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HomeMy WebLinkAboutWQ0011448_Renewal Application_20210510Initial Review Reviewer Thornburg, Nathaniel D Is this submittal an application? (Excluding additional information.)* r Yes r No Permit Number (IR)* WQ0011448 Applicant/Permittee Town of Snow Hill Applicant/Permittee Address PO Box 247 Snow Hill, NC 28580 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 Snow Hill RLAP County Greene Fee Category Minor Fee Amount $0 Is this a complete application?* r Yes r No Complete App Date 05/10/2021 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 * Drew Matthews Email Address* dniatthev4s@soilplus.net Project Information ........ .................................................................................................................................................. . Application/Document Type* r New (Fee Req ui red) r Modification - Major (Fee Required) r Renewal with Major Modification (Fee Required) r Annual Report r Additional Information r Other Phone Number* 252-883-9301 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:* WQ0011448 Has Current Existing permt number Applicant/Permittee * Town of Snow Hill Applicant/Permittee Address* PO Box247 Snow Hill, NC 28580 Facility Name * Town of Snow Hill RLAP Please provide comments/notes on your current submittal below. At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at 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.) 2021 Snow Hill Permit Renewal.pdf 5.74MB upload only 1 R7F docurrent (less than 250 M3). IvLtiple documents nest be corrbined into one RDF 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 Otlw es'/La&Ai mv Submission Date 5/10/2021 TOWN OF SNOW HILL 2021 PERMIT RENEWAL CLASS B PROGRAM WQ0011448 Submitted by: Soil Plus PO Box 1396 Oxford, North Carolina 27565 May 10, 2021 SOIL PLUS SOIL PLUS May 10, 2021 NCDEQ-DWR Non -Discharge Branch 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Attention: Mr. Nathaniel Thornburg Reference: PERMIT RENEWAL Town of Snow Hill Residual Biosolids "Class B" Program Permit # WQ0011448 Mr. Thornburg: Soil Plus, LLC (Soil Plus) is submitting one electronic copy of this permit renewal application package for the Town of Snow Hill (WQ0011448). This package includes: 1. Completed Residual Land Application Program Application (RLAP) a. Weighted PAN Calculations b. O&M Plan 2. Completed Residual Source Certification Attachment (RSCA) a. Field Loading Calculation Sheet b. Analytical 3. Completed Land Application Site Certification Attachment (LASCA) a. Land Owner Agreement Form b. Maps c. Biosolid Utilization Calculations d. CPLR Summary Soil Plus will be responsible for completing this permit renewal for the Town of Snow Hill. If there is any further information required or questions regarding this permit application, please do not hesitate to contact me for assistance. Respectfully, Drew Matthews, Soil Plus cc: Todd Whaley, Town of Snow Hill PO Box 1396 Jason Smith, Granville Farms Oxford, NC 27565 (252) 883-9301 dmatthewsgsoilplus. ne t www.soilplus.net Town of Snow Hill 2021 Class B Permit Renewal WQ0011448 Snow Hill, NC 771 Residual Land Application Program Weighted PAN Calculations O&M Plan Residual Source Certification Field Loading Calculations Analytical Data Land Application Site Certification Land Owner Agreement Form Maps Biosolid Utilization Calculations CPLR Summary APPENDIX 1 2021 PERMIT RENEWAL Town of Snow Hill (WQ0011448) Weighted PAN Calculations O&M Plan State of North Carolina DWR Department of Environmental Quality Division of Water Resources Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM FORM: RLAP 06-16 L APPLICANT INFORMATION: 1. Applicant's name: Town of Snow Hill Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility ❑ Federal ❑ State ® Municipal ❑ County Signature authority's name per 15A NCAC 02T .0106: Todd Whaley Title: Town Manager Applicant's mailing address: PO Box 247 City: Snow Hill State: NC Zip: 28580-0247 Telephone number: 2( 52) 747-3414 Email Address: managerksnowhillnc.com 2. Consultant's name: Drew Matthews License Number (for P.E.): JjL_ Affiliation: ❑ On Staff ® Retained (Firm: Soil Plus, LLC) Consultant's mailing address: PO Box 1396 City: Oxford State: NC Zip: 27565- Telephone number: (252) 883-9301 Email Address: dmatthewsksoilplus.net 3. Agronomist's name: License Number: Affiliation: ❑ N/A ❑ On Staff ❑ Retained (Firm: ) Agronomist's mailing address: City: State: Zip: - Telephone number: (_) _- Email Address: 4. Soil Scientist's name: License Number: Affiliation: ❑ N/A ❑ On Staff ❑ Retained (Firm: ) Soil Scientist's mailing address: City: State: Zip: - Telephone number: (_) _- Email Address: 5. Fee submitted: $0.00 (See Instruction B) IL PERMIT INFORMATION: 1. Application is for (check all that apply): ❑ new, ❑ modified, ® renewed permit 2. If this application is being submitted to renew or modify an existing permit, provide the following: Permit number: W00011448 Date of most -recently issued permit: November 9, 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: 102 Daniel Road City: Snow Hill Coordinates: Latitude: 35° 27' 19" Datum: NAD 83 Method of measurement: GIS State: NC Zip: 28580- Longitude: 77. 40' 1" Level of accuracy: Sub -Meter 2. County where residuals land application program is headquartered: Greene 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 Jason Smith Granville Farms, Inc. 13266 Back -Up ORC Bryan A. Smith Granville Farms, Inc. 13265 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: 50 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 21.11 24.23 1,055 1,211 Five -Year Maximum Adjusted 32.15 34.46 1,607 1,723 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 Row Crops Hay 11.40 Pasture Total: 11.40 Methods Surface 11.40 Incorporation or Injection Total: 11.40 FORM: RLAP 06-16 Page 2 of 4 c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate (lbs PAN/ac yr) Acres Required Using First -Year PAN Concentrations Acres Required Using Five -Year Maximum Adjusted PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 50 21.11 24.23 32.15 34.46 100 10.55 12.11 16.07 17.23 150 7.04 8.08 10.72 11.49 200 5.28 6.06 8.04 8.62 6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction practices not in place, etc.): 7. Specify type of residuals program (See Instruction F): ® Non -dedicated ❑ Dedicated If Dedicated, specify the following (check all that apply): ❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic rates, explain; 71 Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop production is of secondary importance, explain; ❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system, explain; IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source) Complete and submit the following Residuals Source Certification and all associated documentation. 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. Land Application Siite Certification.doc FORM: RLAP 06-16 Page 3 of 4 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. ® Yes Ej No, Explain, I, Todd Whaley Town Manager (Signature Authority's Name — PLEASE PRINT) (Title) attest that this application for Town of Snow Hill (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. 1 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 § 143-215.613, 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. Signature: Date: ZO FORM: RLAP 06-16 Page 4 of Source Snow Hill W WTP 50.00 50.00 PAN Rate 50 00 150 200 1st Yr.PAN(Sur) Weighted Avg. lbs/Dt I 1st Yr PAN(Inj) 10,553 10,553.00 21.11 12,113 10,553.00 21.III 1,055 Acres Required 21.11 10.55 7.04 5.28 A Avg lbs/Dt 5th Yr PAN (Surface) 12,113.00 24.23 16,074 12,113.00 24.23 1,211 Acres Required 24.23 12.11 8.08 6.06 I Avg lbs/DT 5th Yr PAN (Inj) Weighted Avg lbs/DT 16,074.00 32.15 17,232 17,232.00 34.46 16,074.00 32.15 17,232.00 34.46 1,607 1,723 Acres Required Acres Required 32.15 34.46 16.07 17.23 10.72 11.49 8.04 8.62 TOWN OF SNOW HILL OPERATION AND MAINTENANCE PLAN LAND APPLICATION OF CLASS B RESIDUAL BIOSIOLIDS WQ#0011448 Revised May 2021 1.0 ANALYTICAL REQUIREMENTS Prior to the hauling and land application event being schedule the generator must provide analytical results documenting that all parameters listed in Condition IV. 2 — 4 and at the frequency listed in most recent copy of this permit. The Town of Snow Hill will collect the sample prior to land application and will be done in the following manner: Four factors that may ultimately affect the integrity of reported data include: 1) obtaining a representative sample, 2) preventing contamination of the sample, 3) providing legal documentation of the sampling event, and 4) protecting the sample from chemical, physical or biological change prior to analysis. A sample will be collected according to the schedule provided in the most recent copy of the Attachment of this permit and prior to land application one composite sample should be pulled from a designated location from the generating source. The Town of Snow Hill has identified Meritech, Inc. in Reidsville, NC to be used as the Certified Laboratory. The composite sample should be analyzed for: • % Solids, • Nitrogen Series (TKN, Ammonia, Nitrate, Nitrite, and Organic Nitrogen), • Phosphorus, • Potassium, • Sulfur, • Calcium, • Magnesium, • Sodium, • Iron, • Aluminum, • Manganese, • Copper, • Zinc, • and Remaining 503 Metals (i.e. Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, Selenium) Approximately 2 quarts of residual should be collected. The sample containers should be clean and sterile. They should also be labeled so that they are easily identifiable in the lab. The samples should be pulled using the method listed below: ❖ Collect one sample from each holding tank(s) from which the material will be land applied using a "swing sampler" o The swing sampler must be used with a sterile, plastic 960 ml container ❖ Combine each sample in a stainless steel bucket ❖ Mix thoroughly using a fiberglass rod ❖ Collect each sample from the top of the access point at each holding tank. This access point is obtained by climbing the installed ladder on the side of the holding tank. Once the sample is pulled, it should be placed in medium size cooler packed with ice. The sample should be collected with an enough time so that it can be delivered to the laboratory. Revised 05/21 OTown of Snow Hill Operation and Maintenance Plan Once per calendar year a sample should be collected and submitted to Meritech, Inc. in Reidsville, NC. This sample should be analyzed for: • Full TCLP • Ignitability, Corrositivity, and Reactivity • Requires 5 Liters (In Opac Glass Bottles) A third should be submitted to Meritech, Inc. for a 30-Day Scale Bench test and Fecal Coliform Density Test. The 30-Day Scale Bench Test also requires 1 quart of "clear" water from the Clarifier for Dilution if necessary. This sample would be analyzed for: • 30-Day Scale Bench Test (4 Quarts of Residuals and 1 Quart of Clarifier water) • Fecal Coliform Density Test (seven pint samples) The contact information for the labs is: Mailing Address Meritech, Inc. 642 Tamco Road Reidsville, NC 27320 (336) 342-4748 (phone) (336) 342-1522 (fax) Sampling frequency will be conducted in accordance with the Table listed in the most recent Attachment A of this permit. The sample will be collected by a representative of Soil Plus, LLC. For further information please contact: Drew Matthews PO Box 1396 Oxford, NC 27565 252-883-9301 Revised 05/21 OTown of Snow Hill Operation and Maintenance Plan 2.0 BIOSOLIDS REMOVAL, TRANSPORT, AND APPLICATION Biosolids will be transported from the generators to suitable, permitted land application sites. Transport equipment will be inspected, licensed and appropriately marked, as required, for the purpose of transporting biosolids. Biosolids will be delivered to the application sites between sunrise to sunset. Both liquid and dewatered biosolids distribution on the land application sites will be uniform throughout the application area. To ensure adequate control of the application rate for each site, the equipment used for spreading the sludge will be calibrated by measuring the amount handled on a known square footage. While the rate of discharge from the application vehicle is fixed, the speed of the equipment can be adjusted to maintain the flow rate needed to achieve specific application rates. Spreading operations will be discontinued during periods of inclement weather and will not be resumed until sufficient drying of the fields has occurred. This allows equipment access without causing excessive soil compaction or rutting. To prevent adherence of the biosolids, transport vehicles will be equipped with rear mud flaps, thereby preventing biosolids from being tracked onto roadways. Biosolids adhering to the mud flap will be scraped off in the field before the truck returns to the roadway. Examples of our application tracking and summary form/reports can be provided upon request. 3.0 SITE OPERATION Biosolids will be surface applied at the properly -calculated agronomic rate and in strict accordance with any state and federal regulations for the land application of the biosolids. Buffer zone distances will be observed in accordance with applicable state and federal regulations. Buffer zones will be flagged and no biosolids will be applied within those areas. The most restrictive buffer will apply in combined situations. Operational provisions will be taken to prevent soil loss through erosion. Provisions will include contour application and avoidance of areas where surface drainage patterns result in concentrated flow of runoff from rainfall. In accordance with sound, industry standard agronomic practice, areas which are unseasonably wet (and would produce rutting or damage to the field) will not be utilized for biosolids application operations during those periods. Operations will be discontinued when soils are saturated and will not be resumed until the field has sufficient dried. The amount of biosolids applied will not exceed the hydraulic capacity of the soil at the time of each application. If a subsequent pass across a field is necessary to achieve the desired application rate, sufficient drying time will be allowed between passes. 4.0 PROJECT CONTROL To ensure biosolids are continuously applied at the correct application rate and in a manner consistent with the Operations Plan, a Field Manager (provided by the contracted land application company) will be in direct charge of the field operations, controlling the amount of biosolids delivered to each field, and conducting daily field inspections. Field inspections will include ensuring that flags are in place, biosolids are applied uniformly at the designated application rate, setbacks are observed, trucks are unloading at best location, trucks are not driving over biosolids, trucks are cleaned before leaving the field and the land application equipment is maintained in working condition. 5.0 TRANSPORTATION SYSTEM ROUTING Per the specifications, transportation vehicles will be equipped with GPS devices that will guide drivers to the land application sites. Transportation routes will follow primary highways and avoid residential areas where possible. Designated routes are followed unless a detour is specified. In the event of a detour route, it shall be taken as specified by the detour authority. There shall be no unscheduled stops when loaded. Transportation vehicles will be inspected, licensed and appropriately marked as required with identification numbers for the purpose of this contract. All units will be equipped with spill guards and full mud flaps. This will prevent the biosolids from adhering to the tires and undercarriage of the transport vehicle, thereby preventing biosolids from being tracked onto roadways. Biosolids adhering to the mud flap will be scraped off in the field before the truck returns to the roadway. All federal OSHA Revised 05/21 OTown of Snow Hill Operation and Maintenance Plan and DOT laws and regulations are complied with for the protection of our clients, the community and our drivers. Examples of vehicle and driver transportation logs and inspection forms can be provided upon request. 6.0 DEWATERED BIOSOLIDS Dewatered biosolids will be transported in standard end dump trailers. The tankers will be loaded per the generator's specifications and standard protocols. The aluminum dump trailers used for transportation of dewatered cake biosolids will be equipped with sealed tailgates and will be completely sealed to prevent leakage. All trucks will be fully covered and will be fitted with positive lock tailgates. 7.0 LIQUID BIOSOLIDS Liquid biosolids will be transported using liquid tankers pulled by standard road tractors, or pumper trucks. The tankers and pumper trucks will be loaded per the generator's specifications and standard protocols. The tractor/tanker unit will transport its load to a designated staging area inside the buffered area of a permitted land application site. 8.0 APPLICATION (SPREADING) — DEWATERED BIOSOLIDS At the staging area each load will be unloaded in a designated area within the land application site. Biosolids will be loaded into our Side Slinger cake box by a front-end loader. This unit is capable of delivering an accurate, calibrated application of dewatered biosolids over the application site. The uniform spread pattern ensures that biosolids are applied at proper agronomic (nutrient) and hydraulic loading rates. The application rates for each site, and its corresponding crop, will be determined based on the Plant Available Nitrogen (PAN) content of the biosolids, or other limiting factors. Typical applications will deliver between 75 and 100 percent of a crop's annual PAN requirement. 9.0 APPLICATION (SPREADING) — LIQUID BIOSOLIDS At the staging area each load will be transferred into a 4,000 gallon capacity pull behind subsequent land application. This unit is capable of delivering an accurate, calibrated application of liquid biosolids over the application site. The uniform spread pattern ensures that biosolids are applied at proper agronomic (nutrient) and hydraulic loading rates. The application rates for each site, and its corresponding crop, will be determined based on the Plant Available Nitrogen (PAN) content of the biosolids, or other limiting factors. Typical applications will deliver between 75 and 100 percent of a crop's annual PAN requirement. 10.0 SPILL AND EMERGENCY RESPONSE PROGRAM In the unlikely event of a spill, the Town of Snow Hill will take the following actions immediately. • Halt Source of Spill. Use of any leaking or damaged unit which is causing the spill will cease immediately. The unit will be repaired before resuming its use. • Contain Spill. In the event large quantities of biosolids have been spilled, straw bales will be used where available and as necessary to either form a barrier or absorb biosolids. • Clean -Up. Depending on the type and amount of biosolids spilled, a variety of equipment may be used to remove the biosolids: front-end loader, shovels and brooms and vacuum equipment of a liquid biosolids applicator. Any biosolids removed from the spill site will be spread on an approved application site, returned to the WWTP, or disposed of in an approved landfill. Revised 05/21 OTown of Snow Hill Operation and Maintenance Plan • Final Clean -Up. Flush roadways with water or sweep as necessary to clean. Allow to dry and incorporate if spill occurs on non -paved and tillable area. In the event a spill occurs on private property, final clean-up should be completed immediately to the satisfaction of the owner. • Management of Clean -Up Efforts. The Operations Manager will take immediate charge and initiate clean-up activities. The Contract Land Applier along with the Town of Snow Hill labor will be used, with additional labor secured as needed. The Operations Manager will also communicate with the public on the scene, answering questions and advising of clean-up activities. • Reporting. All spills will be reported immediately to the Town of Snow Hill officials. State and local agencies will be notified in accordance with their notification requirements. Within 24 hours of the spill, the Operations Manager will send the Town of Snow Hill a written report detailing how the spill occurred and remedial action taken. This report will be provided using the enclosed Spill Report form. • Spill Prevention. The Operations Manager will implement the following spill prevention measures: o Ensure truck drivers watch trailer while loading and do not overload; o Ensure trailer hatches are closed and latched while transporting; o Ensure trailer seals are inspected on a daily basis and replaced as necessary; and o Ensure unloading operations in the field are conducted to minimize any potential runoff or tracking. The Town of Snow Hill require that the Contract Land Applier shall ensure that all employees receive safety and spill response training as part to their new hire training and thereafter participate in our monthly safety and spill response training program. In addition to their internal training and protocols, they must also contract with a regional emergency response firm - HEPACO - available to respond to an incident in the Central and Eastern North Carolina area within two hours. A copy of our agreement with HEPACO can be provided upon request. Names and Titles of Inspection Personnel Andy Smith, Area Supervisor Jason Smith, Area Supervisor JT Bryant, Regional Supervisor Jay Bryant, Project Supervisor Matt Foster, Project Supervisor Jeff Bumpass, Field operators Curtis Riggs, Field operators Mark Hurley, Field operators 11.0 PREVENTION The goal of a compliance assurance system is to prevent compliance issues from occurring. Prevention involves: • Ensuring personnel understand their role in assuring compliance; • Identifying compliance requirements at the federal, state and local levels; • Implementing a system where compliance tasks are scheduled, assigned and tracked to completion; • Developing standard operating procedures where appropriate; and • Reviewing the compliance task list and standard operating procedures on an ongoing basis and modifying them as appropriate to account for changes in regulations/requirements and operating methods, and to address compliance deficiencies. Revised 05/21 OTown of Snow Hill Operation and Maintenance Plan 12.0 STANDARD OPERATING PROCEDURES (SOP's) The Town of Snow Hill will direct the Contract Land Applier to develop and implements SOPS to ensure compliance tasks are completed consistently across the company. The SOP provides standard forms to use, approved biosolids analytical methods, frequency of monitoring information, etc. Another key SOP relative to preventing compliance issues from occurring is the use of a "Pre -Operating and Buffer Checklist". The Pre -Operating and Buffer Checklist ensures federal, state and local regulations and permit requirements are met prior to initiating biosolids applications at field sites. Compliance items on the Checklist include: • The field is permitted and suitable for the biosolids/residuals type being applied; • Pre -application requirements are met; • Farmer and landowner agreements are current and the crop to be grown has been verified; • The field is flagged to prevent applications in buffer zones and restricted areas; • The appropriate application rate and field capacity is calculated; and • Any special permit or local requirements are met. • A listing of the buffer zones and restricted areas where biosolids/residuals cannot be applied • A listing of operating requirements including notification requirements, • application method requirements, and inclement weather operating requirements 13.0 ASSESMENT To help ensure compliance requirements are being met and the compliance assurance system is implemented and working, periodic, consistent, objective and documented assessments of the project/facility's compliance status are conducted. 14.0 CORRECTIVE ACTION Once compliance issues have been identified during the course of day to day business and through internal audits and inspections a system must be in place which ensures that appropriate and timely corrective action is taken, the cause of the compliance issue is identified and actions are taken to prevent recurrence of the issue. The Town of Snow Hill's goal is to have no instances of non-compliance. However, issues and incidents may occur and when this happens employees work to correct the incident in a timely and thorough manner. When compliance issues are identified, the situation is examined to determine the root cause of the problem and the corrective and preventive action that must be taken. The preventive action must address the root cause with the goal of preventing a recurrence. Depending on the nature of the compliance issue, it is assigned to one or more responsible parties to ensure that the corrective and preventive actions are implemented. A deadline for completion of the task is assigned and the issue is tracked to completion by regional and corporate compliance personnel. Revised 05/21 OTown of Snow Hill Operation and Maintenance Plan 15.0 TRAINING An effective compliance training program involves: • Identifying training needs and requirements; • Assigning personnel to provide training and providing them the resources they need to conduct training; • Documenting and tracking that mandatory t raining has occurred; and • An employee's training needs and requirements, as well as their training responsibilities, are based on his/her position within the company. Revised 05/21 OTown of Snow Hill Operation and Maintenance Plan Spill Response/Clean Up THE FOLLOWING ACTIONS MUST BE TAKEN IN THE EVENT OF A SPILL Halt the source of the spill: Ruptured line or valve, or damaged tank unit. Contain spill: Use straw bales to form a barrier. Straw or hay bales can be obtained from several sources for this purpose. Soil near the site can also be used to form a barrier for containment. Clean up: Use application equipment to recover as much of the material as possible. After the application equipment has recovered as much material as possible, it will be land applied as per the management plan. A temporary sump pit may be dug in the containment area and spilled material washed into it to enhance recovery. Final Clean up: Any unrecoverable material will be washed from road surfaces and incorporated into an adjacent tillable area. Notification: As soon as possible after a spill occurs notify: Town of Snow Hill (252) 747-3414 Jason Smith, GFI - Vice President (919) 690-8000 Department of Environmental Quality Division of Water Resources Washington Regional Office (252) 946-6481 Fire Department if assistance is required for wash down "911" Highway Patrol if accident is on a public road "911" Management of cleanup efforts: The field superintendent will take immediate charge of the cleanup activities. Additional labor will be requested from the groundwater recovery site and other departments as needed. Reporting: Within 24 hours of a spill, the field superintendent will present a written report detailing the cause of the spill and all actions taken in response to the spill. The report will be sent to the NCDEQ Regional office having jurisdiction at the location in which the release occurred. SNOW HILL WWTP Quantitative Justification YEAR GALLONS DRY TONS 2018 2931-700 42.99 2019 2041-050 22.55 2020 2481-400 31.49 AVERAGE 2481-717 32.34 CJ .. 1230 N � s 1231 W E CA LIMA 5 S >3 R \r� i T1225 Artis "1 Town --L� 'N. 1229 1243 124 g x.zo y29 1244 1244 0 Wootens 1 Crossroads 257 253 Contentnea 1216 2"<a 217� S4'�m 1222 1247 1221 218 \ 121 9 ,42 1256d 5 3 1058 .13 1219 p 1220 124E p6 0 1210 r o 2° ,0_58 12002� 1252 1251 ss 3 1206 w Fg 22 9 p 7.1 ' 1211 1205 � 1202 r 58 1 1207 203 6p \ 39 1200 '° 1208 13 209 1204 e W hd N f �1 1204 $ 264 1, To \ cqF EM,Ic� iV � 35°35' 130 ° ` � z6 z _ 2 o m 1319 I M321� T m 132Z35 45 YOGREEPNI>_4r� 13 1301 S� y 15 1323 4ti 1363 1345 3 1324 1344 ;� HALF M 2,06 .46 1301 1335 1335 1327 r°s ti Greer Lizzie 1342 MOON 1327 l op 1300 m 'az 1355 � 1 25e 1334 23 �z POCOSIN 13 C 1332 1341 M 55 9 ,191333 e o s� 03 °° Y MBUrj/ .3q 1335 v Hill 6 as 415 6 402 ti '� a / 147 1441 1400 1400 / 139 �_ 1132 g3 49 ea m °w 149 rn 51 114 '40 114 73 .0 's 119 a`1 �140 1143 40 114 g8 �Y rs 1438 1 a .42 mokerton 0 \ r a Oakdale 141 �'� �° 1104 � "� zss �s Pop.410 1146 1147 es 1445� 1437 _ - 140 y?� ^ g3 s9 N 1107 1110 s0 ryti �� 1430 s 42 153 52 ~� a Inset 9 14 113 T' 113 3e e ri24 1-127 1128 � 1091 1.27 .1 - i,aa 1108 �sl m 1442 1 1.06 -z� 136ay e 1, 1142 1125 .08 110 tot .`O 31 _ os ti° 11 i3Os Arba 1103 Glenfield 109 3-1-135 1146 1129so `N' Crossroads 1429 1135 00 —0 1 1 q- 3a 1432 133 ' l2 1168 m 1121 1124 5 110 �_ 1118 ° 1112�� ti 3 w 1430 1134 123 / 11191115 11.01 ° 1� 14 75 112N1p 117ss Y 112 103 ti� 435143 1122 1123 °� 1119 's Glenfield 1131 .Jason .,m }10� ,. 1117 ti, 110 1434 78 Ss L z, 0 111 1116 1115 8rowntown 1113 ,)9 - _.20 i h0 1130101 ,11 _ ry 1114 1,as Syam4 2�ho ti 903 L E H O R 2 w 1102 w j cn 25$ 11 p 1 0.5 0 1 2 SOURCE: NCDOT provided County Map es -0.1 G r° Miles J .i. r Scale: 1 inch = 2 miles VICINITY MAP Figure Drawn by: DM SOIL PLUS Town of Snow Hill Class B Land App Reviewed by: CSC—Ampooll, Snow Hill, North Carolina Date: June'16 Soil Plus Project # 200804.A10 APPENDIX 2 2021 PERMIT RENEWAL Town of Snow Hill (WQ0011448) RS CA Field Loading Calculations Analytical RESIDUALS SOURCE FACILITY SUMMARY Applicant's name: Town of Snow Hill Status Code Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year Current'' Proposed R Town of Snow Hill Snow Hill WWTP Greene NCO020842 50 50 '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 State of North Carolina DWR Department of Environmental Quality Division of Water Resources l?ivision of hater Resources RESIDUALS SOURCE CERTIFICATION FORM: RSC 06-16 L RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: Inow Hill WWTP 2. Facility permit holder is: ❑ Federal, 0 State, 0 Local Government, or 0 Private. Facility permit issued by: IL Div. of Water Resources, Div. of Environmental Health, or p Other (explain: _). 3. Facility contact person and title: Drake RobartORC Complete mailing address: PO Box 247 City: now Hi State: NC Zip: 28580-0247 Telephone number: M) 747-3414 E-mail address: wastewaterorcksnowhillnc.com 4. Facility physical address: 102 Daniel Road City: Snow Hill State: NC Zip: 28580- Coordinates: Latitude: b° 27' 19" Longitude: 77° 44 ' 1" Datum: � Level of accuracy: Sub -Meter Method of measurement: GIS 5. Purpose of the facility: treatment of municipal wastewater, treatment of 100% domestic wastewater, treatment of potable water, treatment of 100% industrial wastewater, treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: _ % industrial and _ % domestic) other (explain: _ ). 6. Does the facility have an approved pretreatment program: Yes ® No 7. Facility permitted/design flow: 0_5 MGD and facility average daily flow: 0 MGD 8. Average amount of residuals being generated at this facility 0 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: (2) 97,000 Gallon Aerobic Digesters Type and volume of residuals storage (i.e., outside of residuals treatment units): W7.000 Gallon Sludge Holding Tanks II. RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under: 40 CFR Part 503 or 40 CFR Part 257. Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40 CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257. 2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as: Biological ❑ Non -Biological Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems). FORM: RSC 06-16 Page 1 of 5 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: 0 yes ® no. If yes, list the number(s): _ b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- 261.24: P yes 0 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: Meritech. Inc. and Date of analysis: 6/7/2019 Passed corrosivity test: []I yes r no. pH: 6.0 s.u. (2 < pH < 12.5) Passed ignitability test: d yes p no. Flashpoint: = OF (> 140°F) Passed reactivity test: Eyes Mno. HCN: <0.500 mg/kg (<250) & H2S: - mg/kg (<500) TCLP Parameter Limit (mgfi) Result (mg17) TCLP Parameter Limit (mg17) Result (mg17) Arsenic 5.0 <0.100 Hexachlorobenzene 0.13 <0.100 Barium 100.0 0.574 Hexachloro-1,3-Butadiene 0.5 <0.100 Benzene 0.5 <0.0100 Hexachloroethane 3.0 <0.100 Cadmium 1.0 <0.020 Lead 5.0 <0.100 Carbon Tetrachloride 0.5 <0.0100 Lindane 0.4 <0.040 Chlordane 0.03 <0.003 Mercury 0.2 <0.02 Chlorobenzene 100.0 <0.0100 Methoxychlor 10.0 <1.000 Chloroform 6.0 <0.0100 Methyl Ethyl Ketone 200.0 <0.100 Chromium 5.0 <0.050 Nitrobenzene 2.0 <0.100 m-Cresol 200.0 <0.200 Pentachlorophenol 100.0 <0.500 o-Cresol 200.0 <0.100 Pyridine 5.0 <0.100 p-Cresol 200.0 <0.200 Selenium 1.0 <0.100 Cresol 200.0 <0.300 Silver 5.0 <0.050 2,4-D 10.0 <1.000 Tetrachloroethylene 0.7 <0.0100 1,4-Dichlorobenzene 7.5 <0.100 Toxaphene 0.5 <0.05 1,2-Dichloroethane 0.5 <0.0100 Trichloroethylene 0.5 <0.0100 1,1-Dichloroethylene 0.7 <0.0100 2,4,5-Trichlorophenol 400.0 <0.100 2,4-Dinitrotoluene 0.13 <0.100 2,4,6-Trichloropheno1 2.0 <0.100 Endrin 0.02 <0.002 2,4,5-TP (Silvex) 1.0 <0.100 Heptachlor and its Hydroxide 0.008 <0.0008 Vinyl Chloride 0.2 <0.0200 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: h4eritech, Inc. and Date of analysis: 7/29/2020 Parameter Ceiling Concentration Limits (ClassA & ClassB) (mglkg) Monthly Average Concentration Limits (Class A Only) (mglkg) Result (mglkg) Arsenic 75 41 <1.64 Cadmium 85 39 1.28 Copper 4,300 1,500 602 Lead 840 300 34.2 Mercury 57 17 2.88 Molybdenum 75 n/a 5.03 Nickel 420 420 24.2 Selenium 100 100 <1.67 Zinc 7,500 2,800 852 b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: Laboratory: = and Date of analysis: = Distance from Disposal Unit to Boundary to Closest Property Line (meters, check one) Arsenic (mg/kg) Chromium (mg/kg) Nickel (mg/kg) W > 0 but < 25 30 200 210 19 > 25 but < 50 34 220 240 ❑ > 50 but < 75 39 260 270 ❑ > 75 but < 100 46 300 320 ❑ > 100 but < 125 53 360 390 > 125 62 450 420 Result (mg/kg) FORM: RSC 06-16 Page 3 of 5 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: a %. 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: 14eritech, Inc. and Date of analysis: 7/29/2020 Parameter Result (mg1kg) Aluminum 8,130 Ammonia -Nitrogen 3,120 Calcium 15,400 Magnesium 5,490 Nitrate -Nitrite Nitrogen <329 pH (Standard Unit) 6.8 Phosphorus 31,700 Potassium 5,900 Sodium 7,400 Total Kjeldahl Nitrogen 32,000 c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): [Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity and conditions conducive to crop growth]. d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This rate is a (check one): JW default value, or ❑ actually established. If the residuals are not generated from the treatment of municipal or domestic wastewater, ex lain or provide technical justification as to why the selected default value is appropriate to be applied to these residuals: ia 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 (11) Year PAN Five -Year Maximum Adjusted PAN (mg/kg) (mg/kg) Surface 10,553 16,074 Injection/Incorporation 12,113 17,232 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: None Kno FORM: RSC 06-16 Page 4 of 5 7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements: a. For Distribution/Land Application of Class A or Equivalent: C1 A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids, or id 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): 14 Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance. EJ Alternative 2 [15A NCAC 02T.I 106(b)(3)(13)] - Alkaline Treatment. Alternative 3 [15A NCAC 02T. 1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. E] Alternative 4 [15A NCAC 02T. 1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). Specify one: composting, A heat drying, 71 heat treatment, thermophilic aerobic digestion, ❑ beta ray irradiation, ❑ gamma ray irradiation, or ❑ pasteurization. b. For Land Application of Class B: Alternative 1 [15A NCAC 02T.I 106(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, I air drying, ❑ anaerobic digestion, El composting, or lime stabilization. c. For Surface Disposal: rl Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above. J Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above. J Exempt -If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)]. J Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. 8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements: El 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). Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). E] Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). El Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes. E] Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization. E] Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals. E] Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals. El Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection. El Alternative 10 [15A NCAC 02T.I107(a)(10)] - Incorporation. q Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(b)(2)]. id 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 &,,AGMAN FIELD LOADING ESTIMATES Facility Town of Snow Hill VP P Sampling Date 7/29/2020 Solids 3.04 Mineralization Rate 0.3 Gallons per DT 7,888.43 pH 6.8 Sodium Absorpotion 2.26 <5.0 Safe 5.0 - 10.0 Careful Management >15.0 Do Not Land Apply Ratio NITROGEN APPLICATION TKN (mg/Kg) 32,000 lbs./1,000 gal 8.11 Ammonia Nitrogen (mg/Kg) 3,120.00 lbs./1,000 gal 0.79 Nitrate -Nitrite (mg/Kg) 329.00 lbs./1,000 gal 0.08 PLANT AVAILABLE NITROGEN SURFACE APPLIED PAN (mg/Kg) 10,553 lbs./1,000 gal 2.68 PLANT AVAILABLE NITROGEN INJECTED/INCORPORATED APPLIED PAN (mg/Kg) 12,113 lbs./1,000 gal 3.07 Volatization Rate= 0.5 Surface Application 1.0 Injection/Incorporation EPA METAL LIMITS Class A Ceiling Class B Ceiling Limits (mg/Kg) Limits (mg/Kg) 41 75 39 85 1,500 4,300 300 840 17 57 420 420 100 100 2,800 7,500 1 st Year 2nd Year 3rd Year 4th Year 5th Year NUTRIENT APPLICATION Potassium lbs./1,000 gal 1.50 Phosphorus lbs./1,000 gal 8.04 Calcium lbs./1,000 gal 3.90 Magnesium lbs./1,000 gal 1.39 Manganese lbs./1,000 gal Sulfur lbs./1,000 gal Molybdenum lbs./1,000 gal 0.00 HEAVY METAL CONCENTRATION HEAVY METAL LOADING Arsenic (mg/Kg) 1.64 Arsenic lbs./1,000 gal 0.00 Cadmium (mg/Kg) 1.28 Cadmium lbs./1,000 gal 0.00 Copper (mg/Kg) 602.00 Copper lbs./1,000 gal 0.15 Lead (mg/Kg) 34.20 Lead lbs./1,000 gal 0.01 Mercury (mg/Kg) 2.88 Mercury lbs./1,000 gal 0.00 Nickel (mg/Kg) 24.20 Nickel lbs./1,000 gal 0.01 Selenium (mg/Kg) 1.67 Selenium lbs./1,000 gal 0.00 Zinc (mg/Kg) 852.00 Zinc lbs./1,000 gal 0.22 RESIDUAL NITROGEN CALCULATION Surface Application Injection/Incorporation Application Remaining Remaining Organic Organic PAN PAN Nitrogen PAN PAN Nitrogen TKN (mg/kg) (lbs/DT) (mg/Kg) TKN (mg/kg) (lbs/DT) (mg/Kg) 32,000 10,553 21.11 21,447 32,000 12,113 24.23 19,887 21,447 3,217 6.43 18,230 19,887 2,983 5.97 16,904 18,230 1,367 2.73 16,863 16,904 1,268 2.54 15,636 16,863 632 1.26 16,230 15,636 586 1.17 15,050 16,230 304 0.61 15,926 15,050 282 0.56 14,768 Equations 1 st Yr. PAN (mg/Kg)-(MR x (TKN-NH3))+(VR x NH3)+NOx 2nd Yr PAN (mg/Kg)- 2nd Yr. TKN x (MR/2) 3rd Yr PAN (mg/Kg)- 3rd Yr. TKN x (MR/4) 4th Yr PAN (mg/Kg)- 4th Yr. TKN x (MR/8) 5th Yr PAN (mg/Kg)- 5th Yr. TKN x (MR/16) Total 16,074 32.15 Total 17,232 34.46 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: Drew Matthews CIient: Soil Plus P.O. Box 1396 Oxford, NC 27565 Report Date: Project: Date Sample Rcvd: 8/14/2020 Snow Hill 7/29/2020 Meritech Work Order # 072920102 Sample: SH072920 Grab 7/29/20 Parameters Results Analysis Date Reporting Limit Method % Total Solids 3.04 % 7/30/20 0-100 % SM 2540B Ammonia, Nitrogen 3,120 mg/kg 8/7/20 10 mg/kg EPA 350.1 TKN 32,000 mg/kg 8/5/20 20 mg/kg EPA 351.1 Nitrate/Nitrite, Nitrogen <329 mg/kg 8/4/20 329 mg/kg EPA 353.2 Aluminum, total 8,130 mg/kg 8/13/20 2.50 mg/kg EPA 200.7 Arsenic, total <1.64 mg/kg 8/13/20 1.64 mg/kg EPA 200.7 Cadmium, total 1.28 mg/kg 8/13/20 0.200 mg/kg EPA 200.7 Calcium, total 15,400 mg/kg 8/13/20 10.0 mg/kg EPA 200.7 Copper, total 602 mg/kg 8/13/20 1.00 mg/kg EPA 200.7 Lead, total 34.2 mg/kg 8/13/20 0.500 mg/kg EPA 200.7 Magnesium, total 5,490 mg/kg 8/13/20 10.0 mg/kg EPA 200.7 Mercury, total 2.88 mg/kg 8/4/20 0.02 mg/kg EPA 245.1 Molybdenum, total 5.03 mg/kg 8/13/20 0.500 mg/kg EPA 200.7 Nickel, total 24.2 mg/kg 8/13/20 2.0 mg/kg EPA 200.7 Phosphorus, total 31,700 mg/kg 8/13/20 2.00 mg/kg EPA 200.7 Potassium, total 5,900 mg/kg 8/13/20 20.0 mg/kg EPA 200.7 Selenium, total <1.67 mg/kg 8/13/20 1.67 mg/kg EPA 200.7 Sodium, total 7,400 mg/kg 8/13/20 20.0 mg/kg EPA 200.7 Zinc, total 852 mg/kg 8/13/20 0.500 mg/kg EPA 200.7 pH 6.8 S.U. 7/30/20 1.0 -14.0 S.U. SM 4500-HB I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Chain of Custody Record (COC) NPDES#: Client: SOII Plus Phone: 252-883-9301 MERITECH, INC. PO Box 1396 919-690-1157 Address: Fax: ENVIRONMENTAL LABORATORIES Oxford, NC 27565 Email: samples@soilplus.net ° 642 Tamco Rd. Phone: 336-342-4748 Project: Town of Snow Hill Reidsville NC 27320 Fax: 336-342-1522 P.O.#: Email: info@meritech-labs,com Turn Around Time* Attention: *RUSH wank needs prior approval. How would you like your report sent? 0 www.meritech-labs.com �a4 Circle all that apply: Email(preferred), Fax, Mail std(1Ddays) =[:!�f X Sampling Dates & Times Person Taking Sample (Sign/Print);Drew Matthews Lab Use Only Sample Location and/or ID # 5tart End °mp? � °f Test(s) Required _On Ice? Yes / Na pH OK? Date Time Date Time Grab. Cont. � Cl OK? SH 072920 7/29/20 41:1�0 ABM G 3 VV Residual Analysis (Al, Ammonia-N, As, Cd, Ca, Cu, Pb, Mg, Hg, Mb, Ni, Nitrate -Nitrite N, %TS, pH, P, K, Se, Na, TKN, Zn) Temperature Upon f l 11 Receipt: *** t Method of ** Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. Shipment: Comments: please report Residual Analysis results in mg/kg Compositor # [] UPS Please email results to samples@soiIplus, net Jug # Q Fed Ex Are these results for regulatory purposes? Yes 14 1�! 1 No ❑'. Report results in: mg/L t_a mg/kg I ug/L i,J Hand Delivery Relinquished by: Date: 1 Tlme: N '1�L�1�2r1 Re ved ti Date: Time: 1 iZ:_,r. _ �•-d �:�'r° Other Re' quis d by: ate: / Tlme: Received by: Date: Time: Relinquished by: Date: Time: Received h Lab: AA �3� te: Time: (� Y .l } j 1C Page 1 Contact: Drew Matthews Report Date: 7/2/2019 Client: Soil Plus P.O. Box 1396 Project: Snow Hill Oxford, NC 27565 Date Sample Rcvd: 6/7/2019 Meritech Work Order # 06071998 Sample: SH060719 Grab 6/7/2019 13 11 - TCLP Metals Parameter Results Analysis Date Det. Limit Reg. Limit Method Arsenic <0.100 mg/L 6/12/2019 0.100 5.0 EPA 200.7 Barium 0.574 mg/L 6/12/2019 0.050 100.0 EPA 200.7 Cadmium <0.020 mg/L 6/12/2019 0.020 1.0 EPA 200.7 Chromium <0.050 mg/L 6/12/2019 0.050 5.0 EPA 200.7 Lead <0.100 mg/L 6/12/2019 0.100 5.0 EPA 200.7 Mercury <0.02 mg/L 6/12/2019 0.02 0.2 EPA 245.1 Selenium <0.100 mg/L 6/12/2019 0.100 1.0 EPA 200.7 Silver <0,050 mg/L 6/12/2019 0.050 5.0 EPA 200.7 TCLP Organics Parameter Results Analysis Date Reporting LimiC Method Volatiles 8260 Attached 6/12/2019 - 8260 Semi Vol, 8270 Attached 6/24/2019 - 8270 Other Tests Parameter Results Analysis Date Reporting Limit Method % Total Solids 2.69 % 6/12/2019 0-100 % SM 2540B Cyanide, total <0.500 mg/kg 6/14/2019 0.500 mg/kg EPA 335.4 Sulfide <10.0 mg/kg 6/12/2019 10,0 mg/kg SM4500S2D Ignitability >140 °F 6/12/2019 - EPA 1030 Corrositivity (pH) 6.0 S.U. 6/12/2019 1.0 - 14.0 S.U. SM 4500 HB 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Page 2 Contact: Drew Matthews Report Date: 7/2/2019 Client: Soil Plus P.O. Box 1396 Project: Snow Hill Oxford, NC 27565 Date Sample Rcvd: 6/7/2019 Meritech Work Order # 06071998 Sample: SH060719 Grab 6/7/2019 1311- TCLP Pesticides & Herbicides Pesticide - SW-846 8081A Parameter Results Analysis Date Det. Limit Reg. Limit Dilution Factor Endrin Attached - - - Chlordane Attached - - - Toxaphene Attached - - - Methoxychlor Attached - - - Heptachlor Attached - - - Lindane Attached - - - Herbicides - SW-846 8151A Parameter Results 2,4-D Attached 2,4,5-TP (Silvex) Attached Analysis Date Det. Limit Reg. Limit Dilution Factor I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Client: Soil Plus Project: Snow Hill Client Sample ID: SH060719 Sample Collection: 06/07/19 Meritech Sample 1D: 06071998 1311 - TCLP Organics Volatiles: SW-846 8260 Analysis: 06/12/19 Extraction: 06/10/19 Analyst: VWV Report Date: 06/14/19 Parameter Result Units Det. Limit Reg!. Limit Dilution Factor Benzene < 0.0100 mg/L 0.0100 0.50 10 Carbon Tetrachloride < 0.0100 mg/L 0.0100 0.50 10 Chlorobenzene < 0.0100 mg/L 0.0100 100 10 Chloroform < 0.0100 mg/L . 0.0100 6.0 10 1,2-Dichloroethane <0.0100 mg/L 0.0100 0.50 i0 1, 1 -Dichloroethene <0.0100 mg/L 0.0100 0.70 10 Methyl Ethyl Ketone <0.100 mg/L 0.100 200 10 Tetrachloroethylene < 0.0100 mg/L 0.0100 0.70 10 Trichloroethene < 0.0100 mg/L 0.0100 0.50 10 Vinyl Chloride < 0,0200 mg/L 0.020 0.20 10 Semi-Volatiles; SW-846 8270 Analysis: 06/24/19 Extraction: 06/10/19 Analyst: PM Report Date: 07/02/19 Parameter Result Units Det. Limit Reg Limit Dilution Factor 1,4-Dichlorobenzene <0.100 mg/L 0.100 7.5 10 Hexachlorobenzene <0.100 mg/L 0.100 0.13 10 Hexachloro-1,3-butadiene <0.100 mg/L 0.100 0.5 10 Hexachloroethane <0.100 mg/L 0.100 3.00 10 o-cresol <0.100 mg/L 0.100 200 10 m&p-cresol <0.200 mg/L 0.200 200 10 Total cresols <0.300 mg/L 0.300 200 10 Nitrobenzene <0.100 mg/L 0.100 2.00 10 Pentachlorophenol <0.500 mg/L 0.500 100 10 Pyridine <0.100 mg/L 0.100 5.0 10 2,4,5-Trichlorophenol <0.100 mg/L 0.100 400 10 2,4,6-Trichlorophenol <0.100 mg/L 0.100 2.00 10 2,4-Dinitrotoluene <0.100 mg/L 0.100 0.13 10 Ilrereby certify that Iltave reviewed and approve these data. Laboratory Representative 642 Tameo Road * Reidsville, NC 27320 (336) 342-4748 * info@merifechiabs.com ESEAFIC -1 NALYTiCA1 Abor AToRaEs, INC. Analyfical/Process Consultcaflons Toxicity Characteristic Leachate Procedure (TCLP) Analysis for Meritech, Inc., collected 10 June 2019) EPA HW Number Contaminant I. TCLP PESTICIDESIHERBICIDES D-020 Chlordane D-016 2,4-D D-012 Endrin D-031 Heptachlor D-013 Lindane D-014 Methoxychlor D-015 Toxaphene D-017 2,4,5-TP(Silvex) Sample Number Sample Date Sample Time (hrs) Sample Matrix Date Analyzed 06071998 060719108 Quantita.tion Results Results Characteristic Limit(m¢/L) (mg1L) (M g/L) L EPA Method Analvst 0.003 BQL BQL 0.030 8081 MG 1.000 BQL BQL I0.0 8151 MG 0.002 BQL BQL 0.020 8081 MG 0.0008 BQL BQL 0.008 8081 MG 0.040 BQL BQL 0.400 8081 MG I.000 BQL BQL 10.0 8081 MG 0.05 BQL BQL 0500 8081 MG 0.100 BQL BQL 1.00 8151 MG 67864-01 67865-01 06/10/19 06/10/19 0830 1047 Sludge Sludge 0619-06120/19 06/20/19 mg/kg = milligrams per kilogram = parts per million (ppm) BQL = .BeloNy Quantitation Limits 3-Za.Zo�3 Chain of Custody Record (COC) NPDES#: Tent- Soil PIUS : PO Box 1396 Fax: 919 690-s 01 Address. 157 Oxford, NC 27565 Email: Samples@soilplus.net Project: Snow Hill P.O.#: Attention: Turn Around Time* How would you like your report sent? *RUSH work needs prior approval. Circle all that apply; Email (preferred), Fax, Mail Std( 0d2vs) 3_ s Days �a�m MERITECH INC. 1 ENVIRONMENTAL LABORATORIES r 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritech-labs.com www.meritoch-iabs.eom Sample Location and/or ID # Sampling Dates & Times Person Taking Sample (Sign/Print): Joshua Simkins -W5 Lab Use Only Start End Comp. Grab? #of Cont. Test(s) Required on Ice? Yes , No pH OK? Cl OK? Date Time Date Time SH060719 6/07/19 8s G 1 Full TCLP (Ignitability, Corrositivity, Reactivity) Temperature Upon Recei t� Method of Shipment: *** Dechlorination (�0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. *** Comments: please report TCLP results in mg/L Please email results to samples@soilplus.net Compositor# OpS 1jug # Fed Ex Are these results for regulatory purposes? Yes Z No ( Report results in: mg/L [ mg/kg ug/L Hand Delivery Relinquished by: Date: ) Time: ( r Received te: Time: Z"� f 17 „ other Relinquished by, `� �j Time. j > t/ Received y: Date: Time: Relinquished by: Date: Tme: ceived by La at T' Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Page 1 Contact: Drew Matthews Report Date: 8/3/2020 Client: Soil Plus P.O. Box 1396 Project: Town of Snow Hill Oxford, NC 27565 Date Sample Rcvd: 7/29/2020 Meritech Work Order # 07292095 Sample: SH 072920 (001) Grab 7/29/20 Parameters Results Analysis Date Reporting Limit Method Qualifier % Total Solids 3.02 % 7/30/20 0-100 % SM 2540B Fecal Coliform (Sludge) 1,505 col/g dry wt 7/29/20 130 col/g dry wt SM 9222D B7 Meritech Work Order # Parameters % Total Solids Fecal Coliform (Sludge) 07292096 Sample: SH 072920 (002) Grab Results Analysis Date Reporting Limit 3.03 % 7/30/20 0-100 % 300 col/g dry wt 7/29/20 130 col/g dry wt 7/29/20 Method SM 2540B SM 9222D Qualifier B7 Meritech Work Order # 07292097 Sample: SH 072920 (003) Grab 7/29/20 Parameters Results Analysis Date Reporting Limit Method Qualifler % Total Solids 3.01 % 7/30/20 0-100 % SM 2540B Fecal Coliform (Sludge) 604 col/g dry wt 7/29/20 130 col/g dry wt SM 9222D B7 Meritech Work Order # 07292098 Sample: SH 072920 (004) Grab 7/29/20 Parameters Results Analysis Date Reporting Limit Method Qualifier %Total Solids 3.02 % 7/30/20 0-100 % SM 2540B Fecal Coliform (Sludge) 602 col/g dry wt 7/29/20 130 col/g dry wt SM 9222D B7 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 07, �10 Page 2 Contact: Drew Matthews Report Date: 8/3/2020 Client: Soil Plus P.O. Box 1396 Project: Town of Snow Hill Oxford, NC 27565 Date Sample Rcvd: 7/29/2020 Meritech Work Order # 07292099 Parameters Results Sample: SH 072920 (005) Grab 7/29/20 Analysis Date Reporting Limit Method Qualifler % Total Solids 3.03 % 7/30/20 0-100 % SM 2540B Fecal Coliform. (Sludge) <300 col/g dry wt 7/29/20 300 col/g dry wt SM 9222D B7 Meritech Work Order # 072920100 Sample: SH 072920 (006) Grab 7/29/20 Parameters Results Analysis Date Reporting Limit Method Qualifier % Total Solids 3.03 % 7/30/20 0-100 % SM 2540B Fecal Coliform (Sludge) 600 col/g dry wt 7/29/20 130 col/g dry wt SM 9222D B7 Meritech Work Order # 072920101 Sample: SH 072920 (007) Grab 7/29/20 Parameters % Total Solids Fecal Coliform (Sludge) Results Analysis Date Reporting Limit Method Qualifier 304 % 7/30/20 0-100 % SM 2540E 2,093 col/g dry wt 7/29/20 130 col/g dry wt SM 9222D B7 B7 Many non-coliform colonies or interfering non-coliform growth present. in this competitive situation, the reported coliform value may under -represent actual coliform density. I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 3.zo.zo3 Chain of Custody Record (COC) NPDES#: Client: Soil Plus Phone: 252-883-9301 Address: PO Box 1396 Fax: 919-690-1157 Oxford, NC 27565 Email: samples@soilplus.net Project: Town of Snow Hill P•O•#: Attention: Turn Around Time* How would you like your report sent? *RUSH work needs prior approval. Circle all that apply: Email (preFerred], Fax, Mail Std(s) 3-s Days 14-4AHrs MERITECH, INC. a - ENVIRONMENTAL LABORATORIES 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritech-labs.com www.meritech-labs.com Sample Location and/or ID # Sampling Dates & Times Person Taking Sample (Sign/Print): Drew MatthewsA-�:2L�Lab Use Only Start End pomp? Grab? Hof Cont, Tests Required Re `� on Ice? � �"$ / No pH OK? Cl OK? Date Time Date Time SH 072920 (00 ]) 7/29/20 q'S-o AM G 1 Fecal Coiiform / % Total Solids SH 072920 (002) 7/29/20 tj':32 flex G 1 Fecal Coliform / % Total Solids SH 072920 (003) 7/29/20 ��'. js�,� G 1 Fecal Coliform / % Total Solids SH 072920 (004) 7/29/20 '. n,M G 1 Fecal Coliform I % Total Solids SH 072920 (005) 7/29/20 Cf. Llo W,1 G 1 Fecal Coliform 1 % Total Solids C SH 072920 (006) 7/29/20 r}'.ij3.Ap,-t G 1 Fecal Coliform / % Total Solids I" SH 072920 (007) 7/29/20 4M G 1 Fecal Coliform ! % Total Solids Temperature Upon C Receipt: Method of Shipment: *** Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. Comments; Please email results to samples@soilplus.net Compositor # Jug # UPS Q_ Fed Ex Are these results for regulatory purposes? Yes 1Z No Report results In: mg/L Q• mg/kg M, ug/L Q Q Hand Delivery Relinquished by: Date: 1 ' Time: f •7 '7 29 2� Removed i Date: Time! / t 3 Other R . u e qd by pate: Time Received by: Date: Time: Relinquished by: Date: Time: Received by Lab:k V) te: Time: I 1 J �N `ti -. Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: Drew Matthews Report Date: 8/28/2020 Client: Soil Plus P.Q. Box 1396 Project: Snow Hill Oxford, NC 27565 Date Sample Rcvd: 7/29/2020 Vector Attraction Reduction Aerobically Digested Sludge 30 Day Test Meritech Work Order # 072920104 Sample: SH 072920 Grab 7/29/20 Total Solids Volatile Solids % Volatile Solids Week 1 0.980 0.720 0.734 Week 2 1.01 0.750 0.739 Week 3 0.870 0.650 0.747 Week 4 1.12 0.790 0.700 Week S 0.880 0.640 0.726 Mass Balance Equation =1.03% Volatile Solids Reduction as per EPA Part 503 Biosolids Rule I hereby certify thatl have reviewed and approve these data. -Amndo' NoUC00A, Laborato Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 3.zo.zo�� Chain of Custody Record (COC) NPDFS#: Client: Soil Plus Phone: 252-883-9301 Address: PO Box 1396 Fax: 919-690-1157 Oxford, NC 27565 Email: samples@soilplus.net Project: Town of Snow Hill P.O.#: Attention: Turn Around rime* Now would you like your report sent? *RUSH work needs prior approval. Circle all that apply: Email(prererredj, Fax, Mail Std(10days) 3-5 o74�s X MERITECH, INC, ENVIRONMENTAL LABORATORIES i -"'. 0 W 642 Tamco Rd, Phone: 336-342-4748 Reidsville NC 27320 Fax; 336-342-1522 Email: info@meritech-Iabs.com www.meritech-labs.com Sample Location and/or ID # Sampling Dates & Times Person Taking Sample (Sign/Print): Drew Matthews V/ Q Lab Use Only Start End Comp? Grab? #of Cont. Test(s) Required on Ice? Yis / No pH OK? Cl OK? Date Time Date Time SH 072920 7/29/20 jQ-oD rkl-,, G 1 30 Day Bench Scale Test Temperature Upon Receipt: Method of Shipment: *** Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. *** a — Comments: Please email results to samples@sollplus.net Compositor # [� UPS jug # Q Fed Ex Are these results for regulat; ry purposes? Yes f�J No CJ. Report results in: mg/L 0 mg/kg Q' ug/L El Hand Delivery Relinquished by: Date; n Tlme: , J 7)<'L•�7v Z• > �r� R €ve ' y: +, Date: Time: �•.. ��6'' Other Rainq i' ed byf Da e: 1 Time: •G� f� - f C/ �-) •' Received by: Date: Time: Relinquisher) by: Date: Tlrne: Received by Lab: jn Time: j l �, APPENDIX 3 2021 PERMIT RENEWAL Town of Snow Hill (WQ0011448) LAS CA Land Owner Agreement Form Maps Biosolid Utilization CPLR Summary LAND APPLICATION SITE CERTIFICATION Applicant's name: Town of Snow Hilt' Land application sites currently certified: 6.40 net acres and Total to be certified: = net acres. L LAND APPLICATION SITE INFORMATION (See Instruction B): Status Code' Site/Field ID Landowners O Lessees or Operator(s) O Net Acres County Crop(s) s PO Predominant Soil Series Name' Mapping Unit or Rep. Slope' R Field 3 Town of Snow Hill 11.40 Greene Bermuda Hay Autryville N or N N N i N N N a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted) b Soil Series Name (i.e. Appling, Cecil, etc.) Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2) IL WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C): Site/Field ID Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. Current and Proposed Class ° NAD 83 ADD Nearest Second _ ° ' NAD 83 ADD Nearest Second _ ° ' NAD 83 ADD Nearest Second . _ ° 'ff.°.'." NAD 83 ADD Nearest Second . _ ° ' NAD 83 ADD Nearest Second . _ L° .°.'." NAD 83 ADD Nearest Second . _ ° 'ffNAD 83 ADD Nearest Second . _ ,°.' I " .°.'." NAD 83 ADD Nearest Second - Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page. FORM: LASC 11-13 Page 1 State of North Carolina DWR Department of Environmental Quality Division of Water Resources 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 conies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting 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 THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Town of Snow Hill 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: 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) Field 3 No Bermuda Hay Animal Consumption Snow Hill WWTP 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. FORM: LOA 06-16 Page 1 of 3 L 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. HLALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for 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 Permittec to land apply residuals to the land application site(s) as specified herein. Landowner name; Town of Snow Hill 1 Todd Whaley, Town Manager Address: PO Box 247 City: Snow Hill Phone: 252-747-3414 State: NC Zip: 28580 E-mail address: manager@snowhilinc.com Signature; Date: NORTH CAROLINA, 1!Z COUNTY qq 5 I, the undersigned Notary Public do hereby certify that �9AA t'� . l�� W,i personally appeared before me this day and acknowledged the due execution of the forgoing instrument,..\ o� i "r r WITNESS my hand and official seal this the � n t`Ictrar� PuElEir day of 1v ,201-1 Groer,o — Signature and seal: My commission expires: Lessee's/Operator's Certification: hy/� _aa� r,,/' rlr r 4 r s i000 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: State: Zip: Phone: E-mail address: Signature: Date: Permittee's Certification: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: Signature: Todd Whaley, Town Manager Date: Mn LfZ FORM: LOA 06-16 Page 3 of N W E Legend ❑Application Boundary Building ❑ Buffer ❑ Ditch ❑ Field Boundary ❑ Pond ❑ Property Boundary Scale: 1 inch = 200 feet Drawn by: DM Reviewed by: CSC Date: June '16 The Compliance Boundary shall be located 50 feet within the property line or 250 feet from the edge of the disposal area, whichever is closer to the source. The Review Boundary shall be located halfway in between the property line and the Compliance Boundary. SO& ftTJS 49411up"11 �f s 200 100 0 200 F FIELD 3 BUFFER MAP Town of Snow Hill Class B Land App Snow Hill, North Carolina Soil Plus Project # 200804.A10 Figure (1) (2) (3) (4) (5) Farm Field Soil Type Gross Ac. Net Ac. Town of Snow Hill 3 Autryville 11.89 11.40 Totals 11.89 11.40 (6) (7) (8) (9) (10) Application N Req. Gallons Total Gallons Crop Method (lbs/Ac.) Per Ac. Per Field Common Bermuda Surface 196 73,238 834,910 834,910 Total Gallons 73,237.71 Gallons Per Ac. 105.85 Total Dry Tons 9.28 Dry Tons Per Ac. (8) Derived from http://nutrients.sof.ncsu.edu/yields/ for Greene County (Realistic Nitrogen Rate) (9) Column (8) divided by 21.11 lbs N per DT multiplied by 7,888 Gallons Per DT (10) Column (9) multiplied by Column (5) Cumulative Lbs per Acre Town of Snow Hill SH 0.186 0.083 2.335 33.446 2.025 0.161 0.29 1.390 0.236 41.52 Page 1 of 1