WQ0002712_Regional Office Historical File Pre 2018 (3)

Pat. McCrory
Governor
FILE
NCDENR,.'
,North Carolina Department of Environment and .Natural Resources
.February 16;2Q,1,5.
Steve, Peeler— Director -of Public Works and Utilities
City of, Lin'Whitoo
PO Box. 617 '
Linco'Inton, North; Carolina. 29092
Dona
ld
Secretary
Subjects PerinitNo. WQ015Q271.1
City. of LincoInton
Land Applications Of Class B
Water Treatment Plant and
Wastewater TreatmentPlant
'd' (e 1 $1 Pat$ (Non=Dedicat0).
LincolnCounty
Dear Mr., Ppefer,;'
In accordance with your permit maj or,, m-odification,and renewaYrequest recei ved, SVtPmber 7,
2014,, ,a sub t, iadditional information received Mceniber- 18,2014�,, *0 are fQnvordingherewith
Permit,,No. wQ66027,12date-dF6ruaty l-6�,.,2Q15j.tcrthe,Qity - LincoInton for the continuedoperation of
of
.the ,subject te'siduglstiati4g4-�-nien'tprograiii,.
'l odfficationsi tothe subject permit :are. as follows
t-
Fie1d,NQ-LT--1 22-01 is being transferred,fillb the progom.from Permit WQOQO6984;
'Fjelds.!N,C-0L-O5-'.0, -04, 05, 079
Q8 & 09,Aite2 being transferred-into"the program froin Permit
-'WO'000 1793;
Fields N NC-CL-0+03, NOCL7;04rO4 NC-CL-05-
C�CL 0zTQ,7, NC-CL-04-01,. N CL-0+02�
-0 1, TqC=Cj,-05-02, �,05-;O6, N-
GcL-05-10. N&C-L-7-05A.1, -NG-CL-05 -12, NQ-M-6,�43*,
N1 0Ct
aid .'TNX-C&.05:-'14, are- new field& bdhig added to the -pirbgrani,
Field' -NQ-LT-05-
QlA, 0,1131 01C, Olt),, 02.t03A,.038, 04j.:05,;06, NC,-,-LT,-34-0L and NC-LT-31-
.0.1, are being removed in the program.,
froin
-T being, renewed are being: nic difiodbecauseof
rem4pping-
This pe I effective fforn February 1,6,12015 until January, 3 1 2020 sliall void Permit
rim, shall 7
No. W-QQ.002712 '.issued October 10,2605and shall. be subject m the p9nditions, and limitations as
specified therein, Please PAY, -particular :ottpntionto the= monitoring requirements., listed girt .Attadhnit
andB; for they.Way differ- from: the previous- permit issuance.T.Auro to establish an -adequate- system for'
Pollecti n- and maintaining. the re4uired, operational i"nforma t' tishall result in RAM, compliance
liance
problems:,
I q,17 Malf"Service Center, Ralei h,'North. CArdirla,2769.9-16V
Phone: [phone] Intempt,..KftD:I/Oortal;n6dene.otqIW6
WEqu6106pdduhiryA AffifmativeAcfio> ,employer, —:Made in partwith reqyded paper%

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT CONIMISISJON
DEPARTMENT OF ENVIRONMENTANDNATURAL RESOURCES
RALEIGH
LAND APPLICATION OF CLASS WASTEWATER TREATMENT PLANT AND WATER
TREATMENTYLANT RESIDUALS PERMIT (NON -DEDICATED)
In accordance with the provisions- of Article 21 ofChapter143. General Statutes, of Nofth Carolina.as
amended, and other applicable Laws; Rules, and Regulations
PERMISSION 19 HERtBY:GRAirrM TO
OR of Lincol City nton
Liftooln. County
FORTHE
continued opepatiosil of a-:residuA'g m0liggerneTit . prograiri.f6r the-Cityof"Lincohiton and consisting of the
land
application- ofClass B Wastewater Treatment Plant and Water, TreatmetItTlant residuals .generated;
by, the approved facilities listed. in -Attachment A .to the approved Sites listed.inAtiachment ' B with no
discharge of wastes: to' -surface waters, pprsuaritto.1lic application -received Septet bur 5, 20,14,,mcl
subsequent.I additional . information received Division of Water Resources, aniditi,conformity with
.by the Divi's a,
other: supporting,, data subsequently filed and. approved by the Department of Environinerit and Natural
Resourcesan&considered, a part of thi s permit. The, use: and -disposal of:residualsa fe- regulated under Title.
46 Code of Federal Regulations Part. 5035.. This pprmit, does not: exempt the Permittee:from; complyipg.
with_the tepl,I f6dera ations.
This perrriit. shall be -effectiVefrom February 16, M15 until January TI 2020, sliall void- Perinit-No.:
WQ0002712,issued October M 2005; ;and -,shall be. subject to the following s , pecified conditions. and
limitations:
I. SCHEDULES'
1. No- later than six. months prior to:tb0:oxpir-afion of this permit,the Permitte ;slizill recluest'renew.al. of
this permit on. officidIVYision I forms.:. -Upon receipt of the request, the Division, will review the:
adequacy of I the facilities: described therein, and if warranted, will renew the permit. ,for such p-eriod of
time and under such, col"riditiolis and limitations as., it may d6em appropriate. Please :note Rule 15A.
NCAC 02T .,01.05(d) the
requires l� , �IJOM4 Mije
quires an updated, site 'to bi;. submitted t d with
application—t.1 5A .NCAC 62T 02T . 105(d)j 02Y.0109]
2.. The peimittee shall, be; in full compliance with the'regiona 'e ii tification requirements.Qs in Condition. tAblishedl ,11 3.,wiOdn 90 daysz of the effective date. of t1iis, permit.
(15A NCA-C;02T ,O 1,-O8(b)(2)l
The p6twitteo shall submit the :m0peration.- and Mafntenance (Q&M.) plan as required. in. Condition
111.4. to the pivikon within, 90 days ofthe effective date of this permit. [I 5A,NCAC, 02T
W0006277"I 1 Version, 3.0 'Shell Version 1403,24 • _PAge:1 of 12

4. The permittee shall be in full compliance with the signage, requirements established in Condition
111.13: within 130 days of the effective date of this permit. [15'A NCAC 02T .0108(b)(2)] .
II. PERFORMANCE'. STANDARDS
L The subject residuals inaiia einent program shall be effectively maintained and operated. at all times
so there is no discharge to surface waters, nor any contravention of gt-oundwater or surface water
standards:; In the. event the Facilities fail to perform:satisfactorily, includingthe creation of nuisance
conditions due to iimproper..operation and maintenance, the Permittee shalt.immediately, cease land
applyin residuals. to the site, contact the. Mooresville regional office :supervisor, and„ takeany
immediate corrective actions. [G.S. 143-215.1
2. This permit: shall 'not relieve the Perinittee 'of their responsibility.for damages to ;groundwater or
surface water resulting from the operation of this residuals inanagement program: [15A NCAC'02B
.0200, 02L..01001
3. Only residuals generated by tlie: facrlities listed in Attachment A are approved.'for land application in
accordance with this permit. [G.S. 143-215.,1 ]
4.. Otily-the,sites fisted in Attachment B are approved forresiduals land application.:. [G.S. 143 2!$.A]
5. Pollutant; concentratib.091n residuals applied -to land.application sites listed- in Attachment l3 shall not
exceed the: following Ceiling Concentrations (i.e., dry weight: basis.) or Curitulatve Pollutant
Loading Rates (CPLRs):
Parameter
Ceiling Concentration
(rztlligrams per kilobranz)
CPLR-
(Pounds per acri?
Arsenic
75
36
Cadmium;
85'
34
Copper
4,,300
1;338
Lead.
'840
267
Mercury
57
15
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
89
Zinc
7,500
2,498,
The,Pertnittee shalldetermine compliance. with the CPLRsusing one of the following methods:
a: By calculating the existing cumulative level of pollutants using actual analytical data from call
historical land application events of residuals,; or
b. For land where. residuals. application Have not occurred of. for which the required data is
incomplete, by determining background concentrations through .representative soil sampling.
[15A NCAC 02T .11051
6. Residuals ;that are land applied shall meet Class B- pathogen reduction requirements: in 15A. NCAC
02T .1106 (a) and :(0). Exceptions to this requirement, shall be specified' in Attachment A. [15A
- NCAC 02T .1106],
WQ0002712 Version 3'.0 Shell VerM on 140324 'Page 2 of 12

7. Biological residuals (ieL residuals generated. during the treatment of domestic or animal processing
wastewater, or the biological treatment .of industrial wastewater, and as identified in Attachment A)
that are land applied shall ineet oneof the vector attraction reduction . alternatives in. 15A NQAQ 02T
A 10(a). Exceptions to this requirement sha 1 1 be specified in. Attachment A. [15ANCAC 02T.1107]
Setbacks, forClassB land application sites shall beas. follows:
-Setback by application type
(feet)
Setback Description
Vehicular
Irrigation
1njecdonl
Surface
Surface
Incorporation
Application
Application
Habitable -residence .or -.place of public assembly
under separate ownership or not to'bo.inaintained as
400*
400'
200*
part: of the,proj'oot- site
Property lines
50'
50'
5-0
Public gh -c riof way
50
50.,
.50
13riv4td or public water -supply 5outce,, waters
s'ifi d tclas fe - as SA or SB., and any Class I or Class.II
100
100
100
,impounded reservoir used. as, a source .of drinking
-water
Surface,, w.agers. intermittent and perennial,
perennial waterbodies,. and. wet landg),, any, streams
1,
100
50
classifiedod as W$or. Borany, stream, canal,, marsh. or
,
coastal waters and -an other lake.or impoundment
Upslope interceptorArains or. ups lQpe.sui face, water
10
10.
diversions
! e interceptor drains, dowilglope surface
.Down8lo.p
:
I
water diversions; downilope g.roulidwater drainage
25
25
25
systems,..or doWhslope,sutface drainage ditches
This subackdistance may be reduced to a in . inh-num of 1.00,feet upon written consent of ther., owner
and approval from the. Water Quality Regional. Operations Section of. -the- appropriate Division's
regional office, in Attachment 8. Qfthis permit. [I _5A NQAC 02T .1 1108]
0., Land' application. areas shall be clearly -marked on each * c ' h site prior to..and during '.any -residuals,
application event. -[I 5A NCAC,02-T .0108(b)(I)]
MI Bulk residuals and. other sources of Plant' Available Nitrogen. (PAN) -shall 'not be applied in
I
exceene, f agronomic`
e Qi rates, Appropriate agronomic rates shall be calculated using expected
nitrogen I requirements based on the determined Roalistic,'Yield Expectations (RYE) aging, any of the
ng
a- Division's: pre -approved site specific historicat data, for" "specific drop or soil types by ,calculating
the: mean of the best three, yieldsof the last five consecutive, crop harvests for each: field.
bi North Carolina Historical Data for sp
ecific -ic crop And soil types as provided by North Carolina
. et.if
State University Depaitment,of Soil Sbmience:,. ttp;//nutrients.soil.iicsu.edu/yi.elds/ ndex.ph.
,A copy -shall be kept' on file and reprinted every fiveyears in accordance with .Condition lV.7.
c. If the, RYE cannot be detennined using ixieffiods (a) or (b) above, the Permittee may �use° the RYE
and appropriate nutrient application rates reported in.-anyWflie 'following, documents:
i.- Crop management plan as outlined, by the local Cooperative Exteiisio''il Office, the, North
Carolina Department of Agriculture and Consumer -Services, the Natural. -Resource
Conservation Service; or other agronomist.
W666017 VI-Versioil 3'_O Shell Version 4,40324 Page 3 of 12

ii. Waste Utilization Plan as outlined by thel Sedate Bill 1217 Interagency Group, - Guidance
Document: Cliapter I
(httl2:Hw%v,A,.ncaar.gov/SWC/tech/documents/9tli.Guidance ;Doc 100109..1df),.
iii. Certified Nutrient Management Plan .as outlined by the Natural Resources Conservation -
Services (NRCS). These plans must - meet the USDA-NRCS 590 Nutrient Management;
Standards(ftv://ftp-fc-.sc.egov.ttsda.gov/NHQ/practice-standards/standards/5,90.pdf).
d., If the RYE and appropriate nutrient application .rates cannot be determined, ahe .Pe►mittee. shall.
contact the Division to determine necessaryaction.,
[15A NCAC '02T .11'0.9(b)(1.)(k)]
11. When residuals are laid applied to grazed pasture; hay crop realistic nitrogen rate shall be reduced by
25% in accordance with the USDA-NRCS 590 Nutrient Management Standards. [15A 'NCAC 02T
12. If Iand application, sites are to be over -seeded or double -cropped "(e.(,,, bermuda grass in :the summer
and rye grass in the winter with- both crops to :receive residuals), then the second crop can receive an
application of PAN at a -rate not to exceed 50, pounds per acre per Year (lbs/a&l ).. This practice t ray-
be allowed as long, as the second crop.i:s.to be Harvested or grazed. If'thesecoild.crop is to he planted
for erosion control only and is to be tilled into'the soil, then no additiona. 1'PAN shall lie applied..
[15A NCAC.02T.0108(t )(l)].
E� 13.- Prior.to land application of residuals coifaining a sodium adsorption ratio (SAR) of 10 or higher, the
g l Pernuttee shall obtain and implement. recommendations from at least one of the following: the .local
Cooperative Extension Office; the Department of Agriculture and Consumer'Services; the Natural
Resource Conservation. Service;, a North, Carolina Licensed Soil Scientist; or an agronomist. The,
recoininendations shall address the, sodium application -rate, soil amendments (e.g., gypsum, etc.), or a
mechanism for maintaining site integrity and, conditions conducive to crop growth. The Permittee
shall: maintain written records of tliese recommendations and detail's of their iinpletneiitation. [1.5.A.
y. NCAC 02T .0103(b)(1)]
14, The compliance boundary for residual, land application sites shall be specified in accordance with;
1.5A NCAC: 02L, .0107(b). These sites were individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the residual land. application
area, or. 50 feet within the property boundary, whicliever is closest to tliel residual. land application
area. An exceedanc& of groundwater standardsat or beyond the compliance boundary is .subject to
reinediatiun Lfetion according to 15A NCAC 02L .0106(d)(,2) as well its caforceincia actions ii_
accordance with North .Carolina General `Statute 143-215.6A through 143-215.6C: Any approved
relocation .of the COMPLIANCE BOUNDARY will be noted in; Attachment B, _[15A NCAC 02L-
.0107(a)]
.15: In accordance with 15A NCAC 02L ,01.08', the review boundary shall be established. midway between
'the compliance boundary and., the: residual land application area. Any exceedance of groundwater
standards at the review boundary shall require action in,acco'rdance, with.l5A NCAC 021..0106.
[15A NCAC 02L..01.0-8]

m
�f
a;
l t '
III. OPERATION AND MAINTENANCE REQUIREMENTS
r"
1. The residuals management program shall be properly maintained and operated at all times.. The
E; program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards. [I 5A NCAC 02T. 1110]
E- 2=. The Mooresville Regional Office, telephone number (704) 663-.1699, and the appropriate local
{ government official (i.e., ,county manager, city manager, or health director) shall be notified at least
i- dS hours prior to the initial residuals land application to any new land application site., Notificationto
the regional supervisor shall be trade fiom 8:00 a.m. until 5:00 p.m. oti Monday through. Friday,
b� excluding State Holidays. [15ANCAC 02T :0108(b)(1)]
The Mooresville Regional Office shall be notified via email or telephone, (704). 663-169% at least 24
hours prior to conducting any land application activity. Such notification shall 'indicate, at a
minimum, the anticipated application times, field IDs, and location of land application activities. If it
becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be
notified prior to cominencing the application to those fields. [15A NCAC 02T .010s(b)(1)]
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
45A NCAC 02T A 110. Modifications to the O&M Plan shall be approved by the Division prior to
utilization of the new plan. The O&NI Plan, at the minimum, shall include:
a) Operational functions;
b) Maintenance schedules;
c) Safety measures;
d) Spill response. plan;
e) Inspection _plain including the following information:
i. Names and/or titles of personnel responsible for conducting the inspections;
ii. Frequency and location of inspections, including those to be conducted by the ORC, and
procedures to assure that the selected location(s) and inspection frequency are representative
of the residuals management program;
iii. Detailed description of inspection procedures. including record keeping and actions to be,
taken by the. inspector in the event that noncompliance is, observed -pursuant to the
noncompliance notification requirements under the monitoring and reporting section of the
permit;
f) Sampling and monitoring plan including the following information:
i. Names and/or titles of'personnel responsible for conducting the sampling andmonitoring;
ii. Detailed description of monitoring procedures including parameters' to: be monitored;
iii. Sampling frequency and procedures to assure that representative samples are being collected.
Fluctuation in temperature, flow, and other operating, conditions earl affect the duality of the
.residuals gathered during a particular .sampling event. The sampling plan shall account for
any foreseen fluctuations in residuals duality and indicate the most limiting .times for
residuals to meet pathogen and.vector attraction reduction requirements (e.g. facilities that
land apply multiple times per year but have an annual sampling frequency, may need to
sample during winter months when pathogen reduction is most likely to be negatively
affected by cold temperatures).
[15A NCAC 02T .1100]
urrtinnn')' i) 17—;.,,, 1 0 Shell Version 140324 Page 5 of 12

Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the facility, the Permittee shall designate and employ a certified operator in
responsible charge (ORC) and one or more eeiti5ed operators as back-up .ORCs 'in accordance. with
15A NCAC 08G .0201-. The ORC or their back-up shall -visit the• facilities in accordance. with 15A
NCAC 08G. 0204, or- as specified in the most recently approved O&M plan (i.e,., see Condition
II1.4.),, and shall comply with all other conditions of 15A NCAC 08G. 0204: For more information
regarding. classification and designation requirements, please contact the Division of Water
Resources' Tecluiical Assistance & Certification Unit at. [phone].. [15A NCAC 02T .0117]
6.. When the Perinittee land applies bulk residuals,a, copy of this permit and a. copy of O&M Plan shall
be. maintained at the land application sites during, land application activities:. u 5A NCAC 02T
7. When the Perrnittee transports or land applies. bulk'. residuals,, the spill control provisions shall be
maintained in all residuals transport and application yehicl'es:'[1.5A NCAC .02T .1110]
8_ Residuals: shall not be stored at any .land application site, unless written .approval has been requested
and received from the Division. [G:S.,143-21`S.11
9. When the Permittee land applies bulk residuals; adequate measures shall. be taken to prevent wind.
erosion and surface `runoff: from conveying residuals from. the land application sites onto adjacent.
properties or into surface wmers..'[G.S. 143=215.1 ]
10. When the Permittee land applies. bulk residuals, a suitable: vegetative cover shall -be maintainedon
land application sites onto which residuals are applied,; or application shall be in accordance with the
crop. 'management plan outlined by th& local Cooperative Extension .Office, the Department of
Agriculture and. Consumer 'Services, the: Natural. Resource Conservation Service, or an_ agronomist.
and as approved bythe Dig%ision, [15A NCAC VT .1.1.09(b)(1).1
11. Bulk residuals shall not be land applied 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 Act 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 standard's;
d. .If the land is flooded, frozen or snow-covered,; or is otherwise- in a condi(ion. such that rinioff of
the wouldbccur;
e. Within the 100-.year flood elevations unless the balk residuals :are. injected or incorporated within
a 24-hour period following a residuals land application event;
f. During a measurable, precipitation event.(ix., greater than 0.01 `inch per hour); or within 24 hours
following a rainfall event of 0.5 inches,or greater -in a 24-hour period;
g. If the slope is greater .than.1.0%o for surface applied. liquid r siduals, or if the slope, is .greater than
180/o for injected or 'incorporated bulk liquid residuals;
h, If the soil pl4is. not maintained at 6.0 or greater, unless sufficient amounts .of. lime are applied'to
Achieve a final .soil, pH of at least 6.0, or if.an agronomist provides information indicating. that the, .
pH .of the: soil, residuals and lisle mixture is suitable for the specified' crop., Any approved
variations to the acceptable soil pH (6:0) will be: noted in this permit;.
i.. If the land does: -not have an established vegetative cover unless the, residuals are. incorporated or
injected within a 244 our period following a residuals land application event. Any fieldthat is in
a, USDA no -till program shall be ehempted from meeting this vegetative, cover requirement;
WQ00027'1.2 Version .0 Shell Version .140324 PaoP F nf` 1

j. If the vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot;
k. If the vertical separation of bedrock and the depth of residuals application is less than one foot;
1. Application exceeds agronomic rates.
[15A NCAC 02T .1.109]
12. The followirtg•public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to .non-public contact sites shall be restricted for 30 days after a residuals 'land
application event.
[15A NCAC "02T .1109(b)(2)]
13. Public access controls shall include the posting of signs with a minimum area of.3 square feet; (e.g.;
1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information, including the P.ermittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous mariner at the entrance to each land application site during a. land
application event, and for as long as the public access restrictions required under 111.12 apply. [15A
NCAC 02T .0108(h)(1)],
14. The followingHarvesting and grazing restrictions. apply to residual land application sites after each.
land application event:
Harvesting and Grazing Description
Restricted
Du"ration
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to .
30 days
prevent access after each land application event.
Food crops,. feed crops, and fibercrops shall not beharvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
1:2 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, Iinelons, cucumbers, squash, etc.)
14,months
shall not be harvested for:
When the residuals remain on the land surface for four'months or longer prior to
incorporation into the soil, food crops with harvested parts below the land
20 mmitlls.
surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be
harvested for:
When the residuals remain on the land surface for less than four months prior to
incorporation into. the soil, food crops with harvested parts below.the land
38 months
surface shall not be harvested foi-
[15A NCAC 02T A 109(b)(3)]
l�F WO0002712 Version 3.0 Shell Version 140324 Rage 7 of 12

15. The Permittee shall acquire from each landowner or lessee/operator a --statement, detailing the volume
of other nutrient sources. (i.e., manufactured fertilizers,: manures, or other animal waste products) that
have been :applied to the site, and a copy of the most. recent Nutrient Management Plan (NMP) 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 calculate allowable
nutrientloading rates based on the provided. information and use appropriate. reductions.
For the purpose .of this permit condition, a Crop lvlanageinent Plan (CMP), Waste. Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shallalso, be considered a Nutrient
Management Plan. [15A NCAC 02'r .0108(b)(1), 02T ..11,04(c)(4)]
16. No residuals shall be land applied unless.the s:ubnitted Land Owner Agreement Attachment (LOAA)_
between the Permittee and' landowners or lessees/operators ofthe land application site is in full. force
and effect. These agreements shall be considered expired concurrent with the:permit expiration date.
and shall be renewed during the permit renewal process.. [15A NCAC. 02T ,110;4(c)(4)]
IV. MONITORING AND REPORTING REQUIREMENT'S
1.. .Any Division required monitoring (including groundwater,, plant tissue, soil. and surface water
analyses_) necessary to ensure groundwater and. surface water protection shall be established, and an
aeeeptable sample reporting schedule shall be folloured.. [15ANCAC 02T .0108(c)]
2. Residuals shall be analyzed to demonstrate they are non -hazardous: under the Resource Conservation
and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity; and toxicity
characteristic leaching g oeedure. (TCLP)] m shall be performed at, the frequency specified irr
Attaclunent and the. Permittee shall maintain these results for a- minimum of five: years. Any
excepttons;froro. the requirements in this condition shall be specified. in Attachment A.
The TCLP analysis shall. include the following -,parameters (.the regulatory level in milligrams per Titer
is in parentheses):
Arsenic (5.0);
.1;4-Dichlorobenzene (7.5)
Nitrobenzene
I34riur (100.0)
1,2-Dichloroethahe (0.5)
Pentachlorophenol.(.100.0)
Benzene (0.5)
1,1-D,ichloroethylene (0.7)
Pyridine (5,0)
Cadmium (l ..0)
2;4-Dinitrotoluane (0.1 a)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene. (0.'13)
I'etrachloroethylene (0.7)
Ghlarobenzene (.100.0).
Heptachlor '(and its'hydroxide)
(0.008)
Toxapltenie (0.5)
Chloroform (6.0)
Ilexachloro-0-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroeiliane (3.:%
2,4,5-Trichlorophenol (400.0)
in -Cresol (200.0)
Lead (50)
2,4,6 Trchlorophenol (2.0)
o-Cresol (200.0)
Lindane.(0 4)
2,4,6- TP (Silo<ex) (1.0)
p-Cresol (200.0)
Mereuny(0.2)
Vinvl chloride (0.2):
Gresol (200.0)
Methoxye for (1-0.0)
214-D (I Q.0)
Methyl ethyl ketone: (200.0)
[15A NCAC 13A ;0102(b), 02T .110.1, 02T'.11-05]
WQ0002712 Version 10, Shell'Version 140324 paae R of r)

5-.' An analysis shall be, conducted briresiduals from each source generating facility at the frequency
-specified-in Attadhment.A, and the Pennittee shall maintain. the results fobr a minimum, of five, years.
The analysis shall include thefollowing 'parametefs:
.
A-Lun.11011M
Mercury
Potassium
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium.-
Cadmium
NifrAte-�Nitritd, Nitrogen.
-
SodiumAdsorption Ratio
(SAR):
Calcium
Percent Total, Solids
TKN
Copper
pf I
Zinc:
Lead
Phosphorus.
Magneshmi,
Plant Available Nitrogen
(by; calculation)
t BA NCAC OT.110.1
f
4., 'Residuals shall be monitored for compliance with pathogen. and vector- attraction .reduction..
requirements at the frequency specified in Attachment A 'and i at the. time indicated in the sampling
and monitoring .sections o. zmM, - i f the, :O&plan. The 'required data shall 'be specific,. to the,
Rit -
-stabilization process utilized, and' sufficient. to: demonstrate compliance with the CIass.Y3 pathogen,
iftent§in 15ANCA
Xeducti ;requirements C 02T 1106, (a-) and (c), and one vector attraction reduction.
.re"irernent in 15A.NCAC 02T A 10.7 (4) shall bemet. Any exceptions from the requirements in this.'
condition: shall be specified in Attaclunerit A. [I5AI�TCACO2.T.'1'106,iOZT..],107,.02.Ti1-11.1(c)]
5, An annualrepresebtatIV& soils analysis (i.e., StandardSoit Fertility Analysis),shall'be--conducted on
each land ai)vlication- site.1isted in Attachment B.on which residual.s.'IanA application event
-occur in the respective calendar year. This analysis shall b6iii.accordaii0e.with the ""Guidance Oosoil.
Sampling"- located in' the S.amplirigg- Instructions section of the NC Department of Agriculture, &
Consumer :Services' 'websi te ee shall
(fii�:i/www.ncagr..gckv/agronomi/pubs.'htM)., - The Pennitt 11 a
maintain thesd"resUlts andd description -of the sainpling methodologies used'to determinesoil fertility 'Y
for a. periodof no Less than•five years, and shall be made available to the Division -upori request., At, a
minimum,- the.Standard.Soil Fertility Analysis shall include the. followiffg'paramttemJ
Acidity
Exchangeable: Sodium Percentage.:.
:Phosphorus
base -Saturation (by calculation}
Magnesium
Potasslli m­
catdtuftl
Manganese
Sodium
Cation ExchangeCapacityPercent
Humic Matter
Copper-
pH -
[15A NCAC -02.T- .111., t(d)]
6. Laboratory parameter analyses shall bb performed, on theresiduals astheyare.land applied, and shall
bein. accordance: with the monitoring requirements in I 5A,NCAC 012B, .0505. [15A NCAC 02B:
i . n events. At minimum,
77. The P ee shallma ,maintain records tracking residual land,.applicati
these records shall include the following:
W00002712 Version 3.6 She , 1 1. 1 Ve, r 9 io n 14 . 03 - 24 Page9 of 12

,a; Source, of residuals;
b. Date of land.applickion;,,
c. Location, of, - land. application
ion (i.e., site, field, -or zonenum6er as, listed'iln Attachmetit, ft
d... Approxi iato g�&4sap p Ijied. to: 0&& e. 'Me.thod'of-laud appli6at,ioIxi,
f Weatherconditions (e.g,,; sunny, -cloudy, raining, etc.);
g: redoninont Soil Mappi
ng Unit (e.g., CbB2);
111. .Soil conditions ' b.g_,� dry, Wet,. fro&fi, etc.);;
L 'Type of crop
191, crops to be grow,!!. on. field, .
j.Nitrogen.ApplTeattiori Rate based onRYE.s (ifusitig; data obtained fi-om, the North Carolin-
a State
Vii1yersit Ddpattdient of Soil Science, W . ebsite, the, printout page shall be kept on 'file: and,
__Y
"reprinted -every five years);,,
k. Volume of residuals land applied,in gallons. per acre, cubic and per 4ae,, dry ioffs per acre,— orwqt.
ton pe"Aere
1. Volume of, animal, waste or other nutrient source�,qppjied in valjo
per acre, dry Vii per acre, or,
Wet tOlis pet acre;
n, Vol soil. amendments -gy in P acre, :dry 'ton per, Volume o- time, gypsum, etc' applied I _41lons,pdr
acre, or wet tons-rreracre-, and
n. Axinual and cumulative totals in. dry tons.per acre.of residuals as. W&IIIas anima waste a � other
residuals -A, 04
sou of ut, (e g., if applicable)', annual and,, cumulative,pounds, per acre of each heavy
o.. A.U..nerits
.metal '(,e.g., shall include,but shall, not be linifted to, arsenic;_ cadmtum; copper, lead,, mercury;
rnoIybderiurn'ntc-k&I, 'Iselefiiuni, And: zinc), annual pounds per acre of RAN,, and annual pounds per
acre of phosphorus applied to each;feld
[15A �lCCAC 02T .0 1:040(p)]
$_. _, x, e
8,, Thm.00 io 6fqAAnhUalr.,pQ shalFb&:Wb itt'dd;otiorbdfore"Slarcli,l-. Theminual report- �s fiaU
rt mi
me0t,thc :requirements : described, in the,. Instructions for Residuals -Application al Reporting; lication. :Annual
Fortes. Instructions for' reporting: and annual report fa & are available " at
Qr can be obtained by: ;contacti�i&,-the, Lan&
Application Unit directly. The *annual. report shall be subnutted to,.the follo
wing address:;
Division of Water �Resourczs.
Information 5skng. Unit.
1�6_11 Mail, Servfce• Cen-ter
Raleigh, North:Carolina_276994 MT
115A NCAC:02T A 1,, IIJ(4)]
9c Noncomplianc
e
-The Permittee shall report by telephone to; the. Mooresville Regional Office, telephonic:. number (704
663. - 1,699j as soon. As possible;, bucin:no case more; than '24 hours or on 'the- next working day
followiggthe occurrence !or, first -knowledge - of the �ofatiy of the following
... e occuri wi
a..- Any occurrence with the land application program resulting I "rig in ` 'the land appricationof significant
amounts. of wastes, that are,abnoniial in.duantrty or characteristic.:
b. Any failure othe land. a plicati6lipro9,rrmnresUltiiig,iliarelease.oftnate.�.YJ allo surface waters.-
NVQ0002142 V
;Shell Version 14024 12. Page

Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residualtreatment.
e. Any spill' or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter fond 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. [I5A NCAC 02T .0105(1), 02T .0108(b)(1)]
V. INSPECTIONS
1.. The Permittee shall. provide adequate: inspection and maintenance to ensure proper operation,of the-
subject facilities and shall be in accordance,with the approved O&M Plan. [15A NCAC 02T .0108(b)]
2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and applicaftori facilities to prevent malfunctions, facility deterioration.,
and operator errors resulting in discharges, which may cause the release of wastes to the-
envirotnncnt; a threat to human health or a public nuisance. The Pennittee shall maintain an
inspection log. that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance; repairs, or coiTective actions taken. The .Permittee shall maintain this inspection log
for a period of five years from the date of inspection, and this log shall be made available to the
Division upon request. [15A NCAC 02T .0108(b)]
3. Any duly -authorized Division representative may, upon presentation of credentials, enter and inspect
any property, prernises .or place on or related to the land application sites or facilities pennitted herein
at any reasonable time for the purpose of determining compliance with this pen -nit; may inspect or
copy any records required to be maintained' under the tenus and conditions of this. permit;, and may
collect groundwater, surface water or leachate samples. [15A NCAC 02T .0108(b)]
VI. GENERAL CONDITIONS
1. Failure to' coniply witli [lie condi[ious and limitations contained herein may Sub ect, die. Pena ttee to
an enforcement action by the, Division in accordance with North Carolina General Statutes 143-
215.6A.to 143-215.6C.. [G.S. 143-215.6A to 143-21.5.6C] .
I This perinit shall become voidable if the residuals land application events are not carried out in
accordance with the conditions of this pennit. [1.5A NCAC 02T .0110]
This permit is :effective only with respect to the nature and volume of residuals described in the
permit application and other: supporting documentation. [G.S. 143-215.1]
WQOOO.2712 Version 3.0 Shell Version 140324 Page 11 of 12

4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regnttations, or ordinances, which tray be .imposed by other juris4ic1oiW government agencies
(e:g., local, state, and federal). '.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 Dfvisiott,'s General Permit NCGO10000 any requirements pertaining to wetlands under
15A NCAC 02B .Q200 and 02H .050.0..and documentation of compliance. wifh Article 21. Part 6 of
Chapter 143 of:tlieGeneral Statutes. [1SA NCAC 02T .0105(c)(6)]
5. .In .the event. the residuals .program changes oµFnership, or the P.erniittee changes their natne, a fonnal
pet i it tnodificatio i request,shall be submitted to the Division. This request shall. be made on official
Division forms, and shall. include appropriate documentation :from the. parties involved and other,
supporting documentation as necessary, The Permittee of record shall remain fully responsible for
maintaining. and. operating the residuals program permitted herein. untiI a perinit is issued to the. ne�v
owner. [ 15A NCAC UT .0104]
6. This-perinit,is subject to revocation or unilateral modification, upon 60' days'•.notice from the Division
Director; in. whole_ or part for the requirements listed in 15A NCAC 02T _0110. [ t 5A NCAC 02T
.0110]
7. Unless the Division Director grants a variance; expa.nsfon ,of the permitted residuals program
co-itained' herein shall not be granted if the Perinittee exemplifies any of'the criteria .in 15A "NCAC"
02T .0120(b):. [`1,5A NCAC.02T .0120]
8. The Pei mittee shalt, pay the annual 'fee within 30 days after being billed. by the Division. Failure. i&
- pay the annual fee accordingly shall be cause :for the Division 'to revoke this pert -nit pursuant to 1.5A.
NCAC 02T .0105:(e)(3).. [15A NCAC 02T .0105(e)(3),]'
Permit issued this "the 16"' day of February 20t 5
NORTH CAROLINA ENVIRQNMENTAI:, MANAGEMENT COMMISSION
Jay ' 7ernian, Acting Director
Tivisioifb,f Water Resources
By Authority of the Environmental Management Commission.
:Permit. Numlier-WQ0002712
WC200'0271;2 Version 3.0 Shell Version 1403.24 Page.12 of'11

ATTACHMENT .A --Approved Residual Sources
City of iancoliltoir
'Residuals Source=Generating Facilities
1Certification :Date: February 16,1015
Permit Numberi WQ00.02712 Version: 3.0
App ed
Maximum.
Monitoring'
Monitoring
Monitoring
Frequency for
q
Rate
Owner
Facility`Name
County
Permit
Number
Biological
Residuals
Dry Tons
Frequency for
Non -hazardous
l`requenc for
Y
Metals and
Pathogen. ..
[Raw=YA,
Per Year i
Characteristics'
c
Nutrients"'
Vector Attraction
Aembic = 03
RednftlOn§`�,5.4
Anaerobic;=0.2;
Com ist=.O.1
y,
Cit of Lincolntun
Lin WTP
Line In
Li, ,
NC00$�58s•
Na
3Q0
I x permit.
Annutilly,
_ Annually.
0.x4
Crty of Lineolnton
L neoln_oil WWTV
Lincoln
NCOQ25+96
Yes
1,300
1 x.liennif
4;x year
4.x year
0.2.
Total
1. M.'aximun7 Diy ons per Year is the. aniounl,ot residuah approved for -land application from each pe(mit ied. facility,
2. Ana{vsi to ticaiioi sUatc that residuaiti are noit-Nazar-dc us.(i,e., TCLR, ignitaltility, icactivity„ an l;coTiocivi'ty); as stipulated iinderi permit Ccinii tiuii:lY.-2.
'i Testing ohi etals and nutrient~ as stilittlati l under perviit Condition W.J.
4. Analyses of pathogen and vectorottraction reductions i�s,stipulated, under°pernnt Condition ]V4:.
5. Monitoi ina.fi`equencies-are:l5iised iin.thetietual dry tom.: applied• per year using the table.below, unless specified abiive.
Dry Tons Ccncrated
short tons, per; year) ..
Monitoring Frequency
Established iir40 CFR 1501and'15A NCAC 02T.11It)
�'3_19
I/Year
=>3 Cif - rl J 50,,
I uarter(4 times er; ear)
=> 1;650 - <16,500.
I /W Days, 6 times per year)
650.0
i /montli ) 2 tunes per year)
G. -Water Treatment P,lant'residuals: atv exempt from mee ing the pathogen & vector attraction t-educdoii it'quirei-rents in Condition IVA pt6vided they ate not inixed with residuals that; have, been
'geicrated during the treatment.of domestic' Waste'watOr. die'treatment of anniill processing wastewater, or the biological peanitent;.of iirdusU:ial wastewater. The Watcr Treaunent Plant residuals
must be heated. and' prbec ssed in a manner'as to not meat,the delinition.of 'Biological Residuals ' as define in 15,A, NC-& - Q2T ,,1 102(6)..
If i gland -application events. occur cfuring:a required samghng,period (e:g.;no'land applicatioai occur tlur'in�;:<an entire year when annual monitor iOt is required); then no
sampiing;data is r..equired', during the period of inactivity; The annual report:shall include an explanation for.missing sifntoling data. Tpose'requiriM to submit the,annual
report to EPA may be required' to•make: up the missed sampling, contact -the E'PA for additional information .and clarification,

ATTACHMENT B - 81),proVeAtand Appliewion.Siteg
City of Lincoluton
Certift-cation Date: 'February Ifi, 1015
kernn't Number: WQ0002711 Version: 10
rieldt-Site
Owner
Lessee
County,
Latitude
Longitude
Net.
Atreage
Dominant Soil Series
Footnotes
NC-CA-35-01
Tut6fil I Pro pqqie!� LLC
Elmofe,',etf
C
Catawba
35`14'04"'
8 1 1 5?Q2"
20.4
LcB. - Loyd
NC--CA-35-02A
Turbyfill Properties. LLC
Elmore, -Jeff
Catawba
35`3413'
-8111 15136-
0
LeB, - Loyd
NC,-'CA735*-02B
Turbyfill Vroperties.LLC
8finore, jclf
Catawba
35'34'.09"
9,1015!294'
6-4
LcB --'Loyd
NC -CA .3.5-(32C
Tud�yfil I. Ri-pperficsLI-C
I Elniore, Jeff
Catawba
'35°54'1 1
$11115122"
.9.. 9
LeB - L OYO
NC=CA-35-03A
Turbyfill. Properties LLC
Elmore, Jeff
t,atawba
35"M'59"
8 1 0 i 5'68-
41.6
LCB - Loyd
NC-CA35-0.313.
Turbyf [I. Properties LLC
Elmore, left`
Catawba
35933'5$"
8 1 "15171
81
LeB - Loyd
NC-CL-OM 1,
Carpenter, Jeff
Cleveland
35P26'00"
81 °28,'02-
20.5
PaYI-fteolct
Nlct-CL-02-03
Carpenter, Jeff
Cleveland
35°2557
8 1,19,11
28.
Pacolet-sandy,clay'loany
NC-CL-0204
Carpenter, Jeff •
Ckveland
35026'03"
81,129'-I-0
24-9
CaB2 -::Cecil
NC,CL702,-65.
Carpenter; Jeff
!2,lcvel4_pd
35c%.'00"
9 1-')29'2 1
11 .7
PaC2- Ppeolet sandy"clay loam
NC-C.02-O6
C.01-penter. Jeff
Cleveland
35925'51'
8 1 sIT2 8
3.7
VACZ-Pacolet odndy qlaylpaim
NC-CL-02r0.7
Eiii-penter;. Stanley A,. Jell'
Carpenter, Jeff
Cb:ycland
35125'43"
8P 102O.'It'
33.41
PaCT- Pacolet sandy clay, loam
NCXL-04-0,1
:,martin, William & Dennis
Martin. Dennis
Cleveland
35°24'03-
81o29'33.7
CaB2:-- Cecil
NC-'CL-04-02
N tin, William & DennisMartin.
Ar
Dennis
16,cliaW
WZO' 12"
.8 IoZ9'237'
19.0
CiiB2 - Cecil
NC-CL-04-03•
Martin, William & Dennis
Martin. Dennis
Oevei,114
35'26'20'
9 Io24'28`'
1 5Z
Ca R-2 -Cecl I
NC-C-L-04704
Martin,willibril.k, Dennis
M . artin.. Dennis
ClIevOynd:
35'26'23'1
91"29'37!'
25.7
CaB2 - Cecil
'NC-CL-05-.'0I
Lconbardt, Leon
Leon
Cleveland:
35024'30"
81 "28!5-0-
12.7
PaC2 - Pacoletsiffidy clay lo4m
NC,C1,655-02
Lediihardt; Leon.
Cleveland
55()24'4 U'
b 1 `28'0"
11.3
Pa,C2, Pacollcl,lsandy, clay loani
N. -C.-L-Q5 Q
4eonhardt, Leon
ClCleveland_-Sand,
35"2'QQ-
$1q28'41"'
23:�).
. I-
Ca!32CeLi
NC-C-L-05-04
teonhard4 Leon
Cleveland
3Y25'1 E"
910187431,
132- Cai Cecil
NC-CL-()5-05
Leonhardt, Leon
Cleveland
35924'48"
8 1 "29156't
16.9
PqC.2-P4c6let sandy-iolay-lodni
M2-CL-05=06
-Leonhardt;.Leon
Cleveland
35o2
.4'41
8.'5 5
13. .6
NU—Nicoletsdild clay loam
,-Y
NC-01-7;0-07
Leo0hardt,teon
C!eVeNnd
$5024!58-
8 1 1 T'
8.-8
JCaB,2-,Cecil
Fage 1. of 3

ATTACI-IMENT,B, Approve-d'Land.Application Sites.
City of Lincoln(OR,
Certification J),Ate:. February 16,1015
-PerptitNuniber:- WQ0002712. Version: 3.0
NC-OL-05-08
Lconliardt, L.POP
-Cleveland
35'124�39'7
'81029,06"
1 J. j
Ca B2 - Cecil
NC-CL,705-09:
Leonliardt, 1-6on
Cleveland
35°24'2.8­
8 1029'03"
18.9.
TaB2 - Cecil
NC.-CL-05-1.0
Lconhardt; Leon
Cleveland
35024'20"
.8,1128'5,9"
1.1.8
'Ca 92 - Cecil
N,C�e L-05- 11,
'Leonhardt, Leon
.:Cleveland,-15Q24'1
4"
1 "Nl 4"
31.3
a -Cecil
C B2
'NC-CL-05-12
Leonhat.-dt, Leon
cleveland
15"24'27`'
8 1 *29'31
27.5.
CaB2 - C ccil
NC-.C,L-05n.13
LeonhardR, Leon
Cky.eland
35.024'37
W29'30":
4.5
Ca_B2 - Cecil
NC-C.L-05- 14
Lconlmrdt, Leon
Cleveland,
35P24'4.6­
l`29'30­
8.2'
C6112 - Ccci I
'NC-LT-06-'Ol
Maconison. Mike
Lincoln
35031 'J_5"
81016'43'*
44.6
LdB2 - Uoyd
NC-I_Tw06-02
Macomson, Mike
Lincoln
3503,0'4.0"
81015'57"
29.4,
CeB2 - Cecil sandy clay loam
I.
Pfop§t, Darrell
Lill4Z911i
W30'07
8 F�20'56'!
26.9'
LdB2- -Lloyd
NC -LT -I 9-0 1,
Waters. Chuck
Lincoln
35032'347
8 1918!.34­
41.8
L(1132- Lloyd
NC-LT­l 9=02
WAtcls, Chuck
Lincoln
35"32'41"'
8 1" 1 8,'225`'
12.1
Ldl32 _Lloyd
NC-tT40-01
Watiss, Chuck
bhcol . n
35°32'30*1
8 1!18'51
13.2
RvA - Riverview loam
.NC-*,LT-25-01
Calpenicr, Jeff
Lincoln
35026'54":
81028:'15"
16.6
Ca B2 -Ccci I
NGLT-25-02
CqlpqllWr, -Jeff
Lincoln
35026"5.7"
S 1 "28'04'-
4,2
POB? - Pacoletsandy clay loam
NC-LT-25-03'
Caj-pewer, Jeff
Lincoln
35,027'01."
8 1'28'00"
6.2
PeB2 - Pacolet sandy clay loam
NC:LT-25-04
Caq?ent.er, Jeff
Lincoln
35"27'08­
8 1028 09"
.13.0
_CcB2 Cecit'sandy play loam
NC-L-Tz25-05
Catpe6ter, Jeff
Lincoln
35927'10"
8 1 "27'5 1
27.0
C0132 - Ceci I'sandy clay loam
NC-LT-25-0,0
Carpenter, Jeff
Lincoln
�1`27'47­
1 .3.6
PcB2,- Pacolet sandy clay loam
NC-LT-36n01
Lingerfelt, Jeff
Lincoln
35929'59"
81.028'57­
i 1.8
C6132 - Cecil sandy clay loam
W-LT-36-02
Lingcrfelf, Jeff
Lincoln
350'-)9'5 1
8029'00"
17.5
Ce.112 - Ceei 1. sandy clay loam
NC-LT-36-03�
Leaffiernian,-Joanne
Linger.bit, Jeff
Lincoln
35'29'49"
8.1-"28'48"
$.6
CcB2 - Cecil sandy -clay loam
K - "LT-3 6=04
Leathers ran,,Joan 6 e
Linger ["el t; Jeff
Lincoln,
55'29'35"
-81Q29'31"
24A
CcB2 -Ceci I sandy clayloam
NC-LT-36-05
I Ldatheriban,.Joanne
Lih,gertblt, J& . ft'
Gficoln
35929'36"
8 1928 "23."
135
Cd!32:- Cecil sandy clay loam
NC-1-T-w'39r0l
StegaR, Ruby
Mjuconjson,,Mike
Lincoln
35*3 1 '057'
LdB2 - Lloyd
.Page 2 of 3

ATTACHMENT B Approved Laod.AppReo-lion S40S
City' -of Lincointon
Certification Date:, February O,M$
'Irerwit Number::.WQ0002712, Version: 3.0
NC-LT-30=W
9te Rtiliy
mawhison, Mike
Liwcojn`
35°31 5
Ld82 — Lloyd
",N-C,U-4041 A
HOLIsQr_hmc,
Tropsi- Darrell.
Lincoln
35_'2T28­
8,1 °21 > 11)"
7-4
�Ce62 Cecil: sandy clay, lowil.
14OUser,bi ftws
-Ledthernim, John
'Linc6hi
35027,'18­
012rm4
it,4
;C6132 — Cecil' mndy clay Ida
N('­LT-01,01
Woodru ff, Nick
Lincobi
W29'52"
8 l' "2X30"
1,4.5
U132 ceeil s;plcty elay loam
NC-LT-1224)2
Woodrufl,'Nick
1`13'42"
14,8
1Ce82—Ceilsa)dy clay loam.
c
NC_LT 12Z_03
Woodruff� NIO
Liheolli
35°20'50"'
8 1023'41'4
1.6-9
CdB2 ".Cedilsan4y. Clay loam
Total,
944;2
PP4gp,l of 3

VICINITY RAAD
GRAPHIC SCALE
I = 2,000'
U00, 0 2,000'
compliance boundary. is established either250 ft-from the residuals application area or 50 feet within
�e property boundary, whichever is closest to the application area: The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
FIGUREI
CITY OF LINCOLNTON
LAND APPLICATION PROGRAM
LINCOLN COUNTY
LOCATION MAP FOR SITES
NC-CA-35-01, 02 & 03

VICINITY MAP
GRAPHIC SCALE
1 2,000'
2,000! 0 2,009
FIGURE
CITY OF LINCOLNTON
L
i
The compliance boundary jSestablished either ftftom the residuals duals application area or 50 feet within
LAND APPLICATION PROGRAM
,
n the property boundary, whichever Is closest to the application area. The review boundary is established-
LINCOLN COUNTY
'j
midway between the compliance boundary and the perimeter Of the residuals application area. All
locations are approximate.
Wag 02712
LOCATION MAP FOR SITES
N C-CL-02-01, 03, 04, 05 & 05

APPLICATION MAP
0-1
I"
LEGEND
P'v v v UNSUITABLE -AREA
APRUCATIQN AREA
PkI E�ROAD WATER
'GRAPHIC. -SCALE
STREAM oNsrf.E HOUSE,
O660"
DRAIN:
FENCE, OUTBUILDING
PROPER- 'ItNt 0' WELL
FIGURE 4
IN
CITY,, OVL OLINITON'
feet
Thecompilanc0oundary! We ishedeither,,250ft:from-theresiduals-apo�ica�dffatta6r,56 ' W"'
LAND APPUICATION'MO-GRAM
,thin
r whichever i� closesf t boundaryis b
i. the property bbuoda, y 1, 0 the application area., �rdvidw'boun ary s established
LINCOLN COUNTY
rdifidyietwe6ft the, compliance boundary and the perimeter of thelesidbals application area. All
�WQP002712
locations are approximate.
IDETAILMAP FOR SITES
NC-CL-02.01, 0%04; 5 & 06

I
VICINITY MAP
GRAPHIC SCALE
1" = 2;000'
2,OOV 0 2,OOV
I ® �
FIGURE 5
4 CITY OF LINCOLNTON
compliance boundary is established either 250 ft from the residuals application area or 50 feet within AND LtNCOLNTION COUNTYOR
AM
m
5 to the property boundary, whichever is closest to the application area. The review boundary is established
midway between the complianceboundary and the perimeter of the residuals application area. All WQ0002712.
I locations are approximate.
LOCATION MAP FOR SITE
e NC-CL-02-07

QPPI ICATION MAP
LEGEND
APPLICATION AREA
UNSUITABLE AREA
— -- WATER
PRIVATE ROAD
STREAM ONSITE HOUSE
DRAIN' �. 6FFSITE HOUSE:
— FENCE: 0 OUTBUILDING
PROPERTY LINE u
The cortipliartce boundary is established either, 2501 from the residuals application area or 50_feet within
In the=0r6p0rty boundary, wWhevef.is:closest;to the applicatioh area Tile ,review boundary 4.established
Midway between -the compliance;boundary�and the perimeter of the residuals application:area.All.
locafions are..approximate.
GRAPHIC SCALE
!.il g0' .
FtGUEiE`6'
CITY'OF LINCOLNTON
LAND,. APPLICATION, PROGRAM
LINCOLN COUNTY
WQ0002Z12'
DETAIL MAP FOR SITE,
;NC=CL-02-07

ON
VICINITY MAP
IX
s:
"y3
1pu9
l i@1
GRAPHIC SCALE
9" = 2,500'
2,500' 0 2,5W
FIGURE 7
CITY OF LINCOLNTON
LANDAPPLICATION PROGRAM
he compliance boundary is established either 250 ft from the residuals. application area or 50 feet within
LINCOLN COUNTY
the property boundary, whichever is closest to the application, area. The review boundary is estabvshed
midway between the compliance boundary and the perimeter of the: residuals application area. Ail
WQ0002712
locations are. approximate.
LOCATI®N MAP FOR SITES
NC-CL-04-01., 02, 03 & 04

APPLICATION MAP
LEGEND
APPLICATION AREA
UNSUITABLE AREA
— —�— —�— PRIVATE ROAD
cD
WATER
-- — — --- STREAM
.
ONSITE HOUSE
' DRAIN
OFFSITE HOUSE
— FENCE
'OUTBUILDING
- PROPERTY LINE
WELL
The compliance boundary is established either 250 ft from the residuals application area or50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals, application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
66T 0 6W
FIGURE 8
CITY OF LINCOLNTION
LAND APPLICATION PROGRAM
LINCOLN COUNTY
W9,90027.1:2
DETAIL IMAP FOR SITE
NC-CL-04-01

APPLICATION MAP
LEGEND
APPLICATION AREA UNSUITABLE AREA
FENCE Li
PROPERTY LINE 0
PRIVATE ROAD
STREAM
DRAIN
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary Is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" 660'
sso 0 seo,
FIGURE 9
CITY OF LINCOLNTON
LAND: APPLICATION PROGRAM
LINCOLN COUNTY
WQ0002712
DETAIL MAP FOR SITES
NC-CL-04-02, 03 & 04

! L
J
Me
I all'ston
VICINITY MAP
GRAPHIC SCALE
1 2,000'
2,GW .0 2,000'
M�a
FIGURE 10
CITY OF LINCOLNTON
LAND APPLICATION PROGRAM,
i compliance_
boundary is established either 250 ft from the residuals application area or 50 feet, within
LINCOLN COUNTY
aproperly, boundary,:whichever Is closest to the application area. The. review boundary it established
midway between 'the bompliance boundary.and'the perimeter of thesesiduals application area. All
WQ0002712
locations are -,approximate.
LOCATION MAP FOR SITES
NC-CL-05-01 THROUGH 14

APPLICATION MAP
z
ul
APPLICATiON AREA
UNSUITABLE AREA
PRIVATE ROAD
WATER
STREAM
ONSITE HOUSE
DRAIN
OFFSITE- HOUSE
FENCE
OUTI BU!LDING
PROPERW L:NE
'V F L i
POOL
19re mmnpiapaa boundarv;s
established either
250ft from th'e -esiduals application area Cr 50 feel,
it the Ficp", bouncart.,
,dhichaver is closest to tie app"Catiorl ,,
I i aea.
one review boundaryi& establis-he'd
m� tetween filie
compliance boundary
an, the perimeter of the residuals applicafftn area,AH
�Qcptjons aie app-oximale. -
GRAPHIC SCAI E
V 660'
FIGURE 11
CITY OF LINCOLNTON
LAND APPLICATION PROGRAM
LINCOLN COUNTY
W00002712
DETAIL MAP FOR SITES
NC-CL-05-01, 02, 05 & 06

ADDI W%ATIMI KAAD
40-119H
APPLICK"10N AREA
UNSUiTABLE AREA
PRIVAT E ROM)
MATER
S, T R PEE A lkl
4
ONSITE HOUSE
DRAIN
OFFSIT, E HOUSE
FE14CE
OUTBUILDING
PROPER '1Y LINE
WELL
Tl e complia,�ce tou;-.dary is estaNJshed either 250 ft from th-s residuals application area or 50 feel, v0thin
i;-, 'the property "Vouriday, whicbever is dosesl to ft application area, The reviex boundary is established
I
rn.idyipy batweer, tie C4mpfancfb Of the residuals applicatior. area. All
GRAPHIC SCALE
111 660'
FIGURE 12
CITY Of LINCOLNTON
LAND APPLICATION PROGRAM
LINCOLN COUNTY
WQDW2712
DETAIL MAP FOR SITES
NC-CL-05-03 & 04

'" U,IVJ4lIJliDCG:l1FRGH,.
APPLICATION ARE
PRIVATEOAi). WATER;
_ STREAK ONSITE',HOUSE
DRAIN .! OFFSITE-HOUSE
FENCE' AUTBUILDING
aPROPEMYLINE WELL.
f. The:comptianee bountlary is established el ther.150 ftfrom the residuals application atea or. 54 feet vnlhfn
h'the°propertyboundary,, whichever'is,cfosest -to.the application area The review boundaryis.establlshed
mfdway between the cofrnpliandOb Undary and the perimeter'of the residuals appl'ica6.ort area.,-AH
locations are -approximate.
GRAPHIC SCALE
= 660' -
FIGURE 13
CITTOF LINCOLN M
LAND APPLICATIONPROGRAM
LINCOLN CCiUNTY
waM0627i
DETAIL MAP FOR SITES
N£=CL-057-07,: OA'A 09 1

z'
APPLICATION MAP
LEGEND
APPLICATION AREA UN S U;'T# A 51 E ;REA
'v,ATER
PRIVATEE ROAD tix GRAPHIC SCALE
C, IS!TE P,3USE
STREA%i jN 1" = 660'
Eell:
DN OFP SI TIE HOUSE
FENCE El OUTBUILDING FIGURE 14
PROPERTY LINE 0 WELL CITY OF LINCOLNTON
-7 LAND APPLICATION PROGRAM
T� complian�;e bourldarY is estqbfished either 250 ft from the residue#s nplicaltiron a�ea or 50 `eel LINCOLN COUNTY
int,s�L- pr.3pety b:V'da!V' whicheyer Is dosest-tD he applicatior area. -,I-- reviewir-'jrdjary i%* establlshe�
WQOOQ2712
xe-h - om plianc* bo u ndwy a mol the rirne veto{ of .,,j osij u a is 'r I
rn i �'a �l t— 1 k , tI ! Z 7� Z- 'e a
lotlawns are apprc-'Ximate DETAIL MAP FOR SITES
NC-CL-05-10 & 11

PPLICATIMMAP
EEti
C,
N,
"M
wl'
I . . . . . . . . . . . . . . . .
1,11'14:,'111��' _�101
A;
LEGEND
APPLICATION AREA
PRIVATE ROAD
UNISUITABLEAREA
WATER
STREM0 f ONSITE HOUSE
DRAIN OFFSITE HOUSE
FENCE OUTBUJILDING
PROPERLY LINE WELL_
The.compliancle botiodary is esiablished either 750 n from the re§idualsappficaficr, area or So feettvithih
0—
Q's n esi bllsl��-d, red b '
in; 6�a property bounclary,vhichever _jS.0o_ to tl e applicakn area., Tht. oundaryis ta
4 botw,�dlay and 'he perlrhL�l! Ir of the residuals application aree—NI
locations are approxxim�te.
GRAPHIC SCALE
1 " = 660'
--o-W
FIGURE 15
CITY OF LINCOLINTON
LAND APPLICATION PROGRAM
LINCOLUCOUNTY
WQ0002712
DETAIL MAP FOR SITES
NC=CL-'05-08, 12, 13 & 14
i

N
VICINITY MAP
GRAPHIC SCALE
III = 2,000'
2,OOV 0 2,00Y
FIGURE 16
CITY OF LINCOLNTON
LAND APPLICATION PROGRAM
-it from the residuals application area or 50 feet within
j�e compliance boundary is established either 250
do
in the property 0, established between
boundary, whichever is c.flosest.to the application area. The review boundary establish LINCOLN COUNTY
midway between the compliance boundary and the perimeter of the residuals application area. Al
VVQ0002712
locations are apprommate. LOCATION MAP FOR SITES'
NC-LT-06-01 & 02

ADD MAP'
LEGEND
APPLIGAT.ION AREA.
UNSUITABLE AREA.
PRIVATE —ROAD:
W
'WATER
— - - — STREAM
ONSITE HOUSE
OFFSITE HOUSE .
--- ' FENCE:
OUTBUILDING
--- -�- PROPERTYLINE°
WELL
Toe compliance:boundary`ls estabi'ishe.d either 250 ft ftom.:the residuals appiicafion area:or50 feetiNitt►m
in the propertyboundary whictieVer is closest to the application area. The review boundary is estatif►shed,
:midway between the.compliance 0oundary-aod.the perimeter of the:residuafsappl'ication area All
locations are appM ate. ,
GRAPHIC SCALE,
Asso
6e0! o,
FIGURE 17
CITYOF LINW NTON.
LL.IC
AND APPATION'P.ROGRAM -
LINCOLN COUNTY
WQ000271ZL _
DETAIL MAP FOR;SITE{
NC-LT-06=01.

0
LEGEND
APPLICATION AREA
UNSUITABLE AREA
.PRIVATE ROAD
STREAM
DRAIN
0
-u — FENCE ❑
------ PROPERTY LINE 0
WATER
ONSITE HOUSE.
OFFSITE HOUSE
OUTBUILDING
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application. area.. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are appto)dmate.
GRAPHIC SCALE
V = 66.0'
660' -0 660'
FIGURE 18
CITY OF LINCOLNITON
LAND APPLICATION PROGRAM
LINCOLN COUNTY
W00002712
DETAIL MAP FOR SITE
NC-LT-0&02

VICINITY MAP
11 3
ta'w
erneriLary Sr_-t?o4l ,S�
dr Y,
1..1.13
GRAPHIC'SCALE.
1' 4,00.0'
4,000' 0' 4;Od0
FIGURE 19
CITY'OF LINO. QLNTON
LAND APPLICATION PROGRAM
The compliance'boundary is established either250 fffrom,the residuals applicationarea or50feet within . LINCOLN COUNTY
in,the property boundary, vdhichever is closest to the application area. The review boundary is established
midway between the compliance: boundary and the perimeter of the residuals applicat marea. All WQ0002712
_ locationsare approximate. LOCATION. MAP FOR SITE
' NC-LT-07-01,

APPLICATION MAP
0
LEGEND
APPLICATION AREA, UNSUITABLE AREA
WATER
- � — — — - PRIVATE ROAD w J
'GRAPHIC SCALE
- -- — STREAM *' ONSITE HOUSE.
In = 6.60'
660'. 0 660'
- DRAIN, ® OFFSITE HOUSE
�c—x—x— FENCE OUTBUILDING
FIGURE 20
- - PROPERTY LINE WELL
CITY OF LINCOLNTON
LAND APPLICATION PROGRAM
)The compliance boundary is established either 250 ftfrom the;residuals application area or 50 feet within
LINCOLN COUNTY
in the property boundary;, whichever is closest to the application area. The review boundary is established
midway between°the compliance boundary and the perimeter.ofthe residuals application area. All
WQ0002712
locations are approximate.
DETAIL MAP FOR SITE
NC-LT-07-01

I
1"!
Wall Gref,,+ 1,,in A
VICINITY MAP
GRAPHIC -SCALE
V= 2,0001
ZOO, 2,009
ii
FIGURE 21
CITY OF LINCOLNTON
LAND APPLICATION PROGRAM
L The compliance boundary is established either 250 It from the residuals application area or 50:fe.et within LINCOLN COUNTY
in the property boun&ryj whichever is'closest to.the application area. The review bouhdarOs established shed WQ0002712
midway betw6en the compliance boundary and the peflmeterW the residuals application area. Ali
locations . ns are approximate:: LOCATION -MAP FOR SITES
NOV-19-0110 02 & 03-

APPLICATION MAP
LEGEND
AREA
UNSUITABLE AREA
APPLICATION
WATER
- — — — — - PRIVATE ROAD
— - - -- STREAM
ONSITE HOUSE
- DRAIN
.
OFFSITE HOUSE
— FENCE
OUTBUILDING
PROPERTY LINE
WELL
J r, The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
V = 660'
660' 0 660'
FIGURE 22
CITY OF LINCOLNTON
LAND APPLICATION PROGRAM
LINCOLN COUNTY
WQ0002712
DETAIL MAP FOR SITES
NC-LT-19-01, 02 & 03

MAP
GRAPHIC SCALE
FIGURE 23:
CITY OF LINCOLNTON
LAND APPLICATION PROGRA
:LINCOLN'COUNTY
le corriplignpe'boU d either 25o ft frorn the residuals application
on area�or 50 feet
boundary is established pplic.6 Mthin
the property 0oundary,. ve vv!Jl6heestablishedWQ0002712
r is dosest to the application area. The,review boundaryIs
midway between the compliance -boundary and the - perimeter of the
he residuals application area. All,
LOCATION MAP FOR SITES
'lo'caii.o.n.s.'areaD,Oro)dhiate.:
NC-LT-25-01'TH ROUGH, 06

APPLICATION MAP
LEGEND
1INS-UITABLE AREA
APPLICATION;AREA-
-ROAD
WATER
— — — — — — PRIVATE.
STREAM,
-ONSIIE HOUSE,
DRAIN
'OFFSITE. HOUSE
FENCE
0
OUTBUILDING
PROPERTY LINE
WELL
The iromplianr,fiauridaryis.esfablished,either 250 ftfrom the residuals applicatgn area or 50 feEfwithinin the property ,bodhdqry,.Wh,l.c.iOver'is:ClOsest-to the,application area. The review boundary is:established
rgIdV4y 40tkopp r the compliance.boundary'and. the pedmeterofbe reslduals�appljcatlon area. All
locaftont_are.app.mdmat6.
GRAPHIC Q, -SCALE
-1":= �6,60'
66a
FIGURE 24
CITY OF UNCOLNTON
LAND- APPLICATIONPROGRAM
LINCOLN COUNTY
M002712
DETAIL MAP FOR SITES
NC=LT-15-01 THROUG.H"06

VICINITY MO
GRAPHIC SCALE
V' = 4XV
4,000- 0 -4,000!
FIGURE 25
CITY :OF LINCOWTON
LAND APPLICATION` PROGRAM
C)vcompliance boundary Is est
ablished effr250 ftfrom the residuals application area
qr,50 feet within L,INCOLN,COUNTY
in thelproperty-boundaryi,-mihich,ever Is closest to the application area., The review boundary is established;
midway between the co mp I fiance boundary and the perimeter
meter of the resid . uals'app[i - codbh area, Al WQ0002712
locations are approximate. LOCATION MAP'FOR SITES
NC-LT-36-01, OZ, 03, 04 & 05

r �
-40
20
/,! r ! tffesf rr.,� Fs .�,
"go
s of /`%it��t/rf��'
� 0-; let
a F '

j
1 rn
VICINITY MAP
ORAPHIC SCALE
1 2;0.00'
2;000' 0 2,000-
FIGURE 27
CITY OF LINCOLNTON
-
LAND APPLICATION PROGRAM
he compliance boundary, is established either250 ftfrom the residuals application -area or 5Yfeet within
LINCOLN COUNTY
the property, boundary, whichever isclosest to, the application area. The review boundary Is established
1NQ0002712
midway..betweenthe . compliance boundary and the perimeter of residuals application; area.. ,All
LOCATION'NiAP FCdR SITES
locdoware approximate:
NG4T-39:-01 & 02

APPLICATION MAP
LEGEND
-APPLICATION AREA.
C3
mU%O(TA%E-AREA,
'PRIVATE. ROAD tcD'
WATER.
STREAM,
-QNSITEHOUSE.
DRAI I- N
008ltE HOUSE
OUTBUILDINGFENCE
PROPERTY LINE
WELL
The compliance boundary- i5,established either 250 ftft the residual&application area or 50 lbetvAthin
-
,in thegoperty boundary.,:whichever is closestto the application area.
Thefeviewho.undary Is established
,rnid Waybetween 6e:.compliancebbundgi.,yand thO:Dedmeterofth6,,tosiduas
I application area. All
(0c;6tlons are, approximate.
GRAPHIC SCALE
FIGURE18
CITY. OF LINCOLNTON
'LAND APPLICATION PROGRAM
LINCOLN "COUNTY'
'W000027,12
DETAIL MAP FOR '11TEr'
NC-Ltr39-01 & 02

VICINITY MAP
GRAPHIC SCALE
-
460,0i
0 2,000-
FIGURE 29
CITY OF LiNtOLNTON
LAND APPLICATION PROGRAM
'The compliance boundary Is esta6lished.either-2501 from the residuals app)ibagon area or 50 feet within LINCOLN COUNTY
:in the prppert y boundary, whichever is closest to'.the application area. The review boundary is established
midway between the compliance boundary and't . he perimeter of the residuals application area All WQ0002712
`locationsI are approximate, LOCATION MAP FOR SITES
NC-LT-40-01A &.01B

LEGEND
-
UNSUITABLE AREA
APPLICATION AREA
WATER
PRIVATE ROAD
— — — — STREAM"
ONSITE HOUSE
— DRAIN
OFF81TE HOUSE
3£ - FENCE
0
OUTBUILDING
PROPERTY LINE
WELL
The compliance boundary is established either 250 ft from _the residuals opplication.area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All.
locations are approximate.
GRAPHIC SCALE
1" = 6,60'
669 0 660'
FIGURE 30'
CITY OF LINCOLNTON
LAND APPLICATION PROGRAM
LINCOLN COUNTY
WQ0002712
DETAIL MAP FOR SITES
NC-LT-40-OIA 9 0113

VICINITY MAP
01
I
'Ne s I , Lincoln
H)Vh sd,vx�l
Nlg*t­.t Lincoln
GRAPHIC SCALE_ _.
iff '2,0 .0'
0 2,00
-he compliance boundary . is established either 250'ft from the residuals application,area or.50 feet Within
1pffie property boundary, whichever is dosest,to the application area. The review boundary. Is established
midway between the compliance boundary and the, perimeter of the residuals .application area.' AJI,
locations are approArnate;
FIGURE 31
CITY OF LINCOLNT&U
LAND APPLICATION PROGRAM
LINCOLUCOUNTY
MnQQ02712
LOCATION M -
AP FOR SITES
NC=I.T-122-01, 02 & 03

I
LEGEND
APPLICATION AREA
UNSUITABLE AREA
PRIVATE ROAD
W
WATER
STREAM
QNsrrE:H'OUSE
DRAIN
OFFSITE HOUSE:
FENCE,
OUTBIJILOING
PROPERTY LINE
WELL
The -tomplianeg boundary Is established either 250 Iftom the residugls application area or.60 feetmithin
in the property
bWqdary, whichever is closest to the application: area. The review boundary ls; established,
lhei residuals area. All
m1dwayib enthe.com ancebound6tyandthe' rnoter 6 rQ k I
otwe .0 ped - f - ." I.I-1 ­
locatlons.are approArnato,
GRAPHIC SCALE
1 660',
SOME 32
MY OF LINCOLNT.O.N,
LAND APPLICATION.PROOMM
LINCOLN COUNTY
7
WQQ.002712
DETAIL MAP FOR, SITES
NC-LT-122-01, 02.. & 03

WATER QUALITY REGIONAL OPERATIONS SECTION_ -
APPLICATION REVIEW REQUEST FORA Mr-- _
Date: September 11, 2014 r 'e
!� i SEP 16 2014
To: MRO-WQROS: Michael Parker / Andrew Pitner
From: David Goodrich, Water Quality Permitting Section - Non -Discharge Permitting
Y�1C
ENFR MKU
Irk( nfOtE C_i.Ofl
Telephone: [phone] Fax: [phone] E-Mail. [e-mail]
A. Permit Number: WQ002712
B. Applicant: City of Lincolnton
C. Facility Name: City of Lincolnton 503 Land Application Program
D. Application:
Permit Type: Surface Disposal of Residual Solids (503)
Project Type: Renewal with Minor Modification
E. Comments/Other Information:
❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 45 calendar days, please take the following actions:
® Return a completed WQROSARR Form.
❑ Attach a classification rating sheet.
❑ Attach Attachment B for Certification.
® Return a completed WQROSRSR Staff Report
❑ Attach Well Construction Data Sheet.
❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact
person listed above.
RO-WOROS Reviewer: ` Date: L?_�, �I—
FORM: WQROSARR 02-14 Page 1 of 1

;. o G� : 7 .

Central Files: APS _ SWP _
9/11 /2014
Permit Number W00002712
Permit Tracking Slip
Program Category
Status Project Type
Non -discharge
In review Renewal
Permit Type
Version Permit Classification
Land Application of Residual Solids (503)
E Individual
Primary Reviewer
Permit Contact Affiliation
david.goodrich
Scott Douglas Berg
Coastal SWRule
Permitted Flow
Facility
Facility Name
City of Lincolnton Residuals Land Application Program
Location Address
PO Box 617
Lincolnton NC 280930617
Owner
284 Boger Rd
Mocksville
NC 27028761E
Major/Minor Region
Major Mooresville
County
Lincoln
Facility Contact Affiliation
Owner Name Owner Type
City of Lincolnton Government - Municipal
Owner Affiliation
Jeff B. Emory
PO Box 617
Dates/Events Lincolnton NC 28093061
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/8/1989 9/5/2014
Regulated Activities Requested /Received Events
Wastewater treatment and disposal RO staff report requested
RO staff report received
Outfall
Waterbody Name Strearnindex Number Current Class Subbasin

Pat McCrory
Governor
NCDENP*
North Carolina Department of Environment and Natural Resources
September 11, 2014
Steve Peeler — Director of Public Works and Utilities
City of Lincolnton
PO Box 617
Lincolnton, NC 28092
Dear Mr. Peeler:
John E. Skvarla, III
Secretary
Subject: Acknowledgement of
Application No. WQ0002712
City of Lincolnton
Residuals Management System
Lincoln County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on September 5, 2014. Your application package has been assigned
the number listed above, and the primary reviewer is David Goodrich.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
_Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
David Goodrich at [phone] or [e-mail].
Sincerely,
Jon. Risgaard, Supervisor
Division of Water Resources
cc: Mooresville Regional Office, Water Quality Regional Operations Section
Will Hodges — Synagro Central, LLC 284 Boger Rd, Mocksville NC 27028
Permit File WQ0002712
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] \ Internet: htto://Dortal.ncdenr.org/web/wa
An Equal Opportunity \ Affirmative Action Employer— Made in part with recycled paper

City of Lincointon
Lincointon WTP & WWTP
LINCOLN COUNTY, NORTH CAROLINA
Permit WQ0002712

wi
SEP 1 6 2014
""- NC D�IRR�� gSeptember4,2014p�Nn protection r
0 . RECEIVED/DENRIDWR
N.C. Department of Environment and Natural Resources
LAw Water Quality Section SEP 0 5 Z014
Non -Discharge Permitting Unit — Aquifer Protection Unit
1636 Mail Service Center Water Quality
Raleigh, NC 27699-1636 Permitting Section
MOM
ATTENTION: Mr. John Risgaard
- REFERENCE: RENEWAL OF CITY OF LINCOLNTON LAND APPLICATION
.PERMIT WQ0002712
Mr. Risgaard:
Synagro Central LLC. is submitting a request to renew a land application program for residuals
generated by the City of Lincolnton Wastewater Treatment Plant and Water Treatment Plant.
One original and four copies of this application to renew the referenced residuals are included..
Three existing sites, LT-05, LT734, & LT-37 totaling 188.7 applicable acres, are being removed.
Existing sites CL-02 and LT-122 are adding a field each, 33.4 ac and 14.5 ac respectfully. Also,
all other existing sites will reflect minor modifications due to remapping. In addition to the
previously stated changes, two new sites, CL-04''and CL-05 in Cleveland County totaling 302.9
applicable acres, are being adding. The total acreage for the proposed renewal is 944.2 acres.
Synagro is requesting a more stringent compliance boundary of 100', rather than the typical 250'
boundary. The nature. of the land application program (i.e., agronomic rates) ensures: that no
adverse effects to groundwater will occur.
This application package contains the information necessary to complete -the certification of
this permit. However, if you require any additional information or have further questions about
the information presented herein, please contact me at whodges(Rsynagro.com or at my phone
number (864)-871-3157. I look forward to working with you to ensure a timely and efficient
review of this application.
Sincerely,
Will Hodges
Technical Services Specialist
Synagro. Central,. LLC

Table of Contents
Section # Title
Section 1 Attachment Order 1: Residuals Land Application Programs Form
Section 2 Attachment Order 2: Residuals Source Certification Attachment
Attachment Order 2-a: Vicinity Map
Attachment Order 2-b:. Process Flow Diagram
Attachment Order 2-c: Quantitative Justification for Residuals Production
Attachment Order 2-d: Sampling Plan
Attachment Order 2-e Laboratory Analytical Reports (where applicable)
Section 3 Attachment Order 3: Land Application Certification Attachment
Attachment Order 3-a: Watershed Classification Attachment
Attachment Order 3-b: County Manager Notification Attachment form(s)
Site Specific Information (by Application. Site)
Site Summary Sheet
Attachment Order 3-c: Landowner Agreement
Attachment Order 3-d: Setback Waiver Agreement(s) (where appropriate)
Attachment Order 3-e: Vicinity, Topographic, Aerial, Buffer (Application.
Area), and Soils Maps (where applicable)
Attachment Order-3-f: Soils Evaluation (where required)

OF W ATF State of North Carolina
\per . QG Department of Environment and Natural Resources
c� r Division of Water Quality
p RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http //portal ncdenr. org/web4glaps/lau .
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals .that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application sites) under
15A NCAC 02T. I 100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 08-11) Application: (All Application Packages):
Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 08-11) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An
alternate person may be designated as the signing.official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T .0106(b).
If this project is for a modification of an existing permit, submit one copy of the existing permit.
Please submit this application. form at least 180_ days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
Submit'a check, money order:or electronic funds transfer made. payable to;.North Carolina Department of Environment and
Natural Resources (NCDENR).
STANDARD REVIEW Submit the appropriate fee for all new and major modification applications as listed in the table
below.
® EXPRESS REVIEW — Visit the Express Review webpage for the Express Fee Schedule:
STANDARD APPLICATION REVIEW FEES:
Facility Classification New Permit Major Modification 1
Major (land are permitted for >—_300 acres) I $1,310
Minor (land are permitted for < 300 acres) L $810
$395
$245
i - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved; adds additional residuals sources; or includes the addition of new
treatment or storage units/processes not previously permitted. There is no fee for minor permit modifications.
C. Cover Letter (All Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC 1C .0300)
t] Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 08-11 Page 1 of 3

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

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new
sites)
n Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover
crops and their ability to accept the proposed application rates.
Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
El Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T :1104(d)(4) and current Division Policy
available at:.http://portal.ncdenr.oralweb/wq/aps/lau/policies. The document shall be signed, sealed and dated by a qualified
professional.
K. Engineering Design Documents (All New, or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
❑ Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .1104(d)(2). For Modifications, submit an updated site map
specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the
new units or are critical to the understanding of the complete process;
Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile; total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites:
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit:a completed and accurate water.balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy
available at: http//portal ncdenr orp/web/wq/aps/lau/policies.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both.parties with a plat or survey. map, or
❑ An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(fl, or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat.or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
2728:CAPITAL BOULEVARD
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 08-11
Page 3 of 3

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0002712 (City of Lincolnton)
Operational Functions
The operational function of this project involves land application of residuals for the City of Lincolnton's
wastewater and water treatment plant. This material will be loaded onto tractor trailers or "spreader
trucks" and hauled to land application sites. The residuals will be spread at agronomic rates, as
determined by a recently analyzed nutrients and metals sample. The material will be land applied with a
liquid applicator that will use pressure to achieve a consistent spread pattern. The fields applied will
have a crop, either established or.planted soon after application, which is to be utilized for animal
consumption:
Safety Measures
Synagro believes in operating in a safety -conscious manner and has all employees participate in
quarterly online safety courses. These courses are designed to help employees recognize safety, issues
and take steps to prevent: -accidents -from occurring. In addition, all Synagro employees have the -
authority to stop operations if they think any aspect of the operation could cause environmental or
personal harm. .
Maintenance Schedule
Synagro will follow the maintenance schedule specified by their fleet management section for the .
equipment necessary to complete the job.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0002712 (City of Lincolnton)
Inspection Plan
Inspections will be conducted on a weekly basis at the land application site during activities of this project..Inspection.
frequency is based on the time frame to complete the project and the amount of dry:tons to be land applied from:the
facility.. The inspections will consist of inspecting a field that is currently being applied, as well as inspecting random
fields that have been completed. These inspections will consist of:
1:. Verifying that the "Pre -Operations Check List" has been completed and signed by both operational and technical
staff.
2. Checking the calculated loads to insure the -correct amount of residuals are being land applied.
3.. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations.and
maintenance plan.
4.- Insuring that the field has-been flagged properly and that all buffers are being adhered to.
5. = Insuring that the "Crop and Landowner Verification" form has been filled out.
6. Verifying that the residuals have been adequately sampled to confirm compliance.
The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall
report by telephone to the NCDENR/DWQ Mooresville • Regional. Office at 704-663-1699, as soon as possible,, but: no later
than 24 hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the
following.
• Any occurrence with the distribution program resulting in the land application of significant amounts of
material that is abnormal in quantity.or characteristics.
• -Any failure of the.program that results in a release of material to surface waters.
• Any time that self -monitoring information indicates, that the program has gone out of compliance with
the permit.
• Any process unit failure that results in the system, not adequately treating the residuals.
• . -:Any spill.or discharge from a vehicle or piping system during residuals transportation. -
Any release that requires immediate reporting outside of normal business hours shall be called :in to DENR at 800-662-
7956,:800-858-0368, or 919-733-3300. These'numbers are to be called in the event of a release to surface waters or the. "
imminent failure of a storage system
_when the event occurs outside; of normal business hours: Within 5 days of the first
notice of an occurrence, a written response in the form .of a letter shall be sent to DENR outlining the actions taken or
proposed actions taken to ensure that the problem does not recur..
Persons responsible for inspections on this project are as follows:
Will Hodges Technical Services Specialist, or his designee (.Will Hodges is the designated backup land application
ORC for this project.)

: OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0002712 (City of Lincolnton)
Sampling Plan
Sampling for'this project consistsof sampling the residuals once per permit
cycle during the permit renewal
process.
The residuals;sha11 be sampled once per
permit cycle for the following: (Regulatory level in milligrams per liter in.
parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
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)
Hexachlorethane (3.0).
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)2,4,6-Trichlorophenol
(2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
-2,4-D 10.0 .:
M-ethyl ethyl ketone (200.0)
The residuals will also .be sampled, based on the chart below, for the following constituents
Dry Tons Generated
(short tonsper year)
<319
Monitoring Frequency
(Established in 40 CFR 503 and;15A NCAC 02T.1111) .
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>11-650-<16;500
1 every 60 days (6 times per year).
=>16,500 -
1 every month (12 times per year)
Aluminum Magnesi
um pH
Ammonia -Nitrogen Mercury Plant Available Nitrogen (calculation)
Arsenic Molybdenum -'Selenium-:
Cadmium Nickel Sodium
% Total Solids Nitrate-NitriteNitrogen:
Copper Phosphorous TotaKJadahN.:itro e-
n.
ZincPotassiumLead
Sodium Adsorption Ratio (SAR)
In order to meet pathogen and vector requirements, the material will be sampled for fecal coliform density and the 38%
volitile solids reduction or 40 day bench test. The samples will be taken -from the digester. Additional samples will be
aken for TCLP/F:CI and nutrients and.metals, ana.l;ysis. � Methods of sampling will follow the conditions of the permit and
applicable regulations.
The following people.are responsible for sampling:
Will Hodges, Technical Services Specialist, or his designee.
Debra V. Tunstall; City of Lincolnton Lab.

SPILL RESPONSE PLAN
ROJECT• CITE' OF LINCOLNTON Permit W00002712
IN THE UNLIKELY EVENT OF.A SPILL THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and equipment is to
be utilized. In the event additional labor and equipment is required, assistance may be requested from the City of
Lincolnton or the NC Department of Transportation, and other private contractors as necessary.
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation; i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
mploy front-end loaders, vacuum equipment, sludge application vehicles, and./or local septic tank service to remove as _
_nuch of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the .
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.
6. NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or -assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Mooresville regional office of the NCDENR by telephone [phone]) for
the City of Lincolnton as soon as possible, but not more than 24 hours after, or on the next working day following the.
occurrence. The Operations Manager shall provide a written report within 48 hours of the spill to the Technical Services
Director. The report shall list all relative information and actions taken: Synagro Central personnel will file a written
report to the Mooresville Regional office of the NCDENR within 5 days of the occurrence. For after hours reporting the
Division's -emergency number shall be called to report all incidences (800-662-7956 or 800-858-0368 or: 9.19-733-3300).

pF W A7FR State of North Carolina
QG Department of Environment and Natural Resources
c� r Division of Water Quality
p -C RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 08-11
I. APPLICANT INFORMATION:
1. Applicant's name: City of Lincolnton
Applicant type: [] Individual ❑ Corporation 0 General Partnership E] Privately -Owned Public Utility
❑ Federal r] State 0 Municipal Q. County
Signature authority's name per 15A NCAC 02T .0106: Steve Peeler Title: Director of Public Works and Utilities
Applicant's mailing address: P.O. Box 617
City: Lincolnton State: N.C. Zip: 28092 RECEIVEDIDENRID 11
Telephone number: [phone] Email Address: [e-mail] SEP Q
2. Consultant's name: Will Hodges License Number (for P.E.): 5 zQ �4
Affiliation:. On Staff Retained (Firm: Syna�ro Central LLC) Water Quality
Permitting section
Consultant's mailing address: 284 Boger Rd
City: Mocksville State: N.C. Zip: 27028
Telephone number:.[phone] Email Address: [e-mail]
sypaero.com
3. Agronomist's name: Marshall PMear License Number: 29442
Affiliation: D On Staff . Retained (Firm: Synagro Central LLC)
Agronomist's mailing address: 284 Boxer Rd.
City: Mocksville State: N.0 Zip: 27028
Telephone number: [phone] ext 17 Email Address: mpuryear s niaaro.com
4. Soil Scientist's naive: Eric Thompson License Number: 1238
Affiliation: On Staff. Retained (Firm: Synagro Central LLC)
Soil Scientist's mailing address: 284 Boger Rd.
City: Mocksville State: N.C. Zip: 27028
Telephone number: [phone] ext 12 Email Address: [e-mail]
5. Fee submitted: $0.00 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for_(check all that apply): 0 new, modified, renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0002712
Date of most -recently issued permit: 10/10/2005
Date of most -recently certified Attachment A (if different than the permit): 01/02/2007
Date of most -recently certified Attachment B (if different than the permit): 08/06/2009
FORM; RLAP 08-11 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
I. Residuals Processing Facility's physical address: 550 Highway 150 West By -Pass
City: Lincolnton State: N.C. Zip: 28092
Coordinates: Latitude: 35' 26' 56" Longitude: 81' 15' 34"
Datum: NAD83 Level of accuracy: second
Method of measurement: MAP
2. County where residuals land application program is headquartered: Lincoln
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers. and their affiliations in the following table:
Designation
Name
Affiliation
Certification
Number.
ORC
Mike Cox
Synagro Central, LLC
LA 13191
Back -Up ORC
William Keith Hodges
Synagro Central, LLC
LA 997282
Additional Back -Up ORCs
(if a licable)
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:
4. 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: 1300 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation.
or Injection
Surface
Incorporation
or Injection
First -Year
72.94
125.84
94,827
163,597
Five -Year Maximum Adjusted
88.36
141.26
114,873
183,643
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
0.0
Row Crops
118.4.
Hay
107.6
Pasture
718.2
Total:
944.2
Methods
Surface
944.2
.Incorporation or Injection
0.0
Total:
944.2
Page 2 of 5
FORM: RLAP 08-11

c. Residuals Land Application Summa : Determine the mini num acreage required to land apply the residuals as currently
-A —A „r..-nepri fnr certification assuminf the scenarios listed in the following table: -
Assumed
Application Rate
(Ibs PANIac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
1896.5
3271.9
2297.5
3672.9
100
948.3
1636
1148.7
1836.4
150
632.2
1090.6
765.8
1224.3
200
474.1
818
574.4
918.2
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North .Carolina Administrative Code (e.g. not enough storage,- not enough land, vector
reduction practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): 10 Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
❑ Residuals program contains_ any land application site(s) that receives. residuals at rates or frequencies greater than
agronomic rates, explain-,
❑ Residuals program contains any land application.site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain; i
Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or
irrigation facilities fed through a fixed:supply system, explain; ( i
IV. RESIDUALS SOURCE INFORMATION: (Not required if no new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
i►r E�; .
Residuals Source .
Certification
V. LAND APPLICATION SITE INFORMATION: (Not required if no new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Site . .
Certification. doc
Page 3 of 5
FORM: RLAP 08-11

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

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

Attachment Order 2 0
Residuals Source Certification Attachment
(RSCA form)

�F INATF9 State of North Carolina
`01 QG Department of Environment and Natural Resources
cn r Division of Water Quality
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 08-11
Please use the following instructions.as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation.
For more information or for an electronic version of this form, visit. the Land Application Unit (LAU) web site at:
http //portal ncdenr.org/web%wn/aps/lazy
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application; distribution, or disposal in accordance with 15A NCAC.02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 08-11, FORM: DCAR 08-11, or FORM: SDR 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 08711):
® Submit :the completed and appropriately executed Residuals -Source Certification (FORM: RSC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification:
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
�. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that.shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item 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.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they_are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 08-11 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City of Lincolnton
Status
Code'
FacilityPermit Folder
Facilit Name
Y„
County
Permit Number
Maximum Dry Tons Per Year
Current n
Proposed
R
R
City of Lincolnton
City of Lincolnton
Lincolnton WTP
Lincolnton WWTP .
Lincoln
Lincoln
NC0085588 ..
NC0025496.
300
1300
300
1300
a Status Code for source facility are: e N (New) m R (Renewed) ♦ M (Modified) ♦ D (Deleted)
v The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 08-1.1
Page 1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 08-11
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. FacilityName: Lincolnton WTP
2. Facility permit holder is: ❑ Federal, C] State, 0 Local Government, or ❑ Private.
Facility permit issued by: ®. - Div. of Water Quality, ,❑ Div. of Environmental Health,
or ❑ Other (explain:
3. Facility contact person and title: Robert Pearson, WTP ORC
Complete mailing address: P.O. Box 617
City: Lincolnton State: NC Zip: 28093
Telephone number: [phone] E-mail address: [e-mail]
4. Facility physical address: 1338 Reepsville Road
City: Lincolnton State: NC Zip: 28093
Coordinates: Latitude: 350 28' 48 Longitude: 810 16' 48"
Datum: NAD83 Level of accuracy: Second
Method of measurement: MAP
5. Purpose of the facility:
❑ 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,
(approximate percentages: F 1 % industrial and I % domestic)
❑ other (explain: ? ).
6. Does the facility have an approved pretreatment program: Yes ❑ No
7. Facility permitted/design flow: 9.0 MGD and facility average daily flow: 3 MGD
8. Average amount of residuals being generated at this facility 300 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: decant lagoon, I MG storage
Type and volume of residuals storage (i.e., outside of residuals treatment units): N/A
H. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1.. Specify if residuals are regulated under:
❑ 40 CFR Part 503 or ® 40 CFR Part 257. .
Note: Only: residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 5.03, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
[] Biological Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 08-11 Page 1 of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ] yes no.
If yes, list the number(s): I
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21
261.24:] yes ® no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Summit Environmental Technologies Inc. and Date of analysis: 09-20-12
Passed corrosivity test: 0. yes l] no. pH: 6.72 s.u. (2 < pH < 12.5)
Passed ignitability test: 0 yes El no. Flashpoint: >140 °F (> 140°F)
Passed reactivity test: yes ❑ no. HCN: ND mg/kg (<250) & HZS: ND mg/kg (<500) .
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
TCLP Parameter
Limit
(mg/1)
Result
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0-
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetra chloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
.0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND.
Vinyl Chloride
0.2
ND
FORM: RSC 08-11 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as. applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: A & L Eastern Labs Inc. and Date of analysis- 07/18/2013
Parameter Ceiling Monthly Average Result
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Concentration Limits
(Class A Only)
(mg/kg)
(mg/k)
Arsenic
75
41
10.0
Cadmium
85
39
<2.0
Copper
4,300
1,500
1110
Lead
840
300
19.0
Mercury
57
17
<0.4
Molybdenum
75
n/a
<5.0
Nickel
420
420
21.0
Selenium
100
100
<5.0
Zinc
7,500
2,800
110
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(nsg/kg)
Chromium
(mg/kg)
Nickel
(nig/kg)
> 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
Q > 75 but < 100
46
300
320
> 100 but < 125
53
360
390
❑ > 125
62
450 -
420
Result (mg/kg)
FORM: RSC 08-11
Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 1.98 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: A & L Eastern Lab Inc. and Date of analysis: 07/18/2013
Parameter
Result
(mg/kg)
Aluminum
129000
Ammonia -Nitrogen
2020
Calcium
1590
Magnesium
1380
Nitrate -Nitrite Nitrogen
<2.0
pH (Standard Unit)
6.78
Phosphorus
3200
Potassium
1180
Sodium
356
Total Kjeldahl Nitrogen
12600
c. Using the results listed in Item Il. 5b. above, calculate the sodium adsorption ration (SAR): .20
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil. amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in. calculating the plant available nitrogen (PAN) of the residuals: 40 %. This
rate is a (check one): 0 default value, or El actually established. .
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (I't) Year PAN
Five -Year
Maximum Adjusted PAN
(mg/kg) .
(mg/kg)
Surface
5,244
7,522
Inj ection/Incorporation
6,254
8, 532
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: No
7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
Page 4 of 5
FORM: RSC 08-11

a.. For DlstributionlLand Application of Class A or Equivalent:
A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative 1 [15A NCAC.02T.1106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T. 1 106(b)(3)(B)] - Alkaline Treatment.
[] Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T. 1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Hehninth Ova.
Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one:. ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T.1106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II.7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
❑ Exempt - If Daily Cover Alternative is chosen in Item I1.8. below [15A NCAC 02T.I 106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion)...
❑ Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T. 1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 .[15A NCAC UT. 1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection.
] Alternative 10 [15A NCAC 02T.1107(a)(10)].- Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC UT. 1107(b)(2)].
® Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 08-11 Page 5 of 5

=pF \VNjgA 9Q State of North Carolina
�O G Department of Environment and Natural Resources
�? r Division of Water Quality
p 'C RESIDUALS SOURCE CERTIFICATION
FORM: RSC 08-11
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Lincolnton WWTP
2. Facility permit holder is: ❑ Federal,] State, ® Local Government, or . ❑ Private.
Facility permit issued by: Div. of Water Quality, ❑ Div. of Environmental Health,
or ❑ Other (explain:
3. Facility contact person and title: Donald Burkey, ORC
Complete mailing address: P.O. Box 617
City: Lincolnton State: NC Zip: 28093
Telephone number: [phone] E-mail address: [e-mail]
4. Facility physical address: 550 Hwy. 150 W. Bypass
City: Lincolnton State: NC Zip: 28093
Coordinates: Latitude: 35' 26' 56" Longitude: 81' 15' 34"
Datum: NAD83 Level of accuracy: Second
Method of measurement: MAP
5. Purpose of the facility:
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,
industrial and
/o ° % domestic)
(approximate percentages:
[] other (explain: ).
6. Does the facility have an approved pretreatment program: Yes ❑. No
7. Facility permitted/design flow: 6_0 MGD and facility average daily flow: 2_4 MGD
8. Average amount of residuals being generated at this facility 1300 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume.of.residuals treatment: three Anaerobic Digesters 318,000 gallons each
Type and volume of residuals storage (i.e., outside of residuals treatment units):- N/A
U. RESIDUALS QUALITY INFORMATION (See Instruction C.): ..
1. Specify if residuals are regulated under: .
® 40. CFR Part 503 or., .. ❑ 40 CFR Part 257.
Note: Only: residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
® Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated -during the. treatment of domestic wastewater, animal
- processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems)..
FORM: RSC 08-11 Page 1 of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: El 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: Summit Environmental Technologies Inc. and Date of analysis: 08-11-2014
Passed corrosivity test: ® yes ❑ no. pH: 7_0 s.u. (2 < pH < 12.5)
Passed ignitability test: yes ❑ no. Flashpoint: >140 T (> 140T)
Passed reactivity test: yes [] no. HCN: ND mg/kg (<250) & H2S: 30 mg/kg (<500)
TCLP Parameter
Limit
),ngll)
Result
.(mgll) .
TCLP Parameter
Limit
(mgll)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
-0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0 _
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
.0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
214-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
.2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: A & L Eastern Labs Inc. and Date of analysis: 08-07-2014
Parameter
Ceiling
.:Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
5.0
Cadmium
85
39
<2.0
Copper
4,300
1,500
236
Lead
840
300
11
Mercury
57
17
<0.4
Molybdenum
75
n/a
7.0 .
Nickel
420
420
25
Selenium
100
100
6.0
Zinc-
7,500
2,800
297
b. For Surface Disposal Unit (landfill): Fill in the following table with the results, of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: �� i and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg
Nickel
(mg/kg)
> 0 but < 25
30
200
210
F1 > 25 but < 50
34
220
240
❑ > 50 but < 75
.39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
❑ > 125
62
450
420
Result (mg/kg
FORM: RSC 08-11

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 2.04 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: A & L Eastern Labs Inc. and Date of analysis: 08/07/2014
Parameter
Result
(mg1kS)
Aluminum
9300
Ammonia -Nitrogen
52900
Calcium
12500
Magnesium
3880
Nitrate -Nitrite Nitrogen
<2.0
pH (Standard Unit)
7.53
Phosphorus
24300
Potassium
9430
Sodium
4960
Total Kjeldahl Nitrogen
103000
C. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 1.42
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 20 %. This
rate is a (check one): default value, or E! actually established.
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1') Year PAN
Five -Year
Maximum Adjusted PAN
(mg/kg)
(mg�kgl
Surface
36,472
44,182
Inj ection/Incorporation
62,922
70,632
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: No
Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
FORM: RSC 08-11 Page 4 of 5

a. For Distribution/Land Applicatio of Class A or Equivalent:
El A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
r] A sabnonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
Alternative 2 [15A NCAC 02T.1106(b)(3)(13)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
] Alternative 4 [15A NCAC 02T.1106(b)(3)(13)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T. 1 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: aerobic digestion, ❑ air drying, [Ianaerobic digestion,
Hcomposting, or ❑ lime stabilization.
c. For Surface Disposal. -
Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
El Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
Exempt - If Daily Cover Alternative is chosen in Item II.8. below. [15A NCAC 02T.1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
® Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
® Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
El Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
El Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
El Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
E] Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals:
Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals.
® Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
0- Alternative 10.[l5A NCAC 02T.1107(a)(10)] - Incorporation.
Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
E] Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals. are applied and left on the land surface.
FORM: RSC 08-11 Page 5 of 5

Attachment Order 2-a:
Vicinity Map

go SYINAGRO.
VICINITY MAP
A p A Residuals Managanant Company
COUNTY Z in coin OWNER Zonco ln-nA- � w) T P

o�lll/�
SYNAG-RO
VICINITY MAP A Residuals Management Company .
COUNTY e ro c� do /U C OWNER

uantitative Justification for Residuals Production

uantitative. Justification for Residuals Production
Currently, the City of Lincolnton's WWTP is permitted for 1,300 dry tons of annual production.
There is no request at this time to change this amount. The facility permitted/design flow is 6
MGD. Even if this maximum amount is reached, we would still be under the permitted 1,300
dry tons of annual production.
Total Dry Tons =14allons of residuals X % solids X 8.34 lbs./Ilallon
2,000 lbs./ton
(6,000,000 X 0.0400 X 8.341bs./gallon)/-2,000 lbs./ton = —1,000 dry tons

Attachment Order 2-do
Sampling Plan

Residuals sampling Plan,
City:of .Lincolnton Land Application Program (WTP)
Nutrienfand:Metal Analysis
WTP
Sampling Point:
... Lagoon
Sampling Frequency:
Annually
Sample Type:
Composite
Lab:::
AA L Eastern Labs
Pathogen Reduction ;
N/A.
Sampling Point:
Sampling:Frequency: -
Sample. Type:::
Lab:
Vector Attraction Reduction
N/A
Sampling Point:
Sampling Frequency:
Sample Type:
:Lab:
TCLP/RCI
WTP .
Sampling.Point:
Lagoon
Sampling Frequency:
Once per permit cycle
Sample Type:
Composite:. .
Lab: =
Summit Environmental Technologies Inc.

Residuals Sampling Plan
City of Lincolnton Land Application Program (WWTP)
Nutrient and:Metal Analysis
WWTP
Sampling Point:
Digester
Sampling Frequency:
Quarterly
Sample Type:
Composite
Lab:
A & L Eastern Labs
Pathogen Reduction
. .
.
WWTP
Sampling -Point:
Digester
Sampling Frequency:
Quarterly
Sample Type: = ..
P YP
Grab
Lab::
Lincolnton Lab
Vector Attraction Reduction .
WWTP .
-:Sampling Point:
Digester
Sampling:Frequency:
Quarterly
Sample Type:.'
Composite
-Lab:
Lincolnton- Lab
TCLP/RCI
WWTP
Sampling Point:
g Di ester
Sampling Frequency:
Once per permit: cycle
Sample Type:`
Composite
Lab:
Summit Environmental Technologies Inc.

Attachment Order 2-e:
Laboratory Analytical Reports

ENVIRONMENTAL TECHNOLOGIES, INC.
Analytical Laboratories
LABORATORY BORATORY RE -PORT
Client
Synagro Southeast
284 Boger Rd.
Mocksville, NC 27028
Order Number
1221681
Project Number
Lincoln WWTP
Issued
Friday, September 21, 2012
Total Number of Pages .
5 (excluding C.O.C. and cooler receipt form)
i
Approved By:
QA Manager
Certifications: A21-AIDOD 0724.01, Alabama 41600, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105,
Delaware, Florida NELAC E87688, Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana
C OH-13, Kansas E-10347, Kentucky (underground Storage Tarik) 3, Kentucky 90146, Louisiana 04061 and
LA12004, Maine 2012015, Maryland 339, Massachusetts M-OPH923, Michigan (Reg.5), Minnesota 409711,
Montana CERT0099, New Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and
631, Ohio 4170,.Ohio VAP CL0052, Oklahoma 9940, Oregon OH2O0001, Pennsylvania 68-01335, Rhode Island
LA000317, South Carolina 92016001, Tennessee TN04018, Texas T104704466-11-5, Region 5 WG-15J, Region
8 8TMS-L, USDAIAPHIS.P330-11-00244, Utah OH069232011-1, Vermont VT-87688, Virginia 00440 and 1581,
Washington C891, West.Virginia 248 and 9957C and E87688, Wisconsin 399013010
"Analytical Integrity" EPA Certified NELlAP Certified
3310 Win Street Cuyahoga Fails, Ohio 44223 o Phone: [phone] Fax: [phone]
Web Site: www.settek.com

"UMMIT
ENVIRONMENTAL TECHNOLOGIES, INC.
Analytical Laboratories
Sample Summary
Client: Synagro Southeast
Order Number: 1221681
Laboratory ID Client ID Matrix Sampling Date
1221681-01 Lincolnton WTP Sludge
"Analytical Integrity" EPA Certified NELAP Certified
3310 Win Street Cuyahoga Falls, Ohio 44223 o Phbne: 330-253-8211 Fax: [phone]
Web Site: www.settek.com

ENVINMENTAL
GIES, INC.
. I •• :1'I • • •
Report: Narrative
Client:. Synagro Southeast
Order Number: 1221681
No problems were encountered during analysis of this order number, except as'noted.
Data Qualifiers:
B = Analyte found :in the method blank.
J = Estimated concentration of analyte between MDL (LOD) and Reporting Limit (LOQ) —
C = Analyte has been confirmed by another instrument or method Matrices:
E = Analyte exceeds the upper limit of the calibration curve. A = Air
D = Sample or extract was analyzed at a higher dilution C = Cream
DW =Drinking Water
X = User defined data qualifier, L = Liquid
S Surrogate out of control limits O = oil
U = Undetected SL= Sludge.
a = Not Accredited by NELAC SO = Soil
ND = Non Detected at LOQ _ ' — ' d"'Ct
DF = Dilution Factor TC = TCLP Extract
WW = Waste Water
Limit Of Quantitation (LOQ) = Laboratory Reporting Limit (not adjusted for dilution factor) W =Wipe -,
Limit Of Detection (LOD) = Laboratory Detection Limit
Estimated uncertainty values are available upon request.
The test results meet the requirements of the NELAC standard, except where noted. The information contained in
this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the client. It cannot
be reproduced in any form without the consent of Summit Environmental Technologies, Inc. or the client for which this
report was issued. The results contained in this report are only representative of the samples received. Conditions
can vary at different times and at different sampling conditions. Summit Environmental Technologies, Inc. is not
responsible for use or interpretation of the data included herein.
"Analytical Integrity" - EPA Certified - NELAP Certified
3310 Win Street •.. Cuyahoga Falls, Ohio 44223 - Phone: [phone] .• Fax: [phone]
Web Site: www.settek.com ...:

NUMMAT
i ENVIRONMENTAL
TECHNOLOGIES,
INC. .
September 21,
2012
Analytical Laboratories
Client: Synagro Southeast
Address: 284
Boger Rd.
Mocksville.
NC 27028
Received: 9/11
/2012
Project,4:Lincoln WWTP
TCLP Volatiles
Client IN
Lab IN
Collected Anal e
Rep Lmt Result
Units Matrix Method
DF
RegLvl
Run Analv t
Lincolnton WTP
1221681-01 '
07-Sep-12 Chloroform
0.1 ND
mg/L
SL
1311
1
6
19-Sep-12 ZSF
Lincolnton WTP
1221681-01
07-Sep-12 1,2-Dichloroethane
0.1 ND
mg/L
SL
1311
1
0.5
19-Sep-12 ZSF
Lincolnton WTP
1221681-01
07-Sep-12 Benzene
0.1 ND
mg/L
SL
1311
1
0.5
19-Sep-12 ZSF
Lincolnton WTP
. 1221681-01
07-Sep-12 Carbon tetrachloride
0.1 ND
mg/L
SL
1311
i
0.5
19-Sep-12 ZSF
Lincolnton WTP
1221681-01
07-Sep-12 Trichloroethene
0.1 ND
mg/L
SL
1311
1
0.5
19-Sep-12 ZSF
Lincolnton WTP
1221681-01
07-Sep-12 1,1-Dichloroethene
0.1 ND
mg/L
SL
1311
1
0.7
19-Sep-12 ZSF
Lincolnton WTP
1221681-01
07-Sep-12 Tetrachloroethene
0.1 ND
mg/L
SL
1311
1
0.7
19-Sep-12 ZSF
Lincolnton WTP
1221681-01
07-Sep-12 Chlorobenzene
0.1 ND
mg/L
SL
1311
1
100
19-Sep-12 ZSF
Lincolnton WTP
1221681-01
07-Sep 12 2-Butanone (MEK)
2 ND
mg/L;
SL
1311
1
200
19-Sep-12 ZSF
Lincolnton WTP :
1221681-01
07-Sep-12 Vinyl Chloride
0.2 ND
mg/L
SL
1311
1
0.2
19 Sep 12 ZSF
TCLP EPIA
Client ID#
Lab IN
Collected AnaMe
Rep Lmt Result
Units
Matrix Method
DF
RegLvl
Run Analyst
Lincolnton WrP
1221681-01
07-Sep-12 Pyridine
0.25 ND
mg/L
SL
1311
1
5
19-Sep-12 AE
Lincolnton WTP
1221681-01
07-Sep-12 2,4,5-Trichlorophenol
0.25 ND
mg/L
SL
1311
1
400
19-Sep-12 AE -
Lincolnton WTP
1221681-01
07-Sep-12 Hexachloroethane
0.1 ND
mg/L
SL
1311
1
3
19-Sep-12 AE
Lincolnton WTP
1221681-01
07-Sep-12 Cresols
5 ND
mg/L
SL
1311
1
200
19-Sep-12 AE
Lincolnton WTP
1221681-01
07-Sep-12 Nitrobenzene
0.1 ND
mg/L
SL
1311
1
2
19-Sep 12 AE
Lincolnton WTP
1221681-01
07-Sep-12 2,4,6--Trichlorophenol
0.25 ND
mg/L
SL
1311
1
2
19-Sep-12 AE
Lincolnton WTP
1221681-01
07-Sep-12 Pentachlorophenol
0.25 ND
mg/L
SL
1311
1
100
19-Sep-12 AE
Lincolnton WTP
1221681-01
07-Sep-12 Hexachloro-1,3-butadiene
0.1 ND
mg/L
SL
1311
1
0.5
19-Sep-12 AE
Lincolnton WTP
1221681-01
07-Sep-12 2,4-Dinitrotoluene
0.1 ND
mg/L
SL
1311
1
0.13
19-Sep-12 AE
Lincolnton WTP
1221681-01
07-Sep-121,4-Dichlorobenzene
0.1 ND
mg/L
SL
1311
1
7.5
19-Sep-12 AE
Lincolnton WTP
1221681-01
07-Sep-12 Hexachlorobenzene _
0.1 ND _
mg/L
SL
1311
1
0.13
19-Sep-12 AE
TCLP Pesticides
Client IN
Lab ID#
Collected :Ana] e
Rep Lmt Result
Units
Matrix Method
DF
RegLvl
Run Analvst
Lincolnton=WfP:
1221681-01
07-Sep-12 Heptachlor
0.002 ND
mg/L
SL
1311
1
0.008
19-Sep-12 KMG
Lincolnton WfP
1221681-01
07-Sep-12 Endrin
0.002 ND
mg/L
SL
1311
1
0.02
19-Sep-12 KMG
Lincolnton WfP
1221681-01
07-Sep-12 Chlordane
0.01 ND
mg/L
SL
1311
1
0.03
19-Sep-12 KMG
Lincolnton WTP
1221681-01
07-5ep-12:Gamma-BHC
0.002 ND
mg/L
SL
1311
1
0.4
19-Sep-12 KMG
Lincolnton WTP
1221681-01
07-Sep-12 Toxaphene
0.1 ND
mg/L
SL
1311
1
0.5
19 Sep-12 KMG
Lincolnton WTP
1221681-01
07-Sep-12 Methoxychlor
0.002 ND
mg/L
SL
1311
1
10
19-Sep-12 KMG
Lincolnton WTP
1221681-01
07-Sep-12 Heptachlor Epoxide
0.002 ND
mg/L
SL
1311
1
0.008
19-Sep-12 KMG
TCLP Herbicides
Client ID#
Lab ID#
Collected Analrle
Rep Lmt Result
Units
Matrix Method
DF
ReaLvl
Run Analvst
Lincolnton WTP
1221681-01
07-Sep-12 2,4,5-TP(Silvex)
0.5 ND
mg/L
SL
1311
1
1
19-Sep-12 KMG
Lincolnton WTP
1221681-01
07-Sep-12 2,4,D
-
5 ND
mg/L
SL
1311
1
10
19-Sep-12 KMG
------i-
TCLP
Arsenic
Client IN
Lab ID#
Collected Anal a
Rep Lmt Result
Units
Matrix
Method
DF
RegLvl
Run Analvst
Lincolnton WfP
1221681-01
07-Sep-12 TCLP Arsenic
0.5 ND
mg/L
SL
1311
1
5
20-Sep-12 CXS
Page 4
"Analytical Integrity"
EPA Certified
1\ELAP Certified
3310 Win Street
Cuyahoga Fails, Ohio
44223 - Phone: [phone]
Fax:
330-253-4489
.
_
Web Site: wwksettek.com

TCLP Barium
Client ID#
Lab IN
Collected Analyse
Rep Lmt Result
Lincolnton WTP
1221681-01
07-Sep-12 TCLP Barium
5 ND
_....... _.__..................
TCLP Cadmium
Client ID#
Lab ID#
Collected Anahle
Rep Lmt Result
Lincolnton WTP
.: 1221681-01
07-Sep-12 TCLP.Cadmium :
0.1 ND
TCLP Chromium
Client ID#
Lab IN
Collected Anahte
Rep Lmt Result
Lincolnton WTP
1221681-01
07-Sep-12 TCLP Chromium
0.2 ND
September 21, 2012
Client: %magro Southeast
Address: 284 Boger Rd.
Mocksville. NC 27028
Received: 9/1 I /2012
Project #: Lincoln W WTP
11i Matrix Method DF ReaLvl Run Analyst
mg/L SL 1311 1 100 20-Sep-12 CXS
Units Matrix Method DF ReaLvl Run Analyst
mg/L SL 1311 1 1 20-Sep-12 CXS
Units Matrix Method DF ReaLvl Run Analyst
mg/L SL 1311 1 5 20-Sep-12 CXS
TCLP Lead
Client IN
Lab ID#
Collected Analvte
Rep Lmt
Result
Units
Matrix
Method
DF
ReaLvl
Run Analyst
Lincolnton WTP
1221681-01
07-Sep-12 TCLP Lead
0.5
ND
mg/L
SL
1311
1
5
20.-Sep-12 CXS
TCLP Mercury
Client IN
Lab IN
Collected Anahle
Rep Lmt
Result
Units
Matrix
Method
DF
RegLvl
Run Anal st .
Lincolnton WTP
1221681-01
07-Sep-12 Mercury
0.002
ND
mg/L
SL
1311
1
0.2.
.18-Sep-12 ALI
---
TCLP Selenium
Client ]D#
Lab ID#
Collected Analvte
Rep Lmt
Rega
Units
Matrix
Method
DF
RegLvl
Run Analyst
Lincolnton WTP
1221681-01
07-Sep-12 TCLP Selenium
0.5
ND
mg/L
SL
1311
1
1
20-Sep-12 CXS
TCLP Silver
Client ]D#
Lab ID#
Collected Anahrte
Rep Lmt
Result
Units
Matrix
Method
DF
RegLvl
Run Analvst .
Lincolnton WTP
1221681-01
07-Sep-12 TCLP Silver
0.5
ND
mg/L
SL
1311
1
5
20-Sep-12 CXS
Client ID#
Lab IN
Collected Analyse
Result
Units
Matrix
Method
DF
LOCH
Run Analvsi
Lincolnton WTP
1221681-01
07-Sep-12 Flash Point
>140
F
SL
_ 1010
1
14-Sep-12 TAH
Client ID#
Lab ID#
Collected Ana1Y1e
Result
Units
Matrix
Method
DP
LOQ
Run Analyst
Lincolnton WTP
•1221681-01
07-Sep-12 PCBs..
ND
mg/kg
SL
8082
1
0.2
14-5ep-12 AE
Client ID#
Lab ID#
Collected . Anahle
Result
Units
Matrix
Method
DF
LOCI
Run Analyst
Lincolnton WTP
1221681-01
07-Sep-12 pH
6.72 @ 22.4 C
S.U.
SL
9040
1
0:01
14-Sep-12 NBX .
Client ID# Lab ID#
Lincolnton WTP 1221661-01
Collected Analvte
07-Sep-12 Reactive Cyanide
Result
ND
Units Matrix Method DF
mg/kg SL 7.3.3.2 1
LOQ
0.5
Run Analyst
13-Sep-12 ERE
Client lD# Lab IN
Collected Anal -te
Result
Units Matrix Method DF
LOQ
Rau Analvst
Lincolnton WTP_ 1221681-01
07-Sep-12 Reactive Sulfide
ND
mg/kg SL 7.3.4.2 1
25
13-Sep-12 ERE
Page 5
Analytical Integrity" EPA Certified
NELAP Certified
3310 Win Street • Cuyahoga Falls, Ohio 44223
- Phone: [phone] Fax: 330-253=4489
Web Site: www.settek.com

Sumrfiit Enviwonmental Technologies, Inc.
Cooler Receipt Form
`
II�IIIIlllll�� fllllllllll�l�ll�ll�lll�ll
l
�IIIIIIIIIIIIIIIIIII�I IIIII Illlllllll��l
:
C O O LEA
Order ID: M168i
Client::. �y`1a��`' S�.:.
Order ID:
Log in Initials:
i.
Date Received: : 2Zi t/_Time Received:
!t [2
i bat® opened: /
Number of Coolers/Boxes: (
N/A
Unpacked by:
Sty
Shipper: ED E UPS . DHL Airborne US Postal.
Walk-in Pickup Other:
Packaging: " " Peanuts : Bubble Wrap spar
Foam
None Other.
Tape. on coolerlbox:.:
CY)
N
NIA
Custody Seals intact
Y
N
-
C-O-C In plastic
Y
N
_-
NIA
Coolant: Ice Blue ice —Water —None-
Sam
Tem
le Temperature P P
° C:
C-O-C filled out properly :
N
N/A
Samples in separate bags _ ..
Y ..:
N
Sample containers intact. "
N
N/ A
`lf-no, list broken samples)::
Sample label(s) complete (ID, date, etc:)
N
NIA
Label(s) agree with C-O-C:
Y
N
NIA"
Correct, containers used .
�J
N :
NIA
Sufficient sample received :. ::: ::
N
NIA.
.::Samples at correct pH? (list below). -:
Y
N..:
-. -, Bubbles absent.from 40 mL viais°°
Y
N
Samples with bubbles less thanthe size of a pea are acceptable.
Client contact:.
Datemme:
Comments: =

gn>r>rnit Environmental Technologies, Inc. e . o
sill) Win Street afly�Il� I � c�� /�Il��Rn Of CU19tod v
Cuyahoga FaUsi Ohio.44223 Tel: [phone] Fax: [phone] For Summit Environmental Technologies, Inc. use only
'
Page of SET No.
Company Name (Please Print)
Project Name
Am al Parameters Methods
alytic titers a>Ind. Nd odls
Cortipany-AHU « `
A�
Project Address
,
Phone
c
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White and yellow pages should accompany samples,to the laboratory. The client retains the pink page.

Page: 1 of 2
Report Number: 13-196-0206 .
Account Number: 46467
Submitted By: WILL HODGES
Send To: SYNAGRO CENTRAL LLC/LINCOLNTON
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028
Lab Number: 94603
Sample Id: LINCOLNTON WTP
L741LAJ
A&L Eastern Laboratories, Inc.
ILI, 7021 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
dnanualeastern.com
Project: LINCOLNTON WTP
NC CERT#257
REPORT OF ANALYSIS Date. Sampled: 7/11/2013 09:00:00
Date Received: 07/15/2013 00:00
Date RPnnrtnrd• n7ll.MniR
Moisture'
•�1
iyouu
luu.0
BW
07/15/201314:15
SM-2540G
Total Kjeldahl Nitrogen
98.02
.100.0
BW
07/15/201314:15
SM-254OG
Total Phosphorus
1.26
12600
10.0
JM
07/16/2013 08:24
SM-4500-NH3C-TKN
Total Potassium
_ 0:32
3200
100
KM
07/17/2013 13:31
SW 6010C
Total
0.12
1180 _
100
KM
07/17/2013 13:31
SW 6010C
.Sulfur
Total Calcium
0.38
3820
100
KM
07/17/2013 13:31
SW 6010C
0.16
1590
100
KM
07l17/2013 13:31
SW6010C
Total Magnesium
0.14
1380
100
KM
07/17/2013 13:31
SW 6010C
Total Sodium . _
0.04
356
100
KM
07/17/2013 13:31
SW 6010C
Total Iron
49200
100
KM
07/17/2013 13:31
SW 6010C
Total Aluminum
129000
100
KM
07/17/2013 13:31
SW 6010C
Total Manganese
2200
5
KM
07/17/2013 13:31
SW 601OC
Total
1110
5
KM
07/17/2013 13:31
SW 6010C
Total Zinc
Zinc
110
5
KM
07/1772013 13:31
SW 6010C
Ammonia Nitrogen
0.20
2020
10.0
JM
07/16/2013 08:24
SM-4500-NH3C
Organic N
1.06
10580
10.0
07/16/2013 0824
CALCULATION
Nitrate+Nitrite-N
<2.00
2.00
JM
07/16/2013 08:25
SM-450ONO3F
Total Cadmium
<2.0
2:0
KM
07/17/2013 13:31
SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection
limit on all N series is on a wet
basis.
Debbie Holt

Page: 2 of 2 Accou' NumbetN 13-196-D206 Ali
Eastem LaboraiorieS, InCA&Ler, 46467 7621 Whitepine Road Richmond, Virginia 23237, ?[phone] Fax (804) 271•6446
Submitted By: WILL HODGES Wuvlvaleastern.com
Send To, SYNAGRO-CENTRAL LLC/LINCOLNTON Project. LINCOLNTON WTP
Mary- Brewer NC CERT#257
284 BOGER RD
MOCKSVILLE, NC 27028
--REPORT OF ANALYSIS pate sampled• 7/11/2013 09:00:00
Lab Number: 94603 Date Received: 07/15/2013 00:00
Sample Id t LINCOLNTON WTP Date Reported: 07/18/2013
T +v.r K '•yk- �f'.� .�` S.-. .Syw:-fin.
•r *� '„RES ! C s E� �Q. NTITQ I PON�L�IV1y I _ ,=cN A�aI�YS�S
A METE ��k9tq Y r .'° pAfE/UMF� i MT,HOD
�,�rai� rx� v� �`� .�`' 'i` ',,� � gym:. �'�`'� �^`r7. . �t ' � .'� i.P.' �mg tg�� a • 4 ��..a.'F Alt 5pr,,::. � e
1 1 .1 1
Total.Nickel
21
5
KM:
07/17/2013 13• 31 SW 6010C
-
: ,Total Lead
19
5 -
KM :.:
07/17l2013 13:31 SW 6010C
Total Arsenic
10.0
3.0
KM
07/1712013 1331 SW 6010C
T otal Mercury
<0.4.:.:
0.4
"KM ..
07/17/2013'10:00 .. SW-74718
Total'Selenium
<5;0
5.0
KM
07/17120/3 13:31. SW 6010C
OH (Standard Units) * 6.78
2.00
JM
07/16/2013 08.24 SW-9045D
Total Volatile Solids 35.25.
:352500
100.0,1
BW
07/15/201314:15 SM-2540.G
Total Molybdenum
<5
5
`KM
07/17/2013 13:31 SW 6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT•FOR..COMPLIANCE PURPOSES.
QUALIFIER: THE LRB WAS OUT OF•LIMITS.FOR,"Ca"-AND "N1".:
THE MATRIX SPIKE
WAS: OUT OF.LIMITS FOR "Al'. ALL OTHER _QC.DATA IS
ACCEPTABLE.
a.
All values are on.a dry weight basis except as noted by asterisk. Detection
limit on all N series is on a.wet basis.
-
r
Debbie Holt

�m
SAMPLING LOG P
AITLA
CUSTOMER: SYNAGRO SOUTHEAST
PROJECT MANAGER:
U lj
Phone:
.04
Illlllillllll111111111111111111111111111111111111111Hill 11111111 Q4`i°:;ECORIDANA LYSRS
SrrU GRO CENTy?4L LLG'LINCOLNTON
LINCOLNTON VvTP' field sampling procedures ..
collection of these samples.
SAMPLER
A & L CUSTOMER SAMPLING
SAMPLE
dl OF SAMPLING
METHOD
METHOD
LAB 0 SAMPLE 1,0. LOCATION
TYPE
CONTAINERS LATE TIME
PRESERVED
SHIPPED
2e, .5
Relinquished by Sampler:l
Date Time
Recieved by:
REMARKS:
J�
Relinquished by:
Date Time
`'to
Regleved by:
Relinquished by,
t)atd Time
Recieved by:
7;�
SPECIAL INSTRUCTIONS: Cem¢it emu 1 Le��cq S� S� +aJ• f dtal4 'Cdehie� j- 01,Lt. I've '
cafe 5 ac9�-94m,-� -
For r— monitoring purposes,
PON: " .)6 (21 r
SAMPLE
ANALYSIS F,150UEST
I.D.
5L1
SLR `NI1L-1V
IV®; N
Or Nanic
Cd I
Cr
Nf
Pb I
As
H.g
Se
PFy
Can
e ulv.
Volatile
Solids
Mo
Cl
H8Oan4�
n
ass+
y.
r
SLII : Total Solids (Moisture), Total ICleldahl Nitrogen, Phosphorus, and Potassium
SL2: Basic Test SL1 plus -Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zinc
White —A & L Canary — MANAGER COPY

SU
Smnn:it Environmental Technologies, Inc.
3310 Win St.
p;A°IRCyWlP 1'fAL TE a33•!r�LOGtc a; INC: CvyahogaFalls, Ohio 44223
Arrihvticst L,abar:atorie5 TEL: [phone] FAX' [phone]
Website: hgj271 vtvm.settek.cwn1Mvm.settek.com
August 19, 2014
Will Hodges
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL: [phone]
FAX: [phone]
RE:. Lincolnton WWTP
Order No.: 14080434
Dear Will Hodges:
Summit Environmental Technologies, Inc. received 1 sample(s) on 8/6/2014 for the analyses
presented in the following report.
There were no problems with the analytical events associated with this report unless noted in the
Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits except
where noted.
If you have any questions regarding these tests results, please feel free to call the laboratory.
Sincerely,
Dr. Mo Osman
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
A2LA 0724.01, Alabama 41600, Arizona AZ0788, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC
E87688, Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana C-011-13, Kansas E-10347, Kentucky (Underground Storage Tank) 3,
Kentucky 90146, Louisiana 04061 and LA12004, Maine2012015, Maryland 339, Massachusetts M-OPH923, Minnesota 409711, Montana CERT0099, New
Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and 631, Ohio Drinking Water 4170, Ohio VAP CL0052, Oklahoma 9940,
Oregon OH2O0001, Pennsylvania 68-01335, Rhode Island LA000317, South Carolina 92016001, Tennessee TN04018, Texas T104704466-11-5, Region 8
8TMS-L, USDA/APHIS P330-11-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and.1581, Washington C891, Wes[ Virginia 248 and
9957C and E87688, Wisconsin 399013010
Page 1 of 5

SamnaitEnvironn:ental Techno7ogies, Inc.
Workorder
@®
3310 Wan St.
Sample Summary
�,;VIRnPdPAEtd'fnLTEv
4.t]L��; tt
Cuyahoga Fa77s,Ohio 44223
Ana?yfh:
ni L. ?-barn: orie6
TEL: [phone] FAX- [phone]
WO#: 14080434
Website: ht%1At,1v �.settek.com1At,1v .settek.com
I9 Att&14
CLIENT:
Synagro
Project:.
Lincolnton WWTP
Lab SampleID
Client Sample ID Tag No Date Collected
Date Received Matrix
14080434-001
Lincolnton WWTP
8/5/2014 9:45:00 AM
8/6/2014 9:55:00 AM Sludge

Summit Environmental Technologies, Inc.
3310 Win St.
WO#:
14080434
Date Reported
8/19/2014
C4gVIgntd61Eh1'I`AL TE•C;111,10LoGiE S, INC,
Cu aho a Falls, Ohio 44223
Y g
ll.raPyticsi i�z7pa:9tx71'rP.S
TEL: [phone] FAX., [phone]
Company:
Synagro
Website: ham•/hlnv7v.settek.com
Address:
284 Boger Rd.
Mocksville NC 27028
Received:
8/6/2014
Project#:
Lincolnton WW
TCLP Metals Analysis (6010)
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Lincolnton WWTP
001
8/5/2014 TCLP Arsenic(As)
0.50
ND mg/L
Sludge
EPA 6010 C
1
5.0
8/11/2014
WK
Lincolnton WWTP
001
8/5/2014 TCLP Barium(Ba)
5.0
ND mg/L
Sludge
EPA 6010 C
1
100.
8/11/2014
WK
Lincolnton WWTP
001
8/5/2014 TCLP Cadmium(Cd)
0.10
ND mg/L
Sludge
EPA 6010 C
1
1.0
8/11/2014
WK
Lincolnton WWTP
001
8/5/2014 TCLP Chromium(Cr)
0.20
ND mg/L
Sludge
EPA 6010 C
1
5.0
8/11/2014
WK
Lincolnton WWTP
001
8/5/2014 TCLP Lead(Pb)
0.50
ND mg/L
Sludge
EPA 6010 C
1
5.0
8/11/2014
WK
Lincolnton WWTP
001
8/5/2014 TCLP Selenium(Se)
0.50
ND mg/L
Sludge
EPA 6010 C
1
1.0
8/11/2014
WK
WK
Lincolnton WWTP
001
8/5/2014 TCLP Silver(Ag)
0.50
ND mg/L
Sludge
EPA 6010 C
1
5.0
8/11/2014
TCLP Mercury. Analysis (1311/7470)
Client ID# Lab ID# _Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
I incolnton WWTP 001 8/5/2014 TCLP Mercury 0.0020 ND mg/L Sludge EPA 7470 A 1 0.20 8/11/2014 ALJ
SVOC SW-846: 8081-TCLP Pesticides
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Lincolnton WWTP
001
8/5/2014
Chlordane, total
0.010
ND mg/L
Sludge .
EPA 8081 B
1
0.030
8/18/2014
JBN
Lincolnton WWTP
001
8/5/2014
Toxaphene :
0.10
ND mg/L
Sludge
EPA 8081 B
1
0.50
8/18/2014
JBN
Lincolnton WWTP
001
8/5/2014
Endrin
0.0020
ND mg/L
Sludge
EPA 8081 B
1
0.020
8/18/2014
JBN
Lincolnton WWTP
001
8/5/2014
gamma-BHC
0.0020
ND mg/L
Sludge
EPA 8081 B
1
0.40
8/18/2014
JBN
Lincolnton WWTP
001
8/5/2014
Heptachlor
0.0020
ND mg/L
Sludge
EPA 8081 B
1
0.0080
8/18/2014
JBN
Lincolnton WWTP
001
8/5/2014
Heptachlor epoxide
0.0020
ND mg/L
Sludge
EPA 8081 B
1
0.0080
8/18/2014
JBN
Lincolnton WWTP
001
8/5/2014
Methoxychlor
0.0020
ND mg/L
Sludge
EPA 8081 B
1
10
8/18/2014
JBN
VOC.by GC/MS (8260)-TCLP
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Lincolnton WWTP
001
8/5/2014 1,1-Dichloroethene
0.10
ND mg/L
Sludge
EPA 8260 B
1
0.70
8/11/2014
MES
Lincolnton WWTP_
001
8/5/2014 1,2-Dichloroethane
0.10
ND mg/L
Sludge
EPA 8260 B
1
0.50
8/11/2014
MES
Lincolnton WWTP
001
8/5/2014 Benzene
0.10
ND mglL
Sludge
EPA 8260 B
1
0.50.
8/11/2014
MES
Lincolnton WWTP
001
8/5/2014 Carbon tetrachloride
0.10
ND mg/L
Sludge
EPA 8260 B
1
0.50
8/11/2014
MES
Lincolnton WWTP
001
8/5/2014 Chlorobenzene
0.10
ND mg/L
Sludge
EPA 8260 B
1
100
8/11/2014
MES
Lincolnton WWTP
001
8/5/2014 Chloroform
0.10
ND mg/L
Sludge
EPA 8260 B
1
6.0
8/11/2014
MES
Lincolnton WWTP
001
8/5/2014 Tetrachloroethene
0.10
ND mg/L
Sludge
EPA 8260 B
1
0.70
8/11/2014
MES
Lincolnton WWTP
001
8/5/2014 Trichloroethene
0.10
ND mg/L
Sludge
EPA 8260 B
1
0.50
8/11l2014
MES
Lincolnton WWTP
001
8/5/2014 Vinyl chloride
0.20
ND mg/L
Sludge
EPA 8260 B
1
0.20
8/11/2014
MES
Lincolnton WWTP
001
8/5/2014 MEK
2.0
ND mg/L
Sludge
EPA 8260 B
1
200
8/11/2014
MES
Page 3 ot-5

Sunmtit Environmental Technologies, Inc.
- 3310 Win St.
WO#: 14080434
Date Reported
p
8/19/2014
1�KVIROUMEN`PALTECHNOLOGIES,i'c,.
C:ryahogaFalls,Ohio44223
Analytical Tabor Tories TEL: [phone] FAX.- [phone]
Company: Synagro
Website: hQ1Avivm.settek.com
Address: 284 Boger Rd.
Mocksville
NC 27028
Received: 8/6/2014
Project#: Lincolnton WW
SVOC 8270 TCLP BNA List
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Lincolnton WWTP
001 8/5/2014 1,4-Dichlorobenzene
0.10 ND mg/L
Sludge
EPA 8270 C
1
7.5
8/10/2014
JRT
Lincolnton WWTP
001 8/5/2014 2,4,5-Trichlorophenol
0.25 ND mg/L
Sludge
EPA 8270 C
1
400
8/10/2014
JRT
Lincolnton WWTP
001 8/5/2014 2,4,6-Trichlorophenol
0.25 ND mg/L
Sludge
EPA 8270 C
1
2.0
8/10/2014
JRT
Lincolnton WWTP
001 8/5/2014 2,4-Dinitrotoluene
0.10 ND mg/L
Sludge
EPA 8270 C
1
0.13
8/10/2014
JRT
Lincolnton WWTP
001 8/5/2014 Cresols, Total
5.0 ND mg/L
Sludge
EPA 8270 C
1
200
8/10/2014
:JRT
Lincolnton WWTP
001 8/5/2014 Hexachloro-1,3-
0.10 ND mg/L
Sludge
EPA 8270 C
1
0.50
8/10/2014
JRT
butadiene
Lincolnton WWTP
/5/2014 Hexachlorobenzene
001 8/5/2014..
OA0 ND mg/L
Sludge
EPA 8270 C
1
0.13
8/10/2014
JRT
Lincolnton WWTP
001 8/5/2014 Hexachlorcethane
0.10 ND mg/L
Sludge
EPA 8270 C
1
3.0
8/10/2014
JRT
Lincolnton WWTP
001 8/5/2014 Nitrobenzene
0.10 ND mg/L
Sludge
EPA 8270 C
1
2.0 -
8/10/2014
JRT
Lincolnton WWTP
001 8/5/2014 Pentachlorophenol
0.25 ND mg/L
Sludge
EPA 8270 C
1
100
8/10/2014
JRT
Lincolnton WWTP
001 8/5/2014 Pyridine
0.25 ND mg/L
Sludge
EPA 8270 C
1
5.0
8/10/2014
JRT
SVOC SW-846: 8321 Herbicides-TCLP
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Lincolnton WWTP
001 8/5/2014 2,4-D
5.0 ND mg/L
Sludge
EPA 8321 A
1
10
8/15/2014
AMZ
Lincolnton WWTP
001 8/5/2014 2,4,5-TP
0.50 ND mg/L
Sludge
EPA 8321 A
1
1.0
8/15/2014
AMZ

Szmm:it Environmental Technologies, Inc.
WO#:
14080434
3310 Win St.
�t#5j1. ]tdtlE�ry't1L3'@�?�>>dC�L�1iPC.
Cuyahoga Falls, Ohio 44223
Date Reported
8/19/2014
[ttF=-li,•tica P
-82I1X-9989
Company:
Synagro.
Website: ht .-hinnd.settek.con:
Address:
284 Boger Rd.
Mocksville NC 27028
Received:
8/6/2014
Project#:
Lincolnton WW
Client ID# Lab ID# Collected Analyte Result Units Matrix Method DF RL Run Analyst
Lincolnton WWTP
001
8/5/2014
Flashpoint (140°F)
Lincolnton WWTP
001
8/5/2014
Total PCBs
Lincolnton WWTP
001
8/5/2014
Cyanide, Reactive
Lincolnton WWTP
001
8/5/2014.
pH
Lincolnton WWTP
001
8/5/2014
Sulfide, Reactive
>140 °F
Sludge
EPA 1010
1
8/7/2014
TAH
ND mg/Kg
Sludge
EPA 8082
1
0.20 .8/18/2014
JBN
ND ppm
Sludge
EPA 9014
1
0.50 8/7/2014
TIR
7.0 s.u.
Sludge
EPA 9045. D
1
8/7/2014
AYS
30 ppm
Sludge
EPA 9034
1
25 8/7/2014
TIR
Page. 5 of 5

Cq
a
Rev. 12
N
bate: b7127113
m
Cu'
curnmitE!liriff nruentaii leciiriialogies, Eric.
d
poa@er Receipt Form,
init;,is Uf )
person Inspecting cooler and samples:'.,�_�
-
r � y
OrderNurnb;,r:
Dale P.sceivF :�Tinte P,eNived: cooler(s) pper'tl and samples lnsp.c*ed f s !
_Crate
Numbe'OSF C90'r5l6GXE5:=,._ -MIA
.
Shipper; FEID L}' Uk DHL Niborne OS Po_tal I -Val', -in Pick,p Other:___
Packaging: Peer?uts °tu'ua{- IVrap3 Pager Foam Ilona Otirer.__,-M_,_„_
- ..
--
Tape or, cooloubox. Z t WA
r
Cuslody Seals ontact /fi Y' IJ MA
C-O•C in plastic-. j j S' I+1 WA
.. IcaBlue ice ;\ : prase��l absent 1 Iitud - (`)iA, .. .
i
SsTnp':e Temperature IF: Gtrn #:1602,5
Radiological Testing Instrument serial r35i27 Y l•i Id?.}r
page 2 for.ccan results)
4e
se'I sheet par sample fos Radiological T=_stin•?. If san:pre Is ; )O T , the Padlolog€P;d Safety Officer mu [ be notiflee.
immediately.
C-O-C Ulad out properly C ld M'A
San@Ivy In s=paratg bags f N N.'A
Ssmpl@ coniainprs intact'
if no. it-5t brpkcn samples):- - �
Ssrnple label(s) complete (1D, d2la, etc,) 1•{. N+A
Laba(s) agree r:ith C-0-C /t= N WA.
Corset containers used (' 4 rl IVA
Sul dant sample received. V, N NIA
.. Burbles absent tro.rl ati mL vials"-
aimples with bubbles <6mvn arc acceptable. Indicate bubble size it>6mm.
t4+as client coiltacled ebouf samples Y N
Will client sendnev., samples Y I !
Ciie+it contact: —
Logged in by:
G%QC SHARE D1Dccument Control Templstss- Tracking\Coalai receipt fomt Rev. 12 07-27-13.doc Paoe 1 of 2

Z �,

Page: 1 of 2
Report Number: 14-218-0207
Account Number: 46467
Submitted By: WILL HODGES
Send To: SYNAGRO CENTRAL LLC/LINCOLNTON
Mary Brewer
284 BOGER RD
.MOCKSVILLE , NC 27028
Lab Number: 56874
Sample Id : LINCOLNTON WWTP
A&L Eastern Laboratories; lnc.
nc.C"n]
7621 Whitepine Road Richmond. Virginia 23237 [phone] Fax [phone]
vrrr+valeastern.com
Project LINCOLNTON WWTP
NC CERT#257
REPORT OFANAL YSIS
Date Sampled: 8/5/2014 09:45:00
Date Received: 08/06/2014 00:00
Date Reported: 08/11/2014
'f' S Wrenn
Total Solids *
2.04
zu4uu
-Iuu.0
iwvv
uoruIIc.v,- V-V
Moisture
97.96
.100.0
MW
08/07/2014 07;59
SM-254OG
Total Kjeldahl Nitrogen
1.0.30
103000..
10.0
MW
08/07/2014 08:15
SM-4500-NH3C-TKN
Total Phosphorus
2.43
24300
100
KM
08107/201411:58
SW 6010C
Total Potassium
0.94
9430
100
KM
08/07/2014 11.58
SW 6010C
Total Sulfur
1.08
10800
100
KM
08/07/2014 11:58
SW 6010C
Total Calcium
1.25
12500
100
KM
08107/2014 11:58
SW 6010C
Total Magnesium
0.39
3880
100
KM
08/07/2014 11:58
SW 6010C
Total. Sodium
0.50
4960 •
100
KM
08/07/2014 11:58
SW 6010C
Total Iron
9980
100
KM
08/07/2014 11:58
SW 6010C
Total Aluminum
9300
100
KM
08107/2014 11:58
SW-6010C
Total Manganese
169
5
KM
08/07/2014 11:58
SW 6010C
Total Copper
236
5
KM
08/07/2014 11:58
SW 6010C
Total Zinc.
297
5
KM
08/07/2014 11:58
SW 6010C
Ammonia Nitrogen
5:29
52900
10.0
MW
08/07/2014 08:15
SM-4500-NH3C
Organic N
5.01
50100
10.0
08/07/2014 08:15
CALCULATION
Nitrate+Nitrite-N
<2.00
2.00
MW
08107/201414:30
SM-450ONO3F
Total Cadmium
<2.0
2.0
KM
08/07/2014 11'58
SW 6010C
All values are on a dry weight basis
except as noted
by asterisk. 'Detection limit on all N
series is on a wet
basis.
Debbie Holt

Page: 2 of 2
s -
Report Number: 14-218=0207;
o
y
A L Fasters► Laboratories, Inc.
Account Number: 46467
7821WhilepineRoad'Richmond,Virginla23237 [phone] Fax [phone] '
Submitted By: WILL HODGES
www.4leastern.com
Send To: SYNAGRO CENTRAL LLC/LINCOLNTON
:: Project: LINCOLNTON WWTP
:. Mary Brewer
NC. # CERT 257
284 BOGER.RD
MOCKSVILLE ; NC 27028
REPORT.OF ANALYSIS Date Sampled: 815/2014 091:45:00
Lab Number : 56874 p
Date Received: 08/06/2014 00:00
Sample. Id: LINCOLNTON WWTP
Date Reported: 08/11/2014
n • o�
n'
Total Chromium-
5 KM 08/07/2014.11.:58 SW 6010C
98
Total Nickel
25.:.
5 KM 08/07/2014'11:58 SW 6010C
Total Lead
11
5 KM. 08/071201411:58 SW 6010C
Total Arsenic,
5.0
3.0 KM 08/07/2014 11:58 SW 6010C
Total Mercu ry..
<0.4
0.4:.. KM 08/07/201414:00 SW-7471 B
Total Selenium
6.0
5.0 KM 08/07/2014 11:58 SW 5010C
pH (Standard Unitsj"` 7.53
2.00 . M1N 08/07/2014 08:19 - SW-9045D
Total Molybdenum
7
5 KM 081071201411:58 SW 6010C
Comments:
::. SULFUR AND ORGANICNITROGEN NOT FOR COMPLIANCE PURPOSES.
...
QUALIFIER: THEMATRIX SPIKE WAS OUT OF LIMITS FOR""As", ALL OTHER QUALITY CONTROL WAS WITHIN LIMITS.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Debbie Holt

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Bench Sleet Form
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VVastcwater'I reatment t-aborat0'1'
Aqueous Samples Sludge Samples Solid Samples _
ollzc:ron C;f :rive Jclur-e of G;fon•;: r Focai t�oliiorm � Total bofids � Fecai Cohiomt I n!6:a1 v::u .on I Fecal ::crr•
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lCalculations.
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5. Counts above and below
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Bench Sheet for Solids Percent; 'Total and Volatile City of Lincolnton
Wastewater Treatment Laboratory ry
Percent Total and Volatile Solids
Plant
Sample Location
Collection DatelTime
Dish ID
Dish Weight
Wet Sample + Dish Weight
Dry Sample + Dish Weight
Ashed Sample + Dish Weight
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Total and Volatile 5olias
Plant Sample Location Collection Daterrime Dish ID Sample Volume (mL)_ Dish Weight Dry Sample +bish Weight Ashed Sample ,+ Dish Weight
Date & Time In
Date & Time .Out: Balance: i
AnKysls Start Tire:
1—�-�tLA ( 12.J� Analyst
Completion Time:
Reviewer:
Date:
Date:

4F W ArF9 Mate of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (EAU) web site at:
http://
portal. ncdenr.or /wg eb/wg1gj2s/lau
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for. review
without a corresponding application form (FORM: RLAP 08-11 or FORM: SDR 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application -Site Certification (FORM: LASC 08-11):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit the requested information for all land application sites.
D For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
-iF _
✓
County Manager
Notification
Land Owner
Agreement
(If applicable)
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
✓
✓
✓
for Residuals Land Application Permits"
A soils and agronomic evaluation in accordance with the "Soil Scientist
✓
Evaluation Policy"
An updated accounting of the land application site's .cumulative
✓
✓
pollutant loading rates (CPLRs)
INSTRUCTIONS FOR FORM: LASC 08-11
.Pagel of 3

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

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

5 !, no uJ
ATTACHMEIti r B - Approved Land Application Sites
Permit Number . WQ0002712 Version:D
City of Lincointon
City of Lincolnton Residuals Land Application Program
FialrII7nna Iri flurnar I occna
NC-CA-35-01
Turbyfill Properties
Catawba
35°34'04"
81015'02"
21.50
14iwassee
NC-CA-35-02A
Turbyfill Properties
, Bill
Catawba
351134'131'
81"15'36"
5.20
Cecil
NC-CA-35-02B
Turbyfill, Properties
Catawba
35134'09"
81'15'29"
6.50
Cecil
NC-CA-35-02C
Turbyfill, Properties
41
Catawba
35"34111"
81°152211
8.90
Cecil
NC-CA-35-03A
Turbyfill, Properties
Catawba,
35-3315911
81'15'08"
41.60
Cecil
NC-CA-35-03B
Turbyfill, Properties
Catawba
35-33'58"
81°15'17"-
9.70
Cecil
NC-CL-02-01
Carpenter, Jeff
Cleveland
35'25'60"
8l'2847"
20.20
Pacolet
NC-CL-02-03
Carpenter, Jeff
Cleveland
35025157/1
81°29'11"
2.60
Pacolet
NC-CL-02-04
Carpenter, Jeff
Cleveland
35026'03"
811129,101,
23.20
Pacolet
NC-CL-02-05
Carpenter, Jeff
Cleveland
3502516011
81°29'2111 '
11.50
Paoolet
- NC-CL-02-06
Carpenter, Jeff
Cleveland
35/12515111
81-29728"
2.20
Pacolet
' NC-LT-04-01
Bess, William C
Lincoln
35"29'11"
81°21'24"
36.10
Cecil
NC-LT-04-02
Bess, William C
Lincoln
35029'02"
81021123"
27.60
Cecil
NC-LT-05-01A
Kistler, William & Rita
Lincoln
35°3l'08"
81°17'19"
10.10
Riverview
NC-LT-05-01 BoA, I
Kistler, William & Rita
Lincoln
35°3l'13"
811,17,18"
14.30
Riverview loam, 0 to 2% slopes, occasion
NC-LT-05-01C (_V
NC-LT-05-01D cn
Kistler, William. & Rita
Kistler, William & Rita
Lincoln
Lincoln
35'31'18"
35'31'22"
. 81°17'14"
81'17'19"
11.30
10.3-0
Riverview loam, 0 to 2% slopes, occasion
Riverview loam, 0 to 2% slopes, occasion
NC-LT-05-02 lvi ,
Lincoln
35.31'1V
81'17'03"
15.40
Masada
NC-LT-05-03A W1
Kistler, William & Rita
Lincoln
35-3110111
81"16'56"
19.10
Masada
NC-LT-05-03B 0j!,,'j
Kistler, William & Rita
Lincoln
35'31'10"
81'16146"
7.30
Masada sandy loam, 2 to 8% slopes
NC-LT-05-04 lad'
jIMcGinnis Estate, Jaynes
Macomson, Mike
Lincoln
35'30'49"
81°16'54"
25.50
Masada
NC-LT-05-05 &'`".
Kistler, William L '
Kistler, William & R
Lincoln
35°3.0'43"
81017'15"
9.40
Riverview
NC-LT-05-06 p,L'
McGinnis Estate, James
Macomson, Mike
Lincoln
35°30'31"
81017'01"
29.00
Riverview
NC-LT-06-01
Macomson, Mike
I
Lincoln
35'31'25"
81016'43"
42.40
Masada
NC-LT-06-02
Macomson, .Mike
Lincoln
35.'30'40"
81°l5'57"
29.10
Cecil
NC-LT-07-0IB
Propst, Darrell Christoph
Lincoln
35°30'Q7t1
81o20'56"
29.70
Gaston
NC-LT-122-02
Woodruff, Nick L
Lincoln
35'29'37"
' 81'2342"
13.80
Cecil sandy loam, 2 to 8% slopes
NC-LT-122-03
Woodruff, Nick L
Lincoln
3.5P29'50"
81°23147"
18.90
Cecil sandy loam, 2 to 8% slopes
NC-LT-19-01
Waters, Chuck
Lincoln
35'32'34"
81°18'34"
40.10
Gaston
NC-LT-19-02
Waters, Chuck
Lincoln
35'32'41"
81"18'25"
12.90
Gaston
1
WQ0002712 Att B
Certified August 6, 2009

NC-LT-I9-0�
°32'34"
81°18'S1°
\ 12.40 Riverview.
Waters, Chuck
Lincoln .:35
NC-LT-25-01
NC-LT-25-02.. "Carpenter,
Carpenter, Jeff
Jeff
__..
Lincoln
35°26'54"
17.60
P
Pacolet .. -
81°28'16"
NC-LT-25-03
Carpenter, Jeff
Lincoln
35°26'57"
81a28'04"
3.10
Pacolet .
NC=LT-25-04
Carpe�zter, Jeff
Lincoln
35°27'01" :.81°28'00":.
.
3.70
Pacolet
NC-LT-25-05
Carpenter, Jeff
Lincoln
35027'08"
811,28,09"
13.10
Pacolet
NC-LT-25-06 : ....
Carpenter, Jeff
Lincoln,
3502TIO"
81 °2T5.1" ..
28.20
Pacolet . .
incoin
35 6 SS��
81027 47«
14.30
Pacolet:
-�
NC=Ur-34-I
NC-LT-36-01
Summits; Richard C.
Lingerfelt, Jeff
Lincoln
35024'26"
20.20
Nlecklenbur
8100,VO4"
NC-LT-36-02
Lingerfelt, Jeff
Lincoln ..
35°29'59."
81028'57"
-12.90
Cecil sandy Ioazn; 2 to 8% slopes
NG-LT-36-03
Linger -felt, Jeff:.:.
Lincoln
35°29'S1"
81°28`60,,
18.70
Cecil sandy loam, 2.to 8% slopes
NC L'I"-3G-04
Leatherman, Joanne "
Lingerfelt, Jeff
Lincoln
Lincoln
35929'481,
35029'351,
8.1°28'48" -
8I°28'37,
8.90
Cecil sandy loam, 2 do 8% slopes
NC-LT-36-05
Leatherman, Joanne :.:.
Lin erfelt, Jeff
Lincoln ..
35°2936"
26.80
Cecil sandy loam, 2 to 8% slopes
81°28MI,
ems.
NC-LT-37-01 G�\
HowelI,ltebecca
Goins, Gerald
Lincoln
.
35°26'11"
81025'03"
17,00
Cecil sandy loaixi, 2.to 8%° slopes
son, Mile
Lincoln
35°31'05"
81°16'29"
17,80
Cecil sandy loam, 2 to 8% slopes,
NC-LT-39-02
Ste • aIh Rub
?; Y
.
Macomson, Mike:
Lincoln
35031'15"
81°16'31"
30:60
0
Cecil sand.. loam 2 to 8016 sk es
y
INC
Mouser; James
Probst, Chris
Lincoln
35°2T28"
81°21'19.:.
9.30
°
Cecil sandy loam, 2 to 8% slopes
Total
33.50
Cecil'sand loam;,2#o 8% slo es -
r841430
z
,.
_
Qoo o tt B
w 271.2;A
..
ified A 00
Cerf August 6, 2 9

LAND DLICATION SITE CERTIFIICAI'ION
Applicant's name: City of Lincolnton
Land application sites currently certified: 841.3 net acres and Total to be certified: 944.2 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
StatuCodes
Site/Field 1)Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Name
Mapping Unit
or Rep. Slope'
M
CA-35-01
Sidney Turbyfill
Jeff Elmore
20.4
Catawba
Row Crop
Lloyd
LcB .
M
CA-35-2A
Sidney Turbyfill
Jeff Elmore
4.9
Catawba,
Fescue Pasture
Lloyd
LcB
M
CA-35-213
Sidney Turbyfill
Jeff Elmore
6.4
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-35-2C
Sidney Turbyfill
Jeff Elmore
9.9
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-35-3A
Sidney Turbyfill
Jeff Elmore
41.6
Catawba
Fescue Pasture
Lloyd
LcB
M
CA-35-3B
Sidney Turbyfill
Jeff Elmore
8.8
Catawba
Fescue Pasture
Lloyd
LcB
M
LT-06-01
Mike Macomson
Mike Macomson
44.6
Lincoln
Fescue Pasture
Lloyd
LdB2
IvI
LT-06-02
Mike Macomson
Mike Macomson
29.4
Lincoln
Fescue Hay
Cecil
CeB2
M
LT-07-01
Darrell Propst
Darrell Propst
26.9
Lincoln
Fescue Pasture
Lloyd
LdB2
M
LT-19-01
Chuck Waters
Chuck Waters
41.8
Lincoln
Fescue Pasture
Lloyd
LdB2
M
LT-19-02
Chuck Waters
Chuck Waters
12.7
Lincoln
Fescue Pasture
Lloyd
LdB2
M
LT-19-03
Chuck Waters
Chuck Waters
13.2
Lincoln .
Fescue Pasture
Riverview
RvA
M
LT-25-01
Jeff Carpenter
Jeff Carpenter
16.6
Lincoln
Fescue Pasture
Cecil
CaB2
M
LT-25-02
Jeff Carpenter
Jeff Carpenter
4.2
Lincoln
Fescue Pasture
Pacolet
PeB2
M
LT-25-03
Jeff Carpenter
Jeff Carpenter
6.2
Lincoln
Fescue Pasture
Pacolet
PeB2
M
LT-25-04
Jeff Carpenter
Jeff Carpenter
13
Lincoln
Fescue Pasture
Cecil
CeB2
M
LT-25-05
Jeff Carpenter
Jeff Carpenter
27.9
Lincoln
Fescue Pasture
Cecil
CeB2
M
LT-25-06
Jeff Carpenter
Jeff Carpenter
13.6
Lincoln
Fescue Pasture
Pacolet
PeB2
M
LT-36-01
Jeff Lingerfelt
Jeff Lingerfelt
11.8
Lincoln
Fescue Pasture
Cecil
CeB2
M
LT-36-02
Jeff Lingerfelt
Jeff Lingerfelt
17.5
Lincoln
Fescue Pasture
Cecil
CeB2
M
LT-36-03
Joanne Leatherman
Jeff Lingerfelt
8.6
Lincoln
Row Crop
Cecil
CeB2
M
LT-36-04
Joanne Leatherman
Jeff Lingerfelt
24.1
Lincoln
Row Crop
Cecil
CeB2
FORM: LASC 08-11 Page 1

LAND - _ _'LICATION SITE CERTIFICATION
M
LT-36-05
Joanne Leatherman
Jeff Lingerfelt
13.5
Lincoln.
Row, Crop
Cecil
CeB2
M
LT-39-01
Ruby Stegall
Mike Macomson
28.8
Lincoln
Fescue Hay
Lloyd
LdB2
M
LT-39-02
Ruby Stegall
Mike Macomson
12.5
Lincoln
Fescue Hay
Lloyd
LdB2
M
LT-40-IA
James Houser
Darrell Propst
7.4
Lincoln
Fescue Hay
Cecil
CeB2
M
LT-4071B
James Houser
John Leatherman
31.8
Lincoln
Row Crop
Cecil
CeB2
T
LT-122-01
Nick Woodruff
Nicky Woodruff
14.5
Lincoln
Fescue Pasture
Cecil
CeB2
M
LT-122-02
Nick Woodruff
Nicky Woodruff
14.8
Lincoln
Fescue Pasture
Cecil
CeB2
M
LT-122-03
Nick Woodruff
Nicky Woodruff
16.9
Lincoln
Fescue Pasture
Cecil
CeB2
M ..
CL-02-01
Jeff Carpenter
Jeff Carpenter
20.5
Cleveland
Fescue Pasture
Pacolet
PaB2
M
CL-02-03
Jeff Carpenter
Jeff Carpenter
2.8
Cleveland
Fescue Pasture
Pacolet
PaD2
M
CL-02-04
Jeff Carpenter
Jeff Carpenter
24.9
Cleveland
Fescue Pasture
Cecil
CaB2
M
CL-02-05
Jeff Carpenter
Jeff Carpenter
11.7
Cleveland
Fescue Pasture
Pacolet
PaC2
M
CL-02-06
Jeff Carpenter
Jeff Carpenter
3.7
Cleveland
Fescue Pasture
Pacolet
PaC2
N
CL-02-07
Stanley and Jeff Carpenter
Jeff Carpenter
33.4
Cleveland
Fescue Pasture
Pacolet
PaC2
N
CL-04-01
William and Dennis Martin
Dennis Martin
25.3
Cleveland
Fescue Pasture
Cecil
PaC2
N
CL-04-02
William and Dennis Martin
Dennis Martin
19
Cleveland
Fescue Pasture
Cecil
CaB2
N
CL-04-03
William and Dennis Martin
Dennis Martin
15.2
Cleveland
Fescue Pasture
Cecil
CaB2
N
CL-04-04
William and Dennis Martin
Dennis Martin
25.7
Cleveland
Fescue Pasture
Cecil
CaB2
A
Status Code
for land annlicaiinn
sites are:• o N R\TPwI e R
(R an r.xrrA\ & AS (TR.,A;f,AA\
/T«..«..f`.....,.,7\
- - -•�--�------••�--�, ..��..�vu.a.vu� i �.aui�.�;�.11 �u� �L�LGIGLGU�
b Soil Series Name (i.e. Appling, Cecil, etc.)
`Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Location Method Code
.Location Accuracy
Waterbod y Subbasin and
Current and Proposed
Datum
Stream Index No.
Class
CL-02-07
35°25'42.6"
81°29'17.9"
NAD84
MAP
Second
Buffalo Creek03-08-05-9-53-(1)
WS-III
CL-04-01
35°24'02.9"
81°29'32.9"
NAD84
MAP
Second
Long Branch 03-08-05-9-53-2.3
WS-III
CL-04-02
35°26'11.8"
81°29'23.1"
NAD84
MAP
Second
Buffalo.Creek 03-08-05-9-53-(1)
WS-III
CL-04-03
35°26'19.7"
81°29'28:3"
NAD84
MAP
Second
Buffalo Creek 03-08-05-9-53-(1)
WS-III
CL-04-04
35°26'22.5'
81°29'36.5"
NAD84
MAP
Second
Buffalo Creek 03-08-05-9-53-(1)
WS-III
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 08-11
Page 2

LAID A rrLICA`I'ION SITE CERTIFICATION
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code"
Site/Field
ID
Landowners
O
Lessees ..or O erator s
O p O.
Net Acres
Count y
Crop(s) s
pO
Predominant Soil
Series Name b
Mapping tonic
or Rep. Slope
N
CL-05-01
Leon Leonhardt
Leon Leonhardt
12.7
Cleveland
Fescue Pasture
Pacolet
PaC2
N
CL-05-02
Leon Leonhardt
Leon Leonhardt
11.3
Cleveland
Fescue Pasture
Pacolet
PaC2.
T
CL-05-03
Leon Leonhardt
Leon Leonhardt
23.9
Cleveland
Fescue Pasture
Cecil
PaC2
T
CL-05-04
Leon Leonhardt
Leon Leonhardt
15
Cleveland
Fescue Hay
Cecil
CaB2
T
CL-05-05
Leon Leonhardt
Leon Leonhardt
16.9
Cleveland
Fescue Pasture
Pacolet
PaC2
N
CL-05-06
Leon Leonhardt
Leon Leonhardt
13.6 '
Cleveland
Fescue Pasture
Pacolet
PaC2
T-
CL-05-07
Leon Leonhardt
Leon Leonhardt
8.8
Cleveland
Fescue Pasture
Cecil
CaB2
T
CL-05-08
Leon Leonhardt
Leon Leonhardt
13.3
Cleveland
Fescue Pasture
Cecil
CaB2
"Status Code for land application sites are: 0 N (New) o K (Keneweci) ♦ lvi (N1ociiilea) ♦ i (iransierrea) ♦ u (Leietea)
b Soil Series Name (i.e. Appling, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the, mapping unit is CeB2)
H. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
CL-05-01
35°24'29.7"
81°28'50.2"
NAD84
MAP
Second
Buffalo Creek 03-08-05-9-53-(1)
WS-III
CL-05-02
35°24'40.6"
81°28'42.8"
NAD84
MAP
Second
Buffalo Creels 03-08-05-9-53-(1)
WS-III
CL-05-03
35°25'00.1"
81°28'41.0"
NAD84
MAP
Second
Buffalo Creels 03-08-05-9-53-(1)
WS-III
CL-05-04
35°25'10.6"
81°28'42.7"
NAD84
MAP
Second
Buffalo Creek 03-08-05-9-53-(1)
WS-III
CL-05-05
35°24'48.0"
81'28'56.2"
NAD84
MAP,
Second
Buffalo Creek03-08-05-9-53-(1)
WS-III
CL-05-06
35°24'40.5"
81°28'55.1"
NAD84
MAP
Second
Buffalo Creels 03-08-05-9-53-(1)
WS-III
CL-05-07
35°24'58.3"
81'29' 17.1"
NAD84
MAP
Second
Long Branch 03-08-05-9-53-2.3
WS-III
CL-05-08
35°24'38.9"
81°29'06.3"
NAD84
MAP.
Second
Long Branch 03-08-05-9-53-2.3
WS-III
Note: Please keep the site information (I.) and waterbody information (H.) of the same field on the same page.
FORM: LASC 08-11 Page 3

LAND � .UCATI0N SITE CERTIFICATION
I. LAND APPLICATION SITE INFORMATION (See Instruction B)'
Status
Code'
Site/Field
g andowner(s)
Lessees) or Operator(s)
Net Acres
County ..
Crop(s).
Predominant Soil
Series Name
Mapping Unit
or Rep. Slope'
T
CL-MS -09
Leon Leonhardt
Leon Leonhardt
18.9
Cleveland
Fescue Pasture
Cecil
CaB2
N
CL=05-10
Leon Leonhardt
Leon Leonhardt , , . ,
11.8
Cleveland
Row Crop
Cecil'
CaB2
N
CL-05-11
Leon Leonhardt
Leon Leonhardt .:....
31.3
Cleveland
Fescue Pasture
Cecil
CaB2
N
CL-05-12
Leon Leonhardt
Leon Leonhardt
27.5
Cleveland
Fescue Pasture
Cecil
CaB2
N
CL-05-13
Leon Leonhardt
Leon L,eonhardt
4:5
Cleveland
Fescue Pasture
Cecil
CaB2
N
a
CL-OS-.14
Leon Leonhardt
LeonZeonhardt
. .
8:2
Cleveland
Row Crop.
Cecil.
CaB2
Status Code for.land application sites are: o N (New)• .0 R (Renewed) o M (Modified) e T (Transferred) 0 D (Deleted).
Soil Series Name (i.e., Appling, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
IL WATERBODX AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location 1Vlethod Code
.Location Accuracy
Waterbod y Subbasin and
Stream Index No.
Current and Proposed
Class
CL-05-09
35'24'28.2"
81°29'03.37.
NAD84
MAP
Second
Long Branch 03-08-05-9-53-2.3
WS-III
CL-05-10
35°24' 19.9"
81°28'58.8"
NAD84
MAP
Second
Long Branch 03-08-05-9-53-2.3
WS-III
CL-05 41
35'24'14.1"
W29'14.0."
NAD84
MAP
Second
Long Branch 03-08-05-9-53-2.3
WS-III
CL-05-12:.
35°24'27.4"
81°29'30:6"
NAD84
MAP
Second
Long Branch 03-08-05-9-53-2.3
WS-III
CL-05-13
.35°24'37.3"
81°29'29.5"
NAD84
MAP
Second
Long Branch 03-08-05-9-53-2.3.
WS-III
CL-OS-14
35°24'46.2"
81°29'29.9"
NAD84
MAP
Second
Long Branch 03-08-05-9-53-2.3
WS-III

Attachment Order 3a — Watershed Classification Attachment

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JJ - JJJJJJJJJJJJJJJJJ JJJJJJJJ
J JJJJJJJJJJJJJJJ JJJJJJJJ
J JJJJJJJJJJJJJJJ JJJJJJJJ.
J
J JJJJJJJJJJJJJJJJ JJJJJJJJ
JJ JJJJJJJJJJJJJJJJ JJJJJJJJ
J
J JJJJJJJJJJJJJJ JJJJJJJJ
J JJJJJJJJJJJJJ JJJJJJJJ
JJJJJJJJJJJ JJJJJJJJ
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JJ.JJJJJ.JJJJJJJJJJ_ JJJJJJJJJJJJJJJJJJ.JJJJJJJ
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JJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJ
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JJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJOVNAS
-

September 3; 2014
Cleveland County Government
Board of County Commissioner
Chairman of the Board
311 E. Marion Street
Shelby; NC 28150
ATTENTION: Mr. Jason Falls
REFERENCE: RENEWAL OF CITY OF LINCOLNTON LAND. APPLICATION
PERMIT WQ0002712
SYNAGRO CENTRAL, LLC
Mr. Falls:
Synagro Central LLC is. submitting a request to renew a land application -program for residuals
generated by the City of Lincolnton Wastewater Treatment Plant and Water Treatment Plant. In
doing so; additional land in Cleveland County will be added to the permit, given NCDNER
approval. The attached :forms, map, and site summaries should provide the necessary
information required - but if you should need to contact me : l .: can be : reached at
whodges@syna rgro.com or at my phone number (864)-871-3157.
Sincerely,
Will Hodges
-Technical Services. Specialist .
Synagro Central, LLC

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM:; CBN 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to:these
instructions. and checking -the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure, to submit all of the required items will lead to additional processing and review time. for the..
permit application. Unless otherwise rooted, the Applicant. shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section; s Non -Discharge Permitting Unit vebsite at:
http://portal. ncdenr. org/web/wcaps/lau
General — This notification is intended to provide the county board in which the land application site is proposed to be located with
general: information on the size, Iodation and .type of residuals land application proposed to occur mi their county, and to give them an:. .
opportunity' to comment on the pending :permitting request as stipulated in Session Law 2013-340. Notification is not required for
fields deemed permitted -to -receive.-Class A residuals under 15A NCAC 02T .1106 Do not submit: this document for review
without a corresponding residuals program application form (FORM: RLAP 11-13).
Unless otherwise noted;:the Applicant shall submit one. original and two copies of the application and supporting.documentation listed
below.:
A. CountyBoard:Notification (FORM:.CBN 11-13):
® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-13). Please do not make any
unauthorized content changes to` this form:: If necessary for clarity or due to space restrictions, attachments to the form may
-.be made, as long as the attachments are numbered to correspond to the.section and item to which they refer.:
® Prepare a separate County Board Notification:(FORM: CBN 11-13)-for each county in which the proposed land application
sites are located:
B. Critical Watershed Areas Information:
® :Under 15A NCAC 02B .0212, no. new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant'sresponsibility to ensure that the proposed land application sites are not located within these areas.:'
® For more information regarding Water Supply Watershed Protection Program, -Please visit the Division website at.
hftp://portal.ncdenr.oiF4/web/wq/syM/ws/wLV41)-
® If uncertain about whether the proposed sites are located within the critical areas,.contact the Division or 6611(919) 807-6337.
C. Notification Package Submission:
Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to
the appropriate: County Board by certified mail with a return receipt requested, -It is recommended that a copy of the .. .
notification package also be sent to the County Manager.
®: The : most current.: publication of .:the Directory: of State and :. County Of cials may be downloaded at
htW://www.secretga.8tate.nc.us/pubsweb/direct.aspx
®A list of the Division's _regional- offices, their county coverage, and their contact information may be downloaded at:
hqp://portal.ncdenr. ora/web/wgihome%ro... .
N. The source facility summary' shall include: facility name; county where it. is located; :arid the proposed arm ual:dry tonnage
i.e.,'a copy, of "Residuals Source Facility Summary" is adequate but not required).
The land alication site summa
ry ary-shall include;:field ID; acreage; county where ifis located; latitude and longitude (i.e., a
® ;
:'copy of "Land Application Site Certification" is adequate but not required):
. .
D. Proof of Submission:
® Attach an 8.5 by I Much copy of the.return receipt to the back of this attachment rior to submission of the. application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 11-13
-Page 1 of I

A4
�����
14CDEN
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
Date: 9-3-261.4
To: Name of Chairman to the Board of County Commissioners: Jason Falls
Complete mailing address: 311 East Marion Street
City: Shelby.- State: NC Zip: 28150
County where land application'sites are located: Cleveland
From: Applicant's name: City of Lincolnton (on behalf of the Division of Water Resources in accordance with Session
Law 2013-340)
Contact person and title: Steve Peeler, Director of Public Works and Utilities
Complete mailing address: P.O. Box 617
City: Lincolnton State: NC Zip: 28092
Telephone number.- [phone] E-mail address: [e-mail]
-)ject:. Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal and state regulations are -enforced: Attached to this form is information regarding residuals -
generating sources and locations of the proposed land application sites. Please forward this letter and its associated
attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and
Planning Department) if applicable.
More information of the land application sites included in this application .will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regional office: Mooresville
Complete mailing address: 610 East Center Avenue, Suite 3 01
City: Mooresville State: NC Zip: 28115
Telephone number: [phone]
Expected date of application submission: 9-2-2014
Should you desire to comment on this application, please do so no later than 30 calendar days following the
expected application submission date. If you have any questions or comments about this notification, or if you would like
more information, please contact the appropriate regional office at the telephone number provided above. Thank you in
advance for your attention to this matter.
losures: Source Facility Summary
Land Application Site Summary
Maps
FORM: CBN 11-13 Pagel of 1

A0--7 UNITE® STATES
POST13 L SERVICE.
Date: September 4, 2014
Will Hodges:
The following is in response to your September-4, 2014 request for delivery information
on your Priority Mail Express® item number EK447286409US. The delivery record
shows that this item Was delivered on September 4, 2014 at 10:03 am in SHELBY, NC
28150. The recipient's signature is not available because the waiver of signature that
you authorized was exercised at the time of delivery.
Thank you for selecting the Postal Service for your mailing needs. If you require
additional assistance, please contact your local Post Office or postal representative.
Sincerely,
United States Postal Service

Site Specific Information (by application. site)

SITE SUMMARY
City of Lincolnton
Lincolnton, NC
Site ID:
NC-CA-35
:Owner:
Turbyfill Properties: LLC; Sidney Turbyfill, Manager
Address:
4300 Biggerstaff Road
Maiden, NC 28650
Phone:
[phone].
-Operator:
Jeff Elmore/Elmore Farms
Address:.
4862 Range Ridge Road
Claremon#, NC 28610
Catawba
Estimated
RYE -based
Preomnant::
i
Applicable
Annual PAN limits
Soil Series -
Longitude_
Fields :
Acres Crops)
(pounds/acre/year)
(map unit)..
(D_.M.S )
Corn .
131
Lloyd
35°34'05.8" N
1
20.4 Soybeans
do 145%fs 172 .
(LcB)
81°15'37.9" W
Wheat
98
2A .,`
4.9
Fescue (pasture)
hay,216 / pasture 162:
Lloyd
-L
35°34'13.3" N
'
( c6)
. 81°15'35.5" W
213
6.4.
Fescue (pasture)
hay 216 / pasture 162
Lloyd ` _ -
35°34:'08.6" N
(LcB.)
81615'27.61' W
2C
9.9
Fescue (pasture)
hay 216 /.pasture 162
Lloyd
35°34'08:3" N
(LcB)., ..
81°15'20.8" W
3A
41.6
Fescue (pasture)'
hay 216 / pasture 162
: Lloyd
35°33'S9,0'.' N
.
(LcB):
81 °15'07 6" W
3B
8.8.
Fescue
hay216;/-pastu�re.162
- Llo d
y
35°33'S7 4"N
..
�
:(LcB). . ..
81°15'16.3"- W
TOTAL.

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
61vislon of Water Resources
FORM: LOA 08-11
Please -use -the following instructions as a checklist in order to -ensure all required items are submitted. ' Adherence to these
instructions. and checking :the provided boxes. will help produce a quicker review time and reduce the -amount of additional
information requested: Failure to submit all of the required items will lead to: additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit: the Water Quality Permitting Section's Non Discharge Permitting Unit we site at:
httn //portal. ncdenr. org/web/wq/aps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100..Do not -
submit this agreement for review without a- corresponding application form_ (FORM: RLAP 08-11).
Unless otherwise_ noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. nd Owner Agreement (FORM: LOA 08-11): .
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity otherthan the
Applicant.
A. copy of the. completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.:
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
Theundersigned landowner or his representative hereby permits:
Applicant's name: °o �a 1� �: +n C` f. V® i%
hereinafter referred to as the Permittee, to land apply residuals from the following facility(tes) onto the following land
application site(s) (Le., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)-
Land Use or
Cropping Patterns
Intended Use of Crops
Residduals Source
(optional)
Special note
(no-tilUover-seed?
pasture)
d1C-CA-3S- . 1
LnaC6 ftkrlrn W�
The landowner or his representative.receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, -the use of the land application site(s) described above for the disposal of the residuals..
Chis Agreementshall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this.permit is renewed.
The undersigned landowner or .his: representative and the Permittee agree . to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance,, modifies or cancels this Agreement.

L STiIPULATIONS:
I. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for
the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, _the landowner shall be
responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section H) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit. 1636 Mail
Service Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In
addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land.application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.6 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of
at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and Tune mixture is suitable for the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on. crop patterns, results of soil
samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g.,
fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land
application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at
appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his
representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect
any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the
permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the
terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after
termination of, this Agreement.
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s)
during active use and for the 12=month period following a residuals land application event. Such controls may include the posting of signs that
indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that
are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event
when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested fora 38-month period following a residuals land application event
when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
M.ALTERNATIVES FOR WATER SUPPLE' WELLS INSED E THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC O2L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
bo dary to be placed closer to the waste disposal area, .such that the water supply well is situated outside of the compliance boundary provided the
gr dwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
A re -defined compliance boundary is needed for field(s) ID: .2,4 `V :2
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
r-1 A re -defined compliance boundary is not needed for this site.
IV.. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID:
is currently permitted under another residuals land
application program; Permit Number WQ- The land owner hereby acknowledge that by signing this agreement, he/she is
requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program;_
(Name of the new program)
FORM: LOA 08-11 Page 2 of 3

Landowner's. Certification:
I certify that I: am a deeded landowner of the above -referenced land application site(s) and am authorized -to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized,ahrough
a power of attorney or other legal delegation, to make decisions regarding the use of the. land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced_ land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity.- Furthermore, I certify. that I have.read this Agreement, .
understand the stipulations, restrictions, alternatives: for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the'Permittee to land applyresiduals to the land application site(s) as specified
herein.
Landowner name:; Turbyfill Properties LLC; Sidney L. Turbyfill; Manager
Address: 4300 Biggerstaff Road
City, Maiden ... State: North Carolina .: Zip: 28650
Phone: [phone] E-mail address: SidTurbyfillgearthlink.net
Signature: Date:
GEORGIA, FAYETTE COUNTY
` ���rti i ed Notary Public do hereby certify that Sidney L. Turbyfill personally appeared before me this day and
`e� 'A
, ..... . s
ue execution of the forgoing instrument.
�QJ•'V �•�i® -Flo'mManiand official seal this the
y91fi ,20
® o� d
® V �
:
�Flbtt'�ion expires: aL — lJb —A
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: Elmore Farms
Address:4862 Range Ridge Road
City: Claremont State: North Carolina: Zip: 2861.0
Phone:[phone] -mail address:[e-mail]
Signature: �JG�C. Date.
Permitte e's ice.
ieation:
;irem.
I cert' that
I'have read this eeme do he eb ee to abide b�e�pt[laIions�r cti ns as s�• -
' y� y. .
Signing official nam
Signature - Date: 0�9�d1r����
FORM: LOA_08-11 Page 3 of 3

State of North Carolina
Department of Environment and Natural Resources.
W_ Division of Water Resources
�livision of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original :and two copies of the application and
supporting documentation
For more information or for an electronic version -of this form, visit the Land Application Unit (LAU) web site at:
http://portal. ncdenr. org/web/wq/aps/lau
General - This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2)ffor 'habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
A. Set ack Waiver Agreement:
Submit the completed- and appropriately executed Setback Waiver Agreement (FORM: SWA 08-11) form. Please do not
-make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions; attachments to the
pp
li tion may made, as long as the attachments are numbered to correspond to the section and item to which. they refer.
Pr are a separate agreement for each property from which a waiver is being sought.
y other setbacks required by 15A NCAC 02T .1108 other than those referenced above, cannot be waived through
execution of this agreement.
A copy of the completed and executed agreement must be provided to the property owner..
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable. residences)
e undersigned property owner hereby permits:
Applicant's name: L; n.coinfon �►
Applicable Field ID: AI C _ CA- : ' 3.1- ® �
hereinafter. referred tows the Permittee, to land apply residuals within ,JDO 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: ` 7, e :f�e
City: State: a/ (.`'� zip:
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as: the undersigned property owner owns the property described herein.
The undersigned property- owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
- 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: L < = ,� 'i�E—��/ f ix a s t ,; �- .� d I to �L e �`� J i-- �:
Signature: A Date: ��� �� ---Z e
FORM: SWA 08-13

—F. d J
State of North Carolina
Department of ]Environment and Natural Resources
Division of Water Resources
;Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one oril4inal and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http //pa•tal.ncdeir:org/fiver. �c/aps/lau
General - This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2)jfor habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each property from which a waiver is being sought.
❑ Any other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement.must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
he undersigned property owner hereby permits:
Applicant's name: � 11u r°, 4- 14�1►� <. 1 ►. VC IX
Applicable Field ID: X f- CP - 35 j I
hereinafter referred to as the Permittee, to land apply residuals within Ofr feet (i.e., cannot be less than 100 feet) of
the residence or place of public ssembly locate he f�J4
Location ad ess o property: (.(1 !�Ila, I
City: State: Zip:
This Agreement shall remain in effect forthe 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.
211 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 two the Permittee to land apply residuals to land application site(s) as specified herein.
FORM: SWA 08-13 Page 1 of 1

10
� BVJC#
LEGEND
;,i r � Syr±.� '�yt � f � f ♦,
APPLICATION AREA
UNSUITABLE AREA
— —�— — — PRIVATE ROAD
WATER
— — — — STREAM
ONSITE HOUSE
— DRAIN
®
OFFSITE HOUSE
X X X FENCE
OUTBUILDING
PROPERTY LINE
0
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
I
NC-CA-35
Fields 1-3

TOPOGRAPHIC MA?k
N
A
GRAPHIC SCALE
1 " = 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C�l�l�-35
i the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-3-

VICINITY RAAP
GRAPHIC SCALE
1" = 2,000'
2,000' 0 2,000'
compliance boundary is established either 250 ft from the residuals application area or 50 feet within
e property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-35
Fields 1-3

CUMULATIVE METAL LOADINGS..(LDS/ACRE) AS OF 8/27/2014
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR"
Date'
Field ID
Last Applied
As
Cd
Cr
Cu
Pb
Hg
Mo
Ni
Se
Zn
NC-CA-00035-0-000.1
NC- CA-00035-0-0002
NC-CA-00035-0-0002-A
NC-CA-00035-0-0002-B
NC-CA-00035-0-0002-C
NC-CA-00035-0-0003
NC-CA-00035-0-0003-A
NC=CA-00035-0-0003-B
03/2014
12/2005
11/2013
11/2013
11/2013
12/2005
04/2014
04/2014
0.2421
0.2240
0.2683
0.2831
0.2667
0.0899
0.1514
0.1.894
0.1565
0.1195.
0.1325
0.1401
0.1331
0.0807
0.0972
0.0986
5.0419
2.7591
4.5412
4.5555
4.2300
2.1203
4.2476
4.0183
16.5181
11.1460
14.1525
14.8058
13.8215
6.2507
12.1681
21..,9567
1.9411
1.2721
1.4153
1.5202
1.4044
0.9955
1.1818
1.2106
0.0627
0.0427
6.6478
0.0504
0.0474
0.0347
0.0411
0.0430
0.5477
0.3325
0.4354
0.4660
0.4227
0.2550
0.3786
0.3591
2.0893
1.3206
1.5343
1.6756
1.5100
1.0438
1.3227
1.3436
0.2553
0.1978
0.2369
.0.2362
0.2260
0.1348
0.1811
0.1787
35.1922
22.2698
26.0954
28.6923
25.8234
16.0243
20.4977
19.5496
Page: 1 of 1
8/27/2014

SITE SUMMARY
City of Lincolnton
Lincolnton, NC
Site ID:
NC-CL-02
Owner:..
Jeff Carpenter
Stanley Carpenter
Address:
3541 Hog Hill
Road
P.O. Box 602
Vale, NC 28168
Cherryville, NC 28021
Phone:
[phone]
[phone]
Operator:_
Jeff Carpenter
Address:
Same
Cleveland County
Fields
Estimated
Applicable
Acres
Crop(s) .
RYE -based
Annual PAN limits
(pounds/acre/year)
Predominant
Soil Series
(map unit)
Latitude
Longitude
(D.M.S)
1
20.5
..Fescue (pasture)
hay 158 /pasture 119
Pacolet
(PaC2)
35°26'00.2" N.
81°28'55.9" W
3
2.8
Fescue (pasture)
hay 139 / pasture 104
Pacolet
(PaD2)
35°25'55.0" N
81°29'12.0" W
4
24.9
Fescue (pasture)
Fescue (pasture)
hay 209 / pasture 156
hay 158 / pasture 119
Cecil
(CaB2)
Pacolet
(PaC2)
35°26'04.5" N
81'29'11.2" W
35°26'00.8" N
81°29'21.3" W
5
11.7
6
3.7
Fescue (pasture)
Fescue (pasture)
hay 158 / pasture 119
hay 158 / pasture 119
Pacolet
(PaC2)
Pacolet
(PaC2)
35°25'53.2" N
81°29'30.7" W
35°25'42.6" N
81°29'18.0" W
7
33.4
TOTAL
97.0
Notes:
Field 7 is new
I
i
Date: -.
08/15/14
i

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

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of .
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s), by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or.related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0.105(h) allows the
9co pliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
bo ndary provided, the groundwater standards can be met at the newly -established compllii7ance.boundary. Please mark one of the following;
A re -defined compliance boundary is needed for field(s) ID: /l/ C_ G-li D / O
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 08-11 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or.other permitted: entity.. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein. I>
Landowner name:
Address:,, � LI i /`(— 9 1 1,
City: V U- State: d�
Phone: 00 q J -�2 7 6 E- it address: -S Ca � --�
Signature: Date:
NORTH CAROLINA, COUNTY
Zip:
yt c 2 lt�
I, the undersigned Notary Public do hereby certify that i tP1 ce- (initialsoM personally
i appeared before me this day, and, being duly sworn, stated that in his/her presence ��r��!���5 i� signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal this the ,%� day of 5, 20 ,
Signature and seal:
MN -
My commission expires: E NOTARY Pt1BLIC
DAVIE COUNTY
STATE OF NORTH CAROLINA
Lessee's/Operator's Certification:
I certify that I have read this Agreement and:do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this A nt and do eby agree to abide
%bby�the stipu i ns a d restrictions as
ssBspecified herein.
Signing official na e: /"'vg r v2�✓ G G'�/� G
Signatur . Date:
FORM: LOA 08-11 Page 3 of 3

s clie Vzd a rr..rvr crr�,rfGq
�0F W A rF9Q State of North Carolina
`p G Department of Environment and Natural Resources
c� r Division of Water Quality
LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (EAU) web site at.
http portal ncdenr org/web/wa/aps/lau
General — This: document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted,. the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. L nd Owner Agreement (FORM: LOA 08-11):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
[� Applicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the_lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: ` -J
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
A arvPm Pn t'
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
o
(optional)
Special note
no-till/over-seed/
pasture)
QUGGL o2-v
The landowner or his. representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such tim.e as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Page 1 of 3

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

Landowner's Certification:
I: certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified -
herein.
Landowner name:
Address: 1"_��
Q
i
City: State: Zip: !
Phone: E-mail address t<°f0a6 ` o ��
Signature:
Date:
` 4 `" AAA% COUNTY
NORTH CAROLINA, ,
I, the undersigned Notary Public do hereby certify that iAl.7G<'C (initials>t„1I4 personally
appeared before me this day, and, being duly sworn, stated that in his/her presence &, ,j 1 � signed
the attached document and acknowledged the due execution of the foregoiing, instrument.
WITNESS my hand and official seal this the ;X-7 V"' day of , 20 /*
Signature and seal: 1 _�
My commission expires:
Lessee's/Operator's Certification:
I certify that I have read this
Lessee/operator name:
Address• 3 -9
NOTARY PUBLIC
STATE OF NORTH CAROLINA
and do hereby agree to abide by the
-(A� Z " -_ OU,:j
and restrictions as specified herein.
City:
•-la State: I Zip:
Phone: 74 Lf _ 7 4 - 3--2,7 9 ­3� E-mail address: P
Signature: Date: ^ l
Permittee's Certification:
I certify that I have read this gre d do y agree to abide by the stipulate and r strictions as specified herein.
Signing official
�� •.
Signature: Date: !/�
FORM: LOA 08-11 Page 3 of 3

APPLICATION MAP
LD4.
b+11 $
`\ , 4,'�� y�'^3 �$ � � ,� - �'i Q ad +�.,j) µ� ftr�•. ti� !
al " �{
�\` 3� �'°�.,,� �� R � d °C 4tt� ��T ' _ ifs. 5 #R 3,'"}� ' i � �e i� } /•[3_ �"a; `i f 3
JC
. e
z r
�Tj i• M
4�>�
O
\ray —------------ 0`g{
s
��
iMe
•4
�� i +i.. {1
-• `4 1.+.S f.7
_�y)bl
`Y -V.-'ice`
VS h: .)Jki�j
fi _iP 9 3
�
LEGEND
APPLICATION AREA UNSUITABLE AREA
— — - - — — PRIVATE ROAD O WATER GRAPHIC SCALE
—. — — — STREAM !; ONSITE HOUSE 111 = 6601
660' 0 660'
— DRAIN OFFSITE HOUSE ® �;
—�� FENCE ❑ OUTBUILDING
PROPERTY LINE 0 WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-C L-02
in the
property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
C q
f e� dS Y 3�

APPLICATION MAP
--
ky °
-
-
• LO. • - ,� tT 1_ ,e
aft �\ ,N��1� � �, k '$i. "�.�tr� ��' ? ✓�,F, r��..
'V V
} �.• r�'
A.,
�l f_ � `•. F ' � � t f ;t�. t �y fir'' d - y� � j, .,,� yfd ..
1.%y' •tb k r- g'� `' } S� Al'l' �'W�Y �;, - •,( f i � �lt J � ems. } f ,, k � � ,Y l `4...)'\ 'L � '� e
r p � `a'a- ''R; rt r"
�'�a�V
'
a Yf•����e s f�� " G � �''
r 2 y,y �•.
lri �T�Y �r. �• � �-. .� �Q i - } �L. a2� .- C.'� � ?'� .c �.� .i
(` '� J�' �'.. 'h y✓i a.rr � it
�y�O�`1 \ '.V\ � � �q`.
{y l ! d v _ f 4�� 5. #
�g a S T' • d _ _, r it �' >�` �,y,
tr rn '
T � -v'ta t -. x. y P. rfi � 'a' dE' \.,��x � �• �-�'1� �.yti�� se ��kty{`�ta `f
,M
■t � 3'",.,��':��T�t 1{�. 6.•C•i H�yTI� yr kti ..?�'. .-l'F` t ti .5 � Yi'i '�
.ter'
ryr,
.y■=' ".�• •.'� G' �t ,•' 1,5 a'�,E•►.�,��' r,;;-
r
b,t
•�w`S
'
•/ ��1 �Pt k.t..ritfi yam: •}µ - !i � b`•P�} ^W `. Jy,,.9 •9'.. �k�,•XryVi p
^[� �
I , f.t ' � t FT x � pp '1 '^'�" � ` J�� i"lC '1i '� k � "t 'J �� k�k8 '� 7�•
�, ,...1: �S '�O ..F s •? \ c, • f s... ''f ! t'4� Ja��l��+�7
t LF D .'.C; P.
6
w4'y1 ^ '�-' A•'"r', '.(�1•t T� � f. �4..�°•�
{ C,.S'
LEGEND
APPLICATION AREA UNSUITABLE AREA
WATER
- - - - = - PRIVATE ROAD O. GRAPHIC SCALE
— — — — STREAM ONSITE HOUSE 1 " = 660'
660' 0 660'
— DRAIN OFFSITE HOUSE
—;� FENCE OUTBUILDING
PROPERTY LINE.- .0 WELL
The compliance boundary is established either 250 ft from the residuals application area or'50 feet within
N C-CL-02
in the property boundary, whichever is closest to the application area. The review boundary is established
midway. between the compliance boundary and the perimeter of the residuals application.area. All
locations are approximate.
Field 7

n
N'
w �,�qyf ice, �,�_ ��� { 1 ; �•'� + ..tr '�`,�� 4.�. �Y.. t
♦ ► \ 1 ►`♦' 1 1 / ♦ ♦�♦l ► •,� ���r. inn �• .., '}l
f
r
h CiiA
Q r nYs 1 1hi' filyr•.,:.. eti t ! ✓ r
ii10� { { • } `'!'4 1 •�'tr.T..a.#xr =N� �.'�
•�+� � + PaCr2 �+
..1 1 ..1
e e ee e. .• •e 1 • e .•• • • 1 ,
• ••- e• •. • • .•e a •e 1. .e -•

(ni SOIL SURVEY
.x
aTMV
��far yi aa5' �P+s{��}. ,�. a '�°'r� �Y Y �. r •t+.' '>`4a 5l � � yr r 3��Ra}}y.,.i
,�i .. ♦ 1 " 4' riy�4Y7 •it. ' ♦. � � �. b� � 1\ .t\ IC • �(* . �. J l ll✓ ':
16
i. 9 si:.d44 ,4 t, V ► ►x ► �i•y�°t �, e � �-. , C� ��f a �- cyat 1 J �T' , Mkt'
,�ti' r(Y r• t y * _x,.. ' r � �,�,it + � ,
VA � {' ��� 7 • n � � T-e;' •t ,r 4� �. �Y �r �y � �F _. r : r, � } ti.�. 5 4 �,
W.
.yam{ `, ► ► v 7» ,�. �+•,, T�/�.� ` '
r ►� t,�
GRAPHIC SCALE
V=660'
660'. 0 : 660' ..
The -compliance boundary is established either 250 ft from the residuals application area or 50 feet within- N C-C L-02
in the property boundary., whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter.of the residuals application area.`AII
locations are approximate. Field 7

1M,
TOPOGRAPHIC MA
GRAPHIC SCALE:
1" = 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals. application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
-midway between the.compliance boundary and the perimeter of the residuals application area.: Al
locations are approximate.
NC-CL-02
Fields 1, 3-6
M6- 111I

I
_ :..
_ __
r:•.i.l('',I.L:an91 -
�•I`;tta�i:.'�rlr,;y'
- _ _ ;•I_c�.i:r..'s
•
_ r_rl Irlrll� 1
_ � ,up.I i�,; _ —
- r_; rlr.rl`•,
_- ____ _
_ :I.r'.�•"r.l..•�ru' 1
I
_
I.•f�lul'ri•1
,i4.
_
GRAPHIC SCALE
1" = 660'
660' 0 660'
1
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area..All
locations are approximate.
NC-CL-02
Field 7

VICINITY MAP
z
0.
GRAPHIC SCALE
1':'= 2,000'_.
2,000' 0-. 2,000'
The compliance boundary is established either 250 ft from the residualsapplicationbrea or 50 feet within
: NC-CL 02
in the -property boundary, whichever is closest to the application area. The review boundary is established
midway between the.compjiance boundary and the perimeter of the. residuals application area. All
1ocations are approArnate.-,
Fields .1 .3-6

I F VICINITY ■

CUMULATIVE METAL LOADINGS LBS/ACRE) AS. OF (
8/27/2014 .
The Cumulative metals for this re ort come from LTD Period Table records i.e. a Monthl . Re ort has been produced: and the loadings have been archived to History.
P l� Y P P 9
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not.Required the loading on the report is
displayed as "NR"
Date.
:Field ID
Last Applied As Cd = Cr Cu Pb
Hg Mo
Ni -Se
Zn
NC-CL-00002-0-0001
03/2012 - 0.0086 0.0017 0.2047 0.3922 0.0223
0.0006 0.0137 _
0.0275 0.0017'
0.5642
:NC-CL-00002-0-0003 :
09/2005 0.1955 . 0.0279 1.7085 3.1192 ' 2.0915
0.0174 0.2797
0:5075 0.0622
6.5832
NC-.C:L-00002-0-0005
09/2005 0.0934 0.0321 1.0572 4.6841 1.3206 ..
0.0117 .. 0.3481.
0.5862 0.0412
8.9495
NC-CL-00002-0-0006
09/2005 0.0965 . 0.0086.: 0.7298 0.9976 0.8603
0.0038 0.0864
0:1635 0.0180
1 A241
Page: 1 of 1
8/27/2014

SOIL DESCRIPTION SHEET
Project: bftz, "k,
Site: -L- Field:
SYNAGM0
A Residuals Management Company
k
Landowner: 'ird 7 2es�'
Sample #: Slope: ?
Acres (gross): Acres (net): Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture
Color
Structure Mottles
PROFILE A
4?
Depth to SHWT:
Depth & type of restrictive. layer:
Soil Series:
Horizon Depth Texture
Color
Structure -Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:,
Notes:
Described By -
Date:
p
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
Granular
abk Angular Blocky
I Loam
2 Moderate
-gr
pl Platy
sbk Subangular Blocky
si Silt
.3 Strong
pr Prismatic
sg Single Grained
c Clay
cpr Columnar
m Massive

Page 1- of
q.
r A &L Eastern Laboratori,es.:
RepNumber: 1'4-219-0573
ort N
v
.
Account Number: 46467
" 7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
... . ...
www,aleastemco'm Sub ILL DGES
itt HO
Send To: SYNAGRO CENTRAL LLC/LINCOLNTON Grower:l ed By: W
mFarm
- Mary Brewer. .
JEFF.CARPENTAR ID:
284 BOGER RD
NC-CLr02
MOCKSVILLE NC 27028
LINCOLNTON 50-2161
SOIL ANALYSIS REPORT .Analytical Method,(s): :.: „
Mehlich 3
Date Received: 08/07/2014, Date Of Analysis:
08/08/2014 Date Of Report: 08/08/2014
Organic Matter
Phosphorus
Potassium
Magnesium
Calcium
Sodium
pH
Acidity
C.E.0
Sample ID
Lab..:
_ . ENR
Mehlich 3
Reserve: _
K...
Mg
Ca :.:
Na..:...
Soil .:.
_ Buffer
.... H
Field ID
Number
% Rate • Ilis1A
ppm Rate
ppm. Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
P H
Index
meg1100 g
meq/100 g
0.7 .:
.....
"
74 H:
129 H
•284 VH
.1110 M
35.:. VL
6.3
1.0
0.4
02771
5.9...
9 H 150
NC=62
NC=66
Percent Base Saturation
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper.:
Boron .
Soluble Salts
Chloride
Aluminum
Sample ID„
K..
Mg
Ca
Na
H
:NO N
:.S
Zn
Mn
Fe
Cu
B
SS
Cl.
Al
Field ID •
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm : Rate
ppm ''Rate
ppm Rate
mslcm Rate
ppm Rate
ppm
07
13 L
6.5 H ..
25 H ..
196 VH
2.5: H
6 .
0. M
0 VL
.15 .
3.5'
25.2
59.0
1.6
10.5
NC=27
NC=162.5
NC=156
NC=125.0
Values on this report represent the plant available nutrients in the
Low), L M (Medium),
Explanation of symbols: % (percent), pprn (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a
(pounds per acre), ms/cm (milli -mhos per centimeter), meq/1 OOg maximum of thirty days after testing. ' by
soil. Rating after each value: VL (Very (Low),
... H (High),. VH (Very:High)..ENR - Estimated Nitrogen Release.
(milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble Anal sis re arena A&L Eastern Laboratories, Inc.:
Y. p F Y
a
C.E.C. - Cation Exchange Capacity.
Salts. ms/cm x 640 = ppm.
Pauric McGroary.

City of Lincolnton
Lincolnton, NC
site ID:
NC-CL-04
Owner::
Dennis Martin
William Martin
Address:
P.O. Box 114
4408 Fallston Road
Fallston, NC.28042
Shelby, NC 28150
Phone:
[phone]
[phone]
Operator:
Same
Cleveland
Estimated
RYE -based Predominant _ Latitude &
Applicable
Annual PAN limits g'
Soil Series.' Longitude
i
Fields
Acres Crop(s)
(pounds/acre/year) (man unit) (D.M.S)
1-
25.3
Fescue (pasture)
hay 209/ pasture 156
Cecil
35°24'02.9" N
(CaI32)..
.81°29'32.9" W
2 .:
19.0
Fescue (pasture)
hay 209/ pasture 156
Cecil
35°26'11.8" N
(CaB2)
81°29'23.1" W.
3
..15.2
Fescue (pasture.)
hay 209/ pasture 156
Cecil
35°26'19.7" N
(CaB2)
8:1°29'28.3" W
4.
25.7:
Fescue (hay).
hay 209/ pasture 156
Cecil
35°26'22.5" N
(CaB2) .
81°29`36.5" W

Department of Environment and Natural Resources
c� r- Division of Water Quality
LAND OWNER AGREEMENT
<. FORM: LOA 08
`lease use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise no the Applicant shall subniit one original -and two conies of the application and
supporting documentation
For more information or for an electronic version of.this form, visit the Land Application Unit (LAU) web site at:
Iztt //yortal ncdenr.org/web/wg/ans/lau
General —This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class,B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless: otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below. .
A. L d Owner Agreement (FORM: LOA.08-11):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be,made, as long as the attachments are numbered to correspond -to the section and itein to which -they refer. :.
Prepare a separate agreement for each set of land application sites that are owned or:operated .by an entity other than the
Applicant.
A copy of the completed -and appropriately executed agreement must be provided to the landowner and the lessee/operator.:-
AGREEMENT FOR TIRE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
Che undersigned landowner or his representative hereby perinks:
Applicant's name: G r 7y 42E -
hereinafte.r referred: to as : the : Permittee to land . apply residuals from . the following faeility(ies) onto -the following land .
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Residuals Source: Special note
Site/Field ID Lease Land Use or Mended Use of Crops (no-till/over-seed/
(yes/no) Cropping Patterns (optional) pasture)
GG o 4L.
The landowner or his representative receives, in consideration, full use of: the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described. above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit, for the, residuals land application program -and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee .agree to 'abide with the following restrictions and
-:stipulations until such time as written notification, given 30 calendar.days in advance, modifies or cancels this Agreement:
FORM: LOA 08-11 Page 1: of 3

Y. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping pattems, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
lb. The landowner or his representative will provide the Permittee'
with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms. and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after, termination of, this Agreement.
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts -below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below.the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
IMALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area,. such that the water supply well is situated outside of the compliance
bdary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
A re -defined compliance boundary is needed for field(s) ID: 42 G G G ®Z'� � 2
(Please include: the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new nrogram:
(Name of the new program)
FORM: LOA 08-11 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded .landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions, regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are. not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: f. i �S.N 2� • �; ! Vv /tJ �.
City: -< /j 2 % to State: N C- Zip:'
Phone: -7 — �' 6 E-mail address:
Signature:
Date: �_ p
NORTH CAROLINA, t t' COUNTY 7
I, the undersigned Notary Public do hereby certify that o ��_ AJie f, (initials:ti%J ) personally _
appeared before me this day, and, being duly sworn, stated that in his/her presence `LX lio wl. signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand a officia seal this the 10— day of Vo--At !j , 20
Signature and seal:
AMtES R. BLAC
My commission expires: .4 �� 1 _RIQaslY
Lessee's/Operator's. Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Perrnittee's Certification:
I certify that I have read
Signing official
Signature:
State: Zip:
E-mail
Date:
,e to abide by the ulations/,and restriction�slas specified here
—.Date:_
FORM: LOA 08-11
Page 3 of 3

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

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

Landowner's Certification:
I, certify that I am a deeded landowner of the above -referenced land. application site(s) and am
regarding the use of the land application sites) on behalf of other deeded landowners OR that I:am otherwise
a Power of attorney or other legal delegation, to make :decisions :regarding the use of —the authorized ut make decisions.
p Y - wise authorized,. through
deeded landowners:: I certify that the above -referenced land :application: site(s) :are not included in anywaste land application sites) on behalf of the
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agree_ act or
understand the stipulations, restrictions, alternatives forwater supply wells inside the:compliance bound
Agreement, -
field. transfer, and do hereby grant permission to the Permittee to :land apply residuals to.the land
herein: :. ar'y,_acknowledgement of
application site(s) as specified:
Landowner naine:
i P'
Address. Po
City::. :(
State:
Zip:cCi/i
Phone: 7 6 y- L.1 7: ) l
A
E-maif address: %►'� c)4;j s
Signature: t �y; f i
� o
/► Date:
NORTH CAROLINA,
COUNTY.
1, the undersigned Notary 'Public do hereby certify that t�
(initials:(�j
appeared me this day;.and , being duly sworn, stated ersonay
that in his/her:presence�,f
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand_ and official. sea] this the —
day:of
SignatureJ , 20 .
: and seal:
My.commission expires.
NOTARY PUBLIC
STATE OE NORTH NA
GAS
Lessee's/0 Certification:
I, certif
y that l have read this Agreement and do hereby agree to abide by the stipulations and restrictions as. specified
Lessee/Operator name: p cified herein.
Address:
City
State:
Zip:
Phone:
E-mail address:
Signature:
- - - Date:
Permitte'e's CO rtirkatioan
I certify. that I have read this
e d do eb agree to abide b the stipu ns and restrictions as specified herei .
y
Signing official me: . `a
Signature::
Date:
FORM: LOA 08-11
Page 3 of 3

APPLICATION MAP
Nr
i Ek ♦ s 1 a � '
_ ♦ 9 � `{�li `' ^4i, Try. � ♦ f '•� •. C 1.r.
.
'1 i
yl7 a<. t. q•, r�
VW
�ONil��.�i5i.i,
t
Ac
I ,K A' i
��
�^ - ;�
r �6��y✓T4.+�ix it y `S C' °Z-' i h rl'n %. `'?4
•i
� g4!S-
'?ato♦� s4� a'yy,•,�y P.� s1,d 6 rlG} �". a' " t ,47.t �'.
y
26'22.50"N
�. • aV r: c"i �`: ,� elykss'- �..,p- n (� O 'R i s t k�C `: � yc
�Yd". A x � ay r�+ Pc. �, t Q"C'
�T` �i
`[W�`•
i Z+ i {-) 5 Y``A
W.
"'fit X i
•tip. !'r t Y �.� hl� If�, � x� � h 'iS. 1"1'�•Cw
♦ 7� � L- � r
LEGEND f�l
-APPLICATION AREA UNSUITABLE AREA
— — — — — — PRIVATE ROAD O WATER
GRAPHIC SCALE
— - — — STREAM ONSITE HOUSE 1" = 660'
660' 0 660'
— DRAIN . OFFSITE HOUSE
FENCE OUTBUILDING
0PROPERTY LINE WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within.
N C-CL-04
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the.perimeter of the residuals application area. All
locations are approximate.
Field

APPLICATI N MAP
s� 4 R!!`
ey.
-
q"���.
yQ r �1.� �� a.{',xi S s...,g „l, s�+( +.+ F5 '-hj ,?4•,y�i� 'I� y� d«. .`t qd '��+ 1 \ }'� ,k' r. 5� i g'i "'NNd .+[# '.A�.h $�
.. l '1 V E ,.
ti\ ± y `Y-�•
4KX
i
"4-�"iyp, '6ayr,
y�F"
Y
s'd, a•� ' w nY�,�e'i `° C 'a•Y.„ 4 .€' y e' A "'�.+x :'',. ' J s. %>„� r}ik h _
A*�,,°s g,,.,��yP
4 }
1.
iG. �• ��'"` $ C
i'G�
Ln
�'ctA 74
#'irs..4 "li.1y,,},mayt�`t\i 4 tt! �;
y t,,,.g
-�
.
W 4"�ps, ? C" cpt •�i {,., }?y i \ .�e�a C'..'j,r"tf
W.
'} it �
�
2 �t=�'" t �i � 4 p igi
-'t Tp' � � {$`mob x aa'd� �' 'Y[ ✓S �F �� � A�
y3'
�f � ✓ � � ;. .➢� � Y �. -{ 4'j {{ vA d .f � y tY tom. S �, '84 4 ;_ z .
.N
t* S1 7d
•" t 5. �+.�Y'..�
r.,^s.s
a� 1 L S '
'�'iC`
ax &'�k• L �s8n,
1 x 'ct r' t ..k4�d d' x 4 1 s "4�
• ` ,� a. p L ,*.y s z'i yr' $ ram" s i rN .:. f'Yi` '
'a, t s �+ t ss✓ •-,. s �� prz-i'�� .�' fir+..
� t'-cR' k 5
�
1. � .4 TrR � f • •� �q SF F� Id � � � �, t 7h 4ilP, :SYX;'`4�T $ .
..
5�,
�yr e rl s•r0. � Y r.. .� s t '✓9.' r�'xt° ri� P�,
t x a;i ► ��q8 � -
i p
�* i'`''{� � �T i >< °i '4.. f � J -/i/ �, 8�, - h�r�•IL$,�a'.� �-t q� � ��4.
Aja 0,
.,�Qrp
FCO\ E. '1 g
� £ ` 3 `'
4°';y
1:.tr' •lJ ro.. 2 =_• i '�,4
ty't,�� , F• � `; ` `�"r )
4 AwiR o �G?t 4fi..,�
.
LEGEND
APPLICATION AREA UNSUITABLE AREA
— — — — = — PRIVATE ROAD O WATER GRAPHIC SCALE
.
STREAM ONS.ITE HOUSE 1 " = 660'
660': 0 660'
— - DRAIN ® OFFSITE HOUSE
FENCE OUTBUILDING .:
PROPERTY LINE , WELL
The compliance boundary is established either 250 ft from the residuals application area. or, 50 feet within
N C-C L-04
in the property boundary, whichever is closest to the application, area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate: -
Fields 2'

SOIL SURVEY
GRAPHIC SCALE
I" 660'
660" 0.. 660' .
The compliance boundary is established either 250 ft from.the residuals application area or 50 feet within, N C-CL-04
in the property boundary, whichever is closest to the application area. The review boundaryis established
midway between the compliance boundary and the.pedmeter of the residuals application area. Ali
locations are approximate. Fields 2 - 4

-
TOPOGRAPHIC MAP
�.
r�
ll-lil_�,1 L•� _ ✓r �rLI. I I lllr: r
�r !rUlll � 'U111i. I'
• ..
i+r
^' Imo, y,� .r�
rr 111
T,
-
-�rti
�
�
'� II
ii 1.1:` 1`Ir
PI:1'r'ha. �1•IIr �
.I
�. r i � �
: - -
t'. �i rrt:
•r�l)FITi`
I'
�
-
. __ ,1
1
- j�I
I r'pU]!'I'`' -. .�� _ _ '�'�'lit'IT1•,i .1 ,I. 1 ,5
GRAPHIC SCALE
1".= 660'
660' 0 660
,.
compliance boundary is established either 250 ft from the residuals application area or 50 feet within . N C—C L_04
le property boundary, whichever is closest to the application area: The review.boundary is established_
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Field 1.

GRAPHIC SCALE
1 = 660'
660' 0 660'
ie compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC -CL-04
he property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 2'4

m

SOIL DESCRIPTION SKEET
Project: �Aj/�,a,,
Site: <,Y Field: j
,acres (gross): ,acres (net): _
poll//
SYNAGRO
A Residuals Management Company
Landowner:
Sample #: Slope:.
Crop: r-5�'-eu '
t
SOIL PROFILE
DESCRIPTIONS
Horizon Depth Texture
Color
Structure Mottles
PROFILE A
f� 6,
.
Depth to SHWT:,
:Depth & type of restrictive .layer:
Soil Series: ei<z— t
Horizon Depth Texture
Color
Structure Mottles
PROFILE E
. -.:
Depth to-SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:s.
Described By:,
Date:,f!
Legend .
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr Granular
abk Angular Blocky
Loam:
2 Moderate
pl : Platy
- sbk Subangular Blocky
si Silt
3 Strong
pr Prismatic.
sg . Single Grained.
c Clay;
cpr Columnar
m Massive

SOIL DESCRIPTION SHEET
Project:
Site: �'I- a e-� Field: 7
Acres (gross): Acres (net):
SYNAGB,,,0
A Residttale Management Company
Landowner:
Sample #:
Crop:".
SOIL PROFILE DESCRIPTIONS
Slope: ?
Horizon Depth Texture Color
Structure: Mottles
PROFILE A A
Depth to SHWT:ys'
Depth & type of restrictive layer: �/.)
Soil Series:�.
Horizon Depth Texture Color
Structure Mottles
PROFILE D
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
_Described By:�
Legend
Texture Structure Grade
s Sand 1 Weak
Loam 2 Moderate
si Silt 3 Strong
c Clay
Date:
Structure Tvae
gr, .
Granular
abk
pl.
Platy
sbk
pr
Prismatic
sg
cpr
Columnar
m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SYNAGRO
SOIL DESCRIPTION SHEET A Residuals Management Company
Project: mir. t�;�'' `
1 Landowner: �
Site: eil - Field: Sample #: Slope:
Acres (gross)-, Acres (net): Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color ..: Structure Mottles .
PROFILE A
AP � t� MCI 11�',
��/
Z.
d� r cc "it 7. �r
Depth to SHWT:>y
Depth &.type of restrictive layer::... €
Soil- Series::: r x—
-Horizon Depth Texture Color Structure Mottles
PROFILE B
:Depth to SHWT:. -
Depth & type of restrictive layer:
Soil: Series:..
Notes:
Described By - , Dater Q
Legend
Texture
Structure Grade ° Structure Type
s . Sand
1 Weak gr : Granular abk Angular Blocky
Loam
2 Moderate pl Platy sbk Subangular Blocky
si .. Silt
3 Strong pr Prismatic sg Single. Grained
c . _ ay
= cpr Columnar m Massive

SOIL DESCRIPTION SHEET
Project:
Site: Field:
Acres (gross): Acres (net):
Horizon
PROFILE A k,
SYNAGIRO
A Residuals Management Company
Landowner:
Sample #: Slope:
Crop.
SOIL PROFILE DESCRIPTIONS
Depth
Texture
. -Color
Structure
nA ell
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series: /{jr
Mottles
PROFILE B Horizon Depth Texture Color Structure Mottles
Depth to SHWT:
Depth. &.type of restrictive layer:
Soil Series:.
Notes: ". io. uo
Described By: :
Le end
Texture Structure Grade
s Sand 1 Weak
I Loam 2 Moderate
si Silt 3 Strong
c Clay
Date:
Structure Type
gr Granular abk Angular Blocky
pl Platy sbk Subangular Blocky
--pr Prismatic sg Single Grained
cpr Columnar m . Massive

Page 1 a
Report Number: 14-219-0571
.Account Number:46467 AS�
www.aleastem.com
Send To: SYNAGRO CENTRAL LLC/LINCOLNTON
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
Date Received: 08/07/2014 Date Of Analvsis: 08/0812014
A&L Eastern Laboratories
7621 Whltepine Road Richmond, Virginia 23237 [phone] FaX [phone]
Grower: Submitted By: WILL HODGES
DENNIS MARTIN Farm ID:
NC-CL-04
LINCOLNTON 50-2161
SOIL ANALYSIS REPORT.
Date Of Renort.. ns/nR19n14
Analytical Method(s): .
Mehlich 3
Organic Matter
Phosphorus
Potassium
Magnesium
-
Calcium
Sodium
pH
Acidity
C.E.0
Sample ID
Lab
ENR
% Rate
Mehlich 3
Reserve
K
Mg
Ca
Na
Soil
Buffer
H
Field ID
Number
Ibs/A
ppm Rate
ppm Rate
ppm Rate
ppm
Rate
ppm
Rate
ppm
Rate
pH
Index
meq/100g
meq/100g
01
62751
6.6 H 150
70
H
245 VH
349
VH
1129
M
16
VL
NC = 58
NC = 125
6.1
6.78
1.5
10.7
02
02752
8.9 VH 150
82
H
201 VH
311
VH
993
L'
17
VL
NC = 68
NC = 103
1
5.8
6.74
�T_
10.1
03
02753
9.6 VH 150
45
M
169. H
413
VH
1276
L
18
VL
NC = 37
NC = 86
5.8
6.69
2.4
12.8
04
02754
5.4 H 148
43
M
H
205
H
M
15
VL
NC=36
�138
NC=71
�757
6.1
6.84
0.9
6.9
Sample ID
Percent Base Saturation
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper
Boron
Soluble salts
Chloride
Aluminum
Field ID
K
Mg
Ca
Na
H
NON
S
Zn
Mn
Fe
Cu
B
SS
Cl
AI
%
%
%
%
%
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm
Rate
ppm Rate
ppm
Rate
ms/cm
Rate
ppm Rate
ppm
01
5.9
27.2
52.8
0.7
13.7
14 L
5.0 H
19 M
324
VH
1.7 H
0.6
M
0.27
VL
NC=29
NC=125.0
NC=119
NC=85.0
02
5.1
25.7
49.2
0.7
19.0
�14 L
5.7 H
�21 H
�244
VH
12.0 H
10.4
L
0.18
VL
NC=29
NC=142.5
NC=131
NC=100.0
03
3.4
26.9
49.8
0.6
19.0
115 L
5.5 H
128 H
1289.
VH
2.2 H
0.8
M
0.16
VL
NC=31
NC=137.5
NC=175
NC=110.0
04
5.1
24.8
54.9
0.9
13.6
11 L
4.9 H
61 VH
220
VH
1.9 H
0.5
L
0.1
VL
NC=23
NC=122.5
NC=381
NC=95.0
.vdwes on tnis report represent ine plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing.
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble by: ?W'. or Gew
C.E.C. -Cation Exchange Capacity. Salts ms/cm x 640 =ppm.
Analysis prepared by: A&L Eastern Laboratories, Inc.
Pauric McGroary

Site ID:
NC-CL-05
Owner:
Leon Leonhardt
Address:
3730 Fallston-Waco Road
Lawndale, NC 28090
Phone'
[phone]
Operator:
Same
Estimated
Applicable
Fields
Acres Crop(s)
SITE SUMMARY
City of Lincolnton
Lincolnton, NC
Cleveland
RYE -based Predominant Latitude &
Annual PAN limits Soil Series Longitude
(pounds/acre/vear) (map unit) (D.M.S)
1
12.7
Fescue (pasture)
hay 209 / pasture 156
Cecil
35°24'29.7" N -
(CaB2)
81°28'50.2" W
2
11.3
Fescue (pasture)
hay 158 / pasture 119
Pacolet
35°24'40.6" N
(PaC2)
81°28'42.8" W
3
23.9
Fescue (pasture)
hay 209 / pasture 156
Cecil
35°25'00.1" N
(CaB2)
81°28'41.0" W
4
15.0
Fescue (hay)
hay 209 / pasture 156
Cecil
35°25'10.6" N
(CaB2)
81°28'42.7" W
5
16.9
Fescue (pasture)
hay 158 / pasture 119
Pacolet
35°24'48.0" N
(PaC2)
81°28'56.2" W
6
13.6
Fescue (pasture)
hay 158 / pasture 119
Pacolet
35'24'40.5" N
(PaC2)
81°28'55.1" W
7
8.8
Fescue (pasture)
hay 209 / pasture 156
Cecil
35°24'58.3" N
(CaB2)
81°29'17.1" W
8
13.3
Fescue (pasture)
hay 209 / pasture 156
Cecil
35°24'38.9" N
(CaB2)
81°29'06.3" W
9
18.9
Fescue (pasture)
hay 209 / pasture 156
Cecil
35°24'28.2" N
(CaB2)
81°29'03.3" W
corn
-131
Cecil
35°24'19.9" N
10
11.8
soybeans
do 155 / fs 185
(CaB2)
81°28'58.8" W
wheat
115
11
31.3
Fescue (pasture)
hay 209 / pasture 156
Cecil
35'24'14.1" N
(CaB2)
81°29'14.0" W
12
27.5
Fescue (pasture)
hay 209 / pasture 156
Cecil
35°24'27.4" N
(CaB2)
81°29'30.6" W
13
4.5
Fescue (pasture)
hay 209 / pasture 156
Cecil
35°24'37.3" N
(CaB2)
81°29'29.5" W
corn
131
Cecil
35°24'46.2" N
14
8.2 -
soybeans
do 155 / fs 185
(CaB2)
81'29'29.9" W
wheat
115
TOTAL
217.7
Notes:
Date: 08/15/14

,<% G C i, - 05 Department of Environment and Natural Resources
j r Division of Water Quality
fa . LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted.. Adherence to these
instructions and checking: the. provided boxes will help produce a quicker review -time and reduce the amount of additional
information requested. Failure to submit allof the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the. application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (MU) -web site at:
http: //portal. ncden.r. org/web/wglaps/lau
General — This -document is an agreement between the: Applicant' and land owner(s) of residuals receiving sites for land_ application -of
Class B : residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM:.RLAP 08-11).
Unless otherwise noted, the Applicant shall submit.one original and two copies of the application and supporting documentation listed
below.
A. L d Owner Agreement (FORM: LOA 08-11):
Submit the completed and, appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized. content changes to this form. If necessary for clarity or due to:space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
repare a separate agreement for each set of land.applicaiion sites that are owned or operated by an entity other than the
Applicant.
A copy of the completed and appropriately executed agreement must• be provided to the landowner and the lessee/operator:
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application sites) .(i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this '
Agreement:..:
= Lease Land Use or Residuals Source - Special note
SitefField ID Intended Use of Crops (no-tiWoaer-seed/
(yes/no) Cropping Patterns (optional)
pasture) . .
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the.
Permittee receives, -in consideration, the use of the land application site(s) described above forthedisposal of the residuals.
This Agreement shall. remain in effect for the -length of the Division's permit for the. residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or. cancels this Agreement.
FORM: LOA 08-11 Page 1 of 3

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement.until all of the site restrictions (under Section II) are met.
: 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be, applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits,
10. The landowner -or his'representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc:) that have been applied to the land application site(s).
11. The landowner or his: representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land -application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
TI. RESTRICTIONS:
-
I., Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to .the .land
application site(s) during active use and for the. 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2.' Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that -will be used to prevent'access during these periods after such residuals_ land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application:event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of -the -land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below. the surface of the land shall not be harvested for 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested fora 12-month period following a residuals land application event.
III -ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLL4,NCE BOUNDARY: (please check one)
15A NCAC 02L; .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T 0105(h) allows the
compliance boundary to be placed closer to the waste disposalarea, such that the water supply well is situated outside of the compliance
rbou ary provided the groundwater standards can -be met at the newly -established compliance boundary. Please mark one of the following;
A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale- -for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
W. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
The land application field4s) ID: //
L� 5 I 3
is currently permitted under another
residuals land application program; Permit Number WQ: 017Q The land owner hereby acknowledge that by signing this
agreement, he/she is requestin that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program; irn r o ds¢A t .9 L'.7 i P
(Name of the new program)
FORM: LOA 08-11
Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contractor
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand .the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the, Permittee to land apply residuals to. the land application site(s) as specified
herein.
Landowner name: - Z? ZeoA-1;
Address: — JZM _ & j{®fir AIA ea
p y ��.e� /I/C
City: Fy���.:' State: Zip:
Phone: E-mail address:
Signature:. e .
Date:
NORTH CAROLINA,
COUNTY
1, the undersigned Notary Public do hereby certify that _jjcu,
(initials74AA personally
appeared before me this day, and, being duly sworn, stated that in his/her presence ®_ won/ L,,i�al�{ � signed
the attached.. document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand a d official seal this the �7� ._110'� r
day of
Signature and seal:
My commission expires. v 3 d (�PSON
ptauc
VIE COUNTY
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: - State:
Zip:
Phone: E-mail address:
Signature:
Date:
Permittee's Certification: .
I certify th,
Signing off
Signature:
Vations and restrictionsas speci fid herein.
ol
_ Date:
FORM: LOA:08-11
Page 3 of 3

APPLICATION MAP
LEGEND
APPLICATION AREA
17-7-171
UNSUITABLE AREA
— — — — — —
PRIVATE ROAD
O
WATER
— — — —
STREAM
•
❑
ONSITE HOUSE
—
DRAIN
.
OFFSITE HOUSE
#�—
FENCE
OUTBUILDING
.PROPERTY LINE
0
0
WELL
POOL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
V = 660'
660' 0 660,
NC-CL-05
Fields 1 -2, 5-6

\� s
t1
`� • l+ pis �<4 ` f � ° , - .�
AIL y X ft 1
r4r1
L-
z. (4
O,L
t'
LEGEND
APPLICATION AREA UNSUITABLE AREA
— — — — — — PRIVATE ROAD O WATER GRAPHIC SCALE
— — — — STREAM 0 ONSITE HOUSE 1"=660'
660' 0 660'
— DRAIN . OFFSITE HOUSE
X X FENCE OUTBUILDING
PROPERTY LINE 0 WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-C L-05
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 3-4

APPLICATION MAP
APPLICATION AREA UNbUl I AbLt AKtA
WATER
PRIVATE ROAD CD GRAPHIC SCALE
STREAM F;] ONSITE HOUSE 1 = 660'
660' 0 660'
DRAIN OFFSITE HOUSE
FENCE OUTBUILDING
PROPERTY LINE 0 WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-CL-05
n the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 7-9

-APPLICATION MAP::
a 2
x
r
1 i � �• by i 1 -
< �
} - 1 S 1
Tom#
10)
\ 5 t
L 4 -
.
� v
""-5
e$ v £ ��� •C! t.
f o.
A
�
a
LEGEND
APPLICATION AREA UNSUITABLE AREA
- ROAD O WATER
— — — — — PRIVATE
GRAPHIC SCALE
— — — — STREAM ONSITE HOUSE
_
1 tt 660'
660' ::
0 660' . .
— DRAIN OFFSITE HOUSEq.
- FENCE OUTBUILDING
PROPERTYINE WELL
The compliance boundary is established either 250 ft from the residuals application, area or 50 feet within
N C®C L-O5
n the property boundary, whichever is closest tq the -application area. The review boundary.is established
midway between the compliance boundary and the perimeter of the residuals application- area. All
locations are approximate.
Fields 10�11

APPLICATION MAP
- ■`� `O�/ !per
£
'}¢.. �. � I -
_
A � . •�
'�
-
is —
14
T ,
2El"
r
_ f1
t
-4
•- is -
LEGEND
APPLICATION AREA
UNSUITABLE AREA
— — — — — — PRIVATE ROAD c
WATER
GRAPHIC SCALE
— — — — STREAM
ONSITE HOUSE
1 " = 660'
660' 0 660'
— DRAIN ®
OFFSITE HOUSE
I '
'
FENCE
OUTBUILDING
PROPERTY LINE 0
WELL
The compliance boundary is established either 250 ft from the residuals
application area or 50 feet within
N C-CL-05
n the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the
residuals application area. All
locations are approximate.
�} q
Fields 8, 12-14

SOIL SURVEY �
GRAPHIC SCALE
1°=1,000'
` 1,000, 0 1,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within : N C-CL-05
1 the property boundary, whicheV& is closest to the. application area. The review boundary is established
midway between the compliance boundary and the perimeterof the residuals application area. All locations are approximate. FieOdS q I .6

SOIL SURVEY
` ♦4 "YV
+
x
f
fl
F C�w#3w4 � uw' � � k a !♦
'14 .' sue° r5
KR all
W a� � iZ �i'Y ♦
5`
"� v`t �.y��'♦ � 13
v t
.7. M�+^'t f'�%• iFie�'t`i � �! -� F ';1 `k �;t
r es r o -12'
04
`� � S�`aF4 A . F 1� ti J •.�,
:
•L6 7 t
�, i f
..
GRAPHIC SCALE
V=1,000'
1,000' 0 1,000'
the compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-CL-05
1 the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 7-14

VICINITY MAP
GRAPHIC SCALE
=-2,000'
2,000' 0 2,000'
e compliance boundary is established either 250 ft from the residuals application area or 50 feet within
ie property boundary, whichever is closest to the application area. The review boundary is established NC-CL-05
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-14
_77

ANNUAL LAND APPLICATIOT. , ,, LD SUMMARY FORM ''- .0
PLEASE MAKE A COPY OF THIS: BLANK FORM TO. BE COMPLETED :AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT.APPLICABLE.
Facility- Name City of.Gastonia WQ Permit#:.:.: WQ0001793 Field'#::.: 5 Acres Utilized:
Land Owner: Leon Leonhardt -. Annual Dry Tons Applied: 36.14 i Site #:,:.:, 11.5.:. . Acres:Rermitted: 38.: _.. ..
Operator: Leon Leonhardt Predominant Soil Series:. CaB2 Cation Exchange Capacity (non 503): 0
209 .:.: Crop 2 Name::: Cro '2 Max. PAN:..
- Crop 1 Name: Fescue � Crop I�.Maz. PAN: P P - - --
o
�... o.
Q
Volume applied
(enter one) Solids/ .
Linmd .
Cu. Yds .: Gallons
%
Solids
Volume
Applied per
Acre -
(Dry Tons/Ac)
Residual'Sources
(NPDES #, WQ#,
"Fert., Animal
Waste, etc)
Soil
Cond.
(pry, ._
Moist)
Dry'
Precip.. _
Past 24 .
Hrs:
inches
<.5'!
b�.
n
�:
]
o .
�
o
7y w
�, �,
c
0.5
7y �
.-,
�
""
0 . •
0.2
TIN .
mg/kg
85900
Z
-;
o
w
mg/kg
41000 -
Nitrate
and
Nitrite
mg/kg
59.8
AN AppliedName
P ( lbs acre):.: .
o£Crop Type
Receiving Residual
Application
Crop :1
Crop 2
: Crop 1
Crop 2
1117
91000
2.34.
0.234
Long Creek
S
13.805
NA
Fescue
l/31..
104000 :
„ 2.34
0.267
,Long Creek
Dry:.,
<•5" ..
„ S
,. 0.5
0:2
85900.,
41000:....,59.8
15.778
NA
Fescue....
2/1
'149500
2.34
0.384
Long Creek
Dry
<.5"
S
0.5
0.2
85900.
41000
59.8
22.680
NA
Fescue
2/3
26000:.
2.34
0.067
Long Creek
Dry.
<.5" ..
S
0.5
0.2
85900.
' 41000 ..
59.8
3.944
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM.FSF
supp ( attach FORM F5F supp
to this form):.
TOTALS:
0
370500
:::::: >:
- As
Cd
Cu..
Cr
Pb
H
Mo,
Ni
P
56.2o7
0.000
Lime A lied
Annual lbs/acre
D.010
0.002
0.274
0.590
0.051
0.004
0.029
0.074
0.82.166
:::..:..' :::::°:::::::::::::.x
...........................
::::::.:::.:::.:.:::..::::.:.:::.:::.:.:::::.:.:.:.:...••.......•-•••-•,-•,•••Current
:.:.:.: ::::.: .....
Date .
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
3..Zn
Cumulative lbs/ac
0.010
0.002
0.274
0.500
0.051
0.004
0.029
0.074
0.
Permitted:C. P. L. R.****36
34
13H
267
1.5
374
Permit PAN Limit l st/2nd Crop0
29
"I certify,under penalty of law that this document was -prepared: under m direction or supervision. in: accordance with a s stem .desi ned to assure that
P. ty .y _P Y g
qualified personnel properly gathered, and evaluated the information. submitted. I am aware that, there are signiiicant,penalties.for submitting false. .
information,: including the possibility of fines and imprisonment for knowing violations."
�'PP.ication•Method• S Surf ace, IN - Injection, INC--Incorporation
A l
"
L�
1/23/2013 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
ob digested - . Mineralization Rate :Compost -Oa; anaer Tally digest 0.2,.
xxx. M s
Signature of Land Applier Date
a
._ ... ...
aerobically digested -0.3, raw sludge -0.4
** *C.P.L:R:: Cumulative Pollutant Loading Rate
.. DE R FORM
M F 00

Facility Name:
Land Owner:
Operator:
rt AA
SU1vIMARY _'OItM
A-NiNUAL LAND APPLICATION x,t>e,I�D
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Gastonia WQ Permit #: WQ0001793 Field #: 1 Acres Utilized:
Leon Leonhardt Annual Dry Tons Applied: , 23.01 Site #: 115 Acres Permitted:
Leon Leonhardt Predominant Soil Series: CaB2 Cation Exchange Capacity (non 503):
C..,,,, I A4.=v PAN- 209 Crop 2 Name: Crop 2 Max. PAN':
16
16
0
,�.
o +,.
a)
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil .
Cond.
(Dry,
Wets
Moist)
Dry
Precip.
Past 24
inches
<.5"
Y
�
E' F
a. o.,
C
o
7y
'
.
0.5
�•
x
0.2
TKN
mg/kg
162000
Z
o a
o0 0
?
w
mglkg
115000
Nitrate
and
Nitrite.
mg/kg
541
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving. Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
3/30
32500
0.61
0.052
Crowders Creels
S
6.969
NA
Fescue
4/3
71500
3.03
0.565
Long Creels
Dry
<.5"
S
0.5
0.2
75600
38000
49.5
30.004
NA
Fescue
4/4
104000
3.03
0.821
Long Creels
Dry
<.5"
S
0.5
0.2
75600
38000
49.5
43.642
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
::::
:: :::
TOTALS: 0 208000 ::; ::::::::
Annuallbs/acre
As
0.014
Cd
0.003
Cu
0.459
Cr
0.911
Pb
0.083
H
0.004
Mo
0.034
Ni
0.093
Se
0.003
Zn P
4.778 124.992
80.615 0.00o
::::::::::::::::::::::::::::::
:.:.:.:.:.:.:.:.:.:.:.
Lime Applied
Date lbs/ac
2000
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
4.778
:.::•:•:•:•:.:.:.:.:•
2498
Current Cumulative lbs/ac
0.014
0.003
0.459
0.911
0.083
0.004
0.034
0.093
0.003
Permitted C. P. L. R. ****
36
34
1338
267
15
374
89
' 1st/ 2nd Cr
Limit Permit PAN p
op
209
"I certify, under penalty of law, that this document was preparea under my airectiun ur supci vimuu ►u--vivaxl�.._...
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
1/23/2013 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loadinp_ Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLEASE MAKE
A COPY OF
THIS
PLACE A "N/A" IN .A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Gastonia
WQ Permit #: WQ0001793
Field #: 2
Acres Utilized:
27.5
Land Owner: Leon Leonhardt
Annual Dry Tons Applied: 88.72
Site #: 115
Acres Permitted:
27.5
Operator: Leon Leonhardt
Predominant Soil Series:
PaC2 Cation Exchange Capacity (non 503):
0
Crop 1 Name:
Fescue
Crop 1 Max. PAN: 158
Crop 2 Name:
Crop 2 Max. PAN:
Volume applied
Volume
Soil
Residual Sources Precip. Y
C Z Y
o El
Nitrate
PAN Applied
Name of Crop Type
Receiving Residual
o o
>~ (enter one) Solids/ /o
Applied per
pp p
Cond. past 24
DES #, W #,
(NP Q -0•
D
w Tl< o �
w oa 0
0 0 0
~Nw•
and
(lbs/acre)
Nitrite
Application
+� o Liquid Solids
Acre
Fert., Animal
Wet, Hrs. a o
x w.
Tons/Ac)
Waste, etc) inches �
Moist)
0 mg/kg mg/kg
mg/kg Crop 1 Crop 2
Crop 1 Crop 2
Cu. Yds Gallons
(Dry
<.5" S
0.5 0.2 85900 41000
59.8 2.725 NA
Fescue
2/3 13000 2.34
0.046
Long Creels Dry
3/28 91000 3.03
0.418
Long Creek Dry <.5" S
0.5 0.2 75600 38000
49.5 22.218 NA
Fescue
3/29 84500 0.61
0.078
Crowders Creek Dry <.5" S
0.5 0.2 162000 1.15000
541 10.543 NA
Fescue
3/30 78000 0.61
0.072
Crowders Creek Dry <5" S
0.5 0.2 162000 115000
541 9.732 NA
Fescue
0
0.000 0.00
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
Residuals Applications totals on FORM FSF supp
( attach FORM FSF supp to this form):
::::::::
:......:
As
Cd Cu Cr Pb H
Mo Ni Se Zn
P 45.217 0.00o
Lime Applied
TOTALS: 0 266500
Annuallbs/acre
0.032
0.007 1.021 2.048 0.187 0.010
0.077 0.209 0.008 10.695
280.304:::::::::::::::::::::
Date lbs/ac
Prior Years Cumulative lbs/ac
0
0 0 0 0 0
0 0 0 0
:::::::::::::::::::
Current Cumulative lbs/ac
0.032
0.007 1.021 2.048 0.187 0.010
0.077 0.209 0.008 1 10.695
i
Permitted C. P. L. R....,•::
36
34 1338 267 15
374 89 2498
158
• i st/ 2n dC Crop Permit PAN Limit 1 p
,. __�
nn, `lonna with n cvctem desiuned to assure that
"I certify, under penalty of law, that this document was prepared under my Ulf uuuoia .,I Jupa k ♦ 1-1-
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
1/23/2013 "Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
xYx Mineralization Rates: Compost -0.1, anaerobially digested--0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
*a "CX.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

Facility Name:
ANNUAL LAND APPLICATION 'r.,p,-,D SUMMARY FORM
PLEASE MADE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" D4 A BLANK OR BOX WHEN NOT APPLICABLE.
City of Gastonia WQ Permit #: WQ0001793 Field #: 3 Acres Utilized:
Land Owner: Leon Leonhardt Annual Dry Tons Applied: ; 9.51 , Site #: 115 Acres Permitted:
Operator:. Leon Leonhardt Predominant Soil Series: PaC2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
r V
GC: = 001
18.5
18.5
0
o
t8
Volume applied
PP
(enter one) Solids/
Liquid
Cu: Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
. Soil
Cond.
We '
Moist)
Dry
Precip.
Past 24
11rs.
inches
<.5"
cn b
C
w
CD
0.5
w
c, w
0.2
TKN
mg/kg
85900
Z a
o E
as o
R.
mg/kg
41000
Nitrate
and
Nitrite
mg/kg
59.8
PAN Applied
(lbs/acre)
Name of Crop Type
p
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
1/16
58500
2.34
0.309
Long Creek
S
18.229
NA
Fescue
1/17
39000
2.34
0.206
Long Creek
Dry
<.5"
S
0.5
6.2
85900
41000
59.8
12.153
NA
Fescue
0.000
0,000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
.........
.......
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
.........
..........
TOTALS:
0
97500
:::::::::::::::
As
Cd
Cu
Cr
Pb
Hg
Mo
I Ni
Se
Zn
P
1 30.382
0.0oo
Lime Applied
Annuallbs/acre
0.005
0.001
0.148
0.319
0.028
0.002
0.015
0.040
0.003
1.635
44.410 :: :::
::::::::::::::::::::::::::::::::::*.'.'.*.
.............................
...........................
..................... .
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.0127
0.0021
0.6498
0.2363
0.057
0.0021
0.0359
0.0971
0.0042
3.3968
Current Cumulative lbs/ac
0.018
0.003
0.798
0.555
0.085
0.004
0.051
0.137
0.007
5.031
Permitted C. P. L. R.****
1 36
1 34
1338 .1.
267
1 15.
374
89
1 2498
Permit PAN Limit lst/2nd Crop
P
158
"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
1/23/2013 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

SYNAGB
SOIL DESCRIPTION SHEET -
A Residuals Mandgn` Cpany
Project:.: Landowner:
Site: Field: F Sample #:
Slop e: Z
Acres (gross) :
Acres (net): Crop:
ir�'y:p.
n,
.
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color. Structure
Mottles .
'PROFILE A:
A13 Z�
9a y
4F— � _
-
Depth to SHWT: —z,
Depth &.type of restrictive layer: y
Soil Series:F�
Horizon Depth Texture Color Structure
Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive. layer:
Soil Series:
Notes:
3 ag. �`
Date: �►?,���`
Described :By
Legend
Texture
Structure Grade Structure Type
s Sand
1 Weak - gr Granular
abk
Angular Blocky
Loam
2 Moderate_ pl . -Platy
sbk
Subangular Blocky
si Silt
3 Strong pr Prismatic_
sg
Single Grained
c Clay_
cpr Columnar:,m
Massive

SOIL DESCRIPTION SHEET
Project: �il�•% e't
Site:'�Q ^ a Field:
SYNAGRO
A Residuals Management Company
Landowner:
Sample #: Slope: I
(net): Crop: "'�� �"
Acres (gross): _ Acres )�
SOIL PROFILE DESCRIPTIONS
Horizon Depth
Texture
Color Structure
PROFILE A
G_!
4f2-4
De
PROFILE B
Depth to SHWT7 at
:��
Depth & type of restrictive layer:
Soil Series: `
Mottles
Horizon Depth Texture Color Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: s71 "
Described By:
Legend
Date:
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar . m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL. DEStCRIPTION SHEET
Project: / ae � R . Landowner:
p- SYNAGRO.
A Residuals Management Company
Site:
Field:
Sample #:
Slope: 3
Acres (gross):
Acres (net):
Crop:
SOIL PROFILE DESCRIPTIONS
Horizon
Depth Texture
Color
Structure
PROFILE A V
eh—
g�
y
S P
3 a
A
t, i1
d" 4� 1
IJ
64
v f -
`^e�i
4e
y�
q u - ; V
,
51—
Depth to SHWT: ey
Depth & type of restrictive layer:
Soil Series: ,
Mottles
Horizon Depth Texture
Color Structure
Mottles
PROFILE D
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By: s..
Date:
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
Angular Blocky
I Loam
2 Moderate
pl
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

SOIL DESCRIPTION SHEET
Project:
Site: Field:
Acres (gross): Acres (net):.
SYNAGN
A Residuals Management Company
Landowner:
Sample #: Slope:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE i4 - Q.. epe e -
Depth to SHWT: -�' f
Depth & type of restrictive layer: I
Soil Series: e j 4-4 �
Horizon Depth Texture Color Structure
PROFILE B
Notes:
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series: y
v a 0 -241 ul pa
Date:
Described By: �"
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Mottles
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SKEET
p SYINAGRO
A Residuals Management Company
Project:
Landowner:
Site: et, Field:
Sample #:
Slope: Gf
Acres (gross): Acres (net):
I Crop:��
«��«
SOIL PROFILE
DESCRIPTIONS
Horizon Depth Texture
Color
Structure Mottles
PROFILE A ilj9 6, e''
Depth to SHWT: 7 t46e
Depth & type of restrictive layer:
SoilSeries:
Horizon Depth Texture
Color
Structure Mottles
PROFILE B
Notes:
Legend
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
C;d `G rW
Described By: 6,.:
Date: a-3��t:
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

Ogt SYINAGPQ
SOIL DESCRH'TTON SHEET AResiduals ManagementCompany
Project: Landowner:
Site: 41.V Slope: Field: Sample #: —
Acres (gross): Acres (net): crop:
Horizon
PROFILE A >zS
SOIL PROFILE DESCRIPTIONS
Depth
Texture
Color Structure
,¢'sue
A q?
R
Depth to SHWT: r�
Depth & type of restrictive layer: �
Soil Series:
Horizon Depth Texture
PROFILE B
Legend
Mottles
Color Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
7t°`a2,...+,r..L1,' ," /-4?1it9, �Y�F ;-r.iI-
Described By:
Date: o % � v
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SHEET
SYNAGRO
A Residuals Management Company
Project: L'I4 w �-:t
Landowner:
Site:, `
Field:
'Sample #:
Slope:
Acres (gross):
Acres (net):
Crop:
- )1
.0"
BOIL PROFILE DESCRIPTIONS
Horizon
Depth Texture
Color
Structure
PROFILE A 4,P
6,-
win
Depth to SHWT: '-e e4
Depth & type of restrictive layer:
Soil Series: �If
Horizon Depth Texture Color Structure
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Mottles
Mottles
Described By: v
+x Date:
Legend
Texture
Structure Grade
Structure Type
s Sand
I Loam
si Silt
c Clay
1 Weak
2 Moderate
3 Strong
gr
pl
pr
cpr
Granular abk
Platy sbk
Prismatic sg
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL, DESCRIPTION SHEET
Project: l f6,1,, A Landowner:
Site: ek- ~ Field: o Sample #:
Acres (gross): Acres (net):
SOIL PROFILE DESCRIPTIONS
SYNAGWO
A Residuals Management Company
Slope:
Horizon Depth Texture
Color
Structure Mottles
PROFILE A f- h•-.& L
�'r ' J &
l m.
�v^
Depth to SHWT: '7 Y
Depth & type of restrictive layer:
7
Soil Series: /`Z-4i.,
Horizon Depth Texture
Color
Structure Mottles
PROFILE D
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By:T,_.. Date:_
h
Legend
Texture Structure Grade Structure Type
s Sand 1 Weak gr Granular abk Angular Blocky
I Loam 2 Moderate pl Platy sbk. Subangular Blocky
si Silt 3 Strong pr Prismatic sg Single Grained
c Clay cpr Columnar m Massive

SOIL, DESCRIPTION SHEET
Project: °rg-
Site: �-I, Field: -I
10#
SYNAGIRO
A Residuals Management Company
Landowner:
Sample #: Slope:
Acres (gross): Acres (net): Crop:'''_:>
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color
Structure Mottles
��"�
PROFILE A lip D o !ergg 6 &. ��'�
�{{ er,
�
dS x� —I 0
�V>f�
Depth to SHWT:/,
Depth & type of restrictive layer:'°'
Soil Series:d�°F
Horizon Depth Texture Color
Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:°
n e e8 d e,
Described By: t '
Date: 4 7,.fv 3 0
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
Angular Blocky
I Loam
2 Moderate
pl
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

SOIL DESCRIPTION SHEET
Project: I1 ' F m°xf 'Y4,,Q Landowner:
Site: b. Field: 1� Sample #:
Acres (gross): Acres (net):
, SYNAGRO
A Residuals Management Company
Crop: 11b e.J epw
SOIL PROFILE DESCRIPTIONS
Horizon
Depth Texture
Color
Structure
PROFILE A
-- 6-
(,,(d /,,.%
..,`.r
Depth to SHWT:'
Depth & type of restrictive layer:
Soil Series:
Horizon Depth Texture Color Structure
PROFILE S
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
u q
Described By:
Slope: /'I- Z-
Mottles
Mottles
Date:
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I Loam
2 Moderate
pl
Platy sbk
Silt
3 Strong
pr
Prismatic sg
_si
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SHEET
Project: Landowner:
X�1N)
SYNAGRO
A Residuals Management Company
Site:Field: Sample #: Slope: Z
Acres (gross): Acres (net): Crop: r4'rCq '2
SOIL PROFILE DESCRIPTIONS
Horizon
Depth
Texture Color
Structure
PROFILE AT+�
^p
7}n-=
/'di? Gf/,
L
PROFILE B
Depth to SHWT: - gij ,
Depth & type of restrictive layer:
Soil Series: 4,�
Mottles
Horizon Depth Texture Color Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
9
Described By:
Legend
4
Date: 4o 7
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SHEET
Project:
Landowner:
Site: [I- •, & �., Field: 12 Sample #:
SYNAGRQ
A Residuals Management Company
Slope: Z.
Acres (gross): Acres (net): Crop: 0'd
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A feI.
/Z ``V a: a
Depth to SHWT: ?
Depth & type of restrictive layer: ``' �?
Soil Series: e-Se.h
Horizon Depth Texture Color Structure Mottles
PROFILED
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: 7<r; 1;2- ''
A u ! 2 T Sn
Described By: J! Date: *7 4 dalz4 9
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular
abk
Angular Blocky
I Loam
2 Moderate
pl
Platy
sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic
sg
Single Grained
c Clay
cpr
Columnar
m
Massive

SOIL, DESCRIPTION SHEET
Project:
Site: eI-"
Landowner:
Field: U Sample ##:
�Illr,
SYNAG-�O
A Residuals Management Company
Slope:
Acres (gross): _ _ Acres (net): Crop: t -
SOIL PROFILE DESCRIPTIONS
Horizon
Depth Texture
Color
Structure
PROFILE AT
j ageg5.
,n
PROFILE B
Depth to SHWT: '�,
Depth & type of restrictive layer: : e2e k
Soil Series: �� r
Mottles
Horizon Depth Texture Color Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
eggl I,
Notes: f
Described By:
Date: ,� Lou:
Legend
Texture
Structure Grade
Structure Type
Sand
1 Weak
gr
Granular abk
Angular Blocky
s
I Loam
2 Moderate
pl
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

SOIL DESCRtIPTION SHEET
Project:
Landowner:
Site: Field: Sample #:
Acres (gross): Acres (net):
I I/�
SYN-AGRO
A Residuals Management Company
Crop: Zp,t 1'4& o r
SOIL PROFILE DESCRIPTIONS
Slope:
Horizon Depth Texture Color
Structure Mottles
PROFILE A Ao 0-6 to �;-,"? d' E,
i
t",4'
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Horizon Depth Texture Color
Structure Mottles
PROFILE E
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: � y �' " ��� t ` � l4l <
Described By:
Date: .a`'
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
Angular Blocky
I Loam
2 Moderate
pl
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

Page 1 of 3
Report Number: 14-219-0572 �y
Account Number: 46467
www.aleastern.com
Send To: SYNAGRO CENTRAL LLC/LINCOLNTON
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028.
A&L Eastern. Laboratories
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax (604). 271-6446
Grower: Submitted By: WILL HODGES
LEON LEONHARDT Farm ID:
NC-CL-05
LINCOLNTON 50-2161
SOIL ANALYSIS REPORT Analytical Method(s):
Mehlich 3
uateKeceiveu:uo/Ur/LU1-+
va -_', y_.
Organic Matter
.+
, ------
Phosphorus
--
Potassium
Magnesium
Calcium'
Sodium
pH
Acidity
C.E.0
Sample ID
Field ID
Lab
Number
%
Rate ENR
Ibs/A
Mehlich 3
ppm Rate
Reserve
ppm Rate
K
_ppm Rate
Mg
ppm
Rate
Ca
ppm Rate
Na
ppm
Rate
Soil
pH
Buffer
Index
H
meq/100g
meq/1009
02755
6.4 H
150
26
L
NC=22
218 VH
NC=112
254
H
911
M
19
VL
6.0
6.80
1.3
8.6
01
8.4 VH 150
16
L
NC=13
219 VH
NC=112
327
VH
1207
M
16
VL
6.5
0.8
10.1
02
02756
03
02757
7.6 VH 150
101
VHF
NC=84
380 VH
NC=194
384
VH
1236
M
17
VL
6 6
0.7
11.1
4.1 ' M
123
53
H
NC=44..
62 L
NC=32
227
VH
855
M
18
VL
6 8
0.2 .
6.6
04
02758
6.6 H
150
52
H
NC = 43
182 VH
NC = 93
287
VH
951
M
15
TA6-4
O,g
8.4
05
02760
K
%
Percent Base Saturation
Mg. Ca Na H
% % % %
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper
Boron
soluble salts
Chloride
Aluminum
Sample ID
Field ID
NO3N
ppm Rate
S •
•ppm Rate
Zn
ppm Rate
Mn
ppm Rate
Fe
ppm Rate
Cu
ppm Rate
B
ppm Rate
SS
ms/cm Rate,
CI
ppm Rate
Al
ppm
1.0
15.5
9 VL
NC=19
4.0 H
NC=100.0
19 M
NC=119
135
VH
1.3 M
NC=65.0
.0.6
M
0.18
VL
01
6.5
24.6
53.0
5.6
27.0
59.8
0.7
7.4
8. VL
NC = 17
4.0 H
NC = 100.0
62 VH
NC = 388
103
VH
1.4 M.
NC = 70.0
0.8
M
1 15
VL
02
0.7
5.9
11 L
NC = 23
11.3 VH
NC = 282.5
66 VH
NC = 413
155
VH
2.4 H
NC = 120.0
0.8
M
0.25
VL
03
8.8
28.8
55.7
1.2
2.9
7 VL
NC = 15
3.8 H
NC = 95.0
55 VH
NC = 344
102
VH
1.5 M
NC = 75.0 .
0.6
.
M
0.11
VL
04
2.4
28.7
64.8
9.0
9 VL
NC = 19
5.1 H
NC = 127:5
23 H
NC = 144
173
VH
1.3 M
NC = 65.0
0.4
L
0.13
VL
05.
5.6
28.5
56.6
0.8
Values on this report represent the plant available nutrients in the Explanation of symoois: %u tpercemi, ppm tpar[s Per nwn�i rl, ��,h ,_ ,, ��� r• -- -- - -
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. by: Pow« r (fewy-
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble Analysis prepared by: A&L Eastern Laboratories, Inc.
C:E.C. - Cation Exchange Capacity: Salts ms/cm x 640 = ppm.
Pauric McGroary

Page Z of 3
Report Number: 14-21970572 -
'NILA&L EasternLabors ores
Account Number: 46467 7621 Whitepihe Road Richmond, Virginia 23237 (804) 743.•9401 Fax [phone]
wwwaleastern.com WILL
• Grower: ' Submitto d By W
IL L HODG.
Send To: SYNAGRO CENTRAL LLC/LINCOLNTON CEON LEONHARDT Farm ID:
Mary Brewer
284 BOGER RD
N C_CL_05
MOCKSVICLE NC 27628 ..:
" LINCOLNTON 50=2161
Analytical Method(s)i
SOIL ANALYSIS REPORT Mehlich 3
Date Received: 08/07/2014 Date Of Analysis: 08/08/2014 Date Of Report: 08/08/2014 -
Organic Matter
Phosphorus
Potassium
'Magnesium
Calcium
Sodium
PH
Acidity
C.E.0
Sample ID ..
Lab
E NR
Mehlich 3
Reserve- -
K"
Mg
Ca
- Na
..; ...
Soil..
Buffer
H
-
Field ID
Number
%
" 'Rate
Ibs/A
ppm , Rate
ppm Rate
ppm Rate.
ppm
Rate
ppm
Rate
ppm
Rate
pH
Index
megl100g
meq/100g
06 ., .
- .:36
M
305 VH
312.: :..
VH
:925
L
17...... ...:
VL
..
7,.
5..
6.71
2.2
10.2
02761
. 7.5 VH . 150
NC = 30
NC = 156
121 VH
127 H
183
H
780
M
19
VL
5.9
6.131
1.2
7.0
07
02.762
_....
4.8 _ M
136
-
NC -101
...NC=65. .
148 VH
130 _ H
157
H
576
L
16
VL
5.6.
6.79
1.4
6.0
08
p2763
..:
5.0 H.,
,. 141 .:..:
NC.=.123 ...
„
NC_ =66
90 H
227 VH,
194
H
591.
L
16
VL
5.5
6.75
1.7.0
.8
Og
02764'..
.:.:
7.3 VH 150
NC = 75 :...
-
NC: _ 116
__T1_
140 UH:
128 ..:.,_ H
.173:.,
H:
958
M.
21
VL
6.2
7�.6
02765
4.6
M 131
NC:=117
NC=65
Percent Base:Saturatiori .:
Nitrate
Sulfur ;
Zinc::
Manganese
Iron
Copper
Boron
Soluble salts
Chloride ...Aluminum
Sample ID
K
: Mg
Ca
Na
H.
NO N'
3
S .: :
Zn
Min
Fe
Cu
. B
SS
Cl
AI
_
Field ID
.,.
.,
%
..
%
% .
.:
%
_ .
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm
Rate
.ppm Rate
ppm
Rate
mslcm Rate
ppm - Rate
ppm .
10 L
5.3 H
21. H
206
VH,
1.3 M
0.3
VL
0.26
VL
06
7.7
. 25.5
45.3
0.7
21.2.
.
. ,
NC = 21 '
NC = 1325
NC.=:131
NC:= 65.0
...
8.3. VH
22 H
276
VH
.j:0A:'.:..,.L2.L
3.8'" VH
0.1
VL •
4.7
21.8
55.7
1:2
17.2
NC = 23
NC = 207.5
NC = 138
NC = 190.0
7 VL
9.7 VH
12 :.M
216
VH
2:0 H
0:3,;.;
VL'
0.14.
VL
08
5.6
21:8
48 0_
1.2
23.3.
NC =:15,
NG =, 242.5
NC = 75
NC = 100.0
12 L
6:7 H
14 M
237�VHI..�5CM;
0.2
VE
0
.32231
09
42.2
1:0.
25.9
NC = 25
NC. = 167.5
NC=8875.0
28
1NC
1 M
89
VH
3.9 : VH
0 5
L
0.18
19:0.
63.0 .
...1.2
1
12.:
NC _ 58
NC - 113
NC - 195.0.
Values on,this.report represent the plant available nutrients in the Explanation of symbols; % (percent), ppm (parts per; million), Ibs/A . This report applies to sample(s) tested. samples are retained a M
ounds er_acre mslcm mdh-mhos per centimeter),'me /100 maximum of thirty days after testing. (� 1'�C
soil.. Rating after each value: VL (Very Low), L (Low), M (Medium), (p p ) (. Pq g 0
by;..:rG�c
H (High), VH (Very High). ENR - Estimated Nitrogen, Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble Analysis prepared by: A&L Eastern Laboratories, Inc.
C.E.C.:-.Cation Exchange Capacity: Salts ms/cm. x 640 = ppm..:
_ .. McGr
... ` Paunc oary. ..

Page 3 of 3
v A&L Eastern Laboratories
Report Number: 14-219-0572
� �
Account Number:46467
7621WhltepineRoad Richmond, Virginia23237
[phone] Fax [phone]
vmw.aleastemxom
Send To: SYNAGRO CENTRAL LLC/LINCOLNTON Grower:
Submitted By: WILL HODGES
LEON LEONHARDT
Farm ID:
Mary Brewer
284 BOGER RD
NC-CL-05
MOCKSVILLE NC 27028
LINCOLNTON 50-2161
SOIL ANALYSIS REPORT.
AnalyticalMethod(s):
Mehlich 3
Date Received: 08/07/2014 Date Of Analysis: 08108/2014 Date Of Report: 08/08/2014
Organic Matter
Phosphorus Potassium Magnesium
Calcium Sodium
pH
Acidity C.E.0
Sample ID Lab ENR Mehlich 3 Reserve K Mg
Field ID Number % Rate Rate
Ca Na
Rate ppm Rate
Sol I Buffer
pH Index
H
meq/100g meq/100g
Ibs/A
ppm Rate ppm Rate ppm Rate ppm
ppm
26 L
160 VH
334 VH
1071 M
13 VL
6 7
0.4 9.0
11
02766
6.3 H 150
NC = 22
NC = 82
15 L
95 M
226 H
787 L
15 VL
5.5
6.72
2.1 8.3
12
02767
9.9 VH 450
NC=12
NC=49
32 M
37 VL
167 . VH
602 M
14 VL
ii 3
0.5 5.1
13
02768
3.7 M 117
NC=27
NC=19
187 VH
90 M.
145 H
805,, M
15 VL,
6.3
�.76.2
14
02769
2.3 L 87
NC =156
NC = 46
Percent Base Saturation
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper
Boron
Soluble Salts
Chloride Aluminum
Sample ID
K
Mg
Ca
Na
H
NON
S
Zn
Mn
Fe
Cu
B
SS
Cl AI
Field ID
oho
.
%
%
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm
. Rate
ppm Rate
ppm Rate
ms/cm Rate
ppm Rate ppm
7 VL
4.0 H
20 M
184
VH
1.4 M
0.5 L
0.15 VL
11
4.6
30.9
59.5
0.6
4.5
NC = 15
NC = 100.0
NC = 125
NC = 70.0
11 L
4.6, H
11 • M
298
VH,
1.3 M
0.4 L
0.13 VL
12
=2_922.7
47.4
0.8
2.5.6
NC=23
. •
NC=115:0
NC=69
NC=65.0
8 VL
4.5 H
11 M
133
VH
1.1 M
0.3. VL
0:08.. VL
13
1.9
27.3
59.0
1.2
10.5
NC=17
NC=112.5
NC=69
NC=55.0
7 VL 10.3 VH 16 M 110
VH 3.3 VH 0.5 L
0.11 VL
14 _
3.7 19.5 64.9 1.1
10.5 NC = 15 NC: 257.5 1 100
NC = 165.0
Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A
centimeter), me /100
) q 9
This report applies to sample(s) tested. samples are retained a
maximum of thirty days after testing.
by: PAWia me �pyi�/
P ) ( P
soil. Rating after each value: VL (Very Low); 4.(Low), M (Medium), (pounds per acre), mslcm milli -mhos per
2 =Ibs/A, Soluble
o
H (High), VH (Very. High). ENR - Estimated Nitrogen Release.
(milli -equivalent per 100 grams). Conversions: ppm x
Analysis prepared by: A&L Eastern Laboratories,
Inc.
C.E.C. - Cation Exchange Capacity.
Salts mslcm'x 640 = ppm.
Pauric McGroary

SITE SUMMARY
City_of Lincolnton
Lincolnton, NC
Site ID:
NC-LT-06
.=Owner:
Mike Macomson
Address:
2739 River Road
Lincolnton, NC 28092
Phone:
[phone]
Operator::
Same
Lincoln County
Estimated
RYE -based
Predominant
Latitude &
Applicable .-
Annual PAN limits
Soil Series.
Longitude
.:Fields :
Acres Crop(s)
(pounds/acre/year)
(map unit)
(D.M.S)
1
44.6 :
Fescue (pasture)
hay 216 /pasture 162
Lloyd
35°31'24.5" N
(LdB2)
81°16'52.6-" W
2
29.4
Fescue (hay)
hay 209 / pasture 156
Cecil
35°30'40.3" N
(Ce132)
81°15'55.8" W

3 LS L"L� YYA 1 N Va aaa vwa vuauuw .
.... �. .,,w 1. . ..
q�l QG Department of Environment aa�d FTatural Res®urce�
y Division of dater Quality .
r:
�.
LAND OWNER AGREEMENT.
FORM::LOA 08-11
Please use thefollowing instructions as- a checklist in order to ensure all required- items are submitted.,: Adherence to these
instructions and checking the providedboxes will. -help produce a quicker review time and reduce tho _amount of additional
information requested.. Failure to. submit all ;of .the, required items will -lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two conies of the application and
supporting documentation .
For.'more mfonynatio n or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
Izttp I/portal rzcderzr:or=g%weh/tivq/aasfiau
General — This document is an agreement' between the Applicant: and land .owner(s):of residuals -receiving sites for land application of
Class 13 residuals (may include. water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without:a corresponding application foram (FORM:-RLAP 08-11).,
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A: L d Owner Agreement (FORM: LOA 08-11):
Submit the` completed:` and appropriately executed Residuals Source.Certification (FORM: LASC 08-11) form. Please do not,
make -any -unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
"
application.may be made,. as long as the attachments are numbered to correspond to the section and item to which they refer.
�] Prepare a separate agreement for each set of larid application sites that are owned.or operated by an: entity other than the
Applicant..
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREENENT FOR TIE' LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND.
The -undersigned landowner or his,representative hereby permits: .
A licant'sname: G � ��/ f7 L. wI 0AN 19i U
PP -7: ..
hereinafter referred to as the Permittee, to nand apply residuals from the :following faeility(ies) onto the :following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in :this
Aereement:.
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 remin .i an affect for. the length of the Division's permit for the. residuals land application program and
shall be renewed. each time this permit is renewed:
_ The undersigned landowner or his representative and the Permittee agree to abide ,with the following 'restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
- - g 1
FORM: LOA 08-11 Page of 3

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

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply'residuals to the land application site(s) as specified
herein.
Landowner name: A \ i Ike {VAa.14)V^
Address:
J.�k
City: 75•� e J 'p,.r' ,r, State: �`� ' L Zip: 7—!30 V2
Phone: I `'S3 E-mail address: L d�t @ yttw'-
Signature: L/ V VYq Date: 3 "-3 O ` f %
NORTH CAROLINA, �AV, COUNTY
I, the undersigned Notary Public do hereby certify that l�6kt.��(�SS (initials rri personally
appeared before me this day, and, being duly sworn, stated that in his/her presence M i)46r, signed
the attached document and acknowledged the due execution of the foregoing instrument.
A
WITNESS my hand and official seal this the % day of 1;� , 20_��
Signature and seal: -
10THOUMN
My commission expires: 1) 3 A IM ARY PUBLIC
1� des: i AV9E COUNTY
Lessee's/Operator's Certiffication:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
I certify that I have read
Signing official m
Signature:
and do
State:
E-mail address:
agree to abide by the
y
Zip:
Date:
Du at' o s a d restrictions as specified herein.
,.r
Date:
FORM: LOA 0841 Page 3 of 3

State of North Carolina
nWR
Department of Environment and Natural resources
Division of Water Resources
SETBACKWAIVERAGREEMENT (FOR RESIDUALS PROGRAM)
hivision of Water Resources FORM: SWA 08-13
tted. Adherence to these
Please use the following instructions as a checklist in orderproduce ensure uicker eview times and reducelthe amount of additional
instructions and checking the provided boxes will help p q time for the
information requested. FaiIureto submit erevi a of dall
the A required
hallitemsublmill t one or ad to canal anditional ptwoeco ies of the aw li ation and
permit application. Unless oth
supporting documentation
For more information or for an electronic Ve r io no t his or/m, visit web/w ha an Application Unit (LAU) web site at:
htW:ll
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T 1108(bl(2�for habitable residences or place of public
eement for review without a corresponding application form (FORM: RLAP 08-13).
assembly only]. Do not submit this agr
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM:-SWA 08-11) form. Please do not
make. any unauthorized content changes to this form. - If necessary for. clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to. which they refer.
❑ Prepare a separate agreement for each property from which a waiver is being sought.
❑ Any other setbacks required by 15A NCAC 02T .1108 other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: v -
Applicable Field ID: �� C O& O t '
hereinafter referred to as the Permittee, to land apply residuals within I OOO 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: 8 a 0 54 121a ®g &r s &kG L n
City: n c@(A4®n
State: Af C Zip:
This Agreement shall remain in -effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner owns the property described herein. given 30 calendar
The undersigned property owner agrees to abide by this Agreement until such time as written notification, g
days in advance, modifies or cancels this Agreement.
of above -referenced property and- am authorized to make decisions regarding this
certify that I am a deeded property owner
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 n e:
Signature:
Date:
FORM: SWA 0843
Page 1 of 1

APPLICATION MAP
qk
• � 1 IP V �. ��.
.. .. ' 4a'%^'" s,� �:`r•.. '�+ ' i(J" . Tom'•.."•, sz r+!- /' ! `'
. f � . i . Py •9 t � �"
.. 6 �._.y}+y^ •~'^, t''i - , try,_
,.✓ t4 Y
� � r A'� •k • ., W '
I I �. w •4>`L � .
1
. i 1 / jE / •.1 ' 1 .F '
LEGEND
APPLICATION AREA UNSUITABLE AREA
— — — — — — PRIVATE ROAD O WATER GRAPHIC SCALE
— — — — V = 660'
STREAM ONSITE HOUSE
o s660'
— DRAIN ■ OFFSITE HOUSE
FENCE OUTBUILDING
PROPERTY LINE WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-LT-06
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of -the residuals application area. All Feld 1
locations are approximate.

APPLICATION MAP
€.'}.y}&.'
tF sn.T. `gY'g 4" 4I 1' ` itr ;� fk • 'dkY
':i."t tl' 'k ,
F 4 b eTq�$. 'Cy°'tia'..
Ill
LEGEND. .
APPLICATION AREA
UNSUITABLE AREA `
— — — — - — PRIVATE ROAD : W
WATER ..
GRAPHIC SCALE
---- STREAM •
ONSITE HOUSE:
V = 660'.
.
.
660'
p 660'
_ DRAIN
OFFSITE HOUSE I
XFENCE
OUTBUILDING.: .
,PROPERTY LINE.
WELL
The complianceboundary is established either 250 ft from the residuals application area or 50 feet within
N:C-:LT
in the property boundary, whichever is closest to the application area.
The review boundary is established'
midway between the compliance: boundary and the perimeter of the residuals application area. All
Field
locations are approximate.
:2

SOIL SURVEY
GRAPHIC SCALE
V = 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-LT-06
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All Field 1
locations are approximate.

.qnn RIIR\/EY
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate:
NC®LT-06
Field 2

:TOPOGRAPHIC MAP
GRAPHIC SCALE
T'=660
:
660..0660'
The compliance boundary is established either 250 ft from the residuals -application area or-50 feet within NC-LT-06.
in the - property boundary, whichever is closest to the application: area. The review boundary is established
midway between the compliance boundary and the -perimeter of the residuals application area.' All
locations are approximate. Field 1

rig
TOPOGRAPHIC MAP
GRAPHIC SCALE
1" = 660' .:
660' 0 660' .
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-L,T-06
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application. area. All
locations are approximate: Feld 2.
v �

VICINITY MAP
LAI
y'
GRAPHIC SCALE
1" = 2,000'
2,0001 0 2,000-
ie compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C�LT'06
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-2

SITE SUMMARY
City of Lincolnton
Lincolnton, NC
Site -ID:
NC-LT-07
Owner:
Darrell Propst
Address:
1321 J Rhyne Reep Road
Vale, NC 28168
Phone:
[phone]
Operator:
Same
Lincoln County
Estimated:
RYE -based
Predominant
Latitude &
Applicable..
Annual PAN. limits
Soil Series
Longitude
Fields
-Acres Crop(s)
(pounds/acre/year)
(map unit)
(D.M.S)
1
26.9-
Fescue (pasture)
'hay 216 / pasture 162
Lloyd
(LdB2)
35°30'05.8" N
F:
81°20'49.5" W
:TOTAL
26.9
Notes:
Date:
08/15/14

r ac tip-v ,yllULU all i%vriu �.ax�uaaa�
,O G� Department of Environment and Natural Resources::
r- Division of Water Quality
LAND OWNER AGREEMENT..°
._ o.�. .. FORM: LOA 08-11:
Please. use the. following instructions as a checklist, in order to ensure all required. items are submitted.: Adherence to these,
instructions and checking the provided -boxes will help produce a quicker review.time and. reduce the .amount of. additional
information requested.Failure to submit, all of the required- items: -Will 'lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one originala nd two: conies of the application and
supporting documentation
..For:more information, or for an electronic version°of this form, visit the Land Application -Unit (LAU) web site at
-http: //portaL izcdeiir. of g/weblwglapsl7au
General — This document is an agreement: between the Applicant and land owner(s) of residuals receiving sites for land application of:
Class B- residuals (may include water treatment: plant" or other type residuals) in, accordance with 15A.NCAC 02T :1100. Do not'
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11):
Unless .otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below...
A =Land wner Agreement (FORM: LOA 0.8-11):
:Submit the completed, and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not:
make any unauthorized content. changes to this form. If:necessary for clarity. or due to space restrictions, attachments to. the
application may be made, as:long as the. attachments are numbered to correspond to the section'and item to which they refer.
Prepare, a separate agreement for each set of land: application sites that: are owned: or operated by an entity other than the
Applicant.
Ep'—A copy of the completed and appropriately executed agreement must be provided to the landowner and,the lessee/operator.
-
AGREEMENT FOR THE LAND APPLICATION. OF RESIDUALS TO. PRIVATELY OWNED LAND,
The undersigned landowner or his representative hereby. permits:
Applicant's name: G �Y n G, �> e_-Aw %6 N
hereinafter referred to as , the Permittee, to land apply residuals` : from the . following facility(ies) onto the following land
application site(s) (i.e., ;see attached setback maps) in: accordance with the stipulations and restrictions as given in this
Agreement:.
Site/Field lb
Lease
(yes/no) :
Land Use or
Cropping Patterns :
Intended Use of Crops
Residuals Sourcce..
(optional).
Special note-
(noSpecial
pasture)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Periittee receives, in consideration, the use of the:land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of: the Division's permit for the residuals land application program and
shall be; renewed each time this permit is renewed..:
The undersigned landowner or his representative and the. Permittee: agree to: abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days: in advance, modifies or- cancels -this _Agreementa
FORM:.LOA 08-11. Pad

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

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I.am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
j
Address:C ( RL
City:State: �%�c
Zip: �
Phone: l,q E-mail address:
S1
Signature: Date: 7 d6 C
NORTH CAROLINA, [�Q 1%� r�, COUNTY
I, the undersigned Notary Public do hereby certify that 01q_ (initials4ll�&� personally
appeared before me this day, and, being duly sworn, stated that in his/her presence �(� Z, ®�C s signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal this the 2,77 day of , 20
Signature and seal: C
My commission expires: 0.` , E 0T! N
ev�o AWWM
--- --- ®AVIE COUNTY
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State:
Zip:
Phone: E-mail address:
Signature:
Date:
Permittee's Certification:
I certify that I have read this d ereby agree to abide by
Signing official In
,tions and restrictions as specii
Date:
FORM: LOA 08-11
Page 3 of 3

`-t-c7
State of North Carolina
Department of Environment and Natural Resources
Division of Water. Resources
DW-R
' Dlvision of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 08-13
Please use the following instructions.as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure -to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise' noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http: //portal. ncdenr. orQ/web/wq/aps/lau
General - This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(2)(2)ff6r habitable residences: or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 08-11) form. Please do not
make any unauthorized content changes to .this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each property from which a waiver is being sought.
❑ Any other setbacks required by 15A NCAC 02T .1108 other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name:
�e ��
��'�Caf\yu`
Applicable Field ID:
A0 C_ --
LL -
c l
i 1
hereinafter referred to as the Permittee, to land apply residuals within iW 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: @ 36 0 T� a
City: VAL State: [. Zip: l ��
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
Signature:
FORM: SWA 08-13
�n� 1 1 Date:
J
Page 1 of 1-

APPLICATION MAP
4.1t
t
� �1.
emu' �':
g �+kSP.����'�S�.6:���
.;r R•".t T;'•,'�'�,
nl�
r�l .f+�� ,
j ih 4 B "yif e7M► F
-
~ ky • y` f a. K.yk�;.�r ''�� �i`�1�•}'1 r
t\�
�1$'. '
M1
p a' „d• �Iij' 4x'F. 'S ;,}-�'f. ;q .�
-
fr•t�'� w'r �4..
7.
Min-4.
iw b �;•�"y.AYi :Al a. �"'.9.-". i1�N .f.a„rt -i+"�;.• • ��,p. jx�fStt+k 31 �r`ar tom•}w ej 'O �i�-r.
"1aS 4
J fljZ,. CY1A Tv.
w y�^� Y°'e,�. � u "; �. lh�+ �� �•>'7' � .'' � � s" '^ �i' �
f nia a..� <':
ro \?i �.�x�' •"�p.�r`:. 1'''K ix 't«Pr � 'i` f 4� rk �'�r t'' � r;i i
LEGEND
APPLICATION AREA UNSUITABLE AREA
- — — — — - PRIVATE ROAD O WATER
GRAPHIC SCALE .
— - — — .STREAM ONSITE HOUSE 1 " = 660'
— DRAIN . 660' 0 660'
OFFSITE HOUSE
FENCE 0 . ° OUTBUILDING
PROPERTY LINE 0 WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C—LT-07
in the property boundary, whichever is. closest to. the application area. The review boundary is established -
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Field

��1•. r� h:7 Y ► a F 7�,1 ► �.. #'... . � r FC �" �`r
y ,�' Y � � f{ �fi 5 _ ` � �I � ` > 1. �, '`y. i`i � •4Y p (.1
� y r[«�{ #W1 i � }°.'!"* � #F ��i " ',� �`. �:, ► �- ► _, `4 � d R;.e / i•T `'� i i�°''4P
� �,�.. � r a 6 � h r d,4 k' k ,��.1��, . �. �++"�; Y � 1 c FPss � tJ "'-` iT. *• i
4�t�� F #y +Y: l�. y :� e' {"1 Mrsttt A t:it ♦ 1`ii
,{� c'"S �'' t' r`'y �'•' } fi w 1 s.� y#
��.7
�4 ,i' t •�, ~`� ..._._.,,��. a ,y y�� S x�. ,#.i,::,��rP 4� , M`r���� � f. illy, ;+�i � 7, .. ��^ * "F

TOPOGRAPHIC MAP
GRAPHIC SCALE
1 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-LT-07
in the property boundary, whichever is: closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are appro'Ximate. Field 1

i
4
VICINITY MAP
11.13
.r
r�?r,
I%l;i,
I13'4 � I-Ig5
I ls�t
C
GRAPHIC SCALE
1" = 4,000'
4,000'.: 0 4,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-LT-07
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the.residuals application area..All
locations are approximate.
Field 1.

CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF
8/27/2014
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace
metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR"
Date
Field ID
Last Applied As Cd Cr Cu Pb
j M0 Ni Se
Zn
NC-LT-00007-0-0001
04/2005 0.0551 0.0212 2.8550 6.2036 0.5727
0.0103 0.2060 0.3283 0.0351
7.6858
NC-LT-00007-0-0001-A
10/2007 0.0677 0.0341 3.7245 7.5528 0.6299
0.0142 0.2689 0.4169 0.0491
9.0950
NC-LT-00007-0-0001-B
05/2014 0.1246 0.0485 5.4142 10.8723 0.7901
0.0215 0.3917 0.6711 0.1013
13.4164
NC-LT-00007-0-0002
10/2005 0.0053 0.0033 0.5432 0.5503 0.0734
0.0022 0.0287 0.0694 0.0055
0.8192
Page:-1 of 1
8/27/2014

SITE SUMMARY:
City o.f Lincolnton
Lincolnton, NC
SiteAD:
NGLT-19
Owner:
Chuck Waters
Address:.
3529 Killian Road
Lincolnton, NC 28092_.
_.
Phone:
:
[phone]
-
Operator:
Same.
Lincoln County
Estimated
RYE -based 2 Predominant Latitude &
Applicable
Annual PAN limits Soil Series. Lon g itu e
Cio1d
rrnr (s)
(no- unds/acre/vearl (mat) wnitl (D.M.S) -
1:
41.8.
Fescue (pasture)
:
hay

�F \NATF9 State of North Carolina
3 Department of Environment and Natural Resources
�? r Division of Water Quality
p < LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use: the following instructions as a checklist in order to ensure all .required items are submitted. Adherence: to these
instructions and checking the provided boxes will help produce a quicker review time, and reduce the amount .of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at. -
portal. ncdenr. orQ/web/wq/aps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water :treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. LOwner Agreement (FORM: LOA 08-11):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application maybe made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
A copy of the completed and. appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: ©.�
hereinafter referred to as the Permittee, .to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached- setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land.Use or
Cropping Patternspasture)
Intended Use of Crops
Residuals Source
(optional)
Special note
( no-till/over-seed/
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
"ermittee receives, in- consideration, the use of the land application site(s) described above for the disposal of the residuals. .
'his Agreement shall remain in effect for the length of the Division's; permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his. representative and the Permittee agree. to abide with the following restrictions and
stipulations until such time.as written- notification, given 30 calendar days in advance,.modif.es or cancels this Agreement.
FORM: LOA 08-11 Pagel of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or.otherwise permit the use of the land application site(s) to a third_ party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5: The Permittee must request and obtain a permit modification -from the Division prior to a transfer of the land_ application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner.that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program;
including an analysis of constituents of the residuals, residuals: application methods, schedules for typical cropping patterns, a description of
he equipment used by the Permittee. .
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to' commencement of any residuals
land application event and'a copy of the results of each soil analysis.
8.If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to. achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil,. residuals and lime mixture is suitable for
the specified crop.
9. The landowner or: his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits..
10. The landowner or his representative will provide the Permittee with information regarding the ainount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been. applied to the land application site(s).
11.'The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
.,the land application site(s) prior to each planting season to. enable the Permittcc to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries. shall -be clearly marked on the -land application site(s) by the Permittee, the landowner, or
his representative. prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any=property, premises, or place on or related to the land application site(s) at any reasonable time for_ the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by permit; copy any: records
that must be kept _under the, terms and conditions of the permit; take necessary. leachate, surface: water, groundwater,: or soil samples during the .
term -of and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
1. Appropriate measures must, be taken by the Permittee and/or the landowner or his representative to control public access to .the land
application site(s) during active use and for the 12-month period following aresiduals land application event. Such controls may include the.
posting of signs that indicate the activities being conducted at the land application site(s). "
2. Animals shall not be grazed on the land application site(s) for. a 30-day.period following a residuals land application event. Land application
sites, that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events:
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following aresiduals land application event.
4.: Food crops with harvested parts .that touch the residuals/soil mixture and.are totally above the land surface shall not be harvested for a 1.4-
month period following a residuals land application event.
5. Food crops with. harvested .parts below.the surface of. the land shall not be. harvested for a 20-month, period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall, not be harvested fora 38-month period following a residuals land
application event when the residuals remain: on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month periodfollowing.a residuals land application event.
M.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0 107(d) . prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary: to be placed closer to the waste disposal area, such that .the water supply well. is situated outside of the compliance ...
rprovided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
rAe-defined compliance boundary is needed for field(s) ID:' N L L r
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
�. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ; The land owner hereby acknowledge that by signing this
agreement, he/she -is requesting that the field(s) be removed from the previously permitted residuals.land application program, and transferred
into the new program;
(Name of the new program
FORM: LOA 08-11 Page 2 of 3

Landowner's Certification:: .. ;
-
I certify: that I am a deeded landowner of the above -referenced. land application site(s) and am authorized to make decisions
regarding the use of the: land application site(s):on behalf:of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to .make decisions' regarding the use of the land application_ sites) on behalf of the .
deeded' landowners. I certify: that the above -referenced land application sites) are not: included in any waste disposal contract or
agreement with another:municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply .wells inside the compliance boundary, acknowledgement: of
field transfer, and do hereby grant permission to the Permittee to land apply residuals. to the land .applicationsite(s) as specified .
herein.
Landowner. name: 2/
Address: %T"�
City: i r/ C�i l 1 / �' !B State: ll.� r .�� . Zip: &i L� /7.9
Phone:: ��:.
.. E-mail address:
Signature:
Date: _s
NORTH CAROLINA, �A�/i� COUNTY
1, the undersigned NotaryPublic do hereby certify. that i rij� WD-s• 51 (initials�l/`l�l personally
appeared: before meahis day, and, being duly sworn, stated that in his/her presencP/I_� y A signed
i,�
the. attached document and acknowledged the due execution of the foregoing; instrument.
WITNESS my hand and official seal this the r day of ,%y�� , 20
Signature: and seal:
ERIC N
Norm Pusue
My.commission expires::: 1 L DAVIE COUNTY
ummission expires:
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree. to abide by the stipulations and restrictions as specified herein.
Lessee/operator name.: -
Address: _
City. State:.:` Zip:
Phone: E-mail address:
,. ,. t
Signature:.: Date::
Permittee's Certification:
I certify that I have read this e and'do er y agree to abide by the sfi ion /and�restric/ttiions as specified ere'
Signing official n e:
Signature:.: to
rV
FORM: LOA 08'=11 Page 3 of 3

J � `• .. �'��'' i �° 4+ itµ ` t � * ' � �.� �. r
Pl-
''/P
M
m
r I,
?' �► �� ► � r 1. > � ' �' W ',
y *F i� fA` � ► ► � 3 d
' �►
kk
b
* } `
41
► a
1 + ° / 1
..1
1 ..1

��1

VICINITY MAP:
GRAPHIC SCALE
1 = 2, 000'
2,000' 0 2: ,000'.
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-L 1 -19:
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the. residuals application area. All
locations are approximate: Fields, 1 -3

CUMULATIVE METAL LOADINGS (LBS%ACRE) AS OF
8/27/2014
s for this re ort come from LTD Period Table records i.e. a'Monthl Re port has been produced and the loadings have been archived to History
The Cumulative metal p Y P P
P' g g g q d.the loading on the report is
An. cases where a trace: metal lab result was Not Re ported to Sy, na ro or.trackin of the.metal loadin was Not Re uire
displayed as "NR"
Date...
Field ID.
Last Applied As : Cd Cr : Cu : Pb
H Mo
Ni Se
_n
NC-LT-00019-0-0001
07/2013 0.1104 0.0517 6.6477 .93505 0.6347
.0.0281 0.3861
0.7886 0.1081
11.7935
..NC-LT-00019-0-0002..
. ....,. ....... ......
05/2013 .0.1938 0.1038. 25.7044 13.341.4. 2.28.02
0.0838 0.6954
1:3343 0.1238
22.7447
NC-LT-00019-0-0003
06/2013. 0:0832 00456 5.3965 7.,5825 0.5739
0.0260 0.3350
0.6039 0.1044
10.5568
NC-LT-00019-0-0004.
0.7/2003 0.0053 0.0070 0.6576' 0.5988 0.0405
0.0036 0.0342
0:0474 0.0181
A.9471 ..
NC-LT-00019-0=0005
11/2002. 0.0678 0:0372 13'.1948 3:2818 1.1390
0.0377, 0.2255
0.4398 0.0165
8.0.522

SITE SUMMARY
City of:Lincointon
Lincolnton, NC
Site_ID:
NC-LT-25
Owner:-
Jeff Carpenter
Address:,
3541 Hog Hill Road
Vale, NC 28168
Phone:
[phone]
Operator:
Same
Lincoln/Cleveland
Estimated
RYE -based
Predominant
Latitude &
Applicable
Annual PAN limits
Soil Series.
Longitude
Fields
Acres
Crop(s)
(pounds/acre/year)
(map unit)
(D.M.S).
Cecil
35°26'S5.3"
N
1
16:6 ..
Fescue (pasture)
09
hay 2% pasture 156:
(CaB2)
81°28'16.3"
1N .
Paco et-
::35°27'01.0".N
2
4.2
Fescue (pasture)'-:
hay 158 / pasture 118
(PeC2)
81 °28'02 6"
W
:.
P acolet
35 °27'02 9"
N.
3
.6.2
Fescue (pasture)_hay
158 / pasture 118
(PeC2) _
-81°27'59.5",W
Cecil
35 °27'10 3"
N
4.
13:0
- -
:Fescue (pasture)
hay 209 / pasture.156"
°28'06 5"
W
Cecil
35°27'10.3"
N
5
27.9
Fescue (pasture)
hay 209 / pasture 156
(CeB2)
81°27'52.6"
W
6
13.6
Fescue (pasture)
hay 1881 pasture 141
Pacolet
35°26'58.4"
°21'S0
N .
.
(PeB2)
81 0" W

�0 vv h rp State of North Carolina
3 Department- of Environment and Natural Resources
r =. Division of Water Quality
-�
LAND OWNER AGREEMENT
FORM: LO.A-08-11
Please use the following instructions as a checklist in orderto ensure all required items are submitted.: Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested.. Failure to submit all of the required items will lead to additional processing and review time for the
permit application.: Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation - -=
For more information -or for an electronic version of this form, visit the.Land Application Unit.(LA U) web site at:
_
http: //portal iicdefar: oi•nhveb/wglaps/lau
General - This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment -plant or .other type residuals)- in. accordance with 15A NCAC 02T .1100:.Do: not
submit this agreement for,review without a corresponding application form (FORM: _LAP 08-11).
Unless otherwise noted, the Applicant shall•submit one -original and two copies of the application and supporting.documentation listed
below.
A. La d Owner Agreement (FORM: LOA 08-11):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
ake any unauthorized content changes -to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as. the attachments are numbered to correspond to the section and item to which they refer.
epare a separate agreement for -each set of land application sites.:that are owned or. operated by an entity .other than the,;
pplicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND.,
. ,The undersigned landowner or his representative hereby permits: .
Applicant's name: - '7� o-�off?' To1�
hereinafter referred to as the Permittee, to :land apply residuals. from the following facility(ies), onto the following land
.application site(s) (i.e., see attached setback. maps) in accordance with: the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
..
Cropping Patterns :
Intended Use of Crops
Residuals Source
(optional)-
S P ecial note
(no-till/over-seed/
pasture).
NG1-7zS--(
A� S1aa-�
rruJr-rx�-
The landowner or: his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application-site(s) described above for the disposal of the residuals:
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and .
shall be:renewed.each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions : and
stipulations until such -time as written notification, given:30 calendar days in advance; modifies or cancels this Agreement:
FORM: LOA 08-11 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his. representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
.3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4: Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-:DWQ, Land Application Unit, 1636 Mail Service .
Center, Raleigh, NC 27699--1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner: shall give amotice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6: The Permittee has provided the landowner or his representative with information and data.conceming the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a descriptionof
the equipment used by the Permittee.
7, The Permittee will provide. the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a.final
soil :pH of at least 6:0; unless -an agronomist provides information indicating that the. pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner:or his representative:and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner -or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
1:1. The landowner: or his representative wily inform the Permittee of any revisions or modifications to.the. intended use and cropping patterns: for
the land .application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods..
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior: to and during a residuals land application event.
.13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property,: premises, or place on or related to the land application site(s) at any, reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must -be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the-:
term of, and 12 months after termination of, this Agreement.
ILRESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the.12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals: shall not be grazed -on the land application site(s) for a 30-dayperiod following a residuals land application event. Land application
sites that are to'be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested fora 30-day period following'a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested fora 14-
month period following a residuals land application event.
5. Food crops with -harvested parts below the surface of the land -shall not be harvested for a 207month period following _a residuals land
application event when the residualsremainon the land surface for four months or longer prior to incorporation'into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to:incorporation into the soil:
7. Turf grown on land where residuals. are applied shall not be harvested for a 12-month period following a.residuals land application event.
III.ALTERNATIVES FOR WELTER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0.107(d) prohibits water supply wells. within the compliance boundary. However, 15A NCAC 02T .0105(h):allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boludary provided the groundwater standards can be met at the newly-established:compliance boundary. Please mark one of the following;
re -defined compliance boundary is needed for field(s) ID.
(Please include the, rationale for the requested re -location of the compliance boundafy and attach a:map_ showingthenewly proposed
compliance boundary to the application package)
❑ A re -defined -compliance boundary is not needed for. this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number. WQ: The land owner hereby acknowledge that by signing this.
agreement; he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 08-11 Page 2 of 3

Landowner's Certification:
I certify. that I am .a :deeded landowner. of the above -referenced land application site(s) -and am authorized to make decisions
regarding the use of'the land application site(s) on behalf of other deeded landowners -OR that I am otherwise authorized,. through
a power of. attorney or other legal delegation, to make decisions regarding the use of the land application site(s)on behalf of the
deeded landowners. I -certify that the above -referenced land application_site(s) are not included in any waste disposal contract. or.
agreement with another municipality, contractor, or.other permitted entity. Furthermore, I certify- that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells _inside the compliance'boundary, ackriowledgement of :.
field transfer,. and do hereby grant permission to the Permittee to land -apply residuals to the land application site(s) as specified
herein.
Landowner name
�Jv
Address:
3 S.
-
City.: v State: _ Zip:
ll^^
Phone0U ;) ?� - j E-mail address: \` Q V' JD e ✓L.
Signature: Date:
NORTH CAROLLNA,64vi COUNTY
I; the: undersigned Notary Public do hereby certify that 0cA--� /f S (initials l.)!%1) personally
appeared before me this day, and, being duly, sworn, stated that in his/her presence. �� signed
the attached document and acknowledged the due execution of the foregoing instrument:
WITNESS my hand and official seal this the n day of f3 , 20
Signature and seal: .
My commission expires: q A f.
My -commission expires::
DAVIE COUNTY
Lessee's/Operator's: Certification:
:I certify that I. have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address: ..
City:. State: Zip:.
Phone: E-mail address:
Signature. Date:
Permittee's Certification::
I certify that I have read n d er y. agree -to. abide by the SO ati ns. a restrictions as spe ified herein:
Signing offici . ,
Signature: Date::
FORM: LOA.08-11. Page 3 of
3

APPLICATION AP
PPLI N M
.�
a
{'' Z� .tyy
,ecx
b 9 ti ,
- v o t•a` f �' `` 4 yY
Ln
ILI
Y� w1LN
41
4� ..o . li .... •. gi.G �` a _.,.,.-'d-'•, r-. �` �'-''• �
.
i'o '
�,> � aA•�;"� ° .[.;' � Wit`= ..
LEGEND
APPLICATION AREA UNSUITABLE AREA
OW WATER
— — — — — — PRIVATE ROAD GRAPHIC SCALE
— — — — STREAM ONSITE HOUSE . 1"=660'
660'. .: 0 660'
— DRAIN . OFFSITE HOUSE
X X FENCE OUTBUILDING
PROPERTY LINE= 0 WELL
The compliance boundary is established either 250 ft from the residuals, application area or 50 feet within
N C-LT-25
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate..
Fields 1-6

SOIL SURVEY
GRAPHIC SCALE
1"=660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-LT-25
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All e
locations are approximate. �.l�ICiS -6

GRAPHIC SCALE
V = 660' .
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application -area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. .
N C-LT-25
Fields 1-6

VICINITY MAP I
GRAPHIC SCALE
1 ° = 2,000'
i,000 o 9,000
e compliance boundary is established either 250 ft from the: residuals application area or 50 feet within
in the propertyboundary, whichever is closest to the application area. The review boundary is established N C—LT-25
midway between the compliance boundary and the perimeter of the residuals application area. Al.
locations are approximate.
Fields 1-6

SITE SUMMARY:
City ofLincolnton
Lincolnton, NC
Site ID: a
NC4T-3.6
Owner:.: :Jeff
Lingerfelt (1-2)
Joarin Leatherman (3-5)
Address:
7338 West Highway 27
7322 West Highway 27 :
Vale, NG:28168
Vale, NC 2816.8
Phone:
[phone]
:.
[phone]:
.Operator. p.
Jeff .Lingerfelt.
Address::
Same
Lincoln
Estimated
RYE -based,;
Predominant
Latitude &
Applicable
Annual PAN limits __
Soil Series.
Longitude
Fields
Acres `
Crop(s)
'ounds acre ear ':.
ma :unit
D.M.S
Cecil
35'30'03.1"-
N
1-
11.8
Fescue ('pasture) :;
hay 209 / pasture 156
.
(Ce62)
81° 28'58 4"
1N
- 2
17.5
Fescue (pasture)_
hay,209 / pasture 156
Cecil
°29'50 3"
N
..
C eB2)
8 1°28'58 6"
V1/
corn
131
Cecil
35'29'48.1"
N
3:
8.6:
soybeans-
do 155 / fs 185 :
(CeB2)
81°28'47.4"
W.
wheat
115 - . .
corn
131
Cecil
35'29'35.7"
N
4
24:1 ::`
soybeans_
do 155-/#s 185
(Ce:B2)
81°28'36.5"
W .
..
wheat
.
115-:
corn
131
Cecil
`357:29'37.7'
N
5
13.5.
. . soybeans
do 155./:fs 185:
(Ce62)
81°28'22.0"
W .:-
wheat
115.. :.
TOTAL .:
75:5
Notes:
Date:
08/15/14

pF W A Carolina
State of North
`pa G Department of Environment and Natural Resources
r Division of Water Quality
......
>i
Q ~� LAND OWNER AGREEMENT:
FORM: LOA 08 li
Please use the following instructions as a" checklist: in::order to ensure all required items are submitted: Adherence to these_
instructions :and _checking the provided boxes will help produce a. quicker. review time. and reduce the amount of additional
information. requested. 'Failure to' "submit all :of :the required items, will lead to additional processing and review: time for .the
permit::application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
"supporting documentation
For more information or for an electronic version of this form,'vi'sit the"Land Application Unit (LAU) web site at:
http portal. ncdenr.or /w eb/wg/aps/lau.. -
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may- include water treatment plant or other type residuals) in. accordance with 15A NCAC 02T .1100. 'Do not -
submit:this-agreemen . for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted,.the Applicant shall submit one originaLand two copies of the application and supporting documentation listed`
below:
A. La d Owner Agreement: (FORM: LOA 08-11):
[Submit the completed and appropriately executed Residuals:Source Certification(FORM. LASC 08-11):form. Please do not. -
make any unauthorized content changes toAhis form." If necessary for clarity' or due to space restrictions, attachmenis,to the
application may be made, as long as the attachments are numbered to correspond to the section and:item to which they refer:
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Lq A copy of the completed and appropriately. executed agreement must be provided to.the.landowner and the lessee/operator
"AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his. representative hereby permits:
Applicant's:name: G i c p t., h-,.e'olw: 7o N
-
hereinafter referred to as the Permittee, to land apply .residuals. from the .following facility(ies) onto the following land
application site(s) (i.e:, see attached: setback maps) in accordance. with the :stipulations: and restrictions as given in. this
Agreement:
The landowner or his representative: receives, in consideration; full use of the nutrient value of the applied residuals while the
lermittee receives, in tons iderat►on;the use: of -the land,applicatio:n site(s) described above for the disposal of the residuals.-
Chis Agreementoshall remain in effect for the length: of the: Division's:permit for the residuals land application program and..:
shall. be renewed each time this permit is renewed.
The undersigned landowner or his: representative find. the Permittee agree, to abide, with the following restrictions ,and
stipulations until such time as written notification, given 30 calendar days in advance,_:modifies or cancels this Agreement. "
..:..
Page 1 of 3
FORM: LOA 08-11 .

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

Landowner's Certification:
I certify: that I am'a deeded landowner of the above -referenced- land application site(s) and am :authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney .or other.legal delegation, to:make decisions_ regarding the use of the land:application: site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or -
Agreement with another municipality, contractor, or other_permitted entity. Furthermore; :I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and :do hereby, grant permission to the. Permittee. to land: apply residuals to the :land :application: site(s) ;as ,specified
herem:.
Landowner name: Wt
Address:
City: f�,i�- i. State: a '
Zip:.. �
Phone:: Q E-mail address:
- s---
Signature: Date:
NORTH CAROLINA,�%t� COUNTY
I, the undersigned.Notary Public do hereby certify
.that 1jij4 (initials'*] personally —
appeared before me this day, and, being duly sworn stated that in his/her presence signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal this'the �:�7: irN day of 06d M� , 20 _
-00
Signature and :seal:
- - -
ERIC
My commission expires: 71� MPSON
DAVIE COUNTY
Lessee's/Operator's Certification:...: =
I,certify that I have read this Agreement and do hereby agree to: abide by the;stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State:' . ' : zip.:...: - -
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that_I have -read this gr o re agree to abide by the stipu s. d restrictions as specified herein.'
Ali
Signing official e:
Signature: Daate: /
FORM: LOA 08-11 Page3 of 3

�OF IVATF9Q State of North. Carolina
�0 G Department. of Environment and:Natural Resources
r Division of. Water Quality
LAND OWNER AGREEMENT
_ - FORM:: LOA 08.11
Please ,use the following instructions as a checklist_ in order to ensure all required -items' are submitted. Adherence to these
instructions :and 'checking the provided boxes will help ;produce a quicker review time and: reduce the amount of additional
information. requested. Failure to submit all of the required items. Will lead to additional processing and review: time for the
permit. application. Unless otherwise noted the Applicant shall: submit one oriltinal and two copies of the application and,
supporting documentation
For more information or for an electronic • version of this form, visit the Land Application Unit (LA U) web site at:
htt�//portal.ncdenr.org/web/wq/d s/lau
General — This document is'an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may: include water treatment plant or. other type :residuals) in- accordance with 15A NCAC 02T 11100. Do not
submit this :agreement: for review: without a correspond application form FORM: RLAP 08-11 .
P.... g pP ... (F )
Unless otherwise. noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed '
below:
A. Lan weer Agreement (FORM: LOX 08-11):
F�KSubmit the completed and appropriately executed Residuals Source Certification (FORM: LASC 0841) form. Please do not
make any unauthorized content:changes to :this form.. _If necessary for clarity: or due: to space restrictions, attachments to the
a plication may be made, as long as the attachments are numbered to correspond to the section and item to which they refer..
-Prepare a separate agreement for. each set of land application sites that are owned or operated by an entity other.than the
licant. _
A copy of the completed and appropriately executed agreement must be provided to the landowner. and the lessee/operator.,.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
o-Z'
Applicant's. name:
hereinafter, referred to as. the Permittee, to land apply residuals -from the following facility(ies) onto the following land
application, site(s) (i.e.; see attached.. setback maps) in accordance with the stipulations::and restrictions as given in this
Agreement:
The landowner or his .representative.receives, in consideration, full use of the nutrient value of the applied residuals while the
rmittee receives, in consideration;:the use of the land application site(s) described above for the disposal of the residuals.
his Agreement shall remain in`effect':for the length of the-,Division'spermit 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 ,.in difies or- cancels this Agreement.
FORM: LOA 0841 Pagel of 3

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

Landowner's Certification:
I certify -that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land. apply residuals to the land application site(s) as specified
herein.
Landowner name: "" Wff Cam' ' <�
Address: /�y� f�
City: 1 (�i State: �� 1, - _ Zip:. �� ` �O
Phone: �J 2-0 E-ma'1 address:
Signature: �� ��"' /,�� Date: 3_5,1r`%'
NORTH CAROLINA, �{�� i COUNTY
I, the undersigned Notary Public do hereby certify that c.3hL-L-- (initialspersonally
appeared before me this day, and, being duly sworn, stated that in his/her presence)162A signed
the attached document and acknowledged the due execution of the foregoing instrument..
r �'
WITNESS my hand an official eal this the r day of ice! Gss`� , 20 d
Signature and seal:
ERI.,THOMPSON _
My: commission expires: v'3 l
DAVIE COUNTY
STATE OF NORTH GABOI INA
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.
�/� C 61 t d`�' f
Lessee/operator name::. 4 `�
Address:
City: f e State: 1) 1 c' Zip: ;I 1:�
Phone: c/— 1/ -7 61616 % E-mail address:
Signature: ���i/ G�`f�= °�"' Date:
Permittee's Certification:
I certify that I have read t 's and he by agr to abide by the stipul o and stri
ations as specified herQlIL
Signing official am . C.
Signature: Date:
FORM: LOA 68-11 Page 3 of 3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an _electronic version of this form, visit the Land Application_ Unit (LAU) web site at.
http://portal.ncdenr.or /w eb/wg/aps/lau
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of :project site(s) in accordance with 15A NCAC 02T .1108(b)(2)ffor habitable residences _ or place of public
assembly only]. Do not submit this- agreement for review without a corresponding application form (FORM: RLAP. 08-13).
A. Setb ck Waiver Agreement:
Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
,application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
�/ Prepare a separate agreement for each property from which a waiver is being sought.
PAny other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through
xecution of this agreement.
A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Li C)
Applicable Field ID: - fL, Ci� 13 kJ
hereinafter referred to as the Permittee, to land apply residuals within 160, feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly I pcated at the following %�j�:.
Location address of property: .' I ?�/ �.� V`�� J l JY l a,&1 �i V 1 Gw(A
City: a l &,Y State: Il\IC, Zip:
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is .renewed. .In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners. Furthermore, i certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner p4me: I dw A. q "G I JI h a\ e r - P—
Signature:
Date: 3 1
FORM: SWA 08-13 Page 1 of 1

State of North Carolina
Department of Environment and Natural Resources
n W_ Division of Water Resources
r1?ivislon of Water R---esourrces SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
_information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and:
supportinIZ documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http•//portal ncdenr:oig/web/wg/aps/lau
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2)ffor habitable :residences :or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
A. Setback Waiver Agreement:
El Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each property from which a waiver is being sought.
❑ Any other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property :owner hereby permits:
Applicant's name: C4 t S4 el-( 1 i 1 c o l r% n ��?
Applicable Field ID: AK ` Lk_ 3&
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: n
Location address of property: Loam d )a '' Y-1
City: Ld JylC6 tic State: /71 C Zip: ,2 s oq o
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: 1)( 5'i ► �'�� ` , r (n a r\
Signature:
�Date: ' �Gy
FORM: SWA 08-13 Page 1 of 1

`_*_ 36
State of North Carolina
Department of Environment and Natural Resources
D __R = Division of Water Resources
--. ivision of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided. boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit. application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at
http://
portal. ncdenr.or /wg eb/wg/a s/lazy
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction. for habitable residences or place of public assembly not owned by the permittee or not to be..
maintained as part of project site(s) in accordance with 15A NCAC 02T .l l08(2)QAfor habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
A. Set ack Waiver Agreement:
Submit the completed and appropriately executed Setback Waiver Agreement: (FORM: SWA 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
pplication may be made, as _long as the attachments, are numbered to correspond to the, section and item to which they refer.
Q( Prepare a separate agreement for each property from which a waiver is being sought.
y other setbacks required by 15A NCAC 02T .1108 other than those referenced above, cannot be waived through
execution of this agreement.
A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED:BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits: .
Applicant's name:
Applicable Field ID: C 3 d
hereinafter referred to as the Permittee,. to land apply residuals within i C�D feet (i.e., cannot be, less than 100 feet) of
the residence or place of public assembly located at the following:
Location.adpdress of property:
City: L aWA �&tc State: /it C Zip: .28 O qO
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: An � �' !'G o&' Ar► L-C.l.�-T e
Signature: c� "qC %D Date:
FORM: SWA 08-13 Page 1 of 1

s
�
r
.3„
JIIIII v/•���j
��
JJII�
.�Ir��. ♦ i
� e✓
.., �.
.off ����;��/�.®®. , , Y.,., . • _�
ion.-•
IVMv

SOIL SURVEY
GRAPHIC SCALE
I" = 660'
660' 0 660'
The compliance boundary is established either 250 It from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-LT-36
Fields 1-5

TOPOGRAPHIC MAP
10
Ln
- O .
O
L
GRAPHIC SCALE
1" = 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-LT-36
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-5

VICINITY MAP
GRAPHIC SCALE
1" = 4,000'
4,000' 0.. 4,000'
compliance boundary is established either 250 ft from the residuals application area or 50 feet within N /'l� — T-36
nirme property boundary, whichever is closest to the application area. The review boundary is established L V
midway between the compliance boundary and the perimeter of the residuals application area. All
pp Fields 1 -5
locations.are a roximate.

UMULATIVE METAL LOADINGS (LBS/ACRE) AS OF
8/27/2014..
_...
The.Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced.and the loadings have been
where
In cases a trace
archived
metal lab result was Not Reported to Synagro or tracking of the, metal loading was Not Required the loading
to History
"NR"
on the report is
displayed_as
Date
Field ID
Last Applied As ' Cd :. Cr: Cu _. Pb
:. H� Mo
-Ni
Se
Se
Zn
-
N C-LT,00036-0-0001
07/2014, 0.0586 0.0204 2.3052 3.8409 0.1645
0.0092. 0.1445 :
0.3181
0.0488
4.5757
NCGLT-00036-0-0002 ..
03/2014 0.0406 0.0'179.. 2:2574:.. 3.8896 ''0.1476
0.0069 0.1183
0.2611
0.0387
4.3945
NC-LT-00036-0-0003
:
06/2014. 0.0697 0.0222 2.6738 ' 4.3966' 0.1941
0.0099. 0.1596
0.3465:
0.0546
5.4014
C-LT-0003 6-0-000.4
01 /2011 0.0182 0.0075 1.4308. . 1.7519 0.0741
0.0037 0.0663
0:1527
0.0121
2:0446
NC-LT-00036-0-0004.=A .
07/2014• 0.049.5 0.0.192 1.8770 3..2078' 0.1351
0.0065 0.1123 :.
0.2615:
0.0379
3.8540
NC-LT-00036-0-0004-B
0.0488. 0.0191 1.8661 .. 3:1856 0.1334
0.0064 0.1116
0.2588
0:0378'
3.8171
NC-LT-00036-0-0005
0612013 0.0615 0.0184 ..1.8997 3.5997 0.1582
0.0079 .0.1219
0.2562
0.0427
4.6882:
Page: 1 of 1
.
8/27/2014

SITE SUMMARY'
City of. Lincolnton
Lincolnton; NC
Site 1D:
NC-LT-39
Owner:
Ruby Stegall;
Address:.
8304 Highway 74 East.
:Marshville, NC 28103
Phone:
[phone]
Operator:
Mike Macomson .
:Address:
2739 River Road
Lincolnton, NC 28092
Phone:.
[phone]
Lincoln
Estimated
RYE -based == Predominant Latitude &
Applicable-
Annual PAN limits Soil Series Longifude
Fields
Acres Cronlsl
/nminrle/airy/\/part ..-;+I . IM RA C1
1
288
- Fescue hay)
(
y ha 216 / pasture 162
Lloyd
35'31'05.8" N .
-
Ld62)
-81°16'315' W
2
12.5
Fescue .(hay) .
hay 216 / pasture 162
Lloyd
35°31'14:9" N .:
(LdB2)
81°16'31.9" W

1 1 - `tl.UOX �Un INUl bat V.d6l U1111"
Department of Environment and Natural Resources
r Division of Water Quality
fl 'C LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted -the Applicant shall submit one 'ori2inal and two conies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at.
ftp://dQ/web/vg/aps/laup
General.— This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B - residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below. -
A. Owner Agreement (FORM: LOA 08-11):
LanSubmit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
ED repare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
plicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: C Z�z o-� Lq 4�-Lo /--Al' 7o I — .
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance. with the stipulations and restrictions as given in this
Agreement:
Site/Field lI9
Lease
(yes/no)
Land Use or
Cropping Patterns ,
Intended Use off Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration; the use of the Iand application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given.30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Page 1 of 3

L STIPULATIONS:
I. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give- a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowneror his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application sites) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping atterns 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.
1.2. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any -property, premises, or place -on or related to the land application site(s) at any reasonable time for the purpose of dete
compliance with the permit; establish monitoring facilities on or near. the land application site(s) rmining
as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate; surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
RESTRICTIONS:
1.. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land'application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a'residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested. parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to.incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III -ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance bound
allows the
compliance. boundary to be placed closer to the waste disposal area, such that the water s pply well is situated o. However, 15A NCAC uts de0of thelcompliance
bo=defined
provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of -the following;
compliance boundary is needed for field(s) ID: ge_-_ L-T .3 --
(Please include the. rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package) p p
❑ A re -defined compliance boundary is -not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID:
residuals land application program; Permit Number WQ: is currently. permitted under another
agreement, he/she is requesting that the fieldreviousl s) be removed from the The land owner hereby acknowledge that by signing this
p Y Permitted residuals land application program and transferred
into the. new program;
(Name of the new program)
FORM: LOA 08-11
Page 2 of 3

Laandown -er's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor; or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: `� 5
City: State: ,
Phone:'!_ E-mail address:
Signature:
U s
Date:
NORTH CAROLING, J�1111A1 i L .::;T,,., , �,
s3
l t
I, the undersigned Notary Public do hereby certify that
Zip:
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
Q 1
my hand and official seal this the
day of
20
14
7ig-uactlre.and- seal:
MY commission expires: b 2
q 171
'�•'1111.. LeS eo'.s/ ertifleation.
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: —Ir+/
Address: -_2 i 3 � -
City: N 1rh/ C J'I'/ hw
"JbT
I
State: ",'j " C Zip:
Phone: _ ,U) — — y % S E-mail addressc �x-j_40 ,
Signature: Ll
Permittee's Certification:
I certify tl
Signing 01
Signature:
Date: —,or
FORM: LOA 08-11
Page 3 of 3

APPLICATION MAP
ryy
,n�qi 1 4;µv i �y J,�_�; gip; �¢• � v� � j„ �`�' ���y �_. `-G
ry r .d
'k
a'
y r R
y.1�' '
LEGEND
UNSUITABLE AREA
APPLICATION AREA
WATER
— — — — — — PRIVATE ROAD
— — — — STREAM
ONSITE HOUSE
— DRAIN
OFFSITE HOUSE ..
X X FENCE
OUTBUILDING
PROPERTY LINE "
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area.
The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application_ area. All
ovations are approximate:
GRAPHIC SCALE
V = 660'
660' 0 660'
N C-LT-39
Fields 1-2

SOIL SURVEY
p r
1
;!p,r`�' ,t. •tyV` , l� . Y � /• � t�.�y ♦ - .� �.A , rt! t '' � LC� ` b!y
•'7�� F 11 � j'Tj�t;s 1 � A•�1 ,. � _� � � _ � 1i e � � r� 14 • "h
c31f •� [ Ji �.�x �` e�`i1 �}
4.
C � t ? �`,'Jr ,f � ��. mot• �•...� •. �� ;ice �` ` _. -
ih fit ra r ? 4
•' i
GRAPHIC SCALE
1 " = 660'
660' 0 . 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-LT-39
Fields 1-2

.;TOPOGRAP.HIC.MAP',
FIT
I: f,)u 1�1 I-,,-
full at . .
. . . .I
ILIA r LH
I'T

VICINITY MAP_
GRAPHIC SCALE
1 2,000'
2,000' 0 2,0001
ie compliance boundary is established either 250 ft from the: residuals application area or 50;feet within N C'LT-39
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Field 1-2

SITE SUMMARY
City of Lincolnton
Lincolnton, NC
Site ID:
NC-LT-40
Owner:::
James Houser
Address:.
3080 Plateau Road
= Vale, NC 28168
Phone:
[phone] -
Operator:
Darrell Propst (1A)
John Leatherman (:1B)
Address:
1321 J Rhyne Reep Road
226 Cat Square Road
Vale, NC 28168,
Lincolnton, NC 28092
Phone:.
[phone]
(70 -5677: 4):530
Lincoln .:
Estimated
RYE -based Predominant Latitude &
Applicable
Annual PAN limits = Soil Series Longitude
Fields
Acres Crop(s)
ma unit D.M.S
(pounds/acre/year) ( p ._ ..) (_ ).. .
Cecil
35°27'17.0" N.
1A
7.4
Fescue (hay)
hay 216 / pasture 162
(CeB2)
81°2V21.5" W
Corn
131 -
Cecil
35°27'29.7" N
1B
31.8 _ , _
-Soybeans
do 155 / fs 185
(CeB2)
81°21'20.2" W
Wheat
115

r
f )C - Cl; - `IC? -- in 0 LZUM, UIL I N UK IUM Null `LY111161
Department of Environment and Natural Resources
Division of Water Quality
LAND OWNER AGREEMENT
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided.boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items. will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http •//portal.ncderar. org/web/wa/aps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Lan Owner Agreement (FORM: LOA 08-11):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any. unauthorized content changes to this form. If -necessary for clarity or due to space restrictions, attachments to the
pplication may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
2/1p4repare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
[Tplicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR TBE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to .as the Perinittee, to land apply residuals _ from the. following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field
Lease
(yes/no)
Land Use
Cropping Patterns
Intended Use of Crops
p
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
1,4. A
The landowner or his representative receives, in consideration, full use of the. nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain is effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Perinittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Page 1 of 3

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

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
.a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Ja g bv,Scr AC - t_'t-1 C0
Address: C (6) CC) NA,
A
City: iA State: �t`C, Zip:
Phone: 7014 2 7 E-mail address: j
Signature: ( Date: -7 /
NORTH C OLINA,- bAV15 COUNTY
I, the undersigned Notary Public do hereby certify that W t t, t, 10 12. � (initi1alsW" personally
appeared before me this day, and, being duly sworn, stated that in his/her presence mot£S ��cz��&ng signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal this the e% day of • r 20 d
Signature and se
My commission
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby
Lessee/operator name: / PI X, L
to abide the stipulations and restrictions as specified herein.
Address: /_/ice/,�� Gl /✓ems ///--ep
City: l//gL,C _ �j State: %ice
Phone: __ �01�f'� 6 E-mail address:
Signature:
Permittee's Certification:
I certify that I have read this
Signing official
Signature:
and d eby agree to abide by the
-1-01 I �
Zip:
Date:
ulatio s and restrictions as s
Date:
FORM: LOA 08-11 Page 3 of 3

0 C— 0­ Zi G — I i, !] tl ¢6d�L HPY 1 V QY1 WYH L 6ai viinxu¢i
Department of Environment and Natural Resources
r Division of Water Quality
LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the. amount of additional
information requested. Failure to submit all of the required 'items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
lattp //portal.ncdenr.oiglweb/wq/aps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B-residuals (may include. water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant: shall submit one original and two copies of the application and supporting documentation listed
below.
A. Lao Owner Agreement (FORM: LOA 08-11):
.ubmit the: completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the:
Mapplication may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Alp
plicant.
copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: —; 7 �, y✓ Gofir/ for`:
hereinafter referred to as the Permittee, to land apply residuals from the _following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field 1D
Lease
(yes/no)
Land Use or
Cropping Patterns:
Intended Use of Crops
p
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture) .
r
�/y]
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Page 1 of 3

g. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,_
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of.
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will _inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application .site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day periodfollowing a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6.. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T 010500 allows the
coYpliance boundary to be placed closer to the waste disposal area, such. that the water supply well is situated outside of the compliance
b ndary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
A re -defined compliance boundary is needed for field(s) ID: /U
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
c}� mpliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 08-11
Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of -the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: wg .y : a
Address:- — 66 6iP[CYP L i
City: i�C'((' State: Zip:
Phone: lull E-mail address:
Signature:: I . v �, Date: �2 1
f
NORTH AROLINA, All t C COUNTY
I, the undersigned Notary Public do hereby certify that jai+-v OcA f !y S (initials:&.AA personally
appeared before me this day, and, being duly sworn, stated that in his/her presence fj6z i&4&2 _ signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal this the —7 :rt day of A)60 -T 20 f .
Signature and seal:
ERIGTHOMPSON
My commission expires: 7NMAnY PUBLIC
DAVIE COUNTY
STATE OF NORTH CAROLINA
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: NOd LA(,,k
Address:/ �7V'
City: %t!CQk1I.r ,-
Y / State: !f i Zip:
Phone: �30 __ S0 7 E-mail address:
Signature: 1 Date:
Perrnittee's Certification:
I certify that I have read this and eby agree to abide by the s ' lation nd restrictions as specified erem.
Signing official n e•
Signature: Date:
FORM: LOA 08-11 Page 3 of 3

APPLICATION �yMAP
a�iK1
° . ' `.•l i �', �i y 4 �� ` `sue `�� '}. ,, '
Ln
as r�. ,•s, S,y� � s � i�_ _ �� �
�S
ei
At
yv R .. 1 1 $'$Y Yaf_}v 4'.. y'�i Y•1 t+ _ _ Ya� ��s��fA - y R�. {.� L
�, fia i 7 a l �{a �j1P �1 "'s' 4e� � t r �k.•� a ' ly �� i ' �in.,A '9 .�, "s
x :� 'YI:i°•i'a F" 4' 11 !?:•,
LEGEND -
APPLICATION AREA UNSUITABLE AREA
— — — — PRIVATE ROAD°J WATER GRAPHIC" SCALE
V 660'
— STREAM ONSITE HOUSE
-. - .: 660' 0 660'
DRAIN ■ OFFSITE HOUSE .
FENCE OUTBUILDING
PROPERTY LINE. 0 WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-LT-40
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and. the perimeter of the residuals application area. All
locations are approximate. FI;eldS 1 A-

y � �^ T y �'�y y' 1. f � � F x�.�r ► �j aF .1� � lw� ., i ��� �+� ` .
D• � '.%'afi4 �y �� \ .,� ti tea
Er 1'a`��Y+s�,
All
-KftL
I.Atl I;w
jr
4,3
a-'
•tip � .�+ '^��
■ l ■ l
11 1 11
.11 1 1 I'
• 1 11", 11 1. 1 1 .11 1 11 1. .1 •1
1 1 .11 1 � , ` ■

TOPOGRAPHIC- MAP
�I
GRAPHIC SCALE
:1 660',
660'. 0 660'
W.
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within. IC-L-T-40
in the property boundary, whichever is closest to the application area. The review boundary1s; established
midway between the compliance boundary and the perimeterof the residuals application area. Al
-A-1 B
locations are approximate. Fields 1

VICINITY MAP
Ln
119?`i
i 197i r-�1
GRAPHIC SCALE
1" = 2,000'
2,000- 0 _ 2,000
'he compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C—L T-40
In the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Field 1 A-1 B

SITE SUMMARY
City of Lincolnton
. Lincolnton; NC
Site, ID:
NC-LT-122
Owner:
Nick Woodruff
Address::
429 Cat -Square Road
Vale, NC 28168
:Phone:
[phone]
Operator:
Same
Lincoln
Estimated
RYE -based Predominant Latitude &
Applicable
Annual PAN limits Soil Series Longitude : =
E;oi.jc
Arrac Crnnlcl
(Hounds/acre/vearl (mat) unit) (D.M.S)
Cecil
35°29 52:0 N,
1
14:5
Fescue (hay) :
hayn 209 /pasture: 156
(CeB2)
81°23'29 9" W
Cecil
35: °29'37 6" N
2
14.8
Fescue (pasture)
:hayn 209 / pasture 156:
(Ce132)
- 81°23'41.4" W
Cecil
-35°29'48.5" N
3
16.9
Fescue. (pasture)
hayn 269 / pasture 156
(CeB2)
, 81°23'47 2" W
-TOTAL
46.2

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

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

Landowner's Certification:
I certify that.I am a deeded landowner of the above -referenced land application site(s)_ and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other. deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein. Landowner name: n e Cf� .
Address: V'A
City: Va Stater Zip: CS
Phone: j�� ��C) E-mail address:
Signature: 4. f Date:
NORTH CAROLINA, _NhVC COUNTY
I, the undersigned Notary Public do hereby certify that- `J k d - 140& (initials :)/ personally
appearedbefore me this day, and, being duly sworn, stated that in his/her presence Glaeg Wr�DOJ&)aC�_ signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal this the - day of 20 Iq
Signature and seal: //-
My commission expires:
P.4
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State.-
E-mail address:
I certify that I have read/th�isandeby agree to abide by
Signing offici�am
Date:
Zip:
and rest:��2
�
Date:
FORM: LOA 08-11
PaaP I of

Z;t 102
D W�R
division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submitall of the required items will lead to additional processing and review time for the
permit application. Unless otherwise .noted, the Applicant shall submit one oriLyinal and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
W. portal.ncdenr.or /web/wq/aps/1au
General - This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2)ffor habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
A. S back Waiver Agreement:
Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to. correspond to the section and item to which they refer.
Prepare a separate agreement for each property from which a waiver is being sought.
Any other setbacks required by 15A NCAC 02T .1108 other than those referenced above, cannot be waived through
execution of this agreement.
A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned. property owner hereby permits:
Applicant's name: �� d b,-,,,t-jy tc,,%
Applicable Field ID: n C'- L L -
hereinafter referred to as the Permittee, to land apply residuals within _ C�_ 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: _/ b­ G'y'% .Se C,44 if �y,qc�-
City: 1, 5 & r_ 0 ti A.) r o ..- State: 1✓ C- Zip:
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the. undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
WC 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 owned name: cad-o 1 t&A cc -
Signature:
Date:f�
FORM: SWA 08-13 Page 1 of 1

nw_
`* f W t r Resoalrces
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
❑IV6slon o d e'
FORM: SWA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
httn //portal ncdenr.org/web/wplaps/lay
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2)ffor habitable: residences or place- of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
A. Set ck Waiver Agreement:
�ubmit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 0 ricti form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
pplication may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
19Prepare a separate agreement for each property from which a waiver is being sought.
9 y other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through
V
cutionof this agreement.
opy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The. undersigned property ownerhereby permits:
Applicant's name:`
Applicable Field ID: n Li _ a2
hereinafter referred to as the Permittee, to land apply residuals within 160 feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address of property: 37 1 Co:�, S a Lka et -
City: G• 0 A c®`d\k-®d® State: 1rX6raftty % OL zip:
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for.as long as.the undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
days,in advance, modifies or cancels this Agreement.
[I certify that.I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner name:
Signature:
v
` 0 '4� Date: 8-1 V
FORM: SWA 08-13
Page 1 of 1

10 APPLICATION MAP
v
'%'L •�
^n(
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�$.
�� 1, '1 `\R -j. i' �^ YI A."C� ' ati a4•
ilk
LEGEND
APPLICATION AREA UNSUITABLE AREA
OW WATER
— — — — — — PRIVATE ROAD
GRAPHIC SCALE
1 " = 660'
— — — — STREAM ONSITE HOUSE
- DRAIN ® OFFSITE HOUSE
'
—mac-- X FENCE ❑ OUTBUILDING,
PROPERTY LINE 0 WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-LT-122
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate..
Re16 13 -3

S®IL SURVEY
J ' �, ' f iin c
�T - tl.
- -- c
L Fy
4� M !T
11-W
t:'
•�l � �4 WCgp *py.�g,s�#� �M1j�. ��` <ry • •_ �.''^a 9 T 4' �
'{. t �' t r ,+la�u� J� �. � I � t `i.�f.... ll
'R6 ;�5 --I�sy /_•
+_�� t .l w� 'y. Ai +lid
'J'r •QI A`
�'? R �1 •d- �'4 t �.
'? ht_ y ti+ iryf..
,SriR
y�,Tr C r•
� R'•^o .f c1.,r ` _ 3, r!4 `s '4 �6x'a` ea p�Q!�y r l M ' ` �g
sw
Q�S�i(s >,=��� `4z'�+�,j•
` �� �� �
A ` •, r
,,l�� ���,',�•� '�`- � '�9'
a� 'iQ
it •
�y'azfC 'k'..
• f \�'•t�'<„ .�}� = � � �
�
dn`' .� ,,.. .»�"_ ' �'= -� r �`' >+^;rr ..,, � . l !a si ,• t
OWnR
a 3 3 Y'i: y�
t �, f r•.�ay '��
�. :.*,• 2) a.;ae A^y 'wi t t
l�L
� 1q
•. :4� `, f /
_ _ �
�k s�'" � \
��,w fir.
1�a � � ` � � #� - ,
s
4eL•'•...'� ..
ll
4 .L \
l
>�t>��o�Mk�� 'F�27• ";�` � `"� r iF JP � �\'
`I
� ' fin. "`�^`+5,,,
'� �����"_s',t�a'gb•{F
, .,
.
GRAPHIC SCALE
1 " = 660'
660' 0 660'
t
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-LT' 122
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-3

TOPOGRAPHIC. MAP
GRAPHIC SCALE
1 " = 660'
660' 0 660'
'he compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-LT-122
Fields 1-3

VICINITY MAP
1.13 t
►lye
1
I iiil t `�Ilr,':I i 271'
z
GRAPHIC SCALE
� �� = 2,000'
2,000- 0 2,0001
'he compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C'�T—� 22
in the property boundary, whichever is closest to the application area. The review boundary -is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Field 1-3

Attachment Order 3-fe
Soils and Agronomic Evaluation

AGRONOMISTREPORT
Synagro Central, LLC (Synagro) is submitting an application to renew a land application program
for the' recycling/beneficial reuse of wastewater biosolids produced at the City of Lincolnton
WWTP and. WTP. The agronomist report is submitted as a crucial step in the review of potential
receiver sites for the program. Several factors should be taken into consideration in determining a
site's suitability to receive biosolids. These factors are:
© Site Investigation
o - Topography
a Soils
o Biosolids Characteristics and Loading Rates
® Crop Management.
Site Investi a� tion
The site investigation consisted of a physical observation of each proposed site in which the
following parameters were evaluated:
Soil Characteristics
o Slope
o Cropping Systems
• Location of Property Lines
• Location of Residences
e Location of Wells and Surface Water Features
Site specific information is enclosed (Attachment Order 3-e) for each site evaluated. Application
area maps delineating the proposed application areas within each field are also enclosed. -
Topography
The slope of each site was evaluated during the site investigation. The slope for the individual
sites ranges from 0 to 10 percent for surface application and -0 to 18 percent for sub -surface
injection. Areas of excessive slope have been eliminated from the application areas.
Soils
Soil fertility samples were collected from each site and were analyzed for standard soil fertility
parameters and regulated metals content. Soil testing of the sites included in this application
indicates that the soil. pH is moderately. acidic on some sites. The pH of these sites will be
adjusted by the addition of agricultural lime in order to achieve optimal crop production. The
lime recommendations are generally made based 6n raising the pH to a minimum of 6.0.

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

OF WATFh, Michael F. Easley, Governor
Q William G. Ross Jr., Secretary:
North Carolina Department of Environment and Natural Resources
r—I: -- ' Alan W. Klimek, P.E., Director
O -C Division of Water Quality
October I0;2005 RECEIVED
MR. STEPHEN PEELER,-DwcTOR OF Pu13LIC WORKS OCT 2 'ii 200
CITY OF LINCOLNTON
POST OFFICE BOX 617
LINCOLNTON, NORTH CAROLINA 28093
Subject: Permit No. WQ0002712
City of Lincolnton
City of Lincolnton Residuals Land
Application Program
Land Application of Residual Solids (503)
Lincoln.County
Dear Mr. Peeler:
In accordance with your permit modification and renewal application package received on May
27, 2004 as well as the additional information received on May 16; 2005, we are forwarding herewith a
modified and renewed Permit No. WQ0002712, dated October 10; 2005, to the City of Lincolnton for the
w.
subject residuals.land applicationprogram.
This permit shall be effective from the date of issuance. until September 30, 2010; shall•: void
Permit No:. WQ0002712, issued on December 8, 1999; and shall be subject to the conditions and
limitations as specified: therein. Make note of this permit's expiration date -and. the fact that a permit
renewal application is due to the Division of Water Quality (Division) no Iter than six months prior to
that date (i.e., see Condition V1. 7.), as the Division does not send reminders to apply for permitrenewal.
This permit is being modified to reduce. the volume of residuals permitted for land. application
from 2176 dry tons per acre to 1600 dry. tons per acre and to reduce the total land application area from
1116.2 acres to 474.10 acres. The volume of residuals from the City of Lincolnton Wastewater Treatment
Plant remain the same .at 1300 dry tons per year but the volume, from the City: of Lincolnton Water
Treatment Plant have been reduced from 876 to 300 dry tons per year. The.land application area
revisions, additions and deletions are as follows:
This permitis. being modified to. revise land applicationfieldnumbers and revise the acreage of the.:
following seventeen previously permitted fields:
New Old Application Area (acres)
Site No: Site No. Current Owner/Lessee or Operator New OId
NC-LT-04-01 LT47I William C. Bess, Jr, 36.1 47.9
NCLT-04-02 LT4-2: William C. Bess, Jr. ; 27.6 44.6 .
NC-LT-05701 1,T5-1 Hugh L.: Waters 49.5 54.0
NC-LT-05;02 LT5-2 F Waters and Kistler/Hugh L. Waters 15.4 315
NC-LT-05-03 LT5-3 Waters and Kistler/Hugh L. Waters 26.6 36.2
NC-LT-05-04 LT54 James McGinnis Estate/Hugh L. Waters 25.5 26.7
. �RC No _aro Ina
�lllYl��f/
_ Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 276994636 Phone [phone]Customerservice
Internet: htip://h2o.6r.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal OpportunitylAflinnaWe Actlon Eyer— 60% Recycledl10% Post 06nsumerPaper

Mr. Stephen Peeler
Page 2
October 10, 2005
r'
'NC-LT-05-05
-•
LT5-5 Hugh L. Waters
g 4
29.0
100
32.1
NC-LT-05-M
LT5-6 . James McGinnis Estate/Hugh L. Waters
NC-LT-06�1• .
LT.6,1 • Mike Macomson
`
42.4
29.I
47.2
3$.3
NC-I,T-06=02
NC-LT-07-OIA '
LT6 2' ' Mike Macomson
LT7-1 E.A: McConnell/Darren Propst
5
81.8
NC-LT-07-OIB .
LT74 Will Weill/Darren Prop st
28
81.8
30.7
NC-LT-07-02
LT7-2 E.A. McConnell/Darren Propst
14.6
13:0
47.1
NC-LT-09-01
LT9-1 J. Rhyne Reep
40.1
41.4
NC-LT-19-01
LT19-1 Chuck Waters
12.9.
NC -LT 19-02 ` :
LT19-2 Chuck Waters
12.4
10.6
NC-LT-19-03
LT19-3 Chuck Waters
The following two sites have been transferred. from land application under the
Town of Sianley Residuals
Land Application Program, permit WQ0002081, to this program:
Area
Application Ara (acres) =
Site No.
Old
Site No. Owner/Lessee or Operator
New . '
Old • .
NC-LT-34-01
11-01- Richard C. Surnmitt
20.2
13
6 `
NC-GA22-01
12-01 Frank L. Lewis/Richard C. Summitt
5.1
The following twenty previously approved sites.have been dropped from the land application
program:
Old Site No-
Owner/Lessee or Operator Old Application Area (acres)
..
LTl-1:
Bud LonglGeorge Lutz
.. 21 •$
LTI-2
Bud Long/George Lutz -
. 85.8
LTI-3
Bud Long/George Lutz
20.4
LT1-4
Bud Long/George Lutz
12.3
- : LTI-5 :
Bud Long(George Lutz.
9 •3
-
LTI-7
George Lutz
28.7
18.3
LTI-8
George. Lutz
10.6
LT10-1
Mable R, Houser/Everette Houser.
LT10-2
Mable R. Houser/Everette Houser
24.5
LTI&-3
Everette:Houser
46.1
LT10-4
Everette Houser ..
'
17:1
26.3
i
LT10-5
Everette Houser
139..4
--
LT10-6
Everette Houser
2
LT17-1
Daniel Hallman
7.1
LT17-2
Daniel Hallman
21.2
LT18-1
Carl A. Saine; Jr.
17.6
_ LT18-2
Carl A. SaSame,:Same,:Jr.
I4.1
LT18-3
Carl A. Saine, Jr.
63.0
.�
LT19-4
Ted Corriher/Charles Waters _
LT19-5
Ted Corriher/Charles Waters
3$.1

Mr. Stephen Peeler
Page 3
October 10, 2005
This permit approves the continued operation of the residuals land. application program for
another five-year cycle. As always, remember. to take the time to preview this permit thoroughly, as
some of the conditions contained therein may have been added, changed, .or deleted since the last
issuance. Pay particular attention to the monitoring requirements in this permit. Failure to establish an
adequate system for collecting and maintaining the required operational information will result in future
compliance problems.
If any parts, requirements, and/or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request shall be in the from of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes and filed. with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this permit shall be final
and binding. .
If you need any additional information concerning this matter, please contact Mr. Duane Leith by
telephone at [phone], or via e-mail at [e-mail].
Sincerel
or Alan W. Klimek, P.E.
cc: Scott Berg, Synagro South
Lincoln County Health Department
Gast on. County Health Department
Mooresville Regional Office -Aquifer Protection Section
Technical Assistance and Certification Unit
APS Central Files
LAU File
LAU Residuals Program Coordinator

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH. .
LAND APPLICATION OF RESIDUAL SOLIDS (503) PERMIT
In accordance withahe provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws; Rules, andRegulations
PERMISSION IS HEREBY GRANTED TO
:pity .of Line : nton
Lincoln County
FOR THE
continued operation. of a residuals land application program for City of Lincolnton 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 inodification and
renewal application: package received on May 27, 2004 as well- as the additional inforination.received on
May -15, -2005 -and in conformity with the project plan,' specifications, and other supporting data
subsequently filed and approved by the Department of Environment and Natural Resources and considered
a part of this permit.
This permit shall be effective from the: date of issuance until September 30, 2010; shall void
Permit No. WQ0002712, issued on December 8, 1999; and shall be subject to the following specified
conditions.and limitations:
I.- PERF.ORMANCE STANDARDS
..
1. -: The residuals land application.program shall be effectivelymaintained: and operated as a non -
discharge system to prevent the discharge of any wastes resulting from the operation of this
program.
- 2. This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals adequately and may be rescinded unless -the land application sites are maintained and
operated in a: manner that will .protect the assigned water quality standards of the surface
waters and groundwater.
. -3. The issuance of this permit shall. not relieve the Termittee.of the responsibility for damages to
surface waters or groundwater resulting from the operation of this residuals land application �.
program. _
-: 1

4. In the event that the residuals land application program is not operated satisfactorily, including
the creation of nuisance conditions, the Permittee shall cease land applying residuals to the
site, contact the Aquifer Protection Section of the appropriate Division of Water Quality's
(Division) regional office, and take any immediate corrective actions as may be required by
the Division,
5. No residuals other than those generated by the residuals -source -generating facilities listed in
the most recently -certified Attachment A of this permit shall be approved for land application
in accordance with this permit.
i
6. The. :pollutant concentrations in any residuals that are land applied to any land application site
011611 not exceed the followinty Ceiling Concentrations i.e., dry weight basis):
lDaraxneter
-
Ceiling Concentration.
milli •rams per kilo am
Arsenic
75
Cadmium
85
Copge,r ...
4,300
Lead
840
Mercury
57
Mol bdenum
75
Nickel
420:
Selenium
100
Zinc
7,500
7. 'When residuals are land applied under the conditions of this permit; the CIass A pathogen
requirements and site restrictions- in 40 CFR Part 503.32(a) or the Class B pathogen
requirements and site restrictions in 40 CFR Part503.32(b), and one of vector attraction
reduction requirements in 40 CFR Part:503.33 shall be met. Additionally, an evaluation shall
be.performed that demonstrates the residuals' ability to comply with this requirement, Upon
request, a copy of this evaluation' including all test results and calculations, shall be
submitted, Only residuals that are generated by the residuals source -generating facilities that
are identified as being exempt from this condition in the most recently -certified Attachment A
shall not -be required to comply with the specified pathogen reduction and vector attraction
reduction requirements,
8. Only the land application sites listed in the most recently -certified Attachment B of this permit
are approved for residuals land application.::
9. This permit shall become voidable unless the agreements between the. ]'errni ee 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 sarrie time the permit is renewed.
10. The appropriate local governmental official (i.e;, county manager, city manager, etc.) shall be I -
notified at least.24 hours prior to the initial residuals land application event to any new land
application site. 1n- addition, the appropriate county manager's office shall be notified prior to,
the initial residuals land application event on any new site so that they will be aware that
residuals land application activities have commenced on the site.
2 �.
i

11. The Aquifer Protection -Section of the appropriate Division's regional office shall be notified i
f
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:/Ai2o.enr,state.nc.us/ndpu/.
OPERATION AND MAYNTENANCE REOUM EMENTS
1. The facilities and land application sites shall be properly maintained and operated at all times.
: 2. Upon classification of the residuals land application program by the Water Pollution Control
System Operators Certification Commission (WPCSOCC), the Permittee, shall designate a
certified land applicationlresiduals 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. Within 30 calendar days of this
permit's issuance, the Permittee shall update the ORC and back-up ORC designations that are
currently on file with the Division's :Technical. Assistance and Certification Unit for this
program.
3. No residuals shall be stored at any land application site at any time, unless written approval
has first been requested and obtained from the Division. {
4. A copy of this permit shall be maintained in all manned' equipment at the land application sites
when residuals are being land applied during the life of this permit. A spill prevention and
control plan shall be maintained in all residuals transportand application vehicles.
5. When land applying residuals to any -land application site, the following buffer zones shall be
maintained at all times:
a. 400 feet from residences or places of. public assembly under -separate ownership for
surface application methods; however, the buffer zone requirement may be reduced to a
minimum of 100 feet upon written consent of the owner and approval from the Water
Quality Section of the appropriate Division's regional office in Attachment 13 of this
permit;
b. 200 feet from residences or places of public assembly under separate ownership for'
subsurface application methods; however, the buffer zone requirement may be reduced to
a minimum of 100 feet upon written consent of the owner and approval from the Water
Quality Section of the appropriate Division's regional office in Attachment B of this
permit;.
c. 100 feet from any public or private water supply source, waters classified as SA or SB,
and any Class I or Class II_impounded reservoir used as a source of drinking water for
both methods;
d. 100 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal
waters and any other lake or impoundment for surface application;
e. 50 feet from any, streams classified as WS or B, any other stream, canal, marsh or coastal
waters and any other lake or impoundment for subsurface application;
3

f. 50 feet from properEy Iines for both surface and subsurface application_ methods;
g. 50 feet from public right of ways for both surface and subsurface application methods;
h. 10 feet from upslope interceptor drains and surface water diversions for both surface and
subsurface application methods; and
L 25 feet from downslope interceptor drains, surface water diversions, groundwater drainage
systems, and surface drainage ditches for both surface and subsurface application methods,
Some of the buffers specified above may not have been included in previous permits for this
residuals land application program. However, any land application sites that are listed in the
most recently -certified Attachment B of this permit, but were approved with different buffers
shall be reflagged to comply with these buffers.
6. - Maximum slope for land application of residuals shall be 10 percent for surface application
methods and 18 percent for subsurface application methods.
7. Specific residuals land application area boundaries shall be clearly marked on each land
application site.prior to and during a residuals land application event.
8. The metal loading rates on any land- application site shall not exceed the following
Cumulative Pollutant Loading Rates (CPLRs):
Parameter
(kilograms
to ams per hectare
CPLR
ounds per acre
Arsenic
41
36
Cadmium
39
34
Copper
1,500
1,338-
Lead
300
267
Mercury
17
15
Molybdenum
n/a
n/a
Nickel
420
374 .
Selenium
100
89
Zinc-
2,800
2,498
9. An acceptable pH shall be maintained in the soil, residuals, and lime mixture, greater than 6.0,
on all land application sites onto which residuals are land applied to ensure optimum yield for
the crops specified in Condition 11. 13. The agronomist shall provide information on the pH
best suited for the specified crop and the soil type.
10. Should any of the residuals generated by the residuals source -generating facilities listed in the
most recently -certified Attachment A of this permit contain a high salt content (i.e., high
sodium adsorption ratio (SAR) of five or higher), the exchangeable sodium percentage (ESP)
or other method as approved by the Division, using the results from the annual.soils analysis
as required by this permit, shall be monitored on all of the land application sites. The local
Cooperative Extension Office, the Department of Agriculture and Consumer Services, the .
Natural Resource Conservation Service, a North Carolina -licensed Soil Scientist, or other
agronomist shall review the results and make recommendations regarding soil amendments
(e,g,, gypsum, etc) or other ameliorative mechanism for maintaining the integrity of the site in
terms of suitability for land application of residuals and maintaining conditions conducive to
t crop growth. The Permittee shall implement such recommendations accordingly and shall
maintain written records of each monitoring event that includes details of the sites covered
and rate of soil amendment application.
4

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

Residuals shall not be land applied at rates greater than agronomic rates, unless authorized by
the Division.
14. Animals shall not be grazed on any land application site for 30 days after any residuals land
application event. Sites that are to be used for grazing shall have fencing that will be used to
prevent access after each event.
15. Food crops, feed crops, and fiber crops that do not come in contact with the residuals shall not
be harvested for 30 days after any residuals land application event.
16, Food crops with harvested parts that touch the residual/soil mixture and are totally above the
Iand surface (e.g., tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14
months after any residuals Iand application event. ;
17. Food crops with harvested parts below the surface of the land (i,e., root crops such as potatoes,
carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application
event when the residuals 'remain on the land surface for four months. ar longer prior to
incorporation into the soil.
18. Food crops with harvested parts below the surface of the land shall not be. harvested for 38
months after any residuals land application event when the residuals remain on the land
surface for less than four months prior to incorporation into the soil.
19. Turf shall not be harvested for one year after any residuals land application event,
20. ' Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying'
residuals from the land application sites onto adjacent properties or into any surface waters.
21. Adequate procedures shall be provided to prevent- surface runoff from carrying any land
applied or stored residuals into any surface waters.
22. Surface -applied residuals shall be plowed or disced within 24 hours after land application on
land application sites with no cover crop established.
23. For land application sites that are prone to flooding or within the 100-year flood elevation,
residuals shall be land applied only during periods of dry weather. The residuals shall be
incorporated into the soil within 24 hours after land application.
24. Residuals shall not be land applied during inclement weather or until 24 hours following a
rainfall event of 0.5-inch or greater in 24 hours. -Any emergency residuals land application
measures shall first be approved in writing by the Division.
25. Residuals shall not be land. applied to any land application site that is flooded, frozen, or
snow-covered.
26. Appropriate measures shall be taken to control public access to the land application sites
during active site use and for the 12-month period following the last residuals land application
event. Such controls may include the posting of, signs. indicating the activities being
conducted at each site.
6

M. MONITORING AND REPUATJNG REQLUMMENTS
: 1. Any monitoring (i.e., including'groundwater, :surface water, residuals, soil, or plant tissue
analyses). deemed necessary by: the Division to ensure protection of the environment shall be .
established, and an acceptable sampling and reporting schedule shall be followed.
2. Residuals generated by each residuals source -generating facility listed in the most -recently -
certified Attachment A of this permit shall be analyzed to demonstrate that they are none
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 pennit. The
analyses shall be performed at the frequency specified: in' the most recently -certified
Attachment A of this permit, and the'resuits shall be maintained on file by the Pennittee 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) l;4-Dichlorobenzene (7.5) Nitrobenzene (2.0)
Barium G00.0) 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 byarox3de) (0.k08) Toxaphene (0.5)
Chloroform (6.0) Hexachloro-1,3-bufadiene (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 (200A) Lindane (0.4) 2,4,5-TP pivex) (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.
. l

3. An analysis shall be conducted on residuals generated by each residuals source -generating
facility listed in the most recently -certified Attachment A of this permit. The analysis shall be
performed at the frequency specified in the most recently led Attachment A of this
permit, and the results shall be maintained on file by the Permittee fora minimum of five
years. If residuals, generated. by a particular residuals source -generating facility are land
applied at a frequency less than that which is specified in the most recently -certified
Attachment A of this permit, an analysis shall be required for each residuals land application
event. The analysisshall include,but shall .not necessarily be limited to, the following
parameters:
Aluminum Magnesium Phosphorus
Ammonia -Nitrogen Mercury -Potassium
Arsenic Molybdenum . Selenium
Cadmium Nickel Sodium
Calcium. _ _ . Nitrate -Nitrite Nitrogen Total Kjeldahl Nitrogen
Copper .Percent Total Solids Zinc
Lead pH Plant Available Nitrogen
(by calculation)
After the residuals generated by a particular residuals source -generating facility have been
monitored for two years at the frequency specified in the most recently -certified Attachment A
of this permit, the Permittee may submit a request. to the Division for a permit modification to
reduce the frequency of this monitoring requirement. In no case, however, shall the frequency
of this monitoring be less than once per year when a residuals land application event of
residuals_ generated by the residuals source -generating facility occurs during that year.
4. Residuals generated by each residuals source -generating facility listed in the most recently -
certified Attachment A of this permit shall be monitored for compliance with Condition L 7.
The monitoring shall be performed at the: frequency°specified in the most recently -certified
Attachment A of this permit; and data to verify pathogen and vector attraction reduction of the
residuals shall be maintained on file by the Permittee for a minimum of five- years. The
required data. shall be specific to the stabilization process utilized, but also shall be sufficient
to demonstrate clear compliance with.the Class A pathogen reduction requirements in 40 CFR
Part 503.32(a) or the Class B pathogen reduction requirements and site restrictions in 40 CFR
Part 503.32(b) as well as one of vector attraction reduction requirements in 40 CFR Part
503.33. In addition, the Environmental Protection Agency (EPA) certification statements
concerning compliance with pathogen reduction requirements, vector attraction reduction
requirements, and management practices shall be completed quarterly by the proper authority .
or authorities, if more than one is involved (i.e., either the person who prepares the residuals,
the person who derives the material; or the person who applies the residuals).: Only residuals
that are, generated by the .residuals source -generating facilities that are identified as being
exempt from Condition I. 7. in the most recently -certified Attachment A of this permit shall
not be required to comply with this monitoring requirement.
5. Laboratory analyses as required by Condition III, 2., Condition 111, 3., and Condition Ill. 4.
shall be performed/gathered on the residuals as they are to be land applied. Furthermore,
analytical determinations made pursuant to the -monitoring and reporting requirements of this
permit shall be made by a laboratory certified by the Division for the required parameter(s)
under 15A NCAC 2H .0800 or 15A NCAC 2H .1100.
8

6, Proper records shall :be maintained by the Permittee tracking all residuals: land application
events. These, . records shall include, but are not necessarily _limited to, the following
information'
a. Source'ofresiduals;
b: Date of land application;
c. Location of land application (i.e., site, field, or zone number);:°
d. Method of land application;
e: Weather conditions (i.e:, sunny, cloudy, raining, etc.);'
f. Soil conditions (i.e., dry, wet; frozen, etc.);
g; Type of crop or crops to be grown on field;.
h. Volume of residuals land applied in gallons per acre, dry tons per acre, _or kilograms per
hectare;
i.. Volume :of animal waste or other nutrient source applied. in gallons per acre, _ dry ton per
. .
acre, or kilograms per Hectare (if applicable);
j. Volume of soil amendments (i.e,, lime,.gypsum, etc.) applied in gallons per acre, dry ton. .
per acre, or kilograms per hectare (if applicable); and
k. Annual, and cumulative totals of dry tons per acre of residuals as well as animal waste and
other. sources_of.nutrients (i.e., if applicable);annual and cumulative pounds per acre of
each heavy metal (i.e., shall include,_but shall. not be limited to, arsenic, cadmium, copper,
lead, mercury, molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN,
and annual pounds per acre of phosphorus applied to each field.
7. A representative annual soils analysis (i.e., Standard Soil 'Fertility Analysis) shall be
conducted on each land application. site on:which a residuals land application event in the
respective calendar year has occurred or is to occur, and the results shall be maintained on file
by the Permittee for :a -minimum of five years.. The Standard ' Soil Fertility Analysis shall -
-include, but is not necessarily limited to, the following parameters:
Acidity Exchangeable Sodium Percentage (by calculation)
Calcium Magnesium Phosphorus
Cation Exchange Manganese Potassium Capacity g
..Copper Percent Humic Matter Sodium
Base Saturation (by calculation) pH Zinc
8.. Three copies of all required monitoring and reportingxequirements as specified in Condition
M. 1:, Condition III.2., Condition M. 3., Condition III.4:, Condition III, 5., Condition II% 6.,
and Condition III. 7. shall be submitted annually on or before March 1st of the year following
the residuals land application event to the following address:: -
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699�1617
i.:
9

9. Noncompliance Notification:
The Permittee shall report by telephone to the Aquifer Protection Section of the Division's
Mooresville Regional Office at telephone number [phone], as soon as possible, but in
no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence with the residuals land application program that results in the land
application of significant amounts of residuals that are abnormal in quantity or
characteristic.
b. Any failure of the residuals land application program resulting in a release of material to
receiving waters.
c. Any time that self -monitoring• information indicates that the residuals land application
program has gone out of compliance with the conditions and limitations of this permit or
the parameters on which the program system was designed:
d. Any process unit failure, due to known or unknown reasons, that render the residuals land
application program incapable of adequate residuals treatment.
e. Any spillage or discharge from a vehicle or piping system transporting residuals to the
application site.
Persons reporting such occurrences by telephone shall also file a written report in latter form
within five :days following first knowledge of the occurrence. This report shall- outline the
actions taken or proposed to be taken to ensure that the problem does not recur.
N. GROUNDWATER REQUIREMENTS
1. Land Application Site Requirements:
a. "Each land application site identified with a GW A in the most recently -certified
Attachment B of this permit is dominated by soils with a mean seasonal high water table
greater than three feet below the land surface. Residuals land application events may
occur on these sites throughout the year.
b. Each land application site identified with a GW-B in the most recently -certified
Attachment B of this permit is dominated by soils with a mean seasonal high water table
between one and three feet below theland surface. Residual land application events on
these sites" shall be prohibited from December through March, inclusive. No residuals
shall be. _land applied to these sites when the vertical separation between the depth of
residuals land application and the water table is less than three feet. The actual water
table depth for seasonally -restricted soils shall be verified by soil borings within'24 hours
prior to any residuals land application event that occurs from April through November,
inclusive. The number of borings advanced shall be sufficient to characterize water table
conditions across the land application site adequately. Any open borings shall be properly
filled with native soil, prior to the residuals land application event, to decrease the chance
of any residuals contaminating the groundwater.
c. Each land: application site identified with a GW-E in the mast recently certified
Attachment B of this permit is prone to flooding or is within the 100-year flood elevation.
Residuals shall be applied only during periods of dry weather. The residuals shall be
incorporated:into the soil within 24 hours after application. "

2. Applicable ]Boundary Requirements: j
a. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
-regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"), The
Compliance Boundary for each land application site is established at either 250 feet from
the residuals land application area or 50 feet within the property boundary, whichever is
closest to the residuals land application area. An exceedance of Groundwater Quality
-Standards at or beyond the Compliance Boundary is subject to immediate remediation
action according -to 15A NCAC 2L .0106 (d)(2).
b. - The REVIEW BOUNDARY shall be established around each Ian d 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 15ANCAC 2L .0106 (d)(2).
3. Additional Requirements:
a. Any groundwater quality monitoring, as deemed necessary by the Division, shall be
provided,
V. INSPECTIONS
1. Prior to each residuals land application event, the Permittee or his designee shall inspect the
residuals .storage, transport, and application facilities to prevent malfunctions and
deterioration, operator errors, and discharges that may cause or lead to the release of wastes to
the environment, a threat to human health, or a nuisance. The Permittee shall maintain an
inspection log or summary including at least the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken by the Permittee. This log of
inspections shall be.maintained.by the Permittee for a period of five years from the date of the
inspection and shall be made available to the. Division or other, permitting authority, upon
request.
2. Any duly authorized officer, employee, or representative of the Division may; upon
-presentation of credentials, enter and inspect anyproperty, 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.
3. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement'action by the Division in accordance with North Carolina General
Statutes § 143-215.6A through § 143-215.6C.
11 .

i
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 2'H .0205 (c)(4).
5. The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(i.e., local, state, and federal) which have jurisdiction, including, but not limited to, applicable .
river buffer rules in 15A NCAC 213 .0200, soil erosion and sedimentation control requirements
in 15A NCAC Chapter 4 and under the Division's General Permit NCG010000; and any
requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC .0500.
6. This permit may be modified, revoked, and/or reissued to incorporate any conditions,
limitations and monitoring requirements the Division deems necessary in order to protect the .
environment and public health adequately.
7. The-Permittee, at least six months prior to the expiration of this permit, shall request its
extension. Upon receipt of the request, the Division shall review the adequacy of the facilities
and residuals land application program described therein, and if warranted, shall extend the
permit for such period of time and under such conditions and limitations as it may deem
appropriate.
8. This permit shall not be automatically transferable. In the event that there is a desire for the
residuals land application program to change ownership or to change the name of the
Permittee, a formal permit request shall be submitted to the Division documentation from the
parties involved and other supporting materials as may be appropriate. The approval of this
request shall be considered on its merits and may or may not be approved.
Permit issued this the 1 & da of October, 2005,
NORTH CARO T ENV1R0 NT MANAGEMENT COMMISSION
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
PerxnitNumber WQ0002712
12

Michael F. Easley, Governor
0e, WA r,- MEMO William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r? 9' Alan W. Klimek, P.E., Director
> -iAN 2007 Division of Water Quality
o <
January 2, 2007
.MR. STEPHEN PEELER, DIRECTOR OF PUBLIC WORKS
CITY OP LINCOLNTON
POST OFFICE BOX 617
LINCOLNTON, NORTH CAROLINA 28093
Subject: Permit No. WQ0002712
City of Lincolnton
City of Lincolnton Residuals Land Application
Program.
Land Application of Residual Solids (503)
Lincoln County
Dear Mr. Peeler:
In accordance with your permit modification application received on September 22, 2006 as well
as the additional information received on November 17, 2006, we are fonvarding herewith a modified
Attachment A of Per No. WQ0002712, dated January 2, 2007, to the City of Lincolnton for the subject
residuals land application program.
The City of Lincolnton requested for a permit modification to reduce the frequency of TCLP
monitoring requirement from annually to once per permit cycle (i.e. once for every 5 years). The Division
has reviewed the TCLP analyses submitted by the City of Lincolnton dtiring the past two years and found
no significant concentration of any monitored TCLP parameters. This modified Attachment A has been
issued to.reflect the change of mentioned monitoring requirement in Condition 111.3, of the permit.
Please replace Attachment A With the modified Attacliment A into Permit No. WQ000271.2,
issued October 1.0, 2005.
Please note that other monitoring and reporting requirements remain the same as specify in
Condition III.3. and Condition 11I. 4. of the permit.
if you need. any additional information concerning this matter, please contact Ms. Chonticha
McDaniel by telephone at [phone], or via e-mail at [e-mail].
Sincerely,.
or Ian W. Klimek, P.
cc: Scott Berg, Synagro South
Lincoln County Health Department
Gaston County Health Department
Mooresville Regional Office -Aquifer Protection Section
APS Central Files
LAU File

A'r rACH141 ENT A - Approved Residunt kurce-Generating Facilities
PermA No. 11120002712
CiipnjLincnlnfon'
Cify of Lincobrton Resldnals .land Appikadon Program
Owner
Facility Name
County
Permit Number
IssuedRy
IS503?
Maximum
Monitoring
Monitoring
Approved
Dry Tons
Frequency for
Frequency for
Mineralization
Per Year
Condition III.2.
Condition III.3. and
Rate '
Condition IIL4.
_
Ci oMincotnton
Lincolnton WTP
Lincoln
NCO095588
DWO
non503
300
Once per permitcycle
Annually'
.40
City ofLincotnton
LincolntonWWTP
Lincoln
NCO025496
DWO
503
1300
Once per permitcycle
Ouarterl
.20
Total
1600
rrovtaea mar we residuals generarea tram this residuals source generating tacrbty are not mixed with any other residuals authorized by this permit, this facility shall be exempt from complying with the performance standards stipulated' ii
Condition 1.7. as well as the monitoring andreporting requirements stipulated in Condition MA.
Permit No. WQ0002712 Page 1 of 1
Certification date: January 2, 2007

NCDENft
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coieen H. Sullins Dee Freeman
Director Secretary
Governor RECEIVED
AUG f D 2009 AQUIFER PROTECTION SECTION
August 6, 2009
Mr. Steve Peeler, Director of Utilities
City of Lincointon
PO Box 617
Lincointon, North Carolina, 28092
Subject: Attachment B Certification
Permit No. WQ0002712
City of Lincointon Land Application
Lincoln County
Dear Mr. Peeler:
In accordance with your permit modification application package received on June 26,.2009, we are
)rwarding herewith a modified Attachment 6, certified August 6, 2009, to the City of Lincointon for the subject
residuals land application program for the City's wastewater treatment plant.
This certification is being issued to modify the Attachment B with new land, transfer of land from the
City of Newton, changes in ownership of land already permitted, and site modification. Please note that only
the new acreage permlfted by this modification, is subject (only) to the buffers/setbacks in the new rules (15
NCAC 02T .1100) promulgated on September 1, 2006. The buffers/setbacks. for class. B residuals land
application are attached.
Please replace the existing Attachment B (dated. October 24, .2007) of Permit No. WQ0002712
with this modified Attachment B. Note that only the vicinity and buffer maps for any new and modified land
application sites are attached to this Attachment B. It is the Permittee's responsibility to ensure that a
complete permit is created, by inserting this modified Attachment Band vicinity and buffer maps into Permit
No: WQ0002712, issued on October 10; 2005, and making sure. to retain, any vicinity and buffer maps for any
existing and unmodified land application sites. This permit expires September 30, 2010.
This modified Attachment B shall be effective from the date of certification; shall void Attachment B of
Permit No. WQ0002712, that was previously certified, and shall be subject to the conditions and limitations as
specified therein and well as those specified in the above -referenced permit. As always, remember to take the
time to review this modified Attachment B thoroughly, as some of the conditions contained therein may
have been changed since the last certification. Note that this modified Attachment B is hereby incorporated by
reference into Permit No. WQ0002712, issued on October 10, 2005,
1617 Mali Service Center, Raleigh, North Carolina 27699-1617 011e, Location: 512 N. Salisbury sL Raleigh, Math Carolina 27604 KoithCarolina
Phone: [phone] FAX 91U07.64921 Customer Service: 1 -877-623-6748
Internet%" vr.ncvtalerqualiV.org y�i i rtiL`6�
An Equal OpWunityl Affinalive Ac ion Erapayer

City of Lincolnton — WQ0002712 Attachment 8
August 6, 2009
Page 2
If any parts, requirements, and/or limitations contained in this certification or modified Attachment B are
iacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days
Following receipt 'of the certification. This request ,shall be in the from of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings at
6714 Mail Service Center, Raleigh, North Carblina'27699-6714. Unless such demands are made, this permit
shall be final and binding.
If you need any additional information concerning this matter, please contact Ellen Huffman by
telephone at [phone],or via e-mail at ellen.huffman,(@ncmail.net.
Sincerely, R
ForColeen H. Sullins, Director ~ `
AttachZtt
ts
cc: Berg, SYNAGRO, Mocksville office
Lincoln County Health Department
Mooresville Regional Office -Aquifer Protection Section Files
Aquifer, Protection Section Central Files
LAPCU Residuals Program Coordinator