WQ0031672_Residual Annual Report 2020_20210216

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)* W00031672
Applicant/Permittee Alltech, Inc.
Email Notifications
Does this need review by the hydrogeologist?* 0 Yes r No
Regional Office Winston-Salem
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Rease provide inforration on the person to be contacted by N B Staff
Name * JP Woodrum
Email Address*
jv,[e-mail]
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*
3366355190
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:* WQ0031672
Fbs Current Existing perrrit number
Applicant/Permittee Address* [e-mail]
Facility Name * Alltech - Eden RLAP
Please provide comments/notes on your current submittal below.
annual land app reports submitted for the year. We had no land applies for 2020
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Bc.)
D00O21621-02162021142657.pdf 672.09KB
Upload only 1 FLFdocurrent (less than 250 MB). Multiple documents rust be confined 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
0/13;DWA*1K
Submission Date 2/16/2021

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: 60 316-7 A County:
Facility Name (as shown on permit):
Land Application Operator: J-P
Year: 010 CIO
Phone:
Land appli' n of residuals as allowed by the permit occurred during the past calendar year?
❑ 9No
Yes - 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.
A - KesiUuals A
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 Comptance 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. 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
possibility of fines and imprisonment for knowing violations."
P W owahogs 01 r
Permittee Name and T itlel(type or print)
q,, r - -z1
Situe of Permittee Date
Signature of Preparer*
Date Signature of Land Applier
Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T. 1102 (26) DENR FORM ACF (12/2006)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/SURF
WQ PERMIT #: I LD-70� FACILITY NAME: Cfl
PHONE:13(o lS SJ q a COUNTY:
CE DISPOSAL CERTIFICATION AND SUMMARY FORM
OPERATOR:
FACILITY TYPE (please check one): ❑ Surface Dis sal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
❑ Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation durinIZ the past calendar year? Yes Sr No ❑ --► If No skip parts A, B, C and certify form below
Part A4°:
Part B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment)
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
)February
March
April
May
,tune
July
August
September
October
November
December
Total from FORM DMSDF (sup)
Totals:
Annual (dry tons):
Amendment(s) used: I I Bulking Agent(s) used:
If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit Yes
(including but not limited to items 1-3 below) issued by the Division of Water Resources: ❑ No lo If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"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."
g3&wf, ( 1 2 -1 -2.
1( �nure of Permittee Date
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Signature of Prcparer**
(if different from Permittee)
Date
DENR FORM DMSDF (12/2006)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
Sup lementalInformation
WQ PERMIT #: {7d'��(Q� FACILITY NAME: [W E*ch rdan
PHONE: (a7,5 COUNTY: oC jro-h] OPERATOR:
FACILITY TYPE (please check one): ❑ Surface D' osal (complete Part A - "Month", "Source(s)" and "Residual In" columns only)
❑ Distribution and Marketing (complete Parts A, and B)
Part A*: Part B*:
Volume (dry tons) Recipient Information
Sources(s) (include NPDES # if
Month applicable) Amendment) Name(s) Volume (dry
Residual In Product Out tons) Intended use(s)
Bulking Agent
i
r
Totals: Annual (dry tons):
Amendment(s) used: Bulking Agent(s) used:
If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)
DENR FORM DMSDF (Supp) (12/2006)