WQ0005981_Renewal Application_20210202

Initial Review
Reviewer Thornburg, Nathaniel
Is this submittal an application? (Excluding additional information.)*
r Yes r No
Permit Number (IR)* WQ0005981
Applicant/Permittee Town of Louisburg
Applicant/Permittee Address 110 West Nash Street Louisburg, NC 27549
Is the owner in BIMS? r Yes r No Is the facility in BIMS? r Yes r No
Owner Type Municipal
Facility Name Town of Louisburg RLAP
County Franklin
Fee Category Minor
Is this a complete
application?*
c Yes r No
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
Fee Amount $0
Complete App Date 02/02/2021
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 regarding electibnittal, confirmation of receipt, other
.......................................................... electronic surece, aner correspondence.
_ -
Name * Drew Matthews
Email Address*
[e-mail]
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*
2528839301
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:* WO0005981
Fbs Current Existing permt number
Applicant/Permittee * Town of Louisburg
Applicant/Permittee Address* 110 West Nash Street Louisburg, NC 27549
Facility Name * Town of Louisburg 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, Specifications, Calculations, Rc.)
2021 Louisburg RLAP Permit Renewal.pdf 9.22MB
upload only 1 RCF docurnent (less than 250 M3). Mitiple documents nest be combined into one RDF 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
Otlw es'/La&Ai mv
Submission Date 2/2/2021

TOWN OF LOUISBURG
2021 PERMIT RENEWAL
CLASS B PROGRAM
WQ0005981
Submitted by:
Soil Plus
PO Box 1396
Oxford, North Carolina 27565
February 2, 2021
SOIL PLUS

SOIL PLUS
February 2, 2021
NCDEQ-DWR
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Mr. Nathaniel Thornburg
Reference: PERMIT RENEWAL
Town of Louisburg Residual Biosolids "Class B" Program
Permit # WQ0005981
Mr. Thornburg:
Soil Plus, LLC (Soil Plus) is submitting one electronic copy of this permit renewal
application package for the Town of Louisburg (WQ0005981). This package includes:
1. Completed Residual Land Application Program Application (RLAP)
a. Weighted PAN Calculations
b. O&M Plan
2. Completed Residual Source Certification Attachment (RSCA)
a. Field Loading Calculation Sheet
b. Analytical
3. Completed Land Application Site Certification Attachment (LASCA)
a. Land Owner Agreement Forms
b. Maps
c. Biosolid Utilization Calculations
d. CPLR Summary
Soil Plus will be responsible for completing this permit renewal for the Town of Louisburg.
If there is any further information required or questions regarding this permit application,
please do not hesitate to contact me for assistance.
Respectfully,
Drew Matthews, Soil Plus
Karl Pernell, Town of Louisburg
PO Box 1396 jimmy Ellington, Town of Louisburg
Oxford, NC 27565
[phone]
dmatthewsgsoilplus. ne t
www.soilplus.net

Town of Louisburg
2021 Class B
Permit Renewal
WQ0005981
Louisburg, NC
Residual Land Application
Program
Weighted Source PAN Calculations
O&M Plan
Residual Source
Certification
Field Loading Calculations
Annual Analytical Data
Land Application Site
Certification
Land Owner Agreement Forms
Maps
Biosolid Utilization Calculations
CPLR Summary

APPENDIX 1
2021 PERMIT RENEWAL
Town of Louisburg (WQ0005981)
Weighted PAN Calculations
O&M Plan

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 03-15
L APPLICANT INFORMATION:
1. Applicant's name: Town of Louisburg
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ® Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Karl Pernell Title: MUor
Applicant's mailing address: 110 West Nash Street
City: Louisburg State: NC Zip: 27549-
Telephone number: 9( 19) 496-4145 Email Address:
2. Consultant's name: Drew Matthews License Number (for P.E.): _
Affiliation: ❑ On Staff ® Retained (Firm: Soil Plus, LLC)
Consultant's mailing address: PO Box 1396
City: Oxford State: NC Zip: 27565-
Telephone number: [phone] Email Address: dmatthewsksoilplus.net
3. Agronomist's name: License Number:
Affiliation: ❑ N/A ❑ On Staff ❑ Retained (Firm: )
Agronomist's mailing address:
City: State: Zip: -
Telephone number: (_) _- Email Address:
4. Soil Scientist's name: License Number:
Affiliation: ❑ N/A ❑ On Staff ❑ Retained (Firm: )
Soil Scientist's mailing address:
City: State: Zip: -
Telephone number: (_) _- Email Address:
5. Fee submitted: $0.00 (See Instruction B)
IL PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ❑ modified, ® renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00005981
Date of most -recently issued permit: August 31, 2016
Date of most -recently certified Attachment A (if different than the permit): August 13, 2018
Date of most -recently certified Attachment B (if different than the permit):
FORM: RLAP 03-15 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: Wastewater Road
City: Louisburg State: NC Zip: 27549-
Coordinates: Latitude: 36' 5' 25.9" Longitude: 78. 17' 20.1"
Datum: NAD 83 Level of accuracy: Sub -Meter
Method of measurement: GIS
County where residuals land application program is headquartered: Franklin
1. 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
Richard Collins
Town of Louisburg
29306
Back -Up ORC
Jimmy Ellington
Town of Louisburg
23114
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:
2. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in
the following table:
Maximum amount of residuals to be certified: 318 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
33.13
49.63
10,537
15,784
Five -Year Maximum Adjusted
46.69
58.94
14,848
18,744
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified
and proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
Row Crops
Hay
84.44
Pasture
84.44
Total:
84.44
Methods
Surface
84.44
Incorporation or Injection
Total:
84.44
FORM: RLAP 03-15 Page 2 of 4

c. Residuals Land Application Summary: 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
(lbs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
210.73
315.67
296.96
374.88
100
105.37
157.84
148.48
187.44
150
70.24
105.22
98.99
124.96
200
52.68
78.92
74.24
93.72
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 Certification 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 03-15 Page 3 of 4

Applicant's Certification (signing authority must he in compliance with 1.5A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with
any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
Yes H No, Explain;
I, Karl Pernell Mayor
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Town of Louisburg
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water
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: �� •�L� Date:
.)L--2-2/
FORM: RLAP 03-15 Page 4 of 4

Source
Ton Avg 11st Yr.PAN(Sur) Weighted Avg. lbs/Dt Ilst Yr PAN
318.00
16,567.00 33.13
10,537
PAN Rate
Acres Required
50
210.73
100
105.37
150
70.24
200
52.68
lbs/Dt 15th Yr PAN
24,817.00 49.63
15,784
Acres Required
315.67
157.84
105.22
78.92
lbs/DT I Sth Yr PAN
23,346.00 46.69
14,848
Acres Required
296.96
148.48
98.99
74.24
Led Avg lbs/DT
29,472.00 58.9,
29,472.00 58.94
18,744
Acres Required
374.88
187.44
124.96
93.72

TOWN OF LOUISBURG
OPERATION AND MAINTENANCE PLAN
LAND APPLICATION OF CLASS B RESIDUAL BIOSIOLIDS
WQ#0005981
Revised January 2021

1.0 ANALYTICAL REQUIREMENTS
Prior to the hauling and land application event being schedule the generator must provide analytical results
documenting that all parameters listed in Condition IV. 2 — 4 and at the frequency listed in most recent copy of this
permit. The Town of Louisburg will collect the sample prior to land application and will be done in the following
manner:
Four factors that may ultimately affect the integrity of reported data include: 1) obtaining a representative sample, 2)
preventing contamination of the sample, 3) providing legal documentation of the sampling event, and 4) protecting
the sample from chemical, physical or biological change prior to analysis.
A sample will be collected according to the schedule provided in the most recent copy of the Attachment A of this
permit and prior to land application one composite sample should be pulled from a designated location from the
generating source. The Town of Louisburg has identified Meritech, Inc. out of Reidsville, NC to be used as the
Certified Laboratory. The composite sample should be analyzed for:
• % Solids,
• Nitrogen Series (TKN, Ammonia, Nitrate, Nitrite, and Organic Nitrogen),
• Phosphorus,
• Potassium,
• Sulfur,
• Calcium,
• Magnesium,
• Sodium,
• Iron,
• Aluminum,
• Manganese,
• Copper,
• Zinc,
• and Remaining 503 Metals (i.e. Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel,
Selenium)
Approximately 2 quarts of residual should be collected. The sample containers should be clean and sterile. They
should also be labeled so that they are easily identifiable in the lab. The samples should be pulled using the method
listed below:
❖ Collect one sample from each digester(s) from which the material will be land applied using a "swing sampler"
o The swing sampler must be used with a sterile, plastic 960 ml container
❖ Combine each sample in a stainless steel bucket
❖ Mix thoroughly using a fiberglass rod
❖ Collect each sample from the top of the access point at each digester. This access point is obtained by climbing
the installed ladder on the side of the digester.
Once the sample is pulled, it should be placed in medium size cooler packed with ice. The sample should be collected
with an enough time so that it can be delivered to the laboratory.
Revised 01 /21 OTown of Louisburg Operation and Maintenance Plan

Once per calendar year a sample should be collected and submitted to Meritech, Inc. of Reidsville, North Carolina.
This sample should be analyzed for:
• Full TCLP
• Ignitability, Corrositivity, and Reactivity
• Requires 5 Liters (In Opac Glass Bottles)
A third should be submitted to Meritech, Inc. for a 30-Day Scale Bench test and Fecal Colifom Density Test. The
30-Day Scale Bench Test also requires 1 quart of "clear" water from the Clarifier for Dilution if necessary. This
sample would be analyzed for:
• 30-Day Scale Bench Test (4 Quarts of Residuals and 1 Quart of Clarifier water)
• Fecal Coliform Density Test (seven pint samples)
The contact information for the labs is:
Mailing Address
Meritech, Inc.
642 Tamco Road
Reidsville, NC 27320
[phone] (phone)
[phone] (fax)
Sampling frequency will be conducted in accordance with the Table listed in the most recent Attachment A of this
permit. The sample will be collected by a representative of Soil Plus, LLC. For further information please contact:
Drew Matthews
PO Box 1396
Oxford, NC 27565
252-883-9301
Revised 01 /21 OTown of Louisburg Operation and Maintenance Plan

2.0 BIOSOLIDS REMOVAL, TRANSPORT, AND APPLICATION
Biosolids will be transported from the generators to suitable, permitted land application sites. Transport equipment
will be inspected, licensed and appropriately marked, as required, for the purpose of transporting biosolids. Biosolids
will be delivered to the application sites between sunrise to sunset.
Both liquid and dewatered biosolids distribution on the land application sites will be uniform throughout the
application area. To ensure adequate control of the application rate for each site, the equipment used for spreading
the sludge will be calibrated by measuring the amount handled on a known square footage. While the rate of discharge
from the application vehicle is fixed, the speed of the equipment can be adjusted to maintain the flow rate needed to
achieve specific application rates. Spreading operations will be discontinued during periods of inclement weather and
will not be resumed until sufficient drying of the fields has occurred. This allows equipment access without causing
excessive soil compaction or rutting. To prevent adherence of the biosolids, transport vehicles will be equipped with
rear mud flaps, thereby preventing biosolids from being tracked onto roadways. Biosolids adhering to the mud flap
will be scraped off in the field before the truck returns to the roadway. Examples of our application tracking and
summary form/reports can be provided upon request.
3.0 SITE OPERATION
Biosolids will be surface applied at the properly -calculated agronomic rate and in strict accordance with any state and
federal regulations for the land application of the biosolids. Buffer zone distances will be observed in accordance with
applicable state and federal regulations. Buffer zones will be flagged and no biosolids will be applied within those
areas. The most restrictive buffer will apply in combined situations. Operational provisions will be taken to prevent
soil loss through erosion. Provisions will include contour application and avoidance of areas where surface drainage
patterns result in concentrated flow of runoff from rainfall. In accordance with sound, industry standard agronomic
practice, areas which are unseasonably wet (and would produce rutting or damage to the field) will not be utilized for
biosolids application operations during those periods. Operations will be discontinued when soils are saturated and
will not be resumed until the field has sufficient dried. The amount of biosolids applied will not exceed the hydraulic
capacity of the soil at the time of each application. If a subsequent pass across a field is necessary to achieve the
desired application rate, sufficient drying time will be allowed between passes.
4.0 PROJECT CONTROL
To ensure biosolids are continuously applied at the correct application rate and in a manner consistent with the
Operations Plan, a Field Manager (provided by the contracted land application company) will be in direct charge of
the field operations, controlling the amount of biosolids delivered to each field, and conducting daily field inspections.
Field inspections will include ensuring that flags are in place, biosolids are applied uniformly at the designated
application rate, setbacks are observed, trucks are unloading at best location, trucks are not driving over biosolids,
trucks are cleaned before leaving the field and the land application equipment is maintained in working condition.
5.0 TRANSPORTATION SYSTEM ROUTING
Per the specifications, transportation vehicles will be equipped with GPS devices that will guide drivers to the land
application sites. Transportation routes will follow primary highways and avoid residential areas where possible.
Designated routes are followed unless a detour is specified. In the event of a detour route, it shall be taken as specified
by the detour authority. There shall be no unscheduled stops when loaded. Transportation vehicles will be inspected,
licensed and appropriately marked as required with identification numbers for the purpose of this contract. All units
will be equipped with spill guards and full mud flaps. This will prevent the biosolids from adhering to the tires and
undercarriage of the transport vehicle, thereby preventing biosolids from being tracked onto roadways. Biosolids
adhering to the mud flap will be scraped off in the field before the truck returns to the roadway. All federal OSHA
Revised 01 /21 OTown of Louisburg Operation and Maintenance Plan

and DOT laws and regulations are complied with for the protection of our clients, the community and our drivers.
Examples of vehicle and driver transportation logs and inspection forms can be provided upon request.
6.0 DEWATERED BIOSOLIDS
Dewatered biosolids will be transported in standard end dump trailers. The trailers will be loaded per the generator's
specifications and standard protocols. The dump trailers used for transportation of dewatered cake biosolids will be
equipped with sealed tailgates and will be completely sealed to prevent leakage. All trucks will be fully covered and
will be fitted with positive lock tailgates.
7.0 LIQUID BIOSOLIDS
Liquid biosolids will be transported using 7,000 gallon capacity liquid tankers, pulled by standard road tractors, for
liquid biosolids transportation. The tankers will be loaded per the generator's specifications and standard protocols.
The tractor/tanker unit will transport its load to a designated staging area inside the buffered area of a permitted
land application site.
8.0 APPLICATION (SPREADING) — DEWATERED BIOSOLIDS
At the staging area each load will be unloaded in a designated area within the land application site. Biosolids will be
loaded into our Side Slinger cake box by a front-end loader. This unit is capable of delivering an accurate, calibrated
application of dewatered biosolids over the application site. The uniform spread pattern ensures that biosolids are
applied at proper agronomic (nutrient) and hydraulic loading rates. The application rates for each site, and its
corresponding crop, will be determined based on the Plant Available Nitrogen (PAN) content of the biosolids, or
other limiting factors. Typical applications will deliver between 75 and 100 percent of a crop's annual PAN
requirement.
9.0 APPLICATION (SPREADING) — LIQUID BIOSOLIDS
At the staging area each load will be transferred into a 4,000 gallon capacity pull behind subsequent land application.
This unit is capable of delivering an accurate, calibrated application of liquid biosolids over the application site. The
uniform spread pattern ensures that biosolids are applied at proper agronomic (nutrient) and hydraulic loading rates.
The application rates for each site, and its corresponding crop, will be determined based on the Plant Available
Nitrogen (PAN) content of the biosolids, or other limiting factors. Typical applications will deliver between 75 and
100 percent of a crop's annual PAN requirement.
10.0 SPILL AND EMERGENCY RESPONSE PROGRAM
In the unlikely event of a spill, the Town of Louisburg will take the following actions immediately.
• Halt Source of Spill. Use of any leaking or damaged unit which is causing the spill will cease immediately. The
unit will be repaired before resuming its use.
• Contain Spill. In the event large quantities of biosolids have been spilled, straw bales will be used where
available and as necessary to either form a barrier or absorb biosolids.
• Clean -Up. Depending on the type and amount of biosolids spilled, a variety of equipment may be used to
remove the biosolids: front-end loader, shovels and brooms and vacuum equipment of a liquid biosolids
applicator. Any biosolids removed from the spill site will be spread on an approved application site, returned
to the WWTP, or disposed of in an approved landfill.
Revised 01 /21 OTown of Louisburg Operation and Maintenance Plan

• Final Clean -Up. Flush roadways with water or sweep as necessary to clean. Allow to dry and incorporate if
spill occurs on non -paved and tillable area. In the event a spill occurs on private property, final clean-up
should be completed immediately to the satisfaction of the owner.
• Management of Clean -Up Efforts. The Operations Manager will take immediate charge and initiate clean-up
activities. The Contract Land Applier along with the Town of Louisburg labor will be used, with additional
labor secured as needed. The Operations Manager will also communicate with the public on the scene,
answering questions and advising of clean-up activities.
• Reporting. All spills will be reported immediately to the Town of Louisburg officials. State and local agencies
will be notified in accordance with their notification requirements. Within 24 hours of the spill, the Operations
Manager will send the Town of Louisburg a written report detailing how the spill occurred and remedial action
taken. This report will be provided using the enclosed Spill Report form.
• Spill Prevention. The Operations Manager will implement the following spill prevention measures:
o Ensure truck drivers watch trailer while loading and do not overload;
o Ensure trailer hatches are closed and latched while transporting;
o Ensure trailer seals are inspected on a daily basis and replaced as necessary; and
o Ensure unloading operations in the field are conducted to minimize any potential runoff or tracking.
The Town of Louisburg require that the Contract Land Applier shall ensure that all employees receive safety and spill
response training as part to their new hire training and thereafter participate in our monthly safety and spill response
training program. In addition to their internal training and protocols, they must also contract with a regional
emergency response firm - HEPACO - available to respond to an incident in the Central and Eastern North Carolina
area within two hours. A copy of our agreement with HEPACO can be provided upon request.
Names and Titles of Inspection Personnel
Andy Smith, Area Supervisor
Jason Smith, Area Supervisor
JT Bryant, Regional Supervisor
Jay Bryant, Project Supervisor
Matt Foster Project Supervisor
BJ Bryant, Field operators
Jeff Bumpass, Field operators
Tammy Walston, Field operators
11.0 PREVENTION
The goal of a compliance assurance system is to prevent compliance issues from occurring. Prevention involves:
• Ensuring personnel understand their role in assuring compliance;
• Identifying compliance requirements at the federal, state and local levels;
• Implementing a system where compliance tasks are scheduled, assigned and tracked to completion;
• Developing standard operating procedures where appropriate; and
• Reviewing the compliance task list and standard operating procedures on an ongoing basis and modifying
them as appropriate to account for changes in regulations/requirements and operating methods, and to
address compliance deficiencies.
Revised 01 /21 OTown of Louisburg Operation and Maintenance Plan

12.0 Standard Operating Procedures (SOP's)
The Town of Louisburg will direct the Contract Land Applier to develop and implements SOPS to ensure compliance
tasks are completed consistently across the company. The SOP provides standard forms to use, approved biosolids
analytical methods, frequency of monitoring information, etc. Another key SOP relative to preventing compliance
issues from occurring is the use of a "Pre -Operating and Buffer Checklist".
The Pre -Operating and Buffer Checklist ensures federal, state and local regulations and permit requirements are met
prior to initiating biosolids applications at field sites. Compliance items on the Checklist include:
• The field is permitted and suitable for the biosolids/residuals type being applied;
• Pre -application requirements are met;
• Farmer and landowner agreements are current and the crop to be grown has been verified;
• The field is flagged to prevent applications in buffer zones and restricted areas;
• The appropriate application rate and field capacity is calculated; and
• Any special permit or local requirements are met.
• A listing of the buffer zones and restricted areas where biosolids/residuals cannot be applied
• A listing of operating requirements including notification requirements,
• application method requirements, and inclement weather operating requirements
13.0 ASSESMENT
To help ensure compliance requirements are being met and the compliance assurance system is implemented and
working, periodic, consistent, objective and documented assessments of the project/facility's compliance status are
conducted.
14.0 CORRECTIVE ACTION
Once compliance issues have been identified during the course of day to day business and through internal audits and
inspections a system must be in place which ensures that appropriate and timely corrective action is taken, the cause
of the compliance issue is identified and actions are taken to prevent recurrence of the issue.
The Town of Louisburg's goal is to have no instances of non-compliance. However, issues and incidents may occur
and when this happens employees work to correct the incident in a timely and thorough manner. When compliance
issues are identified, the situation is examined to determine the root cause of the problem and the corrective and
preventive action that must be taken. The preventive action must address the root cause with the goal of preventing
a recurrence.
Depending on the nature of the compliance issue, it is assigned to one or more responsible parties to ensure that the
corrective and preventive actions are implemented. A deadline for completion of the task is assigned and the issue is
tracked to completion by regional and corporate compliance personnel.
Revised 01 /21 OTown of Louisburg Operation and Maintenance Plan

15.0 TRAINING
An effective compliance training program involves:
• Identifying training needs and requirements;
• Assigning personnel to provide training and providing them the resources they need to conduct training;
• Documenting and tracking that mandatory t raining has occurred; and
• An employee's training needs and requirements, as well as their training responsibilities, are based on
his/her position within the company.
Revised 01 /21 OTown of Louisburg Operation and Maintenance Plan

TOWN OF LOUISBURG
O&M PLAN
PROCESS FLOW DIAGRAM

BY-PASS
Do-
ANOXIC/MIXING BASIN
PLANT INFLUENT O ( 0.610 MGD
AD F = 0.610 MGD -t, 1 —` -� ,,, GRIT
r X 3
r
W I
BAR SCREENS,
I
0.820 MGD
0.820 MGD
�-
GRIT & GREASE
MAIN PUMP
REMOVAL
_) STATION
I
I
C
DXO
QI
m
i
�
o 310
kW STAND-BY
Ln
wl zli- GENERATOR
WITH
0-1I 0
z
�I _jI0 1600
AMP ATS
I o
a
z
o ROTOR
�I ply
I
(TYP,)
a-
Q
n
0
UGDE
NG TANK SLUDGE
SLUGDE
LAND
CAPPLICATION
DIGESTER
I
0.410 MGD
0.410 MGD
L---
I
I
I
�^
65' DIA.
®o
SECONDARY
_ ---+--I
I
06\F
Q
CLARIFIERS &�
l
RETURN SLUDGE
NARRATIVE DESCRIPTION
E
c,o\�'O
PUMP STATION
c
The Process Flow Diagram shows the cur-
`"
rent average daily flow (0.610 MGD) as it
I
F,�
0.305 MGD
progresses through the plant. RAS flow is
I
THICKENER
0.305
annrnximatPly 1 /'� of the infliiPnt fln%ni
MGD
TERTIARY

(0.210 MGD) and is pumped from the clari-
fier underflow back to the head of the
plant.
The current influent flow has not changed
much from the 2009 NPDES Permit Renewal
Application.
The sludge drying beds shown in the 2009
NPDES Renewal Application are no longer in
use and the piping to and from the drying
PLANT
,c
EFFLUENT
M 0.610 MGD CASCADE
L___, AERATION
s :a SEAL
9450,
• - 31 -s 4kQ
llllll
BACKWASH WATER
60 G P M� ---.,
Lb__0__
ALUM_ STORAGE &
FEED PUMP
CAUSTIC SODA &
FEED PUMP
HUV UV UV
0.610 MGD 0.610 MGD
ULTRAVIOLET METERING
DISINFECTION FLUME
MUNICIPAL ENGINEERING SERVICES CO., PA
671 KING STREET
BOONE, NORTH CAROLINA 28607
WWWWAXIDA PWIPA,, lk
PROJECT NO. G14053
MARCH 2O14

TOWN OF LOUISBURG
O&M PLAN
MAXIMUM PRODUCTION
QUANTIFICATION & JUSTIFICATION

AVERAGE
# of
Gallons I Dry Tons I WWTP IYears Counted
2,423,800 264.75 Louisburg WWTP

TOWN OF LOUISBURG
O&M PLAN
SOURCE VICINITY MAPS

SOURCE FIGURE
Louisburg WWTP

N
W E
S
--,.,C._` Creek
sue;
_N
a �
� �SR n
_ N
6-
S�1
SR�12�2 J
SR-1256
SR-1231
burg
sR 16v z
sR-126a
�Ns
Sl/
1606 Sg_1656 NG56581
burg
1491
<rl
Legend
Source Location
— Road
Stream
L_
'JCount Y Boundary
[I Municipal Boundary
Surface Water ��� 0.5 0.25 0 0.5
SR-1604 Miles
Scale: 1 inch = 0.5 miles LOCATION MAP
SOIL PLUS
T Figure
Drawn by: DM S V s Town of Louisburg RLAP (WQ0005981)
Reviewed by: Louisburg, North Carolina 1
Date: January 2020 Soil Plus Project # 200705.G10

APPENDIX 2
2021 PERMIT RENEWAL
Town of Louisburg (WQ0005981)
RS CA
Field Loading Calculations
Analytical

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Town of Louisburg
Status
Code °
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current n
Proposed
R
Town of Louisburg
Louisburg WWTP
Franklin
NCO020231
318
318
'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
DWR
Department of Environmental Quality
Division of Water Resources
l?ivision of hater Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
L RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Louisburg WWTP
2. Facility permit holder is: ❑ Federal, 0 State, 0 Local Government, or 0 Private.
Facility permit issued by: IL Div. of Water Resources, Div. of Environmental Health,
or L Other (explain: _).
3. Facility contact person and title: Jimmy Ellingto'i!
Complete mailing address: 110 West Nash Street
City: Louisburg State: NC Zip: 27549-
Telephone number: [phone] E-mail address: fedleyforestkyahoo.com
4. Facility physical address: Wastewater Road
City: Louisburg State: NC Zip: 27549-
Coordinates: Latitude: b° 5' 25.9" Longitude: 78' LT 20.1"
Datum: � Level of accuracy: Sub -Meter
Method of measurement: GIS
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: 0 MGD and facility average daily flow: 0 MGD
8. Average amount of residuals being generated at this facility E dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 1.5 MG Oxidation Ditch
Type and volume of residuals storage (i.e., outside of residuals treatment units): 1.3 MG Digester
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
40 CFR Part 503 or 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page 1 of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: 0 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: P yes 0 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Meritech, Inc. and Date of analysis: 8/20/2020
Passed corrosivity test: []I yes r no. pH: 7.1 s.u. (2 < pH < 12.5)
Passed ignitability test: d yes p no. Flashpoint: = OF (> 140°F)
Passed reactivity test: Eyes Mno. HCN: < 0.500 mg/kg (<250) & H2S: _ mg/kg (<500)
TCLP Parameter
Limit
(mgfi)
Result
(mgfi)
TCLP Parameter
Limit
(mg17)
Result
(mg17)
Arsenic
5.0
< 0.100
Hexachlorobenzene
0.13
< 0.100
Barium
100.0
0.136
Hexachloro-1,3-Butadiene
0.5
<0.100
Benzene
0.5
< 0.0100
Hexachloroethane
3.0
< 0.100
Cadmium
1.0
< 0.020
Lead
5.0
< 0.100
Carbon Tetrachloride
0.5
< 0.0100
Lindane
0.4
< 0.040
Chlordane
0.03
< 0.003
Mercury
0.2
< 0.02
Chlorobenzene
100.0
< 0.0100
Methoxychlor
10.0
< 1.000
Chloroform
6.0
< 0.0100
Methyl Ethyl Ketone
200.0
< 0.100
Chromium
5.0
< 0.050
Nitrobenzene
2.0
< 0.100
m-Cresol
200.0
< 0.200
Pentachlorophenol
100.0
< 0.500
o-Cresol
200.0
< 0.100
Pyridine
5.0
< 0.100
p-Cresol
200.0
< 0.200
Selenium
1.0
< 0.100
Cresol
200.0
< 0.300
Silver
5.0
< 0.050
2,4-D
10.0
< 1.000
Tetrachloroethylene
0.7
< 0.0100
1,4-Dichlorobenzene
7.5
< 0.100
Toxaphene
0.5
< 0.05
1,2-Dichloroethane
0.5
< 0.0100
Trichloroethylene
0.5
< 0.0100
1,1-Dichloroethylene
0.7
< 0.0100
2,4,5-Trichlorophenol
400.0
< 0.100
2,4-Dinitrotoluene
0.13
< 0.100
2,4,6-Trichloropheno1
2.0
< 0.100
Endrin
0.02
< 0.002
2,4,5-TP (Silvex)
1.0
< 0.100
Heptachlor and its Hydroxide
0.008
< 0.0008
Vinyl Chloride
0.2
< 0.0200
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: h4eritech, Inc. and Date of analysis: -
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mglkg)
Monthly Average
Concentration Limits
(Class A Only)
(mglkg)
Result
(mglkg)
Arsenic
75
41
< 1.98
Cadmium
85
39
1.27
Copper
4,300
1,500
599
Lead
840
300
25.0
Mercury
57
17
0.159
Molybdenum
75
n/a
5.52
Nickel
420
420
19.4
Selenium
100
100
1.99
Zinc
7,500
2,800
1,160
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: = and Date of analysis: =
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
W > 0 but < 25
30
200
210
19 > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
> 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: a %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: 14eritech, Inc. and Date of analysis: -
Parameter
Result
(mg1kg)
Aluminum
34,600
Ammonia -Nitrogen
16,500
Calcium
11,000
Magnesium
2,700
Nitrate -Nitrite Nitrogen
< 397
pH (Standard Unit)
6.2
Phosphorus
1,800
Potassium
4,400
Sodium
3,060
Total Kjeldahl Nitrogen
42,900
c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): LU
[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): JW default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, ex lain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: ia
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (11) Year PAN
Five -Year
Maximum Adjusted PAN
(mg/kg)
(mg/kg)
Surface
16,567
23,346
Injection/Incorporation
24,817
29,472
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: None Kno
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
C1 A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
id 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):
14 Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
EJ Alternative 2 [15A NCAC 02T.I 106(b)(3)(13)] - Alkaline Treatment.
Alternative 3 [15A NCAC 02T. 1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
E] Alternative 4 [15A NCAC 02T. 1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: composting, A heat drying, 71 heat treatment,
thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
Alternative 1 [15A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, I
air drying, ❑ anaerobic digestion,
El composting, or lime stabilization.
c. For Surface Disposal:
rl Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
J Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
J Exempt -If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)].
J Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
El Alternative 1 [15A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
El Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
E] Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
El Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
E] Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
E] Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
E] Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals.
El Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
El Alternative 10 [15A NCAC 02T.I107(a)(10)] - Incorporation.
q Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(b)(2)].
id 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

` AGMAN FIELD LOADING ESTIMATES
Facility Louisburg VP P
Sampling Date 4/8/2020
Solids 2.52
Mineralization Rate 0.30
Gallons per DT 9,516.20
pH 6.2
Sodium Absorpotion 1.07 <5.0 Safe 5.0 - 10.0 Careful Management > 15.0 Do Not Land Apply
Ratio
NITROGEN APPLICATION
TKN (mg/Kg) 42,900 lbs./1,000 gal 9.02
Ammonia Nitrogen (mg/Kg) 16,500.00 lbs./1,000 gal 3.47
Nitrate -Nitrite (mg/Kg) 397.00 lbs./1,000 gal 0.08
PLANT AVAILABLE NITROGEN SURFACE APPLIED
PAN (mg/Kg) 16,567 lbs./1,000 gal 3.48
PLANT AVAILABLE NITROGEN INJECTED/INCORPORATED APPLIED
PAN (mg/Kg) 24,817 lbs./1,000 gal 5.22
Volatization Rate= 0.5 Surface Application
1.0 Injection/Incorporation
EPA METAL LIMITS
Class A Ceiling
Class B Ceiling
Limits (mg/Kg)
Limits (mg/Kg)
41
75
39
85
1,500
4,300
300
840
17
57
420
420
100
100
2,800
7,500
1 st Year
2nd Year
3rd Year
4th Year
5th Year
HEAVY METAL CONCENTRATION
NUTRIENT APPLICATION
Potassium lbs./1,000 gal 0.92
Phosphorus lbs./1,000 gal 0.38
Calcium lbs./1,000 gal 2.31
Magnesium lbs./1,000 gal 0.57
Manganese lbs./1,000 gal
Sulfur lbs./1,000 gal
Molybdenum lbs./1,000 gal 0.00
HEAVY METAL LOADING
Arsenic (mg/Kg)
1.98
Arsenic lbs./1,000 gal
0.00
Cadmium (mg/Kg)
1.27
Cadmium lbs./1,000 gal
0.00
Copper (mg/Kg)
599.00
Copper lbs./1,000 gal
0.13
Lead (mg/Kg)
25.00
Lead lbs./1,000 gal
0.01
Mercury (mg/Kg)
0.16
Mercury lbs./1,000 gal
0.00
Nickel (mg/Kg)
19.40
Nickel lbs./1,000 gal
0.00
Selenium (mg/Kg)
1.99
Selenium lbs./1,000 gal
0.00
Zinc (mg/Kg)
1160.00
Zinc lbs./1,000 gal
0.24
RESIDUAL NITROGEN CALCULATION
Surface Application
Injection/Incorporation Application
Remaining
Remaining
Organic
Organic
PAN PAN
Nitrogen
PAN PAN
Nitrogen
TKN
(mg/kg) (lbs/DT)
(mg/Kg)
TKN
(mg/kg) (lbs/DT)
(mg/Kg)
42,900
16,567 33.13
26,333
42,900
24,817 49.63
18,083
26,333
3,950 7.90
22,383
18,083
2,712 5.42
15,371
22,383
1,679 3.36
20,704
15,371
1,153 2.31
14,218
20,704
776 1.55
19,928
14,218
533 1.07
13,685
19,928
374 0.75
19,554
13,685
257 0.51
13,428
Equations
1 st Yr. PAN (mg/Kg)-(MR
x (TKN-NH3))+(VR x NH3)+NOx
2nd Yr PAN (mg/Kg)-
2nd Yr. TKN x (MR/2)
3rd Yr PAN (mg/Kg)-
3rd Yr. TKN x (MR/4)
4th Yr PAN (mg/Kg)-
4th Yr. TKN x (MR/8)
5th Yr PAN (mg/Kg)-
5th Yr. TKN x (MR/16)
Total 23,346 46.69
Total 29,472 58.94

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Richard Collins
Client: Louisburg, Town of
110 West Nash St.
Louisburg NC 27549
Report Date: 4/27/2020
NPDES #: NC0020231
Date Sample Rcvd: 4/9/2020
Meritech Work Order #
040920136
Sample: Influent Composite
4/7-8/20
Parameters
Result
Analysis Date
Reporting Limit
Method
CBOD, 5 Day
196 mg/L 4/10/20
2.0 mg/L
SM 5210 B
Meritech Work Order #
040920137
Sample: Effluent Composite
4/7-8/20
Parameters
Result
Analysis Date
Reporting Limit
Method
CBOD, 5 Day
2.4 mg/L 4/10/20
2.0 mg/L
SM 5210 B
Meritech Work Order # 040920138
Sample: Sludge Grab
4/8/20
Parameters
Result
Analysis Date
Reporting Limit
Method
%Total Solids
2.52 %
4/10/20
0 - 100 %
SM 2540 B
Ammonia, Nitrogen
16500 mg/kg
4/15/20
10 mg/kg
EPA 350.1
TKN
42,900 mg/kg
4/16/20
20 mg/kg
EPA 351.1
Nitrate/Nitrite, Nitrogen
<397 mg/kg
4/14/20
397 mg/kg
EPA 353.2
Nitrogen, total
42,900 mg/kg
4/16/20
20 mg/kg
EPA 353.2
Aluminum, total
34,600 mg/kg
4/16/20
2.50 mg/kg
EPA 200.7
Arsenic, total
<1.98 mg/kg
4/16/20
1.98 mg/kg
EPA 200.8
Cadmium, total
1.27 mg/kg
4/16/20
0.200 mg/kg
EPA 200.7
Calcium, total
11,000 mg/kg
4/16/20
10.0 mg/kg
EPA 200.7
Copper, total
599 mg/kg
4/16/20
0.200 mg/kg
EPA 200.7
Lead, total
25.0 mg/kg
4/16/20
0.500 mg/kg
EPA 200.7
Magnesium, total
2700 mg/kg
4/16/20
10.0 mg/kg
EPA 245.1
Mercury, total
0.159 mg/kg
4/14/20
0.02 mg/kg
EPA 200.7
Molybdenum, total
5.52 mg/kg
4/16/20
0.500 mg/kg
EPA 200.7
Nickel, total
19.4 mg/kg
4/16/20
2.0 mg/kg
EPA 200.7
Phosphorous, total
1,800 mg/kg
4/16/20
2.00 mg/kg
EPA 200.7
Potassium, total
4,400 mg/kg
4/16/20
20.0 mg/kg
EPA 200.7
Selenium, total
1.99 mg/kg
4/16/20
0.50 mg/kg
EPA 200.7
Sodium, total
3060 mg/kg
4/16/20
20.0 mg/kg
EPA 200.7
Zinc, total
1,160 mg/kg
4/16/20
1.00 mg/kg
EPA 200.7
pH
6.2 S.U.
4/15/20
1.0 - 14.0 S.U.
SM 4500 H B
SAR
1.08 -
4/16/20
-
-
I hereby certify that have reviewed and approve these data. , (] f� da'4 p(+,(,-k)
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

8/9/18
Chain of Custody Record (COC)
NPDES#: 0_a '01,0 A 3
Client: Z v c1�1S � 1°"'e"`� � �-�' Phone:
Address: Fax:
LA c[ I LSL'Cr.04 NC Z-i'r Email:
Project:
P.O.#:
Attention: ,Ic,e �� /���U`S Turn Around Time*
*RUSH work needs prior approval,
How would you like your report sent? Char es ADDIV
Circle all that apply: mai referred), Fax, ail Std 1 a s) 3 D s 2❑rs
;a M E R I T E C H, INC.
�. ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
i
Reidsville NC 27320 Fax: [phone]
A, Email: [e-mail]
www.meritechlabs.com
Sample Location and/or ID #
Sampling Dates & Times
Person Taking Sample (Sign/Print): r n / f ��
Lab Use Only
Start
End
comp?
p
Grab?
#of
Cont.
Test(s) Required
On Ice?
Yes / No
p H OK?
CI OK?
Date
Time
Date
Time
4-4 1 -4
Distc
o$
0 �o0
a� o
;
OY16
a,
<<dc.je- «e,.'- ; O 3
Temperature Upon
Receipt:
Method of
Shipment:
*** Dechlorination
(<0.5 pm) of Ammonia, Cyanide, Phenol
and TKN
samples must be done in the field prior to preservation. ***
Comments:
Compositor #
❑ UPS
Jug #
Fed Ex
Are these results for regulatory purposes? Yes ❑
No El
Report results in: mg/L [.J mg/kg ❑ ug/L ❑
❑ Y
Hand Deliver
Relinquished by: e+� - e: _� �7ime:
, C/
,L.
Received by:,p/ ,S a Time: ,z z
wG c
Other
Relinquished by: ��� ��� teZ. Time:
Received by: Date: Time:
Relinquished by: Date: Time:
Received by Lab:' ' / pate: Time:

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Richard Collins Page 1
Client: Louisburg, Town of Report Date: 9/10/2020
110 West Nash St. NPDES #: NCO020231
Louisburg NC 27549 Date Sample Rcvd: 8/20/2020
Meritech Work Order #
082020103 Sample: Sludge Grab
8/20/2020
TCLP Metals
Parameter
Results
Analysis Date Det. Limit
Reg. Limit
Method
Arsenic
<0.100 mg/L
8/27/2020
0.100
5.0
EPA 200.7
Barium
0.136 mg/L
8/27/2020
0.050
100.0
EPA 200.7
Cadmium
<0.020 mg/L
8/27/2020
0.020
1.0
EPA 200.7
Chromium
<0.050 mg/L
8/27/2020
0.050
5.0
EPA 200.7
Lead
<0.100 mg/L
8/27/2020
0.100
5.0
EPA 200.7
Mercury
<0.02 mg/L
9/1/2020
0.02
0.2
EPA 245.1
Selenium
<0.100 mg/L
8/27/2020
0.100
1.0
EPA 200.7
Silver
<0.050 mg/L
8/27/2020
0.050
5.0
EPA 200.7
TCLP Organics
Parameter
Results
Analysis Date
Reporting
Limit
Method
Volatiles 8260
Attached
8/25/2020
-
8260
Semi Vol. 8270
Attached
8/20/2020
-
8270
Other Tests
Parameter Results Analysis Date Reporting Limit Method
Total Solids
3.2 %
9/1/2020
0-100 %
SM 2540B
Cyanide, total
<0.500 mg/kg
8/25/2020
0.500 mg/kg
EPA 335.4
Sulfide
<10.0 mg/kg
8/25/2020
10 mg/kg
SM4500S2D
Ignitability
>140 °F
8/26/2020
-
EPA 1020B
Corrositivity (pH)
7.10 S.U.
8/24/2020
1.0 - 14.0 S.U.
SM 4500 HB
642 Tamco Road, Reidsville, North Carolina 27320
teI.[phone] fax.[phone]
f

Meritech, Inc.
Environmental Laboratory
r�. Laboratory Certification No.165
Contact: Richard Collins Page 2
Client: Louisburg, Town of Report Date: 9/10/2020
110 West Nash St. NPDES #: NCO020231
Louisburg NC 27549 Date Sample Rcvd: 8/20/2020
Meritech Work Order # 082020103 Sample: Sludge Grab 8/20/2020
TCLP Pesticides & Herbicides
Pesticide - SW-846 8081A
Parameter Results Analysis Date 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 Det. Limit Rem. Limit Dilution Factor
2,4-D Attached - - -
2,4,5-TP (Silvex) Attached - - -
I hereby certify that I have reviewed and approve these data. .. La or-yAR ,[ (;� ti'
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

MERITECH, INC.
_ Environmental Laboratories
' Laboratory Certificate #165
Client: Louisburg WRF
Project: TCLP
Client Sample M: Sludge
Sample Collection: 08/20/20
Meritech Sample ID: 082020103
1311 - TCLP Oraanics
Volatiles: SW-846 8260
Analysis: 08/25/20
Extraction:
08/20/20
Analyst: VWV
Report Date:
09/01/20
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
1,1-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
10
Semi-Volatiles: SW-846 8270
Analysis: 08/28/20
Extraction:
08/20/20
Analyst: PM
Report Date:
09/01/20
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
Hexaehloro-1,3-butadiene
<0.100
mg/L
0.100
0.5
10
Hexachloroethane
<0.100
mg/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-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
[phone] * info@meri#echlabs.com

RESEARCii & ANA1yTICAt
LAbORAToR1E5, INC.
Analytical/Process Consultations
Toxicity Characteristic Leachate Procedure (TCLP) Analysis for Meritech, Inc., collected 20 & 21 August 2020
EPA HW
Number Contaminant
L TCLP PESTICIDES/HERBICIDES
D-020
Chlordane
D-016
2,4-D
D-012
Endrin
D-031
Heptachlor
D-013
Lindane
D-014
Methoxychlor
D-015
Toxaphene
D-017
2,4,5-TP(Silvex)
Sample Number
Sample Date
Sample Time (hrs)
Sample Matrix
Date Analyzed
082020103
08242018
08242019
Quantitation
Results
Results
Results
Characteristic
Limit(mg/L)
m g/L)
fmgjL)
(mgAL)
Leyel(mgL)
EPA Method
Anal st
0.003
BQL
SQL
BQL
0.030
8081
MG
1.000
BQL
BQL
BQL
10.0
8151
MG
0.002
BQL
BQL
BQL
0.020
8081
MG
0.0008
BQL
BQL
BQL
0.008
8081
MG
0.040
BQL
BQL
BQL
0.400
8081
MG
1.000
BQL
BQL
BQL
10.0
8081
MG
0.05
BQL
BQL
BQL
0.500
8081
MG
0.100
BQL
BQL
BQL
1.00
8151
MG
86564-01
86564-02
86534-03
08/20/20
08/21/20
08/21/20
----
1200
1200
Sludge
Ash
Sludge
09/03-09/09/2020
09/03-09109/2020
09/03-09/09/2020
mglkg = milligrams per kilogram — parts per million (ppm) BQL = Below Quantitation Limits

Chain of Custody Record (COC)
NPDES#:_A4f
Client: ulS� ([A�
M E R I TE C H, INC,
Phone:
Address: S' Fax:
ENVIRONMENTAL LABORATORIES
/9 Le Is4toiaq/1i C Email:
i
642 Tamco Rd. Phone: [phone]
Project:
�
Reidsville NC 27320 Fax: [phone]
P.O.#:
Email: info@meritechlabs,com
Attention: } � �� ��
TurnAraundTime*
How would you like your report sent?
*RUSH work needs prior approval,
www.meritechlabs.com
Cha es i
Circle all that apply:�referred), Fax Ma' Std l0 3 s z Flrs
Sampling Dates & Times
Person Taking Sample (Sign/Print): � L (1�1
Lab Use Only)
Sample Location and/or ID # Start End
Date Time ate Time
Comp? #of Test(s) Required
On Ice? pH OK?
Grab? cunt.
s / No CI OK?
Temperature Up n� f
Receipt;
Method of
*** Dechlorination 0.5 ppm of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. ***
Shipment:
Comments.
Compositor #
❑ UPS
Jug #
❑ Fed Ex
Are these results for regulatory purposes? Yes F
No ❑ Report results in: mg/L ❑
mg/kg ❑ ug/L ❑,
Hand Delivery
Relinquished by: (} t Pate Ti e:
,
Received by: te� Time:
S
❑ Other
Relinquis y: `T (Date: Tim Received by:
Date: Time:
Relinquished by; Date: Time:
I Recei d by Lal� ,�1 /I . j?Date:
Time: 1/
L6

TOWN OF LOUISBURG
LAND APPLICATION PROGRAM
FECAL ANALYSIS FOR PSRP
DATE:
1 03/29/20
% SOLIDSI
0.0252
DATE
COLONIES / 100 ML
COLONIES / GRAM
LOG
04/06/20
< 10000
396825.4
5.5985995
04/07/20
10000
396825.4
5.5985995
04/08/20
10000
396825.4
5.5985995
04/13/20
10000
396825.4
5.5985995
04/14/20
< 10000
396825.4
5.5985995
04/15/20
< 10000
396825.4
5.5985995
04/20/20
< 10000
396825.4
5.5985995
TOTAL 139.190196
DIVIDE 7 15.5985995
INV. LOG
FINAL SUM COL./GRA 396825.43
LIMIT = 2,000,000 COLONIES/GRAN
PASSED (UNDER 2,000,000 COLONIES)

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Richard Collins Report Date: 5/27/2020
Client: Louisburg, Town of NPDES #: NCO020231
110 West Nash St.
Louisburg NC 27549 Date Sample Rcvd: 4/28/2020
Vector Attraction Reduction / Aerobically Digested Sludge (30 Day Test)
Meritech Work Order # 042820122 Sample: Sludge Grab 4/28/20
Total Solids Volatile Solids % Volatile Solids
Week 1 0.910 0.570 0.630
Week 2 0.760 0.490 0.652
Week 3 0.500 0.310 0.622
Week 4 0.810 0.500 0.616
Week 5 0.720 0.450 0.625
Van Kleech Reduction (%): 2.13
I hereby certify that I have reviewed and approve these data, An2a rri 0-1,Jn pnc co-L
a orat ry Represent tive
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

8/9/18 Chain of Custody Record (COC)
MERITECH, INC,
ENVIRONMENTAL LABORATORIES
642 Tamco Rd, Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: info@ meritechlabs.com
www.meritechlabs.com
Sampling Dates & Times
r
`�
NPDES#:
N ��''4-' v `tom
/
Client:_ p��� s�ccR
Phone:
9/9t-I l'6
4)77
Address:_1 / p Ind
Fax:
o Cr r � �ms? era K) � 2,-`?S�y �y
Email:
Project:
-�
P•O.#:
Attention: <L ' o �tJJ �' L%— l ((44
How would you like your report sent?
Circle all that applyQEmai referred), Fax(M�ail
Person Taking Sample (Sign/Print):
Sample Location and/or ID # start
End comp? # of
ate Ti
Dme Date Time Grab? I Cont.
'
Method of *** Dechlorination (<0.5 ppm
Shipment: Comments:
❑ UPS
Fed Ex Are these results for regulator
Q'; Hand Delivery Relinquished by: � �i
Other Relinquished b
hed by:
h � W1 0
et e - '1
Test(s) Required
Turn Around Time*
*RUSH work needs prior approval,
Char -es Aoolv
t (10Jci s) 13 - 5 Days 1 24 - 4II Hrs
Lab Use Only
On Ice? pH OK?
les / No Cl OK?
Temperature Upon
Receipt: ')
of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation,
Compositor #
Jug #
r purposes? Yes ❑ No ❑ Report results in: mg/L ❑ mg/kg ❑ ug/L ❑
ate -
Time:/
Rece
ived by: D t Tlme:
0
te: 4 6 Dime:�� eived by: Date: Time:
Date: Time: Received by Lab: �- �� fl % Date: Time:
� f� � t ( t A!

APPENDIX 3
2021 PERMIT RENEWAL
Town of Louisburg (VQ0005981)
LAS CA
Land Owner Agreement Forms
Map
Biosolid Utilization
CPLR Summary

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Town of Louisburg
Land application sites currently certified: 84.44 net acres and Total to be certified: = net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codes
Site/Field
ID
Landowners
�)
Lessees or Operator(s)
�)
Net Acres
County
t3'
Crop(s) s
PO
Predominant Soil
Series Name b
Mapping Unit
or Rep. Slope'
R
P-1
Carmen R. Parkhurst
Karl Holshouser
7.67
Franklin
Fescue
Georgeville
GeB
R
P-2
Carmen R. Parkhurst
Karl Holshouser
33.7
Franklin
Fescue
Georgeville
GeB
R
P-3B
Carmen R. Parkhurst
Karl Holshouser
12.74
Franklin
Fescue
Varina
VnB
R
P-3T
Carmen R. Parkhurst
Karl Holshouser
6.7
Franklin
Fescue
Varina
VnB
R
P-4
Carmen R. Parkhurst
Karl Holshouser
11.87
Franklin
Fescue
Varina
VnB
R
P-5
Carmen R. Parkhurst
Karl Holshouser
2.01
Franklin
Fescue
Georgeville
GeB
R
P-6
528 Collins Mill Rd, LLC
Karl Holshouser
Franklin
Fescue
Varina
VnB
R
P-7A&B
528 Collins Mill Rd, LLC
Karl Holshouser
i
Franklin
Fescue
Georgeville
GeB
a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
'Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
IL WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
P
Class
P-1
360 08' 37.5"
780 05' 11.5"
NAD 83
MAP
Nearest Second
Deer Branch 28-78-1-15
C
C
P-2
360 08' 28.3"
780 04' 51.7"
NAD 83
MAP
Nearest Second
Deer Branch 28-78-1-15
C
C
P-3B
60 08' 43.2"
780 04' 51.3"
NAD 83
MAP
Nearest Second
Deer Branch 28-78-1-15
C
C
P-3T
�6° 08' 41.9"
780 04' 43.5"
NAD 83
MAP
Nearest Second
Deer Branch 28-78-1-15
C
C
P-4
60 08' 29.6"
780 04' 19.8"
NAD 83
MAP
Nearest Second
Deer Branch 28-78-1-15
C
C
P-5
�6° 08' 20.8"
780 04' 11.5"
NAD 83
MAP
Nearest Second
Deer Branch 28-78-1-15
C
C
P-6
60 08' 44.4"
780 05' 10.3"
NAD 83
MAP
Nearest Second
Deer Branch 28-78-1-15
C
C
P-7A&B
�6° 08' 46.1"
780 05' 03.5"
1 NAD 83
MAP
Nearest Second
Deer Branch 28-78-1-15
C
C
Note: Please keep the site information (I.) and waterbody information (IL) of the same field on the same page.
FORM: LASC 11-13 Page 1

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting
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.
❑ 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: Town of Louisburg
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
P - 1 /2/3B/3T/4/5
Yes
Hay/Pasture
Animal Consumption
Louisburg 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 1 of 3

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-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 site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of deternuning
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: 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 decisioi
regarding the use of the land application site(s) on behalf of other deeded landowners CAR that I am otherwise authorized, throul
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of tl
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract i
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agremmer
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement,
field transfer. and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specific
herein. ,
landowner name: Carmen R. Parkhurst
Address: 960 Collins Mill Road
City: Castalia
State: NC
Zip: 27816
Phone: E-mail address:
Signature: 2.'rt fi �r Date:
——�—rt-�--�
NORTIi CAROI.TNA, Y `f �Y—�( i.� N „ COiJNTY
I, the undersiencd Notary Public do hereby certify that
personally appcared,before me this day and acknowledged the L execution of the forgoing instrument.
W 1W_'I and official seal this the J(�7
,20 2L
I certifv that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator/ name: eDCJ i r7_L
4ddress 77c� C.1/
City: State: 41C. lip: 27N
Phone: F-snail address: G� �IGf' %oc�'' h1 '� / Gd
Signature: �— Date:
Permittee's Certification:
1 certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: Karl Pernell, Mayor
Signature:%�`; �' Date,. 2L ` 2— 2(
T'eln4I. T'%A "1 11

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting
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.
❑ 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: Town of Louisburg
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
P - 6/7A&B
Yes
Hay Production
Animal Consumption
Louisburg 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 1 of 3

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-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 site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of deternuning
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Carmen R. Parkhurst
Address: 960 Collins MITI Road
Citv: Castalia State: NC Zip: 27816
Phone: E-mail address:
Signature: Date:''' 2
NORTH CAROLINA, ' d {' 7a'�L G �� �� COUNTY
1, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due a ecution of the forgoing instrument.
,20,
i
t
Lessee's/0
1 certify that I have read tthhiis Agreement and do h(erreby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: F1C`iri \ _kam S" C) Lf.�c
Address; �7 y``� �y 1 l t n5 1' t t l � Rck_
City: State: Ai_ Zip: 2— (e
Phone:l t k.�Q/�_ -/n t ( — Z Z Io to E-mail address: k" � �10 i 4100,3 o;� C_ , C_d rn
Signature: IIWUK _ 'A OU,111�- - Date: I ` 3G & Z l
Pertnittee's Certification:
I certify that 1 have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official Jnarne: - /KKarl Pernel1, Mayor
Signature: /�G�-�-•�� Date:
awe
G 1*9
FORM: LOA 06-16 Page 3 of 3

FIELD NET AC.
P-4 11.87
P-5 2.01
Co oil
rk,
f"M
'm
Legend
■ House
A Structure
Well
10- Stream
The Compliance Boundary is established either 250
FgApplication Area
feet from the residuals application area or 50 feet
Buffer
within the property boundary, whichever is closest to
F-1 Field Boundary
the application area. The Review Boundary is
established midway between the Compliance
Pond
Boundary and the perimeter of the residuals 400 200 0 400
"Property Boundary
application area.
I T66666666i Feet
Scale: 1 inch = 400 feet
SOIL PLUS
P-4 & P-5 BUFFER MAP
Figure
Drawn by: DM
Town of Louisburg RILAP (WQ0005981)
Reviewed by:
Centerville, North Carolina
Date: January '21
Soil Plus Project # 200705.A18

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Application
N Req.
Gallons
Total Gallons
Farm
Field
Soil Type
Net Ac.
Crop
Method
(lbs/Ac.)
Per Ac.
Per Field
Parkhurst
1
Georgeville (GeB)
7.67
Fescue
Surface
211
60,606
464,847.84
Parkhurst
2
Georgeville (GeB)
33.7
Fescue
Surface
211
60,606
2,042,421.41
Parkhurst
3B
Varina (VnB)
12.74
Fescue
Surface
151
43,372
552,559.91
Parkhurst
3T
Varina (VnB)
6.7
Fescue
Surface
151
43,372
290,592.73
Parkhurst
4
Varina (VnB)
11.87
Fescue
Surface
151
43,372
514,826.23
Parkhurst
5
Georgeville (GeB)
2.01
Fescue
Surface
211
60,606
121,818.01
Parkhurst
6
Varina (VnB)
6.72
Fescue
Surface
151
43,372
291,460.17
Parkhurst
7A&B
Georgeville (GeB)
3.03
Fescue
Surface
211
60,606
183,636.11
Totals
84.44
4,462,162
Total Gallons
52,844.18
Gallons Per Ac.
498.68
Total Dry Tons
5.91
Dry Tons Per Ac.
(7) Derived from http://reahsticyields.ces.ncsu.edu for Franklin County (Realistic Nitrogen Rate)
(8) Column (7) divided by 33.13 lbs N per DT multiplied by 9,516 Gallons Per DT
(9) Column (8) multiplied by Column (4)

Cumula uve Lbs per Acre
Facility Farm (Site#) Field
Monday, February 1, 2021
4:05:39 PM
Town of
Louisburg
P
1
0.259
0.067
22.104
43.961
0.133
2.35
31.146
0.346
56.52
2
0.334
0.085
25.095
102.024
0.141
20.45
107.186
1.440
63.60
3B
0.176
0.053
15.387
71.453
0.122
2.31
0.510
0.360
42.12
3T
0.187
2.074
11.700
71.402
0.059
2.22
24.798
0.336
21.87
4
0.227
2.062
17.648
40.988
0.107
0.23
64.605
0.411
112.01
5
0.042
2.020
3.108
64.416
0.031
14.07
30.202
0.478
67.81
6
0.324
0.047
16.818
0.813
0.056
0.15
0.502
0.074
40.63
7A&B
0.387
0.067
23.514
1.111
0.103
0.22
0.704
0.101
62.86
Page 1 of 1