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WQ0003902_Regional Office Historical File Pre 2018 (7)
SYNAGI 0 A Residuah Management Company APPLICATION FOR MODIFICATION AND RENEWAL OF PERMIT NO. WQO0039O2 RESIDUALS LAND APPLICATION PROGRAM CITY OF NEWTON NEWTON, NORTH CAROLINA A better tomorrow for our Client Triangle: The GENERATOR, The LANDOWNER, and The ENVIRONMENT Prepared by: SYNAGRO, INC. 6220-A Hackers Bend Court Winston-Salem, NC 27103 Toll Free: (877) 267-2687 Fax: (336) 766-8652 April 2005 _ r��.�`� �_ .._T,�.��,,.,_?..��sss ' �-. :. ��.` y,. �:, �' 3 J SYNAG1?x0,, A Residuals Management Company APPLICATION FOR MODIFICATION AND RENEWAL OF PERMIT NO. WQO003902 RESIDUALS LAND APPLICATION PROGRAM CITY OF NEWTON NEWTON, NORTH CAROLINA A better tomorrow for our Client Triangle: The GENERATOR, The LANDOWNER, and The ENVIRONMENT ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ Prepared by: SYNAGRO, INC. 6220-A Hackers Bend Court Winston-Salem, NC 27103 Toll Free: (877) 267-2687 Fax: (336) 766-8652 April 2005 � SYNAGKO, 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: IMs. 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 Tieing 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 -II in the permit) be changed to site NC-CA-111. 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 further questions about the included information, please contact me at sberiznsvnaaro.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 Information) Attachment Order 3-g: Cumulative Pollutant Loading Rates Attachment Order 1: Non -Dedicated Residuals Land Application Programs Form (NDRLAP form) State of North Carolina Department of Environment and Natural Resources Division of Water Quality NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) Application plumber: I. GENERAL INFORMATION (See Instruction B.): 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 (to be completed by DWQ) City: Newton State: North Carolina Zip: 28658 Telephone number: ( 704_) 465-7480 Facsimile number:( 704 ) 465-7481 E-mail address: irichards@,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: sberg.�.synagro.coin 5. County where residuals land application program is headquartered: Catawba 6. County(ies) where residuals source -generating facilities are located: Catawba 7. County(ies) where land application sites are located: Catawba 8. Fee submitted: $ 325.00 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 I 3. Check all that apply to the requested permit modification: ❑ INCREASE ❑ DECREASE the maximum permitted annual dry tonnage for existing residuals source -generating facility(ies) certified for this residuals land application program. ❑ ADD ❑ DELETE residuals source -generating facility(ies) to/from those certified for this residuals land application program. ® INCREASE ® DECREASE the net acreage associated with land applications site(s) currently certified for this residuals land application program. ® ADD ® DELETE land application site(s) to/from those certified for this residuals land application program. ❑ OTHER. Explain: III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Who will be responsible for the day-to-day management of the residuals'land application program: ❑ Permittee or ® residuals management firm. If a residuals management firm, complete the following: Firm contact person and title: Frankie Singleton, Operations Manager Firm name and complete mailing address: Synagro Southeast 6220A Hackers Bend Court City: Winston-Salem State: NC Zip: 27103 Telephone number: ( 336 1 766-0328 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 (if applicable) Danny Sigmon WWTP Superintendent 25008 If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: FORM: NDRLAP 02/02 Page 3 of 5 Attachment Order 1 3. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 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: 663.2 c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate (lbs PAN/ac yr) Acres Required Using First -Year PAN Concentrations Acres Required Using Five -Year Maximum Adjusted PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 70 696.9 849.2 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: I, 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 § 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fi t to exceed $10,000 as well as civil penalties up to S 1 5,00 er violation. Si gnatur : Date: it 1 THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY NON -DISCHARGE PERMITTING UNIT By U.S. Postal Service: 1617 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1617 By Courier/Special Delivery: 512 NORTH SALISBURY STREET, SUITE 1219 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 733-5083 *** END OF FORM NDRLAP 02/02 *** FORM: NDRLAP 02/02 Page 5 of 5 Attachment Order 1 Attachment Order 1 a: 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 lastpermitting action associatedwith this residuals land application program. " Attachment Order 2: Residuals Source Certification Attachment (RS CA form) , npplicant'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 certified for this residuals program. Current: and proposed: dry tons per year. ❑ ADD ❑ DELETE this residuals source -generating facility to/from those certified for this residuals program. ❑ 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: County: Latitude: and longitude: 4. Purpose of the facility (check one): ® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater, ❑ treatment of potable water, ❑ treatment of 100% industrial wastewater, ❑ treatment of industrial wastewater mixed with domestic wastewater, or (approximate percentages: % industrial and \ % domestic) ❑ other (explain: 5. Is the facility required to have an approved pretreatment program: ® yes ❑ no. If yes, please specify whether or not such a pretreatment has been approved: ® yes ❑ no. 6. Facility permitted/design flow: 5.0 MGD and facility average daily flow: 3.71 MGD. 7. Maximum amount of residuals to be certified for this facility: 3,438 dry tons per year. FORM: RSCA 02/02 Page 2 of 8 Attachment Order 2 8. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: 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 §261.31-§261.33: ❑ yes ® no. If yes, list the number(s): b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-§261.24: ❑ yes ® no. Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as well as those for corrosivity, ignitability, and reactivity: laboratory: Environmental Science 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) & HZS: 25.0 mg/kg (<500). TCLP Parameter Limit (mg/L) Result (mg/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 (ntg/L) Result (ing/L) TCLP Parameter Limit (mg/L) Result (nzg/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-Trichlorophenol 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 (mg/kg) Monthly Average Concentration (mg/kg) Result (mg/kg) 40 CFR Parts 257 and 503 Arsenic 75 41 40 CFR Parts 257 and 503 Cadmium 85 39 40 CFR Parts 257 and 503 Copper 4,300 1,500 40 CFR Parts 257 and 503 Lead 840 300 40 CFR Parts 257 and 503 Mercury 57 17 40 CFR Parts 257 and 503 Molybdenum 75 n/a 40 CFR Parts 257 and 503 Nickel 420 420 40 CFR Parts 257 and 503 Selenium 100 100 40 CFR Parts 257 and 503 Zinc 7,500 2,800 FORM: RSCA 02/02 Page 4 of 8 Attachment Order 2 b. For Class B or 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/kg) Chromium (mg/kg) Nickel (mg/kg) 40 CFR Parts 257 and 503 > 0 but < 25 30 200 210 40 CFR Parts 257 and 503 >_ 25 but < 50 34 220 240 40 CFR Parts 257 and 503 >_ 50 but < 75 39 260 270 40 CFR Parts 257 and 503 >_ 75 but < 100 46 300 320 40 CFR Parts 257 and 503 >_ 100 but < 125 53 360 390 40 CFR Parts 257 and 503 >_ 125 but < 150 62 450 420 40 CFR Parts 257 and 503 >_ 150 73 600 420 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 Parameter Result (mg/kg) Aluminum 11,800 Ammonia -Nitrogen 3,100 Calcium 210,000 Magnesium 5,500 Nitrate -Nitrite Nitrogen 25 pH 12.3 Phosphorus 11,100 Potassium 700 Sodium 1,000 Total Kjeldahl Nitrogen 21,500 c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 0.17 d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This rate is a: ® default value or ❑ actually established. If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical justification,as to why the selected default value is appropriate to be applied to these residuals: Calculate the PAN for the residuals (i.e., on a dry weight basis) and list the results in the following table: Application Method First Year Five -Year PAN Maximum Adjusted PAN (mg/kg) (mg/kg Surface 7,095 10,685 Injection/Incorporation 8,645 12,235 e. Are the residuals area 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 : _, na. 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 1I. 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)(11)] - Soil/Other Material Cover. ❑ Alternatives for Animal Processing Residuals Only: Specify one: ❑ injection, ❑ incorporation, or ❑ lime addition to raise pH to 10. ❑ Not Applicable - Non -Animal Processing Residuals Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. *** END OF FORM RSCA 02/02 *** FORM: RSCA 02/02 Page 8 of 8 Attachment Order 2 Attachment Order 2-a: Vicinity Map (Clark Creek WWTP) All"Ildlielklt2.4 SYNAGRQ LOCATION MAP A Residuals Afanagainew Company &Ae K L`,eC67/< COUNTY CATAWBA OWNER CITY OF NEWTON AlAdi'libl?AGdT Attachment Order 2-bs Process Flow Diagram (Clark Creek WWTP) p'J /253 City of Newton Clarks 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 Innuent Bar Flow Meter screen Su ernate Biosolids to Disposal AERATION BASIN PRIMARY CLARIFIER waste 3RAVITYL,, THICKNER Recycle II �YCLARIFDIER w CHLORINE CONTACT BASIN 7& Pl?-,-/. mo� Lr �d Attachment Order 2-c: Quantitative Justification for Residuals Production City of Newton Justification of Residuals Volume Five Year Application History Year DT Applied Acres Used 2004 2043 280.4 2003 2182 300 2002 2221 338.7 2001 2111 216.3 2000 2368 484.7 Total 10925 1620.1 5 year average 1 2185 1 324 Projected Volume with 5 % Annual Increase Year DT Projected 2005 2294 2006 2409 2007 2532 2008 2658 2009 2791 Projected volumes over the next five year cycle, based on 5 % annual volume increase is well within the current permitted volume limit (3438 DT/yr). Attachment Order 2-d: Sampling Plan Residuals Sampling Plan City of Newton Land Application Program Nutrient and Metal Analysis Sampling Point: Thickener Sampling Frequency: 60 day Sample Type: Composite Lab: A&L Eastern Agricultural Laboratories, Inc. Pathogen Reduction & Vector Attraction Reduction (Lime Stabilization) Sampling Point: Thickener Sampling Frequency: per event Sample Type: Composite Lab: Class B/PSRP pH Log sheet maintained by Clark Creek WWTP personnel on an event -by -event basis. TCLP/RCI Sampling Point: Thickener Sampling Frequency: Annual Sample Type: Composite Lab: Summit Environmental Technologies Attachment Order 2-e: Laboratory Analytical Reports Renewed residuals programs and modified residuals programs are exempt from this requirement as long as the facility is (i) currently certified for this residuals program; (ii) no changes in the generation, treatment, processing, and/or storage are proposed; and (iii) a land application/distribution/disposal event has taken place in the last three years. Attachment Order 3: Land Application Site Certification Attachment (LASCA form) Applicant's name: City of Newton Check all that apply: ❑ NEW RESIDUALS LAND APPLICATION PROGRAM ® RENEWED RESIDUALS LAND APPLICATION PROGRAM ® ADD ® DELETE this/these land application site(s) to/from those certified for this residuals land application program. ® INCREASE ® DECREASE the net acreage associated with this/these land application site(s) currently certified for this residuals land application program. ❑ OTHER Explain: Land application sites currently certified: 648.0 net acres and proposed for certification: 250.4 net acres. Total to be certified: 663.4 net acres. Approximate percentages: 0 % forested, 100 % agricultural, and 0 % reclamation sites. I. LAND APPLICATION SITE INFORMATION (See Instruction B.): 1. Complete the following table with the requested information: 1 1 JJV-� A Status Code Site/Field ID Landowner(s) Lessee(s) or Operator(s) County Net Acres Predominant Soil Series Soil CEC M NC-CA-07-1 Jeffery L. Smyre same Catawba 9.5 Hiwassee 13.7 M NC-CA-07-2 Jeffery L. Smyre same Catawba 15.1 Cecil 21.1 M NC-CA-07-3 Jeffery L. Smyre same Catawba 6.5 Hiwassee 14.2 M NC-CA-08-1 William H. Simpson same Catawba 9.1 Hiwassee 19.9 M o�i(d Ck NC-CA-08-2 William H. Simpson same Catawba 17.2 Hiwassee 25.0 M NC-CA-08-3 William H. Simpson same Catawba 14.6 Hiwassee 12.3 M NC-CA-14-IA Nelda Lee Chuck Waters Catawba 19.3 Hiwassee 21.7 M NC-CA-14-1B Nelda Lee Chuck Waters Catawba 10.0 Hiwassee M NC-CA-144C Nelda Lee Chuck Waters Catawba 9.3 Hiwassee M NC-CA-14-2A Nelda Lee Chuck Waters Catawba 23.7 Hiwassee 30.8 M NC-CA-14-2B Nelda Lee Chuck Waters Catawba 3.1 Hiwassee FORM: LASCA 02/02 Page 2 of 5 Attachment Order 3 M NC-CA44-3 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 2h-� NC-CA-15-1 Conley Fox same Catawba 11.2 Hiwass./Cecil 10.2 R NC-CA-15-2 Conley Fox same Catawba 17 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 Q� NC-CA-16-1 Richard Biggerstaff same Catawba 12.0 Pacolet &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 NC-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 20.7 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-35-3B 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-I19-2 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-Vof 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 FORM: LASCA 02/02 Pagefof 5 Attachment Order 3 Current Sites to Be Deleted City of Newton - Residuals Land Application Program Permit W00003902 Site Number Field Owner Lessee Application Area (Acres) Catawba Count 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-13 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 State of North Carolina 673- of / eWY6 PW,ffd4-W Qdd63962 F6: zeDS- Department of Environment and Natural Resources ,e ,z v4 s Division of Water Quality Ile 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 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ✓ Latitudes and longitudes must reported as being based on either the NAD 27 or the NAD 83 data systems. ✓ Acceptable methods of determining location latitudes and longitudes and their corresponding codes are as follows: ♦ Address Matching (ADD) ♦ Digital or Raw Photo Extraction (EXT) ♦ Aerial Photography with Ground Control (AER) ♦ Geodetic Quality GPS Survey (GEO) ♦ Cadastral Survey (SUR) ♦ LORAN-C Navigation Device (LOR) ♦ Conversion from Coordinate Plane (CP) ♦ Navigation Quality GPS (GPS) ♦ Conversion from Township -Section -Range (TSR) 4 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 classification(s) of the surface waters that are closest to and downslope from the location(s) where the proposed residuals program activities are planned to occur, as identified on the attached map�segment. Signature of regional office staff Date: 3 -S FORM: RWSCA 02/02 Page I of 4 Attachment Order 3-a 9 7- Citv of Newton Permit W00003902 Febrnary 1ti_ 9nn4 /vim 11,wl-s- Location ID County Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. (To Be Completed lnj DWQ) Current and Proposed Class (To Be Completed by DWQ) NC-CA-16-1 Catawba 35.33.42N 81.15.27W NAD27 DMS Second e /14z k Ok eyk hf.� -1 ✓ NC-CA-16-2 Catawba 35.33.33N 81.15.11W NAD27 DMS NC-CA-17-1 Catawba 35.34.52N 81.17.46W NAD27 DMS Second0.zle- ci#dwbo, S NC-CA-17-2 Catawba 35.34.49N 81.17.42W NAD27 DMS Second0. 9— 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 NC-CA-17-5 Catawba 35.34.33N 81.17.43W NAD27 DMS Second NC-CA-17-6 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 Page 2 of 4 Attachment Order 3-a SYNAG O 1 OPOGi.. MAP A Residuals management Company OWNER SCALE: I" = =/ FIELDS PHOTOQUADNEAR CONTOUR INTERVAL /Q TOPOGRAPHIC MAP w • � /VC Lff -/ J r; c1�3 /-- 7 SYNAG 0 A Ruidualt rbfanagement Company _�9G4 1f ,r J �'� rr ,.. fr � 1 jrr�P�'t�- �/ • �' :.�'"�� �f' /�1 � ' � XNEM "'� '� J/ l �!�► - ,-•ter'' �, -u^hr�'f, Y' k t�tr ( rti �In. L � h '. �' \y ut tm•�`rra _ _ i.4• �.r,•i y'.n 1 . ,K��� 4017 . j�'�']r � �f7^ � f • f �6 \ r. � '�ve• �sl�-ar',j'3 �. �'...3 : � h � `t\i/l�' � I '.r ': -.y.1.n,,�F ,+• �. + 1 w Ir,..`y: a P(^f'tgs':Ss:�` \ -" '�,-_�"'�.:� � � � '; .•fir' j� � I� �. �•�,-•. XZ 00, P ''tlY1 l � 1. � �+�.: 1,' •. ,:L� '�'' ~ {' P' - 1.�1�'�{���:1'��, M���� �. 1 _. ..R+'."w ,,::,,.'��•�l • .�:e � '�'i:y_.'��' , i =�z•.�,.r ! ti� t �� a ��t + /�+ 'may . 4•1- T i• .� ", P:: .R._ •� �'•�-`r�''�?j�' ^t'+: f ` ;,.y4 � � P ,I^`�3u N f syily� ,1� !i '� 'w 4 � t. ?i i ��� i ' ° ' �t� rr fir � � a�q �' � . ° �T3"�t�N[''` ' 'ire n T •� t m��'� 4 e Ab ,: �°� • tom•,=r<": .'-= �u�;t ` v '� • \ � � OWNER `/,¢N� �3 ,P2� SCALE: 1" = / FIELDS Alk-0 PHOTOQUAD/YEAR CONTOUR INTERVAL AD g�,asivl//e- tvi, I Ao. day .t/ec4,cj State of North Carolina /=r2 S�rc� Department of Environment and Natural Resources Division of Water Quality IV 7 =Il 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. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare the attachment form with the requested information for each location where the residuals program activities are planned to occur within a particular regional office county coverage. ✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary. ✓ Use a portion of an 8.5-inch by I 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: 610 E. Center Avenue, Suite 301 City: Mooresville State: NC Zip: 28115. Facsimile number: 704 ) 663-6040 Please provide me with the waterbody name(s), stream index number(s), and current/proposed classification(s) of the surface waters that are closest to and downslope from the location(s) where the proposed residuals program activities are planned to occur, as identified on the attached map segment. ',ignature of regional office staff: Date: -2 I&S/ FORM: RWSCA 02/02 Page 1 of 4 Attachment Order 3-a City of Newton Permit WO0003902 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) Qurrsent and oed Class (To Be Completed by DWQ) NC-CA-18-1 Catawba 35.34.17 N 81.14.12 W NAD27 DMS Second /.2 _ f P/S' 1 ✓ 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 Yrx END OF FORM RWSCA 02/02 " FORM: RWSCA 02/02 Page 2 of 4 Attachment Order 3-a VICINITY MAP SYNAGF%,0 A Residuals Alanagement Company Af-eA-1 COUNTY OA,%� 6' OWNER 'FQIlee- A�lIAISv1 ,��� ,fill/ SYNAGRO TOPOGRAPHIC MAP A Residuals Manqgement Company OWNER F121,leff SCALE: 1" FIELDS - 1rA2-0-14 -/19 — PHOTOQUAD/YEAR—&)-L�-/V-'/',E;(,/— CONTOUR INTERVAL 20 �AvMA SYlNAGRO 0 VICINITY MAP A Residuals Management Company COUNTY ZIA1 0,4 ^� &0. OWNER �o L� (/ (761 � 4j: ,- SYNAGPO. A Residuals Afanagement Company .»..-.; ; df i� ; e TOPOGRAPHIC MAP h;l a 3 t 1 r' y OWNER Cdl2dY (7,0145 SCALE: FIELDS l 4 PHOTOQUAD/YEAR r`, ✓ ,e CONTOUR INTERVAL 20 S/TL e 7 _1/% rT ) _ -`ma's / S r�— Attachment Order 3b - County Manager Notification Attachment Form(s) • Catawba County • Lincoln County (Ii;llruob4 6 State of North Carolina Department of Environment and Natural Resources Division of Water -Quality COUNTY MANAGER NOTIFICATION ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of thisform, 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 application package being returned. B. Prepare a separate attachment form for each county in which the land application sites for which the applicant is seeking certification are located. C. Mail the attachment form to the appropriate county manager by certified mail with a return receipt requested. ✓ The most current publication of the Directory of State and County Officials may be downloaded from the web site at: http://www.secretary.state.nc.us/pubsweb/direct.asp. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/. D. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form prior to submission of the application to the Division for review. 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 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: April18, 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 number provided above. Thank you in advance for your attention to this matter. FORM: CMNA 02/02 Page 1 of 2 Attachment Order 3-b 1. GENERAL INFORMATION: 1. Applicant's name: 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: (104 ) 465-7480 Facsimile number: (704 ) 465-7481 E-mail address: irichardsgnewtonnc.gov 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@,synaaro.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 111. 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 ■ 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.. 0 Attach.this card to the back of the mailpiece, or on the front if space permits. 1: Article Addressed to- �, Thvrr�s ���y - �D, �oX L 7 Illew, 4w, arc. A. Signature /may ❑ Agent .❑ Addressee . B. Received by (Printed Narrne)' !_ ... C. Date of Delivery D. Is delivery address dlderer from IQ 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. :?Type ' O�Certifled Mail ❑ Express Mail ❑ Registered ❑ Return. Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from'servlce label) 7003 2260 0002 5444 9976 PS Form 3811, August 2001 Domestic Return Receipt 2ACPRi.03.F-1e3e 1In Cal It/ ee). State of North Carolina Department of Environment and Natural Resources Division of Water Quality COUNTY MANAGER NOTIFICATION ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our web site at: http://h2o. enr.state.nc. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each county in which the land application sites for which the applicant is seeking certification are located. C. Mail the attachment form to the appropriate county manager by certified mail with a return receipt requested. ✓ The most current publication of the Directory of State and County Officials may be downloaded from the web site at: http://www.secretary.state.nc.us/pubsweb/direct.asp. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/. D. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form prior to submission of the application to the Division for review. I: County where land application sites are located: Lincoln Name and complete address of county manager: Stan Kiser, County Manager 115 W. Main Sreet City: Lincolnton State: 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 DWQ): Deadline for county manager response (to be completed by DWQ): Should you desire to comment on this application as it related to your interests, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification or if you would like more information, please contact the Water Quality Supervisor of the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. FORM: CMNA 02/02 Pagel of 2 Attachment Order 3-b I. GENERAL INFORMATION: 1. Applicant's name: 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: 104) 465-7480 Facsimile number: (704) 465-7481 E-mail address: irichards@newtonnc.gov 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 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 *** C,61-a- L% 1i9 ¢ No,2fldlt ? Fe1W sue-61- -16 —2 / 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}DtYI k1 se v- Cov�.��y j,.�t ►�Co��"�r1 t, 1�1C A. Sign re X V V j7 I,C 0 Agent B. Received by (Printed Name) 1,.I Date of Delivery D. Is delivery address different from Item 1? ❑ Yes If YES, enter delivery address below; iJ No II 2-12y s a.. Service Type 101' Certified Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise O Insured Mail ❑"C.O.D. 4. Restricted Delivery? (Extra Fee) . p Yes 2. Article Number 7pp3 2260 0002 5444 9969 (Transfer from servke label) PS Form 3811, August 2001 Domestic Return Receipt .2ACPRI-03-F189e 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 City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-7 Owner: Jeffrey L. Smyre Address: 2435 Smyre Farm Rd. Newton, NC 28658 Phone: (828) 464-7197 Operator: same Estimated Total Applicable Fields Acres Acres Latitude & Predominant Longitude Croo(s) Slone (%1 Soil Series (D.M.SI 1 12.1 9.5 fescue 0-10 Hiwassee 350 37' 47" N 81 ° 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) lue'eW -o The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http:11h2o. enr.state. nc. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each 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: irichardsanewtonnc.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 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] of 3 Attachment Order 3-c 1. 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. Tile Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event.' Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit: may inspect or copy any records that must be kept under the terms and conditions of this permit: or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of., and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: Signature: Date: ,+ NORT LI A, �,�5 COUNTY I, the u rsigned Notary Public do hereby certify that j t; ?r s' Sfr! persona appeared before me this day and acknowledged the due execution of the rgoing instrument. WITNESS my hand and official seal this the day of f-z /cs Signature and seal: :RA J Notary Public, North Carolina My commission expires: 19 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: el certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. M Signing official name: Signature: Date: ti / 16 *** END OF FORM LOAA 02/02 *** 4• FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c SYNAGRO VICINITY MAP COUNTY— Oa"`?-V�q OWNER Je7q- Au A Residuals Management Company §W;ol SYNAGRO TOPOGRAPHIC MAP A Residuals hfanagement Company �°\.� � f; s � � f � h,,,,,,,, 'd T � £ 1.� � .,.*`l r'� i } g4v �}-`�.-.. a ♦. '.`".'�'� .` � � � . V '4 'a i"�P'"w 'Sf" ie �' .,•�'"""„ y`tr .r^"'.,i ..,,'`w d"'`. �'"t " x \...yNx,,�`' Al %� �° \y ,«. 't. ~ f f t-S..••==�,}t `y €'"" r r::'r ♦�,J.V{.f19 , 3t1S1! 1 r` p� _ . z.a.�r r� q} ski✓dJ,'sGh� "."` \e...�kYvf�. fix...,-,s•--•�- ""'„,F::°.♦.�, �''"�'�. �, f'T �, .✓ ._ ,� k„�_ i Ct � dF ./.' A�r^� z a • r , ... � '"rye � �.-�.3�, t ��,._..��.. t .,,� '`-,.,.:,.'°-•�..�:.,.`' t i', "•.. 1 —5� 't,.�. ,ryw�� :.1..� :.�e" �''`\ t �i � yµr^' �x _ .� " � � •--....... � "f ,�� .'—`1 •'f , / f, ,s^`'fi +«..._„ 4y r".'..,,� fi.': �'•.-....,- )r}.,;�`� 3i�♦ 4 P i. ��,"".,P• `,'.«' t : '{ �� ��r � � `a ... t� �'..-,'.`'w... .�� _r'"`.w �°��+ q, i .:cam. �., i'...°'n a y Eii P ri �; • 4' ; r .Y }a a '"�`'�,`.': :7,i^'•_ ``�'`•`�`.''. e""_'— iti.a �,� 1 q` [( t eY 1. i� � . �. � � � � :'s :may '\ �. r � .+��✓ �P'�'f`"� t' "c r``� �{ � �,,,w•`^"�.�,� ... Jd? } .. yZ. '}� �� � w.1i f°° � �4 "r � �t p; h �.,• fir ,�.,,rv ,�? � } r' ° T*'X'� �c�� 3 �y,.�..r' h,.«,,�•?Y.+� OWNER jeic.4" n (,,I " SCALE: V = FIELDS If s,c�4 PHOTOQUAD/YEAR % CONTOUR INTERVAL i \Mnkiv) SYNAGRO AERIAL REFERENCE MAP A Rariduals Management Company COUNTY OWNER \Te (r,!541 � lVt4 ♦ TTT T/4 1 rVVWA/%1k'T A TT ♦ A d A V% O D� IDd' H A it@JIG u.& Ai.,,lV gmt Company Owner fr t'Irg Scale® 1" = Field ## 'l'otdl Acres Net Acres 131. STREAM � APPLICATION AREA , — — — — — — PRIVATE ROAD DRAIN HOUSE _ FORESTED AREA SURFACE WATER ❑ OUTBU%Imm UNSUITABLE FENCE 0 WETL STORAGE AREA O SOIL DESCRIPTION ® SUITABLE FOR INCORPORATION, PROPERTY LINE &12% SLOPE SYNAG - SOlI A Residuals Management Company OWNER �a7 J'y FIELDS I 3 COUNTY SHEET SCALE: V = 13aV SOIL SERIES Cott\ SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-8 Owner: William H. (Bill) Simpson Address: 3016 Mathis Church Rd. Catawba, NC 28069 Phone: (828) 465-3270 (home) (828) 234-7393 (cell) Operator: same Estimated Latitude & Total Applicable Predominant Longitude Fields Acres Acres CroD(s) Slone (%) Soil Series (D.M.S) 1 10.1 9.1 fescue 0-10 Hiwassee 350 33' 50" N 810 16' 27" W 0 2 18.4 17.2 fescue 0-10 Hiwassee 350 33' 50" N 810 16' 36" W o 3 17.1 14.6 fescue 0-10 Hiwassee 350 33' 52" N 810 16' 48" W TOTALS 45.6 40.9 Notes: All fields can be accessed from Herter Rd., south of Blackburn Bridge Rd. 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) f e,c5INp�w ,v11 -cam -'r C) 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. 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: irichardsanewtonnc.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 NC'_4* 6 ; J y" Livestock feed Clarks Creek WWTP <i�r�t"5 2 .� � �i c�✓�ir _ Lt�'.��G�G ��c� G�/`,L/ i�P�, /r✓ l" Lf�l17�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 Page] of 3 Attachment Order 3-c 1. 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. Tile 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 fumish 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 _'2 II. RESTRICTIONS: f3 � , b. (3 c,'y- -T 3 -D:-. ij 1r°`e / 0 c- Z 03 -7 y-O-s - 3 2_7c-,� C 1jn-4,,.) 3 2L( 3 y 1 ( IqJ 5) ( z � - _34 - 7 3 q3 ( -9-5 e_c u, 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 speciMI-Ilee herein. /j A _ Landowner name: �;�D/(` �/G L �'l� l-'.,� &i l`/,15D J Signature:-1� " Date: Qom,► I` yi%r NORTH CAROLI14t1 L�;:Irk-_- COUNTY r, thP undersigned Notary Public do hereby certify that persoilsl ly appeared before me this day and acknowledged the due execution of the forg � + instrument. � "WFFNEYS my h d and official seal this the 14 IL .Q S P-tom ' day i)f , 20 10 �i Sigoatuia and seal: 4 SFr• , i.Y,; •. �. My commission expires: Lessee's/Operator's Certification: ❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Signature: Date: 7Per ittee's Certification: L�J ► certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. I M Signing official name: �b LJ I O�1 Signature: V \Jj (/V /�� Date: *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c SYNAGPO VICINITY MAP A Residuals Management Company COUNTY OWNER �� / �fx r Xle -- el? iN� :W M;�; SYNAGB%,0 TOPOGRAPHIC MAP A Residuals Alanagement Company OWNER SCALE: V 6D FIELDS t5 PHOTOQUAD/YEAR. eQ 13 CONTOUR INTERVAL I I v- vp - kliveluo7 m-goupw J.1"'Im-faa v avw aamauaAau riviHav Odf)VN,kS SYNAGED dp_ Owner 2?11/1 -�r11%J L?2 Scale: l" = Field # '- 3 Ale 64 Total Acres Net Acres STREAM a APPLICATION AM . — — — — PRIVATE ROAD ---- • —� DRAIN ® ROIISE a FORESTED AREA O SURFACE WATER ❑ OUTBUILDING ® UNSUITABLE — 'CE 0 WE�I. STORAGE AREA (D O SOIL DESCREMON LLD SUITABLE FOR \—EI57 INCORPORATION, PROPERTY �� mm • m...� -- L� 8-12 /o SLOPE SYNAGIIO Soil Map A Residuals hfanagemail Company OWNER �i// Ji r,�%��J7'I ('�t/L' -�/�) FIELDS COUNTY SHEET SCALE: V SOIL SERIES 11,w1a-55e-e--:7 Project: Newton NL-cr4- 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 Fields Acres Acres SITE SUMMARY Page 1 Maximum Predominant Latitude & Crop(s) Slope Soil Series Longitude 1A 26.8 19.3 ✓ Fescue 10% Hiwassee O 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 v1 Fescue 10% Hiwassee 350 34' 22" N 810 17' 51" W 2A 27.1 23.7 Fescue 10% Hiwassee 350 34' 20" N 1 ° 17' 53" 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 810 18' 21 " W TOTALS 142.6 106.9 Notes: All fields can be accessed from Hickory - Lincolnton Rd. Date: 2/4/2005 State of North Carolina lvele? 4!� Z�Ie_ Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) N,A -ell - /jl 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.zts/ndpzd 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 a,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 6elA, Z4 %��y 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] of 3 Attachment Order 3-c I. STIPULATIONS: I. 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 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 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: [; l 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 Pennittee to land apply residuals to the land application site(s) as specified herein. Landowner name: r NELDA G LEE Signature: —� ' Date: 7 J 1 n/ f1C 5 / ���5 j/�` NORTH CAROLINA, COUNTY 1, the undersigned Notary Public do hereby certify that / /n c Iden 6 (,n e__ personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal jthe�,(- OFFICIALSEAL Signature and seal: i '__....NntnQjPnh11c, North Carolina COUNTY OF FORSYTH My commission expires: � / a FRANKIE D.AIVPG WN Lessee's/Operator's Certification: M I certify that 1 have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator Signature: Pe ittee's Certification: +� 1 certify that I have read Signing of Signature: �e�• �, ,�_.� Date: / ment d do hereby agree to abide by the stipulations and restrictions as specified herein. 1Q-iN b . LA� I Date: D *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c fib --Vt,2-30 J -P7 �7p/ a/V �IaNrno X"o'llro:) I-U,93",-Jv rlvnptpa d "Y""MP AlxaOD dVW AIINIDIA Odf)VNAS /1- 11it SYNAGF�O TOPOGRAPHIC MAP A Retidualr Management Company OWNER Alekll Ze . SCALE: I„ = /Lo � FIELDS PHOTOQUAD/YECONTOUR INTERVAL Zo h A?) .0 SYNAGRO AERIAL REFERENCE MAP ..... . ..... A Residuals Matzeqement Compaty COUNTY OWNER Ale-lolelf zed '51 il 4 /ye -t �q A]PPLICAI'ION AREA MAP .4tic S5,eev 64 fe .vc-CA -i7 SYNAGBv0 A Reridualr Afanagamnt Company Owner /yel�k team Scale: 1" = S60 ` Field # Total Acres fw Lfammar Net Acres joe q,; STREAM APPLICATION AREA — — — — — — PRIVATE ROAD DRAIN ® HOUSE FORESTED AREA OSURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE 0 WELL STORAGE AREA O SOIL DESCRIPTION SUITABLE FOR O � INCORPORATION, ®� �� PROPERTY LINE 8-12% SLOPE SY T IN -A G P\Q Soil Map OWNER- A&AA. 2f-C FIELDS COUNTY Or, -4w4A SHEET SCALE: V= /660 SOIL SERIES SITE SUMMARY City of Newton, Clark Creek VWVTP 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 81 ° 09' 52" W 2 4.7 3.7 Fescue 10% Hiwassee/Cecil 350 48' 51 " N 81 ° 09' 48" W 3 10.7 7.9 Fescue 10% Enon 35 ° 48' 57" N 81 0 09, 511, W 4 ✓ 9.7 4.9 Fescue 10% Cecil ✓ 350 49' 04" N 81 ° 09' 54" W 5 1.4 1.4 Milo 10% Cecil 350 49' 09" N 81 ° 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 810 09' 29" W 9 1.7 1.7 Corn 10% Cecil 350 49' 04" N Lz 810 09' 22" W 10 11.4 1.9 Fescue 10% Cecil ✓ 350 49' 01 " N 81 ° 09' 1 8" W 11 11.2 7.9 Fescue 10% Cecil 350 48' 56" N 810 09' 56" W TOTALS 116.3 78.7 Notes: Date: 3/7/2005 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. ztslndpul 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 4: Telephone number: ( 828 ) 695-4345 Facsimile number: ( 828 ) 465-7484 E-mail address: irichards(2tnewtonnc.jzov 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 `B� 5 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 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, Nan -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 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 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 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 rlame: ,�i C1 xSignature: �`ij _ _ % Date: Z 5-- I, the undd Ksigned Notary Public do hereby certify that personally appeared before me this day and acknowledged the WITNESS my hand and official seal this the COUNTY of the forgoing instrument. day of �P .• OFFICPAEAV Signature and seal: L. Notary UNT %ONorth FORSYTH J✓ {7V� My commission expires: 5 /,�7 d % !�y Commission Expires � 0_' 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: mlPer ittee's Certification: certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: � Y ` �/� • J_ � � a (J Signature: %�y���_ (/`%�_ Date: It /it /O *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c SYNAGIRO SITE VIrCINITY MAP A Residuals Afanagenent Company COUNTY OWNER ��l�cf 9X 5i 1e fve-04 -1 SYNAGRO TOPOGRAPHIC MAP M.s A Residuals Management Company OWNER SCALE: 1" = FIELDS PHOTOQUADNEAR 14111, ,P.5 l c CONTOUR INTERVAL 00 1;M SYNAGRO AERIAL REFERENCE MAP N-1 rt M. ke m A Residuali Afamagemcnt Company 0 "A Sx. A lit L 7Z. COUNTY CCL OWNER 1I1/ SYNAGRO APPLICATION AREA MAP A Reridmals Rlanagemcnt Company Owner lafi Scale: 1" - 8001 Field # Total Acres (see summary) Net Acres (see summary) —> STREAM Ci:) (:D DRAIN SURFACE WATER FENCE STORAGE AREA PROPERTY LINE APPLICATION AREA HOUSE ❑ OUTBUILDING 0 WELL O SOIL DESCRIPTION — — PRIVATE ROAD FORESTED AREA UNSUITABLE ®SUITABLE FOR INCORPORATION, 8-12% SLOPE INSYNAGRO A Residuals Management Company SOIL MAP rtE3 COUNTY �� ���;� OWNER '5iiCI've -�O�-% � 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 Fields Acres Acres Maximum Predominant Latitude & Crop(s) Slope Soil Series Longitude 1 / 20.1 12.0 Fescue 10% Pacolet 35.33.42 N V 81.15.27 W 2 18.0 13.9 Fescue 10% Cecil 35.33.33 N 81.15.11 W TOTALS 38.1 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 /JiG'GG?��Si`zf� State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MM' BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or.for an electronic version of thisform, visit our web site at: http://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: iricliards@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 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 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c r' gi p r 2 c Z 0 j-110 b i!147 II. RESTRICTIONS: Tc rid:. /�-fG7'�.fi {"'C� � /��F'f at-L�.�P !/[�t�lL ✓T�?+ � 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: el C 4 C1 re Signature: Date: / /(o key NORTH CAROLINA, PUr51/,4- COUNTY [[ 1, the undersigned Notary Public do hereby certify that ��� C�Qtr Ct /3 se��J�R'� J personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand a�nd official seal this the _16--day of Signature and seal: My commission expires: OFFICIAL SEAL � Notary Public, North Carolina COUNTY OF FORSYTH FRANKIE D. GL ON My Commission Expires�Z7f� 2001 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: 7Per ittee's Certification: L�J i certify that I have read this Signing official name:. Signature: FORM: LOAA 02/02 Date: t and do he eby agree to abide by the stipulations and restrictions as specified herein. LSo ry Date: L4 *** END OF FORM LOAA 02/02 *** Page 3 of 3 Attachment Order 3-c SYNAGRO SITE VICINITY MAP A Residuals Management Con7pany COUNTY 62-1awiq OWNER e'lel)al2e/ Te- A/d, lvel' -zw - /v SYNAGRO TOPOGRAPHIC MAP A Residuals Afanagament company OWNER . - ` SCALE: 1" = 320 FIELDS /� PHOTOQUAD/YEAR CONTOUR INTERVAL /Q 1?ee1)f v`//e— �u�p � E qbq 1�fI SYNAGI'0 APPLICATION AREA MAP j T S-Ae41,. Q-04X a A Residitalr Management Company Owner / f e lill' d Scale: V = 660' Field # �Gt2z�Q S,yte ,'W -6 /� Q1 Total Acres (see summary) Net Acres (see summary) STREAM CID APPLICATION AREA - - - - - - PRIVATE ROAD > DRAIN HOUSE FORESTED AREA Ci:) SURFACE WATER ❑ OUTBUILDING UNSUITABLE "X X FENCE WELL STORAGE AREA C:D SOIL DESCRIPTION SUITABLE FOR � INCORPORATION, PROPERTY LINE 8-12` , SLOPE 1 / SYNAGRO SOIL MAP A Residuals Management Company COUNTY �4-141V AIq OWNER iG=l f 2 SOIL DESCRIPTION SHEET Project: , ILE --J Site: NC -CAA- -/6 Acres (gross): 1�41 SYNAGIRO A Rerirduals Management Company Landowner: �C94 Field: Sample #: Slope: Z/ Acres (net): Crop:s��� Horizon Depth Texture Color Structure Mottles PROFILE A �C Zg - ?G dL , , t , Depth to SHWT: > 3G 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: Low :T Described By: f 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: �`� �� r e�`-� Site: Field: Acres (gross): Acres (net): SYNAGRO A Residnals Afanagoinew Company Landowner: /��►x�%��`�.� Y'"i,� -- Sample #: Slope: Crop: E`;F Horizon Depth Texture Color Structure Mottles PROFILE A Ar i } '`. inn t ;� . Depth to SHWT: 5 ? -6 Depth & type of restrictive layer: i elC Soil Series:` f;. Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: -Notes: (o 1-/ A %W I eat Texture s Sand I Loam si Silt c Clay Described By: Date: 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 Report ber: 2005-RO35-033 Account # 46476 A&L EASTERN AGRICULTLi,.aL LABORATORIES, INC. 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 LIz Fax No. (804) 271-6446 • Email: office@al-labs-eastern.com Send To: SYNAGRO SE/NEWTON Grower: PO#12313-1 6220A HACKERS BEND CT RICHARD BIGGERSTAFF WINSTON SALEM, NC 27103 NC-CA-16 SOIL ANALYSIS REPORT Page: 1 Date Received: 02/03/2005 Date of Analysis: 02/04/2005 Date of Report: 02/08/2005 t� Samples Submitted By: SCOTT BERG Analytical Method: Mehlich III ' OrgamcMatter Phosphorus Potassium. Ma nestutn 9 . Calcium Sodium p H .. A" cidity '. C E C 's. Sample ;' Number'. ;. Lab Number % ENR Ibs/A - �... ,-, .. ... Available` pp m ; =Rate Reserve x m Rate pP-._ .., _. ._ K m Rate-. ppm. _ _.. MG m `, Rate PP .._ CA m ., „Rate pF.. t �. NA m Rate ��PP . . ..... . ... Sod H . .. Pe ,.' BGffer Index _.,.._ H me 1100 . . Q . 9_ me /100 ' q ,..g 1 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 Percent Base:Saturation Nitrate ;Sulfur` 4 Zinc Mang anese ., -Iron Co er pp Boron Soluble Chloride Alumii�m Sample Number K H N(73 N SO4 5 ppm, . R2te ZN� ;ppm Rate MN ppm ,; Rate FE ppm Rate CU rri Rate= B m _'Rate Sa„ Its ms/cm Rate CL "' Rate' AL m '.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 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). ms/cm (milli -mhos per centimeter), meq/100g (milli -equivalent per 100 grams). A 8 L EASTERN AGRICULTURAL LABORATORIES, INC. ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = Ibs/A, Soluble Salts ms/cm x 640 = ppm. by: C. Norman Jones Report Ober: A&L EASTERN AGRICIPURAL LABORATORIES, p 0 S, INC. 2005-RO35-033 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 Account # 46476 Send To: SYNAGRO SE/NEWTON Grower: P0#12313-1 6220A HACKERS BEND CT RICHARD BIGGERSTAFF VVINSTON SALEM, NC 27103 NC-CA-16 Date: 02/08/2005 Paqe: 1 SOIL FERTILITY RECOMMENDATIONS (Ibs/Al Samples Submitted By: SCOTT BERG ;.; :f,t �,�,- 5+ i* AmendmentsN h # P205. 4 i�, K20 4 M qx.. Zn< Yx,,4 d 3�'• �, $ � �- .S,r � � . �g a F` .. '. «�,�i ._:. fi....x. -.' ., ..: 1 .1'.;.V. ;... » n "... .. '- f. ° ^.:' .rdr.. » 1,> `33 Phos Potash Ma 9 � 3' k lrbn _,9.•; x.. Co er Boron. "Mot�b �� a I6slA en hate• neSlUfYI 9 , neS@' *h pp x Y dellUtll'< 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 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 work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Copyright 1977. A&L EASTERN AGRICULTURAL LABORATORIES, INC. by: C. Norman Jones Report I ier: A&L EASTERN AGRICUI IRAL LABORATORIES, INC. 2005-RO35-033 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 Account # 46476 AilL I 3A, 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 of Report: 02/10/2005 Page: 1 TOTAL SOIL ANALYSIS REPORT Date Received: rhfc of A—l..�ie. 02/03/2005 rAWFIAM 4TiriT F 9 I_ Aluminum � ,.�:> h:.. orns n . .. C p t r� Lab,• , N A, w .; nese = �, ,�- Number• 9 •- �, �� • �;: �. k rnglkg ,,:: m Ik-m 9 9 Ik 9 9 m Ik m Ik /k mgJkgr mg/kg I'rglkg Ik - m �.�• a9�9�w d�� 1 16815 16816 miu .. ,F. �, �.<, le � ,,... •,, .SF �- x�� xE N � g,:- ..��;, :7otal Silver Yam; .�� r C ! N .:Sam � combos Rana= d: Cko �. rotlucin g � � »��:; �� 9 ►n9 9r, 9 9 (tneg%t00�� mglkg � � � /kg .:L 0`�4� .� i f m _ 1 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 MEHLICH EXTRACTION Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. This report applies to the sample(s) tested. Samples are retained a maximum of thirty days after testing. A & L EASTERN AGRICULTURAL LABORATORIES, INC. by: / C C. Norman Jones 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 F 5.5 4.1 f f 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 V 81 .17.43 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 81.17.54 W 8 25.8 21.8 Fescue 10% Hiwassee 35.34.38 N ✓ j 81 .18.04 W 97 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 SANS .3C�,22`%� 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 t; 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: irichards0a_newtonnc.g7ov 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%/5 _� /Cc°SCcte l��Y 5T6C� 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 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. 3. 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: IQ 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. cj Landowner name: Signature: !a is { 1" a C14 A' Date: NORTH CAROLINA, OdOL w ��+ COUNTY I, the undersigned Notary Public do hereby certify that J dlnp— �C Ct 1/ personally appeared before me this day and acknowledged the due execution of the forgoing instrument. T WITNESS my hand and official seal this thtj" day of di rl J4 , 20� Signature and seal: 1 M commission expires: 5 /a� i0 OFFICIAL SEAL Y p Notary Public, North Carolina COUNTY OF FORSYTH •.:� FRANKIE D. SING ET N My Commission Expires Lessee's/Operator's Certification: I certify that I have read this Agreement and do hereby, agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Signature: Date: Permittee's Certification: (� I certify that I have read Signing official name: - Signature: id do hereby agree to abide by the stipulations and restrictions as specified herein. Date: a *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c SYNAGIRO SITE VICINITY MAP A Residuals Afanagement Con7pany COUNTY OWNER 5� r� "fie --IfA- -%;Z- TOPOGRAPHIC MAP o'),og SYNAGRO ' anent conzj)any OWNER SCALE: I FIELDS li%Kw 4 PHOTOQUAD/YEAR CONTOUR INTERVAL 40 -F4 kw> A evklo- e— SYNAGRO AERIAL REFERENCE MAP A Reridatab Management Cnnalwq COUNTY C��lsJ�� OWNER Z60R �; APPLICATION AREA MAP III SYNAGRO A Residuals illa»a,Serncru Company Owner `//¢.c/L—" �` �,E',P� Scale: 1" = Boo Field # y�-el''"� Total Acres (see summary) Net Acres see summary) . - > STREAM > DRAIN Ci:) SURFACE WATER FENCE CD STORAGE AREA PROPERTY LINE APPLICATION AREA HOUSE ❑ OUTBUILDING 0 WELL O SOIL DESCRIPTION — — — — — — PRIVATE ROAD FORESTED AREA UNSUITABLE SUITABLE FOR INCORPORATION, 5-12% SLOPE SYNAGP\.O Soil Map A Residuatr Afanagentem Competiq Yv'HwB2 C H02 B2. 77 H1 E3 Hsll� W"."i —1 iC2 H3 ' CnE3 sB 2 'H ? 'Aho' S. HsB2 35 QE H C2 0, n HwB2 4 uu sB2 7. 62 Hst$z qi ,rDAr, NC q HsB2 HwCV HSI HwB2 Xw gX ""44 qve. 'MOV CmB2 qi4 '62 Gy HsB, 3 E3 "c— W' -N GmB211 S cy HsD; XqH HwC2 HsB2 HA2 N . . . . . . . .... yqc Z' OWNER FIELDS COUNTY SHEET SCALE: I"= 7 SOIL SERIES &L"'. 1. / T4z- SOIL DESCRIPTION SHEET Project: IV ``•' c./ TunJ Site: 1'e-e,4"17-- Field: I Acres (gross): Acres (net): SYNAGIRO A Retidivals Management Company Landowner: Jli� ire%` Sample #: Slope: Crop: S� usls.EF) SOII PROFll F Horizon Depth Texture �FSSRIPTIONS Color Structure Mottles PROFILE A Ij --? r-� % fie V4 ,� ,(2� . �L/ C z Depth to SHWT: > 3 Depth & type of restrictive layer: Soil Series: ECG Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: ��" Date: eg 4_. 4a S Legend Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive SOIL DESCRIPTION SHEET Project: f� Site: kd-6X 11;7- Field: •= Acres (gross): Acres (net): SYNAGPO A Reridualf Afanageineut Company Landowner: Sample #: Slope: Crop: Horizon Depth Texture Color Structure PROFILE A A' 4— <<- s1/" 1,04 PROFILE B Depth to SHWT: >)?Ce Depth & type of restrictive layer: Soil Series: ACr4- ?5 Mottles Horizon Depth Texture Color Structure Mottles Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: LVwES 6Lh r' Described By: Date: Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr Prismatic sg Single Grained c Clay cpr Columnar m Massive SOIL DESCRIPTION SHEET Project: Site: Field: �" Field: ,? Acres (gross): Acres (net): SYNAGRO A Refidualf Afanagcnnent Company Landowner: Sample #: Slope: Crop: Horizon Depth Texture Color Structure Mottles PROFILE A =� a-/�� /��'.. �ae • fte.. � � �. i ifs i'�/� Depth to SHWT: Depth & type of restrictive layer: Soil Series: Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: ,' e.NL!45'9' 7; i%,r,,, d-:` .'• '` ['s :; f pad Described By: Date: r :! Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr . Prismatic sg Single Grained c Clay cpr Columnar m Massive SOIL DESCRIPTION SHEET Project: Site: IV-21-12' Acres (gross): 1SYNAGIRO A Reriduah Management Company Landowner: Field: q Sample #: Slope:_ Acres (net): Crop: �s/�`�'.> F �'�r Horizon Depth Texture Color Structure Mottles PROFILE A - P LY � La Depth to SHWT: Depth & type of restrictive layer: Soil Series: Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By:-•- Date: Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk Angular Blocky I Loam 2 Moderate pl Platy sbk Subangular Blocky si Silt 3 Strong pr , Prismatic sg Single Grained c Clay cpr Columnar m Massive SOIL DESCRIPTION SHEET Project: L,<-,i r Site: _ lye eA /' Field: S Acres (gross): Acres (net): x-)NP A SYNAGRO A Residuals Management Company Landowner:I�►2Y Sample #: Slope: 2- Crop: SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE R Depth to SHWT: Depth & type of restrictive layer: Soil Series: Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: 1,6,0 Aiygr r R,401e- d'�-ohs'5lA ��� �th1,•�� �'i`,�lr1E..Ya� �c/�y Described By: a.a- 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 SOIL DESCRIPTION SHEET Project: qv Site: AUC`CA %f'V Field: Acres (gross): SY,01 NAGRO A Residuals Management Company Landowner: -��s- Sample #: Acres (net): Crop: rSSCug_ ( � Slope: Horizon Depth Texture Color Structure Mottles PROFILE A—/� _�? Z-L (`tZ Sf`� 41 I Depth to SHWT: 73�' Depth & type of restrictive layer: �\f Soil Series: 4Car_V,—r Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: -Notes: , oor_r r AW% Described By: Date: Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Piaty sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Massive SOIL DESCRIPTION SHEET Project: 4cJ%6rJ Site: Ile -eA-/ ;11- Field: 7_ -40,s SYNAGRO A Residuals Management Company Landowner: �Llr�lsi�i Sample #: Slope: ? Acres (gross): Acres (net): Crop: -�SCx- SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A 64-G� i!'►>� ;��f Ze ?t- 361 f< '%Si/0 'l f w. a Depth to SHWT: Depth & type of restrictive layer: > ?6 Soil Series: 4-41h56C 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: Date:r)iea�" 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 SYNAGEQ SOIL DESCRIPTION SHEET AResirinalsManagement Company Project: Landowner: T/kc�Y Site: Ile-L', 14= Field: � Sample #: Slope: 3 Acres (gross): Acres (net): Crop: rites SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A �_ 4-7 Depth to SHWT: -7 ?& Depth & type of restrictive layer: Soil Series: 141-11K�c (�164,1LI AK Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: La,-} Described By: Legend Texture Structure Grade s Sand 1 Weak I Loam 2 Moderate si Silt 3 Strong c Clay Date: ) z ZJ E , � 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: Site: 1Ve-ZW /" L Field: IgM SYNAGI�O A Reridualr Afanagcm w Company Landowner: -�,'A-P .lS-h_Fs;%: Sample #: Slope: Acres (gross): Acres (net): Crop: M,'(u �e SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE ,A /I.' °'�, ;�/'� �X/ �a�� �`- 19,41 �5 2!r y 3ry. 3 �iF/ �/d�A l F f4 /l Depth to SHWT: ?3� Depth & type of restrictive layer: —?1>6 Soil Series: trefL-, 1: 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: Date: Gz oLO ; 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 Report I ier: A&L EASTERN AGRICULTL _ __ 1 LABORATORIES, INC. 2005-RO35-032 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Account # 46476 + )i, Fax No. (804) 271-6446 • Email: office@al-labs-eastern.com i CJ 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 Phos P horns , Potassium,.= Ma neswm. g Calcium . Sodium pH ActtltlY C E C Sample Number Lab Numbbe-jr % ENR Ibs/A;.. Avatlablei' P.I?m .Rate Reserve m.. Rate ...pp. K ni Rate PP._,. MG PP.n?. Rate CA' ;PPm ?Rate NAt ,'pPm.y:Rate Solt ,.,PH..., Buffet lndexw H meq/1OOg meq/1QOgs c?1 16806 3.2 103 M 61 VH 49 VL 71 L 268 VL 14 VL 5.0 6.39 5.4 7.5 2,11 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 6.2 411 16809 3.1 102 M 25 M 47 VL 169 VH 682 M 14 VL 5.5 6.76 1.7 6.7 5=71 16810 3.1 104 M 119 VH 35 VL 28 VL 110 VL 14 VL 4.5 6.46 4.7 5.6 Nitinhlople;Na N - H /° �.. NO3 N ppm,'- Rate . - __ �,� SO4 $ ;: pm Rate _P ._. >2N �; <' "trt :Rate' PR ... _, MfV m ;Rate PP �' m Rate PP ,: rn .Rate PP - m >,Rate P ;,o_,./o� . m: Rate PP P41 =riislcm Rate ' 7.9 17.8 0.8 71.8 11.7 VH 117 VH 108 VH 4.1 VH <.3 VL 2;1 2.7 1 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 -1 1.8 20.9 50.6 0.9 25.8 11.1 VH 17 M 158 VH 4.0 VH <.3 VL 51 1.6 4.1 9.8 1.1 83.4 5.2 H 57 VH 174 VH 5.9 VH <.3 VL , ape dpp - u, a,e seuiprots) iesieu. aampies are re[amea a Values on this report represent the plant available nutrients in the soil. Explanation of symbols: % (percent), ppm (parts per million), Ibs/A (pounds per acre), maximum of thirty days after testing. Soil Analysis prepared by: Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). mslcm (milli -mhos per centimeter), meg1100g (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 = Ibs/A, Soluble Salts ms/cm x 640 = ppm. by: C. Norman Jones Report ber: 2005-RO35-032 Account # 46476 A&L EASTERN AGRICULT kL LABORATORIES, INC. 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 L Fax No. (804) 271-6446 •Email: office@al-labs-eastern.com Send To: SYNAGRO SE/NEWTON 6220A HACKERS BEND CT WINSTON SALEM, NC 27103 Grower: PO#12313-1 - JANE BERRY NC-CA-17 SOIL ANALYSIS REPORT Page: 2 Date Received: 02/03/2005 Date of Analysis: 02/04/2005 Date of Report: 02/08/2005 ®R) Samples Submitted By: SCOTT BERG Analytical Method: Mehlich III Sample Lab Or ante Matter. g Phesphorus Potassium Magnesium ' Calcium Sodium r pH Acldfty C E;C., t Number Number • ENRAvailable Ibs/A :, ppm Rate Reserve . ,ppm Rate K _,. ppm Rate MG ppm., Rate,, CA ppm 'Rate NA 'tppm Rate Solt ; pH �,._. Buffer Index H Irieq/100g meq/100g` 6�1 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 81 16813 3.0 103 M 38 H 100 H 57 L 241 VL 15 VL 4.9 6.62 3.1 5.1 9 16814 2.6 91 M 35 H 102 M 55 L 227 VL 12 VL 4.9 6.32 6.1 8.0 Sample _Number NA P Base?Seturat percent „on ;, ,", -Nitrate Sulfur Zlnc Manganese Iron Copper Boron Soluble` Salts CtSlonde ;Aluminum K /o 1.8 Mg 4.0 9.9 1.3 83.1 NO3 N m>-:Rate pp.>, SO4-5 - ZN pp, 5.5 H MN pp ate:ppm 58 VH FE ,Rate 181 VH CU :"pprp Rate 6.0 VH g ppm 'Rate «CL pprr, < Rate AL - ppm Rate h ,_.. . 3: ms/cm Rate , <,3 VL 7)i 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 9� 3.3 5.7 14.2 0.7 76.2 9.6 VH 117 VH 85 VH 4.3 VH <.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 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). ms/cm (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 = Ibs/A, Soluble Salts ms/cm x 640 = ppm. by: 1 C. Norman Jones Report rvur„ber: A&L EASTERN AGRICL" URAL LABORATORIES, INC. 2005-RO35-032 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 - JANE BERRY Samples Submitted By: 6220A HACKERS BEND CT NC-CA-17 SCOTT BERG WINSTON SALEM, NC 27103 Uate: U2IU8/2UU5 Page: 1 501L FERTILITY RECOMMENDATIONS (Ibs/A) Your Sample CrOpr li'leltl Amendments ' N i PZ05 ,K ZO M g S Zn M n Fe Cu B Lime Gypsum Elemental Number Ton51A TonslA °sulfur Nitro ,. ;:Phos 'Potash;; Ma g Sulfuf :, Man' a ...tl�on g Coppe r Boron Molyti ,. ....� �...<. � - IbslA `�pha te, nesiu m ..Zinc nese denum, T�1 FESCUE 04 T 3.50 50 30 170 0 0.0 0.0 0.0 0.0 2=1 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 FESCUE 04 T 1.25 50 55 170 0 0.0 0.0 0.0 0.0 61 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 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 he 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. copyright 1977, A&L EASTERN AGRICULTURAL LABORATORIES, INC. by: / C. Norman Jones Report ber: A&L EASTERN AGRICL.. URAL LABORATORIES, INC. 2005-RO35-032 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 A L Account # 46476 0 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 (Ibs/A) Your Amendments w N P205 K20' Mg S Zn Mn Fe- Cu B'Y Mo Ltme G hum Yp Elemental Sample Cro P Yield =h f Number,. 1 Tons/ >> A Ton A sl If su urli—Z Nitro £ Phos 'Potash: Mag Sulfur Zlnc;; Man a )ror Co "er P Boron Mol{ b `. IbsIA gen phate neslum, nese denum a 6�1 FESCUE 04 T 2.75 50 0 170 45 0.0 0.0 0.0 0.0 1 H�. FESCUE 04 T 4.25 50 0 185 20 0.0 0.0 0.0 0.0 0 1 FESCUE 04 T 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 Report ber: A&L EASTERN AGRICUL , JRAL LABORATORIES, INC. 2005-RO35-032 7621 Whitepine Road • Richmond, Virginia 23237 . (804) 743-9401 A Fax No. (804) 271-6446' Account # 46476 Send To: SYNAGRO SE/NEWTON Groover: PO#12313-1 - JANE BERRY Samples Submitted By: 6220A HACKERS BEND CT NC-CA-17 SCOTT BERG WINSTON SALEM, NC 27103 Date of Report: 02/10/2005 Page: 1 TOTAL SOIL ANALYSIS DEPORT Date Received: 02/03/2005 Date of Analysis: 02/04/2005 Nitrogen Ffios, PotasMa ; ,- : Sulfur ;; : Calcium: ne>• gv :_; ; Sodtum : Iron „ umin Man a?. opper Ztnc l(inmotna Nitrate $ample Lab" N ph.orus _ scum ,, S , i Ca swtn' Na Fe AI Hasa ' Cu Zn Nitrogen Ntrogen Number a Nuniber ..;;;ni Ik 9 9 P�. ==` K , rr7 Ik '•. 9 9 . m IK ` 9 9 M9 In k 91 9 mglkg mglkg ; : Mn mg/kg mglkg mglkg 4 mglkg Ik : 9 ; +in Ik ., �g...9_ - ,;.' , m919 . �. , c mglt� 9�' 1 1 16806 1 16807 1 16808 r4 1 16809 1 16810 �� , , .;; . •., • , ,,, Chro. _ , ,Arsenic..,, : Mercu , ,,�. Seleniuni ,Or 0'b M> !N Mol b C Sam le .> , , ,:Nickel , , . •,:Lead 9 P g Co Number . mglkg C� rnglkg mglkg � rnglkg ,. Inglkg m9(%9 s 110, � m /k <�� hon ! Mo ' "Ik. _� producing" �'H= :. Ik ., .m9(k9 ; 7•(m rm 1 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 3 1 0.1 1 < 1 3 3.41 <0.01 0.56 < 1 4 1 0.1 1 < 1 3 3.63 <0.01 0.55 < 1 5 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 8 L EASTERN AGRICULTURAL LABOR 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 'IM94;�'j work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. I C. Norman .Jones Report [____)er: A&L EASTERN AGRICU,_ , JRAL LABORATORIES, INC. 2005-RO35-032 7621 Whitepine Road . Richmond, Virginia 23237 • (804) 743-9401 ,4 Fax No. (804) 271-6446 w Account # 46476 T ® 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 of Report: 02/10/2005 Page: 2 TOTAL SOIL ANALYSIS REPORT Date Received: 02/03/2005 Date of Analysis: 02/04/2005 Nitrogen Rhos Potas . • „, ,Sulfur•; -Calcmm:- Ma ne= . Sodium Irbn Aluminum ` Co a Zinc Ammonia " Ndrate :.: $ample Cab.; N fiorus, ?, :, alum. ,:.- - S Ca um Na ,, Fe AI nMn Cu : Zn' Nitro en 9 Nitro en 7 9 Number s ;, Number. ,mglk 9rnglk P ' K m !k 9 9 m !,k -.; 9 9 ... m I,k 9 9 „ Ik 9 9 m Ik ..,,,,., 9 9 , „m Ik 9 9 m Ik 9 9 =m lk 9 9 m !k ,' 9 9 m9fk" mg/kg mglkg `; 4 16811 J61 1 16812 1 16813 9.1 16814 NickeI. Arsenic :Totalum ...._ � Sam le ..„- �• p :-,, - , Cd • mwm TNI .. t ., ;ypb �, ,; As a.: , ... Hg Se Nitrogen r, C E C f Ag r cofntius . `--denum� Co producing` s Number mglkg C friglkg mglkg mglkg mglkg , mg(kg k ing/kg „pH mglkg, fion • ,Ratio Mo mglkg" 5 pH;' mglkg „(megl100g) 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 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. 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. I C. Norman .Zones SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-30 Name: Larry Jarrett Address: 8129 Reepsville Rd. Lincointon, 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' 09" W 1 B 10.70 7.90 Fescue 10% Hiwassee 350 35' 19" N 810 19' 05" W 2 18.10 14.20 Fescue 1 D% Hiwassee 35" 35' 29" N 810 19' 09" W TOTALS 43.5 32.8 Notes: Date: 3/8/2005 State of North Carolina //L4 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.ttslndpul 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 i 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 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] of 3 Attachment Order 3-c 1. 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 time 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 Pen»ittee 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 terns 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. �1 Landowner name:.,�T� Signature: Date: ;2 -.� - o S NORTH dAROIBNA, COUNTY I, the undersigned Notary Public do hereby certify that LC-' �4Y rCs - personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the Sing day of M.yYG Signature and seal: , 20 My commission expires. t S 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 '� Signing official name: (, ( �-�' l,/�J Signature: Date: *** END OF FORM LOAA. 02/02 *** FORM: LOAA 02102 Page 3 of 3 Attachment Order 3-c .2 Mate of North Carolina 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 thisform, 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 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 (j)(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 propertyownerhereby p mits.. Applicant's name: "omplete mailing address of applicant: City: C-6 1-4e,t2 State: /V &-, zip: z6n f ,;_ Telephone number: ( %i)) i/� 2 -//©Z) Facsimile number: ( ) E-mail address: hereinafter referred to as the Permittee, to land apply residuals within 10 _ 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: 5 ,1A& ,6 - Cje City: C est.14 c G� 541,14 State: zip: Z8O% 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. 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: Awa/w/if Signature: i i -rt i c �. ,2 .r'� �.: Date: *** END OF FORM LOAA 02/02 *** FORM: B WAA 02/02 Page 1 of 1 Attachment Order 3-d State of North Car ollma Department of Environment and Natural Resources Division of WateAr Quality BUFFER WAFVER 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 thisform, visit our web site at. http.11h2o. 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 property from which a waiver from 15A NCAC 2H .0219 (j)(5)(A)(ii) or (III) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 (j)(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 .0215 (j)(5)(A)(ii) and (iii) The undersigned property owner hereby permits: Applicant's name: r'1 F'i �l2 D12-I t Complete mailing address of applicant: d i , City: � r hg 4/", _ State: /�% � . Zip: Zr150 f �a Telephone number: ( �C>' ) `1r11� off, —' z��� Facsimile number. ( ) E-mail address: hereinafter referred to as the Permittee, to land apply residuals within & C1 feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the fo lowing - Location address of property: �E' vG! - City: LI-il" t)iw1 �,►.i► State: /i C Zip: This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain In effect for as long as the undersigned property owner owns the property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written, notification, given 30 calendar days in advance, modifies or cancels this Agreement. I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this property on behalf of other deeded property owners Furthermore, I certify that I have read and underst-wid this AgreernerA and do hereby grant permission to the Permittee to land a ly residuals to land application site(s) as specified herein. Property owner name: Signature: �'��.:� :: ' Date: *** 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 WANER 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;//` 2o. 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 2H .0219 G)(5)(A)(i11 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 WANE THE BUFFER REQUIRED BY 15A NCAC 211.0219 (j)(5)(A)(ii) and (iii) The undersigned property ow er hereb/y�ermits: Applicant's name: complete mailing address of applicant: City: State: IVc.. zip: Z �l Telephone number: (�) �: 9 M Facsimile number: ( ) E-mail address: r A 1Ei (. (eZ r, (,ILIZ 40() , t�!f �•� 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: .o� City: �/ Al 401J.? '4 v► State: W C .. zip: ZAZ2-72, 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 i 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 lend apply residuals to land application site(s) as specified herein. Property o era Af / Signature: *** END OF FORM. LOAA 02/02 *** Date: 3 - 4f' D S FORM: BWAA 02/02 Page I of 1 Attachment Order 3-d SYNAGH VICINITY MAP COUNTY OWNER Larry J2rre'f� A Residuals Mamnonent Company SYNAGRO. TOPOGRAPHIC MAP A Residuals Alanagement Company OWNER l/ ./, r:7 SCALE: F' = 162Z) ' FIELDS I.2 PHOTOQUAD/YEAR e0e-f's,lJli. Lk] / I qq? CONTOUR INTERVAL 10' \`: )p SYNAGRO AERIAL REFERENCE MAP ......--.---ualsAfam A Reridnalr R1u�ragemev:! Conlj5us:y COUNTY 6�_ OWNER o-, awl x APPLICATION AREA MAP v I SYNA.GR A Rerid—h Management co»lbanv Owner Larry �trrt ' Scale: 1" _ KGO Field # 1- NC -C,4 -`30 Total Acres Net Acres STREAM APPLICATION AREA -- - - - - - PRIVATE ROAD .� DRAIN HOUSE FORESTED'AREA CDSURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE WELL STORAGE AREA ) G�,� Q SOIL DESCRIPTION ® SUITABLE FOR INCORPORATION, �� PROPERTY LINE 8-12% SLOPE SYNAGI\Q Soil Map A Rerirlirals Management Company OWNER -C/' -E6J FIELDS I-Z COUNTY 64w� SHEET SOIL SERIES SCALE: F' = 13210' SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-32 Name: Ronnie Sigmon Address: 456 Dover St. ✓ Claremont, NC 286100 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 35 ° 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 eewlile /Qiz2�j wee'`-� (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://h2oenr.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 applicatign package being returned. 1. 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: iricliards ,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 Xle 64 -32 � P/.�61are `¢ f, Livestock feed Clarks Creek WWTP AC144-1 O/ 4-0 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 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 tite 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 fumish 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 tite 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 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: 0e?1'Ire- Signature: Date: Ar` h 7 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 Notary,"-, — — OFPCIA'LSEAL Public, Noitli Gar rlin Signature and seal: �Q COUNTY OF FORSYTH c '�s�!^^�i''{-c' 1- 21AA FRANKIED._SINGLETON My commission Lessee's/Operator's Certification: ❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Signature: Date: Permittee's Certification: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: 4 1 �•a lh) �l.- SIB i�-% Signature: We_*I. Date: *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c SYNAGRO VICINITY MAP A Residualsillanagement Company 6, 77. .7 16 itt " *14 XN Ilk Yll 0 Gt 321 7 P, Rb 1 F e YrUoN I, q ir A Air t SITE di J... LOCATION 321 ne r 16 Rnh eLo .. COUNTY OWNER 1&vli'lie- Illl, SYNAGRO TOPOGRAPHIC MAP A Residuals Man;�gement Company OWNER 4F 1 i �q E SCALE: r =) 660 � FIELDS PHOTOQUAD/YEAR/ AlC /2 T 3 CONTOUR INTERVAL Ire' SYNAGRO AERIAL REFERENCE MAP A Residuals hfanagement Company r S •� t� 1� ;,- i� ` c� .''� � �=� t_,q-_. �r � �tj QLY {.�"�si-'s'• R Vtk K» i��.. y 7 �q :-; •,q Y �X .�c-� +.j „ '� �.. � - � ' - r h-�y�� �� x y..t.;. T - � _ �ti��. �' ^4.. C` �s,T�•�.�� c�UCr� r �7e uh�1L .t�•^.4 �t� - r --�� "m - "� r �4"�` `.fir•+:! �'.�' � t .� -'1"'+ �"9 a� 4� _ �, max. .�• y� 1 �m cw R _ ,-st i` t ir•y 1 q •-� f(r �``1xry_:. 1'�tyLj= .yam � p�r-�� �— � ��• ��� _ .• � i''{>('f.4 a.i����=�' i. �l ��` �.i• `� �'i -....h-may„ s•- a� a.�>y'�¢� �-y't' i r �-i. i '� • te a..- t ,e - rc 1 •�~�~-1.�. - r• ! ^v*c •� � - r �G'�.e•v '\�` s .Sr � +� l -,q�', �,y'�.-. -.'ice' ,,,,+ %"'1%eX� r r-Y . - t . �b� +ii� 7 .n..2�+, t�,�.'w, s �� J;. t -. ;r��• Z 4-2 04 ��, .y' 1- La: 3 _ � ` ` - - ,y? � 7 � ' � ` Y 1` - Y::.�'.lY.•N� J i� �r t.'I�ri. �''-�Y.�"": i '�.:, 5 u+% t� ,f ,.;D t n f;��t'�yia -r "4•'it9 ��,�. ,a • �.*`�a o�� -'�r � .�.3� r �; i '�,•� J! � �i.� -'�'. OF COUNTY ����� OWNER �r`o°f''r,,; A Retiduah management co»oanv Owner Amnle .�Ie do o _ Scale: 1" _ (10, Field # s s"r Total Acres s Net Acres i . _ > STREAM APPLICATION AREA — — — — — — PRIVATE ROAD DRAIN ® HOUSE FORESTED AREA D SURFACE WATER ❑ OUTBUILDING 0 UNSUITABLE FENCE WELL CDSTORAGE AREA O SOIL DESCRIPTION ® SUITABLE FOR INCORPORATION, �� �,, PROPERTY LINE 8-12% SLOPE APPLICATION AREA MAP 4 SYNAGR A Retiduali Management Canibam Owner 1pe lli7k� 6 / a pfl m Scale: 1" = 6/0 , Field # -2 C t4 ,4 �Z Tntal Acres 4.4 Net Acres 'a STREAM 3 DRAIN wSURFACE WATE] gi FENCE STORAGE AREA PROPERTY LINE CIDAPPLICATION AREA — — — — — — PRIVATE ROAD ® HOUSE FORESTED AREA ❑ OUTBUILDING UNSUITABLE WELL O SOIL DESCRIPTION III SUITABLE FOR INCORPORATION, 8-12% SLOPE SYNAG �'%1 I�4 Soil Map OWNER COUNTY L. SHEET SOIL SERIES A Reticlnalt Management Compaig FIELDS 1 ,V- Z- SCALE: F' _ 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 i 1 28 2 21.5 fescue 10% Hiwassee 350 34' 04" N 810 15' 42" W 2a / 5.2 fescue 10% Cecil ✓ ✓ 350 34' 13" N ✓ "81 ° 15' 36" W 2b 6.5 fescue 10% Cecil 350 34' 09" N I. 810 15' 29" W 2c 11 1 8.9 fescue 10% Cecil ✓ r/35 ° 34' 1 1 " N "1 ° 15' 22" N 3a 571 41.6 fescue 10% Cecil v-350 33' 59" W 'I r91 ° 15' 08" W 3b 13 3 9.7 fescue 10% Cecil LX 350 33' 58" N ` 810 15' 17" W 4 TOTALS 129.4 93.4 Notes: Date: 2/7/2005 State of North Carolina Department of Environment and Natural Resources Division of Water Quality Ive -L//4- -35- 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 ^Dmplete 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: irichardsanewtonnc.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 NL'_ k-35 rI e6t1� 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 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 Pernittee 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 terns 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: �S;�,Q wP_A141f Z tl—? Signature: Dater NORTH CAROLINA, COUNTY I, the undersigned Notary Public do hereby certify that j;7y j f.0 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 /'e Zj ,V 4 Signature and seal: My commission expires: Notary Public, North Carolina OrMUNTY 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: d j//, J -ct h r4 C 6) L/`� 1 Signature: Permittee's Certification: Date: 2 _ l G Eff I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. - I Signing official name: l - `'d2T= ►� l (., C? t� Signaturew... J�V(/ Date: Lit D S *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c ✓iC(r lcrcu� sfo !�% 11�;.r��rc6yr State of North Carolina Department of Environment and Natural Resources Division of Water Quality DUFFER 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.-Ah2o. ennstate. 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 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 (j)(5), other than those referenced above, cannot be waived through execution of this attachment form. ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 (j)(5)(A)(ii) and (iii) The undersigned property owner hereby permits: Applicant's name: �."✓Tr' Cr �e�ii���l� L-�� C 7'�C'� ����� ^omplete mailing address of applicant: 5-0 City: State: A16 Zip: gd-5 J Telephone number: (-) %J`�'�I/J� Facsimile number: (9?,�) E-mail address: evlkfg�_45711 L' . Q e u 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: f� Location addresses of property: �o �✓ %atC / C At A?_ 7C1«%r'I A 11 City: State: Ile— Zip: ZNL/65 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. j 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. I or Property ommer name: Signature: *** END OF FORM LOAA 02/02 *** Date:S— FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d 1111el"'et-61 State of North Carolina f�7�'✓c�� 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 thisform, visit our web site at: hup:11h2o.ennstate. 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 property from which a waiver from 15A NCAC 2H .0219 0)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be waived through execution of this attachment form. ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 (j)(5)(A)(ii) and (iii) The undersigned property owner hereby permits: Applicant's name: �i n- Gr %+�Nv A �c�� ` C%C%ra C reek- toed 1In Complete mailing address of applicant: Rd. 36X 6?�0 City: State: .•'cam zip: 2;P�6 5 n Telephone number: ( ) ol� Facsimile number:( 2,�l E-mail address: T2 i e A 4 relS6y n&:, E,T,4n'1,,,e . 9 Gail 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 following: Location address of property: YU J Tel ; 7V4V,1 1CC1l�l City: State: zip: C� 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: > FORM: B WAA 02/02 Page 1 of 1 Attachment Order 3-d SYNAGRO - VICINITY MAP A Residuals Management Company j COUNTY OWNER 7. All'c� SYNAGB,10 TOPOGRAPHIC MAP A Residuals Management Company OWNER SCALE: I"== 16 6 0' FIELDS PHOTOQUAD/YEAR CONTOUR INTERVAL-4-57'0 Ne -&-,5,5- SYNAGRO AERIAL REFERENCE MAP A Raiduals Management Company COUNTY Ile - ex SYNAGE APPT.TPATTl1N A7?IWA MAU Owner Scale: 1" = 90,1 Field # ►- 3L Total Acres �2/� Net Acres . > STREAM Ci) APPLICATION AREA - - - - - - PRIVATE ROAD DRAIN HOUSE FORESTED AREA DSURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE WELL STORAGE AREA O SOIL DESCRIPTION SUITABLE FOR O INCORPORATION, ® PROPERTY LINE 8-I2% SLOPE syINAGP\0 Soil Map t C. F- H sD2 Hscz CMBZ- cn La;- c# t-4 x H CZ zz E3. Ft, NO *K . . . . . . . . ...... c 1cr-- . sC2 at Hisz--Ot' "s Z 7,� roll -AsE2 H Hs82 sRz Hs aa.41 r 7 OWNER rv`l 'FIELDS COUNTY S-FIEET SCALE: V SOIL SERIES 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 Fields Acres Acres Predominant Latitude & Cron(s) Slone (%1 Soil Series Lonaitude 1 5.6 3.3 fescue 0-10 Cecil l 035° 37' 35" N , &1 ° 14' 05" W 2 8.6 4.9 fescue 0-10 Hiwassee J35° 37' 45" N ,81 ° 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 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://lz2o. 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 applicatign 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 Dmplete 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 - // / 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 3 Attachment Order 3-c 1. 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 I° 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 tite land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: Signature: Date: NORT R01411A, COUNTY I, the undersigne otary Public do hereby certify that �}crrr�! S�� h; �;� — (7 �•; personally appeared before me this day and acknowledged the dde execution of the forgoing instrument. WITNESS my hand and official seal this the day of n�V /,-- 20 SAL SEAL [-� COUNTY OFFORSYTH Notary � Signature and seal: 'r„ FRANKIED. SINGLETON ' My commission expires:%'7��; " tryy Commission xpires E 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: 7Pe ttee's Certification: r 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: 1 f!.��' a �.i • t L sD S ignature: Date: y l It / v s *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c � )h" SYNAGIRO SITE VICINITY MAP A Resicfica/s Management Company COUNTY � c , - OWNER 671 Jr /�a `:h-471 Ile -C14-/// 11 SYNAGRO TOPOGRAPHIC MAP A Residuals Management Company OWNER SCALE: I"= 16ZO' FIELDS PHOTOQUAD/YEAR /vke/�t CONTOUR INTERVAL SYNAGRO AERIAL REFERENCE MAP COUNTY OWNER A Raviduals Management Com1wiq loll SYNAGRO. APPLICATION AREA MAP A Residuals Management Company Owner e6 y mScale: 1" - 1/00' Field # 6•r,c we—eA— I /1 Total Acres (see summaKy) Net Acres (see summary) . - > STREAM — > DRAIN Ci:) WATE] SURFACE FENCE OSTORAGE AREA PROPERTY LINE CID APPLICATION AREA HOUSE ❑ OUTBUILDING 0 WELL O SOIL DESCRIPTION - - - - - - PRIVATE ROAD FORESTED AREA UNSUITABLE SUITABLE FOR INCORPORATION, 8-12% SLOPE `II SYNAGPO Soil leap A Residuals Afanagement Company OWNER 6"T l AC--m—%// FIELDS / q- 2 COUNTY L�'/�T/f�cic3/� SHEET SOIL SERIES 1fie(.fz155c e- 6e 1hl he SCALE: 1" _ -/32D 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 Lincolnton, NC 28092 Phone: (704) 462-4141 , office # (828) 312-3247, cell # (828) 312-6700, brother Geralds cell # Estimated Total Applicable Maximum Predominant Latitude & Fields Acres Acres Crop(s) Slope Soil Series Longitude 1 33.2 27.4 ,/ Fescue 10% Davidson , 5 ° 34' 17" N �- „8T°14'12" W 2 36.6 16.8 Fescue 10% Hiwassee t,-35 ° 34' 19" N .161 ° 14' 27" W 3 7.7 5.1 ✓ Fescue 10% Davidson ✓35 ° 34' 05" N 1 ° 13' 59" W 4 ;j 21.3 15.2 Fescue 10% Davidson ,360 34' 03" N -,81014'14" W 5 19.6 9.3 Fescue 10% Davidson v350 33' 55" N -.,& I ° 14' 21 " W TOTALS 118.4 73.8 Notes: Fields accessed from South D Road. Key for gate lock is at Terra Design's office on Blackburn Bridcae Road Date: 4/4/2005 x Gke;� State of North Carolina Department of Environment and Natural Resources T j Division of Water Quality ,, LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MA )' 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. ne. us'/ndpzr/ 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 i 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 Pagel of 3 Attachment Order 3-c 1. 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 platter 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 o1' 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 pli of less than 6.0, provided that a sufficient amount of line 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 play 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 oil 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 I am otherwise authorized, through a power- of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. 1 certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner 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 tile forgoing instrument. WITNESS my hand an �0 cial seal this the 2 9 thd2(y of MARCH , 2005 Signature and seal: My commission expires: e p t e mb e r 5, 2006 Lessee's/Operator's Certification: I certify that I have read this A- Lessee/operator iyume: Signature: Ph - 7ay-�ia�- and do hereby agree to abide by the stipulations and restrictions as specified herein. �/ - z& EIS 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 Signatur *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c lll/ SYNAGRO- VICINITY MAP A Residuals A fanagement Company /t®(f - c/T -16 COUNTY 0Ar*6/0A OWNER 2RI41 e i%GWSM C I�6 ' alil SYNAGIRO TOPOGRAPHIC MAP A Keridualt Afcanrzgemont Company `^.�,r `�� "} •l\A t FC,=c 'kith K,f� '..I °A`y/t` �� 1 z _ it eA � a ^=''.`' � � ;� � 1._ � f�` - wk�('1•=' All 17 2 \ i "1 ,r� a t fj f}yi' a a p 4 �d����_� .... 72 # �."� ��,�. ��G� \� , Oil' i '4�+5 �" M .,.? ✓° �'i F .. , f x OWNER �sPbl e Alloaekee SCALE: V _ /��L7 FIELDS PHOTOQUAD/YEAR MAId 61 CONTOUR INTERVAL 20 II1/: SYNAGI�® AERIAL REFERENCE MAP A Residuals Alanageanew Company 14 (— ram. COUNTY ��7-1-UI,31- OWNER SYNAGN APPLICATION AREA MAP A Residuals Management Can=pai y - nz lcca�� �k Avl s file IVg/P4�E� �i4'LE/Yl Owner Scale: l" = Field # . IVC -e,4 -16 Total Acres Net Acres > STREAM O CD DRAIN SURFACE WATER FENCE STORAGE AREA PROPERTY LINE APPLICATION AREA HOUSE ❑ OUTBUILDING 0 WELL G) SOIL DESCRIPTION — — — — — — PRIVATE ROAD FORESTED AREA UNSUITABLE SUITABLE FOR INCORPORATION, 8-12% SLOPE N, SYNAGP O Soil Map A Residuals Management Company HsB2 Lj�/� '\ HwC2 F s HsC2 , i� 1•' f HsB2 Af t, / gn Hs82 s C2 \ - CnE3�P HsC2 CnE3 - n u ..Af• 1� Hsfl2 ` u ` HwC2 ~ , =5 7 >>jGv PaF 1. CnE3 ' HsB2 1l 4 " f / PeE ,HsC2 Hs52 r /,` u / HwC2 E=r av i n Par .. PeE If HsB2 HsC2 sC2 cnI' / 11 CnE3 HsCn C2 i 1 /J''..H592 f i �Bn CrrC2 C— i CnE3 f jff I.� _ HwCS PeE rC2 /IfCnE3 - Cr_ > CmC2 t3 Cy HsB2- CmB2 / C ` CmB2 Gw: r CrC2 scz CnE3 = /'HsB2/ Cni3 11 :,�. Gu iisC2 PeE _ rf3 \ Cv PetF + Cy-CnE3 f ! CnC2 CmC2+ CrEa n HsC2 ` Hs6$,°` CmEi2 CmC2 Cw 2 r: _ Af PeE : CmC2 s 4 ' =� _L. Hs82 'HsC2 -G CnE3 ; f Cm82 --- CsC2 �" HwCt G. Cnt3/ Hs62 HsCj C• / v = 2 Hs62 \ HsC2 _ �? - ,.a .i OWNER s GO�'.� 1, ✓ % r /tip G,� ' FIELDS )—,— COUNTY SHEET SCALE: V' = SOIL SERIES olhads�,/1 ss e r SYNAGRO SOIL DESCRIPTION SHEET. A Residaals Management Company Project: /yho,tea Landowner: Site: U It Field: I Sample #: Slope: Z Acres (gross): Acres (net): Crop:-�S�c1 boa / SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A 0-7 Le7-11 !e e e 4 f e �fp 2, i"se Depth to SHWT: Depth & type of restrictive layer: Soil Series:AJ��Sa.•� Horizon Depth Texture Color Structure Mottles PROFILE D 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 SKEET Project: lA ew �m Site: a -Irl Field: 2- Acres (gross): PROFILE A PROFILE B Acres (net): SYNAGR A Residuals Management Company Landowner: Sample #: Slope: t Crop: jSe-UK, ,� "- a SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure m dL 2?' 3(f, 1d 6 'A Depth to SHWT: I > M Depth & type of restrictive layer: w Soil Series: Horizon Depth Texture Mottles Color Structure Mottles Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: r41Wr6 `4PASaC , QUr- PoSSfacy Rrs'Dak : L�r-�F�6/6,aj �4� t do V6 Described By: Le end 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 \�Ny SYNAGPO A Retularals Management Company Project: lleAl Landowner: Site: jd` Field: Sample #: Slope: Z Acres (gross): Acres (net): Crop: 64ze-,VClzxfr) . SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A 164 lye I/Y 'fl Depth to SHWT: > 3& . Depth & type of restrictive layer: ,3 Soil Series: Horizon Depth Texture PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: Legend Color Structure Mottles Date: e).3X s a'� 4 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 l"0SYNAGRO SOILy� DESCPdPTION SKEET A Residuals Management Company Project: Ale-4 l km Landowner: Site: 111 Field: Sample #: Slope: Z_ Acres (gross): Acres (net): Crop: F5kC46 Ar SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A 6--7 LC, Z.Srl_e 3141 rPC �f ,0 � -�i i. � � 0 ` � CG+v►A9®A� ��/G� /'"iT/lAC�r� Depth to SHWT: 3� Depth & type of restrictive layer: 3 Soil Series: D�h/�OS�nI Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: Date Legend Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m 101 Angular Blocky Subangular Blocky Single Grained Massive tlff SYNAGI 0 SOIL DESCRIPTION SKEET A Residuals Management Company Project: 11161, 76 Landowner: <-S- 7% Site: 64 4 Field: S Sample #: Slope: 3 Acres (gross): Acres (net): Crop: SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles . PROFILE A 449 Z,Nle /4 - &1 a✓? Z- 4 k- Depth to SHWT: �3G Depth & type of restrictive layer: Soil Series: 6&16.(-4'J Horizon PROFILE D Notes: Legend Depth Texture Color Structure Mottles Depth to SHWT: Depth & type of restrictive layer: Soil Series: Described By: Date: a V40 Texture Structure Grade Structure Type s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m Angular Blocky Suba_ngular Blocky Single Grained Massive NCDA&CS AgrnnnTic Division Phone: (919)V-2655 Web Site: www.ncAgr.f--/agronomi/ Report No: Grou Goins, Gordy Copies To: Synagro Sc 2924 Blackburn Bridge Rd "ncolnton, NC 28092 ���s._.�."+�• oil Test Report Synagro South Faim CA-18 c/o Scott Berg 6220-A Hackers Bend Ct. 4/4/2005 SERVING N.C. RESIDENTS FOR OVER 60 YEARS Catawba County Winston Salem, NC 27103 Agronomist Comments Field Information ..- Applied Lime Recommendations__ Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Cu Zn B Mn See Note 01 1st Crop: Fes/OG/7im,M 0 120-200 60-80 0 0 0 0 .0 pH$ 12 L-& -/II-D/ 2nd Crop: Fes/OG/I'im,M 0 120-200 60-80 0 0 0 0 .0 pH$ 12 Test Results Soil Class HM% W/V BS% Ac p,�l P-I K I Ca% ft% Mn-I Mn-M(1) Mn-M(2) Zn-I Zn-AZ Cu-I S-I SS -I NO3-N AU4-N Na MIN 0.46 1.11 98.0 0.2 4M 30 123 62.0 30.0 394 240 240 105 105 104 56 0.1 Field, Information Applied Lime Recommendations_. - Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Mg Cu Zn B Mn See Note 025 1st Crop: Fes/OG/1'im,M 0 120-200 120-140 0-20 0 0 0 .0 pH$ 12 .le -04- /9-6Z 2nd Crop: Fes/OG/Tim,M 0 120-200 120-140 0-20 0 0 0 .0 pH$ 12 Test Results Soil Class IN% W/V CEC BS% Ac pH P-I K-I Ca% ft% Mn-I Mn-AI(1)Mn-M(2) Zn-I Zn-AI Cu-I S-I SS -I NO3-N AFI4-N Na MIN 0.36 1.15 94.0 0.5 6 77 60.0 29.0 721 439 439 80 80 94 29 0.1 Field information _; .. App ied�1ime Recornniendations �F. ` Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 it Cu Zn B Mn See Note 03 1st Crop: Fes/OG/I'im,M 0 120-200 140-160 0 0 0 0 .0 0 12 Ale 64-/8-e3 2nd Crop: Fes/OG/Tim,M 0 120-200 140-160 0 0 0 0 .0 0 12 Test Results Soil Class AM% W/V CEC BS% Ac pff, P-I K I Ca% ft% Mn-I Mn-AI(1) Mn AI(2) Zn-I Zn-AI Cu-I S-I SW NO3-N AFI4-N Na MIN 0.32 1.00 ( 90.0 0.8 0 139 53.0 28.0 91 66 66 49 49 63 48 0.1 Field Information Applied,Lme Recommendations;. Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 11t Cu Zn B Mn See Note 04 1st Crop: Fes/OG/fim,M 0 120-200 120-140 0 0 0 0 .0 0 12 11/L4-e/}!8 2nd Crop: Fes/OG/fim,M 0 120-200 120-140 0 0 0 0 .0 0 12 Test Results Soil Class IN% W/V CEC BS% Ac Pff P-I K-I Ca% ft% Mn-I Mn-Al(1) Mn-AI(2) Zn-I Zn-Al Cu-I S-I SS -I NO3-N AFI4-N Na MIN 0.27 1.11 8. 86.0 1.2 j& 8 142 53.0 26.0 593 371 371 45 45 80 61 0.1 NCDA�CS; Agr^nnYnic Division Phone: (919)733-655 Web Site: www.ncagr.e^**�%gronomi/ Grower: Goins,'Gordy,z Report No: 2'"'S Pg 2 Field Informs Applied Lime ` Recomriiendations Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Mg Cu Zn B Mn See Note 05 1st Crop: Fes/OG/Tim,M 0 120-200 140-160 30-50 0 0 0 .0 0 12 -,W-eA-/0 cif 2nd Crop: Fes/OG/Tim,M 0 120-200 140-160 30-50 0 0 0 .0 0 12 Test Results Soil Class HV% W/V CEC BS% Ac p P-I K-I Ca% Mt% Mn-I Mn-M(1) Mn-Af(2) Zn-I Zn-Al Cu-I S-I SS -I NO3-N MI4-N Na MIN 0.41 1.09 8.7 90.0 0.9 :3 1 52 57.0 29.0 242 158 158 54 54 81 43 0.1 Report Number: A&L EASTERN AGRICUL I URAL LABORATORIES, INC. 2005-RO81-161 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 Account # 46476 AL ®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 of Report: 03/25/2005 Page: 1 TOTAL SOIL ANALYSIS REPORT Date Received: 03/21/2005 Date of Analysis: 03/22/2005 Phos- Potas- Magne- Manga- Nitrogen Sulfur Calcium Sodium Iron Aluminum Copper Zinc Ammonia Nitrate phorus sium sium nese Sample Lab N S Ca Na Fe Ai Cu Zn Nitrogen' - Nitrogen Number Number mglkg P K mg/kg mglkg Mg mg/kg mg/kg mg/kg Mn mglkg mg/kg mg/kg mg/kg m9/k9 m9/k9 mglkg mglkg 1 10978 2 10979 3 10980 4 10981 5 10982 Cadmium Chro; Nickel Lead Arsenic Mercury Selenium Organic Total Silver OM by C / N Molyb- Cobalt Acid Sample cd , mium Ni Pb As H g Se Nitrogen g p H C.E.C. A g combus- Ratio denum ' Co producing Number mg/kg Cr mg/kg mg/kg mg/kg mglkg mg/kg hl9lk9 (meg1100g)_� mglkg tion Mo Mg/kg � pH mglkg %_ mglkg 1 <0.01 < 1 2 <0.01 < 1 3 <0.01 < 1 4 <0.01 < 1 5 <0.01 < 1 MEHLICH EXTRACTION Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. This report applies to the sample(s) tested. Samples are retained a maximum of thirty days after testing. A & L EASTERN AGRICULTURAL LABORATORIES, INC. by. C. Norman Jones 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: Site ID: NC-LT-119 Field 1 Name: Bobby Canipe Address: 3980 Killian road Lincolnton, NC 28092 Phone: (704) 732-1992 Estimated Total Applicable Maximum Predominant Latitude & Fields Acres Acres Crop(s) Slope Soil Series Longitude 1 22.2 11.5 fescue 10% Pacolet 35 ° 33' 191, N 810 18' 18" W 2 7.1 5.4 fescue 10% Pacolet -,,n ° 33' 14" N 810 18' 11" W 3 i 11.0 7.5 rwo crop 10% Pacolet &�a5 ° 33' 13" N 810 18' 21 " W 4 / 7.0 5.4 fescue 10% Pacolet . 3- ° 33' 10 N V81 ° 18' 23" N TOTALS 47.3 29.8 Notes: Bobby Canipe owns field LT-119-1 Date: 4/4/2005 L-,' vA4Zo, Z-1i7+=_1 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 orfor an electronic version ofthisform, visit our web site at: http://h2o.enr.state.ne.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 niplete 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: irichardsnnewtonnc.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 I of 3 Attachment Order 3-c i, STIPULATIONS: I. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months frorn 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 If. 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 Pennittee to land apply residuals to the land application site(s) as specified herein. n Landowner Signature: J Date: NORTH CAROLINA, CATAWBA COUNTY I, 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 day of MARCH _; 200 5`. Signature and seal:�%%✓� My commission expires: e p t e m b e r 0 5, 2 006 Lessee's/Operator's Certification: pfl I certify that I have read this Lessee/operator name: Signature: and do hereby agree to abide by the stipulations and restrictions as specified herein. r 5 Date: 3 —_- y' s Permittee's Certification: 39, I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing of lanam;e, 1. _ ��° Az Signature: *** END OF FORM LOAA 02/02 *--* Date: Y 0 t FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c Le I F1?.bi, G. Me ra i State of North Carolina r3abd, e'�,r�C _ 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 )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.aov 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 !/e/ I D 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 SYNAGRO, AERIAL REFERENCE MAP A Residuals Alanagement Company COUNTY Z/ /`i ey f% OWNER kPPLICATION AREA MAP dicer,-1'*tevlw44 ;Read ulll-p-ons I?aj �MR p SYNAGRO A Residuaia Management Company C4.4...6a 6..,.4 Lmao/n (' zcN Owner r0&02)u �Q/� �, ,ti Gu;�; ;c-. Scale: I" Field # J-4 Total Acres Net Acres . — > STREAM APPLICATION AREA — — — — — — PRIVATE ROAD DRAIN HOUSE FORESTED AREA OSURFACE WATER ❑ OUTBUILDING UNSUITABLE X X FENCE WELL STORAGE AREA OO SOIL DESCRIPTION SUITABLE FOR O ® INCORPORATION, PROPERTY LINE 8-12% SLOPE SYNAGRO Soil Map A Residuals Management Company OWNER OQJ\e).V �66p1it s' FIELDS )— Y COUNTY Zf SOIL SERIES else-./ SHEET SCALE: P = / 1,32,0 SOIL DESCRIPTION SHEET Project: NP1lc� i4440, SYNAGRO A Residuals Managcmmi Company Landowner: (� Y �� ��J Site: !I 9 Field: / Sample #: Slope: Z Acres (gross): Acres (net): Crop: %3�✓��/" SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A AP Zlv-36 2,�5fi.'y/� Depth to SHWT: 3 Depth & type of restrictive layer: y �� Soil Series: Horizon Depth Texture Color Structure Mottles PROFILE B Depth to SHWT: Depth & type of restrictive layer: Soil Series: Notes: Described By: - Date: e7z.1 a S, 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 « .,. 'gin: ... .. q- ,,:. • , :.. .. :_`.. a{ �� � :2 I a, Y' F. ,, .. .._ � .''�5 ,:.,:, rNCDA&CS:A onomie Division. - rPhone. � � �Re ort No 1 '24 ` ' -2b �� WebfiS te.www:nca ` y ;.com/a ,onomi �.. ,.: .:; / Groel Goins, Gordy Copies To: Synagro � 3ti r r 2924 Blackburn Bridge Rd - Y.. Lincolnton, NC 28092 � oil Test Rjowrt Synagro South Farm: LT119 c/o Scott Berg 6220-A Hackers Bend Ct. 4/4/2005 SERVING N.C. RESIDENTS FOR OVER 60 YEARS Lincoln County Winston Salem, NC 27103 Agronomist Comments urmat'onMV Field Iiif t A 1ted:Ltme: -:Recomm�ndattons , � , ...� x<. ,�;�. Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Mg Cu Zn B Mn See Note 01 1st Crop: Fes/OG/Tim,M 0 120-200 130-150 60-80 0 0 0 .0 0 12 L7-/I _0/ 2nd Crop: Fes/OG/Pim,M 0 120-200 130-150 60-80 0 0 0 .0 0 12 Test Results Soil Class IN% W/V CEC BY% Ac pH P-I K I Ca% fg% Mn-I Mn-AI(1) Mn-AI(2) Zn-1 Zn-Al Cu-I S-I SW NO3-N AU4-N Na MIN 0.32 1.20 5.4 78.0 1.2 6.0 4 36 54.0 19.0 1496 915 915 33 33 68 47 0.1.. =�F eld,I o 1. a ju r - lied Lirhe ; ..' -•Recommendations# � 5 _ X .matron .. :�. _ ..A M. � � Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Mg Cu Zn B Mn See Note 02 1st Crop: Fes/OG/Pim,M 1T 120-200 140-160 40-60 0 0 $ .0 0 12 4-rtI -el'-' 2nd Crop: Fes/OG/I'im,M 0 120-200 140-160 40-60 0 0 $ .0 0 12 Test Results Soil Class IN% W/V CEC BS% Ac p H P-I K I Ca% lY % Mn-I Mn-AI(1) Mn-M(2) Zn-I Zn-AI Cu-I S-I SS-1 NO3-N AFI4-N Na`.. MIN 0.32 1.02 6.6 73.0 1.8 5.3 0 46 46.0 24.0 292 192 192 15 15 57 155 0. L Fuld Information A hid LimeReommendattons Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 At Cu Zn B Mn See Note 03 1st Crop: Fes/OG/Tim,M AT 120-200 110-130 100-120 0 0 $ .0 0 12 1-Y-/t -per 2nd Crop: Fes/OG/I'im,M 0 120-200 110-130 100-120 0 0 $ .0 0 12 Test Results Soil Class HM% W/V CEC BS% Ac pH P-I K-I Ca% Mg% Mn-1 Mn-AI(1) Mn-AI(2) Zn-1 Zn-AI Cu-I S-I SW NO3-N AU4-N Na MIN 0.56 1.15 4.6 74.0 1.2 5.7 11 17 49.0 24.0 835 518 518 23 23 65 55 0.1 �.Ftelt�,Inforittaton A 1ted:Ltrne. s;.Recotnmendattons � � k ._� Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Mg Cu Zn B Mn See Note 04 1st Crop: Fes/OG/I'im,M 0 120-200 140-160 70-90 0 0 $ .0 0 12 j /� 9 2nd Crop: Fes/OG/Fim,M 0 120-200 140-160 70-90 0 0 $ .0 0 12 Test Results Soil Class HM% W/V CEC BS% Ac pH P-I K I Ca% ft% Mn-1 Mn-Ai(1) Mn-AI(2) Zn-I Zn-M Cu-1 S-I SS -I NO3-N 11FI4-N Na MIN 0.18 0.92 7.6 88.0 0.9 6.0 0 30 56.0 31.0 78 64 64 18 18 29 222 0.1 Attachment Order M.- 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. 0 Eric ho on, 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 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. 1 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 S01L SC .. vv m�so� az Qr I1PJRTTk G�' 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 maps delineating the proposed application areas within each field are also enclosed. Topo rg aphy 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 annual 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. L. 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 N C-CA-14-2 NC-CA-14-3 NC-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 N C-CA-15-6 NC-CA-1 5-7 NC-CA-1 5-8 NC-CA-1 5-9 NC-CA-15-10 NC-CA-15-11 NC-CA-30-1 N C-CA-30-2 N C-CA-32-1 NC-CA-32-2 N C-CA-35-1 N C-CA-35-2 NC-CA-35-3 NC-CA-111-1 NC-CA-111-2 i Cib ewton 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 0.466 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 ,�A \NAT�9 Michael F. Easley, Gover 0� n Q William G. Ross Jr., Secretary yNorth Carolina Department of Environment and Natural Resources > Alan W. Klimek, P.E., Director NC DERi`.Si9r lfte(JWfl LN r AND NATURAL RESOURCES ncGEntr_n March 24, 2005 MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR CITY OF NEWTON POST OFFICE BOX 550 NEWTON, NORTH CAROLINA 28658 Dear Mr. Wilson: MAID 3 0 Z005 MOORESVILLE REGIONAL OFFICE DW0_GR0tjlkep1A1ATFR SECTION Subject: Permit No. WQ0003902 Renewal Deadline Extension Approval City of Newton City of Newton Residuals Land Application Program Land Application of Residual Solids (503) Catawba County On March 10, 2005, the Division of Water Quality (Division) received an e-mail correspondence from Mr. Scott Berg of Synagro South, Inc. regarding the above referenced permit. Specifically, in this correspondence, Mr. Berg requested that the City of Newton be granted a 45-calendar day extension for submitting a permit renewal and modification application package. The existing permit, which was issued on September 8, 2000, expires on August 31, 2005. Condition VI. 7. of this permit requires that permit renewal be requested no later than 180 calendar days prior to permit expiration. The Division understands and appreciates your desire to consolidate the request for permit renewal with a request to approve additional land application sites. Therefore, the request for the 45-calendar day extension is hereby granted. The City of Newton shall now submit the permit renewal and modification application package no later than 135 calendar days prior to permit expiration (i.e., by April 18, 2005). The Division further appreciates Mr. Berg's bringing this request to the Division's attention in such a timely and proactive manner. Note that all other conditions and limitations of Permit No. WQ0003902, issued on September 8, 2000, shall be valid and binding. If you need any additional information concerning this matter, please do not hesitate to contact me by telephone at (919) 715-6167 or via e-mail at shannon.thomburg@ncmail.net. Yan rely, non Mohr Thornburg Environmental Engineer II Land Application Unit cc: Mr. Jonathan E. Hill, Synagro South, Inc. APS Central Files - Permit File WQ0003902 Nne orthCarolina Natura!!Y Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone (919) 733-3221 Customer Service Internet: htlo://h2o.enr.state.no.us 2728 Capital Boulevard Raleigh, NC 27604 Fax (919) 715-0589 1-877-623-6748 Fax (919)715-6048 An Equal Opportunity/Affirmative Action Employer - 50% Recycled110% Post Consumer Paper SITE SUMMARY City of Newton, Clark Creek WWTP Newton, NC Site ID: NC-CA-7 Owner: Jeffrey L. Smyre Address: 2435 Smyre Farm Rd. Newton, NC 28658 Phone: (828) 464-7197 Operator: same Estimated Total Applicable Fields Acres Acres Latitude & Predominant Longitude Crop(s) Slone (%) Soil Series (D.M.S) 1 12.1 9.5 fescue 0-10 Hiwassee 35' 37' 47" N 81 ° 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 Notes: 39.9 31.1 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 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 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(a7,newtonnc.gYov 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 IVC-O 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 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 fumish 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 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 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 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 stipu lations 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: , ;ETC_if!4,✓ Z, 6;% .-L.- Signature: % Date: NORTI�. LI A, �,r5 COUNTY I, the u rsigned Notary Public do hereby certify that j c r5r'' 4 persona appeared before me this day and acknowledged the due execution of the rgoing instrument. WITNESS my hand and official seal this the day of Signature and seal: Notary Public, North Carolina My commission expires: C 1. 7 FRANKIE D. .5!4ga�T4w Lessee's/Operator's Certification: ❑ 1 certify that t 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: jl certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. ' \ Signing official name: Ntzj 4:rI jJ w r l.� �a (� Signature: Date: j *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c SYNAGPO VICINITY MAP COUNTY OWNER Jelr ex. A Residuals Management Company ,l`I!/, SYNAGB TOPOGRAPHIC MAP A Residuals Alanaganent Company 1 i r « Alt I tt 1 k 1 � k3 \�-^� ��� .. s i ,M l� �� F r a s ^� ♦ '^*;. ,�j � ors- j � S� -..H. :�`^"" 1 r�� ,,,ti '. ., �. .� F,�. �7a��'`�'.�.W. g.:.,..�.•..A M t�'�F ��4ri-I..r.: ��„.«�.w"',r•; `""�Fok �i� t 1 : - S ✓ �. IIaaV�� x t`S�- '<�4.;tl R`i � C✓ t''^�,.,-, �1. p l� �"^,--! - it fii a"„`".,,.-„-u.,. ,.. �,^LF,-�—...:�'�.,.' Pr• .LP+ � n'r All 126�) `'1 §fiy, i _ f 1 •€ .,�f '� �ti F.+""" i,�'Z�V �„` { t �, f�g. �`^`-`.<.. 2�� ��1, ` •,'� � I IBWr`t--„..�...f' 1 � 4'� i ti .v+'F Z.. V. Tli sii 1. f Vic^ `5 1 �< V% rir ,, tX..I € xf:; � L sa �` ^`•^— ,s,,. r%„s� } �t} k k � � f.,i . `......., v 's `�,rYj �" ! j :atf �'' r ,..�.r� r :.,." ' r �.,_,:.✓j'e4 ..f ' � ; ik ^.� e -may � � `'..,...•"�...,T it i �`*.<,,,"'"""'.. rF �i � � r� � r :1,�,,.,,�'° .p ".,., ✓ /"": ""� ��id v OWNER SCALE: 1" = 1W FIELDS 1-7 PHOTOQUAD/YEAR�CONTOUR INTERVAL 1 D f SYNAGRO AERIAL REFERENCE MAP A Reriduals hfamn%emeni Company COUNTY, OWNER \JTe1T,!5f'ht/tC- �PPLTCAT ION AREA MAP b sm� A Rariduak branik?mmir Cambanv Owner Scale: V = � * Field # 1— Total Acres Net Acres �e . . _> STREAM APPLICATION AREA . — — — — — — PRIVATE ROAD DRAM HOIISE — FORESTED AREA W SURFACE WATER ❑ OUTBUILDING UNSUITABLE fr V • ' FENCE 0WE L G) STORAGE AREA O SOIL DESCRIPTTION ® SUITABLE FOR INCORPORATION, PROPERTY LINE 8-12% SLOPE Soil Map 00 ,% SYNAGR A Retulnalt Management Company OWNER f FIELDS 1 3 COUNTY 60-4"Gt.t,Jua SHEET SCALE: I" = 13.20' SOIL SERIES 4V,vi P-e- CQ.cS� a fa mooresville Regional Office 610 Eas't Center Avenue Mooresville, 704/663-1699 To:` Date: Fax o#: From: -41/& Phone.: --- Message: - Cat t y i� 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 Fields Acres Acres Maximum Predominant Latitude & 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 81 .17.43 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 81.17.54 W 8 25.8 21.8 Fescue 10% Hiwassee 35.34.38 N 81.1 8.04 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 'SIT]E VICINITY MAP N'Th/ S"AGBkO A Raidiialt Afanagement Company COUNTY OWNER Tq &-2)eV 5jTE /UC --eA -%7_ T . A In-nT T.('I A TTt\AT A T-.T A A iF A 7l \N IA SYNAGRO txi i iJil.ta i iiJl\ t l�L�1� liily u NC-14/—' "y Total Acres (see summary Net Acres (see summary) STREAK( Q APPLICATION AREA - - - - - - PRIVATE ROAD - > DRAIN ® HOUSE FORESTED AREA OSURFACE WATER ❑ OUTBUILDING UNSUITABLE FENCE WELL STORAGE AREA O SOIL DESCRIPTION SUITABLE FOR O INCORPORATION, �� PROPERTY LINE 8-12% SLOPE OF WATER 'l Michael F. Easley, Governor O� QG William G. Ross Jr., Secretary / North Carolina Departpt�et orf Enviro�n�rTin`tOa��ndd�)�attuural Resources >_ AND NATURAIAJ�n"Ws f�n P.E., Director [00f2ESl�P!'r�ItY�k��4 g water Quality July 7, 2003 JUL I s 2003 MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR CITY OF NEWTON POST OFFICE BOX 550 NEWTON, NORTH CAROLINA 28658 Dear Mr. Wilson: . J,Z� 1 tE Subject Permit No. WQ0003902 Correction C*ttyofNewton= 1 v- City of Newton Residuals Land Application Program Land Application of Residual Solids (503) Catawba County A routine internal review of the modified Attachment B that was certified on November 12, 2002 for the subject residuals land application program was conducted recently. During this review, it was discovered that the approved vicinity and buffer maps for the newly - certified land application sites were not included with the Attachment B, as required by the Division of Water Quality's (Division) current standard operating procedures. As such, we are forwarding herewith these maps for inclusion with your permit (i.e., behind the Attachment B that was certified on November 12, 2002). The Division apologizes for any confusion that this omission may have caused. If you need any additional information concerning this matter, please contact Ms. Shannon Mohr Thornburg via telephone at (919) 733-5083, extension 353, or through e-mail at shannon.thomburg@ncmail.net. Sincere for Alan W. Klimek, P.E. Enclosures cc: Mr. Martin E. Mabe, Synagro South, Inc. Catawba County Health Department MoleR_ce=Water_Quality_Section_r Regional -Off Mooresville Regional Office -Groundwater Section Central Office -Groundwater Section Water Quality Central Files NDPU Files NDPU Residuals Program Coordinator NCDENR Non -Discharge Permitting Unit Internet http://h2o.enr.state.nc.us/ndpu 1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone (919) 733-5083 Fax (919) 715-6048 DENR Customer Service Center Telephone 1 800 623-7748 An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper .SYNAGI 0 VICIlNIi i MAP "P A Residuals Management Company 17OUNTY CaiaL) 6, OWNER Con te-Y r-ox APPLICATION AREA MAP &ZL0_V 1"[eUl iF 1-1 'fatal Acres_ :?.vr,,,,,,.,,Net Acres -� STREAM APPLICATION AREA = _ _ _ _ = PRIVATE ROAD DRAIN HOUSE FORESTED AREA wO POND O OUTBUILDING UNSUITABLE FENCE WELL _ - O STORAGE AREA Q SOIL DESCRIPTION SUITABLE FOR INCORPORATION, S-IZ% SLOPE .SYIeIAGRO VICMTY MAP A Residuals Management Company ' COUNTY CG��0.�'D PL OWNER c 71lr4""r%.TTTx7 it K A r :.SYNAGRO A Retidnalt Management Company r'OUNTY C a,taLJ bc— OWNER PLV- d �e�Arn APPLICATION AREA MAP SYNAG 0 A Retidnalt Almmgemew Company Owner J Wtv 6,P- un Scale: 1" = Y°d Field --�••� STREAM —� DRAIN POND FENCE n STORAGE AREA Total Acres17.`/ 37.0 ./ Net Acres li, S0 3C. -, l•� APPLICATION AREA __ = PRIVATE ROAD . 81 HOUSE FORESTED AREA 0 OUTBUILDING UNSUITABLE NVELL \` O SOIL DESCRIPTION k4O,, LV)l4I V3A iIQS' 'mou'lIuoS3a '1I0S Q 2-IaV.LICISNn.� JNIa'IIns Lno [t /3ub a3 Ls3uo3 3snoFi abou 3, 1VAIud = _ = v3ab NOuvoI'1ddV Saaay I910.L Q V32IV 3ov2I0.LS avow NIVua LUv3u.Ls �— - -, # plaid 9o1i 1,1 :alu3S w m9 e- rbQ aau,IAO irurJnro' /+�anraSwmy� TI—m nu v d Y JV 11 Y ti3 LL Y N OI3, Y D 3 1 Q 4 V ��Ull SYNAG vO VICINITY MAP A Reriduali Management Company COUNTY C a -f-ix w b 0, OWNER 90 a /I 2 i SYNAGR APPLICATION A"A MAP A Ru elua J Management Comp. Owner �or2fil,e Scale: 1" _ • ----) STREAM • -� DRAIN POND FENCE �E�E---- D STORAGE AREA y6 Field # CA 3z- Total Acres Iss Y. APPLICATION AREA HOUSE C3 OUTBUILDING' 9" WELL - �py0SOIL DESCRIPTION p SolL VER iFiCA~"DN Net Acres 13, 7 _ = PRIVATE ROA (23FORESTED AP UNSUITABLE N1I, SYNAGM APPLICATION AREA MAP A Residuals Alauagemeul Campajm; Owner Bonn.%e .5,4mon Scale: V' = Field # CA.3; - ;L STREAM • --� DRAIN POND FENCE T1 STORAGE AREA Total Acres !?.I Net Acres S: APPLICATION AREA =_ = PRIVATE ROAD 11 14OUSE FORESTED AREd 0 OUTBUILDING 9 WELL 0 SOIL DESCRIPTION SD,L vERlr!CA+;oN \\ UNSUITABLE �Illl, SYNAGID. VICINITY MAP A Retidnalt Management Company OUN'TY OWNERe �-� L %n e erq e,r APPLICATION AREA MAP, L;r�yk.-gar SYNAGBD A Reticlnah Aianagewcn� Comperny Owner le. -F L.-'nelo"e-r- Scale: I" _ �fao ! Field # CA 33 Zi3) -----) .STREAM • —� DRAIN O POND '���E---- FENCE n STORAGE AREA Total Acres13,Y a/, . aa,Y Net Acres /d, Z Vd., f7: Y APPLICATION AREA =_ = PRIVATE ROAD HOUSE FORESTED AREA G OUTBUILDING 9 WELL O SOIL DESCRIPTION \\ UNSUITABLE '�i So;L vER IFI(A7-,vN '%aCMTY " ")1/ SYNAG�O A 2etithlah Management Company OUNTY G0.�r3.wb� OWNER Davr� 4ciman \111/ SYNAGIQ VICINITY MAP A Raidnall Management Company /")UNTY C of act loa OWNER -f rb v OF W A7'F9 Michael F. Easley, Governor William G. Ross Jr., Secretary Lay North Carolina Department of Environment and Natural Resources r —I Alan W. Klimek, P.E., Director 0 1 a -C Division of Water Quality August 14, 2003 MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR CITY OF NEWTON POST OFFICE BOX 550 NEWTON, NORTH CAROWE D"ERVENVIRONMENT AND NATURAL RESOURCES RECEIVED Subject: Attachment B Certification Permit No. WQ0003902 {. City of Newton AUG.1. 4 2003 Residuals Land Application Program Catawba County MOORESVILLE REGIONAL OFFICE Dear Mr. Wilson: DWQ-GROUNDWATER SECTION In accordance with your permit modification application package received on May 28, 2003, we are forwarding herewith a modified Attachment % certified August 13, 2003, to the City of Newton for the subject residuals land application program. This certification is being issued to modify Attachment B to: ♦ Approve a land application site (NC-CA-30-02) owned by Larry Jarrett in Catawba County for land application of residuals under this program. This site totals `14.0 net acres. ♦ Adjust acreage on sites NC-CA-30-01, . NC-CA-35-01, AND NC-CA-35-03, per your residuals management company's (Synagro South, Inc.) request. Please replace the existing Attachment B of Permit No. WQ0003902 that was previously certified on November 12, 2002, with the enclosed modified Attachment B. Note that only the vicinity and buffer maps for the new and modified land application sites are attached to this modified Attachment B. It is the Permittee's responsibility to ensure that a complete permit is created by inserting this modified Attachment B (and vicinity and buffer maps) into Permit No. WQ0003902, issued on September 8, 2000, and making sure to retain any vicinity and buffer maps for any existing and unmodified land application sites. This modified Attachment B shall be effective from the, date of certification, shall void Attachment B of Permit No. WQ0003902 that was previously certified on September 8, 2000, and shall be subject to the conditions and limitations as specified therein as well as those specified in the above - referenced permit. As always, remember to take the time to review this modified Attachment B thoroughly, as some of the conditions contained therein may have been changed since the last certification. Note that this modified Attachment B is hereby incorporated by reference into Permit No. WQ0019098, issued on September 8, 2000. A*A NCDENIR Non -Discharge Permitting Unit Internet http:/ih2o.enr.state.nc.us/ndpu 1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone (919) 733-5083 Fax (919) 715-6048 DENR Customer Service Center Telephone 1 800 623-7748 An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper If any parts, requirements, and/or limitations contained in this certification or modified Attachment B are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of the certification. This request shall be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need any additional information concerning this matter, please contact Ms. Ellen Huffman by telephone at (704) 663-1699 or via e-mail at ellen. huffmanOmmail. net Sincerely,. for:Alan.W..Klimek, P.E. cc: Mr. Martin E. Mabe, Synagro South, Inc. Catawba County Health Department Mooresville Regional Office -Water Quality Section Files '. '.. Izor-es,vill.e.�RegionaL-QQ—friceS—!G undwater Section Central Office -Groundwater Section Water Quality Central Files NDPU Files NDPU Residuals Program Coordinator 2 ATTACHMENT B - Approved Land Application Sites Permit No. WQ0003902 City of Newton City oJNewton Residuals Land Application Program Site/Field 1D Landowner Lessee/Operator County Latitude Longitude Net Acreage Applicable Restriction in Condition IV. 1. NC-CA-07-01 Smyre, Jeffery L. Catawba 35.37.47 81.10.50 8.30 GW-A NC-CA-07-02 Smyre, Jeffery L. Catawba 35.37.50 81.10.50 15.40 GW-A NC-CA-07-03 Smyre, Jeffery L. 'Catawba 35.37.54 81.10.50 7.70 GW-A NC-CA-08-01 Seaford, David Catawba 35.33.50 81.16.27 7.60 GW-A NC-CA-08-02 Seaford, David Catawba 35.33.50 81.16.36 16.60 GW-A NC-CA-08-03 Seaford, David Catawba 35.33.52 8.1.16.48 11.80 GW-A NC-CA-09-02 Blackwell, Dan Catawba 35.35.05 81.I6.20 35.30 GW-A NC-CA-11-01 City of Newton Richard, James Catawba 35.37.35 81.14.05 3.30 GW-A NC-CA-11-02 City of Newton Catawba 35.37.45 81.14.05 4.90 GW-A NC-CA-12-01 Bowman, Allen E. Catawba 35,25.45 81.14.45 8.20 GW-A NC-CA-13-01 Walters, Jarret Catawba 35.34.19 81.19.18 29.80 GW-A NC-CA-13-02 Walters, Jarret Catawba 35.34.14 81.19.07 15.50 GW-A NC-CA-13-03 Walters, Jarret Catawba 35.34.27 81.19.06 7.90 GW-A NC-CA-14-01 Lee, Bill Catawba 35.34.28 81.18.05 41.80 GW-A NC-CA-14-02 Lee, Bill Catawba 35.34.20 81.17.53 27.80 GW-A NC-CA-14-03 Lee, Bill Catawba 35.34.09 81.17.38 43.80 GW-A NC-CA-14-04 Lee, Bill Catawba 35.34.25 81.18.21 10.10 GW-A NC-CA-15-01 Fox, Conley Catawba 35.48.45 81.09.52 11.20 GW-A NC-CA-15-02 Fox, Conley Catawba 35.48.51 81.09.48 3.70 GW-A NC-CA-15-03 Fox, Conley Catawba 35.48.57 81.09.51 7.90 GW-A NC-CA-15-04 Fox, Conley Catawba 35.49.04 81.09.54 4.90 GW-A NC-CA-15-05 Fox, Conley Catawba 35.49.04 81.09.50 1.40 GW-A NC-CA-15-06 Fox, Conley Catawba 35.49.09 81.09.53 5.90 GW-A NC-CA-15-07 Fox, Conley Catawba 35.49.13 81.09.42 19,30 GW-A NC-CA-15-08 Fox, Conley Catawba 35.49.05 81.09.29 12.90 GW-A NC-CA-15-09 Fox, Conley Catawba 35.49.20 81.09.22 1.70 GW-A NC-CA-15-10 Fox, Conley Catawba 35.49.04 81.09.18 1.90 GW-A NC-CA-15-11 Fox, Conley Catawba 35.49.01 81.09.36 7.90 GW-A NC-CA-30-0lb Jarrett, Larry Catawba 35.48.56 81.19.09 17.40 GW-A NC-CA-30-02 Jarrett, Larry Catawba 35.35.29 81.19.19 14.00 GW-A NC-CA-31-01 Beam, David Catawba 35.35.21 81.06.36 12.80 GW-A NC-CA-31-02 Beam, David Catawba 35.38.29 81.06.26 30.50 GW-A NC-CA-31-03 Beam, David Catawba 35.38.26 81.06.37 4.60 GW-A NC-CA-31-04 Beam, David Catawba 35.38.16 81.06.31 15.40 GW-A NC-CA-32-01 Sigmon, Ronnie Catawba 35.38.03 81.06.01 13.70 GW-A Date: Permit No. WQ0003902 Page 1 of 2 August 13, 2003 ATTACHMENT B - Approved Land Application Sites Permit No. WQ0003902 City of Newton City of Newton Residuals Land Application Program Site/Field ID Landowner Lessee/Operator County Latitude Longitude ' Net Acreage Applicable Restriction in Condition IV. 1. NC-CA-32-02 Si on, Ronnie Catawba 35.39.45 81.06.41 5.60 GW-A NC-CA-33-01 Lineberger, Jeffrey B. Catawba 35.35.18 81.02.40 12.70 GW-A NC-CA-33-02 Lineberger, Jeffrey B. Catawba 35.35.25 81.02.34 21.40 GW-A NC-CA-33-03 Lineberger, Jeffrey B. Catawba 35.35.36 81,02.35 17.40 GW-A NC-CA-34-01 Lowman, David Catawba 35.35.25 81.02.06 14.80 GW-A NC-CA-35-016 Turbyfill Properties, L.L.C. McCani e, Billy Catawba 35.34.04 81.15.42 20.00 GW-A NC-CA-35-02 Turbyfill Properties, L.L.C. McCanipe, Billy Catawba 35.34.08 81.15.24 21.90 GW-A NC-CA-35-03 0 Turbyfill Properties, L.L.C. McCani e, Billy Catawba 35.33.55 81.15.09 51.30 GW-A Total For County Catawba 648.00 Total 648.00 e A reduced buffer from a residence under separate ownership has been approved for this land application site. Residuals may be land applied to within 100 feet of the residence owned by Michael T. McNeil at 6770 Startown Road in Maiden, North Carolina, regardless of whether a surface or a subsurface application method is used. b The acreage in this field has been modified. Certification Date: Permit No. WQ0003902 Page 2 of 2 August 13, 2003 VICINM MAP f .SYNAGRO A 2a dualr Meng mmt Company COUNTY COWNER L�«a C C e �� .iJiV�S �'u C-77'S-z n J wY 40LLdRi0S3Q '?IOS S 10}7 x TU20 T yzl,v -Sl'9'lIO—, S - �TdirT:..i /-' _ 11 r l.: .mod AA.:` •.r. rr.. l i!!J!lp uJ;!J�, �i:�I: U77\! -- -^ _ -,! _ „Y _ _ _ _ _ add :L SY- AGRO A Raid=Lt M-=gmmt CamDany OF W A7-FR Michael F. Easley, Governor Q William G. Ross Jr., Secretary �O North Carolina Department of Environment and Natural Resources > Alan W. Klimek, P.E., Director p Division of Water Quality July 7, 2003 RECEVED MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR CITY OF NEWTON POST OFFICE BOX 550 NEWTON, NORTH CAROLINA 28658 Subject: Dear Mr. Wilson: J U L 15 2003 ND DEPT. CF V9-YOaMENT AND NAU bRC EO Permit No. WQ0003902 Correction City of Newton City of Newton Residuals Land Application Program Land Application of Residual Solids (503) Catawba County A routine internal review of the modified Attachment B that was certified on November 12, 2002 for the subject residuals land application program was conducted recently. During this review, it was discovered that the approved vicinity and buffer maps for the newly - certified land application sites were not included with the Attachment B, as required by the Division of Water Quality's (Division) current standard operating procedures. As such, we are forwarding herewith these maps for inclusion with your permit (i.e., behind the Attachment B that was certified on November 12, 2002). The Division apologizes for any confusion that this omission may have caused. If you need any additional information concerning this matter, please contact Ms. Shannon Mohr Thornburg via telephone at (919) 733-5083, extension 353, or through e-mail at shannon.thomburg@ncmail.net. Sincere for Alan W. Klimek, P.E. Enclosures cc: Mr. Martin E. Mabe, Synagro South, Inc. Catawba County Health Department Mooresville Regional Office -Water Quality Section EMooresd lle Regional-Office=Groundwater=Section:21, Central Office -Groundwater Section Water Quality Central Files NDPU Files NDPU Residuals Program Coordinator COMI Non -Discharge Permitting Unit Internet http://h2o.enr.state.nc.us/ndpu 1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone (919) 733-5083 Fax (919) 715-6048 DENR Customer Service Center Telephone 1 800 623-7748 An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper VICINITY MAP -..SYNAG B0 A -PP ICATZON AREA. MAC' �(�a Owner — /"o t� _ �. Scale: I — a Field Acres�U,, ,,,.,� Net Acres .$w... • y Total STREAM APPLICATION AREA . _ _ _ _ _ = PRIVATE ROAD _. - 74 DRAIN m .: HOUSE FORESTED AREA GPOND O OUTBUILDING UNSUITABLE FENCE WELL - O STORAGE AREA Q SOIL DESCRIPTION SUITABLE FOR INCORPO RATION, S-12% SLOPE ��III/ �drRn `C TYCq MYlr- V M A U COUNTY C `� �. R �� a OWNER Gac� J a C C e ff VICINITY MAP ..SYNAGPO ��III/ A Retidnals Management Company �• I -- i e -- mn st -:� ' � 8th St. S1V Lin a0� yv d by .le° ° Rl 9e 9 c �Cem c t y f lit LLAG L' O V ool O • e\\a �� Mae ii �°°' �f. �' 9 'moo. `i i Providence aks Memorial G I BD S m ,g i Uram"eDr o a F/o rs Z r �M1 �Qa II ` ca Clar t t a . urah 9d �vo 4, M etc n ' urrayS F0 i flau Mill 3 lavo� PLACE c c Y• n C N y Oo' O 3 3n3 qAAE �� V 1 400 o ae 0 9 I / Nok —LL 1 a tone H / Fo { e o v d. y e��e. e peR 15 Frd xo - ve. c O m Ad. ypon 11'n D gas Homer T Dr. m� m 0 A le Blossom r 1 no � � o� Rd. Sch. ,m � a Hattdys . + piney Grove p r fth Sch. C llY Cem t; Wes Dandy$BANDYS O •� e.# CHOSSHOADS`� ` n r SRO e Da ga mfp roUrr PIGS �• 113ALLS EEhot VILLAGE Halls Creek a a, i Ele n, r'OUNTY C alhaQ OWNER Dcy d �P�ln"► } APPILICATI0N AREA MAP SYNAGRO A RUifluab Aloimgemeni Company Owner &vv ) 6.0-0-in Scale: V = yO° Field # CA 31 3) •� STREAM —� DRAIN POND FENCE �E—��-- n STORAGE AREA Total AcresO, 37,0., 7 / Net Acres«.s, 3 s�1•� APPLICATION AREA —_ = PRIVATE ROAD . HOUSE FORESTED AREA C) OUTBUILDING UNSUITABLE R'ELL \\ (D SOIL DESCRIPTION SYNAGRC APPLICATION AREA MAP A nu elualf nlm„aSe,lew Cvmpm Owner Dav; d Sca rrI • • • STREAM • -� DRAIN POND FENCE D STORAGE AREA Scale: 1" Field # CFI V ' Y Total Acres IS� `� Net Acres 15-, APPLICATION AREA =_ = PRIVATE ROAD HOUSE FORESTED AREA l� OUTBUILDING \ UNSUITABLE WELL O SOIL DESCRIPTION � SOIL vE�Ir(CA?•lC�N MI/, SYNAGP,...O VICMTY MAP A Ruidaalt Managemmi Company . A C o=y C a L") b 0. OWNER !2o n n; e S �►-� a� n SYNAGR APPLICATION AREA MAP A Reridnab Ahnagemeul Comp Owner �ort fi r e S: g mopn Scale: 1" = y°� / Field # CA 3Z. -j STREAM • ---� D RA I N POND FENCE ��-�-- D STORAGE AREA Total Acres ly, .7 APPLICATION AREA HOUSE C) OUTBUILDING WELL O SOIL DESCRIPTION .SoiL VERir,Ci7,uN Net Acres 13,2 _ _ = PRIMATE ROA FORESTED AP UNSUITABLE 0 / SYNAGRO. APPILICATI0N AREA MAP A Residuals Management Compan; Owner goan%e S,gmon Scale: V _ Field # CA 3.1 - 9- —� STREAM —� DRAIN POND FENCE n STORAGE AREA Total Acres S, `{ APPLICATION AREA HOUSE OUTBUILDING WELL O SOIL DESCRIPTION 0 -511L vEA iFic ;i;G}N Net Acres S: _ = PRIVATE ROAD `t-J' FORESTED AREA \\ UNSUITABLE \Illl SYNAG-I�O. VICINITY NUP A Raidnalt Management Cmnpany t-I OUNTY Ca wba� OWNER je f-� L;nebex-o,e,r SYNAG \Q -- a APPLICATI0N AREA MAP A Rerhluerb Management Company Owner ref F L,'ne�eraer Scale: V = Sf®o ! Field # CA 33 ��,2, • —) "STREAM • —� DRAIN O POND FENCE n STORAGE AREA .Total Acres13,`i a/. V " .2a. `/ Net Acres f,).7, 1. V., /7: q APPLICATION AREA =_ = PRIVATE ROAD g� 14OUSE � FORESTED AREA t) OUTBUILDING WELL SOIL DESCRIPTION 'Z SoiL vER IFiCA7,' ' \\ UNSUITABLE SYNAGRO VICNTY AIAP OUNTY A Rvicluals Management Company Ga�-0.LobC, OWNER Da.y-b I-ooma.n . ilgA AGOO VICINITY MAP. _ A Raidirak Management Company or)UNTY C oJoui loc, 0WNER �u� f: // �ro�er NON -DISCHARGE APPLICATION REVIEW REQUEST FORM Date: July 3, 2003 To: ❑ Forrest Westall, ARO-WQS ❑ Paul Rawls, FRO-WQS ® Rex Gleason, MRO-WQS ❑ Ken Schuster, RRO-WQS ❑ Jim Mulligan, WaRO-WQS ❑ Rick Shiver, WiRO-WQS ❑ Steve Mauney, WSRO-WQS ❑ Debra Watts, CO-GWS Copies Sent to CO-GWS: 0 Copies Sent to RO-W�SO4- T. OF Et VIRONMEW ® Distribute 2 C"opies �� RO` NO @U`Uv- c: vil-1 - REGIO L OFFBOE From: Shannon Mohr Thornburg , Non -Discharge Permitting Unit r 4:.c.V Telephone: (919) 733-5083 ext. 353 Fax: (919) 715-6048 E-Mail: shannon.thombur)z@ncmail.net JUL 0 8 2003 A. Permit Number: W00003902 B. Owner: City of Newton p y� C. Facility/Operation: City of Newton Residuals Land Application Program WATER QUALu�i�/ SEC 0 01 ❑ Proposed ® Existing ❑ Facility ® Operation D. Application: 1. Permit Type: ❑ CS (O&M) ❑ Surface Irrigation ❑ Reuse ❑ H-R Infiltration ❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND) For Residuals: ® Land App. ❑ D&M ❑ Surface Disposal ® 503 ❑ 503 Exempt ❑ Animal 2. Project Type: ❑ New ® Major Mod. ❑ Minor Mod. ❑ Renewal ❑ Renewal w/ Mod. E. Comments/Other Information: ❑ I would like to accompany you on a site visit. 1 new LA site, 2 expanding LA sites, and 1 shrinking LA site ... all in Catawba County. Attached, you will find all information submitted in support of the above -referenced application for your review, comment, and/or action. Within 30 calendar days, please take the following actions: For RO-WQS: ❑ Return a Completed Form NDARR. ❑ Attach Attachment B for Certification by the NDPU. ® Issue an Attachment B Certification from the RO*. * Remember that you will be responsible for coordinating site visits, reviews, as well as additional information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete Attachment B for certification. Refer to the RPP SOP for additional detail. For CO-GWS: ❑ Return a Memorandum with Permit Condition Recommendations. When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and return it to the appropriate Non -Discharge Permitting Unit contact person listed above. RO-WQS Reviewer: Date: CO-GWS Reviewer: Date: FORM: NDARR 09/02 Page 1 of 1 ��Ill/ r . SYNAGRO, A Residuals Management Company NCDENR May 15, 2003 Division of Water Quality Non -Discharge Permitting Unit 512 North Salisbury Street, Suite 1219 Raleigh, NC 27604 RE: Modification for the City of Newton Land Application Permit WQ0003902 Dear Ms. Shannon Thornburg, Enclosed is one original and three copies of the application package for modification of the City of Newton Land Application Permit WQ0003902. You will notice Attachment Order 2 is not enclosed because it is not applicable to this package modification. A check for a major permit change is also enclosed. In this application three currently permitted fields are getting net acres changed, (up and down), and one new field is added. The new field is at a currently permitted site that originally lacked enough buffer waivers to put it in the program; however, the waivers have now been acquired. If you have any questions feel free to call me at 336-766-0328 ext. 121 or e-mail me at rmoney@synagro.com. Respectfully, Rhonda Money Technical Services Manager enclosures Synagro Southeast, Inc. 6220-A Hackers Bend Court, Winston-Salem, NC 27103 • Ph: (336) 766-0328 ® Fax: (336) 766-8652 • Toll Free: (877) 267-2687 07/03/03 Permit Number WQ0003902 Program Category Non -discharge Permit Type Land Application of Residual Solids (503) Primary Reviewer ellen.huffman Permitted Flow Facility Facility Name City of Newton Residuals Land Application Program Location Address Post Office Box 550 Newton NC 28658 Owner Permit Tracking Slip Status Project Type In review Major modification Version Permit Classification Individual Permit Contact Affiliation Martin Wilson Post Office Box 550 Newton NC. 28658 Major/Minor Region Major Mooresville County Catawba Facility Contact Affiliation Owner Name Owner Type City of Newton Government - Municipal Owner Affiliation Martin Wilson 201 West 4th Street Newton NC 28658 Dates/Events Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 09/08/90 05/28/03 Regulated Activities Requested/Received Events Wastewater treatment and disposal Additional information received Additional information requested Groundwater comments requested Groundwater comments received Outfall NULL Waterbody Name Stream Index Number Current Class . 2066 SYNAGRO SOUTHEAST INC. CENTRAL CAROLINA BANK :.'PH. (336)766A • P.O. BOX me CLENMONS NORM CAROUNA M2 6646531 5119/2003 CLEMMONS, NC 27012 I 8 PAYTOTHE NCDENR - '325.00 $ ORDER OF Three Hundred T—ty-Flue and 001100••••••'••••••"••"•••"............•«uun............................. DOLLnRS y NCDENR 1617 Mail Serviw Centa Raleigh, NC 27699-1617 - MEMO ' Newlon W0000J90 on31-MI6-404610 0-00002013611' 1:0531004654 21. 10141 w Subbasin OF W ATF9 Michael F. Easley, Governor William G. Ross Jr., Secretary y North Carolina Department of Environment and Natural Resources � r i Alan W. Klimek, P.E., Director Division of Water Quality July 3, 2003 MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR CITY OF NEWTON POST OFFICE BOX 550 NEWTON, NORTH CAROLINA 28658 Subject: Application No. WQ0003902 Acknowledgment of Application Receipt City of Newton City of Newton Residuals Land Application Program Land Application of Residual Solids (503) Catawba County Dear Mr. Wilson: The Division of Water Quality's (Division) Non -Discharge Permitting Unit acknowledges receipt of your permit application package on May 28, 2003. This package has been assigned the permit application number listed above and has been forwarded to Mr. Rex Gleason of the Water Quality Section of the Division's Mooresville Regional Office for review and processing. To ensure maximum efficiency in processing this package, the Division requests your assistance in providing a timely and complete response to any additional information requests. Please note, at this time, processing of permit application packages may take as long as 60 to 90 days after receipt of a complete package. PLEASE REFER TO THE PERMIT APPLICATION NUMBER WHEN MAKING INQUIRIES REGARDING THIS PERMIT APPLICATION PACKAGE. If you have any questions about this package, please contact Mr. Gleason of the Water Quality Section of the Division's Mooresville Regional Office at (704) 663-1699 or via e-mail at rex.gleason@ncmail.net. Thank you in advance for your cooperation and assistance. Si rely, Kim H. Colson, P.E. Supervisor, Non -Discharge Permitting Unit cc: Ms. Rhonda S. Money, Synagro South, Inc. Mr. D. Rex Gleason, P.E., Mooresville Regional Office - Water Quality Section Mooresville Regional -Office- Groundwater.Section- Ms. Debra J. Watts, Central Office - Groundwater Section Permit File WQ0003902 1'�GL_�€Eli Non -Discharge Permitting Unit Internet http://h2o.enr.state.nc.us/ndpu 1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone (919) 733-5083 Fax (919) 715-6048 DENR Customer Service Center Telephone 1 800 623-7748 An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper 's \O�OF W AT �RQG J p � Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources November 6, 2002 MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR CITY OF NEWTON POST OFFICE BOX 550 NEWTON, NORTH CAROLINA 28658 Dear Mr. Wilson: Alan W. Klimek, P. E., Director Division of Water Quality Subject:- Permit No. WQ0003902 City of Newton City of Newton Residuals Land Application Program . Land Application of Residual Solids (503) Catawba County In response to your permit modification application package received on May 24, 2002, we are forwarding herewith a reissued Permit No. WQ0003902, dated September 8, 2000, to the City of Newton for the subject residuals land application program. This permit shall be effective from the date of issuance until August 31, 2005; shall void the first September. 8, 2000 issuance of Permit No. WQ0003902; and shall be subject to the conditions and limitations. as specified therein. Make note of this permit's expiration date and the fact that a permit renewal application is due to the Division of Water Quality (Division) no later than six months prior to that date (i.e., see Condition VI. 7.), as the Division does not send reminders to apply for permit renewal. Please note that this permit is being reissued only in a new format to facilitate new permit review procedures that have been put into place by the Division. Note that no approval of the requested permit modifications is being provided by this issuance of the permit. A separate approval or denial of these modifications will be forthcoming to you from the Water Quality Section of the Division's Raleigh Regional Office. Be advised that operation of disposal facilities without a valid permit is a violation of North Carolina General Statute § 143-215.1 and may subject the owner/operator of the facilities to enforcement action in accordance with North Carolina General Statute § 143-215.6. Civil penalties of up to $25,000 per day per violation may be assessed for failure to await the issuance of a permit required by North Carolina General Statute § 143-215.1. As always, remember to take the time to review this permit thoroughly, as some of the conditions contained therein may have been added, changed, or deleted since the last issuance. Pay particular attention to the monitoring requirements in this permit. Failure to establish an adequate system for collecting and maintaining the required operational information will result in future compliance problems. Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 DENR Customer Service Center An Equal Opportunity Action Employer A NCDENR Internet httpJ/h2o.enr.state.nc.us/ndpu Telephone (919) 733-5083 Fax (919) 715-6048 Telephone 1 800 623-7748 50% recycled/10% post -consumer paper If any parts, requirements, and/or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days Tollowing receipt of this permit. This request shall be in the from of a written petition, conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need -any additional information concerning this matter, please contact Mr. J. R. Joshi by telephone at (919) 733-5083, extension 363, or via e-mail atjaya.joshi@ncmail.net. Sincerely, ,for Alan W. Klimek, P. E. cc: Mr. Martin E. Mabe, Synagro South, Inc. Catawba County Health Department Mooresville Regional Office -Water Quality Section Mooresville Regional Office -Groundwater Section Central Office -Groundwater Section Technical Assistance and Certification Unit Water Quality Central Files "NDPI7=Files NDPU Residuals Program Coordinator 2 ��F WATFp Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources r � . Alan W. Klimek, P.E., Director Division of Water Quality November 12, 2002 Mr. Martin D. Wilson, Public Works Director City of Newton . Post Office Box 550 Newton, North Carolina 28658 Subject: Attachment B Certification Permit No. WQ0003902 City of Newton Residuals Land Application Program Catawba County Dear Mr. Wilson: In accordance with your permit modification application package received on May 24, 2002, we are forwarding herewith a modified Attachment B, certified November 12, 2002, to the City of Newton for the subject residuals land. application program. This certification is being issued to modify Attachment B to: e Approve land application sites owned by various landowners in Catawba County for land application of residuals under this program. These sites, totaling 338.80 net acres, are either new or have been transferred from the Town of Taylorsville Residuals Land Application Program (i.e., Permit No. WQ0006906). Renumber all approved land application sites, per your residuals management company's request, according to Synagro South, Inc.'s standard site numberinglidentification system. Please replace the existing Attachment B of Permit No. WQ0003902, that was previously certified on September 8, 2000, with this modified Attachment B. Note that only the vicinity and buffer maps for any new and modified land application sites are attached to this modified Attachment B. It is the Permittee's responsibility to ensure that a complete permit is created by inserting this modified Attachment B and vicinity and buffer maps into Permit No. WQ0003902, issued on September 8, 2000, and making sure to retain any vicinity and buffer maps for any existing and unmodified land application sites. This modified Attachment B shall be effective from the date of certification; shall void Attachment B of Permit No. WQ0003902 that was previously certified on September 8, 2000; and shall be subject to the conditions and limitations 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 September 8, 2000. Non -Discharge Permitting Unit 1617 Mall Service Center, Raleigh, NC 27699-1617 DENR Customer Service Center An r-mod r)nnnrftiniht Grtinn Fmnlnvor MEW Internet http://h2o.enr.state.nc.us/ndpu Telephone (919) 733-5083 Fax (919) 715-6048 Telephone 1 800 623-7748 j;nO4 rnrvriorili no/ nnct_r•nnci imnr nanar City of Newton 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 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need any additional information concerning this matter, please contact Ms. Ellen Huffman by telephone at (704) 663-1699 or via e-mail at ellen.huffman@ncmail.net. Sincerely, Alan W. Klimek, P.E. cc: Mr. Martin E. Mabe, Synagro South, Inc. Catawba County Health Department Mooresville Regional Office -Water Quality Section Mooresville Regional Office -Groundwater Section Central Office -Groundwater Section Water Quality. Central Files NDPU Files NDPU Residuals Program Coordinator NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH LAND APPLICATION OF RESIDUAL SOLIDS (503) PERMIT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO City of Newton Catawba County FOR THE continued operation of a residuals land application program for the City of Newton and consisting of the land application of residuals generated by the residuals source -generating facilities listed in the most recently -certified Attachment A to the land application sites listed in the most recently -certified Attachment B with no discharge of wastes to surface waters, pursuant to the permit renewal application package received on August 17, 1999 and the permit modification application package received on August 18, 2000; and in conformity with the project plan, specifications, and other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit. This permit shall be effective from the date of issuance until August 31, 2005; shall void the first September 8, 2000 issuance of Permit No. WQ0003902; and shall be subject to the following specified conditions and limitations: I. PERFORMANCE STANDARDS 1. The residuals land application program shall be effectively maintained and operated as a non - discharge system to prevent the discharge of any wastes resulting from the operation of this program. 2. This permit shall become voidable if the soils of the land application sites fail to assimilate the residuals adequately and may be rescinded unless the land application sites are maintained and operated in a manner that will protect the assigned water quality standards of the surface waters and groundwater. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface waters or groundwater resulting from the operation of this residuals land application program. 4. In the event that the residuals land application program is not operated satisfactorily, including the creation of nuisance conditions, the Permittee shall cease land applying residuals to the site, contact the Water Quality Section of the appropriate Division of Water Quality's (Division) regional office, and take any immediate corrective actions as may be required by the Division. No residuals other than those generated by the residuals source -generating facilities listed in the most recently -certified Attachment A of this permit shall be approved for land application in accordance with this permit. 6. The pollutant concentrations in any residuals that are land applied to any land application site shall not exceed the following Ceiling Concentrations (i.e., dry weight basis): Parameter Ceiling Concentration (milligrams per kilogram) Arsenic 75 Cadmium 85 Copper 4,300 Lead 840 Mercury 57 Molybdenum 75 Nickel 420 Selenium 100 Zinc 7,500 7. When residuals are land applied under the conditions of this permit, the Class A pathogen requirements and site restrictions in 40 CFR Part 503.32(a) or the Class B pathogen requirements and site restrictions in 40 CFR Part 503.32(b), and one of vector attraction reduction requirements in 40 CFR Part 503.33 shall be met. Additionally, an evaluation shall be performed that demonstrates the residuals' ability to comply with this requirement. Upon request, a copy of this evaluation, including all test results and calculations, shall be submitted. Only residuals that are generated by the residuals source -generating facilities that are identified as being exempt from this condition in the most recently -certified Attachment A shall not be required to comply with the specified pathogen reduction and vector attraction reduction requirements. 8. Only the land application sites listed in the most recently -certified Attachment B of this permit are approved for residuals land application. 9. This permit shall become voidable unless the agreements between the Permittee and the landowners and lessees or operators of any land application sites listed in the most recently - certified Attachment B of this permit not owned by the Permittee are in' full force and effect. These agreements shall be considered expired concurrent with the expiration date of the permit and shall be renewed at the same time the permit is renewed. 10. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be notified at least 24 hours prior to the initial residuals land application event to any new land application site. In addition, the appropriate county manager's office shall be notified prior to the initial residuals land application event on any new site so that they will be aware that residuals land application activities have commenced on the site. 2 11. The Water Quality Section of the appropriate Division's regional office shall be notified at least 24 hours prior to the initial residuals land application event on any new land application site. Such notification to the Regional Water Quality Supervisor shall be made during normal office hours (i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding State Holidays. A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at http://h2o.enr.state.nc.us/ndpu/. II. OPERATION AND MAINTENANCE REQUIREMENTS 1. The facilities and land application sites shall be properly maintained and operated at all times. 2. Upon classification of the residuals land application program by the Water Pollution Control System Operators Certification Commission (WPCSOCC), the Permittee shall designate a certified land application/residuals operator to be in responsible charge (ORC) of the program. The operator shall hold a certificate of the type classification assigned to the program by the WPCSOCC. The Permittee shall also designate a certified back-up operator of the appropriate type to comply with the conditions of 15A NCAC 8G .0202. 3. _. No residuals shall be stored at any land application site at any time, unless written approval has first been requested and obtained from the Division. 4. A copy of this permit shall be maintained in all manned equipment at the land application sites when residuals are being land applied during the life of this permit. A spill prevention and control plan shall be maintained in all residuals transport and application vehicles. When land applying residuals to any land application site, the following buffer zones shall be maintained at all times: a. 400 feet from residences . or places of public assembly under separate ownership for surface application methods; however, the buffer zone requirement may be reduced to a minimum of 100 feet upon written consent of the owner and approval from the .Water Quality Section of the appropriate Division's regional office in Attachment B of this permit; b. 200 feet from residences or places of public assembly under separate ownership for subsurface application methods; however, the buffer zone requirement may be reduced to a minimum of 100 feet upon written consent of the owner and approval from the Water Quality Section of the appropriate Division's regional office in Attachment B of this permit; c. 100 feet from any public or private water supply source, waters classified as SA or SB, and any -Class I or Class H. impounded reservoir used as a source of drinking water for both methods; d. 100 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal waters and any other lake or impoundment for surface application; e. 50 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal waters and any other lake or impoundment for subsurface application; f. 50 feet. from property lines for both surface and subsurface application methods; g. 50 feet from public right of ways for both surface and subsurface application methods; N h. 10 feet from upslope interceptor drains and surface water diversions for both surface and subsurface application methods; and i. 25 feet from downslope interceptor drains, surface water diversions, groundwater drainage systems, and surface drainage ditches for both surface and subsurface application methods. Some of the buffers specified above may not have been included in previous permits for this residuals land application program. However, any land application sites that are listed in the most recently -certified Attachment B of this permit, but were approved with different buffers shall be reflagged to comply with these buffers. Maximum slope for land application of residuals shall be 10 percent for surface application methods and 18 percent for subsurface application methods. 7. Specific residuals land application area boundaries shall be clearly marked on each land application site prior to and during a residuals land application event. 8. The metal loading rates on any land application site shall not exceed the following Cumulative Pollutant Loading Rates (CPLRs): Parameter CPLR (kilograms per hectare) CPLR founds per acre) Arsenic 41 36 Cadmium 39 34 Copper 1,500 1,338 Lead 300 267 Mercury 17 15 Molybdenum n/a n/a Nickel 420 374 Selenium 100 89 Zinc 2,800 2,498 9. An acceptable pH shall be maintained in the soil, residuals, and lime mixture, greater than 6.0, on all land application sites onto which residuals are land applied to ensure optimum yield for the crops specified in Condition H. 13. The agronomist shall provide information on the pH best suited for the specified crop and the soil type. 10. Should any of the residuals generated by the residuals source -generating facilities listed in the most recently -certified Attachment A of this permit contain a high salt content (i.e., high sodium adsorption ratio (SAR) of five or higher), the exchangeable sodium percentage (ESP) or other method as approved by the Division, using the results from the annual soils analysis as required by this permit, shall be monitored on all of the land application sites. The local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a North Carolina -licensed Soil Scientist, or other agronomist shall review the results and make recommendations regarding soil amendments (e.g., gypsum, etc.) or other ameliorative mechanism for maintaining the integrity of the site in terms of suitability for land application of residuals and maintaining conditions conducive to crop growth. The Permittee shall implement such recommendations accordingly and shall maintain written records of each monitoring event that includes details of the sites covered and rate of soil amendment application. 4 11. Prior to land applying residuals to any land application site that has previously received or is intended to receive animal waste (e.g., poultry litter, etc.) or other source of nutrients (e.g., fertilizer, etc.) in the future, the Permittee shall obtain information pertaining to the volume and analysis of the applied waste/nutrients from the landowner and/or lessee/operator of the site. The Permittee shall be responsible for verifying the volume of residuals that may be land applied to the site such that the plant available nitrogen (PAN) loading rate for the specified crop (i.e., see Condition 11. 13.) shall not be exceeded by all of the sources of PAN applied. Should the maximum PAN loading rate be met or exceeded, then no additional residuals shall be land applied to the site. 12. A suitable vegetative cover, as listed in Condition H. 13., shall be maintained on land application sites onto which residuals are land applied in accordance with the crop management plan outlined by the local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist and as approved by the Division. 13. Residuals and other sources of PAN shall be land applied to all land application sites at agronomic rates in accordance with the crop management plan outlined by the local Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist. Under no circumstances shall the following PAN loading rates land applied to any site exceed the following for the specified crops: PAN PAN Crop (pounds per Crop (pounds per acre per year) acre per year) Alfalfa 200 Forest 75 (Hardwood or Softwood) Bermuda Grass 220 Milo 100 (Hay or Pasture) Blue Grass 120 Small Grain 100 (Wheat, Barley, or Oats) Corn 160 Sorghum or Sudex 180 (Grain) (Pasture) Corn 200 Sorghum or Sudex 220 (Silage) (Silage) Cotton 70 Soybeans 200 Fescue 250 Timothy, Orchard, or 200 Rye Grasses The Permittee shall apply for and receive a modification of this permit before land applying residuals on any land application site that is to be established in a crop other than those listed above. A maximum PAN loading rate for the desired crop shall be approved with the permit modification. 5 If the land application sites are to be overseeded (e.g., bermuda grass in the summer and rye grass in the winter with BOTH crops to receive residuals), then the second crop shall receive an application of PAN at a rate of no greater than 50 pounds per acre per year. This practice shall be allowed as long as the second crop is to be harvested. If the second crop is to be planted for erosion control only and is to be tilled into the soil, then no residuals shall be land applied to these sites because the PAN will essentially be returned to the soil. Residuals shall not be land applied at rates greater than agronomic rates, unless authorized by the Division. 14. Animals shall not be grazed on any land application site for 30 days after any residuals land application event. Sites that are to be used for grazing shall have fencing that will be used to prevent access after each event. 15. Food crops, feed crops, and fiber crops that do not come in contact with the residuals shall not be harvested for 30 days after any residuals land application event. 16. Food crops with harvested parts that touch the residual/soil mixture and are totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14 months after any residuals land application event. 17. Food crops with harvested parts below the surface of the land (i.e., root crops such as potatoes, carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 18. Food crops with harvested parts below the surface of the land shall not be harvested for 38 months after any residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 19. Turf shall not be harvested for one year after any residuals land application event. 20. Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying residuals from the land application sites onto adjacent properties or into any surface waters. 21. Adequate procedures shall be provided to prevent surface runoff from carrying any land applied or stored residuals into any surface waters. 22. Surface -applied residuals shall be .plowed or disced within 24 hours after land application on land application sites with no cover crop established. 23. For land application sites that are prone to flooding or within the 100-year flood elevation, residuals shall be land applied only during periods of dry weather. The residuals shall be incorporated into the soil within 24 hours after land application. 24. Residuals shall not be land applied during inclement weather or until 24 hours following a rainfall event of 0.5-inch or greater in 24 hours. Any emergency residuals land application measures shall first be approved in writing by the Division. 25. Residuals shall not be land applied to any land application site that is flooded, frozen, or sno,. -covered. C� 26. Appropriate measures shall be taken to cbntrol public access to the land application sites during active site use and for the 12-month period following the last residuals land application event. Such controls may include the posting of signs indicating the activities being conducted at each site. III. MONITORING AND REPORTING REQUIREMENTS 1. Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue analyses) deemed necessary by the Division to ensure protection of the environment shall be established, and an acceptable sampling and reporting schedule shall be followed. 2. Residuals generated by each residuals source -generating facility listed in the most -recently - certified Attachment A of this permit shall be analyzed to demonstrate that they are non- hazardous under the Resource Conservation and Recovery Act (RCRA). A corrosivity, ignitability, and reactivity analysis as well as a Toxicity Characteristics Leaching Procedure (TCLP) analysis shall be conducted on residuals generated by each residuals source - generating facility listed in the most recently -certified Attachment .A of this permit. The analyses shall be performed at the frequency specified in the most recently -certified Attachment A of this permit, and the results shall be maintained on file by the Permittee for a minimum of five years. If residuals generated by a particular residuals source -generating facility are land applied at a frequency less than that which is specified in the most recently - certified Attachment A of this permit, the analyses shall be required for each residuals land application event. Only residuals that are generated by the residuals source -generating facilities that are identified as being exempt from this condition in the most recently -certified Attachment A of this permit shall not be required to comply with this monitoring requirement. The TCLP analysis shall include the following parameters (i.e., note the regulatory level in milligrams per liter in parentheses): Arsenic (5.0) 1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1,2-Dichloroethane (0.5) Pentachlorophenol (100.0) Benzene (0.5) 1,1-Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2,4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Hexachlorobenzene (0.13) Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5) Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) After the residuals have been monitored as specified above for two years at the frequency specified in the most recently -certified Attachment A of this permit, the Permittee may submit a request to the Division for a permit modification to request -a reduction of this monitoring requirement. In no case, however, shall the frequency of monitoring be less than once per permit cycle. 7 3. An analysis shall be conducted on residuals generated by each residuals source -generating facility listed in the most recently -certified Attachment A of this permit. The analysis shall be performed at the frequency specified in the most recently -certified Attachment A of this permit, and the results shall be maintained on file by the Permittee for a minimum of five years. If residuals generated by a particular residuals source -generating facility are land applied at a frequency less than that which is specified in the most recently -certified Attachment A of this permit, an analysis shall be required for each residuals land application event. The analysis shall include, but shall not necessarily be limited to, the following parameters: Aluminum Ammonia -Nitrogen Arsenic Cadmium Calcium Copper Lead Magnesium Mercury Molybdenum Nickel Nitrate -Nitrite Nitrogen Percent Total Solids pH Phosphorus Potassium Selenium Sodium Total Kjeldahl Nitrogen Zinc Plant Available Nitrogen (by calculation) After the residuals generated by a particular residuals source -generating facility have been monitored for two years at the frequency specified in the most recently -certified Attachment A of this permit, the Permittee may submit a request to the Division for a permit modification to reduce the frequency of this monitoring requirement. In no case, however, shall the frequency of this monitoring be less than once per year when a residuals land application event of residuals generated by the residuals source -generating facility occurs during that year. 4. Residuals generated by each residuals source -generating facility listed in the most recently - certified Attachment A of this permit shall be monitored for compliance with Condition I. 7. The monitoring shall be performed at the frequency specified in the most recently -certified Attachment A of this permit, and data to verify pathogen and vector attraction reduction of the residuals shall be maintained on file by the Permittee for a minimum of five years. The required data shall be specific to the stabilization process utilized, but also shall be sufficient to demonstrate clear compliance with the Class A pathogen reduction requirements in 40 CFR Part 503.32(a) or the Class B pathogen reduction requirements and site restrictions in 40 CFR Part 503.32(b) as well as one of vector attraction reduction requirements in 40 CFR Part 503.33. In addition, the Environmental Protection Agency (EPA) certification statements concerning compliance with pathogen reduction requirements, vector attraction reduction requirements, and management practices shall be completed quarterly by the proper authority or authorities, if more than one is involved (i.e., either the person who prepares the residuals, the person who derives the material, or the person who applies the residuals). Only residuals that are generated by the residuals source -generating facilities that are identified as being exempt from Condition I. 7. in the most recently -certified Attachment A of this permit shall not be required to comply with this monitoring requirement. 5. Laboratory analyses as required by Condition III. 2., Condition III. 3., and Condition III. 4. shall be performed/gathered on the residuals as they are to be land applied. Furthermore, analytical determinations made pursuant to the monitoring and reporting requirements of this permit shall be made by a laboratory certified by the Division for the required parameter(s) under 15A NCAC 2H .0800 or 15A NCAC 2H .1100. 6. Proper records shall be maintained by the Permittee tracking all residuals land application events. These records shall include, but are not necessarily limited to, the following information: a. Source of residuals; b. Date of land application; c. Location of land application (i.e., site, field, or zone number); d. Method of land application; e. Weather conditions (i.e., sunny, cloudy, raining, etc.); f. Soil conditions (i.e., dry, wet, frozen, etc.); g. Type of crop or crops to be grown on field; h. Volume of residuals land applied in gallons per acre, dry tons per acre, or kilograms per hectare; i. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or kilograms per hectare (if applicable); j. Volume of soil amendments (i.e., lime, gypsum, etc.) applied in gallons per acre, dry ton per acre, or kilograms per hectare (if applicable); and k. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and other sources of nutrients (i.e., if applicable), annual and cumulative pounds per acre of each heavy metal (i.e., shall include, but shall not be limited to, arsenic, copper, lead, mercury, molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per acre of phosphorus applied to each field. 7. A representative annual soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on each land application site on which a residuals land application event in the respective calendar year has occurred or is to occur, and the results shall be maintained on file by the Permittee for a minimum of five years. The Standard Soil Fertility Analysis shall include, but is not necessarily limited to, the following parameters: Acidity Exchangeable Sodium Percentage (by calculation) Calcium Magnesium Phosphorus Cation Exchange Capacity Manganese Potassium Copper Percent Humic Matter Sodium Base Saturation (by calculation) pH Zinc 8. Three copies of all required monitoring and reporting requirements as specified in Condition III. 1., Condition III. 2., Condition III. 3., Condition III. 4., Condition III, 5., Condition III, 6., and Condition III. 7. shall be submitted annually on or before March 1st of the year following the residuals land application event to the following address: NCDENR-DWQ Water Quality Section Non -Discharge Compliance/Enforcement Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 6 9. Noncompliance Notification: The Permittee shall report by telephone to the Water Quality Section of the Division's Mooresville Regional Office at telephone number (704) 663-1699, as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first knowledge of the occurrence of any of the following: a. Any occurrence with the residuals land application program that results in the land application of significant amounts of residuals that are abnormal in quantity or characteristic. b. Any failure of the residuals land application program resulting in a release of material to receiving waters. c. Any time that self -monitoring information indicates that the residuals land application program has gone out of compliance with the conditions and limitations of this permit or the parameters on which the program system was designed. d. Any process unit failure, due to known or unknown reasons, that render the residuals land application program incapable of adequate residuals treatment. e. Any spillage or discharge from a vehicle or piping system transporting residuals to the application site. Persons reporting such occurrences by telephone shall also file a written report in letter form within five days following first knowledge of the occurrence. This report shall outline the actions taken or proposed to be taken to ensure that the problem does not recur. IV. GROUNDWATER REQUIREMENTS Land Application Site Requirements: a. Each land application site identified with a GW-A in the most recently -certified Attachment B of this permit is dominated by soils with a mean seasonal high water table greater than three feet below the land surface. Residuals land application events may occur on these sites throughout the year. b. Each land application site identified with a GW-B in the most recently -certified Attachment B of this permit is dominated by soils with a mean seasonal high water table between one and three feet below the land surface. Residual land application events on these sites shall be prohibited from December through March, inclusive. No residuals shall be land applied to these sites when the vertical separation between the depth of residuals land application and the water table is less than three feet. The actual water table depth for seasonally -restricted soils shall be verified by soil borings within 24 hours prior to any residuals land application event that occurs from April through November, inclusive. The number of borings advanced shall be sufficient to characterize water table conditions across the land application site adequately. Any open borings shall be properly filled with native soil, prior to the residuals land application event, to decrease the chance of any residuals contaminating the groundwater. 10 2. Applicable Boundary Requirements: a. The COMPLIANCE BOUNDARY for residuals land application programs is specified by regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The Compliance Boundary for each land application site is established at either 250 feet from the residuals land application area or 50 feet within the property boundary, whichever is closest to the residuals land application area. An exceedance of Groundwater Quality Standards at or beyond the Compliance Boundary is subject to immediate remediation action according to 15A NCAC 2L .0106 (d)(2). b. The REVIEW BOUNDARY shall be established around each land application site midway between the Compliance Boundary and the perimeter. of the residuals land application area. Any exceedance of Groundwater Quality Standards at the Review Boundary shall require action in accordance with 15A NCAC 2L .0106 (d)(2). Additional Requirements: a. Any groundwater quality monitoring, as deemed necessary by the Division, shall be provided. V. INSPECTIONS Prior to each residuals land application event, the Permittee or his designee shall inspect the residuals storage, transport, and application facilities to prevent malfunctions and deterioration, operator errors, and discharges that may cause or lead to the release of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall maintain an inspection .log or summary including at least the date and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken by the Permittee. This log of inspections shall be maintained by the Permittee for a period of five years from the date of the inspection and shall be made available to the Division or other permitting authority, upon request. 2. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application sites or facilities at any reasonable time for the purpose of determining compliance with this permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; and may obtain samples of groundwater, surface water, or leachate. VI. GENERAL CONDITIONS This permit shall become voidable unless the residuals land application events are carried out in accordance with the conditions of this permit, the supporting materials, and in the manner approved by the Division. 2. This permit shall be effective only with respect to the nature and volume of residuals described in the application and other supporting data. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to an enforcement action by the Division in accordance with North Carolina General Statutes § 143-215.6A through § 143-215.6C. 11 4. The annual administering and compliance fee shall be paid by the Permittee within 30 days after being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit, as specified by 15 NCAC 2H .0205 (c)(4). The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances that may be imposed by other government agencies (i.e., local, state, and federal) which have jurisdiction, including, but not limited to, applicable river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under the Division's General Permit NCGO100000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC .0500. 6. This permit may be modified, revoked, and/or' reissued to incorporate any conditions, limitations and monitoring requirements the Division deems necessary in order to protect the environment and public health adequately. 7. The Permittee, at least six months prior to the expiration of this permit, shall request its extension. Upon receipt of the request, the Division shall review the adequacy of the facilities and residuals land application program described therein, and if warranted, shall extend the permit for such period of time and under such conditions and limitations as it may deem appropriate. 8. This permit shall not be automatically transferable. In the event that there is a desire for the residuals land application program to change ownership or to change the name of the Permittee, a formal permit request shall be submitted to the Division documentation from the parties involved and other supporting materials as may be appropriate. The approval of this request shall be considered on its merits and may or may not be approved. Permit issued this the eighth day of September, 2000. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION .� -/ rz)1z) � Alan W. Klimek, P. E., Director / Division of Water Quality By Authority of the Environmental Management Commission Permit Number WQ0003902 12 ATTACHMENT A - Approved Residual Source-Generatine Facilities Permit No. WQ0003902 City ojNewton City of Newton Residuals Land Application Program Owner Facility Name County Permit Number Issued By Is 503? Maximum Monitoring Monitoring Approved Dry Tons Frequency for Frequency for Mineralization Per Year Condition III.2. Condition III.3. and Rate Condition III.4. City of Newton Clark Creek WWTP Catawba NCO036196 DWQ 503 3,438.00 Annually Every 60 days 0.30 Total 3,438.00 Permit No. W00003902 Page 1 of I Certification Date: September 8, 2000 ATTACHMENT B - Aporoved Land Application Sites Permit No. WQ0003902 City of Newton City of Newton Residuals Land Application Program Site/Field ID Landowner Lessee/Operator County Latitude Longitude Net Acreage Applicable Restriction In Condition IV.1. NC-CA-07-01 Sm re, Jeffery L. Catawba 35.37.47 81.10.50 8.30 GW-A NC-CA-07-02 Sm re, Jeffery L. Catawba 35.37.50 81.10.50' 15.40 GW-A NC-CA-07-03 Sm re, Jeffery L. Catawba 35.37.54 81.10.50 7.70 GW-A NC-CA-08-01 Seaford, David Catawba 35.33.50 81.16.27 7.60 GW-A NC-CA-08-02 Seaford, David Catawba 35.33.50 81.16.36 16.60 GW-A NC-CA-08-03 Seaford, David Catawba 35.33.52 81.16.48 11.80 GW-A NC-CA-09-02 Blackwell, Dan Catawba .35.35.05 81.16.20 35.30 GW-A NC-CA-11-01 City of Newton Richard, James Catawba 35,37.35 81.14.05 3.30 GW-A NC-CA-11-02 City of Newton . Catawba 35.37.45 81.14.05 4.90 GW-A NC-CA-12-01 Bowman, Allen E. Catawba' 35.25.45 81.14.45 8.20 GW-A NC-CA-1.3-01 Walters, Jarret Catawba 35.34.19 81.19.18 29.80 GW-A NC-CA-13-02 Walters, Jarret Catawba 35.34.14 81.19.07 15.50 GW-A NC-CA-13-03 Walters, Jarret Catawba 35.34.27 81.19.06 7.90 GW-A NC-CA-14-01 Lee, Bill Catawba 35.34.28 81.18.05 41.80 GW-A NC-CA-14-02 Lee, Bill Catawba 35.34.20 81.17.53 27.80 GW-A NC-CA-14-03 Lee, Bill Catawba 35.34.09 81.17.38 43.80 GW-A NC-CA-14-04 Lee, Bill Catawba 35.34.25 81.18.21 10.10 GW-A NC-CA-15-01 Fok, Conley Catawba 35.48.45 81.09.52 11.20 GW-A NC-CA-15-02 Fox, Conley Catawba 35.48.51 81.09.48 3.70 GW-A NC-CA-15-03 Fox, Conley Catawba 35.48.57 81.09.51 7.90 GW-A NC-CA-15-04 Fox, Conley Catawba 35.49.04 81.09.54 4.90 GW-A NC-CA-15-05 Fox, Conley Catawba 35.49.04 81.09.50 1.40 GW-A NC-CA-15-06 Fox, Conley Catawba 35.49.09 81.09.53 5.90 GW-A NC-CA-15-07 Fox, Conley Catawba 35.49.13 81.09.42 19.30 GW-A NC-CA-15-08 Fox, Conley Catawba 35.49.05 81.09.29 12.90 GW-A NC-CA-15-09 Fox, Conley Catawba 35.49.20 81.09.22 1.70 GW-A NC-CA-15-10 Fox, Conley' Catawba 35.49.04 81.09.18 1.90 GW-A NC-CA-15-11 Fox, Conley Catawba 35.49.01 81.09.36 7.90 GW-A NC-CA-30-01 Jarrett, Larry Catawba 35.48.56 81.19.09 16.90 GW-A NC-CA-31-01 Beam, David Catawba 35.35.21 .81.06.36 12.80 GW-A NC-CA-31-02 Beam, David Catawba 35.38.29 81.06.26 30.50 GW-A NC-CA-31-03 Beam, David Catawba 35.38.26 .81.06.37 4.60 GW-A NC-CA-31-04 Beam, David Catawba 35.38.16 81.06.31 15.40 GW-A NC-CA-32-01 . Si mon, Ronnie Catawba 35.38.03 81.06.01 13.70 GW-A NC-CA-32-02 Si mon, Ronnie Catawba 35.39.45 81.06.41 5.60 GW-A Permit No. WQ0003902 Page 1 of 2 Certification Date: November 12, 2002 ATTACHMENT B - Approved Land Application Sites Permit No. {VQ0003902 City of Newton City of Newton Residuals Land Application Program Site/Field 1D Landowner Lessee/Operator County Latitude - Longitude Net Acreage Applicable Restriction in Condition IV. 1. NC-CA-33-01 Lineberger, Jeffrey B. Catawba 35.35.19 81.02.40 12.70 GW-A NC-CA-33-02 Lineberger, Jeffrey B. Catawba 35.35.25 81.02.34 21.40 GW-A NC-CA-33-03 Lineberger, Jeffrey B. Catawba 35.35.36 81.02.35 17.40. GW-A NC-CA-34-01 Lowman, David Catawba 35.35.25 81.02.06 14.80 GW-A NC-CA-35-01 Turbyfill Properties, L.L.C. McCann e, Billy Catawba 35.34.04 81.15.42 17.30 GW-A NC-CA-35-02 Turbyfill Properties, L.L.C. McCann e, Billy Catawba 35.34.08 81.15.24. 21.90 GW-A NC-CA-35-03a 1 Turbyfill Properties, L.L.C. McCann e, Billy Catawba 35.33.55 81.15.09 55.10 GW-A Total For County Catawba 634.60 Total 634.60 a A reduced buffer from a residence under separate ownership has been approved for this land application site. Residuals may be land applied to within 100 feet of the residence owned by Michael T. McNeil at 6770 Startown Road in Maiden, North Carolina, regardless of whether a surface or a subsurface application method is used. Permit No. WQ0003902 Page 2 of 2 Certification Date: November 12, 2002 .QvNAGP.O g: rra � nk) M cn �` A .Residuals Management Company � w C 0 z NON -DEDICATED RESIDUALS -LAND APPLICATION PROGRAM MODIFICATION Newton, North Carolina Permit # WQ0003902 Prepared by: SYNAGRO SOUTHEAST 6220-A Hackers Bend Ct. Winston-Salem, NC 27103 Toll Free: 1.877.267.2687 Fax: 336.766.8652 cNvNAGPx0. A Residuals Management Company NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAM MODIFICATION Newton, North Carolina Permit # W00003902 U ,O A better tomorrow for our Client Triangle: The GENERATOR, The LANDOWNER, and The ENVIRONMENT Prepared by: SYNAGRO SOUTHEAST 6220-A Hackers Bend Ct. Winston-Salem, NC 27103 Toll Free: 1.877.267.2687 Fax: 336.766.8652 Table of Contents Section # Title Section 1 Attachment Order 1: Non -Dedicated Residuals Land - Application._VIVE •amsForm Attachment Order 1-a: Signing Official Delegation Letter Section 2 Attachment Order 3: Land Application Certification Attachment Attachment Order 3-a: Watershed Classification Attachment Order 3-b: County Manager Notification Attachment Order 3-c: Landowner Agreement Attachment Order 3-d: Buffer Waiver Agreement Attachment Order 3-e: Vicinity and Buffer Maps Attachment Order 3-f: Soils and Agronomic Evaluation (where applicable) Attachment Order 3-g: Cumulative Pollutant Loading Rates (where applicable) State of North Carolina Department of Environment and Natural Resources Division of Water Quality NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) Application Number: I. 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) cr� 3. Complete mailing address of applicant: City of Newton c/o James Richards P.O. Box 550 'g City: Newton State: NC Zip: 28658 Telephone number: (704) 695-4345 Facsimile number: (704) ' 465-7481 E-mail address: jichards@mail.ci.newton.nc.us 4. Name and complete mailing address of contact person and/or consulting firm who prepared application: Synagro Southeast c/o Rhonda Money, 6220-A Hackers Bend Court City: Winston-Salem State: NC Zip: 27103 Telephone number: (336) 766-0328 Facsimile number: (336) 766-8652 E-mail address: rmoney@synagro.com 5. County where residuals land application program is headquartered: Catawba 6. County(ies) where residuals source -generating facilities are located: Catawba 7. County(ies) where land application sites are located: Catawba 8. Fee submitted: $ 325.00 II. PERMIT INFORMATION: 1. Application is for: El 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 WQ0003902 , the most recent issuance date 1 1-12-2002 and the expiration date 8-31-2005 Date of most -recently certified Attachment A: Date of most -recently certified Attachment B: 9-8-2000 11-12-2002 FORM: NDRLAP 02/02 Page 2 of 5 Attachment Order 1 3. Check all that apply to the requested permit modification: INCREASE n 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 ® ADD DELETE OTHER. Explain: the net acreage associated with land applications site(s) currently certified for this residuals land application program. land application site(s) to/from those certified for this residuals land application program. III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Who will be responsible for the day-to-day management of the residuals land application program: Permittee or ® residuals management firm. If a residuals management firm, complete the following: Firm contact person and title: Frankie Singleton, Sr. Operations Manager Synagro Southeast, 6220-A 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 Sigmon Superintendant 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: N/A FORM: NDRLAP 02/02 Page 3 of 5 Attachment Order 1 3. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 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 14.46 15.56 49,713 53,495 Five Year Maximum Adjusted 23.0 24.1 79,074 82,856 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 of Plantation 0 Row Crops 66.4 Hay 159.9 Pasture 421.7 Total: 648.0 Methods Surface 581.6 Incorporation or Injection 66.4 Total: 648.0 Restrictions Year -Round 648.0 Seasonal 0 Total: 648.0 C. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate (lbs PAN/ac yr) Acres Required Using First PAN Concentration Acres Required Using Five -Year Maximum Adjust PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 70 711 765 1130 1184 150 332 357 528 553 250 199 214 317 332 FORM: NDRLAP 02/02 Page 4 of 5 Attachment Order 1 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.): If a land shortage occurs the residuals will be transported to the regional compost facility; known as the Regional Sludge Management Facility. Applicant's Certification: Martin Wilson, Public Works Director 0 �00� attest that this application for City c Newton has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Quality may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Quality should a condition of this permit be violated. I also understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false statement, representation, or 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: 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 DeliverX: 512 NORTH SALISBURY STREET, SUITE 1219 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 733-5083 *** END OF FORM NDRLAP 02/02 *** FORM: NDRLAP 02/02 Page 5 of 5 Attachment Order I Attachment Order 1-a Signing Official Delegation Letter �- 111C MI UP IAIAYYUA LUVIXI1'. April 30, 2002 To Whom It May Concern: 465-7422 PUBLIC WORKS AND UTILITIES DEPARTMENT The City of Newton Director of Public Works and Utilities has the authority to sign as the "Permittee" on all documents, forms and applications relating to any N.P.D.E.S. permits held by the City of Newton. The current Director is Martin D. Wilson. Sincerely, Edward Burchins, City Manager City of Newton410 /sch�r,4e "00�' p ;v—_ Attachment Order 3 Land Application Certification Attachment Applicant's name: Check all that apply: of Newton ❑ NEW RESIDUALS LAND APPLICATION PROGRAM ® RENEWED RESIDUALS LAND APPLICATION PROGRAM ® ADD ❑ DELETE this/these land application site(s) to/from those certified for this residuals land application program. ® INCREASE ® DECREASE the net acreage associated with this/these land application site(s) currently certified for this residuals land application program. ❑ OTHER Explain: To avoid some confusion: 634.6 + 0.5 + 14.0 + 2.7 - 3.8 = 648.0 Land application sites currently certified: 634.6 net acres and proposed for certification: 17.2 net acres. Total to be certified: 648.0 net acres. Approximate percentages: % forested, 100 % agricultural, and % reclamation sites. I. LAND APPLICATION SITE INFORMATION (See Instruction B.): 1. Complete the following table with the requested information: Status Code Site / Field ID Landowner (s) Leasee(s) or Operators County Net Acres Predominant Soil Series Soil CEC M NC-CA-30-1 Larry Jarrett same Catawba 17.4 Hiwassee 6.8 N NC-CA-30-2 Larry Jarrett same Catawba 14.0 Appl. & Beth. 7.2 M NC-CA-35-1 Turbyfill Properties Bill McCanipe Catawba 20.0 Hiwassee 8.8 M NC-CA-35-3 Turbyfill Properties Bill McCanipe Catawba 51.3 Cecil 4.6 FORM: LASCA 02/02 Page 2 of 2 Attachment Order 3 Attachment Order 3-a Watershed Classification State of North Carolina RF0RvFr Department of Environment and Natural Resources Division of Water Quality APR 2 8 2003 WATERSHED CLASSIFICATION ATTACHMENTMMC DEe; w 'vtKtaeo�;c t FOR RESIDUALS PROGRAMS 'IFFICE (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 S'Q required items will lead to additional processing and review time.Z- For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state. nc.us%nRd,pu/ INSTRUCTIONS TO THE APPLICANT: A e 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 I I -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: 919 North Main St. City: Mooresville Facsimile number: ( 704) State: NC Zip: 28115 iM •119 Please provide me with the waterbody name(s), stream index number(s), and current/proposed classification(s) of the surface waters that are closest to and downslope from the location(s) where the proposed residuals program activities are nned to occur, as identified on the attached map segment. Signature of regional office staff: 7 .I Date: FORM: RWSCA 02/02 Page 1 of Attachment Order 3-a Location ID County Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. (To Be Completed by DWQ) Current and Proposed Class (To Be Completed By DWQ) NC-CA-30-2 Catawba 35035'21"N 81019'09"W NAD27 MAP second / i+1+5 L FORM: RWSCA 02/02 Page 2 Attachment Order 3-a Attachment Order 3-b County Manager Notification State of North Carolina Department of Environment and Natural Resources Division of Water Quality COUNTY MANAGER NOTIFICATION ATTACHMENT r (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our web site at. http://h2o.enr.state.nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each county in which the land application sites for which the applicant is seeking certification are located. C. Mail the attachment form to the appropriate county manager by certified mail with a.return receipt requested. ✓ The most current publication of the Directory of State and County Officials may be downloaded from the web site at: http://www.secretary.state.nc.us/pubsweb/direct.asp. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/. D. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form prior to submission of the application to the Division for review. To: County where land application sites are located: Catawba .4RQO�� . y sF < Name and complete address of county manager: J. Thomas Lundy. Coup, 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 no later than the listed expected application date: Name and complete address of appropriate regional office: Mooresville Regional Office 919 North Main Street City: Mooresville State: NC Zip: 28115 Telephone number: (_Z04) 663-1699 Facsimile number: (204_) 663-6040 Expected date of application submission: May 15, 2003 Actual date of application submission (to be completed by DWQ): Deadline for county manager response (to be completed by DWQ): Should you desire to comment on this application as it related to your interests, please do so no later than 30 calendar days following the expected application submission date. if you have any questions or comments about this notification or if you would like more information, please contact the Water Quality Supervisor of the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. FORM: CMNA 02/02 Page 1 of 2 Attachment Order 3-b GENERAL INFORMATION: 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: (10.4_) 465-7480 Facsimile number: (_24 ) _ 465-7481 E-mail address: irichards@mail.ci.newton.nc.us mail.ci.newton.nc.us 4. Name and complete mailing address of contact person and consulting firm who prepared application: SLnagro Southeast. c/o Rhonda Money : 6220-A Hackers Bend Ct. City: Winston-Salem State: NC Zip: 27103 Telephone number: (_ ) 766-0328 Facsimile nufnber: ('3 _) 766-86:i2 E-mail address: rmoneynasynagro.com II. PERMIT INFORMATION: 1. Application is for (check all that apply): ❑ new, ® modified, and/or ❑ 2. If this application is being submitted to renew or modify -an existing permit, provide: the permit number the most recent issuance date 11/12/2002 . and the expiration date renewed permflx;,;,�Q� F9Q�� qJ- ysF�� �/ Date of most -recently certified Attachment A: 09-08-2000 Date of most -recently certified Attachment B: 1 1-12-2002 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) l] other (explain: 1. 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: _634.6_ acres (approximate percentages % reclamation sites). % forested, _] 00 _ % agricultural, and 4. This application, if approved by the Division, will certify _17.2_ additional acres (i.e., excluding buffers) in this county for this residuals land application program (approximate percentages: _100_ % agricultural, and % reclamation sites). *** END OF FORM CMNA 02/02 *** % forested, FORM: CMNA 02/02 Page 2 of 2 Attachment Order 3-b ■ Complete items 1, 2, and 3. Also complete A. Signature Item 4 if Restricted Delivery is desired. >•: ■Print ❑Agent your name and address on the reverse so that we can'return the card to you. ❑ Addressee ■ Attach this card'to the back of the mailpiece, Received by (pr/nred Name) C. Date of Delivery or on the front if space permits. 5 - 73 I.. ,. 1. Article Addressed to:D. Is delivery address different from item 1? ❑ Yes Y. TkOrA&S `lJ /IJY If YES, enter delivery address below: ❑ No -w�bc� cot' -A- .AP-(-. -. SOX l8 S s G 3. Service Type KCe rtife d Mail❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7002 0 510 0002 4 217 9020 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 J. < t c' •t State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORMMAY 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 iveb site at: htip://h2o.enr.state.nc.us/ndpti/ 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 n TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: qy ysF Applicant's name: City of NewtonC,ON Complete mailing address of applicant: City of Newton c/o James Richards P.O. Box 550 or�iig9 City: Newton State: NC Zip: 28658 Telephone number: ( 704 ) 465-7480 Facisimile Number: ( 704 ) 465-7481 E-mail address: hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities NC-CA-30-(1&2) hay & pasture livestock 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. I. STIPULATIONS: FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land - application -program, including -an analysis of constituents of the residuals, residuals application methods, -schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c 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: La r r rY Signature: 06�Date: 144, NO/il i A COUNTY !1 1 I, the undersigned Notary 4 ere y certify that�f-,,,nr personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the�� y ''day 20 Signature. an seal: y.19 My eolnrriission expires: S— �Q �U�sch <200� Lessee's/Operator's Certification: �p� ❑ 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: 1 certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: Martin Wilson Signature: Z lii/ Date: B 1 A -3 *** 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 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 orfor an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 0)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 (j)(5), other than those referenced above, canno be waived through execution of this attachment form.- ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 0)(5)(A)(ii) and (iii) The undersigned property owner hereby permits: 1. i7 I , Applicant's name: Complete mailing address of applicant: City: State: U G Zip: Telephone number: ( 10 ) Ve.1 l 10 D Facsimile number: ( ) E-mail address: hereinafter referred to as the Permittee, to land apply residuals within I In 0 feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following:_ t k Location address of property: F%e- Jv i l le K,M LL:GTA.w (jat L—k� w� City: State: NC . Zip: 2try Iq2 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: t. A4a,rker *** END OF FORM LOAA 02/02 *** Date: 1, -.2'2 " d Z FORM: BWAA 02/02 Page I of I Attachment Order 3-d State of North Carolina Department of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or.for an electronic version oj'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 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 (j)(5), other than those referenced above, canno be waived through -execution orthis attachment forme - - ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BV 15A NCAC 2H .0219 (j)(5)(A)(ii) and (iii) The undersigned property owner hereby permits: Applicant's name: �, l� t'. I l? Y�1 fv'- ',� Complete mailing address of applicant: City: �-- I �C..t; �t c� State: Telephone number: (1¢ q- ) j6J— 4-.Z 1 1 E-mail address: 61 c� Facsimile number: hereinafter referred to as the Permittee, to land apply residuals within 1 0 0 feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly locateq at the following: Location address of property: �QeD5- 1\� (�C� - �Li• ILL: L o«��u l City: L 0 v State: Zip: 2 �� 6' at 2. 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. C Zip:�� 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. 12/1 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 spec4fiedfiere�in. Property owner name: Sl��l is Signature: �.� ��` Date: *** END OF FORM LOAA 02/02 *** 4 - Z2-- t) Z 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 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 (j)(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: .? �1. Applicant's name: j'<IA-6i, I v ZI 1 Complete mailing address of applicant: City: �1r (� [j�%fc'S Ll I I State: j� C_ Zip: __i+ J i 1-5 telephone number: r Facsimile number: ( ) E-mail address: r n e a I I L.Z UL21,-)D hereinafter referred to as the Permitt6l, to land apply residuals within 10 0 feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located rat the following: Location address of roperty: R2e05 ) � 1l � e lC� � (2(Amw 6 � Co .� City: i�n.ca�n ,ti State: K C ' Zip:��- This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. [( I certify that 1 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 a e: I Signature: i C, 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 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/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 fonn will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any -other buffers required by 15A NCAC 2H .0219 (j)(5), other than those referenced above, cann 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: n. [AeW I I V'.- Complete mailing address of applicant: �oZ3 I 2e4!sU tI(e Q-8. La +1Ga IV, ., State: U C Zip: OXiag D. Telephone number: ( L4 ) c&2 -1 6 _S Facsimile number: E-mail address: hereinafter referred to as the Permittee, to land apply residuals within %a D feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly locatedEms" llowiln-g: n Location address of property: WVA l U . �6, a City: �.i ..eo 1r.-� State: 1j C Zip: 210 5 Z 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. i Property owner name: Signature: *** END OF FORM LOAA 02/02 *** Date: q-1S - 0,2 FORM: BWAA 02/02 Page I of I Attachment Order 3-d A111% .SYNAGRO A Wdaals Management Company COUNTY OWNER Lac-r J a C'r e- �� AGRONOMIC EVALUATION Larry Jarrett -- CA-30 field 2 Overall 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. Crop management guidelines that should be considered for each field are: • timing of application events with plant nutritional needs and periods of plant dormancy, • split applications to prevent hydraulic overloading or nutrient leaching, • establishments of suitable vegetative cover on current agricultural sites, • incorporation or injection of residual solids on fields that have a high incidence of flooding, • maintenance of proper vegetative cover on sloping areas with runoff potential, and • .-proper coordination between application events. and --rop harvesting..— .._,.. Specific cropping patterns : This field is fescue pasture, continuous maintenance Fertilizer application: will be biosolids (N as a limiting factor) Methods of soil tillage: none unless re -seeding an area Irrigation practices, if : g P � any: none Nor. .o� Final use of crop grown: livestock ��sc�O0� Sep Location of surface water: none within 100 feet irg History of flooding and drainage problems: a bowl -shaped section is in the south-east corner of the field and has been buffered Seasonal fluctuation of ground water level: no low-chroma mottles show up although concretions are seen in the bowl -shaped area Extra comments: none NEWTON SOIL SCIENTIST CERTIFICATION This is to certify that soil and site evaluation was conducted on the proposed application site (listed below) for Newton by Synagro South. The soil and site evaluation consisted of hand auger borings of the soils on the application site, soil profile descriptions, collection of soil fertility samples by standard soil sampling methods, location of property lines, location of residences, location of wells and surface water features, identification of all required buffers areas, and generation of application area maps. All hand auger borings included in this package were either performed by myself or under my direct supervision. Er' Tho son, L.S.S. No. 1238 SITE NC-CA-30-2 sack �0� Aa h � � 1238 MORTG- rSOIL DESCRIPTION SHEET- f-J .n �- , _ II . A Residuals A-frza a .- Company Project:Landowner: �'- Site: _4C-CA-30 Meld: Sample #: Nc-C/-30-2- Slope:a f Acres (gross): Acres (net): Crop: �6scv� SOIL PROFILE DESCRIPTIONS Horizon Depth Texture Color Structure Mottles PROFILE A -_ 1-rl( 5- _1 g- Z l� l �ifZ `f e i Depth to SHWT: 7�r' Depth & type of restrictive layer: Soil Series:PPL►,�G —���( C°o✓��Lf/aLu�/.f1oSs;;� Horizon Depth Texture Color Structure Mottles PROFILE B �Y, 0-7 e,. /,tr,� ,A Depth to SHWT: Depth & type of restrictive layer: y3� S®il Series: %S�l�, A o �I (� Hari tsl, Np1° A dTT�s f Y l3�llc�6'Y� i �iiAIA (- ,�or'� 1 - /�L�� ebui l) c /.1�"��T ,4' 1 ,4PJ/1 S,-/I L�9`i1/ia1G �_CUt ".vyl Described By: Legend Date: t %?fi 4 /? Texture Structure Grade Structure Tvpe s Sand 1 Weak gr Granular abk I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic so c Clay cpr Columnar m Angular Blocky Subangular Blocky Single Grained Uia' sive REPORT NUME A&L EASTERN AGRICULTURAL LABORATORIES, INC. R108-101 7621 Whitepine Road - Richmond, Virginia 23237 - (804) 743-9401 Fax No. (804) 271-6446 EMAIL ACCT # 45230 SEND SYNAGRO SOUTHEAST LARRY JARRETT(CA-30) TO: SAMPLES SUBMITTED RHONDA GROWER: NEWTON PERMITTING' BY: 6220A HACKERS BEND CT WINSTON SALEM NC 27103 04/19/2002 1 DATE RECEIVED 04/17/2002 DATE OF REPORT PAGE SOIL ANALYSIS REPORT DATE OF ANALYSIS 04/18/2002 ORGANIC dNATTER PHOSPHORUS SAMPLE LAB -PomAsslumMAGNESIUM CALCIUM So ;PM JzACI DTY C.E.C. NUMBER UMBER"' BRAY RA BRAYP_2 G ;Pp — NA. BUFFER PM ATE RATE n RATE 30-1 :ATE "INPE) meq/100g' ' 06185 2.6 92M 2 VL 5 VL 125 H 268 VH 81 M 6.8 0.2 6.8 30-2 06186 2.8 96M 2 VL 4 VL 52 L 247 VH 750 M 5.9 6.81 1.2 7.2 PERCENT BASE SATURATION NITRATE. suLOun ZINC. MANGANESE IRON SAMPLE COPPER :T!'-BORON,,'-• 1C MOLY&- HLORIDE�* NUMBER K 1. M4 NO, So-s 1. � FE, 7 z�UM '-CU. i -CL DENUM.Md ppm RATE PP.M RATI ppm RATE P2. R % ATE RATE �,'RATE P RA w -� pippi p -_ATE ppm": RATE 30-1 4.7 32.8 59.5 2.9 3.2 M 40 H 17 H 2.2 H 30-2 1.9 28.7 52.3 17.1 2.8 M 14 M 116 H 1.4 H Values on this report represent the plant available nutrients in the soil. Explanation of symbols: Values are expressed as % (percent), ppm (parts per million), or lbs/A (pounds per acre). This rt appliestothe sample(s) tested. Samples are retained a max-e-&01!'�p yedaysalter testing, Soil Analysis prepared by. Rating after each value: I VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). A L A TERN AGRICULTURAL ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. JA6LTURAL LABORATORIES, INC. To convert to lbs/A, multiply the results in pprn by 2. M See the back of this report for conversion factors and more detailed information. by Rios of A&L EASTERN AGRICULTURAL LABORATORIES, INC.=}`=-=--r •j" 7621 Whitepine Road - Richmond, Virginia 23237 - (804) 743-9401 Fax No. (804) 271-6446 E M A I . ACCT SEND SYNAGRO SOUTHEAST LARRY JARRETT(CA-30) SAMPLES RHONDA TO: GROWER: SUBMITTED NEWTON PERKMITTING+ BY: 6220A HACKERS BEND CT WINSTON SALEM NC 27103 DATE RECEIVED 04/17/02 04/19/02 1 DATE OF ANALYSIS 04/18/02 DATE OF REPORT PAGE SOIL ANALYSIS REPORT SAMPLE LAB Nitrogen Phos- php s Potassium Sulfur Calcium Magnesium Sodium Iron Aluminum Manganese Copper Zinc Ammonia Nitrate [DENT. NO. N K S Ca Mg Na Fe At Mn Cu Zn Nitrogen Nitrogen mglkg mglkg mglkg mglkg mglkg mglkg mglkg mg/kg mglkg mglkg mg/kg mglkg mg/kg mg/kg 30-1 06185 30-2 06186 1 LAB Cadmium Chromium Nickel Lead Arsenic Mercury Selenium Organic Total MCI NO. Cd Cr Ni Pb As Hg Se Nitrogen pH C.E.C. mg/kg mg/kg mg/kg mglkg mglkg mglkg mglkg mg/kg (meq/100q) 06185 <0.01 < 06186 <0.01 < 1 9� a� P� - '14-. _L ._...._. _.__....�w...._..I �//��1�, This r o plie0gly t#DR#J iN N EOples are 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 re�+ente' a made' retai d axi of thirty days a g. to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. A& AG TU BOA RIES, INC SOIL MAP a SYNAGM A Ruldmah Atowgamau c mp=y `mom �i-. y' "" �i+.� • ccl:'�•- _'L� :. ,,'�. � ' N� +;r,..Y _� ..+.,. it -i^' : `•.�. �. .s' � (k( �.�� �•,� • ;•"ry.•`.,.. �` �m�. •�,s•i. � t•• a(� ' t „ I, r+i :Y ut0. ••yy '.ia'D may.. 4 t HSB2 i;. , qrA " a ~ 1 1 3 a' *r w ra?'p •ll' "�•ypr .' m y , -.+ . ,,.�-v?b i e� Ye ,n, � " ,�a � `�i�Ml ':.��.b.w. 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Y•'.,, I � a , r, ri � i � 1 ¢ ' • 9 ' jl$B2::, t.. - t,'. �< 1 � "� fo fK : � ..w >H , �, i' rQ• -�' ¢EZ a mr-us"3,ac �1 BEi�Ruc..�. i � . �k, �r m '�'� . ''" a •'PN i S"�2' iN p .r•r�� x••'.e,'.'&., `. ti< , Cn�i' !� ,�`ie' " .k+t!;y k •f� �r � ' ..• .. ^�.: +r j F�A..a�v K ty. i.+��Sa� +! s, 4 is 'L �, a `f�Y* !`kL <g1o.y.,jW�• ..ty� ,'.:,dit,_ �c / `'� .a. t," `IFl,".«rl .y f3 r.U. HNC OWNER Lacry V'ciere.1'-f SCALE: ir' = FIELDS c,' 3d {I,.2) OUNTY Ca+o o 6o. SHEET qO PREDOMINANT SOIL SERIES H N►assee .gyp l; , �` �'e /P%2�`.-r SITE SUMMARY City of Newton Newton, NC Site ID: NC - CA - 30 Owners Name: Larry Jarrett Address: 8129 Reepsville Rd. Lincolnton, NC 28092 Phone: (w)828-328-2213 ext. 3284 Operator: same Estimated Total Applicable Fields Acres Acres Cron(s) (cell) 828-310-8022 Latitude & Slone (%1 Lonaitude 1 30.4 17.4 fescue 0-10 350 35' 21 " N 810 19' 09" W 2 15.8 14.0 fescue 0-10 350 35' 29" N 810 19' 09" W TOTALS 46.2 31.4 Notes: Date: 04/25/03 I TOPOGRAHIC MAP £+, '•�` SYNAGPQ A Raiduab AfanagementCompany OWNER Larry exr-re t- -- SCALE: 1 060 FIELDS A1c -crq -3 o PHOTOQUADNR k4e- 5 v; ffe wG l9 3 CONTOUR INTERVAL 21 MAP # Attachment Order 3-c,d,e,f,g Landowner Agreement Buffer Waiver Agreement Vicinity and Buffer Maps Soils and Agronomic Evaluation (on new field only) Cumulative Pollutant Loading Rates (where appliui5le) 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 orfor 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 gash set of land application sites that are owned by a landowner and operated by a lesseeloperator (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 He_le§see/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES * `l, , The undersigned landowner or his representative hereby permits: Applicant's name: c ► py o+ /U e W Complete mailing address of applicant: Cho f,0, goV 5So Fj City: /JCkfio 11 State: /k Zip: a 16 S8 Telephone number: (%'i) Facsimile number: (?# 9 y�O S — 7 yy E-mail address: �T 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 fiC-CA MS(i -Qesu,e%rckwd pas-ture, C&-#/e -(e j C1o.rk G-eek w w 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 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 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 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 3 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 RESTRICTIONS: 40".O0-sFC'OO d9e 00� 'L r 9 Landowner's Certification: r7 1 certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to -- . makee decisions regardin, the use of the land -application sita(s)-on behalf of other- deeded landowners _U-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 1 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: ML Al A P 1'0_0 _S L L Signature: ��e �,� a mate: 4-Adam%d 2. Try NORTH CAROLINA, Co-4oL o bc, COUNTY 1, the undersigned Notary Public do hereby certify that SiC4 nRX personally appeared before me this day and acknowledged the due execution of the for6 % WITNESS my hand and official seal this the -G=V' A AG. e_t1+k ZP' _ •'••yam W: :l day of A Pr+ 1 20 0 —C)i Signature and seal: liro-'�,¢ 6 cf'. 2 y a OO S My commission expires: %�•.. � Lessee's/Operator's Certification: ,,,�//�FI'YAp`'0�`` I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. /1 t/ 1 r_ n4AA A 12 r .w n Lessee/operator name: r Signature: Date: -Y- a'2— Qo0 2. Permittee's Certification: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name : : 'J -lam - 1 L ,> tJ Signature: r " i — , \N Date: � 6-6 _ ea *** 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 to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of thisform, visit our web site at: http://h2o. enr statanc. 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 gwA property from which a waiver from 15A NCAC 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be _ waived through execution -of this acachinent 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: C'44 a-C 62.zi,.3 4on Complete mailing address of applicant: Cho Rd . 6a X _r. -D vd w rf 5�,P2ry i City: fly 2")face State: _J C, Zip: Telephone number: (-.by ) ewsa - %i/ro Facsimile number: (76 Y ) E-mail address: P <� CP � o hereinafter referred to as the Permittee, to land apply residuals within 164) feet (i.e., cannot be less than 100 feet) of the residence or place of public- assembly located at the following: Location address of property: `"�` ' 1 1-/3 DD City:. /114L`Aan State: N CG Zip: 9 C1 SD 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. j 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: �'�'�'�"/d -R.- FORM: B WAA 02102 Page 1 of l 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. en'r.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 property from which a waiver from ISA NCAC 2H .0219 (j)(5)(A)(ii) or (ill) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be -waived th-rounh execution -of this attachment form.- - - ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 0)(5)(A)(ii) and (iii) The undersigned property owner hereby permits: Applicant's name: c'i_Y ok /Vewfan r Complete mailing address of applicant: % 1w+•ej i�: ).u�d S b�1 �'fP SL--Perv;'spo , P, o,. box .sso City: !l -g-ti4on State: C, Zip: 2 $ to Ss Telephone number: ( %o y) 'f6S- 7y8o Facsimile number: (Ie q) i/!rS "7q T E E-mail address: hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following: Location address of property: 4 % ? d -.r/'' xA_ rd,>) Ai Ac - City: Ul"l A 0170 rI= State: Zip: 3 � 5 b 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: I C 11 AR- L. 7 : Ine- Signature: Pill " Me n.&Lr Date:�-- *** END OF FORM LOAA 02/02 *** FORM: BWAA 02/02 Page I of l Attachment Order 3-d State of North Carolina Department of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS. FORM MA )' 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 nTore information or.for an electronic version of this form, visit our web site at: hitp:111z2o.enr.state.nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 0)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 21-1 .0219 (j)(5), other than those referenced above, cannot be waived through execution of this attachment form. " � • ✓ ' A copy of the completed wid'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: City of Newton Complete mailing address of applicant: c/o James Richards, WWTP Supervisor P.O. Box 550 City: Newton State: NC Zip: 28658 Telephone number: (`9,2g 4'31YS Facsimile number: (3,2_8 ) 465-7481 E-mail address: hereinafter referred to as the Permittee, to land apply residuals within 1,1/9 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: f , � " r AP,- �y" 0 W AI R D City: All -A 1 :F— %y State: .)V G Zip: 2 9 '0"' 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: �,A & R / E" r —1 / J Signature: a Date: �/ �� / 0 ;2— END OF FORM LOAA 02/02 %r* FORM: B WAA 02/02 Page 1 of 1 Attachment Order 3-d ,CENYTY MAP SYIVAGRQ A Ruiduak Managwm: Company �UNTY CoJaw 6� OWNER rurb� /l Pro�►erf�`e� �i. / 1 4/25/03 CUMULATIVE METAL LOADINGS (LBS/ACRE) AS QF: 04/25/2003 *** The Cumulative metals for this report come from HISTORY records (i.e., a monthly report has been produced and the loadings have been archived to history.) *** In cases where a trace metal was not tested or tracked the loading will be displayed. as < 0.001 Date St Co./Site Field Last Applied As Cd Cr Cu Pb Hq Mo Ni Se Zn NC CA 00035 0001 Nov-02 0.090 0.011 0.255 2.624 0.145' ; 0.005 0.035 0.083 0.053 3.107 NC CA 00035 0002 Feb-03 0.147 0.019 0.433 4.364 0.244 0.009 0.059 0.143 0.093 5.303 NC CA 00035 0003 Feb-03 0.036 0.013 0.225 1.548 0.108 l 0.005 0.026 0.099 0.076 3.041 SITE SUMMARY City of Newton Newton, NC Site ID: NC - CA - 35 Owners Name: Turbyfill Properties, manager is Sid Turbyfill Address: Sid Turbyfill Bill McCanipe 180 Wyonia Way 1899 Anaconda Lane Fayetteville, GA 30215 Maiden, NC 28650 Phone: (H)678-817-0885, (cell)206-276-6744 Operator: Bill McCanipe (home) 828-428-4859 Estimated Total Applicable Latitude & PaIric Anrpc Acres Crnn(s) Slone (%) Lonaitude 1 26.1 20.0 fescue hay 0-10 35" 34' 04" N -81 ° 15' 42" W 2 45.0 21.9 fescue pasture 0-10 350 34' 08" N -81 ° 15' 24" W 3 71.0 51.3 fescue pasture 0-10 360 33' 55" N -81 ° 15, 09" W TOTALS 142.1 93.2 Notes: Fields 2 and 3 are separated by power lines. Date: 04/17/03 SYNAGRO, TOPOGRAHIC MAP OWNER �,��g ;�f propert;eS SCALE: 1"= .2, oao ' FIELDS CA as- (r-3 ) PHOTOQUADNR /i7a, deA NC /993 CONTOUR INTERVAL a D MAP # NON -DISCHARGE APPLICATION REVIEW REQUEST FORM Date: July 3, 2003 To: ❑ Forrest Westall, ARO-WQS ❑ Debra Watts, CO-GWS ❑ Paul Rawls, FRO-WQS ® Rex Gleason, MRO-WQS Copies Sent to CO-GWS: 0 ❑ Ken Schuster, RRO-WQS ❑ Jim Mulligan, WaRO-WQS ❑ Rick Shiver, WiRO-WQS Copies Sent to RO-WQS: 4 ❑ Steve Mauney, WSRO-WQS ® Distribute ��Eap7stfo Ib'GE'� ANI) HATUPAL RESOURCES From: Shannon Mohr Thornburj4, Non -Discharge Permitting Unit C1G0RE Vilwt F RiEr < L OFFICE Telephone: (919) 733-5083 ext. 353 Fax: (919) 715-6048 E-Mail. shannon.thomburg@ncmail.net JUL 20 05 A. Permit Number: W00003902 B. Owner: City of Newton C. Facility/Operation: City of Newton Residuals Land Application ❑ ® Program �_� ���F ❑ NEHEQpo� y N Proposed Existing Facility tbfi D. Application: 1. Permit Type: ❑ CS (O&M) ❑ Surface Irrigation ❑ Reuse ❑ H-R Infiltration ❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND) For Residuals: ® Land App. ❑ D&M ❑ Surface Disposal ® 503 ❑ 503 Exempt ❑ Animal 2. Project Type: ❑ New ® Major Mod. ❑ Minor Mod. ❑ Renewal ❑ Renewal w/ Mod. E. Comments/Other Information: ❑ I would like to accompany you on a site visit. 1 new LA site, 2 expanding LA sites, and 1 shrinking LA site ... all in Catawba County. Attached, you will find all information submitted in support of the above -referenced application for your review, comment, and/or action. Within 30 calendar days, please take the following actions: For RO-WQS: ❑ Return a Completed Form NDARR. ❑ Attach Attachment B for Certification by the NDPU. ® Issue an Attachment B Certification from the RO*. * Remember that you will be responsible for coordinating site visits, reviews, as well as additional information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete Attachment B for certification. Refer to the RPP SOP for additional detail. For CO-GWS: - ❑ Return a Memorandum with Permit Condition Recommendations. When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and return it to the appropriate Non -Discharge Permitting Unit contact person listed above. RO-WQS Reviewer: Date: CO-GWS Reviewer: Date: FORM: NDARR 09/02 Page 1 of 1 07/03/03 Number WQ0003902 Program Category Non -discharge Permit Type Land Application of Residual Solids (503) Primary Reviewer ellen.huffman Permitted Flow Facility Name City of Newton Residuals Land Application Program Location Address - Post Office Box 550 Newton NC 28658 Owner Permit Tracking Slip Status Project Type In review Major modification Version Permit Classification Individual Permit Contact Affiliation Martin Wilson Post Office Box 550 Newton NC 28658 Major/Minor Region Major Mooresville County , Catawba Facility Contact Affiliation Owner Name Owner Type City of Newton Government - Municipal Owner Affiliation Martin Wilson 201 West 4th Street Newton NC 28658 Dates/Events Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 09/08/90 05/28/03 Regulated Activities Requested/Received Events Wastewater treatment and disposal Additional information received Additional information requested Groundwater comments requested Groundwater comments received Outfall NULL Waterbody Name Stream Index Number Current Class — 2086 SYNAGRO SOUTHEAST INC. CENTRAL CAROLINA BANK PH. (336) 766-0328 CLEMMONS, NORTH CAROLINA 27012 P.O. BOX 1770 66.46-531 5/19/2003 I CLEMMONS,NC 27012 , 8 PAYTOTHE •325.00 ORDER OF NCDENR- $• I � 8 Three H—ked T—d),Fve and 001100•••......................................................................... DOLLARS p NCDENR YHB 1617 Mail Service Cen1a 1 Raleigh, NC 27699.1617 MEMO Nexlon WQ000790 a131-0016-404610 Ir000020866e 1:053LO04651: 21. L0L4L 41I' i Subbasin y SYNAGRO, A Residuals Management Company NCDENR Division of Water Quality Non -Discharge Permitting Unit 512 North Salisbury Street, Suite 1219 Raleigh, NC 27604 May 15, 2003 o` hoc RE: Modification for the City of Newton Land Application Permit WQ0003902 Dear Ms. Shannon Thornburg, Enclosed is one original and three copies of the application package for modification of the City of Newton Land Application Permit WQ0003902. You will notice Attachment Order 2 is not enclosed because it is not applicable to this package modification. A check for a major permit change is also enclosed. In this application three currently permitted fields are getting net acres changed, (up and down), and one new field is added. The new field is at a currently permitted site that originally lacked enough buffer waivers to put it in the program; however, the waivers have now been acquired. If you have any questions feel free to call me at 336-766-0328 ext. 121 or e-mail me at rmoney@synagroxom. Respectfully, A �g,� Rhonda Money Technical Services Manager enclosures Synagro Southeast, Inc. 6220-A Hackers Bend Court, Winston-Salem, NC 27103 • Ph: (336) 766-0328 • Fax: (336) 766-8652 • Toll Free: (877) 267-2687 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E., Director Division of Water Quality July 3, 2003 MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR CITY OF NEWTON POST OFFICE Box 550 NEWTON, NORTH CAROLINA 28658 Subject: Application No. WQ0003902 Acknowledgment of Application Receipt City of Newton City of Newton Residuals Land Application Program Land Application of Residual Solids (503) Catawba County Dear Mr. Wilson: The Division of Water Quality's (Division) Non -Discharge Permitting Unit acknowledges receipt of your permit application package on May 28, 2003. This package has been assigned the permit application number listed above and has been forwarded to Mr. Rex Gleason of the Water Quality Section of the Division's Mooresville Regional Office for review and processing. To ensure maximum efficiency in processing this package, the Division requests your assistance in providing a timely and complete response to any additional information requests. Please note, at this time, processing of permit application packages may take as long as 60 to 90 days after receipt of a complete package. PLEASE REFER TO THE PERMIT APPLICATION NUMBER WHEN MAKING INQUIRIES REGARDING THIS PERMIT APPLICATION PACKAGE. If you have any questions about this package, please contact Mr. Gleason of the Water Quality Section of the Division's Mooresville Regional Office at (704) 663-1699 or via e-mail at rex.gleason@ncmail.net. Thank you in advance for your cooperation and assistance. AH. ly, Colson, P.E. Supervisor, Non -Discharge Permitting Unit cc: Ms. Rhonda S. Money, Synagro South, Inc. Mr. D. Rex Gleason, P.E., Mooresville Regional Office - Water Quality Section Mooresville Regional Office - Groundwater Section Ms. Debra J. Watts, Central Office - Groundwater Section Tarflif_File ,W Q0003902;3 Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 DENR Customer Service Center An Equal Opportunity Action Employer KDENI Internet http://h2o.enr.state.nc.us/ndpu Telephone (919) 733-5083 Fax (919) 715-6048 Telephone 1 800 623-7748 50% recycled/10% post -consumer paper OKI A .Residuals Management Company NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAM MODIFICATION ORIGINAL Newton, North Carolina Permit # WQ0003902 Prepared by: SYNAGRO SOUTHEAST 6220-A Hackers Bend Ct. Winston-Salem, NC 27103 Toll Free: 1.877.267.2687 Fax: 336.766.8652 is 11 A Residuals Management Company NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAM MODIFICATION Newton, North Carolina Permit # WQ0003902 A better tomorrow for our Client Triangle: The GENERATOR, The LANDOWNER, and The ENVIRONMENT Prepared by: SYNAGRO SOUTHEAST 6220-A Hackers Bend Ct. Winston-Salem, NC 27103 Toll Free: 1.877.267.2687 Fax: 336.766.8652 Table of Contents Section # Title Section 1 Attachment Order 1: Non -Dedicated Residuals Land Application Programs Form Attachment Order 1-a: Signing Official Delegation Letter Section 2 Attachment Order 3: Land Application Certification Attachment • Attachment Order 3-a: Watershed Classification Attachment Order 3-b: County Manager Notification Attachment Order 3-c: Landowner Agreement Attachment Order 3-d: Buffer Waiver Agreement Attachment Order 3-e: Vicinity and Buffer Maps Attachment Order 3-f: Soils and Agronomic Evaluation (where applicable) Attachment Order 3-g: Cumulative Pollutant Loading Rates (where applicable) 0 I 1. 2. State of North Carolina Department of Environment and Natural Resources Division of Water Quality NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) Application Number: GENERAL INFORMATION (See Instruction B.): Applicant's name: City of Newton 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: NC Zip: 28658 Telephone number: (704) 695-4345 Facsimile number: (704) ' 465-7481 mail.ci.newton.ne.us E-mail address: jrichards@i-nail.ci.newton.ne.us • 4. Name and complete mailing address of contact person and/or consulting firm who prepared application: Synagro Southeast c/o Rhonda Money, 6220-A Hackers Bend Court City: Winston-Salem State: NC Zip: 27103 Telephone number: (336) 766-0328 Facsimile number: (336) 766-8652 E-mail address: rmoney@synagro.com 5. County where residuals land application program is headquartered: Catawba 6. County(ies) where residuals source -generating facilities are located: Catawba 7. County(ies) where land application sites are located: Catawba 8. Fee submitted: $ 325.00 • II. PERMIT INFORMATION: ]. Application is for: El new, M 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 WQ0003902 , the most recent issuance date 1 1-12-2002 and the expiration date 8-31-2005 Date of most -recently certified Attachment A: 9-8-2000 Date of most -recently certified Attachment B: 11-12-2002 FORM: NDRLAP 02/02 Page 2 of 5 Attachment Order 1 heck all that apply to the requested permit modification: 7 INCREASE ElDECREASE the maximum permitted annual dry tonnage for existing residuals source -generating facility(ies) certified for this residuals land application program. ADD DELETE residuals source -generating facility(ies) to/from those certified for this residuals land application program. ® INCREASE ® DECREASE the net acreage associated with land applications site(s) currently certified for this residuals land application program. ® ADD ❑ DELETE land application site(s) to/from those certified for this residuals land application program. OTHER. Explain: III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Who will be responsible for the day-to-day management of the residuals land application program: ❑ Permittee or ® residuals management firm. If a residuals management firm, complete the following: Firm contact person and title: Frankie Singleton, Sr. Operations Manager Synagro Southeast, 6220-A 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 Sigmon Superintendant 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: N/A FORM: NDRLAP 02/02 Page 3 of 5 Attachment Order 1 :omplete the following tables regarding management of the residuals land application program: Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 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 14.46 15.56 49,713 53,495 Five Year Maximum Adjusted 23.0 24.1 79,074 82,856 Lanai 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 of Plantation 0 Row Crops 66.4 Hay 159.9 Pasture 421.7 Total: 648.0 Methods Surface 581.6 Incorporation or Injection 66.4 Total: 648.0 Restrictions Year -Round 648.0 Seasonal 0 Total: 648.0 C. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate (lbs PAN/ac yr) Acres Required Using First PAN Concentration Acres Required Using Five -Year Maximum Adjust PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 70 711 765 1130 1184 150 332 357 528 553 250 199 214 317 332 FORM: NDRLAP 02/02 Page 4 of 5 Attachment Order 1 • dentify and provide a plan as well as a schedule to resolve any issues that would prevent all of the residuals ;urrently certified and proposed for certification to be land applied without exceeding agronomic rates or ,iolating any of North Carolina's standard permit conditions governing residuals land application programs (e.g., not enough storage, not enough land, etc.): If a land shortage occurs the residuals will be transported to the regional compost facility; known as the Regional Sludge Management Facilitv. Applicant's Certification: I, Martin Wilson, Public Works Director , attest that this application for City of Newton 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. Signaturf � j W Date: �'5 le - 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 Delivery: 512 NORTH SALISBURY STREET, SUITE 1219 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 733-5083 *** END OF FORM NDRLAP 02/02 *** FORM: NDRLAP 02/02 Page 5 of 5 Attachment Order 1 Attachment Order 1-a Signing Official Delegation Letter • • PUBLIC WORKS AND UTILITIES DEPARTMENT April 30, 2002 To Whom It May Concern: The City of Newton Director of Public Works and Utilities has the authority to sign as the "Permittee" on all documents, forms and applications relating to any N.P.D.E.S. permits held by the City of Newton. The current Director is Martin D. Wilson. Sincerely, Edward Burchins, City Manager City of Newton • • Attachment Order 3 Land Application Certification Attaclunent 0 • Applicant's name: Check all that apply • City of Newton NEW RESIDUALS LAND APPLICATION PROGRAM ® RENEWED RESIDUALS LAND APPLICATION F___ ® ADD DELETE this/these land application site(s) to/from those certified for this residuals land application program. INCREASE ® DECREASE the net acreage associated with this/these land application site(s) currently certified for this residuals land application program. OTHER Explain: To avoid some confusion: 634.6 + 0.5 + 14.0 + 2.7 - 3.8 = 648.0 Land application sites currently certified: Approximate percentages: 634.6 net acres and proposed for certification: % forested, 100 % agricultural, and I. LAND APPLICATION SITE INFORMATION (See Instruction B.): 1. Complete the following table with the requested information: 17.2 net acres. Total to be certified: 648.0 net acres. % reclamation sites. Status Code Site / Field ID Landowner (s) Leasee(s) or Operators County Net Acres Predominant Soil Series Soil CEC M NC-CA-30-J)` Larry Jarrett same Catawba 17.4 Hiwassee 6.8 N NC-CA-30-01 Larry Jarrett Sa4fte Catawba 14.0 Appl. & Beth. 7.2 M NC-CA-35-ID1 Turbyfill Properties Bill McCanipe Catawba 20.0 Hiwassee 8.8 M -j/ NC-CA-35-03 Turbyfill Properties LL Bill McCanipe Catawba 51.3 Cecil 4.6 i FORM: LASCA 02/02 Page 2 of 2 Attachment Order 3 Attachment Order 3-a Watershed Classification • 0 r"TCF1VFr State of North Carolina Department of Environment and Natural Resources Division of Water Quality APR 2 8 2003 WATERSHED CLASSIFICATION ATTACHMENTtx DFpi .w jE1kiViici�nae�� FOR RESIDUALS PROGRAMS��� FRU111_e 10TICE (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 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 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 fonn may be used if necessary. ✓ Use a portion of an 8.5-inch by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map .to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ✓ Latitudes and longitudes must reported as being based on either the NAD 27 or the NAD 83 data systems. • ✓ Acceptable methods of determining location latitudes and longitudes and their corresponding codes are as follows: Address Matching (ADD) Digital or Raw Photo Extraction (EXT) Aerial Photography with Ground Control (AER) Geodetic Quality GPS Survey (GEO) Cadastral Survey (SUR) LORAN-C Navigation Device (LOR) Conversion from Coordinate Plane (CP) Navigation Quality GPS (GPS) Conversion from Township -Section -Range (TSR) Remote Sensing (RS) Conversion from Universal Trans Merc (UTM) Zip Code Centroid (ZIP) Map Interpretation by Digital or Manual Extraction (MAP) ✓ Location accuracy must be provided to the nearest unit (e.g., nearest second, tenth of a second, etc.). C. Mail or fax the attachment form and the map portions to the appropriate regional office for review and to obtain the waterbody and classification information. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at:-http://h2o.enr.state.nc.us/ndpu/. The Division will not consider this attachment form to be complete until it is completed by the appropriate regional office. To: Regional office: Mooresville Regional Office Address of regional office: 919 North Main St. City: Mooresville state: NC zip: 28115 Facsimile number: ( 704) 663-6040 Please provide me with the waterbody name(s), stream index number(s), and current/proposed classification(s) of the surface waters that are closest to and downslope from the location(s) where the proposed residuals program activities are anned to occur, as identified on the attached map segment. r 9 Signature of regional office staff: 61, �..--/ Date: L 3 GI FORM: RWSCA 02/02 Page 1 o4 Attachment Order 3-a Location ID County Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. (To Be Completed by DWQ) Current and Proposed Class (To Be Completed By DWQ) NC-CA-30-2 Catawba 350 35'21 "N 810 19'09"W NAD 27 MAP second t � 5 a FORM: RWSCA 02/02 Page 2 Attachment Order 3-a Attachment Order 3-b County Manager Notification • State of North Carolina Department of Environment and Natural Resources Division of Water Quality COUNTY MANAGER NOTIFICATION ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.uslndpul INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each county in which the land application sites for which the applicant is seeking certification are located. C. Mail the attachment form to the appropriate county manager by certified mail with a.return receipt requested. ✓ The most current publication of the Directory of State and County Officials may be downloaded from the web site at: http://www.secretary.state.nc.us/pubsweb/direct.asp. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://h2o.enr.state.nc.us/ndpu/. D. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form prior to submission of the application to the Division for review. To: County where land application sites are located: 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 no later than the listed expected application date: Name and complete address of appropriate regional office: Mooresville Regional Office 919 North Main Street City: Mooresville State: NC Zip: 28115 Telephone number: (_704) 663-1699 Facsimile number: ( 704_) 663-6040 Expected date of application submission: May 15, 2003 Actual date of application submission (to be completed by DWQ): Deadline for county manager response (to be completed by DWQ): vLP 1216 /?r CG 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 ENERAL INFORMATION: )plicant's name: City of Newton fining 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: -irichards@,maii.ci.newton.nc.us 4. Name and complete mailing address of contact person and consulting firm who prepared application: Synagro Southeast. c/o Rhonda Money : 6220-A Hackers Bend Ct. City: Winston-Salem State: NC Zip: 27103 Telephone number: (_336_) 766-0328 Facsimile number: ( 336_ ) 766-8652 E-mail address: rmoney@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 WQ0003902 • the most recent issuance date 11/12/2002 . and the expiration date 8/31/2005 Date of most -recently certified Attachment A: 09-08-2000 Date of most -recently certified Attachment B: 1 1-12-2002 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: _634.6_ acres (approximate percentages: % forested, _100 _ % agricultural, and % reclamation sites). 4. This application, if approved by the Division, will certify _17.2_ 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 SENDER: COMPLETETHISSECTIoN.- ■ Complete items 1 2 and 3 Also corn I — COMPLETE THIS SECTION ON DELIVERY item 4 if Restricted Delivery is desired. ■ Print Agent your name and address on the reverse i so that we can return the card to you. ❑ Addressee ■ Attach this card to the back of the mailpiece, Received by (Printed Name) C. Date of Delivery or on the front if space permits. 1 to v� S ' �'U_j ' 1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes 7, 7harnfts L�.r�y1 If YES, enter delivery address below: ❑ No .. M Sox 3�9 11 ir�'Ta /1 rvG 8 S S ail ❑ Express Mail ❑ Return Receipt for Merchandise +° 7Restricted il ❑ C.O.D. i livery? (Extra Fee) ❑Yes 2. Article Number (transfer from service label) ? 0 0 2 0 510 ---- --- 0002 4 217 9020 - _ _ is PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 Attachment Order 3-c,d,e,f,g Landowner Agreement Buffer Waiver Agreement Vicinity and Buffer Maps Soils and Agronomic Evaluation (on new field only) Cumulative Pollutant Loading Rates (where applicable) • 0 • 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 orfor an electronic version of this form, visit our web site at: hap://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 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 Complete mailing address of applicant: . P.O. Box 556 City: Newton Telephone number: E-mail address: City of Newton c/o James Richards��'Al State: NC Zip: 28658 ( 704 ) 465-7480 Facisimile Number: ( 704 ) 465-7481 hereinafter referred to as the Permittee, to land apply residuals from the following residuals source -generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities NC-CA-30-(1&2) hay & pasture livestock 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. 1. STIPULATIONS: FORM: LOAA 02/02 Page I of 3 Attachment Order 3-c r� • lndowner or his representative shall not enter into any additional waste disposal contracts or agreements with another ;ipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land appucation 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 NCD> NR-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 terns 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 tern of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c • 'RICTIONS: Q� Landowner's Certification: ® I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. 1 certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. tea, downer name: La r r reca :Tj Ipture: Date: ,4, NO COUNTY C O NA,� I, the undersigned Not7a_ryPu`U is db hereby certi y thats^rt/ lr�sn� -personally appeared before me this day and acknowledged the due execution of the forgoing instrument. p. Y pp Y g g b WITNESS my hand and official seal this the 20 " .,.My-oni,mission expires: �— 0 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. Signing official name: Martin Wilson Signature: �(� Date: ® o O3 *** END OF FORM LOAA 02/02 *** FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c • • Complete mailing address of applicant: City: L►n.L��+�h �. State: U G - zip Telephone number: (70 ) / pa ^ !1 !10 D Facsimile number: (_ E-mail address: 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.uslndpzd INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 0)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 (j)(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: _ �O Applicant's name: V� 1�n. Z Ra r KQ1r ® N I- Cj l�� O C)441 Q =o hereinafter referred to as the Permittee, to land apply residuals within 180— feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following: f Location address of property: R7-� JV CL. 1- w a ��TC City: �..�h Cer�Tau� State: 1N C zip: This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this property on behalf of other deeded property owners Furthermore, I certify that I have read and understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein. Property owner name: Signature: e *** END OF FORM LOAA 02/02 *** Date: *-.?.? -a 2 FORM: BWAA 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 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.ne.us/ndpzd INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 (j)(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: 11 l' 11w0 Complete mailing address of applicant: City: Li r�.J,L�O P (_ - State: k C Zip:�- telephone number: ( -1 G a- 4'2 l I Facsimile number: ( ) E-mail address: hereinafter referred to as the Permittee, to land apply residuals within 1 0 0 feet (i.e., cannot be less than 100 feet) of the residence or place of public assse_1-L mbly located at the following: Location address of property: 1\�C'f�5� 1\ Imo'' = � - t--1 b6� \ L u��u ) City: L '% C r3I#A--� State: ki Zip: 2 7 09 2. 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. ©�l certify that I am a deeded property owner of above -referenced property and am authorized to snake 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 spec+fed(;hepein. Property owner Signature: *** END OF FORM LOAA 02/02 *** Date: q - ZZ- 0 Z FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d 1-1 • State of North Carolina Department of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS FORNI 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 oj'this form, visit our web site at: http://h2o.enr.state.nc.uslndpzd INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 (j)(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 Q,` The undersigned property owner hereby permits: a Applicant's name: Complete mailing address of applicant: y eS i" S 9 City: C)arc- " L; I 1 C State: 6j, C_ Zip C Telephone number: (%)� J 7 Facsimile number: `- E-mail address: �V F hereinafter referred to as the Permittd, to land apply residuals within 100 feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located rat the following: Location address of roperty: 1�2epSV �1 l e ?� \ Cnt ., ha Co •� City: — ,,%rd" n State: N C_ - Zip: ��0 91 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 ov `i? ' 4-" K) Signature: *** END OF FORM LOAA 02/02 *** FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d • State of North Carolina Department of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS FORM 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 iiaformation 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 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 (j)(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�� V /11 The undersigned property owner hereby permits: tc, LA AA Qll� Applicant's name: Complete mailing address of applicant: City: L.A AC-P In. v\. U �, U C Zip: 2-'Toq p Telephone number: (7 ° t ) . 2 -I k S q _ Facsimile number: ( E-mail address: State: hereinafter referred to as the Permittee, to land apply residuals within /a D feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following: 1-1 Location address of property: keeegW%I if F-A l tL M4.v IOG• City: L..rrv'r.-�v A. State: P C Zip: 271),qJ- This Agreement shall remain in effect for the iength 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. i Property owner name: Signature: *** END OF FORM LOAA 02/02 *** i `7' Date: - Is " 0 07 FORM: BWAA 02/02 Page I of I Attachment Order 3-d ;III/ SYNAGRO A Ruidnah Management Company COUNTY OWNER- 0 — - W,�i7-.,n_ z \\ : . ƒ \} � �, :� } � ~ � � & 0 0 J py�T s - t Al x r aay a w ZONOMIC EVALUATION y Jarrett -- CA-30 field 2 Overall 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. Crop management guidelines that should be considered for each field are: • timing of application events with plant nutritional needs and periods of plant dormancy, • split applications to prevent hydraulic overloading or nutrient leaching, • establishments of suitable vegetative cover on current agricultural sites, • incorporation or injection of residual solids on fields that have a high incidence of flooding, • maintenance of proper vegetative cover on sloping areas with runoff potential, and • proper coordination between application events and crop harvesting. Specific cropping patterns : This field is fescue pasture, continuous maintenance Fertilizer application: will be biosolids (N as a limiting factor) Methods of soil tillage: none unless re -seeding an area • Irrigation practices, if any: none Final use of crop grown: livestock Location of surface water: none within 100 feet History of flooding and drainage problems: a bowl -shaped section is in the south-east corner of the field and has been buffered Seasonal fluctuation of ground water level: no low-chroma mottles show up although concretions are seen in the bowl -shaped area Extra comments: none 11 17J 0 NEWTON SOIL SCIENTIST CERTIFICATION This is to certify that soil and site evaluation was conducted on the proposed application site (listed below) for Newton by Synagro South. The soil and site evaluation consisted of hand auger borings of the soils on the application site, soil profile descriptions, collection of soil fertility samples by standard soil sampling methods, location of property lines, location of residences, location of wells and surface water features, identification of all required buffers areas, and generation of application area snaps. All hand auger borings included in this package were either performed by myself or under my direct supervision. Er' Tho son, L.S.S. No. 1238 SITE NC-CA-3 0-2 DESCRIPTION SHEET 1 I VjWV L. �I'.i6 �-��/t.L Site: nIC-C/A-30 Acres (gross): Horizon PROFILE A A Residuals I:c.: - er:; : Company Landowner: 4 Sample ##: Nc-c./4-30 -z Slope: �- Crop: { SOIL PROFILE DESCRIPTIONS Depth Texture Color Structure �lo les J- A r c Field: Acres (net): Depth to SHWT: - 7)�; (: Depth & type of restrictive layer:" Soil Series: 46t'46 -ant-( eou�044L1/uvJ Horizon Depth Texture Color PROFILE B ) ` 7 rye- -'�,t'rk /.o -f u� l,_. /;`f'�� t�c�P�� Y JW !� L //� , � !(� -f VAC. Depth to SHWT: Depth cgs type of restrictive layer: stil Series: Notes: A � Ndl,-, u6 NQ 6l- ,A,1crr 444, L.6 R 1,; 1,c?e4l1,sa JA rA640'raW& / C uY Described By: Structure - A >a eou - J Mottles Date: 6Y1<. Q. Legend a Texture Structure Grade Structure Type s Sand 1 VNeak gr Granular abk _ I Loam 2 Moderate pl Platy sbk si Silt 3 Strong pr Prismatic sg c Clay cpr Columnar m FMalj C ,angular Blocky Subangular Blocky Single Grained Massive G� 1* 0 REPORT NUMBER A&L EASTERN AGRICULTURAL LABORATORIES, INC. R 108-101 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 Fax No. (804) 271-6446 EMAIL ACCT # 45230 SEND SYNAGRO SOUTHEAST LARRY JARRETT(CA-30) TO: SAMPLES SUBMITTED RHONDA GROWER: NEWTON PERKMITTING BY. 6220A HACKERS BEND CT - WINSTON SALEM NC 27103 04/19/2002 1 DATE RECEIVED 04/17/2002 DATE OF REPORT PAGE SOIL ANALYSIS REPORT DATE OF ANALYSIS 04/18/2002 ORGANIC MATTER PHOSPHORUS POTASSIUM :: MAGNESIUM' .CALCIUM .: SAMPLE LAB SODIUM pH - ACIDITY , ' QE.C. r - NUMBER , „' NUMBER /o t, ENR + ;; BRAX Pi BRAY P2 K MG Cp `; . :I ;. ,. NA; SOIL`,, BUFFER H bs./A ..RATE . r PPm • ppm . , :RATE.' ppm . -.,., g PPm RATE . , .... RATE PPm RATE PPm -RATE ; a , PH INDEX , " ;'meq/100meq/100 , 30-1 06185 2.6 92M 2 VL 5 VL 125 H 268 VH 810 M 6.8 0.2 6.8 30-2 06186 2.8 96M 2 VL 4 VL 52 L 247 VH 750 M 5.9 6.81 1.2 7.2 SAMPLE PERCENT BASE SATURATION sr NITRATE SULFUR ZINC '. - MANGANESE - ,:., IROM. COPPER ' 4 B . ORON SOLUBLE'' eCHLORIDE ` :MOLYB--' ,`. ;NUMBER K Mg , Ca - ,' Na r, H NO ZN ,; .:, SALTS <: °[)ENUM: MO:., a. MN FE CU B a PP,m RATE PPm ,RATE 'PPm :.RATE PPm ;RATE, . , m'- RATE: - PP • ' PP.m RATE_ ppm, '*RATE ` ms/cm RATE ppm ; RATE, ppm RATE• 30-1 4.7 32.8 59.5 2.9 3.2 M 40 H 17 H 2.2 H 30-2 1.9 28.7 52.3 17.1 2.8 M 14 M 16 H 1.4 H Values on this report represent the plant available nutrients in the soil. Explanation of symbols: Values are expressed as % (percent), ppm (parts per million), or Ibs/A (pounds per acre). Thls ort applies to the sample(s) tested. Samples are retained a max er t i y days after testing. Soil Analysis prepared by: Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). A L A TERN AGRICULTURAL LABORATORIES, INC. ENR - Estimated Nitrogen Release. C.E.C. - Cation Exchange Capacity. To convert to Ibs/A, multiply the results in ppm by 2. M See the back of this report for conversion factors and more detailed information. by C.-No-radibnes ."ORT NUMBER: R IOG-101 A&L EASTERN AGRICULTURAL LABORATORIES, INC. 7621 Whitepine Road - Richmond, Virginia 23237 - (804) 743-9401 Fax No. (804) 271-6446 SEND SYNAGRO SOUTHEAST LARRY JARRETT(CA-30) TO: GROWER: NEWTON PERKMITTING 6220A HACKERS BEND CT WINSTON SALEM NC 27103 04/19/02 1 DATE OF REPORT PAGE SOIL ANALYSIS REPORT SAMPLES SUBMITTED BY: EMA] ACC1 RHONDA DATE RECEIVED 04/17/02 DATE OF ANALYSIS 04/18/02 SAMPLE LAB Nitrogen Phos- phP s Potassium Sulfur Calcium Magnesium Sodium Iron Aluminum Manganese Copper Zinc Ammonia Nitrate N K S Ca Mg Na Fe Al Mn Cu Zn Nitrogen Nitrogen (DENT. NO. mg/kg mg1kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg 30-1 06185 30-2 06186 LAB Cadmium Chromium Nickel Lead Arsenic Mercury Selenium Organic Total MO �I Cd Cr Ni Pb As Hg Se Nitrogen pH C.E.C. NO. mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg (meq/100g) PPM 06185 <0.01 < 1 06186 <0.01 < i Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. This r ort plieoply t#IIDR"IN N Eoples are retai d axi of thirty days a ng. A& A AG TU BO A RIES, INC. . ti., SYNAAGIRO A Raidnalt Af.wgomwt Comp-V l' OWNER L acry Va c-re-jq- SCALE: I" = FIELDS c4 3d 1020UNTY Ca+o,0 bo. SHEET yD PREDOMINANT SOIL SERIES N�►�►assee A��l� , �y�'��/e`i�`.-r • 0 SITE SUMMARY City of Newton Newton, NC Site ID: NC - CA - 30 Owners Name: Larry Jarrett Address: 8129 Reepsville Rd. Lincolnton, NC 28092 Phone: (w)828-328-2213 ext. 3284 Operator: same Estimated Total Applica Fields Acres res Croo(s) (cell)828-310-8022 Latitude & Slone (%) Lonaitude p 1 30.4 (Z:�/ fescue 0-10 350 35' 21 " N 810 1 9' 09" W D 2 15.8 14.0 fescue 0-10 350 35' 29" N - 810 19' 09" W TOTALS 46.2 31.4 Notes: Date: 04/25/03 SYNAGRO OWNER Garry Tare 1-4-- SCALE: 1"= 0?, 060 FIELDS A)c -cA -3 U -K, z� PHOTOQUADNR 4 245yi th" /vc l y 9 3 CONTOUR INTERVAL 1) MAP # Attachment Order 3-c,d,e,f,g Landowner Agreement Buffer Waiver Agreement Vicinity and Buffer Maps Soils and Agronomic Evaluation (on new field only) Cumulative Pollutant Loading Rates (where applicable) • • n U w State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of 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: V IN Applic's name: L i l-Y o� NQW ant Complete mailing address of applicant: P,0, se 5So City: ^/Ve-o-f"o ✓1 State: evC iv W Zip: a'R Telephone number: (`70 Y ) W ?- 2y$t7 Facsimile number: (709 ) q/o S" - 7 yy E-mail address: hereinafter referred to as the Permittee, to land apply residuals from the following residuals source- generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or . ,Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities fi(_-CAA 356-: -QSu-"c%rekaj pu -Lr( Cc--#/e Zed Clark G-e_ek W t tT(-3 - 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 TIPULATIONS: he landowner or his representative shall not enter into any additional waste disposal contracts or agreements with nother municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. be land application of any additional residuals or waste, other than that generated by the residuals source -generating tcilities specified by the Division's residuals land application program permit, is prohibited. . he 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 JV • • ,ESTRICTIONS: 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 Q$ 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: %1 A k� c j Pa o P =- R ',— / Signature: ��� �A..,r mate: _ -f—/1 y%d 2— NORTH CAROLINA, Ccx 4a o bu COUNTY I, the undersigned Notary Public do hereby certify that Siolox rt` c-b -e personally appeared before me this day and acknowledged the due execution) rof the for WITNESS my hand and official seal this the a O day of 20 0 �. = _ 1 QSignature and seal: My commission expires: 0 cr, .2 1/ , a 00,T' Lessee's/Operator's Certification: V///�,/OFII'YP0"NOX I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. /, Lessee/operator Signature: Permittee's Certification: Date: _,�' _ a,2. --ZOO 2. 0 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. __ A Signing official name: 3. *** END OF FORM LOAA 02/02 *** Date: FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c • State of North Carolina Department of Environment and Natural Resources Division of Water Quality 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 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, canno 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: C;±, a-C Complete mailing address of applicant: C6 me mes /�'c%c«�Sfyd W T19 &ekrV r`Sar' RO, Qa X S-s-o City: /ij R,._)-tan State: A G Zip; -2 F6 .S Telephone number: (%ay ) �lfa� " %�8'a Facsimile number: (70 Y ) ells S — 7 VT l E-mail address: hereinafter referred to as the Permittee, to land apply residuals within 160 feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following: Location address of property: � r City: lnc.meti State: G Zip: a 8'(o Sa 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: ¢�.�.�-�� '-L FORM: BWAA 02/02. Page 1-of 1 Attachment Order3-d- State of North Carolina 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) jL at: 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 orfor an electronic version of'this form, visit our web site at, http.Ilh2o.erir.state.nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: ` y A. Attachment Form: ✓ Do not submit -this attachment form for review without its corresponding residuals program application form (Form NDRLAP).. - ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, canno 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: G'$Y °�( P)e,,j-to'n Complete mailing address of applicant: �fo ''cmes R,(,i.c,rj5 w il'rP Sweerv,'So! Q, o .. dox 5S© City: 4-e-040A State: f1i L zip: a SS Telephone number: ( cl y) CGS " 71/$0 Facsimile number: (%6 14 8-mail address. - 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 following: Location address of property: 6 7 2-0 -.jr r,/ ft- jd /f W- City: -,01r4 17+tt t i State: uc zip. 6 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. r-1 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: 11 AF- L.. In In, td._,`L *** END OF FORM LOAA 02/02 *** Date: I— Z/ _ 6 j_ FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d State of North Carolina Department, of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS. FORAM NIA )' BE PHOTOCOPIED FOR USE AS AA1 ORIGINAL) livision 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 iveb site at: http://h2o.enr.state.ne.us/ndpul INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment forth for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 211 .0219 (j)(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: Cl.ty of Newton Complete mailing address of applicant: c/o James Richards, WWTP Supervisor • P.O. Box 550 City: Newton State: NC Zip: 28658 Telephone number: (9.�) yS 4131/5 Facsimile number: ) 465-7481 • E-mail address: hereinafter referred to as the Permittee, to land apply residuals within / ji a feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following: Location address of property: 1 . ':� -r A P, �r O V\/ l\1 D City: ! - 1 f} ► Q F_zy State: N r� Zip: 2 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: tj A13 K / CT I t/ K.Kr /_- I L L l Signature: =c/ sa��� P O Date: �z�� / 0 -z END OF FORM LOAA 02/02 *** FORM: BWAA 02/02 Page I of I Attachment Order 3-d SYNAGR-0 A RaidnaLr Management Company isouNTY Co-4ow �c,- OWNER 7urb� 4; 11 ��o�erflers PI_,ICATION AREA MAP ,1 �IJ J SYNAGRO A Retilluab Manmgemew Company Owner -ru6,/I C& 4e Scale: I" = ycc Field # (_.',4 • —� STREAM • -� DRAIN O POND SHE--3E-' PENCE n STORAGE AREA Total Acres 7/• D Net Acres S1, 3 �aj APPLICATION AREA = PRIVATE ROAD �g HOUSE FORESTED AREA 0 OUTBUILDING NVELL 0 SOIL DESCRIPTION \\ UNSUITABLE 4/25/03 CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF: 04/25/2003 *** The Cumulative metals for this report come from HISTORY records (i.e., a monthly report has been produced and the loadings have been archived to history.) *"* In cases where a trace metal was not tested or tracked the loading will be displayed as < 0.001 Date St Co./Site Field Last Applied As Cd Cr Cu Pb Hg MO Ni Se Zn NC CA 00035 0001 Nov-02 0.090 0.011 0.255 2.624 0.145 0.005 0.035 0.083 0.053 3.107 NC CA 00035 0002 Feb-03 0.147 0.019 0.433 4.364 0.244 0.009 0.059 0.143 0.093 5.303 NC CA 00035 0003 Feb-03 0.036 0.013 0.225 1.548 0.108 0.005 0.026 0.099 0.076 3.041 • • SITE SUMMARY City of Newton Newton, NC , I Site ID: NC - CA - 35 Owners Name: Turbyfill Properties, manager is Sid Turbyfill Address: Sid Turbyfill Bill McCanipe 180 Wyonia Way 1 899 Anaconda Lane Fayetteville, GA 30215 Maiden, NC 28650 Phone: (H)678-817-0885, (cell)206-276-6744 Operator: Bill McCanipe (home) 828-428-4859 Estimated Total Applicable Latitude & Fielrls Acres Acres Croo(s) Slope (%) Lonqitude C1 26.1 20.0 fescue hay 0-10 350 34' 04" N -81 ° 15' 42" W 02 45.0 21.9 fescue pasture 0-10 350 34' 08" N -81 ° 15' 24" W a 3 71.0 51.3 fescue pasture 0-10 350 33' 55" N -81 ° 15, 09" W TOTALS 142.1 93.2 Notes: Fields 2 and 3 are separated by power lines. Date: 04/ 17/03 7 SYNAGK0 OGRAHIC MAP u ns "A ki A Residuals A-lanagement Company I ft'N - ttselv� 7:12- L J; im '1l""'--i,,--'l'l.-m nd OWNER -n4,vbyrj/ Prgecf;e.5 SCALE: 1"= .2, o6o FIELDS r- • PHOTOQUADNR /??a; An NC /993 CONTOUR INTERVAL 70 MAP# 1 f -i Y Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources November 6, 2002 MR. MARTIN D. WILSON, PUBLIC WORKS DIRECTOR CITY OF NEWTON POST OFFICE BOX 550 NEWTON, NORTH CAROLINA 28658 Dear Mr. Wilson: Alan W. Klimek, P. E., Director Division of Water Quality Subject:- Permit No. WQ0003902 City of Newton City of Newton Residuals Land Application Program. Land Application of Residual Solids (503) Catawba County In response to your permit modification application package received on May 24, 2002, we are forwarding herewith a reissued Permit No. WQ0003902, dated September 8, 2000, to the City of Newton for the subject residuals land application program. This permit shall be effective from the date of issuance until August 31, 2005; shall void the first September. 8, 2000 issuance of Permit No. WQ0003902; and shall be subject to the conditions and limitations. as specified therein. Make note of this permit's expiration date and the fact that a permit renewal application is due to the Division of Water Quality (Division) no later than six months prior to that date (i.e., see Condition VI.7.), as the Division does not send reminders to apply for permit renewal. Please note that this permit is being reissued only in a new format to facilitate new permit review procedures that have been put into place by the Division. Note that no approval of the requested permit modifications is being provided by this issuance of the permit. A separate approval or denial of these modifications will be forthcoming to you from the Water Quality Section of the Division's Raleigh Regional Office. Be advised that operation of disposal facilities without a valid permit is a violation of North Carolina General Statute § 143-215.1 and may subject the owner/operator of the facilities to enforcement action in accordance with North Carolina General Statute § 143-215.6. Civil penalties of up to $25,000 per day per violation may be assessed for failure to await the issuance of a permit required by North Carolina General Statute § 143-215.1. As always, remember to take the time to review this permit thoroughly, as some of the conditions contained therein may have been added, changed, or deleted since the last issuance. Pay particular attention to the monitoring requirements in this permit. Failure to establish an adequate system for collecting and maintaining the required operational information will result in future compliance problems. Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 DENR Customer Service Center An Equal Opportunity Action Employer TOM NC ]ENR Internet httpJ/h2o.enr.state.nc.us/ndpu Telephone (919) 733-5083 Fax (919) 715-6048 Telephone 1 800 623-7748 50% recycled/10% post -consumer paper If any parts, requirements, and/or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request shall be in the from of a written petition, conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need -any additional information concerning this matter, please contact Mr. J. R. Joshi by telephone at (919) 733-5083, extension 363, or via e-mail atjaya.joshi@ncmail.net. Sincerely, for Alan W. Klimek, P. E. cc: Mr. Martin E. Mabe, Synagro South, Inc. Catawba County Health Department Mooresville Regional Office -Water Quality Section Mooresville Regional Office -Groundwater Section Central Office -Groundwater Section Technical Assistance and Certification Unit Water Quality Central Files NDPUFiles' NDPU Residuals Program Coordinator 2 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E., Director Division of Water Quality November 12, 2002 Mr. Martin D. Wilson, Public Works Director City of Newton . Post Office Box 550 Newton, North Carolina 28658 Subject: Attachment B Certification Permit No. WQ0003902 City of Newton Residuals Land Application Program Catawba County Dear Mr. Wilson: In accordance with your permit modification application package received on May 24, 2002, we are forwarding herewith a modified Attachment B, certified November 12, 2002, to the City of Newton for the subject residuals land. application program. This certification is being issued to modify Attachment B to: ♦ Approve land application sites owned by various landowners in Catawba County for land application of residuals under this program. These sites, totaling 338.80 net acres, are either new or have been transferred from the Town of Taylorsville Residuals Land Application Program (i.e., Permit No. WQ0006906). ♦ Renumber all approved land application sites, per your residuals management company's request, according to Synagro South, Inc.'s standard site numberinglidentification system. Please replace the existing Attachment B of Permit No. WQ0003902, that was previously certified on September 8, 2000, with this modified Attachment B. Note that only the vicinity and buffer maps for any new and modified land application sites are attached to this modified Attachment B. It is the Permittee's responsibility to ensure that a complete permit is created by inserting this modified Attachment B and vicinity and buffer maps into Permit No. WQ0003902, issued on September 8, 2000, and making sure to retain any vicinity and buffer maps for any existing and unmodified land application sites. This modified Attachment B shall be effective from the date of certification; shall void Attachment B of Permit No. WQ0003902 that was previously certified on September 8, 2000; and shall be subject to the conditions and limitations 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 September 8, 2000. . Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 DENR Customer Service Center An Fniial flnnnrhinihi Griinn Fmninvar Internet http://h2o.enr.state.nc.us/ndpu Telephone (919) 733-5083 Fax (919) 715-6048 Telephone 1 800 623-7748 z;n0/ rorvrlaf /i no/ nn&_rnnci imar nanar City of Newton If any parts, requirements, and/or limitations contained in this certification or modified Attachment B are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of the certification. This request shall be in the from of a written petition, conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need any additional information concerning this matter, please contact Ms. Ellen Huffman by telephone at (704) 663-1699 or via e-mail at ellen.huffman@ncmail.net. Sincerely, Alan W. Klimek, P.E. cc: Mr. Martin E. Mabe, Synagro South, Inc. Catawba County Health Department Mooresville Regional Office -Water Quality Section Mooresville Regional Office -Groundwater Section Central Office -Groundwater Section Water Quality Central Files NDPU Files NDPU Residuals Program Coordinator NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH LAND APPLICATION OF RESIDUAL SOLIDS (503) PERMIT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO City of Newton Catawba County FOR THE continued operation of a residuals land application program for the City of Newton and consisting of the land application of residuals generated by the residuals source -generating facilities listed in the most recently -certified Attachment A to the land application sites listed in the most recently -certified Attachment B with no discharge of wastes to surface waters, pursuant to the permit renewal application package received on August 17, 1999 and the permit modification application package received on August 18, 2000; and in conformity with the project plan, specifications, and other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit. This permit shall be effective from the date of issuance until August 31, 2005; shall void the first September 8, 2000 issuance of Permit No. W00003902; and shall be subject to the following specified conditions and limitations: I. PERFORMANCE STANDARDS The residuals land application program shall be effectively maintained and operated as a non - discharge system to prevent the discharge of any wastes resulting from the operation of this program. 2. This permit shall become voidable if the soils of the land application sites fail to assimilate the residuals adequately and may be rescinded unless the land application sites are maintained and operated in a manner that will protect the assigned water quality standards of the surface waters and groundwater. 3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface waters or groundwater resulting from the operation of this residuals land application program. 4. In the event that the residuals land application program is not operated satisfactorily, including the creation of nuisance conditions, the Permittee shall cease land applying residuals to the site, contact the Water Quality Section of the appropriate Division of Water Quality's (Division) regional office, and take any immediate corrective actions as may be required by the Division. 5. No residuals other than those generated by the residuals source -generating facilities listed in the most recently -certified Attachment A of this permit shall be approved for land application in accordance with this permit. 6. The pollutant concentrations in any residuals that are land applied to any land application site shall not exceed the following Ceiling Concentrations (i.e., dry weight basis): Parameter Ceiling Concentration (milligrams per kilogram) Arsenic 75 Cadmium 85 Copper 4,300 Lead 840 Mercury 57 Molybdenum 75 Nickel 420 Selenium 100 Zinc 7,500 7. When residuals are land applied under the conditions of this permit, the Class A pathogen requirements and site restrictions in 40 CFR Part 503.32(a) or the Class B pathogen requirements and site restrictions in 40 CFR Part 503.32(b), and one of vector attraction reduction requirements in 40 CFR Part 503.33 shall be met. Additionally, an evaluation shall be performed that demonstrates the residuals' ability to comply with this requirement. Upon request, a copy of this evaluation, including all test results and calculations, shall be submitted. Only residuals that are generated by the residuals source -generating facilities that are identified as being exempt from this condition in the most recently -certified Attachment A shall not be required to comply with the specified pathogen reduction and vector attraction reduction requirements. 8. Only the land application sites listed in the most recently -certified Attachment B of this permit are approved for residuals land application. This permit shall become voidable unless the agreements between the Permittee and the landowners and lessees or operators of any land application sites listed in the most recently - certified Attachment B of this permit not owned by the Permittee are in full force and effect. These agreements shall be considered expired concurrent with the expiration date of the permit and shall be renewed at the same time the permit is renewed. 10. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be notified at least 24 hours prior to the initial residuals land application event to any new land application site. In addition, the appropriate county manager's office shall be notified prior to the initial residuals land application event on any new site so that they will be aware that residuals land application activities have commenced on the site. 2 The Water Quality Section of the appropriate Division's regional office shall be notified at least 24 hours prior to the initial residuals land application event on any new land application site. Such notification to the Regional Water Quality Supervisor shall be made during normal office hours (i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding State Holidays. A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at http://h2o.enr.state.nc.us/ndpu/. II. - OPERATION AND MAINTENANCE REOUIREMENTS 1. The facilities and land application sites shall be properly maintained and operated at all times. 2. Upon classification of the residuals land application program by the Water Pollution Control System Operators Certification Commission (WPCSOCC), the Permittee shall designate a certified land application/residuals operator to be in responsible charge (ORC) of the program. The operator shall hold a certificate of the type classification assigned to the program by the WPCSOCC. The Permittee shall also designate a certified back-up operator of the appropriate type to comply with the conditions of 15A NCAC 8G .0202. 3. _. No residuals shall be stored at any land application site at any time, unless written approval has first been requested and obtained from the Division. 4. A copy of this permit shall be maintained in all manned equipment at the land application sites when residuals are being land applied during the life of this permit. A spill prevention and control plan shall be maintained in all residuals transport and application vehicles. When land applying residuals to any land application site, the following buffer zones shall be maintained at all times: a. 400 feet from residences . or places of public assembly under separate ownership for surface application methods; however, the buffer zone requirement may be .reduced to a minimum of 100 feet upon written consent of the owner and approval from the .Water Quality Section of the appropriate Division's regional office in Attachment B of this permit; b. 200 feet from residences or places of public assembly under separate ownership for subsurface application methods; however, the buffer zone requirement may be reduced to a minimum of 100 feet upon written consent of the owner and approval from the Water Quality Section of the appropriate Division's regional office in Attachment.B of this permit; c. 100 feet from any public or private water supply source, waters classified as SA or SB, and any Class I or Class II. impounded .reservoir used as a source of drinking water for both methods; d. 100 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal waters and any other lake or impoundment for surface application; e. 50 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal waters and any other lake or impoundment for subsurface application; f. 50 feet. from property lines for both surface and subsurface application methods; g. 50 feet from public right of ways for both surface and subsurface application methods; 3 h. 10 feet from upslope interceptor drains and surface water diversions for both su subsurface application methods; and 1. 25 feet from downslope interceptor drains, surface water diversions, groundwater systems, and surface drainage ditches for both surface and subsurface application memoas. Some of the buffers specified above may not have been included in previous permits for this residuals land application program. However, any land application sites that are listed in the most recently -certified Attachment B of this permit, but were approved with different buffers shall be reflagged to comply with these buffers. 6. Maximum slope for land application of residuals shall be 10 percent for surface application methods and 18 percent for subsurface application methods. 7. Specific residuals land application area boundaries shall be clearly marked on each land application site prior to and during a residuals land application event. 8. The metal loading rates on any land application site shall not exceed the following Cumulative Pollutant Loading Rates (CPLRs): Parameter CPLR (kilograms per hectare) CPLR founds per acre) Arsenic 41 36 Cadmium 39 34 Copper 1,500 1,338 Lead 300 267 Mercury 17 15 Molybdenum n/a n/a Nickel 420 374 Selenium 100 89 Zinc 2,800 2,498 9. An acceptable pH shall be maintained in the soil, residuals, and lime mixture, greater than 6.0, on all land application sites onto which residuals are land applied to ensure optimum yield for the crops specified in Condition H. 13. The agronomist shall provide information on the pH best suited for the specified crop and the soil type. 10. Should any of the residuals generated by the residuals source -generating facilities listed in the most recently -certified Attachment A of this permit contain a high salt content (i.e., high sodium adsorption ratio (SAR) of five or higher), the exchangeable sodium percentage (ESP) or other method as approved by the Division, using the results from the annual soils analysis as required by this permit, shall be monitored on all of the land application sites. The local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a North Carolina -licensed Soil Scientist, or other agronomist shall review the results and make recommendations regarding soil amendments (e.g., gypsum, etc.) or other ameliorative mechanism for maintaining the integrity of the site in terms of suitability for land application of residuals and maintaining conditions conducive to crop growth. The Permittee shall implement such recommendations accordingly and shall maintain written records of each monitoring event that includes details of the sites covered and rate of soil amendment application. 4 Prior to land applying residuals to any land application site that has previously received or is intended to receive animal waste (e.g., poultry litter, etc.) or other source of nutrients (e.g., fertilizer, etc.) in the future, the Permittee shall obtain information pertaining to the volume and analysis of the applied waste/nutrients from the landowner and/or lessee/operator of the site. The Permittee shall be responsible for verifying the volume of residuals that may be land applied to the site such that the plant available nitrogen (PAN) loading rate for the specified crop (i.e., see Condition E. 13.) shall not be exceeded by all of the sources of PAN applied. Should the maximum PAN loading rate be met or exceeded, then no additional residuals shall be land applied to the site. 12. A suitable vegetative cover, as listed in Condition H. 13., shall be maintained on land application sites onto which residuals are land applied in accordance with the crop management plan outlined by the local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist and as approved by the Division. 13. Residuals and other sources of PAN shall be land applied to all land application sites at agronomic rates in accordance with the crop management plan outlined by the local Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist. Under no circumstances shall the following PAN loading rates land applied to any site exceed the following for the specified crops: PAN PAN Crop (pounds per Crop (pounds per acre per year) acre per year) Alfalfa 200 Forest 75 (Hardwood or Softwood) Bermuda Grass 220 Milo 100 (Hay or Pasture) Blue Grass 120 Small Grain 100 (Wheat, Barley, or Oats) Com 160 Sorghum or Sudex 180 (Grain) (Pasture) Corn 200 Sorghum or Sudex 220 (Silage) (Silage) Cotton 70 Soybeans 200 Fescue 250 Timothy, Orchard, or 200 Rye Grasses The Permittee shall apply for and receive a modification of this permit before land applying residuals on any land application site that is to be established in a crop other than those listed above. A maximum PAN loading rate for the desired crop shall be approved with the permit modification. 5 If the land application sites are to be overseeded (e.g., bermuda grass in the summ grass in the winter with BOTH crops to receive residuals), then the second crop sh an application of PAN at a rate of no greater than 50 pounds per acre per year. Th shall be allowed as long as the second crop is to be harvested. If the second crc planted for erosion control only and is to be tilled into the soil, then no residuals shah oe iancn applied to these sites because the PAN will essentially be returned to the soil. Residuals shall not be land applied at rates greater than agronomic rates, unless authorized by the Division. 14. Animals shall not be grazed on any land application site for 30 days after any residuals land application event. Sites that are to be used for grazing shall have fencing that will be used to prevent access after each event. 15. Food crops, feed crops, and fiber crops that do not come in contact with the residuals shall not be harvested for 30 days after any residuals land application event. 16. Food crops with harvested parts that touch the residual/soil mixture and are totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14 months after any residuals land application event. 17. Food crops with harvested parts below the surface of the land (i.e., root crops such as potatoes, carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 18. Food crops with harvested parts below the surface of the land shall not be harvested for 38 months after any residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 19. Turf shall not be harvested for one year after any residuals land application event. 20. Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying residuals from the land application sites onto adjacent properties or into any surface waters. 21. Adequate procedures shall be provided to prevent surface runoff from carrying any land applied or stored residuals into any surface waters. 22. Surface -applied residuals shall be plowed or disced within 24 hours after land application on land application sites with no cover crop established. 23. For land application sites that are prone to flooding or within the 100-year flood elevation, residuals shall be land applied only during periods of dry weather. The residuals shall be incorporated into the soil within 24 hours after land application. 24. Residuals shall not be land applied during inclement weather or until 24 hours following a rainfall event of 0.5-inch or greater in 24 hours. Any emergency residuals land application measures shall first be approved in writing by the Division. 25. Residuals shall not be land applied to any land application site that is flooded, frozen, or snow-covered. rol Appropriate measures shall be taken to control public access to the land application sites during active site use and for the 12-month period following the last residuals land application event. Such controls may include the posting of signs indicating the activities being conducted at each site. III. MONITORING AND REPORTING REQUIREMENTS 1. Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue analyses) deemed necessary by the Division to ensure protection of the environment shall be .established, and an acceptable sampling and reporting schedule shall be followed. 2. Residuals generated by each residuals source -generating facility listed in the most -recently - certified Attachment .A of this permit shall be analyzed to demonstrate that they are non- hazardous under the Resource Conservation and Recovery Act (RCRA). A corrosivity, ignitability, and reactivity analysis as well as a Toxicity Characteristics Leaching Procedure (TCLP) analysis shall be conducted on residuals generated by each residuals source - generating facility listed in the most recently -certified Attachment .A of this permit. The analyses shall be performed at the frequency specified in the - most recently -certified Attachment A of this permit, and the results shall be maintained on file by the Permittee for a minimum of five years. If residuals generated by a particular residuals source -generating facility are land applied at a frequency less than that which is specified in the most recently - certified Attachment A of this permit, the analyses shall be required for each residuals land application event. Only residuals that are generated. by the residuals source -generating facilities that are identified as being exempt from this condition in the most recently -certified Attachment A of this permit shall not be required to comply with this monitoring requirement. The TCLP analysis shall include the following parameters (i.e., note the regulatory level in milligrams per liter in parentheses): Arsenic (5.0) 1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1,2-Dichloroethane (0.5) Pentachlorophenol (100.0) Benzene (0.5) 1,1-Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2,4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Hexachlorobenzene (0.13) Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5) Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) After the residuals have been monitored as specified above for two years at the frequency specified in the most recently -certified Attachment A of this permit, the Permittee may submit a request to the Division for a permit modification to request •a reduction of this monitoring requirement. In no case, however, shall the frequency of monitoring be less than once per permit cycle. 7 3. An analysis shall be conducted on residuals generated by each residuals source -generating facility listed in the most recently -certified Attachment A of this permit. The analysis shall be performed at the frequency specified in the most recently -certified Attachment A of this permit, and the results shall be maintained on file by the Permittee for a minimum of five years. If residuals generated by a particular residuals source -generating facility are land applied at a frequency less than that which is specified in the most recently -certified Attachment A of this permit, an analysis shall be required for each residuals land application event. The analysis shall include, but shall not necessarily be limited to, the following parameters: Aluminum Ammonia -Nitrogen Arsenic Cadmium Calcium Copper Lead Magnesium Mercury Molybdenum Nickel Nitrate -Nitrite Nitrogen Percent Total Solids pH Phosphorus Potassium Selenium Sodium Total Kjeldahl Nitrogen Zinc Plant Available Nitrogen (by calculation) After the residuals generated by a particular residuals source -generating facility have been monitored for two years at the frequency specified in the most recently -certified Attachment A of this permit, the Permittee may submit a request to the Division for a permit modification to reduce the frequency of this monitoring requirement. In no case, however, shall the frequency of this monitoring be less than once per year when a residuals land application event of residuals generated by the residuals source -generating facility occurs during that year. 4. Residuals generated by each residuals source -generating facility listed in the most recently - certified Attachment A of this permit shall be monitored for compliance with Condition I. 7. The monitoring shall be performed at the frequency specified in the most recently -certified Attachment A of this permit, and data to verify pathogen and vector attraction reduction of the residuals shall be maintained on file by the Permittee for a minimum of five years. The required data shall be specific to the stabilization process utilized, but also shall be sufficient to demonstrate clear compliance with the Class A pathogen reduction requirements in 40 CFR Part 503.32(a) or the Class B pathogen reduction requirements and site restrictions in 40 CFR Part 503.32(b) as well as one of vector attraction reduction requirements in 40 CFR Part 503.33. In addition, the Environmental Protection Agency (EPA) certification statements concerning compliance with pathogen reduction requirements, vector attraction reduction requirements, and management practices shall be completed quarterly by the proper authority or authorities, if more than one is involved (i.e., either the person who prepares the residuals, the person who derives the material, or the person who applies the residuals). Only residuals that are generated by the residuals source -generating facilities that are identified as being exempt from Condition I. 7. in the most recently -certified Attachment A of this permit shall not be required to comply with this monitoring requirement. 5. Laboratory analyses as required by Condition III. 2., Condition III. 3., and Condition 111. 4. shall be performed/gathered on the residuals as they are to be land applied. Furthermore, analytical determinations made pursuant to the monitoring and reporting requirements of this permit shall be made by a laboratory certified by the Division for the required parameter(s) under 15A NCAC 211.0800 or 15A NCAC 2H .1100. ri 6. Proper records shall be maintained by the Permittee tracking all residuals land application events. These records shall include, but are not necessarily, limited to, the following information: a. Source of residuals; b. Date of land application; c. Location of land application (i.e., site, field, or zone number); d. Method of land application; e. Weather conditions (i.e., sunny, cloudy, raining, etc.); f. Soil conditions (i.e., dry, wet, frozen, etc.); g. Type of crop or crops to be grown on field; h. Volume of residuals land applied in gallons per acre, dry tons per acre, or kilograms per hectare; i. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or kilograms per hectare (if applicable); j. Volume of soil amendments (i.e., lime, gypsum, etc.) applied in gallons per acre, dry ton per acre, or kilograms per hectare (if applicable); and k. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and other sources of nutrients (i.e., if applicable), annual and cumulative pounds per acre of each heavy metal (i.e., shall include, but shall not be limited to, arsenic, copper, lead, mercury, molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per acre of phosphorus applied to each field. 7. A representative annual soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on each land application site on which'a residuals land application event in the respective calendar year has occurred or is to occur, and the results shall be maintained on file by the Permittee for a minimum of five years. The Standard Soil Fertility Analysis shall include, but is not necessarily limited to, the following parameters: Acidity Exchangeable Sodium Percentage (by calculation) Calcium Magnesium Phosphorus Cation Exchange Capacity Manganese Potassium Copper Percent Humic Matter Sodium Base Saturation (by calculation) pH Zinc 8. Three copies of all required monitoring and reporting requirements as specified in Condition III. 1., Condition III. 2., Condition III. 3., Condition III. 4., Condition III, 5., Condition 111, 6., and Condition III. 7. shall be submitted annually on or before March 1st of the year following the residuals land application event to the following address: NCDENR-DWQ Water Quality Section Non -Discharge Compliance/Enforcement Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 6 9. Noncompliance Notification: The Permittee shall report by telephone to the Water Quality Section of the Division's Mooresville Regional Office at telephone number (704) 663-1699, as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first knowledge of the occurrence of any of the following: a. Any occurrence with the residuals land application program that results in the land application of significant amounts of residuals that are abnormal in quantity or characteristic. b. Any failure of the residuals land application program resulting in a release of material to receiving waters. c. Any time that self -monitoring information indicates that the residuals land application program has gone out of compliance with the conditions and limitations of this permit or the parameters on which the program system was designed. d. Any process unit failure, due to known or unknown reasons, that render the residuals land application program incapable of adequate residuals treatment. e. Any spillage or discharge from a vehicle. or piping system transporting residuals to the application site. Persons reporting such occurrences by telephone shall also file a written report in letter form within five days following first knowledge of the occurrence. This report shall outline the actions taken or proposed to be taken to ensure that the problem does not recur. IV. GROUNDWATER REQUIREMENTS 1. Land Application Site Requirements: a. Each land application site identified with a GW-A in the most recently -certified Attachment B of this permit is dominated by soils with a mean seasonal high water table greater than three feet below the land surface. Residuals land application events may occur on these sites throughout the year. b. Each land application site identified with a GW-B in the most recently -certified Attachment B of this permit is dominated by soils with a mean seasonal high water table between one and three feet below the land surface. Residual land application events on these sites shall be prohibited from December through March, inclusive. No residuals shall be land applied to these sites when the vertical separation between the depth of residuals land application and the water table is less than three feet. The actual water table depth for seasonally -restricted soils shall be verified by soil borings within 24 hours prior to any residuals land application event that occurs from April through November, inclusive. The number of borings advanced shall be sufficient to characterize water table conditions across the land application site adequately. Any open borings shall be properly filled with native soil, prior to the residuals land application event, to decrease the chance of any residuals contaminating the groundwater. 10 Applicable Boundary Requirements: a. The COMPLIANCE BOUNDARY for residuals land application programs is specified by regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The Compliance Boundary for each land application site is established at either 250 feet from the residuals land application area or 50 feet within the property boundary, whichever is closest to the residuals land application area. An exceedance of Groundwater Quality Standards at or beyond the Compliance Boundary is subject to immediate remediation action according to 15A NCAC 2L .0106 (d)(2). b. The REVIEW BOUNDARY shall be established around each land application site midway between the Compliance Boundary and the perimeter_ of the residuals land application area. Any exceedance ' of Groundwater Quality Standards at the Review Boundary shall require action in accordance with 15A NCAC 2L .0106 (d)(2). 3. Additional Requirements: a. Any groundwater quality monitoring, as deemed necessary by the Division, shall be provided. V. INSPECTIONS Prior to each residuals land application event, the Permittee or his designee shall inspect the residuals storage, transport, and application facilities to prevent malfunctions and deterioration, operator errors, and discharges that may cause or lead to the release of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall maintain an inspection .log or summary including at least the date and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken by the Permittee. This log of inspections shall be maintained by the Permittee for a period of five years from the date of the inspection and shall be made available to the Division or other permitting authority, upon request. 2. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application sites or facilities at any reasonable time for the purpose of determining compliance with this permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; and may obtain samples of groundwater, surface water, or leachate. VI. GENERAL CONDITIONS This permit shall become voidable unless the residuals land application events are carried out in accordance with the conditions of this permit, the supporting materials, and in the manner Approved by the Division. 2. This permit shall be effective only with respect to the nature and volume of residuals described in the application and other supporting data. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to an enforcement action by the Division in accordance with North Carolina General Statutes § 143-215.6A through § 143-215.6C. 11 4. 5. The annual administering and compliance fee shall be paid by the Permittee withi after being billed by the Division. Failure to pay the fee accordingly may cause the to initiate action to revoke this permit, as specified by 15 NCAC 2H .0205 (c)(4). The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances that may be imposed by other government agencies (i.e., local, state, and federal) which have jurisdiction, including, but not limited to, applicable river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under the Division's General Permit NCGO100000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC .0500. This permit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and monitoring requirements the Division deems necessary in order to protect the environment and public health adequately. 7. The Permittee, at least six months prior to the expiration of this permit, shall request its extension. Upon receipt of the request, the Division shall review the adequacy of the facilities and residuals land application program described therein, and if warranted, shall extend the permit for such period of time and under such conditions and limitations as it may deem appropriate. 8. This permit shall not be automatically transferable. In the event that there is a desire for the residuals land application program to change ownership or to change the name of the Permittee, a formal permit request shall be submitted to the Division documentation from the parties involved and other supporting materials as may be appropriate. The approval of this request shall be considered on its merits and may or may not be approved. Permit issued this the eighth day of September, 2000. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION for Alan W. Klimek, P. E., Director / Division of Water Quality By Authority of the Environmental Management Commission Permit Number WQ0003902 12 ATTACHMENT A - Aonroved Residual Source-Generatine Facilities Permit No. WQ0003902 City ojNewton City of Newton Residuals Land Application Program Owner Facility Name County Permit Number Issued By Is 503? Maximum Monitoring Monitoring Approved Dry Tons Frequency for Frequency for Mineralization Per Year Condition III.2. Condition III.3. and Rate Condition III.4. City of Newton Clark Creek WWTP Catawba NCO036196 DWQ 503 3,438.00 Annually Every 60 days 0.30 Total 3,438.00 Permit No. W00003902 Page I of I Certification Date: September 8, 2000 ATTACHMENT B - Approved Land Application Sites Permit No. FVQ0003902 City of Newton City of Newton Residuals Land Application Program Site/Field ID Landowner Lessee/Operator County Latitude Longitude Net Acreage Applicable Restriction In Condition IV. I. NC-CA-07-01 Sm re, Jeffery L. Catawba 35.37.47 81.10.50 8.30 GW-A NC-CA-07-02 Sm re, Jeffery L. Catawba 35.37.50 81.10.50 15.40 GW-A - NC-CA-07-03 Sm re, Jeffery L. Catawba 35.37.54 81.10.50 7.70 GW-A NC-CA-08-01 Seaford, David Catawba 35.33.50, 81.1G.27 7.60 GW-A NC-CA-08-02 Seaford, David Catawba 35.33.50 81.16.36 16.60 GW-A NC-CA-08-03 Seaford, David Catawba 35.33.52 81.16.48 11.80 GW-A NC-CA-09-02 Blackwell, Dan Catawba 35.35.05 81.16.20 35.30 GW-A NC-CA-11-01 City of Newton Richard, James Catawba 35.37.35 81.14.05 3.30 GW-A NC-CA-11-02 City of Newton . Catawba 35.37.45 81.14.05 4.90 GW-A NC-CA-12-01 Bowman, Allen E. Catawba' 35.25.45 81.14.45 8.20 GW-A NC-CA-1.3-01 Walters, Jarret Catawba 35.34.19 . 81.19.18 29.80 GW-A NC-CA-13-02 Walters, Jarret Catawba 35.34.14 81.19.07 15.50 GW-A NC-CA-13-03 Walters, Jarret Catawba 35.34.27 81.19.06 7.90 GW-A NC-CA-14-01 Lee, Bill Catawba 35.34.28 81.18.05 41.80 GW-A NC-CA-14-02 Lee, Bill Catawba 35.34.20 81.17.53 27.80 GW-A NC-CA-14-03 Lee, Bill Catawba 35.34.09 81.17.38 43.80 GW-A NC-CA-14-04 Lee, Bill Catawba 35.34.25 81.18.21 10.10 GW-A NC-CA-15-01 Fox, Conley Catawba 35.48.45 81.09.52 11.20 GW-A NC-CA-15-02 Fox, Conley Catawba 35.48.51 81.09.48 3.70 GW-A NC-CA-15-03 Fox, Conley Catawba 35.48.57 81.09.51 7.90' GW-A NC-CA-15-04 Fox, Conley Catawba 35.49.04 81.09.54 4.90 GW-A NC-CA-15-05 Fox, Conley - Catawba 35.49.04 81.09.50 1.40 GW-A NC-CA-15-06 Fox, Conley Catawba 35.49.09 81.09.53 5.90 GW-A NC-CA-15-07 Fox, Conley Catawba 35.49.13 81.09.42 19.30 GW-A NC-CA-15-08 Fox, Conley Catawba 35.49.05 81.09.29 12.90 -GW-A NC-CA-15-09 Fox, Conley Catawba 35.49.20 81.09.22 1.70 GW-A NC-CA-15-10 Fox, Conley' Catawba 35.49.04 81.09.18 1.90 GW-A NC-CA-15-11 Fox, Conley Catawba 35.49.01 81.09.36 7.90 GW-A NC-CA-30-01 Jarrett, Larry Catawba 35.48.56 81.19.09 16.90 GW-A NC-CA-31-01 Beam, David Catawba 35.35.21 81.06.36 12.80 GW-A NC-CA-31-02 Beam, David Catawba 35.38.29 81.06.26 30.50 GW-A NC-CA-31-03 Beam, David Catawba 35.38.26 81.06.37 4.60 GW-A NC-CA-31-04 Beam, David Catawba 35.38.16 81.06.31 1 15.40 1 GW-A NC-CA-32-01 . Si mon, Ronnie Catawba 35.38.03 81.06.01 1 13.70 GW-A NC-CA-32-02 Si mon, Ronnie Catawba 35.39.45 81.06.41 1 5.60 GW-A Permit No. WQ0003902 Page 1 of 2 Certification Date: November 12, 2002 ATTACHMENT B -Approved Land Application Sites Permit No. IVQ0003902 City of Newton City of Newton Residuals Land Application Program Site/Field ID Landowner Lessee/Operator County Latitude Longitude Net Acreage Applicable Restriction In Condition IV.1. NC-CA-33-01 Lineberger, Jeffrey B. Catawba 35.35.18 81.02.40 12.70 GW-A NC-CA-33-02 Lineberger, Jeffrey B. Catawba 35.35.25 81.02.34 21.40 GW-A NC-CA-33-03 Lineberger, Jeffrey B. Catawba 35.35.36 81.02.35 17.40 GW-A NC-CA-34-01 Lowman, David Catawba 35.35.25 81.02.06 14.80 GW-A NC-CA-35-01 Turbyfill Properties, L.L.C. McCann e, Billy Catawba 35.34.04 81.15.42 17.30 GW-A NC-CA-35-02 Turbyfill Properties, L.L.C. McCann e, Billy Catawba 35.34.08 81.15.24. 21.90 GW-A NC-CA-35-03a Turbyfill Properties, L.L.C. McCann e, Billy Catawba 35.33.55 81.15.09 55.10 GW-A Total For County Catawba 634.60 Total 634.60 A reduced buffer from a residence under separate ownership has been approved for this land application site. Residuals may be land applied to within 100 feet of the residence owned by Michael T. McNeil at 6770 Startown Road in Maiden, North Carolina, regardless of whether a surface or a subsurface application method is used. Permit No. WQ0003902 Page 2 of 2 Certification Date: Nc A _+ NCDENR North Carolina Department of Environment and Natural Resources Moor=-.—,&e Rcz-ur, C C i© North klal=�n Slz -----4 M,-,cr-ev4L,--Norte Crum 2-5 c t S Fhcne; ! 4 CC.z-EeZ-Q �.,r ! :EZ-6,12 C Date: From: G� To: x Number " - �/ , -��Iu Abe: eE pace- Messaa=-: Olc 04/,25/200,3 15:21 FAX 8284652279 NEWWTP U 002 State of North Carolina Department of Environment and Natural Resources Division of Water Quality WATERSHED CLASSIFICATION ATTACHMENT FOR RESIDUALS PROGRAMS (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) ete The Division of Water Quality (Division) °� followsr this the instructions or tBt form submit to be all ofthe unless all the instructions are followed. Failure 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). package being returned. ✓ Any changes to this attachment form will result in the application ackag g B. Prepare the attachment form with the requested information for each location where the residuals program activities are planned to occur within a particular regional office county coverage. ✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary. ✓ Use a portion of an 8.5-inch by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ✓ Latitudes and longitudes must reported as being based on either the NAD 27 or the NAD 83 data systems. ✓ Acceptable methods of determining location latitudes and longitudes and their corresponding codes are as follows: ♦ Address Matching (ADD) ♦ Digital or Raw Photo Extraction (EXT) ♦ Aerial Photography with Ground Control (AER) ♦ Geodetic Quality GPS Survey (GEO) ♦ LORAN-C Navigation Device (LOR) ♦ Cadastral Survey (SUR) ♦ 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: Address of regional office: 1 '"-' ` — City: _ ri0 0 S j jt State: Zip: ( � Facsimile number: (�) Q« Please provide me with the waterbody name(s), stream index number(s), and current/proposed classification(s) of the surface waters that are closest to and downslope from the location(s) where the proposed residuals prograin. activities are lanned to occur, as identified on the attached map segment. i Date: Cl 3 Signature of regional office staff: g FORM: RVJSCA 02102 Page 1 of 2 Attachment Order 3-a Locatiou lD County Latitude Longitude Location Datum Location Method Code Location Accuracy Watabody Subbasin and Stream Index Na (To Be Completed by DWQ) Current and Proposed Class (To Be Complete J by DWQ) Sipes Orchard Home North Field #1 Catawba 35 ° 45' 14.750"13 81 ° 14' 16.025"w GPS 1 meter Sipes Orchard Home South Field 92 Catawba 35°45' 01,909-N 81014' 31.887"W GPS 1 meter o f *** END OF FORM RWSCA 9M *** FORM: RWSCA 002 Page 2 of 2 Attachment Order 3-a 9�