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WQ0001800_Residual Annual Report 2021_20220224
Non-Discharge Branch Upload/Submittal Form �. NORTH CAROLINA EnWrvnmenfol Quoity Version 2-Revised June 23,2020 Initial Review Reviewer Thornburg,Nathaniel D Is this submittal an application?(Excluding additional information.)* Yes No If not an application what is the submittal type?* Annual Report Residual Annual Report Additional Information Other Annual Report Year* 2021 Permit Number(IR)* WQ0001800 Applicant/Permittee Town of Yadkinville Email Notifications Does this need review by the hydrogeologist?* Yes • No Regional Office Winston-Salem CO Reviewer Admin Reviewer 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* Lysa Finnerty Email Address* Phone Number* LFinnerty@synagro.com 14105376150 Project Information Application/Document Type* New(Fee Required) Modification-Minor Modification-Major(Fee Required) Renewal Renewal with Major Modification(Fee GW-59, NDMR,NDMLR, NDAR-1, Required) NDAR-2 Annual Report Residual Annual Report Additional Information Change of Ownership Other 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 High-Rate Infiltration Other Wastewater Reclaimed Water Closed-Loop Recycle Residuals Single-Family Residence Wastewater Other Irrigation Permit Number:* WQ0001800 Has Current Existing permit number Applicant/Permittee Address* 435 Williams Court,Ste 100,Baltimore,MD 21220 Facility Name* Town of Yadkinville Class B Residuals Program Please provide comments/notes on your current submittal below. 2021 Annual Report for Town of Yadkinville,NC At this time,paper copies are no longer required.If you have any questions about what is required,please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here.* (Application Form,Engineering Plans,Specifications,Calculations,Etc.) Yadkinville NC 2021 Annual Report FINAL.pdf 15.17MB 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 Lp Ja TM/WO Submission Date 2/24/2022 435 Williams Court,Suite 100 Baltimore,MD 21220 SYNAG R www.synagro.com FEBRUARY 24,2022 NCDEQ Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 2021 Annual Report for Permit No.WQ0001800 Dear NCDEQ: Synagro is submitting one electronic copy of the above referenced report on behalf of the Town of Yadkinville, NC. If you have any questions or need additional information,please do not hesitate to contact Jacob Swaim at(336) 403-2444 or Alex Fox at(336) 703-8681. Sincerely, l e't ic& Sfiiva'c 25 Derrick Shivar Environmental Compliance Manager Enclosures cc:Jacob Swaim—Town of Yadkinville Alex Fox, Synagro YOUR PARTNER FORA CLEANER,GREENER WORLD TOWN OF YADKINVILLE, NC RESIDUALS LAND APPLICATION PROGRAM Permit No. WQ0001800 2021 ANNUAL REPORT Town of Yadkinville, NC Residuals Land Application Program 2021 Annual Report TABLE OF CONTENTS 1. Certification Form and Annual Operations Summary 2. Annual Residual Sampling Summary Forms and Residuals Analyses 3. Annual Land Application Field Summary Forms & Metal Field Loading Summary Forms 4. TCLP Analyses 5. Pathogen ReductionNector Attraction Reduction 6. Soil pH & Lime Application Records 7. Soil Analyses SECTION 1 ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: W00001800 County Yadkin Year 2021 Facility Name(as shown on permit)Town of YadkinviUe WWTP&WTP NPDES No.NC0020338,NC0079260 G� Land Application Operator Synagro Phone# (336)998-7150 Land application of residuals as allowed by the above permit occurred during the past calendar year? X YES NO. If NO,skip Part A,and Part B and proceed to Part C. Also,if residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A—Residuals Application Summary: Total number of application fields in the permit: 19 Total number of fields utilized for land application during the year: 11 Total amount of dry tons applied during the year for all application sites: 92.25 Total number of acres utilized for land application during the year: 62.00 Part B—Annual Compliance Statement: Facility was compliant during calendar year 2021 with all conditions of the land application permit(including but not limited to items 1-13 below)issued by the Division of Water Quality YES_X NO. If no,please provide a written description why the facility was not compliant,the dates,and explain corrective action taken. 1. Only residuals approved for this permit were applied to the permitted sites. 2. Soil pH was adjusted as specified in the permit and lime was applied(if needed)to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3. Annual soils analysis was performed on each site receiving residuals during the past calendar year and three(3)copies of laboratory results are attached. 4. Annual TCLP analysis(if required)was performed and three(3)copies of certified laboratory results are attached. 5. All other monitoring was performed in accordance with the permit and reported during the year as required and three(3) copies of certified laboratory results are attached. 6. The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T.1105(a)or the Pollutant Loading Rates in I SA NCAC 02T.1105(b)(Applicable to 40 CFR Part 503 regulated facilities). 7. All general requirements as specified in the Land Application Permit were complied with(applicable to 40 CFR Part 503 regulated facilities). 8. All monitoring and reporting requirements in I 5A NCAC 02T.1111 were complied with(applicable to 40 CFR Part 503 regulated facilities). 9, All operations and maintenance requirements in the permit were complied with or,in the case of a deviation,prior authorization was received from the Division of Water Quality. 10. No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. !I. Vegetative cover was maintained and proper crop management was performed on each site receiving residuals,as specified in the permit. 12. No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13. All buffer requirements as specified on the permit were maintained during each application of residuals. Part C—Certification: "I certify,under penalty of law,that the above information is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations." Jacob Swaim.Director of Public Wojks — t I0 Permittee Name and Title(type or print) Si of a Date )9?-liC5 �—�4— 2/10/2022 Signature oeparer* Date Si and tier Date (if different from Permittee) (if different fr m Permittee and Preparer) *Preparer is defined in 40 CFR Part 503.9(r)and 15A NCAC 02T.1102(26) DENR FORM ACF(112006) SYNAGRO July 28, 2021 N.C. Department of Environmental Quality Division of Water Resources 450 W.Hanes Mill Rd. Suite 300 Winston Salem,NC 27105 ATTENTION: Mr. Lon Snider REFERENCE: RESPONSE: NOTICE OF VIOLATION NOV-2021-PC-0359 2020 ANNUAL REPORT REVIEW Town of Yadkinville, Residuals Land Application Program Permit No. WQ0001800 Yadkin County Dear Mr. Snider: On behalf of the Town of Yadkinville, Synagro is responding to your letter dated July 23rd,2021,and received July 26th, 2021 regarding the review and comments on the 2020 annual report for this program. The response to each item listed in the violation are below: 1. During the 2020 calendar year, a total of 78.73 dry tons was land applied from the Yadkinville WTP which exceeds the currently permitted maximum of 30 dry tons. This is a result of elevated percent solids and an increased amount of material being land applied.As a corrective action,the maximum permitted dry tonnage will be increased in the upcoming permit renewal to accommodate any fluctuation in solids content or overall residuals production. 2. Additionally,when analyzing the Yadkinville WWTP nonhazardous results, it was observed that 2 constituents listed in the required analysis were reported at detection limits above the acceptable regulatory limit. It is understood that a reporting limit above the regulatory limit cannot confirm compliance with required maximum concentrations. As a corrective action,the current lab completing this testing will be informed of the necessary detection limits to be able to display permit compliance. If you require additional information or have further questions,please contact me at 336-703-8681 or afox@synagro.com. Sincerely, Alex Fox Cc: Lon Snider,Regional Supervisor,Division of Water Resources,NCDEQ-WSRO—lon.snider@ncdenr.gov Jacob Swaim,Director of Public Works,Town of Yadkinville—jswaim@yadkinville.org 284 Boger Road, Mocksville, NC 27028 • Phone: (336)790-1610 OPERATIONS SUMMARY-LAND APPLICATION - NORTH CAROLINA ALL COUNTIES -ALL SITES DATE RANGE: 1/1/2021 - 12/31/2021 YADKINVILLE,NC YADKINVILLE,NC WWTP LIQUID MONTH/YEAR AMOUNT UNIT DRY TONS UNIT DRY METRIC TONS July 2021 359,600.00 G 41.84 D 37.95 November 2021 257,400.00 G 29.95 D 27.16 TOTAL 617,000.00 G 71.78 D 65.11 YADKINVILLE,NC WTP LIQUID MONTH/YEAR AMOUNT UNIT DRY TONS UNIT DRY METRIC TONS March 2021 17,500.00 G 1.20 D 1.09 April 2021 70,000.00 G 4.82 D 4.37 July 2021 91,000.00 G 6.26 D 5.68 September 2021 66,500.00 G 4.58 D 4.15 December 2021 52,500.00 G 3.61 D 3.28 TOTAL 297,500.00 G 20.47 D 18.57 Units Key: D-Dry Tons; G—Gallons;W—Wet Tons;Y—Cubic Yards Report Date:2/2/2022 3:08:10 PM SECTION 2 co k \� \ t\ / f $k § # § { \ ( \ \ 7 k Q - } \ \\ _ RE a \ { e{ z I I� ) ; \ ■ \ \ %k § §cr } c - LL a _ ) IN k • \ \\ CO o ƒ ] {E a § 2 ( o� LL 2 6 < 7 §{ { ( I | kCO tn 2 % / $ k } \ c.i to CO / •\ } \) @ 2. « %a 2 Ti \ ){ ■ 9 . 4 \ 0 m . \ z _ . - kki ( a z § � \ 1\k \ 7 - 22 = f { \ k\ ) r § z 7 2 IC ] ) ) k ) k 7 \ \\\ ` \ c � ;f / { ° m — tc , } § ) a co �2K f CO f2f �� } f / 2 / _ s c / / ik k 2 $ ) | au. § .0 » k 2 c \ \\� .� 8 5. E f § 0 K J £ \ ƒ \ E § ) i \ » _ \ i 7 ` § t _ } 4 e A E c co\ 2 6. = = 2 k t 31 / E ) § E \ ; \ z k \\ % \ } g u. To i § CC 2 en 2 I { ) f 6 5 } i z \ / 3 / J z ) f E R �. J & $3 / { ( /f co / 7s $ ;) cn \ ��n co } ; 2 ( /rn a CO co ( f) a § 2 {. U. 3 a 7k $ / i ) k 2 • §} ■ | z _ Et. o aa q ( / k ' & } (/ & 2 ° \ ®k = k 2 u Eo 0 = —I / 2' - EQ f / cp co \ ) CO ) ) / § C k. \ k \)\ \ E 2/] / E.§ o z \ ]25 § ta 2 u \ _ f j s k�� 6 k \ z 0 z °$ \ 2 2 # E• 2 \ z \ \\\ ( u. } i {Z\ o ! cc I ra $ � ) E ^ o F. \ ) t } ? o « S. 3 I s . \ f ■ th } # I ` = ` $ \ ` \ s Ua a. 2 ; | $ ) 7 ] E ƒ(/ \ / ) k } } Z t CC ) I a k 2 k ) k } k r E[ f6 , o. 0 Pace Analytical Report of Analysis Synagro 12701 Lancaster Hwy Pineville, NC 28134 Attention: Adam Brigman Project Name: Yadkinville Lot Number:WD20039 Date Completed:04/30/2021 05/03/2021 3:36 PM Approved and released by: Project Manager II: Lucas Odom Q PCCR,c_0‘ MILD 'ye I ANSI NatonalAccredltatlon Board ACCREDITEDe0_RAt°, TESTING LABORATORY The electronic signature above is the equivalent of a handwritten signature. This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC. Pace Analytical Services, LLC(formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 Tel: 803-791-9700 Fax: 803-791-9111 www.pacelabs.com Page 1 of 7 PACE ANALYTICAL SERVICES, LLC SC DHEC No:32010001 NELAC No: E87653 NC DENR No:329 NC Field Parameters No:5639 Case Narrative Synagro Lot Number: WD20039 This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample receiving date is documented in the header information associated with each sample. All results listed in this report relate only to the samples that are contained within this report. Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved The NELAC Institute (TNI) standards, the Pace Analytical Services, LLC ("Pace") Laboratory Quality Manual, standard operating procedures (SOPs), and Pace policies. Any exceptions to the TNI standards, the Laboratory Quality Manual, SOPs or policies are qualified on the results page or discussed below. Where applicable, all soil sample results (including LOQ and DL if requested) are corrected for dry weight unless flagged with a "W"qualifier. If you have any questions regarding this report please contact the Pace Project Manager listed on the cover page. The pH analysis associated with the sample(s) in this report was/were performed after the method recommended 15 minute holding time. Pace Analytical Services,LLC(formerly ShealyEnvironmetal Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172(803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 2of7 Client:Synagro Laboratory ID:WD20039-001 Description:Yadkinville WWTP Matrix:Solid Date Sampled:04/19/2021 1130 % Solids: 2.79 04/21/2021 0002 Date Received:04/20/2021 Inorganic non-metals Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 (% Solids)SM 2540G 1 04/21/2021 0002 SJL 89669 1 350.1 (Ammonia-N )350.1 5 04/26/2021 1340 DRD 90225 2 (Nitrate-N )9056A 1 04/30/2021 1102 AMR 90829 1 (Nitrite-N )9056A 1 04/28/2021 2338 AMR 90650 1 (Phosphorus)365.1 25 04/26/2021 1446 DMA 04/24/2021 1139 90119 1 (Soil pH meas)9045D 1 04/26/2021 2203 NBW 90278 1 351.4 (TKN)351.2 2 04/26/2021 1253 DMA 04/24/2021 1116 90116 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run % Solids SM 2540G 2.79 % 1 Ammonia-N (gas diffusion) 350.1 5500 180 93 mg/kg 1 Nitrate-N (soluble) 9056A 80 18 3.6 mg/kg 2 Nitrite-N (soluble) 9056A 6.3 J 7.2 3.6 mg/kg 1 Phosphorus 7723-14-0 365.1 25000 4500 900 mg/kg 1 Soil pH measured in water @ 18.7° C 9045D 6.9 su 1 TKN 351.2 44000 1800 1800 mg/kg 1 CVAA Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 7471B 7471B 1 04/27/2021 1544 CMS2 04/27/2021 1035 90176 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Mercury 7439-97-6 7471B ND 2.8 0.66 mg/kg 1 ICP-AES Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3050B 6010D 1 04/23/2021 1618 KSH2 04/22/2021 1217 89730 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Aluminum 7429-90-5 6010D 58000 200 74 mg/kg 1 Arsenic 7440-38-2 6010D 5.8 J 7.4 2.5 mg/kg 1 Cadmium 7440-43-9 6010D 0.99 J 2.5 0.62 mg/kg 1 Calcium 7440-70-2 6010D 11000 2500 310 mg/kg 1 Chromium 7440-47-3 6010D 55 4.9 1.2 mg/kg 1 Copper 7440-50-8 6010D 390 4.9 2.2 mg/kg 1 Iron 7439-89-6 6010D 23000 49 22 mg/kg 1 Lead 7439-92-1 6010D 26 4.9 2.2 mg/kg 1 Magnesium 7439-95-4 6010D 2800 2500 310 mg/kg 1 Manganese 7439-96-5 6010D 3800 7.4 2.9 mg/kg 1 Molybdenum 7439-98-7 6010D 7.1 J 20 4.9 mg/kg 1 Nickel 7440-02-0 6010D 50 20 5.2 mg/kg 1 LOQ=Limit of Quantitation B=Detected in the method blank E=Quantitation of compound exceeded the calibration range DL=Detection Limit Q=Surrogate failure ND=Not detected at or above the DL N=Recovery is out of criteria P=The RPD between two GC columns exceeds 40% J=Estimated result<LOQ and>DL L=LCS/LCSD failure H=Out of holding time W=Reported on wet weight basis S=MS/MSD failure Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 3 of 7 Client:Synagro Laboratory ID:WD20039-001 Description:Yadkinville WWTP Matrix:Solid Date Sampled:04/19/2021 1130 % Solids: 2.79 04/21/2021 0002 Date Received:04/20/2021 ICP-AES Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3050B 6010D 1 04/23/2021 1618 KSH2 04/22/2021 1217 89730 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Potassium 7440-09-7 6010D 4200 2500 310 mg/kg 1 Selenium 7782-49-2 6010D 8.5 J 9.9 4.0 mg/kg 1 Sodium 7440-23-5 6010D 3000 2500 310 mg/kg 1 Zinc 7440-66-6 6010D 1800 25 6.2 mg/kg 1 LOQ=Limit of Quantitation B=Detected in the method blank E=Quantitation of compound exceeded the calibration range DL=Detection Limit Q=Surrogate failure ND=Not detected at or above the DL N=Recovery is out of criteria P=The RPD between two GC columns exceeds 40% J=Estimated result<LOQ and>DL L=LCS/LCSD failure H=Out of holding time W=Reported on wet weight basis S=MS/MSD failure Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 4 of 7 Chain of Custody and Miscellaneous Documents Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 5 of 7 PACE ANALYTICAL SERVICES, LLC ff�p 1 I '4 . :..ip:r Idµi 1 9 J S I TS 1 • . �. xfi CV z — I1S'JJJwA°v1 '� w t :i n ti7 w 3 u }•. W • , t4.1yl '(�lrkl241E113 en•PPQNr._ 1 0 a.1pain 5. ui }. iq --xy{of •"Y xN _ "`if I. i ':r q... 1 1-,q.,...,._ .--,, . ,,, , ...., ?' ' F: sgllaS FI�x ll'I._ NM q, _ ;k a��a r c) � 1r�,arosv I LtrEMIIIIIIII R x LW " 1 spry 'MD CO'I ■� ■mi . ; x; m g • x u `:'��eie �lafrr ivtr.S.ti .wx•; 1.. `r... wr.J� _ ..:.;a; �, i0 • r i kJ ! loa4kl aVJ '•�• �`a; r :.... i li lk _ roll 1■■ ■■ - 1 If\ F } FossI ;iiu; i ■■■r' IL-+ . CI a S k sl rran�ra.lA7 ■ [} i t . 11 i" ` 10FiIL73_ w4 rrry9l leP.tIII -5� x '. f L l ;...:;,..: 'k j Y C ,:. ,,, k §, - 0:1 I i SA 4" i.YJCO'+,sva el -mikL lain• I ~. - y • E wa�.xs,isi q o 34 77{'kLLwvJ -' _ l'ri , k K �, I. P. 1[�''"' L r J Jy 3 '...1' F , .Lxc,..;:. dzssx4 ' gsF I 'g' )1r1 c A i •S' . 1 91 ' ' j ■ u t'ti :tI'::,d;';,.;' ;;; .'3:......-,:- .;'..V;,..: ''.' :,1 Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 6 of 7 PACE ANALYTICAL SERVICES, LLC Samples Reclipt uheekti5t(SRC){Tr1Eooi.5C-151 lievised:9{29{24 ' 20.01+afyric.r? Issuing Authority;'ace ENV-WCOL PaRe l ail Sample Receipt Cheeidist (SRC) Client: Synagro Cools'Inspected , :IJax: TIU-' f 04.9.c..+202! Lott+: 1.11p2003) Tvivnis of receipt.; B Pt., GC;iem I • UPS • FedE...x. r 0thcr._ __ -- }�ew . No 1.Were custody seals present or.the cooler'? . es[j1To LjNA 2. lfcusiod scals'hert prres iL,1vea+erhay inlzu:l and unbroken? - p11 Strip]D file chlorine Strip ID; NA Tow;by;ran Orin ntil LerupevettIre upon receipt f Derived(Corrected)Igluuperattuo nli,r,tectipt /DSolid Snap-Cup lid; 31-}43 2.4 (24 .,.c NA !NA u NA +TtiA a , NA. .,(NA x[ i Method;IDTempernlure Blank CI4rrainst Bottles lR Gun IIJ: _IR C un C'ornA Liust Factor: 'T "Lf 1 ethorr of ec,c,lan.t: Q Wet Ice LI Ice Packs E Drw let ❑ Jane — 1 3. If temperature of tLrty cooler exceeded 6.0=C, was Project IvtanaRer Notified? n Yes 01`]a & PM was Notified by: phone 1 cntnil l face-tu-race[cues one)-- 77 yd5 ❑No NA i. is the commercial 4uurier's packing Slip attacked to lima form? El Yes!: 0 N0 5- Were pro1.''er cusludy procedures(relinquishcd,'rccelved)tollo vod? Fg Yes El No .6. Were sample!Ds listed 0r the LOC? — Ii Ye; 1No J. Were sample]Ds lisr_�rI fin, all sample containers? Y_AsNo S. Itime ---_ Q Yvs ❑N0 9. Was eol l__tion iiatc&-1me]ist�d on Nil sample containers? I 'es R No, 10-Did all container label infodmatin r{:T7,date,time)agree with the OC)C? ... n Yrs No I l. Wwrc orals to ba parf4rnt ed listed to E3e COC'? Yes I- Na 12-Did all sum pits u._iwe in the proper oontainec for each tear and+or in red condition 511 I . pr.br oken,lids on,ctr-)? I�Yes I I No 13.1V0 s adequate sample volume available? Z yes DNO 11.Wt:rc all samples received within V.the]toidirEr,Time or(-1I tours, whichever refines first7 — .0 Ye�J No 15, Vdere any xamplea cortaulcrs mimsinW xcass(circle Dne)sdmp]es7�DC LLslca an C ? DI VOA and RSK-I 75 sLu_rples,were bubbles gsnt>"pea ize"('fl'or 6mm in d:,arnet,cr) 7]Yes pi Nu ❑NA in arty of the VDA vials?• _ Yes ❑Nu [1NAI t7. Were al'.1)I(Oh.netaksinutricnt samples received at a pH of<T Yes LJt o r]NA'1S., Were all ,�nicIcxHn_l,lesre civaial aFIi> 12w.ralsulfidesamplYsreceived ttupH-9? ❑Yp� El ]o ❑+ N 9.Vibe a applic.ahie N111ft7c r aide phone 11625-lifiUS.3(. 0,517i samples free of residual c[)lcrine'i _ 20. .Vcrc cligtt i+elrarks(reg1 e5ts(Le.requnicci dilutions,!4Sf,MSF)designations e.-.) ❑Yaq ❑No ONAcorrectly taansedIxLl from the COG into the eminent section in L11k4 ? •0 yys I . I21_Was the gloom number listed on the container la1-1e17 Tr yes,Quoit it Sample Preservation (Musk by completed for only sarnp]a( )incorrectly preserved or with heael trace) Sample0) `'v were received i;tcorr'ectly prescncri arxd'wet'e adjusted accordinsi ly " 'nscrip'a receiving witty ' ._rd.,ofcir}cle.one:1-1'7.Ste, ITN03, HCi,Nat?I[using .1t]r11A -_ ime of preservati<n tx15` _. . it mere than one p e ervative is neviteJ,please note it,the cornma:1is boLc r. Sample(s) NA _ _ were received with bubbles>6 mini in diameter. S:a;r,ples(a) NA _were received'with TRC '0.5 mg+L(If#1.9 i IMP)aiul were adju_<tedaccnrd'lglyin sample receiving with sodium thiose]lfale(NaAU)with Shealyil); "•r p barrcode labcks ayplied by: 3:t6-2 Date; 0dt200. 1 —w Comments: Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 7 of 7 7\ N \ ' 2 \} / 2 A\ - ( k 2E 0 % z § } \ /\ ) 2 k }k 0. a & > E — ± \ ®\a � � /\ )2.2k \ ) t':.il}cc ill) \ \ 2 2 A 0 7 k i R` ° z @ ° » aZ 3 ` ( w t�{ ( z `E al« \ ¥ to 0 1- i §\_J \ }° ` ° ` /)< % } § - V V » - CI \ \ _ C , w k 13 }.0 \ x - ) j /\\ ! \ U ) \}\ \ , z } §2 < _ \ ` , / ) < < < < C R�k - 7 \ u z w z } S z z z z § /2 \ E. E _ ) _ } tu) % k - « /kk ' 2 ) 3 5 = c 2 a \ .. a § k ' /}� \ ] » in ) \ /\j k \ z k ' / k \ \ [\} \ . / } & © | k — — E � m RIw e \ ) / } 2 § $ k • k \ ( \ / k ` E u \ _ \ \ f ƒ\\ � ) \ \ E 2 ! re z 7 / $ o d r ] § z 3 A ) / ) 2 � (\ . J f k f \ $ t 99 & > . Zf 0 {) @ E \ \\ ` 2 )} Cr | _- § COk/ { E �* \ 2 0 U- f 3k >- . i ) - K \ T §\ 2 @ § 2 m 2 m = co f § -J / � ) } 2 1 » ( \/ k ( ƒ ( c - ) n I $ 02 eC 13 a k ƒ i ) 2 $ J E2 « \` ` _ - / Q. & \ \ ) \ } CO \ - z # § 7 CO` $ 7] k / k \ \ 9/\ § � $ ` < / k ( )\\ 13 § L . ;2 / \ \ » }\k .el / \ § : .� ; k \ 2 \ ttl2 ov \}/ \\. \ \ _ - =q2 co k ? -et co To { ��f ~ i bli 2 \ z E $ & | ° / E 2 3 a.\\ % \ f z - _ ■ § ® | a E E a -ƒ . § \ P. k CO $ ! E * 2 o P ' 2 4 7 © ; k 7 , - a § z 1 f ~ § ( z et z k ■ a. J a. R o 2 a I in a. n m E\ \ . ) 0 Pace Analytical Report of Analysis Synagro 12701 Lancaster Hwy Pineville, NC 28134 Attention: Alex Fox Project Name: Yadkinville WTP Lot Number:WC26085 Date Completed:04/07/2021 04/08/2021 11:44 AM Approved and released by: Project Manager II: Lucas Odom MILB Q PCCR�c�� 'ye I ANSI NatonalAccredltatlon Board ACCREDITEDe0_RAt°, TESTING LABORATORY The electronic signature above is the equivalent of a handwritten signature. This report shall not be reproduced, except in its entirety, without the written approval of Pace Analytical Services, LLC. Pace Analytical Services, LLC(formerly Shealy Environmental Services, Inc.) 106 Vantage Point Drive West Columbia, SC 29172 Tel: 803-791-9700 Fax: 803-791-9111 www.pacelabs.com Page 1 of 7 PACE ANALYTICAL SERVICES, LLC SC DHEC No:32010001 NELAC No: E87653 NC DENR No:329 NC Field Parameters No:5639 Case Narrative Synagro Lot Number: WC26085 This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample receiving date is documented in the header information associated with each sample. All results listed in this report relate only to the samples that are contained within this report. Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved The NELAC Institute (TNI) standards, the Pace Analytical Services, LLC ("Pace") Laboratory Quality Manual, standard operating procedures (SOPs), and Pace policies. Any exceptions to the TNI standards, the Laboratory Quality Manual, SOPs or policies are qualified on the results page or discussed below. Where applicable, all soil sample results (including LOQ and DL if requested) are corrected for dry weight unless flagged with a "W"qualifier. If you have any questions regarding this report please contact the Pace Project Manager listed on the cover page. The pH analysis associated with the sample(s) in this report was/were performed after the method recommended 15 minute holding time. Pace Analytical Services,LLC(formerly ShealyEnvironmetal Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172(803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 2of7 Client:Synagro Laboratory ID:WC26085-001 Description:Yadkinville WTP Matrix: Solid Date Sampled:03/25/2021 1000 %Solids: 1.65 03/27/2021 1535 Date Received:03/26/2021 Inorganic non-metals Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 (%Solids)SM 2540G 1 03/27/2021 1535 AAB 87070 1 350.1 (Ammonia-N)350.1 1 04/01/2021 1404 KFE 87597 1 (Nitrate-N)9056A 1 03/31/2021 0319 AMR 87625 1 (Nitrite-N)9056A 1 03/31/2021 0319 AMR 87626 1 (Phosphorus)365.1 1 03/30/2021 1242 DMA 03/27/2021 0820 87068 1 (Soil pH meas)9045D 1 03/31/2021 1339 NBW 87485 3 351.4 (TKN)351.2 1 04/06/2021 1623 MSG 04/03/2021 0859 87839 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run %Solids SM 2540G 1.65 % 1 Ammonia-N (gas diffusion) 350.1 40 J 61 32 mg/kg 1 Nitrate-N (soluble) 9056A 44 30 6.1 mg/kg 1 Nitrite-N (soluble) 9056A ND 12 6.1 mg/kg 1 Phosphorus 7723-14-0 365.1 1200 300 61 mg/kg 1 Soil pH measured in water @ 19.9° C 9045D 6.6 su 1 TKN 351.2 4600 1500 1500 mg/kg 3 CVAA Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 7471B 7471B 1 04/01/2021 1817 CMS2 04/01/2021 1540 87571 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Mercury 7439-97-6 7471B ND 4.7 1.1 mg/kg 1 ICP-AES Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3050B 6010D 1 03/31/2021 1502 KSH2 03/30/2021 1157 87144 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Aluminum 7429-90-5 6010D 200000 370 140 mg/kg 1 Arsenic 7440-38-2 6010D 6.7 J 14 4.6 mg/kg 1 Cadmium 7440-43-9 6010D ND 4.6 1.2 mg/kg 1 Calcium 7440-70-2 6010D 1000 J 4600 580 mg/kg 1 Chromium 7440-47-3 6010D 42 9.2 2.3 mg/kg 1 Copper 7440-50-8 6010D 40 9.2 4.2 mg/kg 1 Iron 7439-89-6 6010D 29000 92 42 mg/kg 1 Lead 7439-92-1 6010D 33 9.2 4.2 mg/kg 1 Magnesium 7439-95-4 6010D 1000 J 4600 580 mg/kg 1 Manganese 7439-96-5 6010D 3800 14 5.5 mg/kg 1 Molybdenum 7439-98-7 6010D ND 37 9.2 mg/kg 1 Nickel 7440-02-0 6010D 18 J 37 9.7 mg/kg 1 LOQ=Limit of Quantitation B=Detected in the method blank E=Quantitation of compound exceeded the calibration range DL=Detection Limit Q=Surrogate failure ND=Not detected at or above the DL N=Recovery is out of criteria P=The RPD between two GC columns exceeds 40% J=Estimated result<LOQ and>DL L=LCS/LCSD failure H=Out of holding time W=Reported on wet weight basis S=MS/MSD failure Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 3 of 7 Client:Synagro Laboratory ID:WC26085-001 Description:Yadkinville WTP Matrix: Solid Date Sampled:03/25/2021 1000 %Solids: 1.65 03/27/2021 1535 Date Received:03/26/2021 ICP-AES Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3050B 6010D 1 03/31/2021 1502 KSH2 03/30/2021 1157 87144 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Potassium 7440-09-7 6010D 770 J 4600 580 mg/kg 1 Selenium 7782-49-2 6010D 8.5 J 18 7.5 mg/kg 1 Sodium 7440-23-5 6010D 910 J 4600 580 mg/kg 1 Zinc 7440-66-6 6010D 160 46 12 mg/kg 1 LOQ=Limit of Quantitation B=Detected in the method blank E=Quantitation of compound exceeded the calibration range DL=Detection Limit Q=Surrogate failure ND=Not detected at or above the DL N=Recovery is out of criteria P=The RPD between two GC columns exceeds 40% J=Estimated result<LOQ and>DL L=LCS/LCSD failure H=Out of holding time W=Reported on wet weight basis S=MS/MSD failure Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 4 of 7 Chain of Custody and Miscellaneous Documents Pace Analytical Services, LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 5 of 7 PACE ANALYTICAL SERVICES, LLC .t t g 1 I9 f.� i C 1 tit ALrpsm r 111Milimm m . .i'`.—.--i,,1......-,. rc V O f I —.z (so 1 J fU# .1 .lig ).,e limia d r .,, 0= MUM �+ O.` I. sg!106 we0' d 101.01 I MIME°$.`t w• e• ` a s ACI r - a kc . FIAL 1 iEn;•;. . i - fiz v 'o[]`6{�'slrl YID 43,E :� ■ L: k s 4ko- � lin - '. fla 6 - .44M1 pt�, �_�- <:t'�+a01S: '19pt_t $>,.I 4 ... E N 1 J31111) 'MI _ .�._ .i 1 4 5 � ff ! 1 '*O N .IE■ ■U .} '.1.. RI. 1 NON NOME r ' • • T,. N. : PT L ° . JOT ■1 E ] i UIM a ,s i4 [A th -. y 4�F±hSYLiJ l s}Al.— r �- tis dE L ; D 1J, NUIJ T'Ido-t'1743:8`dYS ;r. \ •s ' a ,u i 1 .. .,. • ii.. E. ? 1 { i-. , ti i x i r. s C • 1 �� — ti J [ k ,�� c'C' x .. g ,.1 i g E 1 4 e , y,. go 4 i a ;i{ .. R L.'p, L ,, ,. .„ , • . „ , ,pb LL - Ill) K i1.3:1 iF {.n il?I _`-. :,7.:.. .. �' ''. • ... L. Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 6 of 7 PACE ANALYTICAL SERVICES, LLC Sample Receipt Checklist 1.SPC)IMEOO18C-151 R.etitsCCI:9123/2020 .."ceA+k*;4i:3! IssulnP,A1:ftority_Pace Er V-WEDL Page'of 3. Sample Receipt Checklist (SRC) C:ient: 'Y°"gra Cooler Inspect d byAlm: ICtG2 r + 7(11( . .. Lot 14: c2r;os5 11 Megrtsr,=receipt; Parma Client !J[' ]kdEx 4l!]cr; Yes , L Were cusrndy seals prnr 1 ore the cooler? Yo No ❑J NA 2. if custody seas k+_er UNS4 nt,were eh�:y w ims.:t Hod unbroken? pH Strip ID: r -- Chlari-'e Strip]!]_ NA Tesled ley;I'A Original,temperature upon receipt 1 Derived(Corroded)temperature upon receipt %Suiid Snap-Cep 1fl' 2.'462 ,3.7 '3.7 ac, NA f NA. oc NA 1 i4h_ oC h111 ;h'r'. oc ,Method: J❑reniDcaature Mack lest Bolles lR-Gun ID; 6 -- . . ,- IR Gur.Correction Facwr; 0 `C: 'Method of coolant; 0 We 1]ee Yee Pacts ❑ Thy lee ❑ None ., If temperature of any c ooler�cxcaodod 6-U`C,'r++rxs 1'rpieCt lama er Notifiecl? yes ❑No DMA PM was Notifizd by-Ta;,onc I•:imuil 1 Cstcr-Lo-face(circle o,te)_ El Yes ❑No __1 A 14., Is[he commercial courier's pecking slip LittLc]ed to this form? 151 Yes ❑No. 5, Arem proper custody procedures(relinquishedirzccivtd)followid? at Yes 0 No 4, WCre•5p04)1 c IDS I is.tec on the COL"? - -- Yes ONO 7, Were sample Ms listed on ail sample containers? .. A Yes 1i No 8. Was collection date&time listed on the COG? .-- Yes ID No . Was uullectiun date&time fisted on all sanip'c[.orrteiners? '1Yes ONo 10.Did all container label informscion(ID,dHlz,time;tic\with Inc COC? • . Y ID No 1 I.Were tots L3 he pefori ted lisped ou the COC7� ❑Yes 17 No 12_Did all samples arrive:o the Kock':cortuirrcrs :or ouch Lust rrud/er in gt•3od condition Off hrukun, Iirs jai,cLc.1?.i _ — n Yes ❑Nt} l3.Wasadcquatc sample volt u xtva3lualc? ✓ L`42 El NaI&Were all t mplcs:ecelvCtl w;thin'la the'inkling time or 4 hours,which:acr conics First? 0 yes El tip 15.VL'e;r any tirmp ,r lai s;ontaiuers rui sin eaxcess(clrc]e(nx)samples Not listed on COC? n 4'cs Nu NA I�x,For Y0 And RSK-l75 samples,were laul�blc�s pra 'l›-pea-size"('VV"ar 6niin iu 11iarneLet) i n tty of the YQA v ia:s"? YrA 0 NO II NA 17. Werc all DROrmotalskuttricni s8mp]K rcoeiv'ed al )`I a or‹2? R___ y� LiN J NA'!S, Were all c`uide saEnples rerr'.ived irk H pI4 x I7 Hn{€suIfide xrvurIes iCsrivecl al.a Ill]>9? • '19, Were all applicable 14H,SI3licyauide+phonoU625_].r(OR3(<QSma/L)samples free of ©Yes ID No. ❑, NAi __ re9idetol'Morino? No EN , ,Vero client reurxrks?requests(i.e.reques-eddilutions, NIS/MEL)designations,etc,,,)Ycs Licurnx:l]y..r;ulscribrxl fain flue COC uito Lire conrmeunt section is Lila? LIT/c,5l 0 No ....!i, Wus Lie yuate nLeml,er listed on the container label?If yes.Quote ii Sample Preservation (Must be oomploied for airy Saurple(s) incorrectly preserved or with Lod 50 .) &rruple(s) NA — wear rr.c;civr l iricnrrectly j ese1ved and were adjusted accordingly jut bwriple receiving will' NA .. nil.ce circle one: H2SO4,I iNO3,T1C€,NR01d using.SR 4 14'^ 'l iinc of preservation NA___ , If mom than one preservative is needed,please noie in the moments helcrw_ Sample([) NA —.-- were received with bubbles'›b nun in diameter. •Saniplas(s) n - WIZ IC L'CLCivcd with TRC>0.5 rng/L(If 019:s Igo)c.nd wore adjusted accordingly in sample re;oeivin jr with sodium thinsu€fiae(Nat52f;)with Shealy ID: '1''N SF 1)arcode Ia eLsappliedl]y t z� t}Ktr; 43126J202.1 Conrmcnls: Pace Analytical Services,LLC (formerly Shealy Environmental Services,Inc.) 106 Vantage Point Drive West Columbia,SC 29172 (803)791-9700 Fax(803)791-9111 www.pacelabs.com Page 7 of 7 SECTION 3 N r p, 14 O. A � im d M 5 a r a a_ a ki ❑ N w N Z Z L4' as o (n p) br � o o R N ¢ Q v U a u° O a `) — — Ca a_ 0Q co in W N " o C a) MI W w U a- a. aLa f._ U ❑ Et x z rQ () N NU Q = CC G) U ..... Q Z yp2 O O -P Z EmW a D v ro a ° 'g U rn ru H a) - - N m o-0 C O O •E 4) 5) O O .> OI a CO p o O 'O E m ,an h $ N O. el a Z w7 u-rai 6 N a' 01 0' '5 va QS Z o o W m 0 0. 6 a) O O Y D) o o O O `8 a ix 2 4 0 ~ 6 4 4 `' co rn - E Y di _ I Q a 0 as Z r- ❑ x} a N - M N .c.) O r N C OWwQ C 4 { O O N m '+J I- gyp 2 T. 0 U W .... ray . E O .0 S cu aU CI-a ° , N R Q j au) u O � .g W= a a o o m Ea _ . , ( f m v ! La Et-Ial a L. p ,ot .. c E �¢ p Z � rr W Et D a o O O s)- N Sy ,4 w ¢ cn: 3,' 0 v—.,...,..... W 7, o 0 is u) 0. N N U) rn o 0) a ❑ td E N U V V a O Q 1N a U o o' o N N s Clco 0 N a d -#s omQ W o a 22 N '- Y a 4 otca m U p~ z - 0a; mO o o m 0. o Z CI O Z 0 g " O D- 0 .5 EZ I- N UrN CO � O O J O J 2p zd a a v E •a oj.. -0 4-3 sQ n�° c rn rn co a .9 ;g 8 0 o 03 LO m D m e D. CO N 3 ro * cc -, E Q o o co • .! 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U a ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville, NC Total Dry Tons Applied(Annual): 7.89 Permit#: WQ0001800 Cation Exchange Capacity(non 503 only): Operator: Billy Griffin Owner: Billy Griffin Predominant Soil Series: Poplar Forest Acres Used: 4.2 Acres Permitted: 4.2 Site#: NC YK 00008 Field#: YK 00008 0001 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample orL U U LJ J 1 8 I __9i II°_i 1111 12 Com- posite Date 4/19/21 Solids 2.79 Arsenic 5.8 Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury 0.66 Molyb- denum 7.1 Nickel 50 _Selenium 8.5 Zinc 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total _.2 J 3 ' 4 51 6J 7 I S 1 91 10 11 12 DT/Ac./ o rr App. 1 Event 1.88 Arsenic 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 1.465 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.465 Chromium 0.207 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.207 Lead 0.098 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.098 T Mercury 0.002 0.000 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 denum _ J Nickel 0.188 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.188 Selenium 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 Zinc 6.761 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.761 Total Phos- 93.900 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 93.900 phorus "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprison ent for knowing violations". .1' X (-7-- ------ 2- 6?_ 77 Signature of Land Applier Date DENR FORM MFLSF (12/2006) N N 0 Q x ai F v a U x gco a q .p __I . MO D) a D. C1. Q .. LU d N 'd 2 o .0 N Z m U E h 7 Ia-- Z Z 4' ........ J Si fn Li_ W F Lal. 'o o c LL g N ¢ n m U o w ri Oa et a n u ... . 6Q . U) U) W N Z � N N , U LdJ ` O- C. N 'b 0 et Of S L � U m QQ 0 r U 'Es. U1 T '� - z _N Uco . zrn n" H z a E co I- a n 'g O Q • c cu as 0 .. y_ o rn 1. > a v ti t' m as 0 E tsi N co M O o tel O. a re N _ p 'O Q 0 1 s7 0 a C O on p O oI O U N U o Z .+,e O cn a r ' ai .d o to Q� 0 0 1- T o a a m UJ a E 4 M La a C d cr 11-0 z 0 Z �_�_— .. n N o..� 0 M o o N o . o Z r i7 J 0.' ❑ a 47 O r [+7 o O O N co .0 - ° 5 o a a N O o W0. O N -.IH z p o N ®+� 1 n fl U o. Z off- o 3 n N Cr" 11 :' 0 '-Qa u1 0 0 'E {`; c WI C • al cc ._e �— ..-, ... .....,. Ll U co OLLyy a a 'n 1 8 N5 V C N N U _ CO 61 co. CL NN o). 1 gy 7 a Cr. d OC7 ` N O � Good pp la. x . o UJ W D ma a CD m C o - U m ;y c g a J - 6' 2 0 4 11 yo 0 Z cx z to z — o .0 o 4# } z xa N og do _ E 1 ¢ o 0 7 (o o m U 122. 2 o o U r N l„] J y =O } N U O a D o❑ a „ 01 r _ Z r < a m o cn czi .: 0 g o 0 < c 0 0o ❑ GO c N U U F • A •e Z 0.'-. . O ❑ N o0 ha 4 o M a Z y 0 0 •U o 'a -o ..m W o 2,. I.R. c°� c c O - _ C. Z .7 Lo E U ly N c� co t V .0 _ Z oz a ° �? a ! a $ 0 V) 2 w 1 a 0 o ro ro 5 u. z a rn o F Qo o I b w L oa ads cK Z 0 U 'xi QS o N N N . pY U t D ( 0 a 5 o o 0 4y a ZEb 4 '� J W U ¢ 'tea' 'a. v '-� n lL Z N Li u •� J CL u II .... N m LL ? E d a 0 o w � 2 co ?� a � CG Z ¢> N Z O Z '� Q $ N - � Al Zzz Yp ie .- ?- o N _.. a 0 d ;, -o ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville,NC Total Dry Tons Applied(Annual): 5.58 Permit#: WQ0001800 Cation Exchange Capacity(non 503 only): Operator: Billy Griffin Owner: Billy Griffin Predominant Soil Series: Poplar Forest Acres Used: 3.2 Acres Permitted: 3.2 Site#: NC YK 00008 Field#: YK 00008 0002 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample orJ .J (J 4 1_,L ± u u i0 1111 12 Com- posite Date 4/19/21 %Solids 2.79 Arsenic 5.8 Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury 0.66 Molyb- denum 7.1 Nickel 50 Selenium 8.5 Zinc _ 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 J j 4 1 6_1 1 7 1 81 9 10 ; 11 '12 1 DT/Ac./ o App. Event 1.75 " Arsenic 0.020 0.000 0.000 0.000 0.000 0.000 0.000_ 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 1.361 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.361 Chromium 0.192 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.192 Lead 0.091 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.091 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb 0 025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 denum Nickel 0.175 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.175 T Selenium 0.030 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 Zinc 6.282 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.282 Total Phos- 87.250 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 87.250 phorus . "I certify,under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonm t or knowing violations". '----7 z z Signature of Land Applier Date DENR FORM MFLSF (12/2006) N Q Cl r Q t a b U m a m . « n r• o Z ° . CM � 2 E - o) N yo z C J a u) uui ec N U a o o O • ., n _ .d °0 a a U O w ww N .- m min 0( a a ar-- co .r co •a ' CC Zce U °YNa Pa 0) U . - •o w p�p >, Z - NM M _ 0 O 1, Z mroI- Nco0 Z a E a_ U Q glo N C C@ CIO o O i o oEb Nr pO - QZuS i or cV rn d' °' oCr `c .0M. 0 [4 CO o o es' U ::] OI O O O y) U p . Y Y 0 0 O Tr 07 -0 (� N co O p F E P. O O ` co co N GC y w _ �_ ' Q `E 8 o �d m LL Z z z a._. ...,. r p . d J Z !S .+ O g 4 pa n. N v M (�') o r M C g • ro 0 — n .5 E o▪ .'' O d Q C ♦ i N O O . 'El I ce le 3 J W ..._.._.... __ 4d� C E a C d▪ N d f = aT % ` co oa CT) A l ✓ N V Y co A. Oci r - 0 CV O x W W p ,,dam^,' JQ ofd W 52 Of 0 A • o Q J m U 2 O O o i ' a Z 0 Z D 0 F 4 O . „. — o 0 dt s a oo a m o o O a7 U . No J JJ - O _ p O >' >- LE^ CY a• ❑ ❑ a to a o Z r a ZZ dr• z 2 O W a ..._.... .....,....—.._._ a 0 Oo - ¢ °a. ¢ o o b y0 InO O g c m m .E U o ca o r= �,, v m f- d r: 1§' c C ❑ eel Q o ? ; P. •U M • K N av m rn IL) Q e 0 o h h ..a., z '' O i `s U) 01 N 2 O a' 3 CI .Wi O Q + \ Z D U W O C7 (7 60 O Ul Z D ccsr] O J F4 cd z H m ii_ , J lL Z Q u) O [] ~ O O O» a i 4y t�•y Q a u U t' a if DI. E U ` L �' 7 o z V co o N , Q g° Q '� ' A yv ° ll PZ Lii CC wr d 7• w U I -IP, NW Za] Q- a .. Z > NI. z 0 Ta al } O p N N r ?II > Q {,S ❑ U z u i 0 o m Z r. 'c E E v Y- a C dL▪ _i 4 cc.1 IX — ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville,NC Total Dry Tons Applied(Annual): 3.61 Permit#: WQ0001800 Cation Exchange Capacity(non 503 only): Operator: Billy Griffin Owner: Billy Griffin Predominant Soil Series: Poplar Forest Acres Used: 2.1 Acres Permitted: 2.1 Site#: NC YK 00008 Field#: YK 00008 0003 Residual Analysis Data(Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample on 11 121 f 3 .J J .6_1 2_1 U 19 10 11 112 I Com- posite Date 4/1901 %Solids 2.79 Arsenic 5.8 Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury 0.66 _ Molyb- 7.1 denum Nickel 50 Selenium 8.5 Zinc 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 I J 3 La I 51 6 _ 71 s I s J 10 11 11 DT/Ac./ a App. z Event 1.72 Arsenic 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 1.339 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.339 Chromium 0.189 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.189 Lead 0.089 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.089 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb 0 024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 denum Nickel 0.172 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.172 Selenium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 0.029 Zinc 6.181 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.181 Total Phos- 85.850 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 85.850 phorus "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonm nt for knowing violations". t/--;,__ ,__c_ z Z._ Signature of Land Applier Date DENR FORM MFLSF (12/2006) N 'diF v a U a i N O v J m 0. j a e- a '� 0 0 a G ¢ )X IL a Q N a u1 m ' 2 I' mas EM N Z E 0 LL E_ a 6 m7 N Z a ZZ zz J 0 f!] U} W F Q N o Ca • 'V W O CJ a. 0 as 0 as Q ra o u. d' z Z R. a z 0)• C) W N .o N W aO aoro a w 'n M13 N ❑ O v q cif¢ a U e 'a Z _V O O -0"' co o 0 H Z z'' E' o co1O 1-9 a, rn - p vq r- tQ yp N = a a p, o 0 al o 01 Y d o 07 n o t ti r 2 U] 1 0 E m 0 0 z . ,� o o y a E z E i6 ui N Sri .0cs; E , it o G o to 0 0 0 0 SD r U D on9. Y 45 O o * p ) . ci Oi -� { N Q Q 00 0 I- E o o 0 o CLi 7 ac c 1.5 LL z Z Z r cO o -II Hi b bpi pppV1 V m Q. I' ° L0 LP, O allo 6��++1 'g{q 7 y 0 E O o 2 O yU 4 N 0 J o v .1 { 5 .3 LU e_ -- 0 C`� i aU2 z u Y w o a O z, a1 uii rk x a 0 'ri c�'e § = r I-ra a 2 a o i UJ 0o - ci Av. 2 a. U vr L O f0 C 'U co C C YL t d O o tl N U,' . w ad a a w JQ W W ▪ dW a v 1! LO °0u, 7 G O O J U , za z O z En 0 a o 0Fa 0 _.t. 4 • 0 ° ou o 2• ❑ v 8 J U t m M s c O G] Lu x 4 0 '" Ti C r .E Z r a CE �-- - - , 7 A w - o ¢ a U0 ._ ❑ v m m . a N '�' 4 —. g O Q U o 0 8 Q o 0 co eO N a0 0 ' .. U 12 O P •- T R.'2' LL Go ❑ '- ..-- .. 6 h \ W Z U O O co 'BEt N O 0 m m 0 '' '2 Q N U C a v v o D I1 ti Z '7 a Lo • V 9 ❑ A. 0 Q tU U W id O U C7 C7 -; O' is I 'O N N 7 Z fx u J Li Z H c? n I a 3 w o gi m F IWi z ¢ in o cri 0 0 0 _ a 5 w a a1 R' J• 0 W D O ' tl' g It w -A 9 J 0 Z to Eli W J N ++ J 61 II "' Q } m Iii - . , I2 .-a E j ,u. h a o N N n z q m g Y ❑ ]y. z Q Q r N N - f�' Q U ❑ Z Q 'l 0 aO Z D a1 o N N ] ? n. - ct ' J c. d o 2 7 o G 8 ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville,NC Total Dry Tons Applied(Annual): 6.38 Permit#: WQ000I800 Cation Exchange Capacity (non 503 only): Operator: Billy Griffin Owner: Billy Griffin Predominant Soil Series: Poplar Forest Acres Used: 4.2 Acres Permitted: 4.2 Site#: NC YK 00008 Field#: YK 00008 0004 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample u J $f 9 10 11 112 Com- posite Date 4/19/21 %Solids 2.79 Arsenic 5.8 Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury 0.66 Molyb- denum 7.1 Nickel 50 Selenium 8.5 Zinc 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total U 1 2 I ._3-I 41 5J 6..1 7j 8 9 10 11 12 DT/Ac./ o' App. Event 1.52 Arsenic 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Cadmium 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 1.184 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.184 Chromium 0.167 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.167 Lead 0.079 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.079 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 denum Nickel 0.152 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.152 Selenium 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Zinc 5.465 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.465 Total Phos- 75.900 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 75.900 phorus "I certify, under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations". 1)/6,, Signature of Land Applier Date DENR FORM MFLSF (12/2006) N _ N N a ¢ Q ("CI' O m Q , = per', a O a Z Z. 0 N Z. Z a LL E v� ❑ CT) co _ N O J d ,t LL N G7 r? id { o u_ W C ¢ N0. a ❑ ir '� N g CT u. J ¢ a n y V d w 0 Q. g naW r N Luz cn N z• a .- aa IXto Qn gi 0 X < o U '1 m O• a V of a' U '� a Y _�— ai 7, LLI cs Y o o chi Z V Z M a.z c 15 ea E a, I-- 0. e N as co ...... p o a o o -o -t E o m a z 4 a g, m 0 E u7 N h c° ti N N ¢ m m m �i Lo p' t 0 e a w °b co z a°l a w o w a a °. y a a M m o to a o cc 'S t 2 N . Yao E a N O7 N y w . c � 'Q _.-�. ce Z \ m y T O k 2Z N C Z oS ti ' F Oi —I C g▪ E: co 0 � . E o . y o a g jJr ii a) m '''El W O a m Lo z a a ui ro .t Q g a a '; °m _j UJ „ • tiu, a u. �i =1 p d o a o co N • LO w w O o aw y4 ' '8 Ye; > ce - U c oQ0. J o i65 U Z2 ❑ z Q Z O ❑ w m ill co o �a ik O ZQ `' co O 0 60 pa co. M G ▪ ❑ aa. a a J U a N !. 1 4 • Q a U N c0 'b ., 0.. C.0 k0 Y �0Lt1 Z 41 m a N S "" o 0 o S F _ v a co c�i I o CO p' o .�r _ 5 z° q z m o (? c7 0 ._".� o u1 • co co J F4 LI CC J• W ]. 0 O N (� a U O Y7 z Q 0 O [] ~ Ta G - , 'o 1 = to p, m a' • LL W (.� b 3 .2 . O 1 N 16 as 05 0. Z . N 1W Un lQ '' J 0 N Lii J J N E -J II NLEll li _ z0 '0 Z Q> RI Z z a) Z d o F O N i— U Q Qy o' I' rU ❑ w OIC ¢ a s W o Z IG E a_ i Q U 0. a r « « u. ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville,NC Total Dry Tons Applied(Annual): 2.16 Permit#: WQ0001800 Cation Exchange Capacity (non 503 only): Operator: Billy Griffin Owner: Larry Styers Predominant Soil Series: Clifford Acres Used: 2.1 Acres Permitted: 2.1 Site#: NC YK 00008 Field#:YK 00008 0006A Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample or i [ 2 l L _5_[ ±I [?i J . ) 11 12 Com- posite Date 4/19/21 %Solids 2.79 Arsenic 5.8 Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury _ 0.66 Molyb- denum 7.1 Nickel 50 Selenium 8.5 Zinc 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 1 U 3 4 J l 5 l 6 L U 9 10 Ili 12 y DT/Ac./ o App. As c. Event 1.03 Arsenic 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Cadmium 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Copper 0.803 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.803 Chromium 0.113 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.113 _ Lead 0.054 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.054 Mercury 0.00I 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 denum Nickel 0.103 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.103 - Selenium 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Zinc 3.708 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.708 Total Phos- 51.500 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 51.500 phorus "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonmen r knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) N dl FL Q x q a Q 8 -Im to, a) - Q C 2 N o p} ri N q z E " E •a V _ t0 0 ix y 3 o ❑ Z z J C lei. wZ N Q ❑ : •' 3 FF v a a) E .. P • a xx a U co- W ▪ Q a V _ 0 C!� W N Z r o 0Y a z Et w 0 a0 aa. 2 0 0 v ❑ ▪ _ L " a v M rn ra Z Z M 3 M O .: o E CO I- a { b 2 ..w,... ( '-2 N Oa C d C O _ O o o. O E y} Nr Li v' N m Z ui n N R C) p;p o P O C T d f6 O d c to C Q N Q (Q yY OO v)O E d c; co Nd d I- d CN CC1 d dlt l 0 Es 0 U. z z z _ 4 m a . n -II 0.1 a obi v rdi z .-- 0 (Ni m 0 .°o n o o an ti O a m o 1, O N ca v❑ N j Q N . 6 2 c O hA O G - AN oc , n; w E W �� _ �[yi ¢ O U 2 z •E 7 cv C7 0 ti r UY I O O `- ( N i� +w o a o o . 2 J �n ac d m 7i ❑ 2 • g a. a a l 2 N 0 rn rn 0 U V .c CO O 0 r` .: v N C V a . N OV J a N •- v a o O ao w W Gp o Q Lo N 0 U a •g ri o z O Z O Z 0 w Q # z ° _ r d ci nn $ a • a Z s a) W (C. m H 'E c ❑ ' EU d7 a g z 0. a r — O z O El 7W 0. o ._ c o 03 t .0 a. . Uo f b W EL ❑p r~ ti * a O g O N M . w t cZ N�n -_ a) 0 0 U 2 m - O L? [9 �..1 ci m 8 o (0t i U J ''S CL 7• Q_' LT yy O pO UI ( O C7 7 V Q I a {b6 V U A L O J } 0 0] a o Y a A - I ' z = 1 NN W J N J I '- "� N0 Q Ld[] m to B ...I 2 J • `> ,- W z Q N - tb z g N X 4 y. O o y o N • ¢ U_ ❑ O d TM 7 N ] j a )- 7� J d' a ❑ m E, o E m U z W 0 t). O z o 8 II . c ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville,NC Total Dry Tons Applied(Annual): 1.44 Permit#: WQ0001800 Cation Exchange Capacity(non 503 only): Operator: Billy Griffin Owner: Billy Griffin Predominant Soil Series: Clifford Acres Used: 1 Acres Permitted: 1 Site#: NC YK 00008 Field#:YK 00008 0006B Residual Analysis Data(Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample or 1 2 1 U U J I [ J 9 f i 0 11 12 Com- posite Date 4/19/21 %Solids 2.79 Arsenic 5.8 Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury 0.66 Molyb- 71 denum Nickel 50 Selenium 8.5 Zinc 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total U 3 4_ 5J 6 17 8 9J 10 11 J 12 DT/Ac./ App. °r Event 1.44 Arsenic 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Cadmium 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 1.126 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.126 Chromium 0.159 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.159 Lead 0.075 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.075 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.002 Molyb- 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.144 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.144 Selenium 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 Zinc 5.195 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 5.195 Total Phos- 72.150 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 72.150 phorus "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". 113AX/ Signature of Land Applier Date DENR FORM MFLSF (12/2006) N ai a a U as o m 1 b a. U ,o- I w� m T. tl' o0 u) a p O c▪ Q a Ll, a S' N U) N 2 1n U1 � o) a X z r o �n co oW }> ¢C k I- Na oa m j a D Y al -- CU ri owj w � Lo wa, (.0 a. --z--�Q o o N CI N Q Q Ce i U CC U ,- r .. v W u K ,...,....�.,. 7. z E y m Tolc o U 6 m Q q 0f N F 0 w Q g EL a g o 0)i a k# 6 o ID a N C,j _Q` O) W o -- C T O 0 o E N. 8 D th. c, Z Y O W C' O O) 0 0 :a 03 tl) -d O o .o F E toy 0 0 °D 47 ( II A Yp iii 1' fVe C OI-C o 0 C) 1p ToLL• Z z z p J 7, # # ') m o i C M z aaf- ti o0.., . LC w O m o " ro o atO la I-- ce E. - IX a3 C.ov7, N o O m C-) 0 tl a c �n a 7 O ce O o r1 ai N 1/ N A - N E G '" 'v a, J 1JJ ........ li a "" 1 ¢ 0 . Z L 7 L7 o a0 0v q Q a to 2 V a 0 `� N J U) 71 n a. a Q 2 u) f11 c) N O1 p Cf L_ L N 4 coO (O ti Q 0) C p Csi d CJ cn 6 N x x co 6 U cu a 'T ,9 0 o W W _ C -' a W Y o m 7 o y i o d CO V c o d' U a N C Z• d z O z o P, s' O Q -- -gi } Za aX 0 o v to 0 Z gi V °? cg O fK J i -I o M -a `a. i D. ° } a. ZWa m nd gP Z Z C CU QC J D '+a o (..4W GO 2q a C o ..4- . "' ¢ e O O 2- a p Oo y[r) M ...... — Fo * z oc a0, O C)o w 0to UW ZQ o o 4", = m e ° o H Q U c IF) to N .2 a z u `4,..)) C7 •�•' O Ff. O -- -I Tn 4. l N to v cc 4 1! z 4 z w m E - O [7 S7 4 C! t a i o U) y C7 o w t * a a -o -o z Q 2 a N m n m o c �3 v 1 N O ?!l N co Q Q V 4 O N N - P. .6 W v Z N N w < U O -1 T j J b a , '@ N q. O rn • W ro Z �] M '4 Z Q > N Z z 1 z N n y ¢ O. Q ¢O Z Q o � o N �9 � a Oq U: EL O m M c To 1 :a t U z w 0 Cl) C 2 - IE E C m 0 . 'c uQ a v a r Id v �N )- - cd . a ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville,NC Total Dry Tons Applied(Annual): 2.89 Permit#: WQ0001800 Cation Exchange Capacity(non 503 only): Operator: Jack Adams Owner: Jack Adams Predominant Soil Series: Clifford Acres Used: 7.5 Acres Permitted: 7.5 Site#: NC YK 00009 Field#: YK 00009 0001 Residual Analysis Data(Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample or 1 i I 2 1 J U (J J J U U 1,31 1111 12 Com- posite Date 4/19/21 %Solids 2.79 Arsenic 5.8 Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury 0.66 Molyb- denum► 7.1 Nickel 50 Selenium 8.5 Zinc 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 11I 2 3 ': _41 71 8_1 9 10 11 12 DT/Ac./ o K App. w Event 0.39 " Arsenic 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Cadmium 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Copper 0.300 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.300 Chromium 0.042 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.042 Lead 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 ' 0.000 0.000 0.020 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Malyb 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 denum Nickel 0.039 0.000 0.000 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 0.039 Selenium 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Zinc 1.386 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1.386 Total Phos- 19.250 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 19.250 phorus "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonme t for knowing violations". il (.----77,„ Signature of Land Applier Date DENR FORM MFLSF (12/2006) N --.- 2 ¢a U 0) 1-• "O 0 U ✓i j g Co- 0_ e m_......_ U a a o 4? E 2 o lL UN. ENL GO LL LLa.. LL or) U "' .� 10 LI1a m @@ E g 13 r Z 1x J EL r A z _—.. ._. _ ro r g 0 LL a ¢ a 0 0 3 J ce 0.0. a y^ U o `'�0 as 0. a a U ¢ ......._.ti aCCi 9 Z N Z 9 Ill co 0 a Q a N W ti ti a N m rn N N O b N ❑ o II 0 l3. E m in 0 NI-0 17:0 0 0 0 (0 , N ca V �j d Y a o d d o d as; ry m w 2 t C n 0 0 0 0 0 0 o 0 t 2 Z 0 0 q O p 0 0 O O YO N g a r z 0 E 4 4 3 4 4 4 4 4 1 1- a N •o •ro 1 grl N 'G c H m o O 0 0 0 0 0 ❑ a 0 a O O n p p 0. O O ❑ I U t E O O O O b Q d d d 1� y41,, O E a '4' -4. a a I. t a u'] W o • T -, C d O 4 O 0 O O O O O w 'C' T 0 6 Q} V N 0 Z d O O O d d ❑ O d (0 O - o) b LO l0 N ❑ N E 0 0 0 0 0 (00 0 0 co O N 16 N o E " Y o V V' 7 7 7 -a 'V' Nf J' 10 O7 V O z z — ❑ _ o qua ]' # 2 o 4 0 0 a 0 0 0 0 n Z 4 )+] N ❑ O J W O L W o vt.d d d Q d a a V O O [h D tyI) C w C w o d o 0 o d d d o ''1 4 a g ES: N 1) ... a p � o 'a o a ' .co :° t )n u; N m )n 0 u> u'i (0 0 M o °' 'L9. t ? Q p j .g a 0 o d o O o d d d o {o ° a y�uu11 W ILI • LL. g v � $ w�7 p aU 2 o [L' a' a a lY a d' a m 011 N co .. a Z 7 7 7 7 ] = m C} 0 0 0 2 N m 0 co 0) 10 CO to N N (0 N T 00 0o vi a N. UJ Q �_.. _� •c c a m V —�_�--__ -- _... .0 U CO J ❑ QQq oyy T' g0 is 'td yy d o a 3 Vdo m ad rN e Ri xCl. NU p❑ W W .... .. ««.. !O' 0 U Q © QOOOO O U II O a .�.... ❑ a a ❑ a a a a a s a a 7 V 0 o 0 m $ a 0 O V7 ,�.,..._,.. ....� ....... .� K Z o d Z � I 1 o w E c O d . a ¢ o as ❑ yo EL C 0 N N CO CO CC 0 O 0 .3 C Z U 8 O V N N N N C a d 0 d o d d d o - E'1 a = ❑ co N 0 m a" O , 0 Q wi d d m ce Z m .......�..o,�. 0 .. ❑ 0 0 ...... o o c7 0 ...�� 12 & Q m u C 3° 'o )ia, m F ' LO m a I I '9 oor,0 E(i 0 X ] t m — 0 LV CY c? c7 a c? ca c? 0 0 0 0 0 v D 6 . `o 0 in LLL Q f0 p U I" 0 P 0 Oµ 0 0 a o 0 0 0 0 Q G I 0 =yy 4 Z O >- + m a ar 0 o d o d d d 0 d d e d d pi I d CI Z a O. ❑ w •• ❑ 0 0 0 e 0 0 o a 0 0 0 0 0 0 • a U) a o O , C7 U a �n )n 0 0 0 0 0 e )n n of o )n :-�V a m •y o❑Y 0 ✓1 r d o of (0 10 r sf 15 °}q Q O Z W U `a `o E r Iv r- Z.T. N •a m m 2 m 0s L o'n yQ1 ` za •`� N W °O u_ S Q Hi 11 N• ¢zz afryN NN N N NN N N N , el -Ei c } O O O o o a ❑ N a I i UI ro ' m ui t d O 2 . c . pJ ❑ a ❑ b[ f mN I cCw a gi I� ti ti a¢ U dwrm ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville, NC Total Dry Tons Applied(AnnuaI): 20.47 Permit#: WQ0001800 Cation Exchange Capacity(non 503 only): Operator: Town of Yadkinville Owner: Town of Yadkinville Predominant Soil Series: Clifford Acres Used: 11.5 Acres Permitted: 11.5 Site#: NC YK 00029 Field#: YK 00029 0001 Residual Analysis Data(Heavy Metals and Total Phosphorus use mg/kg, °A) Solids use Raw Percent#): Sample on 1 I 1 3 j 4 5 6J U 9 f 10 lin 12 Com- posite Date 3/25/21 %Solids 1.65 - Arsenic 6.7 Cadmium 1.2 _ Copper 40 Chromium 42 Lead 33 Mercury 1.1 Molyb- 9 2 denum Nickel 18 Selenium 8.5 Zinc 160 Total Phos- 1200 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 121 J 4 5 61 71 F 8 9( 10 11 12 y DT/Ac./ o App. Event 1.78 Arsenic 0.024 _ 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Cadmium_ 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 0.142 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.142 Chromium 0.150 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.150 Lead 0.117 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.117 Mercury 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Molyb- 0 033 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 denum Nickel 0.064 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.064 Selenium 0.030 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 _ Zinc 0.570 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.570 Total Phos- 4.272 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.272 phorus "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonmen for knowing violations". 2_9_ 7-_ Signature of Land Applier Date DENR FORM MFLSF (12/2006) d ° CC m ."j d' co co E 8 LL w w 0 C) a m E y -a m rco z Z 2 J v u.. Iw W § wc w I E a.o aaQU i v WUI ., ° ... .....,',.� ?. ' m a 0 '0 l6 z .�' Z rn M c, �y U Q z -2 E cc c° ar o o. rn c at W _...,. oq N C o o 4 o or • OO o .' O M1l -0 t ul co 4 Z E ui ui N rri w co Q 0 o N of cc ^^^^ 2 a 0 6 o o o IL m cNon o P. ,a? oo co Y o o a o ao .i �o CC an 0 0 ~ E `0 m w Y2 X Y di � Q a U O a v - m N LL z Z z a rn o 'A ^ T 0. M7 C7 z g u o c"� c, ,a J Wc - ao oQ W F- . -` n 5 B g 1 co U E 0 o � o a a 0a W c 0w v..; ovx Q .- 2 T op, (n c.) — o J ❑ „ • t" U (n O- LL N VN N rI .d • p- C a d d coo N o N CI Ni J ,- U Ca x x x JQ o w w N0 •oy Ao n , m co cl-odq CO •o NU 0Q o r m o zJ N C.) L, 2 ❑ ❑ o Z o o Z a m P' 2 It zQ XX o o as o I_-_. d' _Z a W py D 00 M Z y oW O as CI. C.) '� a_. ❑ 8 o a. co Vo aA 0 g Q o 0 a [p} b w ❑ o] _ 0 N co — ....... ', i w 0 o a W - y p o c'7 '�j ? N r is '0 'C y ac 4 N p Q cu V a- 0 o z •� ` ui Z cA N N "' U2 Or_- o co 8 o ° m o " z° n U 2 2 m � o a W am ga O 0 (7) z >- v, C7 v w ❑ a (0 a 0 0 O Y m } o o o o 0 'G z z ro m o 0 0 m •,^ Q N R c OQ 7 UJ C7 (j -4 . o Tii i, W Z •4 .o Ct c n. O >- W W W U ° ❑ ,- ..'a e c LLf' 0 Zq N cif �' 2 W x - f< ro :c J I- II = :a N LL -' 2 co I`co . j Z z Q ] rn } FO z R. `o $ No El N t a 4 U ❑ 1 F U a A m ° N coNN i m La Y t q N - FC ° II1 ' U K O r r 4 U a li } _� ro a u a ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville, NC Total Dry Tons Applied(Annual): 14.43 Permit#: WQ0001800 Cation Exchange Capacity(non 503 only): Operator: James Hobson Owner: Kenneth Hobson Predominant Soil Series: Clifford Acres Used: 7.6 Acres Permitted: 7.6 Site#: NC YK 00033 Field#: YK 00033 0001 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample or± I 21 U U U 61 8 9 10 11 12 Com- posite Date 4/19/21 %Solids 2.79 Arsenic 5.8 _ Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury 0.66 Molyb- 7.1 denum Nickel 50 Selenium 8.5 Zinc 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 11 I 21 4 i 5_1 6 li 9 10 11 j 12 DT/Ac./ App. Event 1.90 Arsenic 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 1.480 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 _ 0.000 0.000 1.480 Chromium 0.209 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.209 Lead 0.099 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.099 Mercury 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 denum Nickel 0.190 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.190 Selenium 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 Zinc 6.833 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.833 Total Phos- 94.900 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 94.900 phorus "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonme t for knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) N N o_ Q:,-• N C O 11 45 � o 0o aff g 3 • • U ai •o, m n r 0 Cl o . Q T Q 0 1i 1 N .7 2 lFL C 0 41 . v z E .o U E v C, • • Z Z o • W } N o ❑ S •� 3a. li o vdX Q c fl a _ a a ) w OLLp Co et or) W N Z a -- N N a) Li • a U 2 CC U m co N OI • U .." 'El • Z v , 2a74 .• 'ti a • z 70 ra o O z 2 E w F a m N ro nA • CO & -2 o is • a .5 V •N E o Cr) N o °U a r.0vu7 dN On M R N p1 ) N ,0.� 'O '�O Q ..",..... 2 2+ Q O S4 D o 41 0 0 .. 0 6)0. V N B ry o E o ❑ Nm .En NoLt W .Y Npp }Q U - _ ZZz r o R N} o oa �7 d Q8, � . 2 u ❑ U ----- •— •.' E o on 0 a_ a _o 1 co •m m in p m _j ' .� iii ,Z co j g 2 0 2 0 d 'E. -'-U (�, iN ro CK J W e -- 2 1 W c o — L. a 4 �3 o ° U 2 'Z b. L N 00 Q $ •N •• a ❑ :-;H!-- :• 1mN II Qo Z ti U u ir -- II o dU ap • • a oD o -1 N M 8 2 a, Z c z o ❑ y a ro Q -- oa . Z n, h 1[7 0 0 �q pp� R N N •,a ^,g U ~ o 2 o 2 J U a ar 2 I c C] N O } _ Z W O X co _ - Z C W d a [�) b 'n° d cp to (Q? o o : cl' o O o 6 m O O E a 4 • b A ❑Z¢ 8 F r —. y ...I >, w u.. C ❑ ems-• N ca 0 .9 mOIZ Z ao o M O ❑ '• Z ,6L w 0c 0 • p O - 5 o n o . U _ Z U 2 T t'a E. D !2 68❑E • 3 p" V i ID Y o o 0o ? m cj m p4 0 U 05 N • 4-401 00p U to W o ° m m :A. 2 g LLi 0 Z U •j•� z- 8 N J' '� • . I t. O g wQ W O b 1 • A m J 0 7,` :� y a g Z Q N ]• o zN Np •o C Q • 7 r1- O "' .� N iN N f U Z U] C 'C a 0 J --It a ..__.i 0 a u. >- ro . * a u o 0 ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville, NC Total Dry Tons Applied(Annual): 7.94 Permit#: WQ0001800 Cation Exchange Capacity(non 503 only): Operator: James Hobson Owner: Kenneth Hobson Predominant Soil Series: Clifford Acres Used: 6.4 Acres Permitted: 6.4 Site#: NC YK 00033 Field#: YK 00033 0002 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample or�. 1 21 U 5 J 6 J 7J L8 J 10l 11_11 1 j Com- posite Date 4/19/21 %Solids 2.79 Arsenic 5.8 _ Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury 0.66 Molyb- denum 7.1 Nickel 50 Selenium 8,5 Zinc 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 ; 31 4 J -6 L 7 8 u 10 11 12 I DT/Ac./ " O App. a_ Event 1.24 Arsenic 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Cadmium 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Copper 0.967 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.967 Chromium 0.136 0.000 ^0.000 0.000 ^0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.136 T Lead 0.064 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.064 Mercury 0.002 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 denim _ Nickel 0.124 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.124 Selenium 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Zinc 4.464 0.000 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 0.000 4.464 Total Phos- 62.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 62.000 phorus "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonme f or knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) N m a Ti N v J Em.. 2 ce •n -.,................. 1 a�i o rn n r a a N r 0 ca � U a ll LPL [�L -0 W N a. o d $ ti Z a U Co w ci u_ n Q � d U � Z a? � U} UJ W N ZZ r (y N CO rn m N w❑w ° rnO a o (o N¢ ¢ � oc, ° rn c U o v > Z f g cos M M M �� Ca O Z la) d 6 o o rn o F 'z In co co co coI- a co '8 o o cC N. °' Q a N m 7 C W a. 0 0 0 © ^ 0 0, Y O O O O h I CI N O E 4. C' 6w N o �- - E ti Z 4) Lc: ui Lc ui o eVn p, N 0 _Q] S 0 oaoo u ,I, . h co 0 ,qL o a o o w N PI iHO70000 o a o co 2 N u) LN ft O >- r �d —.n 8. ¢ v 3 � Z z Z 2. rn vQ _• o .° � N li _O O O O O Z - N n N O 74 a N c9 M co co p o - M g W H a o 0 0 e2 m. U u u) o -_ •', k E o 0 n 8 no U a a b N.) N ra O O f3 fJ O } (y W E .0 2 � - W w ._..., w F- C ; as IT o a PEL, d , U a Z t V) 7 5 7 i o a if; ea N 0.' . n Ul N U) o o •V m N J U) C) a> e U U) 4 fV 4 (V i..,.i. L co co { (v CI: G o o b d a d o - N Ca Q W I « e Z U a Z *' ❑W W d o o o �c o o o a a o U Q J N N 8 6 2 ❑ ❑ ❑ ❑ O O O •o Z o z o o F. e o ...�._.._ ...._.. o" o r 0 co d as a d U M c - :0 _I _I _I J V r U O O ' m Y Y >- > a ,J ZO Cl) ,o_ O d W o U . d tP m ❑ fA Np ,v a o o g < a o Q- v1 co d CO co a ff C 0 O O t, N O C C G] Of N co GL O 0 o c6n Z m .0 — a o r ,o 'c rn rn I-- Q o o a o r ice P. `S U1 N N N N O ,. 0 0• o a a m z c? h7 v w Y o I,-.'... " E 2 ' a o 0 Z Q g }- o 0 0 0 0 _ W q z u -o v C o o O O 0 •� N U ' 0.. O '2 a a ti) o 5 2 V' O 'V ep v 'o n U 0 1 CC() w fl ° E r m C v �`o a ¢ Z y ° a 2 r o w w ca a m .� - ui 4 Z al a °o w • _r k, N n a;u cc w _ 2 (� - N •E Z Q > Z N N N N :Im a Y } OZ p y jQ i [C p ii J ❑ a C N N N _ } aL1G Z ❑ 1+ ,Jr< a w _ 5 U a- Li Y R ., a. Li_ 0 C) )IX ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Yadkinville, NC Total Dry Tons Applied(Annual): 19.48 Permit#: WQ0001800 Cation Exchange Capacity(non 503 only): Operator: Roger Davis Owner: Roger Davis Predominant Soil Series: Clifford Acres Used: 12.2 Acres Permitted: 12.2 Site#: NC YK 00035 Field#: YK 00035 0001 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent#): Sample or 2 3 LL J L U _9i10 I31 , 12 Com- posite Date 4/19/21 %Solids 2.79 Arsenic 5.8 Cadmium 0.99 Copper 390 Chromium 55 Lead 26 Mercury 0.66 Molyb- denum 7'1 Nickel 50 Selenium 8.5 Zinc 1800 Total Phos- 25000 phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total L _3_1 4 1 _J 6 _7] .8 j 9 10 11 I 12 DT/Ac./ " 0 App. cp Event 1.60 Arsenic 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Cadmium 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 1.245 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.245 Chromium 0.176 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.176 _ Lead 0.083 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.083 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 denum Nickel 0.160 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.160 Selenium 0.027_ 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Zinc 5.746 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.746 Total Phos- 79.800 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 79.800 phorus "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment or knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) SECTION 4 S a i' Summit Environmental Technologies,Inc. EIrg 3310 Win St. MUM ENVIRONMENTAL TECHNOLOCIES,INC Cuyahoga Falls,Ohio 44223 rralyt�cal L9boralorlas TEL:(330)253-8211 FAX. (330)253-4489 Website:http://www.settek.com April 02,2021 Alex Fox Synagro 284 Boger Rd. Mocksville,NC 27028 TEL: FAX: RE: Yadkinville Dear Alex Fox: Order No.: 21031808 Summit Environmental Technologies, Inc. received 2 sample(s) on 3/26/2021 for the analyses presented in the following report. There were no problems with the analytical events associated with this report unless noted in the Case Narrative. Quality control data is within laboratory defined or method specified acceptance limits except where noted. If you have any questions regarding these tests results,please feel free to call the laboratory. Sincerely, 1...v10.144,01 )77�� Jennifer Woolf Project Manager 3310 Win St. Cuyahoga Falls,Ohio 44223 Arkansas 88-0735,California 2943,Colorado,Connecticut PH-0108,Florida NELAC E87688,Idaho OH00923,Illinois 200061,Indiana C-OH-13,Kansas E-10347,Kentucky(Underground Storage Tank)3,Kentucky 90146,Maryland 339,Michigan 9988,Minnesota 1780279,Nevada OH009232020-1,New Hampshire 2996,New Jersey OH006,New York 11777,North Carolina 39705 and 631,North Dakota R-201,Ohio DW,Ohio VAP CL0052,Oklahoma 2019-155,Oregon OH200001, Pennsylvania 011,Rhode Island LA000317,South Carolina 92016001,Texas T104704466-19-16,Utah OH009232020-12, Virginia VELAP 10381,West Virginia 9957C Page 1 of 39 SUMMIT Summit Environmental Technologies,Inc.3310 Win 2t. Case Narrative itira ENVIRONMENTAL TECliN❑LOGIES.INC. Cuyahoga Falls,Ohio 44223 WO#: 21031808 MI 4rraly0cal Laboralorlas TEL:(330)253-8211 FAX. (330)253-4489 Website:http://www.settek.com Date: 4/2/2021 CLIENT: Synagro Project: Yadkinville WorkOrder Narrative: 21031808: This report in its entirety consists of the following documents: Cover Letter, Case Narrative, Analytical Results, QC Summary Report,Applicable Accreditation Information, Chain-of-Custody, Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit Environmental Technologies, Inc., Work Order Number assigned to this report. Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program Analytes Report" for accredited analytes list. The information contained in this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results contained in this report are only representative of the samples received. Conditions can vary at different times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible for use or interpretation of the data included herein. All results for Solid Samples are reported on an "as received" or"wet weight" basis unless indicated as "dry weight" using the "-dry" designation on the reporting units. This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any comments or problems with the analytical events associated with this report are noted below. Analytical Sequence Sample Notes: 21031808-001A TCLP-VOC-MSTR 8260D: Corresponding QC exhibited high recovery for Vinyl chloride. Sample is ND 21031808-002A TCLP-VOC-MSTR 8260D: Corresponding QC exhibited high recovery for Vinyl chloride. Sample is ND Analytical Sequence QC Notes: Pest CCV1 500ppb TCLP-SVOC-CPEST(8081B): P: RPD between confirmation column is greater than 40%. CCV VOC-MSTR NPW(8260): CCV exhibits high recovery for Vinyl chloride. Associated samples Original Page 2 of 39 5Mt'T Summit Environmental Technologies,Inc. Case Narrative mu 3310 Ohio Win St. AnalENVIRONMENTAL calLaoraloriNO LOGI ,INC. Cuyahoga Falls, 44223 WO#: 21031808rrafyt�caf iaboralorlas TEL:(330)253-8211 FAX. (330)253-4489 Website:http://www.settek.com Date: 4/2/2021 CLIENT: Synagro Project: Yadkinville are N.D. for this analyte. LCS-48669 TCLP-VOC-MSTR TCLP(8260): LCS exhibits high recovery for Vinyl chloride. Associated samples are N.D. for this analyte. Possible high bias for Vinyl chloride due to high recovery in CCV. Original Page 3 of 39 • 17 S Mm iT Summit Environmental Technologies,In Qualifiers and Acronyms 331 i Wm 5 `C Arralytiica @N1 L orator iN❑cOG{ S.INC Cuyahoga Falls,Ohio 442 WO#: 21031808rral}'t�caf iaboralorlas TEL:(330)253-8211 FAX. (330)253-44E Website:http://www.settek.co Date: 4/2/2021 These commonly used Qualifiers and Acronyms may or may not be present in this report. Qualifiers U The compound was analyzed for but was not detected. J The reported value is greater than the Method Detection Limit but less than the Reporting Limit. H The hold time for sample preparation and/or analysis was exceeded. D The result is reported from a dilution. E The result exceeded the linear range of the calibration or is estimated due to interference. MC The result is below the Minimum Compound Limit. The result exceeds the Regulatory Limit or Maximum Contamination Limit. m Manual integration was used to determine the area response. d Manual integration in which peak was deleted N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response. P The second column confirmation exceeded 25%difference. C The result has been confirmed by GC/MS. X The result was not confirmed when GC/MS Analysis was performed. B/MB+ The analyte was detected in the associated blank. G The ICB or CCB contained reportable amounts of analyte. QC-/+ The CCV recovery failed low(-)or high(+). R/QDR The RPD was outside of accepted recovery limits. QL-/+ The LCS or LCSD recovery failed low(-)or high(+). QLR The LCS/LCSD RPD was outside of accepted recovery limits. QM-/+ The MS or MSD recovery failed low(-)or high(+). QMR The MS/MSD RPD was outside of accepted recovery limits. QV-/+ The ICV recovery failed low(-)or high(+). S The spike result was outside of accepted recovery limits. Z Deviation;A deviation from the method was performed;Please refer to the Case Narrative for additional information Acronyms ND Not Detected RL Reporting Limit QC Quality Control MDL Method Detection Limit MB Method Blank LOD Level of Detection LCS Laboratory Control Sample LOQ Level of Quantitation LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit QCS Quality Control Sample CRQL Contract Required Quantitation Limit DUP Duplicate PL Permit Limit MS Matrix Spike RegLv1 Regulatory Limit MSD Matrix Spike Duplicate MCL Maximum Contamination Limit RPD Relative Percent Different MinCL Minimum Compound Limit ICV Initial Calibration Verification RA Reanalysis ICB Initial Calibration Blank RE Reextraction CCV Continuing Calibration Verification TIC Tentatively Identified Compound CCB Continuing Calibration Blank RT Retention Time RLC Reporting Limit Check CF Calibration Factor DF Dilution Factor RF Response Factor This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting. Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this list or for additional information regarding the use of these Qualifiers on reported data. Original Page 4 of 39 S ��'� Summit Environmental Technologies,Inc. Workorder 3310 Win St. 1.7611 ENVIRONMENTAL TECHNQI. oiEs,it c, Cuyahoga Falls,Ohio 44223 Sample Summary rralyt�cal iaboralorlas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com 02-Apr-21 CLIENT: Synagro Project: Yadkinville Lab SamplelD Client Sample ID Tag No Date Collected Date Received Matrix 21031808-001 Yadkinville WWTP 3/25/2021 9:00:00 AM 3/26/2021 4:00:00 PM Sludge 2 1 03 1 808-002 Yadkinville WTP 3/25/2021 10:00:00 AM 3/26/2021 4:00:00 PM Sludge Page 5 of 39 rn CO 4- 0 m P. P. P. P. P. P. P. P. P. a P. P. P. P. P. a, a, a, P. a, CL �/ p el A O vi O O O O M O O O O O vi O O O O V O O O O FBI w i .4 N vi O O ON N O O O O N vi O O O O N O O O O ISM I--i ‘A M O vi vi O oo N O O N M O vi vi h N O N N V M O C .41: M vi vi O O C — — N vi — M vi vi vi N M M vi N . rl N p ri ,n N N —, M Od Od r CO ~ vi N N M Od Od r 00 po N O ~ N N N ~ N N N N N N N N N ~ N N N N N N O O O O O O O O O O O O O O O O O O p N N N 0 N N N N N N p N N N 0 N N N N N N N N N N Cr, N N NMMMMMVV V V V V NMMMMMV 7 7 7 7 7 7 CA P. P. O O r17 O O O O O O a' O O O O .411 o o O o o c o 0 0 0 0 o c o A O N O -, - O O N O O ✓ O M V V O M V N N N N N N A ONNNN O O ONNNN O O N O O O O N N N O O O O N N N N N N N N N N Va M N ,--, ---- ,--, M M M N ,--, ---- ,--, M M P., M V V V V M M M V V 7 7 M M O• O O O O O O O O O O O O O O O O O O O y O O O O O O O O O O O O O O O O O O O O ✓ NNNNN NNNNN 0 II O O O O O O O O O O V Y M M M M M M M M M M M M M M M M M M M M O r - VD '-' '—' O r - VD '-' '—' • --� ,� M M rG '� ,--i M M .4'. m .4. 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F., D, 1 ct 4 z , , V 4 4 W N O O kk a00 00 O O 0at cn oo U AO V] N N S it• Summit Environmental Technologies,Inc.3310 Win St. Analytical Report INiM itrgENVIRONMENTAL TECliMOL-OGIES,IFtC Cuyahoga Falls, Ohio44223 (base report) �afyt�caf iaboralorfas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com Date Reported: 4/2/2021 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 3/25/2021 9:00:00 AM Lab ID: 21031808-001A Project: Yadkinville Client Sample ID Yadkinville WWTP Analyses Result RL Qual Units DF Date Analyzed TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW7470A SW7470A Analyst: ERA TCLP MERCURY ANALYSIS (SW1311/7470) TCLP Mercury ND 0.00200 mg/L 1 4/2/2021 3:08:00 PM TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW6010D SW3010A Analyst: DNS TCLP METALS ANALYSIS (SW1311/6010) TCLP Arsenic(As) ND 0.500 mg/L 1 4/2/2021 1:22:23 PM TCLP Barium(Ba) ND 5.00 mg/L 1 4/2/2021 1:22:23 PM TCLP Cadmium(Cd) ND 0.100 mg/L 1 4/2/2021 1:22:23 PM TCLP Chromium(Cr) ND 0.200 mg/L 1 4/2/2021 1:22:23 PM TCLP Lead(Pb) ND 0.500 mg/L 1 4/2/2021 1:22:23 PM TCLP Selenium(Se) ND 0.0500 mg/L 1 4/2/2021 1:22:23 PM TCLP Silver(Ag) ND 0.500 mg/L 1 4/2/2021 1:22:23 PM TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8270 SW3510C Analyst: SFG TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270) 1,4-Dichlorobenzene ND 0.200 mg/L 2 4/1/2021 7:22:00 PM 2,4,5-Trichlorophenol ND 0.500 mg/L 2 4/1/2021 7:22:00 PM 2,4,6-Trichlorophenol ND 0.500 mg/L 2 4/1/2021 7:22:00 PM 2,4-Dinitrotoluene ND 0.100 mg/L 2 4/1/2021 7:22:00 PM Cresols,Total ND 10.0 mg/L 2 4/1/2021 7:22:00 PM Hexachloro-1,3-butadiene ND 0.0400 mg/L 2 4/1/2021 7:22:00 PM Hexachlorobenzene ND 0.100 mg/L 2 4/1/2021 7:22:00 PM Hexachloroethane ND 0.200 mg/L 2 4/1/2021 7:22:00 PM Nitrobenzene ND 0.200 mg/L 2 4/1/2021 7:22:00 PM Pentachlorophenol ND 0.500 mg/L 2 4/1/2021 7:22:00 PM Pyridine ND 0.500 mg/L 2 4/1/2021 7:22:00 PM Surr:2-Fluorophenol 86.5 10-157 %Rec 2 4/1/2021 7:22:00 PM Surr: Phenol-d6 91.4 10-169 %Rec 2 4/1/2021 7:22:00 PM Surr: Nitrobenzene-d5 80.0 32.1 -130 %Rec 2 4/1/2021 7:22:00 PM Surr:2,4,6-Tribromophenol 113 45.4-166 %Rec 2 4/1/2021 7:22:00 PM Surr:2-Fluorobiphenyl 79.5 35.7-130 %Rec 2 4/1/2021 7:22:00 PM Surr: p-Terphenyl-d14 112 70-145 %Rec 2 4/1/2021 7:22:00 PM Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response MC Value is below Minimum Compound Limit. N Tentatively identified compounds ND Not Detected P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Original RL Reporting Detection Limit U Samples with CalcVal<MDL Page 7 of 39 S it• Summit Environmental Technologies,Inc.3310 Win St. Analytical Report INiM itrgENVIRONMENTAL TECliMOL-OGIES,IFtC Cuyahoga Falls, Ohio44223 (base report) �afyt�caf iaboralorfas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com Date Reported: 4/2/2021 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 3/25/2021 9:00:00 AM Lab ID: 21031808-001A Project: Yadkinville Client Sample ID Yadkinville WWTP Analyses Result RL Qual Units DF Date Analyzed TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8081 SW3510C Analyst: CSS TCLP PESTICIDES ANALYSIS (SW1311/8081) Chlordane,total ND 0.0250 mg/L 1 4/1/2021 8:10:00 PM Toxaphene ND 0.0500 mg/L 1 4/1/2021 8:10:00 PM Endrin ND 0.00250 mg/L 1 4/1/2021 8:10:00 PM gamma-BHC ND 0.00250 mg/L 1 4/1/2021 8:10:00 PM Heptachlor ND 0.00250 mg/L 1 4/1/2021 8:10:00 PM Heptachlor epoxide ND 0.00250 mg/L 1 4/1/2021 8:10:00 PM Methoxychlor ND 0.00250 mg/L 1 4/1/2021 8:10:00 PM Surr:TCMX 72.2 10-119 %Rec 1 4/1/2021 8:10:00 PM Surr: DCB 91.1 10-119 %Rec 1 4/1/2021 8:10:00 PM TCLP HERBICIDES BY EPA 8321B SW8321 SW1311M Analyst: TM 2,4-D ND 0.500 mg/L 50 4/1/2021 11:00:00 PM 2,4,5-TP ND 0.500 mg/L 50 4/1/2021 11:00:00 PM Surr:2,4-Dichlorophenylacetic aci 72.9 70-130 %Rec 50 4/1/2021 11:00:00 PM TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8260 SW1311M Analyst: MES TCLP VOLATILES ANALYSIS 1,1-Dichloroethene ND 0.250 mg/L 50 4/1/2021 8:51:00 PM 1,2-Dichloroethane ND 0.250 mg/L 50 4/1/2021 8:51:00 PM MEK ND 5.00 mg/L 50 4/1/2021 8:51:00 PM Benzene ND 0.250 mg/L 50 4/1/2021 8:51:00 PM Carbon tetrachloride ND 0.250 mg/L 50 4/1/2021 8:51:00 PM Chlorobenzene ND 2.50 mg/L 50 4/1/2021 8:51:00 PM Chloroform ND 0.250 mg/L 50 4/1/2021 8:51:00 PM Tetrachloroethene ND 0.250 mg/L 50 4/1/2021 8:51:00 PM Trichloroethene ND 0.250 mg/L 50 4/1/2021 8:51:00 PM Vinyl chloride ND 0.100QC+QL+mg/L 50 4/1/2021 8:51:00 PM Surr:4-Bromofluorobenzene 91.6 70-130 %Rec 50 4/1/2021 8:51:00 PM Surr: Dibromofluoromethane 99.2 70-130 %Rec 50 4/1/2021 8:51:00 PM Surr:Toluene-d8 100 70-130 %Rec 50 4/1/2021 8:51:00 PM Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response MC Value is below Minimum Compound Limit. N Tentatively identified compounds ND Not Detected P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Original RL Reporting Detection Limit U Samples with CalcVal<MDL Page 8 of 39 S it• Summit Environmental Technologies,Inc.3310 Win St. Analytical Report INiM itrgENVIRONMENTAL TECliMOL-OGIES.IFtC Cuyahoga Falls, Ohio44223 (base report) �afyt�caf iaboralorfas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com Date Reported: 4/2/2021 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 3/25/2021 9:00:00 AM Lab ID: 21031808-001A Project: Yadkinville Client Sample ID Yadkinville WWTP Analyses Result RL Qual Units DF Date Analyzed RCI SW9014 Analyst: MS REACTIVE CYANIDE(9014/7.3.3.2)-SOLID Cyanide, Reactive ND 0.490 mg/Kg 1 3/31/2021 2:55:00 PM IGNITABILITY OF SOLIDS(SW-846: 1030) SW1030 Analyst: KMW Ignitability nonflammable mm/sec 1 4/1/2021 11:13:20 AM RCI SW9045D Analyst: ALT PH (SW9045D) pH 7.2 s.u.@16.9C 1 3/29/2021 5:36:55 PM RCI SW9034 Analyst: MS REACTIVE SULFIDE(9034)/7.3.4.2 Sulfide, Reactive ND 25.0 mg/Kg 1 3/31/2021 2:55:00 PM Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response MC Value is below Minimum Compound Limit. N Tentatively identified compounds ND Not Detected P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Original RL Reporting Detection Limit U Samples with CalcVal<MDL Page 9 of 39 S it• Summit Environmental Technologies,Inc.3310 Win St. Analytical Report INiM itrgENVIRONMENTAL TECliMOL-OGIES,IFtC Cuyahoga Falls, Ohio44223 (base report) �afyt�caf iaboralorfas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com Date Reported: 4/2/2021 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 3/25/2021 10:00:00 AM Lab ID: 21031808-002A Project: Yadkinville Client Sample ID Yadkinville WTP Analyses Result RL Qual Units DF Date Analyzed TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW7470A SW7470A Analyst: ERA TCLP MERCURY ANALYSIS (SW1311/7470) TCLP Mercury ND 0.0100 mg/L 1 4/2/2021 3:22:00 PM TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW6010D SW3010A Analyst: DNS TCLP METALS ANALYSIS (SW1311/6010) TCLP Arsenic(As) ND 0.500 mg/L 1 4/2/2021 1:26:24 PM TCLP Barium(Ba) ND 5.00 mg/L 1 4/2/2021 1:26:24 PM TCLP Cadmium(Cd) ND 0.100 mg/L 1 4/2/2021 1:26:24 PM TCLP Chromium(Cr) ND 0.200 mg/L 1 4/2/2021 1:26:24 PM TCLP Lead(Pb) ND 0.500 mg/L 1 4/2/2021 1:26:24 PM TCLP Selenium(Se) ND 0.0500 mg/L 1 4/2/2021 1:26:24 PM TCLP Silver(Ag) ND 0.500 mg/L 1 4/2/2021 1:26:24 PM TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8270 SW3510C Analyst: SFG TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270) 1,4-Dichlorobenzene ND 0.500 mg/L 5 4/1/2021 7:54:00 PM 2,4,5-Trichlorophenol ND 1.25 mg/L 5 4/1/2021 7:54:00 PM 2,4,6-Trichlorophenol ND 1.25 mg/L 5 4/1/2021 7:54:00 PM 2,4-Dinitrotoluene ND 0.250 mg/L 5 4/1/2021 7:54:00 PM Cresols,Total ND 25.0 mg/L 5 4/1/2021 7:54:00 PM Hexachloro-1,3-butadiene ND 0.100 mg/L 5 4/1/2021 7:54:00 PM Hexachlorobenzene ND 0.250 mg/L 5 4/1/2021 7:54:00 PM Hexachloroethane ND 0.500 mg/L 5 4/1/2021 7:54:00 PM Nitrobenzene ND 0.500 mg/L 5 4/1/2021 7:54:00 PM Pentachlorophenol ND 1.25 mg/L 5 4/1/2021 7:54:00 PM Pyridine ND 1.25 mg/L 5 4/1/2021 7:54:00 PM Surr:2-Fluorophenol 71.6 10-157 %Rec 5 4/1/2021 7:54:00 PM Surr: Phenol-d6 85.4 10-169 %Rec 5 4/1/2021 7:54:00 PM Surr: Nitrobenzene-d5 82.2 32.1 -130 %Rec 5 4/1/2021 7:54:00 PM Surr:2,4,6-Tribromophenol 104 45.4-166 %Rec 5 4/1/2021 7:54:00 PM Surr:2-Fluorobiphenyl 81.8 35.7-130 %Rec 5 4/1/2021 7:54:00 PM Surr: p-Terphenyl-d14 111 70-145 %Rec 5 4/1/2021 7:54:00 PM Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response MC Value is below Minimum Compound Limit. N Tentatively identified compounds ND Not Detected P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Original RL Reporting Detection Limit U Samples with CalcVal<MDL Page 10 of 39 S it• Summit Environmental Technologies,Inc.3310 Win St. Analytical Report INiM itrgENVIRONMENTAL TECliMOL-OGIES,IFtC Cuyahoga Falls, Ohio44223 (base report) �afyt�caf iaboralorfas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com Date Reported: 4/2/2021 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 3/25/2021 10:00:00 AM Lab ID: 21031808-002A Project: Yadkinville Client Sample ID Yadkinville WTP Analyses Result RL Qual Units DF Date Analyzed TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8081 SW3510C Analyst: CSS TCLP PESTICIDES ANALYSIS (SW1311/8081) Chlordane,total ND 0.0250 mg/L 1 4/1/2021 8:32:00 PM Toxaphene ND 0.0500 mg/L 1 4/1/2021 8:32:00 PM Endrin ND 0.00250 mg/L 1 4/1/2021 8:32:00 PM gamma-BHC ND 0.00250 mg/L 1 4/1/2021 8:32:00 PM Heptachlor ND 0.00250 mg/L 1 4/1/2021 8:32:00 PM Heptachlor epoxide ND 0.00250 mg/L 1 4/1/2021 8:32:00 PM Methoxychlor ND 0.00250 mg/L 1 4/1/2021 8:32:00 PM Surr:TCMX 71.9 10-119 %Rec 1 4/1/2021 8:32:00 PM Surr: DCB 80.1 10-119 %Rec 1 4/1/2021 8:32:00 PM TCLP HERBICIDES BY EPA 8321B SW8321 SW1311M Analyst: TM 2,4-D ND 0.500 mg/L 50 4/1/2021 11:57:00 PM 2,4,5-TP ND 0.500 mg/L 50 4/1/2021 11:57:00 PM Surr:2,4-Dichlorophenylacetic aci 85.4 70-130 %Rec 50 4/1/2021 11:57:00 PM TCLP METALS,VOC, BNA, PEST, HERB-SOLID SW8260 SW1311M Analyst: MES TCLP VOLATILES ANALYSIS 1,1-Dichloroethene ND 0.250 mg/L 50 4/1/2021 8:23:00 PM 1,2-Dichloroethane ND 0.250 mg/L 50 4/1/2021 8:23:00 PM MEK ND 5.00 mg/L 50 4/1/2021 8:23:00 PM Benzene ND 0.250 mg/L 50 4/1/2021 8:23:00 PM Carbon tetrachloride ND 0.250 mg/L 50 4/1/2021 8:23:00 PM Chlorobenzene ND 2.50 mg/L 50 4/1/2021 8:23:00 PM Chloroform ND 0.250 mg/L 50 4/1/2021 8:23:00 PM Tetrachloroethene ND 0.250 mg/L 50 4/1/2021 8:23:00 PM Trichloroethene ND 0.250 mg/L 50 4/1/2021 8:23:00 PM Vinyl chloride ND 0.100QC+QL+mg/L 50 4/1/2021 8:23:00 PM Surr:4-Bromofluorobenzene 92.0 70-130 %Rec 50 4/1/2021 8:23:00 PM Surr: Dibromofluoromethane 98.0 70-130 %Rec 50 4/1/2021 8:23:00 PM Surr:Toluene-d8 99.1 70-130 %Rec 50 4/1/2021 8:23:00 PM Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response MC Value is below Minimum Compound Limit. N Tentatively identified compounds ND Not Detected P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Original RL Reporting Detection Limit U Samples with CalcVal<MDL Page 11 of 39 S it• Summit Environmental Technologies,Inc.3310 Win St. Analytical Report INiM itrgENVIRONMENTAL TECliMOL-OGIES.IFtC Cuyahoga Falls, Ohio44223 (base report) �afyt�caf iaboralorfas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com Date Reported: 4/2/2021 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 3/25/2021 10:00:00 AM Lab ID: 21031808-002A Project: Yadkinville Client Sample ID Yadkinville WTP Analyses Result RL Qual Units DF Date Analyzed RCI SW9014 Analyst: MS REACTIVE CYANIDE(9014/7.3.3.2)-SOLID Cyanide, Reactive ND 0.476 mg/Kg 1 3/31/2021 2:55:00 PM IGNITABILITY OF SOLIDS(SW-846: 1030) SW1030 Analyst: KMW Ignitability nonflammable mm/sec 1 4/1/2021 11:13:20 AM RCI SW9045D Analyst: ALT PH (SW9045D) pH 6.8 s.u.@17.2C 1 3/29/2021 5:36:55 PM RCI SW9034 Analyst: MS REACTIVE SULFIDE(9034)/7.3.4.2 Sulfide, Reactive ND 25.0 mg/Kg 1 3/31/2021 2:55:00 PM Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response MC Value is below Minimum Compound Limit. N Tentatively identified compounds ND Not Detected P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Original RL Reporting Detection Limit U Samples with CalcVal<MDL Page 12 of 39 �� SUMMIT Summit Environmental Technologies,Inc. Accreditation Program 1. 3310 Win St. Anal�7teS RenOrt ENVIRONMENTAL TECHNOLOGIES,INC Cuyahoga Falls,Ohio 44223 J Y rral}'t�caf iaboralorlas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com 02 Apr 2l Client: Synagro State: NW Project: Yadkinville Program Name: NC_WW_SCM Sample ID Matrix Test Name Analyte Status 2 1 03 1 808-00 1A Sludge Ignitability of Solids(SW-846: 1030) Ignitability A Sludge pH(SW9045D) Hydrogen Ion(pH) A Sludge Reactive Cyanide(9014/7.3.3.2)-Solid Cyanide,Reactive U Sludge Reactive Sulfide(9034)/7.3.4.2 Sulfide,Reactive U Sludge TCLP Herbicides by EPA 8321B 2,4,5-TP A Sludge TCLP Herbicides by EPA 8321B 2,4-D A Sludge TCLP Mercury Analysis(SW1311/7470) Mercury A Sludge TCLP Metals Analysis(SW1311/6010) Arsenic A Sludge TCLP Metals Analysis(SW1311/6010) Barium A Sludge TCLP Metals Analysis(SW1311/6010) Cadmium A Sludge TCLP Metals Analysis(SW1311/6010) Chromium A Sludge TCLP Metals Analysis(SW1311/6010) Lead A Sludge TCLP Metals Analysis(SW1311/6010) Selenium A Sludge TCLP Metals Analysis(SW1311/6010) Silver A Sludge TCLP Pesticides Analysis(SW1311/8081) Chlordane,total A Sludge TCLP Pesticides Analysis(SW1311/8081) Endrin A Sludge TCLP Pesticides Analysis(SW1311/8081) gamma-BHC A Sludge TCLP Pesticides Analysis(SW1311/8081) Heptachlor A Sludge TCLP Pesticides Analysis(SW1311/8081) Heptachlor epoxide A Sludge TCLP Pesticides Analysis(SW1311/8081) Methoxychlor A Sludge TCLP Pesticides Analysis(SW1311/8081) Toxaphene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 1,4-Dichlorobenzene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4,5-Trichlorophenol A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4,6-Trichlorophenol A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4-Dinitrotoluene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Cresols,Total A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachlorobenzene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachlorobutadiene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachloroethane A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Nitrobenzene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Pentachlorophenol A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Pyridine A Key Key NC WW SCM A Accredited NC WW SCM U Unavailable Original#1 Page 13 of 39 � SUMMIT Summit Environmental Technologies,Inc. Accreditation Program 3310 Win St. Anal teS Report um ENVIRONMENTAL TECHN❑w oes,INC Cuyahoga Falls,Ohio 44223 3' P rral}'t�caf iaboralorlas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com 02 Apr 2l Client: Synagro State: NW Project: Yadkinville Program Name: NC_WW_SCM Sample ID Matrix Test Name Analyte Status 2 1 03 1 808-00 1A Sludge TCLP Volatiles Analysis 1,1-Dichloroethene A Sludge TCLP Volatiles Analysis 1,2-Dichloroethane A Sludge TCLP Volatiles Analysis 2-Butanone A Sludge TCLP Volatiles Analysis Benzene A Sludge TCLP Volatiles Analysis Carbon tetrachloride A Sludge TCLP Volatiles Analysis Chlorobenzene A Sludge TCLP Volatiles Analysis Chloroform A Sludge TCLP Volatiles Analysis Tetrachloroethene A Sludge TCLP Volatiles Analysis Trichloroethene A Sludge TCLP Volatiles Analysis Vinyl chloride A 2 1 03 1 808-002A Sludge Ignitability of Solids(SW-846: 1030) Ignitability A Sludge pH(SW9045D) Hydrogen Ion(pH) A Sludge Reactive Cyanide(9014/7.3.3.2)-Solid Cyanide,Reactive U Sludge Reactive Sulfide(9034)/7.3.4.2 Sulfide,Reactive U Sludge TCLP Herbicides by EPA 8321B 2,4,5-TP A Sludge TCLP Herbicides by EPA 8321B 2,4-D A Sludge TCLP Mercury Analysis(SW1311/7470) Mercury A Sludge TCLP Metals Analysis(SW1311/6010) Arsenic A Sludge TCLP Metals Analysis(SW1311/6010) Barium A Sludge TCLP Metals Analysis(SW1311/6010) Cadmium A Sludge TCLP Metals Analysis(SW1311/6010) Chromium A Sludge TCLP Metals Analysis(SW1311/6010) Lead A Sludge TCLP Metals Analysis(SW1311/6010) Selenium A Sludge TCLP Metals Analysis(SW1311/6010) Silver A Sludge TCLP Pesticides Analysis(SW1311/8081) Chlordane,total A Sludge TCLP Pesticides Analysis(SW1311/8081) Endrin A Sludge TCLP Pesticides Analysis(SW1311/8081) gamma-BHC A Sludge TCLP Pesticides Analysis(SW1311/8081) Heptachlor A Sludge TCLP Pesticides Analysis(SW1311/8081) Heptachlor epoxide A Sludge TCLP Pesticides Analysis(SW1311/8081) Methoxychlor A Sludge TCLP Pesticides Analysis(SW1311/8081) Toxaphene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 1,4-Dichlorobenzene A Key Key NC WW SCM A Accredited NC WW SCM U Unavailable Original#1 Page 14 of 39 �� SUMMIT Summit Environmental Technologies,Inc. Accreditation Program 1. 3310 Win St. Anal teS Report ENVIRONMENTAL TECHN❑w oes,INC Cuyahoga Falls,Ohio 44223 3' P rral}'ticaf iaboralorlas TEL:(330)253-8211 FAX (330)253-4489 WO#: 21031808 Website:http://www.settek.com 02 Apr 2l Client: Synagro State: NW Project: Yadkinville Program Name: NC_WW_SCM Sample ID Matrix Test Name Analyte Status 2 1 03 1 808-002A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4,5-Trichlorophenol A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4,6-Trichlorophenol A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) 2,4-Dinitrotoluene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Cresols,Total A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachlorobenzene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachlorobutadiene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Hexachloroethane A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Nitrobenzene A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Pentachlorophenol A Sludge TCLP Semi-Volatiles Analysis(SW1311/8270) Pyridine A Sludge TCLP Volatiles Analysis 1,1-Dichloroethene A Sludge TCLP Volatiles Analysis 1,2-Dichloroethane A Sludge TCLP Volatiles Analysis 2-Butanone A Sludge TCLP Volatiles Analysis Benzene A Sludge TCLP Volatiles Analysis Carbon tetrachloride A Sludge TCLP Volatiles Analysis Chlorobenzene A Sludge TCLP Volatiles Analysis Chloroform A Sludge TCLP Volatiles Analysis Tetrachloroethene A Sludge TCLP Volatiles Analysis Trichloroethene A Sludge TCLP Volatiles Analysis Vinyl chloride A Key Key NC WW SCM A Accredited NC WW SCM U Unavailable Original#1 Page 15 of 39 rn M O C4 4) O CO QC 4. r, FBI .--1 N N O 0 d O M N Q1.0 CO d o It N N0 O 7. 71 [] CO d p (L O OEt O U 0 w Z Z o 0 - c s 3 OM b VZ oo o 0 Ts >Ct °�+ o > N y 0 E O :C 0 0 a C O O _ N N V N O N N LU N coco O CO O LU Lo LU CiD E N 117 117 � M M 117 � co M co M � co 117 coao 117 117 U a M M J a CiD M M L co N cu a3 a3❑ ❑ N CO (0 O O CO O M N x— V O I"- N- o M CO 0 a N E Lci O lf) Cfl `— V O) N `— O V Q N .N 3 CO N N N CO x— •V 0) N N N Lo O d A I� C J Q 0 0 0o co N- N CO CO CO � V N CO CO CO CO CO CO N V LL 0 Et (,.� 0 0 0 ,— O M V M O) OO N V f". 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'x n yay IN :i1TI V r.17(7D11 CF gF45i1!IT!owl I i:w)k7rluasud [ .. 4 n .= 3 .. _ L {.. x aa9rM anplwO=ALO'a•19rA4 a1RsWJ•�H-MJN ' p '+4Y-ryya-01101'1-7'APo19-is'pros-,s tsppl1e ..., '� C i Ec •cs a arliusg 39padalo�'I s Jw�, a ` c. . . tin.., own V _ c s di p 2' 7r . �' �0� .i u � k `}'k` gq p, 3 pE 4 L i 6 �' e IN: .LL a F x g ,J . . _gi t } r a zpp q3 I Ate" " a luni - VI...� i lin N wnl i� T ci r�Id' q F o n sY .. .. ... x l\� Rx Lp s �.• L Q �[ s+r �m'00 � g M1 =LL u � fi # f j u.:[UP $ -.4 c_r:b a, a e: 5 8b _ I II _ 1 U fn U G u M 1_-. Q.,'d�n 4 v,, s Page 37 of 39 ;74700,1summIT Summit Environmental Techn3310ologiesW,in Inc.St. II a ENVIRONMENTAL TEC„NOLOGaS,INC Cuyahoga Falls, Ohio 44223 Sample Log-In Check List ArrafyOcaf Laborator/as TEL:(330)253-8211 FAX. (330)253-4489 Website:http:/Aiww.settek.com Client Name: SYN-NC-27028 Work Order Number: 21031808 RcptNo: 1 Logged by: Christina N.Jager 3/26/2021 4:00:00 PMrxx Completed By: Jacqueline Rasile 3/28/2021 11:39:11 AM Reviewed By: Jennifer Woolf 3/29/2021 1:26:08 PM (...710‘7*.?1' M''oaL011,-- Chain of Custody 1. Is Chain of Custody complete? Yes ❑ No ❑d Not Present ❑ 2. How was the sample delivered? UPS Log In 3. Coolers are present? Yes ❑d No ❑ NA ❑ 4. Shipping container/cooler in good condition? Yes d❑ No ❑ Custody seals intact on shipping container/cooler? Yes ❑ No ❑ Not Present V No. Seal Date: Signed By: 5. Was an attempt made to cool the samples? Yes ❑d No ❑ NA ❑ 6. Were all samples received at a temperature of >0°C to 6.0°C Yes ❑d No ❑ NA ❑ 7. Sample(s)in proper container(s)? Yes ❑d No ❑ 8. Sufficient sample volume for indicated test(s)? Yes ❑d No ❑ g. Are samples(except VOA and ONG)properly preserved? Yes ❑d No ❑ 10.Was preservative added to bottles? Yes ❑ No ❑d NA ❑ it. Is the headspace in the VOA vials less than 1/4 inch or 6 mm? Yes ❑ No ❑ No VOA Vials V 12.Were any sample containers received broken? Yes ❑ No ❑d 13. Does paperwork match bottle labels? Yes ❑d No ❑ (Note discrepancies on chain of custody) 14.Are matrices correctly identified on Chain of Custody? Yes ❑d No ❑ 15. Is it clear what analyses were requested? Yes ❑d No ❑ 16. Were all holding times able to be met? Yes ❑d No ❑ (If no, notify customer for authorization.) Special Handling(if applicable) 17. Was client notified of all discrepancies with this order? Yes ❑d No ❑ NA ❑ Person Notified: 'Alex Fox Date:I 3/29/2021 By Whom: 'Jennifer Woolf Via: 0 eMail ❑ Phone ❑ Fax ❑ In Person Regarding: both bottles labeld as WWTP Client Instructions: 'the Brown one is WTP and the Blacker one is WWTP. 18.Additional remarks: the Brown one is WTP and the Blacker one is WWTP. samples not labeled both lids labled as WWTP Cooler Information Page 38 of 39 iiiiiw S M M'T Summit Environmental Technologies,Inc. 3310 Win St. MN ENVIRONMENTAL TECHNOLOQ4S,ihi Cuyahoga Falls,Ohio 44223 Sample Log-In Check List Arrafy1k of iaboralorJas TEL:(330)253-8211 FAX (330)253-4489 Website:http://www.settek.com Client Name: SYN-NC-27028 Work Order Number: 21031808 RcptNo: 1 Cooler No Temp°C Condition Seal Intact Seal No Seal Date Signed By 1 2.6 Good Not Present Page 39 of 39 TCLP data is not included in the 2021 Annual Report for Yadkinville WTP. A TCLP sample was taken in 2019 and is only required to be taken once per permit cycle. SECTION 5 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM(02T Rules) Facility Name: Town of Yadkinville WQ Permit Number: WQ 00001800 WWTP Name: Yadkinville WWTP NPDES Number: -NOMA-I.90—�� NCoO 2O 33 a Monitoring Period: From 01/01/2021 To 12/31/21 Pathogen Reduction(40 CFR 503.32/ISA NCAC 02T.1106)-Please indicate level achieved and alternative performed: Class A: Alt. 1/A(time/temp) Alt.2/B(Alk Treatment) Alt.3/C(Prior Testing) Alt.4/D(No Prior Test) Alt.5/Process to Further Reduce Pathogens Alt.6(Equivalent to PFRP) _ If applicable to alternative performed(Class A only)indicate"Process to Further Reduce Pathogens": Compost Heat Drying Heat Treatment Thermophilic Beta Ray Gamma Ray Pasteurization Class B: Alt.(1)Fecal Density X Alt.(2)Process to Significantly Reduce Pathogens If applicable to alternative performed(Class B only)indicate"Process to Significantly Reduce Pathogens": Lime Stabilization Air Drying Composting Aerobic Digestion Anaerobic Digestion If applicable to alternative performed(Class A or Class B)complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density No.of Frequency Sample Analytical Excee- of Type Technique Minimum Gee,Mean Maximum Units deuces Analysis Fecal 2x10 to the 6'1' MPN 7,667 8364 10,101 MPNig 0 Annual Grab Sm9221C Coliform power per gram E of total solids CFU CFUig 1000 MPN per gram of MPN/g total solids(dry weight) Salmonella 3 MPN per 4 grams total bacteria(in solids(dry weight) lieu of fecal coliform) Vector Attraction Reduction(40 CFR 503.33/ISA NCAC 02T.1107)-Please indicate option/alternative performed: Option/Alt. 1 Option/Alt.2 Option/Alt.3 Option/Alt.4 (VS reduction) X (40-day bench) _ __ (30day bench) ___ (Spec.02 uptake) OptioniAlt.5 Option/Alt.6 Option/Alt.7 Option/Alt.8 (14-Day Aerobic) (Alk Stabilization) (Drying-Stable) (Drying-Unstable) Option/Alt.9 Option/Alt.10 (Injection) (Incorporation) No vector attraction reduction alternatives were performed CERTIFICATION STATEMENT(please check the appropriate statement) "I certify,under penalty of law,that the pathogen requirements in 40 CFR 503.32/15A NCAC 02T.1106 and the vector attraction X reduction requirement in 40 CFR 503.33/15A NCAC 02T.1107 have been met.' "I certify,under penalty of law,that the pathogen requirements in 40 CFR 503.32/15A NCAC 02T.1106 and the vector attraction reduction requirement in 40 CFR 503.33/15A NCAC 02T.1107 have not been met."(Please note if you check this statement attach an explanation why you have not met one or both of tht requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel property gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. 1 am aware that there are significant penalties for false certification including fine and imprisonment." Grant Trivette Plant Manager Pre Name and Title(type or print) Land Applier Name and Title(if applicable)(type or print) Si attire of Pteparer• Date Signature of Land Applier(if applicable) Date 'Preparer is defined in 40 CFR Part 503.9(r)and 15A NCAC 2T.1 102(26) Analytical Results STATESVILLE Ibt ANALYTICAL Town of Yadkinville PO Box 816 Yadkinville, NC 27055 Receive Date: 04/29/2021 Reported: 05/03/2021 For: Holding Tank Fecals Comments: Geometric Mean: 8364 MPN/g Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 210429-10-01 Fecal Coliforms HT#1 7692 MPN/g SM92210E-2006 04/29/2021 MD 210429-10-01 Percent Solids HT#1 2.99 % SM2540B-2011 04/29/2021 MD 210429-10-02 Fecal Coliforms HT#2 7667 MPN/g SM92210E-2006 04/29/2021 MD 210429-10-02 Percent Solids HT#2 3.0 % SM2540B-2011 04/29/2021 MD 210429-10-03 Fecal Coliforms HT#3 7823 MPN/g SM92210E-2006 04/29/2021 MD 210429-10-03 Percent Solids HT#3 2.94 % SM2540B-2011 04/29/2021 MD 210429-10-04 Fecal Coliforms HT#4 10101 MPN/g SM92210E-2006 04/29/2021 MD 210429-10-04 Percent Solids HT#4 2.97 % SM2540B-2011 04/29/2021 MD 210429-10-05 Fecal Coliforms HT#5 8070 MPN/g SM92210E-2006 04/29/2021 MD 210429-10-05 Percent Solids HT#5 2.85 % SM2540B-2011 04/29/2021 MD 210429-10-06 Fecal Coliforms HT#6 9901 MPN/g SM92210E-2006 04/29/2021 MD 210429-10-06 Percent Solids HT#6 3.03 % SM2540B-2011 04/29/2021 MD 210429-10-07 Fecal Coliforms HT#7 7692 MPN/g SM92210E-2006 04/29/2021 MD 210429-10-07 Percent Solids HT#7 2.99 % SM2540B-2011 04/29/2021 MD Respectfully submitted, % L j. 1,- Melissa Myers NC Cert#440, NCDW Cert#37755, EPA#NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 4 Condition of Receipt Sample Number 210429-10-01 Temp on Arrival: 5.1 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 210429-10-02 Temp on Arrival: 5.1 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 210429-10-03 Temp on Arrival: 5.1 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 210429-10-04 Temp on Arrival: 5.1 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 210429-10-05 Temp on Arrival: 5.1 Parameter Schedule: Percent Solids Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 4 Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 210429-10-06 Temp on Arrival: 5.1 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 210429-10-07 Temp on Arrival: 5.1 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 4 x , N N 61 :I: J 6.[V 0 Q) \ \ C` `a � c g L: Zvi ^';a =- ":' C 2 c rn U '�-�_ A C 3 c N O w E 0 a m o $. co co o 0 0 v 41,0 _ (A H I U Z 1- m Izj E *I; a is g- �� N I r .. vp a) a) 0 a) 0 0 0 0 NI M,g g E E E E '� 3 a 1¢Q a a uQ `d m co v Woo 7 t N pv9\ J O N E �. _ E E E E O D ...0 0 W- 1 J p 9 t) °' °'" c6 i. N r 1- Mcr 3 D 3 gT 0 { itr V J m C N° o ?� I 1 ` _ �' q � � � ° `1 1 1 1 7 �' s s s ti o —1 � 1 kJ to to 0 0 sx ,:c . o E E E E v „ x 0_ 0_ N d 0_ J t 4 d � ,� c ro al ,_ E E co j � ye Md— In _ co as 3 � z �'_ y T ,v� ) a L J.D. c t c \-2 0 a a / Va 'O N 'O a l 'DO N N a 2 Z > > > N C Q a3 %ro Em 6 w E m a' E a) a) 0 - a O E E 0 E E C) ¢ U d 0 co i I CC I CC U i= H H H , PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 4 of 4 (0) rD voblialesoids.xit 2/2106 %TOTAL SOLIDS %VOLATILE SOLIDS SM 2540 G Analyzed By calculated Sy: SA Date in 103-105 oven: ., —30 —02. 1 Date In 550 furnace: 3— Tine In 103-105 oven: I itm Time In 550 furnace: 1 „.491.6r),A Time Out 103-105 oven: 0 Lo SI< Time Out 550 furnace: A a,t 4 j,-, obAk_, itmenAL , -NMAL gitaPPe ID ,7643 LAch 14 I -meow r4ch ±) 2 13rtstt wt. -"-1 U. c) (1) i-i- i 1 -/. 0 (scec0 -saupie-yet. 25m I osx 6, I-I oi_? 6 r-In iyish# i= i 44 2_ i:uyvit- -10 , 9 (stoL1 itehlt. 1 0 5-6, •11, 1 0 6 -7 Ips,, n , ;71 ---13(e674 cnii-J , 1, 0---1 V14111341%-if %Wean - ,_ IS Walla 41MAL t'Stk O. Lo6S(t hliCritX1 0 , 1p (0 1 5- fraction =AVERAGE: 0 i Lp ti IS- I TVIAL ,...., FINAL Ilienglile ID lioldlagTank U i S h Ak 'Holding TanIc-;tit)S h It Li Di7i AWL -I -7-1 e3 (e c.,?. 1-1- 561 -7 3isitiat. (s-55 (.2 )--- Aacapie wk. .1,5-Alt a_5m I Is% LI . (c 1 1 tA• c(C 1 6 c 6-7, 43ist141 # ._3 jjc. Li Oy at -7, -1-73 ( g'D Li Fso 7 Iksh vit. (6-1 . a Li-4 J 61--1 L, 6-/L a . tooiiq, V&V % hv %adage %volatile Intl& -Tsch t\ 5 2 fraction 0, 4- i r3 *wen AVERAGE: C , Caltzdadon for TS%and VS%: Dry wt.-Deb wt. X 100 Sample vol. 0\1 €_,Ie) -Dess _,s ,-ter 7ift Fi4-7L,,_, 0 GD Iit. .C2) --to 0., -, 0 c USE INITIAL AND FINAL AVERAGES OF YOUR%VOLATILE FRACTION TO CALCULATE THE PERCENT REDUCTION(USE THE VAN KLEECK FORMULA) Van Kieeck Reduction: Initial%vol.frac.-Final%vol. frac. X 100=%reduction Initial%vol.frac.-(Initial%vol.frac x Final%vol.frac.) ( 0, (-P 51 ) minus ( 6 , i-i a c 1 ) x too = (� 2_tizi ( 6 , (e Lt S ( ) minus [( ( , 4 (.4. 5 I times C. 1-0_`i 1 )1 \f� G, a,6 5 3`jLiLi *Do multiplication inside[( )} before you subtract on bottom of equation. i \ / i O, (4° .' ' i : N./ " \ 0 C 7 :.,..() a , I % E \/(K .)s 6i31 -765t/ __ SECTION 6 Agricultural Lime Application Log Year: 2021 Project: Yadkinville WWTP Field Soil Lime Requirement Tons/Acre Date Applied (state-county-site-field) pH (from soil analysis) Applied(CCE Eq.) YK-08-1 5.9 .5 T/AC * YK-08-2 5.7 .5 T/AC * YK-08-3 5.8 .5 T/AC * YK-08-4 5.4 .5 T/AC * YK-08-6A 5.7 .5 T/AC * YK-08-6B 5.7 .5 T/AC * YK-09-1 5.4 .5 T/AC * YK-33-1 5.7 .5 T/AC 1 T/AC 09/05/21 YK-33-2 6.3 0.0T/AC 0.0 YK-35-1 5.0 .5 T/AC * YK-29-1 6.1 0.0 0.0T/AC *Lime will be applied when conditions improve. 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