WQ0004095_Residual Annual Report 2020_20210224

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)* WQ0004095
Applicant/Permittee PCS Phosphate Company, Inc
Email Notifications
Does this need review by the hydrogeologist?* 0 Yes r No
Regional Office Washington
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by NM Staff
Name* Danny Winstead
Email Address*
[e-mail]
electronic subnittal, confirmation of receipt, and other correspondence.
Phone Number*
252-402-5459
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
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:* W00004095
Fbs Current Existing permt number
Applicant/Permittee Address* 1530 Mvy306 SAurora, N. C. 27806
Facility Name * PCS Phosphate RLAP
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Rc.)
2020 Annual Report_ Residuals Land Application
2.8MB
Program_Flnal.pdf
Upload only 1 PCF document (less than 250 M3). Miltiple documents must be combined into one PDF file unless file is larger than
upload linit.
* W By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Submission Date 2/24/2021

PCS Phosphate, Aurora
Residuals Land Application Program
Permit No. WQ0004095
2020 Annual Report

Table of Contents
1. Annual Land Application Certification Form: ACF
2. Annual Residual Sampling Summary Report Forms: RSSF
3. TCLP Statement
4. Annual Land Application Field Summary Form: FSF
5. Residual Analysis Lab Sheets
6. Annual Pathogen & Vector Attraction Reduction Form: RF
7. Pathogens & Vector Attraction Reduction Lab
Sheets/Records
8. Soil Analysis

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0004095 County: Beaufort Year: 2020
Facility Name (as shown on permit): PCS Phosphate Company, Inc.
Land Application Operator: PCS Phosphate Company, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
F1 Yes J No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary.
Total number of application fields in thepermit:
I Two
Total number of fields utilized for land application during the year:-F
Two
Total amount of dry tons applied during the year for all application sites:
3.55
Total number of acres utilizes for land application during the year:
4.4
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2020 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water 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."
For D. Daniel Winstead III
D. Dainel Winstead III, Sr. Envir. Engineer - , , „ 02/23/2021
Permittee Name and Title (type or print) v Signature of Permftfee ' 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)

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: WQ0004095 Laboratory: 1)
Facility Name: PCS Phosphate, Inc. 2)
Residual Source WQ # or 3)
NPDES #: WQ0000889 4
WWTP Name: PCS Phosphate, Inc. 5)
Residual Analvsis Data
Element One, Inc.
Parameter
Conc.
Limit
Sample or Composite Date
Molybdenum
®----
1 . •
-------
Total Phosphorus
' For 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
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
7 - For D. Daniel Winstead III 02/23/2021
Signature of PrOarer
Date
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: WQ0004095
Facility Name: PCS Phosphate Company, Inc.
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analvsis Data
LTAT•1111::•
PCS Phosphate Company, Inc.
Laboratory:
1)
2)
3)
4)
5)
Element One, Inc.
Parameter
Sample or Composite Date
------------
------------
------------
------------
------------
------------
------------
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparet
*Preparer is defiried in 40 CFR Part
For D. Daniel Winstead III 02/23/2021
9(r) and 15A NCAC 2T .1102 (26)
Date
DENR FORM RSSF - B (12/2006)

Monitoring Frequency of Condition IV. 2.
Annually

IV.
MONITORING AND REPORTING REQUIREMENTS
1. The Permittee shall conduct and report any Division required monitoring necessary to evaluate this
program's impact on groundwater and surface water. [15A NCAC 02T .0108(c)]
2. The residuals from each source generating facility shall be analyzed to demonstrate they are non-
hazardous under the Resourc Conservation and Recovery Act (RCRA). Residuals that test or are
ified as a hazardous or toxic waste under 40 CFR Part 261 shall not be land applied. The analyses
(E, corrosivity, ignitability, reactivity, and toxicity characteristic leaching procedure (TCLP)) shall be
performed at the frequency specified in Attachment A, and the Permittee shall maintain these results
for five years. Any exemptions from the requirements in this condition shall be specified in Attachment
A., The TCLP analysis shall include the following parameters, and the Federal regulatory level (mg/L)
Arsenic
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene
1, 1 -Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane 0.03
( )
Heptachlor (and its epoxide)
0.008
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Hexachlorobenzene (0.13)
Toxaphene (0.5)
Chloroform (6.0)
Hexachlorobutadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2) Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
Once the residuals have been monitored for two years at the frequency specified in Attachment A, the
Permittee may submit a permit modification request to reduce the frequency of this monitoring
requirement. In no case shall the monitoring frequency be less than once per permit cycle.
[15A NCAC 13A .0102(b), 02T .1101, 02T .11051
WQ0004095 Version 4.0 Shell Version 190618 Page 8 of 12

ATTACHMENT A — APPROVED RESIDUAL SOURCES
4
Certification Date: June 26, 2019
PCS Phosphate, Inc.
Maximum Monitoring
Owner Facility Name County Permit Biological Dry Tons Frequency for
Number Residuals per Year' Non -hazardous
Characteristics z
Permit Number: WQ0004095 Version: 4.0 -
Monitoring
Frequency for
Metals and
Nutrients 3,5
PCS Phosphate, Inc. PCS Phosphate WWTP Beaufort WQ00008891 Yes 1 10 1 Annually Annually
Total 10
1. Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility.
2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IV A.
5. Monitoring frequencies are based on the actual dry tons applied ver year usine the table below. unless snecified ahnve
D Tons A lied metric tons
� pp ( )
Dry Tons Applied
(short tons per year)
Monitoring Frequency
(40 CFR 503 and 15A NCAC 02T
.1111 c
< 290
< 319
Once per year (Annually)
>_ 290 to < 1,500
> 319 to < 1,650
Once per quarter (4 x Year)
> 1,500 to < 15,000
> 15,000
>_ 1,650 to < 16,500
Once per 60 days (6 x Year)
> 16,500
Once per month (12 x Year)
Monitoring
Frequency for Approved
Pathogen & Mineralization
Vector Attraction Rate
Reductions 4,5
Annually 1 0.3
If no land application events occur during a required sampling period (e.g., no land application occur during an entire year when annual monitoring is required), then no sampling data is
required during the period of inactivity. The annual report shall include an explanation for missing sampling data. Those required to submit the annual report to United States Environmental
Protection Agency (US EPA) may be required to make up the missed sampling. Contact the US EPA for additional information.
WQ0004095 Version 4.0 Attachment A Page 1 of 1

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: PCS Phosphate Company, Inc. WQ Permit #: WQ0004095 Field #: PCS 02 Acres Utilized: 4.4
Land Owner: Reservco, Inc. Annual Dry Tons Applied: 3.5514 Site #: PCS Acres Permitted: 4.4
Operator: PCS Phosphate Company, I Predominant Soil Series: Sand Cation Exchange Capacity (non 503):
Crop 1 Name: Crop 1 Max. PAN: Crop 2 Name: Crop 2 Max. PAN:
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Moist
Precip.
Past 24
Hrs.
inches
�y
coo
w
o
o
7� w
�, �.
°
�
�, ,�
�
TKN
m /k
9 9
Z
o
aD 0
�.
m /k
9 9
Nitrate
and
Nitrite
m /k
9 9
0.000
0.000
7/22
13,147
3.54
0.441
PCS WWTP
Dry
0
S
0.5
0.3
398
41.5
40.08
0.000
7/23
1
10,911
1 3.54
0.366
PCS WWTP
Dry
0
S
0.5
1 0.3
398
1 41.5
40.08
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):
TOTALS:
01
24058
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
Annuallbs/acre
0.000
0.001
0.055
0.008
0.002
0.000
0.002
0.003
0.000
0.343
2.116
Prior Years Cumulative lbs/ac
0.058
0.243
17.261
0.052
0.646
0.024
0.242
0.459
0.091
65.021
Current Cumulative lbs/ac
0.058
0.244
17.316
0.060
0.648
0.024
0.244
0.462
0.091
65.364
Permitted C. P. L. R. * * * *
36
34
1,338
n/a
267
15
n/a
374
1 89
1 2,498
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
0.000
0.000
0.000
0.000
0.148
NA
Bermuda
0.000
0.000
0.123
NA
Bermuda
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
0.271 1 0.000
220 1 50
Date I lbs/ac
"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 per nel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
informatio , ' cluding the po ibility of fines and imprisonment for knowing violations."
- For D. Daniel Winstead III 02/23/2021 *Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
kI Signature of L Appllr 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)

elernentOne
FINAL REPORT OF ANALYSES
Element One, Inc. Project Number e34404
Chandler Stroud April 14, 2020
Nutrien Client Project Name
1530 Hwy 306 South Client Project Number
Aurora, NC 27806 PO Number
Analytical Log No: E1 Project Number e34404
Sample ID: Bio Solids
Sample Matrix
OT
Sample Type Grab
Date Received
02/27/2020
Date Sampled
02/26/2020
Time Sampled 1035, 1040
Time Received
1115
Delivered by
FedEx
Sampler
Received by
LLB
Extraction Begun 03/02/20 1615 Extraction Ended 03/03/20 0820 E1 Sample # 34404 TCLP
Parameter
Result
Unit
Calc. RL
Dilution
DL
Method
Date
Chromium, TCLP digested
< 0.05
mg/L
0.05
50
0.001
EPA 1311/6020B
03/04/20
Arsenic, TCLP digested
< 0.05
mg/L
0.05
50
0.001
EPA 131116020B
03/04/20
Selenium, TCLP digested
< 0.05
mg/L
0.05
50
0.001
EPA 1311/6020B
03/04/20
Silver, TCLP digested
< 0.05
mg/L
0.05
50
0.001
EPA 1311/6020B
03/04/20
Cadmium, TCLP digested
< 0.05
mg/L
0.05
50
0.001
EPA 1311/6020B
03/04/20
Barium, TCLP digested
0.065
mg/L
0.05
50
0.001
EPA 131116020B
03/04/20
Lead, TCLP digested
< 0.05
mg/L
0.05
50
0.001
EPA 1311/6020B
03104/20
Mercury, TCLP digested
< 0.0004
mg/L
0.0004
2
0.0002
EPA 1311/7470A
03/04/20
Solids
3.54
%
SM2540G
03/02/20
pH, Initial
12.30
SU
EPA 1311
03/02/20
Fluid Determination pH
2.22
SU
EPA 1311
03/02/20
TCLP pH, Final
5.55
SU
EPA 1311
03/03/20
pH, Extraction Fluid #1
4.94
SU
EPA 1311
03/02/20
Ken Smith, Laboratory Director
Page 1 of 3
34404 Nutrien Report Packet Rev. 04.1420 Compiled by-'}
Certifications: NJ NELAP NC009, NY ELAP 11889, NC DW 37788 and NC DWQ DENR 604

ell
elementOne
Chandler Stroud
Nutrien
1530 Hwy 306 South
Aurora, NC 27806
Analytical Log No:
Sample Matrix
Date Sampled
Delivered by
Parameter
OT
02/26/2020
Fed Ex
FINAL REPORT OF ANALYSES
Element One, Inc. Project Number e34404
April 14, 2020
Client Project Name
Client Project Number
PO Number
E1 Project Number e34404
Sample 1D: Bio Solids
Sample Type Grab Date Received 02/27/2020
Time Sampled 1035, 1040 Time Received 1115
Sampler Received by LLB
E1 Sample # 34404 TOT
Result Result Unit Dilution DL Method Date
As Received
Dry Basis
Sodium, Total
109
3079
mglkg
Magnesium, Total
178
5028
mg/kg
Aluminum, Total
82.3
2325
mg/kg
Phosphorus, Total
466
13164
mg/kg
Potassium, Total
87.4
2469
mg/kg
Calcium, Total
5722
161638
mg/kg
Chromium, Total
1.76
49.7
mg/kg
Nickel, Total
0.607
17.1
mg/kg
Copper, Total
12.1
342
mg/kg
Zinc, Total
75.6
2136
mg/kg
Arsenic, Total
< 0.069
< 1.95
mg/kg
Selenium, Total
< 0.069
< 1.95
mg/kg
Molybdenum, Total
0.419
11.8
mg/kg
Cadmium, Total
0.112
3.16
mg/kg
Lead, Total
0.334
9.44
mg/kg
Mercury, Total
0,022
0.621
mglkg
Solids
3,54
%
pH, as received
10.80
SU
Rev. 04.1420; to include
total chromium results per client's request.
Ken Smith, Laboratory Director
50
0.4
EPA 3010/6020B
03/05/20
50
0.4
EPA 3010/6020B
03/05/20
50
0.1
EPA 3010/6020B
03/06/20
50
0.1
EPA 301016020B
03/05/20
50
0.4
EPA 301016020B
03/05/20
250
0.8
EPA 3010/6020B
03/05/20
1
0.1
EPA 3010/6020B
03/05/20
1
0.1
EPA 3010/6020B
03/05/20
50
0.1
EPA 3010/6020B
03/05/20
50
0.1
EPA 3010/6020B
03/05/20
1
0.1
EPA 3010/6020B
03/05/20
1
0.1
EPA 301016020E
03/05/20
1
0.1
EPA 3010/6020B
03/06/20
1
0.1
EPA 3010/6020B
03/05/20
1
0.1
EPA 3010/6020B
03/05/20
1
0.008
EPA 7471 B
03/03/20
SM254OG
03/02/20
EPA 9045D
03/10/20
Page 2of3
34404 Nutrien Report Packet Rev_ 04.14.20 Compiled by
Certifications: NJ NELAP NC009, NY ELAP 11889, NC DW 37788 and NC DWQ DENR 604

ell
elemeniOne
Willmington, W
412
FINAL REPORT OF ANALYSES
Element One, Inc. Project Number e34404
Chandler Stroud April 14, 2020
Nutrien Client Project Name
1530 Hwy 306 South Client Project Number
Aurora, NC 27806 PO Number
Analytical Log No: E1 Project Number e34404
Sample ID: Bio Solids
Sample Matrix
OT
Sample Type Grab
Date Received 02/27/2020
Date Sampled
02/26/2020
Time Sampled
1035, 1040
Time Received 1115
Delivered by
FedEx
Sampler
Received by LLB
E1 Sample # 34404
TOT
Parameter
Result
Result
Unit
Dilution
DL
Method
Date
As Received
Dry Basis
Total Nitrogen-N
391
11045
mg/kg
50
0.4
EPA 300.0+4500NH3C
03/12/20
Kjeldahl Nitrogen, TKN
390
11017
mg/kg
50
10
SM 4500 NH3 C
03/11/20
Nitrate+Nitrite-N
0.887
25.1
mg/kg
5
0.5
EPA 300.0
03/12/20
Ammonia as N
75.3
2127
mg/kg
1
1.0
SM 4500 NH3 D
03/10/20
Organic Nitrogen-N
315
8898
mg/kg
50
0.4
calculation
04/14/20
Solids
3.54
%
SM2540G
03/02/20
Rev. 04,14.20; to include organic nitrogen results per client's request.
Ken mith, Laboratory Director
Page 3of3
34404 Nutrien Report Packet Rev. 04.1420 Compiled by LLM
Certifications: NJ NELAP NC009, NY FLAP 11889, NC DW 37788 and NC DWO DENR 604

lement One, Inc.
631 9-D Carolina Beach Road
Wilmington, NC 284-12
Contact; Chandler Stroud
Company. Nutrien
Address: 16:30 Hwy 306 Sout
Aurora, NC 27806
project — _ ID.
Billing Information if different:
Sample Description ID
Eli
%J T
-----------
I Type: C-Composite, G-Grab
Print
_R—orinquished-Ey,-1, _++'
Received by::
Relinquished by,
R eived b pri t
Element One, Inc, Form 026 Re
CHAIN OF CUSTODY
PO
Phone [phone]
Fax
Email James.Stro .5nutrien com
Analyses
E
E
0
SO -Soil,
Time
z
2�
z X
AQ-Aqueous,
Requested
2
—
0
Via
CL
Lab
Phone
email
M
0
0
LL
11DW,
910-793-01281
[e-mail]
0
a)
0
a rz
0
TV 0q Page of
FAX 79M853
Delivery Due Date
Normal
h
05 day*
F013
d y
Email
Email ---------------
[12 day
0
Rush work needs —prior lab
approval. Additional charges
will apply.
Compliance
"on -Compliance
n Remarks
-Bottom Ash, FA-Py Ash, CA -Combined Ash,
Company Date
0
M
z
0
z
0
Date
I
Time
NA -Non -aqueous,
Additional
Matrix: SA
Inalure
OT-other
instructions / Lab Notes
c—

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: PCS Phosphate Company, Inc. WQ Permit Number: WQ0004095
WWTP Name: PCS Phosphate Company, Inc. NPDES Number: Non Discharge
Monitoring Period: From l/l/2020 To 12/31/2020
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost 01 Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑
Beta Ray L11 Gamma Ray ❑ Pasteurization ❑
Class B: jAlt. (I) Fecal Density ❑ Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization 0 Air Drying ❑ Composting ❑ jAerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Allowable Level Pathogen Density Number ot Frequency Sample Analytical
Parameter in Sludge Excee- of Anal sis Tech -
in Minimum Geo. Mean Unitsences Y Type
niaue
2 x 10 to the 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.I (VS reduction) []klt. 2 (40-day bench) pklt. 3 (30-day bench) ❑dt. 4 (Spec. Oz uptake) ❑
Alt. 5 (14-Day Aerobic) []Alt. 6 (Alk. Stabilization D)lt 7 (Drying - Stable) ❑k1t. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑qo vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .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."
D. Daniel Winstead III, Sr. Envir. Engineer
;Pre er Name and Title (type or print)
-For D. Danielin III02/23/21
gnature of Prepa Date
Land Applier Name and Title (if applicable)(type or print)
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)

d-utden-
Waste Water Treatment Plant (WWTP)
Sludge Stabilization Form
*pH Is read in SU. Instrument ID- Oakton 300 serial # 459794 (temp and pH combo meter)
pH Meter Cal.
Date/Time
Starting pH
Buff pH
Meter
*pH in SU
4 0 = y pH Temp in °C
pH Meter Cal.
Date/ Time
After Lime
Buff pH
Meter
*pH in SU
4.0 = o`Z
pH Temp in "C
7-1'
202Q
�j93�
7.0 =
Z�
IQ (�5
7.0=
2 Z
1o.00= s 7-3�1�-
a
12.45=
sl
23•
7.0= •98 70
O
7.0= 7,o10
Z•Z.
PH Acceptance Criteria +/- 0.1 su at 25 C
Basin
Date
*pH in SU
Starting pH/
Added pounds
of Lime
After Lime pH
(sludge)
Time
D a to
*pH in SU
(24HrpH)
Temp °C
Temp °C
Limed sludge pH/
Temp °C
Z251-7,;z,
i/S
Z %
Eo
1Z-31
29.'t
2
`7,
alb
Z-
3co
/L17
Zr,3
3
z7
3o3
/7,09
L 3-1
/o3Z
2-Zl-7-7.
Z-33
2Y
4
7-2v. zz-
-7.
//-110
Waste
Basin
r
ORC
Signature &
Date
Comments:
2/29/201 G

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No.
FY20-SL030314
k5{•�lrkl..,ifr
Client:
Dale Davis
Advisor:
Predictive
1530 NC Hwy 306 S
Aurora, NC 27806
_
Mehlich-3 Extraction
Soil Report
'rti
Sampled County: Beaufort
Xx'iir.55�'' Links to Helpful Information
Client ID: 446314
Advisor ID:
Sampled: 04/28/2020 Received: 05/05/2020 Completed: 05/12/2020
Farm: Nutrien-Aurora
Sample ID: 00001
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Bermuda hay/past., E 0.0
60-80 0
100
0 0
pH$
0
0 0
Note: 12 Note:
2- Fescue/OGrass/Tim, E 0.0
50-70 0
60
0 0
pH$
0
0 0
Note: 12 Note:
Test Results [units - WIV in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WIV CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2
Zn-I
Zn-AI
Cu-I Na ESP
SS-1 NO3-N
0.36 1.33 7.2 96 0.3 7.0 217 22
84 11 31
71
44 44
1085
1085
445 0.1
1
Sample ID: 00002
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Bermuda hay/past., E 0.0
60-80 0
100
0 0
pH$
0
0 0
Note: 12 Note:
2- Fescue/OGrass/Tim, E 0.0
50-70 0
60
0 0
pH$
0
0 0
Note: 12 Note:
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WIV CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP
SS-1 NO3-N
0.41 1.32 5.8 92 0.5 6.6 196 21
77 13 30
79
55 55
695
695
206 0.1
2
l onh Carolina
17,
ANt
ic'Ammis irwQ Fm1d 011MOSSOr
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.
- Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO30314
Dale Davis
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at onE
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-I
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese index
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
M-0
mineral -organic soil class
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncagrgov/agronomi/obnart4.htn*fsfind information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
WN
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
Zn-I
zinc index
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel
available)] indicate levels of plant nutrients or other fertility measurement. Visit www•ncaprpov/apronomi/uyrst.htm