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WQ0006906_Residual Annual Report 2020_20210212
Initial Review Reviewer Thornburg, Nathaniel Is this submittal an application? (Excluding additional information.)* r Yes r No If not an application what is the submittal type?* r Annual Report r Residual Annual Report r Additional Information r Other Annual Report Year* 2020 Permit Number (IR)* WQ0006906 Applicant/Permittee Town of Taylorsville Email Notifications Does this need review by the hydrogeologist?* r Yes r No Regional Office Mooresville CO Reviewer Admin Reviewer Submittal Form Project Contact Information Rease provide information on the person to be contacted by NM Staff Name * Brian Eades Email Address* sbe1963@yahoo.com electronic subnittal, confirmation of receipt, and other correspondence. Project Information ........ ......... .......................................................................................................................................... Application/Document Type* r New (Fee Req ui red) r Modification - Major (Fee Required) r Renewal with Major Modification (Fee Required) r Annual Report r Additional Information r Other Phone Number* 8286325280 O Modification - Minor C Renewal C GW-59, NDMR, NDMLR, NDAR-1, NDAR-2 r Residual Annual Report r Change of Ownership We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form. https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report Permit Type:* r Wastewater Irrigation r High -Rate Infiltration r Other Wastewater r Reclaimed Water r Closed -Loop Recycle r Residuals r Single -Family Residence Wastewater r Other Irrigation Permit Number:* W00006906 Fbs Current Existing permt number Applicant/Permittee Address* 67 Main Avenue Drive Facility Name * Town of Taylorsville RLAP Please provide comments/notes on your current submittal below. At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here.* (Application Form Engineering Rans, Specifications, Calculations, Bc.) Taylorsville Land Application Program.pdf 1.03MB Upload only 1 FLFdocurrent (less than 250IVB). NLRiple documents rust be combined into one FDFfile unless file is larger than upload limit. * V By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has been received by the Non - Discharge Branch. Application fees must be submitted by check or money order and made payable to the North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts of the application in correct order (as specified by the application). Mail payment to: NCDEQ — Division of Water Resources Attn: Non -Discharge Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Signature Submission Date 2/12/2021 2020 Town,of Taylo.rsville Wastewater Treatment Plant - 2020 Annual Report Land Application Program Permit No. WQ0006906 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. W00006906 Facility Name: Town of Taylorsvil le Residual Source WQ # or NPDES #: • 11 I WOO WWTP Name: Town of Taylorsvilie Residual alvsis Data Laboratory. 1) Waypoint Analytical 2) 3) 4) S) Parameter •Sample Limit. or CompositeDate Chromium Total. . 1111 For surface surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "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 penalt or submitting false information, including the possibility of fines and 7/7 nment for knowing violations," LJ Sig azure &Preparer Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar year. Use additional forms as needed. WQ Permit Number: WQ0006906 Laboratory: 1) Waypoint Analytical Facility Name: Town of Taylorsville 2) Residual Source NPDES # or WQ#: �111.'1. WWTP Name: Town of Taylorsville Residual Analvsis Data 3) 4) 5) , Parameter CompositeSample or --� I Magnesium 11 --_--_--� Potassium "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 signifie t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature o1 Prt�arer * *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM RSSF - B (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: Permit #; Operator: Acres Used: Town of Taylorsville Total Dry Tons Applied (Annual): 14.11 WQ006906 Cation Exchange Capacity (non 503 only); - Carol Price Owner: Carol Price Predominant Soil Series: ^ F eB2 7 Acres Permitted: 7 Site It: CHI Field #: CP01 Residual Analysis Data (Heavy Metals and Total Phosphorus use mglkg, % Solids use Raw Percent # .. , © © a C1 o r•! � iD in ,. • ., tltt Annual Heavy Metal Field Loadings (Calculated in Ibslacre): Total 1 2 L_3j 41 5j 61 L2J8 91 10 11 12 DTIA0 0 App. Pvent 2.02 Arsenic 0.043 0.000 0.000 0.000 0.000 0.000 0,000 0,000 0.000 0,000 0.000 0.000 0.043 Cadmium 0.009 0.000 0.000 0.000 WOW 0.000 OA00 0.000 0.000 0.000 0.000 0.000 0.009 Copper 0.883 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.883 Chromium 0.065 O.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.065 Lead 0.053 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.053 Mercury 0,002 0,000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.002 Molyb- 0,021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Moms denum Nickel 0.040 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0,040 Selenium 0,043 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.043 Zinc 3.575 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.575 Total Phos- 40.300 0.000 0,000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 40,300 norus "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land App}ier 9-4-w.al 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 PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Town ofTaylorsville Land Owner: Carol Price Operator: Carol Price Crop I Name: Fescue WQ Permit #: WQ006906 Field #: CP 01 Acres Utilized: 7 Annual Dry Tons Applied: 14.1027 Site #: CP 01 Acres Permitted: 7 Predominant Soil Series: F e82 Cation Exchange Capacity (non 503): Crop I Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN. L a C ❑ Volume applied eater one Solids/ ( ) 1_iq�cid Cu. Yds Ia�i10nS o /a Solids Volume pP i' per Applied r Acre (Dry TondAc) Residual Sources (NPDFS #. WQ#. Fert.. Animal Waste. C[C) Soil Cond. (Dry. (D Wet Moist) Precip, Past 24 Hrs. ireches a K a n . c w M * c o K 70 * • TKN mglkg Z a 3 8 9 mglkg Nitrate and Nitrite mglkg PAN Applied ({bs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop I Crop 2 10-2020 71500 4.73 2.015 WQ006906 dry 0 s 0_5 0.3 36600 4150 104 48.006 NA Fescue 0.000 0.000 0.000 0.000 0.000 1 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 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 0.000 0.000 Residuals Applications totals on FORM FSF sup ( attach FORM FSF supp to this form): TOTALS: 01 71500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 48.006 0.000 Lime A lied Arinuallbs/acre 0.043 0.009 0.883 0.065 0.053 0.002 0.021 0.040 0.043 3.575 40.300 Date ]bs/ac Prior Years Cumulative lbs/ac 0.041 0.022 2.618 0.229 0.189 0.007 0.059 0.106 0.061 8.051 0 Current Cumulative Ibs/ac 0.084 0.031 3.501 0.294 0242 0.009 0.080 0.t46 0.104 11.626 Permitted C. P. L. R.**** 36 34 1338 NA 267 15 1 NA 374 1 89 2498 Permit PAN Limit I st/2nd Crop F 194 "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 of Land Applier Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate. Surface -a.5, Injection/]ncorporation - 1.0 *** Mineralization Rates: Compost -0.1, anserobially 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: Town of Tayiorsville Total pry Tons Applied (Annual): 38.46 Permit #: W0006906 Cation Exchange Capacity (non 503 only): Operator: Phillip Hoover Owner: Phillip Hoover Predominant Soil Series: PcR2 Acres Used: 14.7 Acres Permitted: 14.7 Site #: PH 01 Field #: PH 01 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent 4): um"19ma COM- posite Date Total Phos- Annual Heavy Metal Field Loadings (Calculated in Ibs/acre): Total 1 2 3 4 5 6 7 8j L�Ll LOJ 12 DT/Ac./ 0 APp• W Event 2,62 Arsenic 0.055 0.000 0.000 0.000 1 0,000 0,000 0,000 0.000 0.000 0.000 1 0.000 0.000 0.055 Cadmium 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0,000 0.000 0.000 0.011 Copper 1.146 0.000 0.000 0.000 O,000 0.000 0,000 0.000 0.000 0,000 0.000 0,000 1.146 Chromium 0.085 0,000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0,000 0,000 000 0.085 Lead 0.069 0,000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 1 0,000 0,000 0,000 0.069 Mercury 0.002 0,000 0.000 0.000 0.000 0.000 0,000 1 0.000 0.000 0.000 0.000 0,000 0.002 Molyb- 0.028 0.000 0.000 0,000 0.000 0.000 0.000 0,000 0,000 0.000 0.000 0,000 0.028 enurn Nickel 0.052 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0,000 0.000 0.052 Selenium 0.055 1 0.000 0.000 0,000 1 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.055 Zinc 4.641 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.641 Total Phos- 52.320 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0,000 52.320 ltorus "1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. l am aware that there are significant penalties for submitting false information, including the possibility of tines and imprisonment for knowing violations". 1;�.• _ a-4-1-2d Signature of Land Applier Date DENR FORM MFLSF (1212006) 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 "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE, Facility Name: Town ofTaylorsville Land Owner: Phillip Hoover Operator: Phillip Hoover Crop 1 Name.: Fescue WQ Permit #: WQ006906 Field #: PH 01 Acres Utilized- 14.7 Annual Dry Tows Applied: 38.4620 Site #: PH 01 Acres Permitted: 14.7 Predominant Soil Series: PcB2 Cation Exchange Capacity (non 503): Crop 1 Max. PAN: 194 Crop 2 Dame: Crop 2 Max. PAN: c 0 Volume applied (enter one) Solids/ Liquid Co. Yds Gallons % Solids Volume Applied r 1 Acre (Dry Tons/Ac) Residual Sources (NPDES #. W Q#. Fart.. Animal W etc) Soil Cond. (Dry. moist) Precip. Past 24 Hrs. tnches > ' a �� o ` ' a p a * � * TKN Mpg z 3 rZ o3 MQPKfl Nitrate and Nitrite mglkg PAN Albspplied ( } Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crap 1 Crop 1 7-2020 195000 4.73 2.616 WQ006906 dry 0 s 0.5 0.3 36600 4150 104 62.345 NA Fescue 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 0.000 0.000 0,000 4.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.0W 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS4 of 195000 As Cd Cu Cr Pb H& Mo Ni Se Zn P 62.345 1 0.000 Lime Applied Annuallbs/acre 0.055 0.011 1.146 0.095 0.069 0.002 0.028 0.052 0,055 4,641 52.320 Date lbs/ac Prior Years Cumulative lbs/ac 0,317 0.043 5.702 0.545 0.379 0.014 0-113 0.258 6.996 104.336 0 Current Cumulative lbstac 0372 0.054 6.849 0.630 0.448 0.016 0.141 03I0 6.951 108,977 Permitted C. P. L. R.**** 36 34 1338 NA 267 15 NA 374 89 2498 Permit PAN Limit lst/2nd Crop I J 194 "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 property 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." of Land Applier 2-y -a Date *Application Method: S - Surface, IN - injection, INC- Incorporation `Volatilization Rate: Surface - 0.5, Injectiontincorporation -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 (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: Permit #: Operator: Acres Used: Town of Taylorsv_ille Total Dry Tons Applied (Annual): 23.07 WQ006906 Cation Exchange Capacity (non 503 only): Clyde Hendren Owner: Clyde Hendren Predominant Soil Series: CeB2 9.3 Acres Permitted: 9.3 Site H. CH 02 Field 9: CH 02 Residual Analysis Data (HeaKy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- Date Total Phos- �_phorus'WEEEEEENEEEE_ Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total i 11 2 3j L4J 5j 8 78 9 10 11 12 DT/Ac./ App. vo Event 2.48 .. Arsenic 0.053 1 0.000 0.000 0,000 1 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0,000 0.053 Cadmium 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.011 Copper 1.087 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 1.087 Chromium 0.080 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,080 Lead 0.065 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.065 Mercury 0,002 0.000 0.000 0.000 0,000 0.000 0.000 0.000 1 0.000 0.000 0.000 0,000 0.002 Molyb- 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0,000 0.026 denum Nickel 0A50 0.000 1 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 1 0.000 0.000 0.050 Selenium 0.053 0,000 0,000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.053 Zinc 4.401 0,000 0,000 0.000 0.000 0.000 0-000 0.000 0.000 0.000 0.000 0,000 4,401 Total Phos- 49.620 0,000 0.000 0.000 0.000 0,000 0.000 0.000 0,000 0.000 0.000 0.000 49,620 horus "I certify, under penalty of law, that this document was prepared under may 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". Signatu a of Land Applier 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 PLACE A "NIA" 1N A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Town ofTaylorsville WQ Permit#. WQ006906 Field #: CH 02 Acres Utilized: 9.3 Land Owner: Clyde Hendren Annual Dry Tons Applied: 23.0772 Site #: CH 02 Acres Permitted: 9.3 Operator: Clyde Hendren Predominant Soil Series: CcB2 Cation Exchange Capacity (nowt 503): Crop I Name: Fescue Crop 1 Max. PAN: 209 Crop 2 Name: Crop 2 Max. PAN: p Y w Volume applied (enter one) Solids/ Li uid 9 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/AG) Residual Sources ( Np[3F.,S #, W Fert.. Animal Waste, etc) Soil Cond. (DrY' WcL Moist) Precip. Past 24 Firs. inches > a 2_ n w --. # ' o X F - ;� �' + 3 w ry • -' • r c 0 TKN �k9 z > - o 1 ° m mglkg Nitrate and Nitrite mq/kq PAN Applied ( lbslacre) Name of'Crop Type Receiving Residual Application Crop 1 p Cra 2 P Crop 1 P Crop 2 P 5-2020 117001) 4.73 2.481 W0006906 dry 0 S 0.5 1 0.3 36600 4150 )04 59.I27 NA Fescue 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 0.000 0.000 a000 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 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp (at chFORM FSF su p to this form): TOTALST 01 117000 As Cd Cu Cr Pb H Mo Ni Se Zn P 19.127 0.000 Lime A lied Annuallbs/acre 0.053 0.011 1.087 0,090 0,065 0.002 0.026 0.050 0,053 4,401 49.620 0 4.401 2498 Date lb5/ac Prior Years Cumulative lbs/ae 0 0 0 0 0 0 0 0 0 0 Current Cumulative lbs/ac 0.053 0,011 1.087 0.080 0.065 0.002 0.026 0.050 0.053 Permitted C. P. L. R.**** 36 34 1 1338 NA 1 267 15 NA 374 89 Permit PAIN Limit Ist/2nd Crop F 209 "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." N Signaturtfof Land Applier a.- 44-i0s Date *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 (12/2D06) 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: Town of Taylorsville Total Dry Tons Applied (Annual): _ WQ006906 Cation Exchange Capacity (non 503 only): Clyde Hendren Owner: Clyde Hendren Predominant Soil Series: 23.4 Acres Permitted: 23.4 Site #: CH 01 Field #: CH 01 35.90 PcB2 Residual Analvsis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): .. Molyb-'M mmmmmmmmmml Total Phos- t�►� Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total i 11 2 3 41 5 1 ti 7 8 Al 10 ill 12 DT/Ac./ App. m rA Event 1.53 Arsenic 0.033 0,000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.033 Cadmium 0.007 0.000 0,000 0.000 0.00o 0.000 0.00o 0.000 0.000 0.000 0.000 0.000 0.007 Copper 0,672 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0A00 0.000 0.672 Chromium 0.050 0.000 0.000 0.000 0.000 0.0o0 0.000 0.000 0.000 0.000 0.000 0,000 0,050 Lead 0.040 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.040 Mercury 0.001 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.016 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,016 denum N ickel 0.031 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0,000 0.000 0.000 0,031 Selenium 0.033 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 Zinc 2.721 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0,000 0.000 0,000 2,721 `rota I Pros- 30.680 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 30.680 horus "1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. l am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 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 PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Town of Taylorsville Land Owner: Clyde Hendren Operator: Clyde Hendren Crop 1 Name: Fescue WQ Permit #: WQ006906 Annual Dry Tons Applied: 35.8979 Predominant Soil Series: Pcg2 Field #: CH 01 Acres Utilized: 23A Site #: CH 01 Acres Permitted: 23.4 Cation Exchange Capacity (non 503). Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN: a y 0 o ed Volume applied (enter one) Solids! Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (DryTanslAc) Residual &iurces NPDES 11. W # ( 0 Fert., Animal Waste. etc) Soil Cond. (1M. WeL Moist) Precip. Past 24 Hrs. inra,es a _� v r ' o m Z - 0 A * ti' m TKN mgg z a c R a "glk9 Nitrate and Mirk m9A9 PAN Applied ( lhs/acre) Name of Crap Type Receiving Residual Applieation Crop 1 Crop 2 Crop I Crop 2 5-2020 192000 4.73 1.534 W0006906 dry 0 s 0.5 0.3 36600 1 4150 104 36.554 NA Fescuc 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 0.000 0,000 0.000 0.000 0.000 0.000 Ono 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 o.00o Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 'TOTALS: 01 182000 As Cd Cu Cr Pb Hg Mo Ni Se Zn I P 36.554 0.000 Lime Applied Annuallbs/acre 0.033 0.007 0.672 0.050 0.040 0.001 0.016 0,031 0.033 2.721 30.680 Date lbs/ac Prior Years Cumulative lbs/ac 0.043 0.022 3.014 0.279 0.2 0.008 0.057 0.134 2.238 37.609 0 Current Cumulative lbs/ac 0.076 0.029 3.686 0.329 0.240 0.0W 0.073 0.165 2.271 40.330 Permitted C. P. L. R.**** 36 1 34 1 1338 NA 1 267 1 15 L NA 1 374 89 2498 Permit PAN Limit Ist/2nd Crop 194 9 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 properiy 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 of Land Applier .202 Date *Application Method: S -Surface, 1N - Injection, INC - Incorporation *"Volatilization Rate: Surface - 0.5, Injection/Ineorporstion - 1.0 * * * Mineralization Rates: Compost -0.1, anserobially 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: Permit #: Operator: Acres Used: Town of Taylorsville Total Dry Tons Applied (Annual): WQ006906 Cation Exchange Capacity (non 503 only): Owen Icenhour Owner: Owen Icenhour Predominant Soil Series; 19.3 Acres Permitted: 19.3 Site #: 0801 Field #: 135.79 Ce82 08 011 Ri-QW11At Analvcic Data (Heavv Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Total Annual Heavy Metal Field Loadings (Calculated in Ibs/acre): Total 1 _2j 3j 41 6 _7j 81 91 i0j ill 14 OT/Ac.I App. ;vent 7.04 Arsenic 1 0.149 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.149 Cadmium 0.030 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 Copper 3.082 0.000 0.000 0.000 0.000 0.000 0.000 0A00 0.000 0.000 0.000 0.000 3,082 Chromium 0.228 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.228 Lead 0.186 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.186 Mercury 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Molyb- 0.075 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.075 denum N ickel 0.141 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.141 Selenium 0.149 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.149 Zinc 12.482 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12.482 Total Phos- 140.720 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0A00 140.72 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". �f Signat re of Land Applier 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 PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: 'Town of `T'aylorsville WQ Permit #: WQ006906 Field #: 08 01 Acres Utilized: 19.3 Land Owner: Owen Icenbour Operator: Owen Icenhour Crop 1 Name: Fescue Annual Dry Tons Applied- 135.8004 Site #: 08 01 Acres Permitted: 19.3 Predominant Soil Series: CeB2 Cation Exchange Capacity (non 503): Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN: s R Volume applied (enter one) Solidsf Li uid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry ToRstAc) Residual Sources (NPDFS k WQ#. Fort.. Animal W� etc} Soil Cand. 1D�' et. Moist) Precip. Past 24 Hrs. irteneS 'a al CL c m ` m * -' * 17�N mglky `, 3. mglkg Nitrate and Nitrite mglkg PAN Applied ibslacre ( ) Name of Crop Type Receiving Residual Application Crop i Crop 2 Crap 1 Crop 2 5-2020 227500 4.73 2.325 WQ006906 dry 1 0 s 0.5 0.3 36600 4150 104 55.400 NA Fescue 7-2020 234000 4.73 2.391 W0006906 dry 0 s 0.5 0.3 36600 4150 104 56.983 NA Fescue 10-2020 227000 4.73 2.320 WQOD6906 dry 0 s 0.5 0.3 36600 4150 104 55.279 NA Fescue 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 0.000 0.000 0.000 0.000 0.000 D D00 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF su to this form): TOTALS: a 6sasoo As Cd Cu Cr Pb H Mo Ni Se Zn P 167.661 0.000 Lime Applied Annuallbs/acre 0.149 1 0.030 3.082 0.229 0.186 0.007 0.075 0.141 0.149 12.482 140.720 1 Date 1bs/ac Prior- Years Cumulative lbs/ac 0.33 0.218 15.258 1.793 2.821 0.182 0.459 1928 4.196 128,705 0 Current Cumulative lbs/ac 0.479 0.248 38.340 2.021 3.007 0.189 0.534 3.069 4.335 141.187 Permitted C. P. L. R.**** 36 34 1338 NA 267 15 NA i 374 89 2498 Permit PAN Limit lst/2nd Crop 1216 "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." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1� O� 1 **Volatilization Rate: Surface - 0.5, lnjectionllncorporation - 1.0 JF Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -OA ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (1212006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: Town of Taylorsvilie WQ Permit Number. WQ0006906 WWTP Name: Town of Taylorsville WWTP NPDES Number: NCO026271 Monitoring Period: From l /l /2020 To 12/31 /2020 pafhnnan Redurtinn (tJ;A NCAC 02T A 106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) D I Alt B (Alk Treatment)❑ Alt. C (Prior Testin )❑ Alt.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑ If applicable to alternative perfonned (Class A only) indicate `Process to Further Reduce Pathogens": Compost ❑ Heat Drying 0 Heat Treatment C7 Thermophilic 0 Beta Ray ❑ Gamma Ra ❑ Pasteurization Cl (i) Fecal Density C3 Alt. (2) Process to Siytiftcantly Reduce Pathogens 0 Class B: JAIL 1f applicable to alternative performed (Class B only) Indicate "Process to Significantly Reduce Pathogens": Lime Stabilization 0 Air Drying C1 Composting ❑ jAerobie Digestion Cl Anaerobic Di estior. ❑ If applicable to alternative pe med (Class A or Class B) complete the following monitoring data: Allowable Level Pathogen Density Number Frequency Sample Techca Parameter in Sludge g Minimum Geo. Mean Maximo Units of Analysis y Y ' Type 2x 10tothe MPN 6th power per gram of Fecal Coliform total solids CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria 3 MPN per 4 grams (in lieu of fecal total solid (dry coliform) weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.l {VS reduction) ❑ Alt. 2 (40-day bench) Ca Alt. 3 (30-day bench) 0 Alt. 4 (Spec. O, uptake) Ll Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 0 Alt 7 (Drying - Stable) G JAR, 8 (Drying - Unstable) LJ All, 9 (injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) 0 9 certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T A 107 have been met." ❑ i°I certify, under penalty of law, that the pathogen requirements in 1SA NCAC 02T A106 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 tine and imprisonment." r.> � O sr Korx— L�r `�� Dennis Key US Biosolids, Inc. Prepay ame a d Title (type or print) Land Applier Name and Title (if applicable)(type or print) Signature of Preparer* Date 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) Waypointo ANALYTICAL 46381 Southern Soil Builders Dennis Key 958 Hoots Road Roaring River , NC 2W9 Report Number : 20-132-0003 Lab No : 71301 Sample ID : Taylorsrille Test 7621 Whitepine Road, Richmond, VA 23237 Main 804-743.9401. 6 Fax $04-271-6446 w ww.w$ypc0ta nalyticai-torn Project Taylorsville Information : REPORT OFANAL YSL'!; Results Units MOL Report Date: 05/19/2020 Received : 05/11/2020 p Pauric McGroary Agronomist Matrix: Solids Sampled: 5/ 6 / 202011.30 OF Date I Time By Anslylical Analyzed Method Moisture 95.3 % 0,010 1 0511212016:27 CJR SM-2S40G Test Results Units MQL OF Date f Time By Analytical Analyzed Method Ammonia Nitrogen 41SO mg/Kg - dry 2130 1 05/18/20 15:00 JPJ 5M-4500-NH3C Nitrate+Nitrite-N <104 mg/Kg - dry 104 k 05/18120 09:14 ZBD 4500NO3F-2011 Organic N 32600 mg/Kg - dry 5320 1 05/18/20 10:00 CALCULATION PH 12.2 s.u. 1 05/18/20 05:32 JSL 9045D Total Solids 4.73 % 0.010 1 05/12/20 16:27 CIR SM-2540G Total Kjelddhl Nitrogen 366W mg/Kg - dry 5320 1 (15/18/20 10:00 JPJ ;M-4500-NH3G-TKP Phosphorus 10060 mg/Kg - dry 106 1 05/14/20 21:27 TJS 6010D Aluminum 9260 rng]Kg - dry 106 1 05/14/20 21:27 TIS 6010D Arsenic <10.6 mS/Xg - dry 10.6 1 05/14/20 21:27 TJS 6010D Calcium 169000 mg/Kg dry 1060 1 05/14/20 21.27 TJS 6010D Cadmium {2,13 mg/Kg - dry 2,13 1 05/14/20 21:27 TJS. 6010D Chromium 16.2 m9/Kg - dry 5.32 1 05/14/20 21:27 TJS 6010D Copper 219 mg/K9 - dry 10.6 1 05/14/20 21:27 TJS 60100 Iron 6620 mg/K9 - dry 213 1 0S/14/20 21:27 TJS 60101) Lead 13.2 mg/Kg - dry 6.38 1 05/14/20 21:27 TJS 6010D Magnesium 2700 mg/Kg - dry 106 1 05/14/20 21:77 TJS 6010D Manganese 124 mg/Kg - dry 10.6 1 05/15/20 14:57 TJS 6010D Qualifiers/ DF Dilution Factor 1. Limit Exceeded Definitions MQL Method QuantitaRon Limit Page 3 of 6 waypointo ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804444.94011 Fax 804.171-6446 www.waypoin to nalyticat.tom 46381 Southern Soil Builders Dennis Key Project TayiorsAlle Report Date: 05119/2020 958 Hoots Road Wormation Received : 05/11/2020 Roaring River , NC 28669 or 6��/ �ay.f[4�i'"" IQEAWTOFANA1YSIS Pgurn McGroary mist Report Number : z0-132-0003 Agronomist Lab No: 71301 Matrix; Solids Sample ID -. Taylorsville Sampled; 5/6/7020 11.30 Test Results Units MOL OF Data I Time By Analytical Analyzed Method Mercury 0.477 m9/Kg - dry 0.332 1 05/14/20 11:29 DDB SW-74710 Mdybderxxn <5,32 mg/Kg - dry 5.32 1 05/14/20 21:27 T)S 6010© Nickel 10.0 mgXg - dry 5.32 1 05/14/20 21:27 T)5 60101) Potassium 1430 mg/Kg - dry 213 1 05/14/20 21:27 TJS 6010D Selenium <10.6 mg/Kg - dry 10.6 1 05/14/20 21:27 T]S 6010D Sodium 1190 mg/Kg - dry 532 1 05/14/20 21:27 TJS 60101) Zinc 887 mg/Kg - dry 26.6 1 05/14/20 210 T]S 60100 Sulfur 5830 mg/Kg - dry 213 1 05/14/20 21:27 T]5 6010D Qualifiers/ DF Dilution Factor L Limit Exceeded Def9nitl°ns MQL Method Quanbtabon Limit Page 4 of 6 SAR Sodium Absorption Ratio No: Sodium (Mg1L) Equivalent weight: 23 Ca: Calcium (MgIL) Equivalent weight: 20 Mg: Magnesium (Mg/L) Equivalent weight- 12 Milli Equivalent = MgIL 1 Equivalent weight Na M IL Ca M IL M M !L 56.287 1 7993.7 127.71 No LE Ca (ME) MQ (ME) 2,447261 399.685 1 10,6425 SAR= No Milli Equivalent4O.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 Power SAR = 0.170856 (From MgIL entered above) I SAR= 0,171047 (From ME entered below) Na(ME) Ca_ (ME) Ma IMEI 2,45 399.69 10.64 The amour amount of 4 Permitting PAN 0a3 3660H3 I NO3 NOZ PAN Surface 11815 m /k 23.63 Ibs/dry ton 0 ibs total PAN #DIV10! jibs PAN/acre PAN Injection 138901 mg1kg 27.78 Ibaldry ton 0 lbs total PAN #DIV/01 jibs PAN/acre Dry Tonsil00fl ga1. 0.197241 771 1st year PAN Ibs.lacre Surface lbs. Surface 01 #D IV/01 1st year PAN Ibs.lacre injected Ibs. Injected 01 #D1V10! °/a Solids I tonsivear Applied on 0.0473 MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mgfkg mg/kg x .002=lbsldry ton MR(TKN-NH3)+ 1(NH3)+NO3+NO2 =mg/kg mg/kg x .002=ibs/dry ton 1000 X 8.34 X %solids X so. gravity"=dry tonsil0009aI_" 2000 N 'r 0 H m C> N [V 01) TO N co N CD H N m �J (? m LLI 7 lY W E w C2 r CM C> [V 0 lt Lima Stabilization Project: _ town of T loravyIG wWTP - --w Location; Data; "3 a� Lei inme; 7 a a b�ID�: i Z LoZar TIMwI Lvd Ga"Ons p atart arn—c HAdded `� bmp Biter 2 figure -Conto H pt. � temp. a tag 22 ftwe rr e H f'Z{�aaa-� •� /Z �J(, OIL fZ.L� ZL�i- %L•ZO Z.C�l �` %Z.O�. SM Hepulmmw t: 12fthixn fA*d pH 1plam immetll * a IW Ime addition. PH, regdlnpa 1el;en with An approved low aadiltrn g au sWroft pmbo, pH Matey was o0brated la a pH of 10 prior to sampling. 11aNMOM H. in cn 0 ti N M to N co v to co rn w on �n 00 m 00 N iD N ti m H N a H Ld tB 0 m r 0 N _O m LL Lime Stabilization Prrajad; 'Town of Ta`ylorsvUle IA WIrP Date. zo Time, O o wwt pH Added pH&tompxftw $ hold's �£ EL �i�'�► �' 22 hours LS1i:�ir 8� v 3 w3FMQUl(GwHmw 72MInimto" Stkrt pH taken Immedial* a1lar Nms addRion. pH. readngs taken vAth in approved low sodium 9i we *1001rodo pmbs. pH M mer *nag nablbrated is a pH of 10 prior to mn"pting, LO 11 R rmmgwl Itt" 2 as p N C7 CD OD Go E CO r N N Q m LL Lime Slabiiization Pro)": "favirn of T &rsville WWTI' t ocetion: - - r.r...w Date: 2 zw � � txIw: ? t3` 201 v � date; ,nme: r7 � o o Time: t 'nine, a 9v GallonsP'R" +imp. Ali. Irro�c amine & tamp �I Corrected �Wr Corrected $tart_ Added 2 hours of,- 22 hours_ joo,00v f t.t� ?-4'` JL.i+3 ,ri►,�, ���'" fZ,t� �z.'�-- /�..�3 /x.oa �y �`' �l.i�� t rntor! E05 FAgLAwn9Wr,* 1V mwh4$M t Iikd pH taken irnmedlataly dw Ime addition. . pH.madanp taken with an appro ad law wd un $Oaee aWirodo probe. pH h%mr wan c afttaled to a pH of 10 prior to sempll»g, 0 A n arwnt A H pJp Lf1 fn b N chi CD CO (N 03 m r— nn to ct, to N m N m r-1 CV m Lime SUbil€zation P"44 ot: ''own of T �i _...... Location: DI _ Date; z Deter; z o s v Det�; 3 z C 2�► w Tune: I z o Time: O -u-4a .� lunar . C, llo Werimp,a orr�sat �_ ms tamp q 2 hours wedph & %MP. iB1 22 hours rr9Ctai Norm. m fl"Uiml #nw 121 mimiyn - BWrt pH taken Immadlately after kme addition. • pH.►eadlnoetekien with mn approved low sodium gkw owArWo pmbo. pH Meru was oOWa*d Ida phi of i o prior to wnplin$. y Qpmrstor: ADA I ti lJlhvmtNn a Cn CO r` LO LD m m f Q CO N m .i N CO CO N CO N F A tr LL r Lime blabllixetlon r prajeots _ Town of, T C reAlfe wwrp Location. /, v b Dated -3 7L Date. hr -Ld oats: 3 / Time• lime: a Times 60 Gallons Sty p lamp. OR.E12 -It�ivi Added p tamp aitsr tw 2 hours0 Mr*. #ett f 9� ��''c'? ��;�a4� ,Zt ?2'c" /Z•%-'1- 1Z,0$ $"'iii` 0-50 Notes: SOPMjk ffAnik litNlfnh►arlN i �r�niim - SWO pH taken Im m"aWy nfter Jam wMaion. }h_r$gd4 ► s taken **tan approved iow eoCkLiM glass sirxirotla prnbo. pH Mow Warr od brawl eo a pH of 10 POArIW INSOA". b Operatm f Llano Stabilization Projeut: 'Townof TaylarsviNe 1NWTP Location: lv br- �.�_ Data: Ia z.y �,uO Y'me: u Uv Data: /o z! Za�-o ] Dates: o flrne• o ,o Time. 4,YOO da ons OH, p, iat. start i'reGted ame ALdde d PH & temp after 2 hours Carted �H ph & tenw. air 22 hours Correctf�c3 _ EH C� /"UiAOIf f /� _ �F .aG 1H� �Z•T3 SO�%n /3.yi 2-v- 12- /Z.ZO Z1a� p /�.OQ WS Hagdremenls- 19 MiniMIJIn Notes: Stbrt pH taken Imrnedlat* after Irno addition. pH.readWW taken with an alwoved iow podium glass r ndrodo probe. iH Moter was caftlbrated to Fl phi of 10 prior to samPllnA. i 4perratar: 11 R WOM111n Analytical Results �`s�x: U.S. BiosoIFds Inc 958 Hoots Road Roaring River,.NC 28669 Receive Date., 06/0112.020 Reported. 06/23/2020 For, Taylorsville Comments., Sample Number Parameter Sample ID Result Unit. Method Analyzed Analyst. 200601-14.01 Corrosivity Taylorsville See Attached SW-045 06/0212020 PACE 200601-.14.01 Ignitability Taylorsville See Attached to�0M 06/02/2020 PACE 20060.1.14-01 Reactivity Taylorsville See Attached sw4m 06102/2020 PACE 200601-14.01 TCLP Taylorsville See Attached as Noted 06/02/2020 FACE Respectfully submitted, & -'t ,JI 1? " , Dena Myers NC Cert. #440; NCDW Cert #37765, EPA #NC0.0909 PO Box 228 • Statesville, NC 28687 + 704/872/4697 Page 1 of 42 Condition of Receipt Sample Number 200601-14-01 Temp on Arrival: 3.2 Parameter Schedule: Reactivity Received on Ice Parameter Schedule: Cormalvity Received on Ice Parameter Schedule: Ignitability Received on Ice Parameter Schedule: TCLP Received on Ice PO Box 228 • Statesville, NC 28687. 704/872/4697 Page 2 of 42 — Cher-t i.o� nc. ItTAT ES Q► a G #_f ANALY MAL 1220uafted rn.WM728 Sug"tim.;l 2 W 47M) M4697 Chain of Ctlatody Rewrd Address: tiM C ,Ga _. Conted Pwson: E t L Phone d �G' )y)- 64io FAX# PQ #t HequWOwwd by Dab) awn* ror WOO If tafo DOB �S W 15 aMn M wlrals r,na d'J-a u tLP .------ ! Rellnquished by: Received bym : Ralinqufshad by: Received by: COOMMMS Time begin Time and Time begin Time and IA am, pm Date jw! am, pm Date _J_ J— am, pm Date —J—J" am, pm Date —I__. l- _--- Time arrr, mate �l�� Sampled by: J Tie am pm Data i U LbA L! Transported by: Time am, prn pate —J-1— Holding times met: Trna aria, pm Dale Cwoance work- Non-complWnce work: Lab Comrnana6: Sampla4Tfropoded On aoa ins A rV x Pow Andydcll SwvkM, LLO 9WO KW" Ave, 3wW 1 M Huroww4a, NC 2507% i7041e75-2im AMALYTICAL RESULTS pmod: US Sio-7ayloeaville Pace Prgdct No-, 92479946 fampb: 2811001.14 Lab 16: f24794 SW Collected; 06101I7013100 Received; 06I02120 t4A6 Mahc Slid mm wft npa7rd as a dy w@Wr bamb aed ow aqusrd Aw msmo mob&^ ssee % I sko aced eery dIlla6fons. Parsmestars Results kkft Rmpwt Lkk OF Peepamd Analyzed CAS Nm a" CMoelaaud Nab. MM 9161A AnaiyWW M dmi: EPA8151A Pmpwobw Mmthod: 8151A LeaChaieMWhodMDM*,, 1311;08HIM20:14 Ir"pH: MIT; FOW PH:6.47 Pace Ne mmw - La..k4lat 2,4.5-TP(Sllvmx) NO M91L 0.00200 1 06M? OOT11 0W1IZ%16;09 9372-1 2,4-0 NO mglL 0.00200 1 W17M 07:11 06112d201649 94-75.7 2.4-DC,Ap(S) 15.2 % 14.0.156 1 08M212007:11 0WIM1609 19719-2" 8017CLPPeabbIdas RYE Analytical Melhad: EPA 80819 Prepwobw Method: EPA3510C Lwdratm MethodMatw EPA 1311; oer03120 1502 Initial pH: 5.97; Final pH: 5 Pace Analytical Swvloos - Charioite gatrsme-BHC (Linden) NO uplL 0.W 1 06K& 010:06 06111/20 13:23 6840.9 Chbedene (Tedenkat) NO u91L 30 1 06ADVA 10 08 0811112018:23 57-74-9 Endrke NO V911- 0.50 1 08105 M lo-.06 06/111201813 72-20-8 Hspmddor NO ug& 0.50 1 06IDCi+2010:06 06111=18;23 18.44-8 Fiaptachlorspoxlde NO ugA. 0.50 1 OWI06r20IM W11W15Z 102457-3 Mmthoxyddor NO u91L 1000 1 0510tiJI010:05 M11f20180 72-43-5 Tortephene ND U91L 3.0 1 OsKW10I" 0811112018:23 8MI35-2 Dacad,tornlaiphmryl (s) 110 % 10.138 1 06KWM 10:06 06111120 1823 2051-24-3 Tabaddorpm-xyisne (S) 100 % 10-110 1 O6d0512010:08 06111/2010:23 8774)" 6062 TCLP PCBs RYE An*bcai Msdgd EPA 9082A Preparation Mmdsod7 EPA 3510C Leadiaf MobodCotw EPA 1311; 08703J20 15:02 le*W pH; 5.97; Fatal pH: 5 Pace Analytkal Servkas - ChaAious PCB-1016 (A molm 1016) NO uglL 1000 1 MONO 10:05 08I0WM 23:00 12874.11-2 PCB-1221 (Aroaior 1221) NO uglL 100D 1 0&05M 10c08 06A090 23 DO 11104-28-2 PCB-1232 (Amckw t232) NO ug4 1000 1 06i0612010:06 OBKWM 230 11141-1" PC8-1242 (AmdDr 1242) NO U91L 1000 1 06*Wn 10:06 06009120 23:00 53489-21A PCB-1248 oxodw 1248) NO ug1L 1000 1 0601MOM 10:08 ONOWM 2100 1267R294 PCB-1254 (AroCW 1254) NO ugA- 10W 1 06MSO 10:06 OGA SM 23.00 11097-69.1 PCB-1260 Wodw f260I ND ug<L 1000 1 06M&2010:06 08109126230 11086-U-5 Sulwoom" DeoseNwd)0hwrA (B) 93 % 10-132 1 WSW 10:06 0110912023:00 2051-24-3 6010 MET 1CP, TCLP Anak*,W MNhod: EPA 6010D Prepwolims Method: EPA 3010A Laachaae MefwdfDWw EPA 131t MUM 16:18 kr6ml pit: 5,91; Final pH: 2 Pacm Analy11w1 Sary M - A* W lls Arsenio ND mgsL O.OW 1 061Oe12007.40 Q90"11,03 74403&2 I3aruwn NO mg& 045 1 OGMeM07.40 0610W"1t:03 7440-3" Cadmlum ND Mok 0.WW 1 OAKO 0 07:40 OBN9Y2 M-03 744043.9 Chmmium NO mglL 0.050 1 OBI0 M 07:40 061091201103 744047-3 Lod NO 1ng1L 0.025 1 06* 2007AO 0VOM 11:03 7439-92-1 Selenium NO molt 0.10 1 06IOBi2007:40 OSM9011,03 7782-49-2 soMw NO NO& 0,025 1 060&20 07:40 08MWW 11:03 7440-224 REPORT OF LABORATORY ANALYSIS Thisreport sloe not rem n roducAd, woW 1n kA. Daft; 06f1972020 05,15 PM WWWA st» wlbwo eaneen! 01 PW& AftdWk l $Wyic a. LLL. Page 5 of 39 PO Box 228 a Statesville, NC 28687. 704/872/4697 Page 8 Of 42 Par offw"rm SwWaes, LLO 9800I0no"Avs. Suft 100 4wftrsvlis, NC 2070 "Am ANALYTICAL RESULTS project; US Sdo- Taydomyklw Pace Project No.: 92479945 Ssnrpla: 20YN1.44 Lab ID: 92479949991 Caaected: 061000 13,00 Racaived: 0600 120 14:06 Mato: Sand Nou is nParled orf *'dry *W9W brats and sMta *0*SW A1rPW VW1t OW&A a, s2W4* sM and say cNkW na- parsrrraters Results unks Report Umk DF Prepared An4ped CAS No. quad 7470 Mara►ay, TC P A1lalyticel K%Nwd: EPA 7410A N>reparaft Moftd: EPA 7410A Leachato Moftg Oaw: EPA 1311; 0604M WIS kribel pH: 5.91: FkW pH: 2 Pace Analytical Serviaee - Ac wAs mm" NO MV& 0.00020 1 06108Y1010:36 061061 IT38 743"7-0 Mi 8270E TCLP RVE Anaiytlpd Metllod: EPA 8270E Pfeparation Mwdiod: EPA 35100 Leaolrar MeawdlOak: EPA 1311; 06103M 45:02 JoRW pH: 5.97, Find pH: 6 Pate Analytical Services - C MOW 1,4-OkhWrobwumm NO ug0_ 50.0 1 0610UM 08:57 0WDrri20 16:14 106.46-7 2,4-Oin6VWiuene NO uWL 50.0 1 OB/OS120 08:57 06M5120 15:14 121-14.2 HwAd4oro-1,3-bU>a0lerre NO uglt 50.0 1 06105IN 08:57 06mwm 15:14 91-60-3 Hruraahloro6enzerle NO uglL 60.0 1 06/05120 08:57 DBA) N 15:14 118.74-1 Hwrarhbn*V one NO ug1L 50,0 1 08105P20 08:57 06POWO 15:14 87-T2-1 2a1ie8ryWwh ol(o- mxg) NO kwL 50.0 1 0505W WS7 OfiMd=15:14 95-4a-7 3M-MearAphawl(m&p Cresol) NO ug1L 5010 1 06/0612008:57 06I0512015:14 1583i-W-4 Nkrobenm" ND tVL 60.0 1 O6KAW 08;57 06105M IS:14 98, " Penlachtomphend NO ugil 100 1 OSM512D 08:57 06105=15:14 OT4?6-6 Pyedro NO A& 50.0 1 t7COV2008:57 05KWW16:14 110-WI 2,4,5-Tlidkorophend NO ug+L 50,0 1 06f05=00:57 OW05M15:14 96-95-4 2 A.6-TrkhW*phald NO ugk 60.0 1 06M5M MST 06105f20 15:14 86-08-2 swrwo- Nftbwaono-a (S) 80 % 12.102 1 0605*0 00,57 0610M 15;14 416S-60-0 2-FlaOrobiphergll (8) 65 % 13-107 1 06105P20 DOW 06/05120IS: 14 321-60-8 Twph4nyW14 (5) 94 % 21.132 1 06KA" 08:57 DBMS=1&14 1716.61.0 pd8(S) 42 % 10-110 1 06106/20 D8:57 06105120 15:14 13127.98-3 ZHuorophetwf is) 55 % 10-1io 1 0SR*W 08:57 ONDS120 15:14 367-12.4 2,4,6-Tri6ro x#wrod (6) 67 % 27.108 1 06J0 M 08:57 0610Sr2O 15:14 11&79-0 82i0D M5Y TCLp Analytical Medved: EPA a260D Laachat0 MsOwd Dal; EPA 1311; D6115120 12:27 Pace Analytical Ser*" - Chviow eargmw NO upL 100 20 0511612013:31 71.43-2 2-Suterwne (MEK) NO u9k 200 20 DWI S= 13:31 76-93-3 v1 Carbon WbwhWride NO up1L 100 20 05116120 13 31 W23-5 Chwobmtme NO UP& 100 20 061161201131 IW90.7 Chloroform NO a g& 100 20 08N 8120 13:31 67-66.4 1,*ok"arobenzerre NO up4 t0O 20 0611612013:31 10646-7 1,24)khloroethane NO u91L 100 20 W1612013:31 107-06-2 1,I-Dkhpaeto" NO uyt 1D0 20 W1612013:31 15.35-4 Tetrad+loroetlhene NO LQ& 1D0 20 O6M6n013:31 127.184 TWoomedhene ND ug> - 10D 20 M18W 4131 79-01-6 M1 V" chwocle NO u9L 1DD 20 WOW 11-31 75-01-4 Sutaopalas 1 x0d"offewwd4 (S) 105 % 70.130 20 05116M 13:31 17060-07-0 Totuanw-d6 is) 101 % 87438 20 06H612013:31 2037.26.5 4 eramo6uorobenzene (S) 102 % 70.130 20 O&1S12013:31 460.00.4 REPORT OF LABORATORY ANALYSIS the repro mm not be mwwuoed Wcw in U. Data: 06 iVA20 05.15 PM r[owcd the weftm cmW" of Pace A+.*" Uri. LLC. Page 6 of 39 PO Box 228 w Statesville, NC 28687 a 704/872/4697 Page 9 of 42 Paw Aeay" 3pmkmkc LLC SM K b y Avk $Am 100 H w*ww le. W6 2OD76 i704)676-c ANALYTICAL RIMILTS Pm1ed: us Bio- Ta*"wie Paco Praledt No-: 92479945 Sample: 2$6MA4 Lab IO: 9247M45O81 CoWisd: 0610112013:00 Received: DE10212014;05 MaGix: SoM Rmifte ropmW on *dry wolahC bests WW are M@PAW d fbr Pwcwd srelseA% eauHpb elm and any dl U0w'%, Paraffwtbm ReauRs U Ab ROPOK Limit OF Premed Anetvzed CAS No. Oual p9mem M ro Anmlydeal Method: ASTM D297447 Pdos AnW yhcai Swvk" - Chpriolle Percent Mnlature ".0 % 0.10 1 pEr02120 1T30 1010 Ftwirpolnl,Closed Cup Ane" MsMod: EPA 1011DA Paco AnakySiui Services -Asheville pwo,poku s208 deg F 70.0 1 06115/201D;50 084i pH 9oll AnatyO McQmd: EPA W450 Pace Analybw Sarw"-Asfrevlpe PM at 25 Degms C 12.2 so, Unb DA 0 1 MM 5i11 M30 I; H3 BOBS Palm Rmw Li ww Test AnatykA Nlarhod; EPA 9095E Pace Arta"OW So vk" - Asheville Free LipuWs Fall 1.0 1 06112120 1810 7W E RfrGiw Cy *nW1m Ana"W Melhad: EPA9014 Prepuabon Me": SW44E 7.3.3.2 Pace ArmWlcW Servkas - Greensburg cyanide. Rsacbve NO mglkg 25.0 1 06M4rA t8:00 OBAW02013:23 7943 Recdive sumde AnalyOcel Metlwtl: SY 450Ds2F-2011 Pmperatlun Medlod; SW4M6 7,3.4.2 Psm AnaWk;W Sarvloes - Gnwr aburg SLOW*. ReeW" NO nV" 250 1 OSXM t0 18:00 08KMM 18:36 llamplc: 200001.14 Lab ID: 92479945M Cleated: OOMI120 OD;00 Reoehred: WAX= 11:52 Mahon: Water Psrometers Ravens Units Report UM OF Prepared Anaymd CAS No. Quat 8082 GCS PCB RVB AnaNW9 Method: M 8002A Prepwadon Metwd: EPA 351OC Paco kwdAcal Services - Chwkft PCB-1016 (Aroclar 1010) ND ugrL SA 1 0&1712011:SS O(r190 03414 12674-11-2 PCB-1221 (Arod& 1221) ND ugrL SA 1 M17/2011:53 06119120 03:44 11104-20-2 PCS-1 232 (Amdw 1232) NO u911 SA 1 061171201153 0811W1200$A4 11141-1E-5 PCB-1242(Amclor 1242) NO UWL 5.0 1 0611712011:53 OW19QC03:44 534WZI.9 PCOA248 (Arodor 1246) NO UO& $.a 1 06r17120 W53 OE WW43,44 12672.29.E PCB-12S4 (AmcW 1254) ND u91 5.0 1 W17M W53 0511911003:44 110974&1 PCB-1260 (Amcor 1200) ND u01L 5.0 1 DWI712D 11:53 OE11812D 03:44 11096-82.5 O-AdkrWphoro (S) 73 % 10.130 1 OU17M 11:53 06/19M 03:44 2061.24.3 REPORT OF LABORATORY ANALYSIS T* repon slrae not 4e reproduoW, *xoapi to OuN. Dab: 0611912020 05:15 PM ** W #.willed rnn.erd of Pace Arnhtirai Ss vkes LLc. Page 7 a139 PO Box 228 a Statesville, NC 28687 + 704/872/4697 Page 10 OF42 NCDAACS Agronomic Division Phony (919) 733-2855 Website: www.ncagr.gov/ngronomi/ �I.4, Client: Owen Icenhour ' Predictive 716 Stikeleather Rd. ,ie Hiddertite. NC28636 Soil Re r# Mee ich-3 Extraction po Sampled County : Alexander Links to Helpful latormaVan Client ID: 123035 Samplad:1111612020 Receivsd: 11/20/2020 ComplMd: 12f1812020 Farm -- Sample ID: 0801 Recommendations: time Nutrients (lbiacre) Crop (tonsiacre) N P205 K20 Mg & Mn 1 Fescue/OGrassrrjm M 00 120-200 0 20 0 0 pH$ 61ma History. 2 - 0,0 Test Results [units -WN In glcrrrl; CEC and Na in meg1100 crn3; NO3-N in mgldrr?)- HM% WN CEC SS% Ac pH P4 K4 Ca% Mg%a 0.51 0.92 32.6 100 0.0 7.5 500 63 95 4 Sample ID: 0804 Recommendations: Lime Crop (tonslacre) N P205 Lime History: 1 . Fescue/OGrasslTim, M 0.0 120-200 0 2 - 0.0 Test Results [units - WN in glerrr; CEC and Na in meg1100 cd; NO3-N In mgldmz : HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% 0.46 0.93 26.3 100 0.0 7.5 292 84 93 5 North Carolina Report No. FY21-SLO15893 Advisor: Zach Key Southern Soil Builders 958 Hoots Rd Roaring River, INC 28669 Advisor ID: 231531 More Zn Cu $ 1 Information 0 0 0 N te• 12 Note: $ Soil Class: Mineral S-1 Mn-1 Mn-All MnAI2 Zn-1 Zn-Al Cu-I 79 101 55 1160 1160 941 Nutrients (lb/acre) KzO Mg S Mn Zn 0 0 0 pH$ 0 Na ESP SS-i NO3-N 0.1 0 Cu B I Information 0 0 Note: 12 Note: $ Solt Glass: Mineral S-I Mrr-I Mn-All Mn-Al2 Zn4 Zn-AI Cu-1 Na ESP SS -I NO3-N 62 115 63 981 981 796 0.1 0 Reprogramming of the laboratory -information -management system that makes this report possible is teeing funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler. Commissioner ofAmicullure NCDABCS Agronomic Division Phone: (919) 733-2655 Webelte: www.neagr.govlagronomil Report No. FY21-SL015894 Client: Clyde Hendren Advisor: Zach Key Predictive PO Box 732 Southern Soil Builders € - IL Extraction Taylorsville, NC 28681 958 Hoots Rd Roaring River, NC 28669 ;t. Soil Report Mehlich-3 Sampled County: Alexander Links to Helpful Inf Emation Cllent ID: 438306 Advisor ID-. 231531 sampled: 11 /1612020 Received: 1112012020 completed: 12/18/2020 Farm: sample ID: CH1 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information UTMO History: 1 - Fescue/OGrasslTim, M 0.0 120-200 50 80 0 0 pH$ 0 0 0 Noe: 12 N#e: 2 - 0.0 Test Results [units -W1V in glcm3; CEC and Na In meg1100 err?; NO3-N In m9ldnh; Soil Class: Mineral HM% WN CEC BS% Ac pH P-i K4 Ca% MB% S-1 Mn-I Mn-All Mn-Al2 Zn-1 Zn-At Cu-I Na ESP SS4 NO3-N 0.36 1.05 9.2 97 0.3 7.2 39 30 88 7 38 120 71 129 129 142 0.1 1 Sample ID: CH2 Recommendations: Limo Nutrients (Iblacre) More Crop (tonslacre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-1=escuelOGrass/Tim, M 0.0 120-200 70 70 0 0 pH$ 0 0 0 Note: 12 Nate: 2 - 0.0 'rest Results [units - WIV In 9/cm3; CEC and Na in meg1100 crn3; NO3-N in mgldnl3): Soil Class: Mineral HM% WN GEC BS% Ac PH Pd K-1 Ca% Mg% 3-1 Mn-1 Mn-All Mn AI2 Zn-i Zn-AI Cu-I Na ESP SSW NO3-N 0.41 1.13 6.9 90 0.7 6.7 28 35 74 13 34 260 162 86 86 75 0.1 1 Narth Carolina Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Sieve TrvXder. Commissioner ofAaricultura NCDA&C5 Agronomic Division Phone. (919) 733-2655 Website: www.neagr.govlagronomii Report No. FY21-SL0159,91 Client: Phillip Hoover Advisor. Zach Key Predictive 37 Carolina Lane Southern Sol[ Builders f w Tay[orsville. NC 28681 958 Hoots Rd Extraction Soy Report Roaring River, NC 28669 y Sampled County: Alexander Sampled �MA'"�' Links to Helpful Infamation Client 10: 438308 Advisor ID: 231531 Sampled: 11/15/2020 Ft*"tved: 11/2012020 Completed: 12118/2020 Farm: Sample ID: PH1 Recommendations. Lime Nutrients (Ibfacre) More Crap (tonslacra) N P205 K20 Mg S Mn Zn Cu B Information Lima History: 1-Fescue/OGrasslTim, M 0.0 120-200 0 100 0 0 pH$ 0 0 0 Not -_ 12 Note: 2 - 0.0 Test Results [units - WN in glcnt3: CEC and Na in meg1100 Cn13; NO3-N in mgfdr"): soil Class: Mineral HMSO WN CEC BS% Ac pH P4 K4 Ca% Mg% S-1 Mn-I Mn-AI1 Mn-Al2 Zn-i Zn Al Cu-I Na ESP SS4 NO3-N 0.46 1.10 9.9 98 0.2 7.2 B1 19 90 7 36 220 131 331 331 448 0.1 1 North Carolina Reprogramming of the iaboratory-information-management system that makes this report possible i5 being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental qua}ity. - Steve Troxfer. Commissioner ofAonculture NCDA&CS Agronomic Division Phone: (818) 733.2655 Website: www.ncagr.gov/agronomit Report No. PY21-SLO15892 ¢t°" " ti f� sr Predictive Client: Carol Price 912 Boston Rd Advisor: Zach Key Southern Soil Builders { TaylorsAlle, NC 28681 958 Hoots Rd Soft Report Mehiich-3 Extraction n'� Roaring River, NC 28669 a Sampled County: Alexander inks to I f Information CI'wnt 10: 448752 Advisor 10: 231531 sempied: 11 /15/2020 Received: 11/20/2020 compwod: 12/18/2020 Firm: Sample ID; CP1 Recommendations: Lime Nutrients (lb/acre) More Crop (tonsiacre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1- FescuelOGrasslTlm, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 No,>;g; 1 a Note: $ 2 - 0.0 Test Results [units - WN in g/cw?; CEC and Na In meq/100 cnt3; NO3-N in mgldnr3): Sop Class: Mfneral HM% WN GEC BS% Ac pH P-I K-1 Ca% Mg% S-1 Mn4 Mn-All Mn Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 1,14 8.8 95 0.4 7.0 171 31 88 6 38 157 96 234 234 258 0.1 1 North Carolina Reprogramming of the laboratory -information -management system that makes this report possib'ie is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler. CommissionerofAAriculture