WQ0000455_Modification_20210609

Initial Review
Reviewer Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
r Yes r No
Permit Number (IR)* WQ0000455
Applicant/Permittee Lewis Farms and Liquid Waste, Inc.
Applicant/Permittee Address 8155 Malpass Corner Road, Currie, NC 28435
Is the owner in BIMS? r Yes r No Is the facility in BIMS? r Yes r No
Owner Type Organization
Facility Name Lewis Farms and Liquid Waste RLAP
County Fender
Fee Category Major
Is this a complete
application?*
c Yes r No
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
Fee Amount $395
Complete App Date 06/09/2021
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notfication
Comments for Admin
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 electronic receipt, another correspondence. ittal, confirmation of iptd othd
.......................................................... ronc su_ -
Name * Martin Mabe
Email Address*
[e-mail]
Project Information
........ ......... ..........................................................................................................................................
Application/Document Type* r New (Fee Req ui red)
c Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
Phone Number*
3363121396
O Modification - Minor
C Renewal
C GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:*
r Wastewater Irrigation
r High -Rate Infiltration
r Other Wastewater
r Reclaimed Water
r Closed -Loop Recycle
r Residuals
r Single -Family Residence Wastewater
r Other
Irrigation
Permit Number:*
WQ0000455
Fbs Current Existing pernit number
Applicant/Permittee *
Lewis Farms and Liquid Waste, Inc.
Applicant/Permittee Address*
8155 Malpass Corner Road, Currie, NC 28435
Facility Name *
Lewis Farms and Liquid Waste RLAP
Please provide comments/notes
on your current submittal below.
Addition of City of Havelock WWTP - 415 Dry Tons annually
Fee will be mailed on 6-7-21 to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Etc.)
Lewis Farms and Liquid Waste - Permit Modification
17.58M6
WO0000455 6_7_21.pdf
upload only 1 RFdocurnent (less than 250 M3). Miltiple documents must be combined into one RJFfile unless file is larger than
upload limit.
* V By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center

Raleigh, NC 27699-1617
Signature
Submission Date 6/7/2021

APPLICATION FOR
PERMIT MODIFICATION
NON -DISCHARGE PERMIT
WQ0000455
Prepared for:
Lewis Farms and Liquid Waste, Inc.
8155 Malpass Corner
Currie, North Carolina 28435
Prepared by:
Willcox & Mabe Soil Solutions, PLLC
7231B Summerfield Road
Summerfield, North Carolina 27358
Willcox&mabe
SOIL SOLUTIONS
June - 2021

willcox&mabe
SOIL SOLUTIONS
June 4, 2021
NCDEQ/DWR
Water Quality Permitting Section
Non -Discharge Branch
512 N. Salisbury Street, 9"' Floor, Office #942X
Raleigh, North Carolina 27604
Attention: Non -Discharge Permitting Unit
Reference: Application For Permit Modification
Permit No. WQ0000455
WMSS Job No. 15-20 Ph: 01
Non -Discharge Permitting Unit:
Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting this Permit Modification application
on behalf of Lewis Farms and Liquid Waste, Inc. (Lewis Farms). Lewis Farms is requesting to add
the following source: Havelock WWTP - 415 Dry Tons annually. No further modifications are
being requested at this time. It should also be noted that no changes have been made to the existing
Operations and Maintenance Plan, therefore it has not been included in this application.
If there is any further information required or questions regarding this application please do not
hesitate to contact WMSS, Mr. Martin Mabe at 336-312-1396 for further assistance.
Sincerely,
WMSS, PLLC
Martin Mabe
Partner
cc: Lewis Farms
Shared\WMSS Projects12015115-20 Lewis Farms12021 Permit ModifcationXHavelock12021 Permit Mod Pkg.doc
Willcox & Mabe Soil Solutions, PLLC 17231 B Summerfield Road / Summerfield, NC 273581 Rob 336.339.9128 or
Martin 336.312.1396 / www.willcoxmabesoil,com

TABLE OF CONTENTS
APPENDIX: TITLE
RLAP - APPLICATION FORM
II RSC - SOURCE ADDITION

APPENDIX I - RLAP - APPLICATION FORM

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
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 copies 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 .0I06(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.
❑ Please submit this application form at Ieast 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 (Iand are permitted for < 300 acres) $810 $245
' - 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 (Maybe Required —See 15A NCAC 1 C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS), Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 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 0&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.
❑ 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
.1 IO2 12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of 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, Iakes, 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
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

1. 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)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: http://www.ncwater.orgLRuies—Policies and Re ulationsl. 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.
❑ 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: b.ap://www.newater.orgjWles Policies and Re ulations/,
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 .01Q7(fl, 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: [phone]
By Courier/Special Deliver :
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

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. AppIicant's name: Lewis Farms and Liquid Waste, Inc.
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Wesley Wooten Title. President
Applicant's mailing address: 8155 Malpass Comer Road
City: Currie State: NC Zip: 28435-
Telephone number: [phone] Email Address: [e-mail]
2. Consultant's name: Martin Mabe License Number (for P.E.):
Affiliation: ❑ On Staff ® Retained (Firm: WMSS, PLLC)
Consultant's mailing address: 7231B Summerfield Road
City: Summerfield State: NC Zip: 27358-
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name: Martin Mabe License Number:
Affiliation: ❑ NIA ❑ On Staff ® Retained (Firm: WMSS, PLLC)
Agronomist's mailing address: 7231 B Summerfield Road
City: Summerfield State: NC Zip: 27358-
Telephone number: (3) 312-1396 Email Address: martin@will coxmabesoil.com
4. Soil Scientist's name: Rob Willcox License Number: 1098
Affiliation: ❑ NIA ❑ On Staff ® Retained (Firm: WMSS, PLLC)
Soil Scientist's mailing address: 7231 B Summerfield Road
City: Summerfield State: NC Zip: 27358-
Telephone number: (3� 339-9128 Email Address: [e-mail]
5. Fee submitted: $395.00 (See Instruction B)
II. 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: WQ0000455
Date of most -recently issued permit: March 15, 2018
Date of most -recently certified Attachment A (if different than the permit): September 14, 2020
Date of most -recently certified Attachment B (if different than the permit): March 15, 2018
FORM: RLAP 06-16 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 8155 Malpass Corner Road
City: Currie State: NC Zip: 28435-
Coordinates: Latitude: 38'28' 29" Longitude: 78°05' 47"
Datum: NAD83 Level of accuracy: Nearest second
Method of measurement: MAP
2. County where residuals land application program is headquartered: Pender
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:
4
Designation
Name
Affiliation
Certification Number
ORC
Wesley Wooten
Coastal Farms
993105
Back -Up ORC
Martin Mabe
WMSS, PLLC
22753
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:
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: 2,317 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
32.57
37.99
75,463
88,024
Five -Year Maximum Adjusted
50.04
55.46
115,934
128,495
b. Land Application Site Use Sruninary: 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
385.6
Corn, Soybean, Small Grain
Hay
57.2
Bermuda
Pasture
Total:
442.8
Methods
Surface
442.8
Incorporation or Injection
442.8
Total:
442.8
FORM: RLAP 06-16 Page 2 of 5

c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
(Ibs 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
1,509
1,760
2,319
2,570
100
755
880
1,159
1,285
150
503
587
773
857
200
377
440
580
642
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.): N/A
7. Specify type of residuals program (See Instruction F): ® Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain;
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain,
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
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.
WI-=
Land Application Siite
Certification.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 (NIA)
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(p) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
(inlhr)
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
(ft�
Number of
Nozzles
Maximum Application
Rate allons/hr)
Design Annual Loading
Rate ( allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
f 2
Nozzle capacity
gpm
Nozzle manufacturer / modeI
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of

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 ❑ No, Explain;
I, Wesley Wooten President
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Lewis Farms and Li uid Wastes. Inc.
(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 pen -nit 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.
Signature: Date: 6/4/2021
FORM: RLAP 06-16 Page 5 of 5

Lewis Farms and Liquid Waste, Inc.
Permit # WQ0000455
RESIDUALS APPLICATION DATA
2,317.0 Combined Maximum Dry Tons of residuals to be certified
PLANT AVAILABLE NITROGEN SUMMARY (WEIGHTED AVERAGE)
PAN
Pounds of PAN per DT (Weighted Average)
Pounds of PAN per Year
Surface
Incorp. Or Inject.
Surface
Incorp. Or Inject.
First -Year
32.57
37.99
75,463
88,024
Five -Year Maximum Adjusted
50.04
55.46
115,934
128,495
Assumed Application Rate (lbs
PAN/ac-yr)
Acres Required Using First -Year PAN
Concentrations
Acres Required Using Five -Year Maximum
Adjusted PAN Concentrations
Surface
Incorp. Or Inject.
Surface
Incorp. Or Inject.
50
1,509
1,760
2,319
2,570
100
755
880
1,159
1,285
150
503
587
773
857
200
377
440
580
642

Willcox & Mabe Soil Solutions, PLLC
Summerfield, North Carolina
RESIDUAL PAN CALCULATION
Lewis Farms and Liquid Waste, Inc. Weighted AveraLre
TKN=
50,187
mg/kg
NH3=
5,421
mg/kg
NO3-NO2-N=
144.26
mg/kg
Min Rate=
0.30
PAN= [min.rate (TKN - NH3) + 0.5 (NH3) + NO3-NO21 * 0.002
0.30 44,766 2,711 144.26
PAN= 32.57 LBS/DT
Calculate residual nitrogen for years 2,3,4 and 5 following the initial application to determine
the amount of PAN/DT remaining.
2ND YEAR RESIDUAL PAN
PAN= [min.rate (1st year org. - N 2nd year min. - N] * 0.002
0.15 44,766 13,430
PAN= 9.40 LBS/DT remaining from 1st year application
3RD YEAR RESIDUAL PAN
PAN= [min.rate (2nd year org. - N 3rd year min. - N] * 0.002
0.08 31,336 4,700
PAN= 4.26 LBS/DT remaining from 1 st year application
4TH YEAR RESIDUAL PAN
PAN= [min.rate (3rd year org. - N 4th year min. - N] * 0.002
0.05 26,636 2,131
PAN= 2.45 LBS/DT remaining from 1st year application
5TH YEAR RESIDUAL PAN
PAN= [min.rate (4th year org. - N 5th year min. - N] * 0.002
0.03 24,505 1,225
PAN= 1.35 LBS/DT remaining from 1 st year application
Residual PAN from years 2 thru 5 after the initial application = 17.47 Lbs/Pan/DT

a
Water Resources
ENVIRONMENTAL QUALITY
March 15, 2018
WESLEY A. WOOTEN —PRESIDENT
LEWIS FARMS AND LIQUID WASTE, INC.
8155 MALPASS CORNER ROAD
CURRIE, NORTH CAROL[NA 28435
Dear Mr. Wooten:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject: Permit No. WQ0000455
Lewis Farms and Liquid Waste RLAP
Land Application of
Class B Residuals
Pender County
In accordance with your permit major modification and renewal request received February 6, 2018,
and subsequent additional information received February 26, 2018, we are forwarding herewith Permit No.
WQ0000455 dated March 15, 2018, to Lewis Farms and Liquid Waste, Inc. for the continued operation of
the subject residuals management program.
Modifications to the subject permit are as follows:
Removal of the following residuals sources: Dolphin Bay WWTP (NCO055107), Ocean Bay
Villas & Ocean Glen Condos (WQ0003067), Camp Don Lee -Arapahoe WWTP
(WQ0014550), Walnut Hills WWTP (NCO039527), Cypress Station WWTF (WQ0034881),
Castle Hayne Plant (NCO03875), Scotchman 3303 (NCO065307), Hampstead Town Center
(WQ0032115), Webb Apartments WWTP (NCO023825), Richlands WWTP (NCO023230),
Kenwood WWTP (NCO030813), Springdale Acres WWTP (NCO057053), Peppertree Resort
WWTF (WQOO11313), PruittHealth at Sealevel WWTP (NCO047759), Queens Grant WWTP
(487039), Beulaville WWTP (NCO026018), Bridgeton WWTP (NCO074837), Burgaw WWTP
(NCO021113), Maysville WWTP (NCO021482) and New Topsail School Complex
(WQ0032930).
2. Addition of the following residuals source: Smithfield -Clinton WWTP (I JP0006).
3, Modifications of quantity of residuals received from the following three sources: Emerald
Plantation (Vi-25-10), Hampstead Pines WWTP (WQ0022052) and Pender High School
(NCO042251).
4. Addition of the following two fields totaling 50.2 acres in Pender County: CFC-11 and CFC-
12.
5. Modifications to the acreage for the following five fields in Pender County: L02, L03, L08,
WO and W02.
• 7`-Nothing Cnrnpares`,.
State of North Carolina I Environmental Quality J Wattr Resources j Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Car011na 27699.1617
919-867-6332
�. '� Y W ��.r � tom✓(. ;�4 '�

Mr. Wesley A. Wooten
March 15, 2018
Page 2 of 2
This permit shall be effective from the date of issuance until February 28, 2023, shall void Permit
No. WQ0000455 issued February 2, 2012, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachment A for they may
differ from the previous permit issuance. Failure to establish an adequate system for collecting and
maintaining the required operational information shall result in future compliance problems.
Please note the following permit conditions have been removed since the last permit issuance
dated February 2, 2012:
➢ Old Condition Il. l l .h. —This condition concerning soil pH is covered in Old Condition Ill.I Ll.
and Condition 111.11.k. and thus is redundant.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this permit, please contact Troy Doby at (919) 807-
6336 or [e-mail].
Sincerely,
g
Culpepper, Interim Directo
on of Water Resources
cc: Pender County Health Department (Electronic Copy)
Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Rob Willcox — Willcox and Mabe Soil Solutions (Electronic Copy)
Martin Mabe — Willcox and Mabe Soil Solutions (Electronic Copy)
Beth Buffington. — Protection and Enforcement Branch (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
LAND APPLICATION OF CLASS B RESIDUALS PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Lewis Farms and Liquid Waste, Inc.
Pender County
FOR THE
continued operation of a residuals management program for Lewis Farms and Liquid Waste, Inc. and
consisting of the land application of Class B residuals generated by the approved facilities listed in
Attachment A to the approved fields listed in Attachment B with no discharge of wastes to surface waters,
pursuant to the application received February 6, 2018, and subsequent additional information received by
the Division of Water Resources, and in conformity with other supporting data subsequently filed and
approved by the Department of Environmental Quality and considered a part of this permit. The use and
disposal of residuals are regulated under Title 40 Code of Federal Regulations Part 503. This permit does
not exempt the Permittee from complying with the federal regulations.
This permit shall be effective from the date of issuance until February 28, 2023, shall void Permit No.
WQ0000455 issued February 2, 2012, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
1. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application.
[15A NCAC 02T .0108(b)(2), 02T .0105(d), 02T .0109]
II. PERFORMANCE STANDARDS
The subject residuals management program shall be effectively maintained and operated at all times so
there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of prolonged
nuisance conditions due to improper operation and maintenance, the Permittee shall immediately cease
land applying residuals, contact the Wilmington Regional Office supervisor, and take any immediate
corrective actions. [G.S. 143-215.1]
WQ0000455 Version 5.0 Shell Version 171103 Page 1 of 12

2. This permit shall not relieve the Permittee of responsibility for damages to groundwater or surface
water resulting from the operation of this residuals management program. [15A NCAC 02B .0200,
02L .01001
3. Only residuals generated by the facilities listed in Attachment A are approved for land application in
accordance with this permit. [G.S. 143-215,11
4. Only the fields listed in Attachment B are approved for residuals land application. [G.S. 143-215.1]
S. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not
exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant
Loading Rates (CPLRs):
Parameter
Ceiling Concentration
(milligrams per kilogram)
CPLR
(pounds per acre)
Arsenic
75
36
Cadmium
85
34
Copper
4,300
1,338
Lead
840
267
Mercury
57
15
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
89
Zinc
7,500
2,498
The Permittee shall determine compliance with the CPLRs using one of the following methods:
a. By calculating the existing cumulative level of pollutants using actual analytical data from all
historical land application events of residuals, or
b. For land where residuals application has not occurred or for which the required data is incomplete,
by determining background concentrations through representative soil sampling.
[15A NCAC 02T. 1105]
6. Residuals that are land applied shall meet Class B pathogen reduction requirements in 15A NCAC 02T
.1106 (a) and (c). Exceptions to this requirement shall be specified in Attachment A. [15A NCAC 02T
.11061
7. Biological residuals (i.e, residuals generated during the treatment of domestic or animal processing
wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A)
that are land applied shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T
.1107(a). Exceptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1107]
WQ0000455 Version 5.0 Shell Version 171103 Page 2 of 12

8. Setbacks for treatment and storage facilities shall be as follows:
Setback Description
Setback
feet
Habitable residence or place of public assembly under separate ownership or not to
be maintained as eart of the project site
l00
Property lines
50
Private or public water supply
100
Surface waters (streams — intermittent and perennial, perennial waterbodies, and
wetlands
50
Wells with exception to monitoring wells
100
[15A NCAC 02T .110
9. Setbacks for Class B land application sites shall be as follows:
Setback by application type
(feet)
Setback Description
Vehicular
Irrigation
Surface
Surface
Injection 1
Application
Application
Incorporation
Habitable residence or place of public assembly under
separate ownership or not to be maintained as part of
400
400
200
the projoct site
Habitable residence or places of public assembly
owned by the Permittee, the owner of the land, or the
lessee/operator of the land to be maintained as part of
0
200
0
the project site
Property lines
50
150
50
Public right of way
50
50
50
Private or public water supply
100
100
100
Surface waters (streams — intermittent and perennial,
L00
100
50
perennial waterbodies, and wetlands
Surface water diversions (ephemeral streams,
waterways, ditches
25
100
25
Groundwater lowering ditches (where the bottom of
the ditch intersects the SHWT
25
100
25
Subsurface groundwater lowering system
0
100
0
Wells with exception to monitoring wells
100
100
100
Bedrock outcrops
25
25
25
Top of slope of embankments or cuts of two feet or
more in vertical height
15
15
15
Building foundations or basements
0
15
0
Water lines
0
10
0
Swimming pools
100
100
100
Nitrification fields
0
20
0
[15A NCAC 02T .11081
WQ0000455 Version 5.0 Shell Version 171103 Page 3 of 12

10. Land application areas shall be clearly marked on each site prior to and during any residuals application
event. [15A NCAC 02T .0108(b)(1)]
l 1. Bulk residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in exceedance
of agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen
requirements based on the determined Realistic Yield Expectations (RYE) using any of the following
methods:
a. Division's pre -approved site specific historical data for specific crop or soil types by calculating
the mean of the best three yields of the last five consecutive crop harvests for each field.
b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina State
University Department of Soil Science h alnutrients.soil.ncsu.edu/ ieldslindex. h ). A copy
shall be kept on file and reprinted every five years in accordance with Condition IV.6.
c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE
and appropriate nutrient application rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Senvice, or other agronomist.
ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance
Document: Chapter 1
(http://www.ncagx.aoy/SWC/tech/documents/9th_Guidance Doc_100109.pdf).
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (NRCS). These plans must meet the USDA -MRCS 590 Nutrient Management
Standards(ftp://ftp-fc.sc.egoy.usda.gov/NHQ/practice-standards/standards/590 pdf).
d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall
contact the Division to determine necessary action.
(I 5A NCAC 02T . 1109(b)(1)(k)]
12. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by
25% in accordance with the USDA NRCS 590 Nutrient Management Standards. [15A NCAC 02T
.0108(b)(1)]
13. If land application sites are to be over -seeded ar double -cropped (e.g., bermuda grass in the summer
and rye grass in the winter with both crops to receive residuals), then the second crop can receive an
application of PAN at a rate not to exceed 50 pounds per acre per year (lbslac/yr). This practice may
be allowed as long as the second crop is to be harvested or grazed_ If the second crop is to be planted
for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied. [15A
NCAC 02T .0I08(b)(1)]
14. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the
Permittee shall obtain and implement recommendations from at least one of the following; 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. 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. The Permittee shall
maintain written records of these recommendations and details of their implementation. [l 5A NCAC
02T .0108(b)(1)]
WQ0000455 Version 5.0 Shell Version 171103 Page 4 of 12

15. These residuals land application sites were individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the residual land application
area, or 50 feet within the property boundary, whichever is closest to the residual land application area.
An exceedance of groundwater standards at or beyond the compliance boundary is subject to
remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-2I5.6A through 143-215.6C. Any approved
relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B, [15A NCAC 02L
.0107(a)]
16. The review boundary shall be established midway between the compliance boundary and the residual
land application area. Any exceedance of groundwater standards at the review boundary shall require
action in accordance with I SA NCAC 02L .0106. [15A NCAC 02L .0108]
III. OPERATION AND MAINTENANCE REQUIREMENTS
The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards. [15A NCAC 02T .1110]
The Wilmington Regional Office, telephone number [phone], and the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at least 48
hours prior to the initial residuals land application to any new land application site. Notification to the
regional supervisor shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding
State Holidays. [15A NCAC 02T .0108(b)(1)]
3. The Wilmington Regional Office shall be notified via email or telephone, [phone], at least 24
hours prior to conducting any land application activity. Such notification shall indicate, at a minimum,
the anticipated application times, field 1Ds, and location of land application activities. If it becomes
necessary to apply to additional fields due to unforeseen events, the Regional Office shall be notified
prior to commencing the application to those fields. [15A NCAC 02T .0108(b)(1)]
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) Modifications
to the O&M Plan shall be approved by the Division prior to utilization of the new plan. The O&M Plan,
at the minimum, shall include:
a. Operational functions;
b. Maintenance schedules;
c. Safety measures;
d. Spill response plan;
e. Inspection plan including the following information:
i. Names and/or titles of personnel responsible for conducting the inspections;
ii. 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;
iii. Detailed description of inspection procedures including record keeping and actions to be taken
by the inspector in the event that noncompliance is observed pursuant to the noncompliance
notification requirements under the monitoring and reporting section of the permit;
f. Sampling and monitoring plan including the following information:
i. Names and/or titles of personnel responsible for conducting the sampling and monitoring;
ii. Detailed description of monitoring procedures including parameters to be monitored;
WQ0000455 Version 5.0 Shell Version 171103 Page 5 of 12

iii. 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).
[15A NCAC 02T .1100]
Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the facility, the Permittee shall designate and employ a certified operator in responsible
charge (ORC) and one or more certified operators as back-up ORCs in accordance with 15A NCAC
08G .0201. The ORC or his back-up shall visit the facilities in accordance with 15A NCAC 08G. 0204,
or as specified in the most recently approved O&M plan (i.e., see Condition 1I1.4.), and shall comply
with all other conditions of 15A NCAC 08G. 0204. For more information regarding classification and
designation requirements, please contactthe Division of Water Resources' Protection and Enforcement
Branch at [phone]. [15A NCAC 02T .0117]
6. When the Permittee Iand applies bulk residuals, a copy of this permit and a copy of O&M Plan shall be
maintained at the land application sites during land application activities. [15A NCAC 02T
.0108(b)(1)]
7. When the Permittee transports or land applies bulk residuals, the spill control provisions shall be
maintained in all residuals transport and application vehicles. [15A NCAC 02T .1110]
8. Residuals shall not be stored at any land application site, unless written approval has been requested
and received from the Division. [G.S. 143-215.1]
9. When the Permittee land applies bulk residuals, adequate measures shall be taken to prevent wind
erosion and surface runoff from conveying residuals from the land application sites onto adjacent
properties or into surface waters. [G.S. 143-215.1 ]
10. When the Permittee land applies bulk residuals, a suitable vegetative cover shall be maintained on land
application sites onto which residuals are applied, or application shall be in accordance with the crop
management plan outlined by the local Cooperative Extension Office, the Department of Agriculture
and Consumer Services, the Natural Resource Conservation Service, or an agronomist and as approved
by the Division. [15A NCAC 02T .1109(b)(1)]
11. Bulk residuals shall not be land applied under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under section
4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. if the land fails to assimilate the bulk residuals or the application causes the contravention of surface
water or groundwater standards;
d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of the
residuals would occur;
e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated within a
24-hour period following a residuals land application event;
£ during precipitation events or within 24 hours following a rainfall event of 0.5 inches or greater in
a 24-hour period;
WQ0000455 Version 5.0 Shell Version 171103 Page 6 of 12

g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than
19% for injected or incorporated bulk liquid residuals;
h. If the land does not have an established vegetative cover unless the residuals are incorporated or
injected within a 24-hour period following a residuals land application event. Any field that is in a
USDA no -till program shall be exempted from meeting this vegetative cover requirement;
i. If the vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot;
j. If the vertical separation of bedrock and the depth of residuals application is less than one foot;
k. Application exceeds agronomic rates.
[ 15A NCAC 02T .1109]
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
[ 15A NCAC 02T .1109(b)(2)]
13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g.,
1.5' x 2'). Each sign shall 'indicate the activities conducted at each site, permit number, and name and
contact information, including the Permittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each land application site during a land
application event, and for as long as the public access restrictions required under Condition 1II.12.
apply. [15ANCAC 02T.0108(b)(1)]
14. The following harvesting and grazing restrictions apply to residual land application sites after each
land application event:
Harvesting and Grazing Description
Restricted
Duration
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
30 days
prevent access after each land application event.
Food crops, feed crops and fiber crops shall not be harvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
14 months
shall not be harvested for:
When the residuals remain on the land surface for four months or longer prior to
incorporation into the soil, food crops with harvested parts below the land
surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be
20 months
harvested for:
When the residuals remain on the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
38 months
surface shall not be harvested for:
[15A NCAC 02T .1109(b)(3)]
WQ0000455 Version 5.0 Shell Version 171103 Page 7 of 12

IS. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume
of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that
have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for those
operations where a NMP is required by the US Department of Agriculture - National Resources
Conservation Service (MRCS) or other State Agencies. The Permittee shall calculate allowable nutrient
loading rates based on the provided information and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan. [15A NCAC 02T .0108(b)(1), 02T .1104(c)(3)]
16. No residuals shall be land applied unless the submitted Land Owner Agreement between the Permittee
and landowners or lessees/operators of the land application site is in full force and effect. These
agreements shall be considered expired concurrent with the permit expiration date, and shall be renewed
during the permit renewal process. [15A NCAC 02T .1104(c)(4)]
IV. MONITORING AND REPORTING REQUIREMENTS
I. Any Division -required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sample reporting schedule shall be followed. [1 SA NCAC 02T .0108(c)]
2. Residuals shall be analyzed to demonstrate they are non -hazardous under the Resource Conservation
and Recovery Act (RCRA). Residuals that tests or is classified as a hazardous or toxic waste under 40
CFR Part 261 shall not be used or disposed under this permit. The analyses [corrosivity, ignitability,
reactivity, and toxicity characteristic leaching procedure (TCLP)] shall be performed at the
frequency specified in Attachment A, and the Permittee shall maintain these results for a minimum of
five years. Any exceptions from the requirements in this condition shall be specified in Attachment A.
The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter
is 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)
Trichloroetbylene (0.5)
Chromium (5.0)
I-Iexachloroethane (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)
Methoxychior (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
Once the residuals have been monitored for two years at the frequency specified in Attachment A, the
Permittee may submit a permit modification request to reduce the frequency of this monitoring
requirement. In no case shall the monitoring frequency be less than once per permit cycle.
WQ0000455 Version 5.0 Shell Version 171103 Page 8 of 12

[15A NCAC 13A .0102(b), 02T .1101, 02T .1105]
3. An analysis shall be conducted on residuals from each source generating facility at the frequency
specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years.
The analysis shall include the following parameters:
Aluminum
Mercury
Potassium
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
(SAR)
Calcium
Percent Total Solids
TKN
Copper
pH
Zinc
Lead
Phosphorus
Magnesium
Plant Available Nitrogen
(by calculation)
[15A NCAC 02T .1101]
Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling and
monitoring sections of the approved O&M plan. The required data shall be specific to the stabilization
process utilized, and sufficient to demonstrate compliance with the Class B pathogen reduction
requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction requirement in
15A NCAC 02T .1107 (a) shall be met. Any exceptions from the requirements in this condition shall
be specified in Attachment A. [15A NCAC 02T .1106, 02T .1107, 02T .1111(c)]
5. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B on which a residuals laud application event will occur
in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instructions section of the NC Department of Agriculture &
Consumer Services' website (hgp://www.ncg-
-,r.gov/agronomi1pubs.htm). The Permittee shall maintain
these results and a description of the sampling methodologies used to determine soil fertility for a period
of no less than five years, and shall be made available to the Division upon request. At a minimum, the
Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
[15A NCAC 02T .0 108(c), 15A NCAC 02T .1111(d)]
6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 15A NCAC 02B .0505. [15A NCAC 02B .0505]
WQ0000455 Version 5.0 Shell Version 171103 Page 9 of 12

7. The Permittee shall maintain records tracking all residual land application events. At a minimum, these
records shall include the following:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Approximate areas applied to (acres);
e. Method of land application;
f. Weather conditions (e.g., sunny, cloudy, raining, etc.);
g. Predominant Soil Mapping Unit (e.g., CbB2);
h. Soil conditions (e.g., dry, wet, frozen, etc.);
i. Type of crop or crops to be grown on field;
j. Nitrogen Application Rate based on RYES (if using data obtained from the North Carolina State
University Department of Soil Science Website, the printout page shall be kept on file and reprinted
every five years);
k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet
ton per acre;
1. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or
wet tons per acre;
m. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per acre,
or wet tons per acre; and
n. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g-, if applicable), annual and cumulative pounds per acre of each heavy metal
(e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per
acre of phosphorus applied to each field.
[I5A NCAC 02T .0109(a)]
Three copies of an annual report shall be submitted on or before March Ill. The annual report shall
meet the requirements described in the Instructions for Residuals Application Annual Reporting Forms.
Instructions for reporting and annual report forms are available at
http://deq.nc. goy/about/diyisions/water-resources/water-resources-Permits/wastewater-branch/non-
discharge-permitting-unit/reporting-forms, or can be obtained by contacting the Non -Discharge
Permitting Unit directly. The aunual report shall be submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[I5A NCAC 02T .111 l(a)]
WQ0000455 Version 5.0 Shell Version 171103 Page 10 of 12

9. Noncompliance Notification
The Permittee shall report by telephone to the Wilmington Regional Office, telephone number (910)
796-7215, as soon as possible, but in no case more than 24 hours or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a_ Land application of residuals abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to surface waters.
c. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
betaken to ensure that the problem does not recur. [ 15A NCAC 02T .0105(1), 02T .0108(b)(1)]
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan, [15A NCAC 02T .0108(b)]
2. Prior to each bulk residuals land application event, the Perrittee or his designee shall inspect the
residuals storage, transport and application facilities to identify malfunctions, facility deterioration and
operator errors that could result in discharges to the environment, a threat to human health or a public
nuisance. The Permittee shall maintain an inspection log that includes, at a minimum, the date and time
of inspection, observations made, and any maintenance, repairs, or corrective actions taken. The
Permittee shall maintain this inspection log for a period of five years from the date of inspection, and
this log shall be made available to the Division upon request. [15A NCAC 02T ,0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at any reasonable time for the purpose of determining compliance with this permit; may inspect or copy
any records required to be maintained under the terms and conditions of this permit; and may collect
groundwater, surface water or leachate samples. [G.S. 143-215.3(a)(2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statutes 143-215.6A to
143-215.6C. [G.S. 143-2I5.6A to 143-215.6C]
2. This permit shall become voidable if the residuals land application events are not carried out in
accordance with the conditions of this permit. [15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of residuals described in the permit
application and other supporting documentation. [G.S. 143-215.1]
WQ0000455 Version 5.0 Shell Version 171103 Page 1 i of 12

4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules in
15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and
under the Division's General Permit NCG010000; any requirements pertaining to wetlands under 15A
NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter
143 of the General Statutes. [15A NCAC 02T .0105(c)(6)]
In the event the residuals program changes ownership or the Permittee changes his name, a formal
permit modification request shall be submitted to the Division, This request shall be made on official
Division forms, and shall include appropriate documentation from the parties involved and other
supporting documentation as necessary. The Permittee of record shall remain fully responsible for
maintaining and operating the residuals program permitted herein until a permit is issued to the new
owner. [ 15A NCAC 02T .0104]
6. This permit is subject to revocation or unilateral modification upon 60-day notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110. [15A NCAC 02T .0110]
7. Unless the Division Director grants a variance, expansion of the permitted residuals program contained
herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T ,0120(b).
[15A NCAC 02T .0120]
8. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay
the annual fee accordingly shall be cause for the Division to revoke this permit. [15A NCAC 02T
,0105(e)(3)]
Permit issued this the 151 day of March 2018
NORTH CAROLINA ENVIRONMENTAL, MANAGEMENT COMMISSION
'�-L mda Culpepper, Interim Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0000455
WQ0000455 Version 5.0 Shell Version 171103 Page 12 of 12

ATTACHMENT A — Approved Residual Sources
Lewis Farms and Liquid Waste, Inc.
Certification Date: March 15, 2018
Permit Number: WQ0000455 Version: 5.0
Maximum
Monitoring
Monitoring
Monitoring
Frequency for
Approved
Owner
Facility Name
Count}
Permit
Biological
Dry Tons
Frequency for
Frequency for
Pathogen &
Mineralization
Number
Residuals
per Year
Non -hazardous
Metals and
Vector Attraction
Rate
Characteristics E
Nutrients -,s
Reductions 4.5
Serenity Point HOA
Serenity Point WWTP
Fender
DER/LOCAL
Yes
5
Not Required
Annually
Annually
0.30
Topsail Greens
Topsail Greens WWTP
Pender
DEH/LOCAL
Yes
10
Not Required
Annually
Annually
0.30
Smithfield Fresh Meats Corp.
Smithfield -Clinton WWTP
Sampson
IUP0006
Yes
150
Annually
Annually
Annually
0.30
House of Raeford
House of Raeford WWTP
Duplin
NCO003344
Yes
250
Annually
Annually
Annually
0.30
Town of Wallace
Wallace WWTP
Duplin
NCO020702
Yes
40
Once per permit
Annually
Annually
0.30
cycle
Town of Trenton
Trenton WWTP
Jones
NCO021342
Yes
10
Once per pennit
Annually
Annually
0.30
cycle
Town of Clarkton
Clarkson WWTP
Bladen
NCO021610
Yes
32
Annually
Annually
Annually
0.30
Sherwood Mobile Home Park
Sherwood Mobile Home
Park WWTP
Onslow
NCO022462
Yes
5
Not Required
Annually
Annually
0.30
Town of Morehead City
Morehead City WWTP
Carteret
NCO026611
Yes
300
Annually
Annually
Annually
0.30
Beacham Associates, Ltd.
Beacham Apartments #2
Onslow
NCO028215
Yes
10
Not Required
Annually
Annually
0.30
Beacham Associates, Ltd.
Beacham Apartments #1
Onslow
NCO028223
Yes
10
Not Required
Annually
Annually
0.30
Town of River Bend
River Bend WWTP
Craven
NCO030406
Yes
10
Once per permit
Annually
Annually
0.30
cycle
Pender County Schools Board
of Education
Pender High School
Pender
NCO042251
Yes
5
Not Required
Annually
Annually
0.30
Castle Hayne Health
Castle Creek Memory Care
New
Holdings, LLC
WWTP
Hanover
NCO051969
Yes
5
Not Required
Annually
Annually
030
Aqua North Carolina, Inc.
The Cape WWTP
H aew
NCO057703
Yes
100
Not Required
Annually
Annually
0.30
Horse Creek Farms Utility
Corporation
Horse Creek WWTP
Onslow
NCO062359
Yes
10
Not Required
Annually
Annually
0.30
Pluris LLC
Pluris Webb Creek WWTP
Onslow
NCO062642
Yes
20
Not Required
Annually
Annually
0.30
Marine Corps Base Camp
Camp Lejeune Advanced
Le' eune
WWTP
Onslow
NCO063029
Yes
265
Annually
Annually
Annually
0.30
Aqua North Carolina, Inc.
Beau Rivage Plantation
WWTP
New
Hanover
NCO065480
Yes
10
Not Required
Annually
Annually
030
Aqua North Carolina, Inc.
Emerald Plantation
Carteret
VI-25-10
Yes
10
Not Required
Annually
Annually
0.30
Aqua North Carolina, lnc,
Grand Villas WWTP
Carteret
VI-30-08
Yes
5
Not Required
Annually
Annually
0.30
Village of Bald Head Island
Bald Head Island WWTP
Brunswick
WQ0000193
Yes
I0
Not Required
Annually
Annually
0.30
WQ0000455 Version 5.0 Attachment A Page 1 of 2

ATTACHMENT A —Approved Residual Sources
Lewis Farms and Liquid Waste, Inc.
Certification Date: March 15, 2018
Permit Number: WQ0000455 Version: 5.0
Pluris LLC
Pluris North Topsail WWTP
Onslow
WQ0005849
Yes
35
Not Required
Annually
Annually
0.30
Aqua North Carolina, Inc.
Castle Bay WWTP
Pender
WQ0018755
Yes
10
Not Required
Annually
Annually
0.30
Hampstead Pines
Homeowners Association, Inc_
Hampstead Pines WWTP
Pender
WQ0022052
Yes
10
Not Required
Annually
Annually
0.30
Onslow Water and Sewer
Authority
Swansboro WWTF
Onslow
WQ0023261
Yes
t0
Not Required
Annually
Annually
0.30
Aqua North Carolina, Inc.
Sterling Farms WWTF
Onslow
WQ0029475
Yes
25
Not Required
Annually
Annually
0.30
Old North State Water
Company, LLC
Majestic Oaks WWTP
Pender
WQ0030088
Yes
10
Not Required
Annually
Annually
0.30
Carolina Plantation
Development Corporation
Carolina Plantation WWTF
Onslow
W Q0033770
Yes
10
Not Required
Annually
Annually
0.30
Old North State Water
Company, LLC
Stateside WWTF
Onslow
WQ0035809
Yes
10
Not Required
Annually
Annually
0.30
Old North State Water
Company, LLC
Cedar Point WWTP
Carteret
WQ0036766
Yes
10
Not Required
Annually
Annually
0.30
Total
1,402
1. Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility.
2. Analyses to demonstrate that residuals are non -hazardous (i.e_, TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2_
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IV_4,
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
Dry Tons Applied
short tons per ear
Monitoring Frequency
stablished in 40 CFR 503 and 15A NCAC 02T .1111
<319
1/Year
=>319 - <1,650
1/ Quarter 4 times per ear
=> 1 650 - <16,500
1/60 Days 6 times per ear
=>16,500
1/month (12 times per ear
If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is required), then no sampling data is
required during the period of inactivity. The annual report shall include an explanation for missing sampling data. Those required to submit the annual report to EPA may be required to
make up the missed sampling, contact the EPA for additional information and clarification.
WQ0000455 Version 5.0 Attachment A Page 2 of 2

ATTACHMENT B — Approved Land Application Sites
Lewis Farms and Liquid Waste, Inc.
Certification Date: March 15, 2018
Permit Number: WQ0000455 Version: 5.0
Field
Owner
Lessee
County
Latitude
Longitude
AC eta
Dominant Soil Series
Figures
AW-Fl
Wooten, H, Allen et al.
Pender
34.5362560
-77.9975360
36.3
GoA — Goldsboro
1
CFC-1 l
Corbett Farming Co.
Pender
34.4064830
-78.0480860
20.7
Mu - Murville
2
CFC-12
Corbett Farming Co.
Pender
34.404964'
-78.0508810
29.5
Mu - Murville
2
B-01
5mithfish Farm LLC
Pender
34A59875°
-77.6372470
48.1
LnA — Leon
3
JJ-02
Smithfish Farm LLC
Pender
34.455881 °
-77.631206°
9.1
LnA — Leon
3
JR-F1
Rowe, John Jacob
Pender
34.5568030
-78.0815890
15.4
EmA—Exum
4
L02
Lewis Farms of Burgaw LLC
Wooten, Wesley Allen
Pender
34.5777830
-78.0590420
14.2
GoA - Goldsboro
5
1,03
Lewis Farms of Burgaw LLC
Wooten, Wesley Allen
Pender
34.5768030
-78.0605690
18.6
GoA — Goldsboro
5
L04
Lewis Farms of Burgaw LLC
Wooten, Wesley Allen
Pender
34.5757720
-78,0622890
24.5
GoA — Goldsboro
5
L05
Lewis Farms of Burgaw LLC
Wooten, Wesley Allen
Pender
34.57465P
-78.062628'
23.3
GoA— Goldsboro
5
L06
Lewis Farms of Burgaw LLC
Wooten, Wesley Allen
Pender
34.57561V
-78.0555640
5.90
GoA—Goldsboro
5
L07
Lewis Farms of Burgaw LLC
Wooten, Wesley Allen
Pender
34.5745890
-78.0562720
8.10
GoA - Goldsboro
5
L08
Lewis Farms of Burgaw LLC
Wooten, Wesley Allen
Pender
34.5732310
-78,0659780
31.2
Gr - Grantham
5
L09
Lewis Farms of Burgaw LLC
Wooten, Wesley Allen
Pender
34.5723310
-78,0613140
36.7
Gr — Grantham
5
L10
Lewis Farms of Burgaw LLC
Wooten; Wesley Allen
Pender
34.5732470
-78.057672°
14.2
NoA — Norfolk
5
WO1
Wooten, Wesley Allen et al.
Pender
34.5706110
-78.0658640
33.7
Gr—Grantham
5
W02
Wooten, Wesley Allen et al.
Pender
34.568769"
-78.0662690
36.7
Gr — Grantham
5
W03
Wooten, Wesley Allen et al.
Pender
34.5670860
-78.0653580
24.2
Wo - Woodington
5
W04
Wooten, Wesley Allen el al.
Pender
34.5661190
-78.065839"
12.5
Wo - Woodington
5
Total
442.8
WQ0000455 Version 8.0 Attachment B Page 1 of 1

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e
Note: This map Is not survey quality and is for informational purposes only,
All locations are approximate_
REVIEW BOUNDARY shall be established around each land application site
midway between the Compliance Boundary and the perimeter of the
residuals land application area.
COMPLIANCE BOUNDARY: The Compliance Boundary for each land application site
is established at either 250 feet from the residuals land application area or 56 feet
within the property boundary, whichever is closest to the residual land application area,
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GATE: 07-20-17
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PROJECT N
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LEWIS FARMS FIGURE NO
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BUFFER MAP
PENDER COUNTY, NORTH CAROLINA

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ROY COOPER
Gnremor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
WESLEYA. WOOTEN —PRESIDENT
LEWIS FARMS AND LIQUID WASTE, INC.
8155 MA.LPASS CORNER ROAD
CURRIE, NORTH CAROLINA 28435
Dear Mr. Wooten:
NORTH CAROLINA
Environmental Quality
September 14, 2020
Subject: Permit No. WQ0000455
Lewis Farms and Liquid Waste RLAP
Attachment A Certification
Pender County
In accordance with your permit major modification request received July 6, 2020, we are
forwarding herewith a modified Attachment A certified September 14, 2020, to Lewis Farms and Liquid
Waste, Inc. for the subject residuals management program.
Modifications to the subject Attachment A are as follows: Addition of a new residual source Lear
Corporation WWTP (Permit No. NC0002305) increasing the approved residuals land application to a
maximum of 1,902 dry tons per year.
The modified Attachment A shall be effective from the date of certification until February 28, 2023
(i.e., expiration date of the current permit), shall void Attachment A of Permit No. WQ0000455 issued
March 15, 2018, and shall be subject to the conditions and limitations as specified therein, as well as those
specified in the above -referenced permit. Please replace Attachment A of Permit No. WQ0000455 that
was issued March 15, 2018 with the modified Attachment A. Please note that the Permittee shall submit
a renewal application no later than September 1, 2022.
If any parts, requirements, or limitations contained in this certification are unacceptable, the
Permittee has the right to request an adjudicatory hearing upon written request within 30 days following
receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter I50B
of the North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Otherwise, this certification shall be final and binding.
If you need any additional information concerning this matter, please contact Ranveer Katyal at
(9I9) 707-3661 or ranveer,kaiyal(@,ncdenr.gov.
Sincerely,
?�r": r? - 2 � '_�-
S. Daniel Smith, Director
Division of Water Resources
D_EQ—� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699.1617
rani(: ' u,1
O.P.� --f^.°—w,�� /`� 919,707.9000

Mr. Wesley A. Wooten
September 14, 2020
Page 2 of 2
cc: Duplin County Health Department (Electronic Copy)
Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Laserftche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)

ATTACHMENT A — APPROVED RESIDUAL SOURCES
Lewis Farms and Liquid Waste, Inc.
Certification Date: September 14, 2020
Permit Number: WQ0000455 Version: 5.1
Maximum
Monitoring
Monitoring
Monitoring Frequency for
Approved
Owner
Facility Name
County
Permit
Biological
]Dry Tons
Frequency for
Frequency for
Pathogen &
Mineralization
Number
Residuals
per Year
Non -hazardous
Metals and
Vector Attraction
Rate
Characteristics 2
Nutrients 3.5
Reductions 4, 5
Serenity Point HOA
Serenity Point WWTP
Pender
DEH/LOCAL
Yes
5
Not Required
Annually
Annually
0.30
Topsail Greens
Topsail Greens WWTP
Pender
DEH/LOCAL
Yes
10
Not Required
Annually
Annually
0.30
Smithfield Fresh Meats Corp.
Smithfield -Clinton WWTP
Sampson
IUP0006
Yes
150
Annually
Annually
Annually
0.30
House of Raeford
House of Raeford WWTP
Duplin
NC0003344
Yes
250
Annually
Annually
Annually
030
Town of Wallace
Wallace WWTP
Duplin
NCO020702
Yes
40
Once per permit
Annually
Annually
0.30
cycle
Town of Trenton
Trenton WWTP
.Tones
NCO021342
Yes
10
Once per permit
Annually
Annually
0.30
cycle
Town of Clarkton
Clarkton WWTP
Bladen
NCO021610
Yes
32
Annually
Annually
Annually
0.30
Sherwood Mobile Home Park
Sherwood Mobile Home
Park WWTP
Onslow
NCO022462
Yes
5
Not Required
Annually
Annually
0.30
Town of Morehead City
Morehead City WWTP
Carteret
NCO026611
Yes
300
Annually
Annually
Annually
0.30
Beacham Associates, Ltd.
Beacham Apartments #2
Onslow
NCO028215
Yes
10
Not Required
Annually
Annually
0.30
Beacham Associates, Ltd.
Beacham Apartments #1
Onslow
NCO028223
Yes
10
Not Required
Annually
Annually
0.30
Town of River Bend
River Bend WWTP
Craven
NCO030406
Yes
10
Once per permit
Annually
Annually
0,30
cycle
Pender County Schools Board
of Education
gender High School
Pender
NCO042251
Yes
5
Not Required
Annually
Annually
0.30
Castle Hayne Health
Castle Creek Memory Care
New
Holdings, LLC
WWTP
Hanover
NC0051969
Yes
5
Not Required
Annually
Annually
030
Aqua North Carolina, Inc.
The Cape WWTP
New
Hanover
NCO057703
Yes
100
Not Required
Annually
Annually
0.30
Horse Creek Farms Utility
Co oration
Horse Creek WWTP
Onslow
NCO062359
Yes
10
Not Required
Annually
Annually
0.30
Pluris LLC
Pluris Webb Creek WWTP
Onslow
NCO062642
Yes
20
Not Required
Annually
Annually
0.30
Marine Corps Base Camp
Camp Lejeune Advanced
Lejeune
WWTP
Onslow
NCO063029
Yes
265
Annually
Y
Annually
Y
Annually
Y
0.30
Aqua North Carolina, Inc.
Beau Rivage Plantation
WWTP
New
Hanover
NCO065480
Yes
10
Not Required
Annually
Annually
030
Aqua North Carolina, Inc.
Emerald Plantation
Carteret
VI-25-10
Yes
10
Not Required
Annually
Annually
0.30
Aqua North Carolina, Inc.
Grand Villas WWTP
Carteret
VI-30-08
Yes
5
Not Required
Annually
Annually
0.30
Village of Bald Head Island
Bald Head Island WWTP
Brunswick
WQ0000193
Yes
10
Not Required
Annually
Annually
0.30
WQ0000455 Version 5A Attachment A Page 1 of 2

ATTACHMENT A — APPROVED RESIDUAL SOURCES
Lewis Farms and Liquid Waste, Inc.
Certification Date: September 14, 2020
Permit Number: WQ0000455 Version: 5.1
Maximum
Monitoring
Monitoring
Monitoring Frequency for
Approved
Owner
Facility Name
County
Permit
Biological
Dry Tons
Frequency for
Frequency for
Pathogen Sr.
Mineralization
Number
Residuals
per Year I
Non -hazardous
Metals and
Vector Attraction
Rite
Characteristics 2
Nutrients ',I
Redtrctions4,5
Pluris LLC
Pluris North Topsail WWTP
Onslow
WQ0005849
Yes
35
Not Required
Annually
Annually
0.30
Aqua North Carolina, Inc.
Castle Say WWTP
Pender
WQ0018755
Yes
10
Not Required
Annually
Annually
0.30
Hampstead Pines
Homeowners Association, Inc.
Hampstead Pines WWTP
Pender
WQ0022052
Yes
10
Not Required
Annually
Annually
0.30
Onslow Water and Sewer
Authority
Swansboro WWTF
Onslow
WQ0023261
Yes
10
Not Required
Annually
Annually
0.34
Aqua North Carolina, Inc.
Sterling Farms WWTF
Onslow
WQ0029475
Yes
25
Not Required
Annually
Annually
0.30
Old North State Water
LLC
Majestic Oaks WWTP
Pender
WQ0030088
Yes
10
Not Required
Annually
Annually
0.30Company,
Carolina Plantation
Development Corporation
Carolina Plantation WWTF
Onslow
WQ0033770
Yes 1
10
Not Required
Annually
Annually
0.30
Old North State Water
Company, LLC
Stateside WWTF
Onslow
WQ0035809
Yes
to
Not Required
Annually
Annually
0.30
Old North State Water
Company, LLC
Cedar Point WWTP
Carteret
WQ0036766
Yes
10
Not Required
Annually
Annually
0.30
Lear Corporation
Lear Corporation WWTP
Duplin
NC0002305
Yes
500
Annually
Annually
Annually
0.30
Total
1,902
1. Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility,
2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA.
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
Dry Tons Applied (metric tons)
Dry Tons Applied
(short tons per year)
Monitoring Frequency
(40 CFR 503 and 15A NCAC 02T
.1111 c
< 290
< 319
Once per year (Annually)
_> 290 to < 1,500
>_ 319 to < 1,650
Once per quarter (4 x Year)
>_ 1,500 to < 15,000
> 1,650 to < 16,500
Once per 60 days (6 x Year)
15,000
> 16,500
Once per month (12 x Year)
If no land application events occur during a required sampling period (e.g., no land application occur during an entire year when annual monitoring is required), then no sampling data is
required during the period of inactivity. The annual report shall include an explanation for missing sampling data. Those required to submit the annual report to United States Environmental
Protection Agency (US EPA) may be required to make up the missed sampling. Contact the US EPA for additional information.
WQ0000455 Version 5.1 Attachment A Page 2 of 2

APPENDIX H - RSC - APPLICATION FORM

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
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 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 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 06-16, FORM: DCAR 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. Residuals Source Certification (FORM: RSC 06-16):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 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 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:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Nlap CUidance Ior
Rcsi&Mls 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. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® 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

1.
II.
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
I. Facility Name: City of Havelock
2. Facility permit holder is: ❑ Federal, ❑ State,
Facility permit issued by: ❑ Div. of Water Resource
or ❑ Other (explain: )
3. Facility contact person and title: William Lewis - Mayor
Complete mailing address: Post Office Box 368
City: Havelock State: NC
Telephone number: [phone]
4. Facility physical address: 304 Jackson Drive
City: Havelock State: NC
Coordinates: Latitude: 34053' 14.84"
® Local Government, or ❑ Private,
s, ❑ Div. of Environmental Health,
Zip: 28532-
E-mail address: [e-mail]
Datum: NAD83
Method of measurement: MAP
Zip: 28532
Longitude: 76°54' 34.32"
Level of accuracy: Hundreths of second
5. Purpose of the facility:
® treatment of municipal wastewater, ❑ treatment of I 00% 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: 2.25 MGD and facility average daily flow: 1_3 MGD
8. Average amount of residuals being generated at this facility 415 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: aerobic digestion 565,000 gallons
Type and volume of residuals storage (i.e., outside of residuals treatment units): None
RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
® 40 CFR Part 503 or ❑ 40 CFR Part 257.
FORM: RSC 06-16
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 CPR 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 Iagoons, activated sludge systems, extended aeration systems, and fixed film systems)_
FORM: RSC 06- l6 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
I00% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ® no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ® 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: SGS and Date of analysis: 1/19/21
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 <pH < 12.5)
Passed ignitability test: ® yes ❑ no_ Flashpoint: >200 °F (> 140°F)
Passed reactivity test: ® yes ❑no. HCN: <4.1 mg/kg (<250) & H2S: <130 mg/kg (<500)
TCLP Parameter
Limit
(mg/l)
Result
(mg/I)
TCLP Parameter
Limit
NO)
Result
(M911)
Arsenic
5.0
<0.10
Hexachlorobenzene
0.13
<0.0069
Barium
100.0
<2.0
Hexachloro-1,3-Butadiene
0.5
<0.0050
Benzene
0.5
<0.0031
Hexachloroethane
3.0
<0.016
Cadmium
1.0
<0.050
Lead
5.0
<0.050
Carbon Tetrachloride
0.5
<0.0036
Lindane
0.4
<0.000022
Chlordane
0.03
<0.00038
Mercury
0.2
<0.0050
Chlorobenzene
100.0
<0.0020
Methoxychlor
10.0
<0.000050
Chloroform
6.0
<0.0030
Methyl Ethyl Ketone
200.0
<0.020
Chromium
5.0
<0.10
Nitrobenzene
2.0
<0.0093
m-Cresol
200.0
<0.0098
Pentachlorophenol
100.0
<0.050
o-Cresol
200.0
<0.0056
Pyridine
5.0
<0.020
p-Cresol
200.0
<0.0098
Selenium
1.0
<0.10
Cresol
200.0
<0.0056
Silver
5.0
<0.10
2,4-D
10.0
<0.017
Tetrachloroethylene
0.7
<0.0022
1,4-Dichlorobenzene
7.5
<0.0026
Toxaphene
0.5
<0.0021
1,2-Dichloroethane
0,5
<0.0031
Trichloroethylene
0.5
<0.0035
1,1-Dichloroethylene
0.7
<0.0032
2,4,5-Trichlorophenol
400.0
<0.0074
2,4-Dinitrotoluene
0.13
<0.0081
2,4,6-Trichlorophenol
2.0
<0.0075
Endrin
0.02
<0.000021
2,4,5-TP (Silvex)
1.0
<0.0013
Heptachlor and its Hydroxide
0.008
<0.000026
Vinyl Chloride
0.2
<0.0041
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 DistributionlLand 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: Environmentl. Inc and Date of analysis: 4/13/21
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(nzglkg)
Monthly Average
Concentration Limits
(Class A Only)
(mglkg)
Result
(nag/kg)
Arsenic
75
41
2.5
Cadmium
85
39
1.3
Copper
4,300
1,500
650
Lead
840
300
13
Mercury
57
17
0.27
Molybdenum
75
n/a
6
Nickel
420
420
11
Selenium
100
100
5
Zinc
7,500
2,800
2,042
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)
❑ > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ 100 but < 125
53
360
390
❑ ? 125
62
450
420
Result (mglkg)
FORM: RSC 06-16 Page 3 of 5

5. NutrientlMicronutrient Determination: Complete the following:
a. Total solids: 3.69 %.
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: Environmentl, Inc. and Date of analysis: 4/13/21
Parameter
Result
(mglkg)
Aluminum
23,924
Ammonia -Nitrogen
31440
Calcium
33, l72
Magnesium
2,592
Nitrate -Nitrite Nitrogen
2.99
pH (Standard Unit)
6.7
Phosphorus
40,230
Potassium
4,996
Sodium
2,952
Total Kjeldahl Nitrogen
70,550
c. Using the results listed in Item 1I. 5b. above, calculate the sodium adsorption ration (SAR): 0.805
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to wiry 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 (1") Year PAN
Five -Year
Maximum Adjusted PAN
(mglk
(niglkg)
Surface
21,856
34,948
Injection/Incorporation
23,576
36,668
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/A
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 DistributionlLand 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.I 106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T. 1 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
® Alternative I [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [I5A NCAC 02T.1106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Surface Disposal•
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
❑ Exempt -If Daily Cover Alternative is chosen in Item I1.8. 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 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative I [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T. 1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.I I07(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T. 1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.1 I07(a)(5)] - 14-Day Aerobic Processes.
® Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
❑ 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 [15A NCAC 02T.I 107(a)(I0)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T. 1 107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

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��•Sw i � • �� ���. � � - +'� r -� . GIS DATA LAYERS WERE OBTAINED FROM ESRI, INC. PLEASE NOTE THIS MAP k5 FOR
INFORMATIONAL PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN, LEGAL, OR ANY >
+`7 wp
,' ► K OTHER USES. _
0
SCALE n=1,0001 VICINITY MAP FIGURE NO.
DATE 09-27-16 r 8I0—NOMIC CITY OF HAVELOCK DTPMEM
DRAWN BY: MEM SERVICES, CITY OF HAVELOCK U
PROJECT NO: INC. LAND APPLICATION PROGRAM
15-16 Ph: 02 CRAVEN COUNTY, NORTH CAROLINA

Permit NCO021253
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge, are hereby revoked. ahe
exclusive authority to operate this facility arises under this permit. The authority to operate the facility under
previously issued permits bearing this number is no longer effective.] The conditions, requirements, terms and
provisions of this permit authorizing discharge under the NPDES govern discharges from this facility.
City of Havelock
is hereby authorized to:
1. Continue to operate an existing 1.9 MGD wastewater treatment facility consisting of the
following components:
• Manual bar screen and grit removal systems
• Influent composite sampler
* lztEluent pump station
• Distribution box
* Two (2) 840.000 gallon first stage aeration basins with fine bubble aeration
• Two (2)150,000 gallon second stage aeration basins with coarse bubble aeration
• One (1)190.000 gallon second stage aeration basin with coarse bubble aeration
• Pirialclaxifier pump station
• 7,500 gallon storage tank and chemical additive systems for polyaluminum chloride
* Distribution box
• Two (2) 65 feet diameter final clarifiers
• 7,500 gallon storage tank and chemical additive system for methanol
* Three (3) 7,500 ft3 multimedia denitrifying filters
• UV disinfection basin
• One (1) reaeration basin with dual mechanical agitation
• Denitrification filters backwash pumps
• One (1) filter backwash waste detention tank
• Effluent flow meter
• 'Effluent composite sampler
• One (1) waste solids holding tank
• Gravity belt thickener
• Solids stabilization tank, pumps, basin, line addition system, truck loadout
This facility is located at North Jackson Drive, Havelock, in Craven County.
2. Upon approval of an Authorization to Construct to expand above 1.9 MGD to 2.25 MGD with
relocation of outfall 001 to Neuse river, and after submittal of the signed Engineering
Certificate, to operate a 2.25 MGD treatment facility with the following minimum additional
components:
• Upgraded UV disinfection system
• New effluent pump station with new force main
• New post gravity cascade aerator
• New 2,036 feet outfall pipe with 80 feet multiport diffuser
Page 2of17

Permit NCO021253
(CONTINUED SUPPLEMENT TO PERMIT COVER SHEET)
3. Upon approval of an Authorization to Construct to expand above 2.25 MGD to 2.8 MGD and
after submittal of the signed Engineering Certificate, to operate a 2.8 MGD treatment facility
with the following minimum additional components:
• New 570,000 gallon three -stage BNR treatment train
• New nitrification recycle pump station
• New final clarifier pump station and distribution box
4. Upon approval, of an Authorization to Construct to expand above 2.8 MGD to 3.5 MGD and
after submittal of the signed Engineering Certificate, to operate a 3.5 MGD treatment facility
with the following minimum additional components;
• New manual bar screen
• New 180,000 gallon post -anoxic process train to increase BNR to five -stages
• New 65 feet diameter final. clarifier
• New 7,500 ft3 multimedia denitrifying filter
• New solids storage and dewatering filters
5. Discharge from said treatment works through existing outfall 001 into East Prong SIocum
Creek, a Class C-Swamp NSW water in the Neuse River Basin, at the location specified on the
attached map. Discharge from said treatment works after expansion through relocated outfali
001 into the Neuse River, a Class SB-Swamp, NSW water in the Neuse River Basin, at the
location specified on the attached map.
Page 3 of 17

QUANTITATIVE JUSTIFICATION
WWTP
HAVELOCK
Projected %TS
4.5
Projected Gallons
2000000
Projected DT'sIYR
375.3
Rounded to 415 DT/Yr

SAMPLING PLAN
Sampling Procedures
Accurate sampling is essential for valid Iaboratory test results. All samples collected at the Havelock
WWTP are grab samples, which are samples taken at selected intervals to represent conditions at a given
location at a particular point in time. The following residuals process flow streams are sampled:
• Feed residuals into the aerobic digesters
• Digested residuals removed from the aerobic digesters
Grab samples of residuals are stored in a manner that will not alter sample characteristics. Proper
preservatives are used for specific parameters. The samples are kept under refrigeration at 4° C until
delivered to laboratory for analysis.
Sampling Log
Sampling information is recorded in a log book and maintained by Havelock WWTP ORC. Log book
entries include, at a minimum:
• Purpose of sampling
• Location of sampling point
• Type of sample (grab or composite)
• Name of person collecting samples
• Type of residuals sampled (undigested, post -digestion, post -storage)
• Number and volume of sample(s) collected
• Description of sampling point
• Date and time of collection
The residual solids analysis will be conducted for, but not limited to, the following parameters, percent total
solids, phosphorus, lead, copper, cadmium, sodium, total Kjeldahl nitrogen, nitrate nitrogen, nitrite nitrogen,
magnesium, potassium, zinc, nickel, arsenic, mercury, selenium, molybdenum, calcium, ammonia nitrogen,
aluminum and pH on an Annual Basis. Toxicity Characteristics Leaching Procedure (TCLP) analysis for
regulatory compliance as required by permit conditions if greater than 0.5 MGD occurs.
The permit requires that the biosolids be sampled and meet Condition IVA testing before each hauling event
occurs.

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: April 13, 2021
Havelock
3.69 % Solids
6.7 nH
Permit No. WQ0000455
Parameter
%
JMg/KgDryWeigh—t]
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg(MgLKg x 0.002)
Nitrogen (TKN)
7.055
70,550.000
141,100
Phosphorus
4,023
40,230.000
80.460
Potassium
0,500
4,996.000
9.992
PAN (injected)*
2.358
23,575.990
4T 152
PAN (surface)*
2.186
21,855.990
43.712
Ammonia Nitrogen
0.344
3,440.000
6.880
Calcium
3.317
33,172.000
66.344
Calcium Carbonate E .
---
___
___
Ma nesium
2,592.000
5.184
Sodium
2,952.000
5.904
Sulfur
---
-__
Nitrate N /Nitrite N
2,990
0.006
Barium
Chloride
---
...
---
Iron
---
-_-
_--
Aluminum
---
23,924.00
47.848
Arsenic
---
2,50
0.005
Cadmium
---
1.30
0.003
Chromium
---
16.000
---
Copper
---
650.00
1.300
Lead
---
13.00
0.026
Mercury
---
0.27
0.001
Molybdenum
---
6.00
0.012
Nickel
---
11.00
0.022
Selenium
---
5.00
0.010
Zinc
---
2,042.00
4.084
Environment 1, Inc. # 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Rot Detected) or < detection limits are listed as detection limits
for calculation purposes.

ElmAmmHaW % hmpmUd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
SUE SAYGER
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28332
PARAMETERS
PH, Units
Aluminum, (dry wt. basis), mglkg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/lrg
Chromium, T.(dry wt. basis),mglkg
Lead (dry weight basis), mg/Itg
Magnesium (dry wt, basis), mglkg
Mercury (dry wt. basis), mglkg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mg/kg
Sodium (dry wt. basis), rnglkg
Zinc (dry wt. basis), mglkg
Sodium Adsorption Ratio (talc)
Total Solids, %
TIN (dry wt.), mg/kg
Ammonia Nitrogeu (thy wt.),mg/lcg
Phosphorus, T. (dry wt.), mg/kg
Nitrate -Nitrite (dry wt.), mg/kg
Plant Available Nitrogen, nug/kg
Molybdenum (dry wt. basis), mglkg
Sludge Analysis Method
Sample Date Analyst Code
6.7
04/15/21
DIJ
45001]B-11
23924
04/29/21
LFJ
EPA200.7
2.5
05/04/21
MTM
3113B.04
33172
04/29/21
LFJ
EPA200.7
1.3
04/30/21
MTM
3113B-04
650
05/03/21
LFJ
EPA200.7
16
04/29/21
LFJ
EPA200.7
13
04/30/21
MTM
3113E-04
2592
04/29/21
LFJ
EPA200.7
0.27
04/27/21
MTM
EPA7471B
11
04/29/21
LFJ
EPA200.7
4996
05/07/21
LFJ
EPA200.7
C 5.0
05/05/21
MTM
3113B-04
2952
05/07/21
LFJ
EPA200.7
2042
05/03/21
LFJ
EPA200.7
4.2
3.69
04/19/21
JMS
254OG-1I
c 70550
04/23/21
TLH
351.2 R2-93
c 3440
04/15/21
TLH
350.1 R2-93
c 40230
04/23/2I
I€ES
365.4-74
c 2.99
04115121
DTL
353.2 R2-93
21856
05/04/21
MAO
6
04/29/21
LFJ
EPA200.7
Drinking Water ID3771$
Waatewater ZD:S 10
PHONE [phone]
FAX [phone]
ID#: 414
DATE COLLECTED; 04/13/21
DATE REPORTED : 05/17/21
REVIEWED BY: '/(X
c UncertiEied data. DWR does not offer non -aqueous certification Par this analytical procedure.

M
NA
3(
H
I
Environment 1, Inc. CHAIIN OF CUSTODY RECORD
P.O. Box 7085.114 Oakmont Dr. Pane 1 of 1
Greenville.'NC 27858
environment I inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
414 Week: 20
CLIENT:
pH CHECK (LAB)uv
P
P
P
P
P
P
P
CONTAINERTYPE, PIG
1TY OF HAVELOCK(SLUDGE)
R. RODNEY GEORGE
NONE
'ASTEWATER TREATMENT PLANT
W N. JACKSON DRIVE
A
A
A
A
A
A
A
A
CHEMICAL PRESERVATION
AVELOCK NC 28532
zo
A -NONE D-NAOH
52) 671-6373
c
c1
LU
B•HNC E HCL
o
o
a
z
�
o
¢ w
z
o
C- HzSO, F- ZINC ACETATE/NAOH
COLLECTION
Q
o o
a o
'�'
o
x
a
E^
d
w
z
¢ G-NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Sludge Sample
CLASSIFICATION:
J WASTEWATER(NPDES)
DRINKING WATER
DWRIGW
SCUD WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING S�IPMENT/DELIVERY
Y N
SAMPLES COLLECTED BY:
(Please Print)
Grp
SAMPLES RECEIVED IN TAB Aff>nO °C
RELI UISHED (SIG.) (SAMPLER)
DAT EMME
RECEIVED BY (SI
DATI EMME
COMMENTS:
N HED S[G.)
DATE
RECEIVE SY {SIG.)
DATEMME
_T
RELINQUISHED BY (SIG.)
DATE(nME
RECEIVED BY (SIG.)
DATEITIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C " far composite sample or a "G" for Na 395516
FORM #5 Grab sample in the blocks above for each parameter requested.

fo
Orlando,
The results set Borth herein tire: provided by SOS North America Inc.
Technical Report for
Environment 1, Inc
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
414
SGS Job Number: FA82594
Sampling Date: 01/19/21
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
abrown@envirollmentl inc. com
ATTN: Ann Brown
Total number of pages in report: 17
Test results contained within this data package meet the requirements
of floe National Environmental laboratory Accreditation Program
and/or state specific certlllcation programs as applicable-
e-Ha. dcopy 2.0
Autothated Report
Norm Farmer
Technical Director
Client Service contact: Jean Dent -Smith 407-425-6700
Certifications: FL(ES3510), LA(03051), KS(E-10327),1L(200063), NC(573), NI(FL902), NY(12022), SC(96036001)
Dot) ELAP(ANAB L2229), AZ(AZU366), CA(2937), TX( 104704404), PA(68.03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, 011, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Read • Suite C-15 • Orlando, FL 32611 • let: 407-425.6700 • fax: [phone]
E
SGS is the ,nit authority Car autltot'izioog edits or modifications In this dt+4utYtcnt. Plcosc share your ideas about:
thmoatothorixed odifieatoon of Ihi; report is strictly prohibiled, how we cum smrve you hettel' at:

Table of Contents
--
Section 1: Sample Summary...................................................................................................
Section2: Summary of Hits....................................................................................................
Section3: Sample Res -tilts ........................................................................................................
3,.1.: FA82594-1: SLUDGE SAMPLE..................................................................................
3.2: FA82594-IL: SLUDGE SAMPLE...............................................................................
Section4: Misc. Forms............................................................................................................
4.1: Chain of Custody...........................................................................................................
4.2: Chain of Custody (SGS Dayton, NJ) ............................................................................
Sections:
3
4
5
6
7
12
13
15

SGS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA82594
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Project No: 414
;ample Collected Matrix Client
4umber Date Time By Received Code Type Sample ID
Organics ND = Not detected above the MDL
.00 DA 01/23121 SO Sludge
FA82-5944L- 01/19/21 11.00 DA 01123/21 SO Sludge
-SLUDGESAMPU.
Soil samples reported on a dry weight basis unless otherwise indicated on result page.

Summary of Hits Page 1 of 1
Job Number: FA82594
Account: Environment 1, Inc
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Collected: 01/19/21
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA82594-1 SLUDGE SAMPLE
Corrosivity as pH 7.3;,;;:;,_`: ;:::. su
Ignilabil'rty (Flashpoint) a 200. Deg, F
FA82544-IL SLUDGE SAMPLE
No hits reported in this sample.
(a) Not ignitable.
SW846 CHAP?
SW840 1010A MOD
_ 4
-

Qr:Iando,:F�
:,Sample �tesults
R.epoil of Analysis
Section 3
___ t

SGS North America Inc.
Report of Analysis
Client Sample ID; SLUDGE SAMPLE
Lab Sample ID: FA82594-1 Date Sampled: 01/19/21
Matrix: SO - Sludge Date Received: 01/23/21
Percent Solids: 3.4
Project: City of Havelock VVVM; 304 N Jackson Dr, Havelock, NC
Page 1 of 1
General Chemistry
Analyte
Result
RL Units
DF
Analyzed By Method
Coirosivity as pH
sit
1
01/26/21 13:30 rs swsas CHAp7
Ignilability (Flaslipoint) b
] 200
Deg. F
1
01/28/21 08:35 CS Sw848 takOA MOD
Solids, Percent
33 ::::......
. . .. ' %
1
02/02/21 11:58 KSA SM19 254OG
(a) Analyzed outside the 14 day holding time applied by laboratory SOP. No regulatory holding time published for
this method. Analysis performed at SGS Dayton, NJ.
(b) Not ignitable.
RL = Reporting Limit

SGS North America Inc.
Report of Analysis Page 1 of I
Client Sample ID: SLUDGE SAMPLE
Lab Sample iD: FA82594-IL Date Sampled: 01/19/21
Matrix: SO - Sludge Date Received: 01/23/21
Method: SW846 8260B SW846 1311 Percent Solids: 3.4
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 P7771I.D 10 02/05/21 13:01 SO 01/28/21 14:20 OP83884 VP3132
Run #2
Purge Volume
.un 01 5.0 ml
un #2
VOA TCLP List
TCLP Leachate method SW8461311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
71-43-2
Benzene
ND:';;�
; : '.� D018
0.50 0.010
0.0031
mg/l
78-93-3
2-Butanone (MEK)
':ND
D035
200 0.050
0.020
ntg/l
56-23-5
Carbon Tetrachloride
ND
D419
0.50 0.010
0.0036
mg/l
108-90-7
Chlorobenzene
ND
D021
100 0.010
0,0020
mg/I
67-60-3
Chloroform
IVD
;rD022
6.0 0,010
0,0030
mg/l
106-46-7
IA-Dichlorobenzene
.ND
D027
7.5 0.010
0.0026
mg/1
107-06-2
1,2-Dichloroethane
ND
D028
0.50 0.010
0.0031
mg/l
75-35-4
1,I-Dichloroethylene
ND
D029
0.70 0,010
0.0032
mg/l
127-18-4
Tetrachloroethylene
ND
D039
0,70 0.010
0.0022
mg/l
79-01-6
Tricldoroethylene
`D040
0.50 0.010
0.0035
mg/l
75-01-4
Vinyl Chloride
ND
D043
0.20 0.410
0.0041
mg/l
CAS No.
Surrogate Recoveries
Rung I
Run# 2
Limits
1868-53-7
Dibromofluoromethane
?16l%':',;,;'
83-118%
17060-07-0
1,2-Dichloroethane-D4
3150/.
79-125%
2037-26-5
Toluene-D8
3l?4°:`:::.:,
85-112%
460-00-4
4-Bromotiuorobenzene
101% ::
83-118%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1111) B = Indicates anaiyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound

SGS North America Inc.
Report of Analysis
;lient Sample ID-. SLUDGE SAMPLE
aab Sample ID: FA82594-1L Date Sampled: 01/19/21
Matrix; SO - Sludge Date Received: 01/23/21
Method: SW846 8270D SW846 3510C Percent Solids; 3.4
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Page 1 of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch,
;un 01 X074305.1) 1 02/02/21 18:03 WH 01/30/21 09:45 OP83924 SX3029
.un #2
Initial Volume Final Volume
'an. #1 100 nil 1.0 nil
un #2
ABN TCLP List
TCLP Leachate method SW8461311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
95 48-7
2-Mefhylplienol
ND. `.:.::.:.` `
D023
200 0,050
0.0056
mg/I
3&4-Methylplienol
ND:' ' „ ; ;: ` D024
200 0.050
0,0098
mg/1
87-86-5
Pentachlorophenol
ND.':!:`!;`:D037
100 0.25
0.050
mg/I
95-95-4
2,4,5-Tricldorophenol
D. ? ';.: ?:>;=D041
400 0.050
0,0074
mg/l
88 06-2
2,4,6 Trichlarophenol
ND ';
D092
2.0 0.050
0.0075
mg/l
106-46-7
1,4-Dichlorobenzene
ND. ,
' D027
7.5 0.050
0.0050
mg/1
121-14-2
2,4-Dinitrotolitene
ND
D030
0.13 0.050
0.0081
mg/1
118-74-1
Hexachlornbenzene
ND
' D032
0.13 0.050
0.0069
mg/1
87-69-3
Hexachlorobutadiene
iVD
: D033
0.50 0.050
0.0050
mg/1
67-72-1
Hexachloroethane
ND
D034
3.0 0,050
0,016
mg/l
98-95-3
Nitrobenzene
ND
D036
2.0 0,050
0.0093
mg11
110-86-1
Pyridine
ND.`'.';'i:.:::`;;D038
5.0 010
0.D20
mg/1
CAS No.
Surrogate Recoveries
Run# I
Run# 2
Limits
367-I2-4
2-Fluoraphenal
14-67%
4165-62-2
Phenol-d5
13%;:;;:.';
10-50%
118-79-6
2,4,6 Tribromophenol
70%0.'':i`':;?:-
33-118%
4165-60-0
Nitrobenzene-d5
68%;;;?'
42-108%
321-60-8
2-Fluarobiphenyl
(i8°f6,`: ;'';
40-106%
1718-51-0
Terphenyl-84
39-121%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1111) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
_ 8

SGS Nordi America Inc.
Report of Analysis
Page 1 of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA82594-1L Date Sampled: 01/19/21
Matrix: SO - Sludge Date Received: 01/23/21
Method: SW846 8151A SW846 3510C Percent Solids: 3.4
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run#1 CC072902.1) 1 02/02/2115:28 JA 02/01/2110:00 OP83926 GCC1794
Run #2
Initial Volume Final Volume
Run #1 10.0 mi 5.0 ml
Run #2
Herbicide TCLP List
CAS No.
Compound
94-75-7
2,4-D
93-72-1
2,4,5-TP (Silvex)
CAS No.
Surrogate Recoveries
19719-28-9
2,4-DCAA
Result HVV# MCI, RL
10 0.050
1.0 0.0050
Run# 1
Run# 2 Limits
39-135%
TCLP Leachate method SW846 1311
MDL Units Q
0.017 mg/1
0.0013 mg/1
ND = Not detected MDL = Mediod Detection Limit J = Indicates an estimated value
MCL = Maximum. Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound

SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample W. SLUDGE SAMPLE
Lab Sample ID: FA82594-IL Date Sampled: 01/19/21
Matrix: SO - Sludge Date Received: 01/23/21
Method: SW846 8081E SW846 3510C Percent Solids: 3A
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 ST151250.1) 1 02/01/21 19:28 WH 01/30/21 09:45 OP83925 GST3646
Run #2
Initial Volume Final Volume
un #1 100 ml 5.0 ml
an #2
Pesticide TCLP List
TCLP Leachate method SW9461311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
58 89-9
gamma-13HC (Lindane)
D013
0.40 0.00010
0.000022
mg/1
12789-03-6
Chlordane
ND !;::;
'"D020
0.030 0.0010
0.00038
mg/l
72-20-8
Endrin a
ND
D012
0.020 0.00020
0.000021
mg/1
76-44-8
Heptachlor
ND
° D031
0.00800.00010
0,000026
mg/1
1024-57-3
Heptachlor epoxide
ND
D031
0.0080 0.00010
0.000020
mgll
72-43-5
Methoxychlor b
ND
D014
10 0.00020
0.000050
mg/1
$00135-2
Toxaphene
ND
D015
0.50 0.0050
0.0021
mg/1
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
877-09-8
Tetrachloro-m-xylene
83%'.;.';::
42-127%
2051-24-3
Decachlorobiphenyl
76%
27-127%
(a) Associated CCV outside of control limits
high, sample was ND.
(b) Associated ES outside of control limits high, sample was ND. Associated CCV outside of control limits high,
sample was ND.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 VIA 1) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound

SGS North America Inc.
Report of Analysis Page 1 of 1
'lient Sample ID: SLUDGE SAMPLE
gab Sample ID: FAS2594-IL Date Sampled: 01/19/21
Matrix: SO - Sludge Date Received: 01/23/21
Percent Solids: 3.4
'roject: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Metals Analysis, 'TCLP Leachate SW8461311
Analyte Result HW#
MCL
RL
Units
DF
Prep
Analyzed By
Method
Prep Method
Arsenic 10.10 ;: ; :; ` D044
5.0
0.10
mg/l
1
01/29/21
01/29/21
LM
SW840 60101) 1
SW840 3010A 3
Barium '2 0 D005
100
2.0
mg/1
1
01/29/21
01/29/21
LM
SW846 0010D 1
SW846 3010A 3
Cadmium :�<.0 050. '`' D006
1.0
0.050
mg/1
1
01/29/21
01/29/21
LM
SW846 GOIOD 1
SW846 3010A 3
Chromium D007
5.0
0.10
mg/l
1
01/29/21
01/29/21
LM
SW846 6010D 1
SW846 3010A 3
Lead <-0.n50 :,`.;d D008
5.0
0.050
mg/l
1
01/29/21
01/29/21
LM
SW846 6016D 1
SW846 3010A 3
Mercury C.O 0050 D009
0.20
0.0050
mg/l
1
02/01/21
02/01/21
lc
SW846 7470A 2
SW846 747UA 4
Selenium D010
1.0
0.10
mg/1
1
01/29/21
01/29/21
LM
SW84G 6010D 1
SW846 3o10A 3
Silver
5.0
0.10
mg/1
1
01/29/21
01/29/21
LM
SW84G GOOD 1
SW846 3010A 3
(1) Instrument QC Batch: MA17423
(2) Instrument QC Batch: MA17425
(3) Prep QC Batch: MP38492
(4) Prep QC Batch: MP38502
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 2617/1111)

Msc Forr�ns
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
• Chain of Custody (SGS Dayton, NJ)
Section 4
__ 12

EIRY,MFIMUILt 1. 6re.
1W. ❑ax 7055. 114 Oakmont Dr.
CHAIN OF CUSTODY RECORD FAS L13q 4
Page I of 1
cn Yf rrmmont I inc.cam
Phone [phone]H • Fnx [phone]
CLIENT; 414 Week:S
:ITV OF ITAVELOCK(SLUDGE)
IR, RODNEY GEORGV
VAS[Lr1VATER TItEATMUNT PLANT
04 N. JACKSON DRIVE
GLVICI.00K NC 29532
l62)671.6373
COLLECTKIN
DISINFECTION
❑ CHLORINE
ov
❑ NONIS
Ei
❑
CNLGraINE NEIISf WITEDATCOIiECfSON
pH CHECKBAB)
P
F
P
G
G
G
G
CCNVVNEATYPE,PJG
A
A
A
A
A
A
A
CHEMICAL PHESERVATION
A -NONE R•NACH
B•HND; E-HCL
C•H�5O. F-ZINGACEWENAOR
a 6-NATHIO5ULFATE
a.
=
a
z
a
o E§
LR
a
a
z
ca
y
E"
a
I R
0
a
W
r
E`
SAMPLELOCATION
DATE
TIME
Sludgy Sample
`
1
9
l
CIASSMAMI
WASTEWATERPI DES)
❑ 0A`7PoNCWATER
❑ DIYPJGW
SM D WASTE SECTIGV
.
..
CHAIN OF CUSTODY (SEAT) MAINTAINER
DURING IPMENTMELIVERY
Y N
SPAtflLES OOLLEGTERSY;
(PL.— Pint)
�d1iA 11v�M1'rJ
SAMPLES RECEIVED INLABAT 3 `c
HEL LWEi} IG.)ISAMPLERI
DATEMME
f-lR- 1 ;;6
CENEDBY(ffiG.1
iF1fIMfl
CC>tAhIEAIT5 F.
RELIMUSHEDBY(SIG.)
DATFIR4,E
REGEIVEDBY(51G) 7•c
ll-- DATFIMIE
.,-, ..- .....
(SIG)
DAFLr�Y l.EAI
RC•CErvtOB (
i�
(1�ZI ME
q�
An6s ti
eLasuExr
r
FCm4 96
PLEASE READ Instructions for compleling Us lorm an the reverse side. Sampler must place a'G' for composlle sample or a "G' for
Grab sample in the blocks abovo for each paramoier requested. N« 388671
FA82594: Chain of Custody
Page 1 of 2
_ U _ i3

Job Number: FA82594
Date f Time Received: 1/23/2021 9AS:C0 AM
SGS Sample Receipt Summary
Client: ENVIRONMENT 1 Project: 414
Delivery Method: FEM Alrbill µ's: 954628454130
Therm Ip: 1R 1;
Therm CF: 0.2; µof Coolers: 1
Cooler Temps (Raw Measured) °C: Cooler 1: (1.6);
Cooler Temps (Correcled)'C: Cooler 1: (1.8);
Cooler Informalion
Y or N
sample Informalion
Y or IL
NIA
1. Custody Seals Present
ED
1. Sample labels present on bottles
G
❑
2. Custody Seals Intact
I
2. Samples preserved properly
❑
3. Temp criteria achieved
o
3. Sufficient voiumelconlainers recvd far analysis:
y]
❑
4. Cooler temp verification
IR Gun
4. Condition of sample
nle
S. Cooler media
Icelce lBael
5. Sample reevd w lhln HT
f]
❑
6. DaleslTimesllDs on COG match Sample Label
Trio BlanlcInformation
Y or N NIA
7. VOCs have headspace
❑
❑
v7
1. Trip Blank present cooler
❑ ❑ 0
S. Bottles received for unspecified tests
[,j
WJ
2. Trip Stank iisled on COG
❑ ❑ 0
9. ComposlUng instructions dear
❑
❑
.Gr
W or S . NIA
10. Voa Soil KIIsidars received past 4Bhrs?
❑
❑
11. % Solids Jar received?
❑
[?
❑i
3. Type Of T8 Received
❑ Cl �—�
i2. Residual Chlorine Present?
❑
❑
9
Misc. Information
Nurnber of Eticotes: 25-Gram
5-Gram
Number of 5035 Field Kits: Number of Lab Filtered Metats:
Test Stop Lot #s:
pH 0-3 230315
pH 10.12 219513A Other: (Specify)
Residual Chlorine Test Strip Lot 0:
Comments
sacs Technician: BRYANG Date: 1123/202
Rmr. Odle 65RM57 1 9:45:00 AM Reviewer.
Date:
FAS2594.- Chain of Custody
Page 2 of 2
. 14

CHAIN OF CUSTODY Page 1 of 2
405 W.V.nd ft d Sulu F76 Orlando, FI S2E11
VVV MMM,,, TEL 407�7 09 FEU(: a01a238T07
wA-ws e.eoml.h.lwe
rt�'r�°•
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Pmjd Infunn.Von
Re uulatl
Anal
t. a.a
TESTCOOE.S..t
MaNr Codoe
ep,pu.T x..nr.
SGS N-lh Amede. inc.
P.O.—
Cxy al Havmwk WWiP; 304 N JaOwx Cit. NaaaWck, NC
U
ow'0euy wre
ow 011 a .b
ex+•w•u.
o W.
6L0'so,
eeDSaC'.nae1
01.0t
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YR • w1Pt
roTwa9lvt
EtreQr•, 1LLaM
na rov area
To.rPa 5-k
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4405Vin.land Rd,5uEl.C•15
m12 efamadon ridhM hamM lal-
uY W
Orlando FL 1251f
Ccy SLn
7•^I Namn
nvp.xeao-n t—t
iaanbM.mYhE•4awm
P,q.G.
s••n novel.
nwx. iu
407425$700
caTP�M•n 9Nw•
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4
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SLUDGE SAMPLE
WMI
11.00'WA
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50
1
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T,era,s..a tine nu.rv[dt
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ndumalbn
C—,."/S
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awwrait OnrlM,twaq
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Gmm.1v.l •A' 9aa.111 n wv ram,•
[,]aaunttaet•cfL•++1 it =eon'—,
ne MOTI IL111 [] U ,
d rucTl lu.N [1 0
QfrmmamLl'G' ® UL
cot.e.rsn •A•en du.O'r
conrrcx •s•en.ruu.as,.r.n..r
c ...110 .lu[✓a•fK3 •Hama Ra.r d•Y
'w"o u.a on algwi of la"usa samga to euhoant,acl to SGS Onylon.
Th.ok Va..
hq',o-
5,.qieGm1odV mvtlNWe d«umtnld
baby Hach xm•••m
It. .M+ab Ind<dl caudK
d•1N 5
1740
ntce.IM
a+..•M
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rel,rr7
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FA82594: Chain of Custody
Page I of 3
SGS Dayton, NJ

Reactive Cyanide and Reactive Sulfide Preparation Rog
Method: SWa4e Chapter 7, revision 3, 1996
Data: r; t I z7 12.1
CN Batch #: GP 539 2-1 Balance ID RWel
(mm-dd-yy) S Batch #. GP 159-Z2. Flowmater ID Vof}Ycu Lute
Sample ID_Bottle#
Inillal Semple
V01(ml) f m(g)
I N251ert
Time
(24:00)
N2 End
Time
(24:00)
N2
tiow
(milmin)
Flnal Distil.
Vol (ml)
Comments
GP -MS1 M9
GP -61 BSP CO
)L),nf
10m 1
fL(,3
l5:t5'c-
(di-G
6
GP -B7 BSP S
lthn f
GP -DiDUP
l0.li
,2
0C F,,4 3Z.1011-3- I
r0 al'
(��, 0
t
fJ. y,
Ike .f i
I I...'1
.,u S
.5
5
6
nt F 2.Sg `i 1, ,,
7
6
9
10
17
12
13
0
14
2r
15
16
tt
18
19
20
STANDARDS Lot#
2�L�1 I Sulfide L 4f jr OZ 7
Cyanide &&)11wiq
+ 1 REAGENTS
IIJOW 2.5NNaON M5411LS
0.25NNa0k 6+J3e9L-f
OAN Sulfuric acid w(,iVO
WIN Sulfuric acid EU31oJ5
Analyst Signature: t pate: J, 2 7121
5 ud 50
FA82594: Chain of Custody
Page 2 of 3

SGS Sample Receipt Summary
Job Number: 282594 Cllenl: Project:
Pate I Time Recelved: 21101202f 10:30W AM Delivery Method: Alrblll Ws:
Cooler Temps (Raw Measured) IC: Cooler 1: (2.3);
Cooler Temps (Correctod) IC: Cooler 1: (1.0):
Cooler Securlly Y or N
_Y or N
Sample Integrity - Uocumenlation
X4f
N
1_ Custody Seals Present; 9 l.,J 3. COC Present:
Y7 ❑
1. Sample labels present on bottles:
R
F1
2. Custody Seals Intact: ❑ 4_ Smpl Uateslfime OK
U
2. Container labeling complete:
42
U
Cooler Temoaralure Y or N
S. Sample container label! COC agree:
W
LI
1. Temp criteria achieved: © ❑
Sam le Integrity -Condition
tor N
2. Cooler lamp venficallon: IR Gun
1.
!
0
3. Cooler media: Ice (Bag)
Sample recvd within HT:
4. No. Coolers: 1
2, All containers accounted for:
❑
3. Condition of sample:
Intact
Quality Control Preservation N NIA
_Y__2 _
i_TripBlank present Icvoler; ❑ ❑ 2
5qWtelnteslrriv-Instructions
Y
or N NIA
1. Analysis requested is clear:
91
❑
2. Trip Blank listed on COC: ❑ ❑ 9
2. Battles received for unspecitled teats
01
C
3. Samples preserved property: WJ ❑
3. Sufficient volume recvd for analysis:
2
❑
4_ VOCs headspace free: ❑ ❑ W,
4. Cemposlling instructions clear,
❑
❑ y
5, Filtering Enslrucilvns dear.
❑
❑ 1W
Test Sldp Lot 4s: pH 1-12; 212820
pH 12+:
203117A Other: (Specify)
Comments
Rev.Oata 1217117
FA82594: Chain of Custody
Page 3 of 3
ea^17
—AU .._

Orlando, FL ,
Tile results set forth herein are prtivided by SGS North Alitcrica Inc. e-Ha dcopy 2.0
Atrlorlrrrlvel Repor(
Technical Report for
Environment 1, Inc
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
414
SGS Job Number: FA84061
Sampling Date. 03/15/21
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
[e-mail]
ATTN: Ann Brown
Total number of pages in report:
AccltF�`
NF
9QOIIfj1��`
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable,
Norm Farmer
Technical Director
CIient Service contact: Jean Dent -Smith 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZO806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not he reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc- • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
SGS is thr ,l,lr ;t1,11bo il.% ILw a111I1011/111w Ut{1l5 nr Il10dif iCXiM1i W Ihiv dur1u11, Eli, f'Icasr shcq vuur ideas ;du,111 �0%
huaulhurii.rd 111t difiialllgl 111 lha 1'Cpklr'I is slric[IN Ilrohihiwd. Ilkm %%r CZ111 ser'c vuu hcu�1 pl: 'SI 11..
Re%'ie« slaridard lernic u1: Illl'X1vw.NL1.c m1/r11I1r11nls-;LIId-cunJi6011x r'r
I' 1=115.US.CusltllnerCal-e- t �u1n
'I of 9
FA6,1051

Table of Contents
Section1: Sample Summary..................................................................................................
Section2: Summary of Hits....................................................................................................
Section3: Sample Results........................................................................................................
3.1: FA84061-1: SLUDGE SAMPLE.................................................................................
Section4: Misc. Forms............................................................................................................
4.1: Chain of Custody...........................................................................................................
Sections:
3
4
6
7
8
2of9
FANOG1

SGS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA84061
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Project No: 414
Sample
Collected
Matrix
Client
Number
Date Time By
Received Code Type
Sample ID
FA84061-1 03/15/21 10:25 3P 03/20/21 SO Sludge SLUDGE SAMPLE
Soil Samples reported on a dry weight basis unless otherwise indicated on result page.
F--"]
3 of 9
FAB4051

Summary of Hits Page 1 of 1
Job Number: FA84061
Account: Environment 1, Inc
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Collected: 03/ 15/21
Lab Sample 1D Client Sample ID Result/
Analyte Qual RL MDL Units Method
FAS4061-1 SLUDGE SAMPLE
No hits reported in this sample.
4 of 9
IS GG .
=na.ios7

Orlando, FL
Sample Results
Report of Analysis
5 of 9
FA&5061

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA84061-1 Date Sampled: 03/15/21
Matrix: SO - Sludge Date Received: 03/20/21
Percent Solids: 3.7
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Page I of 1
General Chemistry
Analyte
Result
RL Units DF
Analyzed By Method
Cyanide Reactivity
< 4.1
4.1 mg/kg 1
03/29/21 I2:29 AC SW846 CAAP7
Solids, Percent
3.7
% 1
03/23/21 12:05 AC SM192540G
Sulfide Reactivity
< t30
130 mg/kg 1
03/26/21 14:30 iC SW846 CHAN
RL = Reporting Limit
6 of 9
FA84061

Orlando, FL
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Section 4
7 of 9
_JS.SII�'..
FAS4061

Environment 1, lue, J �+ CHAIN OF CUSTODY RECORD Mq'V /`
P.O. Box 7085, 114 Oakmont Dr. 1 l
� f P3gc � of�
environment I iitc.cnm
DIS1NFrCTION
CHLORINE NEUTRALZEOATCOLLECTION
Phone [phone] • Fax [phone]
414 Wcek; 8
❑ CHLORINE
—
CI.CN3',
pH CHECK (LAB)
UV
CITY OFIIAVELOCK(SLODGE)
MR. RODNEY GEORGE
❑ NONE
P
—
1
P
j
I
CONTAINER TYPE,PlG
WASTEWATER TREATMENT PLANT
—
—
—
A
j
A
i
—
Cf IEMICALPRESERVATION
104 N. JACKSON DRIVE
�A
HAVELOCK INC 2SS32
o
N A -NONE D-NACH
252) 671.5373
E U
¢
w
w
Lz 9-HNO, E-HCL
O O
I
E !R
¢
<
.�
cc
C-HMSO{ F-ZINCACETATEINAOH
COLLECTION
¢
a G-NATHIOSULFATE
cc
$AMPLELOCATION
DATE
TIME
Sludge Sample
s
N
£�
111;f
za F
���
>k`:
<
a:.`
kgY
CLASSIFICATION:
WASTT;WATER(NPDES)
DRINKINGWATER
DWRIGW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENTIDELIVERY
N
SAMPLES COLLECTED BY.
{Pte�sa PPymi} �
�ertr.� !<nrt
SAMPLES RECEIVED INLABATa.2 °C
HEL PLEB)
DATEMME
R CEIVED BY (SIG.)
DATEIIIME COMMENTS:
LL11,[o31g2
3.15-zr f 3
)5 5:31
All
REL !S EDBY IG,)
T Q0.w ME
SIG.I
DATERIME
,..,,�a
Ra
;o�ADATEAl11E
SIG)
•
DATE WE
:� Il,lS
- { I LLASt HrAD InSlrucuons tor completing ims IOrm 0D the reverse sltle. { -tr— --...._....�-. �. - .� `�, ���," �� ..... � �J4 396515
FORM as - 6'K 1 Z Geab sample in the blocks above for each parameter requested.
FA84061: Chain of Custody
Page 1 of 2
A
8of9
FAB4061

SGS Sample Receipt Summary
Job Number: FA84061 Client: ENVIRONMENT 1 Project: 414
Date l Time Received: 3/20/2021 10:45:00 AM Delivery Method: FEDEX Airbill Xs: 954628457221
Therm ID: 1R 1; Therm CIF: -1.8; # of Coolers: 1
Cooler Temps (Raw Measured) °C: Cooler 1: (2,6);
Cooler Temps (Corrected) °C: Cooler 1: (0.8);
oo ernf
a on
Y or
N
Sample Information
Y or N N/A
1. Custody Seals Present
❑
1- Sample labels present on boittes
2 ❑
2. Custody Seals Intact
0
❑
2. Samples preserved properly
© ❑
3. Temp criteria achieved
©
❑
3. Sufficient volumelcontainers recvd for analysis:
W ❑
4. Cooler temp verification
1B Gun
4. Condition of sample
Intact
5. Cooler media
Ice (Bag t
5. Sample recvd within HT
[a-1 ❑
Trip Blank Information
1. Trip Blank present 1 cooler
2. Trip Blank listed on COC
3. Type Of TB Received
Y or NL
NIA
❑ ❑
sa
❑ ❑
R
W or SL
_NIA
❑ ❑
21
6. DateslTimesllDs on COC match Sample Label
7. VOCs have headspace
8. Bottles received for unspecified tests
9. Compositing instructions clear
10. Voa Soil KitslJars received past 48hrs?
11. % Solids Jar received?
12. Residual Chlorine Present?
2
❑
❑
❑
❑
12
❑
❑
❑
❑
W
❑
❑
❑
❑
Misc. Information
Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
Test Strip Lot 9s: pH 0-3 230315 pH 10-12 219813A Other: (Specify)
Residual Chlorine Test Strip Lot #:
Comments
514001
Rev, pale 0524117 Technician: BRYANG Date: 312012021 10:45:00 A
Reviewer: Date:
FA84061: Chain of Custody
Page 2 of 2
9of9
FA64061

CITY OF HAVELOCK
NC0021253
City of Havelock WWTP
04/13/21
34,000
4.5315
04/13/21
35,000
4.5441
04/13/21
42,000
4.6232
04/13/21
110,000
5.0414
04/13/21
21,000
4.3222
04/13/21
22,000
4.3424
04/13/21
43,000
4.6335
Total 32.083
Average 1 4.5769
Geometric Mean Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

ERATmEW T, hmpumUd
114 OAKMONT DRIVE~
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
MR. JAMES CARTER
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
Drinking Water ID7 37715
Waetewat0r ID; 10
PHONE [phone]
FAX [phone]
ID# t 414 E
DATE COLLECTED: 04/13/21
DATE REPORTED ; 04/21/21
REVIEWED BY:
Sample
Sample
Sample
Sample
Sample
Analysis
Method
PARAMETERS #1
N2
N3
N4
#5
Date Analyst
Code
'Cotal Residue, mg/I 32100
31567
30667
33000
33067
04/14/21 JI41S
254013-11
Fecal Colifnrm (MPN), /gram Solids 34000
35000
42000
110000
21000
04/13/21 BLV
922113-06

Emwok(BUR&W 1, Doowpumbd
114 OAKMONT DRIVE
GREENVILLE, N,C, 27858
CITY OF HAVELOCK(SLUDGE)
MR. JAMES CARTER
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
Sample
PARAMETERS N6
Total Residue, mg/1 31333
Fecal Coliform (141PN), /gram Solids 22000
Drinking water IDS 37715
Wastewater IDi 10
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 04/13/21
DATE REPORTED : 04/21/21
REVIEWED BY:
.Sample Analysis Method
#7 Date Analyst Code
32567 04/14/21 JMS 254OB-11
43000 04/13/21 BLV 9221E-06

C
1V
V
31
A
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Enviromnent 1, Inc.
P.O. Box 70.35. 114 Oakmont Dr.
f SPA:„:;rrp MC o7e59
CHAIN OF CUSTODY RE, CORD
Pacye 1 of 1
environmem 1 inc.com
DISINFECTION
CHLORINE NEUTRALIZED ATCOLLECTION
Phone [phone] e Fax [phone],
CHLORINE
pH CHECK (LAB)
414 E Week: 20
CLIENT:
I UV
ITY OF HAVELOCK(SLUDGE)
P
P
CONTAiNERTYPE, PIG
R. RODNEY GEORGE
NONE
ASTEWATER TREATMENT PLANT
4 N. JACKSON DRIVE
i
A
A
CHEMICAL PRESERVATION
AVELOCK NC 28532
rn o
F� A -NONE D-NAOH
52) 671-6373
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COLLECTION
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G NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Sample #1
2
CLASSIFICATION:
Sample #2
2
WASTEWATER(NPDES)
Sample #3
/3`_71
Z
/3/�
DRINKING WATER
DWR/GW
Sample #4
z
Sample #5
2
'''::$
3-13I
o .
SOLID WASTE SEC TION
Sample #6
-2
2 i
z
' F
Sample #7
p'�
2
`.<
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING S PMENT/DELIVERY
Y N
SAMPLES COLLECTED BY:
(Please Print)
Gr MCS � ✓�r�
SAMPLES RECEIVED IN LAB AT 3.5 °C
R QUISH BY SIG.) (SAMPLER)
DATEMME
RECEIVED BY (SIG.)
DATE'TIME
COMMENTS:
M311i 15,10
IN Y (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEIT1ME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C for composite sample or "G' for �o �9�5�
FORM #S Grab sample in the blocks above for each parameter requested.

Willcox & Mabe Soil Solutions, PLLC
Summerlield, North Carolina
RESIDUAL PAN CALCULATION
Havelock WWTP
TKN= 70,550 mg/kg
NH3= 3,440 mg/kg
NO3-NO2-N= 3 mg/kg
Min Rate= 0.30
PAN= [min.rate (TKN - NH3) + 0.5 (NH3) + NO3-NO21
0.30 67,110 1,720
PAN= 21855.99 mg/kg
2.99
Calculate residual nitrogen for years 2,3,4 and 5 following the initial application to determine
the amount of PAN/DT remaining.
2ND YEAR RESIDUAL PAN
PAN= [min.rate (1st year org. - N 2nd year min. - Ni
0.15 67,110 20,133
PAN= 7046.55 mg/kg remaining from 1st year application
3RD YEAR RESIDUAL PAN
PAN= [min.rate (2nd year org. - N 3rd year min. - Ni
0.08 46,977 7,047
PAN= 3194.44 mg/kg remaining from 1st year application
4TH YEAR RESIDUAL PAN
PAN= [min.rate (3rd year org. - N 4th year min. - Ni
0.05 39,930 3,194
PAN= 1836.80 mg/kg remaining from I st year application
5TH YEAR RESIDUAL PAN
PAN= [min.rate (4th year org. - N 5th year min. - Ni
0.03 36,736 1,837
PAN= 1014.51 mg/kg remaining from 1st year application
Residual PAN from years 2 thru 5 after the initial application = 13092.30 mg/kg
Application
Method
First Year PAN
(mg/kg)
Five Year Maximum
Adjusted PAN
Surface
21,856
34,948
Incorporation
23,576
36,668

SAR
SAR Calculation
Na mg/l
108.9288
Ca mgll
1224.0468
Mg mg/I
95.6448
Na
Ca
Mg
SAR
4.736
61.202
7.970
fl.805
Na mil eq
Ca mil eq
Mg mil eq
4.736
61.202
7.970
Enter
Enter .% TS
3.69
Data
Na mg/kg
2952
Ca mg/kg
33172
Mg mg/kg
2592
Job Name:
Havelock WWTP
Page 2