WQ0016247_Modification_20210823

Initial Review
Reviewer Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
r Yes r No
Permit Number (IR)* WQ0016247
Applicant/Permittee Synagro Central, LLC
Applicant/Permittee Address 284 Boger Rd Mocksville, INC 27028
Is the owner in BIMS? r Yes r No Is the facility in BIMS? r• Yes r No
Owner Type Organization
Facility Name Synagro Western Piedmont RLAP
County Alexander
Fee Category Major
Is this a complete
application?*
c Yes r No
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Does this need review bythe hydrogeologist?* r Yes r No
Regional Office
CO Reviewer
Admin Reviewer
Fee Amount $395
Complete App Date 06/24/2021
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notfication
Comments for Admin
Comments for RO

Comments for Reviewer
Comments for Applicant

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by N B Staff
Name * Alex Fox
Email Address*
[e-mail]
electronic subnittal, confirmation of receipt, and other correspondence.
Project Information
........ ......... ..........................................................................................................................................
Application/Document Type* r New (Fee Req ui red)
c Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
Phone Number*
7048813429
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:* WQ0016247
Fbs Current Existing permt number
Applicant/Permittee* Synagro Central, LLC
Applicant/Permittee Address* 284 Boger Rd Mocksville, NC 27028
Facility Name * Synagro Western Piedmont RLAP
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Spec'rfications, Calculations, Rc.)
wpm21 a-06152021130544.pdf 11.53MB
Upload only 1 RCFdocurrent (less than 250 NS). Matiple documents nest be corrbined into one RJFfile unless file is larger than
upload limit.
* W By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Submission Date 6/15/2021

June 15, 2021
N. C• De
waterQualitypment °f Enviro
Non. r section went and Natural Resourc
es
RaIei S 769'ee9_ Center Unit — Non discharge per
�� NC
I636 ting Unit
ATTENTION:
REFERENCE; Mr. Nathaniel Thornburg
Majarr Moditicatia
Dear Mr. Thornb 'Q0016247) far the SY."' Western n Piedmont permlt we are adding three
and Sanford sources to our
Will wWT
Permit
turned! aroundbe transfeng ovs one w site being
City of Newt
Ina time! Over to ourpe ing which is °n Sit Clan Y and efficient rm t.1 look fo CH-60. Sites LT manor. rward to 32 ant wwTP,
working with you o gOgg and
get,
Sincerely
AIex Fox
afox c s
704_g81 _ an ° corn
3429
Technical Se
r"ces Specialist
S3'na�o East Division, LLC

Division of yy State of
ater Reso Department of N°rt� Carolina errces Environrimental
INST ISA NCAC 02T. Division of Quality
Please use the RUCTIONS �� 00 ` RESID Water Reso
followin FOR FORM. RLAP UALS LAND APPLIC urces
instructions g in
as a checklist in order to D6_j6 `�` S ATION PROGRAM
infor and checkingt UPPORTING DOCU
motion requested. he provided boxes ensure MENTATION
Permit application.Failure to sub will help produce a all required ' are sub
neUnless rnit all of the re quicker review rtems submitted, su ortin documentation otherwise noted the required items will lead to trine and Adherence to
A !leant s reduce the amount these
hall sub additional processin Of additional
For more in or mit one on in
and two a and review matior visit the co ies of the time for the
General — This a Water Quali a lication and
are generated frorppIication is for area tJ' Permitting Section's
tment, stora e Non-Dischar e Permattin
I SA NCAC 02T . a water treatment plant or other
, trans and/or land 1104. p°� Unit
type facilities) on the application of Class
Unless otherwise proposed or B residuals (ma
below. noted, the A current! Y incIude residuals that
Applicant steal! sub Y approved land a submit one original and include
site
A. Residuals Land A two copies (s) under
pies of the application and supporting Application Program {FORM;
Submit the co g documentation listed
do not make comp] and appropriate) RLAP 06`I6) A
Y unauthorized content ch executed Residuals LandPreAatron: (All Application Packa
the application may be made, as !on anges topplication pro ages):
refer. g as the this form. If necessary gram
The attachments are numbered oocclaorresty or due CRM RLAP 06-16) form Applicant's Certification on Pa to space restrictions Please
Person may be designated fie 5 of this fo pond to the section and item tt acl�ments to
NCAC 02T .OI06 b Hated as the signg ofticial i a delegation be signedwhich they
in accordance with I SA NC
If this project is for gation letter is AC 02T
Please submit a modification ofprovided from a 0206 An alte
this a an least
Iexistingperson who meets the criteria ' mate
o application fo permit, submit one co in I S q
peration ofpropOsed facili at Least I80 da copy Of the exist'
B' Application Fee ty(ies} for application days prior to the expiration date existing permit.
(New and Major Pa
A packages involvin the existing Submit a check g new or changes to treatment
pe�'t� or 90 days
Quality (NC check, oneY order or electronic fundsa on Packages) tment and storage y prior to
transfer g units. [:
made payable to: North Cal.olina De
Fa ~ -- partment of Env' alit n omnental
y Classificar.,,..
Major (land al.e New Permit
permitted for -`
300 acres) Major Madi�eation
Minor ('and are $1,310
Permitted for < 340 acres) ;FI - Am a or $395
adds J modification shall be $810
additional land a defined as
one program to ppIication areas any permit modification $245
another not previously a that: increases the `��
Previously Permitted ], adds additional residuals sources; generating
pproved.for that
C. Cover Letter mere is no fee form' , or includes thearticular program rig facility's residuals
(All Application iOr modifications to a addition of [including transferring di3 tonnage;
List all items ' Packages) permit. new treatment or storage uig Of field(s) from
D Environ included in the a fie units/
mental pplicationPacka e processes not
Assessments (May be Re Package, as well as a brief description of the re
Submit a copy of the quired—Sae IS
it,
Findings of No, A NCAC IC .0300 gUestedpermittin
treatmentoon on any mitigating factors gnificant (FONSI g action,
and storage ()from the pact
the cans fie facilities. An E Environ ) ° Envu'onmentaI Irn
construction of the sub' mental Assessment (EA) pact Statement
subject facilities may also be required
for privates ) that (EIS). Also
ystems if an pact the constriction of the Also,
residuals
Y public funds and/or lands are used for
SI'RUCTIONS FOR FORM: RLAP 06-16
Pagel of 3

z
H.
-Au" and Maintenance Plan For Modification A (New and Renewal
Submit the O pplication, if there are Application Packages)
&M Alan in accordance any changes to the ges
Operational with 15A NCAC existing plan
functionfunctions; describe the 02T .11 I 0 and submit an updated O&M
and by whom the functions Operation of the include at a minima Plan.
Maintenance schedules are to be conductedogmm to sho m:
may include e what operations are necess
Safety measures; qui
may include Pment calibration, maintenance for the
Spi1I response safety trainin of signs,
program to
-an; including g Program, manuals signs, gns, etc.
Inspection plan mg control, containment,' gns, etc.
including the foIl°wirr remediatio
Names and titles of g info n, emergent
persoimel res rmation; y contact info
Frequency and location ponsible omatlon, etc.
selected location for conducting the inspections,
Of inspections, including those to
O Detailed description of Inspection frequency
quency are representative
epresentaty e conducted by the ORC,
that noncompliance is Observed, procedures including
Of the residuals p ures to
and noted assure that the
Spling and g record keeping at
program. monitor' ping and actions to be p goani.
Names and titles "personnel
f mgplan includin take" b
perso g ttie following info Y the inspector in
Detailed descri tion of nnel responsible for omat�on; the event
P monitorin conducting the sampling Sampling frequency and g Procedures includin mplmg and monitoring.
flow, and other o Procedures to g Par'
to be
s Aerating conditions assure that representative samples monitored,
sampling plan shall account for can affect the quell m les
residuals to meet P are be
an the
quality of Ing collected,
Path and fiuctuatio the residuals gathered duringFluctuation In to
Year but have an annual sampling Vector attraction reduction re residuals quality and indicate
a Particular sampling Rely to be piing fro quell mperature
negatively affected b quencY, may qun•ements (e, indicate the most 2' g event The
Y cold temperature..y need to sample Burin g' facilities that land mzitin
THE FOLLO WrNG ADD g Winter months
apply Multipleg times for
F. ITIONAL ITEMS tlis When Pathogen times per
Program Deter reduction is most
urination G tO M ARE REQ7jIRED FOR D
Dedicated residuals land
EDICATED PRO
'lAn 12 Specifically a residuals I programs are n GSM ONLY,
Y land ones
application site certifiedorapplication which land a greater than program is designated
sites meet the criteria
agronomic rates, the
residuals !arid application as dedicated if
Any land a pplication in
and a application site certified program that receivers Of the
residuals following 15A NCAC 02T
gricultural cro for the residuals land a are a
Any land application
production is of secondport Pplica 1!
pplication site application es °r frequencies
facilities or ' Certified for the residuals land a ce. Program that is used
migation facilities fed thlou Primarily
Please contact the Y for residuals disposal,
falls under N°n-Discharge gh a fixed su program that receives residuals
.the dedicated ge Permitting Unit if PpI system. Program Information Program definitions. You need any assist through fixed '
Provide an ex anCe n dete irrigation
omuing whether your residuals
planation of why a dedicated s
Provide an ex program
Detailed planation of the dedicated s ystem is required instead of a conventional ri0 _
�F
Site Maps (All Ne system and its o
Submit three p' sets w orlVlodification A peration- n dedicated s
only), For Of Stan size PPhcatlon Packages) system,
PIans Modifications sub plans and two
Qmust include mit plans s (2) sets of I ! thefollowing specific to the
A general location ma g min' moditicationbs 17"plans (electronic format
relief Minimum items: () only, omat is acceptable -Adobe PDF
and showin P, a vic
The location Of gall facili pity map and a to topographic all wells ty related strut po aphic map with contours
Perennial) (including 'u es and fences Within the land a not exceed'
Delineation of the rev lakes,
and co g usage and Cons mg i 0 feet or 2S % of
ponds, and o construction pplication
Setbacks flier surface details if available area, the total site
as required b mpIiance drainage features )° sheams
Site prope Y 15A NCAC boundaries Within 500 feet of (ephemeral, lute
A ma oty boundaries within 500 feetf a l' intermittent, and
p showing the Land application site(s),
evaluation, g the entire ' waste
The ' Ligation area with treatment, store
irrigation zones as riigation plans shall showW Overlay storage and disposal site(s).
Plans Y Will be o each Y °f the suitable irrigation
must depict a co Aerated. h nozzle%mister and
CONSTRUCTIO completed design and wetted ones depicted by the soil scientist's
N, etc. not be labeled area (when aPAlicable
the ON FINAL ) that indicate that the with preliiniri ) Clearly label s
DESIG Y are anythin �' Phrases pray
�TRUCTIO N NOT RELEASED FO g other than final (e g'' FOR REVIE W NS FOR FO R CONSTRUCTION plans. However, the ONLY, NOT FOR
�: RI,AP 06_2 6 plans may be labeled
With
Page 2 of 3

EJ ju Z► aluation and Receiver Site Management Plan (All New A
Submit a Project evaluation and a receiver site mans emen
and their ability to accept the Proposed a Application Packages or Modifications that include new sites)
J Hydrogeola is P P g t Plan {if applicable) with recommendations concerning cover crops
g Report (AI] New A application rates.
Submit a detailed h pplication Packages or Modifications involving p
(All
evaluation in accordance
available at: htt ://www ncwater.or g'ncreasing the total design capacity)
in
Policies and Re u]ations, The document shall be signed, qualified professional. 4 and current Division Policy
K• Engineering Design Documents gned, sealed and dated Policy a
facilities fed through fixed su I (All New or Modification A
Pp Y system) pplication Packages with fixed irrigation facilities or
Submit engineering design documents that have been signed,
Professional Land Surveyor irrigation
specific to the modification(s) only, accordance with 15A g ed, sealed, and dated by a NC licensed Professional En
NCAC 02T .1 I04 d 2 . For Modifications, submit an updated site ma
Engineer and/or
The design documents must include the foIlowin
7 Engineering plans for the facili g minimum items: 1'
units or are critical to the understanding of the complete Process; equipment except those Previously
Permitted unless they are directly tied into the new
finished product s including describing
materials to be used p C str
method of construction, and means for ensuring Engineering calcuIationszncIu leaking testing; and
curve analysis for each pain g hydraulic and g quaIity and integrity of the
p, and irrigation designpollutant loading, sizing criteria, hydraulic profile, total dynamic f Soi] mapping units shown each
I.• Water Balance on all disposal sites. Y emit head
(All New Application Packa es or
irrigation facilities fed through fixed supply g Modifications that include new sites utilizin
Submit a com Ieted PPIY systems) g fixed
available at: p and accurate water balance in accordance with 15A NCAC 02T 1 IOq irrigation facilities or
h //www.ncwater.or /Rules Policies and
M• Property Ownership Documentation Recrulations/. d 5 and current Division Policy
or irrigation components) (All New °r Modification A h g
pp 'cation Packages involving
Property ownership documentation shall consist of one aft g new and/or relocated treatment
Legal documentation of ownershi
he following:
h ° Written notarized intent to p (�' e GIS, deed or article of
An easement rennin Purchase agreement signed incorporation), or
15A NCAC t running
, i gw with the land specifl fined by both parties with a plat or serve
or y indicating the intended use of the Y map, or
�] A written notarized lease a property and meeting
survey map agreement signed b the requirements of
y both parties, indicating the intended use of the property, as well as a pl
at at or
ONE ORIGINAL AND TWO COPIES OF THE CO
SUPPORTING INFORMATION AND MPLETED
MATERIALS, SHALL BE SENT TO THE FO OW NAppLICATION PACKAGE IN UDING ALL
NORTH CAROLINA DEPARTMENT OF ENV
�`DRESS:
DIVISION OF WATER RESOQUALITY
URCES
WING
G
WATER QUALITY PER SECTION
NON -DISCHARGE PERMITTING UNIT
B U•S. Postal Service:
I6I7 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27G99_1617 B Courier/S ecial Deliver
RALEIGH, NORTH CAROLINA 2760
TELEPHONE NUMBER: [phone]
4
FAX
NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16
Page 3 of 3

State of North Carolina
Department of Environmental
Division of Water Resources Quality
Division of Water Resources
ISA NCAC 02T .11Op _RESIDUALS LAND APPLICATION PRO
FORM; GRAM
L APPLICANT INFO Ap p6-16
RMATION:
L Applicant's name nay rb�Cenra]L
Applicant type: Individual
Corporation
Federal Q General Partnership
[] StateEJ Signature authority's name per Municipal Privately -Owned public Utility
I 5A NCAC 02T .0I06: ;'"� � Q County
g address:
Applicant's marlin br" kR Title:Teeliiitcaez�cess 2$4o ersRd Maier City
esMan
�ksvalle' State:
Telephone number 33 zip:70&- `mot
(�) 0 '1
2. Consultant's name: Email Address.g
Math ff c� nFSta
License Number (for P.E.
Affiliation: �;
M On Staff
[;� Retained (Firm: �)
Consultant's mailing address
City: Stag
Zip:
TeIe
phone number:
()' � �-'AAddress.
3. Agronomist'
�T/��
s Email
name:,---•-=
License Number Affiliation 0 N/A ED On Staff � Retained (Fn-m �^� �)
Agronomist's mailing address:..
city: LM State
Telephone-=- number, e6'"-
4. Soil Scientist's n Email Address:
ame: Christo her Murra License Number: 1284
Affiliation N/A M
On Staff IK Retained (Firm: Pie
Soil Scientist's mailing address: 5401 Thacker Da' Piedmont Environ
mental Associates)
City: green o State: hL Rd,
Telephone number 336
(215-8_82p Zip: 27406-
5. Fee submitted: jkM (See Instruction B) Email Address
II• PERMIT INFORMATION-
I- Application is for (check all that apply): Ej new,
2. If this application is being 0 modified, [ renewed permit
pp g submitted to renew or modify Permit number: to
00�624;"7 anexisting permit, provide the following:
Date of most issued permit:
Date `I`II1:%{j
of most -recently certified Attachment A permit): Date of most -recently certified Attachment $ ( (if different than the p t): 6/
if different than the permit):6/
1/21
FORM: RLAP 06-16
Page I of 5

4.
IIL RESIDUALS LAND
AppLICATION PRpG
I • Residuals Processin RAM INFORMATION:
g Facility's physical address 2°84 Bo `er Rd
City: Moe k�Vii�e
Coordinates: State IVCi
Latitude 35� 5:g' 2:7"
zip.. L702
g_
Datum N--A ,g4 Longitude ,gip° o,
Method of measurement Level ofaccuracy:
>� v
M_.,A1�Se.^ coz
County where residuals land a
List the O application program is head Operator
In Responsible Char quartered: I}- AA6
certification numbers Charge (ORC) and their affiliations ' )and all Back -Up ORCs for
m the following table: the residuals land a
Designation pplication
Name program, their
ORC
tob�r. Rofb
Back -Up ORC
Additiondm Bar
al Back -Up
ORCs
(if a licable ,
Affiliation
Certification Number
Yagro;Ll�
*6653
If an ORC
and at ]east one Back-U
candidates'
names, afflhations, and ORC are not currently
and certification tted
est ^, estimated tim schedule fordesignaea h o did residuals
Gals land application program
Complete the following
ompletion of ,provide the
g tables regardingthe required training school
a' Plant Available Nitro management °f the residuals land
source- en Sumxna Deterrn' application program:
generating facilities as c rrle the rnaxirnum
following table: gently certitzed and plant available nitrogen
Proposed for certifcation g (PAN) Maximum a with this a ) generated by all residuals
mount of residuals to be certifAed: 4658 application and list the results in the
dry tons per year.
Y► A Z
Proposed for certification with this a - Summarize info r�y�S4I
application:
information regarding the land a
pplication sites as currently certified and
Category
Uce
FORM: RLAP 06-16
Page 2 of 5

c. Residuals Land A licafio�a Summa
certified and proposed for cot
assuming ng he scenarios
etermine the iios acreage required to land apply the residuals as
Assumed listed
in the following table: currently
Application Rate Acres Required U '
First -Year P sing
(l6s PrIN/ac lac- AN Concentrations Acres Required Usi
Five-yearng
Maximum Adjusted PAN
Surface Concentrations
Incorporation or
Injection Surface Incorporation or
sa 1639.3
Ioo
1962.3 2473.8 Injection
150
$19.7 2796.8
zao
981.2 1236.9
546.4 1398.4
6•
654.1 824, b
409.8 932.3
490.E 618.5
If applicable, provide a plan and a 699.2
residuals due to the violation ofNo schedule to resolve an
y known
Practices not in Carolina AdministrativeCode (e.g.
that would p a
place, etc)(g. not enough storage,
tore prevent land proposed
application of the
7. Specify type of residuals
ro g not enough land vector reduction
p gram (See Instruction F
IfDedicated s )• � Nan -dedicated
�, pecify the following (check all that apply):
Dedicated
Residuals program contains
rates, explain,' any land application site(,)
==-that receives residuals at rates or frequencies Residuals program contains
production is of second any land application sites greater than agronomic
y importance, explain; _ f) that is used primarily for residuals dis
Residuals program contains posal
facilities fed throe any Iand a ,and agricultural crop
through a fixed supplyptern, on sites) that receives residuals throe
system, explain, �
IV. RESIDUALS SOURCE INFO gh fixed irrigation facilities or
Complete and sub RMATION: irrigation
(Required for all new, renewed, or modified residuals sour
submit the following Residuals Source Certification and all associated
f3HO'
ce)
crated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION:
Complete and submit the follow' (Required for all new, renewed or
mg Land,gpplteations Site � modified land a
- Certification and all associated doc application site)
umentation.
Land Application Siite
Certification. doc
FORM: RLAP 06-I6
Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with faced i
VI. DESIGN INFORMATION The iFOR rrt anon s stem onl
R FIXED IRRIGATION SYSTEM
1 • rr'
zga"on system is: ED Spray
2• Disposal system is: (' existing
3.
4.
5
Drip
Proposed,
Min
i
mum depth to mean seasonal high water table {SIIWT v
below ground surface. Rules 15A NCAC 02T .OSOSir
surface, requires at�leastgation sites(s) Per one foot vertical SSOilrScientist's Evaluation �_ Feet
separation between SHWT and r f
Are there any artificial drainage
rama e or ground
g water movement structures within 200 feet of anyirrigation
[] Yes or �] No If Yes,
structures are to be Please explain if the soil scientist report addresses rtificial structure
ea?
maintained or modified
ucture and please indicate if
Loading rates recommended by the Soil Scientist Evaluation;
Soil Series Fields within Soil Area Recommended
LoadingRecom mended
Rate Loading
6• Design Ioadin 24
g rates are equal or less than
Yes or ;_ the loading reco
�] No If No, explain why15A mrnended by Soil Scientist?
7• Non -dedicated System Design (fill in the a NCAC 02T .0505 n is not met: F 2
--
ppropriate geld Zone Design Ar
ea information for either a spray or drip irrigation system);
ftz Num her of Maximum A
/
Nozzles pAlication Design An Rate alto g nual Loadin
WF `� ns/hr Rate
allg
.. - ons/ r
Total
,n
Spray Irrigation Design Element
Wetted diameter of nozzles Plan Sheet SPecification
Wetted
Number Pa a Number
area of nozzles $::!
Nozzle capacity
ftz.
Nozzle '
manufacturer / model gpm
Elevationf A i „
o highest nozzle
' M.
kft
FORM: RI,AP 06-16
Page 4 oF5

Applicant's Certification ( g
Sf ningaUthorit
The a Y must be in compliance with f5A NCAC 02T .0106):
applicant or any affiliate has not been convicted of
closure, does not have an Outstanding civil penal envnOenta2 crime
and do not have penalty where all a , has not abandoned a wastewater facility
Yes anY overdue a appeals have been exhausted or abandoned,tY without 10
nnual fees under Rule I5A NCAC 02T .0105, mpliant with an
Q No, Explain, .�i:........_`` are co p per
y active
I,
{Signature Authority's Name
attest that this a PLEASE PRINT)
pplication for
Synagro Central, LLC
(Facility Name)
(Title)
has been reviewed b �
Y me and is accurate and complete to the best of m
may not conduct a technical
granted in the hnical review of this program and a Y knowled
which may permit' Further, approval does not constitute a variance to an
any discharge ge. I Understand that the Division of
Y include civil penalties g of residuals to surface Water
Resources should a condition of injunctive relief waters or Resources
and/or cr' the land Y rules or statutes unless s
and that if all re this permit be violated, iminal will result in an immediate enforcementpecitically
incomplete. required supportin info I also prosecution. I will make no cla'
g information and understand that if allrequired d im against the Division action,
attachments are not included, this a Parts of this aWater
Note: In application pplication are not completed
accordance with North package will be returned
statement, representation, Carolina Will
Statutes to me as
exceed $IO,000 or certification in anY application
and §143-215.6B
as well as civil penalties u pplication shall be
p to $2 pplic guilty of a Class 2 ' ally
person who know
makes an
per violation, misdemeanor, which ma Y false
Y include a fine not to
Signature:
Date: /O Z
FORM: RLAP 06_16
Page 5 of 5

SPILL RESpO
NSL pLAN
- INIEVENT OF - -� •� vuI6247 MEDIA TEL y; A SPILL T
HE FOLLOW�G ACTIONS SHALL L MA NA GEIV�NT OF SP BE TARN
ILL CLEA�r UP ACTIN
The Synagro Operations �S'
equipment is to Manager shall take im
NC De be utilized. In the event addition lla to and
Department of Transportationcharge and initiate clean_'
and other private contractors
is ra p activities, Synagro labor and
2. HALT TIIE SO as necessaryquired, assistance May SCE OF THE SPILL; Y be requested from the
Such as a ruptured container or damaged trap
THE SP sport unit.
3. CONTAIN
ILL:
Form a barrier. Sufficient augment the straw bale co ta, tides of straw shall be used for such
spill site will advise the clean-up area of the spill.
purposes. Earthen b
UP operation, i.e personnel where to The Synagro Operations barriers may be constructed to
IOcal farmers f get the strayv Manager or the
4. CLE supplY centers ' lime, and other ite person in charge ,nurseries, etc. ms necessary on the
ry to complete the clean -
Employ front-end loaders, vacuum e ui
much of the s q pment, sludge a
material, The �IIad material as
straw- possible. Straw and/or sand
vehicles, and/or local se
representatives of the and sand_soaked and should be scattered in the s
state re In will o collected area to
tank service to remove as
S. regulatory agency. and removed to a disposal area ap sook ❑
FINAL p the remaining
CLEAIV_Up; p ved by
Employ rotary brush s
state regulatory repres neater if needed and apply lime to
Of the property owner and state of the event occurs o the spill area u
condition if regulatory n private property, upon the a the clean-up Possible. rY representatives. The pew' the clean- approval of
ultimate up will be co P efforts by the
goal will be to restore the Sted to the satisfaction
6• NOT�ICATION:
pill area to its original
As soon as possible after the
office, and they will spill occurs, the S
reached at 336- then be responsible the
SYn inro Operations
790-1610. Usin Manager or assistant will noti
g the provided extensions, ca Is are oa fy the S
7• REPO gro personnel. The S Ynagro Central
REPORTING rwarded to the a Ynagro MocksvilIe office can be
appropriate
staff.
Synagro Central p Hurl will notify than 24 hours erso
after, or on the next working Mooresville Regional office at
report within 48 hours of day following the occurre (704 663-
ore
actions taken. S the spill to the Tec ) 1699 as soon as
within S da s Ynagro Central hnicaI Services D Occurrence. The O possible, but not
Y ofthe occ personnel will (file a 'rector. operations
Manager shall mien
ncidences urrence. For after hours reportingitten report to the port shall list all relative infopravide a written
(1-800-858-0368) or 9n s Mooresville Re rmation and
( 19-733-3300), e Divisio ' x nc gional office of the NCDE
g Y number shall be called to report p all

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247 (Synagro Western Piedmont RLAP)
Inspection Plan
Inspections will be conducted on a weekly basis at the land application site during activities of the project. Inspection
frequency is based on the time frame to complete the project and the amount of dry tons to be land applied from the
facility. In all cases, fields shall be inspected during application or within 48 hours following application. The inspections
will consist of inspecting a current field that is being applied as well as inspecting random fields that have been completed.
These inspections will consist of:
1. Verifying that the "Pre -Operations Check List" has been completed and signed by both operational and technical
staff.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and
maintenance plan.
4. Insuring that the field has been flagged properly and that all buffers are being adhered to.
5. Insuring that the "Crop and Landowner Verification" form has been filled out.
6. Verifying that the residuals have been adequately sampled to confirm compliance.
The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall report
by telephone to the NCDENR/DWR Mooresville Regional Office at 704-663-1699, as soon as possible, but no later than 24
hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the following.
• Any occurrence with the distribution program resulting in the land application of significant amounts of
material that is abnormal in quantity or characteristics.
• Any failure of the distribution system that results in the release of material to surface waters.
• Any time that self -monitoring information indicates that the facility has gone out of compliance with the
permit.
• Any process failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 800-662-
7956, 800-858-0368, or 919-733-3300. These numbers are to be called in the event of a release to surface waters or
imminent failure of a storage system when the event occurs outside of normal business hours. Within 5 days of the first
notice of an occurrence, a written response in the form of a letter shall be sent to DENR outlining the actions taken or
purposed actions taken to ensure that the problem does not recur.
Persons responsible for inspections on this project are as follows:
Robert N. Roth, Technical Services Manager or his designee

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247
Sampling Plan
Sampling for this project consists of sampling the residuals prior to each land application event. The chart at
the bottom of Attachment A provides a listing of required sampling, based on the dry tonnage applied from
each individual WWTP. Based on the recent dry tonnage applied, each plant will need to be sampled either
once or four times per year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1, 2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1, 1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2, 4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachlorethane (3.0)
2,4,5-Trichlorophenol (400.0)
M-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP ( Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
The residuals will also be sampled based on the chart below for the following constituents
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
pH
Plant Available Nitrogen (calculation)
Selenium
Sodium
%Total Solids
Total Kjeldahl Nitrogen
Zinc
In order to meet pathogen requirements, the material from each plant will be sampled for fecal coliform density. The
means to verify vector attraction reduction monitoring requirements will vary based on each plant. The samples that will
be pulled for the TCLP, nutrient and metals sample, and fecal coliform density will be taken from the storage areas of each
plant. In contrast, for the City of Statesville's WWTPs and Calriant's WWTP, the samples will be taken prior to belt -
pressing the residuals as directed by testing requirements. Samples collected for nutrients/metals analysis and TCLP/RCI
will be composite samples. The following people are responsible for sampling:
Robert N Roth, Technical Services Manager or his designee.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247 (Synagro Western Piedmont)
Operational Functions
The operation function of this project is going to involve land application of either liquid or dewatered residuals. Liquid
material will be either be mixed in a basin or with a lagoon mixer prior to loading of tankers. Dewatered cake material
will be loaded into end dump trailers at the plant and transported to the field. Once at the field, dewatered cake will be
dumped and loaded into cake spreaders and liquid materials will be offloaded to liquid applicators. Both liquid and cake
material is going to be spread at agronomic rates that are determined by the nutrient and metal sample that is current
for that monitoring period. Liquid material will be spread with a liquid applicator that will use pressure to spread the
material in such a way to achieve a consistent spread pattern. Cake material will be applied with side discharge
spreaders. The material is going to be land applied on fields that are in normal agricultural row crop production or grass
land.
Safety Measures
Synagro believes in operating in a safety conscious manner and has all employees participate in quarterly online safety
course that are designed to help its employees recognize safety issues and take steps to prevent accidents from
occurring. In addition, all Synagro employees have the authority to stop operations if they think any aspect of the
operation is going to cause environmental or personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule as recommended by the Synagro fleet manager for the equipment
necessary to complete the job.

State of North Carolina
Department of Environmental Quality
Big Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
in M INCTRITCTIONS 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
supilorting documentation
For more information, visit the Water Quality Permitting Section's Nan -Discharge Permitting Unit
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
® For modified permits, submit a separate certification for only those facilities that are affected 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 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
® For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of I

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State of North Carolina
Department of Environmental Quality
DW..A.L.
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Ct of Sanford
2. Facility permit holder is: Federal, M State, 0 Local Government, or Ej Private.
Facility permit issued by: Div. of Water Resources, Div. of Environmental Health,
or Other (explain ,).
3. Facility contact person and title: Scott Sile!Kky, Water Reclamation Administrator
Complete mailing address: PO Box 3729
City: Sanford State: NC Zip: 27331 E
Telephone number: `19) 777-1781 E-mail address: scott.silgft@a,sanfprdne.net
4. Facility physical address: 5327 Iron Furnace Rd
City: Sanford State: NC Zip: 27331-'`
Coordinates: Latitude: 35' 32' 47.25" Longitude: 79' 13' 10.22"
Datum: Map Level of accuracy: Second
Method of measurement: Man
5. Purpose of the facility:
01 treatment of municipal wastewater, 7h3 treatment of 100% domestic wastewater,
Ej treatment of potable water, Ea treatment of 100% industrial wastewater,
treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentagesa ` % industrial andl;° % domestic)
other (explain:b'"
6. Does the facility have an approved pretreatment program: M Yes Ej, No
7. Facility permitted/design flow: 6_8 MGD and facility average daily flow: 663 MGD
8. Average amount of residuals being generated at this facility 611 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Aerobically digested liquid, 2 —1 million gallon tanks
Type and volume of residuals storage (i.e., outside of residuals treatment units): Aerobically digested liquid. 4 — 1 million
allogn_tanks
IL RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
40 CFR Part 503 or Ej 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 rM. Non -Biological
FORM: RSC 06-16 Page 1 of 5

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).
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: M yes MI no.
If yes, list the number(s): 'E0.
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: yes 0. no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Summit Environmental Technologies. Inc. and Date of analysis: 1/13/2021
Passed corrosivity test: yes D no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ( yes ED no. Flashpoint: 140 IF (> 140°F)
Passed reactivity test: Eyes Ono. HCN: ND mg/kg (<250) & H2S: 30 mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/0
TCLP Parameter
Limit
(mg/1)
Result
(m9/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1, 1 -Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Face Analytical Services, LLC and Date of analysis: 01/26/2021
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mglkg)
Monthly Average
Concentration Limits
(Class A Only)
(mg1kg)
Result
(mg1kg)
Arsenic
75
41
3.9
Cadmium
85
39
0.74
Copper
4,300
1,500
190
Lead
840
300
15
Mercury
57
17
ND
Molybdenum
75
n/a
8.7
Nickel
420
420
23
Selenium
100
100
3.5
Zinc
7,500
2,800
490
h. For Surface Dis osal Unit land tll : 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: L4] 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)
„v > 0 but < 25
30
200
210
> 25 but < 50
34
220
240
> 50 but <75
39
260
270
75 but < 100
46
300
320
> 100 but < 125
53
360
390
125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 5.13 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Pace Analytical Services, LLC and Date of analysis: 01/29/2021
Parameter
Result
(m91k9)
Aluminum
8400
Ammonia -Nitrogen
7600
Calcium
8300
Magnesium
2800
Nitrate -Nitrite Nitrogen
83
pH (Standard Unit)
7.5
Phosphorus
14000
Potassium
3800
Sodium
1400
Total Kjeldahl Nitrogen
33000
c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR):Er
[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: jLd %. This
rate is a (check one): 0 default value, or a actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (111) Year PAN
Five -Year
Maximum Adjusted PAN
(mglkg)
(mg1kg)
Surface
11503
16458
rInjectionitneorporation
15303
20258
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: I
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 E uivalent:
A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
Alternative 1 [I5A NCAC 02T. 1 106(b)(3)(A)] - Time/Temperature Compliance.
Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment.
s' Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 4 [15A NCAC 02T.1 I06(b)(3)(D)] - No Prior Testing for Enteric VirusNiable Helminth Ova.
Alternative 5 15A NCAC 02T.1106 b 3 E - K - Process to Further Reduce Pathogens PFRP
Specify one:. composting, .. heat drying, heat treatment,
thermophilic aerobic digestion,10,1
beta ray irradiation,
gamma ray irradiation, or pasteurization.
b. Far Land Aplication of Class B.
Alternative I [I5A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T. 1 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: > M aerobic digestion, air drying, JR anaerobic digestion,
Em composting, or lime stabilization.
c. For Sur ace Dis osal:
Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11.7a. above.
Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item I1. 7b. above.
M Exempt -If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8, Vector Attraction Reduction (VAR): Per 15A NCAC 02T.11.0.7, specify how residuals will meet the VAR requirements:
Alternative I [I5A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T. i 107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
Alternative 8 [15A NCAC 02T.I 107(a)(8)1 - Drying of Unstabilized Residuals.
Alternative 9 [15A NCAC 02T. I 107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.I 107(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

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VICINITY MAP SYNAGR�
COUNTY: Lee OWNER(S): Sanford WWTP

Residuals Sampling Plan
City of Sanford Land Application Program
Big Buffalo Wastewater Treatment Plant
Nutrients and Metals Analysis
Sampling Point: Basin
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Composite
Lab: Pace Analytical Services, LLC
Pathogen (Fecal Coliform Density Demonstration)
Sampling Point: Basin
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab (Sett of 7)
Lab: Cameron Testing
Vector (38% VSR)
TCLP
Sampling Point: Basin
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Composite
Lab: Cameron Testing
Sampling Point: Basin
Sampling Frequency: Annually
Sample Type: Composite
Lab: Summit Environmental Technologies, Inc

Quantitative Justification for Residuals Production
Big Buffalo WWTP is currently permitted for 1000 dry tons/year. Based on the past 3
years dry tonnage land applied data for Big Buffalo WWTP, there is no request to change
this amount at this time.
2018:
450.86 dry tons
2019:
427.30 dry tons
2020:
953.75 dry tons
Average: 610.64 dry tons
Chris Wynne
Technical Services Specialist

d�o�
Eg,-Oq SUMM111
ENVIRONMENTAL TECHROL.OGIES, INC
LLJ An> $yftattibararcrfog
January 13, 2021
Alex Fox
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL:
FAX:
RE: WWTP
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohlo 44223
TEL: [phone] FAX.- [phone]
Wabsite: trek.
Dear Alex Fox: Order No.: 21010192
Summit Environmental Technologies, Inc. received 1 sample(s) on 1/6/2021 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results, please feel free to call the
laboratory.
Sincerely,
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
Arkansas 88-0735, California 2943, Colorado, Connecticut PH-0108, Florida NELAC E87688, Idaho 01100923, Illinois 200061, Indiana C-OH-13, Kansas
E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Maryland 339, Michigan 9988, Minnesota 1780279, Nevada 011009232020-1, New
Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and 631, North Dakota R-201, Ohio DW, Ohio VAP CL0052, Oklahoma
2019-155, Oregon 011200001, Pennsylvania 011, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-19-16, Utah OH009232020-12,
Virginia VELAP 10381, West Virginia 9957C
Page 1 of 37

Summit Environmental Technologies, Inc. Case Narrative
ERM SUMMIT 3310 Win St.
UJENVIRONMENTAL TEOk6NtaWCPES. INC Cuyahoga Falls, Ohio 44223 WO#: 21010192
AnMy t of l-_aboratat'ies TEL: [phone] FAX: [phone] Date: 1/13/2021
Website: httn:Uwww.settekcom
CLIENT: Synagro
Project: WWTP
WorkOrder Narrative:
21010192: This report in its entirety consists of the following documents: Cover Letter, Case Narrative,
Analytical Results, QC Summary Report, Applicable Accreditation Information, Chain -of -Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditation/certifications listed at the bottom of
the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program
Anayytes Report" for accredited analytes list.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any
continents or problems with the analytical events associated with this report are noted below.
Original
Page 2 of 37

Summit Environmental Technologies, In Qualifiers and Acronyms
summist 3310 Win .4
ENVIRONMENTAL TEt"fitt+iOt.OWS, INC Cuyahoga Falls, Ohio 442� WO#: 21010192
AoalytkW Labaratari-as TEL: [phone] PAX, (330) 253-445
Date: 1/13/2021
Website: he.-Airww.settekao
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
11 The compound was analyzed for but was not detected.
J The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
H The hold time for sample preparation and/or analysis was exceeded.
D The result is reported from a dilution.
E The result exceeded the linear range of the calibration or is estimated due to interference.
MC The result is below the Minimum Compound Limit.
* The result exceeds the Regulatory Limit or Maximum Contamination Limit.
to Manual integration was used to determine the area response.
d Manual integration in which peak was deleted
N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P The second column confirmation exceeded 25% difference.
C The result has been confirmed by GC/MS.
X The result was not confirmed when GC/MS Analysis was performed.
BIMS+ The analyte was detected in the associated blank.
G The 1CB or CCB contained reportable amounts of analyte.
QC 1+ The CCV recovery failed low (-) or high (+).
RIQDR The RPD was outside of accepted recovery limits.
QL-1+ The LCS or LCSD recovery failed low (-) or high (+).
QLR The LCS/LCSD RPD was outside of accepted recovery limits.
QM-1+ The MS or MSD recovery failed low (-) or high (+).
QMR The MSIMSD RPD was outside of accepted recovery limits.
QV-/+ The 1CV recovery failed low (-) or high (+).
S The spike result was outside of accepted recovery limits.
Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND
Not Detected
RL
Reporting Limit
QC
Quality Control
MDL
Method Detection Limit
MB
Method Blank
LOD
Level of Detection
LCS
Laboratory Control Sample
LOQ
Level of Quantitation
LCSD
Laboratory Control Sample Duplicate
PQL
Practical Quantitation Limit
QCS
Quality Control Sample
CRQL
Contract Required Quantitation Limit
DUP
Duplicate
PL
Permit Limit
MS
Matrix Spike
RegLv1
Regulatory Limit
MSD
Matrix Spike Duplicate
MCL
Maximum Contamination Limit
RPD
Relative Percent Different
MinCL
Minimum Compound Limit
ICV
Initial Calibration Verification
RA
Reanalysis
ICB
Initial Calibration Blank
RE
Reextraction
CCV
Continuing Calibration Verification
TIC
Tentatively Identified Compound
CCB
Continuing Calibration Blank
RT
Retention Time
RLC
Reporting Limit Check
CF
Calibration Factor
DF
Dilution Factor
RF
Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 3 of 37

Summit Environmental Technologies, Inc.
3310 Win St.
UJENVIZONMENTAL TECHNOLOGMS, INC Cuyahoga Falls, Ohio 44223
Armlytical Labaralorla.s TEL: [phone] FAX- [phone]
Website: hhup,://www.settekcom
CLIENT: Synagro
Project: WWTP
Workorder
Sample Summary
WO#: 21010192
13 Jan-21
Lab Sampler Client Sample ID Tag No hate Collected Date Received Matrix
21010192-001 Sanford WWTP 1/5/2021 1:00:00 PM 1/6/2021 11:10:00 AM Sludge
Page 4 of 37

EEEq summlir
Summit Environmental Technologies, Inc.
3310 Win St.
Analytical Report
ENv1l10NrAf:NTAL TEC"NOLOGiE , INC
Cuyahoga Falls, Ohio 44223
(base report)
Anatyrttce! Lebareforles
TEL: (330)
253-8211 FAX- [phone]
WO#: 21010192
Website: hM2.11www.settek,
Date Reported: 1/13/2021
CLIENT: Synagro
Tag Number:
Matrix: SLUDGE
Collection Date:
1/512021 1;00:00 PM
Lab ID: 21010192-001 A
Project: WWTP
Client Sample ID Sanford WWTP
Analyses Result
RL
Qual Units
DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW7470A
SW7470A Analyst: ERA
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury
ND
0.00200
mg/L
1 1/11/2021 2:02:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW6010D
SW3010A Analyst: EAM
TCLP METALS ANALYSIS (SW1311/6010)
TCLP Arsenic(As)
ND
0.500
mg1L
1 1/11/2021 12:00:29 PM
TCLP Bariu3n(Ba)
ND
5.00
mg&
1 1/11/2021 12:00:29 PM
TCLP Cadmium(Cd)
ND
0,100
mg/L
1 1/11/2021 12:00:29 PM
TCLP Chromium(Cr)
ND
0.200
mglL
1 1/11/2021 12:00:29 PM
TCLP Lead(Pb)
ND
0.600
mg&
1 1/11/2021 12:00:29 PM
TCLP Selenium(Se)
ND
0.0500
mglL
1 1/11/2021 12:00:29 PM
TCLP Silver(Ag)
ND
0.500
mglL
1 1/11/2021 12:00:29 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8270
SW3510C Analyst: SFG
TCLP SEMI-VOLATILES ANALYSIS (SW131118270)
1,4-Dichlorobenzene
ND
0.200
mgiL
2 1/9/2021 1:06:00 AM
2,4,5-Trichlorophenol
ND
0.500
mglL
2 1/9/2021 1:06:00 AM
2,4,6-Trichlorophenol
ND
0.500
mg/L
2 1/9/2021 1:06:00 AM
2,4-Dinitrotoluene
ND
0.100
mglL
2 1/9/2021 1:06:00 AM
Cresols, Total
ND
10.0
mg1L
2 1/9/2021 1:06:00 AM
Hexachloro-1,3-butadiene
ND
0.0400
mg/L
2 1/9/2021 1:06:00 AM
Hexachlorobenzene
ND
0.100
mg1L
2 1/9/2021 1:06:00 AM
Hexachloroethane
ND
0.200
mg1L
2 1/9/2021 1:06:00 AM
Nitrobenzene
ND
0.200
mg1L
2 1/9/2021 1:06:00 AM
Pentachlorophenol
ND
0.500
mglL
2 1/9/2021 1:06:00 AM
Pyridine
ND
0.500
mglL
2 1/9/2021 1:06:00 AM
Surr: 2-Ruorophenol
81.1
10 - 157
m %Rec
2 1/9/2021 1:06:00 AM
Surr: Phenol-d6
77.5
10 - 169
%Rec
2 1/9/2021 1:06:00 AM
Surr: Nitrobenzene-d5
85.6
32.1 - 130
%Rec
2 1/912021 1:06:00 AM
Surr: 2,4,6-Trlbromophenol
102
45.4 - 166
%Rec
2 1/9/2021 1:06:00 AM
Surr: 2-Fluorobiphenyl
86.4
35.7 -130
%Rec
2 1/9/2021 1:06:00 AM
Surr: p-TerphenyW14
114
74.7 -145
%Rec
2 1/9/2021 1:06:00 AM
Qualifiers: B Analyto detected in the associated
Method Blank
E Value above quantitation range
H Holding times for preparation or analysis exceeded
M Manual Integration
used to determine area response
MC Value is below Minimum Compound Limit.
N Tentatively identified compounds
ND Not Detected
P Second column confirmation exceeds
PL Permit Limit
R RPD outside accepted
recovery limits Original
RL Reporting Detection Limit
U Samples with CalcVal < MDL
Page 6 of 37

Summit Environmental Technologies, Inc.
Analytical Report
SUMMIT
3310 Win St.
(base report)
ffl
ems%vl r)N MEt4T .L TEMatR�gt.t]CILS, INC
Cuyahoga Falls,
Ohio 44223
WO#: 21010192
Anasyoval Uthoralariss TEL. (330)
253-8211 FAX- [phone]
Website:'//www. tt co
Date Reported: 1/13/2021
Tag Number:
CLIENT: Synagro
Collection Date:
1/5/2021 1:00:00 PM
Matrix: SLUDGE
Lab ID: 21010192-OOIA
Project: WWTP
Client Semple ID Sanford WWTP
Result
RL Qual Units
DF Date Analyzed
Analyses
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8081
SW3570C Analyst: CSS
TCLP PESTICIDES ANALYSIS (SW131118081)
NO
fl.0250
mglL
1 1/11/2021 11:20:00 PM
Chlordane, total
NO
0.00
mg/L
1 ill 11202111:20:00 PM
NO Toxaphene
0.002W
mglL
1 1/111202111:20:00PM
Endrin NO
0.00250
mglL
1 ill112021 11:20:00 PM
gamma-BHC ND
0.00250
mglL
1 1/11/2021 11:20:00 PM
Heptachlor NO
0.00250
mg/L
1 1/11/2021 11:20:00 PM
Heptachlor epoxide
NO
0
mglL
1 111112021 11:20:00 PM
Methoxychlor
66.0
1 0 -119 119
%Rec
1 111112021 11:20:00 PM
Surr: TCMX
82.3
10 -119
%Rec
1 ill1/2021 11:20:00 PM
Surr: DCB
SW8321A
Analyst: JPG
TCLP HERBICIDES BY EPA 8321 B
NO
0,500
mg/L
50 1/9/2021 9:33:00 PM
2,4-D NO
0.500
mglL
50 1/9/2021 9:33:00 PM
2,4,5-TP
70 130
%Rec
50 1/9/2021 9:33:00 PM
Surr: 2,4-Dichloraphenylacetic ad101
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8260
SW1311M Analyst: SLV
TCLP VOLATILES ANALYSIS
50 1/8/2021 10:05:00 PM
1,1-Dichloroethene NO
0.250
0
mglL
mg1L
50 1/812021 10:05:00 PM
1,2-Dichloroethane NO
A0
5.00
mglL
50 1/8/2021 10:05:00 PM
NO
MEK NO
0.250
mg/L
50 1/8/2021 10:05:00 PM
Benzene
N
0
mg1L
50 1/8/2021 10:05:00 PM
Carbon tetrachloride
20
mglL
50 1/812021 10:05:00 PM
Chlorobenzene NDO
N❑
.550
0.250
mglL
50 1/8/2021 10:05:00 PM
Chloroform
NO
0.250
mglL
50 118/2021 10:05:00 PM
Tetrachloroethene
NO
0..10100
mg
50 118/2021 10:05:00 PM
NO Trichloroethene
00
mgl/LL
50 11812021 10:05:00 PM
Vinyl chloride
70 -130
%Rec
50 1/612021 10:05:00 PM
Sun105 : 4-Bromofluorobenzene
105
70 - 130
%Rec
50 116I2fl21 10:05:00 PM
Surr: Dibromofluoromethane
97.6
70 - 130
°
%Rec
50 1/8/2021 10:05:00 PM
Surr: Toluene-d8
B Analyte detected in the associated Method Blank
E Value above
quantitation rangy
Qualifiers:
ll Holding times for preparation or analysis exceeded
M Manual integration used to determine area response
MC Value is below Minimum Compound Limit.
N Tentatively identified compounds
Second can£irmation exceeds
ND Not Detected
p column
R RPD outside
accepted recovery limits Ori&al
p
PL Permit limit
U Samples with CalcVal < MDL
RL Reporting Detection Limit
Page 7 of 37

SammitEnvironmental Technologies, Inc.
Analytical RepoY`t
As Am3310
sul"Miat
Win St.
44223
(base report)
15NVIfJONh11_NTALWCtttd[3i.:l7Ws.INC
In
Cuyahoga Falls, Ohio
TEL: [phone]I FAX.' [phone]
WO#: 21010192
8ldt�i}Rl�'�t t„r�t�rt+�tt
Website: htm /lw�ettek.comm
Date Reported: 1/13/2021
Tag Number:
CLIENT: Synagro
Collection Date:
1/5/2021 1:00:00 PM
Matrix: SLUDGE
Lab ID: 21010192-001A
Project: WWTP
Client Sample ID Sanford WWTP
Result RL Qual Units
DF Date Analyzed
Analyses
SW9014
Analyst: MS
RCI
REACTIVE CYANIDE (901417.3.3.2)-SOLID
ND 0.495 mg/Kg
1 117/2021 4:50:00 PM
Cvanide, Reactive
IGNITABILITY OF SOLIDS (SW-846: 1030)
ignitability nonflammable
PERCENT SOLIDS BY SM2540MOD
Percent Solids 3.15
RCI
PH (SW9045D)
PH 7.2
RCI
REACTIVE SULFIDE (9034)17.3.4.2
Sulfide, Reactive 30.0
25.0
QualiRers: B Analyte detected in the associated Method Blank
FI Holding times for preparation or analysis exceeded
MC Value is below Minimum Compound Limit.
ND Not Detected
PL Permit Limit
RL Reporting Detection Limit
SW1030 Analyst: SEE
mmisec 1 1/1312021 11:15:56 AM
A2540B Analyst: NIMA
% 1 1112/2021 10:05:00 AM
SW9045D Analyst: DHC
s.u.@19.0C 1 1/7/2021 11:00:00 AM
SW9034 Analyst: MS
mg/Kg 1 1/7/2021 4:50:00 PM
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
P Second column confirmation exceeds
R RFD outside accepted recovery limits original
U Samples with CalcVal <MDL
Page 8 Of 37

Summit Environmental Technologies, Inc.
Accreditation Program
AM, IM
3310 Win St.
SUMM
Analytes Report
ENVIAOMMENTAL t C1INtl! C1C3i £+ INC Cuyahoga Falls. Ohio 44223
TEL: [phone] FIX: [phone]
WOM
21010192
Anatyt ad J a orarrarlips
yVemle. hanJ/www.settek.com
113-fan-21
state: NW
Client: Synagro
Program Name: NC_WW_SCM
Project: WW'iP
Sample ID Matrix
Test Name
Analyze
Status
2IO10I92-OOIA Sludge
Iguitahilityof Solids (SW-846: 1430)
Ignitability
A
Sludge
Percent Solids by SM2540Mod
Percent Solids
N
Hydrogen Ion (pH)
A
Sludge
pH (5W9045D)
N
Sludge
Reactive Cyanide (9014/7.3.3.2)-Solid
Cyanide, Reactive
C y
Sludge
Reactive Sulfide (9034)/7.3.4.2
Sulfide, Reactive
N
Sludge
TCLP Herbicides by EPA 83218
2,4,5-TP
A
Sludge
TCLP Herbicides by EPA 8321E
2,4-D
A
Sludge
TCLP Mercury Analysis (SW 13 i 117470)
Mercury
A
Sludge
TCLP Metals Analysis (SW131116010)
Arsenic
A
Sludge
TCLP Metals Analysis (SW131116010)
Barium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Cadmium
A
Sludge
TCLP Metals Analysis (SW] 31116010)
Chromium
A
Sludge
TCLP Metals Analysis (SW131116010)
Lead
A
Sludge
TCLP Metals Analysis (SW13] 116010)
Selenium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Silver
A
Sludge
TCLP Pesticides Analysis (SW131118081)
Chlordane, total
A
Sludge
TCLPPesticides Analysis (SW131118081)
Eudrin
A
Sludge
TCLP Pesticides Analysis(SWi31i18081)
gamma-BHC
A
Sludge
TCLP Pesticides Analysis (SW131118081)
Heptachlor
A
Sludge
TCLP Pesticides Analysis (SW1311180$1)
He P tachlor epoxide
A
Sludge
TCLP Pesticides Analysis (SW13111$081)
Methoxychlor
A
Sludge
TCLP Pesticides Analysis (SWi31118681)
Toxaphene
A
Sludge
TCLP Semi-Volatiles Analysis (SW131118270)
1,4-Dichl0robeuzene
N
Sludge
TCLP Semi-Valatiles Analysis (SW131118270)
2,4,5-Trichlorophenoi
N
Sludge
TCLP Semi-Volatiles Analysis (SW131118270)
2,4,6-Trichlorophenol
N
Sludge
TCLP Semi-Volatiles Analysis (SW131118270)
2,4-Dinitrotolucne
N
Sludge
TGLP Semi-Volatiles Analysis (SW131118270)
Cresols, Total
N
Sludge
TCLP Semi-Volatiles Analysis (SW131118270)
Hexachlorobenzene
N
Sludge
TCLP Sena-Volatiles Analysis {SW 1311/8270}
Hexachlorobutadiene
N
Sludge
TCLP Semi-Volatiles Analysis (SW131118270)
Hexachloroethane
N
Sludge
TCLP Semi-Volatiles Analysis (SW 1311/8270)
Nitrobenzene
N
Sludge
TCLP Semi-Volatiles Analysis (SW131118270)
Pentachlorophenol
N
Key
Key
NC_WW SCM A Accredited NC— WW_SCM N Not Accredited
Original #1
Page 9 of 37

Summit Environmental Technologies, Inc. Accreditation Program
3310 Win St. Analytes Report
r-NIORONMENTAL Ir-Ct NOI..00i s, jets Cuyahoga Falls, Ohio 44223
Analytical l:iffboratari" TEL: [phone] FAX.• [phone] WO#: 21010192
Website: hM2.-11www.settek.comr 13-Jan-21
Client: Synagro
State: NW
Project: WWTP
Program Name: NG_WW_SCM
Sample ID
Matrix
Test Name
Analyte
Status
21010192-001A
Sludge
TCLP.Semi-Volatiles Analysis (SW1311/8270)
Pyridine
N
Sludge
TCLP Volatiles Analysis
1,1-Dichloroethene
A
Sludge
TCLP Volatiles Analysis
1,2-lDichloroethane
A
Sludge
TCLP Volatiles Analysis
2-Butanone
A
Sludge
TCLP Volatiles Analysis .
Benzene
A
Sludge
TCLP Volatiles Analysis
Carbon tetrachloride
A
Sludge
TCLP Volatiles Analysis
Chlombenzene
A
Sludge
TCLP Volatiles Analysis
Chloroform
A
Sludge
TCLP Volatiles Analysis
Tetrachloroethene
A
Sludge
TCLP Volatiles Analysis
Trichloroethene
A
Sludge
TCLP Volatiles Analysis
Vinyl chloride
A
NC WW SCM A Accredited NC WW_SCM N Not Accredited
Original #1
Page 10 of 37

Summit Environmental Technologies, Inc. QC SUMMARY REPORT
Eff:;4SUMMIT 3310 Win St
ENVIROt4MENJ'AL Tl Ctik+l01,0�;z-S, INC Cuyahoga Falls, Ohio 44223
WO#: 21010142
Angtyt i 4ib"WO TEL: [phone] FAX. [phone]
Website: htW.-1Avww.settelccom 13-.Ian-21
Client: Synagro
Project: WWTP BatcliID: 47177
Sample ID: 21010089-001AMS
SampType: MS
TestCode: TCLP-SVOC_ Units: mg1L
Prep Date: 1/712021
RunNo: 122338
Client ID: Batch=
Batch ID: 47177
TestNo: SW8270 SW3510C
Analysis Date: 11812021
SegNo: 3149456
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichiorobenzene
0.676
0.200
0.8000
0
84.5
15.2
124
2,4,5-Tdchlorephenol
0.788
0.500
0.8000
0
98.5
30.6
152
2,4,6-Trichlorophenol
0.805
0.500
0.8000
0
101
27.6
150
2,4-Dinitrotoiuene
0.716
0.100
0.8000
0
89.6
58
141
o-Cresol
0.792
0.500
0.8000
0
99.0
26.9
132
Cresols, Total
ND
10.0
1.600
1.030
91.8
27.6
132
Hexachloro-1,3-butadiene
0.649
0.0400
0.8000
0
81.1
10
156
Hexachlorobenzene
0.746
0.100
0.8000
0
93.2
54.3
142
Hexachloroethane
0.676
0,200
0.8000
0
84.5
1.92
131
Nitrobenzene
0.759
0.200
0.8000
0
94.9
21
135
Pentachlorophenol
0.832
0.500
0.8000
0
104
47.4
134
Pyridine
ND
0.500
0.8000
0
16.4
10
130
Surr, 2-Fluorophenol
0.898
1.000
89.8
9.77
146
Surr: Phenol-d6
0.914
1.000
91.4
20.7
130
Sum Nitrobenzene-d5
0.870
1.000
87.0
13.9
156
Surr:2,4,6-Tribromophenol
1.02
1.000
102
27.3
183
Sum 2-Fluarobiphenyl
0.860
1.000
86.0
21.4
153
Surr: p-Terphenyl-d14
1.10
1.000
110
54.8
154
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range H Holding times for preparation or anal,
M Manual integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
mQMR
Original
Page I I of 37

Summit Environmental Technologies, Inc. QC SUMMARY REPORT
summill 3310 Win St.
ENVIPOlWMENTALTeC #NO OG"55, INC Cuyahoga Falls, Ohio 44223
A h�9cal LaboZeforiffe TEL: [phone] FAX. • [phone] WO#: Z1U1©192
Website: hgp,11www.settek.com 13-Jan-21
Client: Synagro
Project: WWTP
BatchID: 47177
Sample ID. 21010089-001AMSD
SampType: IMSO
TestCode: TCLPSVOC Units: mglL
Prep Date: 117/2021
RunNo, 122338
Client ID: Batch=
Batch ID: 47177
TestNo: SW8270 SW3510C
Analysis Date: 1/8/2021
SegNo: 3149457
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Quai
1,4-Dichlorobenzene
0.584
0.200
0.8000
0
73.0
15.2
124
0.6760
14.5
30
2,4,5-Tdchlorophenol
0.740
0.500
0.8000
0
92.5
30.6
152
0.7880
6.28
30
2,4,6-Trichlorophenol
0.745
0.500
0.8000
0
93.1
27.6
150
0.8052
7.79
30
2,4-Dinitrotoluene
0.803
0.100
0.8000
0
100
58
141
0.7164
11.4
30
o-Cresol
0.761
0.500
0.8000
0
95.2
26.9
132
0.7924
4.02
30
Cresols, Total
ND
10.0
1.600
1.030
79.8
27.6
132
0
0
30
Hexachloro-1,3-butadiene
0,584
0.0400
0.8000
0
73.0
10
156
0.6488
10.4
30
Hexachlorobenzene
0.758
0.100
0.8000
0
94.8
54.3
142
0.7456
1.65
30
Hexachlaroethane
0.576
0.200
0.8000
0
72.0
1.92
131
0.6760
15.9
30
Nitrobenzene
0.680
0.200
0.8000
0
85.1
21
135
0.7592
10.9
30
Pentachlorophenol
0.816
0.500
0.8000
0
102
47.4
134
0.8320
1.89
30
Pyridine
ND
0.500
0.8000
0
29.2
10
130
0
0
30
Surr 2-Fluorophenol
0.748
1.000
74.8
9.77
146
0
Surr: Phenol-d6
0.824
1.000
82.4
20.7
130
0
Surr: Nitrobenzene-d5
0.832
1,000
83.2
13.9
156
0
Surr:2,4,6-Trlbromophenol
1.07
1.000
107
27.3
183
0
Surr:2-Fluorobiphenyl
0.828
1,000
82.8
21.4
153
0
Surr: p-Terphenyl-d14
1.15
1.000
115
54.8
154
0
Qualifiers: B. Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
B Value above quantitation range H bolding times for preparation or anal,
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Rm
Original
Page 12 of 37

Summit Environmental Technologies, Inc. QC SUMMARY REPORT
UMMIly 3310 Win St.
ab
ENViR014Mi»NTAL TECHNOLOMES, INC Cuyahoga Falls, Ohio 44223
WO#: 21010142
Amlyocal Laboratories TFL: [phone] FAX' [phone]
Website: hap -11Wvrw.seaekcom 13-Jan-21
Client: Synagro
Project: WWTP
BatchED: 47177
Sample ID: MB-47177
SampType: MBLK
TestCode: TCLP-SVOC_ Units; mg1L
Prep Date:
IM2021 RunNo: 122260
Client ID: PBS.
Batch ID: 47177
TestNo: SW8270 SW3510C
Analysis Date:
1/712021 SegNo: 3147025
Analyte
Result
PQL
SPK value SPK Ref Val
%REC
Lowl-imit Highl-imit RPD Ref Val %RPO RPDLimit Qua]
1,4-Dichlorobenzene
ND
0.100
2,4,5-Trichlorophenot
ND
0.250
2,4,6-Tdchlorophenol
ND
0.250
2,4-Dinitrotoluene
ND
0.0500
o-Cresol
ND
0.250
Cresols, Total
ND
5.00
Hexachloro-1,3-butadiene
ND
0.0200
Hexachlorobenzene
ND
0.0500
Hexachloroethane
ND
0.100
Nitrobenzene
ND
0.100
Pentachlorophenol
ND
0.250
Pyridine
ND
0.250
Surr: 2-Fluorophenol
0.856
1.000
85.6
10
109 m
Surr: Phenol-d6
0.775
1.000
77.5
10
109
Sun. Nitrobenzene-d5
0,918
1.000
91.8
19
120
Surr; 2,4,6-Tdbromophenot
1.03
1.000
103
10
120 m
Surr.2-Fluorobiphenyt
0.832
1.000
83.2
22
117
Surr: p-Terphenyl-d14
1.03
1.000
103
34
116
Qualifiers: B Analyte detected in the associated Method Blank
3 Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quamitation range H Bolding times for preparation or analh
M Manual integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 13 of 37

Summit Environmental Technologies, Inc. QC SUMMARY REPORT
ERA ab 3310 Ian St.
ENVIRONMENTAL �ctig�p���i Cuyahoga Falls, Ohio 44223 UJAnalyt t Labonft�s TEL: [phone] FAX.• [phone] WO#: 21010192
Website: http.://www.seUckeom 134an-21
Client: Synagro
Project: WWTP BatchlD: 47177
Sample ID: LCS-47177
SampType: LCS
TestCode: TCL.P-SVOC_ Units: mg1L
Prep Date: 1/712021
RunNo: 122260
client ID: LCSS
Batch ID: 47177
TestNo: SW8270 SW3510C
Analysis Date: 1/7/2021
SegNo: 3147026
4nalyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene
0.670
0.100
0.8000
0
83.8
36.4
130
2,4,5-Trichlorophenol
0.745
0.250
0.8000
0
93.2
31.7
132
2,4,6-Tdchlorophenol
0.783
0.250
0.8000
0
97.8
31.1
133
2,4-Dinitrotoluene
0.829
0.0500
0.8000
0
104
43.3
130
o-Cresol
0.800
0.250
0.8000
0
100
32.9
130
Cresols, Total
ND
5.00
1.600
0
98.3
31.7
130
Hexachloro-1,3-butadiene
0.620
0.0200
0.8000
0
77.4
31.4
130
Hexachlorobenzene
0.764
0.0500
0.8000
0
95.6
43.1
130
Hexachloroethane
0.643
0.100
0.8000
0
80.4
36.5
130
Nitrobenzene
0.756
0.100
0.8000
0
94.5
39.5
130
Pentachlorophenol
0.850
0.250
0.8000
0
106
34
130
Pyridine
0.285
0.250
0.8000
0
36.6
10
130
Surr: 2-Fluomphenol
0.982
1.000
98.2
17.1
130
Surr. Phenol-d6
0.911
1.000
91.1
10
130
Surr: Nitrobenzene-d5
0.897
1.000
89.7
32.6
130
Sum 2,4,6-Tribromophenol
1.09
1.000
109
4.43
130
Sum 2-Fluorobiphenyi
0.945
1.000
94.5
41.8
130
Surr: p-Terphenyl-d14
1.08
1.000
108
36.4
130
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range H Holding times for preparation or anah
M Manual integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PI, Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
m
m
Original
Page 14 of 37

frsummllr
Summit Environmental Technologies, Inc. 3310 win St. QC SUMMARY REPORT
ENVI?IONMEWTAL CIINOt.=S, 9NC Cuyahoga Falls, Ohio 44223
WO#: 21010192
nalyticat .abm(vr�s TEL: [phone] FAX: [phone] i
Website: hgg://www.settek.com 13-1an-21
Client: Synagro
Project: WWTP BBatchID: 47188
'ample ID: MB-47188
SampType: IMBLK
TestCode: TCLP-VOC-M Units: mg/L
Prep Date: 117/2021
RunNo: 122301
Nent ID. PBS
Batch ID: 47188
TestNo: SW8260 SW1311M
Analysis Date: 1/812021
SegNo: 3148165
lnalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl.imit Wighl.imit RPD Ref Val
%RPD RPDLimit Qual
1,1-Dichloroethene
ND
0.250
1,2-Dichloroethane
ND
0.250
MEK
ND
5.00
Benzene
ND
0.250
Carbon tetrachloride
ND
0.250
Chlorohenzene
ND
2.50
Chloroform
ND
0.250
Tetrachloroethene
ND
0.250
Trichloroethene
ND
0.250
Vinyl chloride
ND
0.100
Surr:4-Bromofluorobenzene 2280
2500 91.0 70
130
Surr: Dibromofluoromethane 2640
2500 106 70
130
Surr. Toluene-d8
2490
2500 99.4 70
130
Qualifiers: B
Analyte detected in the associated Method Blank
E Value above quantitation range
H
Holding times for preparation or anal;
J
Analyte detected below quantitation limits
M Manual Integration used to determine area response
MC
Value is below Minimum Compound
Original
ND
Not Detected
P Second column confirmation exceeds
PL
Permit Limit
R
RPD outside accepted recovery limits
RL Reporting Detection Limit
S
Spike Recovery outside accepted reco
Page 15 of 37

Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT
ENVIRONMENTAL TEC14NO,1G;n,INC Cuyahoga Falls,Ohio 44223
yft8J L4b0Mtm6S TEL: [phone] FAX. [phone] WO#: 21010I92
WYebsite. httn:llwww.settelccom 13-Jun-21
Client: Synagro
Project: WWTP BatchID: 47245
Sample ID: 21010092-001ams
SampType: MS
TestCode: TCLPSVOC- Units: mglL
Prep Date: 1/812021
RunNo: 122365
Client ID: Batch=
Batch ID: 47205
TestNo: SW8081 SW3510C
Analysis Date: 1111/2021
SegNo: 3150630
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Vat
%RPD RPDLimit Qual
Endrin
0.00799
0.040500
0.0100
0
79.9
10
224 IN
Methoxychlor
0.0100
0.000500
0.0100
0
100
10
251
Sample ID: 21010092-001amsd
SampType: MSD
TestCode. TCLPSVOC- Units: mglL
Prep Date: 1/8/2021
RunNo: 122365
Client ID: Batch4C
Batch ID: 47205
TestNo: SW8081 SW3510C
Analysis Date: 1/1112021
SegNo: 3150631
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Quat
Endrn 0.00746 0.000500 0.0100 0 74.6 10 224 0.00799 6.93 30 m
Methoxychlor 0.00896 0.000500 0.0100 0 89.6 10 251 0,0100 11.0 30
Sample ID: LCS-47205
SampType: LCS
TestCode: TCLP-SVOC- Units: mg1L
Prep Date: 11812021
RunNo: 122365
Client 10: LCSS
Batch ID: 47205
TestNo: SW8081 SW3510C
Analysis Date: 1111/2021
SegNo: 3150641
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLtmit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Endrin 0.00659 0.000500
0.0100 0 65.9 10
130
Methoxychlor 0.00925 0.000500
0.0100 0 92.5 10
178
Qualifiers: B Analyte detected in the associated Method Blank
E Value above quantitation range
H
Holding times for preparation or anal.
J Analyte detected below quantitation limits
M Manual Integration used to determine area response
MC
Value is below Minimum Compound
ND Not Detected
P Second column confirmation exceeds
PL
Permit limit
R RPD outside accepted recovery limits
RL Reporting Detection Limit
S
Spike Recovery outside accepted reco
m
Original
Page 16 of 37

E=350!7 litSummit Environmental Technologies, Inc. QC SUMMARY REPORT
3310 Win St.
FT I FNV1A0NMENTAL ClaNi t==1S,114 Cuyahoga Falls, Ohio 44223
wo#: 21010192
ryal Lalwaiow TEL: (330) 253,8211 FAX.- [phone]
Website: h ://www.setdek.com 134an-21
Client: Synagro
Project: WWTP BatchED: 47205
Sample ID: MB-47205
SampType: MBLK
TestCode: TCLP-SVOC- Units: mglL
Prep Date: 118/2021
RunNo: 122365
;lient ID: PBS
Batch ID: 47205
TestNo: SW8081 SW3510C
Analysis Date: 111112021
SegNo: 3150643
knalyte
Result
PQL SPK value SPK Ref Val
%REC Lowi-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Enddn
Methoxychlor
ND 0.000500
ND 0.000500
Qualifiers: B Analyte detected in the associated Method Blank
7 Analyte detected below quantitation limits
ND Not Detected
A RPD outside accepted recovery lirruts
E Value above quantitation range H Holding times for preparation or anal,
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confmnation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 17 of 37

Summit Environmental Technologies, Inc.
summlir 3310 tin St.
2wtitsJR0NMENTALTZC1iN0L0G,'FS1I C Cuyahoga Falls, Ohio44223
At tl 1 Laboralr�tl TEL: [phone] FAX.- [phone]
Website. httP.1A ww.sefrelccom
Client: Synagro
Project: WWTP
QC SUMMARY REPORT
WO#: 21010192
13-Tan-21
BatchlD: 47205
Sample ID: 21010092-001ams
SampType: NIS
TestCode: TCLPSVOC- Units: mg1L
Prep Date: 118/2021
RunNo: 122364
Client ID: Batch=
Batch ID: 47205
TestNo: SW8081 SW3510C
Analysis Date: 1/11/2021
SegW 3150607
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
gamma-BHC
0.00940 0,000500
0.0100
0 84.0
10
192
P
Heptachlor
0.00895 0.000500
0.0100
0 89.5
10
197
P
Heptachlor epoxide
0.00964 0.000500
0.0100
0 96.4
10
208
P
Surr: TCMX
14.5
20.00
72.5
10
157
P
Surr: DCB
17.4
20.00
87.0
10
194
P
Sample ID: 21010092-001amsd
SampType: MSD
TestCode: TCLP-SVOC- Units: mg1L
Prep Date: 118/2021
RunNo: 122364
Client ID: Batch=
Batch ID: 47205
TestNo: SW8081 SW3510C
Analysis Date: 1/11/2021
SegNo: 3150008
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
gamma-BHC
0.00769 0.000500
0.0100
0 76.9
10
192 0.00840
8.85
30 P
Heptachlor
0.00812 0.000500
0.0100
0 81.2
10
197 0.00895
9.75
30 P
Heptachlor epoxide
0.00867 0,000500
0,0100
0 86.7
10
208 0.00964
10.7
30 P
Surr: TCMX
13.2
20.00
66.0
10
157
0
P
Surr: DCB
15.6
20.00
78.1
10
194
0
P
Sample ID: LCS-47205
SampType: LCS
TestCode: TCLPSVOC- Units: mglL
Prep Date: 1/812021
RunNo: 122364
Client ID: LCSS
Batch ID: 47205
TestNo: SW8081 SW3510C
Analysis Date: 111112021
SegNo: 3150618
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal.
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 18 of 37

summitEnvironrnental Technologies, Inc. 3310 Win sr QC SUMMARY REPORT
frsummly
ENWIONMENTALTECHNOLOGUM, INC Cuyahoga Falls, Ohio 44223
Anal *t Laboratonorw TEL. [phone] FAX- [phone] WO#: 21010192
Website: http:/Avww.settekcom 13-dan-21
Client: Synagro
Project: WWTP BatchED: 47205
Sample ID: LCS47205
SampType: LCS
TestCode: TCLP-SVOC- Units: mglL
Prep Date: 1/8/2021
RunNo: 122364
Client 1D: LCSS
Batch ID: 47205
TestNo: SW8081 SW3510C
Analysis Date: 1/11/2021
SegNo: 3150618
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
gamma-BHC
0.00848 0.000500
0.0100
0 84.8
10
130
Heptachlor
0.00899 0.000500
0.0100
0 89.9
10
130
Heptachlor epoxide
0.00953 0.000500
0.0100
0 95.3
10
130
Surr: TCMX
14.2
20.00
71.1
10
130
Surr: DCB
17.4
20.00
87.0
10
130
Sample ID: MS-47205
SampType: MBLK
TestCode: TCLP-SVOC- Units: mglL
Prep Date: 118/2021
RunNo: 122364
Client ID: PBS
Batch 1D: 47205
TestNo: SW8081 SW3510C
Analysis Date: 1/1112021
SegNo: 3150620
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Chlordane, total
ND
0,00250
Toxaphene
ND
0.00500
gamma-BHC
ND
0,000500
Heptachlor
ND
0.000500
Heptachlor epoxide
ND
O.OD0500
Surr: TCMX
13.2
20.00 65.9 10 119
Surr: DCB
16.7
20.00 83.3 10 119
Qualifiers: B Analyte detected in the associated Method Blank
7 Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range H Holding times For preparation or anal.
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Origilw
Page 19 of 37

Summit Environmental Technologies,lnc. QC SUMMARY REPORT
alwinmm
3310 Win St.
ENVIg0NMEt37AL nCti4iC L0rp:jFa, WC Cuyahoga Falls, Ohio 44223
WO#: 21010192
Analyital Laftcaralana's TEL: [phone] FAX.- (330) 2534489
Website: htio://www.senekcom 13-Jan 21
Client: Synsgro
Project: WWTP Batchlll: 47220
Sample ID: MB-47220
SampType: MBLIK
TestCode: HGTCLP(74 Units: PPM
Prep Date: 1/11/2021
RunNo: 122334
Client ID: PBS
Batch ID: 47220
TestNo: SW7470A SW7470A
Analysis Date: 111112021
SegNo: 3149401
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury ND 0.00200
Sample 1D: LCS47220
SampType: LCS
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 1/11/2021
RunNo: 122334
Client ID: LCSS
Batch ID: 47220
TestNo: SW7470A SW7470A
Analysis Date: 1/11/2021
SegNo: 3142402
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl imit HighLimit RPD Ref Val
%RPD RPDLimit Quell
TCLP Mercury 0.00410 0.00200 0.00400 0 103 80 120
Sample ID: 21010240-001AMS
SampType: MS
TestCode: HGTCLP(74 Units: PPM
Prep Date: 1/1112021
RunNo: 122334
Client 1D: Batch=
Batch ID: 47220
TestNo: SW7470A SW7470A
Analysis Date: 1/11/2021
SegNo: 3149407
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury 0.00448 0.00200 0.00400 0.000395 102 75 125
Sample ID: 21010240-001AMSD
SampType: MSD
TestCode: HG TCLP(74 Units: PPM
Prep Date: 1/1112021
RunNo: 122334
Client ID: BatchQG
Batch ID: 47220
TestNo: SW7470A SW7470A
Analysis Date: 1111/2021
SegNo: 3149408
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Quell
TCLP Mercury 0.00451 0.00200
0.00400 0.000395 103 75
125
0.00448 0.667 20
Qualifiers: B. Analyte detected in the associated Method Blank
E Value above quantitation range
H
Holding times for preparation or anal,
J Analyte detected below quantitation limits
M Manual Integration used to determine area response
MC
Value is below Minimum Compound
ND Not Detected
P Second column confirmation exceeds
PL
Permit Limit
R RPD outside accepted recovery limits
RL Reporting Detection Limit
S
Spike Recovery outside accepted reco
Original
Page 20 of 37

Summii Envlranmentad Technologi.
3310Mn QC SUMMARY REPORT
StSt.
fNVlR0N► EWTALTEGitiat9icC W,% INC Cuyahoga Falls, Ohio 44223 WO#: 21010192
Asra1ytwa1 Lawralo6es TEL: [phone] FAX.- (330) 2534489
lfrebsite: htt-//www.settelccom 13„Jun-21
Client: Synagro
Project: WWTP BatchiD: 47220
Sample ID: 21010240-007AMSD
SampType: MSD
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 1/1112021
RunNo: 122334
:lient ID: Batchf3C
Batch ID: 47220
TestNv. SW7470A SW7470A
Analysis Date: 1111I2021
SegNo: 3149408
knalyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDUrn1t Qua[
'ample ID: TCLP Blankl 1-8-21
SampType: MBLK
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 7M7I2027
RunNo: 122334
3lient ID: PBS
Batch ID: 47220
TestNo: SW7470A SW7470A
Analysis Date: 1//112021
SegNo: 3149412
knalyte
Result
PQL SPK value SPK Ref Val
%REG LowWmit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury
ND 0.00200
Qualifiers: B. Analyte detected in the associated Method Blank
7 Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range H Folding times for preparation or anal;
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 21 of 37

rznmm Summit Environmental Technologies, Inc. QC SUMMARY REPORT
Eff.o,�;i SUMMIT3310 inn St.
E33tR3iilhlt�thTALCHNt?IRS,",C Cuyahoga Falls, Ohio44223 ULJAnalyt€sa1 f-ab rafar s TEL: [phone] FAX• [phone] W�= 21010192
Website: he://www.settek.com 13-Jan-21
Client: Synagre
Project: WWTP BatchED: R122210
Sample ID: LCS-R122210
SampType: LCS
TestCode: pH_NPW(450 Units: s.u.@20.4C
Prep Date:
RunNo: 122210
Client ID: LCSW
Batch ID: R122210
TestNo: SW90450
Analysis Date: 1/712021
SegNo: 3145887
Analyte
Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
pH 7.0 7.0 0 100 98.6 101.4
Sample ID: 21010146-001ADUP
SampType: DUP
TestCode: pH_NPW(450 Units: s.u.@,21.2C
Prep Date:
RunNo: 122210
Client ID: BatchQC
Batch ID: R122210
TestNo: SW9045D
Analysis Date: 1/7/2021
SegNo: 3145889
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowUmit HighLimit RPD Ref Val
%RPD RPDLimit Qual
pH 6.0 6.0 0 5 H
Sample ID: PH 7 CHECK
SampType: LCS
TestCode: PH_NPW(450 Units: s.u.@20.1C
Prep Date:
RunNo: 122210
Client ID: LCSW
Batch ID: R122210
TestNo: SW9045D
Analysis Date: 1R12021
SegNo: 3145893
Analyte
Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
pH 7.0 7.0 0 100 98.6 101.4
Sample ID: PH 7 CHECK
SampType: LCS
TestCode: PH_NPW(450 Units: s.u.019.2C
Prep Date:
RunNo: 122210
Client ID: LCSW
Batch ID: R122210
TestNo: SW9045D
Analysis Date: 11712021
SegNo: 3146033
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
pH 7.0
7.0 0 99.6 98.6
101.4
Qualifiers: B Analyte detected in the associated Method Blank
E Value above quantitation range
tI
Molding times for preparation or anal,
J Analyte detected below quantitation limits
ND Not Detected
M Manual Integration used to determine area response
P Second column confirmation exceeds
MC
PL
Value is below Minimum Compound
Permit Limit Original
R RPD outside accepted recovery limits
RL Reporting Detection Limit
S
Spike Recovery outside accepted reco
Page 22 of 37

07-01summlir
Summit Environmental Technologies, Inc. QC SUMMARY REPORT
3310 Win St.
E'rdl IRON1,1EWALTECSaN{1LC MES, AC Cuyahoga Falls, Ohw 44223
AgWyftal Labaratsrlat TEL: [phone] FAX, [phone] Wes#: 21010192
Website: httnJ/www.settek.com 13,Jan-21
Client: Synagro
Project: WWTP Batc]hID: R122210
Sample ID. PH 7 CHECK
SarnpType: LCS
TestCode: PH—NPW(450 Units: s.u.@19.2C
Prep Date:
RunNo: 122210
'.lient ID: LCSW
Batch ID: R122210
Testhlo: SW9045D
Analysis Date: 11712021
SegNo: 3146033
#nalyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val
%RPD RPDI_imit Qual
Qualifiers: B. Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range H Holding times for preparation or anal;
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 23 of 37

Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT
E' S�lAC7Alh1 #iCT�St Ti GtFtit3tFDt3g-S, we Cuyahoga Falls, Ohio 44223
Atalocal Lalsai terms TEL: [phone] F.4X.• [phone] WO#: 21010192
Website: http:/iwww.settekcom 13-Jan-21
Client: Synagro
Project: WWTP BatchID: R122266
Sample ID: 21010091-OOIAMS
SampType: MS
TestCode: Sulfide,React Units: mg/Kg
Prep Date:
RunNo: 122266
Client ID: BatchQC
Batch ID: R122266
TestNo: SW9034
Analysis Date: 117/2021
SegNo: 31472"
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qua]
Sulfide, Reactive 29B0 25.0 3010 40.00 97.7 80 120
Sample ID: 21010091-001ANSD
SampType: MSD
TestCode: Sulfide,React Units: mg/Kg
Prep Date:
RunNo: 122266
Client ID: Batch=
Batch ID: R122266
TestNo: SW9034
Analysis Date: 11712021
SegNo: 3147245
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
ride, Reactive 2940 25.0 3010 40.00 96.3 80 120 2980 1.35 30
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anaIN
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 24 of 37

„� Summit Environmental Technologies, Inc. QC SUMMARY REPORT
3310 Win St.
��ss�ottentirr�Lrc3tato;=s,,� Cuyahoga Falls, Ohio44223 WO##: 21010192
Anxtirttcal tarbomiori” TEL: [phone] FAX.- [phone]
Website: hgp://www.settetcom 23-Jan-2I
Client- Synagro
Project: WWTP BatchED: R122266
Sample ED: MB-R122266
SampType: MBLK
TestCode: Sulfide,React Units: mg1L
Prep Date:
RunNo: 122266
Client ID: PBW
Batch ID: R122266
TestNo: SW9034
Analysis Date: IM2021
SegNo: 3147220
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sulfide, Reactive ND 25.0
Sample ID: LCS-R122266
SampType: LCS
TestCode: Sulfide,React Units: mglL
Prep Date:
RunNo: 122266
Client ID: LCSW
Batch ID: R122266
TestNo: SW9034
Analysis Date: 11712021
SegNo: 3147221
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sulfide, Reactive
2880 25.0 3010 0 95.7 85 115
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E 'Value above quantitation range H Holding times for preparation or anal}
M Manual integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted rece
Original
Page 25 of 37

Summit Environmental Technologies, Inc.EEE�i SUMMIPF 3310 Win St. QC SUMMARY REPORT
t NVIRON iENTAL TECt1.4OLpOt„ 5, ;NC Cuyahoga Falls, Ohio 44223
Arawyttcal �,#fittat°ies TEL: [phone] PAX. [phone] Wt7#: 21010192
Website_ httn_//wwwsettekcom 13-Jan-21
Client: Synagro
Project: WWTP BatchED: R122270
Sample ID: 21010091-001AMS
SampType: MS
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 122270
Client ID: Batch=
Batch 1D: R122270
TestNo: SW9014
Analysis Date; 1/7/2021
SegNo: 3447444
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive 9.63 0.490 10.00 0 96.3 75 125
Sample ID: 21010091-001AMSD
SampType: MSD
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 122270
Client ID: BatchQC
Batch ID: R122270
TestNo: SW9014
Analysis Date: W712021
SegNo; 3147445
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive 9.49 OA85 10,00 0 94.9 75 125 9.628 1.39 10
Qualifiers: B. Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal}
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detcction Limit S Spike Recovery outside accepted reco
Page 26 of 37

. Summit Environmental Technologies, Inc. 3310 Twin St. QC SUMMARY REPORT
SNVIRONM.ENTAL TECttPd47Loo;5S, FNC Cuyahoga Falls, Ohio 44223 UJAyt1 Labo;�1v c TEL, [phone] FAX.' [phone] WO#: 21010192
Website: he /Awvw.settekcom 13,fan-21
Client: Synagro
Project: WWTP BatchID: R122270
Sample ID: Blank
SampType: MBLK
TestCode: Cyanide,Rea Units: mglL
Prep Date:
RunNo: 122270
Client ID: PBW
Batch ID: R122270
TestNo: SW9014
Analysis Date: 1/712021
SegNo: 3147429
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Quai
Cyanide, Reactive ND 0.495
Sample ID: LCS
SampType: LCS
TestCode: Cyanide,Rea Units: mg1L
Prep Date:
RunNo: 122270
Client ID. LCSW
Batch ID: R122270
TestNo: SW9014
Analysis Date: 117/2021
SegNo: 3147430
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive 9.46 0.495 10.00 0 94.6 85 115
Sample ID: RLCheck
SampType: RLC
TestCode: Cyanide,Rea Units: mg1L
Prep Date:
RunNo: 122270
Client ID: Batch=
Batch ID: R122270
TestNo: SW9014
Analysis Date: 1/712021
SegNo: 3147432
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Quai
Cyanide, Reactive
ND 0.485 0.5000 0 77,2 65 135
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal,
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted €eoo
Page 27 of 37

SUMM111
Summit Environmental Technologies, lnc. 3310 Win St.
QC SUMMARY REPORT
ENVIRONMENTAL r-HN SLQG9.5S, INC
Cuyahoga Falls, Ohio 44223
AnaPIliva1 t rajaTEL: [phone] FAX.- [phone]
WO#: 21010192
Website: htto://www.settekcom
134an-21
Client:
Synagro
Project:
WWTP
BatchiD: R122312
Sample ID: MS
SampType; MBLK
TestCode: TCLP-SVOC- Units: mg/L
Prep Date:
RunNo: 122312
Client ID: PBS
Batch ID: R122312
TestNo: SW8321A
Analysis Date: 1/812021
SegNo; 3148878
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
2,4-D NO 0.0100
2,4,5-TP NO 0.0100
Sun' 2,4-Dichiorophenylacetic acid 1,03 1.000 103 70 130
Sample ID: LCS
SampType: LCS
TestCode: TCLPSVOC- Units: mglL
Prep Date:
RunNo: 122312
Client ID: LCSS
Batch ID: R122312
TestNo: SW8321A
Analysis Date: 1/8/2021
SegNo: 3148879
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
2,4-D
0.357
0.0100 0.3000
0 119
60.5
141
2,4,5-TP
0.304
0.0100 0.3000
0 102
68.3
144
Sum 2,4-Dichlorophenylacetic acid
3.01
3.000
100
70
130
Sample ID: LC SD
SampType: LCSD
TestCode: TCLPSVOC- Units: mglL
Prep Date:
RunNo: 122312
Client ID: LCSS02
Batch ID: R122312
TestNo: SW8321A
Analysis Date: 11812021
SegNo: 3148880
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
2,4-0 0.287 0.0100 0.3000 0 95.6 60.5 141 0.3571 21.8 30
2,4,5-TP 0.249 0.0100 0.3000 0 82.9 68.3 144 0.3045 20.2 30
Sum: 2,4-Dichlorophenylaeetic acid 2.44 3.000 81.5 70 130 0 0
Qualifiers: B Analyte detected in the associated Method Blank
I Analyte detected below quantitation limits
ND Not detected
R RPD outside accepted recovery limits
E Value above quantitation range H Holding times for preparation or anal,
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit Original
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 28 of 37

EEEA„ Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT
£tiVIAONMd NTALTECtfNL)iOGirS,INC Cuyahoga Falls, Ohio44223
l tdcal ialsc tC TEL: [phone] FAX.- [phone] WO#: 21010192
Website: http://www.settekcom 13-Jan-21
Client: Synagro
Project: WWTP BatchID: R122312
Sample ID: 21010089-001AMS
SampType: MS
TestCode: TCLPSVOC- Units: mg/L
Prep Date:
RunNo: 122312
Client ID: Batch=
Batch ID: R122312
TestNo: SW8321A
Analysis Date: 118/2021
SegNo: 3148881
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Z,4-u
16.9
0.500 15.00
0 112
60.5
141
2,4,5-TP
14.4
0.500 15.00
0 96.2
68.3
144
Surf: 2,4-Dichlomphenylacetic acid
143
150.0
95.0
70
130
Sample ID: 21010089-OOIAMSD
SampType: MSD
TestCode: TCLPSVOC- Units: mg/L
Prep Date:
RunNc: 122312
Client ID: BatchQC
Batch ID: R122312
TestNo: SW8321A
Analysis Date: 1/812021
SegNo: 3148882
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,4-u 17.9 0.500 15.00 0 119 60.5 141 16.87 5.67 30
2,4,5-TP 15.4 0.500 15.00 0 102 68.3 144 14.43 6.28 30
Surr: 2.4-Dichlorophenylacetic acid 151 150.0 101 70 130 0 0
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range H Holding times for preparation or anah
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 29 of 37

Summit Environmental Technologies, Inc. 33101f zn St. QC SUMMARY REPORT
£NVIROWMEN-FALTECtNOLGr,aSS, NC Cuyahoga Falls, Ohio44223
tltWyf1Ca1 Laboratiarips TEL: [phone] FAX.- [phone] WO#: 21010192
Website: ha.-Mvww.settelccom 13 Jan-21
Client: Synagro
Project: WWTP BatchID: R122377
Sample ID: MB-R122377
SampType: MBLK
TestCode: PctSolid S(2 Units: %
Prep Date:
RunNo: 122377
Client ID: PBS
Batch ID: R122377
TestNo: A2540B
Analysis Date: 1/1212021
SegNo: 3151031
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
Percent Solids ND 0 0
Sample ID: 21010161-001ADUP
SampType: DUP
TestCode: PctSolid S(2 Units: %
Prep Date:
RunNo: 122377
Client ID: Batch=
Batch ID: R122377
TestNo: A2540B
Analysis Date: 111212021
SegNo: 3151033
Analyte
Result
PQL SPK value SPK Ref Vat
%REC Lowl-imit Flighl-imit RPD Ref Val
%RPD RPDLimit Qual
Percent Solids 10.6 0 0 9.965 6.15 5 R
Qualifiers: B Analyte detected in the associated Method Blank E Value above quamitation range H Holding times for preparation or anah
7 Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 30 of 37

011�lsummrt
Summit Environmental Technologies, 3310 Win St
QC SUMMARY REPORT
p8v1B��1Mi�T€ Tt t ot2At9t p;z5,EtC Cuyahoga Falls, Ohio 44223
Afyviytiosl t.ab oraf +r�s TEFL: [phone] FAX.- [phone] WO#: 21010192
Website: &MZ www.settelccom 13-Jan-21
Client: Synagro
Project: WWTP SatchID: R122408
Sample ID: LCS-R122408
SampType: LCS
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: LCSS
Batch ID: R122408
TestNo: SW7030
Analysis Date: 1/13/2021
SegNo: 3152374
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val
%RPD RPDLimil Qual
Ignitability 6.87 7.240 0 94.9 70 130
Sample ID: 21010307-001ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: BatchQC
Batch ID: R122408
TestNo: SW7030
Analysis Date: 1/13/2021
SegNo: 3152376
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val
%RPD RPDLimil Qual
Ignitability <2.2 0 0 20
Sample ID: 21010307-002ADUP
SampType: DUP
TestCode: Ignitabiiity 5 Units: mmisec
Prep Date:
RunNo: 122408
Client ID: BatchQC
Batch ID: R122408
TestNo: SW1030
Analysis Date: 111312021
SegNo: 3152379
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowUmit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Ignitability <2.2 0 0 20
Sample ID: 21010307-003ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: BatchQC
Batch ID: R122408
TestNo. SW1030
Analysis Date: 1/1312021
SegNo: 3152382
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Ignitability nonflammable 0 0 20
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal}
3 Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 31 of 37

�„ Summit Environmental Technologies, Inc.EELqsumm3310 Win St, QC SUMMARY REPORT
UJ£PJ #?C3tite�EtdT�iL ?L. lik53C7I cYG;�S, iNC. Cuyahoga Farts, Ohio 44223
Inalyms?Zal`bofgiv TEL: [phone] F.4X: [phone] WO#: 21010192
Website: httn://www.sertekeom 13-Jan 2l
Client: Synagro
Project: WWTP BatC1iID: R122408
Sample ID: 21010307-003ADUP
SampType: DUP
TestCode: Fgnitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: Batch=
Batch ID: R122408
TestNo: SWI030
Analysis Date: 111312021
SegNo: 3152382
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sample ID: 21010307-004ADUP
SampType: DUP
TestCode: tgnitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: BatchQC
Batch ID: R122408
TestNo: SWI030
Analysis Date: 1/13/2021
SegNo: 3162384
Analyte
Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Ignitability, nonflammable 0 0 20
Sample ID: 21010307-005ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: Batch=
Batch ID: R122408
TestNo: SWI030
Analysis Date: 111312021
SegNo: 31S2336
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Ignitability nonflammable 0 0 20
Sample 1D: 21010307-006ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: BatchQC
Batch ID: R122403
TestNo: SW1030
Analysis Date: 111312021
SegNo: 3152388
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Vat
%RPD RPDLimit Qual
lgnitability a2.2
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
0 0 20
E Value above quantitation range H Holding times for preparation or anal,
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Original
Page 32 of 37

Summit Environmental Technologies, InaffINt QC SUMMARY REPORT
SUMMI3310 Win St.
ENVIRONMENTAL C�i:Jpt O� �B, aN� Cuyahoga Falls, Ohio 44223
Anaiyf0c&I La&oraforlss TEL: [phone] FAX.- [phone] WO#: 21010192
Website: ://www.settek com 13-.1an-21
Client: Synagro
Project: WWTP BatchID: R122408
Sample ID: 21010307-008ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: M408
Client ID: Batch=
Batch ID: R122408
TestNo: SW1030
Analysis Date: 1113/2021
SegNo: 3152394
Analyte
Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
ignrrawi y <2.2 0 0 20
Sample ID: 21010307-009ADUP
SampType: DUP
TestCode: Ignitabiltty_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: BatchQC
Batch ID: R122408
TestNo: SW1030
Analysis Date: 1113/2021
SegNo: 3152397
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
igmtaimi y <2.2 0 0 20
Sample ID: 21010307-010ADUP
SampType: DUP
TestCode: Ignitabitity_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: BatchQC
Batch lD: R122408
TestNo: SW1030
Analysis Date: 111312021
SegNo: 3152400
Analyte
Result
PQL SPK value SPK Ref Val %REC
LoWmit HighLimit RPD Ref Val
%RPD RPDLimit Qual
ignitaoluty <2.2 0 0 20
Sample ID: 21010192-001ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisee
Prep Date:
RunNo: 122408
Client ID: Sanford WWTP
Batch ID: R122408
TestNo: SW1030
Analysis Date: 1113/2021
SegNo: 3152403
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Egnnaotnty nonflammable 0 0 20
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal.
7 Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
ND Not Detected P Second column confirmation exceeds PL Permit Limit Original
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 33 of 37

Summit Environmental Technologies, Ina 3310 In St. QC SUMMARY REPORT
FTI °4.FIgONMEt4TAL TrzCI4,40Lt3Gs. S, ,INC Cuyahoga Falls, Ohio 44223
k ra qri l 6tsAt©t}et TEL: [phone] FAX: [phone] WO#: 21010192
Website: AM lAvww seaek- com 13-Jam21
Client: Synagro
Project: WWTP SatchIl): R122408
Sample ID: 21010192-001ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: Sanford WWTP
Batch ID: R122408
TestNo: SW1030
Analysis Date. 1/1312021
SegNo: 3152403
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLlmit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sample ID: 21010278-001ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: BatchQC
Batch ID: R122408
TestNo: SW1030
Analysis Date: 1/13/2021
SegNo: 3152405
Analyte
Result
PQL SPK value SPK Ref Vat
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Otability nonflammable 0 0 20
ample ID: 21010279-001ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: 122408
lent ID: Batch=
Batch ID: R122408
TestNo: SW1030
Analysis Date. 1/1312021
SegNo: 3152407
ialyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Ignitabillty nonflammable 0 0 20
Sample ID: 21010280-001ADUP
SampType: DUP
TestCode: Ignitability_S Units: mmisec
Prep Date:
RunNo: 122408
Client ID: Batch=
Batch ID: R122408
TestNo: SW1030
Analysis Date: 1/1312021
SegNo: 3152409
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
n¢aDiErcy nonflammable
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
0 0 20
E Value above quantitation range H Holding times for preparation or anah
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit Original
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 34 of 37

SUMMImtSummit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT
FWiRDI,NMEMTAL 1 ECHNOL.Qoj-S, iNC Cuyahoga Falls, Ohio 44223
4 y�1 L filar e r TEL: [phone] FAX., [phone] WO#: 21010192
Website. httn:/1www.seuekcom 13-Jan 21
Client: Synagro
Project: WWTP $atchID: R122408
Sample ID: 21010359-001ADUP SampType: DUP TestCode: Ignitabllity_S Units: mmisee
Client ID: BatchQC Batch ID: R122408 TestNo: SW1030
Analyte Result PQL SPK value SPK Ref Val
Ignitability nonflammable
Prep Date:
Analysis Date: 1/13/2021
%REC LowLimk HighLimit RPD Ref Val
0
RunNo: 122408
Se,qNo: 3152411
%RPD RPDLimit Qual
0 20
Sample ID: 21010360-DOIADUP SampType: DUP TestCode: Ignitability_S Units: mmisec Prep Date: RunNo: 122408
Client ID: BatchQC Batch ID: R122408 TestNo: SW1030 Analysis Date: 1/13/2021 SegNo: 3152413
Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual
Ignitability nonflammable 0 0 20
Qualifiers: B Analyte detected in the associated Method Blank
d Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range H Folding times for preparation or anal,
M Manual Integration used to determine area response MC Value is below Minimum Compound
P Second column confirmation exceeds PL Permit Limit Original
RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 35 of 37

Summit Earvironmental Teclmologie� Inc-
3310 Win Stw Analysis RoqueWChain of Custody
Cuyahoga Falls, Ohio 44223 Tel: [phone] Fax [phone] For SWVAA F.nivbMUWnt$I Ucltaologim Inc: use only
��,5 tang !fit Name of. SEr f
Sated ww ��>ma>.&
:Onpan„ AftcsT
271
fieot Phasic Na ` 9
GiR Fit N
tico� krt Q6 t+a n-G.mlid
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w
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rrr�r■ err
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Page 1 of I

cc mcm
Summit Environmental Technologies, Inc.
3310 Win St.
SUMMIT
ENVIRONMENTAL UGiFINt LOCIMS,imc cuyahogaFalrs,Ohl. 44223 Sample Log -In Check List
Atns"raf t aborarori TEL: [phone] FAX. • [phone]
Website: htm://www.seaek.cam
Client Name. SYN-NC-27028 Work Order Number: 21010192 RcptNo: 1
Logged by: Jacqueline Rasile
Completed By: Jacqueline Rasile
Reviewed By: Jennifer Woolf
1/612021 11:10:00 AM
1/7/2021 9;20:55 AM
1/712021 11:14:58 AM
,4A4,,'Fk.1j,
r)qlw� W-4w,�
Ghain of custody
1. Is Chain of Custody complete? Yes ❑ No ❑ Not Present ❑
2. Wow was the sample delivered? FedEx
Loci In
3, Coolers are present? Yes ® No ❑ NA ❑
4.
Shipping container/cooler in good condition?
Yes
0
No ❑
Custody seals intact on shipping container/cooler?
Yes
❑
No ❑
Not Present FIV
No. Seal pate:
Signed By:
5,
Was an attempt made to cool the samples?
Yes
No ❑
NA ❑
6.
Were all samples received at a temperature of >0° C to 6.0°C
Yes
0
No ❑
NA ❑
7,
Sample(s) in proper container(s)?
Yes
0
No ❑
8.
Sufficlent sample volume for indicated test(s)?
Yes
No ❑
g,
Are samples (except VOA and ONG) properly preserved?
Yes
0
No ❑
10.
Was preservative added to bottles?
Yes
❑
No M
NA ❑
11. Is the headspace in the VOA vials less than 114 inch or 6 mm?
Yes
❑
No ❑ No VOA Vials 0
12. Were any sample containers received broken?
Yes
❑
No W
13. Does paperwork match bottle labels?
Yes
0
No ❑
(Note discrepancies on chain of custody)
14. Are matrices correctly identified on Chain of Custody?
Yes
No ❑
15. 1s It clear what analyses were requested?
Yes
❑
No ❑
16. Were all holding times able to be met?
Yes
No ❑
(If no, notify customer for authorization.)
S ecial Handling if agplicable
17. Was client notified of all discrepancies with this order'?
Yes
❑
No ❑ NA 0
Person Notified: Date:
By Whom: Via: ❑ eMail ❑ Phone ❑ Fax ❑ In Person
Regarding:
Client Instructions:
18. Additional remarks:
Cooler Information
Page 37 of 37

aceAnalytical 0
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Adam Brigman
Project Name: Sanford WWTP
Lot Number:WA06023
Date Completed:01I2612021
01/26/2021 11:21 AM
Approved and released by:
Project Manager II: Lucas Odom
ANSf NorvalAmestallon sw
A C C B E D I T E 6
HUNG LAG➢RATGPY
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC.
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172
Tel:[phone] Fax:[phone] www.pacelabs.com
Page 1 of 7

PACE ANALYTICAL SERVICES, LLC
SC DHEC No: 32010001 NEI.AC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: WA06023
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved The NELAC Institute (TNI) standards, the Pace Analytical Services, LLC ("Pace")
Laboratory Quality Manual, standard operating procedures (SOPS), and Pace policies, Any exceptions to
the TNI standards, the Laboratory Quality Manual, SOPS or policies are qualified on the results page or
discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
qualifier
If you have any questions regarding this report please contact the Pace Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
TKN
Reduced volume was used for samples due to sludge matrix
Phosphorus
The method blank for analytical batch 80524 contained the analyte total phosphorus greater than the
method acceptance criteria. The associated sample contained detections for this analyte at
concentrations greater than 1OX the value found in the method blank; therefore sample results are not
impacted. The data has been reported.
Pace Analytical Services, LLC (formerly Shealy Environmetal Services, Inc.)
106 Vantage Point Drive west Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 2 of 7

Client:Synagro Laboratory ID: WA06023-001
Description: Sanford WWTP Matrix: Solid
Date Sampled:01105/2021 1300 % Solids: 5.13 01107/2021 0115
Date Received:01106/2021
Inorganic
non-metals
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst
Prep Date Batch
1
(% Solids) SM 254OG
1
01/0712021 0115 MOM
78694
1 350.1
(Ammonia - N ) 350.1
10
01/08/2021 1034 DRD
78739
1
(Nitrate - N) 9056A
1
01/08/2021 1542 AMR
79020
1
(Nitrite - N) 9056A
1
01/08/2021 1542 AMR
79022
3
(Phosphorus) 365.1
20
01/22/2021 1530 DMA
01/13/2021 2032 79352
1
(Soil pH meas) 9045D
1
01/08/2021 2154 AAB
78948
3 351.4
(TKN) 351.2
2
01/21/2021 1222 DMA
01/19/2021 1952 79979
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 254OG
5.13
%
1
Ammonia - N (gas diffusion)
350.1
7000
190
100
mglkg
1
Nitrate - N (soluble)
9056A
57
9.7
1.9
mglkg
1
Nitrite - N (soluble)
9056A
25
3.9
1.9
mglkg
1
Phosphorus
7723-14-0 365A
1400D
1900
390
mglkg
3
Soil pH measured In water @ 18 ° C
9045D
7.5
su
1
TKN
351.2
33000
970
970
mg/kg
3
CVAA
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 7471 B 7471 B
1 01/07/2021 0903 JA132
01 /07/2021 0614 78704
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Mercury
7439-97-6 7471 B
ND
1.4
0.35
mg/kg
1
ICP-AES
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
i 3050B 6010D
1 01/13/2021 1356 KSH2
O1111/2021 0946 78716
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Aluminum
7429-90-5 6010D
8400
130
48
mg/kg
1
Arsenic
7440-36 2 601 OD
3.9 J
4.8
1.6
mglkg
1
Cadmium
7440-43-9 601013
0.74 J
1.6
0.40
mg/kg
1
Calcium
7440-70 2 6010D
8300
1600
200
mg/kg
1
Chromium
7440-47-3 6010D
41
3.2
0.80
mglkg
1
Copper
7440-50-8 6010D
19D
3.2
1.4
mglkg
1
Iron
7439-89-6 6010D
11000
32
i5
mglkg
1
Lead
7439.92-1 6010D
15
3.2
1.4
mg/kg
1
Magnesium
7439.96-4 6010D
2800
1600
200
mglkg
1
Manganese
7439-96.5 6010D
740
4.8
1.9
mglkg
1
Molybdenum
7439-98-7 6010D
8.7 J
13
3.2
mglkg
1
Nickel
744942-0 6010D
23
13
3„4
mglkg
1
LOQ = Limit of Quantitatlon S = Detected In the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the OL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40% J = Estimated result < LOQ and ? DL
H = Out of holding time W = Reported on wet weight basis
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 3 of 7

Cilent:Synagro Laboratory ID:WA06023-001
Description: Sanford WWTP Matrix: Solid
Date Sampled:0110512021 1300 % Solids: 5.13 01/07/2021 0115
Date Received:01106/2021
ICP-AES
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 30506 601OD 1 01/13/2021 1366 KSH2 01111/2021 0946 78716
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
DL
Units
Run
Potassium
7440-09-7
6010D
3800
1600
200
mglkg
1
Selenium
7782-49-2
6010D
3.5 J
6.4
2.6
mglkg
1
Sodium
7440-23-5
6010D
1400 J
1600
200
mg/kg
1
Zinc
7440-66-6
6010D
49D
16
4.0
mg/kg
1
LOCI = Limit of Quantization 6 = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL u Detection Limit
NO = Not detected at or above the OL N = Recovery is out of criteria P = The RPD between two GG columns exceeds 40% J = Estimated result < LOQ and > DL
H = Out of holding time W = Reported on wet weight basis
Pace Analytical Services, LLC fformerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.paGelabs.com
Page 4 of 7

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

Shealy Environmental Services, Inc.
ro `' Chain Of Custody Record �� Vantage Point C3rv�e
m West Cul maia; Sotgh Carolina 29172
z_ TelephonelVe. (603) i9'1-9700 Fax N0' (803)79"-911'i
ID
wua.sirza'�riaG,corr
N Gent �='parl10 Contw
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z64 Dagar Rd-
TcteptlOrre P#, ! FaX no. r Email
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Wnssl% Hazerd
&Esmda3' , �Jl3bSp�anr& yl 7 �bVs per Lucas ❑Rel mil t0 id.�erat 7�;7is�eSBl ty :-03
rsc ce ti =san
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sart;�sies arts relaine�! fer Six weeks fru t eselpt 3tnless other
USE ONLY
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PACE ANALYTICAL SERVICES LLC
%-_` a�lAral,(?r &'
Satnpl(ss Receipt Checklist (SHO (MEQOISC•150
ISSjing Authority: � :9129/2020
II
Parr: E'NV-IMC31. NIF?C 1 of I
Q
S Q.:) A06023
SaMPIC Receipt Gh .0 list 'W
C;ient: 7�,+
Cooler inspected b_ y atw' _ Let ,,w
:1alts o!�re
'....._
. L'PS FctilrX f7tlter:
face i�y%
1i'eS 1`I�
1. W-re ctt(]y sc81s Fste,ent An file raoler7 �
V6 No
NA a.lfeusindOS 4etefeSOnl,tvv-,atheyIntactandurbnokon?
H Strip 1D:
".'� _ Clrlarisre "itriit I17: Tested by:
{{���trt "IMP tem pe."Xvre vpe. rcwipt { raved (Onrsactae) telrh eia(urc upon receipt Wo.lid Snap -Cup IU: 1q.+�r �f (4 a �F u 1� r?Cr
-NWAoth ©i'cmperature k Q�iainzt 3otlles 1R ( Vn 1D. IR Canto crmrx:wkin Factt+r: -C
Method
of coolarr
�"J Wet �w ❑ ]ca Yackx ❑ At ise Ni�rae
(3 Y:s 0No MA l3. I: MTIP r-,tcty, Of any c06W eXectded 6.G'r' was ?A-Ujcct Manager N01ried?
PM was Nolifind by: phone f email / face -to, face (ci ,�Ic onc).
Y-1 LJNo EDNA
A. 1s cJte Comm emial rwr-ier's tracking slip attnalled to this farnh?
Y NO
5. we" proper cust!!dy p�tr�srittres (rel(tiq�sishccl{tees;+ed) failtewcdY—
No
6. Wore sample. JDs lislW on Thu COC?
No
7. We-TC sam is ID3 listed on all said 1e CQ1'tainrx37
0sl LJN01R.
Was cal;ectloll dme,& time fisted ort frro 0007
Wt>.s cal:ecd n date & tbna listed on all %ample coutainens?
NO
!!?, Did trll container lariraI infalml Wou (ID, 491c, time) agree ;7ch_ ilia COC?
es No
I F. Wem. tests tct be pvduttned listed on the CCc'?
❑ N"
12. mid an sarnplCs arrive in tl;e itra 00"luinc s for each teat ondlor in good condition
(ttnbroketl, lilts on, etc.)? -
t..t na I& was adequate bm2le volume available?
es N 14. Were all sumpIcs r.ccived wi:hio file holding tittletittle or 4 haltrs. wltis ltevea rOntt s ust2
Y hY0 15. Vi = ar, samples Gonta.ineas Illissin 'excess [circle ono) sans ley Nat 114had sal CUG?
Ycs ❑ Nrl lD��A 16• For VQA and RS K-17:5 samples, were bubbles pltsant ' •:pen-sizo" (/4"ur 6mm its diameter)
in ass}� oftlle VOA shale?
Yes 1�10 . A 1'?. %Vere all D17,0J'rltOtais,rltu1a•ieltE samples received sit a PJR of e, 2?
Ye l�lo lA l Zl . Were all cyslllicle stlrtrplry received MA -PH s 12 amid suhide ststnplcs rccelved nt a pH > 9?
[�] Yes ❑ No1�'A) Yet all applicable ill #;� .. Tk/ryant s p.terloL'6 .1r6G71. s ( U.Srtg , smrlpies F me t f
rat t l r.111rn•ine_7
❑ Yes ❑ K0 f1A 20. NVM client rentari:shrqucs# 0.e. reVvsted dilutions, lviS 108J.I designations,
corw(lyr tran5urlbcd from the Coe into t7#e etrramrm section in LIM?
_ es _No ? 1. wlis the qurne number listed on *,e wainincr lahel? lie ;tote it
ample Preservation Gust be cotnplctei For artyainpte(s) incOrreetly preserved r+r with hea€tspuoc.)
Samples) _ wma rr ee.ived hic-o" fly preserved were adjusted accorditigly
its sample receiviag with mL of circle one: H2SO4, HNCt3, HC1, NaOH using SR # �
Tina of py'aservation lrmorothau one pr wm, (itre is needed, plcmmse note in the eo.wileurr JVlo .
we!e rr Wvod;wits lwhblas >6 Inrn :11 ciumctcr.
Slltnplt s(sj �`y rl sent 1n r (I.ru n whit sodium t1m ere recervrtl u. it.7 `l W-> o.$ mWL (II{#l9 is tire) and were
adjusted accord; ^' p - Le y iosulfate (Nu2Sz03) with "My IV;
5R bmwde labels applioLl by: Dutc I'
�0.lirrFetttg; __ ,
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 7 of 7

Cameron Testing Services, Inc, Laboratory Report
Synagro
Sanford VVWiP
2101-002
Yes
NC RENR #664
NC PHHS #37799
US EPAMC01818
OW Csrt # 37799
Sample Information
C. Wynne 01104121 M. Sims 01104121
Analyses and Results
2101-002 -01
sk*e or Fee. Conform-S <30500
CFUlg 30500 011E1.4121 CSC 92220 - MF
-02
60700
Cm o 303oo
-03
60600
t:Fi)fg 30300
-04
29900
CFwu 29900
-06
-434900
uvie woo
.08
34600
CFU10 34600
-0+
<34800
eFutp 34800
Geoffman 39200
2101-002 01 -01
skwp Of TS N 3,28%
o,ct 01IM21 GSC 2MO a -TS
-02
3M%
0101
-03
3.30%
a01
-04
3.42%
t►.a,
-05
2.86%
a.a,
-06
2.89%
0.01
-07
2,87%
0.01
Report
ROVIOW
Project Manages
219 S. Swic Su. 9I9-208-4240
Samford NC 2733E Chris C.vnerantexting.cam

219 S. MWO SU. Cameron Testing Services, Inc. Chain of Custody
SariftrO, NC 27M Pam M
Rush wo* vdl require prig approval, Additional charges YAD apply

Project. Sanford WWTP
Client Synagro
anr� Received
Daft 0,V11/21 a 03111121
Tree Grab Mafaix Studoe
38% Volatiles Deduction CTS Proj_
(EPA 6 IR9=13, Appendix D) Regulatory
Ref. Methods SW, fit. 190' ed.
2540 G - TS
Requested 2540 G - VS
Are
In 01 1.50% 91.5% oY
Page i

210 s_ SWete scr. Cameron Testing Services, Inc. ate+ at cusp
SA(40rd. N zr4w MC sue: 9f0-a2aa+war rt ray sn ar9sEPA c:a1s1Page
In
a° RN
17
5.
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Client.i�Ilaj�r+t�..
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10 Am
RWah work MR refit r apMvaL AdditknW chaff wig apply

State of North Carolina
DWR
Department of Environment and Natural Resources
Divisions of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 11-13
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 website at:
htt2:/1portal. ncdenr. org/web/wq/aos/lau
General -- This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-13, FORM: DCAR 11-13, or FORM: SDR 11-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-13) form. PIease 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". mm
® 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 pennit. 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 11-13 Page 1 of I

►� x. I 1 il\ If►Y.Ylii1 11 a7:� 1�1 �L I U U :: 1
Applicant's name: Synagro Western Piedmont
Status Maximum Dry Tons Per Year
Code a Facility Permit Holder Facility Name County Permit Number
Current n Proposed
N Clariaut-Mount Corporation Mount Holly West Facility Gaston NCG500047 250 250
a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page 1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
'R
ow
Dlvislon of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 11-13
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Clariant Corporation
2. Facility permit holder is: Federal, Fxi State, EM Local Government, or 0 Private.
Facility permit issued by: Div. of Water Resources, Div. of Environmental Health,
or Other (explain
3. Facility contact person and title: Cla Dunn EHS Operations Specialist
Complete mailing address: P.O. Box 866
City: Mount Holly State: NC Zip: 28120
Telephone number: 704) 822-2087 E-mail address: [e-mail]
4. Facility physical address: 625 East Catawba Avenue
City: Mount Holly State: NC Zip: 28120-M
Coordinates: Latitude: 35' 17' 39" Longitude: 810 00' 27"
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: R % industrial and % domestic)
other (explain: a ).
6. Does the facility have an approved pretreatment program: Yes 3 No
7. Facility permitted/design flow: 0.13 MGD and facility average daily flow: 0.127 MGD
8. Average amount of residuals being generated at this facility 250 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment; ``ry
Type and volume of residuals storage (i.e., outside of residuals treatment units): Covered Sludge Storage Facility (SFF)
—8000 cubic feet
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:
r¢ Biological Non -Biological
FORM: RSC 11-13 Page 1 of 5

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).
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: El yes no.
If yes, list the number(s): Ly.;.�y�;
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: M. yes M 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: Summit Environmental Technologies, Inc. and Date of analysis: 01/12/21
Passed corrosivety test: yes _>' no. pH: 7.0 s.u. (2 < pH < 12.5)
�
Passed ignitability test yes no. Flashpomt P-Nd, F (> 140 F)
tY Y _ �g ( ) � g g ( )
Passed reactive test: es no. HCN: 2�5� m <25D & HzS: '��0��, m /k <500
TCLP Parameter
Limit
(Mg/1)
Result
(mg/1)
TCLP Parameter
Limit
(mg/l)
Result
(rn9/0
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200,0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 11-13 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 DistrihutionlLand Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Pace Analytical and Date of analysis: 02/24/2021
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
21
Cadmium
85
39
nd
Copper
4,300
1,500
22
Lead
840
300
1.5
Mercury
57
17
nd
Molybdenum
75
nla
3.6
Nickel
420
420
26
Selenium
100
100
nd
Zinc
7,500
2,800
300
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 a 1.9 and Date of analysis:a t
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(rng/kg)
Nickel
(mg/kg)
> 0 but < 25
30
200
210
> 25 but < 50
34
220
240
> 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
> 125
62
450
420
Result (mg/kg)
FORM: RSC 11-13 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Totalsolids: 11.8 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Pace Analytical and Date of analysis: 02/24/21
Parameter
Result
(mg/kg)
Aluminum
200
Ammonia -Nitrogen
1200
Calcium
1300
Magnesium
990
Nitrate -Nitrite Nitrogen
9.2
pH (Standard Unit)
6.8
Phosphorus
15,000
Potassium
4100
Sodium
10,000
TotalKjeldahl Nitrogen
79,000
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 19.09
[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, priorto 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: %. This rate
is a (check one): a defaultvaluc, or U 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 (I1� Year PAN
Five -Year
Maximum Adjusted PAN
(mg��
(m91k9)
Surface
41,337
61,106
Injection/Incorporation
45,927
65,696
6. Other Pollutants Determination: Specify whether ornot there are any other pollutants of concern in the residuals and provide
the results of the latest analyses f
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:
A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
is A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
Alternative 1 [ 15A NCAC 02T. 1106(b)(3)(A)] - Time/Temperature Compliance.
%I Alternative 2 [15A NCAC 02T.I106(b)(3)(13)] - Alkaline Treatment.
Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Hehninth Ova.
x Alternative 5 15A NCAC 02T.I 106 b 3 E - K - Process to Further Reduce Pathogens PFRP
Specify one: '5": composting, F9 heat drying `' heat treatment,
thermophilic aerobic digestion, beta ray irradiation,
gamma ray irradiation, or i' pasteurization.
b. For Land Application of Class B:
Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: aerobic digestion, ER air drying, M anaerobic digestion,
IT, composting, or tM lime stabilization.
c. For Surface Diposal:
Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
Exempt -If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
Alternative I [I5A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 [15A NCAC 02T. 1 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [15A NCAC 02T. 1 107(a) (5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
i' Alternative 8 [15A NCAC 02T. 1 107(a)(8)] - Drying of Unstabilized Residuals.
Alternative 9 [15A NCAC 02T. I 107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T. I 107(a)(I 0)] - Incorporation.
Alternative for Surface Disposal Units Only - Soil/Other Material Cover [I5A NCAC 02T.1107(b)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 11-13 Page 5 of 5

11
�lot>
- Ell.
s,
P
N
Y�-S7
04
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Q

User Pretreatment Permit
PART I
Conditions

Residuals Sampling Plan
Clariant Corp. 4 Mount Holly West Land Application Program
Nutrients and Metals Analysis
Sampling Point: Storage pad
Sampling Frequency: Annual
Sample Type: Composite
Lab: Shealy Environmental Services
Patho en(Fecal Coliform Density Demonstration
Sampling Point: Storage pad
Sampling Frequency: Annual
Sample Type: Grab
Lab: Shealy Environmental Services
Vector Attraction Reduction
Sampling Points: Holding tank before press
Sampling Frequency: annual
Sample Type: 30 Day Bench
Lab: Statesville Analytical
'T'rUP.4- or,f
Sampling Point: Storage pad
Sampling Frequency: Annual
Sample Type: Composite
Lab: Summit Environmental Technologies, Inc

Quantitative Justification for Residuals Production Rate
Facility:
Clariant Corporation Mt Holly West Facility
Requested Permitted Rate:
250 dry tons/year
Justification: This is the currently permitted dry tons as listed in the most current permit and no
changes are requested at this time.
Calculations:
The dry tons requested for permitting is based on the volume of material times the
percentage of solids.
650,000 gallons x 8.5% solids x 8.34/2000 = 230 dt
Request to keep the dry tonnage at 250 as listed in the permit.

Summit Environmental Technologies, Inc.
��SUMMIT 3310 Win St.
LIJENV1n0NMENTALTCrl9sw040CN11S, INN Cuyahoga Falls, Ohio 44223
Ana?yticalLaboralartes° TEL [phone] FAX.- [phone]
Website: htt .,11www.sette_ com
January 12, 2021
Alex Fox
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL:
FAX:
RE: Clariant
Dear Alex Fox: Order No.: 21010093
Summit Environmental Technologies, Inc. received 1 sample(s) on 1/5/2021 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results, please feel free to call the
laboratory.
Sincerely,
r ws,!�Iadt-
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
Arkansas 88-0735, Caiifornia 2943, Colorado, Connecticut PH-0I08, Florida NELAC E87688, Idaho OH00923, Illinois 200061, Indiana C-OH-13, Kansas
E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Maryland 339, Michigan 9988, Minnesota 1780279, Nevada OH009232020-1, New
Hampshire 2996, New Jersey 011006, New York l 1777, North Carolina 39705 and 63 h, North Dakota R-201, Ohio DW, Ohio VAP CL0052, Oklahoma
2019-155, Oregon 01-12O0001, Pennsylvania 011, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-19-16, Utah OH009232020-12,
Virginia VELAP 10381, West Virginia 9957C
Page I of 42

MM1 Y Summit Environmental Technologies, Inc. Case Narrative
SU3310 Win St.
Et4VIROtJMdr:tdTALT,t:CIINO OQIF.S, IR . Cuyahoga Falls, Ohio 44223 WO#: 21010093
Analyllcal Lirbaralarlets TEL: [phone] F14X: [phone]
Website: htta://www.settek.com Date: 1/12/2021
CLIENT: Synagro
Project: Clariant
WorkOrder Narrative:
21010093: This report in its entirety consists of the following documents: Cover Letter, Case Narrative,
Analytical Results, QC Summary Report, Applicable Accreditation Information, Chain -of -Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditationslcertifications listed at the bottom of
the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program
Analytes Report" for accredited analytes list.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
,Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any
comments or problems with the analytical events associated with this report are noted below.
Original
Page 2 of 42

IT Summit Environmental Technologies, In
SUMM
3310 Win Qualifiers and Acronyms
5
ERV1110NMENTTALI` CHWOlOt341:3,INC Cuyahoga Falls, Ohio 442; WO#!: 21010093
Anzrlytical Laboratodas TEL: [phone] FAX.- (330) 253-446
Website: hfdn:/Anvw.settek.co Date. 1/12/2021
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
U The compound was analyzed for but was not detected.
J The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
H The hold time for sample preparation and/or analysis was exceeded.
D The result is reported from a dilution,
E The result exceeded the linear range of the calibration or is estimated due to interference.
MC The result is below the Minimum Compound Limit.
* The result exceeds the Regulatory Limit or Maximum Contamination Limit.
m Manual integration was used to determine the area response.
d Manual integration in which peak was deleted
N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P The second column confirmation exceeded 25% difference.
C The result has been confirmed by GUMS.
X The result was not confirmed when GC/MS Analysis was performed.
BIMB+ The analyte was detected in the associated blank.
G The 1CB or CCB contained reportable amounts of analyte.
QC-/+ The CCV recovery failed low (-) or high (+),
R/QDR The RPD was outside of accepted recovery limits.
QL-l+ The LCS or LCSD recovery failed low (-) or high (+).
QLR The LCSILCSD RPD was outside of accepted recovery limits.
QM-/+ The MS or MSD recovery failed low (-) or high (+).
QMR The MS/MSD RPD was outside of accepted recovery limits.
QV-1+ The ICV recovery failed low (-) or high (+).
S The spike result was outside of accepted recovery limits.
Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND
Not Detected
RL
Reporting Limit
QC
Quality Control
MDL
Method Detection Limit
MB
Method Blank
LOD
Level of Detection
LCS
Laboratory Control Sample
LOQ
Level of Quantitation
LCSD
Laboratory Control ,Sample Duplicate
PQL
Practical Quantitation Limit
QCS
Quality Control Sample
CRQL
Contract Required Quantitation Limit
DUP
Duplicate
PL
Permit Limit
Ms
Matrix Spike
RegLv1
Regulatory Limit
MSD
Matrix Spike Duplicate
MCL
Maximum Contamination Limit
RPD
Relative Percent Different
MinCL
Minimum Compound Limit
lCV
Initial Calibration Verification
RA
Reanalysis
ICB
Initial Calibration Blank
RE
Reextraction
CCV
Continuing Calibration Verification
TIC
Tentatively Identified Compound
CCB
Continuing Calibration Blank
RT
Retention Time
RLC
Reporting Limit Check
CF
Calibration Factor
DF
Dilution Factor
RF
Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 3 of 42

SUmmint
Summit Environmental Technologies, Inc.
3310 Win St.
NVIfIn1uMJ tdTl4LTCItHt71 rlt3t>, INC Cuyahoga Falls, Ohio 44223
Analytical Labarwar'tae TEL: [phone] FAX.- [phone]
We$site: htt :/hvivti . k com
CLIENT: Synagro
Project: Clariant
Lab SampleID Client Sample ID
21010093-001 Clariant
Tag No Date Collected
1/4/2021 I2:15:00 PM
Workorder
Sample Summary
W04: 21010093
Date Received
1/5/2021 I0:15:00 AM
12-Jan-21
Matrix
Sludge
Page 4 of 42

P. P. P. P. P. P,
O a o 0 0 0 0 0 0 0
•m n O O O O O N O
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P. R. Pr W Fk
O O O O O
O O O O O
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1p M N � M Y
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T=nrwouSUMMI V
SunnnitEnvironinentalTechnologies,Inc.
3310 Win St.
Analytical Report
E6 VirtONJ 4Vhl'rAL7r-CIiNOLOGIES, We
Caryahoga Falls, Ohio 44223
(base report)
Analy laW Lobaralohio=
TEL: [phone] FAX: [phone]
W09: 21010093
Website: hitp:lhviviv.settek.coin
Date Reported: 1/12/2021
CLIENT: Synagro
Tag Number:
Matrix: SLUDGE
Collection Date:
1/4/2021 12:15:00 PM
Lab ID: 21010093-OOIA
Project: Clariant
Client Sample ID Clariant
Analyses Result
RL
Qual Units
DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW7470A
SW7470A Analyst: ERA
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury
ND
0.00200
mglL
1 1/8/2021 12:38:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW6010D
SW3010A Analyst: EAM
TCLP METALS ANALYSIS (SW131116010)
TCLP Arsenic(As)
ND
0.500
mg/L
1 1/11/2021 12:52:20 PM
TCLP Barium(Ba)
ND
6.00
mglL
1 1/11/2021 12:52:20 PM
TCLP Cadmium(Cd)
ND
0.100
mglL
1 1/11/2021 12:52:20 PM
TCLP Chromium(Cr)
ND
0.200
mglL
1 1/11/2021 12:52:20 PM
TCLP Lead(Pb)
ND
0,500
mglL
1 1/11/2021 12:52:20 PM
TCLP Selenium(Se)
ND
0.0500
mglL
1 1/11/2021 12:52:20 PM
TCLP Silver(Ag)
ND
0.500
mglL
1 1/11/2021 12:52:20 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8270
SW3510C Analyst: SFG
TCLP SEMI-VOLATILES ANALYSIS (SW131118270)
1,4-Dichlorobenzene
ND
0.200
mglL
2 1/8/2021 6:32:00 PM
2,4,5-Trichlorophenol
ND
0.500
mglL
2 1/8/2021 6:32:00 PM
2,4,6-Trichlorophenol
NO
0.500
mglL
2 1/8/2021 6:32:00 PM
2,4-Dinitrotoluene
ND
0.100
mglL
2 1/8/2021 6:32:00 PM
Cresols, Total
ND
10.0
mglL
2 1/8/2021 6:32:00 PM
Hexachloro-1,3-butadiene
ND
0.0400
mglL
2 1/8/2021 6:32:00 PM
Hexachlorobenzene
ND
0.100
mglL
2 1/8/2021 6:32:00 PM
Hexachloroethane
ND
0.200
mglL
2 1/8/2021 6:32:00 PM
Nitrobenzene
ND
0.200
mglL
2 1/8/2021 6:32:00 PM
Pentachlorophenol
ND
0.500
mglL
2 1/8/2021 6:32:00 PM
Pyridine
ND
0.500
mglL
2 1/8/2021 6:32:00 PM
Surr: 2-F"luorophenol
75.4
10 - 157
m %Rec
2 1/8/2021 6:32:00 PM
Surr: PhenoW6
77.2
10 - 169
%Rec
2 1/8/2021 6:32:00 PM
Surr: Nitrobenzene-d5
76.9
32.1 - 130
%Rec
2 1/8/2021 6:32:00 PM
Surr: 2,4,6-Tribromophenol
110
45.4 - 166
%Rec
2 1/8/2021 6:32:00 PM
Surr: 2-F'luorobiphenyl
78.0
35.7 - 130
%Rec
2 1/8/2021 6:32:00 PM
Surr: p-Terphenyl-d14
116
74.7 - 145
%Rec
2 1/8/2021 6:32:00 PM
Qualifiers: B Analyte detected in the associated
Method Blank
E Value above quantitation range
H Holding times for preparation or analysis exceeded
M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit.
N TentativeIy identified compounds
ND Not Detected
P Second column confirmation
exceeds
PL Penn it Limit
R RPD outside accepted recovery limits Original
RL Reporting Detection Limit
U Samples with CalcVal < MDL
Page 6 of 42

Summil Environmental Technologies, Inc. Analytical Report
summist
3310 Win St.
El+11111t0NMEfi]'rALTj�CRNEiL0(31ES, INC: Cuyahoga Falls, Ohio 44223 {base report)
Analy0O.Il Labaratd6dr TEL: [phone] F,9X.- [phone] WO#: 21010093
Website: bug.//wwtiv.Sellek.com Date Reported: 1/12/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 1/4/2021 12:15:00 PM
Lab ID: 21010093-OOIA
Project: Clariant
Client Sample ID Clariant
Analyses
Result
RL Qual
Units
DF
Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8081
SW3510C Analyst: CSS
TCLP PESTICIDES ANALYSIS
(SW131118081)
Chlordane, total
ND
0,0250
mglL
1
1/11/2021 10:35:00 PM
Toxaphene
ND
0.0500
mglL
1
1/11/2021 10:35:00 PM
Endrin
ND
0.00250
mglL
1
1/11/2021 10:35:00 PM
gamma-BHC
ND
0.00250
mglL
1
1/11/2021 10:35:00 PM
Heptachlor
ND
0.00250
mglL
1
1/11/2021 10:35:00 PM
Heptachlor epoxide
ND
0.00250
mglL
1
1/11/2021 10:35:00 PM
Methoxychlor
ND
0.00250
mglL
1
1/11/2021 10:35:00 PM
Surr: TCMX
70.2
10 - 119
%Rea
1
1/11/2021 10:35:00 PM
Surr: DCB
80.9
10 - 119
%Roe
1
1/11/2021 10:35:00 PM
TCLP HERBICIDES BY EPA 8321B
SW8321A
Analyst: JPG
2,4-D
ND
0.5c0
mg1L
50 1/9/2021 6:43:00 PM
2,4,5-TP
ND
0.500
mglL
50 1/9/2021 6:43:00 PM
Sum 2,4-Dichlorophenylacetic aci
100
70 - 130
%Rea
50 1/9/2021 6:43:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8260
SW1311M Analyst: SLV
TCLP VOLATILES ANALYSIS
M-Dichloraelhene
ND
0.250
mg1L
50 1/7/2021 7:25:00 PM
1,2-Dichloroethane
ND
0.250
mg1L
50 1/7/2021 7:26:00 PM
MEK
ND
5.00
mg1L
50 1/7/2021 7:25:00 PM
Benzene
ND
0.250
mglL
50 1/7/2021 7:26:00 PM
Carbon tetrachloride
ND
0.250
mg1L
50 1/7/2021 7:25:00 PM
Chlorobenzene
ND
2,50
mglL
50 1/7/2021 7:25:00 PM
Chloroform
ND
0.250
mglL
50 1/7/2021 7:25:00 PM
Tetrachloroethene
ND
0.250
mg1L
50 1/7/2021 7:25:00 PM
Trichloroethene
ND
0.250
mg1L
50 1/7/2021 7:25:00 PM
Vinyl chloride
ND
0.100
mg/L
50 1/7/2021 7:25:00 PM
Surr: 4-Bromofluorobenzene
92.4
70 - 130
%Rea
50 1/7/2021 7:25:00 PM
Surr: Dibromofluorom ethane
103
70 - 130
%Rea
50 1/7/2021 7:25:00 PM
Surr: Toluene-d8
99.2
70 - 130
%Rea
50 1/7/2021 7:25:00 PM
Qualifiers: B Analyte detected in the associated
Method Blank
E Value above quantitation range
H Holding times for preparation or analysis exceeded
M Manual Integration
used to determine area response
MC Value is below Minimum Compound
Limit.
N Tentatively identified compounds
ND Not Detected
P Second column confirmation exceeds
PL Permit Limit
R RPD outside accepted recovery limits Original
RL Reporting Detection Limit
U Samples with CalcVal < MDL
Page 7 of 42

MM' T Summit Environmental Technologies, Inc. Analytical Report
W
3310 Win Sr.
SU
ENVi iOt4hli_N7:4LYt-CHNOLOG]rgS, INC Cuyahoga Falls, Ohio 44223 (base report)
Analytical aborgl'arlde TEL: [phone] FAX. [phone] WO#: 21010093
Website: httb:/hvww.settek.com Date Reported: 1/12/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection: Date: 1/4/2021 12:15:00 PM
Lab ID: 21010093-OOIA
Project: Clariant
Client Sample ID Clariant
Analyses Result RL Qua] Units DF Date Analyzed
RCI SW9014 Analyst: MS
REACTIVE CYANIDE (901417.3.3.2)-SOLID
Cyanide, Reactive ND 0.472 mg1Kg 1 1/7/2021 4:50:00 PM
IGNITABILITY OF SOLIDS (SW-846: 1030) SW1030 Analyst: SEE
Ignitability nonflammable mmisec 1 1/6/2021 2:27:57 PM
RCI SW9045D Analyst: DHC
PH (SW9045D)
pH 6.8 5.u.@19.9C 1 1/6/2021 12:50:00 PM
RCI SW9034 Analyst: MS
REACTIVE SULFIDE (9034)17.3.4.2
Sulfide, Reactive 30.0 25.0 mg1Kg 1 IM2021 4:50:00 PM
Qualifiers: B Analyte detected in the associated Method Blank
H Holding times for preparation or analysis exceeded
MC Value is below Minimum Compound Limit.
ND Not Detected
PL Permit Limit
RL Reporting Detection Limit
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
P Second column confirmation exceeds
R RPD outside accepted recovery limits Original
U Samples with CalcVal < MDL
Page 8 of 42

SUmmist
Sxmmit Environmental Technologies, Inc. Accreditation Program
3310 Win St. Anal te5 Report
EIyV1RQ 11�1J tdTgL YCCrIPapG�u 11 5, INC Cuyahoga Falls, Ohio 44223 Y P
AnalyVcal Labaralarleg TEL: [phone] FAX.- [phone] WQ#: 21010093
Website: hQ.Iliyiytiy.seliek.com 12-Jan-21
Client: Synagro State: NW
Project: Clariant Program Name: NC WW_SCM
Sample ID Matrix Test Name Analyte Status
1010093-00 lA Sludge Ignitability of Solids (SW-846: ]030) Ignitability A
Sludge pH (SW9045D) Hydrogen Ion (pH) A
Sludge Reactive Cyanide (9014/7.3.3.2)-Solid Cyanide, Reactive N
Sludge Reactive Sulfide (9034)/7.3.4.2 Sulfide, Reactive N
Sludge TCLP Herbicides by EPA 8321B 2,4,5-TP A
Sludge TCLP Herbicides by EPA 832111 2,4-D A
Sludge TCLP Mercury Analysis (SW1311/7470) Mercury A
Sludge TCLP Metals Analysis (SW1311/6010) Arsenic A
Sludge TCLP Metals Analysis (SW 1311/6010) Barium A
Sludge TCLP Metals Analysis (SW 1311/6010) Cadmium A
Sludge TCLP Metals Analysis (SW 1311/6010) Chromium A
Sludge TCLP Metals Analysis (SW I311/6010) Lead A
Sludge TCLP Metals Analysis (SW 1311 /6010) Selenium A
Sludge TCLP Metals Analysis (SW]3I1/6010) Silver A
Sludge TCLP Pesticides Analysis (SW 1311/8091) Chlordane, total A
Sludge TCLP Pesticides Analysis(SW1311/8091) Endrin A
Sludge TCLP Pesticides Analysis (SW 1311/8081) gamma-BHC A
Sludge TCLP Pesticides Analysis (SW 1311/8081) Heptachlor A
Sludge TCLP Pesticides Analysis (SW131 1/8091) Heptachlor epoxide A
Sludge TCLP Pesticides Analysis (SW1311/8081) Methoxychlor A
Sludge TCLP Pesticides Analysis (SW13I 1/8081) Toxaphene A
Sludge TCLP Semi-Volatiles Analysis (SW13I1/8270) 1,4-Dichlorobenzene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 2,4,5-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 2,4,6-Trichlorophenol A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 2,4-Dinitrotoluene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Cresols, Total A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachlorobenzene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachlorobutadiene A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachloroethane A
Sludge TCLP Semi-Volatiles Analysis (SW131118270) Nitrobenzene A
Sludge TCLP Semi-Volatiles Analysis (SW131118270) Pentachlorophenol A
Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Pyridine A
Original 41
2
Page 9 of 42

�' Sununu Environmental Technologies, Inc. Accreditation Program
3310 Win St. Anal te5 Report
ENVIROl11A1:NTALTVCH1140 OGIES, INC Cuyahoga Falls, Ohio 44223 Y P
Ana$yth wl L aboralarlas TEL: [phone] FAX: [phone] W04: 21010093
Wehsite: httn:/hywry.settek.com 12-Jan-21
Client: Synagro State: NW
Project: Clariant Program Name: NC_WW SCM
Sample ID Matrix
Test Name
Analyte
Status
21010093-001A Sludge
TCLP Volatiles Analysis
1,1-Dichloroethene
A
Sludge
TCLP Volatiles Analysis
1,2-Dichloroethane
A
Sludge
TCLP VoIatiles Analysis
2-Butanone
A
Sludge
TCLP VoIatiles Analysis
Benzene
A
Sludge
TCLP VoIatiles Analysis
Carbon tetrachloride
A
Sludge
TCLP VDIatiles Analysis
Chlorobenzone
A
Sludge
TCLP VDIatiles Analysis
Chloroform
A
Sludge
TCLP VDIatiles Analysis
Tetrachloroethene
A
SIudge
TCLP VoIatiles Analysis
Trichloroethene
A
Sludge
TCLP VoIatiles Analysis
Vinyl chloride
A
Original #1
Page 10 of 42

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Page 40 of 42

1/512021
Pik
% Sur
1/ :7f9hJ1 H". 1(:?W:1C GilC
i��nu Uirtin�
Summit Environmental Technologies Mail - Re: Sand data from MFP12072737 0110612021 12.24
Re: Send data from MFP12072737 01105/2021 12:24
1 message
Alex Pox <[e-mail]>
To: Jennifer Woolf <[e-mail]>
They are all InnNC and yes that's part of Tcllp.
Thanks,
Alex Pox
TSS Western NC
336-703,8681
[e-mail]
On Jan 5, 2021, at 12,39 PM, Jennifer Woolf <[e-mail]> wrote:
Jennifer Woolf �[e-mail]:*
Tue. Jan 5. 2021 at 1:01 PM
Could you resend them with the state included in the Project Address box? Also, could you Indicate that
the PestlHerb are TCLP also.
thanks!
Jan
Jennifer Woolf
Project Manager
[e-mail]
3310 Win 5t.
Cuyahoga Fells, Ohio 44223
Summit Environmental Technologies, Inc.
TEL: [phone]
FAX: [phone]
htip://www,r,ettek,com
PLEASE NOTE: This entail, including any attachments, may include privileged and/or confidential
that may only be reviewed by the Intended recipient. Any distribution or use of this
communication by anyone other than the intended recipient Is strictly prohibited and may be
unlawful. If this email has been received in error, please notify the sender immediately by
replying to this message and delete the contents of this email from your files.
Please let us know how we are doing by participating In an online survey at
https://www.surveymonkey.r,om/r/SBC30YM.
On Tue, Jan 5, 2021 at 12:31 PM Alex Pox <[e-mail]> wrote:
Here are the COC.
You can take W111, Marshall and Melvin of the list they no longer work for 5ynagro
Thanks,
Alex Pox
TSS Western NC
33&703.8681
[e-mail]
https:ltmall,google.comlmaiUulo7lkmca79f59241&vlevrpt&search=all&permthld=+thread.f%3A1688069S31827378eS2%7Cmsg.f�h3A18BBD707515168... m
N
0
N
a�
CD
co
IL
Page 41 of 42

Summit Environmental Technologies, Inc.
SUMMIT 3310 Win St.
Eµultiat,IMENTAL U-CHN'iLOGIEg,M, Cuyahoga Falls, Ohio44223 Sample Log -In Check List
Airaiyru m Loliaratortes TEL: [phone] FAX: [phone]
Website: htto:/hyww.settek.com
Client Name: SYN-NC-27028 Work Order Number: 21010093 RcptNo: 1
Logged by: Jesseca E. Westfall 1/512021 10:15:00 AM%..
Completed By: Jesseca E. Westfall 1/512021 4:28:21 PMG .
Reviewed By: Jennifer Woolf 1/5/2021 4:36:16 PM
Chain of Custod
1, Is Chain of Custody complete? Yes No ❑ Not Present ❑
2• How was the sample delivered? FedEx
Log In
3. Coolers are present? Yes �/❑ No ❑ NA ❑
4.
Shipping container/cooler in good condition?
Yes
�
No ❑
Custody seals intact on shipping container/cooler?
Yes
❑
No ❑
Not Present 9
No. Seal Date:
Signed By:
5•
Was an attempt made to cool the samples?
Yes
d❑
No ❑
NA ❑
6•
Were all samples received at a temperature of >0° C to 6.0°C
Yes
d❑
No ❑
NA ❑
7•
Sample(s) in proper container(s)?
Yes
d❑
No ❑
6•
Sufficient sample volume for indicated test(s)?
Yes
�/❑
No ❑
g,
Are samples (except VOA and ONG) properly preserved?
Yes
©
No ❑
10.
Was preservative added to bottles?
Yes
❑
No V
NA ❑
11. Is the headspace in the VOA vials less than 114 inch or 6 mm?
Yes
❑
No ❑ No VOA Vials ❑�
12. Were any sample containers received broken?
Yes
❑
No V
13. Does paperwork match bottle labels?
Yes
❑
No ❑
(Note discrepancies on chain of custody)
14. Are matrices correctly identified on Chain of Custody?
Yes
0
No ❑
15. Is it clear what analyses were requested?
Yes
0
No ❑
16. Were all holding times able to be met?
Yes
❑
No ❑
(If no, notify customer for authorization.)
Special Handling (if applicable)
17• Was client notified of all discrepancies with this order?
Yes
❑
No ❑ NA 0
Person Notified: Date:
By Whom: Via: ❑ eMail ❑ Phone ❑ Fax ❑ In Person
Regarding:
Client Instructions:
18. Additional remarks:
COC emailed
Cooler Informatlon
Cooler No . Temp OC Condition I Seal intact I Seal. No Seal Date Signed B
1 13.6 Goodl Not Present
Page 42 of 42

aceAnalytical 0
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Alex Fox
Project Name: Clariant
Lot Number:WB02064
Date Completed:02/24/2021
02/25/2021 12:11 PM
Approved and released by:
Project Manager II: Lucas Odom
AMNI NatfonafAcveNlaUon EoarE
ACCRE.oI TE O
B , _.®
TESTING LABORATORY
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC.
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172
Tel:[phone] Fax:[phone] www.pacelabs.com
Page 1 of 7

PACE ANALYTICAL SERVICES, LLC
SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: WB02064
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved The NELAC Institute (TNI) standards, the Pace Analytical Services, LLC ("Pace")
Laboratory Quality Manual, standard operating procedures (SOPs), and Pace policies. Any exceptions to
the TNI standards, the Laboratory Quality Manual, SOPs or policies are qualified on the results page or
discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W,
qualifier
If you have any questions regarding this report please contact the Pace Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time,
Metals by ICP
Due to low percent solids, the amount used for the following samples was 3x more than the standard
procedure: WB02064-001. The LOQ has been adjusted accordingly.
Pace Analytical Services, LLC (formerly Shealy Environmeta! Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 2 of 7

Client:Synagro Laboratory ID:WB02064-001
Description: Clariant Matrix: Solid
Date Sampled:02102/2021 1130 % Solids: 11.6 02/05/2021 2331
Date Received:0210212021
Inorganic
non-metals
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst
Prep Date Batch
1
(% Solids) SM 254OG
1
02/05/2021 2331 AAB
82067
1 350.1
(Ammonia - N ) 350.1
5
02/04/2021 1247 KFE
81813
1
(Nitrate - N) 9056A
1
02/05/2021 1340 AMR
82165
1
(Nitrite - N } 9056A
1
02/05/2021 1340 AMR
82168
3
(Phosphorus) 365.1
50
02/21/2021 1048 DMA
02/19/2021 1753 83053
1
(Soil pH meas) 9045D
1
02/03/2021 1802 AAB
81768
4 351.4
(TKN) 351.2
10
02/24/2021 1225 DMA
02/23/2021 1814 83718
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 2540G
11.8
%
1
Ammonia - N (gas diffusion)
350.1
1200
42
22
mglkg
1
Nitrate - N (soluble)
9056A
9.2
4.2
0.85
mglkg
1
Nitrite - N (soluble)
9056A
ND
1.7
0.85
nil
1
Phosphorus
7723-14-0 365.1
15000
2100
420
mglkg
3
Soil pH measured in water @ 17.5 ° C
9045D
6.8
su
1
TKN
351.2
79000
2100
2100
mglkg
4
CVAA
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 7471 B
7471 B
1 02/05/2021 1037 JAB2
02/05/2021 0517 81937
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Mercury
7439-97-6 7471B
ND
0,66
0.16
rill
1
ICP-AES
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3050B
601OD
1 02/10/2021 1522 KSH2
O211012021 0331 82032
2 3050B
601OD
1 02/11/2021 1519 KSH2
O211012021 0331 82032
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Aluminum
7429-90-5 6010D
200
56
21
mglkg
1
Arsenic
7440-38-2 6010D
21
2.1
0.70
mglkg
1
Cadmium
7440-43-9 6010D
ND
0.70
0.18
mglkg
1
Calcium
7440-70-2 6010D
1300
700
87
mglkg
1
Chromium
7440-47-3 6010❑
40
1.4
0.35
mglkg
1
Copper
7440-50-8 6010D
22
1.4
0.63
mglkg
1
Iron
7439-89-6 6010D
980
14
6.3
mglkg
1
Lead
7439-92-1 601OD
1.5
1.4
0.63
n lkg
1
Magnesium
7439-95.4 601OD
990
700
87
n lkg
1
Manganese
7439-96.5 6010D
16
2.1
0.83
mglkg
1
Molybdenum
7439-98-7 6010D
3.6 J
5.6
1.4
mglkg
1
LOG = Limit of Guantilation
0 - Detected in the method blank
E = Guantitation of compound exceeded the calibration range
DL = Detection Limit
ND = Not detected at or above the DL
N = Recovery is out of criteria
P - The RPD between two GC columns exceeds
40°A
J = Estimated result < LOG and > DL
H - Out of holding time
W = Reported on wet weight basis
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.parstabs.com
Page 3 of 7

Client:Synagro Laboratory ID:WB02064-001
Description: Clariant Matrix: Solid
Date Sampled:0210212021 1130 % Solids: 11.8 02/0512021 2331
Date Received:02/0212021
ICP-AES
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3050B 601OD 1 02/10/2021 1522 KSH2 02/10/2021 0331 82032
2 3050B 6010D 1 02/11/2021 1519 KSH2 O2/10/2021 0331 82032
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
DL
Units
Run
Nickel
7440-02-0
6010D
26
5.6
1.5
mg/kg
1
Potassium
7440-09-7
601OD
4100
700
87
mglkg
1
Selenium
7782-49-2
6010D
ND
2.8
1.1
mglkg
1
Sodium
7440-23-5
6010D
10000
700
87
mg/kg
2
Zinc
7440-68-6
6010D
300
7.0
1.7
rnglkg
1
LOQ = Limit of Quantitation 0 = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40% J = Estimated result < LOQ and a OL
H = Out of holding time W = Reported on wet weight basis
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 4 of 7

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

PACE ANALYTICAL SERVICES LLC
. .
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 6 of 7

PACE ANALYTICAL SERVICES LLC
5aw1pWr,RecelptChecklist(SK) Imroolec-IS) Re.vised:9J2912=
ace.4r yD'cat IssumgAuthorlty. PaCe ENV, WCOL Page t' v{-
Sample Receipt Cheellist (SRC')
Caalcr lttsaected b ldatc: KBS {12ff1L�3t121 Lath:
f".licnt� uyjsagro y — --
on the cool
A_ W"re Foy hit act and
6z6&M--'--'
Strip I
-
NA
tH Strip ID.- NA - CYllcrine I?: ^ ii:wGri by � �- --
Drigi!nel te.mp'arno re ejpnet receipt i Dorlved (Cocrc xd) lanpernture apart ceip# ° JAI(' 3jiep-Cup ITJ: 2n-j375 J
13 f l °C WA INA OC rdA j tan. ur NA jNA--CC
Mcthcld; Temperatin Blank ElkPiust 13oitles i Gkrn IDA s _ iR Ou Cotroc#ica, Factor: ©_
hJcthrd of coolant: 171 iilat I'm Q Ice Packs ❑ [Jrlee ❑ Nonr
^
3' If #,perature of fury ogler exceedrd b.Q`Y�, owes Project MaIlWr Nodis
�
Y..as
O No
NA
pry w:L; Notified by: phone i email I f cr in-C=e (circle o te),
Yes
No
✓ NA A. Is the cornmercltvl c Ooriet°s pacldng slip umdehed to tlaij farmli
Yrbs
LJiqol
5. yirere np= cnstudy procedures(retifitquishedlrscuivmk) f011a wed?
Yes
No
6, Wi= ~ample IN Csstrcl or, the COO
0 Yes
No
7. NVM Semple I.Ds IiuEed on all sample e011taitters7
� Yes
No
8, llfas collet ion dirk & time listed an the COC7
J Yam;
No
Ll, 1'rj s collection dM1c & ,d me listed on all sample cont4tinrxh?
❑ No
15, Did all container ]AW inGOGIDatiart 111J, date: ~rite) agrCe With Lhe COS?
—
I ri ups
W',
l l- NV= LmLs Lobe preformed listed on tho Cr3C7
0 Ywl ❑
[] Ycs1 El
QYesl []Nol OKA
l2, Dsd al[ sEripte9 arche in the proper cantaincrs For each test an4lm in 900d Condition
i'unbn*cn, lids on,
13, Was ad uatC SUMPle WILtate:tvAiWhle'
14, Vvrre all SLlulplM received Within 'A tii❑
l5-'4 or+: tiny eamples containers M1101r_ e:
l6. F,)r VUA and RSK.-175 samples, wore I
.n any rAt1 a VOA v[a''S''?
1'7. �h'ero all 1�RO1'nretalsfnutrinet. camsle3
ism l�'e a!1 cyen do .samples rere(ycd at a
titno of dR hours, whicnovet' comes first?
roles orte) samples Not listed oil C O C?
present>;°prxi-slze" f<"ar6-mm in diantotvl
> 17 njia sullide samples received at a PH'-'
], were rtl t ramatikatraclnut (i.v. requested dilutWV8, NM4SD dcsiFgtutiOnS, etc.-.)
;rrtAy tmaseribed from the CQC into Lhe W dnnent scotimi in L1MSY
1. Was dio quatc Iturnbor lusted on tlq ounwitter label? If XCS. Quote #
rrjplo Preservation (l4iust >1e cotnPlatcd far any sarnplc(s) i.ncarreetly preserved j5r with ,�eadspat:v,) . _ --
mplc(s) __wen: received incor v%lly preserved and wer'C adjusted accur4ingly
sample rovviving with [trL 4i clrCle ore: H'2SO4, HNCX3, MCL N,014 using, lz1•t 0 t`'� -
me a prescrvtltion NA If Moro than cme prest:r�rarive is needed, please a��1trt in toe C[)tt1E75`�t19 Wow.
IMPIC(jt) NA --were received with bubbles >611im in diememr.
irlspiesfs] °� Were
reccivcd with TRC w 0-5 mf'L (If iM is oto) as were
lusted accordia-iy in sample :r..vvivittg with Sodium #hi*51 jlfate ('NaaSzO;) with Shepo ,y ID: A^
btlrende labels applied by. K13S — - Lk,& 02102.'2021
Comments;
Pace Analytical Services, LLC (formerly Shealy fEnvironmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 7 of 7

Analytical Results
Synagro
284 Boger Rd.
Mocksville, NC 27028
Receive Date: 01/04/2021
Reported: 02/11/2021
For: Clariant
Comments: GEOMETRIC MEAN: <189 MPN/g
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
210104-19-01
Fecal Coliforms
1
<192
MPN/g
SM92210E-2006
01/05/2021
MD
210104-19-01
Percent Solids
1
10.4
%
SM25408.2011
01/05/2021
MD
210104-19-02
Fecal Coliforms
2
<188
MPN/g
SM92210E-2006
01/05/2021
MD
210104-19-02
Percent Solids
2
10.6
%
SM2540B-2011
01/05/2021
MD
210104-19-03
Fecal Coliforms
3
<189
MPN/g
sM9221cE-2006
01/05/2021
MD
210104-19-03
Percent Solids
3
10.6
%
SM254OB-2011
01/05/2021
MD
210104-19-04
Fecal Coliforms
4
<198
MPN/g
SM92210E-20o6
01/05/2021
MD
210104-19-04
Percent Solids
4
10.1
%
SM2540B-2011
01/05/2021
MD
210104-19-05
Fecal Coliforms
5
<190
MPN/g
SM92210E-2006
01/05/2021
MD
210104-19-05
Percent Solids
5
10.5
%
SM264OB-2011
01/05/2021
MD
210104-19-06
Fecal Coliforms
6
<183
MPN/g
SM92210E-2006
01/05/2021
MD
210104-19-06
Percent Solids
6
10.75
%
SM254OB-2011
01/05/2021
MD
210104-19-07
Fecal Co[iforms
7
<186
MPN/g
SM92210E-2006
01/05/2021
MD
210104-19-07
Percent Solids
7
10.9
%
SM254013-2011
01/05/2021
MD
210104-19-08
30 Day Benchscale
CLARMONT
10.7
%
EPA625-R-9210
01/04/2021
MD
Respectfully submitted,
2 j. 11��
Melissa Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 5

Condition of Receipt
Sample Number 210104-19-01 Temp on Arrival: 3.0
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 210104-19-02 Temp on Arrival: 3.0
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 210104-19-03 Temp on Arrival: 3.0
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 210104-19-04 Temp on Arrival: 3.0
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 210104-19-05 Temp on Arrival: 3.0
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 210104-19-06 Temp on Arrival: 3.0
PO Sox 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 5

Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 210104-19-07 Temp on Arrival: 3.0
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 210104-19-08 Temp on Arrival: 3.0
Parameter Schedule:
Received on Ice
PO Box 228 • Statesville, NC 28687 * 704/872/4697
Page 3 of 5

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PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 4 of 5

30 Day Bench Worksheet
Sample ID # 210104-19-08
WEEK I
Samples
Total Solids
Volatile Solids
% Volatile Fraction
1
0.56
0.33
2
0.56
0.33
3
0.55
0.31
Average:
3 Z
WEEK 2
Samples
Total Solids
Volatile Solids
% Volatile Fraction
1
0.55
0.317
2
0.54
0.31
3
0.55
0.315
Average:
JIq
5
WEEK 3
Samples
I Total Solids
Volatile Solids
% Volatile Fraction
1
0.52
0.3
2
0,52
0.28
3
0.52
0.29
Aver a e•
-
WEEK 4
Samples
Total Solids
Volatile Solids
% Volatile Fraction
1
0.52
0.29
2
0.51
0.28
3
0.51
0.28
Average:
O.0
u
WEEK 5
Samples
Total Solids
Volatile Solids
% Volatile Fraction
1
0.5
0.26
2
0.49
0.26
3
0.49
0.27
Average:
WEEK 6
Samples
Total Solids
Volatile Solids
% Volatile Fraction
1
0,46
0.25
2
0.46
0.25
3
0.46
0.25
Average:
Q �'
li N 71?
Van Kleeck Reduction: Initial % Vol. Frac. - Final % Vol. Frac. X 100 = % o %
Initial %n Vol. Frac. - ( Initial % Vol. Frac. X Final % Vol. Frac.)
Final Result: ��_ %
PO Box 228 - Statesville, NC 28687 - 704/872/4697
Page 5of5

DWR
State of North Carolina
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 QualityPennitting Section's Mon -Discharge Perini tting Unit
General -- This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application maybe made, as long asthe 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 tbeplan details how the facility and/orthe 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 landapplied, distributed, and/ordisposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytica I reports and operationa I 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

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State of North Carolina
nWR Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Clark Creek WWTP
2. Facility permit holder is: Federal, q State, K LocalGovernment, or NJ Private.
Facility permit issued by: Div. of Water Resources, i Div. of Environmental Health,
orOther (explain }.
3. Facility contact person and title: Eric Jones
Complete mailing address: 1407 Mcka Rd
City: Newton State: NC Zip: 28658
Telephone number: (828)-217-4457 E-mail address: eionesanewt n�nc.eov
4. Facility physical address: 1407 Mckav Rd
City: Newton State: NC Zip: 28658
Coordinates: Latitude: 35° 26' 56" Longitude: 910 15'34"
Datum: NAD83 Level of accuracy: Second
Method of measurement: Man
5. Purpose of the facility:
9 treatment of municipal wastewater, q treatment of 100%domestic wastewater,
[]� treatment of potable water, Q1 treatment of 100% industrial wastewater,
0� treatment of industria t wastewater mixed with domestic wastewater,
(approximate percentages L;,,_, %industrial and domestic)
other (explain }.
6. Does the facility have an approved pretreatment program: 01, Yes No
7. Facility permitted/design flow: 6MGD and facility average daily flow: 2.25 MGD
8. Average amount of residuals being generatedatthis facility is 650 dry tonsper. year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 4 aerobic tanks holding200004 allons
Type and volume of residuals storagc(i.e., outside of residuals treatment units): NIA
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
40 CFR Part 503 or 0 40 CFR Part 257.
Now Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under40
CFR Part 503, otherwise, the residuals are regulated under40 CFR Part 257.
2. Specify if residuals are definedunder 15ANCAC 02T.1102(6)as:
�j Biological Q 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
RCR.A.: (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 40CFR §261.31-§261.33: Qj yes no.
If yes, list the number(s):=:
b. Specify whether or not the residuals exhibit any of the characteristics defined by40 CFR §261.21-
261.24: D) yes j 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: Summit Environmental and Date of analysis: 01/12/2021
Passed corrosivity test: [ yes no. pH: sm. (2 < pH < 12.5)
Passed ignitability test: yes no. Flashpoint: 140 °F (> 140°F)
Passed reactivity test. yes [ ino. HCN: nd mglkg (<250) & H2S: nd mg/kg (<500)
TCLP Parameter
Limit
(Mg/1)
Result
(Mg/1)
TCLP Parameter
Limit
(Mg/1)
Result
(mg/I)
Arsenic
5.0
nd
Hexachlorobenzene
0.13
nd
Barium
100.0
nd
Hexachloro-1,3-Butadiene
0.5
nd
Benzene
0.5
nd
Hexachloroethane
3.0
nd
Cadmium
1.0
nd
Lead
5.0
nd
Carbon Tetrachloride
0.5
nd
Lindane
0.4
nd
Chlordane
0.03
nd
Mercury
0.2
nd
Chlorobenzene
100.0
nd
Methoxychlor
10.0
nd
Chloroform
6.0
nd
Methyl Ethyl Ketone
200.0
nd
Chromium
5.0
nd
Nitrobenzene
2.0
nd
m-Cresol
200.0
nd
Pentachlorophenol
100.0
nd
o-Cresol
200.0
nd
Pyridine
5.0
nd
p-Cresol
200.0
nd
Selenium
1.0
nd
Cresol
200.0
nd
Silver
5.0
nd
2,4-D
10.0
nd
Tetra chloroethylene
0.7
nd
1,4-Dichtorobenzene
7.5
nd
Toxaphene
0.5
nd
1,2 -Dichtoro ethane
0.5
nd
Trichloroethylene
0.5
nd
1, 1 -Dichloro ethylene
0.7
nd
2,4,5-Trichlorophenol
400.0
nd
2,4-Dinitrototuene
0.13
nd
2,4,6-Trichlorophenol
2.0
nd
Endrin
0.02
nd
2,4,5-TP (Silvex)
E0
nd
Heptachlor and its Hydroxide
0.008
nd
Vinyl Chloride
0.2
nd
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations formetals regulated under 15A NCAC 02T ,1105.
a. For Distribution/Land Agglication,: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metalparameters:
Laboratory: Pace Analytical and Date of analysis: 04/19/2021
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(nzg/kg)
Result
(ntg/kg)
Arsenic
75
41
2.9
Cadmium
85
39
.65
Copper
4,300
1,500
240
Lead
840
300
16
Mercury
57
17
nd
Molybdenum
75
n/a
5.8
Nickel
420
420
39
Selenium
100
100
3.9
Zinc
7,500
2,800
1400
b. For Surface Disposal Unit (landfills: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metalparameters:
Laboratory and Date of analysis: °'°i
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, checkone)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mglkg)
> 0 but < 25
30
200
210
0� ?25 but< 50
34
220
240
DE ? 50 but< 75
39
260
270
0 > 75 but< 100
46
300
320
0 > 100 but< l25
53
360
390
[]� ?125
62
450
420
Result (mglkg)
FORM: R5C 06-16 Page 3 of 5

5. NutrientlMicronutrient Determination: Complete the following:
a. Totalsolids: 6.97 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Pace Analytical and Date of analysis: 04/19/2021
Parameter
Result
(mg/kg)
Aluminum
19,000
Ammonia -Nitrogen
2,400
Calcium
170,000
Magnesium
4,800
Nitrate -Nitrite Nitrogen
47
pH (Standard Unit)
l 1.2
Phosphorus
44,000
Potassium
1,300
Sodium
840
Total Kjeldahl Nitrogen
20,000
c. Using the results listed in Item II. 5b, above, calculate the sodium adsorption ration (SAR): .14
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one); E111 default value, or 5d' 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 (1st) Year PAN
Five -Year
Maximum Adjusted PAN
(mglkg)
(mg/kg)
Surface
6,527
9,961
Injection/Incorporation
7,727
11,161
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/LandAnolicationofClassA orEguivalent:
.Ell A fecalcoliform density that is demonstrated to be less than 1,000 MPN per gram oftotaidry solids,
or
A salmonella sp. density that is demonstration to be less than 3 MPN per grams of totaldry solids.
AND one of the followings (except for non -biological residuals):
Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Tempera tureComp Hance.
Alternative 2 [15A NCAC 02T.I I06(b)(3)(B)] -Alkaline Treatment.
Di Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Qi Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: composting, Q heatdrying, 0 heattreatment,
' thermophilic aerobic digestion, [] beta ray irradiation,
pJ gamma my irradiation, or [] pasteurization.
b. For Land Application of Class .8:
Alternative 1 [15A NCAC 02T.1106(c)(1)] -Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T. 1 106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP).
Specify one: aerobic digestion, 0l airdrying, 01 anaerobic digestion,
0� composting, or a lime stabilization.
c. For Surface Disposal:
Ell Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11, 7a. above.
QE Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item I1. 7b. above.
Exempt - If Daily Cover Alternative is chosen in Item IL8. below [15A NCAC 02T.1106(a)(2)].
j Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction_ Reduction (VAR): Per 15A NCAC 02T.1107,specify how residuals will meetthe VAR requirements:
®J Alternative 1 [15A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 [15A NCAC 02TJ 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
�a Alternative 3 [I5A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
j Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [1SA NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
0 Alternative 8 [15A NCAC 02T.]107(a)(8)] - Drying ofUnstabilized Residuals.
® Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
® Alternative 10 [15A NCAC 02T.1107(a)(10)]- Incorporation.
Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
Oj 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
occurwhen these residuals are applied andleft on the land surface.
FORM: RSC 0646 Page 5 of 5

SUMMIT
ENVInONNIENTALTI CHN01,00FERS, INC
Andlyftal Lahoraforl,99
January 12, 2021
Alex Fox
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL:
FAX:
RE: Newton
Dear Alex Fox:
SummitEnviionmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: hiin://www.settek.com
Order No.: 21010090
Summit Environmental Technologies, Inc. received 1 sample(s) on 1/5/2021 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrativc.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results, please feel free to call the
laboratory.
Sincerely,
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
Arkansas 88-0735, California 2943, Colorado, Connecticut PH-0108, Florida NELAC E87688, Idaho OH00923, Illinois 200061, Indiana C-OH-13, Kansas
E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Maryland 339, Michigan 9988, Minnesota 1780279, Nevada 01-1009232020-1, New
Hampshire 2996, New Jersey Oid006, New York 11777, North Carolina 39705 and 631, North Dakota R-201, Ohio DW, Ohio VAP CL0052, Oklahoma
2019455, Oregon OH2O0001, Pennsylvania 011, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-19-16, Utah OH009232020-12,
Virginia VELAP 10381, West Virginia 9957C
Page 1 of 42

��' � Summit Environmental Technologies, Inc. Case Narrative
Eff0A00,S 3310 Win St.
EAd+ltii0NMENTAL iE,GHNM,0rME5, INC. Cuyahoga Falls, Ohio 44213 WOM 21010090
ArdalyNcal Labcarafarle99 TEL: [phone] FAX: [phone] Date: 1/12/2021
Website: httm,11www.settek.com
CLIENT: Synagro
Project: Newton
WorkOrder Narrative:
21010090: This report in its entirety consists of the following documents: Cover Letter, Case Narrative,
Analytical Results, QC Summary Report, Applicable Accreditation Information, Chain -of -Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditationslcertifications listed at the bottom of
the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program
Analytes Report" for accredited analyzes list.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
All results for Solid Samples are reported on an "as received." or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any
comments or problems with the analytical events associated with this report are noted below.
Original
Page 2 of 42

SUjMMjjt Summit Environmental Technologies, In Qualifiers and Acronyms
3310 Win S
ENVI€iONMENYAL tf CHN0WGjQS, INC Cuyahoga Falls, Ohio 442� WO#: 21010090
Analyffcal Laboratarigs TEL: [phone] FAX- (330) 253-44� Date: 1/12/2021
Website: httn://www.settek.co
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
U The compound was analyzed for but was not detected.
J The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
H The hold time for sample preparation and/or analysis was exceeded.
D The result is reported from a dilution.
E The result exceeded the linear range of the calibration or is estimated due to interference.
MC The result is below the Minimum Compound Limit.
* The result exceeds the Regulatory Limit or Maximum Contamination Limit.
In Manual integration was used to determine the area response.
d Manual integration in which peak was deleted
N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P The second column confirmation exceeded 25% difference.
C The result has been confirmed by GC/MS.
X The result was not confirmed when GC/MS Analysis was performed.
B/MB+ The analyte was detected in the associated blank.
G The ICB or CCB contained reportable amounts of analyte.
QC-/+ The CCV recovery failed low (-) or high (+),
R/QDR The RPD was outside of accepted recovery limits.
QL-/+ The LCS or LCSD recovery failed low (-) or high H.
QLR The LCS/LCSD RPD was outside of accepted recovery limits.
QM-/+ The MS or MSD recovery failed low (-) or high (+).
QMR The MS/MSD RPD was outside of accepted recovery limits.
QV-/+ The ICV recovery failed low (-) or high (+).
S The spike result was outside of accepted recovery limits.
Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND
Not Detected
RL
Reporting Limit
QC
Quality Control
MDL
Method Detection Limit
MB
Method Blank
LOD
Level of Detection
LCS
Laboratory Control Sample
LOQ
Level of Quantitation
LCSD
Laboratory Control Sample Duplicate
PQL
Practical Quantitation Limit
QCS
Quality Control Sample
CRQL
Contract Required Quantitation Limit
DUP
Duplicate
PL
Permit Limit
MS
Matrix Spike
RegLvl
Regulatory Limit
MSD
Matrix Spike Duplicate
MCL
Maximum Contamination Limit
RPD
Relative Percent Different
MWCL
Minimum Compound Limit
1CV
Initial Calibration Verification
RA
Reanalysis
1CB
Initial Calibration Blank
RE
Reextraction
CCV
Continuing Calibration Verification
TIC
Tentatively Identified Compound
CCB
Continuing Calibration Blank
RT
Retention Time
RLC
Reporting Limit Check
CF
Calibration Factor
DF
Dilution Factor
RF
Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 3 of 42

Summit Environmental Technologies, Inc.
Workorder
���
3310 Win St.
��
Sample Summary
EUVIRONMENTdL
TECIrIUe3O477I42S,
i[VC Cuyahoga Falls, Ohio 44223
Analytical
Leboratarlar
TEL: [phone] FAY, [phone]
WO#: 21010090
Website: hQ.-11www.settek.com
12-Jun-21
CLIENT:
Synagro
Project:
Newton
Lab SampleID
Client Sample ID
Tag No Date Collected
Date Received Matrix
21010090-001
Newton
1/4/2021 8:50:00 AM
1/5/2021 10:15:00 AM Sludge
Page 4 of 42

N
O
v
CD
m
IL
A r o 0 0 4 4 n o 0 0 0
cry O O 9 m O
cq C-4 4
Q r4 0 4v a o 0 0 0 0
6 6.
0 0 0 0 0 0
O o O C v O
C m O 4 C
m
H
cd N N N N N N
A O O 4 O O
pap GL PL+ A' +
o O O o 0
d O O O o 0
N N N N N
d
10 0 0 0 0 0
t N N N N N
10
u
M �
m_
M 7 M 7 M V1 U1
oa ri r�i w
r En .'2 4
o q �
^ w r
cc F
iS03
N
0 b
d
is G
� 4
O Yi
u 00
d
p O
I �
I
.d.
y O
U ,z
I 4
0
F+ v� N

MI�
Summit Environmental Technologies, Inc. 3310 Win Sr.
Analytical Report
EPIV]rtOlgMEIVTAL TI;CHIYCI "nits$, INC
Cuyahoga Fulls, Ohio 44223
(base report)
Anaiyticai Laborattarles TEL: [phone] FAX, [phone]
WO#: 21010090
Website: htto:lhvww.settek.com
Date Reported: 1/12/2021
CLIENT: Synagro
Tag Number:
Matrix: SLUDGE
Collection Date:
1/4/2021 8:50:00 AM
Lab ID: 21010090-001A
Project: Newton
Client Sample ID Newton
Analyses Result
RL
Qual Units
DR Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW7470A
SW7470A Analyst: ERA
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury
ND
0.00500
mg1L
1 1/8/2021 12:31:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW6010D
SW3010A Analyst: EAM
TCLP METALS ANALYSIS (SW131116010)
TCLP Arsenic(As)
ND
0.500
mg1L
1 1/11/2021 12:41:05 PM
TCLP Barium(Ba)
ND
5.00
mglL
1 1/11/2021 12:41:05 PM
TCLP Cadmium(Cd)
ND
0.100
mglL
1 1/11/2021 12:41:05 PM
TCLP Chromium(Cr)
NO
0.200
mg1L
1 1/11/2021 12:41:05 PM
TCLP Lead(Pb)
ND
0.500
mglL
1 1/11/2021 12:41:05 PM
TCLP Selenium(Se)
ND
0.0500
mglL
1 1/11/2021 12:41:05 PM
TCLP Silver(Ag)
ND
0.500
mglL
1 1/11/2021 12:41:05 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8270
SW3510C Analyst: SFG
TCLP SEMI-VOLATILES ANALYSIS (SW131118270)
1,4-Dichlorobenzene
ND
0.200
mglL
2 1/8/2021 12:49:00 AM
2,4,5-Trichlorophenol
ND
0.500
mglL
2 1/8/2021 12:49:00 AM
2,4,6-Trichlorophenol
ND
0.500
mg1L
2 1/8/2021 12:49:00 AM
2,4-Dinitrotoluene
ND
0.100
mglL
2 1/8/2021 12:49:00 AM
Cresols, Total
ND
10.0
mg1L
2 1/8/2021 12:49:00 AM
Hexachloro-1,3-butadiene
ND
0.0400
mglL
2 1/8/2021 12:49:00 AM
Hexachlorobenzene
ND
0.100
mglL
2 1/8/2021 12:49:00 AM
Hexachloroethane
ND
0.200
mglL
2 1/812021 12:49:00 AM
Nitrobenzene
ND
0.200
mg1L
2 1/8/2021 12:49:00 AM
Pentachlorophenol
ND
0.500
mglL
2 1/8/2021 12:49:00 AM
Pyridine
ND
0.500
mg1L
2 1/8/2021 12:49:00 AM
Surr: 2-Fluorophenol
89.4
10 - 157
m %Rec
2 1/8/2021 12:49:00 AM
Surr: Phenol-d6
81.0
10 - 169
%Rec
2 1/8/2021 12:49:00 AM
Surr: Nitrobenzene-d5
89.1
32.1 - 130
%Rec
2 1/8/2021 12:49:00 AM
Surr: 2,4,6-Tribromophenol
107
45.4 - 166
%Rec
2 1/8/2021 12:49:00 AM
Surr: 2-Fluorobiphenyl
87.0
36.7 -130
%Rec
2 1/8/2021 12:49:00 AM
Surr: p-Terphenyl-d14
110
74.7 -145
%Rec
2 1/8/2021 12:49:00 AM
Qualifiers: B Analyte detected in the associated
Method Blank
E Value above quantitation range
H Holding times for preparation or analysis exceeded
M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit,
N Tentatively identified compounds
ND Not Detected
P Second column confirmation
exceeds
PL Permit Limit
R RPD outside accepted recovery limits Original
RL Reporting Detection Limit
U Samples with CalcVal < MDL
Page 6 of 42

Summit Environmental Technologies, Inc,
3310 Win St.Analytical Report
UMMIT
ENVIRONMENTAL1" MINp[,ftG)VS,INC Cuyahoga Falls, Ohio44223 (base report)
Analytical Laboratnrler. TEL: [phone] FAX' [phone] WO#: 21010090
Website: http://Www.settekcom Date Reported: 1/12/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 1/4/2021 9:50:00 AM
Lab ID: 21010090-OOIA
Project: Newton
Client Sample ID Newton
Analyses
Result
RL
Qual Units
DF
Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8081
SW3510C Analyst: CSS
TCLP PESTICIDES ANALYSIS
(SW131118081)
Chlordane, total
ND
0.0250
mg1L
1
1/11/2021 10:04:00 PM
Toxaphene
ND
0.0500
mglL
1
1/11/2021 10:04:00 PM
Endrin
ND
0,00250
mg1L
1
1/11/2021 10:04:00 PM
gamma-BHC
ND
0.00250
mg1L
1
1/11/2021 10:04:00 PM
Heptachlor
ND
0.00250
mg1L
1
1/11/2021 10:04:00 PM
Heptachlor epoxide
ND
0.00250
mg1L
1
1/1112021 10:04:00 PM
Methoxychlor
ND
0.00250
mglL
1
1/11/2021 10:04:00 PM
Surr: TCMX
69.2
10 - 119
%Rec
1
1/11/2021 10:04:00 PM
Surr: DCB
82.8
10 - 119
%Rec
1
1/11/2021 10:04:00 PM
TCLP HERBICIDES BY EPA 8321B
SW8321A
Analyst: JPG
2,4-D
ND
0.500
mg1L
50 1/8/2021 7:48:00 PM
2,4,5-TP
ND
0.500
mglL
50 1/8/2021 7:48:00 PM
Surr: 2,4-Dichlorophenylacetic aci
106
70 - 130
%Rec
50/18/2021 7:48:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8260
SW1311 M Analyst: SLV
TCLP VOLATILES ANALYSIS
1,1-Dichloroethene
ND
0.250
mg1L
50 1/7/2021 5:55:00 PM
1,2-Dichloroethane
ND
0.250
mg1L
50 1/7/2021 5:55:00 PM
MEK
ND
5.00
mglL
50 1/7/2021 5:55:00 PM
Benzene
ND
0.250
mg1L
50 1/7/2021 5:55:00 PM
Carbon tetrachloride
ND
0.250
mglL
50 1/7/2021 5:55:00 PM
Chlorobenzene
ND
2.50
mg/1-
50 1M2021 5:55:00 PM
Chloroform
NO
0.250
mglL
50 1/7/2021 5:55:00 PM
Tetrachloroethene
ND
0.250
mglL
50 1/712021 5:55:00 PM
Trichloroethene
ND
0.250
mglL
50 1/7/2021 5:55:00 PM
Vinyl chloride
ND
0,100
mg1L
50 1/7/2021 5:55:00 PM
Surr: 4-Bromofluorobenzene
93.8
70 -130
%Rec
50 1/7/2021 5:55:00 PM
Surr: Dibromofluoro methane
102
70 - 130
%Rec
50 117/2021 5:55:00 PM
Surr: Toluene-d8
99.2
70 - 130
%Rec
50 117/2021 5:55:00 PM
Qualifiers: B Analyte detected in the associated Method Blank
E Value above quantitation range
H Holding times for preparation or analysis exceeded
M Manual Integration
used to determine area response
MC Value is below Minimum Compound
Limit.
N Tentatively identified compounds
ND Not Detected
P Second column
confirmation exceeds
PL Permit Limit
R RPM outside accepted recovery limits Original
RL Reporting Detection Limit
U Samples with CalcVal
< MDL
Page 7 of 42

rA'T Summit Environmental Technologies, Inc. 3310 Win St. Analytical Report
su
ENVInQh1t ENTAL TV011 it?lt GUIs, INC Cuyahoga Falls, Ohio 44223 (base report)
Analytical Latrarstorlar. TEL: [phone] FAX.• [phone] WO#: 21010090
Website: http:llwww.settek.com Date Reported: 1/12/2021
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 1/4/2021 8:50:00 AM
Lab ID: 21010090-001A
Project: Newton
Client Sample ID Newton
Analyses Result
RL Qual Units
DF
Date Analyzed
RCI
SW9014
Analyst: MS
REACTIVE CYANIDE (901417.3.3.2)-SOLID
Cyanide, Reactive ND
0.481 mg/Kg
1
1/7/2021 4:50:00 PM
IGNITABILITY OF SOLIDS (SW-846: 1030)
SW1030
Analyst: SEE
Ignitability nonflammable
mmisec
1
1/6/2021 2:27:57 PM
RCI
SW9045D
Analyst: DHC
PH (SW9045D)
pH 11.9
s.u.@19,7C
1
1/612021 12:50:00 PM
RCI
SW9034
Analyst: MS
REACTIVE SULFIDE (9034)17.3.4.2
Sulfide, Reactive ND
25.0 mg/Kg
1
1/7/2021 4:50:00 PM
Qualifiers: B
Analyte detected in the associated Method Blank
H
Holding times for preparation or analysis exceeded
MC
Value is below Minimum Compound Limit.
ND
Not Detected
PL
Permit Limit
RL
Reporting Detection Limit
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
P Second column confirmation exceeds
R RPD outside accepted recovery limits Original
U Samples with CalcVal < MDL
Page 8 of 42

SUIOMIT
Summit Environmental Technologies, Inc. Accreditation Program
3310 Win St, Analytes Report
EWii0Whit NTAL YECtiNt7F<.QGIES, INC Cuyahoga Falls, Ohio 44223
Anatytical LaharaffWes TEL: [phone] FAX: [phone] WO#: 21010090
Website: htty://www.settek.com 12-Jan-21
Client: Synagro
State: NW
Project: Newton
Program Name: NC_WW_SCM
Sample ID
Matrix
Test Name
Analyte
Status
21010090-001A
Sludge
Ignitability of Solids (SW-846: 1030)
Ignitability
A
Sludge
pH (SW9045D)
Hydrogen Ion (pH)
A
Sludge
Reactive Cyanide (901417.3.3.2)-Solid
Cyanide, Reactive
N
Sludge
Reactive Sulfide (9034)17.3.4.2
Sulfide, Reactive
N
Sludge
TCLP Herbicides by EPA 8321 B
2,4,5-TP
A
Sludge
TCLP Herbicides by EPA 8321E
2,4-D
A
Sludge
TCLP Mercury Analysis (SW 131117470)
Mercury
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Arsenic
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Barium
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Cadmium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Chromium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Lead
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Selenium
A
Sludge
TCLP Metals Analysis (SW13111(,010)
Silver
A
Sludge
TCLP Pesticides Analysis (SW131118081)
Chlordane, total
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
Endrin
A
Sludge
TCLP Pesticides Analysis (SW131118081)
gamma-BHC
A
Sludge
TCLP Pesticides Analysis (SW 1311/8091)
Heptachlor
A
Sludge
TCLP Pesticides Analysis (SW 1311/8081)
Heptachlor epoxide
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
Methoxychlor
A
Sludge
TCLP Pesticides Analysis (SW131It8081)
Toxaphene
A
Sludge
TCLP Semi-Volatiles Analysis (SW131 IM270)
1,4-Dichlorobenzene
A
Sludge
TCLP Semi-Volatiles Analysis (SW 1311/8270)
2,4,5-Trichlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4,6-Trichlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SW 1311/8270)
2,4-Dinitrotoluene
A
Sludge
TCLP Semi-Volatiles Analysis (SW 1311/8270)
Cresols, Total
A
Sludge
TCLP Semi-Volatiles Analysis (SW 1311/8270)
Hexachlorobenzene
A
Sludge
TCLP Semi-Volatiles Analysis (SW131IM270)
Hexachlorobutadiene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachloroethane
A
Sludge
TCLP Semi-Volatiles Analysis (SW 131118270)
Nitrobenzene
A
Sludge
TCLP Semi-Volatiles Analysis (SW 1311/8270)
Pentachloroplienol
A
Sludge
TCLP Semi-Volatiles Analysis (SW 1311/8270)
Pyridine
A
Original #1
Page 9 of 42

mm'st Summit Environmental Technologies, Inc. Accreditation Program
MMOU su3310 Win St. Anal tes Report
ENVlt3t�l� WNYAL TECN9V!� C. 016S, WC Cuyahoga Falls, Ohio 44223 y p
Analy Ursf Laboratarloa TEL: [phone] FAX..- [phone] WO#: 21010090
Website: hQ-11www.settek.com 12-Jan-21
Client: Synagro State: NW
Project: Newton Program Name: NC_WW_SCM
Sample ID Matrix
Test Name
Analyte
Status
21010090_OOIA Sludge
TCLP Volatiles Analysis
1,1-Dichloroethene
A
Sludge
TCLP Volatiles Analysis
1,2-Dichloroethane
A
Sludge
TCLP Volatiles Analysis
2-Butanone
A
Sludge
TCLP Volatiles Analysis
Benzene
A
Sludge
TCLP Volatiles Analysis
Carbon tetrachloride
A
Sludge
TCLP Volatiles Analysis
Chlorobenzene
A
Sludge
TCLP Volatiles Analysis
Chloroform
A
Sludge
TCLP Volatiles Analysis
Tetrachloroethene
A
Sludge
TCLP Volatiles Analysis
Trichloroethene
A
Sludge
TCLP Volatiles Analysis
Vinyl chloride
A
0
Original #1
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Page 40 of 42

115/2021
04+ntJ4M� Mflit-c
t:�ut:vtnt
Summit Environmental Technolog#es Mall -Re: Send data from MFP12072737 011OW021 12:24
Re: Send data from MPP12072737 01/05/2021 12:24 y
1 message
Alex Fox <[e-mail]>
To: Jennifer Woolf <[e-mail]>
They are all innNC and yes that's part of Tclip.
Thanks,
Alex Fox
TSS Western NC
336-703-8681
[e-mail]
On Jan 5, 2021, at 12:39 PM, Jennifer Woolf <[e-mail]> wrote:
Jennifer Woolf <[e-mail]>
Tue, Jan 5, 2021 at 1:01 PM
Could you resend them with the state included in the Project Address box? Also, could you indicate that
the Pest/Herb are TC€.P also,
thanksl
jen
Jennifer Woolf
Project Manager
[e-mail]
3310 Win St.
Cuyahoga Falls, Ohio 44223
Summit Environmental Technologies, Inc.
TEL: [phone]
FAX: [phone]
http://www.settek.com
PLEASE NOTE: This email, including any attachments, may include privileged and/or confidential
that may only be reviewed by the intended recipient. Any distribution or use of this
communication by anyone other than the intended recipient is strictly prohibited and may be
unlawful. if this email has been received in error, please notify the sender immediately by
replying to this message and delete the contents of this email from your files.
Please let us know how we are doing by participating in an online survey at
https://www.surveymonkey.com/r/5BC3DYM.
On Tue, Jan 5, 2021 at 12:31 PM Alex Fox <[e-mail]> wrote:
Here are the COC.
You can take Will, Marshals and Melvin of the list they no longer work for Synagro
Thanks,
Alex Fox
TSS Western NC
336-703-8681
[e-mail]
https:Nmail.0oogle.cemlmaiVLdO?ik=ca79r592418_view=pt&search=all&permlhid=thread-rQA3A1688068831827378654%7crosg.f%3A16880707515168.., 112
N
0
N
Q
tD
M
IL
Page 41 of 42

�'� Summit Environmental Technologies, Inc.
SU3310 Win St.
ENVIRONMEMTALTr:Ctlftpl00111 AMC. Cuyahoga Falls, Ohio44223 Sample Log -In Check List
Analyffcal Labaralarips TEL: [phone]I FAX.- (330) 253-448,0
Website: htt ://www.sett .com
Client Name: SYN-NC-27028 Work Order Number: 21010090 RcptNo: 1
Logged by: Jesseca E. Westfall 1/512021 10:15:00 AM Completed By: Jesseca E. Westfall 1/5/2021 4:14:14 PM
Reviewed By: Jennifer Woolf 1/5/2021 4:22:09 PM>!�
f
unafn of GUStodV
1. Is Chain of Custody complete? Yes d❑ No ❑ Not Present ❑
2. How was the sample delivered? FedEx
L_ 2g Jn
3. Coolers are present? Yes No ❑ NA ❑
4. Shipping container/cooler in good condition? Yes V No ❑
Custody seals intact on shipping container/cooler? Yes ❑ No ❑ Not Present V
No. Seal Date: Signed By:
5. Was an attempt made to cool the samples? Yes k No ❑ NA ❑
6. Were all samples received at a temperature of >0° C to 6.0°C Yes ® No ❑ NA ❑
7. Sample(s) in proper container(s)?
Yes
V
No ❑
8. Sufficient sample volume for indicated test(s)?
Yes
d❑
No ❑
9. Are samples (except VOA and ONG) properly preserved?
Yes
W
No ❑
10. Was preservative added to bottles?
Yes
❑
No d❑ NA ❑
11. Is the headspace in the VOA vials less than 114 inch or 6 mm?
Yes
❑
No ❑ No VOA Vials 0
12. Were any sample containers received broken?
Yes
❑
No RA
13. Does paperwork match bottle labels?
Yes
❑d
No ❑
(Note discrepancies on chain of custody)
14. Are matrices correctly identified on Chain of Custody?
Yes
No ❑
15. Is it clear what analyses were requested?
Yes
❑
No ❑
16. Were all holding times able to be met?
Yes
0
No ❑
(If no, notify customer for authorization.)
Special Handling (if applicable)
17. Was client notified of all discrepancies with this order?
Yes
❑
No ❑ NA
Person Notified: Date:
By Whom: Via: eMail Phone 7 Fax In Person
Regarding: 7-7
Client Instructions:
18. Additional remarks:
COC emailed
Cooler Information
Cooler No T
1 13.6
°C Condition I Seal Intact Seal No Seal Date Signed
Good Not Presenti
Page 42 of 42

aceAnalytical
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Alex Fox
Project Name: Newton
Lot Number:WD06081
Date Completed,04/19/2021
04/19/2021 11:23 AM
Approved and released by:
Project Manager II: Lucas Odom
A40
kNSf NelivnelAmraeNaNva eoarA
A C C R E D I T E❑
6 ___._._„�
TESTING LABGNATORY
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC.
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172
Tel:[phone] Fax:[phone] www.pacelabs.com
Page 1 of 7

PACE ANALYTICAL SERVICES, LLC
5C DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: WD06081
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved The NELAC Institute (TNI) standards, the Pace Analytical Services, LLC ("Pace")
Laboratory Quality Manual, standard operating procedures (SOPs), and Pace policies. Any exceptions to
the TNI standards, the Laboratory Quality Manual, SOPs or policies are qualified on the results page or
discussed below.
Where applicable, all soil sample results (including LOQ and DL if requested) are corrected for dry weight
unless flagged with a "W" qualifier.
If you have any questions regarding this report please contact the Pace Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
Metals by ICP
Sample -001 has been prepared using three grams of sample mass due to low percent solids. The LOQs
have been changed to reflect the additional volume.
Pace Analytical Services, LLC (formerly Shealy Environmetal Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 2 of 7

Client: Synagro Laboratory ID: WD06081-001
Description: Newton Matrix: Solid
Date Sampled:0410612021 0930 % Solids: 6.97 04/0612021 2311
Date Received:0410612021
Inorganic
non-metals
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst
Prep Date Batch
1
(% Solids) SM 2540G
1
04/06/2021 2311 MOM
88169
1 350.1
(Ammonia - N ) 350.1
5
04/07/2021 1208 KFE
88135
1
(Nitrate - N ) 9056A
1
04/08/2021 1141 AMR
88521
1
(Nitrite - N ) 9056A
1
04/08/2021 1141 AMR
88522
2
(Phosphorus) 365.1
100
04/13/2021 1544 DMA
04/10/2021 1429 88601
1
(Soil pH meal) 9045D
1
04/07/2021 1919 NBW
88303
1 351.4
(TKN) 351.2
3
04/09/2021 1737 MSG
04/07/2021 1700 88277
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 2540G
6.97
%
1
Ammonia - N (gas diffusion)
350.1
2400
72
37
mglkg
1
Nitrate - N (soluble)
9056A
33
7.2
1.4
mglkg
1
Nitrite - N (soluble)
9056A
14
2.9
1.4
mglkg
1
Phosphorus
7723-14-0 365.1
44000
7200
1400
mglkg
2
Soil pH measured in water @ 21.7 ° C
9045D
11.2
su
1
TKN
351.2
20000
1100
1100
mglkg
1
CVAA
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 7471B
7471B
1 04/09/2021 1835 CMS2
04/09/2021 1308 88366
CAS Analytical
Parameter
Number Method
Result 0
LOQ
DL
Units
Run
Mercury
7439-97-6 7471B
ND
1.1
0.27
mglkg
1
ICP-AES
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3050B
6010D
1 04/08/2021 1409 JMH
04107/2021 1012 88194
2 3050B
6010D
4 04/10/2021 1026 KSH2
O410712021 1012 88194
CAS Analytical
Parameter
Number Method
Result 0
LOQ
DL
Units
Run
Aluminum
7429-90-5 6010D
19000
93
35
mglkg
1
Arsenic
7440-38-2 6010D
2.9 J
3.5
1.2
mglkg
1
Cadmium
7440.43-9 6010D
0.65 J
1.2
0.29
mglkg
1
Calcium
7440-70-2 6010D
170000
4600
580
mglkg
2
Chromium
7440-47-3 6010D
36
2.3
0.58
mglkg
1
Copper
7440-50-8 6010D
240
9.3
4.2
mglkg
2
Iron
7439-89-6 6010D
13000
23
11
mglkg
1
Lead
7439-92-1 6010D
16
2.3
1.0
mglkg
1
Magnesium
7439-95.4 60111
4800
1200
140
mglkg
1
Manganese
7439-96-5 li
550
3.5
1.4
mglkg
1
Molybdenum
7439-98-7 6010D
5.8 J
9.3
2.3
ni
1
LOG = Limit of Quantitation
B = Detected in the method blank
E = Quantitation of compound exceeded the calibration range
DL = Detection limit
0 = Surrogate failure
ND = Not detected at or above the DL
N = Recovery is out of criteria
P = The RPD between two GO columns exceeds 40 %
J = Estimated result < LOQ and ? DL
L = LCSILCSD failure
H = Out of holding time
Nl = Reported on wet weight basis
S = MSIMSO
failure
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 3 of 7

Client:Synagro
Description: Newton
Date Sampled:04/0612021 0930
Date Received:04/06/2021
Laboratory ID: WD06081 -001
Matrix: Solid
% Solids: 6.97 04/06/2021 2311
ICP-AES
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3050B 6010D 1 04/08/2021 1409 JMH 04/07/2021 1012 88194
2 3050B 60100 4 04/10/2021 1026 KSH2 O410712021 1012 88194
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
DL
Units
Run
Nickel
7440-02-0
601OD
39
9.3
2.4
mglkg
1
Potassium
7440-09-7
601OD
1300
1200
140
mglkg
1
Selenium
7782-49-2
601OD
3.9 J
4.6
1.9
mglkg
1
Sodium
7440.23-5
601OD
840 J
1200
140
mglkg
1
Zinc
7440-66-6
6010D
1400
12
2.9
mglkg
1
LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the ca5bration range DL = Detection Limit Q = Surrogate failure
NO = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40% J = Estimated rasull < LOQ and ? DL L = LCSlLCSD failure
H = Out of holding time W = Reported on wet weight basis S = MSIMSD failure
Pace Analytical Services, LLC {formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 4 of 7

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

PACE ANALYTICAL SERVICES, LLC
Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 6 of 7

PACE ANALYTICAL SERVICES, LLC
Samples Receipt Checklist (5111C) (MEQU18C-15) Revised:9f29/2020
.� .18 �llkii JCdf I ssuing Authority_ Pate ENV - WCUL Ptge 1 Of I
Sample Receipt Checklist (SRQ
Client' Synugro Cooterinspected bw`datc: IR02 / C4/[1s,a3031 Lot It: iVWON -
Muams of ruccipt: 71 Pace Lidiens Li UPS Feder Othcr;
Elyesl
ZIM01
11, Were ct atody seals pram( on the roolcr?
Yesl
[jNol
ENA
12. If custo ` scals iycrc prescat, were they intact and unbroken'!
pl-[ Strip 1D: K^ Chlorine Strip ID: NA �_-- Tcsb�:d by; N^
Original tenipemture upon receipt,' Derived (Corrected) temperature upon rcc::ipt °fSolid Simp-Cull IT): 21-4'13
]A ILL aC NIA /NA GC NA /NA. cC, NA INA oC -
N1Cthcd: ©T=1Pcaaturn Blank inst 13ottles 1RGun ID: 5 IR Gun Cot7wdon racror; C
Metha d orcoo aut- ❑ Wet Ice ❑ Ire Parks Or toe ©Ntaaae
❑Yf-,s
❑No
E]NA
3. If temperature 4f aaty cooler exceeded 6.0°G, was Project ManagerNetifiml?
PM was Notified 1t`: phone J email l faces to -face (circle ono),
Ycs
No
+r NA
4. is the commemiai coarier's packing slip atia;lwd to this fyrm?
,%
Yes
hIfl
S. Were proper custody promx u7m (rclin[�L 0i—.6i�rt?Gv1yed) fol lowed?
71
Yes
~ No
4. Werc sample IDs listed on tho COC:?
0
yss
N-0
1- Wore sample IF1. Iistud tin all atample tontaitwra?
,(
yes
No
&, Was collcWun data & time Iistxd an the CC�C?
yes
_ No
9. Was co[lomion data & time I;Wd on M, wiple containers'?
Y 5
❑No
10. Did at) container label informuiiktn (ID, dolt:, ticua:) tsgrm wAli the COC?
11. >4IO tests GO 17C performed listed CR ilaG CCU?
ye&
No
❑✓ �'s 3
No
12. laid all samples arrive in tho proper containers for mrh t t andler In good Condition
(imbrnken, lids on, erc.)?
0 Yes
LINO
13, Weis adecunte sain pie volume available!
115.
0 Yes
No
14. Were all samples received wi hin'. z the Bolding time or 48 hours whichever comes rirst?
❑ Yes
❑Yes
! Na+
❑ No
21NAin
Were any samples contalners inissing-tas (circic one) samples Not listed oft COC?
16. For VOA and RSK-175 sampet s, werG hEablblc� presCill �':(�r m•s r..e„ (,�a'kar 6rrtrrt ikr Cllatneter}
any at the VUA vials?
Ycs
_„ Nu
✓ -NA
17. Were all DRO/nieta;s/nutrient samples received at a H of <22
❑ Ycs
No
-MA
I S. Were kill cyanide samples rweived at a DH > 12 AM Sulfide s>er Ins rcraived at a PH > 9?
❑ Yes
[--]No
]NA
i0, w0eeall applicable N]•lsfFKN&,-yanidr�'I;3aLmo11625.1(60K3 (<0-Soki9fi)Sal nples tree 6
residual a;hlkarina:?
❑ Ycs
. ❑No
❑NA
& Were client remarks/mquem (i.e. requested dilations, MS/MSD &aiwMions, u1c.,.)
correctly rmilscriNed from the COC. into ft comment section in LIMS?
El YgI
LdNo
21. Was the quore number listed on the contaiflc? [abet? If •es, Quote #
Sample
preservadda (Must be complied for any samplc(s) incotmrly preserved or With headspac¢.)
Snrrrp[e(s) NA wet received incorrectly pmscrvcd and were radjustcd accordingly
n sample reoelvin with NA tnT, aareircle one: [12SO4, TIN03,11C1, Naoi'I using SR # NA
Time of preservation N .. . , If mr±rr. than nn.e precert+ative is needed, please note i a lira v lmrncnls bttu v.
Sa1np?r(s) HA tiverc rcrc:ved �vilitbubbles=6 rnua in diatreter.
--
amplc.4(s) NA _ were received with l RL" DJ mgfl_, ([F419 iy rrn) wid were
djusted accordingly in sample receiving with swiltni tiLioqutfhte (NaxS;O,) with Shealy In; NA
.9R bi ttvoij* lvt 06 applied by. dkic,x — D o. 0stutti7tt:,•.
Comments:
Pace Analytical Services, LLC (formerly Shealy Environmental Services, inc.)
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.pacelabs.com
Page 7 of 7

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7.5 MGO--�.J INFLUENT PUMP STATION
AND BAR SCREEN
AERATED GRIT CHAMBERS
LIME ADDITION
REACTOR CLARIFIERS
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BASINS AND
DECHLORINATION I f
TO REGIONAL
DISCHARGE TO COMPOST FACILITY
CLARK CREEK 001 OR LAND APPLICATION
CITY OF NEWTON uuilligENGINEERS JANlJARY 204�
CL4RK CREEK WWiP
FLOW SCHEIMAI! No 9�9.IJ37
SCALE 1

uantitative Justification for Residuals Production
Currently, the City of Newton's WWTP is permitted for 3448 dry tons of annual production.
There is no request at this time to change this amount. The facility permitted/design flow is 6
MGD. Even if this maximum amount is reached, we would still be under the permitted dry tons
of annual production. The additional dry tonnage will allow for any future expansions.
Total Dry Tons = gallons of residuals X % solids X 8.34 lbs./gallon
2,000 lbs./ton
(2,250,000 X 0.0632 X 8.34 lbs./gallon)/ 2,000 lbs.lton = ---621 dry tons

Residuals Sampling Plan
City of Newton and Application Program (WWTP)
Nutrient and Metal Analysis
,Sampling Point:
Sampling Frequency:
Sample Type:
Lab:
WWTP
Digester
Quarterly
Composite
Waypoint Environmental
Pathogen Reduction
- Lime Stabilization done in house by plant operators
Vector Attraction Reduction
- Lime Stabilization done in house by plant operators
TCLPIRCI
Sampling Point:
Sampling Frequency:
Sample Type:
Lab:
WWTP
Digester
Once per permit cycle
Composite
Shealy Environmental

VICINITY MAP
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COUNTY: Catawba OWNER(S): Newton WWTP

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 a lication and
supporting documentatian
For'more information, visitthe Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100, Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentatio n 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 maybe 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 I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
County Board
Notification. doc
ffE--A
✓
✓
Land Owner
Agreement
(If applicable)
`=
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Man Guidance
for Residuals LandAo2lication 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. Puliev"
Acknowledgement of field transfer from Land Owner (Fields may not
✓
be permitted to multiple Permittees over the same timeperiod)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
ER 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 asprovided bythe 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
mappingunit. 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. Ea ch
trap partionmustbe 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://deq,nc. ov/about/divisions/water-
resources/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:
htt ://de .ne. ov/contact/re 'onaI-offices
® General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodics 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 I 1-inch sheet showing the project area
should be submitted with the permit application regardless ofwhether 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 htt ://de .ne. ov/about/divisions/water-resources/ lannin 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 willprovide
the proper location descriptions if multiple runs.
2. Locatethe name of the identified waterbody (from General Directions) on the list.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

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.
ER 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 Genera I 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 fist report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
® Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301.6).
Any stream which is not named in the schedule of stream classifica tions 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) unnatnedfreshwaters tributary totidal saltwatersWill 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.
IR 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 beclassified "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 RiverBasin
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 cant' 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 ba swhich shall be classified "SC."
Pas uotankRiverBasin
All drainage canalsnotnoted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3

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ff.,

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
D.
.WR
` 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
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed 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.
repare 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
fhe undersigned landowner or his representative herebyfrldl.-k
rmits:
Applicant's name: � g o ae lfrn
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/FieId ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
o
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
;hall 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 I of 3

1. 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 site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Pennittee 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 Permitter of any revisions or modifications to the intended use and cropping patterns for
the land application sites) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Pennittee, 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
r 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 .0105fh1 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)
W A re -defined compliance boundary is not needed for this site.
N.ACKNOWLEDGEMENTOFFIELD TRANSFER: (if
1n ded)
oTThe land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: 0 O "i '6L q The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed fr the previously permitted residuals land application program and transferred
into the new program; .S VOSILWCA D
(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:
Address: �S � i,
City: L-iA) CA Stater ` Zip: ���
Phone: fJ 7 E-mail address: /ry
Signature: Date:
NORTH CAROLINA, L i y" ` r1 COUNTY
I, the undersigned Notary Public do hereby certify that 00SK bSj ......._
personally appeared before me this day and acknowledged the due execution of the forgoing instrument. ,�X W FO ���i
p Y pp Y g 1✓h g g� �
WITNESS my hand and official seal this the to +`
day of MOE \I', , 20 Z` = f
;
Signature and seal: t W &V •
l My commission expires: o 2.T.-. , a D`3.4 �i � COVE
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail address:
Signature:
Permittee's Certification:
Date:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official n I O
Signature: Date: is &
FORM: LOA 06-16 Page 3 of 3

SOIL SURVEY
GRAPHIC SCALE
1 if = 660'
660` 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-LT-32
Fields 1-4

TOPOGRAPHIC MAP
a
z
GRAPHIC SCALE
1" = 660'
660, 0 660,
The compliance boundary is established dither 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-LT-32
Fields 1-4

10 VICINITY MAP
1qI 1187
i
r�
�I l�'
CL
` '1132
1a� 1ovz
AWN
�r
c
a
c�
49'
t
At
GRAPHIC SCALE
V = 2,000'
2,000' 0 2,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
NC-LT-32
in the property boundary, whichever is closest to the application area, The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
.{
FIT -4
1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
DWR.,
Dlvlslon 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
sporting 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 Iand 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 A 100. 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. Lan caner 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
pplicant.
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 permi s:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
)
Land Use or
Cropping Patterns
pp g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
`{Y
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
;hall 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

1. 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 sitc(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that trust 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.
11. 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,
111.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
compliance boundary to the application package)
E2'Are-defined compliance boundary is not needed for this site.
IV.ACKK OWLEDGEMENT OF FIELD TRANSFER: (i needed
E&. he land application field(s) II l'
residuals land application program; Permit Number WQ:� O0
agreement, he/she is requesting that the field(s) be �re�}ov d from
into the new nroaram:f Air .a web n i
attach a map showing the newly proposed
. is currently permitted under another
_. The land owner hereby acknowledge that by signing this
permitted r4duall land. application program and transferred
(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 Iand applications site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
Et 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: J sLL q LLLj , Y? f.
Address•
City: INI WAIII 14JAr e- State: /V e- _ _ Zip: _?_ AQ Za
Phone: d !
_� ���--7 �� Z ,. E-mail address:
Signature• Date: J - /J - Z�
NORTH CAROLINA, e COUNTY
I, the undersigned Notary Public do hereby certify that . 7-4. C- G tl e. E �'n k dtn l!r j M1
personally appeared before me this day and acknowledged the due execution of the forgoing instrument
WITNESS :my hand and official seal this the
day of r� , 20
Signature and seat: L✓
My commission expires: Dca ! O
Lessee's/Operator's Certification:
I certify that I have read this Agreement
r(and
„do hereby agree to abide by the stipulations and restrictions as specified. herein.
Lesseeloperator name: L•.t, _ _ v-�'�l "�
Address: _ IZW 0 5e,e�-,
City:
--
Phone:. -3 0
:��
E-mail address14
Signature•-r
Date:
'�-
-.2 f
5
f
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official
Signature: —
FORM: LOA 06-16
Date: 45-
Page 3 of 3

State of North Carolina
DW
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
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Untt
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class 13 residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T A 100. 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. Lan Owner Agreement (FORM: LOA 06-16):
PSubmit 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
fhe undersigned landowner or his representative hereby permits:
Applicant's name:tld4,,.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-tilltover-seed/
pasture)
A%
(ark
Aq , f ,a .
lo, If, 43
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
,hall 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 I of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
k 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) 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 Permittec 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 Permittec.
7. The Permittec will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8, If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e,g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
fl. RESTRICTIONS:
L Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application 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)
dA re -defined compliance boundary is not needed for this site,
IV. ACKNOWLEDGEMENT OF FIELD T N FER: needed)
VThe land application field(s) ID: I/ = 2 Y� ° r
C �( is currently permitted under another
`.. residuals land application program; Permit Arm ber WQ: 0 The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be emoved fro�st th prev}ously permittted residual land ap Iication program and transferred
into the new program; SUgti �� �✓�S rn 1 �t .w.a f W Q. 001 L.� �"
(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 Iand application site(s) and am authorized to make decisions
regarding the use of the land application sites) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to snake 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. j
Landowner name: �'
Address:®�2e LA ��, 65
City: State: ' V C-- Zip: U U
Phone: — - 63 E-mail address: [[
Signature: Date:. Q - 2 1
NORTH CAROLINA, ��ye- /fin COUNTY �?
1, the undersigned Notary Public do hereby certify that �,L r I rs L.,_. uc- )` •''h
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
l fti
WITNESS my hand and o icial seal this -the Z
_ r
day of ,20 t
I wm U4
Signature and seal:
M commission ex Tres: ryO111I►ttt�1,
Y P �"
Lessee's/Operator's Certification:
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
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: __-- .._._..To 1qc=y�/o�',_�a
Signature:_0�� Date: /� �
FORM: LOA 06-16 Page 3 of 3

APPLICATION MAP
I We
a
z
I �c�nln
n n APPLICATION AREA
UNSUITABLE AREA
— — — — -- - PRIVATE ROAD
WATER GRAPHIC SCALE
— — — — STREAM
.
ONSITE HOUSE 9" = 660'
— DRAIN
■
sso' o sso'
OFFSITE HOUSE
- FENCE
OUTBUILDING
PROPERTY LINE
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-C L_21
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area, All
locations are approximate. Fields 3-5,7

LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
—� — FENCE
PROPERTY LINE
APPLICATION MAP
O
0
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever Is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
N C-C L-21
Fields 6,5-9

TOPOGRAPHIC MAP
GRAPHIC SCALE
1" - 800'
800, 0 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CL-21
Fields 3-9

a
z
SOIL SURVEY
GRAPHIC SCALE
1" = 800'
800, o sea
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CL-21
Fields 3-9

VICINITY MAP
-+D
ID
226
152 x.
Cr
23
f rj
don
a {:
10
4
Z26)4`1j 1y11 tl.f i E§�
GRAPHIC SCALE
1" = 4,000'
4,000' 0 4,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-CL^21
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1 ,3-9

APPLICATION MAP
I We
a
z
Ul
LEGEND
APPLICATION AREA UNSUITABLE AREA
PRIVATE ROAD
STREAM
DRAIN
X X X FENCE
PROPERTY LINE
Q WATER GRAPHIC SCALE
ONSITE HOUSE
1=660'
sso o ssa°
OFFSITE HOUSE—
❑ OUTBUILDING
{0 WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CL-08
Fields 10,11513;14

TOPOGRAPHIC MAP
H b
Tilt
s.
v
GRAPHIC SCALE
1" 800'
sea, o 800,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-C L-08
Fields 10,11)13114

SOIL SURVEY
r
Q
GRAPHIC SCALE
V = 800'
Soo, c aoo,
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C_CL_08
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All I locations are approximate. Fields 10,113 q 13,14

VICINITY MAP
1 OU 1
Vol,
Ln
1n Make, V%'r o�
22b c.
15�3
LIZ Olt,
CF
�E
t
Y
�).rido n
lti l6
GRAPHIC SCALE
1" = 4,000'
4,000' 0 4,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C_CICL_f1 Q
V
in the property boundary, whichever is closest to the application area. The review boundary is established
V
midway between the compliance boundary and the perimeter of the residuals application area, All
locations are approximate.
Fields 10,11 ,13, 13
,14

D.. K%
W..v
Division of Water Resources
0"ItC U1 i\UFLU L2LFU111l21
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.,
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100, Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06716) 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: Synagro Western Piedmont RLAP
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
Site/Field ID
Lease
Land Use or
Intended Use of Crops
Residuals Source
Special note
(no-till/over-seed/
(yes/no)
Cropping Patterns
(optional)
pasture)
NC-CH-60-1
N
Pasture
Animal Feed
NC-CH-60-2
N
Pasture
Animal Feed
NC-CH-60-3
N
Pasture
Animal Feed
NC-CH-60-4
N
Pasture
Animal Feed
NC-CH-60-6
N
Pasture
Animal Feed
NC-CH-60-7
N
Pasture
Animal Feed
NC-CH-60-11
N
Pasture
Animal Feed
NC-CH-60-12
N
Pasture
Animal Feed
FORM: LOA 06-16 Page I of

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
I. Appropriate measures must be taken by the Permittec 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 Iand 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: NC-CH-60-2
(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.
W. 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 nroeram:
(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- __7'+B • 0 a re,
Address: 5ss :r4- 2'. k lZ
City: 5} ! State:
N(L-.
Zip: 7_7 25 1
Phone: E-mail address:
Signature: Date: 51 Z52'0 Z
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of
Signature and seal:
My commission expires: <7So Zo2s
Lessee's/Operator's Certification:
,20 2
two
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
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:
Signature:
Date: V-sA i
FORM: LOA 06-16 Page 3 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. I
Landowner name: lA r) I V N
Address: C�
City CrdW State: Zip: 3
Phone: g f 1— E-mail address: �� �� 1�L l OTC' _ i V e—
i � —� - �o
Date:
v 3
NORTH CAROLINA, " COUNTY
I, the undersigned Notary Public do hereby certify that L_tq Kr_ Howe —
personally appeared before me this day and acknowledged thee execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of jVM
flSignature and seal: C-
My commission expires: ?Igo2,025
Lessee's/Operator's Certification:
,20 i 1 -
Wde C=ft NO
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 n e: der
Signature: Date: A m
FORM: LOA 06-16 Page 3 of 3

SYNAGRO
YOUR PARTNER FOR A CLEANER, GREENER WORLD
June 4th, 2021
N.C. Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section — Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
ATTENTION: Nathaniel Thornburg
REFERENCE: Redefined compliance boundaries - WQ0016247
Synagro Western Piedmont RLAP
Mr. Thornburg,
I am addressing the redefined compliance boundaries due to on -site water supply wells for the
affected fields. See below.
(NC-CH-64-2) -- The redefined compliance boundary on LuAnne Moore's property is located
south of the on -site water supply well located to the north of field 2 and south of Wildlife Rd.
Please find that the Land Owner Agreement form (LOA 06-16) is updated to reflect the
redefined compliance boundaries. Please let me know if any further information is needed
regarding the redefined compliance boundaries for on -site water supply wells for affected fields.
Best regards,
aA
Chris Wynne
Technical Services Specialist

SYNAGRO, CLASS B PERMIT
WQ 0016247
SOIL SCIENTIST CERTIFICATION
This is to certify that soil profile evaluations were conducted on the proposed application
sites for the Synagro Western Piedmont project by Piedmont Environmental Associates,
P.A. on behalf of Synagro Central, LLC. The evaluations consisted of hand auger
borings and descriptions of the soils on the application sites. All hand auger borings
included in this package were either performed by me or under my direct supervision.
All other work performed for this permit application was conducted by Synagro Central,
LLC.
For each application field site, representative soil borings were conducted to confirm the
soil series designation provided on the USDAINRCS soil survey data. It was assumed
that areas unsuitable to slope or a seasonally high-water table are not included in the
application area for any of these fields.
Table 1 lists the dominant soil series mapped for each of the fields in this submittal, as
well as the soil series determined:
Table 1. - Soil Profile Descriptions Data, Synagro, Permit WQ 0016247
Field
NRCS Mapped Series
Field Identified Series
CH 60-1
Herndon
Herndon
CH 60-2
Georgeville
Tarrus
CH 60-3
CidlLignum
CidlLignum
CH 60-4
CidlLignum
CidlLignum
CH 60-7
Nanford
Nanford
CH 60-6
CidlLignum
CidlLignum
CH 60-11
Nanford
Nanford
CH 60-12
CidlLignum
CidlLignum

Sincerely,
G. Christopher Murray, L.S.S.
No. 1284
Synagro, Class B Permit, Various Fields

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Waypointo
ANALYTICAL
11 /18/2020
Synagro Central LLC! Siler City
Mary Brewer
284 Boger Road
Mocksvitle, NC, 27028
Ref: Analytical Testing
Report Number: 20-318-0001
Project Description: Todd Moore
555 Ike Brooks Road
Siler City NC 27344
7621 Whitepine Read, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 11/13/2020 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 CER 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 Anaiysis(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,
tom}
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 12

(2)
Waypoint,
•
7621 Whitepine Road, Richmond, VA 23237
Main $04-743-9401 ° Fax [phone]
ANALYTICAL
www.waypointanalytical.com
Sample Summary Table
Report Number:
20-318-0001
Client Project Description:
Todd Moore
SSS Ike Brooks Road
Slier City NC 27344
Lab No
Client Sample ID Matrix
Date Collected Date Received
Method
Lab ID
74187
1
Solids
11/13/2020
SW-7471B
WP MTN
74188
2
Solids
11/13/2020
SW-7471B
WP MTN
74189
3
Solids
11/13/2020
SW-7471B
WP MTN
74190
4
Solids
11/13/2020
SW-74718
WP MTN
74191
5
Solids
11/13/2020
SW-7471B
WP MTN
74192
6
Solids
11/13/2020
SW-7471B
WP MTN
74193
7
Solids
11/13/2020
SW-7471B
WP MTN
WP MTN - Memphis, TN; Waypoint Analytical - TN, Memphis, TN
Page 2 of 12

Waypoint-00
ANALYTICAL.
46490
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Synagro Central LLC/ Siler City Project Todd Moore
Mary Brewer Report Date : 11/18/2020
284 Boger Road Information : 555 Ike Brooks Road Received : 11/13/2020
Mocksville , NC 27028 Siler City NC 27344 �mt
Report Number: 20-318-0001 REPORTOFANALYSIS Pauric Mc Groary Ph.D., CPAAgronomist
Lab No : 74187 Matrix: Solids
Sample ID :1 Sampled:
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0376 mg/Kg 0.0146 1 11/17/2011:21 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 3 of 12

Waypoint-(D
ANALYTICAL
46490
Synagro Central LLC/ Slier City
Mary Brewer
284 Boger Road
Mocksville , NC 27028
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointa na lytical.corn
Project Todd Moore
Information : 555 Ike Brooks Road
Slier City NC 27344
Report Number: 20-318-0001 REPORTOFANALYSIS
Lab No : 74188
Sample ID : 2
Test Results Units MQL
Mercury 0.0201 mgJKg 0.0151
Report Date : 11/18/2020
Received: 11/r1J3/2020
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
DF Date / Time By Analytical
Analyzed Method
1 11/17/2011:23 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 4 of 12

Waypoint(Dz.
ANALYTICAL
46490
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Synagro Central LLC/ Siier City Project Todd Moore
Mary Brewer Report Date : 11/18/2020
284 Boger Road Information : 555 Ike Brooks Road Received : 11/13/2020
Mocksville , NC 27028 Slier City NC 27344
P
Report Number: 20-318-0001 REPORTOFANALYSIS Pauric Mc Groary Ph.D., CPA
Agronomist
Lab No : 74189 Matrix: Solids
Sample ID : 3 Sampled:
Test Results units MOL DF Date / rime By Analytical
Analyzed Method
Mercury 0.0299 mg/Kg 0.0150 1 11117/2011:24 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitatlon Limit
Page 5 of 12

Waypointo
ANALYTICAL
46490
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Synagro Central LLC/ Siler City Project Todd Moore
Mary Brewer Report Date : 11/18/2020
284 Boger Road Information : 555 Ike Brooks Road Received : 11/13/2020
Mocksville , NC 27028 Siler City NC 27344 M
Report Number: 20-318-0001 REPORT OFANAL YW Pauric Mc Gmary Ph.D., CPA
Agronomist
Lab No : 74190 Matrix: Solids
Sample ID: 4 Sampled:
Test Recruits Units MQL DF Date I Time By Analytical
Analyzed Method
Mercury 0.0284 mg/Kg 0.0158 1 11/17/2011:26 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 6 of 12

Waypnotu•
ANALYTICAL
46490
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Synagro Central LLC/ Siier City Project Todd Moore
Mary Brewer Report Date : 11/18/2020
284 Boger Road Information : 555 Ike Brooks Road Received : 11/13/2020
Mocksvitle , NC 27028 Slier City NC 27344
6
Report Number: 20-318-0001 REPORT OPANALYSIS Pauric Mc Groary Ph.D., CPA
Agranamist
Lab No: 74192 Matrix: Solids
Sample ID : 6 Sampled:
Test Results Units MOIL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0315 mg/Kg 0.0156 1 11/17/2011:28 DDB SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 8 of 12

Waypointo
ANALYTICAL
46490
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www,waypointa nalytical.com
Synagro Central LLC/ Siier City
Project Todd Moore
Mary Brewer
Report Date : 11/18/2020
284 Boger Road
Information : 555 Ike Brooks Road
Received : 11/13/2020
Mocksville , NC 27028
Slier City NC 27344
i ('euc,r
Report Number :20-318-0001
REPORT OFANALfStS
Pauric Mc Groary Ph.D., CPAAgronomist
Lab No: 74193
Matrix: Solids
Sample ID : 7
Sampled:
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0282 mg/Kg 0.0153 1 11/18/2010:20 TJS SW-7471B
Qualifiers/ DF Dilution Factor L Limit Exceeded
Definitions MQL Method Quantitation Limit
Page 9 of 12

Waypoin(Dt,.
ANALYTICAL
Client: Synagro Central LLCI Siler City
Project: Todd Moore
Lab Report Number: 20-318-0001
Date: 11 /18/2020
7621 White pine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
CASE NARRATIVE
Solids Total Mercury Analysis - CVAA Method 7471A
Sample 74175
Analyte: Mercury
4C Batch No: L522798
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected,
Page 10 of 12

Waypoin(2)� .
ANALYTICAL
7621 Whitepine Road, Rtchmand, VA 2-4237
Main $04-743-9401 ° Fax [phone]
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46490
Customer Name: Synagro Central LLC/ Slier City
Report Number: 20-316-0001
Shipping Method
0 Fed Ex US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
Shipping container/cooler uncompromised?
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?
0 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)?
0 Yes
0 No
All samples received within holding time?
0 Yes
0 No
Cooler temperature in compliance?
0 Yes
No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
No
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
N/A
Soil VOA method 5035 -- compliance criteria met
0 Yes
0 No
N/A
(— High concentration container (48 hr)
j- High concentration pre -weighed (methanol -14 d)
F_ Low concentration EnCore samplers (48 hr)
j— Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes • No
Comments:
Signature: amantha Clarke Date & Time: 11/13/2020 13:58:53
Page 11 of 12

E-7Z
0—
IA
CL
13
0
0
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El
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0
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C-D
77�
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iff cj 1
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a N al
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;-5; Oc - 4,
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= — Cp
2 (3 4
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in 0,1:8
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U,
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0
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M
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CD U) cu
Page 12 of 12

Waypoint_(2)
ANALYTICAL
5/6/2021
Synagro Central LLCI Technical
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 21-119-0005
Project Description: Todd Moore
555 Ike Brooks Rd
CH-60
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 4/29/2021 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,
Toi J c M t Groo 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 6

a
Wayp�int�,
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Sample Summary Table
Report Number. 21-119-0005
Client Project Description: Todd Moore
595 Ike Brooks Rd
CH-60
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
76104 11 Solids 04/29/2021 SW-7471B WP MTN
76105 12 Solids 04/29/2021 SW-7471B WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 6

Way 0 'AG
ANALYTICAL
46622
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Synagro Central LLC/ Technical Project Todd Moore
Mary Brewer Report Date : 05/06/2021
284 Boger Road Information : 555 Ike Brooks Rd Received : 04/29/2021
Mocksville , NC 27028 CH-60
TAwic Me &J"'y/
Pauric Mc Groary Ph.D., Ct�PA
Report Number 21-119-0005 REPORT OFANAL YSIS Agronomist
Late No : 76104 Matrix: Solids
Sample ID :11 Sampled:
Vest Results Units MOL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0316 mg/Kg 0.0145 1 05/05/2113:15 DOB SW-7471B
Qualifiers/ *
Outside QC Limit
B
Analyte detected in blank
Definitions C
GCMS Confirmation Analysis
E
Result above cal range
g
GGA Outside QC Limits
H
Beyond holding time
J
Estimated value
M
Minimum value
NA
Not on Scope of Accreditation
NC
Not confirmed
Q
RPD >40% dual column results
T
Sample exhibits toxicity.
U
Unconfirmed
Refer to cover letter.
Page 3 of 6

Waypoin(2)t,r
ANALYTICAL
46622
7621 Whitepine Road, Richmond, VA 23237
Ma In 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Synagro Central LLC/ Technical Project Todd Moore
Mary Brewer Report Date : 05/06/2021
284 Boger Road Informakion : 555 Ike Brooks Rd Received : 04/29/2021
Mocksville , NC 27028 CH-60 r
TAWIT M( l "OAlr
Report Number: 21-119-0005 REPORTOFANALYSIS Pauric Mc Groary Ph.D., CPA
Agronomist
Lab No: 76105 Matrix: Solids
Sample ID :12 Sampled:
Test Results Units MOL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0325 mg/Kg 0.0151 1 05/05/2113:17 DDB SW-7471B
Qualifiers/ *
Outside QC Limit
B
Analyte detected in blank
Definitions C
GCMS Confirmation Analysis
E
Result above cal range
g
GGA Outside QC Limits
H
Beyond holding time
]
Estimated value
M
Minimum value
NA
Not on Scope of Accreditation
NC
Not confirmed
Q
RPD >40% dual column results
T
Sample exhibits toxicity
U
Unconfirmed
Refer to cover letter.
Page 4 of 6

Waypoin.0t
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46622
Customer Name: Synagro Central LLC/ Technical
Report Number: 21-119-0005
Shipping Method
0 Fed Ex US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other
Thermometer ID:
Shipping container/cooler uncompromised?
0 Yes
0 No
Number of coolers/boxes received
r 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?
0 Yes
0 No
COG agrees with sample label(s)?
0 Yes
0 No
COC properly completed
0 Yes
0 No
Samples in proper containers?
Yes
0 No
Sample containers intact?
0 Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
0 Yes
0 No
Cooler temperature in compliance?
0 Yes
No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
No
Water - Sample containers properly preserved
0 Yes
0 No
41 N/A
Water - VOA vials free of headspace
0 Yes
0 No
N/A
Trip Blanks received with VOAs
0 Yes
0 No
i, N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
NIA
High concentration container (48 hr)
High concentration pre -weighed (methanol -14 d)
7 Low concentration EnCore samplers (48 hr)
F_ Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included?
Comments:
0 Yes • No
Signature: Brand! Watson Date & Time: 4/29/2021 13:10:53
Page 5 of 6

Waypoint (D
ANALYTICAL SOIL SAMPLE
z
12
,.,o....., ... 6-
- SIM plus any two of the
. SIM Diu$ am o[#he�
�Ms 1ry��4c..
►9R 4-4+V
1. Battey
6, Canola
10. Com
11. ComlSoybeans Rotation
12. Com-No Till
13, Com Silage
20. cotton
21. Cotton - No Till
25, Grain Sorghum
30. Oats
32. Peanuts
34' Popcom
35. rapeseed
36. Rica
39. Rye
45. Soybeans
46. Soybeans - No Till
61. Sugarcane - Plant
52, Sugarcane - Stubble
62, Tobacco - Buriey
63. Tobacco - Dark
84. Tobacco - Flue Cured
76. Wheat
7$. WheatSpage/Com Silage
7621 Whitepine Road
Richmond, VA 23237
• [phone] - Fax 66
.r(8p4)12ica�om
5 Rom,° �'
Id 16
Isslum , Magnesium, pH. uutser pry
Sodium. Sulfate -Sulfur, Boron, Zinc. Manganese, iron, Copper. Each additional test (above two) c
n
101. Alfalfa Hay
103. AtfaifalCaol Beason Gross Hay
106. AlfalfalWarm Season Grass Hay
116. Behiagrass Hay
117, Bahlagrass Pasture
121. Common Bermuda Hey
12. Common Bermuda Pasture --
3. Common BermudalLvU.me Hay
161. Coastal Bermuda Hay
162. coastal sermuda Pasture
172. Cool Season Grass Pasture
173. Coot Season Grass May
181. Fescue Hay
182. Fescue Pasture
183, FescuefLegume Hay
184. FescuelLegums Pasture
307, Beans -Lima
309, Beans - Snap
382. Spinach
h
320. Cabbage
383. Sweet Com
304. Sweat Potatol
322. Cantaloupe
330, Cucumbers
391. Sweet Potato,
340, Garden
365. Tomatoes
398, Watermelons
369, Peppers
400• Apples
410. Blueberries
420. Citrus
430. Grapes
470, Peaches
475, Pecans
400, Strawberries
CLim
B
61 #�
TURK cs i
512, B8111091`0s4 Lave Z4
Bohiagrasg Sod
517. Bentgrass Gree a
521. Bermudagrass F
522. Bermudagrass F
523. Barmudegrass C
524, Bermudagrass L
525. Bermudagrass S
526. Barmudagrass Ti
533, Bluegrass Lawn
534. Bluegrass Sad Pr
540. centipede Lawn
547, Centipede Sod Pr
561, Fescue Athletic FI
563. Fescue Lawn
564, Fescue Sod Produ
576. 3t. Augustine Lawr
677, St. Augustine Sod ;
553. Zoyslograss Lawn
584. Zoystograss Sod Pc
- - 3-� 4vv,r MerG�c�-
rices OM sub*
Submittal of information sheet to
foes may a chanrged toan tl sampterrequires addition�tal preparation onn pmcedu M
11
Page 6 of 6

APPLICATION MAP
LEGEND
UNSUITABLE AREA
APPLICATION AREA
Q
WATER
— — — — - PRIVATE ROAD
®
GRAPHIC SCALE
ONSITE HOUSE
III -
_ 660'
— - - -�--- STREAM
OFFSITE HOUSE 660, a ssa'
- DRAIN
I
OUTBUILDING
FENCE
nC
WELL
PROPERTY LINE
SOIL BORING
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within C H-60
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1 - 2

SOIL SURVEY
all
GRAPHIC SCALE
1 " = 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or
50 feet within in the property boundary, whichever is closest to the application area. The
review boundary is established midway between the compliance boundary and the
perimeter of the residuals application area. All locations are approximate.
CH-60
Fields I - 2

TOPOGRAPHIC MAP
GRAPHIC SCALE
I°=660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or C�,,I_6O
50 feet within in the property boundary, whichever is closest to the application area. The
review boundary is established midway between the compliance boundary and the
perimeter of the residuals application area. All locations are approximate. Fields I — 2

APPLICATI
PRIVATE R
--- - - — STREAM
- DRAIN
-11 )( N FENCE
APPLICATION MAP
LEGEND
UNSUITABLE AREA
ON AREA
OAD
PROPERTY LINE
WATER
ON51TE HOUSE
CD OFFSITE HOUSE OUTBUILDING
WELL
501E BARING
lit 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever Is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
BBO' 0 664'
CH-6o
Fields 3,4,6,7
PROPERTY LINE
WATER
ON51TE HOUSE
CD OFFSITE HOUSE OUTBUILDING
WELL
501E BARING
lit 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever Is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
BBO' 0 664'
CH-6o
Fields 3,4,6,7

SOIL SURVEY
W
■■
GRAPHIC SCALE
1" = 660'
660' 0 66V
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
CH-60
Fields 3A67

TOPOGRAPHIC MAP
GRAPHIC SCALE
1" = 660'
66V 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within C I..I _60
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 3A6,7

VICINITY MAP
GRAPHIC SCALE
1" = 2,000'
2,000' 0 2,000'
i
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within CH-60
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 3A67

APPLICATION MAP
re
LEGEND
UNSUITABLE AREA
APPLICATION AREA
WATER
- -- — — -- - PRIVATEROAD ® ONSiTE HOUSE GRAPHIC SCALE
— - - -- STREAM 1 " 660'
OFFSITE HOUSE sea' a 660*
DRAIN I ...,
OUTBUILDING
-K �---a� FENCE
WELL
PROPERTY LINE SOIL BORING
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within CH_60
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area, All
locations are approximate. Fields 11 - 12

SOIL SURVEY
GRAPHIC SCALE
I " = 660'
660' 0 66V
The compliance boundary is established either 250 ft from the residuals application area or
50 feet within in the property boundary, whichever is closest to the application area. The
review boundary is established midway between the compliance boundary and the
perimeter of the residuals application area. All locations are approximate.
CH-60
Fields I I - 12

TOPOGRAPHIC MAP
GRAPHIC SCALE
1 " = 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or CI•.I�60
50 feet within in the property boundary, whichever is closest to the application area. The
review boundary is established midway between the compliance boundary and the
perimeter of the residuals application area. All locations are approximate. Fields 11 - 12

VICINITY MAP
Raptisl cI yelc
GRAPHIC SCALE
1 2,000'
2,00W 0 2,000-
I
The compliance boundary is established either 250 ft from the residuals application area or C L.I _bo
50 feet within in the property boundary, whichever is closest to the application area. The
review boundary is established midway between the compliance boundary and the
perimeter of the residuals application area. All locations are approximate. Fields 11 - 12

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DW...K
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided 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
supnorting 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 .1.100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM; LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: S na ro Western Piedmont RLAP
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cropping Patterns
pp� g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
NC-CH-101-1
N
Pasture
Grazing
NC-CH-101-2
N
Pasture
Grazing
NC-CH-101-3
N
Pasture
Grazing
NC-CH-101-4
N
Pasture
Grazing
NC-CH-101-5
N
Pasture
Grazing
NC-CH-101-6
N
Pasture
Grazing
NC-CH-101-7
N
Pasture
Grazing
NC-CH-101-8
N
Pasture
Grazing
NC-CH-101-9
N
Pasture
Grazing
NC-CH-101-10
N
Pasture
Grazing
NC-CH-101-11
N
Pasture
Grazing
NC-CH-101-12
N
Pasture
Grazing
FORM: LOA 06-16 Page 1 of 3

NC-CH-101-13
N
Pasture
Grazing
NC-CH-101-14
N
Pasture
Grazing
NC-CH-101-15
N
pastors
Grazing
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 2 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Pennittee 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 residualsisoil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
M.ALTERNATWES FOR WATER SUPPLY WELLS INSWE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 1 55A 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: NC-CH-101-5 7
(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: _ NC-CH-101-(1-15) . is currently permitted under another residuals land
application program; Permit Number WQ: W 0007066 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; W00016247
(Name of the new program)
FORM: LOA 06-16 .Page 3 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:
Address:
City: I.P �--���-- C� e P �� State: C Zip:
Phone: �Gy3 t? E-mail address: I L �'�'+ C "Z e.'��c-ev 0 M a /
Signature: Date:
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that 1X161.C_ F,) u 6 e,' b e
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and
lI official seal this the 7
day of �OtrGl� 20
Signature and seal: C'
My commission expires: 02107-0 s
00OPAIS ND
Lessee's/Operator's Certification:
M
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:
Signature: Date:
FORM: LOA 06-16 Page 4 of 3

SYNAGRO
YOUR PARTNER FOR A CLEANER, GREENER WORLD
March 17'h, 2021
N.C. Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section — Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
ATTENTION: Nathaniel Thornburg
REFERENCE: Redefined compliance boundaries - WQ0016247
Synagro Western Piedmont RLAP
Mr. Thornburg,
I am addressing the redefined compliance boundaries due to on -site water supply wells for the
affected fields. See below.
(NC-CH-101-5) — The redefined compliance boundary on Jaime Dubeibe's property is located
east of the on -site water supply well located to the west of field 5 and south of HWY 902.
(NC-CH-101-7) — The redefined compliance boundary on Jaime Dubeibe's property is located
south of the on -site water supply well located to the east of field 7 and south of HWY 902.
Please find that the Land Owner Agreement form (LOA 06-16) is updated to reflect the
redefined compliance boundaries. Please let me know if any further information is needed
regarding the redefined compliance boundaries for on -site water supply wells for affected fields.
Best regards,
CX'06__
Chris Wynne
Technical Services Specialist

VICINITY MAP
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GRAPHIC SCALE
1" = 4,000'
4,000' 0 4,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
NC—CH-1 01
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate,
Fields 1
-15

1110115i4J\la1
APPLICATION AREA
- -�- - - PRIVATE ROAD
— - - — STREAM
- DRAIN
X -- FENCE
PROPERTY LINE
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
0
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-CH-101
Fields 1 - 7

APPLICATION MAP
LEGEND
APPLICATION AREA
UNSUITABLE AREA
ROAD
WATER
- — — - — - PRIVATE
-- - - -- STREAM
ONSITE HOUSE
- DRAIN
.
OFFSITE HOUSE
X FENCE
OUTBUILDING
PROPERTY LINE
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1 " = 660'
660' 0 660,
NC-CH-101
Fields S -15

W
i
TOPOGRAPHIC MAP
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c:
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GRAPHIC SCALE
Ill
= 1,000'
1,000' 0 1,00U'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CH-101
Fields 1 -15

SOIL SURVEY
GRAPHIC SCALE
1"=1,000'
1,000, 0 1,0oa'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CH-101
Fields 1 -15

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4
Ce

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Dlvlslan of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Ayglicant 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 fermittt yg Unit.
General -- This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:Y f o 'Jfsf-"
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
Cif " ZN4Va��
ire
ale
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:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
M.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
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
compliance boundary to the application package)
0 A re -defined compliance boundary is not needed for this site.
and attach a map showing the newly proposed
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
The land application field(s) ID: C m' -qZ ` 1 is currently permitted under another
residuals land application program; Permit Number WQ: d 0 © The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted r siduais land ap lication program and transferred
into the new program; �9:V„wA,,a P..srvt j�ii' �s� 1- 'TZLA P �% , I / ?4 Z
(Name of the new program)
FORM: IAA 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 a plication site(s) as specified
herein_ i
Landowner name:
Address: 2.I :31 ,/7 elli C d j�C1
City: ;,, / a State: /C Zip: Z
Phone: I/ 3 2 Z V ZS `� E-mail
Signature: 1f2 -4 01.�.
4 .,9. Z-
NORTH CAROLINA, _1��'?"l COUNTY
I, the undersigned Notary Public do hereby certify that __ M4 P � o . tr e- 0,
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the �A
day of �'� 720 Z 1
Signature and seal: `" " "
ROBERT N. ROTH
My commission expires: .
GUILFORD COUNTY
STATE OF NORTH CAROLINA
Lessee's/Operator's Certification:
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: 0
Signature: Date:
FORM: LOA 06-16 Page 3 of 3

VICINITY MAP
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-
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f'xt:€4i�y
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r
WS
FSFwtSyr .
R
GRAPHIC SCALE
1"= 4,000'
The compliance boundary is established either 250 it from the residuals application area or 50 feet within NC-CH-72
in the properly boundary, whichever Is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are appmximalex Fields 1-3

APPLICATION MAP
LEGEND
APPLICATION AREA UNSUITABLE AREA
PRIVATE ROAD v�v WATER
0
.. T— STREAM
DRAIN
�--; FENCE
PROPERTY LINE
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
The campl€ante boundary Is established either 250 ft from the residuals appiicaUon area or 50 Peet within
in the property boundary, whichever Is closest to the applicalon area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area, All
locations are approximate,
GRAPHIC SCALE
V = 660'
ssnn sea'
NC-CH-72
Field 3

TOPOGRAPHIC MAP
GRAPHIC SCALE
1" = 800'
g9q 0 Gov
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is doses# to the application area_ The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area, All
locations are approximate,
NC-CFI-72
Fields 1-3

SOIL SURVEY
GRAPHIC SCALE
1" = 800`
soa, o 800'
The compliance boundary is established either 250 It from the residuals application area or 50 Beet within
in the property boundary, whichever is closest to the application area. The rev!& boundary Is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations am approximate,
NC-CH-72
Fields 1-

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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 AppliesApplicagi shall Submit one or1 'nal and two copies of the lication and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Perm4ttng 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 11-15).
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 11-15):
® 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:
ht s:Hde .nc. ov about/divisions/water-resources/water-resources-rulestwater-su 1 -watershed- roteetion- ro ram
® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone],
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 Directoa of State and CounV Officials may be downloaded at:
h s://www.sosnc. ov/ ublications/direct.as x
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
ht ://de .nc. ov/contact/re Tonal -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: Meld 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 RELoj to submission of the application to the
Division for review.
INSTRUCTIONS .COR FORM: CBN 06-16 Page 1 of 1

North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
Date: 6/9/2021
To: Name of Chairman to the Board of County Commissioners; Mike Dasher
Complete mailing address, Pia Box 1809
City: Pittsboro State: NC Zip: 27312 j
County where land application sites are located: Chatham
From: Applicant's name: SXn—AM Western Piedmont LL (on behalf of the Division of Water Resources in accordance
with Session Law 2013-340)
Contact person and title: Chris Wynne
Complete mailing address: 284 Boger, Rd.
City; Mocksville State: N—Q Zip: 27028
Telephone number: [phone] E-mail address: caynne@,syLng=.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 land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -
generating sources and locations of the proposed land application sites. Please forward this letter and its associated
attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and
Planning Department) if applicable.
More information of the land application sites included in this application will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regional office: Raleigh Regional_ Office
Complete mailing address: 3$00 Barrett Drive
City: Ralei State: NC Zip: 27d 9
Telephone number: 919) 191-4200
Expected date of application submission: !Q0/2021
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, 919-807-6464 4 Internet; h-Op:lloortal.nedenr.oraluvebAvo
An Equal Opportunity 4 Atiirmadve Action Employer — Made in pars with recycled paper FORM: CBN 06-16

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APPLICATION MAP
LtGEND
APPLICATION AREA
UNSUITABLE AREA
W
WATER
— — — — — — PRIVATE ROAD
®
GRAPHIC SCALE
ONSITE HOUSHOUSE--
— — -- STREAM
660'
OFFSITE HOUSE 6601 0 660,
- BRAIN
[]
OUTBUILDING
FENCE
WELL
` — --�— PROPERTY LINE
�
SOIL BORING
The compliance boundary ie established either 250 ft from the residuals application area or 50 feet within C H-60
in the property boundary, whichever is closest to the application area. The review boundary is established
Midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1 - 2

APPLICATION MAP
LEGEND
UNSUITABLE AREA
APPLICATION AREA
CD WATER
— — --' — PRIVATE ROAD GRAPHIC SCALE:
® STREAM ONSITE HOUSE 1 660'
-- — — --
OFFSITE HOUSE BBO' 0 660,
DRAIN
FENCE OUTBUILDING
WELL
—� PROPERTY LINE (0) SOIL BORING
The compliance boundary is established either 250 It from the residuals application area or 50 feet within C H �6Q
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area, All
locations are approximate. Fields 3AA7

(6)
a
APPLICATION MAP
LEGEND
UNSUITABLE AREA
APPLICATION AREA
W
Q
WATER
WATER
— -- - -- _ - PRIVATE ROAD
®
ONSITE HOUSE GRAPHIC SCALE
STREAK!
1 " 660'
OFFSITE HOUSE 660, 0 6W
— DRAIN
OUTBUILDING
—--�s— FENCE
WELL
PROPERTY LINE
iJ.
SOIL BORING
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within CH-60
In the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area, All locations are approximate. Fields q .t
11 w 12

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