WQ0016247_Modification_20210121

Initial Review
INITIAL REVIEW
Reviewer
Thornburg, Nathaniel
Is this submittal an application?
(Excluding additional information.)*
r Yes r No
Is this a complete
application?*
Complete App Date
r Yes r No
01/21/2021
Project Number*
WQ0016247
Applicant/Permittee
Synagro Central, LLC
Applicant/Permittee
284 Boger Rd Mocksville NC 27028
Address
Is the owner in BIMS?
r Yes r No
Owner Type
Facility Name
County
Fee Category
Major
Signature Authority
Organization
Synagro Western Piedmont RLAP
Alexander
Signature Authority Title
Signature Authority Email
Document Type (if
non -application)
Email Notifications
Does this need review by the hydrogeologist?*
r Yes r No
Regional Office
CO Reviewer
Is the facility in BIMS?
r Yes r No
Fee Amount
$395

Admin Reviewer
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notification
Comments for Kendall
Comments for RO
Comments for Reviewer
Comments for Applicant

Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by MB Staff regarding electronic subnittal, confirmation of receipt, and other issues.
........................................................................................................................................................................................................................................................................................................................................................................
Name * Alex Fox
Email Address*
[e-mail]
Project Information
Submittal Type* r New Permit Application
r Renewal
r Annual Report
r Other
Permit Type * r Wastewater Irrigation
r Other Wastewater
r Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
Permit Number* WQ0016247
ApplicantTermittee * Synagro Central, LLC
Applicant/Permittee 284 Boger Rd Mocksville NC 27028
Address*
Facility Name * Synagro Western Piedmont RLAP
Phone Number*
7048813429
r Modification (Major or Minor)
r Additional Information
r Residual Annual Report
(- High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Attached is all the required information for the major modification to the Synagro Western Piedmont Permit.
We are adding 9 new sites with three transfer sites and one map modification to site ST-03.
Please attach all information required or requested for this submittal to be review here.
Application Formt Engineering Rans, Specifications, Calculations, Etc.)
wpm-01152021120701.pdf 121.58MB
upload only 1 RJF document. Nlaltiple documents must be corrbined into one RJF file.

For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contactthe reviewer or Tessa Monday. If a paper --polka*-ion is required,
be advised, applications accepted' far pre -review until both the paper and eIect-c-,i_ co1)ies nave been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments (calcs, soils report, specs, etc.)
o One full-size engineering plan set
o One 11x17" engineering plan set
o One extra set of specifications
o Fee (if required)
MallinE address:
❑iuision of Water Resources1 Division of Water Resources
Non -Discharge Branch I Non -Discharge Branch
1617 Mail Service Center 1 Aft: Nathaniel Thornburg, 91° Floor, Cfice #942W
----------------------------------------------------------- -----------------------------------------
Raleih, NC 27699-1617 512 N. Salisbury St.
Far questions or problems contact Tessa Monday [e-mail] or 919.707.3560.
* W By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with
all parts of the application in correct order (as specified by the application).
Signature
Submission Date 1/15/2021

.............. ...... aim ........... ..... - . �............ .. .............. .... ..... ,.................
E t 7 I
i �...... _... " ....i .......... I
I

DW.R
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T A I00 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
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 on inaI and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) 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 Environmental
Quality (NCDEQ).
Facility Classification
New Permit
Major Modification'
[—Major (land for > 300
are permitted acres)
$1,310
$395
Minor (land are permitted for < 300 acres)
$810
$245
- 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 for that particular program (including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously pennitted. There is no fee for minor modifications to a permit.
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 I5A NCAC I C .0300)
Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 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 equipment 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.
El 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 production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
® Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
® Plans must include the following minimum items:
® A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
® The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
® Delineation of the review and compliance boundaries
Setbacks as required by 15A NCAC 02T .1108
® 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 06-16 Page 2 of 3

1. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 1.5A NCAC 02T .I 104(d)(4) and current Division Policy
available at: http://www.ncwater.or /g Rules Policies and Regulations/. 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://www.newater.oEg/Rules Policies and Re ulations/.
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:
Ll 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(f), 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 ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
BY Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
I . Applicant's name: S na ro Western Piedmont Class B Permit
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Robert Roth Title: TSS Manager
Applicant's mailing address: 284 Boger Rd
City: Mocksville State: NC Zip: 27028
Telephone number: (336-403-4324) Email Address: rroth cr,synagro.com
2. Consultant's name: Alex Fox License Number (for P.E.):
Affiliation: ® On Staff ❑ Retained (Finn: Synagro Central LLC.)
Consultant's mailing address: 284 Boger Rd
City: Mocksville State: NC Zip: 27028
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name: License Number:
Affiliation: ❑ NIA ❑ On Staff ❑ Retained (Finn: )
Agronomist's mailing address
City: State: NC
Telephone number: (_)
4. Soil Scientist's name: Chris Murray
Affiliation: ❑ NIA ❑ On Staff
Zip:
Email Address:
License Number: 1284
® Retained (Finn: )
Soil Scientist's mailing address:: 216 S. Swing Rd. Suite 1
City: Greensboro State: NC Zip: 27028
Telephone number: [phone] Email Address: chris cr,piedmontsoil.com
5. Fee submitted: (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, ❑ renewed pen -nit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00016247
Date of most -recently issued permit: January 11, 2021
Date of most -recently certified Attachment A (if different than the permit):
Date of most -recently certified Attachment B (if different than the permit):
FORM: RLAP 06-16 Page] of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: Source Specific
City: _State: NC Zip: 28658
Coordinates: Latitude: Longitude:
Datum: NAD83
Method of measurement: Second
Level of accuracy: Map
2. County where residuals land application program is headquartered: Catawba
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
Robert Roth
Synagro
1001672
Back -Up ORC
Adam Brigman
Synagro
1006653
Additional Back -Up
ORCs
(if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test: Alex Fox Spring 2020
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrowen Summarv: 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: 2080 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
41.74
58.67
86,809
122,039
Five -Year Maximum Adjusted
57.66
74.6
119,931
155,161
b. GandAnplication Site Use Summary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
346.0
Hay
650.0
Pasture
817.0
Total:
I813
Methods
Surface
1813
Incorporation or Injection
0
Total:
1813
FORM: RLAP 06-16 Page 2 of 5

c. Residuals La►rdAppfleation Summarp: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table: weighted average
Assumed
Application Rate
(lbs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
1736.2
2440.8
2398.6
3103.2
100
868.1
1220A
1199.3
1551.6
150
578.7
813.6
799.5
1034.4
200
434
610.2
599.7
775.8
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, vectorreduction
practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): ® 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;
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
4_4
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
In
Land Application Siite
Certification. doc
FORM: RLAP 06-t6 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation System only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray E] Drip
2. Disposal system is: ❑ existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation:. feet
below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
inlhr)
Recommended
Loading Rate
inI r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field 1 Zone
Design Area
(ft')
Number of
Nozzles
Maximum Application
Rate ( allons/hr)
Design Annual Loading
Rate allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ftz
Nozzle capacity
gpm
Nozzle manufacturer/ model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
® Yes ❑ No, Explain;
(Signature Authority's Name — PLEASE PRINT)
attest that this application for
(Facility Name)
f)n, , Se- ro' ,,ee-
(Title)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that the Division of Water Resources
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
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation,
Signature: lit-iltKV-)
Date: 1I15Izl !
FORM: RLAP O6-16 Page 5 of

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
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 tine 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 A plicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Dischar e Permitting Unit
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 .I 100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
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 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) 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.
B. 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 fi-equency, 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 06-16 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicants name: SynaPro Western Piedmont
Status Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year
Code a
Current b Proposed
N City of Mount Holly Mount Holly WWTP Gaston NCO021156 0 780
a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page I

..DWR
Divlslon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
1. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Mount Holly WWTP
2. Facility permit holder is: Federal, ❑ State, 0 Local Government, or El Private.
Facility permit issued by: Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: ).
3. Facility contact person and title: Doug Shoutd
Complete mailing address: 201 Broome St
City: Mount Holly State: NC Zip: 28120 `'
Telephone number: 704) 827-4261 E-mail address: dou .shoutd mtholl .us
4. Facility physical address: 201 Broome St
City: Mount Holly State: NC Zip: 28120
Coordinates: Latitude: 35' 16' 57" Longitude: 8V 00' 41"
Datum: NAD 83 Level of accuracy: Second
Method of measurement: MAP
5. Purpose of the facility:
0 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: % industrial and ' % domestic)
❑ other (explain: }.
6. Does the facility have an approved pretreatment program: Yes ❑ No
7. Facility permitted/design flow: 4_0 MGD and facility average daily flow: 2_1 MGD
8. Average amount of residuals being generated at this facility 210 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: aerobic digestion 1.5million gallons
Type and volume of residuals storage (i.e., outside of residuals treatment units): 2 concrete cylindrical storage tanks - both
hold 750,000 gallons each
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
N 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:
0 Biological d Non -Biological
FORM: RSC 06-16 Page 1 of 5

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).
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: d yes no.
}�
If yes, list the number(s): LO �-
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: E] yes W 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: Pace Analytical and Date of analysis: 01/28/20
Passed corrosivity test: yes no. pH: sm. (2 < pH < 12.5)
Passed ignitability test: yes no. Flashpoint: non-flammable OF (> 140°F)
Passed reactivity test: ® yes Ono. HCN: ND mg/kg (<250) & HzS: ND mg/kg (<500)
TCLP Parameter
Limit
Result
TCLP Parameter
Limit
Result
(mg/1)
(mg/!)
(mg/1)
Ong/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
Tetrachloro ethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
],I-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)
Lo
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 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 DistributioitILalld 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: Pace Analytical and Date of analysis: 07/29/20.
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
nd
Cadmium
85
39
nd
Copper
4,300
1,500
340
Lead
840
300
nd
Mercury
57
17
nd
Molybdenum
75
n/a
nd
Nickel
420
420
nd
Selenium
100
100
nd
Zinc
7,500
2,800
730
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg4g)
❑ > 0 but <25
30
200
210
❑ > 25 but < 50
34
220
260
240
270
El > 50 but < 75
39
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
El > 125
62
450
420
Result (mg/kg)
FOAM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: .667 %.
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: Pace Analytical and Date of analysis: 07/29/20
Parameter
Result
(mg/kg)
Aluminum
22,000
Ammonia -Nitrogen
23,000
Calcium
75,000
Magnesium
2,600
Nitrate -Nitrite Nitrogen
276
pH (Standard Unit)
7.4
Phosphorus
25,000
Potassium
6,800
Sodium
13,000
Total Kjeldahl Nitrogen
76,000
c. Using the results listed in Item I1. 5b. above, calculate the sodium adsorption ration (SAR): 2.69
[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: %. This rate
is a (check one): 0 default value, or B actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: M
c. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (11') Year PAN
Five -Year
Maximum Adjusted PAN
(mg/k�
(mg/kg)
Surface
35,580
51,620
Injection/Incorporation
39,330
55,370
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:
FORM: RSC 06-16 Page of

7. Pathogen Reduction,: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For DistribtitioitILaiidApplicatiott 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
Ej 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 I [15A NCAC 02T.] 106(b)(3)(A)] - TimelTeniperature Compliance.
❑ Alternative 2 [15A NCAC 02T.I 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. ] 106(b)(3)(D)] -No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: El composting, ❑ heat drying, E=' heat treatment,
Hthermophilic aerobic digestion, beta ray irradiation,
gamma ray irradiation, or lr,i pasteurization.
b. For Land Application of Class B:
Alternative 1 [15A NCAC 02T. 1 106(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 11. 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 11.8. below [15A NCAC 02T.] 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 I [15A NCAC 02T.1 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.I 107(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.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
® Alternative 6 [ 15A NCAC 02T.1107(a)(6)] -Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T. 1 107(a)(8)] - Drying of Unstabilized Residuals.
® Alternative 9 [15A NCAC 02T.1 107(a)(9)] - Injection.
® Alternative 10 [15A NCAC 02T.1107(a)(]0)] -Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T. ] 107(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 06-16 Page 5 of5

CITY OF MOUNT HOLLY PERMIT RENEWAL
QUANTITATIVE JUSTIFICATION FOR RESIDUALS PRODUCTION RATE
The following is a record of the annual land application volume for the City of Mount
Holly's wastewater.
Year
Dry Tons Land Applied
2018
207.06
2017
252.66
2016
198.50
2015
192.62
2014
239.12
2013
177.35
The current permitted volume (780 dry tons per year) is greater than the anticipated need
for the coming years. Over the six years shown above the average number of dry tons
land applied were 211.22, which is well within reason of the permitted dry tonnage. The
extra tonnage allows for future clean outs an exspansion.

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0"
VICINITY MAP
GRAPHIC SCALE
1" = 4,000'
4,000' 0 ON'
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-MG-37
FIELD 1

Holding Tankft II
h-
Acration Basirt 41
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Analytical Results
Synagro
284 Boger Rd.
Mocksville, NC 27028
Receive Date: 07/16/2020
Reported. 08/27/2020
For: Mt Holly
Comments:
ANALYTICAL
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
200716-31-01 30 Day Benchscaie Mt Holly 32
Respectfully submitted,
�P WO,,yr),�r ,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
EPA625-a-9210 07/16/2020 WC
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4

Client:
7."rI%'rFqVlL i F
AN,-%LYTICAL
Address:
AA-
l22CouFfSMct P.O.Box =
SW-syillo, NC 28687
3. (704)8724697
n.
Chain of
Custody Record
Contw Person: Phone# FAX0
PO # Requisitioned by. /:--v (Time Date)
Cuslomer
Semple IDO
-nme Sampled
Lab-10 0 (Grab Only)
Date Sampled
(Grab OnIonly)swy.l
M X Prwqtm mquesied for
Iww
Mulysis
61 A r
lit rl
Relinquished by:
Time
am, pm Date _J__j Sampled by:
Received by:
Time
am, 15)Date _Z/ L_167 Transported by:
Relinquished by:
Time
am, pm Date
Holding times met:
Received by:
Time
am, pm Date
Compliance work:
-Qomt>osite Sampling
#1
Time begin— am, pm Date
Non-compliance work:
Time end am. pm Date
Lab Comments:
Samples Transported On lem
Qmpo5ite.Sampling
#2.
Time begin— am,
pm Date
Time end am, pm Date _J_J_

Residuals Sampling Plan
City of Mount Holly 4 Mount Holly WWTP
Nutrients and Metals Analysis
Sampling Point: Storage tanks
Sampling Frequency: Quarterly
Sample Type: Grab
Lab: A&L Eastern Agricultural Laboratories, Inc.
Pathogen (Fecal Coliform Density Demonstration)
Sampling Point: Storage tanks
Sampling Frequency: Quarterly
Sample Type: Grab
Lab: Par Laboratories, Inc.
Vector Attraction Reduction
Sampling Points: Storage tanks
Sampling Frequency: Quarterly
Sample Type: Grab
Lab: Par Laboratories, Inc.
TI-11 A 4- Rt''i
,Sampling Point: storage tanks
Sampling Frequency: Annually
Sample Type: Grab
Lab: Summit Environmental Technologies, Inc

30 Day Bench Worksheet Sample 11)
WEEK 1
UMr..m ME
WEEK 2
. I
IMEM.F.Mr-12=
�MOAMMMWJ1.,AiI:OM
S
WEEK 3
©(I
rm
WEEK 4
. IM
©
�
Wolff
WEEK 5
NO
wMSM
WEEK 6
EMMO,
O���i�a
•
1 r ��r'
©
XIFMM
©ram
•
t/a", V0-
o. -I I up C.10213 Y- ►00
Van Kleeck Reduction: Initial % Vol. Frac, - Final % Vol. Frac. X 100 = % Q 2
Initial % Vol, Frac. — ( Initial % Vol. Frac. X Final % Vol. Frac)
FINAL RESULT c.al2�2 % O••�t 12t� 4f•1Q73 32�/d
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 4 of 4

%VS in 0.7126 Enter in
VS out
t 0.6273 decimal form
%VSR= _ (%VS in - %VS out}
%VS in
%VSR= 11.97

Analytical Results
Synagro
284 Boger Rd.
Mocksville, NC 27028
Receive Date: 07/16/2020
Reported: 07/20/2020
For: Mt Molly
Comments;
STATESVILLE
ANALYTICAL.
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
200716-30-01
Fecal Coliforms
1
9032
MPN/g
SM92210E-2000
07/17/2020
WC
200716-30-01
Percent Solids
1
1.55
%
SM25408.2011
07/17/2020
WC
200716-30.02
Fecal Coliforms
2
7965
MPN/g
SM92210E-2"
07/17/2020
WC
200716-30-02
Percent Solids
2
1.13
%
SM2540B-2011
07/17/2020
WC
200716-30-03
Fecal Coliforms
3
8000
MPNIg
SM92210E-20os
07/17/2020
WC
200716-30-03
Percent Solids
3
1.50
%
SM25408-2011
07/17/2020
WC
200716-30.04
Fecal Coliforms
4
6164
MPNIg
SM92210E-2M
07/17/2020
WC
200716-30-04
Percent Solids
4
1.46
%
5M25408-2011
07/17/2020
WC
200716-30.05
Fecal Coliforms
5
8462
MPNIg
SM92210E-20os
07/17/2020
WC
200716-30-05
Percent Solids
5
1.30
%
SM25408-2011
07/17/2020
WC
200716-30-06
Fecal Coliforms
6
8824
MPNIg
SM92210E-2"
07/17/2020
WC
200716-30-06
Percent Solids
6
1.36
%
SM254OB-2011
07/17/2020
WC
200716-30-07
Fecal Coliforms
7
5755
MPN/g
SM92210E-2006
07/17/2020
WC
200716-30.07
Percent Solids
7
1.39
%
SM2540e-2011
07/17/2020
WC
Respectfully submitted,
"Op -Wft, j-ny V )
Dena Myers
NC Cert #440,
NCOW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4

Condition of Receipt
Sample Number 200716--30-01 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Cotforms
Sodium Thiosulfate Received on Ice
Sample Number 200716-30-02 Temp on Arrival: 3.2
No
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 200716-30-03 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 200716-30-04 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 200716-30-05 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 200716-30-06 Temp on Arrival: 3.2
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 4

Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfale Received on Ice
Sample Number 200716-30-07 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/87214697
Page 3 of 4

Client 14
T AT F. qv I L I.F
ANi-�LYIMAL
2Ceun5Lrcca , P',Q_Bax228
Address: AlL
Slalmilk,NC 29687
(704) V24GQ7
Chain of
Custody Record
Contact Person:Phone 9 FAX4
_# 7 Z� ,
PO Requisitinned by: Time Gate)
Customer
$4mpie UP
'lime Sampled
fGmt Orly)
Data Sampled
(G,ab OnI
—7 & /or
IJ
17
0'2-
il zz
ci
r
4
Relinquished by:
Time
am, pm Date
Sampled by,
Received by,
Time L-'M22
a m, &I
Transported by:
Relinquished by:
Time
am, pm Date
Holding times met:
Received by:
Time
am, PM Date
Compliance work;
Gornposite,SAaipl:1u,g —#I -
rime begin am, pm Date_L___/__
Non-compliance work:
Time end— am,
pm Date
Corn Pos He aamplLng C2.-
Lat) Comments:Samples
Transported On ice:
lime begin _am,
pm Date
_j_.__/_
Time end am, pm Date
TI-
rn
CO
CD
r"

aceAnalytical
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Alex Fox
Project Name: Mt. Holly
Lot Number:VG27030
Date Completed:08/05/2020
I
a
08/06/2020 3:33 PM
Approved and released by:
Project Manager II: Lucas Odom
A16
ANdr N�lim�lA[EEEJNrPoo Bw+d
A C G R E O I T E D
TESTING LADURATGNY
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC.
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172
Tel: [phone] Fax:[phone] www.pacelabs.com
Page 1 of 7

PACE ANALYTICAL SERVICES, LLC
SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: VG27030
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Pace Analytical Services, LLC ("Pace") Quality Assurance
Management Plan (QAMP), standard operating procedures (SOPs), and Pace policies. Any exceptions to
the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W'
qualifier
If you have any questions regarding this report please contact the Pace Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
Metals by ICP
Due to the low % solids value, sample -001 was weighed out 3 times the normal amount. The LOQ has
been elevated to reflect the dilution.
Pace Analytical Services, LLC (formerly Shealy Environmetal Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] vNm.pacelabs.com
Page 2 of 7

Client:Synagro Laboratory ID:VG27030.001
Description: Mnt Holly Matrix: Solid
Date Sampled:0712712020 1015 % Solids: 0.667 07/2912020 0155
)ate Received: 07/2712020
Inorganic nonmetals
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
2
(% Solids) SM 254OG
1 07129/2020 0155 LSH
61560
1 350.1
(Ammonia - N ) 350.1
5 0712812020 1323 DMA
61436
1
(Nitrate - N ) 9056A
1 0712912020 1929 AMR
61679
1
(Nitrite - N ) 9056A
1 0712912020 1929 AMR
61744
1
(Phosphorus) 365.1
5 0712812020 1359 DMA
07/28/2020 0935 61432
1
(Soil pH meas) 9045D
1 08/04/2020 2226 SRB
62360
1 351 A
(TKN) 351.2
1 07/28/2020 1501 DMA
07/28/2020 1002 61429
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 254OG
0.667
%
2
Ammonia - N (gas diffusion)
350.1
23000
750
390
mg/kg
1
Nitrate - N (soluble)
9056A
210
75
15
mg/kg
1
Nitrite - N (soluble)
9056A
66
30
15
mg/kg
1
Phosphorus
7723-14.0 365.1
25000
3700
750
mg/kg
1
Soil pH measured in water @ 21.5 o C
9045D
7.4
su
1
TKN
351.2
76000
3700
3700
mg/kg
1
CVAA
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 7471 B
7471 B
1 07/29/2020 1447 JAB2
07/29/2020 1025 61550
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Mercury
7439-97-6 7471E
ND
12
2.9
mg/kg
1
ICP-AES
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3050B
6010D
1 07/3012020 1411 KSH2
07129/2020 1428 61551
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Aluminum
7429-90-5 6010D
22000
1000
370
mglkg
1
Arsenic
7440-38-2 6010D
ND
37
12
mg/kg
1
Cadmium
7440-43-9 6010D
ND
12
3.1
mg/kg
1
Calcium
7440-70-2 6010D
7500 J
12000
1600
ni
1
Chromium
7440-47-3 6010D
96
25
6,2
ri
1
Copper
7440-50-8 6010D
340
25
11
mg/kg
1
Iron
7439-89-6 6010D
8100
250
110
mg/kg
1
Lead
7439-92-1 6010D
ND
25
11
mg/kg
1
Magnesium
7439-95-4 6010D
2600 J
12000
1600
mglkg
1
Manganese
7439-96-5 6010D
140
37
15
mglkg
1
Molybdenum
7439-98-7 6010D
ND
100
25
mg/kg
1
Nickel
7440-02-0 6010D
ND
100
26
mg/kg
1
LOQ = Limit of Qua ntitaiian
B ={Detected in the method blank
E - Quantitation of compound exceeded the calibration range
Ot = Detection Limit
ND -Not detected at or above the OL
N = Recovery is out of criteria
P = The RPD between two GC columns exceeds
40%
J = Estimated result < LOG and > OIL
H = Out of holding time
W = Reported on wet weight basis
ice Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
06 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs_corn
Page 3 of 7

Client: Synagro Laboratory ID:VG27030-001
Description: Mnt Holly Matrix: Solid
Date Sampled:07l27I2020 1015 % Solids 0.667 07/29/2020 0155
Date Received: 0712712020
ICP-AES
Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prop Date
Batch
1 3050B
601OD 1 07/30/2020 1411 KSH2
O7/29/2020 1428 61551
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Potassium
7440-09-7 6010D
6800 J
12000
1600
nri
1
Selenium
7782-49-2 6010D
ND
50
20
mg/kg
1
Sodium
7440-23-5 6010D
13000
12000
1600
mg/kg
1
Zinc
7440-66-6 6010D
730
120
31
mglkg
1
LOQ = Limit of Quanlitalion B = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the X N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % J = Estimated result < LCQ and > DL
H = Out of holding time VV = Reported on wet weight basis
ice Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www,pacelabs.com
Page 4 of 7

Chain of Custody
and
Miscellaneous Documents
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs,com
Page 5 of 7

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Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc,)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-970o Fax [phone] www.pacclabs.com
Page 6 of 7

PACE ANALYTICAL SERVICES, LLC
RNMY Nrvlronrr.Cnlal survrnox, I",
Crc.�gx,itNurntir• RHO] AC-14
Sample Receipt C."heel!
Client, Synagru C.+1a'cr Ins ecuxl bvrdare: CMu.
�tcetrs ufrccei t: �(j SCSh. Clint p [;PS 0 Fcdt z 01
Yes No ]. 14rcrc custody sells prvycnt on the cooler'? _
'rrs NO j4NA 2, ]fcustnth seals water ]re3ent, were Lhcy intal
PH Strip ID-' NA Calorine Strip 11); NA
Orihinnl tentpera,tlr~ up -oh receipt f Dcrived Xorresttal) temperatrcrtt open
2.1 12.5 le NA 1NA °C NA INTA ^C PIA )NA 5C
Method: Rj'lcmper#tture Blstttk QAbainst Bott its IR Gun ID. 5 _
Method ofcoalur•t1 WjWCt1ce U Ice Packs ❑ r)rylce El I�[onq
F• ----r_
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07i271?M
and
V 27030
rage : o: I
Gfkxli�'o IIa[r. >t•'-+�41 tl
Tested b; ; NA
'ecipt %solid Snap -Cup ID; 20.302
IRGun Con-ectron Facto,: 0,_°C
[] Yoe j] NO IJ NA 3. hf tempermtru orany cooler cxteeded 6, 0°C, '0,3 Project rgElnagar
PM %vas Nodfied hy; phone i email 1 fitce to- ice (circle on e).
❑ Yt;s ❑ No ONA 4. Is the commercial courier's paci{iag slip atta ed to tltis fared?
❑ Nstud), aedurenYes Rrcrc mT-r otls(iscoived tolicned?
6YcNo . lVerrmIDs listed on the COC7
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yes
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6Z1Yes
C}vo
Yes
CI No
Yes
❑ No
Malrt
WORM
I 'd
NoM
!I
7. Were sample MS iisled on all sample cants;
8. Was collection dale & time listed on the CG
9- W'M Collcrtiol) (14tc R tir le listed on til l saln
10. Diet all can#aircr label infot'mati4m (ID, (14C,
I. Were tests k) be performed fisted ore t'ra CC
1 Z Did all samples arrive in tho plvgw catttain+
(unbroken. Iids on, etc.)?
13. V4's` s adequate 9arnp-.r, volnrrle twuilable r —
14. tNcrt+ all samples received within !4 the hole
15. Were any s2L plcs corttainers 131 i Tgi7jp}exc f;
Ifs, For VOA lrnd RSK-17S uumples, wm bubb
In any or thtl VOA vials?
C01110
with fhc C=
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rinse or48 hourg, whichever carves Ilr'at?
inch: ore) samples No. 1:-;tcd or, COC?
preseal4 �"pea-hits" (r,",},- �� in Cflan7eier)
17. Were ail DRumt[alshtutrient salnplrs reoeiv d at a PH of < 2?
IN. Were till cyanido sam lea rcceiveri at a pH = 1 snd Sulfide s
n Wc„nplcs received at a PN
�a sir —
w
❑ N �.NA20, tiVnrc rlie!1t remarkshryuos-s (,,e, roques!ed di
corree:tly transoribcd from the COC into the C.Often N4 21. Was the uua ntrmher 11SIC- l on the container I
-� -
Sarnple Pres�erv-ation (Must ho t;omplewd for ally aanlple(s) incorrectly pr
Samples) N. werertcmved ineon
in sample receiving with NA _1rtl, ofcircic ore: 112SO4, t1NO3, FICI, Nail
Titre oFpmej,vutian h'q If 0101'e08n one Frmbctvativc is needed, i
Saurplt�s) NA `
_Wrere
Samples(s) NA were rcocivzd wit11
adjusted a4enldingly in SL tteple. receivtng with sodium t iosu;raln (Na3$203) y
R burcade laaols gpplied by; CrvtS? pogo: 0707002C
CnmmentS:
Lions, MSfMSD designations, etc
.t scc-tion in LIMB?
4? IP es uutG$ NA
rued or wish headbimce.)
11y Presermf and tvero adjustedr accardi
Using SR # NA
asv note in tic cola mmI3 be low.
)eived with 4bbl-13>6 mm in dig meter
h Shealy ID; NA
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 7 of 7

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Adam Brigman
Project Name: Mt. Holly
Project Number: 1701
Lot Number:VA16082
Date Completed:01128/2020
I
01/29/2020 9:54 AM
Approved and released by:
Lab Director - Greenville: Lucas Odom
c >
s
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab,com
Page I of t I

SHEALY ENVIRONMENTAL SERVICES, INC.
SC DNEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: VA16082
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NEhAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality
Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy policies. Any
exceptions to the NEt_AC standards, the QAMP, SOPS or policies are qualified on the results page or
discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
qualifier
If you have any questions regarding this report please contact the Shealy Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
Paint Filter
Sample -001 has been qualified with an "H", however, paint filter analysis does not have a method
defined hold time.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 2 of l I

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Synagro
Lot Number: VA16082
Sample Number Sample ID Matrix Date Sampled Date Received
001 2020 Mt. Holly TCLP Solid 01/16/2020 0640 01/16/2020
I
Shealy Environmental Services, Inc
106 Vantage Point Drive West Columbia. SC 29172 [phone] Fax [phone] www.shealylab.com
Page 3 or I I

SHEALY ENVIRONMENTAL SERVICES, INC.
Detection Summary
Synagro
Lot Number: VA16082
Sample Sample ID Matrix Parameter Method Result Q Units Page
001 2020 Mt. Holly TCLP Solid Ignitability (Pensky-Martens 1010A >140 ° F 5
001 2020 Mt. Holly TCLP Solid Paint Filter Test 9095B Fail H" pass/fail 5
(2 detections)
Shealy Environmental Services, inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 4 of I I

Client:Synagro Laboratory ID: VA16082-001
Description: 2020 Mt. Holly TCLP Matrix: Solid
Date Sampled:01/1612020 0640 % Solids: 1.24 01/17/2020 0106
Date Received:0111612020
Inorganic non-metals
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1
(Ignitability) 1010A
1 01/22/2020 1406 SLC
42609
1
(Paint Filter) 9095E
1 01/28/2020 1408 HET
1
(Reactive Cya) 7.3.3
1 01127/2020 1835 MSG
01/23/2020 1057
1
(Reactive Sul) 7.3.4
1 01/27/2020 1544 HET
01123/2020 1057
1
(Soil pH meas) 9045D
1 01/20/2020 2053 HET
42404
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
Ignitability (Pensky-Martens
Closed -Cup)
1010A
>140
140
- F
1
Paint Filter Test
9095B
Fail H*
pass/fail
1
Reactive Cyanide
7.3.3
ND
50
mg/kg
1
Reactive Sulfide
7.3.4
ND
50
nri
1
Soil pH measured in water
@ 19.5 * C
90451)
7.1
su
1
TCLP Volatiles
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch Leachate Dale
1 1311/5030B
8260D
10 01/25/2020 0128 JTH
42876 01/22/2020 2342
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
Benzene
71-43-2 8260D
ND
0.050
mglL
1
2-Butanone (MEK)
78-93-3 8260D
ND
0A0
mglL
1
Carbon tetrachloride
56-23-5 8260D
ND
0.050
mg1L
1
Chlorobenzene
108-90-7 8260D
ND
0.050
mg/L
1
Chloroform
67-66-3 8260D
ND
0,050
mglL
1
1,2-Dichloroethane
107-06-2 8260D
ND
0.050
mglL
1
1,1-Dichloroethene
75-35-4 8260D
ND
0.050
ni
1
Tetrachloroethene
127-18-4 8260D
ND
0.050
mglL
1
Trichloroethene
79-01-6 8260D
ND
0.050
ni
1
Vinyl chloride
75-01-4 8260D
ND
0.010
mg1L
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
Bromofluorobenzene
104 70-130
1,2-Dichloroethane-d4
100 70-130
Toluene-d8
103 70-130
TCLP Semivolatiles
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date Batch Leachate Date
1 131113520C
8270E
1 0112812D20 1505 SCD
01/22/2020 1642 42622 01/20/2020 2316
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
1,4-Dichlorobenzene
106-46-7 8270E
ND
0.040
1
1
2,4-Dinitrotoluene
121-14-2 8270E
ND
0.080
ri lt_
1
LOO = Limit of 0uartitation B = Detected in the method blank E = Quantitalion of compound exceeded the calibration range
ND = Not detected at or above the LOO N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40%
H - Out of holding time W = Reported on wet weight basis
ealy Environmental Services, Inc.
.06 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 5 of t I

Client:Synagro Laboratory ID: VA16082-001
Description: 2020 Mt. Holly TCLP Matrix: Solid
Date Sampled:0111612020 0640 % Solids: 1.24 01/1712020 0106
)ate Received: 0111612020
TCLP Semivolatiles
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 131113520C 8270E 1 01/28/2020 1505 SCD 01/22/2020 1642 42622 01/20/2020 2316
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
Units
Run
Hexachlorobenzene
118-74-1
8270E
ND
0.040
mglL
1
Hexachlorobutadiene
87-68-3
8270E
ND
0.040
mglL
1
Hexachloroethane
67-72-1
8270E
ND
0.040
mglL
1
2-Methylphenol
95-48-7
8270E
ND
0.040
mg1L
1
3+4-Methylphenol
106-44-5
8270E
ND
0.040
mg1L
1
Nitrobenzene
98-95-3
8270E
ND
0.040
mg1L
1
Pentachlorophenol
87-86-5
8270E
ND
0.20
mglL
1
Pyridine
110-86-1
8270E
ND
0.040
mglL
1
2,4,5-Trichlorophenol
95-95-4
8270E
N❑
0.040
mglL
1
2,4,6-Trichlorophenol
88-06-2
8270E
ND
0.040
mglL
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
2-Fluorobiphenyl
92 37-129
2-Fluorophenol
55 24-127
Nitrobenzone-d5
100 38-127
Phenol-d5
69 28-128
Terphenyl-d14
118 10-148
2,4,6-Tribromophenol
110 41-144
TCLP Herbicides
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch Leachate Date
1 131118151A
8151A
1 01/27/2020 1250 DAL1
01/23/2020 1207 42707 01/20/2020 2316
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
2,4-D
94-75-7 8151A
ND
0.020
mg1L
1
2,4,5-TP (Silvex)
93-72-1 8151A
ND
00050
mglL
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
DCAA
58 50-112
PCBs by GC
Run Prep Method
Cleanup Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3550C
3660813665A 8082A
1 01/28/2020 1312 CHG
01/27/2020 2245 43002
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
Aroclor 1016
12674-11-2 8082A
ND
1300
uglkg
1
Aroclor 1221
11104-28-2 8082A
ND
1300
uglkg
1
Aroclor 1232
11141-16-5 8082A
ND
1300
uglkg
1
LCQ = Limit of Quantitation
B - Detected in the method plank
E = Quantilation of compound exceeded the calibration range
Na = Not detected at or above the LOD N = Recovery is out of criteria
P = The RPD between two GC columns exceeds 40 %
H = Out of holding time
W = Reported on wet weight basis
iealy Environmental Services, Inc.
.06 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 6 of I 1

ClienkSynagro Laboratory iD: VA16082-001
Description:2020 Mt. Holly TCLP Matrix: Solid
Date Sampled:01 /16/2020 0640 % Solids: 1.24 0111712020 0106
Date Received:0111612020
PCBs by GC
Run Prep Method
Cleanup Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3550C 3660B13665A 8082A
1 01/28/2020 1312 CHG
01/27/2020 2245 43002
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
Aroclor 1242
53469-21-9 8082A
ND
1300
uglkg
1
Aroclor 1248
12672-29-6 8082A
ND
1300
uglkg
1
Aroclor 1254
11097-69-1 8082A
ND
1300
uglkg
1
Aroclor 1260
11096-82-5 8082A
ND
1300
uglkg
1
Surrogate
Run 1 Acceptance
Q % Recovery Limits
Decachlorobiphenyl
86 41-132
Tetfachloro-m-xylene
75 35-106
TCLP Pesticides
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch Leachate Date
1 1311/3520C
8081B
1 01/24/20201854 DAL1
01/23120201511
42724 01/20/2020 2316
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
gamma-BHC (Lindane)
58-89-9 8081 B
ND
0.00040
nri
1
Chlordane
57-74-9 8081B
ND
0.0040
mglL
1
Endrin
72-20-8 8081B
ND
0.00040
mglL
1
Heptachlor
76-44-8 8081 B
ND
0.00040
mg1L
1
Heptachlor epoxide
1024-57-3 8081E
ND
0.00040
mg1L
1
Methoxychlor
72-43-5 8081B
ND
0.0016
mg/L
1
>oxaphene
8001-35-2 8081B
ND
0.0080
mglL
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
Decachlorobiphenyl
88 20-131
Tetrachloro-m-xylene
95 26-132
TCLP Metals
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch Leachate Date
1 1311/3010A
6010D
1 01/23/2020 2000 KSH2
O1/2212020 0955
42552 01/20/2020 2316
1 1311/7470A
7470A
1 01/2212020 1603 KSH2
O1122/2020 1155
42553 01/20/2020 2316
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
Arsenic
7440-38-2 6010D
ND
0.15
mglL
1
Barium
7440-39-3 6010D
ND
0.25
mglL
1
Cadmium
7440-43-9 6010D
ND
0.050
mglL
1
Chromium
7440-47-3 6010D
ND
0.10
mg1L
1
Lead
7439-92-1 6010D
ND
0.10
ri
1
Mercury
7439-97-6 7470A
ND
0.0020
mg1L
1
LOQ = Limit of Quantitation
B = Detected in the method blank
E = Quantilation of compound exceeded the cafibralion range
ND = Not detected at or above the
LGQ N - Recovery is out of criteria
P = The RPM between two GC columns exceeds 40 %
H - Out of holding time
W = Reported on wet weight basis
leafy Environmental Services, Inc.
.06 Vantage Point Orive West Columbia, SC 29172 [phone] Fax {803) 791-9111 www.shealylab_corn
Page 7 of I I

Client:Synagro Laboratory ID:VA16082-001
Description: 2020 Mt. Holly TCLP Matrix: Solid
Date Sampled:01/1612020 0640 % Solids: 1.24 01/17/2020 0106
Date Received:01/16/2020
TCLP Metals
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 1311/301 CIA 6010D 1 01/23/2020 2000 KSH2 O1/22/2020 0955 42552 01/20/2020 2316
1 1311/7470A 7470A 1 01/22/2020 1603 KSH2 O112212020 1155 42553 01/20/2020 2316
CAS
Analytical
Parameter
Number
Method Result Q LOQ
Units Run
Selenium
7782-49-2
6010❑ ND 0,20
mglL 1
Silver
7440-22-4
6010D ND 0A0
mglL 1
Footnote(s); "Paint Filter: 53mL collected;
LOQ = limit of Quanlitation B = Oelecled in the method blank E = Quantitation of compound exceeded the ralibralion range
ND = Not detected at or above the LOQ N - Recovery is out of criteria P = The RPD between two GC columns exceeds 40%
H - Out of holding time W = Reported on wet weight basis
lealy Environmental Services, Inc
06 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 8 oft I

Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive West CDlumbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 9 of l 1

SHEALY ENVIRONMENTAL SERVICES INC.
n
ti
Shealy Environmental Services, Inc,
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.Shealylab.com
Page 10 of I 1

SHEALY ENVIRONMENTAL SERVICES INC.
Alwty Envin714ntntal Sc,vke , fret.
rJ+:c+OM M1 MU'.11r yr 16J-PNI I EC J9 Pale
Sample Remipt Cheddist (Sjjc) J''Y=" •rDole.
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Cltcnt Sy'naKro CoOlcr lnrpecwd b .•date: 01J1Gi2020 t .
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leanx of receipt; �J SES1 Clicnl (] UPS Fcdlix O[Iter:
Yam ® No ] , Wem citstudy seal. --tent on the cooler?
Yes Ida NA 2. if cusicdy r+eA1.� �veta prck*nt, were thoy intact and unbroken? ��
]d "trip ID; K�A t:I►lurittr SErip 1D: NA
Uri final to --__._ Tr tcd by- NA_ _
l: rnperatury upon receipt t 1.)eri,,-cd (Corrected) tcttt erateue upon receipt %Solid SnutrT IT) 1 r)-�3I3
2.8 i 2,8 af; NA ?NA_T. NA i NA p P
Method: �Toutperature blank [fir ainnt fiuil[rl JR Gun ID: 6
AMethrul ofcaalanc — M {inn Currwi Fac,tur. 0 6(
® W— lee G] Icn 1'aalcs ©b ice ❑ ,1joue
1. If Iem rat urn of qay c11 a11 O11 1or 116. f1°C wus �'roj ect Riaztugcr Notified?
d Ycs ❑ 7vO ®!tiA ' �
YhS w" Nalified by; phone t ctuail ! face-lo-face Ioircle one).
❑ Yea 0 No ®NA 4, Is the commercial courier's ac1d.
Yew ❑ N p ug slip attached to thisforru?
5. WHO pNpvr eats iy prucvdnres (rr;liuquishedrreceiverl) followed?
Yes No 6. Wvrc sal iple ", li i rm, the Ci
Yft ❑Igo 7. lkm sample 1Ds listed un a!1 sa- ple container?
Yet ElNo R. Was o011et:tion date & tJmo listed on the COG T
Yens ONO 9. Was collcclinn data &time ] fitted un al! sample umcainer::?
0 Ycrs © No 10. Did all cotttuincr label infr0nuatinn (I))_ daft, time} agree v 7th the COC?
0 Yr3 ❑ No11. VdeJ,� tests w be. Performed li5i tinthe CQC?
Y � ❑ No 12- Did A xi arrive in the pruper con taitlerr for each test un 3i0r in g� sx)ndition
Mitezukcn, lids nil, etc,)? _
Ycs ❑ No 11 Was attegt ate saluple mlwz>c availahlr--? --- —
yes X 14. Were a11 sample- ter cia�d within i5 the !)oldiug time Or aR 1totlr 1, whtrhevar came; first?
YU5 No 15. tiV,.rc an samples CorttainPrs missinnr
�oxcess {circle arts) sarrijit s Net listed net COC'?
El yes ❑ Mca ❑ NA 16, For V0A wid RSK-175 surnples, s%vrc bili }ueNcnr>,,f)e4�siza""or 6mat in diameter)
in any of the VOA vials?
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1'Gs ❑ No irk N. IS, Were aft c nick som ]es received at tt N s 12 a
❑ Yew 11. cv�e u1I Jtpp] icnb a t]I{,� 1KNicy^:tuidu'r leuolrGzs { S1(1 3rn��samplcs fit(; ,
❑ No ® Nrti
cl,iurine?
❑ Yes ❑ Nn NA 2ii- Wcre clirnt remnrlrstrtqucsl, {i.v, reyOcstcd dihllinrty, A95?hiSD a to ,grad atinn� 5, at4. • .}
currMly transcribed fi-oal the CQC irate (he comment section in LIMS?
Yes -"Iu 21. Nt'as the QLJQle numb: r limed on the coalainer 1a1+r1`l If cs. uetitc ?I 1\A
Sxmple 1Preservatlon {h'Irrht be c4muple i for any samttlri immucctly preserved of With heath -pace.)
5arnplC{a) NA welt~ nrccived incom:c.tiy preserved and +tam adjusted axurdingly
ill sample rCoil it>£t wrth Tv:R mL Of circle erne: 112SO4, ITl�ij�t, 1ICI, Nali using SH # NA
TinIc Ofpmer,:atiun hA Il'mot� than cue pr erv;rti�2>. is nucded, please: note in the comments hclou-
SaJnplui NA �...
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Switplosi NA _ evere receipt cl with T1R� C> (l.� Jvyrl, (jf!;! q is nu) and uric
diustcd aovordin8ly in - a ; itp,,e re.celvirlg uryth soditurr lhiosull'atc (Ida�S,Oa? with shttly ID: NA
SK bart'c►do lahvls applied by; D.MNt Dula: 0171 Sr2020
i✓anmcnt5:
Shealy Environmental Services, Inc,
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab,corn
Page I 1 of 11

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
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 orilZinal and two copies of the application and
supl)orting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
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 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
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 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) 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.
B. 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 pen -nit. 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 06-16 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Synagro Western Piedmont WOOO16247
Status Maximum Dry Tons Per Year
Facility Permit Holder Facility Name County Permit Number
CodeA Current n Proposed
N City ofLincolnton Lincolnton WWTP Lincoln NCO025496 1300
a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page 1

DWR.-.,
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
l . Facility Name: Lincolnton WWTP
2. Facility permit holder is: Federal, M State, Local Government, or ® Private.
Facility permit issued by: Div. of Water Resources, Div. of Environmental Health,
or FM Other (explain:
3. Facility contact person and title: Don Burkey
Complete mailing address: P.O. Box 617
City: Lincohiton State: NC Zip: 28093
Telephone number: [phone] E-mail address: donaldburke ci.lincolnton.nc.us
4. Facility physical address: 550 Hwy. 150 W. Bypass
City: Lincolnton State: NC Zip: 28093
Coordinates: Latitude: 3511 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,
(approximate percentages: % industrial and =i % domestic)
❑ other (explain: ,-,M ).
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 is 600 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 Di estors 318,000 easch
Type and volume of residuals storage (i.e., outside of residuals treatment units): NIA
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
I. Specify if residuals are regulated under:
M 40 CFR Part 503 or 0 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.1 102 6 as:
0 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 06-16 Pagel 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): RM
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: Ed yes 0 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 and Date of analysis: 01/31/2020
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: 140 IF (> 140°F)
Passed reactivity test: Eyes ❑no. HCN: nd mg/kg (<250) & H2S: nd mg/k.g (<500)
TCLP Parameter
Limit
(mg/l)
Result
(mg/l)
TCLP Parameter
Limit
(mg/l)
Result
(mg/l)
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
],I-Dichloroethylene
0.7
nd
2,4,5-Trichlorophenol
400.0
nd
2,4-Dinitrotoluene
0.13
nd
2,4,6-Trichlorophenol
10
nd
Endrin
0.02
nd
2,4,5-TP (Silvex)
I ,0
nd
Heptachlor and its Hydroxide
0.008
nd
Vinyl Chloride
0.2
nd
FORM: RSC 06-16 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 DistributionlLand 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: Pace Analytical and Date of analysis: 07/13/2020
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
4.8
Cadmium
85
39
nd
Copper
4,300
1,500
160
Lead
840
300
8.2
Mercury
57
17
nd
Molybdenum
75
n/a
3.7
Nickel
420
420
3.4
Selenium
100
100
3.7
Zinc
7,500
2,800
150
b. For Surface Disposal Unit {larrrl l!): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: ` and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(ing/kg)
❑ > 0 but < 25
30
200
210
❑ > 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 06-16 Page 3 of

5. NutrientlMicronutrient Determination: Complete the following:
a. Total solids: 5.16 %.
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: Pace Analytical and Date of analysis: 07/13/2020
Parameter
Result
(mg/k9)
Aluminum
7200
Ammonia -Nitrogen
7900
Calcium
5800
Magnesium
2600
Nitrate -Nitrite Nitrogen
48.1
pH (Standard Unit)
6.8
Phosphorus
10000
Potassium
3500
Sodium
720
Total Kjeldahl Nitrogen
42000
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): .45
[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
This rate is a (check one): E default value, or ED actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:°
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") Year PAN
Five -Year
Maximum Adjusted PAN
(m91k9)
(mg/kg)
Surface
22245
33124
Injection/Incorporation
40245
48124
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:���,L
j
FORM: RSC 06-16 Page 4 of 5

7. Pathoaen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For DistributionlLand Application of Class A or Equivalent:
ED A fecal colifonn density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
Ea 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):
d Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
0 Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
0 Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.1 I06(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, heat treatment,
❑ thermophilic aerobic digestion, e beta ray irradiation,
❑ gamma ray irradiation, or pasteurization.
b. For Lard Application of Class B:
Alternative 1 [15A NCAC 02T.I 106(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, D anaerobic digestion,
El composting, or ❑ lime stabilization,
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item I1. 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 1I.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.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
® Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
® Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [I5A NCAC 02T. 1 107(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 02T.1 107(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 06-16 Page 5 of 5

VICINITY MAP
SYNAGRO
F
� f
550 North Carn ir►n 150
.rr
pL -
Go o gle,
11,
COUNTY: Lincoln OWNER(S): Ci of Lincolnton WWTP

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: Waypoint Environmental
Pathogen Reduction
WWTP
Sampling Point: Digester
Sampling Frequency: Quarterly
Sample Type: Grab
Lab: Lincolnton Lab
Vector Attraction Reduction
WWTP
Sampling Point: Digester
Sampling Frequency: Quarterly
Sample Type: Composite
Lab: Lincolnton Lab
TCLP/RC1
WWTP
Sampling Point: Digester
Sampling Frequency: Once per permit cycle
Sample Type: Composite
Lab: Summit Environmental Technologies Inc.

CITY OF Lincolnton PERMIT RENEWAL
QUANTITATIVE JUSTIFICATION FOR RESIDUALS PRODUCTION RATE
The following is a ,record of the annual land application volume for the City of
Lincolnton wastewater treatment plant:
Year
Dry Tons LandApplien
2018
548.99
2017
744.87
2016
438.28
2015
607.26
2014
512.89
The current permitted volume (1300 dry tons per year) is greater than the anticipated
need for the coming years. Over the 5 years shown above the average number of dry tons
land applied was 570.46 which is well within reason of the permitted dry tonnage. The
extra dry tonnage is suitable for farther expansion.

Rn4 7.uA R-9nil 764n n-2Q17
N[:Q025496 All welohinas are clone In prams
�L
TS DAF = ,r
%TS Sludge = •7
2 3 i
Time Collected
`}, } IJ
7
Date Collected
Date I Time In
Date I Time Out
�C (j j G G "o
Total Wet Wgt
G D .Z 7 3
1 p L q S7
Dish
l
Wet Sludge Wgt
�r �I yjl lU
5� Z Q C7
513—,
(103-105°C) Dried
Wgt
tl w
; 0
(
Dish,
3 0 (9r
YL L.2— 6 Z
�a t
Dry Solids Wgt
% Sol -Ids
'3 q 3
t
AVG % Solids
L
Time InlOut
'1 3: tl%
(103-1050C) Dried
Wgt
1
'Z' �j
r
5500C Wt
Volatile Solids Wgt
/ i
y
by
% Volatile SolidsAVG
% Volatile Solids
a
%VS DAF=
AISS
% VS Sludge =1-2
% Total Solids = Dry Solids Wgt X 100
Wet Solids Wgt
% Volatile Solids W (Volatile Solids Wgt) X 100
Dried Solids Wgt
% Reduction = (VS DAF - VS Sludge) X 100
VS DAF - (VS DAF)(VS Sludge)

SLUDGE Fecal Coliforms
"`See Effluent Fecal Coliform Setup for QA Data Method: 9222D SM 21st ed Temperatures are in °C
Collection Water Bath Colony Calculate % Reportable
Setup < S hours after Grab Read 24 +!• 2 flours Count Colonies Colonies TOTAL Colonies
Date ,Time By Setup Removal ml per per per SOLIDS per
Time In By Temp Time Out By Temp Used Filter 100 miffilter 100 mL/Filter 9
A B C CID
4.01 � t i7��� r.�� � CFU
0.1
0.01 CFU
0.1
?) Ll r r OA1 l L El CFU
l3 u iJ fit/`
[[[ 0.1 � /
Cr �7i r'
0.01 V 3j�G� CFU
0.01 I✓� j (�% CFU
0.1
VV 0.01
a.1
Oct
�, �
CFU
0
U
i
�'��
t �
' )�
'lv`'
G�
y
a.01
f�
LL
Y.Ir
ry7"Il
CFU
4.1

Technician Quarter / Year
Sin 2540C-1997,2540D-1997 All welighings are done In grams
M
9EM R,
M
✓
ira
M. "M
04W
Time
Collect ed
4 3 E)
Date
Collected
Date I
Time In
of
Y3 Ll
1
6 go c
00
Date I
Time out
JD
-(7
z j
g
Z)f 74)
125
0
0 (, &�
To
wet tal wgt
11A.
-7
y_r4?0
Oq O:L
-
0,33t-
.03 0Ill
r
/D1
3 0 OS]
2-Z 0 5-q6
ZI 6-1
3 iAlf
3f X
V& '?)-ql
V 3 Yl
Wedge
wgt
Dried Wgt
Dish
6
14(-
3
qq
lqb -I' 61
10 - W74,
7.14
�'6
Dry Solids
wgt
.6. 02
4-, 011�
'667-3
116W,14y,
2-0
4t,,3263
A,131
2'a �qq
�-O i3l
% Solids
3-
I J
Average
% Solids
3, V
RPD
% Total Solids Dry Solids Wgt x 100
Wet Solids Wgt

aceAnalytical
-W
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Alex Fox
Project Name: Lincolnton
Lot Number:VG02032
Date Completed:0711312020
07/13/2020 5:00 PM
Approved and released by:
Project Manager II: Lucas Odom
lit
A ASI N6ficnTlAttreSlhlkn 6;;Id
A C C R E D I T E D
TES7ING LABORATORY
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC.
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, 5C 29172
Tel:[phone] Fax:[phone] www,pacelabs.com
Page t of 7

PACE ANALYTICAL SERVICES, LLC
SC DHEC No: 32010001 NELAC No: E87653 NC DFNR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: VG02032
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Pace Analytical Services, LLC ("Pace") Quality Assurance
Management Plan (QAMP), standard operating procedures (SOPS), and Pace policies. Any exceptions to
the NELAC standards, the QAMP, SOPS or policies are qualified on the results page or discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
qualifier
If you have any questions regarding this report please contact the Pace Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
Metals by ICP
Due to low percent solids, sample -001 was weighed out 3 times the normal amount. The LOQ has been
elevated to reflect the dilution.
Pace Analytical Services, LLC {formerly Shealy Environmetal Services, Inc_)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-970C Fax [phone] www.pacelabs.com
Page 2 or 7

Client:Synagro Laboratory ID:VG02032.001
Description: Lincolnton WWTP Matrix Solid
Date Sampled:0710112020 0845 % Solids: 5.16 07/06/2020 2227
Date Received:07102/2020
Inorganic non-metals
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1
(% Solids) SM 254OG
1 07/06/2020 2227 MOM
59064
1 350.1
(Ammonia - N ) 350.1
10 07/08/2020 1434 DMA
59280
1
(Nitrate - N ) 9056A
1 07/08/2020 1523 AMR
59434
1
(Nitrite - N ) 9056A
1 07/08/2020 1523 AMR
59435
1
(Phosphorus) 365.1
25 07/10/2020 1312 DMA
07/10/2020 0837 59501
1
(Soil pH meas) 9045D
1 07/07/2020 1900 SRB
59210
1 351.4
(TKN) 351.2
1 07/10/2020 1449 DMA
07/10/2020 0934 59571
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 254OG
5.16
%
1
Ammonia - N (gas diffusion)
350.1
7900
190
100
mglkg
1
Nitrate - N (soluble)
9056A
40
9.7
0.48
mglkg
1
Nitrite - N (soluble)
9056A
8.1
3.9
0.37
mglkg
1
Phosphorus
7723-14-0 365.1
10000
2400
480
mglkg
1
Soil pH measured in water @ 21.2 ° C
9045D
6.8
su
1
TKN
351.2
42000
480
480
mglkg
1
CVAA
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 7471B
7471E
1 07/07/20201950 JMH
07/07/20201244 58922
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Mercury
7439-97-6 7471E
ND
1.5
0.36
mglkg
1
iCP-AES
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3050B
6010D
1 07/08/2020 1832 KSH2
O7/07/2020 1514 58921
CAS Analytical
Parameter
Number Method
Result Q
LOQ
OL
Units
Run
Aluminum
7429-90-5 601OD
7200
130
48
mglkg
1
Arsenic
7440-38-2 601OD
4.4 J
4.8
1.6
mglkg
1
Cadmium
7440-43-9 601OD
ND
1.6
0.40
Mg/kg
1
Calcium
7440-70-2 601OD
5800
1600
200
mglkg
1
Chromium
7440-47-3 601OD
37
3.2
0.80
mglkg
1
Copper
7440.50-8 601OD
160
3.2
1.4
mglkg
1
Iron
7439.89.6 6010D
8500
32
15
mglkg
1
Lead
7439.92.1 6010D
8.2
3.2
1.4
mglkg
1
Magnesium
7439.95.4 6010D
2600
1600
200
mglkg
1
Manganese
7439-96.5 6010D
160
4.8
1.9
mglkg
1
Molybdenum
7439-98.7 6010D
3.7 J
13
3.2
mglkg
1
Nickel
7440-02.0 6010D
7.9 J
13
3.4
mglkg
1
LOQ = Limit of Quanlitation
P = Detected In the method blank
E = ouantitatior of compound exceeded the calibration range
DL = Detection Limit
ND = Not detected at or above the DL
N = Recovery is out of criteria
P = The RPD between two GC columns exceeds 4D%
J = Estimated result <
LCQ and > DL
H = Out of holding time
W - Reported on wet weight basis
ice Analylical Services, LLC (formerly Shealy Environmental Services, inc.)
,06 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www,pacelabs.com
Page 3 of 7

Client:Synagro Laboratory ID:VG02032-001
Description: Lineointon WWTP Matrix: Solid
Date Sampled: 07/0112020 0845 % Solids: 5.16 07/06/2020 2227
)ate Received:07/0212020
ICP-AES
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3050B 601OD 1 07/08/2020 1832 KSH2 O7107/2020 1614 58921
Parameter
CAS
Number
Analytical
Method
Result Q
LOQ
DL
Units
Run
Potassium
7440-09-7
601OD
3500
1600
200
ni
1
Selenium
7782-49-2
6010D
3.7 J
6.4
2.6
ni
1
Sodium
7440-23-5
601OD
720 J
1600
200
mglkg
1
Zinc
7440-66-6
6010D
150
16
4.0
mg/kg
1
LOO = Limit of Quentitation R = Detected in the method blank E = Quentitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P r The RPD between two GC columns exceeds 40% J = Estimated result < LOQ and > DL
H = Out of holding time W r Reported on wet weight basis
Ace Analyticai Services, Li (formerly Shealy Environmental Services, Inc.)
,06 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 4 of 7

Chain of Custody
and
Miscellaneous Documents
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.parelabs.com
Page 5 of 7

FACE ANALYTICAL SERVICES, LLC
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Pace Analytical Services, LLC {formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
C%
Page 6 0f 7

PACE ANALYTICAL SERVICES LLC
ShCnly; irritcnmema.' 5e iccs, ]f4. Yn�,3 t of l
Dccrment Number: Wmi9Pl X-la Orxd•:ve Dzlc IMA, I
Sample lteecipt Checklist (SRQ
Client: _ [ Yt L Coolcr lnspuctcd by/datc: VLUz .'- - 71 f; l_w Lot i#:
Mcans ofrecei
, Sl. Client • [f l:'PS © FedFx [� ausr:
Xes
_ o
1. V�ere custodyseats !7scnt on the cooler?
Yes
l+To
':VA
_
2. Jf cusikidy seals were ent were they intact and unbroken?
_
pH Strip TD: l/ Chlorine Strip 10 11� —_-- Tosted 1:y_
original teu zra4uru nlxm receipt I Derived (Con=t€d) temperature upon receipi %t5o1id Snap -Cup JD., �l
CC Jk ):L °C _
141OM& Ofiiijmmturr blank rIApinst Bottles^ IR Gun ID; IR Gun C6treiAina Factor; °C
Method of coolant: [a'*et Ice ❑ lea Packs ❑ Dry Ice 0 Nano
Yes
❑ %ra
❑ NA
3. If wmperature of say cooler exceeded 6.i1°Cy was Pioject Managcr Notified!
PM wsty Nuti fled by: Aone / entail I actto-face (circle ono).
4. Is the coinnacreial courier's pa*ing slip attached to ids' roan?
] Yoa
© No
A
M-Yes
ti ] Na
S. Were proper anatody -ooedwes_ t5li:iquishcN ecei%red) rt)llmod?
(0.7m
No
6. Wem sample II7s listed ott Cite COCA
lin
❑ N0
7. Were samplo " listed on all sam to containers?
0-Yes
❑ No
8. Was colIcction date & time liectc,l Lin the COC:?
9. Was collection dale & time listW.on all samnle ccmiaincrs?
TI-ye-q
&No
E YCS
❑ yo
16. old all container label information (lb,. date, Lirnc) ugme with the COC?
e5
❑le,
11, Wcra torts to be perfWoicd lirwd on The COC7
Q'Y(ca
No
12. Did alt .utnplcs onivo in the proper containers for each IM and/or in goad cnndltion
(unbroken, lids on, etc)?
O"Yca
] Na
113.
was adequato sample volonte uyuiluble?
Ycs
❑ No
�M
14. Were all sumplu3 received within 1/i the bolding tinlo or 48 hours, w�bichever comes fr.,t?
Yes
No
15. Were an Mplw cauiisinars miqsltiglcaccess circle one samples NLA IiHLcri on COC?
[J Ye4
Q No
DNA
16, For VOA said 12SK-175 samples, weie hobbles prlesent_a" lrea-size" C'f:'or 6nim in diameter)
In any of the VOA vials? t
❑ Yes
No
U NA
17, Were all I]P{3h1 etalsrnuiri�m swnph:s received at a Hof c 2?
.�
No
LEI
18, Nero all cyan ide sam ipleS reccived at a p1I > 17 and sutSide surnplca received at a H 97
s
FZ
0No
P NA
. Were l app]iLmblG 31TKNlcynrl c,p anOr62.5 (�Q.S1n L) samples -cce fesldun1
chlorine? _
' 0 Yes
El NO
NA
ff
20. Werd client rtznarksh,Gtlttem (i.& reApiested dilutions,MSINISD desigation ,, etr_.)
correctly liunsvibud from the COO into the conlrncat soution in LIMS?
Ya5
0
121.
Elroy the quote number listed on the container label? If yes, Quote P NA
Sample Preservation (Must be cvinpluWd for any mmple(s) imorreeody preserved or with headepace.)
Samples) 1, wdro ruccived t`nm, *City preserved and u re adjusted avvurdingly
its �ainl,le receiving with mL of circle one; H23O.7, HNU3, HCI, �fe(1l i using 5R fl .�±�l=-,.
time otpreservation If mere than one 1xvsorvativc is needed, please note in t& orsmments below.
ample(s) t P-- _were roc eived with bobbies >6 mm in d]:rntoter.
amples(S) _—�1, W= rooeived w1th TRC > D,5 rr o, (1f A 9 is no) mid were,
adjusted accordingly in 1almple receiving with sodium thimulfato (NaAoll) Nvith Shealy JD.
51t barrode iabela applied by: r1�111.1� % Date:
Pace Analytical Services, L LC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-970D Fax [phone] www.pacelabs.com
Page 7 of

SUMMIEr
ENWRONMENTAL I@CHNOL OrIES, INC
Analytical Laboratories
January 31, 2020
Alex Fox
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL: [phone]
FAX: [phone]
RE: Lincolnton W WTP
Dear Alex Fox:
Summit Emvn-onnrental Technologies. Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.- [phone]
Website: h11o:/hrtrw.settek.com
Order No.: 20010314
Summit Environmental Technologies, Inc. received 1 sample(s) on 1/8/2020 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,
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0108, Delaware, Florida NELAC E87688, Georgia E87688, Idaho OH00923, Illinois
200061, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank)3, Kentucky 90146, Louisiana 04061, Maryland 339, Minnesota
409711, New Hampshire 2996, New Jersey oH006, New York 11777, North Carohna 39705 and 631, North Dakota R-201, Ohio DW, Ohio VAP
C1,0052, Oklahoma 9940, Oregon OH2O0001, Pennsylvania 010, Rhode Island LA000317, South Carolina 92016001, Texas T 104704466-11 5, Utah
OH0092320114, Virginia VELAP 9456, Washington C891
Page 1 of 34

U,T 5xninril Environmental Technologies, Inc. Case Narrative
3310 Win S1.
ENVIRONMENTAL TI1CHN[}LOGIE$, INC Cuyahoga Falls, Ohio 44223 WO#: 20010314
Analyfleal Laboralarlm TEL: [phone] FAX., [phone]
Websile: h11p:1)nnv.settek.coni Date: 1/31/2424
CLIENT: Synagro
Project: Lincolnton WWTP
WorkOrder Narrative:
20010314: This report in its entirety consists of the following documents: Cover Letter, Case Narrative,
Analytical Results, QC Summary Report, Applicable Accreditation Information, Chain -of -Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of
the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program
Analytes Report" for accredited analytes list.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer 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.
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any
comments or problems with the analytical events associated with this report are noted below.
Analytical Sequence Sample Notes:
20010314-001A FlashPt_NPW-200F(1010): Z = Method deviation, due to instrument limitations could
not stir to 250 RPM as required by the method.
20010314-001A pH_NPW(4500-H+B) 22nd Ed.: pH is an EPA field recommended parameter. Per 40
CFR 136.3, hold time is 15 minutes from collection.
Analytical Sequence QC Notes:
CCV-108161 VOC-MSTR_NPW(8260): The VOC CCV (Batch R10861) exhibited high recovery for
Styrene and Method -Specified CCC Vinyl chloride, All samples were ND for Vinyl chloride. All other
Method -Specified CCCs and SPCCs exhibited control.
LCS-R108281 FlashPt S(I010): Z = Method deviation, due to instrument limitations could not stir to
Original
Page 2 of 34

um, y
$ruj1mf! Environmental Technologies, Inc.
3310 Win Si.
Case Narrative
ENVY 0tJMENTAL TRCHNOLOGIES, INC
Criyahoga Falls, Ohio 44223
WO#: 20010314
ArrMytical Laboratories
TEL: [phone] FAX: [phone]
Date: 1/31/2020
Websire: h�:llwaiv.setlek.com
CLIENT:
Synagro
Project:
Lincolnton WWTP
250 RPM as required by the method.
LCS TCLP-SVOC-Herb TCLP(8151): LCS exhibited high recovery, associated samples are ND for all
analytes of interest.
Original
Page 3 of 34

UJMJMIV SimunitEnvironmental Technologies,fir Qualifiers and ACrollylns
3310 IYin
ENVMONMENTAL TECHNOLOGIES, INC Criyahoga Falls, Ohio 442� Wo#: 20010314
Aaalyllcal Laboratories TEL: [phone] FAX.- (330) 253-44E Date: 1/31/2020
Website: hliv.11 v riv.settek.co
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
U The compound was analyzed for but was not detected.
d The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
H The hold time for sample preparation and/or analysis was exceeded.
D The result is reported from a dilution.
E The result exceeded the linear range of the calibration or is estimated due to interference.
NIC The result is below the Minimum Compound Limit.
* The result exceeds the Regulatory Limit or Maximum Contamination Limit.
m Manual integration was used to determine the area response.
d Manual integration in which peak was deleted
N The result is presumptive based on a Mass Spectral library search assuming a I:1 response.
P The second column confirmation exceeded 25% difference.
C The result has been confinned by GC/MS.
X The result was not confirmed when GC/MS Analysis was perforned.
B/n,IB+ The analyte was detected in the associated blank.
G The ICB or CCB contained reportable amounts of analyte.
QC-1+ The CCV recovery failed low (-) or high (+).
RIQDR The RPD was outside of accepted recovery limits.
QL-/+ The LCS or LCSD recovery failed low (-) or high (+).
QLR The LCS/LCSD RPD was outside of accepted recovery limits.
QAI-/+ The MS or MSD recovery failed low (-) or high (+).
QMR The MS/MSD RPD was outside of accepted recovery limits.
QV-/+ The ICV recovery failed low (-) or high (+).
S The spike result was outside of accepted recovery limits.
Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND
Not Detected
RL
Reporting Limit
QC
Quality Control
MDL
Method Detection Lintit
MB
Method Blank
LOD
Level of Detection
LCS
Laboratory Control Sample
LOQ
Level of Quantitation
LCSD
Laboratory Control Sample Duplicate
PQL
Practical Quantitation Limit
QCS
Quality Control Sample
CRQL
Contract Required Quantitation Limit
DUP
Duplicate
PL
Permit Limit
MS
Matrix Spike
RegLvl
Regulatory Limit
MSD
Matrix Spike Duplicate
MCL
Maximum Contamination Limit
RPD
Relative Percent Different
MinCL
Mininntnl Compound Limit
ICV
Initial Calibration Verification
RA
Reanalysis
CCB
Initial Calibration Blank
RE
Reextraction
CCV
Continuing Calibration Verification
TIC
Tentatively Identified Compound
CCB
Continuing Calibration Blank
RT
Retention Time
RLC
Reporting Limit Check
CF
Calibration Factor
DF
Dilution Factor
RF
Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 4 of 34

E"=2"summ
1lr
ENVIRONPAEnTAL TECtINOI d[31ES, INC
Analytical Labcraton"
CLIENT: Synagro
Project: Lincolnton WWTP
Lab SamplelD Client Sample ID
20010314-001 Lincolnton WWTP
Sun ntit Environmental Technologies, Lrc.
3310 Win Si.
Ciiyahoga Falls, Ohio 44223
TEL: [phone] FAX. • [phone]
Wehsile: httn:/Avivw.settek.coin
Fag No Date Collected
1/7/2020 1:45:00 PM
Workorder
Sample Summary
W09: 20010314
31-Jan-20
Date Received Matrix
1/9/2020 10:20:00 AM Non -Potable
Water
Page 5of34

SUMMIT
Summit Environmental Technologies, Inc.
3310 Win .St.
DA 1 ES REP Old 1
ENVIRONMENTAL TrCHN0L0GiZ5,,'KC
Cuyahoga Falls, Ohio 44223
WO#: 20014374
AnWy�:l Labormwes TEL: [phone] FAX.- [phone] tft
Website: httn://wtivtiv.settek.com
31-Jan-20
Client:
Synagro
Project:
Lincolnton WWTP
Sample 1D
Client Sample ID Collection Date 'Matrix "Pest Name Leachate Date
Prep Date Analysis Date
20010314-OOIA Lincolnton WWTP 1/7/2020 1:45:00 PM Non -Potable Water Flashpoint 2007 (EPA 1010)
1/21/2020 1:16:03 PM
pH (SM4500-H+B)
1/17/2020 2:56:00 PM
Reactive Cyanide (9014/7.3.3.2)-Liqui
1 /9/2020 1:29:00 PM
Reactive Sulfide (EPA 9034)
119/2D20 1:29:00 PM
TCLP Herbicides by EPA 8321B
1/9/2020 5:00:00 PM 1/23/2020 I 1:49:00 PM
TCLP Mercury Analysis (SW 131 1/7471/9/2020 5:00:00 PM
1/14/2020 9:30:00 AM 1/21/2020 12:33:00 PM
TCLP Metals Analysis (SW ]311/6010 1/9/2020 5:00:00 PM
1/13/2020 9:40:00 AM 1/16/2020 4:53:00 PM
TCLP Pesticides Analysis (SW 1311/SC 1/9/2020 5:00:00 PM
I/I4/2020 10:45:00 AM 1/18/2020 3:45:00 AM
TCLP Semi-Volatiles Analysis I19/2020 5:00:00 PM
I/13/2020 9:45:00 AM 1/15/2020 6:42:00 PM
(S W I 311 /8270 )
TCLP Volatiles Analysis
1 /9/2020 5:00:00 PM [/1812020 9:07:00 PM
Original
Page 6 of 34

MIT
Sunnnil Environmental Technologies, Inc. Analytical Report
SUM3310 Win 5r.
ENVIRONMENTAL TCmNoL00iES, INC Cuyahoga Falls, Ohio 44223 {base report)
t:
Anafyflcal Laborafarlee TEL: [phone] FAX: [phone] WO#: 20010314
Websire: htU2711u,isrv,sellek.com Date Reported: 1/31/2020
CLIENT:
Synagro
Matrix:
NON -POTABLE WATER
Lab ID:
20010314-OOIA
Project:
Lincointon WWTP
Client Sample ID Lincolnton WWTP
Tag Number:
Collection Date: 1/7/2020 1:45:00 PM
Analyses Result RL Qual Units DIF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury ND
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP METALS ANALYSIS (SW131116010)
TCLP Arsenic(As)
ND
TCLP Barium(Ba)
ND
TCLP Cadmium(Ccl)
ND
TCLP Chromium(Cr)
ND
TCLP Lead(Pb)
ND
TCLP Selenium(Se)
ND
TCLP Silver(Ag)
ND
RCI
FLASHPOINT 200°F (EPA 1010)
Flashpcint (200°F) >200
SW7470A SW7470A Analyst: MJM
0.00200
mg1l-
1
1/21/2020 12:33:00 PM
SW601OD
SW301OA Analyst: EAM
0,500
mg/L
1
1/16/20204:53:00 PM
5.00
mg1L
1
1/16/20204:53:00 PM
0,100
mg1L
1
1/16/2020 4:53:00 PM
0.200
mg1L
1
1/16/2020 4:53:00 PM
0.500
mg1L
1
1/16/2020 4:53:00 PM
0.0500
mg1L
1
1/16/2020 4:53:00 PM
0.500
mg1L
1
1/16/2020 4:53:00 PM
SW1010 Analyst: TAH
Z °F 1 1/21/2020 1:16:03 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8270 SW3510C Analyst: SFG
TCLP SEMI-VOLATILES ANALYSIS (SW131118270)
1,4-Dichlorobenzene ND
0.200
mg1L 2 1/15120206:42:00 PM
2,4,5-Trichlorophenol ND
0.500
mg/L 2 1/15/2020 6:42:00 PM
2,4,6-Trichlorophenol ND
0.500
mg1L 2 1/15/2020 6:42:00 PM
2,4-Dinitrotoluene NO
0.100
mg/L 2 1/15120206:42:00 PM
Cresols, Total ND
10.0
mglL 2 1115/20206:42:00 PM
Hexachloro-1,3-butadiene ND
0.0400
mglL 2 1/15/2020 6:42:00 PM
Hexachlorobenzene ND
0.100
mg1L 2 1/15/2020 6:42:00 PM
Hexachloroethane ND
0.200
mg1L 2 1/15/2020 6:42:00 PM
Nitrobenzene ND
0.200
mg1L 2 1/15/2020 6:42:00 PM
Pentachlorophenol ND
0.500
mg/L 2 1115/2020 6:42:00 PM
Pyridine ND
0.500
mg/L 2 1/15/2020 6:42:00 PM
Surr: 2-Fluorophenol 63.1
10 - 109
%Rec 2 1/15/2020 6A2:00 PM
Surr: Phenol-d6 60.4
10 - 109
m %Rec 2 1/15/2020 6:42:00 PM
Surr: Nitrobenzene-0 67.2
19 - 120
%Rec 2 1/15/2020 6:42:00 PM
Qualifiers: B Analyte detected in the associated Method Blank
E Value above quantitation range
H Holding times for preparation or analysis exceeded
M Manual integration used to determine area response
MC Value is below Minimum Compound Limit,
N Tentatively identified compounds
ND Not Detected
P Second column confrnnation exceeds
PL Permit Limit
R RPD outside accepted recovery limits Original
RL Reporting Detection Limit
Ll Samples with CalcVal < MDL
Page 7 of 34

g===pP2 S U MM I 01- Summit Environmental Technologies, Inc. Analytical Report
3310 es,it, Sr.
ENVInOWPAENTAL TFECnNOl.OGICS, INC Cuyahoga Falls, Ohio 44223 (base report)
AnMlyrlcal Laboralamm TEL: [phone] FAX.- [phone] WO#: 20010314
Websiie: httpa/svivu,.seltek.cgi_n Date Reported: 1/31/2020
CLIENT: Synagro Tag Number:
Matrix: NON -POTABLE WATER Collection Date: 1/7/2020 1:45:00 PM
Lab ID: 20010314-OOIA
Project: Lincolnton WWTP
Client Sample ID Lincolnton WWTP
Analyses Result RL Qual Units DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP SEMI-VOLATILES ANALYSIS (SW131118270)
Surr: 2,4,6-Tribromophenol
89.2
Surr: 2-Fluorobiphenyl
67.1
Surr: p-Terphenyl-d14
93.3
TCLP METALS, VOC, BNA, PEST, HERB
-SOLID
TCLP PESTICIDES ANALYSIS (SW131118081)
Chlordane, total
ND
Toxaphene
ND
Endrin
ND
gamma-BHC
ND
Heptachlor
ND
Heptachlor epoxide
ND
Methoxychlor
ND
Surr. TCMX
16.3
Surr: DCB
15.1
TCLP HERBICIDES BY EPA 8321 B
2 4-D
ND
2,4,5-TP
ND
Surr. 2,4-Dichlorophenylacetic aci
76.2
TCLP METALS, VOC, BNA, PEST, HERB
-SOLID
TCLP VOLATILES ANALYSIS
1,1-Dichloroelhene
ND
1,2-Dichloroethane
ND
MEK
ND
Benzene
ND
Carbon tetrachloride
ND
Chlorobenzene
ND
Chloroform
ND
Tetrachloroethene
ND
SW8270 SW351OC Analyst: SFG
10 - 120
%Rec.
2
1/15/2020 6:42:00 PM
22 - 117
%Rec
2
1/15/2020 6:42:00 PM
34 - 116
%Rec
2
1/15/20206:42:00 PM
SW8081
SW351OC Analyst: SEK
0.125
mglL
5
1/18/2020 3:45:00 AM
0.250
mg1L
5
1/18/2020 3A5:00 AM
0.0125
d
mg1L
5
1/18/2020 3:45:00 AM
0.0125
mglL
5
1118/2020 3:45:00 AM
0.0125
d
mglL
5
1/1812020 3:45:00 AM
0.0125
d
mglL
5
1/18/2020 3:45:00 AM
0.0125
d
mglL
5
1/18/2020 3:45:00 AM
10 - 119
%Rec
5
1/18/2020 3:45:00 AM
10 - 119
%Rec
5
1/1812020 3:45:00 AM
SW8321A
SW1311M Analyst: BJH
0.500
mg1L
50
1/23/2020 11:49:00 PM
0.500
mglL
50
1/23/2020 11:49:00 PM
70 - 130
%Rec
50
1/23/2020 11:49:00 PM
SW8260 SW1311M Analyst: RMT
0.250
mglL
50
1/18120208:07:00 PM
0.250
mglL
50
1/18/2020 8:07:00 PM
5,00
mgiL
50
1/18/2020 8:07:00 PM
0.250
mglL
50
1/18/2020 8:07:00 PM
0.250
mg1L
50
1/18/2020 8:07:00 PM
2.50
mg1L
50
1/18/2020 8:07:00 PM
0.250
mg1L
50
Ill8/2020 &07:00 PM
0.250
mglL
50
1/18/2020 8:07:00 PM
Qualifiers: B Analyte detected in the associated Method Blank
H Holding titres for preparation or analysis exceeded
MC Value is below Minimum Compound Limit,
ND Not Detected
PL Permit Limit
RL Reporting Detection Limit
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
P Second column confinnation exceeds
R RPD outside accepted recovery limits Original
U Samples with CalcVal < MDL
Page 8 of 34

SUMMIT
Saruantil Etrvironrxenlal Technologies, W Inc,
3310 Win St.
Analytical Report
ENVIRONMENTAL T�C11H�71 i}p�E5, INC
Analytical Lobdrald6im
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
(base report)
WO#: 20010314
Websile: htr ✓linviv.settek.com
Date Reported: 1/31/2020
CLIENT:
Synagro
Tag Number:
Matrix:
NON -POTABLE WATER
Collection Date:
1/7/2020 1:45:00 PM
Lab ID:
20010314-OOIA
Project:
Lincolnton WWTP
Client Sample ID Lincolnton WWTP
Analyses
Result
RL
Qual Units
DF
Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8260
SW1311M
Analyst: RMT
TCLP VOLATILES ANALYSIS
Trichloroelhene
ND
0.250
mglL
50
111812020 8:07:00 PM
Vinyl chloride
ND
0.100
QC+ mglL
50
1/18/2020 8:07:00 PM
Surr: 4-13romofluorohenzene
96.3
70 - 130
%Rec
50
1/18/2020 8:07:00 PM
Surr: Dibromofluoromethane
100
70 - 130
%Rec
50
1/18/2020 8:07:00 PM
Surr: Toluene-d8
101
70 - 130
%Rec
50
1/18/2020 8:07:00 PM
RCI SW9014
REACTIVE CYANIDE (901417.3.3.2)-LIQUID
Cyanide, Reactive ND 0.476 mglL 1
PH (SM4500-H+ B) A4500-H+B
pH 6.8 H s.u.@21.3C 1
NOTES:
pH is an EPA field recommended parameter. Per 40 CFR 136.3, hold time is 15 minutes from collection.
RCI SW9034
REACTIVE SULFIDE (EPA 9034)
Sulfide, Reactive ND 25.0 mg/t_ 1
Qualifiers: B
Analyte detected in the associated Method Blank
H
Holding times for preparation or analysis exceeded
MC
Value is below Minimum Compound Limit.
ND
Not Detected
PL
Permit Limit
RL
Reporting Detection Limit
Page 9 of 34
Analyst: MS
1/912020 1:29:00 PM
Analyst: DHC
1/17/2020 2:56:00 PM
Analyst: MS
1/9/2020 1:29:00 PM
E Value above quantitation range
M Manual Integration used to detennine area response
N Tentatively identified compounds
P Second colmnn confirmation exceeds
R RPD outside accepted recovery limits Original
U Samples with CalcVal < MDL

SUIMIMIlt 3unnnit Enrii•onmental Technologies, Inc. Accreditation Program
3310Win St. Anal tes Report
EF4V1n0NhllrN?AL TECNNOLOMES, INC Cuyahoga Falls, Ohio 44223 y
At7alytleal Laborslorlse TEL: [phone] FAX.- [phone] W04: 20010314
Website: httn:/Arsrtr.setlek.conr 31-Jan-20
Client: Synagro State: NW
Project: Lincolnton WWTP Program Name: NC_WW_SCM
Sample ID Matrix Test Name Analyte Status
20010314-001 A Non -Potable Water Flashpoint 200°F (EPA 1010)
Flashpoint (2007)
A
Non -Potable Water pH (SM4500-H+ B)
Hydrogen Ion (pH)
A
Non -Potable Water Reactive Cyanide (901417.3.3.2)-Liquid
Cyanide, Reactive
U
Non -Potable Water Reactive Sulfide (EPA 9034)
Sulfide, Reactive
U
Non -Potable Water TCLP Herbicides by EPA 8321 B
2,4,5-TP
A
Non -Potable Water TCLP Herbicides by EPA 8321 B
2,4-D
A
Non -Potable Water TCLP Mercury Analysis (SW131 U7470)
Mercury
A
Non -Potable Water TCLP Metals Analysis (SW l311/6010)
Arsenic
A
Non -Potable Water TCLP Metals Analysis (SW 1311/6010)
Barium
A
Non -Potable Water TCLP Metals Analysis (SW1311/60I0)
Cadmium
A
Non -Potable Water TCLP Metals Analysis (SW 1311160I0)
Chromium
A
Non -Potable Water TCLP Metals Analysis (SW 1311/6010)
Lead
A
Non -Potable Water TCLP Metals Analysis (SW 1311/6010)
Selenium
A
Non -Potable Water TCLP Metals Analysis (SW 131 1/6010)
Silver
A
Non -Potable Water TCLP Pesticides Analysis (SW 13111908 1)
Chlordane, total
A
Non -Potable Water TCLP Pesticides Analysis (SW131 1/8081)
Endrin
A
Non -Potable Water TCLP Pesticides Analysis (SWl311/9081)
gamma-BHC
A
Non -Potable Water TCLP Pesticides Analysis (SW 13111908 1)
Heptachlor
A
Nan -Potable Water TCLP Pesticides Analysis (SW 131119081)
Heptachlor epoxide
A
Non -Potable Water TCLP Pesticides Analysis (SW1311/8081)
Methoxychlor
A
Non -Potable Water TCLP Pesticides Analysis (SW1311/808 1)
Toxaphene
A
Non -Potable Water TCLP Semi-Volatiles Analysis (SW 1311/9270)
1,4-Dichlorobenzene
A
Non -Potable Water TCLP Semi-Volatiles Analysis (SW 1311/8270)
2,4,5-Trichlorophenol
A
Non -Potable Water TCLP Sern i-Volati les Analysis (SW1311/8270)
2,4,6-Trichlorophenol
A
Non -Potable Water TCLP Semi-Volatiles Analysis (SW 13l 1/8270)
2,4-Dinitrotoluene
A
Non -Potable Water TCLP Serni-Volatiles Analysis (SW 131 U8270)
Cresols, Total
A
Non -Potable Water TCLP Serni-Volatiles Analysis (SW1311/8270)
Hexachlorobenzene
A
Non -Potable Water TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachlorobutadiene
A
Non -Potable Water TCLP Semi-Volatiles Analysis (SW 1311/8270)
Hexachloroethane
A
Non -Potable Water TCLP Semi-Volatiles Analysis (SW1311/8270)
Nitrobenzene
A
Non -Potable Water TCLP Semi-Volatiles Analysis (SW 131 I18270)
Pentachlorophenol
A
Non -Potable Water TCLP Semi-Volatiles Analysis (SW131 118270)
Pyridine
A
Original 41
Page 10 of 34

SUMMIT
SunnnitEnvironmental TedtnoTogies,lnc. Accreditation Program
3310Win St. Anal tes Report
EKVIIIONhIENTAL TECIMOU)GICS, INC Ciryahogo Falls, Ohio 44223 J l'
Analytical Laboratarl®s TEL: [phone] FAX. [phone] WO#: 20010314
Website: hire://rvrviv.settek.coin 31-Jan-20
Client: Synagro State: NW
Project: Lincolnton WWTP Program Name: NC_WW_SCM
Sample ID Matrix Test Name
Analyte
Status
20010314-00 lA Non -Potable Water TCLP Volatiles Analysis
1,1-Dichloroethene
A
Non -Potable Water TCLP Volatiles Analysis
1,2-Dichloroethane
A
Non -Potable Water TCLP Volatiles Analysis
2-Botanone
A
Non -Potable Water TCLP Volatiles Analysis
Benzene
A
Non -Potable Water TCLP Volatiles Analysis
Carbon tetrachloride
A
Non -Potable Water TCLP Volatiles Analysis
Chlorobenzene
A
Non -Potable Water TCLP Volatiles Analysis
Chloroform
A
Non -Potable Water TCLP Volatiles Analysis
Tetrachloroethene
A
Non -Potable Water TCLP Volatiles Analysis
Trichloroethene
A
Non -Potable Water TCLP Volatiles Analysis
Vinyl chloride
A
Original ill
Page 11 of 34

U,'t Summit Environmental Technologies, Inc. QC SUMMARY REPORT
3310 Win .St.
ENVI3ROMMEWAt-TECHHOLOGE1;S, INC Cuyahoga Falls, Ohio 44223
WO#: 20010314
Awlyrl=l LabomroHes TEL: [phone] FAX.- [phone]
Website: httn:/Avww.settek.com 31-Jan-20
Client: Synagro
Project: Lincolnton WWTP
BatchlD: 41416
;ample ID: MS-41416
SampType: MBLK
TestCode: TCLP-VOC-M Units: mg1L
Prep Date: 1/9/2020
RunNo: 108161
lient ID: PBS
Batch ID: 41416
TestNo: SW8260 SW1311M
Analysis Date: 1/18/2020
SegNo: 2565165
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RP❑ RPDLimit Qual
1,1-Dichloroethene
ND
0-0500
1,2-Dichloroethane
ND
0.0500
MEK
ND
1.00
Benzene
ND
0.0500
Carbon tetrachloride
ND
0.0500
Ch[orobenzene
ND
0.500
Chloroform
ND
0.0500
Tetrach[oroethene
ND
0.0500
Trichloroethene
ND
0.0500
Vinyl chloride
ND
0.0200
Surr: 4-Bromofluorobenzene
492
Surr: Dibromofluoromethane
500
Surr: Toluene-d8
495
500.0 98.4 70 130
500.0 100 70 130
500.0 99.0 70 130
QC+
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal)
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 12 of 34

SUMMISummit
Environmental Technologies. Inc. 33I0 Win Sr.
QC SUMMARY REPORT
ENVIn0N MENTAL 7ECHNOL9GI.S, WC
Ci vahoga Falls, Ohio 44223
Anaty"rzl LaboralorY65 TEL: [phone] FAX: [phone]
WO#: 20410314
Website: h1tn:11www.settekcom
31-Jan-20
Client:
Synagro
Project:
Lineolnton WWTP
BatchID: 41436
#ample ID: 20010299-001AMS
SampType: MS
TestCode: MTL-TCLP-7( Units: mglL
Prep Date: 1/13/2020
RunNo: 108178
;lient 1D: SatchOC
Batch ID: 41436
TestNo: SW6010D SW3010A
Analysis Date: 1/1612020
SegNo: 2565505
knalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Va€
%RPD RPDLimit Qual
TCLP Arsenic(As)
1.72
0.500
2.000
0
86.0
70
130
TCLP Barium(Ba)
ND
5.00
2.000
0,9484
59.0
70
130 S
TCLP Cadmium(Cd)
1.52
0.100
2.000
0.001993
76.1
70
130
TCLP Chromium(Cr)
1.36
0.200
2.000
0
67.8
70
130 S
TCLP Lead(Pb)
1.53
0.500
2.000
0
76.3
70
130
TCLP Selenium(Se)
1.79
0.0500
2,000
0
89.4
70
130
TCLP Silver(Ag)
1.66
0.500
2.000
0
83.0
70
130
-ample ID: 20010299-001AMSD
SampType: MSD
TestCode: MTL-TCLP-7( Units: mglL
Prep Date: 1/13/2020
RunNo: 108178
;lient ID: BatchQC
Batch ID: 41436
TestNo: SW6010D SW3010A
Analysis Date: 111612020
SegNo: 2565506
knalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Arsenic(As)
1.69
0.500
2.000
0
84.3
7D
130
1.720
2.00
20
TCLP Sarium(Ba)
ND
5.00
2.000
0A484
49.3
7D
130
0
0
20 S
TCLP Cadmium(Cd)
1.47
0.100
2.000
0.001993
73.5
70
130
1.524
3.47
20
TCLP Chromium(Cr)
1.27
0.200
2.000
0
63.5
7D
130
1.355
5.48
20 S
TCLP Lead(Pb)
1.48
0.50D
2.000
0
73.8
70
130
1.526
3.40
20
TCLP Selenium(Se)
1.78
0.0500
2.000
0
89.0
70
130
1.788
0.392
20
TCLP Silver(Ag)
1.55
0.50D
2.000
0
77.7
70
130
1.660
6.66
20
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H HoIding times for preparation or anal}
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 13 of 34

SUMMIMF
Summit Environmental Technologies, Inc. 3310 Win SI.
QC SUMMARY REPORT
FNVInONMl:WALnCHNOLOMCS, IKC
Cuyahoga Falls, Ohio 44223
Atwr yrica) LabaMofts
TEL. [phone] FAX.-[phone]
WO#: 2D010314
Website: httn:llwww.settekcom
37-Jan-20
Client:
Synagro
Project:
Lincolnton WWTP
BatchlD: 41436
Sample ID: MB-41436
SampType: MBLK
TestCode: MTL-TCLP-7( Units: mg/L
Prep Date: 1/13/2020
RunNo: 108172
,lient ID: PBS
Batch ID: 41436
TestNo: SW6D10D SW3010A
Analysis Date: 1/16/2020
SegNo: 2565377
Analyte
Result
PQL SPK value SPK Ref Val
%aREC Lowl-imit Hight-imit RPD Ref Val
%RPD RPDLimit Qua]
TCLP Arsenic(As)
ND
0.500
TCLP Barium(Ba)
ND
5.00
TCLP Cadmium(Cd)
ND
0.100
TCLP Chromium(Cr)
ND
0.200
TCLP Lead(Pb)
ND
0.500
TCLP Selenium(Se)
ND
0.0500
TCLP Silver(Ag)
ND
0.500
Sample ID: LCS-41436
SampType: LCS
TestCode: MTL-TCLP-7( Units: mg/L
Prep Date: 111W2020
RunNo: 108172
lient ID: LCSS
Batch [D: 41436
TestNo: SW6010D SW3010A
Analysis Date: 1/16/2020
SegNo: 2565378
knalyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit Hight_imit RPD Ref Val
%RPD RPDLimit Qua]
TCLP Arsenic(As)
2.04
0.500
2.000
0
102
80
120
TCLP Barium(Ba)
ND
5.00
2.000
0
109
80
120
TCLP Cadmium(Cd)
2.08
0.100
2.000
0
104
8o
120
TCLP Chromium(Cr)
2.09
0.200
2.000
0
104
80
120
TCLP Lead(Pb)
2.18
0.500
2.000
0
109
80
120
TCLP Selenium(Se)
2.02
0.0500
2.000
0
101
80
120
TCLP Silver(Ag)
2.32
0.500
2.000
0
116
80
120
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal)
7 Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 14 of 34

SUMMIEF
Summit Environmental Technologies, Inc. 3310 Win .Sr.
QC SUMMARY REPORT
ENYIn0NMEXTALTECHNOL0G1LS, JKC
AroPyr0=1 Laboratarfe,s
Cuvahoga Falls, Ohio 44223
TEL: [phone] FAX.- [phone]
WO#: 20010314
Website: htmJhvwwsertek.com
37-Jan-20
Client:
Synagro
Project:
L.incolnton WWTP
BatchlD: 4I436
Sample ID: MB-41436
SampType: MBLK
TestCode: Mtl-TCLP-7(6 Units: mg1L
Prep Date: 1/13/2020
RunNo: 108068
:lient ]D: PBS
Batch ID: 41436
TestNo: SW6010D SW3010A
Analysis Date: 1/1312020
SegNo: 2563279
analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Arsenic(As)
ND
0.500
TCLP Barium(Ba)
ND
5.00
TCLP Cadmium(Cd)
ND
0.100
TCLP Chromium(CT)
ND
0.200
TCLP Lead(Pb)
ND
0.500
TCLP Selenium(Se)
ND
0.0500
TCLP Sllver(Ag)
ND
0.500
iample ID LCS-41436
SampType: LCS
TestCode: Mtl-TCLP-7(6 Units: mg1L
Prep Date: 111312020
RunNo: 108068
:lient ID: LCSS
Batch ID: 41436
TestNo: SW6010D SW3010A
Analysis Date: 111312020
SegNo: 2563280
analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Arsenic(As)
1.99
0.500
2.000
D
90.4
80
120
TCLP Barium(Ba)
ND
5.00
2.000
0
104
80
120
TCLP Cadmium(Cd)
2.03
0.100
2.000
0
102
80
120
TCLP Chromium(Cr)
2.11
D.200
2.DDD
0
105
80
120
TCLP Lead(Pb)
2.12
D.500
2.000
0
106
80
120
TCLP Selenium(Se)
2,10
0.0500
2.000
0
105
80
120
TCLP Silver(Ag)
2.20
D.500
2.000
0
110
80
120
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal)
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 15 of 34

summill
Summit Environmental Technologies, Inc. 3310 Win .St. QC SUMMARY REPORT
ENVIROWMENTAL nCHHOLOGIES, JKC Cuyahoga Falls, Ohio 44223
Anatyrical i-aberatories TEL: [phone] FAX: [phone] WO#: 20010314
Website: hitn://,vwiv.setrek.com 31-Jan-20
Client: Synagro
Project: Lincolnton WWTP
BatchiD: 41456
Sample ID: MB-41456
SampType: MBLK
TestCode: TCLP-SVOC_ Units: mg1L
Prep Date: 111312D20
RunNo: 108215
:lient ID: PBS
Hatch ID: 41456
TestNo: SW8270 SW3510C
Analysis Date: 1/15/2020
SegNo: 2566517
4.nalyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlcrobenzene
ND
0.100
2,4,5-Trichlorophenol
ND
0,250
2,4,6-Trichlorophenol
ND
0.250
2,4-Dinitrotoluene
ND
0.0500
o-Cresol
ND
0.250
Cresols, Total
ND
5.00
Hexachloro-1,3-butadiene
ND
0.0200
Hexachlorobenzene
ND
0.0500
Hexachloroethane
ND
0.100
Nitrobenzene
ND
0.100
Pentachlorophenol
ND
0.250
Pyridine
ND
0.250
Surr: 2-Fluorophenol
0.559
Surr: Phenol-d6
0.525
Surr: Nitrobenzene-d5
0.572
Surr. 2,4,6-Tribromophenol
0.751
Surr: 2-Fluorobiphenyl
0.579
Surr. p-Terphenyl-d14
0.806
1.000
55.9
10
109
1.000
52.5
10
109
1.000
57.2
19
120
1.000
75.1
10
120
1,000
57.9
22
117
1.000
80.6
34
116
Qualifiers: B Analyte detected in the associated Method Blank H Value above quantitation range H Holding times for preparation or anal)
J Analyte detected below quantitation limits M Manual Integration used to detenninc area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 16 of 34

SUMMISummit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT
ENVInONMENTAL TECHNOLarxiL•S, JMC Cuyahoga Falls, Ohio 44223
Arr "cel Labcmto6es TEL: [phone] FAX: [phone] WO# 200I03I4
Website: hlmJ/wu'w.settek.COm 314.an-20
Client: Synagro
Project: Lincointon WWTP BatchID: 41456
Sample ID: LCS-41456
SampType: LCS
TestCode: TCLP-SVOC_ Units: m911-
Prep Date: 1113/2020
RunNc: 108215
�fient ID: LCSS
Batch ID: 41456
TestNo: SW8270 SW3510C
Analysis Date: 111512020
SegNo: 2566521
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighUmit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene
0.428
0.100
0.8000
0
53.5
36.4
130
2,4,5-Trichlorophenoi
0.736
0.250
0.8000
0
92.0
31.7
132
2,4,6-Trichlorophenoi
0.789
0.250
0.8000
0
98.7
31.1
133
2,4-Dinitrotoluene
0.879
0.0500
0.8000
D
110
43.3
130
o-Cresol
0.592
0.250
0.8000
0
74.0
32.9
130
Cresols, Total
ND
5.00
1.600
0
75.5
31.7
13D
Hexachloro-1,3-butadiene
0.458
0.0200
0.8000
0
57.3
31.4
13D
Hexachlorobenzene
0.673
0.0500
0.8000
0
84.2
43.1
130
Hexachloroethane
0.397
0.100
0.8000
0
49.6
36.5
130
Nitrobenzene
0.550
0.100
0.8000
0
68.8
39.5
13D
Pentachlorophenol
0.817
0.250
0-8000
0
102
34
13D
Pyridine
0.342
0.250
0.8000
0
42.8
10
130
Surr: 2-Fluorophenol
0.660
1.000
66.0
17.1
130
Surr: Phenol-d6
0.677
1.000
67.7
10
130
Surr: Nitrobenzene-d5
0.684
1.000
68.4
32.6
130
Surr:2,4,6-Tribromophenol
1.03
1.000
103
4.43
130
Surr:2-Fluorobiphenyl
0.684
1.000
68.4
41.8
130
Surr: p-Terphenyl-d14
0.948
1.000
94.8
36.4
130
Qualifiers: 8 Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal}
Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 17 of 34

summist Summit Environmental TechnoloWin St. QC SUMMARY REPORT
3310 Win St.
ENVIRONMENTAL WCHNOLOGi:S, INC Cutahoga Falls, Ohio 44223
AnaAydaal Labararonet TEL: [phone] FAX.- [phone] WO#: 20010314
Websim: httP:11www,senekcom 31-Jan-20
Client: Synagro
Project: Lincolnton WWTP SatchlD: 41456
Sample ID: 20010310-OOIAMS
SampType: MS
TestCode: TCLP-SVOC_ Units: mglL
Prep Date: 111312020
RunNo: 108215
client ID: BatchQC
Batch ID: 41456
TestNo: SW8270 SW3510C
Analysis Date: lllS12020
SegNo: 2566524
analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene
0.417
0.200
0.8000
0
52.2
15.2
124
2,4,5-Trichiorophenol
0.706
0.500
0.8000
0
88.2
30.6
152
2,4,6-Trichlorophenol
0.712
0.500
0.8000
0
89.1
27.6
150
2,4-Dinitrotoluene
0,920
0.100
0.8000
0
115
58
141
a -Cresol
0.537
0.500
0.8000
0
67.2
26.9
132
Cresols, Total
ND
10.0
1.600
0
68.5
27.6
132
Hexachloro-1,3-butadiene
0.427
0.0400
0.8000
0
53.4
-5.3
156
Hexachlarobenzene
0.694
0.100
0.8000
0
86.8
54.3
142
Hexachloroethane
0.382
0.200
0.8000
0
47.8
1.92
131
Nitrobenzene
0.516
0.200
0.8000
0
64.5
21
135
Pentachiorophenol
0.969
0.500
0.8000
0
121
47.4
134
Pyridine
ND
0.500
0.8000
0
34.4
-10.3
64.2
Surr:2-Fluorophenol
0.570
1.000
57.0
9.77
146
Surr: Phenol-d6
0.606
1.000
60.6
20.7
130
Surr: Nitrobenzene-d5
0.614
1.000
61.4
13.9
156
Surr.2,4,6-Tdbromophenol
1.05
1.000
105
27.3
183
Surr:2-F[uorobiphenyl
0.624
1.000
62.4
21.4
153
Surr: p-Terphenyl-d14
0.970
1.000
97.0
54.8
154
MOMR
Qualifiers: S Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal)
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 18 of 34

IT
Summit Environmental Technologies, Inc. QC SUMMARY REPORT
ffISUMM3310 Win ,St.
ENYIn0NMMALnCHN0{0Gl1:S,;NC Cuyahoga Falls, Ohio 44223
Ana=l Labmwarl95 TEL: [phone] FAX..- [phone] WO#. 20410314
Ry
Wehsize: httn:/hvww.setiek.corn 31-Jan-20
Client: Synagro
Project: Lincointon WWTP
BatchlD: 41456
Sample ID: 20010310-001AMSD
SampType: MSD
TestCode: TCLP-SVOC_ Units: mg1L
Prep Date: 1113/2020
RunNo: 108215
Client ID: Batch=
Batch 1D: 41456
TestNo: SW8270 SW3510C
Analysis Date: 1115/2020
SegNo: 2666527
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
1,4-Dichlorobenzene
0.343
0.200
0.8000
0
42.8
15.2
124
0.4172
19.6
30
2,4,5-Trichlorophenal
0.598
0.500
0.80D0
0
74.8
30.6
152
0.7060
16.6
30
2,4,6-Trichlorophenol
0.622
0.500
0.80D0
0
77.8
27.6
150
0.7124
13.5
30
2,4-Dinitrotoluene
0.724
0.10D
0.8000
0
90.4
58
141
D.9204
23.9
30
o-Cresol
ND
D.50D
0.800D
0
59.5
26.9
132
0.5372
200
30
Cresols, Total
ND
10.0
1.600
0
59.2
27.6
132
0
0
W
Hexachloro-1,3-butadiene
0.331
0.0400
0.8000
0
41.4
-5.3
156
0.4268
25.2
30
Hexachlorobenzene
0.602
D.100
0.8000
0
75.3
54.3
142
D.6944
14.2
30
Hexachloroethane
D.300
0.200
0.8000
0
37.6
1.92
131
0.3820
23.9
30
Nitrobenzene
D.469
0.200
0.8000
D
58.6
21
135
0.5160
9.59
30
Pentachlorophenol
D.1307
0.500
0.8000
D
101
47.4
134
0.9688
18.2
30
Pyridine
ND
0.500
0.8000
0
23.7
-10.3
64.2
0
0
30 Rm
Surr:2-Fluorophenol
D.519
1.000
51.9
9.77
146
D
Surr: Phenol-d6
0.534
1.000
53.4
20.7
130
0
Surr: Nitrobenzene-d5
0.576
1.000
57.6
13.9
156
0
Surr:2,4,6-Tribromophenol
0.903
1.000
90.3
27.3
183
0
Surr:2-Fluorobiphenyl
0.626
1.000
62.6
21.4
153
0
Surr: p-Terphenyl-c!14
0.826
1.000
82.6
54.8
154
0
Qualifiers: B Analyte detected in the associated Method BIank E Value above quantitation range H Holding times for preparation or anal)
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 19 of 34

Summit Environmenial Technologies, Inc. QC SUMMARY REPORT
summist 3310 Win St.
ENVIRONMENTALTECHNOLOGir3, INC Cuyahoga Falls, Ohio 44223
Am7ty0=1 Labaraitmos TEL: [phone] FAX.- [phone] WO#: 2DOlD3I4
Website: http:1Avww.sette1ccom 37-Jan-20
Client: Synagro
Project: Lincolnton WWTP BatchlD: 41456
Sample ID: MB-41456
Samp7ype MBLK
TestCode: SVOC-BNA T Units: mg1L
Prep Date: IM312020
RunNo: 108215
�lient ID: PBS
Batch ID: 41456
TestNo: SW8270 SW3510C
Analysis Date: 111512020
SegNo: 2566479
4nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene
ND
0.100
2,4,5-Trichlorophenol
ND
0.250
2,4,6-Trichlorophenol
ND
0.250
2,4-Dinitrotoluene
ND
0.0500
o-Cresol
ND
0.250
Cresols, Total
ND
5.00
Hexachloro-1,3-butadiene
ND
0.0200
Hexachloro benzene
ND
0.0500
Hexachloroethane
ND
0.100
Nitrobenzene
ND
0.100
Pentachlorophenol
ND
0.250
Pyridine
ND
0.260
Surr: 2-Fluorophenol
0.559
Surr: Phenol-d6
0.525
Surr: Nitrobenzene-d5
0.572
Surr: 2,4,6-Tribromophenol
0.751
Surr: 2-Fluorobiphenyl
0.579
Surr: p-Terphenyl-d14
0,806
1.000
55.9
10
109
1.000
52.5
10
109
1.000
57.2
19
120
1.000
75.1
10
120
1.000
57.9
22
117
1.000
80.6
34
116
Qualifiers: B Anaiyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal,
I AnaIyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 20 of 34

UM'� Summit Environmental Technologies. Inc. 3314 WinSt. QC SUMMARY REPORT
ENVInONMENTAL TECHNGLOGiES. JKC Cuyahoga Falls, Ohio 44223
WO#: 20010314
ArmYyrical Labaiw1orles TEL: [phone] FAX. [phone]
Websize: hz1D:1Avwvv.settekcom 37-Jan-20
Client: Synagro
Project: Lincolnton WWTP BatchID: 41456
Sample ID: LCS-41456
SampType: LCS
TestCode: SVOC-BNA_T Units: mg1L
Prep Date: 1/13/2020
RunNo: 108215
Client 1D: LCSS
Batch ID: 41456
TestNo: SW9270 SW3510C
Analysis Date: 111512020
SegNo: 2566480
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPI}Limit Qual
1,4-Dichlorobenzene
0,428
0.100
0.8000
0
53.5
36.4
130
2,4,5-Trichlorophenol
0.736
0.250
D.8000
0
92.0
31.7
132
2,4,6-Trichlorophenol
0.789
0.250
0.8000
0
98.7
31.1
133
2,4-Dinitrotoluene
0.879
0.0500
0.8000
0
110
43.3
130
o-Cresol
0.592
0.250
0.8000
0
74.0
32.9
130
Cresols, Total
ND
5.00
1.600
0
75.5
31.7
130
Hexachloro-1,3-butadiene
0.458
0.020D
0.8000
0
57.3
31.4
130
Hexachlorobenzene
D.673
0.0500
0,8000
0
84.2
43.1
130
Hexachloroethane
0.397
0.100
0.8000
0
49.6
36.5
130
Nitrobenzene
0.550
0.100
0.8000
0
68.8
39.5
130
Pentachlorophenol
0.817
0.250
0.8000
0
102
34
130
Pyridine
0.342
0.250
0.8000
0
42.8
10
130
Surr: 2-Fluorophenol
0.660
1.000
66.0
17.1
130
Surr: Phenol-d6
0,677
1.000
67.7
10
130
Surr: Nitrobenzene-d5
0.684
1.000
68.4
32.6
130
Surr:2,4,6-Tribromophenol
1.03
1.000
103
4,43
130
Surr:2-Fluorobiphenyl
0.684
1.000
68.4
41.8
130
Surr: p-Terphenyl-d14
0.948
1.000
94.B
36.4
130
Qualifiers: B Analyte detected in the associated Method Blank
, Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range H Holding times for preparation or anal}
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 21 of 34

'ir Summit Environmental Technologies, Inc. QC SUMMARY REPORT
summ3310 Win Sr.
ENVinom MENTAL =-CHNQL0G1,S, :KC Cuvahoga Falls, Ohio 44223
WO#: 20010314
Anafyticel Laborwories TEL: [phone] FAX.- [phone]
Websire: httn://www.settek.cam 31-Jan-20
Client: Synagro
Project: Lincolnton WWTP BatchlD: 41456
Sample 1D: 20010310-OOIAMS
SampType: MS
TestCode: SVOC-BNA T Units: mg1L
Prep Date: 111312020
RunNo: 108215
Client 10: BatchQC
Batch ID: 41456
TestNo: SW8270 SW3510C
Analysis Date: 1/15/2020
SegNo: 2566495
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RP❑ RPDLimit Qual
1,4-Dichlorobenzene
0.417
0.200
0.8000
D
52.2
33.8
126
2,4,5-Trichlorophenol
0.706
0.500
0.8000
0
88.2
28.7
144
2,4,6-Trichlorophenol
0.712
0.500
0.80D0
0
89.1
12.8
153
2,4-Dinitrotoluene
0.920
0.10D
0.8000
D
115
20.4
155
o-Cresol
D.537
0.500
0.8000
0
67.2
1 D
148
Cresols, Total
ND
10.0
1.600
0
68.5
10
148
Hexachlwo-1,3-butadiene
0.427
0.0400
0.8000
0
53.4
29
126
Hexachlorobenzene
0.694
0.100
0.8000
0
86.8
33.7
134
Hexachloroethane
0.382
0.200
0.8000
0
47.8
32.8
132
Nitrobenzene
0.516
0.200
0.8000
0
64.5
20
158
Pentachlorophenol
0.969
0.50D
0.80D0
0
121
10
176
Pyridine
ND
0.50D
0.8000
0
34.4
1D
130
Surr:2-Fluorophenol
0.57D
1.000
57.0
3.39
130
Surr: Phenol-d6
0.606
1.000
60.6
5
130
Surr: Nitrobenzene-d5
0,614
1.000
61.4
14.5
154
Surr: 2,4,6-Tribromophenol
1.05
1.000
105
19.5
130
Surr.2-Fluorobiphenyl
0.624
1.000
62.4
34.4
130
Surr: p-Terphenyl-d14
0.970
1.000
97.0
8.86
156
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery Iimits
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
H HoIding times for preparation or anal}
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
mQMR
Original
Page 22 of 34

SUMMINt
Summit Environmental TechnolWc QC SUMMARY REPORT
3310 10 Win
Sfn S1.
ENVIRONtdEWALTECHNOLOGiESJUC Cuvahogo Falls, Ohio 44223
ArraPytiE2i L2Jidr8tolY96 TEL: [phone] FAX.-[phone] WO#: 24410314
Websile: h11D://wtit,w.settek.cam 31-Jan-20
Client: Synagro
Project: Lincolnton WWTP
SatchID: 41456
Sample ID: 20010310-001AMSD
SampType: MSD
TestCode: SVOC-BNA T Units: mgfL
Prep Date: 111312020
RunNo: 108215
Client ID: Batch QC
Batch ID: 41456
TestNo: SW8270 SW3510C
Analysis Date: 1/15/2020
SegNo: 2566486
Analyte
Result
PQL SPK value SPK Ref Val
°/6REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene
0.343
0.200
0.8000
0
42.8
33.8
126
0.4172
19.6
30
2,4,5-Trichlorophenol
0.598
0.500
0.8000
0
74.8
28.7
144
0.7060
16.6
30
2,4,6-Trichlorophenol
0.622
0.500
0.8000
0
77.8
12.8
153
0.7124
13.5
30
2,4-Dinitrotoluene
0.724
0.100
0.8000
0
90.4
20.4
155
0.9204
23.9
30
o-Cresol
ND
0.500
0.8000
0
59.5
10
148
0.5372
200
30
Cresols, Total
ND
10.0
1.600
0
59.2
10
148
0
0
30
Hexachloro-1,3-butadiene
0.331
0.0400
0.8000
0
41.4
29
126
0.4268
25.2
30
Hexachlorobenzene
0.602
0.100
0.8000
0
75.3
33.7
134
0.6944
14.2
30
Hexachloroethane
0.300
0.200
0.8000
0
37.6
32.8
132
0,3820
23.9
30
Nitrobenzene
0.469
0.200
0.8000
0
58.6
20
158
0.5160
9.59
30
Pentachlorophenol
0.807
0.500
0.8000
0
101
10
176
0,9688
18.2
30
Pyridine
ND
0.500
0.8000
0
23.7
10
130
0
0
30 Rm
Surr:2-Fluorophenol
0.519
1.000
51.9
3.39
130
0
Surr: Phenol-d6
0.534
1.000
53.4
1D
130
0
Surr: Nitrobenzene-d5
0.576
1.000
57.6
14.5
154
0
Surr: 2,4,6-Tribromophenol
0.903
1.000
90.3
19.5
13D
0
Surr:2-Fluorobiphenyl
0.626
1.000
62.6
34.4
130
0
Surr: p-Terphenyl-d14
0.826
1.000
82.6
8.86
156
0
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal)
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 23 of 34

SUMMITSummit
Environmental Technologies, Inc. 3310 Win 51.
QC SUMMARY REPORT
ENVIRDNMEWAL TECHNOLOG1SS, JKC Cutahoga Falls, Ohio 44223
ArraPyNc2J.Latrorarerres TEL: [phone] FAX. [phone]
W08: 20010314
Websire: httn•//www.settek.com
31-Jan-20
Client:
Synagro
Project:
Lincolnton WWTP
BatchID• 41521
Sample ID: ME-41521
SampType: MBLK
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 111412020
RunNo: 108219
Client ID: PBS
Batch iD: 41521
TestNo: SW7470A SW7470A
Analysis Date: 1/21/2020
SegNo: 2566739
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury ND 0.00200
Sample ID: LCS-41521
SampType: LCS
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 111412020
RunNo: 108219
Client ID: LCSS
Batch ID' 41521
TestNo: SW7470A SW7470A
Analysis Date: 1121/2020
SegNo: 2566740
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
I CLP Mercury 0.00393 0.00200 0.00400 0 98.2 80 120
Sample ID: 20010299-001AMS
SampType: MS
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 1/14/2020
RunNo: 108219
Client ID: BatchQC
Batch ID: 41521
TestNo: SW7470A SW7470A
Analysis Date: 1/21/2020
SegNo2566749
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury 0.00431 0.00200 0.00400 0 108 75 125
Sample tD: 20010299-001AMSD
SampType: MSD
TestCode: HG TCLP(74 Units: PPM
Prep Date: 1114/2020
RunNo: 108219
Client ID: BatchQC
Batch ID: 41521
TestNo: SW7470A SW7470A
Analysis Date: 112112020
SegNo: 2566750
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
i L:LN Mercury 0.00422 0.00200
0.00400 0 106 75
125
0.00431 2.11 20
Qualifiers: 13 Analyte detected in the associated Method Blank
E Value above quantitation range
H
Holding times for preparation or anal
J Analyte detected below gvantitation limits
M Manual Integration used to determine area response
MC
Value is below Minimum Compound
ND Not Detected
P Second column confirmation exceeds
PL
Permit Limit Original
R RPD outside accepted recovery limits
RL Reporting Detection Limit
S
Spike Recovery outside accepted reco
Page 24 of 34

SUMMIT
Summit Environmental Technologies. Inc. 331n Win st. QC SUMMARY REPORT
ENVIRONMENTAL TECHNOLOGIES. JNC Cuyahoga Falls, Ohio 44223
ArWytic al LaboMoKes TEL: [phone] FAX.- {330) 253-4489 WO#: 200103I4
Websile: htt :II)vietiv.settek.com 31-Jan-20
Client: Synagro
Project: Linco(nton WWTP BatchlD: 41521
Sample ID: 20010299-001AMSD
SampType: MSD
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 111412020
RunNo: 108219
Client ID: BatchQC
Batch ID: 41521
TestNo: SW7470A SW7470A
Analysis Date: 1121/2020
SegNo: 2566750
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
Qualifiers: B AnaIyte detected in the associated Method Blank I Value above quantitation range H Holding times for preparation or anal)
f AnaIyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 25 of 34

SUMMIT
3310 Win Stsummit Environmental Technologies,
in Si. QC SUMMARY REPORT
.
ENVIRONMEWAL TECHNOLOMES,1MC Cuyahoga Falls, Ohio 44223
ArWyd=1 LahraratM" TEL: [phone] FAX, (33Q) 253-4489 W04: 20010314
Website: httn:d,vuv,v.settek.eom 37-Jan-20
Client: Synagro
Project: Lincolnton WWTP SatchlD: R107965
Sample ID: MB-R107965
SampType: MBLK
TestCode: Sulfide,React Units: mg1L
Prep Date:
RunNo: 107965
Client ID: PEW
Batch ID: R107965
TestNo: SW9034
Analysis Date: 119/2020
SegNo: 2559840
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowUmit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sulfide, Reactive ND 25.0
Sample ID: LCS-R107965
SampType: LCS
TestCode: Sulfide,React Units: mglL
Prep Date:
RunNo: 107965
Client ID: LCSW
Batch ID: R107965
TestNo: SW9034
Analysis Date: 11912020
SegNo: 2559841
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sulfide, Reactive 4630 25.0 4800 0 96.5 85 115
Sample ID: 20010217-O01AMS
SampType: MS
TestCode: Sulfide,React Units: mglL
Prep Date:
RunNo: 107965
Client ID: BatchQC
Batch ID: R107965
TestNo: SW9034
Analysis Date: 1/912020
SegNo: 2559843
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowUrnit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sulfide, Reactive 4710 25.0 4800 0 98.1 75 125 W
Sample ID: 20010217-OOIAMS❑
SampType: MSD
TestCode: Sulfde,React Units: mg1L
Prep Date:
RunNo: 107965
Client ID: BatchOC
Batch ID: R107965
TestNo: SWO034
Analysis Date: 11912020
SegNo: 2559844
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowUmit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sulfide, Reactive 4720 25.0 4800 0 9B.3 75 125 4710 0.212 30 W
Qualifiers: 8 Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal}
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected Original
P Second column confirmation exceeds PI, Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 26 of 34

summiSummit Environmental Technologies, Inc. 3310 Win .St. QC SUMMARY REPORT
ENVInOtJMENTAL TECHNOLOGltS, JNC Cuyahoga Falls. Ohio 44223
A-,Wytkwl Lebos* &Wsis TEL: [phone] FAX.- [phone] WO#: 200I03I4
Website: htt :/hvx-w.settek.com 31-Jan-20
Client: Synagro
Project: Lincolnton WWTP BatchlD: R107965
Sample ID: 20010217-001AMSD
SampType: MSD
TestCode: Suffide,React Units: mglL
Prep Date:
RunNo: 107965
Client ID: BatchOC
Batch ID: R107965
TestNo: SW9034
Analysis Date: 1/9/2020
SegNo: 2559844
Analyte
Result
PQL SPK value SPK Ref Val
%RFC LowLimit High Limit RPD Ref Vai
%RPD RPDUrnit Qual
Qualifiers: B Analyte detected in the associated Method Blank L Value above quantitation range H Holding times for preparation or anal3
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 27 of 34

'Nt
SUMM
Summit Environmental Technologies, Inc.
3310 Win Si.
QC SUMMARY REPORT
ENVInONMENTAL nMINaLoraJES, JKC
Cuyahoga Falls, Ohio 44223
WO#: 2D010314
Armfiytical Laboratories
TEL: [phone] FAX.- [phone]
Website: httn:/Avww.settek.com
37-Jan-20
Client:
Synagro
Project:
Lincolnton WWTP
Batch ID: R107967
Sample ID: Blank
SampType: MBLK
TestCode: Cyanide,Rea Units: mglL
Prep Date:
RunNc: 107967
Client ID: PBW
Batch ID: R107967
TestNo: SW9014
Analysis Date: 1/9/2020
SegNe: 2559897
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive ND 0.490
Sample ID: LCS
SampType: LCS
TestCode: Cyanide,Rea Units: mg1L
Prep Date:
RunNo: 107967
Client ID: LCSW
Batch ID: R107967
TestNo: SW9014
Analysis Date: 1/912020
SegNo: 2559898
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLim1t Qual
Cyanide, Reactive 9.75 0.495 10.00 0 97.5 85 115
Sample ID: RI -Check
SampType: RLC
TestCode: Cyanide,Rea Units: mg1L
Prep Date:
RunNo: 107967
Client ID: Batch QC
Batch ID: R107967
TestNo: SW9014
Analysis Date: 119/2020
SegNo: 2559900
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive ND 0.481 0.5000 0 86.3 50 150
Sample ID: 20010217-001AMS
SampType: MS
TestCode: Cyanide,Rea Units: mg1L
Prep Date:
RunNo: 107967
Client ID: BatchQC
Batch ID: R107967
TestNo: SW9014
Analysis Date: 1/912020
SegNo: 2559904
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive
9.28 0.461
10.00 0 92.8 81.3
118
Qualifiers: B
Analyte detected in the associated Method Blank
E Value above quantitation range
H
Holding times for preparation or anal)
J
Analyte detected below quantitation limits
M Manual integration used to determine area response
MC
Value is below Minimum Compound
ND
Not Detected
P Second column confirmation exceeds
PL
Permit Limit Original
R
RPD outside accepted recovery limits
RL Reporting Detection Limit
S
Spike Recovery outside accepted reco
Page 28 of 34

Summit Environmental Technologies, Inc.
lot, Ohio
Win ,Sr.
Cuyahoga FaflsOhio 44223
EPivlR0!jgU J4TALTEGa "GLOGiiS,Inc TEL. (330) z53 E211 FAX.- [phone]
A,0y 1 iabMWOW Website: h—U ://1012" iek,com
Client: Synagro
project: Lincolnton WWTP
Sample ID: 20010217-001AMS SampType: MS
Client ID: 8atch4C
Batch ID: R107967
Result
Analyte
Sample 10: 20010217-001AMSD SampType: MSD
Client ID. BatchQC
Batch 1D: R107967
Result
Analyte
8.47
Cyanide, Reactive
TestCode: Cyanide, Rea Units: mglL
TestNo: SW9014
PQL SPK value SPK Refer
TestCode: Cyanide,Rea Units: mglL
TestNo: SW9014
PQL SPK value SPK Ref Val
0.500
10.00 0
Qualifiers'. B Anatyte detected in the associated Method Blank
s Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
QC SUMMARY REPORT
wo#: 20010314
31-Jan-20
Batch1D: R107967
RunNo: 107967
Prep Date:
SegNo: 2559904
Analysis Date: 11912020
%%RPD RPDtimit Qua!
REC LMLimit HighLimit RPD Ref Val
RunNo: 107967
Prep Date:
SegNo: 2559905
Analysis Date: 1/912020
%RPD RPDC�mii Qual
%REC LOVA-imit Highl_imit RPD Ref Val 5
94.7 81.3
11 B 9.276 2.04
g Value above quantitation range onse
M Manual Integration used to determine area resp
p Second column confirmation exceeds
RL Reporting Detection Limit
Page 29 of 34
1{ Holding times for preparation or anal
MC Value is below Minimum Compound
pL permit Limit
S Spike Recovery outside accepted reco
original

Summit Environmental Technologies, hoc. QC SUMMARY REPORT
SUMIRI
� , Ohi Win St.
ENVITION MENTAL iECHNOLOG3�5, JKC
Cuyahoga Falls, hio=J-i?23 V4`O#: 20010314
ArWy C21 L*WrWlofl" TEL: [phone] FAX.- [phone] 31-Jun-20
Website: h![ J11vuw_seltek.com
Client: Synagro BatchlD: R108314
Project: Lincolnton W WTP
Pre Date: RunNo: 108314
Sample ID: LCS-R1D8314 SampType: LCS TestCode: pH_Oil(9045D Units: s.u.@99.6C P
Client ID: LCSW Batch ID: R108314 TestNo: A4500-H+B
Analysis Date: 111712020 SegNo: 2572343
Analyte Result PQL SPK value SPK Ref Val %REC Lowtimit HighLimit RPD Ref Val %RPD RPDLimit Qual
7.0 7.0 0 100 90 110
pH
TestCode: pH_Oil(9045D Units: s.u.@20.2C Prep Date:
RunNo: 108314
Sample ID: 20010954-003ADUP SampType: DUP
Analysis Date: 111712020 SegNo: 2572345
Client ID: BatchQC Batch ID: R108314 TestNo: A4500-H+B
Analyte Result PQL SPK value SPK Ref Val %REC Lowtimit HighLimit RPD Ref Val %RPp RPDLimit Qual
0 0 4.6 0 10
PH
4.6
Sample ID: CHECK 7
Client ID: LCSW
Analyte
PH
Sample ID: CHECK 7
Client ID: LCSW
Analyte
PH
Date: ItunNo: �unsiw
SampType: LCS TestCode: PH_OIL(9045 Units: s.u.@19.9C Prep
Analysis Date: 111712020 SegNo: 2572364
Batch SD: R108314 TestNo: A4540-H+B
Result PQL SPK value SPK Ref Val %REC Lowtimit HighLimit RPD Ref Val %RPD RPDLimit Qual
7.0 7.0 0 99.6 90 110
SampType: LCS TestCode: PH_O1L(9045 Units: s.u.@21.1C Prep Date:
RunNo: 108314
Analysis Date: V1712020 SegNo: 2572540
Batch ID: R108314 TestNo: A4500-H+B
Result PQL SPK value SPK Ref Val %REC Lowtimit HighLimit RPD Ref Val °/°RPD RPDLimit Qua]
7.0 7.0 0 100 90 110 — -
Qualifiers: B Analyte detected in the associated Method Blank
J Analytc detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range H Holding times for preparation or anal)
M Manual Integration used to determine area response
MC Value is below Minimum Compound Original
S
P Second column confirmation exceeds Permit Limit
Spike Recovery outside accepted reco
RL Reporting Detection Limit
Page 30 of 34

Summit Environmental Technologies, Inc. QC SUMMARY REPORT
�a S JU M t it3310 Win ,St.
ENylRONldErilTdl_ TECHNOLOGIES, it+SC
Cuyahoga Falls, Ohio 44223 WO#: 20010314
ArMPytr'ial LaboMfeWiGS TEL: [phone] FAX..- [phone] 31-Jan-20
Website: htW //www.settek.com
Client: Synagro BatchlD: R108314
PTOieCt: Lincolnton WWTP
Sample ID: CHECK 7
Client ID: LCSW
Analyte
SampTypei LCS
Batch ID: R108314
Res ult
TestCode: PH_OlL{9045 Units: [e-mail] Prep Date:
TestNo: A4500-H+B Analysis Date: 111712020
PQL SPK value SPK Ref Val %REC LcwLimlt Highl-imit RFD Ref Val
RunNo: 108314
SegNo: 2572S40
%RPD RPDLimit Qual
Qualifiers: B Analyte detected in the associated Method Blank
E Value above quantitation range H Holding times for preparation or anal3
M Manual Integration used to determine area response MC Value is below Minimum Compound Original
S Analyte detected below quantitation limits PL Permit Limit
ND Not Detected P Second column confirmation exceeds
R RPD outside accepted recovery limits
RL Reporting Detection Limit S Spike Recovery outside accepted MOO
Page 31 of 34

U'EF Summit Environmenial Technologies, Inc. QC SUMMARY REPORT
3310 Win St.
ENVIRONklEWALnCHNOWGIES AC Cuyahoga Falls, Ohio44223 W04: 20010314
Ag0yr0Ca1 Labar$rortes TEL: [phone] FAX.• [phone]
Websire: ham:/Ayww.settek.com 37-Jan-20
Client: Synagro
Project: Lincolnton WWTP
RatchlD: R108314
'ample ID: 20010312-001ADUP
SampType: DUP
TestCode: pH_NPW(450 Units: s.u.@20.4C
Prep Date:
RunNo: 108314
;lient ID: BatchQC
Batch IT): R108314
TestNo: A4500-H+B
Analysis Date: 111712020
SegNo: 2572434
knalyte
Result
PQL SPK value SPK Ref Val %REC
Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qua[
pH
6.8
6.9 0.6 5 H
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal}
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 32 of 34

m
W
W
0
-„
w

1' � Srrrrrrrrit Environmental Technologies, Inc.
3310 Win St.
E14VIROtJMENTALTFCUNOIACIEs, INC Cuyahoga Falls, Ohio 44223 Sample Log -in Check List
Analytical Laboratories TEL: [phone] FAX.- [phone]
Websire: htt ://iviviv.seltek.conr
Client Name SYN-NC-27028 Work Order Number: 20010314 RcptNo: 1
Logged by: Jesseca E. Westfall 118/2020 10:20:00 AM/,�,
Completed By: Jesseca E. Westfall 11812020 4:04:32 PM
Reviewed By: Jennifer Woolf 119/2020 11:22:05 AM
Chain of Cusfod
1. Is Chain of Custody complete? Yes ❑� No Not Present
❑ ❑
2. How was the sample delivered? UPS
Lop In
Yes
No ❑
NA ❑
3. Coolers are present?
4. Shipping containerlcooier in good condition?
yes
❑
❑
No ❑
No ❑
Not Present C
Custody seals intact on shipping container/cooler?
Yes
No. Seal Date:
Signed
By:
No ❑
NA .
5, Was an attempt made to cool the samples?
Yes
6, Were all samples received at a temperature of >0° C to 6.0°C
Yes
No ❑
NA
7. Sample(s) in proper container($)?
Yes
No ❑
8, Sufficient sample volume for indicated test(s)?
Yes
0
No ❑
g, Are samples (except VOA and ONG) properly preserved?
Yes
No ❑
10. Was preservative added to bottles?
Yes
❑
No 0
NA ❑
11. Is the headspace in the VOA vials less than 114 inch or 6 mm?
Yes
❑
No ❑
No VOA Vials
12, Were any sample containers received broken?
Yes
❑
No
13. Does paperwork match bottle labels?
Yes
No ❑
(Note discrepancies on chain of custody)
[7
No ❑
14. Are matrices correctly identified on Chain of Custody?
Yes
15. Is it clear what analyses were requested?
Yes
❑
No n
16. Were all holding times able to be met?
Yes
No ❑
(If no, notify customer for authorization.)
Special Handling if applicable
No ❑
NA El
17. Was client notified of all discrepancies with this order?
Yes❑
Date:
118/2020
Person Notified: Nate/Alex
By Whom: Jennifer Woolf Via:
E eMail ❑ Phone ❑ Fax
❑ In Person
Regarding: tests
Client Instructions: Ifull TCLP including P&H & RCI
18, Additional remarks:
tests not complete on COC
Cooler Information
Page 34 of 34

SM 2540 B 2011. 2b4D D -2011 NG0025496 All weighings are done In grams mks f
NZ 7 .Ms
n,'.r. h_ r' t _ems 7
�z !V
lima Collected /. U
� Date Collected
Date / Time In ] — .Z d
Date 1 Time Out
Total Wet Wgt �
Dish ui (_ 3 o 2-1 0 :3—
Wet Sludge Wgt �r" 7 ! �) SJ Z Q {� 5 t,:
(103-1050C) Dried
Wgt�.
Dish . �• 3t(L0 I .. L.2-6 6 r ;�—c
Dry Solids Wgt 119 11 10 LLI O 4a2.S 3 L
% Solids q c
1 ` / AVG % Solids E
Time IrdOut
(103-1050C) Dried [ 8
WgtC%.
550°C Wt `� Yi 3 `�
Volatile Solids Wgt I / _
%Volatile Solids e �6
AVG
` % Volatile Solids t�
7S DAF % VS DAF = 1► `y
% TS Slud e = i • % VS Sludge T `�
% Total Solids = Dy Solids Wgt X 100
Wet Solids Wgt
% Volatile Solids = (Volatile Solids Wgt) )( 100
Dried Solids Wgt
% Reduction = (VS DAF - VS Sludge) x 100
VS DAF - (VS DAF)(VS Sludge) (fJJ

SLUDGE Fecal Coliforms
—See Effluent Fecal Coliform Setup for QA Data tvio
Method: 9222D ShA 21 st ed Temperatures are in C
Collection Water Bath Colony
Setup a 8 hours after Grab Read 24 +1- 2 hours Count
Date Time By Setup Removal ml per
Time In By Temp Time Out By Temp Used Filter
A B
Calculate
Colonies
per
100 mL/Filter
% Reportable
Colonies TOTAL Colonies
per SOLIDS per
100 mLlFilter g
C D CID
f li���ejLG,t7
0.1 po
f [ CFU
V
c
05
0.01
0.1 ry
of
CFU
0.01 —
0.1 � �
k L E} CFU
J LLL
�
�i✓�:���
0.01
0.1
�1
v
1� G' CFU
1
✓��J�
����
.N`� �k � �L
0.1
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I/U
0.41 �
D.1
LU
� f���
CFU
t��L v lop
(,
0
ii
L �
JZ�
CFU

Technician zz
Quarter! Year 1, cr/ z-
SM 2tAo c-1sgt, 2saa o -t987 AN weighings are done in grams
Time
Collected
6 3 z]
c� 1
✓
F °�
--
(��3G
...... p:; r-Ma_ M- ..
,
Date
Collected
? ' Z c7
- �'
`� - - Z
—� `f • Z C�
r�
J �l ��
�.�
' ] _ f f ?
Date /
r� Z ''•
� �
O 3-4
��
4
aY3 �
Date
Time Out
-- ~o °
-o
2 mod-
a 7�
G�
? Z-0
7 _
- f_ 7
Total
wetwgt
��. �fSyr yjd�Dish
i
/D► 75 o��',�
o
o
f
Fy
wetwludge
gt
tif"Ilt
(DriedWgt)
q
Dishwy
DrywS9�ids
� � � � E r � �a�
1 � � 3� �, �a�
�, a r r � �� � 3
. �-
%Solids
L
f„
t
Average
% Solids
3, J
tJ
RPD
b
k
..;I_ 4
% iota{ Solids = Dry Solids Wgt X 100
Wet Solids Wgt

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
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
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 06-16 or FORM: SDR 06-16).
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 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not snake 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.
® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table 1. 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
H
County Board
✓
Notification, doc
"W--
Land Owner
Agreement
(If applicable)
Zi
EA
✓
✓
✓
✓
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
Fvaluation Police"
✓
INSTRUCTIONS FOR FORM: LASC 06-16 Page I of 3

An updated accounting of the land application site's cumulative
pollutant loading rates(CPLRs) -- Ly I
Required Item
Status Code
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 rnap requirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same time period)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
® Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
® For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
® New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) a Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion fi•om Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
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: littp:Hdeg.nc.gov/about/divisions/water-
resources/ lannin /classification -standards/class ifications
® 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:
littp://deg.ne.gov/contact/regional-offices
® 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 II -inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
UT to stream name as the waterbody name.
3. Open the link http://deq.nc.pov/about/divisions/water-resources/ lanning/classification-standards/classifications.
® 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
I. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in 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 1S LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B 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
Little Tennesse River
Basin And Savannah
River Drainage Area
French Broad River
Basin
Watauga River Basin
Broad River Basin
New River Basin
Catawba River Basin
Yadkin -Pee Dee River
Basin
Lumber River Basin
Roanoke River Basin
Chowan River Basin
Tar -Pamlico River
Basin
River Basin
atreams entering Gear is or Tennessee shall be classified "C Tr."
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."
Streams entering Tennessee will be classified "B."
Streams entering the State of Tennessee are classified "C."
Streams entering South Carolina are classified "C."
Streams entering the State of Tennessee are classified "C."
Streams entering South Carolina are classified "C."
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Streams entering South Carolina are classified "C Sw."
Streams entering Virginia are classified "C." Except that all backwaters of John H. Ken -
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."
Streams entering Virginia are classified "C."
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's
Land application
I. LAND
Status
Code,
name: Synagro
sites currently
APPLICATION
SitelField ID
Western Piedmont
certified: 1,191.2 net acres
SITE INFORMATION
Landowner(s)
and Total to be certified: 1813.0
(See Instruction B):
Lessee(s) or Operator(s)
net acres.
Net Acres
County
Crop(s)
Predominant
Soil
Mapping Unit
Series Nameb
or Rep. Slope
T
LT-23-1
Lawrence Heafner, Marie Michael
22.I
Lincoln
Fescue
Cecil
T
LT-23-2
Lawrence Heafner, Marie Michael
27.7
Lincoln
Fescue
Cecil
T
LT-35-1
Ottman Jarrett
35.4
Lincoln
Fescue
Cecil
T
CA-06-01
Dennis Lutz
16.8
Catawba
Fescue
Cecil
T
CA-06-02
Dennis Lutz
13.3
Catawba
Fescue
Lloyd
T
CA-06-03
Neil Properties LLC
19.6
Catawba
Fescue
Pacolet
N
Al-16-2
Kevin Daniels
18.3
Alexander
Corn, Wheat, Beans
Fairview
N
LT-53-1
Howard Goodson
34.3
Lincoln
Fescue
Pacolet
N
LT-53-2
Howard Goodson
24.6
Lincoln
Fescue
Pacolet
N
CA-53-3
Howard Goodson
13.3
Catawba
Fescue
Cecil-
-N
CL-21-1
Luke Beam
38.0
Cleveland
Fescue
Pacolet
N
LT-50-1
Gary Miller
27.5
Lincoln
Fescue
Cecil
N
LT-50-2
Gary Miller
8.8
Lincoln
Fescue
Cecil
N
CL-52-1
Edward parker
32.00
Cleveland
Fescue
Pacolet
N
CL-52-2
Edward Parker
30.6
Cleveland
Fescue
Pacolet
N
CL-52-3
Edward Parker
42.3
Cleveland
Fescue
Pacolet
N
CL-52-4
Ron Parker
22.6
Cleveland
Fescue
Cecil
N
IR-37-1
Norris Fox
Andy Fox
46.2
Iredell
Corn, wheat and beans
Clifford
N
IR-37-2
Josh Sloan
Andy Fox
18.2
Iredell
Fescue
Fairview
N
1R-37-3
Josh Sloan
Andy Fox
26.3
Iredell
Fescue
Fairview
N
IR-374
Aaron Fox
Andy Fox
19.8
Iredell
Fescue
Clifford
N
IR-38-1
Daniel Lackey
26.5
Iredell
Corn and Beans
Tomlin
FORM: LASC
06-16
Page I

LAND APPLICATION SITE CERTIFICATION
IR-39-1 Ronald Clodfelter
28.0 Iredell
Fes11 cue
Cecil
M ST-03 Robert Ridenhour
29.6 Stanely
Fescue
Status Code for land application sites are: ♦ N (New) 4 R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
n 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 Q:
Site/Field ID Latitude Longitude Location Location Method Code
g Datum
Location Accuracy
uracy
Waterbody Subbasin and
Current and
Proposed
Stream Index No.
Class
Al-16-2 35.975-81.1848 NAD83 MAP
Nearest Second
Muddy Fork 11-69-4
C
C
LT-53-1 35.536-81.1557 NAD83 MAP
Nearest Second
Lippard Creek I 1-1 I9-1-3
C
C
LT-53-2 35.551-81.154 NAD83 MAP
Nearest Second
Lippard Creek 11-119-1-3
C
C
CA-53-3 35.56-81.1151 NAD83 MAP
Nearest Second
Ballard Creek 11-119-2-2-1-2
C
C
CL-21-1 35.471-81.622 NAD83 MAP
Nearest Second
Stoney Run Creek 9-50-16-2
WS-IV
WS-IV
CL-52-1 35.4$3 -81.50 NAD83 MAP
Nearest Second
Buffalo Creek 9-53-I
WS-111
WS-111
CL-52-2 35.477-81.497 NAD83 MAP
Nearest Second
Buffalo Creek 9-53-I
WS-11 I
WS-I 11
CL-52-3 35.475 -81A93 NAD83 MAP
Nearest Second
Buffalo Creek 9-53-1
WS-111
WS-111
FORM: LASC 06-16
Page 2

LAND APPLICATION SITE CERTIFICATION
CL-52-4
35.481
-8I.50
NAD83
MAP
Nearest Second
Buffalo Creek 9-53-1
WS-111
WS-111
IR-37-1
35.932
-80.889
NAD83
MAP
Nearest Second
Patterson Creek 12-108-11-3
C
C
IR 37-2
35.952
-80.954
NAD83
MAP
Nearest Second
Patterson Creek 12-108-11-3
C
C
IR-37-3
35.952
-80.948
NAD83
MAP
Nearest Second
Patterson Creek 12-108-11-3
C
C
IR-37-4
35.908
-80.978
NAD83
MAP
Nearest Second
Snow Creek 12-108-9-.6
WS-N
WS-IV
IR-38-1
35.844
-81.048
NAD83
MAP
Nearest Second
Third Creek 12-108-20-4
C
C
IR-39-1
35.707
-80.905
NAD83
MAP
Nearest Second
Hicks Creek 11-$3-.5
WS-IV
WS-TV
LT-50-1
35.483
-81.461
NAD83
MAP
Nearest Second
Glenn Creek 9-53-1.3-1
WS-III
WS-III
LT-50-2
35.485
-81.463
NAD83
MAP
Nearest Second
Glenn Creek 9-53-13-1
WS-III
WS-III
Note: Please keep the site information (1.) and waterbody information (II.) of the same field on the same page
FORM: LASC 06-16 Page 3

State of North Carolina
Department of Environment and Natural Resources
W Division of Water Resources
'eDivislon of Water Resources LAND OWNER AGREEMENT
FORM: LOA 06-16
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
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Lan,W6wner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) fonn. Please do not
ake any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
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
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
fhe undersigned landowner or his representative hereby per its:
Applicant's name: �t^ r 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 ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
;hall be renewed each time this permit is renewed.
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 06-16 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 pennitted
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-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.
T 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).
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 sites) 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 sites) 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-establislied 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
[/ompliance 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 vroizram:
(Name of the new program)
FORM: LOA 06-16 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:
I_
City: C.,� C6 c� State: A/c Zip:
Phone: Ll ' ! I Ll E-mail address: t CaJ c s crv47so., 4%- _s c,1,P 5_
iatur,/c�. �Date: - - 0 xO
NORTH CAROLINA, C &, T1, ✓4 & COUNTY
I, the undersigned Notary Public do hereby certify that A " r 600A.q J,_
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and o cial seal this the r� j%��,eX'Wf%'f,
V.
day of 2t) 2
Signature and seal: t✓.
My commission expires: CJl'.7" L Z. 20:2&
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:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: tr {
Signature: Date: 2
FORM: LOA 06-16 Page 3 of 3

APPLICATION MAP
Z
V)
a
x
tM
y may}
LEGEND
APPLICATION AREA
— — — — — PRIVATE ROAD
— — — — STREAM
— DRAIN .
X X FENCE
— PROPERTY LINE (�
UNSUITABLE AREA
U11.1Ia
ONSITE HOUSE GRAPHIC SCALE
OFFSITE HOUSE
660' 0 66c'
OUTBUILDING
WELL
SOIL BORING
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-53
Field 1

APPLICATION MAP
a
z
V)
LEGEND
177-71
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
X X X FENCE
PROPERTY LINE
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
SOIL BORING
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,

SOIL SURVEY
t�� ass
GRAPHIC SCALE
1" = 660'
660' 0 660,
F0 1
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C—LT-53
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. Alf
locations are approximate. Field 1

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-53
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 2

TOPOGRAPHIC MAP _
t
Ln
j
r
` —n`
GRAPHIC SCALE
1" = 1,000'
0 1,000,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within l �G
in the property boundary, whichever is closest to the application area. The review boundary is established � A I V C-LTJ
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-2

VICINITY MAP
__ ,mot,
CATA
CGLV
-
Z f \
\ F
6.
i 4
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
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area, All
locations are approximate.

APPLICATION MAP
"
A 9
44
z
V)
LEGEND
APPLICATION AREA r��
— — — — — — PRIVATE ROAD
— — — — STREAM
— DRAIN
X X X FENCE
PROPERTY LINE
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
SOIL BORING
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 " = 666'
660` 0 660'
N C-CA-53
Field 3

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-CA-53
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 3

TOPOGRAPHIC MAP
GRAPHIC SCALE
1" = 800'
800, 0 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within r.
in the property boundary, whichever is closest to the application area. The review boundary is established NC -CA-..
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Field 3

ON VICINITY MAP/
LL'
:; .mod �3.`.�, �\ I ,l i�J`tl%ijjr//����• - ��� r��� '#_' /�/ � r,\ �.G' �J„ C s
eil
i 7
.L r � Y lF •i// - � � I �^• AEI � ` (� E �`'�'I
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
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.

SYNAGRO, WESTERN PIEDMONT CLASS B PERMIT
WQ 0016247
SOIL SCIENTIST CERTIFICATION
This is to certify that soil profile evaluations were conducted on the proposed application
sites for the Western Piedmont project by Piedmont Environmental Associates, P.A. on
behalf of Synagro Central, LLC. The evaluations consisted of hand auger borings and
descriptions of the soils on the application sites. All hand auger borings included in this
package were either performed by me or under my direct supervision. All other work
performed for this permit application was conducted by Synagro Central, LLC.
G. Christopher Murray, L.S.S.
No. 1 284
Synagro, Western Piedmont WWTP Project, Various Fields

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NCDA&CS Agr nic Division Phone: [phone] Website: www.nt govlagronomil Report No. F SL004000
'41.ti
"" 4' Client: Greg Goodson Advisor: Alex Fox
y? s Heavy Metals 165 Irene Lane Synagro
Raleigh, NC 27603
g 284 Boger Rd
}5 f Soli Re or Mehlich-3 Extraction Mocksville, NC27028
port
Sampled County: Catawba
Links to Hel ful Information
Client ID: 508011 Advisor 1D: 501947
Sampled: 09/02/2020 Received: 09/11/2020 Completed: 09/16/2020 Farm: Lt-53l _:S
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Note elevated lead (Pb) in sample 3.Although the above metals here are
not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer
recommend ations.Tissue testinq is advised where soil pH is elevated as in sample found here. Ja athi Kamalakanthan, Agronomist, 9/16/2020
Sample ID: 1 Recommendations: Lime Nutrients (lb/acre) More
Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B Information
Lime History: 1 - FescuelOGrass/Tim, M 0.9 120-200 140 30 0 0 0 $ 0 0 Note: 12 Note:
2- 0.0
Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg1dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
0.18 1.04 4.8 68 1.5 5.2 3 57 42 20 141 56 51 24 24 43 0.1 2
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0 Nickel, 0.4 Chromium, 0.2 Lead, 2.7 Selenium, 0.0
Sample ID: 2 Recommendations: Lime Nutrients (lb/acre) More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information
Lime History: 1-FescuelOGrass/Tim, M 0.0 120-200 110 90 0 0 pH$ 0 0 0 Note: 12 Note:
2- 0.0
Test Results [units - WN in g1cm3; CEC and Na in meg1100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
0.32 1.19 6.8 95 0.4 6.9 14 24 63 30 28 138 87 85 85 118 0.1 1
Heavy Metals (parts per million): Arsenic, 0.2 Cadmium, 0.1 Nickel, 0.5 Chromium, 0.2 Lead, 3.2 Selenium, 0.1
North Carolina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
bAW ire%t f uisd Ciunrnitwtoo
Steve Troxler, Commissioner ofAci iculture

NCDA&CS Agr
nic Division Phone: [phone] Website: www.n+ govlagronomil
Report No. F SL004000
Greg Goodson
Page 2 of 3
Sample 1D: 3
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop (tonstacre) N P2O5
K2O
Mg S Mn
Zn
Cu B
Information
Lime History:
1 - FescuelOGrass/Tim, M
0.0 120-200 120
0
0 20 0
0
0 0
Note: 12
2-
0.0
Test Results [units
- WN in g1cm3; CEC and Na in meg1100
cm3; NO3-N in mgldm3]:
Soil Class: Mineral
HM% WN
GEC BS% Ac pH P-1
K-1 Ca% Mg%
S-1 Mn-I
Mn-All Mn-AI2 Zn-1
Zn-AI
Cu-I Na ESP SS-1 NW-N
0.46 1.06
6.6 81 1.3 5.9 10
93 57 17
23 302
198 280
280
154 0.1 2
Heavy Metals (parts per million): Arsenic, 0.1
Cadmium, 0.1
Nickel, 0.7
Chromium, 0.2
Lead,
6.5 Selenium, 0.1

NCDA&CS Agr nic Division Phone: [phone] Website: www.nc govlagronomil Report No, F SL004000
Greg Goodson
Page 3 of 3
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or Ib11000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting,
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib11000 sq ft) at o
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full ra
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer.
Recommendations for fleld crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS -I levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.gov/agronomi/pubs.htm.
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib11000 sq ft. If you cannot find
the exact fertilizer grade recommended on the report, visit www.ncaar.pov/a.gronomi/obpart4.htrr sfind information that
may help you choose a comparable alternate. For more information, read A Homeowners Guide to Fertilize,
Test Results
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
remaining 16 [P-1, K-1, Ca%, Mg%, Mn-1, Mn-Ali, Mn-Al2, Zn-I, Zn-AI, Cu-I, S-1, SS -I, Na, ESP, SS -I, NO3-N (not routine[
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaor.aov/agronomi/uvrst.htm
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-I
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-I
potassium index
K20
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-1
manganese index
M-O
mineral -organic soil class
N
nitrogen
Na
sodium
NO3-N
nitrate nitrogen
ORG
organic soil class
pH
current soil pH
P-1
phosphorus index
P205
phosphate
5-1
sulfur index
SS-1
soluble salt index
WN
weight per volume
Zn-AI
zinc availability index
Zn-I
zinc index

(2)
Waypoint,.
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Sample Summary Table
Report Number: 20-248-0008
Client Project Description: Greg Goodser LT-53/CA-53
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
73581
1
Solids
09/04/2020
SW-14718
WP MTN
73582
2
Solids
09/04/2020
SW-7471B
WP MTN
73583
3
Solids
09/04/2020
SW-7471B
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 7

(2)
WayPAoint,
NALYTICAL
46622
Synagro Central LLC/ Technical Project
Mary Brewer
284 Boger Road Information
Mocksville , NC 27028
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www,waypointanalytical.com
Greg GoodserLT-53/CA-53
Report Number : 20-248-0008 RFPOR T OF A IVA L YSIS
Lab No : 73581
Sample ID : 1
Report Date; 09/11/2020
Receive�dy; 09/04/2020
ko CVY
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
Test Results Units MOIL DF Date 1 Time By Analytical
Analyzed Method
Mercury 0.0365 mg/Kg 0.0157 1 09/10/2010:39 DDB SW-7471B
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
L Limit Exceeded
Page 3 of ?

(2)
WayPAoint,
NALYTICAL
46622
Synagro Central LLC/ Technical Project
Mary Brewer
284 Boger Road information
Mocksville , NC 27028
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.corn
Greg Goodser LT-53/CA-53
Report Number : 20-248-0008 REPORTOPANALYSIS
Lab No : 73582
Sample ID : 2
Report Date : 09/11/2020
Received
: 09/r04/2020
� od M l7 O W
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
Test Results Units MQL DF Date 1 Time By Analytical
Analyzed Method
Mercury 0.0584 rng/Kg 0.0155 1 09/10/2010:43 DD8 SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 4 of 7

Waypoint 7621 (2) Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
46622
Synagro Central LLC/ Technical Project Greg Goodser LT-53/CA-53
Mary Brewer Report Date : 09/11/2020
284 Boger Road Information : Received : 09/04/2020
Mocksville , NC 27028 1
1�
Report Number : 20-248-0008 REPORTOFANACYSIS Pauric Mc Groary Ph.D., CPA
Agronomist
Lab No : 73583 Matrix: Solids
Sample ID: 3 Sampled:
Test Results Units MQL DF Date 1 Time By Analytical
Analyzed Method
Mercury 0.0630 mg/Kg 0.0153 1 09/10/2010:44 DDB SW-7471B
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
L Limit Exceeded
Page 5 of 7

Waypoint,.Q)
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46622
Customer Name: Synagro Central LLC/ Technical
Report Number: 20-248-0008
Shipping Method
C) Fed Ex 0 US Postal 0 Lab
UPS 0 Client 0 Courier
C) Other
Thermometer ID:
Shipping container/cooler uncompromised?
0 Yes
0 No
Number of coolers/boxes received
I '
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
No
Not Present
Chain of Custody (COC) present?
0 Yes
No
COC agrees with sample label(s)?
Yes
No
COC properly completed
0 Yes
0 No
Samples in proper containers?
0 Yes
0 No
Sample containers intact?
0 Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
0 Yes
J No
Cooler temperature in compliance?
0 Yes
No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
No
Water - Sample containers properly preserved
0 Yes
0 No
NIA
Water - VOA vials free of headspace
0 Yes
0 No
NIA
Trip Blanks received with VOAs
0 Yes
0 No
NIA
Soil VOA method 5035 — compliance criteria met 0 Yes
0 No
0 NIA
High concentration container (48 hr)
High concentration pro -weighed (methanol -14 d)
Low concentration EnCore samplers (48 hr)
Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included?
Comments: F_
Yes
No
Signature: Brandi Watson Date & Time' 09/04/2020 09:30:02
Page 6 of 7

Waylpoint-4
ANALYTICAL
liiiiiiiiiiiiiiiiiiiiillillimillI �?a8-S020
Svnaaro Cenlral LLCM Technical 09:28-36
Grea Goodser LT-51CA-53
L FORM
3237
_ . <6
I.Com
Account #
• Grower/Project Informatiull Customer
Information
yr
Submitted By
Charge To
r
Farm ID
3
Field ID
1=x . Date:
/
Phone #
E-mail address
_ C &^
Crop Info For Recommendations
Sample ID
Lab Number
(Lab Use
Only)
SIM
S2M - Specify Additional
Tests
S3M
Soluhle
Salts
Texture
NO3-N
Additional
Tests
Intended
Crop
Yield
Goal
Alternative
Crap
Yield
Goa!
Previous Crop
B
Cu
Fe
Mn
Na
S
Zn
u00
2
�3
0�
Mehlich III Test Packages
SIM - Organic matter, Phosphorus, Potassium, Calcium, Magnesium, pH, Buffer pH
Cation Exchange Capacity, and % Base Saturation.
S2M - Test SIM plus any two of the following- Sodium, Sulfur, Boron, Zinc,
Manganese, Iron, Copper_ Each additional test (above two) cost $2,00.
S3M -Test S1M plus Sodium, Sulfur, Boron, Zinc, Manganese, Copper, and Iron.
Special Instructions or Additional Tests
I7)

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
`Division of Water Resources LAND OWNER AGREEMENT
FORM: LOA 06-16
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�!inaI and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. La
,9*Owner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
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
pplicant.
[0 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:
WR
a�—
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
residuals Source
(optional)
Special note
(no-tilllover-seedl
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 the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 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-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 Pennittee.
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.
11I.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
ompliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
attach a map showing the newly proposed
IV.AC OWLEDGEMENT OF FIELD TRANSFER: (if needed)
rThe land application field(s) ID: t. — h.T " 23 is currently permitted under another
residuals land application program; Permit Number WQ: 000 he land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be re oved fro thpreviously permitted residuals land application program and transferred
into the new program; S ro L�o6 q P� P.
� 4 d
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address:
City: /-• � co
LCt l,,1 r c o cc,
-4-
State: )VC C Zip:
Phone: 70 -7 i V — S 217 E-mail address: �2► Cater neat hrr Ird ,(1✓. c �y
Signature: Date:
NORTH CAROLINA, L'woh l COUNTY r
I, the undersigned Notary Public do hereby certify that jr�(i�ll mw kl�ale r
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the ZJ ft
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
za
NOTARY PUBLIC
W COMMON EXPIRES APRIL 29, 2023
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:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree toabideby the stipulations and restrictions as specified herein.
Signing official name: � t, �- 1 In
Signature:
Date:
FORM: LOA 06-16 Page 3 of 3

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
`blvEsion of Water Resources LAND OWNER AGREEMENT
FORM: LOA 06-16
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
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. La�Owner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
repare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
plicant. p.
[0 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 laudowyner 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 Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seedl
pasture)
1 23
/� /
j i
/./%� / (
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
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 06-16 Page 1 of 3

1. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section ll) 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 most 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.
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,
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(hl 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
7, mpliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
boundary and attach a map showing the newly proposed
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
B/The land application field(s) Idv& 1.. -' — Z,_-% , is currently permitted under another
residuals land application program; Permit Number WQ: tniqpS The land owner hereby acknowledge that by signing this
agreement, he/she is reduestin that the field(s) be removed fro the previously permitted residuals land a /'cation program and transferred
into the new program;�. re Y-1-0�-rIN �i.& &.n )- 1'/a O 10 j (.1-44
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application sites) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: f�c�f►,er ���
Address: o)`,a q &,-
City: L!(Le-,k iyn State:
l') . C
Zip: a E D Ct
Phone: J-/,j - 7r77- 7qqq E-mail address: 1"► ofe6 317 fnn�Jf. Lp�
Signature: ma,.tClmu �l Date: t
NORTH CAROLINA, J+ i r\ C. v In COUNTY /
1, the undersigned Notary Public do hereby certify that � " �prr e P,,di' - ���`� `�� /
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of 0,1.VU
f,20
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
ARAM BRIGMAN
GASTON COUNTY. NC
MY COMMISSION EXPIRES APRIL 29, 2023
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:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:""o
,
`m
Signature: — �
Date: I I �
FORM: LOA 06-16 Page 3 of 3

APPLICATION MAP
I rrzrkIn
APPLICATION AREA
- — — — — - PRIVATE ROAD
- ---- - - — STREAM
-- - - DRAIN
FENCE
El
PROPERTY LINE
0
UNSUITABLE AREA
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'
660' 0 660'
NC-LT-23
Fields 1_2

0
z
Ln
SOIL SURVEY
GRAPHIC SCALE
1" = 660'
ssa' a sea'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-LT-2
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1-2

i.Flt� �ELEi
OWN,-
irl�i�iri LIIiE'��Il•1 '
� �fllll'1 � ��IfFll'ti
a
GRAPHIC SCALE
V = 660'
660' 0 660,
i
.I..A
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-23
Fields 1-2

rjl
VICINITY MAP
I I,It�trl, f:;iiilcit�r
lilr�+Tlf=rlit�r� School
Fi651 i
�1187� 1 884
t 2�r�1
i �T)
Sl �4!r�tll �'Y 'N
f'{�ttibiic Cljtlrl'11
.1
GRAPHIC SCALE
9" = 2,000'
2,000' 0 2,000'
Lincoln (:f ifii I
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-LT-2
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All q
locations are approximate. Fields 1 a2

.._. State of North Carolina
h Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources LAND OWNER AGREEMENT
FORM: LOA 06-16
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
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 NCAG 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
plication may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Fc i Prrepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
.11pplicant.
AA 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
ie undersigned landowner or his representative hereby permits:: I
Applicant's name. I ci���a 6✓CS�rr'n lle t"
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
}
Special note
(no-till/over-seed/
pasture}
1
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
,all 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 06-16 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-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 6.0 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.
RESTRICTIONS;
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application sites) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance
mpliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
boundary and attach a map showing the newly proposed
❑ 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 06-16 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 Iand apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: y 2! 2— G�
City:. —State:. ^ Zip.�.� t
Phone: ?l - Oaf E-mail address: krZ.C�:) rd
Signature: `� Date: 9 _/G — Z 11
NORTH CAROLINA, � �C tin ��� COUNTY
1, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due execution of the forgoing instrumen�PK,�%� w FOB,
WITNESS my hand and official seal this the Yh ..-i ,
day of 120 ' Z)
Signature and seal: L✓. <
My commission expires: rA 0%
Mlt
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:
Date:
Zip:
I certify that I have react this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: /��,,J o
ln
Signature: ` I"'' Date: $
FORM: LOA 06-16 Page 3 of

APPLICATION MAP
� � Y�� icy yyyy✓�% t.,y +�'".'� .
i r
ram:
, .
f r;
Ip r.
5'
LEGEND
APPLICATION AREA
UNSUITABLE AREA
PRIVATE ROAD
WATER
- — — — — -
— - - — STREAM
ONSITE HOUSE GRAPHIC SCALE
- DRAIN
.
� �, - 660�
OFFSITE HOUSE
)f )E X FENCE
660' 0 660'
OUTBUILDING
PROPERTY LINE
0
WELL
G)
SOIL BORING
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.

SOIL SURVEY
-4j vt'
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.

TOPOGRAPHIC MAP
lot
1200
lam -�• -1 ,/ ,,
M 1 •,�
j
GRAPHIC SCALE
ill = 800'
800, 0 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-AL-1 6
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-2

VICINITY MAP
Un
•�
V.
2
j
GRAPHIC SCALE
1" = 4,000'
4,000' D 4,000'
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 compiiance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-AL-16
Fields 1-2

NCDABCS Agr nic Division Phone: [phone] Website: www.nc ]ovlagronomil Report No. F' 3L004006
Client: Kevin Daniels Advisor: Alex Fox
Heavy Metals 1128 Braswell Rd, Syragro
Goldsboro, NC 27530 284 Boger Rd
Soil Re oft Mehlich-3 Extraction Mocksville, NC 27028
Sampled County : Alexander
Links to Helpful Information
Client ID: 383574 Advisor ID: 501947
Sampled: 09/02/2020 Received: 09/11/2020 Completed: 09/16/2020 Farm: AL-16
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007).Although the above metals here are not believed to pose a concern for
plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer recommendations. Jagathi Kamalakanthan,
Agronomist, 9/16/2020
Sample 1D: 2
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tonslacre) N P2O5 K2O Mg S Mn Zn Cu B
Information
Lime History:
1 -Corn, grain 0.7 120 - 160 30 30 0 0 0 0 0 0
Note: 3
2 - 0.0
Test Results [units - WN in g1cm3; CEC and Na in meg1100 cm3; NO3-N in mgldm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-I Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
0.18 1.26 3.9 63 1.4 5.4 50 59 37 19 63 40 41 103 103 186 0.2 5
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0 Nickel, 0.7 Chromium, 0.4 Lead, 3.7 Selenium, 0.0
North Carolina
Tc+uiu Tw-%1, hmd Cmnr., rk mun
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler. Commissioner of Agriculture

NCDA&CS Agr nic Division Phone: [phone] Website: www.nc govlagronomi/ Report No. F 3L004006
Kevin Daniels Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or Ib11000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
Iblacre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-I and P-1 values are based on test results and should be n 50. If they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS -I levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients_ In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.gov/agronomi/pubs.htm.
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-I
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-I
potassium index
K20
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese index
M-O
N
Na
N 03-N
ORG
Recommendations for small areas, such as home lawns/gardens, are listed in units of ib/1000 sq ft. If you cannot find pH
the exact fertilizer grade recommended on the report, visit www.nca, rc .gov/agronomi/o-bparr4.html ind information that P-1
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P205
S-1
Test Results SS-1
WN
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-Al2, Zn-I, Zn-Al, Cu-1, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routine) Zn-I
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncapr.aovlaaronomi/uyrst.htm
mineral -organic soil class
nitrogen
sodium
nitrate nitrogen
organic soil class
current soil pH
phosphorus index
phosphate
sulfur index
soluble salt index
weight per volume
zinc availability index
zinc index

(2)
Waypoint.
ANALYTICAL
9/11 /2020
Synagro Central LLC/ Technical
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 20-248-0011
Project Description: Kevin Daniels Al-16
7621 Whiteptne Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 9/4/2020 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NI~LAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
a"/
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 5

(2)
Waypoint, 7621 Whitepine Road, Richmond, VA 23237
Ma In $04-743-9401 ° Fax [phone]
ANALYTICAL www.waypolntanalytical.com
Sample Summary Table
Report Number: 20-248-0011
Client Project Description: Kevin Daniels Al-16
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
73587 2 Solids 09/04/2020 SW-7471B WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 5

0
Waypoint 7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
46622 Alan Fox
Synagro Central LLC/ Technical Project Kevin Daniels Al-16
Mary Brewer Report Date : 09/11/2020
284 Boger Road Information : Received : 09/04/2020
Mocksville , NC 27028 rr
AWOL M� l7Q�W�
Submitted By : Alan Fox 0
Pauric Mc Groary Ph.D., CPA
Report Number: 20-248-0011 REPORTOFANALYSIS Agronomist
Lab No: 73587 Matrix: Solids
Sample ID: 2 Sampled:
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0291 mg/Kg 0.0145 1 09/10/2010:49 DDB SW-7471B
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
L Limit Exceeded
Page 3 of 5

Waypoint.-C)
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 1 Fax [phone]
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46622
Customer Name: Synagro Central LLC/ Technical
Report Number: 20-248-0011
Shipping Method
0 Fed Ex I* US Postal (D Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
Shipping container/cooler uncompromised?
0 Yes
J No
Number of coolers/boxes received
1 '
Custody seals intact on shipping container/cooler?
0 Yes
No
Not Present
Custody seals intact on sample bottles?
0 Yes
(D No
0 Not Present
Chain of Custody (COC) present?
Yes
0 No
COC agrees with sample Iabel(s)?
0 Yes
(D No
COC properly completed
0 Yes
(:) No
Samples in proper containers?
ID Yes
C) No
Sample containers intact?
0 Yes
O No
Sufficient sample volume for indicated test(s)?
0 Yes
(J No
All samples received within holding time?
0 Yes
(D No
Cooler temperature in compliance?
0 Yes
No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
No
Water - Sample containers properly preserved
0 Yes
No
NIA
Water - VOA vials free of headspace
0 Yes
No
NIA
Trip Blanks received with VOAs
0 Yes
No
NIA
Soil VOA method 5035 — compliance criteria met
0 Yes
O No
N/A
High concentration container (48 hr) Low concentration EnCore samplers (48 hr)
High concentration pre -weighed (methanol -14 d) Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included?
Comments:
Yes 0 No
Signature: Brandi Watson Date & Time: 9/04/2020 09:35:17
Page 4 of 5

Waypo'19 nt
ANALYTICAL
ORM
20-248-0011
I� h�lll�I II �� I� I II lu��AWNIII� II�I09-042020
Svnaaro Contra)LLG Tgchn"I 09 34:30
Kewn Danw4sAl-I6
Account #
Grower/Project Information ner
�Cr 101 D Submitted By
Information
Charge To
-E —
0
Farm ID
4 _ I
Field ID
C red tt C ar
xp. Date:
I
Phone IF
E-mail address
Crop Info For Recommendations
Sample ID
Lab Number
(Lab Use
Only)
SIM
S2M - Specify Additional
Tests
S3M
Soluble
Salts
Texture
NO3-N
Additional
Tests
Intended
Crop
Geld
Goal
Alternative
Crop
Yield
Goal
Previous Crop
B
Cu
Fe
Mn
S
Zn
ff
`I U
-Na
Mehlich
III
Test Packages
Special
Instructions or Additional Tests
S9 M - Organic matter, Phosphorus, Potassium, Calcium, Magnesium, pH, Buffer pH
Cation Exchange Capacity, and % Base Saturation.
S21VI - Test S1 M plus any two of the following: Sodium, Sulfur, Boron, Zinc,
Manganese, iron, Copper- Each additional test (above two) cost $2.00.
S3M - Test S9 M plus Sodium. Sulfur, Boron, Zinc, Manganese, Copper, and Iron.

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3

State of North Carolina
f) Department of Environment and Natural Resources WRDivision of Water Resources
LAND OWNER AGREEMENT
Dlvlslon of Water Resources
FORM: LOA 06-16
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 Nan-Discl�ar e Permittin U�ait
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) 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.
21"Prepare 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
ie undersigned landowner or his representative hereby
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
intended Use of Crops
Residuals Source
(optional)
Special note
no-peci l no eedl
pasture)
c:j 1
n A
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
'tall 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 06-16 Pagel of 3

1. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-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 Permittce 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,
A. 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.
S. 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.
111.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 b 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 niap showing the newly proposed
co}rpliance boundary to the application package)
fA 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 06-16 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 gran-tpermission to the Permittee to land apply residuals to the land application site(s) as specified
herein. IF
Landowner name:
Address:
City: State: L Zip:.___1L�-- -
Phone: E-mail address:—1 W�C�-� sle)-
Signature: (� Date: zoo
NORTH CAROLINA, C /An COUNTY
I, the undersigned Notary Public do hereby certify that L &4.1
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of Ln6 4e
Signature and seal:
120 ID
0
nn AA,�,
My commission expires: ZZ a0
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:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: i obf ri � . 712_,O �h
Signature: _941 Date: l Y17-1
—
FORM: LOA 06-16 Page 3 of 3

APPLICATION MAP
LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
X X-X FENCE
PROPERTY LINE
CD
0
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
SOIL BORING
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'
666' 6 660,
NC-CL-21
Field 1

Ca02
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ChA
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TOPOGRAPHIC MAP
GRAPHIC SCALE
1"=800'
800, 0 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CL-21
Field 1

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-CL-21
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

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NCDA&CS Agro..jmic Division Phone: [phone] Website: www.nc4 ,..govlagronomil Report No. F . -SL004005
Client: Luke Beam Advisor: Alex Fox
Heavy Metals Beam Family Farms Synagro
LP
>> 5200 Seven Pines Rd 284 Boger Rd
Soil Re oft Mehlich-3 Extraction Lawndale, NC 2$090 Mocksville, NC 2702$
p
wXLinks to Helpful Information SampledCounty: Cleveland
Client IDAdvisor ID: 501947
Sampled: 08/28/2020 Received: 09/11/2020 Completed: 09/16/2020 Farm: CL-211CL-08
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Although the above metals here are not believed to pose a concern for
plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer recommendations. Tissue testing is advised where
soil pH is elevated as in sam le found here. Ja athi Kamalakanthan, Agronomist, 9/16/2020
Sample ID: 1
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1 - Fescue/OGrass/Tim, M 0.0 120-200 130 80 0 0 pH$ $ 0 0
Note: 12 Note:
2 - 0.0
Test Results [units - W1V in g1cm3; CEC and Na in meg1100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N
0,04 1.10 3.8 96 0.2 6.7 7 31 65 26 125 61 43 24 24 70 0.1 3
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0 Nickel, 0.5 Chromium, 0.4 Lead, 2.6 Selenium, 0.0
North Carolina
r_
3otuocu TruNt Fusd Ctmmwsion
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commisslon.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler. Commissioner ofAariculture

NCDA&CS Agrok.umic Division Phone: [phone] Website: www.nc....govlagronomil Report No. F . •SL004005
Luke Beam Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a time recommendation will be given in units of either
ton/acre or Ib11000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib11000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full 1
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
Iblacre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-I and P-1 values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr,qov/aqronomi/pubs.htm.
Report Abbreviations
Ac exchangeable acidity
B boron
BS% % CEC occupied by basic cations
Ca% % CEC occupied by calcium
CEC cation exchange capacity
Cu-I
ESP
HM%
K-1
K2O
Mg%
MIN
Mn
Mn-All
Mn-Al2
Mn-I
M-O
N
Na
NO3-N
ORG
Recommendations for small areas, such as home lawns/gardens, are listed in units of lb11000 sq ft. If you cannot find pH
the exact fertilizer grade recommended on the report, visit www.ncagr.govlaaronomilobpart4.htmt sfind information that P-1
may help you choose a comparable alternate. For more information, read
Test Results
P2O5
S-1
SS-1
WN
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI
remaining 16 [P-I, K-1, Ca%, Mg%, Mn-I, Mn-All, Mn-Al2, Zn-I, Zn-AI, Cu-I, S-I, SS-1, Na, ESP, SS -I, NO3-N (not routine) Zn-I
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaar.govlagronomlluyrst.htm
copper index
exchangeable sodium percent
percent humic matter
potassium index
potash
% CEC occupied by magnesium
mineral soil class
manganese
Mn-availability index for crop 1
Mn-availability index for crop 2
manganese index
mineral -organic soil class
nitrogen
sodium
nitrate nitrogen
organic soil class
current soil pH
phosphorus index
phosphate
sulfur index
soluble salt index
weight per volume
zinc availability index
zinc index

Waypoint.
ANALYTICAL
9/10/2020
Synagro Central LLC/Technical
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 20-248-0006
Project Description: Luke Barn C1-21
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 9/4/2020 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
aw r.
� a
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 5

(D
7621 Whitepine Road, Richmond, VA 23237
Waypoint.
Mal 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
Sample Summary Table
Report Number: 20-248-0006
Client Project Description: Luke Barn C1-21
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
73576 1 Solids 09/04/2020 SW-1471B WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 5

(2)
•
Poi nt 1 7621 Whitepine Road, Richmond, VA 23237
Way Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
46622 Alan Fox
Synagro Central LLC/ Technical Project Luke Barn C1-21
Mary Brewer Report Date : 09/10/2020
284 Boger Road Information ; Received : 09/04/2020
Mocksville , NC 27028
Submitted By : Alan Fox 44
Report Number : 20-248-0006 REPORTOPANALYSIS Pauric Mc Groary Ph.D., CPA
Agronomist
Lab No : 73576 Matrix: Solids
Sample ID : 1 Sampled:
Test Results Units MQL OF Date / Time By Analytical
Analyzed Method
Mercury 0.0289 mg/Kg 0.0157 1 09/09/2012:21 DDB SW-7471B
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
L Limit Exceeded
Page 3 of 5

Waypoint-Q)
ANALYTICAL
7621 Whitepine Road, Richmond, VA 2.1297
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical,com
Shipment Receipt Form
Customer Number: 46622
Customer Name: Synagro Central LLCI Technical
Report Number: 20-248-0006
Shipping Method
Fed Ex 4D US Postal C) Lab
CJ UPS O Client O Courier
C Other
Thermometer ID:
Shipping container/cooler uncompromised?
0 Yes
0 No
Number of coolers/boxes received
r 1
Custody seals intact on shipping container/cooler?
Yes
No
Not Present
Custody seals intact on sample bottles?
0 Yes
O No
i, Not Present
Chain of Custody (COC) present?
0 Yes
0 No
COC agrees with sample label(s)?
0 Yes
O No
COC properly completed
Yes
�) No
Samples in proper containers?
0 Yes
0 No
Sample containers intact?
0 Yes
(D No
Sufficient sample volume for indicated test(s)?
Yes
O No
All samples received within holding time?
Yes
(D No
Cooler temperature in compliance?
(D Yes
I. No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes
0 No
Water - Sample containers properly preserved
Yes
No
NIA
Water - VOA vials free of headspace
() Yes
O No
NIA
Trip Blanks received with VOAs
(-) Yes
() No
NIA
Soil VOA method 5035 - compliance criteria met
O Yes
C) No
NIA
High concentration container (48 hr) Low concentration EnCore samplers (48 hr)
High concentration pre -weighed (methanol -14 d) Low cone pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included?
Yes
No
Comments:
Signature: Brandi Watson _I Date & Time: 9/04/2020 09:24:57 1
Page 4 of 5

Waypaintw
ANALYTICAL
S'09-04-2020
I I lilt �I lull llll I20-248-0006
II ICI III III III III III I�46622
Svnaaro Central LLC! Technical 08.23 58
Luke Barn C1-21
Account #
Grower/Project Information
Lusiomer Information
Submitted By
Charge To
r
�
Farm ID
C_ _
Field 1D
-
_..Date`If
Phnne
E-mail address
-Ca
Crop Info For Recommendations
Sample ID
Lab Number
(Lab Use
Only)
S1M
S2M - Specify Additional
Tests
S3M
SOI"b1e
Salts
Texture
NO3-N
Additional
Intended
Crop
Yield
Goal
Alternative
Crop
Yield
Goal
Previous Crop
B
Cu
Fe
Mn
Na
S
Zn
�T%ests
Mehlich
III Test Packages
Special
Instructions or Additional Tests
SIM - Organic matter, Phosphorus, Potassium, Calcium, Magnesium, pH, Buffer pH
Cation Exchange Capacity, and % Base Saturation.
S2M - Test SIM plus any two of the following: Sodium, Sulfur, Boron, Zinc,
Manganese, Iron, Copper. Each additional test (above two) cost $2.00,
S3M-Test SIM plus Sodium, Sulfur, Boron, Zinc, Manganese, Copper, and Iron.
rn
a

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources LAND OWNER AGREEMENT
FORM: LOA 06-16
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 A'ppIicant 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
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
9ndSubmit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) 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,
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
ie undersigned landowner or his representative hereby permits:
I ,
Applicant's name: fir .n.•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 M
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
L
hT — 50A,0
14A
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
4all 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 06-16 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-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 Pennittee 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.
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, 1 5A NCAC 02T .0105fh) 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
cySiipliance boundary to the application package)
Ljt /A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD' TRANSFER: (if needed)
and attach a map showing the newly proposed
❑ The land application field(s) ID: I 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 06-16 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 Iand application site(s) as specified
herein.
Landowner name:
Address: _6oj-0
City: —_-\ c��� State: ti Zip: .r2 ),6
Phone: ro i b E-mail address: c`v e7 \ COrv,
Signature: �' �-� Date: 4 - 22
NORTH CAROLINA, • A 1-0 COUNTY
1, the undersigned Notary Public do hereby certify that CY 0-c",
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State: Zip:
E-mail address:
Date:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein,
Signing official name: __ 1 -()pe r
Signature:
Date: L
ib r
FORM: LOA 06-16 Page 3 of 3

}� • � -� ' it
K f. t ..'` wf,��• � ► ` `C�r�• �S y�,t� t �,f� 6r r,a r�F L., rs ,x [ •,k. T
_ �`• ld1�;� i *}° l,.f: 'T'� ,4'#�{ a,. � � •cTa�d!°t %- �,ro +'a �r1 � aJ-} r �{
rIF
;.y � � zl � � r'•'tr; sir � � y f �i�° s� ; t� '�I-�°L
�. _ �- 1 �J•f Kl:y r�` �.� �,', I.�.. � 1+< 4• ,•�1�0 i 1 y`'._ '
,yc't'i� S ;r Tr��t ► l�F iF �'i j '&� a 'y,f
ll
1

SOIL SURVEY
A�ti�G'�`Xr� s �j y� l' Y•}•' V+�!" -,f' spa l � �Cb!
tA...
Cl)15
1.0
.� .1W
V�v PVV-V \rPV V-V
4�'
4 y p�li
�I �4 i,{f4�1jX �' rA, ,j r-• 4!'�,�.yry � rL.
!..y(
GRAPHIC SCALE
V = 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-LT-50
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

920
r�
TOPOGRAPHIC MAP_
! 09�
E3mo
tk� �:
GRAPHIC SCALE
1" = 1,000'
1,000, 0 1,000'
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.
►[00161r1
Fields 1-2

VICINITY MAP
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
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. KI
locations are approximate.
NC-LT-50
Fields 1-2

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Waypoint,(2)
ANALYTICAL
9/2 81202 0
Synagro/Columbus NC
Mary Brewer
284 Boger Rd
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 20-266-0004
Project Description: Gary Miller I-T-50
7621 Whitepine Road, Richmond, VA 23237
Main 804.743-9401 ° Fax [phone]
www.waypointanalyticaLcom
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 9/22/2020 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non -NEAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
r
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 6

0
Waypoint. 7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
Sample Summary Table
Report Number: 20-266-0004
Client Project Description: Gary Miller LT-50
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
73740 1 Solids 09/22/2020 SW-7471B WP MTN
73741 2 Solids 09/22/2020 SW-7471B WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 6

Waypdlont(2)
ANALYTICAL
12259
Synagro/Columbus NC Project
Mary Brewer
284 Boger Rd Information
Mocksville , NC 27028
Report Number : 20-266-0004
Lab No : 73740
Sample ID : 1
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 1 Fax [phone]
www.waypointanalytical.com
Gary Miller LT-50
REPORT OF ANAL YSIS
Report Date ; 09/28/2020
Received ; 09/22/2020
�QD W
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0246 mg/Kg 0.0139 1 09/25/2013:04 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 3 of 6

•
7621 (2) Whitepine Road, Richmond, VA 23237
Waypoint,
Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
12259
Synagro/Columbus NC Project Gary Miller LT-50
Mary Brewer Report Date : 09/28/2020
284 Boger Rd Information : Received : 09/22/2020
Mocksville , NC 27028
A�� c
17Q4Wy
REFORTOFANALYSIS Pauric Mc Groary Ph.D., CPA
Report Number: 2D-2fi6-DOD4 Agronomist
Lab No: 73741 Matrix: Solids
Sample ID : 2 Sampled:
Test Results Units MQL DF Date I Time By Analytical
Analyzed Method
Mercury 0.0338 mg/Kg 0.0153 1 09/25/2013:05 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 4 of 6

Waypoint,(D
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 12259
Customer Name: Synagro/Columbus NC
Report Number: 20-266-0004
Shipping Method
0 Fed Ex ♦ US Postal 0 Lab
0 UPS C) Client 0 Courier
0 Other:
Thermometer ID:
Shipping container/cooler uncompromised?
Yes
0 No
Number of coolers/boxes received
F 1
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
Not Present
Chain of Custody (COC) present?
0 Yes
0 No
COC agrees with sample label(s)?
0 Yes
0 No
COC properly completed
0 Yes
0 No
Samples in proper containers?
0 Yes
0 No
Sample containers intact?
Yes
0 No
Sufficient sample volume for indicated test(s)?
Yes
0 No
All samples received within holding time?
0 Yes
0 No
Cooler temperature in compliance?
0 Yes
No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
No
Water - Sample containers properly preserved
0 Yes
0 No
N/A
Water - VOA vials free of headspace
0 Yes
0 No
N/A
_
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
0 N/A
High concentration container (48 hr)F
F_ High concentration pre -weighed (methanol -14 d)
Low concentration EnCore samplers (48 hr)
F_ Low cone pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes 0 No
Comments:
Signature: Samantha Clarke Date & Time: 09/22/2020 08:57:06
Page 5 of 6

NCDA$CS Agr
nic Division Phone: [phone] Website: www.nc Jovlagronomil
Report No. F` ,L000935
Heavy Metals Client: Alex Fox Advisor: Alex Fox
Synagro
284 Boger Rd SYnagro
Soil Report Mehlich-3 Extraction Mocksvi[le, NC 27028 284 Boger Rd
Mocksvilie, NC 27028
links to Helpful Information Sampled County: Lincoln
sampled! 06/24/2020 Received: 07/21/2020 completed: 07/22/2020 Farm: Client !D: 501947 Advisor ID: 501947
Lt-501 Gary Miller
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metais under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic As - 4.5
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, &selenium Se - 0.2 ( ) ppm, cadmium (Cd)- 0.1 ppm, chromium
plant growth, continue to monitor these and note where elevated above background levels. 2Note )any lime and fertilizer though the above nrecommendations.lWhs here are not er es it pose a concern for
is very high (P-1 > 100), crops will not respond to additional P applied. Tissue testing is advised where soil pH is elevated as in sample found here. Jagathi Kamalakanthan,
Where soil test phosphorus (P)
Agronomist, 7/22/2020
Sample 1D: 1 Recommendations:
Lime
Crop (tons/acre) N
Lime History: 1 - Fescue/OGrass/Tim, M 0.6
120-200
2- 0.0
Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mgldm3]:
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
0.71 1.09 5.8 73 1.6 5.6 79 79
51 15
Heavy Metals (parts per million): Arsenic, 0.2
Cadmium, 0.0
Sample 1D: 2 Recommendations:
Lime
Crop (tonsla
Nutrients (lb/acre)
P205 K20 Mg S Mn Zn
0 0 0 0 Cu
D D D
cre
) N P205
Lime History: 1 - Fescue/OGrass/Tim, M 0.0 120-200 0
2- 0.0
Test Results [units - WN in 91cm3; CEC and Na in meg1100 cm3; NO3-N in mgldm3]:
HM% WN CEC BS% Ac pH P-1 K-! Ca% Mg%
0.27 1.10 7.4 96 0.3 6.9 112 61
66 25
Heavy Metals (parts per million): Arsenic, 02
Cadmium, 0.0
IattcCO fruit Fmn d Cmnm twon
More
B Information
D Note: 12
Soil Class: Mineral
S-1 Mn-I Mn-All Mn-Al2 Zn-1 Zn-AI Cu-1 Na ESP SS-! NO3-N
146 104 79 143 143 225 0.1
Nickel, 0.5 Chromium, 0.4 Lead, 5.4
Selenium, 0.1
Nutrients (Iblacre)
More
K20 Mg S Mn Zn Cu B Information
30 0 0 pN$ 0
0 0 Note: 12 Note:
Soil Class: Mineral
S-1 Mn-! Mn-All Mn-Al2 Zn-I Zn-AI Cu-I
36 146 90 260 260 395
Nickel, 0.5 Chromium, 0.5 Lead, 3.1
Na ESP SS-1 NO3-N
0.1 2
Selenium, 0.1
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve TrOxIer, Commissioner of Agriculture
Soil Class: Mineral
S-1 Mn-! Mn-All Mn-Al2 Zn-I Zn-AI Cu-I
36 146 90 260 260 395
Nickel, 0.5 Chromium, 0.5 Lead, 3.1
Na ESP SS-1 NO3-N
0.1 2
Selenium, 0.1
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve TrOxIer, Commissioner of Agriculture

NCDA&CS Agi nic Division Phone: 919
� ) 733-2655 Website: www.nc Jovlagronomil
Alex Fox
Report No. F' 3L 090935
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or lb/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at or
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rat
is applied. if MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for rield crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for 13) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-i values are based on test results and should be > 50. if they
are not, follow the fertilizer recommendations given. if Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micranutrient levels. if $, PH$, $pH, C or Z
notations appear on the soil report, refer to Note: 5econdary Nutrients and il/i12r0nQLnLQntS in general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.gov/agronomi/pubs.htm.
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. if you cannot find
the exact fertilizer grade recommended on the report, visit www.ncaar..crov/apronoml/obpart4.hin� nd information that
may help you choose a comparable alternate. For more information, read A Homeown,-rc r;„i,4- #„ Ce.i;r;--.
Test Results
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
remaining 16 [P-1, K-I, Ca%, Mg%, Mn-1, Mn-All, Mn-Al2, Zn-I, Zn-Ai, Cu-1, S-i, SS -I, Na, ESP, SS -I, NO3-N (not routine[
available)] indicate levels of plant nutrients or other fertility measurement. Visit
www.ncaar. oov/aaronomUuyrst htm
Page 2 of 2
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-I
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-1
potassium index
Ken
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese index
M-O
mineral -organic soil class
N
nitrogen
Na
sodium
NO3-N
nitrate nitrogen
ORG
organic soil class
pH
current soil pH
P-1
phosphorus index
P205
phosphate
S-1
sulfur index
SS-1
soluble salt index
WN
weight per volume
Zn-AI
zinc availability index
Zn-I
zinc index

SITE SUMMARY
South Fork Industries
Maiden, NC
Site ID: LT-35
Owners Name: Heirs to James O Jarrett family
Address: 3672 Killian Rd
Lincolnton, NC 28092
Phone: [phone]
Operator: Ottman Jarrett
Applicable Predominant Latitude &
Fields Acres Crop(s) RYE Soil Series Lon itude
1 35.4 Fescue 216 LdB2 Lloyd 2- 35.32.54
8% 81.18.13
Total 35.4
Notes:
N

State of North Carolina
Department of EnviY•oniment and Natural Resources
WR�'� Division of Water Resources
Dlvlslon of Water Resources LAND OWNER AGREEMENT
FORM: LOA 06-16
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 Api3licant shall submit one original and two 'copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Dischar a Permitten Unit
General — This document is an agreement between the Applicant and land owncr(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 l I00. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 06-16).
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 06-16):
Submit the completed and appropriately executed Residuals Source Certification FORM:
LASC 06-16) form. Please not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachmentsdto 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 far each set of land application sites that are owned or operated by an entity other than the
Applicant.
-F:�KA 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
I'he undersigned landowner or his representative hereby permits:
Applicant's name:
ply residuals from the following facility(ies) onto the following land
hereinafter referred to as the Permittee, to land ap
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID Lease Land Use or Residuals Source Special note
(yes/no) Cropping Patterns Intended Use of Crops (optional) (no-till/over-seed/
, � pasture)
,V 5 4 n f i 6— .I
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
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 06-I6
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 sites) 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-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 6.0 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,
the specified crop. residuals and lime mixture is suitable for
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittec 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
c
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
ompliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
term of, and 12 months after termination of, this Agreement.
11. 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 a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105 h allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
The land application field(s) ID: - ,G, . 36-
residuals land application program; Permit Number WQ: p 00
agreement, he/she is requestii that the field(s) be�repov d from the
into the new program; ^ rrev %irs ►...
is currently permitted under another
The land owner hereby acknowledge that by signing this
rmitted residuals land application program and transferred
(Name of the new program)
FORM: LOA 06-16
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 mace 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 Iand application site(s) as specified
herein.
Landowner name: I �i c
Address: �
�� M
City: o4-- 'n c- 1n I, r1 ✓AIL
q State: Zip: 2 �-a�
Phone:
E-mail address:
Signature: —f —
j Date:
NORTH CAROLINA, n[ o f
.COUNTY
L r I, the undersigned Notary Public do hereby certify that �"��M \ /-
J h rrc
persona]ly appeared before me this day and acknowledged
rthe
7due execution of the forgoing instrument.
WITNESS my hand and official sea] this the d Jr '-
day of oG 70 7tr
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
2 '( I D-0 `12
, 20_ 2-0
L Co
iC01 f11111111
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:
Zip:
E-mail address:
Date:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein,
Signing official name: bU 2
Signature; `�f/
Date:
FORM: LOA 06-16
Page 3 of 3

APPLICATION MAP
LECFNi7 The compliance boundary is established at
APPLICATION AREA
FENCE
—x--
PROPERTY LINE
■
ONSIT£ HOUSE
®
UNSUITABLE AREA
0
OFFSITE HOUSE
FLOODPLAIN
fjJ
WELL
,...�..
STREAM
O
SOIL DESCRIPTION
�.�... DRAIN
I inch = 660 feet
Feet
0 165 330 660 990 1,320
either 250 feet from the residuals application
area or 50 feet within 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-35
Field 1

VICINITY MAP
+Ja
S
n
c
o�
.. SIuW.butn Sr�dge Rti ..
i
o�
s
a
c
_
b
i
o
�
N
T
n
�
3
6
X
�
Lj1
Rq
"+i R a
g,lcti.c
�9
f`�`
fivarar
'
Maid ES"Sat
X
Rd
c
cF esns
c
ti
�o
t
P
7
� Rirceie R� -
d•
n
e
Sh.F
P q
X .. t.•ec•
u
z
Casn"heo.fnsm Rd
o '
ry
n
�u
C,
c
a
L1,,lxiq Rq P-h C,rcf, 7i..
4` ;n
�: R -Park C',
x
L
1 inch = 4,051 feet
NC-LT-35 Feet
0 1,100 2,200 4,400 6,600 8,800
Field 1
All locations are approximate.

MV
LdB2
CeB?
&
WoA
LdC-
r LcD
PeC2
PaD
PeC2
AaA
NIsB
LdB2
RvA V � RvA
C liA
RvA
PaD

I -
TOPOGRAPHIC MAP
. , .
yr:MA7iwf..: n �
8,f
�s
1 inch = 417 feet
NC-LT-35 Feet
Field 1 0 115 230 460 690 920
All locations are approximate.

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
bivision of Water Resources
FORM: LOA 06-16
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 on final and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Disehar e Pernaittin Unit
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Lard Owner Agreement (FORM: LOA 06-16):
LP Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) 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.
P 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
fie undersigned landowner or his representative hereby permits:
Applicant's name: �5s A ro vt�s kcln
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:
Special note
Lease Land Use or Residuals Source (.no-till/over-seed/
Site/Field ID Intended Use of Craps (optional) {
(yes/no) Cropping Patterns (op ) 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
,all be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions an
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

T. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-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. 1f 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.
A. 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 sites) 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 craps 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.
IMALTERNATWES 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 .01051h1 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
compliance boundary to the application package)
A m-defined compliance boundary is not needed for this site.
W. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
boundary and attach a map showing the newly proposed
❑ 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 06-16 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, aclmowledgement 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:010d��Uey
Address: 15n l V." -
City: d-tod % 1 4 State: f + Zip:
Phone: Wq -.ro� , � E-mail address: I C L0 1r ' f QI17 L m
Signature: _ Date: "! _ /+--
NORTH CAROLINA, _ ,� l�dC COUNTY
I, the undersigned Notary Public do hereby certify that Z 04 Q _ CIO
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
I certify that I have read this Agreement and do hereby agreetoabide by the stipulations and restrictions as specified herein.
Signing official name: �h .rE d,.. K- nI k
Signature:
Date:
FORM: LOA 06-16 Page 3 of 3

APPLICATION MAP
2
Z
Ul
LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
FENCE
PROPERTY LINE
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
SOIL BORING
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'
NC-IR-39
Field 1

SOIL SURVEY
GRAPHIC SCALE
1"=660'
660' 6 660'
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-IR-39
Field 1

TOPOGRAPHIC MAP
.---. g 5
jIN
z
l
� F
i !
GRAPHIC SCALE
1" = 800'
866' 0 SDQ'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C,-1 R-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

VICINITY MAP
Q• � �7 r - `5 ' �� • l �1r � '•LI :,✓� r c� x"`�4, -t( :S { C�;a
�l•g�I
,•tom
`•' SIC �:ii;rtif� Et :1}`` I t,; J4J ti ( :^ { •i'
_! •.��'), J��_'�,\`yam., _���.� ��• � I 1 `�/ �
{� t,� _ ? r� � �'f r � e ram• � ! ,
15
�JI,\
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— I R-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

NCDA&CS Agi
nic Division
Phone: [phone]
Website: www.nc govlagronomil
Report No. F) )L004002
Heavy Metals
Soil Report
Links to Helpful Information
Mehlich-3 Extraction
Client: Eric Clodfelter
Iredell County
Troutman, NC 28166
Sampled County : Iredell
Client ID: 511791
Advisor: Alex Fox
Synagro
284 Boger Rd
Mocksvllle, NC 27028
Advisor ID: 501947
Sampled: 0910212020 Received: 09/11/2020 Completed: 09/16/2020 Farm: IR-39
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Although the above metals here are not believed to pose a concern for
plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer recommendations. Jagathi Kamalakanthan,
Aaronomist, 9/16/2020
Sample ID: 1 Recommendations: Lime Nutrients (
Crop (tonslacre) N P205 K20 Mg S
Lime History: 1-FescuelOGrasslTim, M 0.3 120-200 140 0 0 0
2- 0.0
Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg1dm3j:
HM% WIV CEC BS% Ac pH P-1 K-1 Ca% Mg%
0.09 0.89 4.9 79 1.0 5.8 2 109 43 24
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0
North Carolina
Ttvbo(ko 7ru-st FumJ Ckmnmys*ivn
Soil Class:
S-1 Mn-I Mn-All Mn-AI2
263 34 37
Nickel, 0.3 Chromium, 0.1
Mn Zn Cu
0 0 0
Mineral
Zn-I Zn-AI Cu-I
31 31 27
Lead, 2.2
More
B Information
0 Note: 12
Na ESP SS-1 NO3-N
0.1 2
Selenium, 0.0
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Acrriculfure

NCDA&CS Agi nic Division Phone: [phone] Website: www.nt govlagronomil Report No. F` LO04002
Eric Clodfelter Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a time recommendation will be given in units of either
tonlacre or Ib11000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 tonlacre (50 Ib11000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. if $, pH$, $pH, C or Z
notations appear on the soil report, refer to Note: Secondary Nutrients and Micronutrients In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.gov/agronomi/pubs.htm.
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib11000 sq ft. If you cannot find
the exact fertilizer grade recommended on the report, visit www.nca r. ov/a ronomi/ob art4.ht ind information that
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizei
Test Results
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pHj describe the soil and its degree of acidity. The
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-1, SS -I, Na, ESP, SS -I, NO3-N (not routinel
available)] indicate levels of plant nutrients or other fertility measurement. Visit ncagr.Aov/agronomy/uvrst.htm
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-I
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-1
potassium index
K20
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese index
M-0
mineral -organic soil class
N
nitrogen
Na
sodium
NO3-N
nitrate nitrogen
ORG
organic soil class
pH
current soil pH
P-1
phosphorus index
P205
phosphate
S-1
sulfur index
SS-1
soluble salt index
WN
weight per volume
Zn-AI
zinc availability index
Zn-1
zinc index

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YL,en State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Avater Resources LAND OWNER AGREEMENT
FORM: LOA 06-16
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
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Lan caner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) 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.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
plicant.
AA 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
to undersigned landowner or his representative hereby permits:
Applicant's name: J i✓ 11-1
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/Ito)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals ,Source
o
(optional)
Special note
(no-till/over-seed/
pasture)
3 7-
It
(ar✓ c
r
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
i.all 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 06-16 Page I of 3

1, STIPULATIONS:
1, The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) 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 Pemtittee.
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.
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 laud 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 .0105th) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please marls one of the following;
❑ 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
compliance boundary to the application package)
i❑i jA re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
showing the newly proposed
❑ The land application field(s) ID: I 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 06-16 Page 2 of

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 sitc(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 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 Iand application site(s) as specified
herein.
Landowner name:
Address:
City:51LXA �j,) I l.`e State: Zip: {Q V
Phone: ��� Cd T E-mail address:
Signature: - M Date:
NORTH CAROLINA, _Elz Jf,-I COUNTY
1, the undersigned Notary Public do hereby certify that —_,�� inns Anlj— lgw"
personally appeared before me this day and acknowledged the due
fexecution of the forgoing instrument. `0101114
WITNESS my hand and official seal this the I_ f O'1,v-_�O�
day of
Signature and seal: L& 1.1
My commission expires:
Lessee's/Operator's Certification:
20 ?(Z >
m%%
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: - -5- 7/--
City: �k ksk'- Ile State: ,/y1 Zip: SSG ZS"
Phone: 7t (- - i 37 -70 -76 E-mail address:
Signature: ,) Ct _ _ Date: �j- jl Z-o
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: R ! 1
Signature: Date:
FORM: LOA 06-16 Page 3 of 3

State of North Carolina
DWI
Department of Environment and Natural Resources RDivision of Water Resources
Division of Water Resources LAND OWNER AGREEMENT
FORM: LOA 06-16
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
su ortin documentation
For more information, visit the Water Quality Permitting Section's Non-Disclaarge Perf�tittin� Unit
General —`Phis 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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Lan wner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals ,Source Certification (FORM: LASC 06-16) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
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
Aq
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
ie undersigned landowner or his representative hereby permits:
Applicant's name: <,=✓eSf+�Ln __jA .af
.n f
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
7-13
Lease
(yes/no)
Land Use or
Cropping Patterns
H"r silk
Intended Use of Crops
n,yn� r
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
all 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 06-16 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 sites) to a third parry, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-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 Permitter, 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 Permitter.
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 Permitter. 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 Permitter 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 Permitter, 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.
x. RESTRICTIONS:
1. Appropriate measures must be taken by the Permitter, 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.
11LALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
I5A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105th 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
mpliance boundary to the application package)
re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
boundary and attach a map showing the newly proposed
❑ 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 06-16 Page 2 of 3

Undowner'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 laud application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address:
City: __ lfmkjyi I lam( State: � ` zip: z S7
Phone: 7o - So - E-mail address: i SS (Q_o,_ (.0 /Z61
�, C
Signature: .J! Date: Gi /S- ZaZ b
NORTH CAROLINA, Gar ji f _ COUNTY
I, the undersigned Notary Public do hereby certify that 7305 rl'l,
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the 1-5 4h
day of
Signature and seal:
My commission expires: V
Lessee's/Operator's Certification:
I certify that I have read this
Lessee/operator name:
120
oQ O
11611111101
and do hereby agree to abide by the stipulations and restrictions as specified herein.
r
Address: ZZ) I t JJ. I - V, d
City: State: A/ zip:
Phone:.._O'-'�f`� 7- 7� 7 (, _ E-mail address:
Signature: �— Date:
Permittee's Certification:
I certify that I have read this Agreementond do hereby agree to abide by the
Signing official name:
Signature:
and restrictions as specified herein.
Date: _ 3 /--z-� _
FORM: LOA 06-I6 Page 3 of 3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
` Dlvlslon of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 06-16
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-Dischar e Permitting Unit
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 I SA NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (NORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
E�"Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
�plication may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
,Applicant.
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
Fhe undersigned landowner or his representative hereby permits: 1 I
Applicant's name: SY L✓�S+r n �� cr.,� �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 ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-tilltover-seedt
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 the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Pagel of 3

1. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) 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.
S. 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.
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. hand 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 .0I05fhl 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
compliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
W. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
boundary and attach a map showing the newly proposed
❑ 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 06-16 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 laud apply residuals to the land application site(s) as specified
herein.
Landowner naive: ri C�
Address: ?l l,
City: SA. 115/P11C- State:
Phone: 7O q 3 ._ 35 7g E-mail address:_
Zip: Z 1'&
Signature` Date:
NORTH CAROLINA, It ! COUNTY
I, the undersigned Notary Public do hereby certify that n.
Q l5�
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the . 7 � r �
day of
Signature and seal:
My commission expires: O L
Lessee's/Operator's Certification:
, 2Q. ao
I certify that I have read this AAn
cement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: (L
Address: -!�;_ %/ k-1 ! 1 1, r,,. �Z
j a
City: k. tS vt �t State: Zip: _. .2 z�
Phone: (1- - _ J E-mail address:
C:
Signature: - Date: a2
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
I_v
Signing official name: 4 e_i AV,- }�
Signature:
Date: //l `)
FORM: LOA 06-16 Page 3 of 3

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APPLICATION MAP
LEGEND
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4
APPLICATION AREA
UNSUITABLE AREA
— — — — — — PRIVATE ROAD
WATER
— — — — STREAM
ONSITE HOUSE GRAPHIC SCALE
— DRAIN
.
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660' 0 660,
— *X FENCE
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PROPERTY LINE
(
WELL
SOIL BORING
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-I R-37
Field I

APPLICATION MAP
LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
X X FENCE
PROPERTY LINE
UNSUITABLE AREA
WATER
ONSITE HOUSE GRAPHIC SCALE
OFFSITE HOUSE
1" = 660'
660, o sso'
OUTBUILDING
WELL
SOIL BORING
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-IR-37
Fields 2-3

APPLICATION MAP
LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
--X-- x- X FENCE
PROPERTY LINE
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
SOIL BORING
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'
NC-IR-37
Field 4

1 r l
\%"U} ;_
C4 er /
TOPOGRAPHIC MAP
7
GRAPHIC SCALE
1"=800'
800, 6 804'
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-I R-37
Field 1

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7o.2

WayPAoint
NALYTICAL
9/28/2020
Synagro/Columbus NC
Mary Brewer
284 Boger Rd
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 20-266-0003
Project Description: Andy Pox IR-37
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 9/22/2020 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
,aw 4 YC".
Pauric McGroary
Agronomist
(�Qo c✓y
e
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 8

& (2)
Waypoint
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 n Fax [phone]
ANALYTICAL
www.waypointanalytfcal.com
Sample Summary Table
Report Number: 20-266-0003
Client Project Description: Andy Fax IR-37
Lab No Client Sample ID Matrix
Date Collected Date Received Method
Lab ID
73736 1 Solids
09/22/2020 SW-7471B
WP MTN
73737 2 solids
09/22/2020 SW-747113
WP MTN
73738 3 Solids
09/22/2020 SW-7471B
WP MTN
73739 4 Solids
09/22/2020 SW-7471B
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 8

0
7621 Whitepine Road, Richmond, VA 23237
Waypoint,
Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
12259
Synagro/Columbus NC Project Andy Fox IR-37
Mary Brewer Report Date : 09/28/2020
284 Boger Rd Information : Received : 09/22/2020
Mocksville , NC 27028
Pauric Mc Groary Ph.D., CPA
Report Number : 20-266-0003 REPORTOFANACYSIS Agronomist
Lab No : 73736 Matrix: Solids
Sample ID : 1 Sampled:
Test Results Units MQL DF Date I Time By Analytical
Analyzed Method
Mercury 0.0256 mg/Kg 0.0154 1 09/25/2012:58 DDB SW-7471B
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
L Limit Exceeded
Page 3 of 8

Waypoint(D
ANALYTICAL
12259
Synagro/Columbus NC Project
Mary Brewer
284 Bogor Rd Information
Mocksville , NC 27028
Report Number :20-266-0003
Lab No : 73737
Sample ID : 2
7621 Whitepine Road, Richmond, VA 29237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Andy Fox IR-37
REPORT OFANAL YSIS
Report Date : 09/28/2020
Received : 09/22/2020
fawi 4
Pauric Mc Groary Ph,D., CPA
Agronomist
Matrix: Solids
Sampled:
Test Results Units MQL DF Date 1 Time By Analytical
Analyzed Method
Mercury
0.0261 mg/Kg
0.0143 1 09/25/2012:59 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 4 of 6

(D
WayPAo�nt.
NALYTICAL
12259
Synagro/Columbus NC Project
Mary Brewer
284 Boger Rd Information
Mocksville , NC 27028
Report Number : 20-266-0003
Lab No : 73738
Sample ID: 3
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Andy Fox IR-37
REPORT OFANALYSIS
Report Date : 09/28/2020
Received
: 09/r2J2/2020
a�
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0273 rng/Kg 0.0150 1 09/25/2013:01 DDB SW-7471B
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
L Limit Exceeded
Page 5 of 8

•
Po� �� 762i (2) Whitepine Road, Richmond, VA 23237
Way Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
12259
Synagro/Columbus NC Project Andy Fox IR-37
Mary Brewer Report Date : 09/28/2020
284 Boger Rd Information : Received : 09/22/2020
Mocksville , NC 27028 4JJ� i
!" �Cu w
Report Number : 20-266-0003 REPORTOFANALYSIS Pauric Mc Groary Ph.D., CPA
Agronomist
Lab No : 73739 Matrix: Solids
Sample ID : 4 Sampled:
Test Results Units MQL DF Date 1 Time By Analytical
Analyzed Method
Mercury
0.0255 mg/Kg
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
0,0155 1 09/25/20 13:02 DDB SW-7471B
L Limit Exceeded
Page 6 of 8

Waypoint(b
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax [phone]
www.waypointanalytir-al.com
Shipment Receipt Form
Customer Number: 12259
Customer Name: Synagro/Columbus NC
Report Number: 20-266-0003
Shipping Method
0 Fed Ex 0 US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
Shipping container/cooler uncompromised?
Yes
0 No
Number of coolers/boxes received
F
Custody seals intact on shipping container/cooler?
0 Yes
0 No Not Present
Custody seals intact on sample bottles?
0 Yes
0 No Not Present
Chain of Custody (COC) present?
40 Yes
0 No
COC agrees with sample label(s)?
0 Yes
0 No
COC properly completed
0 Yes
0 No
Samples in proper containers?
0 Yes
0 No
Sample containers intact?
0 Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
0 Yes
0 No
Cooler temperature in compliance?
0 Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No 0 N/A
Water - VOA vials free of headspace
0 Yes
0 No 0 N/A
Trip Blanks received with VOAs
0 Yes
0 No 0 N/A
Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 N/A
High concentration container (48 hr) F Low concentration EnCore samplers (48 hr)
High concentration pre -weighed (methanol -14 d) Low cone pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes 0 No
Comments:
Signature: Oamantha Clarke Date & Time; 9/22/2020 08:50:49
Page 7 of 8

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111111101111111111111111�59 ARM
Account#
Waypoint.
NC OS',34:36
AMYSvnaaroiColumbus
Andv FoxiR-37
ANALYTICAL
Gr wer/project Information
Customer Information
rrJLY
Submitted By
Charge To
Farm ID
Field ID
Credit Card #
CSV
Exp. Date:
1
Phone #
E-mail address
Crop info For Recommendations
Lab Number
S21VI-SpecifyAdditio al
Sample ID
(Lab Use
Si M
Tests
S3M
Soluble
Texture
NO,-N
Additional
Intended
Yield
Alternative
Yield
Previous Crop
Only}
8
Cu
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Mn
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Salts
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Goal
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special instructions or Additional Tests
c" I �(s

NCDA&CS AU,ronomic Division Phone: [phone] Website: www.ncayr.gov/agronomi/ Report No. FY21---002930
Client: Fox Farms Advisor: Alex Fox
Heavy Metals 571 Hill dairy Road Synagro
=3dp Statesville, NC 28625 284 Boger Rd
} ` Soil Report Mehlich-3 Extraction Mocksville, NC 27028
?i Sampled County : Iredell
Links to Helpful Information
Client ID: 504184 Advisor ID: 501947
Sampled: 07/31/2C20 Received: 0812612020 completed: 08/28/2020 Farm: IR-37
Agronomist's Comments;
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Note elevated lead (Pb) in sample 3. Although the above metals here are
not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer recommendations.
Where soil test phosphorus P is ve high P-1 > 100), crops will not respond to additional P applied. ,la athi Kamalakanthan, A ronomist, 8/28/2020
Sample ID: 1
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1 -SG silage/Soybean 0.0 80-100 140 100 0 0 0 6 0 0
Note: 3
2- 0.0
Test Results [units - WIV in glcm3; CEC and Na in meg1100 cm3; NO3-N in mgldm3]: Soil Class: Mineral
HM% WIV CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N
0.04 1.12 5.5 83 0.9 5.9 4 40 53 27 129 58 45 24 24 59 0.1 2
Heavy Metals (parts per million): Arsenic, 0.0 Cadmium, 0.0 Nickel, 0.4 Chromium, 0.3 Lead, 1.7 Selenium, 0.0
Sample ID: 2
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.7 120-200 20 0 0 0 0 0 0 0
Note: 12
2- 0.0
Test Results [units -WIV in g1cm3; CEC and Na in meg1100 cm3; NO3-N in mg1dm3]: Soil Class: Mineral
HM% WIV CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-Ali Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N
0.27 1.01 6.7 75 1.7 5.6 51 93 45 23 92 39 40 119 119 119 0.1 1
Heavy Metals (parts per million): Arsenic, 0.0 Cadmium, 0.0 Nickel, 0.5 Chromium, 0.3 Lead, 4.9 Selenium, 0.1
NOrLh Carolina
[A.
lohx ip Tru+C F and Ct;:ncu.sicn�
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner ofAcrrlculture

NCDA&CS Ayronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY21-oL002930
Page 2 of 3
Sample ID: 3
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre) N P205
K20
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1 - Fescue/OGrass/Tim, M 0.7 120-200 60
60
0 0
0
0
0
0
Note: 12
2- 0.0
Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg/dm3l:
Soil Class:
Mineral
HM%a WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-I Mn-1
Mn-All Mn-Al2
Zn-1
Zn-AI
Cu-I
Na ESP
SS-1 NO3-N
0.60 1.09 4.3 64 1.6 5.5 33 40 36 23
44 71
60
135
135
52
0.1 2
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.1
Nickel, 0.6
Chromium, 0.5
Lead,
6.2
Selenium,
02
Sample ID: 4
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre) N P205
K20
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1-Fescue/OGmss/Tim, M 0.0 120-200 20
0
0 0
0
0
0
0
Note: 12
2- 0.0
Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg1dm3j:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1 Mn-I
Mn-All Mn-A[2
Zn-1
Zn-AI
Cu-1
Na ESP
SS-1 NO3-N
0.32 1.12 7.6 88 0.9 6.5 53 163 55 22
31 300
189
152
152
150
0.1 1
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.1
Nickel, 0.6
Chromium, 0.3
Lead,
3.6
Selenium,
0.1

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncayr.gov/agronomit Report No. FY21-oL002930
Page 3 of 3
Understanding the Soil Report. explanation of measurements, abbreviations and units
Recommendations
Lime
1f testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full i
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for held crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given, If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.gov/agronomi/pubs.htm.
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib11000 sq ft . If you cannot find
the exact fertilizer grade recommended on the report, visit www.ncagr,gov/agronomi/obpart4.htmt ind information that
may help you choose a comparable alternate. For more information, read A Homeowners Guide to Fertilize,
Test Results
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
remaining 16 [P-I, K-1, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncapr.gov/aaronomi/uyrst.htm
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-1
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-I
potassium index
K20
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese index
M-O
mineral -organic soil class
N
nitrogen
Na
sodium
NO3-N
nitrate nitrogen
ORG
organic soil class
pH
current soil pH
P-1
phosphorus index
P2015
phosphate
S-1
sulfur index
SS-1
soluble salt index
WN
weight per volume
Zn-Al
zinc availability index
Zn-I
zinc index

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
Dlvlslon of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 06-16
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 on inal and two copies of the application and
supporting documentation
.For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting_ Unit
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 06-16).
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 06-16):
EZ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) former. 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.
L✓J 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
ie undersigned landowner or I representative hereby permits:
Applicant's name: ` �rA-r,�
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-tilllover-seed)
pasture)
Pee
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
i.all 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 06-16 Page I 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-DWR, Non -Discharge Permitting Unit, 1636
Mail Service Center, Raleigh, NC 27699-1636,
5. The Pennittee trust 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 time 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.
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 sitc(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
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 fields) ID:
(Please include the rationale for the requested re -location of the compliance
compliance
boundary to the application package)
re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIEL➢ TRANSFER: (if needed)
boundary and attach a map showing the newly proposed
❑ 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 06-16 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 perm o the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: /'C _�il t -;b 17,f� ---I—
Address:
1,
City: A State: Zip: _ % ';�170D
Phone: 47� 7 -7 ' %COY7 E-mail address: o P , (.
Signature:Date: "
NORTH CAROLINA, - I./C(/l° f AN._J , COUNTY
I, the undersigned Notary Public do hereby certify that I k r
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
01
WITNESS my handandofficial seal this the 2 "
day of
Signature and seal: i01
My commission expires: ZO
Lessee's/Operator's Certification:
lot
L
111
0
Z^
I certify that I have read this Agr nt and hereb ee t abide by the stipulations and restrictions as specified herein.
Lessee/operator name: r---
Address: Z, Z, 6
City:—i^V�✓} r�1 State: Zip:
.Phone: -mail address: Zo•n4Z,_`
Signature: Date: " C2
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: _. V!_•� . 3�0
Signature: 77:1 -- Date:
FORM: LOA 06-1 b Page 3 of 3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources LAND OWNER AGREEMENT
FORM: LOA 06-16
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 on final and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Nan-Dischar e Pernlittin U�tit
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) 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.
LR/'P'rcpare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
pplicant.
L�f 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 PRNATELY OWNED LAND
ie 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 Iand
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) o
Special note
(no-till/over-seed/
pasture)
C 1-
A6su�er
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
,all 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, modistes or cancels this Agreement.
FORM: LOA 06-16 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 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 laud 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.
�. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application sites) during active use and for the 12-month period following a residuals land application event, Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2, Animals shall not be grazed on the land application 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)
I5A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please marls one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance
c pliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
boundary and attach a map showing the newly proposed
❑ 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 06-16 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 j
d entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictio , lternatives wat rly wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby gran a ission to e Pe ttland apply residuals to the land application site(s) as specified
herein.
Landowner name: It—.•--\
Address:
City: State: All Zip: 0°1C�
Phone: -70(-I `t-y 7 7 �P(J Y
Signature: Date: 2 " Z Z�
NORTH CAROLINA,-1��✓1� COUNTY
I, the undersigned Notary Public do hereby certify that _ 20r�- ?4 Fir/
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of Uk , 20 241
Signature and seal: :: L__ `t
My commission expires: V - 2 Z 10.2 q
Lessee, slOperator s Certification: 4.10110116111%
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature: Date:
FORM: LOA 06-16 Page 3 of 3

►
A-&
Wj-

r

SOIL SURVEY
GRAPHIC SCALE
V=800'
soo, a 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-CL-52
Fields 1-4

TOPOGRAPHIC MAP
GRAPHIC SCALE
1"=800'
800' 0 800'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N(
NC-CL-52
Fields 1-4

GRAPHIC SCALE
1 11= 4,000'
4,000' 0 4,000'
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.

NCDA&CS Ayronomic Division Phone: [phone] Website: www.ncayr.govlagronomil Report No. FY21-.,u002927
Client: Ron Parker Advisor: Alex Fox
w . ; Heavy Metals 226 Rockdale Rd. Synagro
Lawndale, NC 28090 284 Boger Rd
Soil Report Mehlich-3 Extraction Mocksville, NC 27028
Sampled County : Cleveland
"JIM,'" Links to Helpful Information
Client 1D: 417546 Advisor [D: 501947
Sampled: 07/31/2020 Received: 08/26/2020 Completed: 08/28/2020 Farm: C1-51/1-t-52
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Note elevated lead ( Pb ) in sample 2. Although the above metals here
are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer
recommendations. Where soil test phosphorus P is very high P-1 > 100), crops will not respond to additional P applied. 3a athi Kamalakanthan, Agronomist, 8/27/2020
Sample ID: 1
Recommendations: Lime Nutrients (Iblacre)
More
Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B
Information
Lime History:
1-FescuelOGrasslTim, M 0.0 120-200 0 0 0 0 0 0 0 0
Note: 12
2- 0.0
Test Results [units - W1V in glcm3; CEC and Na in megll00 cm3; NO3-N in mgldm3]: Soil Class: Mineral
HM% W!V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N
0.32 1.10 7.7 84 1.2 6.0 167 145 54 20 37 93 72 243 243 264 0.1 1
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0 Nickel, 0.5 Chromium, 0.2 Lead, 5.9 Selenium, 0.0
Sample ID: 2
Recommendations: Lime Nutrients (Iblacre)
More
Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.6 120-200 0 0 0 0 0 0 0 0
Note: 12
2- 0.0
Test Results [units - WIV in glem3; CEC and Na in megi100 cm3; NO3-N in mgldm3]: Soil Class: Mineral
HM% WIV CEC as% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-Ali Mn-AI2 Zn-I Zn-Al Cu-I Na ESP SS-1 NO3-N
0.46 1.26 5.9 74 1.6 5.6 159 140 50 12 45 225 152 186 186 335 0.1 2
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0 Nickel, 0.5 Chromium, 0.2 Lead, 7.1 Selenium, 0.1
North Carolina
i *+ I:co ifu+f f urxl CLxnmtwoll
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner ofAciriculture

NCDA&CS AgLonomic Division Phone: [phone] Website: www.neaur.gov/agronomit
Report No. FY21--L002927
Ron Parker
Page 2 of 4
Sample ID: 3
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre) N P205
K20
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1-FescuelOGrasslTim, M 0.7 120-200 130
0
0 0
0
$
$
0
Note: 12 Note:
2- 0.0
Test Results [units - WN in g1cm3; GEC and Na in meg1100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1 Mn-I
Mn-All Mn-Al2
Zn-I
Zn-AI
Cu-1
Na ESP
SS-1 NO3-N
0.18 1.05 5.1 74 1.3 5.4 5 233 38 13
202 53
49
11
11
19
0.1 2
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0
Nickel, 0.3
Chromium, 0.2
Lead,
4.9
Selenium,
0.1
Sample ID: 4
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tons/acre) N P205
K20
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1-FescuelOGrass/TIm, M 0.4 120-20C 40
10
0 0
0
0
0
0
Note: 12
2- 0.0
Test Results [units - WN in g1cm3; CEC and Na in meg]100 cm3; NO3-N in m9ldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-I Ca% Mg%
S-1 Mn-I
Mn-All Mn-AI2
Zn-I
Zn-Al
Cu-I
Na ESP
SS-1 NO3-N
0.09 1.33 3.4 72 1.0 5.6 41 72 42 19
144 69
58
36
36
59
0.1 3
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0
Nickel, 0.4
Chromium, 0.2
Lead,
5.8
Selenium,
0.2
Sample ID: 5
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre) N P205
K20
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1 -Fescue/OGrasslTim, M 0.4 120-200 130
50
0 0
0
$
0
0
Note: 12 Note:
2- 0.0
Test Results [units - WN in glcm3; CEC and Na in meg1100 cm-3; NO3-N in mg1dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-I Ca% Mg%
S-1 Mn-1
Mn-Ali Mn-Al2
Zn-I
Zn-AI
Cu-I
Na ESP
SS-1 NO3-N
0.09 1.03 5.3 80 1.0 5.6 7 43 53 23
347 37
39
25
25
37
0.1 2
Heavy Metals (parts per million); Arsenic, 0.0 Cadmium, 0.0
Nickel, 0.4
Chromium, 0.2
Lead,
2.2
Selenium,
CA

NCDA&CS Ag.onomic Division Phone: [phone] Website: www.ncayr.gov/agronomi/
Report No. FY21-aL002927
Ron Parker
Page 3 of 4
Sample ID: 6
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tons/acre) N P205 K20
Mg S
Mn Zn
Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.0 120-200 120 50
0 C
C 0
0 0
Note: 12
2 - 0.0
Test Results [units - WN in 9lcm3; CEC and Na in meg1100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1
Mn-All Mn-Al2
Zn-I Zn-AI
Cu-1 Na ESP SS-1 NO3-N
C.C9 1.08 4.9 80 1.0 5.9 9 45 51 25 338 62
54
32 32
64 0.1 2
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0 Nickel, 0.4
Chromium, 0.2
Lead,
2.7 Selenium, 0.1

NCDA&CS Agronomic Division Phone. [phone] Website: www.ncayr.gov/agronomit Report No. FY21-,�L002927
Ran Parker Page 4 of 4
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 tonlacre (50 Ib/1000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given. 1f Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrrents_ In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.govlagronomi/pubs.htm.
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-1
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-1
potassium index
K20
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese index
M-O
mineral -organic soil class
N
Na
NO3-N
ORG
Recommendations for small areas, such as home lawnsigardens, are listed in units of Ib/1000 sq ft. If you cannot find pH
the exact fertilizer grade recommended on the report, visit www.nca r. ov/a ronomi/o6 art4.ht ind information that P-1
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P206
S-1
Test Results Ss-1
WN
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI
Zn-I
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-Al2, Zn-I, Zn-AI, Cu-I, S-I, SS-1, Na, ESP, SS-1, NO3-N (not routinel
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaclrvov/aaronomi/uyrst.htm
nitrogen
sodium
nitrate nitrogen
organic soil class
current soil pH
phosphorus index
phosphate
sulfur index
soluble salt index
weight per volume
zinc availability index
zinc index

SYNAGRO, WESTERN PIEDMONT CLASS B PERMIT
WQ 0016247
SOIL SCIENTIST CERTIFICATION
This is to certify that soil profile evaluations were conducted on the proposed application
sites for the Western Piedmont project by Piedmont Environmental Associates, P.A. on
behalf of Synagro Central, LLC. The evaluations consisted of hand auger borings and
descriptions of the soils on the application sites. All hand auger borings included in this
package were either performed by me or under my direct supervision. All other work
performed for this permit application was conducted by Synagro Central, LLC.
G. Christopher Murray, L.S.S.
No. 1284
Synagro, Western Piedmont WWTP Project, Various Fields

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Waypoint.(Z)
ANALYTICAL
9/28/2020
SynagrofColumbus NC
Mary Brewer
284 Boger Rd
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 20-266-0001
Project Description: Ron Parker Lt-52
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 9/22/2020 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Y.tn
Pauric McGroary
Agronomist
(� R, D C-ry
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 10

(2)
Waypoint,
7621 Whitepine Road, Richmond, VA 23237
Maln 804.743-9401 ° Fax [phone]
ANALYTICAL
www,waypointanalytical.com
Sample Summary 'fable
Report Number: 20-266-0001
Client Project Description: Ron Parker U-52
Lab No
Client Sample ID
Matrix
Date Collected Date Received Method
Lab ID
73729
1
Solids
09/22/2020 SW-74718
WP MTN
73730
2
Solids
09/22/2020 SW-74718
WP MTN
73731
3
Solids
09/22/2020 SW-14718
WP MTN
73732
4
Solids
09/22/2020 SW-7471B
WP MTN
73733
5
Solids
09/22/2020 SW-7471B
WP MTN
73734
6
Solids
09/22/2020 SW-7471B
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 10

Waypointo
ANALYTICAL
12259
Synagro/Columbus NC Project
Mary Brewer
284 Boger Rd Information
Mocksville , NC 27028
Report Number : 20-266-0001
Lab No : 73729
Sample ID : 1
Test
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Ron Parker Lt-52
REPORT OPANAL PSIS
Results Units MQL
Report Date : 09/28/2020
Received : 09/22/2020
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
DF Date 1 Time By Analytical
Analyzed Method
Mercury 0.0460 mg/Kg 0.0154 1 09/24/2014:19 DDB SW-7471B
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
L Limit Exceeded
Page 3 of 10

Waypointo
ANALYTICAL
12259
Synagro/Columbus NC Project
Mary Brewer
284 Boger Rd Information
Mocksville , NC 27028
Report Number : 20-266-0001
Lab No : 73730
Sample ID: 2
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.corn
Ron Parker Lt-52
REPORT OFANAL PSIS
Report Date : 09/28/2020
Received rr
d: 09/22/2020
414
�o Wy
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
Test Results Units MQi- DF Date / Time By Analytical
Analyzed Method
Mercury
0.0408 mg/Kg 0.0144 1 09/24/2014:20 DDB SW-7471B
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
L Limit Exceeded
Page 4 of 10

Waypointo
ANALYTICAL
12259
Synagro/Columbus NC Project
Mary Brewer
284 Boger Rd Information
Mocksville , NC 27028
Report Number : 20-266-0001
Lab No : 73731
Sample ID: 3
Test
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalocal.com
Ron Parker Lt-52
REPORT OF ANAL YS15
Results Units MQL
Report Date : 09/28/2020
Received : 09/22/2020
twl'c M ��pWIU
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled;
DF Date / Time By Analytical
Analyzed Method
Mercury 0.0259 mg/Kg 0.0148 1 09/25/2012:48 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 5 of 10

Waypointo
ANALYTICAL
12259
Synagro/Columbus NC Project
Mary Brewer
284 Boger Rd Information
Mocksville , NC 21028
Report Number : 20-266-0001
Lab No : 73732
Sample ID: 4
7621 Whltepine Road, Richmond, VA 23237
Main 804-743-9401 ° fax [phone]
www.waypointanalytical.com
Ron Parker Lt-52
REPORT OF ANAL f SIS
Report Date : 09/28/2020
Received : 09/22/2020
r kow
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Mercury
0,0322 mg/Kg
Qualifiers/ DF Dilution Factor
Definitions MQL Method Quantitation Limit
0.0142 1 09/25/2012:49 DDB SW-7471B
L Limit Exceeded
Page 6 of 10

Waypoeinto
ANALYTICAL
12259
Synagro/Columbus NC Project
Mary Brewer
284 Boger Rd Information
Mocksville , NC 27028
Report Number : 20-266-0001
Lab No : 73733
Sample ID : 5
Test
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalOcal.com
Ron Parker Lt-52
REPORT OF ANAL YSIS
Results Units MQL
Report Date: 09/28/2020
Received : 09/22/2020
j�
�
�Wll� M �(O Cly
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
DF Dale / Time By Analytical
Analyzed Method
Mercury 0.0300 mg/Kg 0.0146 1 09/25/2012:54 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 7 of 10

Waypointo
ANALYTICAL
12259
Synagro/Columbus NC Project
Mary Brewer
284 Boger Rd Information
Mocksville , NC 27028
Report Number : 20-266-0001
Lab No : 73734
Sample ID : 6
Test
Mercury
7621 Whitepine Road, Richmond, VA 23237
Main 804-743.9401 ° Fax [phone]
www.waypointanalytical.com
Ron Parker Lt-52
REPORT OF ANAL YSIS
Results Units MQL
0.0191 mg/Kg 0,01S6
Report Date : 09/28/2020
Received : 09/22/2020
i
+L RDwyr
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
DF Date / Time By Analytical
Analyzed Method
1 09/25/2012:55 DDS SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page B of 10

Waypoint,Q)
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax [phone]
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 12259
Customer Name: Synagro/Columbus NC
Report Number: 20-266-0001
Shipping Method
0 Fed Ex US Postal C Lab
0 UPS 0 Client O Courier
Other:
Thermometer ID:
��_—�
Shipping container/cooler uncompromised?
0 Yes
0 No
Number of coolers/boxes received
r 1
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
Not Present
Chain of Custody (COC) present?
i Yes
(D No
COC agrees with sample label(s)?
Yes
0 No
COC properly completed
Yes
0 No
Samples in proper containers?
Yes
C) No
Sample containers intact?
Yes
0 No
Sufficient sample volume for indicated test(s)?
Yes
0 No
All samples received within holding time?
Yes
0 No
Cooler temperature in compliance?
0 Yes
r♦ No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
No
Water - Sample containers properly preserved
0 Yes
0 No
NIA
Water - VOA vials free of headspace
0 Yes
0 No
NIA
Trip Blanks received with VOAs
0 Yes
0 No
NIA
Soil VOA method 5035 — compliance criteria met
0 Yes
U No
NIA
High concentration container (48 hr) Low concentration EnCore samplers (48 hr)
High concentration pre -weighed (methanol -14 d) Low cons pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included?
0 Yes
0 No
Comments: I
Signature: Samantha Clarke
Date & Time: i0912212020 08:30:49
Page 9 of 10

way. poi ntW r
ANALYTICAL
-Grower/Project information
Illil�lllll�lllll�llllllll��� �22
RM
Svnaara Columbus NC 082938
Ron Parker U-52JU-52
f
AMEN
0 MEN
0 mom
moil MEN
_.■■■■E
customer Information
Submitted By
Account #
Charge To
CSV Exp. date: 1 Phone #
Crop Info For Recommendations
Soluble Additional Intended Yield Alternative Yield
S3M Salts Texture NO3-N Tests Crop Goal Crop Goal previous Crop
L
Menuch III Test Packages Special Instructions or Additional Tests
S 1 M - Organic matter, Phosphorus, Potassium, Calcium, Magnesium, pH, Buffer pH
Cation Exchange Capacity, and % Base Saturation. l
S2M -Test S1M plus any two of the following: Sodium, Sulfur, Boron, Zinc, ���
Manganese, Iron, Copper. Each additional test (above two) cost $2.00. .,
S3M-Test S1M pius Sodium, Sulfur, Boron, Zinc, Manganese, Copper, and Iron. '1

State of North Carolina
DW.
Department of Environment and Natural Resources RDivision of Water Resources
LAND OWNER AGREEMENT
Division of Water Resources
NORM: LOA 06-16
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 Pen��itting Unit
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (NORM: LOA 06-I6):
6ubmit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) 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.
Ef 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
to 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:
Special note
Lease Land Use or Residuals Source no-tilllover-seed/
Site/Field ID Intended Use of Crops (optional) (
(yes/no) Cropping Patterns (pp ) 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
'tall 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 06-16 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-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 6.0 or greater, sufficient amounts of time 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 Time 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 saimples 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 boundary. However, 15A NCAC 02T .0105allows 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
o mpliance boundary to the application package)
M* A' re -defined compliance boundary is not needed for this site.
of the compliance boundary and attach a map showing the newly proposed
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals Iand 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 06-16 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 naine:
Address: 7 31
City: .J C a/—t �t! State: Al,[, ,dip
Phone: 70 �F$a 1 E-mail address:
Signature: I Date:
NORTH CAROLINA, 11 COUNTY
7-9
S— 1 %"�O
1, the undersigned Notary Public do hereby certify that O, J—s.,ke
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
�>` ��..,"fir �FO96-
I�1,
�i
day of It 20 J r •�%
o-
2 q:
Signature and seal: S Z:
My commission expires:
Lessee' 0�� L C0J���,,
Lessee's/Operator's Certification: fflll{
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:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
Date; 1 /12, f
FORM: LOA 06-16 Page 3 of 3

is
APPLICATION MAP
owl
"
�^` R
�I yr
t
1 %qq
Vj}..
t
LEGEND
APPLICATION AREA
------ PRIVATE ROAD
— — — — STREAM
— DRAIN
FENCE
PROPERTY LINE
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
SOIL BORING
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.
S 3:
GRAPHIC SCALE
1 " = 660'
660, 0 660'
NC-IR-38
Field 1

SOIL sUR
�11 -34 L .
, r r
l ~ 1 9
1.
j
77" ,�...
0 VV'' Ste'
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— I R-38
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

TOPOGRAPHIC MAP
GRAPHIC SCALE
V=800'
800' 0 600,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-I R-38
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 I

n VICINITY MAP
`�,. � a
�.��
GK
t r.
.-. ` _ -lam ! ^�'�• _- � b. -- '/ � l'l/
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
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-I R-38
Field 1

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/ Report No. FY21-oL-002926
14 kr.4 Client: Alex Fox Advisor: Alex Fox
4a«'
;.t Heat/ Metals Synagro Synagro
y
7T �_
284 Boger Rd 284 Boger Rd
i
S' O t Report Mehlich-3 Extraction Mocksville, NC 27028 Mocksville, NC 27028
14
Links to Helpful Information Sampled County : Iredell
Client ID: 501947 Advisor ID: 501947
Sampled: 07/31/2020 Received: 08/26/2020 Completed: 08/28/2020 Farm: IR-35 (Daniel Lacky)
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Although the above metals here are not believed to pose a concern for
plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer recommendations. Jagathi Kamalakanthan,
Agronomist, 8/27/2020
Sample ID: 1
Recommendations: Lime Nutrients (lblacre)
More
Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1 -Corn, grain 0.0 120 - 160 40 0 0 0 0 0 0 0
Note: 3
2 - 0.0
Test Results [units - WIV in glcm3; CEC and Na in meg1100 cm3; NO3-N in mgldm3]: Soil Class: Mineral
HM% W1V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N
0.32 1.09 7.0 85 1.1 6.2 43 85 64 15 69 440 278 147 147 261 0.1 1
Heavy Metals (parts per million): Arsenic, 0.0 Cadmium, 0.0 Nickel, 0.6 Chromium, 0.2 Lead, 3.4 Selenium, 0.2
North Carolina
6, J
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner ofAgriculture
9

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/ Report No. FY21-a,il02926
Alex Fox Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. if they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. if $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
neagr.gov/agronomi/pubs.htm.
Recommendations for small areas, such as home lawns/gardens, are listed in units of lb11000 sq ft. If you cannot find
the exact fertilizer grade recommended on the report, visit www.ncaqr._g_ovIaLgronomilobparM.htna ;nd information that
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilize,
Test Results
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH) describe the soil and its degree of acidity. The
remaining 16 [P-1, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinell
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaor.gov/apronomi/uvrst.htm
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-I
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-1
potassium index
K20
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Mn-I
manganese index
M-0
mineral -organic soil class
N
nitrogen
Na
sodium
NO3-N
nitrate nitrogen
ORG
organic soil class
pH
current soil pH
P-1
phosphorus index
P205
phosphate
S-1
sulfur index
SS-1
soluble salt index
WN
weight per volume
Zn-AI
zinc availability index
Zn-I
zinc index

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State of North Carolina
DW..Department of Environment and Natural Resources RDivision of Water Resources
Div
LAND OWNER AGREEMENT
' Division of Water Resources
FORM: IAA. 06-16
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
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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. L?Submit
Owner Agreement (FORM: LOA 06-16):
the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) 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.
prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
2 R 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
fhe undersigned landowner or his representative hereby permits: f
Applicant's name: r o �✓PS n �i i � m.+n f
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yeS1no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
.AIL
Ah
s,Lab
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
;hall he 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.
DORM: LOA 06-16 Page I of

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-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 6.0 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.
fl. 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(h1 allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following,
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
ompliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
W. AOWLEDGEMENT OF FIELD TRA SFER: f needed)
�/The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: 0 O The land owner hereby acknowledge that by signing this
agreement, he/she is requestin that the field(s) be removed from th previously permitted resi is land a placation program and transferred
into the new program; t.✓ .$ � e 0
(Name of the new program)
FORM: LOA 06-16 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 sitc(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. 1
Landowner name:
Address: ZS,3 I C.vmk F0►tw+ -_RAI
City: Q �.J� Ca K Stater, . Zip:
Phone: 2A v 7 ^ vk S; E-mail address:
Signature:4. QDate: 12.1 Z.O z. o —�
NORTH CAROLINA, C kk a4•a� COUNTY
I, the undersigned Notary Public do hereby certify that
1lillllllt
personally appeared before me this day and acknowledged the due, execution of the forgoing instrument. ���� �X �%
WITNESS my hand and official seal this the
T�
_ ..
day of � 120 � � Jl► -e
Signature and seal: (✓. C + Q �BL� =Cf
My commission expires: , _
fill
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.
Lesseeloperator name:
Address;
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail
Date;
Zip:
I certify that I have read this Agreement and do hereby agree to abide 7by the stipulations and restrictions as specified herein.
Signing official name:Y��0 l -tl\')-'
Signature: �u Date: 1 c_
FORM: LOA 06-16 Page 3 of 3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 06-16
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 otberwise noted the ApRlicant 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
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Cass 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 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Lan wner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not
make any unauthorized content changes to this form. if necessary for clarity or due to space restrictions, attachments to the
[4plication 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
piicant.
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
Fhe undersigned landowner or his representative hereby permits:
Applicant's name: i Pei
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ics) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(Do-till/over-seed/
pasture)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
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 06-16 Pagel of 3

1. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible: to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) 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 Permiltee 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 sitc(s) as required by the permit; cgpy 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 he 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.
I1I.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)
Are -defined compliance boundary is not needed for this site.
IV. AC OWLEDGEMENT OF FIELD TRA SFERR:
The land application fields) ID: C
residuals land application program; Permit Number
agreement, he/she is requesti�nQ►" that the field(s) be :
into the new program; JX4ye rod✓!;
(if needed)
the
. is currently permitted under another
_. The land owner hereby acknowledge that by signing this
permitted residuals.land application program and transferred
(Name of the new program)
FORM: LOA 06-16 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: / � � ( (t Y J.'-
Address: r a 130 X,
City: . IG� State: zip: 0
Phone: 0� 7 7 `� E-mail address: Cj�
Signature: Date:
NORTH CAROL , _ C-k COUNTY
I, the undersigned Notary Public do hereby certify that �✓f V rf Illf
���� X &V 0
personally appeared before me this day and acknowledged the due execution of the forgoing instrume '`� O
WITNESS my hand and official seal this the v`
=
day of t: (x , 20 .: M
ift
Signature and seal:
My commission expires: U(, t a
Lessee's/Operator's Certification:
Pau
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
Date:
Zip:
I certify that I have read this Agreement IIand do hereby agree too abide by the stipulations and restrictions as specified herein.
Signing official name:L Y1_, `
Signature:_ Date:
FORM: LOA 06-16 Page 3 of 3

Site ID:
Owners Name:
Address:
Phone.
Operator:
Applicable
Fields Acres
SITE SUMMARY
South Fork Industries
Maiden, NC
NC-CA-6
Clay Neill
PO Box 3916
Hickory, NC 28603
828-324--6774
Dennis Lutz
Dennis Lutz
2531 Cattle Creek Farm Rd
Newton, NC 28658
828-217-2985
Predominant Latitude &
Cronls} RYE Soil Series Lonaitude
1
16.8
Fescue
216
LcB Lloyd 2-
8%
35.46.42 N
81.16A2 W
2
13.3
Fescue
216
LcB Lloyd 0-
10%
35.36.39 N
81.17.07 W
3
19.6
Fescue
216
LcB Lloyd 2-
8%
35,36.46 N
81.17.07 W
Total 49.7
Notes:

APPLICATION MAP
LEGEND The compliance boundary is established at
PROPERTY LINE
— — — PRIVATE ROAD
QAPPLICATION
AREA
FENCE
-
WATER
. ONSITE HOUSE
®
UNSUITABLE AREA
j(J WELL
.�..�.. STREAM O SOIL DESCRIPTION
5W]7. Wk
1 inch = 660 feet
Feet
0 165 330 660 990 1,320
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area,
All locations are approximate.
NC-CA-06
Fields 1--3

Lwj
VICINITY MAP
1 inch W 2,000 feet
NC-CA-o6 Feet
0 550 1,100 2,200 3,300 4,400
Fields 1--3
All locations are approximate.

1�11110-04
f PsE
L c E:
Cc
PaE=
A 1
ChA
LcE
o�
6
+ r
'JJ
CaB
LCB
ChA
ChA
LcE B"B
PaP
LdC2 PaE,
LdC2
Lc CoA
Pa
1
Uc
PaE
low
NAkFd
LO C 7 •�
OL
LdC2
n
N[I:N
CaB
CoA
Coo

NC-CA-06
Fields 1-3
TOPOGRAPHIC MAP
1 inch = 775 feet
Feet
0 210 ago 840 1,260 1,680
All locations are approximate.

L
i.
I'
E�
4 • yy '�r,
r
010/•� ,,/ ► `r t 'fir

SOIL SURVEY
•` 4 � 3" z v ' r� i��eY
U*)
'� l LLr�
,� •f� 1 , `� r 1
r
[ -a: � 7.+y ; y6,. ti {�t�. A 4f'3t�f,+✓- ,r. _ t�.� I •`;
c 2•
1.
3�•s ..tie
10
litb I r,S; a�eiie ,x Z rr
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-ST-03
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 1-7

TOPOGRAPHIC MAP
c,
i
1 1
a
1 ll
}
.I 1.
GRAPHIC SCALE
1" = 1,000'
1,000, 0 1,000,
I I
� � 1♦ I
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.