HomeMy WebLinkAboutWQ0006017_Renewal Application_20210325Initial Review
Reviewer Thornburg, Nathaniel
Is this submittal an application? (Excluding additional information.)*
r Yes r No
Permit Number (IR)* WQ0006017
Applicant/Permittee Town of Beaufort
Applicant/Permittee Address 301 Freedom Park Rd, Beaufort, NC 28516
Is the owner in BIMS? r Yes r No Is the facility in BIMS? r Yes r No
Owner Type Municipal
Facility Name Town of Beaufort WWTP
County Carteret
Fee Category Minor Fee Amount $0
Is this a complete
application?*
r Yes r No Complete App Date 03/25/2021
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 regarding electibnittal, confirmation of receipt, other
.......................................................... electronic surece, aner correspondence.
_ -
Name * Christopher Wynne
Email Address*
cwynne@synagro.com
Project Information
........ ......... ..........................................................................................................................................
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
Phone Number*
13369098627
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:*
WO0006017
Fbs Current Existing permt number
Applicant/Permittee *
Town of Beaufort
Applicant/Permittee Address*
301 Freedom Park Rd, Beaufort, NC 28516
Facility Name *
Town of Beaufort RLAP
Please provide comments/notes
on your current submittal below.
Thanks for your time and effort involved in review of this application.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at nathaniel.thornburg@ncdenr.gov.
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Spec'rfications, Calculations, Rc.)
Beaufort WV TP_2021 Renewal.pdf 34.31MB
upload only 1 RJF docurrent (less than 250 vB). Matiple documents nest be corrbined 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 3/24/2021
SYNAGRO
YOUR PARTNER FOR A CLEANER, GREENER WORLO
3/31/2021
NCDENR-DWQ
Land Application Permitting and Compliance Unit
Aquifer Protection Section
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
ATTENTION: Mr. Nathaniel Thornburg
REFERENCE: Renewal OF PERMIT NO. W00006017
Town of Beaufort
Dear Mr. Thornburg:
Synagro is submitting, on behalf of the Town of Beaufort, an application to renew the Town's
residuals land application permit. Listed below are the changes to the existing permit as they
pertain to land application sites:
9 Renewing 1 application site (NC-CR-7-3A, 3B)
No other modifications are requested at this time. This package should contain all the
information that is necessary to complete the requested renewal of the Town's permit. If you
require additional information or have any further questions, please contact me immediately at
(336) 909-8627. Thank you for your time and I look forward to working with you to ensure that
this is an efficient review process.
Sincerely,
j -
Chris Wynne
Technical Services Specialist
Cc: Donovan Willis; Town of Beaufort
Enc: Application Package (4)
State of North Carolina
Department of Environmental Quality
-DWRIV IV
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & 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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge 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 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.
{ The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). 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.
Z 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(ies) 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 Modification'
Major (land are permitted for > 300 acres) $1,310 $395
Minor land are ermitted for < 300 acres
I - 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 that particular program [including transferring of field(s) 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)
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 I C .0300)
Q 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 Pagel 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 .I 110 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.
Z, 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 ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
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.
El 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.
El 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 I I" 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:
❑ 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).
❑ Delineation of the review and compliance boundaries
Setbacks as required by 15A NCAC 02T .1108
El Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
El 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 plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 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.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑i Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(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 modification(s) 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 testing; and
❑' Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
El 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: hq://www.ncwater.org/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:
❑ 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 .0107(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 INFORMATION 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 UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: (919) 807-6464
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: (919) 807-6496
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3
LIM
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Beaufort
Applicant type: ❑ Individual [] Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
Federal ❑ State Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Donavan Willis Title: Public Utilities Director
Applicant's mailing address: 412 Hedrick Street
City: Beaufort State: NC Zip: 28516-
Telephone number: (252) 728-7166 Email Address: d.willis@—beaufortnc.org
2. Consultant's name: Christopher Wynne License Number (for P.E.):
Affiliation: S On Staff ❑; Retained (Firm: )
Consultant's mailing address: 284 Boger Rd
City: Mocksville State: NC Zip: 27028-
Telephone number: (336) 909-8627 Email Address: cwynne@synarg o.com
3. Agronomist's name: License Number:
Affiliation: ❑ N/A ® On Staff ❑ Retained (Firm: )
Agronomist's mailing address:
City: State: Zip: -
Telephone number: Email Address:
Soil Scientist's name: G. Christopher Murray License Number: 1284
Affiliation: ❑ N/A ❑ On Staff ® Retained (Firm: Piedmont Environmental Associates P A)
Soil Scientist's mailing address: 216 S Swing Rd, Suite 1
City: Greensboro State: NC
Telephone number: (336)-662-5487)
4. Fee submitted: $0.00 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new,
Zip: 27409-
Email Address: chris&piedmontsoil.com
0 modified, E renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00006017
Date of most -recently issued permit: 08/25/2016
Date of most -recently certified Attachment A (if different than the permit):
Date of most -recently certified Attachment B (if different than the permit):
FORM: RLAP 06-16 Page 1 of 5
III, RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 301 Freedom Park Dr
City: Beaufort State: NC Zip: 28516-
Coordinates: Latitude: 34 43` 03" Longitude: 76" 38116"
Datum: NAD 84 Level of accuracy: Second
Method of measurement: Map
2. County where residuals land application program is headquartered: Carteret
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
Robert N. Roth
Synagro
1001672
Back -Up ORC
John A. Culp
Synagro
1000733
Additional Back -Up
ORCs
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:
4. 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: 140 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
27.42
28.13
3839
3938
Five -Year Maximum Adjusted
44.70
45.41
6258
6357
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
63.39
Hay
0
Pasture
0
Total:
63.39
Methods
Surface
0
Incorporation or Injection
63.39
Total:
63.39
FORM: RLAP 06-16 Page 2 of 5
c. Residuals Laud 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
Acres Required Using
Acres Required Using
Application Rate
First -Year PAN Concentrations
Five -Year Maximum Adjusted PAN
(lbs PAN/ac yr)
Concentrations
Surface
Incorporation or
Surface
Incorporation or
Injection
Injection
50
76.8
78.8
125.2
127.1
100
38.4
39.4
62.6
63.6
150
25.6
26.3
41.7
42.4
200
19.2
19.7
31.3
31.8
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): M Non -dedicated Q Dedicated
If Dedicated, specify the following (check all that apply):
0 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;
El 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.
M.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
lff_�
Land Application Siite
Certif ication. doc
FORM: RLAP 06-16 Page 3 of 5
Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ 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 C1, No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
(in/hr)
Recommended
Loading Rate
(in/ r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(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
ftz)
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate ( allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
I Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ftz
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5
Applicant's Certification (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.
M; Yes 0 No, Explain;
I, Donovan Willis Superintendent
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Beaufort WWTP
(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
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signatul e- ""�"�--�.- Date:
FORM: RLAP 06-16 Page 5 of 5
OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0006017 (Town of Beaufort)
Inspection Plan
Inspections for the land application of residuals will be conducted on a weekly basis at the land application site during the land
application activities of this project. The inspection frequency is based on the time frame that it is going to take to complete the
project and the amount of dry tons to be land applied from this facility. The inspections will consist of inspecting a current field
that is 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 Operations and Technical staff.
2. Checking the calculated loads to ensure the correct amount of residuals are being land applied.
3. Ensure that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance
plan.
4. Ensure that the field has been flagged properly and that all buffers are being adhered to.
5. Ensure that the Crop and Landowner Verification form has been filled out.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the criteria for land
application.
7. The records will be kept in the project files in the respective office for the project.
8. The Permittee or Inspector shall report by telephone to the Wilmington Regional Office by Telephone at 910-796-7215 as
soon as possible but no later than 24 hours after or the next working day following the occurrence or the 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 distribution system that results in the release to surface waters.
• Any time that self -monitoring indicates that the facility has gone out of compliance with the permit.
• Any process 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 1-
800-662-7956, 1-800-858-0368, or 910-796-7215. These numbers are to be called in the event of a release to
surface waters, 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 purposed actions taken to ensure that the problem does not recur. Persons
responsible for inspections on this project are as follows:
lohnathan Moize - Operations Manager or his designee
Nate Roth is the designated land application ORC for this project and his designees are the backup ORC's for this project.
OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0006017
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land application is occurring. This will
result in one round of sampling to occur before land application commences in order to insure that the residuals are
suitable for land application. Based on the dry tonnage of this plant this will be one sample for all parameters per
year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
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)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachlorethane (3.0)
2,4,5-Trichlorophenol (400.0)
M-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP ( Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0) Methoxychlor(10.0)
2,4-D (10.0) Methyl ethyl ketone (200.0)
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 K)eldahl Nitrogen
Zinc
In order to meet pathogen and vector requirements the material will be sampled for fecals to prove that the residuals have met
the pathogen requirements of the permit. The material will be incorporated to meet vector attraction. The samples will be pulled
from the basins and/or cake pad that are currently holding the residuals. The samples that will be pulled are a TCLP, nutrient and
metals sample, and a fecal sample to prove that the material is suitable for land application. The nutrient and metal and TCLP
sample will be collected randomly and consist of at least 30 individual samples mixed together in order to get the composite
sample for these parameters. This material is very consistent based on the fact that the residuals will be mixed thoroughly with
aerators and mixers. This should take care of any seasonal fluctuations in the material.
The following people are responsible for sampling:
William Varner, Technical Services Specialist or his designee.
OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0006017 (Town of Beaufort)
Operational Functions
The operation function of this project is going to involve dewatering biosolid material coming from the Beaufort WWTP
which is then transported to the storage pad at the facility. 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. It is going to be spread with a
cake applicator that will spread the material in such a way to achieve a consistent spread pattern. The material is going
to be land applied on fields that row crops are to be planted and used for animal feed.
Safety Measures
Synagro believes in operating in a safety conscious manner and is has all employees participate in quarterly online safety
course 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.
SPILL RESPONSE PLAN
PROJECT: Beaufort WWTP Permit W00006017
IN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The 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 Kinston,
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 Operations Manager or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
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 remaining
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
of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.
6. 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 Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Wilmington Regional Office by Telephone at 910-796-7215 as soon as possible, but
not more than 24 hours after, or on the next working day following the occurrence. The Operations Manager shall
provide a written report within 48 hours of the spill to the Technical Services Manager. The report shall list all relative
information and actions taken. Synagro Central personnel will file a written report to the Wilmington Regional office of
the NCDENR within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be called
to report all incidences (800-662-7956 or 800-858-0368 or 910-796-7215)
State of North Carolina
Department of Environmental Quality
ftwW__ R_ Division 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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting 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 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
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 I1-15) 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 by the proposed 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:
M 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".
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 1. &
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:
® For each source facility, attach the following:
® 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
3. Hazardous Waste Determination: 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: E3 yes Ml no.
If yes, list the number(s): IM
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: 0 yes N no.
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: Pace Analytical Services, LLC and Date of analysis: 3/17/2020
Passed corrosivity test: yes no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: yes 0 no. Flashpoint: >140 OF (> 140°F)
Passed reactivity test: yes ano. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
TCLP Parameter
Limit
(Mg/1)
Result
(Mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
0.41
Hexachloro-1,3-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
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
5.0
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
0.0060
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
I,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 (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 following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. 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: Pace Analytical Services, LLC and Date of analysis: 0 , 021
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
16
Cadmium
85
39
1.4
Copper
4,300
1,500
630
Lead
840
300
30
Mercury
57
17
ND
Molybdenum
75
n/a
7.3
Nickel
420
420
16
Selenium
100
100
10
Zinc
7,500
2,800
1200
b. For Surface Disposal Unit flandfill): 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: W and Date of analysis: _
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(m9/k9)
Chromium
(mg/kg)
Nickel
(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
El > 100 but < 125
53
360
390
> 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5
5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 15.3 %.
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 Services, LLC and Date of analysis: 01/29/2021
Parameter
Result
(mgfkg)
Aluminum
9300
Ammonia -Nitrogen
710
Calcium
41000
Magnesium
4600
Nitrate -Nitrite Nitrogen
67.68
pH (Standard Unit)
7.4
Phosphorus
23000
Potassium
1900
Sodium
3700
Total Kjeldahl Nitrogen
45000
c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 1.81
[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: °fo. 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 (11t) Year PAN
Five -Year
Maximum Adjusted PAN
(m91k9)
(mgfkg)
Surface
13710
22350
Injection/Incorporation
14065
22705
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: N
FORM: RSC 06-16 Page 4 of 5
7. Pathogen Reduction: Per 1SA NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
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):
Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] -Time/Temperature Compliance.
0 Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T. I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
El Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.1106((3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: composting, heat drying, Q heat treatment,
thermophilic aerobic digestion, El beta ray irradiation,
gamma ray irradiation, or pasteurization.
b. For Land Application of Class B:
Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: aerobic digestion, air drying, Ll anaerobic digestion,
composting, or lime stabilization.
c. For Surface Disposal:
Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item Il. 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 IL8. below [15A NCAC 02T.1106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T1107, specify how residuals will meet the VAR requirements:
Alternative 1 [15A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
El Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
M Alternative 3 [15A NCAC 02T. I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T. I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Q Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
El Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals.
Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
® Alternative 10 f 15A NCAC 02T.I 107(a)(I0)] - Incorporation.
Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
R, 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
VICINITY MAP
Michael
J Smith
1
II is
LMW
COUNTY: Carteret OWNER(S): Beaufort WWTP
Quantitative Justification for Residuals Production
The Town of Beaufort WWTP is currently permitted for 140 dry tons per year of land
applied biosolids. There is no request currently to change this dry tonnage. Quantitative
justification is based on the average dry tonnage applied in the past 3 years.
Facility:
Beaufort WWTP
Requested permitted rate:
Current: 140 dry tons/year
Proposed: 140 dry tons/year
Justification:
2018
— 52.45 dry tons
2019
— 86.33 dry tons
2020
— 82.12 dry tons
Average — 73.6 dry tons applied
Chris Wynne
Technical Services Specialist
Residuals Sampling Plan
Town of Beaufort Land Application Program (WQ0006017)
Wastewater Treatment Plant
Nutrients and Metals Analysis
Sampling Point: Pad
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Composite
Lab: Pace Analytical Services, Inc.
Pathogen
Vector
TCLP
Sampling Point: Pad
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Cameron Testing
Method: Incorporation
Sampling Point: Pad
Sampling Frequency: Once per permit cycle
Sample Type: Composite
Lab: Summit Environmental Technologies, Inc
a ce Analytical
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Nate Roth
Project Name: Beaufort WWTP
Lot Number:VC03018
Date Completed:03/17/2020
03/17/2020 3:50 PM
Approved and released by:
Lab Director - Greenville: Lucas Odom
Q ac6ti¢o
vP�
rr
axsr xor�oonraooromraaoo soars
ACCREDITED
TESTINGLASOPATOAY
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:803-791-9700 Fax:803-791-9111 www.pacelabs.com
Page t of 10
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: VC03018
This Report of Analysis contains the analytical result(s) for the sample(s) 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 NELAC standards, the Pace Analytical Services, LLC ("Pace") Quality Assurance
Management Plan (QAMP), standard operating procedures (SOPs), and Pace policies. Any exceptions to
the NELAC standards, the QAMP, 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 sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
ICP Metals
Due to low percent solids sample -001 was weighed out 3 times the normal weight. The LOQ has been
elevated to reflect the dilution.
Nitrate
The continuing calibration blank for analytical batch 47694 contained Nitrate greater than the acceptance
criteria. The associated sample, VC03018-002, contained detections for this analyte at concentrations
greater than 1 OX the value found in the method blank; therefore sample results are not impacted. The
data has been reported.
Pace Analytical Services, LLC (formerly Shealy Environmeta/ Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 2 of 10
Client:Synagro Laboratory ID: VC0301 B-001
Description: Beaufort 2020 Matrix: Solid
Date Sampled:02/26/2020 1100 % Solids: 19.1 03/03/2020 2237
Date Received:03/0312020
Inorganic
non-metals
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst Prep Date
Batch
1
(% Solids) SM 2540G
1
03/03/2020 2237 MDD
46788
1
(Ignitability) 1010A
1
03/09/2020 1546 SLC
47298
1
(Paint Filter) 9095B
1
03/12/2020 1035 SLC
1
(Reactive Cya) 7.3.3
1
03/10/2020 0000 KFE 03/10/2020 1046
1
(Reactive Sul) 7.3,4
1
03/10/2020 1925 HET 03/10/2020 1046
1
(Soil pH mean) 0046D
1
03)05/2020 220S SRg
47065
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 254OG
19.1
%
1
Ignitability (Pensky-Martens Closed -Cup)
1010A
a140
140
0
° F
1
Paint Filter Test
9095B
Pass
pass/fail
1
Reactive Cyanide
7.3.3
ND
50
50
mg/kg
1
Reactive Sulfide
7.3.4
ND
50
50
mg/kg
1
Soil pH measured in water @ 20.9 ° C
9045D
6.5
su
1
TCLP Volatiles
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
Leachate Date
1 1311/5030B 8260D
10 03/13/2020 0417 JTH
47756
03/11/2020 2110
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Benzene
71-43-2 8260D
ND
0.050
0.0040
mg/L
1
2-Butanone (MEK)
78-93-3 8260D
ND
0.10
0.020
mg/L
1
Carbon tetrachloride
56-23-5 8260D
ND
0.050
0.0040
mg/L
1
Chlorobenzene
108-90-7 8260D
ND
0.050
0.0040
mg/L
1
Chloroform
67-66-3 8260D
ND
0.050
0.0040
mg/L
1
1,2-Dichloroethane
107-06-2 8260D
ND
0.050
0.0040
mglL
1
1,1-Dichloroethene
75-35-4 8260D
ND
0.050
0.0040
mg/L
1
Tetrachloroethene
127-18-4 8260D
0.0060 J
0.050
0.0040
mg/L
1
Trichloroethene
79-01-6 8260D
ND
0.050
0.0040
mg/L
1
Vinyl chloride
75-01-4 8260D
ND
0.010
0.0040
mg/L
1
Run 1 Acceptance
Surrogate Q % Recovery Limits
Bromofluorobenzene
98 70-130
1,2-Dichloroethane-d4
96 70-130
Toluene-d8
103 70-130
TCLP Semivolatiles
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
Leachate Date
1 1311/3520C 8270E
1 03/12/2020 1632 SCD
03/10/2020 1710
47402
03/08/2020 2357
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
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 n 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 (803) 791.9700 Fax (803) 791-9111 www.pacelabg.com
Page 3 of 10
Client:Synagro Laboratory ID:VC03018-001
Description: Beaufort 2020 Matrix: Solid
Date Sampled:02/26/2020 1100 % Solids: 19.1 03/03/2020 2237
Date Received:03/0312020
TCLP Semivolatiles
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 1311/3520C 8270E 1 03/12/2020 1632 SCD 03/10/2020 1710 47402 03/08/2020 2357
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
DL
Units
Run
1,4-Dichlorobenzene
106-46-7
8270E
ND
0.040
0.0050
mg/L
1
2,4-Dinitrotoluene
121-14-2
8270E
ND
0.080
0.0050
mg/L
1
Hexachlorobenzene
118-74-1
8270E
ND
0.040
0.0050
mg/L
1
Hexachlorobutadiene
87-68-3
8270E
ND
0.040
0.0050
mg/L
1
Hexachloroethane
67-72-1
8270E
ND
0.040
0.010
mg/L
1
2-Methylphenol
95-48-7
8270E
ND
0.040
0.010
mg/L
1
3+4-Methylphenol
106-44-5
8270E
ND
0.040
0.015
mg/L
1
Nitrobenzene
98-95-3
8270E
ND
0.040
0.015
mg/L
1
Pentachlorophenol
87-86-5
8270E
ND
0.20
0.020
mg/L
1
Pyridine
110-86-1
8270E
ND
0.040
0.0050
mg/L
1
2,4,5-Trichlorophenol
95-95-4
8270E
ND
0.040
0.0050
mg/L
1
2,4,6-Trichlorophenol
88-06-2
8270E
ND
0.040
0.0050
mg/L
1
Surrogate
Run 1 Acceptance
Q % Recovery Limits
2-Fluorobiphenyl
67
37-129
2-Fluorophenol
40
24-127
Nitrobenzene-d5
74
38-127
Phenol-d5
81
28-128
Terphenyl-d14
85
10-148
2,4,6-Tribromophenol
74
41-144
TCLP Herbicides
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 131118151A 8151A 1 03/16/2020 1801 JJG 03/12/2020 1747 47726 03/08/2020 2357
GAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
2,4-D 94-75-7 8151A ND 0.020 0.0050 mg/L 1
2,4,5-TP (Silvex) 93-72-1 8151A ND 0.0050 0.0013 mg/L 1
Run 1 Acceptance
Surrogate Q % Recovery Limits
DCAA 75 50-112
TCLP Pesticides
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 131113520C 8081B 1 03/13120201606 DAL1 03/11/20201452 47527 03/08/2020 2357
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
gamma-BHC (Lindane) 58-89-9 8081B ND 0.00040 0.00017 mg/L 1
LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
NO = 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 < L00 and > DL
H = Out of holding time W = Reported on wet weight basis
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Page 4 of 10
Client:Synagro Laboratory ID:VC03018-001
Description: Beaufort 2020 Matrix: Solid
Date Sampled:02/26/2020 1100 % Solids: 19.1 03/03/2020 2237
Date Received:03/0312020
TCLP Pesticides
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 1311/3520C 8081B 1 03113/20201606 DAL1 03111/2020 1452 47527 03/08/20202357
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Chlordane
57-74-9 8081B
ND
0.0040
0.0015
mg/L
1
Endrin
72-20-8 8081B
ND
0.00040
0.00015
mglL
1
Heptachlor
76-44-8 8081B
ND
0.00040
0.00015
mg/L
1
Heptachlor epoxide
1024-57-3 8081 B
ND
0.00040
0.00016
mg/L
1
Methoxychlor
72-43-5 8081B
ND
0.0016
0.00021
mg/L
1
Toxaphene
8001-35-2 8081B
ND
0.0080
0.0030
mg/L
1
Run 1 Acceptance
Surrogate
Q % Recovery Limits
Decachlorobiphenyl
77 20-131
Tetrachloro-m-xylene
83 26-132
TCLP Metals
Run Prep Method
1 1311/3010A
1 1311/7470A
Analytical Method Dilution Analysis Date Analyst
6010D 1 03/10/2020 1028 LLL
7470A 1 03/10/2020 1520 KSH2
Prep Date Batch
03/09/2020 2018 47306
03/10/2020 0941 47316
Leachate Date
03/08/2020 2357
03/08/2020 2357
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Arsenic
7440-38-2 6010D
ND
0.15
0.025
mg/L
1
Barium
7440-39-3 6010D
0.41
0.25
0.031
mg/L
1
Cadmium
7440-43-9 6010D
ND
0.050
0.0060
mg/L
1
Chromium
7440-47-3 601OD
ND
0.10
0.013
mg/L
1
Lead
7439-92-1 6010D
ND
0.10
0.047
mg/L
1
Mercury
7439-97-6 7470A
ND
0.0020
0.00091
mg/L
1
Selenium
7782-49-2 601OD
ND
0.20
0.085
mg/L
1
Silver
7440-22-4 6010D
ND
0.10
0.021
mg/L
1
LOQ = Limit of Quantitation 5 = 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 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 5 of 10
Chain of Custody
MM
Miscellaneous Documents
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 8 of 10
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106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 9 of 10
PACE ANALYTICAL SERVICES, LLC
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Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 10 of 10
(--- aceAnalytical
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Chris Wynne
Project Name: Beaufort WWTP
Lot Number:WA14014
Date Completed: 0 1 /29/2021
02/01/2021 10:22 AM
Approved and released by:
Project Manager 11: Lucas Odom
=4
f
ANSI National k-dRadon gold
A.
ACCREDITED
—MMMM8:--
TESTING [ABMTDPY
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:803-791-9700 Fax:803-791-9111 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: WA14014
This Report of Analysis contains the analytical result(s) for the sample(s) 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 sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
Metals by ICP
Due to the matrix and low percent solids, the initial sample amount used for sample -001 was 3X more
than the standard procedure. The LOQ has been adjusted accordingly.
TKN
The following samples were not fully oxidized after the addition of 15mL of HNO3: WA14013-001. This is
indicated by the samples exhibiting persistent brown fumes after complete acid addition. Due to being
biosolids and having low percent solids, the samples will not be weighed to a lower mass and analysis will
proceed as usual.
Pace Analytical Services, LLC (formerly Shealy Environmetal Services, Inc.)
106 Vantage Point Drive west Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 2 of 7
Client:Synagro Laboratory ID: WA14014-001
Description: Beaufort WWTP Matrix: Solid
Date Sampled:01/1312021 1130 % Solids: 15.3 01/20/2021 0110
Date Received:0111412021
Inorganic
non-metals
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst
Prep Date Batch
2
(% Solids) SM 254OG
1
01/20/2021 0110 AAB
79998
1 350.1
(Ammonia - N ) 350.1
5
01/19/2021 1315 DRD
79842
1
(Nitrate - N ) 9056A
1
01/19/2021 1200 AMR
79937
1
(Nitrite - N ) 9056A
1
01/19/2021 1200 AMR
79944
2
(Phosphorus) 365.1
100
01/27/2021 1129 DMA
01/26/2021 1924 80750
1
(Soil pH meas) 9045D
1
01/14/2021 1812 AAB
79510
1 351.4
(TKN) 351.2
10
01/21/2021 1352 DMA
01/20/2021 1747 80122
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 2540G
15.3
%
2
Ammonia - N (gas diffusion)
350.1
710
33
17
mg/kg
1
Nitrate - N (soluble)
9056A
67
3.3
0.65
mg/kg
1
Nitrite - N (soluble)
9056A
0.68 J
1.3
0.65
mg/kg
1
Phosphorus
7723-14-0 365.1
23000
3300
650
mg/kg
2
Soil pH measured in water @ 17.9 ° C
9045D
7.4
su
1
TKN
351.2
45000
1600
1600
mg/kg
1
CVAA
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 7471B 7471E
5 01/21/2021 1233 JAB2
01/20/2021 1110
79538
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Mercury
7439-97-6 7471 B
ND
2.4
0.58
mg/kg
1
ICP-AES
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3050B 6010D
1 01/20/2021 1010 KSH2
01/19/2021 0905 79720
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Aluminum
7429-90-5 6010D
9300
120
44
mg/kg
1
Arsenic
7440-38-2 6010D
16
4.4
1.5
mg/kg
1
Cadmium
7440-43-9 601OD
1.4 J
1.5
0.37
mg/kg
1
Calcium
7440-70-2 6010D
41000
1500
180
mg/kg
1
Chromium
7440-47-3 601OD
29
2.9
0.73
mg/kg
1
Copper
7440-50-8 6010D
630
2.9
1.3
mg/kg
1
Iron
7439-89-6 601OD
31000
29
13
mg/kg
1
Lead
7439-92-1 6010D
30
2.9
1.3
mg/kg
1
Magnesium
7439-95-4 6010D
4600
1500
180
mg/kg
1
Manganese
7439-96-5 6010D
800
4.4
1.7
mg/kg
1
Molybdenum
7439-98-7 6010D
7.3 J
12
2.9
mg/kg
1
Nickel
7440-02-0 6010D
16
12
3.1
mg/kg
1
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 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 3 of 7
Client:Synagro Laboratory ID: WA14014-001
Description: Beaufort WWTP Matrix: Solid
Date Sampled:01/13/2021 1130 % Solids: 15.3 01/20/2021 0110
Date Received:01/14/2021
ICP-AES
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3050B 6010D 1 01/20/2021 1010 KSH2 01/19/2021 0905 79720
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
DL
Units
Run
Potassium
7440-09-7
601OD
1900
1500
180
mg/kg
1
Selenium
7782.49.2
601OD
10
5.8
2.4
mg/kg
1
Sodium
7440-23-5
6010D
3700
1500
180
mg/kg
1
Zinc
7440-66-6
6010D
1200
15
3.6
mg/kg
1
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 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com
Page 4 of 7
Chain of Custody
and
Miscellaneous Documents
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacel2bs.com
Page 5 of 7
PACE ANALYTICAL SERVICES, LLC
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Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111
Page 6 of 7
www.pacelabs.com
PACE ANALYTICAL SERVICES, LLC
'V 2 Samples lie cerpt Checkitst ISKI, (MEODIfic-15) Revised;'J/2912020
Lsst;ing ALthofity: Pace FNV - WCOL Page 1 ol 1
Sample Receipt Checklist (SRC)
Cliert %'-70 CrJuirr 516ovatce hyldale' YNC 01il-V2021 Lot fi. M100[4
7-
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Yes M.1
r71K A 17 If enstody wcrc the iWaet and u tibmken?
pli St-ip 11) ; NA
chlqvine sitip It)- NA Tested by: N,'--
orig"nul tzrnper'mav upon rrwipt, / prised (Correotodl temperature upon r--cciJ)t %solid snap -Cup ID,
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wasNWfied by., p4out: iecaalt i faW-face (tirtle onel,
ycNo
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V yc"TIN0,
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r'77YQr
,
LJN ' 0
4� We s p c rsbu (in, e
W= sarnp!e IDs listed an all smplc corilaincr:,7
9. Was cotection CiRte A-, time listed an the COC?
V,
yc*
ONO
21 yes
U No
1
(DY
U No
9. %Vas colJwliQn duir & dria listed onallsample cortahverV
G. Did all cuntainor label a , at:ort (it', date, tirne.) agree wkh tfir CO(-:?
_ ir1brn
�,� Y
No
I I, W'eWtest-;t-o try pa forured listed or the COCCI
,
G3 Yes
, El No
12, Did sat samples arTivv in the proper wntoinfts for-eachwi-od eAch tz-t ad"Of in condition
(unbroken, 11* m, otc)7
13. Was adt�qwai e sample volume available?
yes
LJ NO
No
14. Were, rill 4,wp'ci received St l6n 'It tiv& holdin q time or 43 hours, wh icbtnve r wrue:. A rW
Cs
-40
MNA
U. 11V,vry T11,2 Ulles cantainms mi%,-nZfexCess icirck ono) 3amplas Not lis-ed on C(Wu
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LINm
to a oftle V0A Vials?
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I -tm *if cr fide samplzs r=aivcd tit a pH'�- 12 and sulrice sampits receivedat n pH > t)?
4, aw
yes
No
NA
'Yq*
LJ No
U,"KA
[3'V es
[31,1(,
DNA
I
19. Were all arP1'3F`a67q17JT3,—,TX Ni t i�608 0,5mgiL) mipl,:5 fma of
Msidual �hlorhtv?
0y,
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Page 7 of 7
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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 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
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of 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 certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 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 they
refer.
® For new or renewed permits, submit the requested information for all land application sites.
® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
Z The status of the land application site with respect to this residuals land application program must be provided in table 1. 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:
Status Code
Required Item
N
R
T
M
County Board
✓
Notification. doc
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"
✓
INSTRUCTIONS FOR FORM: LASC 06-16 Page 1 of 3
An updated accounting of the land application site's cumulative
pollutant loading rates CPLRs
Status Code
Required Item
N7
R
T
M
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 Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same timeperiod)
✓
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
Z Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative 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 mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
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 prepared by a licensed soil scientist.
® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
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 Map to identify the location where 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: htV:Hdeq.nc.gov/about/divisions/water-
resources/ lannin /classification-standards/classifications
Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http://deg.nc.gov/contact/regional-offices
® General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, 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.aov/about/divisions/water-resources/planning/classification-standards/classifications.
® Stream Classification Process: One of the options below may be used depending on the known initial project information.
® KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 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
"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.
® 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 WHERE 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
"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)
F� 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 entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified 'B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
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."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
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 "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3
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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 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
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) 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 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 T14E LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Beaufort WWTP
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
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 site(s) 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.
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
NC-CR-7-3A
Y
Row Crop
Animal Feed
NC-CR-7-3B
Y
Row Crop
Animal Feed
FORM: LOA 06-16 Pagel 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 site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) 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 site(s) 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 site(s) 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 site(s) 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 site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) 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.
H. 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
site(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 site(s) for a 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 for a 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 for a 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 for a 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 for a 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 for a 12-month period following a residuals land application event.
M. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15ANCAC 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 field(s) 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 field(s) 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 field(s) 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 site(s) and am authorized to make decisions
regarding the use of the land application site(s) 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 site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) 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 site(s) as specified
herein.
Landowner name:
X7
Address: l Q ft W e:t z(`ih -t�ri G-C
City: E\` Q State:
cc "x
zip: �_ 9' t O a
Phone: 9 5 d '%��� � E-mail address: cI YY1, b
Signature. �J �~ mac. Date:
NORTH CAROLINA, (oQr 1�M+- COUNTY �
I, the undersigned Notary Public do hereby certify that _ _ Dc LV-GA- `J h
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of I to-4 GL , 20 2�
Signature and seal:
My commission expires: f 34 2d ZChftftawyw
NOTARY PUBUO
Lessee's/Operator's Certification: WWO ��,,O
",.a
Mi GORIIIIi�jOfl * 3, 2M
I certify that I have read thiss Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: I`-" �!'`!� �c S
Address: It 7?
city: 5-,e((a
Phone:
Signatu
Permittee's uertitication:
State:
1\f G
Z57Z 3`FZ• " ` S7 b F.-mail address:
Zip:
Z 75FL
Date: 3 (v 21
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 06-16 Page 3 of 3
VICINITY MAP
E !
9
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_ �aarry. ng.rnrf
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GRAPHIC SCALE
1" = 4,000'
4,000' 0 4,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-C R-01
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 1-3
APPLICATION MAP
LEGEND
APPLICATION AREA
— — — — — — PRIVATE ROAD
— — — — STREAM
— DRAIN
.
X X FENCE
PROPERTY LINE
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.
GRAPHIC SCALE
1 " = 660'
660' 0 660'
NC-CR-OA'�
TOPOGRAPHIC MAP
(D
- C. T"altiR.73 CrAn.
h3 ¢a txt t National Nafltnal
Prr r�Ft hea
>M
3B
a.�fCe`Si<1ri !.{<<.:11.3CR 4.:fFa}ai#
l�iaal aryra.��. � .�.i�ir.fa+31 l�ia}Ii+T131
+`tc tars Croatar, Cr)7mgar+
Wall r t#«lJ T 1.3iIi R1:3i (Jl i1.,t laf
GRAPHIC SCALE
1" = 800'
soo' o 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
A I /l—' C p _O 1
V l� fZ
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 3A Q B
SOIL SURVEY
GRAPHIC SCALE
1"=660'
660' 0 660'
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.
N C-C R-01
Fields 3A&B
North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
Date: 3/31/2021
To: Name of Chairman to the Board of County Commissioners: Ed Wheatly
Complete mailing address: 156 Howland Parkway
City: Beaufort State: NC Zip: 28516-
County where land application sites are located: Carteret
From: Applicant's name: Town of Beaufort (on behalf of the Division of Water Resources in accordance with Session
Law 2013-340)
Contact person and title: Donovan Willis, Superintendent
Complete mailing address: 412 Hedrick St
City: Beaufort State: NC Zip: 28516
Telephone number: (252) 728-7166 Email Address: d.willis&beaufortnc.org
Subject: Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -
generating sources and locations of the proposed land application sites. Please forward this letter and its associated
attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and
Planning Department) if applicable.
More information of the land application sites included in this application will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regional office: Wilmin on Regional Office
Complete mailing address: 127 Cardinal Drive Ext.
City: Wilmingtonon
State: NC
Telephone number: (919) 796-7215
Expected date of application submission: 3/31/2021
Zip: 28405-
Should you desire to comment on this application, please do so no later than 30 calendar days following the
expected application submission date. If you have any questions or comments about this notification, or if you would like
more information, please contact the appropriate regional office at the telephone number provided above. Thank you in
advance for your attention to this matter.
Enclosures: Source Facility Summary
Land Application Site Summary
Maps
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: 919-807-64641Internet. http:l/portal.ncdenr.org/webAwa
An Equal Opportunity \ Affirmative Action Employer — Made in part with recycled paper
FORM: CBN 06-16
RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Town of Beaufort RLAP
Status Maximum Dry Tons Per Year
Code a Facility Permit Holder Facility Name County Permit Number
Current b Proposed
R Town of Beaufort Beaufort WWTP Carteret WQ0006017 140 140
'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
LAND APPLICATION SITE CERTIFICATION
Applicant's name: Town of Beaufort RLAP
Land application sites currently certified: 63.39 net acres and Total to be certified: 63.39 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Predominant Soil
Code Site/Field ID Landowner(s) Lessee(s) or Operator(s) Net Acres County
Crop(s)
Series Names Mapping Unit
or Rep. Slopes
R NC-CR-7-3A Walter Jon Wetherhigton Robert M. Riggs 23.4 Carteret
Row Crop
Norfolk 0-2
R NC-CR-7-3B Walteir Jon Wetherin toti Robert M. Riggs 40.0 Carteret
g
Row Crap
Norfolk 0-2
a Status Code far land application sites are; ♦ N D Deleted s Soil Series Name (i.e. Appling, Cecil, etc.) ) (Deleted)
pp (New) ♦ R (Renewed) ♦ M (1Viodi6ed) ♦ T (Transferred
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 Ce132)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See :Instruction C):
Site/Field ID Latitude Longitude Location Location Method Code Location Accuracy
g Datum
Waterbody Subbasin and
Current and Proposed
Stream Index No.
Class
NC-C.R-7-3A 34°46'15.76, 770 637.37 NAD 83 Second Map
Cates Creek; 20-22
SA;HQW
NC-CR-7-313 34046'25.42 7706'41.88" NAD 83 Second Map
Cates Creek; 20-22
SA;HQW
n ..a r it
r _'rr
o f it
,.. it o i
oil
Note: Please keep the site information (L) and waterbody information (II.) of the same field on the same page
FORM: LASC 06-16
Page 1
APPLICATION MAP
LEGEND
n n APPLICATION AREA M� UNSUITABLE AREA
- — — — — - PRIVATE ROAD WATER GRAPHIC SCALE
— - - — STREAM ® dNSITE HOUSE
1 " = 660'
0 660'
DRAIN . OFFSITE HOUSE 660' .
FENCE OUTBUILDING
PROPERTY LINE WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N 1% R-�,�'
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. Field 3A&B
CUMULATIVE METAL LOADINGS (LBS/AC) AS OF 2/25/2021
The cumulative metals forthis 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
Last Date Applied
AS
CD
CR
CU
PB
HIG
MO
NI
SE
ZN
- - - 001-
04/20/2004
0.21842
0.10926
2.83328
24.11716
1,86108
0.11255
0.25998
1.20729
0.13434
29.53776
05/22/2019
0.35625
0.13486
3.69173
51.45918
1.10260
0.12959
0.33927
1.73974
0.28136
50.51150
NC-CR-00007-0-0003-A
05/21/2019
0.54631
0.23893
6.28421
45.18643
2.80018
0.15754
0.45634
2.92463
0.35489
69.51871
NC-CR-00007-0-0003-B
05/04/2020
0.93924
0.38738
22.57824
77.23898
5.50760
0.32661
1.01215
9.70380
0.55219
116.76509
Report Date/Time: 2/25/2021 3:19:27 PM Page 1 of 1
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