WQ0003281_Regional Office Historical File Pre 2018 (2)

Ct� W A 9 Michael F. Easley, Governor
William G. Ross Jr., Secretary ,
North Carolina Department of Environment and Natural Resources
{
>_ ,{ - Coleen H. Sullins, Director
"� � � � �vis�\W on�of�at lily
Eni
July 12, 2007
SEP 2 7 2007
MR. BARRY_WEBB, CITY MANAGER
CITE (DE BE- 1 NC DER1R IV1R0.
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POST OFFICE Box 431 DWQ - Aquifer Protection
BELMONT, NORTH CAROLINA 28012
Subject: Permit No. WQ0003281
City o _el"TROOMt
City of Belmont Residuals Land
Application Program
Land Application of Residual Solids (URN)
Gaston County
Dear Mr. Webb:
In accordance with your permit modification and renewal request received December 14, 2005, as
well as the additional information received on July 27; 2006, September 20, 2006 and May 21, 2007, we
are forwarding herewith Permit No. WQ0003281, dated July 12, 2007, to the City of Belmont for the
continued operation of the subject land application of residuals solids program. This permit is being
modified to reduce the amount of residuals approved for disposal from 900 dry tons per year to 300 dry
tons per year and to reduce the fields approved for land application of residuals from 21 fields containing
324.8 acres to 3 fields containing 79.9 acres. ,
ffi° . _3 0-'P-e I,
This permit shall be effective from the date of issuance untilV-�2-Q��shall void Permit No.
WQ0003281 issued January 31, 2001, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements in this permit. Failure to establish
an adequate system for collecting and maintaining the required operational information will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
-----right-to_..request-an-adjudicatory-.hear-ing-upon wr-itten-r-equest within--thirty-(30)-days--following-receipt-of--
this permit. This request must 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, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding.
Please note that on September 1, 2006 State Administrative Code 15A NCAC Subchapter 02T —
Waste not Discharged to Surface Water was adopted. This permit incorporates the requirement of these
rules. Remember to take the time to review this permit thoroughly, as some of the conditions
contained therein may have been added, changed, or deleted from those in previously issued permits
ore
NhCarolina
Vatumlly
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone: [phone]
Internet: www.ncwaterqualitv.ore Location: 2728 Capital Boulevard Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Customer Service: [phone]

Y�
Y
If you need additional information concerning this matter, please contact Duane Leith at (919)
715-6186 or by email at [e-mail].
Sincerel
for Coleen H. Sullins
cc: Gaston County Health Department
Lincoln County Health Department
Mooresville Regional Office, Aquifer Protection Section
Dennis Key, Southern Soil Builders
Technical Assistance and Certification Unit
APS Central Files
LAU Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF RESIDUAL SOLIDS 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 Belmont
Gaston County
FOR THE
continued operation of a residuals land application program for the City of Gaston and consisting of the
land application of residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A to the land application sites listed in the most recently -certified
Attachment B with no discharge of wastes to surface waters, pursuant to the permit modification and
renewal application package received on December 14, 2005 as well as the additional information received
on July 27; 2006, September 20, 2006 and May. 21, 2007 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 June 30, 2012, shall void Permit No.
WQ0003281 issued January 31, 2001, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
1.. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the.request, the Division will review the
adequacy of the facilities described therein, and if warranted, will extend the permit for such period
of time and under such conditions and limitations as. it may deem appropriate. Please note that Rule
15A NCAC 02T .0105'(d) requires an updated site map to be submitted with the permit renewal
application.
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11. PERFORMANCE STANDARDS
1. 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.
2. 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.
3. Only the land application sites listed in the most recently certified Attachment B of this permit are
approved for residuals land application. A permit modification application is required for any new
land application sites to be added to Attachment B.
4. 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
5. The pollutant loading rates on any land application site shall not exceed the following Cumulative
Pollutant Loading Rates (CPLRs):
Parameter
CPLR
(pounds per acre)
--- Arsenic- ----
---36------
Cadmium
34
Copper
1,338
Lead
267
Mercury
15
Molybdenum
n/a
Nickel
374
Selenium
89
Zinc
2,498
The Permittee shall determine compliance with the cumulative pollutant loading rates using one of
the following methods:
1. Use site specific analytical data from all historical land application events not otherwise
exempted.
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2. For land on which land application events of residuals has not occurred or for which the data is
incomplete, use background concentrations through representative sampling.
6. When residuals are land applied under the conditions of this permit, the Class B pathogen
requirements and site restrictions in 15A NCAC 02T .1106 (a) and (c), and one of the vector
attraction reduction requirements in 15A NCAC 02T .1107 (a) 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.
7. The facilities permitted herein must be constructed and maintained according to the following
setbacks.
a. For residuals treatment and storage facilities, the following minimum setbacks shall be
maintained (all distances in feet):
. Description of Setback
Setback
i. Habitable residence or place of public assembly under separate ownership or not
to be maintained as part of the project site
100
I Property lines
50
iii. Private or public water supply
100
iv. Surface waters (streams — intermittent and perennial, perennial waterbodies,
and wetlands)
50
v. Wells with exception to monitoring. wells
100
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b. When land applying residuals to any land application site, the following setbacks shall be
maintained (all distances in feet):
Setback by type of application
Surface
Surface
Application
Application
by
Injection /
Description of Setback
by Vehicle
Irrigation
Incorporation
i. Habitable residence or place of public assembly
under separate ownership or not to be maintained
as part of the project site
400
400
200
ii. Habitable residence or places of public assembly
owned by the permittee, the owner of the land, or
the lessee/operator of the land to be maintained
as part of the project site
0
200
0.
iii. Property lines
50
150
50
iv. Public right of way
50
50
50
v. Private or public water supply
100'
100
100
vi. Surface Waters (streams — intermittent and
perennial, perennial waterbodies, and wetlands)
100
100
50
vii.. Surface water diversions (ephemeral streams,
waterways, ditches)
25
25
25
viii. Groundwater lowering ditches (where the bottom
of the ditch intersects the SHWT)
25
100
25
ix. Subsurface groundwater lowering system
0
100
0
x. Wells with exception to monitoring wells
100
100
100
xi. Bedrock outcrops
25
25
25
xii. Top of slope of embankments or cuts of two feet
or more in vertical height
15
15
15
xiii. Building foundations or basements
0
15
0
xiv. Waterlines
0
10
0
xv. Swimming pools
100
100
100
xvi. Nitrification fields
0
20
0
8. Specific residuals land application area boundaries shall be clearly marked on each land application
site prior to and during a residuals land application event.
9. Residuals and other sources of Plant Available Nitrogen (PAN) shall be land applied to all land
application sites at or below agronomic rates. Appropriate agronomic rates shall be calculated using
expected nitrogen requirements based on the Realistic Yield Expectations (RYE) for each approved
land application site. Realistic Yield Expectations for crop types and specific fields or soils types
shall be determined by using any the following methods:
a. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department. of Soil Science Webpage at:
http://www.soil.ncsu.edu/=p/ncnmwg/yields/
b. Site Specific Historical Data for crop types on specific fields or soil types by calculating the
mean of the best three yields of the last five consecutive crop harvests for each field.
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If the RYE cannot be determined using methods 9(a) or (b) above, RYE can be established
from specially developed soil interpretation records for Nutrient Management Planning, Farm
Service Agency Records, university trials, or inference from crop performance on soil with
very similar physical and chemical features.
d. Realistic Yields Expectations and .acceptable nitrogen application rates that use the above
methodology are required parts of many agricultural planning documents. The Permittee may
use the RYE and appropriate agronomic rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by Senate Bill 1217 Interagency Group- Guidance
Document: Chapter 1. Guidance for the completion of the plan can be found at:
http://www.enr.state.nc.us/DSWC/Pages/guidance—does.html.
iii. Certified Nutrient Management Plan as outlined by Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards, which are available at:
ftp://ftp-fc.sc.egov.usda.gov/IA/technical/N590-03-2001.pdf
e. For any crop type for which the RYE and appropriate nitrogen application rate cannot be
determined, the Permittee shall contact the Division to determine necessary action.
10. If the land application sites are to be overseeded (e.g., berrnuda 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.
Prior to application of PAN to permitted sites at rates exceeding the agronomic rate, the Permittee
_must_submit_and_recei-veapproval_by_the_Division.---____--__
11. 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 (5) 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.
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12. 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. Per 15A NCAC 2T .0105(h), upon the request by the Permittee the Compliance
Boundary may be located closer to the waste disposal area (provided the groundwater standards can
be met at the newly established Compliance Boundary). Any approved relocation of the
COMPLIANCE BOUNDARY will be noted in the most recently -certified Attachment B of this
permit. An exceedance of Groundwater Standards at or beyond the Compliance Boundary is subject
to remediation action according to 15A NCAC 2L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
13, The REVIEW BOUNDARY shall be established around each land application site midway between
the Compliance Boundary and the perimeter of the residuals land application area. Any exceedance
of Groundwater Quality Standards at the Review Boundary shall require action in accordance with
15A NCAC 2L .0106 (d)(1).
14. 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.
15. The Aquifer Protection Section of the appropriate Division's regional office shall be notified at least
24 hours prior to the initial residuals land application event on any new land application site. Such
notification to the Regional Aquifer Protection Supervisor shall be made during normal office hours
(i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding State Holidays. A
list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at http://www.enr.state.nc.us/html/regionaloffices.html.
III. OPERATION AND MAINTENANCE REQUIREMENTS
The residuals land application program shall be effectively maintained and operated at all times as a
non -discharge system to .prevent the discharge of any wastes resulting from the operation of this
---program.. -T-he Permittee-shall--maintain-an Operation-and-MaintenancePlan-pursuant to-15A NCAC-- --------
02T .1110 including operational functions, maintenance schedules, safety measures, and a spill
response plan.
2. In the event that the residuals land application program is not operated satisfactorily, including the
creation of nuisance conditions, the Permittee shall cease land applying residuals to the site, contact
the Aquifer Protection Section of the appropriate Division of Water Quality's (Division) regional
office, and take any immediate corrective actions as may be required by the Division.
3. 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.
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This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals or the application causes contravention of surface water or groundwater standards 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.
5. 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. The spill prevention and control plan
shall be maintained in all residuals transport and application vehicles.
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.
Adequate procedures shall be provided to prevent surface runoff from carrying any land applied or
stored residuals into any surface waters.
8. 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.
9. Bulk residuals shall not be applied to the land under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen, or snow-covered or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation unless the bulk residuals are injected or incorporated within
a 24-hour period following the residuals land application event;
f. During a measurable precipitation event (i.e., >.01" per hour) or within 24 hours following a
rainfall event of 0.5 inches or greater in a 24-hour period. Any emergency residuals land
application measures shall first be approved in writing by the Division;
g. If the slope for land is greater than 10 percent when bulk liquid residuals are surface applied, and
if the slope of the land -is greater then 18 percent withJ-tiulk-liquid residuals are-inj-ectea or
incorporated;
h. If the pH is not maintained in the soil, residuals, and lime mixture, greater than 6.0, on land
application sites onto which residuals are applied. Residuals may be applied to the sites
provided that sufficient amounts of lime is also applied to achieve a final pH of the soil mixture
of at least 6.0, or if an. agronomist provides information indicating that the pH of the soil,
residuals, and lime mixture is suited for the specified crop type. Any approved variations to the
acceptable soil pH (6.0) for land application will be noted in the most recently certified
Attachment B of this permit.
i. If the land does not have an established vegetative cover 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 unless the bulk residuals are incorporated within a 24-hour period following the
residuals land application event or injected (This requirement does not apply to no -till
fields);
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If the vertical separation of the seasonal high water table and the depth of residuals application is
less than one foot; or
k. If the vertical separation of the depth to bedrock and the depth of residuals application is less
than one foot.
10. For land onto which bulk residual that do not meet the Class A Pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following public access restrictions apply:
a. Public access to public contact sites shall be restricted for one calendar year after any residuals
land application event; and
b. Public access to land that is not a public contact site shall be restricted for 30 days after any
residuals land application event.
11. For land onto which bulk residual that do not meet the Class A pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following harvesting and grazing restrictions apply:
a. Animals shall not be allowed to graze on land application sites 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;
b. 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;
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;
d. 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;
e. 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; and
f. Turf grown on land where residuals are applied shall not be harvested for 12 months after any
residuals land application event.
12. 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.
13. Upon entering an agreement with landowners to apply residuals to a land application site, the
Permittee shall require of the landowner or lessee/operator a statement detailing the volume of
nutrient sources (waste- residuals, manufactured fertilizers, manures, or other animal waste products)
other than the residuals to be applied by the Permittee, that have been applied to the land, and a copy
of the most recent Nutrient Management Plan (NMP), if available, for the fields within the
agreement. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste
Utilization Plan (WUP) or Certified Nutrient Management Plan (CLAMP) shall also be
considered a Nutrient Management Plan.
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The NMPs must be provided only for those operations where a NMP is required by the US
Department of Agriculture - National Resources Conservation Service (MRCS) or other State
Agencies. The Permittee shall rely on the provided information to calculate appropriate reductions
in allowable nutrient loading rates. If the calculation shows that the agronomic rates in the NMP
(including PAN) have already been met or exceeded on a field, no additional residuals shall be land
applied to that field.
IV. MONITORING AND REPORTING REQUIREMENTS
Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue analyses)
deemed necessary by the Division toensure protection of the environment shall be established, and
an acceptable sampling and reporting schedule shall be followed.
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)-Endr-in--(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)
rn-Cresol (200.0)
Lead (5.0)
2,4,67-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.
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An analysis shall be conducted on residuals generated by each residual 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. The analysis shall include,
but shall not necessarily be limited to, the following parameters:
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Magnesium pH
Mercury Plant Available Nitrogen
(by calculation)
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorus
Potassium
Selenium
Sodium
% Total Solids
TKN
Zinc
If residuals generated by a particular residuals source -generating facility are insufficient to require a
land application events during a required sampling period as specified in the most recently -certified
Attachment A of this permit, an analysis is not required for that sampling period. The Permittee is
still responsible for submitting an annual report even in the event that no land application events
occur during an entire 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 H. 6. 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 requirements and site restrictions in 15A NCAC 02T .1106 (a) and (b) or the
Class B pathogen requirements and site restrictions in 15A NCAC 02T .1106 (a) and (c), and one
vector attraction reduction requirements in 15A NCAC 02T .1107 (a) shall be met. In addition, the
Environmental Protection Agency (EPA) certification statements concerning compliance with
pathogen reduction requirements, vector attraction reduction requirements, and management
practices shall be completed at the frequency specified in the most recently -certified Attachment A
----- of -this -permit by -the -proper -authority -or -authorities; if-more-than-one-is--involved-(i.e—either-the------
person who prepares the residuals, the person who derives the material, or the person who applies
the residuals). Only residuals that are generated by the residuals source -generating facilities that are
identified as being exempt from Condition 11. 6. in the most recently -certified Attachment A of this
permit shall not be required to comply with this monitoring requirement.
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
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6. Laboratory analyses of parameters as required by Condition IV. 1., Condition IV. 2., Condition IV.
3., and Condition IV. 4.,. shall be performed/gathered on the residuals as they are to be land applied.
7. Laboratory analyses of parameters as required by Condition IV. 1., Condition IV. 2., Condition IV.
3., Condition IV. 4., and Condition IV. 5. shall be in accordance with 15A NCAC 02B .0505.
8. 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 as listed in Attachment B);
d. Method of land application;
e. Weather conditions (e.g., sunny, cloudy, raining, etc.);
f. Predominant Soil Mapping Unit (e.g., CbB2);
g. Soil conditions (e.g., dry, wet, frozen, etc.);
h. Type of crop or crops to be grown on field;
i. Nitrogen Application Rate based on RYEs.
j. Volume of residuals land applied in gallons per acre, cubic yard per acre , dry tons per acre, wet
ton per acre , or kilograms per hectare;
k. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or
kilograms per hectare (if applicable);
1. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, or kilograms per hectare (if applicable); and
in. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds
per acre of phosphorus applied to each field.
-_ A-11 records iequii-dTas part of -this permit shall -be retained -a miriirrium
10. Three copies of all required monitoring and reporting requirements as specified in Condition IV. 1.,
Condition IV. 2., Condition IV. 3.; Condition IV. 4., and Condition IV, 5. shall be submitted
annually on or before March 1st of the year following the residuals land application event to the
following address:
NCDENR-DWQ
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
11. Noncompliance Notification
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
WQ0003281 Version 2.0 Shell Version 070228 Page. l l of 13

a. Any occurrence with the distribution program which results in the land application of significant
amounts of wastes which are abnormal in quantity or characteristic.
b. Any failure of the distribution program resulting in a release of material to receiving waters.
c. Any time that self -monitoring information indicates that the facility has gone out of compliance
with the conditions and limitations of this permit or the parameters on which the system was
designed.
d. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate residual treatment.
e. Any spillage or discharge from a vehicle or piping system during transportation of residuals.
For any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure, etc.) outside normal business hours must be reported to the Division's
Emergency Response personnel at telephone number [phone], [phone], or (919) 733-
3300. Persons reporting such occurrences by telephone shall also file a written report in letter form
within five (5) days following first knowledge of the occurrence. This report must outline the
actions taken or proposed to be taken to ensure that the problem does not recur.
V. INSPECTIONS
Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation
of the subject facilities.
2. 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:
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.
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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.
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 2T .0 10 5 (e).
The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other government agencies (local, state,
and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer
rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC
Chapter 4 and under the Division's General Permit NCGO10000, and any requirements pertaining to
wetlands under 15A NCAC 02B .0200 and 02H .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.
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 12tb� day of July, 2007.
NORTH CAROYNA ENVIRONMENTAL MANAGEMENT COMMISSION
Lor Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0003281
WQ0003281 Version 2.0 Shell Version 070228 Page 13 of 13

ATTACHMENT A - Approved Residual Sources
Permit Number:
WQ0003281 Version:
2.0
�-
I�
City of Belmont
% CIV
�G
Monitoring
Monitoring
j
Maximum
Frequency
Frequency for
Approved
Issued
Dry Tons
for Condition
Condition . - . and
Mineralization
Owner
Facility Name
County
! Permit Number
By
Is 503?
Per Year
Conditionn . 4.
Rate
Belmont
City of Belmont
WWTP
Gaston
j NC0021181
DWQ
503
300
Annually
Annually
0.30
Total
:
j
300
WQ0003281 Version 2.0
Shell Version 070228
i
Attachment A

ATTACHMENT B - APPROVED LAND APPLICATION SITES
Permit Number: WQ003281
City of Belmont — City of -Belmont
Version: 2.0
Land Application Program
Field/
Basin
Owner
( Lessee
County
Latitude
Longitude
Net Acreage
Dominant
Soil Series
BT 6-01
Jones, Tony
Gaston
35024'17"
81024'21"
14.60
Cecil
BT 6-03
Jones, Tony
Gaston
35624'21"
81002'21"
23.30
Cecil
BT 9-0V
Warren, Lori
Gaston
35023'27"
81003'19"
42.00
Cecil
Total
j
79.90
a This property contains two residences. Residuals may be land applied to within 100 feet of the Lori Warren residence at 1407 Alexis -Lucia
Road as well as the residence owned by the property owner at 1401 Alexis Lucia Road regardless of whether a surface .or a subsurface application
method is used.
I
WQ0003281 Version 2.0
i
i
I
I
i
Shell Version 070228
I
I
Attachment B

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to -
MR. BARRY WEBB, CITY MANAGER
CITY OF BELMONT
POST OFFICE BOX 431
BELMONT, NORTH CAROLINA 28012
Dear Mr. Webb:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
*^ orth atoll na Department of Environment and Natural Resources
Coleen 11.Sullms, Director
PD,
July 12, 2007 N U U 1 J U L 1 7 2007
R MRO —
lr Protection
Subject: Permit No. WQ0003281
City of Belmont
City of Belmont Residuals Land
Application Program
Land Application of Residual Solids (503)
Gaston County
In accordance with your permit modification and renewal request received December 14, 2005, as
well as the additional information received on July 27; 2006, September 20, 2006 and May 21, 2007, we
are forwarding herewith Permit No. WQ0003281, dated July 12, 2007, to the City of Belmont for the
continued operation of the subject land application of residuals solids program. This permit is being
modified to reduce the amount of residuals approved for disposal from 900 dry tons per year to 300 dry
tons per year and to reduce the fields approved for land application of residuals from 21 fields containing
324.8 acres to 3 fields containing 79.9 acres.
This permit shall be effective from the date of issuance until June 30, 2012, shall void Permit No.
WQ0003281 issued January 31, 2001, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements in this permit. Failure to establish
an adequate system for collecting and maintaining the required operational information will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
- -right to request- an-_adjudicatory-hearing-upon written request -within -thirty- (3 0) days following -receipt of this permit. This request must 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, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding.
Please note that on September 1, 2006 State Administrative Code 15A NCAC Subchapter 02T —
Waste not Discharged to Surface Water was adopted. This permit incorporates the requirement of these
rules. Remember to take the time to review this permit thoroughly, as some of the conditions
contained therein may have been added, changed, or deleted from those in previously issued permits
NorthCarolina
Naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone: [phone]
Internet: www.ncwaterquality.org Location: 2728 Capital Boulevard Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/l0% Post Consumer Paper Customer Service: [phone]

If you need additional information concerning this matter, please contact Duane Leith at (919)
715-6186 or by email at [e-mail]. 0
or Coleen H. Sullins
cc: Gaston County Health Department
Lincoln County Health Department
" +pones =i41� e IMeianal O�ffrc:e, Aquifer Pr�otctxao Sion
enni IOey, outhern Soil Builders
Technical Assistance and Certification Unit
APS Central Files
LAU Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF RESIDUAL SOLIDS 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 Belmont
Gaston County
FOR THE
continued operation of a residuals land application program for the City of Gaston and consisting of the
land application of residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A to the land application sites listed in the most recently -certified
Attachment B with no discharge of wastes to surface waters, pursuant to the permit modification and
renewal application package received on December 14, 2005 as well as the additional information received
on July 27; 2006, September 20, 2006 and May 21, 2007 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 June 30, 2012, shall void Permit No.
WQ0003281 issued January 31, 2001, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will extend the permit for such period
of time and under such conditions and limitations as it may deem appropriate. Please note that Rule
15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
WQ0003281 Version 2.0 Shell Version 070228 Page 1 of 13

II. PERFORMANCE STANDARDS
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.
2. 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.
3. Only the land application sites listed in the most recently certified Attachment B of this permit are
approved for residuals land application. A permit modification application is required for any new
land application sites to be added to Attachment B.
4. 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
5. The pollutant loading rates on any land application site shall not exceed the following Cumulative
Pollutant Loading Rates (CPLRs):
Parameter
CPLR
(Pounds per acre)
-- — — - Arsenic - - -
- - 36- - -
Cadmium
34
Copper
1,338
Lead
267
Mercury
15
Molybdenum
n/a
Nickel
374
Selenium
89
Zinc
2,498
The Permittee shall determine compliance with the cumulative pollutant loading rates using one of
the following methods:
1. Use site specific analytical data from all historical land application events not otherwise
exempted.
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2. For land on which land application events of residuals has not occurred or for which the data is
incomplete, use background concentrations through representative sampling.
6. When residuals are land applied under the conditions of this permit, the Class B pathogen
requirements and. site restrictions in 15A NCAC 02T .1106 (a) and (c), and one of the vector
attraction reduction requirements in 15A NCAC 02T .1107 (a) 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.
7. The facilities permitted herein must be constructed and maintained according to the following
setbacks.
a. For residuals treatment and storage facilities, the following minimum setbacks shall be
maintained (all distances in feet):
Description of Setback
Setback
i. Habitable residence or place of public assembly under separate ownership or not
to be maintained as part of the project site
100
ii. Property lines
50
iii. Private or public water supply
100
iv. Surface waters (streams — intermittent and perennial, perennial waterbodies,
and wetlands
50
v. Wells with exception to monitoring wells
100
WQ0003281 Version 2.0 Shell Version 070228 Page 3 of 13

b. When land applying residuals to any land application site, the following setbacks shall be
maintained (all distances in feet):
Setback by type of application
Surface
Surface
Application
Application
by
Injection /
Description of Setback
by Vehicle
Irrigation
Incorporation
i. Habitable residence or place of public assembly
under separate ownership or not to be maintained
as part of the project site
400
400
200
ii. Habitable residence or places of public assembly
owned by the permittee, the owner of the land, or
the lessee/operator of the land to be maintained
as part of the project site
0
200
0
iii. Property lines
50
150
50
iv. Public right of way
50
50
50
v. Private or public water supply
100,
100
100
vi. Surface Waters (streams — intermittent and
perennial, perennial waterbodies, and wetlands)
100
100
50
vii.. Surface water diversions (ephemeral streams,
waterways, ditches)
25
25
25
viii. Groundwater lowering ditches (where the bottom .
of the ditch intersects the SHWT)
25
100
25
ix. Subsurface groundwater lowering system
0
100
0
x. Wells with exception to monitoring wells
100
100
100
xi. Bedrock outcrops
25
25
25
xii. Top of slope of embankments or cuts of two feet
or more in vertical height
15
15
15
xiii. Building foundations or basements
0
15
0
xiv. Waterlines
0
10
0
xv. Swimming pools
100
100
100
xvi. Nitrification fields
0
20
0
8. Specific residuals land application area boundaries shall be clearly marked on each land application
site prior to and during a residuals land application event.
9. Residuals and other sources of Plant Available Nitrogen (PAN) shall be land applied to all land
application sites at or below agronomic rates. Appropriate agronomic rates shall be calculated using
expected nitrogen requirements based on the Realistic Yield Expectations (RYE) for each approved
land application site. Realistic Yield Expectations for crop types and specific fields or soils types
shall be determined by using any the following methods:
a. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department of Soil Science Webpage at:
http://www.soll.nesu.edu/nmp/nenmwg/yields/
b. Site Specific Historical Data for crop types on specific fields or soil types by calculating the
mean of the best three yields of the last five consecutive crop harvests for each field.
WQ0003281 Version 2.0 Shell Version 070228 Page 4 of 13

If the RYE cannot be determined using methods 9(a) or (b) above, RYE can be established
from specially developed soil interpretation records for Nutrient Management Planning, Farm
Service Agency Records, university trials, or inference from crop performance on soil with
very similar physical and chemical features.
d. Realistic Yields Expectations and acceptable nitrogen application rates that use the above
methodology are required parts of many agricultural planning documents. The Permittee may
use the RYE and appropriate agronomic rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by Senate Bill 1217 Interagency Group- Guidance
Document: Chapter 1. Guidance for the completion of the plan can be found at:
http://www.enr.state.nc.us/DSWC/pages/guidance—does.html.
iii. Certified Nutrient Management Plan as outlined by Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards, which are available at:
ftp://ftp-fc.se.egov.usda.gov/LA/technical/N590-03-2001.pdf
For any crop type for which the RYE and appropriate nitrogen application rate cannot be
determined, the Permittee shall contact the Division to determine necessary action.
10. 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.
Prior to application of PAN to permitted sites at rates exceeding the agronomic rate, the Permittee
______.must_submit_and_receive-approval-b-y-the_Division._.�_.__
11. 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 (5) 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.
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12. 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. Per 15A NCAC 2T .0105(h), upon the request by the Permittee the Compliance
Boundary may be located closer to the waste disposal area (provided the groundwater standards can
be met at the newly established Compliance Boundary). Any approved relocation of the
COMPLIANCE BOUNDARY will be noted in the most recently -certified Attachment B of this
permit. An exceedance of Groundwater Standards at or beyond the Compliance Boundary is subject
to remediation action according to 15A NCAC 2L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
13. The REVIEW BOUNDARY shall be established around each land application site midway between
the Compliance Boundary and the perimeter of the residuals land application area. Any exceedance
of Groundwater Quality Standards at the Review Boundary shall require action in accordance with
15A NCAC 2L .0106 (d)(1).
14. 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.
15. The Aquifer Protection Section of the appropriate Division's regional office shall be notified at least
24 hours prior to the initial residuals land application event on any new land application site. Such
notification to the Regional Aquifer. Protection Supervisor shall be made during normal office hours
(i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding State Holidays. A
list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at http://www.enr.state.nc.us/html/regionaloffices.html.
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The residuals land application program shall be effectively maintained and operated at all times as a
non -discharge system to prevent the discharge of any wastes resulting from the operation of this
- -- — — - - - —program.. -T-he--Permittee-shall-maintain-an-Operation and -Maintenance -Plan -pursuant -to- -1 5A-NCAC---
02T .1110 including operational functions, maintenance schedules, safety measures, and a spill
response plan.
2. In the event that the residuals land application program is not operated satisfactorily, including the
creation of nuisance conditions, the Permittee shall cease land applying residuals to the site, contact
the Aquifer Protection Section of the appropriate Division of Water Quality's (Division) regional
office, and take any immediate corrective actions as may be required by the Division.
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.
WQ0003281 Version 2.0 Shell Version 070228 Page 6 of 13

4. This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals or the application causes contravention of surface water or groundwater standards 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.
5. 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. The spill prevention and control plan
shall be maintained in all residuals transport and application vehicles.
6. 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.
7. Adequate procedures shall be provided to prevent surface runoff from carrying any land applied or
stored residuals into any surface waters.
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.
Bulk residuals shall not be applied to the land under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards-,
d. if the land is flooded, frozen, or snow-covered or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation unless the bulk residuals are injected or incorporated within
a 24-hour period following the residuals land application event;
f. - During a measurable precipitation event (i.e., >.01" per hour) or within 24 hours following a
rainfall event of 0.5 inches or greater in a 24-hour period. Any emergency residuals land
application measures shall first be approved in writing by the Division;
g. If the slope for land is greater than 10 percent when bulk liquid residuals are surface applied, and
if the slope of the land --is greater then 18 -percent with bulk -liquid residuals' -are injected or
incorporated;
h. If the pH is not maintained in the soil, residuals, and lime mixture, greater than 6.0, on land
application sites onto which residuals are applied. Residuals may be applied to the sites
provided that sufficient amounts of lime is also applied to achieve a final pH of the soil mixture
of at least 6.0, or if an agronomist provides information indicating that the pH of the soil,
residuals, and lime mixture is suited for the specified crop type. Any approved variations to the
acceptable soil pH (6.0) for land application will be noted in the most recently certified
Attachment B of this permit.
i. If the land does not have an established vegetative cover 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 unless the bulls residuals are incorporated within a 24-hour period following the
residuals land application event or injected (This requirement does not apply to no -till
fields);
WQ0003281 Version 2.0 Shell Version 070228 Page 7 of 13

j . If the vertical separation of the seasonal high water table and the depth of residuals application is
less than one foot; or
k. If the vertical separation of the depth to bedrock and the depth of residuals application is less
than one foot.
10. For land onto which bulk residual that do not meet the Class A Pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following public access restrictions apply:
a. Public access to public contact sites shall be restricted for one calendar year after any residuals
land application event; and
b. Public access to land that is not a public contact site shall be restricted for 30 days after any
residuals land application event.
11. For land onto which bulk residual that do not meet the Class A pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following harvesting and grazing restrictions apply:
Animals shall not be allowed to graze on land application sites 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;
b. 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;
c. 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;
d. 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;
e. 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; and
f. Turf grown on land where residuals are applied shall not be harvested for 12 months after any
residuals land application event.
12. 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.
13. Upon entering an agreement with landowners to apply residuals to a land application site, the
Permittee shall require of the landowner or lessee/operator a statement detailing the volume of
nutrient sources (waste residuals, manufactured fertilizers, manures, or other animal waste products)
other than the residuals to be applied by the Permittee, that have been applied to the land, and a copy
of the most recent Nutrient Management Plan (NMP), if available, for the fields within the
agreement. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste
Utilization Plan (WUP) or Certified Nutrient Management Plan (CNMP) shall also be
considered a Nutrient Management Plan.
WQ0003281 Version 2.0 Shell Version 070228 Page 8 of 13

The NMPs must be provided only for those operations where a NMP is required by the US
Department of Agriculture - National Resources Conservation Service (NRCS) or other State
Agencies. The Permittee shall rely on the provided information to calculate appropriate reductions
in allowable nutrient loading rates. If the calculation shows that the agronomic rates in the NMP
(including PAN) have already been met or exceeded on a field, no additional residuals shall be land
applied to that field.
IV. MONITORING AND REPORTING REQUIREMENTS
Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue analyses)
deemed necessary by the Division to ensure protection of the environment shall be established, and
an acceptable sampling and reporting schedule shall be followed.
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. hi no case,
however, shall the frequency of monitoring be less than once per permit cycle.
WQ0003281 Version 2.0 Shell Version 070228 Page 9 of 13

An analysis shall be conducted on residuals generated by each residual 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. The analysis shall include,
but shall not necessarily be limited to, the following parameters:
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Magnesium pH
Mercury Plant Available Nitrogen
(by calculation)
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorus
Potassium
Selenium
Sodium
% Total Solids
TKN
Zinc
If residuals generated by a particular residuals source -generating facility are insufficient to require a
land application events during a required sampling period as specified in the most recently -certified
Attachment A of this permit, an analysis is not required for that sampling period. The Permittee is
still responsible for submitting an annual report even in the event that no land application events
occur during an entire 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 H. 6. 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 requirements and site restrictions in 15A NCAC 02T .1106 (a) and (b) or the
Class B pathogen requirements and site restrictions in 15A NCAC 02T .1106 (a) and (c), and one
vector attraction reduction requirements in 15A NCAC 02T .1107 (a) shall be met. In addition, the
Environmental Protection Agency (EPA) certification statements concerning compliance with
pathogen reduction requirements, vector attraction reduction requirements, and management
practices shall be completed at the frequency specified in the most recently -certified Attachment A
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 11. 6. in the most recently -certified Attachment A of this
permit shall not be required to comply with this monitoring requirement.
5. 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
WQ0003281 Version 2.0 Shell Version 070228 Page 10 of 13

C;. Laboratory analyses of parameters as required by Condition IV. 1., Condition N. 2., Condition N.
3., and Condition N. 4.,. shall be performed/gathered on the residuals as they are to be land applied.
7. Laboratory analyses of parameters as required. by Condition IV. L, Condition 1V. 2., Condition N.
3., Condition N. 4., and Condition N. 5. shall be in accordance with 15A NCAC 02B .0505.
8. 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 as listed in Attachment B);
d. Method of land application;
e. Weather conditions (e.g., sunny, cloudy, raining, etc.);
f. Predominant Soil Mapping Unit (e.g., CbB2);
g. Soil conditions (e.g., dry, wet, frozen, etc.);
h. Type of crop or crops to be grown on field;
i. Nitrogen Application Rate based on RYEs.
j. Volume of residuals land applied in gallons per acre, cubic yard per acre , dry tons per acre, wet
ton per acre, or kilograms per hectare;
k. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or
kilograms per hectare (if applicable);
1. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, or kilograms per hectare (if applicable); and
in. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds
per acre of phosphorus applied to each field.
-- A records required as part -of this permit shall be retained -a minimum of Eve years. --- - - — —
10. Three copies of all required monitoring and reporting requirements as specified in Condition N. 1.,
Condition IV, 2., Condition IV. 3., Condition N. 4., and Condition IV, 5. shall be submitted
annually on or before March 1st of the year following the residuals land application event to the
following address:
I►C�I����I:a�1�dL��
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
11. Noncompliance Notification .
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
WQ0003281 Version 2.0 Shell Version 070228 Page,11 of 13

a. Any occurrence with the distribution program which results in the land application of significant
amounts of wastes which are abnormal in quantity or characteristic.
b. Any failure of the distribution program resulting in a release of material to receiving waters.
c. Any time that self -monitoring information indicates that the facility has gone out of compliance
with the conditions and limitations of this permit or the parameters on which the system was
designed.
d. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate residual treatment.
e. Any spillage or discharge from a vehicle or piping system during transportation of residuals.
For any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure, etc.) outside normal business hours must be reported to the Division's
Emergency Response personnel at telephone number [phone], [phone], or (919) 733-
3300. Persons reporting such occurrences by telephone shall also file a written report in letter form
within five (5) days following first knowledge of the occurrence. This report must outline the
actions taken or proposed to be taken to ensure that the problem does not recur.
V. INSPECTIONS
Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation
of the subject facilities.
2. 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.
3. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises, or place on or related to the land application
sites or facilities at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records that must be kept under the terms and conditions of this permit; and
may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
1. This permit shall become voidable unless the residuals land application events are carried out in
accordance with the conditions of this permit, the supporting materials, and in the manner approved
by the Division.
2. This permit shall be effective only with respect to the nature and volume of residuals described in
the application and other supporting data.
WQ0003281 Version 2.0 Shell Version 070228 Page 12 of 13

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.
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 2T .0105 (e).
5. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other government agencies (local, state,
and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer
rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC
Chapter 4 and under the Division's General Permit NCGO 10000, and any requirements pertaining to
wetlands under 15A NCAC 02B .0200 and 02H .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. 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 12t1i day of July, 2007.
NORTH CAROXANA ENVIRQNUELITAL MANAGEMENT COMMISSION
or Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0003281
WQ0003281 Version 2.0 Shell Version 070228 Page 13 of 13

I
ATTACHMENT A - Approved Residual Sources
Permit Number: WQ0003281 Version: 2.0
City of Belmont
Monitoring
Monitoring
Maximum
Frequency
Frequency for
Approved
Issued
Dry Tons
Condition
Condition III. 3. and
Mineralization
Owner
Facility Name
County
j Permit Number
By
Is 503?
Per Year
III. 2.
Condition III. 4.
Rate
Belmont
City of Belmont
WWTP
Gaston
NC0021181
DWQ
503
300
Annually
Annually
0.30
Total
300
id I p
i
WQ0003281 Version 2.0 Shell Version 070228 Attachment A

ATTACHMENT B - APPROVED LAND APPLICATION SITES
i
Permit Number: WQ003281 Version: 2.0
i
City of Belmont — City of Belmont Residuals Land Application Program
Field/
Basin
Owner
i Lessee
County
Latitude
Longitude
Net Acreage
Dominant
Soil Series
BT 6-01
Jones, Tony
Gaston
35024'17"
81024'21"
14.60
Cecil
BT 6-03
Jones, Tony
Gaston
35024'21"
81002121"
23.30
Cecil
BT 9-01a
Warren, Lori
Gaston
35023'27"
81003'19"
42.00
Cecil
Total
j
7900
a This property contains two residences. Residuals may be land applied to within 100 feet of the Lori Warren residence at 1407 Alexis -Lucia
Road as well as the residence owned by the property owner at 1401 Alexis Lucia Road regardless of whether a surface .or a subsurface application
method is used.
i
WQ0003281 Version 2.0 Shell Version 070228 Attachment B
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AQUIFER PROTECTION PERMITTING INFORMATION TRANSMITTAL MEMO
Date: October 5, 2006
To: '016ii Huffinan
MRO-APS
Copies Sent: I
From: Duane Leith, Aquifer Protection Section
Telephone: [phone] Fax: [phone]
E-Mail: duane.Leithgncmail.net
Subject: Permit Number WQ0003281 Facility: CitT.o .Belmont
If you have any questions or concerns with this additional info, please let me know. Thanks.
The attached documents for the subject permit application are being transmitted to you for:
For RO-WOS:
❑ Original information for your review — please complete Form APRSR.
❑ Original information for your review — attach Attachment B for Certification.
® QAL'dditional rt�forinaton foi your files — no review is necessary
❑ Additional information for your review — please update Form APRSR and return.
❑ Documents misdirected - for you to take action as appropriate.
For co -reviewers:
❑ Original information for your review — please return the appropriate review form.
❑ Additional information for your files — no review is necessary
❑ Additional information for your review — please update the appropriate review form.
Please note that if a response is required, please respond within 30 calendar days.
0
OCT J4 T06
D
FORM: APPITM 050401 Page 1 of 1

S Southern
S Soil
$ Builders, Inc.
Wednesday, September 13, 2006
958 Hoots Road Roaring River, NC 28669
[phone] 9 Fax [phone]
In regards to: Additional Information Request, Application No. WQ0003281, City of
Belmont, NC RECEIVED I DENR 1 DWQ
AQUIFER -PROTECTION SECTION
Duane Leith
Aquifer Protection Section
1636 Mail Serive Center
Raleigh, NC 27699-1636
Dear Duane Leith:
SEP 2 0 2006
Southern Soil Builders, Inc. received a letter requesting additional information for the
permit application package number WQ0003281, for the City of Belmont, NC. The
following issues have been addressed:
1. A laboratory analysis dated 4-16-2004 was mistakenly provided for the residuals
analysis. The correct analysis report dated 10-6-2004 has been enclosed. Also, form
RSCA page 6 of 8 has been revised to show the Ammonia -Nitrogen reported at the
detection limit, 100 mg/kg. Four copies of this form are enclosed. .
2. The Sampling Plan has been revised to show that sampling will be done annually,
since the dry tons have been lowered to 300 dry tons per, year. In addition a
correction has been included to change a grammar error, chorobenzene has been
replaced with the correct term Chloroform. Four copies of the Sampling Plan have
been enclosed.
3. Form BWAA 02/02 has been revised to show the correct address for one of the
two houses owned by Lori Warren. Both of the houses are owned by Lori Warren
and are located on the same property. The house with the 250 foot buffer has the
correct address of 1407 Alexis Lucia Road listed. The other house located on the
property, has a buffer waver of 100 feet. This buffer wavier agreement has been
revised to show the correct address of 1401 Alexis Lucia Road. An Application Map
has also been included showing the correct address of both houses. The revised
form BWAA and the application map showing the correct address of both houses
have been enclosed with 4 copies of each. If form BWAA is not required please
disregard these forms.

_ 2 _ September 13, 2006
4. From NDRLAP page 5 of 5 has been revised to show the correct acreage of 79.9
acres. Four copies of this form are enclosed.
5. Form LASCA has been revised to show Tony Jones as the landowner for fields Bt
6-1 and Bt 6-3. North Jones is the father of Tony Jones and was the owner of the
fields. However, North Jones has passed away and his son Tony Jones has taking
over ownership of the fields. Four copies of the revised form LASCA have been
enclosed.
If there are any further question or concerns, please feel free to contact me at any time at
[e-mail] or [phone].
Sincerely,
ach Key
Southern Soil Builders, Inc.
cc: Mr. Berry Webb, City Manager, City of Belmont

- A&L EASTERN AGRICULTURAL LABORATORIES, INC.
7621 Whitepine Road • Richmond, Virginia 23237 • [phone]
Fax No. [phone]
REPORT NUMBERR276-134 ACCOUNT # 46381 PAGE 1
SOUTHERN SOIL BUILDERS BELMONT WWTP DENNIS KEY
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER NC 28669
LAB NUMBER = 43584
SAMPLE ID = BELMONT WWTP
RESULT RESULT
PARAMETER ( X ) (MG/KG)
---------------------------- ------
NC CERT # 257'
ANALYSIS REPORT
DETECTION
LIMIT ANALYSIS
(MG/KG) ANALYST DATE TIME
------- ------- --------- -----
DATE SAMPLED
DATE RECEIVED
DATE REPORTED
EMAIL
10/06/04
10/11/04
10/13/04
METHOD REFERENCE
------------------------
3OLIDS(AS IS)
3.10
31000
100
JCM
10/11/04
16:00
SM
2540 G
4ITROGEN(TKN)
3.81
38100
100
KCS
10/12/04
15:30
EPA
351_3
PHOSPHORUS
2.94
29400
100
JCM
10/12/04
12:30
SW
846-6010B
POTASSIUM
0.20
2000
100
JCM
10/12/04
12:30
SW
846-GOIOB
SULFUR
1.06
10600
100
JCM
10/12/04
12:30
SW
846-GOIOB
CALCIUM
1.80
18000.
100
JCM
10/12/04
12:30
SW
846-GOIOB
MAGNESIUM
0.26
2600
100
JCM
10/12/04
12:30
SH
846-6010B
SODIUM
0.46
4600
100
JCM
10/12/04
12:30
SW
846-6010B
IRON
27877
1
JCM
10/12/04
12:30
SW
846-6010B
ALUMINUM
29023
10
JCM
10/12/04
12:30
Sit
846-GOIOB
MANGANESE
1173
1
JCM
10/12/04
12:30
SW
846-6010B
COPPER
503
1
JCM
10/12/04
12:30
SW
846-6010B
ZINC
3229
1
JCM
10/12/04
12:30
Ski
.846-60109
AMMONIA -NITROGEN
ND
.100
KCS
10/12/04
13:00
EPA
350_2
NO3-NO2 NITROGEN
100
10
KCS
10/12/04
16:30
SM
4500-NO3 F
CADMIUM
1.6
1
JCM
10/12/04
12:30
SW
846-6010B
25
5
JCM
10/12/04
12:30
Sly
846-6010B
NICKEL
38
5
JCM
10/12/04
12:30
SW
846-6010B
LEAD
ALL VALUES ARE ON A DRY WEIGHT BASIS EXCEPT AS NOTED.
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
This report applies only to the sample(s) tested. Samples are retained a maximum of thirty days after testing.
A&L EASTERN AGRICULTURAL U180RATORIES, INC.
by
by C. No an Jones Paul Chu

-----------..
--
A&L EASTERN AGRICULTURAL
LABORATORIES, INC.
7621 Whitepine Road • Richmond, Virginia 23237 • [phone]
Fax No. 804 271-6446
REPORT NUMBERR276-134
ACCOUNT
# 46381
PAGE 2
EMAIL
SOUTHERN SOIL
BUILDERS
BELMONT WWTP
DENNIS KEY
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER
NC 28669
NC CERT # 257-
ANALYSIS REPORT
DATE
SAMPLED 10/06/04
LAB NUMBER = 43584
DATE
RECEIVED 10/11/04
SAMPLE ID = BELMONT WWTP
DATE
REPORTED 10/13/04
DETECTION
RESULT
RESULT
LIMIT ANALYSIS
PARAMETER
----------------------------
( X )
(MG/KG)
-------
(MG/KG) ANALYST DATE TIME
----------------------- -----
METHOD REFERENCE
--
ARSENIC
5.36
0_2 KMM 10/13/04 14:00
Sk 846-7061A
MERCURY
2.16
0.2 KMM 10/13/04 14:00
Sw 846-7471A
SELENIUM
5.11
0.1 KMM 10/13/04 14:00
Sit 846-7741A
PH (STD.UkITS,AS IS)
6.30
RD 10/12/04 12:30
EPA 150_1
ORGANIC NITROGEN
3.81
38100
100 DCH 10/12/04
CALCULATION
MOLYBDENUM
9
5 3CM 10/12/04 12:30
SW 846-GOIOB
ALL VALUES ARE ON A DRY WEIGHT BASIS EXCEPT AS NOTED.
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
This report applies only to the sample(s) tested. Samples are retained a maximum of thirty days after testing.
A&L EASTERN AGRICULTURAL LA8 RATORIES,^IN PC. �, '
e �
by by Paul Chu
C. Norrflan Jones

I
5. NutrientlMicronutrient Determination: Complete the following:
a. Total solids: 3.10 %.
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 Agricultural Labs, Inc.
and date of analysis: 10-06-2004
Parameter
Result
(mg/kg)
Aluminum
29023
Ammonia -Nitrogen
100
Calcium
18000
Magnesium
1173
Nitrate -Nitrite Nitrogen
100
pH
6.30
Phosphorus
29400
Potassium
2000
Sodium
4600
Total Kjeldahl Nitrogen
38100
c. Using the results listed in Item H. 5b. above, calculate the sodium adsorption ration (SAR): _1.49
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the
residuals: 30 %. This rate is a ® default value or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or
provide technical justification as to why the selected default value is appropriate to be applied to these
residuals: Default rate for aerobic digestion
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/g%
(Mg/ko
Surface
11530
17064
Injection/Incorporation
11600
11600
e. Are the residuals are a registered fertilizer with the NC Department of Agriculture and Consumer
Services: ❑ yes ® no. If yes, provide date of registration approval:
the current registration number:
FORM: RSCA 02/02 Page fr of 8 Attachment Order 2

Belmont WWTP Sampling Plan
Annually if a land application event occurs during a calendar year, grab samples are
collected from the sludge holding tank. These individual grab samples are collected and
sent for fecal coliform analysis. Volatile solids are collected from the sludge holding tank
and from the return activated sludge from the sludge thickening tanks prior to being sent
to the aeration basin for calculation of volatile solids reduction.
Annually if land application occurs during a calendar year, a composite residual solid
sample will be analyzed for: Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel,
Selenium, Zinc, Aluminum, Ammonia nitrogen, Calcium, Nitrate nitrogen, Nitrogen,
Magnesium, % total solids, pH, phosphorus, Potassium, TKN, and Sodium. From this
information, the Plant Available Nitrogen (PAN) will be calculated.
Annually a composite TCLP sample will be collected to include:
Aresenic Hexachlorobenzene pH for Corrosivity
Barium Hexachloro-1,3-Butadiene
Benzene Hexachloroethane Flash point for ignitability
Cadium
Carbon Tetrachloride
Chlordane
Chlorobenzene
Chloroform
Chromium
m-Cresol
o-Cresol
p-Cresol
Cresol
2,4-D
1,4-Dichlorobenzene
Lead
Lindane
Mercury
Methoxychlor
Methyl Ethyl Ketone
Nitrobenzene
Pentachlorophenol
Pyridine
Selenium
Silver
Tetrachloroethylene
Toxaphene
Sulfides and Cyanides for reactivity
1,2-Dichloroethane
1 <1-Dichloroethylene
2,4-Dinitrotoluene
Endrin
Heptachlor and its Hydroxide
Trichloroethylene
2, 4, 5-Trichlorophenol
2, 4, 6-Trichlorophenol
2,4,5-TP (Silvex)
Vinyl Chloride

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
BUFFER WAIVER 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 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
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 0)(5)(A)(ii) and (iii)
The undersigned property owner hereby permits:
Applicant's name: City of Belmont
Complete mailing address of applicant: PO Box 431
City: Belmont State: NC Zip: 28012
Telephone number: (704 _) 825-5586 Facsimile number: ( _704_) 8250514
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: 1401 Alexis- Lucia Rd.
City: Stanley State: NC Zip: 28164
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: Lori Warren
FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d

1� Date: 0
i *** END OF FORM LOAA 02/02
u
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

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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: 300 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
23.06
23.06
3825.65
3825.65
Five -Year Maximum Adjusted
40.1
41.9
10,569.56
11,043.88
b. Land Application Site Use Summary: Summarize information regarding the land application sites as
currently certified and proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
0
Hay
42
Pasture
37.9
Total:
79.9
Methods
Surface
79.9
Incorporation or
0
Total:
79.9
Restrictions
Year -Round
79.9
Seasonal
0
Total:
79.9
c. Residuals Land Application Summarv: Determine the minimum acreage required to land apply the
residuals as currently certified and proposed for certification assuming the scenarios listed in the
following table:
Assumed
Acres Required Using
Acres Required Using
Application Rate
First -Year PAN Concentrations
Five -Year Maximum Adjusted PAN
Obs PAN/ac yr)
Concentrations -
Surface
Incorporation or
Surface
Incorporation or
Injection
Injection
70
54.65
54.65
150.99
157.77
150
25.6
25.6
70.46
73.63
250
15.3
15.3
42.27
44.18
FORM: NDRLAP 02/02 Page 5 of 5 Attachment Order 1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND APPLICATION SITE CERTIFICATION ATTACHMENT
(THIS FORMMAY BE PHOTOCOPIED FOR USEASAN 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.
✓ For new residuals land application programs or renewed residuals land application programs, submit the requested
information for all land application sites to be certified for this residuals land application program.
✓ For modified residuals land application programs in which any new/transferred land application sites or modification to
the certified land application sites are proposed, submit the requested information for only those land application sites
that are new/transferred or affected by the proposed modification.
✓ All forms and guidance documents referred to in this attachment form may be downloaded from the web site at
http://h2o.enr.state.nc.us/ndpu/.
B. Land Application Site Information:
✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary.
✓ The status of the land application site with respect to this residuals land application program must be provided in the
table in Item I. 1. The status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T)
✓ If this is the first time that an application package is being submitted using Form NDRLAP, then a Watershed
Classification Attachment for Residuals Programs (Form RWSCA) must be completed for all existing land application
sites.
✓ For each land application site with a status code of N attach the following in the order specified:
♦ Attachment Order 3: Land Application Site Certification Attachment (Form LASCA).
➢ Attachment Order 3-a: Watershed Classification Attachment for Residuals Programs (Form RWSCA).
➢ Attachment Order 3-b: County Manager Notification Attachment (Form CMNA).
➢ By Land Application Site:
■ Attachment Order 3-c: Landowner Agreement Attachment (Form LOAA).
■ Attachment Order 3-d: Buffer Waiver Agreement Attachment (Form BWAA).
• Attachment Order 3-e: An updated vicinity/buffer map that meets all of the criteria in the latest version of
the document entitled "Guidance for the Preparation of Vicinity/Buffer Maps for North Carolina
Residuals Permitting Programs."
■ Attachment Order 3-f: A soils and agronomic evaluation that meets all of the criteria in the latest version
of the document entitled "Guidance for the Preparation of Soils and Agronomic Evaluations for North
Carolina Residuals Permitting Programs."
✓ For each land application site with a status code of R, attach the following in the order specified:
♦ Attachment Order 3: Land Application Site Certification Attachment (Form LASCA).
➢ By Land Application Site:
■ Attachment Order 3-c: Landowner Agreement Attachment (Form LOAA).
■ Attachment Order 3-d: Buffer Waiver Agreement Attachment (Form BWAA).
■ Attachment Order 3-e: An updated vicinity/buffer map (i.e., see above for criteria guidance).
■ Attachment Order 3-g: An updated, accounting of the land application site's cumulative pollutant loading
rates (CPLRs) that are required by the permit of the residuals land application program from which the
site is being transferred.
✓ For each land application site with a status code of K contact the appropriate Division's regional office to determine
attachment requirements.
✓ For each land application site with a status code of T attach the following in the order specified:
♦ Attachment Order 3 through 3-f: Everything required for land application sites with a status code of N.
➢ Attachment Order 3-g: An updated accounting of the CPLRs (i.e., see above for criteria guidance).
FORM: LASCA 02/02 Page 1 of 2 Attachment Order 3

1. Complete the following table with the requested information:
Status
Code
Site/Field
ID
Landowner(s)
Lessee(s) or Operator(s)
County
Net
Acres
Predominant
Soil Series
Soil
CEC
D
Bt 5-8
Lorene P. Grigg
Frank A. Grigg
Lincoln
D
Bt 5-10
Lorene P Grigg
Frank A. Grigg
Lincoln
R
Bt 6-1
Tony Jones
Tony Jones
Lincoln
14.6
Cecil
D
R
D
Bt 6-2
Bt 6-3
Bt 64
Tony Jones
Tony Jones
Tony Jones
Tony Jones
Tony Jones
Tony Jones
Lincoln
Lincoln
Lincoln
23.3
Cecil
D
Bt 6-5
Tony Jones
Tony Jones
Lincoln
R
Bt 9-1
Lori Warren
Lori Warren
Gaston
42
Cecil
D
D
Bt 10-1
Bt 10-2
Randy A. Keever
Randy A. Keever
Randy A. Keever
Randy A. Keever
Lincoln
Lincoln
*** END OF FORM LASCA 02/02 ***
FORM: LASCA 02/02 Page 2 of 2 _ Attachment Order ^

\o��F W AT �9P6
MR. BARRY WEBB, CITY MANAGER
CITY OF BELMONT
POST OFFICE BOX 431
BELMONT, NORTH CAROLINA 28012
Dear Mr. Webb:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
August 30, 2006
Alan W. Klimek, P.E., Director
Division of Water Quality
D jr. k�q L�. U W l5
In
SEP _ 1 2006 ILU
Subject: Application No. WQ0003281
Additional Information Request
City of Belmont Residuals Land Application Program
Land Application of Residual Solids (503)
Gaston County
The Land Application Permits and Compliance Unit has conducted a preliminary review of the subject
permit application package. Additional information is required before we may continue our review.
Please address the following items no later than September 30, 2006.
1. A laboratory report dated 4/16/04 was provided for the residuals analysis. The lab results
provided in form RSCA sections IIA.b and II.5.b are from a report dated 10/6/04. Please
provide the lab results for 10/6/04. Also, on form RSCA page 6 of 8 reports the Ammonia -
Nitrogen as ND. Results that are below the detection level must be reported at the detection
limit. Please provide a revised page 6 of 8 with the correct Ammonia Nitrogen result.
2. Residuals Analysis is currently required quarterly since the current permit is for 900 dry tons
per year. The Residuals Analysis may be reduced to annually at 300 dry tons per year. The
Belmont WWTP Sampling Plan specifies once per quarter sampling. If you wish to sample
annually, please revise the Sampling Plan accordingly. Also, the Sampling Plan lists the
TCLP parameters to be analyzed for but leaves off Chloroform. There is a term
"Chorobenzene" in the list where Chloroform should be, which appears to be an error.
Please revise the TCLP list accordingly.
Forms BWAA have been provided for two residences owned by Lori Warren related to field
BT9-1. Both residences have the same location (1407 Alexis -Lucia Road) but the buffer
distance is 100 feet on one and 250 feet on the other. Please verify the correct buffer
distance and the correct address for each residence. Note that form BWAA is not required
for residences owned by the Landowner and located on the property on which residuals are
to be applied. One of these residences (the one with a 250 foot buffer) appears to be within
the property boundary. Please identify the residences on the buffer map by address and by
owner.
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwaterquality.org Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
NoAhCarolina
,Vatmally
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

9 . , '
Mr. Barry Webb
Page 2
August 30, 2006
4. Form NDRLAP page 5 of 5 gives the Pasture as 39.9 acres and the total acreages as 81.9
acres. Form LASCA page 2 of 2 gives the total acreage to be certified as 81.9 acres, but the
Net Acres for Fields Bt 6-1, BT 6-3 and Bt 9-1 total to 79.9 Acres. Please verify the correct
acreages and provide revised forms as necessary.
Form LASCA lists North Jones as the Landowner for fields Bt 6-1 and Bt 6-3. Form LOAA
for these fields is signed by Tony Jones as the Landowner. Please verify the correct owner
and provide revised a form LASCA or form LOAA as necessary.
Please be aware that you are responsible for meeting all requirements set forth in North Carolina rules
and regulations. Any oversights that occurred in the review of the subject application package are still
the responsibility of the applicant. In addition, any omissions made in responding to the above items may
result in future requests for additional information.
Please reference the subject application number when providing the requested information. Four copies
of all revised and/or additional documentation should be signed, sealed, dated, and submitted to my
attention at the address at the bottom of the cover page of this letter. Please note that failure to provide
this additional information on or before the above requested date may result in your application being
returned as incomplete.
If you have any questions regarding this request, please do not hesitate to contact me at
[e-mail] or [phone]. You may also check the future status of this project online at
http://h2o.enr.state.ne.us/bims/Reports/reportsPermits.htrnl. Thank you for your cooperation.
Sincerely,
Duane Leith
APS-Animal Unit
Cc: 1 _ Ellen Huffman, Mooresve l_ Office, -Aquifer -Protection
illRegionace,-Aquifer-Protection Section
Dennis Key, Southern Soil Builders
LAU Application File

AQUIFER PROTECTION REGIONAL STAFF REPORT
I9ate:07/26/06 COPY County: Gastonia
To: Aquifer Protection Central Office Permittee/Owner: City of Belmont
Central Office Reviewer: Duane Leath Application No.: WQ0003281
L GENERAL INFORMATION
1. This application is (check all that apply): ❑ New ® Renewal ® Renewal with mod.
❑ Minor Modification ❑ Major Modification
❑ Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
® Land Application of Residuals ❑ Attachment B included ® 503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed -loop Groundwater Remediation ❑ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ❑ Yes or ❑ No.
a. Date of site visit: 02/09/06.
b. Person contacted and contact information: Pat Waiters, supervisor Belmont WWTP, 704/825-3791
c. Site visit conducted by: Ellen Huffman, MRO
d. Inspection Report Attached: ® Yes or ❑ No.
2. Is the following information entered into the BIMS record for this application correct?
® Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current application.
For Treatment Facilities: NPDES permit # NCO021181
a. Location:
b. Driving Directions:
c. USG Quadrangle Map name and number:
d. Latitude: Longitude:
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
For Disposal and Injection Sites: See application.
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
FORM: WQ0003281BelmontstaffLA0706 1

AQUIFER PROTECTION REGIONAL STAFF REPORT
s
M. RENEWAL AND MODIT'ICATIONAPPLICATION
Description Of Waste(S) And Facilities
1. Are there appropriately certified ORCs for the facilities? ® Yes or ❑ No.
Operator in Charge: Dennis Kev Certificate #: 15704
Backup- Operator in Charge: David Kev Certificate #:23629
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage, effluent
storage, etc) of the treatment facilities adequate for the type of waste and disposal system? ® Yes or ❑ No.
3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No. If no, please explain:
4. Has the site changed in any way that may affect permit (drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ® No. If yes, please explain:
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
® Yes or ❑ No. If no, please explain:
6. Are the existing application rates (hydraulic or nutrient) still acceptable? ® Yes or ❑ No. If no, please
explain:
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring
parameters, etc.) adequate? ❑ Yes ❑ No ® N/A.
8. Will seasonal or other restrictions be required for added sites? ❑ Yes ® No ❑ N/A
9. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ® No.
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct?
® Yes or ❑ No. If no, please explain:
11. Were monitoring wells properly constructed and located? ❑ Yes or ❑ No ® N/A.
12. Has a review of all self -monitoring data been conducted (GW, NDMR, and NDAR as applicable)? ❑ Yes or
® No ❑ N/A. Please summarize any findings resulting from this review: The Regional Office did not
review the annual report however, did receive a copy of an Administrative Amendment/NOV (NOV-2005=RV-
0007) dated 12/06/05, for transfer of several fields and for not submitting a permit renewal in a timely fashion.
This permit is expired.
13. Check all that apply: ❑ No compliance issues; ® Notice(s) of violation within the last permit cycle;
Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently under
moratorium.
14. Have all compliance dates/conditions in the existing permit, (SOC, JOC, etc.) been complied with? ❑ Yes
❑ No ❑ Not Determined ® N/A.. If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes or ® No ❑ N/A. If yes, please explain:
FORM: WQ0003281BehnontstaffLA0706 2

T AQUIFER PROTECTION REGIONAL STAFF REPORT
V EVALIIATIONAND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.: BIMs reflects updated field list for
this application. The application asks for a reduction in annual dry tons permitted. A look at past annual
reports justifies this request. This application also requests a deletion of most of the previously permitted
fields leaving only three fields with a total of 79.9 acres per the LASCA form. Page S of the NDRLAP states
81.9 acres to be permitted. This needs to be clarified. The.IRO has requested and received updated maps for
the current LA sites. The new maps were inserted into the NIRO file copy of the application, as well as the
permit copy being returned with this staff report. There are also two more sets of maps in this package for
Central Office use. There are no field summary sheets in the permit application. The attachment B has been
updated in BIMs.
2. Attach Well Construction Data Sheet. N/A
3. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ® No. If yes, please explain
briefly.
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item: See recommendations above.
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition: None
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition: None
7. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office; ❑ Hold,
pending review of draft permit by regional office; ® Issue upon receipt of needed additional information; ❑
Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report preparer(s):
Signature of APS regional super
Date:
ADDITIONAL REGIONAL .STAFF REVIEW ITEMS
NTl.,, A
FORM: WQ0003281BelmontstaffLA0706 3

fn/U riL, C,'
S'. Southern
S Soil
B Builders, Inc.
December 12, 2005
NCDENR- Division of Water Quality
Aquifer Protection Section
Non -Discharge Permits
2728 Capital Boulevard
Raleigh, NC 27604
958 Hoots Road Roaring River, NC 28669
[phone] 9 Fax [phone]
Reference: Renewal of Permit No. Q0001863
City of Belmont, NC
l \�
AQI
EREPROTECTION Cgg Q
GTOI
DEC 14 ZD
Southern Soil Builders, Inc. is under contract with the City of Belmont to assist in the
preparation of the land application permit renewal.'
Please contact us immediately if you have any questions or require any additional
information in the review of this permit renewal.

S Southern
S958 HOOTS ROAD
S011 ROARING RIVER, NC 28669
P H. 336-957-8909
B Builders, Inc.
PAY wp
HRS DATE TO THE ORDER OF
CSouthem
BAN TRU T
DOLLARS
DESCRIPTION
F.I. FED. WITH STATE
Jim 00946011' I:053 L L 20971: 208775811'
66-1209/531 nr
9460
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State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
INSTRUCTIONS FOR FORM: NDRI- AP 02/02
(NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS)
The Division of Water Quality (Division) will not consider this application 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.
1'Or nlnre in fbt'nmtion or for an e/ectr6nic Version of this form, visit our weh site at:
htip:, enr. Sh7le. nc. us,ndp I I I
INSTRUCTIONS TO THE APPLICANT:
A. Application Form:
✓ This application form must be submitted for any permitting action involving a ❑on -dedicated residuals
land application program.
✓ Non -dedicated residuals land application programs are ones in which all land application sites do 1101 sleet
the criteria in 15A NCAC 2H .0203 (11)(a) and (b). Specifically, a residuals land application program
cannot be designated as non -dedicated if any of the following is applicable:
♦ Any land application site certified for the residuals land application program that receives residuals at
rates or frequencies greater than agronomicallN justifiable.
♦ Any land application site certified for the residuals land application program that is used primarily for
residuals disposal alone (i.e.. versus crop production).
♦ Any land application site certified for the residuals land application program that is designated as
dedicated by the Division's Director.
✓ Ari changes to this application form will result in the application package being returned.
✓ All Forms and guidance documents referred to in this application form may be downloaded from the 11'cb site
at http://h2o.cnr.state.nc.us/ndpu/.
B. General Information:
✓ The applicant is either the CNisting Permittee or the entity that is to be responsible for the operation of the
residuals land application program and compliance \vith the resultant permit. if the applicant is r,
corporation, ensure that that applicant's name as listed in Itein 1. 1. corresponds \\'ltll the ll;lnle under which
the corporation is registered \yilli the NC Department of the SCCI'ClarV of Stale.
✓ The signing official must meet the criteria stipulated in 15A NCAC 2H .0206 (b). An alternate person niay
be designated as the signing official, provided that a delegation letter from a person who meets the
referenced criteria is subiitted. The delegation letter does riot have to be resubmitted if the signing official
has not changed since the last permitting action associated with this residuals land application program.
✓ The submitted fee should be in accordance \yittl the Divisions most recently -adopted fee schedule. This fee
schedule ns well as a detailed explanation of its application play be downloaded from the web site at:
littp://li2o.enr.state.nc.us/ndpu/. Checks are to be made payable to: North Carolina Department of
Environment and Natural Resources (NCDENR).
C. Submission of Application Packages:
✓ Submit one original and three copies of the entire application package. including the cover letter. the
completed and appropriatelN executed application form. as \yell as all required attachment forms and
supplemental attachments. The instructions (Pages I of 5) do not need to be submitted.
✓ To determine which attachment forms and supplemental attachments are required to stifle a complete
application package_ read the instructions of each attachment form carefully. Application packages should
be organized and bound (i.e., stapled, three-ring binder. etc.) in the following order prior to submission:
o Cover letter and application fee.
♦ Attachment Order 1: Non -Dedicated Residuals Land Application Programs (Form NDRLAP).
Attachment Order I -a: Signing official delegation letter.
♦ Attachment Order 2: Residuals Source Certification Attaclunent (Form RSCA).
♦ Attachment Order 3: Land Application Site Certification Attachment (Form LASCA).
FORM: NDRLAP 02/02 Page 1 of 5 Attacliruent Order 1

✓ The application package should be sent to the address at the end of this application form. Do not submit
this application package to any Division regional office.
FORA: NDRLAP 02/02 Page 2 of 5 Attachment Order l

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS
(THIS FORMMAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: (to be completed by DWQ)
L GENERAL INFORMATION (See Instruction B.): RECEIVED I DENR I DWQ
1. Applicant's name: City of Belmont AQUIFER PROTECTION SECTION
2. Signing official's name and title: Berry Webb City Manager DEC 14 2005
3. Complete mailing address of applicant: PO Box 431
City: Belmont State: NC Zip: 28012
Telephone number: (_704_) 825-5586 Facsimile number: ( _704_) 825-0514
E-mail address:
4. Name and complete mailing address of contact person and/or consulting firm who prepared application: _
Southern Soil Builders Inc 958 Hoots Road
City: Roaring River State: NC Zip: 28669
Telephone number: (_336_) 957-8909 Facsimile number: ( _336_) 957-8940
E-mail address: ssbinwilkes net
5. County where residuals land application program is headquartered: Gaston
6. County(ies) where residuals source -generating facilities are located: Gaston
7. County(ies) where land application sites are located: Gaston Lincoln
8. Fee submitted: $
II. PERMIT INFORMATION:
Application is for: ❑ new, N 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 W00003281 >
the most recent issuance date 1-31-2001 , and the expiration date 12-31-05
Date of most -recently certified Attachment A:
Date of most -recently certified Attachment B:
FORM: NDRLAP 02/02
L
Page 3 of 5
Attachment Order 1

3. Check all that apply to the requested permit modification:
❑ INCREASE 2---DECREASE_—_1he 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 -tie net acreage associated with land applications site(s) currently
certified for this residuals land application program.
❑ ADD FE_—'DEL-E-TE_ : land application site(s) to/from those certified for this residuals
land application program.
❑ OTHER. Explain:
]IL RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Who will be responsible for the day -today 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: Dennis Key President
Firm name and complete mailing address: Southern Soil Builders, Inc.
958 Hoots Road
City: Roaring River State: NC Zip: 28669
Telephone number: (_336_) 957-8909 Facsimile number: ( _336_) 957-8940
E-mail address: [e-mail]
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
Dennis Key
Southern Soil Builders, Inc.
15704
Back -Up ORC
David Key
Southern Soil Builders, Inc.
23629
Additional Back -Up
ORCs
if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application
program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's
completion of the required training school and certification test:
FORM: NDRLAP 02/02 Page 4 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: 300 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
23.06
23.06
3825.65
3825.65
Five -Year Maximum Adjusted
40.1
41.9
10,569.56
11,043.88
b. Land Application Site Use Summary: Summarize information regarding the land application sites as
currently certified and proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
0
Hay
42
Pasture
39.9
Total:
81.9
Methods
Surface
81.9
Incorporation or
Tnipotinn
0
Total:
81.9
Restrictions
Year -Round
81.9
Seasonal
0
Total:
81:9
c: Residuals Land Application Summary: Determ z a 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
qbs 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
54.65
54.65
150.99
157.77
150
25.6
25.6
70.46
73.63
250
15.3
15.3
42.27
44.18
FORM: NDRLAP 02/02 Page 5 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.): At the present time there are no issues that would
prevent all of the residuals from beingland applied without exceeding agronomic rates
Applicant's Certification:
I, Berry Webb Cit +Manager , attest that this application for City of Belmont
Land Application Permit Renewal 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. l% /-,? _ e
Signature: Date: !2 &-
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: [phone]
* * * END OF FORM NDRLAP 02/02 * * *
RMEND f DENR`DWQ
IFER PROTECTION SECTION
DEC 14 2005
FORM: NDRLAP 02/02 Page 6 of 5 Attachment Order 1

�.i� . , . ,

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
RESIDUALS SOURCE CERTIFICATION 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 application processing and review time.
For more information or for an electronic version of this form, visit our web site at:
h ttp: //h2o. enr. state. ne. 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.
✓ For new residuals programs or renewed residuals programs, submit a separate attachment form for each
residuals source -generating facility to be certified for this residuals program.
✓ For modified residuals programs in which any modification to the certified residuals -source generating
facilities is proposed, submit a separate attachment form for only those residuals source -generating facilities
that are affected by the proposed modification.
✓ The attachment should be organized prior to submission in the following order (i.e., by facility):
♦ Attachment Order 2: Residuals Source Certification Attachment (Form RSCA).
➢ Attachment Order 2-a: Vicinity map.
➢ Attachment Order 2-b: Process flow diagram and/or narrative.
➢ Attachment Order 2-c: Quantitative justification for residuals production rate.
➢ Attachment Order 2-d: Sampling plan.
➢ Attachment Order 2-e: Laboratory analytical reports and operational data.
✓ All forms and guidance documents referred to in this attachment form may be downloaded from the web site
at http://h2o.enr.state.nc.us/ndpu/.
B. Residuals Source -Generating Facility Information:
✓ Attach a vicinity map that shows the location of the facility and meets all of the criteria in the latest version
of the document entitled "Guidance for the Preparation of Vicinity/Buffer Maps for North Carolina
Residuals Permitting Programs."
✓ Attach a detailed narrative and/or process flow diagram that describes how the residuals are to be generated,
treated, processed, and stored at the facility.
✓ Attach a quantitative justification for the value provided in Item I. 8. Ensure that the amount of residuals
listed is the maximum amount expected to be generated by the facility for the life of the permit. In addition,
ensure that this amount is equivalent to that which is actually to be land applied, distributed, and/or
disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
C. Residuals Quality Information:
✓ Attach a detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In
addition, ensure that the plan details how the facility and/or the residuals are monitored for any applicable
pathogen reduction and vector attraction reduction requirements. Note that all sampling and monitoring
must be completed on the residuals as they are to be land applied, distributed, and/or disposed.
✓ Attach reports for all laboratory analyses used to complete this attachment form. Attach documentation that
the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements. 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
FORM: RSCA 02/02 Page 1 of 8 Attachment Order 2

application/distribution/disposal event has taken place in the last three years. This exemption will not be
allowed unless all three of these criteria are met.
✓ Item 11. 3. does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only.
Applicant's name: City of Belmont
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: _900_ and proposed: _300_ dry tons per year.
❑ ADD ❑ DELETE this residuals source -generating facility to/from those certified for this
residuals program.
❑ OTHER Explain:
L RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Name of facility: City of Belmont WWTP
2. Facility permit holder: City of Belmont
Facility permit holder is (check one): ❑ federal, ❑ state, ® local government, or ❑ private.
Facility permit number: NCO021181
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: -at Waiters
Facility complete mailing address: PO Box 431-
City: Belmont State: NC Zip: 28012
Telephone number: (_704 ) r,-825-379-1—Facsimile number: ( )
E-mail address:
b. Facility complete location address: PO Box 431
City: Belmont State: NC Zip: 28012
County: Gaston
4
Latitude: 35 13' 57" and longitude: 81 00' 57"
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_ MGD and facility average daily flow: _3.2_ MGD.
7. Maximum amount of residuals to be certified for this facility: 300_ 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:
1 tank - 1.7 million gallons
Type and volume of residuals storage (i.e., outside of residuals treatment units):
H. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under (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 H. 4b., 4c., 7b., and 7c.
® Land Application (Class B or Equivalent).
Complete all items EXCEPT Items H. 4a., 4c., 7a., and 7c.
❑ Surface Disposal.
Complete all items EXCEPT Items 11. 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: PAR Labs and date of analysis: 4-28-04
Passed corrosivity test: ® yes ❑ no. pH: 6_ s.u. (2 < pH < 12.5).
Passed ignitability test: ® yes ❑ no. Flashpoint: _>200_ °F (> 140°F).
Passed reactivity test: ® yes ❑ no. HCN: NON mg/kg (<250) & H2S: _NON mg/kg
(<500).
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
Arsenic
5.0
<0.5
Hexachlorobenzene
0.13
<0.013
Barium
100.0
<10
Hexachloro-1,3-Butadiene
0.5
<0.05
Benzene
0.5
<0.05
Hexachloroethane
3.0
<0.3
Cadmium
1.0
<0.1
Lead
5.0
<0.5
Carbon Tetrachloride
0.5
<0.05
Lindane
0.4
<0.04
Chlordane
0.03
<0.003
Mercury
0.2
<0.02
Chlorobenzene
100.0
<10
Methoxychlor
10.0
<1
*** TABLE CONTINUES ON NEXT PAGE ***
FORM: RSCA 02/02 Page 3 of 8 Attachment Order 2

*** TABLE CONTINUED FROM PREVIOUS PAGE ***
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
Chloroform
6.0
<0.6
Methyl Ethyl Ketone
200.0
<20
Chromium
5.0
<0.6
Nitrobenzene
2.0
<0.2
m-Cresol
206.0
<20
Pentachlorophenol
100.0
<10
o-Cresol
200.0
<20
Pyridine
5.0
<0.5
p-Cresol
200.0
<20
Selenium
1.0
<0.1
Cresol
200.0
<20
Silver
5.0
<0.5
2,4-D
10.0
<1
Tetrachloroethylene
0.7
<0.07
1,4-Dichlorobenzene
7.5
<0.75
Toxaphene
0.5
<0.05
1,2-Dichloroethane
0.5
<0.05
Trichloroethylene
0.5
<0.05
1, 1 -Dichloroethylene
0.7
<0.07
2,4,5-Trichlorophenol
400.0
<40
2,4-Dinitrotoluene
0.13
<0.013
2,4,6-Trichlorophenol
2.0
<0.2
Endrin
0.02
<0.002
214,5-TP (Silvex)
1.0
<0.1
Heptachlor and its Hydroxide
0.008
<.0008
Vinyl Chloride
0.2
<0.02
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/k9)
Result
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
Laboratories, Inc. and date of analysis: 10-06-04
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
5.36
40 CFR Parts 257 and 503
Cadmium
85
1.6
40 CFR Parts 257 and 503
Copper
4,300
503
40 CFR Parts 257 and 503
Lead
840
38
40 CFR Parts 257 and 503
Mercury
57
2.16
40 CFR Parts 257 and 503
Molybdenum
75
9
40 CFR Parts 257 and 503
Nickel
420
25
40 CFR Parts 257 and 503
Selenium
100
5.11
40 CFR Parts 257 and 503
Zinc
7,500
3229
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:
and 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
FORM: RSCA 02/02 Page 5 of 8 Attachment Order 2

5. Nutrient(Micronutrient Determination: Complete the following:
a. Total solids: 3.10 %.
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 Agricultural Labs, Inc.
and date of analysis: 10-06-04
Parameter
Result
(mglkg)
Aluminum
29023
Ammonia -Nitrogen
ND
Calcium
18000
Magnesium
2600
Nitrate -Nitrite Nitrogen
100
pH
6.3
Phosphorus
29400
Potassium
2000
Sodium
4600
Total Kjeldahl Nitrogen
38100
c. Using the results listed in Item H. 5b. above, calculate the sodium adsorption ration (SAR): _1.49_
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the
residuals: _30 %. This rate is a ® default value or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or
provide technical justification as to why the selected default value is appropriate to be applied to these
residuals: Default value for aerobic digestion
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
11530
17064
Injection/Incorporation
11530
17064
e. Are the residuals are a registered fertilizer with the NC Department of Agriculture and Consumer
Services: ❑ yes ® no. If yes, provide date of registration approval:
the current registration number:
and the fertilizer equivalent: %, %, and %.
FORM: RSCA 02/02 Page 6 of 8 Attachment Order 2

C
Is
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the
residuals and list the results of the latest analyses
7. Pathogen Reduction Determination: Specify which alternative(s) will be used to meet the pathogen
reduction requirements:
a. For Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry
solids.
OR
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry
solids.
AND one of the following (except for residuals regulated under 40 CFR Part 257 that are to be distributed):
❑ Alternative 1 [40 CFR §503.32 (a)(3)] - Time/Temperature Compliance.
❑ Alternative 2 [40 CFR §503.32 (a)(4)] - Alkaline Treatment.
❑ Alternative 3 [40 CFR §503.32 (a)(5)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [40 CFR §503.32 (a)(6)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [40 CFR §503.32 (a)(7)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment, ❑ pasteurization,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation, or ❑ gamma ray irradiation.
❑ Alternative 6 [40 CFR §503.32 (a)(8)] - PFRP-Equivalent Process.
Explain:
b. For Class B or Equivalent:
® Alternative 1 [40 CFR §503.32 (b)(2)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [40 CFR §503.32 (b)(3)] - Process to Significantly Reduce Pathogens (PFRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
❑ Alternative 3 [40 CFR §503.32 (b)(4)] - PSRP-Equivalent Process.
Explain:
❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution.
c. For Surface Disposal:
❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover.
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 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 reduction requirements:
® Alternative 1 [40 CFR §503.33 (b)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [40 CFR §503.33 (b)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [40 CFR §503.33 (b)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [40 CFR §503.33 (b)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [40 CFR §503.33 (b)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [40 CFR §503.33 (b)(6)] - Alkaline Stabilization.
❑ Alternative 7 [40 CFR §503.33 (b)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [40 CFR §503.33 (b)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [40 CFR §503.33 (b)(9)] - Injection.
❑ Alternative 10 [40 CFR §503.33 (b)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover.
❑ Alternatives for Animal Processing Residuals Only:
Specify one: ❑ injection, ❑ incorporation, or ❑ lime addition to raise pH to 10.
❑ Not Applicable - Non -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

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E. AERATION
SEWER BASIN
COLLECTION
(BACKUP UNIT)
SYSTEM
BAR SCREEN & PARSHALL FLUME W. AERATION
GRIT REMOVAL & FLOW METER BASIN
(PRIMARY)
SLUDGE HOLDING AEROBIC SLUDGE SECONDARY
TANK DIGESTERS" PUMPING CLARIFIERS
(2) H (2)
SLUDGE DRYING
OFF -SITE
DISPOSAL ® BEDS
(BACKUP UNITS)
CITY OF BELMONT
WASTEWATER TREATMENT PLANT
DISCHARGE TO
FLOW DIAGRAM CATAWBA RIVER
FIGURE 1-1 (LAKE WYLIE)
G. HATTON ASSOCIATES, PC
CHLORINE
CONTACT
PARSHALL FLUME
& FLOW METER
k,UlJbUiuuy
T
0
C
m
m

Justification for Residuals Production Rate
Over the past five years the amount of dry tons have been well below the current permit
volume of 900 dry tons per year. This current trend is anticipated to stay the same. The
amounts of dry tons over the past few years have been 163.18, 263.58, 131.01, and 165.9.
None of these amounts is close to the currently 900 dry tons per year permitted. We are
requesting that the amount of dry tons permitted to be land applied per year be decreased
to 300 dry tons per year. This amount would be more than sufficient to handle the amount
of residuals being produced by The City of Belmont.

Belmont WWTP Sampling Plan
Once per quarter or if a land application event does not occur each quarter, prior to land
application, grab samples are collected from the sludge holding tank. These individual
grab samples are collected and sent for fecal coliform analysis. Volatile solids are
collected from the sludge holding tank and from the return activated sludge from the -
sludge thickening tanks prior to, being sent to the aeration basin for calculation of volatile .
solids reduction.
Once per quarter, or if a land application event does not occur quarterly, a composite
residual solid sample will be analyzed for: Cadmium, Copper, Lead, Mercury,
Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia nitrogen, Calcium, Nitrate
nitrogen, Nitrogen, Magnesium, % total solids, pH, phosphorus, Potassium, TKN, and
Sodium. From this information, the Plant Available Nitrogen (PAN) will be calculated.
Annually a composite TCLP sample will be collected to include:
Aresenic Hexachlorobenzene pH for Corrosivity
Barium Hexachloro-1,3-Butadiene
Benzene Hexachloroethane
Cadium Lead
Carbon Tetrachloride Lindane
Chlordane
Mercury
Chlorobenzene
Methoxychlor
Chorobenzene
Methyl Ethyl Ketone
Chromium
Nitrobenzene
m-Cresol
Pentachlorophenol
o-Cresol
Pyridine
p-Cresol
Selenium
Cresol
Silver
2,4-D
Tetrachloroethylene
1,4-Dichlorobenzene
Toxaphene
Flash point for ignitability
Sulfides and Cyanides for reactivity
1,2-Dichloroethane
1 <1-Dichloroethylene
2,4-Dinitrotoluene
Endrin
Heptachlor and its Hydroxide
Trichloroethylene
2,4, 5-Trichlorophenol
2, 4, 6-Trichlorophenol
2,4,5-TP (Silvex)
Vinyl Chloride

A&L EASTERN AGRICULTURAL LABORATORIES, INC.
7621 Whitepine Road • Richmond, Virginia 23237 • [phone] j(
Fax No. [phone] AtL
REPORT NUMBER: cua-2?r+ A' CDUNT 4 46381 PAGE 1
IL
SI;,tU"HERN SOTL B! DERS BELMONT DENNIS W;:V
DENNIS KEY
HC)OTS ROAD
ROARING RIVER NC 28 69 NC SERT #257
ANALYSIS REPORT
DA;E SAMP! ED : — 09iO3
LAB NUMBER = 41340 DA3E RECEIVED 04/14/04
SAMPLE ID = BELMONT DATE REPORTED 04/1E/0A
DETECTION
RESULT
RESULT
LIMIT
ANALYSIS
PARAMETER
--------------------
( X )
--------
fMG/KG)
-------
(MG/KG)
-------
ANALYST
-------
DATE
---------
TIME
-----
METHOD
-----------
REFERENCE
-------------
"IAS IS)
DUDS(
3.
3?10
00
J?
C
04/14O4
/
1:00
5
SM
25413 G
#ITROGEN(TKN)
4.35
43500
100
KCS
04/15/04
15:45
EPA
3 5 1_3
PHOSPHORUS
2.12
21200
10O
JCM
04/15/04
16:00
Ski
346-6010B
POTASSIUM
0.18
1800
100
JCM
04/15/04
16:00
SOW
846—EO10B
SULFUR
O.BG
8S00
100
,CM
04/15/04
16:00
Sri
346—G010B
CALCIUM
1.11
11100
100
JCM
04/15/04
16:00
SH
846—GOIOB
111AG-CESIUM
G.23
2300
100
JC?i
04/15/04
16:00
Sid
846—GO10B
SODIUM
0.34
3400
100
JCM
04/15/04
16:00
S!
346-6010B
IRON
25700
1
JCM
04/15/04
16:00
SW
846-6010B
ALUMINUM
26400
10
JCM
04/15/04
IG:00
SW
84G-6010B
MANGANESE
1190
1
JCM
04/15/04
16:00
SW
846-6010B
COPPER
513
1
JCM
04/15/04
16:00
SW
846—GOIOB
ZINC
1710
1
JCM
04/1-5/04
16:00
SW
846—GOIOB
AMMONIA —NITROGEN
0.05
500
100
KCS
04/15/04
12:00
EPA
350.2
NO3—NO2 NITROGEN
43
10
KCS
04/15/04
14:20
C-M
4500—NO3 F
CADMIUM
2.4
1
JCM
04/15/04
16:00
SDI
346—GOICB
NICKEL
27
5
JCM
04/15/014
16:00
SW
B46-60109
LEAD
57
5
JC+M
04/15/04
1G:00
SW
846-6010B
AL _ VAL_i =S ARE ON A DRY W E I HI BASIS EX E P T AS 1)0 ((=3_
This report applies only to the sample(s) tested. Samples are retained a maximum of thirty days after testing
A&L EASTERN AGRICULTURAL LABORATORIES, INC.
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. Coovriaht 1977 by ( by

A&L EASTERN AGRICULTURAL LABORATORIES, INC. .
7621 Whitepine Road • Richmond, Virginia 23237 • [phone]
Fax No. [phone]
REPORT NUMBER: R. ,94-22v ACc0I�N G 3 "S 1 PAGE
Or 1!iHER.4 SOIL SUILDERS
OENNI S KEY
q i- H00TS ROAD
RDAR:ING RIVER NC 286G9
L?BiNUM! BER = 41340
SAMPLE ID = BELMONT
RESULT RESULT
PARAMETER ( X 1 (MG/KG)
BELMON T
NC C E R T # 2 5 7
ANALYSIS 'REPORT
DETECTION
LIMIT ANALYSIS
(MG/KG) ANALYST DATE TIME
------- ------- --------- -----
ARSENIC
1.9Y 0_2 KMX 04/15/04
MERCURY 3.18 0_2 KMM 04/15/04
SELENIUM 3_47 0.1 KMM 04/15/04
Pit (STD.UNITS,AS IS) G.30 RD 04/15/04
ORGANIC NITROGEN 4.30 43000 100 DCH 04115/04
MOLYBDENUM 10 5 JCM 04/15/04
ALL VALUES ARE ON A DRY WEIGHT BASIS EXCEPT AS NOTED.
DENNIS KEY
DATE SAMPLED
uATE RECEIVED
DATE REPORTED
0A 03/04
04/14/04
04/1G/04
METHOD REFERENCE
------------------------
15:00 Sn 846-7061A
15:00 S1W B 4G-7471A
15:00 Sw 846-7741A
12:30 EPA 150.1
CALCULATION
1G_00 Sw 846-G010B
This report applies only to the sample(s) tested. Samples are retained a maximum of thirty days after testing.
A&L EASTERN AGRICULTURAL LABORATORIES, INC.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, ^ n I
nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public
annrn inrements without obtaining our orior written authorization. Copyright 1977 by by -•

PAR Laboratories, Inc.
PAR
2217 Graham Park Drive
LABORATORIES, INC.
PO Box 411483
Charlotte, NC 28241-1483
Phone: [phone]; Fax: [phone]
NC Cert # 20; Sc Cert # 99003
www. parlabs. com
REPORT OF ANALYSES
Attn: DENNIS KEY
SOUTHERN SOIL BUILDERS PROJECT NAME: APR 04
958 HOOTS ROAD DATE: 04/28/04
ROARING RIVER, NC 28669-0000
SAMPLE NUMBER- 56122
SAMPLE ID- BELMON'T
WWTP
SAMPLE MATRIX- SO
DATE SAMPLED- 04/07/04
TIME
SAMPLED- 1530
DATE RECEIVED- 04/08/04
SAMPLER- ZACH KEY
RECEIVED
BY- MJ
TIME RECEIVED- 1250
DELIVERED BY- ZACH
KEY
TYPE
SAMPLE- Grab
Page 1 of 3
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT
UNITS
TCLP CHARACTERISTICS
TCLP
04/14/04
0800
TL
PH VALUE
TCLP
04/14/04
0800
TL
6.0
S.U.
CORROSIVITY
TCLP
04/14/04
0800
TL
<
NON
REACTIVITY
TCLP
04/14/04
0800
TL
<
NON
FLASH POINT
TCLP
04/14/04
0800
TL
>
200
degrees F
IGNITABILITY
TCLP
04/14/04
0800
TL
<
NON
PAINT FILTER TEST
TCLP
04/14/04
0800
TL
< FL
TCLP METALS
TCLP
04/16/04
0954
CT
TCLP
04/16/04
0954
CT
<
0.5
ppm
ARSENIC
TCLP
04/16/04
0954
CT
< 10
ppm
BARIUM
TCLP
04/16/04
0954
CT
<
0.1
ppm
CADMIUM
TCLP
04/16/04
0954
CT
<
0.5
ppm
CHROMIUM
TCLP
04/16/04
0954
CT
<
0.5
ppm
TCLP
04/16/04
0954
CT
<
0.02
ppm
MERCURY
TCLP
04/16/04
0954
CT
<
0.1
ppm
SELENIUM
TCLP
04/16/04
0954
CT
<
0.5
ppm
SILVER
TCLP PESTICIDES
TCLP
04/14/04
0800
TL
TCLP
04/14/04
0800
TL
< 0.002
ppm
ENDRIN
TCLP
04/14/04
0800
TL
<
0.04
ppm
LINDANE
TCLP
04/14/04
0800
TL
< 1
ppm
METHOXYCHLOR
TCLP
04/14/04
0800
TL
<
0.05
ppm
TOXAPHENE

PAR
LABORATORIES, INC.
www. parlabs. com
Page 2 of 3
PAR Laboratories, Inc.
2217 Graham Park Drive
PO Box 411483
Charlotte, NC 28241-1483
Phone: [phone]; Fax: [phone]
NC Cert # 20; SC Cert # 99003
CONTINUATION OF DATA FOR SAMPLE
NUMBER
56122
ANALYSIS
ANALYSIS
METHOD
DATE TIME
BY
RESULT
UNITS
CHLORDANE
TCLP
04/14/04
0800
TL
< 0.003
ppm
HEPTACHLOR (AND ITS EPDXIDE)
TCLP
04/14/04
0800
TL
< 0.0008
ppm
TCLP HERBICIDES
TCLP
04/14/04
0800
TL
4-D
TCLP
04/14/04
0800
TL
< 1
ppm
2,4,5-TP(SILVEX)
TCLP
04/14/04
0800
TL
< 0.1
ppm
TCLP ORGANICS
TCLP
04/14/04
0800
TL
BENZENE
TCLP
04/14/04
0800
TL
< 0.05
ppm
CARBON TETRACHLORIDE
TCLP
04/14/04
0800
TL
< 0.05
ppm
CHLOROBENZENE
TCLP
04/14/04
0800
TL
< 10
ppm
CHLOROFORM
TCLP
04/14/04
0800
TL
< 0.6
ppm
o-CRESOL
TCLP
04/14/04
0800
TL
< 20
ppm
p-CRESOL
TCLP
04/14/04
0800
TL
< 20
ppm
m-CRESOL
TCLP
04/14/04
0800
TL
< 20
ppm
1,4-DICHLOROBENZENE
TCLP
04/14/04
0800
TL
< 0.75
ppm
1,2-DICHLOROETHANE
TCLP
04/14/04
0800
TL
< 0.05
ppm
1,1-DICHLOROETHYLENE
TCLP
04/14/04
0800
TL
< 0.07
ppm
2,4-DINITROTLUENE
TCLP
04/14/04
0800
TL
< 0.013
ppm
HEXACHLOROBENZENE
TCLP
04/14/04
0800
TL
< 0.013
ppm
HEXACHLOROBUTDIENE
TCLP
04/14/04
0800
TL
< 0.05
ppm
HEXACHLOROETHANE
TCLP
04/14/04
0800
TL
< 0.3
ppm
METHYL ETHYL KETONE
TCLP
04/14/04
0800
TL
< 20
ppm
NITROBENZENE
TCLP
04/14/04
0800
TL
< 0.2
ppm
PENTACHLOROPHENOL
TCLP
04/14/04
0800
TL
< 10
ppm
TCLP
04/14/04
0800
TL
< 0.5
ppm
PYRIDINE
TCLP
04/14/04
0800
TL
< 0.07
pp-1
-2—RACHLORETHYL7i`E
TCLP,
04/14/04
0800
TL
< 0.05
ppm
TRICHLOROETHYLENE
TCLP
04/14/04
0800
TL
< 40
ppm
2,4,5-TRICHLOROPHENOL
TCLP
04/14/04
0800
TL
< 0.2
ppm
2,4,6-TRICHLORPHENOL
TCLP
04/14/04
0800
TL
< 0.02
ppm
VINYL CHLORIDE
LABORATORY DIRECTOR

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND APPLICATION SITE CERTIFICATION ATTACHMENT
(THIS FORMMAY BE PHOTOCOPIED FOR USEASAN 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: //h 2o. 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.
✓ For new residuals land application programs or renewed residuals land application programs, submit the requested
information for all land application sites to be certified for this residuals land application program.
✓ For modified residuals land application programs in which any new/transferred land application sites or modification to
the certified land application sites are proposed, submit the requested information for only those land application sites
that are new/transferred or affected by the proposed modification.
✓ All forms and guidance documents referred to in this attachment form may be downloaded from the web site at
http://h2o.enr.state.nc.us/ndpu/.
B. Land Application Site Information:
✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary.
✓ The status of the land application site with respect to this residuals land application program must be provided in the
table in Item I. 1. The status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T)
✓ If this is the first time that an application package is being submitted using Form NDRLAP, then a Watershed
Classification Attachment for Residuals Programs (Form RWSCA) must be completed for all existin land application
sites.
✓ For each land application site with a status code of N, attach the following in the order specified:
♦ Attachment Order 3: Land Application Site Certification Attachment (Form LASCA).
➢ Attachment Order 3-a: Watershed Classification Attachment for Residuals Programs (Form RWSCA).
➢ Attachment Order 3-b: County Manager Notification Attachment (Form CMNA).
➢ By Land Application Site:
■ Attachment Order 3-c: Landowner Agreement Attachment (Form LOAA).
■ Attachment Order 3-d: Buffer Waiver Agreement Attachment (Form BWAA).
■ Attachment Order 3-e: An updated vicinity/buffer map that meets all of the criteria in the latest version of
the document entitled "Guidance for the Preparation of Vicinity/Buffer Maps for North Carolina
Residuals Permitting Programs."
■ Attachment Order 3-f: A soils and agronomic evaluation that meets all of the criteria in the latest version
of the document entitled "Guidance for the Preparation of Soils and Agronomic Evaluations for North
Carolina Residuals Permitting Programs."
✓ For each land application site with a status code of R, attach the following in the order specified:
♦ Attachment Order 3: Land Application Site Certification Attachment (Form LASCA).
➢ ByLand Application Site:
■ Attachment Order 3-c: Landowner Agreement Attachment (Form LOAA).
■ Attachment Order 3-d: Buffer Waiver Agreement Attachment (Form BWAA).
■ Attachment Order 3-e: An updated vicinity/buffer map (i.e., see above for criteria guidance).
■ Attachment Order 3-g: An updated accounting of the land application site's cumulative pollutant loading
rates (CPLRs) that are required by the permit of the residuals land application program from which the
site is being transferred.
✓ For each land application site with a status code of M, contact the appropriate Division's regional office to determine
attachment requirements.
✓ For each land application site with a status code of T, attach the following in the order specified:
♦ Attachment Order 3 through 3-f Everything required for land application sites with a status code of N.
➢ Attachment Order 3-Q: An updated accounting of the CPLRs (i.e., see above for criteria guidance).
FORM: LASCA 02/02 Page 1 of 2 Attachment Order 3

Applicant's name: Cijy of Belmont
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: _324.8
Approximate percentages: % forested,
net acres and proposed for certification: 0_ net acres. Total to be certified: _81.9 net acres.
_100 % agricultural, and % reclamation sites.
L LAND APPLICATION SITE INFORMATION (See Instruction B.):
1. Complete the following table with the requested information:
Status
Code
Site/Field
ID
Landowner(s)
Lessee(s) or Operator(s)
County
Net
Acres
Predominant
Soil Series
Soil
CEC
D
Bt 1-1
Richard Perkins
Richard Perkins
Lincoln
13
D
Bt 1-2
Richard Perkins
Richard Perkins
Lincoln
7.6
D
Bt 2-2
W.W Reel
W.W Reel
Lincoln
D
Bt 2-3
W. W Reel
W. W Reel
Lincoln
D
Bt 2-4
W.W Reel
W.W Reel
Lincoln
D
Bt 2-5
Rhyne Reel
W.W Reel
Lincoln
D
Bt 3-1
H.0 Shronce
Dale Shronce
Lincoln
D
Bt 3-2
H.0 Shronce
Dale Shrone
Lincoln
D
Bt 3-3
H.0 Shronce
Dale Shrone
Lincoln
D
Bt 5-1
Lorene P. Grigg
Frank A. Grigg
Lincoln
*** END OF FORM LASCA 02/02 ***
FORM: LASCA 02/02 Page 2 of 2 Attachment Order
3

1. Complete the following table with the requested information:
Eli
Status
Site/Field
Landowner(s)
Lessee(s) or Operator(s)
County
Net
Predominant
Soil
Code
ID
Acres
Soil Series
CEC
D
Bt 5-8
Lorene P. Grigg
Frank A. Grigg
Lincoln
D
Bt 5-10
Lorene P Grigg
Frank A. Grigg
Lincoln
-R
Bt 6-1
North Jones
Tony Jones
Lincoln s
, 14:6_ _
Cecil
D
Bt 6-2
North Jones
Tony Jones
Lincoln
.MR3
Bt 6-3
North Jones
Tony Jones
Lincoln
' 23 3
Cecil
D
Bt 6-4
North Jones
Tony Jones
Lincoln
D
Bt 6-5
North Jones
Tony Jones
Lincoln
2R
Bt 9-1
Lori Warren
Lori Warren
Gaston
D
Bt 10-1
Randy A. Keever
Randy A. Keever
Lincoln
D
Bt 10-2
Randy A. Keever
Randy A. Keever
Lincoln
*** END OF FORM LASCA 02/02 ***
FORM: LASCA 02/02 . Page 2 of 2 Attachment Order

I. LAND APPLICATION SITE INFORMATION (See Instruction B.):
1. Complete the following table with the requested information:
Status
Code
Site/Field
ID
Landowner(s)
Lessee(s) or Operator(s)
County
Net
Acres
Predominant
Soil Series
Soil
CEC
D
Bt 10-3
Randy A. Keever
Randy A. Keever
Lincoln
*** END OF FORM-LASCA 02/02 ***
FORM: LASCA 02/02 Page 2 of 2 Attachment Order
3

S Southern
s Soil
$ Builders, Inc.
To: NCDENR-DWQ
Mooresville Regional Office
From: Zach Key
Southern Soil Builders, Inc.
958 Hoots Road Roaring River, NC 28669
[phone] 9 Fax [phone]
eta. DEPT. OF EIVVIRc�MW
AND NATURAL RESOURCES
W)DRESMLLE RFGION4 OFFICt
P
'n
1, NOV 0 9 200')
WA TER QUALITY S
ECYIO
I have enclosed form RWSCA 02/02 for your completion on the watershed classification
for residuals programs. If there are, any questions contact me at [phone].
Thank you,
�e
Zach Key
Southern Soil Builders, Inc.
1AJ

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
WATERSHED CLASSIFICATION ATTACHMENT
FOR RESIDUALS PROGRAMS
(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 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 We 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) ♦ 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: /�% /�_e
Address of regional office:
City:
Facsimile number: (
State:
Zip:
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 re planned to occur, as identified on the attached map segment.
Signature of regional office staff: Date: / !'` I ©" 0 S�
FORM: RWSCA 02/02 Page 1 of 2 Attachment Order 3-a

V
Location
ID
\.7— l.J
County
2
Latitude
v el
Longitude
Location
Datum
Location
Method
Code
Location
Accuracy
Waterbody Subbasin and
Stream Index No.
(To Be Completed by DWQ)
Current amd
(To Be Completed
by DWQ)
Bt 6-1
Lincoln
35°24'17.09" N
81001'58.20"W
NAD 27
MAP
t 1"
-
BT 6-3
Lincoln
35024'21.56"N
81002121.03"W
NAD 27
MAP
t 1"
r
1�j j
BT 9-1
Gaston
35023'26.9" N
81003'18.89"W
NAD 27
MAP
*** END OF FORM RWSCA 02/02 ***
FORM: RWSCA 02/02 Page 3 of 2 Attachment Order 3-

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORMMAY BE PHOTOCOPIED FOR USE ASAN 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 Belmont
Complete mailing address of applicant: PO Box 431
City: Belmont State: NC Zip: 28012
Telephone number: ( _704_) 825-5586 Facsimile number: ( _704_) 825-0514
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) (Le., see attached buffer maps) in
accordance with the stipulations and restrictions as given in this Agreement:
Site/Field ID
Land Use or
Cropping Patterns
Intended Use or
Disposition of Crops
Residuals Source -Generating
Facilities
Bt 6-1
Pasture
Belmont WWTP
Bt 6-3
Pasture
Belmont 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

L 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 famish 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.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

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 3 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 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:
Date: I - C- L5
NORTH CAROLINA, t� r\ c 0/ h COUNTY
I, the undersigned Notary Public do hereby certify that J n J �„ 6
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
6ty
WITNESS my hand and official seal this the
day of c M h— , 20 U
Signature and seal:
;>"=`- "_ -. --�
__ tll, a EAL
�1
My commission expire( q �'L a?nC �2
zACW KEY i
L NA
NOTARY P ip .
Lessee's/Operator's Certification: =
CUIR liY OF WILKES
C -I- I`
keyOomf.ls:✓n retires_-
❑ I certify that I have read this Agreement and do hereby agree to abide by
:-
aiand iestrtctoris�as J
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.
, j
Signing official name: /c) L
Signature: Date:
/ 2 v S
FORM: LOAA 02/02 Page 4 of 3 Attachment Order 3-c

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORMMAY BE PHOTOCOPIED FOR USE ASAN 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. 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 Belmont
Complete mailing address of applicant: PO Box 431
City: Belmont State: NC Zip: 28012
Telephone number: ( _704_ ) 825-5586 Facsimile number: ( _704_ ) 825-0514
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
BT 9-1
Hay
Animal Feed
Belmont 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

L 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- ay 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.
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

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 3 of 3 Attachment Order 3-c

M 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 attomey or other legal delegation, to make decisions regarding
the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced
land application site(s) are not included in any waste disposal contract or agreement with another
municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply
residuals to the land application site(s) as specified herein.
Landowner nam, �
Signature:
Date: ( a - LIP- L) `J
NORTH (I606NA, C as )Iv - COUNTY
I, the undersigned Notary Public do hereby certify that / a r-, 6J,, rV0 n
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
1
WITNESS my hand and official seal this the 5-
day of ,20 05
Signature and seal: �� OFFIOIAL SEAL ---
i> ZACH KEY
My commission expi s: AMAIC-NORTH CAROUNA.
COUNTY OF WILKES
_.y My Commissim Expires y "`►_�3_
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:
Signature:
Date: 2 R
FORM: LOAA 02/02 Page 4 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 FORMMAY BE PHOTOCOPIED FOR USEASAN 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:
h ttp: //h2o. enr. state. nc. uslndpul
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (Form NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 211.0219
U)(5)(A)(ii) or (iii) is being sought.
✓ Any other buffers required by 15A NCAC 2H .0219 0)(5), other than those referenced above, cannot be
waived through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property
owner.
AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 2H .0219 0)(5)(A)(ii) and (iii)
The undersigned property owner hereby permits:
Applicant's name: City of Belmont
Complete mailing address of applicant: PO Box 431
City: Belmont State: NC Zip: 28012
Telephone number: ( 704 _) 825-5586 Facsimile number: ( _704_) 8250514
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals within 250 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: 1407 Alexis- Lucia Rd.
City: Stanley State: NC Zip:
28164
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: Lori Warren
FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d

Signature:
Date:
*** END OF FORM LOAA 02/02 ***
FORM: LOAA 02/02 Page 2 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 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 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, cannot be
waived through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property
owner.
AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 0)(5)(A)(ii) and (iii)
The undersigned property owner hereby permits:
Applicant's name: City of Belmont
Complete mailing address of applicant: PO Box 431
City: Belmont State: NC Zip: 28012
Telephone number: ( 704 _) 825-5586 Facsimile number: ( _704_) 8250514
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: 1407 Alexis- Lucia Rd.
City: _ Stanley State: NC Zip: 28164
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: Lori Warren
FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d

Date: 1 a " (Q - C S
*** END OF FORM LOAA 02/02 ***
FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c

p ))CC4TlOA Dwntr' Toll
•� I
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a

Report No: 10077
NCDA&CS Agronomic Division Ytione: ky1)) -Lo» WCU JILG. VyW -&M6■-1-1 -15- -- ----
�'���»�'�
Grower:
Southern Soil Builders, Inc.
958 I1ools Rcl
Soil Test Report
Roru-ing River, N(: 28669
Farm:
11/14/2005
SERVING N.C. RESIDENTS FOR OVER 60 YEARS
Gaston County
G 12'
Agronomist Comments
Field Information
Applied Lime Recommendations
11
S
Czc
Zn B Mn See Note
Sample No. Last Crop Mo Yr T/A Crop or Year Lime
11111,P205 K20
Mg
0
0
0 12
BT61
1st Crop: Fes/OG/Pim,M 0
120-200 0 0
0
.0 pH$
2nd Crop:
0
Test Results
CEC BS% Ac p H P-I K 1 Ca% Mg%
Mn-1 Mn-AI(1)Mn-AI(2) Zn-I
Zn-AI
Cu-1
S-I SS -I NO3-N NH4-N Na
Soil Class HM%
MIN 0.46
W/V
1.06 14.8 92.0 1.2 6.5 85 148 65.0 22.0
505 312 641
641
843
46 0.1
;Field Information
Applied Lime Recommendations.
PaOs K20
�t S
Cu
Zn B See Note
Sample No. Last Crop Mo Yr T/A Crop or Year Lime
0 12
0
BT63
1st Crop: Fes/OG/Pim,M 0
120-200 0 0
0 0
0
0
0 .0
2nd Crop:
0
Test Results
BS% Ac pH P-1 K-1 Ca% Mg%
Mn-I Mn-AI(1)Mn-AI(2) Zn-I
Zn-AI
Czc-1
S-I SS-1 NO3-N NH4 -N Na
Soil Class HM%
MIN 0.46
W/V CEC
1.03 14.0 91.0 1.2 6.4 71 142 64.0 22.0
576 357 639
639
802
47 0.1
Field Information
Applied Lime Recommendations
K20
Mg S
Cu
Zn B Mn See Note
Sample No. Last Crop Mo Yr T/A Crop or Year Lime
P 205
0
0
0 12
BT91
1st Crop: Fes/OG/Pim,M 0
120-200 0 40 60
0
.0 pH$
2nd Crop:
0
Test Results
W/V CEC BS% Ac pH P-I K I Ca% Mg%
Mn-I Mn-AI(1)Mn-AI(2) Zn-1
Zn-AI
Czz-I
S-1 SS -I NO3-N NH4-N Na
Soil Class HM%
MIN 0.36
1.06 14.6 95.0 0.8 6.7 201 46 80.0 13.0
527 323 1077
1077
727
43

Report Number:
R05313-0226 A&L Eastern Laboratories, Inc.
Account Number: 7621 Whitepine Road Richmond, Virginia 23237 [phone]
46381 Fax No. [phone] Email: [e-mail]
Send To: SOUTHERN SOIL BUILDERS Grower: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
SOIL ANALYSIS REPORT
Panes• 1 date Received: 11/812005 Date of Analvsis:. 11/9/2005 Date of Report: 11/14/2005
Submitted By: DENNIS KEY
Analytical Method(s):
{OiganBe Matter
Phosphonis
PotasslurrF
Magnesium
Callum
Sodium
PFI
Addky
- C E C
Sampley�
J
K
CA, v
rfA
Soll t
H
r
Number
:.
Available "
Reserve
t
�
4'
�BufFer
frxiex„
�meq/101k,1' '.-
-,
-
s � , ..,. IbsJA Rate
pprity,Rate
ppm�: Rate
'; ppm�,`Rate
,ppnt .;,Rate
„,ppm :Rate
.`', pprrt_Rate
;�. pH
megi70Og;-
6-1
9553
6-3
9554
9-1
9555
Percent
l3a$e Satueatlon,
Nitrate
Sulfur
k= ° U ZfrRc , '
Manpmea'
Iron
Copper t
Boron
Soluble
Chloride
'Aluminum::
Salts
Ca�
N
403p
FE
Cli t
B
Ct- N:
AC.
F
;4 T
Rate
Rate
Rate;>
'
:'Rate
mslcm
, _ %
%_..
%
PP►rt .Rate
Ppm .Rat®
ppm,,. Rate
X ppm , ;Ra%
pprrr>"
, ppm ,Rate
, ppN
_Rate
; PFm .
PPm
6-1
6-3
9-1
ni r-F 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), m riS r million), lbs/A (pounds r acre), max mum of thirty days after testing. Soil Analysts prepared by:
Y ) PP [PS Pe � ()b per ) A & L EASTERN LABORATORIES, INC.
Rating after each value: VL (Very Low), L (Low), M (Medium), H (High), VH (Very High). ms/cm (milli mhos per centimeter), meq/100g (milVequivalent per 100 grams). c
ENR - Estimated Nitrogen Release. C. E.C. - Cation Exchange Capacity. Conversions: ppm x 2 = Ibs/A, Soluble Salts ms/cm x W = ppm. by: y �� _.
P2ul Chu, Ph.D.

Report Number:
0226
Acount Number:
A&L Eastern Labortories Inc.
Acount Number: �
46381 7621 Whitepine Road Richmond, Virginia 23237 [phone]
Fax No. [phone] Email: [e-mail]
TO: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Date Received: 11/8/05 Date Reported: 11/14/2005
RE: SOUTHERN SOIL BUILDERS DENNIS KEY
REPORT OF ANALYSIS Page: 1
9553 6-1 Mehlich 3 Mercury
0
mg/kg
SW846-7471A
Mehlich 3 Molybdenum
0
mg/kg
SW846-6010B
9554 6-3 Mehlich 3 Mercury
0
mg/kg
SW846-7471A
Mehlich 3 Molybdenum
0
mg/kg_
SW846-6010B
9555 9-1 Mehlich 3 Mercury
0
mg/kg
SW846-7471A
Mehlich 3 Molybdenum
0
mg/kg_
SW846-6010B
nt MISC.
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 1 - 1
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Paul Chu, Ph.D.

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Fility Name: City of Belmont Permit #: WQ0003281 Annual Dry Tons Applied: 101.349
ac
owner: Lori Warren
YI: -1 .1 J1
Operator: Lori Warren
Bt 9-1 Acres Utilized: 42
Cation Exchange Capacity (non 503):
Acres Permitted
42
itte #: Dt 7-I
%
Solids
•�•�
Dry Tons Per
Acre
Residual
Sources
Summarize
t e
Cond.
Wet°
Moist
Inches
Preci p
Past 24
Hrs.
Appli-
cation
Meth-
od*
Voli-
tila-
zation
Rat**
Miner-
ala-
zation
Rate
TKN
Ammo-
nia-
Ni-
trogen
Ni-
trate
and
Nitrite
PAN 1
PAN 2
Must Select
Crop 1 or Crop
2
o
� o
Q
Specify
Totals
Per
Acre
I
Gal.
Cu.Yd.
Report
Totals
in Gal.
Crop 1
Crop 2
0
s
0.5
30%
43500
500
43
37.2854
#######
Fescue
1
4-04
364,000
8666.7
3.91
1.413074
WWTP
dry
0
s
0.5
30%
38100
0
100
23.067
#######
Fescue
2
12 04
325000
7738.1
3.1
1.000303571
WWTP
dry
0
0
0
0
3
4
0
0
0
0
0
0
5
0
0
0
0
6
0
0
0
0
0
0
0
0
7
8
9
0
0
0
0
0
0
0
0
10
0
0
0
0
11
0
0
0.01329
0.04621
0.12616
0.02001
11 2821
118.602
0
60.3I524
0
PA0 2
LDat Aplbs
ac
1121
0
0
0. 3676
TOTALS:
16405
As
Cd
0.00997
Cr
0
2 45296
Annuallbs/acre
0.016194016
1.13168
0.05553
0.26867
0.69838
0.06911
33.2521
250
Current Cumulative
Ibs/ac
0.048039616
0.06638
0.0833
22.9817
0.0318456
0.05641
0.0833
20.5287
0.89492
0.04224
0.22246
0.57222
0.0491
21.97
Prior Years Cumulative
lbs/ac
36
34
NA
1338
257
15
16
374
89
2498
Permitted C. P.
L. R.***
remit YF11V I-UIlll 1 �Iutuu . , F
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volitilization Rate: Surface - 0.5. Iniection/Incorvoration - 1.0
***C.P.L.R.: Cumulative Pollutant Loadine Rate
Sigmatui­6 of Land Applier
)-% es
Date
*** e entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered
The RSSF Data and the Dry Tons Per Acre are to b
into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properh' complete the metals equations. ie. FSF row #Ito MFLSF
DENR FORM FSF (5/2003)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
P1 FACF MAKE. A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name:
Dwner:
City of Belmont
North Jones Operator:
Field 4: Bt 6-3
Permit 4: WQ0003281
Tony Jones
Acres Utilized: 23.3
Annual Dry Tons Applied
Cation Exchange Capacity (non 503):
Acres Permitted:
30.73
23.3
Solids
Tons Per
Acre
Residual
Sources
(Summarize)
t e
Cond.
Dry,
Wet
Inches
preci p
Past 24
Hrs.
Appli-
cation
Meth-
od*
Voli-
tila-
zatton
Rate**
Miner-
ala-
zation
Rate
TKN
Ammo-
nia-
Ni-
trogen
Ni-
trate
and
Nitrite
PAN 1
PAN 2
Must
Crop 1
2
Select
or Crop
o
a3 2
Specify.
Totals
Per
Acre
Gal.
Cu.Yd.
Report
Totals
in Gal.
Crop 1
Crop 2
WWTP
dry
0
s
0.5
30%
43500
500
43
34.805
#######
0
Fescue
i
2
4-04
188,500
8090.1
0
3.91
1.319071223
0
t
0
0
0
0
3
4
5
0
0
0
0
0
0
0
0
0
0
6
7
0
0
0
0
0
0
8
0
0
0
0
9
0
0
0
0
l
0
0
0
0
11
0
0
Cu
1.35329
43.9543
42.601
1338
Pb
0.15037
4.21375
4.06338
267
H
0.00839
0.04675
0.03836
15
Mo
0.02638
0.23179
0.20541
16
Ni
0.07123
1.65947
1.58824
374
Se
0.00915
0.0586
0.04945
89
Zn
4.51098
42.6805
38.1695
2498
P
55.9256
0 0
PAN 1 PAN 2
34.805 0
Lime Applied
Date
lbs/ac
12
;
0
0
Cd
0.00633
0.11325
0.10692
34
Cr
0
0.3468
0.3468
NA
TOTALS:
8090
As
Annuallbs/acre
Current Cumulative
lbs/ac
lbs/ac
0.00511772
0.02679772
0.02168
36
Prior Years Cumulative
Permitted C. P.
L. R.
250
PermitFAN Ltmtt 1 st/2nd Crop
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
g/ 2 /c c
5 *Application Method: S - Surface, IN - Injection, INC - Incorporation
Signat c of Land Applier Date **Volitilization Rate: Surface - 0.5. Iniection/Incornoration - 1.0
***C.P_L.R.: Cumulative Pollutant Loading Rate
**** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered
into the same numbered column on the MFLSF as is entered on the identically numbered FSF roN' to properly complete the metals equations. ie. FSF ro« # 1 to MFLSF
DENR FORM FSF (5/2003)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. 4=
c It
Facility Name:
Owner:
Site #• Bt 6-1
City of Belmont
North Jones Operator:
Field #: Bt6-1
Permit #: WQ0003281
Tony Jones
Acres Utilized: 14.6
Annual Dry Tons Applied
Cation Exchange Capacity (non 503):
33.9
Acres Permitted: 14.6
� Tons Per
Acre
2.32296137
Residual
Sources
(Summarize)
WWTP
t e
Cond.
Dry,
Wet,
dry
Inches
Precip.
Past 24
0
Appli-
cation
Meth-
od*
s
Voli-
tila-
zation
Rate**
0.5
Miner-
ala-
zation
Rate
30%
TKN
43500
Ammo-
ma-
Ni-
trogen
500
Ni-
trate
and
Nitrite
43
PAN 1
61.291
PAN 2
44#####
Must
Crop I
2
Select
or Crop
*
1
O
0 o
Q
4-04
specify
Totals
Per
Acre
14247
%
Solids
3.91
Gal.
Cu.Yd.
Report
Totals
in Gal.
208,000
Crop 1
Fescue
Crop 2
0
0
2
0
0
0
0
3
0
0
0
0
4
0
0
0
0
5
0
0
0
0
6
0
0
0
0
7
0
0
0
0
8
0
0
0
0
9
0
0
0
0
101
0
0
Cd Cr
0.01114 0
Cu
2.38032
Pb
0.26448
Hg
0.01476
Mo
0.0464
Ni
0.12529
Se
0.0161
Zn
7.9344
P
98.368
0
0
PAN 1
1 61.291
0
0
PAN 2
0
Lime Applied
Date
lbs/ac
11
12
0
0
0
0
As
TOTALS:
14247
.
Annuallbs/acre
0.0090016
Current Cumulative lbs/ac
0.0443816 0.12644 0.4429 48.7617 4.60048 0.06546 0.32262 1.83824 0.08307 50.3871
0.03538 0.1153 0.4429 46.3814 4.336 0.0507 0.27622 1.71296 0.06697 42.4527
36 34 NA 1338 267 15 16 374 89 2498
250
Prior Years Cumulative lbs/ac
Permitted C. P. L. R.***
Permit PAN Limit 1 st/2nd Crop
"I certify, under penalty of law, that this document was prepared under my direction or supervisimi itt acwi uaiii-c ••IL•1 a S.70 ­ ..
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1 Ao S *Application Method: S - Surface, IN - Injection, INC - Incorporation
Signatur of Land Applier Date **Volitilization Rate: Surface - 0.5. Iniection/Incorporation - 1.0
***C_P.L.R-: Cumulative Pollutant Loadine, Rate
**** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered
into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # I to MFLSF
DENR FORM FSF (5/2003)

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
January 26, 2006 11 D
Dennis Key
Southern Soil Builders, Inc.
958 Hoots Road
Roaring River, NC 28669
Subject: Return of Fee, Application No. WQ0003281
City of Belmont Residuals Land Application Program
Distribution of Residual Solids (503)
Gaston County
Dear Mr. Key:
Alan W. Klimek, P.E. Director
Division of Water Quality
JA N 3 0 2006
Please find enclosed your check submitted with the above referenced duplicate pen -nit
application. The Division of Water Quality no longer charges fees for renewals or minor
modifications of permit applications.
If you have any question regarding this letter, please feel free to contact the Aquifer
Protection Section at 919-733-3221.
PLEASE REFER TO THE PROJECT NAME AND DATE SUBMITTED WHEN
INQUIRING ON ANY MATTERS IN QUESTION.
Since ely,
for Kii . Colson, E.
Supervisor
cc: i1Vlooresvi le Regional Office, Aquifer Protection Section,'
LAU Return Check File
Permit Application File WQ003281
ID
NorthCarotina
. �atura!!y
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: http:Hh2o.enr.st_ate.nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper

N
cz� of
ont
J A N 1 1 2006
V
December 29, 2005
DWQ-
Ms. Shannon Mohr Thornburg, Environmental Engineer H
Land Application Unit
Aquifer Protection Section
NCDENR - DWQ
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
115 N. MAIN STREET
POST OFFICE BOX 431
BELMONT, N.C. 28012
PHONE [phone]
RECEIVED / DENR / DWQ
AQUIFER PROTECTION SECTION
JAN 0 3 2006
Re: No. WQ0003281- Notice of Violation - No. NOV-2005-RV-0007 - City of Belmont
Dear Ms. Thornburg:
This letter represents the City of Belmont's response as noted in a corresponding letter we
received on December 15th, 2005 from Mr. Alan W. Klimek, P.E. - Division of Water Quality -
with reference to the above violation number.
❖ Violation to Condition IV. 1. a - GW-30 Forms not being received on or around June
30,2001 in order to meet compliance with the well abandonment activities on the
Quinn/ Messer Site:
The City of Belmont contracts our Land Application services with Mr. Dennis Key of
Southern Soil Builders, Inc. and according to Mr. Key; everything relating to the
Quinn/Messer Site has been submitted, completed and filed away in accordance with
DWQ and all related field inspections. Attached with this letter is all the related
information for which Mr. Key had submitted to the State for your files. According to
Mr. Key, this file was approved and closed several years back. With acknowledgement
of this statement and no known correspondence of record to the City of Belmont since
2001, we can only assume that Mr. Key's statement and attached records are correct.
❖ Violation to Condition VI. 7. , - Deadline for Permittee to request permit renewal within
six months of the permit's expiration date, noted as July 4, 2005 as due date for submittal:
Mr. Key, the same contracting vendor as above, did not visit the City of Belmont until
earlier this month in request for the application renewal. At no time did he mention
that the renewal form was late. The agreement was approved by City Manager Barry
Webb on December 12, 2005 and according to my conversation with Mr. Key, the
application was submitted to the Raleigh office and has since been placed on file in
your office along with your acknowledgement. Wastewater Staff apologizes for not
noting the importance of filing this important date into our electronic data base. By
now doing so, this should remedy this problem from reoccurring. Contracting vendors
will now be required to note compliance dates as " matters of importance" and for
maintaining future contractual agreements.

Ms. Shannon Mohr Thornburg
December 16, 2005
Page 2
On behalf of the City of Belmont I would like to note that our Wastewater staff, as ORC's in
charge of compliance to our permits with DWQ, apologizes for any misunderstandings or failure
to respond to any written correspondence for which may have been issued to the responding
departments or vendors. Both our staff and vendors main goal is to insure that our permits stay
within compliance at all times.
Sincerely Yo s;
'L0,3
David W. Isenhour
Director of Public Works
Enclosure - Correspondence
Cc: Mr. Patrick Waiters - Superintendent - Belmont Wastewater Plant
Mr. Dennis Key - President, Southern Soil Builders, Inc.
Mr. Barry Webb - City Manager

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
April 2, 2001
MR. BARRY WEBB, CITY MANAGER
CITY OF BELMONT
POST OFFICE Box 431
BELMONT, NORTH CAROLINA 28012
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Permit No. WQ0003281 Correction
City of Belmont
Land Application of Residuals
from the Treatment of Wastewater
Gaston County
Dear Mr. Webb:
In accordance with a telephone request received on March 19, 2001 from Mr. Pat
Waiters, Wastewater Treatment Superintendent for the City of Belmont, we are forwarding
herewith a corrected Page 7 of Permit No. WQ0003281, issued January 31, 2001, for the subject
residuals land application program.
The following corrections have been made to the permit:
1. Condition IV. 1. of the permit requires the abandonment of four groundwater
monitoring wells .at the Quinn/Messer Site. Mr. Waiters has reported that there are in
fact only three groundwater monitoring wells existing at this site, while the fourth
well is actually used for the purpose of potable water supply. For this reason,
Condition IV. 1. has been amended to reflect the fact that only the three groundwater
monitoring wells must be abandoned in accordance with 15A NCAC 2C .0113 (i.e.,
the potable water supply well should remain intact).
This condition also requires that the well abandonment described above must take
place within 60 days of the permit's issuance. Mr. Waiters has reported that he has
consulted with a well contractor, and the site is still too wet to bring in the equipment
necessary to complete the abandonment correctly. Therefore, additional time is
needed to allow the site to dry out adequately before this condition may be met. For
this reason, Condition IV. 1. has also been amended to reflect the fact that the wells
must now be abandoned within 120 days of the permit's issuance.
Please replace Page 7 with the corrected Page 7 into Permit No. WQ0003281, issued
January 31, 2001.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Fniml hnnnrhinihi Affirmnthic AnHnn C...nl...— ­1 1I.--•

7. Three copies of all required monitoring and reporting requirements as specified in Condition III. L,
Condition III. 2., Condition III. 3., Condition III. 4., Condition III, 5., and Condition III. 6. shall be
submitted annually on or before March 1st of the year following the 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
Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence with the residuals land application program that results in the land application of
significant amounts of wastes which 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 system was designed.
d. Any process unit failure, due to known or unknown reasons, that render the facilities incapable of
adequate residual treatment.
e. Any spillage or discharge from a vehicle or piping system transporting residuals to the land
application sites.
Persons reporting such occurrences by telephone shall also file a written report in letterform 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 REOUIREMENTS
Within 120 days of this permit's issuance, the three groundwater monitoring wells at the Quinn/Messer
Site shall be abandoned in accordance with 15A NCAC 2C .0113 (i.e., "Abandonment of Wells").
Within 30 days of this abandonment, a GW-30 Form (i.e. "Well Abandonment Record") shall be
completed for each abandoned groundwater monitoring well. Mail one copy of each GW-30 Form to
NCDENR-DWQ, Groundwater Section, Permits and Compliance Unit, 1636 Mail Service Center,
Raleigh, NC 27699-1636. Note that, according to North Carolina General Statute §87-94.4(b)(2), all
groundwater monitoring wells shall be abandoned by a North Carolina -certified well contractor, the
property owner, or the property lessee.
2. No residuals shall be applied to any land application site when the vertical separation between the
waste and the water table is less than three feet.
The COMPLIANCE BOUNDARY for disposal systems shall be specified by regulations in 15A
NCAC 2L (i.e., Groundwater Classifications and Standards): The Compliance Boundary for residuals
land application programs initiated after December 31, 1983 shall be established at either (1) 250 feet
from the land application area, or (2) 50 feet within the property boundary, whichever is closest to the
land application area. An exceedance of groundwater quality standards at or beyond the Compliance
Boundary shall be subject to immediate remediation action in addition to the penalty provisions
applicable under North Carolina General Statute § 143-215.6A(a)(1).

•; North Carolina
Department of Environment, Health: & Natural Resources
Division of Environmental Management
Groundwater Section
P.O. Box 29535 a - Raleigh, N.C. 276268
1_ eVELI: LOCATION: (Sh¢� �a �I
Nearest Town:
t� SA.v Irkr
l` r-,I(
the location on back of form.)
County —
(Road. Community. Subdivision. Lot No.)
2. OWNED/ ��u�r4j25
3. ADDRESS. Z
A. TOPOGRAPHY ; draw, slope, hilltop, valley, flat
5. USE OF WELLD
Nc ri N DATE: b
6. TOTAL DEPTH: �--DIAMETER:
7• CASING REMOVED:
fir
B. SEALING MATERIAL:
Nee t cement
bags of cement
q 94 8AYof4t-14wd
gals, of water
Tyer
pe material
Amount
yds. of sand
gals. of water
Quadrangle No..
WELL DIAGRAM: Draw a' detailed sketch of
the well showing total depth, depth and dia-
meter of screens remi=d g in the well, gravel
interval. intervals of casing perforations, and tt
depths and types of fill materials used.:¢��4,.�
>
PAS
1:tom- f.'qr'OuN�
57' P/
9. EXPLAIN METHOD EMPLACEMENT OF MATERIAL. ��'� ie �h y/ 4� b-Ou
tom( ie SC MA
wA
1u �T ,
svc
I do hereby certify that this well abandonment record is true and exact.
ate
Signature of Contractor or Agent
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direc-
tion and distance of the well to at least two (2) nearby reference points
such as roads. intersections and streams. Identify roads Fith State High
way road identification numbers.
Submit original to the Division of Environmental Management, one copy to the Driller,
and one coov to the owner.

WELL LOCATIM. Draw a location sketch showing the direction and distance
Of' the well to, at Xeast two (2).nearby reference points
such as roads; intersections and streams. Identifcy roads
with State Highway road identification numbers,

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
January 11, 2006
Denriis Key
Southern Soil -Builders, Inc.
958 Hoots Road
Roaring River, NC 28669
Subject: Return of Fee, Application No. WQ0003281
City of Belmont Residuals Land Application Program
Distribution of Residual Solids (503)
Gaston County
Dear Mr. Key:
Alan W. Klimek, P.E. Director
Division of Water Quality
JAN 2 4 2006
NC DENR MRO
DWQ - Aquifer Protection
Please find enclosed your check submitted with the above referenced permit application
The Division of Water Quality no longer charges fees for renewals or minor
modifications of permit applications.
If you have any question regarding this letter, please feel free to contact the Aquifer
Protection Section at 919-733-3221.
PLEASE REFER TO THE PROJECT NAME AND DATE SUBMITTED WHEN
INQUIRING ON ANY MATTERS IN QUESTION.
Sincerely,
/l- vv
for hil Colson, P. .
Supervisor
cc: (M_ooresvilfe. Regional -Office, Aquifer -Protection Section _;
LAU Return Check File
Permit Application File WQ003281
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636
Internet: http://l12o.enr.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604
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Phone [phone]
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Fax [phone]
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r
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1-877-623-6y

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
February 28, 2000
MITCHELL MOORE
BELMONT, CITY —A SLUDGEBELMON
P. O. BOX 431
BELMONT, NC 28012
N.C. D'F_ -f. Gy
ZNVFRONMENT, HEALTH
& NATURAL RESOURCES
HIR @ 200?
t 15,1Gil 6r L;;V{i14ry;a;irITAL KAE1AG1PEo,
+10GAESVILLE IIEGIGMAL fluler .
Subject: PERMIT NO. WQ0003281
BELMONT, CITY —A SLUDGE/BELNION
GASTON COUNTY
Dear Permittee:
Our files indicate that the subject permit issued on 10/20/95 expires on 9/30/00. We have not received a
request for renewal from you as of this date.
A renewal request shall consist of a letter asking for permit renewal and four (4) copies of a completed
application. For permitted facilities with treatment works, a narrative description of the residuals management
plan, which is in effect at the permitted facility, must also be submitted with the renewal application.
Applications may be returned to the applicant if incomplete.
The General Assembly passed legislation incorporating renewal fees into the annual fee.
Please be advised that this permit must not be allowed to expire. You must submit the renewal request at
least 180 days prior to the permit's expiration date, as required by the 15 NCAC 2H .0211. Failure to request a
renewal at least 180 days prior to the permit expiration date and/or operation of a facility without a valid permit
may result in the assessment of civil penalties. NCGS 143-215.6A allows for the assessment of Civil penalties
up -to $10,000 per violation per day.
The letter requesting renewal, along with the completed Non -Discharge Permit Application must be sent
to:
N.C. DIVISION OF WATER QUALITY
NON DISCHARGE BRANCH
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-16I7
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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If you have any questions concerning this matter, please contact Ms. Kimberly Young at
919 733-5083 extension 574.
Sincerely,
Kim H. Colson, P.E., Supervisor
Non -Discharge Permitting Unit
cc: Mooresville Regional Office
Central Files

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Ai4••
D E N R
February -3, 1998 FEB s 1998
Mitchell Moore
City of Belmont
P. O. Box 431 tt1t����iv C1 CnC'lr., °;' ,# l.�„ -,rr
��;"r11
Belmont, NC 28012
Subject: Annual Monitoring and Reporting Requirements
Treatment and Land Application of Residuals
Permit Number: WQ0003281
City of Belmont
Gaston
Dear Mitchell Moore,
The purpose of this letter is a reminder that the monitoring reports required by the
subject permit must be submitted as an Annual Report for calendar year 1997 by no later
than March 1, 1998. The report must be submitted (in triplicate) to the following address:
DENR/DWQ/Water Quality Section
Non -Discharge Compliance Unit
P.O. Box 29535
Raleigh, N.C. 27626-0535
Due to limitations in storage space, please submit the reports in bound form rather
than in notebook form. Permittees are subject to civil penalty for failing to submit the
Annual Report as required by their permit.
Enclosed are the summary and certification sheets that must be used for your
annual report. Please complete these sheets and if necessary make copies of the blank
forms if extras are needed. The forms have not changed since last year, so you may use'
those you already have on hand.
You will note that the forms include additional information required by
EPA as outlined in 40 CFR Part 503. Since the requirements of 40 CFR Part 503 are self
implementing, they are legally binding and enforceable Federal requirements for all
persons subject to the requirements of 40 CFR Part 503, even if these requirements
are not currently contained in the State permit. The annual reports for the EPA must be
received by EPA at the following address on or before Febuary 19,1998.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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Annual Monitoring and Reporting Requirements
Permit Number
Page 2
Melinda Green
Clean Water Act Enforcement Section
Water Programs Enforcement Branch
Water Management Division
U.S. EPA Region 4
61 Forsyth Street, S.W.
Atlanta, Ga. 30303-3104
If there is a need for any information or clarification on the State reporting
requirements, please do not hesitate to contact Kevin Barnett of our staff at 919-733-5083
extension 529. For further information on the Federal requirements, you should call
Vince Miller of the Environmental Protection Agency at 404-562-9345.
Sincerely,
Dennis R. Ramsey
Assistant Chief for Non Discharge
Cc: Vince Miller, EPA Region IV
c-M-c ores-vil'le-Regional--Supervisor
Compliance / Enforcement File
Central Files

r
\SOC PRIORITY PROJECT: Yes_No_X
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: Shannon Thornburg
Mooresville # 00-76
Date August 24, 2000
NON -DISCHARGE STAFF REPORT AND RECOMMENDATION
COUNTY: Gaston
Permit No.WQ0003281
Renewal
PART I - GENERAL INFORMATION
I., Facility and Address: City of Belmont
P.O. Box 431
Belmont, NC 28012
2. Date of Investigation: August 22, 2000
Permit expiration date: September 30, 2000
3. Report Prepared By: Ellen Huffman
4. Person(s) Contacted and Tel. Number: Dennis Key, Southern Soil Builders, 336/957-8909
5. Directions to Site(s): Site map for each field is located in the permit package.
6. Size (land permitted for application): 363 acres (previously 705 acres, 342 acres removed)
7. Topography (relationship to 100-year flood plain included): Sites in this renewal are not in
or near a 100-year flood plain. USGS maps showing respective fields are included in the
permit package.
8. Buffer conflicts with location of nearest dwelling and water supply well: Yes _No X
Page I

9. Watershed Stream Basin Information for land application sites:
a. Watershed Classification: Class C
b. River Basin and Subbasin No.: Catawba 03-08-33
C. Distance to surface water from disposal system:
All sites vary in distance from surface water. No site is buffered < 100 feet from
surface waters. Site maps are marked with surface water location and distances and
are included in the permit application.
PART II - DESCRIPTION OF WASTES AND TREATMENT WORKS
1. a. Residuals Volume: 900 dry tons per year
b. Types and quantities of wastewater: 60% Industrial 40% domestic
C. Volume of residual storage: 1.7 million gallons
d. estimated days of storage: 90 days
2. Wastewater Treatment Facilities
a. Current permitted capacity of the facility: 5 MGD
b. Average daily flow of the facility: 3.2 MGD
C. Description of existing wastewater treatment facilities: N/A
d. Description of proposed wastewater treatment facilities: N/A
3. Residuals handling and utilization/disposal scheme: Batch lime stabilized (class B) biosolids
will be surface applied in liquid form on hay and pasture fields.
4. Important SOC, JOC or Compliance Schedule dates: N/A
5. Other Special Items:
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds (municipals only)? n/a
2. Special monitoring requests: n/a
3. Important SOC, JOC or Compliance Schedule dates: n/a
4. Other Special Items: n/a
Page 2

PART IV - EVALUATION AND RECOMMENDATIONS
MRO groundwater section has agreed to take out the GW monitoring requirements of this permit
as requested in the renewal package. MRO water Quality agrees with GW since the field where the
monitoring wells are located has not received residuals since 1993, and the wells have a clean
history. These wells will need to be abandoned according to policy. Permittee will need to contact
Peggy Finley, MRO Groundwater section for proper well abandonment procedure.
The application did not identify the proper vector attraction reduction (VAR) methods (section V
part 2) used by the City of Belmont. The City does not perform SOUR tests. The contractor.plans
to surface apply all the batch lime stabilized (2-f) biosolids from the City. All fields in this permit
application are pastures. Application options i or j (injection or incorporation) cannot be used unless
the land owner gives permission to the contractor to disc or inject on the pasture.
Page 8 of 18 is not correctly filled out. Calculations are not submitted on the proper pages (11,12,13,
and 14) of the LARS application. There are no topo maps in the application package. Other maps
(submitted) are of very poor quality.
This permit application is for 363 acres (previously 705 acres of which 342 acres have been
removed). Calculations show 300 acres needed for a rate of 139.8 lbs. of PAN/ acre. Southern Soil
Builders stated that they are planning to permit more acreage under this permit but did not include
the acreage in this renewal due to time constraints.
Item 4 of the submitted spill control plan should include liming of the roadside as an option in the
event of a spill on a public road (right of way). Item 7 of the spill plan should state that the MRO be
notified by phone as soon as possible but in no case more than 24 hours or the next working day
following a spill.
Site Changes
• . W.W. Reel Fields Bt 2-1, 2-6, 2-7 are being dropped from this renewal.
• H.C. Schronce Fields Bt.3-1 and Bt3-3 need to verify ownership of houses next to fields for
buffer variance.
• All (Rudisell) fields in Bt 4 are being dropped.
• Loreene P. Grigg fields Bt 5-2, 5-3, 5-4, 5-5, 5-6, 5-7, and 5-9 are being dropped from this
renewal. There is an 8.2 - acre discrepancy in the applicable acres stated in this renewal and the
original package.
• Extra buffer added to filed Bt 6-1 & 4. See map attached.
• All fields in Bt 7 are to be removed from this renewal package per request from Dennis Key
during site review on 08-22-00.
Page 3

All fields in Bt 8 (Reel) are being removed.
Site Bt 10-2 on submitted map shows a pond that no longer exists. Field Bt 10-4 & 5 have been
dropped. Buffers will need to be changed due to occupied dwellings (travel trailers that are
occupied year round. A new map for this field will need to be submitted.
This Office recommends that this permit be renewed when the appropriate information is submitted.
Additional information should be requested to address the above mentioned deficiencies.
, q- f /1,
Siknature of Report ��parer
Water Qualgty Regional Supervisor
Date
Page 4

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TONY JONES

G State of North Carolina
V� Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
L22RM1]2C (1>;N1r,
rj,'�l.��`]f'k7l3lUL P-..i��tilkt�E' I � •
JUL n 3 2000
r�
71 YC1'� PA' 011aa4T U! a
....,,..N,,CDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 11, 2000
BARRY WEBB, CITY MANAGER
CITY OF BELMONT
POST OFFICE BOX 431
BELMONT, NORTH CAROLINA 28012
Subject: Acknowledgement of Application No.
O MI 87
ity of Belmont
Slu ge- and Application
Lincoln County
Dear Mr. Webb:
The Non -Discharge Permitting Unit of the Division of Water Quality acknowledges receipt of your
permit application and supporting materials on July 10, 2000.
Your application package has been assigned to Shannon Thornburg for a detailed review. The reviewer
will contact you with a request for additional information if there are any questions concerning your
submittal.
If you have any questions, please contact Shannon Thornburg at 919-733-5083 extension 353. If the
reviewer is unavailable, you may leave a message on their voice mail, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES
ON THIS PROJECT.
Sincerely,
Kim H. Colson, RE:
Supervisor, Non -Discharge P Itting Unit
Cc: ,tea :1I�le� na , ater ualy�Sect_ iy
Permit Application File WQ0003281
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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NON NPDES FACILITY AND PERMIT DATA, 07/11/00 11:36:44
UPDATE OPTION TRXID 5OU KEY RUB �i_ Qi
PERSONAL DATA FACILITY APPLYING FOR PERMIT APP/PERMIT FEE-$ .00 REGION
FACILITY NAME> BELMONT, CITY -A SLUDGE/BELMONS COUNTY> GASTON 03
ADDRESS: MAILING (REQUIRED) ENGINEER: SOUTHERN SOIL BUILDERS
STREET: P. 0. BOX 431 STREET: 958 HOOTS ROAD
CITY: BELMONT ST NC ZIP 28012 CITY: ROARING RIVER ST NC ZIP 28669
TELEPHONE [phone] TELEPHONE: [phone]
STATE CONTACT> THORNBURG FACILITY CONTACT BARRY WEBB
TYPE OF PROJECT> SLUDGE -LAND APPLICATION LAT: 0352640 LONG: 08109250
DATE APP RCVD 07/10/00 N=NEW,M=MODIFICATION,R=REISSUE> R
DATE ACKNOWLEDGED. 07/11/00 DATE REVIEWED / / RETURN DATE
REG COMM REQS / / DATE DENIED / / NPDES #-
REG COMM RCVD / / DATE RETURNED / / TRIB Q .0000 MGD
ADD INFO REQS / / OT AG COM REQS / / TRIB DATE-
ADD INFO RCVD / / OT AG COM RCVD
FT MSTAT;� `P+P . 1 +�t]J/ D,w DATE ISSUED / / DATE EXPIRE
FEE CODE( 5)1=(>lMGD),2=(>10KGD),3=(>lKGD),4=(<1KGD+SF),5=(S>300A),6=(S<=300A),
7=(SENDEL),8=(SEDEL),9=(CLREC),0=(NO FEE) DISC CODES ASN/CHG PRMT
ENG CERT DATE 00/00/00 LAST NOV DATE 00/00/00 CONBILL( )
COMMENTS:
MESSAGE: *** DATA MODIFIED SUCCESSFULLY ***

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City of Belmont
115 N. MAIN STREET
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June 15, 2000
Non -Discharge Compliance Unit
Division of Water Quality, NCDENR
1617 Mail Service Center
Raleigh, NC 27699 -1617
Re: Application for Permit Renewal - Land Application
PERMIT NO. WQ0003281
City of Belmont Wastewater Treatment Plant
Dear Non -Discharge Compliance Unit Personnel:
Enclosed please find four copies of the non -discharge permit application for
rye ewal` of: tthe r erence. pe it;, For this renewal no fee is required; the only
changes are deletion of certain sites and fields and certain field buffers.
Also the City of Belmont requests permission to abandon the groundwater
monitoring wells required by the current permit. The site has not received biosolids
since 1992 and the groundwater monitoring reports enclosed indicate satisfactory
readings on the various parameters.
If you need additional information concerning this, please contact myself at 704) 825-
5586 or Pat Waiters, Superintendent of the Wastewater Treatment Plant at 704) 825-
3791, or Mr. Dennis Key of Southern Soil Builders, Inc. at 336) 957-8909.
Thank you very much.
Sincere) yours ,1
Barryebb
Manager
City of Belmont

I
RIMOURCES
JUL A 8 2000
W'130�' g6' 9SWI-MMU PAUGEMEDT
MRIT'AIME R[W-ja uFflg
City ity of Belmont N.C.
LAND APPLICATION PERMIT RENEWAL
NO. WQ003281

SOUTHERN SOIL BUILDERS, INC.
Roaring River, NC
TABLE OF CONTENTS
CITY OF BELMONT WASTEWATER TREATMENT PLANT
APPLICATION FOR RENEWAL TO
NON -DISCHARGE PERMIT NO. W00003281
LAND APPLICATION OF BIOSOLIDS
JUNE 2000
Outline of Sections A. - E.
A. GENERAL
Letters/Introduction
North Carolina Form LARS 02/96
Application Rate Evaluation
Latitudes/Longitudes with field changes marked
Spill Control Plan
B. GROUNDWATER MONITORING
Report/Analysis
C. CURRENT PERMIT
D. ANALYSIS
Total Sludge, TCLP, Fecal Coliform Analysis
E. SITES
Revised Summary Sheets, Site Maps, Landowner Agreements, Soil
Test Results and Cumulative Loading Rates:
Site BT1
Richard Perkins
Site BT2
W. W. Reel; Rhyne Reel
Site BT3
H. C. Shronce
Site BT5
Buddy Grigg
Site BT6
Tony Jones
Site BT7
James Young
Site BT9
Lori Warren
Site BT10
Randy Keever

Southern Soil Builders, Inc.
958 Hoots Road Roaring River, NC 28669
ph:336)957-8909 fx:336)957-8940
June 27, 2000
To: Non -Discharge Compliance Unit
Division of Water Quality, NCDENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Request for Permit Renewal
Land Application of Wastewater Residuals, Perm. #WQ0003 2 81
City of Belmont Wastewater Treatment Plant
Gaston and Lincoln Counties
Southern Soil Builders, Inc. requests your review of the enclosed renewal
permit application. Five (5) copies are enclosed. As stated in my letter of
April 20, 2000, this permit application was delayed past the 6-month prior
to time period due to the change in biosolid handlers and plant personnel.
We appreciate your willingness to work with us and the City of Belmont in a
timely fashion.
Eight of the ten sites in the current permit are being renewed with a total
applicable acreage of 6 3. Also as a part of this renewal we support the
City's request to discontinue the groundwater monitoring program; in my
opinion it has successfully performed and completed its function as
described in Section B of this permit application.
If you need additional information concerning this, please contact me at
336) 957-8909; or Caroline Edwards, SSB Technical Services, at 828)247-
0067.
S, rely,
Dennis Key, Presid6nt
Southern Soil Builders, Inc.
Enclosures
cc: Barry Webb, Manager
City of Belmont

SOUTHERN SOIL BUILDERS, INC.
Roaring River, NC
I. INTRODUCTION
The City of Belmont proposes to renew non -discharge permit #
WQ0003281. This permit consists of residuals produced from the
Wastewater Treatment as described in the current permit dated
October 20, 1995.
The City proposes to keep its current level of permitted dry tons at 900.
Due to changes in landowner management and land use patterns, two
sites (#4 - Audrey Rudisill and #8 - Jimmy Reel) will not be renewed.
The remaining landowners have agreed to continue to utilize the
biosolids application program, with some field and/or buffer changes as
described in the site section.
Land application is currently permitted on 705 acres; this application
deletes 342 acres from the current permit, with no additional acreage
outside the current permit being proposed at this time. Additional
acreage may be proposed in the future.
n This reduction in acreage will result in economic savings in providing
1 biosolids to farmers in Lincoln and Gaston Counties. These
landowners have eagerly agreed to continue having biosolids applie
to their land at agronomic rates to be used as a fertilizer supplement.
II. OUTLINE OF APPLICATION INFORMATION
A. GENERAL
This section contains general project information including the State of
North Carolina Form LARS 02/95 with calculations and application rate
evaluation; and the spill control plan. Fields dropped from the program
are noted on the Latitudes and Longitudes pages. Field and acreage
changes are fully noted in the site section.
B. GROUNDWATER MONITORING
This section contains reports on the groundwater monitoring program
and requests the discontinuance of such.
C. CURRENT PERMIT

SOUTHERN SOIL BUILDERS, INC.
Roaring River, NC
D. ANALYSIS
This section contains reports on Total Sludge, TCLP, and Fecal
Coliform Analysis.
E. SITES
This section contains information on the Sites identified for biosolids
applications which are to continue under the City's renewed permit for
Land Application: Revised Site Maps, Vicinity Maps and Site Summary
Sheets. The completed NC-DEM Agreement for Land Application of
Waste Sludge to Private Lands can also be found in this section as well
as the Cumulative Loading Rates for fields which have had biosolids
applied in the past; Landowner contact information; and Soil Test
Results.
Only one field has not received a biosolids application as of this
application:
Site BT2 - 4 W. W. Reel

SOUTHERN SOIL BUILDERS, INC.
Roaring River, NC
III. OPERATIONS
A. FIELD
A SSB project manager will contact the farmer to schedule
applications. Prior to spreading operations, the project manager will
flag the site according to the buffer zones listed in the permit.
SURFACE APPLICATIONS
Surface applications occur on hay and pasture lands. The spreader
surface applies an even application of the dewatered biosolid between
10 to 50 cubic yards or wet tons/ac, depending on the amount of dry
tons allowed by the permit and the percent solids of the biosolid.
Calibration of the spreader has been predetermined through a
procedure that involves adjustment of both the speed of the vehicle
and the size of the gate opening. Generally, the operator begins at the
back of a field working to the front to avoid getting "painted into a
corner." This continues until the field is completed.
B. ACCESS CONTROL
Since the biosolids will be applied to private lands, no trespassing is
allowed on any of the sites. Fencing is in place to allow for cattle control
and rotations.
IV. REPORTING
A report showing the date, dry tonnage, gallons, field numbers, acres
and pounds -per -acre applied of nutrients and metals will be generated
for each application event. Copies of these reports will be submitted to
the City of Belmont and the landowner. An annual report will be
generated as required in the permit.

State of North Carolina
Department of Environment, Health and Natural R,esource�;1
Division of Environmental Management,L�L9j� ciG
Non -Discharge Permit Application Form °� 'p
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINA, pG Q
LAND APPLICATION OF RESIDUAL SOLIDS`°,o s o�
This application is intended for residuals which will be regulated under 40 CFR
iffy ,
I. GENERAL INFORMATION:
1. Applicant's name (please specify the name of the municipality, corporation, individual, etc.):
Cty of Belmont
2. Print Owners or Signing Official's name and title (the person who is legally responsible for the facility and its compliance):
Barry Webb CitXManager
3. Mailing address: P. O. Box 431
City: Belmont State: NC Zip: 28012
Telephone Number. ( 704) 825--5586
4. Application Date: June 2000
5. Fee Submitted: $ NA [The permit processing fee should be as specified in 15A NCAC 2H .0205(c)(5).]
6. Specify whether these residuals will be land applied to: X agricultural lands, forest, public contact sites,
reclamation sites; (Please be advised, if these residuals will be distributed for lawn or home garden use, the
application for the "DISTRIBUTION OF RESIDUAL SOLIDS" should be completed rather than this application.)
7. If the alternative for residual disposal consists of "surface disposal" as defined under 40 CFR Part 503, please complete the
application titled "SURFACE DISPOSAL OF RESIDUAL SOLIDS. Please identify if there is any storage of residuals in
a surface impoundment or disposal thru landfilling. Explain:
N/A
8. For Class B Residuals (or Class A Residuals to be land applied on a dedicated site), please specify the number of acres on
which residual solids are to be land applied under the authority of this permit:
proposed in this application: 363 acres; total (current and proposed): 705 (342 to be dropped) acres
9. County(ies) where residuals will be land applied: Lincoln. Gaston
II. PERMIT INFORMATION:
1. Application No. (will be completed by DEM):
2. Specify whether project is: _ _ new; X renewal*; , modification
* For renewals, complete all sections included in the application, in addition, please submit utt 1ative ;loads" E s,
for the; -ten %0 � ITt�aii�Yupdated�ownez,�s-agre �menf)for' �eachste.�,
3. If this application is being submitted as a result of a renewal or modification to an existing permit, list the existing permit
number W00003281 and its issue date Oct. 20. 1995
FORM: LARS 02/95 Page 1 of 18

III. FACILITY INFORMATION (attach additional pages for additional sources of residuals):
1. Name of facility where residuals are generated or prepared City of Belmont WWTP
2. Facility permit number: WWTP: NC0021181 -; facility permit holder. City of Belmont
3. Specify whether facility in Section III.1 is owned by: federal; private; state; X local government.
4. Specify facility design flow: 5 MGD; facility average daily flow: 3.2 MGD;
Type of residual storage: 1 Holding Tank ,
Volume of residual storage: 1.7 MG ;
Length of residuals storage at facility: 3 months days (the Division requires a minimum 30 days storage in units that are
separate from treatment system, i.e. not in clarifiers, aeration basins, etc.);
Maximum storage time of residuals between application events: 90 (est.) days.
Estimated volume of residuals: 900 (dry tons/yr.);
5. Are there any other storage facilities, other than the above, currently on site: Yes, X No.
If Yes, please identify:
6. Facility contact (person familiar with residuals preparation): Pat Waiters WWTP ORC
7. Facility contact's telephone number. ( 704 ) 825-3791 at WWTP
8. Location of treatment facility: Belmont, NC State; Gaston County
9. Mailing address: City of Belmont
P. O. Box 431
Belmont NC 28012
10. Latitude/Longitude: WWTP: 350 13' 57" 810 00' 57"
11. Specify the source of the residuals: X treatment of domestic wastewater; X treatment of industrial wastewater;
nthe.r (exnlain)-
Attach an explanation of either the treatment process, manufacturing process, or how the waste is generated. Provide full
and complete details of the entire process. *Previously submitted
12. Does the facility which generates the residuals have an approved pretreatment program? X Yes; No.
This includes facilities which are classified as a "Class I" facility (any publicly owned treatment works required, under 40
CFR 403.8, to have an approved pretreatment program or any facility treating domestic sewage that is classified as "Class
I" by the appropriate federal or State authority)
IV. RESIDUALS INFORMATION (attach additional pages for additional sources of residuals):
1. Information for Hazardous Waste (RCRA) Determination. The information requested on the limitations specified below
pertain only to those residuals that are generated from a municipal wastewater treatment facility with industrial contribution
or active pretreatment program and from any other treatment facility with wastewater sources that include industrial sources.
a. Are any of the residuals covered by this application listed in 40 CFR 261.31-261.33? Yes; _X No. If Yes,
list the number(s):
b. Do the residuals exhibit any of the four characteristics defined by 40 CFR 261.21-261.24? Yes; X No.
Attach laboratory results for the Toxicity Characteristic Leaching Procedure Analyses, Reactivity, Ignitability, and
Corrosivity for each residual.
ote: If the following constituent levels (as determined by the Toxicity Characteristic Leaching Procedure Analyses) are
exceeded in the residuals or if the pH of the residual is not within the range listed below, the residual is by
definition a Hazardous waste. Chemical analyses must be made to Minimum Detection Levels.
FORM: LARS 02/95 Page 2 of 18

PP
Arsenic
5.0
Benzene
0.5
Carbon tetrachloride
0.5
Chlorobenzene
100.0
Chromium
5.0
m-Cresol
200.0
Cresol
200.0
1,4-Dichlorobenzene
7.5
1,1-Dichloroethylene
0.7
Endrin
0.02
Hexachlorobenzene
0.13
Hexachloroethane
3.0
Lindane
0.4
Methoxychlor
10.0
Nitrobenzene
2.0
Pyridine
5.0
Silver
5.0
Toxaphene
0.5
2,4,5-Trichlorophenol
400.0
2,4,5-TP (Silvex)
1.0
pH (2:1 vol./wt.): >2.0 s.u. - <12.5 s.u.
PPM
Barium
100.0
Cadmium
1.0
Chlordane
0.03
Chloroform
6.0
o-Cresol
200.0
p-Cresol
200.0
2,4-D
10.0
1,2-Dichloroethane
0.5
2,4-Dinitrotoluene
0.13
Heptachlor (and its hydroxide)
0.008
Hexachloro-1,3-butadiene
0.5
Lead
5.0
Mercury
0.2
Methyl ethyl ketone
200.0
Pentachlorophenol
100.0
Selenium
1.0
Tetrachloroethylene
0.7
Trichloroethylene
0.5
2,4,6-Trichlorophenol
2.0
Vinyl chloride
0.2
NOTE: IF ANY OF THE RESIDUALS MEET THE DEFINITIONS OF A HAZARDOUS WASTE,
AS NOTED IN EITHER "A" OR "B" ABOVE, A PERMIT CANNOT BE ISSUED FOR
THAT RESIDUAL AND IT SHOULD NOT BE INCLUDED AS PART OF THIS
APPLICATION.
2. For each residual, please attach a complete chemical analysis of the material. This analysis must be comprehensive enough
to completely characterize the residual and must be based upon a review of the process that generates the material. If the
facility that will generate the residual is not yet in operation, the characterization must be based on similar existing
facilities and projection based on the type of facility. The analysis must include a minimum of the following parameters
and any other known and suspected contaminants that are tributary to the system.
Arsenic
Molybdenum
Cadmium
Nickel
Chromium
Selenium
Copper
Zinc
Lead
Aluminum
Mercury
Ammonia -Nitrogen
Calcium
Phosphorus
Magnesium
Potassium
Nitrate -Nitrite Nitrogen
Sodium
% Total Solids
TKN
pH
Plant Available Nitrogen
(by calculation)
3. Wastewater residuals shall not be applied to the land if the concentration of any pollutant in the residuals exceeds the ceiling
concentrations specified in the table below. Specify the pollutant concentration of these residuals (attach lab analysis):
Pollutant
Pollutant Ceiling Concentration (mg/kg)
Dry Weight Basis
Pollutant Concentration (mg/kg)
Dry Weight Basis
Arsenic
75
2.56
Cadmium
85
2.4
Chromium
3000
57.
Copper
4300
851
Lead
840
50.
Mercury
57
2.10
Molybdenum
75
14.
Nickel
420
27.
Selenium
100
4.54
Zinc
7500
875
FORM: LARS 02/95 Page 3 of 18

V. PATHOGEN AND VECTOR ATTRACTION REDUCTION INFORMATION (attach additional pages for
additional sources of residuals):
1. In accordance with 40 CFR Part 503, a residual can not be land applied if it does not meet one of the following alternatives
, for Class B pathogen reduction.
a.b5 Please specify a, bl, b2, b3, b4, b5 or c from below (submit all lab analysis, test results and calculations):
a. at least seven residuals samples should be collected at the time of use and analyzed for Fecal coliforms during each
monitoring period. The geometric mean of the densities of these samples will be calculated and should be less than
2,000,000 most probable number per gram of total dry solids, or less than 2,000,000 Colony Forming Units per gram
of total dry solids.
b. the residuals must be treated by one of the following "Process to Significantly Reduce Pathogens" (PSRP).
1. Aerobic Digestion = residuals are agitated with air or oxygen to maintain aerobic conditions for a specific mean cell
residence time and temperature between 40 days at 200 C and 60 days at 150 C.
2. Air Drying - residuals are dried on sand beds or on paved or unpaved basins for a minimum of three months.
During two of the three months, the ambient average daily temperature is above Oo C.
3. Anaerobic -Digestion - residuals are treated in the absence of air for a specific mean cell residence time and
temperature between 15 days at 350 C to 550 C and 60 days at 200 C.
4. Composting - using either the within -vessel, static aerated pile, or windrow composting methods, the temperature
of the residuals are raised to 400 C or higher for five days. For four hours during the five days, the temperature in
the compost pile exceeds 550 C.
5. Lime Stabilization - sufficient lime is added to the residuals to raise the pH of the residuals to 12 after two hours
of contact.
c. The residuals shall be treated by a process that is equivalent to a 'Process to Significantly Reduce Pathogens" (PSRP),
as determined by the permitting authority, based on an evaluation of the recommendations provided by the Pathogen
Equivalency Committee.
2. In addition, when residuals are being land applied, at least one of the following vector attraction reduction requirements (a,
b, c, d, e, f, g, h, i, or j) described below must be met.
434 f ` Specify the letter(s) of the vector attraction reduction requirement that have been met (submit lab results, test
results and calculations). Any variation of the below must be described in full detail and attached.
Aerobic or Anaerobic Digestion - The mass of volatile solids are reduced by at least 38%. Volatile solids reduction is
measured between the residuals, prior to stabilization, and the residuals ready for use or disposal. This criterion should
be readily met by properly designed and operated anaerobic digestors, but not as readily met by aerobic digestors.
Treatment facilities with aerobic digestors may need to meet the vector attraction reduction requirement through 18c or
18d.
b. Anaerobic Digestion - If 38% volatile solids reduction cannot be achieved, vector attraction reduction can be
demonstrated by further digesting a portion of the previously digested residuals in a bench scale unit for an additional
40 days at 300 C to 370 C. If, at the end of the 40 days, the volatile solids are reduced by less than 17%, vector
attraction reduction is achieved.
�Aerobic Digestion - If 38% volatile solids reduction cannot be achieved, vector attraction reduction can be demonstrated
- by further digesting a portion of the previously digested residuals that have a solids content of 2% or less in a bench
scale unit for an additional 30 days at 200 C. If, at the end of the 30 days, the volatile solids are reduced by less than
15%, vector attraction reduction is achieved.
d. Aerobic Digestion tion - The specific oxygen uptake rate (SOUR) shall be equal to or less than 1.5 milligrams of oxygen
per hour per gram of total dry solids at 200 C.
e. Aerobic Processes - The temperature of the residuals for at least 14 days shall be greater than 400 C. During this time,
the average temperature shall be greater than 450 C.
f. Alkaline Stabilization - The pH of the residuals is raised to 12 or higher by alkali addition and, without the addition of
more alkali, remains at 12 or higher for 2 hours and then at 11.5 or higher for an additional 22 hours.
FORM: LARS 02/95 Page 4 of 18

g. Dryine (stabilized solids) - The total solids of residuals that do not contain unstabilized solids, and which are generated
in a primary wastewater treatment process, shall be equal to or greater than 75%. Blending with other materials is not
allowed to achieve the total solids percentage.
h. Drying (unstabilized solids) - The total solids of residuals that contains unstabilized solids, and which are generated in a
primary wastewater treatment process, shall be equal to or greater than 90%. Blending with other materials is not
allowed to achieve the total solids percentage.
Injection - Liquid residuals are injected below the land surface, with no significant amount of residuals present on the
land surface after 1 hour, unless the residuals are Class A for pathogen reduction. In this case, the residuals shall be
injected within 8 hours after being discharged from the pathogen treatment process.
j,. Incorporation - Residuals that are surface land applied shall be incorporated into the soil within 6 hours of application,
unless the residuals are Class A for pathogen reduction. In this case, the residuals shall be incorporated within 8 hours
after discharge from the pathogen treatment process.
VI. RESIDUALS TRANSPORT AND APPLICATION:
1. How will the residuals be delivered to the application sites (leak proof trucks, etc.)? Transported to sites and applied there
by ndustrial spreader trucks ---
2. What type of equipment will be utilized for land application? Industrials reader trucks .L r 5 7
3. How will the application of the residual be controlled to ensure that there is proper distribution over the site?
Precalibration of application equipment --
4. Will the land application operation utilize a contractor who specializes in Residuals Management or will the permittee
management the program? X Contractor; Permittee. If a contractor is utilized, provide the name of the firm, a
contact, address, and.telephone number: Southern Soil Builders Inc. Dennis Key. Pres.
958 Hoots Road Roaring River. NC 28669
335) 957-8909 FAX [phone]
VII. SITE EVALUATION AND RECOMMENDED LOADING RATES:
1. The following sites are to be used for land application under this permit application [please attach map(s),see La.]:
Application Area [acres] Maximum slope
Site No County Owner/Lessee (excluding buffers) (in_Wrcent)
1) SEE W00003281 FOR ADDITIONAL INFORMATION ON SITES UNDER THIS PERMIT—
2) SITES 4 & 8 ARE DROPPED 'rIR A 11IIUME� I'C►LFSFiE1�D d' ARE'A�CrE CHiAq" IREMAI�NING�`
NGES1i0
S�1T'ES SEE ATTACHED SITE MAPS 363 ACRES OF THE CURRENT 705 ARE PROPOSED FOR THIS
PERMIT (342 ACRES TO BE DROPPED).
Note: If more than ten (10) sites are to be covered by this application, please attach a form listing all of the sites along
with the information listed below:
a. A vicinity map must be attached. This map must show the location of each site in relation to at least two
geographical references and major intersection (numbered roads, named streams/rivers, etc.).
b. For all new or modified sites, a detailed site location map must be attached delineating both total and buffered acres.
This map must be drawn to scale with topographical contour intervals not exceeding ten feet or 25% of total site relief
FORM: LARS 02/95 Page 5 of 18

r
(whichever is more descriptive) and showing the property lines; all existing wells, all surface waters and drainage ways
and all dwellings within 500 feet of the land application areas; and all buffers.
Note: At least the following buffers must be maintained. If residuals are sprayed on the sites, larger buffers may be
required:
1. 400 feet from any habitable residence or place of public assembly under separate ownership or which is to be sold
for surface residual application,
200 feet from any habitable residence or place of public assembly under separate ownership or which is to be sold
for subsurface residual injection.
2. 100 feet between the disposal area and any public or private water supply source, all streams classified as WS or B,
waters classified as SA or SB and any Class I or Class 11 impounded reservoir used as a source of drinking watent
3. 100 feet between any surface residual application area and any stream, lake, river, or natural drainage way,
50 feet between any subsurface residual injection area and any stream, lake, river, or natural drainage way.t
4. 50 feet between the residual application area and property lines for both surface and subsurface application (if the
original permit was issued with the buffer distance to property line as 100 feet, updated
maps must be submitted and new acreage delineated for the buffer to be reduced).
5. 10 feet between the disposal area and any interceptor drains or surface water diversions (upslope).
6. 25 feet between the disposal area and any interceptor drains or surface water diversions (downslope).
7. 25 feet between the disposal area and any groundwater lowering and surface drainage ditches.
t SPECIFY THE NAME OF AND CLASSIFICATION OF THE CLOSEST DOWNSLOPE SURFACE
WATERS (as established by the Environmental Management Commission) TO THE LAND APPLICATION
SITE(S). USE THE ATTACHED INFORMATION SHEET (PAGE 9 OF 18) TO OBTAIN THIS
INFORMATION.
Note: The maximum slope for land application of residuals is 10% for surface application and 18% for subsurface
application.
For each land application site, attach a soil evaluation by a soils scientist (the evaluation must be signed by the soil
4 scientist) which addresses soil color; the depth, thickness and type of restrictive horizons; the presence or absence of a
seasonal high water table or bedrock within three vertical feet of the deepest point of residual application; pH and cation
exchange capacity. If the depth to either groundwater or bedrock is less than three feet, please also attach a demonstration,
using predictive calculations or modeling methods acceptable to the Director of the Division of Environmental
Management, that the use of this site will not result in the contravention of classified groundwater standards as contained in
NCAC 2L .0200. In no case shall the separation be less than one foot. This report must be signed by the soil
scientist and submitted with application.
3. For each site, please attach a project evaluation conducted by an agronomist including recommendations concerning cover
crops and their ability to accept the proposed loading of liquids, solids, nitrogen, phosphorus, heavy metals, salts and any
other contaminant know to be in the residual. A part of the agronomists recommendations must be a crop management
plan. This plan must determine the crops to be grown on the site(s), when they should be grown and how they should be
harvested and marketed. This report must be signed by the agronomist and submitted with application.
4. Attach a representative soils analysis of each site. The soils analysis shall include the following parameters, along with
any other significant parameter that has been shown to be contained in the residual:
Standard Soil Fertility Test (which includes): pH Phosphorus Potassium
Acidity Calcium Manganese
Magnesium Zinc Copper
% Humic Matter Sodium Cation Exchange Capacity
Base Saturation (by calculation)
And the following Metals: Arsenic Lead Nickel
Cadmium Mercury Selenium
Chromium Molybdenum
5. In order to assist DEM in the review of the proposed loading rates, please complete the calculations contained in the
attachment titled "Calculations Work Sheet" (beginning on Page 11 of 18). If more than one residual is to be covered by
this permit, additional worksheets must be attached
FORM: LARS 02/95
Page 6 of 18

VIII. GENERAL INFORMATION:
1. Five (5) complete copies of the permit application and five (5) copies of all required supporting information, including
cover letters must be submitted or the application package will be returned as incomplete.
2. Please explain how access to the land application sites, by both people and animals, will be controlled following the
application of residuals: Sites are privately owned and posted farmland
Cattle are restricted by cross fencing
a. Animals shall not be grazed on the land application sites within 30 days after the application of residuals.
b. Appropriate measures must be taken to control public access to the land application sites during the active site use and
for 12 months following the last application event. Such controls may include the posting of signs indicating the
activities being conducted at the site.
3. Please explain the procedures that will be used to establish and maintain the buffers during the application process (i.e. will
the sites be flagged): Buffers will be flap -Red p to application
4. Please attach an executed "Agreement For the Land Application of Residuals to Private Lands" for each land application site
that is not owned by the applicant. A copy of the DEM approved form is attached. If the applicant wishes to use a
different form or a modified form, prior approval must be received from DEM.
5. Each application site must be assigned a site identification number.
6. Attachments may be utilized to provide the information that is requested in this application form; however, if attachments
are utilized, their location should be so indicated on the application form. All attachments must be numbered to correspond
to the individual parts of the application that require the attachment. If the attachments are part of a larger document, a
table must be provided that lists the locations of the required information.
Applicant's Certification:
I, Barry Webb , attest that this application for Land &121icatio
of Residual Solids
has been reviewed by me and is accurate and complete to the best of my knowledge. I 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 as incomplete.
Signature
//Ct --�C=� Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: LARS 02/95 Page 7 of 18

Instructions:
rrocessing of this application will not be initiated until five (5) copies of all of the following
items have been submitted in addition to five(5) copies of the completed application form. If
any of the below items have been excluded from the package, please explain.
1. Is a general location map included?
YES or NO N A (NO CHANGES)
2. Is a site m-ap (drawn to scale) included which delineates total and buffered acres and
shows all property lines, buffers, existing wells within 500 feet, topography, drainage
features, and any surface waters?
YES_ or NO N/A (NO CHANGES)
3. Is a vicinity map enclosed which clearly indicates the projects location with respect to
State roads and named Surface waters?
YES or NO N/A (NO CHANGES)
Cs a signed soil scientist report included which defines the following:
a..) field descriptions of texture, color, and structure,
b) depth and thickness of soil horizons,
c) presence of any restrictive soil horizons or layers,
d) depth to seasonal high water table,
e) the hydraulic conductivity,
f) recommended loading rate for the site,
YES or NO N/A (NO CHANGES)
(5. Is a signed agronomist's report included which identifies the_ crop _and _loading
recommendations for N-P-K?
YES or NO N/A (NO CHANGES)
i
(60. Is the Crop Management Plan included in the application package? ;
YES or NO N/A (NO CHANGES)
7. Has the Land Owner's agreement been completed and signed?
YES X or NO
8. Appropriate fee in accordance with 15A NCAC 2H .0205(c)(5)-(eff. Fi _ __ _
New Applications, Modifications or Late Renewals $400.00
Timely Renewals without Modifications
$250.00
YES X or NO
�A C7 h e- ��v.i b"'z
9. Five (5) copies of all reports, evaluations, agreements, supporting calculations, etc. must
be inclued as a part of the applicAtion package.
FORM: LARS 06/94
Page 8 of 18

This form must be completed by the appropriate Regional Office and included with the
submission of the application package.
INSTRUCTIONS TO APPLICANT
In order to determine the classification of the watershed in which these land application activities will be
located, you are required to submit this form, with items 1 through 8 completed, to the appropriate Division of
Environmental Management Regional Water Quality Supervisor (see attached listing). At a minimum, you must
include an 8.5" by 11" copy of the portion of a 7.5 minute USGS Topographic Map which shows the subject
surface waters. You must identify the location of the facility and the closest downslope surface waters (waters for
which you are requesting the classification) on the submitted map copy. The application may not be
submitted until this form is completed and included with the submittal.
1. Applicant (please specify the name of the municipality, corporation, individual, or other ):
2. Name and Complete Address of Appliant:
City: S tate:
Telephone Number: ( )
3. Project Name:
4. Volume of residuals to be land
5. Name of closest surface waters:
6. County(s) where
7. lfap name and date:
8. Applicant Signature:
n site 1s
Zip:
dry tons per year
TO: REGIONAL WATER QUALITY SUPERVISOR
Please provide me with the classification of the watershed where these land application activities will occur,
as identified on the attached map segment:
Name of surface waters:
Classification (as established by the Environmental Management Commission):
Proposed Classification, if applicable:
Signature of regional office personnel:
Date:
FORM: LARS 06/94 Page 9 of 18

a
DIVISION OF ENVIRONMENTAL MANAGEMENT REGIONAL OFFICES
Asheville Regional WQ Supervisor
59 Woodfin PlacePost Office Box 1507
Asheville, NC 28801
[phone]
Fax [phone]
Washington Regional WQ Supervisor
Post Office Box 276K
Washington, NC 27889
[phone]
Fax [phone]
Avery
Macon
Beaufort
Jones
Buncombe
Madison
Bertie
Lenoir
Burke
McDowell
Camden
Martin
Caldwell
Mitchell
Chowan
Pamlico
Cherokee
Polk
Craven
Pasquotank
Clay
Rutherford
Currituck
Perquimans
Graham
Swain
Dare
Pitt
Haywood
Transylvania
Gates
Tyrell
Henderson
Yancy
Greene
Washington
Jackson
Hertford
Wayne
Hyde
Fayetteville Regional WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 28301
[phone]
Fax [phone]
Mooresville Regional WQ Supervisor
919 North Main Street
Mooresville, NC 28115
[phone]
Fax [phone]
Raleigh Regional WQ Supervisor
Raleigh, NC 27611
[phone]
Fax [phone]
Chatham
Nash
Durham
Northampton
Edgecombe
Orange
Franklin
Person
Granville
Vance
Halifax
Wake
Johnston
Warren
Lee
Wilson
Wilmington Regional WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
[phone]
Fax [phone]
Anson
Moore
Alexander
Lincoln
Brunswick New Hanover
Bladen
Robeson
Cabarrus
Mecklenburg
Carteret Onslow
Cumberland
Richmond
Catawba
Rowan
Columbus Pender
Harnett
Sampson
Cleveland
Stanly
Duplin
Hoke
Scotland
Gaston
Union
Montgomery
Iredell
Winston-Salem Regional WQ Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Fax [phone]
Alamance
Rockingham
Alleghany
Randolph
Ashe
Stokes
Caswell
Surry
Davidson
Watauga
Davie
Wilkes
Forsyth
Yadkin
Guilford
FORM: LARS 02/95
Page 10 of 18

Pages 11 of 18 thru 14 of 18 are the ite life calculation
ms develope-cLb*--t4e--t-4C—aE- - .They have been left
out intentionally and are replaced by the following pages
which compute site life, hydraulic loadings at certain dry
tonnages, nutrient and metal loadings, and SAR
calculations. These pages are produced from a LOTUS
spreadsheet by a computer. The site life calculations can
be performed more quickly without mistakes when
compared to human calculations. The formulas used in
the calculations are also enclosed.
Pages 15 of 18 thru 18 of 18 are the blank, agreement
forms. Completed agreement forms are enclosed within
each site section.

SOUTHERN SOIL BUILDERS, INC.
Roaring River, NC
CALCULATION WORD SHEET
Project: City of Belmont WASTEWATER TREATMENT PLANT
Sample Date: 02/02/00 % SOLIDS: 2.24
Total dry tons to be applied yearly: (est.)
Total PAN to be land applied:
CONVERSION TABLE
PARAMETER mg/kg = ppm dry wt
x
pH: 6.9
900 dry tons
41.940 in-1,b
0.002 =1bs/dry ton
Nlt. TKN
69600.
Phosphorus
17000.
34
Potassium
4600.
9.2
Calcium
8900.
17.8
Magnesium
3200.
6.4
Sodium
36200.
72.4
Ammonia N
3100.
Nitrate N
1821.
Ceiling
Iron
12100
Concent.
24.2
Aluminum
13000
PPM
26
Copper
851
4,300.00
Cu
1.702
Zinc
875
7,500.00
Zn
1.75
Cadmium
2.4
85.00
Cd
0.0048
Chromium
57.
3,000.00
Cr
0.114
Nickel
27.
420.00
Ni
0.054
Lead
50.
840.00
Pb
0.10
Arsenic
2.56
75.00
As
0.0051
Mercury
2.10
57.00
Hg
0.0042
Selenium
4.54
100.00
Se
0.009
Molybdenum
14.
75.00
Mo
0.028
PLANT AVAILABLE NITROGEN CALCULATION (PAN)
TKN - AmN x 30% + 1/2 AmN + NO3N x 0.002 = lbs. PAN/dry ton
Surface 46.6 lbs. PAN/dry ton
Sub -surface 49.7 lbs. PAN/dry ton

SOUTHERN SOIL BUILDERS, INC. Roaring River, NC
APPLICATION RATE EVALUATION
Project: City of Belmont WASTEWATER TREATMENT PLANT
Sample Date: 02/02/00 % SOLIDS: 2.24 pH: 6.9
Example: Surface Application Rate for Fescue
@ 46.6 lbs. PAN/dry ton
Spread 3 Dry tons/Ac
lbs./acre
PARAMETER applied
Nitrogen (PAN) 139.8
Phosphorus
102
Potassium
27.6
Calcium
53.4
Magnesium
19.2
EPA cumulative
Site Life
Sodium
217.2
Limits
yrs.
Calcium Carbonate
NA
lbs. /acre
Iron
72.6
(per CFR 503)
Aluminum
78
Copper
5.106
1339
262
Zinc
5.25
2500
476
Cadmium
0.0144
34
2361
Chromium
0.342
2679
7833
Nickel
0.162
375
2314
Lead
0.30
267
890
Arsenic
0.0153
36
2352
Mercury
0.0126
15
1190
Selenium
0.027
89
3296
Molybdenum
0.084
16
190
Applicaton rates are based on the most recent biosolids analysis.
Approu.---B 9-0LIDS VALUE $$ per acre:
r'
Plant Available Nitrogen (PAN) at $.15 per lb. $ 20.9
Phosphate at $.15 per lb. 35.03
Potash at $.10 per lb. 2.76
Spreading Cost per ac. 5. t
Lime at 1 ton/ac.as needed: ,� `30.00 �.
Total value per ac. -' $93.76

SODIUM ADSORPTION RATIO (SARI
Project: City of Belmont
WASTEWATER Treatment Plant
SAR = 12.487
SAR = Na meq / [.5 (Ca meq + Mg meq)]1/2
% Solids = 2.24
35.25 meq Na
9.97 meq Ca
5.97 meq Mg
To convert wet weight values to milliequivalents (meq):
Na: atomic wt. 23, valence 1
meq. =wet weight Ca: atomic wt. 40, valence 2
atomic wt./valence Mg: atomic wt. 24, valence 2

+o �7-p— oam-r�e-a arm tyvsse cL out+ —
CITY OF BELMONT
LONGITUDE & LATITUDE
Landowner Field Topo Longitude Latitude
James Perkins 1 Lowesville 810 02' 40" W 35' 29' 10" N
2 Lowesville 81' 03' 00" W 350 29' 0811iV
W.W. Reel --: Lowesville 81' 02' 38" W 35' 28' 54" N
2 Lowesville 810 02' 40" W 35' 28' 53" N
3 Lowesville 810 02' 37" W 350 28' 50" N
4 Lowesville 81' 02' 36" W 350 28' 51" N
5 Lowesville 810 03' 05" W 35' 28' 45" N
--6 Lowesville 81" 02' 53" W 350 28' 50" N
..-7 Lowesville 81' 02' 50" W 35' 28' 38" N
Audr y Rudisell 1 Lowesville 81' 05' 50" W 350 28' 12" N
Lowesville 810 05' 58" W 35' 28' 10" N
Lowesville 81' 06' 00" W 35` 28' 02" N
4 Lowesville 810 06' 18" W 35' 27' 58" N
H. C. Shoronce 1 Lowesville 810 03' 20" W 350 27' 30" N
2 Lowesville 810 03' 25" W 35' 27' 50" N
3 Lowesville 810 01' 50" W 35' 25' 22" N
Buddy Grigg 1 Lincolnton E. 81' 09' 25" W 350 26' 40" N
--2-- Lowesville 810 06' 31" W 350 25' 50" N
--3--- Lowesville 81' 06' 30" W 35' 25' 49" N
-4-- Lowesville 81° 06' 20" W 35' 25' 58" N
-5-- Lowesville 810 06' 10" W 35' 25' 59" N
-6-- Lowesville 81' 06' 07" W 35' 25' 50" N
-Y- Lowesville 81" 06' 07" W 350 25' 49" N
8 Lowesville 81" 06' 35" W 350 25' 37" N
-9- Lowesville 81" 06' 42" W 35' 26' 11" N
10 Lowesville 810 06' 40" W 350 26' 00" N
Randy Keever 1 Lowesville 81' 03' 40" W 35' 29' 49" N
2 Lowesville 81' 03' 20" W 350 29' 50" N
3 Lowesville 81' 03' 30" W 350 29' 50" N
-h-- Denver 81' 05' 10" W 350 31" 52" N
�-- Denver 810 04' 50" W 35' 31' 521" N
Tony Jones 1 Lowesville 810 01' 52" W 350 24' 10" N
2 Lowesville 810 01' 53" W 350 24' 15" N
3 Lowesville 810 02' 08" W 35' 24' 32" N
4 Lowesville 810 02' 20" W 35' 24' 41" N
5 Lowesville 81° 02' 30" W 35" 24' 35" N
James Young 1 Lowesville 810 07' 00" W 35' 24' 22" N
2 Lowesville 81' 07' 02" W 35' 24' 29" N
—3--- Lincolnton E 81" 07' 32" W 35' ' 25' 48" N
-4- Lowesville 81® 07' 29" W 35' 25' 46" N

Landowner Field Topo
Lori Warren 1 Lowesville
Jim Reel Lowesville
Lowesville
Lowesville
Longitude Latitude
81' 03' 30" W 350 23' 20" N
81' 06' 45" W 350 28' 42" N
81" 06' 48" W 35' 28' 40" N
81' 07' 15" W 350 28' 50" N