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Home My WebLink AboutWQ0002897_2021 Land Application Annual Report_20220228Non -Discharge Branch Upload/Submittal Form NORTH CAROLINA En.anmemfal Qualify Version 2 - Revised June 23, 2020 Initial Review Reviewer EADS\ndthornburg 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) * WQ0002897 Applicant/Permittee Town of Robersonville Email Notifications Does this need review by the hydrogeologist?* Yes No Regional Office CO Reviewer Admin Reviewer Washington 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* Drew Matthews Email Address* Phone Number* dmatthews@soilplus.net 2528839301 Project Information Application/Document Type * New (Fee Required) Modification - Major (Fee Required) Renewal with Major Modification (Fee Required) Annual Report Additional Information Other Modification - Minor Renewal GW-59, NDMR, NDMLR, NDAR-1, NDAR-2 Residual Annual Report Change of Ownership We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form. https://edocs.deg.nc.gov/Forms/NonDischarge_Monitoring_Report Permit Type: * Permit Number: * Applicant/Permittee Address* Facility Name* Wastewater Irrigation Other Wastewater Closed -Loop Recycle Single -Family Residence Wastewater Irrigation WQ0002897 Has Current Existing permit number PO Box 487, Robersonville, NC 27871 Town of Robersonville Class B Residuals Program Please provide comments/notes on your current submittal below. High -Rate Infiltration Reclaimed Water Residuals Other At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here. * (Application Form, Engineering Plans, Specifications, Calculations, Etc.) 2021 Robersonville Annual Report.pdf 831.86KB Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger than upload limit. By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has been received by the Non - Discharge Branch. Application fees must be submitted by check or money order and made payable to the North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts of the application in correct order (as specified by the application). Mail payment to: NCDEQ — Division of Water Resources Attn: Non -Discharge Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Signature Submission Date 2/28/2022 SOIL PLUS 41111111111w- February 28, 2022 NCDEQ-DWR Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: 2021 LAND APPLICATION ANNUAL REPORT Town of Robersonville "Class B" Program NC Permit No.: WQ0002897 Soil Plus Project No. 201107.A10 Information Processing Unit: Soil Plus, LLC (Soil Plus) is submitting the reporting requirements as specified in the above referenced permit for the Town of Robersonville. No "Class B" Residual Biosolids were land applied in 2021. The Town of Robersonville tentatively plans to land apply in the Spring of 2022. If there is any further information required or questions regarding this report, please do not hesitate to contact me or the Town of Robersonville (252-508-0313) for further assistance. Respectfully, Drew Matthews, Soil Plus James Pittman, Envirolink PO Box 1396 Oxford, NC 27565 (252) 883-9301 dmatthews@soilplus.net www.soilplus.net PermitNumber WQ0002897 Year: 2021 ANNUAL LAND APPLICATION CERTIFICATION FORM FacilityName Land Application Operator County Phone Number Town of Robersonville Envirolink Martin (252) 508-0313 Land application of residuals as allowed by the permit occurred during the past calendar year? 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: 3 Total number of fields utilized for land application during the year: 0 Yes No ❑ 0 Part B - Annual Compliance Statement: Facility was compliant during calendar year with all conditions of the land application permit? Yes No Including but not limited to items 1-13 below) issued by the Division of Water Quality d❑ El 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 3. Annual soils analysis were 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 7. All general requirements in 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 15A 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. 11. 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." 14.m( /h k1Q< Per ittee Name and Ti 1 (type or print): Z, 2S.(122 NZ re of Permi e Date Zlzik a'��,�),01- Signature of Preparer* Date Signature iif Land Applier Date (if different from Permittee) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) (if different from Permittee)