WQ0002616_Regional Office Historical File Pre 2018

P 704.984.9634
F 704.984.9606 e�
ALBEM"ARLE..
NORTH CAROLINA
Aatew Ale Laad, 0#0,-ewmi
February 5, 2020
Greetings,
^ � Q
www.albemarlenc.gov
PO Box 190
Albemarle, NC 28002
RECEtVEDINCDENRIDWR
FEB d 5 19-020
MOORESVILLE REGIONAL OFFICE
�isch Unit
l,e�i',ting
On behalf of The City of Albemarle, Permit No. WQ0002616, please accept the attached annual
report for CY 2019.
During the CY 2019, no biosolids were produced by the source (NPDES# NC0024,244). No
biosolids were applied to the permitted land.'
If any additional information is needed regarding this, please feel free to contact Brandon W.
Plyler via email bpllylergalbemarlenc.gov or telephone [phone].
C PO r'y
,, A:,,,,, La,/
FEB 1 2020
Ir forw**A 1 ? ? C•s.;.
Sincerely,
Brandon W. Plyler
City of Albemarle
Long Creek WWTP
Treatment Plant Supervisor

. 1 '
ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0002616 County: Stanly Year: 2019
Facility Name (as shown on permit): City of Albemarle RLAP Land Application of Class B Residuals
Land Application Operator: Brandon W. Plyler Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ Yes 0 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.
Total number of application fields in thepermit:
Total number of fields utilized for land application during the year:
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. ❑ Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did'not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
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."
Michael J. Ferris, City Manager
Permittee Name and Title (type or print)
Signs re of P rmitt Date
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

Schutte, Maria
From: Schutte, Maria
Sent: Monday, February 26, 2018 2:23 PM
To: [e-mail]'
Cc: '[e-mail]'
Subject: WQ0002616 Albemarle WWTP Residuals 2017 Annual Report
Mr. Leonas,
This email will serve as the Acknowledgement of Receipt for the referenced annual report. The report, received in the
Mooresville Regional Office on February 26th, 2018, indicates there was no land application activity conducted under this permit
in 2017.
Sincerely,
Maria
Maria Schutte
Environmental Specialist
Water Quality Regional Operations Section
Division of Water Resources
North Carolina Department of Environmental Quality
704 663 1699 office
704 235 2184 direct
Maria. schutte(o),ncdenr.gov
610 East Center Avenue
Suite 301
Mooresville, NC 28115
- Nothing Compares —,—,-
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may he disclosed to third parties.

f ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0002616 County: Stanly Year: \ 2017
Facility Name (as shown on permit): Albemarle Residuals Land Application Program Land Application of Class E
Land Application Operator: Brandon W. Plyler Phone: RE%4E984Q963.43/DWR
Land application of residuals as allowed by the permit occurred during the past calendar year?=I8 2 6 101
❑ Yes R1 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 handeR�svIWQRos
�� �LL
Part A -Residuals Application Summary: LLGr: IONAL OFFICE
Total number of application fields in thepermit:
3
Total number of fields utilized for land application during the year:
I LU A0
Total amount of dry tons applied during the year for all application sites:
D�JVR aECT10\!
Total number of acres utilizes for land application during the year:
IPkLIW,,11
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. ❑ Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T A 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
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."
Michael L. Leonas
Permittee Name and Title (type or, print) Sign ure of Pennittee Date
Signature of Preparer* Date
(if different from Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T
Signature of Land Applier
Date
(if different fiom Permittee and Preparer)
.1102(26) DENR FORM ACF (12/2006)

P 1 704.984.9634
F 1 704.984.9606
ALBEMARLE
NORTH CAROLINA
hlaiew 41,- Laud �ppowta�tit�
www.albemarlenc.gov
PO Box 190
Albemarle, NC 28002
To whom it may concern:
100% of all biosolids produced during 2017 from The City of Albemarle Long Creek Wastewater
Treatment Plant (NPDES # NC0024244) were hauled to The Water and Sewer Authority of Cabarrus
County Rocky River Regional Wastewater Plant for dewatering and incineration.
If you need any additional information regarding this feel free to call 704-984-9634 or email
bplylerkalbemarlenc. gov
Thank you,

7
Schutte, Maria
From: Schutte, Maria
Sent: Monday, April 17, 2017 9.:25 AM
To: 'Leonas, Michael L.'
Cc: '[e-mail]'
Subject: RE: Land Application Report Long Creek WWTP WQ0002616
Mike,
Thank You very much! And, I would likemyresponse to serve as the Acknowledgement of Receipt here in the
Mooresville Office. I have,no-further questions on this 2016 Annual Report.
Have a Great Day!
Maria
From: Leonas, Michael L. [ma ilto:[e-mail]]
Sent: Friday, April 14, 2017 1:19 PM
To: Schutte, Maria <[e-mail]>
Cc: Ferris, Michael <[e-mail]>; Plyler, Brandon W <[e-mail]>
Subject: Land Application Report - Long Creek WWTP WQ0002616
Good Morning Maria,
Please find attached a copy of the Annual Report for the referenced Land Application System. As you are aware, Long
Creek did not apply any biosolids during the previous year.
The City sent the information under the same letter of transmittal which included the Tuckertown facility. I guess we will
need to send it under separate cover next year. My apologies for the oversight on needing three copies.....
Please feel free -to contact me if you need any additionalinformationor have any questions:
Thanks
Mike
www.albemarlenc.gov
1

Date: February 27, 2017 9w a E
ALBEMARLE
Letter of Transmittal NORTH CAROLINA
A&I- Al, Carw
To:
NC Department of Environmental Quality
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699
ATN: Information Processing Unit
Enclosed please find the following:
From:
Michael Leonas
Albemarle Public Utilities Department
PO Box 190
Albemarle, NC 28002-190
704.984.9605
mleonas(Dalbemarlenc.eov
• One - Annual Report for Land Application System - Tuckertown WTP (WQ0000759)
One - Annual Report for Land Application System - Long Creek WWTP (WQ0002616)
Please advise if there is any additional information needed or if there are any questions concerning the
i
enclosed information.
1
Thank You
I
j Mike Leonas
lf��C�IVEorNCOENRrDW�
WORos
i
MOOREsVILLS REGIONAL OFFICE

. ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0002616 County: Stanly Year: . 2016
Facility Name (as shown on permit): City of Albemarle Residuals Land Application Program (503)
Land Application Operator: - City of Albemarle Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ Yes El 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 Summa
Total number of application fields in thepermit:
Total number of fields utilized for land application during the year:
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. ❑ Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
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. 1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T . I I I I were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
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
poss/ibbiility of fines and imprisonment for knowing violations."
of
ul Tvii£[s
Permittee Name and Title (type or print) Signature o ermittee Date
1441 �1
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

P 1704.984.9634
F 704.984.9606
ALBEMARLE
NORTH CAROL.INA
�t/tew i� lad 0??a eaveg
Public Utilities Department
To whom it may concern:
www.albernarlenc.gov
PO Box 190
144 North Second Street
Albemarle, NC 28002-0190
No residuals were applied to the land permitted for The City of Albemarle of Albemarle
Residuals Land Application Program (503) permit # WQ0002616. All residuals generated at The City of
Albemarle Long Creek Wastewater Treatment Plant NPDES # NCO024244 were hauled to The Rocky
River Regional Wastewater Treatment Plant (WASACC) for dewatering and incineration.
If you need any additional information feel free to ask by calling.704-984-9634 or emailing
bpl [e-mail]
Thank you,
Brandon W. Plyler
City of Albemarle
Long Creek W WTP
Treatment PIant Supervisor

ZIj
P 704.984.9634 �'� r
F 704.984.9606
ALUB E M A R L E
NORTH CAROLINA
fr/tev- A.- Laird 0powta��t�
6(DS—(�-11" 'V`
www.albemarlenc.gov
PO Box 190
Albemarle, NC 28002
Enclosed please find the Annual Land Application form for the City of Albemarle Long Creek
Wastewater Treatment Plant nondischarge permit number WQ0002616 for the 2015 calendar year.
During the 2015 calendar 100% of the biosolids generated at the City of Albemarle's Long Creek
Wastewater Treatment Plant were transported to the Water and Sewer Authority of Cabarrus County's
Rocky River Regional Wastewater Plant for dewatering and incineration. No biosolids were land applied.
If you need any additional information regarding the 2015 Land Application Annual Report feel
free to contact me at 704-984-9634
Sincerely,
Brandon Plyler
ORC/Plant Supervisor
City of Albemarle
L+
RECEIVED/NC DEN ROW-
FEB 9
wQROS
MOORESVILLE REGIONAL
FED ®,4 2016
P=crinIv
"I`oI>t7aior�
I�I
CCcSSING UNIT

AININ UAl. LA1NL AFFLIUA IUN C UUTiFICAT1ON FORM
x�
`—WQ Permit#: WQ0002616 County:
Facility Name (as shown on permit):
Land Application Operator:
Stanly
Year: 2015
City of Albemarle Land Application of Class B Residuals
Brandon Plyler Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ 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 Annlication Summarv-
Total number of
Total number of fields utilized for land
Total amount of dry tons applied during the
:ion fields in the permit:
lication during the year:
for all application sites:
Total number of acres utilizes for land application during the year: 1 0
Part B - Annual Compiance Statement:
Facility was compliant during calendar year -) ®15- with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. 21 Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T. I I 11 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
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."
Permittee Name and Title (type or print) Signature of Nrmittee Date
4" �/ - A6, / _13 - /4 1y/4
Signature of Preparer*
Date
Signature of Land Applier
Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

I/ 1
F
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
March 4, 2015
Mr. Michael L. Leonas, Director of Public Utilities
City of Albemarle
P.O. Box 190
Albemarle, North Carolina 28002-0190
Dear Mr. Leonas:
Donald van der Vaart
Secretary
Subject: Acknowledgement of Receipt of the 2014 Annual Report
City of Albemarle — Permit No.: WQ0002616
Land Application of Residuals
Stanly County
The Mooresville Regional Office received and reviewed the 2014 Annual Report for the
above permit. The form submitted indicates there was no land application activity during 2014.
Please contact me at [phone], should you have any questions or concerns about this
permit
Sincerely,
j,
Maria Schutte, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
CC: Brandon Plyler, City of Albemarle, Waste Water Treatment Plant Supervisor (Email)
Ed Hardee, LAU Compliance, CO -Raleigh (Email)
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone] / Fax: [phone]/Customer Service 1-877-623-6748
Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

r ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0002616 County: Stanly Year: 2014
Facility Name (as shown on permit): City of Albemarle Long. Creeek Wastewater Treatment Plant
Land Application Operator: Phone: 704-984" 0,6S4-'D
ALI�Y � ��c � �..!
Land application of residuals as allowed by the permit occurred during the past calendar year? I�I!/iSli)il K!�' ts�ra,�
Yes ff No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were J01 2 6 2015
generated but not land applied, please attach an explanation on how the residuals were handled`. cVVP SECTION
Part A - Residuals Application Summary: MOORESVILLE REGIONAL OFFICE
Total number of application fields in the permit:
Total number of fields utilized for land application during the year:
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. ® Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T A 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 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."
Michael L. Leonas, Director of Public Utilities
Permittee Name and Title (type or print)
r
Signature of Permittee Date
N/A
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and .Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

Of ce of
Public Utilities
Plants Division
[phone]
NCDENR-DWQ
Non -Discharge Permitting Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
RE: City of Albemarle
City of Albemarle
North Carolina
January 20, 2015
Long Creek Waste Water Treatment Plant (LCWWTP)
Land App Permit #WQ0002616
Annual Certification Form
Mailing Address
P. O. Box 190
Albemarle, N. C.
28002-0190
Enclosed please find the Annual Land Application Certification Form for the Long Creek
Wastewater Treatment Plant indicating no land application of residuals occurred during 2014.
The centrifuge at LCWWTP operated from January through March, 2014 and all dewatered solids
were transported to the City of Albemarle Landfill. After March, 2014, transportation of all bio-
solids from LCWWTP to Rock River resumed.
The City will continue the transportation of bio-solids from LCWWTP to Rocky River for
incineration until a better solution can be found.
If you have any questions, please contact me at 704-984-9634.
Sincerely,
Brandon W. Plyler
ORC, LCWWTP
Cc: Ed Hardee, NCDENR

/7
®EHR FILE
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A. Reeder John Skvarla
Governor Director Secretary
February 28, 2014
Mr. Raymond I. Allen, City Manager
City of Albemarle
P.O. Box 190
Albemarle, North Carolina 28002-0190
Subject: Acknowledgement of Receipt of the 2013 Annual Report
City of Albemarle WWTP - Permit No.: WQ0002616
Land Application of Residuals
Stanly County
Dear Mr. Allen:
The Mooresville Regional Office (MRO) received and reviewed the 2013 Annual Report
(AR) for the above permit. The form submitted indicates there was no land application activity
during 2013. The MRO plans to conduct an on -site facility inspection within the calendar year;
however, if you have any immediate concerns or questions, please contact me at [phone].
Sincerely,
��' cL,#—
Maria Schutte
Environmental Specialist
CC: Brandon Plyler, City of Albemarle, Waste Water Treatment Plant Supervisor (email)
Chonticha McDaniel, Residuals Management, CO-LAU (email)
Division of Water Resources / Water Quality Regional Operations Section / Mooresville Regional Office �n0
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115 TAT®�'thC'a�'®I11�S
Phone:: www.ncwater.org
1 Fax: [phone] Customer Service: 1-877-623 6748
Internet: www.ncwater.org [�6
An Equal Opportunity 1 Affirmative Action Employer

.�, ANNUAL LAND APPLICATION CERTIFICATION FORM
NQ Permit#: W Q 0 0 0 2 616 County: S t a n l y Year: 2 013
Facility Name (as shown on permit): City of Albemarle Long Creek Wastewater Treatment Plan
Land,Application Operator: Phone:;,,7.Q..4,,..e9,$ 4...,9 6.3.4.
Land application of residuals as allowed by the permit occurred during the past calendar year?
Yes [3K No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals wow ,
generated but not land applied, please attach an explanation on how the residuals were handled E" ` I
L HFEB- 5 2014. t
Part A - Residuals Anulication Summary:'
Total number of application fi
Total number of fields utilized for land application during the year.
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:
elds in the permit:
u �r err i P • �_ili -. -'i ]i'.Ca.iC'fl
Part B - Annual Comaiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. Yes No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached. .
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the P(&tant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). R
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to LeCFRtPart�-
503 regulated facilities). LU N ca)
8) All monitoring and reporting requirements in 15A NCAC 02T .I I I I were complied with (applicable to 40QFR 't C3
503 regulated facilities). t.t.g z .2B
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviati�q pn`o¢ �
authorization was received from the Division of Water Quality. tV C"
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/ I i
Raymond I. Allen, City Manager
Permittee Name and Title (type or print)
lam /
!7-/
of Permittee
1162911
Date
Signature of Preparer* , Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and .Preparer) .
* Preparer is defined in 40 CFR Part 503.9 (r)and 15A NCAC 02T. 1102 (26) DENR FORM ACF (12/2006)
elds in the permit:
u �r err i P • �_ili -. -'i ]i'.Ca.iC'fl
Part B - Annual Comaiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. Yes No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached. .
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the P(&tant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). R
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to LeCFRtPart�-
503 regulated facilities). LU N ca)
8) All monitoring and reporting requirements in 15A NCAC 02T .I I I I were complied with (applicable to 40QFR 't C3
503 regulated facilities). t.t.g z .2B
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviati�q pn`o¢ �
authorization was received from the Division of Water Quality. tV C"
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/ I i
Raymond I. Allen, City Manager
Permittee Name and Title (type or print)
lam /
!7-/
of Permittee
1162911
Date
Signature of Preparer* , Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and .Preparer) .
* Preparer is defined in 40 CFR Part 503.9 (r)and 15A NCAC 02T. 1102 (26) DENR FORM ACF (12/2006)

i „
�►�' ' �.

Office of
Public Utilities
Plants Division
[phone]
NCDENR-DWQ
Non -Discharge Permitting Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
RE: City of Albemarle
City of Albemarle
North Carolina
January 17, 2014
Long Creek Waste Water Treatment Plant (LCWWTP)
Land App Permit #WQ0002616
Annual Certification Form
Mailing Address
P. O. Box 190
Albemarle, N. C.
28002-0190
Enclosed please find the Annual Land Application Certification Form for the Long Creek
Wastewater Treatment Plant indicating no land application of residuals occurred during 2013.
Until September 2013, all bio-solids produced at Long Creek Wastewater Treatment Plant were
transported to the Water and Sewer Authority of Cabarrus County's Rocky River Regional
Wastewater Treatment Plant for incineration. In September 2013, the centrifuge at LCWWTP was
placed back in operation and a portion of the bio-solids are now dewatered on site and transported
to the City of Albemarle's Solid Waste Facility.
In 2013, a bio-solids management study was completed by Municipal Engineering and the results
are currently being reviewed by City of Albemarle staff.
The City will continue the transportation of bio-solids from LCWWTP to Rocky River for
incineration and continue to operate the centrifuge until a better solution can be found.
If you have any questions, please contact me at 704-984-9634.
Sincerely,
Brandon W. Plyler
ORC, LCWWTP JAB 2 2014
dater
Cc: Ed Hardee, NCDENR Sec
percc►���n9 on

1
aQ NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor .
Ellen Huntley
City of Albemarle
Post Office Box 190
Albemarle, NC 28002
Division of Water Quality
Charles Wakild, P. E.
Director
May 16, 2013
Subject: NOTICE OF DEFICIENCY (NOD-2013-PC-0185)
.FAILURE TO SUBMIT ANNUAL REPORT
Permit No. WQ0002616
City of Albemarle Residuals Land Application Program
-Stanly County
Dear Ms. Huntley:
John E. Skvarla, III
9, M AY 2 0 2013
NCDE;'P,t:'L\i
I ®i:'' D -
This Notice of Deficiency is being sent to you for failure to submit the 2012 annual report. One
of the requirements of your non -discharge permit is the submittal of an annual report to the
Division of Water Quality by March 1st of each year. As of this date, our records indicate that the
2012 annual report has not been submitted for the subject facility.
Failure to act in accordance with the terms, conditions, or requirements of your permit may result
in a recommendation of enforcement action, in accordance with North Carolina General Statute
§ 143-215.6A.
Please respond to this Notice of Deficiency within 15 calendar days of its receipt, either by
submitting three copies of the annual report or records. indicating'ihe report was submitted.
Submit to:
Ed Hardee
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]FAX: [phone]
Internet: www.ncwaterouality.org
An Equal Opportunity 1 Affirmative Action Employer
NofthCarohna
NaAfrd71iff
- a

Nothing in this letter should be taken as relieving from you the responsibility for failing to
submit the annual report in a timely manner. A decision as to the appropriateness of an
enforcement action will be made following the receipt of your response.
If you have any questions regarding this letter, please contact Ed Hardee of our Central Office
staff at [phone].
Sincerely,
Jon Risgaard, Supervisor
Land Application Unit
cc Moor" Rlle RegronalOW-,e SPA
Permit Files WQ0002616

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0002616 County:
Facility Name (as shown on permit):
Stanly
Year: 2012
Creek Wastewater Treatment Plant
d Application Operator: Phone:
_
ILd application of residuals as allowed by the permit occurred during the past calendar year?
❑ 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.
I Total number of application fields in the permit: I I
Total number of fields utilized for land application during the year:
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. ® Yes [] No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 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 receinV9sidualsF- as ----
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters liar:o"ccurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals: P,I al 3 0 2013
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."
Permittee Name and Title (type or print) Signature of Permittee Date
.� �, Il, w � ��, ��,�,��� ,.� Sal• J3
Si n�kure o afar' AX " Date Signature of Land Applier Date
(if diffetentJV Permittee) (if different from Permittee and Preparer)
* Prepar is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DEN FORM ACF (12/2006)

't�v yk
AIP
�sret
Office of
Public Utilities City of Albemarle
Plants Division
[phone] North Carolina
May 23, 2013
Mr. Ed Hardee
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC, 27699
RE: Response to letter on NOD-2013-PC-0185
,Failure to Submit Annual Report
s
Permit No. WQ0002616
City of Albemarle Residuals Land Application Program
Stanly County
Dear Mr. Hardee:
Mailing Address
P. 0. Box 190
Albemarle, N. C.
28002-0190
RDC&EDIDENRI ft
IWAY28?,013
The City of Albemarle did not submit the Annual Land Application Certification Form due to the
fact thatthe City of Albemarle. did not land apply during 2012. During 2012, all bio-solids from
Long Creek Wastewater Treatment Plant (LCWWTP) were transported to the Water and Sewer
Authority of Cabarrus County's Rocky River Regional Wastewater Treatment Plant for
incineration. The City will continue the transportation of bio-solids from LCWWTP to Rocky
River for disposal until a better solution can be found.
Enclosed please find the Annual Land Application Certification Form indicating no land
application occurred at the LCWWTP facility during 2012. 1
If you have any questions, please contact me at 704-984-9630.
Sincerely,
4641 W.
Holly L. Overcash
City" of Albemarle
Superintendent; of Plants Division .

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
June 5, 2012,
CERTIFIED MAIL # 70081300 00001106 5598
RETURN RECEIPT REQUESTED
Raymond Allen
City of Albemarle
Post Office Box 190
Albemarle, NC 28002
Subject: NOTICE OF DEFICIENCY (NOD-2012-PC-0060)
FAILURE TO SUBMIT ANNUAL REPORT
Permit No. WQ0002616
City of Albemarle Residuals Land Application Program
Stanly County
Dear Mr. Allen:
z�
i' u L_"
l
R. IV K")
. -VVQ...'4C-iAt` I_ l Ic?L7. ticlli_ _.
This Notice of Deficiency is being sent to you for failure to submit the 2011 annual report. One
of the requirements of your non -discharge permit is the submittal of an annual report to the
Division of Water Quality by March 1st of each year. As of this date, our records indicate that.the
2011 annual report has not been submitted for the subject facility.
Failure to act in accordance with the terms, conditions, or requirements of your permit may result
in a recommendation of enforcement action, in accordance with North Carolina General Statute
§ 143-215.6A.
Please respond to this Notice of Deficiency within 15 calendar days of its receipt, either by
submitting three copies of the annual report or records, indicating the report was submitted.
Submit to:
Ed Hardee
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina'27699-1636
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet www.ncwatergualitv.om
An Equal Opportunity 1 Affirmative Action Employer
..one :::::::.......
NorthCarolina
�aturq!!

Nothing in this letter should be taken as relieving from you the responsibility for failing to
submit the annual report in a timely manner. A decision as to the appropriateness of an
enforcement action will be made following the receipt of your response.
If you have.any questions regarding this letter, please contact Ed Hardee of our Central Office
staff at (919) -807-6319.
Sincerely,
r
Jon Risgaard, Supervisor
Land Application Unit
cc: VNroregis�nal[�fC A
Permit Files WQ0002616

.—I• I---ILc .a 11V1\ <.L`1\ l AX, 11JL111V1\ 1%VPxxavx
WQ Permit#: WQ0002616
County:
Facility Name (as shown on permit):
Stanly Year: 2011
Long Creek Wastewater Treatment Plant
Land Application Operator: Phone: =— .
LgAnd application of residuals as allowed by the permit occurred during the past calendar
Yes ff No - If No, skip Part A, and Part B and proceed to Part C. Also, If resid
generated but not land applied, please attach an explanation on how the residuals were It.
Part A Residuals Application Summary:
Total number of application fields in the permit:
Total number of fields utilized for land application during the year:
-- - --_—
Total amount of dry tons applied during the year for all application sites:
�� `� 1- A;--°,:
Total number of acres utilizes for land application during the year:
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. Yes Q No
-If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 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."
� �.►.-.�N �v, c��R, o � -�3-12
Permittee Name and Title (type o 'nt)�I.$.Lc-s��,jLSignature ofPermittee Date
Signature ZPm
arer* Date Signature of Land Applier Date
(if differe t Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

k�°ryy�i.
Office of
Public Utilities
Plants Division
[phone]
Mr. Ed Hardee
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC, 27699
City of Albemarle
North Carolina
June 12, 2012
RE: Response to letter on NOD-2012-PC-0060
Failure to Submit Annual Report
Permit No. WQ0002616
City of Albemarle Residuals Land Application Program
Stanly County
Dear Mr. Hardee:
Mailing Address
P. O. Box 190
Albemarle, N. C.
28002-0190
"Jar PfOtOdabn section
The City of Albemarle did not submit the Annual Land Application Certification Form due to the
fact that the City of Albemarle did not land apply during 2011. During 2011, all bio-solids from
Long Creek Wastewater Treatment Plant (LCWWTP) were transported to the Water and Sewer
Authority of Cabarrus County's Rocky River Regional Wastewater Treatment Plant for
incineration.' The City will continue the transportation of bio-solids from LCWWTP to Rocky
River for disposal until a better solution can be found.
Enclosed please find the Annual Land Application Certification Form indicating no land
application occurred at the LCWWTP facility during 2011.
If you have any questions, please contact me at 704-984-9630.
Sincerely,
Holly L. Overcash
City of Albemarle
Superintendent of Plants Division

Page 1 of 1
Rogers, Brian
From: hazel, wnod Philip;_
Sent: Monday, March 24, 2008 10:47 AM
To: Rogers,. Brian
Cc: rs,_E nie-
Subject: Fecal Possible Violation for February
Brain,
We have a possible violation on Fecal for the week of February 25, 2008. If the numbers I received on fecal
for the month of February are correct. If they are correct then this problem needs to be solved. We can not have
permit violations. — -
The situation needs to be corrected. Was�th'efilterbypass open n fecal samples where grabbed during this
week in question? The flow ranged from 6.14 mgd to 9.49 mgd that week. This could have been prevented.
This will not happen again or someone will have to answer for this problem.
Philip Hazelwood
Water & Wastewater Superintendent
City of Albemarle
Phone: [phone]
Fax: [phone]
Email: phazelwood ci.al,bemarle.nc..us
4AJ A ts6--�!(f
4/11/2008 `

North Carolina
Philip Hazelwood
Water & Sewer Plants Superintendent
Phone: [phone]
Fax: [phone]
Email: [e-mail]
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: 2008 Land Application Report
To whom it may Concern:
Public Utilities Department
P. O. Box 190
Albemarle, NC 28002-0190
www.ci.albemarle.nc.us
Enclosed is The City of Albemarle's Long Creek WWTP, nphcation~�rz�""uai
Report. The City's Land Application Program is out of compliance for sampling for the 2008
year. I have relied on the people that were here running the land application program, the in
house lab, chief operator and land appliers to make sure all the sampling and testing was done.
I have learned that sampling was not done on a quarterly basis in 2008 on the Biosoilds,
as required. I have shut down our lab. I am sending all samples to an out side lab that has a
guaranteed 10 day turn a round on all samples. I am in the process of hiring an assistant to help
to ensure that everything gets completed. All personal had access to the requirements so they
had no excuses for not getting the sampling done.
I have included copies of all tests that were done from the lab TCLP, fecal, solids
analysis, SOUR. The SOUR should not have been run per the instructions I have found on the
states web site since then, but since it was all ready run, I included it with all the paper work.
If you have any questions feel free to contact me at [phone]. Any comments you may
have are welcome. _ - --
Sincerely,
Philip azelwood
Water & Sewer Plants Superintendent
Enclosure
ail ���°� ptOGessic�9 unit
1nf°�`atp�� 01goG

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0002616 County: Stanly Year:
Facility Name (as shown on permit): City of Albemarle
2008
Land Application Operator: Philip Hazelwood Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
® 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 the permit:
6
Total number of fields utilized for land application during the year:
6
Total amount of dry tons applied during the year for all application sites:
385.08
Total number of acres utilizes for land application during the year:
188.16
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2008 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. ❑ Yes 0 No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 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 runotf 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 aitl
"I certify, under penalty of law, that the above information is, to the best of my kn l�dg� LaUief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information inclgi g the
Information processing ni
DWQIBOG
rnuip ttazemooa water tts Newer Plants Jupertntenaent
Signatui�50Preparer*' /Date' Signature of Land Applier mate
(if different from Permittee) (if different from Permittee and Preparer)
T iulimui ro ucuucu in VTI%- 1-air J3j.7 ki I aiiu 1-�� .1 1vy. ��v DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0002616
Facility Name: City of Ablemarle
Residual Source WQ # or NCO024244
NPDES #:
WWTP Name: Long Creek WWTP
Laboratory: 1)
2)
3)
4)
5)
Tritest Inc.
Pace, Analytical
Parameter
(mpg)
Ceiling
Cone.
Limit
Sample or Composite Date
3/3/08
3/3/08
3/3/08
3/3/08
3/3/08
3/3/08
3/3/08
3/3/08
3/3/08
3/3/08
3/3/08
3/3/08
Percent Solids (%)
NA
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
Arsenic
75
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
Cadmium
85
1.93
,,.1:93`-
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
Copper
4,300
3920
20
3920
3920
3920
3920
3920
3920
3920
3920
3920
3920
Chromium
NA
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
Lead
840
/4:6 2�
, 46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
n s Mercury
57
1.35
1 1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
135
Molybdenum
75
�7-.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
Nickel
420
25
25
25
25
25
25
25
25
25
25
25
25
Selenium
100
5.78
5,,7�L
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
Zinc
7,500
1180
(r1180
�l180
1180
1180
1180
1180
1180
1180
1180
1180
1180
Total Phosphorus
NA
TKN
NA
Ammonia -Nitrogen
NA
Nitrate and Nitrite
NA
"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 informatio cluding the possibility of fines and imprisonment for knowing violations."
J le:2,9-
Signature of arer * ate
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (12/2006)

ANNUAL, METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
of Albemarle Total Dry Tons Applied (Annual): 21.48
WQ0002616
Philip Hazelwood Owner:
21.7 Acres Permitted:
Cation Exchange Capacity (non 503 only):
188.16
Site #:
Predominant Soil Series:
1 Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1 J
3/3/08
_2j
3/3/08
3
3/3/08
4
3/3/08
5
3/3/08
6 j
3/3/08
7j
3/3/08
8
3/3/08
9
3/3/08
10
3/3/08
11
3/3/08
12
3/3/08
% Solids
3.76
3.76
3.76 1
3.76
3.76
3.76
3.76
3.76
1 3.76
3.76
3.76
1 3.76
Arsenic 1
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
Cadmium
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
Copper
-3920
3920
3920
3920
3920
3920
3920
3920
3920
3920
3920
3920
Chromium
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
Lead
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
Mercury
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
Molyb-
denum
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
Nickel
25
25
25
25
25
1 25
25
25
25
25
25
25
Selenium
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
5.78
Zinc
1180
1180
1180
1180
1180
1180
1180
1180
1180
1180
1180
1180
Total
Phos-
phorus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
2j
3
4j
5 j61
7
8
9
10
11
12
DT/Ac./
_IJ
APP-
14
Event
0.66
0.33
Arsenic
0.000
0.000
0.000
0.000
0.000
0.008
0.000
0.000
0.000
0.000
0.004
0.000
0.011
Cadmium
0.000
0.000
0.000
0.000
0.000
0.003
0.000
0.000
0.000
0.000
0.001
0.000
0.004
Copper
0.000
0.000
0.000
0.000
0.000
5.174
0.000
0.000
0.000
0.000
2.587
0.000
7.762
Chromium
0.000
0.000
0.000
0.000
0.000
1.373
0.000
0.000
0.000
0.000
0.686
0.000
2.059
Lead
0.000
0.000
0.000
0.000
0.000
0.061
0.000
0.000
0.000
0.000
0.030
0.000
0.091
Mercury
0.000
1 0.000
0.000
0.000
0.000
0.002
0.000
0.000
0.000
0.000
1 0.001
0.000
0.003
Molybdenurn
0.000
0.000
0.000
0.000
0.000
0.010
0.000
0.000
0.000
0.005
0.000
0.015
enum
.0.000
Nickel
0.000
0.000
0.000
0.000
0.000
0.033
0.000
0.000
0.000
0.000
0.017
0.000
0.050
Selenium
0.000
0.000
0.000
0.000
0.000
0.008
0.000
0.000
0.000
0.000
0.004
0.000
0.011
Zinc
0.000
0.000
0.000
0.000
0.000
1.558
0.000
0.000
0.000
0.000
0.779
0.000
2.336
Total
Phos-
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
horus
"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 wing violations".
Sienatu a DDlier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Long Creek WWTP
Land Owner: City of Albemarle
Operator: Philip Hazelwood
Crop 1 Name:
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0002616 Field #: I
Annual Dry Tons Applied: 67.7341 Site #: 1
Predominant Soil Series:
Crop 1 Max. PAN:
Acres Utilized: 21.7
Acres Permitted: 188.16
Cation Exchange Capacity (non 503):
Crop 2 Name: Crop 2 Max. PAN:
0 .�
O +5
y r~
Q
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet'
Moist)
Precip.
Past 24
Hrs.
inches
a
� 'd
cc b
F•
a a
o
w �'
o
o'
x �
w .,
w
* w'
* ='
TKN
mg/kg
Z ��
i~•
o
ao o
R.
mglkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
Jan-07
3.76
0.000
WWTP
S
0.5
0.3
1
0.000
NA
Fescue
Feb-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Mar-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Apr-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
May-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jun-07
288000
3.76
2.081
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jul-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Aug-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Sep-07
3.76
1 0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Oct-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Nov-07
144000
3.76
1.040
WWTP
S
0.5
0.3
0.000
NA
Fescue
Dec-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
0.0o0
0.0oo
Lime Applied
Annuallbs/acre
0.011
0.004
7.762
2.059
0.091
0.003
0.015
0.050
0.011
2.336
0.000
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.839
1.406
462.689
214.978
10.537
0.09
0.907
6.033
0.938
157.937
Current Cumulative lbs/ac
0.850
1.410
470.451
217.037
10.628
0.093
0.922
6.083
0.949
160.273
Permitted C. P. L. R.****
1 36
34
1 1338
2677
267
15
n/a
374
89
2498
Permit PAN Limit I st/2nd Crop
250
"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 �n#imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
of Land 1� Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006'

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual R por-t�
Facility Name: City of Albemarle Total Dry Tons Applied (Annual): 73.31
Permit #: WQ0002616 Cation Exchange Capacity (non 503 only):
Operator: Philip Hazelwood Owner: City of Albemarle Predominant Soil Series:
Acres Used: 13.28 Acres Permitted: 188.16 Site #: 2 Field #: �-2---"
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
LIJ
3/3//08
2
3/3//08
_3j
3/3//08
4
3/3//08
5
3/3//08
6
3/3//08
7
3/3//08
8
3/3//08
9
3/3//08
10
3/3//08
11
3/3//08
12
3/3//08
% Solids
' 3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76 1
3.76
3.76
Arsenic
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
' 5.76
5.76
Cadmium
1.93
1.93
1.93
1.93
1.93
1.93
-1.93-:_
�, 1,.93
1.93
1.93
1.93
1.93
Copper
3290
3290
3290
3290
3290
3296.....
3290-
-�290
3290
3290
3290
3290
Chromium
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
Lead
46.2
46.2
46.2
46.2
1 46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
Mercury
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
Molyb-
denum
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
Nickel
25
25
25
25
25
25
25
25
25
25
25
25
Selenium
5.76
5.76
5.76
5.76
5.76
5.76
,,5:
76
5.76
5.76
5.76
5.76
Zinc
11.8
11.8
11.8
11.8
11.8
11.8
11.8
JA.8
11.8
11.8
11.8
11.8
Total
Phos-
horus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
_2j
3
4
5
6
71
8
_9j
10
1111
12
DT/Ac./
App•
m
Event
2.64
1.04
1.84
Arsenic
0.000 1
0.000
0.000
0.000
0.030
0.000
0.000 1
0.012
0.02
0.000
0.000
0.000
0.06
Cadmium
0.000
0.000
0.000
0.000
0.010
0.000
0.000
0.604
0.01
0.000
0.000
0.000
0.02
Copper
0.000
0.000
0.000
0.000
17.371
0.000
0.000
6.843
12.11
0.000
0.000
0.000
36.32
Chromium
0.000
0.000
0.000
0.000
5.491
0.000
0.000
2.163
3.83
0.000
0.000
0.000
11.48
Lead
0.000
0.000
0.000
0.000
0.244
0.000
0.000
0.096
0.17
0.000
1 0.000
0.000
0.51
Mercury
0.000
0.000
0.000
0.000
0.007
0.000
0.000
0.003
1 0.00
0.000
1 0.000
0.000
0.01
Molyb-
0.000
0.000
6.000
0.000
0.041
0.000
0.000
0.016
0.03
0.000
0.000
0.000
0.09
denum
Nickel
0.000
0.000
0.000
0.000
0.132
0.000
0.000
0.052
0.09
0.000
6.000
0.000
0.28
Selenium
0.000
0.000
0.000
0.000
0.030
0.000
0.000
0.012
0.02
0.000
0.000
0.000
0.06
Zinc
0.000
0.000
0.000
0.000
0.062
0.000
0.000
0.025
0.04
0.000
0.000
0.000
0.13
Total
Phos-
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.00
0.000
0.000
0.000
0.00
horus
"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".
Signature' and Applier ate
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Long Creek WWTP
Land Owner: City of Albemarle
Operator: Philip Hazelwood
WO Permit #: WQ0002616 Field #: 2 Acres Utilized: 13.28
Annual Dry Tons Applied: 73.3787 Site #: 2 Acres Permitted:
Predominant Soil Series: Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN:
Crop 2 Name:
Crop 2 Max. PAN:
188.16
1.
Volume applied
Volume
Residual Sources
Conld
Precip.
-b c
F.
r
Nitrate
PAN Applied
Name of Crop Type
(enter one) Solids/
%
Applied per
(NPDES #, WQ#
Past 24
co '
?;
TKN
o o
and _
(lbs/acre)
Receiving Residual
Liquid
Solids
Acre
Fert., Animal
(Dry'
Wet
ems•
p R.
Nitrite
Application
Crop 1
Crop 2
Crop 1
Crop 2
A
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Moist)
inches
* r3
#
a
mg/kg
mglkg
mg/kg
Jan-07
3.76
0.000
WWTP
S
0.5
0.3 1
1
0.000
NA
Fescue
Feb-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Mar-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Apr-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
May-07
224000
3.76
2.645
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jun-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jul-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Aug-07
88000
3.76
1.039
WWTP
S
0.5
0.3
0.000
NA
Fescue
Sep-07
156000
3.76
1.842
WWTP
S
0.5
0.3
0.000
NA
Fescue
Oct-07
I 3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Nov-07
1
3.76
0.000
WWTP
S
0.5
1 0.3
0.000
NA
Fescue
Dec-07
3.76
0.000
WWTP
S
0.5
1 0.3
0.000
NA
Fescue
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
TOTALS:
0
46s000
, ._ , :
As
Cd Cu Cr Pb
H Mo Ni Se
Zn P
0.000
0.000
Lime Applied
Annuallbs/acre
0.064
0.021
:36.322
11.482
0.510
0.015
0.085
0.276
0.064
0.130 0.000
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.761
0.756
342.945
153.051
7.946
0.103
1.51
4.387
0.525
122.26 '
122.390
2498
Current Cumulative lbs/ac
0.825
0.777
379.267
164.533
8.456
0.118
1.595 .
4.663
0.589
Permitted C. P. L. R.****
36
34
1338
2677 267 15 n/a
374 89
Permit PAN Limit lst/2nd Crop
T777,7T
250
"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 evalua the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines a9d i3tiprisonment for knowing violations."
e*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of an plier Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Albemarle Total Dry Tons Applied (Annual):
Permit #: WQ0002616 Cation Exchange Capacity (non 503 only):
Operator: Philip Hazelwood Owner: City of Albemarle Predominant Soil Series:
Acres Used: 18.74 Acres Permitted: 188.16 Site #: 2 Field 9:
33.22
3
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, %Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
3/3//08
2
3/3//08
_3j
3/3//08
4j
3/3//08
5
3/3//08
6
3/3//08
7
3/3//08
L8J
3/3//08
9j
3/3//08
101
3/3//08
IIJ
3/3//08
12
3/3//08
% Solids
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
Arsenic
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
Cadmium
1.93
1.93
1.93
1.93
1.93
1.93
-L93 _
`- .93
1.93
1.93
1.93
1.93
Copper
3290
3290
3290
3290
3290
3,290
3290-
3290
3290
3290
3290
3290
Chromium
1040
1040
1040
1040
1040
040
-ltM
1040
1040
1040
1040
1040
Lead
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
.'Mercury
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
Molyb-
denum
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
Nickel
25
25
25
25
25
25
25
25
25
25
25
25
Selenium
5.76
5.76
5.76
5.76
5.76
5.76
5J6
5.76
5.76
5.76
5.76
Zinc
11.8
11.8
11.8
11.8
11.8
11.8/1'11.8,-r`11.8
11.8
11.8
11.8
11.8
Total
Phos-
phorus
....
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
2
3
4
5
6
7
8
jj
10
11
12
_jj
DT/Ac./
App-
Event
0.47
0.60
0.70
Arsenic
0.000
0.000
0.000
0.000
0.000
0.000
0.005
0.007
0.000
0.008
0.000
0.000
0.020
Cadmium
0.000
0.000
0.000
0.000
0.000
0.000
0.002
0.002
0.000
0.003
0.000
0.000
0.007
Copper
0.000
0.000
0.000
0.000
0.000
0.000
3.079
3.961
0.000
4.624
0.000
0.000
11.665
Chromium
0.000
0.000
0.000
0.000
0.000
0.000
0.973
1.252
0.000
1.462
0.000
0.000
3.687
Lead
0.000
0.000
1 0.000
0.000
0.000
0.000
0.043
0.056
1 0.000
0.065
1 0.000
0.000
0.164
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.001
0.002
0.000
0.002
0.000
0.000
1 0.005
Molyb-
0.000
0.000
0.000
0.000
0.000
0.000
0.007
0.009
0.000
0.011
0.000
0.000
1 0.027
denum
Nickel
0.000
0.000
0.000
0.000
0.000
0.000
0.023
0.030
0.000
0.035
0.000
0.000
0.089
Selenium
0.000
0.000
0.000
0.000
0.600
0.000
0.005
0.007
0.000
0.008
0.000
0.000
0.020
Zinc
0.000
0.000
0.000
0.000
0.000
0.000
0.011
0.014
0.000
0.017
0.000
0.000
0.042
Total
Phos-
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
horus
"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
imprisonme for knowing violations".
// r
Signati, of Land Applier ate
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Long Creek WWTP
Land Owner: City of Albemarle
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0002616 Field #: 3
Annual Dry Tons Applied: 33.2399 ' Site #: 2
Operator: Philip Hazelwood Predominant Soil Series:
Crop 1 Name: Crop 1 Max. PAN:
Crop 2 Name:
Acres Utilized: 18.74
Acres Permitted: 188.16
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
w .c
15
Ca
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
( �'
Mist)
Precip.
Past 24
ems•
inches
Y
� b
c� C
�C
a
* p
o
w
w R
#
p
%e cc
i ,
Q
* �'
w
* °a
TKN
mg/kg
Z
�
o o
oo
p w•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
PP
. (lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
Jan-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Feb-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA ,
Fescue
Mar-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Apr-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
May-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jun-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jul-07
56000
3.76
0.469
WWTP
S
0.5
0.3
0.000
NA
Fescue
Aug-07
72000
3.76
0.602
WWTP
S
0.5
0.3
0.000
NA
Fescue
Sep-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Oct-07
84000
3.76
0.703
WWTP
S
0.5
0.3
0.000
NA
Fescue
Nov-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Dec-07
TOTALS:
0
212000
3.76
0.000
As
WWTP I S 0.5 0.3
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
Cd Cu Cr Pb H Mo Ni Se Zn P
0.000
0.000
NA
0.000
Fescue
Lime Applied
Annuallbs/acre
0.020
0.007
11.665
1 3.687'
0.164
0.005
0.027
0.089
0.020
0.042
0.000
250
_?
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.063
0.591
280.45
106.617
5.926
0.11
1.722
4.536
0.0517
95.821
Current Cumulative lbs/ac
0.083
0.598
292.115
110.304
6.090'
0.115
1.749
4.625
0.072
95.863
Permitted C. P. L. R.
36
34
1338
2677
267
15
n/a
374
89
2498
Permit PAN Limit I st/2nd Crop
"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, ingluding the possibility of fin nd imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.IL: Cumulative Pollutant Loading: Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Long Creek WWTP Total Dry Tons Applied (Annual):
Permit #: WQ0002616 Cation Exchange Capacity (non 503 only):
Operator: :2nfSmith Owner: City of Albemarle Predominant Soil Series:
Acres Used: W5_Ac es Permitted: 188.16 Site #: 2 Field #:
27.44
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
--IJ
3/3//08
L2J_3j
3/3//08
3/3//08
4 J
3/3//08
5j
3/3//08
6
3/3//08
7j
3/3//08
81
3/3//08
9j
3/3//08
101
3/3//08
ILI
3/3//08
12
3/3//08
% Solids
3.76 1
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76 1
3.76
3.76
Arsenic
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
Cadmium
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
Copper
3290
3290
3290
3290
3290
3290
3290
3290
3290
3290
3290
3290
Chromium
1040
1040
1 1040
1040
1040
1040
1040
.1040
1 1040
1040
1040
1040
Lead
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
Mercury
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
L35
1.35
Molyb-
denum
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
Nickel
25
25
25
25
25
25
25
25
25
25
25
25
Selenium
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
Zinc
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
Total
Phos-
horus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
LIJ
2
3j
4,
5
6
7
Bj
9
10
11
12
DT/Ac./
0
App.
Event
0.05
0.13
0.27
14
Arsenic
0.000
0.001
0.000
0.000
0.002
0.000
0.000
0.000
0.000
0.003
0.000
0.000
0.005
Cadmium
0.000
0.000
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.001
0.000
0.000
0.002
Copper
0.000
0.329
0.000
0.000
0.882
0.000
0.000
0.000
0.000
1.770
0.000
0.000
2.981
Chromium
0.000
0.104
0.000
0.000
0.279
0.000
0.000
0.000
0.000
0.560
0.000
0.000
0.942
Lead
0.000
0.005
0.000
0.000
0.012
0.000
0.000
0.000
0.000
0.025
0.000
0.000
0.042
Mercury
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
1 0.000
0.000
0.001
Molyb-
0.000
0.001
0.000
0.000
0.002
0.000
0.000
0.000
0.004
0.000
0.000
0.007
denum
.0.000
Nickel
0.000
0.003
0.000
0.000
0.007
0.000
0.000
' 0.000
.0.000
0.013
0.000
0.000,
0.023
Selenium
0.000
0.001
0.000
0.000
0.002
0.000
"0.000
0.'000
0.000
0.003
0.000
0.000
0.005
Zinc
0.000
0.001
0.000
0.000
0.003
0.000
0.000
0.000
0.000
0.006
0.000
0.000
0.011
Total
Phos-
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
horus
"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".
U .�
Sign a of Land Appher ate
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Long Creek WWWTP
Land Owner: City of Albemarle
Operator: Gary Smith
Crop 1 Name: Fescue
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0002616 Field #: 4
Annual Dry Tons Applied: 27.5954 Site #: 2
Predominant Soil Series:
Crop 1 Max. PAN:
Acres Utilized: 60.58
Acres Permitted: 188.16
Cation Exchange Capacity (non 503):
Crop 2 Name: Crop 2 Max. PAN:
° *�
° �
QLiquid
Volume applied
(enter one Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tona/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,e
Moist)
Precip.
Past 24
Hrs•
inches
Y
b
0
�, �.
°� o
d
o
.r
w
�. �:
* w
p
7y 5
?:
�, �,
*
TKN
mg/kg
z
a
o
� o
p w
mglkg
Nitrate
and
Nitrite
mglkg
PAN Applied
(]bs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
Jan-06
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Feb-06
20000
3.76
0.052
WWTP
S
0.5
0.3
0.000
NA
Fescue
Mar-06
3.76
0.000
WWTP
S
0.5
0.3
-0.000
NA
Fescue
Apr-06
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
May-06
52000
3.76
0.135
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jun-06
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jul-06
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Aug-06
3.76
0,000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Sep-06
3.76
0.000
WWTP
S
0.5
0.3
0:000
NA
Fescue
Oct-06
104000
3.76
0.269
WWTP
S
0.5
0.3
0.000
NA
Fescue
Nov-06
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Dec-06
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
TOTALS:
0
176000
}
As
Residuals Applications totals
Cd Cu Cr
on FORM FSF supp (attach FORM FSF supp to this form):
Pb Hg Mo Ni Se Zn P
moo
0.000
M" ,
Lime Applied
�
Annuallbs/acre
0.005
0.002
2.981
0.942
0.042
0.001
0.007
0.023
0.005
0.011 0.000
58.956
58.967 i`
2498
250
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.336
0.198
180.266
97.642
5.417
0.043
0.065
2.718
0.0349
Current Cumulative lbs/ac
0.341
0.200
183.247
98.584
5.459
0.044
0.072
2.741
0.040
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
36 34 1338
x x
2677 367 15 374 89
F r ...
"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, includi the possibility of fines and1 imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
ature of Land Date * �* Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Albemarle Total Dry Tons Applied (Annual): 91.47
Permit #: WQ0002616 Cation Exchange Capacity (non 503 only):
Operator: Philip Hazelwood Owner: City of Albemarle Predominant Soil Series:
Acres Used: 39.19 Acres Permitted: 188.16 Site #: 2 Field #: 5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
3/3//08
2
3/3//08
_.2j
3/3//08
4
3/3//08
5
3/3//08
6
3/3//08
7
3/3//08
8
3/3//08
9j
3/3//08
10
3/3//08
11j
3/3//08
12
3/3//08
% Solids
3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76 1
3.76
3.76 1
3.76
3.76
Arsenic
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
Cadmium
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
Copper
3290
3290
3290
3290
3290
3290
3290
3290
3290
3290
3290
3290
Chromium
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
Lead
46.2
46.2
46.2
46.2
'46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
Mercury
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
Molyb-
denum
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
Nickel
25
25
25
25
25
25
25
25
25
25
25
25
Selenium
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
Zinc
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
Total
Phos-
phorus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2 j3
4
5
6
7j
8j
9 j10
2j
H
DT/Ac./
C
App-
Event
0.21
0.43
0.74
0.67
0.29
Arsenic
0.002 1
0.005
0.008
0.008
0.000
0.000
0.000
0.000
0.000
0.003
0.000
0.000
0.027
Cadmium
0.001
0.002
0.003
0.003
0.000
0.000
0.000
0.000
0.000
0.001
0.000
0.000
0.009
Copper
1.369
2.843
4.843
4.409
0.000
0.000
0.000
0.000
0.000
1.895
0.000
0.000
15.358
Chromium
0.433
0.899
1.531
1.394
0.000
0.000
0.000
0.000
0.000
0.599
0.000
0.000
4.855
Lead
0.019
0.040
0.068
0.062
0.000
0.000
0.000
0.000
0.000
0.027
0.000
0.000
0.216
Mercury
0.001
0.001
0.002
0.002
0.000
0.000
0.000
0.000
0.000
0.001
0.000
0.000
0.006
Molyb-
0.003
0.007
0.011
0.010
0.000
0.000
0.000
0.000
0.000
0.004
0.000
0.000
0.036
denum '
1
Nickel
0.010
0.022
0.037
0.034
0.000
0.000
0.000
0.000
0.000
0.014
0.000
0.000
0.117
Selenium
0.002
0.005
0.008
0.008
0.000
0.000
0.000
0.000
0.000
0.003
0.000
0.000
0.027
Zinc
0.005
0.010
0.017
0.016
0.000
0.000
0.000
0.000
0.000
0.007
0.000
0.000
0.055
Total
Phos-
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
horus
"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".
g"nat dg n4 AppIier 1-11 ate
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Long Creek WWTP
Land Owner: City of Albemarle
Operator: Philip Hazelwood
Crop 1 Name:
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0002616 Field #: 5
Annual Dry Tons Applied: 91.5665 Site #: 2
Predominant Soil Series:
Crop 1 Max. PAN:
Crop 2 Name:
Acres Utilized: 39.19
Acres Permitted: 188.16
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
.c
a0i �
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
( ry'
Wet,
Moist)
Precip.
Past 24
H's•
inches
Y
b
� �
o ?'
ac'
o
.� w
*
*C
°p
7� cc
* N'
1?'
T�
mg/kg
Z
Ft
� o
�'
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
PP
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
Jan-07
52000
3.76
0.208
WWTP
S
0.5
0.3
0.000
NA
Fescue
Feb-07
108000
3.76
0.432
WWTP
S
0.5
0.3
0.000
NA
Fescue
Mar-07
184000
3.76
0.736
WWTP
S
0.5
0.3
0.000
NA
Fescue
Apr-07
168000
3.76
0.672
WWTP
S
0.5
0.3
0.000
NA
Fescue
May-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jun-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jul-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Aug-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Sep-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Oct-07
72000
3.76
0.288
WWTP
S
0.5
0.3
0.000
NA
Fescue
Nov-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Dec-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
TOTALS:
0
584000
W
AS
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
Cd Cu Cr Pb H Mo Ni Se Zn P
o.000
0.00o
Lime Applied
Annual lbs/acre
0.027
0.009
15.358
- 4.855
0.216
0.006
0.036
0.117
0.027
0.055
0.000 k
r
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.412
0.416
175.005
54.948
3.416
0.054
0.438
2.688
0.338
88.691
Current Cumulative lbs/ac
0.439
0.425
190.363
59.803
3.632
0.060
0.474
2.805
0.365
88.746
Permitted C. P. L. R.****
36
34
1338
2677
267
15
n/a
374
89
2498
Permit PAN Limit 1st/2nd Crop
#
.H., . :. .,.
, _. ,
250
"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 possibilitf tjnes and imprisonment for ljnowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Albemarle Total Dry Tons Applied (Annual): 91.27
Permit #: WQ0002616 Cation Exchange Capacity (non 503 only):
Operator: Philip Hazelwood Owner: City of Albemarle Predominant Soil Series:
Acres Used: 34.67 Acres Permitted: 188.16 Site #: 3 Field #: 6
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
3/3/08
2
3/3/08
3
3/3/08
4
3/3/08
5
3/3/08
_6j
3/3/08
7
3/3/08
8
3/3/08
9
3/3/08
101
3/3/08
11
3/3/08
12
3/3/08
% Solids
3.76
3.76
3.76
3.76
1 3.76
3.76
3.76
3.76
3.76
3.76
3.76
3.76
Arsenic
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
Cadmium
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
1.93
Copper
3290
3290
3290
3290
3290
3290
3290
3290
3290
3290
3290
3290
Chromium
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
1040
Lead
46.2
1 46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
46.2
Mercury
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
1.35
Molyb-
denum
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
7.71
Nickel
25
25
25
25
25
25
25
25
25
25
25
25
Selenium
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
5.76
Zinc
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
11.8
Total
Phos-
horus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
2
3
4
5
6
7j
8j
9
10
11
12
_Lj
DT/Ac./
APP•
V
Event
1.18
1.15
0.31
Arsenic
0.000
0.000
0.000
0.000
0.000
0.014
0.013
0.004
0.000
0.000
0.000
0.000
0.030
Cadmium
0.000
0.000
0.000
0.000
0.000
0.005
0.004
0.001
0.000
0.000
0.000
0.00.0
0.010
Copper
0.000
0.000
0.000
0.000
0.000
7.732
7.567
2.023
0.000
0.000
0.000
0.000
17.322
Chromium
0.000
0.000
0.000
0.000
0.000
2.444
2.392
0.640
0.000
0.000
0.000
0.000
5.476
Lead
0.000
0.000
0.000
0.000
0.000
0.109
0.106
0.028
0.000
0.000
1 0.000
0.000
0.243
Mercury
1 0.000
0.000
0.000
0.000
0.000
0.003
0.003
0.001
0.000
0.000
0.000
0.000
1 0.007
Molyb-
0.000
0.000
0.000
0.000
0.000
0.018
0.018
0.005
0.000
0.000
0.000
0.000
0.041
denum
Nickel
0.000
0.000
0.000
0.000
0.000
0.059
0.058
0.015
0.000
0.000
0.000
0.000
0.132
Selenium
0.000
0.000
0.000
0.000
0.000
0.014
0.013
0.004
0.000
0.000
.0.000
0.000
0.030
Zinc
0.000
0.000
0.000
0.000
0.000
0.028
0.027
0.007
0.000
0.000
0.000
0.000
0.062
Total.
Phos-
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
horus
"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 fo s bmitting false information, including the possibility of fines and
imprisonment f r knowing violations".
Signa and Applier ate
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Long Creek WWTP
Land Owner: City of Albemarle
Operator: Philip Hazelwood
Crop 1 Name:
WQ Permit #: WQ0002616 Field #: 6
Annual Dry Tons Applied: 91.5665 Site #: 3 Acres Permitted: 188.16
Predominant Soil Series: Cation Exchange Capacity (non 503):'
Crop 1 Max. PAN:
Crop 2 Name:
Acres Utilized: 34.67
Crop 2 Max. PAN:
o
5.
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES # WQ#,
Fert., Animal
Waste, etc)
Soil
Cond. -
D
( (Dry,
Moist)
Precip.
Past 24
ems•
inches
Y
co b
c
a
*
c
w
*
*
°a
S
^y
1
* w
0
TKN
mg/kg
Z
o c
as
; w'
mg/kg
Nitrate
and
' Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
ReceivingResidual
Application
Crop I
Crop 2
Crop 1
Crop 2
Jan-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Feb-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Mar-07
3.76
0.000
WWTP
S
0.5
0.3
-0.000
NA
Fescue
Apr-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
May-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jun-07
260000
3.76
1.176
WWTP
S
0.5
0.3
0.000
NA
Fescue
Jul-07
256000
3.76
1.158
WWTP
S
0.5
0.3
0.000
NA
Fescue
Aug-07
68000
3.76
0.308
WWTP
S
0.5
0.3
0.000
NA
Fescue
Sep-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Oct-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Nov-0 7
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Dec-07
3.76
0.000
WWTP
S
0.5
0.3
0.000
NA
Fescue
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
0
584000
5_:
AS
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
o.000
O.oOo
Lime Applied
Annuallbs/acre
0.030
0.010
17.322
5.476
0.243
0.007
0.041
0.132
.0.030
0.062
0.000
'
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
0.774
0.804
0.501
0.511
186.972
204.294
51.209
56.685
3.625
3.868
0.1
0.107
1.785
1.826
2.358
2.490
0.622 56.381
0.652 56.443
89 2498
�'
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Crop„
36 34
1338
2677
w
267
..�
15
�.
n/a
374
250
"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 theYformation. submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and impr,X6nment for knowingVolations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
lure of Land App ' Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: City of Albemarle WQ Permit Number: WQ0002616
WWTP Name: Long Creek WWTP NPDES Number: NCO024244
Monitoring Period: From l/l/2008 To 3/31/2008
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A: Alternative 1 ❑ Alternative 2 ❑ Alternative 3 ❑
Alternative 4 ❑ Alternative 5 ❑ Alternative 6 ❑ r.
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost 01 Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑
Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑
d"la�. Alternative 1 ❑ Alternative 2 ❑
® If aapplicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting ❑ JAerobie Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Allowable Level Pathogen Density Number of Frequency Sample Analytical
Parameter in Sludge Excee- of Analysis Tech -
Parameter Minimum Geo. Mean Maximum Units e Y Type
�-- �2 x 10 to the niaue
MPN
_ - 6thP, ower
per gram of
Fecal Coliform total solids CFU
I000 mpn per gram
-/� of total solid (dry
weight)
Salmonella bacteria 3 NTN per 4 grams
(in lieu of fecal total solid (dry
V fg, r 7 9+T" `ti5MRIedvirtion (40 CFR 503.33) - Please indicate option Derformed:
Alt.l (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. Oz uptake)
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
JAlt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CUTAFICATION STATEMENT (please check the appropriate statement)
❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
ttraction reduction requirement in 40 CFR 503.33 have been met."
❑ eI certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check this
statement attach an explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system designed
to ensure that qualified personnel properly gather and evaluate the information used to determine that the
pathogen and vector attraction reduction requirements have been met. I am aware that there are significant
penalties for false certification including fine and imprisonment."
Philip Hazelwood Water & Sewer Superintendent
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
-21
Signature Mf eparer* ate Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 503 (12/2006)

'ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: City of Albemarle
WWTP Name: Long Creek WWTP
Monitoring Period: From 1/1/2008 To
WQ Permit Number:
NPDES Number:
3/31/2008
WQ0002616
NCO024244 .
Alt.I (VS reduction)
❑
Alt. 2 (40-day bench)
❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. OZ uptake)
0
Alt. 5 (14-Day Aerobic)
❑
Alt. 6 (Alk. Stabilization
❑
Alt 7 (Drying - Stable) ❑
JAIL 8 (Drying - Unstable)
❑
Alt. 9 (Injection)
❑
JAIL 10 (Incorporation)
❑
No 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
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Philip Hazelwood Water & Sewer Superintendent
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
ell
Signat reparer* „- *ate4�Signature of Land 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)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: City of Albemarle
WWTP Name: Long Creek WWTP
Monitoring Period: From 10/1/2008 To
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ 1 Alt. C (Prior Testing)❑
fi A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs [3
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑
Beta Ray ❑' Gamma Ray ❑ Pasteurization ❑
„ Alt. (1) Fecal Density 0 Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting ❑ jAerobic Digestion ❑
Anaerobic Digestion ❑
7
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Allowable Level Pathogen Density Number ot Frequency Sample a ica
Parameter Ex in
of Analysis T Tech -
in Sludge Minimum Geo. Mean Maximum,
aximum Units c Type niclue
2 x 10 to the MPN
6th power
per gram of CFU 2.63E+04 3.08E+04 7.89E+04 CFU/g 0 7 days Grab 9222D
Fecal Coliform total solids
1000 mpn per gram
of total solid (dry
Imonella bacterial 3 MPN per 4 grams
(in lieu of fecal I total solid (dry
NCAC 02T .1107) -
WQ Permit Number: WQ0002616
NPDES Number: NCO024244
12/31/2008
Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ jAlt. 4 (Spec. 02 uptake) p
Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ lNo 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
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Philip Hazelwood Water & Sewer Plants Superintendent
Preparer N, and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Sign a of Preparer* ate Signature of Land 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)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: City of Albemarle WQ Permit Number: WQ0002616
WWTP Name: Long Creek WWTP NPDES Number: NCO024244
Monitoring Period: From 10/1/2008 To 12/31/2008
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A:
Alternative 1 ❑
Alternative 2 [3Alternative
3 ❑
Alternative 4 ❑
Alternative 5 ❑
Alternative 6 ❑„
,
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost 01
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
t
Alternative 10
Alternative 2 ❑
x:
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting ❑ jAerobic Digestion ❑
.. r,.
Anaerobic Digestion ❑ ,`Y , ';`;
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Allowable Level Pathogen Density
Number ot Frequency Sample Analytical
Tech
Parameter
in Sludge Minimum Geo. Mean Maximum Units
-
Excee- of Analysis
dences y Type nioue
2x10tothe
WN
6th power
CFU
2.63E+04
3.08E+04
7.89E+04
CFU/g
0
7 days
Grab
9222D
per gram of
Fecal Coliform
total solids
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
3 NTN per 4 grams
(in lieu of fecal
total solid (dry
coliform)
weight)
Vector Att action RedTc-tfon (40 CFR 503.33) - Please indicate option performed:
Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑Alt. 4 (Spec. Oz uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
1 Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
0 "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 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 systc:= .. designed
to ensure that qualified personnel properly gather and evaluate the information used to determine the
pathogen and vector attraction reduction requirements have been met. I am aware that there are .ificant
penalties for false certification including fine and imprisonment."
Philip Hazelwood Water & Sewer Plants Superintendent
Preparer Na e and Title e r print Land Applier Name and Title (if applicable)(t , or print)
; i
Signa to Preparer ate Signature of Land Applier (if applicable)
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Date
DENR FORM PVRF 503 (12/2006)

City of Albemarle WWTP Sludge Fecal Coliform & Vector Reduction Data
Conducted by City of Albemarle Wastewater Laboratory
Date
Colony Count
ml sample
%solids
CFU/g
Statistics (CFUIg)
0.001
#DIV/O!
Minimum #DIV/O!
Geo. Mean #DIV/O!
Maximum #DIV/O!
0.001
#DIV/O!
0.001
#DIV/O!
0.001
#DIV/O!
0.001
#DIV/O!
0.001
#DIV/O!
0.001
#DIV/0!
0.001
#DIV/O!
Minimum #DIV/O!
Geo. Mean #DIV/O!
Maximum #DIV/O!
0.001
#DIV/O!
0.001
#DIV/O!
0.001
#DIV/O!
0.001
#DIV/OI
`
0.001
#DIV/O!
0.001
#DIV/O!
11/12/07
< 1
0.001
3.8
< 2.67E+04
Minimum 2.63E+04
Geo. Mean 3.11E+04
Maximum 8.00E+04
11/13/07
< 1
0.001
3.8
< 2.63E+04
11/05/071
3
0.001
3.8
8.00E+04
11/06/07
< 1
0.001
3.8
< 2.67E+04
11/07/07
1
0.001
3.8
2.67E+04
11/08/07
< 1
0.001
3.8
< 2.67E+04
11/09/07
< 1
0.001
3.8
< 2.67E+04
0.001
#DIV/O!
Minimum #DIV/0!
Geo. Mean #DIV/O!
Maximum #DIV/O!
0.001
#DIV/O!
0.001
#DIV/O!
0.001
#DiV/01
0.001
#DIV/0!
0.001
#DIV/O!
0.001
#DIV/0!
. 30 day Aerobic Bench Scale Digestion for Vector Reduction
Start Date % Vol. Sol. Finish % Vol. Sol. % Volatile Solids Reduction

M o b o r� �
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grortomic, ➢e�vosam� I®4fE itli,aii )arvice Ce6li6r, Ra@eia h i�G 27pa0-1040.4 1 --
din tine Soil Test RemrtUnderstan.y ,r
www.ncagr.com/agronomi/uyrst.htm
Steve Troxler, Commissioner of Agricultur®
This cover sheet briefly explains the measurements, abbreviations and units found on
NCDA&CS soil test reports. For more details, visit www.ncagr.com/agronomi/uyrst.htm. Along
with the report and this covet sheet, you probably also received one or more trifold Notes that
address nutrient issues relevant to the crops) specified on your information sheet(s).
The "Test Results" section of the report lists values for up to 21 factors. The first seven [soil
class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The other
14 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-AI (1), Mn-AI (2), Zn-I, Zn-AI, Cu-I, S-I, SS -I, NO3-N,
Na] indicate levels of plant nutrients or other fertility measurements.
If testing indicates that soil pH is too low for the crop(s) you indicated, there will be a little
recommendation on your report. The recommendation is given in units of either M (1b/1000 ft2)
or T (ton/acre). For best results, mix the lime into the top 6 to 8 inches. of soil several months
before planting. For no -till or established plantings where this is not possible, apply no more
than 50M (or 1 to 1.5T) at one time, even if your report recommends more. You can apply the
rest in similar increments every six months until the full rate is applied.
Fertilizer recommendations for small areas, such as home lawfas/gardens, appear in
parentheses after the lime recommendation,and are listed in units -of lb/1000 R . If you cannot
find -the exact fertilizer recommended, visit www.ncagr.comiagronorhliobpart4.htm#fs to find
information that may help you choose an alternate grade.Refer also to A Homeowner's Guide
•to Fertilize!, available at www.ncagr.comiagronomilpdfflleslsfn8.pdf.
Fertilizer recommendations for field crops or other large areas are listed separately for
each nutrient to be added (in units of lb/acre unless otherwise specified). NCDA&CS soil reports
provide a recommendation for N (and sometimes for B) that is based on research/field studies
for the crop being grown, not on soil test results. K-I and P-I values are based on test results and
should r > being
If they are not, follow the fertilizer recommendations given, NO3-N is analyzed
by request only. SS -I levels appear only on•reports for greenhouse soil or 13roblci�z samples.
Fanners and other commercial producers should pay special attention to anicro�taitrietat levels.
If $, pH$, $pH, C or Z notations appear on the soil report, refer to $Note: ,Secondary Nutrients
and Microutrients(enclosedwithyourreport)orvisitwww.ncagr.comiagrw-nLp aiil;yr?3 gi llst'? o�•°r�'
trients
IYepo 4 Abbrev atigns .
Ac exchangeable acidity
g boron :
BS%. % CEC occupied bybasiie cations
Ca% % CEC occupied by calcium .
CEC cation exchange capacity:
CU-I: • ,
,copper index
1jM% .
percent humic matter -
K-I .::
potassium. index
K.0
. potash
M
pounds per .1000 square feet
W/o
% CEC occupied by rnagnesiuin
MIN.
mineral soil class
Mn-Al.
manganese availability index
Mn-1
manganese index
M-O
mineral -organic soil class
N
nitrogen
Na
sodium .
N0; N
nitrate nitrogen
ORG
organic soil class
pH
current soil pH
p,I
phosphorus index
2,05
phosphate
ppm
parts per. million
S-1
sulfur index
SS -I
soluble salt index
T. tons per acre
W/V weight per volume &cnrO
Zn-AI zinc availability index
Zit -I zinc index
I pd1 In general. homeowners do not need to be concerned�a out micionu--
"—" y - 50,000 Copies of this public document were printed at a cost of WiB.33 or $0.02 per copy.
May 2007

Grower, City of Albemarle (WWTP) Copies To;
PO Box 190
Albemarle, NC 28002
�<iVoil 14est Retiort
Farm.' ATTN:BRIAN ROGERS
11/6/2008 SERVING N.C. RESIDENTS FOR OVER 60 YEARS
Stanly County
Agronomist Comments
C -- 12, $
�: t. '(yA rutdu4'�.9' -P:.1 >', Ir.••,• Crylri it 1 t {: 1, }. �.
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e YY: rtna ot1. � � �, �. "l$�•�d; ><me '�te� mmei�c�a ons, ,:,1 L�� ,I, : � � >t � 1.7�'��I�, �f;�. I IIII ,1 IIr ,1 �; .L-., .� I..I
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Sample No, Last Crop Mo Yr T/A Crop or Year Le
r;
jv P205 Kjo Mg S
Cu Zn
B
Mn
See Note
R�W'rt 11 2007 1.0 1st Crop; Fes/0G/T1m,M 0
120-200 50.70 90-110. 0 0
0 0
.0
0
12
2nd Crop:.
0
Test Results
Soil Class HM% W/V CEC BS% Ac pH P-I K I Ca% 11gg%
Mn-I Mn-AI(1)Mn-AI(2) Zn-1 Zn-AI
Cu-1
S-1
SS-1
NO3-N NH4-N Na
MIN 0.41 1.12 9.4 81.0 1.8 6.2 31 21 59.0 20.0
242 159 86 86
820
90
0.2
•,�. .. ..... ,. ., n.._ :. .. •. �. ..:.y .. .�-.._• .; .., :-, ..., � .,, l
..f.i bA' ,I. 71Mi .4.`.: Y�! ,.0 Y,.�.. 1 i �I 'I � I: 'p �I11 Iit
;: I� i,7. .. Jy�3. LI�Ii€' t'I L i i- L:CI
I� b I' • ? IJJ IE,i'IIF rA!e. e t ��8, . o .gal. i I:��€:1: k€,,� �1,.71 I alt
r._.. ,.e . t .: elu 1 k .�II ke
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime
IV P205 K20 Mg S
CU Zn
B
Mn
See Note
W1YIP
1st Crop: Fes/OG/CIm,E 0
50.70 120.140 50-70 0 0
0 0
.0
pH$
12
2nd Crop: Fes/OG/rim,M 0
120-200 120.140 90-110 - 0 -0
0 0
.0
pH$
12
test Results
Soil Class HM% W/V CEC BS% Ac pH P I K-1 Ca% M496
Mn-1 Mn-AI(1)Mn-A1(2) Zn-I Zn-AI
Cu-1
8-1
SS-1
NO3-N NH4-N Na
MIN 0.22 1.08 12.6 92.0 t.0 6.6 6 22 63.0 28.0
539 331 331 .46 46 -
540
149
0.3
:... .:.
Yat : s.n u c:�.� a-ta �kv .o--.•,...�. t. nt •il
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"N:
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1
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:..:.,.yl],:.i,l,��.IJr.L_la:a.,t::.tl,
i.....
,,.
Sample No. Last Crop
Mo Yr T/A
. Crop or Year Lime
P205 K20 Mg S
Cu Zn
B
His
See Note
WWTf
1st Crop; Fes/OG/1'Im,E 2T
50-70 110-130 50-70 0 0
0 0
.0
0
12
2nd Crop: Fes/OG/r1m,M 0
120-200 . 110-130 80-100 0 0
0 0
.0
0
12
Test Results
Soil Class HM% W/V CEC BS% Ac pH P-1 &I Ca% Mg%
Mn-1 Mn-AI(1)Mn7A1(2) Zn-1 Zn-AI
Cu-I
S-I
SS4
NO3-N NH4-N Na
MIN 0.22 1.06 9.1 76.0 2.2 5.2 10 23 47.0 27.0
709 435 435 98 98
472
312
0.3
_..,.-. ,.... .. ,. ,, ,__. ...., :. �. � � . s .. 1-` ..r .. .. ... ,._ ..1 .•: ,. 11
.. Ea i. ..1 L + .k L, i .,� .1,.•.
1 .{ ?I :€ Ic.: L :I. .n I I1., �,�
I ,•:fr pplaedLyme a.l;;I,,I I, I
1 .. ... 9 r Ao, H k d e7cal FI {..,
� �,�1l f, 1: ,qI ..11: .1,1�. i I 1 I '..a 1 , I I
I.. t..i��,i t., L. II : �!._ �I,Ce I, �M1`Lr I. r 6Iv:: ; xl �, hn4in L.,•i'ti>zv .. .Id,.
�I �,�.,� 4r� I.. ,��k�.�I��,� ��:�61�... y.VA,�.d�Je.l� tl,,� , 1 :1,;..rr
IlYield�Iu�ori�natl�n;,,^ rl .;�•eemmitten��tiod�9„11 :� .,I.:I
Sampl No. Last Crop Mo Yr T/A Crop or Year Lime
�1WI'1?4 1st Crop: Fes/0G/rlm,E 1:7T
IV P20s K20 Mg S
50-70 110-130 40-60 0 0
Cu Zu
0 0
B
.0
Mn
0
See Note
12
2nd Crop: Fes/0G/1'lm,M 0
120-200 100-120 80-100 . '0' 0-
0 0
.0
0
12
Test Results
Soil Class HM% W/V CEC BS% Ac pH P-1 KI Ca% Mg%
Mn.1 Mn-AI(1)Mn-AI(2) Zn4l Zn-AI
Cu-1
S-1
SS-1
NO3-N NH4-N Na
MIN 0.22 1.13 15.3 87.0 2.0 6.0 12 26 41,0 45.0
909 555 555 49 49
371
78
0.3

Vest Results
soil class HM%
MIN n_fn

LAND APPLICATION
NPDES PERMIT NO.
FACILITY NAME
NCO074268
City of Albemarle Long Creek Wastewater Treatment Plant
11:
z
A
o
A
W
x
A
a
o
A
A
A
�
GALLONS
GALLONS
GALLONS
GALLONS
GALLONS
GALLONS
GALLONS
1
52000
2
20000
108000
3
184000
4
168000
5
224000
52000
6
288000
260000
7
56000
256000
85000
g
88000
72000
68000
285000
9
156000
265000
10
84000
104000
245000
11
144000
72000
95000
12
1
85000
OTAL NUMBER GALLONS
432000
468000
212000
176000
584000
584000
1060000
axium ga lon limit
50000
81()000
2000000
1784000
1 3125000
Page 1 of 7

Dec 29 08 10:08p Tritest Clemmons: 3367GG2314 p-6
°
0 Page 1 of 2
Lm TE ST
Laboratory Report
.. _. ..--- —`.... s C=!:{ClAale 'C' !90 iC%(i?i%i�:%1w,
.:; R' �1
NCAMN Cert.# 067 NC/DW Cert.#: 37731 NCI MI Cert* 103 NC/DW Cent.#: 37733 NCIWW Cert.#: 075 NC/DW CertA 37721 L
6701 Conference Dr, Raleigh, NC 27607 6300 Ramada Dr, Suite C2, Ciemmons, NC 27012 6624 Gordon Rd, Unit G, Wilmington, NC 28411
Ph: (919) 8344984 Fax: [phone] Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone]
Project No.: Report Date: 12119/2008
Project ID: FULL TCLP ANALYSIS Date Received: 11/2612008
— Prepared for --
Philip Hazelwood
Albemarle, City of
P.O. Box 190
Albemarle, NC 28002
Work order #: 0812-00090
Cust. Code: 800809
Cust. P.O.#:
W
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
001 SLUDGE 11/24/2008 7:40 Sludge Grab 4 +1- 2 deg C
Test Performed
Method
Results
Lab Loc Da�edTme Qualifier
Metals TCLP Package
EPA 1311
R
12/11108
3:59
TCLP Arsenic
EPA 200.8
<0.060 mg1L
R
12/11108
3:59
TCLP Barium
EPA 200.8
<1.0 mg1L
R
12l11108
3:59
TCLP Cadmium
EPA 200.8
<0.010 mg/L
R
12/11/08
3:59
TCLP Chromium
EPA 200.8
<0.050 mg/L
R
12/11/08
3:59
TCLP Lead
EPA 200.8
<0.050 mg1L
R
12/11/08
3:59
TCLP Selenium
EPA 200.8
<0.010 mg/L
R
12/11/08
3:59
TCLP Silver
EPA 200.8
<0.050 mg1L
R
12/11/08
3:59
TCLP Mercury Analysis
EPA 245.1
<0.2 ug1L
R
1215108
10:26
TCLP Pesticides; Liquids
EPA 8081A
R
1215108
16:00
gamma-BHC (Lindane)
EPA 8081A
<0.05 ug/L
R
1215108
16:00
Chlordane
EPA 8001A
<0.2 ug/L
R
1215108
16:00
Endrin
EPA 8081A
<0.06 ugll.
R
1215108
16:00
Heptachlor
EPA 8081A
<0.05 ug/L
R
12/5108
16:00
Heptachlor Epoxide
EPA 8081A
<0.8 ug1L .
R
1215108
16:00
Methoxychlor
EPA 8081A
<0.5 ug/L
R
12/5108
16:00
Toxaphene
EPA 8081A
<2.4 ug1L
R
1216108
16:00
TCLP Volatiles by 82608
EPA 8260B
R
12/4108
9:57
Benzene
EPA 8260B
<5 uglL
R
1214108
9:57
Carbon tetrachloride
EPA 8260B
<5 ug/L
R
12/4108
9:57
Chlorobenzene
EPA 8260B
<5 ug/L
R
1214108
9:57
Chloroform
EPA 8260E
<5 ug1L
R
1214108
9:57
1,2-Dichloroethane
EPA 8260E
<5 ug1L
R
12/4108
9:57
1,1-Dichloroethene
EPA 8260E
<5 ug1L
R
1214108
9:57
Methyl ethyl ketone (MEK)
EPA 8260E
<50 ug/L
R
1214108
9:57
Tetrachloroethene
EPA 8260B
<5 ug1L
R
1214108
9:67
Trichloroethene
EPA 8260B
<5 ug/L
R
1214/08
9:57
Vinyl chloride
EPA 8260B
<10 ug/L
R
1214108
9:57
TCLP 8270
EPA 8270C
R
1218108
14:00
1,4-Dichlorobenzene
EPA 8270C
<0.050 mg/L
R
1218108
14:00
2,4-Dinitrotoluene
EPA 8270C
<0.050 mg/L
R
12/8108
14:00
Hexachlorobanzene
EPA 8270C
<0.050 mg1L
R
1218/08
14:00

Dec 29 08110:08p Tritest Clemmons� 3367662314 p.7
O
_ o
r l'ITE�T
6701 Conference Drive Page 2 of 2
Raleigh, NC 27607
Telephone: [phone] NcNM CerL M 067
Telephone: [phone] Fax: [phone]
NC1DW Cert. #: 37731
Fax: [phone]
Laboratory Report
Work Order #: 0812-00090
Condition
Date Sampled Time Sampled Matrix
Sample Type
No. Sample ID
11124/2008 7:40
Sludge
Grab
4 +1- 2 deg C
001 SLUDGE
Method
Results
Lab Loc
I ed ----
Daj� Time Qualifier
Test Performed
EPA 8270C
<0.050 mg/L
R
1218108
14:00
Hexachlorobutadiene
EPA 8270C
<0.050 mg/L
R
1218108
14:00
Hexachlorcethane
EPA 8270C
<0.050 mglL
R
1218/08
14:00
2-Methylphenol ,
EPA 8270C
<0.100 mg1L
R
1218108
14:00
3- & 4-Methylphenol
EPA 8270C
<0.050 mg/L
R
1218108
14:00
Nitrobenzene
EPA 8270C
<0.250 mg/L
R
1218108
14:00
Pentachlorophenol
EPA 8270C
<0.050 mg/L
R
1218108
14,00
Pyridine
2,4,5-Trichlorophenol
EPA 8270C
<0.050 mglL
R
12/8108
14:00
2,4,6-Trichlorophenol
EPA 8270C
<0.050 mg/L
R
1218108
14:00
TCLP Herbicides by 8151
EPA 81511
R
1219108
15:56
EPA 8150
<5.0# mg/L
R
1219108
16:55
2,4-D
2,4,5-TP (Silvex)
EPA 8150
<0.5# mg/L
R
1219108
15:55
Flashpoint (Setaflash)
EPA 1020
>140# deg-F
R
1213/08
15:55
Reactive Cyanide
EPA 4500C&E<0.5# mglkg
R
12/9108
15:55
Reactive Sulfide
SW846-9030A
<25.0# mglkg
R
1219108
15:55
Corrosivity to Steel
SW846-1110
7.1 su _19.4C#
R
1214108
15:55
#Analyzed by Summit Environmental Technologies,inc., Akron, Ohio
Reviewed by:
for Tritest,

—Uaf
Fecal Collform
Bench Sheet Form
City of Albemarle
Wastewater Treatmnet Laboratory
Sample ID
Collection
Date & Time
Chlorine
Preenet
®s/no
Volumr of
Sample in ml
A
Count
B
Fecal Collform
Colonies/100 ml
c
% Total Solids
D
Fecal Collform
Colonies (g)
CID
Commonts
)p,
ODDalO
• 0
S U..ci b'
illll
.Cd/%/0
61L-i d
Water Bath
Date/Time In ►r ++ nor(
Temp. of Bath Wf P
Date/Time Out
Temp. of Bath
Calculations
1. Count In range (20.60) 6. counts above and below
C a B/A x 100 range, none within
C = EBIEA x 100
2. All Counts below 20
C = EBIEA x 100 B..AII Counts tnta
"Too numerous to count"
3. ALL COUNTS 0 C = >60/A1 x 100
C = <11A2x100
" A notation of "NT" should be recorded
4. All counts > 60 when non -typical colonies are oberserved.
C = >131/A1x100
Al Sama est volume
A2 = Largest Volume
B1= Counts In Sam sleet Volume
Setup By:Date: +, 1►+
Read By: _ Date:_ _
Page � of �

Fecal Coliform
Bench Sheet Form
City of Albemarle
Wastewater Treatmnet Laboratory
Sample ID
Collection
Date & Time
Chlorine
Presnet
es/no
Volumr of
Sample in ml
A
Count
B
Fecal Coliform
Colonies/100 ml
c
% Total Solids
p
Fecal Collform
Colonies (g)
C/D
Commonts
-5f coovolo
l� >
b
J
S c o /'D
0D1D
3
V ater Bath
Date/Time In 7 �� 3�
Temp. of Bath
Date/Time Dut Jr�� l3
Temp. of Bath
Calculations
1. Count In range (20.60) S. counts above and below
G - B/A x 100 range, none within
C = F8/EA x 100
2. All Counts below 20
C = EB/EA x 100 S..All Counts tnto
"Too numerous to count"
3. ALL COUNTS 0 C = >601M x 100
C = <11A2x100
"A notation of "NT" should be recorded
4. All counts > 60 when non -typical colonies are oberserved.
C = >B11A1x100
A t3ama est vo ume
A2 = Largest Volume
B1= Counts In Samelest Volume.
Setup By:�10ate: / 7
Read By: Date; W
Page % of �

Fecal Collforl1"tl City of Albemarle
Bench Sheet Form Wastewater Trestmnet Laboratory
Sample ID
Collection
Date & Time
Chlorine
Presnet
es/no
Volumr of
Sample in ml
A
Count
B
Fecal Coliform
Colonies/100 ml
c
% Total Solids
D
Fecal Coliform
Colonies (g)
CID
Commonts
tf 07os
• d©o /�
�
.
,1/1, 070s-
Water ®ath
Date/Time In lr b ///s"
Temp. of Bath �'._ _
Date/Time Out fill G li _
Temp. of Bath 44/0
Galoula�lGlons
1. Count In range (20-60) 5. counts above and below
C = B/A x 100 range, none within
C = IBIZA x 100
2. All Counts below 20
C = IB/EA x 100 a. Ali Counts tntc
"Too numerous to count"
3. ALL COUNTS 0 C = >,60/A1 x 100
C = <11A2x100
" A notation of "NT" should be recorded
4. All counts > 60 when non -typical colonies are oberserved.
C = >BilA1x100
Al = 6ama est vo ume
A2 = Largest Volume
B1= Counts.in SamelestVolume
setup By: Date; rt�e ,s
Read By: 954Uc4, Date: ct��
Page .2 of �

Fecal Coliform City of Albemarle
Bench ghost Form Wastewater Treatmnet Laboratory
Sample ID
Collection
Date & Time
Chlorine
Presnet
es/no
Volumr of
Sample in ml
A
Count
B
Fecal Collform
Colonies/100 ml
c
% Total Solids
D
Fecal Coliform
Colonies (g)
CID
Commonts
0-7 3 v
. nuo�/c
G
S3
o a (O
t e
/
Date/Time In r` 1 l
Temp. of Bath �K
Date/Time Out fib`
Temp. or Bath �'
Caic I s
1. Count In range (20.60) 8, counts above and below
C = b/A x 100 range, none within
C = JB/gA x 100
2. All Counts below 20
C = JBIFA x 100 6.. Ail Counts Into
"Too numerous to count"
3. ALL COUNTS 0 C : >80/A1 x 100
C = <1/A2x100
"A notation of "NT" should be recorded
4. All counts > 60 when non -typical colonies are oberserved.
C = >Bi1A1x100
Al = Sam I I est vo ume
A2 = Largest Volume
61= Counts In Sam sleet Volume
Setup By: — Date: _
Read By: — �r Date: /- G
Page -2 o1,,_.

Fecal C®tiform City of Albemarle
Bench Sheet Form Wastewater Treatmnet.Laboratory
Sample ID
Collection
Date & Time
Chlorine
Presnet
es/no
Volumr of
Sample In ml
A
Count
B
Fecal Coliform
Colonlesl100 ml
c
% Total Solids
D
Fecal Collform
Colonies (g)
CID
Commonts
sl
Paolo
t�
pp
t r Bat
Date/Time in j q :40
Temp. of Bath W"
Date/Time Out P r 6t ;,a
Temp. of Bath ,
Catculatlons
1. Count In range (20•00) s, counts above and below
C = B1A x 100 range, none wlthln
C = EBIJA x 100
2. All Counts below 20
C = YB/jA x 100 G., All Counts trite
"Too numerous to count"
3, ALL COUNTS 0 C = >60W x 100
C = <11A2x100
" A notation of "NT" should be recorded
4. All counts > 60 when non -typical colonies are oberserved. lRead
C = >131IA1x100
Al Barnallest volume
A2 F Largest Volume
61= Counts in Sam alest Volume
Setup By: /9 - Date: //,
By: Date:
Page of.

a oo S Fecal Collfol'm City of Albemarle
Bench Sheet Farm Wastewater Treatmnet Laboratory
Sample ID
Collection
Chlorine
Volumr of
Count
Fecal Coliforrn
% Total Solids
Fecal Coliform
Commonts
Date & Time
Presnet
Sample In ml
Colonlesl100 ml
Colonies (g)
eslno
A
B
c
l3
CID
u
�1t'3 v�15
. oopo,o
�
Si lAd
J113 W S
S#tLd
id1a od1s'
nvvla
c7
t at
Calculations
Al = Sama ast vo ume
1. Count in range (20.60) 6. counts above and below
DatelTime In fl'3 11
C o B1A x 100 range, none within
A2 = Largest Volume
C = EB1FA x 100 _
Temp. of Bath `� _ �'
2. All Counts below 20
131= Counts In Samaleat Volume
C = JBIT_A x 100 6..All Counts tnto
DateMme Out tiny h,�4�
"Too numerous to count'
3. ALL COUNTS 0 C = 401A1 x 100
Setup By:_�-�
Temp. of Bath
C = <1/A2x100 � .�
"A notation of "NT" should be recorded
4. All counts > 60 when non -typical colonies are oberserved.
Read By: Date:
C = >1311A1x100
Page of

npr 16 09 02:56p Tritest Clemmons
npr. ). LUUO I:viriri Iritesl lax Q
IrmuD-uTEST
Telephone; [phone]
Fax: [phone]
6701 Conference Drive
Raleigh, NC 27607
Laboratory Report
Work Order#: 0803-00482
3367662314
DATA REPORTING QUALIFLERS
No.l849 P. 3
Page 2 of 2
NCMfW cork. #. 067
NCF0W Cert, W 37731
Any values on the Tritest Laboratory Report that are flagged under the column labeled "Qualifier"
are considered qualified data. Please refer to the list below for interpretation of such flags. Please
note that Tritest is required to notify the state of any compliance samples received outside the
established protocol. In the opinion of this laboratory, values subject to these qualifiers are
acceptable but qualified.
A: The sample was improperly preserved at the time of collection. Tritest added the
appropriate preservative and analyzed per customer request.
B: The sample was received outside the established protocol for temperature and
was analyzed per customer request.
C: Insufficient sample volume provided.
D: The sample was received and analyzed outside the holding time per customer request.
E: The holding time expired prior to analysis due to laboratory error.
F: The sample tested present for residual chlorine when received at the laboratory.
G: The sample tested present for residual chlorine when checked by the technician at
room temperature.
H: Matrix interference.
I: Matrix interference; Duplicate RPD outside the acceptable range.
1: Matrix interference; Surrogate recovery outside the acceptable range.
K: Matrix interference; Matrix spike recovery outside the acceptable range.
L: The duplicate RPD was outside that acceptable range.
M: Estimated value.
N: The oil & grease value exceeds method specification of 1000 mg/L maximum.
0: Excessive oil and grease noted ( �.
P: The GGA standard for BOD was outside the acceptable range,
Q: The technician was required to add stronger sodium sulfite solution than acceptable
for BOD to neutralize excessive chlorine level.
R: The seed control for BOD was outside the acceptable range.
S: The control blanks for BOD were outside the acceptable range.
T: Other:

I.MTEST
6.761 Conference D►, Raleigh; NC 2161)7 ' ph: (919) 934�4984. fax: [phone]- ChMn of Its
tO y Tritest W.O.#
NCWW CerWA NCDW Ced937T31
Report Results : Bill To:
Company,. Gi,NANGC T_ Project Reference:
Address: �4 �o>� ��� Project Number:
l �[aC l�-T f�?i Purchase Order M
Attn: CI Standard ReportDelivery
Phone: ax: D `ISW g0- ❑ Rush Report Delivery w surcharge)
^Rush proloeb am sublad ro pdar approval by the laboratory
Sampled by (signature): Requested Due Dale:
I-
jlri �_ _____ 5� '� Jd lv ,g
1,V Al
W PJ TP u }�s �Gr� Ca�C - Gr,� , Pb /i'% , /i7d,
1�3 / r r � i '
IWw7FP A , rho se-, 6E-
by (slgnalure)
-�4, ,
Relinquished by (signature)
Reotived y (signature)
v ae,-
Received by (slgnalure'
Rec ' ed by (stgnapre) .
Date Time
Date Time
3 1-D
Date Time
r•
cF
M
LA
rr
C�
M
3
3
0
3
LIP
Receipt Conditions (Lab Use Only)
❑ 4±2°C ❑ Temp: S °C a
Res. Chlorine �isentt 11 Present ❑ n/a
Acid preserv. <2? CJ Yes ❑ No .❑n/tea
Base preserv. >12? ❑ Yes ❑ _, No 1� Na

Apr 16 09 02:53p Tritest Clemmons
TRITEST
Www.tritesti nC.com
April 9, 2008
CLIENT NAME
CLIENT NUMBER
SAMPLE NUMBER
COLLECTED DATE
RECEIVED DATE
DESCRIPTION
TEST
3367662314
CERTIFICATE OF ANALYSIS
CITY OF ALBEMARLE
800809
278517
-313/08
314/08
SLUDGE
UNITS RESULTS
DATE
ALUMINUM
MG1KG
AMMONIA-N
MG/KG
4737
03/11108
ARSENIC
MG1KG
`
CADMIUM
MG/KG
CHROMIUM
MG1KG
COPPER
MG/KG
LEAD
MG/KG
MAGNESIUM
MG/KG
MERCURY
UG/KG
MOLYBDENUM
MG1KG
NICKEL
MG1KG
NITRATE+NITRITE-N
MG1KG
2605
03/07108
POTASSIUM
MG1KG
SELENIUM
MG1KG
SILVER
MG1KG
SODIUM
MG/KG
TKN
MG/KG
71053
03/11/08
ZINC
MG/KG
TOTAL PHOSPHORUS
MG/KG
26315
03/11108
% SOLIDS
PERCENT
3.8
03/05/08
*attached'
p.2
CERTIFICATION # NC 103
NC 37733
CERTIFIED BY: MORGAN TOWE -
6701 Conference Drive, Raleigh, NC 27607 6300 Ramada Dr., Suite C2, Clemmons, NC 27012 6624 Gordon Road, Unit G, Wilmington, NC 28411
Ph: [phone], Fax: [phone] Ph: [phone], Fax: [phone]' Ph: [phone], Fax: [phone]

Apr 16 09 02:54p Tritest Clemmons
-Apr. J. BUC I:U1rNl IrlleST Tax b
4QOTEST
6701 Conference Drive
Raleigh, NC 27607
Telephone: [phone]
Fax: [phone]-M7
3367662314 p.3
No.1U49 P. 1
Page 1 of 2
NCANw Cert. M 087
NC1Dw Cert. #: 37731
Laboratory Report
... Preparedfor --
MORGAN TOWE-LA13 MGR.
TRITEST 1 CLEMMONS
6300 RAMADA DRIVE
C-2
CLEIIMMONS, NC V012
Report Date: 4/2/2008
Data Received: 317MODS
Work Order0: 0803.00482
Cuss. Code:
CL7046
Project No., 01
Cust P.D.if
Project ID: SLUDGE METALS.
Sample ID
Date Sampled
Time Sampled Matrix
Sample Type
condition
No.
001 27851T - 30
. 31=008
14:30 Sludge
Grab
Ambient
Analyzed
Test Performed
Method
Results
Date Time
Qualifier
Percent Dry Weight
SM 25405
2.76 %
31`12108 14AS
3MUOB 13:22
E
Aluminum
EPA 0020
40300 mglkg
Arsenio
EPA 6020
5.78 mglkg
3M1108 13:22
Cadmium
EPA 6020
1.93 mglkg
3111108 13:2.2
Calcium
EPA 6020
22400 mgfkg
412MB 11:45
' Chromium
EPA 6020
1040 m9*9
3filM 13:22
Copper
t-PA 8020
3920 mglkg
3111= 13:22
Lard
EPA 6020
46.2mglkg
3111MO 13:22
Magnesium
EPA6020
3"0mgtk9
412108 11:45
Mercury
EPA 74718
1350 uglkg
3M4106 10:33
Molybdenum
EPA 607A
7.71 mgfkg
3M 1108 1322
Nickel
EPA6020
26Amgikg
311IMB 13:22
Potassium
WA 6020
2750mglk9
V2108 11:45
Selenium
EPA 6020
5.78mglkg
3M1106 13:22
Silver
EPA 50"
64.6 mgft
3M1106 13:22
sodium
EPA 6020
2590 mglkg
41M 11:45
Zinc
EPA 6020
1180mg"
3tt1NB 13:22
t+pr, i. iuvo i:ufrm Irltest lax a No.1649 P. j
7' OT S1`
6701 Conference Drive Page 2 of 2
Raleigh, NC 27607
Telephone: [phone] NC*067
Fax: [phone] tiGDwCew GerLtk 37731
Laboratory Report
Work Order# 0803-OOM
DATA REPORTING QLJALIFIERS
Any values on the Tritest Laboratory Report that are flagged under the column labeled "Qualifier"
are considered qualified data. Please refer to the fist below for interpretation of such flags. Please
note that Tritest is required to notify the state of any compliance samples received outside the
established protocol. In the opinion of this laboratory, values subjecttD these qualifiers are
acceptable but qualified.
A: The sample was improperly preserved at the time of collection. Tritest added the
appropriate preservative and analyzed per customer request_
8: The sample was received outside the established protocol for temperature and
was analyzed per customer request.
C: Insufficient sample volume provided.
D: The sample was received and analyzed outside the holding time per customer request.
E: The holding time expired prior to analysis due to laboratory error.
F: The sample tested present for residual chlorine when received at the laboratory.
(_• -rhe a ^tm 4erieei nrnenni inr rn i`i, mI rhlnrina whon rthPr imrr by the fA..Mnirian At

3367662314 p.2
NO. 1047 r. I
Apr 09 08 01:20p Tritest Clemmons
--�- npr. ). [uuo l:urrrri Iriiesl iax b
7 R
0 TEST
Telephone: [phone]
Fax: [phone]
6701 Conference Drive
Raleigh, NC 27607
Laboratory Report
••- Prepared for ---
MORGAN TOWS -LAB MGR.
TRITEST 1 CLEMMONS
6300 RAMADA DRIVE
C-2
CLEMMONS, NC 27012
xt�41 rv�c&uk'
Page 1 of 2
NC1WW Cert. #: 067 I( {
NC1DW Cert. #-. 37731
Project No.: 01 CUS%. CL7
Project l *:: SL GGE MESA Cust. P.D.#:
Report Date:
code•
4/212008
Date Received:
W1 00,E
work Order #:
0603-00462
gas
No. Semple ID Date Sampled Time Sampled Matrix Sample Type Condition
001 278517 - 30 31312008 14:30 Sludge Grab Ambient
Analyzed
Test Performed Method Results Date Time Qualifier
Percent Dry Weight
S'M 25408
3.76 °%
3112/08 14:45 E
Aluminum_
_--_ _—EP-A-6020
- 40300_mgi,kg.—.__
3111/0B 13:22
____
Arsenic
EPA 6020
5.75 mglkg
3111108 13:22
Cadmium
EPA 6020
1.93 mglkg
3111108 13:22
Calcium
EPA 6020
22400 mglkg
412108 11:45
Chromium
EPA 6020
1040 mg/kg
3111108 13:22
1EQ 15 o.a
Cea „�u _ 3 0 6 -
_EPA 6020 __—.__—_--
—3920 mglkg^_---
3111108 13:22
_Capper
Lead
EPA 6020
46.2mg►kg
3111108 13:22
\ Magnesium
\ Mercury
C_
EPA 6020
EPA7471B_
3940 mglkg
350_uglhg
412108 11:45
3114108 10:33 r CIR n'3 �S
Molybdenum
EPA $020
7.71 mglkg
3111108 13-22
Nickel
EPA 6020
25.0 mglkg
31111.03 13:ZZ
Potassium
1;PA 6020
3750 mglkg
412108 11:46
Selenium
EPA 6020
5.78 mg/kg
3/11108 13:22
Silver
EPA 6020
64.6 mg/kg
3111103 13:22
Sodium
EPA 6020
2590 m91kg
412108 11:45
J Zinc
EPA 6020
1160 mg/kg
3111108 13:22
Reviewed by:
�i
for Tritest, Inc,

GW-59A COMPLIANCE REPORT FORM Permit # N 4 OVO zo/y
(Submv one each mnrr}roving period with Gil! 59formc) MG pvo,2
1
Enter date monitoring results were due, i1 WWII this monitoring report (GW59 and GW-59A)
NO
be submitted after the established due date?
i
Was a" required information missing on the GW-59 report forms?
yys
IF the answer to question I or 2 is 'YES, list in the space provided below the well identification numbers) and
explain the problems encountered in obtaining the required informahorr.
3
Are any of the monitor welt/ in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor guidance.
4
Are any monitored constituents equal to or above the established'standards?
yFs
if the answer to question 4 is NO , skip to section B.
N the answer W question 4 is "YES" list the affected wells individuaV with constituents) and concentration(s)
exceeding standards in the space provided below.•
5
For the constituents Identified in question 4 above, have standards been exceeded previously for the
YES
NO
same consdtuent(s) in the same well(s) In the last two years?
if the answer to question 5 is 'NO*, slip to section 8.
H the answer to question 5 is "YES", list in the space provided below, each well with constituents) exceeding
standards, concentrabon(s) reported, and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer Is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. Nthe answer is NO", monitoring wells may be improperly
located; contact the Regional Office.
7
is the pennittae implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
if the answerto question 7 is 'YES", describe those actions in the space provided below.
If the answer to question 7Is NO", 92nfact the Regional Offfca within 98 days., an evaluation may be
teaulred to determine the Impact She wa= WAgEnr system is having at fFs review and c2M "ago
boundaries surround/na this facility Failure !o do so may sublect the vermit tee to a Notice of V/olatlon
fines. andforgenaltim
8
The person completing this portion (G W-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to fire address provided at the top of the current GW-59 form.
I hereby aeknowled a thatt� above lnf6mand thA`[nfo—
oration submhted ihi t(ils
.
report (Comptiane:8 Reporl,9W-69A) Is true andWrhptete to the boat of: my knowledge.
Signature of Pormmtee (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT
ILocaldrard/Sab
ATER QUAUTY MONITORING: Not WATER owu?rauwRw►TKu+
CE REPORT FORM allWJLSEttyi ECM'ER.*RAMol6rlcrnerao-t„° "' tg73»7l7
ge.sevdntaeadraryao PERMRNumbar. ExpiretlonDale:
: ; � OF 14 bp,1 BCI.. to w w-rP NPDES charge I e- 7 0oa /` ulc
Qf different): NPDES NG tl a 1'1 yet Other
s; / D 'ft7 D b lc �1" L E�* TYPE OF PERMITTED OPERATION BEING MONITORED
/yl �) "b NC Ldn0) County STA�a)l►O Lagoon Remediallon: Infiltration Gallery
,i� ;;.,,,� inp•) ❑ Spray Field Remediatlon:
on: 141Ill D .1dr- ,A.s L% Telephone#: 70 y7 y 6 ❑ RotaryDistributor ORtand Application of Sludge
NSab Name: I-?-- &J w-17P No, of wells to be sampled: � . ❑ Water Source Heat Pump ❑ OlhW -�
EMNO INFORMATION
ID NUMBER (from Psmtlq: WGI� I
Date sample cofleded:
FIELD ANALYSES:
(o_'�untte Temp.
DRY of
e0 Depth: 63 fL
Well Diameter.. in.
PH
µMhos
tirtre of .
Depth to Water Level: below measuring point
Screened Interval; 2 8 tl to S R
Spec. Cond.
NONE
�ppn8
—3�R
aeudng Point b `' 7 'it above land surface
Relative M.P. Elevation: t/05• b tL
Odor
C l�A r
here:
share of water pumped/balled befofe sampling: gallons
Appearance
❑
gas for Mots were collected uMilterad• BYE ❑ NO
and field acidifled: OYES ❑ NO
Laboratory Name: Tn i1 e, � 4A 8 �2NG
� � /03 certlnatton No. J03
Date sample analyzed:
ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
�II3Ili
Pb mgA
COD mgA
Nitrite(NO2) as N• p, &-4
mgA
-Lead
Collorm: MF Fecal 1100ml
Nitrate (NO3) asNmgd
Zn-Zinc
G I It 00ml1448111 Phosphorus: Total as P
mail
Colifonn: MF Total
(No*: Uu MPNmrWdfor NpAy NG W*")
Orthophosphate
mgA
other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 541 M94 llI r { ll
At - Aluminum
m9A
pH (when analyzed) units
13 % r l
Be - Barium
mgA
mgA
. TOC ,1 , l0 moll N
Ca - Calcium
Chloride mgA
Cd - Cadmium
m911
Arsenlc mgA
mgA
Chromium: Total
Cu - Copper _Mon
mg/I
ORGANICS: (by GC; GC/MS, HPLC)
Grease and Oils
Fe - Iron
mgA
(Specify tat and method S. ATTACH LAB REPORT.)
Phenol Mon
sulfate mgA
Ho - Mercury �_mgA
Report Attached? ❑ Yes (1) ElNo (0)
Specific Conductance µMhos
14
K - Potassium
mgA
mgfl
VOC method #
method #
Total Ammonis n ( Mgn lilt
Mg - Magnesium
trnuaM wlrW, Myu N: anroN. Ntt IM TOW
Mn - Manganese
mgA
method #_
,•.. 1 - .. .nnn
NI - Nickel
mgA
, method #
For Remsdlatlon Syswns Oery V.k acn aao Kaporwr: -
'tcl:.., I� 411
GW-5a Rev.1/2007

aunMl l rUMM ON=6 raw PAPER ONLY
QUALITY MONITORING:
!PORT FORM
Name: Cii�/ o A �bP.r,,tir1�� C s�+0. &C,44 W w-no
Name (if different):
rrrwn.aric Me County mm"*-2V
act Person: __ 11�/ Odee-e&s, .Telephone#:
Locetion/Slte Name: I— C IAJ VMf No. of wells to be sampled:
PILING INFORMATION
LID NUMBER (from Permit): Gib % Date sample collected: /d/zeI/
Depth: 50 f) Well Diameter. In.
h to Water level: h S A below measuring point Screened Interval: 35 ' ft. to 50 fL
luring Point is 1J` R above land surface RelativeM.P. Elavatlon: q03: GV fL
no of water pumped/ballad before sampling: gallons
N WIT Number, Expl.radanDate: 7/3 laot0
in-Dl3ch2rge WQ00O2*10 UIC
PDES AP6 00024.29!/ Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Ramedlalion: Infiltration Gallery
❑ Spray Field ❑ Remadlallon:
❑ Rotary Diatributor MLend Application of Sludge
❑ Water Source Heat Pump ❑Other.
FIELD ANALYSES: WAS
PH 6-3-unit Temp, 14 "C DRY at
Spec, Cond. µMhos time of
samOdor A7oN6 check
he ;
dt
Appearance 21C40- here: ❑
r sample analyzed: Laboratory Name: T0a'1'6 t LAB 3-Nd CartlNceUon No.
tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. /
COD
mgn
Nitrite (NO2) as N
0 • b y mgg it/J q Pb - Lead moll
Coliform: MF Fecal
/100m1
Nlf % (NOa) ae.N7mgll
Zn - Zinc mgq
Coliform: MF Total < I 1100mV4W///Phosphorus: Total as P
mg/I
Mm.; Use aPNm.modrorNolrymoaas.reloq
Orthophosphate
mgA
Other (Specify Compounds and Concentration Units):
Dtaolved Solids: Total 234
mgn Idol !/
AI -Aluminum
moll
pH (when analyzed)
unit
rl/3
Be - Barium
moll
TOO < 1.0
moll
Ca- Calcium
mgll
Chloride
moll
Cd - Cadmium
mgli
Arsenic
mgll
Chromium: Total
mgA
Grease and Oils
mgn
Cu - Copper
mgn
ORGANICS: (by GC, GGIMS, HPLC)
Phenol
mgll
Fe - Iron
mgA
(Specify test and method & ATTACH LAB REPORT.)
Sulfate
mgfl
Ho - Mercury
mgn
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
Total Ammonia e•! mgn lr�r II
K - Potassium
Mg Magnesium
mpll
. VOC method #
(M ffft N1QM MI,o R Plow" Nftm Tau)
-
mg/1
method#
Mn - Manganese
mgA .
method #
TM as N
moll
NI - Nickel
m9A
method #
, v. ,.v,u...,wun v>r.wn-� .raver iwuarn eau
FiA r.� RI14rJ
PWmICae(crAulh,,' a An d)NameaMTitle-PWnPdniort e
GW-59 Rev.1/2007
EmOelt Total VOCs: mg/L. VOC

Uri
MONITORING:
INFORMATION . memo rnmramWor,yps.
PERMITNumber.
Expiration Date:
ad ity Nam*: -, f OF AftCAd d r IC L
G &Vurr to
Non -Discharge
UIC
ermit Name (if di ferant):
NPDES
Other
ectUly Addrea : !s go Co dle 4,te, e4L.
TYPE OF PERMITTED OPERATION BEING MONITORED
Albeena "—,, NC 24ve1 County ST4u(f
❑lagoon
❑Remedlation:Infiltration Gallery .
M.1y) )5wie) uir)
❑ Spray Field
❑ Remedlation:
ct Person: 404V D ✓r!r ASS
Telephonak o y W ID
❑ Rotary Distributor
❑ Lend Application of Sludge
sfi Loallon/Site Name: ai�fi- L-t t- W •t'f°
No. cf wells to be sampled:
❑ Water Source Heat Pump ❑ Other.
-LING INFORMATION
10 NUMBER (from Permlt): WG1J 1J 3
Date sample collected: <bI2'-/
flt:LD ANALYSES:
ELL
ItI S
sA Depth:
Wag Diameter 3 In.
pH �O_j units
Temp. !S °C
DRY et
-"�f
epth to Water Leval: !1' I1 R below measuring point
Screened Interval: 3y IL to 59 tt. Spec. Cond.
IrMhos
of
as,Point Is o , 5 it above land surface
Relative M.P. Elevation: t%o• 6, tt
Odor CI uI'
/n+ere'check
plume of water pumped/balled befoie sampling:
_ gallons _ _
Appearance Gl tsi
hero: n
1'ampls analyzed: ` Laboratory Name: I_Pv eS-f GA�� T-NL Certffiatlon No. 10
AMETERS NOTE: ValuM should reflect dissolved and colloidal concenbatlons.
COD
mgn
Nitrite (NO2) ae N
0.0 y mgA 11MI1J Pb - Lead mgA
'Colfform: MF Fecal
/100ml
Nitrate (NO3) as.N
mgA
Zn-Zinc mgA.
Collform: MF Total < I YI00ml 14144 Phosphorus: Total as P
mg/l
(N*:Use MPNmtlMdfor NOtyuW aw4gu)
Orthophosphate
mgn
Other (SpedyCompounds and Concentration Units);
Dissolved Solids: Total /00 mon w3d),
AI -Aluminum
mgn
pH (when analyzed)
unite
Be - Barium
mgA
TOO <I.0
moll 1113,11
Ca -Calcium
mgn
Chloride
mgn
Cd - Cadmium
mgA
Arsenio
mgn
Chromium: Total
mgA
Grease and Olie
mgn
Cu - Copper
moll
ORGANICS: (by GC, GCIMS, HPLC)
Phenol
mg/l
Fe - Iron
mgA
(Specify tat and method IR ATTACH LAB REPORT.)
Sulfate
moll
Hg - Mercury
m9A
Report Attached? O Yes (1) O No(Q)
Specific Conductance
µMhoa
111
K- Potassium
mgn
VOC method *
TOW Ammonia C e.1
mg/I 1111
Mg - Magnesium
moll
method 0
Wmnma MOM W3" R AMYWU wVOM Ta.q
Mn - Manganese
mgA
method S
TKN as N
mgn
NI - Nickel
mgA
method#
GW-59 Rev.1/2007

r
Is
SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPRLIANCE REPORT FORM
ILITY INFORMATION mease t-nnt ueany. or Type
ity Name: Q y OF dAepwk 46nq Cree K W W TP
lit Name (if different): 4-1
ity Address:Xltle.
i4em-ri(r NC $ ®o
e' County_ S�Otr./w
lr..ty) / / ;State) :.,,rl
act Person: {ol/y Overc.L-:Ir� Telephone#:_7dti'-fl ro
Location/Site Name:_ VV k/ f No. of wells to be sampled: 3
L ID�NUMBERrfrom Permit Lie
, e, ��
( ) _ _T Date sample collected:
Depth: S3 ft, Well Diameter: 3 in.
n to Water Level: ft. below measuring point Screened Interval:42f-ft. to.L3 ft.
wring Point is 1-5—ft above land surface Relative M.P. Elevation: S '02 ft.
ne of water pumped/bailed before sampling gallons �,�
)les for metals were collected unfiltered: YES El NO and field aridifiari- ivl YFc r'I nin
r.Arn mtw rUr twvIRon1MENT & NATURAL RESOURCES
48I6N OF WATER QUAL1TY=iNFORMATION'PROCESSING UNIT
I7 MAIL SERVICE'CENTER, RALEIGH; NC°27699.1817 .phone:,,.[phone]
:RMIT Number: Expiration Date: Jeri a/o -
in -Discharge WQ000�Gf` UIC
'DES OO..)YaY / Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediatlon: infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor 91-and Application of Sludge
❑ Water Source Heat Pump ❑ Other':
If WELL
FIELD ANALYSES: WAS
pH units Temp. l� °C DRY at
Spec. Cond. µMhos time of
Odor p7 { sampling,
check
Appearance here: ❑
to sample analyzed:
RAMETERS
Laboratory Name:
711. 7C514.6. -Z e.
C64* IDS Certification No. Uj
NOTE: Values should reflect dissolved and colloidal
concentrations.
COD
mg/I
Nitrite (NO2) as N
, p� f mg/l��'B' Pb - Lead mg/1
Coliform: MF Fecal
1/1 00ml
Nitrate (NO3) as.
mg/I
Zh - Zinc mg/I
Coliform: MF Total a /100ml 4j7 1 bhosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbid samples)
OrthO hos hate
P „ P ~
"_' ,_— =.;'~;, l m n
9
Other (Specify Com ounds and nCentration`iUnits):
(P fY P.
Dissolved Solids: Total -S6 o
mg/I �'��
AI - Aluminum_
�> =m ` -� ' ,� mg/1
``` ft""- 's
pH (when analyzed)
units
Ba - Barium'
mg/l
� �
TOC a , i mg/l q-a 0') (
Ca - Calciwm
3
P mg/I
11
lnformatif.
Chloride
mgli
Cd -Cadmium
Pi
z mg/l
n •cs"
Dl�t��Rr,.. �9 Unit
Arsenic
mgA
ChromlumTofal
mg/1
_7-----
Grease and Oils
mg/I
Cu -Copper
o mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/1
Fee -Prod
mg/l
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/1
Hg - Mercury
` '
G mgll
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
-~-x
mg/I
VOC method #
Total Ammonia '
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
mg/1 I I
g-3-
"
Mg - Magnesiurri'" a - =-- R-= _mg/1
,
'.
method #
Mn - Mang�nese
`s.,._�_,-_.._:.�� �mg/1
� �r` ^�mg/l
,method #
TKN as N
mg/l
_
NJ_
i -Nickel
�
method #
Fnr 92nmarfln4lnn C,.c4­ n-h, /A"--&. 1 _cs__��_..
GW-59
Rev. 1 /2007
M

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: i`• •
COMPLIANCE REPORT FORM imme
FACILITY INFO Please Print Clearly or Type
Facility Name: TTI-fr1-CM a K ww ! >r
EPARTMENTOFENVIRONMENT&NATURALRESOURCES '.
VISION OF, WATER QOALITYINFORMATION PROCESSINGUNIT'
17 MAIL SERVICE CENTER, RALEIGH,,NC 27699-181T ,Phoneq.(919) 7333221 ...,
PERMIT Number: Expiration Date: o
Non -Discharge VV1R Vt ba 4 iL UIC
Permit Name (if different): •
Facility Address: �bY�
Cv /L �J✓t.
NPDES /_I/ Y Other
-
bt)
County ��.sao�- S .� �,
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ElRemediation: Infiltration Gallery
/
Contact Person: _ l ly
ANC I`
Chi Cs CQ "O
Telephone#: 7 oy ` 5 V& 30
0 Spray Field ❑ Remediation:
❑ Rotary Distributor 19 Land Application of Sludge
Well Location/Site Name: (/L/
1-% 7-P
No, of wells to be sampled: _3
❑ Water Source Heat Pump ❑ Other:
aHmr INU nVrOMMATION
WELL ID NUMBER (from Permit): tf'i
Date sample collected: �
FIELD ANALYSES:
If WELL
Well Depth: ir0 ft.
Well Diameter: 3 in.
pH units
Temp. 14 oC
WAS
DRY at
Depth to Water Level: _ o� ft. below measuring point
Screened Interval:��ft. t0S O ft.
Spec. Cond.
µMhos
time of
Measuring Point is • 3 ft. above -land surface
Relative M.P. Elevation: 1103. 4 ft.
Odor
sampling,'
Volume of water pumped/bailed before sampling: gallons
Appearance 6fk31-
check
here:
Samples for metals were collected unfiltered: YES ❑ NO
LABORATORY INFORMATION
and field acidified: YES ❑ NO
❑
Date sample analyzed:
PARAMETERS NOTE: Values should reflect dissolved and colloidal
Laboratory Name: 71h I K51 LDS
concentrations.
_
Certification No. !p 3
CDD mg/l
Nitrite (NO2) as N ®t%oZ mg/I 7LO
tf Pb - Lead
mg/I
Coliform: MF Fecal /100m1
Nitrate (NO3) as .N mg/I
Zn - Zinc
mg/I
C I'f MF
om. To
o l rtal /100MIq-D-7- IlPhosphorus: Total as P
(Note: Use MPN method for highly turbid samples)
mg/1
Dissolved Solids: Total c2 & mg/I zi��7- II
Orthophosphate mg/1
AI
Other (Specify Compounds and Concentration Units):
-
pH (when analyzed) units
Ba - Barlum
TOC < j, D mg/1 *--j
Ca - Calcium
Chloride mg/l
Cd - Cadmium -
r mgp
Arsenic mg/I
Chromium: Total
!"�mg/I
Grease and Oils mg/l
Cu - Copper `''.'
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/1
Fe - Ir (
o mg/l
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/1
H Mercu, `---4
9 - $ fY _
^� p,__�
� > ,•mgl(
Report Attached? ❑ Yes(!) ❑ No (0)
Specific Conductance µMhos
K -Potassium ,; -
i '�q/I
VOC method #
Total Ammonia • O a mg/I S-,f- 11
Mg - Magnesium
;r, ;i i In
,
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
k r .
Mn - Manganese �.� _ �°.. r n z t
, method #
, method #
TKN as N mg/l
Ni - Ni el_=
�-
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
- Please print or type Signature of
GW-59 Rev.1/2007
Effluent Total VOCs:
(or Authorized
VOC Removal%
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
I I Y INi ISMA I ION nn twase t-nnr weeny or /ype
Name: Cl bF 00 �WCAwk 1-02q 6e-K tooTP
Name (if different):
,,c;r,mo NC
ME
County
act Person: p/��, DV le1'k Telephone#:
Location/Site Name: &ULV No. of wells to be sampled: _3
PERMIT Number: Expiration Date: ,- y _? �cPo
Non -Discharge 1/✓a000�`11. UIC -�—
NPDES /W-- 00>14_-XY f Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor 90ther:
L:and Application of Sludge
El Water Source Heat Pump
LL ID NUMBER (from :
( ) � L'`' �
Date sample collected: y � %%
L• 3
FIELD
I Depth: 5-9 ft.
th to Water Level: ft. below measuring
Well Diameter: 3 in.
ANALYSES:
pH .4v-. jts Temp.
17 °C
point
surfing Point Is D,_' .ft above.land surface
Screened Interval: 31-ft. to 12ft.
Relative M.P. Elevation: & d' ft.
Spec. Cond.
Odor
µMhos
,3-t-20,
ime of water pumped/bailed befofe sampling: _0 gallons
/j%m C
Appearance 4bW
1ples for metals were collected unfiltered: YES ❑ NO
(ORATORY INFORMATION
and field acidified: CUES ❑ NO
I sample analyzed:
IAMETERS
Laboratory Name: ,i�CST Zz
Certification No. b3
NOTE: Values should reflect dissolved and colloidal
concentrations.
COD mg/I
Nitrite (NO2) as N .67 mg/( c(-� 4- it Pb -Lead
mg/I
Coliform: MF Fecal h00m1
Nitrate (NO3) as. mg/I
ZO - Zinc
mg/I.
Goliform: MO Total / /1Mn
Omi 1,,j irnMphorus: Total as P
(Note: Use MPN method for highly turbid samples)
mgp
Dissolved Solids: Total /6 mg/I gi�gx It
Orthophosphate
AI
mgll
Other (Specify Compounds and Concentration Units):
- Aluminum_.
mgA
PH (when analyzed) units
TOC '� .y
Ba -Barium
Ca Calcium,_
" ` mg/I
-- w,.�
_
-
mg/I
Chloride /I m9
Cd -Cadm
iium.
s�•
Arsenic mg/I
Chromium:; Total:
c
= ,'mg/I
Grease and Oils mg/I
Cu - Co er
ph . ,
;...
`'
mg/l
ORGANICS: (by GC, GC/MS, HPLC)
Phenol m /l
9
Fed=;:Iron;_
smg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Specific Conductance µMhos
Hg - Mercury,
a ;
K - Potassium`_
"
6- - a F
E �� mg/I
Report Attached? ❑ Yes*(!) ❑ No (0)
N
of
Total Ammonia < . 0A mg/I%�3 S•3
t 1 Mg - Magnesium"
: Pm
t. 6 , 9mg/l
VOC method #
(Ammonia Nitrogen; Mass N; Ammonia Nitrogen, Total)
- Pr
s =,y
Mn - Man4a tesee
;
4„nn
,method #
TKN as N mg/I
For Remedlation Systems Only (Attach Lab Reports):
Permittee (or Authorized Agent) Name and Title - Please prin
GW-59 Rev.1/2007
NI -
Influent Total VOCs:
Of
Effluent Total VOCs:
method IF
method #
VOC Removal%
el 2
WELL
at
Of
a

GW-59A COMPLIANCE REPORT FORM Permit #'�V�looa�6�6
(Submit one each monitoring period with GIV-59 forms.)
j
Enter date monitoring results were due.( 5 Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Off ce for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
If the answer to question 4 is 'NO", skip to section B.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below.
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
if the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES'; a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO". monitoring wells maybe improperly
located, contact the Regional Office,
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES" describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Reuional Office within 90 days: an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subiect the permittee to a Notice of Violation
tine% and/or penalties.
g
The person completing this portion (GW-59A) of the monitoring reporf should sign below and submit this
form with GW-59 forms for required to the addre5§provided at_the'top the GW-59 form.
wells of current
I herebyackn6.Wledge that the.above information,Was evalu &d anil'the information submitted in this;"
report (Coin liarice Report GW-69A) is true and complete to:tire best of my knowledge.
Signature of Permittee (or Authorized Agent) r h Date
v -6i -0�I
GW-59A 12/8/2003 ���

.t ,emu
SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
LITY INFORMATION I measeenntcreanyor type
tyName: ef& Of /Q'%1l1em m (NW?fp
iit Name (if different):
ty Address: /d Yo G/ab/t gve. exi.
/4/ mm� /,e- NC 2 flee/ County 577}N ly
act Person: 9,4r CA% '41I tom Telephone#: 10V 9py 9� s Y
Location/Site Name: W WTo No. of wells to be sampled: .3
IIVISION OF WATER QUALITY
617. MAIL_SERVICE CENTER,
IG UNIT
Phone: [phone]
PERMIT Number: Expiration Date: J14IV 3/, 20/a
Non -Discharge Wl?ova 2(./p UIC
NPDES Jut &Ot912 yJ( Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor Q 'Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): W#1 3 Date sample collected: /0-24-1 D
Well Depth: . 4 ft. Well Diameter: 3 in.
Depth to Water Level: 26. 519 ft. below measuring point Screened Interval: 3q ft. to 59 ft.
Measuring Point is D• 5 ft. above land surface Relative M.P. Elevation: 1/30-&N ft.
Volume of water pumped/bailed before sampling: /S 9 gallons
Samples for metals were collected unfiltered: DYES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH & - 0 units Temp. 1:9 °C
Spec. Cond. µMhos
Odor NONd
Appearance d/04fl-
LABORATORY INFORMATION
Date sample analyzed:
G•yt,� 0 F
Laboratory Name: /4/hopi pole /
/ 7-o4*s r
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
mg/l
Coliform: MFFecal
/100ml
Nitrate (NO3) as N
mg/l /n/0hp
Coliform: MFTotal 3
/100mHZ#110 Phosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I Ott
Dissolved Solids: Total $y
mg/I I0,12.11 !
AI -Aluminum
mg]
pH (when analyzed)
units
Ba - Barium
mg/l
. TOC
mg/I P1310
Ca - Calcium
mg/l _
Chloride
mg/I
Cd - Cadmium
mg/I _
Certification No. /0.3
Pb - Le mg/I
Zn - 1qV mg/I
and Concentration Units):
F ;
WELL
at
of
7
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/l
Cu - Copper
mg/l
ORGANICS: (by GC, GC/MS, HPLC). `` :.::
'; _. •,
Phenol
m /I
9
Fe -Iron
m /I
g
I
(Specify test and method #. ATTACH LAB REF�RT.)
Sulfate
mg/l
Hg - Mercury
mg/l
Report Attached? ❑ Yes (1 ;
No ('._"'•
Specific Conductance
µMhos
K- Potassium
mg/I
_❑
VOC method '
# �:- v; :
o
Total Ammonia -/"o. I
mg/I 1112110
Mg - Magnesium
m /I
g
method #' :•
(Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
_,method )
--- -�--
TKN as N
mg/I
Ni - Nickel
mg/I
method!
i
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:

GW-59A COMPLIANCE REPORT FORM Permit # 012 000 26/A,
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. I! o ) Will this monitoring report (GW-59 and GW-59A)
YES
IV
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
iF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
if the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
5
For the constituents identified'in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 Is "YES". list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO'; monitoring wells maybe improperly
located; contact the Regional Office.
7
is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO" contact the Regional Office within 90 days: an evaluation may be .
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation.
fines. and/or penalties.
g-
The person completing this portion-(GW--59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknoiivledge that the above information was evaluated and the mformation submitted m thin,
report(Compliance Report GW-59A) is true and complete to'the best of my knowledge.
//f 23 bo
Signature of Permittee (or Authorized A ent) F Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING: IVISION;OF WATER QUALITY -INFORMATION PROCESSING UNIT '
OMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,.RALEIGH NC'27699-1617 Phone: [phone].
ICILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: t j �, 2010
Icility Name: Cr V L/yf19� /N l�iT� Non -Discharge (A.)Q Dom 2 (o I & UIC
)rmit Name (if different): NPDES At _ eso 2 42S1q Other
Icility Address: /P S/D eohle Ali/C. a 7; TYPE OF PERMITTED OPERATION BEING MONITORED
NC 2 8oa I County Sn*N l y ❑ Lagoon ❑ Remediation: Infiltration Gallery
ElSpray Field ❑ Remediation:
)ntact Person: l 4y-e nJ W/lam% Telephone#: �d ✓9�!/ �(� 38 ❑ Rotary Distributor 5iLand Application of Sludge
ell Location/Site Name: W W T-P No._ of wells to be sampled: 3 ❑ Water Source Heat Pump ❑ Other:
aFim1-'Wr4%3 IIVrVKnrlAI IVN
WELL ID NUMBER (from Permit): yvd// AL f Date sample collected: / 0 - 2 & - i C
Well Depth: 53 ft. Well Diameter: _.in.
Depth to Water Level: 5 2 5 ft. below measuring point Screened Interval: 28 ft. to 5 3 ft.
Measuring Point is L . $r ft. above land surface Relative M.P. Elevation: q03. d 7. ft.
of water pumped/bailed before sampling: ff 9 gallons
❑ El
Samples for metals were collected unfiltered: YES NO and field'acidified: El YES ElNO
FIELD ANALYSES:
pH &5 units Temp. j8 °C
Spec. Cond. µMhos
Odor NbNt
Appearance ale4e-
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: e lei
Certification No. '59 16 3
PARAMETERS NOTE: Values should reflect
dissolved and colloidal
concentrations.
COD
mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal
/100m1
Nitrate (NO3) as N < o, 0 S-
mg/I !0 jai
0 Zn - Zinc mg/I
Coliform: MF Total (SP O
/100m1101211VAP Phosphorus: Total as P
mg/I
'
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total qT1
mg/I tVI271IN
Al -Aluminum
mg/I
pH (when analyzed) G.5
units 101141"0
Ba - Barium
mg/I
TOC ,?.:i 3
mg/I 1113110
Ca - Calcium
mg/I
Chloride
mg/I
Cd - Cadmium
mg/I
Arsenic
mg/l
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/l
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia I
mg/I 11112110
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
method #
TKN as N
mg/l
Ni - Nickel
mgA
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
rermmee for Aumonzea Agem) Name and I itle - Please pnnt or type
GW-59 Rev.1/2007
Signature of
for AUtnorized Agent)

SUBMIT FORM ON YELLOW PAPER ONLY
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
TY INFORMATION Please Print Clearly or Type
Name: Ci 7 f GF p1beiriat a WOJTt*
Name (if different):
Address: /d y0 dvble fine. EbT
NC 2 yo o l County SrjW
act Person: t tl"CtJ l4-IIQn Telephone#: fjD'l IM/ 963d(
Location/Site Name: W W Tp No. of wells to be sampled: .3
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH; NC 27699-1617 Phone: [phone].
PERMIT Number: Expiration Date: ql�/ 3/2o/a
Non -Discharge Wtj 0002(i/G UIC,
NPDES We- Co ZV 1 W Other:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor [Y] Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:'
WELL 1D NUMBER (from Permit): Well it 2• Date sample collected: /D IZGI/O
Well Depth: 50 ft. Well Diameter: 3 in.
Depth to Water Level: 7S ft. below measuring point Screened Interval: 25 ft. to So ft.
Measuring Point is /• ft above land surface Relative M.P. Elevation: (103•!► ft.
Volume of water pumped/bailed before sampling: 1.5 gallons
for metals were collected unfiltered: ❑❑ YES NO and field acidified: El YES NO
FIELD ANALYSES:
pH 'T o units Temp. / Z °C
Spec. Cond. µMhos
Odor NeN6—
Appearance C/ta r
If WELL
WAS
DRY at
time of
sampling,check
here: ElSamples
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: er d0PAlbta &r/t 17'a4leS7— Certification No. S //03
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/l
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N
mg/I 10/i4A0 Zn - Zinc mg/I
Coliform: MF Total / /100m116%40 Phosphorus: Total as P
mg/l
(Note: Use MPNmethod for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total mg/l /ol-1110
AI -Aluminum
mgA
pH (when analyzed) units
Ba - Barium
mg/I
/
TOC _ < I. o mg/I f l / 311V
Ca - Calcium
mg/I
Chloride mg1l
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu -Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)'
Phenol mg/I
Fe.- Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mgA
VOC method #
Total Ammonia < O.1 mg/I I14111
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH�as N; Ammonia Nitrogen, Total)
Mn - Manganese
mgA
method #
TKN as N mg/I
Ni - Nickel
mgA
method # '
• ... ..�...`...oa.va vYaw vuly kPULOL,rl L.C7U 1%UPUR5): innuerII i oiai vuL:s: m /L Effluent Total VOCs: o
9 mg/L VOC Removal/e
AI I RII�IAA���I���A1•���I���� _
GW-59 Rev.1/2007
(Date)

SUBMIT FORM ON
TER QUALITY MONITORING:
f= REPORT FORM
Name: C i G A 16�►euotrlY orr �r i. JW
Name (if different);
Address: I t? ye A
County
u:a>y
:5e�a} t:{icl
act Person: -, eL-v1's CD oh C1
Location/Site Name; t,j Telephone#: ? e - -
No. of wells to be sampled: 3
j:lal� rro am uu
L 10 NUMBER (from Permit): 3
Depth: S ft. Date sample collected:
h to Water Well Diameter: In,
,fit. b ow measuring point Screened Interval:3V ft.
,wring Point Is ft. above land surface to
no of water pumped/balled before sampling: - Relative M.P, Elevation; le a ft.
dtallons
ONLY
UNIT
ERMIT Number: Expiration Date:
an -Discharge %#&000a`1L UIC
'DES �►i��j0ayray Other
PPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remedlallon: Infiltration Gallery
❑ Spray Field G1 Remedlation:
❑ Rotary Distributor IRL
and Application of 1. Sludge
❑ Water Source Heat pump' ❑Omer;
FIELD ANALYSES:
PH cS-units Temp. % _7 'C
Spec. Cond. µMhos
Odor np �eA
Appearance rG�•
sample analyzed: Laboratory Name: /f%�6GH1 �f/L�
�IIAETERS NOTE; Values should reflect dissolved and colloidal concentrations. Certification No. COD mg/l Nitrite (NO,) as N /
Colfform: IVIF Fecal /100m1gA Pb - Lead
Nitrate (NO3)NOas.N_ p, m A y�.?-fD.-------mgn
Coliform: IMF Total C /100m1 � n►'��phosphorus: Total as P m� �n -Zinc
(Note: Uae MPN method far highly turbid samples) Q
Dissolved Solids: Total _.._ _.Mg/l 4/49_ /D
PH (when analyzed)
units
TOC <1
mgA N-.� 3 • t
Chloride
mgA
Arsenic
mg/l
Grease .and Oils
mg/I
Phenol
mgA
Sulfate
mg/l
Specific Conductance
µMhos
TotalArnmonia < , l
mg/1 i/-mtv-110
(Ammonia Nitrogen; NH'®s N; AMMoniTNltrog—m Tetel)
TKN as N mga
For Remediation litystems Only (Attach Lab Reports):
r
Orthophosphate
mgA
AI - Aluminum
_, mgA
Ba - Barium
mgA
Ca - Calcium
mgA
Cd - Cadmium
mgA
Chromium: Total
mg/f
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mgA
Mg - Magnesium
mgfi
Mn - Manganese
mgA
N1- Nickel
mg/I
Influent Total VOCs:
gnu nua - rJusse Print or wo , - -/_
GW-59 Rev.1/2007
Other (Specify Compounds
ee
and oncentratlon' jn�ts�:
'
o
E Ty
;�
ORGANICS: (by t3C, GC/MS, HPLC)
(Specify test test and method X ATTACH LAB
PORT.)
Report Attached? ❑ Yes (1) ❑
Nor
VOC , method #
method #
method #
, method #
Effluent Total VOCs:
VOC R®— m-- c— v_ al/,
at
Of
F

()8JALITY MONITORING:
Nr.rrte. ► o _f11 *rerfi► LV_ erce L
Ja;'ne (if differ,�nt):
Addre!;s: W10 Cnb1r► �iar�. � _.
County`
ON YELL= PAPER ONLY
acl;Por;o!7: GiJYYS rot, e<Telephone: 7VY 9V.?-k
Locst on/;Site Name: l,J �19 No. of wells to be sampled, �3
LLIII NufU11VIBER (frorxl Permit): pate Sample collected: Y- /&rid
Ii ft Well Diameter:
)th to Vyater Level: EaDt. below measuring point Screened Interval:,�,5 ft to :SV 4t.
Rsurinj Point is 3
= _.,.-,ft. above land surface /6" .S` Relative M.P. Elevation: 0-16 6% ft.
'me of water purnfedlitailed befoPe sampling: p gallons
—.s,yrMAlUNALRESOURCES
OF WATER QUALITY 114FARMAY(OKi Prd60ES5ING't1�7tT „
HRMIT Number: Expiration Date:
in -Discharge w ftbo ,b i UIC
'DES W— Other
'PE OF PERMITTED OPERATION BEING MONITORED
13 Lagoon ❑ Remediation: infiltrmfon Gallery
Ca Spray Field ❑ Remediation
12 Rotary Distributor Land Application of Sludge
Ll Water Source Heat Pump ❑ Other:
PIE D ANALYSES:
PH 6,- � ,units Temp. �� °C
Spec, Cond, µMhos
Odor _�-�+� Off
Appearance Lfear
METE enalyxed< Laboratory Name: kflnr C / , 7L �er� Certification No, X ��
VIE IEF �i hiOl'E: Values should reflect dissolved and colloidal concentrations. "
CCl) mg/1 Nitrite (NOS) as N�mg/I Pb - Lead mg/I
Coliform MF Fecal 11'00ml Nitrate (N Oz) as N- C .yA mg/I'1 I� 0 .fin - Zinc
'
CI. iifoi°m: MF Total I �1100mi L1- /6•A%i ----
mgll .
iosphorus, Total asp (11100We pgPN Method for highly turbid samples)
Orthophosphate
mq/l;
Dislsoh�ed Solitls: Tct,ai 7
,� mg/l t� 14.10
AI
_mgll
Other (Specify Compounds and Concentration Units)':
I�MI initn analyzed) units
- Aluminum - -�_
Sa - Barium-
_ _ _� mgn
mg/I
TO(. /• 3 M mgll y-- 3 ro
Ca - Calcium
mgll
Chloride mg/I
Cd- Cadmium..
mgA
Arsenic --mg/I
Chromium: Total
mg/I
err apse and Oils mgll
u - Copper,-
� Mg/l
ORGANICS: (by GC, GC/MS, HPLC)
Phshol mg/I
Sulfate
Fe - Iran
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
mg/1
SP9641c C; onductanco µMho:~
Hg - Mercury _
K - Potassium
mgH
Report Attached? ❑ yes(l) ❑ No (0)
iotalAmmonia ,O( ••ZO,P
mg/) Y
Mg
mg/l
VOC ,method#
(/+.mn,urils Nitrogen; t iH3aa N; Ammonia Nitrogen, Total)
-Magnesium
mg/I,
method #,�
TKN as N mg/l
Mn - Manganese
NI - Nickel
moll
,method
_-
,mgll
, method t;e
Fo Remediat,lon Systems Only (Attach Gab Reports): Influent Total VOC
i0ial fj5 .t} ti ! . :.. r ,
,
mg/L Effluent Total VOCs: mg/L, VOC Removal%
at
Of
®®
x
GW59 Rev.1/2.007

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
EM,617
IVISION OF WATER QUALITY INFORMATION PROCESSING UNIT:
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NO 27699.1617 ;Phone: [phone].
FACILITY INFORMATION Please PrintctearlyorType
PERMIT Number: Expiration Date: %
,A4
Facility Name: C r'jy aF /7� � /_CReeli Q P _
Non -Discharge K OOOZ4& UIC
Permit Name (if different):
NPDES NC 002 42 q_y other
Facility Address: /OY6 cabk Ave Eyt
TYPE OF PERMITTED OPERATION BEING MONITORED
IL " ' NC x9o0a
County i Irrr
❑ Lagoon ❑ Remediation: Infiltration Gallery
El Spray Field ❑ Remediation:
yr
Contact Person: ' �''� Dante
Telephone#:
❑ Rotary Distributor WLand Application of Sludge
Well Location/Site Name: V✓ W T?
No, of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
� 2
-/ fb'�o
q
If WELL
WELL 1D NUMBER (from Permit): we -it
Date sample collected:
FIELD ANALYSES:
WAS
Well Depth: =0 ft.
Well Diameter: 3 in.
pH units Temp. /-s °C
DRY at
Depth to Water Level: I ft. below measuring
p g point
_ Mhos
Screened Interval: ft, to 3.3 ft. Spec. Cond. µ
time li
sampling,
Measuring Point is ft above land surface
Relative M.P. Elevation: YaSO,. ft.
Odor t 2 t no vetor-
check
olume of water pumped/bailed before sampling: I b . 5 gallons
Appearance G%r n a d or
here: M
Sam les for metals were collected unfiltered: DYES ❑ NO
and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
�t
Laboratory Name: 6Li sa F A
/^� __//
lie #Wk / / � -*31- Certification No. ,X96a
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/1
Nitrite (NO2) as N
mg/I Pb -Lead mgll
Coliform: MF Fecal /100ml
Nitrate (NO3) as N 1p. oA
mg/I y-.U-M Zn - Zinc mg/l
Coliform: MF Total /100m1*/06 Phosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbid.sarwes
—
Orthophosphate
mg/1 Other (Specify Compounds and Concentration Units):
��
Dissolved Solids: Total' S11? mg/I y-m-10
AI -Aluminum
mg/l
pH (when analyzed) f units
Ba - Barium
mg/I
TOC mg/l 4_,340
Ca - Calcium
mg/i
Chloride mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/l
Grease and Oils mg/I
Cu - Copper
mg/I ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I (Specify test and method A ATTACH LAB REPORT.)
Sulfate mg/1
Hg - Mercury
mg/I Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I VOC method #
Total Ammonia O• j mg/I y-;0.1b
Mg - Magnesium
mg/I , method #
(Ammonia Nitrogen; NHses N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I method #
TKN as N mg/l
Ni - Nickel
mg/l , method #

GW-59A COMPLIANCE REPORT FORM Permit # An 0001616,
(Submit one each monitoring period with GW-59 forms.) Al p beS `,e 0
0
®1 y 2 q
1
Enter date monitoring results were due. ( S— 31-10) Will this monitoring report (GW-59 and GW-59A)
YES:
NO
be submitted after the established due date?
x
2
Was any required information missing on the GW-59 report forms?
YES'
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
'YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NQ
X
If the answer to question 4 is "NO", skip to section 8.
if the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below.
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO; skip to section 8..
If the answer to question 5 is "YES'; list in the space provided below, each well with constituent(s) exceeding
standards; concentration(s) reported; and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES','; a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE' IMMEDIATELY FOR GUIDANCE. If the answer is "NO". monitoring wells may be improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question .7 is "NO" contact the Regional Office within 90 days; an evaluation may be.
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility: Failure to do so may subiect.the permittee to a Notice of Violation,
fines, and/or pena/ties.
g
The person completing this portion (GW--59A) of the monitoring report should sign below and submit this
form with GIN-59 forms_ for required wells to the address provided at the top of the current GW-59 form.
'I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GWI-59A) is true and complete to the,best of my knoWledg, .
z
nature of'Pea i a (or ut orized Agent) Date
I/
GW-59A 12/8/2003

GW-59A COMPLIANCE REPORT FORM
;4 D
Permit # k4 000ol69
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. (_LLZ?O_j Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
X
2
Was any required information missing on the GW-59 report forms?
YES
1W
IF the answer to question I or 2 is "YES" list in the space provided below the well identfication number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
1
if the answer to question 4 is "NO", skip to section B.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentrations)
exceeding standards in the space provided below.
5'
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is 'NO", skip to section 8.
if the answer to question 5 is "YES", list in the space provided below, each well with constituents) exceeding
standards, concentration(s) reposed, and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
'-NO
If the answer is `YES". a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE if the answer is "NO" monitoring wells may be jmprope° y z�
�
located; contact the Regional Office.
7
Is the pennittee implementing previously approved actions required by the Division -involving thig 0 w
AYES
NO
groundwater quality problem?i;
If the answer to question 7 is "YES", describe those actions in the space provided below.
if the answer to question 7 is "NO", contact the Regional Office within 90 days. an evaluationmail,
recuired to determine the impact the waste disposal system is having at the review and compfjance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation
fines, and/or penalties.
f
sV•
DEC
Yt
P
8
The person completing this portion (GW-59A) of the monitoring report should siggpWaiV9k r r `+t this
form with GW-59 forms for required wells to the address provided at the top of the curren form.
I hereby acknowledge that the abovi%information was evaluated and the inf®rmation submitEed m-this
report (Compliance- Report GW-59A) is true and complete to the best of my knowledge.
Signature ofPermittee(or Authorized Agent) kate
GW-59A 12/8/2003

V,
SUBMIT FORM ON YELLOW PAPER ONLY
o u
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALOTY MONITORING:
�:r �=o a
oDIVISION
OF WATER QUAUTYdNFORMAirION PROCESSING UNIT
COMPLIANCE REPOKi FORS
u
1617. MAIL SERVICE CENTER, RALEIGM, NC 27699-�(6.17 Phrona:�[phone]
EACIt TY 111 FORfIII,�ON Please
PERMIT Number. Expiration Date: Truly I rl b 1p
Facility Name: _ C ; 0%, 0-14.9/h'__-11111/e P/WiP
y
Non -Discharge P Q 000 A(l6 UIC
Permit Name (if different):
NPDES V0021,041 Other
Facility Address: �C g b fie Avg-P h u e Qet.
TYKE OF PERMITTED OPERATION BEING MONITORED
a wp/e NC Qo1
County SI4 It/
El Lagoon ❑Remediaticn:Infiltration Gallery
I.,
❑ Spray Field ❑ Remedlation:
Contact Person: A/a, C, -r
Telephone#:
❑ Rotary Distributor R Land Application of Sludge
Well Location/Site Name: w w r p
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Pormll
SAMPLINr INFORMAT Oil
WELL ID NUMBER (from hermit): Weft 4t-
Date sample collected: 1OLiV0g
FIELD ANALYSES:
If WELL
WAS
Well Depth: 5'3 ft.
Well Diameter: 3 in.
pH 6. L units Temp. la eC
DRY at
Depth to Water Level: 7 ft, below measuring point
Screened Interval: t,? ft. to
5��
ft. Spec. Cond, EtMhos
time of
Measuring Point is 1. S ft. above land surface
Relative M.P. Elevation: 941K Bo'l ft.
Odor
sampling,
check
Volume of water pumped/bailed before sampling: / 6, 66 gallons
Appearance
here:
samples for metals were collected unfiltered: EYES ❑ NO
and field acidified: ❑ YES IR NO
❑
L,qi 0-R& OI Y E021 R A`I'ION
Date sample analyzed:
Laboratory Name: - (; rV p?i'�/des�,av /Pire' �� Certification No. �q
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N ®, p 6
mg/I
1011610 9 Zn - Zinc mg/l
Coliform: MF Total =- /100m1IplIr/.,Phosphorus: Total as P
(Note; Use MPN method for highly lurgld samples) Orthophosphate
mg/I
mg/I
�q F
Other (Specify Compounds and Conca r@ to i )a F t / .
Dissolved Solids: Total 695 mg/I 10120101
Al - Aluminum
mg/I
v,
pH (when analyzed) units
Be - Barium
DEC --1 200
TOG 3079 mg/l /o/fIA?
Ca - Calcium
mg/I
Chloride mg/l
Cd - Cadmium
mg/I
OG
Arsenic mg/I
Chromium: Total
mg/I
errs rmatir�rt f r;.,
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS; HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT,)
Sulfate mg/I
Hg -Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K- Potassium
mg/I
VOC method #
Total Ammonia < all mg/I 10/4009
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH, as R. Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
FrrPes�orG�eis /Ji.eCfor B Pi�/,'a
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.112007

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
o
DEPARTMENT OF ENVIRONMENT B NATURAL RESOURCES
OF WATER 00ALITY-IN0611I49ATION! PROCESSING UNIT
COMPLIANCE REPORT FORM
o �DIVISION
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Pho111e:t9191733.3221
FACIUTY INFORMATION
PERMIT PERMIT Number: Expiration Date: !�
Facility Name: 14/ /TP
Non -Discharge Gr/Q 000o2416 UIC
Permit Name (if different):
NPDES NC 00 d y a y!y Other
Facility Address: _I_(%® C o b fe �vP_ of r� e Cx Z;
TYPE OF PERMITTED OPERATION BEING MONITORED
d e Apia NC vat
County 1
❑ Lagoon ❑ Remediation: infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: A I C. � G� o%r►i.'r
Telephone#: i/ 7.
❑ Rotary Distributor ® Land Application of Sludge
Well Location/Site Name: W W 7* P
No, of wells to be sampled:
❑ Water Source Heat Pump ❑ Other:
from parmtl
SAMPLING INFORM TION
WELL ID NUMBER (from Permit): We of
Date sample collected: I B//3 f 0 Q
FIELD ANALYSES:
If WELL
WAS
Well Depth: 5 _ft.
Well Diameter: 3 In.
pH 6, y units Temp. « °C
DRY at
Depth to Water Level: _ 5.3 ft, below measuring point
Screened Interval: A5 ft. to Sb
ft. Spec. Cond. EtMhos
time of
Measuring Point is 1. 3 ft, above land surface
Relative M.P. Elevation: Y03, 6Y ft,
Odor
sampling,
check
Volume of water pumped/balled before sampling: 3 7. S gallons
Appearance
here:
Samples for metals were collected unfiltered: MYES ❑ NO
and field acidified: ❑YES ONO
LASQRATQRY INFORMATION
Date sample analyzed:
Laboratory Name: �,'fy p1//,e.►,or/� �'7`,-,'fes7` Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N mg/I
Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N 4 0, 0 5 mg/I
10/1610 q Zn - Zinc mg/I
Coliform: MF Total 1 /100ml1®//5/d9 Phosphorus: Total as P mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total a /!� mg/I /01Q0/0 q
Al -Aluminum mg/l
pH (when analyzed) units
Be - Barium mg/I
TOC 1113 mg/I /0//y/BR
Ca - Calcium mg/I
Chloride mg/I
Cd - Cadmium mg/I
Arsenic mg/l
Chromium: Total mg/I
Grease and Oils mg/I
Cu - Copper mg/l
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/l
Fe - Iron mgll
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium mg/I
VOC method #
Total Ammonia mg/l 1,0/ad/0�
Mg -'Magnesium . mg/l
method #
(Ammonia Nitrogen: NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese mg/l
method #
TKN as N mg/I
N1- Nickel mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs; mg/L VOC Removal%a_
Ei n es* -go rWerr ,,'ree'tar- of l'wid,e. 14— ,'Lf,'es
Permittee (or Authorized Agent) Name and Title - Please print or type
l
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
f
o ` u DEPAF:TtJIENY OF ENUIRONPJIENT fA NATURAL FtESQUFCE9
GROUNDWATER QUALOTYMOHIIORII�iG: �`', o 00 0 IVISiONOFWATERGlIIALITY•1NFOR711AYIONt'ROOESStNGUNIT
COMPLIANCE REPORT FORM
E97. MAtL SERVICE GHNTEtt, RALEIGbI, NC 27699.1G17 Phan®; [91rJ) 733 3221
or
Name:
it Name (If different);
ty Address: ' to C p b !e /A e A U e 4-y 1.
V/dNC 2 riaof County Si��o-C:lv
act Person: /7 /0, o �a� r/• �s Telephone#: 3US -."61 ^ 9179
Location/Site Name: la/ W r P No, of wells to be sampled:
Number; Expiration Date:
Non -Discharge P14 DDp R61 a UIC r
NPDES NC Dd ALIA liq Other
TYPE OF PERMITTED OPERATION 13EIMG MONITORED
❑ Lagoon ❑ Remedlation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor N Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
L ID�NUMBER •from Permit : �1%� 11
( ) 3
Date sample collected: /0/15/09'
MELD ANALYSES:
Depth: - - ';' q �ft.
Well Diameter: 3 in.
pH 6,1 units
Temp.. /a QC
h to Water Level• S. ft. below measuring point
Screened Interval: 311 ft. to -59 ft,
Spec, Cond,
µMhos
curing Point is 0. 5- ft, above land surface
Relative M.P. Elevation: 1130, 68 ft.
Odor
Tie of water pumped/balled before sampling: 5`0 gallons
Appearance
oles for metals were collected unfiltered: ❑YES ❑ NO
and field acidified: ❑ YES ❑ NO
ORATotay 113t aR TION
sample analyzed:
Laboratory Name: _ C; fy
%'e-,'�-esy
Certification No,q p,�
AMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N mg/I
Pb - Lead
moll
Coliform: MF Fecal /100ml
Nitrate (NO3) as N LI,18 moll 10/16/eq
Zn - Zinc
mg/I
Coliform: MF Total 4-1 1100m11411§/Qq Phosphorus: Total as P moil
(Nola: Use MPN Method for Nghly turbid samples)
Orthophosphate moll
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total /Oo1 moil /06/01
pH (when analyzed) units
TOG -2, G mg/I to q
Chloride
mg/I
Arsenic
mg/1
Grease and oils
mg/I
Phenol
mg/I
Sulfate mg/I
Specific Conductance µMhos
Total Ammonia 6, a mg/I /d/a%g
(Ammonla Nllrogen: NH3 as h: Ammonla Nitrogen, Total)
TKN as N mg/I
At - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mgh
Chromium: Total
moll
Cu - Copper
mg/1
Fe - Iron
mg/I
Hg - Mercury
moll
K - Potassium
mg/I
Mg - Magnesium
mgll
Mn - Manganese
—moll
Ni - Nickel
mg/l
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT,)
Report Attached? ❑ Yes (1) ❑ No (0)
VOC method 0
method #
method 0
method *
mg/L Effluent Total VOCs:
VOC Removal%
Ei-&a s I so.-64'-s D:i•� c�or a'� l�� bl, c t17t.'l�'fi rs' �� 444c 41 l/ /34
Permiitee (or Authorized Agent) Name and Title -'Please print or type Signature of Permittee (or Authorized Anent) (Datel
GW-59 Rev.1/2007
at
of
FNI

� VROa TEST
Page 1 of 2
Laboratory Repa_rt..
ic7h Iocalion'R' '5 Lob LOcOIioll `C' Lob Locolion'W`
NC/WW Cert.#: 067 NC/DW Cert.#: 37731 1 NC/UWV Cent.#: 103 NC/DW Cert.#: 37733 NC/VW Cert.#: 075 NC/DW Cert.#: 37
6701 Conference D,-, Raleigh, NC 27607 § 6300 Ramada Dr, Suite C2, Clemmons, NC 27012 6624 Gordon Rd, Unit G, Wilmington, NC 28
Ph: [phone] Fax [phone] - Ph: [phone] Fax [phone] Ph: [phone] Fax. [phone]
..- ....:....__ .
Project No.:
Project ID: GROUNDWATER
— Prepared for —
Holly Overcash
Albemarle, City of
P.O. Box 190
Albemarle, NC 28002
Report Date:
Date Received: 10/15/2009
Work Or #: 0910-0-t42
'CusL-=Code: ;80b>3t19
Cust. P.O.#:
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
001 WELL #1 10115/2009 10.40 GW Grab 4 +1- 2 deg
Test Performed
Method
Results
Lab Loc DairedTime Qualifi
Total Dissolved Solids
SM 2540C
665 mg/L
C 10/20/09
8:45
Ammonia
SM 4500 NH3 F
<0.1 mg/L as N
C 10/20/09
11:30
Nitrate -Nitrite
SM 4500 NO3 E
0.06 mg/L as N
C 10/16/09
10.30
Total Organic Carbon
SM 5310C
3.74 mg/L
R 10/19/09
14:55
Fecal Coliforms/IVIF
SM 9222D
<1 CFU/100mL
C 10/15/09
14:20
No. Sample ID
002 WELL #2
Date Sampled
Time Sampled Matrix
Sample Type
Condition
10/15/2009
11:20 GW
Grab
4 +1- 2 deg
Test Performed
. ,.:.::.
Method
:..:..:........... ... �
b .Loc a ed
Total Dissolved no ids
SM 2540C
248 mg/L
C 10/20/09
8:45
Ammonia
SM 4500 NH3 F
<0.1 mg/L as N
C 10/20/09
11:30
Nitrate -Nitrite
SM 4500 NO3 E
<0.05 mg/L as N
C 10/16/09
10.30
Total Organic Carbon
SM 5310C
1-13 mg/L
R 10/19/09
14:55
Fecal Coliforms/MF
SM 9222D
<1 CFU/100mL
C 1Oil 5/09
14:20
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
003 WELL #3 10/15/2009 11:50 GW Grab 4 +1- 2 deg
Test Performed
Method
Lab Loc -Date edMme Qualifie
4500 NH3 F
—
0.2 mg/L as N
�
C
.Awva
wSM
10120109
0:q0
11:30
Nitrate -Nitrite
trite
Total Organic Carbon
SM 4500 NO3 E
0.18 mg/L as N
C
10/16/09
10.30
Fecal Colifomrs/MF
SM 5310C
<1.0 mg/L
R
10/19/09
14:55
SM 9222D
<1 CFU/100mL
C
.10115109
14:2A .

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
e .
EPARTMN7 OF ENVIRONMENT:$ NATURAL- RESOURCES
IVISIONOFWY TEROUAUTYINFQRMATIQNPROCESSINGUNIT
COMPLIANCE REPORT FORM
617:MAl SgRUICECENTER RALEIGH, N027699.1617 Phorie: (919) 733.322t
FACILITY INFORMATION Please P,tntCteanyorType
PERMIT Number: Expiration Date::) � 3 1 v IO
Facility Name: G ..� c F Oand-k- WO I P
Non-Discharge'wM060 b 1 b UIC
Permit Name (if different):
NPDES IV!L� � K y Other
Facility Address: J D y 0 C,ob It 1411 C.AO
TYPE OF PERMITTED OPERATION BEING MONITORED
(r;'r,an
(-e NC 01po ov I
County SJlG lu
❑ Lagoon ❑ Remediation: Infiltration Gallery
f ,."'
❑ Spray Field ❑ Remediation:
Contact Person: 1111 D o-"; �� �,i sic
Telephone#:L�- % s y'��3 O
❑ Rotary Distributor XLand Application of Sludge
Well Location/Site Name: w E,3 ?
No. of wells to be sampled: j _
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATIONjj j
WELL ID NUMBER (from Permit):
Date A=_-
If WELL
AS
Well Depth: 13 ft.
sample collected: NALYSES:
Well Diameter: � in. � �eC
DRY at
units Temp.
Depth to Water Level: `/ ft. below measuring point
Screened Intervala_ft. to 6 3 ft. Spec. Cord. µMhos
time
Measuring Point is I• ft above land surface
Relative M.P. Elevation: ft Odor
sampling,
check
Volume of water pumped/bailed before sampling: gallons Appearance
here: ❑
Samples for metals were collected unfiltered: YES ❑ NO
and field acidified: ElYES NO
LABORATORY INFORMATION
Date sample analyzed:
_
Laboratory Name: _ v /if ,.n/e /r-,r`�-e �� Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N mg/I Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N C 0.!r- mg/I 11/� Zn - Zinc
Coliform: MF Total < l /100m1 / //),Phosphorus: Total as P mg/I '� !E
(Note: Use MPNmethod for highly to id samples) Orthophosphate mg/I Other (Specify CompoundnZ0tPat6n ns:
Dissolved 3
Solids: Total mg/I f /��
AI - Aluminum mgA
pH (when analyzed) units
Ba -Barium E I 1 2 2009
)
TOC ,trio mg/I 13 / 5-
`1
Ca - Calcium
Chloride mg/I
Cd - Cadmium mg4
Arsenic mg/I
Chromium: Total m11r] - A,,� 0-r Protection
Grease and Oils mg/I
Cu -,Copper mg/l.,\qo, ORGANICS: (by GC, GC/ PLC)
Phenol mg/I
Fe - Iron _Car (Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I $
Hg - Mercury r I Report Attached? ❑ Yes (1) El No (0)
"per
Specific Conductance 7 µMhos / �I�
K - Potassium mg/1 VOC method #
Total Ammonia Q, mg/I
Mg - Magnesium mg/I method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Totet)
Mn - Manganese mg/I , method #
TKN as N mg/1
Ni - Nickel mg/I , method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:. mg/L Effluent Total VOCs: mg/L - VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report
DWQ-certified laboratory� I am aware that there are siqnificant i)enalties for SUbmittiiQ
is IrUe, aCCUrate, and complete, and (hat the laboratory analytical data was produced using approveci methods of analysis by a
false itfornattot,- iticludiut thp. **%sihilitv if fiipq 2&d inariqaimoit car �isvjiiri xiial�tis­
eN ' 41b-n L46 I-e-e-GI
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of
GW-59 Rev.1/2007

c
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
e
EPARTMENT OF ENVIRONMENT &NATURAL RESOI�RCES
(VISION WAMU INFORMA7IQN PROCESSIHfa UNIT
COMPLIANCE REPORT FORM
.
s1i,Mgl1. RR ncECEN R, RALEIGH, NC 27699.1617. Phone: [phone].:.
FACILITY INFORMATION Please FrfatClearly orType
PERMIT Number: Expiration Date:
Facility Name: _-L"44 p y- 'j l L e-ty a4-ig- i J Lo i -P
Non -Discharge t J 4OL60 � b l i'o UIC
Permit Name (if different):
NPDES /,/t-,Doay �r-j Other
Facility Address: I C �i0 Gr 61e e2n�r� G
TYPE OF PERMITTED OPERATION BEING MONITORED
_
NC 00 1
County_1.,
�
El ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: p �►; I ; d ��2>rl 0 00
Telephone#: 70 q- e' %g- q 63o
❑ Rotary Distributor .Land Application of Sludge
Well Location/Site Name: W 49 T A
No. of wells to be sampled: _3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION I'
WELL ID NUMBER (from Permit):
11
Date sample collected: 1' I 0�
FIELD ANALYSES:
If WELL
AS
Well Depth: t
Well Diameter: ,,�_in.
/
pH units Temp. % eC
DRY at
Depth to Water Level:. ft below measuring
�_ g point
Screened Interval: ft. to So
ft. Spec. Cond. µMhos
time of
Measuring Point is . { ft. above land surface
Relative M.P. Elevation: 1p3 - ft.
Odor
sampling,
check
olume of water pumped/balled before sampling: ,�$� gallons
Appearance
here:
Samples for metals were collected unfiltered: EIYES ❑ NO
and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: C f off' A1.hen'
1
c4,c,/ n: T Certification No. 5` 110-3
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/l
Nitrite (NO2) as N mg/l
Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N p - mg/I
)���L Zn - Zinc mg/I.
Coliform: MF Total C ) /100ml l ��� %hosphorus: Total as P mg/I
(Note: use MPN method for highly turbid samples)
Dissolved Solids: Total y Z~) mg/l r 11z
Orthophosphate mg/I
Al - Aluminum mg/1
Other (Specify Compounds a n its):
pH when analyzed) units
� 5
Ba - Barium rig/I�—
TOC 1.13 mg/I �a
Ca - Calcium mg/l
Chloride mg/l
Cd - Cadmium mg/I
Pssing Unit
Arsenic mg/l
Chromium: Total mg/I
nt �NQ/BOG
Grease and Oils mg/I
Cu - Copper mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron mg/l
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury mg/I
Report Attached? ❑ Yes (1) El No (0)
Specific Conductance y) s µMhos
K - Potassium mg/I
VOC , method #
Total Ammonia mg/I �� /��
Mg - Magnesium mg/I
, method #
(Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Total)
Mn - Manganese mgll
, method #
TKN as N mg/1'
Ni - Nickel mg/l
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:. mg/L Effluent Total VOCs: _mg/L VOC Removal%
1Q. e4,
flee (or Authorized Agent) Name and Tide - Please print or type
L y
of Permittee
/,2`3 i
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM -
TY INFORMATION i-wase rnnr c:reany or Type
Name: C t 14 oT A.Ibe-,kre- W IA/ TO
Name (if different): VI 0 nnL 1,e A U e.
NC Z SO o) County 3. TZ IM
act Person: P h 1 le Telephone#: 7 Lf- � ° R 63 a
Location/Site Name: W W .` P No. of wells to be sampled:
PERMIT Number: Expiration Date:"TQt7
Non-Dischargevy O' D'D UIC
NPDES '4/L D Q `-) N y Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
U INtURDIATIUN
WELL ID NUMBER (from Permit): Wed -3
Date sample collected: % Y O 8
FIELD ANALYSES:
If WELL
WAS
Well Depth: S9 ft.
Well Diameter: Sin.
pH units Temp. /3 °C
DRY at
Depth to Water Level: _ft. below measuring point
Screened Intervai:3yt . ft. to5,�ft.
Spec. Cond. µMhos
time of
sampling,
Measuring Point is ,,�ft. above land surface
Relative M.P. Elevation: 436. tog ft.
Odor
check
olume of water pumped/bailed before sampling: 45 gallons
Appearance
here: ❑
Sam les for metals were collected unfiltered: ❑YES ElNO
and field acidified: ❑ YES ❑ NO
sample analyzed: Laboratory Name: C-4U D� �j�_�n��r(�� / �cs� Certification No.�o-3
tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NO2) as N mg/I Pb - Lead mg/l
Coliform: MF Fecal /100ml Nitrate (NO3) as N �, rp mg/l IV a6 Zn - Zinc mg/l:
Coliform: MF Total < if /100ml l�l��Phosphorus: Total as P mg/1
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration s)/
Dissolved Solids: Total. % 4 mg/I I I, 2S Al -Aluminum mg/l ��,� �A ED
pH (when analyzed) units ' 5- Ba - Barium mg/I
TOC O, % I mg/I Ca - Calcium mg/I s
Chloride mg/I
Arsenic mg/I
Grease and Oils mg/I
Phenol mg/I
Sulfate mg/l q
Specific Conductance 6 µMhos I I ,
Total Ammonia 0,1 mg/l I 1p 25
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen, Total)
TKN as N . mg/I
Cd - Cadmium
mg/1
Chromium: Total
mg/l
Cu -.Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/l
Mn - Manganese
mg/l
Ni - Nickel
mg/l
Unit
tn,orma hvnjnieOG
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Report Attached? ❑ Yes (1) ❑ No (0)
VOC method #
method #
method #
method #
t-or Kemeamation systems Only (Attach Lab Reports): Influent Total VOCs: . mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.1/2007 a
S �A�;.a��e r� r z.s es t✓ t,J �0

1
GW-59A COMPLIANCE REPORT FORM Permit #
(Submit one each monitoring period with GW-59 forms:)
-oter uate momtonng results were due. "
be submitted after the established due date?
report (GW-59
Was any required information missing on the GW-59 report forms? YES
IF the answer to question 9 or 2 is `YES" list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
2
W015 Sti1-$4 �c-%ie beev, S,t,,pled l,, 0c4obe_ t,.5�eg4 -og
3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Of ce for guidance.
4 Are any monitored constituents equal to or above the established standards?
YES NO/
If the answer to question 4 is 'NO", skip to section 8.
if the answer to question 4 is "YES" list the affected wells individually with constituents) and concentration(s)
exceeding standards in the space provided below.-
5 For the constituents identified in question 4 above, have standards been
same constituent(s) in the same well(s) in the last two,years?
the I YES I NO
If the answer to question 5 is "NO; skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
6 I Are the monitoring wells listed in section 5 located at or beyond the
!f the answer is "YES" a groundwater quality problem maybe occurring. CONTACT THE REGIONAI
OFFICE IMMEDIATELY FOR GUIDANCE, if the answer is "NO". monitoring wells maybe improperly
located, contact the Regional Office,
7 Is the permittee implementing previously approved actions required by the Divisio
groundwater quality problem?
If the answer to question 7 is 'YES", describe those actions in the space provided below.
if the answer to question 7 is "NO ;contact the Regional of it a urifhin on , r
Vc
�o
11 O M. o
8 The person comp Ling is on (GW-59A) of the mor,
form with G W-59�r ns for rred wells to the address
I hereby acknowledge that the above information was:e�r
r .P . (Compliance.Report GW 9A) is.true and t omoletE
(or
Agent)
Coring report should sign below and submit this
provided at the top of the current GW-59 form.
luated and -the mformatiori submitted its this
ia-tfie best of my knowledge
Date
YES I NO
YES I NO
L
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