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HomeMy WebLinkAboutWQ0021577_Residual Annual Report 2020_20210201Initial Review Reviewer Williams, Kendall Is this submittal an application? (Excluding additional information.)* r Yes r No If not an application what is the submittal type?* r Annual Report r Residual Annual Report r Additional Information r Other Annual Report Year* 2020 Permit Number (IR)* W00021577 Applicant/Permittee WestRock Kraft Paper, LLC Email Notifications Does this need review by the hydrogeologist?* r Yes r No Regional Office Raleigh CO Reviewer Admin Reviewer KendalI.Williams@ncdenr.gov Submittal Form Project Contact Information Reese provide inforrration on the person to be contacted by N B Staff regarding electronic subnittal, confirmation of receipt, and other correspondence. .......................... . . . . . . ...... . . . ......... . . .... . . ...... _ - Name * Chris Williams Email Address* chris.m.\Mlliams@\Nestrock.com 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* 2525336237 O Modification - Minor C Renewal C GW-59, NDMR, NDMLR, NDAR-1, NDAR-2 IT 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:* WQ0021577 Ras Current Existing permit number Applicant/Permittee Address* 100 Gaston Road Roanoke Rapids NC 27870 Facility Name * WestRock Kraft Paper - Roanoke Rapids Mill Please provide comments/notes on your current submittal below. 2020 Annual Report for Distribution of Residuals WQ0021577 At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here.* (Application Form Engineering Rans, Specifications, Calculations, Bc.) Annual Report Submittal.pdf 3.35MB Upload only 1 FDF docurrent (less than 250 IvB). Multiple documents rust be contained into one RJF file unless file is larger than upload lirrit. * V 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 C��ssrt. f�! �lll Submission Date 2/1/2021 � WestRock February 1, 2021 NCDENR-DWR Water Quality Permit Section Non -Discharge Permitting Unit Attn: Information Processing Unit 6'h Floor Division of Water Resources 512 N. Salisbury Street Raleigh, NC 27699 To Whom It May Concern: 100 Gaston Road office: 252.533,6000 Roanoke Rapids, NC 27870 www.westrock.conn WQ0021577 requires submission of an annual Distribution of Residuals Solids report. Enclosed you will find our Annual Report for CY2020. WQ0021577 was renewed April 29, 2020 and is effective through September 30, 2026. There were no distribution of residuals events in 2020. All residuals were disposed of in the Roanoke Rapids Mill Landfill in compliance with WQ0000436 for CY2020. Please feel free to contact me at 252-533-6237 with any questions or concerns Sincerely, /4/ Christopher M. Williams Environmental Engineer Annual Distribution of Residuals Report CY2020 WQ0021577 KapStone Kraft Paper Corporation Roanoke Rapids, NC Table of Contents Annual Land Application Certification Form 1 Form DMSDF — Primary Clarifier Residuals Annual Certification 2020 2 Form RSSF — Primary Clarifier Residuals Sampling Summary 3 Form RSSF (B) -- Primary Clarifier Residuals Sampling Summary (B) 4 Sample Analysis — Primary Clarifier Residuals 5 TCLP Sample Analysis— Primary Clarifier Residuals 10 Form PVRF 02T— Primary Clarifier Residuals Annual Pathogen Reduction Form 15 Form DMSDF — Flyash Residuals Annual Certification 2020 16 Form RSSF — Flyash Residuals Sampling Summary 17 Form RSSF (B) — Flyash Residuals Sampling Summary (B) 18 Sample Analysis -- Flyash Residuals 19 TCLP Sample Analysis — Flyash Residuals 24 Form PVRF 02T— Flyash Residuals Annual Pathogen Reduction Form 29 ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0021577 County: Halifax Year: 2020 Facility Name (as shown on permit): Land Application Operator: WestRock Kraft Paper Chris Williams Phone: Land application of residuals as allowed by the permit occurred during the past calendar year? ® Yes R1 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were generate(] but not land applied, please attach an explanation on lrow the residuals were handled. Part A - Residuals Application Summarv: Total number of a lication fields in the ermit: Total number of fields utilized for land application during the year: Total amount of dry tons applied during the year for all application sites: Total number of acres utilizes for land application during the year: 252-533-6237 Part B - Annual Coin fiance Statement: Facility was compliant during calendar year with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division. of Water Resources. ® Yes ® No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. I) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. b) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .I 105(a) or the Pollutant Loading Rates in I SA NCAC 02T .I 105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T .I I I I were complied with (applicable to 40 CFR Part 503 regulated facilities). 9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Resources, 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C - Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I a1n aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Benjamin P. White, General Manager Permittee Name and Title (type or print) Lij- 6_ 1. z: J_- IL �" /' aa2l Signat re of Permittee Date Signature of Preparer* Date Signature of Land Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) 10FNR FORM ACF (12/2006) Form DMSDF Primary Clarifier Residuals Annual Certification 2020 a qQ FADS 0 A id • J N C .O v C N 4 C O fl. � C O � � K c C � Q -- O CL 4r O N O aLi C .o C z o 0 Q a z O O m O a Y L Zn � bf R. 0. .{y� ..� 0 0 0 0 0 0 0 0 0 0 0 0 O C O A O o U � � Y C U x 1 o N N N N N N wll N N N N N O va nnnnnni-nnnn�-�, O O O O O O O O O O O O O W O O b O O O O O d O O O A � A 0 0 0 0 0 0 0 0 0 0 0 0 ,.. �1y O O O O O O O O O z U U U t7--FsE V rOr, V U U U U rOr,, V U TO, U _ b 0 L u v v v v v v v v v v 0 ("D d v a E E E E E E E E E E Z T1 •L •L •L. •L •L •t- •Lr •F. 'H 'Lr .� •3-. � U a o or ��dchozA F eq rn n Q 9] 2 0 0 N LL 0 U) 2E Q O iL w Z w Q Form RSSF Primary Clarifier Residuals Sampling Summary p I IN I 1N M � .+ v I I vi d d d d a .J z a i� i�iilOOl IIIIIN II ;u. S O c�S C/] Form RSSF (B) Primary Clarifier Residuals Sampling Summary (B) ul as U U v ��-t N M � tl E EeS a R m W Sample Analysis Primary Clarifier Residuals Meritech, Inn. Environmental Laboratory E Laboratory Certification No.165 Contact: Chris Williams Client: WestRock Roanoke Rapids Mill 100 Gaston Rd. Roanoke Rapids, NC 27870 Meritech Work Order # 010920127 Parameters Results Sample: Primary Clarifier Residuals Grab Analysis Date Analyst % Total Solids 40.3 % 1/10/20 BF Ammonia, Nitrogen 111 mg/kg 1/13/20 NW TKN 1,700 mg/kg 1/17/20 NW Nitrate/Nitrite Nitrogen <24.8 mg/kg 1/14/20 NW Nitrogen, total 1,700 mg/kg 1/17/20 NW Aluminum, total 6,670 mg/leg 1/16/20 ED Arsenic, total 4.86 mg/kg 1/16/20 ED Barium, total 283 mg/kg 1/16/20 ED Cadmium, total 1.74 mg/kg 1/16/20 ED Calcium, total 46,200 mg/kg 1/16/20 ED Chromium, total 15.7 mg/kg 1/16/20 ED Copper, total 46.9 mg/kg 1/16/20 ED Lead, total 3.85 mg/kg 1/16/20 ED Magnesium, total 2,480 mg/kg 1/16/20 ED Mercury, total 0.025 mg/kg 1/14/20 MR Molybdenum, total 0.891 mg/kg 1/16/20 ED Nickel, total 16.3 mg/kg 1/16/20 ED Phosphorous, total 821 mg/kg 1/16/20 ED Potassium, total 1,750 mg/kg 1/16/20 ED Selenium, total <1.24 mg/kg 1/16/20 ED Sodium, total 2,510 mg/kg 1/16/20 ED Zinc, total 155 mg/kg 1/16/20 ED SAR 1.96 - 1/16/20 ED pH 7.7 S.il, 1/13/20 JM CCE* <1 % 1/16/20 LH * Results not for regulatory purposes Report Date: 1/22/2020 NPDES#: WQ0021577 WQ0000436 Project: Monthly Date Sample Rcvd: 1/9/2020 Reporting ,Limit 0-100 % 10 mg/kg 20 mg/kg 24.8 mg/kg 20 mg/kg 5.00 mg/kg 1.00 mg/kg 0.500 mg/kg 0.100 mg/kg 10.0 mg/kg 0100 mg/kg 1.00 mg/kg 0.500 mg/kg 10.0 mg/kg 0.02 mg/kg 0,500 mg/kg 1.00 mg/kg 2.00 mg/kg 20.0 mg/kg 1.24 mg/kg 20.0 mg/kg 1.0 mg/kg 1.0 -14.0 SM 1% 1/9/20 Method SM2540B EPA 350.1 EPA 351.1 EPA 353.2 EPA 353.2 EPA 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 245.1 EPA 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 2003 EPA 200.7 SM 4500 H B AOAC 955.01 I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 5 0 - C �-CL (D O rD a -a 3o C/7 CL •.: xm O < rr O (7 n p � _ � S m m m w S a fD n rr �- O � C- � . n c o m n © C rn c> m° iV a Z CL t h d a)0 N ::3 � o (D to m rp) Z m o o m rt .... ran y T -s CL �* w o r^ p © v w w o -a n �+ w � n N N O 0 2. °' V (� m iG`� N .ram n � CL � o N-< Q �mm ro m ro ro po A n z 0 ts' 3 ' `� �` rD ZY I I o. -�-I z ru -F n a_ ro o ti .� u 3 �' a n , n an �' ro z sv O m ns o r+ 0 0) o �'" LA Q 0 A N m m ro m ro �' Q ` C) m r n w Z (D O Ln va rt az 3 �. to p Q m CL o- cr uCL or to C' =� W • OD- :^ N O rL 77 ? 7(3 �• Q O �, : C m 3 n n Ln v L-� 73 Z jD- 3 � m LA o w u- P m C Z rD n d S ��•• �, r r�r Z 7C d O 3 x d Q fD j .. Qun �� ! I n N N C a�a ❑R C a N N p W W � Y � N�J W ` o r O L aC M Vgo W m-0 .;. Q �i � c v N 0 B I a O p (D o0 0 • n n Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Page 1 Contact: Chris Williams Report Date: 1/20/2020 Client: WestRock Roanoke Rapids Mill NPDCS#: WQ0021577 100 Gaston Rd. WQ0000436 Roanoke Rapids, NC 27870 Date Sample Rcvd: 1/9/2020 Meritech Work Order # 010920118 Sample: PCR A 1/2020 Grab t 1/9/20 Parameters Results Analysis Date An� alyst Reporting Limit Method % Total Solids 37.0 % 1/14/20 jM 0-100 % SM 2540B Fecal Coliform <246 col/ g dry 1/9/20 CD 246 cal/ g dry SM 9222 D Meritech Work Order # 010920119 Sample: PCR B 1/2020 Crab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limit Method % Total Solids 38A % 1/14/20 jM 0-100 % SM 2540B Fecal Coliform <239 col/ g dry 1/9/20 CD 239 col/ g dry SM 9222 D Meritech Work Order # 010920120 Sample: PCR C 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limi Method % Total Solids 36.9 % 1/14/20 jM 0-100 ©/o SM 2540B Fecal Coliform <246 col/ g dry' 1/9/20 CD 246 cal/ g dry SM 9222 D Meritech Work Order # 010920121 Sample: PCR D 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limit Method % Total Solids 37.7 % 1/14/20 jM 0-100 % SM 2540B Fecal Coliform <241 col/ g dry 1/9/20 CD 241 col/ g dry SM 9222 D Meritech Work Order # 010920122 Sample: PCR E 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limit Method % Total Solids 39.3 % 1/1.4/20 jM 0-100 % SM 2540B Fecal Coliform <231 col/ g dry 1/9/20 CD 231 col/ g dry SM 9222 D 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 7 Meritech, Inc. Environmental Laborator y ry Laboratory Certification No. 165 NO Page Contact: Chris Williams Report Date: 1/20/2020 CIient: WestRock Roanoke Rapids Mill' NPDES#: WQ0021577 100 Gaston Rd. WQ0000436 Roanoke Rapids, NC 27870 Date Sample Rcvd: 1/9/2020 Meritech Work Order # 010920123 Sample: PCR F 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limit Method % Total Solids 38.4 % 1/14/20 jM 0-100 % SM 2540B Fecal Coliform <237 col/ g dry 1/9/20 CD 237 col/ g dry SM 9222 D Meritech Work Order # 010920124 Sample: PCR G 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limit Method % Total Solids 36.1 % 1/14/20 jM 0-100 % SM 2540B Fecal Coliform 252 col/ g dry 1/9/20 CD 187 col/ g dry SM 9222 D I hereby certify that I have reviewed and approve these data. zz�L� Laboratoty Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 8 a ALI LirD o fl] 0 = -n -0 rt (D C7 % cn N 0 n n n n n n n o" m T \ m N 0 \ n \ \ \ : C N (D X c S. S. O 0 O 0 O O O CD C7 O w CL C 3 a T Q n {D r=-h \ O C a N. 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Oda O �• v �h' ni ^C7 h n r- crro vi CL c Sc° O Q. ,`}J} 0 n o NJ -0 4 a p - b w 00 Ql TCLP Sample Analysis Primary Clarifier Residuals Contact: Chris Williams Client: WestRock Roanoke Rapids Mill 100 Gaston Rd. Roanoke Rapids, NC 27870 Page 1 Report Date: 8/26/2020 NPDES#: WQ0021S77 WQ0000436 Date Sample Rcvd: 8/6/2020 Meritech Work Order # 08062084 Sample: Primary Clarifier Grab 8/6/2020 1311 - TCLP Metals Parameter Results Analysis Date Analyst Det. Limit Reg. Limit Method Arsenic <0A00 mg/L 8/17/2020 ED 0.100 5.0 EPA 200.7 Barium 0.756 mg/L 8/17/2020 ED 0.050 100.0 EPA 200.7 Cadmium <0.020 mg/L 8/17/2020 ED 0.020 1.0 EPA 200.7 Chromium <0.050 mg/L 8/17/2020 ED 0.050 5.0 EPA 200.7 Lead <0.100 mg/L 8/17/2020 ED 0.100 5.0 EPA 200.7 Mercury <0.02 mg/L 8/20/2020 MR 0.02 0.2 EPA 245.1 Selenium <0.100 mg/L 8/17/2020 ED 0.100 1.0 EPA 200.7 Silver <0.050 mg/L 8/17/2020 ED 0.050 5.0 EPA 200.7 TCLP Organics Parameter Results Analysis Date nal st Reporting Limit Method Volatiles 8260 Attached 8/11/2020 VV - B260 Semi Vol. 8270 Attached 8/24/2020 PM - 8270 Other Tests Parameter Results Analysis Date Analyst Reporting Limit Method Cyanide, total <OM00 mg/kg 8/11/2020 LH 0.500 mg/kg EPA 335.4 Sulfide <10 mg/kg 8/10/2020 LH 10 mg/kg SW 846 9038 Ignitability Will Not Ignite 8/18/2020 NW - EPA 1030 Corrositivity (pH) 7.9 S.U. 8/14/2020 BF 1.0 -14.0 S.U. SM 4500 HB 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 10 Meritech, Inc, Environmental Laboratory Laboratory Certification No.165 Page 2 Contact: Chris Williams Report Date: 8/26/2020 Client: WestRock Roanoke Rapids Mill NPDES#: WQ0021577 100 Gaston Rd. WQ0000436 Roanoke Rapids, NC 27870 Date Sample Rcvd: 8/6/2020 Meritech. Work Order # 08062084 Sample: Primary Clarifier Grab 8/6/2020 1311 - TCLP Pesticides & Herbicides Pesticide - SW-846 8081A Parameter Results Analysis Date Analyst Det. Limit Reg. Limit Dilution Factor Endrin Attached - - - - Chlordane Attached - - - - Toxaphene Attached - - - - Methoxychlor Attached - - - - Heptachlor Attached - - - - Lindane Attached - - - - Herbicides - SW-846 8151A Parameter 2,4-D 2,4,5-TP (5ilvex) Results Analysis Date An_ alyst Det. Limit Reg. Limit Dilution Factor Attached Attached I hereby certify that I have reviewed and approve these data. AkCL QCA;e. Laboratoty Representative 642 Tanico Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 11 MERITECH,INC. Environmental Laboratories Laboratory Certificate #165 Client: WestRock Roanoke Rapids Mill Project: Monthly Client Sample ID: Primary Clarifier Residuals Sample Collection: 08/06/20 Meritech Sample ID: 08062084 1311 - TCLP Organics Volatiles: SW-846 8260 Analysis: 08/11 /20 Extraction: 08/ 10/20 Analyst: V W V Report Date: 08/13/20 Parameter Result Units Det. Limit Reg. limit Dilution Factor Benzene < 0.0100 mg/L 0.0100 0.50 10 Carbon Tetrachloride < 0.0100 mg/L 0.0100 0.50 10 Chlorobenzene < 0.0100 mg/L 0.0100 100 10 Chloroform < 0.0100 mg/L 0.0100 6.0 10 1,2-Dichloroetliane <0.0100 mg/L 0,0100 0.50 10 1, 1 -Dichloroethene < 0A100 mg/L 0.0100 0.70 10 Methyl Ethyl Ketone < 0.100 mg/L 0.100 200 10 Tetrachloroethylene < 0.0100 mg/L 0.0100 0.70 10 Trichloroethene < 0.0100 mg/L 0.0100 0.50 10 Vinyl Chloride < 0.0200 mg/L 0.020 0.20 10 Semi-Volatiles: SW-846 8270 Analysis: 08/24/20 Extraction: 08/10/20 Analyst: I'M Report Date: 08/25/20 Parameter Result Units Det. Limit Rea. Limit Dilution Factor 1,4-Dichlorobenzene <0.100 mg/L 0.100 7.5 10 Hexachlorobenzene <0.100 mg/L 0.100 0.13 10 Hexachloro-1,3-butadiene <0.100 mg/L 0.100 0.5 10 Hexaehloroethane <0.100 rng/L 0.100 3.00 10 o-cresol <0.100 mg/L 0.100 200 10 m&p-cresol <0.200 mg/L 0.200 200 10 Total cresols <0.300 mg/L 0.300 200 10 Nitrobenzene <0.100 mg/L 0.100 2.00 10 Pentachlorophenol <0.500 mg/L 0.500 100 10 Pyridine <0.100 mg/L 0,100 5.0 10 2,4,5-Trichlorophenol <0.100 mg/L 0.100 400 10 2,4,6-Trichlorophenol <0.100 mg/L 0,100 2.00 10 2,4-Dinitr6toiuene <0.100 mg/L 0.100 0.13 10 I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 * info@meritechlabs.com 12 n 9 n z; w W N O cn A Gl C CO) x � n y Oi LCj)7 CL WOO d �7 r A O d O O O P A C) N O w r a o, 00 00 � a�� � � O Q Q Q W Q Q. 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''II N a �a 0 m Q ( w r�-F V'N7 W W Q ro i � co, `L - ^C W W O o —F W C n N N W v' o> W o) n Q �> O 3 ` 1qq��"' cn ro Q' .A '--Ago 3 3AI C �° LA U m N o '`' cu cr N 7 o to A m r p rt T. ro n -D p w : O " O HP z F� a Lrl ..j h v n Form PVRF 02T Primary Clarifier Residuals Annual Pathogen Reduction Form ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: WestRock Kraft Paper WQ Permit Number: WQ0021577 WWTP Name: WestRock Kraft Paper NPDES Number: NCO000752 Monitoring Period: From 1/l/2020 To 12/31/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (tithe/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) R1 Alt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs If applicable to alternative perforated (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thelmophilic ❑ Beta Ray Lirn Gama RayEl Pasteurization ❑ _ Class B: JAIL (1) Fecal Density ❑ I Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Line Stabilization ® T Air Drying ® Composting ❑ Aerobic Digestion ❑ Anaerobic Digestion ® ` .:..:.. ...... If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g y Num er o dece s deuces Frequency of Analysis Sample Type na ytica nieue Mininnrn Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MIN CFU 1000 mph per gram of total solid (dry weight) <231 241.6 252 col/g dry 0 Annual Fecal 9222D Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑Alt. 4 (Spec. 02 uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying •- Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed R1 CERTIFICATION STATEMENT (please check the appropriate statement) ❑ "I certify, tinder penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation wiry you have not met one or Moth of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Christopher M. Williams, Env. Engineer No Distribution in 2020 Preparer Narne and Title (type or print) Land Applier Name and Title (if applicable) (type or print) 6e:� rpq Signature of Preparer" Date Signature of Land Applier (if applicable) Date '`Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 21'.1 102 (26) 15 DENR FORM PVRF 02T (12/2006) Form DMSDF Flyash Residuals Annual Certification 2020 a U w U F U 10 o d W N .O N o � � o d .Q � d C z � A O z O O � d] O C H N � H •� � 0 0 0 0 0 0 0 0 0 0 0 0 Ocl v � � 0 o a� a O C a w w N N N CV N N N N N N N N .d nn�—z—�t)nrC d O O O 0 O 0 O 0 O o d d d C,d O C)o O C)d O d O d O A V Zi O d O d O O d d d O d 0 0 0 0 0 0 d 0 d 0 0 0 0 6i '.y CW.I U U7 {77� UU7 U U U UU�y q A. �CCCCC��C�CGO 77 7�7 7U7 'Uyy � y wwwwr�s�.,wwwwwrS.�w, � � o E� o4A F M 16 Form RSSF Flyash Residuals Sampling Summary a 00 r. I t cd 1�1 L ►� ,--N .--� rW N M 7' 1-n I a o a u N O � O U U z O M e� P1 i i iiinnn�i�ll� ��IIIIIII i ac k O cD 0 N N r. EL U) U) O LL Of Z w O 17 Form RSSF (6) Flyash Residuals Sampling Summary (B) PC v N a a 0 i Ctl a 11 oil ff N Q 0 c� N N_ m LL 0 1L W z w 0 Sample Analysis Flyash Residuals Report Date: 1/22/2020 Contact: Chris Williams NPDES#: WQ0021577 Client: WestRock Roanoke Rapids Mill WQ0000436 100 Gaston Rd. Project: Monthly Roanoke Rapids, NC 27870 Date Sample Rcvd; 1/9/2020 Meritech Work Order # 010920125 Sample: Flyash Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limit Method % Total Solids 52.1 % 1/10/20 BF 0-100 % SM2540B Ammonia, Nitrogen 81.4 mg/kg 1/13/20 NW 10 mg/kg EPA 350.1 TKN 361 mg/kg 1/17/20 NW 20 mg/kg EPA 351.1 Nitrate/Nitrite Nitrogen <19.1 mg/kg 1/14/20 NW 19.1 mg/kg EPA 353.2 Nitrogen, total 361 mg/kg 1/17/20 NW 20 mg/kg EPA 353.2 Aluminum, total 13,200 mg/kg 1/16/20 ED 5.00 mg/kg EPA 200.7 Arsenic, total 10.5 mg/kg 1/16/20 ED 1.00 mg/kg EPA 200.7 Barium, total 240 mg/kg 1/16/20 ED 0.500 mg/kg EPA 200.7 Cadmium, total 0.415 mg/kg 1/16/20 ED 0.100 mg/kg EPA 200.7 Calcium, total 61550 mg/kg 1/16/20 ED 10.0 mg/kg EPA 200.7 Chromium, total 18.2 mg/kg 1/16/20 ED 0.100 mg/kg EPA 200.7 Copper, total 40.5 mg/kg 1/16/20 ED 1.00 mg/kg EPA 200.7 Lead, total 10.6 mg/kg 1/16/20 ED 0.500 mg/kg EPA 200.7 Magnesium, total 1,180 mg/kg 1/16/20 ED 10.0 mg/kg EPA 200.7 Mercury, total 0.058 mg/kg 1/14/20 MR 0.02 mg/kg EPA 245.1 Molybdenum, total 1.20 mg/kg 1/16/20 ED 0.500 mg/kg EPA 200.7 Nickel, total 21.3 mg/kg 1/16/20 ED 1.00 mg/kg EPA 200.7 Phosphorous, total 620 mg/kg 1/16/20 ED 2.00 mg/kg EPA 200.7 Potassium, total 4,590 mg/kg 1/16/20 ED 20.E mg/kg EPA 200.7 Selenium, total <0.960 mg/kg 1/16/20 ED 0.960 mg/kg EPA 200.7 Sodium, total 1,390 mg/kg 1/16/20 ED 20.0 mg/kg EPA 200.7 Zinc, total 33.4 mg/kg 1/16/20 ED 1.0 mg/kg EPA 200.7 SAR 3.00 - 1/16/20 ED - - pH 7.6 S.U. 1/13/20 JM 1.0 - 14.0 S.U. SM 4500 H B CCE* <1 % 1/16/20 LH 1 % AOAC 955.01 * Results not for regulatory purposes I hereby certify that I have reviewed and approve these data. Aman(iuAw(r%u Lab ratory kepi entative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 19 Cl 0 Ln O h 7 O � TT V O c + d D n CL 3 2 S 2 a S cr r CD 3 `f' D G N c! D ,� ro rn z Z O 0 3 rn q m m+ W o `V — N D rD D m ^ C7 Z \ J S2 -C rn o m n r' M c C �"' x n O ax o o rn ® w G7 ilytr � w LA) 0 rp [ `v m � � tV C� fD K_ .p iNV V v n m cm • 7CL 3 3 3 3 a ro ro m � ro o M c) o > Y n o 3 n is cr o ro - to u z xz n r+ 7 C p N C .• a F' o n ci, h rb o y N In v O r) ]3 m 3 -- O n 3 O �a In n v z n m r"n K O i , a a a p a�• O C Z f2 cr �v n - LO mc O rD Vs o"D \ W Ln V) o CLfD :s7 — v zs �c n Po n to rn `C 2 n p� `V x :3n fl7 Z � � rr •� = 0 !U "0 `0 i77aq « p -o �' * s cu _ m cn ` CL E� n N N o �a C Q c �^ u, o rj A ul a on O o r+ 1p w o . � r v, C7 a ,n 3 P .i Qo to y * 4 l O Q ( co p 0 Ul n n Meritech, Inc. �,. Environmental Laboratory Laboratory Certification No.165 a Page 1 Contact: Chris Williams ReportDate: 1/20/2020 Client: WestRock Roanoke Rapids Mill NPDES#: WQ0021577 100 Gaston Rd. WQ0000436 Roanoke Rapids, NC 27870 Date Sample Rcvd: 1/9/2020 Meritech Work Order # 010920111 Sample: Flyash AA 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Re ortin Limit Method % Total Solids 50A % 1/14/20 JM 0-100 % SM 2540B Fecal Coliform <180 col/ g dry 1/9/20 CD 180 col/ g dry SM 9222 D Meritech Work Order # 010920112 Sample: Flyash BB 1/2020 Grab . 1/9/2,0 Parameters Results Analysis Date Analyst Reporting_ Limit Method % Total Solids S0.1 % 1/14/20 )M. 07100 % SM 2540B Fecal Coliform <181 col/ g dry 1/9/20 ' CD` ` 181 col/ g dry SM 9222 D Meritech Work Order # 010920113 Sample: Flyash CC 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limi Method % Total Solids 49.9 % 1/14/20 JM 0-100 % SM 2540B Fecal Coliform <182 col/ g dry 1/9/20 CD 182 col/ g dry SM 9222 D Meritech Work Order # 010920114 Sample: Flyash DD 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limit Method % Total Solids 49.8 % 1/14/20 JM 0-100 % SM 2540B Fecal Coliform <183 col/ g dry 1/9/20 CD 183 col/ g dry SM 9222 D Meritech Work Order # 01092011S Sample: Flyash EE 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limit Method % Total Solids SU % 1/14/20 ]M 0-100 % SM 2540B Fecal Coliform <181 col/ g dry 1/9/20 CD 1B1 col/ g dry SM 9222 D 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 21 Meritech, Inc. Environmental Laboratory t Laboratory Certification No.165 a Page 2 Contact: Chris Williams Report Date: 1/20/2020 Client: WestRock Roanoke Rapids Mill NPDES#: WQ0021577 100 Gaston Rd. WQ0000436 Roanoke Rapids, NC 27870 Date Sample Rcvd: 1/9/2020 Meritech Work Order # 010920116 Sample: Flyash FF 1/2020 Grab 1/9/20 Parameters Results Analysis Date Analyst Reporting Limit Method % Total Solids 49.1 % 1/14/20 jM 0-100 % SM 2540B Fecal Conform <185 col/ g dry 1/9/20 CD 185 col/ g dry SM 9222 D Meritech Work Order # 010920117 Sample: Flyash GG 1/2020 Grab 1/9/20 Parameters Results Anal sis Date Analyst Reporting Limit Method % Total Solids 50.0 % 1/14/20 jM 0-100 % SM 2540B Fecal Coliform <182 col/ g dry 1/9/20 CD 182 col/ g dry SM 9222 D I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 22 w Ir CD N r1• ❑. C 0 CD C: < O m -O O B CL T m m T m m m (D _ o v n G7 m m m m C7 n 00 n > p' . ran.. m m _ c c c N N N N N 3 C fi © O O O O IQ O O O CL G S CL o o n rr Q O O O O 0 N N 3 E5 Z o m O fo (D m m n C rn G ro m n 0 0 o I N O T rj 1 y �1 Z • CL y p ram+ r-1• fD (,/i W N m CD a w Z 0 O an r LA h �{ .. o r f7 O ' (D0- ® � W = o W W O "6 O 0 PF fl7 W W m 1/1 1 o '''� Q h iD � 0 . W > %- N N O fl O O 20 � iww in m cu EL CO • a '^ m ^C -.� Vs Ci CQ rD mCD m m o . orL w nu w w v 0) i a- .o o * CL ro p 3 p C\j O � � 3 v ,* � t3 O O C r r r rfi- fo m m LD m " D rn' D D > D rn D 3y nnii 0 Q O C• ro C ro C m V1 V) Cn V1 VI V) V1 V) V) V) V) (n (n V)cr (p r* Z7 pl r (� m -n m -n -n m -nC O v' N O O n P n n -� o ° D r r r Y d �° CL o O r+ = O r O r" O r O r O O O O CL ,rrt rD m -n O'- m O T! O -n O -n-n O O m O [9 En m V} a C- CL o +n o "a v r a -- n r" v r n r D r n r CD X@ h r cn tin (n [n In t�_n (A -a m -n -v � O w cn N V) V) y, p) O - cv C7 oh o r oLn ..�� G h a, G in v, o m W W O 0 v Oc I Y N p C CF) lit ` 7v V CD3 i � O r v' CL °c 4-�J c a (A ((D p Q c- c fD tn �r 1 O 1 O O 2 �DO o F 7Z � -< uz � n W GJ TCLP Sample Analysis Flyash Residuals Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: Chris Williams Client: WestRock Roanoke Rapids Mill 100 Gaston Rd. Roanoke Rapids, NC 27870 Report Date: NPDES#: Date Sample Rcvd: Page 1 8/26/2020 WQ0021577 WQ0000436 8/6/2020 Meritech Work Order # 08062082 Sample: Flyash Grab 8/6/2020 1311 - TCLP Metals Parameter Results Analysis Date Analyst Det, Limit Reg. Limit Method Arsenic <0.100 mg/L 8/17/2020 ED 0.100 5.0 EPA 200.7 Barium 1.15 mg/L 8/17/2020 ED 0.050 100.0 EPA 200.7 Cadmium <0.020 mg/L 8/17/2020 ED 0.020 1.0 EPA 200.7 Chromium <0.050 mg/L 8/17/2020 ED 0.050 5.0 EPA 200.7 Lead <0.100 mg/L 8/17/2020 ED 0.100 5.0 EPA 200.7 Mercury <0.02 mg/L 8/20/2020 MR 0.02 0.2 EPA 245.1 Selenium <0.100 mg/L 8/17/2020 ED 0.100 1,0 EPA 200.7 Silver <0.050 mg/L 8/17/2020 ED 0.050 5.0 EPA 200.7 TCLP Organics Parameter Results Analysis Date Analyst Reporting Limi Method Volatiles 8260 Attached 8/11/2020 VV - 8260 Semi Vol. 8270 Attached 8/24/2020 PM - 8270 Other Tests Parameter Results Analysis Date Analyst Reporting Limit Method Cyanide, total <0.500 mg/kg 8/11/2020 LH 0.500 mg/kg EPA 335.4 Sulfide <10 mg/kg 8/10/2020 LH 10 mg/kg SW 846 9038 Ignitability Will Not Ignite 8/18/2020 NW _ EPA 1030 Corrositivity (pH) 8.1 S.U. 8/14/2020 BF 1.0 - 14.0 S.U. SM 4500 HB 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522. 24 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Page 2 Contact: Chris Williams Report Date: 8/26/2020 Client: WestRock Roanoke Rapids Mill NPDES#: WQ0021577 100 Gaston Rd. WQ0000436 Roanoke Rapids, NC 27870 Date Sample Rcvd: 8/6/2020 Meritech Work Order # 08062082 Sample: Flyash Grab 8/8/2014 1311 - TCLP Pesticides & Herbicides Pesticide - SW-846 8081A Parameter Results Analysis Date Analyst Det. Limit Reg. Limit Dilution Factor Endrin Attached - - - - Chlordane Attached - - - - Toxaphene Attached - - - - Methoxychlor Attached - - - - Heptachlor Attached - - - - Lindane Attached - - - - Herbicides - SW-846 8151A Parameter Results Analysis Date Analyst Det. Limit Reg. Limit Dilution Factor 2,4-D Attached - - - - 2,4,5-TP (Silvex) Attached - - - - I hereby certify that I have reviewed and approve these data. Jfflwnd a nme Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 25 MERITECH, INC. Environmental Laboratories Laboratory Certificate #165 Client: WestRock Roanoke Rapids Mill Project: Monthly Client Sample ID: Flyash Sample Collection: 08/06/20 Meritech Sample ID: 08062082 1311 - TCLP araanics Volatiles: SW-846 8260 Analysis: 08/ 11 /20 Extraction: 08/10/20 Analyst: V W V Report Date: 08/13/20 Parameter Result Units Det. Limit Reg Limit Dilution Factor Benzene <0,0100 mg/L 0.0100 0.50 10 Carbon Tetrachloride < 0.0100 mg/L 0,0100 0.50 10 Chlorobenzene <0.0100 mg/L 0.0100 100 10 Chloroform <0.0100 mg/L 0.0100 6.0 10 1,2-Dichloroethane <0.0100 mg/L 0.0100 0.50 10 l,l-Dichloroethene <0.0100 mg/L 0.0100 0.70 10 Methyl Ethyl Ketone <0,100 mg/L 0.100 200 10 Tetrachloroethylene < 0,0100 mg/L 0.0100 0.70 10 Trichloroethene < 0.0100 mg/L 0.0100 0.50 10 Vinyl Chloride < 0.0200 mg/L 0.020 0.20 t0 Semi-Volatiles: SW-846 8270 Analysis: 08/24/20 Extraction: 08/10/20 Analyst: PM Report Date: 08/25/20 Parameter Result Units Det. Limit Reg. Limit Dilution Factor 1,4-Dichlorobenzene <0.100 trng/L 0,100 7.5 10 Hexachlorobenzene <0.100 mg/L 0.100 0.13 10 Hexachloro-1,3-butadiene <0.100 mg/L, 0.100 0.5 10 I lexachloroethane <0,100 mg/L 0.100 3.00 10 o-cresol <0.100 mg/L 0.100 200 10 m&p-cresol <0.200 mgIL 0.200 200 10 Total cresols <0.300 mg/L 0.300 200 10 Nitrobenzene <0.100 mg/L 0.100 2.00 10 Pentachlorophenol <0.500 mg/L 0.500 100 10 Pyridine <0.100 ` mg/L 0,100 5.0 10 2,4,5-Trichlorophenol <D.100 mg/L 0.100 400 10 2,4,6-Trichlorophenol <0.100 ►ng/L 0.100 2.00 10 2,4-Dinitrotoluene <0.100 mg/L 0.100 0,13 10 I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 * info@merifechlabs.com 26 H � 6 6 0 0 6 6 6 6 rm C7' ro fA c9 ro "tl X ro Ci7 t7' ❑ 0 ". 6d ..• n w o w CL - c' (D M IV Q S 0 0 0 0 o Qo o °' o y Q „� a aPO 5 O O 00 co a 00 O i�J Q1 W Czi r!J Cd. bd G3 @ O J O O N POWO fD 0 0 00 00 00 .o p V. Q� Q 0 p /0 rO rO q c N " r C ILI pr o "K n J Q f� 00 m m (A O_OUq b rA i7d q7 CCi Q7 �} O CL Vr CL O Vt 0 '0 10 '0 /0 'tor '0 0 r r � T Q O W Z dt r 0. w � � G C N o o 0 0 o rnw � O c' p a' CD a a O a O O Go CD O p .D n '17 07 .LA 00 Go 00 aJ CO- 00 VI oG w 00 W f/J w @ t;t111gi1I1{ �J SAD N V3 'NO [� 27 CL M41: Ln � U] 0 0 CD a r O G oLA v o M. C C G L CL D O, n a zrm m () p C ww li (D O o fD O 0 o ro D CL D'q ,, ( 4" �• CD X � (� `° v @ � cn W o 0 > W n w D � is LSD a r•,-ro m a �`� 0 (D 90 0 N V ro m 3 @ N N 3 (D D r+ Q, I I h Vv � a � p a o ;;3h ro rt o �' ru --� °' �' n � (D x N 0 CD 00 O , � B v p _ g v (DD ,—o 00 n � v � O m m ram- _ � as R vCC� p �^ 3 rD a (. rb Q (D n D ro { O C L1 O c r -f _= wpo to :� (� v ro 3 �a } p ro 77 ui p rn Q. rD a m _ o ` 0 + S' O X CD •b rri -n Tl z C a c 1 NJ Ul Ili p ,_, x u,. ? w w o o W w o c„ a ov o m ;�13a D i �" c7 m 5 a 9 A LA �i a CD 0 Cr N W a m C7 `t7 fD p v� o O O (D to o p (n n 7 7K =28 w V n Form PVRF 02T Flyash Residuals Annual Pathogen Reduction Form ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: WestRock Kraft Paper WQ Permit Number: WQ0021577 WWTP Name: WestRock Kraft Paper NPDES Number: NCO000752 Monitoring Period: From l/l/2020 To 12/31/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (tune/temp) ❑ I Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) 01 A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Therniophilic ❑ Beta Ray ❑ Gamina Ray ❑ Pasteurization ❑ Class B: Alt. (1) Fecal Density ® Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion If applicable to alternative performed (Class A or Class R) complete the following monitoring data: Allowable l..,evel Parameter Sludge in Pathogen Density g y Number o Bence- deuces Frequency of Analysis Sample Type Analytical InTech- Minimui Geo. Mean Maximo Units 2 x 10 to the MPN 6th power pet, grain of Fecal Coliform total solids CFU 1000 mpn per grain of total solid (dry weight) <180 182 <185 col/g dry 0 Annual Fecal 9222D Salmonella bacteria 3 MPN per 4 grams (in lieu of fecal total solid (dry eoliforni) weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ® Alt. 3 (30-day bench) ❑ AIL 4 (Spec. OZ uptake) Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ® Alt 7 (Drying - Stable) ❑ JAIt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed R CERTIFICATION STATEMENT (please check the appropriate statement) ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Christopher M. Williams, Env. Engineer Preparer Name and Title (type or print) Signature of Preparer* No Distributions in 2020 Land Applier Name and Title (if applicable)(type or print) Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 1 SA NCAC 2T .1102 (26) 29 DENR FORM PVRF 02T (12/2006)