WQ0001048_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?*
Annual Report Year*
Permit Number (IR)*
Applicant/Permittee
Email Notifications
........................................................................................................................................................................
Does this need review by the hydrogeologist?*
Regional Office
CO Reviewer
Admin Reviewer
* Annual Report
* Residual Annual Report
r Additional Information
r Other
2020
W00001048
Contentnea Metropolitan Sewerage District
O Yes t: No
Washington

Submittal Form
Project Contact Information
Rease provide inforration on the person to be contacted by N B Staff
Name * Charles M. Smithwick, Jr
Email Address*
[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*
252-524-5584
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:* WQ0001048
Fbs Current Existing perrrit number
Applicant/Permittee Address* P.O. Box477 Grifton, NC 28530
Facility Name * Contentnea MSD RLAP
Please provide comments/notes on your current submittal below.
Land Application Annual Report for Permit # WQ0001048 for Contentnea MSD
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.)
20210219095605788.pdf 11.53MB
Upload only 1 PCFdocurrent (less than 250 fvB). Miltiple 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
Submission Date 2/24/2021

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WocoiQUlq County: A fl- Year: zoz 6
Facility Name (as shown on permit): Cbrr1 N4)(n- m6D
Land Application Operator: { ti { Phone:
Land application of residuals as allowed by the permit occurred during the past calendar year?
13 Yes ❑ No - If No, sldp Part A, and fart 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 zC}
Total number of fields utilized for land application during the year;
I I
Total amount of dry tons applied during the year for all application sites:
LR i �]
Total number of acres utilizes for land application during the year:
Part B - Annual Cons iance Statement:
Facility was compliant during calendar year rOZO 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 CPR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CPR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CPR 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."
h �� i� �l • �i� � C�,Sr / mr�nao, esi
Permittee Name and Title (type or print)
"d
Signature of Permittee Date
5
Signature of Preparer* Date Signature of Land Applier - Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CPR Part 503.9 (r) and 15A NCAC 02T. 1102 (26) DEMIR FORM ACF (12/2006)

EXPLANATIONS FOR DEVIATIONS FOR THE 2020 ANNUAL
SLUDGE LAND APPLICATION REPORT
10-27-2020 Monitoring Well #15 Total Organic Carbon 10.27 mg/L
The TOC in this area naturally runs higher. There are fecal coliforms present in all wells except for one.
We have had the wells disinfected since the last monitoring event. All of these wells have been flooded
several times during recent hurricane events.

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT 4: k)=€04<Z FACILITY NAME: Coni MLD
PHONE: 15 _ ._ 5.. COUNTY: } _ OPERATOR: a(l lii; iC1 1ft�i _
FACILITY TYPE (please check one): M Surface Disposal (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 during the past calendar year? Yes No ❑ ---► If No skip parts A, B, C and certify form below
Part Ax Part B*.
Month
Sources(s) s) (nclude NPDES # if Volume (dry tons) Recipient Information
iAmendment/
applicable) Bulking Agent Residual In Product Out Name(s) Volume (dry tons) Intended use(s)
January
February
March
April
May
June
July
August
September
October
November
December
Total from FORM DMSDF (sup)
Totals: Annual (dry
.•
Amendment(s) used: Bulking Agent(s) used:
Sl lam-G apauu ib iuquucu, ana.ca aacunonai mrormation sheets (i-uKm .UmZSi)i (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 o 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."
Y",� �d s4i �s� �/ a�'f — d.
� Lam .......� �
Signature of Permittee Date Signature of Preparer** Date
(if different from Permittee)
"Preparer is defined in 40 CFR Part 5039(r) and 15A NCAC 2T .1102 (26)
DENR FORM DMSDF (12/2006)

1 s • � , �
��

ANNUAL RESIDUAL SAMPLING SUMMARY FORD
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - S
WQ Permit Number:] Laboratory:
Facility Name:
Residual Source WQ # or
NPDES #:iGC�Q3Zb`�
WWTP Name:
Residual Analysis Data
I) w a�i ranman T Inc .
2)
3)
4)
5)
, rr - -
Parameter
•mg/kg)
': '
n
fr•
. - . •rrff - �. -
®----
Percent Solids
Molybdenum
TotalPhosphorus
. _ . 11
ME
'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."
Signature of Preparer *
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)

EmAmMUM % hmpughd
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
PH (not to be used for reporting)
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/kg
Chromium, T.(dry wt. hasis),ing/kg
Lead (dry weight basis), mg/kg
Magnesium (dry wt. basis), mglkg
Mercury (dry wt. basis), mg/lig
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mg/kg
Sodium (dry wt, basis), mg/kg
Zinc (dry wt. basis), mg/kg
Total Nitrogen, mg/kg (tale)
Total Solids, %
TKN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt,),mg/kg
Nitrate Nitrogen(dry wt.), mg/kg
Nitrite Nitrogen(dry wt.), mg/kg
Phosphorus, T. (dry wt,), mg/kg
Molybdenum (dry wt. basis), mg/Icg
Sludge Analysis Method
Sample Date Analyst Code
3.3
05/12/20
TMR
4500HB-11
14364
05/26/20
LFJ
EPA200.7
2,8
05/26/20
MTM
3113E-04
15469
05/26/20
LFJ
EPA200.7
0.92
05/22/20
MTM
3113B-04
251
05/26/20
LFJ
EPA200.7
15
05/26/20
LFJ
EPA200.7
17
05/28/20
MTM
3113E-04
5540
05/26/20
LFJ
EPA200.7
0.55
05/28/20
MTM
EPA7471B
12
05/26/20
LFJ
EPA200.7
9229
05/26/20
LFJ
EPA200.7
<5.0
05/29/20
MTM
3113B-04
3166
05/26/20
LFJ
EPA200.7
670
05/26/20
LFJ
EPA200,7
64703
05/18/20
SEJ
1.74
05/1.4/20
GNB
254OG-11
e. 55870
05/15/20
TLH
351.2 R2-93
c 983.2
05/14/20
'11.11
350.1 R2-93
c 8200
05/14/20
DTI;,
353.2 R2-93
c 2.98
05/14/20
DTL
353.2 R2-93
c 24520
05/14/20
DTL
36SA-74
6
05/26/20
LFJ
EPA200.7
ID# : 41.6
DATE COLLECTED: 05/12/20
DATE REPORTED : 06/02/20
REVIEWED BY:
a Uncertified data, DWR does not offer non -aqueous certification for this analytical procedure,

Drinking Water IDs 37715
ERw,n[@DwHq % hcupwalb do
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Sludge Analysis Method
Sample Date Analyst Code
Sodium Adsorption Ratio (calc) 5.6 05/26/20 L)aJ
ID## : 416 S
DATE COLLECTED: 05/12/20
DATE REPORTED : 07/14/20
REVIEWED BY:

i' � s; � ■
��_..: ... � L= � �'�

a:
z
Orlando, FL W
The results set tolth herein are provided by SGS Nortli America Inc. e etrdeopy 2' 0
Anfontated Report
Technical Report for
Environment 1, Inc
Contentnea Metro Sewage District; Grifton, NC
416
SGS Job Number: FA75063
Sampling Date: 05/12/20
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
[e-mail]
TTN: Deedee Woolard
Total number of pages in report: 14
Test results contained within this data package meet the requirements Caitlin Brice, M.S.
of the National Environmental Laboratory Accreditation Program General Manager
and/or state specific certification programs as applicable.
Client Service contact: Jean Dent -Smith 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS,
Test results relate only to samples analyzed,
SOS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
SGS is the sole authority for authorizing edits or rrtodaations to [his document, please share your ideas about
Utauthor€zed modification of this rel=or[ is Strictly prohibited, how arc Call serve you beftcr at: -.___. _ _
Reviewstandardterutsat: h[t1t':nwtt,sls.contlett%terms-and-conditions 1[tS.US.GustcuttcrCareiii?sl7s.corn
1 of 14
FA76063

Sections:
ContentsTable of
Section1: Sample Summary................................................................................................... 3
Section2: Summary of Hits.................................................................................................... 4
Section 3: Sample Results ................ —....................................................... .......................... .... 5
11
11: FA75063-1: SLUDGE SAMPLE.................................................................................. 6
Section4: Misc. Forms............................................................................................................ 12
4.1: Chain of Custody........................................................................................................... 13
2 of 94
PA76063

SGS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA75063
Contentnea Metro Sewage District; Grifton, NC
Project No: 416
;ample
Collected
Matrix
Client
4umber
Date Time By
Received Code Type
Sample 10
TIS'is report contains'results;reported as,NA Not detected. The follawmg applies
Organics ND = Not detected above the MDL
............. .
FA75063-1 ': 05/12/20 09:58 Ala 05/16/20 SO Sludge SLUDGE SAMPLE
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
3of14
SO-
FA76063

Summary of Hits Page I of 1
Job Number:
FA75063
Account:
Environment 1, Inc
Project:
Contentnea Metro Sewage District; Grifton, NC
Collected:
05/12/20
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA75063-1 SLUDGE SAMPLE
Corrosivity as pH 3..6 su SW846 CHAP7
Ignitability (Flashpoint) a > 200 Deg, F SW846 1010A MOD
(a) Not ignitable.
— ... 4 of 14
FA75UB3

3 s
lI CY mow"
Orlando, FL
.Sample Results
Report of Analysis
11
5of1A
FA75063

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample XD: FA75063-1 Date Sampled: 05/12/20
Matrix: SO - Sludge Date Received: 05/16/20
Method: SW846 8260B SW846 1311 Percent Solids: 1.8
Project: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 P71555.1) 10 05/21/20 13:14 SO 05/20/20 12:30 OP80265 VP2822
Run #2
Purge Volume
.un #1 5.0 ml
-un #2
VOA TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
71-43-2
Benzene
ND
D018
0.50 0.010
0.0031
mg/I
78-93-3
2-Butanone (MEK)
ND
D035
200 0.050
0.020
mg/1
56-23-5
Carbon Tetrachloride
ND .`
D019
0.50 0,010
0.0036
mg/1
108-90-7
Chlorobenzene
ND
D021
100 0.010
0.0020
mg/1
67-66-3
Chloroform
ND
D022
6.0 0.010
0.0030
mg/1
106-46-7
1,4-Dichlorobenzene
ND
D027
7.5 0.010
0.0026
mg/1
107-06-2
1,2-Dichloroethane
ND
D028
0.50 0.010
0.0031
mg/1
75-35-4
1,I-Dichloroethylene
ND
D029
0.70 0.010
0.0032
mg/1
127-18-4
Tetrachloroethylene
ND
D039
0.70 0.010
0.0022
mg/1
79-01-6
Trichloroethylene
ND
D040
0.50 0.010
0.0035
mg/1
75-01-4
Vinyl Chloride
ND
D043
0.20 0.010
0.0041
mg/1
CAS No.
Surrogate Recoveries
Run# I
Run# 2
Limits
1868-53-7
Dibromofluoromethane
94%u '
83-118%
17060-07-0
1,2-Diohloroethane-D4
99%
79-125%
2037-26-5
Toluene-D8
103%
85-112%
460-00-4
4-Bromofluorobenzene
101%
83-118%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
Bof'!4
-
FA7HO

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA75063-1 Date Sampled: 05/12/20
Matrix: SO - Sludge Date Received: 05/16/20
Method: SW846 8270D SW846 3510C Percent Solids: 1.8
Project: Contentnea Metro Sewage District; Grifton, NC
Page I of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X070687.13 1 05/28/20 15:33 MV 05/29/20 09:30 OP80379 SX2900
Run #2
Initial Volume Final Volume
un #1 100 ml 1.0 ml
.un #2
ABN TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
95-48-7
2-Methylphenol
ND
D023
200
0.050
0.0056
mg/1
3&4-Methylphenol
ND
D024
200
0.050
0.0098
mg/l
87-86-5
Pentachlorophenol
ND
D037
100
0.25
0.050
mg/l
95-95-4
2,4,5-Trichlorophenol
ND
D041
400
0.050
0.0074
mg/1
88-06-2
2,4,6-Trichlorophenol
ND, ;:.
D042
2.0
0.050
0.0075
mg/l
106-46-7
1,4-Diehlorobenzene
ND.
D027
7.5
0.050
0.0050
mg/1
121-14-2
2,4-Dinitrotoluene
ND :
D030
0.13
0.050
0.0081
mg/1
118-74-1
Hexachlorobenzene
ND
D032
0.13
0.050
0.0069
mg/l
87-68-3
Hexachlorobutadiene
ND
D033
0.50 0.050
0.0050
mg/1
67-72-1
Hexachloroethane
ND
D034
3.0
0.050
0.016
mg/1
98-95-3
Nitrobenzene
ND.. ` `, .
D036
2.0
0.050
0.0093
mg/l
110-86-1
Pyridine
ND
D038
5.0
0.10
0.020
mg/1
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
367-12-4
2-Fluorophenol
25%
14-67%
4165-62-2
Phenol-d5
20% :
10-50%
118-79-6
2,4,6-Tribromophenol
47%. ,
33-118%
4165-60-0
Nitrobenzene-d5
56%:'``
42-108%
321-60-8
2-P'h-iorobiphenyl
58% :
40-106%
1718-51-0
Tcrphenyl-d14
770/. '`
',
39-121%
(a) Associated ICV outside control limits high, however sample ND.
..........
ND = Not detected MDL = Method Detection Limit 7 = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/l/l 1) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
— -- 7of14
FA76063

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA75063-1 Date Sampled: 05/12/20
Matrix: SO - Sludge Date Received: 05/16/20
Method: SW846 8151A SW846 3510C Percent Solids: 1,8
Project: Contentnea Metro Sewage District; Grifton, NC
Page I of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CC067989,D 1 05/30/20 03:21 JA 05/28/20 13:30 OP80381 GCC1654
Run #2
Initial Volume Final Volume
Run Al 10.0ml 5.0ml
Run #2
Herbicide TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MCL Units Q
94-75-7
2,4-D
ND
D016
10 0.050
0.017 mg/1
93-72-1
2,4,5-TP (Silvex)
ND
D017
1.0 0.0050
0.0013 mg/1
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
19719-28-9
2,4-DCAA
74%
39-135%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
8oft4
AGS
FA75063

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA75063-1 Date Sampled: 05/12/20
Matrix: SO - Sludge Date Received: 05/16/20
Method: SW846 8081E SW846 3510C Percent Solids: 1.8
Project: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1
--IN
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 ST147113.1) 1 05/28/20 22:06 WH 05/28/20 12:15 OP80380 GST3536
Run #2
initial Volume Final Volume
Run #1 100 ml 5.0 ml
Run #2
Pesticide TCLP List
CAS No.
Compound
58-89-9
gamma-BHC (Lindane)
12789-03-6
Chlordane
72-20-8
Endrin
76-44-8
Heptachlor
1024-57-3
Heptachlor epoxide
72-43-5
Methoxychlor
8001-35-2
Toxaphene
CAS No.
Surrogate Recoveries
877-09-8
Tetrachloro-m-xylene
2051-24-3
Decachlorobiphenyi
TCLP Leachate method SW846 1311
Result
HW#
MCL RL
MDL
Units Q
ND .
D013
0.40 0.00010
0.000022
mg/l
ND '
D020
0.030 0.0010
0.00038
mg/1
ND . '
D012
0.020 0.00020
0,000021
mg/1
ND ..:
D031
0.0080 0. 000 10
0,000026
mg/l
ND
D031
0.0080 0.00010
0,000020
mg/1
ND
D014
10 0.00020
0,000050
mg/1
ND
D015
0.50 0.0050
0.0021
mg/l
Run# 1
Run# 2
Limits
82% `:
42-127%
99%
27-127%
ND = Not detected MDL = Method Detection Limit J Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 711/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
9of14
FAa6n63

SGS North America Inc.
Report of Analysis
Client Sample ID. SLUDGE SAMPLE
Lab Sample ID: FA75063-1 Date Sampled: 05/12/20
Matrix: SO - Sludge Date Received: 05/16/20
Percent Solids: 1.8
Project: Contentnea Metro Sewage District; Grilton, NC
Page 1 of I
Metals Analysis, TCLP Leachate SW8461311
Analyte Result HW#
MCL
RL
Units
DF
Prep
Analyzed
By
Method
Prep Method
Arsenic < 0.10 D004
5.0
0.10
mg/1
1
05/27/20
05/28/20
LM
SW846 6010D 2
SW846 3010A 4
Barium < 2,0 D005
100
2.0
mg/1
1
05/27/20
05/28/20
LM
SW846 6010D 2
SW846 3010A 4
Cadmium < 0.050. D006
1.0
0.050
mg/l
1
05/27/20
05/28/20
LM
SW846 6010D 2
SW846 3010A 4
Chromium < 0.10 D007
5.0
0.10
mg/1
1
05/27/20
05/28/20
LM
SW846 601 OD 2
SW846 3010A 4
Lead < 0.050 D008
5.0
0.050
mg/I
1
05/27/20
05/28/20
LM
SW846 6010D 2
SW846 3010A 4
Mercury <0,0050 D009
0.20
0.0050
mg/l
1
05/21/20
05/21/20
7C
SW8467470A1
SW8467470A3
Selenium <0.10 DOW
1.0
0.10
mg/l
1
05/27/20
05/28/20
LM
SW846601OD2
SW8463010A4
Silver < 0.10 D011
5.0
0.10
mg/I
1
05/27/20
05/28/20
LM
SW846 6010D 2
SW846 3010A 4
(1) Instrument QC Batch: MAI6764
(2) Instrument QC Batch: MA16781
(3) Prep QC Batch: MP37257
(4) Prep QC Batch: MP37278
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1/11)
- 10 of 14
SGSL
FA76©63

SGS North America Inc.
Report of Analysis
Client Sample 1D: SLUDGE SAMPLE
Lab Sample ID: FA75063-1 Date Sampled: 05/12/20
Matrix: SO - Sludge Date Received: 05/16/20
Percent Solids: 1.8
Project: Contentnea Metro Sewage District; Grifton, NC
General Chemistry
Analyte
Corrosivity as pH
Cyanide Reactivity
Ignitability (Flashpoint)
Solids, Percent
Sulfide Reactivity
(a) Not ignitable.
RL = Reporting Limit
Page 1 of 1
Result
RL Units
DF
Analyzed
By
Method
3.6 ..
su
1
05/26/20 14:25
BW
SW846 CHAP?
<8.3
8.3 mg/kg
1
05/29/20 09:56
AC
SW846 CHAP7
> 200
Deg. F
1
05/26/20 11:11
BW
SW846 1010A MOD
I,g
%
1
05/19/2009:55
CS
SM192540G
< 140
140 mg/kg
1
05/28/20 11:12
BW
SW846 CHAP?
11 of 14
FA75063

Orlando FL''.
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable;
• Chain of Custody
Section 4
a
12 of 14
FA75063

Environment 1, InC.
P.O. Box 7OS5, 114 Oakmont Dr.
Greenville, NC 2785E
environmentlinC.Com
Phone [phone] • Fax [phone]
CX,UNT: 416 Week: 10
MSD (SLUDGF & WELLS ACCT)
ON Il,NTNE& METRO. SEWAGE DIST.
IS. RENEE pRIDGEN
.O. ,BOX 471
:RTFTON NC 28530
152)524-5564
CHAIN OF CUSTODY RECORD FAoj5443 page , of ;
DISINFECTION
CHLORINE NEUlFlALiTEDAT COLLECTION
CHLORINE.
pH CHECK (LAD)
UV
NONE
P
P
P
G
G
G
G
G
if
CONTA1NERTYPE P/G
AAAAAAAA
CHEMICAL PRESERVATION
A•NONE ❑-NAOH
aCww
O-HNO, E-HCL
�c�
a
,'�•
�`
a
�
w
�
O•fiZSfl, F-7JNCACETATFINAOH
G�g7
�
W
�'�j
�VV
s� G•t�FAiHiOSULFATE
pe
a
U
H
tc�
5
MASSIFICAnON:
WASTEWATER (NPDES)
DRINKUIGWATER
pW 41
SOUDWASTESECTION
CHAN OF CUSTODY (SEAL) MAINTAINED
DURINGj� PMfNTlDELIVERY
lV N
5ANIPLEB COLLECTED W.
(Pkasa.,P_hl)
ineo d
IT
SAWI.ESRECENEDINIABAT—'i's C
REC BY (SIG.-
ATMME
COWAENI&
L)
0 �� i 5 t 2 Zo
tiECE /B� :G.)
ATElRME
cd C ').•w
RECE
BY (90
ATEII ME
J~
20 Sj
PSjl� Sampler must place a"C' for composile sample cr a'G" for
JGG0 Grab sample in the blocks above (at each parameter requesled. NP 373292
F'A75063: Chaim of Custody
Noe 1 of 2
13 of'14
FA75063

SGS Sample Receipt Summary
Job Number; FA75063 Client: ENVIRONMENTAL 1 Project: 416
Data ! Time Received; 5/16/2020 10:00:00 AM Dellvery Method: FX Airbill #'a:
Therm ID: IR 1; Therm CF: -0.8; # of Coolers: 1
Cooler Temps (Raw Measured) IC: Cooler 1: (4.6);
Cooler Temps (Corrected) °C: Cooler 1: (3.8);
Cooler Information
Y or
IN
Sample Information
Y or
N _
N!A
1. Custody Seals Present
❑
1. Sample labels present on bottles
®
❑
2, Custody Seals Intact
©
❑
2. Samples preserved properly
Sd
❑
3. Temp criteria achieved
8
❑
3. Sufficient volumetcontainers recvd for analysis:
©
❑
4. Cooler temp verification
IR Gun
4, Condition of sample
ac
5. Cooler media
Ice (gaol
5. Sample recvd within HT
®
❑
6. DatesMmas/lDs on COG match Sample Label
©
❑
Trio 131anlc Information
Y or _ 1L
N/A
7. VOCs have headspace
❑
❑
1. Trip Blank present 1 cooler
❑
❑
©
8. Bottles received for unspecified tests
❑
2. Trip Blank listed on COC
❑
❑
®
9. Compositing instructions clear
❑
❑
10. Voa Soii KitslJars received past 48hrs?
1-1
Li
d❑
C 5_
N/A
11. % Solids Jar received?
❑
❑
3. Type Of TB Received
❑
❑
®
12, Residual Chlorine Present?
❑
❑
Misc. Information
NumbarofEncores; 25-Gram _
Test Strip Lot #s: pH 0-3
Residual Chlorine Test Strip Lot M
Comments
5-Gram Number of 5035 Field Kits:
230315 pH 10-12 219813A
Number of Lab Filtered Metals:
Other: (Specify)
SMoor Technician: PETERH Dafe: 5118/2020 10:00:00 A Reviewer: Date:
Rev. pals W24117
FA75063: Chain of Custody
Page 2 of 2
14ofU
FA75063

6/2/2020 Environment 1 Inc Mail - SGS e-Hardcopy 2.0 Report FA75063: Contentnea Metro Sewage District; Grifton, NC, sampled on 05/12/2020
t Ann Brown WW <[e-mail]>
SGS e-Hardcopy 2.0 Report FA75063: Contentnea Metro Sewage District; Grifton,
NC, sampled on 05/12/2020
1 message
SGS LabLink Orlando FL <[e-mail]> Mon, ,fun 1, 2020 at 7:39 PM
Reply -To: [e-mail]
To: [e-mail]
Enclosed is the e-Hardcopy 2.0 report for the following SGS job:
FA75063: Contentnea Metro Sewage District; Grifton, NC
Received: 05116/202014 day TAT
Environment 1, Inc
The attached PDP file contains your report; 14 pages.
The scanned chain of custody is also included in this report.
NOTE: This PDF contains complete COMMA deliverables.
No paper report will be mailed.
A RESULT SUMMARY TABLE is also attached in HTM format. This file can be opened as a web page -or- it can be
saved to disk and opened using Excel.
Address questions/changes to your project manager at the link below:
.lean Dent -Smith
[e-mail]
NOTE: This PDT' file is an e-Hardcopy 2.0 report. It is a complete, self-contained report with bookmarks, table of contents,
and section markers, all with hypertext links for ease of navigation. We believe you will find it to be the most easy to use
data package in the industry.
SGS La Linl&
Celebrating 20 Years On-Line-1996-2016
This message is confidential and intended solely for the use of the addressee and may contain material protected by law.
If you are not the intended recipient, you have received this in error and any use, dissemination, forwarding, printing,
or copying of this message is prohibited.
Information in this email and any attachments is confidential and intended solely for the use of the individual(s) to whom it
is addressed or otherwise directed. Please note that any views or opinions presented in this email are solely those of the
author and do not necessarily represent those of the Company. Finally, the recipient should check this email and any
attachments for the presence of viruses. The Company accepts no liability for any damage caused by any virus
transmitted by this email. All SGS services are rendered in accordance with the applicable SGS conditions of service
available on request and accessible at https://www.sgs.com/en/terms-and-conditions
SGS Orlando, FL
Jun 01, 2020 19:39 pm
Job Number: FA75063
Account: Environment 1, Inc
Project: Contentnea Metro Sewage District; Grifton, NC
Project Number: 416
Legend: Hit
https:llmail.google.com/malllu/07ik=1 aaabef4l5&view=pt&search=all&permth id=thread-f%3Al 668341851100730459&simpl=msg-f%3A166834185110... 113

6/2/2020 Environment 1 Inc Mail - SGS e-Hardcopy 2.0 Report FA75063: Contentnea Metro Sewage District; Grifton, NC, sampled on 05/12/2020
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA75063-1
Date Sampled: 05/12/2020
Matrix: Sludge
General Chemistry
Corrosivity as pH
su
3.6
Cyanide Reactivity
mg/kg
<8.3
Ignitability (Flashpoint)
Deg. F
>200 a
Solids, Percent
%
1.8
Sulfide Reactivity
mglkg
<140
MS Volatiles (SW846 826013)
Benzene
mg/l
ND (0.0031)
2-Butanone (MEK)
mgll
ND (0.020)
Carbon Tetrachloride
mg1l
ND (0.0036)
Chlorobenzene
mgll
ND (0.0020)
Chloroform
mgll
ND (0.0030)
1,4-Dichlorobenzene
mgll
ND (0.0026)
1,2-Dichloroethane
mg/1
ND (0.0031)
1,1-Dichloroethylene
mgll
ND (0.0032)
Tetrachloroethylene
mg/l
ND (0.0022)
Trichloroethylene
mg/l
ND (0.0035)
Vinyl Chloride
mg11
ND (0.0041)
MS Semi-volatiles (SW846 8270D)
2-Methylphenol
mgll
ND (0.0056)
3&4-Methylphenol
mg/1
ND (0.0098)
Pentachlorophenol
mgll
ND (0.050)
2,4,5-Trichlorophenol
mgll
ND (0.0074)
2,4,6-Trichlorophenol
mg/l
ND (0.0075)
1,4-Dichlorobenzene
mgll
ND (0.0050)
2,4-Dinitrotoluene
mgll
ND (0.0081)
Hexachlorobenzene
mgll
ND (0.0069)
Hexachlorobutadiene
mgli
ND (0.0050)
Hexachloroethane
mgll
ND (0.016)
Nitrobenzene
mg/1
ND (0.0093)
Pyridine
mg/l
ND (0.020) b
GC/LC Semi-volatiles (SW846 8081 B)
gamma-BHC (Lindane) mgll ND (0.000022)
Chlordane mgll ND (0.00038)
Endrin mg/1 ND (0.000021)
Heptachlor mgll ND (0,000026)
Heptachlor epoxide mgll ND (0.000020)
Methoxychlor mgll ND (0,000050)
https:Ilmail.google.comlmail1u10?ik=1 aaabef415&view=pt&search=all&permthid=thread-f%3A1668341851100730459&simpl=msg-f%3A166834185110... 213

6/212020 Environment 1 Inc Mail - SGS e-Hardcopy 2.0 Report FA75063: Contentnea Metro Sewage District; Grifton, NC, sampled on 05/12/2020
Toxaphene mg/I ND (0.0021)
GC/LC Sethi-volatiles (SW846 8151A)
2,4-D mg/1 ND (0,017)
2,4,5-TP (Silvex) mg/1 ND (0.0013)
Metals Analysis
Arsenic
mg/I
<0.10
Barium
mg/l
<2.0
Cadmium
mg/l
<0.050
Chromium
mg/l
<0.10
Lead
mg/I
<0.050
Mercury
mg/l
<0.0050
Selenium
mg/l
<0.10
Silver
mgll
<0.10
Footnotes:
I Not ignitable.
b Associated ICV outside control limits high, however sample ND.
mn FA75063.pdf
158K
https:llmai l.google.com/mail/u/0?ik=1 aaabef4l5&view=pt&search=all&permthid=thread-f%3Al 668341851100730459&simpl=msg-f%3A166834185110... 313

►a\Oh11KYW 11 O 1 : -9-9I1 C - - \ _ 1_. _ _I _ .1U 111_ -: _ _ • .0 I
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: ('brl} WQ Permit #: it_'Q0ptCLg Field #: Z Acres Utilized:
Land Owner: ' n+a- • � Annual Dry Tons Applied::!.�t Z Site #: Acres Permitted: Z . &Z
Operator: 0: l2(�a - Cam_ Predominant Soil Series:I�U5 Cation Exchange Capacity (non 503): 4. 5
Crop 1 Name: CCpl Crop 1 Max. PAN: Crop 2 Name: Crop 2 Max. PAN:
_
Q
N
Q
Volume applied
enter one Solidsl
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Awe
(Dry TonslAc)
Residual Sources
(NPl)ES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
weto
Moist
Precip.
Past 24,
Hrs.
inches
y
4 4
aC W
o
w
—
�
w
"
N
TKN
mglkg
o ,�
O
g m.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
�12UL)
. Ord
L 14`1
�Zv��
i
, iZ
:5
QZ
9-209931
9221
-)f
:=
Residuals Applications totals on FORM FSF su attach FORM FSF su to this form .
Pp PP ( AP )
.....•.•.•..•..
.
TOTALS.
l
:::;:>
As
Cd
Cu
Cr
Pb
H�
Mo
Ni
Se
Zn
P
5?5lo
Lime Applied
Annual Ibs/acre
1 .=C �. <::
. ,CAL
G (a
a" 33
p 638 .
C1GYM I
G,Gt3:
02.E
6.01. I .
Ji,Qq i
:;
Date
lbs/ac
Friar Years Cumulative lbslac
. G b5r=1 `
C;
[%%�
S.C7`Q
34
St->C}�v
(
3f'337
; Gib
g C :
354
Qs35
Z•ri7
.?1�t
5A8,44
3�
13.00
c3;e3G
G
7 1.Qz7
d SZL
g
::.:.:.:.:.:.:.:....... ::........
::
Pf-• ZG
4
Current Cumulative lbslac
Permitted C. P. L. R.�`***
Permit
rm PAN Limit 1 stl2nd Crop
..................................,..-...........................
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 1.0
Signature of Land Appliez Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: " rpF)j(T4r)ecC,M . i7 Total Dry Tons Applied (Annual): ,q6Z
Permit #: 1�CQQ10$ Cation Exchange Capacity (non 503 only): 41 �5
Operator: Gt M•byj ` q . Owner: �p�}�.m�'D Predominant Soil Series:tC-k��L15
Acres Used: Z , 62 Acres Permitted: Site #: $ Field #: Z
RPaidivnl A,nnlvsic Data (Heavy Metals and Total Phosphorus use z 0ka, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
i2
L 2
3
4
5
S
7
8
9
10
11
12
% Solids
1,1ta56
Arsenic
Z, q
Cadmium
U. G 2
Copper
I-`j y
Chromium i
Lead
Mercury
p,
Molyb-
denum
Nickel
Selenium
5 .0
Zinc
(p7 D
Total
Phos-
phorus
Z�SZt�
Molyb-
a 013
D, D13
Nickel
Selenium
Zinc
k .0
Total
Phos-
phorus
0, 10
"I certif'v, 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".
Ufa ►� Y� A/
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

• ►�►� - - ► �_ .. • ► - i _ luau_ �_ rr •
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: Latffiv�-O WQ Permit #: "OMto g Field #: 3 Acres Utilized: Z.7Z
Land Owner: r�.� Annual Dry Tons Applied. Site #: Acres Permitted: Z 7Z
Operator: l xll iGC`5i . Predominant Soil Series: Cation Exchange Capacity (non 503): L�-15
Crop 1 Name: Crop 1 Max. PAN: n (,n Crop 2 Name: Crop 2 Max. PAN:
_
Cl
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
pP P
Acre
(Dry Tons]AG)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond
(Dry,
We '
Moist)
Precip.
Past 24
Hrs.
inches
a
o
�*
0 o
o
w
�' -
w
*
TKN
mglkg
Z
n
as o
mglkg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
Q
Receiving Residual
Application
Crop 1
Crap 2
Crop 1
Crop 2
Zc�
49020
L-14%
[ , (
NCOc3ZD`�n
rroi �t-*
C)
1
015
O-W
T)976
Ci 4a.Z
2L2R?
0,
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
` `
TOTALS:
, :
p(3
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
JL4,46FF
Lime A lied
Annual Ibs/acre
pCp`77.Z
1 '1 l7
'ZZU ::::::::::::::::::::::::
=: >:? :::::::::::::::::::»>:::=::
...........................
;
Date
lbs/ac
Prior Years Cumulative lbs/ac
C3:7Cr5
$ ���"
�4•&6
4ACI�
.L75
o. 2q3
Z.G
,WZ
• A ,
ZiTQ15
(-
Current Cumulative lbs/ac
0
"�3 624144.PS9
44.q
4 '
0TLPt.:
Zi-qi
1,6 03
Permitted C. P. L. R.*
.S3C��.:.
36
1 34
13. ,91
1 2b-)
1 15
1f'
3`)4
Permit PAN Limit t/
J s 2nd Cro P
............. .................................................................................
"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
-"Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loadin6 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:6-40e&, j —P Total Dry Tons Applied (Annual): &'L1
Permit #: L,-0000049 Cation Fxchange Capacity (non 503 only): 4.
Operator: oviE bf-fwvjN cL' . Owner: CM+eF)A4-yjA4jbD Predominant Soil Series:-4146--fki-h
Acres Used: Acres Permitted: 2 ;`?z Site #: -B Field #: 3
RPcidlinl Analvcic nnta (Heavv Metals and Total PhosDhorus use mu/ke, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
i7D2i�
2
3
4j
6
7
8
9
10
11
12
% Solids
i,-)u5
Arsenic
7,5
Cadmium
p.j2
Copper
Z51
Chromium i,5
Lead
j `]
Mercury
(j
Molyb-
denilm
Nickel
I 12
Sclenium
<6C3
Zinc
Total
Phos-
hor us
Z(-r)2 0
.. . r
..
i
MENEEMENEEN
MOM
Total
Phos-
•
r s
d
......................
"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 Icnowing violations".
-/ - 4IN6-1-16
Signature of Land Applies Date
UENR FORM MFLSF (12/2006)

PLEASE MAKE A COPY OF TMS 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: Cflja-Ad'ya��L nd7 WQ Permit #: CW1C)qg Field #: 5 Acres Utilized: 3,24
Land Owner: g� Annual Dry Ions Applied: Site #: '75 Acres Permitted: 7L )
Operator:i�}C�ilt°7 + 1u31Ck1J1 Predominant Soil Series.-? Cation Exchange Capacity (non 503): 4.5
Crop 1 Name: Cb0-�}Q1lCrop 1 Max. PAN: Crop 2 Name: Crop 2 Marc. PAN:
QLiquid
Volume applied
{enter one) Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etC}
Soil
C°nd
(Dry,
Moist)Endres
Precip
Past 24
Hrs.
o
w
w "
�,
TKN
mg/kg
Z
o
c� a
g
mg/kg
Nitrate
and
Nitrite
mglkg
pp Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
3zcx�o
; �i i
Z► ;
t-�CE7C3zo�
maw+o
s5
a = aU
D
%3--L
5Z2R9
IL
:.:...
:..:
ResiduaIs Applications totals on FORM FSF sup (attach FORM
FSF supp to this form)
TOTALS:
As
Cd
Cu
Cr
Pb
I-Ig
Mo
Ni
Se
Zn
I P
;l`a2tP1
Lime A lied
Annual lbs/acre
":
(3,CCU
6<�il
Cq:
�= Zl .
('`
O.CU7
bi
c`:5.
(o.
.�33.Z...
b 454:::::::::::::::::::...:.:.:.:.:.:.
........ : >::::=:::
...........
.::
Date
Ibslac
Prior Years Cumulative Ibslac
, S3 i L4�k
1�5�3
'} ,17�
��0 5b�}
�s. ��5
C= Z2 [o
& .1�5
P • 935
a
Current Cumulative lbs/ac
CS f'-}
l •t1
ws
3f5�s3
, t7� tv
` 7:
3L IG2
..: t2G
0:1
7a.�$
Permitted C. P. L. R.****a.
(,
105
4
G!
Zllq `3
Permit PAN Limit lstl2nd Crop
�
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
�c�. *Application Method: S - Surface, IN - Injection, INC - Incorporation
tam T o2�v o?Ga "Volatilization Rate: Surface - 0.5. Iniection/Incorporation -1-0
Signature of Land Applier Date " Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
""C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:� Total Dry Tons Applied (Annual): Z, 32Z :
Permit #: (XjpyC} Cation Exchange Capacity (nou 503 only): <f
Operator: (_Yt�i1��N�,Jrrn►lill+liC�CtJt _Owner: C{E7 ll i 7 Predominant Soil Sezies,,?Qc -J
Acres Used: Acres Permitted: 3."24 Site #: Field #:
Rf-ddillnl Analvcir nntn fNeaw Metals and Total Phostnhorus use Rnelka, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
LIJ
&I--2DZ0
2
3
4
5
6
7
8
9
10
t t
12
Solids
1: )Loc)
A,senic
Z,
Cadmium
G1Z
Copper
Z5
Chromium j
Lead
Iy
Mercury
C� • FJ5
Molyb-
denij
Nickel
Selenium
c-5. U
Zinc
](]
Total
Phos-
phorus
i
■a 5 Womi
i 1
A e
p r4
•
. = M�
o
Total
Phos-
Dhorus
s
"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".
Al9" 4W .
rk* -aao? l
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

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: CL6 166-D WQ Permit #: Field #: g Acres Utilized:
Land Owner: �� 11.j`i� Annual Dry Tons Applied Site #: C j �qC� J Acres Permitted:
Operator: 11GI� 1 �j j 7j. Predominant Soil Series: AIQ (L Cation Exchange Capacity (non 503): 14. j
Crop 1 Name: Crop 1 Max. PAN: n-L Crop 2 Name: Crop 2 Max. PAN:
_
y o
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(ory TonslAc)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond-,
(Dry,
We '
Moist)inches
precip.
Past 24
Hs
a
ro
o
w
K
CDg
c��n
r w
TKN
mglkg
Z
d
M a
m.
Mg/kg
Nitrate
and
Nitrite
Mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop i
Crop 2
Crop 1
Crop 2
2D
Q30DO
t--)u
D 51
-t4 3ZD
C 5
0, o
55VIp
q�,z.
S2aZgg
7�r
?- ?�
3L4Q20
. -?4
LZA
14CQQ&W-)
f
C) 5
Q.
`7
>Z
SZb2•ci4
'iln.
.
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
'
l .lLlGO
As
Cd
Cu
Cr
Pb
I-I
Mo
Ni
Se
Zn
P
53.W3
Lime A lied
Annuallbs/acre
OOc�:'
o•rx�2
�
p:o33
< �`)
.oca4"a:o43
oZ�
�•vl l
I"�433
" 2��=`> ::::::::.:::::.:::.::::::::::::
.. ..
:;
Date
lbs/ac
Prior Years Cumulative lbs/ac
O. lA l (o
7--? 3
54,53
Z,575
5 •fib
c7 -13 L4
Z• 1 08
5 = Z'
o• o5
Z01.130
lad
Current Cumulativelbs/ac
5.
y: i
25:��
.LL63
b- `7,
-Z=1Llr
5, 7
f3e`fo to
Permitted C. P. L_ R-****
3G
3 to
J7
e3 q
ZOi g
e P rzxzzt PAN Limit 1 stl2nd Crop
............................. •................... ............................. ..........................
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/IncorAoration - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
****C•P•L_R.: Cumulative Pollutant Loadin6 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: ' (`r�n'tc���-ice► _ "
Total Dry Tons Applied (Annual): 19,Z-)Z
Permit #: i Cation Exchange Capacity (non 503 only): [i-. 5
Operator: Chitljiti) u`m'r1�tiIC �S6_ Owner: n+Bfl- h`0 Predominant Soil Series:
Acres Used: -1. 3 Xeres Permitted: 2-2 3 Site #: C,= T[pC}--ff Field #: �
-0—Aeli,a] Anah Qk data ruPaw Metals and Total Phosphorus use mg/kiz. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
-i 71aZO
2
-i
3
4
5
7
8
9
10 I
111
12
% Solids
j .�1
1,
Arsenic
ZA
2,-g
Cadmium
0,Q-1
• �2
Copper
L5 !
Chromium 15
1
Lead
17
j')
Mercury
0,65
Molyb-
Nickel
i Z
i Z
Selenium
46,D
4 5-0
Zinc
Total
Phos-
horus
N 5Z0
Annual
Heavy 1Vietal Yield Loadings
(ualcuraten in insiacre):
Total
1
2]
13J
4j
6j
7
8j
91
10
11 j
1121
H
DT/Ae./
�_i-��
7(7
0
`. App.
Event
C5,751
b, e31q
1,O7C5
Arsenic
;004
p000Z
Cadmium
Copper
0,3
v,iC7
p<537
Chromium
a,o�
aoid
a`O�
Lead
Mercury
C), G©`l
0 ,.
a ' 1
Molyb-
denum
t/
Nickel
O,ra.1
s
Selenium
p,
O1.(;{y3
p A (j 1 i
Zinc
l,coi
a.lZ7
,
1.t33
Total
Phos-
phorus
"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 submitteu.
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 Applies Date
DENR FORM MFLSF (12/2006)

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: �`On � l�k5l� WQ Permit #: 1�XCO!310 -ie Field #: C{ Acres Utilized:
Land Owner: C�nPi� J'1P�Ii�� Annual Dry Tons Applied), Site #: C- ({ Acres Permitted: -- s, ! 5
Operator: CnMl�ri��.:jckPredominant Soil Series: A } Cation Exchange Capacity (non 503): 4, r5
Crop 1 Name: C}ct�'
1�- i'i'I..�Pi... Crop 1 Max. PAN: )`?L _ Crop 2 Name: Crop 2 Max. PAN:
...............
_
Volume applied
Volume
Residual Sources
Soil
Cond.
precip.
Y
4
o
� rn
Z Y
Nitrate
PAN Applied
Name of Crop Type
enter one Solids/
{ )
o
/o
Applied per
WDES #, WQ#,
past 24
a �
yi w
�
TXN
o rq o
and
lbs/acre
{ }
Receiving Residual
Q
Liquid
Solids
Acre
Fert-, Azzinaal
�ry�
Hrs.
a� �
�'
�°
� N-
c�
�
Nitrite
Application
Cu. Yds Gallons
{Dry TonslAc)
Waste, etc)
,wed
Moist
inches
o
p
*
mg/kg
w.
mglkg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
A-Zo
r
O=
0-30
55 �U
� •Z
g �
b`?2
°
'
3400U
J ?45n
n.''4ngi :
>+fror��-)I))-) I
r1r r,4I
I
N A
1 D,?ro
irk�r>
G?k3,Z
S11h7.�i5'
7Ll l�i�#?
..:.
Residuals A Iications totals on FORM FSF su attach FORM FSF su to this form :
'
.....
..........
TOTALS:F777
TIAL4060
As
Cd
Cu
Cr
Pb
Hiz
Mo
Ni
Se
Zn
P
IG'
Lime Applied
Annual lbs/acre
::
6.0O3
Cst, ..
0448
G 054 `
CQbDZ
6. U7D
6, .
Olio
Z,1.5
75g ::::::::::::::::::::::=
:<
...::::::::::::< ::=>:::::::::::=:
Date
lbs/ac
Prior Years Cumulative lbslac
Q, 55 (P
t-S�fo
55.JQ3
Zb• 5(a
5.5bZ
3,141
7—
5. 5
a: �4
�
-G Z�
Current Cumulative lbs/ac
5
� 9
5 S GGi
Zh rtI)4
"4143
Z,")u{ }
S
F7lG
E1�3
Permitted C_ P. L. R.* **
�iy
1335
—
7
16
—
374
Permit PAN Limit l st/2nd Crop
17 Z
"I certify, under penalty of lave, 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
**Volatilization Rate: Surface - 0.5. Iniectionflncornoration - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested •-0.3, raw sludge -0.4
****C.P.L_R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: L)nienl,-t 1 fcL i'il6i Total Dry Tons Applied (Annual): , zi �, ' ,.
I.
Permit #: �,,_=02104q Cation Exchange Capacity (non 503 only): 15
Operator: (ba6ebff).6m'K -Wi - Owner: CLL) �tn, neo M 5D Predominant Soil Series: jam.
Acres Used: 6 1,5 Acres Permitted: 6, Fj Site #: LT Field #: Cl
Do-1-1 A",ah7c;e na+n a4i-aw MQ alc and Total Phosohorus use mg/ka. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
-1270LU
2
b-tZ Zb7_(i
3
4
5
6
7
8
9
10
11
12
% Solids
1.14%
VX06
Arsenic
Z•
Cadmium
C) ,C
Copper
L51
Z61
Chromium 16
115
Lead
1-7
17
Mercury
p, 5
O� 55
MoIyb-
Nickel
12.
j
Selenium
e,6.O
46.0
Zinc
'�
"7 0
Total
Phos-
phorus
ZL6Z0
Z4520
Annual
Heavy Metal Yield Loadings
(Uaiculafea in tos/acre):
Total
1
2
3
4
5
6
7
8
9
9O
11
12
H
DT/Ac./
App •
Event
1.12"1
O,mq
I.4ao[o
Arsenic
p.(jpi
p',pC13
C6,Ofi
Cadmium
Bs l3C%2,
1
Copper
Q , 5!� �
. © 'Z4 0
Chromlu
(j, C33 y
p , 01 y
Lead
O . �O
�{. LP
Mercury
®, Q.O. t
n., i
Molyb-
denum
C5.
Nickel
Selenium
O , (31.1..
00
Zinc
Total
Phos-
phorus
S:Zla�3
Z LlGO
7Sti5�'
"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 ]crowing violations".
V�
Signature of Land Applies 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: mo WQ Permit Field #: ;3 Acres Utilized:
Land Owner: C � �? Annual Dry Tons Applied Z, Site #:C--rC0k j- Acres Permitted: 3. � C�
Operator: 90n ro.,` '. ii{ ,if. Predominant Soil Series: (��j � J� Cation Exchange Capacity (non 503): 4-5
X.
,,.:
Crop 1 Name: �G1 ' Crop I Max. PAN: lloi Crop 2 Name: Crap 2 Max. PAN:
_
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(oryTons/Ac)
Residual Sources
(1\iPDES #, wQ#
Fert., Animal
) Waste, etc
s0tl
Cond.
�r5=
wet,
Moist
Precip.
Past 24
Hrs.
inches
y
co
¢
* o
'
o
w
*
°p
7
TKN
mglkg
Z
a
R.
mglkg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
S
O.5
O
o
qS3
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
...
...................
TOTALS:
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
5[
Lime Applied
Annual lbs/acre
0, - Z
-, �5�
i
�'l35
14
�,3�10
'?,
7
f��p�3
i,C�C
.: (.i
-q !
"7
Cu
0.
:::
Date
lbs/ac
Prior Years Cumulative lbslac
I - 1
Current Cumulative lbs/ac
Permitted C. P. L. R-****::.:.:::::::_:::::.:::::::::
Permit PAN Limit lst/2d
n Crop
...................................................
........................................................................................
�i
"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."
q� , *Application Method: S - Surface, IN - Injection, INC - Incorporation
�L "V **Volatilization Rate: Surface - 0.5. IuiectioriAncorporation - LO
Signature of Land Applier Date
** Mineralization Rates: Compost -0.1., anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Fox -in to be submitted in Annual Report
Facility Name: P(-)4peC_' Total Dry Tons Applied (Annual): Z, 3-zz
Permit #• Cation Exchange Capacity (non 503 only): 4,5
Operator: G��cl t� i14117c1iCi f_ owner: Predominant Soil Series:
Acres Used: &_60 Acres Permitted: %3,30 Site #: (',=�i aC Field #: I�
n,... A-1 Anohreie data (Mpavv Mvi-alc and Tntnl Phn.cnhorus use mff/kg. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
2
3
5
6
7
8
9
10
11
12
% Solids
Arsenic
�.
Cadmium
p, GZ
Copper
t6
Chromium 115
Lead
Mercury
Hj5
Molyb-
Nickel
! Z
Selenium
C 5,0
Zinc
10 )
Total
Phos-
phorus
N5 ZO
Annual
JjV;4Vy 1V1C6at
J MM
1 Ua"1uga
`�Rla
uiu �a
.. xaa wr✓ur
.+a v�•
Total
1
2
3
4
5
6
7
8
9
10
11
12
H
DT/Ac./
i-uj-7lJ
m
,�
-App.
.Event
Arsenic
G,C
Cadmium
Copper
131 :3
.
Chrorai
y
01 bZ!
Lead
6
2�
Mercury
0.i
l%4.�a✓ j.:.
Molyb-
Nickel
6.61
Selenium
i
Zinc
Total
Phos-
horus
"I certify, under penalty
of law, that this document was prepared under my direction
or supervision In accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
1_19_4U21
Date
DENR FORM MFI_SF (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: WQ Permit #: L,,yJCCGi0(J4& Field #: 14. Acres Utilized:
Land Owner: (1 m�� Annual Dry Tons Applied Site 9. Acres Permitted:
Operator: Cj-)Dijejm-Predominant Soil Series: Cation Cation Exchange Capacity (non 503):
Crop I Name: }�j {�j�j � _ Crap I Max. PAN: n7 o Crop 2 Name: Crop 2 Max. PAN: ^
3.�
3.00
4-5
o
o
�1
Volume applied
(enter one) Solids/
Liquid
Cu Yds Gallons
%
Solids
Volume
Applied er
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(Rip D1 5# W#
Fert ,Animal
Waste etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
y
b
a a
� o
o
i
rn y
�*:
m
w-
� �.
0
TKN
mglkg
Z
o a
= El.
mglkg
Nitrate
and
Nitrite
mglkg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
'1- 7�
3CC 0
f•
6 .)
mccce,Z��
I�'Y �fi
5
0�
0, 3c7
��
3,2
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:-
As
Cd
Cu
Cr
Pb
I-Ig
Mo
Ni
Se
Zn
P
1533
Lime Applied
Annual lbs/acre
ti '(6 (! `.
0 'L1 I
G 31a
aLZ `
6.016Q
t [� I
6.G6S1
O G i l
D
G G�3
35-::.::<:::::::::::::::::::::::::::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
�;,Zl�j
0,46L
Ci qlS�
Z .5 6
j.q—)q
:QZC✓
5
7,S22
©,
ICJLO
Current Cumulative lbs/ac
Permitted C. P. L. R.****
au
Z(a-)
i 5
--
3q�
Permit PAN Limit
Pt ] stl2nd Crop
................. ............
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for wowing violations."
,�J q *Application Method: S - Surface, IN - Injection, INC - Incorporation
"Volatilization Rate: Surface - O.S. Iniection/Incornoration - 1.0
Signature of Land Applier 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
DDNR 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: Lnialy)LUt Y OD Total Dry Tons Applied (Annual): Z' Q?
Permit #: I,LjQp(;p] cd Cation Exchang,,e�`Caapacity (non 503 only): Q-..rj
-
Operator: C 0&2n• j(, Owner: (��yt�{ � t�l i Predominant Soil Series: k(LI. ,pCIA-h
Acres Used: 6.pQ Acres Permitted: 6 pQ Site #: D Field #: 14
Ppuirinal A,nalvcic data (Henw Metals and Total Phosphorus use mtf/ke, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 V
�p
4--IF
4
5
6
7:If
TF10
11
12
% Solids
Arsenic
Cadmium
Q, Q Z
Capper
Z5 i
Clu•omiuna 1 �j
Lead
Mercury
of %5
Molyb-
Nickel
! L
Selenium
<:51p
Zinc
"]o
Total
Phos-
L1oras
7-L& 7
Annual
heavy ivietal r Ieiu-uuiullllg'N
k%-aj ujLaP U ul lival ac.i u).
Total
1
2
3
4
5
6
7
8
3
10
11
12
H
DT/Ac./
, App.-Z7-2
Event
0,-)Z o
Arsenic
(j, C{
O' U
Cadmium
- , C X)
(X
Copper
61.1A
na,'3L
Chromitnn
Lead
Mercury
p , pp !
�
Molyb-
Nickel
Cj, 0.11
Selenium
Zinc
o=G 73
a
Total
Phos-
phorus
,iaD3
�.
36i%
"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".
P.-P
Signature of Laird Applier � Date
l7FNR 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: WQ Permit #: 4_�ZCW{Cj4g field #: Acres Utilized: �, 3
Land Owner: �7� Annual Dry Tons Applied u�J3 Site #: �. Acres Permitted: Z.3z3
Operator: i� �. s �� Predominant Soil Series: u Cation Exchange Capacity (non 503}: 4,
Crop 1 Name: CC26ktzy� Crop 1 Max. PAN: F� (0 Crop 2 Name: Crop 2 Max. PAN:
_
Q
Volume applied
eater one Solids/
( )
Liquid
Cu. Yds Gallons
/a
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NpD S #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(DT5>
Wet
Moist
Precip.
Past 24
Hrs
inches
a
7a
-'
o
w
7
w
TKN
mg/kg
Z
o
°�,° p
w 2.
mg/kg
Nitrate
and
Nitrite
mgAg
PAN Applied
( lbslacre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
za
5 O
l.'1u5
t;��35 :'
t�C��Zb`�
d•Y
O
S
.5
o:3c�
��a
G�3.Z
�g
� a�
,
t :
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTAz :
,
52
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
Lune Applied
lbslacre
.
(
a
p
y
.
�
Date
lbs/ac
Prior Years Cumulative lbs/ac
Z4o
ztc
. -L
43L]
,%�
1
.1 Z
G02
--
Z Co
2p
o CAS
s `
15
G -
--
Z ,J4
Z.4
W
G 404
atiZ0ll(65to
�i
3.:
Z�.
.... ... .............. ..: :::::::: . . .
:1
7�
DC
Content Cumulative lbs/ac
Permitted C. P. L. R.****
Pe t rmt PAN Limit lst/2nd Crop
t
"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."
Al/ *Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Iniection/Incorooration - 1.0
x** Mineralization Rates: Compost -•0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested •-0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DEER 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: Un A-4ptek, Total Dry Tons Applied (Annual):
Permit #: _Ls�ICg Cation Exchange Capacity (non 503 only):
Operator: �S�tl{j 11.fJCf1�' �iC,L� i {• Owner: ft-b_ _ Predominant Soil Series: -�bi6ma-L
Site #: TD Field #: I Acres Permitted: j
Acres Used: �,?� Z�3�
Recidunl Analysis Data (Heavy Metals and Total Phosphorus use miA2, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
�Z
2
3
4
5
6
7
8
9
10
11
12
% Solids
-1Lj
Arsenic
Z
dtaiwn
O,CIZ
opper
FC
Z5
Chromium 15
Lead
i'j
Mercury
0 k 55
Molyb-
denum
Nickel
j 2
Selenium
�, Q
Zinc
7
Total
Phos-
phorus
Z ZU
Annual Heavy Metal I'M([ Loactings
tuaicuiawa in 11)siacre):
Total
11
L2J
L3J
4
5
6
7
8
9
10
11
12
H
DT/Ae./
App.
Event
j, SQFj
S5
Arsenic
Cadmium
Copper
©,"A (a
Chromium,
L}td
Lead
Q`+�
C !
Mercury;
Molyb-
Nickel
Selenium
D•01v
(,C1(v
.Zinc
Total
Phos-
,ohorus
"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".
02 /4 W/
Signature oI"Land Applier Date
DENR FORM MFl_SF (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 "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Ca)6�ne,— WQ Permit #: €;-Kf D(0 Field #: Acres Utilized: z.Gl43
Land Owner: Annual Dry Tons Applied 3, j C 3 Site #: Acres Permitted: , Gj
Operator: �111 ; `�� . Predominant Soil Series: /� Q(AL'�- Cation Exchange Capacity (non 503): q,iS
Crop 1 Name: j g Crop 1 Max. PAN: j-2 Z J Crop ,....__._
2 Name: Crop 2 Max. PAN:
_
Q
Volume applied
enter one Solids/
f )
Liquid
rl
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(DryTonstac)
Residual Sources
(NPDES #, WQ#,
Ferk, Animal
Waste, etc)
Soil
Cond"
{Dry,
Wet
Moist
Precip.
Past 24
Hrs.
inches
n
c�
o� fl
o
7c _
fl'
%
?�
^.
*
TKN
mg1kg
�'
o
°�,°
mglkg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
. Zc�
uu=
I i 24 ,
E Q 1
W-T)
6N
0
10;5 6
�-a q
6. �
1-C3�
Residuals Applications totals one FORM FSF supp { attach FORM FSF supp to this form}
TOTALS:
;
CMG
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
3�cy
Lime Applied
Annual lbs/acre
:` ; O• aaZ 53$ 2
D . 2 c.3s u Z� ,Ln l q, �53 -Z ZRg C, 63 3 . ZZ Z 53ta 0,409 l iq-. 3& ::.:::::::.:::::::::::::
0 0.. 3'�U Zit -CUB �S5 Z Zhu C :Goy 0: is . ' lei 0. t4l 0k:. IZ �io5
LJ 3� -- � ? i 5 � 7�I �'►
Z:
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop p
"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 tines and imprisonment for knowing violations."
A *Application Method: S - Surface, IN - Injection, INC - Incorporation
r, **Volatilization Rate: Surface - 0.5. Iniection/Incoruoration -1.0
Signature of Land Applier 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 (12/2nnfZ

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to he submitted in Annual Report
Facility Name: �(} m'y7 Total Dry Tons Applied (Annual): 3 J G
Permit #: WCC0JQ4q Cation Exchange Capacity (non 503 only): 45
Operator: LlCtljf6Pll,6m0,4"t. Owner: �C � CI I�C� f i � Predominant Soil Series:
Acres Used: Z.C41 Acres Permitted: Z,Cjg Site #: 12 Field #: � („
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
6j27DZv
2
3
5
6j
7
8
9 J
70 J
11 J
12
% Solids
I.-)tA
Arsenic
t. q
Cadmium
p,GZ
Copper
Z,51
Chromium j 5
Lead
Mercury
p, 'j
Molyb-
de.num
Co
Nickel
i Z
Selenium
'-'5. (p
Zinc
iL7
Total
Phos-
phorus
Lead
Molyb-
Nickel
Selenium
Zinc
Total
Phos-
certify, under penalty of law, that this document was prepared under my direction or supervision
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".
1'f "'
Signature of Land Applies•
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: WQ Permit #: k)( C( 10010 .<7 Field Acres Utilized:
Land Owner: C0n-}-Ef)J4)fQ ` D Annual Dry Tons Applied j Site #: Acres Permitted: 3, 40Z
Operator: ( {j �y���j rj 1�, j(. Predominant Soil Series: Cation Exchange Capacity (non 503): [J,15
Crop I Name: Crop I Max. PAN: 1'jZ J Crop 2 Name: Crop 2 Max. PAN:
Q �
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tans/Ac)
Residual Sources
(NPDES #, w #
Q ,
Fert., Animal
Waste, etc)
Soil
Cond_
wry'
wet,
Moist)
Precip.
Past 24
Hrs_
inches
>
K a
o iv
a o•
o
N'
� �
w
* �
TIN
mg/kg
Z
g
o
C a
� ,�•
mglkg
Nitrate
and
Nitrite
mglkg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
ZI-�
�t(�v
`l4
I Z�3
)�►CC�3Zo��
c
p• rD
0.3D
7
qQ-Z
UDZ-ri�
6' .56
�- ZO
4C�QO
1.7
pus
NCOC3Zl?�`)
mo104
u , 5
G , SL
�D
�� .Z
5
'
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTAT :..
1600U
.....=..
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
, �(p
Lime Applied
Annual lbs/acre
1''0lC9 `:=
3
;.34`}. ;'
(o
23
Ds(-17(n
0 4� .
3ul
0 5
415
30
t33�3
i3.05Z"
1 ,CW-0
<l1-S52
"`
G=c(�,-C�
4-)
-co :
Zoe
`&oQz.
b e t.s5
C�;Crl4
f `.-
ozGZl'
0- 2
()�5
0; .3
Z7'g
3 3ZI .
37u
&Di3":
0,541
55��
s cl
Z&A
t �iG4
14.ZI�`�
Z� r�
::::::::::::::::::::::: ::::::
::::::::::::.:;:;:_:=:::=:::::::::::
.............:..............
::::::::::>:;:::= ::":::""""::
.............
Date
lbs/ac
Prior Years Cumulative lbs/ac
- a2
600
Current Cumulative Ibs/ac
Permitted C. P. L. R****
Permit PAN Limit Ist/2nd Crop
Z'
"I certify, under penalty of lave, 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."
ON44 *Application Method: S - Surface, IN - Injection, INC - Incorporation
,4 **Volatilization Rate: Surface 0.5. Iniection/Incornoration -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2norn

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: lr� }�[ 17 Total Dry Tons Applied (Annual): 6, 3,95
Permit #: Cation Exchange Capacity (non 503 only): a. rj
Operator: Ci lU[� 25[�i_�fYlid�C �(" Owner: m�7 Predominant Soil Series; /� 1i2QGL
Acres Used: Acres Permitted: 13J12 Site #: D Field #:
Re.6dual Analvcic Data fHeavv Metals and Total Phosphorus use ma/ka, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
5 �271�U
2
2D
3
A
5
6
7
8
9
LOJ
11
12
% Solids
Arsenic
Cadmium
p,C
Cj, GZ
Copper
Chromium f
[
Lead
Mercury
Q: 5
D, ,5
Molyb-
(o
Nickel
i Z
E Z
Selenium
C 5.0
C 5. D
Zinc
Total
Phos-
phorus
1,415201
Z4 0
Annual
Heavy Metal Field Loadings
t aicutatea in ws/acre):
Total
1 I
L2J
3j
4
L5J
6j
7
8
L9J
10
11
12
H
DT/Ac./
? Z[-w
App.
Event
t, Z 3
W I
[
Arsenic
0 'COD.
W.
O.C» CO,.
Cadmium
, GOZ
C3:: 05.i
D CL?3'
Copper
Y>,::64
OiN l
b'
Chromitu
,C„.63
O: (3t11
Q, 4577
Lead
D 1(9�i1-i
,.Ol r.o
66O60
Mercury
D � 001
C�
MoIyb-
0®1
D CDC'
C5=UZI
Nickel
(.03.
D,QIZ
Selenium
0,013
15
a,Cai :
Zinc
111q!:
G
21•31�u
Total
Phos-
horus
a C-I .
z3
"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 lines and
imprisonment for knowing violations".
�AA W a -Ile �)6-21
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 "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Cl~n�r�e� ml� WQ Permit #: Field #: lG Acres Utilized:
Land Owner: Annual Dry Tons Applied Q(p% Site #: Cl f Acres Permitted: j I.75
Operator: pl o(I rJ)_&)LLhjjt ! 7;- Predominant Soil Series: Cation Exchange Capacity (non 503): Li.Fj
Crop 1 Name: Crop 1 Max. PAN: i`)Z Crop 2 Name: Crop 2 Max. PAN:
Q
Volume applied
Pp
(enter one) Solids/
Liquid
Cu. Yds Gallon�sy
ova
Solids
Volume
Applied per
Acre
(Dry Tonns�fAc)
Residual Sources
(NpDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond_
{Dry,
We
moist)
Precip.
Past 24_
Hrs.
inches
y
C
# o
o
�'
4
w
# �'
*�.
TKN
Z �
a E�
M o
g R.
mglkg�
Nitrate
and
Nitrite
mg/kg
- 1-(..V
- I ��i/
I
�• M�
lJ i.:�'.'1.-..:
' ^
�[-!./��
S 44b I
Cj °
/
f./ 0 5
a
Lm�g//kg
.3JS��
�j . [..
'1 Z
-� ZD
32cov
I
0 i q
�Zo��7-CLF
0,56
oo
Cl<s3.Z
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOT
As
Cd
Cu
Cr
Pb
I Hg
Mo
Ni
Se
Zn
P
Annual Ibs/acre
00.3
'
Prior Years Cumulativelbs/ac
0,OQU
0-M3
O.IG 3
0>045
p,CY53
O=CD(7
G>GIZ
GiZ
Current Cumulative lbs/ac
.0
01 Cal
6, dlol
0,mi
.0bo
1011q.
-OLLZI,Z
O.C)u5
0 i6i
Permitted C. P. L. R.****
aL4
Zb�3
15
—`
�7U
Sci
yci
Permit PAN Limit Ist/2nd Crop
PAN Applied
Name of Crop Type
(lbs/acre)
Receiving Residual
Application
Crop I7
Crop 2
I
Crop 2
...._C-0,0vg4-_
rCrop
C
Zio.01(Q
Lime Applied
=
Date
I lhs/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 personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
g *Application. Method: S - Surface, IN - Injection, INC - Incorporation
d **Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 1.0
Signature of Land Applier 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 C12/200Rl
.........

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: . Total Dry Tons Applied (Annual): (o, 06,60
Permit #: i,)(a ()Opl��g_ _ Cation Exchange Capacity (non 503 only): Ci. 15
Operator: (}I�F,Y1� }4y,aC�,�{ . Owner: (`rjj& Predominant Soil Series: �j�GLG,r'l
Acres Used: Acres Permitted: Site #: l_:nQC+ a Field #: fC
Residual Analvsis Data (Heavy Metals and Total Phosphorus use ma/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1Z- 20
2
S 2Za�
3
4
5
6
7
8
9
14
11
12
% Solidsp
Arsenic
Cadmium
O.CjZ
,Cl Z
Copper
ZFj i
Z`J
Chromium j
Lead
Mercury
, r"5
Molyb-
denum—
Nickel
i Z
1 Z
Selenium
< 5.O
< 5.0
Zinc
D
Total
Phos-
horus
17-4,5zc)
LLl 20
Annual Heavy Metal Viela Loadings
(ualculated to ws/acre):
Total
Ill
2
3
4
5
8
7
8
9
1 D
11
12
a
DT/Ac,/
APp-
Event
b, lci
6,jQ9
a• E�I
Arsenic
Cadmium
;(p •'1
G ObO
OCR. !`
Copper
:0 1 ip D
6�cl
Z5�>
Chromium
Lead
p,D1:S
Q,UL
CJI�d
Mercury
D Wo
o'.00.0
4o.0'.
Molyb
CaOU
©.COZ
p.00
Nickel
<'
rj
6,0.06
.�13
Selenium
p , 3
G . j2
„{�p1a
Zinc
p,L�Z`1.0,Z5
Total
Phos-
phorus
5_iayL!
q 11
ZS,
"1 certily, under penalty of iaw, tnat tins aocument 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
DENR FORM MFLSF (12/2006)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name; WQ Permit Number: W—W4
WWTP Name: ( NPDES Number: RCW3-ZbZ�
Monitoring Period: From Q)U(Uf Z( Zo To _eC-CA^c)b:(31jZ0Z4D
Pnthno,mi Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ 1
Alt B (Alk Treatment) ❑
Alt. C (Prior Testing)[]
.............. •.... •.•..•.... .
AIt.D (No Prior Test) [3
Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ElThermophilic
❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
.....................
Class S:
Alt. {1}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 ❑ Air Drying ❑ Composting ❑ Aerobic Digestion �
Di ❑
Anaerobic Digestion
g
If applicable to alternative performed (Class A or Class B) complete the following monitoring
data:
Allowable Level
Pathogen Density
Number of
Frequency
Sample
Analytical
Parameter
in Sludge
Pxcee-
of Analysis
Type
Tech-
Minimum
Geo. Mean
Maxim
Units
2 x 10 to the
l
13
IZC5
M-POMPN
b /a
Q
(�, CCib
qZ?-1C-_6L
6th power
ub5
per gram of
Fecal Coliform
total solids
CFU
1000 mpn per gram
of total solid (dry
wei fit
Salmonella bacteria
3 MPN per 4 grams
(in lieu of fecal
total solid (dry
coliform)
weight)
VPt-rn,• Attt•artinn Reduetinn (15A NCAC 02T .II07) -Please indicate alternative performed:
Alt,1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench)
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization [3Alt
7 (Drying - Stable) ❑
Alt. S (Drying - Unstable) ❑
Alt. 9 (injection) ❑
Alt. 10 (incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Preparer Name and Title (type or print)
IN-10 j04
Signature of Prepar•er* Date
i'��alt�r�-�rsi�+Ck-j��•��.nnc1A 1� i�cno2G
Land Applier Name and Ale (if applicable)(type or print)
0/ aa_ d ;;Aj/
ir
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)

EmAummmW % knTpumUd
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRSDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/I
Fecal Coliform (MPN), /gram Solids
Sample Analysis Method
#1 Date Analyst Code
16820 06/15/20 JMS 2540B-11
C 110 06/15/20 JMS 9221E-06
ID#; 416 A
DATE COLLECTED: 06/15/20
DATE REPORTED : 06/18/20
REVIEWED BY:

ERATUMMIM % hc@Tpunugdo
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 26530
PARAMETERS
Total Residue, mg/l
Fecal Coliform (MPN), /gram Solids
Sample Analysis Method
#2 Date Analyst Code
15520 06/17/20 JMS 2540E-11
<120 06/16/20 JMS 9221E-06
ID#k: 416 A
DATE COLLECTED: 06/16/20
DATE REPORTED : 06/19/20
REVIEWED BY:

FP
Inwommm % hmpumUdo
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/I
Fecal Coliform (MPH /gram Solids
Sample Analysis Method
#{3 Bate Analyst Code
15540 06/17/20 JMS 2540E.11
C 120 06/17/20 KDS 9221E-06
ID#: 416 A
DATE COLLECTED: 06/17/20
DATE REPORTED : 06/19/20
REVIEWED BY;

Enw,rummum % hCupufflud
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/1
Fecal Coliform (MPN), /gram Solids
Sample Analysis Method
N4 Date Analyst Code
16400 06/22/20 JMS 2540B-11
< 110 06/22/20 JMS 9221E-06
ID# : 41.6 A
DATE COLLECTED: 06/22/20
DATE REPORTED : 06/25/20
RF,trTTs't'7ED BY:

E[Mommumd
CMSD (SLUDGE & WELLS ACCT)
CONTEN'TNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/1
Fecal Coliform (MPN), /gram Solids
Sample Analysis Method
#5 Date Analyst Code
16680 06/23/20 KDS 2540B-11
C110 06/23/20 KDS 9221E-06
ID#: 416 A
DATE COLLECTED: 06/23/20
]SATE REPORTED : 06/26/20
REVIEWED BY:k---

Em,n[ougm �u hmpumud
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal Coliform W N), /grain Solids
Sample Analysis Method
#6 Date Analyst Code
16960 06/25/20 MAR 2540B-11
G 110 06/24/20 KDS 9221E-06
ID#: 416 A
DATE COLLECTED: 06/24/20
DATE REPORTED : 06/30/20
REVLEWED BY:

Elow,umun, % hcwpa i n ho
Drinking Water ID; 37715
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, nag/l
Fecal Coliform (MPN), /gram Solids
Sample Analysis Method
H7 Date Analyst Code
15980 06/29/20 KDS 2540B-11
< 110 06/29/20 KDS 9221E-06
ID#: 416 A
DATE COLLECTED: 06/29/20
DATE REPORTED : 06/30/20
REVIEWED BY: A:L-

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Facility Name:
Biosolids Permit Number:
Date:
Digester Temperature:
Sampling Date/Time:
Sampled By:
Analysis Date/Time:
Analyzed By:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
MSD
335
5-2011343
Sammond
% Dry Solids
degrees Celsius
degrees Celsius
0.03
8.0
0.98
1.85 mg Oxygenlhr
0.11 mg Oxygenlhrlg
23 degrees Celsius
0.86
Temperature Corrected Specific Oxygen Uptake Rate: 0.09 mg Oxygenlhrlg
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
Updated 10/23/2013

r �
LJ
r co m 0o Co In eY m C\{
co ti ti t--� t-: t ti ti
(IJOLU) UOBAXp panlossla
co
r
LO
T

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: CMSD
Biosolids Permit Number: WQ0001048
Date: 6116
Digester Temperature:
Sampling Date/Time: 6-16-20/13
Sampled By: Andrew Ed
Analysis Date/Time: 6-16-20113
Analyzed By: W. Sammc
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
1" % Dry Solids
22 degrees Celsius
21 degrees Celsius
0.02
8.1
0.93
1.44 mg Oxygenlhr
0.08 mg Oxygen/hr/g
22 degrees Celsius
0.91
Temperature Corrected Specific Oxygen Uptake Rate: OA8 mg Oxygen/hr/g
lnstructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
Updated 10/23/2013

Ln
Y
Y
ti
LO
It
m
N
T
N T 00 W CO r- (D m d
00 00 r-� t-� r-� ti
(llBLU) UOBAXp panlossl©

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Facility Name:
Biosolids Permit Number:
Date:
Digester Temperature:
Sampling DatelTime:
Sampled By:
Analysis Date/Time:
Analyzed By:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
% Dry Solids
degrees Celsius
degrees Celsius
0.02
8.2
0.96
1.30 mg Oxygenlhr
0.08 mg Oxygenlhrlg
22 degrees Celsius
0.91
Temperature Corrected Specific Oxygen Uptake Rate: 0.07 mg Oxygenlhrlg
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
Updated 10/23/2013

I
RIM
U
m
co
AC
c�
CL
D
r_
0
CD
x
Lo,
u
cM N 7 00 63
00 00 c0 €-�
(IJBW) uOr)AXO POAJOssz©
LO
c+�
N
r^^
O
N
4i
rn
c
as
0
I�
co
m
N
oq f�
cfl

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Facility Name: CMSD
Biosolids Permit Number: WQ0001048
Date: 6/18/2020
Digester Temperature: 24
Sampling DatelTime: 6-18-20/1350
Sampled By: Andrew Edwards
Analysis Date/Time: 6-18-20/1358
Analyzed By: W. Sammond
Total Solids: 1.7 % Dry Solids
Beginning Temperature: 23 degrees Celsius
End Temperature: 22 degrees Celsius
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
0.02
8.1
0.99
1.44 mg Oxygenlhr
0.08 mg Oxygenlhrlg
23 degrees Celsius
0.86
Temperature Corrected Specific Oxygen Uptake Rate: 0.07 mg Oxygenlhrlg
Instructions: Enter Data in the Blue Boxes, The Calculation and the Spreadsheet execute automatically.
Updated 10/23/2013

k-*
Lip
Ci r 00 CY) GO
Co 00 ti r-� ti
(I/BLU) U8BAXp PDAJOSsi❑
m
r
r
Cl)
T
N
T
T
T
T
N
d
rn
c
as
00
i=
co
N
r
(D LO
d

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: CM
Biosolids Permit Number: WC
Date:
Digester Temperature:
Sampling Date/Time: 6-2;
Sampled By: An(
Analysis Date/Time: 6-2
Analyzed By: W.
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
D
001048
rew Edwards
!-2011335
3ammond
1.6
ptl
0.01
7.8
0.84
% Dry Solids
degrees Celsius
degrees Celsius
0.53 mg Oxygenlhr
0.03 mg Oxygenlhrlg
24 degrees Celsius
0.82
Temperature Corrected Specific Oxygen Uptake Rate: 0.03 mg Oxygenlhrlg
Instructions: Enter Data in the Blue Boxes, The Calculation and the Spreadsheet execute automatically.
Updated 10/23/2013

P.
.lu
m LO 00 U') LO
(116M) u0BAX0 POAJOSsip 1�-

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Facility Name:
Biosolids Permit Number:
Date:
Digester Temperature:
Sampling Date/Time:
Sampled By:
Analysis Date/Time:
Analyzed By:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
rew Edwards
Sammond
1.69 % Dry Solids
25 degrees Celsius
24 dearees Celsius
0.03
7.6
0.99
1.57 mg Oxygen/hr
0.09 mg Oxygen/hr/g
25 degrees Celsius
0.78
Temperature Corrected Specific Oxygen Uptake Rate: 0.07 mg Oxygen/hr/g
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
Updated 10/23/2013

rm
Al
€� CO Lq d M N
0/6m) uaBAxp panJassip
i

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Facility Name: CMSD
Biosolids Permit Number: WQ0001048
Date: 6/24/202
Digester Temperature: 2
Sampling Date/Time: 6-24-20/1405
Sampled By: Andrew Edwards
Analysis Date/Time: 6-24-20/1410
Analyzed By: W. Sammond
Total Solids: 1.6
Beginning Temperature: 2
End Temperature: 2
Dissolved Oxygen Level
Dry Solids
grees Celsius
grees Celsius
Slope: 0.01
Intercept: 7.8
Correlation Coefficient: 0.92
Oxygen Uptake Rate: 0.70 mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate: 0.04 mg Oxygen/hr/g
Average Temperature: 25 degrees Celsius
Temperature Correction Factor: 0.78
Temperature Corrected Specific Oxygen Uptake Rate: 0.03 mg Oxygen/hr/g
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
Updated 10/23/2013

r7w
A
co U')
ti u) co U')
cq P_: Lq
iu6M1 66AXO panlosSIa ~
tD
T
uO
T
CA
T
Q
N
rn
c
cO
To

GW-59A COMPLIANCE REPORT FORM Permit #LP `LVO 'f
(Subrnh one each nionitoring period with GW-59 forms.)
1
Enter date monitoring results were due. ( ) Wiil this monitoring report (GW-59 and GW-58A)
YES
N�
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
G
IF the answer to question 9 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor Nvells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
is "Yes", the Regional Offrce for
YES
NO
y
identification plate, area overgrown, etc.)? If the answer contact guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
X.
NO
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below,
ctJei► � [ 5 �aG 96 .Z� Nq��
5
For the constituents identified In question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
�(
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Ob--1 q
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
J�
1�
If the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE 1MMEDIATE'LYFOR GUIDANCE. If the answeris "NO". monitoring wells may be improperly
located; contact the Regional Office.
Is the pormittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
l�l/
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question y is "NO". contact the Regional Office within 90 days; an evaluation may be
required to determine the imi2act the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the pormittee to a Notice of Violation,
fines and/or enaltles.
�( ea -)Olrq{�i lrun5 hi� I . `rhefe a[e ec l
-'hf TCC, n �(5
cci;pam---ipcj I no I I Lg-w-
d 6in,�eN,ed 6i nml- h'e 1c6t rnai,4uj 0� elQf)t. A[ lc 44-)e6 u 616 I- MI&
8
The person completing this portion (G W-59A) of Me monitoring report should sign below and submit this
form with G W-59 forms for required wells to the address provided at the top of the current GW-59 form.
Wh e y as r o+n�f tl hat#�e i a nfo ma�io q . lu ted _ `f �73al 's 0dr
porE(�maRpo`
-P-zo
Signature of pormittee (or Authorized A t) Date
GW-59A 121$12003

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Name: C�L7f
Name (if different):
SUBMIT FORM ON YELLOW PAPER ONLY
County
(City) (SfaleJ (Tip)
act Person: lu(�L�-t j,.} I�(�� ` Telephone#: ZJZJ�Z�
Location/Site Name. b`Jit�r sQr )r (`i No. of wells to be sampled:
PERMIT Number: Expiration Date: 3f-ZpZ`j
Non -Discharge W}�C)Qg UIC
NPDES W—C 5ZO Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ElRemediation:
❑ Rotary Distributor 6 Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): Date sample collected-
Well Depth: ft Well Diameter in.
Depth to Water Level 82546: j fL below measuring point Screened Interval: 3 ft. to S ft.
Measuring Point is z 5 ft above [and surface Relative M.P. Elevation: ft.
Volume of water pumpedibailed before sampling: gallons
Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: N YES ❑ NO
FIELD ANALYSES:
pH oo400:4 �0 units Temp. 000io: Z?- °C
Spec. Cond. 00094: S µMhos
Odor 000a5:
Appearance s
If WELL
WAS
DRY at
time of
sampling,
check
here:❑
LABORATORY INFORMATION
Date sample analyzed: lO —� Zy
Laboratory Name: 1ENi (Gf) Yell-r Z) (�
. -� Certification No. �Q
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg1L
Nitrite (NO2) as N oasis
mg/L
Pb - Lead oiosi uglL
Coliform: MF Fecal 31616 2 /100ML
Nitrate (NO3) as N 00620 0 .0LI T
mg1L
Zn - Zinc oio92 mg/L
Coliform: MF Total 31504 1100ml-
Phosphorus: Total as P oosss
mg/L
(Nate: Use MPN method forhighly Wff1d samples)
rr
Orthophosphate 7a5o7
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids--Total70300 _ mg/L
A] -Aluminum oioos
mg/L
y 13_
pH (Lab) 00403 knits
Ba - Barium oioo7
ug/L
TOC oosao 7 mg/L
Ca - Calcium oasis
mg/L
Chloride 00940mg1L
Cd - Cadmium oio27
ug/L
Arsenic 01002 ug1L
Chromium: Total oio34 <�j
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042 <010 10
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3273o ug/L
Fe - Iron oio45
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oow mg1L
Hg - Mercury 71900
ug/L
Lab Report Attached? Nf Yes (1) ❑ No (0)
pecific Conductance 00095 pMhos
K - Potassium 00937
mg/L
VOC 7873 method # GU C— f
Total Ammonia oo6io 0- 61 mg/L
Mg - Magnesium oo927
mg1L
method #
(Ammonia Nitrogen; NH* as N; Ammonia Nltmgen, Total)
Mn - Manganese oioss
ugfL
method #
TKN as N 00625 mg/L
Ni - Nickel oiosz
ug/L
method #
For Remediation systems Unly (Arracn Lao Keporrs): mnueni i oral vuus: mg/L Etnuent I otal Vucs: mg/L VOC Removal%
- GW-59 Rev- 06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION ,�, l ,, Please Print Clearly or
Facility Name: n C7I : ���
Permit Name (if different):
(two-) `—) 14. CYS .yU County
(city) -.... (State) (Zip)
Contact Person: hug 14-r 1i1 �ll�t Telephone#: n§- LI-5
Well Location/Site Name: No. of wells to be sampled:
ERMIT Number: Expiration Date:
on -Discharge 0- 910419 UIC
PDES t4=3ZG» Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor C� Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
L ID NUMBER (from Permit): 2� Date sample collected: 10-n-
Depth: '9 ft. Well Diameter: 2. in.
i to Water Level 82546: t $ fL below measuring point Screened Interval: z ft. to 2—ft.
luring Point is _, �? ft- above land surface Relative M.P. Elevation: ft.
ne of water pumpedibailed before sampling: 6 gallons
ales for metals were collected unfiltered: A YES ❑ NO and field acidified: ® YES ❑ NO
WELL
FIELD ANALYSES:
WAS
pH omoo:5,0 units Temp. 000io: ZI °C
DRY at
Spec. Cond. 00094:�j S µMhos
time of
_,.,. - - -
sampling,
Odor 000a5: J1cf) c
check
Appearance
here:❑
Date sample analyzed:, �(�-�} ZC� ____ _ Laboratory Name: (r%I M i c-
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N omis mg/L Pb - Lead oio5i
Coliform: MF Fecal 31616 < 1100mL Nitrate (NO3) as N 00620 . j Ip mg/L Zn -Zinc =92
Coliform: MF Total 31504 1100ml- Phosphorus. Total as P om6s mg/L
Certification No. jd
ug/L
mg1L
(Note: Use mi N method for highly turbid samples) Orthophosphate 70507 O - O 5 mglL Other (Specify Compounds and Concentration Units):.
issolved Solids:Total 70300 3
mg/L
At - Aluminum oil 05
mg/L
pH (Lab) 00403 Jam.
units
Ba - Barium oiv07
ug/L
TOC oosao-FJL�
mg/L
Ca - Calcium oo9ia
mg/L
Chloride 00940 C
mg/L
Cd - Cadmium alo27
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg1L
Cu - Copper 01042 <Q .0) Q
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oims
ug/L
(Specify test and method#% ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL
Lab Report Attached? Lid Yes (1) ❑ No (0)
peci5c Conductance oo095 t55 µMhos
K - Potassium 00937
mg/L
VOC 7973 method #
Total Ammonia mala �O.O�
mg/L
Mg - Magnesium o0927
mg/L
method #
(Ammonia Nitrogen; NH6as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
haf�£5 S'n- a
Permittee (or Authorized Agent) Name and Tithe - Please print or type Signature of Penmittee (or Authorized
GW-59 Rev- 06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Cleady or 7ype
PERMIT Number: Expiration Date:_!? —_
]f 4eN >�--�a�y
Facility Name: Cc7.
_____
Non -Discharge lcygs UIC
NPDES 24-Z� Other
Permit Name (if different): f
Facility Address: Q lJl i� t`]�l�
Q�L
TYPE OF PERMITTED OPERATION BEING MONITORED
County
I j ,{�1 j.-l-C, P
El Lagoon ❑ Remediation: Infiltration Gallery
Pity) (zip)
El Spray Field El Remediation:
G.
b
Contact Person: C( I) j�hL CL,
Telephone#: �JZ-Jz _�_ _ _ j_ _ _
❑ Rotary Distributor E.and Application of Sludge
Well Location/Site Name: �-� j 1�5
No. of wells to be sampled: (,a
P
El Source Heat Pump ❑ Other.
P
from Penwl
SAMPLING INFORMATION I
WELL ID NUMBER (from Permit): L�
Date sample collected: FIELD ANALYSES:
If WELL
WAS
Well Depth: 1fL
Well Diameter in_
pH 00400_�L2 units Temp. 00010: zI °C
DRY at
Depth to Water Level 62646:A below measuring point Screened Interval: to 13
ft_ Spec. Cond. 00094: C) µMhos
time of
_fL
Measuring Point is above land surface
__(ofL
Relative M.P. Elevation: fit_
Odor Dooes: ��
sampling,check
—ft
Volume of water pumped/bailed before sampling:
gallons
Appearance Ui-Gtt
here:
❑
Samples for metals were collected unfiltered: 0 YES
El NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: id Zy
LaboratoryName: Ln\1 S fU 1
l (_�c- Cerfification No. f d
PARAMETERS NOTE.: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N OD615
mg/L Pb - Lead m osi ug/L
Coliform: MF Fecal 31616 z 1100mL
Nitrate (NO3) as N 00620 0-
mg/L Zn -Zinc Dio92 mg/L
Coliform: MF Total 315D4 /100mL
Phosphorus: Total as P oosss
mg/L
(Note: use MPN method for highly turbid samples)
Orthophosphate 70507 p . ()-2>
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids.Total70300 41 mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) oo4m units
Ba - Barium 01007
uglL
TOC oosso j mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic moot ug/L
Chromium: Total olo34 <5. ®
ugfL
Grease and Oils oo5s2 mg/L
Cu - Copper Di042 <0.0-1 Q
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug1L
Fe - Iron 01045
uglL
(Specify test and method #_ ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? W Yes (1) ❑ No (0)
Specific Conductance Doo95 1 j C) I,LMhos
K - Potassium o09S7
mg/L VOC 7373 method #
Total Ammonia o0slo <Q, 0u mg/L
Mg - Magnesium oo927
mg/L method #
(Amnartia Nitrogen; NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese D1055
ug/L
method #
TKN as N 00625 mglL
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.06-07-2018

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
TY INFORMATION Please
Name: )E0— Tip a�4,
Name (if different): e C� ch
Address: CfC D (Jl lee FN
SUBMIT FORM ON YELLOW PAPER ONLY
County
IContactPerson: �Lt"1�ICL,6 flI Od— Telephone#:_ 714-5%4
Well LocationlSite Name: ....... _ No. of wells to be sampled:
WELL ID NUMBER (from Permit): - f 5 Date sample collected: 2'Z"7-ZC
Well Depth: ft Well Diameter in -
Depth to Water Level 82546: LA fL below measuring point Screened Interval: ft. to
Measuring Point is E fL above land surface Relative M.P. Elevation: fL
Volume of water pumped/bailed before sampling: gallons
Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: ® YES ❑ NO
PERMIT Number: Expiration Date:-df-ZQn
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor E0 Land Application of Sludge
❑ Water Source Heat Pump ❑ Other -
FIELD ANALYSES:
WAS
pH o0400:-q1 units Temp- 000lo: Z1 °C
DRY at
ft. Spec. Cond. 00094: I) (o ls]Vihos
time ofsampling,
Odor 000as: y��fi
check
Appearance G
here:G i
ite sample analyzed: )CY ZO
Laboratory Name: !j1! i ( M misr)i Z
nc Certification No Id
�RAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oasis
mg/L
Pb - Lead oio51 ug/L
Col"iform: MF Fecal 31616 y _ _ _ _. _ /100mL
_ I
Nitrate (NO3) as N cm2o
[0,04
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100ml-
Phosphorus. Total as P 00665
mg/L
(Note: Use MPNmethod forhig*tirbidsamples)
Orthophosphate 70507
3-CO
mg/L
Other (Specify Compounds and Concentration Units):
;solved Solids:Total70300 G3
mglL
Al -Aluminum o11o5
mg/L
p}{ (Lab) ) o0403 C) . Q
units
Ba - Barium o1aa7
ug/L
TOC oa6m iG. Z~)
mg1L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium o1o27
ug/l..
Arsenic olo02
ug/L
Chromium: Total olo34 _
5. O
uglL
Grease and Oils 00552
mg1L
Cu - Copper o1o42
<0,01 3
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug/L
Lab Report Attached? It Yes (l) ❑ No(0)
)ecific Conductance 00095
µMhos
K - Potassium oo937
mg/L
VOC 7873 method # e
Total Ammonia omio (.Z
mglL
Mg - Magnesium oo927
mg/L
method #
(Arsxnmda Nftgen; NH�as N; Ammonia Nilroger Tolal)
Mn - Manganese o1a55
ug1L
, method #
TKN as N 00625 mg/L Ni - Nickel =67 ug/L
method #
For Remediation Systems Only (Attacn Lab Keports): innuent i otai vuus: m91L LI7luent Total VOCs: mg/L VOC Removal%
CVV-59 Kev. Ub-Ur-Zu 16

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Name:
Name (if different):
Address:
(City)
(Scale)
SUBMIT FORM ON YELLOW PAPER ONLY
County
act Person: -b.,Q f-n I . s icLl Telephone#: 67 �52 q- SS<�q
Location/Site Name:_F (_ffner �-( od (q No. of wells to be sampled: `p
WELL ID NUMBER (from Permit): Date sample collected: U-D-Zo
Well Depth:ft Well Diameter in.
Depth to Water Level 82546: 2 ft. below measuring point Screened Interval_ Z ft to
Measuring Point is ft• above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samoles for metals were collected unfiltered: 0 YES C1 NO and field acidified: ® YES ❑ NO
PERMIT Number: Expiration Date:-ZQZ'S
Non -Discharge UIC
NPDES HCZ)CZZQ% Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor (9 Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES: WAS
PH 00400:5.. Z units Temp. omio: Zl °C DRY at
ft. Spec. Cond. ooasa: (n t`Mhos time ofsampling,
Odor 000es: 17Cin check
Appearance here:❑
Date sample analyzed,
101- 2 U
Laboratory Name:
&-xJi fCnMe0 +- {n,:
..............._..-- Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oasis
mg/L
Nitrite (NO2) as N m61s
mg/L
Pb- Lead oio51 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N o6620
L 54 mg/L
Zn - Zinc oloez mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665
mg/L
(Note: use MPNmeihodfor tigHytnrbidsamples)
Orthophosphate 70507
0 ir} mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum o1105
mg/L
pH (Lab) 00403
5,2
units
Ba - Barium moo?
ug/L
TOC ooam
S 1 g
mglL
Ca - Calcium 00916
mglL
Chloride 00940
5
mg/L
Cd - Cadmium wo27
ug/L
Arsenic 01002
ug/L.
Chromium: Total olG34 ug1L
�
Grease and Oils 00552
mg/L
Cu - Copper o1o42
.O 1 mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron oioas
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? 'rt Yes (1) ❑ No (0)
Specific Conductance 000es
pMhos
K - Potassium ooe37
mg/L
VOC 7873 method # ( �
Total Ammonia 00elo
CQ.()4
mg1L
Mg - Magnesium 00e27
mg/L
method #
(Ammonia Nitrogen; NH3 as N;
Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N oo62s
mg/L
Ni - Nickel t]1oG7
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): influent Total VOGs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev, 06-07 2018

(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Name: - Ccn+ e_ X M bD
Name (if different): `i' m6
Address: QM L) I i'e(� F uf)� M h
SUBMIT FORM ON YELLOW PAPER ONLY
County
IContact Person: tL 1Yl`I{ hbjiCKTelephone#: t Zz_
Well Location/Site Name: u) 0)� Ti iElo * 13 No. of wells to be sampled:
PERMIT Number: Expiration Date- 7QZ5
Non -Discharge itQ60DfO iS UIC
NPDES j �(`�3Zp`�� Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Feld ❑ Remediation:
❑ Rotary Distributor Land Application of Sludge
❑ Water Source Heat Pump ❑Other.
WELL ID NUMBER (from Permit): 1 ,
Date sample collected: 10-n- Q
FIELD ANALYSES:
WAS
Well Depth: j 0 ft-
Well Diameter in_
pH oo400:4__� units Temp. 000lo: Z1 °C
DRY at
Depth to Water Level 82546: t, , ft. below measuring point
Screened Interval: �J ft, to )d ft,
Spec. Cond. 00094: ) 41 µMhos
time of
Measuring Point is Z_fi_ above land surface
—
Relative M.P. Elevation: ft.
Odor 000ss: nC17'1'.
samP lir
check
Volume of water pumped/bailed before sampling: S gallons
Appearance [ eL'�
here:
Samnles for metals were collected unfiltered: N YES ❑ NO
and field acidfied: NYES ❑ NO
LA[SVKAJUMT cryIF"MML LL—IN
Date sample analyzed: 10-n-ZO
Laboratory Name:
Lnm iFc�w&)+ Z
t r-c - Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0815
mg/L
Pb - Lead o1a51 ug1L
Coliform: MF Fecal 31616 U.9/100mL
Nitrate (NO3) as N 00620
e_& C)"
mg1L
Zn -Zinc 01092 mg/L
Col'rform: MFTotal 31504
f100mL
Phosphorus: Total as P 00665
mg/L
(Note- Use MPNmethod for highly 0upidsamples)
Orthophosphate 70507
0.01
mg/L
Other (Specify Compounds and Concentration Units):
issolved SolidS:Total703aa CZ
mg/L
A] -Aluminum oiios
mg/L
pH (Lab) 00403 U -�]
units
Ba - Barium oiow
ug/L
TOC ao6so C to(.D
mg1L
Ca - Calcium 00916
mg/L
Chloride 00940 LA
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total oia34
s. L�
ug/L
Grease and Oils 00552
mg/L
Cu - Copper oio42
40 01 o
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3273a
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate o094s
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? It Yes (1) ❑ No (0)
Specific: Conductance 00095 4 .1
gMhos
K - Potassium oo937
mg/L
VOC 787.3 method # 12 k l
Total Ammonia 00010 -a I-p
mg/L
Mg - Magnesium oo927
mg1L
method #
(Anymnia Nitrogen; NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L
method #
TKN as N oo625
mg/L
Ni - Nickel oio67
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Intluent I otal VUUs: mg/L Effluent Total VOCs: mg/L VOC Removal%
ermittee (or Authorized Agent) Name and Title - Please print ortype, j Signature of Permittee (or
GW-59 Rev_ 06-07-201B

E[MromIN old hC0TP@T@%d
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO, SEWAGE DIST.
ASS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Fecal Coliform (MT), /100 Mls
Ammonia Nitrogen as N, mg/l
Nitrate Nitrogen as N, mgll
Total Organic Carbon, mg/I
Chloride, mg/l
Total Dissolved Residue, mg/1
Total Chromium, ug/I
Copper, ug/I
Conductivity (at 25c), uMllos/cm
Total Ortho-Phosphate as P, mg/I
2D# : 416
DATE COLLECTED: 10/27/20
DATE REPORTED : 11/04/20
REVIEWED BY: ) V- -
Well #9
Well #10
Well #14
Well #15
Well #17
Analysis
Method
Date
Analyst
Code
2
< 1
2
1
3
10/27/20
HJO
9222D-06
0.67
< 0.04
< 0.04
0.28
< 0.04
10/28/20
TLH
350.1 R2-93
0.04
0.16
0.60
<0.04
0.54
10/28/20
DTL
353.2 112-93
7.60
3.50
1.73
10.27
3,18
10/29/20
SRJ
531OC-11
9
< 1
3
3
5
11/02/20
JMS
4500CLB-11
53
36
47
93
85
10/29/20
JMS
254OC-11
<5.0
<5.0
<5.0
<5.0
8
10/28/20
LFJ
EPA200.7
< 10
< 10
< 10
< 10
< 10
10/28/20
LFJ
EPA200.7
85
55
80
116
69
11/02/20
TMR
2510E-11
0.06
0.05
0.03
0.03
0.17
10/28/20
KDS
4500PE-11
/ 1

ErMomommN % hCoTpughd
ORE
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO, SEWAGE D5ST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIF'TON ,NC 28530
Well #18
Analysis
Method
PARAMETERS
Date Analyst
Code
Fecal Coliform (MF), /100 Mls
44
10/27/20
HJO
9222D-06
Ammonia Nitrogen as N, mall
0.06
10/28/20
TLH
350.1 112-93
Nitrate Nitrogen as N, mg/1
<0,04
10/28/20
DTL
353,2 R2-93
Total Organic Carbon, mgll
9.66
10/29/20
S1 J
5310C-11
Chloride, mg/1
4
11/02/20
JMS
4500CLB-11
Total Dissolved Residue, mg/I
d 92
10/29/20
JMS
2540C-11
Total Chromium, ug/l
<5.0
10/28/20
LFJ
EPA200,7
Copper, ug/l
< 10
10/28/20
LFJ
EPA200.7
Conductivity (at 25c), nMhos/cm
141
11/02/20
TMR
251OB-11
Total Ortho-Phosphate as P, mg/l
0,01
10/28/20
KDS
450OPE-11
ID#: 416
DATE COLLECTED: 10/27/20
DATE REPORTED : 11/04/20
REVIEWED BYX4--
All QC xequirements were not met! d Duplicate data not within established limits,

ENATOUBM % hmpumbd
GRE E
CLIENT: CMSD (SLUDGE & WELLS ACCT) CLIENT ID: 416
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN ANALYST: DTL
P.O. BOX 477 DATE COLLECTED: 1.0/27/20 Page: 1
GRIFTON, NC 28530 DATE ANALYZED: 10/29/20
DATE REPORTED: 11/04/20
REVIEWED BY:
VOLATILE ORGANICS
emr% MF.Twnng A2nnC•-11
PARAMETERS, ug/1
Well #9
We#10
WeIl #14
Well #15
Well #17
1. Benzene
<0.50
<0.50
<0.50
<0,50
<0.50
2, Bromobenzene
<0,50
<0,50
<0.50
<0.50
<0.50
3. Bromochloromethane
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
4. Bromodichloromethane
<0,50
< 0.50
< 0.50
< 0.50
< 0.50
5. Bromoform
<0.50
<0.50
<0.50
<0,50
<0.50
6. Bromomethane
<0,50
<0.50
<0.50
<0.50
<0.50
7, N-Butylbenzene
< 0.50
< 0.50
<0.50
< 0.50
< 0.50
8, Sec-Butylbenzene
< 0.50
< 0.50
<0.50
< 0.50
< 0.50
9. Tert-Butylbenzene
<0.50
<0.50
<0.50
<0.50
<0.50
10. Carbon Tetrachloride
<0.50
<0.50
<0.50
<0,50
<0150
11, Chlorobenzene
<0.50
<0.50
<0.50
<0.50
<0,50
12. Chloroethane
<0.50
<0.50
<0,50
<0.50
<0.50
13, Chloroform
<0.50
<0.50
<0.50
<0.50
<0.50
14. Chloromethane
<0.50
<0,50
<0,50
<0.50
<0.50
15, 2-Chlorotoluene
<0,50
<0.50
<0.50
<0.50
<0.50
16. 4-Chlorotoluene
<0.50
<0.50
<0.50
<0.50
<0.50
17. Dibromochloromethane
<0.50
<0.50
<0.50
<0.50
<0.50
18, 1,2-Dibromo-3-Chloropropane
<0,50
<0.50
<0.50
<0,50
<0150
19, 1,2-Dibromoethane
<0.50
<0.50
<0.50
<0,50
<0.50
20, Dibromomethane
<0.50
<0.50
<0.50
<0.50
<0.50
21. 1,2-1)ichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
22. 1,3-Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
23. 1,4-Dichlorobenzene
<0,50
<0150
<0.50
<0.50
<0.50
24, Dichloroditluoromethane
<0.50
<0.50
<0.50
<0,50
<0.50
25, 1,1-Dichloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
26. 1,2-Dichloroethane
< 0.50
< 0.50
<0.50
< 0.50
< 0.50
27, 1,1-Dichloroethene
<0.50
<0.50
<0.50
<0.50
<0.50
28, Cis-1,2-Dichloroethene
<0.50
<0,50
<0.50
<0.50
<0.50
29. trans-1,2-Dichloroethene
<0.50
<0.90
<0.50
<0,50
<0.50
30. 1,2-Dichloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
31. 1,3-Dichloropropane
<0.50
<0,50
<0150
<0.50
<0.50
32. 2,2-Dichloropropane
<0.50
<0.50
<0.50
<0,50
<0.50
33. 1,1-Dichloropropene
<0.50
<0.50
<0.50
<0.50
<0.50
34. Cis-1,3-Dichloropropene
<0,50
<0.50
<0.50
<0.50
<0.50
35, trans-1,3-Dichloropropene
<0.50
<0.50
<0,50
<0.50
<0.50
36. Ethylbenzene
<0,50
<0.50
<0.50
<0,50
<0.50
37. Hexachlorobutadiene
<0.50
<0.50
<0.50
<0.50
<0150
38, Isopropylbenzene
<0.50
< 0.50
< 0.50
< 0.50
<0.50
39. 4-Isopropyltolnene
<0.50
<0,50
<0.50
<0.50
<0,50
40. Methylene Chloride
<0.50
<0.50
<0.50
<0.50
<0.50
41. Naphthalene
<0.50
<0.50
<0.50
<0.50
<0.50
42, Propylbenzene
<0150
<0.50
<0.50
<0.50
<0.50
43, Styrene
<0.50
<0,50
<0,50
<0.50
<0150
44. 1,1,1,2-Tetrachloroethane
<0.50
<0.50
<0.50
<0150
<0.50
45. 1,1,2,2-Tetrachloroethane
<0.50
<0.50
<0.50
<0,50
<0.50
46. Tetrachloroethene
<0.50
<0,50
<0.50
<0.50
<0.50
47. Toluene
<0.50
<0.50
<0.50
<0.50
<0.50
48. 1,2,3-Trichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50

EmkofiffmW % hcupumbd
CLIENT: CMSD (SLUDGE & WELLS ACCT) CLIENT ID: 416
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN ANALYST: DTL
P.O. BOX 477 DATE COLLECTED: 10/27/20 Page: 2
GRIFTON, N 28530 DATE ANALYZED: 10/29/20
DATE REPORTED: 11/04/20
REVIEWED BY:
VOLATILE ORGANICS
STD. METHODS 620OC-11
PARAMETERS, ug/l
Well #9
Well #10
LWell#14
Well #15
WeIl #17
49. 1,2,4-Trichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
50. 1,1,1-Trichloroethaue
<0.50
<0.50
<0.50
<0.50
<0.50
51. 1,1,2-Trichloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
52. Trichloroethene
<0.50
<0.50
<0.50
<0.50
<0.50
53. Trichlorofluoromethane
<0.50
<0.50
<0.50
<0.50
<0.50
54. 1,2,3-Trichloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
55. 1,2,4-Trimethylbenzene
<0.50
<0.50
<0.50
<0.50
<0.50
56, 1,3,5-Trunethylbenzene
<0.50
<0.50
<0.50
<0.50
<0.50
57. Vinyl Chloride
<0.50
<0,50
<0.50
<0.50
<0.50
58, Total Xylenes
< 1.00
< 1.00
< 1.00
< 1.00
< 1.00
59, Methyl Tert Butyl Ether
< 1.00
< 1.00
< 1.00
< 1.00
< 1.00

EIMUNUM % hCoTpumud
114:UAKN
GREENVI
CLIENT: CMSD (SLUDGE & WELLS ACCT) CLIENT ID: 416
CONTENTNEA METRO, SEWAGE DIST.
MS. RENEE PRIDGEN ANALYST: DTL
P.O. BOX 477 DATE COLLECTED; 10/27/20
GRIFTON, C 28530 DATE ANALYZED: 10/29/20
DATE REPORTED: 11/04/20
REVIEWED BY:
VOLATILE ORGANICS
STD. METHODS 6200C-11
PARAMETERS, ug/1
Well #18
1.
Benzene
<0.50
2,
Bromobenzene
<0.50
3.
Bromochloromethane
<0.50
4,
Bromodichloromethane
<0.50
5.
Bromoform
< 0.50
6.
Bromomethane
<0.50
7.
N-Butylbenzene
<0.50
8.
Sec-Butylbenzene
<0.50
9.
Tert-Butylbenzene
<0.50
10.
Carbon Tetrachloride
<0,50
11.
Chlorobenzene
<0.50
12,
Chloroethane
<0.50
13.
Chloroform
<0.50
14,
Chloromethane
C 0.50
15.
2-Clilorotoluene
<0.50
16,
4-Chlorotoluene
<0.50
17.
Dibromochlorounethane
<0.50
18.
1,2-Dibromo-3-Chloropropane
<0.50
19.
1,2-Dibbomoethane
<0.50
20.
Dibromomethane
<0.50
21.
1,2-Dichlorobenzene
< 0,50
22.
1,3-Dichlorobenzene
< 0.50
23,
1,4-Dichlorobenzene
< 0.50
24.
Dichlorodifiuoromethane
<0.50
25,
1,1-Dicbloroethane
<0.50
26.
1,2-Dicbloroethane
<0.50
27.
1,1-Dicliloroethene
<0.50
28.
Cis-1,2-Dichloroethene
<0.50
29.
trans-1,2-Dichloroethene
< 0.50
30,
1,2-Dichloropropane
<0.50
31.
1,3-Dichloropropane
<0.50
32.
2,2-Dichloropropane
< 0,50
33.
1,1-Dichloropropene
< 0.50
34,
Cis-1,3-Dichloropropene
<0,50
35.
trans-1,3-Dicbloropropene
< 0.50
36.
Ethylbenzene
< 0,50
37.
Hexachlorobutadiene
<0.50
38.
lsopropylbenzene
<0.50
39.
4-Isopropyltoluene
<0.50
40,
Methylene Chloride
<0.50
41,
Naphthalene
<0.50
42,
Propylbenzene
<0.50
43,
Styrene
< 0.50
44.
1,1,1,2-Tetrachloroethane
<0.50
45.
1,1,2,2-Tetraebloroethane
<0.50
46,
Tetrachloroethene
<0.50
47.
Toluene
<0.50
48,
1,2,3-Trichlorobenzene
<0.50
Page: 3

E[MumumA % hmpumho
CLIENT: CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDOEN
P.O. BOX 477
GRTFTON, fC 28530
REVIEWED BY:
VOLATILE ORGANICS
STD. METHODS 620OC-11
CLIENT ID: 416
ANALYST: DTI.
DATE COLLECTED: 10/27/20
DATE ANALYZED: 10/29/20
DATE REPORTED: 11/04/20
PARAMETERS, ugll
Well #18
49.
1,2,4-Trichloroberzene
< 0,50
50,
1,1,1-Trichloroettane
<0.50
51.
1,1,2-Trichloroethane
<0.50
52,
Trichloroethene
<0.50
53.
Trichlorotluoromethane
<0.50
54,
1,2,3-Trichloropropane
<0.50
55.
1,2,4-Trimethylhenzene
<0.50
56,
1,3,5-Trimethylhenzene
<0.50
57.
Vinyl Chloride
<0,50
58.
Total Xylenes
< 1.00
59.
Methyl Tert Butyl Ether
< 1.00
Page: 4

,. _. ,
'. 1 � ' � � �
� �:

Avden Nitrogen
grower ; Farrn ..: Feld AreaentrnGd „
CMSD WILEY GASKINS RD i✓-01 16.18 acres 35.360361,-77,418702
Sample Date: 2020-09-15 Soil Lab: NCDA
Ayden Nitrogen 10/21/20 03:29 PM
4728 Old NC 11 111
Ayden, NC 28513
252-746-21.52

Lo atlon „ Grovu r , F rrn ; Field „Area
Ayden Nitrogen CMSD WILEY GASKINS RD F-02 2.21 acres
Sample Date:2020-09-15 Soil Lab: NCDA
35.358556,-77.4181
Ayden Nitrogen
4728 Old NO 11
Ayden, NC 28513
252-746-2152
10/21/20 03:29 PM
111

�oct�on ,` E:Gr�wer Farm l F>Id 'Area
Ayden Nitrogen CMSD WIL.EY GASKINS RD F-03 2.35 acres
Sample Date: 2020-09-15 Soil Lab: NCDA
35.358478,-77.421019
Ayden Nitrogen
4728 Old NC 11
Ayden, NC 28513
252-74FI-2152
10/21/20 03:30 PM
111

Lpcati0 ` Crowe Farm Fie ; Ar a
Ayden Nitrogen CMSD WILFY GASKINS RD F-04 13.83 acres
Sample Date: 2020-09-15 Soil Lab: NCDA
35.367513,-77.419061
Ayden Nitrogen
4728 Old NC 11
Ayden, NC 28513
2R2-74F-21 .t;2
10/21/20 03:30 PM
111

LQcatJb� ; Grower ,Farm... , � Fuld ',Area
Ayden Nitrogen CMSD WILEY GASKINS RD F-05 14.34 acres
Sample Date: 2020-09-15 Soil Lab: NCDA
35.366959,-77.415219
Ayden Nitrogen
4728 Old NO 11
Ayden, NO 28513
252-746-21-92
10/21/20 03:31 PM
111

Locallon ;GtQwer ;Farm ;Ftel� Ares Cenlroad
Arden Ni trogen CMSD WILEY GASKINS RD F-06 4.4 acres 35.365362,-77.416477
Sample Date:2020-09-15 Soil Lab: NCDA
Ayden Nitrogen 10/21/20 03:31 PM
4728 old NC 11 111
Ayden, NC 28513
2Fi2-746-21 t;2

Location ;Grower ;Farm Feld F Area
Ayden Nitrogen CMSD WILEY GASKINS RD F-07 5.91 acres
Sample Date:2020-09-16 Soil Lab: NCDA
35.360321,-77.410402
Ayden Nitrogen
4728 Old NO 11
Ayden, NO 28513
2..92-746-21 F2
10/21/20 03:31 PM
111

Locat�oGrower FarmFleld A>ea
Ayden Nitrogen CMSD WILEY GASKINS RD F-08 14.4 acres
Sample Date: 2020-09-16 Soil Lab: NCDA
35.362013,-77.410097
Ayden Nitrogen
4728 Old NC 11
Ayden, NO 28513
2R2-746-2i52
10/21/20 03:32 PM
1 /1

(rd
Ayden Nitrogen CMSD
Farm ; Fie'. ,EArea
WILEY GASKINS RD F-09 2.06 acres
Sample Date: 2020-09-16 Soil Lab: NCDA
35.365487,-77,414558
Ayden Nitrogen
4728 Old NC 11
Ayden, NC 28513
2.ri2-749-21.ri2
10/21/20 03:32 PM
111

NCDA&CS Agronomic Division Phone: [phone]
Website: www.neagr.gov/agronomi/
Report No. FY21-SLOO5924
Client. Dickie Mills
Advisor:
Ayden Nitrogen
}V
Predictive
5010 Marvin Taylor Rd
P_O. Box 7
Ayden, NC 28513
Ayden, NC 28513
;.
'''Oil Repo
Mehlich-3
Extraction
yn
Sampled County : Piti
"x'3'At17 ti^'•
Links to Hel ful Information
Client ID: 405096
Advisor
ID: 503187
Sampled: 09117/2020 Received: 09/25/2020 Completed: 10/02/2020
Farm: Hog Farm
Sample ID: 1
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O6
K2O Mg S
Mn
Zn
Cu
B
Information
Lime History:
1- Corn, grain
0.0
120 - 160 0
0 0 0
0
0
0
0
Note: 3
2-
0.0
Test Results [units - WN in glcm3; CEC and Na in meq/100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1 Mn-I Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NOs-N
0.60 1.12
8.0 82 1.4 6.0
243 89
56 21
29 40 41
204
204
130
0.1 1
Sample ID: 2
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O Mg S
Mn
Zn
Cu
B
Information
Lime History:
1- Corn, grain
0.0
120 - 160 0
0 0 0
0
0
0
0
Note: 3
2-
0.0
Test Results [units - WN in g1cm3; CEC and Na in meg/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1 Mn-1 Mn-All Mn-AI2
Zn-1
Zn-Al
Cu-1
Na ESP SS-1 NO3-N
0.71 1.13
8.1 81 1.6 6.0
314 118
52 21
38 42 42
195
195
135
0.2 2
Sample ID: 3
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O Mg S
Mn
Zn
Cu
B
Information
Lime History:
1- Corn, grain
0.0
120 - 160 0
0 0 0
0
0
0
0
Note: 3
2-
0.0
Test Results [units - WN in g1cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dn3]:
Soil Class:
Mineral
HM% WIV
CEC BS% Ac pH
P-I K-1
Ca% Mg%
S-1 Mn-1 Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-1
Na ESP SS -I NO3-N
0,81 1.10
8.6 88 1.0 6.5
392 189
55 22
46 52 41
198
198
149
0.4 5
North Carolina
I*Acto Twst F.€aM C:enim is- n
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 Troxier, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomil
Report No.
...........
FY21-SL005924
Dickie Mills
Page 2 of 8
Sample ID: 4
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain 0.0
120 -160 0
0
0
0
0
0
0 0
Note: 3
2 - 0.0
Test Results [units - WN in g1cd; CEC and Na in meg1100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2 Zn-I
Zn-Al
Cu-I Na ESP
SS-1 NO3-N
0.46 1.04 7.4
88 0.9 6.5 265 150
52 25
39
46
37
164
164
139 0.3
4
Sample ID: 5
Recommendations., Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain 0.0
120- 160 0
0
0
0
0
0
0 0
Note: 3
2 - 0.0
Test Results [units - WN in g/cm3; GEC and Na in meq/100 cm3; NO3-N in mgldM3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-I
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-1
Zn-Al
Cu-I Na ESP SS -I NO3-N
0.51 1.06 8.9
89 1.0 6.5 388 159
54 26
42
55
43
287
287
214 0.4
4
Sample ID: 6
Recommendations: Lime
Nutrients (Ib/acre)
More
Crop (tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, grain 0.0
120 - 160 0
0
0
0
0
0
0 0
Note: 3
2 - 0.0
Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-I
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-1
Zn-AI
Cu-I Na ESP SS4 NO3-N
0.36 1.09 8.3
86 1.2 6.3 370 137
52 26
38
44
39
272
272
178 0.4
5
Sample ID: 7
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain 0.0
120- 160 0
0
0
0
0
0
0 0
Note: 3
2 - 0.0
Test Results [units - WN in g1crrt3; GEC and Na in meg1100 cm3; NO3-N in mgldrrt3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-1
Zn-AI
Cu-1 Na ESP SS -I NO3-N
0.97 1.01 10.1
89 1.1 6.5 395 201
57 21
52
62
47
187
187
137 0.4
4

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No.
FY21-SL005924
Dickie Mills
Page 3 of 8
Sample ID: 8
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, grain
0.0
120 - 160 0
0
0
0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in g/cm3; CEC and Na in meg1100 cm3; NO3-N in mg1dm31:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-I
Ca% Mg%
S-I
Mn-1
Mn-All
Mn-AI2
Zn-I
Zn-Al
Cu-I Na ESP
SS-1 NO3-N
0.56 1.08 9.0
88 1.1 6A
394 149
54 26
42
48
40
235
235
188 0.4
4
Sample 1D: 9
Recommendations:
Lime
Nutrients (lblacre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, grain
0.0
120 - 160 0
0
0
0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in g1cm3; GEC and Na in meg1100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-Al
Cu-I Na ESP SS-1 NO3-N
0.81 1.09 8.7
85 1.3 6.2
317 115
55 23
31
53
46
192
192
155 0.2
2
Sample ID: 10
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, grain
0.0
120 -160 0
0
0
0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in glcmt ; CEC and Na in meg1100 cm3; NO3-N in mgldnr ]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-I
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-A[2
Zn-1
Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.46 1.02 8.5
87 1.1 6.3
91 211
50 24
37
42
37
178
178
189 0.3
4
Sample ID: 11
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain
0.0
120- 160 0
0
0
0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in glcrrf ; CEC and Na in meg1100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-1
Mn-All
Mn-AI2
Zn-1
Zn-AI
Cu-I Na ESP SS-[ NO3-N
0.51 1.06 7.4
80 1.4 5.9
174 196
47 20
48
41
42
248
248
278 0.4
5

NCDA&CS Agronomic Division Phone: [phone]
Website: www.neagr.gov/agronomil
Report No.
FY21-SL005924
Dickie Mills
Page 4 of 8
Sample ID: 12
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, grain
0.0
120 - 160 0
0
0
0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in g/cm3; CEC and Na in mey1100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN 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
0.56 1.07 7.8
87 1.0 6.4
200 158
56 20
47
50
41
213
213
262 0.3
4
Sample 1D: 13
Recommendations:
Lime
Nutrients (Ib/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, grain
0.0
120 - 160 0
0
0
0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in 91cm3; CEC and Na in meg1100 cm3; NO3-N in mgldrr j:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-1
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.56 0.97 7.7
83 1.3 6.0
90 105
54 22
41
40
41
148
148
158 0.2
3
Sample ID: 14
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain
0.0
120 -160 0
0
0
0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in g1cm3; CEC and Na in meg/100 cm3; NO3-N in mg1dm3]:
Soil Class:
Mineral
HM% WN 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
0.86 1.04 7.7
82 1.4 6.1
186 179
48 22
42
45
43
207
207
210 0.3
4
Sample ID: 15
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, grain
0.0
120 -160 0
0
0
0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in g/cm3; CEC and Na in meg/100 cm3; NO3-N in mg1dm3]:
Soil Class:
Mineral
HM% WN 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
0.97 0.99 8.5
82 1.5 5.9
64 105
60 15
45
41
42
119
119
126 0.2
2

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.govlagronomil
Report No.
FY21-SL005924
Dickie Mills
Page 5 of 8
Sample ID: 16
Recommendations:
Lime
Nutrients (Iblacre)
More
Crop
(tonslacre)
N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain
0.0
120 -160 0
0
0 0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in glcrr�; CEC and Na in meg1100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-1
Mn-All Mn-Al2
Zn-1
Zn-Al
Cu-I Na ESP SS -I NO3-N
1.19 0.90 10.1
85 1.5 6.0
194 332
48 21
51
55
50
359
359
334 0.5
5
Sample ID: 17
Recommendations:
Lime
Nutrients (Iblacre)
More
Crop
(tonslacre)
N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain
0.0
120 - 160 0
0
0 0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in glcnt ; CEC and Na in meg1100 cm3; NO3-N in mgldrrt3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
$4
Mn-I
Mn-All Mn-Al2
Zn-I
Zn-Al
Cu-1 Na ESP SS-1 NO3-N
1.02 0.89 10.3
88 1.2 6.2
189 355
49 22
49
52
45
375
375
345 0.5
5
Sample ID: 18
Recommendations:
Lime
Nutrients (Iblacre)
More
Crop
(tonslacre)
N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain
0.0
120- 160 0
0
0 0
0
0
0 0
Note: 3
2 -
0.0
Test Results [units - WN in g/crr�; CEC and Na in meg1100 cm3; NO3-N in mgldrrt -
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All Mn-Al2
Zn-I
Zn-Al
Cu-I Na ESP SS-1 NO3-N
1.02 0.94 8.0
82 1.4 5.9
131 162
52 20
37
44
43
172
172
184 0.2
3
Sample ID: 19
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain
0.D
120 - 160 0
0
0 0
pH$
0
0 0
Note: 3 Note:
2 -
0.0
Test Results [units - WN in g1cm3; CEC and Na in meg1100 cm3; NO3-N in mgldm?]:
Soil Class:
Mineral
HM% WN 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 -I NO3-N
0.81 1.07 11.2
94 0.7 6.8
199 184
73 13
42
45
31
230
230
238 0.3
3

NCDA&CS Agronomic Division
Phone: [phone]
Website: www.ncagr.gov/agronomil
Report No.
FY21-SL005924
Page 6 of 8
Dickie Mills
Sample ID: 20
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre)
N P2O5
K2O
Mg S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, grain 0.0
120 -160 0
0
0 0
0
0
0 0
Note, 3
2 - 0.0
Test Results [units - WN in g/cm3; CEC and Na in meg1100 cm3; NO3-N in mgldrn3]:
Soil Class:
Mineral
HM% WN CEC
BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2
Zn-I
Zn-Al
Cu-I Na ESP SS-1 NO3-N
1.43 0.96 9.6
87 1.2 6.2 151 171
62 16 47
45
40
205
205
227 0.4
4
Sample ID: 21
Recommendations: Lime
Nutrients lb/acre)
More
Crop (tonslacre)
N P2O5
K2O
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain 0.0
120 -160 0
0
0 0
0
0
0 0
Note: 3
2 - 0.0
Test Results [units - WN in g/crre ; CEC and Na in meq/100 cm3; NO3-N in mgldml3]:
Soil Class:
Mineral
HM% WN CEC
BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2
Zn-I
Zn-Al
Cu-I Na ESP
SS -I NO3-N
1.08 0.98 8.0
82 1.4 6.0 204 209
50 19 41
49
46
294
294
285 0.3
4
Sample ID: 22
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre)
N P2O5
K2O
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain 0.0
120 -160 0
0
0 0
0
0
0 0
Note: 3
2 - 0.0
Test Results [units -WN in g1cm3; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% WN GEC
BS% Ac pH P-1 K-1
Ca% Mg% $4
Mn-I
Mn-All Mn-AI2
Zn-I
Zn-Al
Cu-I Na ESP SS -I NO3-N
0.76 1.08 5.9
78 1.3 5.9 112 110
50 19 36
44
43
230
230
210 0.1
2
Sample ID: 23
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Corn, grain 0.0
120 - 160 0
0
0 0
0
0
0 0
Note: 3
2 - 0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N
in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC
BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-1
Mn-All Mn-AI2
Zn-1
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.71 1,11 6.4
81 1.2 5.9 170 101
55 18 35
41
42
174
174
182 0.2
3

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomil Report No. FY21-SL OO5924
Dickie Mills Page 7 of 8
M e
Sample ID: 24
Recommendations:
Lime
Nutrients (Iblacre)
or
Crop
(tonsfacre)
N P205 K20
Mg
S
Mn Zn Cu B
Information
Lime History:
1 -Corn, grain
0.0
120 - 160 0 0
0
0
0 0 0 0
Note: 3
2 _
0.0
Test Results [units - WN in glcn13; CEC and Na in meg1100 cm3; NO3-N in mgldd]:
Soil Class:
Mineral
HM% W1V CEC
BS% Ac pH
P-1 K-I
Ca% Mg% S-1 Mn-1
Mn-All
Mn-AI2
Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N
1.14 1.04 8.8
88 1.1 6.3
229 177
58 19 46 49
42
232 232 252 0.3 3

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.govlagronomit
Report No. FY21-SL005924
Dickie Mills
Page 8 of 8
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 time 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 onf
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
ESP
copper index
exchangeable sodium percent
HM%
percent humic matter
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-1
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
Mg%
potash
% CEC occupied by magnesium
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
Mini
mineral soil class
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
Mn
manganese
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-All
Mn-availability index for crop 1
only on reports for greenhouse soil or problem samples.
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 Mote: Secondary Nutrients and Micronutrrents In general, homeowners do not
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.nca r. ov/a ronorni/ob art4.lit ind 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
SS-1
soluble salt index
Test Results
WN
weight per volume
Zn AI
zinc availability index
The first seven values soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
[
Zn-1
zinc index
remaining 16 JP -I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-Ai, Cu-I, S-1, SS -I, Na, ESP, SS -I, NO3-N (not routine)
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.nca r. ov/a ronomi/u rst.htm

Statement Page: 1
Ayden Nitrogen
4728 Old NC 111 P.O. Box 7
Ayden, NC 28513
Phone [phone]
Contentnea Metro Sewage Dist
Po Box 477
Gritton, NC 28530
,Statement Date: 11/30/2020
ID: 010202
Total Balance: $834A7
Amount Remitter!:
Terms:
Unless otherwise agreed in writing by Harvey Fertilizer &
Gas Co, interest will accrue at a periodic rate of 1.5% per
month. To avoid additional finance charges, payments must
be to office by last day of month.
J.-Your Share -_------I
Date Number Description 1 Detail
quantity
Price ! Unit
Extenslon %
Prepaid
Regular
Balance Forward
0.00
0.00
11/06/2020 1019538 Charge Invoice - Due 12/06/2020
Dolomitic Lime - Bulk
12.740 Tons
52,600 !Tons
668.85
568.85
App Fees Materials
12.740 Each
13.000 /Each
165.62
165.62
invoice Total
834A7
0.00
834.47
Ending Total Balances
0.00
834.47
Current 1 - 30 31 - 60
61 - 90 Dver g0
Unapplied
Budget Billing
Prepay
Overall
834,47 0.00 0,00
0.00 0,00
0.00
0.00
0.00
834.47
1 C r0 %
Ayden Nitrogen Date: 11/30/2020 Contentnea Metro Sewage Dist

Grower: GMSD
Farm: WILEY GASKINS RD
Tenn Lime - Fertilizer Appli
(Ibs/a
SavedRx: Lime 20-21
Soil Fertility
Fields
4a
.................... .................
a
�G00 1050 1500 1950 >2400
Lab: NCDA Custom Eq: NCDA Recs Commodity: Corn Sample Dates: 2020-09-16 - 2020-09-15
:onstraints:
Target pH: 6 Max Rate: NIA Multiplier: NIA
Min Rate: 400.0 Ibs/ac Subtract: NIA
Switch Rate: 400.0 Ibs/ac
Minimum Application Rate:
400.0 Ibs/ac
Total Product:
25165.21 Ibs
Maximum Application Rate;
2650.0 lbs/ac
Total Product Bulk:
12.53 ton
Average Application Rate:
1071,12 Ibs/ac
Product Cost / Bulk:
$0.0/ton
Application Area:
20.52 ac
Total Product Price:
$0.0
Average Field Rate:
330.99 Ibs/ac
Application Cost / Area:
$0.0/ac
Total Area:
75.55 ac
Total Application Cost:
$0.0
Total Cost:
$0.0
Ayden Nitrogen
4728 Old NC 11 10/05/20 11:43 AM
Ayden, NC 28513 1/2
252-746-2152