WQ0006906_Modification_20220201

Non -Discharge Branch Upload/Submittal Form
NORTH CAROLINA
EnWrvnmemfal Qualify
Version 2 - Revised June 23, 2020
Initial Review
Reviewer
Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
Yes No
Permit Number (IR) * WQ0006906
Applicant/Permittee Town of Taylorsville
Applicant/Permittee Address 204 Main Avenue Drive Taylorsville, NC 28681
Is the owner in BIMS? Yes No Is the facility in BIMS? Yes No
Owner Type Municipal
Facility Name Town of Taylorsville Class B Residuals Program
County Alexander
Fee Category Minor Fee Amount $245
Is this a complete application?*
Yes No
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Does this need review by the hydrogeologist?* Yes No
Regional Office
CO Reviewer
Admin Reviewer
Complete App Date 02/01/2022
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* Zach Key
Email Address*
[e-mail]
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*
3369577871
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
NDAR-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.
https://edocs.deg.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type: *
Wastewater Irrigation
Other Wastewater
Closed -Loop Recycle
Single -Family Residence Wastewater
Irrigation
Permit Number: * WQ0006906
Has Current Existing permit number
Applicant/Permittee *
Town of Taylorsville
Applicant/Permittee Address* 204 Main Avenue Drive Taylorsville, NC 28681
Facility Name* Town of Taylorsville Class B Residuals Program
High -Rate Infiltration
Reclaimed Water
Residuals
Other
Please provide comments/notes on your current submittal below.
This is a permit modification for the addition of one field with10.9 acres to the Town of
Taylorsville land application permit. A check with the application fee of $245.00 has also been
mailed to the NCDEQ.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here. *
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
2022 New Land.pdf 8.65MB
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
1-'47
Submission Date 1/24/2022

m
U.S. Biosolids
www.usbiosolids.com
Monday, January 24, 2022
North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27064
Reference: Town of Taylorsville
Wastewater Treatment Plant
Permit Modification / Addition of Land
WQ0006906
PO Box 146 Ronda, NC 28670
336-777-6909
US Biosolids, Inc. is assisting the Town of Taylorsville, NC in preparing this modification package for its
land application of residuals on Permit No. WQ0006906 from the Wastewater Treatment Plant.
This modification is for the addition of one (1) field with 10.9 acres. This field is located at 341 VIC Ct.
Hiddenite, NC 28636.
Your attention in the review of this permit renewal application is greatly appreciated. Please contact me
with any questions or concerns at [e-mail] or at 336-957-7871.
Sincerely,
1fr
Zach Key
US Biosolids, Inc.
336-957-7871
[e-mail]

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Uni!
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
❑ Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
Li The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An alternate
person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T .0106(b).
❑ If this project is for a modification of an existing permit, submit one copy of the existing permit.
❑ Please submit this application form at least 180 days prior to the expiration date on the existing permit. or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification
Major (land are permitted for > 300 acres)
Minor (land are pennitted for < 300 acres)
New Permit Major Modification
$1,310 $395
$810 $245
- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition anew treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
❑ List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC IC .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONS1) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 1 of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
❑ Submit the O&M Plan in accordance with I5A NCAC 02T .11 10 and include at a minimum:
❑ Operational functions: describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
❑ Maintenance schedules; may include equipment calibration. maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals. signs, etc.
❑ Spill response plan; including control, containment, remediation, emergency contact information, etc.
❑ Inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles of personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.1 102(12), Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
D Provide an explanation of the dedicated system and its operation,
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of 1 1" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
O Delineation of the review and compliance boundaries
0 Setbacks as required by 15A NCAC 02T .1108
0 Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
0 Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
.l. Hydrogeologic Report (Al] New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1 ]04(d)(4) and current Division Policy
available at: http://www.ncwater.oro/Rules Policies and Regulations/. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
❑ Submit engineering design documents that have been signed. sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .1 104(dJ(2). For Modifications, submit an updated site map
specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction. and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria. hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1 I04(d)(5) and current Division Policy
available at: http://www.ncwater.org/Rules_ Policies and Regulations/.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS. deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An easement running with the ]and specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(f), or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
l5A NCAC 02T .1100 - RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
I. Applicant's name: Town of Taylorsville
Applicant type: ❑ individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State R Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: DavidOdom Title: Town Manager
Applicant's mailing address: 204 Main Avenue Drive
City: NC Zip: 28681
Telephone number: [phone] Email Address: townmanagera taylorsvillenc.com
2. Consultant's name: Zach Key License Number (for P.E.):
Affiliation: ❑ On Staff ® Retained (Firm: USBioso]idLInc)
Consultant's mailing address: PO Box 146
City: Ronda State: NC Zip: 28670-0146
Telephone number: [phone] Email Address: [e-mail]
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: Constance M Adams License Number: 1 180
Affiliation: ❑ N/A ❑ On Staff ® Retained (Firm: US Biosolids, Inc.)
Soil Scientist's nailing address: 3201 Smith Farm Rd.
City: Matthews State: NC Zip: 28104
Telephone number: [phone] Email Address: connieadams]ss(Ttmail.com
5. Fee submitted: 245.00 (See Instruction R)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, ❑ renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ006906
Date of most -recently issued permit: 7-13-2021
Date of most -recently certified Attachment A (if different than the permit): 7-13-2021
Date of most -recently certified Attachment B (if different than the permit): 7-13.2021
FORM: RLAP 06-16 Page I of 5

Ill. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
I. Residuals Processing Facility's physical address: 344 Minnigan Lane
City: Taylorsville State: NC Zip: 28681
Coordinates: Latitude: 35' 54' 12" Longitude: 81' 1 1' 50"
Datum: NAD83 Level of accuracy:.01
Method of measurement: MAP
County where residuals land application program is headquartered: Alexander
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
Dennis Key
US Biosolids
15704
Back -Up ORC
Zach Key
US Biosolids
27660
Additional Back -Up
ORCs
(if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names. affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 300 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
42.9
51.99
21450
25995
Five -Year Maximum Adjusted
64.65
71.4
32326.15
35701.16
b. Land Application Site Use Summon: 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
0
Row Crops
0
Flay
14.7
Pasture
80.2
Total:
94.9
Methods
Surface
94.9
Incorporation or Injection
0
94.9
Total:
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
(lhs PAN/ac yr)
50
100
150
Acres Required Using Acres Required Using
First -Year PAN Concentrations Five -Year Maximum Adjusted PAN
Concentrations
Su rfacc
429
214.5
143
200
107.25
Incorporation or
Injection
519.9
259.95
173.3
129,97
Surface
646.5
323.26
215.5
Incorporation or
Injection
714
357
238
161.63
178.5
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): L
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;
El 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: ____
Non -dedicated ❑ Dedicated
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.
In
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Siite
Certification. doc
FORM: RLAP 06-16
Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ Drip
2. Disposal system is: ❑ existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SI-1W"l) within irrigation sites(s) per Soil Scientist's Evaluation: feet
below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
(inlhr)
Recommended
Loading Rate
(in/yr)
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field / Zone
Total
Design Area Number of
�ft2} Nozzles
Maximum Application
Rate (gallons/hr)
Design Annual Loading
Rate (gallons/yr)
Spray irrigation Design Element
Wetted diameter of nozzles
Wetted area of nozzles
Nozzle capacity
Nozzle manufacturer / model
Elevation of highest nozzle
Plan Sheet Specification
Number Pa Number
ft
ft2
gpnt
ft
FORM: RLAP06-I6
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;
1, David Odem Town Manager
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Town of "I'aylorsville
(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 § 143-215.6I3, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10.000 as well as civil penalties up to $25,000 per violation.
Signature:
Date: 1 `/+ I/? 21
FORM: RLAP 06-16 Page 5 of 5

Operation and Maintenance Plan
Town of Taylorsville
Permit No. WQ0006906
In accordance to the requirements set forth by the North Carolina
Department of Environmental Quality using
NCGS 143-215.1 and 143-215.3(a} based on 15A NCAC 02T .110, The
Town of Taylorsville is implementing this Operation and Maintenance
Plan.
The project manager of the land application event will make sure a
daily check off is performed at the start of each work day. This inspection
is to prevent any spills, leaks, or run-offs.
The daily check -off will consist of inspection the following items:
1. Access to the facility will be controlled with a locked gate and
signs to prevent any unauthorized entry into the complex.
2. All pumps and hose will be checked at the start of each day for
leaks or loose fittings.
3. All tanker valves are closed prior to loading and lids are closed
prior to transport.
4. All dump trailers or dump trucks gates are tightly fastened and
do not leak prior to transport.
5. All on road equipment is check as per DOT regulations for any
safety or mechanical hazards or issues.
6. All equipment is secured at the end of each working day to
prevent any tampering or unauthorized use.
The ORC or back up ORC will inspect the field after each land application
event to make sure all regulations as required by the permit are followed.
Also the project manager at the end of each working day during a land
application event will make sure that all gates if present are closed.
All samples shall be taken as early as possible before the first application
event of the calendar year to make sure the facility is compliance.
The samples will be taken in a matter that is representative of the residuals
and all grab samples will be mixed prior to be placed in to the containers

that will go to the laboratory. These samples must be collected and
transported as outlined in the Sampling Plan attached to this O&M Plan.
All records of these laboratory results as well as the annual report and
loading rates will be kept on file for a minimum of five (5) years.
Also, in the unlikely event of a spill or unintended release of residuals,
actions should be immediately taken as outlined in a copy of the
spill control plan attached.

SAMPLING PLAN
Taylorsville, NC
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory
for analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or
early February) these samples may have to be taken in December so results can be obtained before the
land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, volatile solids
reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)]; 38%
volatile solids reduction. This option will be attempted first due to it being the most cost effective. One
sample will be taken at the aeration basin and labeled "B". The next sample will be labeled "A" and be
taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench scale
option 3 [503.33(b)(3)) test will be used. This sample will be taken from the digester with the sample
being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be ac:hieved; the sludge
holding tank will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)], commonly known
as lime stabilization.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250m1 containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by A&L Labs.

SPILL CONTROL PLAN- U.S. Biosolids, Inc.
Town of Taylorsville, NC - WQ0006906
In the event of a spill, the following should be taken IMMEDITALY.
1. Make sure all personal and bystanders are safe- if not contact emergency
services
2. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
3. Contain the spill. Use straw bales or earthen barrier to form a dike to contain the
spill.
4. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as much
of the spilled material as possible. Use straw to soak -up the remaining material.
Dispose of the same in a landfill.
5. Flush the roadways with water if needed. If the spill occurred on a tillable area, till
the same into the soil and spread lime if necessary. If a spill occurs on private
property, final clean-up should be to the satisfaction of the owner.
6. Notification. (This should be done as soon as safely possible.)
A. U.S. Biosolids, Inc. Main Office {336)777-6909
B. Town of Taylorsville, WWTP- [phone]

C. NCDEQ-Mooresville Regional Office [phone]
D. County Emergency Services (Sheriff, Fire Dept.) 911
7. Reporting:
The Permittee shall report by telephone to the Mooresville Regional Office,
telephone number [phone], as soon as possible, but in no case more than
24 hours or on the next working day following the occurrence or first knowledge
of the occurrence of any of the following:
A. Surface disposal of residuals abnormal in quantity or characteristic.
B. Any failure of the surface disposal program resulting in a release of
material to surface waters.
C. Any time self -monitoring indicates the facility has gone out of compliance
with its permit limitations.
D. Any process unit failure, due to known or unknown reasons, rendering the
facility incapable of adequate residual treatment
E. Any spill or discharge from a vehicle or piping system during residuals
transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface
waters, imminent failure of a storage structure, etc.) outside of normal business
hours shall be reported to the Division's Emergency Response personnel at
telephone number (800) 662--7956, [phone], or [phone]. Persons
reporting such occurrences by telephone shall also file a written report in letter
form within five days following first knowledge of the occurrence. This report shall
outline the actions taken or proposed to be taken to ensure that the problem
does not recur.
8. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed
C. Inspect all seals and replace if necessary.

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more intarmation, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted. the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 1 1-15) form. Please do not
make any unauthorized content changes to this form. if necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
❑ Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
❑ For each source facility, attach the following:
❑ Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals I andApplication Permits".
LI Process flow diagram andlor narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
❑ Quantitative justification for residuals production rate - A quantitative justification for the value provided in item 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
❑ Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility andlor the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, andlor disposed.
C. Residuals Quality Information:
❑ For each source facility, attach the following:
❑ Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
❑ Documentation that the facility complies andlor the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals ;generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page I of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Town of Taylorsville
Status
Code
M
Facility Permit Holder
Town of Tavlorsville
Facility Name
Town of Tay]orsville
County Permit Number
Maximum Dry Tons Per Year
Current b
Proposed
Alexander
WQ0006906
300
300
Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application. or disposal (i.e. not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page 1

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Town of Taylorsville
2. Facility permit holder is: ❑ Federal, 0 State, El Local Government, or ❑ Private.
Facility permit issued by: ❑ Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: • ).
3. Facility contact person and title: Brian Fades
Complete mailing address: 204 Main Avenue Drive
City: Taylorsville State: NC Zip: 28681
Telephone number: [phone] E-mail address: [e-mail]
4. Facility physical address: 344 Minnigan Ln.
City: Taylorsville State: NC Zip: 28681
Coordinates: Latitude: 35" 54' 12" Longitude: 81_° 1 F' 50"
Datum: NAD83 Level of accuracy:.01
Method of measurement: MAP
5. Purpose of the facility:
El 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)
Ej other (explain: ).
6. Does the facility have an approved pretreatment program: ai Yes 0 No
7. Facility permitted/design flow: ... MGD and facility average daily flow: MGD
8. Average amount of residuals being generated at this facility 247 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment:
Type and volume of residuals storage (i.e., outside of residuals treatment units):
11. 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.1 102(6) as:
Biological
❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems. and fixed film systems).
FORM: RSC 06-16
Page I of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ra no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 6-1-2020
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: 200 °F (> 140"F)
Passed reactivity test: tE yes Dno. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(ntg/1)
TCLP Parameter
Limit
(rng/1)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
liexachloro-1,3-Butadiene
0.5
NI)
Benzene
0.5
1.0
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
ND
Lead
5.0
ND
Carbon Tetrachloride
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
6.0
5.0
200.0
ND
Methoxychlor
10.0
ND
Chloroform
Chromium
ND
ND
Methyl Ethyl Ketone
200.0
ND
Nitrobenzene
2.0
ND
m-Cresol
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
I,4-Dichlorobenzene
7.5
0.5
ND
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2.4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16
Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e.. as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waypoint Analytical and Date of analysis: 9-28-2021
Parameter
Ceiling
Concentration Limits
(ClassA & Class13)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(nag/kg)
Result
(mg/kg)
Arsenic
75
41
45.5
Cadmium
85
39
9.09
Copper
4,300
1,500
500
Lead
840
300
27.3
Mercury
57
17
1.27
Molybdenum
75
n/a
22.7
Nickel
420
420
22.7
Selenium
100
100
45.5
Zinc
7.500
2,800
605
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 Arsenic
Unit to Boundary to
Closest Property Line
(meters', check one) (mg/kg)
• >0but<25
30
• > 25 but < 50
34
• >50but <75
❑ > 75 but < 100
❑ > 100 but < 125
• > 125
39
46
53
62
Result (mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
200
210
220
240
260
270
300
320
360
390
450
420
FORM: RSC 06- 1 6 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 1.14 %.
b. Fill in the followingtable with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Waypoint Analytical and Date of analysis: 9-28-2021
Parameter
Aluminum
Result
(mg/kg)
50800
Ammonia-N itrogcn
9090
Calcium
15200
Magnesium
3990
Nitrate -Nitrite Nitrogen
pH (Standard Unit)
522
6.9
Phosphorus
34600
Potassium
7450
Sodium
5150
Total Kjeldahl Nitrogen
63700
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 1.02
[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): El default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.c.. on a dry weight basis) and fill the results in the following table:
Application Method
Surface
21450
First (IS') Year PAN
(mg/kg)
Five -Year
Maximum Adjusted PAN
(mg/kg)
25995
Injection/Incorporation
32326.15
35701.16
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.1 106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Laud Application of Class A or Equivalent:
• A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
O Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] -'Dime/Temperature Compliance.
O Alternative 2 [15A NCAC 02T.1 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.1 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
El Alternative 5 [15A NCAC 02T. 1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: 0 composting, ❑ heat drying, ❑ heat treatment,
• thermophilic aerobic digestion, ❑ beta ray irradiation,
• gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class 8:
❑ Alternative I [15A NCAC 02'1.I 106(c)(1)] - Fecal Coliform Density Demonstration.
Eg Alternative 2 [15A NCAC 02T.1106(c)(2)) - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ►/ lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item I1. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
• Exempt - if Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1 106(a)(2)].
D Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1 107, specify how residuals will meet the VAR requirements:
Alternative 1 [15A NCAC 02T. 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
0 Alternative 2 [ 15A NCAC 02T. 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
[] Alternative 3 [I5A NCAC 02T. 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
• Alternative 4 [15A NCAC 02T. 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
O Alternative 5 [15A NCAC 02T.1 107(a)(5)] - 14-Day Aerobic Processes.
® Alternative 6 [I5A NCAC 02T. 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T. 1107(a)(7)] - Drying of Stabilized Residuals.
El Alternative 8 [15A NCAC 02T.1 107(a)(8)] - Drying of Unstabilized Residuals.
EI Alternative 9 [15A NCAC 02T. l 107(a)(9)1- injection.
0 Alternative 10 [15A NCAC 02T. I I07(a)(I0)] - incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [I5A NCAC 02T.1 107(b)(2)].
[] Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06- 16 Page 5 of 5

ra
1±1
�{d�7J,7 fiii�d�ls
Sd tc nce Poorer Spars §
4494.0 #4.
'540
MI

MH 3028
TOWN OF TAYLORSVILLE WWTP SCHEMATIC
FORCEMAIN
INFLUENT
PAS
RAS
RAS
RAS
WAS
WAS
WAS
WAS
PLANT COMPONENTS
A.
B.
C.
D.
E.
F.
G.
H.
FLOW SPLITTER BOX
AERATION BASIN NO. 1
AERATION BASIN NO.2
CLARIFIER NO. 1
CLARIFIER NO. 2
AEROBIC DIGESTER NO. 1
AEROBIC DIGESTER NO. 2
AEROBIC DIGESTER NO. 3
I. AEROBIC DIGESTER NO. 4
J. CHLORINE CONTACT CHAMBER
K. DECHLORINA TION CHAMBER
L. RECYCLE PUMPING STATION NO. 7
M. RECYCLE PUMPING STATION NO. 2
N. SCUM PUMPING STATION NO. 1
O. SCUM PUMPING STATION NO. 2
P. SLUDGE DECANT PUMPING STATION
EFFLUENT

Quantitative Justification for Residuals Production Rate
In the following five years the Town of Taylorsville, NC has produced the following Dry Tons to be land
applied:
2016: 172.37 DT
2017: 67.54
2018: 189.22
2019: 92.2
2020: 247.34
This is a five year average of 153.73 Dry Tons per year; less than the 300 Dry Tons per year as is currently
allowed in Permit WQ0006906

City of Taylorsville, WWTP
Permit No. WQ0003281
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the sludge
digesters. These samples will be combined to form individual grab samples to be sent to a laboratory for
analysis. If a land application event is to occur in the early part of a calendar year (Le. January or early
February) these samples may have to be taken in December so results can be obtained before the land
application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for a nutrient analysis, and a TCLP test.
These tests will be taken by Southern Soil Builders, Inc. All samples with the exception of the composite
residual sample will be taken to Statesville Analytical or any other NC certified laboratory. The
composite residual sample will be sent to Waypoint Analytical or any other NC certified laboratory. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The Pathogen Reduction requirement will be achieved using alternative 2 [15A NCAC
02T.110(c)(2)1, or commonly known as lime stabilization. In alkaline stabilization, the addition of
sufficient alkali to raise the pH to at least a 12 at 25°C and maintain a pH of equal to or greater than 12
for 2 hours and a pH equal to or greater than 11.5 for 22 more hours.
The Vector Attraction Reduction requirement will be met using alternative 6 [15A NCAC
02T.1107(a)(6)l, or commonly known as lime stabilization. In alkaline stabilization, the addition of
sufficient alkali to raise the pH to at least a 12 at 25°C and maintain a pH of equal to or greater than 12
for 2 hours and a pH equal to or greater than 11.5 for 22 more hours.
Annually, if land application occurs, a composite residual sample will be collected from the
sludge holding tank and analyzed, prior to a land application event for: Cadmium, Copper, Lead,
Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia Nitrogen, Calcium, Nitrate
Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN, Sodium. From this information,
the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR) will be calculated. This sample
will be collected in a non -breakable container, at least one quart in size. From this information, the
plant available nitrogen (PAN), and a sodium absorption Ration (SAR) will be calculated.
A full TCLP test, including corrosivity, ignitability, and reactivity will be taken in two (2) gallon
containers from the sludge holding tank. This test will be run annually, unless prior approval is granted
from the division to reduce this requirement to once per permit cycle.

Waypoint.
ANALYTICAL
46381
US Biosolids Inc
Dennis Key
958 Hoots Road
Roaring River , NC 28669
Report Number :21-277-0007
Lab No : 50023
Sample ID : Taylorsville
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Project Taylorsville
Information :
REPORT' OF ANALYSIS
Report Date : 10/13/2021
Received : 10/04/2021
�cuwrc
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled: 9/28/ 2021 14:00
Test Results Units MQL DF Date 1 Time By Analytical
Analyzed Method
Moisture 98.9 H % 0.010 1 10/07/21 17:02 FMM SM-2540G
Sulfur 5990 mg/Kg - dry 909 1 10/12/21 00:53 JTR 6010D
Calcium 15200 mg/Kg - dry 4550 1 10/08/21 21:53 TJS 6010D
Aluminum 50800 mg/Kg - dry 455 1 10/08/2.1 21:53 TJS 6010D
Manganese 585 mg/Kg - dry 45.5 1 10/08/21 21:53 TJS 60100
Organic N 63730 mg/Kg - dry 22730 1 10/11/21 10:30 CALCULATION
Nickel <22.7 mg/Kg - dry 22.7 1 10/08/21 21:53 TJS 6010D
Lead <27.3 mg/Kg - dry 27.3 1 10/12/21 21:30 JTR 6010D
Arsenic <45.5 mg/Kg - dry 45.5 1 10/08/21 21:53 TJS 6010D
Selenium <45.5 mg/Kg - dry 45.5 1 10/08/21 21:53 TJS 6010D
Test
Results Units MQL DF Dale / Time By Analytical
Analyzed Method
Total Solids
Phosphorus
Copper
Total Kjeldahl Nitrogen
1.14 H
34600
500
mg/Kg • dry
mg/Kg - dry
0.010 1 10/07/21 17:02 FMM SM-2540G
455 1 10/08/21 21:53 TJS 6010D
45.5 1 10/08/21 21.:53 TJS 6010D
63700 mg/Kg - dry 22700 1. 10/11/21 10:30 JPJ iM-4500-NH3C-TKr
Qualifiers/
Definitions
8 Analyte detected in blank DF Dilution Factor
H Beyond holding time MQL Method Quantitation Limit

Waypoint,
ANALYTICAL
46381
US Biosoiids Inc
Dennis Key
958 Hoots Road
Roaring River , NC 28669
Report Number : 21-277-0007
Lab No : 50023
Sample ID : Taylorsville
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalyticaLeorn
Project Taylorsville
Information :
REPORT OF ANALYSIS
Report Date : 10/13/2021
Received : 10/04/2021
14 ( Crio0l
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled: 9/28/2021 14:00
Potassium 7450 mg/Kg - dry 909 1 10/08/21 21:53 TJS 6010D
Magnesium 3990 mg/Kg - dry 455 1 10/08/21 21:53 TJS 6010D
Sodium 5150 mg/Kg - dry 2270 1 10/08/21 21:53 TJS 6010D
Iron 22500 mg/Kg - dry 909 1 10/08/21 21:53 T3S 6010D
Zinc 605 mg/Kg - dry 114 1 10/08/21 21:53 TJS 6010D
Ammonia Nitrogen <9090 mg/Kg - dry 9090 1 10/11/21 13:30 3133 SM-4500-NH3C
Nitrate+Nitrite-N 522 mg/Kg - dry 425 1 10/11/21 14:25 ZBD 4500NO3F-2011
Cadmium <9.09 mg/Kg - dry 9.09 1 10/08/21 21:53 TJS 6010D
Chromium 31.6 mg/Kg - dry 22.7 1 10/08/21 21:53 TJS 6010D
Mercury <1.27 mg/Kg - dry 1.27 1 10/08/21 13:08 3W2 SW-7471B
pH 6.9 S.U.
1 10/11/21 14:50 DRS 9045D
Molybdenum <22.7 mg/Kg -
9 g dry 22.7 1 10/08/21 21:53 TJS 6010D
Qualifiers/
Definitions
13 Analyte detected in blank DF Dilution Factor
H Beyond holding time MQL Method Quantitation Limit

SAR
Sodium Absorption Ratio
Na : Sodium (Mg/L) Equivalent weight: 23
Ca : Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
\A(Mg/L) Ca(Mq/L) Mq(MQ/L)
173.28 I 45.48 1
58.71
Na,(ME).
2.552609
ce tm E )
8.664
Mg.LM E)
3.79
Milli Equivalent = MgIL / Equivalent weight
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent * Mg Milli equivalent)]0.5 power
(From Mg/L entered above)
SAR = 1.022927
SAR= 1.022046
Na (ME)
Ca f ME)
Mg (ME)
2.55
8.66
3.79
(From ME entered below)
The amour
amount of
Permitting

PA N
Mineralization
as decimal
Total dry
Acres
Rate
TKN
NH3
NO3
NO2
% Solids
tons/year
Applied on
0.3
63700
9090
522
0
0.0297
PAN Surface
21450
mg/kg
42.9 Ibs/dry ton
0
Ibs total PAN
#DIVIO!
Ibs PAN/acre
PAN injection
25995
mg/kg
Dry Tons/1000 gal.
51.99 Ibs/dry ton
0
Ibs total PAN
#DIV10!
Ibs PAN/acre
0.123849
1st year PAN
Surface Ibs.
0
1st year PAN
Injected Ibs.
0
lbs./acre
Surface
#D1V101
Ibs./acre
Injected
#DIV10!
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =1bs/dry ton
MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibsldry ton
1000 X 8 34 X %solids X so. gravity "=dry tons/1000gal."
2000

Analytical Results
U.S. Biosolids Inc
958 Hoots Road
Roaring River, NC 28669
Receive Date: 06/01 /2020
Reported: 05/23/2020
For: Taylorsville
Comments:
Sample Number Parameter Sample ID Result
Unit Method Analyzed Analyst
200601-14-01 Corrosivity Taylorsville See Attached
200601-14-01 Ignitability Taylorsville See Attached
200601-14-01 Reactivity Taylorsville See Attached
200601-14-01 TCLP Taylorsville See Attached
Respectfully submitted,
419. - OG jcith-t,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
SW.a4e
IDIOM
Sw.e4a
es Noted
06/02/2020 PACE
06/02/2020 PACE
06/02/2020 PACE
06/02/2020 PACE
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 42

(eAnaI*al
wreacslesuae
ANALYTICAL RESULTS
Project: US Bio- Tayiorsville
Pace Project No.: 92479945
Pecs Anatytkat Servkes, LLC
9806 t(incey Ave. Suite 100
HuntersviNe, NC 2807$
(704►875.9092
Sample: 20060/.14 Lab 10: 02479046001 Collected: 06/01/20 13:00 Received: 06/02/20 14:05 Matrix: Sold
Results reported on a "dry weight" basis and are adjusted for percent moisture, 'ample size and any dilutions.
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
Chlorinated Herb. (GC) 8151A
Analytical Method: EPA8151A Preparation Method: 8151A
Leachate Method/Dale: 1311: 06/10/20 20:14 initial pH: 11.17: Final pH: 5,47
Pace National • Mt. Jutiot
2,4,5-TP (SNvex) NO mg/L 0.00200 1 06/12/20 07:11 06/12/20 16:09 93-72-1
2,4-0 ND mg/L 0.00200 1 06/12/20 07:11 06/12/20 16:09 94.75-7
Surrogates
2.4.0CAA (S) 75.2 % 14.0-158 1 06/12/20 07:11 06/12/20 16:09 19719.28-9
8081 TCLP Pesticides RVE Analytical Method: EPA 80818 Preparation Method: EPA 35100
Leachate Method/Date. EPA 1311', 06103/20 15:Q2 Initial pH: 5.97; Final pH: 5
Pace Analytical Services - Charlotte
gamma-BHC (Lindane) NO ug/L 0.50 1 08/05/20 10:06 06/11/20 18:23 58-89-9
Chtordana (Technical) NO vg/L 3.0 1 06/05/20 10:06 06/11/20 18:23 57-74-9
Endnn ND ug/L 0.50 1 06105/20 10:06 06111/20 18:23 72-20-8
Heptachlor NO ug/L 0.50 1 06105/20 10:06 06/11/20 18:23 76.44-8
Heptachlor epoxide ND ug/L 0.50 1 06/05/20 10:06 06/11/20 15:23 1024.57-3
Methoxychlor ND ug/L 1000 1 06/05/20 10:06 06/11/20 18:23 72.43-5
Toxaphene NO ug/L 3.0 1 06/06/20 10:06 06/11/20 15:23 8001.35.2
Surrogates
Decachloroblphenyl (S) 110 % 10.13E 1 06/05/20 10:06 06/11120 18:23 2051-24-3
Teteachloro-rn-xylene (S) 100 % 10.110 1 06/05/20 10:08 06711/20 18:23 877.09.E
8082 TCLP PCB* RYE Analytical Method: EPA8082A Preparation Method: EPA 3510C
Leachsle Method/Date: EPA 1311; 08/03/20 15:02 Initial pH: 5.97; Final pal: 5
Pace Analytical Services • Charlotte
PCB-10161Aroclor 1016) ND ug/L 1000 1 06/05/20 10:06 06/09/20 23:00 12674-11-2
PCB-1221 (Aroclor 1221) ND ug/L 1000 1 06/05/20 10:06 06/09/20 23:00 11104-28-2
PCB-1232(Aroc1or 1232) ND ug/L 1000 1 08105/20 10:06 06/09/20 23:00 11141-16-5
PCB-1242 (Aroc1oe 1242) NO ug/L 1000 1 06/05/20 10:06 06/09120 23:00 53469.21.9
PCB-1248 (Aroclor 1248) ND ug/L 1000 1 06/05/20 10:06 06/09/20 23:00 12872-29.6
PCB-1254 (Aroclor 1254) NO ug/L 1000 1 06/05/20 10:06 06/09/20 23:00 11097-69-1
PC13-1260 (Aroclor 1260) NO ug/L 1000 1 06/05120 10:06 06/09/20 23:00 11096-82-5
Surrogates
Decachloroblpllenyl (S) 93 % 10.132 1 06/05/20 10:06 06/09/20 23:00 2051-24.3
6010 MET ICP, TCLP Analytical Method: EPA60100 Preparation Method: EPA 3010A
Leachate Melhodfbate: EPA 1311: 06/04/20 16:18 Initial pH: 5.91; Final pH: 2
Pace Analytical Services • Asheville
Arsenic ND mg/L 0 050 1 06/06/20 07:40 06/09/20 11:03 7440.38.2
Barium NO mg/L 0.25 1 06/06/20 07:40 06/09/20 11:03 7440.39.3
Cadmium ND mg/L 0.0050 1 06/08/20 07:40 06/09/20 11:03 7440-43.9
Chromium ND mg/L 0.050 1 06/06/20 07:40 06/09/20 11:03 7440-47-3
Lead ND mg/L 0.025 1 06/06/2007:40 06/09/20 11:03 7439.92-1
Selenium ND mg/L 0.10 1 06/06/2007:40 08/09/20 11:03 7782.49-2
Silver ND mg/L 0.025 1 06/05/20 07:40 06/09/20 11:03 7440.22.4
Date: 06/19/2020 05:15 PM
REPORT OF LABORATORY ANALYSIS
This report 4ha0 not he reAroauce0, except in la
without the mitten consent of Pecs AnaIylice! Services, LLC.
Page 5 of 39
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 8 of 42

(eAna4icaI •
aarspK'keli. en
ANALYTICAL RESULTS
Prated: US 810- Teyldrsville
Pace Project No.: 92479945
Pap Analytical Senecas. LLC
9800 Kincsy Ave. Suite 100
Huntercvste. NC 28078
17041875-9092
Sample: 100601.14 Lib ID: 92470245001 Collected: 06/01/20 13:00 Received: 06/02/20 14:05 Matrix: Solld
Results reported on s 'dry weight" bests and era Adjusted for percent moisture, sample she end any dilutions.
Parameters Results Oltla Report Limit OF Prepared Analyzed CAS No. Dual
7470 Mercury, TCLP Analytical Method: EPA 7470A Preparation Method: EPA 7470A
Leachate Method/Date: EPA 1311: 06/04/20 16:18 initial pH: 5.91; Final pH. 2
Pace Analytical Services - Asheville
Mercury ND mg/L 0.00020 1 06/08/20 10:36 06/08/20 17:38 7439.97-6 M1
13270E TCLP RVE Analytical Method: EPA 8270E Preparation Method: EPA 3510C
Leachate Method/Date: EPA 1311: 06/03/20 15:02 Initial pH: 5.97; Final pH: 5
Pace Anatyllcal Services - Charlotte
1,4-Dichlorobenzene ND ug1L 50.0 1 06/05/20 08:57 06/05/20 15:14 106-46-7
2,4•Dlnitrotoluene NO uglt 50.0 1 06/05120 08:57 06/05/20 15:14 121-14.2
Hexechbro.1,3•butadlene ND ug/L 50.0 1 06/05/20 08:57 06/05/20 15:14 87-68.3
Hexachlembenzene NO ug/L 50.0 1 06105/2008;57 46/05/20 15:14 116-74.1
Hexachloroethene ND ug/L 50.0 1 06/05/20 06:57 06/05/20 15:14 67.72.1
2•Methylphenol(o-Cresol) NO ug/L 50.0 1 06/05/20 06:57 06/05/20 15:14 95-48-7
384-Melhylphenol(m&p Cresol) NO ug1L 50.0 1 06/05/20 08:57 06/05/20 15:14 15831-10-4
Nitrobenzene ND ug/L 50.0 1 06/05/20 08:57 06/05/20 15:14 98.95.3
Pentalhlorophenot ND ug/L 10U 1 06/05/20 08:57 06/05/20 15:14 87-86.5
Pyridine ND ug/L 50.0 1 06/05/20 08:57 06/05/20 15:14 110-86-1
2,4,5-TricNorophenol ND ug/L 50.0 1 06/05/2008.57 06/05/2D 15:14 95-95-4
2,4,8-Trichlorophenol ND ug/L 50.0 1 06/05/2008:57 041/05/2015:14 88-06-2
Surrogates
Nitrobenzene-d5 (S) 80 % 12-102 1 06/05/20 08:57 06/05/20 15:14 4165.60-0
2-Ftuorablphenyl (S) 65 % 13-407 1 06/05/20 08:57 06/05/20 15:14 321-60-8
Terp4enyl-d14 (6) 94 % 21-132 1 06/05/20 08:57 06/05/20 15:14 1718.51.0
Phanol-d6 (6) 42 % 10-110 1 06/05/20 06:57 08/05/20 15:14 13127.88.3
2-Fluorophenol (S) 55 % 10-110 1 06/05/20 08:57 06/05/20 15:14 367-12-4
2,4,6•Tribromophenol (6) 67 % 27.108 1 06105/20 08:57 06/05/20 15:14 118-79-6
B240D MSV TCLP Analytical Method: EPA 8266D Leachate Method/Dale: EPA 1311; 06/15/20 12:27
Pace Analytical Services - Charlene
Benzene ND ug/L 100 20 06/181211 13:31 71.43.2
2-Butanone (MEK) ND ug/L 200 20 06/16/20 13:31 78-93-3 v1
Carbon tetrachloride ND ug/L 100 20 06/16120 13:31 56-23-5
Chlorobenzene ND ug/L 100 20 06/16/20 13:31 108-90-7
Chloroform ND ug/L 100 20 06/16/2013:31 67-66.3
1,4-Dichlorobenzene NO ug/L 100 20 06/16/2013:31 106-46-7
1,2-Dichloroelhane ND uga. 100 20 06/16/2013:31 107.08.2
1,1-DlcNoraethene ND ug/L 100 20 06/16/20 13:31 75.35.4
Tetrachloroethene ND ug/L 100 20 06/16/2013:31 127-18-4
Trichloroethene ND ug/L 100 20 06/16/2013:31 79-01-6 M1
Vinyl chloride ND ugll 100 20 06/16/20 13:31 75.01-4
Surrogates
1,2-Dichloloethane•d4 (S) 105 % 70-130 20 06/16/20 13:31 17080.07-0
Toluene-d8(S) 101 % 67-135 20 06/1612Q 13:31 2037-26.5
4-Bromofuorobanzene (S) 102 % 70.130 20 06/16/20 13:31 460.00.4
REPORT OF LABORATORY ANALYSIS
Thle report shall not be reproduced. except in cult.
Date: 06/19/2020 05:15 PM wllhout the written consent of Pace Analytical Services, LLC.
Page 6 of 39
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 9 of 42

(2eMaIi4/caI e
rrnr.pcslsisates
ANALYTICAL RESULTS
Project: US Bio• Taylorevi4le
Pace Project No.: 92479945
Pace Analydcal Services', LLC
9600 Kincey Ave. Suite 100
Hunlarsvilet, NC 28078
(7041675-9092
Sample: 200601.14 Lab ID: 92479945001 Collected: 06101120 13:00 Received: 06/02/20 14:05 Matrix: Solid
Results reported on a 'dry wslght' basis end ere adjusted forpercent moisture, sample she and any dilutions.
Parameters Results Units Report Limit DF Prepared Anafyxed CAS No. (Dual
Percent Moisture Analytical Method: ASTM 02974-87
Pace Analytical Services • Charlotte
Percent Moisture 95.0 96 0.10 1 06/02/20 17:30
1010 Flaehpolnl,Cloeed Cup AnelytIcet Method: EPA 1010A
Pece Analytical Services - Asheville
Flashpoinl s-200 deg F 70.0 1 06/15/20 10:50
9045 pH Sell Analytical Method: EPA 90450
Pace Analytical Services • Asheville
pH al 25 Degrees C 12.2 Std. Units 0.10 1 08/15120 13:38
9095 Paint Filter Liquid list Analytical Method: EPA 90958
Pace Analytical Services - Asheville
Free Liquids Fail 1,0 1 06/12/20 18:10
733C S Reactive Cyanide Analytical Method: EPA9014 Preparation Method: SW-646 7.3.3.2
Pace Analytical Services - Greensburg
Cyanide, Reactive NO mg/kg 25.0 1 05/04/20 18:00 06/05/20 13:23
7343 Reactive Sulfide Analytical Method: SM 4500S2F-2011 Preparation Method: SW-846 7,3.4.2
Pace Analyllcal Services - Greensburg
Sulfide, Reactive ND mglkg 250 1 06/04/20 18:00 06l04120 18:35
E•H3
Sample: 200601.14
Parameters
Lab 1D: 92474945002 Collected: 06/01/20 09:00 Received: 06104120 11:52 Matrix: Water
Results
Units Report limit DF Prepared Analyzed CAS No. Dual
8082 GCS PCB RVE Analytical Method; EPA 8082A Preparation Method: EPA 3510C
Pace Analytical Services - Charlotte
PCB•1016 (Aroclor 1016) NO ugH. 5.0 1 06/17/20 11:53 06/19120 03:44 12674-11-2
PCB-1221 (Aroc4or 1221) ND ug/l. 5.0 1 06/17/20 11:53 06/19120 03:44 11104.28.2
PCB-1232 (Aroclor 1232) NO ug&L 5.0 1 06/17/20 11:53 06/19/20 03:44 11141.16.5
PCB-1242 (Aroclor 1242) ND ug/L 5-0 1 06/17/20 11:53 06)19/20 03:44 53469.21.9
PCB-1248 (Aroclor 1248) ND ug/L 5.0 1 06/17/20 11'53 06119120 03:44 12672-29-6
PCB-1254 (Arodor 1254) NO ug/L 5.0 1 06/17020 11:53 06119120 03:44 11097.69-1
PCB-1260 (Aroclor 1260) ND ug/L 5.0 1 06/17120 11.53 06119/20 03:44 11096.82-5
Surrogates
Decachloroblphenyl (S) 73 % 10.130 1 06/17/20 11:53 06/19/20 03:44 2051-24-3
Data: 06/1912020 05:15 PM
REPORT OF LABORATORY ANALYSIS
This report shag not be reproduced, inmost In futl,
without the written consent of Pace Analytical Services, LLC.
Page 7 of 39
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 10 of 42

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1 100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site information:
❑ The status attic. land application site with respect to this residuals land application program must be provided in table 1. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) • Modified (M) • Transferred (T) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Required item
N
Status Code
R
T
M
County Board
Notification.doc
✓
✓
/
*
Land Owner
Agreement
(if applicable)
1
✓
✓
✓
✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Man Guidance
for kesidu jlsI and Applic jtioit._Permits"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil _Scientist
Evaluation Polio.-.
✓
INSTRUCTIONS FOR FORM: LASC 06-16
Page I of 3

An updated accounting of the land application site's cumulative
pollutant loading rates (CPLRs)
Required Item
Status Cnde
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the " Sgil Scientist Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Perm ittees over the same time period)
* This item may be required Ibr land application site with a status code "IV1-. p ease contact the Division if you need assistant in
determining attachment requirements.
❑ Crop Type should include the most likely crop types for the life of the permit (five years).
❑ Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
❑ Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
❑ Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD)
• Aerial Photography with Ground Control (AER)
• Cadastral Survey (SUR)
• Conversion from Coordinate Plane (CP)
• Conversion from Township -Section -Range (TSR)
• Conversion from Universal Trans Mere (UTM)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by 1 1-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: http:l.ldeq.nc.gov/about/divisions/water-
resourceslp]anning/classification-standards/classifications
El Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http://deq. nc.aov/contact/regional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
I. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x I 1-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link http:/ deq.nc.gov/about/divisions/water-resources/planning/classification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WI [ERE. CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3
• Digital or Raw Photo Extraction (EXT)
• Geodetic Quality GPS Survey (GEO)
• LORAN-C Navigation Device (LOR)
• Navigation Quality GPS (GPS)
• Remote Sensing (RS)
• Zip Code Centroid (ZIP)

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins. Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2.Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
i. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301(i).
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1. 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French I3road River
Basin
Streams entering Tennessee will be classified "B,"
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pasquotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16
Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Town of Taylorsville
Land application sites currently certified: 84.0 net acres and Total to be certified: 108.0 net acres.
1. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field
ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Name'
Mapping Unit
or Rep. Slope`
R
08-01 Owen Icenhour
19.3
Alexander Fescue
Cecil
CeB2
R
08-02 Owen lcenhout
10.3
Alexander Fescue
Cecil
CeB2
1)
08-04
Matthew Shannon
13.1
Alexander
Fescue
Cecil
CeB2
R
CH-01
Clyde Hendren
23.4
Alexander
Fescue
Pacolet
PcB2
R
CH-02 Clyde Hendren
9.3
Alexander
Fescue
Cecil
CeB2
R
CP-01 Carol Price
7.0
Alexander
Fescue
Fairview
Fe132
R
PH-01 Phillip Hoover
14.7
Alexander
Fescue
Pacolet
PcB2
N YP-0 1 Timothy Keever Yolanda Price
10.9
Alexander f Fescue
Cecil
CeB2
a Status Code for land application sites are: • N (New) • R (Renewed) • M (Modified) • T (transferred) • D (Deleted)
Soil Series Name (i.e. Appling. Cecil. etc.)
Mapping Unit must he consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is Ce132)
It. WATERBODY AND CLASSIFICATIONS INFORMATION (See instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
08-01
35.872808°
-81.103147°
NAD 83
ADD
Nearest Second
l 1-73-(0.5) Elk Shoal Creek
WS-1V
WS-1V
08-02
35.876914°
-81.100089°
NAD 83
ADD
Nearest Second
1 1-73-(0.5) Elk Shoal Creek
WS-1V
WS-IV
08-04
35.872331°
-81.099786°
NAD 83
ADD
Nearest Second
11-73-(0.5) Elk Shoal Creek
WS-IV
WS-IV
CH-01
35.903900°
-81.150394°
NAD 83
ADD
Nearest Second
1 1-69-7-(0.7) Glade Creek
WS-IV
WS-IV
CH-02
35.903392°
-81.147119°
NAD 83
ADD
Nearest Second
I I-69-7-(0.7) Glade Creek
WS-IV
WS-IV
CP-01
35.904631°
-81.153139°
NAD 83
ADD
Nearest Second
1 1-69-7-(0.7) Glade Creek
WS-IV
WS-IV
PH-01
35.899917'
-81.150542°
NAD 83
ADD
Nearest Second
1 1-69-7-(0.7) Glade Creek
WS-IV
WS-IV
YP-0 1
35.89165°
-81.09086°
NAD 83
ADD
Nearest Second
12-108-20-4 Third Creek
C
C
Note: Please keep the site information (I.) and waterhody information (11.) of the same Held on the same page.
FORM: LASC 06-16
Page 1

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM: CBN 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General --- This notification is intended to provide the county board in which the land application site is proposed to be located with
general information on the size. location and type of residuals land application proposed to occur in their county, and to give them an
opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for
fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review
without a corresponding residuals program application form (FORM: RLAP 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. County Board Notification (FORM: CBN 11-15):
❑ Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-15). Please do not make any
unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may
be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate County Board Notification (FORM: CBN 11-15) for each county in which the proposed land application
sites are located.
B. Critical Watershed Areas Information:
❑ Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas.
❑ For more information regarding Water Supply Watershed Protection Program, please visit the Division website at:
http ://deq.nc.gov/about/divisions/water-resources/water-resources-rules/water-supply-watershed-protection-program
❑ If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone].
C. Notification Package Submission:
❑ Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to
the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the
notification package also be sent to the County Manager.
❑ The most current publication of the Directory of State and County Officials may be downloaded at:
https://www.sosnc.gov/publications/ direct.aspx
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http://deq.nc.gov/contact/regional-offices.
❑ The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage
(i.e., a copy of"Residuals Source Facility Summary" is adequate but not required).
❑ The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a
copy of `Land Application Site Certification" is adequate but not required).
D. Proof of Subm ission:
❑ Attach an 8.5 by 1 1-inch copy of the return receipt to the back of this attachment prior to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 06-16 Page I of I

North Carolina Department of Environmental Quality
Pat McCrory
Governor
Donald R. van der Vaart
Secretary
Date: 1 / 10/2022
To: Name of Chairman to the Board of County Commissioners: l.,ar y Yoder
Complete mailing address: 621 Liledoun Road
City: Taylorsville State: NC Zip: 28681
County where land application sites are located: Alexander
From: Applicant's name: Town of Taylorsville (on behalf of the Division of Water Resources in accordance with
Session Law 2013-340)
Contact person and title: David Odom, Town Manager
Complete mailing address: 67 Main Avenue Drive
City: Taylorsville
State: NC Zip: 28681
Telephone number: [phone] E-mail address: townmanager(cr),taylorsvillenc.com
Subject: Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -
generating sources and locations of the proposed land application sites. Please forward this letter and its associated
attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and
Planning Department) if applicable.
More information of the land application sites included in this application will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regional office: Mooresville Regional Office
Complete mailing address: 610 East Center Avenue, Suite 301
City: Mooresville State: NC Zip: 28115
Telephone number: [phone]
Expected date of application subm ission: 1- 14.2022
Should you desire to comment on this application, please do so no later than 30 calendar days following the
expected application submission date. If you have any questions or comments about this notification, or if you would like
more information, please contact the appropriate regional office at the telephone number provided above. Thank you in
advance for your attention to this matter.
Enclosures: Source Facility Summary
Land Application Site Summary
Maps
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] lntemet httaJfportal.ncdenr.orgiweblwq
An Equal Opportunity \ Affumative Action Employer - Made in part with recycled paper FORM: C BN 06- 16

SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
IN Complete Items 1, 2, and 3. r'
IN Print your name and address on the i everse
so that we can return the card' -to you;
! Attach this card to the back of the hairpiece, or on the front if space permits, Le 5 r C;
1. Article Addressed to:
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D. Is delivery address different from item 1? ❑ s
If YES, enter delivery address below: ❑ No
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3. Service Type
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❑ Collect on Delivery
n- d•;�''"'""-gym"�"� oci^ileto • - L� cs*ect on Delivery Restricted Delivery
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Form 3811, July 2015 PSN 7530-02-000-9053
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Retur Receipt{electronic) $ _ 110Flii__-
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Domestic Return Receipt

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more infbrm ation, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class 13 residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may he made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Town of Tay lorsvillc
hereinafter referred to as the Permitter, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
1( PI
Yes
Fescue
Livestock Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Perm ittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16
Page 1 of 3

1. STIPULATIONS:
I. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party. the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation ofthis Agreement shall be immediately forwarded to NCDENR-1)WR, Non -Discharge Permitting Unit. 1617 Mail
Service Center, Raleigh. NC 27699-1617.
5. The Permitter must request and obtain a permit modification from the Division prior to a transfer of the ]and application site(s) to a new
landowner. In addition. the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program.
including an analysis of constituents of the residuals. residuals application methods. schedules for typical cropping patterns. a description of the
equipment used by the Permittee.
7, The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals ]and
application event and a copy of the results of each soil analysis.
8. If the soil pi- l of the land application site(s) is not maintained at 6.0 or greater. sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil. residuals and lime mixture is suitable for the
specified crop.
9. 'T'he landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns. results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g.. fertilizer, unregulated animal waste. etc.) that have been applied to the land application site(s).
1 1. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals ]and application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee. the landowner. or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby, authorizes the Permittee. local officials. and State officials or their representatives to: enter and
inspect any property, premises. or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit: establish monitoring facilities on or near the land application site(s) as required by the permit: copy any records
that must he kept under the terms and conditions tit' 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 trust 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 al the land application site(s).
2_ Animals shall not be grazed on the land application site(s) for a 30-dav period Bellowing a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that tivill be used to prevent access during these periods alter such residuals land application
events.
3. Food crops. feed crops_ and fiber crops shall not he harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally, above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for lour 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 he harvested for a 12-month period Btltowing a residuals land application event.
11I.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 021..0107(d) prohibits water supply wells within the compliance boundary. I lowever. 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area. such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary' and attach a map showing the newly proposed compliance
boundary' to the application package)
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: . is currently permitted under another
residuals land application program: Permit Number WQ: , The land owner hereby acknowledge that by signing this
agreement. he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program:_
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
t certify that I am a deeded landowner of the above -referenced land application site(s) and arn authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners QR 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 Pennittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Timothy.Keever
Address: 571 SULPHUR SPRINGS RD
City,
State: NC
Phone: U 2' g -3/0" ecisci Q E mail address:? Z<-veJt.
Signature: - �Y �� - Date:
Zip: 28636
oisv• I1_SNadiVrr.Cttty
17• z J
NORTH CAROLINA, 141 0an&t''' .._ _ COUNTY +`
I, the undersigned Notary Public do hereby certify that 1t tvl P1'hy 4. KGB
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the. l
day of 6Cervi,b-cf
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
,20 a�
Lessee/operator name: _
Address: 3 4 \ C. CA- ,
City: : t,et State: 1U - e--
PhoneQ��— 3 E-mail address:
Signature:
Pcrmittee's Certification:
Date:
lip: caL'r& t3 Lp
® -�- 0.4& o C�u��2s1G . GDVY1
v‘» Vag
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: -Pc? t r �OLvrt e/l f71/S!/I,/
Signature: -7 r Date: _.. f o2
FORM: LOA 06-16
Page 3 of 3

- Property Line 50
House 100
House 400
- - - - — Surface water diversions 25
Google
The compliance boundary is established either 250 feet from the perimeter of the residuals applicaton area or 50
feel within the properly boundary, whichever ts closer. The review boundary is established midway between the,
compliance boundary and the perimeter of the residuals application area
ap data t 2022 Imagery 02022 Alexander Cour

SITE EVALUATION AND SOIL REPORT
VIC COURT TRACT
NC PIN 3788 05 5988
Land Owner: Timothy and Deborah Keever
ALEXANDER COUNTY, NC
AUGUST 31, 2021
PREPARED BY
\ CONSTANCE M ADAMS, LSS
\ 3201 SMITH FARM ROAD
MATTHEWS, NC 28104
828-234-3776
FOR
US BIOSOLIDS, INC.
P.O. Box 146
RONDA, NC 28670
336-777-6909

SITE AND INVESTIGATION SUMMARY AND OVERALL
RECOMMENDATIONS
The purpose of this evaluation was to review the proposed site and soils for suitability for residuals
application as required by 15 A NCAC 02T and the subsequent site evaluation policies found in the Soil
Scientist Evaluation Policy document from September, 2008. This report will document the site
evaluation details and includes all required reporting information therein. Representative soil fertility
and heavy metal samples from the proposed field were collected and these samples were analyzed for
the required fertility analysis and baseline heavy metal content.
The site is located on Vic Court in Hiddenite, NC, across the street from 341 Vic Court. Attached map 1
shows the general location of the site, and map 2 shows the general topography of the site. The overall
tract is 14.74 acres, and the hayfield itself is about 12 acres. The hayfield is the only part of the tract
proposed to be use for residuals application. The site is in the Third Creek watershed (WS No. 37) of the
South Yadkin River (YAD 06), which is a class C water.
The center coordinates of the field are Latitude N 35.892°, Longitude W 81.091°{W6584 Datum)
Overall, this field is well suited to residuals application. Ground cover is fescue hay or pasture with
common broadleaf and grassy weeds. The vegetative condition for this field shows excellent ground
coverage with no need for revegetation. The weeds pose no concern for residuals application.
The field has slopes ranging from 3 percent to 12 percent. As the site is proposed for surface application
of residuals, the field portions with slopes exceeding 10 percent have been indicated on the Site
Investigation Map (map 4) attached herein. The slopes in the useable portion of the fields range from 3
to 10 percent. Depth to rock or water table was well over 1 foot, and was typically more than 4 to 7 feet
below ground surface.
Soil borings were completed over the field and the location of these borings is found on the attached
Site Investigation Map (map 4). These borings confirmed the USDA Natural Resources Conservation
Service soil map of the site. Because the soil evaluation closely confirmed the soil mapping by the
National Cooperative Soil Survey, with only inclusions that are within the design of the designated map
units; no distinct map unit lines have been mapped on the Site Investigation Map- all areas shown are
the same soil type and consistent with the soil survey. The attached USDA NRCS map (Map 3) is
presented as an accurate rendition of the soils on the site. A more detailed discussion of the soils on the
site can be found in the "Soil Investigation Results" section below.
A representative soil sample of the site was taken using a stainless steel core sampler to a depth of 6".
Samples were taken randomly over the entire field. The results of the soil fertility test (attachments 4
and 5) and of the heavy metal analysis (attachments 6 and 7) support the use of this site for residuals
application.
RECOMMENDATION: With the exception of required setbacks for homes, wells, rights -of -way, surface
waters, drainageways and/or property lines, and with the exception of the slope areas exceeding 10
percent that are buffered out, the remainder of the field is recommended for class B residuals
application.
Setbacks to all required features must be flagged at the time of residuals application. The slope areas
exceeding 10 percent will also need to be flagged out at the time of residuals application.

SOIL INVESTIGATION RESULTS
Soils on the site are mapped as CeB2, Clifford sandy clay loam, 2 to 8 percent slopes, moderately eroded
and as FcC2, Fairview sandy clay loam, 8 to 15 percent slopes, moderately eroded on the USDA NRCS soil
survey (see map 3). Clifford and Fairview soils are well -drained, with a clayey subsoil and soil depth
exceeding 20 inches to parent material. Clifford soils have a thicker subsoil than Fairview soils, but use
and management are very similar. See attached Official Series Descriptions (attachments 1 and 2).
Seven soil borings were conducted in the proposed field. None of the areas evaluated is in a floodplain
or contains jurisdictional wetlands. Location of borings is indicated on the attached Site Investigation
Map (map 4), and a detailed description of boring #7 to a depth of 7' is attached (attachment 3). These
borings confirmed the accuracy of the USDA NRCS soil survey of the site.
Soils in the proposed application area were observed to be a mix of Clifford (taxonomic class: Fine,
kaolinitic, mesic Typic Kanhapludults ) and Fairview (taxonomic class: Fine, kaolinitic, mesic Typic
Kanhapludults) soils, and variants of those series. Soils were moderately eroded with a sandy clay loam
surface. One boring had a clay loam surface. Depth to bedrock was always >36". Most pits had water
table greater than 36" below ground surface, with the exception of one pit that was located in a
drainageway that had free water at 36".
Observed slopes on the site ranged from 3 percent to 12%. Areas with slope greater than 10 percent
are marked on the Site Investigation Map (map 4).
The field is planted in fescue with significant quantities of broadleaf and grassy weeds. Crop health and
maintenance of the field in a mixed hay crop are adequate to prevent future erosion.
Based on these results, the soil investigation of the site found that the soils on the site are not limiting
for residuals application.
Table 1: Summary of Soil Observations
Soil
Boring #
Soil
Series
Depth to
Bedrock
(in)
Depth
SHWT
(in)
Slope
%
Slope
range in
vicinity
(%)
Landscape
position
Restrictions
for
for residuals
application
1
Clifford
>52 >52 5%
3-5%
Summit
none
2
Fairview
>52 >52
5%
4-6%
Nose slope
none
3
Fairview
variant
>52
>52
8%
6-8%
Linear side
slope
none
4
Clifford
variant
>36 '
36"
(free
water)
3%
2-4%
Concave
drainageway
Drainageway/
ephemeral
stream
5
Clifford
>50"
>50"
6%
4-7%
Nose slope
none
6
Fairview
>36"
>36"
9%
7-9%
Linear side
slope
none
7
Clifford
variant
>85">85"6%
4-7%
Shoulder
slope
none

SOIL TEST RESULTS AND SITE NUTRIENT MANAGEMENT PLAN
All fields currently exist in established fescue pasture or hay. Crop health is good, but there are
significant weed populations. Overall, the soil tests show normal agronomic management and do not
indicate any parameters that pose a concern for residuals application.
Liming and nutrients: Addition of residuals must be monitored such that the known application rates of
nitrogen, phosphate, potash, and lime equivalent are taken into account with respect to the soil test
recommendations, or the RYE limit as given from the nutrient management tables. The permanent
hay/pasture supplies adequate erosion control for those fields; however, judgment must be applied
when applying liquid biosolids to fields where slopes exceed 6 percent as runoff may occur.
The NCDA&CS Agronomic Section's soil test results are applicable for all nutrients, and lime, EXCEPT
NITROGEN. 2T rules require the use of nutrient management RYE guidance from North Carolina State
University (NCSU) when defining application rates of residuals. Soils on the site are about evenly divided
between Clifford and Fairview. Since Fairview soils are the more limiting map unit, it is recommended
that nitrogen application rates be based on them, for an application rate of 172 Ibs N per acre.
Table 2: Nitrogen Rates for Vic Court tract per NC Realistic Yield Expectations (see Attachments 8 and 9)
Soil Map Unit from
Alexander County Soil
Survey/Web Soil Survey
(Natural Resources
Conservation Service)
REALISTIC
YIELD
(tons)
N Factor
TOTAL NACRE OF ALL
NUTRIENT SOURCES
(ibs/acre)
CeB2—Clifford sandy
clay loam, 2 to 8 percent
slopes, moderately
eroded
4.8
44
209
FcC2--Fairview sandy
clay loam, 8 to 15
percent slopes,
moderately eroded
3.9
44
172
The soil test shows pH within the acceptable range for forage crops. At a pH of 6.6 it is above the ideal
pH for manganese uptake. No lime application is recommended. If the applied wastewater residuals
are handled in a manner that would render them as a liming source, then the residuals should be
tested for their liming equivalency (also called calcium carbonate equivalency) to ensure that soil pH is
maintained in the proper range.
Phosphate index (P-I) is high and no additional P is required. Potash Index (K-I) is low and application of
K at a rate of 100 Ibs per acre is recommended.
No secondary or micronutrients are deficient and no amendments of such are recommended. Because
pH is on the high side, the grower may want to check vegetation for signs of manganese (Mn) deficiency
and apply Mn if needed.

With adequate erosion control as currently exists, P and other nutrient losses should not be a concern.
Sodium and ESP: The sodium levels for this field are very low at 0.1 milliequivalents. The exchangeable
sodium percentage (ESP) is found on the soil test reports as % of the base saturation column. ESP is at
1% for this field and will not be limiting for residuals application. ESP is a parameter that should be
calculated annually as residuals are applied to help with sodium monitoring.
Metals:
Soils were evaluated for regulated metals as required by 27 rules. Samples were submitted to Waypoint
Analytical in Charlotte, NC for heavy metal analysis. Chain of custody was documented.
Table 3: Summary of Heavy Metal Test Results:
Pollutant/Heavy Metal
Soil Test results, dry
weight (ppm)*
Soil test results
(kg/ha)**
EPA maximum CPLR
Arsenic
13.9
27
41
Cadmium
BDL"
N/A
39
Copper
23.0
44.8
1500
Lead
22.7
44.3
300
Mercury (total)
.0408
.0796
17
Molybdenum
1.68
3.33
(none)
Nickel
9.76
19.0
420
Selenium
BDL
N/A
100
Zinc
47.9
93.4
2800
ABDL = below detection limit
*Analytical method is 6020B for all metals except mercury. For mercury analytical method used was
7471A
**Converted from ppm using an estimated soil density of 1300 kg/cubic meter, which gives a conversion
factor of ppm x 1.95 = kg/ha
The results of the heavy metal testing shows that generally this site is nowhere near the cumulative
pollutant loading rate (CPLR) for most of the heavy metals tested. The only exception to this is arsenic,
which is well up toward the CPLR. Arsenic levels in the soil and residuals being applied will need to be
especially closely monitored to remain below the limit of 41 kg/ha.
A common issue in this area is levels of Zinc and Copper due to application of poultry manure. This does
not appear to be the case on this site, and levels of Zinc and copper are not anywhere near levels that
would cause plant toxicity.
Hay/Agronomic Management
The hay should be cut or grazed using sound agronomic practices. Removal of the crop is required to
insure continued nutrient uptake and removal from the system. If the fescue crop appears damaged or
diseased, soil and plant tissue samples may be used to diagnose the problem. You should not apply
residuals on any fields/crops where plant tissue appears unhealthy or Tacks sufficient density to hold the
residuals in place on the field.

Map 1:
General Site Location Map
Source: Alexander County GIS

ki/V> I E1•]E rrG LOC.ATID 0 HAP
Alexander County
1:13,470
0 01 02
' , '
0 0.175 0.35
0 4 mi
0 7 km
August 8, 2021

Map 2:
Site Topographic Map
Source: Alexander County GIS

Alexander County
1:1,800
0 0 015 0.03
r •
0 0.0225 0.045
006mi
0109 km
August 8, 2021

Map 3:
Soil Map with
Soil Map Legend
Source: USDA Natural Resources Conservation Service Web Soil Survey
Accessed 7/22/2021

35° 53' 39"N
35°53' 19'11
491340
491340
In
N
48143]
4a5527 61p
CoA
_FGQ2
5+4E1,[0 nalry q:^,,_ r r'
Soil Map —Alexander County, North Carolina
(Vic Court Non -dedicated application site)
491790
491880 491970
150
RcC2
491430 481520 4818143 491700 491790 481880 491970 4 492150
map Scale: 1:4,170 if printed co A landscape { L l" x 8.5"J SrgeEt,
❑ 5jo 1co
203
Meters
300
Feet
0 200 400 800 1200
Map projection: Vu43 Mew ta Corner coordinates: WGSa4 Edge tics: UTM Zone 17N WCS84
758
35° 53 39" N
53
35° 53'19'N
USDA Natural Resources
21110 Conservation Service
Web Soil Survey
National Cooperative Soil Survey
7/22/2021
Page 1 of 3

Soil Map —Alexander County, North Carolina
(Vic Court Non -dedicated application site)
MAP LEGEND
Area of Interest (ADl)
Area of Interest (AO1)
Soils
Sail Map Unit Polygons
ryR Soil Map Unit Lines
0 Soil Map Unit Points
special Point Features
Blowout
*r
0
rKi
0
A.
0
0
0
Borrow Pit
Clay Spot
Closed Depression
Gravel Pit
Gravelly Spot
Landfill
Lava Flow
Marsh or swamp
Mine or Quarry
Miscellaneous Water
Perennial Water
Rock Outcrop
Saline Spol
Sandy Spot
Severely Eroded Spol
Sinkhole
Slide or Slip
Sodic Spot
a
A
•
Spoil Area
Stony Spot
Very Stony Spot
Wet Spol
Other
Special Line Features
Water Features
Streams and Canals
Transportation
f-t r Rails
r tog Interstate Highways
US Routes
Major Roads
Local Roads
Background
Aerial Photography
MAP INFORMATION
The soil surveys that comprise your AOI were mapped at
1:24,000.
Warning: Soil Map may not be valid at this scale.
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
line placement. The maps do not show the small areas of
contrasting soils that could have been shown at a more detailed
scale.
Please rely on the bar scale on each map sheet for map
measurements.
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
Coordinate System: Web Mercator (EPSG:3857)
Maps from the Web Soil Survey are based on the Web Mercator
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: Alexander County, North Carolina
Survey Area Data: Version 26, Jun 2, 2020
Soil map units are labeled (as space allows) for trap scales
1:50,000 or larger.
Date(s) aerial images were photographed: Apr 8, 2015—Nov 28,
2017
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
gigNatural Resources Web Soil Survey
Conservation Service National Cooperative Soil Survey
7/22/2021
Page 2of3

Soil Map —Alexander County, North Carolina
Vic Court Non -dedicated application
site
Map Unit Legend
Map Unit Symbol
GeF12
Map Unit, Name
Clifford sandy clay loam, 2 to 8
percent slopes. moderately
eroded
Acres in AOI
Percent of AOI
41.3 47.0%
CoA
Codorus loam, 0 to 2 percent
slopes, frequently flooded
FcC2
8.2
9.4%
Fairview sandy clay loam, 8 to
15 percent slopes,
moderately eroded
34.5
39.2%
FcD2 Fairview sandy loam, 15 to 25
percent slopes
Totals for Area of Interest
3.9
4.4%
87.9
100.o^%o
usDA Natural Resources Web Soil Survey 7/22/2021
i Conservation Service National Cooperative Soil Survey Page 3 of 3

Map 4:
Site Investigation Map
Base Map from Alexander County GIS
Aerial photography 2021

.P 9 ;,1ccir by, Pop
Alexander County
1:1,800
0 0.015 003 0.06mi
1 r
0 0.0225 0.045 0.09 km
August 8, 2021

Attachments 1 and 2:
Official Soil Series Descriptions for
Clifford and Fairview Soils
Source: USDA Natural Resources Conservation Service ❑fficial Series Descriptions

Official Series Description - CLIFFORD Series hops:Ilsoilseries.sc.egov.usda.govlOSD_Docs1CICLIFFORD.htm1
AttACAAWlehlk I NC -VA
LOCATION CLIFFORD
Established Series
SKT-BLLIRev. JAI(
01/2006
CLIFFORD SERIES
MLRA(s): 136 (mesic part)
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina
Depth Class: Very deep
Drainage Class (Agricultural): Well drained
Internal Free Water Occurrence: Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
Landscape: Piedmont uplands
Landf'orm: Hill, interfluve
Geomorphic Component: Interfluve, side slope, nose slope
Hillslope Profile Position: Summit, shoulder, backslope gneiss,granite gneiss,
Parent Material: Residuum weathered from felsic crystalline rock such as mica schist, g g
mica gneiss, granodiorite. and granite
Slope: 2 to 60 percent
Elevation (type location): 680 feet
Frost Free Period (type location): 174 days
Mean Annual Air Temperature (type location): 57 degrees F.
Mean Annual Precipitation (type location): 44 inches
TAXONOMIC CLASS: Fine, kaolinitic, mesic Typic Kanhapludults
TYPICAL PEDON: Clifford fine sandy loam (in an area of Clifford fine sandy loam, 2 to 8 percent slopes),
in mixed hardwood and pine forest. (Colors are for moist soil unless otherwise stated.)
Ap--0 to 5 inches; dark brown (7.5YR 3/3) fine sandy loam; weak fine granular structure; very friable,
slightly sticky, slightly plastic; many fine, medium, and coarse roots; many fine tubular pores; 5 percent
gravel; very strongly acid; clear wavy boundary. (1 to 9 inches thick)
BA--5 to 13 inches; yellowish red (5YR 4/6) loam; weak medium subangular blocky structure; friable,
slightly sticky, slightly plastic; many fine, medium, and coarse roots; common fine tubular pores; very
strongly acid; gradual wavy boundary. (0 to 10 inches thick)
Bt1--13 to 17 inches; 80 percent red (2.5YR 4/6) and 20 percent red (2.5YR4/8) clay loam; moderate
medium and fine subangular blocky structure; friable, slightly sticky, slightly plastic; common fine, medium,
and coarse roots; common fine tubular pores; common discontinuous faint clay films on faces of peds; very
strongly acid; gradual wavy boundary.
Bt2--17 to 48 inches; red (2.5YR 4/8) clay; moderate medium subangular blocky structure: firm, moderately
sticky, slightly plastic; common fine, medium, and coarse roots; common fine tubular pores; few
8(12/2021, 8:21 1
1 of 5 l.±t o ,Mj24-1` 1

Official Series Description - CLIFFOR❑ Series https://soiiseries.sc.egov.usda.gov/OSD_Docs/C/CLIFFORD.html
discontinuous faint clay films on faces of peds; few fine flakes of mica; very strongly acid; gradual wavy
boundary. (Combined thickness of the Bt horizon is 25 to 50 inches.)
BC--48 to 58 inches; red (1OR 4/6) clay loam; weak medium subangular blocky structure; friable, slightly
sticky, slightly plastic; few fine, medium, and coarse roots; few fine tubular pores: few fine flakes of mica;
very strongly acid; gradual wavy boundary. (0 to 25 inches thick)
C--58 to 72 inches; 80 percent red (2.5YR 5/8) and 20 percent reddish yellow (5YR 6/6) loam saprolite;
massive; friable. few fine flakes of mica; very strongly acid.
TYPE LOCATION: Caswell County, North Carolina; about 3.3 miles south of Yanceyville, 0.05 mile east
from intersection of Secondary Road 1736 and North Carolina Highway 62, on Secondary Road 1736, 60 feet
north in wooded area; USGS Anderson topographic quadrangle; lat. 36 degrees 21 minutes 29 seconds N. and
long. 79 degrees. 20 minutes. 5 seconds W.
RANGE IN CHARACTERISTICS:
Depth to top of Argillic horizon: 1 to 15 inches
Depth to base of Argillic horizon: 35 inches or more
Depth to Bedrock: Greater than 60 inches
Rock Fragment Content: 0 to 35 percent in the A and E horizons and 0 to 15 percent in the B and C horizons;
mostly gravel and cobbles
Soil Reaction: Very strongly acid to moderately acid throughout. Limed soils are typically moderately acid or
slightly acid in the upper part.
Mica Content: 0 to 30 percent, by volume, mica flakes
Other Features: Clayey part (greater than 35 percent clay) of the argillic horizon is 24 or more inches thick
and typically extends to a depth of 30 inches or more
RANGE OF INDIVIDUAL HORIZONS:
A horizon (if it occurs):
Color --hue of 2.5YR to IOYR, value of 3 or 4, chroma of 2 to 4
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
Ap horizon:
Color --hue of 2.5YR to 10YR, value of 3 to 5, chroma of 2 to 6
Texture (fine -earth fraction) --sandy loam. fine sandy loam, or loam. Eroded phases include sandy clay loam
or clay loam.
E horizon (if it occurs):
Color --hue of 7.SYR or 1OYR, value of 4 to 6, chroma of 3 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
BA horizon or BE horizon (if it occurs):
Color --hue of 2.5YR to 1 OYR. value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --loam, sandy clay loam, or clay loam
Bt horizon:
Color --hue of 10R to 5YR, value of 3 to 5, chroma of 6 or 8. Pedons with hue of 5YR lack evident patterns of
non-redoximorphic mottling.
Texture (fine -earth fraction) --clay loam, sandy clay, or clay
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown. or yellow
BC horizon:
Color --hue of lOR to 5YR, value of 4 or 6, chroma of 4 to 8.
2 of 5
8/12/2021, 8:21 PM

Official Series Description - CLIFFORD Series https:llsoilseries.sc.egov.usda.gov/OSD_Docs/C/CL[FFORD.html
Texture (fine -earth fraction) --loam, sandy clay loam, or clay loam
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
C horizon:
Color --hue of 1 OR to 10YR, value of 4 or 6, chroma of 4 to 8 or is variegated in shades of yellow, red, brown,
black. or white
Texture (fine -earth fraction) --sandy loam, fine sandy loam, loam. sandy clay loam, or clay loam saprolite
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
COMPETING SERIES:
Fairview soils --the clayey part of the argillic horizon extends to a depth of less than 30 inches and is less than
25 inches thick
Hayesville soils --are on landforms above 2000 feet elevation
Nathalie soils --have Bt horizons with yellower hue
Toast soils --the clayey part of the argillic horizon extends to a depth of less than 30 inches, is less than 25
inches thick. and has Bt horizons with yellower hue
Westfield soils --have paralithic contact at 40 to 60 inches
Woolwine soils --have paralithic contact at 20 to 40 inches
GEOGRAPHIC SETTING:
Landscape: Piedmont uplands
Landform: Hill, interfluve
Geomorphic Component: Interfluve, side slope, nose slope
Hillslope Profile Position: Summit. shoulder, backslope
Parent Material: Residuum weathered from felsic crystalline rock such as mica schist. gneiss. granite gneiss,
mica gneiss, granodiorite, and granite
Slope: 2 to 60 percent
Elevation: 300 to 1400 feet
Frost Free Period: 160 to 205 days
Mean Annual Air Temperature: 52 to 57 degrees
Mean Annual Precipitation: 40 to 55 inches
GEOGRAPHICALLY ASSOCIATED SOILS:
Braddock soils --formed in old alluvium; on adjacent high terraces
Buckhall soils --have mixed mineralogy and a browner subsoil; on similar landforms
Elioak-formed from micaceous crystalline rocks such as muscovite schist; on similar landforms
Fairview soils --the clayey part of the argillic horizon extends to a depth of less than 30 inches and is less than
25 inches thick; on similar landforms
Minnieville soils --formed from hornblende gneiss or hornblende schist and have moderate shrink -swell
potential; on similar landforms
Rhodhiss soils --have a fine -loamy particle -size class; on similar landforms
Stott Knob soils --have paralithic contact at a depth of 20 to 40 inches and have a fine -loamy particle -size
class; on similar landforms
Toast soils --the clayey part of the argillic horizon extends to a depth of less than 30 inches and is less than 25
inches thick, and has a browner subsoil; on similar landforms
Westfield soils --have paralithic contact at a depth of 40 to 60 inches; on similar landforms
Wintergreen soils --formed in old alluvium: on adjacent high terraces
Woolwine soils --have paralithic contact at a depth of 20 to 40 inches; on similar landforms
DRAINAGE AND PERMEABILITY:
Depth Class: Very deep (greater than 72 inches)
Drainage Class (Agricultural): Well drained
3 of A-Eic..a,4Ci 1
8/1212021, 8:21 PM

Official Series Description - CLIFFORD Series https://soilseries.sc.egov.usda.gov/OSD_Docs!CICLIFFORD.html
Internal Free Water Occurrence: Very deep (greater than 60 inches)
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
USE AND VEGETATION:
Major Uses: Cultivated crops, pasture, and forest
Dominant Vegetation: Where cultivated --small grains, corn, soybeans, hay, tobacco, and orchards. Where
forested --Eastern white pine, Virginia pine, red oak, white oak, post oak. hickory, blackgum, red maple,
yellow poplar, and dogwood.
DISTRIBUTION AND EXTENT:
Distribution: Virginia and North Carolina
Extent: Moderate
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina
SERIES ESTABLISHED: Henry County, Virginia; 1996.
REMARKS: Diagnostic horizons and features recognized in this pedon:
Ochric epipedon--the zone from the surface of the soil to a depth of 5 inches (Ap horizon)
Argillic horizon --the zone from 13 and 48 inches (Bt horizon)
Kandic horizon --the zone between 13 and 58 inches (Bt and BC horizons)
Other soil features identified with this pedon:
Series control section --the zone from 0 to 60 inches
ADDITIONAL DATA:
Laboratory Data: Lab data for the typical pedon and supporting pedons is available from Virginia Polytechnic
Institute and State University.
Database Information:
Typical Pedon Data Mapunit ID --To be developed
TABULAR SERIES DATA:
Soil Name Slope Airtemp FrFr/Seas Precip Elevation
CLIFFORD 2-60 52-57 160-205 40-55 300-1400
FloodL FloodH Watertable Kind Months Bedrock Hardness
NONE >.6.0 - - >80 -
Depth Texture 3-Inch No-10 Clay% -CEC-
0-13 SL FSL L 0-5 80-100 5-20 1-5
0-13 GR-SL GR-L GR-FSL 5-5 55-85 5-20 1-5
0-13 SCL CL 0-5 75-100 20-35 5-10
13-58 C CL 0-5 92-100 35-70 3-12
58-72 VAR - - - 1-12
Depth -pH- O.M. Permeab Sunk-Sw11
0-13 4.5-6.0 0.5-1.0 2.0-6.0 LOW
0-13 4.5-6.0 0.5-1.0 2.0-6.0 LOW
0-13 4.5-6.0 0.5-1.0 0.6-2.0 LOW
13-58 4.5-6.0 0.0-0.5 0.6-2.0 LOW
4of5
8/I2/2021.8:21 PM

Official Series Description - CLIFFORD Series https:/tsoiiseries.sc.egov.usda.gov/OSD_Docs/C/CLIFFORD.lrtrni
58-72
National Cooperative Soil Survey
U.S.A.
5of5 AFL,
8/12/2021, 8:21 PM

Official Series Description - FAIRVIEW Series https:Jlsoilseries.sc.egov.usda.gov/OSD_Docs/FIFAIRVIEW.html
74.-bc vtne 2
LOCATION FAIRVIEW NC+VA
Established Series
RTL-DCCIRev. JAK/DTA
02/2008
FAIRVIEW SERIES
MLRA(s): 136 (mesic part)
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina
Depth Class: Very deep
Drainage Class (Agricultural): Well drained
Internal Free Water Occurrence: Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
Landscape: Piedmont upland
Landform: Hill, ridge, interfluve
Geomorphic Component: Crest, interfluve. side slope, nose slope, head slope
Hillslope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum from felsic metamorphic or igneous rock
Slope: 2 to 60 percent
Elevation (type location): 1260 feet
Frost Free Period (type location): 174 days
Mean Annual Air Temperature (type location): 57 degrees F.
Mean Annual Precipitation (type location): 44 inches
TAXONOMIC CLASS: Fine, kaolinitic, mesic Typic Kanhapludults
•
TYPICAL PEDON: Fairview sandy clay loam (in an area of Fairview sandy clay loam, 8 to 15 percent
slopes, moderately eroded), on a convex 11 percent slope in pastureland. (Colors are for moist soil)
Ap1--0 to 10 centimeters (0.0 to 3.9 inches); brown (7.5YR 4/4) crushed sandy clay loam; weak medium
granular structure; friable, slightly sticky, slightly plastic; low excavation difficulty; many fine roots
throughout; 1 percent nonflat angular indurated 2- to 75-millimeter schist fragments and 4 percent nonflat
angular indurated 2- to 75-millimeter quartz fragments; moderately acid, pH 5.7; clear wavy boundary.
Ap2--10 to 23 centimeters (3.9 to 9.1 inches); strong brown (7.5YR 4/6) crushed sandy clay loam; weak fine
subangular blocky structure. and weak medium subangular blocky structure; friable, slightly sticky, slightly
plastic; low excavation difficulty; common fine roots throughout; common fine moderate -continuity tubular
pores; 1 percent fine red (2.5YR 4/8), moist. clay bodies and 1 percent fine mica flakes; 1 percent nonflat
angular indurated 2- to 75-millimeter schist fragments and 4 percent nonflat angular indurated 2- to 75-
millimeter quartz fragments: moderately acid, pH 5.7; (Ap horizon is typically 2 to 30 centimeters thick):
clear wavy boundary.
Bt--23 to 61 centimeters (9.1 to 24.0 inches); red (2.5YR 4/8) broken face clay; moderate medium subangular
blocky structure; firm, slightly sticky, moderately plastic; moderate excavation difficulty; common fine roots
1 of 5 Atha C. k p,t+ Z.- 8/12/2021, 8:23 PA

Official Series Description - FAIRVIEW Series https:llsoilseries.sc.egov.usda.gov/OSD_Docs/FIFAIRVIEW.html
throughout; common fine moderate -continuity tubular pores; 25 percent discontinuous faint red (2.5YR 5/8),
moist, clay films on all faces of peds; 10 percent fine mica flakes; 1 percent nonflat angular indurated 2- to
75-millimeter quartz fragments; strongly acid, pH 5.3; (Bt horizon is typically 20 to 60 centimeters thick);
gradual wavy boundary.
BCt--61 to 74 centimeters (24.0 to 29.1 inches); red (2.5YR 4/8) broken face clay loam; moderate medium
subangular blocky structure; friable, slightly sticky, slightly plastic; moderate excavation difficulty; 1 percent
discontinuous faint red (2.5YR 5/8), moist, clay films on vertical faces of peds; 10 percent fine mica flakes; 2
percent nonflat angular indurated 2- to 75-millimeter schist fragments and 4 percent nonflat angular indurated
2- to 75-millimeter quartz fragments and 5 percent flat very angular weakly cemented 2- to 150-millimeter
schist fragments; strongly acid, pH 5.3; (BC horizon is typically 0 to 75 centimeters thick); gradual wavy
boundary.
C--74 to 200 centimeters (29.1 to 78.7 inches): red (I OR 5/6) broken face loam; massive; friable. slightly
sticky, slightly plastic; low excavation difficulty; common fine roots throughout; common fine moderate -
continuity tubular pores; 10 percent fine mica flakes; 1 percent nonflat angular indurated 2- to 75-millimeter
schist fragments and 2 percent nonflat angular indurated 2- to 75- millimeter quartz fragments and 10 percent
flat very angular weakly cemented 2- to 150-millimeter schist fragments; strongly acid, pH 5.3.
TYPE LOCATION: Surry County, North Carolina; about 2.5 miles west of Dobson, 1000 feet northwest of
the intersection of Secondary Roads 1001 and 1124, in a pasture; USGS Bottom topographic quadrangle; lat.
36 degrees 24 minutes 03 seconds N. and long. 80 degrees 46 minutes 25 seconds W.
RANGE IN CHARACTERISTICS:
Depth to top of Argillic horizon: 1 to 15 inches
Depth to base of Argillic horizon: 15 inches or more
Depth to Bedrock: Greater than 60 inches
Rock Fragment Content: 0 to 40 percent in the A and E horizons and 0 to 30 percent in the B and C horizons;
mostly gravel. cobbles or stones. but may include channers and flagstones
Pararock Fragment Content: 0 to 15 percent, throughout; mostly paragravel or paracobbles, but may include
parachanners and paraflagstones
Soil Reaction: Extremely acid to moderately acid throughout. Limed soils are typically moderately acid or
slightly acid in the upper part.
Mica Content: 0 to 20 percent, by volume mica flakes in the A, E and B horizons, and 0 to 30 percent in the
BC and C horizons
Other Features: Clayey part (greater than 35 percent clay) of the argillic horizon is less than 24 inches thick
and typically extends to a depth of less than 30 inches
RANGE OF INDIVIDUAL HORIZONS:
A horizon (if it occurs):
Color --hue of 5YR to 10YR, value of 3 to 6, chroma of 2 to 8
Texture (fine -earth fraction) --sandy loam. fine sandy loam, or loam
Ap horizon:
Color --hue of 5YR to 10YR, value of 3 to 6, chroma of 2 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam. Eroded phases include sandy clay loam
or clay loam.
E horizon (if it occurs):
Color --hue of 5YR to 10YR, value of 4 to 6, chroma of 3 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
2 of 5 A ELP.0 1't1711124.77 2-
81121202]. 8:23 PM

Official Series Description - FAIRVIEW Series https://soilseries.sc.egov.usda.gov/OSD_Docs/F/FAIRVIEW.html
BE or BA horizons (if they occur):
Color --hue of 2.5YR to 7.5YR, value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --fine sandy loam. loam, sandy clay loam, or clay loam
Bt horizon:
Color --hue of I OR to 5YR, value of 4 or 5, chroma of 4 to 8
Texture (fine -earth fraction) --clay loam, sandy clay, or clay
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red. brown, or yellow
BC horizon or BCt or CB horizon (if they occur):
Color --hue of 1 OR to 7.5YR, value of 4 or 6, chroma of 4 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, loam, sandy clay loam, or clay loam
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
C horizon:
Color --hue of 10R to 7.5YR, value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam. loam, sandy clay loam, or clay loam saprolite
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
COMPETING SERIES:
Clifford soils --clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60
inches thick
Hayesville soils --are on elevations above 2000 feet
Nathalie soils --clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60
inches thick and have Bt horizons with browner hue
Toast soils --have subsoils with browner hue
Westfield soils --have paralithic contact at 40 to 60 inches
Woolwine soils --have paralithic contact at 20 to 40 inches
GEOGRAPHIC SETTING:
Landscape: Piedmont upland
Landform: Hill, ridge. interfluve
Geomorphic Component: crest, Interfluve, side slope, nose slope, head slope
Hillslope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum from felsic metamorphic or igneous rock such as mica schist, gneiss, granite
gneiss, mica gneiss, granodiorite. and granite
Slope: 2 to 60 percent
Elevation: 300 to 1400 feet
Frost Free Period: 160 to 205 days
Mean Annual Air Temperature: 52 to 57 degrees
Mean Annual Precipitation: 40 to 55 inches
GEOGRAPHICALLY ASSOCIATED SOILS:
Braddock soils --formed in old alluvium; on adjacent high terraces
Buckhall soils --have mixed mineralogy and a browner subsoil; on similar landforms
Clifford soils --the clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60
inches thick; on similar landforms
Elioak soils --have more mica in the subsoil and formed in residuum from micaceous crystalline rock such as
muscovite schist: on similar landforms
Minnieville soils --formed in residuum from hornblende gneiss or hornblende schist and have moderate
shrink -swell potential; on similar landforms
Rhodhiss soils --have a fine -loamy particle -size class; on similar landforms
3 of 5 ,Q eO, - Z.
8/1212021, 8:23 PM

Official Series Description - FAIRVIEW Series https://soilseries.sc.egov.usda.gov/OSD_Docs/F/FAIRVIEW.html
Stott Knob soils -have paralithic contact at a depth of 20 to 40 inches and have a fine -loamy particle -size
class; on similar landforms
Toast soils --have subsoils with browner hue; on similar landforms
Westfield soils --have paralithic contact at a depth of 40 to 60 inches: on similar landforms
Wintergreen sails --formed in old alluvium: on adjacent high terraces
Woolwine soils --have paralithic contact at a depth of 20 to 40 inches: on similar landforms
DRAINAGE AND PERMEABILITY:
Depth Class: Very deep
Drainage Class (Agricultural): Well drained
Internal Free Water Occurrence: Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
USE AND VEGETATION:
Major Uses: Cultivated crops, pasture. and woodland
Dominant Vegetation: Where cultivated --corn, tobacco. small grain, hay. and apples. Where forested --Eastern
white pine, Virginia pine, red oak. white oak, post oak, hickory. blackgum, red maple. yellow poplar, and
dogwood.
DISTRIBUTION AND EXTENT:
Distribution: Virginia and North Carolina
Extent: Moderate
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh. North Carolina.
SERIES ESTABLISHED: Surry County. North Carolina: 2003.
REMARKS: Fairview soils were previously mapped as Pacolet soils. The April 1997 relocation of the
mesic/thermic line in North Carolina and Virginia necessitated the establishment of the Fairview series as a
mesic counterpart. The 2008 revision is intended to limit the amount of mica allowed in the Fairview series.
Fairview is not intended to replace Madison soils in the mesic region.
Diagnostic horizons and features recognized in this pedon:
Ochric epipedon--the zone from the surface to 9 inches (Apl and Ap2 horizons)
Argillic horizon --the zone from 9 to 24 inches (Bt horizon)
Kandic horizon --the zone from 9 to 29 inches (Bt & BC horizons).
Other soil features identified with this pedon:
Series control section--0 to 60 inches
ADDITIONAL DATA:
Laboratory Data: No laboratory data available.
Database Information:
Typical Pedon Data Mapunit ID82665
User Pedon ID--88NC 171001
TABULAR SERIES DATA:
Slope Airtemp FrFr/Seas Precip Elevation
2-60 52-57 160-205 40-55 300-1400
S01-5 FloodL FloodH Watertable Kind Months Bedrock Hardness
4 of 5 A,IctaG[,`m - a_, 8/12/2021, 8:23 PM

Official Series Description - FAIRVIEW Series https://soilseries.sc.egov.usda.gov/OSD_Docs/FIFAIRVIEW.htrn1
NONE
>6.0 >60
SO1-5 Depth Texture 3-Inch No-10 Clay% -CEC-
0-9 SL FSL L 0-10 75-100 8-20 4-10
0-9 SCL CL 0-10 75-100 20-35 2-10
9-24 SC CL C 0-10 55-100 35-60 2-12
24-60 SL FSL L SCL CL 0-10 55-100 10-30 1-10
501-5 Depth -pH- Q.M. Salin Permeab Shnk-Sw11
0-9 3.6-6.0 0.5-2 2.0-6.0 LOW
0-9 3.6-6.0 0.5-1 0.6-2.0 LOW
9-24 3.6-6.0 0-0.5 0.6-2.0 LOW
24-60 3.6-6.0 0-0.5 0.6-6.0 LOW
National Cooperative Soil Survey
U.S.A.
5 of 5 At c_km_e2 811212021, 8:23 PM

Attachment 3:
Detailed Soil Description (boring 7)

Site: i [Cratt (1]c Pi 10 378(6c 5 t 9) Date: j � 2 Client: VS WID,S bti C • Soil Scientist: C .tnr0 nt r Adq 41 S
County and State: ikt-02,(:a.'Ic�P,('. i3C
Pit # Lndscpe Pos.
Slope Parent Mat.
Horizon
A
�-f
rbtz
Depth
4-D
C
cI
G2-
37 59
Matrix
Colors
K12-cl1�
Mottles
Vegetation Suitable Unsuitable
Seasonal water table Water table type
Texture
CL
C—
Structure
1.-f
Moist
Consistence
Wet
Consistence
55 l°
s�
SS 5?
Other
2-vg.416
/salvo.
s►��S�G , V-
Lro L
w 16*f_cyji %
rr t- c r SkfiN f�� �L
7 b -$� 10 KR-21.4, 7, ,Q6h,
$ ZG 5 5 CYO 4k1 SL
Additional comments:
Pit #
Slope
csrck
SS SRO
Sap 0-A,
N5 1
vV vl
Vt5 ref
Lndscpe Pos. Vegetation Suitable Unsuitable
Parent Mat.
Seasonal water table
Water table type
Horizon
Depth
Matrix
Colors
Mottles
Texture
Structure
Moist
Consistence
Wet
Consistence
Other
Additional comments:
Foothills Soil Consulting 08/31/21

Attachments 4-7:
Soil Sample Transmittal Sheets and
Soil Test Results
Nutrient Analysis by NCDA&CS Agronomic Division, Raleigh, NC
Heavy Metal Analysis by Waypoint Analytical, Charlotte, NC

Athac\Amevct 4
Form AD-1 Novemb-er 20131
ROUTINE SAMPLES
April -November: no tee
December -March: $4 sample4
SAMPLE INFORMATION
FARM 1D (. i)
SAMPLE DATE (.rtl.iw.t)
jJ2/tia -4
PAYMENT
SOIL SAMPLE INFORMATION — N.C. Soil Only
NCDA&CS Agronomic Division Soil Testing Section
Mailing Address: 1040 Mail Service Center, Raleigh NC 27699-1040
Physical Address (UPS1FedEx): 4300 Reedy Creek Road, Raleigh NC 27607
Phone: [phone] Website: www.ncagr.govlagronomi
FEE TOTAL CI
METHOD OF PAYMENT
ESCROW ACCOUNT ONLY
(Write wwe.rwt asaww. Wm)
To pay with cr.d card, you tt115I
us* Drm* sample submrxwr,
GROWER INFORMATION (l1.w.e print may)
LAST NAME
1
FIRST NAME
CONSULTANTIOTHER
LAST NAME
RECIPIENT
FIRST NAME
ADDRESS (in N.C. were samples were collected)
ADDRESS
3yL 13it'"1 +'"L 1
lt' fr i k
NC COUNTY (BoL.r...tl.set..f)
NUMBER OF SAMPLES
1
Rs.elleol.rs
Use ?DA4101 seterie
boxes way. TM to roil
Moo. Is not excepted.
Sefeettrap aeie(a) from
list on bode of forty.
CITY
PHONE
STATE
NC
ZIP
CITY
STATE ZIP
rC1
PHONE
€ `"' <<_) - 1 7 1,
E-MAIL ADDRESS
( •; Do Hot notay me whet, I ey[xt .s available
E-MAIL ADDRESS ❑ Do Not notify me when report is available
C,I.lr� rir1�•+}1;��='�I;j"s,.. r , ..
Iiy submitting this form to the NCDA&CS Agronomic Division, 1 attest that the accompanying samples were collected in North Carolina.
LAB NUMBER
[t nave blank)
2
3
4
5
SAMPLE
IDENTIFICATION
/ 1 ) 1 C I c 1 T _
1 1 J 1
1 1 I 1
L1ME APPLIED WITHIN
PAST 12 MONTHS
Ton s/Acre Month Year
You must specify a crop CODE to receive a recommendation (see reverse side of form)
FIRST CROP
CODE
SECOND CROP
•-citC for•
Ir
CODE
C C'
' f J
6
-
7
8
9
10
Jill
Thank you Jor using agronomic services W manage nutrients and safeguard environmental quality. — ,Steve Trader. ('oarmissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone]
Al*skavvv2A4 5 PI1oYZ
Website: www.ncagr.gov/agronomi Report No. FY22-SL001836
Predictive
Soil Report
Links to Helpful Information
Mehlich-3 Extraction
Sampled: 07/24/2021 Received: 08/05/2021 Completed: 08/13/2021 Farm: Yolanda Price
Client: Connie Adams
708 Broadway St NW
Lenoir, NC 28645
Sampled County : Alexander
Client ID: 508346
Advisor:
Advisor ID:
Sample ID: VICCT
Lime History:
Recommendations: Lime Nutrients (tblacre)
Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu
1 Fescue/OGrasslTim, M 0.0 120-200 0 100 0 0 pH$ 0 0 0
2-Fescue/OGrass/Tim, M 0.0 120-200 0 100 0 0 pH$
More
Information
Note: 12 Note: $
Note: 12 Note: $
Test Results [units - WN in glcm3; CEC and Na in meq/100 cm3; NO3-N in mgldn13]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-t Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N
0.36 1.13 9.4 93 0.7 6.6 85 19 82 10 28 160 104 104 190 190 160 0.1 1
North Carolina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture
k ,• 11,1.11. F1..•4.14. .. ....

NCDA&CS Agronomic Division
Aitxtdkwtoot5
Phone: (919) T33-2655 Website: www.ncagr.govlagronomil
Report No. FY22-5LOO1836
Connie Adams
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib11000 sq ft) at one
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-I and P-I values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11,5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS -I levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to Mote: Secondary Nutrients and Micronutrients In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
n cag r. goviagronorni/pubs.htm.
Report Abbreviations
Ac
B
BS%
Ca%
CEC
Cu-I
ESP
HM%
K-I
K2O
Mg%
MIN
Mn
Mn•AI1
Mn-AI2
Mn-I
M-0
N
Na
NO3-N
ORG
Recommendations for small areas, such as home IawnsIgardens, are listed in units of Ib/1000 sq ft . If you cannot find pH
the exact fertilizer grade recommended on the report, visit www.ncagr.govlagronomilobparf4.htrniMind information that p-I
may help you choose a comparable alternate. For more information, read A Horneowner=s Guide to Fertilizer. P205
5-I
55-I
WN
Zn-AI
Zn-I
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-A11, Mn-Al2, Zn-I, Zn-AI, Cu-I, S-1, SS -I, Na, ESP, 55-I, NO3-N (not routinely
available)] indicate levels of plant nutrients or other fertility measurement. Visit www,ncagr.govlagrorro_._m_..rluvrst.htm
Test Results
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH]
describe the soil and its degree of acidity. The
exchangeable acidity
boron
% CEC occupied by basic cations
% CEC occupied by calcium
cation exchange capacity
copper index
exchangeable sodium percent
percent humic matter
potassium index
potash
% CEC occupied by magnesium
mineral soil class
manganese
Mn-availability index for crop 1
Mn-availability index for crop 2
manganese index
mineral -organic soil class
nitrogen
sodium
nitrate nitrogen
organic soil class
current soil pH
phosphorus index
phosphate
sulfur index
soluble salt index
weight per volume
zinc availability index
zinc index

Waypoint _
ANALYTICAL
449 Springbrook Road • Charlotte, NC 28217
Phone [phone] • Fax: [phone]
Client Company Name: _.-
Report To/Contact Name:
Reporting Address:
Phone: Fax (Yes)(No):
Email Address:
EDD Type: PDF Excel Other
Site Location Name: -
Site Location Physical Address:
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
MILITARY
HOURS
Sampler's Signature
MATRIX
(SOIL,
WATER, OR
SLUDGE)
CHAIN OF CUSTODY RECORD
PAGE OF QUOTE At TO ENSURE PROPER BILLING:
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'Please ATTACH any project specific reporting (QC LEVEL III III IV)
provisions and/or QC Requirements
invoice To:
Address:
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Requested Due Date J 1 Day J 2 Days J 3 Days LJ 4 Days :J 5 Days
"Working Days" J 6-9 Days J Standard 1 ❑ days J Pre Approvedust Be
Samples received after 15:00 will be processed next business day.
Turnaround lime Is based on business days, excluding weekends and holidays
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY WAYPOINT ANALYTICAL. LLC TO CLIENT)
SAMPLE CONTAINER
'TYPE
SEE BELOW
NO.
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TIVES
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YES
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Received IN ICE?
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CUSTODY SEALS INTACT?
VOLATILES rec d W/OUT HEADSPACE?
PROPER CONTAINERS used?
TEMP: Therm ID: Observed
NO
'C (Corr.
NIA
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
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Other N/A
Water Chlorinated: YES __ NO
L Samples Iced Upon Collection: YES NO
NOS _
/ ANALYSIS REQUESTED
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Sampled By (Print Name) Affiliation
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RellnquFsh71 By (Signature) Received By (Signature)
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Relinquished By. (Signature)
elinguished By [signature}
Received By (Signature)
Receivr�� jA�rgLAnalytical By
method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD RE TAPED SHUT QP47H CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY.
J Fed Ex J UPS J Handdellve ed J Waypoint Analytical Field Service J Other
NPDES: UST: GROUNDWATER: DRINKING WATER: SOL
LJNCJSC INC JSC LJNC JSC L.1NC JSC JN
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Dale
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7.7101112
COC Group No
ID WASTE: RCRA: BRWNFLD LANDFILL OTHER:
C 'JSC LINC LISC LJNC _I SC INC Li SC LJNC LJSC
J J J
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TERMS & CONDITIONS
CUSTOMER COPY

At`vc- w - ±
-7
v�
Wa oint.
ANALYTICAL
00118
Connie Adams
Connie Adams
3201 Smith Farm Road
Matthews , NC 28104
Report Number : 21-208-0002
449 Springbrook Rd. Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Project Analytical Testing
Information :
REPORT OF ANALYSIS
Report Date : 08/11/2021
Received : 07/26/2021
41pezedi
Jamie Corporaal
Laboratory Project Manager
Lab No : 92442 Matrix: Solids
Sample ID : Vic Court - Alex
Sampled: 7/ 24/ 2021 15:15
Test Results Units MQL DF Date ( Time By Analytical
Analyzed Method
Moisture 29.6 0/0 1 08/04/21 16:22 FMM SW-DRYWT
Arsenic 13.9 mg/Kg - dry 1.42 10 07/29/21 18:09 EDV 60208
Cadmium <0.710 mg/Kg - dry 0.710 10 07/29/21 18:09 EDV 60208
Copper 23.0 mg/Kg - dry 3.55 10 07/29/21 18:09 EDV 60208
Lead 22.7 mg/Kg - dry 1.42 10 07/29/21 18:09 EDV 60208
Mercury (Total) 0.0408 mg/Kg - dry 0.0192 1 08/10/21 10:12 DDB 7471A
Molybdenum 1.68 mg/Kg - dry 1.42 10 07/29/21 18:09 EDV 6020B
Nickel 9.76 mg/Kg - dry 1.42 10 07/29/21 18:09 EDV 6020B
Selenium <2.84 mg/Kg - dry 2.84 10 07/29/21 18:09 EDV 60208
Zinc 47.9 mg/Kg - dry 14.2 10 07/29/21 18:09 EDV 6020B
Qualifiers/
Definitions
DF Dilution Factor
MQL Method Quantitation Limit
L Limit Exceeded

Attachments 8 and 9:
Nutrient management RYE tables
Clifford and Fairview soils
Alexander County.
Source: NC State University

Realistic Yields for CeB2: Clifford sandy clay loam, 2 to 8
percent slopes, moderately eroded in Alexander County, NC
Realistic Estimated
Nitrogen Nitrogen Phosporhus
Crop Yield Removal
Factor Rate
(lbs/acre) (lbs
P20slacre)
Bahiagrass (Hay) 3.6 Tons 44 157 41
Barley (Grain) 77 Bushels 1.49 115 29
Caucasion101d World Bluestem (Hay) 3.8 Tons 44 167 45
Common Bermudagrass (Hay) 3.6 Tons 44 157 43
Corn (Grain) 171 Bushels 0.76 130 75
Corn (Silage) 21.9 Tons 10.9 238 74
Dallisgrass (Hay) 3.6 Tons 44 157 47
Fescue (Hay) 4.8 Tons 44 209 75
Hybrid Bermudagrass (Hay) 4.8 Tons 44 209 58
Mixed Cool Season Grass (Hay) 3.3 Tons 44 146 47
Oats (Grain) 97 Bushels 1.13 109 24
Orchardgrass (Hay) 3.8 Tons 44 167 55
Pearl Millet (Hay) 4 Tons 49 198 54
Rye (Grain) 57 Bushels 2.01 115 19
Small Grain (Silage) 10.5 Tons 11.1 116 56
Sorghum (Grain) 57 CWT 1.72 98 43
Sorghum (Silage) 18.5 Tons 7.6 141 56
Sorghum Sudan (Hay) 4.5 Tons 49 221 63
Soybeans (Double Cropped -Manured) 40 Bushels 3.89 155 32
Soybeans (Full Season - Manured) 48 Bushels 3.89 185 38
Soybeans (Full Season) 48 Bushels 0 0 38
Tobacco (Flue Cured) 3040 Pounds 0.02 61 15
Triticale (Grain) 80 Bushels 1.52 121 26
Wheat (Grain) 100 Bushels 1.14 114 50
Source: North Carolina Interagency Nutrient Management Committee. 2014. Realistic yields and
nitrogen application factors for North Carolina crops. realisticyields.ces.ncsu.edu North Carolina State
University, North Carolina Department of Agriculture and Consumer Services, North Carolina
Department of Environment and Natural Resources, Natural Resources Conservation Service. Raleigh
NC.

AtLac\Ar6ever 1
Realistic Yields for FcC2: Fairview sandy clay loam, 8 to 15
percent slopes, moderately eroded in Alexander County, NC
Crop
Bahiagrass (Hay)
Barley (Grain)
Caucasion101d World Bluestem (Hay)
Common Bermudagrass (Hay)
Corn (Grain)
Corn (Silage)
Cotton
Dallisgrass (Hay)
Fescue (Hay)
Hybrid Bermudagrass (Hay)
Mixed Cool Season Grass (Hay)
Oats (Grain)
Orchardgrass (Hay)
Pearl Millet (Hay)
Rye (Grain)
Small Grain (Silage)
Sorghum (Grain)
Sorghum (Silage)
Sorghum Sudan (Hay)
Soybeans (Double Cropped -
Manured)
Soybeans (Full Season - Manured)
Soybeans (Full Season)
Tobacco (Flue Cured)
Triticale (Grain)
Tropical Corn (Silage)
Wheat (Grain)
Yield
Realistic
Nitrogen Nitrogen
Factor Rate
(lbslacre)
3 Tons 44 134
59 Bushels 1.49 88
3 Tons 44 134
3 Tons 44 134
141 Bushels 0.74 104
17.4 Tons 10.9 190
566 Pounds 0.08 45
3 Tons 44 134
3.9 Tons 44 172
3.9 Tons 44 172
2.8 Tons 44 124
74 Bushels 1.13 84
3 Tons 44 134
3.3 Tons 49 160
44 Bushels 2.01 87
7.8 Tons 11.1 87
44 C WT 1.72 75
14.8 Tons 7.6 112
3.7 Tons 49 181
30 Bushels 3.89 115
35 Bushels 3.89 135
35 Bushels 0 0
2262 Pounds 0.02 45
61 Bushels 1.52 93
17.4 Tons 6.5 113
83 Bushels 1.05 87
Estimated
Phosporhus
Removal
(lbs P205lacre)
35
22
36
37
62
59
11
40
61
48
40
18
44
43
14
42
33
44
51
24
28
28
11
20
59
41
Source: North Carolina Interagency Nutrient Management Committee. 2014. Realistic yields and
nitrogen application factors for North Carolina crops. realisticyields.ces.ncsu.edu North Carolina State
University, North Carolina Department of Agriculture and Consumer Services, North Carolina
Department of Environment and Natural Resources, Natural Resources Conservation Service. Raleigh
NC.