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WQ0038087_Modification_20211119
Initial Review Reviewer Thornburg, Nathaniel D Is this submittal an application? (Excluding additional information.)* Yes No Permit Number (IR) * WQ0038087 Applicant/Permittee Terra Renewal Services, Inc Applicant/Permittee Address P.O. Box 1746 Watkinsville, GA 30677 Is the owner in BIMS? Yes No Is the facility in BIMS? Owner Type Facility Name County Fee Category Is this a complete application?* Yes No Signature Authority Signature Authority Title Signature Authority Email Document Type (if non -application) Email Notifications Organization Terra Renewal Services Class B Residuals Program Wilkes Does this need review by the hydrogeologist? * Yes No Regional Office CO Reviewer Admin Reviewer Yes No Fee Amount $395 Complete App Date 11/19/2021 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 Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence. ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ Name* Terra Renewal Services, Inc Email Address* david.coyle@terrarenewal.com Project Information Application/Document Type* New (Fee Required) Modification - Major (Fee Required) Renewal with Major Modification (Fee Required) Annual Report Additional Information Other Phone Number* 479-747-8182 Modification - Minor Renewal GW-59, NDMR, NDMLR, NDAR-1, N DAR-2 Residual Annual Report 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. hftps://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report Permit Type: * Wastewater Irrigation Other Wastewater Closed -Loop Recycle Single -Family Residence Wastewater Irrigation Permit Number: * WQ0038087 Has Current Existing permit number Applicant/Permittee* Terra Renewal Services, Inc Applicant/Permittee Address* P.O. Box 1746 Watkinsville, GA 30677 Facility Name* Terra Renewal Services Class B Residuals Program Please provide comments/notes on your current submittal below. This an application for modification of RLAP permit WQ0038087. It includes the addition of 172 acres of land, the addition of two residuals generating sources, and the deletion of two residuals generation sources. A check in the amount of $395 is being sent to the NCDEQ Raleigh Central Office via UPS c/o Nathaniel Thornburg. If there are any questions or complications, please contact David Coyle at 479-747-8192 or david.coyle@terrarenewal.com. Thank you. High -Rate Infiltration Reclaimed Water Residuals Other At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here.* (Application Form, Engineering Plans, Specifications, Calculations, Etc.) NC RLAP WQ0038087 Terra Renewal Modification — — — 16.87MB App_Nov 2021.pdf Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger than upload limit. * 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 11/17/2021 lw�w fICK TERRA renewal PO BOX 399 • DARDANELLE • ARKANSAS • 72834 479.747.8192 terrarenewal.com APPLICATION FOR PERMIT MODIFICATION Residuals Land Application Program (RLAP - Non -Dedicated) Permit #: WQ0038087 WILKES & YADKIN COUNTIES November 2021 Perm ittee: TERRA RENEWAL SERVICES, INC 15797 EAST STATE HWY 155 P.O. BOX 399 DARDANELLE, ARKANSAS 72834 TERRA renewal November 16, 2021 Nathaniel Thornburg; Unit Supervisor Non -Discharge Branch Division of Water Resources North Carolina Department of Environmental Quality 9th Floor; Office 942W 512 N. Salisbury Street Raleigh, NC 27604-1170 East Region Environmental Office P.O. Box 1746 Watkinsville, GA 30677 phone 479.747.8192 RE: APPLICATION FOR MODIFICATION OF NON -DEDICATED LAND APPLICATION PERMIT Permit #: WQ0038087 Permittee: Terra Renewal Services, Inc Land Site Location: Wilkes & Yadkin Counties Dear Mr. Thornburg, This document is intended to supply the necessary information for modification of existing Non -Dedicated RLAP Permit # WQ0038087 for land sites in Wilkes & Yadkin Counties. The Permittee is Terra Renewal Services, Inc of Dardanelle, Arkansas. The PDF copy of the application is "book marked" to facilitate navigation. This permit application was prepared and submitted by: David C. Coyle; LSS Senior Environmental Manager, Terra Renewal P.O. Box 1746 Watkinsville, GA 30677 (479) 747-8192 david.coyleaterrarenewal.com The following items are provided: • Copy of Permit # WQ0038087 • Registered Land Application Program Form (RLAP 06-16) • Residuals Source Certification Form (RSC 06-16) • Operation & Maintenance Plan (NO revisions since last submittal — 2020 renewal) • Land Application Site Certification Form (LASC 06-16) • Landowner Agreement and Setback Waiver Forms • Land Application Area & Setback Maps • Soils & Agronomy Report Supporting documentation is provided with each item where necessary to meet requirements of North Carolina regulation 15A NCAC 02T. The O&M Plan for land application has not been modified since issuance of the permit renewal in February 2021. Page 2 Cover Letter WQ0038087 2021 Mod This modification consists of the addition of five (5) new land application sites (farm fields) totaling 172.1 net (spreadable) acres. It also includes the addition of two new residuals generating facilities (Wayne Farms — Dobson, NC and Innospec Active Chemicals — Salisbury, NC) and the deletion of two existing residuals generating facilities (Brakebush Brothers — Mocksville, NC and Hunter Farms — High Point, NC). Amounts of annual dry tons to be certified per source have been revised based on calculations from current analytical data and land application records. To ensure timely response, please send all correspondence regarding the review process to the following: david.coyle(&terrarenewal.com or P.O. Box 1746, Watkinsville, GA 30677 Your attention to the review of this application is greatly appreciated. Please contact me immediately if you require further information or have any questions. Sincerely, David C. Coyle Senior Environmental Manager Dena 11 .tom �-:C�:�u•: ���. 3308 Bernice Avenue Russellville, AR 72802 479.498.5000 March 19, 2019 North Carolina Department of Environmental Quality Division of Water Resources Water Quality Permits Section Non -Discharge Permitting Unit 512 N. Salisbury Street Raleigh, NC 27604 RE: Letter of Delegation for Signature Authority Ar IML TERRA renewal P.O. Box 399 Dardanelle, AR 72834 479.498.5000 This "Letter of Delegation" authorizes David C. Coyle, Environmental Manager, as a representative and employee of Denali Water Solutions and Terra Renewal to produce, review, or certify via signature any documentation associated with the following: - Permit application, modification, and renewal - Site & residuals source certification - Reporting - Permit transfer and termination This authorization is provided under the guidelines of Rule 15A NCAC 02T .0106(b) and any other applicable rules regarding compliance with the NC DEQ regulations. For questions or further information regarding this matter, I may be contacted at andvm@denaliwater.com or 479-668-4502. Sincerely, Andy McNeill Chief Executive Officer Denali Water Solutions TABLE OF CONTENTS SECTION ATTACHMENT I DESCRIPTION 1 1 Copy of Permit # WQ0038087 2 Non -Dedicated Residuals Land Application Program Form 3 Residuals Source Certification Forms A Residuals Source Vicinity Map B Residuals Production Process Description C Quantitative Justification for Residuals Production Rate D Analytical Data for Residuals E 10peration & Maintenance Plan 4 Land Application Site Certification Form F Field Location and Topographic Maps G Land Owner Agreement & Setback Waiver Forms H Application Area & Setback Maps I Soils & Agronomy Report SECTION 1: COPY OF PERMIT #: WQ0038087 ROY COOPER Governor MICHAEL S. REGAN Secretary S. DANIEL SMITH Director NORTH CAROLINA Environmental Quality February 4, 2021 DAVID C. COYLE — ENVIRONMENTAL MANAGER TERRA RENEWAL SERVICES, INC. POST OFFICE BOX 1746 WATKINSVILLE, GEORGIA 30677 Subject: Permit No. WQ0038087 Terra Renewal Services RLAP Land Application of Class B Residuals Wilkes County Dear Mr. Coyle: In accordance with your permit renewal and major modification request received August 6, 2020, and subsequent additional information received November 18, 2020, we are forwarding herewith Permit No. WQ0038087 dated February 4, 2021, to Terra Renewal Services, Inc. forthe construction and operation of the residuals storage structures at the Mathis-1 facility listed in Attachment A, and continued operation of the subject residuals management program. Modifications to the subject permit are as follows: ➢ Increase of the permitted dry tonnage per year (DT/yr) for the Hunter Farms — High Point facility from 450 to 700 DT/yr. ➢ Due to property line changes, the acreages for certain fields have been modified to reflect the removal of some setbacks. ➢ Fields WK-MF-23A and 23B have been combined, WK-MRF-20A and 20B have been combined. Fields WK-YF-05B and YK-YF-05A have been combined to become the cross - county field WK-YK-YF-05, with the soil type becoming Fairview. ➢ Construction of the MATHIS-1 storage facility consisting of two 1,053,622 gallon sludge storage tanks for long term residuals storage. These tanks shall be located in a containment/berm area which provides 1,988,558 gallons of containment volume. This permit shall be effective from the date of issuance through November 30, 2027, shall void Permit No. WQ0038087 issued February 12, 2016, and shall be subject to the conditions and limitations as specified therein. The Permittee shall submit a renewal application no later than June 3, 2027. Please pay particular attention to the monitoring requirements listed in Attachment A for they may differ from the previous permit issuance. Failure to establish an adequate system for collecting and maintaining the required operational information shall result in future compliance problems. D Q:�� North Carolina Department of Environmental Quality I Division of Water Resources r 512 North Salisbury Street 11617 Mail Service Center J Raleigh, North Carolina 27699-1617 919.707.9000 Mr. David C. Coyle February 4, 2021 Page 2 of 3 Please note that on September 1, 2018, North Carolina Administrative Code Title 15A Subchapter 02T — Waste not Discharged to Surface Waters was readopted. Accordingly, this permit incorporates the requirements of these rules, therefore, please take the time to review this permit thoroughly. The Division has removed the following permit conditions since the last permit issuance dated February 12, 2016: ➢ Old Condition IIL 10. — This condition has been removed because it is covered by the new Condition IIL 101. ➢ Old Condition IIL 11.h. — Soil pH requirements for land application have been removed. ➢ Old Condition IIL 13. — This condition has been removed. ➢ Old Condition VL2. — This condition has been removed because this permit is not voidable. The following permit conditions are new since the last permit issuance dated February 12, 2016: ➢ Condition I.1. — Upon completion of construction and prior to operation of the permitted storage sites, the Permittee shall submit an engineering certification from a North Carolina licensed Professional Engineer certifying the facility. ➢ Condition L2. — The Permittee shall notify the Winston-Salem Regional Office at least two business days in advance of initial operation of the constructed facilities. ➢ Condition L3. — Gauges to monitor waste levels in the two 1,053,622 gallon above ground sludge storage tanks shall be installed prior to operation ➢ Condition IL8. — Setbacks have been updated to the most recent 15A NCAC 02T .1108(c) setbacks. Setbacks for the storage tanks follow the most recent 02T . 1108(a) setbacks. ➢ Condition IIL 10.1. — Residual land application may not occur if the land application sites are located within a WS-1 watershed pursuant to 15A NCAC 02B .0212 or within the Critical Area of a WS-II, WS-III, or WS-IV watershed. ➢ Condition IIL 1 l.c. — Dedicated land sites are to have public access restricted continuously while the land is under permit and for one year afterward. Note, there are no dedicated land sites in the current permit. ➢ Condition IIL 15. — Freeboard in the two 1,053,622 gallon above ground sludge storage tanks shall not be less than two feet at any time. ➢ Condition IIL 16. — Gauges to monitor waste levels in the two 1,053,622 gallon above ground sludge storage tanks shall be provided. ➢ Condition IIL 17. — A protective vegetative cover shall be established and maintained on all berms, pipe runs, erosion control areas, surface water diversions, and earthen embankments. ➢ Condition IIL 18. — The Permittee shall prohibit public access to the residuals storage sites. Mr. David C. Coyle February 4, 2021 Page 3 of 3 ➢ Condition IV.10. — Freeboard (Le., waste level to the lowest embankment elevation) in the two 1,053,622 gallon above ground sludge storage tanks shall be measured to the nearest inch or tenth of a foot, and recorded weekly. Weekly freeboard records shall be maintained for five years, and shall be made available to the Division upon request. ➢ Condition IV.11. — The Permittee shall maintain records for the residuals storage sites. ➢ Condition VL6. — The Permittee shall retain a set of Division -approved plans and specifications for the life of the facilities permitted herein. ➢ Condition VL7. — The Permittee shall maintain this permit until the proper closure of all facilities permitted herein, or until the facilities permitted herein are permitted by another authority. ➢ Condition VI.10. — This permit shall not be renewed if the Permittee or any affiliation has not paid the required annual fee. If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee has the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, NC 27699-6714. Otherwise, this permit shall be final and binding. One set of approved plans and specifications is being forwarded to you. If you need additional information concerning this permit, please contact Erick Saunders at (919) 707-3659 or enckson. Saunders kncdenr. gov. Sincerely, S. Daniel Smith, Director Division of Water Resources cc: Wilkes County Health Department (Electronic Copy) Winston-Salem Regional Office, Water Quality Regional Operations Section (Electronic Copy) Brian P. Mullin, PE — Arete Engineering (Electronic Copy) Beth Buffington — Protection and Enforcement Branch (Electronic Copy) Laserfiche File (Electronic Copy) Digital Permit Archive (Electronic Copy) THIS PAGE BLANK NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENTAL QUALITY RALEIGH LAND APPLICATION OF CLASS B RESIDUALS PERMIT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO Terra Renewal Services, Inc. Wilkes County FOR THE construction and operation of residuals storage facility consisting of two 1,053,622 gallon synthetically lined above ground sludge storage tanks located in a containment/berm area providing 1,988,558 gallons of containment volume; and all associated piping, valves, controls, and appurtenances; and the continued operation of a residuals management program for Terra Renewal Services, Inc. and consisting of the land application of Class B residuals generated by the approved facilities listed in Attachment A to the approved fields listed in Attachment B, with no discharge of wastes to surface waters, pursuant to the application received August 6, 2020, subsequent additional information received November 18, 2020, and in conformity with the Division -approved plans and specifications, and other supporting data subsequently filed and approved by the Department of Environmental Quality and considered a part of this permit. The disposal of residuals is regulated under Title 40 Code of Federal Regulations Part 257. This permit does not exempt the Permittee from complying with Federal Regulation 40 CFR Part 257. This permit shall be effective from the date of issuance through November 30, 2027, shall void Permit No. WQ0038087 issued February 12, 2016, and shall be subject to the following conditions and limitations: I. SCHEDULES Upon completion of construction and prior to operation of this permitted facility, the Permittee shall submit an engineering certification from a North Carolina licensed Professional Engineer certifying that the permitted facility has been constructed in accordance with G.S. 143-215.1, Administrative Code Title 15A Subchapter 02T, this permit, and the Division -approved plans and specifications. For phased and partially certified facilities, the Permittee shall retain the responsibility to track further construction approved under this permit, and shall provide a final engineering certification upon project completion. Mail the Engineering Certification to the Division of Water Resources, Non -Discharge Branch, 1617 Mail Service Center, Raleigh, NC 27699-1617, or Non-Dischar._ e�Reportskncdenr. og_v. [I5A NCAC 02T .0116(a)] 2. The Permittee shall notify the Winston-Salem Regional Office, telephone number (336) 776-9800, at least two business days in advance of initial operation of the constructed facilities so that the Division can conduct a startup inspection. [15A NCAC 02T .0108(b)(1)(B)] WQ0038087 Version 2.0 Shell Version 200201 Page 1 of 15 3. Gauges to monitor waste levels in the two 1,053,622 gallon above ground sludge storage tanks shall be installed prior to operation. Caution shall betaken not to damage the integrity of any liner (if present) when installing a gauge. [15A NCAC 02T .0108(b)(1)(B)] 4. The Permittee shall request renewal of this permit on Division -approved forms no later than June 3, 2027. [15A NCAC 02T .0105(b), 02T .0109] II. PERFORMANCE STANDARDS The Permittee shall maintain and operate the subject residuals management program so there is no discharge to surface waters, nor any contravention of groundwater or surface water standards. In the event the residuals management program fails to perform satisfactorily, including the creation of nuisance conditions due to improper operation and maintenance, the Permittee shall immediately cease land applying residuals, take immediate corrective actions, and contact the Winston-Salem Regional Office supervisor. [15A NCAC 02T .0108(b)(1)(A)] 2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface water resulting from the operation of this residuals management program. [15A NCAC 02T .0108(b)(1)(A)] 3. Only residuals generated by the facilities listed in Attachment A are approved for land application in accordance with this permit. [15A NCAC 02T .1101] 4. Only the fields listed in Attachment B are approved for residuals land application. [G.S. 143- 215.1(a)(9)] 5. Pollutant concentrations in residuals land applied to the sites listed in Attachment B shall not exceed the following Ceiling Concentrations or Cumulative Pollutant Loading Rates (CPLRs), on a dry weight basis: Parameter Ceiling Concentration Cumulative Pollutant Loading Rates (mg/kg) (kg/ha) (lbs/ac) Arsenic 75 41 36 Cadmium 85 39 34 Copper 4,300 1,500 1,338 Lead 840 300 267 Mercury 57 17 15 Molybdenum 75 N/A N/A Nickel 420 420 374 Selenium 100 100 89 Zinc 7,500 2,800 2,498 The Permittee shall determine compliance with the CPLRs using one of the following methods: a. By calculating the existing cumulative level of pollutants using actual analytical data from all historical land application events of residuals, or b. For land where residuals application has not occurred or for which the required data is incomplete, by determining background concentrations through representative soil sampling. [15A NCAC 02T .1105(a), 02T .1105(b)] WQ0038087 Version 2.0 Shell Version 200201 Page 2 of 15 6. Class B biological residuals shall meet the pathogen reduction requirements in 15A NCAC 02T .1106 (b). Exemptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1106(b), 02T .I106(d)] 7. Class B biological residuals shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T . 1107(a). Exemptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1107(a), 02T .1107(c)] 8. The facilities and sites herein were permitted per the following setbacks: a. Setbacks for Class B land application sites are as follows (all distances in feet): I. Each habitable residence or place of assembly under separate ownership: ii. Each habitable residence or places of assembly owned by the Permittee, the owner of the land, or the lessee or operator of the land: iii. Each property line: iv. Public right of way: v. Each private or public water supply source: vi. Surface waters such as intermittent and perennial streams, perennial waterbodies, and wetlands: vii. Surface water diversions such as ephemeral streams, waterways, and ditches: viii. Groundwater lowering ditches where the bottom of the ditch intersects the SHWT: ix. Subsurface groundwater lowering systems: x. Each well with exception of monitoring wells: xi. Bedrock outcrops: xii. Top of slope of embankments or cuts of two feet or more in vertical height: xiii. Each building foundation or basement: xiv. Each water line: xv. Nitrification field: Surface Irrigation Injection / Application Surface by Vehicle Application Incorporation 400 400 200 0 200 0 50'°2 150'°2 50'°2 50 50 50 100 100 100 32.8 32.8 32.8 25 25 25 25 100 25 0 100 0 100 100 100 25 25 25 15 15 15 0 15 0 0 10 0 0 20 0 ' Setbacks to property lines are not applicable when the Permittee, or the entity from which the Permittee is leasing, owns both parcels separated by the property line. WQ0038087 Version 2.0 Shell Version 200201 Page 3 of 15 2 Per setback waivers recorded in the Wilkes and Yadkin Counties Register of Deeds, reduced setbacks from the Class B land application site to any property line are as follows: Field County Parcel No. DB / Page Setback Easement NC-WK-MF-11 Wilkes 0100606 01317 / 0055 0 feet 50 feet NC-WK-MF-11 Wilkes 0100732 01322 / 0180 0 feet 50 feet NC-WK-MF-11 Wilkes 0100737 01322 / 0179 0 feet 50 feet NC-WK-MF-15 Wilkes 0100990 01317 / 0056 0 feet 50 feet NC-WK-MF-15 Wilkes 0100991 01322 / 0181 0 feet 50 feet NC-WK-MF-23 Wilkes 0100821 01317 / 0057 0 feet 50 feet NC-WK-MF-23 Wilkes 0100131 01317 / 0058 0 feet 50 feet NC-WK-MF-23 Wilkes 0100317 01322 / 0182 0 feet 50 feet NC-WK-MF-23 Wilkes 0100266 01322 / 0183 0 feet 50 feet NC-WK-MF-23 Wilkes 0100148 01322 / 0184 0 feet 50 feet NC-WK-MF-23 Wilkes 0100149 01322 / 0185 0 feet 50 feet NC-WK-RJ-02 Wilkes 0601666 01317 / 0059 0 feet 50 feet NC-WK-RJ-05 Wilkes 0605291 01317 / 0060 0 feet 50 feet NC-WK-YK-DM-03 NC-WK-YK-DM-07 NC-WK-YK-DM-08 Wilkes 1700289 01317 / 0054 0 feet 50 feet NC-WK-YK-DM-07 NC-WK-YK-DM-08 Yadkin 484400359744 01304 / 0034 0 feet 50 feet NC-WK-YK-DM-03 NC-WK-YK-DM-07 NC-WK-YK-DM-08 Yadkin 484400562719 01304 / 0036 0 feet 50 feet [15A NCAC 02T .1108(c)] b. The setbacks for residual storage and treatment units originally permitted or modified on or after September 1, 2018 are as follows (all distances in feet): I. Each habitable residence or place of assembly under separate ownership: 1001 ii. Each private or public water supply source: 100 iii. Surface waters such as intermittent and perennial streams, perennial waterbodies, 50 and wetlands: iv. Each well with exception of monitoring wells: v. Each property line: 100 50 2 ' Habitable residences or places of assembly under separate ownership constructed after the facilities herein were originally permitted or subsequently modified are exempt from this setback. 2 Setbacks to property lines are not applicable when the Permittee, or the entity from which the Permittee is leasing, owns both parcels separated by the property line. [15A NCAC 02T .1108(a), 02T .1108(f), 02T .1108(g)] 10. Class B land application areas shall be clearly marked on each site prior to and during any residuals application event. [15A NCAC 02T .0110(g)] WQ0038087 Version 2.0 Shell Version 200201 Page 4 of 15 11. Residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in exceedance of agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen requirements based on the determined Realistic Yield Expectations (RYE) using any of the following methods: a. Division's pre -approved site specific historical data for specific crop or soil types by calculating the mean of the best three yields of the last five consecutive crop harvests for each field. b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina State University Department of Soil Science (http://nutrients.soil.ncsu.edu/yields/index.php). A copy shall be kept on file and reprinted every five years in accordance with Condition IV.6. c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE and appropriate nutrient application rates reported in any of the following documents: I. Crop management plan as outlined by the local Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist. ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance Document: Chapter 1 (http://www.ncagr.gov/SWC/tech/documents/9th Guidance_ Doc_ 100109.pdf). iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management Standards(ftp://ftp-fc.sc.egov.usda.gov/NHQ/practice-standards/standards/590.pdf►. d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall contact the Division to determine necessary action. [15A NCAC 02T .1109(a)(1)(K)] 12. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by 25%. [15A NCAC 02T .0108(b)(1)(A)] 13. If residuals land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer and rye grass in the winter with both crops to receive residuals), then the second crop can receive an application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied. [15A NCAC 02T .0108(b)(1)(A)] 14. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the Permittee shall obtain and implement recommendations from at least one of the following: the local Cooperative Extension Office; the Department of Agriculture and Consumer Services; the Natural Resource Conservation Service; a North Carolina Licensed Soil Scientist; or an agronomist. The recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity and conditions conducive to crop growth. The Permittee shall maintain written records of these recommendations and details of their implementation. [ 15A NCAC 02T .0108(b)(1)(A)] 15. Residuals land application fields permitted on or after December 30, 1983 have a compliance boundary that is either 250 feet from the residual land application area, or 50 feet within the property boundary, whichever is closest to the residual land application area. Any exceedance of groundwater standards at or beyond the compliance boundary shall require corrective action. Division -approved relocation of the compliance boundary shall be noted in Attachment B. Multiple contiguous properties under common ownership and permitted for use as a disposal system shall be treated as a single property with regard to determination of a compliance boundary. [15A NCAC 02L .0106(d)(2), 02L .0107(b), 02T .0105(h), G.S. 143-215.1(1), G.S. 143 -215. 1 (k)] WQ0038087 Version 2.0 Shell Version 200201 Page 5 of 15 16. The review boundary is midway between the compliance boundary and the residual land application area. Any exceedance of groundwater standards at or beyond the review boundary shall require preventative action. [15A NCAC 02L.0106(d)(1), 02L .0108] 17. The use of frac tanks is authorized to aid in staging of application of the injection of residuals. However, the use of frac tanks shall not be used for the purpose of offsite storage for more than 48 hours, and should nuisance odor problems arise as a result of the use of the frac tanks, these shall no longer be used. Under no conditions are the frac tanks to be used for storage of residuals between the crop harvest period and shortly before planting of crops. [15A NCAC 02T .0108(b)(1)(A)] III. OPERATION AND MAINTENANCE REQUIREMENTS 1. The Permittee shall operate and maintain the residuals management program as anon -discharge system. [15A NCAC 02T. I 100] 2. The Permittee shall notify the Winston-Salem Regional Office, telephone number (336) 776-9800, and the appropriate local government official (i.e., county manager, city manager, or health director) at least two business days in advance of a site's initial residuals land application event. [15A NCAC 02T .0108(b)(1)(A)] 3. The Permittee shall notify the Winston-Salem Regional Office, telephone number (776) 776-9800, at least one business day in advance of conducting any land application activity. Notification shall include the anticipated application date, time, and field name as listed in Attachment B. Exceptions to this requirement shall be approved by the Winston-Salem Regional Office. [15A NCAC 02T .0108(b)(1)(A)] 4. The Permittee shall maintain a Division -approved Operation and Maintenance Plan that shall include: a. Description of the program, and associated facilities and equipment, in sufficient detail to show what operations are necessary for the program to function and by whom the functions are to be conducted; b. Description of anticipated maintenance of facilities and equipment associated with the program; c. Include provisions for safety measures, including restriction of access to sites and equipment; d. Spill control provisions: I. Response to upsets and bypasses including control, containment, and remediation; and ii. Contact information for plant personnel, emergency responders, and regulatory agencies; e. Detailed inspection procedures: I. Names or titles of personnel responsible for conducting inspections; ii. Frequency and location of inspections, and procedures to assure that the selected locations and inspection frequency are representative of the residuals management program; and iii. Description of record keeping and actions to be taken by the inspector in the event that noncompliance is observed; f. Detailed sampling and monitoring procedures: I. Names or titles of personnel responsible for conducting sampling and monitoring; ii. Description of monitoring procedures including parameters to be monitored; and iii. Sampling frequency and procedures to assure that representative samples are collected. Fluctuation in temperature, flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for residuals to meet pathogen and vector attraction reduction requirements. WQ0038087 Version 2.0 Shell Version 200201 Page 6 of 15 [I5A NCAC 02T .I I I0(a)] Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC) classification of the residuals management program, the Permittee shall designate and employ a certified operator in responsible charge (ORC), and one or more certified operators as back-up ORCs. The ORC or their back-up shall visit the facilities in accordance with 15A NCAC 08G 0204 and shall comply with all other requirement in 15A NCAC 08G 0204. [15A NCAC 02T .0117, 08G .0204] 6. The Permittee shall ensure that a copy of this permit and the Division -approved Operation and Maintenance Plan is available when land applying residuals. [15A NCAC 02T .1110(b)] 7. The Permittee shall ensure that spill control provisions are available when transporting or land applying residuals. [15A NCAC 02T .1110(a)(4)] 8. Class B residuals shall not be stored or staged at any land application site without prior written approval from the Division. Class B residuals approved for storage shall be stored or staged in a manner to prevent runoff of leachate and other wastewaters generated. [15A NCAC 02T .1110(c), 02T .1110(e)] 9. Adequate measures shall be taken to prevent wind erosion and runoff from the land application sites listed in Attachment B. [15A NCAC 02T .0108(b)(1)(A)] 10. Class B residuals shall not be land applied under the following conditions a. If the residuals are likely to adversely affect a threatened or endangered species listed under section 4 of the Endangered Species Act or its designated critical habitat; b. If the application causes nuisance conditions; c. If the land fails to assimilate the bulk residuals or the application causes the contravention of surface water or groundwater standards; d. If the land is flooded, frozen, or snow-covered, or is otherwise in a condition such that runoff of the residuals would occur; e. Within the 100-year flood elevation, unless the residuals are injected or incorporated within a 24- hour period following a residuals land application event; f During precipitation events, or within 24 hours following a rainfall event of 0.5 inches or greater in a 24-hour period; g. If the slope of the land is greater than 10% when liquid residuals are surface applied, or if the slope of the land is greater than 18% when liquid residuals are injected or incorporated; h. If the land does not have an established vegetative cover crop unless the land is a Division -approved no -till site, or the residuals are injected, or incorporated within a 24-hour period following the application of residuals; i. If the vertical separation of the seasonal high water table and the depth of residuals application is less than one foot; j . If the vertical separation of the depth to bedrock and the depth of residuals application is less than one foot; k. If the application exceeds agronomic rates; or 1. If the land application sites are located within a WS-I watershed pursuant to 15A NCAC 02B .0212 or within the Critical Area of a WS-11 pursuant to Sub -Item (4)(g) of Rule 15A NCAC 02B .0212, or within the Critical Area of a WS-III or WS-IV watershed pursuant to Sub -Item (4)(h) of Rules 15A NCAC 02B .0215, and .0216. [I5A NCAC 02T .I109(a)(1)] WQ0038087 Version 2.0 Shell Version 200201 Page 7 of 15 11. Class B land application sites shall have the following public access restrictions: a. Public access to public contact sites shall be restricted for one calendar year after a residuals land application event; b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land application event; c. Public access to land associated with a dedicated land application site shall be restricted continuously while the land is permitted for active use, and for one calendar year after the final land application of residuals. [15A NCAC 02T .1109(a)(2)] 12. Class B land application sites shall have the following harvesting and grazing restrictions: a. Animals shall not be allowed to graze on land for 30 calendar days after any land application of residuals; b. Food crops, feed crops, and fiber crops shall not be harvested for 30 calendar days after any land application of residuals; c. Food crops with harvested parts that touch the mixture of residuals and soil and are totally above the land surface shall not be harvested for 14 months after any land application of residuals; d. Food crops with harvested parts below the land surface shall not be harvested for 20 months after any land application of residuals if the residuals remain on the land surface for four months or longer prior to incorporation into the soil; e. Food crops with harvested parts below the land surface shall not be harvested for 38 months after any land application of residuals if the residuals remain on the land surface for less than four months prior to incorporation into the soil; and f Turf grown on land where residuals are applied shall not be harvested for one calendar year after any land application of residuals. [15A NCAC 02T .1109(a)(3)] 13. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for those operations where a NMP is required by the US Department of Agriculture — National Resources Conservation Service (MRCS) or other State Agencies. The Permittee shall calculate allowable nutrient loading rates based on the provided information and use appropriate reductions. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan (WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient Management Plan. [15A NCAC 02T .0108(b)(1)(A), 02T .1104(c)(3)] 14. Class B residuals shall not be land applied to the fields listed in Attachment B unless the Landowner Agreement between the Permittee and the respective field owners or lessees/operators of the land application site is valid. The Landowner Agreements shall expire concurrent with the permit expiration date of November 30, 2027. [15A NCAC 02T .1104(c)(4)] 15. Freeboard in the two 1,053,622 gallon above ground sludge storage tanks shall not be less than two feet at any time. [15A NCAC 02T .0108(b)(1)(A)] 16. Gauges to monitor waste levels in the two 1,053,622 gallon above ground sludge storage tanks shall be provided. These gauges shall have readily visible permanent markings, at inch or tenth of a foot increments, indicating the following elevations: maximum liquid level at the top of the temporary liquid storage volume; minimum liquid level at the bottom of the temporary liquid storage volume; and the lowest point on top of the dam. [15A NCAC 02T .0108(b)(1)(A)] WQ0038087 Version 2.0 Shell Version 200201 Page 8 of 15 17. A protective vegetative cover shall be established and maintained on all berms, pipe runs, erosion control areas, surface water diversions, and earthen embankments (i.e., outside toe of embankment to maximum allowable temporary storage elevation on the inside of the embankment). Trees, shrubs, and other woody vegetation shall not be allowed to grow on the earthen dikes or embankments. Earthen embankments shall be kept mowed or otherwise controlled and accessible. [15A NCAC 02T .0108(b)(1)(A)] 18. The Permittee shall prohibit public access to the residuals storage facilities. [15A NCAC 02T .0108(b)(1)(A)] IV. MONITORING AND REPORTING REQUIREMENTS The Permittee shall conduct and report any Division required monitoring necessary to evaluate this program's impact on groundwater and surface water. [15A NCAC 02T .0108(c)] 2. The residuals from each source generating facility shall be analyzed to demonstrate they are non- hazardous under the Resource Conservation and Recovery Act (RCRA). Residuals that test or are classified as a hazardous or toxic waste under 40 CFR Part 261 shall not be land applied. The analyses (i.e., corrosivity, ignitability, reactivity, and toxicity characteristic leaching procedure (TCLP)) shall be performed at the frequency specified in Attachment A, and the Permittee shall maintain these results for five years. Any exemptions from the requirements in this condition shall be specified in Attachment A. The TCLP analysis shall include the following parameters, and the Federal regulatory level (mg/L) is in parentheses: Arsenic (5.0) 1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1,2-Dichloroethane (0.5) Pentachlorophenol (100.0) Benzene (0.5) 1,1-Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2,4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Heptachlor (and its epoxide) (0.008) Tetrachloroethylene (0.7) Chlorobenzene (100.0) Hexachlorobenzene (0.13) Toxaphene (0.5) Chloroform (6.0) Hexachlorobutadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) Once the residuals have been monitored for two years at the frequency specified in Attachment A, the Permittee may submit a permit modification request to reduce the frequency of this monitoring requirement. In no case shall the monitoring frequency be less than once per permit cycle. [15A NCAC 13A .0102(b), 02T. 1101, 02T. 1105] WQ0038087 Version 2.0 Shell Version 200201 Page 9 of 15 3. The residuals from each source generating facility shall be analyzed at the frequency specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years. Each analysis shall include the following parameters: Aluminum Mercury Potassium Ammonia -Nitrogen Molybdenum Selenium Arsenic Nickel Sodium Cadmium Nitrate -Nitrite Nitrogen Sodium Adsorption Ratio (SAR) Calcium Percent Total Solids TKN Copper pH Zinc Lead Phosphorus Magnesium Plant Available Nitrogen (by calculation) [15A NCAC 02T. 1101] 4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction requirements at the frequency specified in Attachment A. The monitoring results shall specify the stabilization process utilized, and demonstrate compliance with the Class B pathogen reduction requirements in 15A NCAC 02T .1106(b), and one vector attraction reduction requirement in 15A NCAC 02T .1107(a) shall be met. Any exemptions from the requirements in this condition shall be specified in Attachment A. [15A NCAC 02T .1106(b), 02T .1107(a), 02T .1111(c)] An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on each land application site listed in Attachment B that received residuals during the calendar year. This analysis shall be in accordance with the soil sampling guidance located in the Sampling Instructions section of the NC Department of Agriculture & Consumer Services' website (http://www.ncagr.gov/agronomi/pubs.htm). The Permittee shall maintain these results for a period of no less than five years, and these results shall be made available to the Division upon request. Each Standard Soil Fertility Analysis shall include the following parameters: Acidity Exchangeable Sodium Percentage Phosphorus Base Saturation (by calculation) Magnesium Potassium Calcium Manganese Sodium Cation Exchange Capacity Percent Humic Matter Zinc Copper pH [15A NCAC 02T .0108(c), 15A NCAC 02T. I I I I(d)] 6. Representative samples of residuals that are prepared for land application shall be collected and analyzed. [15A NCAC 02T .1111(a)] WQ0038087 Version 2.0 Shell Version 200201 Page 10 of 15 7. The Permittee shall maintain records for all residual land application events. These records shall include the following: a. Residuals source (as listed in Attachment A); b. Date of application; c. Location of land application (field name as listed in Attachment B); d. Approximate acreage applied; e. Method of application; f Weather conditions; g. Dominant soil series; h. Soil conditions; i. Proposed crop; j . Nitrogen Application Rate based on RYES; k. Volume of residuals applied per acre in gallons, cubic yards, dry tons, or wet tons; 1. Volume of animal waste or other nutrient source applied per acre in gallons, cubic yards, dry tons, or wet tons; in. Volume of soil amendments applied per acre in gallons, cubic yards, dry tons, or wet tons; and n. Annual and cumulative totals applied to each field for the following: I. Class A and Class B residuals (dry tons per acre); ii. Animal waste and other sources of nutrients (dry tons per acre); iii. Heavy metals as specified in Condition 11.3. (pounds per acre); iv. Plant available nitrogen (pounds per acre); and v. Phosphorus (pounds per acre). [15A NCAC 02T .0108(c)] One hard copy and one electronic copy of an annual report shall be submitted on or before March 1st The annual report shall meet the requirements described in the Instructions for Residuals Application Annual Reporting Forms. Instructions for reporting and annual report forms are available at http: //deq.nc. gov/about/divisions/water-resources/water-re source s-permits/wastewater-branch/non- discharge-permitting-unit/reporting-forms, or can be obtained by contacting the Non -Discharge Branch directly. The annual report shall be submitted to the following address: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [15A NCAC 02T .I I I I(d)] 9. Noncompliance Notification The Permittee shall report to the Winston-Salem Regional Office, telephone number (336) 776-9800, within 24 hours of first knowledge of the: a. Any process unit failure (e.g., mechanical, electrical, etc.) rendering the facility incapable of adequate residual treatment. b. Any failure resulting in a discharge to surface waters. c. Any time self -monitoring indicates the program has gone out of compliance with its permit limitations. d. Land application of residuals abnormal in quantity or characteristic. e. Any discharge from a vehicle or piping system transporting residuals. Emergencies requiring reporting outside normal business hours shall call the Division's Emergency Response personnel at telephone number (800) 662-7956, (800) 858-0368, or (919) 733-3300. All noncompliance notifications shall file a written report to the Winston-Salem Regional Office within five days of first knowledge of the occurrence, and this report shall outline the actions proposed or taken to ensure the problem does not recur. [15A NCAC 02T .0108(b)(1)(A)] WQ0038087 Version 2.0 Shell Version 200201 Page 11 of 15 10. Freeboard (i.e., waste level to the lowest embankment elevation) in the two 1,053,622 gallon above ground sludge storage tanks shall be measured to the nearest inch or tenth of a foot, and recorded weekly. Weekly freeboard records shall be maintained for five years, and shall be made available to the Division upon request. [15A NCAC 02T .0108(c)] 11. The Permittee shall maintain records for the residuals storage sites. These records shall include the following: a. Visual observations of the tanks and containment area site; b. Residuals input source (as listed in Attachment A); c. Date of residuals storage input; d. Volume of residuals storage input; e. Date of residuals storage withdrawal; f. Volume of residuals storage withdrawal; g. Date and estimated volume of rainfall discharges from the secondary containment; and h. Record of preventative maintenance (e.g. changing of equipment, adjustments, testing inspections and cleanings, etc.). [15A NCAC 02T .0108(b)(1)(A)] V. INSPECTIONS 1. The Permittee shall perform inspections and maintenance to ensure proper operation of the Permittee's storage, distribution, and application facilities. [15A NCAC 02T .1110(f)] 2. The Permittee shall inspect the Permittee's residuals processing, storage, transport, and application facilities to prevent malfunctions, facility deterioration, and operator errors that may result in discharges of wastes to the environment, threats to human health, or public nuisances. The Permittee shall maintain an inspection log that includes the date and time of inspection, observations made, and maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log for a period of five years from the date of inspection, and this log shall be made available to the Division upon request. [15A NCAC 02T .0108(b)(1)(A), 02T .1110(f)] Division authorized representatives may, upon presentation of credentials, enter and inspect any property, premises, or place related to the land application sites or facilities permitted herein at any reasonable time for determining compliance with this permit. Division authorized representatives may inspect or copy records maintained under the terms and conditions of this permit, and may collect groundwater, surface water, or leachate samples. [G.S. 143-215.3(a)(2)] WQ0038087 Version 2.0 Shell Version 200201 Page 12 of 15 VL GENERAL CONDITIONS 1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a Division enforcement action. [G.S. 143-215.6A, 143-215.613, 143-215.6C] 2. This permit is effective only with respect to the nature and volume of wastes described in the permit application, and Division -approved plans and specifications. [G.S. 143 -215. 1 (d)] 3. Unless specifically requested and approved in this permit, there are no variances to administrative codes or general statutes governing the construction or operation of the facilities permitted herein. [15A NCAC 02T .0105(n)] 4. The issuance of this permit does not exempt the Permittee from complying with all statutes, rules, regulations, or ordinances that other jurisdictional government agencies (e.g., local, state, and federal) may require. [15A NCAC 02T .0105(c)(6)] If the permitted residuals program change ownership, or the Permittee changes their name, the Permittee shall submit a permit modification request on Division -approved forms. The Permittee shall comply with all terms and conditions of this permit until the permit is transferred to the successor - owner. [G.S.143-215.1(d3)] 6. The Permittee shall retain a set of Division -approved plans and specifications for the life of the facilities permitted herein. [15A NCAC 02T .0105(o)] 7. The Permittee shall maintain this permit until the proper closure of all facilities permitted herein, or until the facilities permitted herein are permitted by another authority. [15A NCAC 02T .01050)] 8. This permit is subject to revocation or modification upon 60-day notice from the Division Director, in whole or part for: a. violation of any terms or conditions of this permit or Administrative Code Title 15A Subchapter 02T; b. obtaining a permit by misrepresentation or failure to disclose all relevant facts; c. the Permittee's refusal to allow authorized Department employees upon presentation of credentials: I. to enter the Permittee's premises where a system is located or where any records are required to be kept; ii. to have access to any permit required documents and records; iii. to inspect any monitoring equipment or method as required in this permit; or iv. to sample any pollutants; d. the Permittee's failure to pay the annual fee for administering and compliance monitoring; or e. a Division determination that the conditions of this permit are in conflict with North Carolina Administrative Code or General Statutes. [15A NCAC 02T .0110] WQ0038087 Version 2.0 Shell Version 200201 Page 13 of 15 9. Unless the Division Director grants a variance, expansion of the facilities permitted herein shall not occur if any of the following apply: a. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has been convicted of environmental crimes under G.S. 143-215.6B, or under Federal law that would otherwise be prosecuted under G.S. 143-215.6B, and all appeals of this conviction have been abandoned or exhausted. b. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has previously abandoned a wastewater treatment facility without properly closing the facility. c. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid a civil penalty, and all appeals of this penalty have been abandoned or exhausted. d. The Permittee or any parent, subsidiary, or other affiliate of the Permittee is currently not compliant with any compliance schedule in a permit, settlement agreement, or order. e. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid an annual fee. [15A NCAC 02T .0120(b), 02T .0120(d)] 10. This permit shall not be renewed if the Permittee or any affiliation has not paid the required annual fee. [15A NCAC 02T .0120(c)] Permit issued this the 4"' day of February 2021 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION S. Daniel Smith, Director Division of Water Resources By Authority of the Environmental Management Commission Permit Number WQ0038087 WQ0038087 Version 2.0 Shell Version 200201 Page 14 of 15 Permit No. WQ0038087 Land Application of Class B Residuals Terra Renewal Services, Inc. February 4, 2021 Terra Renewal Services RLAP Wilkes County ENGINEERING CERTIFICATION ❑ Partial ❑ Final I, , as a duly licensed North Carolina Professional Engineer, having ❑ periodically / ❑ fully observed the construction of the permitted facilities, do hereby state to the best of my abilities that the facility was constructed in compliance with G.S. 143-215.1, Administrative Code Title 15A Subchapter 02T, this permit, and the Division -approved plans and specifications. Documentation of any variation to this permit, and the Division -approved plans and specifications, is in the attached as -built drawings. Description of variations: Professional Engineer's Name Firm Name Firm No. Address City State Zip Code Telephone Email nature, an THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING ALL SUPPORTING DOCUMENTATION, SHALL BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES NON -DISCHARGE BRANCH By U.S. Postal Service By Courier/Special DelivM 1617 MAIL SERVICE CENTER 512 N. SALISBURY ST. RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604 WQ0038087 Version 2.0 Shell Version 200201 Page 15 of 15 THIS PAGE BLANK O N i 0 d' Ov � � o 0 o 3 O w0�� . p '0 bA w p u u .V. O a z z z U a �j z cz I I � Z tb c2t 7-r 3 � t — N M 7T V) H 0 w�pCt T 7-r +••' O P. 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M! M! M! M! M! ! ! r� Illl I�l I�l I�l I�l I�l I�l I�l OD OD U N a �"" H H O 3Ur 7Ur py ,U�r Qr Qr t tb /tb / 4r oo 0 0 _ z z Z Z IN CC N N N N N N N N N N N N N O N N N N N N N N N N N N N V) O Ol �O I-- 00 N M I- V)of O V) 00 l� V) 0 V) V) 00 00 00 00 V) 110 O O O O O O O O O O O O O O a — — — � AM M M M M M M M M M M M M O O O O O O O O O O O O O m N 0 o 0 0 0 0 0 0 0 0 0 0 0 O.i V1 M N O O z z z z z O O N I O O O O O O O O O � M O M O M O O O N O O M O V1 O M l� 00 O O O l� 00 O O M l� 00 O O O U U U U U U U U z z z z z z z z 4-� O cz O SECTION 2: NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAM Form: RLAP 06-16 State of North Carolina Department of Environmental Quality DWR Division of Water Resources Divlsion of Water Resources 15A NCAC 02T 1100 — RESIDUALS LAND APPLICATION PROGRAM FORM: RLAP 06-16 I. APPLICANT INFORMATION: 1. Applicant's name: Terra Renewal Services, Inc Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility ❑ Federal ❑ State ❑ Municipal ❑ County Signature authority's name per 15A NCAC 02T .0106: David C. Cow Title: Environmental Manager Applicant's mailing address: P.O. Box 1746 City: Watkinsville State: GA Zip: 30677- Telephone number: 4( 79) 747-8192 Email Address: david.coyleAterrarenewal.com 2. Consultant's name: License Number (for P.E.): Affiliation: ❑ On Staff ❑ Retained (Firm: ) Consultant's mailing address: City: State: Zip: - Telephone number: O - Email Address: 3. Agronomist's name: License Number: Affiliation: ❑ N/A ❑ On Staff ❑ Retained (Firm: ) Agronomist's mailing address: City: State: Zip: - Telephone number: (_) - Email Address: 4. Soil Scientist's name: David C. ColeLicense Number: 1315 Affiliation: ❑ N/A ® On Staff ❑ Retained (Firm: ) Soil Scientist's mailing address: P.O. Box 1746 City: Watkinsville State: GA Zip: 30677- Telephone number: (479) 747-8192 Email Address: david.co rlekterrarenewal.com 5. Fee submitted: $395.00 (See Instruction B) IL PERMIT INFORMATION: 1. Application is for (check all that apply): ❑ new, ® modified, ❑ renewed permit 2. If this application is being submitted to renew or modify an existing permit, provide the following: Permit number: W00038087 Date of most -recently issued permit: February 4, 2021 Date of most -recently certified Attachment A (if different than the permit): February 4, 2021 Date of most -recently certified Attachment B (if different than the permit): February 4, 2021 FORM: RLAP 06-16 Page 1 of 5 111. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Residuals Processing Facility's physical address: 615 Mathis Farm Rd (Location of Office of LJC Environmental, LLC) City: Roaring State: NC Zip: 25669- Coordinates: Latitude: 36' 08' 51" Longitude: 80' 59' 09" Datum: NAD 83 Level of accuracy: Nearest Second Method of measurement: MAP County where residuals land application program is headquartered: Wilkes 3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC Luke Mathis LJC Environmental, LLC 1003524 Back -Up ORC David Coyle Terra Renewal Services, Inc 995723 Additional Back -Up Will Hodges Denali Water Solutions 997282 ORCs Ivan Heatwole Denali Water Solutions 1002031 if applicable) If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: Andrew Epting; Environmental Specialist; Denali Water Solutions; Estimate Cert. in Summer 2022. 4. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 5,260 dry tons per year. PAN Pounds of PAN per Dry Ton (Weighted Average) Pounds of PAN per Year Surface Incorporation or Injection Surface Incorporation or Injection First -Year 40.9 57.4 215,134 270,364 Five -Year Maximum Adjusted 51.4 67.8 301,924 356,628 b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation Row Crops 1,721.0 Hay Pasture Total: 1,721.0 Methods Surface Incorporation or Injection 1,721.0 Total: 1,721.0 FORM: RLAP 06-16 Page 2 of 5 c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate (lbs PAN/ac yr) Acres Required Using First -Year PAN Concentrations Acres Required Using Five -Year Maximum Adjusted PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 50 4,303 5,407 6,038 7,133 100 2,151 2,704 3,019 3,566 150 1,434 1,802 2,013 2,378 200 1,076 1,352 1,510 1,783 6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed residuals due to the violation of North Carolina Administrative Code (e. g. not enough storage, not enough land, vector reduction practices not in place, etc.): 7. Specify type of residuals program (See Instruction F): ® Non -dedicated ❑ Dedicated If Dedicated, specify the following (check all that apply): ❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic rates, explain; ❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop production is of secondary importance, explain; ❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system, explain; IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source) Complete and submit the following Residuals Source Certification and all associated documentation. ra -- Residuals Source Certification V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site) Complete and submit the following Land Applications Site Certification and all associated documentation. IR Land Application Siite Certification.doc FORM: RLAP 06-16 Page 3 of 5 Note: Item VL Applicable to Dedicated Program with fixed irrigationystem only. M11111U[men lei 011,1u/:11Y[11001IJta01►V0Ioil 1NN[ff.7401110y1060lul 1. The irrigation system is: ❑ Spray ❑ Drip 2. Disposal system is: ❑ existing ❑ proposed. 3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet below ground surface. Rules 15A NCAC 02T .0505(12) requires at least one -foot vertical separation between SHWT and ground surface. 4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area? ❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if structures are to be maintained or modified: 5. Loading rates recommended by the Soil Scientist Evaluation: Soil Series Fields within Soil Area Recommended Loading Rate (in/hr) Recommended Loading Rate (in/ r) 6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? ❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met: 7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system): Field /Zone Design Area (ft) Number of Nozzles Maximum Application Rate ( allons/hr) Design Annual Loading Rate (gallons/ r) Total Spray Irrigation Design Element Plan Sheet Number Specification Pa a Number Wetted diameter of nozzles ft Wetted area of nozzles ft2 Nozzle capacity gpm Nozzle manufacturer / model / Elevation of highest nozzle ft FORM: RLAP 06-16 Page 4 of 5 Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106): The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105. ® Yes ❑ No, Explain; I, David C. Coyle Senior Environmental Manager (Signature Authority's Name — PLEASE PRINT) (Title) attest that this application for Terra Renewal Services, Inc (Facility Name) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. Signature: C�E� C. 5�� Date: 11/16/2021 FORM: RLAP 06-16 Page 5 of 5 SECTION 3: RESIDUALS SOURCE CERTIFICATION Form: RCS 06-16 U I� E M N IX O H A � a V i. z ¢ o ¢ o o z z a z 3 z 3 a cz cz z w� CZ O O O u� RSC 06-16 INNOSPEC ACTIVE CHEMICALS - SALISBURY, NC State of North Carolina DWR Department of Environmental Quality Division of Water Resources Division of Water Resources RESIDUALS SOURCE CERTIFICATION FORM: RSC 06-16 L RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: Innospec Active Chemicals 2. Facility permit holder is: ❑ Federal, 0 State, 0 Local Government, or 0 Private. Facility permit issued by: ® Div. of Water Resources, Div. of Environmental Health, or ❑ Other (explain: M). 3. Facility contact person and title: Allen Robey; SHE Director, North America Complete mailing address: 500 Hinkle Lane City: Salisbury State: NC Zip: 28144 Telephone number: (704) 633-8082 E-mail address: allen.robey�ic innospecinc.com 4. Facility physical address: 500 Hinkle Lane City: Salisbury State: NC Zip: 28144 Coordinates: Latitude: 35' 42' 19" Longitude: 80' 24' 02" Datum: NAD 83 Level of accuracy: Nearest Second Method of measurement: MAP 5. Purpose of the facility: treatment of municipal wastewater, treatment of 100% domestic wastewater, treatment of potable water, treatment of 100% industrial wastewater, treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: = % industrial and = % domestic) other (explain:). 6. Does the facility have an approved pretreatment program: Yes No 7. Facility permitted/design flow: 0.07 MGD and facility average daily flow: 0.04 MGD 8. Average amount of residuals being generated at this facility 205 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: Two +/- 250,000 gal Aerobic (biological activated) Treatment Cells Type and volume of residuals storage (i.e., outside of residuals treatment units): One 8,000 gallon above ground poly storage tank IL 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: El Biological II 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: 0 yes no. If yes, list the number(s): = b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- 261.24: 0 yes 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: Pace Analytical Services, LLC and Date of analysis: 11/09/20 (date collected) Passed corrosivity test: yes 11 no. pH: s.u. (2 <pH < 12.5) Passed ignitability test: yes Fj no. Flashpoint > 140 OF (> 140°F) Passed reactivity test: Eyes lno. HCN: < 50 mg/kg (<250) & HzS: < 50 mg/kg (<500) TCLP Parameter Limit (mg/l) Result (mg/l) TCLP Parameter Limit (mg/l) Result (mg/l) Arsenic 5.0 < 0.15 Hexachlorobenzene 0.13 < 0.040 Barium 100.0 < 0.25 Hexachloro-1,3-Butadiene 0.5 < 0.040 Benzene 0.5 < 0.050 Hexachloroethane 3.0 < 0.040 Cadmium 1.0 < 0.050 Lead 5.0 < 0.10 Carbon Tetrachloride 0.5 < 0.10 Lindane 0.4 < 0.00040 Chlordane 0.03 < 0.0040 Mercury 0.2 < 0.0020 Chlorobenzene 100.0 < 0.050 Methoxychlor 10.0 < 0.0016 Chloroform 6.0 < 0.050 Methyl Ethyl Ketone 200.0 < 0.10 Chromium 5.0 < 0.10 Nitrobenzene 2.0 < 0.040 m-Cresol 200.0 < 0.040 Pentachlorophenol 100.0 0.20 o-Cresol 200.0 < 0.040 Pyridine 5.0 < 0.040 p-Cresol 200.0 < 0.040 Selenium 1.0 < 0.20 Cresol 200.0 < 0.040 Silver 5.0 < 0.10 2,4-D 10.0 < 0.20 Tetrachloroethylene 0.7 < 0.050 1,4-Dichlorobenzene 7.5 < 0.040 Toxaphene 0.5 < 0.0080 1,2-Dichloroethane 0.5 < 0.050 Trichloroethylene 0.5 < 0.050 1, 1 -Dichloroethylene 0.7 < 0.050 2,4,5-Trichlorophenol 400.0 < 0.040 2,4-Dinitrotoluene 0.13 < 0.020 2,4,6-Trichlorophenol 2.0 < 0.040 Endrin 0.02 < 0.00040 2,4,5-TP (Silvex) 1.0 < 0.0050 Heptachlor and its Hydroxide 0.008 < 0.00040 Vinyl Chloride 0.2 < 0.010 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/LaudApp&cation: Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: Laboratory: Pace Analytical Services, LLC and Date of analysis: 11/09/20 (date collected) Parameter Ceiling Concentration Limits (ClassA & ClassB) (mg1kg) Monthly Average Concentration Limits (Class A Only) (mg1kg) Result (mg1kg) Arsenic 75 41 < 5.7 Cadmium 85 39 < 1.9 Copper 4,300 1,500 22 Lead 840 300 < 3.8 Mercury 57 17 < 1.9 Molybdenum 75 n/a < 15 Nickel 420 420 < 15 Selenium 100 100 < 7.6 Zinc 7,500 2,800 1100 b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: Laboratory: = and Date of analysis: Distance from Disposal Unit to Boundary to Closest Property Line (meters, check one) Arsenic (mg/kg) Chromium (mg/kg) Nickel (mg/kg) > 0 but < 25 30 200 210 ❑ > 25 but < 50 34 220 240 ❑ > 50 but < 75 39 260 270 ❑ > 75 but < 100 46 300 320 ❑ > 100 but < 125 53 360 390 ❑ > 125 62 450 420 Result (mg/kg) FORM: RSC 06-16 Page 3 of 5 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 4.20 %. 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: 11/09/21 (date collected) Parameter Result (mg1kg) Aluminum 54,000 Ammonia -Nitrogen < 240 Calcium 4,100 Magnesium < 1,900 Nitrate -Nitrite Nitrogen 27 pH (Standard Unit) 6.0 Phosphorus 2,500 Potassium 15,000 Sodium 9800 Total Kjeldahl Nitrogen 21,000 c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): 6_5 [Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity and conditions conducive to crop growth]. d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This rate is a (check one): default value, or E, actually established. If the residuals are not generated from the treatment of municipal or domestic wastewater, ex lam or provide technical justification as to why the selected default value is appropriate to be applied to these residuals: e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table: Application Method First (1s) Year PAN Five -Year Maximum Adjusted PAN (mgl'kg) (mgl'kg) Surface 6,375 10,425 Injection/Incorporation 6,495 10,545 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/LandApp&cation of'ClassA or Equivalent: ❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids, or ❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids. AND one of the followings (except for non -biological residuals): J Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance. J Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment. J Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. J Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. Alternative 5 [15A NCAC 02T.1106 3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). b Specify one: 77 composting, heat drying, 77 heat treatment, ❑ thermophilic aerobic digestion, ❑ beta ray irradiation, ❑ gamma ray irradiation, or ❑ pasteurization. b. For LandApp&cation of'Class B: Alternative 1 [15A NCAC 02T. 1 106(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, I air drying, ❑ anaerobic digestion, El composting, or lime stabilization. c. For Surface Disposal JSelect One of the Class A or Equivalent Pathogen Reduction Alternatives in Item IL 7a. above. JSelect One of the Class B or Equivalent Pathogen Reduction Alternatives in Item IL 7b. above. J Exempt -If Daily Cover Alternative is chosen in Item IL8. below [15A NCAC 02T.1106(a)(2)]. JNot Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. 8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements: Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes. Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization. Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals. Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals. Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection. Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation. El Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A 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 06-16 Page 5 of 5 RSC 06-16 WAYNE FARMS - DOBSON, NC State of North Carolina DWR Department of Environmental Quality Division of Water Resources Division of Water Resources RESIDUALS SOURCE CERTIFICATION FORM: RSC 06-16 L RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: Wayne Farms — Dobson Fresh Plant 2. Facility permit holder is: ❑ Federal, 0 State, 0 Local Government, or 0 Private. Facility permit issued by: ® Div. of Water Resources, Div. of Environmental Health, or ❑ Other (explain: M). 3. Facility contact person and title: Jeremy Bowfin; Complex Environmental Manager Complete mailing address: 802 East Atkins St City: Dobson State: NC Zip: 27017 Telephone number: (336) 927-7654 E-mail address: jeremy.bowlinkwaynefarms.com 4. Facility physical address: 802 East Atkins St City: Dobson State: NC Zip: 27017 Coordinates: Latitude: 36' 23' 25" Longitude: 80' 42' 41" Datum: NAD 83 Level of accuracy: Nearest Second Method of measurement: MAP 5. Purpose of the facility: treatment of municipal wastewater, treatment of 100% domestic wastewater, treatment of potable water, treatment of 100% industrial wastewater, treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: = % industrial and = % domestic) other (explain:). 6. Does the facility have an approved pretreatment program: Yes No 7. Facility permitted/design flow: 0.70 MGD and facility average daily flow: 0.68 MGD 8. Average amount of residuals being generated at this facility 1,170 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: 100% generated from solids removed from D.A.F. (pre-treatment) Type and volume of residuals storage (i.e., outside of residuals treatment units): 500,000 gal EQ and 3,000 gal DAF residuals collection (dav) tank IL 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: El Biological II 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: 0 yes no. If yes, list the number(s): = b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- 261.24: 0 yes 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: Pace Analytical Services, LLC and Date of analysis: 9/16/21 (date collected) Passed corrosivity test: yes 11 no. pH: s.u. (2 <pH < 12.5) Passed ignitability test: yes Fj no. Flashpoint > 140 OF (> 140°F) Passed reactivity test: Eyes lno. HCN: < 50 mg/kg (<250) & HzS: < 50 mg/kg (<500) TCLP Parameter Limit (mg/l) Result (mg/l) TCLP Parameter Limit (mg/l) Result (mg/l) Arsenic 5.0 < 0.15 Hexachlorobenzene 0.13 < 0.040 Barium 100.0 < 0.25 Hexachloro-1,3-Butadiene 0.5 < 0.040 Benzene 0.5 < 0.050 Hexachloroethane 3.0 < 0.040 Cadmium 1.0 < 0.050 Lead 5.0 < 0.10 Carbon Tetrachloride 0.5 < 0.10 Lindane 0.4 < 0.020 Chlordane 0.03 < 0.20 Mercury 0.2 < 0.0020 Chlorobenzene 100.0 < 0.050 Methoxychlor 10.0 < 0.080 Chloroform 6.0 < 0.050 Methyl Ethyl Ketone 200.0 < 0.10 Chromium 5.0 < 0.10 Nitrobenzene 2.0 < 0.040 m-Cresol 200.0 13 Pentachlorophenol 100.0 0.20 o-Cresol 200.0 < 0.040 Pyridine 5.0 < 0.040 p-Cresol 200.0 13 Selenium 1.0 < 0.20 Cresol 200.0 13 Silver 5.0 < 0.10 2,4-D 10.0 < 0.020 Tetrachloroethylene 0.7 < 0.050 1,4-Dichlorobenzene 7.5 < 0.040 Toxaphene 0.5 < 0.40 1,2-Dichloroethane 0.5 < 0.050 Trichloroethylene 0.5 < 0.050 1, 1 -Dichloroethylene 0.7 < 0.050 2,4,5-Trichlorophenol 400.0 < 0.040 2,4-Dinitrotoluene 0.13 < 0.080 2,4,6-Trichlorophenol 2.0 < 0.040 Endrin 0.02 < 0.020 2,4,5-TP (Silvex) 1.0 < 0.0050 Heptachlor and its Hydroxide 0.008 < 0.0080 Vinyl Chloride 0.2 < 0.010 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/LaudApp&cation: Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: Laboratory: Pace Analytical Services, LLC and Date of analysis: 9/16/21 (date collected) Parameter Ceiling Concentration Limits (ClassA & ClassB) (mg1kg) Monthly Average Concentration Limits (Class A Only) (mg1kg) Result (mg1kg) Arsenic 75 41 < 1.4 Cadmium 85 39 < 0.48 Copper 4,300 1,500 130 Lead 840 300 < 0.96 Mercury 57 17 < 0.43 Molybdenum 75 n/a < 3.8 Nickel 420 420 < 3.8 Selenium 100 100 < 1.9 Zinc 7,500 2,800 190 b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: Laboratory: = and Date of analysis: Distance from Disposal Unit to Boundary to Closest Property Line (meters, check one) Arsenic (mg/kg) Chromium (mg/kg) Nickel (mg/kg) > 0 but < 25 30 200 210 ❑ > 25 but < 50 34 220 240 ❑ > 50 but < 75 39 260 270 ❑ > 75 but < 100 46 300 320 ❑ > 100 but < 125 53 360 390 ❑ > 125 62 450 420 Result (mg/kg) FORM: RSC 06-16 Page 3 of 5 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 16.4 %. 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: 9/16/21 (date collected) Parameter Result (mg1kg) Aluminum 280 Ammonia -Nitrogen 11,000 Calcium 6,100 Magnesium < 480 Nitrate -Nitrite Nitrogen < 1.2 pH (Standard Unit) 5.3 Phosphorus 2,400 Potassium 1,200 Sodium 770 Total Kjeldahl Nitrogen 48,000 c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): 1_0 [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: 40 %. This rate is a (check one): default value, or E, actually established. If the residuals are not generated from the treatment of municipal or domestic wastewater, ex lam or provide technical justification as to why the selected default value is appropriate to be applied to these residuals: e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table: Application Method First (1s) Year PAN Five -Year Maximum Adjusted PAN (mgl'kg) (mgl'kg) Surface 20,300 28,175 Injection/Incorporation 25,800 33,765 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/LandApp&cation of'ClassA or Equivalent: ❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids, or ❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids. AND one of the followings (except for non -biological residuals): J Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance. J Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment. J Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. J Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. Alternative 5 [15A NCAC 02T.1106 3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). b Specify one: 77 composting, heat drying, 77 heat treatment, ❑ thermophilic aerobic digestion, ❑ beta ray irradiation, ❑ gamma ray irradiation, or ❑ pasteurization. b. For LandApp&cation of'Class B: Alternative 1 [15A NCAC 02T. 1 106(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, I air drying, ❑ anaerobic digestion, El composting, or lime stabilization. c. For Surface Disposal JSelect One of the Class A or Equivalent Pathogen Reduction Alternatives in Item IL 7a. above. JSelect One of the Class B or Equivalent Pathogen Reduction Alternatives in Item IL 7b. above. J Exempt -If Daily Cover Alternative is chosen in Item IL8. below [15A NCAC 02T.1106(a)(2)]. JNot Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. 8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements: Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes. Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization. Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals. Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals. Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection. Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation. El Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A 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 06-16 Page 5 of 5 ATTACHMENT - A: RESIDUALS SOURCE VICINTY MAP O O 0 lip I 41 • I op Es Lo ARD i o :� ?-7 i.W Y' i5� Tr-' r� ATTACHMENT - B: RESIDUALS PRODUCTION PROCESS DESCRIPTION RESIDUALS PRODUCTION PROCESS DESCRIPTION Wayne Farms - Dobson: Wayne Farms — Dobson is a poultry processing facility (NAICS Code 311615). Wastewater is mainly generated from the wash -down of the production equipment in the plant. The wastewater is sent to an "EQ" tank or basin where the pH is adjusted to promote coagulation. From the EQ tank, the water travels through a flocculation tank where polymers are added to flocculate the solids. The water then enters a dissolved air flotation (DAF) unit where air is injected into the water column from below and the solids are forced to the surface. The solids are skimmed off the surface by revolving rakes or blades into a hopper or tank. From there, they are pumped or gravity flowed into holding tanks to await transfer to tanker trucks for transport to the field. These are the residuals to be land applied. Innospec - Salisbury: Innospec Specialty Chemicals — Salisbury produces base materials used in soaps (bar and liquid), shampoos, body washes, sunscreens, etc. (NAICS Code 325613). The wastewater, derived from reactor cleanouts and water of reaction during the production process, is treated in a biological activated treatment system. The waste activated effluent from this system is mixed with flocculants and sent through a DAF unit to remove the sludge. The sludge from the DAF is collected in a holding tank prior to transfer to tanker trucks for transport to the field. These are the residuals to be land applied. A diagram of the process is provided on the following page. r I I I I I I I I I I I I I I I I I I I I I I I I I I � I >� I � I I I I I I I I I I I I I L C� I I I I I I I I I I r--------------� J I I IN I I I I �- I I L I r I I � J ATTACHMENT - C: QUANTITATIVE JUSTIFICATION for RESIDUALS PRODUCTION RATE ( / j 2 � 7 8 8 � k § ) f �fn z \ %oj ° k\\\}�m/ % m Ln % \ o o o o 0 % 7 ] % 0 a 0 a 0 & 0 ° 0 ° « ' $ G / \ 2 / / I_ m \ ~ w m ] / ] & z ® ®©a � r w a y ; R � � k (A § J / \ o E ■ § o k) . 2 | 2@ $ §)m9"22 \ \ ƒ § 1 2 £ ) 00 � [ ) ) a J § f • ; . o A/ m 2 M> 7 2 \ \ \ } \/ \ 0 ] 0 ~ ± N N_ o e y w ) \ ® i\- m I?m rq\ R \ a a a e a* r, Ln k a / ) \ q - @ _ \ - t » 0 ®® 0 0 * Q Ln fz \ 0 m q 0 r _ \ a! » _ - o e e * z o - \ Ln � k\ o m e e o* ; r, w w N m « � @ z 2 - NO k J . \ _ - q q ® \ / % G B \ 2 ^ � 12 \ { \ \ f \ / 0 / k J \ 2 = Ir! @ m \ \ a) a 0 \ m � _ % 2 ± � ) ) 7 £ / m \ m Lna ® a - \ 2 S / \ \ \ / \ G Ln / § 4 4 ®° z - N � = a | m / ƒ � 0 § e § e . blO§ o ENO \ ( \ \ n - ƒ ELnLn % ] ) § ; � ; § % § / ° CL ; • m k / m. 2 § ] 2 k \ \ 2 « _ w � Incorporation Application PAN Innospec - Salisbury TKN= 21000 mg/kg NH3= 240 mg/kg NO3-NO2-N= 27 mg/kg Min Rate= 0.30 PAN= [min.rate (TKN - NH3) + 1.0*(NH3) + NO3-NO2] * 0.002 0.30 20,760 240 27.00 PAN= 12.99 LBS/DT Calculate residual nitrogen for years 2,3,4 and 5 following the initial application to determine the amount of PAN/DT remaining. 2ND YEAR RESIDUAL PAN PAN= [min.rate (1st year org. - N 2nd year min. - N] * 0.002 0.15 20,760 6,228 PAN= 4.36 LBS/DT remaining from 1st year application 3RD YEAR RESIDUAL PAN PAN= [min.rate (2nd year org. - N 3rd year min. - N] * 0.002 0.08 14,532 2,180 PAN= 1.98 LBS/DT remaining from 1st year application 4TH YEAR RESIDUAL PAN PAN= [min.rate (3rd year org. - N 4th year min. - N] * 0.002 0.05 12,352 988 PAN= 1.14 LBS/DT remaining from 1st year application 5TH YEAR RESIDUAL PAN PAN= [min.rate (4th year org. - N 5th year min. - N] * 0.002 0.03 11,364 568 PAN= 0.63 LBS/DT remaining from 1st year application Residual PAN from years 2 thru 5 after the initial application = 8.10 Lbs/Pan/DT Total five-year max. adjusted PAN = 21.09 Lbs/Pan/DT Surface Application PAN Innospec - Salisbury TKN= 21000 mg/kg NH3= 240 mg/kg NO3-NO2-N= 27 mg/kg Min Rate= 0.30 PAN= [min.rate (TKN - NH3) + 0.5 (NH3) + NO3-NO2] * 0.002 0.30 20,760 120 27.00 PAN= 12.75 LBS/DT Calculate residual nitrogen for years 2,3,4 and 5 following the initial application to determine the amount of PAN/DT remaining. 2ND YEAR RESIDUAL PAN PAN= [min.rate (1st year org. - N 2nd year min. - N] * 0.002 0.15 20,760 6,228 PAN= 4.36 LBS/DT remaining from 1st year application 3RD YEAR RESIDUAL PAN PAN= [min.rate (2nd year org. - N 3rd year min. - N] * 0.002 0.08 14,532 2,180 PAN= 1.98 LBS/DT remaining from 1st year application 4TH YEAR RESIDUAL PAN PAN= [min.rate (3rd year org. - N 4th year min. - N] * 0.002 0.05 12,352 988 PAN= 1.14 LBS/DT remaining from 1st year application 5TH YEAR RESIDUAL PAN PAN= [min.rate (4th year org. - N 5th year min. - N] * 0.002 0.03 11,364 568 PAN= 0.63 LBS/DT remaining from 1st year application Residual PAN from years 2 thru 5 after the initial application = 8.10 Lbs/Pan/DT Total five-year max. adjusted PAN = 20.85 Lbs/Pan/DT Incorporation Application PAN Wayne Farms -Dobson TKN= 48000 mg/kg NH3= 11000 mg/kg NO3-NO2-N= 1 mg/kg Min Rate= 0.40 PAN= [min.rate (TKN - NH3) + 1.0*(NH3) + NO3-NO2] * 0.002 0.40 37,000 11,000 1.20 PAN= 51.60 LBS/DT Calculate residual nitrogen for years 2,3,4 and 5 following the initial application to determine the amount of PAN/DT remaining. 2ND YEAR RESIDUAL PAN PAN= [min.rate (1st year org. - N 2nd year min. - N] * 0.002 0.20 37,000 14,800 PAN= 8.88 LBS/DT remaining from 1st year application 3RD YEAR RESIDUAL PAN PAN= [min.rate (2nd year org. - N 3rd year min. - N] * 0.002 0.11 22,200 4,440 PAN= 3.79 LBS/DT remaining from 1st year application 4TH YEAR RESIDUAL PAN PAN= [min.rate (3rd year org. - N 4th year min. - N] * 0.002 0.07 17,760 1,894 PAN= 2.12 LBS/DT remaining from 1st year application 5TH YEAR RESIDUAL PAN PAN= [min.rate (4th year org. - N 5th year min. - N] * 0.002 0.04 15,866 1,058 PAN= 1.15 LBS/DT remaining from 1st year application Residual PAN from years 2 thru 5 after the initial application = 15.93 Lbs/Pan/DT Total five-year max. adjusted PAN = 67.53 Lbs/Pan/DT Surface Application PAN Wayne Farms -Dobson TKN= 48000 mg/kg NH3= 11000 mg/kg NO3-NO2-N= 1 mg/kg Min Rate= 0.40 PAN= [min.rate (TKN - NH3) + 0.5 (NH3) + NO3-NO2] * 0.002 0.40 37,000 5,500 1.20 PAN= 40.60 LBS/DT Calculate residual nitrogen for years 2,3,4 and 5 following the initial application to determine the amount of PAN/DT remaining. 2ND YEAR RESIDUAL PAN PAN= [min.rate (1st year org. - N 2nd year min. - N] * 0.002 0.20 37,000 14,800 PAN= 8.88 LBS/DT remaining from 1st year application 3RD YEAR RESIDUAL PAN PAN= [min.rate (2nd year org. - N 3rd year min. - N] * 0.002 0.11 22,200 4,440 PAN= 3.79 LBS/DT remaining from 1st year application 4TH YEAR RESIDUAL PAN PAN= [min.rate (3rd year org. - N 4th year min. - N] * 0.002 0.07 17,760 1,894 PAN= 2.12 LBS/DT remaining from 1st year application 5TH YEAR RESIDUAL PAN PAN= [min.rate (4th year org. - N 5th year min. - N] * 0.002 0.04 15,866 1,058 PAN= 1.15 LBS/DT remaining from 1st year application Residual PAN from years 2 thru 5 after the initial application = 15.93 Lbs/Pan/DT Total five-year max. adjusted PAN = 56.53 Lbs/Pan/DT ATTACHMENT - D: ANALYTICAL DATA for RESIDUALS INNOSPEC ACTIVE CHEMICALS - SALISBURY, NC ace C Analytical Report of Analysis Terra Renewal Services, Inc. PO Box 3036 Russellville, AR 72811 Attention: David Coyle Project Name: Innospec Lot Number:VK12063 Date Completed:11/25/2020 I 11/30/2020 2:31 PM Approved and released by: Project Manager II: Lucas Odom �e "C[NFQ aw ,%- A&- TM ur3+ NoUpool AamalerM* 17"N . qep . A C C R E D I F E❑ 7 EST W: LAMPATOPY The electronic signature above is the equivalent of a handwritten signature. This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC. Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 Tel:803-791-9700 Fax:803-791-9111 www.pacelabs.com Page 1 of 11 PACE ANALYTICAL SERVICES, LLC SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639 Case Narrative Terra Renewal Services, Inc. Lot Number: VK12063 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 initial sample amount used for sample -001 was 3X more than the standard procedure. The LOQ has been adjusted accordingly. TCLP Pesticides Surrogate was made at double concentration. Surrogate concentration has been adjusted to reflect double concentration. Pace Analytical Services, LLC (formerly Shealy Environmetal Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 vvvvvv.pacelabs.com Page 2 of 11 PACE ANALYTICAL SERVICES, LLC Sample Summary Terra Renewal Services, Inc. Lot Number: VK12063 Sample Number Sample ID Matrix Date Sampled Date Received 001 Innospec Solid 11/09/2020 0900 11/11/2020 (1 sample) Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 3 of I I PACE ANALYTICAL SERVICES, LLC Detection Summary Terra Renewal Services, Inc. Lot Number: VK12063 Sample Sample ID Matrix Parameter Method Result Q Units Page 001 Innospec Solid % Volatile Solids SM 2540G- 71 % 5 001 Innospec Solid Ignitability (Pensky-Martens 1010A >140 ° F 5 001 Innospec Solid Nitrate -Nitrite - N (soluble) 353.2 27 mg/kg 5 001 Innospec Solid Paint Filter Test 9095B Fail pass/fail 5 001 Innospec Solid Phosphorus 365.1 2500 mg/kg 5 001 Innospec Solid TKN 351.2 21000 mg/kg 5 001 Innospec Solid Aluminum 6010D 54000 mg/kg 8 001 Innospec Solid Calcium 6010D 4100 mg/kg 8 001 Innospec Solid Copper 6010D 22 mg/kg 8 001 Innospec Solid Potassium 6010D 15000 mg/kg 8 001 Innospec Solid Sodium 6010D 9800 mg/kg 8 001 Innospec Solid Zinc 6010D 1100 mg/kg 8 (12 detections) Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 4 of 11 Client: Terra Renewal Services, Inc. Laboratory ID:VK12063-001 Description: Innospec Matrix: Solid Date Sampled:11/09/2020 0900 % Solids: 4.20 11/14/2020 1842 Date Received:11/11/2020 Inorganic non-metals Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 (% Volatile S) SM 254OG-1997 1 11/15/2020 2220 MOM 73560 1 350.1 (Ammonia - N ) 350.1 1 11/20/2020 1321 DRD 74028 1 (Ignitability) 1010A 1 11/16/2020 1047 KMC 73655 1 (Nitrate-Nitr) 353.2 1 11/20/2020 1458 AMR 74304 1 (Paint Filter) 9095B 1 11/16/2020 1114 KMC 3 (Phosphorus) 365.1 5 11/25/2020 1139 DMA 11/24/2020 2011 74700 1 (Reactive Cya) 7.3.3 1 11/23/2020 1802 KFE 11/20/2020 1946 1 (Reactive Sul) 7.3.4 1 11/21/2020 1336 GDC 11/20/2020 1946 1 (Soil pH meas) 9045D 1 11/20/2020 0105 AAB 74148 1 351.4 (TKN) 351.2 1 11/18/2020 1756 DMA 11/17/2020 1752 73742 CAS Analytical Parameter Number Method Result Q LOQ Units Run % Volatile Solids SM 254OG-1997 71 % 1 Ammonia - N (gas diffusion) 350.1 ND 240 mg/kg 1 Ignitability (Pensky-Martens Closed -Cup) 1010A >140 140 o F 1 Nitrate -Nitrite - N (soluble) 353.2 27 4.8 nrl 1 Paint Filter Test 9095B Fail pass/fail 1 Phosphorus 7723-14-0 365.1 2500 600 mg/kg 3 Reactive Cyanide 7.3.3 ND 50 mg/kg 1 Reactive Sulfide 7.3.4 ND 50 mg/kg 1 Soil pH measured in water @ 18.6 ° C 9045D 6.0 su 1 TKN 351.2 21000 600 mg/kg 1 TCLP Volatiles Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/5030B 8260D 10 11/18/20201335 JM1 73921 11/16/20201948 CAS Analytical Parameter Number Method Result Q LOQ Units Run Benzene 71-43-2 8260D ND 0.050 mg/L 1 2-Butanone (MEK) 78-93-3 8260D ND 0.10 mg/L 1 Carbon tetrachloride 56-23-5 8260D ND 0.050 mg/L 1 Chlorobenzene 108-90-7 8260D ND 0.050 mg/L 1 Chloroform 67-66-3 8260D ND 0.050 mg/L 1 1,2-Dichloroethane 107-06-2 8260D ND 0.050 mg/L 1 1,1-Dichloroethene 75-35-4 8260D ND 0.050 mg/L 1 Tetrachloroethene 127-18-4 8260D ND 0.050 mg/L 1 Trichloroethene 79-01-6 8260D ND 0.050 mg/L 1 Vinyl chloride 75-01-4 8260D ND 0.010 mg/L 1 LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range ND = Not detected at or above the LOQ N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % H = Out of holding time W = Reported on wet weight basis Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 5 of 11 Client: Terra Renewal Services, Inc. Laboratory ID:VK12063-001 Description: Innospec Matrix: Solid Date Sampled:11/09/2020 0900 % Solids: 4.20 11/14/2020 1842 )ate Received:11/11/2020 Run 1 Acceptance Surrogate Q % Recovery Limits Bromofluorobenzene 99 70-130 1,2-Dichloroethane-d4 93 70-130 Toluene-d8 97 70-130 TCLP Semivolatiles Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/3520C 8270E 1 11/22/2020 2036 SCD 11/19/2020 1520 74093 11/16/2020 2333 CAS Analytical Parameter Number Method Result Q LOQ Units Run 1,4-Dichlorobenzene 106-46-7 8270E ND 0.040 mg/L 1 2,4-Dinitrotoluene 121-14-2 8270E ND 0.080 mg/L 1 Hexachlorobenzene 118-74-1 8270E ND 0.040 mg/L 1 Hexachlorobutadiene 87-68-3 8270E ND 0.040 mg/L 1 Hexachloroethane 67-72-1 8270E ND 0.040 mg/L 1 2-Methylphenol 95-48-7 8270E ND 0.040 mg/L 1 3+4-Methylphenol 106-44-5 8270E ND 0.040 mg/L 1 Nitrobenzene 98-95-3 8270E ND 0.040 mg/L 1 Pentachlorophenol 87-86-5 8270E ND 0.20 mg/L 1 Pyridine 110-86-1 8270E ND 0.040 mg/L 1 2,4,5-Trichlorophenol 95-95-4 8270E ND 0.040 mg/L 1 2,4,6-Trichlorophenol 88-06-2 8270E ND 0.040 mg/L 1 Run 1 Acceptance Surrogate Q % Recovery Limits 2-Fluorobiphenyl 67 37-129 2-Fluorophenol 40 24-127 Nitrobenzene-d5 72 38-127 Phenol-d5 61 28-128 Terphenyl-d14 76 10-148 2,4,6-Tribromophenol 76 41-144 TCLP Herbicides Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/8151A 8151A 1 11/20/2020 1800 JJG 11/18/2020 2305 73990 11/16/2020 2333 CAS Analytical Parameter Number Method Result Q LOQ Units Run 2,4-D 94-75-7 8151A ND 0.020 mg/L 1 2,4,5-TP (Silvex) 93-72-1 8151A ND 0.0050 mg/L 1 Run 1 Acceptance Surrogate Q % Recovery Limits DCAA 96 50-112 LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range ND = Not detected at or above the LOQ N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % H = Out of holding time W = Reported on wet weight basis Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 6 of 11 Client: Terra Renewal Services, Inc. Laboratory ID:VK12063-001 Description: Innospec Matrix: Solid Date Sampled:11/09/2020 0900 % Solids: 4.20 11/14/2020 1842 Date Received:11/11/2020 PCBs by GC Run Prep Method Cleanup Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3550C 366013/3665A 8082A 1 11/20/2020 1146 NCM 11/17/2020 1738 73816 CAS Analytical Parameter Number Method Result Q LOQ Units Run Aroclor 1016 12674-11-2 8082A ND 400 ug/kg 1 Aroclor 1221 11104-28-2 8082A ND 400 ug/kg 1 Aroclor 1232 11141-16-5 8082A ND 400 ug/kg 1 Aroclor 1242 53469-21-9 8082A ND 400 ug/kg 1 Aroclor 1248 12672-29-6 8082A ND 400 ug/kg 1 Aroclor 1254 11097-69-1 8082A ND 400 ug/kg 1 Aroclor 1260 11096-82-5 8082A ND 400 ug/kg 1 Run 1 Acceptance Surrogate Q % Recovery Limits Decachlorobiphenyl 70 41-132 Tetrachloro-m-xylene 73 35-106 TCLP Pesticides Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/3520C 8081 B 1 11/20/2020 2014 DAL1 11/19/2020 1520 74090 11/16/2020 2333 CAS Analytical Parameter Number Method Result Q LOQ Units Run gamma-BHC(Lindane) 58-89-9 8081B ND 0.00040 mg/L 1 Chlordane 57-74-9 8081B ND 0.0040 mg/L 1 Endrin 72-20-8 8081B ND 0.00040 mg/L 1 Heptachlor 76-44-8 8081B ND 0.00040 mg/L 1 Heptachlor epoxide 1024-57-3 8081 B ND 0.00040 mg/L 1 Methoxychlor 72-43-5 8081B ND 0.0016 mg/L 1 Toxaphene 8001-35-2 8081B ND 0.0080 mg/L 1 Run 1 Acceptance Surrogate Q % Recovery Limits Decachlorobiphenyl 81 20-131 Tetrachloro-m-xylene 73 26-132 CVAA Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 7471B 7471B 1 11/19/2020 1428 JAB2 11/19/2020 0957 74009 CAS Analytical Parameter Number Method Result Q LOQ Units Run Mercury 7439-97-6 7471B ND 1.9 mg/kg 1 LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range ND = Not detected at or above the LOQ N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % H = Out of holding time W = Reported on wet weight basis Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 7 of 11 Client: Terra Renewal Services, Inc. Laboratory ID:VK12063-001 Description: Innospec Matrix: Solid Date Sampled:11/09/2020 0900 % Solids: 4.20 11/14/2020 1842 Date Received:11/11/2020 TCLP Metals Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/3010A 6010D 1 11/20/2020 1922 JMH 11/20/2020 0448 74029 11/16/2020 2333 1 1311/7470A 7470A 1 11/20/2020 1227 JAB2 11/20/2020 0810 74168 11/16/2020 2333 CAS Analytical Parameter Number Method Result Q LOQ Units Run Arsenic 7440-38-2 6010D ND 0.15 mg/L 1 Barium 7440-39-3 6010D ND 0.25 mg/L 1 Cadmium 7440-43-9 6010D ND 0.050 mg/L 1 Chromium 7440-47-3 601OD ND 0.10 mg/L 1 Lead 7439-92-1 601OD ND 0.10 mg/L 1 Mercury 7439-97-6 7470A ND 0.0020 mg/L 1 Selenium 7782-49-2 6010D ND 0.20 mg/L 1 Silver 7440-22-4 6010D ND 0.10 mg/L 1 ICP-AES Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3050B 6010D 1 11/20/2020 1753 JMH 11/20/2020 0443 73941 CAS Analytical Parameter Number Method Result Q LOQ Units Run Aluminum 7429-90-5 6010D 54000 150 mg/kg 1 Arsenic 7440-38-2 6010D ND 5.7 mg/kg 1 Cadmium 7440-43-9 6010D ND 1.9 mg/kg 1 Calcium 7440-70-2 6010D 4100 1900 mg/kg 1 Copper 7440-50-8 6010D 22 3.8 mg/kg 1 Lead 7439-92-1 601OD ND 3.8 mg/kg 1 Magnesium 7439-95-4 6010D ND 1900 mg/kg 1 Molybdenum 7439-98-7 601OD ND 15 mg/kg 1 Nickel 7440-02-0 601OD ND 15 mg/kg 1 Potassium 7440-09-7 6010D 15000 1900 mg/kg 1 Selenium 7782-49-2 6010D ND 7.6 mg/kg 1 Sodium 7440-23-5 6010D 9800 1900 mg/kg 1 Zinc 7440-66-6 6010D 1100 19 mg/kg 1 Footnote(s): 'Paint Filter: 10mL collected; LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range ND = Not detected at or above the LOQ N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % H = Out of holding time W = Reported on wet weight basis Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 8 of 11 Chain of Custody and Miscellaneous Documents Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 9 of 11 PACE ANALYTICAL SERVICES. LLC 5 ox i 4 6 � E m a � � co ff .uo 14 0 7 �JI � 9 '2 IE W L) 0 FONH' Ta tunx 9 `G k X ai§ 4 PM $ �' Teo3 Too a � glso wogs y L} C7 f} 0 A rn � EL F ti ro m i c m +7 ` O Er E m L E F 0 a iL01% adt� F Or.� Id ;ti a z 5 q il d ��} a a} ���' ri Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 10 of 11 F.. Z PACE ANALYTICAL SERVICES, LLC * Samples Ran2ipt Checklist (SRC) IMEWUC-ISj I I �N � � �f 9 no?ll) ' 7va4rrafp { Issuing Aut-1ority; Pac-a 5HV - *COL IL YII L. i of l Sample Receipt Checklist (RQ f'li -nf- T a '+� (',nnlr Imnnrtrrl hvfrinlr '�F� tt1lt+ 'QG I F3T L ro M--ansofmcc:p:; Face ClicnE UPS _ F6C]E :Other. —— ❑ ye NO 11. Wwe custady mals present om the cooler'.+ Yeti I Lj Ni)]NA 2. If cust&dy scaly were cs4nt, wcm tlu!y intact and mibroken? pil Strip ID: KA Chlorinc Strip ID: "'^ Rested by: WIN. r� _ Dri�j:kal uemperature upon receipt! Uerivcd (Carrc tcd) tcmpcMure upon receipt Vo4olic Snap -Cup 113: Ai4�8 I.j i„i a NA 1 NA �C NA j NA cC NA f NA Q� ahad. ©Tcnipumm Blank ❑AgW-ast Bottles IRGun ID; _ IF, G-a, CO-ftLinn F ,wr, u °c` M ethod of coolant: 0 wLzt toe ❑ i-ce rnks ❑ Lxy 1CM ❑ 14 ono ❑ Yes ❑ No ❑{ NA 3_ tftarnperar-ire of auy cooler exceatded 6.0 , wm frujcct Miinag(xN tiEa r. PM was N odfred by- phone ! emai I i face -to -fay (circle one). Yea No NA 4. Is the CCtrrn119Vc aJ cogarior's pr,cl:in slip stilachcd to thin form'. S. Wore proper e:uyturly prucudures (L-clinyuishudh,_c4~ivc:d) fulluwc� i7 E,ej Yes Nn 11:'t~s NE) 6. Were Salo le IDS listed or. the coc---- Yes No 1. Wore sample Ws listcd or. all Sarr& contaimrs? $_ Was zolicLrdon bate & tinic listcd on nco 000- MY;; LJ No O Yes No 9_ War col lectim data &- [i me I:pted on all r,arnple cmtvi lm JZLYcs ONo 10, Did a:] oml.a]ner '.ab'.] inlarmat 04 (ID. daw, lime) ag= with the CO ? ,{ Yes =No 11 _ W :rL` le,0.9 I u be ptrfitxmrr: lister on rihc COC? © El No 12_ Did aA sa_ pies wrive in dcie proper oTAaiaers for erch te$t aod'gr it 4ppd opndition (unbroken. lids on, eta..)'? 4 Y�,-s LJ No 13. Was aldLrLlr; k mmp]ti voluarar avullablc7 14. Wire all samples received wfth in 'A the holding thn-e ar 49 hours, whidiever �,mnes firsr9 Yes No Yc;! N.3 15. Wtirc any ya pUi cna:ainr::SL ni vOingiex m (cirr:les unr:) smmpfcs Not listcd on COC,' Yes ❑ lei OLlei 1' Far VGAa,id RSSC- 175 samples, were bubbles prrsent>"pc�.yirc" (Ya"cn 6mm in dinrrietcr, inaLW Ot I:ie �T�i,� Vt$IS? Ycsl Ll No 1,KINA 17. IN= all DR0.1metsls/nutric-lt samples received at a ;i1] of < 2? ❑ Ya, Nv d NA 18_ Woe all ide sam ley r�cai-/nd .Sl a el I > 12 .rn.l suFifin samples rmcivcd nt apH ] 97 ❑ yet [_,-] No Ol+1A 19_ LVer'e all applicable so-unples frrltl: of idirail chlvrinc? El Y. El N❑ [Z]NA20. _ Wcra rzlicnt rcrnar ir_.Lelucst: (i.c, requested diIutiana, MSiMSD des,gnatinris, et,:...) fly transcribed from the UUC into die immment sactian in LlMS? Yes Tfo 11 - Wm the qu ate nn niber listed on the container label? If M Quote 4 S1Mp1c Pr+c:+crvudan (Must ba camplctcd far any sampk(s) incorrectly preserved or witl' E eadspa; e_) Sarrrple(s) 14A wemrecoived itrcorrectly prescrycd and wcrs a3ju5tcd accgrdLngiy in sample raceaving with _mL o- circle one: 1125O43 ]41N0 3, HC,1, NaOH uci_Mg SR 0 �'4A 1-imc bt Pnescraratioati a If rtiore than One �frVai-M iS rr m[ud, p.mrsa l My i L IhL: comet- nts.bulow. Sarrrole(s) 11,n _ -- were r,eceivedwidi bibbles>6.mnj Irk dlpmcWr- Samplos(s) NA - _ -- were resew- rd with TRC> 0-5 m[rl. (If419 i-, eta+) and were diusaad accordingly nt sample rcce ving widi sodium tNionulfaw (Na25;.CW with Shealy LU; NA SRbarvWQlabc4sapplicdby: xr�c — Uate '5Sn �- c cxinmcnts: f ifs Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 11 of 11 Analytical Results Terra Renewal PO Box 306 Yadkinville, NC 27055 Receive Date: 03/03/2021 Reported: 03/08/2021 For: Innospec Comments: GEOMETRIC MEAN: 104,209 MPN/g STATESVILLE ANALYTICAL 46 Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210303-20-01 Fecal Coliforms 1-1 42227 MPN/g SM92210E-2006 03/04/2021 MD 210303-20-01 Percent Solids 1-1 5.08 % SM2540e-2011 03/04/2021 MD 210303-20-02 Fecal Coliforms 1-2 257937 MPN/g SM92210E-2006 03/04/2021 MD 210303-20-02 Percent Solids 1-2 5.04 % SM2540e-2011 03/04/2021 MD 210303-20-03 Fecal Coliforms 1-3 65789 MPN/g SM92210E-2006 03/04/2021 MD 210303-20-03 Percent Solids 1-3 4.56 % SM2540e-2011 03/04/2021 MD 210303-20-04 Fecal Coliforms 1-4 71721 MPN/g SM92210E-2006 03/04/2021 MD 210303-20-04 Percent Solids 1-4 4.88 % SM2540e-2011 03/04/2021 MD 210303-20-05 Fecal Coliforms 1-5 182555 MPN/g SM92210E-2006 03/04/2021 MD 210303-20-05 Percent Solids 1-5 4.93 % SM2540e-2011 03/04/2021 MD 210303-20-06 Fecal Coliforms 1-6 250965 MPN/g SM92210E-2006 03/04/2021 MD 210303-20-06 Percent Solids 1-6 5.18 % SM2540e-2011 03/04/2021 MD 210303-20-07 Fecal Coliforms 1-7 56680 MPN/g SM92210E-2006 03/04/2021 MD 210303-20-07 Percent Solids 1-7 4.94 % SM2540e-2011 03/04/2021 MD Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 4 Condition of Receipt Sample Number 210303-20-01 Temp on Arrival: 3.0 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 210303-20-02 Temp on Arrival: 3.0 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 210303-20-03 Temp on Arrival: 3.0 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 210303-20-04 Temp on Arrival: 3.0 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 210303-20-05 Temp on Arrival: 3.0 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 210303-20-06 Temp on Arrival: 3.0 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 4 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 210303-20-07 Temp on Arrival: 3.0 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 4 p �I p l�D (�_D CCD m 1 3 m 0 0 Q m m m 3 m m ( 3' (D o ~ 3 �` m (D O p : m O m ID Q ( w O. � H O. of a N am 0 3 (D y 4 (D 1< 0 Q OL ^ .O•. O VJ � n�i ? � o, 0 CD n� V 6� „' C v1 iv � 3 � _ = � m o x � a 3 3 V! 3 3 3 3` � `� 0 0 0 w o � N c, o m CD CD CD ?� ' v N Ci � O c) o p O O 7S a v m Q 9 ? O o om mm 00. = - t iD 00 p� a A (D (D 41 m 3 (� J m m m (D -4 CD 6 CD co 7 3 3 IV% 3 3 3 3 v X «««< s o c v 3 3 3 =I` £ x ro CD N (mD (T9 d 3 ('N 0 I ' W �m7 � (N� Q1 � (NTH L7 AN SU 91 p0_1 I1 �t O O O O m 3 w W 1 z n S cn O O = m p m O � m O m O ( O N O m O v °i 0 �Q O Q 3 0 7 0 7 0 3 0 3 0 7 0 7 0 N+ 0 m CD i o �, 3 3 7 7 R_ 7 7 CD C _ a "�� �•� fin' ri � $gip C.kr� N N PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 4 of 4 WAYNE FARMS - DOBSON, NC C aceAnalytical Report of Analysis Terra Renewal Services, Inc. PO Box 3036 Russellville, AR 72811 Attention: David Coyle Project Name: NC Samples Lot Number:W118028 Date Completed: 11/11/2021 Revision Date: 11/11/2021 I 11/11/2021 3:13 PM Approved and released by: Project Manager II: Lucas Odom �e "C[NFQ aw ,%- A&- TM ur3+ NoWnpi AamalerM* 17"N . qep . A C C R E D I F E❑ 7 EST W: LAMPATOPY The electronic signature above is the equivalent of a handwritten signature. This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC. Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 Tel:803-791-9700 Fax:803-791-9111 www.pacelabs.com Page 1 of 12 PACE ANALYTICAL SERVICES, LLC SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639 Case Narrative Terra Renewal Services, Inc. Lot Number: W118028 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. Pace is a TNI accredited laboratory; however, the following analyses are currently not listed on our TNI scope of accreditation: Biological Tissue: All, Non -Potable Water: SGT-HEM EPA 1664B, Silica EPA 200.7, Boron, Calcium, Silicon, Strontium EPA 200.8, Bicarbonate, Carbonate, and Hydroxide Alkalinity SM 2320 B-2011, Fecal Coliform SM 9221 C E-2006 & SM 9222D-2006, Strontium SW-846 601 OD, VOC SM 6200 B-2011, Drinking Water: VOC (excluding BTEX, MTBE, Naphthalene, & 1,2-dichloroethane) EPA 524.2, Solid Chemical Material: TOC Walkley-Black. 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. This report supersedes all other versions of the same lot. Metals by ICP Due to the low percent solids, the initial sample amount of the following sample is 3x greater than standard procedure: W118028-001. The LOQ has been adjusted accordingly. TCLP Pesticides The following sample was diluted due to the nature of the sample matrix: W118028-001. The LOQ has been elevated to reflect the dilution. Report Revision 11/11/21 Per client request, the DL for TCLP Pesticides has been added to the report. Pace Analytical Services, LLC (formerly Shealy Environmetal Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 vvvvvv.pacelabs.com Page 2 of 12 PACE ANALYTICAL SERVICES, LLC Sample Summary Terra Renewal Services, Inc. Lot Number: W118028 Sample Number Sample ID Matrix Date Sampled Date Received 001 Wayne Farms/Dobson Solid 09/16/2021 1430 09/17/2021 (1 sample) Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 3of12 PACE ANALYTICAL SERVICES, LLC Detection Summary Terra Renewal Services, Inc. Lot Number: W118028 Sample Sample ID Matrix Parameter Method Result Q Units Page 001 Wayne Farms/Dobson Solid % Volatile Solids SM 2540G- 97 % 6 001 Wayne Farms/Dobson Solid Ammonia - N (gas 350.1 11000 mg/kg 6 001 Wayne Farms/Dobson Solid Flashpoint (Pensky- 1010B >140 ° F 6 001 Wayne Farms/Dobson Solid Phosphorus 365.1 2400 S mg/kg 6 001 Wayne Farms/Dobson Solid TKN 351.2 48000 mg/kg 6 001 Wayne Farms/Dobson Solid 3+4-Methylphenol 8270E 13 mg/L 7 001 Wayne Farms/Dobson Solid Aluminum 601OD 280 mg/kg 9 001 Wayne Farms/Dobson Solid Calcium 601OD 6100 mg/kg 9 001 Wayne Farms/Dobson Solid Copper 601OD 130 mg/kg 9 001 Wayne Farms/Dobson Solid Potassium 601OD 1200 mg/kg 9 001 Wayne Farms/Dobson Solid Sodium 601OD 770 mg/kg 9 001 Wayne Farms/Dobson Solid Zinc 601OD 190 mg/kg 9 (12 detections) Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 4of12 Client:Terra Renewal Services, Inc. Laboratory ID:WI18028-001 Description: Wayne Farms/Dobson Matrix: Solid Date Sampled:09/16/2021 1430 % Solids: 16.4 09/21/2021 2220 Date Received:09/17/2021 Inorganic non-metals Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 (% Volatile S) SM 254OG-1997 1 09/23/2021 2354 MOM 16393 1 350.1 (Ammonia - N) 350.1 100 09/25/2021 1649 DRD 16480 1 (Flashpoint () 1010B 1 09/24/2021 0902 KMC 16519 1 (Nitrate-Nitr) 353.2 1 09/23/2021 1630 ATH 16483 1 (Phosphorus) 365.1 10 09/28/2021 1742 ATH 09/24/2021 1224 16444 1 (Reactive Cya) 7.3.3 1 09/21/2021 1716 AAB 09/21/2021 1115 1 (Reactive Sul) 7.3.4 1 09/22/2021 1754 SJL 09/21/2021 1115 1 (Soil pH meas) 9045D 1 09/20/2021 2325 NBW 15934 3 351.4 (TKN) 351.2 10 10/06/2021 1051 DMA 10/05/2021 1216 17657 CAS Analytical Parameter Number Method Result Q LOQ Units Run % Volatile Solids SM 2540G-1997 97 % 1 Ammonia - N (gas diffusion) 350.1 11000 6100 mg/kg 1 Flashpoint (Pensky-Martens Closed -Cup) 1010B >140 140 ° F 1 Nitrate -Nitrite - N (soluble) 353.2 ND 1.2 mg/kg 1 Phosphorus 7723-14-0 365.1 2400 S 300 mg/kg 1 Reactive Cyanide 7.3.3 ND 50 mg/kg 1 Reactive Sulfide 7.3.4 ND 50 mg/kg 1 Soil pH measured in water C> 18.2 ° C 9045D 5.3 su 1 TKN 351.2 48000 3000 mg/kg 3 TCLP Volatiles Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/5030B 8260D 10 10/06/20212247 BBW 17935 09/29/20210311 CAS Analytical Parameter Number Method Result Q LOQ Units Run Benzene 71-43-2 8260D ND 0.050 mg/L 1 2-Butanone (MEK) 78-93-3 8260D ND 0.10 mg/L 1 Carbon tetrachloride 56-23-5 8260D ND 0.050 mg/L 1 Chlorobenzene 108-90-7 8260D ND 0.050 mg/L 1 Chloroform 67-66-3 8260D ND 0.050 mg/L 1 1,2-Dichloroethane 107-06-2 8260D ND 0.050 mg/L 1 1,1-Dichloroethene 75-35-4 8260D ND 0.050 mg/L 1 Tetrachloroethene 127-18-4 8260D ND 0.050 mg/L 1 Trichloroethene 79-01-6 8260D ND 0.050 mg/L 1 Vinyl chloride 75-01-4 8260D ND 0.010 mg/L 1 Run 1 Acceptance Surrogate Q % Recovery Limits Bromofluorobenzene 101 70-130 1,2-Dichloroethane-d4 104 70-130 Toluene-d8 108 70-130 LOQ - Limit of Quantitation B - Detected in the method blank E - Quantitation of compound exceeded the calibration range Q - Surrogate failure ND - Not detected at or above the LOQ N - Recovery is out of criteria P - The RPD between two GC columns exceeds 40% L - LCS/LCSD failure H - Out of holding time W - Reported on wet weight basis S - MS/MSD failure Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 5 of 12 Client:Terra Renewal Services, Inc. Laboratory ID:WI18028-001 Description: Wayne Farms/Dobson Matrix: Solid Date Sampled:09/16/2021 1430 % Solids: 16.4 09/21/2021 2220 Date Received:09/17/2021 TCLP Semivolatiles Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/3520C 8270E 1 09/29/20212021 STM 09/27/20211730 16731 09/21/2021 2318 2 1311/3520C 8270E 20 09/30/20211524 SCD 09/27/20211730 16731 09/21/2021 2318 CAS Analytical Parameter Number Method Result Q LOQ Units Run 1,4-Dichlorobenzene 106-46-7 8270E ND 0.040 mg/L 1 2,4-Dinitrotoluene 121-14-2 8270E ND 0.080 mg/L 1 Hexachlorobenzene 118-74-1 8270E ND 0.040 mg/L 1 Hexachlorobutadiene 87-68-3 8270E ND 0.040 mg/L 1 Hexachloroethane 67-72-1 8270E ND 0.040 mg/L 1 2-Methylphenol 95-48-7 8270E ND 0.040 mg/L 1 3+4-Methylphenol 106-44-5 8270E 13 0.80 mg/L 2 Nitrobenzene 98-95-3 8270E ND 0.040 mg/L 1 Pentachlorophenol 87-86-5 8270E ND 0.20 mg/L 1 Pyridine 110-86-1 8270E ND 0.040 mg/L 1 2,4,5-Trichlorophenol 95-95-4 8270E ND 0.040 mg/L 1 2,4,6-Trichlorophenol 88-06-2 8270E ND 0.040 mg/L 1 Surrogate Run 1 Q % Recovery Acceptance Limits Q Run 2 Acceptance % Recovery Limits 2-Fluorobiphenyl 83 37-129 71 37-129 2-Fluorophenol 83 24-127 49 24-127 Nitrobenzene-d5 96 38-127 74 38-127 Phenol-d5 84 28-128 65 28-128 Terphenyl-d14 90 10-148 77 10-148 2,4,6-Tribromophenol 100 41-144 62 41-144 TCLP Herbicides Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/8151A 8151A 1 09/30/20211924 CMF 09/28/2021 2234 16876 09/21/2021 2318 CAS Analytical Parameter Number Method Result Q LOQ Units Run 2,4-D 94-75-7 8151A ND 0.020 mg/L 1 2,4,5-TP (Silvex) 93-72-1 8151A ND 0.0050 mg/L 1 Surrogate Run 1 Acceptance Q % Recovery Limits DCAA 83 50-112 PCBs by GC Run Prep Method Cleanup Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3550C 366013/3665A 8082A 1 10/08/2021 1206 DAL1 10/06/2021 1859 17896 CAS Analytical Parameter Number Method Result Q LOQ Units Run LOQ - Limit of Quantitation B - Detected in the method blank E - Quantitation of compound exceeded the calibration range Q - Surrogate failure ND - Not detected at or above the LOQ N - Recovery is out of criteria P - The RPD between two GC columns exceeds 40% L - LCS/LCSD failure H - Out of holding time W - Reported on wet weight basis S - MS/MSD failure Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 6 of 12 Client:Terra Renewal Services, Inc. Laboratory ID:WI18028-001 Description: Wayne Farms/Dobson Matrix: Solid Date Sampled:09/16/2021 1430 % Solids: 16.4 09/21/2021 2220 Date Received:09/17/2021 PCBs by GC Run Prep Method Cleanup Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3550C 366013/3665A 8082A 1 10/08/2021 1206 DAL1 10/06/2021 1859 17896 CAS Analytical Parameter Number Method Result Q LOQ Units Run Aroclor 1016 12674-11-2 8082A ND Q 100 ug/kg 1 Aroclor 1221 11104-28-2 8082A ND Q 100 ug/kg 1 Aroclor 1232 11141-16-5 8082A ND Q 100 ug/kg 1 Aroclor 1242 53469-21-9 8082A ND Q 100 ug/kg 1 Aroclor 1248 12672-29-6 8082A ND Q 100 ug/kg 1 Aroclor 1254 11097-69-1 8082A ND Q 100 ug/kg 1 Aroclor 1260 11096-82-5 8082A ND Q 100 ug/kg 1 Run 1 Acceptance Surrogate Q % Recovery Limits Decachlorobiphenyl 109 41-132 Tetrachloro-m-xylene N 117 35-106 TCLP Pesticides Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/3520C 8081B 50 10/04/20211640 DAL1 09/29/2021 1530 16993 09/21/2021 2318 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run gamma-BHC (Lindane) 58-89-9 8081B ND 0.020 0.0085 mg/L 1 Chlordane 57-74-9 8081B ND 0.20 0.075 mg/L 1 Endrin 72-20-8 8081B ND 0.020 0.0075 mg/L 1 Heptachlor 76-44-8 8081B ND 0.020 0.0075 mg/L 1 Heptachlor epoxide 1024-57-3 8081 B N D 0.020 0.0080 mg/L 1 Methoxychlor 72-43-5 8081 B N D 0.080 0.011 mg/L 1 Toxaphene 8001-35-2 8081 B ND 0.40 0.15 mg/L 1 Run 1 Acceptance Surrogate Q % Recovery Limits Decachlorobiphenyl 81 20-131 Tetrachloro-m-xylene 90 26-132 CVAA Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 7471 B 7471 B 1 09/24/2021 1449 CMS2 09/23/2021 1648 16284 CAS Analytical Parameter Number Method Result Q LOQ Units Run Mercury 7439-97-6 7471B ND 0.43 mg/kg 1 LOQ - Limit of Quantitation B - Detected in the method blank E - Quantitation of compound exceeded the calibration range Q - Surrogate failure ND - Not detected at or above the LOQ N - Recovery is out of criteria P - The RPD between two GC columns exceeds 40% L - LCS/LCSD failure H - Out of holding time W - Reported on wet weight basis S - MS/MSD failure Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 7 of 12 Client:Terra Renewal Services, Inc. Laboratory ID:WI18028-001 Description: Wayne Farms/Dobson Matrix: Solid Date Sampled:09/16/2021 1430 % Solids: 16.4 09/21/2021 2220 Date Received:09/17/2021 TCLP Metals Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/3010A 6010D 1 09/23/20211417 JMH 09/23/2021 0300 16234 09/21/20212318 1 1311/7470A 7470A 1 09/23/2021 1848 CMS2 09/23/2021 1410 16304 09/21/2021 2318 CAS Analytical Parameter Number Method Result Q LOQ Units Run Arsenic 7440-38-2 6010D ND 0.15 mg/L 1 Barium 7440-39-3 6010D ND 0.25 mg/L 1 Cadmium 7440-43-9 6010D ND 0.050 mg/L 1 Chromium 7440-47-3 6010D ND 0.10 mg/L 1 Lead 7439-92-1 6010D ND 0.10 mg/L 1 Mercury 7439-97-6 7470A ND 0.0020 mg/L 1 Selenium 7782-49-2 6010D ND 0.20 mg/L 1 Silver 7440-22-4 6010D ND 0.10 mg/L 1 ICP-AES Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3050B 6010D 1 09/23/20211604 JMH 09/23/2021 0339 16114 2 3050B 6010D 1 09/24/20210719 JMH 09/23/2021 0339 16114 CAS Analytical Parameter Number Method Result Q LOQ Units Run Aluminum 7429-90-5 6010D 280 38 mg/kg Arsenic 7440-38-2 6010D ND 1.4 mg/kg Cadmium 7440-43-9 6010D ND 0.48 mg/kg Calcium 7440-70-2 6010D 6100 480 mg/kg Copper 7440-50-8 6010D 130 0.96 mg/kg Lead 7439-92-1 6010D ND 0.96 mg/kg Magnesium 7439-95-4 6010D ND 480 mg/kg Molybdenum 7439-98-7 6010D ND 3.8 mg/kg Nickel 7440-02-0 6010D ND 3.8 mg/kg Potassium 7440-09-7 6010D 1200 480 mg/kg Selenium 7782-49-2 6010D ND 1.9 mg/kg Sodium 7440-23-5 6010D 770 480 mg/kg Zinc 7440-66-6 6010D 190 4.8 mg/kg LOQ - Limit of Quantitation B - Detected in the method blank E - Quantitation of compound exceeded the calibration range Q - Surrogate failure ND - Not detected at or above the LOQ N - Recovery is out of criteria P - The RPD between two GC columns exceeds 40% L - LCS/LCSD failure H - Out of holding time W - Reported on wet weight basis S - MS/MSD failure Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 8 of 12 Chain of Custody and Miscellaneous Documents Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.com Page 9of12 PACE ANALYTICAL SERVICES, LLC r� n dGo} �r .A z 2 Sri S fl +a m tm T U] C M o U � Fr 2 W r M ei � � m i 0 s cu w i a : P a z C � �y 8 C N CF W �(yy iG - � r IN 5VMI �5 HOIN fl, � 7G53H 4 � .. m 'aaabrn x x W. X, Xx F h ijaW x ;� m Plus a l 4u+u— �— �u m a An 0 Y' ar. 6- 018 C: a e X 7 t 2 Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.corn Page 10 of 12 PACE ANALYTICAL SERVICES, LLC North Carolina Permit Param elers 2_ Rduals sill he analy7pd to daoioastrote Choy arc tree vns"kio and PjM'uvtxy Art (Rj7RA). The an cs carroslvify, ignitnblUiy, reuetivi and tnxiclt cllarncterlsCec les�c );iris pracgd9lre 1'C Ll Sha , Llttency SyerCie�i i Altauhra ,nt A, an$ ibo Pri•mitoee shall maintain t lese results far a ALi it uum of � �w- years- An eXCWiOnS i-r01 the rrcluirements it be spccificd ire A�t=hrnOzt A. Z ""be TCLP aBOiP;ii; Mail iuc111de 11,e Xullowing Pztaar eters (tho ragiclatM level in milligrMs h is in parenfliews) ATaordo {5-0) 19 arirw (100.0) Bu7&$e (05) -- cadativar (1-0) C:a-hcm Mtradkridc (0.5) C for sn (0,03) Chloroba,2er,e (100, 0) L`lden irimm (6-0) chmmium m-C sol (WO.0) 4-Crescl (200-0) p-esul �200,4) CIMOL. 1,1;-Di,hlOraheazene +4U) 1,2-Dichl-amekbana (0.5) 1,1-Dich1DrOethylene 40.7) 2,4-Dinitrotoluenc ((), _ 3) Eudri i (0,02) Yiemaaur&=m one (0-1S) 4tacUor (at7rl i*<S hydmxide) llcxachloro-O-batadiBna (Q 5) I-les;ach.larc�th,ane (3,0} Mffeny (0.2j Tv1e#lroxyc lcr(10,0) I Ity[?henr. ±3p (2.0) _L P�nkac111oropPx of (100-0) 6MiUE (1-0) Silver (5-0) TetradiloroeCaykac Taxapheae (0-5) Triajornethyle= (M) 2A5-Trichlomphemol f400-0) 2A6-Trl61wuphmo1(2.U) 2,4,5-TP (Silwx) (1,0) Vinyl chloride (0.2) 3, An analysi€ sl-U br cD-dmted on ruskluzh fum each eom--ca Seaea'a[i g faci[ity at the frelnanc�y spcoifitid is ,P Lachment A and the l-'c=ittl2e aUll maintain tilt res-.ohp fDr a miniirri111 of rAv� yrrrs, Tfu. €nal}si 6 shall awlude the fta wfing par=a!=- Alu rr4 m 4 ,4atmonia-Nift)ogea A sede - wCadralum Calcium Copper ta,l Z) hlastteuum mury putar.6iala € hialybdentsm ]cl; um Nic kcl Sodium i r Fitrntc-wifiite Nkmgcra Perez. Total Solids PH- Phospltorut TERRA RENEWAL SERVICES 47�-747-8192 WQOU6936 Vcrgra 1,0 W11 Vcra:au 140210 'Lli1* i zll1C 1lola&- Solids Poe's i'dq �!_ Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.corn Page 11 of 12 PACE ANALYTICAL SERVICES, LLC ----� ._ — :r iri 10 Samples P-1pt Checldist [SRO �M[00m n) aceAlt }d�caf !suing Authority: Pate =NV -WCO I ' R� aMpie Reed Cheeklist ( JZC`) TERRA Client: — Cvcler Ins coed bird,-X: JR02 r awr1 72: T.Or fl: w111029 Means of j%_,uript; Pace C;liert UJ'IJ f etEEar C)thEr Y: s No 1, Were r4 MV !ll II present on die. uunlat'? Yas Flo hT, 2. �f oustody %mis iyerq xe9eri, ware t�e$v intact and :Inbrok4;1? Fi Str!P [D. "'• _ C:hlorbtie Scrip 1L}: Tested r final firm eras rre '— — P rwra roeeipt!T criwed (eor' ere,ljtembeelC-IJrOUP0111 rMaipt %SDlid Saap-C_dI lD: 2 ?.8 r 5.8 a * KA /1xA oC I*�A INA y, KA {T{Ik u� I ntltad; ❑ l e ,p� mane f3lank �4uaillsr a cttles IR uun I D 5 TR Oun Cor=tion frujor: 0 hfechud o f Coolant; © L`vN toe Q fee PBCkE ❑ Di : lee Norw 1 •. lyZB ° LjYes ❑ No ❑NA 3. If ter±]pciadlat *F arty :.Drr]er oxoet clad b,{)°C, was P_xsiect Maikapr NOdr3nd? PM was NQtifed by; phone r caeaii 1 f=r-10-t$cc (circld tme), +r Yes Nu _DNAA! Is lha commaroiaa rotvicr's parking sli attached :a this form'? ✓ Yes Nal 5. IYcre pmp ou tor}y Tmrcarltn s ra'inquishetlleoceived fo-JIII Y' 6_ WWI Iwnple ]T]g hared Dn the CCUC? I i rp E)WWurepie Tl?s l:sted on all sactp]cC4r1airers? <tJQn dRtC & Lim4 Ilsted wt the.O etion date &' tittle listed on all san,plu corrEafner,7il rrtaiuee]ub_]infnrniatio„OD date time} u t[ihthe C7 Wei 0 lamb tobc perfbrrrliri I-sred on thv4DOC? 1 ; Ye:; ❑ Nu I12. Did all samples arrlvc in the proper r:antauoerg fnr each umt aadlor ire good oundi#;ori (linbTolccn, lids Ord Ox.)? d Yes No I3_ Wus adequam saoiplc rolumeayailaala? ✓ Yes No ]d, Wern all Wrnplesreceived within ya M-C holding time or4S ]eos,n, uhiehcvor comb- fir. YCs No TS_ V oe ; any s�Mplascontrunars mLssi_Ia-1I (circle one) wimples Not Iked (M C Yes ❑ No 16. Yor V0�1 aria TkSi4-175 saujpit!%, weave bubbles preGmr "txa-give" (If."au• 61nm i d'. ❑ JN in zany of tho VOA via]s? Yes No V NA 17_ Were all Ga L-Cceived at z pH v2' Yes 3 r T,]A 18, Wo:-e all cyanide sr 10s Mcei Vt:d H1 E) > 1 :ved suJtide sample reroived aL tt pFl ? ❑Yes ❑ to �NA :4. ai�a.11 ap Rcablc ll�,rf7C rcyanede'p7rr�,ol;b?S_!! B.3 { ,Smg�L} S;�r[epleg fiese of residual chlorinr? ❑ Yes ❑No QNA ciiattrernrrlcvrequasts(i_e_ FQTLes;eddilutitsns,1w1S1 SD desigr,atiorts, eta.-, C6rrWt!y frtuMcribCd frartl IhcI {RUC i110 the ramment ~ration in JAMS'? I I lfrs If N'0 2 1 - bole numbeer iisned ors I conluirter ]ahel? ifVe.4. O(Inte 4L rah Samp1e 1"951Mtir2ti" (IIIII 9r be campleind F,,r F.F"w sumple(s) inCcrrecEly PTICS&rvr { with hea i.spoc _) Sar t j(s)�aaeiw�d 311Mfrc"ly 7'ewerved and wc-e adjusted a in sampio receiving ■t'11h NA rnL of6ric ore, 112SU4, HN0 3, IMI, NaOH using SR'f KA _ Time ofpre;ersa�Fion KA . 1f1a7urctnan OrlCpres�rt�ati►+e isneedCi', pl�aseriote intile wminea,#5 belnw, awn pte(sj NA .wel+erccei%T,1 wi-Ji birbb[cs:ems ntm iadia Sarnplc�(s) UA � —were retcivcd with TRC 0.5 m+jL (lfdl9 isua)and rdjuAcd acGordiligiv jrr, mnrpja rec-a-ving with sodium thia€ttJfafo ( fa252C}j) v1iFh Shealy !]]: NA At barWe. tabtil x appi ij�rF bv:: RG2 Date. 0911901 Cann rn mits: f202z) 1Df] Pace Analytical Services, LLC (formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.pacelabs.corn Page 12 of 12 Analytical Results Terra Renewal PO Box 306 Yadkinville, NC 27055 Receive Date: 09/09/2021 Reported: 09/13/2021 For: Wayne Farms: Dobson Comments: GEOMETRIC MEAN: 422,195 MPN/g STATESVILLE ANALYTICAL Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210909-08-01 Fecal Coliforms F1 34965 MPN/g SM92210E-2006 09/09/2021 MD 210909-08-01 Percent Solids F1 14.3 % SM2540e-2011 09/09/2021 MD 210909-08-02 Fecal Coliforms F2 642857 MPN/g SM92210E-2006 09/09/2021 MD 210909-08-02 Percent Solids F2 14.0 % SM2540e-2011 09/09/2021 MD 210909-08-03 Fecal Coliforms F3 1118881 MPN/g SM92210E-2006 09/09/2021 MD 210909-08-03 Percent Solids F3 14.3 % SM2540e-2011 09/09/2021 MD 210909-08-04 Fecal Coliforms F4 1151079 MPN/g SM92210E-2006 09/09/2021 MD 210909-08-04 Percent Solids F4 13.9 % SM2540e-2011 09/09/2021 MD 210909-08-05 Fecal Coliforms F5 652174 MPN/g SM92210E-2006 09/09/2021 MD 210909-08-05 Percent Solids F5 13.8 % SM2540e-2011 09/09/2021 MD 210909-08-06 Fecal Coliforms F6 357143 MPN/g SM92210E-2006 09/09/2021 MD 210909-08-06 Percent Solids F6 14.0 % SM2540e-2011 09/09/2021 MD 210909-08-07 Fecal Coliforms F7 354610 MPN/g SM92210E-2006 09/09/2021 MD 210909-08-07 Percent Solids F7 14.1 % SM2540e-2011 09/09/2021 MD Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 2 o� b n: �q w V LLLL U LLLL U LL U LL U LL U LL U LL U p y vY •Z^.Ca o 0 Z 0 Z 0 Z 0 Z 0 Z 0 ZCL V S y O EY V ❑ ❑ ❑ Z) D � c L NLA Ij- v ❑ ❑ ❑ ❑ ❑ ❑ ❑ _� CDE U d O -O C E N Q U G ~ aA >. -aN Q O_ O_ O. O. O_ O_ c� N O O O � H 2 U Z w v e E o m E 0 p E 0 E 0 E 0 a� E 0 m G= E 0 ? E 2 I W ` 0. y U U U U U U U _c LLLLLLLLLLLLLL m� o 0 0 0 xQ E L✓ 3 E E E E a_ O. a O. ` i LL j (a w C o © E E E E E E H 1— F— I— � � J � d nS k c o N E c a O o C 7 � o a o� a cl: _8 a 5; e -E On CO ,v o �n V N CA _ co d 1 1 l m m m d 0 1 1 ❑ ❑ ❑ ❑ p� OC Q a> >, 0 C L o E E E E r O_ O. nj O_ 0_ " cc M O C 'may J E E" E E C c6 cC C N cu LL CO m m O cu ❑ j, > LPL Ili LnL E m a cC ❑ f cn � d U tz LO N o p .(D o 0 o¢ '� 3 8 C `` t C E O () E a) a) m aa) D a"i p E E p E E U Q U CL ci 2 2 2 Q U1— C PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 2 ATTACHMENT - E: OPERATION & MAINTENANCE PLAN TERRA renewal PO BOX 399 • DARDANELLE • ARKANSAS • 72834 479.747.8192 terrarenewal.com OPERATION & MAINTENANCE PLAN Permit #: WQ0038087 (Last Revision: June 2019) OPERATION OVERVIEW: These operations are intended to provide residuals management for the proposed generating facilities listed in the "Residuals Source Facility Attachment" of Form RSC 11-13 of the corresponding permit application and Attachment -A of the finalized permit. The services include the removal of pretreatment D.A.F. residuals that are generated on a daily basis at most of the facilities. These residuals contain nutrients and organic matter that can be utilized as an effective fertilizer / soil amendment for agricultural purposes. They are non -hazardous and meet the qualifications for land application, per EPA 40 CFR 257 and North Carolina 15A NCAC 02T regulations. Terra Renewal Services, Inc is the Permittee for the land base associated with this permit is responsible for managing the land application of the residuals. The residuals will be land applied on local farm sites at agronomic rates. Detailed maps and site characterization for the sites are provided as part of the permit application. Agronomic rates are established based on county and soil specific Realistic Yield Expectations (RYE) provided by NCSU. The application rate of the residuals should not exceed the Realistic Nitrogen Requirements of the crop to be grown based on the amount of Plant Available Nitrogen (PAN) contained in the material. PAN is calculated, based on the most recent analysis, with the following equation: PAN = MR (TKN - NH3) + VR (NH3) + NO3 + NO2 MR = Mineralization Rate VR = Volatilization Rate TKN = Total Kjeldahl Nitrogen NH3 = Ammonia - N NO3 = Nitrate - N NO2 = Nitrite — N A Plant Available Nitrogen Summary is provided under Section III (Residuals Land Application Program), Item 4 of Form: RLAP 03-15 as part of the permit application. Tables summarizing the PAN requirements for proposed crops based on the RYE's for each field and predominant soil series are provided in the Soils and Agronomic Evaluation section of the permit application. Mineralization Rates & Volatilization Rates utilized for PAN calculation will be specific to the rates certified in the permit and the type of application required based on vector attraction criteria for each facility. The residuals are to be applied to the fields via subsurface injection or incorporation. Residuals will be transferred from holding tanks at the generating facility via vacuum pump onto sealed tanker trucks for transport to the land application sites. At the land application sites, residuals Page 1 of 6 may be transferred from the tankers directly to the application equipment or to mobile frac tanks (b/w 18,000 and 24,000 gallon capacity) that are utilized for staging purposes. All transfers will be conducted via 4-inch steel reinforced umbilical hoses with cam lock fittings and vacuum pumps mounted on the tankers or the spreading equipment. The application equipment may include an Ag-Chem Terragator with a +/- 4,000 gallon tank or a spreader buggy with a 4,600 or 6,000 gallon tank pulled by a farm tractor. Both are mounted with high flotation tires and vacuum / pressure pumps. A subsoil injection system may be utilized, or the residuals may be surface applied followed by incorporation at time frames specified in the permit. These are the methods by which Vector Attraction Reduction requirements will be met. Application equipment will be calibrated when application rates change to ensure that agronomic rates are met and the residuals are evenly distributed. Mobile frac tanks may be used for staging and transfer of residuals during normal spreading operations at active land application sites. Residuals in the frac tanks may be held at the site during periods of inclement weather, or when land application is precluded. When land application activities resume, the residuals in the frac tanks will be removed and land applied. When application to a site is complete, the frac tanks will be emptied and moved to the next site. Empty frac tanks may be stored at the land application program base of operations. Long term storage of residuals may only be performed at permitted storage facilities. A separate O&M Plan for the storage facilities has been developed and approved as part of the permitting process. The residuals will be land applied in an agronomic manner based on the requirements set forth by the NCDENR DWR and the conditions of the permit. Agronomic rates will be limited by the nitrogen requirements of the crop to be grown based on the NCSU RYE. If crops to be grown differ from those listed as the "proposed crops" in the permit application, then the appropriate application rate will be set based on the NCSU RYE data for the specific site and crop to be grown. Soil pH will be adjusted based on site specific soil analysis with application rates based on the recommendation of the laboratory agronomist. Liming of the fields will be performed at the earliest convenience based on timing of application and crop rotations, but will be performed within the calendar year when application to a field occurs. The target soil pH will be set by the laboratory agronomist and by the conditions of the permit. The properties proposed for land application and storage are privately owned and are not public contact sites. Access to the sites is controlled by the landowners and operators. During active application, access will also be controlled by Terra Renewal personnel or its contractors. The landowners and farmers will be notified of the 30-day public access restriction prior to any land application. Signage for public notification prior to application and for the purpose of controlling public access to the site for 30 days after application will be posted based on the requirements of the permit. All signage will be supplied and posted by Terra Renewal personnel or its contractors. Personnel involved in the application of residuals will be provided a "field book" that contains a set of buffer maps and appropriate application rates for each field. Each individual will be briefed on the sensitive features of each field and limits established by the ORC prior to application. Page 2 of 6 INSPECTIONS: Inspections will be performed by the Operator in Responsible Charge (ORC) The Primary ORC is: Luke Mathis; LJC Environmental Certification # LA1003524 Contact: (336) 614-7509; Ismathis(a gmail.com The Backup ORC is: David C. Coyle; Environmental Manager, Terra Renewal Certification # LA995723 Contact: (479) 747-8192; david. coy lea-terrarenewal.com Will Hodges; Environmental Manager, Denali Water Solutions Certification # LA997282 Contact: (864) 871-4478; will.hodgesadenaliwater.com John Pipkin; Environmental Manager; Denali Water Solutions Certification # LA990262 Contact: (479) 264-5383 Inspections will occur as often as necessary to ensure that the land application program is conducted properly and within the guidelines of the permit. Inspections will concentrate on fields being actively applied as well as the most recent fields for which residuals application is complete. Fields scheduled for application will also be inspected to determine soil and field conditions that may prohibit operation. Inspections will consist of on -site evaluation of the residuals application and will include, but are not limited to, the following: • adherence to buffers / setbacks • active runoff or conditions that may promote runoff • presence of nuisance conditions (odors, vectors, etc) • uniformity of application • presence or potential for surface ponding or saturation • effectiveness of incorporation methods • cleanliness of loading / unloading areas • weather conditions • soil conditions • adherence to RYE - PAN application rates based on field logs and percentage of field applied Data will be recorded in a log based on the frequency of inspection. In the event that noncompliance is observed, the ORC will instruct the appropriate personnel to cease operation in the areas relative to the noncompliance and give instructions for correction. If an occurrence of noncompliance results in an immediate hazard to public health or contamination of surface or ground water, the ORC will mobilize sufficient resources to effectively respond to and contain the situation. If necessary, the ORC will contact local officials and / or the regional NCDENR office to report the occurrence. All noncompliance matters will be recorded in the inspection logs. Page 3 of 6 SAMPLING & MONITORING: Sampling and monitoring will be performed by qualified personnel through the direction and assistance of the ORC and Terra Renewal Environmental Manager. Sampling procedures, for both residuals and soils, will be performed in a manner that produces a representative sample of the material to be analyzed. Residuals Samplincr Sampling and monitoring of residuals will be performed based on the amount of dry short tons of residuals land applied in a calendar year per 15A NCAC 02T .1111. The monitoring frequency will be as follows: Dry Tons Applied short tons per ear Monitoring Frequency Established in 40 CFR 503 and 15A NCAC 02T .1111 < 319 1 / Year => 319 - < 1,650 1 / Quarter (4 times per year) => 1,650 - < 16,500 1 / 60 Days (6 times per year) => 16,500 1 / Month 12 times per ear *Monitoring frequencies are based on actual dry tons applied per year. Agronomic rates will be adjusted accordingly based on these data. All samples will be analyzed by a North Carolina Certified Laboratory for the following parameters: I► NETC-1 Arsenic Cadmium Copper Lead Mercury Molybdenum Nickel Selenium Zinc Nutrients & Other: Aluminum Ammonia -Nitro en Calcium Magnesium Nitrate -Nitrite Nitrogen ph Phosphorus Potassium Sodium Total Kjeldahl Nitrogen % Total Solids % Volatile Solids Page 4 of 6 Samples will also be analyzed for Fecal Density to confirm that Pathogen Reduction Requirements are being met per the conditions of the permit. At least one sample per year will be analyzed for the following TCLP parameters to ensure that no hazardous constituents are present. TCLP parameters will include the following: TCLP: H for Corrosivity Heptachlor and its Hydroxide Flash Point for Ignitability Hexachlorobenzene Sulfides & Cyanides for Reactivity Hexachloro-1,3-Butadiene Arsenic Hexachloroethane Barium Lead Benzene Lindane Cadmium Mercury Carbon Tetrachloride Methoxychlor Chlordane Methyl Ethyl Ketone Chlorobenzene Nitrobenzene Chloroform Pentachlorophenol Chromium Pyridine m-Cresol Selenium o-Cresol Silver -Cresol Tetrachloroeth lene Cresol Toxa hene 2,4-D Trichloroeth lene 1,4-Dichlorobenzene 2,4,5-Trichloro henol 1,2-Dichloroethane 2,4,6-Trichlorophenol 1,1-Dichloroethylene 2,4,5-TP (Silvex) 2,4-Dinitrotoluene Vinyl Chloride Endrin Soil Sampling: Composite soil samples will be collected for each delineated land application field in the respective calendar year for which a land application event occurs. Soil samples will be collected based on accepted agronomic standards and analyzed by a North Carolina Certified Laboratory for the following parameters: Standard Soil Fertility Analysis: Acidity Manganese Calcium % Humic Matter CEC pH Copper Phosphorus Base Saturation Potassium ESP Sodium Magnesium Zinc Page 5 of 6 SPILL PREVENTION & RESPONSE: For the purposes of this operation, a spill will be defined as: "The accidental release or discharge of a sufficient quantity of residuals, fuel, or other foreign material that cannot be effectively contained or removed by a single individual, with minimal effort, in a short amount of time. OR, the release of ANY quantity of foreign material into surface waters, wetlands, ditches, drainage areas, public rights of way, or adjacent properties." All spills and releases must be reported immediately to the ORC and Terra Renewal supervisor. All Terra Renewal employees and sub- contractors will be expected to understand and adhere to the following Spill Prevention & Response Procedures: For Spill Prevention, personnel shall take the following steps: • Ensure truck drivers watch trailer while loading. • Ensure hose connections and valves are properly secured while loading / unloading. • Ensure container hatches / lids are closed and secured while transporting. • Inspect container hatches / lids and replace as necessary. • Ensure loading / unloading operations in the field are conducted to minimize spillage. For Spill Response, personnel shall take the following steps: • Identify the source of the spill / discharge and attempt to curtail or stop the flow. • Immediately contact an ORC. Explain the situation as thoroughly as possible. This will allow them to assess the situation and provide instructions. • Familiarize yourself with the nearby terrain. If possible, try to contain the material or prevent it from flowing further or entering surface waters. • If you are able to contain the spill / discharge, attempt to vacuum up or collect the excess material before it can be absorbed into the ground, and/or prevent additional run-off. • Do not allow any non -operational individuals or bystanders to contact the material, even those offering assistance. • If at a source facility, contact the facility personnel at the location where you were working when the spill/discharge occurred. Do not alarm them. Be calm, exact, and to the point when describing the incident. Ask for their assistance if necessary. • Do not leave the area and do not remove or change any equipment. This will allow the ORC to determine the correct cause of the incident. • The ORC will contact the appropriate local officials and first responders if necessary. The ORC will contact and inform the regional office of the NCDENR. The ORC will contact any adjacent land owners onto which the spill encroached. • The ORC, with assistance from operational supervisors, local officials, and the NCDENR, will determine the appropriate action for containment, primary clean up, and any necessary remediation. • It is the responsibility of the ORC to follow up on all accidental spills / discharges. A standard Spill Report Form must be completed and turned into a Terra Renewal Environmental Manager. Sufficient resources, including personnel, vacuum trucks, machinery, hay bales, powdered lime, and hand tools, should be kept available to assist in cleaning up spills. Everyone participating in the operation will be provided a list of emergency contacts, including the Primary ORC, the Backup ORC, local first responders, and the regional office of the NCDENR. SAFETY: All Terra Renewal employees and its contractors will be expected to read, understand, and follow the guidelines set forth in the company's "Environmental, Health, & Safety" manual which is issued to each employee upon hiring. A copy of this manual will be provided to the supervisor of any contractors involved in the operation. A copy can be supplied to the DWR upon request. Page 6 of 6 SECTION 4: LAND APPLICATION SITE CERTIFICATION Form: LASC 06-16 0 o cz a z o •; � Q Q w Q o 0 0 0 0 o U U U U U o 0 0 0 0 U x x x x x U sue, 01 CO Vl CO 't Z r—� inn O vi vi vi vi vi a+ cmz c c C O a T T O O°23 F. N O N O O O U D A A N ..O 1 ^ U U U o z z z z z a� z 7t o ycC cct cct cz I� O z z z z z a .O O .O O O a y00 00 00 00 00 kn M V') a�+ • V) CO CO CO CO a M 01 N N N •+��+ O M M M M M N l� kr) Q N 1 1 1 1 t\ z t\ z 1 1 1 z z z c cz a ATTACHMENT - F: FIELD LOCATION & TOPOGRAPHIC MAPS _ r L. •tip 1-7 r �LL r AWLL Fled-W hite�asid=B�ue_ . i � �' "O .-.. c� r r - LL ,a w ry r r j. foot! `v a r... - c ' cr— O O O It u LL — M LL ur -C ' t-� UD LL.-* - 7 _ w -,vP 'L}'' •r r . M LD LL 4-49 �w 0 qqz—z Q U u �t U Z N -( > LU J 6 O � l ., =) Z �►� UO cn p Q� a r �i aowlr- Z •� cn W 3NtllS ' LU CL cn 1 �` A� f -- ( s • Q J Q J w ti� M I 10 it 1t 0 W w I N'd !� W ti H LL W LL C� o G W � o ►'4dol a wt Af .1� = alp W ri Q a '�00 � + a cn LL- �` r Y j S J 'I a N or ML 1 � f N LO C C g # . _ LL LL Lu a C U LL y . w Aft LL LL 41, �L z LL OL #.=+ _ a � 0 w .� Lu a o w Lu w � LL a �r ATTACHMENT - G: LANDOWNER AGREEMENT & SETBACK WAIVER FORMS State of North Carolina DWR 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 shalt submit one original and two copies of the agplication and supporting documentation For more information, visit the Water QuaU4, Permitting Sections Non-Disrhat le Pennining tInir. 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 .l 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 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. E3'A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLiCAT1ON OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: 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: Lease Land Use or Special note ::S;iteffield tD intended lase of Crops Residuals Source n (yeslno} Cropping Patterns (optiona[} (o-tilllover)eedl pasture) dr>'1F-17 jy� �j '�Cou C` Ar,nn.e�±`EtiA IGn.N�N C14-01. r./o ITZcu coeaP Ar..L..A, FGV-D 6fG4k N 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 l 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 sites) specifed by this Agreement. 2. Should the landowner or his representative lease or otherwise perm it the use oFthe land application sites) 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 I ] 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 Permitter- most request and obtain a permit modification from the Division In iur 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 Pemiittee. 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 ofeach soil analysis. &. Il'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 G.U, unless an agronomist provides information indicating that the pit of the soil, residuals and lime mixture is suitable for the specified crop, 9. The landowner of his representative and the Permittee will agree on residuals application rates and sell cdules 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 Pertnittee 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 raciIities on or near the land appiication 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. 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 [and application site(s). 2. Animals shall not be grayed on the land application sile(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 he 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 applicatior_ event. 4. Food crops with harvested parts that touch the residuaWsoil inixture 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 stall not be hanested 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, i11.ALTERNAT1VES FOR WATER SUPPLY ViWELLS INS]DE THE COMPLIANCF: BOUNDARY: (please check one) 15A NCAC 021, ,0107(d) prohibits water supply wells within the compliance boundary. However. 15A NC'AC 02T .010501l 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 Fallowing; ❑ A re -defined compliance boundary is needed for fields) ID: (Please include the rationale for the requested re -location of the compliance compliance boundary to the application package) 2-'A /A rc-defined compliance boundary is not needed for this site" IV. ACKNOWLEDGEMENT OFF] ELD TRANSFER: (if needed) boundary and attach a map showing the newly proposed ❑ The land application ficld(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 nrngram- (Name of the new program) FORM: LOA 06-I6 Paget of3 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 [and 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 naive: 6?A'rH r S K_(CaACA77I FE5 Address: �... , ..... r ........ ... . . a r City: ASJ MATHIS FARMS LWte: s [ v,a mHIr++5 MhM RD Phone: R RING RIVER, PVC 2BUt-mail address: rater ■ re.■.ar.r..�.►r•. Signature: � n NORTH COUNTY Zip: Date: U [ -a) ! z 1, the undersigned Notary Public do hereby certify that C personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the p�`�,........ day of Signature and: seal: My commission expires: Lessee's/Operator's Certification: ,20 ? � �_ � iQt►8UC I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/op 1A4q ,P41rQ,,:. i S� N]►�rrrr s fist 5 G �o (_�Kc .11A1W, S) � a■ a s .. r a f a Address:ASA N4ATlLtjS ' 615 MATHI,S FARM RD ' City: : ROARING R State: Zip: Phone: 1e"r*�•■r 4 + r a r ■ r+ I +E-mail address Signature: Permittee's Certifi Date: a/ ZC, IZ_ I certify that I have read th i s Agreem en t and do hereby agree to abide by the stipulations and restrictions as specified here in. officialsA Signing o cial name: rfAY 10 of. C�yc <rwfv,so. Mr�.•wc��rt Signature: —� r Date:���� z� FORM: I,OA 06-16 Page 3 of 3 State of North Carolina DWR Department of Environment and Natural Resources ❑ivision 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 ADAicant shall submit one on 'naI and two co ies of the a lication and supporting documentation For more information, visit the Water Qualitv Permitting Section's Non -Discharge Pei--iniainjz 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 1 SA NCAC 02T .I 100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Llnlrss otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation Iisted below. A. Land Owner Agreement (FORM: LOA 06-16): EX'SubMit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not male 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. 21"Prepare a separate agreement For each set of land application sites that are owned or operated by an entity other than the Applicant. Rr A copy of the completed and appropriately executed agreement must be provided to the landowner and Ole lesseeloperator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: �ERt 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 Land Lse or Residuals Source Special note (yes/no) Cropping Patterns Intended Use of Crops (no-tilllover-seedl [optional] pasture) ANIM11i-- Ac" 6R.wtN tic. Yes , i CAP Awl &fit- � G4AA1 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 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 Iease or otherwise permit the use of the land application sites) 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 ofthe site restrictions (under Section lq 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. 'fhe Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application sites) to a new landowner. In addition, the current landowner shall give a notice to the new Ian downer 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, inciuding an analysis of constituents of the residuals. residuals application methods. schedules For typical cropping patterns, a description of the equipment used by the Perrittee. 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 shalt be applied to achieve a final soil pH oFat least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the speci bed 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 wilt 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 far 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. Specitic residuals land application area boundaries shall be clearly marked on the land applications site(s) by the Perm ittec, the landowner his representative prior to and during a residuals land application event. , or 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 Irachate, surfaces 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 Permittee and/or the landowner or his represcntative to control public access to the land application sitc(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 gazed on the land application sites) 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 W harvested for a 30-day period to] towing a residuals land application event 4. Food crops with harvested parts that touch the residuaWsoil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. S. Food crops with harvested parts below the surfaoc 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. 11LALTERNATIVES 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 d1105 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) 2 A rc-dehned compliance boundary is not needed For this site. IV -ACKNOWLEDGEMENT OF FIELD TRANSFER. (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ Tho land owner hereby acknowledge that by signing this agreement, he/she is requesting that the fields) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-I6 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: I j -I- e, (on 5,eev a/1 Address: Ci ty: _ ' J o o r— _ Statc: Al C Zip: Phone: C 1 U-mai I address:_ i Signature: Date: NORTH CAROLTNA, 14leA u, a 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 band and official sea] this the / 0 day of Signature and seal: My commission expires: ��» [� - ':) V Lessee's1OAerator's Certification: 20� .��•�', Ag,�l IN fP Notary Public County 1, 07-20.2023 �Q ,g H ICAR'0\.�`�, 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; A ST- fi*TH, f FArL M r Address. G r 5-- MArkO_ I=g 4^ 'fib City: State: MG Phone: E-mail address: Signature: ' Permittee's Certifica L.W.f- MAJVAci) Zip: 12_7L4 9 Date: 4,111 z- f 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: ` o.r 4� • ��►ur a � Ew�� +� d . M A,+'A& 9&_ — Signature: Date: FORM: LOA 06-16 Page 3 of 3 State of North Carolina DWR 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 co ies of the application and sul2pQrting documentation For more iriforrnatio)A -visit the Water Quality Permitting Section's Nan-Dis�claarge Perptiltin Unil 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). Llriless otherwise noted, the Applicant shall submit one original and two copies ofthe application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): [ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. [► A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: 4 efe ow a L v 1 NG a 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: Lease Land Use or Residuals Source Special note SitclField tI] (yes/no) Croppingintended Use ot'Crops (no-fill/over-seed/ Patterns [optional} pasture) tic -6Jk-MkF-15 -5 RuwAO.,nRt- FIEC 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-I6 Page l of 3 I. STIPULATIONS: L The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 10 are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWP,Non-Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. The Permitine trust 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 Perm ittce 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 Perm ittec. 7. The Perrnittee 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. S. 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 sail 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 Penn ittee wi11 agree on residuals application rates and schedules hased 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 Perm ittee 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 Peinittee 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 sites) by the Perm ittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Perm ittee, local officials, and State officials or their repiesentatives to; enter and inspect any property, premises. or place on or related to the land application sitc(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring racilities on or near the land application sites) as required by the permit; copy any records that must be kepi under the terms and conditions or the permit; take necessary ieachate, surface water, groundwater, or soil samples during the term of and 12 months after termination of this Agreement. II. 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 sites) during active use and for the 12-month period following a residuals land application event. Such controls may include the pasting 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 pans that touch the residuaWsoil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. hood 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. I1LALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L AI07(d) prohibits water supply wells witltin the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal arm 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) Ill: (?]case include the rationale for the requested re -location of the compliance boundary compliance boundary to the application package) Q A re -defined compliance boundary is not needed for this site. IV. ACiiNOWLEDGEMENT OF FIELD TRANSFER: (if needed) and attach a map showing the newly proposed ❑ The land application fields) ID: is currently permitted under another residuals land application program; Permit Numher WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the fields) be removed from the previously permitted residuals land application program and transferred into the new program: (Name ofthe 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: f Q d t kA E[� Address: !J <�' . V �j City: State: C Zip: ge'�Z 1 Phone: E-mail address: Signatur . Date:ZAZ NORTH CAROLINA, COUNTY I, the undersigned Notary Public do hereby rtify that personally appeared before me this day and acknowledged the due execution of the forgoing instrument. a -rill WITNESS my hand and official seal this the day of_�LiVI-r�. Signature and seal: ... My commission expires: \\ A�� Lessee's/Operator's Certification: ,2a I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lesseeloperatd' Uffid:' - ' " - '' Address: ASJ MATil!I,_ City: Phone: Signatu Perm i ttee's State: Zip: Date. C�1C. i I certify that I have read this Agreement�land ��do hereby agree to abide by the stiypulations and restrictions as specified herein. Signing official name: Rj—e�_ Signature: Date: FORM: LOA 06-16 Page 3 of 3 ATTACHMENT - H: APPLICATION AREA & SETBACK MAPS �( � ]� s/ � \� "$ ) �) o - ( . • _ LL E22222L2/ K w § LL LOLr) � A a - I §§$§�«\ L//o§$� �$=§\ e Lu 2 LLC) Lu)�k\ � LL E )2E m \ 10 - ■ ^ �° ■ ; i \ \ )j:=2 § + Tto g : , a:° ai ■ §§{/ »§ /11 � o� E ■ » > )§ / \Zf �$ § \ 2 §� ZD mo - LLI )�\ \ : - \ )E@ +)!; / /)06 x F-<° \\§\ � o o- » \ % ƒ ) �ZR 7 EE » o /7E / / ■ _ ] ` � $ j \\\\ \ § § @ !2!£ 7 § § @ \ a. D 2 ) \{ ) \ k k : 1} «®f: E § \ § w e[; _ e / @E\\\ \ ) \ } 0- \ \ (}E ATTACHMENT - I: SOILS & AGRONOMY REPORT SOILS and AGRONOMY REPORT Permit # WQ0038087 — 2021 Modification Wilkes County Soil Series & RYE Evaluation: Only information and data pertaining to sites added in the 2021 modification to the above referenced permit are provided in this report. The RYE Summary sheet was revised from the previous permit application (2019 Mod) to include all new / proposed sites and existing sites. No changes were made to the soil series or crops on existing sites. RYE / PAN rate data were updated where necessary for any changes made by the NC State Extension since the last revision. NRCS soil maps were produced using Web Soil Survey for each field. These maps are provided as part of this report. The NRCS soil delineations, along with site specific topographic features, were utilized to determine the appropriate location for soil profile observations. Observations were conducted by a NC LSS using hand auger borings, which were advanced to a minimum depth of 36 inches or 12 inches below the depth of the seasonal high water table (shwt). Profile descriptions were recorded for each boring and are provided as part of this report. The shallowest depth and type of restrictive horizon were recorded for each boring. The soil profile was classified to the most closely related soil series based on the range of characteristics. Boring locations are shown on the "Application Area & Setback Maps" provided with the permit application. Based on the soil profile observations and the soils mapped by the NRCS, interpretations were made as to which soil series best represented the predominant series for a given field. The predominant soil series, as determined by the Soil Scientist evaluation, was used to develop Realistic Yield Expectations (RYE) for each field based on NCSU data. A summary is provided with this report that provides the field ID, net acreage, county, predominant soil series and slope, potential crops to be grown, and the realistic yield and nitrogen uptake of the crop. Enclosed: - RYE Summary Table - NRCS Soil Data - Soil Profile Descriptions / Evaluation Forms - Soil Test Results Soil Scientist: David Coyle NC LSS#1315 G�ypG.c lata North Carolina - Realistic Yield Expectation (RYE) Summary 2021 (Updated for Permit Modification) Permit #: WQ0038087 Permittee: Terra Renewal Services, Inc Field ID Net Acres County Predominent Soil Series & Slope Crop 1 PAN (lb/ac) RYE Crop 2 PAN (lb/ac) RYE CH-1 21.8 Wilkes DpC2 - Danripple 8-15% Corn (silage) 179 16.4 tons/ac Small Grains (silage) 82 7.4 tons/ac CH-2 19.3 Wilkes RyB- Ronda 0-5% Corn (silage) 162 13.7 tons/ac Small Grains (silage) 78 6.4 tons/ac CH-3 41.6 Wilkes BaB - Banister 1-6% Corn (silage) 285 26.6 tons/ac Small Grains (silage) 113 10.5 tons/ac CH-4 35.8 Wilkes CoA- Codorus 0-2% Corn (silage) 270 26.0 tons/ac Small Grains (silage) 95 9.0 tons/ac DF-1 8.8 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac DF-2 68.5 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac DF-3 35.5 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac DF-4 18.5 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac DM-3 11.4 Wilkes & Yadkin FCC2 - Fairview 8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac DM-5 21.0 Wilkes CCB2 - Clifford 2-6% Corn (silage) 246 22.5 tons/ac Small Grains (silage) 120 10.8 tons/ac DM-6 25.6 Wilkes CCB2 - Clifford 2-6% Corn (silage) 246 22.5 tons/ac Small Grains (silage) 120 10.8 tons/ac DM-7 32.6 Wilkes & Yadkin CCB2 - Clifford 2-6% Corn (silage) 246 22.5 tons/ac Small Grains (silage) 120 10.8 tons/ac DM-8 26.2 Wilkes & Yadkin CCC2 - Clifford 6-10% Corn (silage) 231 21.2 tons/ac Small Grains (silage) 112 10.1 tons/ac DS-1 53.6 Wilkes FCB2 - Fairview 2-8% Corn (silage) 207 19.0 tons/ac Small Grains (silage) 95 8.6 tons/ac DS-2 42.1 Wilkes FCB2 - Fairview 2-8% Corn (silage) 207 19.0 tons/ac Small Grains (silage) 95 8.6 tons/ac DS-3 33.6 Wilkes FCC2 - Fairview 8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac DS-4 28.7 Wilkes FCC2 - Fairview 8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac DS-5 16.0 Wilkes FCB2 - Fairview 2-8% Corn (silage) 207 19.0 tons/ac Small Grains (silage) 95 8.6 tons/ac DS-6 16.7 Wilkes DpC2 - Danripple 8-15% Corn (silage) 179 16.4 tons/ac Small Grains (silage) 82 7.4 tons/ac DS-7 23.8 Wilkes DpB2 - Danripple 2-8% Corn (silage) 212 19.5 tons/ac Small Grains (silage) 98 8.8 tons/ac DS-8 41.4 Wilkes PaB- Pfafftown 1-6% Corn (silage) 219 20.1 tons/ac Small Grains (silage) 101 9.1 tons/ac DS-9 41.2 Wilkes FCC2 - Fairview 8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac DS-10 6.3 Wilkes FCB2 - Fairview 2-8% Corn (silage) 207 19.0 tons/ac Small Grains (silage) 95 8.6 tons/ac ED-1 30.0 Wilkes DpC2 - Danripple 8-15% Corn (silage) 179 16.4 tons/ac Small Grains (silage) 82 7.4 tons/ac ED-2 14.8 Wilkes DpC2 - Danripple 8-15% Corn (silage) 179 16.4 tons/ac Small Grains (silage) 82 7.4 tons/ac ED-3 12.1 Wilkes BaB - Banister 1-6% Corn (silage) 285 26.6 tons/ac Small Grains (silage) 113 10.5 tons/ac ED-4 25.1 Wilkes DpC2 - Danripple 8-15% Corn (silage) 179 16.4 tons/ac Small Grains (silage) 82 7.4 tons/ac HP-1 15.9 Wilkes FCC2- Fairview 8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac HP-3 14.5 Wilkes FCC2- Fairview 8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac MF-6 22.5 Wilkes FCC2- Fairview8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac MF-8 12.7 Wilkes FCC2- Fairview8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac MF-9 13.2 Wilkes FCB2 - Fairview 2-8% Corn (silage) 207 19.0 tons/ac Small Grains (silage) 95 8.6 tons/ac MF-10 19.6 Wilkes FCB2 - Fairview 2-8% Corn (silage) 207 19.0 tons/ac Small Grains (silage) 95 8.6 tons/ac MF-11 22.5 Wilkes FCC2- Fairview8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac MF-13 33.8 Wilkes FCB2 - Fairview 2-8% Corn (silage) 207 19.0 tons/ac Small Grains (silage) 95 8.6 tons/ac MF-14 23.4 Wilkes FCC2- Fairview8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac MF-15 13.8 Wilkes FCC2- Fairview8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac MF-17 42.7 Wilkes FCC2- Fairview8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac MF-23 59.2 Wilkes FCB2 - Fairview 2-8% Corn (silage) 207 19.0 tons/ac Small Grains (silage) 95 8.6 tons/ac MRF-3 18.9 Wilkes DpC2 - Danripple 8-15% Corn (silage) 179 16.4 tons/ac Small Grains (silage) 82 7.4 tons/ac MRF-5 25.3 Wilkes DpB2 - Danripple 2-8% Corn (silage) 212 19.5 tons/ac Small Grains (silage) 98 8.8 tons/ac MRF-6 20.4 Wilkes DpB2 - Danripple 2-8% Corn (silage) 212 19.5 tons/ac Small Grains (silage) 98 8.8 tons/ac MRF-12 25.1 Wilkes PaB- Pfafftown 1-6% Corn (silage) 219 20.1 tons/ac Small Grains (silage) 101 9.1 tons/ac MRF-13 41.0 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac MRF-14 18.5 Wilkes DpC2 - Danripple 8-15% Corn (silage) 179 16.4 tons/ac Small Grains (silage) 82 7.4 tons/ac MRF-15 34.9 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac MRF-20 52.3 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac MRF-21 27.8 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac MRF-22 31.4 Wilkes RyB- Ronda 0-5% Corn (silage) 162 13.7 tons/ac Small Grains (silage) 78 6.4 tons/ac RJ-1 20.6 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac RJ-2 57.8 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac RJ-5 45.1 Wilkes DaA- Dan River & Comus 0-4% Corn (silage) 237 21.8 tons/ac Small Grains (silage) 103 9.3 tons/ac RJ-7 24.6 Wilkes FCB2 - Fairview 2-8% Corn (silage) 207 19.0 tons/ac Small Grains (silage) 95 8.6 tons/ac SP-1 12.7 Wilkes FCC2- Fairview 8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac SP-2 26.8 Wilkes FCC2- Fairview 8-15% Corn (silage) 174 16.0 tons/ac Small Grains (silage) 80 7.2 tons/ac TA-1 32.3 Yadkin CCB2-Clifford 2-6% Corn (silage) 246 22.5 tons/ac Small Grains (silage) 120 10.8 tons/ac WB-1 23.2 Wilkes RyB- Ronda 0-5% Corn (silage) 162 13.7 tons/ac Small Grains (silage) 78 6.4 tons/ac YF-1 13.5 Yadkin NaB - Nathalie 2-6% Corn (silage) 203 18.6 tons/ac Small Grains (silage) 98 8.8 tons/ac YF-3 22.3 Yadkin CCB2-Clifford 2-6% Corn (silage) 246 22.5 tons/ac Small Grains (silage) 120 10.8 tons/ac YF-4 23.3 Yadkin CeB3 -Clifford 2-6% Corn (silage) 246 22.�tons/ac Small Grains (silage) 120 10.8 tons/ac YF-5 51.5 Wilkes & Yadkin FCC2 - Fairview 8-15% Corn (silage) 174 16.ac Small Grains (silage) 80 7.2 tons/ac YF-7 10.3 Wilkes FCB2 - Fairview 2-8% Corn(silage) 207 19.ac Small Grains (silage) 95 8.6 tons/ac NOTES: -RYE are based on predominant soil series for field and data provided by NCSU at https:Hrealisticyields.ces.ncsu.edu (adjusted rates November 2021) 506960 36o 13' 13" N r 36o 12' 54" N 506960 507030 507100 507170 507240 Map Scale: 1:2,810 if printed on A portrait (8.5" x 11") sheet. Myers $ N 0 40 80 160 240 A Feet 0 0 100 Z00 400 600 Map projection: Web Mercator Comer coordinates: WGS84 Edge tics: lfrM Zone 17N WGS84 usoA Natural Resources Web Soil Survey Conservation Service National Cooperative Soil Survey Soil Map —Wilkes County, North Carolina (WQ0038087 - Field # CH-2) 507030 507100 507170 507240 507310 507310 507380 36o 13' 13" N r 36o 12' 54" N 507380 11/9/2021 Page 1 of 3 m O U N s 2 0 U 0 Z U U- O U r U) 00 O YCO (`m O I0 Q O U Z O G O LL Z Ca G 0 Z /W V W J a O O U) U) U O 0-0 U O O E O) � U m m Q O N U O C E C U) E m y Zi y o)O O O C U) m m O- O � U m = a) = y E w w > O O a) C > Q O a) _0 -O U) 6 > Q � m U m y E E o a) m m m E0N O C m a) y U a) N E o) C E a) 0' a) -0 m y E N 7 Q N wE UU) O a) U) T m � m � N �U) � V � (n a) I 0) �� Q U U O y (U 0 0.— E a) E N '6 U) w -O +' U) N C E = Y U > m '6 >°' O m W — U a) O g u) .N a) a U E E > U)i -0 o L m 00 ..-� Q UT) 3� m a) U O 0 N U) U) - ' m Z U NO UU)) U E u) -6 C (U 0 d a) N 7 m Q N 0 L 2 a) E U w m m 0 2 U) yam.., o ao m L y C N m Z Q Q (6 y OC wQ >+ p 0a)§C O O EU O O a) a)Z- °' m 7 y U O N o w '6 U O m Q US E a) 0 m U N a) U O Q '6 O a) N Y> a) N a) m O o a) -co:U)J m� 0 N Q O U Q C .N UU)) a) U) 30 t N -0 a) Z E Q U m o (o m o a) a) m m a) m 0 O �-0 'E -O C y a) >, a) (6 m 7 ,U) C a) Q U) (6 O '6 m Q O m >' m g 3 U m Fu U .o Q m y.-� c 0 m s (n E a) a) U O m E m 3 U 0 O a) a) O 7 to O O N Q 7 O_ O a) m O) pL (U .— 0 -O O (OA N O U) y U� > Qa) U a) (U O E O y0 N_ N o) o—QN o)m m O a- .a? 2m U n� = L = O °? a) E m s a E >0 U> U 2 Q'O Q m H O U U U— inN H U. U) y � y 4 O R Q L Q (i O L >. 0 a) Q O J R a) O O O L Q U O Q R R p m d .O O N L y a U U) in > 0 U) in g J v Q � R C R � � a) * R 4 R5 R F m y C O O y Q 0 .� U) a° a° N c N a CL ay oQU >C >C >C a) a R o w 3 R >> o aO Q Q O ° o` LU Y Qo ao O o m >. a)O Q E O a) UQ)y 3 R O > o —oo 0 0 O O > n n n m o o m R o o 0 a m U) U) U) in U) U) w a R R� o� w ¢¢ ■� Q co Uo � U � a) m 'o � U Q _a O U m 0 m Z Soil Map —Wilkes County, North Carolina WQ0038087 - Field # CH-2 Map Unit Legend Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI CoA Codorus loam, 0 to 2 percent 0.7 3.0% slopes, frequently flooded DaA Dan River and Comus soils, 0 7.2 31.1 % to 4 percent slopes, occasionally flooded DpB2 Danripple sandy clay loam, 2 2.8 12.0% to 8 percent slopes, moderately eroded DpC2 Danripple sandy clay loam, 8 3.2 13.8% to 15 percent slopes, moderately eroded PaB Pfafftown fine sandy loam, 1 to 0.0 0.1 % 6 percent slopes, rarely flooded RyB Ronda loamy sand, 0 to 5 9.1 38.9% percent slopes, occasionally flooded W Water 0.2 1.1 % Totals for Area of Interest 23.3 100.0% USDA Natural Resources Web Soil Survey 11/9/2021 Conservation Service National Cooperative Soil Survey Page 3 of 3 \ azc()v _ _ aZOO� _ OD6a oosa ,aa a \ ) q § / ) ,ea a azoo� _ _ azoo� _ OD6a oosa \ kD ,»sa 0\ ¥o ) ®/ ] q § / ® ( m /§ g = § \ ) �\ / [ \@\ z »( § ) 2 q } ) / ) 00 7 2 � \ ) \ k \ » � §) > / \ E\ �\ ) E §/ ƒ _ ; � _ _) )> ) z )/ ,zs a 8� m O U � s 0 Z � a) 7 0 U U) 00 SY 00 7 U O 1CL 0 U Z O G O LL Z Ca G 0 Z /W V W J a O O U) U) U O 0-0 U O O E O) � U m m Q O N U O C E C U) E m y Zi y o)O O O C U) m m O- 0 � U m = a) = y E w w > O O a) C > Q O a) _0 -O U) 6 > Q � m U m y E E o a) m m m E0N O C m a) y U a) N E o) C E a) 0' a) -0 m y E N 7 Q N wE UU) O a) U) T m � m � N �U) � V � (n a) I 0) �� Q U U O y (U 0 0.— E a) E N '6 U) w -O +' U) N C E = Y U > m '6 >°' O m W — U a) O g u) .N a) a U E E > U)i -0 o L m 00 ..-� Q y 3� m a) a) U O 0 N U) U) - ' m Z U NO UU)) U E u) -6 C (U 0 d a) N 7 m Q N 0 L 2 a) E U w m m 0 2 U) yam.., o ao m L y C N m Z Q Q (6 y 0C wQ >+ p 0a)§C O O EU O O a) a)Z- °' m 7 y U O N o w '6 U O m Q US E a) 0 m U N a) U O Q '6 O a) N Y> a) N a) m O o a) -co:U)J m� 0 N Q O U Q C .N UU)) a) U) 30 t N -0 a) Z E Q U m o (o m o a) a) m m a) m 0 O �-0 'E -O C y a) >, a) (6 m 7 ,U) C a) Q U) (6 O '6 m Q O m >' m g 3 U m Fu U .0 Q m y.-� c 0 m s (n E a) a) U O m E m 3 U 0 O a) a) O 7 to O O N Q 7 O_ O a) m 0) pL (U .— 0 -O O (OA N O U) y U� > Qa) U a) (U O E O y0 N_ N o) o—QN o)m m O a- .a? 2m U n� = L = O °? a) E m s a E >0 U> U 2 Q'O Q m H O U U U— inN H U. U) y � y 4 O R O_ L Q (i O L a >. 0 a) Q O J R a) O O O L Q U O O_ R R p m 0_ .O O N L y a U U) in > 0 U) in g J v Q � R C R � � a) * R 4 R5 R F m y C O O y Q 0 .� U) a° a° N c N a ay oQU >C >C >C a) a R o w 3 R >> _o 'O Q Q O ° o` LOU Y Qo ao O o m >. a)O Q E O a) UQ)y 3 R O > o —oo 0 0 O O > U U U m o o m R o o 0 a m U) U) U) in U) U) w a R R� o� w +¢¢ ■� Q co Uo � U � a) m 'o � U Q _a O U m 0 m Z Soil Map —Wilkes County, North Carolina WQ0038087; Field # MF-17 Map Unit Legend Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI FaD Fairview sandy loam, 15 to 25 9.6 14.2% percent slopes FcB2 Fairview sandy clay loam, 2 to 14.1 20.9% 8 percent slopes, moderately eroded FcC2 Fairview sandy clay loam, 8 to 43.6 64.8% 15 percent slopes, moderately eroded Totals for Area of Interest 67.3 100.0% USDA Natural Resources Web Soil Survey 11/9/2021 Conservation Service National Cooperative Soil Survey Page 3 of 3 o 501800 36o 12' 55" N r g tb r r r r r 36o 12' 19" N 501800 501900 502000 502100 502200 502300 Map Scale: 1:5,470 if printed on A portrait (8.5" x 11") sheet. Meters $ N 0 50 100 200 300 A Feet 0 250 500 1000 1500 Map projection: Web Mercator Comer 000rdinates: WGS84 Edge tics: lfrM Zone 17N WGS84 usoA Natural Resources Web Soil Survey Conservation Service National Cooperative Soil Survey Soil Map —Wilkes County, North Carolina (WQ0038087; Field # MRF-13) 501900 502000 502100 502200 502300 5024W 502500 5024W 502500 0 36o 12' 55" N g tb r r r r 36o 12' 19" N kD 11/9/2021 Page 1 of 3 O U Z O G O LL Z Ca G 0 Z /W V W J a O O U) U) U O 0-0 U O O E O) � U m m Q O N U O C E C U) E m y Zi y o)O O O C U) m m O- O � U m = a) = y E w w > O O a) C > Q O a) _0 -O U) 6 > Q � m U m y E E o a) m m m E0N O C m a) y U a) N E o) C E a) 0' a) -0 m y E N 7 Q N wE UU) O a) U) T m � m � N �U) � V � (n a) I 0) �� Q U U O y (U 0 p .� E O E N '6 U) w -O +' U) N C E = Y U > m '6 >°' O m W — U a) O g u) .N a) a U E E > U)i -0 o L m 00 ..-� Q UT) 3� m a) U O 0 N U) U) - ' m Z U NO UU)) U E u) -6 C (U 0 d a) N 7 m Q N 0 L 2 a) E U w m m 0 2 U) yam.., o ao m L y C N m Z Q Q (6 y OC wQ >+ p 0a)§C O O EU O O a) a)Z- °' m 7 y U O N o w '6 U O m Q US E a) 0 m U N a) U O Q '6 O a) N Y> a) N a) m O o a) -co:U)J m� 0 N Q O U Q C .N UU)) a) U) 30 t N -0 a) Z E Q U m o (o m o a) a) m m a) m 0 O �-0 'E -O C y a) >, a) (6 m 7 ,U) C a) Q U) (6 O '6 m Q O m >' m g 3 U m Fu U .o Q m y.-� c 0 m s (n E a) a) U O m E m 3 U 0 O a) a) O 7 to O O N Q 7 O_ O a) m O) pL (U .— 0 -O O (OA N O U) y U� > Qa) U a) (U O E O y0 N_ N o) o—QN o)m m O a- .a? 2m U n� = L = O °? a) E m s a E >0 U> U 2 Q'O Q m H O U U U— inN H U. U) y � y 4 O R Q L Q (i O L a a >. a) 2 y a -yo O a) Q O J R a) O O O L Q U O Q R R p m d O O U O N N N y O R N L y a U U) in > 0 U) in g J v Q � R C R � � a) * R 4 R5 R F m y C O O y Q 0 .� U) a° a° N c N a CL ay oQU >C >C >C a) a R o w 3 R >> o aO Q Q O ° o` LU Y Qo ao O o m , a)O Q E O a) UQ)y 3 R O > o —oo 0 0 O O ' n n n m o o m R o o 0 a m U) U) U) in U) U) w a R R� o� w ¢¢ ■� Q co Uo � U � a) m 'o � U Q _a O U m 0 m Z Soil Map —Wilkes County, North Carolina WQ0038087; Field # MRF-13 Map Unit Legend Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI BaB Banister fine sandy loam, 1 to 9.1 21.5% 6 percent slopes, rarely flooded CoA Codorus loam, 0 to 2 percent 0.3 0.7% slopes, frequently flooded DaA Dan River and Comus soils, 0 17.2 40.8% to 4 percent slopes, occasionally flooded PaB Pfafftown fine sandy loam, 1 to 8.4 19.8% 6 percent slopes, rarely flooded RdE Rhodhiss fine sandy loam, 25 0.0 0.0% to 60 percent slopes RyB Ronda loamy sand, 0 to 5 7.3 17.3% percent slopes, occasionally flooded Totals for Area of Interest 42.2 100.0% USDA Natural Resources Web Soil Survey 11/9/2021 Conservation Service National Cooperative Soil Survey Page 3 of 3 Z iD OZOLOOb M „bT,BS o08 I y}� u'S (6 C O U � s LL O Z O U- U .- U) I a� 00 Sy o > m 0 o 0 O U) 096900b 0069Wb OVS900b 08L90ob OZL90ob 096900b 006900b OVS900b 08L90Ob OZL90ob Z 099900b N w 2 M „bT ,8S o08 o O N N d y}o u'S T a� 3 'o = M O aj c) Q -0 O Lf) U 2:o z 2 N .^y O �6 p N Z V O p W L� N p V W �> > X Q o lJ O O O � � V 0.0 m m N • >L � p p � L 7 y z � w � ZU 099900b z �o O U Z O G O LL Z Ca G 0 Z /W V W J a O O U) U) U O 0-0 U O O E O) � U m m Q O N U O C E C U) E m y Zi y o)O O O C U) m m O- O � U m = a) = y E w w > O O a) C > Q O a) _0 -O U) 6 > Q � m U m y E E o a) m m m E0N O C m a) y U a) N E o) C E a) 0' a) -0 m y E N 7 Q N wE UU) O a) U) T m � m � N �U) � V � (n a) I 0) �� Q U U O y (U 0 p .� E O E N '6 U) w -O +' U) N C E = Y U > m '6 >°' O m W — U a) O g u) .N a) a U E E > U)i -0 o L m 00 ..-� Q UT) 3� m a) U O 0 N U) U) - ' m Z U NO UU)) U E u) -6 C (U 0 d a) N 7 m Q N 0 L 2 a) E U w m m 0 2 U) yam.., o ao m L y C N m Z Q Q (6 y OC wQ >+ p 0a)§C O O EU O O a) a)Z- °' m 7 y U O N o w '6 U O m Q US E a) 0 m U N a) U O Q '6 O a) N Y> a) N a) m O o a) -co:U)J m� 0 N Q O U Q C .N UU)) a) U) 30 t N -0 a) Z E Q U m o (o m o a) a) m m a) m 0 O �-0 'E -O C y a) >, a) (6 m 7 ,U) C a) Q U) (6 O '6 m Q O m >' m g 3 U m Fu U .o Q m y.-� c 0 m s (n E a) a) U O m E m 3 U 0 O a) a) O 7 to O O N Q 7 O_ O a) m O) pL (U .— 0 -O O (OA N O U) y U� > Qa) U a) (U O E O y0 N_ N o) o—QN o)m m O a- .a? 2m U n� = L = O °? a) E m s a E >0 U> U 2 Q'O Q m H O U U U— inN H U. U) y � y 4 O R Q L Q (i O L a a >. a) 2 y a -yo O a) Q O J R a) O O O L Q U O Q R R p m d O O U O N N N y O R N L y a U U) in > 0 U) in g J v Q � R C R � � a) * R 4 R5 R F m y C O O y Q 0 .� U) a° a° N c N a CL ay oQU >C >C >C a) a R o w 3 R >> o aO Q Q O ° o` LU Y Qo ao O o m , a)O Q E O a) UQ)y 3 R O > o —oo 0 0 O O ' n n n m o o m R o o 0 a m U) U) U) in U) U) w a R R� o� w ¢¢ ■� Q co Uo � U � a) m 'o � U Q _a O U m 0 m Z Soil Map —Wilkes County, North Carolina WQ0038087; Field # MRF-14 Map Unit Legend Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI BaB Banister fine sandy loam, 1 to 6.0 31.4% 6 percent slopes, rarely flooded DpB2 Danripple sandy clay loam, 2 4.2 22.0% to 8 percent slopes, moderately eroded DpC2 Danripple sandy clay loam, 8 8.5 44.8% to 15 percent slopes, moderately eroded FaD Fairview sandy loam, 15 to 25 0.3 1.7% percent slopes Totals for Area of Interest 19.0 100.0% USDA Natural Resources Web Soil Survey 11/9/2021 Conservation Service National Cooperative Soil Survey Page 3 of 3 501430 36o 12' 30" N r 36o 12' 8" N Soil Map —Wilkes County, North Carolina (WQ0038087; Field # MRF-15) 501510 501590 501670 501750 501430 501510 501590 501670 501750 Map Scale: 1:3,280 if printed on A portrait (8.5" x 11") sheet. $ Meters N 0 45 90 180 270 A Feet 0 1y0 300 600 900 Map projection: Web Mercator Comer 000rdinates: WGS84 Edge tics: lfrM Zone 17N WGS84 usoA Natural Resources Web Soil Survey Conservation Service National Cooperative Soil Survey 501830 501830 a 501910 36o 12' 30" N r I, 1 36o 12' 8" N 501910 a m 11/9/2021 Page 1 of 3 O U Z O G O LL Z Ca G 0 Z /W V W J a O O U) U) U O 0-0 U O O E O) � U m m Q O N U O C E C U) E m y Zi y o)O O O C U) m m O- O � U m = a) = y E w w > O O a) C > Q O a) _0 -O U) 6 > Q � m U m y E E o a) m m m E0N O C m a) y U a) N E o) C E a) 0' a) -0 m y E N 7 Q N wE UU) O a) U) T m � m � N �U) � V � (n a) I 0) �� Q U U O y (U 0 p .� E O E N '6 U) w -O +' U) N C E = Y U > m '6 >°' O m W — U a) O g u) .N a) a U E E > U)i -0 o L m 00 ..-� Q UT) 3� m a) U O 0 N U) U) - ' m Z U NO UU)) U E u) -6 C (U 0 d a) N 7 m Q N 0 L 2 a) E U w m m 0 2 U) yam.., o ao m L y C N m Z Q Q (6 y OC wQ >+ p 0a)§C O O EU O O a) a)Z- °' m 7 y U O N o w '6 U O m Q US E a) 0 m U N a) U O Q '6 O a) N Y> a) N a) m O o a) -co:U)J m� 0 N Q O U Q C .N UU)) a) U) 30 t N -0 a) Z E Q U m o (o m o a) a) m m a) m 0 O �-0 'E -O C y a) >, a) (6 m 7 ,U) C a) Q U) (6 O '6 m Q O m >' m g 3 U m Fu U .o Q m y.-� c 0 m s (n E a) a) U O m E m 3 U 0 O a) a) O 7 to O O N Q 7 O_ O a) m O) pL (U .— 0 -O O (OA N O U) y U� > Qa) U a) (U O E O y0 N_ N o) o—QN o)m m O a- .a? 2m U n� = L = O °? a) E m s a E >0 U> U 2 Q'O Q m H O U U U— inN H U. U) y � y 4 O R Q L Q (i O L a a >. a) 2 y a -yo O a) Q O J R a) O O O L Q U O Q R R p m d O O U O N N N y O R N L y a U U) in > 0 U) in g J v Q � R C R � � a) * R 4 R5 R F m y C O O y Q 0 .� U) a° a° N c N a CL ay oQU >C >C >C a) a R o w 3 R >> o aO Q Q O ° o` LU Y Qo ao O o m , a)O Q E O a) UQ)y 3 R O > o —oo 0 0 O O ' n n n m o o m R o o 0 a m U) U) U) in U) U) w a R R� o� w ¢¢ ■� Q co Uo � U � a) m 'o � U Q _a O U m 0 m Z Soil Map —Wilkes County, North Carolina WQ0038087; Field # MRF-15 Map Unit Legend Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI DaA Dan River and Comus soils, 0 to 4 percent slopes, occasionally flooded 22.4 64.2% RyB Ronda loamy sand, 0 to 5 percent slopes, occasionally flooded 12.5 35.8% Totals for Area of Interest 34.9 100.0% USDA Natural Resources Web Soil Survey 11/9/2021 Conservation Service National Cooperative Soil Survey Page 3 of 3 SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: CH-2 Boring #: CH-2A Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Footslope @ Toe of Alluvial Terrace Slope: 4-5% down; 6-8% up Slope Shape: Linear Horizon Depth Texture Color Structure Cons. Mottles Ap 0-6 L 7.5YR 3/3 wk fn sbk v. fr BA 6-10 L 5YR 4/4 wk fn sbk v. fr Bt1 10-22 CL 7.5YR 5/6 mod med sbk firm Bt2 22-25 CL 7.5YR 5/6 mod med sbk fr few fine 1 OYR 6/4d Bt3 25-34 SCL 7.5YR 5/8 wk med sbk fr Ifew fine 1 OYR 6/2d; 7.5YR 4/3c BC 34-40 SCL 10YR 5/6 wk co sbk v. fr I com med 1 OYR 6/1 d; 5YR 4/6c Additional Comments: Depth to Seasonal Water Table: 25" Type of W.T. (apparent / perched): app Depth To Free Water Table: >40" Depth to Restrictive Horizon: 25" Type of Restrictive Horizon: shwt Drainage Class: Mod. Well Drained Taxonomy: Fine, mixed, active, mesic Aquic Hapludult Most Closely Related Soil Series: Banister Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. Coyle; #1315 Signature:�c S� SOIL C. SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: CH-2 Boring #: CH-213 Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Toeslope (alluvial terrace) Slope: 24% Slope Shape: Concave Horizon Depth Texture Color Structure Cons. Mottles Ap 0-8 LS 10YR 3/3 gr v. fr Bw1 8-16 SL 10YR 4/4 wk fn sbk v. fr Bw2 16-22 SL 10YR 4/3 wk fn sbk v. fr Bw3 22-36 SL 10YR 5/4 wk med sbk v. fr Bw4 36-40 SCL 10YR 5/4 wk med sbk v. fr Additional Comments: few fine mica in Bw3 & Bw4 Depth to Seasonal Water Table: >40" Type of W.T. (apparent / perched): N/A Depth To Free Water Table: >40" Depth to Restrictive Horizon: >40" Type of Restrictive Horizon: N/A Drainage Class: Well Drained Taxonomy: Fine -loamy, mixed, active, mesic Oxyaquic Dystrudept Most Closely Related Soil Series: Dan River Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. Coyle; #1315 Signature:�c S� SOIL C. SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: M RF-13 Boring #: MRF-13A Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Toeslope (alluvial terrace) Slope: 3-5% Slope Shape: Linear Horizon Depth Texture Color Structure Cons. Mottles Ap 0-6 LS 10YR 3/3 gr loose A 6-14 SL 10YR 4/4 wk fn sbk v. fr Bw 14-22 L 10YR 5/6 wk med sbk v. fr C 22-40 S 10YR 6/6 massive loose Additional Comments: common fine mica in C Depth to Seasonal Water Table: >40" Type of W.T. (apparent / perched): N/A Depth To Free Water Table: >40" Depth to Restrictive Horizon: >40" Type of Restrictive Horizon: N/A Drainage Class: Excessively Drained Taxonomy: Mixed, mesic Typic Udipsamment Most Closely Related Soil Series: Ronda Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. Coyle; #1315 Signature:�c S� SOIL C. SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: M RF-13 Boring #: MRF-13B Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Footslope (@ toe of alluvial terrace) Slope: 24% Slope Shape: Convex (narrow nose b/w two drains) Horizon Depth Texture Color Structure Cons. Mottles Ap 0-8 SL 10YR 3/3 wk fn sbk loose BA 8-18 L 10YR 4/3 wk med sbk v. fr Bt1 18-28 CL 10YR 5/6 mod med sbk fr Bt2 28-36 CL 10YR 5/8 mod med sbk fr few med 10YR 6/4d; 7.5YR 5/4c Bt3 36-40 CL 10YR 5/8 mod med sbk fr few fine 10YR 6/2d; com med 7.5YR 5/6c Additional Comments: Depth to Seasonal Water Table: 36" Type of W.T. (apparent / perched): app Depth To Free Water Table: >40" Depth to Restrictive Horizon: 36" Type of Restrictive Horizon: shwt Drainage Class: Well Drained Taxonomy: Fine, mixed, semiactive, mesic Typic Hapludult Most Closely Related Soil Series: Danripple Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. Coyle; #1315 Signature:�c S� SOIL C. SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: M RF-13 Boring #: MRF-13C Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Toeslope (alluvial terrace) Slope: 1-3% Slope Shape: Concave Horizon Depth Texture Color Structure Cons. Mottles Ap 0-6 SL 10YR 3/3 gr loose A 6-14 SL 10YR 4/4 wk fn sbk loose BA 14-20 L 10YR 4/4 wk med sbk v. fr Bt 20-40 CL 10YR 5/6 mod med sbk fr Additional Comments: Depth to Seasonal Water Table: >40" Type of W.T. (apparent / perched): N/A Depth To Free Water Table: >40" Depth to Restrictive Horizon: >40" Type of Restrictive Horizon: N/A Drainage Class: Well Drained Taxonomy: Fine -loamy, mixed, semiactive, mesic Typic Hapludult Most Closely Related Soil Series: Pfafftown Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. Coyle; #1315 Signature:�c S� SOIL C. SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: M RF-14 Boring #: MRF-14 Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Backslope Slope: 1-3% Slope Shape: Concave Horizon Depth Texture Color Structure Cons. Mottles A 0-8 SL 7.5YR 4/3 wk fn sbk loose BA 8-14 CL 7.5YR 4/4 wk med sbk v.fr Bt1 14-22 C 5YR 4/6 mod med sbk firm Bt2 22-34 C 7.5YR 5/6 mod med sbk firm Bt3 34-40 CL 7.5YR 5/8 mod med sbk fr few med 7.5YR 5/4d; 5YR 5/6 c Bt4 40-45 CL 7.5YR 5/8 mod med sbk fr few fine 1 OYR 6/1 d; com med 2.5 YR 4/6c Additional Comments: Depth to Seasonal Water Table: 40" Type of W.T. (apparent / perched): app Depth To Free Water Table: >45" Depth to Restrictive Horizon: 40" Type of Restrictive Horizon: shwt Drainage Class: Well Drained Taxonomy: Fine, mixed, semiactive, mesic Typic Hapludult Most Closely Related Soil Series: Danripple Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. Coyle; #1315 Signature:�c S� SOIL C. SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: M RF-15 Boring #: MRF-15A Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Toeslope (alluvial terrace) Slope: 24% Slope Shape: Concave Horizon Depth Texture Color Structure Cons. Mottles Ap 0-8 SL 10YR 3/3 gr loose Bw1 8-12 L 7.5YR 4/4 wk med sbk v. fr Bw2 12-24 L 10YR 5/4 wk med sbk v. fr C 24-34 LS 10YR 5/4 massive loose 2C 34-40 SiL 10YR 5/6 massive v. fr Additional Comments: Depth to Seasonal Water Table: >40" Type of W.T. (apparent / perched): N/A Depth To Free Water Table: >40" Depth to Restrictive Horizon: >40" Type of Restrictive Horizon: N/A Drainage Class: Well Drained Taxonomy: Course -loamy, mixed, active, mesic Fluventic Dystrudept Most Closely Related Soil Series: Comus Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. Coyle; #1315 Signature:�c S� SOIL C. SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: M RF-15 Boring #: MRF-15B Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Toeslope (alluvial terrace) Slope: 1-3% Slope Shape: Concave Horizon Depth Texture Color Structure Cons. Mottles Ap 0-6 SL 10YR 4/3 gr loose A 6-14 SL 10YR 4/4 gr loose C1 14-26 LS 10YR 5/4 massive loose C2 26-40 SL 10YR 5/6 massive loose com fine 10YR 4/3 Additional Comments: Depth to Seasonal Water Table: >40" Type of W.T. (apparent / perched): N/A Depth To Free Water Table: >40" Depth to Restrictive Horizon: >40" Type of Restrictive Horizon: N/A Drainage Class: Excessively Drained Taxonomy: Mixed, mesic Typic Udipsamment Most Closely Related Soil Series: Ronda Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. Coyle; #1315 Signature:�c S� SOIL C. SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: M F-17 Boring #: MF-17A Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Backslope Slope: 8-10% Slope Shape: Linear Horizon Depth Texture Color Structure Cons. Mottles Ap 0-8 SL 7.5YR 4/4 wk fn sbk loose Bt1 8-14 C 2.5YR 4/6 mod med sbk fr Bt2 14-22 CL 10R 4/6 mod med sbk fr BC 22-26 CL 2.5YR 4/6 wk med sbk v.fr BC/Cr 26-32 SCL 2.5YR 4/8 wk med sbk v.fr C/Cr 32-40 SL 2.5YR 4/8 massive v.fr Additional Comments: Depth to Seasonal Water Table: >40" Type of W.T. (apparent / perched): N/A Depth To Free Water Table: >40" Depth to Restrictive Horizon: >40" Type of Restrictive Horizon: N/A Drainage Class: Well Drained Taxonomy: Fine, kaolinitic, mesic Typic Kanhapludult Most Closely Related Soil Series: Fairview Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. Coyle; #1315 Signature:�c S� SOIL EVALUATION FORM County: Wilkes Permittee: Terra Renewal Services Farmer: ASJ Mathis Farms Field #: M F-17 Boring #: MF-17B Date: 6/16/21 Evaluator: David Coyle Land Use: Row Crop L.P: Backslope Slope: 6-8% Slope Shape: Linear Horizon Depth Texture Color Structure Cons. Mottles Ap 0-8 SL 7.5YR 4/4 wk fn sbk loose Bt1 8-18 C 2.5YR 4/6 mod med sbk firm Bt2 18-26 CL 2.5YR 4/8 mod med sbk fr BC 26-36 SCL 2.5YR 4/8 wk med sbk v.fr C 36-40 SL 5YR 5/6 massive v.fr Additional Comments: Depth to Seasonal Water Table: >40" Type of W.T. (apparent / perched): N/A Depth To Free Water Table: >40" Depth to Restrictive Horizon: >40" Type of Restrictive Horizon: N/A Drainage Class: Well Drained Taxonomy: Fine, kaolinitic, mesic Typic Kanhapludult Most Closely Related Soil Series: Fairview Variant Definition: N/A Note: Depth to Seasonal High Water Table is defined by first indication of seasonal saturation (first 2 chroma mottles). Horizons with < 2% (few) 2 chroma depletions were not included in determination of drainage class for soil profile. LSS: David C. 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