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HomeMy WebLinkAboutWQ0038499_Renewal Application_1_20210609Initial Review Reviewer Thornburg, Nathaniel D Is this submittal an application? (Excluding additional information.)* r Yes r No Permit Number (IR)* WQ0038499 Applicant/Permittee Bio-Green Services, Inc. Applicant/Permittee Address 383 Potts Road Is the owner in BIMS? r Yes r No Is the facility in BIMS? r Yes r No Owner Type Organization Facility Name Bio-Green Services RLAP County Davie Fee Category Minor Fee Amount $245 Is this a complete application?* r Yes r No Complete App Date 06/09/2021 Signature Authority Signature Authority Title Signature Authority Email Document Type (if non -application) Email Notifications Does this need review bythe hydrogeologist?* r Yes r No Regional Office CO Reviewer Admin Reviewer Below list any additional email address that need notification about a new project. Email Address Comments to be added to email notfication Comments for 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 electibnittal, confirmation of receipt, other .......................................................... electronic surece, aner correspondence. _ - Name * Rob Willcox Email Address* rob@willcoxmabesoil.com Project Information ........ ..................................................................................................................................................... Application/Document Type* r New (Fee Req ui red) r Modification - Major (Fee Required) 6- Renewal with Major Modification (Fee Required) r Annual Report r Additional Information r Other Phone Number* 3363399128 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:* WO0038499 Fbs Current Existing pernit number Applicant/Permittee* Bio-Green Services, Inc. Applicant/Permittee Address* 383 Potts Road Facility Name * Bio-Green Services RLAP Please provide comments/notes on your current submittal below. Permit Renewal with minor modification to add Enterprise Rendering Company as a source At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here.* (Application Form Engineering Rans, Specifications, Calculations, Rc.) 21-06 Bio-Green Services Residuals Land Application 29.76MB Program - Enterprise Rendering.pdf upload only 1 FLFdocurrent (less than 250 MB). Miltiple docurrents mist be combined into one R7Ffile unless file is larger than upload linit. * 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 1 44 c11w Submission Date 6/7/2021 APPLICATION FOR RESIDUALS LAND APPLICATION PROGRAM PERMIT RENEWAL / MODIFICATION APPLICATION 1310-GREEN SERVICES, INC. NON -DISCHARGE PERMIT NO. WQ0038499 WMSS Project No. 21-06 Prepared for: Bio-Green Services, Inc. Enterprise Rendering Co., Inc. 383 Potts Road and 28821 Bethlehem Church Road Advance, North Carolina 27006 Oakboro, North Carolina 28129 Prepared by: Willcox & Mabe Soil Solutions, PLLC 7231B Summerfield Road Summerfield, North Carolina 27358 willcox&mabe 5 0 1 L S❑ L U T 10 N S June 2021 willcox&mabe SOI L SOLUTIONS June 4, 2021 NCDEQ/DWR Water Quality Permitting Section Non -Discharge Branch 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Attention: Non -Discharge Branch Reference: Application for Residuals Land Application Program Permit Renewal / Modification Application Bio-Green Services, Inc. Willcox & Mabe Soil Solutions, PLLC Project No. 21-06 Non -Discharge Branch: Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting the enclosed Residuals Land Application Program Permit Renewal and Modification Application for Bio-Green Services, Inc. (Bio-Green) and Enterprise Rendering Co., Inc. The application package includes information for the following: • Addition of 1 Source — Enterprise Rendering Co., Inc. • Addition of five (5) new land application sites (71.9 net acres) • Deletion of two (2) previously permitted sources • Deletion of eight (8) previously permitted fields • Transfer of two (2) previously permitted fields (Will be addressed in Permit No. WQ0034513 Permit Renewal Application to be submitted prior to June 30, 2021) If there is any further information required or questions regarding this application please do not hesitate to contact WMSS at (336) 339-9128 for further assistance. Sincerely, Willcox & Mabe Soil Solutions, PLLC Martin Mabe Rob Willcox, L.S.S. Partner / Agronomist Partner / Soil Scientist cc: Bio-Green Services, Inc. Enterprise Rendering Co., Inc. Shared\WMSS Projects\2021\21-06 Enterprise Rendering Co\21-06 Bio-Green Services Residuals Land Application Program - Enterprise Rendering.doc Willcox & Mabe Soil Solutions, PLLC / 7231 B SummerFeld Road / Summerfield, NC 27358 / Rob 336.339.9128 or Martin 336.312.1396 / www.willcoxmabesoil.com TABLE OF CONTENTS APPENDIX TITLE I RESIDUALS LAND APPLICATION PROGRAM APPLICATION FORM (FORM: RLAP 06-16) OPERATION AND MAINTENANCE PLAN COPY OF EXISTING PERMIT NO. WQ0038499 II RESIDUALS SOURCE CERTIFICATION ENTERPRISE RENDERING CO., INC. (FORM: RSC 06-16) Page 1 III LAND APPLICATION SITE CERTIFICATION (FORM: LASC 06-16) WATERBODY AND CLASSIFICATION INFORMATION IV COUNTY BOARD NOTIFICATION (FORM: CBN 06-16) New Sites V SITE 06 — ENTERPRISE RENDERING - CARROLL E. BRAUN, JR. (Fields 1 - 5) LANDOWNER AGREEMENT (FORM: LOA 06-16) SITE MAPS SOILS AND AGRONOMIC EVALUATION APPENDIX I RESIDUALS LAND APPLICATION PROGRAM APPLICATION FORM (FORM: RLAP 06-16) OPERATION AND MAINTENANCE PLAN (RENEWAL) COPY OF EXISTING PERMIT NO. WQ0038499 RESIDUALS LAND APPLICATION PROGRAM APPLICATION FORM (FORM: RLAP 06-16) 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 sunnorting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under 15A NCAC 02T .1100. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages): ® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ® The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b). ® If this project is for a modification of an existing permit, submit one copy of the existing permit. ® Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units. B. Application Fee (New and Major Modification Application Packages) ® Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental Quality (NCDEQ). Facility Classification New Permit Major Modification' Major (land are permitted for < 300 acres) F- $1,310 F $395 Minor (land are permitted for < 300 acres) F- $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 (May be Required — See 15A NCAC 1 C .0300) (N/A) ❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for the construction of the subject facilities. INSTRUCTIONS FOR FORM: RLAP 06-16 Page 1 of 3 E. Operation and Maintenance Plan (New and Renewal Application Packages) (APPENDIX I) ® For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan. ® Submit the O&M Plan in accordance with 15A NCAC 02T .I 110 and include at a minimum: ® Operational functions; describe the operation of the program to show what operations are necessary for the program to function and by whom the functions are to be conducted. ® Maintenance schedules; may include equipment calibration, maintenance of signs, etc. ® 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. (N/A) F. Program Determination ❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T .110202). 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, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s). ❑ Delineation of the review and compliance boundaries ❑ Setbacks as required by 15A NCAC 02T .1108 ❑ 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 I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites) ❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops and their ability to accept the proposed application rates. J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity) ❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy available at: hU://www.ncwater.org/Rules_ Policies_ and_Regulations/. The document shall be signed, sealed and dated by a qualified professional. K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation facilities fed through fixed supply system) Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or Professional Land Surveyor in accordance with 15A NCAC 02T . 1104(d)(2). For Modifications, submit an updated site map specific to the modification(s) only. ❑ The design documents must include the following minimum items: ❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new units or are critical to the understanding of the complete process; ❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the finished product including leaking testing; and ❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head curve analysis for each pump, and irrigation design. ❑ Soil mapping units shown on all disposal sites. L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or irrigation facilities fed through fixed supply systems) ❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy available at: http://www.ncwater.org/Rules_ Policies_ and Regulations/. M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment or irrigation components) ❑ Property ownership documentation shall consist of one of the following: ❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or ❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or ❑ An easement running with the land specifically indicating the intended use of the property and meeting the requirements of 15A NCAC 02L .0107(f), or ❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or survey map. ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NON -DISCHARGE PERMITTING UNIT By U.S. Postal Service: 1617 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1617 TELEPHONE NUMBER: (919) 807-6464 By Courier/Special Delivery: 512 N. SALISBURY STREET RALEIGH, NORTH CAROLINA 27604 FAX NUMBER: (919) 807-6496 INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3 State of North Carolina DWR Department of Environmental Quality Division of Water Resources Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM FORM: RLAP 06-16 L APPLICANT INFORMATION: 1. Applicant's name: Bio-Green Services, Inc. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility ❑ Federal ❑ State ❑ Municipal ❑ County Signature authority's name per 15A NCAC 02T .0106: S. Ray Gambill Title: Vice President Applicant's mailing address: 383 Potts Road City: Advance State: N.C. Zip: 27006 Telephone number: (336) 813-8063 Email Address: biogreensvc( ol.com 2. Consultant's name: Rob Willcox License Number (for P.E.): N/A Affiliation: ❑ On Staff IN Retained (Firm: Willcox & Mahe Soil Solutions, PLLC) Consultant's mailing address: 7321B Summerfield Road City: Summerfield State: N.C. Zip: 27358 Telephone number: (336) 339-9128 Email Address: robnne willcoxmabesoil.com 3. Agronomist's name: Martin Mahe License Number: N/A Affiliation: ❑ N/A ❑ On Staff ® Retained (Firm: Willcox & Mahe Soil Solutions, PLLC) Agronomist's mailing address: 7321B Summerfield Road City: Summerfield State: N.C. Zip: 27358 Telephone number: (336) 312-1396 Email Address: martin&willcoxmabesoil.com 4. Soil Scientist's name: Rob Willcox License Number: 1098 Affiliation: ❑ N/A ❑ On Staff ® Retained (Firm: Willcox & Mahe Soil Solutions PLLC) Soil Scientist's mailing address: 7321B Summerfield Road City: Summerfield State: N.C. Zip: 27358 Telephone number: (336) 339-9128 Email Address: robnn� willcoxmabesoil.com 5. Fee submitted: $245 (See Instruction B) IL PERMIT INFORMATION: 1. Application is for (check all that apply): Q new, L] modified, ® renewed permit 2. If this application is being submitted to renew or modify an existing permit, provide the following: Permit number: WQ0038499 Date of most -recently issued permit: August 18, 2016 Date of most -recently certified Attachment A (if different than the permit): December 22, 2017 Date of most -recently certified Attachment B (if different than the permit): December 22, 2017 FORM: RLAP 06-16 Page 1 of 5 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Residuals Processing Facility's physical address: Bio-Green Services, Inc. — 383 Potts Road City: Advance State: N.C. Zip: 27006 Coordinates: Latitude: 35' 57' 32" Longitude: 80, 24' 51" Datum: NAD 83 Method of measurement: MAP Level of accuracy: nearest second 2. County where residuals land application program is headquartered: Davie 3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC Sherill Ray Gambill Bio-Green Services 985951 Back -Up ORC Denise Gambill Harrison Bio-Green Services 987968 Additional Back -Up ORCs (if applicable) _ If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: 4. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 275 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 5.36 8.26 1,474 2,272 Five -Year Maximum Adjusted 6.96 9.86 1,914 2,712 b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application Category Use Acres Comments Crops Forest or Plantation Row Crops 71.9 Proposed Acres Hay Pasture Total: 71.9 Methods Surface 71.9 Incorporation or Injection Total: 71.9 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 (lbs PAN/ac yr) Acres Required Using First -Year PAN Concentrations Acres Required Using Five -Year Maximum Adjusted PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 50 29 45 38 54 100 15 23 19 27 150 10 15 13 18 200 7 11 10 14 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.): I 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) (APPENDIX II) 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. (APPENDIX III) IR Land Application Siite Certification.doc FORM: RLAP 06-16 Page 3 of 5 Note: Item VL Applicable to Dedicated Program with fixed irrigation system only. (N/A) VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM (N/A) 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 in/hr Recommended Loading Rate in/yr 6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? ❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met: 7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system): Field / Zone Design Area (ftZ) Number of Nozzles Maximum Application Rate ( allons/hr) Design Annual Loading Rate ( allons/ r) Total Spray Irrigation Design Element Plan Sheet Number Specification Pa a Number Wetted diameter of nozzles ft Wetted area of nozzles It, Nozzle capacity gpm Nozzle manufacturer / model / Elevation of highest nozzle ft FORM: RLAP 06-16 Page 4 of 5 Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0I06): 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, S. Ray Gambill Vice -President (Signature Authority's Name — PLEASE PRINT) (Title) attest that this application for Bio-Green Services. Inc. — Modification of Permit No. W 0038499 (Facility Name) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated. i also understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. Signature: =& J;� Date. 6,�4 Z FORM: RLAP 06-16 Page 5 of 5 RESIDUALS LAND APPLICATION PROGRAM APPLICATION FORM (FORM: RLAP 06-16) (ATTACHMENTS) • 111.4.a. — Plant Available Nitrogen Summary • Analytical Enterprise Rendering Lagoon Non -Discharge Permit Application RESIDUALS APPLICATION DATA 275 Dry Tons of residuals to be certified PLANT AVAILABLE NITROGEN SUMMARY (2021) PAN Pounds of PAN per DT (2021) Pounds of PAN per Year Surface Incorp. Or Inject. Surface Incorp. Or Inject. First -Year 5.36 8.26 1,474 2,272 Five -Year Maximum Adjusted 6.96 9.86 1,914 2,712 Assumed Application Rate (lbs PANIac-yr) Acres Required Using First -Year PAN Concentrations Acres Required Using Five -Year Maximum Adjusted PAN Surface Incorp. Or Inject. Surface Incorp. Or Inject. 50 29 45 38 54 100 15 23 19 27 150 10 15 13 18 200 7 11 10 14 Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 2B405 • 910-392.0223 Lab . 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax info@environmentalchemists.com Willcox & Mabe Soil Solutions 7231 B Summerfield Road Summerfield NC 27358 Attention: Rob Willcox Date of Report: May 27, 2021 Customer PO #- Customer ID: 21040030 Report #-. 2021-06817 Project ID: Enterprise Rendering Company Lab ID Sample ID: Collect DatelTime Matrix Sampled by 21-16976 Site: Lagoon 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Chlordane (TCLP) SW 846 Method 8081B13510 <0.05 mg/L 0413012021 Endrin (TCLP) SW 046 Method BOB 1B13510 <0.0005 mg/L 04/30/2021 Heptachlor (TCLP) SW 846 Method BOB Bi3510 <0.0005 mg/L 04/30/2021 Heptachlor epoxide (TCLP) SW 846 Method 8081B1351a <0.0005 mg/L 04/30/2021 Lindane (TCLP) SW 846 Method 80818/3510 <0.0005 mg& 04/30/2021 Methoxychlor (TCLP) SW 846 Method 80818/3510 <0,0005 mg/L 04/30/2021 Toxaphene (TCLP) SW 646 Method 8081 W3510 <0.05 mg/L 04/30/2021 1,4-Dichlorobenzene (TCLP) SW 846 method 8270/3510 <0.050 mg/L 05/04/2021 2,4,5-Trichlorophenol (TCLP) SW 846 method 827013510 <0.050 mg/L 05/04/2021 2,4,6-Trichlorophenol (TCLP) SW 846 method 827013510 <0.050 mg/L 05/04/2021 2,4-Dinitrotoluene (TCLP) SW 846 method 6270W10 <0.050 mg/L 05/04/2021 Cresol (TCLP) SW B46 method 527013510 <0.050 mg/L 05/04/2021 Hexachloro-1,3-butadiene (TCLP) SW 846 method 8270/3510 <0.050 mg/L 05/04/2021 Hexachlorobenzene (TCLP) SW 646 method 027013510 <0.050 mg/L 05/04/2021 Hexachloroethane (TCLP) SW 846 method 827013510 <0.050 mg/L 05/04/2021 m f p-Gresol (TCLP) SW 846 method 827013510 <0,050 mg/L 05/04/2021 Nitrobenzene (TCLP) SW 846 method 8270/3510 <0.050 mg/L 05/04/2021 o-Cresol (TCLP) SW 846 method 8270/3510 <0.050 mg/L 05/04/2021 Pentachlorophenol (TCLP) SW 846 method 8270/3510 <0.250 mg/L 05/04/2021 Pyridine (TCLP) SW 646 method 827013510 <0.050 mglL 05/04/2021 2,4,5-TP (TCLP) SWB46 Method 8151A <0.003 mg/L 05/03/2021 2,4-D (TCLP) SW846 Method 8151A <0,003 mg/L 05/03/2021 1,1-Dichloroethylene (TCLP) SW046 Method 8260/5030 <0.01 mg/L 05/13/2021 1,2-Dichloroethane (TCLP) SW846 Method826015030 <0.01 mg/L 05/13/2021 Benzene (TCLP) SW846 Method 82601503o <0,01 mg/L 05/13/2021 Carbon Tetrachloride (TCLP) SW046 Method 026015030 <0.01 mg/L 05/13/2021 Report #:: 2021-05617 Page 1 or 5 Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 * 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 + 252.473.5702 Lab/Fax sM? 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANAL"CAL & CONSULTING CHEMISTS info@environmentalchemists.com Willcox & Mahe Soil Solutions Date of Report: May 27, 2021 72318 Summer -field Road Customer PO #: Summerfield NC 27358 Customer ID: 21040030 Attention: Rob Willcox Report #: 2021-06817 Project ID: Enterprise Rendering Company Chlorobenzene (TCLP) SW845 Method 8260/5030 <0-01 mg/L 05/13/2021 Chloroform (TCLP) SW046 Method 826015030 <0,01 mg/L 05/13/2021 Methyl ethyl ketone (TCLP) SW846 Method 8260/5030 <0.05 mg/L 05/13/2021 Tetrachloroethylene (TCLP) SW846 Method 8260/5030 <0.01 mg/L 05/13/2021 Trichioroethylene (TCLP) SW846 Method826015030 <0,01 mg1L 05/13/2021 Vinyl Chloride (TCLP) SW646 Method 8260/5030 <0.01 mg/L 05/13/2021 RCI Cyanide SM 4500 CN o 1.10 mg/kg 05/03/2021 Sulfide SM 4500 S D 202 mg/kg 05/04/2021 Ignitability SW 846 method 1010 >200 VE 05/25/2021 pH Result estimated. Analyzed out of 15 minutes SW 846 Method 9045D hold time. 7.06 units 05/0512021 Sludge Residuals PAN Used 30% Mineralization Rate. calculation 3610 mg/kg 05/11/2021 Aluminum EPA2001 17100mg/kg 05/05/2021 Arsenic EPA 209.7 23.1 mg/kg 05/04/2021 Cadmium EPA 200.7 <9.94 mglkg 05/04/2021 Calcium EPA 200.7 11400 mg/kg 05/04/2021 Chromium EPA 200.7 52.7 mg/kg 05/04/2021 Copper EPA 200,7 160 mglkg 05/0412021 Lead EPA 200.7 150 mg/kg 05/04/2021 Magnesium EPA200.7 2310mg/kg 05/04/2021 Molybdenum EPA 200.7 23.9 mg/kg 05/04/2021 Nickel EPA 200.7 145 mglkg 05/04/2021 Potassium EPA 200.7 3080 mg/kg 05/04/2021 Selenium EPA 200.7 <9.94 mg/kg 05/04/2021 Sodium EPA 200.7 3740 mglkg 05/05/2021 Zinc EPA 200.7 799 mg/kg 05/04/2021 Nitrate+Nitrite-Nitrogen EPA353.2 1.82mg/kg 04/30/2021 Report #.: 2021-06817 Page 2 of 5 ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax iTifo@environmentalchemists.com environmentalchemists.com Willcox & Mabe Soil Solutions Date of Report: May 27, 2021 7231 B Sumrnerfield Road Customer PIB #: SummerField NC 27358 Customer ID: 21040030 Attention: Rob Willcox Report #: 2021-06817 Project ID: Enterprise Rendering Company Total Solids (%) SM 2540 8 5.03 % 04/29/2021 Ammonia Nitrogen SM 4500 NH3 C 1600 mg/kg 04/30/2021 Total Kjeldahl Nitrogen (TKN) SM 4500 org a 11000 mg/kg 04/29/2021 Total Phosphorus SM 4500 P F 50.2 mg/kg 05/04/2021 Mercury SW8467471B <0.320mg/kg 05/03/2021 TCLP Metals Arsenic EPA 200 7 <1.0 mg/L 05/04/2021 Barium EPA 200.7 <1.0 mg/L 05/04/2021 Cadmium EPA 2007 <1.0 mg/L 65/04/2021 Chromium EPA200.7 <1.0mg/L 05/04/2021 Lead EPA 200.7 <1.0 mg/L 05/04/2021 Selenium EPA 200.7 <1.0mg/L 05/04/2021 Silver EPA 200.7 <1.0 mg/L 05/04/2021 Mercury EPA 245.1 <0.0002 mg/L 05/03/2021 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-16980 Site: Lagoon - 1 4/28/2021 6:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 S 1 55 % 04/29/2021 Fecal Density SM 9221C E MPN 24 hr503 <11613 MPNIg 04/28/2021 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 21-16983 Site: Lagoon - 2 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 s 2 11 % 04/29/2021 Fecal Density SM 9221C E MPN 24 hr 503 <8531 MPN/9 04/28I2021 Report #_ 2021.06617 Page 3of5' A. e�ivsrocl�m� ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910,392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 o 910.347.5843 Lab/Fax info@enviraTimentalchemists.com Willcox & Mabe Soil Solutions Date of Report: May 27, 2021 72316 Summerfield Road Customer PO *: Summerfield NC 27358 Customer ID: 21040030 Attention: Rob Willcox Report *: 2021-06817 Project ID: Enterprise Rendering Company Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-16984 Site: Lagoon - 3 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids M SM 2540 a 2.48 % 04/29/2021 Fecal Density SM 9221C E MPN 24 hr 503 <7259 MPN/g 04/28/2021 Lab ID Sample ID: Collect Dateffime Matrix Sampled by 21-16985 Site: Lagoon - 4 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 a 1.47 % 04/29/2021 Fecai Density SM 9221C E MPN 24 hr 503 <12245 MPN/g 04/28/2021 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-16986 Site: Lagoon - 5 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids {%) SM 2540 s 1.17 % 04/29/2021 Fecal Density SM 9221C E MPN 24 hr5o3 <15385 MPN/g 04/28/2021 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 21-16987 Site: Lagoon - 6 4/28/2021 8.30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 a 2.12 % 04/29/2021 Fecal Density SM 922tC E MPN 24 hr 503 <8491 MPN1g 04/28/2021 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-16988 Site: Lagoon - 7 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 s 2.56 % 04/29/2021 Fecal Density SM 9221C E MPN 24 hr 503 <7032 MPN/g 04/28/2021 Report A.- 2021-06817 Page 4 of 5 [i 3 ANALYTICAL & CONSULTING CHEMISTS Willcox & Mabe Soil Solutions 7231 B Summerfield Road Summerfield NC 27358 Attention: Rota Willcox Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 a 910-392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 m 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax info@environmentalchemists.com environmentalchemists.com Date of Report: May 27. 2021 Customer PO #: Customer ID: 21040030 Report #: 2021-06817 Project ID: Enterprise Rendering Company Comment: Sludge resisuals reported on a dry weight basis. Reviewed by: KaL� Report #.: 2021-06817 Page 5 of 5 Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 910.392.0223 Sample Receipt Checklist 1 Client; Date: `f (I kal& LReport Number; Receipt of sample: ECHEM ❑ YE5 ❑ NO N/A ❑ YES Client Deiivery ❑ UPS U FedEx ❑ Other ❑ 1. Were custody seals present on the cooler? ❑ NO IX N/A 12. If custody seals were present, were they intact/unbroken? Original temperature upon receipt °C Corrected temperature upon receipt. How temperature taken: ❑ Temperature Blank Against Battles IR Gun iD: Thomas Traceable 5/N 192511657 iR Gun Correction Factor °C: 0.0 ❑ YES ❑ NO 3. if temperature of cooler exceeded 6°C, was Project Mgr./QA notified? YES ❑ NO 4. Were proper custody procedures (relinquished/received) folfowed? YES ❑ NO 5. Were sample ID's listed on the COC? YES ❑ NO 6. Were samples iD's listed on sample containers? YES ❑ NO 7. Were collection date and time listed on the COC? YES ❑ NO B. Were tests to be performed listed on the COU YES ❑ NO 9. Did samples arrive in proper containers for each test? YES ❑ NO 10. Did samples arrive in good condition for each test? YES ❑ NO 11. Was adequate sample volume availableT YE5 ❑ NO 12. Were samples received within proper holding time for requested tests? ❑ YES ❑ NO 13. Were acid preserved samples received at a pH of <2? ❑ YES ❑ NO 14. Were cyanide samples received at a pH >12? ❑ YES ❑ NO 15. Were sulfide samples received at a pH >97 ❑ YES ❑ NO 116. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? ** ❑ YES ❑ NO 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L? -Were 0 YES ❑ NO 118. orthophosphate samples filtered in the field within 15 minutes? * TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet. ** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet. Sample Preservation: Sampie(s) by adding (circle one): Time of preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace) were received incorrectly preserved and were adjusted accordingly H2504 HNO3 HCI NaOH ervative is needed, notate in comments below Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or notify the state lab if directed to analyzed bythe customer. Who was notified, date and time: Volatiles Samples) were received with headspace COMMENTS: If more than one DOC. QA.002 Rev 1 °C dml Way _;�� ENVIRONMENTAL CHEMISTS, INC Q�Ic'n9101392-02 3'IFAX 990-392-44245 ,1. Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Willcox & Mabe Sail Solutions PROJECT NAME: Enterprise Rendering Company REPORT NO: ADDRESS: 7231B Summerfield Road Site: Oakhoro, NC PO NO: SummerField, NC 27358 REPORT TO: Rob Willcox, LSS PHONEIFAX: COPY TO: email: rob willcoxmabesoil.com Sampled By: SAMPLE TYPE• I = I fl Sample Identification Cnt� b-4d site: 5oa"dIt7 1 } 1��5avn 2) 3) 4) 5) 5} Collection Date U- `d Time 6 3 Temp n uen , - Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: w o0 aW _� 5 0'c CL e� �.a E o ow mI PRESERVATION REQUESTED 0 ]W- E 0ou U i z z N Z 4 2ANALYSIS CL2 ,9rofflo "mmlml Full TUP/Nutrient/metals/RCI C P Sol X Fecal densi 1%TS G G C P v X Fecal densi l%TS G G C P `� X Fecal density)%TS G G C P i 1 JXJ Fecal density/%TS G G C i P I JXJ Fecal density/%TS G G C P '] y X Fecal density/%TS G G C P G I G I 1 I V6 I+ 11 I JXJ I I Fecal densitv/%TS Transfer Relinquished By: DatefTime Rec e' d By: aat !Time 2. t Temperature when Received °C: Accepted: Rejected: Resample Requested: Delivered By: �!' Received By: Date: Time: Comments: TURNAROUND: OPERATION AND MAINTENANCE PLAN (RENEWAL) OPERATION AND MAINTENANCE PLAN Bio-Green Services, Inc. Non -Discharge Permit No. WQ0038499 LAND APPLICATION OF CLASS B RESIDUALS/BIOSOLIDS The purpose of the Bio-Green Services, Inc. (Bio-Green) Operation and Maintenance Plan is to put into place a plan that implements the requirements of North Carolina Department of Environmental Quality (NCDEQ) — Division of Water Resources (DWR) Land Application of Class B Residuals Permit (WQ0038499). I. Operational Functions The operational functions of this program involve hauling residuals from the respective WWTP's and land applying in accordance with regulatory requirements. Residuals will be land applied at or below agronomic rates that are determined using the Realistic Yield Expectations (RYE) as outlined in the permit. Bio-Green will also account for any nutrient sources the landowner/lessee has applied. Source(s) may be land applied as either a liquid or cake material utilizing either pumper trucks, vacuum trucks, tractor trailer, tractor and cake spreader and/or tractor and pull tank. Whichever method is utilized to land apply the residuals, the current land application contractor will spread evenly and at consistent rates. Residuals will be land applied on fields that are used for hay production, grazing, or row crop production harvested for animal feed. In the case where biosolids / residuals are land applied on fields utilized for grazing, applications rates will be reduced by 25% in accordance with USDA-NRCS 590 Nutrient Management Standards. Grazed fields will be determined by the land application contractor manager on site. II. Maintenance Schedules The Bio-Green staff is not responsible for maintenance of the facilities and equipment at the permitted WWTP's. The respective WWTP's will be responsible for maintenance at each permitted facility. Bio-Green is responsible for maintenance of the equipment associated with the land application program. Maintenance schedules are as follows: • Preventive maintenance is performed on land application equipment • Oiling/greasing gear boxes on moving parts. 9 Check belts for tightness, etc. Operation and Maintenance Plan Bio-Green Services, Inc. III. Safety Measures Permit No. W00038499 Safety plans and training are the responsibility of the personnel associated with the land application program. All employees involved with the land application program will be required to comply with safety plans and training as applicable to the Land Application Permit. Land application program employees shall be trained, as appropriate, in general awareness for the protection of water and pollution prevention general practices. This training will be provided as part of a new employee orientation program or as part of ongoing environmental awareness training. General refresher training for those employees involved will be provided in accordance with applicable regulatory or permit requirements. IV. Spill Response Plan Includes the following: • Spill Control Plan (Attached), • Spill Prevention Plan (Attached), • Spill Control, Containment and Cleanup Plan (Attached). V. Inspection Plan Names and/or titles of personnel responsible for conducting the inspections: • Ray Gambill — Bio-Green Services land application Operator in Responsible Charge (ORC) • Denise Harrison —land application back-up ORC The land application ORC or the designated back-up are responsible for the land application operations at the permitted facilities. The land application ORC or personnel under the direct supervision of the ORC has responsibilities to include inspections land application sites / activities (when land application is scheduled). The land application ORC will maintain daily record keeping logs of land application activities, inspections of field applications equipment and maintenance, loading operation, roads, crops, crop maintenance and harvesting practices. All daily record keeping logs will be coordinated with the ORC at the end of each day. In the event that a noncompliance event is observed during any inspection, the ORC of the WWTP will be immediately notified. The ORC will determine the course of action to be taken in order to rectify the noncompliance issue. NCDEQ will be notified as soon as Operation and Maintenance Plan Bio-Green Services, Inc. Permit No. W00038499 possible, but in no case more than 24 hours or on the next working day following the occurrence or first knowledge of the occurrence. At a minimum, these inspections will consist of the following: • Verify that a residuals analysis has been collected prior to land application activities being performed and that it meets the criteria for land application. • Verify that pathogen and vector attraction reduction data (if applicable) has been collected for the source to be land applied and that it meets the criteria for land application. • Verify the crop that is planted or is to be planted on the respective field(s). • Confirm that the correct amount of residuals are being land applied. • Confirm that manned equipment has a copy of the permit and the operations and maintenance plan. • Check that the field has been properly flagged and that buffers are adhered to. • Check that proper signage is posted. • Confirm that records are turned in at the end of each business day. Inspections will also be conducted by the respective employees of the residuals generating facilities (at the source generating facility). The land application contractor will not be responsible for inspections at the source generating facilities. These inspections should be conducted by the respective ORC of each facility and should fall under their own Operations and Maintenance Plans. VI. Sampling and Monitoring Plan The permitted WWTP's biosolids / residuals will be monitored to confirm compliance with conditions in Non -Discharge Permit No. WQ0038499 to include: • Toxicity Characteristics Leaching Procedure (TCLP) (current permit -annually), • Reactivity, Ignitability and Corrosivity (current permit -annually), • 15A NCAC 02T .1105 Pollutant Limits and nutrient analysis (based on dry tons land applied annually), • Pathogen and Vector Attraction Reduction requirements (based on dry tons land applied annually), • Annual Representative Soil Analysis of each field which receives land application during each respective year. • Any other applicable Permit conditions. All sampling and monitoring shall be performed in accordance with the current Permit. Operation and Maintenance Plan Bio-Green Services, Inc. Permit No. WO0038499 Pollutant concentrations for permitted sources in the Bio-Green land application permit 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 permitted sources shall be analyzed to demonstrate it is non -hazardous under the Resource Conservation and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity, and toxicity characteristic leaching procedure (TCLP)] shall be performed based on conditions (monitoring frequencies) set forth in Permit No. WQ0038499. TCLP 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-Dic loro pyridine (5.0) )ethylene Cadmium (1.0) 2,4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride Endrin (0.02) Silver (5.0) (0.5) Chlordane (0.03) Hexachlorobenzene (0.13) Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5) Chloroform (6.0) Hexachlor -1,3-butadiene Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) 4 Operation and Maintenance Plan Bio-Green Services, Inc. Permit No. W00038499 An analysis shall be conducted on the permitted sources based on conditions (monitoring frequencies) set forth in Permit No. WQ0038499. 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) The permitted sources shall be analyzed to demonstrate compliance with Pathogen Reduction and Vector Attraction Reduction requirements based on conditions (monitoring frequencies) set forth in Permit No. WQ0038499. A regulatory approved Pathogen Reduction Alternative and Vector Attraction Reduction Option shall be utilized for compliance. Attachments: Spill Control Plan Spill Prevention Plan Spill Control, Containment and Cleanup Plan Shared\WMSS Projects\2021\21-06 Enterprise Rendering Co\O&M Plan-BioGreen-WQ0038499-May 2021.doc BIO- GREEN SERVICES, INC. SPILL CONTROL PLAN NON -DISCHARGE PERMIT NO. WQ0038499 THE FOLLOWING ACTIONS MUST BE TAKEN IN THE EVENT OF A SPILL: 1. Halt the source of the spill: Ruptured line, valve, or container / damaged tank or transport unit. 2. Contain spill: Use straw bales to form a barrier. Straw or hay bales can be obtained from several sources for this purpose. Soil near the site can also be used to form a barrier for containment. 3. Clean up: Use land application equipment to recover as much of the material as possible. After the application equipment has recovered as much of the material as possible, it will be land applied as per the management plan. A temporary sump pit may be dug in the containment area to enhance recovery, if necessary. 4. Notification: As soon as possible after a spill occurs notify: • NC Department of Environmental Quality Division of Water Resources Regional Office Mooresville Regional Office (704) 663-1699 Wilmington Regional Office (910) 796-7215 • Fire Department if assistance is required for wash down 5. Management of clean up efforts: The responsible parry for land application shall take immediate charge of the clean up activities. Additional labor will be requested as needed. 6. Reporting: Within 24 hours of a spill the responsible party for land application shall present a written report detailing the cause of the spill and all action taken in response to the spill. The appropriate Regional Office shall be notified in no case more than 24 hours or on the next working day following the occurrence. SPILL PREVENTION PLAN The spill prevention plan requires that all equipment used to transport residuals be subject to periodic safety inspections. Tires, brakes, lights, and turn signals will be inspected for proper working order. Each truck will be equipped with safety flares and appropriate signs to be used in the event of a breakdown. Any deficiencies observed during the safety inspections will result in the vehicle being removed from service and the responsible party for land application will be notified so that these deficiencies can be corrected and documented. Routes leading from the storage point to the land application sites will be inspected for road hazards. The road hazards will be documented and the drivers will be informed of the hazards. Alternate routes will be investigated and routes which minimize road hazards will be selected. Hazardous situations resulting from rush-hour traffic will be avoided during hauling. Drivers and management personnel associated with the hauling of residuals will be instructed in the spill prevention plan and will be required to attend training sessions. Drivers will be trained in defensive driving techniques in order to minimize road hazards. A driver who observes a road hazard will be required to report the hazard to the field superintendent who, in turn, will warn other drivers. As part of the spill prevention plan, drivers will be required to inspect the safety equipment of their vehicles on a daily basis. Any deficiency in safety equipment will be noted for corrective action. Drivers will be trained in the procedures to be taken in the event of a spill that occurs during the hauling of residuals. These procedures are discussed in the spill control, containment, and cleanup plan. SPILL CONTROL, CONTAINMENT, AND CLEANUP PLAN Spills that occur during loading or unloading residuals will occur at the generation point and the land application sites, respectively. These spills will not involve an environmental hazard or an over the road hazard and, therefore, will be handled using the equipment that will be available at either site. Spills that occur over -the -road will be subject to the contingencies contained in the spill control, containment, and cleanup plan. The equipment used in the spill control, containment, and cleanup consists of the following: 1. Vacuum pump, pump truck or tanker truck. A vacuum truck, vacuum pump or tanker truck will be used to assist with clean-up of residuals spills. 2. Outside equipment if required The following personnel will be involved in the spill control, containment, and cleanup. 1. The responsible party for land application will respond to the spill site and make an assessment of the spill and determine the containment procedures to be initiated and the equipment to be used to clean up the spill. 2. The responsible parry for land application will be responsible for the direction of the cleanup team. In the event of a spill, the driver of the truck or application vehicle, if he has not sustained a debilitating injury, will call the responsible parry for land application and report the spill. The responsible party for land application will notify the appropriate authorities and will also notify the NCDEQ-DWR Regional Office. The driver will set up safety flares and signs to warn motorists of the hazard. The responsible party for land application will mobilize the necessary equipment and personnel to the site, and will initiate the containment procedures. When the cleanup team arrives at the site, the site will be cleaned up according to the contingency plan. Residuals cleaned up from the site will be transported to the land application sites where it will be applied in accordance with the permit. In the event that the driver is incapacitated due to personal injury, the responsible party for land application will mobilize the cleanup team as soon as the authority's notification of an incident. COPY OF EXISTING PERNHT NO. WQ0038499 Water Resources ENVIRONMENTAL QUALITY December 22, 2017 S. RAY GAMBILL, JR. — VICE PRESIDENT BIO-GREEN SERVICES, INC. 383 POTTS ROAD ADVANCE, NORTH CAROLINA 27006 Dear Mr. Gambill: ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Interim Director Subject: Attachments A and B Certification Permit No. WQ0038499 Bio-Green Services RLAP Davie County In accordance with your permit modification request received October 26, 2017, and subsequent additional information received December 21, 2017, we are forwarding herewith modified Attachments A and B certified December 22, 2017, to Bio-Green Services, Inc. for the subject residuals program. This certification is being issued to modify Attachments A and B by: 1. Addition of one new source, N. G. Purvis Farms, Inc. Truck Wash of Moore County totaling 100 dry tons per year. 2. Addition of six new fields in Moore County totaling 27.8 acres, those fields being 05-01 to 05- 06. These modified Attachments A and B shall be effective from the date of certification until July 31, 2021(i.e., expiration date of the current permit), shall void Attachments A and B of Permit No. WQ0038499 issued August 18, 2016, and shall be subject to the conditions and limitations as specified therein, as well as those specified in the above -referenced permit. Please replace Attachments A and B of Permit No. WQ0038499 that were issued August 18, 2016, with these modified Attachments A and B. Please note that only the maps for new land application sites are attached to this letter. It is the Permittee's responsibility to ensure that a complete permit is created by inserting these documents into the previously issued permit. "' Notl tnq Compares ---. State of North Carolina I Environmental Quality j Water Resources I Water Quality Permitting I Non -Discharge Permitting 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919-807-6332 Mr. S. Ray Gambill, Jr. December 22, 2017 Page 2 of 2 If any parts, requirements, and/or limitations contained in this certification or modified Attachments A and B are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of the certification. This request shall be in the form of a 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, North Carolina 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need any additional information concerning this matter, please contact Troy Doby at (919) 807-6336 or troy. dobygncde_nr.go . Sincerely, ,Ainda Culpepper, Interim Director Division of Water Resources cc: Davie County Health Department (Electronic Copy) Moore County Health Department (Electronic Copy) Brunswick County Health Department (Electronic Copy) Winston-Salem Regional Office, Water Quality Regional Operations Section (Electronic Copy) Fayetteville Regional Office, Water Quality Regional Operations Section (Electronic Copy) Martin Mabe -- Wilcox & Mabe Soil Solutions, PLLC (Electronic Copy) Rob Wilcox, LSS — Wilcox & Mabe Soil Solutions, PLLC (Electronic Copy) Digital Permit Archive (Electronic Copy) Central Files ATTACHMENT A — Approved Residual Sources Bio-Green Services, Inc. Certification Date: December 22, 2017 Permit Number: WQ0038499 Version: 1.1 Monitoring Monitoring Monitoring Permit Biological Maximum Frequency for Frequency for Frequency for Approved Owner Facility Name County Number Residuals Dry Tons Non -hazardous Metals and Pathogen & Mineralization Per Year R Characteristics 2 Nutrients 3,5 Vector Attraction state Reductions 4,5 Duke Energy Progress, Inc. Brunswick Steam Electric Plant Brunswick NC0007064 Yes 50 Annually Annually Annually 0.3 N. G. Purvis Farms, Inc. N. G. Purvis Farms, Inc. Truck Moore None None 100 Annually Annually Annually 0.4 Wash Total 150 L 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 Established in 40 CFR 503 and 15A NCAC 02T .1111 <319 1/Year =>319 - <1,650 II Quarter 4 times per ear =>1,650 - <16,500 1/60 Days 6 times per ear =>16,500 l/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. WQ0038499 Version 1.1 Attachment A Page 1 of 1 ATTACHMENT B — Approved Land Application Sites Bio-Green Services, Inc. Certification Date: December 22, 2017 Permit Number: WQ0038499 Version: 1.1 Field Owner Lessee County Latitude Longitude AcreNt Dominant Soil Series Figures 02-01 Vereen, Pearly Brunswick 34.116167' -78,4622780 15.0 Ly - Lynchburg 1 03-01 Green, Doris T. Thornton Vereen, Allen Brunswick 34.0328330 -78,252111' 6.4 GoA - Goldsboro 2 03-02 Vereen, Nancy Tucker Vereen, Allen Brunswick 34.0328060 -78.2508610 4.7 GoA - Goldsboro 2 03-03 Green, Doris'r. Thornton Vereen, Allen Brunswick 34.03091.70 -78.2487500 2.9 Ba:B - Baymeade 2 05-01 Saunders, Virginia Williams Moore 35.331253' -79.6122970 7.6 AeB — Ailey 3 05-02 Saunders, Virginia Williams Moore 35.3362580 -79.6109970 4.2 FaB -Fuquay 3 05-03 Saunders, Virginia Williams Moore 35.3352940 -79.6120420 4.5 FaB — Fuquay 3 05-04 Saunders, Virginia Williams Moore 35.3339640 -79.6107560 2.9 FaB — Fuquay 3 05-05 Saunders, Virginia Williams Moore 35.334525' -79.6123080 2.2 FaB — Fuquay 3 05-06 Saunders, Virginia Williams Moore 35.334936' -79.6146780 6.4 FaB - Fuquay 3 Total 56.8 WQ0038499 Version 1.1 Attachment B Page 1 of 1 THIS PAGE BLANK Water Resources ENVIRONMENTAL QUALITY PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary S. JAY ZIMMERMAN Director August 18, 2016 S. RAY GAMBILL —VICE PRESIDENT Bio-GREEN SERVICES, INC. 383 POTTS ROAD ADVANCE, NORTH CAROLINA 27006 Dear Mr. Gambill: Subject: Permit No. WQ003 8499 Bio-Green Services RLAP Land Application of Class B Residuals (Non -Dedicated) Brunswick County In accordance with your permit application request received May 26, 2016, and subsequent additional information received August 11, 2016, we are forwarding herewith Permit No. WQ0038499 dated August 18, 2016, to Bio-Green Services, Inc. for the operation of the subject residuals management program. This permit shall be effective from the date of issuance until July 31, 2021, and shall be subject to the conditions and limitations as specified therein. Please pay particular attention to the monitoring requirements listed in Attachment A. Failure to establish an adequate system for collecting and maintaining the required operational information shall result in future compliance problems. 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 a 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 troy.doby@ncdenr.gov. Sincerely, �. Jay Zimmerman, P.G., Director Division of Water Resources cc: Brunswick County Health Department (Electronic Copy) Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy) Rob Willcox — Willcox & Mabe Soil Solutions, PLLC (Electronic Copy) Martin Mabe — Willcox & Mabe Soil Solutions, PLLC (Electronic Copy) Beth Buffington — Protection and Enforcement Branch (Electronic Copy) Digital Permit Archive (Electronic Copy) Central Files State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919 807 6464 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENTAL QUALITY RALEIGH LAND APPLICATION OF CLASS B RESIDUALS PERMIT (NON -DEDICATED) 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 Bio-Green Services, Inc. Brunswick County FOR THE operation of a residuals management program for Bio-Green Services, Inc. and consisting of the Iand application of Class B residuals generated by the approved facility listed in Attachment A to the approved sites listed in Attachment B with no discharge of wastes to surface waters, pursuant to the application received May 26, 2016, 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 July 31, 2021, and shall be subject to the following specified conditions and limitations: I. SCHEDULES 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. 0 108(b)(2), 02T .0105(d), 02T .0109] 2. The Permittee shall be in full compliance with the regional office notification requirements established in Condition III.3. within 90 days of the effective date of this permit. [15A NCAC 02T .0108(b)(2)] 3. The Permittee shall be in full compliance with the signage requirements established in Condition III.13. within 180 days of the effective date of this permit. [15A NCAC 02T .0108(b)(2)] WQ0038499 Version 1.0 Shell Version 160210 Page 1 of 13 H. PERFORMANCE STANDARDS 1. 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 to the site, contact the Wilmington Regional Office supervisor, and take any immediate corrective actions. [G.S. 143-215.1] 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 0213 .0200, 02L .0100] 3. Only residuals generated by the facilities listed in Attachment A are approved for land application in accordance with this permit. [G.S. 143-215.1] 4. Only the sites listed in Attachment Bare approved for residuals land application. [G.S. 143-215.1] 5. 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. [I5A 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 .1106] 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] WQ0038499 Version 1.0 Shell Version 160210 Page 2 of 13 8. Setbacks for Class B land application sites shall be as follows: Setback by application type (feet) Setback Description Vehicular Irrigation Surface Surface Infection / 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 project site Habitable residence or places of public assembly owned by the Permittee, the owner of the land, or the 0 200 0 lessee/operator of the land to be maintained as part of the proiect 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, 100 100 50 perennial waterbodies, and wetlands) Surface water diversions (ephemeral streams, 25 1.00 25 waterways, ditches Groundwater lowering ditches (where the bottom of 25 100 25 the ditch intersects the SHWT 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 15 15 15 more in vertical height 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 .1108] Land application areas shall be clearly marked on each site prior to and during any residuals application event. [15A NCAC 02T .0108(b)(1)] WQ0038499 Version 1.0 Shell Version 160210 Page 3 of 13 THIS PAGE BLANK 10. 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 (hgR,//nutrients.soil.nesu.edu/ ields/index. h ). A copy shall be kept on file and reprinted every five years in accordance with Condition IV.5. 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 Service, or other agronomist. ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance Document: Chapter 1 (http://www.ncaov/SWC/tech/documents/9th Guidance Doc 100109. d . iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management Standards(ftp://ftp-fc.sc.egov.usda.gov/NHQ//Rractice-standards/standards/594 pdf) d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall contact the Division to determine necessary action. [ 15A NCAC 02T . 1109(b)(1)(k)] 11. 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)] 12. If land application sites are to be over -seeded or 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 (lbs/ac/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 .0108(b)(1)] 13. 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. [15A NCAC 02T .0108(b)(1)] WQ0038499 Version 1.0 Shell Version 160210 Page 4 of 13 14. 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 143-215.6A through 143-215.6C. Any approved relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B. [15A NCAC 02L .0107(a)] 15. 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 15A 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] 2. The Wilmington Regional Office, telephone number (910) 796-7215, 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 event 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, (910) 796-7215, at least 24 hours prior to conducting any land application activity. Such notification shall indicate, at a minimum, the anticipated application times, field lDs, 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; c. 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; WQ0038499 Version 1.0 Shell Version 160210 Page 5 of 13 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] 5. 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 IIIA.), and shall comply with all other conditions of 15A NCAC 08G. 0204. For more information regarding classification and designation requirements, please contact the Division of Water Resources' Protection and Enforcement Branch at (919) 707-9105. [ 15A NCAC 02T .0117] 6. When the Permittee land 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. Class B residuals listed in the most recently approved Attachment A of this permit 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)] WQ0038499 Version 1.0 Shell Version 160210 Page 6 of 13 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 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; f. During a measurable precipitation event (i.e., greater than 0.01 inch per hour), or within 24 hours following a rainfall event of 0.5 inches or greater in a 24-hour period; g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than 18% for injected or incorporated bulk liquid residuals; h. If the soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. Any approved variations to the acceptable soil pH (6.0) will be noted in this permit; i. 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 no -till program shall be exempted from meeting this vegetative cover requirement; j. If the vertical separation between the seasonal high water table and the depth of residuals application is less than one foot; k. If the vertical separation of bedrock and the depth of residuals application is less than one foot; 1. 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; Public access to non-public contact sites shall be restricted for 30 days after a residuals Iand application event. j15A NCAC 02T .I109(b)(2)] 13. For any fields contained in Attachment B that are not fenced, 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 111.12. apply. [15A NCAC 02T .0108(b)(1)] WQ0038499 Version 1.0 Shell Version 160210 Page 7 of 13 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: [ I SA NCAC 02T .1109(b)(3 )] 15. 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 NNW is required by the US Department of Agriculture — National Resources Conservation Service (NRCS) 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 Attachment (LOAA) 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)] WQ0038499 Version 1.0 Shell Version 160210 Page 8 of 13 IN. MONITORING AND REPORTING REQUIREMENTS 1. 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. [ 15A 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) Pentachlorophcnol (100,0) Benzene (0.5) 1,1-Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2,4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Hexachlorobenzene (0.13) Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5) Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) 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. [I5A NCAC 13A .0102(b), 02T .1101, 02T .1105] WQ0038499 Version 1.0 Shell Version 160210 Page 9 of 13 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 ] 4. 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 land 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.ncaa.izov/agronomi/Tubs.htin). 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 .0108(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] WQ0038499 Version 1.0 Shell Version 160210 Page 10 of 13 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. [15A NCAC 02T .0109(a)] 8. Three copies of an annual report shall be submitted on or before March 1st. The annual report shall meet the requirements described in the Instructions for Residuals Application Annual Reportin Fes. Instructions for reporting and annual report forms are available at http://portal.ncdenr.or lg_web/wq/aps/lau/reporting, or can be obtained by contacting the Land Application Unit directly. The annual 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 .1 I I l(a)] WQ0038499 Version 1.0 Shell Version 160210 Page 11 of 13 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 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 (800) 662-7956, (800) 858-0368, or (919) 733-3300.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)] Prior to each bulk residuals land application event, the Permittee 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, pose a threat to human health or be 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. 143-215.6A 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. 143-215.11 WQ0038499 Version 1.0 Shell Version 160210 Page 12 of 13 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)1 5. 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 18' day of August 2016 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION Q2 S. Jay Zimmerman, P.G., Director CJ Division of Water Resources By Authority of the Environmental Management Commission Permit Number WQ0038499 WQ0038499 Version 1.0 Shell Version 160210 Page 13 of 13 THIS PAGE BLANK ATTACHMENT A - Approved Residual Sources Bio-Green Services Inc. Certification Date: August 18, 2016 Permit Number: WQ0038499 Version: 1.0 Monitoring Monitoring Monitoring permit Biological Maximum Frequency for Frequency for Frequency for Approved Owner Facility Name County Number Residuals Dry Tons Non -hazardous Metals and Pathogen & Mineralization per Year I Characteristics 2 Nutrients 3, s Vector Attraction Rate Reductions 4,5 Duke Energy Progress, Inc. Brunswick Steam Electric Plant Brunswick NC0007064 Yes 50 'Annually Annually Annually 0.3 Total 50 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 short tons per ear Monitoring Frequency Established in 40 CFR 503 and 15A NCAC 02T .1111 <319 I/Year =>319 - <1,650 l/ Quarter 4 times per ear > 1,650 - <16,500 1/60 Days 6 times per year) =>16,500 1/month (12 times per ear) If no land application events occur during a required sampling period (e.g. no land application occurs 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. WQ0038499 Version 1.0 Attachment A Page 1 of 1 THIS PAGE BLANK ATTACHMENT B - Approved Land Application Sites Bio-Green Services, Inc. Certification Date: August 18, 2016 Permit Number: WQ0038499 Version: 1.0 Field Owner Lessee County Latitude Longitude Acret a Dominant Soil Series Footnotes 02-01 Vereen, Pearly Brunswick 34.1161670 -78.4622780 15.0 Ly - Lynchburg 1 03-01 Green, Doris T. Thornton Vereen, Allen Brunswick 34.0328330 -78.2521110 6.4 GoA - Goldsboro 2 03-02 Vereen, Nancy Tucker Vereen, Allen Brunswick 34.0328060 -78.2508610 4.7 GoA - Goldsboro 2 03-03 Green, Doris T. Thornton Vereen, Allen Brunswick 34.0309170 -78.2487500 2.9 BaB - Baymeade 2 Total 29.0 1. See Figure 1. 2. See Figure 2, WQ0038499 Version L0 Attachment B Page 1 of 1 pxw•jagngSsdeyy�ue9aagRuead�uewD-o!6 £0-911S[Onsjryome:o Cdarcgis12015115-03 BIo-GreenWan VereenWapslBuffer.mxd APPENDIX II RESIDUALS SOURCE CERTIFICATION ENTERPRISE RENDERING CO., INC. (FORM: RSC 06-16) 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 11-15, or FORM: SDR 11-15). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Residuals Source Certification (FORM: RSC 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 "Map Guidance for Residuals Land Application Permits". ® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals are to be generated, treated, processed, and stored at the facility. ® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8. Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed, and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during processing. ® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition, ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as they are to be land applied, distributed, and/or disposed. C. Residuals Quality Information: ® 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 RESIDUALS SOURCE FACILITY SUMMARY Applicant's name: Bio-Green Services, Inc. Status Code' Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year Current b Proposed D Duke Energy Progress, Inc. Brunswick Steam Electric Plant Brunswick NC0007064 50 0 D N.G. Purvis Farms, Inc. N.G. Purvis Farms, Inc. -Truck wash Moore N/A 100 0 N Enterprise Rendering Co., Inc. Enterprise Rendering Co. WWTF Stanly WQ0002075 0 275 'Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted) b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility). SUMMARY FOR FORM: RSC 06-16 Page 1 DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources RESIDUALS SOURCE CERTIFICATION FORM: RSC 06-16 I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: Enterprise Rendering Co.. Inc. 2. Facility permit holder is: p Federal, j State, 0 Local Government, or 0 Private. Facility permit issued by: IE Div. of Water Resources, 0 Div. of Environmental Health, or id Other (explain: No current Permit). 3. Facility contact person and title: Mr. Carroll E. Braun, Jr. Complete mailing address: 28821 Bethlehem Church Road City: Oakboro State: N.C. Zip: 28129 Telephone number: (704) 438-2652 E-mail address: endeavorfarmsA_outlook.com 4. Facility physical address: 28821 Bethlehem Church Road City: Oakboro State: N.C. Zip: 28129 Coordinates: Latitude: 35' 13' 37" Longitude: 80' 15' 51" Datum: NAD 83 Level of accuracy: Nearest second Method of measurement: MAP 5. Purpose of the facility: treatment of municipal wastewater, treatment of 100% domestic wastewater, treatment of potable water, treatment of 100% industrial wastewater, treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: = % industrial and _ % domestic) other (explain: truck wash for swine transport vehicles ). 6. Does the facility have an approved pretreatment program: Yes ® No 7. Facility permitted/design flow: 0.01 MGD and facility average daily flow: N/A MGD 8. Average amount of residuals being generated at this facility 275 Total dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: 1.25 acre lagoon Type and volume of residuals storage (i.e., outside of residuals treatment units): N/A II. RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under: 40 CFR Part 503 or ® 40 CFR Part 257. Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40 CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257. 2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as: Biological 0 Non -Biological Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems). FORM: RSC 06-16 Page 1 of 5 3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat 100% non -municipal, domestic wastewater only) a. Are the residuals listed in 40 CFR §261.31-§261.33: 0 yes ® no. If yes, list the number(s): _ b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- 261.24: 0 yes FlI 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: Envirochem and Date of analysis: 5/27/21 Passed corrosivity test: yes ❑ no. pH: s.u. (2 < pH < 12.5) Passed ignitability test: yes ❑ no. Flashpoint: > 200 OF (> 140°F) Passed reactivity test: ® yes ❑no. HCN: 1.10 mg/kg (<250) & H2S: 202 mg/kg (<500) TCLP Parameter Limit (m917) Result (m917) TCLP Parameter Limit (m917) Result (m917) Arsenic 5.0 < 1.0 Hexachlorobenzene 0.13 < 0.050 Barium 100.0 < 1.0 Hexachloro-1,3-Butadiene 0.5 < 0.050 Benzene 0.5 < 0.01 Hexachloroethane 3.0 < 0.050 Cadmium 1.0 < 1.0 Lead 5.0 < 1.0 Carbon Tetrachloride 0.5 < 0.01 Lindane 0.4 < 0.0005 Chlordane 0.03 < 0.05 Mercury 0.2 < 0.0002 Chlorobenzene 100.0 < 0.01 Methoxychlor 10.0 < 0.0005 Chloroform 6.0 < 0.01 Methyl Ethyl Ketone 200.0 < 0.05 Chromium 5.0 < 1.0 Nitrobenzene 2.0 < 0.050 m-Cresol 200.0 < 0.050 Pentachlorophenol 100.0 < 0.250 o-Cresol 200.0 < 0.050 Pyridine 5.0 < 0.050 p-Cresol 200.0 < 0.050 Selenium 1.0 < 1.0 Cresol 200.0 < 0.050 Silver 5.0 < 1.0 2,4-D 10.0 < 0.003 Tetrachloroethylene 0.7 < 0.01 1,4-Dichlorobenzene 7.5 < 0.050 Toxaphene 0.5 < 0.05 1,2-Dichloroethane 0.5 < 0.01 Trichloroethylene 0.5 < 0.01 1, 1 -Dichloroethylene 0.7 <0.01 2,4,5-Trichlorophenol 400.0 <0.050 2,4-Dinitrotoluene 0.13 < 0.050 2,4,6-Trichlorophenol 2.0 < 0.050 Endrin 0.02 < 0.0005 2,4,5-TP (Silvex) 1.0 < 0.003 Heptachlor and its Hydroxide 0.008 < 0.0005 Vinyl Chloride 0.2 < 0.01 FORM: RSC 06-16 Page 2 of 5 4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105. a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: Laboratory: Envirochem and Date of analysis: 5/27/21 Parameter Ceiling Concentration Limits (ClassA & ClassB) (mglkg) Monthly Average Concentration Limits (Class A Only) (mglkg) Result (mglkg) Arsenic 75 41 23.1 Cadmium 85 39 <9.94 Copper 4,300 1,500 160 Lead 840 300 150 Mercury 57 17 <0.320 Molybdenum 75 n/a 23.9 Nickel 420 420 145 Selenium 100 100 <9.94 Zinc 7,500 2,800 799 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) ij > 0 but < 25 30 200 210 19 > 25 but < 50 34 220 240 ❑ > 50 but < 75 39 260 270 ❑ > 75 but < 100 46 300 320 ❑ > 100 but < 125 53 360 390 ❑ > 125 62 450 420 Result (mg/kg) FORM: RSC 06-16 Page 3 of 5 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 5.03 %. 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: Envirochem and Date of analysis: 5/27/21 Parameter Result (mglkg) Aluminum 17,100 Ammonia -Nitrogen 1,600 Calcium 11,400 Magnesium 2,310 Nitrate -Nitrite Nitrogen 1.82 pH (Standard Unit) 7.06 Phosphorus 50.2 Potassium 3,080 Sodium 3,740 Total Kjeldahl Nitrogen 11,000 c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 1.87 [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: 20 %. This rate is a (check one): JJ default value, or 0 actually established. If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical justification as to why the selected default value is appropriate to be applied to these residuals: _ e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table: Application Method First (1s) Year PAN Five -Year Maximum Adjusted PAN (mglkg) (mg/kg) Surface 2,682 4,128 Inj ection/Incorporation 3,482 4,928 6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide the results of the latest analyses: FORM: RSC 06-16 Page 4 of 5 7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements: a. For Distribution/Land Application of Class A or Equivalent: 71 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): 14 Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance. Q Alternative 2 [15A NCAC 02T.I 106(b)(3)(13)] - Alkaline Treatment. Q Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. q Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. El Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). Specify one: composting, 0 heat drying, heat treatment, thermophilic aerobic digestion, beta ray irradiation, F1 gamma ray irradiation, or I pasteurization. b. For Land Application of Class B. Alternative 1 [15A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration. Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP). Specify one: ❑ aerobic digestion, I air drying, ❑ anaerobic digestion, ❑ composting, or lime stabilization. c. For Surface Disposal: 11 Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above. El Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above. El Exempt -If Daily Cover Alternative is chosen in Item II.8. below [ 15A NCAC 02T.1106(a)(2)]. El 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 1 [15A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). E] Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). Q Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). Q Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). Q Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes. E] Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization. E] Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals. Q Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals. Q Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection. Q Alternative 10 [15A NCAC 02T. 1107(a)(10)] - Incorporation. Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 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 ENTERPRISE RENDERING CO., INC. (FORM: RSC 06-16) (ATTACHMENTS) o VICINITY MAP o PROCESS FLOW DIAGRAM AND/OR NARRATIVE o QUANTITATIVE JUSTIFICATION o SAMPLING PLAN o ANALYTICAL NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENTAL QUALITY RALEIGH WASTEWATER IRRIGATION SYSTEM 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 Enterprise Rendering Co., Inc. Manly County FOR THE operation of a wastewater treatment and irrigation facility consisting of the: continued operation of the existing 10,000 gallon per day (GPD) facilities consisting of: an 18,000 gallon oil/grit gravity separator; a 1.25 acre unlined stabilization lagoon; a 0.25 acre unlined polishing/pumping lagoon; approximately 49.6 acres of spray irrigation area; and all associated piping, valves, controls, and appurtenances; and the construction and operation of the modifications permitted May 3, 2007 intended to increase the wastewater treatment capacity to 24,500 GPD and consisting of a new effluent pumping station at the stabilization lagoon with two 35 gallon per minute (GPM) 2 horsepower (hp) centrifugal pumps; three 0.5 million gallon (MG) aerated storage/treatment tanks with three 30 hp jet recirculation pumps with directional mix aspirating aerators capable of producing a rate of 15 to 25 pounds per hour (lbs/hr); three 30 hp end suction pumps rated at 360 GPM; and all associated piping, valves, controls, and appurtenances to serve the Enterprise Rendering Co. WWTF, with no discharge of wastes to surface waters, pursuant to the application received May 10, 2017, and subsequent additional information received by the Division of Water Resources, and in conformity with the project plans, specifications, and other supporting data subsequently filed and approved by the Department of Environmental Quality and considered a part of this permit. This permit shall be effective from the date of issuance until September 30, 2022, shall void Permit No. WQ0002075 issued October 22, 2008, and shall be subject to the following specified conditions and limitations: WQ0002075 Version 4.0 Shell Version 151201 Page 1 of 11 QUANTITATIVE JUSTIFICATION Enterprise Rendering Lagoon (Bio-Green Services, Inc.) Non -Discharge Permit No. WQ0038499 Requested Dry Tons — 275 LAND APPLICATION OF CLASS B RESIDUALS Enterprise Rendering Lagoon • Estimated Volume of Sludge in Lagoon—1,000,000 Gallons • March 27, 2021 Analytical — 5.03% Solids • Estimated 221 dry tons • Requested Dry Tons — 275 dry tons Sampling and Monitoring Plan The permitted WWTP's biosolids / residuals will be monitored to confirm compliance with conditions in Non -Discharge Permit No. WQ0038499 to include: • Toxicity Characteristics Leaching Procedure (TCLP) (current permit -annually), • Reactivity, Ignitability and Corrosivity (current permit -annually), • 15A NCAC 02T .1105 Pollutant Limits and nutrient analysis (based on dry tons land applied annually), • Pathogen and Vector Attraction Reduction requirements (based on dry tons land applied annually), • Annual Representative Soil Analysis of each field which receives land application during each respective year. • Any other applicable Permit conditions. All sampling and monitoring shall be performed in accordance with the current Permit. Pollutant concentrations for permitted sources in the Sio-Green land application permit 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 nla Nickel 420 374 Selenium 100 89 Zinc 7,500 2,498 The permitted sources shall be analyzed to demonstrate it is non -hazardous under the Resource Conservation and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity, and toxicity characteristic leaching procedure (TCLP)] shall be performed based on conditions (monitoring frequencies) set forth in Permit No. WQ0038499. TCLP 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) I,1-Dichlor)ethyiene pyridine (5.0) Cadmium (I.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) Hexachlor{015)-butadiene Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) An analysis shall be conducted on the permitted sources based on conditions (monitoring frequencies) set forth in Permit No. WQ0038499. 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) The permitted sources shall be analyzed to demonstrate compliance with Pathogen Reduction and Vector Attraction Reduction requirements based on conditions (monitoring frequencies) set forth in Permit No. WQ0038499. A regulatory approved Pathogen Reduction Alternative and Vector Attraction Reduction Option shall be utilized for compliance. 2 ENTERPRISE RENDERING NCDEQ - RESIDUALS LAND APPLICATION RESIDUALS ANALYSIS Residual Type: Rendering .Facility Lagoon Date Sampled: April 28, 2021 Enterprise Rendering Lagoon Permit No. WQ0038499 Residual Type: Rendering Facility U 5.03 % Solids 7.06 pH Parameter I % I Ma/Ka ilry Wniohr Pnundc/ilry T^ n (% x 10,000) (Mg/Kg x 0.002) Nitrogen (TKN) 1.100 11,000.000 22.000 Phosphorus 0.005 50.200 0.100 Potassium 0.308 3,080.000 6.160 PAN (injected)* 0.348 3,481.820 6.964 PAN (surface)* 0.268 2,681.820 5,364 Ammonia Nitrogen 0.160 1,600.000 3.200 Calcium 1.140 11,400.000 22.800 Calcium Carbonate Eq. --- --- Magnesium --- 2,310.000 4.620 Sodium --- 3,740.000 7.480 Sulfur --- --- --- Nitrate N 1 Nitrite N --- 1.820 0.004 Barium --- --- --- Chloride --- ___ --- Iron --- ___ --- Aluminum --- 17,100.00 34.200 Arsenic --- 23.100 --- Cadmium --- 9.940 0.020 Chromium --- --- --- Copper --- 160.00 0.320 Lead --- 150,000 0.300 Mercury --- 0.320 --- Molybdenum --- 23.900 --- Nickel --- 145.00 0.290 Selenium --- 9.940 --- Zinc --- 799.00 1,598 EnvirOChem 2021-06817 *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. (Not Detected) or < detection limits are listed as detection limits for calculation purposes. SAR 1.87 Ceiling Concen. (M IK } 75 85 4,300 840 57 75 420 100 7,500 Willcox & Mabe Soil Solutions, PLLC RESIDUAL PAN CALCULATION Enterprise Rendering Lagoon TKN= 11,000 mg/kg NH3= 1,600 mg/kg NO3-NO2-N= 1.8 mg/kg Min Rate= 0.20 PAN= [min.rate (TKN - NH3) + 0.5 (NH3) + NO3-NO2J 0.20 9,400 800 1.82 PAN= 2681.82 mg/kg 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. - NJ 0.10 9,400 1,880 PAN= 752.00 mg/kg remaining from 1st year application 3RD YEAR RESIDUAL PAN PAN= [min.rate (2nd year org. - N 3rd year min. - NJ 0.05 7,520 752 PAN= 360.96 mg/kg remaining from 1st year application 4TH YEAR RESIDUAL PAN PAN= [min.rate (3rd year org. - N 4th year min. - NJ 0.03 6,768 361 PAN= 213.57 mg/kg remaining from 1 st year application 5TH YEAR RESIDUAL PAN PAN= [min.rate (4th year org. - N 5th year min. - NJ 0.02 6,407 214 PAN= 120.03 mg/kg remaining from 1st year application Residual PAN from years 2 thru 5 after the initial application = 1446.56 mg/kg Application Five Year Maximum Method First Year PAN Adjusted PAN (mg/kg) (mg/kg) Surface 2,682 4,128 Incorporation 3,482 4,928 Application Five Year Maximum Method First Year PAN Adjusted PAN (lbs/DT) (lbs/DT) Surface 5.36 8.26 Incorporation 6.96 9.86 G. SAR Calcination Na mg/1 Ca Mgll Mg mgll 188.122 573.42 116.193 Na Ca Mg SAR 8.179 28.671 9.683 1.868 Na mil eq Ca mil eq Mg mil eq 8.179 28.671 9,683 Enter Enter ,% TS 5.03 Data Na mg/kg 3740 Ca mg/kg 11400 Mg mg/kg 2310 Job Name: Enterprise Rendering Lagoon Page 1 envirochem ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab . 910,392,4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252,473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax info@environmentalchrmists.com Willcox & Mahe Soil Solutions Date of Report: May 27, 2021 7231E Summerfeld Road Customer PO #: Summerfeld NC 27358 Customer ID: 21040030 Attention: Rob Willcox Report #: 2021-06817 Project ID: Enterprise Rendering Company Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-16976 Site: Lagoon 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Chlordane (TCLP) SW 846 Method 8081B13510 <0.05 mg/L 04/30/2021 Endrin (TCLP) SW 846 Method BOB10/3510 <0.0005 mg/L 04/30/2021 Heptachlor (TCLP) 5W 846 Method 8081B1351a <0.0005 mglL 04/30/2021 Heptachlor epoxide (TCLP) SW 846 Method 8081B13510 <0.0005 mg/L 04/30/2021 Lindane (TCLP) SW 848 Method 8081 B13510 <0.0005 mg/L 0413012021 Methoxychlor (TCLP) SW 846 Method 8081 B13510 <0.0005 mg/L 04/30/2021 Toxaphene (TCLP) SW 846 Method 8081131351a <0.05 mg/L 04/3012021 1,4-Dichlorobenzene (TCLP) SW 846 method 827013510 <0.050 mg/L 05/04/2021 2,4,5-Trichlorophenol (TCLP) SW 846 method e270/3510 <0.050 mg/L 05/04/2021 2,4,6-Trichlorophenol (TCLP) SW 646 method 827013510 <0.050 mg/L 05/04/2021 2,4-Dinitrotoluene (TCLP) SW 846 method 827013510 <0.050 mg/L 05/04/2021 Cresol (TCLP) SW B46 method 827013510 <0.050 mg/L 05/04/2021 Hexachloro-1,3-butadiene (TCLP) SW 846 method 8270/3510 <0.050 mg/L 05/04/2021 Hexachlorobenzene (TCLP) SW 846 method 8270)3510 <0.050 mg/L 05/04/2021 Hexachloroethane (TCLP) SW 846 method B27013510 <0,050 mg/L 05/04/2021 m + p-Cresol (TCLP) SW 846 method 627o13510 <0.050 mg/L 05/04/2021 Nitrobenzene (TCLP) SW 846 method 8270/3510 <0.050 mg/L 05/04/2021 o-Cresol (TCLP) SW 846 method 827013510 <0.050 mg/L 05/04/2021 Pentachiorophenol (TCLP) SW 846 method 827013510 <0.250 mg/L 05/04/2021 Pyridine (TCLP) SW 846 method 8270/3510 <0.050 mg/L 05/04/2021 2,4,5-TP (TCLP) SW046 Method 8151A <0.003 mg/L 05/03/2021 2,4-0 (TCLP) SW846 Method 0151A <0.003 mg/L 05/03/2021 1,1-Dichloroethylene (TCLP) SW846 Method 826015030 <0.01 mg/L 05/13/2021 1,2-Dichloroethane (TCLP) SWO46 Method 8260/5030 <0.01 mg/L 05/13/2021 Benzene (TCLP) SW846 Methcd 8250/5030 <0.01 mg/L 05/13/2021 Carbon Tetrachloride (TCLP) SW846 Method 8260/5030 <0.01 mg/L 05/13/2021 Report #:: 2021.05817 Pagel of 5 en Irocem r- ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 ■ 252-473.5702 lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@cnvironmentalchemists.com Willcox & Mabe Soil Solutions Date of Report: May 27, 2021 7231 B Summer -field Road Customer PO #: Summerfield NC 27358 Customer ID: 21040030 Attention: Rob Willcox Report #• 2021-06817 Project ID: Enterprise Rendering Company Chlorobenzene (TCLP) SW846 Method8260/5030 <0.01 mg/L 05/13/2021 Chloroform (TCLP) SW846 Method 8260/5030 <0.01 mg/L 05/13/2021 Methyl ethyl ketone (TCLP) SW846 Method 026015030 <0.05 mg/L 05/13/2021 Tetrachloroethylene (TCLP) SW846 Method 8260/5030 <0.01 mg/L 05/13/2021 Trichloroethylene (TCLP) SW846 Method 826015030 <0.01 mg/L 05/13/2021 Vinyl Chloride (TCLP) SW846 Method 026015030 <0.01 mg/L 05/13/2021 RCI Cyanide SM 4500 CN a 1.10 mg/kg 05/03/2021 Sulfide SM 4500 5 ❑ 202 mg/kg 05/04/2021 Ignitability SW 846 method 1010 >200 T 05/25/2021 pH Result estimated. Analyzed out of SW 846 Method 9045D 15 minutes hold time. ].06 units D51D512021 Sludge Residuals PAN used 30% Mineralization Rate. Calculation 3610 mg/kg 05/11/2021 Aluminum EPA 200.7 17100mglkg 05/05/2021 Arsenic EPA 2001 23.1 mg/kg 05/04/2021 Cadmium EPA 200.7 <9.94 mg/kg 05/04/2021 Calcium EPA 200.7 11400 mg/kg 05/04/2021 Chromium EPA 200.7 52.7 mg/kg 06/04/2021 Copper EPA 200.7 160 mg/kg 05/04/2021 Lead EPA 200.7 150 mg/kg 05/04/2021 Magnesium EPA 200.7 2310 mg/kg 05/0412021 Molybdenum EPA 200.7 23.9 mg/kg 05/04/2021 Nickel EPA 200.7 145 mg/kg 05/04/2021 Potassium EPA 200.7 3080 mg/kg 05/04/2021 Selenium EPA 200.7 <9.94 mglkg 05/04/2021 Sodium EPA 200.7 3740mg/kg 05/05/2021 Zinc EPA 200.7 799 mglkg 05/04/2021 N itrate+ N itrite-N itrogen EPA 353.2 1.82 mg/kg 04/30/2021 Report #., 2021-06a17 Page 2 of 5 envirochew ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910,392.0223 Lab • 910.392.4424 Fax 710 Sowsertown Road, Manteo, NC 27954 a 252,473.3702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environmcntalchemists.com Willcox & Mabe Soil Solutions Date of Report: May 27, 2021 7231 B Summefield Road Customer PO #: Summerfield NC 27358 Customer ID: 21040030 Attention: Rob Willcox Report M 2021-06817 Project ID: Enterprise Rendering Company Total Solids (%) SM 2540 8 5.03 % 04/29/2021 Ammonia Nitrogen SM 4500 NH3 C 1600 mg/kg 04/30/2021 Total Kjeldahl Nitrogen (TKN) SM 4500 Org B 11000 mg/kg 04/29/2021 Total Phosphorus SM 4500 P F 50.2 mg/kg 05104/2021 Mercury S1N846 74718 <0.320 mg/kg 05/03/2021 TCLP Metals Arsenic EPA 200 7 <1.0 mg/L 05/04/2021 Barium EPA 200 7 <1.0 mg/L 05/04/2021 Cadmium EPA 2007 <1.0 mg/L 65/04/2021 Chromium EPA 2007 <1.0mg1L 05/04/2021 Lead EPA 200 7 <1.0 mg/L 05/04/2021 Selenium EPA 2007 <1.0 mg/L 05/04/2021 Silver EPA 2007 <1.0 mg/L 05/04/2021 Mercury EPA 245.1 <0.0002 mg/L 05/03/2021 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 21-16980 Site: Lagoon - 1 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids SM 2540 S 1.55 % 04129/2021 Fecal Density SM 9221C E MPN 24 hr 503 <11613 MPN/g 04/28/2021 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 21-16983 Site: Lagoon - 2 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids SM 2540 8 2.11 % 04/29/2021 Fecal Density SM 9221C E MPN 24 hr 503 <8531 MPN/g 04/28/2021 Report#'2021-06817 Page 3 of 5 [en.vlirochem ANALYTICAL 8 CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab a 910.392.4424 Fax 710 8owsertown Road, Manteo, NC 27954 a 252,473.5702 Lab/Fax 255-A Wilmington hlighway, Jacksonville, NC 28540 a 910.347.5843 Lab/Fax info@cnvironinentalcliemists.com environrnentalchemists.com Willcox & Mabe Sol[ Solutions Date of Report: May 27, 2021 7231 B Summerfield Road Customer PO *: Summefield NC 27358 Customer ID: 21040030 Attention: Rob Willcox Report *: 2021-06817 Project ID: Enterprise Rendering Company Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-16984 Site: Lagoon - 3 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids {%} SM 254a B 2.48 % 04/29/2021 Fecal Density SM 9221C E MPN 24 hr 503 <7259 MPN/g 04/28/2021 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-16985 Site: Lagoon - 4 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 B 1.47 % 04/29/2021 Fecal Density SM92210EMPN 24hr503 <12245MPN/g 04/28/2021 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-16986 Site: Lagoon - 5 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 B 1.17 % 04/29/2021 Fecal Density SM 9221C E MPN 24 hr 503 <15385 MPNIg 04/28/2021 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 21-16987 Site: Lagoon - 6 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%} SM 2540 B 2.12 % 04/29/2021 Fecal Density SM 9221C E MPN 24 hr 503 <8491 MPNIg 04/28/2021 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 21-16988 Site: Lagoon - 7 4/28/2021 8:30 AM Solid/Sludge Client Test Method Results Date Analyzed Total Solids (%) SM 2540 B 2.56 % 04/29/2021 Fecal Density SM 9221G E MPN 24 hr 503 <7032 MPN/g 04/28/2021 Report #,: 2021-05817 Page 4 of 5 :envirochem ANALYTICAL & CONSULTING CHEMISTS Willcox & Mabe Soil Solutions 7231B SummerField Road Summer -field NC 27358 Attention: Rob Willcox Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 P 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, ]acksonvilte, NC 28540 • 910.347.5843 Lab/Fax info@environmentalchemists.com environmentalchemists.com Date of Report: May 27, 2021 Customer PO #: Customer ID: 21040030 Report #: 2021-06817 Project ID: Enterprise Rendering Company Comment: Sludge resisuals reported on a dry weight basis. Reviewed by: Report #.: 2021-06817 Page 5 of 5 Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 910.392.0223 `, Sample Receipt Checklist t►�1 Client: I� Y( l kkAe Date: /C�l Report Number: Receipt of sample: ECHEM Pickup K Client Delivery ❑ UPS ❑ FedEx ❑ Other ❑ ❑ YES ❑ NO N/A 1. Were custody seals present on the cooler? ❑ YES 10 NO N/A 12. if custody seals were present, were they intact/unbroken? Original temperature upon receipt ol. V C Corrected temperature upon receipt How temperature taken: ❑ Temperature Blank Against Bottles 1R Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0 ❑ YES I ❑ NO 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified? YES ❑ NO 4. Were proper custody procedures (relinquished/received) followed? YES 10 NO 5. Were sample ID's listed on the COC? YES ❑ NO 6. Were samples iD's listed on sample containers? YES 113 NO 7. Were collection date and time listed on the COC? YES 1 ❑ NO 8. Were tests to be performed listed on the COC? YES ❑ NO 9. Did samples arrive in proper containers for each test? YES ❑ NO 110, Did samples arrive in good condition for each test? 114 YES ❑ NO Ill. Was adequate sample volume availableT YES ❑ NO 112. Were samples received within proper holding time for requested tests? ❑ YES ❑ NO 113. Were acid preserved samples received at a pH of <2? ❑ YES ❑ NO 114. Were cyanide samples received at a pH >12? ❑ YES ❑ NO 115. Were sulfide samples received at a pH >9? ❑ YES ❑ NO 16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? ** E❑ YES ❑ NO 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L? ❑ YES ❑ NO 118. Were orthophosphate samples filtered in the field within 15 minutes? * TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet. ** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet. Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace) Sample(s) were received incorrectly preserved and were adjusted accordingly by adding (circle one): HZSOQ HNO3 HCl NaOH Time of preservation: if more than one preservative is needed, notate in comments below Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or notify the state lab if directed to analyzed by the customer, Who was notified, date and time: Volatiles Sample(s) were received with headspace COMMENTS: DOC. QA.002 Rev 1 °c ENVIRONMENTAL CHEMISTS, INC 6602 OFFICE'ndmill ayWiilming1n.39C284 5 44 Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Willcox & Mabe Soil Solutions PROJECT NAME: Enterprise Rendering Company REPORT NO: ADDRESS: 7231B 5ummerrield Road Site: Oakboro, NC PO N0: Summerfield, NC 27358 REPORT TO: Rob Willcox, LSS PHONEIFAX: COPY TO: email: rob@willcoxmabesoil.com Sampled By: SAMPLE TYPE I = Influent E - Efi1 t W - W II T - Sample identification Cntw P�ts� site: T L45�n 2) 3) 4) 5) 6) 7) Collection Date i i� Time 130 Temp Transfer 1. uen , - e , S = Stream, SO - 5on, SL = 5ludge, Other: CL PRESERVATION F O N 1-1 _ CC7 LJ D �L'U O ° E c a r a `o m g z U O p p o W w ANALYSIS REQUESTED Lo M °° U u°p " x 'z o z x z-= = a 2 C P ? �� X 11 LL Full TCLP/Nutrlent/metals/RCI G C P G G to X Fecal densi /%TS 3 G G X Fecal densi /%TS C P f `� G G �, X Fecal density)%TS C P G G X Fecal density/%TS C P G G D `{ X Fecal density/%TS C P �y G G D X Fecal densi !%7S C P e6 X Fecal density/%TS G G DateMme I Retceived Bv: /z Temperature when Received *C. G'• '/' . Accepted: Rejected: Resample Requested: Delivered By: Received By: _ Date: Time: Comments: TURNAROUND: APPENDIX III LAND APPLICATION SITE CERTIFICATION (FORM: LASC 06-16) WATERBODY AND CLASSIFICATION INFORMATION State of North Carolina DWR Department of Environmental Quality Division of Water Resources Division of Water Resources LAND APPLICATION SITE CERTIFICATION INSTRUCTIONS FOR FORM: LASC 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Application Site Certification (FORM: LASC 06-16): ® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ® For new or renewed permits, submit the requested information for all land application sites. ® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the proposed modification. B. Land Application Site Information: ® The status of the land application site with respect to this residuals land application program must be provided in table L The status categories and their corresponding codes are as follows: ♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D) ® Attach the following in accordance with each status code: Status Code Required Item N R T M County Board Notification. doc Land Owner Agreement (If applicable) Setback Waiver Agreement An updated vicinity/setback map in accordance with the "Map Guidance for Residuals Land Application Permits" ✓ ✓ ✓ A soils and agronomic evaluation in accordance with the "Soil Scientist ✓ Evaluation Policy" INSTRUCTIONS FOR FORM: LASC 06-16 Page 1 of 3 An updated accounting of the land application site's cumulative pollutant loading rates (CPLRs) Status Code Required Item N R T M For previously permitted sites without a soil series name indicated in the Attachment B, submit County Soil Survey Map (or equivalent) clearly indicate the location of the land application site and in accordance with the soil map requirements in the "Soil Scientist Evaluation Policy" Acknowledgement of field transfer from Land Owner (Fields may not be permitted to multiple Permittees over the same time period) * This item may be required for land application site with a status code "M", please contact the Division if you need assistant in determining attachment requirements. ® Crop Type should include the most likely crop types for the life of the permit (five years). ® Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or name of the soil series as provided by the licensed soil scientist. ® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping unit. If a representative slope is provided, it must be determined accordingly: ❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8% would have a representative slope of 6%. ® New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist. ® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as follows: • Address Matching (ADD) • Digital or Raw Photo Extraction (EXT) • Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO) • Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR) • Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS) • Conversion from Township -Section -Range (TSR) • Remote Sensing (RS) • Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP) • Map Interpretation by Digital or Manual Extraction (MAP) C. Waterbody and Classifications Information: (new sites only) ® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ® Surface water body classifications information may be found at: http:Hdeg.nc.gov/about/divisions/water- re sources/planning/classification-standards/classifications ❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices. ❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: hM2:Hdeg.nc.gov/contact/regional-offices ❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned subbasins, location descriptions, stream index numbers and established classifications. 1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area should be submitted with the permit application regardless of whether a Stream classification was completed). 2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as "UT to stream name" as the waterbody name. 3. Open the link http://deg.nc.gov/about/divisions/water-resources/planning//classification-standards/classifications. ❑ Stream Classification Process: One of the options below may be used depending on the known initial project information. ❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide the proper location descriptions if multiple runs. INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Select the proper county from the List all Waterbodies in county, hydrologically report. 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Use the Clickable basin map to hydrologically sorted list report. 2. Click on the approximate project location to bring up the hydrologically sorted list. 3. Locate the name of the identified waterbody (from General Directions) on the list. 4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 5. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ Notes on index number and unnamed streams: Unnamed Streams 15A NCAC 02B .03016). ❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned to the stream segment to which it is tributary (at the point of entry) except: (A) unnamed streams specifically described in the schedule of classifications; (B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or (C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted. ❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the basin: Unnamed Tributaries Entering Other States or for Specific Basin Areas Hiwassee River Basin Streams entering Georgia or Tennessee shall be classified "C Tr." Little Tennesse River Basin And Savannah River Drainage Area Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah River drainage area entering South Carolina shall be classified 'B Tr." French Broad River Basin Streams entering Tennessee will be classified "B." Watauga River Basin Streams entering the State of Tennessee are classified "C." Broad River Basin Streams entering South Carolina are classified "C." New River Basin Streams entering the State of Tennessee are classified "C." Catawba River Basin Streams entering South Carolina are classified "C." Yadkin -Pee Dee River Basin Streams entering Virginia are classified "C," and such streams entering South Carolina are classified "C." Lumber River Basin Streams entering South Carolina are classified "C Sw." Roanoke River Basin Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or described shall carry the classification "B," and all backwaters of Lake Gaston and the North Carolina portion of streams tributary thereto not otherwise named or described shall carry the classification "C and B." Chowan River Basin Streams entering Virginia are classified "C." Tar -Pamlico River Basin All drainage canals not noted in the schedule are classified "C Sw." except the main drainage canals to Pamlico Sound and its bays which shall be classified "SC." Pasquotank River Basin All drainage canals not noted in the schedule are classified "C." INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3 LAND APPLICATION SITE CERTIFICATION Applicant's name: BioGreen Services, Inc. Land application sites currently certified: 56.8 net acres and Total to be certified: 71.9 net acres. L LAND APPLICATION SITE INFORMATION (See Instruction B): Status Codes Site/Field ID Landowners �� Lessees or Operator(s) O Net Acres CountyCrop(s) s P�) Predominant Soil Series Nameb Mapping Unit or Rep. Slope° D / T 02-01 Vereen, Pearly 15.0 Brunswick DT 03-01 Green, Doris T. Thornton 6.4 Brunswick D 03-02 Vereen, Nancy Tucker 4.7 Brunswick D 03-03 Green, Doris T. Thornton 2.9 Brunswick D 05-01 Saunders, Virginia Williams 7.6 Moore D 05-02 Saunders, Virginia Williams 4.2 Moore D 05-03 Saunders, Virginia Williams 4.5 Moore D 05-04 Saunders, Virginia Williams 2.9 Moore D 05-05 Saunders, Virginia Williams 2.2 Moore D 05-06 Saunders, Virginia Williams 6.4 Moore N 06-01 Enterprise Rendering, Carroll Braun, Jr. 16.2 Stanly Row Crops Badin BaB N 06-02 Enterprise Rendering, Carroll Braun, Jr. 11.2 Stanly Row Crops Badin BaB N 06-03 Enterprise Rendering, Carroll Braun, Jr. 10.6 Stanly Row Crops Goldston GoB N 06-04 Enterprise Rendering, Carroll Braun, Jr. 26.6 Stanly Row Crops Badin BaB N 06-05 Carroll Braun, Jr. 7.3 Stanly Row Crops Goldston GoB 'Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted) n Soil Series Name (i.e. Appling, Cecil, etc.) `Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2) IL WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C): Site/Field ID Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. Current and Proposed p Class 06-01 350 13' 48" 800 16' 52" NAD 83 MAP Nearest Second Unnamed tributary to Horse Branch/13-17-31-6 C 06-02 350 13' 44" 800 16' 36" NAD 83 MAP Nearest Second Unnamed tributary to Horse Branch/13-17-31-6 C 06-03 350 13' 06" 800 16' 23" NAD 83 MAP Nearest Second Unnamed tributary to Long Creek/13-17-31 C 06-04 350 13' 25" 800 16' 13" NAD 83 MAP Nearest Second Unnamed tributary to Long Creek/13-17-31 C 06-05 350 13' 29" 800 15' 50" NAD 83 MAP Nearest Second Unnamed tributary to Long Creek/13-17-31 C FORM: LASC 06-16 Page 1 APPENDIX IV COUNTY BOARD NOTIFICATION (FORM: CBN 06-16) ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: . 5TA1+rL� ��c}111T� 49 Z95 Swl r= T WATE2 . SDa 0 /4 r7/j : �31c-L L Ail tUH-ON IIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIII1111111III IIII III 111I1 9590 9402 3153 7166 1968 06 2. Article Number (transfer from service label} A. Signature X ❑ Agent P ""qB Addressee B. Received by tinted Name) G. Date of Delivery C—�—c T--L, -,, - a-T-29' D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Expresso ❑ Adult Signature ❑ Registered Mallm ❑-P�dult Signature Restricted Dellvery ❑ Registered Mail Restricted L$'Cenlfted Mall0 Delivery ii33 Certified Mall Restricted Delivery ❑ Return Recelptfor ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Dellvery ❑ Signature Conflrmatlon' ❑ Insured Mall ❑ Signature Confirmation ❑ insured Mall Restricted Delivery Restreted Delivery (over $500► P5 Form 3811, July 2015 PSN 7630-02-000-9053 Domestic Return Receipt I j In A m a a r`q �II i lSjaret71° 1 e r N G.% �80(11 $37. Si 1 ❑Relucn ReceEpl {ilarclCopy) $ ��j-r:� r =I ❑Raturn Receipt lelectmnio) E3 []Certified Mall Restricted Dallmy .}` -- C3 ❑ Adult Signature Required C3 ❑ Adult Signature Restricted Det1wry Q Postage '2rF ! p 'dotal Postage and Fees a CIS. �r C14 POSImark Here 05/21/2021 p$islet and APf. No., ar PO Sax No. [�- ---fq z? :5 -.SaA ACT- P� ti �-Aeo-=------------------- Cify. State Z!P• S {i l..l i �.. �..trfr I.l�if',IopP i.�'I5� e =lee.Y Y1ies=Grp: Y�-iT117.t'�-s�il�ieliin I:i Fi.l:� , LM Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources COUNTY BOARD NOTIFICATION INSTRUCTIONS FOR FORM: CBN 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 notification is intended to provide the county board in which the land application site is proposed to be located with general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review without a corresponding residuals program application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. County Board Notification (FORM: CBN 06-16): ® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-15). Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ® Prepare a separate County Board Notification (FORM: CBN 11-15) for each county in which the proposed land application sites are located. B. Critical Watershed Areas Information: ® Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas. ® For more information regarding Water Supply Watershed Protection Program, please visit the Division website at: htt2s:Hdeg. ne,gov/about/divisions/water-resources/water-resources-rules/water-sul2ply-watershed-protection-program ❑ If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call (919) 807-633T C. Notification Package Submission: ® Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the notification package also be sent to the County Manager. ® The most current publication of the Directory of State and County Officials may be downloaded at: https://www.sosnc.gov/publications/direct.mpx ® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: http:Hdeq.nc.aov/contact/re gionaI-offices. ® The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage (i.e., a copy of "Residuals Source Facility Summary" is adequate but not required). ® The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a copy of "Land Application Site Certification" is adequate but not required). D. Proof of Submission: ® Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment prior to submission of the application to the Division for review. INSTRUCTIONS FOR FORM: CBN 06-16 Page l of 1 North Carolina Department of Environmental Quality Pat McCrory Donald R. van der Vaart Governor Secretary Date: May 21, 2021 To: Name of Chairman to the Board of County Commissioners: Bill Lawhon Complete mailing address: 49295 Swift Water Road City: Albemarle State: N.C. Zip: 28001 County where Iand application sites are located: Stanly From: Applicant's name: BioGreen Services, Inc. (on behalf of the Division of Water Resources in accordance with Session Law 2013-340) Contact person and title: Ray Gambill Complete mailing address: 383 Potts Road City: Advance State: N.C. Zip: 27006 Telephone number: (336) $13-8063 E-mail address: bioizreensvc9aol.com Subject: Notification of residual land application site proposal This is to notify you that the Applicant listed above will be submitting an application to the Division of Water Resources for the Iand application of residual solids to site(s) located in your county. During this review, the Division will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals - generating sources and locations of the proposed land application sites. Please forward this letter and its associated attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and Planning Department) if applicable. More information of the land application sites included in this application will be available at the following Division of Water Resources Regional Office: Name of appropriate regional office: Mooresville Regional Office Complete mailing address: 610 East Center Avenue Suite 301 City: Mooresville Telephone number: (704) 663-1699 State: N.C. Zip: 28115 Expected date of application submission: May 21, 2021 Should you desire to comment on this application, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification, or if you would like more information, please contact the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. Enclosures: Source Facility Summary Land Application Site Summary Maps Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 919-807.64641 Internet: http:llporlal.ncdenr.orglweblwq An Equal Opportunity 1 Affirmalive Aclion Employer— Made in part wilh recycled paper FORM: CBN 06-16 RESIDUALS SOURCE FACILITY SUMMARY Applicant's name: Bio-Green Services, Inc. Status Code° Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year Current'' Proposed D Duke Energy Progress, Inc. Brunswick Steam Electric Plant Brunswick NC0007064 50 0 D N.G. Purvis Farms, Inc. N.G. Purvis Fames, Inc. -Truck wash Moore NIA 100 0 N Enterprise Rendering Co., Inc. Enterprise Rendering Co. W WTF Stanly WQ0002075 0 275 'Status Code for source facility are: • N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted) bThe amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility). SUMMARY FOR FORM: RSC 06-16 Page 1 LAND APPLICATION SITE CERTIFICATION Applicant's name: BioGreen Services, Inc. Land application sites currently certified: 56.8 net acres and Total to be certified: 71.9 net acres. I. LAND APPLICATION SITE INFORMATION (See Instruction B): Status CodeO Site/Field ID Landowners Lessees or } s O erator pSeries Net Acres County Crop(s) Predominant Soil Nameb Mapping Unit or Rep. Slope` D / T 02-01 Vereen, Pearly 15.0 Brunswick DT 03-01 Green, Doris T. Thornton 6.4 Brunswick D 03-02 Vereen, Nancy Tucker 4.7 Brunswick D 03-03 Green, Doris T. Thornton 2.9 Brunswick D 05-01 Saunders, Virginia Williams 7.6 Moore D 05-02 Saunders, Virginia Williams 4.2 Moore D 05-03 Saunders, Virginia Williams 4.5 Moore D 05-04 Saunders, Virginia Williams 2.9 Moore D 05-05 Saunders, Virginia Williams 2.2 Moore D 05-06 Saunders, Virginia Williams 6.4 Moore N 06-01 Enterprise Rendering, Carroll Braun, Jr. 16.2 Stanly Row Crops Badin BaB N 06-02 Enterprise Rendering, Carroll Braun, Jr. 11.2 Stanly Row Crops Badin BaB N 06-03 Enterprise Rendering, Carroll Braun, Jr. 10.6 Stanly Row Crops Goldston GoB N 06-04 Enterprise Rendering, Carroll Braun, Jr. 26.6 Stanly Row Crops Badin BaB N 06-05 Carroll Braun, Jr. 7.3 Stanly Row Crops Goldston GoB 'Status Code for land application sites are: • N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted) Soil Series Name (i.e. Appling, Cecil, etc.) `Mapping Unit must be consistent with those used in the County Soil Survey (i.e. Fora 2-8% slope Cecil in Anson County the mapping unit is CeB2) II. WATERBODV AND CLASSIFICATIONS INFORMATION (See Instruction Q- SitelField ID Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. Current and Proposed p Class 06-01 350 13' 48" 800 16' 52" NAD 83 MAP Nearest Second Unnamed tributary to Horse Branch113-17-31-6 C 06-02 350 13' 44" 800 16' 36" NAD 83 MAP Nearest Second Unnamed tributary to Horse Branch/13-17-31-6 C 06-03 350 13' 06" 800 16' 23" NAD 83 MAP Nearest Second Unnamed tributary to Long Creek/13-17-31 C 06-04 350 13' 25" 800 16' 13" NAD 83 MAP Nearest Second Unnamed tributary to Long Creek/13-17-31 C 06-05 350 13' 29" 800 15' 50" NAD 83 MAP Nearest Second Unnamed tributary to Long Creek/13-17-31 C FORM: LASC 06-16 Page 1 COPIES OF MAPS FOR NEW SITES ARE INCLUDED IN APPENDIX V APPENDIX V New Site SITE 06 — ENTERPISE RENDERING - CARROLL E. BRAUN, JR. (Fields 1- 5) LANDOWNER AGREEMENT (FORM: LOA 06-16) SITE MAPS (Vicinity Map) (USGS Topography Map) (MRCS Soil Survey Map) (Buffer/Setback Map) SOILS AND AGRONOMIC EVALUATION SITE 06 — ENTERPIRSE RENDERING - CARROLL E. BRAUN, JR. (Fields 1- 5) LANDOWNER AGREEMENT (FORM: LOA 06-16) Division of Water Resources State of North Carolina Department of Environment and Natural Resources Division of Water Resources LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and supp rting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Bio-Green Services Inc. hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Enterprise Rendering Co., Inc. Site/Field ID Lease es/no {Y ) Land Use or Cropping Patterns PP� � Intended Use of Crops Residuals Source (optional} Special note (no-till/over-seed/ pasture) 6-1 thru 64 No Row Crops Animal Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application sitc(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13, The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of this Agreement. H. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105 h allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID; (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ® A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized: to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: �_ SR . G��nrr� E NL►E��kG �o ..[ . Address: Z 1 7 L.E_A EM 64ULYM I�DAD City: A41eB&ZV State: /U.C. I Zip: Phone: ,6S E- 'I address: Signature: Date: S S 2 NORTH CAROLINA,CO7,-* Y 1, the undersigned Notary Public do hereby ce that Ca f � A57, personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the X 4 L- day of 014 , 20 2 Signature and seal: �✓ �, My commission expires: l 12 2o2-Z west A. Wooten Lessee's/Operator's Certification: Pender County, North Carolina My Commission Eghs 1?J12JM I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail address; Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: S . VA Signature: lcl:�_ 3?4�4_ L Date; FORM: LOA 06-16 Paee 3 of 3 State of North Carolina Department of Environment and Natural Resources Division of Water Resources Division of Water Resources LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and sul2oorting documentation For more information, visit the Water- Quality Permitting Section's Non -Discharge Permitting Unrt General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .I100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Bio-Green Services Inc. hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Carroll E. Braun, Jr. Site/Field ID Lease es/no t} } Land Use or Cropping Patterns PP g Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) 6-4 & 6-5 No Row Crops Animal Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 I. STIPULATIONS: L The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pl-I of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits, 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. It. RESTRICTIONS: I. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. HLALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T _0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (Please include the rationale for the requested re -location compliance boundary to the application package) of the compliance boundary and attach a map showing the newly proposed ® A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the fields) be removed from the previously permitted residuals land application program and transferred into the new program: (Name of the new program) FORM: LOA 06-16 Pap-e 2 of 3 Landowner's Certification: I certify that 1 am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that 1 am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understated the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: e riIL J;7 , Address; M2I 25ETHLEH.EyL 61AWCH ZAL City: OA v Smm. Al. c , Phone: Signature: — 2G5 2 NORTH CAROLINA, p J,,1 I, the undersigned Notary Public do hereby Zip: 2 $ 12 9 address: l Date: 5%1512 f COUNTY that 6 f Ile a Ti personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WCI MESS my hand and official seal this the /f •{ 4- day of M Signature and seal: My commission expires: _ / / 2 / % Z / 2 O 2 Z Lessee's/Operator's Certification: ,20 -7 NOTARY PUBLIC an , MY Commission E.Vhs t711212p22 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail address: Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: s • y lA fit. W & C Signature: Date: Si is) 2-1 FORM: LOA 06-16 Page 3 of 3 SITE 06 — ENTERPIRSE RENDERING - CARROLL E. BRAUN, JR. (Fields 1 - 5) SITE MAPS (Vicinity Map) (USGS Topography Map) (MRCS Soil Survey Map) (Buffer/Setback Map) SITE 06 — ENTERPIRSE RENDERING - CARROLL E. BRAUN, JR. (Fields 1- 5) SOILS AND AGRONONHC EVALUATION BIO-GREEN SERVICES, INC. ENTERPRISE RENDERING — CARROLL BRAUN, JR. — SITE 06 SOILS AND AGRONOMIC EVALUATION The Enterprise Rendering — Carroll Braun, Jr. Site, Fields 1-5 are located on north of North Carolina (N.C.) Highway 138 in Stanly County, N.C. Fields 1 and 2 are located west of Barbers Grove Road and Fields 3 thru 5 are located south of Bethlehem Church Road. The surrounding area is primarily agricultural and forested with a few residences. Each field is currently in row crop rotation, with the current crop being soybeans. The topography over the fields ranges from 0 to 6 %. Buffer requirements as required by 15A NCAC 02T.1108 for setbacks will need to be adhered to and will reduce the useable acreage in this field. Refer to "Buffer Maps" for specific buffer/setback requirements and acreage totals. A field investigation was conducted by a WMSS agronomist and soil scientist on May 10, 2021. Preliminary soils information for this site was obtained from the United States Department of Agriculture (USDA) Natural Resources Conservation Service (MRCS) Web Soil Survey (WSS). A WMSS licensed soil scientist advanced hand auger borings on the proposed field to characterize the proposed application site (hand auger boring locations are indicated on Figure 3 — NRCS Soils Map). Soil profile descriptions were performed within the proposed fields and indicated the fields as suitable according to the criteria outlined in 15A NCAC 02T .1104(c)(2). The predominant soil series associated with Fields 1, 2 and 5 is most similar to the Badin series (Fine, mixed, semiactive, thermic Typic Hapludults). Other inclusions of soils were present within the field, but the Badin series was predominant. The predominant soil series associated with Fields 3 and 4 is most similar to the Goldston series (Loamy -skeletal, siliccous, semiactive, thermic Typic Dystrudepts). Other inclusions of soils were present within the field, but the Goldston series was predominant. Soil profile description sheets are contained within this section of the application indicating the predominant soil series identified within each field. Both the soils and the crops should be able to assimilate the proposed loadings of liquids, solids, nitrogen, phosphorus, heavy metals, and salts known to be in the biosolids. This assessment is based on the residual analysis provided, the planned application rate, proper crop management guidelines and adherence to permit requirements. Soil pH for mineral soils should be maintained at levels to ensure optimal crop production. Nitrogen is considered the most limiting characteristic of these residuals, however soil tests should be reviewed annually to identify any changes in the nutrient status of the soil. Management practices should be evaluated prior to each application to account for changes in the proposed land use objectives. Crop management guidelines that will be of importance for this site will be: • timing of application events with plant nutritional needs and periods of plant dormancy, • split application to prevent hydraulic overloading or nutrient leaching, Bio-Green Services, Inc. Enterprise Rendering — Carroll Braun, Jr. WMSS Pro'ect No. 21-06 Phase: 01 • performance of proper stabilization methods to fit crop and soil needs, • maintenance of proper vegetative cover on more sloping areas with runoff potential, and • proper coordination between application events and crop harvesting. The results of the soil analysis for these fields, included in this report, indicate no gross deficiencies in the fertility of these fields. By using standard agricultural practices for the management of forage and crop production, the operator should see significant benefits from the application of biosolids. In turn, these well -maintained fields should provide good assimilation of the plant available nutrients contained in the biosolids and afford an environmentally safe means of solids disposal and nutrient recycling. 4artin Mabe Agronomist soli se\ w q 4 'F z QUA 0 �� µ7, 4 N �.1 Llr ire o OF 109 P�0 MoRTH G� Rob Willcox, L.S.S. Soil Scientist Shared\WMSS Projects12021121-06 Enterprise Rendering Co\Site 6 - Enterprise Rendering121-06 Soil Scientist - Agronomist Report - Enterprise Rendenng.doc K WILLCOX & MASE SOIL SOLUTIONS, PLLC SITEISOIL EVALUATION '�r`�f ) or Project No. 2 f - O[o ` 11: Q/ Phone No. Date: ,5 rp 21 Location rNTffwif E Pin County: S -(7)NL y Property Size Proposed Facility: Zl;tvO A!'PZm4 i/,�NWater Supply: On -Site Well ❑ Evaluation: Auger Boring K By: � a><3 �faG6[D� Community El Public ❑ Pit El Cut ❑ Weather: ,Stilwy ,' �Jj3 i�# Antecedent Moisture ;'1 j�pl Surface Water: /'64- FACTORS PROFILE PROFILE PROFILE #1 PROFILE 4a Z tf 1 Lao Landscape Position % Q Horizon Depth I Co Color Munsell Texture ' Structure C f r Consistence Boundary Horizon Depth II — / r Color—Munsell 7.S $ S& Texture r r , C­ r Mottles 0 Fr[ Y-`v r4 Structure Consistence y Sr S c `s 41 F-R c -5kltle Boundary Horizon Depth 111 /d Color — Munsell $ S/'q Texture G C Mottles _ Structure Consistence PfS A. le PIR r Boundary Horizon Depth 1V - O — 2� Color — Munsell -Z.. S4- 2_ 4-rs Texture + G Mottles C s Structure Consistence SS Sr r �,jP c it fY fQ Boundary Soil Wetness 3r 11 7 !� Restrictive Horizon Or _ U %1 Saprolite LTAR Classification RADIN t LEGEND LANDSCAPE POSITION R Ridge Interfluve S Shoulder L Linear Slope FS Foot Slope N Nose Slope H Head Slope Cc Concave Slope Cv Convex Slope T Terrace P Flood Plain TEXTURE s sand Is loamy sand sl sandy loam 1 loam si silt sil silt loam sicl silty clay loam cl clay loam scl sandy clay loam sc sandy clay sic silty clay c clay CONSISTENCE WET Ns non -sticky Ss slightly sticky S sticky Vs very sticky Np non -plastic Sp slightly plastic P plastic Vp very plastic MOIST vfr Very friable fir friable fi. firm vfi Very firm STRUCTURE sg single grain m massive cr crumb gr granular sbk subangular blocky abk angular blocky pl platy pr prismatic WILLCOX & MABE SOIL SOLUTIONS, PLLC SITE/SOIL EVALUATION P46r. 2 or 2 Project No. zi-Qa ' j ; D 1 Phone No. Date: ,S Jb) Z l Location �County: Property Size Proposed Facility: 2-?9AJO A7 L1, AT?D 0 Water Supply: On -Site Well ❑ Evaluation: Auger Boring [C Community ❑ Pit ❑ Described By: �dP>GtCU Public ❑ Cut ❑ Weather: N lItM ,yl Antecedent Moisture 4`0/ S-'— Surface Water: N�r FACTORS Landscape Position % Horizon Depth 1 PROFILE - ? L- 2_ it 90 �t PROFILE 6 -4 I L _ PROFILE PROFIL Col'S Con'f L� - 5`2U _ Color Munsell / ,� S 3 Texture Structure Consistence S f r < ' w in-V1n . 17 ar- elm Boundary Horizon Depth It _ 2 Color - Munsell Texture Mottles A0 ,e Z-6. 2 54. / r? S G L ` w��¢G lered Structure Consistence � SS 5 -s r' �/ �►- 1q �� � .S'Q � �d - 541e, Boundary Horizon Depth III Color-Munsell S (� (� s- Texture Mottles r � tG Structure �jp� j��� f Consistence s s Boundary Horizon Depth IV —ZS'i- Z _ T Color - Munsell Texture r r 2 S 1 Mottles woo 0L-'-'e J Ah'.r" Structure 1m) .,pw r qk racmrn �{ Consistence Boundary Soil Wetness y zs ! ' +/ Restrictive Horizon / _ 11 Saprolite I.TAR Classification 4-TB OLp 5 71) LEGEND LANDSCAPE POSITION R Ridge Interfluve S Shoulder L Linear Slope FS Foot Slope N Nose Slope H Head Slope Cc Concave Slope Cv Convex Slope T Terrace P Flood Plain TEXTURE s sand Is loamy sand sl sandy loam 1 loam si silt sil silt loam Sid silty clay loam Cl clay loam scl sandy clay loans sc sandy clay sic silty clay c clay CONSISTENCE WET Ns non -sticky Ss slightly sticky S sticky Vs very sticky Np non -plastic Sp slightly plastic P plastic Vp very plastic MOIST vfr Very friable fr friable fi firm vfi Very firm STRUCTURE sg single grain m massive cr crumb gr granular sbk subangular blocky abk angular blocky P1 platy pr prismatic Page 1 of 1 Report No: 21-144-0723 Account No: 08361 Advisor: Willcox & Mabe Soil Solutions, PLLC 7231 B. Summerfield Rd Summerrield NC 27358 Waypoint(D ANALYTICAL Client: Enterprise Rendering 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Farm: Site 6 Date Received: 05/24/2021 Date of Report: 05/25/2021 Lab No Field ID Sample ID Soil Class HM% WIV pH Ac P-1 K-1 S-1 Mn-1 Mn-All Mn-Al2 Zn-1 Zn-Al Cu-1 CEC BS% Ca% Mg% ESP Na 123433 6-1 _ - MIN 5.7 2.9 49 63 60 169 116 0 105 105 80 13.7 79 61 15 0.5 0.1 Crop Recommendations: Rec Uom Lime (Nacre) N P205 K2 S Mn Zn Cu B Mg Last Crop 1-Wheat lb/acre 1.0 100 27 20 20 0 0 0 0 0 23434 6-2 MIN 6.4 1.1 37 85 54 431 263 0 90 90 70 11.9 91 71 16 0.5 0.1 Crop Recommendations: Rec Uom Lime (#/acre) N PZ OS K20 S Mn Zn Cu B Mg Last Crop 1- Wheat lb/acre 0.0 100 51 0 20 0 0 0 0 0 23435 6-3 MIN 6.1 1.7 167 82 35 156 102 0 358 358 160 12.1 86 66 17 0.5 0.1 Crop Recommendations: Rec Uom Lime (Nacre) N P20, Kx0 S Mn Zn Cu B Mg Last Crop 1-Wheat lb/acre 0.0 100 0 0 20 0 0 0 0 0 23436 6-4 MIN 6.3 1.2 114 99 50 131 84 0 133 133 115 11.8 90 73 12 0.5 0.1 Crop Recommendations: Rec Uom Lime (Uacre) N PZ 05 K2 S Mn Zn Cu B Mg Last Crop 1-Wheat lb/acre 0.0 100 0 0 20 0 0 0 0 0 23438 6-5 MIN 4.7 4.3 82 113 35 250 180 0 198 198 85 8.6 50 33 9 0.6 0.1 Crop Recommendations: Rec Uom Lime (#/acre) N P2O5 K2 S Mn Zn Cu B Mg Last Crop 1- Wheat Iblacre 2.9 100 0 0 20 0 0 0 0 0 Comment: Test result units = CEC and Na in megl100cm3; NO3-N in mgldm3; WN in glcm3 North Carolina Division of Water Quality Certification #257, Analysis and fertility recommendations shown on this report are performed in accordance within NCDA guidelines, Analysis prepared by: Waypoint Analytical Virginia, Inc. Waypoint(2) ANALYTICAL 6/1/2021 Willcox & Mabe Soil Solutions, PLLC 7231 B. Suinmerfield Rd Summerfield, NC, 27358 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-94010Fax 804-271-6446 www.waypointanalyticai.com Ref: Analytical Testing Report Number: 21-145-0007 Project Description: Enterprise Rendering -Site 6 Waypoint Analytical Virginia, Inc. received sample(s) on 5/25/2021 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table if applicable. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information Sincerely, Towfe M 4 I "V'"r Pauric McGroary Agronomist Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Page 1 of 10 Waypoin,(2) � ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Pax 804-271-6446 www.wavpointanalytical.com Sample Summary Table Report Number: 21-145-0007 Client Project Description: Enterprise Rendering -Site 6 Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 76481 6-1 Solids 05/25/2021 6010D WP MTN 76481 6-1 Solids 05/25/2021 SW-7471B WP MTN 76482 6-2 Solids 05/25/2021 SW-7471B WP MTN 76482 6-2 Solids 05/25/2021 6010D WP MTN 76483 6-3 Solids 05/25/2021 SW-7471B WP MTN 76483 6-3 Solids 05/25/2021 6010D WP MTN 76484 6-4 Solids 05/25/2021 6010D WP MTN 76484 6-4 Solids 05/25/2021 SW-7471B WP MTN 76485 6-5 Solids 05/25/2021 SW-74718 WP MTN 76485 6-5 Solids 05/25/2021 6010D WP MTN WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN Page 2 of 10 a 7621 Whitepine Road, Richmond, VA 2.3217 Waypoint. Main 804-743-9401 0 Fax 804-271-6446 08361 ANALYTICAL www.waypointanalyticaf.com Willcox & Mabe Soil Solutions, PLLC Project Enterprise Rendering -Site 6 7231 B. Summerfiield Rd Report Date : 06/01/2021 Information: R . ed (% nn SummerFiefd , NC 27358 Report Number :21-145-0007 Lab No : 76482 Sample ID : 6-1 Test REPORT OFANAI YSIS Results Units MQL eceiv /251 4J. l�;c !fit Graw�/ Pauric Mc Groary Ph.D., CPA Agronomist Matrix: Solids Sampled: DF Date I Time By Analytical Analyzed Method Nickel 10.1 mg/Kg 0.250 1 05/29/2104:00 T3S 6010D Mercury 0.0328 mg/Kg 0.0149 1 05/28/2112:00 DDB SW-7471B Selenium <2.50 mg/Kg 2.50 5 06/01/2113:05 T3S 6010D Test Results Units MQL DF Date / Time By Analytical Analyzed Method Arsenic 9.63 mg/Kg 0.500 1 05/29/2104:00 T3S 6010D Cadmium 0.718 mg/Kg 0.100 1 05/29/2104:00 T3S 6010D Lead 15.7 mg/Kg 0.300 1 05/29/2104:00 T3S 6010D Qualifiers/ DF Dilution Factor L Limit Exceeded Definitions MQL Method Quantitation Limit Page 3 of Io (2) Waypoint. 7621 Whitepine Road, Richmond, VA23237 Main 804-743-9401 O Fax 804-271-6446 ANALYTICAL www.waypointanalyticai.com 08361 Willcox & Mabe Soil Solutions, PLLC Project Enterprise Rendering -Site 6 7231 B. Summerfield Rd Report Date ; 06/01/2021 Information : Received ; 05/25/2021 Summerfield , NC 27358 jawEc !fit G�awr�/ Report Number: 21-145-0007 REPORTOFANALYSIS Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 76482 Matrix: Solids Sample ID: 6-2 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Nickel 10.5 mg/Kg 0.250 1 05/29/2104:05 TJS 6010D Mercury 0.0422 mg/Kg 0.0141 1 05/28/2112:01 DDB SW-7471B Selenium C2.50 mg/Kg 2.50 5 06/0112113:10 TJS 6010D Test Results Units MQL DF Date / Time By Analytical Analyzed Method Arsenic 8.11 mg/Kg 0.500 1 05/29/2104:05 TJS 6010D Cadmium 0.586 mg/Kg 0.100 1 05/29/2104:05 TJS 6010D Lead 15.5 mg/Kg 0.300 1 05/29/2104:05 TJS 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit L Limit Exceeded Page 4 of 10 r O Waypoint 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 'Fax 804-271-6446 08361 ANALYTICAL www.waypointanalytical.com Willcox & Mabe Soil Solutions, PLLC Project Enterprise Rendering -Site 6 7231 B. Summerfield Rd Report Date : 06/01/2021 Information : Received : 05/25/2021 Summerfield , NC 27358 �0.1Vfc 1'l iffOwu/ Report Number :21-145-0047 REPQRTOPANALYSIS Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 76483 Matrix: Solids Sample ID : 6-3 Sampled: Test Results Units MQL DF Date 1 Time By Analytical Analyzed Method Nickel 9.48 mg/Kg 0.250 1 05/29/2104:10 TJS 6010D Mercury 0.0360 mg/Kg 0.0157 1 05/28/2112:03 DDB SW-7471B Selenium <2.50 mg/Kg 2.50 5 06/01/21 13: 16 T3S 6010D Test Results Units MQL DF Date 1 Tlme By Analytical Analyzed Method Arsenic 6.89 mg/Kg 0.500 1 05/29/2104:10 TJS 6010D Cadmium 0.732 mg/Kg 0.100 1 05/29/2104:10 TJS 6010D Lead 17.8 mg/Kg 0.300 1 05/29/2104:10 TJS 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit L Limit Exceeded Page 5 of 10 a Waypoint 7621 0 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 08361 ANALYTICAL www.waypointanalytical.com Willcox & Mabe Soil Solutions, PLLC Project Enterprise Rendering -Site 6 7231 B. Summerfield Rd Report Date : 06/01/2021 Information : R d 05 25 2021 Summerfield , NC 27358 Report Number: 21-145-0007 Lab No: 76484 Sample ID : 6-4 Test REPORTOFANALYSIS Results Units MQL eceEve / / Iawft 01 �(Oavr Pauric Mc Groary Ph.D., CPA Agronomist Matrix: Solids Sampled: DF Date 1 Time By Analytical Analyzed Method Nickel 7.53 mg/Kg 0.250 1 05/29/2104:16 TJS 6010D Mercury 0.0339 mg/Kg 0.0155 1 05/28/2112:04 DDB SW-7471B Selenium <2.50 mg/Kg 2.50 5 06/01/2113:21 TJS 6010D Test Results Units MQL DF Date I Time By Analytical Analyzed Method Arsenic 7.28 mg/Kg 0.500 1 05/29/2104:16 T)S 6010D Cadmium 0.717 mg/Kg 0.100 1 05/2912104:16 TJS 6010D Lead 16.3 mg/Kg 0.300 1 05/29/2104:16 T]S 6010D Qualifiers/ DF Dilution Factor L Limit Exceeded Definitions MQL Method Quantitation Limit Page-6 of 20 (2) O Waypoint, 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 o Fax 804-271-6446 08361 ANALYTICAL www.waypointanalytical.com Willcox & Mabe Soil Solutions, PLLC Project Enterprise Rendering -Site 6 7231 B. Surmerfield Rd Report Date : 06/01/2021 Information : Received • 05/25/2021 Summerfield , NC 27358 Report Number: 21-145-0007 Lab No : 76485 Sample ID : 6-5 Test REPORT OFANALYSIS Results Units MQL l awl't M t Grow/ Pauric Mc Groary Ph.D., CPA Agronomist Matrix: Solids Sampled: DF Date / Time By Analytical Analyzed Method Nickel 9.81 mg/Kg 0.250 1 05/29/2104:31 TJS 6010D Mercury 0.0299 mg/Kg 0.0154 1 05/28/2112:08 DDB SW-7471B Selenium <2.50 mg/Kg 2.50 5 06/01/2113:26 TJS 6010D Test Results Units MQL DF Date / Time By Analytical Analyzed Method Arsenic 7.41 mg/Kg 0.500 1 05/29/2104:31 TJS 6010D Cadmium 0.722 mg/Kg 0.100 1 05/29/2104:31 TJS 6010D Lead 19.1 mg/Kg 0.300 1 05/29/2104:31 TJS 6010D Qualifiers/ DF Dilution Factor L Limit Exceeded Definitions MQL Method Quantitation Limit Page 7 of 10 WayPAoint r NALYTICAL Client: Willcox & Mabe Soil Solutions, PLLC Project: Enterprise Rendering -Site 6 Lab Report Number: 21-145-0007 Date: 6/1 /2021 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com CASE NARRATIVE Metals Analysis Method 6010D Sample 76481 (6-1) Analyte: Selenium QC Batch No: L555892/L555469 This analyte was analyzed at a dilution due to IEC interference/matrix interference. Sample 76482 (6-2) Analyte: Selenium QC Batch No: L555892/L555469 This analyte was analyzed at a dilution due to IEC interferencelmatrix interference. Sample 76483 (6-3) Analyte: Selenium QC Batch No: L555892/L555469 This analyte was analyzed at a dilution due to JEC interferencelmatrix interference. Sample 76484 (6-4) Analyte: Selenium QC Batch No: L555892/1_555469 This analyte was analyzed at a dilution due to IEC interference/matrix interference. Sample 76485 (6-5) Analyte: Selenium QC Batch No: L5558921L555469 This analyte was analyzed at a dilution due to IEC interference/matrix interference. Page 8 of 10 ANALYTICAL Waypoint.0 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Shipment Receipt Form Customer Number: 08361 Customer Name: Willcox & Mabe Soil Solutions, PLLC Report Number: 21-145-0007 Shipping Method 0 Fed Ex 0 US Postal 0 Lab 0 Other. UPS 0 Client 0 Courier Thermometer ID: Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers/boxes received F 1 Custody seals intact on shipping container/cooler? 0 Yes 0 No Not Present Custody seals intact on sample bottles? 0 Yes 0 No Not Present Chain of Custody (COC) present? Yes 0 No COC agrees.with sample label(s)? Yes 0 No COC properly completed Yes 0 No Samples in proper containers? Yes 0 No Sample containers intact? Yes 0 No Sufficient sample volume for indicated test(s)? Yes 0 No All samples received within holding time? Yes 0 No Cooler temperature in compliance? 0 Yes No Cooler/Samples arrived at the laboratory on ice. 0 Yes No Samples were considered acceptable as cooling process had begun. Water - Sample containers properly preserved 0 Yes 0 No NIA Water - VOA vials free of headspace 0 Yes 0 No NIA Trip Blanks received with VOAs 0 Yes 0 No NIA Soil VOA method 5035 -- compliance criteria met 0 Yes 0 No NIA F_ High concentration container (48 hr) 7 Low concentration EnCore samplers (48 hr) F_ High concentration pre -weighed (methanol -14 d) F_ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes I* No Comments: Signature: Brandi Watson Date & Time: 5/25/2021 09:42:06 Page 9 of 10 r !3237 lIlll 1z�WayPA9YTICALn 035 Oa° WlUCOM E Mahe Sal{ Sulu+inns rLLC E+tlCl{7715C i�CndCfiq{7-SIIR G , 09:4+ 33 customer Information 4 Grower/Project Information Charge To Enterprise Rendering Willcox & 1Vlabe Soil Solutions, PLLC Attention: Rob Willcox 7231B Summerl�ieid Road Surnmerfield, N.C. 27358 Farm ID Site 6 Field lD 1 Phone # 1 (336) 339-9128 CSV Exp, Date: Credit Card # crop Info For Recommendations E-mail address rob@willcoxmabesoil.com S2M - Specify Additional Additional Intended Yield Alternative previous Cr( Lab Number Soluble S1M Tests S3M Salts Texture NO3-N jests Crop Goal Crop GoaYiell Sample 1D (Lab Use Only) B Cu Fe Mn Na S Zn Wheat X see below I Zn7 3 6-1 see below Wheat X i 6-2 X see below Wheat 6-3 � o see below Wheat w 6-4 see below Wheat 6-5 X ro a Special instructions or Additional Tests Mehlich Ili Test Packages mallet, 1'haspitnrus, Potassium, Calcium, Magnesium, pH, Buffer pH 1'csts in addition to S3M - L xcltiangcable Sodium Percentage (1 5P), Arsenic, Cadm+u+ for i•IC) -Need Liming S1M -Organic Cation Exchange Cap.u:ity, and % Base Saturation. Lead, Mercury, Nickel and Selenium (Sail samples S2M - Test S1M plus any two of ll+c fallowing; Sodium, Sulfur, Boron, Zinc, test (above two) costS2.00. ror Manganese, Iron, Capper. E� iclt additional zinc, Manganese, and Iron. E`cuail}res►►lLs'tcr:rut�(�� w licoxinabesoil com S3M - Test SIM plus Sodium, Sulfur, Baron, -Copper. i �bLel.S