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WQ0000455_Residual Annual Report 2020_20210202
Initial Review Reviewer Thornburg, Nathaniel Is this submittal an application? (Excluding additional information.)* r Yes r No If not an application what is the submittal type?* Annual Report Year* Permit Number (IR)* Applicant/Permittee Email Notifications .......................................................... ............. Does this need review by the hydrogeologist?* Regional Office CO Reviewer Admin Reviewer * Annual Report * Residual Annual Report r Additional Information r Other 2020 WQ0000455 Lewis Farms and Liquid Waste, Inc. 0 Yes r No Wilmington Submittal Form Project Contact Information Rease provide information on the person to be contacted by N B Staff regarding electronic receipt, another correspondence. ittal, confirmation of iptd othd .......................................................... ronc su_ - Name * Martin Mabe Email Address* martin@willcomabesoil.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* 336-312-1396 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:* WQ0000455 Fbs Current Existing pernit number Applicant/Permittee Address* 8155 Malpass Corner Road, Currie, NC 28435 Facility Name * Lewis Farms and Liquid Waste RLAP Please provide comments/notes on your current submittal below. 2020 Annual Report for Lewis Farms and Liquid Waste, Inc. 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.) Lewis Farms'20 Annual Report WQ0000455 (NCDEQ).pdf 14.77MB Upload only 1 FLFdocurrent (less than 250 NB). NLRiple documents mist be corrbined into one FDFfile unless file is larger than upload limit. * 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 01V1a41!!;-1KMme Submission Date 2/2/2021 2020 ANNUAL REPORT LAND APPLICATION PROGRAM LEWIS FARMS AND LIQUID WASTE, INC. PERMIT #WQ0000455 Prepared For: Lewis Farms and Liquid Waste, Inc. 8155 Malpass Corner Road Currie, North Carolina 28435 Compiled By: Willcox & Mabe Soil Solutions, PLLC 7231B Summerfield Road Summerfield, North Carolina 27358 February 2021 willcox&mabe SOIL SOLUTIONS February 2, 2021 NCDEQ-DWR Non -Discharge Compliance Unit 512 North Salisbury Street 9�' Floor, Office 942X Raleigh, North Carolina 27604 Attention: Non -Discharge Compliance Unit Reference: 2020 LAND APPLICATION ANNUAL REPORT Lewis Farms and Liquid Waste, Inc. Permit No. WQ0000455 WMSS Project No. 15-20 Ph: 01 Non -Discharge Compliance Unit: Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting all monitoring and reporting requirements as specified in the above referenced permit on behalf of Lewis Farms and Liquid Waste, Inc. (Lewis Farms). WMSS compiled this report using data gathered during the compliance year by Lewis Farms. This data includes: 1) certification form, 2) residuals analyses and pathogen / vector data, 3) application summaries and field loading rate reports, and 4) soil analyses. If there is any further information required or questions regarding this annual report please do not hesitate to contact Lewis Farms or WMSS for further assistance. Sincerely, Willcox & Mabe Soil Solutions, PLLC Martin Mabe NC Land Application/Residuals Operator 922753 Enclosures Shared\WMSS Projects12015115-20 Lewis Farms12020 Annual Report12020 ANNUAL REPORT.doc Willcox & Mabe Soil Solutions, PLLC / 7231 B Summerfield Road / Summerfield, NC 27358 / Rob 336.339.9128 or Martin 336.312.1396/www.willcoxmabesoil,com . TABLE OF CONTENTS SECTION NO. TITLE Certification Form II Residuals Analyses & Pathogen / Vector Attraction Data III 2020 Application Summary and Field Loading Rate Reports IV Soil Analysis CERTIFICATION FORM ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0000455 County: Facility Name (as shown on permit): Land Application Operator: Pender Year: 2020 Lewis Farms and LiuidWaste, Inc. Mr. Wesley Wooten Phone: 910-283-5444 Land application of residuals as allowed by the permit occurred during the past calendar year? 0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Application Summary: Total number of application fields in thepermit: 19 Total number of fields utilized for land application during the year: 5 Total amount of dry tons applied during the year for all application sites: 147.45 Total number of acres utilizes for land application during the year: 150.20 Part B - Annual Compiance Statement: Facility was compliant during calendar year 2020 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Quality. 0 Yes ❑ No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1) OnIy 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. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .I 105(a) or the Pollutant Loading Rates in 15A NCAC 02T. 1 105(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) AlI 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 Quality. 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. 11) 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Mr. Wesley Wooten, President Permittee Name and Title (type or print) ,�.. 1 /20/2021 Signature Permittee Date Signature of Preparer* Date Signature of Land Applier Date (if different from Permittee) (if different from Perinittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) and I5A NCAC 02T .1102 (26) DENR FORM ACF (12/2006) RESIDUAL ANALYSES TCLP ANALYSES IF REQUIRED AND PATHOGEN AND VECTOR ATTRACTION REDUCTION ANNUAL, RESIDUAL SAMPLING SUMMARY FORM Attach this form to the corresponding laboratory analysis. Please note That your permit may contain additional parameters to be analyzed than those required to be summarized on this form. Permit Number WO0000455 Facility Name Lewis Farms and Liquid Waste, Inc. NPDES # See Below WWTP Name See Below 2020 DATA RESIDUAL ANALYSIS DATA Laboratory 1 Envirochem 2 Environment 1 3 NPDSS # WOOODO193 NCO065480 WQ0018755 NG0003344 WQ0005849 NCO062642 WWTP Name Bald Head Island Beau Rivage Castle Bay House of Raeford North Topsail Webb Creek Composited I Grab Percent Solids 09/10/20 4.92 06/04/20 1.35 09/25/20 1.23 02/17/20 0.86 1 11127/20 2.35 09/21/20 2.11 Arsenic 21.10 24.50 52.80 11.60 39.80 22.60 Cadmium 8.84 24.50 39.40 11.60 20-50 22.60 Copper 695.00 299.00 194.00 181.00 368.00 493.00 Lead 27.80 24.50 39.40 11.60 20.50 22.60 Mercury Molybdenum Nickel 0.54 8.84 15.60 1.19 24.50 11.50 1.27 39.40 39,40 1,87 11.60 11.60 0.97 20.50 20.50 0.72 22.60 22.60 Selenium Zinc 9.13 1,090.00 24.50 793.00 39.40 660.00 11.60 179.00 20.50 5,320.00 22,60 3,640.00 TKN 63.900.00 90,100.00 93,200.00 60,100.00 47,100.00 52,600.00 Ammonia -Nitrogen 5,460.00 14,800.00 31,400,00 2,100.00 4,26 2,120.00 Nitrate -Nitrogen 1.78 22.60 181.00 2.810.00 4,420.00 95.60 Total Phosphorus %580.00 17,600.00 22,600.00 13,900.00 24,500.00 31,100.00 Nownwrw Nitrate -Nitrogen Total Phosphorus X NIA due to number of sources (SIGNATURE OF PREPARER) DATE I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Page 1 of 1 LEWIS FARMS LAND APPLICATION PROGRAM RESIDUALS ANALYSIS Residual Type: Wastewater Treatment Plant Date Sampled: September 10, 2020 Bald Head Island Permit No. WQ0000455 Mineralization Rate 0.30 4.92 % Solids 6.8 PH Parameter % Mg/Kg Dry Weight Pounds/Dry Top (% x 10,000) M x 0.002) NitrogenE(TKN)EE 6.390 63,900.000 127.800 Phos ho 0.958 9,580.000 19.160 Potassium 0.226 2,260.000 4.520 PAN (injected)* 2.299 22,993.780 45.988 PAN (surface)* 2.026 20,263.780 40.528 Ammonia Nitrogen 0.546 5,460.000 10.920 Calcium 6.870 68,700.000 137,400 Calcium Carbonate E . --- --- Magnesium --- 4,820.000 9.640 Sodium --- 7,580.000 15.160 Sulfur ___ -_- --- Nitrate N / Nitrite N --- 1.780 0.004 Barium Chloride ___ --- --- --- --- SAR 1.67 Iron --- -- --- Ceiling Concen. M /IC ) Aluminum --- 4,510.00 9.020 Arsenic --- 21.10 0,042 75 Cadmium --- 8,84 0.018 85 Chromium --- 23,000 --- - Copper --- 695.00 1.390 4,300 Lead --- 27.80 0.056 840 Mercury --- 0.535 0.001 57 Molybdenum --- 8.84 0.018 75 Nickel --- 15,60 0.031 420 Selenium --- 9.13 0.018 100 Zinc --- 1,090.00 2.I80 7,500 Environmental Chemists, inc. # 2020-15397 *Determination of Plant Available Nitrogen (PAN): Injected Application: (Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN Surface Application: (Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits for calculation purposes. LEWIS FARMS WQ0000455 Bald Head Island 09/10/20 33 1.5185 09/10/20 32 1.5051 09/10/20 28 1.4472 09/10/20 30 1.4771 09/10/20 32 1.5051 09/10/20 33 1 1.5185 09/10/201 31 1 1.4914 Total 10.4630 Average 1.4947 Geometric Mean Fecal Coliform MPN / gram Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen for Reduction requirement. ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inca 6602 Windm l! Way, Wilmington, NC 28405 . 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 A 252-473-5702 Lab/Fax 2-55-A Wibit ngton Highway, Jacksonville, NC 28540 4 910.347,5843 Lab/Fax info@environmentalchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Sep 28, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report #: 2020-15387 Project ID: sludge Lab ID Sample ID: ae'l Collect Date/Time Matrix Sampled by 20-39147 Site: Sludge P-5:nu 9/10/2020 8:30 AM Solid/Sludge Wooten Test �'�9 —0�0 Method Results Date Analyzed pH SW 845 Method 90450 6.80 units 09/28/2020 Sludge Residuals Aluminum EPA 2003 4510 mg/kg 09/16/2020 Arsenic EPA 200.7 21.1 mg/kg 09/16/2020 Cadmium EPA 200.7 <8.84mg/kg 0911612020 Calcium EPA 200.7 68700 mglkg 09/16/2020 Chromium EPA 200.7 23.0 mg/kg 09/16/2020 Copper EPA200.7 695mglkg 0911612020 Lead EPA 2003 27.8 mglkg 09/16/2020 Magnesium EPA 200.7 4820mg/kg 09/16/2020 Molybdenum EPA 200.7 <8.84 mglkg 09/16/2020 Nickel EPA 200.7 15.6 mglkg 09/15/2020 Potassium EPA 200.7 2260mg/kg 09/22/2020 Selenium EPA 200.7 9.13 mglkg 09/16/2020 Sodium EPA 200.7 7580 mg/kg 09/18/2020 Zinc EPA 200.7 1090 mg/kg 09/16/2020 Nitrate+Nitrite-Nitrogen EPA353.2 1.78 mglkg 09/14/2020 Total Solids (%) SM 254o e 4.92 % 09/10/2020 Ammonia Nitrogen SM 4500 NH3 C 5460 mg/kg 09/12/2020 Total Kjeldahl Nitrogen (TKN) SM 4500 org B 63900 mglkg 09/24/2020 Total Phosphorus SM 4500 P F 9580 mg/kg 09/23/2020 Mercury SW8467471B 0.5350mg/kg 09117/2020 Report 9:: 2020.15387 Page 1 of 3 ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windnull Way, Wilmington, NC 28405 a 910.392.02-23 Lab a 910.392.4424 Fax 7I0 Bowsertown Road, Manteo, NC 27954 ■ 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 e 910.347.5843 Lab/Fax info@environmentalchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Sep 28, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report #: 2020-15387 Project ID: sludge Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-39148 Site: 1 9/10/2020 8:32 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) Fecal Density Lab ID Sample ID: 20-39149 Site:2 Test SM 2540 B SM 9221C E MPN 24 hr 503 Collect Date/Time 9/10/2020 8:33 AM Method Total Solids (%) SM 2540 B Fecal Density SM 9221C E MPN 24 hr 503 Lab ID Sample ID: Collect DatelTime 20-39150 Site: 3 9/10/2020 8:34 AM Test Method Total Solids (%) SM 2540 e Fecal Density SM 9221C E MPN 24 hr 503 Lab ID Sample ID: Collect Date/Time 20-39151 Site: 4 9/10/2020 8:35 AM Test Method Total Solids (%) SM 2540 B Fecal Density SM 9221C E MPN 24 hr 503 Lab ID Sample ID: Collect Date/Time 20-39152 Site: 5 9/10/2020 8:36 AM Test Method Total Solids (%) SM 2540 B Fecal Density SM 9221C E MPN 24 hr 503 5.51 % 09/10/2020 <33 MPN/g 09/10/2020 Matrix Sampled by Solid/Sludge Wooten Results Date Analyzed 5.76 % 09/10/2020 <32 MPN/g 09/10/2020 Matrix Sampled by Solid/Sludge Wooten Results Date Analyzed 6.52 % 09/10/2020 <28 MPN/g 09/10/2020 Matrix Sampled by Solid/Sludge Wooten Results Date Analyzed 6.07 % 09/10/2020 <30 MPN/g 09/10/2020 Matrix Sampled by Solid/Sludge Wooten Results Date Analyzed 6.29 % 09/10/2020 32 MPNIg 09/10/2020 Report #:: 2020-15387 Page 2 of 3 is C:`S-1N ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 8owsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 o 910.347,5843 Lab/Fax info@environmentalchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Sep 28. 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report #: 2020-15387 Project ID: sludge Lab lD Sample ID: Collect DatelTime Matrix Sampled by 20-39153 Site: 8 9/10/2020 8:37 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 2540 a 5.53 % 09/10/2020 Fecal Density SM 9221C E MPN 24 hr503 <33 MPN/g 09/10/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-39154 Site: 7 9/10/2020 8:38 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 2540 s 5.83 % 09/10/2020 Fecal Density SM 9221C E MPN 24 hr 503 <31 MPN/g 09/10/2020 Comment: Sludge residuals and fecal density reported on a dry weight basis. pH reported on an as received basis. Reviewed by: Report #:_ 2020115387 -�11 �m.��m Page 3 Qf 3 Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 2Y8405 910 37, 1 Sample Receipt Checklist Client: yS - Date, 1{ D Q U, � � � � 7 Report Number: Receipt of sample: ❑ YES ❑ Delivered UPS ❑ FedEx ❑ Other ❑ El YES NO ❑ N/A 1. Were custody.seals present on the cooler? Original temperature NO upon N/A 2. If custody seals were present, were they intact/unbroken? receipt � —C CO rested temperature upon receipt How temperature taken; ❑ Temperature Blank IR Gun ID: �K Against Bottles0 Thomas Traceable S/N 192511657 ❑ YES ❑ NO IR Gun Correction Factor'C 0 3. ff temperature of cooler exceeded VC, YES ❑ NO was Project Mgr./QA notified? 4. Were proper custody procedures (relinquished/received) followed? YES C3 NO 5. Were sample 1D's listed on the COC? 11 YES ❑ NO 6. Were samples ID's listed on sample containers? YES ❑ NO 7. Were collection date and time listed on the COC? YES ❑ NO 8, Were tests to be performed listed on the COC? YES YES ❑ NO 9. Did samples arrive in proper containers for each test? ❑ NO 10. Did samples arrive in goad condition for each test? YES YES ❑ NO 11. Was adequate sample volume availableT ❑ ❑ NO 12. Were samples received within proper holding time for requested tests? YES ❑ ❑ NO 13. Were acid preserved samples received at a pH of <2? YES ❑ NO 14. Were cyanide samples received at a pH >12? ❑ YES ❑ NO 15. Were sulfide samples received at a pH >9? ❑ YES ❑ YES ❑ NO ❑ 16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? ** ❑ YES NO 17, Were Sulfide/Cyanide received at a chlorine residual of e0.5 m/L? ❑ NO 18. Were orthophosphate samples filtered in the field within 15 minutes? TOC/volatiles are pH checked at time of analysis and recorded on the benchsheet. * * Bacteria sampfes are checked for Chlorine at time of analysis and recorded on the benchsheet. Sample Preservation: (Must be completed for any samples) incorrectly preserved or with headspace) Sample(s) were received incorrectly preserved and were adjusted accordingly 3 HCl NaOH Time of preservation: If more than one preservative is needed, notate in comments below Note: Notify customer service immediately for incorrectly preserved samples. obtain a new sample or notify the state lab if directed to analyzed by the customer. Who was notified, date and time: Vofatiles Sample(s) were received with headsoace COMMENTS: DOC. QA.002 "C = • • __ :. ENVIRONMENTAL CHEMISTS, I N C mington Analytical S Consulting Chemists NCDENR: ➢1NQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 OFFICE: 910-392-02 3i1FAX 910 392-44245 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Lewis Farms & Liquid Waste PROJECT NAME: S41 REPORT NO: ADDRESS: CONTACT DAME: Wesley Wooten PO NO: REPORT TO: Martin MabelMabe-Wilcox PHONEIFAX: COPY TO: email: Sampled By: rG SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Collection a s PRESERVATION Sample Identification J3 so °' a a` '� =° o a ai m m w Q D 4 j Z (�j N E 4 Z E Time Temp ., x D ul ANALYSIS REQUESTED s 1 C P Sludge G G X. Full TCLP, RCI, Nutrients/Metals !z C P 1 G G }3 X Fecal Densityl%TS C P G G ti X Fecal Density!%TS C P 3 G G X Fecal Densityl%TS C P 4 G G Ix Fecal Densityl%TS 25 C P 5 G G 3� X Fecal Densityl%TS C P 6 G G y X Fecal Densityl%TS C P 7 G G X Fecal Densityl%TS Transfer Relinquished By: Date/Time Received By: DatelTime 1. Temperature when Received: Accepted: Rej Delivered By: �G CJ Received By:--47q Comments: Resample Re a ted: Date 9 �? Time: r1 s3 TU N ROUND: ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Ru Facility Name: Lewis Farms & Liquid Waste, Inc. WQ Permit Number: _ WWTP Name: Bald Head Island NPDES Number: Monitoring Period: from 1/1/2020 To 12/31/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative pe =a0plicable Alt. A (time/temp) ❑ AIt B (Allc Treatment) ❑ Alt. C (Prior Testing AIt.D (No Prior Test) ❑ Process to Furtter Reduce Pathogens o alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost 01 eat Drying ❑ Heat Treatment Seta Ra ❑ Thennophilic y ❑ Gamma Ray ❑ Pasteurization ❑ Class B: JAIt. (1) Fecal Density p AIt. (2) process to Si ificantly Reduce Patlioaenls If applicable to alternative perforated (Class B only) indicate "Process to Significantly Reduce Patitoge Lime Stabilization ❑ Air Dryina ❑ composting - A_ ❑ Aerobic Dig, applicable to alternative perfo Parameter Allowable Level in Sludge 2 x 10 to the NrnN 6th power per gram of Fecal Coliform total solids CFC1 Iuuu rnpn per gram of total solid (dry umoneua bacteria 3 MPN per 4 grams (in lieu of fecal total solid (dry coliform) wpin1,0 Attraction Reduction (15 455 193 C 'ollowing monitoring data. i Number o na ytica Excee- Frequency Sampl of Analysis Type Teclt- 7'P 0 Annual Grab SM 9221 CE e a ernative performed: i AIt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. O, up�ke) ❑ Alt. 5 (14-Day Aerobic) ❑ T. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Alt.9 (Injection) ,. { ryina Unstable) ❑ ( l ) ❑ Alt. 10 (Incorporation) p No vector attraction reduction alternatives were perfprined ❑ CERTIFICATION STATEMENT (please check the appropriate statement) i ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 And the vector attraction reduction requirement its 15A NCAC 02T .1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1I06 nd the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Pl ase 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 syst' desibned 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 tit c are significant penalties for false certification including fine and imprisonment." A ..„Vu k—a s a ur Maass it') complete the Pathogen Density Minimurr Geo. Mean aximu Units 28 31 33 MPN/g NCAC 02T .11.07) -Please indicat It David Suther, ORC Wesley Wooten, President Preparcr NlNamp ay Tye (type or print) Land Applier Name and Title (if applicab Signature of Preparer* Date Signature of *Prt parer is defined in 40 CFR Part 503.9(r) and 15 A NCAC 2T .1102 (26) Applier (if applicable) or print) 0/7/20 Date DENR FORM PVRF 02T (i David Suther, ORC Wesley Wooten, President Preparcr NlNamp ay Tye (type or print) Land Applier Name and Title (if applicab Signature of Preparer* Date Signature of *Prt parer is defined in 40 CFR Part 503.9(r) and 15 A NCAC 2T .1102 (26) Applier (if applicable) or print) 0/7/20 Date DENR FORM PVRF 02T (i LEWIS FARMS LAND APPLICATION PROGRAM RESIDUALS ANALYSIS Residual Type: Wastewater Treatment Plant Date Sampled: June 4, 2020 Beau Rivat=e 1.35 % Solids 6.78 pH Permit No. WQ0000455 Parameter % JN[g/KgDryWei�Wfi—t Pounds/Dry Ton (% x 10,000) —(Mg/Kg—(Mg/Kg s 0.002) Nitrogen (TKN) 9.010 90,100.000 180.200 Phosphorus I.760 17,600.000 35.200 Potassium 0.384 3,840.000 7.680 PAN injected)* 3.741 37,412.600 74.825 PAN (surface)* 3,001 30,0I2.600 60.025 Ammonia Nitrogen 1.480 14,800.000 29.600 Calcium 3.630 36,300,000 72,600 Calcium Carbonate E . --- --- Magnesium --- 4,010.000 8.020 Sodium -- 3,360.000 6.720 Sulfur Nitrate N / Nitrite N -- 22.600 0.045 Barium Chloride --- --- --- --- --- --- SAR 0.52 Iron --- --- --- Ceiling Concen. M R{ ) Aluminum --- 6,480.00 12.960 Arsenic --- 24.50 0.049 75 Cadmium --- 24.50 0.049 85 Chromium --- 24.500 --- — Copper --- 299.00 0.598 4,300 Lead --- 24.50 0.049 840 Mercury --- 1.190 0.002 57 Molybdenum --- 24.50 0.049 75 Nickel --- 11.50 0.023 420 Selenium --- 24.50 0.049 100 Zinc --- 793.00 1.586 7,500 Environmental Chemists, Inc. #1 2020-09215 *Determination of Plant Available Nitrogen (PAN): Injected Application: (Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN Surface Application: (Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits for calculation purposes. LEWIS FARMS AND LIQUID WASTE, INC. WQ0000455 Beau Rivage WWTP ? 4 `er :g. 06/04/20 19,659 4.2936 06/04/20 19,492 4.2899 06/04/20 11,565 4.0631 06/04/20 9,490 3.9773 06/04/20 37,405 4.5729 06/04/20 44,546 4.6488 06/04/20 58,956 4.7705 Total 1 30.616I Average 4.3737 Geometric Mean 34 Fecal Coliform MPN / gram Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen Reduction requirement. Lewis Farms & Liquid Waste, INC. Date of Report: Jun 17, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention.- Wesley Wooten Report #: 2020-09215 Project ID: AquaNC-Beau Rivage Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-22777 Site: Sludge 6/4/2020 8:30 AM Solid/Sludge Wooten Test Method Results Date Analyzed Sludge Residuals Aluminum EPA 2oo.7 6480 mg/kg 06/16/2020 Arsenic EPA 2007 <24.5 mglkg 06/08/2020 Cadmium EPA 200.7 <24.5mglkg 06/08/2020 Calcium EPA 200.7 36300mg/kg 06/08/2020 Chromium EPA 200.7 <24.5 mg/kg 06/08/2020 Capper EPA 200.7 299 mglkg 06/08/2020 Lead EPA 200.7 <24.5 mg/kg 06/08/2020 Magnesium EPA 200.7 4010mg/kg 06/08/2020 Molybdenum EPA 200.7 <24.5 mg/kg 06108/2020 Nickel EPA 200.7 <24.5 mg/kg 06/08/2020 Potassium EPA 200.7 3840 mg/kg 06/08/2020 Selenium EPA 200.7 <24.5 mg/kg 05/08/2020 Sodium EPA 200.7 3360 mg/kg 06/08/2020 Zinc EPA 200,7 793 mg/kg 06/08/2020 Total Kjeldahi Nitrogen (TKN) EPA351,2 90100mglkg 06/10/2020 Nitrate+Nitrite-Nitrogen EPA 353,2 22.6 mg/kg 06/16/2020 Total Solids (%) SM 2540 B 1.35 % 06/04/2020 PH SM 4500 H B 6.78 units 06/10/2020 Ammonia Nitrogen SM 4500 NH3 C 14800 mg/kg 06/08/2020 Total Phosphorus SM 4500 P F 17600 mglkg 06/10/2020 Mercury SW0467471B <1.19mg/kg 06/15/2020 Report #:: 2020.09215 Page i of OnEnvironmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 ' 910.392,0223 Lab ' 910.392.4424 Fax o M) 710 liowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 ' 91.0.347.5844 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Jun 17, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report #: 2020-09215 Project ID: AquaNC-Beau Rivage Lab ID Sample ID: Collect DatelTime Matrix Sampled by 20-22778 Site: 1 6/4/2020 8:32 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 2540 B 1.17 % 06/04/2020 Fecal Density SM 9221C E MPN 24 hr 303 19659 MPNIg 06/04/2020 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 20-22779 Site: 2 6/4/2020 8:33 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 2540 B 1.18 % 06/04/2020 Fecal Density SM 9221C E MPN 24 hr 503 19492 MPNIg 06/04/2020 Lab ID Sample ID: Collect Datefrime Matrix Sampled by 20-22780 Site: 3 6/4/2020 8:34 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 254013 1.47 % 06/04/2020 Fecal Density SM 9221C E MPN 24 hr 503 11565 MPNIg 06/04/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-22781 Site: 4 6/4/2020 8:35 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 2540 B 1.37 % 06/04/2020 Fecal Density SM 9221C E MPN 24 hr 503 9490 MPN/g 06/04/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-22782 Site: 5 6/4/2020 8:36 AM Solid/Sludge Wooten Test Method Results Date Anal zed y Total Solids (%) SM 2540 B 1.31 % 06/04/2020 Fecal Density SM 9221C E MPN 24 hr 503 37405 MPNIg 06/04/2020 Report #:: 2020-09215 Page 2 of 3 Lewis Farms & Liquid Waste, INC. Date of Report: Jun 17, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report #: 2020-09215 Project ID: AquaNC-Beau Rivage Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-22783 Site: 6 6/4/2020 8:37 AM Solid/Sludge Wooten Test Total Solids (°/o) Fecal Density Lab ID Sample ID: 20-22784 Site:7 Method SM 254o B SM 9221 C E MPN 24 hr 503 Collect Date/Time 6/4/2020 8:38 AM Results Date Analyzed 1.10 % 06/04/2020 44546 MPN/g 06/04/2020 Matrix Sampled by Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 2540 B 1.34 % 06/04/2020 Fecal Density SM 9221C E MPN 24 hr 503 58956 MPN/g 06/04/2020 Comment: Sludge residuals and Fecal Density reported on a dry weight basis. pH reported an an as received basis. Reviewed by: Report #:; 2020-09215 Page 3 of 3 Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 910 3 Sample Receipt Checklist 9Z•0223 Client py�s Date` Q Report Number: 0 - l �' Receipt of sample: ❑ YES ❑ NO Delivered UPS ❑ FeclEx ❑ Other ❑ ❑ YES ❑ NO N/A 1. Were custody seals present on the cooler? Original temperature upon N/A 2. If custody,seals were present, were they intact/unbroken? 11 ecelpt r- How temperature taken: ❑ Temperature Blank Corrected temperature upon receipt •C IR Gun ID: Thomas Traceable S/N 192511657 Against Bottles ❑ YES ❑ NO IR Gun Correction Factor °C: 0.0 3. If temperature of cooler ❑ NO exceeded 6•C, was Project Mgr./QA notified? 4. Were proper custody rY.-E ❑ NO procedures (relinquished/received) followed? 5. Were sample ID's listed on the CQC? ❑ ❑ NO 6. Were samples ID's listed on sample containers? NO 7. Were collection date and time listed on the COC? �--❑ YES5 NO S. Were tests to be performed listed on the COC? ❑ NO 9. Did samples arrive in proper containers for each test? YES ❑ NO 10. Did samples arrive in good condition for each test? FYES YES C1 NO 11, Was adequate sample volume available?' ❑ YES ❑ NO NO 12. Were samples received within proper holding time for requested tests? 13. Were acid preserved samples ❑ YES ❑ NO received at a pH of <2? 14, Were cyanide samples received ❑ YES ❑ NO at a pH >127 15. Were sulfide samples received at a >9? ❑ YES ❑ YES ❑ NO NO pH 16. Were NH3/71GN/phenol received at a chlorine residual of <0.5 m/L? ++ 117, ❑ YES 1EI 10 NO Were Suifide/Cyanide received at a chiorine residual of <0.5 m/L? 118. Were orthophosphate samples filtered in the field within 15 minutes? • TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet. Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet. Sample Preservation: (Must be completed for any sample(s) incorrect! y preserveSample(s) were received incorrectly preserved and were adjust dor withear ord ngly by adding (circle one): HzsQa HNO3 HCl Time of preservation: NaOH s needed Note? Notify customer service immediately for incorrectly preserved p eserydore than osampies. Obtain ne ia neve iw sample or notate an comments below notify the state lab if directed to analyzed by the customer. Who was notified, date and time; Volatiles Sample(s) were received with headspace COMMENTS: DOC. QA.002 Analytical & Consulting Chemists Client: Lewis Farms & Liquid Waste ADDRESS: amptea by: e- to, Sample Identification 1 2 3 5 7 Transfer 1. ton, NC ENVIRONMENTAL CHEMISTS, IN C OF ICEindmill 910-3 2-0223WayImingFAX 910- 2-4424 5 NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 Info®environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY PROJECT NAME:REPORT NO: CONTACT NAME: Wesley Wooten PO NO: REPORT TO: Martin Mabe/Mabe-Wilcox PHONEIFAX: COPY TO: email: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Collection 1 a s � PRESERVATION a ° a a ° ` a c ° m ° ¢ m ¢ U9 ANALYSIS REQUESTED Time Temp a 0 a �" " J z m x C P G G� X Full TCLP, RCI, Nutrients/Metals 3 C P G G L1+'?'•I'� X Fecal Densi /%TS C P G G Ltiy"'rl X Fecal Densit /%TS fir C P o G G X Fecal Densit /%TS C P G G LIM X Fecal Densit /%TS C P I I G G *A-� X Fecal Densit I%TS 3L + C P G G L X Fecal Density/°/oTS C- P G G 'L't� X I Fecal Densit /%TS Relinquished By: DateMme Received l3v- z. I Temperature when Received: Accepted: Rejected: Resample Re ted: Delivered By: r. �� �`L' Received B r! y� Date: G LtJ Time: Comments: T RNAAOUND: ANNUAL PATHOGEN AND VECTOR AT1'It,.ACTiON REDACTION FORi11 (02T Rules) Facility Name: Lewis Fanns and Liquid Waste, Inc. WQ Permit hummer: ll'(moo455 WWTP N-ime: Beau Rivage NI'DE:S Number: ` i't 065480 Monitoring Period: From I11l2020 To 12/33/2030 Pathogen Reduction (15A NCAC 02T JIM)- Please indicate level achieved and alternative performed: Class A: Alt. A (timeltemp) ❑ I Alt B (Alk Treatment) ❑ I Alt. C (Prior Tesini v El Alt_D (No Prior Test) ❑ Process to Further Reduce l'athoacm=s If applicable to alternative performed (Class A oWy) indleate "Process to Further Reduce Pat hOf, ens": Compost ❑ Heat Drying ❑ Heat Treatment Q Thenunplttlic Beta Ray ❑ Gamma Ray El Pasteurization ❑ Class B: JAIL (1) Fecal Density ID Alt. (2) PLY)Ce5S to Significantly Reduce Pathogens ❑ f If applicable to alternative performed (Class B only-) indicate "Process to Si;nificantly Reduce Pathogens": Litne Stabilization ❑ Air Dt-ving ❑ Composting ❑ JAcrobic Digestion ❑ Anaerobic Digestion ❑ I applicable to alternative performed (Class A or Class B) complete tite following monitoring data: Parameter Allowable Level in Sludge Pathogen Density Number at EXcee• ,I „ < Frequency of Analysis Y Sample Type Analytical Tccb Minimu Gco. Mean Nlaximu Units Fecal Coliform 2 to w 6th power the per gram of total solids MPN 9,490 23,644 58,956 MPN/g 0 Annual Grab s11-19221C CFU TO-O mpn per gram oftaialsolid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 WN 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) ❑ JAIL. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (A1k. Stabilization ❑ Alt 7 (Drying- Stable) .❑ JAIt. 8 (Drying - Unstable) ❑ Alt. 9 (injection) E] Alt. 10 (incorporation) El I No vector attraction reduction alternatives were perforrncd CERTIFICATION STATEMENT (please check the appropriate statement) El "I certify, under penalty of law, that the pathogen requireineuts in 15A NCAC 02T.I106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirenicals in l5A NCAC 02T A 106 and the vector attraction reduction requirement in 15A NCAC 02T ,l107 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 (lie pathogen and vector attraction reduction requiremenis have been met. 1 am aware that there are significant penalties for false certification including fine anti imprison ntcnt." Eric Youngs, ORC Wesley Wooten, President I'reparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) SipnaItI1'e of Preparer* Date Sigpalure of L id Applier (if applicable) Date ,I,Iclaarer is defined in 40 Cl'R Par( 503.9(r) and 15A NCAC 2T .1102 (26) LEWIS FARMS LAND APPLICATION PROGRAM RESIDUALS ANALYSIS Residual Type: Wastewater Treatment Plant Date Sampled: September 25, 2020 Castle Bav 1.23 % Solids 7.12 pH Permit No. WQ0000455 Parameter % Mg/Kg Dry Weight (°/u x 10,000) Pounds/Dry Ton (M /K x 0.002) Nitrogen (TKN) 9.320 93,200.000 186.400 Phosphorus 2.260 22,600.000 45.200 Potassium 0.546 5,460.000 10.920 PAN (injected)* 5.012 50,121.000 100.242 PAN (surface)* 3.442 34,421,000 68.842 Ammonia Nitrogen 3.140 31,400.000 62.800 Calcium I.790 17,900.000 35.800 Calcium Carbonate E . --- --- Magnesium --- 3,460,000 6.920 Sodium --- 6,080.000 12.160 Sulfur _-- --- --- Nitrate N / Nitrite N --- 181.000 0.362 Barium Chloride _-- --- --- - — SAR 1.21 Iron --- --- --- Coneen. Ct(Mg/Kg) Aluminum --- 1,710.00 3.420 Arsenic --- 52.80 0.106 75 Cadmium --- 39.40 0.079 85 Chromium --- 39.400 --- — Copper --- 194.00 0.388 4,300 Lead --- 39.40 0.079 840 Mercury --- 1.270 0.003 57 Molybdenum --- 39.40 0.079 75 Nickel --- 39.40 0.079 420 Selenium --- 39.40 0.079 100 Zinc --- 660.00 1.320 7,500 Environmental Chemists, Inc. # 2020-16371 *Determination of Plant Available Nitrogen (PAN): Injected Application: (Mineralization Rate)(TKN-Ammonia N) + Ammonia N +Nitrate N + Nitrite N = % PAN Surface Application: (Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N -4- Nitrite N = % PAN Note. Constituents N.D. (Not Detected) or < detection limits are listed as detection limits for calculation purposes. LEWIS FARMS WQ0000455 Castle Bay WWTP ':`•E`E??���.�d�`E�Eas� �`-.i�Ca���CQ�1�UX�l' �:".`': 09/25/20 3,983 3.6002 09/25/20 4,396 16431 09/25/20 5,397 3.7322 09/25/20 3,750 3.5740 09/25/20 1,552 3.1909 09/25/20 3,750 3.5740 09/25/20 4,018 3.6040 Total 24.9184 Average 3.5598 Geometric Mean '';r Fecal Coliform MPN / gram Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction requirement. earvai�r��rc� - ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910,392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 " 910.347.5843 Lab/Fax info@environmentalchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Oct 14, 2020 8155 Malpass Comer Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report #: 2020-16371 Project ID: sludge Lab lD Sample ID: Collect Date/Time Matrix Sampled by 20-41910 Site: Sludge 9/25/2020 9:00 AM Solid/Sludge Wooten Test r Method Results Date Analyzed pH SW 646 Method 9045D 7-12 units 10/12/2020 Sludge Residuals Aluminum EPA 200.7 1710 mglkg 09/30/2020 Arsenic EPA 200.7 52.8mg/kg D9/30/2020 Cadmium EPA 200.7 <39.4 mg/kg 09/30/2020 Calcium EPA 200.7 17900 mg/kg 09/30/2020 Chromium EPA 2aa.7 <39.4 mg/kg 09/30/2020 Copper EPA 200.7 194 mg/kg 09/30/2020 Lead EPA 200.7 <39.4 mg/kg 09/30/2020 Magnesium EPA 200.7 3460mg/kg 09/30/2020 Molybdenum EPA 200.7 <39.4 mg/kg 09/30/2020 Nickel EPA 200.7 <39.4 mg/kg 09/30/2020 Potassium EPA 200.7 5460 mg/kg 09/30/2020 Selenium EPA 200.7 <39.4 mg/kg 09/30/2020 Sodium EPA 200.7 6080mg/kg 09/30/2020 Zinc EPA 200.7 660 mg/kg 09/30/2020 Nitrate+ Nitrite-N itrogen EPA 353.2 181 mg/kg 09/28/2020 Total Solids (%) SM 2540 B 1.23 % 09128/2020 Ammonia Nitrogen SM 4500 NH3 C 31400 mg/kg 09/26/2020 Total Kjeldahl Nitrogen (TKN) SM 4500 Org B 93200 mg/kg 09/26/2020 Total Phosphorus SM 4500 P F 22600 mg/kg 10/01/2020 Mercury SW0467471B <1.27mglkg 09/30/2020 Report 9:: 2020-10371 Page 1 of 3 ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environmentatchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Oct 14, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report #: 2020-16371 Project ID: sludge Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-41911 Site: 1 9/25/2020 9:01 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) Fecal Density Lab ID Sample ID: 20-41912 Site:2 Test Total Solids (%) Fecal Density Lab ID Sample ID: 20-41913 Site:3 Test SM 2540 6 SM 9221C E MPN 24 hr 503 Collect DatelTime 9/25/2020 9:02 AM Method SM 2540 B' SM 9221C E MPN 24 hr 503 Collect DatelTime 9/25/2020 9:03 AM Method 1.13 % 09/28/2020 3983 MPN/g 09/25/2020 Matrix Sampled by Solid/Sludge Wooten Results Date Analyzed 0.91 % 09/28/2020 4396 MPNIg 09/25/2020 Matrix Sampled by Solid/Sludge Wooten Results Date Analyzed Total Solids (%) SM2540B 1,26% 09/28/2020 Fecal Density SM 9221C E MPN 24 hr 503 5397 MPNIg 09/25/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-41914 Site: 4 9/25/2020 9:04 AM Solid/Sludge Wooten Test Total Solids (%) Fecal Density Lab ID Sample ID: 20-41915 Site:5 Test Total Solids (%) Fecal Density Method SM 2540 B SM 9221 C E MPN 24 hr 503 Collect Daterrime 9/25/2020 9:05 AM Method SM 2540 B SM 9221 C E MPN 24 hr 503 Results Date Analyzed 1.20 % 09126/2020 3750MPN/g 09/25/2020 Matrix Sampled by Solid/Sludge Wooten Res u Its 1.16% <1552 MPN/g Date Analyzed 09/28/2020 09/25/2020 Report #:� 2020-16371 Page 2 or 3 ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910-392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5943 Lab/Fax info@environmentalchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Oct 14, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report #: 2020-15371 Project ID: sludge Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-41916 Site: 6 9/25/2020 9:06 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids M Fecal Density Lab ID Sample ID: 2041917 Site:7 Test Total Solids (% SM 2540 B SM 9221C E MPN 24 hr 503 Method SM 2540 B Collect DatefTime 9/25/2020 9:07 AM 1.20 % 09/28/2020 3750 MPN/g 09/25/2020 Matrix Sampled by Solid/Sludge Wooten Results Date Analyzed 1.12 % 09/28/2020 Fecal Density SM 9221C E MPN 24 hr 503 4018 MPN/g 09/25/2020 Comment: Sludge residuals and fecal density reported on a dry weight basis, pH reported on an as received basis. Reviewed by: Reparl #:: 2020-16371 Page 3 or 3 Environmental Chemist, Inc,, Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 910-392,0223 Sample Receipt Checklist Client: L-e(-0V �CWVV1S Date: Z5 20 Report Number: 20 1037-( Receipt of sample: Delivered UPS ❑ ❑ YES ❑ NO N/A Were custody seals p ❑ YES ❑ NO N/A 2, If custody seals were Original temperature upon receipt , D °C Car Flow temperature taken: ❑ Temperature Blank I lR Gun ID: Thomas Traceable 5/N 192511657 IR Gun Corr ❑ YES FedEx ❑ Other ❑ sent on the cooler? esent, were they intact/unbroken? cted temperature upon receipt_ Against Bottles tfon Factor °C: 0.0 ❑ NO 3. if temperature of cooler exceeded 6'C, was Project Mgr./QA notified? YES ❑ NO 4. Were proper Custody procedures (relinquished/received) followed? YES ❑ NO 5. Were sample ID's listed on the CQC? YES ❑ NO 6. Were samples lD's listed on sample containers? YES ❑ NO 7. Were collection date and time listed on the COC? YES ❑ NO & Were tests to be performed listed on the COC? YES ❑ NO 9, Did samples arrive in proper containers for each test? YES ❑ NO 10, Did samples arrive in good condition for each test? YES ❑ NO 11. Was adequate sample volume available?' YES ❑ NO 12. Were samples received within proper holding time for requested tests? ❑ YES ❑ NO 13. Were acid preserved samples received at a pH of <2? ❑ YES ❑ NO 14. Were cyanide samples received at a pH >12? ❑ YES ❑ NO 15, Were sulfide samples received at a pH >9? ❑ YES ❑ NO 16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? ❑ YES ❑ NO 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L? ❑ YES ❑ NO 18, Were orthophosphate samples filtered in the field within 15 minutes? * TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet. ** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet Sample Preservation: Sample(s) by adding (circle one); Time of preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace) were received incorrectly preserved and were adjusted accordingly H2504 HNO3 HCf NaOH If more than one preservative is needed, notate in comments below Note: Notify customer service immediately for incorrectly preserved samples. obtain a new sample or notify the state lab if directed to analyzed by the customer. Who was notified, date and time: Volatiles Sample(s) COMMENTS: were received with headspace DOC. QA.002 `C ,. 6602 ENVIRONMENTAL CHEMISTS, INC OFFICEn 10-392-02 3dmill Way'IFAX9ton910392- 4246 Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Lewis Farms & Liquid Waste PROJECT NAME: REPORT NO: Z� G 34) ADDRESS: CONTACT NAME: Wesley Wooten PO NO, REPORT TO: Martin Mabe/Mabe-Wilcox PHONEIFAX: COPY TO: email: Sampled B : e ,. SAMPLE TYPE* I = influent E - Effl t lltl -W I Collection Sample Identification Date Time Temp q Sludge 1 2 os 3 •11 4 .P 5 6 B y° 7 - uen , - e 1, ST = Stream, SO = Soll, SL = Sludge, Other: d N _ W PRESERVATION E° s E ° °1 m ANALYSIS REQUESTED z o x o V a U "' U Z z x m = = 2 O C P ll u 1� i X Full TCLP, RCI, Nutrients/Metals G G C P ffII G G X Fecal Density/%TS I G G X Fecal Density]%TS c p G G X Fecal Density/%TS 4 k gyp, I `� ILr G G I X Fecal Density/%TS G GI`7l� X Fecal Density/%TS 19 �� G G X Fecal Density]%TS G G `-I it X 0 Fecal Densitvl /oTS Transfer Relinquished By: DatefTime Received By: DatelTime 1. 2. Op Temperature when Received: L Accepted: Rejected: Resample Re s Delivered Received By: —Date; A. Time: Comments:: TU NA OUND: ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: Lewis Farms & Liquid Waste. Inc. WQ Permit Number: WWTP Name: Castle Bay NPDES Number: IVlonitoring Period: From l/l/2020 To 12/31/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative p, Class A: Alt. A (time/tenip) [] I Alt B (Alk Treatment) ❑ I Alt. C (Prior Testint Al t.D (No Prior "rest) ❑ Process to Further Reduce Pathogen Irapplicable to alternative Perforated (Class A only) indicate "Process to Further Reduce 1'atltogens" Compost C? HeatDryitlg LJ TleatTreattnent Lj Tlietniopltilic $eta Ra 1-J Gamma Ray LJ Pasteurization Ej Class B: jAlt, (1) Fecal Density If applicable to alternative performed (Class Lime Stabilization CI Air D: Anaerobic Digestion CJ Il applicable to alternative performed fCl Parameter Fecal Coliform Allowable Level in Sludge 2 x 1 tl to the ,ki[IN 6th power per gram or total solids Cl-*U 1000 mlin per cram ol'total solid (dry in Alt. (2) Process to Significantly Reduce Pathogens 13 urlly) irulic:tfe "Pl uce�s to Significantly Reduce Patbol ying [J Composting ❑ Aerobic Di WQ0000455 WQ0018755 -formed: � J 4ion Q ss A or Class B) coniplete the follolving monitoring data: Pathogen Densityum per o na yuc I•'rcquency Sample xcee- Tech- Geo, MeanjMaxinij Units ofAnahysis Tvpc 1,552 + 3,629 I 5.397 1 MPN/g I 0 I Annua[ I Grub sin�r_tct. Salmonella bacteria 3 WIN per 4 grams (in lieu of fecal total solid (dry coliiorm) wcieht) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) C Alt. 2 (40-day bench) El Alt. 3 (30-day bench) LJ JAIL 4 (Spec. 0, uptake) 11 Alt. 5 (14-Day Aerobic) J Alt. 6 (Aik. Stabilization ❑ All 7 (Drying - Stable) u I Alt. 8 (Drying; - Linstable) LT Alt. 9 (Injection) Cl Alt. 10 (Incorporation) —n No vector attraction reduction alternatives were perrornied 1�1 CERTIFICATION STATENIENT (please check the appropriate statement) "1 certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirenicul in 15A NCAC 02T .1107 have been "lot.,' "I certify, under penalty of low, 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 cheek this stateinenl attach all explanation Why you ltave not Diet 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 Diet. I and aware that there are significant penalties for lapse certification including fine and imprisonment." hirklyn Fields, ORC Wesley Wooten, President I'relsarer ante and Title (type or print) / Land Applier Name and Title (if applicable)(type or print) �G-e' f/ l 0/23/20 Signature o reparer'' Date Signature of Lat Applier (if applicable) Date *Preparer is detincil in 40 CFR Part 503.9(r) an([ 15A NCAC: 2T . 1102 (26) DENR FORM PVRF 02T (12/2006) LEWIS FARMS LAND APPLICATION PROGRAM RESIDUALS ANALYSIS Residual Type: Wastewater Treatment Plant Date Sampled: February 17, 2020 House of Raeford Permit No. WQ0000455 Wallace Plant 0.86 % Solids 7.35 PH Parameter % Mg/Kg Dry Weight Pounds/Dry Ton x 10,000) M x 0.002) Nitrogen (TKN) 6.010 60,100.000 120.200 Phosphorus I.390 13,900.000 27.800 Potassium 0.958 9,580.000 19.160 PAN (injected)* 2.811 28,I10,000 56.220 PAN (surface)* 2.706 27,060.000 54.120 Ammonia Nitrogen 0.210 2,100.000 4.200 Calcium 1.400 14,000.000 28.000 Calcium Carbonate E . --- -- Magnesium -- 2,060.000 4.120 Sodium --- 20,000.000 40.000 Sulfur .__ ___ --- Nitrate N / Nitrite N --- 2,810.000 5.620 Barium Chloride ... --- --- --. --- - - SAR 3.86 Iron --- --- --- Ceiling Concen. (Mg/Kg) Aluminum --- 11,400.00 22.800 Arsenic --- 11.60 0.023 75 Cadmium --- 11.60 0.023 85 Chromium --- 11.600 --- -- Copper --_ 181.00 0.362 4,300 Lead --- 11.60 0.023 840 Mercury - - 1.87 0.004 57 Molybdenum --- 11.60 0.023 75 Nickel -- 11.60 0.023 420 Selenium --- 11.60 0.023 100 Zinc --- I79.00 0.358 7,500 Environmental Chemists # 2020-02687 *Determination of Plant Available Nitrogen (PAN): Injected Application: (Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN Surface Application: (Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN Note: Constituents N.D. (Not Detected) or a detection limits are listed as tictection limits for calculation purposes. LEWIS FARMS WQ0000455 House of Raeford - Wallace Plant 04/01/20 26,204 4.4184 04/01/20 18,966 4.2780 04/01/20 62,858 4.7984 04/01/20 38,675 4.5874 04/01/20 44,135 4.6448 04/01/20 42,424 4.6276 04/01/20 40,230 4.6046 Total 31.9591 Average 1 4.5656 Geometric Mean 368 €€€ Fecal Coliform MPN / gram Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen for Reduction requirement. House of Raeford -Wallace Facility Date of Report: Mar 27, 2020 Post Office box 40 Customer PO #: Rose Hill NC 28458 Customer ID: 13030026 Attention: Chris Murray Report #: 2020-02687 Project ID: Annual Sludge Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-06500 Site: Sludge 2/17/2020 12:40 PM Solid/Sludge jcb/envirochem Test Method Results Date Analyzed Chlordane (TCLP) SW 846 Method 60818/3510 <0.02 mg/L 02/26/2020 Endrin (TCLP) SW 846 Method 0081B13510 <0.0005 mg/L 02/26/2020 Heptachlor (TCLP) SW846 Method 80B1B13510 <0.0005 mg/L 02/26/2020 Heptachlor epoxide (TCLP) SW 846 Method 8081 B1351 0 <0.0005 mg/L 02/26/2020 Lindane (TCLP) SW 846 Method 8081813510 <0.0005 mg/L 02/26/2020 Methoxychfor (TCLP) SW 846 Method 8081 B1351 0 <0.0005 mg/L 02/26/2020 Toxaphene (TCLP) SW 846 Method 8081B13510 <0.05 mg/L 02/26/2020 1,4-Dichlorobenzene (TCLP) SW 846 method 8270/351a <0.050 mg/L 02/28/2020 2,4,5-Trichlorophenol (TCLP) SW 846 method 8270/3510 <0.050 mg/L 02/28/2020 2,4,6-Trichlorophenol (TCLP) SW 846 method 827013510 <0.050 mg/L 02/28/2020 2,4-Dinitrotoluene (TCLP) SW 846 method 8270/3510 <0.050 mg/L 02/28/2020 Cresof (TCLP) SW 846 method 8270/3510 <0.050 mglL 02/28/2020 Hexachloro-1,3-butadiene (TCLP) SW 846 method 827013510 <0.050 mg/L 02/28/2020 Hexachforobenzene (TCLP) SW 846 method 8270/3510 <0.050 mg/L 02/28/2020 Hexachloroethane (TCLP) SW 846 method 8270/3510 <0.050 mg/L 02/28/2020 m + p-Cresol (TCLP) SW 84B method 827013510 <0.050 mg/L 02/2812020 Nitrobenzene (TCLP) SW 846 method 827013510 <0.050 mg/L 02/28/2020 o-Cresol (TCLP) SW 646 method 827013510 <0.050 mg/L 02/28/2020 Pentachlorophenol (TCLP) SW 846 method 827013510 <0250 mg/L 02/28/2020 Pyridine (TCLP) SW 846 method 8270/3510 <0.050 mg/L g 02/28/2020 2,4,5-TP (TCLP) SW846 Method 8151A <0.003 mg/L 02/26/2020 2,4-D (TCLP) SW846 Method 8151A <0.003 mg/L 02/26/2020 1,1-Dichloroethylene (TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/03/2020 1,2-Dichloroethane (TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/03/2020 Benzene (TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/03/2020 Carbon Tetrachloride (TCLP) SW646 Method 8260/5030 <0.01 mg/L 03/03/2020 Report #:: 2020-02607 House of Raeford -Wallace Facility Date of Report: Mar 27, 2020 Post Office box 40 Customer PO #: Rose Hill NC 28458 Customer ID: 13030026 Attention: Chris Murray Report #: 2020-02687 Project ID: Annual Sludge Chlorobenzene (TCLP) SW846 Method 82601503o <0.01 mg/L 03/03/2020 Chloroform (TCLP) SW845 Method 8260/5030 <0,01 mg/L 03/03/2020 Methyl ethyl ketone (TCLP) SW646 Method 8260/5030 <0.05 mg/L 03/03/2020 Tetrachloroethylene (TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/03/2020 Trichioroethylene (TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/03/2020 Vinyl Chloride (TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/03/2020 RCI Cyanide EPA 335.4 Sulfide SM 4500 S D Reporting limit elevated due to matrix interference. Ignitability SW 846 method 1010 pH SW 846 Method 6045D Sludge Residuals Aluminum EPA 20o.7 Arsenic Cadmium Calcium Chromium Copper Lead Magnesium Molybdenum Nickel Potassium Selenium Sodium Zinc Nitrate+Nitrite-Nitrogen Total Solids M Ammonia Nitrogen 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 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 353.2 SM 2540 B SM 4500 NH3 C 0.069 mg/kg <0.25 mg/kg >210OF 7.35 units 11400 mg/kg <11.6 mg/kg <11.6 mg/kg 14000 mg/kg <11.6 mg/kg 181 mg/kg <11.6 mg/kg 2060 mg/kg <11.6 mg/kg <11.6 mg/kg 9580 mg/kg <11.6 mg/kg 20000 mg/kg 179 mg/kg 2810 mg/kg 0,86 % 2100 mg/kg 02/18/2020 02/19/2020 02/28/2020 02/28/2020 02/19/2020 0211912020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/19/2020 02/18/2020 02/20/2020 Report k: 2020.02607 House of Raeford -Wallace Facility Date of Report: Mar 27, 2020 Post Office box 40 Customer PO #: Rose Hill NC 28458 Customer ID: 13030026 Attention: Chris Murray Report #: 2020-02687 Project ID: Annual Sludge Total Kjeldahl Nitrogen (TKN) SM 4500 Org B 60100 mg/kg 02/24/2020 Total Phosphorus SM 4500 P F 13900 mg/kg 02121 /2020 Mercury SVV846 74716 <1 87 mg/kg 02/19/2020 TCLP Metals Arsenic EPA 200.7 <1 mg/L 02/21/2020 Barium EPA 200.7 <1 mg/L 02/21/2020 Cadmium EPA 200.7 <1 mg/L 02121/2020 Chromium EPA200.7 <1 mg/L 02/21/2020 Lead EPA 200.7 <1 mg/L 02/21/2020 Selenium EPA 200.7 <1 mg/L 02/21/2020 Silver EPA 200.7 <1 mg/L 02121 /2020 Mercury EPA 246.1 <0.0002 mg/L 02/26/2020 Comment: Sludge residuals reported on a dry weight basis. Reviewed by: Reporl #:: 2020-02687 Environmental Chemist, Inc., Wilmington, NC Lab p94 ;602 Windmill Way Vilmington, .NC 28405 310.392.02 23 Sample Receipt Checklist Client: -}4. Q Q. �� 1 Date: ! 0 Report Number: 0 —. 00 � 9 7 Receipt of sample: Delivered © YES ❑ y0 UP5 © FeclEx ❑ Other ❑ ❑ YES ❑ NO N/A 1. Were custody seals present on the cooler? NIA 2. If custody seals were present, were they intact/unbroken? Original temperature upon receipt��_C How temperature taken: Corrected temperature upon receipt ,C IR Gun lD: Thomas Traceable 51a192511g57ture Blank Aga inst Bottles ❑ YES ❑ NO '� Gun Correction Factor'C. 0.0 3. If temperature of cooler exceeded 6T, was Project Mgr./qq notified?. �$ YES ❑ NO 4. Were proper Gusto YES ❑ y0 p Custody procedures (regnquished/received) Followed? 5. Were sarri le IO s listed on the COC7 YES ❑ NO 6. Were samples Us listed on sample containers? YES ❑ NO 7• Were collection date and time fisted an the COC7 YES ❑ y0 8• Were tests to be performed listed an the CC1C? YES ❑ 0 YES ❑ V0 9. Did samples arrive in proper containers for each test? YES ❑ y'40 10- Did samples arrive in good condition for 11. each test? YES ❑ Was adequate sample volume availabl ❑ YES ❑ NO e 12• Were samples received within proper holding time for requested tests-.)�13. Were acid preserved samples received at a pH of <Z7 • ❑ YES ❑ y0 14. Were cyanide samples received at a pH a12? ❑ DES ❑ VO 15. Were sulfide samples received at a pH >g? ;❑ YES ❑ N0 16. Were NH3(TKN/Phenol received at a chlorine residual of c0.5 mt? 0-1❑ YE5 ❑ NO 17. Were Sulfide/Cyanide received at a chlorine residual of ed m/L 5 7. 60 " TOC/Volaciles are pH checked at time of analysis and recorded on the benchsheet. 9acteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet Sample Preservation: jMust be completed for any sample(sj incorrect) Sample(s) V preserved or with headspace) by adding vere received incorrectly preserved and were adjusted accordingly g (circle one): -1250, -� ere -HCl Time of Preservation:NaOH Nate: !van f more than one preservative is needed, n fY customer service ,rnmediatei for in ptaCe in Comm � incorrectly preserved samoirs. Obtain a new samoie or ents below notify the state lab d directed to anaNzed by the customer Who '+vas norf ed, date and time: Volatiles Sample(s) vere received with headspace COMMENTS: ;uC. 4 .uu1 `l l : Analyticaf & Consulting Chemists Client: House of Raeford -Wallace ADDRESS: led B Sample Identification Slud Transfer INC6602WindmillWayWilmington,NC28405 ENVIRONMENTAL CHEMISTS, OFFICE: 910-392-0223 FAX 910-392-4424 NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 into@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY PROJECT NAME: Wallace Plant -sludge (annual) REPORT NO: 2—o CONTACT NAME: PO NO: REPORT TO: Chris Murray PHONE/FAX: COPY TO: email: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: )n y v PRESERVATION Time G m Temp c C p ° c� �c� `p U a �� ° CD U aW CCUID J z Z C G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G uished By: -Date/Time z a i = y � X $ y o a z o = w ANALYSIS REQUESTED x 0 Full TCLP, RCI,Nutrient/rnetalS Received Temperature when Received: ` Accepted: z Rejected: Resample RrqledDelivered 13y:Received By: Date.Time:Comments: 7 RlND; Date/Ti me -9111 -Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 a 910.392.0223 Lab a 910.392.4124 Fax 710 Bowsertown Road, Manteo, NC 27954 0 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 a 910.347.58431.ab/Fax i.n Fo{6enviroiimentaichemists.co m House of Raeford -Wallace Facility Date of Report: Apr 07, 2020 Post Office box 40 Customer PO #: Rose Hill NC 28458 Customer ID: 13030026 Attention: Report #: 2020-05374 Project ID: Annual Sludge Lab ID Sample ID: Collect DatelTime Matrix Sampled by 20-13310 Site: 1 4/1/2020 11:45 AM Solid/Sludge jcb/envirochem Test Method Results Date Analyzed Total Solids (°1°) sin 2540 s 1.87 % 04/02/2020 Fecal Density SM 9221C E MPN 24 hr 503 26204 MPN/g 04/01/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-13311 Site: 2 4/1/2020 11:46 AM Solid/Sludge jcb/envirochem Test Method Results Date Analyzed Total Solids (%) SM 2540 B 1.74 % 04/02/2020 Fecal Density SM 9221C E MPN 24 hr 503 18966 MPN/g 04/01/2020 Lab lD Sample ID: Collect Date/Time Matrix Sampled by 20-13312 Site: 3 4/1/2020 11:47 AM Solid/Sludge jcb/envirochem Test Method Results Date Analyzed Total Solids (%) SM 2540 B 1.75 % 04/02/2020 Fecal Density SM 9221C E MPN 24 hr 503 62858 MPN/g 04/01/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-13313 Site: 4 4/1I2020 11:48 AM Solid/Sludge jcb/envirochem Test Method Results Date Analyzed Total Solids (%) SM25408 1.81 % 04/02/2020 Fecal Density SM 9221C E MPN 24 hr 503 38675 MPN/q 04/01/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-13314 Site: 5 4/1/2020 11:49 AM Solid/Sludge jcb/envirochem Test Method Results Date Analyzed Total Solids (%) SM 2540 B 1.79 % 04/02/2020 Fecal Density SM 9221C E MPN 24 hr 503 44135 MPN/g 04/01/2020 RA���t �€•• �n�n_nFz7a - -� k x�-f • ^+, �M1} y i r �.-F. nvrace ANALYTICAL & CONSULTfNG CHEMISTS JuAnvi onmentarl Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 e 910.392.0223 Lab a 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 e 252.473.5702 Lab/Fax 255-A Wilmiaigton Highway, Jacksonville, NC 28540 * 910.347.5843 Lali/Fax info@cjivironmentalchcGitists.com House of Raeford -Wallace Facility Date of Report: Apr 07, 2020 Post Office box 40 Customer PO #: Rose Hill NC 28458 Customer ID: 13030026 Attention: Report tf: 2020-05374 Project ID: Annual Sludge Lab iD Sample ID: Collect Date/Time Matrix Sampled by 20-13315 Site: 6 4/1/2020 11:50 AM Solid/Sludge jcblenvirochem Test Total Solids (%) Fecal Density Lab ID Sample ID: 20-13316 Site:7 Test Total Solids (%) Fecal density Method 5M 2540 B 5M 9221C E MPN 24 hr 503 Collect Date/Time 4/1/2020 11:51 AM Method SM 2540 B SM 9221C E MPN 24 hr 503 Comment: Results reported on a dry weight basis. Reviewed by:. Results Date Analyzed 1.65 % 04/02/2020 42424 MPN/g 04/01 /2020 Matrix Sampled by Solid/Sludge jcb/envirochem Results Date Analyzed 1,74 % 04/02/2020 40230 MPN/g 04/01/2020 Report*-- mgn.nsl7n Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilminaton, NC 28405 910.392,0223 Sample Receipt Checklist Client: �'y f".o , R. Date � I 0 Report Number Qb 052 7' Receipt of sample: Delivered f� ❑ YES ❑ NO N/A UPS ❑ FeclEx ❑ Other ❑ /A ❑ YES ❑ NO 1 Were custody seals present on the cooler? [ N2. If custody seals were Original temperature upon receipt — present, were they intact/unbroken? �oC How temperature taken: p Corrected temperature upon receipt ture Blank oC IR Gun ID: Thomas Traceable S/N❑1g25 1657 Against Bottles ❑ YES [Ell NO IR Gun Correction Factor "C: 0.0 3. If temperature of cooler exceeded 6*C1 was Project Mgr./qA notified? YES ❑ NO 4. Were proper custody procedures (relinquished/received} followed? S. Were Sample ID 5 listed on the COC? YES ❑ NO 6. Were samples ID's listed on sample containers? YES ❑ NO 7. Were collection date and time listed o11 n the CO11 C? G� YES ❑ NO 8. Were tests to be performed listed on the COC? YES ❑ NO 9, Did samples arrive in proper containers for each test? YES ❑ NO 10. Did samples arrive in good condition for each test? YES ❑ NO I. Was adequate sample volume available?' YES ❑ NO 12. Were samples received within proper holding time for re u © YES ❑ NO 13. Were acid preserved samples received at a pH of <27 w 9 ested tests? ❑ YES ❑ NO 14. Were cyanide samples received at ❑ YES ❑ NO a pH >IZ? 15. Were sulfide Barn les ❑ YEreceived at a pH >9? ❑ YES El NO 16. Were NH3/TKN/phenol received at a chlorine residual of a0.5 5 ❑ NO 17, Were Sulfide Cyanide received at a chlorine residual of <0/L? .5 m"* I_ . T0CNolatlles are pH checked at time of analysis and recorded on the benchsheet. Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet. Sample Preservation: (Must be completed for any samples) incorrectly y preserved or with headspace) b adding were received incorrectly preserved and were adjusted accordingly Y g (circle one): H2SO, HNO3 HCl Time of preservation: NaOH If more than one preservative is needed, notate in comments below ,Note: Notify customer service immediately For incorrectly a new Obta notify the state lab if directed to analyzed by the customer. Who wassnot fed, datela d time ample or Voiatile5 Samples) were received with headslaace COMMENTS: n nnti 41M ENVIRONMENTAL CHEMISTS, INC 6502WindmillWayWilmington,NC28405 'J OFFICE. 910-392-0223 Analytical & Consulling Chemists FAX 910-392-4424 NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: House of Raeford -Wallace PROJECT NAME: Wallace Plant -sludge (annual) REPORT NO: za - ADDRESS: CONTACT NAME: PO NO: REPORT TO: Chris Murray PHONE/FAX.- COPY TO: email: Sampled By: SAMPLE TYPE: I = lnfluent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Collection a r PRESERVATION Sample Identification d CL ° 2 a `I p° o �° —°° E m A0 2 z u o 0 o w ANALYSIS REQUESTED Date Time Temp �, 0 0 " " z ° = z a C P Slud e G G X lull TC utrient/metals G G% C P G G G G !� C P i Y G G `fit :(y C P �1�1 G G C P G G � � ark c P G G 1��L C P G TFG Transfer Relinquished By: Date/Time Received 1. 2. Temperature when Delivered By: j eceived By: a Time:_ OUND: ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number: WQ0000455 W WTP Narne: Wallace Chicken Processing Plant NPDES Number: NCO003344 Monitoring Period: From l/I/2020 To 12/31/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ 1 Alt. C (Prior Testing) ❑ Ait.D (No Prior Test) ❑ I Process to Further Reduce Pathogen as ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost 01 Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray 01 Gamma Ray ❑ Pasteurization ❑ Class B: I Alt. (1) Fecal Densi. -ET -Alt, (2) Process to Significantly Reduce Pathogens ❑ ff applicable to alternative performed (Class B only) indicate "Process to Sinnificantly Reduce Pathogens": Lime Stabilization ❑ AirD in ❑ IComRosting ❑ Aerobic Digestion ❑ AnaerobicDigestion '(Class 1A If applicable to alternative performed or Class B) complete the following monitoring data: ParameterAIlowable Level in in Sludge Pathogen Density um er o Bxcee' Frequency ofAnal is 3's Sample Type a yt`� Tech - nimic Geo. Mean Maxim Units Coliform 2 x 10 to the 6th power per gram of total solids MPN 18,966 36,778 62,858 MPN/g 0 Annual Grab SM9221 C CPU I000 mpn per gram of total solid (dry wei ht) Salmonella bacteria (in lieu of fecal eoliform) 3 MPN per4 grams total solid (dry I wei t) vector p►rrractron Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ AIt. 3 (30-day bench) ❑ JAlt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑Alt 8 (Drying -Unstable) Cl AIL 9 (Injection) El AIL I0 (Incorporation) El No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) El "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 .1.107 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 arc significant penalties for false certification including fine and imprisonment" Bradley Vann, ORC Wesley Wooten, President Preparer Name and Title { ape or print) Land Applier Name and Title (if applicable)(type or print) 1/18/20 �%1/18120 Signature of P^-parer* Date Signature of La d AppIier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DFNR FORM PVRF 02T'(12/2006) LEWIS FARMS LAND APPLICATION PROGRAM RESIDUALS ANALYSIS Residual Type: Wastewater Treatment Plant Date Sampled: November 27, 2020 North Topsail WWTF Permit No. WQ0000455 2.35 % Solids 6.91 pH Parameter % Mg/Kg Dry Weigbt (% x 1fl,000} Pounds/Dry Ton (M x 0.002 Nitrogen (TKN) 4.7I0 47,100,000 1 94.200 Phosphorus 2.450 24,500.000 49.000 Potassium 0.305 3,050.000 6.100 PAN (infected)* 1.855 18,552.982 37.106 PAN (surface)* 1.855 18,550.852 37.102 Ammonia Nitrogen 0.000 4.260 0.009 Calcium 4.590 45,900.000 91.800 Calcium Carbonate E . --- --- Magnesium --- 2,090.000 4.180 Sodium --- 4,020.000 8.040 Sulfur ___ Nitrate N / Nitrite N --- 4,420.000 8.840 Barium Chloride --- _-_ ... --- SAR 0.76 Iron --- --- --- Ceiling Concert. (M /K Aluminum --- 5,570,00 11.140 Arsenic --- 39.80 0.080 75 Cadmium Chromium Copper --- --- --- 20.50 20.500 368.00 0.041 --- 0.736 85 - 4,300 Lead --- 20.50 0.041 840 Mercury --- 0.966 0.002 57 Molybdenum --- 20.50 0.041 75 Nickel --- 20.50 0.041 420 Selenium --- 20.50 0.041 100 Zinc --- 5,320.00 10.640 7,500 Environment 14 2020-20155 *Determination of Plant Available Nitrogen (PAN): Injected Application: (Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN Surface Application. (Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits for calculation purposes. LEWIS FARMS WQ0000455 Pluris North Topsail W WTP I1/27/20 804 2.9053 11/27/20 1,506 3.1778 11/27/20 1,907 3.2804 11/27/20 747 2.8733 11/27/20 3,210 3.5065 11/27/20 4,472 3.6505 11/27/20 770 2.8865 Total 22.2802 Average 3.1829 Geometric Mean % Fecal Coliform MPN / gram Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen for Reduction requirement. env�� pehem' ANALYTICAL. & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392,0223 Lab • 910.392.4424 Fax 710 $owsertown Road, Manteo, NC 27954 - 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environmen talchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Jan 04, 2021 8155 Malpass Corner Road Customer PO #: Currie NC 26435 Customer ID: 14020008 Attention: Report #: 2020-20155 Project ID: sludge Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-51354 Site: Sludge 11/27/2020 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Cyanide SM 4500 CN D <1 mg/kg 11/30/2020 Chlordane (TCLP) SW 846 Method 0081BI3510 <0.02 mg/L 12/08/2020 Endrin (TCLP) SW 846 Method 80811313510 <0.0005 mg/L 12/08/2020 Heptachlor (TCLP) SW 846 Method 8081B13510 <0.0005 mg/L 12/08/2020 Heptachlor epoxide (TCLP) SW 846 Method 8081B13510 <0.0005 mg/L 12/08/2020 Lindane (TCLP) SW 848 Method 8081813510 <0.0005 mg/L 12/08/2020 Methoxychlor (TCLP) SW 848 Method 8081BI3510 <0.0005 mg/L 12/08/2020 Toxaphene (TCLP) SW 846 Method 80818/3510 <0.05 mg/L 12/08/2020 1,4-Dichlorobenzene (TCLP) SW 846 method 82701351a <0.050 mg/L 12/08/2020 2,4,5-Trichlorophenol (TCLP) SW 846 method 827013510 <0.050 mg/L 12/08/2020 2,4,6-Trichlorophenol (TCLP) SW 046 method 827013610 <0.050 mg/L 12/08/2020 2,4-Dinitrotoluene (TCLP) SW 846 method 62701351a <0.050 mg/L 12/08/2020 Cresol (TCLP) SW 846 method 027013510 <0.050 mg/L 12/08/2020 Hexachloro-1,3-butadiene (TCLP) SW 646 method 8270/3510 <0.050 mg/L 12/08/2020 Hexachlorobenzene (TCLP) SW 846 method 6270/3510 <0.050 mg/L 12/08/2020 Hexachloroethane (TCLP) SW 646 method 827013510 <0 050 mg/L 12/08/2020 m + p-Cresol (TCLP) SW 846 method 827013510 <0.050 mg/L 12/08/2020 Nitrobenzene (TCLP) SW 846 method 8270/3510 <0.050 mg/L 12/08/2020 o-Cresol (TCLP) SW 846 method 827013510 <0.050 mg/L 12/08/2020 Pentachlorophenol (TCLP) SW a46 method 82701351a <0.250 mg/L 12/08/2020 Pyridine (TCLP) SW 846 method B270/3510 <0.050 mg/L 12/08/2020 2,4,5-TP (TCLP) SW845 Method 8151A <0.0003 mg/L 12/09/2020 2,4-D (TCLP) SW846 Method 8151A <0.0003 mg/L 12/09/2020 1,1-Dichloroethylene (TCLP) SW846 Method026015030 <0.01 mg/L 12/08/2020 12-Dichloroeth2ne (TCLP) SW845Method826015030 <0.01 mg/L 12/08/2020 Benzene (TCLP) SW846 Method 826015030 <0.01 mg/L 12/08/2020 Report B:: 2020-20155 Pagel of 4 Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax sM 710 8owsertown Road, Manteo, NC 27954 + 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists,com Lewis Farms & Liquid Waste, INC. Date of Report: Jan 04, 2021 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Report #: 2020-20155 Project ID: sludge Carbon Tetrachloride (TCLP) swe4s Method 8260/5030 <0.01 mg/L 12/08/2020 Chlorobenzene (TCLP) SW646 Method 8260/5030 <0.01 mg/L 12/08/2020 Chloroform (TCLP) swe46 Method 826016030 <0.01 mg/L 12108/2020 Methyl ethyl ketone (TCLP) 5W646 Method a26015030 <0.05 mg/L 12/08/2020 Tetrachlorcethylene (TCLP) swe46 Method 8260/5030 <0.01 mg/L 12/08/2020 Trichloroethylene (TCLP) SW545 Melhod 8260/5030 <0.01 mg/L 12/08/2020 Vinyl Chloride (TCLP) SW846 Method 8260/5030 <0.01 mg/L 12/08/2020 RCI Sulfide SM 4s o Reporting limit elevated due to matrix interference. <0.5 trig/kg 12/02/2020 Ignitability SW 846 method 101a >1$5 °F 12/05/2020 pH SW 846 Method 80450 6.91 units 12/21/2020 Sludge Residuals Aluminum EPA 200.7 5570mg/kg 12/03/2020 Arsenic EPA 200.7 39.8 mg/kg 12/03/2020 Cadmium EPA 200.7 <20.5 mg/kg 12/03/2020 Calcium EPA 200.7 45900 mg/kg 12/03/2020 Chromium EPA 200.7 <20.5 mg/kg 12/03/2020 Copper EPA 200.7 368 mg/kg 12/03/2020 Lead EPA 2001 <20.5 mg/kg 12/03/2020 Magnesium EPA 200.7 2090 mg/kg 12/03/2020 Molybdenum EPA 2007 <20.5 mg/kg 12/03/2020 Nickel EPA2110.7 <20.5 mg/kg 12/03/2020 Potassium EPA 200.7 3050mg/kg 12/03/2020 Selenium EPA 200.7 <20.5 mg/kg 12/03/2020 Sodium EPA 200.7 4020mg/kg 12/03/2020 Zinc EPA 200.7 5320mg/kg 12/03/2020 Nitrate+Nitrite-Nitrogen EPA 353.2 4420 mg/kg 12/08/2020 Total Solids (%) SM 2540 6 2.35 % 11/30/2020 Ammonia Nitrogen SM 4500 NH3 C <4.26 mglkg 11129/2020 Report d:: 2020-20155 Page 2 of 4 envirochern'`' ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab e 910.392,4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax inro@envii-onment-,ilchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Jan 04, 2021 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Report #: 2020-20155 Project ID: sludge Total Kjeldahl Nitrogen (TKN) SM45110Orga 47100mg/kg 11/29/2020 Total Phosphorus SM 4500 P F 24500 mg/kg 12/0912020 Mercury SW0467471B 0.9660mg/kg 12/03/2020 TCLP Metals Arsenic EPA200.7 <1.0mg/L 12/11/2020 Barium EPA 200.7 <1.0 mg/L 12/11/2020 Cadmium EPA200.7 <1.0mg/L 12/11/2020 Chromium EPA 200.7 <1.0 mg/L 12/11/2020 Lead EPA 200.7 <1.0 mg/L 12/11/2020 Selenium EPA 200.7 <1.0mg/L 12/11/2020 Silver EPA 200.7 <1.0 mg/L 12/16/2020 Mercury EPA 245.1 <0.0002 mg/L 12/10/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-51355 Site: 1 11/27/2020 8:32 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids {%} SM 2540 B 2.49 % 11/30/2020 Fecal Density SM 922IC E MPN 24 hr503 804 MPNIg 11/2712020 Lab ID Sample ID; Collect Date/Time Matrix Sampled by 20-51356 Site: 2 11/27/2020 8:33 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 a 2.99 % 11/30/2020 Fecal Density SM 9221C E MPN 24 hr sm 1506 MPN/g 11/27/2020 Lab ID Sample ID: Collect Dateffime Matrix Sampled by 20-51357 Site: 3 11/27/2020 8:34 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids {°/a} SM 2540 a 2.36 % 11/30/2020 Fecal Density SM 9221C E MPN 24 hr 503 1907 MPNIg 11127/2020 Report #:; 2020-20155 Page 3 of 4 Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info&nvironmenta]chemists,corn Lewis Farms & Liquid Waste, INC. Date of Report: Jan 04, 2021 8155 Malpass Corner Road Customer PO 9: Currie NC 28435 Customer ID: 14020008 Attention: Report #: 2020-20155 Project ID: sludge Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-51358 Site: 4 11/27/2020 8:35 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 s 2.41 % 11/30/2020 Fecal Density SM92210EMPN 24hr503 <747MPN/g 11/27/2020 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 20-51359 Site: 5 11/27/2020 8:36 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 a 2 43 % 11/30/2020 Fecal Density SM 9221C E MPN 24 hr5o3 3210 MPN/g 11/27/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-51360 Site: 6 11/27/2020 8:37 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 a 2.46 % 11/30/2020 Fecal Oensity SM 9221C E MPN 24 hr 503 4472 MPNIg 11/27/2020 Lab ID Sample ID: Collect Date[Tlme Matrix Sampled by 20-51361 Site: 7 11/27/2020 8:38 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 s 2,60 % 11/30/2020 Fecal Density SM 9221C E MPN 24 hr 503 770 MPNIg 11/27/2020 Comment: Sludge residuals reported on a dry weight basis. � f Reviewed by: - Q, G Report #:; 2020-20155 Page 4 of 4 Environmental Chemist, Inc., Wilmington, NC Lab #94 660Z Windmill Way Wilmington, NC 28405 910-392.0223 Sample Receipt Checklist Client: Ltul� l- ILM5 Date; Report Number: --oR �)�~ Receipt of sample: ECHEM Pickup ❑ Client Delivery UPS ❑ FedEx ❑ Other ❑ YES ❑ NO N/A 1. Were custody seals present on the cooler? ❑ YES ❑ NO N/A 2, if custody seals were present, were they intact/unbroken? Original temperature upon receipt °C Corrected temperature upon receipt How temperature taken: ❑ Temperature Blank 1W Against Bottles IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0 ❑ YES ❑ NO 3. if temperature of cooler exceeded 6°C, was Project Mgr./QA notified? YES ❑ NO J 4. Were proper custody procedures (relinquished/received) followed? YES ❑ NO 5. Were sample ID's listed on the COC? YES ❑ NO E. Were samples ID's listed on sample containers? YES ❑ NO 7. Were collection date and time listed on the COC? YES ❑ NO 8. Were tests to be performed listed on the COC? YES ❑ NO 9. Did samples arrive in proper containers for each test? �( YES ❑ NO 10. Did samples arrive in good condition for each test? YES ❑ NO 11. Was adequate sample volume availableT YES ❑ NO 12. Were samples received within proper holding time for requested tests? ❑ YES ❑ NO 13. Were acid preserved samples received at a pH of <2? ❑ YES ❑ NO 14. Were cyanide samples received at a pH >12? ❑ YES ❑ NO 15. Were sulfide samples received at a pH >9? ❑ YES ❑ NO 16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? #* �7 YES ❑ NO 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L? ❑ YES ❑ NO 18. Were orthophosphate samples filtered in the field within 15 minutes? TOC/Vofatiles are pH checked at time of analysis and recorded on the benchsheet. ** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet. Sample Preservation: (Must be completed for any samples) incorrectly preserved or with headspace) Sample(s) were received incorrectly preserved and were adjusted accordingly by adding (circle one): HZS04 HNO3 HCi NaOH Time of preservation: if more than one preservative is needed, notate in comments below Note: Notify customer service Immediately for incorrectly preserved samples. Obtain a new sample or notify the state tab if directed to analyzed by the customer. Who was notified, date and tirne: Volatiles Sample(s) were received with headspace COMMENTS: DOC. QA.002 Rev 1 °C ENVIRONMENTAL CHEMISTS INC 6602 Windmill Way W1lmingtan, NC 28405 7 OFFICE: 910-392-0223 FAX 910-392-4424 Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentatchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Lewis Farms & Liquid Waste PROJECT NAME: REPORT NO: Q4 ;Z Q15j ADDRESS: CONTACT NAME: Wesley Wooten PO NO: REPORT TO: Martin MabelMabe-Wilcox PHONE/FAX: COPY TO: email: Sampled By; , S SAMPLE TYPE I = I Collection Sample Identification Date Time Temp Sludge 21 ss 2 s� 3 3�. 4 5 i i a EP -- a N E° C99 C} C e c� c a° V P nfluent, t U E g Z �l 35 CJ 1 51 13 513h = Effluent, PRESERVATION W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: ANALYSIS REQUESTED o z X z w r z = o 2 9w � O Full TCLP, RCI, Nutrients/Metals G C G P X Fecal Density/%TS G C G P X Fecal Density/%TS G C G P X Fecal Density/%TS G C G P IX Fecal Densityl%TS G C G P X Fecal Density/%TS G C G p X Fecal Density/%TS G G X a Fecal Oen iiy/ / TS G GJ13f°� e 1. - 2. Temperature when Received: Accepted: Delivered By: Received By: Comments: pie R ues ad- e- �� 1 Time: -T RNA OUND: e ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION CORM (02T Rules) FacilityName: Lewis Farms and Liquid Waste, Inc, WQ Permit Number: WQ0000455 W WTP Name: Pluris North Topsail NPDES Number: WQ0005849 Monitoring Period: from l/l/2020 12/31/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternnfivP nnrrnrnnoa- Class A: AIt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thennophilic ❑ Beta Ray ❑ I Gamma Ray ❑ Pasteurization ❑ Class B: JAIt. (1) Fecal Density Ej I Alt. (2) Process to Si iificantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Conipostins ❑ jAerobic Digestion ❑ D' Anaerobic Digestion � If applicable to al ternative lternative performed (Class A or Class .B).complete the foflowing .monitaring.data: Allowable Level Pathogen Density um er o Analytical Parameter g Excee- Frequency Sample Tech- in Sludge Minima Geo. Mean Maximu Units of Analysis Type niaire ences 2 x 10 to the 6th power MPN 747 1,524 4,472 MPN/g 0 Annual Grab sM9micE per gram of Fecal Coliform total solids CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria 3 MPN per 4 grams (in lieu of fecal total solid (dry coliform) 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 uptalce) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ JAIt. 8 (Drying - Unstable) ❑ Alt, 9 (Injection) Ej Alt. 10 (Incorporation) El No vector attraction reduction alternatives were performed ❑ uLl RT1KCATIOIv STATEMENT (please cheek the appropriate statement) El "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 :ments.) tion has 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." made under my Randy Hoffer, ORC Wesley Wooten, President Preparer Name and Title (type or rint) 4and Applier Name and Title (if applicable)(type or print) ZY a 1/19/20 Signat6dofPreparer* D Signature of L d Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) LEWIS FARMS LAND APPLICATION PROGRAM RESIDUALS ANALYSIS Residual Type: Wastewater Treatment Plant Date Sampled: September 21, 2020 Pluris - Webb Creels Permit No. WQ0000455 2.11 % Solids 7.06 pH Parameter i % Mg/Kg Dry Weight (% x 10,000) Pounds/Dry Ton (Mg/Kg(Mg/Kg x 0.002) Nitrogen (TKN) 5.260 52,600.000 105.200 Phosphorus 3.110 31,100.000 62.200 Potassium 0.401 4,010.000 8.020 PAN (injected)* L736 17,359.600 34.719 PAN surface)* 1.630 16,299.600 32.599 Ammonia Nitrogen 0.212 2,120.000 4.240 Calcium 4.620 46,200.000 92.400 Calcium Carbonate E . --- --- .... Magnesium --- 3,940.000 7.880 Sodium --- 9,760.000 19.520 Sulfur --- --- Nitrate N / Nitrite N --- 95.600 0.191 Barium Chloride - --- -- --- --- --- SAR 1.70 Iron --- --- --- Ceiling Concen. M /K ) Aluminum --- 4,470.00 8.940 Arsenic --- 22.60 0.045 75 Cadmium --- 22.60 0.045 85 Chromium --- 22.600 --- Copper --- 493.00 0.986 4,300 Lead --- 22.60 0.045 840 Mercupz 0.720 0.001 57 Molybdenum --- 22.60 0.045 75 Nickel --- 22.60 0.045 420 Selenium --- 22.60 0.045 100 Zinc --- 3,640.00 7.280 7,500 Environmental Chemists 2020-16002 *Determination of Plant Available Nitrogen (PAN): Injected Application: (Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN Surface Application: (Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits for calculation purposes. LEWIS FARMS WQ0000455 Pluris Webb Creek WWTP ...;ate....: 09/21/20 1,042 3.0179 09/21/20 953 2.9791 09/21/20 3,437 3.5362 09/21/20 1,852 3.2676 09/21/20 817 2.9122 09/21/20 1 3,193 1 3.5042 09/21/20 1 780 1 2.8921 Total 22.1093 Average 3.1585 Geometric Meant Fecal Conform MPN / gram Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen for Reduction requirement. Y ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 ^ 910.392.0223 Lab e 910.392.4424 Fax 710 Bowsertown Roar], Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5B43 Lab/Fax info@environmentalchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Oct 14, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report M 2020-16002 Project ID: sludge LAID Sample ID: Collect Date/Time Matrix Sampled by 20-40838 Site: Sludge V{r " erM-A,k 9/21/2020 8:05 AM Solid/Sludge Wooten Test Method Results Date Analyzed pH SW 846 Method 9046D 7.06 units 10/12/2020 Sludge Residuals Aluminum EPA 200.7 4470 mg/kg 09/22/2020 Arsenic EPA 2o0.7 <22.6 mg/kg 09/22/2020 Cadmium EPA 200.7 <22.6 mg/kg 09/22/2020 Calcium EPA 200.7 46200 mg/kg 09/2212020 Chromium EPA 200.7 <22.6 mg/kg 09/22/2020 Copper EPA 200.7 493 mg/kg 09/22/2020 Lead EPA 200.7 <22.6 mg/kg 09/22/2020 Magnesium EPA 2DD.7 3940 mg/kg 09/22/2020 Molybdenum EPA 200.7 <22.6mg1kg 09/22/2020 Nickel EPA 200.7 <22.6 mg/kg 09/22/2020 Potassium EPA2110.7 4010 mg/kg 09/22/2020 Selenium EPA 200.7 <22.6 mg/kg 09/2212020 Sodium EPA 200.7 9760 mg/kg 09/22/2020 Zinc EPA 200.7 3640 mg/kg 09/22/2020 Total Kje[dahl Nitrogen (TKN) EPA 351.2 52600 mg/kg 09/28/2020 Nitrate+Nitrite-Nitrogen EPA353.2 95.6mglkg 09/22/2020 Total Solids (%) SM 2540 6 2.11 % 09/21 /2020 Ammonia Nitrogen SM 45ao NH3 C 2120 mg/kg 09/22/2020 Total Phosphorus SM 4500 P F 31100 mg/kg 09/29/2020 Mercury SW8487471B <0.720mglkg 09124/2020 Report #:: 2020-16002 Page 1 of 3 Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910,392.0223 Lab • 9I0.392,4424 Fax 710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 ° 910,347.5843 Lab/Fax info@cnvironmentalchemists.com Lewis Farms & Liquid Waste, INC. Date of Report: Oct 14, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 1402000E Attention: Wesley Wooten Report #: 2020-16002 Project ID: sludge Lab ID Sample ID: Collect DatelTime Matrix Sampled by 20-40839 Site: 1 9/21/2020 8:10 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Sollds (%) SM 2540 S 1.92 % 09/21/2020 Fecal Density SM 9221C E MPN 24 hr 503 1042 MPN/g 09/21/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-40840 Site: 2 9/21/2020 8:11 AM Solid/Sludge Wooten `lest Method Results Date Analyzed Total Solids (%) SM 254a B 2.10 % 09/21/2020 Fecal Density SM 9221C E MPN 24 hr 5o3 953 MPNIg 09/21/2020 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 20-40841 Site: 3 9/21/2020 8:12 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 2540 B 2.27 % 09/21/2020 Fecal Density SM 9221C E MPN 24 hr 503 3437 MPNIg 09/21/2020 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 20-40B42 Site: 4 9/21/2020 8:13 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 2540 B 2 16 % 09121/2020 Fecal Density SM 9221C E MPN 24 hr 503 1852 MPNIg 09/21/2020 Lab 1D Sample ID: Collect DatelTime Matrix Sampled by 2040843 Site: 5 9/21/2020 8:14 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) SM 2540 B 2.45 % 09/21/2020 Fecal Density SM 9221C E MPN 24 hr 503 817 MPN/g 09/21/2020 Report #:: 2020-16002 Page 2 of 3 ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab e 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@cnvironmen talchcmismcorn Lewis Farms & Liquid Waste, INC. Date of Report: Oct 14, 2020 8155 Malpass Corner Road Customer PO #: Currie NC 28435 Customer ID: 14020008 Attention: Wesley Wooten Report#: 2020-16002 Project ID: sludge Lab iD Sample ID: Collect Date/Time Matrix Sampled by 20-40844 Site: 6 9/21/2020 8:15 AM Solid/Sludge Wooten Test Method Results Date Analyzed Total Solids (%) Fecal Density Lab ID Sample ID: 20-40845 Site:7 Test Total Solids (%) sM 2540 S 2.13 % 09/21 /2020 5M 9221C E MPN 24 hr 503 3193 MPN/g 09/21/2020 Collect Date/Time Matrix Sampled by 9/21/2020 8:16 AM Solid/Sludge Wooten Method Results Date Analyzed SM 2540 9 2.31 % 09/21 /2020 Fecal Density 5M 9221C E MPN 24 hr 503 <780 MPN/g 09/21/2020 Comment: Sludge residuals and fecal density reported on a dry weight basis. pH reported on an as received basis. Reviewed by: L Report k 2020-16002 Page 3 of 3 , Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 910.3q; n7- -i Sample Receipt Checklist Cliental L- �-ms r 5 Date: - C� Report Number: Receipt of sample ❑ elivereclASP UPS ❑ FedEx ❑ Other ❑ YES ❑ NO ❑ N/A 1. Were custody seals present on the cooler? YES ❑ NO N/A 2. If custody seats were present, were they intact/unbroken? Original temperature upon receipt How temperature taken: Corrected temperature upon receipt ❑ Temperature Blank u; IR Gun ID: Thomas Traceable S N 192511657 Against Bottles / IR Gun Correction Factor -C.: 0.0 ❑ YES ❑ NO 3. If temperature of cooler exceeded 6°C, was Project Mgr./CiA notified? YES ❑ NO 4. Were proper custody procedures (relinquished/received) followed? YES ❑ NO r, Were sample ID's listed on the COU YES ❑ NO 6. Were samples 1D'5 listed on sample containers? YES ❑ NO 7. Were collection date and time listed on the COC? YES ❑ NO B. Were tests to be performed listed on the COC? YES ❑ NO 9. Did samples arrive in proper containers for each test? YES ❑ NO 10. Did samples arrive in good condition for each test? YES ❑ NO 11. Was adequate sample volume available?' YES ❑ NO 12. Were samples received within proper holding time for requested tests? YES ❑ NO ❑ 13. Were acid preserved samples received at a pH of <2? YES ❑ NO 14. Were cyanide samples received at a pH >12? ❑ YES ❑ NO 15. Were sulfide samples received at a pH >9? YES ❑ NO ❑ 16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? YES ❑ NO ❑ YES ❑ 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L? NO 19. Were orthophosphate samples filtered in the field within 15 minutes? * TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet. * * Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet. Sample Preservation: (Must be completed for any samples) incorrectly preserved or with headspace) Sample(s) were received incorrect( by adding (circle one): H250, HNO3 HCI Y preserved and were adjusted accordingly NaOH Time of preservation: _ If more than one preservative is needed, notate in comments below Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or notify the state lab if directed to analyzed by the customer. who was notified, date and time. Volatiles Sample(s) were received with headspace COMMENTS: DOC. QA,002 °C ENVIRONMENTAL CHEMISTS INC of Windmill g aZ 3rIFAX910-392�245 _ Analytical 8 Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Lewis Farms & Liquid Waste PROJECT NAME: REPORT NO:2-,3 - iCpoL ADDRESS: CONTACT NAME: Wesley Wooten PO NO: REPORT TO: Martin MabelMabe-Wilcox PHONE/FAX: COPY T0: email: Sampled By: SAMPLE TYPE• I = Influent E = Effl t W = V11 II S - Collection Transfer 4. Reli , uen , e , T - Stream, SO = 5011, SL = Sludge, Other: Rm F " a a o` Cf7 `� `o 0 J ° rn O W m 3z PRESERVATION ANALYSIS REQUESTED i z -, x o z $ z zo -C o w s` 0 C P �3� X Full TCLP, RCI, Nutrients/Metals G G C P Yf? X Fecal Densi 1%TS G G C P X Fecal Density/%TS G G C P X Fecal Density/%TS G G C P X I Fecal Density/%TS G GaYYZ C P X IFecal Densi /%TS G G C P X Fecal Densi /%TS G G C P S X Fecal Densitv/%TS G G 2. 1d - I Temperature when Received: _ Accepted: Delivered By: Received By: rnmmonfa- Date/Time Received Date/Time Resample Re st 7 Date: fv 41c>Time: l Tu N OUND: ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: Lewis Farms & Liquid Waste, Inc. WQ Permit Number: WQ0000455 WWTP Name: Pluris - Webb Creek NPDES Number: NCO062642 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 (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑ 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 ❑ Thennophilic ❑ Beta Ray 01 Gamma Rav ❑ 1 Paste1tri7atinn n _............ ...... :...... ........... .... Class B: JAIL (1) Fecal Density ❑ I Alt. (2) Process to Signi )plicable to alternative performed (Class B only) indicate "Process to Stabilization El I Air Drying ❑ Corni erobic Digestion ❑ If applicable to alternative perfo Parameter Allowable Level in Sludge 2 x 10 to the MPN 6th power per gram of Fecal Coliform total solids CFU 1000 mpn per gram of total solid (dry ilmonel[a bacterial 3 MPN per 4 grams (in lieu of fecal I total solid (dry ector Attraction 2d (Class A or Class B) complete the Pathogen Density nimum Geo. Mean aximuml Units 780 1,440 3,193 INTNIg Reduce Pathogens ❑ antly Reduce Pathogens": ❑ lAerobic Digestion ❑ Ilowing monitoring data: umberoll Frequency Sample na yt" Excee- Tech- dences of Analysis Type Winne 0 1 Annual I Grab I SM922 ative Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. QZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ JAIL 8 (Drying - Unstable) ❑ Alt. 9 (Injection) El Alt. 10 (Incorporation) 0 ITsTo vector attraction reduction alternatives were performed ❑ 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 "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." Wesley Wooten, President Preparer Name and Title (type or print) 1/20/2021 Signature of reparer* Date Land AppIier Name and Title (if applicable)(type or print) Signature of Land AppIier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) ❑ENR FORM P1/RF 02T (1212006) 2020 APPLICATION SUMMARY LEWIS FARMS Permit # WQ 0000455 2020 RESIDUALS APPLICATIONS APPLICATION SUMMARY FIELD NO. ACRES I USED TOTAL GALLONS TOTAL WET TONS TOTAL DRY TONS TOTAL PAN Crop I Cr" 2 L3 18.60 120,000 24.62 36.52 24.35 L4 24.50 288,000 25.34 23.94 11.97 L9 36.70 624,000 35.13 48.21 23.41 W1 33.70 765,000 37.69 34.12 19.58 W2 36.70 676,000 24.67 27.65 11.87 JI Totals 150.2011 29473,000 11 0 147.4511 Metric Tons 133.74 FIELD LOADING RATE REPORTS Owner: Facility Name: Lewis Farms Lewis Farms Operator: I Field #: L3 Application Method*: S/1NC Site #: 4.92 1 1.32 ANNUAL LAND APPLICATION FIELD SUMMARY FORM Permit #: W00000455 Annual Dry Tons Applied: 24.62 Lewis Farms Acres Utilized: I8.6 Acres Permitted: 18.6 Volatilization Rate**: 0.5/1.0 Mineralization Rate: 30 % 0.023 1 1.840 1 0.074 1 0.001 1 0.023 1 0.041 1 0,024 Total 1 120.000 Annual Ibs/acre 1 0.056 1 0.023 _ I.840 1 0.074 1 0.001 1 0.023 1 0.041 1 0.024 1 2.886 136.52 124.3 Current Cumulative lbs/acre 0.92 0.49 84.53 4.48 0.04 1 0.82 1 2.44 1 0.80 1132,60 1 149 1 50 Prior Years Cumulative lbs/acre 0.87 0.47 82,69 4.40 0.04 0.80 2.40 1 0.7$ 129.71 Permitt C.P.L.1L*** 36 34 I,338 2G7 15 n!n 374 89 2,498 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted, I am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations." X 1/20/21 (Signature of ,and Applier) Date Predominant Soil Goldsboro - GoA House of Raeford 40% 25.36 1 soy6ean I ryeerms 1169.16 1 14.45 1 0.00 *Application Method. S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate Bold denotes Incorporation and Volatilization Rate of 1.0 WMMS, PLI.0 Lime A PAN Limt 1st/2nd Crop I Date I L DENR FORM FSF (712002) Mod, ANNUAL LAND APPLICATION FIELD SUMMARY FORM Facility Name: Lewis Farms Permit #: W00000455 Owner: Lewis Farms Operator: Lewis Farms Site #: 1 Field #: L4 Acres Utilized: 24.50 Application Method*. S/1NC Volatilization Rate**: 0.511.0 Annual Dry Tons Applied: 25.34 Acres Permitted: 24.50 Mineralization Rate: 30 % Predominant Soil Goldsboro - GoA House of Raeford 40% Date Gals. Gals./ Acre % TS DT / Acre Residual Source -Plurns Site Cond. Metals (lbslac) Nutrients (Ibs/ac) As Cd Cu Pb Hg Mo Ni Se Zn PAN 1 PAN 2 P I Crop 1 Crop 2 TKN NH3 N2-N3 2020 288,000 11,755 2.11 1.03 - e GID 0.047 0.047 1.020 0,047 0.00I 0.047 0.047 0.047 7.530 23.94 11.97 64.33 soybean rycgrass 108.81 4.39 0.20 Total 288,000 Annual Ibs/acre 0.047 0.047 1.020 0.047 0.001 0.047 0.047 0.047 7.530 1 Current Cumulative Ibs/acre 0.93 0.64 62.20 1.04 0.32 57.33 4.25 0.52 53.79 Prior Years Cumulative Ibs/acre 0.88 0.60 61.1$ 1 0.99 0.32 57.28 4.20 0.47 46.27 Permitt C.P.L.R.*** 36 34 1,338 267 15 n/a 1 374 1 89 2,498 1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations." 23.94 11.97 64.33 149 50 Permit PAN Limt lst/2nd Crop Lime A Date Lbs/A X 1120/21 (Signature of L d Applier) Date *Application Method: S - Surface, IN - Injection, INC - Incorporation "Volatilization Rate; Surface - 0.5, Injection/incorporation - 1.0 ***C.P.L.R.; Cumulative Pollutant Loading Rate Bold denotes Incorporation and Volatilization Rate of 1.0 WMMS, PLLC DENR FORM FSF (7/2002) Mod. ANNUAL LAND APPLICATION FIELD SUMMARY FORM Facility Name: Lewis Farms Permit#: W00000455 Annual Dry Tons Applied: 35.13 Owner: Lewis Farms Operator: Lewis Farms Site #: I Field #: L9 Acres Utilized: 36.70 Acres Permitted: 36.70 Application Method*: S/INC Volatilization Rate": 0.5/1.0 Mineralization Rate: 30 % Predominant Soil Grantham - Gr House of Raeford 40% i iFlatei` ~i'ii tl bi'i'•i i'NOW 13 •�IPiI'ii.' � ,At 'A s iiJ' €''•.uai rElft' iEi is ;113a'• . i€k�.Pllf= i':Pi-i=?� i�iiai" : r•: 2020 624,000 17,003 1.35 0.96 Beau Rivage G/D 0.0471 0.047 0.572 0.047 0.002 0.047 0.022 0.047 1.518 48.21 23.41 33.69 soybean ryegrms 172.48 28.33 0.04 Total 624,000 Annual ibs/acre 0.047 0.047 0.572 0.047 0.002 0.047 0.022 0.047 1.518 48.21 23.41 33.69 Current Cumulative lbs/acre 0.52 0.31 56.41 3.37 0.06 0.65 1.79 0.60 92.63 146 50 Permit PAN Limt Ist/2nd Crop Prior Years Cumulative Ibs/acre 0.47 0.26 55.84 3.33 0.06 0.61 1.76 0.56 91.11 Permitt C.P.L.R."* 36 34 1,338 267 15 n/a 374 89 2,498 "1 certify, under penaltyof law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations." Lime App. Date Lbs/Ac XZQ/A�/11��--J1/20/21 (Signature of Lan Applier) Date *Application Method: S - Surface, IN - Injection, rNC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate Bold denotes Incorporation and Volatilization Rate of 1.0 WMMS, PLLC DENR FORM FSF (7/2002) Mod. ANNUAL LAND APPLICATION FIELD SUMMARY FORM Facility Name: Lewis Farms Owner: Lewis Farms Operator: Site 4: W Field #: 1 Application Method*: SI1NC Permit ##: W00000455 Lewis Farms Acres Utilized: 33.70 Volatilization Rate**: 0.511.0 Annual Dry Tons Applied: 37,69 Acres Permitted: 33.70 Mineralization Rate: 30 % Predominant Soil Grantham - Gr House of Raeford 40% 2020 1 165,000 4,896 2.35 0.48 i GID 0.038 10.024 0.353 10.0201 0.001 0.020 10.02010.020 15.105 1 9.71 1 8.09 1 23.51 Corn 2020 600,000 17,804 0.86 0.64 HouseorRnefnrd IG/D 0.015 1 0.015 1 0.231 1 0.015 1 0.002 0.015 0.015 1 0.015 0.229 1 24.41 1 11.49 1 I7.75 1Corn Total 1 765,000 Annuallbs/acre 0.053 0,0341 0.584 0.034 0.003 0.03410.034 0.034 5.334 34.12 19.58 41.26 Current Cumulative Ibs/here 0.29 0.26 73.93 3.94 0.04 0.42 2.05 0.39 117.28 136 50 Permit PAN Limt Ist/2nd Prior Years Cumulative lbs/acre 0.24 0.23 73.34 3.91 0.04 0.38 2.02 0.36 111.95 Permitt C.P.L.R.*** 36 34 1,338 267 15 n1a 374 89 2,498 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations." X 1 /20121 (Signature of La Applier) Date *Application Method: S - Surface, IN- Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0 ***C.P.L.R.. Cumulative Pollutant Loading Rate Bold denotes Incorporation and Volatilization Rate of 1.0 45.20 10.00 14.24 76.75 1 7.68 1 3.59 Lime Date 1 WMMS, PLLC OENR FORM FSF (7/2002) Mod. ANNUAL LAND APPLICATION FIELD SUMMARY FORM Facility Name: Lewis Farms Permit #: W 0000455 Annual Dry Tons Applied: 74.67 Owner: Lewis Farms Operator: Lewis Farms Site*: W Field #: 2 Acres Utilized: 36.70 Acres Permitted: 36.70 Predominant Soil Application Method*: S1INC Volatilization Rate**: 0.5/1.0 Mineralization Rate: 30 % House of Raeford tL�it t 1CtR'iSi•�1" tiC .bSf Nu'�' 2020 648,000 17,657 0.86 0.63 HouseafRaeford G/D 0.015 0.015 0.229 0.015 0.002 0.015 0.015 0.0I5 0.227 23.73 11.87 17.60 Carn Rycgross 2020 28,000 763 1.23 0.04 Castle Day G/D 0.004 0.003 0.015 0.003 0.000 0.003 0.003 0.003 0.-52 3.92 1.77 Corn RyeErass Total 1 676.000 Annuallbslacre 0.019 0.0181 0.244 0.0181 0.002 0.0181 0.018 0.0180.278 27.65 111.87 1 19.37 Current Curulative lbs/acre 0.37 0.29 15.16 1.87 0.03 75.28 0.74 0.43 27.24 136 1 CIO Permit PAN Limt Istl2nd Prior Years Cumulative Ibs/acre 0.35 0,27 I4.91 1.86 0.03 75.26 0.73 0.42 26.96 Permitt C.P.LSt .*** 36 34 1,338 267 15 n/a 374 89 2,498 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." X A0721_- 1/20/21 (Signature of and Applier) Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate Bald denotes Incorporation and Volatilization Rate of 1.0 WMMS, PLLC Grantham - Gr 40% 76.11 2.66 3.56 7.29 2.46 0,01 Irate DENR FORM FSF (712002) Mod. SOIL ANALYSIS REPORTS The current pH on these fields are not reflective of the liming amendments applied to the field in late December of 2019 (1 ton/acre). Lewis Farms will continue to monitor these fields in the future and make any necessary adjustments to pH as needed. Martin Mabe Agronomist Page 1 of 2 ReportNo: 20-014-1101 Account No: 08361 Advisor: Willcox & Mabe Soil Solutions, PLLC 7231 B. Summerfield Rd Summerfield NC 27358 Waypoint(D ANALYTICAL Client: Lewis Farms 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Farm: Date Received: 01/14/2020 Date of Report: 01/15/2020 Lab No Field ID Sample ID Soil Class HM% WN pH Ac P-1 K 1 S-1 Mn-1 Zn-1 Zn-Al Cu4 CEC BS% Ca% Mg% ESP Na SS-1 NO3 N 19840 L02 MIN 0.8 5.6 0.6 87 47 17 25 88 88 65 2.5 78 52 14 3.0 0.1 Crop Recommendations: 1- Adjust pH to 6.0 Rec Uom Iblacre Lime (Nacre) 0.0 N P205 K20 S Mn 3 Mn-Al 38 Zn Cu B Mg 0 Last Crop 19841 L03 MIN 0.9 5.5 0.7 143 41 17 25 75 75 110 2.6 73 49 13 3.2 0.1 Crop Recommendations: 1-Adjust pH to 6.0 Rec Uom lb/acre Lime (Nacre) 0.3 N P205 K20 S Mn 3 Mn-Al 40 Zn Cu B Mg 0 Last Crop 19843 L04 MIN 1.0 5.5 0.7 91 47 12 38 80 80 65 2.8 77 52 14 2.6 0.1 Crop Recommendations: 1-Adjust pH to 6.0 Rec Uom lb/acre Lime (Nacre) 0.3 N P205 K20 S Mn 3 Mn-AI 47 Zn Cu B Mg 0 Last Crop 19844 L05 MIN 0.8 5.5 0.7 87 48 10 25 78 78 60 2.7 75 50 14 2.6 0.1 Crop Recommendations: 1- Adjust pH to 6.0 Rec Uom lb/acre Lime (Nacre) 0.3 N P205 K20 S Mn 3 Mn-Al 40 Zn Cu B Mg 0 Last Crop 19845 L06 MIN 0.9 5.5 0.6 161 42 15 25 93 93 65 2.2 73 48 12 3.4 0.1 Crop Recommendations: 1-Adjust pH to 6,0 Rec Uom lb/acre Lime (Nacre) 0.3 IV P205 K20 S Mn 3 Mn Al 40 Zn Cu B Mg 0 Last Crop 19846 L07 MIN 0.8 5.5 0.6 149 42 15 25 128 128 85 2.3 76 50 13 3.2 0.1 Crop Recommendations: 1-Adjust pH to 6.0 Rec Uom lb/acre Lime (Nacre) 0.3 N P205 K20 S Mn 3 Mn-Al 40 Zn Cu B Mg 0 Last Crop 19847 L08 MIN 0.9 5.7 0.5 136 41 17 25 83 83 80 2.2 78 51 14 3.4 0.1 Crop Recommendations: 1-Adjust pH to 6.0 Rec Uom Iblacre Lime (Nacre) 0.0 N P205 K20 S Mn 3 Mn-Al 36 Zn Cu B Mg 0 Last Crop 19848 L09 MIN 0.8 5.5 0.7 148 43 19 25 85 85 100 Z6 73 48 14 2.8 0.1 Crop Recommendations: 1-Adjust pH to 6.0 Rec Uom lb/acre Lime (Nacre) 0.3 N P205 K20 S Mn 3 Mn Al 40 Zn Cu B Mg 0 Last Crop Test result units = CEC and Na in meglf 00cm3; NO3 N in mgldm3; W/V in glcm3 North Carolina Division of Water Quality Certification #257, Analysis and fertility recommendations shown on this report are performed in accordance within NCDA guidelines, Analysis prepared by: Waypoint Analytical Virginia, Inc. Page 2 of 2 ReportNo: 20-014-1101 Account No: 08361 Advisor: Willcox 8 Mabe Soil Solutions, PLLC 7231 B. Summerfield Rd 5ummerfield NC 27358 Waypoint(D ANALYTICAL Client: Lewis 1-arms 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Farm: Date Received: 01/14/2020 Date of Report: 01/15/2020 Lab No Field 1D Sample ID Soil Class HM% INN pH Ac P-1 K 1 S4 Mn-1 Zn-1 Zn-AI Cu-1 CEC BS% Ca% Mg% ESP Na SS-1 NO3 N 119849 L10 MIN 0.9 5.7 0.5 125 43 12 25 75 75 95 2.5 82 55 15 3.0 0.1 I Crop Recommendations: 1- Adjust pH to 6.0 Rec Uom Lime (ttacre) lb/acre 0.0 N P205 K2 S Mn 3 Mn-Al Zn Cu 36 B Mg Last Crop I 0 Comment: Test result units = CEC and Na in meg/100cm3; NO3 N in mgldm3; WN in gicm3 North Carolina Division of Water Quality Certification #257. Analysis and fertility recommendations shown on this report are performed in accordance within NCDA guidelines, Analysis prepared by: Waypoint Analytical Virginia, Inc. Page 1 of 1 Report No: 20-014-1102 Account No: 08361 Advisor: Willcox & Mabe Soil Solutions, PLLC 7231 B. Summerfield Rd Summerfieid NC 27358 Waypoint(D ANALYTICAL Client: Wesley Wooten 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www,waypointanalytical.com Farm: Date Received:0111412020 Date of Report: 01/15/2020 Lab No Field 10 Sample ID Soil Class HM% WN pH Ac P-1 K-1 S-1 Mn-1 Zn4 Zn-Al Cu-1 CEC BS% Ca% Mg% ESP Na SS-1 NO3 N 19850 W01 MIN 0.8 5.6 0.6 122 45 15 31 90 90 65 2.5 75 51 13 3.0 0.1 Crop Recommendations: 1-Adjust pH to 6.0 Rec Uom lb/acre Lime (Nacre) 0.0 N P205 K20 S Mn 3 Mn Al 42 .Zn Cu B Mg 0 Last Crop 19851 W02 MIN 0.9 5.5 0.6 151 46 12 36 123 123 80 2.4 76 50 13 3.1 0.1 Crop Recommendations: 1-Adjust pH to 6.0 Rec Uom Iblacre Lime (Nacre) 0.3 N P205 K20 S Mn 3 Mn-Al 47 Zn Cu B Mg 0 Last Crop 19852 W03 MIN 0.8 5.3 0.6 207 33 10 38 78 78 200 1.9 69 45 11 3.9 0.1 Crop Recommendations: 1-Adjust pH to 6.0 Rec Uam Iblacre Lime (Nacre) 0.3 N P205 K20 S Mn 3 Mn-Al 50 Zn Cu B Mg 0 Last Crop 19854 W04 MIN 0.8 5A 0.6 203 36 15 50 85 85 175 2.1 71 48 12 3.5 0.1 Crop Recommendations: 1-Adjust pH to 6.0 Rec Uom Iblacre Lime (Nacre) 0.3 N P205 K20 S Mn 3 Mn-Al 56 Zn Cu B Mg 0 Last Crop Comment: Test result units = GEC and Na in meg1100cm3; NOj N in mgldm3; WN in g1om3 North Carolina Division of Water Quality Certification #257, Analysis and fertility recommendations shown on this report are performed in accordance within NCDA guidelines, Analysis prepared by: Waypoint Analytical Virginia, Inc.