. Period Table records (i.e. a Monthly Report has,been produced and the loadings have been archived to History .
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report.is
displayed as "NR'
Date
Field ID
Last Applied As Cd Cr Cu Pb
H� No
Ni Se
Zn
NC-CA-00018-0-0.001
05/2013. 0.1369 0'.1067 2.2324 '9.2889 0.8605
0.0322 0.2894
0.9957 0.1380
27.5995
NC-CA-00018-0-0002
04/2014 0.0934 0.0554 1.8328 7.0536 0.7914
0.0180 0:2226
0.7706 0.1177
23.9556
NC-CA-00018-0-0.003
05/2013 0.1484 0.1005 1.6115 8.2530 0.5403
0.0213 : 0.2399
0.8095 0.1122
25.3260
NC-CA-00018-0-0004'
05/2013 0.1320 0.0549 1.5218 7.1156 0.5176
0.0195 0.2180
0.7929 0.1087'
22.3314
NC-CA-00018-0-0005
05/2013 0.1506 .0.0609 .1.6102 7.5580 0.5789
0.0202 0.2352
0.8336 0.1331
23.7893
Page:.1 of 1
12/22/2014

SITE SUMMARY
City of Newton
Newton, NC
Site ID:
NC-CA-17
Owner:
Jane Berry
Address:
1325 South Peacehaven
Road
Clemmons, NC 27012
Phone:
[phone]
Operator:
Chuck Waters
Address:
3529 Killian Road
Lincointon, NC 28092
Phone:
[phone]
Catawba
Estimated
RYE=based Predominant Latitude &
Applicabl,e..
Annual PAN -limits Soil Series Longitude
Fields
Acres Crop(s)
(pounds/acre/year) (map unit) (D.M.S)
Lloyd
35°34' 4" N
1
5.6
Fescue -(pasture)
hay 202/pasture 151.
(LcC) .
81°17'44.5.3" W
Lloyd
35°34'49.6" N
2 -
4.4
Fescue (pasture)
hay 202/pasture 151
(LcC)
81°17'40.8" W
Lloyd
35°34'48.5" N
3 ..
11.3.
Fescue (pasture)
hay 202/pasture 151
(LdC2)
81.17'35 9" W
Lloyd
35°34'34.3" N -
4
25:5
Fescue (pasture)
hay 216/pasture 162
(LcB)
81°17'36.5" W
Lloyd
35°34'35.8" N
5
7.0 _
Fescue (pasture)
hay 216/pasture 162
.
(LdB2)
81°17'43.1" W
6
-10.7
Fescue (pasture) -
hay 216/pasture 162:
Lloyd
(LdB2)
35°34'27.6" N
81°17'39.1" W
7
30.3
Fescue (pasture)
hay 202/pasture 151
_ Lloyd
(LcC)
35°34'47.9" N .
81°17'53.7" W
Lloyd
35°34'36.9" N;
8
21.6
Fescue (pasture)
hay 216/pasture 162
(LcB)
81°18'06.2" W
Lloyd
35°34'48.2" N
9
9.9
Fescue (pasture)
hay 216/pasture 162
(Le6)
81°18'16.6" W

Department of Environment and Natural Resources
Division of Water Quality
LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following- instructions as a checklist in order to ensure all required ,items are submitted., Adherence to these
instructions -'and checking the provided boxes will help produce a quicker review time and.reduce :the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http •//portal. nccl enr. orb/web/wq/aps/lau
General-- This document is an agreement between the Applicant and land owners) of residuals receiving sites for land application of
Class B-residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review. without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed..
below:
A. Land Owner Agreement (FORM: LOA 08-11): -
F,eKubmit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any. unauthorized content changes to this form. If necessary. for clarity or due to'space restrictions, attachments to. the
-application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
E'Prepare a separate agreement for each set of land application sites that -are owned or operated by an entity other than the
.Applicant.
-2"0A copy of :the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. .
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Cif
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s):: (i.e., see attached setback maps) in accordance. with the stipulations and restrictions as : given in this
Agreement:.:`
Site/Field YID
Lease
(y /no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-tiWover-seed/
pasture)
��'�'1�"'•� ��"'�
a���-tt' �iA
Ci1ii`�`i�l k
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration,,the use of the land application site(s) described.above for the disposal of the residuals..
This Agreement shall remain in effect for the length of the Division's permit for the residuals .land application program and
shall be renewed each time this permit is renewed.
The undersigned --landowner or his representative and the Permittee agree to :abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modes or cancels this Agreement.
FORM: LOA 08-11 Page of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns; a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides. information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients,(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any. property, premises, or place. on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
TI. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land :application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7.. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
M.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However,, 15A NCAC 02T 0105(h) allows the
compliance boundary to be. placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
®�re-defined compliance boundary is needed for field(s) ID: a I - ( A-
(Please include the rationale for the 'requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID:
is currently permitted under another
residuals land application program; Permit Number WQ:
agreement, he/she is requesting that the field(s) be removed from the reviousl The land owner hereby acknowledge that by signing this
into the new program; P y permitted residuals land application program and transferred
(Name of the new program)
FORM: LOA 08-11 .
Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized,
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf U.
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreem(
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgemem
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specif
herein.
Landowner name: Jane /Der
�ll Address: 13125 5.1j t a tics.y'C,y,
City: rfeh 1 lr) n n l State: /1! (-, Zip: 70 12
Phone: E-mail address:
Signature: ti Date: / 6 - / 14 - a o t �
NORTH CAROLINA, rS' COUNTY
p{ottA I, the undersigned Notary Public do hereby certify that ��o'Il1t, eta cf
JJ . personally appeared before me this day and acknowledged the due execution of the forgoing. instrument.
WITNESS my hand and official seal this the 17
day of , 20 `T
6 •
Signature and seal:
My commission expires: - - D % PRISCILLA SURRAT6
FORSYTH COUNTY
STATE OF NORTH CAROLIN9A
Lessee's/Operator's Certification: MY COMMISSION EXPIRES 11-21-2018 .
I certify that I have read this Agreement and do hereby agr a to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address: 11,51 % /) / • d+ .4 `'d /v 1 / � i e �,V
A,-
City: _ 2e / `w I'_ G � A. -,State: / �� zip: d /
Phone: 11� " 6 t1 E-mail address:
Signature: Date: l
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing officia ame
Signature:
Date: _ ..���� cab Z If
FORM: LOA 08-11 Page 3 of

VICINITY MAP
Cika7
- L-
r%
i
Ln
u-
t
o o�
ram.
GRAPHIC SCALE
1" = 2,000'
2,000t 0 2,000t
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
NC-CA-1 7
in the property boundary, whichever is closest, to the application area. The review boundary is established
Field 1 `9
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate,

I
TOPOGRAPHIC MAP
L •'y
GRAPHIC SCALE
1" = 800'
800, o soo,
_I
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-CA-1 7
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-9

13
Vol

SOIL SURVEY
GRAPHIC SCALE
1" = 800'
800' 0 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-CA-1 7
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-9

CUMULATIVE, METAL LOADINGS (LBS/ACRE) AS.OF
12/22/2014
The Cumulative metals for this report come from LTD Period Table records
(i.e..a Monthly
Report has been produced and the loadings have been archived
to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking
of the metal
loading was Not Required the loading on the report is displayed as "NR"
Date
Field ID
Last Applied
As
Cd;
Cr
Cu
Pb
H�
Mo
Ni
Se
Zn
NC-CA-00017-0-0001
08/2011
0.1279
0.0450
1.7293
6.5417
0.6445
0.0331
0.2251
0.7057
0.0513
21.4810
NC-CA-00017-0-0002
02/2012
0.0497
0.0246
0.8472
3.4122
0.3633
0.0268
0A230
0.8808
0.0260
10.4526
4C-CA-00017-0-0003
02/2012
0.0761
0.0334
1.3033
5.2341
- 0.4436 .
0.0134
0.1674
0.5692
0.0401
16.5747
' NC-CA-00017-0-0004
.05/2014
0.1733 .
0.0753:
2.9555
10.2053
0.9732
0.0271
0.3138
1.2458
0.1057
34.5249
NC-CA-00017-0-0005
02/2012,
0.1173
0.0382
1.8299
5.9615
0.6056
0.0167
0.1850
0.7687
0.0445
18.9568
NC-CA-00017-0-0006.:
05/2014
0.1520
0.0548
2.1982
8.2663
0.6560
0.0213
0.2481
0.9432
0.0833
27.4812
NC-CA-00017-0-0007
09%2012
0.1330
0.0516'
2.0658
.7.9865
0.8269
6.0379
0.2579
0.9111
0.0896
25.0903
NC-CA-00017-0-0008
07/2014
0.1871 , ; ,
0:0673.:.
2.0760
9.520.7
0.7764
0.0282
0.2940
0.8581
0.1607
31.2845
NC-CA-00017-0-0009
08/2011
0.1489
0.0462
1.7281
6.7437
0.6199
0.0220
0.2312
0.6078
0'.1136
20.2439
Page: 1 of 1
12l22/2014

SITE SUMMARY
City of Newton
Newton, N.0
Site ID:
-NC-CA-1
Owner:
Richard Biggerstaff.
Address:
4148 Biggerstaff Road -
-
Maiden; NC 28650.
Phone:
[phone]
Operator:
Same .
Catawba
Estimated =
RYE -based Predominant Latitude &
Applicable
Annual PAN limits - Soil Series _ Longitude
roi,ic
erroe rrnn(cl
-(nnunds/acre/vearl (man unit) (D.M.S)
. Cecil
35 *33'41 2" N
1:
12.0:
Fescue (pasture)
hay 216/pasture 162-
(.CaB)
81°15'24.9" W
Lloyd
35'33'32.1" N
2
.15.0
Fescue (pasture)
::hay 216/pasture 162
(LdB2)
81-15'09.3"- W

Department of Environment and Natural Resources
r Division of .Water Quality
Ca
LAND OWNER AGREEMENT ;
FORM:;LOA 09-11
Please use the following instructions as a checklist in order to ensure all required items are submitted.. Adherence to 'these .
instructions and checking the: provided boxes ,will help produce a quicker review time and, reduce the, amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two, conies of -the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at
l attp: //portal. ncd eizr. orelweblwglapslla u
General-- This document is aWagreementbetween the Applicant and land owner(s): of residuals: receiving sites -for land application of
Class B residuals (may include water treatment, plant or other type residuals) in accordance. with- 15A NCAC 02T .1100. Do not
submit this agreement -for review -without a corresponding application form (FORM:. RLAP 08-11).'
Unless otherwise noted, the Applicant. shall:submit one`original and two copies of the application and. supporting:documentation listed
below. -
Ai. Land weer Agreement (FORM: LOA 08-11):
LU-, the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
Make any. unauthorized content changes to this form. If _necessary,for clarity or due to. space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and it to which they refer.
'Prepare a separate agreement for each set of land ;application. sites that are owned- or operated by an entity other .than the
Applicant.
J]jjVA copy of the completed and appropriately executed agreement mustbe provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits.
PP O
A . licant's name:
hereinafter referred to as the Permittee, to land -apply : residuals from the folloyving facility(ies) :onto the following land
application site(s):.(i.e., see attached setback maps) in accordance with the stipulations: and .restrictions as --given in this::
Lease Land Use or Residuals Source Special note:-
Site/Field-� hitended Use'of
Crops(yes/no) Croppig Patterns (optional)
(no=t/over-se.
ed/
pasture)
ka ti6 tric�C
n.- e
The landowner or his r®presentative receives,. in consideration; full use of the nutrient value of the applied residuals while the..
Permittee receives, in consideration, the use of the land application site(s)Aescribed above for the disposal of the residuals.
This Agreement shall retrain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The :undersigned landowner.:or his. representative and -the Permittee :agree to -Abide with _the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. -
FORM: LOA 08-11 Page :l of

L STIPULATIONS:
I. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to. a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and, analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his -representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the. landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
'I. RESTRICTIONS:
L Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above.the land surface shall not -be harvested for a 14-
month period following a residuals land application event.
5.: Food crops with harvested parts below the surface of the land shall not be harvested for ai 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T 0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary: Please mark one of the following;
❑ A re -defined compliance boundary is needed for field( ID
s) _
(Please include the rationale for the requested relocation of
compliance boundary to the application package)
EA re -defined compliance boundary is not needed for this site.
me .compliance boundary and attach a map showing the newly proposed
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: . The land owner hereby acknowledge that b si in this
agreement, he/she is requesting that the field(s) be removed from the previously Y ra g
into the new program; P Y Putted residuals land application program and transferred
(Name of the new program)
FORM:.LOA 08-11
Page 2 of 3

Landowner's Certification:
I certify that I am a. deeded landowner of the above -referenced land application. site(s): and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that'I am otherwise authorized, through,
a power of attorney or other legal delegation, to make -decisions regarding the use of the land application sites) on behalf of the
deeded landowners. I certify that the.above-referenced land application site(s) are not included in any waste disposal contract -or
agreement with another municipality, contractor; or other permitted entity. Furthermore, I certify that i have read ahis'Agreement;
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of..
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified -
herein.
Landowner name:
Address:
City: State:.
Zip::
cy d
Phone: q -3'7/ 2-2-2-0 E- , ail address: .
d.
Signature:::
Date: -. Z 4 l -
... NORTH CAROLINA, ` . t B o E COUNTY
I the undersi geed No Public do hereby certify that W ; I _®Ag
.t
r.
(initials b� personally .
appeared before me this: day; and, being duly sworn, state that in his/her presence ':i(' .� i LJ^S signed
ahe attached document:
and acknowledged the due exec ion o regoing instrument. . .
WITNESS my hand and official seal this the
g20:
Signature and seal: AIM 22 G, NO- .
-/� ✓, Y /�/
My commission expires: JI�oDL
Oq OU
4qo4
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby: agree to abide by the stipulations and restrictions as specified herein::
.Les see/operator :name::...
Address:
City: State::
zip:
Phone: E-mail address:
Signature:
Tate:
w.
Per�ittee's Certifications :...:
I' certify that Lhave read this: Agreement and do: hereby agree to abide by the stipulations and restrictions as specified herein.
:Signing official name: -- ;�rk?� C./.rmtZ
Signature:/-1 Date: �-
FORM. LOA 08-11
Page 3 of 3.:

VICINITY MAP

TOPOGRAPHIC MAP
ME
, tt,
7 X
77� Jr -Al. 61� IVC. C
�V-
J,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C_4CA- 16
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between . the compliance boundary and the perimeter of the residuals application area. All
locations are approximate; Fields 1-2

APPLICATION MAP
�k 3 S s $ ti4 k C,t•!'�}�3� l7�,o r!^yr�%_. ��� L',+r p
Sr0ra`�,
iPatt
.,� ai TU.J ,; 1, T• , � -. ;�' t ..., dv�L1" Diu..' C: `i '� ��.t'
t r
rt � ♦ S M L t' i� Y, } )� A � � �y�,y+4� N ��
iNT _ �� .•j �,. -Fr A .I: V ` is 41 1 �j.! �`v • ~
fl• ,t
j..
t„
i t
R y y C
1 i 2r_.4
LEGEND
.APPLICATION AREA UNSUITABLE AREA
— — — — — — PRIVATE ROAD 0 WATER GRAPHIC SCALE
— — — STREAM : ® ONSITE HOUSE . ". = 660'
660' 0 660'
— DRAIN OFFSITE HOUSE
��— FENCE OUTBUILDING
PROPERTY LINE WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-CA-16
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-2

SOIL SURVEY
ii LJr
-`k { ` � ���-Fr ,,x. ', . r. ♦r T � ;s i�t�, #� :',S r"� _ t ;1 `l i�. `'��r rJC
r
♦ . '�'�ls.'s ,}' �d � ? f � • a ��T c � yin. n � <
Y dL
. ,.+''° 1 - ,` +-� �Tc.�7,+f+►�'3`Y'+.,''rc: ''`�'�*,�',, ,r' =F r � ���fa+1�'Y' b �' P� - ? a , sR
77
par
a is
j •, °' &fit, r"
ju
�' r �,�: f r ..� ali �'` ,r. <e �. �� < ✓�jj��L AID
r{,
GRAPHIC SCALE
1" = 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-CA-1 6
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-2

SITE SUMMARY
City of Newton
Newton, NC;
Site ID:
NC-CA-15
Owner:
Conley Fox
Address:
7286 River Road
-
Claremont, NC 28610
Phone:
[phone]
Operator:
Steve Fox
Address:.
7286 River Road
Claremont, NC 28610
Phone:
[phone]
Catawba
Estimated
RYE -based Predominant Latitude & ...:
Applicable .
Annual PAN limits Soil Series Longitude.'
Fields
Acres Crop(s)
(pounds/acre/year) (map unit) (D.M.S)
1
13.5:
Fescue (pasture)
hay 216/pasture 162
. Clifford :
35°48'44.5" N
(CfB) -:
81°09'55.9" W
2
6.6
Fescue (pasture)
hay 172/pasture-129
Rasalo-Zion
35°48'49.7": N
-
(RaB)
81°09'53.3" W
3.
11:0:
Fescue (pasture)
hay 172/pasture 129
Rasalo-Zion
35°48'56.5" N.
(RaB)
81'09'53.8"_W
4
9.6
Fescue (pasture)
hay 202/pasture 151
Clifford
35°49'05.5" N
-
(CfC)
81°09'53.3" W
5
1.6
Fescue (pasture)
hay 202/pasture 151
Clifford:
35'49'09.0" N
(CfC)
81°09'50.1" W
6
5.2.
Fescue (pasture)
hay 202/pasture 151
Clifford
35°49'13.8'-' N
(CfC) ,
81°09':53.6" W
7
19.5
Fescue (pasture)
hay 216/pasture-162
Clifford
35`49'03.5" .N
(CfB)
81°09'42.6"W
9
1.1
Fescue (pasture)
hay 176/pasture 132
Clifford
35°49'00.1" N
(CfD) .
81°09'32.8" W
10 :
22.1
Fescue (pasture)
hay 202/pasture 151
Clifford
35°48'56.2'.' N
_ _
_
(CfC)
81°09'29.9" W
11.
6.7-
Fescue (pasture)
hay 202/pasture 151
Clifford
35°48'55.6" N
(CfC)
81`09'37.8" W

W A TF9p �.� t ^ r .
State of North Carolina
,O G Department of Environment, and Natural Resources
r Division of Water Quality
p LAND OWNER AGREEMENT
FORM: LOA 08.
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time. and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for. the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http portal.ncdenr.or /web/wg/aps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T A 100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11').
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
[Er"Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions,. attachments to the
application maybe made, as long as the attachments are numbered to correspond to the section and item to which they refer.
D�epare a separate agreement for each set of land application sites that are owned or operated by an entity other than the .
Applicant.
©-�opy of the completed and appropriately executed agreement must be provided to the tandowner_and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:�l
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as . given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. -
his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his . representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Pagel of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
'be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition,. the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals -application methods; schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop._
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping pattems for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at: appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of this Agreement.
H., RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts_ below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application. event.
M. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
&A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map.showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
n' ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: , is currently permitted under another
residuals land application program; Permit Number WQ. The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 08-11 Page 2 of 3

Landowner's Certification:
.I. certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land- application site(s) as specified
herein. `e
Landowner name:
Address: -7 s c6 k 60e,
City: ' let,-r- "o-C, rL State: Zip: A a G i c
Phone: �§ S� - °%SSf E-mail address:
Signature: �' ` �� ��%�� Date: �s�':� 1 ct 76y
r
NORTH CAROLINA, e- COUNTY
I, the undersigned Notary Public do hereby certify -that w • d 1 H ad ne s (initials: personally
appeared before me this day, and, being duly sworn, stated that in his/her presence �//n� }� signed
the attached document and acknowledged the due execution f t oregoing instrument.
WITNESS my hand and official seal this the �— day PiAlOt-ir, p[.�
Signature and seal: N '
My commission expires: Yove eor be-r 10 Z-® !. 4 : F�F�pR YpG IQ®
Lessee's/Operator's Certification: 90��grq
I certify that I have read this Agreement and do hereby agree to abide by the stipulations anUVestrictions as specified herein.
Lessee/operator name: Z�
Address:
City: State: AIL Zip: 6L 0
Phone: (e-).M ) _9 5%s -- %,_�-'� 1 - E-mail address:
Signature: �flr' I� �lT'�i Date: ffOG%
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature: ,--` Dater—
FORM: LOA 08-11 Page 3 of 3

/5W oo
State of North Carolina
Department of Environment and Natural Resources
.D-WRDivision of Water Resources
®ivision of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at.
http://portal. ncdenr. org/web/wg/aps/last
General - This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance :with 15A NCAC 02T .1108Qb)(2)ff6r habitable residences or place of public
assembly only]. Do' not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
A. Setback Waiver Agreement: -
R"'Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions;, attachments to the
application may be made, as long as the attachmentsare numbered -to correspond to the section and item to which they refer.:
['Prepare a separate agreement for each property from which a waiver is being sought.
Any other setbacks required by 15A NCAC 02T .1108 other than those referenced above, cannot be waived through
execution of this agreement.
[ff"'A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
ie undersigned property owner hereby permits: ((��
Applicant's name: 64A O
Applicable Field ID: - ['A
hereinafter referred to as the Permittee, to land apply residuals within d Do feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following: /j
Location address of property: 7U8 9-tyrr &� �� ,
City: rh2 rcM an I State: - AIC Zip: P 10
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain.in effect for as long as the undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this.Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
�I certify that I, am a deeded property owner of above -referenced property and am .authorized to make decisions regarding this
property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner name:
Signature:
Date: ,!�?- / ^0�0.I
FORM: SWA 08-13 Page 1 of 1

VICINITY MAP
GRAPHIC SCALE
1" = 2,500'
2,500' 0 . 2,500'
Ind compliance boundary is established -either 250 ft from the residuals application area or 50 feet within N C'CA-15
in the property boundary, whichever is closest to. the application area: The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application_ area. All
locations. are approximate.: Field 1:-739`1 1

TOPOGRAPHIC MAP
The compliance boundary is established either 260 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.

(�
APPLICATION MAP
90
S � 'Y�".T �
';yT• �.
t3 .�� '1°�.b
�
YIN tt }' *i
"'
Syr
-
�' `"',{. �.%1'.'. s. I P �'• _ .. � S;
hA
v,. 1.. o- � ��+� .r :M '�' T�fa�l
'
_�,V � S !�+ .s � ! 'j,'�"�`.����•:-l'tja.•- 4 �F�E
KPH ; .; '„rift .:Yil� '. A a
H
a,ctf10
A
i (�
,"RIVER=BEND, RD
LEGEND
APPLICATION AREA
UNSUITABLE AREA
-
— — — — - PRIVATE ROAD .
WATER
-GRAPHIC
APHIC SCALE
— - - — STREAM _
ONSITE HOUSE
660
660' 0 660'
- DRAIN
. OFFSITE HOUSE
x-- FENCE
r7l OUTBUILDING
PROPERTY LINE-
0 WELL .
me compliance boundary is established either 250 ft
from the residuals application area or 50 feet within
N C-CA-15
in the
property boundary, whichever is closest to the application area. The review boundary is established
midway
between the compliance bounday and the
perimeter of the residuals application area: All
-
locations are approximate:
Fields: 1'/-7
9-1 1

� �� }� �s'�yth,..e, � '.. r � � � ..* � i. F �' x}, • �� r .. � ' `Fa .P e _ .iJ
IY
,1. i , Y a! - •YF ,' ' rt F:`tl`I - + n•
i c:; �C � '� � ° „o ,y } ,,� �_F�;y'�` 4 •,* , � .dpyo-} � �;` g r%�' �,�,. ,y`�{� p. ,
� x;3x'�' -�, ,♦ &� �� �` ► r * ♦ -�' • �(1 � k'+ � � t �,. 1F "'i°r ��'�� .rc .,, se{ 7:1���"e .. 4a
!' - a �j � ! Y ",Km �,f� °pv�®' a 1$ � • 4� + � f. t ay � i'k +rx �C,«, � ::� *, ♦ +.. �r , `"s5
.' 'yin. .+a � ,�, ,�.. f x ► '� v, .> a ♦ ' �• +Y f �! p .. r � - � � � z�«3,• 4 e '.
CiD
J d P 1- a > ( M ."rF, $` M ♦ N•`F 'f ie +`a
t*� y��{ ` jY a I a :":. 7d♦ ° i® t4 +p�.�Sr y �`y�4i
4 �-* ,� r r ,. I�r ' ► m • ®b pr .�F � C�• ti 1..s � p ,. ,�,r ,,�, � - 'd'.
�" '� '�.6" ty�` EMI►.�-_a P�v dej 'A:' � a ��,,�,r�l I+�d�} ;, 5 4 1'� �, � y.t��
_ � , � �y � �d"'�� Ir* i V-�a��g}}*J e. - ° ��, ♦v ey alr y .. .,V «'� 6�v f•- a, a .P P°' ,y
+ �". w '4 a.,.• a Y. ► 4:fl �y a ♦ y�dr f k �" �. .'�.. •h �, a t - P'x ,, f ` u!•+a ?'"
�Fd t ► P �' 1+� ► v91 a� `�7�s ' a 1.r � Ifj� r?
I -ham L� �,fti ea � t '. ��f� '�'.i'i { 3 ► m ; a ate^ � to d s � { v ,�,1 je(I �, ri;9 , � �w ;
y - + h i" fii � iC. v � S n ► P � ♦ " - ! a v . l l x� i r L �,, '
� � C` ��I1j 3, 'a1,',.�„ a A.,:1 � - `« �'+ v a r V � �.v4 a4 � ` `1kf '><• � .. +� Y�'S'.`� "�
,AU NRA '� tll► e. • ♦ �,^ 4 ° v °r (S S a , I �e 1 0 ♦ •°i "k f!� ;:,
j ',- � �,.,. a a 'a a as ! Avg : ♦ k4+ �s'� � • d M1 y, g.

"CUMULATIVE METAL:LOADINGS (LBS/ACRE) AS, OF '
12/22/2014
The Cumulative metals for this report come from LTD Period Table records
(Le; a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking
of the metal loading
was Not Required the loading. on the report is displayed as "NR"
Date
Field ID
Last Applied
As
Cd
Cr
Cu
Pb
Mo
Ni
Se
Zn
NC-CA-00015-0-0001
09/2003
0.0778
010178
0.2228
0.9507
0.0725
0.0027
0.0386
0.9855
0.0323
2.1249
NC-CA-00015-0-0003
08/2003
0.0818
0.0137
0.2081
1.0406
0.0749
0.0026
0.0471
0.2358
0.0305
2.3587
NC-CA-00015-0-0004
06/2003
0.0464
0'.0278
0.2973
2.0444
0.2230
0.0007
0.0408
0.2787
0.1115
4.4607
NC-CA-00015-0-0005
10%2005
0.0181
0.0154
0.4826'
1.5403
0.2259
0.0043
0:0821
0.2259
0:0165
3.6043
NC-CA-00015-0-0006
10/2005
0.1549
.0.0552
0.8995
3.0690 ..
0.3451
0.0093
0.1344
3.4108
0.0792
6.9530
NC-CA-00015-0-0007
08/2003
0.0726:
0.0121
0.1846
0.9229
0.0664
•
0.0023
0.0418
0.2091
0.0270
2.0919 ..
NC-CA-00015-0.0008
10/2005
0.0780
0.0324
0.6493
2.1600
0.2703'
- 0.0063
0.1022
1.6272
0.0436
4.9534
NC-CA-00015-0-0009
07/2003
0.0507 .:.
0.0085.
0:1289..
�0.6447
0:0464
0.0016
0.0292
0.1461
0.0189
.1.4615
NC-CA-00015-0-0010
67/2003
'0.0907 "'
0.0152
0.2307
..1.1538
... 0.6830
0:0029 ....
0.0523 ..
0.2615 ,
0:0338
2.6153
N C-CA=000.15=0-0011:
10/2005
0.0598 ...
0:0388
0:6210 _ :
3.1144:
0:3773
0.0036
0.0956
0.4350
0.1260
6.9533
Page: 1 of 1
12/22/2014

SITE SUMMARY
City of Newton
Newton, NC,
Site ID:
NC-CA-14
Owner:
Nelda Lee
Address:
5354-Hickory.- Lincolnton Highway
Lincolnton, NC 28092
Phone:,
[phone]
Operator:
_ Chuck Waters
Address:
3529 Killian Road
Lincolnton, NC 28092
Phone:
[phone]
Catawba
Estimated
RYE based .Predominant .Latitude & .
Applicable
Annual PAN limits Soil Series -Longitude
Fields
Acres Crop(s)
'(pounds/acre/year). (map unit): (D.M.S)
1A
21.3
Fescue (pasture)
hay 216/pastu,re 162::
Lloyd
35°34'28:4" N
(LcB)
81°18'05.7" W:
1B
9.1
Fescue (pasture)
hay 216/pasture 162
Lloyd
35°34'24.7" N
(LCB)
81°18'14.0" W
1C
8.2
Fescue (pasture)
hay 202/pasture 151
Lloyd
35°.34'26.6''. N
(LdC2)
81°17-54.0" W
2A
27.5
Fescue (pasture)
haY216/pasture 162
Lloyd
35°34'19.4" N
(LcB)
81°17'55.1" W
2B ..
4.9:
Fescue (pasture).
hay 216/pasture:162
Lloyd
35°34'09.9" N
�
(LcB)
81°17 58.1" W
3
33.4
Fescue (pasture)
hay 216/pasture 162
Lloyd
35°34108.5" N
(LcB)
81°17'37.4" W
4
10.8
Fescue (pasture)
hay 216/pasture 162
Lloyd -
35°34'24,4" N
(LcB)..
81"18'19.1" W

O, Department of Environment and Natural Resources
3 r- Division of Water Quality
LAND OWNER AGREEMENT
`,. FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these .
instructions and checking, the: provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of -the required -items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the applicationi and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application 'Unit (LAU) web site at:
http: //portal. ncdenr. orQ/web/wg1aps/lau
General — This document is an agreement between the Applicant and land owner(s).of residuals -receiving sites for land application of
Class 11-residuals (may include water treatment plant or other type residuals) in accordance.with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless, otherwise noted, the Applicant shall: submit one.:original and two copies of the application and'supporting.documentation listed
below.::
A.: Land Owner Agreement (FORM: LOA 0841):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any -unauthorized content changes to this form: If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to: correspond to the section and item to which they refer. .
Prepare a separate agreement for each set of .land application sites thatare owned or operated by an -entity other than the .
[/AA plicant.
copy of the completed and appropriately executed agreement must:be provided to the landowner and.the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Perm ee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached. setback maps) in accordance with the stipulations: and restrictions as given in this
Agreement:
Special note
Lease Land Use or Residuals Source -
Site/Field ID .: Intended Use of Crops . (no-till/over-seed/
(yes/no) Cropping Patterns (optional) pasture)
`006 ►C
Iq
a
The landowner or his representative receives, in consideration; full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described. above for the disposal: of the residuals.:.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The -undersigned landowner or his representative and the, Permittee agree to abide with. the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Page I of 3

1. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the.terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement: until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center;_ Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the :Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has -provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis.of constituents of'the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the:Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior tocommencement of any residuals
land application event and a copyof the results of each soil analysis:
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts: of lime shall be applied to achieve a final:
soil pH of at least 6.0; unless an agronomist provides information indicating that the pH of the soil; residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
1,0..The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients. (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to thedand application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s): prior 'to each planting season to enable the Permittee to amend this Agreement: andschedule residuals land
application events at appropriate periods.
12. Specific residuals land application:area boundaries shall be clearly. marked on the land application site(s) by the Permittee; the landowner, or
his representative prior to and: during a residuals land application event:
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their: representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose -of determining::
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit;:copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil: samples during the
term of, and 12 months after termination of this Agreement.
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner..or his representative to -control public access to. the land
application site(s) during active use and for the: 12-month following a residuals land application event.: Such controls may include the
posting of signs that indicate the activities:being conducted at the land application site(s).
2:. Animals shall not be grazed on the land.' pplicatign-site(s) fora 307day period following a -residuals land application event. Land application
. .
sites that are to be used for grazing shall have, fencing that will be used to prevent access during these periods after such residuals :land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30=day period following a residuals land application event.
4.: Food crops with harvested parts that: touch the residuals/soil mixture and are totally above :the land surface shall not be harvested fora 14
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of.the land shall not be harvested for a 20=month period folloiving"a residuals:land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below, the surfaceof the land shall notbe harvested for a 38-month period following a residuals land..
application event when the residuals remain on the land surface forless than four months prior to incorporation into the soil.
.7 Turf grown on land where residuals are applied shall not be harvested fora 12-month period following a residuals land application event:
M.ALTERNAT'IVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the.compliance boundary. However, ,15A NCAC 02T om&allows the
compliance boundary to be placed closer to the waste disposal area, such .that the water supply well is situated outside of: the compliance
boundary provided the: groundwater standards can .be met at the newly -established compliance boundary. Please mark one of the foil®wing;
A re -defined compliance. boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance. boundary and attach a map showing the newly proosed
compliance p
boundary to the application package) '
❑ A re -defined compliance boundary is not needed for this site:
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
�. The land application field(s) ID: . is currently permitted under another
residuals land application program; Permit Number WQ: The _land owner hereby acknowledge that by signing this
agreement; he/she. is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program) "
FORM: LOA 08-11
Page 2of3

sr
06")
Landowner's Certification:
I certify that I am a deeded landowner of- the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make. decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field .transfer, and do hereby grant permission to the Permittee to land apply, residuals to the land application site(s) as specified
herein.
Landowner name:
Address:
Z_,,rec I'� T6� r
� C"1Q
%j
City: �.
_L 9 Y5 State: --A Zip:
Phone: q(0 —
E-mail address:
%% l
ignatufe _
4 C Date: --
` s 13 t
NORTH CAROLINA,
COUNTY
I, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due execution
of the forgoing
WITNESS my hand and official
instrument \gg00(9�? icarr
'�`C
seal this the.
Epp°`�
day of
'i.....
20
L
Signature and seal:
tJ�
My commission expires:
Lessee's/Operator's Certification:
I certify that I have read this /A.jgreen-
Lessee/operator name:
Address: ��_ �� ;
City: t ✓C 9� / 614
Phone:
Signature:
Perinittee's Certification:
and do
i �� i
to abide by the stipulations and restrictions as specified herein.
r
State: / �d C' Zip:
E-mail address:
Date: e/l f �/
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: 1 e>rylg " V1P-/4,Z_
Signature:
_Date:
FORM: LOA 08-11
Page 3 of 3

VICINITY MAP
is"A
-a
GRAPHIC SCALE
1" = 2,000'
2,000' 0 2,000-
I
i ne compliance boundary is established: either 250 ft from the residuals application area or 50 feet within N C-CA-14
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Field 1-4

TOPOGRAPHIC MAP
i'
•
f
'kr
}
-
-
k
�
✓
a
r
}b
®1,
--w
3
A
,
{
O
P
�
1
V!
3'
b.! j•
r
The compliance boundary is established either,250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are; approximate:

ij
�r � ��9111rtl�

CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF
12/22/2014
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly:Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or.tracking of the metal loading was Not Required, the loading on the report is displayed as
"NR"
Date
Field ID
Last Applied As Cd Cr CU Pb
Hg, Mo
Ni
Se
Zn
NC-CA-00014-0-0001-A
01/2006 0.1326 0.1435 279994 13.7273 1.3107
0.0561 0.3769
1.5214
0.1368
34.6591
NC-CA-00014-0-0001-B
07/2009 0.1681: 0.1524 3.3273 14.8795 1.4082
0.6596 0.4212
1.6278
0.1660
38.1157
NC-CA-00014-0-0001-C
03/2010 0.1546 0.1498 3.2756 14.7760 1.3924
0.0598 0.4083-
1.6595
0.1430
37.6355
NC-CA-00014-0-0002-A'
02/2010 0.2062 .0.2014 4:5975 19.8373 ' 2.1779
0.1143 0.5944
2.2159
0.2357
50.3593
NGCA=00014-0-00027B
08/2005 0.1610 0.1855 • 3:9298 17.5352 1.9501
0.1062 0.5152
1.8748
0.2184
43.4792
NC-CA-00014-0-0003
08/2012 0.2000 0:2268 4:9781 19.0107 .2.1874
0.0800 0.6401
2.2982.
'0.1780
48.5705
NC-CA-000.14-0-0004..
01 /2006 GO 505 .: 0.2391 4.7707 18.5789 2.4005
0.0667 0.6247 '
2.2743'
0.1967
47.2772
Page: 1 of 1
12/22/2014

SITE SUMMARY
City of Newton
Newton, NC
Site ID:
NC-CA-07
Owner:
Lina Draughan
Address:
2383 Smyre Farm Road
Newton, NC 28658.
Phone:
[phone]
Operator:
Jeff Smyre
Address:
2435 Smyre Farm Road
Newton, NC 28658
Phone:
[phone]
Catawba
Estimated
RYE -based Predominant Latitude &
Applicable
Annual PAN limits Soil Series Longitude
NPIrlc
Acres Cron(sl
(hounds/acre/vear) (mah unit) (D.M.S)
1.
10.4
Fescue (pasture)
hay 202/pasture 151
Cecil
35°37'48.5" N
(CeC2)
-81°10'47.3" W
Cecil
35°37'52.2" N
2
15.1
Fescue (pasture)
hay 216/pasture 162
(CaB)
81°10'47.8" W
3
8.0
Fescue (pasture)
hay 216/pasture 162
Cecil
(CaB)
35°37'55.1" N
81°10'52.0" W.
TOTAL
33.5
Notes:
Date: 11/21/14

W ATFRQ State of North Carolina
`p G Department of Environment and Natural Resources
Division of Water Quality
'< LAND OWNER AGREEMENT
FORM: LOA 08-I1
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form; visit the Land Application Unit (LAU) web site at.
http://portal.ncdenr.or /wg eb/wg/aps/lane
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T A 100. Do not
submit this agreement for review without a.corresponding application form (FORM: RLAP 0841).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
2-lubmit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not.
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
a plication may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
> Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
DMA copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
,t T f�
Applicant's name: t� t f u o
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
.Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
1a
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
..call be renewed each time this permit is renewed.
Theundersigned landowner or. his representative and the Permittee agree. to abide with the. following: restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit -the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5:. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop..
9. The landowner or his representative and the Permittee will agree on residuals application rates -and schedules based on crop patterns, results of
soil samples, and the permitted application limits. .
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near, the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary. leachate, surface water, groundwater; or soil samples during the
term of, and 12 months after termination of, this Agreement.
u. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following aresiduals land application event. Such controls may include the
Posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these .periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be -harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the .surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary. to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
EK A re -defined compliance boundary is not needed for this site.
W. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 08-11 Page 2 of 3

Landow,ter's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
-regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land -application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field .transfer,. and do hereby grant permission to, the Permittee to land apply residuals to the land application site(s), as specified
herein.
Landowner name:
n r
Address:
Vv_ TICo
City: A7c°'zi K.7 I State: Zip:
C l'�
Phone: c�7 ��� � �� � �� E-mail address: j
Signature: Date:
NORTH CAROLINA, `��V igt COUNTY
. I, the undersigned Notary Public do hereby certify that LN11_ OAAe S (initialpersonally
appeared before me this day, and, being duly sworn; stated that in his/her presence Una Dry A'IA'1atj signed
the attached document and acknowledged. the due executi e foregoing instrument.
WITNESS my hand and official seal this the �� dw,o cs 20
Signature and seal:
My commission expires: AAPU Z10 1 F0pR rp�j ®r
Lessee's/Operator's Certification: ��"V4
I certify that I have read this A-ggrr-eement and do hereby agree to abide by the stipulations acid restrictions as specified herein.
Lessee/operator name: N—r a
Address:
City: State:. Zip: co
Phone:/ �'� `f 7 1617 E-mail address:
Signature: Date:
Permittee's Ce711
ification:
I certify that I have read this Agreement and do -hereby agree to abide by the stipulations and restrictions as specified. herein.
Signing officialname: �%? ►�
Signature: _ .. ��% Date: yam— j
FORM: LOA 08-11 Page 3 of 3

VICINITY MAP
L
ti
,FaZ
1 ° ,A ernethyLaurels
in Newton; NG zsza
fi a Cnte,onu r?,i
a
r` �"`*' • tt;
�
fh L-u, cky_Liz�rd,.
" Bat ax Billiard'} NeOl Auction
g �.�a to
Q
L puy floberts Vw Rein° r
r
asctiAd - Snlyre'FarmOdI
Rd -.
�.
if>
pMen hips
?;
v.
.3
fA-1hodist
c�
ry U
fn rC. ..
.. ..
_ Ir
14,
GRAPHIC SCALE
1,t=1,500' .
.1,500' 0 1,500'
t t
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-CA-07
in the
property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area: All
locations
Field 1-3
are approximate.

TOPOGRAPHIC MAP
,
t+�n,
a i
Z_
ld
f
,
li..If tt ajc ,yi L_ n —" �'�g�''S'� ' 1=ittf �t,..6!+ ,, +' .• --'
� ��Y.—.:.�'e e4_,«
fj-•,� :,'y ylld
1>r tl itil Sri.
Y�*- t ;'.
Ia '1
�� r \
_
,.Ij
GRAPHIC SCALE
� ii = 660'
660' 0 660'
i ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-CA-07
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations.are approximate.
Fields 1-0

APPLICATION MAP
t q 1
D
" s
,.
NFA
y�
y�
PF
i
WA
• 7
o
•
'
1 '�V �'iliF'ra S O
y �� t�
� �
y
5'
r y
ct
-
�� ..+ ! ��-1 • A^ r �'
Mtn IiIY,\
lk� 7
LEGEND
APPLICATION AREA UNSUITABLE AREA
— — — — — — PRIVATE ROAD O WATER
GRAPHIC SCALE
— — — — STREAM ® ONSITE HOUSE
1" = 660'
660' 0 660'
— DRAIN . OFFSITE HOUSE
X—X FENCE OUTBUILDING
PROPERTY LINE 0 WELL
i ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-CA-07
in the
property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-3

SOIL SURVEY
FVO
_ .,� '` ti-�,,.� '
�..
fig; .i{. - •�
E �
.ar1MrOPP�`�^
L Z.
*''�i�i��,.. tP{ i is 'iy•
'i
ryy ✓ p
.,ram, y.r
Q
;4°��
��"^. r�..'Yr i"'+..}�� "_.t 6.: �
� i�p
Y 4` .i yry.. �,.p .;A '. a�
3\ � .lh��,Y yi�4 •.
1 I"E_t4�� 1}, 1��._ _ ud � '��:. �'$"�'� `�le����1�•� &�. il-Y: �i' 7
_
�)c;
�3r- J,�1,:1� � �m*lt �i t �� �� n � -,.f1 {1����5 .y��r�'�Y . '1'�'.. �����` ,Y`,�, P'a+_ .xa.•�� ~SW �,�.I �
k#: ect lE
GRAPHIC SCALE
1" = 660'
660' 0 660'
i ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-CA-07
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-3

CUMULATIVE METAL. LOADINGS (LBS/ACRE) AS OF
12/22/2014
The Cumulative metals for this: report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings Have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR" . .
Date
Field ID
Last Applied As Cd Cr Cu Pb
Hg Mo Ni Se
Zn
NC-CA-00007-0-0001
05/2005 0.1227 0.1236 3.6837 13.0450 2.0587
0.0341 0.4034 5.9091 0.1882
30.0741
NC-CA-00007-0-0002
05/2005 _ 0.1417 0.1468 4.1675 14.9740 2.1664
0.0481 0.4297 8.2248 0.2243
- 35.6808
NC-CA-00007-0-0003
05/2005 0.1605 0.1636 :4.4107 15.9967 2.3190
0.0682 0.4605 6.3804 0.2665
38.3846
Page: 1 of 1
12/22/2014

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

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

�OF W ATF�Q Michael F. Easley, Governor "
O G William G. Ross Jr, Secretary
North Carolina Department of Environment and Natural Resources
j —1 Alan W. Klimek, P.E., Director
Division orWater Quality
June 1, 2006 RECEIVED
MR. MARTIN D. WILSON, PUBLRC WORKS DIRECTOR
.CITY OF NEWTON
POST OFFICE BOX 550 "
NEWTON, NORTH CAROLINA 28658
J IN-92006
Subject: Permit No. WQ0003902
City of Newton
Residuals Land Application Program
Land Application of Residual Solids.(503)
Catawba County
Dear Mr. Wilson:
In accordance with your permit renewal application package received on April 15, 2005 we are
forwarding herewith a renewed Permit No. WQ0003902, dated June 1, 2006, to the City of Newton for
the operation of a wastewater residuals land application program. In this permit, a .total of 413.0 acres are
.being renewed, 226.3 acres of.existing land are 'being deleted, and 250.2 acres of new.land are being
added with anew total of 663.2 acres of permitted land.
This permit shall be effective from the date of issuance until May 31, 2011; shall void Permit No.
W.Q0003902, issued on September 8, 2000; and shall be subject to the conditions and limitations as
specified therein. Make note of 'this permit's expiration date . and the fact that a permit -renewal
application is due to the Division of Water Quality (Division) no later -than six months prior to that date
(i.e., see Condition VI.7,), as the Division does not send reminders to apply for permit renewal.
This permit approves the continued operation of the residuals land: application program for
another five-year cycle. As always, remember to take the time to review this permit thoroughly, as
some of the conditions contained .therein may have been added, changed, or deleted since the last
issuance. Pay particular attention to the monitoring requirements in this permit. Failure to establish an
adequate system for collecting.and "maintaining the required operational information will result in future
compliance problems.
If any .parts, requirements, and/or limitations contained in this permit are unacceptable, you have
the:right to request an ndjudicatory hearing upon written request within 30 days following receipt of this
permit. This .request shall. be in the form of a written petition, _conforming to Chapter 150B of the North
Carolina General Statutes and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, North Carolina 27699-67.14. Unless such demands are made, this permit shall be final
and binding.
Aquirer. Protection Section : 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone]
Internat: httpiUh2o.enr.slate:nc.us 2728 Capital Boulevard Raleigh, NC" 27604 Fae (919)'715-0588
Fax [phone]
An Equal OpportuniV Affirmative Action Employer.-501kRecycled/10%Post Consumer Paper
NorthCarplina
Custo*r Service
1-871=623-6748

Mr. Martin D. Wilson
June 1, 2006
Page 2
If you need any additional information concerning this matter, please contact .Ms. Chonticha
McDaniel by telephone at [phone], or via e-mail at chonticha.mcda ' [e-mail].
Sincer ,
or Alan W. Klimek, P.E.
cc: Mr. Scott Berg, Synagro Southeast, Inc.
Catawba County Health Department
Lincoln County Health Department
Mooresville Regional Office -Aquifer Protection Section
Technical Assistance'and 'Certification Unit .
APS Central Files
APS Files
LAU. Residuals Program Coordinator .

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIG]H[
LAND APPLICATION OF RESIDUAL SOLIDS (503) PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSIONT IS HEREBY GRANTED TO.
City of Newton
Catawba County
FOR THE
continued operation of a residuals land application program for the City of Newton and consisting of the
land application of-3,438-:dry tons per year of residuals generated by the residuals source -generating
facilities listed in the. most recently -certified Attachment A to approximately 663.2 acres of the land
application sites listed in the most recently -certified Attachment B .with no discharge of wastes to surface
waters, pursuant to the permit renewal application package received on April l5, 2005 `and in conformity
with the project plan, specifications; and other supporting data subsequently filed- and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This pennit shall be effective from the date of issuance until May.31, 2011; shall void Permit No.
WQ0003902, issued on September 8, 2000; and shall be subject to the following specified conditions and
limitations:
I. PERFORMANCE STANDARDS
1. The residuals land application program shall be effectively maintained and operated as a non -
discharge system .to prevent the discharge of any wastes resulting from the operation of this
program.
2. This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals adequately and -may be rescinded unless the land.application sites are maintained and
operated in a manner that will protect the assigned'water quality standards of the surface
waters and groundwater.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface waters or 'groundwater resulting from the operation of this residuals land application
program.

4. In the event thatthe residuals land application program is not operated satisfactorily, including
the creation of nuisance conditions, the Permittee shall cease land applying .residuals to the
site, contact the Aquifer Protection Section of the appropriate Division of Water Quality's
(Division)'regional office, and take any immediate corrective actions as may be required by
the Division.
5. No residuals other than those generated by the residuals source -generating facilities listed in
the most recently -certified Attachment A of this permit shall be approved for land application
in accordance with this permit.
6. The pollutant concentrations in any residuals that are land applied to any land application.site
shall not exceed the following Ceiling Concentrations (i.e., dry weight basis):
Parameter
Ceiling Concentration
(milligrams p6r kilogram)
Arseiuc
75
Cadruium
85
Copper
4,300
Lead
840
.Mercury
57
Molybdenum
75
Nickel
420
Selenium
100
Zinc.,
7,500
7. When residuals are land applied under the conditions of this permit, the Class A pathogen
requirements and site restrictions in 40 CFR Part 503.32(a) or the Class B pathogen
requirements and site restrictions in 40 CFR Part 503.32(b), and one of vector attraction
reduction requirements in 40 CFR Part 50333 shall be met. Additionally, an evaluation shall i
be performed that demonstrates -the residuals' ability to comply with: this requirement.- Upon
request, a copy of this: evaluation, including all test 'results and calculations, shall be
submitted. Only residuals that are generated by the residuals source -generating facilities that
are identified as being exempt from this condition in the most recently -certified Attachment A
shall not be required to comply with the specified pathogen reduction and vector attraction
reduction requirements.
8. Only the land application sites listed in the most recently -certified Attachment B of this permit
are, approved for residuals land application.
9. This permit shall become voidable unless the agreements between the Permittee and .the
landowners and, lessees or operators of any land application sites listed in the most :recently-
certified Attachment 13 of -this permit not owned by the Permittee are in full force and effect.
These agreements shall, be considered expired concurrent with. the expiration date of the
pemut and shall be renewed at the same time the permit is renewed.
10. The appropriate local ,governmental official (i.e., county manager, city manager, etc) shall be
notified at least 24 hours prior to the initial residuals land :application event to any new land
application site. In addition, the appropriate 'county manager's office -shall be notified prior to
the initial residuals. land -application event on any new site so that _they will be aware that
residuals land application activities have commenced on the site. .
• i
2

11. The Aquifer Protection Section of the appropriate Division's regional office shall be notified
at least 24 hours priorto the initial residuals land application event on any new land
application site.. Such notification to. the legional Aquifer Protection Supervisor shall be
made during normal office hours (i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and
Friday, but excluding State Holidays. A list of the Division's regional offices, their county
coverage, and their contact information may be downloaded from the -web site at
http://www..enr.state.nc.us/html/regionaloffices.html.
-OPERATION AND MAINTENANCE REOUIRkMENTS
1. The facilities and land application sites shall be properly maintained and operated at all times.
2. Upon classification of the residuals land application program by the Water Pollution Control
System Operators Certification Commission (WPCSOCC), the Permittee shall designate a
certified land application/residuals operator to be in responsible charge (ORC) of the program.
The.operator shall hold a certificate of the type classification assigned to the prograin by the,,
WPCSOCC. The Permittee shall also designate a certified back-up operator of theappropriate
type to comply with the conditions of 15ANCAC 8G .0202. .
3 No residuals shall be stored at any land application site at any time; unless written approval -
has first been requested and obtained from the Division.
4. A copy of this permit shall be maintained in all manned equipment at the land application sites
when residuals are -being land applied during the life of this permit. A spill prevention and:
control plan shall be maintained in all residuals transport and application vehicles.
5. . When land applying residuals to any land application site, the following buffer zones shall be
maintained at all times:
a. 400 feet from residences or places of 'public assembly under separate ownership for
surface: application methods; however, the buffer zone requirement may be reduced to a
minimum of 100 feet upon written consent of the owner and approval fromthe Aquifer:
Protection Section of the appropriate Division's regional office in Attachment B of this
permit;.
b. 200 feet from -residences or places of public assembly under separate ownership for
subsurface application methods; however, the buffer zone requirement may be reduced to
a minimum of 100 fieet upon written consent of the owner and approval from the Aquifer
Protection Section of the appropriate Division's regional office in Attachment B of this
permit;
c. 100 feet• from any public or private water supply source, waters classified as SA or SB,
and -any Class .1 or Class 11 impounded reservoir used as a source of drink ing_water for
both methods;
d. 100 feet from any streams classified -as WS or B, anyother stream, canal, marsh or coastal
waters and any other lake or impoundment for surface application;
e: 50 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal
waters and any other lake or impoundment for subsurface application;
f. 50 feet from property lines for both surface and subsurface application methods;
g. 50 feet from public right of ways for both surface and subsurface application methods;
3

h. 10 feet. from upslope interceptor drains and surface water diversions for both surface and
subsurface Application methods; and
1. 25 feet from downslope interceptor drains, surface water -diversions, groundwater drainage
systems, and surface drainage ditches for both surface and subsurface application Methods.
6. Maximum slope for land application of residuals shall be 10 percent for surface application
methods And 18 percent for subsurface application methods.
7. Specific residuals land application area boundaries -shall be clearly marked on each land
application site prior to and during a residuals land application event.:
8. The metal loading rates on - any land Application site shall not exceed the following
Cumulative Pdllutant Loading Rates (CPLRs):
Parameter
C PLR
(kilo rams per hectare)
CPLR
(pounds per acre)
Arsenic
41
= 36
Cadmium
30.
34
Copper
1,500
1,338
Lead
300
267
Mercury
'17
15
Molybdenum
n/a.
n/a
Nickel
420
374
Selenium
100
89.
Zinc
2,800-
2,498
9. An acceptab]6pH shall be maintained in the soil, residuals., and lime mixture, greater than 6.0,
on all land application Sites onto which residuals are land Applied to ensure optimum yield for
the crops specified in Condition 11. 13. The agronomist shall provide information on the pH
best Suited for the specified crop and the soil type.
10. Should any of the residuals generated by.the residuals source -generating facilities listed in the
.most -recently-certified Attachment A of this `permit contain a high salt content (i.e., high
sodium adsorption ratio (SAP) of five or higher), the exchangeable s6ditm percentage (F a
g (ESP)
,or other method as approved by the Division, using the results from the annual soils analysis
as required by this permit, -shall be monitored on all of the.latia Application sites. The local
Cooperativ.6 Extension Office, the Department of Agn"culture And Consumer Services, the
Natural Resource Conservation Service, a North Carolina -licensed Soil Scientist, or other
agronomist shall review the -results and ,make recommendations regarding soil amendments.
(e.g., gypsum, etc.) or other ameliorative mechanism for maintaining the integrity of the site in
terms of suitability for land application of residuals and maintaining conditions conducive to
crop growth. The Permittee shall implement such recommendations accordingly and shall
maintain written records of each monitoring event that includes details of the -sites. covered
and rate of soil amendment application.
4

11. Prior to land applying -residuals to any land application site that has previously received -or is
intended to receive animal waste (e.g:, poultry litter, etc.) or other source of nutrients (e.g.,
fertilizer etc.) in the future :the Perrnittee-shall obtain information ertaining to the volume
P
and analysis of the applied waste/nutrients from the landowner and/or lessee/operator of the
site.. The Permittee shall be responsible for verifying the volume of residuals that maybe land.
applied to the site such that the plant available nitrogen (PAN) -loading rate for the specified
crop (Le.,, see Condition II. 13.). shall not be exceededby all of the sources of PAN applied.
Should the maximum PAN loading rate be met or exceeded, then no additional .residuals shall
be land applied to the site.
12. A suitable . vegetative :cover,: as listed in Condition H. 13., shall be maintained on land
application sites onto which residuals are land applied in accordance, with - the crop '
management plan outlined by the local Cooperative Extension Office, the Department of
Agriculture. and Consumer Services, the Natural Resource Conservation.Service, or other -
agronomist and as approved by the Division..
13. Residuals and other sources of PAN .shall be land applied to all land application sites at
agronomic rates in accordance with the crop management plan outlined by the local
Cooperative Extension Office, the North :Carolina Department of Agriculture and Consumer
Services, 'the Natural. Resource Conservation 'Service, or other agronomist. Under no
circumstances shall the following PAN loading rates land applied to any site exceed the
following for the specified crops:
PAN
PAN
Crop
(pounds per
Crop
(pounds per
acre er year)
acre er year
Alfalfa
200
Forest :.
75
(Hardwood or Softwood)
.
Bermuda Grass
220
(Hay or Pasture)
Milo
LL 100
Blue Grass
120
Small Grain
100.
.(Wheat, Barley, or Oats)
Corn
160
Sorghurri or Sudex
180
(Grain)
(Pasture)
Corn
200
Sorghum or Sudex
220
(Silage)
(Silage)
_
Cotton
• 10
Soybeans
200
Fescue
250
Timothy, Orchard, or
200
Rye Grasses
The'Permittee shall apply for Wand receive a modification of this permit before land -applying
residuals on anyland.application site that is to. be established in a crop other than those listed
above. A maximum PAN'loading rate for the desired crop shall be approved with the permit
modification.
If the land application sites ate to be overseeded (e.g., bermuda grass in the summer and rye
grass in the winter witli BOTH crops to receive residuals), then the second crop shall receive
an application of PAN at a rate of no greater than 50 pounds per acre per. year. This practice
shall be :allowed as long as the second crop is to be harvested. If the second crop: is. to -be
planted for erosion control only and is to be tilled into the soil, then no residuals shall be land
applied to these sites because the PAN will essentially be returned to the soil.

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

I11. MONITORING AND.R]EPORTING REQUIREMENTS
I. Any monitoring (i.e., . including groundwater, surface water, residuals, soil; or plant tissue
analyses) deemed necessary by the Division to ensure protection of the, environment shall be .
established, and an acceptable sampling and reporting schedule shall be followed. .
2._ Residuals generated by each residuals source -generating facility listed in the most -recently -
certified Attachment A of this permit :shall be analyzed to demonstrate that they are non-
hazardous under _the Resource Conservation and Recovery Act (RCRA), A--corrosivity, -
ignitability, and reactivity analysis as well as a Toxicity Characteristics Leaching Procedure
(TCLP) ,analysis shall. be conducted on residuals .generated by each .residuals- source -
generating facility listed in the most recently -certified Attachment A of this permit. The
analyses shall be performed at the frequency specified in the most recently -certified
Attachment A of this permit, and the results shall be maintained on file by the Permittee for a
minimum .of five years. If residuals generated by a .particular residuals source -generating
facility are land applied at a frequency less than that which is specified- in the mosCrecently-
certified Attachment A of this permit, the analyses shall be required for each residuals land,
application event. Only residuals that are generated, by the .residuals source -generating
facilities that are identified as being exempt -from this condition in the most recently=certified
Attachment A of this permit shall not be required to comply with this monitoring requirement.
The TCLP analysis shall include the following parameters (i.e., note the regulatory level in
milligrams per liter in parentheses):
Arsenic (5.0) 1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0)
Barium (100.0). 1,2-Dichloroethane (0.5) Pentachlorophenol (100.0)
Benzene (0.5) 1,1Dichloroethylene (0.7) Pyridine (5.0)
Cadmium (1.0) - 2,4-Dinitrotoluene'(0.13) Selenium (1.0)
Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0)
Chlordane (0.03) Hexachlorobenzene (0.13) Tetrachloroethylene.(0.7)
Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0) ' Hexachloro4,3-butadiene (0.5) Trichloroethylene (05)
Chromium, (5.0) : Hexachloroethane (3.0)"" 2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlor0phenol (2.0)
o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex)
p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2)
Cresol (200.0) Methoxychlor (10.0)
2,4-D (10.0) Methyl ethyl ketone (200.0)
After the .residuals have been monitored as ,specified above for two years at- the frequency
specified in the most recently -certified Attachment A of this permit, the,Permittee may submit
a request to the Division for a permit modification to request a reduction of this monitoring
requirement. In no case, however, shall the frequency of monitoring be less than once per
.permit cycle..

3.. _ An analysis shall be conducted on residuals generated .by each residuals source -generating
facility Listed in the most recently -certified Attachment A of this permit. The analysis shall be
performed at :the frequency specif ed in the most recently -certified Attachment A of this
permit,, and the results shall be maintained on file by .the Permittee for a minimum of five
years. ;if residuals generated by a particular residuals source -generating facility are land
applied at a frequency less than that which is specified in the. most recently -certified
Attachment A .of this permit, :an analysis shall be required for each residuals land application
event. The analysis shall include, but shall not necessarily be limited to, the following
parameters:
Aluminum . Magnesium Phosphorus '
Ammonia -Nitrogen Mercury Potassium
Arsenic Molybdenum Selenium
Cadmium Nickel Sodium
Calcium Nitrate -Nitrite Nitrogen Total KjeldahlNitrogen
Copper Percent Total Solids Zinc
Lead pH Plant Available Nitrogen
(by calculation)
After the residuals generated by a particular residuals source -generating facility have been
monitored for two years at the frequency specified in the most recently -certified Attachment A
of this permit, the Permittee may submit a request to the Division for a permit modification to
reduce the frequency of this monitoring requirement. In no case, however, shall. the frequency
of this monitoring be less than once per year when a residuals land application event of
residuals generated by the -esiduals source -generating facility occurs during that year.
4. Residuals generated' by each residuals source=generating facility listed in the most recently -
certified Attachment A of this permit shall be monitored for compliance with Condition 1. 7.
The :monitoring shall be performed at the frequency specified in the most recently -certified
Attachment A of this permit, and -data to verify pathogen and vector attraction reduction of the
residuals shall be maintained on file by the. Permittee for a minimum of five years. The
required data shall be specific to the stabilization process utilized, but also shall be sufficient
to demonstrate clear compliance with the Class A pathogen reduction requirements in 40 CFR
Part 503.32.(a). or the Class B pathogen reduction requirements and site restrictions in 40 CFR
Part 503.32(b) as well. as one of vector attraction reduction requirements :in 40 :CFR Part
503.33. . hi addition, the Environmental. Protection Agency • (EPA) certification statements
concerning comP.Hance with pathogen :reduction requirements, vector attraction reduction
requirements, and management practices shall be completed at the frequency specified in the
most recently -certified Attachment A of this permit by the.proper authority or authorities, if
more than one is involved (i.e., either the person who prepares the residuals, the person who
applies . the residuals). Only residuals that are
derives the material, or the person who
generated by the residuals source -generating facilities that are identified as being exempt from
Condition 1. 7. in the ;most recently -certified Attachment A of this permit shall not be required
to comply with this monitoring requirement.
5. Laboratory analyses as required by Condition III. 2., Condition 111. 3., and Condition 111. 4.
shall be performed/gathered on the residuals. as they are to be .land applied.. Furthermore,
analytical determinations made pursuant to the monitoring and reporting requirements of this
permit shall be made by a laboratory certified by the Division for the required parameter(s)•
under 15A NCAC 2H .0800 or 15A NCAC 2H..1100.
N.

6. Proper records shall be maintained by the Permittee tracking all residuals land application
events. These records shall include, but are not necessarily: limited to, the following
information:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number);
d. Method of land application;
e. Weather conditions (i.e., sunny, cloudy, raining, etc.);
f. Soil conditions (ix., dry, wet, frozen, etc.);
g.. Type of crop.or crops to be grown on field;
h. Volume of residuals land applied in gallons per acre, dry tons per acre, or kilograms ,per
hectare;
i. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per
acre, or kilograms per hectare (if applicable);
j. Volume of soil amendments (Le., lime, gypsum, etc.) applied in gallons per acre, dry ton
per acre, or kilograms per hectare (if applicable); and
lc. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and
other sources of nutrients (i.e., if applicable), .annual and cumulative pounds per acre of
each heavy metal (i.e., shall include, but shall not be limited to, arsenic, cadmium, copper,
v lead, mercury, molybdenum, nickel, selenium, and zinc), 'annual pounds per acre of PAN,
and annual pounds per acre of phosphorus.applied to each field.
7. A representative annual soils analysis (i.e.,. Standard Soil Fertility Analysis) shall be
conducted .on each land application site on which a residuals land application event in the
respective calendar year has occurred or is to occur, and the results shall, be maintained on file
by the Permittee for a minimum of five years. The Standard Soil Fertility Analysis shall .
include, but is not necessarily limited to, the following parameters:
'Acidity Exchangeable Sodium Percentage (by calculation)
✓Calcium ✓Magnesium -Phosphorus
/Cation Exchange Capacity 'Manganese -;totassium.
✓Copper ✓Percent Humic Matter -Aodium
✓Base Saturation (by calculation) vepH ✓Zinc
8. Three Copies of all required monitoring and reporting requirements as specified intondition
III. L, Condition 111. 2., Condition III.1, Condition M. 4., Condition 111, 5., Condition III, 6.,
and Condition III. 7. shall be submitted annually 'on or before March 1 st of the year following
the residuals land application event to the following address:
NCDENR-DWQ
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
9

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

2. Applicable Boundary Requirements:
a. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
regulations in 15ANCAC 2L (Le., "Groundwater Classifications and. Standards"). The
Compliance Boundary for each land application site is established at either 250 feet from.
the residuals land application area or 50 feet within the property boundary, whichever is
closest to the residuals land application area. An exceedance of Groundwater Quality
Standards at or beyond the Compliance Boundary is subject to immediate remediation
action according to 15A NCAC 2L .0106. (d)(2).
b. The REVIEW BOUNDARY shall be established around each land application site
midway between the Compliance Boundary and .the perimeter of the residuals ,land
application area. Any . exceedance of Groundwater Quality Standards at tk. Review
Boundary shall require action in accordance with 15A NCAC 2L .0106 (d)(1).
3.. AdditionaI Requirements:
a. Any groundwater quality monitoring, as' deemed necessary by the Division, shall be
provided.
V. INSPECTIONS
1. Prior to each residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport, and application facilities to prevent malfunctions and
deterioration,; operator errors, and discharges that may cause or lead to the release of wastes to .
the environment, a threat to. human health, or a nuisance. The Permittee shall maintain an
inspection log or summary including at least the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken by the Permittee. This log of
inspections shall be maintained by the Permittee for a period of five years from the date of the
inspection and shall be made available to the Division or- other -permitting authority, upon
request.
2. Any duly authorized officer, employee, or representative of the Division may, upon
presentation of credentials, enter and inspect any property, premises, or place on or related to
the land application sites or facilities at any reasonable time for the purpose of determining
compliance with this permit; may inspect or copy any records that must be kept under the
terms and conditions of this permit; .and may obtain samples of groundwater, surface water, or
leachate.
VI. GENERAL CONDITIONS
1. This permit shall become voidable unless the residuals land application events are carried out
in accordance with the conditions of this permit, the supporting rriateriaIs, and in the mahne'r
approved by the Division.
2. This. permit shall be effective only with respect to the nature and volume of residuals described
in the application and other supporting data.
3. Failure to abide by the -conditions and limitations contained in this permit may subject .the
Permittee to an enforcement action by the Division in accordance with North Carolina General
Statutes § 143-215.6A through § 143-215.6C.
11

4. The annual administering and compliance fee shall be paid by the Permittee within 30 days
after being billed by the Division. Failure to pay the fee accordingly may cause the Division
to initiate action to revoke this permit, as specified by 15 NCAC 211.0205 (c)(4).
5. The issuance of this permit does not ,preclude the Pei mittee from complying with any and all
statutes, rules, regulations, or ordinances that may imposed by other government agencies
(i.e., local, state, and federal) which have jurisdiction, including, but not limited to, applicable
river buffer rules in 15A NCAC'2B .0200, soil erosion and sedimentation control requirements
in 15A NCAC. Chapter 4 and .under the Division's General Permit NCGOI 0000, and any
requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC .0500.
6. This permit may be modified, revoked, and/or .reissued to incorporate any conditions,
limitations and monitoring requirements the Division deems necessary in order to protect the
environment and public health adequately.
7. The Permittee, at least six months prior to the expiration of this permit, shall request its
extension. Upon receipt of the request, the Division shall review the adequacy of the facilities
and residuals land application program described therein, and if warranted, shall extend the
permit. for such period of time and under such conditions and limitations as it may deem
appropriate.
i
8. This permit .shall not be automatically transferable. In the event that there is a desire for the
residuals land application program to change ownership or to change the name of the
P.ermittee, a formal permit request shall be submitted to the Division documentation from the
parties involved and, other supporting materials as may be appropriate. The approval of this
request shall be considered on its merits and may or may not be approved. _
Permit issued this the firs day of June, 2006.
NORTH CAR INA ENV ENTAL MANAGEMENT COMMISSION
1_7
Alan:W. Klimek, P.E., Director
Division of.Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0003902
z
12

A'UG=31=2009 10:39 AM CITY.0F.NEWT0N.WWTP 826465745.1
LIMA
INKDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue "oleen H. Sullins
Governor Director
DANNY SIGMON
QW OF Ng'tl+'toN"
p.0. Box 550
NEWTON, NORTH CAROLINA 28658
August 21, 2009
P.02
Dee Freeman
Secretary
Subject: Attachment Certification
Permit No,: WQ0003902
City of Newton.
Land Application of Residual Solids (503)
Catawba County
Dear Mr. Sigrnon,
In 'accordance with your permit modification request received on July 22, M.9, we are
forwarding herewith a modified Attachment A, certified August 21, 2009, to the City of Newton for the
subject: residuals land application program, This certification is being issued to reduce the monitoring for
TCLP parameters from annually to once per permit cycle.
Pease replace the existing Attachment A of .P001t No.. WQ0003902, that w4i; previously
certified on June X, 2006, with this modified Attachment A.: It is the P=ittee's responsibility to
ensure that a coimplete permit is created by Teplaci g: the previously certified Attachment A with_ihis
revised version.
This modified Attachment A shall be effective from. the date of certification, shall. void
Attachment A of Permit No. WQ0003902 that was previously certified on; June 1, "2006, and shall be
subject to the conditions and limitations as specified therein and well as those specified in the above -
referenced -permit. As Always, remetiber to take the time to review this modified Attachment A
thoroughly, as some of the conditions contained therein may have. been changed since the last
certification. Note that this modified Attachment A is hereby -incorporated by reference into Permit No.
WQ003902, issued on June i, 2006.
If any parts, requirements, and/or limitations contained in this certification or modified
Attaclubent A are unaaeeptable, you have the righl to request an adjudicatory hearing upon written
request within 30 days fallowing receipt of the certification. This request shall be in the from of a written
petition, conforming to Chapter 150B of the. North Carolina General Statutes and filed with: the Office of
Administrative Hearings at 6714 Mail Service Center; Raleigh, North Carolina 27699-6714. Unless such
demands are trade, this permit Khali be fatal and binding.
AOLI F:R PROTECIM SEC i ION
1636 Mall service CtnEer. FW9e h, rVorir Curdima 27699.1530
Lo.aton- 2728 Gap:tat Bcd! vst'. Raleigh. No!1h Cedina 27604 on,
PhoncAict-M-3221 %FAX 1! 9'a 715.05M FAX 2, 919'i5-60481Gusiarer Service.1_67 oj [Ii 4liol ltirl
Interne w,ncw ,emus//
" - n� ti4U1! i!�N:IIlrtily A!Frni 11iv9 aclrou cgt)I;fper - - +

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Pest No. WOD003902 Pag✓ -1 of 1 Qsdifc_-tpm E)Ae: August 21, 2009

��9y1m�
Q ,
-APR 0 4 2L 1D
North Carolina Department
of Environment
and Natural Resources
Division Of Water Quality
Beverly laves Perdue
Coleen H. Sullins
Dee Freeman
Govemor
Director
Secretary
April 1, 2010
MR. MARUNF WILCE, PUBLIC Woku.DIRECTOR
CITY OF NEWTON
P.O, Box 550
NEWTON, NORTH CAROLINA 28658
Subject:
Attachment B Certification
Permit No. WQ0003902
City of Newton
Land Application of Residual ,Solids
Catawba County
Dear Mr. Wilce:
In accordance with your permit modification application package received on February 10, 2010,
and subsequent additional information received March 23, 2010; we are forwarding herewith a modified
Attachment B, certified April 1, 2010,'to the City of Newton for the subject residuals land application
program.
This certification is being issued to modify Attachment B by adding 11 new fields totaling 298.8
acres and deleting an existing site NC-CA-15-8 (12.9 acres) which is located within the critical area of a
water supply watershed as defined in Rule 15A NCAC 02B .0202 and -in accordance .with the Division's
notification letter dated November 25, 2009.
Please replace the existing Attachment B of Permit No. W00003902 .that was previously
certified on August 6, 2009, with this modified Attachment B. Note that only the vicinity and buffer
maps for any new and modified land application sites are "attached to this modified Attachment B. ft is "
the Permittee's responsibility to ensure that a complete permit is created by inserting this modified
Attachment B and vicinity and buffer maps into Permit No. WQ0003902, issued on June 1, 2006, and
making sure to retain any vicinity and buffer maps for any existing and unmodified land application sites,
This modified Attachmenf B _ shall be effective from the date of certification; shall void
Attachment B of Permit No. WQ0003902 that was previously certified on August 6, 2009; and shall be
subject to the conditions and limitations as specified. therein and well as those specified in the above -
referenced permit. As always, remember to take the time to review this modified Attachment B
thoroughly, as some of the conditions contained therein may have been changed since the last
certification. Note that this modified Attachment B is hereby incorporated by reference into Permit No.
WQ0003902, issued on June 1, 2006.
kQEIIFER PROTFCTICN SECTM
1636 Mail Service Center, Raler h, North Carolina 27699.1636
Location: 2728 CapGal Bnule'*d, Raleigh, North Carolina 27664 One
Phone: [phone] FAX 1: 919 ?15-0568: FAX 2: 919-715 048; I Custo her 5ervin:1-877.623-6748 r
lntermel vtivw.ncwaterguatiN.orgOil:CdrO.IIl�i
An Equal Chp:,rtunity ; AFrrmci:ae A.Glrn Empt,yer ,
P����

Mr. Wilce
April 1, 2010
Page 2
On August 5, 2009, Session Law 2009-406, entitled "An Act to Extend Certain Government
Approvals Affecting the Development of Real Property within the State," was enacted by the
General Assembly and signed into :law. The Act, known as the Permit Extension Act of 2009,
extends the expiration date of certain government approvals and permits.
Non -discharge permit, WQ0003902, issued by the Division of Water Quality falls within the
scope of this Act and is therefore being extended until May 31, 2014. Please note per your permit, a
renewal application must still be submitted six months in advance of the extended expiration date.
If any parts, requirements, and/or limitations . contained in this certification or modified
Attachment B are unacceptable, you have. the right to request an adjudicatoty hearing upon written
request within 30 days following receipt of the certification. This request shall be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of
Administrative Hearings at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such
demands are made, this permit shall be final and binding.
If you need any additional information concerning this matter, please contact Chonticha
McDaniel by telephone at (919), 715-6188 or via e-mail at [e-mail].
- Sincerely,
for ColeenH. Sullins.
cc: Scott D. Berg/Synagro (284 Boger Rd., Mocksville, NC 27028)
Catawba County Health Department
Mooresville Regional Office:- Aquifer Protection Section
APS Central Files
APS Files
LAU Residuals Program Coordinator

A'i 7CACFliMENT. B - Approved Land Application Sites
Permit Nay.. liWQff003902
City 6f Newton
City .of Newton Residuals Land Application: Program
Site/%ield ilD
Landowner
Lessee/Operator
County
tatltude
]Longitude
Net
Acreage
Dominant
Soil Series
Applicable
Restriction in
Condition TV. 1.
NC-CA-07-01
Srnyre, Jeffer y L
Catawba
3503747"
81010'50"
9.50
Hiwassee
GW-A
NC-CA=07-02
Srityre, Jeffery
Catawba
.35°37'50"
8.10.10150"
15.10
Cecil
GW-A.
NC=CA-07-03
Smyre, Jeffery
Catawba
35°3T54"
8190'50"
6.50
Hiwassee
GW-A
NC-CA-08-01 .
Simpson, WilliamH
Catawba
35°33'50"
81016'27"
9-10
Hiwassee
GW-A
NC-CA=08-02
Simpson; William H
Catawba
35033'50"
810I6'36"
.17.20
Iliwassee
GW-A
.NC-CA-08-03
Simpson, William
Catawba
35°33'52"
.8101648"
14:60
Iliwassee
GW-A
NC-CA-14-01 A
Tee, Nelda
Waters, Chuck
Catawba
3503478"
81 °.18'05"'
19-36
Iliwassee
GW-A..
NC-CA=14-01B
Lee; Nelda
Waters,.Chuck
Catawba.
35034'25"
81018'14"
10.00
Hiwassee
GW-A
NC-CA=14-01C ..
Lee;.Nelda
Waters,. Chuck
Catawba
35°34'22"
81017'51" ..
9.30
Hiwassee
GW-A
NC-CA-14-02A
Lee, Nelda
Waters, Chuck
Catawba
3503470"
" 81 17 53
23:70
Hiwassee
GW-A
NC=CA-14-02B
Lee, Nelda
Waters, Chuck.
Catawba
35'34'09"
. 81°1.7`.59"
3.10
Hiwassee
GW-A
NC-CA-14-03 .
. Lee; Nelda
Waters, Chuck
Catawba
35034'09"
81-17'38"
28.80
Hiwassee
GW-A
NC-CA-14-04
Lee, Nelda
Waters,.Chuck_...._-Catawba
3503425"
81018`21"
12.70
Hiwassee
GW-A
NC -CA 15-01
Fox; Conley
Fox, Conley
Catawba
3504845"
81'°09'52"
11.20
Hiwassee.
-GW-A
NC-CA-15-02
Fox,Conley,
Catawba
3504851"
81°09'48"
3.70
Hiwassee
GW-A
NC-CA-15-03
Fox, Conley
Catawba
35048'57"
81009'51"
7.90
Enon
GW-A
NC-CA-15-04 '
Fox,..Conley
Catawba
35049'04"
81009'54".
4.90
Cecil
GW-A .
NC-CA15=05
Fox, Conley
Catawba
35049'04"
81009'50"
1.40
Cecil
GW-A
NC-CA-15-06
Fox; Conley
Catawba
35°49'13"
81009'53"
5.90
Cecil
GW-A
NC-CA-15-07
Fox, Conley
Catawba
35°49'05"
8.1009'42"
19:30_.
Cecil
GW-A
NC=CA-15-09
Fax, Conley
Catawba
35°49'04"
81 °09'22"
1.70
Cecil
GW-A
NC-CAA5.10
Fox;.Conley.
Catawba
35°49'01"
81009'18"
1.90
Cecil
GW-A'
NC-CA-15-11
Fox, Conley
Catawba
35048156" :.
81009'S6"
7.90
Cecil.
GW-A
NC-CA-16-01 .
Biggerstaff, Richard
Catawba
3503342" .,
. 81015'27"
12.00
Pacolet
GW-A
NC-CA-16-02
Biggerstaff,Richard
Catawba
35°3333".:.;.8101511"
13.90
Cecil
GW-A
NC-CA-17-01
Berry, Jane
Waters, Chuck
Catawba
35034'S2"'
8101T46"
4.10
Cecil
GW-A
NC-CA-17-02
'Berry, Jane
Waters, Chuck
Catawba
35034'49" :
811T42"
3.80
Cecil
GW-A
NC-CA-17-03
Berry, Jane
Waters, Chuck
Catawba
3503447"-
81017'37"
9.70
Pacolet .
GW A
Permit No. W00003902
Page 1 of 3
Certification Date: April 1,.2010

t
ATTACHMENT B - Aunroved Land Application Sites
•PernikNo. WQ0003:902
-city of Newon
City of Newton ,Residuals Land Applicadon Program
Site/IField.][113
Landowner
Lessee/Operator
County
Latitude
Longitude
Net
Acreage
Dominant
Soil Series
Applicable
Restriction in.
Condition 1V.1.
NC-CA-17-04
Berry, Jane
Waters;. Chuck
Catawba
.3513435"
81017'37" '
26.70.
Cecil
GW-A
NC-GA-17-05
Berry, Jane.
Waters; Chuck
Catawba
35°3413"
81°17'43"
6.QO
Hiwassee_
GW-A
NGCA-17-06
NC-CA-:17-08
Berry,Taue
Berry; Jane
Waters,.Chuck
Waters,. Chuck
Catawba
Catawba
3503472"'
35°34'47"
81°1T36"
81°17'54"
-.9..10
29.30
Pacolet
Hiwassee
GW-A
GW-A
NC-17-08
Berry, Jane
Waters, Chuck
Catawba
35034138"
,
81°18'04"
21.80
H. iwassce.
GW-A
NC-CA41-09
Berry, Jane
Waters,.Chuck,
Catawba
35°34749."
810,18,191,
10.20
Cecil
GW A.
NC-CA-18-01
Hunsucker; Bruce
Goins, Gordy;
Catawba
35"3417"
819412"
27.40
Davidson
GW-A.
NC-CA-18-02
Htinsucker;.Bruce
Goins, Gordy
Catawba '
35034119"
81014127"
16.80
Iliwassee
GW=A
NC-CA-.18-03
Hunsucker, Bruce
Gains, Gordy
Catawvba
35°34'05"
_ 81"13'59"
5.10
Davidson
GW-A
NC=CA-18'04
Hunsucker, Bruce
Goins,.Gordy
Catawba.
35034'03"
8101414"
15.20'
Davidson
GW=A
NC-CA-19-05
Hunsucker, Bruce
Goins, Gorda,
Catawba
35°3355"
81'14'21"
.9.30
Davidson
_
GW=A
NC-CA=20-03:
Sherrill, Harold
Saine, Wally
Catawba.
3503554"
81015'47"
32.80
Lloyd
GW-A.
NCCA-2M4
NC-C -20=05 .
NC=CA-2>1=06
Sherrill,; Harold
Sherrill, Harold
Sherrill, Harold
Saine,Wally
Saine, Wally.
Saine, Wa11y_ .
Catawba
Catawba
Catawba
35036108" _
35°36'1.1°
35"36'07"
. 81°`1541".
81°1.558"
81:°1608"
19:80
37:80
800
Lloyd
Lloyd
Lloyd
GW=A
GW-A
GW-A;,
NC=CA-20-07
Sher ill, Harold
Saine; Wally
Catawba'
35"3755"
81015'.35"
37.90
Lloyd
GW-A
NC-CA-20=08_
Shemll, Harold
Saine, Wally.
Catawba
35°3T11"
81015127"
16.70
Lloyd'
GW-A
NC-CA-20-09
Sherrill, Harold
Saine, Wally
Catawba
35037'04"
81°15'S5"'.
35.80'
Lloyd
GW-A
NC-CA-20-10
Sherrill,;Harold
Saine, Wally.
Catawba.
. _ 35037100"
81-°16'OT'
29.70
Lloyd
GW=A
NC-CA-20.11
Sherrill,. Harold
Saine, Wally
Catawba
35036143"
81n1.617"
14.80
Lloyd
GW-A
NC-CA-21-01
Warlick, Thomas
Saine,. Wally-
Catawba..
3503659"
8101.5'3.1"
26.50
Lloyd
GW-A
NC-CA-2.1-02
Warlick, Thomas
Saine, Wally
Catawba
35P36'41"
81015,411,
39.00
Lloyd
GW-A.
NC-CA-30-OIA
Jarrett, Larry
Catawba„
35°49'56"
81"19'09"
1.0.70
Hiwassee
GW-A
NC-CA-30=.01B
7arrett,.Lary
Catawba
35°35'19"
81'19'05"
7.90
Hiwassee
GW=A
. NG-CA-30-02 °
Jarret4 Larry .
Catawba
35'35'29"
81019119"
14.20
Biwassee -
GW-A
NC-C11-32-01
Si9mon, Ronnie
Catawba
35038'03"
81006, 1"
1170
Appling
GW-A
NCCA-32-02
Si non, Ronnie..
Catawba
35'3945"
81 °0641" .
7.30• "
Appling
GV'l-A
NCCA-111-01
CityO£Newton
Richard,
Catawiia
35°3'T35"
8I°14'0'S"
3:30
Cecil
GW-A
Permit No. W6.0003902 Pa ge2of3 Certification Date: April:1, 2010

Site/Fiela 113
Landowner
Lessee/Operator
County .:
Latitude,.
Longitude
Net
Aereage
Dominant
Soil Series
Applicable
Restrietion, in
Condition IV.: L
NC-GA711,1-02
City Of Newton
Richards; James A
. Catawhn _
: 35037145"
81 °14105"
4.90
Hiwassee
GW-A
Total For Cdunty
Gatawha:
825.90
NC-LT-1.19-01
Camp e, Bobby
Goins, Gordy
Lincoln
35033119"
8J"18,18"
11:.50
Paeolet
GW-A
NCLT-11'9-02
Goins, Gordy .
"Goins, Gordy
Lincoln
35033714"
'SI ll8'11"
5.40
Paeolet
GW-A
NC-LT-119-03
Goins, Gordy
Goins, Gor4
Lincoln..
..35°33'13"
81-18121" .
7:50
Pacolet
GW-A
NCLT4.1904
Goins, Gordy
Goins, Gordy
Lincoln
35°33'10"
81°1823"
5.40
Pacolet
-GW-A •
:Liiicoln
29.80
—TotalFor.county
Total.
85570
Areduced buffer from a residence.under separate-o�ynership has been approved' for this land application site. Residuals may-be-Iand applied to within 100:feet
of the iresidence owned by Ms: >�icgirria Parker of 8`164 Reepsvtlle Road; Lincolnton, NC 28092, Ms. Sheila Driirii of.Reepsville Road, Lincolnton, NC 28092,
and My Rita Neill of 308 Wiggins Road, Mooresville, -NC 28115, regardless of whether a surface or a subsurface application method -is used.
Permit No. W60003902 Page 3 of 3 Certtfication Date: Aptil-1, 2010

Permit Number W00003902
Program Category
Non -discharge
Permit Type
Land Application of Residual Solids (503)
Primary Reviewer
troy.doby
Coastal SWRule
Permitted Flow
Facility
Facility Name
City of Newton Residuals Land Application Program
Location Address
PO Box 550
Newton NC 28658
Owner
Central Files: APS _ SWP
12/30/2014
Permit Tracking Slip
Status
Project Type
In review
Renewal
Version
Permit Classification
F
Individual
Permit Contact Affiliation
Martin D. Wilson
PO Box 550
Newton
NC 28658
Major/Minor Region
Major Mooresville
County
Catawba
Facility Contact Affiliation
Owner Name Owner Type
City of Newton Government - Municipal
Owner Affiliation
Wilce Martin
Director Public Works
PO Box 550
Dates/Events Newton NC 28658
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/30/1983 12/23/2014
Regulated Activities Requested /Received Events
Wastewater treatment and disposal RO staff report received
RO staff report requested 12/30/14
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
October 3, 2014
CITY OF NEWTON
PO Box 550
NEWTON NC, 28658
i OCT 7 2014
r"IC
Subject: Notice of Expiration (NOE)
City of Newton Residuals Land
Application Program
Land Application of Residual
Solids (503) System
Permit No: WQ0003902
Catawba County
Dear City of Newton:
Our records indicate that the above referenced permit for the operation of a Land Application of Residual
Solids (503) system is soon due for renewal. The most recent permit was effective on 4/l/2010, and will
expire on 5/31/2015. Per administrative code, the renewal application must be submitted six-(6) months
prior to the expiration of your permit. Therefore, according to our records, you must submit your permit
renewal by 12/1/2014.
As the permit owner, you are responsible for maintaining this permit. Failure to do so may result in
assessment of civil penalties in accordance with North Carolina General Statute § 143-215.6A.
Renewal Instructions
Please respond to this notice by taking one of the following actions:
1. APPLY FOR PERMIT RENEWAL. Forms for renewal are available on-line at the Division of Water
Resources website at http://portal.ncdenr.or�z/web/wq/aps/lau/gpplications.
-OR-
2. APPLY FOR PERMIT RESCISSION. If the Land Application of Residual Solids (503) system is no
longer active, or a pen -nit is no longer needed, you may request to rescind your permit by submitting a
letter requesting rescission signed by the permit owner, and documentation from the Division's
Regional office that the system has been properly closed. If your system has never been constructed
or does not include treatment and storage units, please indicate so in your rescission request letter.
WATER QUALITY PERMITTING SECTION
1617 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, NC 27604
Phone: [phone] \ FAX: [phone]
Internet: http://Portal.ncdenr.org/web/wq
An Equal Opportunity \Affirmative Action Employer

Please submit the necessary documentation to the following address:
Division of Water Resources
Water Quality Non -Discharge Pennitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1636
Thank you in advance for your cooperation and timely response. If you have any questions regarding
renewal of your permit, please contact our permitting staff by phone at [phone].
Sincerely,
Jon Risgaard, Supervisor
Division of Water Resources
�ec::�M++ooresvlle RegionalOffice, Water Quality Non -Discharge Permitting Unit
Permit Application File WQ0003902

Huffman, Ellen
From:
Berg, Scott [[e-mail]]
Sent:
Monday, December 12, 2011 10:46 AM
To:
Huffman, Ellen
Cc:
Puryear, Marshall; [e-mail]
Subject:
Newton program note 12/12/11
Attachments:
ModifiedMapNC-CA-21-1.pdf
Ellen,
During our Newton operations on site NC-CA-21-1 this morning (as we discussed), our
Operations Manager noticed that a house was recently built about 260' inside the thickly
wooded area along the most westerly portion of the field. Just prior to noticing this house,
Synagro had applied two "spreader passes" within the area that is now buffered as a result of
the new house. Our Operations Manager then immmediately called the Mocksville office to
report the situation.
At your direction, I have attached a copy of the adjusted "Application Area Map" for this
site, which shows the location of the new house and corresponding 400 ' buffer zone. The
buffer zone has been flagged and this map will be used for the remaining current application
event and all future events on this field.
Please call if there are any questions or comments.
Thanks,
Scott Berg
Technical Services Manager
SYNAGRO .
284 Boger Road
Mocksville, N.C. 27028
office ph.(336)'998-7150, ext. 13
cell ph.[phone]
sberg(@synagro.com
1

In''Z6 4t[k()
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NAGRO
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Acres Se,_0 vwri4
r
Met Acres
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- - - - -
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> DRAIN
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OUTBUILDING
UNSUITABLE
�-X x FENCE
0
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STORAGE AREA
CD
O
SOIL DESCRIPTION
®
SUITABLE FOR
INCORPORATION,
�„PROPERTY LINE
8-I2% SLOPE