WQ0011244_Renewal Application_20210129

Initial Review
Reviewer Thornburg, Nathaniel
Is this submittal an application? (Excluding additional information.)*
r Yes r No
Permit Number (IR)* WQ0011244
Applicant/Permittee City Of Oxford
Applicant/Permittee Address 300 Williamsboro Street Oxford, NC 27565
Is the owner in BIMS? r Yes r No Is the facility in BIMS? r Yes r No
Owner Type Municipal
Facility Name City of Oxford RLAP
County Granville
Fee Category Major Fee Amount $0
Is this a complete
application?*
r Yes r No Complete App Date 01/29/2021
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Does this need review bythe hydrogeologist?* r Yes r No
Regional Office
CO Reviewer
Admin Reviewer
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notfication
Comments for Kendall
Comments for RO

Comments for Reviewer
Comments for Applicant

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by N B Staff
Name * Ryan Copeland
Email Address*
[e-mail]
electronic subnittal, confirmation of receipt, and other correspondence.
Project Information
........ .....................................................................................................................................................
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
Phone Number*
336-607-4494
O Modification - Minor
G Renewal
C GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:*
r Wastewater Irrigation
r High -Rate Infiltration
r Other Wastewater
r Reclaimed Water
r Closed -Loop Recycle
r Residuals
r Single -Family Residence Wastewater
r Other
Irrigation
Permit Number:*
WQ0011244
Fbs Current Existing permt number
Applicant/Permittee *
City Of Oxford
Applicant/Permittee Address*
300 Williamsboro Street Oxford, NC 27565
Facility Name *
City of Oxford RLAP
Please provide comments/notes
on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Spec'rfications, Calculations, Rc.)
202101291139.pdf 29.99MB
upload only 1 RCF docurrent (less than 250 NS). Ma@iple documents nest be corrbined into one RJF file unless file is larger than
upload limit.
* W By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). 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).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
�a Cajoel"Od
Submission Date 1/29/2021

I
' I ;
!
I l {
oxford
Land Application Permit Renewal
PERMIT NO. w Q0011244
pp
Land Application of Oxford, NC Residuals
Prepared by:
SYNAGRO CENTRAL, LL,
284 Boger Road
Mocksville, NC 27028
P 336.998-7150 F 336.998.
January 15, 2Q21

SYNAGRO
January 14, 2021
N.C. Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section — Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
ATTENTION: Mr. Nathaniel Thornburg
REFERENCE: APPLICATION FOR RENEWAL OF PERMIT ft WQ0011244
CITY OF OXFORD
Dear Mr. Thornburg:
On behalf of the City of Oxford, Synagro is submitting this application to renew the
referenced residuals land application permit.
All fields are listed, on for "LASC", as "renew" with the exception of sits GR-2 & GR-3
which are listed as "deleted". Forms RLAP, LASC, and RSC are included, along with other
required forms and documentation.
The following sites are listed as "renewed" with no changes:
o GR-1.
GR-4 (all fields)
o OR-13 (all fields)
GR-60 (all fields)
The following sites are listed as "deleted":
• GR-2 (all fields)
=117;1c'
This application package should contain all of the information necessary to complete the
requested renewal of the City of Oxford's permit. However, if you require additional
information or have further questions, please contact me at [phone] or
rcopeland@synag_ro.com. Thank you in advance for the timely and efficient review of this
renewal application.
Sincerely,
Ryan Copeland
Z�,J�o 6, own
284 Boger Road, Mocksville, NC 27028 • Phone: [phone]. Fax: [phone]

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 - RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
Please use tine 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 time 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 co ies of the a1DJll1C1ti0fl and
supporting do_cumentation
For mare information, visit the Water Quality Permitting Section's Non -Discharge Permitting U►tif
General This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application sites) under
i 5A NCAC 02T .I 100.
Unless otherwise noted, the Applicant sliall submit one original and hvo 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 oil Page 5 of this form shall be signed in accordance with I SA 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 021 .0106 b).
❑ If this project is for a modification of an existing permit, submit one copy of the existing pennit.
® 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 fiords transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Classification
New Permit
Facility
- Major Modification'
-F
4395
Major (land are pennitted for > 300 acres) $1,310
Minor (land are permitted for < 300 acres) $810 $245
—E�
—_ - -
m - 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 permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (Ali Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required - See 15A NCAC 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) fi-om the Enviromnental Assessment (EA) that inpact 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 tine subject facilities.
Page 1 of 3
INSTRUCTIONS FOR FORM: RLAP 06-16

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 .I 110 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.
® 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 duality 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 whiter months when pathogen reduction is most
Rely 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
.1102(12). 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, takes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the reviewandcompliance 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 cacti 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 maybe labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

t include new sites)
I. Project Evaluation and Receiver Site Management Plan (All New Application
Packages
i re conMnendatians co� ce Wining cover c ops
❑ Submit a project evaluation and a receiver site management plan (if applicabie) wit
and their ability to accept the proposed application rates.
J. Hydrogeologie Report (All New Application Packages or Modifications with 15Anvolving NCAC 02T a1ong 104td 4 total
and current Division Policy
❑ Submit a detailed hydrogeologic evaluation in accordance
available at: i tt ://w%v%v.ncwater.or /Rules Policies and Re ulations/. The document shall be signed, sealed and dated by a
qualified professional.
pplication Packages with fixed irrigation facilities or irrigation
K. Engineering Design Documents (Ail New or Modification A
facilities fed through fixed supply system)
❑ Submit engineering design documents that have 1bSA NCeen signed, 02TI.1104 ( �edFor Modificationby a NC s, submit an updated site nmap
Professional Land Surveyor in accordance wills
specific to the modification(s) only.
❑ The design documents must include the following minimum s they are directly tied into the new
items:
❑ Engineering plans for the facility and equipment except those previously permitted unles
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 sr 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 . L 104 d 5 and current Division Policy
available at: Intt ://www.ncwater.or Rules Poes and Re ulationsJ_
M. Property Ownership Documentation (All New or Modification Application Packages involving new mid/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
! SA NCAC 02L .0107�f , or gn y g p P rty, p
❑ A written notarized lease agreement si ed b both parties, indication the intended use of the roe as well as a at or
survey map.
ONE ORIGINAL AND TWO COPIES OFTHE CO� SHALD APPLICATION PACKAGE, INCLUDING BE SENT TO THE FOLLOWING ADDRESS:
SUPPORTING INFORMATION AND MATERIALS,
NORTH CAROLINA ISION OF WATER RESOURCES NT OF ENVIRONMENTAL QUALITY
WATER QUALITY PERMITTING SECTION
NON-DISCIIARGE PERMITTING UNIT
By U.S Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
B LCourlerlS eclat Delive
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
Department of Environmental Quality
Division of Water Resources
DIvlsion of %Vatcr Resources 15A NCAC 02T .1100 —RESIDUALS LAND APPLICATION PROGRAM
LAAP 06- 6
I. APPLICANT INFORMATION:
1. Applicant's name: Ci Of Oxford
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ® Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Ainy Rattt Title: Ci En ineer
Applicant's mailing address: 300 Williamsboro St,
City: Oxford State: NC Zip: 27565-
Telephone number: (219) 603- t 113 Email Address: aratliff ,oxfordne.or
2. Consultant's name: Ryan Copeland License Number (for P.E.):
Affiliation: N On Staff ❑ Retained (Firm:
Consultant's mailing address: 284 Boger Road
City: Mocksville State: NC Zip: 27028-
Telephone number: 336 607-4494 Email Address: ropeland r± syna9ro,co11l
3. Agronomist's name:
Affiliation: ❑ NIA ❑ On Staff
Agronomist's mailing address:
City: State:
Telephone number: (—)
4. Soil Scientist's name:
Affiliation: ❑ N/A ❑ On Staff
License Number:
❑ Retained (Firm: ------
Zip: -
Email Address:
License Number:
❑ Retained (Firm: )
Soil Scientist's mailing address:
City: State: Zip: -
Telephone number: (_,) _- Email Address:
S. Fee submitted: ' (See Instruction B)
II, PERMIT INFORMATION:
pp ❑ modified, ® renewed permit
1. Application is for (check all that ay): ❑ new, ,
2. 1f this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W 0� 011244
Date of most -recently issued permit: 4/5/2016
Date of most -recently certified Attachment A (if different than the permit): 4/5/2016
Date of most -recently certified Attachment B (if different than the permit): 4/5/2016
Page 1 of 5
DORM: RLAP 06-16

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 1649 New Commerce Dr.
City: Oxford State: NC Zip: 27565-
Coordinates: Latitude: 36' 17' 20" Longitude: 78' 34' 49"
Datum: NAD 84
Method of measurement: MAP
Level of accuracy: Second
2. County where residuals land application program is headquartered: Granville
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
Ryan C. Copeland
Synagro, LLC
1008530
Back -Up ORC
Robert N. Roth
Synagro, LLC
1001672
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:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Ni ro eti Summor : Determine the maxiinum 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: 1200 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
26.69
37.69
32,026
45,226
Five -Year Maximum Adjusted
36.83
47.83
44,199
57,399
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently ccriified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
Row Crops
Hay
126.4
Pasture
237.8
Total:
364.20
Methods
Surface
364.20
Incorporation or Injection
Total:
364.20
FORM: RLAP 06-16 Page 2 of 5

c. Residuals Land Application SumuniZa: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
flbs PAN/ac )O
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
640.5
940.5
884
1148
100
320.3
452.3
442.0
574.0
150
213.5
301.5
294.7
382.7
200
160,1
226.1
221.0
287.0
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): ® 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 CerliTcation and all associated documentation.
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.
Land Application Site
Certification.doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item Vt. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
I. The irrigation system is: ❑ Spray ❑ 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 021.0505 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:
Recommended Recommended
Soil Series Fields within Soil Area Loading Rate I Loading Rate
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(nl is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field /Zone Design Area Number of Maximum Application Design Annual Loading
(ft') Nozzles Rate allons/hr Rate(gallons / r
Total
Spray Irrigation Design Element
Wetted diameter of nozzles
Wetted area of nozzles
Nozzle capacity
Nozzle manufacturer / model
Elevation of highest nozzle
ft
tie
ft
Plan Sheet I Specification
Number l Page Number
FORM: RLAP 06-16
Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106);
'he applicant or any affiliate has 'lot 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 02"T .0105.
® Yes ❑ No, Explain;
I,
(Signature Authority's Name — PLEASE PRINT)
(Title)
attest that this application for �
(Faci14 Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I 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 §143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, Which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
—42� Date:
FORM: RLAP06-16
Page 5 of 5

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0003226 (Town of Siler City NC WTP/WWTP)
Inspection Plan
inspections will be conducted on a weekly basis at the land application site during activities of this project. inspection
frequency is based on the time frame to complete the project and the amount of dry
applied tons
to bl as Ind appectilie from the
facility. The inspections will consist of inspecting a field that is currently being
andom
fields that have been completed. These inspections will consist of:
1. Verifying that the "Pre -Operations Check List' has been completed and signed by both operational and technical
staff. lied.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied,
3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and
maintenance plan.
4. Insuring that the field has been flagged properly and that all buffers are being adhered to.
5. Insuring that the "Crop and Landowner Verification" form has been filled out.
6. Verifying that the residuals have been adequately sampled to confirm compliance.
The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall
report by telephone to the NCDENR/DWQ Raleigh Regional Office at 919-791-4200, as soon as possible, but no later than
24 hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the following.
Any occurrence with the distribution program resulting in the land application of significant amounts of
material that is abnormal in quantity or characteristics.
• Any failure of the program that results in a release of material to surface waters.
Any time that self -monitoring information indicates that the program has gone out of compliance with
the permit.
Any process unit failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 800-858-
0368, or 919-791-4200. These numbers are to be called in the event of a release to surface waters or the imminent failure
of a storage system when the event occurs outside of normal business hours. Within 5 days of the first notice of on
occurrence, a written response in the form of a letter shall be sent to DENR outlining the actions taken or proposed
actions taken to ensure that the problem does not recur.
Persons responsible for inspections on this project are as follows;
Ryan Copeland, Technical Services Specialist, or his designee.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0003226 (Town of Slier City NC WTP/WWTP)
Sampling Plan
Sampling for this project consists of sampling the residuals just before land application is to occur. Based on
the dry tonnage of this plant, there will be four samples for each parameter per year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1, 2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1, 1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2, 4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13
Tetra chloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachlorethane (3.0)
2,4,5-Trlchlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP ( Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
The residuals will also be sampled, based on the chart below, for the following constituents
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
pH
Plant Available Nitrogen (calculation)
Selenium
Sodium
%Total Solids
Total Kjeldahl Nitrogen
Zinc
All samples will be taken from the thickening basin. Additional samples will be taken for TCLP/RCI and nutrients and
metals analysis. Methods of sampling will follow the conditions of the permit and applicable regulations.
The following people are responsible for sampling:
Ryan Copeland, Technical Services Specialist, or his designee.

a
4

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0011244 (City of Oxford NC WWTP)
Operational Functions
The operational function of this project involves land application of residuals for the City of Oxford's
wastewater treatment facility. This material will be loaded onto tractor trailers or "spreader trucks" and
hauled to land application sites. Tractor trailers will be off loaded to liquid applicators and spread in a
uniform manner. The residuals will be spread at agronomic rates, as determined by a recently analyzed
nutrients and metals sample. The material will be land applied with a liquid applicator that will use
pressure to achieve a consistent spread pattern. The fields applied will have a crop, either established or
planted soon after application, which is to be utilized for animal consumption.
Safety Measures
Synagro believes in operating in a safety -conscious manner and has all employees participate in
quarterly online safety courses. These courses are designed to help employees recognize safety issues
and take steps to prevent accidents from occurring. In addition, all Synagro employees have the
authority to stop operations if they think any aspect of the operation could cause environmental or
personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule specified by their fleet management section for the
equipment necessary to complete the job.

Residuals Sampfing Plan
Synagro Residuals Land Application for 'i Q0011244
City of Oxford NC WWTP
Nutrients and Metals Analysis
• Sampling Point: Lagoon
• Sampling Frequency: 4/yr (Volume Dependent)
• Sample Type: Composite
• Lab: Pace Analytical / Waypoint Analytical
Pathogen Reduction (Fecal Coliform Density Demonstration)
• Sampling Point: Lagoon
• Sampling Frequency: 4/yr (Volume Dependent)
• Sample Type: Grab — Fecal Coliform Demonstration
• Lab: Meritech Inc. Environmental Lab
Vector Attraction Reduction (30-Day Bench)
TCLP
A
• Sampling Point: Lagoon
• Sampling Frequency: 4/yr (Volume Dependent)
• Sample Tyne: Composite
• Lab: Meritech Inc. Environmental Lab
• Sampling Point: Lagoon
• Sampling Frequency: Once per permit cycle
• Sample Type: Composite
• Lab: Summit Environmental Technologies, Inc

c r

SPILL RE, SPONSE PLAN
r'ROJECT: City of Oxford Permit W00011244
IN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTION_ S SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Synagro Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and
equipment is to be utilized. In the event additional labor and equipment is required, assistance may be requested from the
City of Oxford NC or the NC Department of Transportation, and other private contractors as necessary.
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Synagro Operations Manager or the person in charge on the
spill site will advise the clean-up personnel where to get the straw, lone, and other items necessary to complete the clean-
up operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
Tmploy fi-ont-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
Alrrch of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5, FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner- and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.
6. NOTIFICATION•
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Raleigh Regional office at [phone] for the City of Oxford as soon as
possible, but not more than 24 hours after, or oil the next working day following the occurrence. The Operations Manager
shall provide a written report within 48 hours of the spill to the Technical Services Director. The report shall list all
relative information and actions taken. Synagro Central personnel will file a written report to the Raleigh Regional office
of the NCDENR within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be
called to report all incidences (1-800-858-0368) or (919-733-3300).

m

State of North Carolina
D_ WR 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 original and two conies of the application and
supporting documentation
For more inforinalion, visit the [Valor Quality Permitting Soclion'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 rnects all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified Iaboratory 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 I of I

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City Of Oxford
Status Maximum Dry Tons Per Year
Facility Permit Holder Facility Name County Permit Number
Code Current b Proposed
R City Of Oxford Oxford WWTP Granville NCO025054 1200 1200
2 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

State of North Carolina
nWR Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
Division of Water Resources
FORM: RSC 06-16
1. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
L. Facility Name: Oxford WWTP
2. Facility permit holder is: ❑ Federal, ❑ State, ® Local Govermnent, or ❑ Private.
Facility pennit issued by: ® Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: _ _)-
3. Facility contact person and title: Antoine Lewis
Complete mailing address: 1649 New Commerce Drive
City: Oxford State: NC Zip: 27565
Telephone number: QL9) 69378783 E-mail address: alewis oxfordnc.or
4. Facility physical address: 1649 New Commerce Drive
City: Oxford State: NC Zip: 27565-
Coordinates: Latitude: 36' 17' 20" Longitude: 78' 34' 49"
Datum: NAD 84 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 % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: Yes ❑ No
7. Facility permitted/design flow: 335 MGD and facility average daily flout: 1_3 MGD
8. Average amount of residuals being generated at this facility dry tons per year,
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 800.000 Gal. Aerobic Digesters
Type and volume of residuals storage (i.e., outside of residuals treatment units): 4 Million Gal, Concrete Lined Basins
it. RESIDUALS QUALITY INFORMATION (See Instruction C.):
i . Specify if residuals are regulated under:
® 40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during domestichnunicipal wastewater treatment processes are regulated under "i0
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102 6 as:
® Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, anima
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):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ®iio.
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: Sumit Environmental Technologies INC and Date of analysis: 12/29/2020
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: >140 °F (> 140°F)
Passed reactivity test: [Dyes ❑no. HCN: I rng/kg (<250) & H2S; mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/J)
TCLP Parameter
Limit
(ing/1)
Result
(mg/0
Arsenic
5.0
ND
Hoxachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadicne
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
0A
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1, l-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5

'I, 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 ,1 105,
a. For Dlslrihutiofr/Land ADDlicalion: 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 Analyical and Date of analysis:
10123/2020
Parameter
Ceiling
Monthly Average
Result
Concentration Limits
Concentration Limits
(CtassA & ClassB)
(Crass A Only)
(ing4g)
(ing4g)
(nrg/kg)
Arsenic
75
41
3.8
Cadmium
85
39
1.1
Copper
4,300
1,500
450
Lead
840
300
30
Mercury
57
17
ND3.
Molybdenum
75
n/a
8.5
Nickel
420
420
12
Selenium
100
100
7.5
Zinc
7,500
2,800
1800
b. For Surface Dis osal Uult larul rll : 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 Arsenic
Unit to Boundary to
Chromium
Nickel
Closest Property Line
(meters check one) (irrg/k�
(nrg/k�
(irrg/kg)
❑ > 0 but < 25 30
200
210
❑ > 25 but < 50 34
220
4�270
240
❑ >_ 50 but < 75 39
260
❑ 75 but < 100 46
300
320
❑ > 100 but < 125 53
360
390
❑ > 125 62
450
420
Result (irg/kg)
FORM: RSC 06-16
Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 3.39 %.
b. rill 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: 10/23/2020
Parameter
Result
(mg4g)
Aluminum
46,000
Ammonia -Nitrogen
11,000
Calcium
16,000
Magnesium
4,200
Nitrate -Nitrite Nitrogen
62
pH (Standard Unit)
7.5
Phosphorus
18,000
Potassium
2,900
Sodium
2,100
Total Kjeldahl Nitrogen
37,000
C. Using the results listed in Item H. 5b. above, calculate the sodium adsorption ration (SAR): .70
[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: 30 %. This
rate is a (check one): 0 default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
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 (0) Year PAN
Five -Year
(,rrg/kg)
Maximum Adjusted PAN
(ing4g)
Surface
13,344
18,4I6
Injection/Incorporation
18,844
23,916
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:
70
FORM: RSC 06-16 Page 4 of 5

Pathogen Reduction: Per 15A NCAC 02T.1 106 specify how residuals ►vill meet the pathogen reduction requirements:
a. For Dislribullort/Laud Avnlicalioit of Class A or Eguivalenl:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
El A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative 1 [ 15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T. I 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [I5A NCAC 02T. 1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.1106R
3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: El composting, heat drying, [] heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application o Class B:
® Alternative 1 [15A NCAC 02T. 1 106(c)(1)] - Fecal Coliform Density Demonstration.
❑ AIternative 2 [15A NCAC 02T.I 106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Sur ace Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alteratives in Item II.7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II.7b. above.
❑ Exempt -If Daily Cover AIternative is chosen in Item I1.8. below [15A NCAC 02T. 1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Vector Attraction Reduction (VAR). Per 15A NCAC 02T.1 107 specify how residuals will meet the VAR requirements:
® AIternative I [15A NCAC 02T.1107(a)(01 - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion),
❑ Alternative 2 [I5A NCAC 02T.1107(a)(2)1- 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.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ AIternative 5 [15A NCAC 02T.I 107(a)(5)] - I4-Day Aerobic Processes.
® Alternative 6 [15A NCAC 02T.1 107(a)(6)] - AlkaIine Stabilization.
❑ Alternative 7 [15A NCAC 02T. I 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals.
® Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
® Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - SoiUOther 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

A

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SECTION 2
PROCESS DESCRIPTION
2.0 General
Sewage at the City of Oxford Treatment Plant is treated by ten basic processes:
1. Screening 6. UV disinfection
2. Grit removal 7. Post aeration
I Biological reactor (Oxidation Ditch) S. Aerobic sludge digestion
4. Secondary clarification 9. Sludge storage
5. Tertiary filtration 10. Land application of sludge
The headworks consists of a new mechanical bar screen, a new aerated grit chamber, a new
Parshall flume with flowmeter, and a new triplex pump station. The mechanical screen is
utilized to remove large objects from the influent flow which could cause damage, clogging or
jamming of units of the plant. A manual bypass bar screen can be used for screening when the
mechanical screen is not in operation. The aerated grit chamber removes inorganic abrasive
particles that could cause excessive wear and solids deposition within the plant. The grit removal
system is comprised of an aerated chamber with grit removal via chains and buckets. Grit is
conveyed into a cart for disposal in a landfill.
Secondary treatment begins with a new three stage oxidation ditch featuring anaerobic, anoxic,
and aerobic zones with internal recycle between tine aerobic and anoxic zones. The three zones
work together to remove nitrogen and phosphorous in addition to BOD reduction. The secondary
clarifiers remove settleable solids and scum for further processing in the sludge system. Three
clarifiers operate in parallel.
The tertiary treatment consists of a new traveling bridge tertiary filter to treat wastewater to meet
tertiary limits. The effluent then passes through a UV disinfection chamber. This disinfection is
provided to destroy any disease -causing organisms that may remain in the effluent.
Finally, the effluent is mechanically aerated before being discharged to Fishing Creek through an
outfall line.
The waste activated sludge is pumped to the aerobic digesters for further treatment and
subsequent removal to the sludge storage basin for holding until ultimate disposal by land
application.

0

Quantitative 3118ti.fication for Residuals P"Oduction Efate
Oxford W WTP
Between the years of 2015 and 2019, the City of Oxford land applied
approximately 413.56 dry tons of material each year. Based on the calculations shown
below, the Oxford WWTP would produce approximately 584 dry tons/year if operating at
the 3.5 million gallon permitted flow. The proposed 1200 dry tons/per year maximum to
be produced at this plant, should allow plenty of room far any increase in plant flow or
plant expansions.
Calculations:
Based on rule -of -thumb that average daily flow is approximate to annual volume of
residuals produced:
3.5 x 1 Q^6 al/ r x 4% solids x 8.341bs/ aI = 583.8 dt/yr
(2,000 lbs/ton)
Di tons land applied between 2019 and 2015.
Year Dry Tons
2019 733.82
2018 209.18
2017 423.11
2016 449.34
2015 252.33

r�.

Residuals Samplitig l� aIjj
Synagro Residuals Land Application for WQ0011244
City of Oxford NC WWTP
Nutrients and Metals Analysis
• Sampling Point: Lagoon
• Sampling Frequency: 4/yr (Volume Dependent)
• Sample Type: Composite
• Lab: Pace Analytical I Waypoint Analytical
Pathogen Reduction (Fecal Coliform Density Demonstration)
• Sampling Point: Lagoon
• Sampling Frequency: 4/yr (Volume Dependent)
• Sample Type: Grab — Fecal Coliform Demonstration
• Lab: Meritech Inc. Environmental Lab
Vector Attraction Reduction (30-Day Bench)
TCLP
• Sampling Point: Lagoon
• Sampling Frequency: 4/yr (Volume Dependent)
• Sample Type: Composite
• Lab: Meritech Inc. Environmental Lab
• Sampling Point: Lagoon
• Sampling Frequency: Once per permit cycle
o Sample Type: Composite
® Lab: Summit Environmental Tecluiologies, Inc

Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Ryan Copeland
Project Name. Oxford
Lot Number:VJ16006
Date Completed:10/23/2020
10/28/2020 3:24 PM
Approved and released by:
Project Manager II: Lucas Odom
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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; 803-791-9700 Fax: [phone] www.pacelabs.com
Page I of

PACE ANALYTICAL SERVICES, LLC
SC ❑HEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: VJ16006
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 The NELAC Institute (TNI) standards, the Pace Analytical Services, LLC ("Pace")
Laboratory Quality Manual, standard operating procedures (SOPs), and Pace policies. Any exceptions to
the TNI standards, the Laboratory Quality Manual, 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 at 3 times the normal amount. The LOQ has
been elevated to reflect the dilution.
Pace Analytical services, LLC (fornieify Shealy Emftnmelal Services, Inc.)
106 Vantage Point drive West Columbia, SC 29172 [phone] Fax [phone] vnwr.pacelabs.com

Client: Synagro
Description: OXFORO N&M
Date Sampled:10/1412020 1005
Dale Received: 1011612020
Laboratory ID:VJ16006-001
Matrix: Solid
% Solids: 3.39 10/17/2020 0144
Inor anic non-metals
1 Prep Method
Analytical Method
Dilution Analysis Date Analyst Prep Date
Batch
(% Solids) SM 254OG
1 10/17/2020 0144 LSH
1 350.1
(Ammonia - N ) 350.1
10 10/19/2020 1724 DRD
70234
1
(Nitrate - N) 9056A
1 10/21/2020 1932 AMR
70365
1
(Nitrite - N) 9056A
1 10/21/2020 1932 AMR
70656
1
1
(Phosphorus) 365.1
25 10/20/2020 1740 DMA
10/20/2020 1300
70657
70385
(Soil pH meas) 9045D
1 10/20/2020 2239 AAB
2 351.4
(TKN) 351.2
1 10/21/2020 1737 DMA
10/21/2020 1201
70569
70594
Parameter
CAS Analytical
Solids
Number Method
Result Q
LOQ
DL
Units
Run
Ammonia - N (gas diffusion)SM
2540G
3.39
%
1
Nltrate - N (soluble)
350.1
11000
300
160
mglkg
1
Nitrite - N (soluble)
9056A
44
15
3.0
mglkg
1
Phosphorus
9056A
98
5.9
3.0
mglkg
1
Soli pH measured in water @ 19.3 C
°
7723-14.0 365.1
18000
3700
740
mglkg
1
TKN
9045D
7.5
su
1
351.2
37000
740
740
mglkg
2
CVAA
Run Prep Method
1
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch
7471 B
7471 B
1 10/20/2020 1342 JAB2
10/20/2020 0910
70438
Parameter
CAS Analytical
Mercury
Number Method
Result Q
LOQ
DL
Units
Run
7439-97-6 7471E
Np
2.3
0.56
mglkg
1
ICP-AES
Run Prep Method
1 3050B
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch
2 3050B
6010D
1 10/22/2020 0131 KSH2
10/17/2020 1518
70258
6010D
1 10/22/2020 1406 KSH2
10/17/2020 1518
70258
Parameter
CAS Analytical
Aluminum
Number Method
Result Q
LOQ
DL
Units
Run
Arsenic
7429-90-5 6010D 46000
200
73
mglkg
1
Cadmium
7440.3$•2 60100
3.8 J
7.3
2.4
mglkg
1
Calcium
7440-43-9 6010D
1.1 J
2.4
0.62
mglkg
1
Chromium
7440-70-2 6010D 16000
2400
310
mg/kg
1
Copper
7440�7-3 6010D
42
4.9
1.2
mglkg
i
Iron
7440-50-8 6010D
450
4.9
2,2
mg/kg
1
Lead
7439-89-6 6010D 18000
49
22
mglkg
1
Magnesium
7439-92-1 6010D
30
4•9
22
mg/kg
1
Manganese
7439-95-4 6010D
4200
2400
310
mglkg
1
Molybdenum
7439-96-5 6010D
670
7.3
2.9
mglkg
1
7439-98-7 6010D
8.5 J
20
4.9
mg/kg
1
Q = Limit of Quanlitauon 13 = Detected in the method blank E = QuanVlafion or com
= Not deteged at or above the DL N = n, • Pound exceeded the calibration range DL = Detection Limit
Recove is out of criteria P = The RPD behveen two GC columns exceeds 40 J = Estimated result < LOQ and > DL
Out of holding time W = Reported on wet weight bass -
Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
3 Vantage Point Drive Wes[ Columbia, SC 29172 [phone] Fax [phone] vnvw.pacelabs.com
Page 3 of 7

Giant: Synagro
Description: OXFORO N&M
Date Sampled:10/14/2020 1005
Date Received:10116/2020
Laboratory ID: VJ16006.001
Matrix. Solid
% Solids- 3.39 10/17/2020 0144
ICP-AES
N Prep Method
3050E
Analytical Method Dilution Analysis Date Analyst
Prep Date Batch
2 30508
601 OD 1 10/22/2020 0131 KSH2
10/17/2020 1518 70258
6010D 1 10122/20201406 KSH2
10/17/2020 1518 70258
Parameter
mb S Analytical
Nickel
Nu Method
Result Q LOQ
DL
Units
Run
Potassium
7440-02-0 6010D
12 J 20
5.1
mglkg
2
Selenium
7440.09-7 6010D
2900 2400
310
mglkg
1
Sodium7782.49-2
6010D
7.5 J 9.8
4.0
mglkg
1
Zinc
7440-23-5 6016D
2100 J 2400
310
mg/kg
1
7440-66.6 6010D
1800 24
6.1
mglkg
1
I = Limit of Quantitation B = Detected in the malhnd blank E = Quanlitation of compound exceeded t = Fiot detected at or above the DL N = he calitxalion range DL = Detection Limit Recovery is out of criteria P = The RPD between two GC columns exceeds 409;
Out of holding timo W = Reported on wet weight basis J =Estimated result < LOQ and > DL
Analytical Services, LLC (fomterfy Shealy Environmenlal Services, Inc.)
Vantage Point Drive West Columbia, SC 29172 (m) 791-9700 Fax [phone] wwvrmpacelabs.com
Page 4 of 7

and
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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

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Pace Anaty&cal Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 6 of 7

Pi\'( f.-: ANA11-.1/`WAL SERVICES, LLC
Sb!a's Gr.ri�tnet:nr l Stl � s..y, L:�,
1xsm:at lawn}ar 11.1};nlbC-14 ryty I ut' I
crn�u.Y rrafe. s+�1+:18
SAn>ple Receipt Checklist (SRC.)
rim: SYIvlIM0 _ Cnoler htsp.�cted b ,'elate: HNIG, i icllirlan I n I if. V1i(OOb
l4lutns nP rp epipt- ❑ SrSI ❑Client QJ UP'S
d Yes 011n L %cm custo Seats present Gat the Cooler?
CIAC31 LJNV1NA 3. if"cusint seals t,verc. r03E111. wore tP:t;y infect and unhi•nRen?
"FEE Strip lip: NA
... Chlorale SIJp ID: NA T _ Tcs' d b
,c y':
_
t�riaina: Will pvrnlure upolt receipt! Nrived (C'orreetetl) Inulperalu.-c upon :rceip: !!Solid 5 tzlt4cllp if ): 20.1t)56
-C.
NA /NA. --f C NA /N'A ,(., NA INA "C
\7ctitUfJ: C]Titrtprrtllurc Blank (�4Sainst I�ot#las IR Guo il):. 5 A (i 111 Correcik , school, 0 "C
-Madind of conlant; 0 wet ivt Ft Icu iw+ S ❑ 1),y Ico J Now
Ycs h'n
[j Q
1, If temperature of my cooler e,tcredecl 6.4"(', u;tis Project MSnag r Notifte-d?
� ivn '
PM was Nolil:cd_by; phone Iemal) f iacc-feel +ce. (ci,.::c a tcj,
® Ya.; ❑ No
❑ KA 4. Is the commerciol courier's uaukiug Slip itttacl:cd to Ili's form`?
{71 Yes ❑ No
5, Ware propCi'uui((:dy prncMures (relin uishedrreazived) folloN+-c ?
V1 Yes ❑ No
-Yes
G. Were solllplt: it),, listed an the COC?
® ❑ Nip
7. Wrrr. sam le IDs ;istcd on nl! sample cnnlni i rs7
Ycs Q No
S. 1Vos vulicction date Ar, 'inir. HUM oil the COC?
❑ Yes ®yn
V. Vdtls collrction date fi 'ilrw listed on a:l sa;nple eQnlai<ie,;;?
Ali Y s Q No
Ib. iJiti all container label infomtn#iols (In, dale, time) agree �rillr Hl COC' T
111�'etc lasts to he perf',rtmet# lised on the CULT®Atu
t�Km[]No
12. Did ull y.triples rrrive in lho proper eai.tuint rti For rich test a tell, r in good ; onJitissn
(unbrokoll, lids U11, Ctc,)? T
Yes ❑ No
13. Wa.;1XIe4 ttrte sample vnhratr. s,va:lable`)
Ycs 0 No
14. Were all samples i'ece:ircti wilhir% ;4 the holding time or 48liour5 wllichetier cvglcs 11ts1'?
Yes ONO
15, Were Inv samples ruruAiuc'rs missi:tgh:xcess (circle ore) sanlpkr No! lis ed an r0('
L] Ye, ❑ I�r)
NA 7pay
rIof
the von vials?
❑ Ye, No,
hFJ SPA i?. Werou rill DRO/melalsint:lriert samples tell iaetl f# a ptI of ?? -�`--"
❑ Ycs El Mil
®,NA 18, Were ail tvilitidc snmlllt : rrreivri at a PH r• 12 attd sulfide sa:unics rrccived of a '- irl
❑ Yes j] No
pl
0 NA 19' 'rrc a app:iGtblc N1i,,f I"KNA:-y4atitk1p tcno rfi2S (<` (I,;nig, s rrgd:s f1YC al':cRldlF.11
_
Cla(11'1114? _
❑ Yes 0 No
NA ?0. Wem client remarkstreilursis (i.e. requeslccl dilutions. MSllv1SD esip.ttalusn r, etc...)
cor•reetty ininwribed front the COC inro dia txnnn:cu# wlion In L1A! ?
❑ 1'rti Na
2 L Wa.c'hn tLetc nuntt,er' l:stcd on the rnntainnr label? I#' cs, uotc M 1071
.�—
Suo1PIC PITHervalion (�Itlst be ctllrl#,lcled for any satttplc(s) i,IcallvctlY pmwr%Td or %vlth lac spat c.;
5antp:e(sl NA were received lncorrCcUy prescrvcG all ►verr. adjusted accordingly'
lit sample rcvciving with NA _ ntl_ oicircle One; H2SO4, IIN03, HC1, KaOM Irein; Sit # Nr1
irate of pr- sbwyadnn NA If "utro than one oreserva:ivc :s needed, plutimi "ore in the c InlucHts below,
S:;mple(s) NA
wale rcceiwd with btia les - G rnm in diannder.
St ulples(%) NA v urc rcc: ived wish TPtC ,- Q,5 ltlkrl, (f 019 '.s tin) find were
><djusted acrnrciingly in snrnPk neeivin,g whit
sodium thitssul(irlc (vs2Safla) with Shealy II); N
SK Gaxode laws applied hy: 11M.G tlalr. 10? 02010
r`o•nmenls:
'
Pace Anaiyucal Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com

ProjeC#;
Sodium Absorption Ratio Calculation (SAR)
% Solids
3.39
Na (mg/kg)
2100.00
Ca (mg/kg)
16000.00
Mg (mglkg)
4200.00
Na (mg/L)
71.19
Ca (mg/L)
542.40
Mg (mg1L)
142.38
Na (meq)
3.10
Ca (meq)
Mg (meq)
27.07
11.72
SAR =
0.70
LEGEND
Fill in this area with data from the analysis sheets
These areas are calculated automatically

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Ryan Copeland
Client: Synagro
284 Boger Road
Mocksville, NC 27028
Meritech Work Order # 10082043 Sample: Oxford 1 Grab
Parameters Results Analysis Date
% Total Solids 3.85 % 10/9/20
Fecal Coliform (Sludge) <236 col/g dry wt 10/8/20
Meritech Work Order # 10082044 Sample: Oxford 2 Grab
Parameters
% Total Solids
Fecal Coliform (Sludge)
Results Analysis Date
2.91 % 10/9/20
<312 col/g dry wt 10/8/20
Page 1
Report Date: 10/16/2020
Project: Oxford
Date Sample Rcvd: 10/8/2020
10/8/20
Reporting Limit Method
0-100 % SM 2540B
236 col/g dry wt SM 9222D
10/8/20
Reporting Limit Method
0-100 % SM 2540B
312 col/g dry wt SM 9222D
Meritech Work Order #
10082045 Sample: Oxford 3 Grab
10/8/20
Parameter
Results Analysis Date
Reporting Limit
Method
% Total Solids
3.79 % 10/9/20
0-100 %
SM 2540B
Fecal Coliform (Sludge)
<240 col/g dry wt 10/8/20
240 col/g dry wt
SM 9222D
Meritech Work Order #
10082046 Sample: Oxford 4 Grab
10/8/20
Earameters
Results AnalysiN Date
Reporting Limit
Method
% Total Solids
3.91 % 10/9/20
0-100 %
SM 2540B
Fecal Coliform (Sludge)
<232 col/g d2y wt 10/8/20
232 col/g dry wt
SM 9222D
Meritechi Work Order #
10082047 Sample: Oxford 5 Grab
10/8/20
Parameters
Results Analysis Date
Reporting Limit
Method
% Total Solids
4.08 % 10/9/20
0-100 %
SM 2540B
Fecal Coliform (Sludge)
<223 col/g dry wt 10/8/20
223 col/g dry wt
SM 9222D
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

fleritech, r(nc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Ryan Copeland
Client: Synagro
284 Boger Road
Mocksville, NC 27028
Meritech Work Order # 10082048 Sample: Oxford 6 Grab
Parameters
Results Analysis Date
Page 2
Report Date: 10/16/2020
Project: Oxford
Date Sample Rcvd: 10/8/2020
10/8/20
Reporting Limit Method
% Total Solids 4.01 % 10/9/20 0-100 % SM 2540B
Fecal Coliform (Sludge) <227 col/g dry wt 10/8/20 227 cal/g dry wt SM 9222D
Meritech Work Order # 10082049 Sample: Oxford 7 Grab 10/8/20
Parameters
Results
Analysis Date
Reporting Limit
Method
% Total Solids
4.25 %
10/9/20
0-100 %
SM 2540B
-al Coliform (Sludge)
<214 col/g dry wt
10/8/20
214 col/g dry wt
SM 9222D
ti
ereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
NPDES#:
MERITECH., INC.
Client: Phone:
Address: 2 V(L Fax:
�4
ENVIRONMENTAL LABORATORIES
�� ASC. Email: tv(��rAN±,
4,
642 Tamco Rd. Phone: [phone]
Project: CAEOM
Reidsville NC 27320 Fax: [phone]
P.O.#:
Email: info@ meritechlabs.com
Attention: yhry1J65P6ZANr>
Turn Around Time*
www.meritechiabs.com
How would you like your report sent?
*RUSH work needs prior approval,
el>:,r �s n �l
Std o ,5) 3-5 Da s 24 �18Hrs
Circle all that apply Emai (preferred) , Fax, Mai[ ❑
Sampling Dates & Times
Person Taking Sample (Sign/Print): n, _ l
uoo;;�
Lab Use Only
Sample Location
and/or ID #
start End!�-fj�}
Date Time
comp? of Test(s) Required
pH
Date Time
Grab? cant.
K?
es N
yes / No Cl OK?
FE<8
L r
recht-
v
2
�
3
�
Temperature Upon
Method of
Dechlorination (<0,5 pm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. ***
Receipt:
Shipment:
Comments:
Compositor #
❑ UPS
❑ Aed Ex
Are these results for regulatory purposes? Yes V
No ❑ Report results in: mg/L ❑
Jug #
mg/kg ❑ ug/L ❑
Hand Delivery
Relinquished by: 690 Time:
/�� Date: (p"g�3
Received b
S by:
Date: Time;
❑ Other
Relinquished by: Date: Time:
Received by:
Date: Time:
Relinquished by; Date: Time:
Rece' by ab:
Ci

FECAL DATA SHEET
Lab result
Log
236
2.37
Min 214
312
2.49
Max 312
240
2.38
Geometric Mean 239
232
2.37
223
2.35
227
2.36
214
2.33
Average
2.38

Meritech, 1h� -"
Environmental Laboratory
Laboratory Certification No. 165
Contact: Ryan Copeland Report Date: 11/11/2020
Client: Synagro
284 Boger Road Project: Oxford
Mocksville, NC 27028 Date Sample Rcvd: 10/8/2020
Vector Attraction Reduction Aerobically Digested Sludge 30 Day Test
Meritech Work Order # 10082050 Sample: Oxford Grab 10/8/20
Total Solids Volatile SolidS % Volatile Solids
Week 1 1.46 0.800 0.551
Week 2
1.32
0.740
0.561
Week 3
1.59
0.880
0.556
Week 4
1.44
0.800
0.555
Week 5 1.60
Van Kleeck Reduction (%): 8.59
I hereby certify that I have reviewed and approve these data.
0.529
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

8/9/i8 Chain of Custody Record (COC)
NPDES#:
Client: S yma� Phone:
Address:_ 7yl &&1EQ- &f- - Fax:
M E R IT E C H� INC.
ENVIRONMENTAL LABORATORIES
&J�iJh-GI~ AJ Email: f�LflpEf /�l� Si'
642 Tamco Rd. Phone: [phone]$
Pro ect: Q
Reidsville NC 27320 Fax: [phone]
`
P.O.#:
Email: info@ meritechlabs.com
www.meritechlabs.com
t pPELM Turn Around Time*
Attention: `x,
*RUSH work needs prior approval,
How would you like your report sent? C iarnes a i
Circle all that apply: ma (preferred), FaX, Mail Stcl 10 s) 3s 214rs
Sample Location and/or ip #
Sampling Dates & Times
Person Taking Sample (Sign/Print): fzi"970
Lab Use Only
Start
End
Comp?
# of
Test(s)
Required
On Ice?
pH OK??
Date
Time
Date
Time
Grab?
Cont.
Yes / No
Cl OK?
20
is
I-Yo
u
Temperature Upon
Method Of Dechlorination (<0.5 ppm) ofAmmonia, Cyanide, Phenol andTKN samples must be done in the field priorto preservation. ***
Receipt: c,
2L 1>
Shipment: Comments:
Compositor #
❑ UPS
Jug #
❑ ed Ex
Are these results for regulatory purposes? Yes No ❑
Report results in: mg/L ❑ mg/kg ❑ ug/L ❑
Hand Delivery
Relinquished by: Date: Time:
/d-8-� 0;
Received by: Hate: Time:
❑ Other
Relinquished by: Date: Time;
Received b Y: Date: Time:
Relinquished by: Date: Time:
R ved Lab: f �j f CJat h TIR ,T
�1

%VSR
(older, more conservative method
%VS in 0.5510 Enter in
%VS out 0.5290 decimai form
%VSR- %VS in - %VS out
((%VS in - (%VS in x %VS out))
%VSR= 8.48
(method from p.132 of WH manual)
%VSR-_ %VS in - %VS out
%VS in

i(
ric
- • ■
- - -_-_ _ -- _ _----- - -- -_ _

SUMM11r Summit Environmental Technologies, Inc.
3310 Win St.
ENVIRONMENTAL TECI$t401,0GIF1. IW' Cuyahoga Falls, Ohio 44223
AFWyilcal Laborarorlec TEL: [phone] FAX.- [phone]
if ebsire: http✓/wunv.settek.com
December 29, 2020
Ryan Copeland
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL: [phone]
FAX: [phone]
RE: OXFORD
Dear Ryan Copeland:
Order No,: 20121123
Summit Environmental Technologies, Inc. received 1 sample(s) on 12/18/2020 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 litnits
except where noted.
If you have any questions regarding these tests results, please feel free to call the
laboratory.
Sincerely,
r
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
Arkansas 88-0735, California 2943, Colorado, Connecticut PH-0108, Florida NELAC F.87688, Idaho 01-100923, Illinois 200061, Indiana C-OH-13, Kansas
E-10347, Kentucky (undergmwid Storage Tank) 3, Kentucky 90146, Maryland 339, Michigan 9988, Minnesota 1780279, Nevada OH909232020-1, New
Hampshire 2996, New Jersey 014006, New York 11777, North Carolina 39705 and 631, North Dakota R-201, Ohio DNV, Ohio VAP CL0052, Oklahoma
2019-155, Oregon OH2O0001, Pennsylvania 011, Rhode Island LA00031[7, South Carolina 92016001, Texas TI04704466.19-16, Utah OH009232020-12,
Virginia VF.LAP 10381, West Virginia9957C
Page 1 of 30

Summiar
Srtrrrnril Errvirorrrrrenlal 33roLYin sr. TechnologiesM A Case Narrative
ENVIRUNRiFNTAt- TrC"U01()GIF +, ,: Cuyahoga Falls, Ohio 44223 w0#: 20121123
Analytical Cahorelortes TEL.- [phone] FAX [phone]
Website. hil .-Mvwrvsellek.com Date: 12/29/2020
CLIENT: Synagro
Project: OXFORD
WorkOrder Narrative:
20121123: 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 Enviromnental 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:
20121123-OOIA FlashPt_S(1010): Z = Method deviation, due to instrument limitations could not stir to
250 RPM as required by the method.
Analytical Sequence QC Notes:
LCS-R121667 FlashPt_S(1010): Z = Method deviation, due to instrument limitations could not stir to
250 RPM as required by the method.
Original
b.,..,. n _-V on

1 i
f
Stmimi! Environmental Technologies, lne.
3310 Win S1.
Workorder
E1.VII�UiJId[NrhR it G.HU010Rff-R, i ;r
Cuyahoga Falls, Ohio44223
Sample Summary
Analyfleal labor rtorles
TEL: [phone],VAX-- [phone]
WON: 20121123
Ilrebsite: hftp:/hvttRvsettekcam
29 Dec-20
CLIENT:
Synagro
Project:
OXFORD
Lab SampleID
Client Sample ID Tag No Date Collected
Date Received Matrix
20121123-001
OXFORD TCLP
12/17/2020 8:00:00 AM
12/18/2020 10:20:00 AM Sludge
PanpAnf-'4n

U, Summit Environmental Technologies, Inc. DATES REPORT
3310 Win Sr.
E;ZLOOII Snt
LIJVNVI RON MENTAL TECKNOLAGIES. Cugahoga Falls, Ohio 44223 WO#: 20121123
A,wlyVcal = ^r3rorles TEL: [phone] FAX.- [phone]
Website: htm:/1www.settek.c2m 29 Dec-20
Client: Sytlagro
]Project: OXFORD
Saran➢e ID Client Sample ID Col?ee:icr. Date N'atrLx Test Name Leachate Date Prep Date Analysis Date
20121123-001A OXFORD TCLP 12/17/2020 9:00:00 AM Slwc c Flashpoint Determination (1010) 12/22/2020 1:51:08 PN
pH (SW9045D) 12/22/2020 11:31:06 AM
Reactive Cyanide (9014/7.3.3.2)-Solid 12/21/2020 2:38:00 PM
Reactive Sulfide (9034)/7.3.4.2 12/21/2020 2:38:00 PM
TCLP herbicides by EPA 832113 12/22/2020 5.00.00 PM 12/24/2020 12:36:00 PM
TCLP Mercury Analysis (SW1311/74712/22/2020 5:00:00 PM 12/28/2020 9:40:00 AM 12/28/2020 4:18.00 PM
TCLP Metals Analysis (SW 13l l/601412/22/2020 5:00!00 PM 12123/2020 12:25:00 P 12/23/2020 6:15:S3 PM
TCLP Pesticides Analysis (SW1311/8f 12122/2020 5:00:00 PM 12/22/2020 12:00:00 P 12/23/2020 7:02:00 PM
IR
TCLP Pesticides Analysis (SW1311/8(12/22/2020 5:00:00 PM 12/22/2020 12:00.00 P 12/23/2020 7:02:00 PM
a�
TCLP Senni-Volatiies .Analysis 12/22/2020 5:00:00 PM 12/23/2020 12:00:00 P 12/23/2020 8:02:00 PM
(5)W1311/8270)
TCLP Volatiles Analysis
12/22/2020 5:00:00 PM 12/24/2020 9:58,00 AM
Original
Page 5 of 30

I SUMMIM,�_
PA1190NIAENTAL TECHN01 OWFS, Mr.
A114lyflcal I aborarorles
Srsi,jniirFtjviroltnleltialTeeltologie,Ic.
3310 Win Sr.
Cityalraga Falls, Ohio 44223
TFG: [phone] FAX.- [phone]
Websile: It1rn:14nvmse1rek.com
Analytical Report
(base report)
WOM 20121123
Date Reported: 12/29/2020
CLIENT: Sytiagro
Tag Number:
Matrix: SLUDGE
Collection Date;
12/17/2020 8:00:00 AM
Lab ID: 20121 123-001A
Project: OXFORD
Client Sample ID OXFORD TCLP
Analyses Result RL Qual Units
DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW7470A
SW7470A Analyst: ERA
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury
ND 0.00500 mglL
1 12128/20204:18:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP METALS ANALYSIS (SW131116010)
TCLP Arsenic(As)
ND
TCLP Barium(Ba)
ND
TCLP Cadmlum(Cd)
ND
TCLP Chromium(Cr)
ND
TCLP Lead(Pb)
ND
TCLP Seienium(Se)
ND
TCLP Silver(Ag)
ND
RCI
FLASHPOINT DETERMINATION (1010)
Flashpoint (140°F) >140
SW6010D SW3010A Analyst: EAM
0.500
mglL
1
12/23/2020 6:15:53 PM
5.00
mg1L
1
12/23/2020 6:15:63 PM
0.100
mg/L
1
12/23/2020 6:15:53 PM
0.200
mglL
1
12/23/2020 6:15:53 PM
0.500
mglL
1
12/23/2020 6:15:53 PM
0.0500
mglL
1
12/23/2020 6:15:53 PM
0.500
mg1L
1
12/23/2020 6:15:63 PM
SW1010 Analyst: TAH
Z IF 1 12/22/2020 1:51:08 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 12/23/2020 8:02:00 PM
2,4,5-Trichlorophenol
ND
0.500
mg1L
2 12/23/2020 8:02:00 PM
44,6-Trichlorophenol
ND
0.500
mg1L
2 12/23/2020 8:02:00 PM
2,4-Dinitrotoluene
ND
0.100
mg1L
2 12/23/2020 8:02:00 PM
Cresols, Total
ND
10.0
mglL
2 12/23/2020 8:02:00 PM
Hexachloro-1,3-butadiene
ND
0.0400
mg1L
2 12/23/2020 8:02:00 PM
Hexachlorobenzene
ND
0.100
mglL
2 12/23/2020 8:02:00 PM
Hexachloroethane
ND
0.200
mg1L
2 12/23/2020 8.02:00 PM
Nilrobenzene
ND
0.200
mglL
2 12/23/2020 8:02:00 PM
Pentachlorophenol
ND
0.500
mglL
2 12/23/2020 8:02:00 PM
Pyridine
ND
0.500
mglL
2 12/23/2020 8:02:00 PM
Surr: 2-Fluorophenol
66.7
10 -157
m %Rec
2 12/23/2020 8:02:00 PM
Sum Phenol-d6
68A
10 - 169
%Rec
2 12/23/2020 8:02:00 PM
Surr: Nilrobenzene-0
83.8
32.1 -130
%Rec
2 12/23/2020 8:02:00 PM
Qualifiers: B Analyte detected in the associated
Mctlmd Blank
8 Value above quanIitation range
14 Holding firnes 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 confirmation exceeds
PL Pennit Lintit
R RPD outside accepted recovery limits Original
RL Reporting Detection Limit
U Samples with CalcVal <MDL
Page 6 of 30

u ,, SununitBnWronmentaiTechnologies,hte.
I 3310 Win St.
ENV1110NMENTAL TfCHN01 rIG"' : i':' CuyahogaFnlls, Ohio 44223
AriMytical t aboratorie­ TEL: [phone] FAX: [phone]
Website: hyp:1Avwwse1tekcorn
Analytical Report
(base report)
WO#: 20121123
Date Reported: 12/29/2020
CLIENT: Synagro
Tag Number:
Matt'ix: SLUDGE
Collection Date:
12/17/2020 8:00:00 AM
Lab ED: 20121 t23-001A
Project: OXFORD
Client Sample ID OXFORD TCLP
Analyses Result
RL Qual Units
DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8270
SW3510C Analyst: SFG
TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270)
Surf: 2,4,6-Tribromophenol 106
45.4 - 166 %Rec
2 12/23/2020 8:02:00 PM
Surf: 2-Fluorobiptienyl 94.7
35.7 - 130 %Rec
2 12123/2020 8:02:00 PM
Surr: p-TerphenylA14 116
74.7 - 145 %Rec
2 12123/2020 8:02:00 PM
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
84.9
Surr: DCB
103
TCLP HERBICIDES BY EPA 8321B
2,4-D ND
2,4,5-TP ND
Surr: 2,4-Dichlorophenylacetic aci 106
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP VOLATILES ANALYSIS
1,1-Dichloroethene
ND
1,2-Dichloroethane
ND
MEK
ND
Benzene
ND
Carbon tetrachloride
ND
Chlorobenzene
ND
Chloroform
ND
Tetrachloroethene
ND
SW8081 SW3510C Analyst: CSS
0.0250
mg1L
1
12123/2020 7:02:00 PM
0.0500
mg/L
1
12123/2020 7:02:00 PM
0.00250
mg/L
1
12123/2020 7:02:00 PM
0.00250
mg1L
1
12123/2020 7:02:00 PM
0.00250
mglL
1
12123/2020 7:02:00 PM
0.00250
mg/L
1
12123/2020 7:02:00 PM
0.00250
mg[L
1
12123/2020 7:02:00 PM
10 - 119
%Rec
1
12123/2020 7:02:00 PM
10 - 119
%Rec
1
12/23/2020 7:02:00 PM
SW8321A
SW1311M
Analyst: TM
1.00
mg/L
100
12124/2020 12:36:00 PM
1.00
mg/L
100
12/24/2020 12:36:00 PM
70 - 130
%Rec
100
12124/2020 12:36:00 PM
SW8260 SW1311 M Analyst: SLV
0.250
mg]L
50
12124/2020 9:58:00 AM
0.250
mg1L
50
1D2412020 9:58:00 AM
5.00
mg/L
50
12/24/2020 9:58:00 AM
0.260
mg/L
50
12/24/2020 9:58:00 AM
0.250
mg/L
50
12/24/2020 9:58:00 AM
2.50
mg/L
50
12124/2020 9:58:00 AM
0.250
mg]L
50
12/24/2020 9:68:00 AM
0,250
mg1L
50
12124/2020 9:58:00 AM
Qualifiers: B
Analyte detected in the associated Method Blank
H
Holding times for preparation or analysis exceeded
MC
Value is below Minimum Compound Limit.
NI)
Not Detected
PL
Pennit 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 confirmation exceeds
R RPD outside accepted recovery limits Original
U Samples with CalcVal < MDL
Paqe 7 of 30

�
sumu—
Sunrurrt
EnvirOttnre�eta/Technologies, Inc.
-,
£NVIR01164ENTAC TfCht1(1l.0r.!F%,
}..;
3310 IYin St.
Analytical Report
fi""'j;'t '3!l�rborntarivs
rtrC Crryahaga Fads, Ohio 44223
TEL: [phone] FAX- [phone]
(baserclwrt)
lVehsite: h0:1Avrvty.settek c0m
W0#: 20121123
Date Reported: 12129/2024
CLIENT: 5yllagro
_ _
Matrix: SLUDGE
Tag Number:
Lab ID: 20121123-001A
Collection Date: 12/17/2020 8:00:00 AM
Project: OXFORD
Client Sample ID OXFORD TCLP
Analyses _ ———
Result
————— —--——
RL Qua] Units
—— — —-
Dr Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP VOLATILES ANALYSIS
SW8260
SW1311M Analyst: SLV
Trichloroethene
Vinyl chloride
ND
0.250 m91L
50 12/24/2020 9:58:00 AM
Surr: 4-Sramofluorobenzene
ND
94.6
0.100 mg/L
50 12/24/2020 9:58:00 AM
Sum Dibrom0flummethane
101
70 - 130 %Rec
70 130
50 12/24/2020 9:58:00 AM
Surf; Toluene-d8
99.7
- %Rec
70 - 130
50 12/24/2020 9:58:00 AM
%Rec
50 12/2412020 9:58:00 AM
RCI
REACTIVE CYANIDE (901417.3.3.2)-SOLID
SW9014
Analyst: MS
Cyanide, Reactive
ND
0.485 mg/Kg
1 12/21/2020 2:38:00 PM
RCI
PH (SW9045D)
SW9045D
Analyst VVK
pH
7.2
s.u.@20.2C
1 12/22/2020 11:31:06 AM
RCI
REACTIVE SULFIDE (9034)17.3.4.2
SW9034
Analyst: MS
Sulfide, Reactive
ND
25.0 mg/Kg
1
12/21/2020 2:38:00 PM
Qualifiers: B
Aualyte detected in the associated Method Blank
E
Value above quantitalion range
H
MC
Holding times forprcparation or analysis cxcceded
Value is below Minimum Compound Limit.
M
Manual Integration used to determine arty response
ND
Not Detected
N
Tentatively identified compounds
PL
Permit Limit
P
Second colunm conrimultion escceds
RL
Reporting Detection Limit
R
RPD outside accepted recovery limits
Original
U
Samples with CaleVal <MDL
Parip R of qn

f SUMM11, - Srrnrnrit Enviroaurrental Technologies, r„G.
Accreditation Program
3310 Win St.Anal
tes Report
p
EPtVtflptilhENi'At_ TEGHHOInr
' ;, In,'CuyalrogaFalls, Ohio 44223 23
J
. - 1? n7tytleal lah,u,�fc"1c
TEL: [phone] FAX. [phone]
WO#:
20121123
Website. http://unvivsettek.com
29 Dec 20
Client: Synagro
State: NW
Project: OXFORD
Program Name: NC_WW
SCM
Sample ID Matrix
Test Name
Analyte
Status
20121123-OOIA Sludge
Flashpoint Detennination (1010)
Flashpoint (140°F)
U
Sludge
pH (SW9045D)
Hydrogen Ion (pH)
A
Sludge
Reactive Cyanide (9014/7.3.3.2)-Solid
Cyanide, Reactive
N
Sludge
Reactive Sulfide (9034y7.3.4.2
Sulfide, Reactive
N
Sludge
TCLP Herbicides by EPA 8321B
2,4,5-TP
A
Sludge
TCLP Herbicides by EPA 8321B
2,4-D
A
Sludge
TCLP Mercury Analysis (SW1311/7470)
Mercury
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Arsenic
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Barium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Cadmium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Chromium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Lead
A
Sludge
TCLP Metals Analysis (SW 131116010)
Selenium
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Silver
A
Sludge
TCLP Pesticides Analysis (SWI311/8081)
Chlordane, lotal
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
8ndrin
A
Sludge
TCLP Pesticides Analysis (SW131118081)
gamma-BHC
A
Sludge
TCLP Pesticides Analysis (SW[311/8081)
Heptachlor
A
Sludge
TCLP Pesticides Analysis (SW131118081)
Heptachlor epoxide
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
Melhoxychlor
A
Sludge
TCLP Pesticides Analysis (SW 1311/8081)
Toxaphene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
1,4-Dichlorobenzene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4,5-Trichlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4,6-Trichlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4-Dinitrololuene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Cresols, Total
A
Sludge
TCLP Semi-Volatiles Analysis (SW131118270)
Hexachlorobenzene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachlorobutadiene
A
Sludge
TCLP Semi-Volatiles Analysis (SW131118270)
Hexachloroetltane
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311I8270)
Nitrobenzene
A
Sludge
TCLP Seri-Volatiles Analysis (SW1311/9270)
Pentachlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SWt31118270)
Pyridine
A
Key
Key
key
NC WW SCM A Accredited
NC WW SCM N Not Accredited
NC WW SCM U
Unavailabl
Original #1
Paae 9 of 30

( Srrmmil Environmental Technologies, i St.
l 3310 fl'i�r S1.
Lu SUMMIT, Cay�alrogaFalls 01do44223
tlraalytlaal tvborvroriot, TEL: [phone] rAX. [phone]
Websire. 1,11v:1Avnay.settek c0m
Accreditation Program
Alla1 teS Report
Y p
WO#: 20121123
29-Dec-20
Client: Synagro
State: NW
Project: OXFORD
Program Name: NG WW SCM
Sample ID Matrix
Test Name
Analyte
Status
20121123-OOIA Sludge
TCLP Volatiles Analysis
I,1-Dichloroethene
A
Sludge
TCLP Volatiles Analysis
1,2-Dichloroethnne
A
Sludge
TCLP Volati les Analysis
2-Butanone
A
Sludge
TCLP Volatiles Analysis
Benzene
A
Sludge
'TCLP Volatiles Analysis
Carbon tetrachloride
A
Sludge
TCLP Volaliles Analysis
Chlombenzenc
A
Sludge
TCLP Volatiles Analysis
Chloroform
A
Sludge
TCLP Volatiles Analysis
Teirachloroethene
A
Sludge
TCLP Volatiles Analysis
Trichlorectlrene
A
Sludge
TCLP Volatiles Analysis
Vinyl chloride
A
Key Key
NC_W%V SCM A Accredited NC_WW SCM N Not Accredited
Key
NC WW SCM U Uuavailab]
Original #1
Page 10 of 30

VMM II
Summit Environmental Technologies, Inc.S
3310 Win St.
r
�� SUMMARY
J Y REPORT
ENVIA0NMENi4L TCCHN0L0 MES
- Cuyahoga Falls, Ohio 44223
Analyrlcal Laboraror�,-s
TEL: [phone] FAX.- [phone]
WO#: 20121123
Website: httn:/frovwrv.settek.com
29-Dec-20
Client:
Synagro
Project:
OXFORD
BatchED: 46992
'ample ID: ME-46992
SampType: MBLK
TestCode: TCLP-VOC-M Units: mg1L
Prep Date: 12/22/2020
RunNo: 121812
;lient ID: PBS
Batch ID: 46992
TestNo: SW8260 SW1311M
Analysis Date: 12/2412020
SegNo: 3134102
�nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
11,1-Dichloroethene
ND
0.250
1,2-Dichioroethane
ND
0.250
MEK
ND
5,00
Benzene
ND
0.250
Carbon tetrachloride
ND
0.250
Chlorobenzene
ND
2.50
Chloroform
ND
0.250
Tetrachloroethene
ND
0.250
Trichloroethene
ND
0.250
Vinyl chloride
ND
0.100
Surr: 4-Bromofluorobenzene
2400
Surr: Dibromofluoromethane
2510
Surr: Toluene-d8
2480
2500 96.0 70 130
2500 100 70 130
2500 99.2 70 130
Sample ID: LCS-46992
SampType: LCS
TestCode: TCLP-VOC-M Units: mglL
Prep Date:
RunNo: 121812
client ID: LCSS
Batch ID: 46992
TestNo: SW8260 SW1311M
Analysis Date: 12124/2020
SegNo: 3134103
\nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,1-Dichloroethene
0.986 0.250
1.00 0 98.6
64.7
136
1,2-Dichloroethane
0.930 0.250
1.00 0 93.0
70
130
MEK
ND 5.00
5.00 0 92.1
55.1
149
Benzene
0.954 0.250
1.00 0 95.4
70
130
Qaatifiers: 13
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 Recove
ry ery outside accepted reco
Page 11 of 30

T
summ-
Summit Environmental Technologies, Inc.
3310WinSr.
QC SUMMARY REPORT
EKVMONMENTALTCCHNOLOC�__
-'
Cuyahoga Fulls, Ohio 44223
Rra81l1Uca! Lab_^ !^�:c
TEL: [phone] PAX. [phone]
W04: 20121123
Websire: htfi:/Avww.settek.com
24 Dec-20
Client: Synagro
Project: OXFORD
BatchED: 46992
Sample ID: LCS-46992 SampType: LCS
TestCode: TCLP-VOC-M Units: mglL
Prep Date:
RunNo: 121812
Client 1D: LCSS Batch ID:
46992
TestNo: SW8260 SW1311M
Analysis Date:
12/24/2020 SegNo: 3134103
Analyte
Result
PQL
SPK value SPK Ref Val
%REC
Lowl-imit HighLimit
RPD Ref Val %RPD RPDLimit Qual
Carbon tetrachloride
1.06
0.250
1.00 0
106
70
130
Chlorobenzene
ND
2.50
1.00 0
98.9
70
130
Chloroform
0.987
0.250
1.00 0
98.7
70
130
Tetrachloroethene
0.984
0.250
1.00 0
98.4
70
134
Trichloroethene
0.972
0.250
1.00 0
97.2
62.8
160
Vinyl chloride
1.10
0.100
1.00 0
110
67.1
130
Surr:4-Bromofluorobenzene
2500
2500
100
70
130
Surr: Dibromofluoromethane
2540
2500
102
70
130
Surr: Toluene-d8
2510
2500
100
70
130
Sample ID: 20121123-001AMS SampType: MS
TestCode: TCLP-VOC-M Units: mglL
Prep Date:
RunNo: 121812
Client ID: OXFORD TCLP Batch ID:
46992
TestNo: SW8260 SW1311M
Analysis Date:
12124/2020 SegNo: 3134111
Analyte
Result
PQL
SPK value SPK Ref Val
%REC
LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
1,1-Dichloroethene
0.946
0.250
1.00 0
94.6
13.6
202
1,2-Dichloroethane
0.896
0.250
1.00 0
89.6
55.7
138
MEK
ND
5.00
5.00 0
90.8
65.3
118
Benzene
0.932
0.250
1.00 0
93.2
49.2
145
Carbon tetrachloride
1.05
0.250
1,00 0
105
26.7
156
Chlorobenzene
ND
2.50
1.00 0
95.6
33.7
159
Chloroform
0.957
0,250
1.00 0
95.7
48.5
145
Tetrachloroethene
0.936
0.250
1.00 0
93.6
19.2
191
Qualifiers: B Analyte detected in the associated Method Blank
E Value above quantitation range
H Holding times For preparation or analt
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 12 of 30

91
3310Win St.
SUMMIT Summit EnvironmenSal Technologies,in St.
QC SUMMARY REPORT
ENVIRONMENTALTECHNOt-OGt£S, =r; -
Cuyahoga Falls, Ohio 44223
Ar[atyricaf Lobo•srori&S TEL: [phone] FAX: [phone]
WO#:
20121123
Website: htan://www.se[tek.com
29-Dec-20
Client: Synagro
Project: OXFORD
BatchID: 46992
Sample 1D: 20121123-001AMS SampType: MS
TestCode: TCLP VOC-M Units: mg1L
Prep Date:
RunNo: 121812
Client ID: OXFORD TCLP Batch ID: 46992
TestNo: SW8260 SW1311M
Analysis Date:
12124/2020 SegNo: 3134111
Analyte Result
PQL SPK value SPK Ref Val
%REC
LowLimit HighLimit
RPD Ref Val %RPD RPDLimit Qual
Trichloroethene 0.953
0.250 1.00 0
95.3
38.4
167
Vinyl chloride 1.12
0.100 1.00 0
112
27.3
161
Surr:4-Bromofluorobenzene 2510
2500
100
70
130
Surr: Dibromofluoromethane 2540
2500
102
70
130
Surr: Toluene-d8 2510
2500
101
70
130
Sample ID: 20121123-ODIAMSD SampType: MSD
TestCode: TCLP-VOC-M Units: mglL
Prep Date:
RunNo: 121812
Client 0: OXFORD TCLP Batch ID: 46992
TestNo: SW8260 SW1311M
Analysis Date:
12124I2020 SegNo: 3134112
Analyte Result
PQL SPK value SPK Ref Val
%REC
LowLimit HighLimit
RPD Ref Val %RPD RPDLimit Qua[
1,1-Dichloroethene 0.983
0.250 1.00 0
98.2
13.6
202
0.946 3.79
25
1,2-Dichloroethane 0.944
0,250 1.00 0
94.4
55.7
138
0.896 5.22
25
MEK ND
5.00 5.00 0
97.4
65.3
130
0 0
25
Benzene 0,975
0.250 1.00 0
97.5
49.2
145
0.932 4.51
25
Carbon tetrachloride 1.07
0.250 1.00 0
107
26.7
156
1.05 1.98
25
Chlorobenzene ND
2.50 1.00 0
98.9
33.7
159
0 0
25
Chloroform 0.995
0.250 1.00 0
99.5
48.5
145
0.957 3.89
25
Tetrachloroethene 0.976
0.250 1.00 0
97.6
19.2
191
0.936 4.08
25
Trichloroethene 0.974
0.250 1.00 0
97.4
38.4
167
0.953 2.18
25
Vinyl chloride 1.15
0.100 1.00 0
115
27.3
161
1.12 2.91
25
Surr:4-Bromofluorobenzene 2490
2500
99.7
70
130
0
25
Surr: Dibromofluoromethane 2570
2500
103
70
130
0
25
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H
Holding times for preparation or anaLv
J Analyte detected below quantization 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 30

ffJ
l! 7rR _
Summit Environmental Technologies, Inc.
-
3370 Win St.
QC SUMMARY REPORT
ENVIFI0f4M XTAL TEC- %Z� L _: , : ,
Cuyahoga Falls, Ohio 44223
TEL: [phone]I Fill:- [phone]
WO#: 20121123
Website: httn:11www.setrek_com
29 Dec-2D
Client:
Synago
Project:
OXFORD
BatchlD: 46992
Sample ID: 20121123-001AMSD
SampType: MSD
TestCode: TCLP VOC-M Units: mglL
Prep Date:
RunNo: 121812
Client ID: OXFORD TCLP
Batch ID: 46992
TestNo: SW8260 SW1311M
Analysis Date: 12124/2020
SegNo: 3134112
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
Surr: Toluene-d8
2540
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
2500 102 70 130 0 25
E Value above quantitation range H Holding times for preparation or anah
M Manual Integration used to detertnine 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 14 of 30

smpw._ _ Summit Environmental Technologies, lnc.
__331oWinSt.QC SUMMARY REPORT
ENYtROCuyahoga Falls, Ohio 44223
- - TEL: [phone] FAY' [phone] WO##: 20121123
Wehsite: h :/1ww wsertek c m
29 Dec-20
Client: Synagro Project: OXFORD
Sample ID: 20121280-001AMS SampType: MS TestCode: SVOC-BNA T Units: m91L
Client ID: SatchQC Batch ID: 46996 TestNo: SW8270 SW3510C
Analyte
1,4-Dichlorobenzene
2,4, 5-Trichlorophenol
2,4,6-Trichlorophenol
2,4-Dinitrotoluene
o-Cresol
Cresols, Total
Hexachloro-1,3-butadiene
Hexachlorobenzene
Hexachloroethane
Nitrobenzene
Pentachlorophenol
Pyridine
Surr: 2-Fluorophenol
Surr: Phenol-d6
Surr: Nitrobenzene-d5
Surr: 2,4,6-Tribromophenol
Surr: 2-FI uorobiphenyl
Surr: p-Terphenyl-d14
Result PQL SPK value SPK Ref Val
SatchED:
Prep Date: 12/23/2020
Analysis Date: 12/24/2020
%REC LowLimit HighUrnit RPD Ref Val
0.517
0.8000 64.7 33.8 126
0.788 0.8000 98.5 28.7 144
0.771 0.8000 96.4 12,8 153
0-752 0.8000 0 94.0 20.4 155
0.620 0.8000 77.5 10 148
ND 1.600 78.0 10 148
0.532 0.8000 66.5 29 130
0.715 0.8000 89.4 33.7 134
0.467 0.8000 58.4 32.8 132
0.563 0.8000 0 70.4 20 158
0.771 0.8000 96.4 10 176
ND 0.8000 28.7 10 130
0.704 1.000 70.4 3.39 130
0.814 1.000 81.4 5 130
0.730 1.000
73.0 14.5 154
1.01 1.000 101 19.5 130
0.846 1.000 84.6 34.4 130
1.10 1.000 110 8.86 156
0,200
0.500
0.500
0.100
0.500
10.0
0.0400
0.100
0.200
0.200
o.5ao
0.500
Qualifiers: 13 Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted mcovery limits
0
0
0
0
D
0
0
0
0
4
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
46996
RunNo: 121831
SegNo: 3134706
%RPD RPDLimit Qua[
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
mQCf
Original
Page 15 of 30
0,200
0.500
0.500
0.100
0.500
10.0
0.0400
0.100
0.200
0.200
o.5ao
0.500
Qualifiers: 13 Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted mcovery limits
0
0
0
0
D
0
0
0
0
4
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
46996
RunNo: 121831
SegNo: 3134706
%RPD RPDLimit Qua[
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
mQCf
Original
Page 15 of 30

.Summit Environmental7'echnpfogies, Inc. QC SUMMARY REPORT
SUMOW6-
3310 Win St,
ENVIRONMENTALTECHNOLCf,, 't- ` Cuyahoga Falls, Ohio 44223
Ar7aly0ca1 Laborato"s TEL: [phone],F'AX.• [phone] WO#: 20121123
Website: http:llwww.sertekcom 29-Dec-20
Chent: Synagro
Project: OXFORD
BatchID:
46996
Sample ID: 20121280-001AMSD
SampType: MSD
TestCode: SVOC-BNA T Units: mg1L
Prep Date:
12/2312020
RunNo: 121831
Client ID: Batch=
Batch ID: 46996
TestNo: SW8270
SW3510C
Analysis Date:
12/24/2020
SegNo: 3134707
Ana[yte
Result
PQL
SPK value
SPK Ref Val
%REC
LowLimit Highl-imit
RPD Ref Val
%RPD RPDLimit Qua[
1,4-Dichlorobenzene
0.635
0.200
0.8000
0
79.4
33.8
126
0.5172
20.5
30
2,4,5-Trichlorophenol
0.870
0,500
0.8000
0
109
28.7
144
0.7880
9.89
30
2,4,6-Trichlorophenol
0,877
0.500
0.8000
0
110
12.8
153
0.7708
12.9
30
2,4-Dinitrotoluene
0.825
0.100
0.8000
0
103
20.4
155
0.7520
9.28
30
o-Cresol
0.738
0.500
0.8000
0
92.2
10
148
0.6200
17.4
30
Cresols, Total
NO
10.0
1.600
0
92.3
10
148
0
0
30
Hexachloro-1,3-butadiene
0.648
0.0400
0.8000
0
81.0
29
130
0.5320
19.7
30
Hexachlorobenzene
0.776
0.100
0.8000
0
97.0
33.7
134
0.7152
8.10
30
Hexachloroethane
0.584
0.200
0.8000
0
73.0
32.8
132
0.4672
22.2
30
Nitrobenzene
0.672
0.200
0.8000
0
84.0
20
158
0.5632
17.6
30
Pentachlorophenol
0,827
0.500
0.8000
0
103
10
176
0.7708
7.01
30
Pyridine
NO
0,500
0.8000
0
35.4
10
130
0
0
30 mQC+
Surr:2-Fluorophenol
0,870
1.000
87.0
3.39
130
0
Sum Phenol-d6
0.978
1.000
97.8
10
130
0
Surr: Nitrobenzene-d5
0.870
1.000
87.0
14.5
154
0
Surr: 2,4,6-Tribromophenol
1.11
1.000
111
19.5
130
0
Surr:2-Fluorobiphenyl
0.932
1,000
93.2
34.4
130
0
Surr: p-Terphenyl-dl4
1.23
1.000
123
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]
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 Otiginal
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 16 of 30

V mm k�,�-�S�_
Summit Environmental Technologies, Inc.
3310 tin St.
QC SUMMARY REPORT
£N:VIRONMENTAL TECHNOLOGi"�
Awiyiical
Cuyahoga Falls. Ohio 44223
TEL: [phone] FAX.- [phone]
WO#: 20121123
Website: htt :1Avww.venek. m
29-Dec-20
Client:
Synagr o
Project:
OXFORD
BatchID: 46996
Sample ID: MB-46996
SampType: MBLK
TestCode: SVOC-BNA T Units: mglL
Prep Date: 12123/2020
RunNo: 121785
Client ID: PBS
Batch 1D: 46996
TestNo: SW8270 SW3510C
Analysis Date: 1212312020
SegNc: 3133120
Analyte
Result
POL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene NO
0.100
2,4,5-Trichlorophenol NO
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-buta6ene NO
0.0200
Hexachlorobenzene NO
0.0500
Hexachloroethane NO
0.100
Nitrobenzene NO
0.100
Pentachlorophenol NO
0.250
Pyridine NO
0.250
Surr. 2-Fiuorophenol 0.764
1,000
76.4
10
130
Surr: Phenol-d6 0.729
1.000
72.9
10
130
Surr: Nitrobenzene-d5 0.761
1.000
76.1
19
130
Surr: 2,4,6-Tribromophenol 0.852
1.000
85.2
10
130
Surn 2-Fluorobiphenyl 0.840
1.000
84.0
22
130
Surr: p-Terphenyl-d14 1.03
1.000
103
34
130
Qualifiers: B Analyte detected in the associated Method Blank
E
Value above quantitation range
H
HoIding times for preparation or ands
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 17 of 30

r0-1�
Summit Environmental Technologies, Inc. UMJV___ ___ ;d 3310Win St. QC SUMMARY REPORT
ENVIRONMENTAL ^-1!J0! - CuyahogaFafls, Ohio44223
%�":'' = = "- - TEL: [phone] FAX. [phone] WO#: 20121123
Website: htt1,.L1Www.settek,com 29-Dec-20
Client: Synagro
Project: OXFORD
Sample ID: LCS- 46996 SampType: LCS TestCode: SVOC-BNA T Units: mg1L
Client ID: LCSS Batch ID: 46996 TestNo: SW8270 SW3510C
Analyte Result PQL SPK value SPK Ref Val
BatchlD: 46996
Prep Date: 12/23/2020 RunNo: 121785
Analysis Date: 12/23/2020 SegNc: 3133121
%REC Lowl-imit Highl-imit RPD Ref Val
1,4-Dichlorobenzene
0.576
0.100
0.8000
0
72.0
36.4
130
2.4,5-Trichlorophenol
0.689
0.250
0.8000
0
86.2
31.7
132
2,4,6-Trichlorophenol
0.681
0,250
0.8000
0
85.1
31.1
133
2,4-Dinitrotoluene
0.703
0.0500
0.8000
0
87.9
43.3
130
o-Cresol
0.642
0.250
0.8000
0
80.2
32.9
130
Cresols, Total
ND
5.00
1.600
0
81.5
31.7
130
Hexachloro-1,3-butadiene
0.560
0.0200
0.8000
0
70.0
31.4
130
Hexachlorobenzene
0.717
0.0500
0.8000
0
89.7
43.1
130
Hexachloroethane
0.553
0.100
0.8000
0
69.1
36.5
130
Nitrobenzene
0.636
0.100
0.8000
0
79.5
39.5
130
Pentachlorophenol
0.791
0.250
0.8000
0
98.9
34
130
Pyridine
ND
0.250
0.8000
0
21.6
10
130
Surr: 2-Fiuorophenol
0.779
1.000
77,9
17.1
130
Surr: Phenol-d6
0.744
1.000
74A
10
130
Surr: Nitrobenzene-d5
0.724
1.000
72.4
32.6
130
Surr:2,4,6-Tribromophenol
0.945
1.000
94.5
4.43
130
Surr:2-Fluorobiphenyl
0.818
1.000
81.8
41.8
130
Surr: p-Terphenyl-d14
1.08
1.000
108
36.4
130
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quamitation limits
ND Not Detected
R RPD outside accepted recovery limits
%RPD RPDLim[t Qua[
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
m
Original
Page 18 of 30

Summit Environmental Technologies, Inc.
3310 Win St,
E nsh, c,?i d rqt TEt:tl at aGtEr. Cuyahoga Falls, Ohio 44223
Arra+i�rlcat LaL+oratortc�.s _ TEL: [phone] FAX..- [phone]
Websire: h ://wwtiv.settelc m
Client: Synago
Project: OXFORD
Sample ID: MS-47029
Client ID: PBS
Analyte
TCLP Mercury
Sample ID: LCS-47029
Client ID: LCSS
Analyte
TCLP Mercury
Sample ID: 20121404-001AMS
Client ID: BatchQC
Analyte
TCLP Mercury
SampType: MBLK
Batch10: 47029
Result
ND
SampType: LCS
Batch ID: 47029
Result
0.00389
SampType: MS
Batch ID: 47029
Result
0.00389
Sample ID: 20121404-001AMSD SampType: MSD
Client ID: gatchQC Batch ID: 47029
Analyte Result
TCLP Mercury 0.00395
TestCode: HG_TCLP(74 Units: PpM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
0.00200
TestCode: HG_TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
0.00200 0,00400 0
TestCode: HG_TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
0.00200 0.00400 0
TestCode: HG TCLP(74 Units: PpM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
0.00200 0.00400 0
Qualifiers: B Analytc detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
QC SUMMARY REPORT
WO#: 20121123
29 Dee-20
BatchED: 47029
Prep Date: 12/28/2020 RunNo: 121864
Analysis Date: 12/28/2020 SegNo: 3135860
%REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
Prep Date: 12/28/2020
Analysis Date: 12/28/2020
%REC Lowl-imit HighLimit RPD Ref Val
97.2 80 120
Prep Date: 12/28/2020
Analysis Date: 12/28/2020
%REC Lowl-imit HighLimit RPD Ref Val
97.2 75 125
Prep Date: 12/28/2020
Analysis Date: 12/28/2020
%REC LowLimit HighLimit RPD Ref Val
98•8 75 125 0.00389
E Value above quantitation range
M Manual Integration used to determine area response
P Second column conf=ation exceeds
R.L. Reporting Detection Limit
RunNo: 121864
SegNo: 3135861
%RPD RPDLimit Qual
RunNo: 121864
SegNo: 3135863
%RPD RPDLimit Qual
RunNo: 121864
SegNo: 3135864
%RPD RPDLimit Qual
1.53 20
H Holding times for preparation or anal,
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Original
Page 19 of 30

Ezzmoplsummr-
SumrniiEnvironmental Technologies, St,
3310 Win St.
QC SUMMARY REPORT
L.
ENVIR0?4MI5NTAL'rEC"':f-'
^. ,'�S, .'—IJ
A�Ta"cof Laboraft.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.- [phone]
WOE: 20121123
Website: http;//www..gettek.com
29-Dec-20
Client:
Synagro
Project:
OXFORD
SatchlD: 47029
Sample ID: 20121404-001AMSD
SampType: MSD
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 12/28/2020
RunNo: 121864
Client ID: Batch QC
Batch ID: 47029
TestNo: SW7470A SW7470A
Analysis Date: 1212812020
SegNo: 3135864
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowiimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sample ID: TCLP Blankl 12-21- SampType: MBLK
Client ID: PBS Batch ID: 47029
Analyte
TCLP Mercury
Result
ND
Sample ID: TCLP Blankl 12-22- SampType: MBLK
Client ID: PBS Batch ID: 47029
Analyte
TCLP Mercury
Result
ND
Sample ID: TCLP Blankl 12-22- SampType: MBLK
Client ID: PBS Batch ID: 47029
Analyte
TCLP Mercury
Result
ND
TestCode: HG_TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
0.00200
TestCode: HG TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
0.00200
TestCode: HG_TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
0,00200
Qualifiers: S Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
Prep Date: 12/28/2020
Analysis Date: 12/28/2020
%REC Lowl-imit HighLimit RPD Ref Val
Prep Date: 12128=20
Analysis Date: 12/28/2020
%REC Lowl-imit HighLimit RPD Ref Val
Prep Date: 12/28/2020
Analysis Date: 12/28/2020
%REC Lowl-imit HighLimit RPD Ref Val
RunNo: 121864
SegNo: 3135968
%RPD RPDLimit Qual
RunNo: 121864
SegNo: 3135969
%RPD RPDLimit Qua]
RunNo: 121864
SegNo: 3135970
%RPD RPDLimit Qual
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 20 of 30

Summit Environmental Technologies, Inc.
3310 Win Sr.SU
SUMMARY QC REPORT
\L
ENVIRONMENTAL TEC,
A77alyrico ='" ^'
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.- [phone]
WO#: 20121123
Website: htm:11www., e&k,gom
29-Dec-20
Client:
Synab o
Project:
OXFORD
BatchID: R121658
Sample ID: CHECK 7
SampType: LCS
TestCode: pH_S(9045D) Units: s.u.@20.6C
Prep Date:
RunNo: 121658
Client ID: LCSS
Batch ID: R121658
TestNo: SW9045D
Analysis Date, 12/22/2020
SegNo: 3129603
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit Highl-imit RPD Ref Val
%RPD RPDUmit Qual
pH
7.0
7.0 0 101 90 110
Quali£ers: 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 fntearation 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 21 of 30

P411
Summr
Summit Errvironmental Technologies, Inc.
3310 Win St.
QC SUMMARY REPORT
Cuyahoga Falls, Ohio 44223
A yalyr;CaJ 1 �bar�lortc.
TEL: [phone] FAX.- [phone]
WO#: 20121123
Website: http:/1yLtpv,senek.co7n
29-Dec-20
Client:
Synagro
Project:
OXFORD
BatchED: R121658
Sample ID: 20121292-001ADUP SampType: DUP TestCode: pH_Oil(9045D Units: s.u.@20-3C Prep Date:
Client ID: SatchQC Batch ID: R121658 TestNo: SW9045D Analysis Date: 12/22/2020
Analyte
pH
Result PQL SPK value SPK Ref Val
6.5 0
%REC LowLimit HighLimit RPD Ref Val
0 6.5
RunNo: 121658
SegNo: 3129871
%RPD RPDLimit
0.3 10
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
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Qual
Original
Page 22 of 30

SU MM l Summit Environmental Technologies, Inc.
QC SUMMARY REPORT
3.�10 Win St.
_
ENVIRONMENTALTECt1HOLO0!--
Cuyahoga Falls, Ohio 44223
Anatyticaf Laboratories TEL: [phone] FAX- [phone]
WO#: 20121123
1T'ebsite: httn:1/wwwsettek.com
29-Dec-10
Client: Synagro
Project- OXFORD
SatchED:
R121658
Sample ID: LCS-R121658 SampType: LCS
TestCode: pH_NPW(450 Units: s.u.@20.9C
Prep Date:
RunNo: 121658
Client ID: LCSW Batch ID: R121658
TestNo: SW9045D
Analysis Date:
12/2212020
SegNo: 3129592
Analyte Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit
RPD Ref Val
%RPD RPDLimit Qual
PH 7.0
7.0 0 100
98.6
101.4
Sample ID: 20121133-001DDUP SampType: DUP
TestCode: pH_NPW(450 Units: s.u.@20.3C
Prep Date:
RunNo: 121658
Client 1D: BatchQC Batch ID: R121658
TestNo: SW9045D
Analysis Date:
1212212020
SegNo: 3129594
Analyte Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit
RPD Ref Val
%RPD RPDLimit Qual
PH 6.9
7.0
0.3 5 H
Sample ID: CHECK 7
SampType: LCS
TestCode: pH_NPW(450 Units: s.u.@20.4C
Prep Date: RunNo: 121658
Client 1D: LCSW
Batch ID: R121658
TestNo: SW9045D
Analysis Date: 12/2212020 SegNo: 3129878
Analyte
Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual
PH
7.0
7.0 0 101
98.6 101.4
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantization 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 23 of 30

Summit Envirpnmental Technologies, Itta
sm"11-3310 Win St.
EtiYIROEC. C oho a F
r4narytfeal Labar�Farses u 8 alls, Ohio 44223
TEL: [phone] FAX.- [phone]
Websfte: htn7,y1W nv..aettek com
Client: Synagro
Project: OXFORD
Sample ID: LCS-R121667
Client 10: LCSS
Analyte
!`lashpoint (140T)
QC SUMMARY REPORT
WO#: 20121.123
29-Dec-20
BatchED: R121667
SaMPType: LCS TestCode: FlashPt_S(10 Units: °F
Prep Date: RunNo: 121667
Batch ID.-R12166T iestNo: SW1010
Analysis Date: 12/22/2020 SegNo: 3129396
Result PQL 5PK value 5PK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
139 140.8 0 98.7 98
102 2
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range
M Manual Integration used to determine area .response
P Second column confirmation exceeds
RL Reporting Detection Limit
H Holding times for preparation or anal,
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Original
Page 24 of 30

u MW Summit Environmental Technologies, Inc.
3310 Win St.
QC SUMMARY REPORT
ENVIRO?IIJENTgL T$CMUOI,C .
Cuyahoga Falls, Ohio 44223
��at;" ' ;aboretaries TEL: (330)
253-8.211 FAX.- [phone]
WO#: 20121123
Website: hM:IAw ,settekeom
29-Dec-20
Client: Synagro
Project: OXFORD
BatchID: R121675
Sample ID: MB-R121675 SampType: MBLK
TestCode: Sulflde,React Units: mg/Kg
Prep Date:
RunNo: 121675
Client ID: PBS Batch 10: R121675
TestNo: SW9034
Analysis Date:
12/2112020 SegNo: 3129617
Analyte Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit
RPD Ref Val %RPD RPDLimit Qual
Sulfide, Reactive ND
25.0
Sample ID: LCS-R121675 SampType: LCS
TestCode: Sulfide,React Units: mg/Kg
Prep Date:
RunNo: 121675
Client ID: LCSS Batch ID: R121675
TestNo: SW9034
Analysis Date:
12/21/2020 SegNo: 3129618
Analyte Result
PQL SPK value SPK Ref Val %REC
Lowl.imit HighLimit RPD Ref Val %RPD RPDLimit Qual
Sulfide, Reactive 3020
25.0 3080 0 98.1
85
115
Sample ID: 20121170-OOIAMS SampType: MS
TestCode: Sulfide,React Units: mg/Kg
Prep Date:
RunNo: 121675
Client ID: BatchQC Batch ID: R121675
TestNo: SW9034
Analysis Date:
12/21/2020 SegNo: 3129629
Analyte Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
Sulfide, Reactive 2980
25.0 3080 0 96.8
80
120
Sample ID: 20121170-001AMSD SampType: MSD
TestCode: Sulfide,React Units: mglKg
Prep Date:
RunNo: 121675
Client ID: BatchOC Batch ID: R121675
TestNo: SW9034
Analysis Date:
12/21/2020 SegNo: 3129630
Analyte Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
Sulfide, Reactive 2860
25.0 3080 0 92.9
80
120 2980 4.11 30
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times For preparation or analN
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 Orr -final
R RPD outside accepted recovery limits
RL Reporting Detection Limit
S Spike Recovery outside accepted reco
Page 25 of 30

SummiSummit
t
Environmental Technologies, Inc.
3310 Win St.
SUMMARY SUMMARY1SUMMARY REPORT
ENVIRONMENTALTEGHNOLOGIES. : .
Cuyahoga Falls, Ohio44223
tl patytical l.,aporatar r,,s
TEL: [phone] FAX.- [phone]
WO#: 20121123
Website: http://wv n .senek.com
29-Dec-20
Client:
Synagro
Project:
OXFORD
BatchID: R121675
Sample ID: 20121170-001AMSD SampType: MSD TestCode: Sulfide,React Units: mg/Kg
Client ID: SatchOC Batch 1D: R121675 TestNo: SW9034
Analyte
Result PQL SPK value SPK Ref Val
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
Prep Date:
Analysis Date: 12121/2020
%REC Lowl-imit HighLimit RPD Ref Val
RunNo: 121675
SegNo: 3129630
%RPD RPDLimit Qual
E Value above quantitation range H Bolding times for preparation or anall
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 26 of 30

Summit Environmental Technologies, Inc.
3310 Win St. QC SUMMARY REPORT
7ZG:;.%CoL - Cuyahoga Falls, Ohio44223
., Anadyticc! L5^.n'a WO#: 20121123
TEL [phone] F.4X {334) 253 4489
Website: h""11Wwrv.seaek.c0m 29-Der-20
Client: Synae o
Project: OXFORD BatchED: R121688
nple ID: Blank
SampType: MBLK
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 121688
!nt ID: PBS
Batch ID: R121688
TestNo: SW9014
Analysis Date: 12/21/2020
SegNo: 3129958
Ilyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua
Cyanide, Reactive ND 0.500
Sample ID: LCS
SampType: LCS
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 121688
Client ID: LCSS
Batch ID: R121688
TestNo: SW9014
Analysis Date: 12/21/2020
SegNo: 3129959
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive 9.43 0.500 10.00 0 94.3 85 115
Sample ID: RLCheck
SampType: RLC
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo, 121688
Client ID: Batch=
Batch ID: R121688
TestNo: SW9014
Analysis Date: 12/2112020
SegNo: 3129961
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua]
Cyanide, Reactive 0.528 0.500 0.5000 0 106 65 135
Sample ID: 20121170-001AMS
SampType: MS
TestCode: Cyanide,Rea Units: mg1Kg
Prep Date:
RunNo: 121688
Client ID: Batch=
Batch ID: R121688
TestNo: SW9014
Analysis Date: 12/21/2020
SegNo: 3129973
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive 8.71 0.472 10.00 0 87.1 75 125
Qualiifiers: B Analyte detected in the associated Method Blank
7 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 anah
M Manual lnteg ation used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spine Recovery outside accepted reco
Original
Page 27 of 30

summnSr<mmitEnvironmenIalTechnologies. Inc. SUMMARY REPORT
- 3310 Win St. QC SU
EN+flM0NMEN-rAL.rECHH0L0G�sS. *,^ Cuyahoga Falls, Ohio44223
Ar7alytical4hbarafarles 7E'L. [phone] F.4X.• [phone] WO#: 20121123
Website: http,-11w-w.settekco7n 29-Dec-20
Client: Synagr4
Project: OXFORD BatchID: R121688
Sample ID: 20121170-OOIAMS
SampType: MS
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 121688
Client ID: BatchQC
Batch 10: R121688
TestNo: SW9014
Analysis Date: 12/21/2020
SegNo: 3129973
Analyte
Result
PQL SPK value ' SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDL]mit Qua]
Sample ID: 20121170-001AMSD SampType: MSD
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 121688
Client ID: BatchQC Batch ID: R121688
TestNo: SW9014
Analysis Date:
12/21/2020 SegNo: 3129974
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qua[
Cyanide, Reactive
9.41
0.500 10.00 0 94.1
75
125 8.706 7.78 10
Qualifiers: B
Analyte detected in the associated Method Blank
E Value above quantitation range
H Holding times for preparation or anab
.1
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 30

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AzWyticat,Panmetm and Methods Requested
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' i � SirnurrirGavirorurreafaf Teclurologies, Irrc.
V
3310 Win Si.
VIVIRON04ENrAt. TECIiNO1..Otii' S, :;1: Crry'al,oga rails, Oltfo 44223
- n+,aryr;car I nhnr,�trrrfPsTEL: Sample Log -In Check List
(330) 253-82I1 FAX- [phone]
Websfre: hyp: /jvrvrs,.settekconr
Client Name: SYN-NC-27028
Work Order Number: 20121123
- - - - - - -
RcptNo: 1
Logged by: Christina N. Jager
12118/2020 10:20:00 AM C.
Completed By: Christina N. Jager
12/18/2020 12:58:46 PM ti
Reviewed By: Jennifer Woolf
12/18/2020 2:05:46 PM
- -
Chain of Custod
1. Is Chain of Custody complete?
Yes No ❑
Not Present ❑
2. Row was the sample delivered?
FedEx
Lop In
3, Coolers are present?
Yes V No ❑
NA ❑
4, Shipping container/cooler in good condition?
Yes No ❑
Custody seals intact on shipping container/cooler? Yes ❑ No ❑
Not Present U
No. Seal Date:
Signed By:
5. Was an attempt made to cool the samples?
Yes
No ❑
NA ❑
6. Were all samples received at a temperature of >01 C to 6.0*C Yes No ❑
NA ❑
7, Sample(s) in proper container(s)?
8. Sufficient sample volume for indicated test(s)?
g. Are samples (except VOA and ONG) property preserved?
10. Was preservative added to bottles?
11. Is the headspace in the VOA vials less than 114 inch or 6 mm?
12. Were any sample containers received broken?
13. Does paperwork match bottle labels?
(Note discrepancies on chain of custody)
14. Are matrices correctly identified on Chain of Custody?
15. Is it clear what analyses were requested?
16. Were all holding times able to be met?
(If no, notify customer for authorization.)
Special Handling 17f a iGable)
17 Was client t•f d
Yes
Yes
Yes
Yes ❑
Yes ❑
Yes ❑
Yes
Yes
Yes
Yes
No ❑
No ❑
No ❑
No 0
No ❑
No
No ❑
No ❑
No ❑
No ❑
NA ❑
No VOA Vials 0
- no i Ee of all discrepancies vath [his order? Yes ❑
- - - No ❑ NA 0
Person Notified:
- - - Date: �-- - - --- -- .
By Whom: - - - -
Via: ❑ eMatl Phone ❑ Fax ❑ In Person
Regarding: �� . -- - - - - - ---- -- -
Ctient-
18, Additional remarks: - - - - - - -
Cooler Information
Cooler No Ternp °C Condition1Seal intact _Seal No Seal Date Si7!l�
L6 Good Not Present ---- J
Panes qn of qn

State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
Dlvlslon of Water Resources 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 A licant shall submit one or! inal and two co !es of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-DischyL a —Permitting Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or othe
r type on forni)in (FORM accordance
RLAP 06-16 or FORM. SDR 06- �) not submit this certification for review
without a corresponding pp
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation fisted
below.
A. Land Application Site Certification (FORM: LASC 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-1form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments)
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® For new or renewed permits, submit the requested information for all land application sites.
® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
13. Land Application Site Information:
®his residuals !and application program must be provided in table i, The
The status of the land application site with respect to t
status categories and their corresponding codes are as follows:. Transferred {T} 4 Deleted (D)
♦ New (N) ♦ Renewed (R) ♦ Modified (M)
Attach the following in accordance with each status code:
Page I of 3
INSTRUCTIONS FOR FORM: LASC 06-16

l�
FOR.
�l
* This item may be required for land application site with a status code "W', 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) acid their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EX 1)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
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: htt:Ilde .nc. ov/about/divisions/water-
resources/ llanninp,/classification-standards/classifications
❑ 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:
lift :llde .nc, ov/contact/re ional-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 USG topographical map (an 8.5 x 1I-irich sheet showhig tine 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 Maine" as the Waterbody name.
3. Open the link htt ://de .tic. ov/abouUdivisions/water-resources/ lannin 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
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper Iocation 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 tiie waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the namc of the identified waterbody (from General Directions) on tiie 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 91QHi).
❑ 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 Arens
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
Pasouotank River Basin
Streams entering Georgia 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. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
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 drainate 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 name: City Of Oxford
Land application sites currently certified: 510.7 net acres and Total to be certified: 364.2 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Predominant
Soil
Series NamO
Mapping Unit
Status
Site/Field Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Code'
ID
or Rep. Slope'
D
C-GR-2-2 Morton, James Thomas
38.4
Granville
Fescue
VaB - Vance
D
NC-GR-2-3 Morton, James Thomas
36.9
Granville
Fescue
CaB - Cecil
D
NC-GR-2-4 Morton, James Thomas
23.1
Granville
Fescue
CaB — Cecil
D
NC-GR-2-5 Morton, James Thomas
9.9
Granville
Fescue
CaB - Cecil
D
NC-GR-3-1 Wiliford, John C.
39.2
Granville
Fescue
LmB - Lignum
R
NC-GR-1-1 Thorp, Henry N
46.1
Granville
Fescue
Geb - Georgeville
R
NC-GR-4-1 Denny. Edward B. & Denny. Toni H
12.1
Granville
Fescue
GeB - Georgeville
R
NC-GR-4-2 Denny, Toni H
8.5
Granville
Fescue
GeB — Georgeville
R
C-GR-4-3 Denny, Edward B. & Denny. Toni H
52.5
Granville
Fescue
GeB — Georgeville
R
NC-GR-13-1 Morton, Herbert P.
11.7
Granville
Fescue
GeB — Georgeville
R
NC-GR-13-2 Morton, Herbert P.
13.2
Granville
Fescue
Geb -- Georgeville
R
NC-GR-13-3 Morton, Herbert P
8.5
Granville
Fescue
Geb — Georgeville
R
NC-GR-13-4A Morton, Herbert P.
10.1
Granville
Fescue
GeB — Georgeville
R
NC-GR-13-4B Morton, Herbert P.
7.6
Granville
Fescue
GeB — Georgeville
R
NC-GR-13-5 Morton, Herbert P.
4.2
Granville
Fescue
EnB — Enon
R
NC-GR-13-6 Morton, Herbert P.
4,7
Granville
Fescue
EnB — Enon
R
NC-GR-13-7 Morton, Herbert P.
19.2
Granville
Fescue
EnB — Enon
R
NC-GR-13-8 Morton, Herbert P.
7.8
Granville
Fescue
EnB — Enon
R
NC-GR-13-9 Morton, Herbert P.
19.7
Granville
Fescue
EnB — Enon
R
NC-GR-60-1 Red Hill Plantation LLC
Isley, Steven J.
43.3
Granville
Fescue
IrB — Iredell
R
NC-GR-60-2 Red Hill Plantation LLC
Isley, Steven J.
31.9
Granville
Fescue
LmB — Lignum
R
NC-GR-60-3 Red Hill Plantation LLC
Isley, Steven J.
16.2
Granville
Fescue
EnB — Enon
P
FORM: LAI 06-16 Page e 1

LAND APPLICATION SITE CERTIFICATION
R
NC-GR-60-4
Red Hill Plantation LLC
Isley, Steven J.
11.9
Granville
Fescue
EnB -- Enon
R
NC-GR-60-5
Red Hill Plantation LLC
Isley, Steven J.
11.7
Granville
Fescue
EnB — Enon
R
NC-GR-60-6
Red Hill Plantation LLC
Isley, Steven J.
7.2
Granville
Fescue
EnB —Enon
R
NC-GR-60-7
Red Hill Plantation LLC
Isley, Steven J.
16.1
Granville
Fescue
EnB - Enon
a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) • D (Deleted)
b Soil Series Name (i.e. Applinb, 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 trapping unit is CeB2)
H. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction Q:
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
°
NAD 83
ADD
Nearest Second
° ' it
° ' ff
NAD 83
ADD
Nearest Second
° ' FF
° ' "
NAD 83
ADD
Nearest Second
°ri
° it
NAD 83
ADD
Nearest Second
°
° F,NAD
83
ADD
Nearest Second
° '11NAD
83
ADD
Nearest Second
°
° ' ff
NAD 83
ADD
Nearest Second
° ' ff
° ' "
NAD 83
ADD
Nearest Second
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
P
FORM: LA'-'" 06-16 ane 2

L�

SITE SUMMARY
City of Oxford (WQ#0011244)
Site ID: NC-GR-1
Owners Name: Henry N. Thorpe
Address: 5676 Old Roxboro Rd.
Oxford. N.C. 27565
Phone: [phone] home
[phone] mobile
Operator: Same
Granville Co.
Estimated RYE -based Latitude &
Applicable Annual Predominant Longitude
c:.. i.e.. Anne fl. M&I RAN I imitc (WArt.0 S01I SP. rIAS [D.M.81
36,19.36 N
1
46.1
Fescue(pasture)
158
Georgeville(GeB)
78,44.28 W
Fescue ha
211
TOTAL 46.1
Notes:
uate: 01/15121

State of North Carolina
11WR Department of Environmental Quality
Division of Water Resources
Division of Water Resources ISA NCAC 02T.1100—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 ih fornhation, visit lite Water Quality Perutittihtg Sectioht'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 S residuals (may include water hteatment plant or other type residuals) hi 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):
Qf Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) fonn. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attaclunents to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
[� Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: City Of Oxford
hereinafter referred to as the Permittee, to land apply residuals from the following facility0es) 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
Land Use or
Intended Use of Crops
Residuals Source
o tional
(optional)
Special note
(no-tilllover-seed/
(yes/no)
Cropping Patterns
pasture)
NC-GR-1-1
N
FESCUE (PASTURE)
Animal Food
City Of Oxford WWTP
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division'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 0 6- 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 tie terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section Il) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDPNR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transrer 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 time land
application site(s).
6. The Pcrmittec has provided the landowner or his representative with information and data concerning (lie 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. Tile Permittec 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 sail p1 I 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 tie 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 iris 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 tie 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 ror 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 (lie Permittee and/or the landowner or his representative to control public access to the land application
sitc(s) during active use and for the 12-month period following it residuals land application event. Such controls may include tiie posting of
signs that indicate the activities being conducted at (lie land application site(s).
2. Animals shall not he 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 hired shall not be harvested fora 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 tlhe soil.
6. Food crops with harvested pails below the surface of time 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. Turrgrown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
I ll. 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 tie 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;
ER A re -defined compliance boundary is needed for field(s) ID: GR-I-I
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
W.ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application 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 progranm and transferred
into the new nroRrain:
(Name of the new program)
FORM: IAA 06- l6 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application sitc(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application sites) on behalf of the
deeded landowners. I certify that the above -referenced land application 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 pennission to the Pennittee to land apply residuals to the land application site(s) as specified
herein. j
Landowner name: HEj" ! V .
Address: 5616 0L-0 I OX(30"
City: 0 V-0 o State: d V, Zip: 2 7565-
Phone: �� 561 E-mail address: A114
Signature: _Date:
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that KI m N. r fy
personally appeared before nie this day and acknowledged the due execution of the forgoing instrulnent/-'`
WITNESS my hand and official seal this the rli?t!`�m for.
day of Aov, 20 Z s NOTARY '
Signature and seal:
W (.Of)C-LAN n PUBLIC ; Z
i
ti i
qbL
My commission expires: l b! I ��i�N /+ny
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
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:
L RNT-1-
Date: I I I ti V2
FORM: LOA 06-1 G
Page 3 of 3

U'
r �aju�ys�
a
a _
-- CO
Uj
co
Old R0
or Ra co
late Rd 1304
5�R1
ay
a ale Rd 1 " o0
Cc
� Cl)
n
a � a
a SfafsRa
s@ U
a f De n d co Joe �rz`�fl Rd Sfd�
f _ �
o f
¢ Bo ante d'o
7
G
Q� D Far Rd b
L n v =
0
Q
d 1�� w fate - QQ
f- Rd 11m late Rd 116
Lue Averette
caco
4
d a f �
Rd!/ri
/ a
r o Ch �
�
atOj
\` d, t D
(all locitiotls approximate) I inch = 7,500 feet

r -ate v
l ,
�1 ir; �'i xy
•��, , � ftr EMI" �.,
' /I J r .l^# - 'I'r tit�rtf!�•! /rt 5��l,
Sid !' � J � ' • l/(; ! , , '•
1`y
rf R Yr ,
tl oA,r,
f t111 �� t r• r ! i
i
1 inch = 660 feet
Legend
(all locations approximate)
-' -"- Stream ApplicationArea O SoilDescription
The compliance boundary is established at
-- Drain ❑ OnSiteHouse Unsuitable either 250 feet from the residuals application
/ area or 50 feet within the property boundary,
Pond ❑ OffSiteHouse ® OffSiteHouse Qhffi &er is closest to the application area.
The review boundary is established midway
x e x - Fence Outbuilding between the compliance boundary and the
perimeter of the residuals application area.
® PropertyLine "0, Well Feet
^ r2 01 0 230 460 920 1,380 1,840
n -

TOPO hie Mal
' ' 11 ,' •, ` ' �4•" ! �•! `� { l ' �I � Y~� • l
Is
�X
OU
46
...,
r-
i
�d C�N tr 01 (all locations approximate)
9 inch = 1,000 feet

CUMULATIVE METAL LOADING 3SIAC) AS OF 12/31/2020
The cumulative metals for this report come from HISTORY records (i.e, the monthly monitoring process has been completed for the State and County where the Fields are located)
In cases where a trace metal lab result was Not Reported to Synagro or tracking of metal loading was Not Required the loading on the report is displayed as "NR"
FIELDID Last Date Applied AS CD CR
CU PB HG MO MI SE NG-GR-00001-0-0001- 10/25/2019 0.22574 0.08935 2.81374 19.20267 1.62887 0.03217 0.54794 0.90362 0.67726 110..110476
Report OatelTime: 1/15/2021 2:20:07 PM
page 1 of 1

• J•YT 1}
■
J _ L •
Jim.■.
NO
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�. f •�• •.r Li
rl.: r F r
IN ti_ r 0 •J
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1• •_
No NO 0
■• ■ i• ..• ■ 4 ■ r— r •
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No No . }1 • ■ ti • ■ 1 .• L■ •
No ■� - •. •.. •--• ■� -■. 1 NO� • • ■ 1
■ . • . . . ■ ■
Mis
NO 0
.. .1
■ NO
1 1
PENN
7M0 0 __ 7 ■ L ■
_ I.N. .. _ .• •• NNE..i 1 •_ ■ �._ ram. •
r... .T
ti f_■ r r• r• 110 ••�.

Site ID:
Owners Name:
Address:
Phone:
Operator:
Estimated
Applicable
Pialria Aerac
SITE SUMMARY
City of Oxford (WQ1l0011244)
N C-G R-4
Edward B. Denny Toni H. Denny
6633 Old Roxboro Rd. 6633 Old Roxboro Rd.
Oxford, N.C. 27565 Oxford, N.C. 27565
(919) 6904259 mobile
[phone] home
[phone] farm office
Same
Granville Co.
RYE based
Annual
Crmiki PAN Limits ❑blaclvri
Edward B. Denny
Latitude R
Predominant Longitude
Soil Series (D.M.S)
36.21.41 N
1
12.1
Fescue(Hay)
211
Georgeville(GeB)
78.46.46 W
fescue Pasture
158
36.21.49 N
2
8.5
Fescue(Hay)
211
Georgeville(GeB)
78.46.33 W
Fescue Pasture
158
36.21.59 N
3
52.5
Fescue(Hay)
211
Georgeville(GeB)
78,46.32 W
Fescue Pasture
158
TOTAL 73.1
Notes:

6-i` -1
DW
I
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — 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 tine 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
sunporti_ue documentation
For more information, visit the lVater Quality Permitting Section's Not -Discharge Perrnifligg 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 (FORM: LOA 06-16):
Submit tine completed and appropriately executed Laud Application Site 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.
Wn 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 Iandowner 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: City Of
hereinafter referred to as the Permittee, to land apply residuals from tine 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)
NC-GR-4-1
N
fescue (Pasture)
Animal Food
City Of Oxford WWTP
NC-GR-4-2
N
Fescue (Pasture)
Animal Food
City Of Oxford WWTP
NC-GR-4-3
N
Fescue (Pasture)
Animal Food
City Of Oxford WWTP
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall 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.
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 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 terns 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) arc met,
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application sitc(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives fill 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 tine 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 sitc(s).
11. The landowner or his representative will inform the Permittee of ally revisions or modifications to the intended use and cropping patterns for
time 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, (lie 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 tine 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 tine 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:
L 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 tine 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 he harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of tile [and shall not be harvested for a 20-month period following a residuals lard application
event when the residuals remain on tine land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. 'Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
IILALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
1 5A NCAC 02L ,0107(d) prohibits water supply wells within the compliance boundary. however, 15A NCAC 02T .0 105h 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: GR-4-1, GR-4-3
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ 'I'lte [and 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 sites) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other pennitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, 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: 6 J 00 � o! orao
City: © k State: (V G Zip: 2 755
Phone: (7 5 6 E-mail address: O
Signature: Date: _ 21
NORTH CAROLINA, CYfl4WILLE COUNTY r! /�
I, the undersigned Notary Public do hereby certify that 7 v ^r t fN. )0emi }�
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the ! ,C7if
day of `1l�NU Z1 ,�``�%,`G�p 11 AI
20
Signature and seal: AN
7
`Z
My commission expires: /6 /z4 _ Na 03L\G '
Lessee's/Operator's Certification: %g2lgNCE GOJ.•`'
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: �pw FivN�'
Address: O QLp
City: 0)(FO V F State: (, Zip: S65
Phone: 6 rq 3' 560 f E-mail address: A4
Signahrre: Date:
Perroittee'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: A.I L,
Signature:
Date: 111 %1 Z1
FORM: LOA 06-16
Paee 3 of 3

0)
s
I s
?.
Ib �h15
a �
m J�Henry F rtf Sta
o tic �yt.
Walnut Grove Rd Z a 1�2 tiL
_ y
L
Shams Ro ySlo�R� ,��
rye.
S
o`9lf n � i9fi'
�a 73
`aeRd 1
a -
a (�°� fdf� o n
K
tia r
0/d l30 `ale
or R a 5
y
fate Rd 7304
s,J
a.
stal�cy / J a
a De n d U
� u
Q Bo1 a,rie �d 4 W
a1143
sta fiCl7� IN
�A
e°Pi
a�
Rd
er�y a
ti
J
Far Rd
a
LO
h
r
o-
� U
Q
fate Rd 115,
10
(10 ¢d afe
Rd y 55
(all locations approximate)
vi awk y Map)
4
D a
[ate Rci � ti
w
Rd d p�CP
w
3
a
� m
O
a fate Rd 9i6
y
CO
m
L
or�
a
v
eekRd
C) �-
7snn t- F

{
-77
Legend
1 ir;'ch = 660 feet
(all locations approximate)
Stream
� ApplicationArea
� Well
The compliance boundary Is established at
'— "— Drain
■
OnSiteHouse
O SoilDescription
either 250 feet from the residuals application
area or 50 feet within the property boundary,
Pond
Church
Unsuitable
whichever Is closest to the application area.
The review boundary Is established midway
x — x - Fence
®
OffSiteHouse
Outbuilding
between the compliance boundary and the
perimeter of the residuals application area.
i' PropertyLine
VC -CAR-04
Feet
0 230 460 920 1,380 1,840

T© jog ra� uhk d_ftq)
01f LA ,.
1
1 �
.` ON
r
1
S �
(all locations approximate) I inch = 1,000 feet

CUMULATIVE METAL LOADING i-BS/AC) AS OF 12/31/2020
The cumulative metals for this report come from HISTORY records (i.e. the monthly monitoring process has been completed for the State and County where the Fields are located)
In cases where a trace metal lab result was Not Reported to Synagro or tracking of metal loading was Not Required the loading on the report is displayed as "NR"
FIELDID
Last Date Applied
AS
CD
CR
CU
PS
HG
MO
Ni
SE
ZN
NG-GR-00004-0-0002-
06/24/2019
0.23275
0.07387
2.15159
14.21356
0.77922
0.02334
0.27919
0.77749
0.28766
57.90515
NC-GR-00004-0-0003-
06/18/2019
0.17476
0.05537
1.69752
11.47207
0.60180
0.01747
0.21331
0.58071
0.26934
47.59523
Report Date/Time: 1/15/2021 2:21:41 PM Page 1 of 1

SITE SUMMARY
City of Oxford (WQ#00112")
Site ID:
NC-GR-13
Owners Name:
Herbert Morton, Jr.
Address:
PO Box 1564
Oxford, NC 27565
Phone:
[phone] Work
[phone] Mobile
Operator:
Same
Granvllie County
Estimated RYE -based Lalltude &
Applicable Annual Predominant Longitude
Fields Acres Cronlsl PANT Limits flhf H rl Soil -0—iac rn " at
1
11.7
Orchard Grass(Hay)
169
Georgeville (GeB)
36.28.12 N
Orchard Grass(Pasture)
126
78.31.43 w
2
13.2
Orchard Grass(Hay)
169
Georgeville (GeB)
36.28.12 N
Orchard Grass Pasture
126
78.32,02 W
3
8.5
Orchard Grass(Hay)
169
Georgeville (GeB)
36.28.17 N
Orchard Grass(Pasture)
126
78.31.34 W
4A
10.1
Fescue (Hay)
211
Georgeville (GeB)
36.28.49 N
Fescue Pasture
168
78.30.34 W
4B
7.6
Orchard Grass(Hay)
169
Georgeville (GeB)
36,28.59 N
Orchard Grass(Pasture)
126
78.30.38 W
5
4.2
Soybeans
130
Enon (EnB)
36.21.26 N
Com Grain
114
78.33.25 W
6
47
Soybeans
130
Enon (EnB)
36,31,20 N
Corn Grain
114
78,33.19 W
7
19.2
Soybeans
130
Enon (EnB)
36-31.25 N
Com Grain
114
78.33.10 W
8
7.8
Soybeans
130
Enon (EnB)
36,31.13 N
Corn Grain
114
78,33.03 W
9
19.7
Soybeans
130
Enon (EnB)
36.31.15 N
Corn Grain
114
78.32.55 W
TOTAL 106.7
Notes
Date: 01/15/21

6 f'- )3 State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
15A NCAC 02T .1100 — LANDOWNER AGREEMENT
Division 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 A licaut shall submit one original and two copies of the HOPHS2110H and
supportima documentation
For more information, visit the 11'ater Quality Permitting Section's Non -Discharge Permilling 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 l SA NCAC 02T . l 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):
Submit the completed and appropriately executed Land Application Site 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 file attachments are numbered to correspond to the section and item to which they
refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessceloperator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: City Of Oxford
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following bind
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Special note
Leese Land Use or Residuals Source n Special n seed!
Sitelrield ID Intended Use of Crops o tional
(yes/no) Cropping Patterns (optional) posture)
NC-GR-13-1,2,3 N rescue (Hay) Animal Food City Of Oxford WWTP
NC-GR-13-4A N rescue (Pasture) Animal Food City Of Oxford WW'TP
NC-GR-13-4B N rescue (Pasture) Animal Food City Of Oxford WWTP
NC-GR-13-5,6,7,8,9 N Row Crop Animal Food City Of Oxford WWTP
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division'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 t 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 tine 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 it) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-16I7.
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 iufornnation 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 tine 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 die 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 sitc(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 tine land application site(s) at any reasonable time for the purpose of detennining
compliance with tine permit; establish monitoring facilities oil or near the land application site(s) as required by the permit; copy any records
that must be kept tinder the terms and conditions of tine permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
J. RF,STRICTIONS:
I. Appropriate measures must betaken 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 tine land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period followhng 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 residuaWsoil mixture and are totally above the land surface shall not be harvested for a 14-ninth
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested fora 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 ]and application
event when the residuals remain on the land surface for less (ban four months prior to incorporation into tine soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals Iand application event.
IILALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105fh1 allows tine 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 tine newly -established compliance boundary. Please mark one of the following;
[ A re -defined compliance boundary is needed for field(s) ID: GR-13-4A, GR-13-4B, GR-13-5, GR-I3-6
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to file 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 tinder another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the fields) be removed from the previously permitted residuals land application program and transferred
into the new aroaram:
(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 tine 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: E l f "r OR*41I
Address: CO. 0�(
r
City: r-`/ State:
Phone: q 1 ci - 6q-nnai[
Signature:
Zip: 2 756 S
Date: 0
\r I I r
NORTH CAROLINA, t�kl:; COUNTY
I, the undersigned Notary Public do hereby certify that {-
personally appeared before me this day and acknowledged the due execution of [lie forgoing instrument.
WITNESS my hand and official seal this the �T ��.�`GO�PE����''%,�
day of �ahN 4 fty 2o 24
�.���� Gomm.
Signature and seal: v _
NOTARY '
U'
1 '
My commission expires: - 2q
Lessee's/Operator's Certification:
1
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:
Phone: E-mail
Signature:
Permittee's Certification:
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: A m i_ `—tom
Signature: Date: 1 y a
FORM: LOA 06-16 Page 3 of 3

I
%/10IAII-rk/ nAA"
GRAPHIC SCALE
I" = 4,000'
4,000 0 4,000'
The compliance boundary is established either 250 R from the residuals application area or 50 feet within nI
,n the property boundary, Milchever is closest to the application area. The review boundary is established ' C-G R" 13
midway behveen the compliance boundary and the perimeter of the residuals application area, All
locations are approximate. Fields ®9

K..
(fl
I
LEGEND
APPLICATION MAP
APPLICATION AREA
UNSUITABLE AREA
--- — — — — — PRIVATE ROAD
WATER
— — — STREAM
®
ONSITE HOUSE
— DRAIN
.
OFFSITE HOUSE
- FENCE
OUTBUILDING
PROPERTY LINE
0
WELL.
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway behveen the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
ssaa ssa
NC-GR-13
Fields 1-3

b
C4,
LEGEND
APPLICATION MAP
APPLICATION AREA
UNSUITABLE AREA
— — — — — — PRIVATE ROAD
WATER
— — — — STREAM
ONSITE HOUSE
— DRAIN
OFFSITE HOUSE
FENCE
OUTBUILDING
PROPERTY LINE
0
WELL
The compliance boundary is established either 250 ft From the residuals application area or 50 feet v ilhin
in the property boundary, whichever is closest to the application area. The revievi boundary is established
midway behmen the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-GR-13
Fields 4A & 413

LEGEND
APPLICATION AREA
— — — — — — PRIVATE ROAD
— — — — STREAM
DRAIN
FENCE
PROPERTY LINE
APPLICATION MAP
0
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 perimetarof the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
BY o sw
NC-GR-13
Fields 5-9

Vi
TOPOGRAPHIC MAP
GRAPHIC SCALE
1" = 800'
800, o aoo
The compliance boundary is established either 250 ft from the residuals application area or 50 feet v ithin N C-GR-13
in the property boundary, whichever is closest to the application area. The review boundary is established f�
midway beftwen the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-3

U/
T®POrRAPHIr MAD
GRAPHIC SCALE
V, = 800,
8Q0' 0 800,
The connpliance boundary is established either 250 ft from the residuals application area or 50 feet vilhin
in the property boundary, whichever is closest to the application area. The review boundary is established
midway behveen the compliance boundary and the perimeter of the residuals application area, All
locations are approximato.
NC-GR-1 3
Fields 4A & 4B

TOPOGRAPHIC MAP
GRAPHIC SCALE
1" = 1,000'
-he compliance boundary is established either 250 ft from the residuals application area or 50 feet UAW N —Cj R' 3
,he property boundary, ivWchever is closest to the application area. The review boundary is established
midway behveen the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 5-9

SOIL SURVEY
GRAPHIC SCALE
1" = 800'
aW o 800'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-G R-1 3
in the property boundary, whichever is closest to the application area. The review boundary is established
midway behveen the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1 _3

SOIL SURVEY
GRAPHIC SCALE
1" = 800'
aao o sao,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-GR-1 3
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 applicaVon area. All
locations are approximate. Fields 1-3

SOIL SURVEY
L '.}
GRAPHIC SCALE
1"=1,000'
s ooa a1,00v
The compliance boundary is established either 250 ft from the residuals application area or 50 feetwithin N C-G R-13
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 5-9

CUMULATIVE METAL LOADING .BSIAC) AS OF 12/31/2020
The cumulative metals for this report come from HISTORY records (i.e. the monthly monitoring process has been completed for the State and County where the Fields are located)
In cases where a trace metal lab result was Not Reported to Synagro or tracking of metal loading was Not Required the loading on the report is displayed as "NR"
FIELDID
Last Date Applied
AS
CD
CR
CU
PB
HG
MO
Ni
SE
ZN
NC-GR-00013-0-0001-
09/10/2019
0.15020
0.10561
4.05255
22.30469
2.72820
0,04532
0.69755
1.26027
1.06743
85.24394
NC-GR-00013-0-0002-
09/09/2019
0.16470
0.11240
3.87927
22.89766
2.85104
0.04565
0.66944
1.21372
1.10033
83.21916
NC-GR-00013-0-0003-
09/09/2019
0.10364
0.07314
2.68203
15.64930
1.79412
D.02939
0.49590
0.82064
0.69879
53.14864
NC-GR-00013-0-0004-A
10/03/2006
0.02622
0,02833
0.75350
5.04637
0.82300
0.00705
0.22283
0.25500
0.24815
8.14216
NC-GR-00013-0-0004-B
08/30/2019
0.10733
0.05499
1.65135
10.31123
0.72554
0.02352
0.20609
0.52305
0.14234
52.23852
Report DatelTime: 1115/2021 2:22:06 PM Page 1 of 1

SITE SUMMARY
City of Oxford (WQ#0011244)
Site ID:
NG-GR-60
Owners Name:
Dr. Robert Cerwin
Address:
4520 Townsville Rd.
Bullock, NC 27507
Phone:
[phone]
Operator:
Steven Isley (Jake)
Address:
4520 Townsville Rd.
Bullock, NG 27507
Phone:
[phone]
[phone] Mobile
Granville County
Estimated
RYE -based Latitude &
Applicable
Annual Predominant Longitude
1
43.3
Fescue(Hay)
Fescue Pasture
121
90
Ired ell (IfB)
36.31.57 N
78,31.49 W
2
31.9
Fescue(Hay)
Fescue Pasture
190
142
Llgnum (LmB)
36.31.11 N
78.31.36 W
3
16.2
Fescue(Hay)
Fescue Pasture
194
145
Enon (EnB)
36.31.25 N
78.31.50 W
4
11.9
Fescue(Hay)
Fescue Pasture
194
145
Enon (EnB)
36.31.37 N
78.31.58 W
5
11.7
Fescue(Hay)
Fescue Pasture
194
145
Enon (EnB)
36.31.59 N
78.30.39 W
6
7.2
Fescue(Hay)
Fescue(Pasture
194
145
Enon (EnB)
36.31.22 N
78.30.30 W
7
16A
Fescue(Hay)
Fescue Pasture
194
145
Enon (EnB)
36.31.28 N
78.31.36 W
TOTALS 138.3
Notes:
hate: 01115/21

-v)
DWR
Mvislon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — 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 Permittiyg 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 (FORM: LOA 06-16):
Submit the completed and appropriately executed Land Application Site 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.
Qj 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 he 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: City Of
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
(no-till/over-seed/
pasture)
NC-GR-60-1,5,6
Yes
Fescue (Hay)
Animal Food
City Of Oxford
W1YTP
NC-GR-60-2,3,4,7
Yes
Fescue (Pasture)
Animal Food
City Of Oxford
VWTP
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.
'his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, 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 sitc(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. 'fhe landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 1I) are net.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
S. 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 frill details of the residuals applied at tine 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 cornmeneenient 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 sitc(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pl-I 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 perimitted 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).
t 1. Tile landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
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 sitc(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 alter termination of, this Agreement.
It. RESTRICTIONS:
I . Appropriate measures inust 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 fora 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 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)
l5A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h)allows the complianee
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 call 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; GR-60-1, GR-60-7
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site,
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted tinder 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 certiry that I ani a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application sites) 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:
eOA- CEWIN
twN S%iILLT--
City: U e L State: Iq L , I1 Zip: 2^J S V .-7
Phone: �� ! �' E-mail address: NI h r
Signature:l \� Date:
NORTH CAROLINA, L C COUNTY
1, the undersigned Notary Public do hereby certify that _900ow µc
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
t ZTi+
WITNESS my hand and official seal this the I -
day of
Signature and seal
-5(N►AQ W,
puto i
My commission expires:
Lessee's/Operator's Certification:
01WO
.11161 70 Lt
O
;tie, :���°�•� .�-��_
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: 57-eVyi S 15(-Err
Address: _ Is H�;gO T lim3ol -a: R el
City: TJ ,ttLoCIG State: [ V �- Zip: 27507
Phone: nnoll E-mail address: P( 4
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: w\••t L
Signature:
Date: I I I 1 I ,L1
FORM: LOA 06-I6 Page 3 of 3

I-V
______-___________________lHap ll
50,
DIMS V/if � Sta
`� Na Davis
c a Fields r 1r_T R 1346
1-4s 7
�" Rd a
�_.
t 4 erberi F 1 ei Rd a�
Milo
�r e R j
a
arrow �i �
late R� 143 f �`�� � yMfI—,811 �wa�e ��- -
U) �—
s
w = CI Rce
t�
4 a
r, St to Rd 1 : 73 t vallCP Burnside R
rl/ 4/ry ti }
ate n CI°9
14 _Gela RR' cry S`,CLIP
w�
m 4 -
S'c5'
ry State Rd 1425 0
t' e Mountain Rd —� h
d
4
9
JJt13 I
Rd
73
CL
DaLY
t'
77
^
�r�` -
1 inch7,500 feet
r e-60 (all locations approximate) =

or,
m

�r
' l.ir II
,,', ® • ': - s C� •��' x ; , /� . � S 1. .j,
At.
If 11
Legond 1 inch = 660 feet
Stream ® PropedyL.ine 0 Outbuilding Unsuitable (all locations approximate)
The compliance boundary Is established at
Drain ApplicationArea ')S�, Well either 250 feet from the residuals application
�i area or 50 feet within the property boundary,
® whichever Is closest to the application area.
Pond OffSIteHQIISe
SQilDescription 7ho review boundary is established midway
between the compliance boundary and the
x — x - Fence ❑ OnSiteHQuse perimeter of the residuals application area.
Feet
Fields 29 L/by, 9 7 0 230 460 920 1,380 1,840
ram-

f - Apiudivc'Yore Ara- a Ma
7
_ � __ fir•
7.
i'
" •r
A.
✓` }
�'( � � - - - � t. ' r j f `}��' - r�rl •_ � _tom"�}�
Legend i inch = 660 feet
(ati locations approximate)
—�� Otain PropetlyLine ® OnSiteHouse Unsuitable
'®r,
The compliance boundary is established at
Pond/a �IicafiortArea RochOuteto either 250 feet from the residuals application
p! 11}� p area or50 feet within the property boundary,
whichever is closest to the application area.
x e x Fence ■ OffSfteHouse O SoilDescription The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
Feet
f rd `V- ci o °fields 5_6 0 230 460 920 1,380 1,840
% F—r r I I i

IC"ON-64 (all locations approximate) 9 inch = 1,000 feet

CUMULATIVE METAL LOADING, �LBSIAC) AS OF 12/31/2020
The cumulative metals for this report come from HISTORY records (i.e, the monthly monitoring process has been completed for the State and County where the Fields are located)
In cases where a trace metal lab result was Not Reported to Synagro or tracking of metal loading was Not Required the loading on the report is displayed as "NR"
FIELDID
Last Date Applied
AS
CD
CR
CU
PB
HG
MID
Ni
SE
ZN
NC-GR-00060-0-0001-
08/19/2019
0.22911
0.07296
2.95949
18.99403
2.19290
0.05311
0.37751
0.97128
0.86310
77.33477
NC-GR-00060-0-0002-
NC-GR-00060-0-0003-
NC-GR-00060-0-0004-
NC-GR-00060-0-0005-
NC-GR-00060-0-0006-
05/18/2020
08/27/2019
08/29/2019
11/10/2020
11/10/2020
0.43348
0.18359
0,16288
0.31081
0.29161
0.12676
0.06248
0.06071
0.08933
0,07832
3.73713
2.77813
2.67168
3.09996
2.56465
22.77083
14.58155
-13.88330
22.85506
19.47350
3.00170
1,44431
0.94352
1.59855
1.33857
0.06408
0.03474
0.03969
0.05726
0.04541
0.56040
0.28106
0.25274
0.47495
0.41365
1.31640
0.94101
0.77080
1.07768
0.93590
0.57524
0.23912
0.23998
0.48943
0.42221
109.77140
83.82434
66,94525
101.02049
85,98112
NC-GR-00060-0-0007-
11/06/2019
0.02122
0.00424
0.23770
1.98221
0.10866
0.00155
0.04415
0.05433
0.02122
6.15459
Report DatefTime: 1/15/2021 2:22:43 PM
Page 1 of 1