WQ0021826_Roxboro 2021 Renewal_20210308

Initial Review
Reviewer
Thornburg, Nathaniel
Is this submittal an application? (Excluding additional
information.)*
r Yes r No
Permit Number (IR)*
WQ0021826
Applicant/Permittee
City of Roxboro
Applicant/Permittee Address
PO Box 128 Roxboro, NC 27573
Is the owner in BIMS? r Yes r No
Is the facility in BIMS? r Yes r No
Owner Type
Municipal
Facility Name
City of Roxboro RLAP
County
Person
Fee Category Minor
Fee Amount $0
Is this a complete
application?*
r Yes r No
Complete App Date 03/08/2021
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Does this need review bythe hydrogeologist?* r Yes r No
Regional Office
CO Reviewer
Admin Reviewer
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notfication
Comments for Kendall
Comments for RO

Comments for Reviewer
Comments for Applicant

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by N B Staff
Name * Robert Roth
Email Address*
[e-mail]
electronic subnittal, confirmation of receipt, and other correspondence.
Phone Number*
3364034324
Project Information
........ ......... ........................................................................................................................................ ......... .... ... .... ........ ... ... .... .... .... ... ... ... .... .... .... ... .... .... ......... ......
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
O Modification - Minor
G 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:*
WQ0021826
Fbs Current Existing permt number
Applicant/Permittee *
City of Roxboro
Applicant/Permittee Address*
PO Box 128 Roxboro, NC 27573
Facility Name *
City of Roxboro RLAP
Please provide comments/notes
on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Spec'rfications, Calculations, Rc.)
Roxboro 2021 Renewal.pdf 192.84MB
upload only 1 RCF docurrent (less than 250 M3). Ma@iple documents nest be combined into one RJF file unless file is larger than
upload limit.
* W By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Submission Date 3/8/2021

Project Contact Information
Rease provide information on the person to be contacted by MB Staff
................................................................................................................................................................................
Name * Robert Roth
Email Address*
[e-mail]
Project Information
Application/Document Type *
electronic submittal, confirmation of receipt, and other correspondence.
Phone Number*
3364034324
r New (Fee Required)
r Modification - Major (Fee Required)
r Renewal with Major Modification
(Fee Required)
r Annual Report
r Additional Information
r Other
Permit Type:* r Wastewater Irrigation
r Other Wastewater
r Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
r Modification - Minor
r Renewal
r GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Permit Number:* WQ0021826
Fbs Current Existing permit number
Applicant/Permittee * City of Roxboro RLAP
Applicant/Permittee Address* PO Box 128 Roxboro, NC 27573
Facility Name * City of Roxboro

Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Etc.)
Roxboro 2021 Renewal.pdf 192.84MB
Upload only 1 RJF docurrent (less than 250 NB). Miltiple docurrents rust be corrbined into one RJF file unless file is
larger than upload lirrit.
* fJ 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 Is filled in automatically oncesubritted.

-JUAIISM L I t LAM%*
UA 6 4pir i
� � • • i IN MWS� � i i � 1

i
February I TH, 2021
N.C. Department of Environment and Natural Resources
Division of water Resources
Water Quality Permitting Section —
1617 Mail Service Center
Raleigh, NC 276994 617
ATTENTION:
REFERENCE:
Dear Mr. Thornburg:
Non -Discharge Permitting Unit
Mr. Nathaniel Thornburg
APPLICATION FOR RENEWAL OF PERMIT # WQ0021826
CITY OF ROXBORO
On behalf of the City of Roxboro, Synagro is submitting this application to renew the
referenced residuals land application permit.
Most fields are listed, on form "LASC", as "Renewed". Forms RLAP, LASC, and RSC are
included, along with other required forms and documentation.
The following fields are listed as "deleted":
• NC-PS-26-05
• NC-PS-26-06
• NC-PS-26-07
The following sites and fields are all listed as "renewed"
• NC-PS-24 (all fields)
• NC-PS-25 (all fields)
• NC-PS-264
• NC-PS-26-2
• NC-PS-26-3
• NC-PS-264
This application package should contain all of the information necessary to complete the
requested renewal of the City %J Roxboro's permit. However, if you require additional
information or have further questions, please contact me at [phone] or
rcop.
eland(a,svna rg ocom.
enewal application.
Thank you in advance for the timely and efficient review of this
r
Sincerely,
284 Boger Road, Mocksville, NC 27028 •Phone: [phone] • fax: [phone]

sion %0 1Nat�1 Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
1511VNCAC 021.1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 0646 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall ,submit one original and two copies of the, app;on and
MDDortine documentation
For more information, visit the Water Quality Permitting Section's Non-Disch
e Permitting Unit
General —This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 0646) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(bl. An alternate
person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T .0106(b).
® If this project is for a modification of an existing permit, submit one copy of the existing permit.
® Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(lies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Mocation 1
Major (land are permitted for > 300 acres)
Minor (land are permitted for < 3 00 acres)
$1,310
$395
$245
1- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for tb.at particular program [including transferring of fields) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
Z List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC 1C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 1 of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
® For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
® Submit the O&M Plan in accordance with 15A NCAC 02T .1110 and include at a minimum:
Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
® Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
Safety measures; may include safety training program, manuals, signs, etc.
® Spill response plan; including control, containment, remediation, emergency contact information, etc.
Inspection plan including the following information;
® Names and titles of personnel responsible for conducting the inspections.
® Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
® Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
Sampling and monitoring plan including the following information;
® Names and titles of personnel responsible for conducting the sampling and monitoring.
Detailed description of monitoring procedures including parameters to be monitored.
® Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEM, S, (G to , M� ARE REQUIRED FOR DEDI
F. Program Determination
'ED PROGRAM ONLY.
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.1102 12 . Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of 11 " by 17" plans (electronic format is acceptable -Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
n A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
Ej Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However,
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
the plans maybe labeled with
INSTRUCTIONS FOR FORM: RLAP 0646
Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
1. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
Leej Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T 01104(d)(4) and current Division Policy
available at: http://www.ncwater.org/Rules_Policies and Regulations/. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
❑ Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .1104(d)(2). For Modifications, submit an updated site map
specific to the modifications) only.
❑ The design documents must include the following minimum items.
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testin99 and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy
available at: http://www.ncwater.orQ/Rules Policies and Regulations/.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following.
El Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L 00107(f), or
A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFOF�MATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING ITNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: (919) 8074464
r Courier/Special_
D�liyery_:
512 N. SALISBURY STREET
R,ALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16
Page 3 of 3

Div#liWon %P Water Resources
I.
I! �
APPLICANT INFORMATION:
1.
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T 61100 - RESIDUALS LAND APPLICAI'ION PROGRAM
FORM: RLAP 06-16
Applicant's name: City of Roxboro
Applicant type: ❑Individual ❑Corporation ❑General Partnership ❑Privately -Owned Public Utility
❑ Federal ❑State ED Municipal ❑County
Signature authority's name per 15A NCAC 02T .0106: Thomas Warren Title: Assistant CitY Manager
Applicant's mailing address:
City: Roxboro State: NC
5 South Lamar St. P.Q. Box 12
Telephone number: (3 3 6) 5 99-3116
Consultant's name:
Affiliation: 0 On Staff
Zip: 27573-
Email Address: tw
License Number (for P.E.):
❑ Retained (Firm: )
Consultant's mailing address:
City: State:
Telephone number: ( ) -
Email Address:
3. Agronomist's name: Rvan Copeland License Number:
Affiliation: Q N/A On Staff ❑Retained (Firm: )
Agronomist's mailing address: 284 Boger Road
City: Mocksville State: NC
Telephone number: (336) 6074494
Soil Scientist's name:
Zip: 27028-
�
Email Address: rc
License Number:
Affiliation: U N/A ❑ On Staff Retained (I (Firm: )
Soil Scientist's mailing address:
City: State:
Telephone number: ( ) -�
Z
ip:-
Fee submitted: (See Instruction B)
PERMIT INF017�MATION:
1.
Email Address:
Application is for (check all that apply): ❑ new,
❑ modified,
itvofroxboro.
If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00021826
Date of most -recently issued permit: 9/23/2016
Date ofmost-recently certified Attachment A (if different than the permit): 9/23/2016
Date ofmost-recently certified Attachment B (if different than fihe permit): 9/23/2016
FORM: RLAP 06-16 Page 1 of 5

[II. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1.
Residuals Processing Facility's physical address:
City: Roxboro
Coordinates: Latitude: 360 26' 42"
Method of measurement: MAP
Gavel -Chub Lak
State: NC Zip: 27253-
Longitude:
Level of accuracy: Second
County where residuals land application program is headquartered: Person
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Ryan C. Copeland
Synagro LLC
1008530
Back -Up ORC
Robert N. Roth
Synagro LLC
1001672
Additional Back -Up
ORC s
if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test:
Complete the following tables regarding management of the residuals land application program.
a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
32.07
34.34
481111
513516
Five -Year Maximum Adjusted
51.40
53.67
777099
80.504
b. _Land Application Site Use Summer: Summarize information regarding the land application sites as currently certified and
proposeA for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
Row Crops
Hay
69.3
Pasture
60.3
Total:
129.6
Methods
Surface
Incorporation or Injection
Total:
FORM: RLAP 0646 Page 2 of 5

c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
(Zbs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
96202
1030.3
1542.0
1610.1
100
481.1
515.2
771.0
805.0
150
3203
343.4
514.0
536.7
200 240.6
257.6
385.5
402.5
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): ®Non -dedicated [] Dedicated
If Dedicated, specify the following (check. all that apply):
❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain;
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
rw I
Residuals Source
Certification
V. LAND APPLICATION SITE INFOF�MATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Siite
Certification.doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item vI. Applicable to Dedicated Program with fixed irrigation
vI9 DESIGN INFORIVIAItIVN FOR FIXED IRRIGATION SYSTEM
only.
1. The irrigation system is: LJ Spray ❑Drip
2. Disposal system is: existing ❑proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet
below ground surface. Rules 15A NCAC 02T .0505(u) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
Loading rates recommended by the Soil Scientist Evaluation:
Recommended Recommended
Soil Series Fields within Soil Area Loading Rate Loading Rate
in/hr) (in/ r
Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or 0No
If No, explain why 15A
'AC 02T_.(
5(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field /Zone
Design Area
lit2
Number of
Nozzles
Maximum Application
Rate allons/hr)
Design Annual Loading
Rate allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Pa a Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft2
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Cert111cation (signing authority must be in compliance with 15A NCAC 02T .0106).
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
Yes ❑ No, Explain;
I, Thomas W
Assis
C1
(Signature Authority's Name —PLEASE PRINT) (Title)
attest that this application for City of Roxboro
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false
statent, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may i
emnclude a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
FORM: RLAP 06-16 Page 5 of 5

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0021826 (City of Roxboro)
Inspection Plan
Inspections will be conducted on a weekly basis at the land application sits during activities of this project. Inspection
frequency is based on the time frame to complete the project and the amount of dry tons to be land applied from the
facility. The inspections will consist of inspecting a field that is currently being applied as well as inspecting random
fields that have been completed. These inspections will consist of:
1. Verifying that the "Pre -Operations Check list" has been completed and signed by both operational and technical
staff.
2. Checking the calculated Loads to insure the correct amount of residuals are being land applied.
3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and
maintenance plan.
4. Insuring that the field has been flagged properly and that all buffers are being adhered to.
5. Insuring that the "Crop and Landowner Verification" form has been filled out.
6. Verifying that the residuals have been adequately sampled to confirm compliance.
The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall
report by telephone to the NCDENR/DWQ Raleigh Regional Office at 919-7914200, as soon as possible, but no later than
24 hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the following.
• Any occurrence with the distribution program resulting in the land application of significant amounts of
material that is abnormal in quantity or characteristics.
• Any failure of the program that results in a release of material to surface waters.
• Any time that self -monitoring information indicates that the program has gone out of compliance with
the permit.
• Any process unit failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 800-858-
03G8, or 919-791-4200. These numbers are to be called in the event of a release to surface waters or the imminent failure
of a storage system when the event occurs outside of normal business hours. Within 5 days of the first notice of on
occurrence, a written response in the form of a letter shall be sent to DENR outlining the actions taken or proposed
actions taken to ensure that the problem does not recur.
Persons responsible for inspections on this project are as follows:
Ryan Copeland, Technical Services Specialist, or his designee.

L --
- -- � i� ���r -s-
�PERA►TIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0021826 (City of Roxboro)
Sampling Plan
Sampling for this project consists of sampling the residuals just before land application is to occur. Based on
the dry tonnage of this plant, there will be four samples for each parameter per year.
The residuals shall be sampled annually for the following: (Regulatory
Arsenic (5.0) 1, 4-Dichlorobenzene (7.5 )
level in milligrams per liter in parentheses,)
Nitrobenzene (2.0)
Barium (100.0) 1, 2-Dichloroethane (0.5) Pentachlorophenol (100.0)
Benzene (0.5) 1, 1-Dichloroethylene (0.7) Pyridine (5.0)
Cadmium (1.0) 2, 4-Dinitrotoluene (0.13) Selenium (1.0)
Carbon tetrachloride (0.5)
Chlordane (0.03)
Chlorobenzene (100.0)
Chloroform (6.0)
Chromium (5.0)
m-Cresol (200.0)
o-Cresol (200.0)
p-Cresol (200.0)
Cresol (200.0)
Endrin (0.02) Silver (5.0)
Hexachlorobenzene (0.13 Tetrachloroethylene (0.7)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5)
Hexachlorethane (3.0) 2,4,5-Trichlorophenol (400.0)
Lead (5.0) 2,4,6-Trichlorophenol (2.0)
Lindane (0.4) 2,4,5 TP (Silvex) (1.0)
Mercury (0.2) Vinyl Chloride (0.2)
Methoxychlor (10.0)
Methyl ethyl ketone (200.Oj
The residuals will also be sampled, based on the chart below, for the following constituents
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
pH
Plant Available Nitrogen (calculation)
Selenium
Sodium
% Total Solids
Total Kjeldahf Nitrogen
Zinc
All samples will be taken from the covered storage pad or the adjacent drying beds. Additional samples will be taken for
TCLP/RCI and nutrients and metals analysis. Methods of sampling will follow the conditions of the permit and applicable
regulations.
The following people are responsible for sampling:
Ryan Copeland, Technical Services Specialist, or his designee.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0021826 (City of Roxboro)
Operational Functions
The operation function of this project is going to involve Synagro land applying the dewatered cake material from both
the WWTP and WTP that will be stored on the covered pad or the drying beds located adjacent to the covered pad. Land
application will only occur once pathogen and vector attraction reduction requirements are met, enough material is
available, and field conditions are suitable. The material will be loaded onto tractor trailers or spreader trucks and
hauled to land application sites. It is going to be spread at agronomic rates that are determined by the nutrient and
metal sample that is current for that monitoring period. City of Roxboro WWTP and WTP material is going to be
Jumped in the field and loaded into a cake spreader with a front end loader or spread with spreader trucks as it is
hauled from the plant. The spreader will be able to spread the material in an even and consistent manner. The material
is going to be land applied on fields that have grass growing on them that are going to either be grazed or cut for hay for
animal feed. Some fields may be in row crop production and rates will be determined by RYE for the crop that is going to
be grown for animal consumption.
SAFETY MEASURES
Synagro believes in operating in a safety conscious manner and has all employees participate in quarterly online safety
courses that are designed to help its employees recognize safety issues and take steps to prevent accidents from
occurring. In addition all Synagro employees have the authority to stop operations if they think any aspect of the
operation is going to cause environmental or personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule as recommended by the Synagro fleet manager for the equipment
necessary to complete the job.

PROJECT: City of Roxboro Permit W�
IN THE UNLIKELY EVENT OF A SPILL
IN VIEDIATELY:
18zo
THE FOLLOWV-tNC"1 ACTT(.1N0
1. 11ZANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Synagro Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and
equipment is to be utilized. In the event additional labor and equipment is required, assistance may be requested from the
City of Roxboro NC or the NC Department of Transportation, and other private contractors as necessary.
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Synagro Operations Manager or the person in charge on the
spill site will advise the clean-up personnel where to get the straw, lim
up operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
e, and other items necessary to complete the clean -
Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the rema10
ining
material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
A the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.
S.
NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synago personnel.
7. REPORTING:
Synagro Central personnel will notify the Raleigh Regional office at [phone] for the City of Roxboro as soon as
possible, but not more than 24 hours after, or on the neart working day following the occurrence. The Operations Manager
shall provide a written report within 48 hours of the spill to the Technical Services Director. The report shall list all
relative information and actions taken. Synagro Central personnel will file a written report to the Raleigh Regional office
A the NCDENR within S days of the occurrence. For after hours reporting the Division's emergency number shall be
called to report all incidences (1-800-858-0368) or (919-733-3300).

Aig jr1an
'ynagro Residuals Land Application for WQ0021826
UAALIAZLM A�
Nutrients and Metals Analysis
• Sampling Point: Covered Storage Pad
•
•
Pathogen Reduction (Fecal Colif
Sampling Frequency
Sample Type:
4/yr
Composite
Lab: Waypoint Analytical /Pace Analytical
orm Density
Demonstration)
Sampling Foint: Covered Storage Pad
Sampling Frequency: 4/yr
Sample Type: Grab
Lab: Meritech Inc. Environmental Lab
Vector Attraction Reduction (30-Day Bench)
TCLP
• Sampling Point: Digester
• Sampling Frequency: 4/yr
•
•
Sample Type: Co
Lab: In house
Sampling Foint: Covered Storage Pad
Sampling Frequency: Annually
Sample Type
Composite
• Lab: Summit Environmental Technologies, Inc

State of North Carolina
Department of Environmental Quality
Division of Water Resources
l�iviston of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06=16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless _otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation '
r
For more information, visit the Water Quality Permitting Section's Non -Disc
e P_ ermi
►n� Unit
General —This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 1145, FORM: DCAR 1145, or FORM: SDR 1145).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM; RSC 11-15):
Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Z For new or renewed permits, submit a separate certification for each source facility.
Z For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
Z Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
Z Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
Z Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
Z For each source facility, attach the following:
Z Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1

Applicant's name: City of Roxboro
Status Facility Permit Holder Facility Name Maximum Dry Tons Per Year
Code a �' Y County Permit Number
Current b Proposed
R City of Roxboro Roxboro WWTP Person NC0021024 1500 1500
R City of Roxboro Roxboro WTP Person 02-73=010 300 300
Man
a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SU1ViMARY FOR FORM: RSC 06-16 Page 1

D�v�sion %P Water R
esources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Roxboro WWTP
2. Facility permit holder is: El Federal, ❑ State, E] Local Government, or ❑ Private.
Facility permit issued by: Div. of Water Resources, El Div. of Environmental Health,
3.
or ❑ Other (explain:
Facility contact person and title: Derek Clayton WWTP Su
Complete mailing address: 902 Cavel-Chub Lake Road
City: Roxboro
Telephone number: [phone]_____
Facility physical address: 902 Cavel-Chi
City: Roxboro
Coordinates:
State: NC
Latitude: 36°
State: NC
E-mail address:
Zip: 27573-
tyofroxboro.
Longitude: 78 ° 5 8' 40"
Datum: NAD 84 Level of accuracy: Second
Method of measurement. Map
5. Purpose of the facility:
® treatment of municipal wastewater,
❑ treatment of potable water,
❑ treatment of 100% domestic wastewater,
❑ treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
❑ other (explain: __ ).
6. Does the facility have an approved pretreatment program. ED Yes
7. Facility permitted/design flow: 5.0 MGD and facility average daily flow: 2.08
MCD
8. Average amount of residuals being generated at this facility � dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 2 228.000 Gallon Aerobic Digesters
Type and volume of residuals storage (i.e., outside of residuals
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
No
treatment units): 22,00
1. Specify if residuals aze regulated under:
40 CFR Part 503 or � 40 CFR Part 257.
FORM: RSC Ob-16
t. Covered S
e Pad/ 1
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.rox
2. Specify if residuals are defined under 15A NCA
Biological
02T.1102(6) as:
Non -Biological
FORM: RSC 06-16 Page 1 of 5

3.
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes incluMI ding lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
Waste "I
ina
n: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note -this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes no.
If yes, list
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑yes
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Summit Envi
Passed corrosivity test:
Passed ignitability test:
Passed reactivity test:
ies and Date of analysis: 2/15/2021
yes ❑ no. pH:
yes ❑ no. Flashpoint: > 140 OF (> 140°F)
[]no.mg/kg (4e250) & H2S:
TCLP Parameter Limit Result TCLP Parameter Limit Result
(mg/1) (mg/1) (mg/1) (mg/1)
Arsenic 5.0 ND Hexachlorobenzene 0.13 ND
Barium 100.0 ND Hexachloro-153-Butadiene 0.5 ND
Benzene 0.5 ND Hexachloroethane 3.0 ND
Cadmium 1.0 ND Lead 5.0 ND
Carbon Tetrachloride 0.5 ND Lindane 0.4 ND
Chlordane 0.03 ND Mercury 0.2 ND
Chlorobenzene 100.0 ND Methoxychlor 10.0 ND
Chloroform 6.0 ND Methyl Ethyl Ketone 200.0 ND
Chromium 5.0 ND Nitrobenzene 2.0 ND
m-Cresol 200.0 ND Pentachlorophenol 100.0 ND
o-Cresol 200.0 ND Pyridine 500 ND
p-Cresol 200.0 ND Selenium 1.0 ND
Cresol 200.0 ND Silver 5.0 ND
2,4-D 10.0 ND Tetrachloroethylene 0.7 ND
1,4-Dichlorobenzene 7.5 ND Toxaphene 0.5 ND
1,2-Dichloroethane 0.5 ND Trichloroethylene 0.5 ND
1,1-Dichloroethylene 0.7 ND 2,4,5-Trichlorophenol 400.0 ND
2,4-Dmitrotoluene 0.13 ND 2,4,6-Trichlorophenol 2.0 ND
Endrin 0.02 ND 2,4,5-TP (Silvex) 1.0 ND
Heptachlor and its Hydroxide 0.008 ND Vinyl Chloride 0.2 ND>
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the fallowing tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under I A IN CAC 021 .1105.
b. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waypoint Analytical and Date of analysis: 2/24/2021
Parameter
Ceiling
Concentration Limits
(Cl assA & Cl assB)
(mglkg)
Monthly Average
Concentration Limits
(Class A Only)
(mglkg)
Result
(mg/kg)
Arsenic
75
41
5.44
Cadmium
85
39
1.09
Copper
45300
1,500
474
Lead
840
300
41.0
Mercury
57
17
.13 2
Molybdenum
75
n/a
5.96
Nickel
420
420
17.1
Selenium
100
100
7.85
Zinc 7,500
25800
917
b. For Surface Disposal Unit
Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis.
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(m9/k9)
Nickel
(mg/kg)
0 > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
❑ > 125
62
450
420
Result (mg/kg)
FARM: RSC 06� 16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 22.8 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: waypoint AnalXtical and Date of analysis: 2/24/2021
c. Using the results listed in Item II. Sb. above, calculate the sodium adsorption ration SAR : .58
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of A p
p . griculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintainin site integrity
and conditions conducive to crop growth].
g �tY
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or rovide technical
p
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method First (111 Year PAN Five -Year
Maximum Adjusted PAN
%�k� (mg/kg)
Surface 169037 25,700
Injection/Incorporation 171172 269835
6. Other Pollutants Determinati_: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-16
Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements.
n/Lan
lication o
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternarive 1 [15A IN 02T.1106(b)(3)(A)) -Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] -Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] -Prior Testing for Enteric VirusNiable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric VirusNiable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] -Process to Further Reduce Pathogens (PFRP).
Specify one: Elcomposting, ❑heat drying, ❑heat treatment,
El thermophilic aerobic digestion, beta ray irradiation,
go ❑ gamma ray irradiation, or ❑pasteurization.
b. For Land Appl cation of Class ID
Alternarive 1 [15A NCAC 02T.1106(c)(i)] -Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T. 1 106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, EJ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Surface Disnosal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II.7a. above.
ElSelect One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II.7b. above.
❑ Exempt - If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)].
❑ Not Applicable -Non-Biological Residuals with NO Domestic Wastewater Contribution.
ttraction
Alternarive 1 [ 15
❑ Alternative 2 [15
Alternative 3 [15
duction 15A specify resid
A
A
e_,�ARNCAC 02T.1107, how uals will meet the VAR requirements:
A NCAC 02T.1107(a)(1)] - 3 8% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.1107(a)(4)] -Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [i5A NCAC UT. 1107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.1107(a)(6)] -Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.1107(a)(7)] -Drying of Stabilized Residuals.
❑ Alternative 8 [ISA NCAC 02T1107(a)(8)] -Drying of Unstabilized Residuals.
Alternative 9 [15A NCAC 02T.1107(a)(9)] -Injection.
Alternative 10 [ 15
A NCAC 02T.1107(a)(10)] -Incorporation.
U Alternative for Surface Disposal Units Only - SoiUOther Material Cover [15A NCAC 02T.1107(b)(2)].
❑ Not Applicable -Non-Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

>� qYNAGIZO
R slituafr Al nagement Company

i r. r F r)
�� 0 I � a Q �i�i S�(Zdl�t
dLl� auo ��� 3 0 ��� �

1 '1 �1'i ' I 10 '04
QUANTITATIVE JUSTIFICATION FOR RESIDUALS PRODUCTION RATE
The following is a record of the annual land application volume far the City of Roxboro's
wastewater treatment plant:
Year
2016
2017
2018
2019
2020
252.80
209.86
135.03
478.97
250.1
The current permitted volume (1500 dry tons per year) is greater than the anticipated
need for the coming years. Over the five years shown above the average number of dry
tons land applied was 265.352, which is well within reason of the permitted dry tonnage.

WaypointTM
ANALYTICAL
2/24/2021
Synagro Central LLCI Roxboro
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 21-036-0007
Project Description: Roxboro VWVTP
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received samples) on
report.
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 °Fax [phone]
www.wa�pointa nafytica f.com
2l5/2021 for the analyses presented in the following
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP} were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...} are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s}. Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
�a�r�.c � i
Pauric McGroary
Agronomist
Groaiy/
0
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 6

Waypaint�.
ANALYTICAL
Report Number:
Client Project Description:
Lab No
Client Sample ID
21-036-0007
Roxboro WWTP
7621 UVhitepine Road, Richmond, VA 23237
Main 844-743-g401 °Fax 8Q4-27i-6446
Sample Summary Table
Matrix
Date Collected
www.waypointanalytical.com
Date Received Method
74925 Roxboro WWTP Solids 02/05/2021
Lab ID
74925 Roxboro WUVTP Solids 02/05/2021 SM-4500-NH3C WP MTN
74925 Roxboro WWTP Solids 02/OS/2021 9045D WP MTN
74925 Roxboro WWTP Solids 02/05/2021 4500NO3F-2011 WP MTN
74925 Roxboro WWTP Solids 02/05/2021 6010D WP MTN
74925 Roxboro 1NWTP Solids 02/05/2021 SW-7471B WP MTN
74925 Roxboro WWTP Solids 02/OS/2021 SM-4500-NH3C-TKN WP MTN
74925 Roxboro WWTP Solids 02/05/2021 SM-2540G WP MTN
WP MTN -Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 6

Waypoint.
ANALYTICAL
46487
Synagro Central LLC/ Roxboro
Mary Brewer
284 Boger Road
Mocksville , NC 27028
Report Number : 21-036-0007
Project
Information
7621 Whitepine Raad, Richmond, VA 23237
Main 804-743-94Q1 °Fax 81i4-271-6446
www.waypainta nalytical.com
Roxboro 1NWTP
REPORT OFANAL YSIS
Report Date : 02/24/2021
Received : 02/05/2021
��i�c � � �toa
Pauric Mc Groary Ph.D., CPA
Agronomist
Lab No : 74925 Matrix: Solids
Sample ID :Roxboro WWTP Sampled:
Test Results Units MQL DF Date /Time By Analytical
Analyzed Method
Moisture 77,2
0.010 1 02/11/2116:39 FMM SM-2540G
Test Results Units MQL DF Date /Time By Analytical
Analyzed Method
Ammonia Nitrogen 2270 rng/Kg -dry 439 1 02/23/21 12:00 JPJ SM-4500-NH3C
Nitrate+Nitrite-N 43.0 mg/Kg -dry 21.9 1 02/12/21 13:33 ZBD 4500NO3F-2011
Organic N 49600 mg/Kg -dry 1100 1 02/22/21 15:30 CALCULATION
PH 7,1 s.u. 1 02/12/2116:40 C�cC 9045D
Total Solids 22,g % 0.010 1 02/11/21 16:39 FMM SM-2540G
Total Kjeldahl Nitrogen 51800 mg/K9 -dry 1100 1 02/22/21 15:30 JPJ �M-4500-NH3C-TKt`
Phosphorus 15900 mg/Kg -dry 21.9 1 02/13/2l 01:45 TJS 6010D
Aluminum 32200 mg/Kg -dry 21.9 1 02/13/21 01:45 JTR 6010D
Arsenic 5,44 mg/Kg -dry 2.19 1 02/13/21 16:40 JTR 6010D
Calcium 11400 mg/Kg -dry 219 1 02/13/21 01:45 TJS 6010D
Cadmium 1,pg mg/Kg -dry 0.439 1 02/13/21 01:45 TJS 6010D
Chromium 38,7 mg/Kg -dry 1.10 1 02/13/21 01:45 TJS 6010D
Copper 474 mg/Kg -dry 2.19 1 02/13/21 01:45 TJS 6010D
Iron 19900 mg/Kg -dry 43.9 1 02/13/21 01:45 TJS 6010D
Lead 41.0 m9/K9 -dry 1.32 1 02/13/21 01:45 TJS 6010D
Magnesium 2730 mg/Kg -dry 21.9 1 02/13/21 01:45 TJS 6010D
Manganese 842 mg/Kg -dry 2.19 1 02/13/21 01:45 TJS 6010D
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 3 of 6

Waypoint�.
ANALYTICAL
46487
Synagro Central LLC/ Roxboro
Mary Brewer
284 Boger Road
Mocksville , NC 27028
Report Number : 21-036-0007
Project
Information ;
76211�hitepine Road, Richmond, �lA 23237
Main $Q4-743-940i °Fax $p4-271-6446
v�►ww.waypaintanalyfical.com
Roxboro WWTP
REPORT OFANAL YSlS
Report Date : 02/24/2021
Received : 02/05/2021
���•c (� � ��oa
Pauric Mc Groary Pf�.D., CPA
Agronomist
Lab No : 74925 Matrix: Solids
Sample ID :Roxboro WWTP Sampled:
Test Results Units MQL DF Date /Time By Analytical
Analyzed Method
Mercury
Molybdenum
Nickel
Potassium
Selenium
Sodium
Zinc
Sulfur
0.132
5.96
17. i
2i80
7.85
553
917
7240
mg/Kg -dry
mg/Kg -dry
mg/Kg -dry
mg/Kg -dry
mg/Kg -dry
mg/Kg -dry
mg/Kg -dry
mg/Kg -dry
0.0671
1.10
1.10
43.9
2.19
110
1 02/�.2/21 12:06
1 02/13/21 01:45
1 02/13/21 01:45
1 02/13/2101:45
1 02/13/21 01:45
1 02/13/21 01:45
��:
TJS
TJS
TJS
TJS
TJS
5.48 1 02J13/2101:45 TJS
43.9 1 02/13/2101:45 TJS
Qualifiers/ pF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
SW-7471 B
6010D
6010D
6010D
6010D
6010D
6010D
6010D
Page 4 of 6

Waypoint.
ANALYTICAL
Customer Number: 46487
Customer Name:
Report Number:
Fed Ex
UPS
7621 Whitepine Road, Richmond, VA 23237
Main $04-743-9401 °Fax 504-27�.-G4�6
wrrvw.way po i nta n a I yii ca I . co n1
Shipment Receipt Form
Synagro Central LLC/ Roxboro
2y-036-0007
Shipping Method
_ LL. _ .-- _ _ _-------
US Postal � Lab � Other
C l i e n t __---� __-__�J---
Courier Thermometer ID:
Shipping container/cooler uncompromised?
Yes
No
Number of coolers/boxes received � 1
Custody seals intact on shipping container/cooler? 0 Yes 0 No � Not Present
Custody seals intact on sample bottles? 0 Yes � No � Not Present
Chain of Custody (COC) present? � Yes � No
COC agrees with sample label(s)? � Yes � No
COC properly completed � Yes � No
Samples in proper containers?
Yes
No
Sample containers intact? � Yes � No
Sufficient sample volume for indicated test(s)? � Yes � No
All samples received within holding time? � Yes � No
Cooler temperature in compliance? � Yes � No
Cooler/Samples arrived at the laboratory on ice. � Yes 0 No
Samples were considered acceptable as cooling
process had begun.
Water -Sample containers properly preserved 0 Yes � No � N/A
Water -VOA vials free of headspace � Yes � No � N/A
Trip Blanks received with VOAs 0 Yes � No � N/A
Soil VOA method 5035 —compliance criteria met � Yes 0 No � N/A
� High concentration container (48 hr)
� Low concentration Encore samplers (48 hr)
� High concentration pre -weighed (methanol -14 d) � Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? � Yes
Comments:
No
Signature:
Samantha Clarke
Date &Time:
Page 5 of 6
2/05/2021 13:27:32

C � C �
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504 VECTOR ATTRACTION
This is our worksheet showing that in using the 503.33(b)(opvon3) that we are within the vector attraction reduction limit of 15%
Reduction
Formula
In - (In x Out) .66- (.66 x .67) - .66 - 44 - .22
In -Out .66 - .66 .00 .00
In - (in x Out) - .66- (.66 x .66) - .66 - .22 - .44
In -Out 0.61 - .63
In - (In x Out) .61- (. 61 x .63)
In -Out
1n - (In x O
A A
.vv- �.vv � .vv)
-.020
.61 - .38
AAA
.Jo
-0.02
.230
AA
Reduction
-4.5 First Quarter 2020
_� .000 x 100 Q 0.0 Second Quarter 2020
_� -0.09 x 100 � -9.0 Third Quarter 2020
-0.14 x 100 Q -14.0 Fourth Quarter 2020

DIGESTER
"COOLER"
ROXBORO WWTP LAB
TOTAL RESIDUE and VOLATILE SOLIDS
STANDARD METHODS 18TH ED. 2540E and 2540E
Analyst: Nicki Dalton, Crystal Shotwell
SLUDGE
INITIAL WEIGHT WEIGHT (Total) (Total) WEIGHT WEIGHT (Volatile) (Volatile) WEIGHT
DATE/TIME SAMPLE DISH VOL. DISH DISH + WET WET Time Time DISH + DRY DRY % Time Time IGNITED VOLATILE % ANALYST RPD's
OF DATE # ML WEIGHT SOLIDS SOLIDS In Out SOLIDS SOLIDS TOTAL In Out WEIGHT SOLIDS VOLATILE INITIALS if Needed
TEST (grams) (grams) (grams) Oven Oven (grams) (grams) SOLIDS Oven Oven (grams) (grams) SOLIDS
35 Blank .0000 Blank ND
10/7/2020 10/5/2020 8 35 77,8722 111,9267 3460545 8:21 AM 9:28 AM 7881252 ,2530 0,74 10:30 AM 11:30 AM 7709725 .1527 60 ND 0%
50R30 AM 10/5/2020 5 35 77.8285 112.1235 34,2950 8:21 AM 9,28 AM 78.0844 .2559 0.75 10:30 AM 11:30 AM 77,9304 .1540 60 ND
35 Blank .0000 Blank ND
10/12/2020 10/12/2020 8 35 77.8725 11109893 3401168 7030 AM 8:30 AM 7860885 .2160 0,63 9:33 AM 10:30 AM 7709549 51336 62 ND 0%
6:00 AM 10/12/2020 5 35 7708289 111.8196 33.9907 7:30 AM 8:30 AM 7800447 .2158 0.63 9:33 AM 10:30 AM 7709103 1344 62 ND
35 Blank 50000 Blank ND
10/20/2020 10/19/2020 8 35 7708726 11264705 34.5979 7:27 AM 8:27 AM 78.0672 .1946 0.56 9:28 AM 10:28 AM 77,9436 .1236 64 ND 2 %
5:40 AM 10/19/2020 5 35 1 7768285 11226064 3407779 7:27 AM 8:27 AM 7800243 .1958 0.56 9:28 AM 10:28 AM 7709001 .1242 63 ND
35 Blank .0000 Blank ND
10/27/2020 10/26/2020 9 35 7344227 10724332 3400105 7:11 AM 8:11 AM 7326176 .1949 0.57 9:16 AM 10:16 AM 714953 ,1223 63 ND 0%
5:35 AM 10/26/2020 5 35 77.8284 112.1112 3442828 7:11 AM 8:11 AM 78.0286 12002 0.58 9:16 AM 10:16 AM 77.902 .1266 63 ND
35 Blank .0000 Blank ND
11/3/2020 11/2/2020 8 35 7708721 11263578 34,4857 7.30 AM 8:30 AM 78.0530 .1809 0.52 9:30 AM 10:30 AM 77.939 1140 63 ND 0%
5:30 AM 11/2/2020 5 35 7798283 111.9634 3491351 7:30 AM 8:30 AM 78.0078 .1795 0.53 9.30 AM 10:30 AM 7768944 .1134 63 ND
35 Blank .0000 Blank ND
11/9/2020 11/9/2020 8 35 77.8718 11148151 33,9433 7:40 AM 8040 AM 7800401 .1683 0.50 9:41 AM 10:41 AM 7799355 .1046 62 ND 2°%
5:56 AM 11/9/2020 5 35 77.8282 11106137 3367855 7:40 AM 8:40 AM 77,9987 .1705 0.50 9041 AM 10:41 AM 7768918 .1069 63 ND
Beginning with the fourth quarter samples out lab no longer uses 'blanks" in this analysis. As per new
requirements we now use "constant weights".
VSR 0
x - Blank
2020 (Fourth Quarter) VECTOR. ATTRACTION CALCULATIONS

Contact: Ryan Copeland
Client: Synagro
284 Boger Road
Mocksville, NC 27028
Meritech Work Order # Q1252149
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Sample: Roxboro 1 Grab
Report Date:
Date Samp
rod a ct:
le Rcvd:
Page 1
2021
Roxboro
1/25/2021
1/25/21
Parameters Results Analysis Date Reporting Limit Method
%Total Solids 23.8 % 1/26/21 0-100 % SM 2540B
Fecal Coliform (Sludge) 50,420 col/g dry wt 1/25/21 130 col/g dry wt SM 9222D
Meritech �IVark Order # 0125215a
Sample: Roxboro 2 Grab
1/25/21
Parameters esults Analysis Date Reporting Limit Method
% Total Solids 24.4 % 1/26/21 0-100 % SM 2540B
Fecal Coliform (Sludge) 17,623 col/g dry wt 1/25/21 130 col/g dry wt SM 9222D
Meritech Work Order # 01252151
Parameters
Yo Total Solids
Fecal Coliform
Sample: Roxboro 3 Grab
Res_, ults
23.3
(Sludge) 15,880 col/g dry wt
Meritech Wark Order # 01252152
Parameters Results
Analysis Date
1/26/21
1/25/21
Sample: Roxboro 4 +Grab
A.nal,�Sf S_Dat�
100
0-
130 col/g dry wt
Re , ortin� Limit
1/2S/21
sM 2s40B
SM 9222D
1/25/21
Method
%Total Solids 23.9 % 1/26/212540B
Fecal Coliform (Sludge) 46,025 col/g dry wt 1/25/21 130 col/g dry wt SM 9222D
100
Meritech Work Order # 01252153
P_ar_a _
meters
%Total Solids
Fecal Coliform (Sludge)
Results
23.5
Sample: Roxboro 5 Grab
38,298 col/g dry wt
,final sis Date
1/26/21
1/25/21
0-100
130 col/g dry wt
1/25/21
Method
SM 2540B
SM 9222D
642 Tamco Road, Reidsville, North Carolina 27'320
tel.[336�342-474B fax.t336�342-1.522

Contact: Ryan Copeland
Client: Synagro
284 Boger Road
Mocksville, NC 27028
Meritech Vllork Qrder � 01252154
Parameters
%Total Solids
Fecal Coliform (Sludge)
Meritech t1lTork Qrder ## 01252155
Parameters
%Total Solids
Fecal Coliform (Sludge)
eritech, Inc.
Environmental I aboratory
Laboratory Certification No.165
Results
2 3.4 °lo
Sample: Roxboro 6 Grab
56 col/g dry �nrt
Results
Analysis Date
1/26/21
1/25/21
Sample: Roxboro 7 Grab
21,368 col/g dry wt
Anal sis D
1/26/21
1/25/21
I hereby certify that I have reviewed and approve these data,
Page 2
Report Date: 2/3/2021
Project: Roxboro
Date Sample Rcvd: 1/25/2021
Re�ortin� Limit
130 coI/g dry wt
R_ebortin� Limit
130 colJg dry wt
1/25/21
Method
SM 2540B
SM 9222D
z/2s/21
Method
SM 2540B
SM �222D
La�oratvey Kepresentative
642 Tamco Road, Reidsville, North Carolina 2 73 2 0
tel.[phone] fax.[phone]

Chain of Custody Record (COC)MEN
MONSWOME NPDES#:
• • ._ ,_�
Client. .
MERITECPhone._ �'�j� �
:, Address. 6 .
. � � Fax.
, ENVIRONMENTAL LABORATORIES ��, . , , r
Email. C�'
642 Tamco Rd• Phone: [phone] •
Protect; taf.��;..
Reidsville NC 27320 Fax: 33&342-1522 P.O.#:
y
Email. [e-mail] �. Turn Around Time*
Attention. �. � . .- r
*RUSH work needs prior approval,
How would you like your report sent?
wwwtimeritechIabs.com a
Circle all that apply Email ' referred) , Fax, Mail Std 10 sj 3 - 5 Da s 2�i�gs tars
Sampling Dates & Timmes Per n Takin Sample (Sign/Prin
Sample Location and/or ID 'N " E r AJ a� c sf Lab Use only
p # Start
EndOWN Comps # of on iced H OK?
Test(s)p
Date Time Date Time Grab? Cont. / No
H
Cl OK?
Z2m6v
'' r
c
7�
�z
.3
374
Eno
Temperature Upon
Receipt;
Method o'F *'"* Dechlorination <0.5 m of Ammonia, -Cyanide, Phenol and TKN a *** s m les must be done in the field rlor to reservation. 3
Comments:
S
hipment: Compositor #
UPS
Jug #
Fed Ex Are these results for regulatory purposes? •
g ry p p ses? Yes Na Report results lrl: mg/Lmom ( mg/kg [ u L
Hand Delivery Relinquished by: Date: I Time: y Received by: Date: Time:
j� l
[ ether Relinquished by: Date:
Time. Received by: Date: Time:
ERellnqu:lshed by: Date: Time, R eived by b: ate: Time:
t/2� `1 �'i!J

Lab result Log
50420 4.7a
17623 4925
15880 4020
467025 4066
38298 4.58
55556 4074
21368 4.33
Average 4.50
FECAL DATA SHEET
Min
Max
Geometric Mean
15880
55556
31314

Summit Environmental Technologies, Inc.
UM 1 3310 Win St.
ENVIROMMENTAL TECHNQLOCIeS, INC Cuyahoga Falls, Ohio 44223
February 15, 2021
Alex Fox
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL:
FAX:
RE: Roxboro VVWTP
Dear Alex Fox:
TEL: [phone] FAX.• [phone]
Website: htip://www.settek.com
Order No.: 21020351
Summit Environmental Technologies, Inc. received 1 sample(s) on 2/5/2021 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results, please feel free to call the
laboratory.
Sincerely,
Jennifer Woolf
Project Manager
3 310 Win St.
Cuyahoga Falls, Ohio 44223
Arkansas 88-0735, California 2943, Colorado, Connecticut PH-0108, Florida NELAC E87688, Idaho OH00923, Illinois 200061, Indiana C-aH-13, Kansas
E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Maryland 339, Michigan 9988, Minnesota 1780279, Nevada OH009232020-1, New
Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and b31, North Dakota R-201, Ohio DW, Ohio VAP CL0052, Oklahoma
2019-1551,Oregon OH2O0001, Pennsylvania Olt, Rhode Island LA000317, South Carolina 92016001, Texas T1047044664946, Utah 01100923202042,
Virginia VELA.P 10381, West Virginia 9957C

Summit Environmental Technologies, Inc. Caserk UMM IT 3310 Win St. Narrative
EMVIRONMEWTAL TECHuOL.OGIES, INC. Cuyahoga Falls, Ohio 44223 p#; 21020351
� ~ TEL: [phone] FAX: [phone]
Website: hQ-#11www.settek.com Date: 2/15/2021
CLIENT:
Project: Roxboro VWVTP
WorkOrder Narrative:
21020351 so This report in its entirety consists of the following documents: Cover Letter, Case Narrative,
Analytical Results, QC Summary Report, Applicable Accreditation Information, Chain -of -Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of
the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program
knalytes Report" for accredited analytes list.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any
comments or problems with the analytical events associated with this report are noted below.
Analytical Sequence QC Notes:
40PPM SVOC-MSTR S(8270): CCV exhibited outlying recoveries for several analytes. Associated
samples maybe biased accordingly.
40PPM SVOC-MSTR S(8270): Surrogate outside recovery limits. Minimum method criterion of one
surrogate within established recovery limits was met.
LCS47770 TCLP-SVOC-CPEST(8081B): Possible high bias for Heptachlor due to high recovery in
CCV.
Pest CCV 100ppb TCLP-SVOC-CPEST(8081B): CCV exhibits high recovery for Heptachlor.
Associated samples are N.D. for this analyte.
LCS47770 TCLP-SVOC-CPEST(8081B): Possible high bias for Endrin and Methoxychlor due to high
recoveries in CCV.
Original

UMMITSummit Environmental Technologies, Inc. Case Na
3310 Win St. rraive
ENVIRONMENTAL TECHNOLOWES, INC Cuyahoga Falls, Ohio 44223 WO#: 21020351
Arwy6cw Laboratories TEL: [phone] FAX: [phone]
Website: hQ:11www.settekcom Date. 2/15/2021
CLIENT: Synagro
Project: Roxboro WWTP
Pest CCV 500ppb TCLP-SVOC-CPEST(808 I B): CCV exhibits high recoveries for Endrin and
Methoxychlor. Associated samples are N.D. for these analytes.
Original

Summit Environmental Technologies, In
SUMMI 3310 Win ►!
VIR+ONMENTA,L TECftNt) ClGl6St we Cuyahoga Falls, Ohio 4421
t�� � � TEL: [phone] FAX: [phone]�
Website: http://www.settel�co
Qualifiers and Acronyms
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
WO#: 21020351
Date: 2/15/2021
U The compound was analyzed for but was not detected.
J The reported value is greater than the Method Detection Limit but less than the Reporting Limit,
H The hold time for sample preparation and/or analysis was exceeded.
D The result is reported from a dilution.
E The result exceeded the linear range of the calibration or is estimated due to interference.
MC The result is below the Minimum Compound Limit.
* The result exceeds the Regulatory Limit or Maximum Contamination Limit.
m Manual integration was used to determine the area response.
d Manual integration in which peak was deleted
N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P The second column confirmation exceeded 25% difference.
C The result has been confirmed by GC/1\4S.
X The result was not confirmed when GC/MS Analysis was performed.
B/MB+ The analyte was detected in the associated blank.
G The ICB or CCB contained reportable amounts of analyte.
QC-/+ The CCV recovery failed low (-) or high (+).
R/QDR The RPD was outside of accepted recovery limits.
QL-/+ The LCS or LCSD recovery failed low (-) or high (+).
QLR The LCS/LCSD RPD was outside of accepted recovery limits.
QM-/+ The MS or MSD recovery failed low (-) or high (+).
)MR The MS/MSD RPD was outside of accepted recovery limits.
QV-/+ The ICV recovery failed low (-) or high (+).
S The spike result was outside of accepted recovery limits.
Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND Not Detected RL Reporting Limit
QC Quality Control MDL Method Detection Limit
MB Method Blank LOD Level of Detection
LCS Laboratory Control Sample LOQ Level of Quantitation
LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit
QCS Quality Control Sample CRQL Contract Required Quantitation Limit
DUP Duplicate PL Permit Limit
MS Matrix Spike RegLvl Regulatory Limit
MSD Matrix Spike Duplicate MCL Maximum Contamination Limit
RPD Relative Percent Different A40MCL Minimum Compound Limit
ICV Initial Calibration Verification RA Reanalysis
ICB Initial Calibration Blank RE Reextraction
CCV Continuing Calibration Verification TIC Tentatively Identified Compound
CCB Continuing Calibration Blank RT Retention Time
RLC Reporting Limit Check CF Calibration Factor
DF Dilution Factor RF Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original

+�vior�,w�crA�c�aot.nG��s,
an*yt Labors tones
CLIENT:
Proj ect:
Lab Sample�D
210203 51-001
Synagro
Roxboro WWTP
Client Sample ID
Roxboro WWTP
Summit Environmental Technologies, Inc.
3310 Win St.
INC Cuyahoga Falls, Ohio 44223
TEL: [phone] F14X.• [phone]
Website: http: /hvww.setteJ� com
Tag No Date Collected
2/4/2021 12:30:00 PM
Workorder
WD#: 21020351
Date Received
2/5/2021 12:25:00 PM
1 S-Feb-21
Matrix
Sludge

Summit Environmental Technologies, Inc.
SUMMIT 3310 Win St.
ENVIRONMENTAL TECHNOLOGIES., INC, Cuyahoga Falls, Ohio 44223
An#ytt4 ,t Lawr�ir� TEL: [phone] FAX: [phone]
Website: hQ:11www.settek.com
Client:
Project:
21020351-OOIA
Synagro
Roxboro WWTP
Client Sample ID
Roxboro WWTP
Collection Date
2/4/2021 12:30:00 PM
Matriz
Sludge
Ignitability of Solids (SW-846: 1030)
Paint Filter Free Liquids Test (SW-846
pH (SW9045D}
Reactive Cyanide (9014/7.3.3.2)-Solid
Reactive Sulfide (9034)/7.3.4.2
TCLP Herbicides by EPA 9321B
TCLP Mercury Analysts (SW1311/7472/7/2021 8:00:00 PM
TCLP Metals Analysis (4QW1311/601ff2/7/2021 8:00:00 PM
TCLP Pesticides Analysis (SW1311/8C2/?/20)1 8:00 P 0:0M
TCLP Pesticides Analysis (SW1311/8C2/7/2021 8:(}0:00 PM
TCLP Semi-Volatiles Analysis
(SW1311/8270}
TCLi
P Volatiles Analyss
2/7/2021 800:00 PM
WO#: 210Zu3DI
I S-Feb-21
Prep Date Analysis Date
2/10/2021 11:35:50 AM
2/15/2021 1:35:00 PM
2/12/2021 2:15:00 PM
2/10/2021 2:23:00 PM
2/10/2021 2:23:00 PM
2/7/2021 8:00:00 PM 2/9/2021 9:51:00 PM
2/12/2021 9:15:00 AM 2/12/2021 1:39:00 PM
2/8/2021 1:54:00 PM 2/9/2021 2:03:38 PM
2/9/2021 2:00:00 PM 2/10/2021 11:30:00 PM
2/9/2021 Z:00:00 PM 2/10/2021 11:30:00 PM
2/8/2021 12:00:00 PM 2/9/2021 9922:00 PM
2/9/2021 6:37:00 AM
Original

CLIENT:
Matrix:
Lab ID:
WOUMMI
ENVInONMENTAL TECHNOLOGIES, INC:
A►rWyftal Laborattori"
Synagro
SLUDGE
210203 51-001 A
Project: Roxboro WWTP
Client Sample ID Roxboro WWTP
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX& [phone]
Website: h :llwww.settek. com
Tag Number:
Analytical Report
(base report)
WO#: 21020351
Date Reported: 2/15/2021
Collection Date: 2/4/2021 12:30:00 PM
Analyses Result RL Qual Units DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP MERCURY ANALYSIS (SW1311/7470)
TCLP Mercury
ND
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TC LP METALS ANALYSIS (SW1311 /6010)
0.00200
SW7470A
SWfi010D
SW7470A Analyst: EAM
1 2/12/2021 1:39:00 PM
SW3010A Analyst: DNS
TCLP Arsenic(As) ND 0.500 mg/L 1 2/9/2021 2:03:38 PM
TCLP Barium(Ba) ND 5.00 mg/L 1 2/9/2021 2:03:38 PM
TCLP Cadmium(Cd) ND 0.100 mg/L 1 2/9/2021 2:03:38 PM
TCLP Chromium(Cr) ND 0.200 mg/L 1 2/9/2021 2:03:38 PM
TCLP Lead(Pb) ND 0.500 mg/L 1 2/9/2021 2:03:38 PM
TCLP Selenium(Se) ND 0.0500 mg/L 1 2/9/2021 2:03:38 PM
TCLP Silver(Ag) ND 0.500 mg/L 1 2/9/2021 2:03:38 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270)
SW8270 SW3510C Analyst: RIS
1,4-Dichlorobenzene ND 0.200 mg/L 2 2/912021 9:22:00 PM
2,4,5-Trichlorophenol ND 0.500 mg/L 2 2/9/2021 9:22:00 PM
2,4,6-Trichlorophenol ND 0.500 mg/L 2 2/9/2021 9:22:00 PM
2A4 Dinitrotoluene ND 0.100 mg/L 2 2/9/2021 9:22:00 PM
Cresols, Total ND 10.0 mg/L 2 2/9/2021 9:22:00 PM
HexachloroA 3-butadiene ND 0.0400 mg/L 2 2/9/2021 9:22:00 PM
Hexachlorobenzene ND 0.100 mg/L 2 2/9/2021 9:22:00 PM
Hexachloroethane ND 0.200 mg/L 2 2/9/2021 9:22:00 PM
Nitrobenzene ND 0.200 mg/L 2 2/9/2021 9:22:00 PM
Pentachlorophenol ND MOO mg/L 2 2/9/2021 9:22:00 PM
Pyridine ND 0.500 QC+ mg/L 2 2l9/2021 9:22000 PM
Surr: 2-Fluorophenol 9206 10 - 157 %Rec 2 2/9/2021 9:22:00 PM
Surr: Phenokc!6 93.4 10 - 169 %Rec 2 2/9/2021 9:22:00 PM
Surr: NitrobenzeneA5 86.1 3201 - 130 %Rec 2 2/9/2021 9:22:00 PM
Surr: 2,4,6-Tribromophenol 116 45.4 - 166 %Rec 2 2/9/2021 9:22:00 PM
Surr: 2-Fluorobiphenyl 93.8 35.7 - 130 %Rec 2 2/9/2021 9:22:00 PM
Surr: p-Terphenyl-d14 113 70 - 145 %Rec 2 2/9/2021 9:22:00 PM
Qualifiers: B Analyte detected in the associated Method Biank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit. N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recoveiy limits Ongmal
RL Reporting Detection Limit U Samples with CalcVal < MDL

CLIENT:
Matrix:
Lab ID:
SUMMI
ENVIRONMENTAL TECHNOLOGIES, INC
�4rW yt1c&l Labor#[ot
Synagro
SLUDGE
210203 51-001 A
Project: Roxboro WWTP
Client Sample ID Roxboro WWTP
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• [phone]
We b
' • h •//
Analytical Report
(base report)
wo#: 21020351
szte.ttr�.
www.settek. com
Date Reported: 2/15/2021
Tag Number:
Collection Date: 2/4/2021 12:30:00 PM
Analyses Result RL Qual Units DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP PESTICIDES ANALYSIS (SW1311/8081)
Chlordane, total
Toxaphene
Endrin
gamma-BHC
Heptachlor
Heptachlor epoxide
Methoxychlor
Surr: TCMX
Surr: DCB
TCLP HERBICIDES BY EPA 8321 B
SW8081 SW3510C Analyst: CSS
ND
0.0250 mg/L 1 2/10/2021 11:30:00 PM
ND 0.0500 mg/L 1 2/10/2021 11:30:00 PM
ND 0.00250 QC+ mg/L 1 2/10/2021 11:30:00 PM
ND 0.00250 mg/L 1 2/10/2021 11:30:00 PM
ND 0.00250 QC+ mg/L 1 2/10/2021 11 *30:00 PM
ND 0600250 mg/L 1 2/10/2021 11:30:00 PM
ND 0.00250 QC+ mg/L 1 2/10/2021 11:30:00 PM
72.0 10 - 119 %Rec 1 2/10/2021 11:30:00 PM
77.3 10 - 119 %Rec 1 2/10/2021 11:30:00 PM
SW8321 SW1311 M Analyst: TM
2,4-D ND 0.500 mg/L 50 2/9/2021 9:51:00 PM
2,4,5-TP ND 0.500 mg/L 50 2/9/2021 9:51:00 PM
Surr: 2,4-Dichlorophenylacetic aci 75.5 70 - 130 %Rec 50 2/9/2021 9:51:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP VOLATILES ANALYSIS
SW8260 SW1311 RAAnalyst: SLV
1,1-Dich loroethene ND 0.250 mg/L 50 2/9/2021 6: 37:00 AM
1,2-Dichloroethane ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
MEK ND 5.00 mg/L 50 2/9/2021 6:37:00 AM
Benzene ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Carbon tetrachloride ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Chlorobenzene ND 2.50 mg/L 50 2/9/2021 6:37:00 AM
Chloroform ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Tetrachloroethene ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Trichloroethene ND 0.250 mg/L 50 2/9/2021 6:37:00 AM
Vinyl chloride ND 0.100 mg/L 50 2/9/2021 6:37:00 AM
Surr: 4-Bromofluorobenzene 114 70 - 130 %Rec 50 2/9/2021 6:37:00 AM
Surr: Dibromofluoromethane 93.7 70 - 130 %Rec 50 2/9/2021 6:37:00 AM
Surr: Toluene-d8 95.0 70 - 130 %Rec 50 2/9/2021 6:37:00 AM
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit, N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits Original
RL Reporting Detection Limit U Samples with CalcVal < MDL

CLIENT:
Matrix:
Lab ID:
Project:
Summit Environmental Technologies, Inc.
SUMMI 3310 Win St.
ENVIRONMENTAL TECtES, INC Cuyahoga Falls, Ohio 44223
OW"" Labemr ' Ir M (330) 2534211 FAX: [phone]
Synagro
SLUDGE
210203 51-001 A
Roxboro WWTP
Client Sample ID Roxboro y�TWTP
Website: http:/fwww.settel�com
Tag Number:
Analytical Report
(base report)
WO#: 21020351
Date Reported: 2/15/2021
Collection Date: 2/4/2021 12:30:00 PM
Analyses Result RL Qual Units DF Date Analyzed
RCI
REACTIVE CYANIDE (9014/7.3.3.2)-SOLID
Cyanide, Reactive ND
PAINT FILTER FREE LIQUIDS TEST (SW-84fi: 9095)
Free Liquid
IGNITABILITY OF SOLIDS (SW-846: 1030)
Ignitability
RCI
PH (SW9045D)
PH
RCI
REACTIVE SULFIDE (9034)/7.3.4.2
Sulfide, Reactive
pass
non flammable
6.7
ND
SW9014 Analyst: MS
0.500 mg/Kg 1 2/10/2021 2:23:00 PM
SW9095 Analyst: DHC
1 2/ 15/2021 1: 35: 00 P M
SW1030 Analyst: KMW
mm/sec 1 2/10/2021 11:35:50 AM
SW9045D Analyst: DHC
s.u.@18.1 C 1 2/12/2021 2:15:00 PM
SW9034 Analyst: MS
25.0 mg/Kg 1 2/10/2021 2:23:00 PM
Qualifiers: � Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit. N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits Original
RL Reporting Detection Limit U Samples with CalcVal < MDL

Summit Environmental Technologies, Inc. Accreditation Program
Ummi 3310 Win St. `�-
NVIRONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, AnalJ`'es Report Ohio 44223
,4Mw"Ca1 LIboratoo'% TEL: [phone] FAX: [phone] W 4#: 21020351
Website: h.Q-611www.sette%com 15 Feb-21
Client: Synagro
State: NW
Prod eat. Roxboro VWVTP Program Name: NC_WW SCM
Sample ID Matrix Test Name Analyte Status
N 0203 51-001 A Sludge Ignitability of Solids (SW-846: 1030) Ignitability A
Sludge Paint Filter Free Liquids Test (SW-846: 9095) Free Liquid A
Sludge pH (SW9045D) Hydrogen Ion (pH) A
Sludge Reactive Cyanide (9014/7.3.3.2)-Solid Cyanide, Reactive U
Sludge Reactive Sulfide (9034)/7.3.4.2 Sulfide, Reactive U
Sludge TCLP Herbicides by EPA 8321B 2,415-TP A
Sludge TCLP Herbicides by EPA 8321B 2,4-D A
Sludge TCLP Mercury Analysis (SW1311/7470) Mercury A
Sludge TCLP Metals Analysis (SW1311/6010) Arsenic A
Sludge TCLP Metals Analysis (SW1311/6010) Barium A
Sludge TCLP Metals Analysis (SW1311/6010) Cadmium A
Sludge TCLP Metals Analysis (SW1311/6010) Chromium A
Sludge TCLP Metals Analysis (SW1311/6010) Lead A
Sludge TCLP Metals Analysis (SW1311/6010) Selenium A
Sludge TCLP Metals Analysis (SW1311/6010) Silver A
Sludge TCLP Pesticides Analysis (SW 1311 /8081) Chlordane, total A
Sludge TCLP Pesticides Analysis (SW1311/8081) Endrin A
Sludge TCLP Pesticides Analysis (SW 1311 /8081) gamma-BHC A
Sludge TCLP Pesticides Analysis (SW 1311 /8081) Heptachlor A
Sludge TCLP Pesticides Analysis (SW1311/8081) Heptachlor epoxide A
Sludge TCLP Pesticides Analysis (SW 1311 /8081) Methoxychlor A
Sludge TCLP Pesticides Analysis (SW 1311 /8081) Toxaphene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 1,4-Dichlorobenzene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 254,5-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 2,4,6-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 2,4-Dinitrotoluene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Cresols, Total A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachlorobenzene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachlorobutadiene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachloroethane A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Nitrobenzene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Pentachlorophenol A
NC_WW SCM
Key
A Accredited
NC_WW SCM
Key
U Unavailable
Original # 1

Summit Environmental Technologies, Inc.
SUMMI 3310 Win St.
ENVIRONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223
nwYtkW Ursa+'" TEL: [phone] FAX [phone]
Website: hap:/lwww.settek.com
Client: Synagro
Project: Roxboro WWTP
Sample ID Matrix
210203 51-001 A Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
NC WW SCM A Accredited
Test Name
TCLP Semi-Volatiles Analysis (SW1311/8270)
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
NC WV� SCM U Unavailable
Accreditation Program
dug
WO#: 21020351
State: NW
Program Name:
Analyte
Pyridine
1,1-Dichloroethene
1,2-Dichloroethane
2-Butanone
Carbon tetrachloride
Chlorobenzene
Chloroform
Tetrachloroethene
Trichloroethene
Vinyl chloride
1 S Feb-21
0
0
0
0
Original # 1

Erbummil
NVIROrNMENTAL TECHNOLOGIES, INC
An*iytica! Laboralod*s
Client:
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TES; (330) 2534211 FAX: [phone]
Website: http://www.settek.com
WO#: 21020351
I5-Feb-21
Project: Roxboro WWTP BatchID: 47725
Sample ID: MB-47725 SampType: MBLK TestCode: TCLP-VOC-M Units: mg/L Prep Date: RunNo: 123570
Client iD: PBS Batch ID: 47725
Analyte Result
TestNo: SW8260 SW1311 M
PQL SPK value SPK Ref Val
1,1-Dichloroethene ND 0.250
1,2-Dichloroethane ND 0.250
MEK ND 5.00
Benzene ND 0.250
Carbon tetrachloride ND 0.250
Chlorobenzene ND 2.50
Chloroform ND 0.250
Tetrachloroethene ND 0.250
Trichloroethene ND 0.250
Vinyl chloride ND 0.100
Surr: 4-13romofluorobenzene 2750
Surr: Dibromofluoromethane 2250
Surr: Toluene-d8 2530
Sample ID: LCS-47725
Client ID:
Analyte
LCSS
SampType: LCS
Batch ID: 47725
Result
is
AnalysDate: 2/9/2021
%REC LowLimit HighLimit RPD Ref Val
2500 110 70 130
2500 90.1 70 130
2500 101 70 130
TestCode: TCLP-VOC-M
TestNo: SW8260
Units: mg/L
SW1311M
PQL SPK value SPK Ref Val
Prep Dafie:
Analysis Date: 2/9/2021
%REC LowLimit HighLimit RPD Ref Val
SegNo: 3196874
%RPD RPDLimit Qual
RunNo: 12357Q
SegNo: 3196875
%RPD RPDLimit Qual
1,1-Dichloroethene 0.964 0.250 1.00 0 96.4 64.7 136
172-Dichloroethane 1.05 0.250 1.00 0 105 70 130
MEK 5.29 5.00 5.00 0 106 55.1 149
Benzene 1.07 UK 1.00 0 107 70 130
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantization range H Holding times for preparation or anal3
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Pale 12 of 36

Client:
Summit Environmental Technologies, Inc.
%;MM 1 3310 Win St.
ENvinoNMENTAL TECHNOLOGIES, ANC Cuyahoga Falls, Ohio 44223
�1awy ocal Laborat'eTEL: (330) 2534211 FAX: [phone]
Website: http:llwww.settek.com
Synagro
Project: Roxboro WWTP SatchID: 47725
Sample ID: LCS-47725
Client ID:
Analyte
LCSS
WO#: 21020351
1 S-Feb-21
its:
SampType: LCS TestCode: TCLP-VOC-M Unmg/L Prep Date: RunNo: 123570
Batch ID: 47725 TestNo: SW8260 SW1311M Analysis Date: 2/9/2021 SegNo: 3196875
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
Carbon tetrachloride 1.07 0.250 1.00 0 107 70 130
Chlorobenzene ND 2.50 1.00 0 99.4 70 130
Chloroform 0.972 0.250 1.00 0 97.2 70 130
Tetrachloroethene 1.12 0.250 1.00 0 112 70 134
Trichloroethene 0.943 0.250 1.00 0 94.3 62.8 160
Vinyl chloride 0.900 0.100 1.00 0 90.0 67.1 130
Surr: 4-Bromofluorobenzene 2860 2500 114 70 130
Surr: Dibromofluoromethane 2260 2500 90.5 70 130
Surr: Toluene-d8 2510 2500 101 70 130
Sample ID: 21020425-001AMS
Client ID:
Analyte
BatchQC
111-Dichloroethene
1,2-Dichloroethane
MEK
Benzene
Carbon tetrachloride
Chlorobenzene
Chloroform
Tetrachloroethene
SampType: MS TestCode: TCLP-VOC-M Units: mg/L Prep Date: RunNo: 123570
Batch ID: 47725 TestNo: SW8260 SW1311 M Analysis Date: 2/9/2021 SegNo: 3196883
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
0.975 0.250 1.00 0 97.5 13.6 202
1.14 0.250 1.00 0 114 55.7 138
5.26 5.00 5.00 0 105 65.3 118
1.11 0.250 1.00 0 111 49.2 145
1.13 0.250 1.00 0 113 26.7 156
ND 2.50 1.00 0 98.6 33.7 159
1.00 UK 1.00 0 100 48.5 145
1.07 0.250 1.00 0 107 19.2 191
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page � 3 of 36

Client:
Erbumml
NVIRQNMENTAL TiCHNOLpG1E5, INC
Ar►NyNea1 LaboratoHrs
Synagro
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website; http://www,settek.com
WO#: 21020351
I5-Feb-21
Project: Roxboro WWTP BatchID: 47725
Sample ID: 2102Q425-001AMS SampType: MS TestCode: TCLP-V4C-M Units: mg/L Prep Date:
Client ID: BatchQC Batch 1D: 47725 TestNo: SW8260 SW1311 M Analysis Date: 2/9/2021
Analyte Result PQL SPK value SPK Ref Val %REC LowUrnit HighLimit RPD Ref Val
Trichloroethene 0.994 0.250 1.00 0 99.4 38A 167
Vinyl chloride 0.790 0.100 1.00 0 79.0 27.3 161
Surr: 4-Bromofluorobenzene 2840 2500 114 70 130
Surr: Dibromofluoromethane 2310 2500 92.3 70 130
Surr: Toluene-d8 2440 2500 97.5 70 130
Sample ID: 21020425-001AMSD SampType: MSD
Client ID: BatchQC Batch ID: 47725
Analyte
Result
TestCode: TCLP-VOC-M Units: mg/L
TestNo: SW8260 SW1311 M
PQL SPK value SPK Ref Val
Prep Date:
Analysis Date: 2/9/2021
%REC LowLimit HighLimit RPD Ref Val
RunNo: 123570
SegNo: 3196883
%RPD RPDLimit Qual
RunNo: 123570
SegNo: 3196884
%RPD RPDLimit Qual
1,1-Dichloroethene 0.958 0.250 1.00 0 95.8 13.6 202 0.975 1.81 25
1,2-Dichloroethane 1.13 0.250 1.00 0 113 55.7 138 1.14 1.10 25
MEK 5.21 5.00 5.00 0 104 65.3 130 5.26 0.983 25
Benzene 1.12 0.250 1.00 0 112 49.2 145 1.11 0.765 25
Carbon tetrachloride 1.09 0.250 1.00 0 109 26.7 156 1.13 3.02 25
Chlorobenzene ND 2.50 1.00 0 99.4 33.7 159 0 0 25
Chloroform 0.994 0.250 1.00 0 99.4 48.5 145 1.00 1.00 25
Tetrachloroethene 1.06 0.250 1.00 0 106 1952 191 1.07 0.328 25
Trichloroethene 0.995 0.250 1.00 0 99.5 38.4 167 0.994 0.101 25
Vinyl chloride 0.885 0.100 1.00 0 88.4 27.3 161 0.790 11.2 25
Surr: 4-Bromofluorobenzene 2840 2500 114 70 130 0 25
Surr: Dibromofluoromethane 2320 2500 92.9 70 130 0 25
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal)
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Penult Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 14 of 36

Client:
Project:
su M1�r
ENVIRONMENTAL TECMNpLOG1£S, INC
...
Synagro
Roxboro WWTP
Sample tD: 21020425-001AMSD
Client ID:
Analyte
BatchQC
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• [phone]
SampType: MSD
Ba#ch ID: 47725
Result
Website0 http:!/www.settek.com
TestCode: TCLP-VOC-M Units: mg/L
TestNo: SW8260
PQL SPK value
SW1311M
SPK Ref Val
WO#: 21020351
�S-Feb-2l
BatchID: 47725
Prep Date:
Analysis Date: 2/9/2021
°!°REC LowUmit HighLimit
RPD Ref Val
RunNo: 1235T0
SegNo: 3196884
%RPD RPDLimit
Surr: Toluene-d8 2390 2500 95.7 70 130 0
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal3
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
25
Qual
Original

Client:
E5 U M1
NVIRONMENTAL TEL CHNGL_OGIES, INC:
Amly"C&I Laborstor)
Synagro
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Websi te: http.cllwww.settek.com
Project: Roxboro WWTP BatchID:
Sample ID: MB-47736 SampType: MBLK TestCode: SVC}C-BNA T Units: mg/L Prep Date: 2/8/2021
Client ID: PBS Batch ID: 47736 TestNo: SW8270 SW3510C Analysis Date: 2/9/2021
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val
WO#: 21020351
1 S-Feb-21
47736
RunNo: 123599
SegNo: 3197838
%RPD RPDLimit Qual
1,4-Dichlorobenzene ND 0.100
2,4,5-Trichlorophenol ND 0.250
2,4,6-Trichlorophenol ND 0.250
2,4-Dinitrotoluene ND 0.0500
o-Cresol ND 0.250
Cresols, Total ND 5.00
Hexachloro-1,3-butadiene ND 0.0200
Hexachlorobenzene ND 0.0500
Hexachloroethane ND 0.100
Nitrobenzene ND 00100
Pentachlorophenol ND 0.250
Pyridine ND 0.250
Surr: 2-Fluorophenol 0.910 1.000 91.0 10 130
Surr: Phenokd6 0.846 1.000 84.6 10 130
Surr: Nitrobenzene-d5 0.800 1.000 80.0 19 130
Surr: 2,4,6-Tribromophenol 1.18 1.000 118 10 130
Surr: 2-Fluorobiphenyl 0.795 1.000 79.5 22 130
Surr: p-Terphenykd14 1.04 1.000 104 34 130
Qualifiers: B. Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal3
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
QC+
Original
Page '16 of 36

Client:
NUMMI
ENVIRONMENTAL TECHNOL.CIQ3 S,
Anoyti�cal Laboratory
Synagro
Project: Roxboro W WTP
Sample 1D: LCS-47736
SampType: LCS
Summit EnviYonmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: [e-mail]
TestCode: SVOC-BNA T Units: mg/L
Prep Date;
BatchID: 47736
218/2021
WO#: 21020351
RunNo: 123599
Client ID: LCSS Batch !D: 47736 TestNo: SW8270 SW3510C Analysis Date: 2/9/2021 SegNo: 3197839
Analyte
1,4-Dichlorobenzene
2,4, 5-Trichlorophenol
2,4, 6-Trichlorophenol
2,4-Dinitrotoluene
o-Cresol
Cresols, Total
Hexachloro-1,3-butadiene
Hexachlorobenzene
Hexachloroethane
Nitrobenzene
Pentachlorophenol
Pyridine
Surr: 2-Fluorophenol
Surr: PhenokM
Surr: Nitrobenzene-d5
Surr: 2,4,6-Tribromophenol
Surr: 2-Fluorobiphenyl
Surr: p-Terphenykd14
Result
PQL SPK value
SPK Ref Val
%REC LowLimit HighLimifi RPD Ref Val
0.589 0.100 0.8000 0 73.7 36.4 130
0.940 0.250 0.8000 0 117 31.7 132
0.927 0.250 MOW 116 31.1 133
0.897 0.0500 0.8000 0 112 43.3 130
0.762 0.250 0.8000 0 95.3 32.9 130
ND 5.00 1.600 0 95.2 31.7 130
0. 348 0.0200 0.8000 0 81.0 31 A 130
0.790 0.0500 0.8000 0 98.8 43.1 130
0.553 0.100 0.8000 0 69.2 36.5 130
0.700 0.100 0.8000 0 87.5 39.5 130
0. 326 0.250 0.8000 0 103 34 130
0.408 0.250 0.8000 0 51.0 10 130 Val0.920 1.000 92.0 .1 130
0.919 1.000 91.9 10 130
0.773 1.000 77.3 32.6 130
1.27 1.000 127 4.43 130
0.806 1.000 80.6 41.8 130
1.17 1.000 117 36 A 130
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range
M Manual Integration used to determine area response
P Second colunul confirmation exceeds
RL Reporting Detection Limit
1 S-Feb-21
%RPD RPDLimit Qual
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
QC+
Original

Client:
SUMMI
NVIRONMENTAL TECHNOLOGIES,, INC
Anwfyt/cN Lsborsto►Yrs
Synagro
Project: Roxboro WWTP
Sample ID: 21020275-003AMS
Client ID:
Anaiyte
BatchQC
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http://www.settek.com
BatchID: 47736
WO#: 21020351
I5-Feb-2l
SampType: MS TestCode: SV4C-BNA T Units: mg/L Prep Date: 2/8/2021 RunNo: 123599
Batch 1D: 47736 TestNo: SW8270 SW3510C Analysis Date: 2/9/2021 SegNo: 3197840
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
1,4-Dichlorobenzene 0.620 0.500 0.8000 0 77.5 33.8 126
2,4,5-Tr1chlorophenol ND 1.25 0.8000 0 115 28.7 144
2,4,6-Tr1chlorophenol ND 1.25 0.8000 0 107 1208 153
2,4-Dinitrotoluene 0.875 0.250 0.8000 0 109 2024 155
o-Cresol ND 1.25 0.8000 0 91.8 10 148
Cresols, Total ND 25.0 1.600 0 95.1 10 148
Hexachloro-1,3-butadiene 0.674 0.100 0.8000 0 84.2 29 130
Hexachlorobenzene 0.826 0.250 0.8000 0 103 33.7 134
Hexachloroethane 0.577 0.500 0.8000 0 7201 3208 132
Nitrobenzene 0.703 0.500 0.8000 0 87.9 20 158
Pentachlorophenol ND 1.25 0.8000 0 113 10 176
Pyridine ND 1.25 0.8000 0 54.6 10 130
Surr: 2-171uorophenol 0.887 1.000 88.7 3.39 130
Surr: Phenol-d6 0.914 1.000 91.4 5 130
Surr: Nitrobenzene-d5 0.831 1.000 83.1 14.5 154
Surr: 2,4,6-Tribromophenol 1.33 1.000 133 19.5 130
Surr: 2-Fluorobiphenyl 0.852 1.000 85.2 34A 130
Surr: p-Terphenykd14 1.09 1.000 109 8.86 156
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
J Analyte detected below quantitation limits M Manual Integration used to determine area response
ND Not Detected P Second column confirmation exceeds
R RPD outside accepted recovery limits RL Reporting Detection Limit
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
QC+
S
Original

Client:
WOUMMI
ENVIROrNMENTAL TECHNOUOQIFS, INC
rwyticw L ralo"Of
Synagro
Project: Roxboro WWTP
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http://www.settek.com
Sample ID: 21020275-003AMSD SampType: MSD
Client ID: Batch= Batch ID: 47736
Analyte
1,4-Dichlorobenzene
2,4, 5-Trichlorophenol
2A6-Trich lorophenol
2,4-Dinitrotoluene
)-Cresol
Cresols, Total
Flexachloro-1,3-butadiene
Hexachlorobenzene
Hexachloroethane
Nitrobenzene
Pentachlorophenol
Pyridine
Surr: 2-Fluorophenol
Surr: Phenol-d6
Surr: Nitrobenzene-d5
Surr: 2,4,6-Tribromophenol
Surr: 2-Fluorobiphenyl
Surr: p-Terphenyl-d14
Result
TestCode: SVOC-BNA T Units: mg/L
TestNo: SW8270
PQL SPK value
SW3510C
SPK Ref Val
WO#: 21020351
BatchID: 47736
Prep Date: 2/8/2021 RunNo: 123599
Analysis Date: 2/9/2021 SegNo: 3197841
%REC LowLimit HighLimifi RPD Ref Val
1 S-Feb-21
%RPD RPDLimit Qual
0.642 0.500 0.8000 0 80.2 33.8 126 0.6200 3.49
ND 1.25 0.8000 0 118 28.7 144 0 0
ND 1.25 0.8000 0 114 12.8 153 0 0
0. 393 0.250 0.8000 0 124 20A 155 0.8750 12.6
ND 1.25 0.8000 0 93.9 10 148 0 0
ND 25.0 1.600 0 94.6 10 148 0 0
0.736 0.100 0.8000 0 92.0 29 130 0.6740 8.79
0.907 0.250 0.8000 0 113 33.7 134 0.8260 9.35
0.554 0.500 0.8000 0 69.2 32.8 132 0.5770 4.07
0. 375 MOO 0.8000 0 84A 20 158 0.7030 4.06
ND 1.25 0.8000 0 127 10 176 0 0
ND 1.25 0.8000 0 51.8 10 130 0 0
0.917 1.000 91.7 3.39 130 0
0.915 1.000 91.5 10 130 0
0.892 1.000 89.2 14.5 154 0
1 Al 1.000 141 19.5 130 0
1.00 1.000 100 34A 130 0
1.23 1.000 123 8.86 156 0
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
30
30
30
30
30
30
30
30
30
30
30
30
QC+
m
S
Original

Client:
Project:
El+IYI�UhIME�ITAL `t`CC�M�f�LQfii��, #M�
�n�lyt�cal t.�boratQ�
Synagro
Roxboro WWTP
Sample ID: LCS-47739
Client ID: LGSS
Analyte
TCLP Arsenic(As)
TCLP Barium(Ba)
TCLP Cadmium(Cd)
TCLP Chromium(Cr)
TCLP Lead(Pb)
TCLP Selenium(Se)
TCLP Silver(Ag)
Summit Environmental Technologies, Inc.
331 D Win St.
Cuyahoga Falls, Ohio 44223
?'EL; [phone] FAX.• [phone]
Website: http://�vww.settek.com
WO#: 21020351
1 S-Feb-21
BatchID: 47739
SampType: LCS TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 2/812021
Batch ID: 47739 TestNo: SW6410D SW3010A Analysis Date: 2/9/2021
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val
1.97 0.500 2.000 0 98.5 80 120
ND 5.00 2.000 0 103 80 120
1.99 0.10Q 2.000 0 99.4 80 120
2.12 0.200 2.000 0 106 80 120
2.06 0.500 2.000 0 103 80 120
2.10 0.0500 2.000 0 105 80 120
2.09 0.500 2.000 0 104 80 120
RunNo: 123588
SegNo: 3197527
%RPD RPDLimit Qual
Sample ID: 21020375-001AMS SampType: MS TestCode: Mtl-TCLP-7(6 Units: mglL Prep Date; 2/812021 RunNo: 123588
Client ID: BatchQC Batch 1D: 47739 TestNo: SW6010D SW3010A Analysis Date: 2/9/2021 SegNo: 3197532
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Va! %RPD RPDLimit
TCLP Arsenic(As) 2.08 0.500 2.000 0.01527 103 70 130
TCLP Barium(Ba) ND 5.00 2.000 0.2650 94.1 70 130
TCLP Cadmium(Cd) 1,96 0.100 2.000 0.003513 97.6 70 130
TCLP Chromium(Cr} 3.22 0.200 2,000 1.234 99.2 70 130
TCLP Lead(Pb) 1.80 0.500 2.000 0 89.9 70 130
TCLP Selenium(Se) 2.40 0.0500 2.000 0.01924 119 70 130
TCLP Silver(Ag) 2.13 0.500 2.000 0 107 70 130
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Qual
Original
�]
'.•- i • •

Client:
Summit Environmental Technologies, Inc.
XU M1 3310 Win St.
�NVIFIONMENTAL T£CHNOLOGiES, INC Cuyahoga Falls, Ohio 44223
A�"Alyt►cW L rmor TEL: [phone] FAX: [phone]
Website: http:llwww.settek.com
Synagro
Project: Roxboro W WTP
Sample ID: 21020375-001AMSD
WO#: 21020351
BatchID: 47739
SampType: MSD TestCode: Mtl-TCLP 7(fi Units: mg/L Prep Date: 2/8/2021 RunNo: 1235$8
Client ID: BatchQC Batch ID: 47739 TestN
o: SWfi010D SW3010A
Analyte Result PQL SPK value SPK Ref Val
1 S-Feb-21
is
AnalysDate: 2/9/2021 SegNo: 3197533
%REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
t C:LF' Hrsenic(As) 2.08 0.500 2.000 0.01527 103 70 130 2.076 0.00432 20
TCLP Barium(Ba) ND 5.00 2.000 0.2650 92.5 70 130 0 0 20
TCLP Cadmium(Cd) 1.92 0.100 2.000 0.003513 96.0 70 130 1.956 1.63 20
TCLP Chromium(Cr) 3.18 0.200 2.000 1.234 97.1 70 130 3.218 1.32 20
TCLP Lead(Pb) 1.78 0.500 2.000 0 89.0 70 130 1.798 0.967 20
TCLP Selenium(Se) 2.42 0.0500 2.000 0.01924 120 70 130 2A02 0.767 20
TCLP Silver(Ag) 2.06 MOO MOO 0 103 70 130 2.132 3.56 20
Sample ID: MB,47739
SampType: MBLK
TestCode: Mtl-TCLP-7(fi Units: mg/L
Client ID: PBS Batch ID: 47739 TestNo: SW6010D SW3010A
Analyte Result PQL SPK value SPK Ref Val
TCLP Arsenic(As) ND 0.500
TCLP Barium(Ba) ND 5.00
TCLP Cadmium(Cd) ND 0.100
TCLP Chromium(Cr) ND 0.200
TCLP Lead(Pb) ND MOO
TCLP Selenium(Se) ND 0.0500
TCLP Silver(Ag) ND MOO
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
Prep Date:
Analysis Date:
2/8/2021
2/9/2021
%REC LowLimit HighLimit RPD Ref Vai
E Value above quantitation range
M Manual Integration used to determine area response
P
Second column confirmation exceeds
RL Reporting Detection Limit
RunNo: 123588
SegNo: 3197574
PD RPDLimit
%R
H Holding times for preparation or anal
MC Value is below Minir�lum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Qual
Original
Page 21 of 36

Client:
Pro j ect:
Summit Environmental Technologies, Inc.
rb U MI 3310 Win St.
NVIrtONMENTAL TECHNOL_ CirS, INC Cuyahoga Falls, Ohio 44223
anlyt/carl L,aboratortt TEL: [phone] FAX: [phone]
Website: http://wwiv.settek.com
Synagro
Roxboro WWTP
Sample ID: LCS-47770
Client ID: LCSS
Analyte
Endrin
gamma-BHC
Heptachlor epoxide
Methoxychlor
Surr: TCMX
Surr: DCB
Sample ID: MB-47770
Client ID: PBS
Analyte
Chlordane, total
Toxaphene
Endrin
gamma-BHC
Heptachlor epoxide
Methoxychlor
Surr: TCMX
Surr: DCB
W4#: 21020351
I S-Feb-2l
BatchID: 47770
SampType: LCS TestCode: TCLP-SVOC- Units: mg/L Prep Date: 2/9/2021
Batch ID: 47770 TestNo: SW8081 SW3510C Analysis Date: 2/10/2021
Result PQL SPK value SPK Ref Val %REC LowUmit HighLimit RPD Ref Val
0.00976 0.000500 0.0100 0 97.6 10 130
0.00957 0.000500 0.0100 0 95.7 10 130
0.0101 0.000500 0.0100 0 101 10 130
0.0118 0.000500 0.0100 0 118 10 178
15.6 20.00 78.2 10 130
19.8 20.00 99.0 10 130
SampType: MBLK
Batch ID: 47770
Result
ND
ND
ND
ND
ND
ND
15.2
18.6
TestCode: TCLP-SVOC- Units: mg/L
TestNo: SW8081 SW3510C
PQL SPK value SPK Ref Val
0.00250
0.00500
0.000500
0.000500
0.000500
0.000500
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
Prep Date:
Analysis Date:
2/9/2021
2/10/2021
°/flREC LowLimit HighLimit RPD Ref Val
20.00 76.1 10 119
20.00 92.8 10 119
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
RunNo:
123720
SegNo: 3203003
%RPD RPDLimit Qual
RunNo: 123720
Seq No: 3203004
%RPD RPDLimit
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
mQC+
QC+
Qual
QC+
Qc+
Original
Page 22 of 36

Summit Environmental Technologies, Inc.
SUMMIT 3310 Win St.
N VIRONMENTAL TiCHNOLOQjr;S. INC Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• [phone]
Websi te: http.ollwww.settek.com
Client:
WO#: Z1020351
1 S-Feb-21
Projec#: Roxboro WWTP BatchID: 47770
Sample ID: LCS-47770
Client ID:
Analyte
Heptachlor
LCSS
Sample ID: MB-47770
SampTyptoo
LCS
Batch iD: 47770
Result
0.0103
TestCode: TCLP-SVOC- Units: mg/L
TestNo: SW8081 SW3510C
PQL SPK value SPK Ref Val
0.000500
0
.0100 0
Prep Date: 2/9/2021
Analysis Date: 2/10/2021
%REC LowLimit HighLimit RPD Ref Val
103 10 130
RunNo: 123719
SegNo: 3202987
%RPD RPDLimit Qual
SampType: MBLK TestCode: TCLP-SVOC- Units: mg/L Prep Date: 2/9/2021 RunNo: 123719
Client ID: PBS Batch ID: 47770 TestNo: SW8081 SW3510C
Analyte Result PQL SPK value SPK Ref Val %REC
Heptachlor ND 0.000500
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
Analysis Date: 2/10/2021 3202988
SegNo:
LowLimit HighLimi# RPD Ref Val
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
QC+
%RPD RPDLimit Qual
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
QC+
Original

Client:
Project:
Summit Environmental Technologies, Inc.
U M 1 3310 Win St.
ENVIRONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223
AnWytks/ LaborAto TEL: [phone] FAX: [phone]
Website: http.11www,settek.com
Synagro
Roxboro WWTP
Sample ID: M113-47816
Client ID: PBS
Analyte
TCLP Mercury
Sample ID: LCS47816
Client ID: LCSS
Analyte
TCLP Mercury
Sample ID. 21020428-002AMS
Client ID: BatchQC
Analyte
TCLP Mercury
SampType: MBLK TestCode: HG_TCLP(74 Units: PPM
Batch ID: 47816 TestNo: SW7470A SW7470A
Result PQL SPK value SPK Ref Val
ND 0.00200
SampType: LCS
Batch ID: 47816
Result
0.00390
SampType: MS
Batch ID: 47816
Result
0000434
Sample ID: 21020428-002AMSD SampType: MSD
Client ID: BatchQC Batch ID: 47816
Analyte
TCLP Mercury
Result
0.00431
TestCode: HG_TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
0400200 0.00400 0
TestCode: HG_TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL
0.00200
SPK value SPK Ref Val
0.00400
BatchID:
Prep Date: 2/12/2021
Analysis Date: 2/12/2021
%REC LowLimit HighLimit RPD Ref Val
Prep Date: 2/12/2021
Analysis Date: 2/12/2021
%REC LowLimit HighLimit RPD Ref Val
97.5 80 120
Prep Date: 2/12/2021
Analysis Date: 2/12/2021
%REC LowLimit HighLimit RPD Ref Val
0 108 75 125
TestCode: HG_TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL
0.00200
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
SPK value SPK Ref Val
0.00400
Prep Date: 2/12/2021
Analysis Date: 2/12/2021
%REC LowLimit HighLimit RPD Ref Val
0 108 75 125
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
0.00434
WO#:
47816
RunNo: 123777
Seq No: 3204249
21020351
15-Fe&21
%RPD RPDLimit Qual
RunNo: 123777
SegNo: 3204250
%RPD RPDLimit Qual
RunNo: 123777
SegNo: 3204260
%RPD RPDLimit Qual
RunNo: 123777
SegNo: 3204261
%RPD RPDLimit Qual
0.694 20
H Holding times for preparation or anal}
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Original
Page 24 of 36

Client:
Project:
SUMMI
"�
ENVIRONMENTAL 7€CHNOIA(iiES, IHC
AnwlytM&! LabOlitorNs
Synagro
Roxboro WWTP
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• (330) 2534489
Website: http://www.settek.com
Sample ID: 21020428-002AMSD SampType: MSD
Client ID: Batch= Batch ID: 47816
Analyte
Result
TestCode: HG_TCLP(74
TestNo: SW7470A
Units: PPM
SW7470A
PQL SPK value SPK Ref Vat
Sample ID: MB2-47816 SampType: MBLK TestCode: HG_TCLP(74 Units: PPM
Client ID: PBS Batch ID: 47816 TestNo: SW7470A SW7470A
Analyte Result PQL SPK value SPK Ref Val
TCLP Mercury ND 0.00200
Qualifiers:
B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
WO#: 21020351
1 S-Feb-2l
BatchID: 47816
Prep Date: 2/12/2021
Analysis Date; 2/12/2021
%REC LowLimit HighLimit RPD Ref Val
Prep Date: 2/12/2021
Analysis Date; 2/12/2021
°/vREC Lo�vLimit
B Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
HighLimit RPD Ref Val
RunNo: 123777
SegNo: 3204261
%RPD RPDLimit Qual
RunNo: 123777
SegNo: 3204271
%RPD RPDLimit
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Qual
Original

Client:
Project:
Summit Environmental Technologies, Inc.
U M 1 3310 Win St.
ENVInONMENTAL TECMNOLOOles, INC Cuyahoga Falls, Ohio 44223
�►'Wytk&i Labo rafma TEL: [phone] FAX: [phone]
Synagro
Roxboro W WTP
Sample ID: LCS-R123634
Client i'D:
Analyte
LCSS
SampType: LCS
Batch ID: R123634
Result
Website0 http.•// ww.settek.com
TestCode: Ignitability_S Units: mm/sec
TestNo: SW 1030
PQL SPK value SPK Ref Val
BatchID:
Prep Date:
Analysis Date: 2/10/2021
%REC LowLimit HighLimit RPD Ref Val
21020351
1 S-Feb-21
R123634
RunNo: 123634
SegNo: 3199173
%RPD RPDLimit Qual
ignitadntty 7.46 7.240 0 103 70 130
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal3
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original

Summit Efzvironniental Technologies, Inc.
rb UMM 1 3310 Win St.
ENVIRONMENTAL TXHNOtLOGJS% tNC Cuyahoga Falls, Ohio 44223
Anoytlew L.aborstod" TEL: (330) 253~8211 FAX: [phone]
Websi te: http: //www, settek, com
WO#: 21020351
15-Fe&21
g
Client: Synaro
Project: Roxboro WWTP BatchID: R123659
Sample ID: MB-R123659 SampType: MBLK TestCode: Sulfide,React Units: mg/Kg Prep Date: RunNo: 123659
Client ID: PBS Batch ID: R123659 TestNo: SW9034 Analysis Date: 2/10/2021 SegNo: 3200337
Analyte
Sulfide, Reactive
Sample ID: LCS-R123659
Client ID: LCSS
Analyte
5uttiae, Keactive
Sample ID: 21020349-001AMS
Client ID: BatchQC
Analyte
Result PQL
ND 25.0
SampType: LCS
Batch ID: R123659
Result
SPK value SPK Ref Val
TestCode: Sulfide,React Units: mg/Kg
TestNo: SW9034
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Prep Date: RunNo: 123659
Analysis Date: 2/10/2021 SegNo: 3200338
%REC LowLimit HighLimit RPD Ref Val
2330 25.0 2430 0 95.9 85 115
SampType: MS
Batch ID: R123659
Result
TestCode: Sulfide,React
TestNo: SW9034
%RPD RPDLimit Qual
Units: mg/Kg Prep Date: RunNoa 123659
Analysis Date: 2/10/2021 SegNo: 3200355
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
5uitiae, Keactive 2410 25.0 2430 0 99.2 80 120
%RPD RPDLimit Qual
Sample ID: 21020349-001AMSD SampType: MSD TestCode: Sulfide,React Units: mg/Kg Prep Date; RunNo: 123659
Client ID: BatchQC Batch ID: R123659 TestNo: SW9034 Analysis Date: 2/10/2021 SegNo: 3200356
Analyte
Sulfide, Reactive
Result PQL SPK value
2330 25.0 2430
Qualifiers: B Analyte detected in the associated Method PI *A
k
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
95.9 80 120
E Value b
aove quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
2410
%RPD RPDLimit Qual
H Holding
times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Original
Page 27 of 36

Client:
Project:
SUMMI
�
ENVIRONMENTAL TfCHNOl.QGIQS, iNC
r r r
Synagro
Roxboro WWTP
Sample ID: 21020349-001AMSD
Client ID:
Analyte
Qualifiers:
BatchQC
Summit Environmental Technologies, inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• [phone]
Website: ha://www.settek.com
WO#: 21020351
1 S-Feb-Zl
BatchID: R123659
SampType: MSD TestCode: Sulfide,React Units: mg/Kg Prep Date;
Batch ID: R123659 TestNo: SW9034 Analysis Date: 2/10/2021
Result PQL SPK value SPK Ref Val %REC LowLimit HighUmit RPD Ref Val
RunNo: 123659
SegNo: 320035E
%RPD RPDLimit
B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Qual
�rigir�ai

Summit Environmental Technologies, Inc.
su Mi 3310 Win St.
ENVInONMENTAL MCHNCLOGIES, INC Cuyahoga Falls, Ohio 44223
AawynaC&I Laboraxor TEL: [phone] FAX: [phone]
Website: http:Ilwww.settek.com
Client:
Project:
Sample ID: Blank
Client ID: PBS
Analyte
Cyanide, Reactive
Sample 1D: LCS
Client ID: LCSS
Analyte
Cyanide, Reactive
Synagro
Roxboro WWTP
Sample ID: RLCheck
Client ID: BatchQC
Analyte
Cyanide, Reactive
Sample ID: 21020349-001AMS
Client ID: BatchQC
Analyte
Cyanide, Reactive
SampType: MBLK TestCode: Cyanide,Rea Units: mg/Kg
Batch ID: R123682 TestNo: SW9014
Resul# PQL SPK value SPK Ref Val
SampType: LCS
Batch ID: R123682
TestCode: Cyanide,Rea Units: mglKg
TestNo: SW9014
Result PQL SPK value SPK Ref Val
9.55 0.495 10.00 0
SampType: RLC
Batch ID: R123682
TestCode: Cyanide,Rea Units: mglKg
TestNo: SW9014
Result PQL SPK value SPK Ref Val
0.566 0.500 0.5000 0
SampType: MS
Batch ID: R123682
TestCode: Cyanide,Rea Units: mg/Kg
TestNo: SW9014
Result PQL SPK value SPK Ref Val
8.20 0.500 10.00 0
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
BatchID:
Prep Date:
Analysis Date: 2/10/2021
%REC LowLimit HighLimit RPD Ref Val
Prep Date:
Analysis Date: 2/10/2021
%REC LowLimit HighLimit RPD Ref Val
95.5 85
i�ib'1
Prep Date:
Analysis Date: 2/10/2021
%REC LowLimit Higkin mit RPD Ref Val
113 65 135
Prep Date:
Analysis Date: 2/10/2021
%REC Limit HighLimit RPD Ref Va!
82.0 75
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
125
21020351
1 S-Feb-2l
R1236$2
RunNo: 123682
SegNo: 3201214
%RPD RPDLimit Qual
RunNo: 123682
SegNo: 3201215
%RPD RPDLimit Qual
RunNo: 123682
SegNo: 3201217
%RPD RPDLimit Qual
RunNo: 123682
SegNo: 3201229
%RPD RPDLimit Qual
H Holding times for preparation or anal3
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Original
Page 29 of 36

Client:
Summit Environmental Technologies, Inc.
SUMMI 3310 Win St.
�NviaaNMENTAL TECHHaLooiLcS, Imc Cuyahoga Falls, Ohio 44223
noyffew tit(04M TEL: [phone] FAX: [phone]
Synagro
Website: http://www.settek.com
WO#: 21020351
15-Feb-2l
Project: Roxboro WWTP
BatCh10: R123682
Sample ID: 21020349-001AMS
Client ID:
Analyte
BatchQC
SampType: MS TeQtr. ode: Cyanide,Rea Unit
s: mg/Kg
Batch ID: R123682 TestNo: SW9014
Result PQL SPK value SPK Ref Val
Sample ID: 21020349-001AMSD SampType: MSD TestCode: Cyanide,Rea Units: mg/Kg
Client ID: Batch= Batch ID: R123682 TestNo: SW9014
Analyte Result PQL SPK value SPK Ref Val
Cyanide, Reactive 8.28 0.500
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
10.00
0
PD
rep ate:
Analysis Date: 2/10/2021
%REC LowLimit HighLimit RPD Ref Val
%REC
Prep Date:
Analysis Date: 2/10/2021
LowLimit HighLimit RPD Ref Val
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
8.197
RunNo: 123682
SegNo: 3201229
%RPD RPDLimit Qual
RunNo: 123682
SegNo: 3201230
%RPD
0.968
RPDLimit
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
10
Qual
Original

Client:
Project:
Summit Environmental Technologies, Inc.
XU MIT 3310 Win St.
ENVItIONMENTALTECHNOLOGIES, 1Nr Cuyahoga Falls, Ohio 44223
AnWylical Lsboratot*# TEL: [phone] FAX: [phone]
Website6 http://www.settek.com
Synagro
Roxboro WWTP
Sample ID: 21020470-002ADUP
Client ID:
Analyte
pH
Qualifiers:
BatchQC
SampType: DUP
Batch I D: R123768
Result
7.0
B Analyte detected in the associated Method Blank
3 Analyte detected below quantitation limits
M Not Detected
R RPD outside accepted recovery limits
TestCode: pH_S(9045D) Units: s.u.@18.4C
TestNo: SW9045D
PQL SPK value SPK Ref Val %REC
wo#: 21020351
BatchID: R123768
Prep Date:
Analysis Date: 2/12/2021
LcwLimit HighLimit RPD Ref Val
Value above quantitation range
Manual Integration used to determine area response
Second column confirmation exceeds
Reporting Detection Limit
RunNo: 123768
SegNo: 3203974
%RPD
0.6
1 S-Feb-21
RPDLimit
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Pennit Limit
S Spike Recovery outside accepted reco
C�ual
Original

Client:
rbu MIT
ENVIRONMENTAL TECHNOLOGIES, INC
n+yft&l Laboratodoo
Synagro
Project: Roxboro WWTP
Sample ID: PH 7 CHECK
Client ID:
Analyte
LCSW
Sample ID: PH 7 CHACK
Client ID:
Analyte
pH
Qualifiers:
LCSW
Surnmit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: h W.#11www.settek.com
WO#: 21020351
BatchID: R123768
1 S-Feb-21
SampType: LCS TestCode: PH_OIL(9045 Units: s.u.@19.4C Prep Date: RunNo: 123768
Batch ID: R123768 TestNo: SW9045D Analysis Date: 2/12/2021 SegNo: 3203969
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
SampType: LCS
Batch ID: R123768
Result
7.0
B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
M Not Detected
R RPD outside accepted recovery limits
7.0 0 101 90 110
TestCode: PH_OIL(9045 Units: s.u.@19.00
TestNo: SW9045D
PQL SPK value SPK Ref Val
7.0
%REC
101
Prep Date;
Analysis Date: 2/12/2021
LowLimit HighLimit RPD Ref Val
Mom
E Value above quantitation range
M Manual Integration used to determine area response
P
Second column confirmation exceeds
RL Reporting Detection Limit
110
RunNo: 123768
SegNo: 3204026
%RPD RPDLimit
H Holding tunes for preparation or anal
MC Value is below Minimum Compound
PL Penult Limit
S Spike Recovery outside accepted reco
Qual
Original
Page 32 of 36

Client:
ENUMMI
NVIRONMENTAL TECMNOLAGIE'S, INC
lyfc&l Laboralodes
Synagro
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Websi te: http.ollwww.settek.com
WO#: 21020351
1 S-web-2l
Project: Roxboro WWTP BatchID: R123768
Sample ID: LCS•R123768
Client ID:
Analyte
pH
LCSW
SampType: LCS
Batch ID: R123768
Result
7.0
Sample ID: 21020409-001ADUP SampType: DUP
Client ID: Batch= Batch ID: R123768
Analyte
pH
Result
7.0
TestCode: HNPW(450 Units; �181 C
TestNo: SW9045D
PQL SPK value SPK Ref Val
7.0
%REC
TestCode: pH_NPW(450 Units: s.u. a�19.7C
TestNo: SW9045D
PQL SPK value SPK Ref Val
101
%REC
Prep D
ate:
Analysis Date: 2/12/2021
LowLimit HighLimit RPD Ref Val
98.6 101.4
Prep Date:
Analysis Date: 2/12/2021
LowLimit HighLimit RPD Ref Val
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC
ND Not Detected P Second column confirmation exceeds PL
R RPD outside accepted recovery limits RL Reporting Detection Limit S
7.0
RunNo: 123768
SegNo: 3203913
%RPD RPDLimit Qual
RunNo: 123768
SegNo: 3203915
%RPD
0.4
RPDLimit
Holding times for preparation or anal
Value is below Minimum Compound
Permit Limit
Spike Recovery outside accepted reco
5
Qual
Original

Client:
Pro j ect:
Summit Environmental Technologies, Inc.
TbUMMIT 3310 Win St.
EMVIRONMENTAL TIECHNOLOOICS, INC Cuyahoga Falls, Ohio 44223
Synagro
Roxboro WWTP
Sample ID: 21020350-001ADUP
Client I D:
Analyte
Free Liquid
Qualifiers:
BatchQC
TEL: [phone] FAX.• [phone]
Website: http://www.settek.com
SampType: DUP
Batch ID: R123824
Result
pass
TestCode: FreeLiquid_S Units:
TestNo: SW9095
PQL SPK value SPK Ref Val
BatchID:
Prep Date:
Analysis Date: 2/15/2021
%REC LowLimit HighUmit RPD Ref Val
R123824
RunNo: 123824
SegNo: 3206305
%RPD
C
21020351
I S-Feb-2l
RPDLimit
B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal
3 Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
20
C�ual
Original

DC-{tACOC338 Rcr, 4 3
EM HOUMMIT
77 I a Win Sero*q
"h000 Falls, Ohio 44223
at
Cal
Anmlysls Request I +Chs]" of Custody
Rlitr ho Tst�! asd Cody at s+r�nr.aettelc.00m
WQ
oIkk
I
•
F
_ w
r
iOWO VAIP �Okk EPA ft. Cer
.r
w
E Date � T1,pe
CarrSer
p�1e
i CotAee�b:
PffectiYe Uiits�: I QIO)f24i 9
Pap 1 of l
Sa��aieat vpini�t pr0lrid�d tt► nia QC? t �NQ
Reedred Te�ap,: OdKr Coatsaar:
8tmb R94111"ted: ?
Ault be NPPmvrd by Lab Mann" oc ate Preeert? YES NO C]MELrED
tlN,voi �
Page 1 of 1

Summit Environmental Technologies, Inc.
FbUMMIT 3310 Win St.
ENVIRONMENTAL TECMNOLDGMS, INC Cuyahoga Falls, Ohio 44223
ytkai Lab►orslorW TEL: [phone] FAX: [phone]
Website: http://www.senek.com
Client Name:
Logged by:
SYN-NC-27028
Jacqueline Rasile
Completed By: Jacqueline Rasile
Reviewed By: Jennifer Woolf
Chain of Custody
1, Is Chain of Custody complete?
2. How was the sample delivered?
Lo_cy In
3. Coolers are present?
Work Order Number: 21020351
2/5/2021 12:25:00 PM
2/5/2021 1:28:53 PM
2/5/2021 3:44:03 PM
4, Shipping container/cooler in good condition?
Custody seals intact on shipping container/cooler?
No. Sea! Date.
5, Was an attempt made to cool the samples?
6, Were all samples received at a temperature of >0° C to 6.0°C
7, Sample(s) in proper container{s)?
$. Sufficient sample volume for indicated test(s)?
9. Are samples (except VOA and ONG) properly preserved?
10. Was preservative added to bottles?
11, Is the headspace in the VOA vials less fihan 114 inch or 6 mm?
2, Were any sample containers received broken?
13. Does paperwork match bottle labels?
(Note discrepancies on chain of custody)
14. Are matrices correctly identified on Chain of Custody?
15. Is it clear what analyses were requested?
16. Were all holding times able to be met?
(If no, notify customer for authorization.)
►pecial Handling (if applicable)
17, Was client notified of all discrepancies with this order?
Person Notified:
Ryan Copeland
By Whom: Jennifer Woolf
Regarding:
Client Instructions: NC
� $, Additional remarks:
NC
project address not included
Cooler Information
Cooler No Temp °C Condition
1
2.3 Good
Sample Log -In Check List
RcptNo: 1
Yes ❑ No 0 Not Present ❑
UPS
Yes 0 No ❑ NA ❑
Yes 0 No ❑
Yes ❑ No ❑ Not Present
Signed By.
Yes No ElNA El
Yes � No ❑ NA ❑
Yes 0 No ❑
Yes ® No ❑
Yes 0 No ❑
Yes ❑ No 0 NA ❑
Yes ❑ No ❑ No VOA Vials
Yes ❑ No 0
Yes No ❑
Yes � No ❑
Yes 0 No ❑
Yes 0 No El
Yes 0 No ❑ NA ❑
2/5/2021
eMail [] Phone Fax ❑ In Person
Seal
Intact Seal No
Not Present
Seal Date I Signed B

Division of Water Resources
State of IN Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 0646
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of addition
al
1
information requested. Failure to submit all of the required items will lead to additional processing and review time for t P g he
permit application. Unless otherwise noted the A licant shall submit one on final and two co ies, of the a location and
supporting documentation
For more information, visit the TYater duality Permitting Section's Non -Discharge Permittinz Unit
General -- This certification provides detailed information of residuals source generating facility and its residuals qualityfor land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100
Do not submit this certification for review without
i corresponding application form (FORM: RLAP 1145, FORM: DCAR 1145, or FORM: SDR 1145).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and su ortin documentation liste
below.
pp g d
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification FORM: RSC 11-15 ( )form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
® For modified permits, submit a separate certification for only those facilities that are affected b the proposed ' y p posed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "M ap Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how
w the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided
J p din Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals durin
processing.
g
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the 1
g tY pan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
Z For each source facility, attach the following:
Laboratory analytical reports and operational data -reports for all laboratory analyses used to complete this certification.
� Documentarion that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
U For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Pa e 1 of 1
g

Applicant's name: City of Roxboro
Status Maximum Dry Tons Per Year
Code a Facility Permit Holder Facility Name County Permit Number
Current b Proposed
R City of Roxboro Roxboro WWTP Person NC0021024 1500 1500
R City of Roxboro Roxboro WTP Person 02-73-010 300 300
a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM:. RSC 06-16
Page 1

❑ treatment of 100% domestic wastewater,
treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic
❑ other (explain. ).
6. Does the facility have an approved pretreatment program: ED Yes ❑ No
7. Facility permitted/design flow: 8.0 MGD and facility average daily flow: 2.5 MGD
8. Average amount of residuals being generated at this facility N/A dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Water Treatment Process
Type and volume of residuals storage (i.e., outside of residuals treatment units):
a on of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC Ob-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.
1. Facility Name: Roxboro WTP
2. Facility permit holder is: ❑ Federal, ❑ State, Local Government, or ❑ Private.
Facility permit issued by: Div. of Water Resources, ❑ Div. of Environmental Health
or ❑ Other (explain:).
3. Facility contact person and title: Sammy Yarboro WTP Superi
Complete mailing address: 1599 Chub Lake Road
City: Roxboro State: NC
dent
Telephone number: (3_36) 599-5658E-mail address: syarboro e,ci1
4. Facility physical address: 1599 Chub Lake Road
City: Roxboro State: NC Zip: 27573-
Coordinates: Latitude: 36' 24' 52" Longitude: 79' 00' 08"
Zip: 27573-�
�ofr)xboro.com
Datum: NAD 84 Level of accuracy: Second
Method of measurement: Map
5. Purpose of the facility:
❑ treatment of municipal wastewater,
El
RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
ED 40 CFR Part 503 or ❑ 40 CFR Part 257,
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are re lated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257. �
2. Specify if residuals are defined under 1 SA NCA
02T.1102(6) as:
® Biological ❑ Non -Biological
Note: Biological residuals are aresiduala that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that )
stems utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed filmsy .
FORM: RSC 0646 Pa
ge

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
e
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in desi gn flow that treat
100 o nonwmunicipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: [] yes no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR 261.21-
261.24: ❑yes
Fill in the following tables with the results of the latest toxicity characteristic 1
well as those for corrosivity, ignitability, and reactivity:
Laboratory: S
it Envi
Passed corrosivity test:
Passed ignitability test:
Passed reactivity test:
►:1
eaching
procedure (TCLP) analysis as
and Date of analysis: 2/19/2021
pH:
yes [� no. Flashpoint:°F)
yes Ono. HCN: � mg/kg (<250) & H2S: . mg/kg (<500
TCLP Parameter Limit Result TCLP Parameter Limit Result
(mg/1) (mg/1) (mg/l) (mg/1)
Arsenic 5.0 ND Hexachlorobenzene 0.13 ND
Barium 100.0 ND Hexachloro- l,3-Butadiene 0.5 ND
Benzene 0.5 ND Hexachloroethane 3.0 ND
Cadmium 1.0 ND Lead 5.0 ND
Carbon Tetrachloride 0.5 ND Lindane 0.4 ND
Chlordane 0.03 ND Mercury 402 ND
Chlorobenzene 100.0 ND Methoxychlor 10.0 ND
Chloroform 6.0 ND Methyl Ethyl Ketone 200.0 ND
Chromium 5.0 ND Nitrobenzene 200
ND
m-Cresol 200.0 ND Pentachlorophenol 100.0 ND
o-Cresol 200.0 ND Pyridine 5.0 ND
p-Cresol 200.0 ND Selenium 1.0 0.0694
Cresol 200.0 ND Silver 5.0 ND
2,4-D 10.0 ND Tetrachloroethylene 0.7 ND
1,4-Dichlorobenzene 7.5 ND Toxaphene 0.5 ND
1,2-Dichloroethane 0.5 ND Trichloroethylene 0.5 ND
1,1-Dichloroethylene 0.7 ND 2,4,5-Trichlorophenol 400.0 ND
2,4-Dinitrotoluene 0.13 ND 2,4,6-Trichlorophenol 2.0 ND
Endrin 0.02 ND 2,4, 5 -TP (S ilvex) l . Q ND
Heptachlor and its Hydroxide 0.008 ND Vinyl Chloride 4.2 ND
FORM: RSC 06-16
Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .11050
a. por 1�istributior�/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters.
Laboratory: Pace Analytical and Date of analysis: 2/24/2021
Parameter Ceiling Monthly Average Result
Concentration Limits Concentration Limits
(ClassA & ClassB) (Class A Only)
(m91k9) (mg/kg) (mglkg)
Arsenic 75 41 5.5
Cadmium 85 39 ND
Copper 41300 1,500 31
Lead 840 300 10
Mercury 57 17 ND
Molybdenum 75 n/a ND
Nickel 420 420 31
Selenium 100 100 ND
Zinc 79500 21,800 35
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest anal ses i.e. on a wei h
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal Arsenic Chromium Nickel
Unit to Boundary to
Closest Property Line
(meters, check one) (mg/kg) (mg/kg) (mg/kg)
> 0 but < 25 30 200 210
❑ >_ 25 but < 50 34 220 240
❑ >_ 50 but < 75 39 260 270
❑ >_ 75 but < 100 46 300 320
❑ > 100 but < 125 53 360 390
❑ >_ 125 62 450 420
Result (mg/kg)
FORM: RSC 06-16
Page 3 of 5

5. Nutrient/Micronutrient
ion: Complete the following:
a. Total solids: 67.1 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Pace Analytical and Date of analysis: 2/24/2021
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.0
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth],
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one}: default value, or �] actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method First (111) Year PAN Five -Year
Maximum Adjusted PAN
�mg/k (mgllkg)
Surface 1,082 130784
Injection/Incorporation 1,082 1 784
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-16
Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
q
a. For
n of Class A or
❑ A fecal coliform density that is demonstrated to be
lent:
less than 15000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] -Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] -Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] -Prior Testing for Enteric VirusNiable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric VirusNiable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] -Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑heat drying, ❑heat treatment,
El thermophilic aerobic digestion, ❑beta ray irradiation,
ED gamma ray nradiarion, or ❑pasteurization,
b. For Land Annlication of Class B.
Alternative 1 [ 15A NCAC 02T.1106(c)(1)] -Fecal coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T.1106(c)(2)] maProcess to Significantly Reduce PSRP Pathogens .
g � )
Specify one: ❑ aerobic digestion, El air drying, ❑ anaerobic digestion,
❑ composting, or [] lime stabilization.
c. Fo_r Surface Disposal:
U Select One of the Class A or Equivalent Pathogen Reduction Alternarives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
❑ Exempt - If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)].
Not Applicable on Residuals with NO Domestic Wastewater Contriburion,
8. Vector Attra
ion
❑ Alternative 1 [15A NCAC
❑ Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T.1107(a)(4)] -Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
El Alternative 6 [15A NCAC 02T.1107(a)(6)) -Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(a)(7)] -Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.1107(a)(8)) -Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.1107(a)(9)] -Injection.
❑ Alternative 10 [15A NCAC 02T.1107(a)(10)] -Incorporation.
❑ Alternative for Surface Disposal Units Only no Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
Not Applicable -Non-Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance cond
NJoao that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 0646
V�AR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
02T.1107(a)(1)] 3 8% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Page 5 of 5

r f; 1 1 ! .. • � R

Quantitative Justification for Residuals Production Rate
Roxboro WTP
Given the current history of residuals land application at the Roxboro Water
Treatment Plant and the liquid storage capacity, the permitted 3 00 dry tons/year should
be sufficient. Since the year 2016, Roxboro WTP has not land applied any residuals, and
has very little in storage. Listed below are calculations to covert liquid storage to dry tons
to indicate possible land application needs as a function of maximum liquid storage
capacity.
Calculations:
Based on maximum amount of liquid storage available in two lagoons, assuming 4%
solids.
Lagoon
1: 275,000 capacity
Lagoon 2: 225,000 capacity
500,000) x �4% solids�8.34 lbs/gal) = 83.
(2,000 lbs/ton)
4 Dry Tons

. � �
ical
• � •
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Ryan Copeland
Project Name: Roxboro WTP
Lot Number:1NB16004
Date Completed:02/24/2021
02/26/2021 10:16 AM
Approved and released by:
Project Manager II: Lucas adorn
ANSI Natlona! Accreditation Board
A C C R E D I T E D
TESTING LABORATORY
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC.
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172
Tel: [phone] Fax: [phone] www.pacelabs.com
Page 1 of 7

PACE ANALYTICAL SERVICES, LLC
SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: WB16a04
This Report of Analysis contains the analytical results) for the samples} listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved The NELAC Institute (TNI) standards, the Pace Analytical Services, LLC ("Pace")
Laboratory Quality Manual, standard operating procedures (SOPs), and Pace policies. Any exceptions to
the TNI standards, the Laboratory Quality Manual, SOPs or policies are qualified on the results page or
discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
qualifier
If you have any questions regarding this report please contact the Pace Project Manager listed on the
cover page.
The pH analysis associated with the samples} in this report was/were performed after the method
recommended 15 minute holding time.
Nitrite
The following sample was diluted due to the nature of the sample matrix: WB16004-001. The LOQ has
been elevated to reflect the dilution.
Metals by ICP
Due to the matrix, the ini#ial sample amount used for the following sample deviated from the standard
procedure: WB16004-001 due to low °Jo solids the initial amount of these samples was 3 times the
standard procedure. The LOQ has been adjusted accordingly.
Mercury
The following sample was diluted 10X due to the foamy nature and to protect the integrity of the
instrument: WB16004-001.
Pace Analytical Services, LLC (formerly Shealy Environmetal Services, lnc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax {803) 791-9111 www.pacelabs.com
Page 2 of 7

Client: Synagro
Description: Roxboro 1NTP
Laboratory lD: WB1 fi004-001
Matrix: Solid
Date Sampled:02/15/2021 1300
Date Received: 02/1 fi12021
nor
Run Prep Method Analytical Method Dilution
1 (% Solids) SM 2540G 1
1 350.1 (Ammonia - N) 350.1 1
1 (Nitrate - N) 9056A 1
2 (Nitrite - N) 9056A 5
1 (Phosphorus) 365.1 25
1 (Soil pH mess) 9045D 1
1 351.4 (TKN} 351.2 2
anic nonmetals
Analysis Date Analyst
02/17/2021 0017 AAB
02/16120211728 KFE
02/19/2021 1038 AMR
02/19/2021 1607 AMR
02/22/2021 1201 DMA
02/18/2021 1801 AAB
02I21/2021 1320 DMA
Solids: fi7.1 02/17/2021 0017
Prep Date Batch
83076
82990
83464
83466
02/19/2021 1757 83471
83239
02/19/2021 1809 83457
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
•—
"/o SOIItlS
Ammonia - N (gas diffusion)
Nitrate - N (soluble
Nitrite - N (soluble)
Phosphorus
Soil pH measured in water @ 18.9 ° C
TKN
SM 2540G fi7.1 % 1
350.1 1.5 1.5 0,77 mg/kg 1
905fiA 1.3 0.74 0.15 mg/kg 1
9056A N D 1.5 0.74 mg/kg 2
7723-14-0 3fi5.1 1100 190 37 mg/kg 1
9045D 5.1 su 1
351.2 3fi00 74 74 mglkg 1
CVAA
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 7471 B 7471 B 10 02/23/2021 1102 CMS2 02/22/2021 1128 83105
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
Mercury 7439-97-6 7471 B ND 1.2 0,28 mg/kg 1
IC P-ASS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
2 3050B 6010D 5 02/23/2021 1719 KSH2 02/22/2021 0150 83401
3 3050B 6010D 50 02/23/2021 1723 KSH2 02/22/2021 0150 83401
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
Aluminum 7429-90-5 6010D 53000 500 190 mglkg 3
Arsenic 7440-38-2 fi010D 5.5 1,9 0.fi2 mg/kg 2
Cadmium 7440-43-9 6010D ND 0.62 0.16 mg/kg 2
Calcium 7440-70-2 fi010D 4fi0 J fi20 78 mglkg 2
Chromium 7440-47-3 fi010D 34 1.2 0.31 mg/kg 2
Copper 7440-50-8 6010D 31 1.2 0.5fi mglkg 2
Iron 7439-89-fi fi010D 270000 120 5fi mg/kg 3
Lead 7439-92-1 6010D 10 J 12 5,6 mglkg 3
Magnesium 7439-95,4 fi010D 1fi00 fi20 78 mglkg 2
Manganese 7439-96-5 6010D 4000 19 7,3 mg/kg 3
Molybdenum 7439-98-7 6010D ND 5.0 1.2 mg/kg 2
LOQ =Limit of Quantitation B =Detected in the method blank E = Quantitation of compound exceeded the calibration range DL =Detection Limit
ND =Not detected at or above the DL N =Recovery is out of criteria P =The RPD between two GC columns exceeds 40% J =Estimated result < LOQ and > DL
H =Out of holding time W =Reported on wet weight basis
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax ($03) 791-9111 www.pacelabs.com
Page 3 of 7

Client: Synagro
Description: Roxboro WTP
Laboratory ID: WB16004-001
Matrix: Solid
Date Sampled:02115/2021 1300
Date Received:02/16/2021
!CP-AES
Solids: 67.1 02/1712021 0017
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
2 3050B 6010D 5 02/23/2021 1719 KSH2 02/22/2021 0150 83401
3 3050B 6010D 50 02/23/2021 1723 KSH2 O2/22/2021 0150 83401
Parameter
cas
Number
Analytical
Method
Result Q
LOQ DL Units Run
NicKei 7440-02-0 601OD 31 5.0 1.3 mg/kg 2
Potassium 7440-09-7 6010D 930 620 78 mg/kg 2
Selenium 7782-49-2 6010D ND 25 10 mg/kg 3
Sodium 7440-23-5 6010D ND 620 78 mg/kg 2
Zinc 7440-56-6 6010D 35 6.2 1.fi mglkg 2
LOQ =Limit of Quantitation
ND =Not detected at or above the DL
H =Out of holding time
B =Detected in the method blank
N =Recovery is out of criteria
W =Reported on wet weight basis
E = Quantitation of compound exceeded the calibration range DL =Detection Limit
P =The RPD between two GC columns exceeds 40% J =Estimated result < LOQ and > DL
pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.}
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 4 of 7

Chain of Custody
Miscellaneous Documents
Pace Analytical Services, LLC (formerly Shealy Environmental Services, lnc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone]
www.pacelabs.com
Page 5 of 7

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Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 7 of 7

Summit Environmental Technologies, Inc.
UM 1 3310 Win St.
EN11iRONMEUTAL TECHNC)LOGIE&+ INC Cuyahoga Falls, Ohio 44223
February 199 2021
Ryan Copeland
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL :
FAX:
RE: Roxboro WTP
Dear Ryan Copeland:
TEL: [phone] FAX.• [phone]
Website: http://www.settek.com
Order No.: 21020849
Summit Environmental Technologies, Inc. received 1 sample(s) on 2/16/2021 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results, please feel free to call the
laboratory.
Sincerely,
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
Arkansas 88-0735, California 2943, Colorado, Connecticut PH 0108, Florida NELAC E87688, Idaho OH00923, Illinois 200061, Indiana C-OH-13, Kansas
E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Maryland 339, Michigan 9988, Minnesota 1780279, Nevada OH009232020-1, New
Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and 631, North Dakota R-201, Ohio DW, Ohio VAP CLOOS2, Oklahoma
2019-1555Oregon OH2O0001, Pennsylvania 011, Rhode Island LA000317, South Carolina 92016001, Texas T10470446649-16, Utah 01100923202042,
Virginia VELAP 10381, West Virginia 9957C

CLIENT:
Project:
Summit Environmental Technologies, Inc.
rbUMMIT 3310 Win St.
ENVIR0Nl4 ENTAL TEcjiMt)t,�QG FS, INC Cuyahoga Falls, Ohio 44223
TEL [phone] FAX.• (330) 2534489
Synagro
Roxboro WTP
Website: htt{�:/fiwww.settel�com
Case Narrative
WO#: 21020549
Date: 2/19/2021
WorkOrder Narrative:
21020849: This report in its entirety consists of the following documents: Cover Letter, Case Narrative
Analytical Results, QC Summary Report, Applicable Accreditation Information, Chain -of -Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of
the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program
Analytes Report" for accredited analytes list.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the
customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
and at differen
t sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
This report is believed to meet all of the requirements of the accrediting agency, where a licable. An
pp Y
comments or problems with the analytical events associated with this report are noted below.
Analytical Sequence Sample Notes:
21020849-001 ATCLP-VOC-MSTR 8260D: CCV/LCS exhibit high recoveries for several anal es 10
sample is N.D. Corresponding MS/MSD exhibit outlying recovery for several analytes. Possible low
as for Tetrachloroethene due to poor recovery in CCV. Compound demonstrates adequate instrument
S nsltl e vlty 1n RLC.
Analytical Sequence QC Notes:
CCV VOC-MSTR S(8260): CCV exhibits outlying recovery for several analytes. Associated results
nay be biased accordingly. Surrogate outside recovery limits. Minimum method criterion of one
surrogate within established recovery limits was met,
LCS-47886 TCLP-VOC-MSTR TCLP(8260): CCV exhibits outlying recovery for several analytes.
Revision vl

Summit Environmental Technologies, Inc.
SUMMIT 3310 Win St.
�N1t1RONML'-NTAL TECNNOLOGJES, INC Cuyahoga Falls, Ohio 44223
`a� TEL: [phone] FAX: [phone]
Website: http:/fwww.settel�com
CLIENT: Synagro
Project: Roxboro wTP
Case Narrative
w0#: 21020849
Date: 2/19/2021
Associated results maybe biased accordingly. LCS exhibits high recoveries for several anal e .
Asso s
dated samples are N.D. for these analytes. Surrogate outside recoverylimits. Minimum method
criterion of one surrogate within established recovery limits was met.
MB47886 TCLP-VOGMSTR TCLP(8260): Possible low bias for Tetrachloroethene due to poor
recovery in CCV. Compound demonstrates adequate instrument sensitivity in RLC.
21020849-001AMS/MSD TCLP-VOGMSTR 8260D: Possible hi bias for several anal es due to
. , — high yt
high recoveries in CCV/LCS. Parent sample is N.D. for these anal es. Possible low bias for
Tetrachloroethene due to poor recovery in CCV. Compound demonstrates adequate instrument
sensitivity in RLC. Spike recovery indicates matrix interference.
CCV 40ppm SVOGMSTR S(8270): CCV exhibited outlying recoveries for several anal es.
. yt
Associated samples may be biased accordingly.
REVISED REPORT 2/ 19/21: Corrected Project ID
Revision vl

Summit Environmental Technologies, In
sum 1 3310 Win,!
IROMMENTAL TiECNN©LOG1IES, INC Cuyahoga Falls, Ohio 442�
NNW Lab" TEL: [phone] FAX: [phone]
Website. httn:/fwww.settek.co
Qualifiers and Acronyms
1 uc�c cummoniy useu tlualltlers and Acronyms may or may not be present in this report.
Qualifiers
WO#: 21020849
Date: 2/19/2021
The compound was analyzed for but was not detected.
The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
The hold time for sample preparation and/or analysis was exceeded.
The result is reported from a dilution.
The result exceeded the linear range of the calibration or is estimated due to interference.
The result is below the Minimum Compound Limit.
The result exceeds the Regulatory Limit or Maximum Contamination Limit.
Manual integration was used to determine the area response.
Manual integration in which peak was deleted
The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
The second column confirmation exceeded 25% difference.
The result has been confirmed by GC/MS.
The result was not confirmed when GC/MS Analysis was performed.
The analyte was detected in the associated blank.
The ICB or CCB contained reportable amounts of analyte.
The CCV recovery failed low (-) or high (+).
R/QDR The RPD was outside of accepted recovery limits.
QL-/+ The LCS or LCSD recovery failed low (-) or high (+).
QLR The LCS/LCSD RPD was outside of accepted recovery limits.
QM-/+ The MS or MSD recovery failed low (-) or high+).
QMR The MS/MSD RPD was outside of accepted recovery limits.
QV-/+ The ICV recovery failed low (-) or high (+).
S The spike result was outside of accepted recovery limits.
Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND Not Detected RL Reporting Limit
QC Quality Control MDL Method Detection Limit
MB Method Blank LOD Level of Detection
LCS Laboratory Control Sample LOQ Level of Quantitation
LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit
QCS Quality Control Sample CRQL Contract Required Quantitation Limit
DUP Duplicate PL Permit Limit
MS Matrix Spike RegLvl Regulatory Limit
MSD Matrix Spike Duplicate MCL Maximum Contamination Limit
RPD Relative Percent Different MinCL Minimum Compound Limit
ICV Initial Calibration Verification RA Reanalysis
ICB Initial Calibration Blank RE Reextraction
CCV Continuing Calibration Verification TIC Tentatively Identified Compound
CCB Continuing Calibration Blank RT Retention Time
RLC Reporting Limit Check CF Calibration Factor
DF Dilution Factor RF Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifliers and Acron s for re '
Please refer to the Analytical Notes in the Case Narrative for an ualifiers or � porting.
y Q Acronyms that do not liappear in this st or for additional information regarding the use of these Qualifiers on reported data.
Revision vl

Ummi
EN' inONMENTAL. TECHNOLOGIES,
A��/tlCil L rstorie6
CLIENT:
Project:
Lab SampleID
2102084M01
Synagro
Roxboro WTP
Client Sample ID
Roxboro WTP
Summit Environmental Technologies, Inc.
3310 Win St.
IN Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• [phone]
Website: http_•/�www,sette=
Tag No Date Collected
2/15/2021 1:00:00 PM
Workorder
it 1101101
WO#: Z 1020849
Date Received
2/16/2021 10610*00 AM
19-Feb-2l
Matrix
Sludge

Summit Environmental Technologies, Inc.
UMMIT 3310 Win St.
ENVIRONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223
Ar�tl Lato►4 TEL: [phone] FAX: [phone]
Website: http: //www.settek. com
Client:
Project:
Sample ID
21020849-OOIA
Synagro
Roxboro WTP
Client Sample ID
Roxboro WTP
Collection Date
2/ 15/2021 1; 00:00 PM
Matrix
Sludge
Leachate Date
Ignitability of Solids (SW-846: 1030)
Paint Filter Free Liquids Test (SW446
pH (SW9045D)
Reactive Cyanide (9014/7.3.3.2)-Solid
Reactive Sulfide (9034)/7.3.4.2
TCLP Herbicides by EPA 8321 B
TCLP Mercury Analysis (SW 1311 /7472/16/2021 5:00:00 PM
TCLP Metals Analysis (SW1311/601N2/16/2021 5:00:00 PM
TCLP Pesticides Analysis (SW1311/80/16/2021 5:00:00 PM
TCLP Pesticides Analysis (SW1311/8C2/16/2021 5:00:00 PM
TCLP Semi-Volatiles Analysis
(SW1311/8270)
TCLi
P Volatiles Analyss
2/16/2021 5:00:00 PM
W4#: 2IV V0%9
19-Feb-21
Prep Date Analysis Date
2/18/2021 1:11:22 PM
2/19/2021 2:10:00 PM
2/17/2021 3:10:00 PM
2/19/2021 1:20:00 PM
2/19/2021 1:20:00 PM
2/17/2021 8:30:00 PM
2/18/2021 10:25:00 AM 2/18/2021 2:44:00 PM
2/17/2021 1:40:00 PM 2/19/2021 1815:57 PM
2/17/2021 10:45600 AM 2/19/2021 3:49:00 AM
2/17/2021 10:45:00 AM 2/19/2021 3:49:00 AM
2/17/2021 1:009*00 PM 2/18/2021 11:32:00 PM
2/16/2021 5:00:00 PM 2/1812021 3:28:00 AM
Revision v 1

CLIENT:
1V�atrix:
Summit Environmental Technologies, Inc.
ummi 3310 Win St.
ENVIRONMENTAL TECNNOLOCILrS, 114C Cuyahoga Falls, Ohio 44223
�rw$~ Laboirstoffts TEL: [phone] FAX: [phone]
Website: htt2:11Www.settek. com
Synagro
SLUDGE
Lab ID: 21020849-001 A
Project: Roxboro WTP
Client Sample ID Roxboro WTP
Analyses
Result
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury
ND
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP METALS ANALYSIS (SW1311/6010)
Analytical Report
(base report)
Wo#: 21020849
Date Reported. 2/19/2021
Tag Number:
Collection Date: 2/ 15/2021 1:00:00 PM
RL Qual Units DF Date Analyzed
0.00200
SW7470A
SW6010D
SW7470A Analyst: ERA
1 2/18/2021 2:44:00 PM
SW3010A Analyst: DNS
TCLP Arsenic(As) ND 0.500 mg/L 1 2/19/2021 1:15:57 PM
TCLP Barium(Ba) ND 5.00 mg/L 1 2/19/2021 1:15:57 PM
TCLP Cadmium(Cd) ND 0.100 mg/L 1 2/19/2021 1:15:57 PM
TCLP Chromium(Cr) ND 0.200 mg/L 1 2/19/2021 1:15:57 PM
TCLP Lead(Pb) ND 0.500 mg/L 1 2/19/2021 1:15:57 PM
TCLP Selenium(Se) 0.0694 0.0500 mg/L 1 2/19/2021 1:15:57 PM
TCLP Silver(Ag) ND 0.500 mg/L 1 2/19/2021 1:15:57 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270)
SW8270 SW3510C Analyst: SFG
1,4-Dichlorobenzene ND 0.200 mg/L 2 2/18/2021 11:32:00 PM
2,4,5-Tr0chlorophenol ND 0.500 mg/L 2 2I I /2021 11:32:00 PM
24,6-Trichlorophenol ND 0.500 mg/L 2 2/18/2021 11:32:00 PM
2,4-Dinitrotoluene ND 0.100 mg/L 2 2/18/2021 11:32:00 PM
Cresols, Total ND 10.0 mg/L 2 2/18/2021 11:32:00 PM
Hexachloro-1,3-butadiene ND 0.0400 mg/L 2 2/18/2021 11:32:00 PM
Hexachlorobenzene ND 0.100 mg/L 2 2/18/2021 11:32:00 PM
Hexachloroethane ND 0.200 mg/L 2 2/18/2021 11:32:00 PM
Nitrobenzene ND 0.200 mg/L 2 2/18/2021 11:32:00 PM
Pentachlorophenol ND 0.500 mg/L 2 2/18/2021 11:32:00 PM
Pyridine ND 0.500 mg/L 2 2/18/2021 11:32:00 PM
Surr: 2-Fluorophenol 76.4 10 - 157 %Rec 2 2/18/2021 11:32:00 PM
Surr: Phenol-d6 76.6 10 - 169 %Rec 2 2/18/2021 11:32:00 PM
Surr: Nitrobenzene-d5 82.8 3201 - 130 %Rec 2 2/18/2021 11:32:00 PM
Surr: 2,4,6-Tribromophenol 94.8 45.4 - 166 %Rec 2 2/18/2021 11:32:00 PM
Surr: 2-Fluorobiphenyl 84.5 35.7 - 130 %Rec 2 2/18/2021 11:32:00 PM
Surr: p-Terphenykc!14 106 70 - 145 %Rec 2 2/18/2021 11:32:00 PM
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit, N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits Revision v 1
RL Reporting Detection Limit U Samples with CalcVal < MDL

CLIENT:
Matrix:
Summit Environmental Technologies, Inc.
WOUIRral 3310 Win St.
ENvinONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223
` wytkw L&horwo TEL: [phone] FAX: [phone]
Website. http://wvvw.settek.com
SLUDGE
Lab ID: 21020849-OOIA
Project: Roxboro WTP
Client Sample ID Roxboro WTP
Analyses
Result
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP PESTICIDES ANALYSIS (SW1311/8081)
Chlordane, total
Toxaphene
Endnn
gamma-BHC
Heptachlor
Heptachlor epoxide
Methoxychlor
Surr: TCMX
Surr: DCB
TCLP HERBICIDES BY EPA 8321 B
2,4-D
2,4,5-TP
Surr: 2,4
aci
Tag Number:
Analytical Report
(base report)
WO#: 21020849
Date Reported:
Collection Date: 2/15/2021 1:00:00 PM
2/19/2021
RL Qual Units DF Date Analyzed
SW8081 SW3510C Analyst: CSS
ND
0.0250 mg/L 1 2/19/2021 3:49:00 AM
ND 0.0500 mg/L 1 2/19/2021 3:49:00 AM
ND 0.00250 mg/L 1 2/19/2021 3:49:00 AM
ND 0.00250 mg/L 1 2/19/2021 3:49:00 AM
ND 0900250 mg/L 1 2/19/2021 3:49:00 AM
ND 0.00250 mg/L 1 2/19/2021 3:49:00 AM
ND 0.00250 mg/L 1 2/19/2021 3:49:00 AM
87.2 10 - 119 %Rec 1 2/19/2021 3:49:00 AM
93.4 10 - 119 %Rec 1 2/19/2021 3:49:00 AM
SW8321 Analyst: TM
ND 0.500 mg/L 50 2/17/2021 8:30:00 PM
ND 0.500 mglL 50 2/17I2021 8:30:00 PM
80.0 70 - 130 %Rec 50 2/17/2021 8:30:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP VOLATILES ANALYSIS
SW8260 SW1311 M Analyst: SLV
1,1-Dichloroethene ND 0.250 QL+ mg/L 50 2/18/2021 3:28:00 AM
1,2-D0chloroethane ND 0.250�+QL+Qhmg/L 50 2/18/2021 3:28:00 AM
Ben ND 5.00 mg/L 50 2/18/2021 3:28:00 AM
Benzene ND 0.250 mg/L 50 2/18/2021 3:28:00 AM
Carbon tetrachloride ND 0.250 mg/L 50 2/18/2021 3:28:00 AM
Chlorobenzene ND 2.50 mg/L 50 2/18/2021 3:28:00 AM
Chloroform ND 0.250 mg/L 50 2/18/2021 3:28:00 AM
Tetrachloroethene ND 0.250 QC- mg/L 50 2/18/2021 3:28:00 AM
Trichloroethene ND 0.250 mg/L 50 2/18/2021 3:28:00 AM
Vinyl chloride ND 0.1001+QL+Qhmg/L 50 2/18/2021 3:28:00 AM
Surr: 4-Bromofluorobenzene 108 70 - 130 %Rec 50 2/18/2021 3:28:00 AM
Surr: Dibromofluoromethane 101 70 -130 %Rec 50 2/18/2021 3:28:00 AM
Surr: Toluene-d8 84.1 70 - 130 %Rec 50 2/18/2021 3:28:00 AM
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit. N Tentatively identified compounds
ND Not Detected P Second column confirmation exceeds
PL Permit Limit R RPD outside accepted recovery limits
RL Reporting Detection Limit Revision vl
U Samples with CalcVal < MDL

CLIENT:
Matrix:
Lab ID:
Project:
Summit Environmental Technologies, Inc.
3310 Win St.
ENYI�C�I�M�+tTAL %�CHNt]L.��lES, ���
��� �La�raw�r
SLUDGE
21020849-001 A
Roxboro V�TTP
Client Sample ID Roxboro WTP
Analyses
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• [phone]
Website: httn:/fivww.settek.com
Result
RCI
REACTIVE CYANIDE (9014/7.3.3.2)-SOLID
Cyanide, Reactive ND
PAINT FILTER FREE LIQUIDS TEST (SW-846: 9095)
Free Liquid
IGNITABILITY OF SOLIDS (SW-845: 1030)
Ignitability
RCI
PH (SW9045D)
pH
RCI
REACTIVE SULFIDE (9034)/7.3.4.2
Sulfide, Reactive
pass
nonflammable
6.8
ND
Qualifiers: B Analyte detected in the associated Method Blank
H Holding times for preparation or analysis exceeded
MC Value is below Minimum Compound Limit.
ND Not Detected
PL Permit Limit
RL Reporting Detection Limit
Tag Number:
Analytical Report
(base report)
WO#:
Date Reported:
Collection Date: 2/15/2021 1:00:00 PM
RL Qual Units
SW9014
0.495 mg/Kg
SW9095
SW1030
mm/sec
SW9045D
s.u.@17.4C
SW9034
Dl�'
1
1
1
1
21020849
2/19/2021
Date Analyzed
Analyst: MS
2/19/2021 1:20;00 PM
Analyst: DHC
2/19/2021 2:10:00 PM
Analyst: KMW
2/18/2021 1:11:22 PM
Analyst: DHC
2/17/2021 3:10:00 PM
Analyst: MS
25.0 mg/Kg 1 2/19/2021 1:20:00 PM
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
P Second column confirmation exceeds
R RPD outside accepted recovery limits Revision vl
U Samples with CalcVal < MDL

Summit Environmental Technologies, Inc.
UMMIT 3310 Win St.
NVIROWMENTALTECHNintfirairQ fur
Client: Synagro
Project: Roxboro WTP
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• (330) 2534489
Website: http.o11www.settek.com
Accreditation Program
Analytes Report
WO#: 21020849
19 Feb-21
State: NW
Program Name: NC WW SCM
Sample ID Matrix Test Name Aaalyte Status
2I020849-00 lA Sludge Ignitability of Solids (SW-846: 1030) Ignitability A
Sludge Paint Filter Free Liquids Test (SW-846: 9095) Free Liquid A
Sludge pH (SW9045D) Hydrogen Ion (pH) A
Sludge Reactive Cyanide (9014/7.3.3.2)-Solid Cyanide, Reactive U
Sludge Reactive Sulfide (9034)/7.3.4.2 Sulfide, Reactive U
Sludge TCLP Herbicides by EPA 8321B 2 4 5-TP A
Sludge TCLP Herbicides by EPA 8321B 2 4_D A
Sludge TCLP Mercury Analysis (SWI311/7470) Mercury A
Sludge TCLP Metals Analysis (SWI311/6010) Arsenic A
Sludge TCLP Metals Analysis (SW1311/6010) Barium A
Sludge TCLP Metals Analysis (SW1311/6010) Cadmium A
Sludge TCLP Metals Analysis (SW1311/6010) Chromium A
Sludge TCLP Metals Analysis (SW1311/6010) Lead A
Sludge TCLP Metals Analysis (SW1311/6010) Selenium A
Sludge TCLP Metals Analysis (SW1311/6010) Silver A
Sludge TCLP Pesticides Analysis (SW 1311 /8081) Chlordane, total A
Sludge TCLP Pesticides Analysis (SW1311/8081) Endrin A
Sludge TCLP Pesticides Analysis (SW 1311/8081) gamma-BHC A
Sludge TCLP Pesticides Analysis (SW1311/8081) Heptachlor A
Sludge TCLP Pesticides Analysis (SWI 311 /8081) Heptachlor epoxide A
Sludge TCLP Pesticides Analysis (SW 1311 /8081) Methoxychlor A
Sludge TCLP Pesticides Analysis (SW1311/8081) Toxaphene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 1,4-Dichlorobenzene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 2,4,5-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 214,6-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 254-Dinitrotoluene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Cresols, Total A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachlorobenzene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachlorobutadiene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachloroethane A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Nitrobenzene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Pentachlorophenol A
Key Key
NC WW SCM A Accredited NC WW SCM U Unavailable
Version #2

Summit Environmental Technologies, Inc.
UMMI 3310 Win St.
ENVIRONMENTAL TECHNOLOOiES, INC Cuyahoga Falls, Ohio 44223
L ab"Ior i" TEL: [phone] FAX: [phone]
Website: http:/1www.settekcom
Client: Synagro
Project: Roxboro WTP
Sample ID Matrix
21020849-00 lA Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
Sludge
NC WW SCM A Accredited
Test Name
TCLP Semi-Volatiles Analysis (SW1311/8270)
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
TCLP Volatiles Analysis
NC WW SCM U Unavailable
Accreditation Program
Analytes Report
WO#: 21020849
State: NW
Program Name:
Pyridine
1,1-Dichloroethene
1,2-Dichloroethane
2-Butanone
Carbon tetrachloride
Chlorobenzene
Chloroform
Tetrachloroethene
Trichloroethene
Vinyl chloride
l9 Feb-2l
Status
0
0
0
0
0
0
Version #2

client:
Pro j ect:
Summit Environmental Technologies, Inc.
UMMI- 3310 Win St.
�l+ VInONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223
TEL: [phone] PAX: (330) 2534489
Website: httn://www.settek.com
Synagro
Roxboro WTP
Sample ID: LCS-47886
Client ID: LCSS
Analyte
1,1-Dichloroethene
1,2-Dichloroethane
MEK
Benzene
Carbon tetrachloride
Chlorobenzene
Chloroform
Tetrachloroethene
Trichloroethene
Vinyl chloride
Surr: 4-Bromofluorobenzene
Surr: Dibromofluoromethane
Surr: Toluene-d8
Sample ID: MB-47886
Client ID: PBS
Analyte
SampType: LCS
Batch 1D: 47886
TestCode: TCLP-VOC-M Units: mglL
TestNo: SW8260
SW1311M
Prep Date:
Analysis Date: 2/18/2021
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimifi RPD Ref Val
1.36 0.250 1.00 0 136 64.7 136
1.35 0.250 1.00 0 135 70 130
ND 5.00 5.00 0 95.7 55.1 149
1.11 0.250 1.00 0 111 70 130
1.06 0.250 1.00 0 106 70 130
ND 2.50 1.00 0 109 70 130
1.09 0.250 1.00 0 109 70 130
0. D88 0.250 1.00 0 98.8 70 134
1.14 0.250 1.00 0 114 62.8 160
2 Al 0.100 1.00 0 241 67.1 130
3520 2500 141 70 130
2360 2500 94.6 70 130
2320 2500 105 70 130
SampType: MBLK
Batch ID: 47886
Result
TestCode: TCLP-VOC-M Units: mg/L
TestNo: SW8260
PQL SPK value
SW1311M
SPK Ref Val
Prep Date:
Analysis Date: 2/18/2021
%REC LowLimit HighLimit RPD Ref Val
1,1-Dichloroefihene ND 0.250
1,2-Dichloroethane ND 0.250
MEK ND 5.00
Benzene ND 0.250
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
J Analyte detected below quantitation limits M Manual Integration used to determine area response
ND Not Detected P Second column confirmation exceeds
R RPD outside accepted recovery limits RL Reporting Detection Limit
WO#: 21020849
19-Feb-21
RunNo: 123970
SegNo: 3212600
%RPD RPDLimit Qual
S
SQC+
QC-
SQC+
S
RunNo: 123970
SegNo: 3212602
%RPD RPDLimit Quat
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
QC+
Revision v 1
Pale �2 of 35

Client:
Project:
Summit Environmental Technologies, Inc.
rbummi 3310 Win St.
ENVInONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223
AnA1y►tka1 Lsborialo at TEL* (330) 2534211 FAX.• (330) 2534489
Website: http://www,settek.com
Synagro
Roxboro WTP
Sample ID: MB-47886
Client ID: PBS
Analyte
SampType: MBLK
Batch ID: 47886
Result
TestCode: TCLP-VQC-M
TestNo: SW8260
Units: mg/L
SW1311M
PQL SPK value SPK Ref Vai
�.a� uui i �Cuacr��or�ae NU 0.250
Chlorobenzene ND 2,50
Chloroform ND 0.250
Tetrachloroethene ND 0.250
Trichloroethene ND 0.250
Vinyl chloride ND 0.100
Surr: 4-Bromofluorobenzene 2470
Surr: Dibromofluoromethane 2570
Surr: Toluene-d8 2240
WO#: 21020849
19-Feb-21
BatchID: 47886
Prep Qate:
Analysis Date; 2/18/2021
%REC LowLimit HighLimit RPD Ref Val
2500 98.6 70 130
2500 103 70 130
2500 89.6 70 130
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range
J Analyte detected below quantitation limits M Manual Integration used to determine area response
ND Not Detected P Second column confirmation exceeds
R RPD outside accepted recovery limits RL Reporting Detection Limit
RunNo: 123970
SegNo: 3212602
%RPD RPDLimit Qual
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
QC -
QC+
Revision vl
Page � 3 of 35

Client:
Project:
Summit Environmental Technologies, Inc.
MMI 3310 Win St.
HVIRONMENTAL TECMNrJLOGIES# INC Cuyahoga Falls, Ohio 44223
nWytk&l UbOrSIWAW TEL: [phone] FAX: [phone]
Website: httn: //www. settek. com
Synagro
Roxboro WTP
WO#: 21020849
�9-Feb-21
BatchID: 47886
Sample lD: 21020849-001AMS SampType: MS TestCode: TCLP-VOC-M Units: mg/L Prep Date:
Client ID: Roxboro WTP Batch ID: 47886 TestNo: SW8260 SW1311 M Analysis Date: 2/18/2021
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val
1,1-Dichloroethene 1.41 0.250 1.00 0 141 13.6 202
1,2-Dichloroethane 1.38 0.250 1.00 0 138 55.7 138
MEK ND 5.00 5.00 0 99.3 65.3 118
Benzene 1.04 0.250 1.00 0 104 49.2 145
Carbon tetrachloride 0.959 0.250 1.00 0 95.9 26.7 156
Chlorobenzene ND 2.50 1.00 0 87A 33.7 159
Chloroform 1.08 0.250 1.00 0 108 48.5 145
Tetrachloroethene 0.729 0.250 1200 0 72.9 1992 191
Trichloroethene 0.956 0.250 1.00 0 95.6 38.4 167
Vinyl chloride 3.07 0.100 1.00 0 307 27.3 161
Surr: 4-Bromofluorobenzene 3040 2500 122 91.7 109
Surr: Dibromofluoromethane 2590 2500 104 75.5 118
Surr: Toluene-d8 2520 2500 101 94.1 105
Sample ID: 21020849-001AMSD SampType: MSD
Client ID: Roxboro WTP Batch ID: 47886
Analte
111-Dichloroethene
1,2-Dichloroethane
MEK
Benzene
TestCode: TCLP-VOC-M Units: mg/L
TestNa: SW8260 SW1311 M
PQL SPK value SPK Ref Val
Prep Date;
Analysis Date: 2/18/2021
%REC LowLimit HighLimit RPD Ref Val
1.43 0.250 1.00 0 143 13.6 202
1.47 0.250 1.00 0 147 55.7 138
5,17 5.00 5.00 0 103 65.3 118
1.14 0.250 1.00 0 114 49.2 145
RunNo: 123970
SegNo: 3212604
%RPD RPDLimit Qual
RunNo: 123970
SegNo: 3212605
%RPD RPDLimit
1.4125
1.38 6.27 25
4.96 3.99 25
1.04 8.69 25
Qualifiers: B A.nalyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
SQC+
QC-
SQC+
S
Qual
SQC+
Revision v 1
Page 14 of 35

SUMMI
NVInONMENTAL TECHNOLOGIES, INC
4nwcsf L*baraior*6
Client: Synagro
Proi ect: Roxboro WTP
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Websi te: http: //www, settek. com
Sample ID: 21020849-001AMSD SampType: MSD
Client ID: Roxboro WTP Batch ID: 47886
Analyte
Carbon tetrachloride
Chlorobenzene
Chloroform
Tetrachloroethene
Trichloroethene
Vinyl chloride
Surr: 4-Bromofluorobenzene
Surr: Dibromofluoromethane
Surr: Toluene-d8
Result
TestCode: TCLP-VOC-M Units: mg/L
TestNo: SW8260 SW1311 M
PQL SPK value SPK Ref Val
BatchID: 47886
Prep Date:
Ana{ysis Date: 2/18/2021
%REC LowLimit HighLimit RPD Ref Val
WO#: 21020849
RunNo: 123970
SegNo: 3212605
1.09 0.250 1.00 0 109 26.7 156 0.959 13.1
ND 2.50 1.00 0 103 33.7 159 0 0
1.18 UK 1.00 0 118 48.5 145 1.08 8.56
0.908 0.250 1.00 0 90.8 19.2 191 0.729 21.9
1.07 0.250 1.00 0 107 38A 167 0.956 10.9
2.58 0.100 1.00 0 258 27.3 161 IN 17A
3120 2500 125 91.7 109 0
2530 2500 101 75.5 118 0
2970 2500 119 94.1 105 0
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
19-Feb-21
RPDLimit Qual
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Revision vl
Page � 5 of 35

Summit Environmental Technologies, Inc. QC SUMMARYREPORT
m
ummi 3310 Win St.
ENVInONMENYAL TECHNOLOMES+ iNC Cuyahoga Falls, Ohio 44223 EM�1y L rretor4e TEL: [phone] FAX:[phone] WO#: 21020849
Website: http.11wmv.settek.com 19-Fe&21
Client: Syna1z
Project: Roxboro WTP
BatchID: 47894
Sample ID: 21020849-001ams SampType: MS TestCode: TCLP-SVOC- Units: mg/L Prep Date: 2/17/2021 RunNo: 124043
Client ID: Roxboro WTP Batch ID: 47894 TestNo: SW8081 SW3510C Analysis Date: 2/19/2021 SegNo: 3216156
Analyte Result PQL SPK value SPK Ref Val %REC LowLtmit HighLimit RPD Ref Val %RPD RPDLimit Qual
E n d ri n 0.0122 0.000500 0.0100 0 122 10 224
gamma-BHC 0.0103 04000500 0.0100 0 103 10 192
Heptachlor 0.0115 0.000500 0.0100 0 115 10 197
Heptachlor epoxide 0.0103 0.000500 0.0100 0 103 10 208
Methoxychlor 0.0131 08000500 0.0100 0 131 10 251
Surr: TCMX 16.5 20.00 82.6 10 157
Surr: DCB 17.4 20.00 86.9 10 194
Sample ID: 21020849-001amsd
Client ID:
Analyte
Roxboro WTP
SampType: MSD TestCode: TCLP-SVOC- Units: mg/L Prep Date: 2/17/2021 RunNo: 124043
Batch ID: 47894 TestNo: SW8081 SW3510C Analysis Date$ 2/19/2021 SegNo: 3216157
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
Endrin 0.0119 0.000500 0.0100 0 119 10 224 0.0122 2.26
gamma-BHC
30
Revision v 1

Client:
S ummi7�
ENVIitONMENTAL T£CHHO W ICaIE $. INC
An*yNcsl tabwalorfss
Synagro
Project: Roxboro WTP
Sample ID: LCS-47894
Client lD:
Analyte
tnarin
LCSS
gamma-BHC
Heptachlor
Heptachlor epoxide
Methoxychlor
Surr: TCMX
Surr: DCB
SampType: LCS
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http://www,settek.com
Batch ID: 47894
Result
wo#: 21020849
BatchlD: 47894
TestCode: TCLP-SVOC- Units: mg/L Prep Date: 2/17/2021 RunNo: 124043
l9-Feb-21
TestNo: 0W8081 SW3510C Analysis Date: 2/19/2021 SegNo: 3216158
PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
0.0125 0.000500 0.0100 0 125 10 130
0.0104 0.000500 0.0100 0 104 10 130
0.0115 0.000500 0.0100 0 115 10 130
0.0105 0.000500 0.0100 0 105 10 130
0.0136 0.000500 0.0100 0 136 10 178
16.6 20.00 83.0 10 130
21 A 20.00 107 10 130
Sample ID: MB,47894 SampType: MBLK TestCode: TCLP-SYOC- Units: mg/L Prep Date: 2/17/2021
Client ID: PBS Batch ID: 47894 TestNo: SW8081 SW3510C Analysis Date: 2/19/2021
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val
RunNo: 124043
SegNo: 3216159
%RPD RPDLimit Qual
Chlordane, total ND 0.00250
Toxaphene ND 0.00500
Endrin ND 04000500
gamma-BHC ND 0.000500
Heptachlor ND 0.000500
Heptachlor epoxide ND 0.000500
Methoxychlor ND 0.000500
Surr: TCMX 15.8 20.00 79.1 10 119
Surr: DCB 21.2 20.00 106 10 119
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal3
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Revision vl
Page 17 of 35

Client:
Project:
S UMMI'1�
ENYIAONMENTAL T[CtINOL4G1ES,INC
Ar+WyNsN Laboratan"
Synagr-o
Roxboro WTP
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: htlp://www.settek.com
Sample ID: MB-47895 SampType: MBLK
Client ID: PBS Batch ID: 47895
Analyte Result
TestCode: SVOC-BNA T Units: mg/L
TestNo: SW8270 SW3510C
PQL SPK value SPK Ref Val
WO#: 21020849
l9-Feb-21
BatchID: 47895
Prep Date: 2117/2021
Analysis Date; 2/18/2021
%REC LowLimit HighLimit RPD Ref Vat
RunNo: 124026
SegNo: 3214913
%RPD RPDLimit Qual
1,4-Dichlorobenzene ND 0.100
2,4,5-Tr1chloropheno1 ND 0.250
2,4,6-Tr1chlorophenol ND 0.250
2,4-Dinitrotoluene ND 0.0500
o-Cresol ND 0.250
Cresols, Total ND 5.00
Hexachloro-1 ,3=butadiene ND 0.0200
Hexachlorobenzene ND 0.0500
Hexachloroethane ND 0.100
Nitrobenzene ND 0.100
Pentachlorophenol ND 0.250
Pyridine ND 0.250
Surr: 2-Fluorophenol 0.904 1.000 90A 10 130
Surr: Phenol-d6 0.886 1.000 88.6 10 130
Surr: Nitrobenzene-d5 0.832 1.000 83.2 19 130
Surr: 2,4,&Tribromophenol 1.02 1.000 102 10 130
Surr: 2-Fluorobiphenyl 0.837 1.000 83.7 22 130
Surr: p-Terphenykd14 1.09 1.000 109 34 130
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal3
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Revision vl

Client:
ESUMMIT
NVIRONMENTAL TECHNOLOGIES, INC
An4lptk&1 L rstor*
Synagro
Project: Roxboro WTP BatchID: 47895
Summit Environmental Technologies, inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.* (330) 2534489
Website: http:Ilwww.settek.com
WO#: 21020849
19-Feb-21
Sample !D: LCS-47895 SampType: LCS TestCode: SVOC-BNA T Units: mglL Prep Date: 2/17/2021
Client ID: LCSS Batch ID: 47895 TestNo: SW8270 SW3510C Analysis Date: 2/18/2021
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val
1,4-Dichlorobenzene 0.662 0.100 0.8000 0 82.7 36.4 130
2,4,5-Trichlorophenol 0.756 0.250 0.8000 0 94.5 31.7 132
2,4, 6-Trichlorophenol 0.812 0.250 0.8000 0 102 31.1 133
2,4-Dinitrotoluene 0.871 0.0500 0.8000 0 109 43.3 130
:)-Cresol 0.746 0.250 0.8000 0 9342 3209 130
Cresols, Total ND 5.00 1.600 0 97.9 31.7 130
Hexachloro-1,3-butadiene 0.684 0.0200 0.8000 0 85.6 31.4 130
Hexachlorobenzene 0.733 0.0500 0.8000 0 91.7 43.1 130
Hexachloroethane 0.712 0.100 0.8000 0 89.0 36.5 130
Nitrobenzene 0.745 0.100 0.8000 0 93.1 39.5 130
Pentachlorophenol 0.566 0.250 0.8000 0 70.8 34 130
Pyridine 0.274 0.250 0.8000 0 34.2 10 130
Surr: 2-Fluorophenol 0.951 1.000 95.1 17.1 130
Surr: Phenol-d6 0.861 1.000 86.1 10 130
Surr: Nitrobenzene-d5 1.08 1.000 108 32.6 130
Surr: 2,4,6-Tribromophenol 1.28 1.000 128 4.43 130
Surr: 2-Fluorobiphenyl 0.731 1.000 73.1 41.8 130
Surr: p-Terphenyl-d14 1.23 1.000 123 36.4 130
RunNo: 124026
SegNo: 3214914
°I°RPD RPDLimit Qual
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding tunes for preparation or anal
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
m
Revision v 1
Page 19 of 35

Client:
Summit Environmental Technologies, Inc.
su M 1 3310 Win St.
ENVIRONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223
Anwytkw LaborstorAft TEL: [phone] FAX.• (330) 2534489
Website: http://www.settek.com
Synagro
WO#: 21020849
19-Feb-21
Project: Roxboro WTP BatchID: 47896
Sample 1D: MB-47896
ID: PBS
Client
SampType: MBLK
Batch ID: 47896
TestCode: Mtl-TCLP
-7(6
TestNo: SW6010D
Analyte Result PQL
TCLP Arsenic(As) ND 0.500
TCLP Barium(Ba) ND 5.00
TCLP Cadmium(Cd) ND 0.100
TCLP Chromium(Cr) ND 0.200
TCLP Lead(Pb) ND 0.500
1"CLP Selenium(Se) ND 0.0500
TCLP Silver(Ag) ND MOO
Sample ID: LCS-47$96
Client ID:
Analyte
LCSS
SPK value
it
Un
s: mg/L
SV113010A
SPK Ref Val
Prep Date: Z/17/2021
Analysis Date: 2/19/2021
%REC LowLimit HighLimit RPD Ref Val
RunNo: 124031
SegNo: 3215388
%RPD RPDLimit Qual
SampType: LCS TestCode: Mtt-TCLP-7(6 Units: mg/L Prep Date: 2/17/2021 RunNo: 124031
Batch ID: 47896 TestNo: SW6010D SW3010A Analysis Date: 2/19/2021 SegNo: 3215389
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
TCLP Arsenic(As) 1.92 0.500 2.000 0 96.0 80 _ 120
TCLP Barium(Ba) ND 5.00 2.000 0 102 80 120
TCLP Cadmium(Cd) 1.97 0.100 2.000 0 98.6 80 120
TCLP Chromium(Cr) 2009 0.200 2.000 0 105 80 120
TCLP Lead(Pb) 2.03 0.500 2.000 0 102 80 120
TCLP Selenium(Se) 2018 0.0500 2.000 0 109 80 120
TCLP Silver(Ag) 2.08 0.500 2.000 0 104 80 120
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or ana13
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Revision v 1
Page2Qof35

Client:
Et�1�f1�QNh1�NTAL 1'�CNlS1Gi.GG���� #l�t�
Art�yt�aN L�ata�e�s
Synagro
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• [phone]
Website: http://www.settek.com
WO#: 21020849
19-Feb-Zl
Project: Roxboro WTP BatchID: 47896
Sample ID: 21020757-001AMS
Client I D:
Analyte
BatchQC
SampType: MS
Batch I D: 47896
Result
TestCode: Mtl-TCLP-7(6
TestNo: SWfi010D
PQL SPK value
Units: mg/L
SW3010A
SPK Ref Val
Prep Date:
Analysis Date:
2117/2021
2/19/2021
%REC LowLimit HighLimit RPD Ref Val
TCLP Arsenic(As) 1.90 0.500 2.000 0.02218 93.7 70 130
TCLP Barium(Ba) ND 5.00 2.000 0.1504 82.1 70 130
TCLP Cadmium(Cd} 1.76 0.100 2.000 0.001127 87.9 70 130
TCLP Chromium(Cr} 1.73 0.200 2.000 0 86.3 70 130
TCLP Lead(Pb) 1.54 0.500 2.000 0 77.0 70 130
TCLP Selenium(Se) 2.37 0.0500 2.000 0.02673 117 70 130
TCLP Silver(Ag) 1.94 0.500 2.000 0 97,0 70 130
Sample (D: 21020757-001AMSD
Client ID:
Analyte
BatchQC
SampType: MSD
Batch ID: 47896
Result
TestCode: Mtl-TCLP-7(6 Units: mg/L
Prep Date: 2/17/2021
RunNo: 124031
SegNo: 3216022
%RPD RPDLimit Qual
RunNo: 124031
TestNo: SW6010D SW3010A Analysis Date: 2/19/2021 SegNo: 3216023
PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
TCLP Arsenic(As) 1.98 0.500 2.000 0.02218 97.7 70 130 1.896 4.10 20
TCLP Barium(Ba) ND 5.00 2.000 0.1504 82.6 70 130 0 0 20
TCLP Cadmium(Cd) 1.78 0.100 2.040 0.001127 89.0 70 130 1.759 1.27 20
TCLP Chromium(Cr) 1.73 0.200 2.000 0 86.7 70 130 1.725 0.484 20
TCLP Lead(Pb) 1.56 0.500 2.000 0 77.8 70 130 1.540 1.02 20
TCLP Seleniurn(Se) 2.51 0.0500 2.000 0.02673 124 70 130 2.371 5.56 20
TCLP Silver(Ag) 1.92 0.500 2.000 0 96.1 70 130 1.940 0.951 20
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
H Holding times for preparation or anal}
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Revision vl
Page 21 of 35

Summit Environmental Technologies, Inc. (�C SUMMARY REP(JR
3310 Win St. Y
ElNVIttQNMENTAL T€CMNC�L,�JJiai��, ���` Cuyahoga Falls, Ohio 44223 WO •
An�r�yt�ca�► La�arator}�� ?'Ei: [phone] FAX.• [phone] # 21�20849
Website: http://www.settek.com 19-Feb-2�
Client: Synagro
Project: Roxboro WTP BatchID: 47905
Sample ID: MB-47905
Client ID: PBS
TCLP Mercury
Sample ID: LCS-47905
Client ID: LCSS
Analyte
TCLP Mercury
SampType: MBLK
Batch ID: 47905
Result
ND
SampType: LCS
Batch ID: 47905
Result
TestCode: HG TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
0.00200
TestCode: HG_TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val
Prep Date: 2/18/2021
Analysis Date: 2/18/2021
%REC LowLimit HighLimit RPD Ref Val
Prep Date; 2/18/2021
Analysis Date: 2/18/2021
°/4REC LowLimit HighLimit RPD Ref Val
0.00400 0.00200 0.00400 0 100 80 120
Sample ID: 21020757-001AMS SampType: MS TestCode: HG_TCLPt74 Units: PPM
Glient 1D: BatchQC Batch ID: 47905 TestNo: SW7470A SW7470A
Analyte Result PQL SPK value SPK Ref Val
TCLP Mercury
Sample ID: 21020757
Client ID: BatchQC
0.00473
0.00200
Prep Date; 2/18/2021
Analysis Date: 2/18/2021
%REC LowLimit HighLimit RPD Ref Val
0.00400 0 118 75 125
RunNo: 123996
SegNo: 3214062
%RPD RPDLimit Qual
RunNo: 123996
SegNo: 3214063
%RPD RPDLimit
Run No: 123996
SegNo: 3214079
%RPD RPDLimit
-001AMSD SampType: MSD TestCode: HG_TCLP(74 Units: PPM Prep Date; 2/18/2021 RunNo: 123996
Batch ID: 47905 TestNo: SW7470A SW7470A Analysis Date: 2/18/2021 SegNo: 3214080
Qual
Qual
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qua)
TCLP Mercury
0.00470
0.00200
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
0.00400 0 118 75 125
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
0.00473
0.636 20
H Holding times for preparation or anal3
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Revision v1
Page 22 of 35

rbu MI
E1NvinONMENTAL TECHNOLOGIES, INC
ArWytkil Laborairodes
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TES: (330) 2534211 FAX,* (330) 2534489
Websi te: http.pllwww.settek.com
Client: Synagro
Project: Roxboro WTP BatchID9 47905
Sample ID: 21020757-001AMSD SampType: MSD TestCode: HG_TCLP(74 Units: PPM Prep Date: 2/18/2021 RunNo: 123996
Client ID: Batch= Batch ID: 47905 TestNo: SW7470A SW7470A Analysis Date: 2/18/2021 SegNo: 3214080
21020849
l9-Feb-21
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
Sample ID: TCLP 131ank1 2-15-2 SampType: MBLK TestCode: HG_TCLP(74 Units: PPM Prep Date: 2/18/2021 RunNo: 123996
Client ID: PBS Batch ID: 47905 TestNo: SW7470A SW7470A Analysis Date: 2/18/2021 SegNo: 3214084
Analyte
TCLP Mercury
Result
ND
PQL
0.00200
SPK value SPK Ref Va!
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sample ID: TCLP Blank2 2-15-2 SampType: MBLK Tes#Code: HG_TCLP(74 Units: PPM Prep Date: 2/18/2021 RunNo: 123996
Client ID: PBS Batch ID: 47905 TestNo: SW7470A SW7470A Analysis Date: 2/18/2021 SegNo: 3214085
Analyte
TCLP Mercury
Result
ND
PQL
0
0.0020
SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sample ID: TCLP Blank1 2-16-2 SampType: MBLK TestCode: HG_TCLP(74 Units: PPM Prep Date; 2/18/2021 RunNo: 123996
Client ID: PBS Batch ID: 47905 TestNo: SW7470A SW7470A Analysis Date; 2/18/2021 SegNo: 3214086
Analyte
TCLP Mercury
Result
ND
PQL
0.00200
SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Revision vl
Page 23 of 35

UMMI Summit Environmental Technologies, Inc.
3310 Win St.
ENVIRONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.• (330) 2534489
Website: http://Www.settek.com
Client:
Synagro
Project: Roxboro WTP
Sample !D: TCLP Blank2 2-16*2 SampType: MBLK
Client 1D: PBS
Analyte
TCLP Mercury
Batch fD: 47905
Result
ND
TestCode: HG_TCLP(74 Units: PPM
TestNo: SW7470A SW7470A
PQL SPK value SPK Ref Val %REC
0.00200
WO#: 21020849
19-Feb-21
BatchID: 47905
Prep Date: 2/18/2021
Analysis
Date; 2/18/2021
LowLimit HighLimit RPD Ref Val
Sample 1D: MB2-47905 SampType: MBLK TestCode: HG TCLP(74 Units: PPM Prep Date: 2/18/2021
Client ID: PBS Batch ID: 47905 TestNo: SW7470A SW7470A Analysis Date: 2/18/2021
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val
TCLP Mercury
ND
0.00200
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC
ND Not Detected P Second column confirmation exceeds PL
R RPD outside accepted recovery limits RL Reporting Detection Limit S
RunNo: 123996
Seq No: 3214087
%RPD RPDLimit Qual
RunNo: 123996
SegNo: 32140$8
%RPD RPDLimit Qual
Holding times for preparation or anal
Value is below Minimum Compound
Permit Limit
Spike Recovery outside accepted reco
Revision vl

Summit Environmental Technologies, Inc. QC SUMMARY REPORT
UMMI 3310 Win St.
ENVIRONMENUL TECNNO t OGIES, INC Cuyahoga Falls, Ohio 44223 WO#: 21020849
Anw~ LSAW&kww TEL. [phone] FAX. [phone]
Websi te: http://Www.settek.com 19-Fe&21
Client: Synagro
Pr0j ect: Roxboro WTP BatchID: R123940
Sample ID: LCS-R123940
Client [Do LCSS
� Analyte
Sample I D: 21020833-004ADU P
Client ID: Batch=
Analyte
SampType: LCS
Batch ID: R123940
Result
SampType: DUP
Batch ID: R123940
Result
TestCode: pH_S(9045D) Units: s.u.@17.9C
TestNo: SW9045D
Prep Date:
Analysis Date: 2/17/2021
PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val
7.0 0 100 90 110
TestCode: pH_S(9045D) Units: s.u.@17.5C
TestNo: SW9045D
Prep Date;
Analysis Date: 2/17/2021
PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val
RunNo: 123940
SegNo: 3211735
%RPD RPDLimit Qual
RunNo: 123940
SegNo: 3211737
%RPD RPDLimit Qual
pH 6.1 0 0 0 0 6.1 0 10
Sample tD: PH 7 CHECK
Client ID: LCSS
Analyte
SampType: LCS
Batch ID: R123940
Result
pH 7.0
TestCode: PH_S(9045D) Units: s.u.@18.00
TestNo: SW9045D
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
PQL SPK value SPK Ref Val
Prep Date;
Analysis Date: 2/17/2021
%REC LowLimit HighLimit RPD Ref Vat
TO 0 101 90
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
110
RunNo: 123940
SegNo: 3211743
%RPD RPDLimit Qual
H Holding times for preparation or anal}
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Revision vl

summ, Summit Environmental Technologies, Inc. QC SUMMARY REPORT
3310 Win St.
ENVIRONMENTAL'MCHNOLOGtER, INC Cuyahoga Falls, Ohio 44223 WO#: 21020849
A LabporAtorlo• TEL: [phone] FAX.• (330) 2534489
Websi te: htW : Ilwww. settek. com 19-Feb-21
Client: Synagro
Proi ect: Roxboro WTP
Samp{e ID: LCS-R123983
Client ID:
Analyte
LCSS
BatchID:
R123983
SampType: LCS TestCode: Ignitability_S Units: mm/sec Prep Date: RunNo: 123983
Batch ID: R123983 TestNo: SW1030 Analysis Date: 2/18/2021 SegNo: 3213604
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
ignitability 7.56 7.240 0 104 70 130
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal)
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
ts RL Reporting Detection Limit S Spike Recovery outside accepted reco
R RPD outside accepted recovery limi
Revision vl

Summit Environmental Technologies, Inc.
SUMMI 3310 Win St.
EHVIRONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223
A"ly"Um L��bars�orl TES: [phone] PAX: [phone] WO#: 21020849
Websi te: htaZ: //www. settek. com 19-Fe&21
Client: Synagro
Project: Roxboro WTP BatchID: R124016
Sample ID: LCS SampType: LCS TestCode: TCLP-SVOC- Units: mg/L Prep Date: RunNo: 124016
Client ID: LCSS Batch ID: R124016 TestNo: SW8321 Analysis Date: 2/17/2021 SegNo: 3214630
Analy#e Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
D 0.360 0.0100 0.3000 0 120 60.5 141
29415-TP 0.342 0.0100 0.3000 0 114 68.3 144
Surr: 2,4-Dichlorophenylacetic acid 3.11 3.000 104 70 130
Sample ID: LCSD
Client ID: LCSS02
� Analyte
SampType: LCSD
Batch ID: R124016
Result
TestCode: TCLP-SVOC- Units: mg/L
TestNo: SW8321
PQL SPK value SPK Ref Val
Prep Date; RunNo: 124016
Analysis Date: 2/17/2021 SegNo: 3214631
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit
Qual
2,4-D 0.346 0.0100 0.3000 0 115 60.5 141 0.3603 3.99 30
0.338 0.0100 0.3000 0 113 68.3 144 0.3418 1.27 30
Surr: 2,4-Dichlorophenylacetic acid 2.99 3.000 99.7 70 130 0 0
Sample ID: M8
Client ID: PBS
Analyte
SampType: MBLK
Batch ID: R124016
Result
TestCode: TCLP-SVOC- Units: mg/L
TestNo: SW8321
PQL SPK value SPK Ref Val
214-D ND 0.0100
2,4,5-TP ND 0.0100
Surr: 2,4-Dichlorophenylacetic acid 0.888
Qualifiers: B Analyte detected in the associated Method Blank E
J Analyte detected below quantitation limits M
ND Not Detected p
R RPD outside accepted recovery limits RL
1.000
Prep Date: RunNo: 124016
Analysis Date: 2/17/2021 SegNo: 3214632
%REC LowLimit HighLimit RPD Ref Val
Value
above quantitation range
Manual Integration used to determine area response
Second column confirmation exceeds
Reporting Detection Limit
130
%RPD RPDLimit Qual
H Holding times for preparation or anal3
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Revision v 1
Page 27 of 35

Client:
Project:
Summit Environmental Technologies, Inc.
U M 1 3310 Win St.
MVIRONMENTAL TECMNOI.OGIFS, INC Cuyahoga Falls, Ohio 44223
tnalyfkal Labor8tor TEL: [phone] FAX.• (330) 2534489
Website: hQ.911www.settek.com
Synagro
Roxboro WTP
Sample ID: 21020$49-001AMS
Client !D:
Analyte
Roxboro WTP
2,4-D
2,4,5-TP
Surr: 2,4-Di
SampType: MS TestCode: TCLP-SVOC- Units: mg/L Prep Date:
WO#: 21024849
l9-Feb-2l
BatchID: R124016
Batch ID: R124016 TestNo: SW8321 Analysis Date: 2/17/2021
Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val
16.6 MOO 15,00 0 110 60.5 141
15,7 MOO 15,00 0 105 68.3 144
chlorophenylacetic acid 144 150.0 96.0 70 130
Sample ID: 210208/49-001AMSD SampType: MSD
Client ID: BatchQC Batch ID: R124016
Analyte
Result
TestCode: TCLP-SVOC- Units: mg/L
TestNo: SW8321
PQL SPK value SPK Ref Val
Prep Date:
Analysis Date: 2/1712021
%REC LowLimit HighLimit RPD Ref Val
RunNo: 124016
SegNo: 3214633
%RPD RPDLimit C�ual
RunNo: 124016
SegNo: 3214634
%RPD RPDLimit Qual
2,4-D 17.6 0,500 15.00 0 118 60.5 141
2141 -jr5 16.8 0.500 15.00 0 112 68.3 144
Surr: 2,4-Dichlorophenylacetic acid 152 150.0 102 70 130
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or ana13
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Revision v 1
Page 28 of 35

Summit Environmental Technologies, Inc.
SUMMI 3310 Win St.
ENVIRONMENTAL TECNNOLOGIES, INC Cuyahoga Falls, Ohio 44223
L46W8#0046 TEL: [phone] FAX: [phone]
Websi te: http://Www.settek.com
Client: Synagro
Project: Roxboro WTP
Sample ID: 21020770-001ADUP
SampType: DUP
TestCode: FreeLiquid_S
Units:
Prep Date:
BatchID:
R124036
RunNo: 124036
21020849
I9-Feb-2l
Client ID: BatchQC Batch ID: R124036 TestNo: SW9095 Analysis Date: 2/19/2021 SegNo: 3215384
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighUmit RPD Ref Val %RPD RPDLimit Qual
Free Liquid pass 0 0 20
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal3
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Revision V 1
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco

Summit Environmental Technologies, Inc.
summilt 3310 Win St.
ENVIRONMENTAL TCCHN0L0G1FS* IRro Cuyahoga Falls, Ohio 44223
An Jy►tk &1 Laborstoriog TEL [phone] FAX: [phone]
Website: httP://www.settek.com
Client:
Project:
Sample ID: Blank
Client ID: PBS
Analyte
Cyanide, Reactive
Sample ID: LCS
Client ID: LCSS
Analyte
Cyanide, Reactive
Synagro
Roxboro WTP
Sample ID: RLCheck
Client ID: BatchQC
Analyte
Cyanide, Reactive
Sample ID: 21020746w001AMS
Client ID: BatchQC
Analyte
Cyanide, Reactive
SampType: MBLK TestCode: Cyanide,Rea Units: mg/Kg
Batch ID: R124054 TestNo: SW9014
Result PQL SPK value SPK Ref Val
ND 0.485
SampType: LCS
Batch ID: R124054
Result
9.16
SampType: RLC
Batch ID: R124054
Result
ND
SampType: MS
Batch ID: R124054
Result
1410
TestCode: Cyanide,Rea Units: mg/Kg
TestNo: SW9014
PQL
1.94
SPK value SPK Ref Val
Batch]D:
Prep Date:
Analysis Date: 2/19/2021
%REC LowLimit HighLimit RPD Ref Val
Prep Date:
Analysis Date: 2/19/2021
%REC LowLimit HighLimit RPD Ref Val
10.00 0 91.6
TestCode: Cyanide,Rea Units: mg/Kg
TestNo: SW9014
PQL SPK value SPK Ref Val
E:161
115
Prep Date:
Analysis Date: 2/19/2021
%REC LowLimit HighLimit RPD Ref Val
0.490 0.5000 0 0 65 135
TestCode: Cyanide,Rea Units: mg/Kg
TestNo: SW9014
PQL SPK value SPK Ref Val
0.490
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
10.00
C
Prep Date:
Analysis Date% 2/19/2021
%REC LowLimit HighLimit RPD Ref Val
11.0
75
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
125
Wo#:
R124054
RunNo: 124054
SegNo: 3215853
21020849
19-Fe&21
%RPD RPDLimit Qual
RunNo: 124054
SegNo: 3215854
%RPD RPDLimit Qual
RunNo: 124054
SegNo: 3215856
%RPD RPDLimit Qual
RunNo: 124054
SegNo: 3215858
%RPD RPDLimit Qual
H Holding times for preparation or anal}
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
SQMR
Revision vl
Page 30 of 35

Client:
rbUMMI
ENVIrIONMENTAL TECHNOLOGIES; INC
ArWyticel Laboraloree
Synagro
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Websi te: h tW .&11www. settek. com
WO#: 21020849
l9-Feb-21
Project: Roxboro W'FP BatchID: R124054
Sample ID: 21020746-001AMS
Client ID;
Analy#e
BatchQC
SampType: MS TestCode: Cyanide,Rea Units: mg/Kg
Batch ID: R124054 TestNo: SW9014
Result PQL SPK value SPK Ref Val
Prep Date:
Analysis Date: 2/19/2021
%REC LowLimit HighLimit RPD Ref Val
RunNo: 124054
SegNo: 3215858
%RPD RPDLimit
Qual
Sample ID: 21020746-001AMSD SampType: MSD TestCode: Cyanide,Rea Units: mg1Kg Prep Date: RunNo: 124054
Client ID: BatchQC Batch ID: R124054 TestNo: SW9014 Analysis Date: 2/19/2021 SegNo: 3215859
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
Lyaniae, Reactive
3.20 0.485 10.00 0 32.0 75 125 1.102
97.5 10 RS
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC 'value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Revision vl
Page 31 of 35

Summit Environmental Technologies, Inc.
SUMMI 3310Win St.
EHVIRONMEN'TAL TiECHHOL CICS* tNC Cuyahoga Falls, Ohio 44223
LwwoA�iQ1' TEL; [phone] FAX: [phone]
Website; http;//www.settek.com
Client: Synagro
Project: Roxboro WTP
Sample I
Client ID:
D: MB-R124055
PBS
SaIII pType: MBLK
Batch I D: R124055
TestCode: Sulfide,React Units: mg/Kg
TestNo: SW9034
BatchID:
R124055
Prep Date: RunNo: 124055
Analysis Date: 2/19/2021 SegNo: 3215877
21020849
19-Feb-21
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
Sulfide, Reactive ND 25.0
Sample ID: LCS-R124055 SampType: LCS TestCode: Sulfide,React Units: mg/Kg Prep Date: RunNo. 124055
Client ID: LCSS Batch ID: R124055 TestNo: SW9034 Analysis Date: 2/19/2021 SegNo: 3215878
Analyte
Sulfide, Reactive
Sample ID: 2�020746-001AMS
Client ID: BatchQC
Result PQL
2420 25.0
SampType: MS
Batch ID: R124055
SPK value SPK Ref Vai
%REC LowLimi# HighLimit RPD Ref Val
2510 0 96.4 85 115
TestCode: Sulfide,React Units: mg/Kg
TestNo: SW9034
%RPD RPDLimit Qual
Prep Date: RunNo: 124055
Analysis Date: 2/19/2021 SegNo: 3215880
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Quaf
Sulfide, Reactive 2320 25.0 2510 0 9204 80 120
Sample ID: 21020746-001AMSD SampType: MSD TestCode: Sulfide,React Units: mg/Kg Prep Date: RunNo: 124055
Client ID: BatchQC Batch ID: R124055 TestNo: SW9034 Analysis Date: 2/19/2021 SegNo: 3215881
Val
Analyte Result PQL
Sulfide, Reactive 2360 25.0
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref
2510 0 94.0 80 120
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
%RPD RPDLimit Qual
H Holding times for preparation or
anal
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
30
Revision v 1

Client:
Project:
Summit Environmental Technologies, Inc.
SUMMI 3310 Win St.
ENVIRONMENTAL TECNNOLOGiES, INc Cuyahoga Falls, Ohio 44223
A l l L�&a a TEL: [phone] FAX: [phone]
Synagro
Roxboro WTP
Sample ID: 21020746-001AMSD Sam pType: MSD
Client ID:
Anafyte
Qualifiers:
BatchQC
Batch ID: R124055
Result
Website: http://www.settek.com
B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
TestCde: SuifideReact Units: mg/Kg
o,
TestNo: SW9034
PQL
SPK
value SPK Ref Val
BatchID:
Prep Date:
Analysis Date: 2/19/2021
%REC LowLimit HighUmit RPD Ref Val
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
21020849
�9-Feb-21
R124055
RunNo: 124055
SegNo: 3215881
%RPD RPDLimi#
H Holding times for preparation or anal
MC Value is below Minimum Compound
PL
Permit Limit
S Spike Recovery outside accepted reco
Qual
Revision vl

UC-QAC(?C338 Ra+r. 43
MMIT
ENVIRONMENTAL TECHNOLOGIES, INC_
3310wia st...t
0
w
s
AnalyBis 42CgU eSt I �bain of �USIO Y
Page'1 of 1
Elliactivo t7►atc; I �!q 1/,tOl 9

Summit Environmental Technologies, Inc.
UMMIT 3310 Win St.
EM1L/1l'3^1L1M iiAL i C"N4LVultzb; trt
r4fy�ica� t ��t�ratorl�►s
Client Name: SYN=NC-27028
Logged by: Christina N. Jager
Completed By: Christina N. Jager
Reviewed By: Jennifer Woolf
Chain of Custody
1. Is Chain of Custody complete?
2. How was the sample delivered?
3• Coolers are present?
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX.- (330) 2534489
Website: httD:Ilwww.settek. com
Work Order Number: 21020849
2/16/2021 10010200 AM
2/16/2021 12:37:57 PM
2I16/2021 12:59:58 PM
4o Shipping container/cooler in good condition?
Custody seals intact on shipping container/cooler?
No. Seal Date:
5, Was an attempt made to cool the samples?
�® Were all samples received at a temperature of >0° C to 6.0°C
7. Sample(s) in proper container(s)?
$. Sufficient sample volume for indicated test(s)?
g• Are samples (except VOA and ONG) properly preserved?
1 Q • Was preservative added to bottles?
11. Is the headspace in the VOA vials less than 1 /4 inch or 6 mm?
12. Were any sample containers received broken?
13. Does paperwork match bottle labels?
(Note discrepancies on chain of custody)
14. Are matrices correctly identified on Chain of Custody?
15. Is it clear what analyses were requested?
16. Were all holding times able to be met?
(If no, notify customer for authorization.)
Special Handlin_a (if applicable)
1
7, Was client notified of all discrepancies with this order?
Person Notified:
By Whom:
18• Additional remarks:
Cooler Information
Gooier No
1
Te
mp °C Condition Seal Intact
•9 Good Not Present
Yes 0
UPS
Yes 0
Yes 0
Yes ❑
Signed By:
Yes F*/1
Yes �
Yes ❑
Yes ❑
Yes 0
Yes 0
Yes 0
Yes �
Yes ❑
Sample Log -In Check List
No ❑
No ❑
No ❑
No ❑
No ❑
Via; ❑ entail [� Phone ❑Fax
RcptNo: 1
Not Present ❑
NA ❑
Not Present
NA ❑
NA ❑
NA ❑
No VOA Vials 0
❑ fn Person
Seal No Seal Date I Signed B

sion of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker revti
iew me and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processin and review time for the
permit application. Unless otherwise noted the A licant shall submit one g
•ri�inal and two copies of thapplication and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Disc
e Permi,
Unit
General —This certification provides. detailed information of receiving sites for land application of Class B residuals ma include
water treatment plant or other a residuals in accordance wi ( Y
type ) th 15A NCAC 02T .1100. Do not submit this certification for review
Without a corresponding application form (FORM: RLAP 0646 or FORM: SDR 0646).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below. pp g
A. Land Application Site Certification (FORM: LASC 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC -
(F 06 16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® For new or renewed permits, submit the requested information for all land application sites.
For modified permits, submit the requested information for o those sites that are new, transferred or affected b the
proposed modification. y
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be pro
vided In table I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Required Item Status Code
N R T M
F�
County Board
Notification. doc
,M
Land Owner '� ✓ ✓
Agreement
(If applicable)
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
for Residuals Land Application Permits" `� ✓ ✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
Evaluation Policy" ✓
INSTRUCTYONS FOR FORM; LASC 06-16
Page 1 of 3

An updated accounting of the land application site's cumulative
pollutant loading rates (CPLRs)
Required Itein
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evalnatinn PnIl( v"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same time
* This item may be required for land applicati
determining attachment requirements.
eriod
Status Code
N
R
T
M
on site with a status code , please contact the Division if you need assistant in
® Crop Type should include the most likely crop types for the life of the permit (f ve ears .
Y )
® Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the exist'
mg permit, or
name of the soil series as provided by the licensed soil scientist.
® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Ma in Unit or the representative Pp g p slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
® For sites previously permitted for use, but do not have an established soil mappingunit (the mappingunit provi
des
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
P
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
® New Sites to be permitted must have slopes determined as part of the soils report Y
b a licensed soil scientist.
prepared
® Acceptable methods for determining location coordinates (i.e., latitude and
longitude) and their corresponding cod
es are asfollows:
• Address Matching (ADD)
•
• Digital or Raw Photo Extraction (EXT)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Ma to identify the location where p fy e the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: h ://de .nc. ov/about/divisions/w - atcr
resources/planning/classification-standards/classifications
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
El A list of the Division's regional offices, their county coverage, and their contact information may be downloaded
at.
http://deq.nc.gov/contact/regional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasms, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed}.
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the Waterbody name.
3. Open the link http://deg.nc.gov/about/divisions/water-resources/planning/classification standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial ro'ect information.
P J
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in
INSTRUCTIONS FOR FORM: LASC o6-16
Basin sorted report. Sort hydrologically as this will provide
Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
if in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN ARE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
p
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B 0301(i)
El Any stream which is not named in the schedule of stream classifications carries the same classification as
that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams enteringother states or for specific area
basin: p s of the
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Little Tennesse River
Basin And Savannah
River Drainage Area
French Broad River
Basin
Watauga River Basin
Broad River Basin
New River Basin
Catawba River Basin
Yadkin -Pee Dee River
Basin
Lumber River Basin
Roanoke River Basin
Chowan River Basin
Tar -Pamlico River
Basin
Pasquotank River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr, "
Streams CHUM ing Georgia or Tennessee shall be classified IV Tr." Such streams in
River drainage area entering South Carolina shall be classified "B Tr."
Streams entering Tennessee will be classified "B."
Streams entering
Streams entering
Streams entering
Streams entering
Streams entering
classified "C."
the State of T
ennessee are classified "C."
South Carolina are classified "C."
the State of Tennessee are classified "C."
South Carolina are classified "C."
Virginia are classified "C," and such streams entering South Carolina are
treams entering _South Carolina are classified "C Sw."
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Streams entering Virginia are classified "C." _
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified �t SC.��
g
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16
Page 3 of 3

Applicant's name: City Of Roxboro
Land application sites currently certified: 164.2 net acres and Total to be certified: 1_29.6 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Predominant Soil
Status Site/Field Landowners Lessees or O er
Code' ID () () p ator(s) Net Acres County Crop(s) Mapping Unit
S
Series Nameb or Rep. gl p ope
D NC-PS-26-5 Jerry W. Martin Same 10.0 Person Hay Georg eville GeB
D NC-PS-26=6 Jerry W. Martin Same 8.5 Person Pasture Georg eville GeB
D NC-PS-26-7 Jerry W. Martin Same 16.1 Person Pasture Georg eville GeB
R NC-PS=24m l Ronald W. Carver Same 23.3 Person Hay Georg eville GeB
R NC-PS-24-2 Ronald W. Carver Same 4 A Person Hay Georg eville GeB
R NC-PS-24-3 Ronald W. Carver Same 4.3 Person Hay Georg eville GeB
R NC-PS-254A Paul L. Bailey Same 2002 Person Hay Georg eville GeB
R NC-PS-254B Paul L. Bailey Same 3.1 Person Hay Georg eville GeB
R NC-Ps-25-2 Paul L. Bailey Same 7.3 Person Pasture Georg eville GeB
R NC-PS-25-3 Paul L. Bailey Same 9.0 Person Pasture Georg eville GeB
R NC-PS-254 Paul L. Bailey Same 11.7 Person Pasture Georg eville GeB
R NC-PS-25-5 Paul L. Bailey Same 1.6 Person Pasture Georg eville GeB
R NC-PS-264 Henry J. Martin Same 5.2 Person Pasture Geor evile GeB
R NC-PS-26-2 Henry J. Martin Same 7.1 Person Pasture g
Geor eville GeB
g
R NC-PS-26-3 Henry J. Martin Same 18 A Person Pasture Georg eville GeB
R NC-PS-261 4 Henry J. Martin Same 14.0 Person Ha Geor eville
Y g GeB
a Status Code for land application sites are. ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
Soil Series Name (i.e. Appling, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
FORM: LASC 06-16
Page 1

LAND APPLICATION SITE CERTIFICATION
°f ff 0 ► ►► NAD 83 ADD Nearest Second
°f if f if NAD 83 ADD Nearest Second
°f ►► f it NAD 83 ADD Nearest Second
°f it ° ► ►► NAD 83 ADD Nearest Second
° ► it 1 ►► NAD 83 ADD Nearest Second
°f if °1 ►► NAD 83 ADD Nearest Second
°r ►► °1 ►► NAD 83 ADD Nearest Second
Note: Please keep the site information (I.) and waterbody information (II.} of the same Feld %J the same page.
FORM: LASC 06-16
Page 2

Site ID:
®wners Name:
Address:
Phone:
®perator:
Fields
SITE SUMMARY
City of Roxboro WQ#0021826
NC-PS-24
Ronald W. Carver
105 Carver Farm Road
Roxboro, NC 27573
[phone] home,
336) 583=0655 mobile
same
Estimated
Applicable
Acres
TOTALS 32.0
Notes:
Roxbaroa NC
[phone] office
Person County
RYE Based
Predominant
Date: 02/22/21
Latitude &
itude

GP��
D►ivislon of Water Resourc
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 —LAND O`'VNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided bones will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processin and review time for the
g
permit application. Unless otherwise noted the A licant shall submit one on final and two co ies of the a lication and
supporting documentation �--
For more information, visit the Water Quality Permitting Section's Non -Disci
�e Permittin.
nit.
General —This document is an agreement between the Applicant and land owners) of residuals receiving sites for land a lication of
Class B residuals (may include water treatment lant or other pp
p type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supportin documentation listed
below.
g
A. Land Owner Agreement (FORM: LOA 06-16):
� Submit the completed and appropriately executed Land Appli
not make any unauthorized content changes to this form. If
the application may be made, as long as the attachments are
refer.
cation Site Certification (FORM: LASC 06-16) form. Please do
necessary for clarity or due to space restrictions, attachments to
numbered to correspond to the section and item to which they
® Prepare a separate agreement for each set of land application sites that are owned or o erated b an enti
Applicant.
p y ty other than the
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the less
ee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: City of Roxboro
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the followin land
g
application sites) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as iven in this
Agreement:
g
Lease Land Use or Residuals Source Special note
Site/Field ID (yes/no) Cro in Patterns Intended Use of Crops (no-till/over-seed/
pp g (optional)
pasture)
NC-PS-24-1 No Hay Animal Feed
NC-PS-24-2,3 No Pasture Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application sites) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application ro ram and
shall be renewed each time this permit is renewed.
P g
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this A reement.
g
FORM: LOA 06-16
Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the sites) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application sites) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application sites) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
S. If the soil pH of the land application sites) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on chop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application sites) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application sites) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application sites) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application sites) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, This Agreement.
II. RESTRICTIONS:
l . Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
srte(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application sites) fora 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested fora 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested fora 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested fora 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface ofthe land shall not be harvested fora 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested fora 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h} allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for fields} ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
®A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application fields) ID: is currentl ermitted under another
YP
residuals land application program; Permit Number W�: .The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the fields) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16
Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application sites) and am authorized to make decisions
regarding the use of the land application sites) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application sites) on behalf of the
deeded landowners. I certify that the above -referenced land application sites) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application sites} as specified
herein.
Landowner name: �\ 0 � �L� � ��'�(�.
Address: � � � l� � ��� ` � �v�^9 �P�
City•
Phone:
Signature:
State: � � Zip:
33 �' ~ S�°� ' �� � � E-mail address:
NORTH CAROLINA, ER-� � � COUNTY
I, the undersigned Notary Public do hereby certify that
�7
Date: .L. " %� '_�
personally appeared before me this day and acknowledged the due execution of the forgoing
WITNESS my hand and official seal this the
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
20 Z
lllStrunlent``,,��t��� � �i�l����i
��
� Y
_►
� � Z � = ` w' ''.
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State:
Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Si
r
Date:
FORM: LOA 06-16
Page 3 of 3

fi
1
1
j
r
4,000' p
4,000'
The compliance boundary is established either 250ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-PS-24
Fields 1-3

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LEGEND
APPLICATION AREA 5 do UNSUITABLE AREA
n n
— — — — — — PRIVATE ROAD OW WATER GRAPHIC SCALE
— — — — STREAM 0 ONSITE HOUSE 1" = 660'
----- — ---- DRAIN E OFFSITE HOUSE
�—Ae FENCE L�j OUTBUILDING
PROPERTY LINE (� WELL
Ir
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
IF
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
660' 0 660'
NC-PS-24
Fields 1-3

lit i •i4 iME. ME ME -, t 1 1 {. y
� to IS apiel 4
I It
' `
0 No flow�16
_Roo ' . _ f
I of
of goo 4,
E to ME
Me 0
F, godo w of 0
1, :., , �,,
�0 1 Y. go. air _ ` driftli•i (t •` sr .�,y.'.r,,AN tl......... �„
14
No 0
ND oil,
!� �' iMile � _ .. —ME
� i F J. mot__
t t Nor 'i.• I -_ ;' f { i t. IQ END 0 a ~ems
,' {
vote"' ge"it Me set
id . r t1326f,d ME - F four MORE_
_ , ror ,,� t
- -P At�,_ _ �rtr
do 017
_ _<
MEN:
ME me goi 0
ME Nor ME
IsOMENOE as
me as WE
t1 ! . �_ : _ t. r 1of
a a OF EN ED MEN ME
4 go it
.0 NEW
Mill7:
ISO
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is 1 01*1 go" 4T -9 11, M\ lei 0 qqP 0 of 06 3
iWE ME GOP e
MEN
ME I it I
Is
1... �. le, b go floor if Va
No I
ME
fout
ow so
Nor o Ile Upti
13
So ME AS ME i ' go to
«..
IN I
go 'of �' Or
� i
c_
r 41,
ME ME goi .... , j ,r� _ bi
Me Ile 'i go {
ME Mir Ot
3 a INN 0 to , 4 MON fog Ptfew to ,
get
MEN
... ��-MOM :bgo
_ y,ME t fit- �,
MEN og
MEN MEMO ME Nownit a
offid, ME, ME ONE No we
foe ME M ME go
or" :4go%04POWIL I I of fee \V ON foll,
,' f- ME, ME ! to No.�
IEmerge `
4 to
OF
�.l. . - I _f MEMO i { , ELI of
800' 0
aao'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and fihe perimeter of the residuals application area. All
locations are approximate,
Ids
1-3

►._ � ;
��
t _
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The compliance boundary is esfiablished either 250 ft from the residuals application area or 50 feet within

I,
u in ii i ii iu iu ii a imii i i iii
Doc No: 392021
Recorded: 02/25/2021 11:0224 AM
Fee Amt: $26.00 Page 1 of 2
Person County North Carolina
Tonya R. Wilson, Register of Deeds
BK 1068 PG 531 - 532 (2)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
AGREEMENT TO WAIVE SETBACKS PURSUANT TO
15A NCAC 02T 1108(c)
��'� � certify that I am a deeded owner of the property located at:
Address: y Z. �J �& rl�C FAN�j Parcel No.:
City: U XBo(Lo State: L Zip Code: S 7 3 County: Pffr'4 L,r\.1
Furthermore, I certify that I am authorized to make decisions regarding this property, and that I do hereby
agree that the setback distances cited below be granted to the Applicant/Permittee listed on the following
page.
For the parcel identified above, I consent to a reduced setback from feet to U v feet,
thereby allowing the application of Class B residuals as near as 50 feet from my property line.
❑identified above, I consent to a reduced setback from _feet to feet
For the parcel
thereby allowing the application of Class B residuals as near as feet from m residence.
Y
* *THIS WAVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED
Signature: ('00
Date: � —o1a —oZ r
FORM: NDRMPW-LAS 11-18 Page 1 of 2

ApplicanuPermittee :
Address:
city: 01%�
NORTH CAROLINA,
do hereby certify that
Parcel No.:
State: cm Zip Code: Z 7 �7 3 County: `Pe C>,,,
COUNTY
a otary Public for LItW4o4c NCounty, North Carolina,
personally appeared before me this day
and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this the � day of
SEAL ``�������`���, �� �►��r,`,�,
tar
P r'
Y �
CIA
COU
1411/111m1160►o
Signature of Notary Public
fly commission expires
��l6�ZvL
Once notarized, this form shall te recorded at the Register of Deeds in the county or
counties in which the described properties are located. A copy of the recorded
waiver shall be sent to the following address:
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
jrh,, North Carolina 27699461
Document shows proof /acknowledgement before
officer authorized to take proof /acknowledgement;
acknowledgement includes officer's signature,
commiss o ation date,official seal, if required.
Tonya R. Wilson, Pe o Co y Register of Deeds
FORM: NDRMPW-LAS l t-18 Page 2 of 2

CUMULATIVE METAL LOADINGS (LBS/AC) AS OF 12/31/2021
The cumulative metals for this report come from HISTORY records (i.e. the monthly monitoring process has been completed for the State and County where the Fields are located)
In cases where a trace metal lab result was Not Reported to Synagro or tracking of metal loading was Not Required the loading on the report is displayed as "NR"
FIELDID
NC-PS-00024,0-0001-
4C-PS-00024-0-0002-
NC-PS-00024-0-0003-
Last Date Applied
AS
CR
CU
HG
07/29/2020 1.28183 0.27465 10.30744 65.21891 6.44501 0a 16446
07/29/2020 0.83434 0.16809 7.07716 47.11905 4.56498 0.11022
0 r/30/2020 0.88339 0.16660 7.19017 45.09088 4.38512 0.10965
MO NI SE go III
1.13642 6.09145 0.85434 117.42431
0.80391 4.68499 0953036 83.53607
0.79734 4.55470 0.49963 78.90392
Report Date/Time: 2/26/2021 1:56:17 PM
Page 1 of 1

Site ID:
Owners Name:
Address:
Phone:
Operator:
Fields
1A
3
TOTALS
Notes
SITE SUMMARY
City of Roxboro WQ#0021826
Roxboro, NC
NC-PS-25
Paul L. Bailey
2260 Haywood Bailey Road
Roxboro, NC 27574
[phone] home, [phone] mobile
same
Estimated
Applicable
Acres Cro s
20.2 1 fescue(hay)
3.1 � fescue(hay)
7.3 � fescue(pasture)
9.0 � fescue(pasture)
11.7 � fescue(pasture)
1.6 � fescue pasture)
52.9
Person County
RYE Based
PAN a
211
211
158
158
158
158
Predominant
Soil Series
Georgeville(GeB)
Georgeville(GeB)
Georgeville(GeB�
Georgevilfe(GeBj
Herndon(HrB�
Georgeville(GeBj
Date: 02/22/21
Latitude &
Longitude
36° 28' 40" N
78
78
78
° 57' 00"W
36° 28' 51" N
° 57' 17"W
36° 29' 01" N
° 57' 19" W
36° 28' 48" N
78° 57' 01" W
36° 29' 01 " N
78° 57' 02" W
36° 29' 07' IV
7$° 56' 50" W

Dtvtston of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 -- LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided bones will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the A licant shall submit one on final and two co ies of the a lication and
supAorting _documentation
For more information, visit the Dater Quality Permitting Section's Non -Discharge P
�mittin.
nit.
General —This document is an agreement between the Applicant and land owners) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16 form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which the
refer.
Y
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY O�'VNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: City of Roxboro
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application sites) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Lease Land Use or Residuals Source Special note
Site/Field ID (yes/no) Cro in Patterns Intended Use of Crops (no-till/over-seedl
Pp � (optional) pasture
NC-PS-25-1A,1B No Hay Animal Feed
NC-PS-Z5-Z,3,4,5 No Pasture Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application sites) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16
Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the sites) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application sites) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II} are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application sites) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application sites) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
{e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application sites) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application sites) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application sites) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application sites) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
l . Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
sites) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application sites) fora 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested fora 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested fora 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested fora 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested fora 3 S-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested fora 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h} allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
®A re -defined compliance boundary is needed for fields) ID: NC-PS-25-3
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application fields) ID: is currently permitted under another
residuals land application program; Permit Number �VQ: .The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the fields} be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16
Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application sites) and am authorized to make decisions
regarding the use of the land application sites) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application sites) on behalf of the
deeded landowners. I certify that the above -referenced Land application sites) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application sites) as specified
herein.
Landowner name: ��� 1. l— • �� 1 L'Ei
Address: Z�bti �,j��,w�� �R1i,eY \LoRO
City: ����o� State: � �- Zlp; Z�157'�
Phone: ��J�o " 5°1°1 ` 5'Ll �
Signature: 1' Q.�J
NORTH CAROLINA, �fl.0 ot�
E-mail address: 1' 13 A I �� ta, ES I+� 1, - N t�C'
�.n _ Date: Z / � 9 /Z� Z �
I, the undersigned Notary Public do hereby certify that
COUNTY
personally appeared before me this day and acknowledged the du
WITNESS my hand and official seal this the
1 . 1 � `,j
•,. ,,1 -,
My commission expires:
Lessee's/Operator's Certification:
���
e execution of the forgoing instrum+@� G Q p� '�•,,��
l� • ntm. <C' �i
'� tom
t •
20 1 � ,q�y
w
.__'V. . _ r., r � _ �
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State:
Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
Date: Z� `� � �2..
FORM: LOA 06-16
Page 3 of 3

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4,000' 0
4,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.

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FENCE
PROPERTY LINE
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4 �• �4♦♦. i ♦1 i = 1
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l� �'�, I Y � Y � . _ '\ I+ � YY:' 1,.�'_' • 5�.w rT'�T Y- ;-i..
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
660' 0
��
Fields 1-5
660'

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GRAPHIC SCALE
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The compliance boundary is established either 25o ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-5

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The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
1

1111111111111111111111
Doc No: 392020
Recorded: 02/25/2021 11:0223 AM
Fee Amt: $26.00 Page 1 of 2
Person County North Carolina
Tonya R. Wilson, Register of Deeds
BK 1068 PG 529 - 530 (2)
State of North Carolina
Department of Environmental Quality
Di40
vision of Water Resources
AGREEMENT TO �VA►IVE SETBACKS PI;TRSUANT T4
t
15A NCAC 02T .1108(c)
certify that I am a deeded owner of the property located at:
Address: ZZJi�
City: �LoX�oR�
State:
�� Parcel No.: �
Zip Code: � �7 � County: P �
Furthermore, I certify that I am authorized to make decisions regarding this property, and that I do hereby
agree that the setback distances cited below be granted to the Applicant/Permittee listed on the following
page.
(For
the idtified above I can sent to a reduced setback from Ul feet to f t
Parcel en
� ee ,
thereby allowing the application of Class B residuals as near as > feet from my property line.
❑identified above, I consent to a reduced setback from feet to feet,
For the parcel
thereby allowing the application of Class B residuals as near as feet from my residence.
* *THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED
0000
Signature:
FORM: NDRMPW-LAS 11-18 Page 1 of 2

Applicantenre mittee:
P, UILJL/
Parcel No.:
State: !�C; Zip Code: �7 Coun : e,�Lc)v %I
NORTH CAROLINA, EL5 qr� COUNTY
Ap, eOAAAO , a Notary Public for ^A"06oe County,North
h Carolina,
do hereby certify that
personally appeared before me this day
and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this the � day of
SEAL40' Se
. • c� -x 4 -
f f ♦ r
as { `]
IPAV r
00
+�`• �v`�
111y 6 , 415 INS
A/C E co
"'Jil il1,1%��ti
Signature of Notary Public
My commission expires
Once notarized, this form shall be recorded at the Register of Deeds in the county or
counties in which the described properties are located. A copy of the recorded
waiver shall be sent to the following address:
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 276994617
Document shows proof /acknowledgement before
officer authorized to take proof/acknowledgement;
acknowledgement includes officer's signature,
commsisis n e ifTion dot , fficial se I, if required,
Tonya R. Wilson, Pers n q V�
Vy Register of Deeds
FORM: NDRMPW-LAS 11-18 Page 2 of 2

Doc No: 392018
Recorded: 02/25/2021 11:02:21 AM
Fee Amt: $26.00 Page 1 of 2
Person County North Carolina
Tonya R. Wilson, Register of Deeds
BIB 1068 PG 525 - 526 (2)
State of North Carolina
Division of Water Resources
AGREEMENT TO WAIVE SETBACKS PURSUANT TO
15A NCAC 02T .1108(c)
I, :Yc/,,j / ,,certify that I am a deeded owner of the property located at:
Address: ZZ 11� fJ. 0009 �AjLe.' Parcel No.: ASS I �Z
City: �k) �(g � State: f�C_ Zip Code: 27�' �'� County: PEa 504
Furthermore, I certify that I am authorized to make decisions regarding this property, and that I do hereby
agree that the setback distances cited below be granted to the Applicant/Permittee listed on the following
For the parcel identified above, I consent to a reduced setback from y� feet to� feet,
thereby allowing the application of Class B residuals as near as �� feet from my property line.
❑ For the parcel identified above, I consent to a reduced setback from feet to feet,
thereby allowing the application of Class B residuals as near as feet from my residence.
**THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED**
Signature:
FORM: NDRN�'W-LAS 11-18 Page 1 of 2

Applicanu irermittee:
Address:
City•
rtof
NORTH CAROLINA, `��liow)
I,
Parcel NO.:
State: niC, Zip Code: �L%si 3 County: � (Lsl
COUNTY
P �
� , a Notary Public for M$*JCounty, North Carolina,
do hereby certify that/LE`; personally appeared before me this day
and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this the
° PCC '��•
SEAL •• -'' • q ,
�41
�-�C z
*vol GE G
�i10411 / 1141"1 "��+
day of
Signature of Notary Public
My commission expires
��ib/Zoe
Once notarized, this form shall be recorded at the Register of Deeds in the county or
counties in which the described properties are located. A copy of the recorded
waiver shall be sent to the following address:
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
North Carolm*a 276994
Document shows proof /acknowledgement before
officer authorized to take proof /acknowledgement;
acknowledgement includes officer's signature,
Vis T n expir ion da a official seal, if required.
Tonya Rl Wils�, erson �o&nty Register of Deeds
FARM: NDRIVB'W-LAS 11-18 Page 2 of 2

CUMULATIVE METAL LOADINGS (LBS/AC ) AS OF 12/31/2021
The cumulative metals for this report come from HISTORY records (i.e. the monthly monitoring process has been completed for the State and County where the Fields are located)
In cases where a trace metal lab result was Not Reported to Synagro or tracking of metal loading was Not Required the loading on the report is displayed as "NR"
FIELDID
NC-PS-00025-0-0001-A
N C-PS-00025-0-0001-B
NC-PS-00025-0-0002-
NC-PS-00025-0-0003-
NC-PS-00025-0-0004-
NC-PS-00025-0-0005-
Last Date Applied
AS
CD
CR
CU
HG
08/12/2020 1.58414 0.29515 11.58696 69.36552 7.40950 0.16425
06/25/2019 0.93480 0819109 7459939 48952520 4.71908 0.12422
08/12/2020 0.60467 0.12177 5.05343 36438888 3.06743 0.06726
10/20/2016 1.01326 0,17300 6092234 33.68338 4.20380 0.09389
10/20/2016 1.14609 0.19487 7494664 37894768 4.83936 0.10424
10/20/2016 l a03603 0.18779 7.04345 32.69703 4637133 0.08191
1,33708 7.58689
0.83155 4.69685
0.56912 3.39375
0.78048 4.09325
0.88953 5500835
0.82854 4871771
.
079495 120.44358
0.58454 86.94557
0.4288 3 64.69740
0.34902 58.88466
0.37691 64.72228
0.35595 55404736
Report Date/Time: 2/26/2021 1:58;07 PM
Page 1 of 1

Site ID:
Owners Name:
Address:
Phone:
Operator:
Fields
NC-PS-26
Henry Martin Fields(1-4)
222 Kiser Martin Rd.
Timberlake, NC 27583
(336} 504-2929 Cell
[phone] Shop
same
Estimated
Applicable
Acres
SITE SUMMARY
City %J Roxboro
Roxboro. NC
Croa(sl
Person County
RYE Based
PAN ac/vr
Predominant
Steil Sprigs
Latitude &
1 nnnifilrlo
1
5.2
Fescue
(pasture)
158
Georgeville
360
24'
01 " N
780
54'
02"
W
2
7.1
Fescue
(pasture)
158
Herndon
360
24'
09"
N
780
54'
00"W
3
18.4
Fescue
(pasture)
158
Georgeville
36°
24'
12"
N
780
53'
48"
W
4
14.0
Fescue
(Hay)
211
Georgevi I le
36°
24'
06"
N
780
53'
49"
W
TOTALS 44.7
Notes:
Date: 02/22/21

L
Division of Water iiesources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 —LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided bones will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
sunnortin� documentation
For more in, formation, visit the Water Quality Permitting Section's Non -Disc
�e Permitting Unit.
General —This document is an agreement between the Applicant and land owners) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA Ob-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not ma1�e any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY O`'VNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: City of Roxboro
hereinafter referred to as the Permittee, to land apply residuals from
application sites) (i.e., see attached setback maps) in accordance with
Agreement:
the following facility(ies) onto the following land
the stipulations and restrictions as given in this
Site/Fieid ID
Lease
es/no
(Y )
Land Use or
Cro in Patterns
pP g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
astute
P )
NC-PS-26-1,2,3
No
Pasture
Animal Feed
NC-PS-26-4
No
Hay
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application sites) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the sites) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application sites) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application sites) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site{s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Perrruttee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application sites) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the p�-I of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application sites) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site{s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application sites) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application sites) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary Ieachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
sites) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application sites) fora 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested fora 30-day period following a residuals land application event.
4. Food crops with harvested parts chat touch the residuals/soil mixture and are totally above the land surface shall not be harvested fora 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested fora 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested fora 3 8-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested fora 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. H
boundary to be placed closer to the waste disposal area, such that the water supply well i
the groundwater standards can be met at the newly -established compliance boundary. Plea
one)
owever, 15A NCAC 02T .0105(h,) allows the compliance
s situated outside of the compliance boundary provided
se mark one of the following;
®A re -defined compliance boundary 1s needed for fields) ID: NC-PS-26-1
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application fields) ID: is currently permitted under another
residuals land application program; Permit Number WQ: .The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the fields) be removed from the previously permitted residuals land application program and transferred
into the new program; ___ _
(Name of the new program)
FORM: LOA 06-16
Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application sites) and am authorized to make decisions
regarding the use of the land application sites) on behalf of other deeded landowners OR that I am otherwise authorized, throu h
g
a povcTer of attorney or other legal delegation, to make decisions regarding the use of the land application sites) on behalf of the
deeded landowners. I certify that the above -referenced land application sites) are not included in any waste dis osal contract or
p
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowled ement of
g
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application sites as s ecified
herein.
�) p
Address: 2-Z
City: � \rti1`�U
Phone: ��b 1 5�
Signature:
�E
- 2W2�
J
State: N C, Zlp: 2`l 5 �33
E-mail address
�iA
Date: � - °� � —
v
NORTH CAROLINA, E�5°� COUNTY
I, the undersigned Notary Public do hereby certify that � �N �
personally appeared before me this day and ackn
WITNESS my hand and official seal this the
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
1 �ld /2v2
owledged the due execution of the forgoing instrument.
`������rrrrrrri,�,�
G �
�� �'
20 Z � � co , s
�: •�
NpTAFZY ; U "__
,_
f �
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i,,��;
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'q ----- � •
.,����� SCE G� ``�a�,.
,���II/1/111111�1�y��
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
.�- `
Signing official name: �..
Signature:
Date:
FORM: LOA U6-16
Page 3 of 3

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The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
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APPLICATION AREA UNSUITABLE AREA
- — — — - - PRIVATE ROAD W WATER GRAPHIC SCALE
- -. STREAM N ONSITE HOUSE
1
660' 0 660'
- - DRAIN I E OFFSITE HOUSE ;M ; -
N #0
FENCE F] OUTBUILDING
PROPERTY LINE � UVELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C'PS'26
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Relds 1'!

(�l
aooa saa
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. A(I
locations are approximate.

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locations are approximate.

_ iulpmumnuummmiuii
Doc No. 392019
Recorded: 02/25/2021 11:02:22 AM
Fee Amt: $26.00 Page 1 of 2
Person County North Carolina
Tonya R. Wilson, Register of Deeds
BK 1068 PG 527 - 528 (2)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
AGREEMENT TO R'AIVE SETBACKS PURSUANT TO
15A NCAC 02T 1108(c)
A A
vnY;,j
Address:
City:
certify that I am a deeded owner of the property located at:
ParcelNo.: 071zcl i I
State: ��- Zip Code: Z 7 � ? q County:
Furthermore, I certify that I am authorized to make decisions regarding this property, and that I do hereby
agree that the setback distances cited below be granted to the Applicant/Permittee listed on the following
` For the parcel identified above, I consent to a reduced setback from � t�� feet to � c� feet,
thereby allowing the application of Class B residuals as near as feet from my property line.
❑ For the parcel identified above, I consent to a reduced setback from feet to feet
thereby allowing the application of Class B residuals as near as feet from my residence.
* *THIS WAVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED*
Signature:
FORM: NDRMPW-LAS 11-18
Date:
Page 1 of 2

Applicant/Permittee:
Address: 10 5 JojTN
Parcel No.:
City: X State: Low Zip Code: 73 County,
V.
NORTH CAROLINA, �l +E�
--
do hereby certify that �r�p�
COUNTY
a NotaryPublic f c. •
or County, North Carolina,
personally appeared before me this day
and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this the i '� day of
�, SEAL ,%'rr•r``3,
�vZoe40
Ub
mb
I it
iQ1of ON
)10
Signature of Notary Public
My commission expires 7 (, L
Once notarized, this form shall be recorded at the Register of Deeds in the county or
counties in which the described properties are located. A copy of the recorded
waiver shall be sent to the following address:
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 276994617
Document shows proof /acknowledgement before
officer authorized to take proof /acknowledgement;
acknowledgement includes officer's signature,
com si 4xVjr�atioV Oge,offycial seal, if required.
Tonya R. Wilson, Ptrso
unty Register of Deeds
FORM: NDRMPW-LAS 11- 18 Page 2 of 2

CUMULATIVE METAL LOADINGS (LBS/AC ) AS OF 12/31/2021
The cumulative metals for this report come from HISTORY records (i.e. the monthly monitoring process has been completed for the State and County where the Fields are located)
In cases where a trace metal lab result was Not Reported to Synagro or tracking of metal loading was Not Required the loading on the report is displayed as "NR"
FIELDID
NC-PS-00025-0-0001-A
NC-P&00025-0-0001-B
NC-PS-00025-0-0002-
NC-PS-00025-0m0003-
NC-PS-00025-0-0004-
4C-P&00025-0w0005-
Last Date Applied
AS CD CR CU PB HG MO NI SE
ZN
08/12/2020 1.58414 0.29515 11.58696 69.36552 7.40950 0.16425 1.33708 7.58689 0.79495 120.44358
06/25/2019 0.93480 0219109 7.59939 48.52520 4.71908 0.12422 0.83155 4,69685 0.58454 86.94557
08/12/2020 0.60467 0.12177 5.05343 36.38888 3.06743 0.06726 0.56912 3.39375 0.42889 64.69740
10/20/2016 1.01326 0.17300 6.92234 33.68338 4.20380 0.09389 0.78048 4.09325 0.34902 58.88466
10/20/2016 1 v 14609 On 19487 7094664 37394768 4.83936 0410424 0.88953 5.00835 0.37691 64.72228
10/20/2016 1.03603 0.18779 T04345 32.69703 4.37133 0.08191 0.82854 4.71771 0.35595 55.04736
Report Date/Time; 2/26/2021 1:58:07 PM Page 1 of 1