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WQ0003902_Regional Office Historical File Pre 2018 (5)
3 -:5-1 6 - cr 0 - 1 33 U AQUIFER PROTECTION SECTION APPLICATION REVIEW REQUEST FORM Date: February 10, 2010 To: ❑ Landon Davidson, ARO-APS ❑ Art Barnhardt, FRO-APS ® Andrew Pitner, MRO-APS ❑ Jay Zimmerman, RRO-APS From: Chonticha McDaniel , Land Application Unit Telephone: (919) 715-6188 E Mail. chonticha.mcdaniel@ncmail.net A. Permit Numbei-A)M_QQ.©:039©2 B. Owner: City o ..ewto' n ❑ David May, WaRO-APS ❑ Charlie Stehman, WiRO-APS ❑ Sherri Knight, WSRO-APS Fax: 919 715 IGN U 18 � IE H L F E B 1 1 2010 I DWQ-Agt.iiier Protection C. Facility/Operation: City of Newton Land Application Program ❑ Proposed ® Existing ❑ Facility D. Application: ® Operation 1. Permit Type: ❑ Animal ❑ Surface Irrigation ❑ Reuse ❑ H-R Infiltration ❑ Recycle ❑ VE Lagoon ❑ GW Remediation (ND) ❑ UIC - (5QW) closed loop water only geothermal For Residuals: ® Land App. ❑ D&M ❑ Surface Disposal ® 503 ❑ 503 Exempt ❑ Animal 2. Project Type: ❑ New ® Major Mod. ❑ Minor Mod. ❑ Renewal ❑ Renewal w/ Mod. E. Comments/Other Information: ❑ I would like to accompany you on a site visit. Attached, you will find all information submitted in support of the above -referenced application for you: review, comment, and/or action. Within 30 calendar days, please take the following actions: ® Return a Completed Form APSARR. ❑ Attach Well Construction Data Sheet. ❑ Attach Attachment B for Certification by the LAPCU. ; ❑ Issue an Attachment B Certification from the RO*. * Remember that you will be responsible for coordinating site visits, reviews, as well as additic' information requests with other RO-APS representatives in order to prepare a complete Attachment F certification. Refer to the RPP SOP for additional detail. When you receive this request form, please write your name and dates in the spaces below, make / of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact/ listed above. RO-APS Reviewer. Date: FORM: APSARR 02/06 Page 1 of 1 Date: 09/19/02 County: Catawba To: Non -Discharge Permitting Unit Permitee: City of Newton NDPU Reviewer: Chonticha McDaniel Application No.: W00003902 GENERAL INFORMATION 1. This application is (check all that apply): ❑ New ❑ Renewal ❑ Minor Modification ® Major Modification ❑ Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon ® Land Application of Residuals ® Attachment 3B included as appropriate ® 503 regulated ❑ 503 exempt ❑ Distribution of Residuals ❑ Surface Disposal 2. Was a site visit conducted in order to prepare this report? ® Yes or ❑ No. a. Date of site visit: 02-18-2010 b. Person contacted and contact information: Scott Berg SYNAGRO 336/998-7150 ext. 13 c. Site visit conducted by: E. Huffinan d. Inspection Report Attached: ❑ Yes or ® No. 3. Is the following information entered into the BIMS record for this application correct? ® Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current application. For Treatment Facilities: a. Location: b. Driving Directions: c. USGS Quadrangle Map name and number: d. Latitude: Longitude: e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater): For Disposal Sites: There are I I new fields totaling 298.8 acres in this application. All field data for the Attachment B has been entered into BIMS. NC-15-08 has been removed from the active field list BIMS because it is located in the critical watershed area of a water supply watershed. a. Location(s): b. Driving Directions: c. USGS Quadrangle Map name and number: d. Latitude: Longitude: DESCRIPTION OF WASTES) AND FACILITIES 1. Are there appropriately certified ORCs for the facilities? ® Yes or ❑ No. Operator in Charge: James Richards Certificate #:13257 Back-up Operator in Charge: Eric Jones Certificate #:25000 2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage, effluent storage, etc) of the treatment facilities adequate for the type of waste and disposal system? ® Yes or ❑ No. If no, please explain: 3. Are the site conditions (soils, topography, etc) maintained appropriately and adequately assimilating the waste? ® Yes or ❑ No. If no, please explain: 4. Is the residuals management plan for the facility adequate and/or acceptable to the Division? ® Yes or ❑ No. If no, please explain: 5. Are the existing application rates (hydraulic or nutrient) still acceptable? ® Yes or ❑ No. If no, please explain: 6. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ® No. If yes, please attach a map showing conflict areas or attach any new maps you have received from the applicant to be incorporated into the permit: 7. Is the type and/or volume of waste(s) described in the existing permit correct? ® Yes or ❑ No. If no, please explain: 8. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No. If no, please explain: 9. Has a review of the last annual report for self monitoring data been conducted? ® Yes or ❑ No. Please summarize any findings resulting from this review: Permittee was compliant for 2009. 10. Check all that apply: ® No compliance issues; ❑ Notice(s) of violation within the last permit cycle; ❑ Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently under moratorium. If any items checked, please explain and attach any documents that may help clarify answer/comments (such as NOV, NOD etc): 11. Have all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? ❑ Yes ❑ No ® N/A If no, please explain: 12. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑ Yes or ® No. If yes, please explain: MCDEHR North Carolina Department of Environment and Natural resources Beverly Eaves Perdue Governor Division of Water Quality Coieen H. Sullins Director February 10, 2010 Wilce Martin - Public Works Director City of Newton P.O. Box 550 Newton, NC 28658 Subject: Acknowledgement of Application No. WQ0003902 City of Newton Residuals Land Application Program Land Application of Residual Solids (503) Catawba Dear Mr. Martin: Dee Freeman . Secretary C � u V c' FEB 1 1 2010 IBC Gl�ir� l?O DVV(,) -_Aq.ijifer Protection The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and supporting materials on February 10, 2010. This application package has been assigned the number listed above and will be reviewed by Chonticha McDaniel. The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure the maximum efficiency in processing permit applications, the Division requestsyour assistance in providing a timely and complete response to any additional information requests. Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to final action by the Division. Please also note at this time, processing permit applications can take as long as 60 - 90 days after receipt of a complete application. If you have any questions, please contact Chonticha McDaniel at 919-715-6188, or via e-mail at chonticha.mcDaniel@ncdenr.gov. If the reviewer is unavailable, you may leave a message, and they will respond promptly. Also note that the Division has reorganized. To review our new organizational chart, go to Mtn:;/h2o.enr.state.nc.us/documents/dwq_org>chart.pdf. PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT. Since ly, for• Jon Risg d LAU Supervisor cc,-Mooiestlle.Regtonal OfficeAqutfeiPto ecls 'on ��ian Todd Larson, Senior Operations Director (Synagro Central, 284 Boger Rd., Mocksville, NC 27028) Permit Application File WQ0003902 AQUIFEP PROTECTION SECTION 1636 Nail Service Center. Raleigh; North Carolina 27699-1636 Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604 Phone: 919-733-3221 1 FAX 1: 919-715-0588 FAX 2: 919-715-604 8 1 Customer Service: 1-877 623-6?48 Tone. Internet: www.ncwaterquality.org oi-thCu611 la ,�. An Equal Opportuniiy i Affirmative Action Employer 'Wily r_ NCDENR North Caroiina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins j Governor Director inD November 25, 2009 Id u I DEC - i = MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR NC DENR CITY OF NEWTON LDWID-Aguffer POST OFFICE Box 550 NEWTON, NORTH CAROLINA 28658 Subject: Notification of Residuals Land Application Fields within a Water Supply Watershed Critical Area Permit No. WQ0003902 Land Application of Residuals Solids Catawba County Dear Mr.. Martin: 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 1 35049'20" 81°09'29" 15A NCAC 02B .0100 and .0200 rules require that classified water supplies be protected through Iocal 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 276994636 Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604 Phone: 919-733-32211 FAX 1: 919.715.0588; FAX 2:919-71"0481 Customer Service:1-877-623-6748 Intemel: www.ncwatergualiy org An Equal opportunity 1 Affirmative ActIm Employer NoiMarolina an 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 NC'2760�-1636 Raleigh, NC 27699-1617 'M`= tQ DWQ has taken recent stepa to i�prove the permit application review process to better assure that no new f sites are permitted within critic�i areas of water supply watersheds. In February 2009, the DWQ sent a :..letter to local county. health'dgpartments 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://h2o.enr.state.nc.us/lau/main.htinl, 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: litta://h2o.enr.state.nc.us/wswp/index.html, or you may contact Julie Ventaloro at (919) 807-6370, email iuIie.ventaroro@ncdenr.gpv. Thank you in advance for your cooperation. Sincerely, Jon Risgaard Aquifer Protection Section cc: Mooresville Regional Office, Aquifer Protection Section Julie Ventaloro - NPSACOU, Wetlands & Stormwater Branch, DWQ Catawba County Health Department. APS Permit File WQ0003902 04 �Ilt% SYNAGRO, A Residuals Management Company February 8, 2010 N.C. Department of Environment and Natural Resources Division of Water Quality Aquifer Protection Section — I✓and Application Unit 1636 Mail Service Center Raleigh, NC 27699-1636 ATTENTION: Mr. Jon Risgaard a FEB 1 1 2010 i'tC:Tectic REFERENCE: APPLICATION FOR MODIFICATION OF PERMIT # WQ0003902 CITY OF NEWTON Dear Mr. Risgaard: On behalf of the City of Newton (Newton), Synagro is submitting this application to modify the (L referenced residuals land application permit. We are proposing to add 298.8 acres from 11 fields in sites NC-CA-20 and NC-CA-21 into this permit. Also, we request the deletion of site NC- / CA-15-8 (12.9 acres) from the permit, as it is located in a Water Supply Watershed Cntical Area (see attached letter from NCDENR dated November 25, 2009). No other changes are proposed in this modification application. The new total permitted area for the Newton program will be 855.7 acres. A check in the amount of $395.00 is also enclosed herein. This application package is contains 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 sberggs�na r� or phone number (336) 998-7150, ext. 13. Thank you in advance for the timely and efficient review of this modification application. Sincerely, zt-i Scott D. Berg SYNAGRO Technical Services Manager attachment cc: City of Newton RECEIVED / DENR / DWQ Aquifer Protection Section FEB 10 2010 284 Boger Road ® Mocksville, NC 27028-7619 • Ph: (336) 998-7150 • Fax: (336) 998-8450 • Toll. Free: (877) 267-2687 Table of Contents Section # Title Section 1 Attachment Order 1: Non -Dedicated Residuals Land Application Programs Form Attachment Order la: Signing Official Delegation Letter Section 2 Attachment Order 3: Land Application Certification Attachment Attachment Order 3-a: Watershed Classification Attachment Attachment Order 3-b: County Manager Notification Attachment form Site Specific Information: (by Application Site) Site Summary Sheet Attachment Order 3-c: Landowner Agreement Attachment Order 3-d: Buffer Waiver Agreement(s) (where appropriate) Attachment Order 3-e: Vicinity, Topographic, Aerial, Buffer (Application Area), and Soil Maps Attachment Order 3-f: Soil Evaluation (where required) Attachment Order3-f: Soil and Agronomic Evaluation (General Information) Attachment Order 1: Non -Dedicated Residuals Land Application Programs Form (NDRLAP form) r� F E g 1 1 2010 " MR MR0 r,wn _ tacuiier Fratection — RECEIVED / DENR / DWQ Aquifer Protection Section FEB 10 2010 State of North Carolina Department of Environment and Natural Resources Division of Water Quality NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS (FORM: NDRLAP 02-07) (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) Application Number: I. OWNERSHIP INFORMATION: 1. Specify whether the process facility is owned by: ❑ County; ❑ Federal; ® Municipal; ❑ State; ❑ Non -Government. h cor��' 1 reW D Jib FEa 11 2010 IBC D i nt MRO nII n - Aquifer Protection 2. Owner's name (please specify the name of the municipality, corporation, individual, etc.) City of Newton Mailing address: P.O. Box 550 City: Newton State: NC Zip: 28658 Physical address: 411 N. Main Street City: Newton State: NC Zip: 28658 Telephone number: ( 828 ) 695-4310 Facsimile number: ( 828 ) 465-7422 E-mail address: wmartin@newtonnc.gov 3. Signing official's name and title: (See Instruction A) Wilce Martin, Public Works Director Mailing address: P.O. Box 550 City: Newton State: NC Zip: 28658 Physical address: 411 N. Main Street City: Newton State: NC Zip: 28650 Telephone number: ( 828 ) 695-4310 Facsimile number: ( 828 ) 465-7422 E-mail address: wmartinknewtonnc.eov II. PERMIT INFORMATION: 1. Application is for: ❑ new, ® modified, ❑ renewed permit (check all that apply). 2. Fee Submitted: $ 395.00 (See Instruction B) 3. If this application is being submitted to renew or modify an existing permit, provide the following: Permit number W00003902 Most recent issuance date June 1, 2006 , and the expiration date May 31, 2011 Date of most -recently certified Attachment A: June 1, 2006 Date of most -recently certified Attachment B: June 1, 2006 RECEIVED / DENR / DWQ Aquifer Protection Section FORM: NDRLAP 02-07 Page 2 of 6 FEB 10 2010 Attachment Order 1 6. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC James Richards WWTP Supervisor LA13257 Back -Up ORC Eric Jones Lab Analyst LA25000 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: 7. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: (Weighted Average) Maximum amount of residuals to be certified: 3,438 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 13.85 19.75 47,623 67,907 Five -Year Maximum Adjusted 19.00 24.90 65,330 85,614 b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation 0 Row Crops 5.4 Hay 38.4 Pasture 811.9 Total: 855.7 Methods Surface 855.7 Incorporation or Injection 0 Total: 855.7 Restrictions Year -Round 855.7 Seasonal 0 Total: 855.7 FORM: NDRLAP 02-07 Page 4 of 6 Attachment Order 1 C. Residuals Land Application Summary: Detennine 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 qbs PAN/ac yi) Concentrations Surface Incorporation or Surface Incorporation or Injection Injection 50 952.5 1,358.1 1,306.6 1,712.3 100 476.2 679.1 653.3 856.1 150 317.5 452.7 435.5 570.8 200 238.1 339.5 326.6 428.1 8. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction practices not in place, etc.) ***FORM: NDRLAP CONTINUES ON NEXT PAGE*** FORM: NDRLAP 02-07 Page 5 of 6 Attachment Order I Applicant's Certification: The applicant or any affiliate has not been convicted of an enviromnental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 2T .0105. ® Yes ❑ No, Explain; I, Wilce Martin, Public Works Director , attest that this application for land application of biosolids from Newton WWTP 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 not to exceed $10,000 as well as civil penalties up to $25,000 per violation. Signature: Date: 27 — , zle THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY AQUIFER PROTECTION SECTION LAND APPLICATION UNIT By U.S. Postal Service: 1636 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1636 By Courier/Special Delivery: 2728 CAPITAL BOULEVARD RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 733-3221 RECEIVED / DENR / DWQ Aquifer Protection Section FEB 10 2010 FORM: NDRLAP 02-07 Page 6 of 6 Attachment Order 1 Attachment Order la: Signing Official Delegation Letter Note: per NDLAP Instructions Page 1 - "The delegation letter does not have to be resubmitted if the signing official has not changed since the last permitting action associated with this residuals land application program. " Attachment Order 3: Land Application Site Certification Attachment (LASCA form) Applicant's name: City of Newton (#W00003902) Check all that apply: ❑ NEW RESIDUALS LAND APPLICATION PROGRAM ❑ RENEWED RESIDUALS LAND APPLICATION PROGRAM ® ADD ❑ DELETE this/these land application site(s) to/from those certified for this residuals land application program. ❑ INCREASE ❑ DECREASE the net acreage associated with this/these land application site(s) currently certified. ❑ OTHER Explain: Land application sites currently certified: 569.8* acres and Total to be certified: 298.8 net acres. * Includes 12.9 ac. For site NC-CA-I5-8, which is to be deleted from this permit (see cover letter) I. LAND APPLICATION SITE INFORMATION (See Instruction B.): 1. .Complete the following table with the requested information: Status Code a Site/Field iD Landowner(s) Lessee(s) or Operator(s) Net Acres County Crop(s) Predominant Soil Series N NC-CA-20-3 Harold Sherrill Wally Saine 32.8 Catawba Fescue Lloyd (LcB) N NC-CA-20-4 Harold Sherrill Wally Saine 19.8 Catawba Fescue Lloyd (LcB) N NC-CA-20-5 Harold Sherrill Wally Saine 37.8 Catawba Fescue Lloyd (LdC2) N NC-CA-20-6 Harold Sherrill Wally Saine 8.0 Catawba Fescue Lloyd (LdC2) N NC-CA-20-7 Harold Sherrill Wally Saine 37.9 Catawba Fescue Lloyd (LcB) N NC-CA-20-8 Harold Sherrill Wally Saine 16.7 Catawba Fescue Lloyd (LcB) N NC-CA-20-9 Harold Sherrill Wally Saine 35.8 Catawba Fescue Lloyd(LdC2) N NC-CA-20-10 Harold Sherrill Wally Saine 29.7 Catawba Fescue Lloyd(LcB) N NC-CA-20-11 Harold Sherrill Wally Saine 14.8 Catawba Fescue Lloyd (LcB) N NC-CA-21-1 Thomas Warlick Wally Saine 26.5 Catawba Fescue Lloyd (LcB) N NC-CA-21-2 Thomas Warlick Wally Saine 39.0 Catawba Fescue Lloyd (LcB) 'Status Code for land application sites are: ♦ N (Flew) ♦ R (Renew) e M (Modified) ♦ T (Transferred)c FORM: LASCA 10-06 Page 2 of 2 Attachment Order 3 Attachment Order 3a — Watershed Classification WATERSHED CLASSIFICATION ATTACHMENT (FORM: WSCA 10-06) Applicant's name: City of Newton Site/Field ID County Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. f� Current and Proposed Class NC—CA-20-3 Catawba 35.35.54 N 81.15.47 W NAD 27 MAP Second 03-08-35,11-129-(0.5) WS-V NC—CA-20-4 Catawba 35.36.08 N 81.15.41 W NAD 27 MAP Second 03-08-35,11-129-(0.5) WS-V NC—CA-20-5 Catawba 35.36.11 N 81.15.58 W NAD 27 MAP Second 03-08-35, 11-129-(0.5) WS-V / bl NC-CA-20-6 Catawba 35.36.07 N 81.16.08 W NAD 27 MAP Second 03-08-35,11-129-(0.5) WS-V U NC-CA-20-7 Catawba 35.37.55 N 81.15.35 W NAD 27 MAP Second -35,_ �- 03-08 29- -G w c j` C NC—CA-20-8 Catawba 35.37.11 N 81.15.27 W NAD 27 MAP Second 03-08-35, 11-129-5-6 d, C NC—CA-20-9 Catawba 35.37.04 N 81.15.55 W NAD 27 MAP Second 03-08-35, 11-129-(0.5) WS-V c� NC—CA-20-10 Catawba 35.37.00 N 81.16.07 W NAD 27 MAP Second 03-08-35, 11-129-(0.5) a/' WS-V s NC—CA-20-11 Catawba 35.36.43 N 81.16.17 W NAD 27 MAP Second 03-08-35, 11-129-(0.5) ✓ WS-V t NC-CA-21-1 Catawba 35.36.59 N 81.15.31 W NAD 27 MAP Second 03-08-35, 11-129-(0.5) WS-V J 4 NC—CA-21-2 Catawba 35.36.41 N 81.15.44 W NAD 27 MAP Second 03-08-35,11-129-(0.5) WS-V I, ��7T- ;2 , attest that this attachment form has been prepared by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this attachment are not completed and that if all required supporting information is not included, this application package 4ill be returned as kcomplete. S ignature Date FORM: WSCA 10-06 Page 5 of 5 Attachment Order 3-a Attachment Order 3b — County Manager Notification Attachment State of North Carolina Department of Environment and Natural Resources Division of Water Quality COUNTY MANAGER NOTIFICATION ATTACHMENT (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our iveb site at: http: //h2o. enr. state. nc. its/laulapplications. html INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (FORM: NDRLAP 10-06). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each county in which the land application sites for which the applicant is seeking certification are located. C. Mail the attachment form to the appropriate county manager by certified mail with a return receipt requested. ✓ The most current publication of the Directory of State and County Officials may be downloaded from the web site at: htip://www.secretary.state.nc.us/pubsweb/direct.asp. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://www.enr.state.nc.us/html/regionaloffices.html D. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form PliE to submission of the application to the Division for review. To: County where land application sites are located: Catawba Name and complete address of county manager: J. Thomas Lundy, County Manager P.O. Box 389 City: Newton State: NC Zip: 28658 This is to notify you that the applicant listed in Item I(1) of this attachment form will be submitting an application for the land application of residual solids to land in your county to the Division for review. During this review, the Division will ensure that all federal and state regulations are enforced. Maps of the land application sites included in this application will be available at the following location no later than the listed expected application date: Name and complete address of appropriate regional office: Mooresville Regional Office 610 E. Center St. City: Mooresville State: NC Zip: 28115. Telephone number: ( 704 ) 663-1699 Facsimile number: ( 704 ) 663-6040 Expected date of application submission: February 15, 2010 Actual date of application submission (to be completed by DWQ): Deadline for county manager response (to be completed by DWQ): Should you desire to comment on this application as it related to your interests, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification or if you would like more information, please contact the Aquifer Protection Supervisor of the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. FORM: CMNA 09-06 Page 1 of 2 Attachment Order 3-b I. GENERAL INFORMATION: 1. Applicant's name: 2. Signing official's name and title: Wilce Martin, Public Works Director 3. Complete mailing address of applicant: City of Newton P.O. Box 550 City: Newton State: NC Zip: 28658 Telephone number: ( 828 ) 695-4310 Facsimile number: ( 828 ) 465-7422 E-mail address: wmartin@newtonnc.gov 4. Name and complete mailing address of contact person and consulting firm who prepared application: Scott Berg Synagro Central LLC 284 Boger Road City: Mocksville State: NC Zip: 27028 Telephone number: ( 336 ) 998-7150 Facsimile number: ( 336 ) 998-8450 E-mail address: sberggsynagro.com H. PERMIT INFORMATION: 1. Application is for (check all that apply): ❑ new, ® modified, and/or ❑ renewed permit. 2. If this application is being submitted to renew or modify an existing permit, provide: the permit number WQ0003902 the most recent issuance date June 1, 2006 and the expiration date May 31, 2011 Date of most -recently certified Attachment A: June 1, 2006 Date of most -recently certified Attachment B: June 1, 2006 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION 1. County(ies) where residuals source -generating facilities are located: Catawba 2. Purpose of the residual source -generating facilities (check all that apply): ® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater, ❑ treatment of potable water, ❑ treatment of 100% industrial wastewater, ❑ treatment of industrial mixed with domestic wastewater, and/or (approximate percentages: % industrial and % domestic) ❑ other (explain: 3. Are land application sites currently certified for this residuals land application program in this county: ®yes ❑ no. If yes, provide the total number of acres (i.e., excluding buffers) that are certified: 569.8 acres (approximate percentages: % forested, 100 % agricultural, and % reclamation sites). 4. This application, if approved by the Division, will certify 298.8 additional acres (i.e., excluding buffers) in this county for this residuals land application program (approximate percentages: % forested, 100 % agricultural, and % reclamation sites). *** END OF FORM: CMNA 09-06 *** FORM: CMNA 09-06 Page 2 of 2 Attachment Order 3-b m r: v,x •�� J lx- v, _ ;�, ,ni, • '� � �{. ,& �' 'jaw , UPS. �ostale x;� k y :(Dom�strclVlarl,Onty,�Vo<InsYijran tiv�rageProiriiie�j�� , ru Q' Postage $ Ej Certified Fee � Postmark E3 Return Reciept Fee (Endorsement Required) Here O Restricted Delivery Fee E3 (Endorsement Required) U-1 0 Total Postage & Fees Sent To tti--------Vi-71 --'.. h---------------- -------'.----.---�/ Street, AptNo.; �d Q5x 3fl-7 or PO Box No. i City, State, Z1544f �� r�� 2S6—'O ® Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ® Print your name and address on the reverse so that we can return the card to you. ® Attach this card to the back of the mailpiece, or on the front if space permits - 1. Article Addressed to: 1, TI"gMair �Dt DDx �2. A. f� ❑ Agent ❑ Addressee B. Received by (Printed Name) I C. Date of Delivery D. Is delivery. address differentlfrom,item 1? ❑ Yes If YES, enter delivery ja resstb ow: ❑ No - LZ Cu w Q) s 3. Service Type },Certified Mats ❑ Exprese Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7003 0500 000.0 912-4 (Transfer from service .lab el) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-FA-15Q Site Specific Information • Site Summary Sheet • Attachment Order 3-c: Landowner Agreement • Attachment Order 3-d: Buffer Waiver Agreement Attachment(s) • Attachment Order 3-e: Vicinity, Topographic, Aerial, Buffer (Application Area), and Soil Maps • Attachment Order 3-f: Soil and Agronomic Information SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-21 Name: Thomas Warlick Address: P.O. Box 267 Newton, North Carolina 28658-0267 Phone: (828) 464-3930 Operator: Wally Saine (Farm Manager) Address: 4697 Startown Road Newton, North Carolina 28658 Phone: (828) 234-5958 mobile Estimated Total Applicable Fields Acres Acres Crop(s) Maximum Predominant Latitude & Slope Soil Series Longitude 1 32.7 26.5 ✓ Fescue 10% Lloyd 35.36.59 N 81.15.31 W 2 44.9 39.0 ' Fescue 10% Lloyd 35.36.41 N t,/ 81 .15.44 W TOTALS 77.6 65.5 Notes: coordinate all activity with Wally Saine Date: 11 /4/09 tqd t z- 13 L c /?A� s State of North. Carolina Department of Environment..and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will notconsider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form; visit our rneb site at: httl2//h2o enr state nc.usllalilapplications.html INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (FORM: NDRLAP, and FORM: LASCA). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable). other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF. RESIDUALS TO PRIVATELY OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits )) Applicant's name: Complete mailing address of applicant: City: State: N(� Zip: 6623 Telephone number: (c,�c7 Facsimile number: E-mail address: GIJ/✓1U/'�ir9 r /%Pi ✓i`�'/J/1G; ��4� hereinafter referred to as the Permittee, to land apply residuals from the following residuals source - generating facility(ies) onto the following land application site(s) (Le., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities ��4 i Z... _7::::� The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain. in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 080507 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terns and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 1S months fi•om the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Pennittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Pennittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. Residuals may be applied to the sites with a pH of less than 6 provided that sufficient arnounts of lime is also applied to achieve a final pH of the soil mixture of at least 6.0, or if an agronornist provides information indicating that the pH of the soil, residuals, and lime mixture is suited for the specified crop type. 11. The Pennittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will detennine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Pennittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Pennittee 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 Pennittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures trust be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior- to, during, and after- any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Pennittee, local officials, and State officials or their- representatives to take necessary soil, surface water, and groundwater samples during the teen of, and for 12 months after termination of, this Agreement. FORM: LOAA 080507 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use.of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: W. WAP-/ ck Landowner addrress: 1019� ( &A 4- 32-0 W, � 5V-, City: Alelykh, State: A/ C Zip: 02' Dz� Phone: 0 0A w-1%" 3930 Signature: Q_'��17tit � t r' 1'j Date: NORTH CAROLINA, �G/d1r/6� COUNTY I, the undersigned Notary Public do hereby certify thatofw4�`_ personally appeared before me this day and acknowledged the due execution of the forgoii''� 0 � •ti2 WITNESS my hand and official seal this the _z% r •� nr� - ��� • day of 191'dv 20,19 G' _ �•® v /�Ycir�i� - �BLIC® Signature and seal: .® My commission e ires: - "I",_:"UUU ` 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: / a 1('9 67a I o e, Lessee/operator address: Y� City:14 State: Zip: � JYI �� Phone: cool ) of Signature: Permittee's Certification: ❑ I certify that I have read specified herein. Signing official a -� Signature. FORM: LOAA 080507 *** END OF FORM: LOAA *** Page 3 of 3 Date: 7 J v the stipulations and restrictions as Date: Attachment Order 3-c SYNAGKO VICINITY MAP A Residuals Management Company COUNTY � OWNER -7hD/#a,5 N/�� NC-C�=-ZJ NCI SYNAGRO. TOPOGRAPHIC MAP OWNER / aC c-mow--zl PHOTOQUAD/YEAR I)IAAVM A Residuals Management Company SCALE: P = 111-5 FIELDS Ii 2 CONTOUR INTERVAL 2&92 SYNAGRO AERIAL REFERENCE MAP A Residuals Management Company COUNTY �Gt Grcu/li1 OWNER Ive a -Z/ APPTICATTON AREA MAP SYNAGRO A Residuals Management Company I Owner h- el 4,5 �c%Cl�Q1 ��tlC- -2l� Scale: V _ �D _ Field # ` 2 - > STREAM > DRAIN CK) SURFACE «`ATER x X FENCE OSTORAGE AREA PROPERTY LINE Total Acres Se,—, ;Kgrmmae Net Acres fez Aum!,id Ci:) APPLICATION AREA - - - - - - PRIVATE ROAD . HOUSE FORESTED AREA ❑ OUTBUILDING UNSUITABLE 0 WELL O SOIL DESCRIPTION 4� SUITABLE FOR INCORPORATION, 8-12% SLOPE �?I1/ SYNAGI\O Soil Map , - A Residuals Management Company OWNER /fMA704-5 AI ,0114-k (ic/C-6� 2/) FIELDS COUNTY SHEETAle 4 &od 114n/ SCALE: 1" _ IVr5 SOIL SERIES NCDA&CS Agri" nic Division Phone: (919)733 265'S Web Site www nca Growo Warlick, Thomas Copies To. Synagro 4697 Startown Rd Newton, NC 28658 �r es t e ®rt p Synagro Farm NCCA-21 284 Boger Rd Mocksville, NC 27028 12/18/2009 S1,IZVING N.C. RESIDENT'S FOR OVER 60 YEARS Catawba County Agronomist Comments 'Plie heavy metal report is found on a separate page. Using Melilich 3 as a soil test extractant, background levels of these metals typically seen in NC soils \.vhen analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium (Cr) 0.2 ppnl, lead (Ph)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Although the above metals here are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilize' reconlmendatiOns. . Deana Myers, Agronomist December 1.6, 2009 Field Information Applied Lime Recofnme"'dations " _ Sample No. Last Crop Mo Yr T/A Crop or Year Lime IVP205 K20 3t S Cu Zn B Mn See Note 01 1st Crop: No Crop 0 2nd Crop: 0 Test Results Soil Class HM% tiY/V CEC BS% Ac pH P-I K I Ca% ft% Mn-I Mn-Al(1) Mn-AI(2) Zn-I Zn-Al Cu-I S-I SS-1 NOs-N A114-N Na MEN 0.22 0.9� 5 5 82.0 1.0 6.0 12 12 53.0 29.0 257 45 45 53 28 0.1 Field Information Applied Lime Recommendations Sample No. Last Crop MO Yr T/A Crop or Year Lime P205 K20 Mg S Cu Zn B Mn See Note 02 1 st Crop: No Crop 0 2nd Grop: 0 Test Results Soil Class HM% tV/V CEC BS% Ac pH P-I K-I Ca% Mg% Mn-I Mn-AI(1) Mn-AI(2) Zn-I Zn-Al Cu-I S-I SS -I NO3-N 11II4-N Na MIN 0.41 1.00 4.8 77.0 1.1 5.8 8 20 53.0 22.0 331 35 35 82 27 0.1 1ortk CaroIina F Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank yogi for using agronomic services to manage nutrients and safeguard environmental quality. -Steve Troxler, Commissioner of Agriculture NCDA&CS Agr6n6nfWDrviston Phone:. M9)733-2655 , _ Web Site; www:ncagr:com/agronomi/, Pg 1 Heavy Metal ,Soil Test Relbort Warlick, Thomas Revort #: 18005 4697 Startown Rd Newton, NC 28658 MEHLICH-3 EXTRACTION Catawba County Questions concerning these analyses should be referred to the Ap-ronomic Division, Soil Testine Cd Ni Pb Se Cr As Al Fe Sample Cadhniuin Nickel Lead Selezzizan Chroznill/9z Arsenic Alzuzziiuzzzz Irozz ID------------------------------------------------------------------------------77WIdin3 (Ppn7) -------------------------------------------------------------------------------- 02 0.10 0.10 1.90 0.00 0.10 0.10 764.60 56.90 01 0.00 0.10 2.50 0.00 0.10 0.10 712.80 50.30 Report Number 09-322-0637 Page: 1 of 1 Account Number 46476 Send To: SYNAGRO CENTRAL LLC/NEWTON Mary Brewer 284 BOGER RD MOCKSVILLE , NC 27028 A&L Eastern Laboratories, 1nc. 7621 Whitepine Road Richmond, Virginia 23237 (804) 743-9401 Fax (604) 271-6446 www.al-labs-eastern.com Client: NC-CA-21 THOMAS WARLICK FARM REPORT OF ANALYSIS Mercury Molybdenum, Extractable Lab No Sample Id ppm Sample Date and Time 07050 01 < 0.400 1.2 07052 02 < 0.400 1.3 Method Reference: Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Soil Sci. Plant Anal. 25:1409-1416. USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current Revision Sample results are reported 'as received' and are not moisture corrected unless noted Submitted By: SCOTT BERG Purchase Order : Report Date : 11/20/2009 Date Received : 11/18/2009 J � Oscar Ruiz SOIL DESCRIPTION SHEET Project: N6 a Site: & - -.. i Field: Acres (gross): Acres (net): SYNAGIRO A Residuals Management Company /f ° � Landowner: P 14�11k :,t ,� 1 < Sample 9: K1-1416 Crop: C61ty� Slope (%): SOIL PROFILE DESCRIPTIONS Mottles/ Horizon Depth Texture Color Structure Redox. features PROFILE A --�- D-5 & )AR "PIS � r Z e- IN40111 tS k ^ Depth to SHWT: �3C� Depth & type of restrictive layer: Soil Series: Leo` Mottles/ Horizon Depth Texture Color Structure Redox. features PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By:`,. Date: o I / Legend Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive SYNAGOO SOIL DESCRIPTION SHEET ARefidmalsManagement Company Project: �i 0,P-Q Landowner: Site: /mot Field: Z Sample #: Slope Acres (gross): Acres (net): Crop: SOIL PROFILE DESCRIPTIONS Mottles/ Horizon Depth Texture Color Structure Redox. features PROFILE A ?,!rr1 ` l& 1,` - '2.srwf , a Depth to SHWT: Depth & type of restrictive layer: Soil Series: t(-o € A, Mottles/ Horizon Depth Texture Color_ Structure Redox. features PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: . 3 �. r. Described By: Date: d/ 2 s6 Legend" ' Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive CITY OF NEWTON SOIL SCIENTIST CERTIFICATION This is to certify that soil and site evaluations were conducted on the proposed application sites, for the City of Newton, N.C. by Synagro Central, LLC (Synagro). The soil and site evaluations consisted of hand auger borings and descriptions of the soils on the application sites; collection of soil fertility samples using standard soil sampling methods; location of property lines, residences, wells, and surface water features; identification of all required buffer areas; and generation of application area maps. All hand auger borings included in this package were either . performed by myself or under my direct supervision. January 29, 2010 Harold Sherrill Site NC-CA-20-3 NC-CA-20-4 NC-CA-20-5 NC-CA-20-6 NC-CA-20-7 NC-CA-20-8 NC-CA-20-9 NC-CA-20-10 NC-CA-20-11 Thomas Warlick Site NC-CA-21-1 NC-CA-21-2 AGRONOMIST REPORT Synagro Central (Synagro) is operating a land application program for the recycling/beneficial reuse of wastewater biosolids and residuals produced at the city of Newton's WWTP. The agronomist report is submitted as a crucial step in the review of potential receiver sites for the program. Several factors should be taken into consideration in detennizung a site's suitability to receive biosolids. These factors are: • Site Investigation • Topography • Soils • Biosolids Characteristics and Loading Rates • Crop Management Site Investigation The site investigation consisted of a physical observation of each proposed site in which the following parameters were evaluated: • Soil Characteristics • Slope • Cropping Systems • Location of Property Lines • Location of Residences • Location of Wells and Surface Water Features Site specific information is enclosed (Attachment Order 3-e) for each site evaluated. Application area maps delineating the proposed application areas within each field are also enclosed. Topography The slope of each site was evaluated during the site investigation. The slope for the individual sites ranges from 0 to 10 percent for surface application and 0 to 18 percent for sub -surface injection. Areas of excessive slope have been eliminated from the application areas. Soils Soil fertility samples were collected from each site and were analyzed for standard soil fertility parameters and regulated metals content. Soil testing of the sites included in this application indicates that the soil pH is moderately acidic on some sites. The pH of these sites will be adjusted by the addition of agricultural lime in order to achieve optimal crop production. The lime recommendations are generally made based on raising the pH to a minimum of 6.0. Biosolids Characteristics and Loading_ Rates Biosolids samples are collected per event by Synagro and analyzed by an independent laboratory. The biosolids analysis report and calculations indicate that the residuals are non- hazardous and non -toxic. Both the soils and the crops should be able to assimilate_the proposed loadings of liquids, solids, nitrogen, phosphorus, heavy metals, and salts known to be in the residuals. This assessment is based on the biosolids analysis provided, the planned application rate, proper crop management guidelines and adherence to permit requirements. On an annual basis, nitrogen is considered to be the most limiting characteristic of these biosolids. However, soil tests should be reviewed annually. Crop 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. ScottX&?V. :- Agronomist N rg,v�(Je,�, + .4 SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-20 Name: Harold Sherrill Address: 5080 16th St. NE Hickory, North Carolina 28601 Phone: (828) 256-7872 Operator: Wally Saine (Farm Manager) Address: 4697 Startown Road Newton, North Carolina 28658 Phone: (828) 234-5958 mobile Estimated Total Applicable Fields Acres Acres Maximum Predominant Latitude & Crop(s) Slope Soil Series Longitude yG 3 ✓ 57.3 32.8 Fescue 10% Lloyd 35.35.54 N L-181.15.47 W 4 25.2 19.8 Fescue 10% Lloyd ,35.36.08 - N 81.15.41 W 5 ,7 48.0 37.8 Fescue 10% Lloyd ✓35.36.11 N i 81.15.58 W 6 / 17.2 8.0 Fescue 10% Lloyd N V, jz f ✓35.36.07 81.16.08 W 7 57.0 379 Fescue 10% Lloyd 5.37.55 N 481.15.35 W 8 ✓ 28.5 16.7 Fescue 10% Lloyd V"35.37.11 N 81.15.27 W 9 55.4 .8 Fescue 10% Lloyd �5.37.04 N 81 .15.55 W 10 / 48.0 29.7 Fescue 10% Lloyd `35.37.00 N i! 1 .16.07 W 11 32.5 14.8 Fescue 10% Lloyd _ 35.36.43 N 81.16.17 ' W N W <V TOTALS Notes: Z' 369.1 233.3 coordinate all activity with Wally Saine Date: 11 /17/09 Lc 8 t State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our rveb site at: ham://h2o. err. state.nc.us/lau/aRplieations. html INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (FORM: NDRLAP, and FORM: LASCA). ✓ Any changes to this attaclunent form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: C / % Y OF /V'elaYp/,i` q Complete mailing address of applicant: &, kgok 6 0 191W Alam1y 17144a City: /Ve"W5/ely, State: Telephone number: (69 ) �9J yo2 E-mail address: we- Zip: 2&� Facsimile number: ( ) Yzz5-- 7JIP5- hereinafter referred to as the Permittee, to land apply residuals from the following residuals source - generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities NG-elh - 0 `�� ' f� L Tile 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 -.hall remain iii effect for the length of the Division's permit for "lie residuals iaii � d app lication program and sliall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 080507 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land.application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terns and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of IS months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 7. The Permittee must request and obtain a permit modification fi•orn the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application prograrn, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Pennittee. 9. The Pennittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. Residuals may be applied to the sites with a pH of less than 6 provided that sufficient amounts of lime is also applied to achieve a final pH of the soil mixture of at least 6.0, or if an agronomist provides information indicating that the pH of the soil, residuals, and lime mixture is suited for the specified crop type. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). ' 14. The landowner or his representative will inform the Pennittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Pennittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Pennittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Pennittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals ]and application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Pennittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the tern of, and for 12 months after termination of, this Agreement. FORM: LOAA 080507 Page 2 of 3 Attachment Order 3-c t ,t II. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other pennitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Pennittee to land apply residuals to the land application site(s) as specified herein. Landowner name: AQ,� Z_D L����%�/ Landowner address:— 6Deo h� ��• i(/f�s City: Ile ek y State: Zip: Phone: �BaB ZSIo i ��8 p� /may L� Signature: Date: NORTH CAROLINA, �� COUNTY I, the undersigned Notary Public do hereby certify that Az. personally appeared before me this day and acknowledged the due execution of the forgoing instrument.. _ a WITNESS my hand and official seal this the day of 20g2 g Signature and seal: My commission expires: / ' d/ L_ 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:��` ���/�► 17 Lessee/operatorf�a/ddress: 7V � , City: State: / Zip: Phone: (42e -) &&u y — Signature: u Permittee's Certification: Date: 5-- l ^ © l ❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. , Signing official wvne: Signature: /.� it/� ,� / Date: •—� �,-�� FORM: LOAA 080507 *** END OF FORM: LOAA *** Page 3 of 3 Attachment Order 3-c ,i IN,$ SYNAGIBO VICINITY MAP 07 A Reriduah Management Company COUNTY ( ZG' OWNER /yfIRDI�SP2,c�/`/ SYNAGPW TOPOGRAPHIC MAP A Residuals Management Company OWNER -.441Qold 4,eWl W SCALE: I" =-,AI7--15 FIELDS v PHOTOQUAD/YEAR Ali4/ CONTOUR INTERVAL 20 ' SYNAGED TOPOGRAPHIC MAP A Residuals Management Company OWNER JA ,8l ` SCALE: 1 " = /Jr-5 FIELDS ZS Nth -44 -Za PHOTOQUAD/YEAR 91/,1�4 CONTOUR INTERVAL 01) )a SYINAGBO TOPOGRAPHIC MAP A Residuals Management Company OWNER 11A,WZ( c5j- e Q&t( SCALE: 1" _ FIELDS % /� Ive 2?? PHOTOQUAD/YEARN�j,, CONTOUR INTERVAL Zl> SYNAGRO AERIAL REFERENCE MAP A Residuals Management Company COUNTY Oa7�d&l9 OWNER SYNAGRO AERIAL REFERENCE MAP A Residuals Management Company COUNTY c-�i`au�� owrrEx /�i9f1016IJ Ale -L'* -00 SYNAGKO AERIAL REFERENCE MAP A Residuals Management Company courrTY 6�ay6q OWNER SYNAGRO AERIAL REFERENCE MAP A Residuals Alanagment Company COUNTY d4aW,& OWNER h/�&ZV L5'11e21JJZ,-L 9-affinVY SYNAGRO APPLICATION AREA MAP A Reriduah Management Comps Owner Scale: V = 640 Field # Total Acres See Net Acres z�&5, ►y m� > STREAM APPLICATION AREA - - - - - - PRIVATE ROAD DRAIN ■ HOUSE FORESTED AREA !, CK) SURFACE WATER ❑ OUTBUILDING UNSUITABLE v x IN FENCE WELL O STORAGE AREA SOIL DESCRIPTION SUITABLE FOR INCORPORATION, PROPERTY LINE 8-12% SLOPE APPLICATION AREA MAP SYNAGRO A Reridualt Management Company Owner S eRR i-1 Scale: V = aO Field # Total Acres See summary Net Acres See oudumW > STREAM Ci:) APPLICATION AREA — — — — — — PRIVATE ROAD > DRAIN ■ HOUSE FORESTED AREA CK) SURFACE WATER ❑ OUTBUILDING UNSUITABLE " X— FENCEWELL � E L STORAGE AREA O SOIL DESCRIPTION SUITABLE FOR O INCORPORATION, �� ,� PROPERTY LINE 8-I2% SLOPE SYNAGRQ A Reiidgalt Management Company APPLICATION AREA MAP (LO Owner 61�.�1 P12,1—(/ldG�-Gi¢-2C� Scale: V Field # Total Acres 6fe 6uvnirlQ e Net Acres ee6 > STREAM CiD APPLICATION AREA — — — — — — PRIVATE ROAD > DRAIN . HOUSE FORESTED AREA CDSURFACE NVATER ❑ OUTBUILDING UNSUITABLE " X FENCE 0 WELL STORAGE AREA O SOIL DESCRIPTION SUITABLE FOR O � INCORPORATION, PROPERTY LINE 8-12% SLOPE �1 SYNAGRO z APPLICATION AREA MAP A Residuals Management Company PL ash e • � � � / Su��a��tmA 321 ` j `piss PL d , kgw Owner SfI�,Q/�!%i�C�C�'�,1— Scale: V = ",-) Field # — / Total Acres —/& 54*wmq�* Net Acres — > STREAM Ci:) APPLICATION AREA — — — — — — PRIVATE ROAD — > DRAIN ® HOUSE FORESTED AREA CDSURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE ELL STORAGE AREAO SOIL DESCRIPTION SUITABLE FOR O � INCORPORATION, PROPERTY LINE 8-1..2% SLOPE SYNAGPO Soil Map A Residuals tllauagemeitt Company OWNER i4r2DLD t rlyel;eRZ44. FIELDS 3 COUNTY � ��� SHEET"G,::2 v�u ,SCALE: P = N7-5 SOIL SERIES � SYNAGIRO Soil Map A Residuals Management Company Flew MOM 1P � 1 r R E . ��e'�a, 3.�. �'� � �i, � t � k� t°�.� fib'§• � �, °1`T�� ?� s'�e� r#y MA i' 4 e Ni IF .{"k*„�bx'�X"Jpx IM Vz ��' xr ;€ 4y *r, �{„e�,''''�,�3 �t`� �s� s`•x�t�iS � � � cw w � '€xts� k� x.:� _, , _ �.,"s, `. � � - '� �� t C E. "t7 .: ,{ ✓ 1 e�x � .3� t ti ra ��.�.�'.:, �"'� 't�� n fie.. r�'�x »� � x `"t � "$'d+.,�i � � {' y OWNER /f/,�2d/cQ J��1�,2,�/%� ✓ye-d*-2.0 FIELDS COUNTY SHEET ivei SCALE: P SOIL SERIES L/D SYNAGIRO Soil Map A Residuals Management Company OWNER /ti4,C,:5W �S`i P, 2� �/ IVZ-G4.20 FIELDS COUNTY e Ga 71-Ccry.o q SHEET SCALE: V = Nj5 SOIL SERIES 4� vrj Soil Map SYNAGIRO A Residuals Management Company OWNER 1JAPOLD 6/i6ekj LL. 1VC ,eA--W FIELDS COUNTY L7�q SHEET o SCALE: 1" = N7-5 r J �J SOIL SERIES/�/Ge ivCDA&CS Agronomic Division phone (9:19)733-2655 Web Site www ncagrgo-/agronomic :"Grower:: ;Sherrill, Harold Report No: 180Q4- pg-2 Field Informat: Apphed:`hime Recommendations Sample No. Last Crop Mo Yr T/A Crop or Year Lime P205 K20 S Cu Zia , B Aln. See Note 03 1st Crop: Fes/OG/Tim,M .7T, 120-200 100-120 0 0 01 : 0 0 .0 U 12 , 211d Crop: Fes/OPG/rim,M 0 1.20-200 100-120 0 0 o 0 0 .0 0 12 Test Results Soil Class HM% W/V CEC BS% Ac pH P-1 K-1 _ Ca% Mg% Mn-1 Mn-M(1)Mn-M(2) Zn-1 Zu-AI. C11-1 S-1 -SS-I A103-N A94-N Na MIN 0.36 1.03 6.4 73.0 1.7 5.6 15 155 41.0 21.0 1160 713 713 98 . 98 = 116 63 0.1 Field Information Applied- Lime: Recommendations. Sample No. Last Crop Mo Yr. T/A Crop or Year. Lime N P205 K20'. Mg -...S : Cu Zn B Alit See Note 04 1st Crop:. Fes/OG/rim,M 0 120-200 100-120 . 0 0 -01* 0 0 .0 U 12 2nd Crop: Fes/OG/Tim,M 0 120-200 100-120 0 0 0 O: 0 .0 0 12 Test Results Soil Class HM% W/V CEC BS% Ac pH P-I .KI Ca% Mg% Mn-I Mn-Al(1)Mn-M(2) Zn-I Zn-AI C11-1 S-I -.SS-1 NO3-N AH4-N Na MIN 0.41 1.10 5.7 81.0 1.1. 6.0 13 107 49.0 .23.0 811 504 504 55 55 124 26 0.1 Field Information Applied l in* ;Recomniendi&ns Sample No. Last Crop Mo Yr. TIA Crop or Year Liaise N P205 K20, S Cat- Zta B* .: Miz. See Note 05 1st Crop: Fes/OG/Tim,M .7T 120-200 120-140 50-70 0 0 . O 0 .0 a 12 2nd Crop: Fes/OG/rim,M 0 120-200 120-140 50-70 12 Test Results Soil Class HM% W/V CEC BS% Ac pH. P-1 K-1 Ca% ft% Mn-I Mn-AI(1)Mn-AI(2) Zn-I Zn-Al - Cu-1 S-1 SS-1 A703-N A714-N Na. MIN 0.27 0.95 6.8 76.0.. .1.6, 5.5 8 38 :51.0 . 23.0 121 90 90 63 63 .62 44 0.1 Field Information Applied:Lirne .: >Recoinmendations v, . - _ Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205. K20 Mg S Cat ZitB Mii. See Note 06 1st Crop: Fes/OG/rim,M AT 120-200 120-140 80-100 0 0 -0. $ 0 0 12 2nd Crop: Fes/OG/rim,M 0' 120-200. _ J20-140 80-100 0 0 0 $ .0; 0 12 Test Results Soil Class HM% W/V CEC BS% Ac . .. pH P-1 KI Ca% Mg% Mn-1 Mn-AI(1)Mn-M(2) Zn-I Zia -Al Cu-I S-1 SS-1 . NO3-N Mi4-N Na MIN 0.76 0.97 6.0 75.0.. 1.5. 5.8 5 25 50.0 23.0 146 105. 105 11 11 80 54 O.1 Field Information Applied"Lime '=Recommendations Sample No. Last. Crop Mo Yr T/A Crop or Year Lime IV P205 K20. Mg S Czt Zn B A9n See Note 07 1st Crop: Fes/OG/rim,M .3T 120-200 70-90 0 0 0 0 0 .0 O 12 211d Crop:, Fes/OG/rim,M 0 120-200 70-90 0 0 0 0 0 .0 0 1.2 Test Results Soil Class HM% W/V CEC BS% Ac pH P-I K-I Ca% Mg% Mn-I Mn-AI(1)Mn-AI(2) Zn-I Zn-AI Cat-1 S-I SS -I NO3-N AF14-N Na MIN 0.46 0.91 7.8 85.0 1.2 5.8 23 118 49.0 .28.0 117 87 87 60 60 75 52 0.1 NCDA&CS: Agrr' mic Division Phone: (919)733 2:655.. Web Site www neagr 3gronomi/, : Grower Sherrill,=Harold Report No: 18.(►```� Pg 3 Field Informat.wi Applied Lime Recommendations 16c, Sample No. Last Crop Mo Yr T/A Crop or Year Lime NP205 K20 Mg S Cu Zn B Mn See Note 08 1st Crop: Fes/OG/Tim,M 0 120-200 1107130 60-80 0 0 0 0 .0 0 12 2nd Crop: Fes/OG/I'im,M 0 120-200 110-130 60-80 0 0 0 0 .0 0 12 Test Results Soil Class IN% W/V CEC BS% Ac pH P-I K I Ca% M% Mn-1 Mn-AI(1) Mn-Al(2) Zn-I Zn-Al Cn-I S-I SS -I NO3-N AF14-N Na MIN 0.04 0.95 6.4 84.0 1.0 6.0 11 32 54.0 29.0 72 60 60 31 31 59 43 0.1 Field Information Applied Lime Recommendations Sample No. Last Crop Mo Yr T/A Crop or Year Lime NP205 K20 Mg S Czc Zn B Mn See Note 09 1st Crop: l',es/OG/1'im,M .61' 120-200 10-30 50-70 0 0 0 0 .0 0 12 2nd crop: 1'es/OG/I'im,M (1 120-200 10-30 50-70 0 0 0 (1 .0 0 12 Test Results Soil Class IN% W/V CEC BS% Ac pH P-1 K I Ca% Mg% Mn-I Mn-M(1)Mn-N(2) Zn-1 Zn-Al Cu-1 S-I --SS-I NO3-N AU4-N Na MIN 0.22 1.12 4.8 71.0 1.4 5.5 51 37 45.0 22.0 206 141 141 110 110 95 47 0.1 Field Information Applied Lime Recommendations Sample No. Last Crop Mo Yr T/A Crop or Year Lime IVP205 K20 N(g S Cat Zn B Mn See Note 10 1st Crop: Fes/OG/Tim,M 1AT 120-200 50-70 10-30 0 0 0 0 .0 0 12 2nd Crop: Fes/OG/I'im,M 0 120-200 50-70 10-30 0 0 0 0 .0 0 12 Test Results Soil Class IN% . W/V CEC BS% Ac pH P-I K I Ca% N,jg% Mn-I Mn-AI(1) Mn-Al(2) Zn-I Zn-AI Cu-I S-1 SS-1 NO3-N AH4-N Na MIN 0.09 0.95 4.9 57.0 2.1 4.8 33 64 36.o 15.0 58 52 52. 114 -114 114 82 0.1 Field Information Applied Lime Recommendations Sample No. Last Crop Mo Yr T/A Crop or Year Lime P205 K20 Mg S Cu Zn B Mn See Note 11 1st Crop: Fes/OG/I'im,M AT 120-200 90-110 90-110 0 0 0 0 .0 0 12 2nd Crop: Fes/OG/Pim,M 0 120-200 90-110 90-110 0 0 0 0 .0 0 12 Test Results Soil Class ID1% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% . Mn-I Mn-Al(1)Mn-Al(2) Zn-I Zn-Al Cu-I S-I SS-1 NO3-N AFf4-N Na MIN 0.41 1.04 7.7 79.0 1.6 5.8 17 18 55.0 22.0 144 103 103 129 129 95 32 0.1 Nortfl C2.11-0IIna 101McCli TniSt'F!Ill c: Ci��r�rr,i�,•:.��;� Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you f& using agronomic services to manage nutrients and safeguard environmental quality. Steve Troxler, Commissioner ofAgriculture Weu Site:::wwwncagr com/4gronomi/; Pg 1 NCDA&CS Agronomic -Division' _ . Phone: (919)73372655 -�: - Heavy Metal Soil ' Test Report Sherrill, Harold Report #: 18004 4697 Startown Rd Newton, NC 28658 MVIEHLICH-3 EXTRACTION Catawba County Questions concerninp- these analyses should be referred to the Agronomic Division, Soil Testinu Cd Ni P b Se Cr As Al Fe Sample - CadiniutttNickel Lead Selenium Chromium ArsenicAluminum------------- Iron ID ------------ --------------------------------------------mg/dm3(ppm)------------------------------------------- -- -- 09 0.00 0.20 2.40 0.00 0.20 0.20 913.30 114.80 10 0.00 0.20 3.10 0.10 0.10 0.10 941.50 80.50 000 2.00 0.10 0.00 0.10 0.10 1,103.00 60.30 04 0.00 0.20 06 0.00 0.10 1.50 0.00 '0.10 0.20 1,387.00 59.00 03 0.00 0.20 1.70 0.10 0.10 0.20 1,169.00 58.30 08 0.00 0.10 1.60 0.10 0.10 0.10 791.70 55.10 05 0.00 0.10 1.90 0.10 0.10 0.10 981.10 66.80 11 0.10 0.20 2.50 0.10 0.10 0.10 762.40 92.40 07 0.10 0.20 1.80 0.10 0.10 0.10 739.70 95.30 Report Number 09-322-0638 Page: 1 of 3 Account Number 46476 Send To: SYNAGRO CENTRAL LLC/NEWTON Mary Brewer 284 BOGER RD MOCKSVILLE , NC 27028 Client: FARM NC-CA-20 HAROLD SHERRILL 0Y A &L Eastern Laboratories, Inc. °� ,` 7621 Whitepine Road Richmond, Virginia 23237 (804) 743.9401 Fax (804) 271-6446 mm a I -la bs-eastern. corn REPORT OF ANALYSIS Mercury Molybdenum, Extractabl, Lab No Sample Id ppm Sample Date and Time 0706 ` I 07055 03 < 0.400 2.3 07056 04 < 0.400 1.9 07057 05 < 0.400 1.4 Sample results are reported 'as received' and are not moisture corrected unless noted Submitted By: SCOTT BERG Purchase Order: 61-0016 Report Date : 11/20/2009 Date Received : 11/18/2009 J � Oscar Ruiz If/ee, -- L" Report Number 09-322-0638 Page: 2 of 3 Account Number 46476 Send To: SYNAGRO CENTRAL LLC/NEWTON Mary Brewer 284 BOGER RD MOCKSVILLE , NC 27028 Client: FARM NC-CA-20 HAROLD SHERRILL Lab No Sample Id Sample Date and Time 07058 06 07059 07 07060 08 07061 09 07062 10 �E A&L Eastern Laboratories, Inc, 762 W e 1 hit pme Road Richmond, Virginia 23237 (804) 743-9401 Fax (804) 271-6446 www.a l-labs-ea stern.co m REPORT OF ANALYSIS Mercury Molybdenum, Extractabl, ppm < 0.400 1.7 < 0.400 1.3 < 0.400 0.7 < 0.400 1.5 < 0.400 1.5 Sample results are reported 'as received' and are not moisture corrected unless noted Submitted By: SCO T T BERG Purchase Order : 61-0016 Report Date : 11/20/2009 Date Received : 11/18/2009 J � Oscar Ruiz Report Number 09-322-0638 Page: 3 of 3 Account Number 46476 Send To: SYNAGRO CENTRAL LLC/NEWTON Mary Brewer 284 BOGER RD MOCKSVILLE , NC 27028 Client: FARM NC-CA-20 HAROLD SHERRILL Lab No Sample Id Sample Date and Time 07063 11 Y A&L ,Eastern Laboratories, Inc. ' 7621 Whitepine Road Richmond, Virginia 23237 (904) 743.9401 Fax (804) 271-6446 www.al-labs-eastern.com REPORT OF ANALYSIS Mercury Molybdenum, Extractable ppm < 0.400 1.1 Method Reference: Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Soil Sci. Plant Anal. 25:1409-1416. USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current Revision Sample results are reported 'as received' and are not moisture corrected unless noted Submitted By: SCOTT BERG Purchase Order : 61-0016 Report Date : 11/20/2009 Date Received: 11/18/2009 J � Oscar Ruiz SYNAGPO- SOIL DESCRIPTION SHEET A Residuals Management Company Project: Landowner: Site: % Field: Sample #: Slope (%): Acres (gross): Acres (net): Crop: r* c SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure PROFILER &P - , pub ' &0/4 if, .Y 7 i o- Depth to SHWT: 1P Z Depth & type of restrictive layer: r �i a Soil Series: Lf, 0, Mottles/ Redox. features Mottles/ Horizon Depth Texture Color Structure Redox. features PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: Legend Date: eelvl fe Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive p SYNAGRO SOIL DESCRIPTION SHEET AResiduals Management Company Project: 4 Landowner: Y/I 'Sx � Site: Field: Sample #: Slope (%): Acres (gross): Acres (net): Crop: fs COS- k , SOIL PROFILE DESCRIPTIONS Mottles/ Horizon Depth Texture Color Structure Redox. features PROFILE A C 1 KW ��«t a lS4 �i`l�i L& Depth to SHWT: Depth & type of restrictive layer: ? ? 4 Soil Series: 44d' Mottles/ Horizon. Depth Texture Color Structure Redox. features PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: Date: 0144144 Legend Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive }�l,�f( SYNAGRO SOIL DESCRIPTION SHEET A Residuals Management Company Project: �'�' Landowner: 114-. Site: e - 2,0 Field: Sample #: Slope (%): Acres (gross):. Acres (net): _ Crop: r-rScaC SOIL PROFILE DESCRIPTIONS Mottles/ Horizon Depth Texture Color Structure Redox. features PROFILE A lj-,5 /l>,+glg 5 43 ion > 1,6 4 Depth to SHWT: >C, Depth & type of restrictive layer: > 3 f� Soil Series: % F Mottles/ Horizon, Depth Texture Color Structure Redox. features PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Al Af l-{ 0 -4-- f-A-, h) Described By: Date: 0)LZI ®10 Legend Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive .4 4% J SOIL DESCRIPTION SHEET SYNAGIRO r A Residuals Management Company Project: AJEV i Landowner' - ..Site: / ?w Field: � Sample ##: Slope (%): Acres (gross):. Acres (net): Crop: 6'C V5' 6001f SOIL PROFILE DESCRIPTIONS Ho izon Depth PROFILE A l✓ d- PROFILE B Notes: Legend Texture Color Structure 4 1&e °f its �,r4 r 9 le r -Wlg 1a Mottles/ Redox. features Depth to SHWT: � l Depth & type of restrictive layer: Soil Series: L_ ,1Y4 Mottles/ Horizon Depth Texture Color Structure Redox. features Depth to SHWT: Depth & type of restrictive layer: Soil Series: Described By: Date: Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive .. 41 J SOIL DESCRIPTION SHEET Project:. �&wr-,J Site: �fi Field: Acres (gross): p SYNAGRO A Residuals Management Company Landowner: aw_wt_,:� $_ Sample#: Slope: Acres (net): Crop: 6cua SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A 0-5 - 1P lflr f f 5- 2 7 l 2-7-U, lu Depth to SHWT: '73 Cf Depth & type of restrictive layer:- ce Soil Series: L`aEJ� Horizon Depths Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: Legend Date: Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive 4 4• SOIL DESCRIPTION SHEET r" Project: fJ Site: field: _4 ,Ipi) SYNAGWO A Kettartats Management C.ontpany f d` Landowner: : d'a �6 Sample #: . Slope (%): Acres (gross): Acres (net): Crop: .: PROFILE A PROFILE B Notes: SOIL .PROFILE DESCRIPTIONS Mottles/ Horizon Depth Texture Color Structure Redox. features N°` Ve Depth to SHWT: >3� Depth & type of restrictive layer: y 3 G Soil Series: Mottles/ Horizon Depth Texture Color Structure Redox. features Depth to SHWT: Depth & type of restrictive layer: Soil Series: Described By: Date: J14 Legend Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive �°l/ SYNAGIRO SOIL.DESCRIPTION SHEET A Residuals Management Company Project: Q,-,,Q-atJLandowner: WARwI6 Site: _ Field: Sample #: Slope (%): Acres (gross): Acres (net):. .. Crop.: afcv ' 'r--r fK SOIL PROFILE DESCRIPTIONS Horizon Depth Texture PROFILE A Afi, 6 - s 4-- Color Structure Depth to SHWT: Depth & type of restrictive layer: '734 Soil Series: �0�9 Mottles/ Redox. features Mottles/ Horizon Depth Texture Color Structure Redox. features PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By:Date: Legend Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive -A if r SOIL DESCRIPTION SHEET I Project: SYNAGRO A tcestrartats rrtanagentenr t ornpany ,r Landowner:. Site: -7 Field:_ Sample: Slope Acres (gross): Acres (net)-'- Crop: SOIL PROFILE DESCRIPTIONS Mottles/ _ Horizon Depth Texture Color Structure Redox. features PROFILE. A d_ eG- A SYle y/4. 1 & - Depth to SHWT: Depth & type of restrictive layer: a Soil Series: Mottles/ Horizon Depth Texture Color Structure Redox. features PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: / Legend Date: 1� Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive SOIL DESCRIPTION SHEET Project: N6 Site: 81- 2,C) Acres (gross): . Horizon PROFILE.► 100 11 PROFILE B Notes: Legend SYNAGIRO A Residuals Management Company Landowner: e21i3 �w, Field: Sample #:. Slope N: Acres (net):. _ Crop: f)cee ay SOIL PROFILE DESCRIPTIONS Depth Texture Color 4-4 et, 10 S/ (A8 , (re MG < Depth to SHWT: Depth & type of restrictive layer: Soil Series: hi-o V Mottles/ Structure Redox. features ; r -'.S"Yefe�c. GI Mottles/ Horizon Depth Texture Color Structure Redox. features Depth to SHWT: Depth & type of restrictive layer: Soil Series: Described By: Date: 41121Z1,1 Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive Water Pollution Control Systems Operator besignation Form WPCS()CC NC;AC YSA 8G .U20'YiP{rs/#►�:.=� Permittee Owner/OfflYcer Name: /,//j ri • — n Mailing Address: I City: Signature: r a . Phone #: Facility Name: (f�2rk Cfee & _ J�zw'TP . _ -- Permit #: County: i SUBMIT ASEPARAn FORM FOR EACH TYPE OFSYSTEM Facility Type & Grade: Type Grade T e_ ...Grrude Biological WWTP Surface Irrigation _N/A Phy%ical/Chemical Aft, Cullection System . I ............ ................................................................................. 11. ........................ . ... .......... Operator in Responsible Charge (ORC) Print lull Name: 7-)Onn (4 Certificate Type / Grade / Number: I -A ,25008 - Work Phone #: "I Certify that I agree to illy Jesignation as [he Operator in ltesimisibie Chur}c fOr the iacilit) notch. I undvrc .nd w3d H tli a;hidc h) the rules and regulalinns penainiq ter the responsibilities t f ilie ORC ;IS set forth in 15A \C„ C. Ok(i .0204 anti foiling u') Lit! ,0 �:;;n rt:Fult ;1t Discipiinury Actions by the Wutcr Poliution Control SyAwi t Operators C'crtificatiuit f'ummissiun," Bach: -Up Operatorin Responsible Charge (HU ORQ Print Full Naiite:._1X-G, ,r )?/ (- %764te Certificate 'Cype /Grads /Number: � Wort: Phone #: W?nr; 3VY l signature Matt: __ . 1 ( z 7vI o,_ "1 ccrtit'y thtat Bret to [rty designation as u Ouck-up Operator in Responsibly. "hargc fire thr ratriii[y Litx i. 1 will abide by Utc rules and regulations perinining to the re4punsiitiliiies of the Fill ORC tis sut fori.li in 15;1 NC'AC 080 .0205 wiJ 1',tiliq its do so can result in Distripiitiaty Actions by the Water Poilution C:otltrul Systtarn Operators C'erufiVWjOn C:oirul)isyio;t," ....a..e.e.................................................................................... —46.............................................. Mall 91 Fax to: WPC SOCK 161$ Mail Service Center Raleigh, NC 27699-1618 Fax,919/733.1338 l5ce next ptige for de"iyAation of additional back-up uperajors. I.)e.ign;aion of oxm than one back-up operator is op(lonal.[ Reviuod P,2007 90'd T8•b.L29t,8Z8 d1MM'N01MH1N'd0'A1I0 WO TT:60 OTOZ-2T-1,10r A- Additional Burk -up ORC de+ignutinas Faciiity Name- .•�.� Permit ..*.......•...................a.Y................. ............... ,•.......................... Rack -Up Operator in Responsible Charge (BU ORQ . Print Full Nome: Certifl;aUte i'ypu / CirtdG / N�,mher: — --—..,....._...._, Work Phone SignatuIe: v �} •'I Certify Thal I ogre{' 10 fitly titwignation as a Hack -up 00cralor in Res ojvsihh chau'ge for the Jawiltll, the rules and rr u!ariuns {>rrtainitlg I„ the ru5}x,nsihilitivs of the K' ORC ih seI u,ril, in l i.-k ,NC'A(.' 08C' .u_1i..5 ;t,ni ;, f:,,;i:, msull in Uilwipiitmrr Actians by the Water Pollution Contrirl 5ysrem t:)perworw ('trl'fiti�;lllt+n ('01111inss un."::p u:, ..............................•.................... Hack -Up Ope.ratur in Respartsible Charge ('BU ORC) Print Full Name: Certificate Type / Grade / Number; Signature: Work Phone #: s w• _..Z_..___ .._....._ ..-- - •'1 certify that 1 agree to lny iletifgnation Its a Back-up Opermor in Rv+popaiblc C'h;uKr r,J, the. I'awli:y ntltc,l. 1 :,n1 �r�::;: -i :uui a i;:y,h;:ir ;`• the ruffs find rCgul,ltl4ns 17e'r'Igltling to the respollsilli(ille, ,�t, he tit: C')liC':Ix scl lilr�tll in 15�1 tiC';1C• rltiCa .tr;fl� result in Uisc(ptigaty Actfuns by the W'uter Pollution C:urnnJl 5 �u n . ) 1 C1f,':ra fors C'urtiriu•tl,n C"„ 1'` !'! L ••,r Sart ................................... I........................ Back -Up Operator In Ret�punsibl C} • ,•. .. " .. .••. e urge (BL ORc) Print Full Nume; Certificate 'Cype / Grade / Nunther: Signature: ' ark "I Ct rtify Ih;M1I ! 11yrcC It, 1111' tic5ikrttlt(<m uti :, llncy•up C)hCl.aol' it, Rc,pUttctl7!k C"htu'ge I'ur 111e f:,� rl!h n,UC�i } the rules anti regulc,tion,, pertalttinit t,1 the rotl>+lnnli:ilitir. of llte TiU result in !)i�41 71, t)li(" as liu'Ut l0 I S,q 1C :1C' lJI{li .t1 fu5 hide by ( nor. ;1.•ti,nt� by the 14;ucr i�ollu,ion C_' ;,,:,i - tiBlrpl Syyti711 C.)perti,,,'� (`�r;llit'uh,tn ..•....................... ............................. Back -Up Operator in Responsible Charge e , ... ..•.... g (i3i] t)18C) Prilit Full Name: Certi ficLice. '1'Y1ic / (.,rack ! �'t.utih _........... Orr .. Work 1''futnt: !r: .._.. _.._ ._ _.. J Signature: � ... ._..__,._.�.� "f Certify that I qrce to m) desil`ntllmll as a Bllc;h•,rp C)ilcrator ill RCF jojj%1t11C the rule ancf rcgululi!uts 11u'lainiog 141 the rtapttr sibilitier• ut'llle 13t; OR(' as scr f,�rlh in I iA .�<';,i' rlci •fir ;;;; ,;;;,I I 1~� tie th.• Iftiilliy n„I��i I anvrr•�;:,;:,f ,l lt;i! ;;bitlt: by MSUIt ;n 17isdrlivar) ,��•tirutx by the Wau;r Pollution ('ttnsrui S)'�trrn•C) trrutur� C'•r I;it;' :r• Can • I 4 titic;xuan i"umJ:;i.�rnn... ,; , RLv-,i ,0d 8•2Q07 90 - d T 8vL99v8Z8 d1MM • N01MAN • d0 • Al I0 W J Z T : 60 0 T OZ-2 T-1,10r k Adrw�® NC®ENR North Carolina Department of Environment and Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director Mr. Wilce B. Martin, Public Works Director City of Newton Post Office Box 550 Newton, North Carolina 28658 Dear Mr. Martin: Natural Resources Dee Freeman Secretary AQUIFER PROTECTION SECTION August 6, 2009 Subject: Attachment B Certification Permit No. WQ0003902 City of Newton Residuals Land Application Program Catawba County By this letter we are forwarding herewith a modified Attachment B, certified August 6, 2009, to the City of Newton for the subject residuals land application program for the City's wastewater treatment plant. This certification is being issued to modify the existing Attachment B to remove the Turbyfill land application site (NC-CA-35 fields 1, 2a, 2b, 2c, 3a, and 3b) and transfer them to another program by the owner's request. A copy of the request is attached, along with the newly certified attachment B for the subject permit. Please replace the existing Attachment B of Permit No. WQ0003902 with this Attachment B dated August 6, 2009. It is the Permittee's responsibility to ensure that a complete permit is created, by inserting this modified Attachment B and removing the vicinity and buffer maps for the transferred fields from Permit No. W00003902. Please be sure to retain any vicinity and buffer maps for any existing and unmodified land application sites. This permit expires May 31, 2011. This modified Attachment B shall be effective from the date of certification; shall void Attachment B of Permit No. WQ0003902, that was previously certified, 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. 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 Internet: www.ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer Nne orthCarolina NOVA IlIff City of Newton — WQ0003902 Attachment B August 6, 2009 Page 2 . If any parts, requirements, and/or limitations contained in this certification or modified Attachment B are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of the certification. This request shall be in the from of a written petition, conforming to. Chapter 150E 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 Ellen Huffman by telephone at (704) 663-1699,or via e-mail at ellen.huffman(a-_)ncmail.net. Sincerely, For Coleen H. Sullins, Director Attachments cc: Scott Berg, SYNAGRO, Mocksville office Catawba County Health Department Mooresville Regional Office -Aquifer Protection Section Files Aquifer Protection Section Central Files LAPCU Residuals Program Coordinator a ATTACHMENT B - Approved Land Application Sites Permit Number: WQ0003902 Version: 2.0 City of Newton City of Newton Residuals Land Application Program Field/Zone Id Owner Lessee Net County Latitude Longitude Acreage Dominant Soil Series NC-CA-07-01 Smyre, Jeffery L Catawba 3503747" 81010'50" 9.50 Hiwassee NC-CA-07-02 Smyre, Jeffery L Catawba 3503750" 81010'50" .15.10 Cecil NC-CA-07-03 Smyre, Jeffery L Catawba 3503754" 81010'50" 6.50 Hiwassee NC-CA-08-01 Simpson, William H Catawba 35033'50" 81016'27" 9.10 Hiwassee NC-CA-08-02 Simpson, William H Catawba 35033'50" 81016'36" 17.20 Hiwassee NC-CA-08-03 Simpson, William H Catawba 35033'52" 81016'48" 14.60 Hiwassee NC -CA -I I1-01 City Of Newton Richard, James Catawba 3503735" 81014'05" 3.30 Cecil NC-CA-111-02 City Of Newton Richards, James A Catawba 35037'45" 81014'05" 4.90 Hiwassee NC-CA-14-01A Lee, Nelda Waters, Chuck Catawba 35034'28" 81018'05" 19.30 Hiwassee NC-CA-14-01B Lee, Nelda Waters, Chuck Catawba 35034'25" 81018'14" 10.00 Hiwassee NC-CA-14-OIC Lee, Nelda Waters, Chuck Catawba 35034'22" 81017'51" 9.30 Hiwassee NC-CA-14-02A Lee, Nelda Waters, Chuck Catawba 35034'20" 8101753" 23.70 Hiwassee NC-CA-14-02B Lee, Nelda Waters, Chuck Catawba 35034'09" 81017'59" 3.10 Hiwassee NC-CA-14-03 Lee, Nelda Waters, Chuck Catawba 35034'09" 81017'38" 28.80 Hiwassee NC-CA-14-04 Lee, Nelda Waters, Chuck Catawba 35034'25" 81018'21" 12.70 Hiwassee NC-CA-15-01 Fox, Conley Fox, Conley Catawba 35048'45" 81009'52" 11.20 Hiwassee NC-CA-15-02 Fox, Conley Catawba 35048'51" 81009'48" 3.70 Hiwassee NC-CA-15-03 Fox, Conley Catawba 35048'57" 81009'51" 7.90 Enon NC-CA-15-04 Fox, Conley Catawba 35049'04" 81009'54" 4.90 Cecil NC-CA-15-05 Fox, Conley Catawba 35049'04" 81009,50" 1.40 Cecil NC-CA-15-06 Fox, Conley Catawba 35049'13" 81009'53" 5.90 Cecil NC-CA-15-07 Fox, Conley Catawba 35049'05" 81009'42" 19.30 Cecil NC-CA-15-08 Fox, Conley Catawba 35049'20" 81009'29" 12.90 Cecil NC-CA-15-09 Fox, Conley Catawba 35049'04" 81009'22" 1.70 Cecil NC-CA-15-10 Fox, Conley Catawba 35049'01" 81009'18" 1.90 Cecil NC-CA-15-11 Fox, Conley Catawba 35048'56" 81 °09'56" 7.90 Cecil NC-CA-16-01 Biggerstaff, Richard Catawba 35033'42" 81015'27" 12.00 Pacolet NC-CA-16-02 Biggerstaff, Richard Catawba 35033'33" 81015'11" 13.90 Cecil NC-CA-17-01 Berry, Jane Waters, Chuck Catawba 35034'52" 81°17'46" 4.10 Cecil NC-CA-17-02 Berry, Jane Waters, Chuck Catawba 35034'49" 81017'42" 3.80 Cecil NC-CA-17-03 Berry, Jane Waters, Chuck Catawba 35°34'47" 81017'37" 9.70 Pacolet NC-CA-17-04 Berry, Jane Waters, Chuck Catawba 35034'35" 81017'37" 26.70 Cecil Page 1 of 2 W00003902 Attachment B Certified August 6, 2009 NC-CA-17-05 Berry, Jane Waters, Chuck Catawba 35034133" 8101743" 6.00 Hiwassee NC-CA-17-06 Berry, Jane Waters, Chuck Catawba 35034'22" 81°17'36" 9.10 Pacolet NC-CA-17-07 Berry, Jane Waters, Chuck Catawba 35034'47" 81°17'54" 29.30 Hiwassee NC-CA-17-08 Berry, Jane Waters, Chuck Catawba 35°34'38" 81'18'04" 21.80 Hiwassee NC-CA-17-09 Berry, Jane Waters, Chuck Catawba 35034'49" 811,18,191, 10.20 Cecil NC-CA-18-01 Hunsucker, Bruce Goins, Gordy Catawba 35°34'17" 81014'12" 27.40 Davidson NC-CA-18-02 Hunsucker, Bruce Goins, Gordy Catawba 35034'19" 81014'27" 16.80 Hiwassee NC-CA-18-03 Hunsucker, Bruce Goins, Gordy Catawba 35034'05" 81013'59" 5.10 Davidson NC-CA-18-04 Hunsucker, Bruce Goins, Gordy Catawba 35034'03" 81014'14" 15.20 Davidson NC-CA-18-05 Hunsucker, Bruce Goins, Gordy Catawba 35033'55" 81014'21" 9.30 Davidson NC-CA-30-OIA Jarrett, Larry Catawba 35°48'56" 81019,09" 10.70 Hiwassee NC-CA-30-OIB Jarrett, Larry Catawba 35035119" 81019'05" 7.90 Hiwassee NC-CA-30-02 Jarrett, Larry Catawba 35035'29" 81019'19" 14.20 Hiwassee NC-CA-32-01 Sigmon, Ronnie Catawba 35038'03" 81006'01" 13.70 Appling NC-CA-32-02 Sigmon, Ronnie Catawba 35039'45" 81°06'41" 7.30 Appling NC-LT-I19-01 Canipe, Bobby Goins, Gordy Lincoln 35033'19" 81018,18" 11.50 Pacolet NC-LT-I19-02 Goins, Gordy Goins, Gordy Lincoln 35033'14" 81018,111, 5.40 Pacolet NC-LT-119-03 Goins, Gordy Goins, Gordy Lincoln 35033'13" 81018'21" 7.50 Pacolet NC-LT-119-04 1 Goins, Gordy Goins, Gordy Lincoln 35033'10" 81018'23" 5.40 Pacolet Total 569.80 Page 2 of 2 WQ0003902 Attachment B Certified August 6, 2009 i Sidney- Turbyfill Turbyfill Properties. LLC 4300 Biggerstaff Road \Maiden NC 28650 Attn: Ellen Huffman NCDENR - Di -vision of Water Quality Mooresville Regional Office 610 E. Center St. Mooresville N.C. 2811 30 January, 2009 Re: Change of land application programs Dear Madam: Enclosed please find my letter to IMIce Martin, Public Works Director for Newton NC, requesting withdrawal from their land application program. 1, also, signaled our intention to procure solid waste from the Lincolnton plant. The bureaucratic process for trans itioning to Lincolnton's program is a mystery to me. However, l assume that Synagro will assist me with that process. Feel free to contact me if a follow-up is necessary. Sincerely, Sidney Turbyfill, Manager Turbyfill Properties, LLC Site# NC-CA-3 5 Newton Land Application Permit No. WQ0003902 828-428-1424 cc. Scott D. Berg, Sytiagro Central. LLC :, r' Wilce B. I\ tart!il - F-D Y Cite ofNewton PO Boa 550 Ne�\,Ion NC 2S658 Re: �V'thdraNval from l� ii wton land application pror Dear Sirs: Sidney Turbyfill Tuarbvtill Properties. LLC 4300 Biggerstaff Road \Maiden NC �S650 30 lanuarl. -UO9 Let me take a illomenr ,) thane: you for the excellent results we have achieved on the pastures and hay fields of our farm — as _i result of utilizing sludge application of waste water front your Nev.7toll plant. With crude oil prices exploding, and consequent radical inflation of fertilizer prices, we were grateful to have saved so substantially. Recently; I began a review of our farm practices which included a study of the soil,test results from past years; along with a thorough investigation of recommendations for supplementinCT soil to achieve optimum production. Unfortunately, data, from recent soil test reports, indicate an Lll15at1sfact0l"V rise in the Ph of soils treatec'�vith sludge from your facility: Consultation �vitll other :farm businesses and agribusiness consultants has revealed the a�'ailability of non lime -stabilized sltid.ge at the Lincolnton facility that would accommodate our needs more equitably at this time. Consequently, the mvuers of this property have decided to request withdrawal of ow: property (Site# NC-CA-35; Ne�,v on Land Application Permit No. WQ0003902) from the Newton land application program, effective as of this date. Again.. :Ve gre:!tly appreciate the past benefits of your program. Thank you for your assistance. Sincerely vours.. Sidney Turbyfill_ N/lanager Turbyfill Properties. LL cc. Ellen Huffman. N" 'DENR - Division of Water Quality Scott D. Berg Technical Services \-tanager Synagro Central. LLC 284 Boger Road Nlocksville, N. C. 27028 Re: Change of land application programs Dear Mr. Berg: Sidney Turbyfill Turbyfill Properties, LLC 4300 Biagerstaff Road Maiden NC 28650 30 7anuary, 2009 Per the enclosed letters to the City of Newton NC and NCDENR Water Quality in Mooresville; please initiate, at your discretion, the process for acquiring solid waste from the Lincolnton facility. As you will recall, no land application occurred during the calender year 2008 — while we accessed other options for disposition of the property. So, we are anxious to resume application at the earliest feasible time. We have a new lessee that will maintain the current cross fencing as is (for now), so previously mapped application areas will not be affected —.old maps still apply. We look forward to continuing our synergistic relationship with Synagro during 2009 and beyond. Please contact me as needed to accommodate this transition. Sincerely, Sidney Turbyfill, Manager Turbyfill Properties, LLC 828-428-1424 CITY OF P.O. Box 550 • Newton, NC 28658 • (828) 465-7400 • Fax (828) 465-7419 "THE DART OF CATAWBA COUNTY" 07/15/2009 Coleen Sullins Director NCDENR/DWQ 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Modify permit No. WQ0003902 City of Newton Residuals Land Application Program Land Apµphcat on ofrResidual Sol' `ds (503_, CCa_taw5a`_Couity� Dear Ms. Sullins: DECLOWE AUG - 3 2009 NC DPN MR0 DWQ - Aquifer Protection The City of Newton request that the Division reduce the Toxicity Characteristics Leaching Procedure (TCLP) testing frequency as cited in the permit under section III, item 42. I have included the last three TCLP test results (2007,2008,2009) performed under the current permit for review by the Division. It should be noted that all of the measured pollutants for these three years were below detectable levels. The City of Newton expects that the Division can appreciate the economic savings ($600/year) to the City through the duration of the current permit -that expires May 31, 2011. If you or your staff has'any additional questions please do not hesitate to contact me at 828.695.4346. Sincerely, JG Danny Sigmon City of Newton WWTP Superintendent JUL 2 0 2009 !riio'rr.ion Pi0cessin9 Unit y^ 9_4P SUMMIT CiiENVIRONMENTAL TECHNOLOGIES, INC. Analytical laboratories Approved By: Client Synagro Southeast 284 Boger Rd. Mocksviile, NC 27028 Order lumber 0702102 Project Number Newton WWTP Issued Monday, March 12, 2007 Total Number of Pages 10 (excluding C.O.C. and cooler receipt form) Bassam Yousset Laboratory Manager RECEIVED� JUL 2 0 2009 i tUnit tnTorrr on processing NELAC Accreditation #E87688 A2LA ISO/IEC 17025 Accreditation #0724.01 ,,Analytical Intngr'ity" '. A2LA Accreditation #0724.01 • NELAP Certified 595 East Tallmadge Avenue Akron, Ohio 44310 . Phone: 330-253-8211 •Fax: 330-253-4489 Web Site: www.settekoom ! [ [0/70i0 'd G3t6 H56 KE '011 VAdA AMNOHIAQ 1.IWWAS lidTfi 0D 11C'IJ/L[% gI1iL007 SUMMIT UjENVIRONMENTALTECHNOLOGIES, INC. Analytical Laboratories Client: Synagro Southeast Order Number: 0702102 6Laboratory'lD . 0702102-01 Sample Summary Client ID Newton VVWTP Matrix Sludge 2 Sampling -Date 2126/2007 "Analytical Integrity" - A2LA Accreditation 40724.01 • NELAP Certified 595 East Tallmadge Avenue - Akron, Ohio 44310 . Phone; 330-253-8211 , fax: 330-253-4489 Web Site: wwvv:settek.com lid OIL I I0,% 00 '0 GPt 05Z 0r 0 'OR XdJ ZNMOHIANH IIHNnS 50 11CI�. ii �I�i�00? S SUMMIT ENVIFIONMENTAL TECHNOLOGIES, INC. Analytical Laboratories 3 Report NarratiVO Client: S na Iro Southeast Order Number 0702102- No problems were encountered during analysis of this order number, except as noted. Data Qualifiers: E = Analyte found in the method blank J - Estimated concentration of an analyte between the MDL (LQD) and the Reporting Limit (LOQ) C = Analyze has been confirmed by another instrument or method E = Anatyte. exceeds the upper limit of the calibration curve. D r Sample or extract was analyzed at a higher dilution X = User defined data qualifier. S = Surrogate out of control limits a m Not Assredited by AALA or NELAC Limit Of Quantitation (LOQ) = Laboratory Reporting Limit Estimated uncertainty values are available upon request. The test results meet the requirements of the NELAG and A21A standards, except where noted. The Information contained in this analytical report is the sole property of Summit Environmental Technologies, Inc_ and that of the client. It cannot be reproduced in any form without the consent of Summit Environmental Technologies, Inc_ or the client for which this report was issued. The results contained In this report are only representative of the samples received, Conditions can vary at different times arid -at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible for use or, interpretation of the data included herein. "Analytical integrity" • A2LA Accreditation #0724.01 - NELAP Certified 595 East Tallmadge Avenue - Akron, Ohio 44310 . Rhone: 330-253-8211 - Fax: 330-253-4489 Web Site. nvw.8ettek.com 1 I0/ 100 'd 63I'� Cs"6 006 '011 VAVd ,I,N�W IDalAQ III�MS I"Nd 6� :60 I�C'�I/GI% d�I�I/11 1 SUMMIT ENVIRONMENTALTECHNOLOGIES, INC. Analytical Laboratories 4 Match 12, 2007 Client Synagro Southeast Address: 284 Boger Rd. MocJ-%villc, NC 27028 Date Collcctcd: 2/26/2007 Date Received: 2/29/2007 Project #: . Newton WWTP Cizeiat ID 0: Newton WWTP Laboratory ID #: . 0702102-01 Matrix: Sludge a -traction i Iothod: 1311 Date of Aualysis: 3/6/2007 TCLP Metals )<teP�,iTtllt Results R1ulatory Ledel Paranteter r m n� ) Arsenic 0,50 <0.5 5.0 5.0 <5.0 100-0 Cadmium D.10 <0.1 1.0 Chromium 0.20 <0.2 5-0 Lead 0.50 <0.5 5-0 Mercury 0,0020 <0-002 0.20 Selenium 0.50 <0.5 1.0 Silver 0.50 <05 5.0 "Analytical Integrity" •- A2LA Accreditation 90724.01 NELAP Certified 595. East Talimadge Avenue • Akron, Ohio 44310 . Phone: 330-253-8211 • Rax: 350-253-4a89 Web Site: www.settek-com II0/y00 'd G,3fi6 G56 O-, '0Id Add ZNNNOWN3 11VI InS lid D:50 HOW/61i9I'U 00? ff]SUMMIT ENVIRONMENTAL TECHNOLOGIES, INC. Analytical Laboratories 5 March 12, 2007 Client: Synagro Southeast Address: 284 Boger Rd. Mocksville, NC 27028 Date Collected: 2/26!2007 Date Received: 2/28/2007 Project ik Newton'W WTP Client 11) #: Newton 19�VTP Laboratory 107 #: 0702102-01 Matrix: Sludge extraction Method: 1311 Date of Analysis: 3/5/2007 TCLP Votaiiles Re ortiu- Liudt Results e1 Regulatory LeyIL Parameter Lmmn 1,1-Dichloroethene 0.10 <0.1 0.70 1,2-Dichlowethane 0.10 <0.1 •050 2-Butanone (MEK) 2.0 <2.0 200.0 Benzene 0.10 <0.1 0.50 Carbon tetrachloride 0.10 <0.1 050 Chlorobenzene 0.10 <0.1 100.0 Chloroform 0.10 <0.1 6.0 Tetrachloroethene 0.10 <0A 0.70 Trichloroetbene 0.10 4.1 0.50 Vinyl Cidoride 020 <0.2 0.20 "Analytical Integrity" • A21-A Accreditation #0724.01 - NELAP Certified 595 East Tallmadge Avenue Akron, Ohio 44310 , Phone, 330-253-8211 - Fax: 330-253-4489 Web Site: www.sett8k.com o � /7 i I I0/ OOO ,j GIP6 0576 0'0 N dJ ZNIHNO�IANH ZIHMS �d �� 5� �IC��. Gj/ ENVIRONMENTAL TECHNOLOGIES, INC. rflSUMMIT Analytical Laboratories . 6 March 12, 2007 Client: Synagro Southeast Address: 284 Boger Rd. Mo;,ksville, NC 27028 Date Col(ec ted: 2/26/2007 . Daie ReceMd: 2/28/2007 Project #- Newton -w Tp Client ID NewtonIATWTP Laboratory ID #: ' 0702102-01 Matrix: Sludge Extraction -Metho d: 1311 Date of Analysis: 3/8/2D07 TCLP BNA i ire o7CtinQ Limit Results Re; ulatory Level Parameter Lm-9m m n 1,4-Dichlorobenzene 0.10 <0.1 7.5 2,4,5-Trichlorophenol 0.25 <0.25 400.0 2,4,6-Trichlorophimol 0.25 <0.25 2.0 2,4-DinitrotoluenW 0.10 <0-1 .0.13 Cresols 5.0 <5-0 200.0 Rexachloro-1,3-butadiene 0.10 <0.1 0.50 Hexachlorobcnzme 0.10 <0.1 0.13 Rexachlorcethaue 0.10 <0.1 3-0 Nitrobenzene 0.10 <0.1 2.0 pentacWorophcnol 0-25 <0.25 100.0 pyridine 0.25 <0.25 5.0 "Analytical Integrity" A2LA Accreditation #0724.01 - NELAP Certified 595 EastTailmadge Avenue - Akron, Ohio 44310 . Phone; 330-253.8211 • Fax: 330-253-4489 web Site: wwm.settek.com 1 f 0/1/00 'd 63 � 0S,6 0C�0 '0I4 XdJ ZNMUTANH 1,Imns 0�50 1�C�I�. 61 / ��1�ib00? SUMMIT ENVIRONMENTAL 5CHNOLOGIES, INC. Analytical Laboratories March 12, 2007 Client: Synagro Southeast Address: 284 roger Rd. NMooltswitle, NC 27028 Date Collected: 2126/2007 Date Received: 2/28/2007 Project#: Newtonvwv Client ID Newton WWTP Laboratory W #: 0702102-01 Matrix: Sludgt Extraction Method: 1311 Bate ofAnalYsis: 3/12/2007 TCL P ]Pestistdles Aeport1u& Llmit Results >aarameter �� m � Clilordane 0.010 <0.01 Endrin 0.0020 <0.002 Gamma-BRC 0.0020 <0.002 Heptachlor 0.0020 <0.002 Heptachlor Epoxide 0.0020 <0.002 Mcthoxyohlor 0.0020 <0.002 Toxaphene 0.10 <0.1 7 Reeulatory Level (mglp 0.030 0,020 0.40 0.0080 0,0080 10.0 0-50 "Analytical Integrity" • A2LA Accreditation #0724.01 • NELAP Certified 595 EastTallmadge Avenue • Akron, Ohio 44310 a Phone: 330-253-8211 Fax: 330-253-4489 Web .Site' www.settek.com 110/1H0 'd 056 0 0 �Id nod 1,NNNWAN3 1.IWWnS 1qd D:U NOW/761% 9KA001 ff]SUMMIT ENVIRONMENTAL TECHNOLOGIES, INC. Analytical Laboratories March 12, 2007 Client: Synagro Southeast Address: 284 Boger Rd. Moclzs lle, ETC 21028 bate Collected: 2/26/2007 Date Received: 2/2812007 Project #: Newton `ilWIT i Client ID #: Xmton WWTP Laboratory 1D 0: 0702102-01 Matrix: Sludge Extraction Method: 1311 Dato of Analysis: 315/2007 I P gerbzeides �2e op riln Limit Results Read foa Level Parameter Lm—W-11 LingQ Imgn 2,4,5-TP(Si1�ve�c) 0.50 <0.5 1.0 I 2aD 5.0 <S_0 10.0 i "Analytical Integrity"- - A2LA Accreditation 40724.01 • NELAP Certified 595 East Tallmadge Avenue • Akron, Ohio 44310 . Phone: 330-253-821.1 Fax: 330-253-44-69 Web Bite: www.settek.com 1 10i SOD 636 05Z 0,0 011 VAH ZNUOU1tiN3 1IWW(1Sd �� 50 IIGW/G I% ffW!LOO? SUMMIT ENVIRONMENTALTECHNOLOGIES, INC.. Analytical Laboratories Maroh 12, 2007 Client: Synagro. Southeast Address: 284 Boger Rd MocksviIle, NC 27028 Date Collected: 2/26/2007 Date Received: V28/2007 Pxojeci #: Newton WWTP ' Client ID Nevenon 7R1TP Labox$�ry ID #: 0702102-01 Matrix: Sludge Analyst: AMC Pa memeter 'Date of AAalysis Results Reactive Cyanide 3/1/2007 BRL ReaCtive Sulfide 311/2007 BRL E u &etaortfng_UB31 etk�ua mg/kg 0.5 7.3.3.2 mglkg 25.0 7.3.4.2 "Analytical Integrity" • A2LA Accreditation 40724.01 • NEI.AP Certified 595 EastTalimadge Avenue Akron, Ohio 44310 . Phone: 330-253-8211 Fax:330.253-4489 Web site: ymmsettek.com I I0/]10 'd Htfi 0576 0,0 '0I1 VAdd ZNNNO ANa ,LII�I S Ydd 0fi 5D 1�CI�. 6ii��1'Ii�00I ffl-SUMMIT. ENVIRONMENTAL TECHNOLOGIES, INC. Analytical LalavratarieS 10 March.l2, 2007 Client: Synagto Southeast Address: 284 ]Boger RcL Mocksvilte, NC 27028 Date Collacted: 2/26/2007 Date Receive& V2W007 Project #: Newton W6 TP Client ID #: Newton WWI? Laboratory ID #: 0702102-01 Matrix: Sludge Analyst: CRIB Parameter Method Results Date of AnalySIS Flash Point 1010 >140F 3/1/2007 PH 9040 12.28 su@15.4C 3/1/2007 "Analyfical Integrity" - ARA Accreditation 40724.01 • NELAP Certified 595 East Tallmadge Avenue - Akron, Ohio 44310 - Phone: 330-253-8211 - Fax: 330-253-4489 Web Site: www.settek.com I [0; 1hId �fi OD 11CL� 110 'd 619t� 0576 0l,6 '0111 VAVd ZNMOHIANa ,LIWWnS . 6 �; ��'}hIi�00J H r� 0 CV snxrn�cait F,LIvironniental Teeunologies, Inc. AI---_. r 1-- .4 n21+1 ' 1.?on aCO Orf: 'I T.____ ROflne•1 AJOn For SumnuL ESTMTonLnental Technolwpes, Inc, we onlN . Page of SET NO. Cliertr.Name. Projeot !Mir, I `"�,�r All •-w sN::.:o: :cn "' = -'+;;:: °:Q,. ;U.; ? - !i - i�, :? . •��� _ i ,^ A yal VVicai`Par�a`)�e . I4letlo �? CIiomt Ada Project hdaE-ess •;ci:"�, .tt - r:� II . �.:. f I• ,:�::.r,��' 4. '�' _ •!'i::_. " ::•'.. <:��': •`,= :'p�,-r��•� j� Lj Cli .Pl *�e�Tjja�y v Report to Client Fax No. Please �ex Results 0 I Contact Person [�X-��-o`er-'+-! Quote � Sampled by f%ff ���--del Clieck if Ohio YAP samples ✓ ❑ I .Sam le 1:d2nti.Gcation{. - :Ilan - ?�Gullii�ft;:.` ;°1Cgll�cfedr'; I. is � • J L Re1in r 'sbed -'JWe. i:: , E zeiived i)Ylal}.4yi ? DabC;r.: :`:' Time; r y a cy S White and f lZceeived5liy '•i> i:Dat : ' ' :: �"uiie> -.' Na sfCoxuiuenis: t�✓r}7� �12 7� t 7 jig lL Y�n.•� Rush Requested: Days Must be appruved by lab manager i llow Pages should accompany samples to tlic labomtoiy, The. dient telaim [he pi Ilk, page. 2 r} 3 ¢q /j r w: iNewion onor compiamt Subject: FW: Newton odor complaint From: 'Berg, Scott" <sberg@synagro.com> /, I ]Date: Wed, 1 Feb 2006 16:06:08 -0600 To: <Ellen.huffnan@ncmail.net> Hey Ellen, The last day that Synagro operated for the Newton Program was on Friday 1/27/06, and they were applying at the Lee farm Site NC-CA-14. All of this week so far our crew has been operating for Lincolnton, down off the Killian road area, in Lincoln County. They will be operating for Newton on Thursday at the new permitted site NC-CA-17 (Jane Berry farm)fields 8 and 9. Thanks, Scott Berg -----Original Message ----- From: Thompson, Eric Sent: Wednesday, February 01, 2006 4:29 PM To: Berg, Scott Subject: Newton odor complaint Scott: Ellen just called regarding an odor complaint. She thinks it was Newton sludge, but was not certain. She will go out there tomorrow (02/02/06) to investigate. She said the "complainant" was on "Balls Creek Road", between highways 10 and 16. Her guess was that it could be site "CA-31", owned(/operated?) by "David Beam". If possible, please confirm recent event locations and give her the proper site number for her investigation. Eric Thompson Soil Scientist/Technical Services Manager Synagro Central, LLC Winston-Salem, NC mb: (336)971-9085 1i z ( kl/ k,kk� 1 of 1 2/2/2006 9:32 AM Mr. James Richards, City of Newton P.O. Box 550 Newton, NC 28658 Dear Mr. Richards: Wastewater Treatment Plant ORC rvn�n aci i '�aa icy, ""M' "" William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality Aquifer Protection Section January 20, 2006 .� /6 Subject: Conditional Use Approval Permit No. WQ0003902 Catawba County Our Office received a request from your contractor, SYANGRO, regarding permission to use the fields that are in the current application for renewal and modification for the subject permit. This permit is currently in review by Central Office; however, these fields have already been reviewed by our office and are considered suitable for land application. By this letter, the Division is giving you permission to u---fhc-n,-w fields in the renewal application. New fields: NC-CA-16-1 & 2. NC-CA-17-1,2,3,z NC-CA-18-1,2,3,E NC-LT-119-1,2,3 - _.. hl +o Post -it® Fax n�„* If you have any I Attachment 7671 1 # of pages t� 1-1 - r.25 (T �El en Huffman Environmental Specialist cc: Non -discharge Land Application Permiting Unit Nne orthCarolina Division of Water Quality / Aquifer Protection Section / Mooresville Regional Office Phone: (704) 663-1699 Fax: (704) 663-6040 ��J��lf�,� ll� i1„ 610 East Center Avenue, Suite 301, Mooresville, NC 28115 Internet: http://aw.ehnr.state.no.us !/ V AQUIFER PROTECTION REGIONAL STAFF REPORT Date: 11/07/05 County: Catawba To: Aquifer Protection Central Office Permittee/Owner: City of Newton Central Office Reviewer: Shannon Thornburg Application No.: W00003902 L GENERAL INFORMATION 1. This application is (check all that apply): ❑ New ❑ Renewal ❑ Renewal with mod. ❑ Minor Modification ® Major Modification ❑ Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon ® Land Application of Residuals ® Attachment B included ® 503 regulated ❑ 503 exempt ❑ Distribution of Residuals . ❑ Surface Disposal ❑ Closed -loop Groundwater Remediation ❑ Other Injection Wells (including in situ remediation) Was a site visit conducted in order to prepare this report? ❑ Yes or ❑ No. a. Date of site visit: 09/08/2005 b. Person contacted and contact information: Scott Berg, SYNAGRO, 336/766-0328 ext. c. Site visit conducted by: Ellen Huffman, MRO d. Inspection Report Attached: ❑ Yes or ® No. 2. Is the following information entered into the BIMS record for this application correct? ® Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current application. For Treatment Facilities: NCO036196 a. Location: b. Driving Directions: c. USGS Quadrangle Map name and number: d. Latitude: 35.37.35 Longitude: 81.13.54 e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater): For Disposal and Iniection Sites: Multiple sites. See Application a. Location(s): b. Driving Directions: c. USGS Quadrangle Map name and number: d. Latitude: Longitude: FORM: WQ0003902NewtonLA1005renew 1 AQUIFER PROTECTION REGIONAL STAFF REPORT III. RENEWAL AND MODIFICATIONAPPLICATIONS Description Of Waste(S) And Facilities 1. Are there appropriately certified ORCs for the facilities? ® Yes or ❑ No. Operator in Charge: James Richards, City of Newton WWTP Supervisor Certificate #:13257 Backup- Operator in Charge: Danny Sigmon, city of Newton WWTP Superintendant Certificate #:25008 2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage, effluent storage, etc) of the treatment facilities adequate for the type of waste and disposal system? ® Yes or ❑ No. If no, please explain: 3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and adequately assimilating the waste? ® Yes or ❑ No. If no, please explain: 4. Has the site changed in any way that may affect permit (drainage added, new wells inside the compliance boundary, new development, etc.)? If yes, please explain: This renewal package includes new maps of renewed fields with changed application acreage. 5. Is the residuals management plan for the facility adequate and/or acceptable to the Division? ® Yes or ❑ No. If no, please explain: 6. Are the existing application rates (hydraulic or nutrient) still acceptable? ® Yes or ❑ No. If no, please explain: 7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? ❑ Yes ❑ No ® N/A. 8. Will seasonal or other restrictions be required for added sites? ❑ Yes ® No ❑ N/A If yes, attach list of sites with restrictions (Certification B?) 9. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ® No. If yes, please attach a map showing conflict areas or attach any new maps you have received from the applicant to be incorporated into the permit: 10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct? ® Yes or ❑ No. If no, please explain: 11. Were monitoring wells properly constructed and located? ❑ Yes or ❑ No N N/A. If no, please explain: 12. Has a review of all self -monitoring data been conducted (GW, NDMR, and NDAR as applicable)? ® Yes or ❑ No ❑ N/A. Please summarize any findings resulting from this review: See item 13. AQUIFER PROTECTION REGIONAL STAFF REPORT 13. CKe-ck_all tlh apply: n No comphance_ls es; Notice(s f violation within the laS% n t�Xcle;_Icl Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently under moratorium. If any items checked, please explain and attach any documents that may help clarify answer/comments (such as NOV, NOD etc): The City of Newton was issued an NOV/NRE in 2004 because the contractor land applied on a non -permitted area of an existing; farm. The employee of the contractor was fired. The City of Newton has had the contractor re -map all existing sites for this renewal because of the 2004 NOV/NRE. 14. Have all compliance dates/conditions in the existing permit, (SOC, JOC, etc.) been complied with? ❑ Yes ❑ No ❑ Not Determined ® N/A.. If no, please explain: 15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑ Yes or ® No ❑ N/A. If yes, please explain: V. EVALUATIONAND RECOMMENDATIONS 1. Provide any additional narrative regarding your review of the application. As reported in item 13, all the renewed fields have been remaDDed and application acreage corrected where needed. All of the field information supplied, has been put into BIMS. The new sites were visited/reviewed at the request of the contractor on September 8 & 9, 2005. The contractor provided a copy of the application to the MRO. The MRO has not received the APSARR form from Central Office. There are still some stream classifications missing on renewed fields. 2. Attach Well Construction Data Sheet - if needed information is available N/A 3. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ® No. If yes, please explain briefly. 4. List any items that you would like APS Central Office to obtain through an additional information request. Make sure that you provide a reason for each item: N/A 5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure that you provide a reason for each condition: N/A 6. List specific special conditions or compliance schedules that you recommend to be included in the permit when issued. Make sure that you provide a reason for each special condition: N/A 7. Recommendation: ® Issue ❑ Hold, pending receipt and review of additional information by regional office; ❑ Hold, pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information; ❑ Issue; ❑ Deny. If deny, please state reasons: 8. Signature of report preparer(s): Signature of APS regional super Date: J /- % - o ADDITIONAL REGIONAL STAFF REVIEW ITEMS None FORM: WQ0003902NewtonLA1005renew 3 ATTACHMENT B - Approved Land Application Sites Permit W 0003902 City of Newton 11/07/2005 NC-CA-17-07 Berry, Jane Waters, Chuck Catawba 35034'47" 81017'54" GWA 29.30 NC-CA-17-08 Berry, Jane Waters, Chuck Catawba 35034'38" 81018'04" GWA 21.80 NC-CA-17-09 Berry, Jane Waters, Chuck Catawba 35034'49" 81018'19" GWA 10.20 NC-CA-18-01 Hunsucker, Bruce Goins, Gordy Catawba 35034'17" 81014'12" GWA 27.40 NC-CA-18-02 Hunsucker, Bruce Goins, Gordy Catawba 35034'19" 81014'27" GWA 16.80 NC-CA-18-03 Hunsucker, Bruce Goins, Gordy Catawba 35034'05" 81013'59" GWA 5.10 NC-CA-18-04 Hunsucker, Bruce Goins, Gordy Catawba 35034'03" 81014'14" GWA 15.20 NC-CA-18-05 Hunsucker, Bruce Goins, Gordy Catawba 35033'55" 8101421" GWA 9.30 NC-CA-30-OIA Jarrett, Larry Catawba 35048'56" 81019'09" GWA 10.70 NC-CA-30-OIB Jarrett, Larry Catawba 35035'19" 81019'05" GWA 7.90 NC-CA-30-02 Jarrett, Larry Catawba 35035'29" 81019,191, GWA 14.20 NC-CA-32-01 Sigmon, Ronnie Catawba 35038'03" 81006'01" GWA 13.70 NC-CA-32-02 Sigmon, Ronnie Catawba 35039'45" 81006'41" GWA 7.30 NC-CA-35-01 Turbyfill Properties Canipe. Bill Catawba 35034'04" 81015'02" GWA 21.50 NC-CA-35-02A Turbyfill Properties Canipe. Bill Catawba 35034'13" 81015'36" GWA 5.20 NC-CA-35-02B Turbyfill Properties Canipe. Bill Catawba 35034'09" 81015'29" GWA 6.50 NC-CA-35-02C Turbyfill Properties Canipe. Bill Catawba 35034'11" 81015'22" GWA 8.90 NC-CA-35-03A Turbyfill Properties Canipe. Bill Catawba 3503359" 81015'08" GWA 41.60 NC-CA-35-03B Turbyfill Properties Canipe. Bill Catawba 35033'58" 81015'l7" GWA 9.70 NC-CA-111-01 City Of Newton Richards, James Catawba 35037'35" 81014'05" GWA 3.30 NC-CA-111-0 2 City Of Newton Richards, James Catawba 35037'45" 81014'05" GWA 4.90 Total For County Catawba 633.40 NC-LT-19-01 Canipe, Bobby Goins, Gordy Lincoln 35033'19" 81018,181, GWA 11.50 NC-LT-19-02 Goins, Gordy Lincoln 35033'14" 81018'11" GWA 5.40 NC-LT-19-03 Goins, Gordy Lincoln 35033'13" 81018'21" GWA 7.50 NC-LT-19-04 Goins, Gordy Lincoln 35033'10" 81018'23" GWA 5.40 Total For County Lincoln 29.80 Total 1 663.20 GWA- is domin ted by soils with a mean seasonal high water table greater than three feet below the land surface. Residuals land application events may occur on theso sites year round. GWB- is domi ated by soils with a mean seasonal high water table between one and three feet below the land surface. Residuals land application on these sites Ishall be prohibited from December through March,. inclusive. 2 ATTACHMENT B - Approved Land Application Sites Permit W00003902 City of Newton 11/07/2005 Applicable Net Field/Zone Id Owner Lessee County Latitude Longitude GW Restriction Acreage NC-CA-07-01 Smyre, Jeffery L Catawba 35037'47" 81010'50" GWA 9.50 NC-CA-07-02 Smyre, Jeffery L Catawba 35037'50" 81010'50" GWA 15.10 NC-CA-07-03 Smyre, Jeffery L Catawba 35037'54" 81010'50" GWA 6.50 NC-CA-08-01 Simpson, William H Catawba 35033'50" 81016'27" GWA 9.10 NC-CA-08-02 Simpson, William H Catawba 35033'50" 81016'36" GWA 17.20 NC-CA-08-03 Simpson, William H Catawba 35033'52" 81016'48" GWA 14.60 NC-CA-14-OIA Lee, Nelda Waters, Chuck Catawba 35034'28" 81018'05" GWA 19.30 NC-CA-14-01B Lee, Nelda Waters, Chuck Catawba 35034'25" 81018'14" GWA 10.00 NC-CA-14-01C Lee, Nelda Waters, Chuck Catawba 35034'22" 81017'51" GWA 9.30 NC-CA-14-02A Lee, Nelda Waters, Chuck Catawba 35034'20" 81017'53" GWA 23.70 NC-CA-14-02B Lee, Nelda Waters, Chuck Catawba 35034'09" 81017'59" GWA 3.10 NC-CA-14-03 Lee, Nelda Waters, Chuck Catawba 35034'09" 81017'38" GWA 28.80 NC-CA-14-04 Lee, Nelda Waters, Chuck Catawba 35034'25" 81018'21" GWA 12.70 NC-CA-15-01 Fox, Conley Catawba 35048'45" 81009'52" GWA 11.20 NC-CA-15-02 Fox, Conley Catawba- 35048'51" 81009'48" GWA 3.70 NC-CA-15-03 Fox, Conley Catawba 35048'57" 81009'51" GWA 7.90 NC-CA-15-04 Fox, Conley Catawba 35049'04" 81009'54" GWA 4.90 NC-CA-15-05 Fox, Conley Catawba 35049'04" 81009'50" GWA 1.40 NC-CA-15-06 Fox, Conley Catawba 35049'13" 81009'53" GWA 5.90 NC-CA-15-07 Fox, Conley Catawba 35049'05" 81009'42" GWA 19.30 NC-CA-15-08 Fox, Conley Catawba 35049'20" 81009'29" GWA 12.90 NC-CA-15-09 Fox, Conley Catawba 35049'04" 81009'22" GWA 1.70 NC-CA-15-10 Fox, Conley Catawba 35049'01" 81009'18" GWA 1.90 NC-CA-15-11 Fox, Conley Catawba 35048'56" 81009'56" GWA 7.90 NC-CA-16-01 Biggerstaff, Richard Catawba 35033'42" 81015'27" GWA 12.00 NC-CA-16-02 Biggerstaff, Richard Catawba 35033'33" 81015'11" GWA 13.90 NC-CA-17-01 Berry, Jane Waters, Chuck Catawba 35034'52" 81017'46" GWA 4.10 NC-CA-17-02 Berry, Jane Waters, Chuck Catawba 35034'49" 81017'42" GWA 3.80 NC-CA-17-03 Berry, Jane Waters, Chuck Catawba 35034'47" 81017'37" GWA 9.70 NC-CA-17-04 Berry, Jane Waters, Chuck Catawba 35034'35" 81017'37" GWA 26.70 NC-CA-17-05 Berry, Jane Waters, Chuck Catawba 35034'33" 81017'43" GWA 6.00 NC-CA-17-06 Berry, Jane Waters, Chuck Catawba 35034'22" 81017'36" GWA 9.10 1 SYNAGRO, A Residuals Management Company APPLICATION FOR MODIFICATION AND RENEWAL OF PERMIT NO. WQ0003902 RESIDUALS LAND APPLICATION PROGRAM CITY OF NEWTON so NEWTON, NORTH GAROLINA A better tomorrow for our Client Triangle: The GENERATOR, The LANDOWNER, and The ENVIRONMENT ♦ ♦ Prepared by: SYNAGRO, INC. 6220-A Hackers Bend Court Winston-Salem, NC 27103 Toll Free: (877) 267-2687 Fax: (336) 766-8652 April 2005 CITY OF NEWTON NEWTON, NORTH CAROLINA A better tomorrow for our Client Triangle: The GENERATOR, The LANDOWNER, and The ENVIRONMENT ♦ ♦ o � U7 C=r. :q nq -D rn Prepared by: '®+ cta � -e� rn -, SYNAGRO, INC.' 6220-A.Hackers Bend Court , Winston-Salem, NC 27103 Toll Free: (877) 267-2687 = Fax: (336) 766-8652... April 2005 a - A Residuals Management Company April 15, 2005 N.C. Department of Environment and Natural Resources Water Quality Section Non -Discharge Permitting Unit — Aquifer Protection Unit 1636 Mail Service Center Raleigh, NC 27699-1636 ATTENTION: Ms. Shannon Thornburg REFERENCE: APPLICATION FOR RENEWAL & MODIFICATION OF PERMIT # WQ0003902 CITY OF NEWTON — CLARK CREEK WWTP Dear Ms. Thornburg: On behalf of the City of Newton (Newton), Synagro is submitting this application to renew and modify the referenced residuals land application permit. Please note that four receiver sites (NC-CA-16, NC-CA-17, NC-CA-18, and NC-LT-119) are being proposed. No source -related changes are being proposed. There are, however, some administrative changes being requested in this renewal, which are the result of recent fieldwork to provide more detailed site maps. Listed below are the requested changes to the existing permit as they pertain to land application sites: • Add 250.2 acres on the four proposed sites, • Renew 413.0 current permitted sites/acres, • Deletion of 226.3 current permitted sites/acres, • Sub -divide previously permitted fields into smaller individual management units per Site Summary Sheet details. • . Update application acreage values to reflect changes in site characteristics (new houses, roads, etc.), changes in cropping patterns, newly enforced on -site well -buffer requirements, and corrections to older measurements. • Update selected site information, including revised field numbers, revised application areas, and modified owner and operator names, etc. The requested changes to current permitted sites are highlighted in boldface print on the Land Application Site Certification Attachment (LASCA) form. Newton is also requesting that the site designation for the two fields owned by the City of Newton (currently listed as NC-CA-11 in the permit) be changed to site NC-CA-I11. This change is requested so that the site nomenclature in the permit will be consistent with our records keeping system 6220-A Hackers Bend Court, Winston-Salem, NC 27103 • Ph: (336) 766-0328 • Fax: (336) 766-8652 • Toll Free: (877) 267-2687 This application package is believed to contain all of the information necessary to complete the requested renewal of the City's permit. However, if you require any additional information or have fiirther questions about the included information, please contact me at sber�@synagro.com synagro.com or phone number (336) 766-0328. Thank you in advance for the timely and efficient review of this renewal application. - Sincerely, Scott D. Berg SYNAGRO Technical Services Manager cc: City of Newton Table of Contents Section # Title Section 1 Attachment Order 1: Non -Dedicated Residuals Land Application Programs Form Attachment Order 1 a: Signing Official Delegation Letter Section 2 Attachment Order 2: Residuals Source Certification Attachment Attachment Order 2-a: Vicinity Map (Clark Creek WWTP) Attachment Order 2-b: Process Flow Diagram Attachment Order 2-c: Quantitative Justification for Residuals Production Attachment Order 2-d: Sampling Plan (Clark Creek WWTP) Attachment Order 2-e Laboratory Analytical Reports (where applicable) Section 3, Attachment Order 3: Land Application Certification Attachment Sites to Be Deleted Attachment Order 3-a: Watershed Classification Attachment Attachment Order 3-b: County Manager Notification Attachment form(s) Catawba County Lincoln County Site Specific Information (by Application Site) Site Summary Sheet Attachment Order 3-c: Landowner Agreement Attachment Order 3-d: Buffer Waiver Agreement(s) (where appropriate) Attachment Order 3-e: Vicinity, Topographic, Aerial and Buffer (Application Area) Maps Attachment Order 3-f: Soils Evaluation (where required) Attachment Order 3-f: Soil And Agronomic Evaluation (General Infor.—nation) Attachment Order 3-g: Cumulative Pollutant Loading Rates State of North Carolina Department of Environment and Natural Resources Division of Water Quality NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS (THIS FORM AM Y BE PHOTOCOPIED FOR USE 11S,4N ORIGINAL) _ Application Number: GENERAL INFORMATION (See Instruction B.): 1. Applicant's name: City of Newton 2. Signing official's name and title: Martin Wilson, Public Works Director (to be completed by DWQ) 3. Complete mailing address of applicant: City of Newton, c/o James Richards P.O. Box 550 City: Newton State: North Carolina Zip: 28658 Telephone number: ( 704 ) 465-7480 Facsimile number: ( 704 ) 465-7481 E-mail address: iichards@newtonnc.gov 4. Name and complete mailing address of contact person and/or consulting firm who prepared application: Synagro Southeast c/o Scott Berg 6220A Hackers Bend Court City: Winston-Salem State: NC Zip: 27103 Telephone number: ( 336 ) 766-0328 Facsimile number: (336 ) 766-8652 E-mail address: sbergr_(Dsynagro.com 5. County where residuals land application program is headquartered: Catawba 6. County(ies) where residuals source -generating facilities are located: Catawba cal 7. County(ies) where land application sites are located: Catawba —� M AM 8. Fee submitted: $ 325.00 w W� II. PERMIT INFORMATION: 1. Application is for: ❑ new, ® modified, ® renewed permit (check all that apply). 2. If this application is being submitted to renew or modify an existing permit, provide the following: the permit number W00003902 , the most recent issuance date September 8, 2000 , and the expiration date August 31, 2005 . Date of most -recently certified Attachment A: September 8, 2000 Date of most -recently certified Attachment B: August 13, 2003 FORM: NDRLAP 02/02 Page 2 of 5 Attachment Order 1 I Check all that apply to the requested permit modification: ❑ INCREASE ❑ DECREASE the maximum permitted annual dry tonnage for existing residuals source -generating facility(ies) certified for this residuals land application program. ❑ ADD ❑ DELETE residuals source -generating facility(ies) to/from those certified for this residuals land application program. ® INCREASE ® DECREASE the net acreage associated with land applications site(s) currently certified for this residuals land application program. ® ADD ® DELETE land application site(s) to/from those certified for this residuals land application program. ❑ OTHER. Explain: I1I. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Who will be responsible for the day-to-day management of the residuals land application program: ❑ Permittee or ® residuals management finn. If a residuals management firm, complete the following: Firm contact person and title: Frankie Singleton, Operations Manager Firm name and complete mailing address: Synagro Southeast 6220A Hackers Bend Court City: Winston-Salem State: NC Zip: 27103 Telephone number: ( 336) 766-0328 Facsimile number: ( 336 ) 766-8652 E-mail address: fsingleton(@synagro.com 2. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC James Richards WWTP Supervisor 13257 Back -Up ORC Eric Jones Lab Analyst 25000 Additional Back -Up ORCs Danny Si-mon WWTP Superintendent 25008 (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: na FORM: NDRLAP 02/02 Page 3 of 5 . Attachment Order I 3. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitro- gen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 3,438 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 14.19 17.29- 48,785 59,443 Five -Year Maximum Adjusted 21.37 24.47 73,467 84,125 b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation 0 Row Crops 5.4 Hay 59.9 Pasture 597.9 Total: 663.2 Methods Surface 663.2 Incorporation or Injection 0 Total: 663.2 Restrictions Year -Round 663.2 Seasonal 0 Total: c. Residuals Land Application Suanmar)% Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate (lbs PANIac yr) Acres Required Using First -Year PAN Concentrations Acres Required Using Five -Year Maximum Adjusted PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 70 696.9 849.2 1,049.5 1,201.8 150 325.2 396.3 489.8 560.8 250 195.1 237.8 293.9 336.5 FORM: NDRLAP 02/02 Page 4 of 5 Attachment Order 1 4. Identify and provide a plan as well as a schedule to resolve any issues that would prevent all of the residuals currently certified and proposed for certification to be land applied without exceeding agronomic rates or violating any of North Carolina's standard permit conditions governing residuals land application programs (e.g., not enough storage, not enough land, etc.): Applicant's Certification: 1, Martin Wilson , attest that this application for land application of Class B biosolids from Clark Creek WWTP 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 fi t to exceed $10,000 as well as civil penalties up to $ 5,00 er violation. t6aSi-natur : Date: �l b THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY NON -DISCHARGE PERMITTING UNIT By U.S. Postal Service: 1617 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1617 By Courier/Special Deliverv: 512 NORTH SALISBURY STREET, SUITE 1219 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 733-5083 *** END OF FORM NDRLAP 02/02 *** > O Cn �\ M r'l Cam.) Q r,.I C) FORM: NDRLAP 02/02 Page 5 of 5 Attachment Order 1 Attachment Order la: Signing Official Delegation Letter Note: per NDLAP Instructions Page I - "The delegation letter does not have to be resubmitted if the signing official has not changed since the last permitting action associated with this residuals land application program. " Attachment Order 2: Residuals Source Certification Attachment (RS CA form) _ _dplicant's name: City of Newton Check all that apply: ❑ NEW RESIDUALS PROGRAM ® RENEWED RESIDUALS PROGRAM ❑ INCREASE ❑ DECREASE the maximum permitted annual dry tonnage for this residuals source -generating facility cer lied for this residuals program. Current: and proposed: dry tons per year. ❑ ADD ❑ DELETE this residuals source -generating facility to/from those certified for this residuals program. ❑ OTHER Explain: I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Name of facility: Clark Creek WWTP 2. Facility permit holder: City of Newton Facility permit holder is (check one): ❑ federal, ❑ state, ® local government, or ❑ private. Facility permit number: NCO036196 Facility permit issued by (check one): ® Div. of Water Quality, ❑ Div. of Environmental Health, or ❑ other (explain: )• 3. If the facility permit is not issued by the Div. of Water Quality, complete the following: a. Facility contact person and title: Facility complete mailing address: City: State: Zip: Telephone number: ( ) Facsimile number: ( ) E-mail address: b. Facility complete location address: City: State: Zip: 4. 5. 6. 7. County: Latitude: and longitude: Purpose of the facility (check one): ® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater, ❑ treatment of potable water, ❑ treatment of 100% industrial wastewater, ❑ treatment of industrial wastewater mixed with domestic wastewater, or (approximate percentages: % industrial and \ ❑ other (explain: Is the facility required to have an approved pretreatment program: ® yes ❑ no. If yes, please specify whether or not such a pretreatment has been approved: ® yes ❑ no. Facility permitted/design flow: 5.0 MGD and facility average daily flow: 3.71 MGD. Maximum amount of residuals to be certified for this facility: 3,438 dry tons per year. % domestic) FORM: RSCA 02/02 Page 2 of 8 Attachment Order 2 8. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: Lime stabilization in four 220,000-gallon tanks. Two of the tanks are gravity thickeners and 2 are holding tanks. The two holding tanks are being converted to thickeners in 2005. Type and volume of residuals storage (i.e., outside of residuals treatment units): none, the biosolids are stored in the tanks where lime stabilization is conducted. II. RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under (check one): ® 40 CFR Part 503 or ❑ 40 CFR Part 257. 2. Specify if residuals are intended for (check one): ❑ Land Application/Distribution (Class A or Equivalent). Complete all items EXCEPT Items II. 4b., 4c., 7b., and 7c. ® Land Application (Class B or Equivalent). Complete all items EXCEPT Items II. 4a., 4c., 7a., and 7c. ❑ Surface Disposal. Complete all items EXCEPT Items II. 4a., 4b., 5., 7a., 7b., and 8. 3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under RCRA: a. Are the residuals are listed in 40 CFR §261.3 ]-§261.33: ❑ yes ® no. If yes, I ist the number(s): b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-§261.24: ❑ yes ® no. Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as well as those for corrosivity, ignitability, and reactivity: laboratory: Environmental Science Corporation and date of analysis: March 2004 Passed corrosivity test: ® yes ❑ no. pH: 12.0 - s.u. (2 < pH < 12.5). Passed ignitability test: ® yes ❑ no. Flashpoint: 170 OF (> 1400F). Passed reactivity test: ® yes ❑ no. HCN: 0. 12 mg/kg (<250) & HAS: 25.0 mg/kg (<500). TCLP Parameter Limit (mg/L) Result (1ng/L) TCLP Parameter Limit (mg/L) Result (mg/L) Arsenic 5.0 <0.050 Hexachlorobenzene 0.13. <0.10 Barium 100.0 0.061 Hexachloro-1,3-Butadiene 0.5 <0.10 Benzene 0.5 <0.050 Hexachloroethane 3.0 <0.10 Cadmium 1.0 <0.050 Lead 5.0 <0.050 Carbon Tetrachloride 0.5 <0.050 Lindane 0.4 <0.0050 Chlordane 0.03 <0.0050 Mercury ._ 0.2 <0.0010 Chlorobenzene 100.0 <0.050 Methoxychlor 10.0 <0.0050 *** TABLE CONTINUES ON NEXT PAGE *** FORM: RSCA 02/02 Page 3 of 8 Attachment Order 2 *** TABLE CONTINUED FROM PREVIOUS PAGE *** TCLP Parameter Limit (mg/L) Result (17ag/L) TCLP Parameter Limit (mg/L) Result (mg/L) Chloroform 6.0 0.25 Methyl Ethyl Ketone 200.0 <2.5 Chromium 5.0 <0.050 Nitrobenzene 2.0 <0.10 m-Cresol 200.0 0.14 Pentachlorophenol 100.0 <0.10 o-Cresol 200.0 <0.10 Pyridine 5.0 <0.10 p-Cresol 200.0 0.14 Selenium 1.0 <0.050 Cresol 200.0 0.14 Silver 5.0 <0.050 2,4-D 10.0 <0.0020 Tetrachloroethylene 0.7 <0.050 1,4-Dichlorobenzene 7.5 <0.10 Toxaphene 0.5 <0.010 1,2-Dichloroethane 0.5 <0.050 Trichloroethylene 0.5 <0.050 1, 1 -Dichloroethylene 0.7 <0.050 2,4,5-Triclilorophenol 400.0 <0.10 2,4-Dinitrotoluene 0.13 <0.10 2,4,6-Trichlorophenol 2.0 <0.10 Endrin 0.02 <0.0050 2,4,5-TP (Silvex) 1.0 <0.0020 Heptachlor and its Hydroxide 0.008 <0.0050 Vinyl Chloride 0.2 <0.050 4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not violate the ceiling concentrations for metals regulated under 40 CFR Part 503 or 40 CFR Part 257: a. For Class A or Equivalent. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: laboratory: and date of analysis: Parameter Analysis Required for Permitting by NC if Residuals are Regulated Under... Parameter Ceiling Concentration (nzg/kg) Monthly Average Concentration (mg/kg) Result (mglIcg) 40 CFR Parts 257 and 503 Arsenic 75 41 40 CFR Parts 257 and 503 Cadmium 85 39 40 CFR Parts 257 and 503 Copper 4,300 1,500 40 CFR Parts 257 and 503 Lead 840 300 40 CFR Parts 257 and 503 Mercury 57 17 40 CFR Parts 257 and 503 Molybdenum 75 n/a 40 CFR Parts 257 and 503 Nickel 420 420 40 CFR Parts 257 and 503 Selenium 100 100 40 CFR Parts 257 and 503 Zinc 7,500 2,800 FORM: RSCA 02/02 Page 4 of 8 Attachment Order 2 b. For Class B or Equivalent. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: laboratory: A & L Eastern Agricultural Labs and date of analysis: October 2004 Parameter Analysis Required for Permitting by NC if Residuals are Regulated Under... Parameter Ceiling .Concentration (mg/kg) Result (mg/kg) 40 CFR Parts 257 and 503 Arsenic 75 1.58 40 CFR Parts 257 and 503 Cadmium 85 1.5 40 CFR Parts 257 and 503 Copper 4,300 151 40 CFR Parts 257 and 503 Lead 840 44 40 CFR Parts 257 and 503 Mercury 57 0.61 40 CFR Parts 257 and 503 Molybdenum 75 12 40 CFR Parts 257 and 503 Nickel 420 29 40 CFR Parts 257 and 503 Selenium 100 1.67 40 CFR Parts 257 and 503 Zinc 7,500 409 c. For Surface Disposal. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: laboratory: date of analysis: Parameter Analysis Required for Permitting by NC if Residuals are Regulated Under... Closest Distance to Property Lines (meters) Arsenic (mg/k,) Chromium (mg/kv,) Nickel (nag/kg) 40 CFR Parts 257 and 503 > 0 but < 25 30 200 210 40 CFR Parts 257 and 503 > 25 but < 50 34 220 240 40 CFR Parts 257 and 503 >_ 50 but < 75 39 260 270 40 CFR Parts 257 and 503 > 75 but < 100 46 300 320 40 CFR Parts 257 and 503 > 100 but < 125 53 360 390 40 CFR Parts 257 and 503 > 125 but < 150 62 450 420 40 CFR Parts 257 and 503 > 150 73 600 420 and FORM: RSCA 02/02 Page 5 of 8 Attachment Order 2 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 8.15 %. b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and micronutrient parameters: laboratory: A & L Eastern Agricultural Labs and date of analysis: October 2004 C. d. Parameter Result (mg/Icg) Aluminum 11,800 Ammonia -Nitrogen 3,100 Calcium 210,000 Magnesium 5,500 Nitrate -Nitrite Nitrogen 25 pH 12.3 Phosphorus 1 1,100 Potassium 700 Sodium 1,000 Total Kjeldahl Nitrogen 21,500 Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 0.17 Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This rate is a: ® default value or ❑ actually established. If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical justification as to why the selected default value is appropriate to be applied to these residuals: Calculate the PAN for the residuals (i.e., on a dry weight basis) and list the results in the following table: Application Method First Year Five -Year PAN Maximum Adjusted PAN (mg/kg) (mg1kg) Surface 7,095 10,685 Injection/Incorporation 8,645 12,235 e. Are the residuals are a registered fertilizer with the NC Department of Agriculture and Consumer Services: ❑ yes ® no. if yes, provide date of registration approval: the current registration number: and the fertilizer equivalent: %, %, and %. FORM: RSCA 02/02 Page 6 of 8 Attachment Order 2 6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and list the results of the latest analyses : 7. Pathogen Reduction Determination: Specify which alternative(s) will be used to meet the pathogen reduction requirements: a. For Class A or Equivalent: ❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids. OR ❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids. AND one of the following (except for residuals regulated under 40 CFR Part 257 that are to be distributed): ❑ Alternative 1 [40 CFR §503.32 (a)(3)] - Time/Temperature Compliance. ❑ Alternative 2 [40 CFR §503.32 (a)(4)] - Alkaline Treatment. ❑ Alternative 3 [40 CFR §503.32 (a)(5)] - Prior Testing for Enteric Virus/Viable Helminth Ova. ❑ Alternative 4 [40 CFR §503.32 (a)(6)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. ❑ Alternative 5 [40 CFR §503.32 (a)(7)] - Process to Further Reduce Pathogens (PFRP). Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment, ❑ pasteurization, ❑ thermophilic aerobic digestion, ❑ beta ray irradiation, or ❑ gamma ray irradiation. ❑ Alternative 6 [40 CFR §503.32 (a)(8)] - PFRP-Equivalent Process. Explain: b. For Class B or Equivalent: ❑ Alternative 1 [40 CFR §503.32 (b)(2)] - Fecal Coliform Density Demonstration. ® Alternative 2 [40 CFR §503.32 (b)(3)] -Process to Significantly Reduce Pathogens (PFRP). Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion, ❑ composting, or ® lime stabilization. ❑ Alternative 3 [40 CFR §503.32 (b)(4)] - PSRP-Equivalent Process. Explain: ❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. c. For Surface Disposal: ❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover. ❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II.7a. above. ❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above. ❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. FORM: RSCA 02/02 Page 7 of 8 Attachment Order 2 8. Vector Attraction Reduction Determination: Specify which alternative(s) will be used to meet the vector attraction reductio requirements: ❑ Alternative 1 [40 CFR §503.33 (b)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). ❑ Alternative 2 [40 CFR §503.33 (b)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). ❑ Alternative 3 [40 CFR §503.33 (b)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). ❑ Alternative 4 [40 CFR §503.33 (b)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). ❑ Alternative 5 [40 CFR §503.33 (b)(5)] - 14-Day Aerobic Processes. ® Alternative 6 [40 CFR §503.33 (b)(6)] - Alkaline Stabilization. ❑ Alternative 7 [40 CFR §503.33 (b)(7)] - Drying of Stabilized Residuals. ❑ Alternative 8 [40 CFR §503.33 (b)(8)] - Drying of Unstabilized Residuals. ❑ Alternative 9 [40 CFR §503.33 (b)(9)] - Injection. ❑ Alternative 10 [40 CFR §503.33 (b)(10)] - Incorporation. ❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(1 1)] - Soil/Other Material Cover. ❑ Alternatives for Animal Processing Residuals Only: Specify one: ❑ injection, ❑ incorporation, or ❑ lime addition to raise pH to 10. ❑ Not Applicable - Non -Animal Processing Residuals Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. *** END OF FORM RSCA 02/02 *** FORM: RSCA 02/02 Page 8 of 8 Attachment Order 2 SY 1 VAGO LOCATION MAP COUNTY CATAWBA OWNER CITY OF NEWTON 2,4 Attachment Order 2-b: Process Flow Diagram (Clark Creek WWTP) r �- City of Newton Clarke Creek Wastewater Treatment Facility Background The City of Newton collects and treats. domestic and industrial wastewater from within the Newton city limits, surrounding non -city areas, and portions of Hickory and Conover. Wastewater collected in the service area is comprised of nearly 33% industrial wastewater, mainly from textile mills, furniture manufacturers and metal works. The remaining 66% is of domestic origin. The Clark Creek Plant began operation in 1979 and is currently permitted to treat an average of 5.0 million gallons per day. The treatment staff consists of plant operators, laboratory technicians, maintenance personnel, and administration Purpose of Facility The Plant has been designed to effectively treat the incoming wastewater to produce a high quality effluent meeting all discharge requirements. The treatment facility utilizes a modification of the activated sludge process known as extended aeration. This extended aeration process incorporates the ability of a well aerated activated sludge to rapidly convert the organic material in the incoming raw wastewater to carbon dioxide, water, and inert solids. Lime is added for the removal of particulate organic matter and as an aid in sludge thickening and stabilization. The Process consists of : A. Screening, where large objects are removed from the wastewater so as not to interfere - with other processes. These objects. include such things as wood, rags, rocks, etc. B. Flow Measurement, (influent) where the volume of plant influent is measured, totalized, and recorded. C. Influent Wastewater Pumping, where wastewater that enters the facility is lifted to a higher elevation so it can flow by gravity through the remaining processes. D. Grit Removal, where gritty material is separated from the liquid and removed. This material may include such things as sand and gravel. E. Lime Addition, where lime slurry is added for the removal of organic matter and toxic metals from the wastewater, and to increase alkalinity. F. Reactor Clarification (settling), where sludge solids and liquid are separated. The settled solids from this process are pumped to the thickeners. G. Aeration, where bioabsorption of the wastes with the recirculated biological solids settled in the secondary clarifiers takes place. H. Secondary Clarifiers (settling) where biologically treated solids and liquid are separated. The part of the settled solids needed to maintain a proper level of mixed liquor suspended solids (MLSS) for optimum treatment in the aeration basins (recycled sludge) is pumped from these units. The settled solids in excess of this amount (waste sludge) are pumped to the thickeners. I. Filtration, where the final separation of solids and liquid occurs. J. Chlorination, where the plant effluent is disinfected with chlorine in order to kill pathogenic organisms before final discharge into the creek. K. Sludge Thickening, where excess sludge that is removed from the reactor clarifiers and the secondary clarifiers is conditioned with lime to -meet Class B requirements, thickened, and pumped to tanker trucks that haul it either to land application sites or to the composting facility. Figure 1. Facility Diagram InTluent Bar Flow:Meter screen PRIMARY CLARIFIER Su ernate Waste RAVITY` THICKNER Biosolids to Disposal AERATION BASIN Recycle SECONDARY CLARIFIER Waste FlLTER CHLORINE I CONTACT BASIN ,U—===—Stream - ' 3 xv-s �•� a _ it �'.� - - -� - - - - 41 _ -• - F -- _ .#r�r. :ice 4.�. �:'. -- M NC-CA-14-3 Nelda Lee Chuck Waters Catawba 28.8 Hiwassee 18.6 M NC-CA-14-4 Nelda Lee Chuck Waters Catawba 12.7 Hiwassee 29.6 R NC-CA-15-1 Conley Fox same Catawba 11.2 Hiwass./Cecil 10.2 R 1JC-CA-15-2 Conley Fox same Catawba 3.7 Hiwass./Cecil na R NC-CA-15-3 Conley Fox same Catawba 7.9 Enon 10.3 R NC-CA-15-4 Conley Fox same Catawba 4.9 Cecil 13.2 R NC-CA-15-5 Conley Fox same Catawba 1.4 Cecil na R NC-CA-15-6 Conley Fox same Catawba 5.9 Cecil 9.5 R NC-CA-15-7 Conley Fox same Catawba 19.3 Cecil 6.9 R NC-CA-15-8 Conley Fox same Catawba 12.9 Cecil 8.1 R NC-CA-15-9 Conley Fox same Catawba 1.7 Cecil 5.1 R NC-CA-15-10 Conley Fox same Catawba 1.9 Cecil 5.2 R NC-CA-15-11 Conley Fox same Catawba 7.9 Cecil 7.0 N NC-CA-16-1 Richard Biggerstaff same Catawba 12.0 Pacolet 6.0 N NC-CA-16-2 Richard Biggerstaff same Catawba 13.9 Cecil 5.9 N NC-CA-17-1 Jane Berry Chuck Waters Catawba 4.1 Cecil 7.5 N NC-CA-17-2 Jane Berry Chuck Waters Catawba 3.8 Cecil 5.5 N NC-CA-17-3 Jane Berry Chuck Waters Catawba 9.7 Pacolet 6.2 N NC-CA-17-4 Jane Berry Chuck Waters Catawba 26.7 Cecil 6.7 N NC-CA-17-5 Jane Berry Chuck Waters Catawba 6.0 Hiwassee 5.6 N NC-CA-17-6 Jane Berry Chuck Waters Catawba 9.1 Pacolet 5.1 N NC-CA-17-7 Jane Berry Chuck Waters Catawba 29.3 Hiwassee 8.6 N NC-CA.-17-8 Jane Berry Chuck Waters Catawba 21.8 Hiwassee 5.1 FORM: LASCA 02/02 Page 3 of 5 Attachment Order 3 N NC-CA-17-9 Jane Berry Chuck Waters Catawba 10.2 Cecil 8.0 M NC-CA-30-1A Larry Jarrett same Catawba '10.7 Hiwassee 7.2 M NC-CA-30-1B Larry Jarrett same Catawba 7.9 Hiwassee M NC-CA-30-2 Larry Jarrett same Catawba 14.2 Hiwassee 14.4 R ]VC-CA-32-1 Ronnie Sigmon same Catawba 13.7 Appling 6.9 M NC-CA-32-2 Ronnie Sigmon same Catawba 7.3 Appling na R NC-CA-35-1, Turbyfill Properties Bill Canipe Catawba 21.5 Hiwassee 31.1 M NC-CA-35-2A Turbyfill Properties Bill Canipe Catawba 5.2 Cecil 26.7 M NC-CA-35-2B Turbyfill Properties Bill Canipe Catawba 6.5 Cecil M NC-CA-35-2C Turbyfill Properties Bill Canipe Catawba 8.9 Cecil M NC-CA-35-3A Turbyfill Properties Bill Canipe Catawba 41.6 Cecil 20.7 M NC-CA-35-38 Turbyfill Properties Bill Canipe Catawba 9.7 Cecil R NC-CA-111-1 City of Newton James Richards Catawba 3.3 Cecil 18.9 R NC-CA-111-2 City of Newton James Richards Catawba 4.9 Hiwassee 20.5 N NC-CA-18-1 Bruce Hunsucker Gordy Goins Catawba 27.4 Davidson 9.2 N NC-CA-18-2 Bruce Hunsucker Gordy Goins Catawba 16.8 Hiwassee 8.2 N NC-CA-18-3 Bruce Hunsucker Gordy Goins Catawba 5.1 Davidson 8.0 N NC-CA-18-4 Bruce Hunsucker Gordy Goins Catawba 15.2 Davidson 8.7 N NC-CA-18-5 Bruce Hunsucker Gordy Goins Catawba 9.3 Davidson 8.7 N NC-LT-119-1 Bobby Canipe Gordy Goins Lincoln 11.5 Pacolet 5.4 N NC-LT-119-2 Gordy Goins Gordy Goins Lincoln 5.4 Pacolet 6.6 N NC-LT-119-3 Gordy Goins Gordy Goins Lincoln 7.5 Pacolet, 4.6 N NC-LT-119-4 Gordy Goins Gordy Goins Lincoln 5.4 Pacolet 7.6 FORM; LASCA 02/02 Page of 5 Attachment Order 3 * - these fields are subdivisions of formerly permitted fields. na - recent CEC data for these fields is not available changes to site information contained in current Attachment B are presented in bold-faced type In FORM: LASCA 02/02 Page�of 5 Attachment Order 3 Current Sites to Be Deleted City of Newton - Residuals Land Application Program Permit WQ0003902 Site Number Field - Owner Lessee Application Area (Acres) Catawba County NC-CA-09 01 Dan Blackwell na 35.3 NC-CA-12 01 Allen Bowman na 8.2 NC-CA-13 01 Howard Jarrett Chuck Waters 29.8 NC-CA-13 02 Howard Jarrett Chuck Waters 15.5 NC-CA-I3 03 Howard Jarrett Chuck Waters 7.9 NC-CA-31 01 David Beam na 12.8 NC-CA-31 02 David Beam na 30.5 NC-CA-31 03 David Beam na 4.6 NC-CA-31 04 David Beam na 15.4 NC-CA-33 01 Jeff Lineberger na 12.7 NC-CA-33 02 Jeff Lineberger na 21.4 NC-CA-33 03 Jeff Lineberger na 17.4 NC-CA-34 01 David Lowman na 14.8 Total Acres To Be Deleted 226.3 Attachment Order 3a — Watershed Classification Attachment Re,A1Xe71--'1-W 0666 State Of North Carolina F6, zaD� Department ®f Enrvin•®rrlr>inelnt and Natural Resources ���,� �L�5 Division Of Water Quality WATERSHED CLASSIFICATION ATTACHMENT FOR RESIDUALS PROGRAMS (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.uslndpul INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare the attachment form with the requested information for each location where the residuals program activities are planned to occur within a particular regional office county coverage. ✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary. ✓ Use a portion of an 8.5-inch by 1 1-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ✓ Latitudes and longitudes must reported as being based on either the NAD 27 or the NAD 83 data systems. ✓ Acceptable methods of determining location latitudes and longitudes and their corresponding codes are as follows: ♦ Address Matching (ADD) ♦ Digital or Raw Photo Extraction (EXT) ♦ Aerial Photography with Ground Control (AER) ♦ Geodetic Quality GPS Survey (GEO) ♦ Cadastral Survey (SUR) ♦ LORAN-C Navigation Device (LOR) ♦ Conversion from Coordinate Plane (CP) ♦ Navigation Quality GPS (GPS) ♦ Conversion from Township -Section -Range (TSR) ♦ Remote Sensing (RS) ♦ Conversion from Universal Trans Merc (UTM) ♦ Zip Code Centroid (ZIP) ♦ Map Interpretation by Digital or Manual Extraction (MAP) ✓ Location accuracy must be provided to the nearest unit (e.g., nearest second, tenth of a second, etc.). C. Mail or fax the attachment form and the map portions to the appropriate regional office for review and to obtain the waterbody and classification information. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/. ✓ The Division will not consider this attachment form to be complete until it is completed by the appropriate regional office. To: Regional office: Mooresville Regional Office Address of regional office: 919 North (Main Street City: Mooresville State: NC Zip: 28115 Facsimile number: (704 ) 663-6040 Please provide me with the waterbody name(s), stream index number(s), and current/proposed classifications) of the surface waters that are closest to and downslope from the Iocation(s) where the proposed residuals program activities are planned to occur, as identified on the attached map segment. Signature of regional office staff: f` (.%� EJ��� .�-- Date: S FORM: RWSCA 02/02 Page 1 of 4 Attachment Order 3-a Citv of Newton Permit W00003902 February 16, 2004 Location ID County Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. (To Be Completed by DWQ) Current and Proposed Class (To Be Completed by DWQ) NC-CA-16-1 Catawba 35.33.42N 81.15.27W NAD27 DMS Second / . 2/C C� c'�`1<- ��lS-� ✓ NC-CA-16-2 Catawba 35.33.33N 81.15.11W NAD27 DMS Second ' NC-CA-17-1 Catawba 35.34.52N 81.17.46W NAD27 DMS Second ti;� 'ale e w,�cv NS NC-CA-17-2 Catawba 35.34.49N 81.17.42W NAD27 DMS Second // _ /-? 9_ s NC-CA-17-3 Catawba 35.34.47N 81.17.37W NAD27 DMS Second NC-CA-17-4 Catawba 35.34.35N 81.17.37W NAD27 DMS Second � i NC-CA-17-5 Catawba 35.34.33N 81.17.43W NAD27 DMS Second i NC-CA717-6 Catawba 35.34.22N 81.17.36W NAD27 DMS Second NC-CA-17-7 Catawba 35.34.47N 81.17.54W NAD27 DMS Second NC-CA-17-8 Catawba 35.34.38N 81.18.04W NAD27 DMS Second NC-CA-17-9 Catawba 35.34.33N 81.15.11W NAD27 DMS Second *** END OF FORM RWSCA 02/02 *** FORM: RWSCA 02/02 N Page 2 of 4 Attachment Order 3-a he 101, , 011 S YL NAGRO, TOPOGRAPI-HC MAP A Rariduak Management Company If - OWNER L = FIELDS A-5, SCALE: I PHOTOQU-A-DNEAR CONTOUR INTERVAL AQ' Op"I SYNAGRO TOPOGRAPHIC MAP A Residwis Afan,aqewent Compawy OWNER SCALE: 1" = FIELDS PHOTOQUAD/YEAR CONTOUR INTERVAL 42 State of North Carolina / �� S re- � Department of Environment and Natural Resources 'V4-SA-`/8 Division of Water Quality WATERSHED CLASSIFICATION ATTACHMENT FOR RESIDUALS PROGRAMS (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our web site at. http://lz2o.enr.state.nc.uslndpid INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare the attachment form with the requested information for each location where the residuals program activities are planned to occur within a particular regional office county coverage. ✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary. ✓ Use a portion of an 8.5-inch by 1 1-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ✓ Latitudes and longitudes must reported as being based on either the NAD 27 or the NAD 83 data systems. ✓ Acceptable methods of determining location latitudes and longitudes and their corresponding codes are as follows: ♦ Address Matching (ADD) ♦ Digital or Raw Photo Extraction (EXT) ♦ Aerial Photography with Ground Control (AER) ♦ Geodetic Quality GPS Survey (GEO) ♦ Cadastral Survey (SUR) ♦ LORAN-C Navigation Device (LOR) ♦ Conversion from Coordinate Plane (CP) ♦ Navigation Quality GPS (GPS) ♦ Conversion from Township -Section -Range (TSR) ♦ Remote Sensing (RS) ♦ Conversion from Universal Trans Mere (UTM) ♦ Zip Code Centroid (ZIP) ♦ Map Interpretation by Digital or Manual Extraction (MAP) ✓ Location accuracy must be provided to the nearest unit (e.g., nearest second, tenth of a second, etc.). C. Mail or fax the attachment form and the map portions to the appropriate regional office for review and to obtain the waterbody and classification information. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/. ✓ The Division will not consider this attachment form to be complete until it is completed by the appropriate regional office. To: Regional office: Mooresville Regional Office Address of regional office: 610 E. Center Avenue Suite 301 City: Mooresville State: NC Zip: 28115 Facsimile number: 7( 04 ) 663-6040 Please provide me with the waterbody name(s), stream index number(s), and current/proposed classifications) of the surface waters that are closest to and downslope from the location(s) where the proposed residuals program activities are planned to occur, as identified on the attached map segment. Ri-nature of regional office staff: / �/ . &Igl,��-o Date: L S ff FORM: RWSCA 02/02 Page 1 of 4 Attachment Order 3-a. City of Newton Permit WQ0003902 March 16, 2004 Location ID County Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. (To Be Completed by DWQ) urrent and ;ro-posed Class (To Be Completed by DWQ) NC-CA-18-1 Catawba 35.34.17 N 81.14.12 W NAD27 DMS Second kv� 1 V/ NC-CA-18-2 Catawba 35.34.19 N 81.14.27 W NAD27 DMS Second NC-CA-18-3 Catawba 35.34.05 N 81.13.59 W NAD27 DMS Second NC-CA-18-4 Catawba 35.34.03 N 81.14.14 W NAD27 DMS Second NC-CA-18-5 Catawba 35.33.55 N 81.17.24 W NAD27 DMS Second , NC-LT-119-1 Lincoln 35.33.19 N 81.18.18 W NAD27 DMS Second NC-LT-119-2 Lincoln 35.34.14 N 81.18.11 W NAD27 DMS Second NC-LT-119-3 Lincoln 35.33.13 N 81.18.21 W NAD27 DMS' Second NC-LT-119-4 Lincoln 35.33.10 N 81.18.23 W NAD27 DMS Second r " END OF FORM RWSCA 02/02 *** .L- FORM: RWSCA 02/02 Page 2 of 4 Attachment Order 3-a 1E� SYNAGP\,O VICINITY MAP A Residuals Management Company A/c- CAL "- COUNTY OA, r 414?A OWNER 'RUIC16 A�IN &l e-" fP-6 111, SYNAGKO A Recielitalf iWanagement Company 0-1-1,7X I SCALE: I" FIELDS ,TER lJgl116'1�04 'Ile -e-,4 -ice PHOTOQUAD/YEAR CONTOUR INTERVAL 20 SYNAGRO A Residuals ilfaw�guincnl Company COUNTY Ca,l OWNER (7�)Rbiv' ( o-no £ fi y �f Fj p ����.'.ayyyl���raaa+++iyy*r<jy55} �t..s/3 ! =^4S $ R �yES •��i r 0�0�1a SYNAG]\O A Residuals Alanagment.Company W. A' 1 OWNER rDi20 y 1610M 5 SCALE: FIELDS % — 4 PHOTOQUAD/YEAR /Ze CONTOUR INTERVAL 20 S/oC rUC-2-j Attachment Order 3b - County Manager Notification Attachment Form(s) • Catawba County . Lincoln County State of North Carolina Department of Environment and Natural Resources. Division of Water Quality* COUNTY MANAGER NOTIFICATION ATTACHMENT (THIS FORM JIM Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our web site at. http://h2o. enr.state. nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the apply ation package being returned. B. Prepare a separate attachment form for each county in which the land application sites for which the applicant is seeking certification are located. C. Mail the attachment form to the appropriate county manager by certified mail with a return receipt requested. ✓ The most current publication of the Directory of State -and County Officials may be downloaded from the web site at: http://www.secretary.state.nc.us/pubsweb/direct.asp. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/. . D. Attach an 8.5-inch by 11-inch copy of the return receipf-to the back of this attachment form prior to submission of the application to the Division for review. o: County where land application sites are located: Catawba Name and complete address of county manager: J. Thomas Lundy, County Manager P.O. Box 389 City: Newton State:' NC Zip: 28658 This is to notify you that the applicant listed in Item I. 1. of this attachment form will be submitting an application for the land application of residual solids. to land in your county to the Division of Water Quality (Division) for review. During this review, the Division will ensure that all federal and state regulations are enforced. Maps of the land application sites included in this application will be available at the following location ne4ater than the listed expected application date: Name and complete address of appropriate regional office: NCDENR —Mooresville Resional Office 610 East Center Avenue City: Mooresville State: NC Zip: 28115 Telephone number: (704) 663-1699` Facsimile number: (704) 663-6040 Expected date of application submission: Apri118, 2005 Actual date of application submission (to be completed by DWQ): Deadline for county manager response (to be completed by DWQ): Should you desire to comment on this application as it related to your interests, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification or if you would like more information, please contact the Water Quality Supervisor of the appropriate regional office at the telephone numberprovided above. Thank you in advance for your attention to this matter. FORM: CMNA 02/02 Page 1 of 2 Attachment Order 3-b I. GENERAL INFORMATION: 1. Applicant's name: City of Newton 2. Signing official's name and title: Martin Wilson, Public Works Director 3. Complete mailing address of applicant: City of Newton (c/o James Richards) P.O. Box 550 City: Newton State: NC Zip: 28658 Telephone number: (704) 465-7480 Facsimile number: ( 704 ) 465-7481 E-mail address: Richards r ,newtonnc.�_rov 4. Name and complete mailing address of contact person and consulting firm who prepared application: Synagro South (c/o Scott Berg) 6220-A Hackers Bend Court City: Winston-Salem State: NC Zip: 27103 Telephone number: ( 336 ) 766-0328 Facsimile number: (704 ) 766-8652 E-mail address: sberg@synagro.com synagro.com II. PERMIT INFORMATION: 1. Application is for (check all that apply): ❑ new, ® modified, and/or ® renewed permit. 2. If this application is being submitted to renew or modify an existing permit, provide: the permit number W00003902 the most recent issuance date August 13, 2003 , and the expiration date August 31, 2005 Date of most -recently certified Attachment A: September 8, 2000 Date of most -recently certified Attachment B: August 13, 2003 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION 1. County(ies) where residuals source -generating facilities are located: Catawba 2. Purpose of the residual source -generating facilities (check all that apply): ® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater, ❑ treatment of potable water, ❑ treatment of 100% industrial wastewater, ❑ treatment of industrial mixed with domestic wastewater, and/or (approximate percentages: % industrial and % domestic) ❑ other (explain: 3. Are land application sites currently certified for this residuals land application program in this county: ® yes ❑ no. If yes, provide the total number of acres (i.e., excluding buffers) that are certified: 648 acres (approximate percentages: % forested, 100 % agricultural, and % reclamation sites). 4. This application, if approved by the Division, will certify 220.6 additional acres (i.e., excluding buffers) in this county for this residuals land application program (approximate percentages: % forested, 100 % agricultural, and % reclamation sites). *** END OF FORM CMNA 02/02 *** FORM: CMNA 02/02 Page 2 of 2 Attachment Order 3-b State of North Carolina Department ®f Environment and Natural Resources Division of Water Quality COUNTY MANAGER NOTIFICATION ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to submit all of the required items will lead to additional application processing and review time. For more information or, for an electronic version of this form, visit our web site at: http:11172o. enr.state. nc. us/ndpzd INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each county in which the land application sites for which the applicant is seeking certification are located C. Mail the attachment form to the appropriate county manager by certified mail with a return receipt requested. ✓ The most current publication of the Directory of State and County Officials may be downloaded fi•om the web site at: http://vAvw.secretary.state.nc.us/pubsweb/direct.asp. ✓ A list of the Division's -regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://l12o.enr.state.ne.us/ndpu/. D. Attach an 8.5-inch by t1-inch copy of the return receipt to the back of this attachment form prior to submission of the application to the Division for review. County where land application sites are located: Lincoln Name and complete address of county manager: Stan Kiser, County Manager City: Lineolnton State 1 ] 5 W. Main Sreet NC Zip: 28092 This is to notify you that the applicant listed in Item I. 1. of this attachment form will be submitting an application for the land application of residual solids to land in your county to the Division of Water Quality (Division) for review. During this review, the Division will ensure that all federal and state regulations are enforced. Maps of the land application sites included in this application will be available at the following location no later than the listed expected application date: Name and complete address of appropriate regional office: NCDENR — Mooresville Regional Office 610 East Center Avenue City: Mooresville State: NC Zip: 28115 Telephone number: ( 704 ) 663-1699 Facsimile number: (704) 663-6040 Expected date of application submission: April 18, 2005 Actual date of application submission (to be completed by DTIT): Deadline for county manager response (to be completed by DWQ): Should you desire to comment on this application as it related to your interests, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification or if you would like more information, please contact the Water Quality Supervisor of the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. FORM: CMNA 02/02 Page 1 of 2 Attachment Order 3-b I. GENERAL INFORMATION: 1. Applicant's name: City of Newton 2. Signing official's name and title: Martin Wilson, Public Works Director 3. Complete mailing address of applicant: City of Newton (c/o James Richards) P.O. Box 550 City: Newton State: NC Zip: 28658 Telephone number: 204 ) 465-7480. Facsimile number: ( 704 ) 465-7481 E-mail address: iichards a,newtonnc.gov - 4. Name and complete mailing address of contact person and consulting firm who prepared application: Svnagro South (c/o Scott Berg) 6220-A Hackers Bend Court City: Winston-Salem State: NC Zip: 27103 Telephone number: ( 336 ) 766-0328 Facsimile number: ( 704) 766-8652 E-mail address: sberg@synagro.com synagro.com II.. PERMIT INFORMATION: 1. Application is for (check all that apply): ❑ new, ® modified, and/or ® renewed permit. 2. If this application is being submitted to renew or modify an existing permit, provide: the permit number W00003902 the most recent issuance date August 13, 2003 , and the expiration date August 31, 2005 Date of most -recently certified Attachment A: September 8, 2000 Date of most -recently certified Attachment B: August 13, 2003 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION 1. County(ies) where residuals source -generating facilities are located: Catawba 2. Purpose of the residual source -generating facilities (check all that apply): ® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater, ❑ treatment of potable water, ❑ treatment of 100% industrial wastewater, ❑ treatment of industrial mixed with domestic wastewater, and/or (approximate percentages: % industrial and % domestic) ❑ other (explain: ) 3. Are land application sites currently certified for this residuals land application program in this county: ❑ yes ® no. If yes, provide the total number of acres (i.e., excluding buffers) that are certified: 0 acres (approximate percentages: % forested, % agricultural, and % reclamation sites). 4. This application, if approved by the Division, will certify 33.2 additional acres (i.e., excluding buffers) in this county for this residuals land application program (approximate percentages: % forested, 100 % agricultural, and % reclamation sites). ** END OF FORM CMNA 02/02 FORM: CMNA 02/02 Page 2 of 2 Attachment Order 3-b �•/ ■ Complete items 1..2, and 3. Also complete Item 4 If Restricted Delivery Is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailplece, or on the front if space permits. 1. Article Addressed to: S+url �Ct s1�✓' A. Sign ❑ X Agent ❑ Addressee B. Received.by (Printed Name) Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No S. Service Type !' ,IRCCertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) . ❑ Yes 2 Article Number ` 7pp3 2260 ���2 5444 9969 (rransfbr from service label) PS Form 3811, August 2001 Domestic Retum Receipt .2ACPRI-03-F-1 esa 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, Buffer (Application Area)., Aerial Maps • Attachment Order 3-f: Soils Evaluation (where applicable) SITE SUMMARY Site ID: NC-CA-7 Owner: Jeffrey L. Smyre Address: 2435 Smyre Farm Rd. Newton, NC 28658 Phone: (828) 464-7197 Operator: same City of Newton, Clark Creek WWTP Newton, NC Estimated Latitude & Total Applicable Predominant Longitude VICSIric Ad-rom . Arroc Crnn(sl . Siena I0/.l Soil Series (D.M.S) 1 12.1 9.5 fescue 0-10 Hiwassee. 350 37' 47" N 810 10' 50" W 2 16.5 15.1 fescue 0-10 Cecil 350 37' 50" N 810 10' 50" W 3 11.3 6.5 fescue 0-10 Hiwassee 350 37' 54" N . 81 ° 10' 50" W TOTALS 39.9 31.1 Notes: Date: 2/15/05 State of North Carolina Department of Environment and Natural resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or.for an electronic version ofthis form, visit our web site at: http://1z2o.enr.state.nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓`' Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton )mplete mailing address of applicant: P.O. Box 550 City: Newton State N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: irieliards@iiewtonnc.gov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities w - 5- la / z � 3P ori° Livestock feed Clarks Creel(WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c i. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional' residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application sites) by a third parry, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from tite date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by tite Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, eater and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: , T6r5e�e,p`f -, Signature: j Date: NORTi j A LI A, �� rs; ��, COUNTY I, the u rsigned Notary Public do hereby certify that t C San r persona appeared before me this day and acknowledged the due execution of the krgoing instrument. WITNESS my hand and official seal this the day of Signature and seal:'�1.+ n� Y '' ) .:"s Notary Public, North Carolina ` My commission expires: �; �; e�J r a ^�m FRANKIE D. ����4.W Lessee's/Operator's Certification: ❑ I certify that i have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Signature: Date: Permittee's Certification: [Q100"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: RZI PC_—cr J•� a l.. 5b Signature: Date: j j 16 *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c ))/ SYNAG VICINITY MAP COUNTY OWNER A Residuals Management Company TOPOGRAPHIC MAP SYNAGRO' A Residuals Managonent Company OWNER SCALE: 1" FIELDS If le PHOTOQUAD/YEAR CONTOUR INTERVAL i D v u el SYNAGRO APPLICATION AREA MAP A Radduh Afmqwmt compam Owner 4011f, Scifle: 1" Field Total tacres Net Acres STREAM APTUCAMON AM - — — — — — — PRIVATE ROAD DRAW HOUSE FORESTED AM OSURFACE WAFER ❑ OUTBUILDING UNSUITABLE X FENCE 0 WETL D STORAGE AREA (D som DEscRwnoN 4=b SUITABLE FOR INCORPORATION, PROPERTY LINE 8-12% SLOPE State of North Carolina Department of Environment and Natural Resources . Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to -follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state.nc. uslndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton omplete mailing address of applicant: P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: jrichards@newtonnc.gov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land. Use or Cropping Patterns intended Use or Disposition of Crops Residuals Source -Generating Facilities •ve- 4- 8 Livestock feed Clarks Creek WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for .the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: l . The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional 4' residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of die lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. Tile landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for tlhe 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit, may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. Tile landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c JAtom; II. RESTRICTIONS: I I_L } .13 c 4': Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. %� -/ I �1 q Landowner name: �iti� `zJ/C�, �/L L /''l4i'�y Signature: �/%. t �� s —d't . `� Date: NORTH CAROLIN C L - ��-C � COUNTY T; tine undersigned Notary Public do hereby certify that pe'sohe-illy appeared before me this day and acknowledged the due execution of the forg instrument. J�'1 NE. S my h d and official seal this the // day Of i 70 f 7 Signature and seal: My commission expires: Lessee's/Operator's Certification: ❑ l certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Signature: Date: 7Per ittee's Certification: LJ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. I M I l Signing official name: �. l e a VlJ Signature: Date: /0-5— *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c VICINITY MAP nn 14 1 COUNTY OWNER Zr-)", A Residitals Man,zcmvnt Company \0)) SYNAGRO TOPOGRAPHIC MAP A Residuals ivfdnaganent Company OWNER SCALE: 1 lb" 6D' FIELDS E. PHOTOQUAD/YEAR CONTOUR INTERVAL SYNA GN01, AERIAL REFERENCE MAP COUNTY OWNER A Residuals Alimeqeinenl Comlwny IMF-' 11 A rig i � � SGPO �'�C PL A 1 J�OT lti'' �; AREA A Baddm,& Armament Compa�ry ff a Owner _ �i/� �/ rl? Scaler I" — Field # I - 3 Ale -64 Too Acres ��5. � Net Acres �O, 9 -----_ . . > Sna" APPLICATION-ARLA - - - - - - PRIVATE ROAD DRAW �, , HOUSE _ FORESTED AREA CDSURFACE WATER ® OUTBUILDING ® UNSUMBLE FENCE 0 WIML(D - STODGE ARFA O SOIL DESCRI oN SUITABLE FOR INCORPORATION, mmmm , NM@ PROPERTY LINE 8-12% SLOPE NAM S SYNAGF�0 Soil Map A Residuals Afanagemem Company A _.L41 OWNER FIELDS COUNTY SHEET SCALE: 1 SOIL SERIES SITE SUMMARY . Page 1 Project: Newton Site ID: 14 Name: Nelda Lee Address: 5354 Hickory - Lincolnton Rd. Lincolnton, NC 28092 Phone: (704) 462-2812 Operator: Chuck Waters Address: 3503 Killian Rd. Lincolnton, NC 28092. Phone: (704) 732-6646 Estimated Total Applicable Maximum Predominant Latitude & Fields Acres Acres Crop(s) Slope Soil Series Longitude 1A 26.8 19.3 Fescue 10% Hiwassee 350 34' 28" N 810 18' 05" W 1 B 12.7 10.0 Fescue 10% Hiwassee 350 34' 25" N 810 18' 14" W 1C 13.1 9.3 Fescue 10% Hiwassee 350 34' 22" N 810 17' 51" W 2A 27.1 23.7 Fescue 10% Hiwassee 350 34' 20" N 81 ° 17' 5 3'' W 2B 6.1 3.1 Fescue 10% Hiwassee 350 34' 09" N 810 17' 59" W 3 42.6 28.8 Fescue 10% Hiwassee 350 34' 09" N 810 17' 38" W 4 14.2 12.7 Fescue 10% Hiwassee 350 34' 25" N 81018' 21" W TOTALS 14Z 6 106.9 Notes: All fields can be accessed from Hickory - Lincolnton Rd. Date: 2/4/2005 11+ State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) Ale —elf The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to -follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at. hup://h2o. ennstate.na us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this'attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton omplete mailing address of applicant: P.O. Box 550 City: Newton State: N.C.- Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: (828 ) 465-7484 E-mail address: irichards _ newtonnc.eov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities ece 9 IIAV Livestock feed Clarks Creek WWTP �s / �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 of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Pagel of 3 Attachment Order 3-c I. STIPULATIONS: 1. The landowner or leis representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee: 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit, may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: [ I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, -and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: NELDA G LEE Signature: � � Date: 1 /1 D/9005 NORTH CAROLI A, F"(S l/ ` COUNTY 1, the undersigned Notary Public do hereby certify that & Idek C (,e� '? personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal thi th 20 6:) OFFICIAL SEAL Signature and seal: � ��' ` - testy Public, North Carolina ",; COUNTY OF FORSYTH My commission expires: a,- FRANKIE D.,1INGLE�N Lessee's/Operator's Certification: 03 i certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Signature: 1�21��, ;LZ_L� �_-� -��� Date: f1 Perntittee's Certification: 2/1 certify that I have read this A ement d do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: �-f.N Signature: Date: *** END OF FORM LOAA 02/02 *** FORM:.LOAA 02/02 Page 3 of 3 Attachment Order 3-c SYNAGRO VICINITY MAP COUNTY 02,? 7 �/ � /0.6"z ?.. A Rariduals hfan,�qeinent Company OWNER Ale /01� ZaE- It:-. , I A-Z TOPOGRAPHIC MAP SYNA.GRO A Residuals ;lfanagement Company Y.:i zo 5 � ; ,,�� :3 S ' t� ..- '-.•, i .e`JI� p_��°a � .ram.+ r' .� _. �>Z. L.•i '^—•-.� '1� ((1 5�.:.° � � �'`, �•.,✓' ` `� I � 'f Y.�YS��3 }#: f t� I #`r,5 .. �i`�• ="�'� ���q.. �F +� `'ti.....,_._."'��'Q . �,. ��x ' }� � �Y y jl /I � _.�d' f�,I,,,� � PPi r� �f � ''�; �„�,"°- �•,,�`�-f \ t1� 4„}' I•,..; � IT r ( P ... ,.,,r^a ..y. .,r``�r it�.�—�..i?it3 a .11�_r i. '`M.° r"-°-':" § d � � ' ..._^" w,. •w::``s. .>'�� ` `'�. ) ;r' .., OWNER flee - Ze SCALE: 1" _ /� 0 FIELDS awza Z. 2,4. PHOTOQUAD/YEAR beep CONTOUR INTERVAL 2� E o�)#1 - S —N Y AGO . .... .... . AERIAL REFERENCE MAP A Residuals A-lanagemeni colil().liq COUNTY -Ll-'.7�,?/42/042 OWNER. AXPLICATION AREA MAP ✓�yc a�.P�eY Si fe sec-ca -117 AN SYNAGRO A Reriduak hfanapment Cemp M <TAN� oroPeeTY. 1 Ale- a� C � d i Owner /1�C�� zec kale: 1" _ 300 ` Field # IIAJ 2 2-, Total Acres Yms ,,"-, mar Net Acres ,IQe r!l1_yma,r-« STREAM APPLICATION AREA — — — — — — PRIVATE ROAD .� DRAIN HOUSE FORESTED AREA, OSURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE 0 WELL Ci) STORAGE AREA O SOIL DESCRIPTION ® SUITABLE FOR INCORPORATION, . PROPERTY LINE 8-12% SLOPE ..4 SYNAGRO - Soil Map 0 WWE R FIELDS COUNTY SHEET SCALE: P SOIL SERIES SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-15 Name: Conley Fox Address: 7286 River Bend Rd. Claremont, NC 28610 Phone: (828) 256-7551 Operator: same Estimated Total Applicable Maximum Predominant Latitude & Fields Acres Acres Crop(s) Slope Soil Series Longitude 1 16.6 11.2 Fescue 10% Hiwassee/Cecil 350 48' 45" N 810 09' 52" W 2 4.7 3.7 Fescue 10% Hiwassee/Cecil 350 48' 51 " N 810 09' 48"' W 3 10.7 7.9 Fescue 10% Enon 350 48' 57" N 81 ° 09' 51 " W 4 9.7 4.9 Fescue 10% Cecil 350 49' 04" N 810 09' 54" W 5 1.4 1.4 Milo 10% Cecil 350 49' 09" N 810 09' 50" W 6 9.7 5.9 Fescue 10% Cecil 350 49' 13" N 81 ° 09' 53'' W 7 20.2. 19.3 Fescue 10% Cecil 350 49' 05" N 81 ° 09' 42" W 8 19.0 12.9 - . Fescue 10% Cecil 350 49' 20" N 81 ° 09' 29" W 9 1.7 1.7 Corn 10% Cecil 350 49' 04" N 81 ° 09' 22'' W 10 11.4 1.9 Fescue 10% Cecil 350 49' 01 " N 81 ° 09' 18" W 11 11.2 7.9 Fescue 10% Cecil 350 48' 56" N 81 ° 09' 56" W TOTALS 116.3 78.7 Notes: Date: 3/7/2005 State of North Carolina It/z_.Z �lr Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o. enr. state. nc. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton "omplete mailing address of applicant: = P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: (828 ) 465-7484 E-mail address: jrichards acnewtonnc.gov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities he'I'// 16 A� ( Livestock feed Clarks Creek WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page I of 3 Attachment Order 3-c STIPULATIONS: I. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional. residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise pen -nit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with time terms and conditions of this Agreement. 4. This Agreement shall be binding on the -grantees, the successors, and assigns of the parties hereto with reference to time subject matter of this Agreement. 5. Time landowner or his representative or successors shall adhere to time provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. Time Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns fur [lie land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect time land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terns and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. Time landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c H. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified her in. Landowner game: Signature: U' Date: N O FGrS,/ /4 COUNTY I, the and signed Notary Public dohereby certify that cc;, le,/ CCIZ personally appeared before me this day and acknowledged the due x�on of the forgoing instrument. WITNESS my hand and official seal this the day of / P A , :� OFFICPA EAV otary u iC, North Carolina Signature and seal:" COUNTY OF FORSYTH My commission expires: 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: Signature: Date: 2ittee's Certification: i certify that 1 have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. t sa Signing official name: Signature: Date: Y / Il /O *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c ��111 SYNAO SITE VICINITY MAP A Resirlirals Management Company COUNTY 04 OWNER �� /ve-e14 - i5 AERIAL REFERENCE MAP SYNAGGB O A Residuals Management Company 3`�.— � -'s�_ } �� � Cam•. �..�-,�"� � ���'~ ,� r.�,= ,p• � � '�.c ,�,. Vil s 1 rn .. ye;. d ria:•y br Y: fit-. ;:f4 c sus.+r Will :.i ^��.%�''i`r•+��«,,. rI � Ay i � :2�'Ir r 44a'.r.�t d fit•. � P�y� - � . "zv ; �"ti`.'3s ° •�4 �, o�> � ,rl a��< 1 � f'L`'��' .�`,r".1 ,s ♦ ';!tA, Cam/ ��`x' ry,�>* k LR uMir. �. ME - x *JJJV t _ r 77 COUNTY �G�7"000t1�C OWNER c D4e I`-C� ,Illl SYNAGRO A Residuals Afanagement Company Owner Scale: 1" = 800' Field # Total Acres (see summary) Net Acres (see summary) > STREAM CID AP'LICATION AREA - - - - - - PRIVATE ROAD - > DRAIN HOUSE FORESTED AREA Ci:) SURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE 0 WELL STORAGE AREA O SOIL DESCRIPTION SUITABLE FOR O INCORPORATION, PROPERTY LINE 8-12% SLOPE \iO 9 SYNAGRO SOIL MAP A Reridualt Rlanagement Company i COUNTY�OWNER ? SYNAGl\O A Residuals Management Company .. _ `...`-rc�.,,' t#`;o<L tiw�.f'a.�./ • st Pt#� /t�•_�.-"hi7.,,r^.. €rr '� .r.m..t' JL,f o?rah" i� 1 I ! p # n4 45. `rya'l�.ti `, i { ,'�,� t �'•_.1 - ti, • : £ .� � �.,�,`„r v' a .. it:.r:�. �+` r x�R% s?^a:� P `` r�., - I'I ` , i A�75r st` n ate "� ,rrr.,`I''"-''"*r.`e`"s:.._ ..,✓� _ ...�" Ric tN Il kk12x t ,l ~�' r°.+�+ff�'r'v. i' kq,� `' NX nz �.,.>'`-'^�,.�sS +� s y F, ............. .,- # V �b t- ej f • f 4 f y r;zr`t,� .tee? _ _+ .,t.::' �ti- -'•r 'r ��� i € La�,� 1,f • `a h t f • .� 4 `s' i� t € s �,r'""..•�.`�`+x ��€ 'o 01 .. . 1/_ t..J� R `°,.c r°' 7 f 'y f ,. ' ''f a `'•� '``+ti .... r. y t€ y r r t€1'µ E j i 1t1 \ �f a 45 -, �.4 �(? � f j i � � e � � r r {;^ ^. °i �"^� � ! t� .s y t c" ' ' ;ni) •• 4a �\ �! t tE ., `�.. � ..'i i,_ ' j :l if 4S1` •-:Y''S' i �e ..., t � 5 ., t � t' ��4 _ t � •r �., `t e '� \ 1 ��' �(( ��•tt� �. �-....." �. \`� l`Ir�r? 1.r"R !� t1't•°V•µ R ,iL..s •�t f � C,^� • � s{ I "` ��kX,..3iI ! ��1;� n'�V� �.. ��14�; ,: i�~���(i( 1 t "'•.....-..-'+b.� >. _ .. r i E r k.+"` 4 t �^`y. ` d • �t �:ti •.? . _ ' /_.'�,.�y'•� .±,.. � � `+::..i � , ��'° i {� {S. �• _`..i' , 1\e ~� Et d ..aR}R'"-` .: y�;., Lys.:✓ p w^; Ve t ^• t 1 �`s.1 F" .�•'."'` � { •.y � a � `i 3 \11 lrilt ,r a 9 .'t-• � i t , � (.}�p �r'P :y. ✓ ! j a f�� � ;rr t � i .r' �� ��"�`v. � -.� ..,..�.� '� �. � /yam � '1t,L �s-i �x '� `�y� 1 v � r� # J �� � �� `•g.. r.' `e�.., '""�".r"�• z f�S z r i• R}i t t� ft i S i 1 j 1 y 1 _ 5 `� '..eA r ,",""`' � � .,,, ' f � f.•r"^� `\ti 4. �xt ' `.,..✓ - i 1�; `_ t i .' } Y� ;,:,� �� `\ � G �3 •� tt/ . _.. '< ^tom �.. ,,,' 1; ti_3' 'f � �`�..-''' `,°° � :_\ \ �.`� � # � / .� ! .' ,•: �� �,.r l rA i .+w.. �,•`,ry. • ,p�' -� � & ��� �� { • � i � �.," , 1 1 i R �'1,'^��.i`.'2i a�� � t � s i' ,r iS � .✓f. •• � to ��`�Jff f i % ��.J,Y"-y �.::.T1^ `wti.. 1 � �.4' � ,% ^..:. } ', - 1rPF oaf r • •'F: 4i�, r ✓`r 'r'°µ+--.9 � _ IA��. _ 8 �� �•.� > � s � �r „�� tt.1� ft �� '+ .��1� Dom.,,; � - � .a'' . h! i '�.✓ V y;� g� �.r' �'`,y�'',,, �^' t \'�.,..,�. ' ' �;.� �,.'`,..„'"`',,,.., 'y s # � $$��#�.'bX.yt� { t `i r�, �r.*".�"..` •� .i rj l.J .rr / ,( �� i t V �v.:M1 g # � R�,.ops. �"v�f; r ��„e f r �- �� k i •« [': r� � �J _•�.. � :1 �>`y a f; • p+,� J ��� f t i � s`s/" .. � �`'"t,��l ��-f•`°i 1p `s rG�-,..y^-�.� OWNER �r��P_ raX SCALE: I" - FIELDS PHOTOQUAD/YEAR i% llv—� e- CONTOUR INTERVAL Z SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-16 Name: Richard Biggerstaff Address: 4148 Biggerstaff Road Maiden, NC 28650 Phone: (828) 428-4680 (828) 381-2220 mobile Operator: same Estimated Total Applicable Maximum Predominant Latitude & Fields Acres Acres Crop(s) Slope Soil Series Longitude 1 20.1 12.0 Fescue 10% Pacolet 35.33.42 N 81.15.27 W 2 18.0 13.9 Fescue 10% Cecil 35.33.33 N 81.15.11 W TOTALS 38.9 25.9 Notes: Fields are accessed from Biggerstaff Road Northern portion of Field 2 (10.5 ac net) is in Catawba County. Southern portion of Field 2 (3.4 ac Net) is in Lincolnton County Date: 12/13/2004 ' �i�'GC?E�.Siri State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o.enr. state.nc. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION.SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton unplete mailing address of applicant: P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: irichards newtonnc gov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating , Facilities /V e -eA-16 Livestock feed Clarks Creek WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page 1 of') Attachment Order 3-c I. STIPULATIONS: 1. The landownEr or leis representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the-Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pl-I of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS:z e, Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, -and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein.. r� Landowner name f Gdl Ct F Signature: Date: i.,116 0 NORTH CAROLINA, / (�r�l/�J j COUNTY l I, the undersigned Notary Public do hereby certify that F1 C�d• ✓ Ct /�+ �; t'c�j`�6f" personally appeared before me this day and acknowledged the due execution of the for/going instrument. WITNESS my hand andofficial seal this the da of P C' e r.. ! 4v✓ , 20 C; t Signature and seal: ) E' OFFICIAL SEAL Notary Public, North Carolina My commission expires: s 7 COUNTY OF FORSYTH FRA M pare D. �1�1�7 N y 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: Signature: Date: 71certify ittee's Certification: that I have read this Agreement and do he eby agree to abide by the stipulations and restrictions as specified herein. Signing official name: +oti LSO Signature. .6� y Date: *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c SITE VICINITY MAP A Residuals Management Company COUNTY 6�-Ialvilq OWNER TOPOGRAPHIC MAP A Residuals Alnnrgement Company OWNER SCALE: I" FIELDS PHOTOQUAD/YEAR ,�j CONTOUR INTERVAL /Q 1pel� r/,,/1a d)U, d 0f) . " J, SYNAO-RO AERIAL REFERENCE MAP A Residuals Aiawgement Company COUNTY C C�l� OWNER S, ie lve-1 `1h4 —% APPLICATION AREA MAP SYN.AGRO A Residuals Mam gement Company Owner / <<%/71�2C �O r P 7►'!' Scale: 1" = 660' Field # �av Total Acres (see summary) Net Acres (see summary) STREAMCi:) APPLICATION AREA — -.— — — - PRIVATE ROAD > DRAIN HOUSE FORESTED AREA CK) SURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE 0WELL STORAGE AREA SOIL DESCRIPTION SUITABLE FOR O ® INCORPORATION, �� PROPERTY LINE 8-120% SLOPE it SYNAGRO SOIL MAP A Residuals Management Company COUNTY �q��2CLJ,�� OWNER �G�2Cff �l'57� T SOIL DESCRIPTION SHEET Project: Site: Field: i Acres (gross): Acres (net): - SYNAGRO A Residuals Afanagement Company Landowner: Sample #: Slope: t Crop:S�v��-` Horizon Depth Texture Color Structure Mottles PROFILE A ,6- J T Depth to SHWT: > 3G Depth & type of restrictive layer: `7?� Soil Series: Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: LoL-3 .r Described By: r 00 Le Texture Structure Grade s Sand 1 Weak Loam 2 Moderate si Silt 3 Strong c Clay Z. Date: /0,5 Structure Type gr Granular abk Angular Blocky pl Platy sbk Subangular Blocky pr Prismatic sg Single Grained cpr Columnar m Massive SOIL DESCRIPTION SHEET Project: t Site: Acres (gross): Field: •fir Acres (net): ��11e SYNAGQ A Reridiralr Management Company . Landowner: Sample #: Slope: Crop: Horizon Depth Texture Color Structure PROFILE A iP- PROFILE B Depth to SHWT: 5? Depth & type of restrictive layer: r� Soil Series: 1 c_ Mottles c Z� 7 Horizon Depth Texture Color Structure Mottles Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: Date: na 6,�--f 0 Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy . sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive Reporl fiber: A&L EASTERN AGRICULTv,%AL LABORATORIES, INC. 2005-RO35-033 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 A.L Account # 46476 Fax No. (804) 271-6446 • Email: office@al-labs-eastern.com QD: Send To: SYNAGRO SE/NEWTON Grower: PO#12313-1 Samples Submitted By: 6220A HACKERS BEND CT RICHARD BIGGERSTAFF SCOTT BERG WINSTON SALEM, NC 27103 NC-CA-16 SOIL ANALYSIS REPORT Analytical Method: Page: 1 Date Received: 02/03/2005 Date of Analysis: 02/04/2005 Date of Report: 02/08/2005 Mehlich III Or anic Matter 9 Y Phos p horns P.otassru" ":. m Magnesium Calcium Sotlwm pH Acrd)ty' Sample _ Number U.- Lab Number, % ENR - Ibs/A-'„, , , Available ,,ppm Rate Reserve „ppm Rate K pprn Rate. MG ppm Rate.. _. _� CA ppm :Rate„ . , NA ,, ppm `.;Rate Sol 91 s; pH Buffer Intlext _ _n,,. H me'%100 - - Q 9 me /1:00 ;;- _. 9. 9 1-. 16815 2.9 99 M 27 H 193 VH 147 VH 512 L 12 VL 5.4 6.76 1.7 6.0 2 16816 3.7 116 H 35 H 128 VH 156 VH 508 L 13 VL 5.4 6.76 1.7 5.9 Sample Number Percent Base;Saturatibn Nitrate Sulfur Ziric Mariganese Iron : Copper Boron ;:Soluble Salts rns cm Rate Cfilo�ide Al uirimum K. M 9k /o ;- Ca /o : , ...,.... Na /o:; :k„ H,.;.' /o,: °, , NO3 N m; ,Rate pP..:,, SO4=S m:::Rate Pp. �.u.,._r ZN' ;. m . Rate PP MN m 'Rate ` P,P.. F E . f pp,, m .-.Rate CU m. Rate pp_. t g s rn,';' Rate CL m- R ate AL pm _Rate 1 8.2 20.3 42.4 0.9 28.3 3.4 M 22 H 178 VH 1.3 H <.3 VL 2 5.6 22.1 43.1 1.0 28.3 4.2 H 72 VH 119 VH 1.0 M <.3 VL This report applies to the sample(s) tested. Samples are retained a Values on this report represent the plant available nutrients in the soil. Explanation of symbols: % (percent), ppm (parts per million), Ibs/A (pounds per acre), maximum E thirty days aRASTERN AGRIer C testing. Soil Analysis prepared by: A 8 L ECULTURAL LABORATORIES, INC. Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). ms/cm (milli -mhos per centimeter), meq/100g (milli -equivalent per 100 grams). ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = Ibs/A, Soluble Salts ms/cm x 640 = ppm. by: C. Norman Jones Report Number: A&L EASTERN AGRICUL WRAL LABORATORIES, INC. , 2005-RO35-033 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 Account # 46476 U Send To: SYNAGRO SE/NEWTON Grower: PO#12313-1 Samples Submitted By: 6220A HACKERS BEND CT RICHARD BIGGERSTAFF SCOTT BERG WINSTON SALEM, NC 27103 NC-CA-16 Date: 02/08/2005 Page: 1 SOIL FERTILITY RECOMMENDATIONS (Ibs/A) Your Sample ' Crop Yleld Amendments N P205 K2Q Mg 1 S Zn Mn Fe Cu B Mo Ltme" Gypsum Elemental' ,r �_ -Number r Tn1A ;;T,ons1A _ >$IublstluAr Niteron ' f Phos Potash o- Ma 9 - .Sulfur. Zinc. 'Man 9 a s ►ronr :Co PPer oron, - .oY MbBos g ate neslu(n nese det�iam= 1,1 FESCUE 04 T 1.25 50 50 55 0 0.0 0.0 0.0 0.0 2' 1 FESCUE 04 T 1.25 50 35 170 0 0.0 0.0 0.0 0.0 Remarks: ON 1-1 APPLY (50-15- 0) PER ACRE AFTER EVERY CUTTING. ON 2-1 APPLY (50-15- 0) PER ACRE AFTER EVERY CUTTING. "The recommendations are based on research data and experience, but NO GUARANTEE A&L EASTERN AGRICULTURAL LABORATORIES, INC. or WARRANTY expressed or implied, concerning crop performance is made." Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced In whole or in part nor may any reference be made to the by: work, the results, or the company in any advertising, news release, or other pudic announcements without obtaining our prior written authorization. Copyright 1977. C. Norman Jones Report..—.aer: A&L EASTERN AGRICU, JRAL LABORATORIES, INC. 2005-RO35-033 7621 Whitepine Road • Richmond, Virginia 23237 (804) 743-9401 t Fax No. (804) 271-6446 rAk Account # 46476 Send To: SYNAGRO SE/NEWTON Grower: PO#12313-1 Samples Submitted By: 6220A HACKERS BEND CT RICHARD BIGGERSTAFF SCOTT BERG WINSTON SALEM, NC 27103 NC-CA-16 Date Received: 02/03/2005 Date of Report: 02/10/2005 Page: 1 TOTAL SOIL ANALYSIS REPORT Date of Analysis: 02/04/2005 ':.: Man a- . 9 .. "er `> -:. t aium Sodium, Iron Aluminum ,,.: nese.' ° Co Zinc Ammon) ra Sample ,: Lab. p .. " S Ca ;- a M ,: Na Fe AI . Cu , 2n Ndro en 9 NINt o'"er 9. Number Number rnglkg ,,. ;; mglkg ,: .. mglkgefi 9;r mglkg !k 9 9 m 99 9 99 99,, mlkg m9.�k9",. , m9(k9 1.1 16815 16816 Gadmmm Ntckel " Lead •°- , ; Menu Selenium 0 amc Total Stl OMhy C1 N ,. Pb ,::Arsenic As N H ;`: 9,a • :.:Se' 9 . Nitro en ;, ` H :. >C.E.C... a , A z: g _ cornfius Ratio. denum Cobalt^, Co Acid rodu` E ng {' mglkg s mglkg -,,mg kg ' 's,!p9�k9 " lk, m99 m n•,.,9 rn /k rp 110D "` Ik"` tlon Mo f p c ; H rn m .P.9.:. 99 me 9 9 m y99 r e , 0.1 1 < 1 3 2.64 <0.01 0.28 < 1 01 0.1 1 2 4 2.51 <0.01 0.41 < 1 This report applies to the sample(s) tested. Samples are retained a MEHLICH EXTRACTION maximum of thirty days after testing. A & L EASTERN AGRICULTURAL LABORATORIES, INC. by: Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. C. Norman Jones State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more infbrmation or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton )mplete mailing address of applicant: P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: jrichards@newtonnc _>ov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities e/d5 — F�SCccc 0.15Tcc�� Livestock feed Clarks Creek WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: 1. The landowner_ or bis representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pli of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: AV I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. ? C�1 Landowner name: Signature: Date: NORTH CAROLINA, G,�0.w4c� COUNTY I, the undersigned Notary Public do hereby certify that J ar e, j6c cc i) 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 JQinuau 20 b5 Signature and seal: M commission expires: ° =s" " OFFICIALSEAL y p 5 �� Notary Public, North Carolina COUNTY OF FORSYTH •�� FRANKIE D. SING � DN My Commission Expires Lessee's/Operator's Certification: JS 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: I� "d, Signature: J Date: J z15 Permittee's Certification: I certify that I have read AgreemenT,, do hereby agrree_to abide by the stipulations and restrictions as specified herein. Signing official name:,Q L 4 �, w i L S d Signature: *** END OF FORM LOAA 02/02 *** Date: FORM: LOAA 02/02 Page 3 of 3 . Attachment Order 3-c SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Project: Newton Site ID: NC-CA-17 Name: Jane Berry Address: 1325 Peacehaven Rd. Clemmons, N.C. 27012 Phone: (336) 766-4501 Operator: Chuck Waters Address: 3503 Killian Rd. Lincolnton, NC 28092 Phone: (704) 732-6646 Estimated Total Applicable Maximum Predominant Latitude & Fields Acres Acres Crop(s) Slope Soil Series Longitude 1 5.5 4.1 Fescue 10% Cecil 35.34.52 N 81.17.46 W 2 5.7 3.8 Fescue 10% Cecil 35.34.49 N 81.17.42 W 3 11.5 9.7 Fescue 10% Pacolet 35.34.47 N 81.17.37 W 4 36.6 26.7 Fescue 10% Cecil 35.34.35 N 81.17.37 W 5 15.4 6.0 Fescue 10% Hiwassee 35.34.33 N 81017.43 W 6 17.9 9.1 Fescue 10% Pacolet 35.34.22 N 81.17.36 W 7 36.1 29.3 Fescue 10% Hiwassee 35.34.47 N 81.17.64 W 8 25.8 21.8 Fescue 10%, Hiwassee 35.34.38 N 81.18.04 W 9 17.9 10.2 Fescue 10% Cecil 35.34.49 N 81.18.19 W TOTALS 172.4 120.7 Notes: Fields 1 - 7 accessed from Blackburn Bridge Rd. Fields 8 & 9 accessed from Hickory Lincolnton Road Date: 2/4/2005 NWW SYNAGP\O- SITE VICINITY MAP A Residuals Afanagement Compaq / f COUNTY q-1al ,6q OWNER APPLICATION AREA MAP JI, SYNAGI\O A Residuals Nfamqumcnt Company Owner Scale: V - Boo Field # 11h1e)« .A 19 Ne-ev— Total Acres (see summary) Net Acres (see summary) . > STREAM > DRAIN CDSURFACE WATEI FENCE- DSTORAGE AREA PROPERTY LINE CID APPLICATION AREA HOUSE ❑ OUTBUILDING 0 WELL O SOIL DESCRIPTION — — — — — — PRIVATE ROAD FORESTED AREA UNSUITABLE SUITABLE FOR INCORPORATION, 8-12% SLOPE SYNAGRO ... ...... . ... . .... . ...... ...... A Rafieluals hlanr�goment Company 11 If (J OWNER A? SCALE: P FIELDS 7 :517C-- PHOTOQUAD/YEAR CONTOUR INTERVAL -F4 &63191:�, Ille- evwo. \�� �,o SYl AG AERIAL REFERENCE MAP A RefidlFaIl A4anagement Company COUNTYc OWNER � N-) SYNAGRO Soil leap i t,W62 tC2 sB2 a. HsB2 H%vB2 A Residitals Afanagemem Company OWNER ,�1�C%'C�' FIELDS COUNTY �z ����/b� SHEET SCALE: V SOIL SERIES L�O S NAIGR SOIL DESCRIPTION SKEET A Residuals Managament Company Project: Landowner: Site: V-64-ems Field: Sample #: Slope: Acres (gross): Acres (net): Crop: Horizon Depth Texture Color Structure Mottles PROFILE A 6 - 7 � t- `� V4 //J-T ' 2,Y C. ' t gyp PROFILE B Depth to SHWT: > 3 6, Depth & type of restrictive layer: Soil Series: 73� Horizon Depth Texture Color Structure Mottles Depth to SHWT: Depth & type of restrictive layer: Soil Series: r ` Notes: a�J�-. ,f ; ,r Described By: •''/�� Date: Leap Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy_ sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive SYNAGRO SOIL DESCRIPTION SHEET ARerir[naltttifanugcnnentCo�nf�any Project: , % '`"'r Landowner: �%'`�� �-e". iY Site: �c'�'/�"�� Field: Sample #: Slope: Acres (gross): Acres (net): Crop: f Horizon Depth Texture Color Structure Mottles PROFILE A -_-� �/� —)J s=r� r r ///' ♦ i 1 r Depth to SHWT: > T4 Depth & type of restrictive layer: Soil Series: Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: LVwC S—r Described By: y+°j2/ ;- Date: Legend Texture Structure Grade Structure Type . s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive SYNAGRO A Reriduals Afanagemait Company SOIL DESCRIPTION SHEET Project: Landowner: site: Field: Sample #: Slope: Acres (gross): Acres (net): Crop: lef.. Horizon Depth Texture Color Structure PROFILE A 4 - 11 Depth to SHWT: iLe Depth & type of restrictive layer: Soil Series: & — Horizon Depth Texture PROFILE B Mottles Color Structure Mottles Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: KDate: Legend Texture Structure Grade Structure Type S Sand I Weak gr Granular abk Angular Blocky I Loam 2 Moderate P1 Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained C Clay cpr Columnar m Massive SOIL DESCRIPTION SHEET Project: AJ§' Site: Field: Acres (gross): Acres (net): SYNAGRO A Residuals Afanagement Company s-, Landowner: Sample #: Slope: Crop: ra-cac Horizon Depth Texture Color Structure PROFILE A 6( Depth to SHWT: e,.-, Depth & type of restrictive layer: Soil Series: Horizon Depth Texture Color Structure PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: zo Described By: 1 Date: I Pqanrl Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate P1 Platy sbk si Silt 3 Strong pr , Prismatic sg c Clay cpr Columnar m Mottles Mottles Angular Blocky Subangular Blocky Single Grained Massive SYNA.GR SOIL DESCRIPTION SHEET A Rerith"It Afanagement Cffnpany Project: Landowner: Site: iUC eA / ;z- Field: S Sample #: Slope: Acres (gross): Acres (net): Crop: �SCvE/kwg SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A Aa 1,�' °f 114 1' >e •��-1 ��� � �.�Yt�' 3�Ce f�s{fir. Depth to SHWT:' Depth & type of restrictive layer: f '� Soil Series: I L-4A-'�'1 Horizon Depth Texture Color Structure Mottles PROFILE IS Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: st.t lh�r r 1--,& // Rt{LI/(�. rr • /p r .ter c ) j /� j a ,s ldj i.O O�f> �IV LiG�' tld�✓ i.�c'`aCSIi.S�C.it.� e�L :';7df)f^U (.. �'1ie SC:��%_S ��./f� Described By: Date: 6�> Le-gend Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate p1 Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained . c Clay cpr Columnar m Massive �� SYNAGRO .pi SOIL DESCRIPTION SKEET Project: 1l `CGr1 Site: We -C44 19' Field: Acres (gross): Acres (net): A Residuals hlanagenrent Company Landowner: -A.)Ct Sample #: Slope: a? Crop: r-acur ( %des Horizon Depth Texture Color Structure PROFILE A gc, Z 1 .4 PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: arcp.'C Mottles Horizon Depth Texture Color Structure. Mottles Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: o,,jsr r l/ ir- W--- Described By: Texture Structure Grade s Sand 1 Weak I Loam 2 Moderate si Silt 3 Strong c Clay J f Date:zo, M Structure Tvr)e gr Granular abk pl Platy sbk pr Prismatic sg cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive SAG - SOIL DESCRIPTION SKEET AReridxalsManagement Company Project: 4")J ml Landowner: _� 4ar Site: Ale-64 -/ ;v- Field: -7 Sample #: Slope: Acres (gross): Acres (net): Crop:rC�c� SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure PROFILE A 64- /-6e-1 PROFILE B Notes: Legend Depth to SHWIT: 3L. Depth & type of restrictive layer: > ?6 Soil Series: Mottles Horizon Depth Texture Color Structure Mottles Depth to SHUNT: Depth & type of restrictive layer: Soil Series: - 4s l- Described By: _ Date: Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive SOIL DESCRIPTION SHEET SYNAGRO A Residuals Managennent Company Project: Landowner: Site: Field: X Sample #: Slope: 3 Acres (gross): Acres (net): Crop: SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A AIQ 4 •� f 16 : 31,4 12 Depth to SHVVT: Depth & type of restrictive layer: % Soil Series:�,�s�'�1F��:�rE'w Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: Legend Date: Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive SOIL DESCRIPTION SHEET Project: jL 1,F--%-J-r6�.J ;r SYNAGGR A Residuals Management Company Landowner: I(C l`1e, r -.r Site: Field: a Sample #: Slope: Acres (gross): Acres (net): Crop: Horizon PROFILE A P,1 Ida z PROFILE B Notes: Legend SOIL PROFILE DESCRIPTIONS Depth Texture i t,... Z E { c Color Structure Mottles r Depth to SHWT: Depth & type of restrictive layer: Soil Series:`���c Horizon Depth Texture Color Depth to SHWT: Depth & type of restrictive layer: Soil Series: Described By: G" Structure Mottles Date: d 2 x Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive Report,.,u„rber: A&L EASTERN AGRICULTur%AL LABORATORIES, INC. 2005-RO35-032 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 • Email: office@al-labs-eastern.com Account # 46476 L1 a Send To: SYNAGRO SE/NEWTON Grower: PO#12313-1 - JANE BERRY Samples Submitted By: 6220A HACKERS BEND CT NC-CA-17 SCOTT BERG WINSTON SALEM, NC 27103 SOIL ANALYSIS REPORT Analytical Method: Page: 1 Date Received: 02/03/2005 Date of Analysis: 02/04/2005 Date of Report: 02/08/2005 Mehlich III ;. :.. Organic Matter,'' Ptbsphorus „ ;; Potassium : - Magnesium = Calcium Sodium tY Sample ,` Number : Lab Numfier ENR Ibs/A " ..,.._..,... Available ppm ":.Rate Reserve m Rate K m ;crate MG m Rate CA rn , ; Rate NA ` m Rate Soll .-. e H Buffer Indext H me %100'' q ,., .9. me'/100 ' ?1 16806 3.2 103 M 61 VH 49 VL 71 L 268 VL 14 VL 5.0 6.39 5.4 7.5 2!1 16807 2.9 100 M 24 M 58 L 95 H 385 L 11 VL 5.1 6.67 2.6 5.5 311 16808 3.4 109 H 25 M 38 VL 154 VH 597 L 16 VL 5.4 6.75 1.8 6.2 4:-�1 16809 3.1 102 M 25 M 47 VL 169 VH 682 M 14 VL 5.5 6.76 1.7 6.7 51 16810 3.1 104 IN 119 VH 35 VL 28 VL 110 VL 14 VL 4.5 6.46 4.7 5.6 Semple ; Number Percent Base;$aturatign Nitrate ,;. Sulfur r :Zinc; ,: .Man anew,: 9. Iron; Co er ;,. PP Boron Soluble ; Salts ; ;chloride::- Aluminum' K : Mg : ' Ca Na;; % H % .. NO3 N , pplri Rate SO4=S , ppm "Rate ZN .ppm 'Rate MN ,ppm'; Rate FE' `ppm Rate .. CU ppm-".a PP - B PP m_`:; Rate w, - CL , PPm 'Rate AL p rn `' Rate -. ms/cm =Rate .-.-. 1 �1 1.7 7.9 17.8 0.8 71.8 11.7 VH 117 VH 108 VH 4.1 VH <.3 VL 2?1 2.7 14.4 34.9 0.9 47.2 9.0 VH 50 H 92 VH 3.4 VH <.3 VL 3)1 1.6 20.7 48.2 1.1 28.3 10.4 VH 16 M 152 VH 3.7 VH <.3 VL 4!1 1.8 20.9 50.6 0.9 25.8 11.1 VH 17 M 158 VH 4.0 VH <.3 VL 57'1 1.6 4.1 9.8 1.1 83.4 5.2 H 57 VH 174 VH 5.9 VH <.3 VL i ms repon appues to me sampielsf testeo. Samples are retained a Values on this report represent the plant available nutrients in the soil. Explanation of symbols: % (percent), ppm (parts per million), IbslA (pounds per acre), maximum of thirty days after testing. Soil Analysis prepared by: Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). mslcm (milli -mhos per centimeter), megl100g (milli -equivalent per 100 grams). A & L EASTERN AGRICULTURAL LABORATORIES, INC. ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = IbslA, Soluble Salts mslcm x 640 = ppm. by. IC. Norman Jones Report v.uimroer: A&L EASTERN AGRICULTL. __ kL LABORATORIES, INC. 2005-RO35-032 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 L Account # 46476 Fax No. (804) 271-6446 • Email: office@al-labs-eastern.com Send To: SYNAGRO SE/NEWTON Grower: PO#12313-1 - JANE BERRY Samples Submitted By: 6220A HACKERS BEND CT NC-CA-17 SCOTT BERG WINSTON SALEM, NC 27103 SOIL ANALYSIS REPORT Analytical Method: Page: 2 Date Received: 02/03/2005 Date of Analysis: 02/04/2005 Date of Report: 02/08/2005 Mehlich III Organic Matter- Phosphorus Fotiasslum•; " Megneslum Calcium' Sodlum p H Acldl tY C.E C Sample Number Lab;- Nurrmtier ? ENR-; Ibs/A-' Available ppm Rate Reserve = ppm Rate• K ppm w Rate ._. MG pprn R�te`a �... _ CA ppm Rate ; I .rp; ., ._,... NA ppm Rate ..,_.._,....... Soll P H , 3. Buffer Indi H me /100 ._ . 9._ _.9 me /100 9__..,".9. 611 16811 2.6 95 M 128 VH 35 VL 24 VL 100 VL 15 VL 4.4 6.51 4.2 5.1 16812 3.3. 104 M 124 VH 141 H 58 L 234 VL 14 VL 4.6 6.28 6.5 8.6 8`11 16813 3.0 103 M 38 H 100 H 57 L 241 VL 15 VL 4.9 6.62 3.1 5.1 91 16814 2.6 91 M 35 H 1 2 M 55 L 227 VL 12 VL 4.9 6.32 6.1 8.0 -' Sample Numbe%: ....• Percent Base. Saturation Nitrate ;, . S..I u u . u f r Z Lnc . e Manganese , Iron. ,Co a ';` pp r Boron Soluble Salts C h onde -, -Al u,mum K %.: M g %_ `; Ca:< %:" ;; 1Ja % H " %-":, .... NO3 N -: ..ppm Rate -k , ..., . SO4=S ":,.ppm. ;Rate ZN ;.pprn'-Rate MN ppm , Rate °' _. _; EE". p m =:Rate R, ,... CU p'm ,Rate P.. B m<` Rate;ms/cm PP . a. .._...sc ; CL Pp m -Rate Ai pP , Rate . '"Rate ; 5-1 1.8 4.0 9.9 1.3 83.1 5.5 H 58 VH 181 VH 6.0 VH <.3 VL i 7''1 4.2 5.6 13.6 0.7 75.8 12.2 VH 60 VH 217 VH 7.4 VH <.3 VL 8 1 5.0 9.3 23.6 1.3 60.8 9.9 VH 106 VH 86 VH 4.5 VH <.3 VL 971 3.3 5.7 14.2 0.7 76.2 9.6 VH 117 VH 85 VH 4.3 VH <.3 VL i m5 report app°es to me sampietst testeu. oampies are retaineo a Values on this report represent the plant available nutrients in the soil. Explanation of symbols: % (percent), ppm (parts per million), Ibs/A (pounds per acre), maximum of thirty days after testing. Soil Analysis prepared by: A & L EASTERN AGRICULTURAL LABORATORIES, INC. Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). ms/cm (milli -mhos per centimeter), meq/100g (milli -equivalent per 100 grams). ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = Ibs/A, Soluble Salts ms/cm x 640 = ppm. by: C. Norman Jones Report Number: A&L EASTERN AGRICUL 'URAL LABORATORIES, INC. AIL 11 2005-RO35-032 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 Account # 46476 a O Send To: SYNAGRO SE/NEWTON Grower: PO#12313-1 - JANE BERRY Samples Submitted By: 6220A HACKERS BEND CT NC-CA-17 SCOTT BERG WINSTON SALEM, INC 27103 Date: 02/08/2005 Page: 1 SOIL, FERTILITY RECOMMENDATIONS (Ibs/A) 'Your - Amendments N P205 `. K20? Mg'° x S Zn Mn FQ Cu B Mo Lfine' Gypsum Elemental Sample'.` Crop Yield:: r Number TonslA TonslA sulfur : Nltro - Phos=' Potash Ma =' 5. Suffur Zinc Man' a , 9 Iron Co' er, PP Boron Mol b='.` y. .:' gibs !A ; gen� ; phate;� neslum nese denum 1')1 FESCUE 04 T 3.50 50 30 170 0 0.0 0.0 0.0 0.0 `2.11 FESCUE 04 T 2.00 50 60 170 0 0.0 0.0 0.0 0.0 3,)1 FESCUE 04 T 1.25 50 55 170 0 0.0 0.0 0.0 0.0 �1 FESCUE 04 T 1.25 50 55 170 0 0.0 0.0 0.0 0.0 5 1 FESCUE 04 T 3.00 50 0 170 40 0.0 0.0 0.0 0.0 Remarks: ON 1-1 APPLY ( 50- 0- 75) PER ACRE AFTER EVERY CUTTING. ON 2-1 APPLY ( 50-15- 75) PER ACRE AFTER EVERY CUTTING. ON 3-1 APPLY (50-15- 75) PER ACRE AFTER EVERY CUTTING. ON 4-1 APPLY (50-15- 75) PER ACRE AFTER EVERY CUTTING. ON 5-1 APPLY (50- 0- 75) PER ACRE AFTER EVERY CUTTING. ON 5-1 APPLY DOLOMITIC LIMESTONE TO SUPPLY MAGNESIUM; HOWEVER MAGNESIUM MAY BE SUPPLIED AS MAGNESIUM OXIDE OR K-MAG IF DOLOMITIC LIMESTONE IS NOT APPLIED. "The recommendations are based on research data and experience, but NO GUARANTEE A&L EASTERN AGRICULTURAL LABORATORIES, INC. or WARRANTY expressed or implied, concerning crop performance is made." Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the by: work, the results, or the company in any advertising, news release, or other public announcements Athout obtaining our prior vniften authorization. Copyright 1977. C. Norman Jones N'Gmber: Re ort A&L EASTERN AGRIC+ p CAURAL LABORATORIES, INC. 2005-RO35-032 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 AfL Account # 46476 Ci Send To: SYNAGRO SE/NEWTON Grower: PO#12313-1 - JANE BERRY Samples Submitted By: 6220A HACKERS BEND CT NC-CA-17 SCOTT BERG WINSTON SALEM, NC 27103 Date: 02/08/2005 Page: 2 SOIL FERTILITY RECOMMENDATIONS (IbslA) Your s Amendments N P205 } K20 Mg S Zn ' Mn Fe C1l B Mo L1me`, Gypsum Elemental Sample ' Crop Yield ` Number. TonslA ..TonslA ". sulfur -_ : Nitro :; = Phos<;: P,otash, Ma 9 Sulfur ZIncL ' 'Maria .::Iron 9 Co er PP .Boron IbstA gen phate neslum e n se tlenum 6�1 FESCUE 04 T 2.75 50 0 170 45 0.0 0.0 0.0 0.0 t 7,l1 FESCUE 04 T 4.25 50 0 185 20 0.0 0.0 0.0 0.0 6�1 FESCUE 04T 2.00 50 45 225 20 0.0 0.0 0.0 0.0 9;1 FESCUE 04 T 4.00 50 35 140 20 0.0 0.0 0.0 0.0 Remarks: ON 6-1 APPLY (50- 0- 75) PER ACRE AFTER EVERY CUTTING. ON 7-1 APPLY (50- 0- 0) PER ACRE AFTER EVERY CUTTING. ON 8-1 APPLY (50- 0- 0) PER ACRE AFTER EVERY CUTTING. ON 9-1 APPLY (50-15- 65) PER ACRE AFTER EVERY CUTTING. ON ALL CROPS APPLY DOLOMITIC LIMESTONE TO SUPPLY MAGNESIUM; HOWEVER MAGNESIUM MAY BE SUPPLIED AS MAGNESIUM OXIDE OR K-MAG IF DOLOMITIC LIMESTONE IS NOT APPLIED. "The recommendations are based on research data and experience, but NO GUARANTEE A&L EASTERN AGRICULTURAL LABORATORIES, INC. or WARRANTY expressed or implied, concerning crop performance is made." Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the by: work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Copyright 1977. C. Norman Jones Reporl fiber: 2005-RO35-032 Account # 46476 A&L EASTERN AGRICUL. URAL LABORATORIES, INC. 7621 Whitepine Road • Richmond, Virginia 23237 (804) 743-9401 Fax No. (804) 271-6446 Send To: SYNAGRO SE/NEWTON 6220A HACKERS BEND CT WINSTON SALEM, NC 27103 Date of Report: 02/10/2005 Page: 1 Grower: PO#12313-1 - JANE BERRY NC-CA-17 TOTAL SOIL ANALYSIS REPORT Samples Submitted By: SCOTT BERG Date Received: 02/03/2005 Date of Anblysis: 02/04/2005 Y 9 9,.. Sodmm ::Iron • luml um A n a '" a ..> M ng. ��� Co er pp m: r.Arnmoma., >•-Nitrate w: `Na . <,, Fe, �`�� AID°' ems,. neseF .' ...>,Zlnc x•Cu� �Zn Nitro en Nino en Number Number m Ik = m Ik rn lk m Ik +n Ik ::. m Ik `' mglkg mglkg mglkg 9 mglkg ..; 9 rlglkg mglkg 9 g - 9 9. mglk9 9 9 9 9 9 9 mglk� 1 1 16806 1 16807 )1 16808 f4�1 16809 �1 16810 e lernum, Q): antc,. „? ud. S I e. I r y, C N ° y Co bait. L1ctd " ...,. ., .. .:: ,... ,...,. P ..x. ... s�U „,. ,,. �mmm... ... NI �-.. Pb a :; �..:As ...,�. -Mercu , ; .., ,.�.. H ., ,S . Se.•", 9 .,, en .; - ,. ,; � H .7otat,.,, - ��: � 1; E C v , �" �` , cofn4us„ �, ,.1 Railo �.' denurtt X C� rodticm g NumberY m ' k Cr Ik m9 -;;� _. 9 ., .Nitro 9 �P x . p /o mglkg A�4 11'1 0.1 1 1 5 2.96 <0.01 0.54 < 1 1 0.1 1 < 1 4 3.22 <0.01 0.60 < 1 0.1 1 < 1 3 3.41 <0.01 0.56 < 1 1 [41 0.1 1 < 1 3 3.63 <0.01 0.55 < 1 0.2 1 <1 5 2.15 <0.01 0.43 <1 This report applies to the sample(s) tested. Samples are retained a MEHLICH EXTRACTION maximum of thirty days after testing. A & L EASTERN AGRICULTURAL LABORATORIES, INC. by: / Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the / work, the results, of the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. IC. Norman .Tones Report rvumber: A&L EASTERN AGRICUL I JRAL LABORATORIES, INC. 2005-RO35-032 7621 Whitepine Road • Richmond, Virginia 23237 (804) 743-9401 ?;L Fax No. (804) 271-6446 AT Account # 46476®R Send To: SYNAGRO SE/NEWTON Grower: PO#12313-1 - JANE BERRY Samples Submitted By: 6220A HACKERS BEND CT NC-CA-17 SCOTT BERG WINSTON SALEM, NC 27103 Date Received: 02/03/2005 Date of Report: 02/10/2005 Page: 2 TOTAL SOIL ANALYSIS REPORT Date of Analysis: 02/04/2005 Nitrogen; Phos ., Potas f>. Sulfur K' Calciiim Ma rie g.;. Sodium iron ''Aluminum Man "a g;;r Co ' er pp Zinc Ammonia: Nitrate` Sample -r Lab tJ phorus slum S Ca . slum s Na , : .• Fe "'Al- ' nese Cu f Zn Nitro eri -`. g "Nitro e g n Number '_ Number rriglkg P f( mglk 9, m IR `' 99 Mg rri`lk 99 rn Ik m Ik gg.; Mn ` rii lk g', m Ik 99 '- m ik 99 pi lk' 9g+ mglkg mglkg rnglkg .99 y mg/kg.. t 6 1 16811 �1 16812 8-1 16813 V1 16814 Chr o > Nickel • Lead t:; Arsenic: Mercu .:. ry Sete min n. 0� `amc g. To tal , .. : Sllvei OM:b .. �. , 1 N .. Mol Yb •. Cob aIt Acld Sam le, p Cd _ miurri . . Nt Pb, As H se+ Nitro en H C E C A . co s m u .0 Ratio denum Co ' ''. roddcin Number mglkg mglkg mglkg . mglkg,r+ .g.. rnglkg, , ...; mglkg a..g rnglkg :.-p .. . (meg110Og) g mglkg tton Mo mglk9Y p RH. rriglkg „5 r-. % mglkg ,J% 6 1 0.1 1 < 1 5 2.12 <0.01 0.46 < 1 7.�1 < 0.1 1 1 6 3.77 <0.01 0.40 < 1 +8 �1 0.1 1 1 3 3.61 <0.01 0.61 < 1 9�1 < 0.1 1 1 3 3.50 <0.01 0.52 < 1 This report applies to the sample(s) tested. Samples are retained a MEHLICH EXTRACTION maximum of thirty days after testing. A & L EASTERN AGRICULTURAL LABORATORIES, INC. b, c � Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the CC// work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. C. Norman Jones I SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Project: Newton Site ID: NC-CA-18 Name: Bruce Hunsucker Address: P.O Box 4 Maiden, NC 28650 Phone: (704) 428-8927 Operator: Gordy Goins Address: 2924 Blackburn Bridge Road Lincointon, NC 28092 Phone: (704) 462-4141 , office # (828) 312-3247, cell # (828) 312-6700, brother Geralds cell # Estimated Total Applicable Fields Acres Acres Crop(s) Maximum Predominant Latitude & Slope Soil Series Longitude 1 33.2 27.4 Fescue 10% Davidson 35 ° 34' 17" N 81°14'12" W 2 36.6 16.8 Fescue 10% Hiwassee 350 34' 19" N 810 14' 27" W 3 7.7 5.1 Fescue 10% Davidson 350 34' 05" N 81 ° 13' 59" W 4 21.3 15.2 Fescue 10% Davidson 350 34' 03" N 810 14' 14" W 5 19.6 9.3 Fescue 10% Davidson 350 33' 55" N 810 14' 21 " W TOTALS 998.4 73.8 Notes: Fields accessed from South D Road. Key for gate lock is at Terra Design's office on Blackburn Bridge Road Date: 4/4/2005 State of North Carolina C�1'" `f``•" " ` ` �``;L-°�_ Department of Environment and Natural Resources W Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM A4A )' BE PHOTOCOPIED FOR USE A S AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.us/ndpul INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton omplete mailing address of applicant: P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: irichardsC)newtonnc gov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities �12f 5 /re`-,-0ae- a15nc�66 Livestock feed Clark Creek WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality. contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of an), additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to tile'subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDGNR-DWQ. Non -Discharge Permitting Unit. 1617 Mail Service Center. Raleigh. NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pli of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pli of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative lvith a copy of the results of each soil analysis. 12. Within the limits of the Division's'residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g.. fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application sitc(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting ol'signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil. surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c 11. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that 1 am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application cite(.,) m me.r.ified herein - Landowner Signature: NORTH CAROLINA, CATAWBA COUNTY I, the undersigned Notary Public do hereby certify that BRUCE HUNSUCKER personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand an of icial seal this the 2 9 thday of MARCH 200 5 Si -nature and seal: My commission expires: ep t o mb e r 5, 2006 Lessee's/Operator's Certification: I certify that I have read this Agreement and dohereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator'pme: 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 of Signature: *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c NO)/ 1"" SYNAGRO VICINITY MAP 111(2 163, COUNTY OWNER A Residuals Management Company TOPOGRAPHIC MAP SYNAGRO A Residuals Alanagemew Company FIELDS OWNER SCALE: 1 1Z PHOTOQUAD/YEAR ...... CONTOUR INTERVAL .2: 6,� S- 7 -NAGRO AERIAL REFERENCE MAP COUNTY n714WSA OWNER A Residuals Afanaganent Com1fany 'xI" SYNAGRO, APPLICATION AREA MAP A Reriduah /bfanagzment Company CLAP-' CPA Owner .'« Scale: 1" = Field # NO -611A Total Acres Net Acres . > STREAM DRAIN SURFACE WATER FENCE STORAGE AREA PROPERTY LINE APPLICATION AREA ® HOUSE ❑ OUTBUILDING 0 WELL 0 SOIL DESCRIPTION — — — — — — PRIVATE ROAD FORESTED AREA UNSUITABLE ® SUITABLE FOR INCORPORATION, 8-12% SLOPE SYNAGRQ Soil Map OWNER /V" Aleee4- COUNTY SHEET SOIL SERIES A Resiellials Mandgement Comj?any FIELDS SCALE: P SOIL DESCRIPTION SHEET Project: /YP�r� he r. SYNAGIFU A Rerulrtals Management Company Landowner: Site: - P. • I `t Field: I Sample #: Slope: Acres (gross): Acres (net): crop: SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A M,/ - l3/4!' 7-ti f r Depth to SHWT: Depth & type of restrictive layer: �' C Soil Series: Lnlros� Horizon Depth Texture Color Structure Mottles PROFILE B Notes: Legend Texture s Sand I Loam si Silt c Clay Depth to SHWT: Depth & type of restrictive layer: Soil Series: Described By: Structure Grade 1 Weak 2 Moderate 3 Strong Date: Structure Type gr Granular abk Angular Blocky pl Platy sbk Subangular Blocky pr Prismatic sg Single Grained cpr Columnar m Massive SOIL DESCRIPTION SHEET SYNA. . A Reridiials Management Company Project::fix t Landowner: Site: Field: Z Sample #: Slope: 2 r Acres (gross): Acres (net): Crop: SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A -' �• r0 ��-'� `"F��,� FF ee a 'r Depth to SHWT: i f Depth & type of restrictive layer: Soil Series:-/��:�,_: X Horizon Depth Texture PROFILE B Color Structure Mottles Depth to SHWT:. Depth & type of restrictive layer: Soil Series: Notes: dl�i, Qd-r &..r&YI�. Described By: Legend t Date: Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky .Single Grained . Massive SOIL DESCRIPTION SHEET Project: y ,�NNN MM S.AGR A Residuals Managennent Company J p . Landowner:ic� Site: - 1 . [4' Field: < Sample #: Slope: Z- Acres (gross): Acres (net): Crop: SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color PROFILE A Depth to SHWT: > S' Depth & type of restrictive layer: • W L.. Soil Series: ?✓rO(,,(J Horizon Depth Texture PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Structure Mottles Color Structure Mottles Described By:` F Date: f . -, u Legend Texture Structure Grade Structure Type - s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive SOIL DESCRIPTION SHEET SYNAGR A Reridnalr Management Company Project: lvew A—f-I Landowner: ,F Site: Field: =~r Sample #: Slope: Zr Acres (gross): Acres (net): Crop: SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A Ad -7 ye .1r3 t;l 1��C ° o l �E'G+,�r•rtar.! �.,!tCeC /"i.t:%C'�"y-�. PROFILE B Notes: Legend Texture s Sand I Loam si Silt c Clay Depth to SHWT: 3 Depth & type of restrictive layer: Soil Series: rJAt/�OS�r� Horizon Depth Texture Color Structure Mottles Depth to SHWT: Depth & type of restrictive layer: Soil Series: Described By: Date: 6M Structure Grade Structure Type 1 Weak gr Granular abk 2 Moderate pl Platy sbk 3 Strong pr Prismatic sg cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive SOIL DESCRIPTION SHEET xNN) SYNAGRO A Residuals Management Company Project: /�/�°�cJ�� j'1 Landowner: 14AI. IkEl Site: ! 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NCDA&CS;A Division 3•i, .. _.. , '. r� '�:`f 'win (':: �,. � s, '�">>it. .. .. .J..yi' i.k } Av,: � � J �,,: 7.. ...�;.. . 1. 26ry We Gotns Gord Rye No Z P :2 >onr�niic ..:Phone.= A hed Lime .. .Site..wovw.rrca co+*�/a onbmi;: 'Gro er:';. ort . , . .g t. • . x R eeommen F,ield�Inforn z �. �K.w �� � �.,.,.-.�, �. • �>z;. ��=�a.�P...L,,.� � Mo Yr T/A s �.� �� Crop or Year Lime N P2O5 K20 At Cu Zn B Mn . ,e Note Sample No. ..Ist Crop 05 1st Crop: Fes/OG/Tim,M 0 _ 120-200 140-160 30-50 0 0 0 .0 0 12 Ive-Cif -/15 2nd Crop: Fes/OG/Tim,M 0 120-200 140-i60 30-50 0 0 0 .0 0 12 Test Results Soil Class IM901 W/V CEC BS% Ac pH P-I K-I Ca% Mg% Mn-I Mn-AI(1) Mn-AI(2) Zn-I Zn-AI Cu-I S-I SS -I NO3-N AT14-N Na MIN 0.41 1.09 8.7 90.0 0.9 6.3 1 52 57.0 29.0 242 158 158 54 54 81 43 0.1 Report fiber: A&L EASTERN AGRICL,. , 1JRAL LABORATORIES, INC. 2005-RO81-161 7621 Whitepine Road • Richmond, Virginia 23237 (804) 743-9401 Fax No. (804) 271-6446 > Account # 46476 lq�L R Send To: SYNAGRO SE/NEWTON Grower: GORDY GOINS PO#12320-1 Samples Submitted By: 6220A HACKERS BEND CT FARM #CA18 SCOTT BERG WINSTON SALEM, NC 27103 _-- — — Date Received: 03/21/2005 Date of Report: 03/25/2005 Page: 1 TOTAL SOIL ANALYSIS REPORT Date of Anblysis: 03/22/2005 -._ Nttto en Phos... �.;: . = . a ., Pots ,,,; > -, ,: u . ,,.. Sulfur; Calcium Ma ne. , -, $odmm, '�Alummum � g; Co ` er 3 fAmmoiiia' Pllfritl3' � :>•- <, s Sam le . p �: .:Lab N P horns .�; ::. smm s : ; - , S Ca; .9.r, •.;, rn - , , 'Na ..91ron Fe AI_ (iesef Cu ;Zinc Zn 9 en :" Nitro"en Number `. Nitmber rn' !k 9 99, P K. , ,. „m Ik ,. 9 9 9 9 . , 9 9 . s.' � 9 9 9 9 .. 9 9R ,.',Nitro 9 9 , 9 9 N �... m9 ,>9, 9 mglkg mglk m9lkj� , 1 10978 2 10979 3 10980 4 10981 5 10982 ...,. r x... -. .. •. .. • : af. , -....:; ..,. .. ... S. r..:', .;. ems:,"" • . Selemum� Or amc. Total�n &ilver� Y , N Y ; ,;, Cobalt .=Menu Sam le ::- mium. Ni Pb ,� r_ ._ ;.: Se : ..,` � ., ., H .- C E .. ,. , colnbus ,. .n ,.CI ,- �.,, � .., denum.:. Co , :. _ As H ., .Nitro en C A Ratio rod, a. Number, . ;m lk 9 9 Cr m !km 9 9 (k . 9.. 9 m9 /k sm !k 9 /k m9 9 m !k 9 9 v m Jib 1 e9. b9) m Ik 9.9 t 0, a ii Ik`, 9 9 : P. mglkg� , , .9 Io�< �, mglkg 1 <0.01 < 1 2 <0.01 < 1 3 <0.01 < 1 4 <0.01 < 1 5 <0.01 < 1 This report applies to the sample(s) tested. Samples are retained a MEHLICH EXTRACTION maximum of thirty days after testing. A & L EASTERN AGRICULTURAL LABORATORIES, INC. by: Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. C. Norman Jones SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-30 Name: Larry Jarrett Address: 8129 Reepsville Rd. Lincolnton, NC 28092 Phone: 1-800-222-8523 ext.3284 (work) (828) 310-8022 (cell) Operator: same Estimated Total Applicable Maximum Predominant Latitude & Fields Acres Acres Crop(s) Slope Soil Series Longitude 1A 14.70 10.70 Fescue 10% Hiwassee 350 35' 21 " N 810 19,091, W 1 B 10.70 7.90 Fescue 10% Hiwassee 350 35' 19" N - 810 19' 05" W 2 18.10' 14.20 Fescue 10% Hiwassee 350 35' 29" N 810 19' 09" W State of North Carolina Department of Environment and Natural Resources Division of 'Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) —/1�e,L3 y j'A1X2P,f? //cV --eill —30 The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o. enr. state. nc. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton "omplete mailing address of applicant: I P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: irichards a newtonne.gov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions. as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities Livestock feed Clarks Creek WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Pagel of 3 Attachment Order 3-c i. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements ivith another municipality. contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the -grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of tire lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that leave been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c H. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. ` Landowner name: ZAIU �i 12i2.,5Tl4 Signature: Date: NORTH dAROLONA, 101 COUNTY I, the undersigned Notary Public do hereby certify that [t=Yyy T-vVvr l 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 . q YG� 220 wl Signature and seal: My commission expires: 9 F—Zoo 7 pR , n Lessee's/Operator's Certification: ❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Signature: Date: Permittee's Certification: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. I 1 Signing official name: 4I�-�' to Signature: Date: ` l l t i to *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c State of North Carolina Department of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure tofollow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.uslndpul INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 211.0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be waived through execution of this attachment form. ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 0)(5)(A)(ii) and (iii) The undersigned propertyownerhereby p�'m jits: Applicant's name: /1 oq ( n1A { tt+ lomplete mailing address of applicant: City: L.G 4l-LO /1,1 ci�l State: Telephone number: ( 7e ) 4�1 01� —//00 E-mail 'address: Al Zip: 260 Facsimile number: ( hereinafter referred to as the Permittee, to land apply residuals within l0D feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following: Location address of property: /het a5 t1//ta dC-G'a« City: C G1�Ge/Ja State: Zip: ZBL?`j 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 ' advance, modifies or cancels this Agreement. 7I 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: ' , : t.L �2 c e� - ji_. 4.L U Date. *** END OF FORM LOAA 02/02 *** FORM: B WAA 02/02 Page I of 1 Attachment Order 3-d State of North Carolina Department of Environment and Natural Resources. . Division of Water Quality BUFFER WA117ER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at., http://h2o. enr.state.na us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 211.0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H ,0219 0)(5), other than those referenced above, cannot be waived through execution of this attachment form. ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 0)(5)(A)(ii) and (iii) The undersigned property owner hereby Applicant's name: /)Pf�A, Complete mailing address of applicant: i City: I n 01 /a✓► _ - State: Telephone number: E-mail address: /U 4�!_ Zip: �C ) 0 Facsimile number: ( hereinafter referred to as the Permittee, to land apply residuals within feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the fo,Alowing: j Location address of property: City: ZI-neez, zip: This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. i certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this property on behalf of other deeded property owners Furthermore, I certify that I have read and understand this Agreement and do hereby grant permission to the Permittee to land a ly residuals to _land application site(s) as specified herein. Property owner name: 16/) Signature: ?n� . _� 'v,�.a Date: .2 .2 V- c s *** END OF FORM LOAA 02/02 *** FORM: BWAA 02/02 Page 1 of I Attachment Order 3-d State of North Carolina Department of Environment and Natural resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) . The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 211.0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 G)(5), other than those referenced above, cannot be waived through execution of this attachment form. ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 2H .0219 0)(5)(A)(ii) and (iii) The undersigned property owner hereb��y%%ermits: Applicant's name: ze "-)mplete mailing address of applicant: City: %&21,7/lc_i_rllIle State: Zip: /f!5� Telephone number: (_ay ep-e 5 �`� � -Facsimile number: ( ) E-mail address:t1�' d �� C�GCti�� .19u/►��d hereinafter referred to as the Permittee, to land apply residuals within feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following: , ^ Location address of property: K F 6#55 0 I; I I.E'_ IC .t 1C� Ui City: Gi bi CG%/9 State: // C. Zip: ZRO579 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 da7certify advance, modifies or cancels this Agreement. 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 Ind apply residuals to land application site(s) as specified herein. Property a -Signature: *** END OF FORM LOAA 02/02 *** Date: 3 - q - 0 -5 FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d SYNAGRO A Residuals Management Company TOPOGRAPHIC MAP 6o I f OWNER SCALE: V= 162E)' FIELDS PHOTOQUAD/YEAR Jl- Foo I CONTOUR INTERVAL- 10 li AGRO SYN AERIAL REFERENCE MAP A Rariduals Afam%ement Conipaiq f� MIN SAG APPLICATION AREA MAP A Reriduuls R?a agement Comp — Owner Lam ;farrt�f • _ Scale: 1" = AGO Field # / - Z Total Acres Net Acres . .. > STREAM APPLICATION AREA — — — —. — — PRIVATE ROAD DRAIN HOUSE FORESTED AREA CDSURFACE WATER ❑ OUTBUILDING UNSUITABLE _ FENCE WELL STORAGE AREA l J J O SOIL DESCRIPTION � SUITABLE FOR INCORPORATION, �� .� ���• PROPERTY LINE 8-12% SLOPE \OSYNAG- O Soil Map A retidual..r Alanatgemeni Comha;q FIELDS �u �ari-���- l--Z OWNER , COUNTY 64,, , SHEET SOIL SERIES SCALE: F' = 132'0' SYNAGRO- VICINITY MAP COUNTY Glwb� OWNER 4arru lrrg-f- A Residuals Management Company SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-32 Name: Ronnie Sigmon Address: 456 Dover St. Claremont, NC 28610 Phone: (828) 241-2936 Operator: same Estimated Total Applicable Fields Acres Acres Maximum Predominant Latitude & Crop(s) Slope Soil Series Longitude 1 16.2 13.7 fescue 10% Appling 350 40' 02" N 81006'01" W 2 9.6 7.3 fescue 10% Appling 350 39' 45" N 81006'41" W TOTALS 25.8 21.0 Notes: Date: 2/15/2005 State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to -follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state.nc. zis/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. ,4 B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by. a lessee/operator (i.e„ if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton ,omplete mailing address of applicant: P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: irichards@newtonnc.gov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities Ale-L6/i-32 )96&re_ E. Livestock feed = Clarks Creek WWTP The landowner or his representative receives, in consideration,. full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page l of') Attachment Order 3-c STIPULATIONS: I. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality. contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. "This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application prograrn permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. Tile landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specifieAherein. Landowner name: illo'1 Signature: N yul ,�� Date: Ot Pc 7 U G 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 instrument. WITNESS my hand and official seal this the day of PIP, rcA '7 .5 MR OACIALSEAL NotaTy Public, Signature and seal: COUNTY OF FORSYTH b Ate; �:=% FRANKIE D. JNGLECC My commission expires: $��7 / my commission Exp�res � � Lessee's/Operator's Certification: ❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Signature: Permittee's Certification: Date: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. r \ Signing official name: 4 { �•� lhJ ��- Sd N r Signature: " [ Vl Date: *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c S'xi,-NAGP\O VICINITY MAP COUNTY OWNER 1��Qrltlie- A Residuals hlawkqement Company 1IJ/, SYNAG-PO A Residivals Afawr qu cnt Company N.'�q '+.y ~ '}`'.•.�°'r is ;ate _ `i,� �1 p11 fi," _. �i1 " n�"`°»•�^.. �t,�... ..✓1 57 j it y {ram. 1 44 SN f da"�"'' ti b ': y s • ..wx. �T.e..s..y< �` j. it -��4...,,,,4y Y� 4Y Y �``�. �� °. � '�,r-� } •4�`�_� _'°"'`_srµ a':. .�i�1Ti r.. «�' .' : "",�� �r—,..1 r �+,,; ``"�,..` ' . k�7�iGKi frays 1�€�iT '`let ew W iii 7 @ SS 1 r^'",,,,..< .r".' 3j /✓ % t`r f'A'. s '�°.'^,e�"..« w,s �h 4 i 3 µ, ''a... �. �r .,tip..''" ,� � r'�,f"' f�J � � �,,✓J� � �(.! �� i <.. \� i A�. „t � 4,, 1� .r,'..el r � ,n,,r""" .•-*, 1 s� � ��= � '} '���..--.�-'`..-,!_ . �r''PP..% � �`' ~ �� i �^� 1 I OWNER< > �'* r"t't SCALE: 1" =)660' FIELDS - e PHOTOQUAD/YEAR fl�.rfJj IyL lr? 13 CONTOUR INTERVAL t�' SYNA GBO A Residii Afanagemenit Cont/;any > ..... ----- .......... 77. M - It i5 7 7 W . . . . . . . . . . . . _ �_4;t A _ A_� WKI iR, tm m P Mr 't �� ��;E.Rflb-R,4 M7;i fit IA Rp N-IV, V, 7, at _M �t M2� k q., 4 LM tI 7 FI *5 Z�7 Li 1, cz Wl— Mt lac -Q, —5, r COUNTY OWNER k :Z-7 SYNAG APPLICATION AREA MIAP A Residuals maaagrnrent Canrp=y Owner AmInte. /n A71 Scale: V = 6/D, Field # � Total Acres 16t Net Acres . > STREAM Ci) APPLICATION AREA PRIVATE ROAD DRAIN ® HOUSE FORESTED AREA CDSURFACE WATER. ❑ OUTBUILDING 0 UNSUITABLE FENCE 0 WELL (D STORAGE AREA O SOIL DESCRIPTION ® SUITABLE FOR INCORPORATION, „�� � .mmmm� . PROPERTY LINE 8-12% SLOPE SMGRO A Ra ddualt hranikee nenr Conbanv Owner /t�D /I n le _c<a Pl m Scale: 1" = &D' Reid # � 'Dotal Acres 1q,6 Net Acres . . > STREAM APPLICATION AREA — -- -- — — _ PRIVATE ROAD DRAIN ® HOUSE FORESTED AREA CDSURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE 0 WELL STORAGE AREA O SOIL DESCRIPTION SUITABLE FOR (D INCORPORATION, ��. 0, �� PROPERTY LINE . 8-12% SLOPE S Y NTAGP\O Soil Map OWNER lVe--eA-3'Z COUNTY SHEET SOIL SERIES A Residuals Management Company FIELDS SCALE: V SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-35 Name: Turbyfill Properties, Manager Sid Turbyfill Address: 4300 Biggerstaff Road Maiden, NC 28650 Phone: (828) 428-1424(home) (206) 276-6744 (cell) Operator: Bill Canipe Address: 1899 Anaconda Ln. Maiden, NC 28650 Phone: (828) 428-4859 Estimated Total Applicable Maximum Predominant Latitude & Fields Acres Acres Crop(s) Slope Soil Series Longitude 1 28.2 21.5 fescue 10% Hiwassee 350 34' 04'' N 810 15' 42" W 2a 6.3 5.2 fescue 10% Cecil 350 34' 13" N 810 15' 36" W 2b 7.4 6.5 fescue 10% Cecil 350 34' 09" N 810 15' 29" W 2c 17.1 8.9 fescue 10% Cecil 350 34' 11 " N 810 15' 22" N 3a 57.1 41.6 fescue 10% Cecil 350 33' 59" W 810 15, 08" W 3b 13.3 9.7 fescue 10% Cecil 350 33' 58" N 810 15' 17" W TOTALS 129.4 93.4 Notes: Date: 2/7/2005 State of North Carolina ��G�v1l�J�J Department of Environment and Natural Resources Division of Water Quality ]LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at. http://h2o. enr. state. nc. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the' completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton ^omplete mailing address of applicant: P.O. Box 550 City: Newton ' State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: irichards2cnewtonnc.cov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities Livestock feed Clarks Creek WWTP _35- The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for .the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page I of 3 Attachment Order 3-c 1. STIPULATIOINS: I. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality. contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise pen -nit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the suEtiect matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. - 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12, Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns lbr the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. _ ��^^ l Landowner name: S��� /� i2�ri /1 /�rei�j�c, :ICl/�rY76�5 IL Signature: Date: NORTH CAROLINA, COUNTY I, the undersigned Notary Public do hereby certify that ji ty 1&rz 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 Ye blyzfi Signature and seal: My commission expires: !j/� /V Notary Public, North Carolina COUNTY OF FORSYTH 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: 0q AG� 17 6 Signature: `?�.r Date: 2 7 Permittee's Certification: M11"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 �c'(��� N �. S �% N3 Si-nature:Date: *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c llliGZe, lamte State of North Carolina Department of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to -follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state. naus/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 211.0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be waived through execution of this attachment form. ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 2H .0219 0)(5)(A)(ii) and (iii) The undersigned property/owner hereby permits: Applicant's name: '-omplete mailing address of applicant: D City: Ale/0/;117 State: /v�' Zip: 21 Telephone number: ( A2 ) 2/5-- �.1�'3_ Facsimile number: E-mail address: Y 2 iG h a l G6 4a? 46 a-%h'n ii '. hereinafter referred to as the Permittee, to land apply residuals within feet (i.e., cannot be less than 100 feet) of the residence or place 'of public assembly located at the following: //�� Location address of property: Co %� s�`�i �odz rl �t%�Ile, / City: // / fjr��t�yl State: Zip: C��J This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this property on behalf of other deeded property owners Furthermore, I certify that I have read and understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein. Property owner name: Signature: *** END OF FORM LOAA 02/02 *** Date: e/_�_ FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d State of North Carolinal1 Department of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to -follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o. enr. state. nc. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 211.0219 0)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be waived through execution of this attachment form. ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 2H .0219 (j)(5)(A)(ii) and (iii) The undersigned property owner hereby permits: Applicant's name: �I nI QF r'omplete mailing address of applicant:. +�4''�'y rSC� City: Alas_ a>kyl State: Zip: 2� 5 Telephone number: () �% `5�3`�� Facsimile number: ( c52as E-mail address: !!F po hereinafter referred to as the Permittee, to land apply residuals within /00 feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the followinn Location address of property: L7 7L7 City: A-/4&-" State. Zip. C'LXlJ S This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this property on behalf of other deeded property owners Furthermore, I certify that I have read and understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein. Property owner name: Signature: *** END OF FORM LOAA 02/02 *** Date: 46 - c _ FORM: BWAA 02/02 Page I of I Attachment Order 3-d S Y NA GB.,0 VICMTY MAP ' COUNTY 41 OWNER A Residuals Alanagemant Company ,Np SYNAGRO TOPOGRAPHIC MAP A Residuals Afanqgement Cowpelty OWNER SCALE: P, = 1'6 � 0'- FIELDS PHOTOQUAD/YEAR mf CONTOUR INTERVAL 120 Ale -eA AEPdAL REA FERENCE MAP A Raiduals Maveqwnent Company COUNTY OWNER A SY AGR APPLICATION AREA MEAP A Residuals Management Company Owner Scale: 1" _ Field # �- �Y9� Total Acres ��, Net Acres . > STREAM[ Ci) APPLICATION AREA - - - - - - PRIVATE ROAD DRAIN ® ROUSE FORESTED AREA WSURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE 0 WELL STORAGE AREA O SOIL DESCRIPTION SUITABLE FOR (a)INCORPORATION, ® �� � I PROPERTY LINE 8-12% SLOPE OW, L S Y. N., k G B \0 ,..-.,.,Soil Map OWNER COUNTY SHEET SOIL SERIES - FIELDS-' - SCALE: F'= SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-111 Owner: City of Newton, Clark Creek WWTP Address: PO Box 550 Newton, NC 28658 Phone: (828) 465-7480 Operator: James Richards Estimated Total Applicable FiPlrls Ar_rPs Acres t Predominant Latitude & Cron(sl Slone (%1 Soil Series Lonaitude 1 5.6 3.3 fescue 0-10 Cecil 350 37' 35" N 810 14' 05" W 2 8.6 4.9 fescue 0-10 Hiwassee 350 37' 45" N 810 14' 05" W TOTALS 14.2 8.2 Notes: Both fields are inside fence of WWTP facility on McKay Rd. Date: 12/13/04 State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL) - The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to_follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://lr2o.enr.state.nc. zts/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. A - B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton —omplete mailing address of applicant: P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: irichards@newtonnc.$ov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities A/C"/ /:9/�s /,- 2 ly -.4 Livestock feed Clarks Creek WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: i . The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality. contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subiect matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Pennitting Unit, 1617 Mail Service Center, Raleigh, NC 21699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Pennittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land t; application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Pennittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application sites) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of detennining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. Tlme landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: "j;a,i n', Si Gene r, — e sl Of Ale&, fd A Signature: Date: /cA.. NORT ARO A,COUNTY I, the undersigne&f4otary Public do hereby certify that (fnn f 5P cf,;,; — ('0 �P wn personally appeared before me this day and acknowledged the dufe execution of the forgoing instrument. WITNESS my hand and official seal this the day of Signatur My corn] Lessee's/Operator's Certification: ❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Signature: Date: [�I Per ttee's Certification: certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. r Signing official name: ` N ` Ll� %J Signature: Date: l / it I 0 S *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c SITE VICINITY MAP SYNAGRO A Residuals Afanagement Company R COUNTY OWNEi tits, qm, S YNX A G PfQ Q A Residuals Alamigement Compaii), FN .A. J!, z 7 j ........... 40 §4 1_23.yGp ;J C zr 4�3 e N, , lf� RP m q too Off" s! X, (11, Z 1A 5 WAS 1 � ✓` w� i� 1 ""''`�� `'Sa �1t �.�� i ®p 'S� -'� a�,•y, n`�t?e ) fr./ty.r�r � S ".+r"''+.Y.~u MCI WMy ift N A "N ,/lN p v A lxw4, 'A 1 y xl( yl v )T y tlit 74\-. A Won . > /I AW4 FYI i O! Po , JE Agwy py maw I J 1 way jl, e , N lit 1 1 14, ikCIT TWV OWNER 4� / SCALE: I"= 1,6ZO' FIELDS I- PHOTOQUAD/YEAR X/k_//Ai CONTOUR INTERVAL SYNAGRO FAII31 .0.11 KIM "PIN 's a COUNTY OWNER A Residitatf A-fanggement Cowl5aiq i� 1. APPLICATION AREA MAP OVA S�NAGRO A Residuals Afamnanent Compa-?q Owner- C,%y �/_ /���-�1 Scale: 1" = I/00/ Field # 0� v, rf-- lve —eh— l !1 Total Acres (see summary) Net Acres (see summary) . > STREAM APPLICATION AREA — — — — — — PRIVATE ROAD —> DRAIN HOUSE FORESTED AREA OSURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE 0WELL STORAGE AREA O SOIL DESCRIPTION SUITABLE FOR O INCORPORATION, �� PROPERTY LINE .8-12'%o SLOPE ffAGIRD Soil leap A Residuals Afanagement Company OWNER 617f el rz.W FIELDS / 4 2. COUNTY cwzz�voA SHEET SOIL SERIES SCALE: P _ _Q SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-LT-119 Fields 2, 3, & 4 Name: Gordy Goins Address: 2924 Blackburn Bridge Road Lincolnton, NC 28092 Phone: (704) 462-4114 , office # (828) 312-3247, cell # (828) 312-6700, brother Geralds cell # Operator: same Address: Phone: Estimated Total Applicable Fields Acres Acres Site ID: NC-LT-119 Field 1 Name: Bobby Canipe Address: 3980 Killian road Lincolnton, NC 28092 Phone: (704) 732-1992 Maximum Predominant Latitude & Crop(s) Slope Soil Series Longitude 1 22.2 11.5 fescue 10% Pacolet 350 33' 19" N 810 18' 18" W 2 7.1 5.4 fescue 10% Pacolet 35 ° 33' 14" N 810 18' 11" W 3 11.0 7.5 rwo crop 10% Pacolet 350 33' 13" N 810 18' 21 " W 4 7.0 5.4 fescue 10% Pacolet 350 33' 10" N 810 18' 23" N TOTALS 47.3 29.8 Notes: Bobby Canipe owns field LT-119-1 Date: 4/4/2005 State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) 33 76`d f Z/wff The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state. nc. uslndpul INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton !omplete mailing address of applicant: P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number: (828 ) 465-7484 E-mail address: jrichards a newtonnc gov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities Livestock feed Clark Creek WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor. or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party. the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors. and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance Nvith the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c Landowner's Certification:- I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner. nam : Signature: Date: NORTH CAROLINA, C A T A W B A COUNTY 1, the undersigned Notary Public do hereby certify that G ORD Y G 0 I N S personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the 2 9 t h dpy of MARCH , 20 5 Signature and seal:�'�✓� My commission expires: e p t emb e r 05, 2006 Lessee's/Operator's Certification: I certify that I have read this A.2reernent and do hereby agree to. abide by the stipulations and restrictions as specified herein. Lessee/operator name: DL4 r" 0 r /ll S Signature: ��,,, Permittee's Certification: ' I certify that I have read this Agreement and do hereby Signing o. 1 name- r4�'�• �`'� Signature: Date: •3—_9'Ti S to abide by the stipulations and restrictions as specified herein. t—SO� Date: (( O *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c J ... U,f7..+'✓..a - — G1r� r s :^.i !? State of North Carolina Department of Environment and Natural Resources 7_03 Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state.nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Newton omplete mailing address of applicant: P.O. Box 550 City: Newton State: N.C. Zip: 28658 Telephone number: ( 828 ) 695-4345 Facsimile number:( 828 ) 465-7484 E-mail address: jrichards cc newtonnc cov hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities LT 1121 Livestock feed Clark Creek WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities `specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDGNR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marled on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. 'file landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil. surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c Landowner's Certification: XI certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner nam Signature: Date: —,2 NORTH CAROLINA, CATAWBA COUNTY 1, the undersigned Notary Public do hereby certify that BOBBY C AN I P E personally appeared before me this day and acknowledged the due execution of the forgoing instrument. '.'. WITNESS my hand and official seal this the 2 9 thday of MARCH 20 5 Signature and seal: (foA My commission expires: September 5, 2006 39 ill+ans Qd. 1.i ncjjn+on -P r104-'73a` i�4a Lessee's/Operator's Certification: 1 certify that I have read this Agreement and do Lessee/operator naive: C 6Ti Signature: r Permittee's Certification: I certify that I have read this Agreetnenx and do Signing off��*11me: �'`/� k6-�—,'', > Signature: agree to abide by the stipulations and restrictions as specified herein. Date: J `.-? - 0 )y agffree to abide abide by the stipulations and restrictions as specified herein. W t L_ ed N Date: q /., ( A) ** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c *V- SYNAGRO 430 VICINITY MAP A Residuals Afanagement Company . COUNTY OWNER SNAG TOPOGRAPHIC MAP A Residuals AfamAgement Company /7 OWNER 07d12d,0, SCALE: 1 "=11,1,k) FIELDS PHOTOQUAD/YEAR CONTOUR INTERVAL- 20 SYNAGRO. AERIAL REFERENCE MAP A Residuals Management Company COUNTY- ZI I'lec) A? OWNER &PLICA ION AREA MAP S"AG 0- A Residuals Afanagement Company Owner 0,7,�) Scale: 1" _ Field # We - Total Acres Net Acres . STREAM CID APPLICATION AREA . - - - - - - PRIVATE ROAD . -> DRAIN m HOUSE FORESTED AREA CDSURFACE WATER ❑ OUTBUILDING UNSUITABLE " - FENCE 0 WELL STORAGE AREA O SOIL DESCRIPTION . SUITABLE FOR O ® INCORPORATION, PROPERTY LINE 8-12% SLOPE �// SYNAGR Soil Map A Residualr ManaKemew Company OWNER '/ 4ie ry FIELDS )— � COUNTYSHEET SOIL SERIES SCALE: i = , SOIL DESCRIPTION SHEET Project: r SYNAGPO A Residuals Management Company Landowner: Site: —r - 114 Field: Sample #: Slope: 2 Acres (gross): Acres (net): Crop:r5� SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A /� -? cL. OWe`'r' PROFILE B Notes: Depth to SHWT: 3 Depth & type of restrictive layer: Soil Series: Horizon Depth Texture Color Structure Mottles Depth to SHWT: Depth & type of restrictive layer: Soil Series: Described By: Date: .5? Legend Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive SOIL DESCRIPTION SHEET I SYNAGRO A ,Reridnadt Afanaganew Coin pany Project: Landowner:E=r Site: L�r- t (II Field: Sample #: Slope: 22 Acres (gross): Acres (net): Crop: rL 6 SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILER} r��-ti �� j ✓� C �•� (Iia v'F-S' I �Si+,ti" Y"`'�.�' ��.,`�f�'�'�c�.�:fs. 4'.`' + "h't e• e=t Depth to SHWT: \, 3 6. Depth & type of restrictive layer: , Soil Series: CC e i Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes:' , 4 f,.. 1�,'�"� ti �. Legend Texture s Sand I Loam si Silt c Clay Described By: Date: ` , fa Structure Grade Structure Type 1 Weak gr Granular abk 2 Moderate pl Platy sbk 3 Strong pr Prismatic sg cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive l: SOIL DESCRIPTION SKEET 01 SYNAGRO A Residuals Managanent Company r Project:Landowner: Site: r -I Field: 3 Sample #: Slope: C' Acres (gross): Acres (net): Crop: .�,16 � .f SOIL PROFILE DESCRIPTIONS, Horizon Depth Texture Color. , Structure Mottles PROFILE A��.- 2, �� �'�CP r .e Depth to SHWT: _Z Vo _. Depth & type of restrictive -layer: Soil Series: P,�ca A� l Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: Legend Date: Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive SOIL DESCRIPTION SHEET SYNAGIRO A Residuals Management Company Project: /VP144 Landowner: a Site: _ G E - i 1,Po Field: 1�11 Sample #: Slope: Acres (gross): Acres (net): I Crop: SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A .. 'a rL Depth to SHWT: > `a Depth & type of restrictive layer: Soil Series: ft. 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JA oW 6049 ?svI 'OAT aiduIPS '�'...+.YC *pi-.,x;Sk. � 'z � f,�.� . � : ,t1 ..t air...,. x...r.'�.a. uL. sluaucu[o3 Isnuouo.&V £OILZ 9N `uralvS uolsul/ Auno0 uioaull SHVaA 09 HRA0 HOl SINNIS82I '9'N 9NIANFIS SON/" •I9 puag saaNYOH V-OZZ9 Jag IIoaS 0/3 i[InOS O�uAs 61111 u[ vj Isai 110 Z6O8Z 9N `uoluloau1l pg agplag uan a�Ig Q�I �iZ6Z 5 Oaacuss :o,L sa:dog 1paog `suio!): 10.19 77 od sa 2I'' n u. s-aiurouoi� , y , d . � ., _ •^ . , Report Number: A&L EASTERN AGRICUL MRAL LABORATORIES, INC. 2005-RO81-162 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 Account # 46476 Send To: SYNAGRO SE/NEWTON 6220A HACKERS BEND CT WINSTON SALEM, NC 27103 Date of Report: 03/25/2005 Page: 1 Grower: GORDY GOINS PO#12320-1 Samples Submitted By: FARM #LT-119 SCOTT BERG Date Received: 03/21/2005 TOTAL SOIL ANALYSIS REPORT Date of Analysis: 03/22/2005 Phos otas= P ;= Ma ` ne Man a, . , Ndro en Sulfur: •, :Ca c 9, 9 v.... 9 I _ium, , ., ,, Sodlnm " Iron Aluminum Co er Zlnc Ammonia , ,Nltia{e horns, "slum..;. slum fie's`e pp Sample Na,,, Fe K AI Cu ' Zn NiUoen Nttro" en P fi7g Mrf Number ";: Number ;.In lk m !k : m Ik m Ik m Ik .0 m Ik :m /k m Ik . , ., k 9 9 <..4; 9 9 9 , . 9 9 9 9 9 9: 9 9 m9l 1 10983 2 10984 3 10985 4 10986 ,MChro ...�, �.<. ,; . .� . ,,.,: . , -•. e t . • - ::OMb °.M I ?.,�. y ... , �� _, , , . Cadmium ..,.�. ... ,Nickel , , R Lead :,. ,Arlen c< ,- ercu Se enmm � �Or to � _,� .;• , �,,, 3.=s ,x . � - y o yb a .1aH r:t r �� Raho � Co• roducm 5 g p 5$ p g ==Numbers-� Cr t Pion Nog m (k ;m'Ik ;m !k me 110-° m Ik ,..�,• ` (k H j`' 9 ;=m9 9 9 r9 9 9 9,.9 9 9 9 9 ( 9J) 9 m9 .9 p fnglkg t_k . 2 <0.01 < 1 3 <0.01 < 1 4 <0.01 < 1 This report applies to the sample(s) tested. Samples are retained a MEHLICH EXTRACTION maximum of thirty days after testing. A & L EASTERN AGRICULTURAL LABORATORIES, INC. by: Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. C. Dorman Jones Attachment Order 3-f: Soil and Agronomic Evaluation ( General Information) CITY OF NEWTON SOIL SCIENTIST CERTIFICATION This is to certify that soil and site evaluations were conducted on the proposed application sites for The City of Newton by Synagro South (Synagro Inc). The soil and site evaluations consisted of hand auger borings and descriptions of the soils on the application sites; collection of soil fertility samples using standard soil sampling methods; location of property lines, residences, wells, and surface water features; identification of all required buffer areas; and generation of application area maps. All hand auger borings included in this package were either performed by myself or under my direct supervision. r Eric honijofon, L.S.S. No. 1238 February 2005 Richard Biggerstaff Site • NC-CA-16-01 • NC-CA-16-02 Jane Berry Site • NC-CA-17-01 • NC-CA-17-02 • NC-CA-17-03 • NC-CA-17-04 • NC-CA-17-05 • NC-CA-17-06 • NC-CA-17-07 • NC-CA-17-08 • NC-CA-17-09 4 Zz. •t•e;, �:.i ter .[ �'✓41r •_f l;T,y C.. CITY OF NEWTON SOIL SCIENTIST CERTIFICATION This is to certify that soil and site evaluations were conducted on the proposed application sites (listed below) for the City of Newton by Synagro South (Synagro Inc). The soil and site evaluations consisted of hand auger borings and descriptions of the soils on the application sites; collection of soil fertility samples using standard soil sampling methods; location of property lines, residences, wells, and surface water features; identification of all required buffer areas; and generation of application area maps. All hand auger borings included in this package were either performed by myself or under my direct supervision. n 'c N. ompson, L.S.S. No. 1238 March 2005 Gordy Goins Site • NC-LT-119-01 • NC-LT-119-02 • NC-LT-119-03 • NC-LT-119-04 Bruce Hunsucker Site • NC-CA-18-01 • NC-CA-18-02 • NC-CA-18-03 • NC-CA-18-04 • NC-CA-18-05 AGRONOMIST REPORT Synagro Southeast (Synagro) is operating a land application program for the recycling/beneficial reuse of wastewater biosolids produced at the City of Newton's Clark Creek WWTP. The agronomist report is submitted as a crucial step in the review of potential receiver sites for the program. Several factors should be taken into consideration in determining a site's suitability to receive biosolids. These factors are: • Site Investigation • Topography • Soils • Biosolids Characteristics and Loading Rates • Crop Management Site Investigation The site investigation consisted of a physical observation of each proposed site in which the following parameters were evaluated: • Soil Characteristics • Slope • Cropping Systems • Location of Property Lines • Location of Residences • Location of Wells and Surface Water Features Site specific information is enclosed (Attachment Order 3-e) for each site evaluated. Application area snaps delineating the proposed application areas within each field are also enclosed. Topography The slope of each site was evaluated during the site investigation. The slope for the individual sites range from 0 to 10 percent for surface application and 0 to 18 percent for sub -surface injection. Areas of excessive slope have been eliminated from the application areas. Soils Soil fertility samples were collected from each site and were analyzed for standard soil fertility parameters and regulated metals content. The results of these analyses are reported in Attachment Order 3-f. Soil testing of the sites included in this application indicates that the soil pH is moderately acidic on most sites and will be adjusted by the addition of lime -stabilized biosolids in order to achieve optimal crop production. The lime recommendations are generally made based on raising the pH to a minimum of 6.0. Biosolids Characteristics and Loading Rates Biosolids samples are collected per event by Synagro and analyzed by an independent laboratory. The biosolids analysis report and calculations indicate that the residuals are non- hazardous and non -toxic. Both the soils and the crops should be able to assimilate the proposed loadings of liquids, solids, nitrogen, phosphorus, lime, 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 amival basis, nitrogen is considered to be the most limiting characteristic of these biosolids. However, soil tests should be reviewed annually to evaluate soil pH levels which could become elevated after several years of application. Crop 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. Jonathan E. Hill Agronomist Attachment Order 3-g: Cumulative Pollutant Loading Rate Data St Co./Site Field NC -CA -7-1 NC-CA-7-2 NC-CA-7-3 NC-CA-8-1 NC-CA-8-2 NC-CA-8-3 NC-CA-14-1 NC-CA-14-2 NC-CA-14-3 N C-CA-14-4 NC-CA-1 5-1 NC-CA-1 5-2 NC-CA-1 5-3 NC-CA-1 5-4 NC-CA-1 5-5 NC-CA-1 5-6 NC-CA-1 5-7 NC-CA-1 5-8 NC-CA-1 5-9 r NC-CA-15-10 N C-CA-15-11 NC-CA-30-1 N C-CA-30-2 N C-CA-32-1 NC-CA-32-2. NC-CA-35-1 NC-CA-35-2 N C-CA-35-3 NC-CA-111-1 NC-CA-111-2 City u, -4ewton Land Application of Wastewater Residuals Cumulative Metal Loadings as of 2/24/05 Date Last Applied As Cd Cr 6/25/2003 0.111 0.105 3.316 6/26/2003 0.129 0.127 3.771 6/13/2003 0.149 0.145 4.039 11./9/2004 0.129 0.855 3.157 11/9/2004 0.048 0.874 2.905 10/21 /2004 0.108 0.898 3.313 8/27/2004 0.111 0.128 2.511 6/7/2004 0.136 0.162 3.235 12/18/2004 0.133 0.195 3.805 8/27/2004 0.108 0.203 3.648 9/11/2003 0.078 0.018 0.223 This field has never received biosolids. 8/26/2003 0.082 0.014 0.208 6/27/2003 0.046 0.028 0.297 This field has never received biosolids. 9/30/2003 0.138 .0.041 0.441 8/22/2003 0.073 0.012 0.185 9/30/2003 0.061 0.018 0.195 7/11/2003 0.051 0.009 0.129 7/15/2003 0.091 0.015 0.231 6/30/2003. 0.048 0.029 0.307 This field has never received biosolids. 7/16/2004 0.009 0.027 0.578 5/14/2003 0.039. 0.023 0.248 This field has never received biosolids. 8/4/2004 0.158 0.101 2.476 9/20/2004 0.189 0.081 1.754 10/1/2004 0.058 0.050 1.191 2/19/2004 0.274 0.121 3.307 10/7/2003 0.240 0.102 2.312 Cu Pb Hg MO Ni Se Zn 11.730 1.852 0.030 0.342 5.718 0.176 27.140 13.550 1.944 0.043 0.364 6.018 0.211 32.520 14.670 2.110 0.064 0.399 6.187 0.254 35.420 9.961 2.062 0.038 0.290 10.040 0.088 23.800 8.117 1.648 0.036 0.215 8.333 0.050 19.540 9.712 1.829 0.056 0.264 9.605 0.083 23.450 12.080 0.898 0.050 0.294 1.267 0.117 30.140 15.430 1.214 0.101 0.373 1.475 0.191 37.680. 14.660 1.557 0.067 0.462 1.772 0.144 35.680 15.330 1.416 0.050 0.420 1.697 0.154 37.760 0.951 0.073 0.003 0.039 0.986 0.032 2.125 1.041 0.075 0.003 0.047 0.236 0.031 2.359 2.044 0.223 <0.001 0.041 0.279 0.112 4.461 1.607 0.131 0.005 0.057 3.196 0.064 3.532 0.923 0.066 0.002 0.042 0.209 0.027 2.092 0.711 0.058 0.002 0.025 1.415 0.028 1.563 0.645 0.046 0.002 0.029 0.146 0.019 1.462 1.154 0.083 0.003 0.052 0.262 0.034 2.615 2.114 0.231 <0.001 0.042 0.288 0.115 4.611 1.989 0.468 0.019 0.099 0.339 0.019 5.643 1.706 0.186 <0.001 0.034 0.233 0.093 3.723 9.954 1.167 0.043 0.293 1.318 0.185 21.790 7.892 0.608 0.026 0.171 0.815 0.159 14.180 3.750 0.353 0.015 0.103 0.607 0.101 8.798 12.360 1.412 0.031 0.402 2.953 0.185 29.780 9.841 1.039 0.024 0.300 2.694 0.153 23.570 1