HomeMy WebLinkAboutWQ0011431_Residual Annual Report 2021_20220301 Non-Discharge Branch Upload/Submittal Form
NORTH CAROLINA
Enriry mmful 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)* WQ0011431
Applicant/Permittee Town of Cleveland
Email Notifications
Does this need review by the hydrogeologist?* ( Yes • No
Regional Office Mooresville
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* Denise Harrison
Email Address* Phone Number*
biogreensvc@aol.com 336-978-0042
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.deq.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:* WQ0011431
Has Current Existing permit number
Applicant/Permittee Address* Post Office Box 429;Cleveland,NC 27013
Facility Name* Town of Cleveland Class B Residuals Program
Please provide comments/notes on your current submittal below.
Town of Cleveland 2021 Class B Annual Report
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 Class B Annual Report-WQ0011431-Town of
4.63MB
Cleveland.pdf
Upload only 1 PDF document(less than 250 MB).Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be
accepted for pre-review until the fee(if required)has been received by the Non-
Discharge Branch.Application fees must be submitted by check or money order and
made payable to the North Carolina Department of Environmental Quality(NCDEQ).
I also confirm that the uploaded document is a single PDF with all parts of the
application in correct order(as specified by the application).
Mail payment to:
NCDEQ—Division of Water Resources
Attn:Non-Discharge Branch
1617 Mail Service Center
Raleigh,NC 27699-1617
Signature his
Submission Date 3/1/2022
2021 ANNUAL REPORT
LAND APPLICATION PROGRAM
TOWN OF CLEVELAND
PERMIT #WQ0011431
Compiled By:
Bio-Green Services, Inc.
383 Potts Road
Advance, NC 27006
January 2022
Bio-green Services,Inc.
377 Potts Road
Advance,NC 27006
336-940-4544
NC PERMIT#WQ0011431
LAND APPLIERS:
Bio-Green Services,Inc.
383 Potts Road
Advance,North Carolina 27006
2021 Town of Cleveland
Total Dry Tons 10.16
2021 Town of Cleveland
Total Metric Tons 9.21512
January 1, 2022
NCDENR-DWR
512 N Salisbury St
9th Floor, Office #942X
Raleigh, NC 27604
Attention: Information Processing Unit
Reference: 2021 LAND APPLICATION ANNUAL REPORT
Town of Cleveland
Permit No. WQ0011431
Non-Discharge Compliance Unit:
Bio-Green Services, Inc. (Bio-Green) is submitting all monitoring and reporting
requirements as specified in the above referenced permit. Bio-Green compiled this
report using data gathered during the compliance year by Bio-Green and The Town of
Cleveland. This data includes:
I Annual Land Application Certification Form
Form ACF
II Annual Residual Sampling Summary Form
Form RSSF
III Annual Land Application Field Summary Form
Form FSF
IV Metals Field Loading Summary Form
V Lab Sheets (Analytical Data)
VI Annual Pathogen and Vector Reduction Forms
VII Soil Analysis
If there is any further information required or questions regarding this annual report,
please do not hesitate to contact Bio-Green for further assistance.
Sincerely,
Ade
Ray Gambill
NC Land Application/Residuals Operator
TABLE OF CONTENTS
SECTION NO. TITLE
I Annual Land Application Certification Form
Form ACF
II Annual Residual Sampling Summary Form
Form RSSF
III Annual Land Application Field Summary Form
Form FSF
IV Metals Field Loading Summary Form
V Lab Sheets (Analytical Data)
VI Annual Pathogen and Vector Reduction Forms
VII Soil Analysis
ANNUAL LAND APPLICATION CERTIFICATION FORM
ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0011431 County: Rowan v Year: 2021
Facility Name(as shown on permit): Town of Cleveland
Land Application Operator: Bio-Green Services,Inc. Phone: 336-813-8063
Land application of residuals as allowed by the permit occurred during the past calendar year?
CI 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: 1
Total number of fields utilized for land application during the year:
Total amount of dry tons applied during the year for all application sites: 10.17
Total number of acres utilizes for land application during the year: 10
Part B-Annual Compiance 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 Resources. El Yes ❑ 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 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.1105(a)or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b)(applicable to 40 CFR Part 503 regulated facilities)..
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 Resources.
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 receing 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."
Patrick Phifer, Mayor 2/18/22
Permittee Name and Title(type or print) Signature of Pe ittee Date
4 ,., 3/1/22
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 02T.1102(26)
DENR FORM ACF (12/2006)
ANNUAL RESIDUAL SAMPLING SUMMARY FORM
ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0011431 Laboratory: 1) Environmental Chemists Inc.
Facility Name: Town of Cleveland 2)
Residual Source�WQ # oru NC0049867 3)
N�3DES #: 4)
WWTP Name: Cleveland WWTP 5)
Residual Analysis Data
Conc.
Sample or Composite Date
Parameter Limit
(mg/kg) (mg/kg)`' 4/6/21
Percent Solids (%) NA 1 .47 r '
"
Arsenic 75 16.9
Cadmium 85 16.9
Copper 4,300 504
1
Chromium NA 28.9
Lead 840 16.9
Mercury 57 1 .03 -
Molybdenum 75 16.9
Nickel 420 19.5
Selenium 100 16.9
Zinc 7.500 898
Total Phosphorus NA 40100
r
TKN NA 71600
Am I monia-Nitrogen NA 982
Nitrate and Nitrite NA 5.34
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"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 foci su mitt false information, including the possibility of fines and imprisonment for knowing violations."
r 4�� 7- " 0 //"E /20-22
Signature of Preparer * Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) nF? 1P FnRM Rc�r= pa)r')nr:r\
ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0011431 Laboratory: 1) Environmental Chemists Inc.
Facility Name: Town of Cleveland 2)
Residual Source NC0049867 3)
NPDES # or WQ#: 4)
WWTP Name: Cleveland WWTP 5)
Residual Analysis Data
Sample or Composite Date
Parameter
(mg/kg) 3/9/2 I
Aluminum 26900
Calcium 28200 T
Magnesium 2660
pH 6.54
Potassium 4030
Sodium 12700
SAR 2.34
PAN 43.3635
• -. _...._ h-
I
"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."
Signature of Preparer * Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T . 1102 (26) DENR FORM RSSF - B (12/2006)
ANNUAL LAND APPLICATION SUMMARY FORM
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Cleveland WQ Permit #: WQ0011431 Field #: 1 Acres Utilized: 10
Land Owner: Town of Cleveland Annual Dry Tons Applied: 10. 1669 Site #: NC-RA-01 Acres Permitted: 10
Operator: Same _ Predominant Soil Series: Enon Cation Exchange Capacity (non 503):
Crop I Name: Fescue Crop 1 Max. PAN: 188 Crop 2 Name: Fescue Crop 2 Max. PAN:
' r Soil
Volume applied Volume Residual Sources Precip. > o z Nitrate Name of Crop Type
° (enterone) % Appliedper Cond. ;a m w PAN Applied
° Solids/ pp (NPDES # WQ# Past 24 ••D .. pp
w TKN o and Receiving Residual
° Liquid Solids Acre Fert. Animal lDry' firs. o Ev' °° Ibs/acre
n Wet, r�. �. . w * �, Nitrite ( ) Application
Cu. Yds Gallons Waste, etc) Moist) °� mg/kgmg/kg mg/kg Crop1 Crop2 CropI Crop2
(Dry �onsJAc) inches a o 9 9 9 9
0.000 i 0.000 0.000
-
0.000 0.000 0.000
0.000 Mill 0.000 0.000
0.000 0.000 0.000
May 76500 1.47 0.469 7'OC Dry 0 S 0.5 1.3 71600 982 5.34 20.335 NA Fescue
0.000 0.000 0.000
0.000 0.000 0.000
0.000 I 0.000 0.000
Sep 45000 1.47 0.276 TOC Dry 0 S 0.5 0.3 71600 982 5.34 11.962 NA Fescue
Oct 40500 1.47 0.248 TOC Dry 0 S 0.5 t • : Fescue
0.000 1 tttt ttt
w 0.000 0.000 0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS: 01 162000 As Cd Cu Cr Pb I Hg I Mo Ni Se Zn ( P 43.062 0.000 Lime Applied
Annual lbs/acre 0.034 0.034 1.001 0.057 0.034 0.002 0.034 0.039 0.034 1.783 j 79.639 Date 1 lbs/ac
Prior Years Cumulative lbs/ac 0.018 5.491 22. 15 0.023 0.026 0.525 0.606 0.011 51.663
Current Cumulative Ibs/ac 0.052 5.525 23.151 0.057 0.057 0.028 0.559 0.645 0.045 53.446
Permitted C. P. L. R.**** 36 34 1338 na 267 15 na 374 89 2498
Permit PAN Limit 1st/2nd Crop I 188 I l
"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."
A 09 47-r,%-e-w *Application Method: S - Surface, IN - Injection, INC - Incorporation
2/2//22 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)
ANNUAL METALS FIELD LOADING SUMMARY FORM
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Cleveland Total Dry Tons Applied(Annual): 10.16
Permit#: WQ0011431 Cation Exchange Capacity(non 503 only):
Operator: Bio-Green Services,Inc. Owner: Town of Cleveland Predominant Soil Series: Enon
Acres Used: 10 Acres Permitted: 10 Site#: NC-RA-01 Field#: I
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg,%Solids use Raw Percent#):
Sample or,.1 I 2•. 3; 4 i 5 1 6 j 7 8. 91 hO 1 11 12.
Com-
posite
Date 4/6/21 4/6/21 4/6/21
%Solids 1.47 1.47 1.47
Arsenic 16.9 16.9 16.9
Cadmium 16.9 16.9 16.9
Copper 504 504 504
Chromium 28.9 28.9 28.9
Lead 16.9 16.9 16.9
Mercury 1.03 1.03 1.03
Molyb-
denum 16.9 16.9 16.9
Nickel 19.5 19.5 19.5
Selenium 16.9 16.9 16.9
Zinc 898 898 898
Total
Phos- 40100 40100 40100
phorus
Annual Heavy Metal Field Loadings(Calculated in lbs/acre):
Total 1 ; 2 -3; 4 5 6 7j 8; J 10 11 12
DT/AcJ
App.
Event 0.47 0.28 0.25
Arsenic 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.009 0.008 0.000 0.000 0.034
Cadmium 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.009 0.008 0.000 0.000 0.034
Copper 0.000 0.000 0.000 0.000 0.473 0.000 0.000 0.000 0.278 0.250 0.000 0.000 1.001
Chromium 0.000 0.000 0.000 0.000 0.027 0.000 0.000 0.000 0.016 0.014 0.000 0.000 0.057
Lead 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.009 0.008 0.000 0.000 0.034
Mercury 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.001 0.001 0.000 0.000 0.002
Molyb 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.009 0.008 0.000 0.000 0.034
denum
Nickel 0.000 0.000 0.000 0.000 0.018 0.000 0.000 0.000 0.011 0.010 - 0.000 0.000 0.039
Selenium 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.009 0.008 0.000 0.000 0.034
Zinc 0.000 0.000 0.000 0.000 0.842 0.000 0.000 0.000 0.496 0.445 0.000 0.000 1.783
Total
Phos- 0.000 0.000 0.000 0.000 37.614 0.000 0.000 0.000 22.135 19.890 0.000 0.000 79.639
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".
iket9zirj (-
Signature of Land Applier Date
DENR FORM MFLSF(12/2006)
LAB SHEETS
CLEVELAND WWTP
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: March 9,2021
Date Reported: April 6,2021
Cleveland WWTP Permit No.WQ0011431
Mineralization Rate 0.3 1.47 %Solids
6.54 pH
Parameter % Mg/Kg Dry Weight Pounds/Dry Ton
(%x 10,000) (Mg/Kg x 0.002)
Nitrogen(TKN) 7.160 71,600.000 143.200
Phosphorus 4.010 40,100.000 80.200
Potassium 0.403 4,030.000 8.060
PAN(injected)* 2.217 22,172.740 44.345
PAN(surface)* 2.168 21,681.740 43.363
Ammonia Nitrogen 0.098 982.000 1.964
Calcium 2.820 28,200.000 56.400
Calcium Carbonate Eq. --- --- ---
Magnesium --- 2,660.000 5.320
Sodium --- 12,700.000 25.400
Sulfur --- ---
Nitrate N/Nitrite N --- 5.340 0.011
Barium --- --- --- SAR
Chloride --- --- --- _ 2.34
Iron --- --- --- Ceiling Concen.
Aluminum --- 26,900.00 53.800 (Mg/Kg)
Arsenic --- 16.900 --- 75
Cadmium --- 16.900 0.034 85
Chromium --- 28.900 --- --
Copper --- 504.00 1.008 4,300
Lead --- 16.900 0.034 840
Mercury --- 1.030 --- 57
Molybdenum --- 16.900 --- 75
Nickel --- 19,50 0.039 420
Selenium --- 16.900 --- 100
Zinc --- 898.00 1.796 7,500
Envirochem 2021-03907
*Determination of Plant Available Nitrogen(PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N)+Ammonia N+Nitrate N+Nitrite N=%PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N)+(0.5)(Ammonia N)+Nitrate N+Nitrite N=%PAN
Note: Constituents N.D.(Not Detected)or<detection limits arc listed as detection limits
for calculation purposes.
Town of Cleveland
Non-Discharge Permit No. W00011431
2021
Sample Date Fecal Coliform Log
MPN/gram dry weight
03/09/21 1,608 3.21
03/09/21 11,380 4.06
03/09/21 3,901 3.59
03/09/21 1,915 3.28 _
03/09/21 2,868 3.46
03/09/21 5,604 3.75
03/09/21 7,591 3.88
Total 25.22
Average 3.60
Geometric Mean 4,010 Fecal Coliform-MPN/gram dry weight
Geometric Mean of Less than 2,000,000 mets Class B -Alternative 1 Pathogen Reduction
TOC 2021 Fecals Page 1
Environmental Chemists, Inc.
envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS info a environmentalchemis(s.com
Bio-Green Services,Inc Date of Report: Apr 06, 2021
383 Potts Road Customer PO#:
Advance NC 27006 Customer ID: 21030012
Attention: Ray Gambill Report#: 2021-03907
Project ID: Town of Cleveland
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-09532 Site: Sample 001 3/9/2021 6:00 AM Solid/Sludge Client
Test Method Results Date Analyzed
Totai Solids(%) SM 2540 B 2.80% 03/09/2021
Fecal Density SM 9221C E MPN 24 hr 503 1608 MPN/g 03/09/2021
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-09533 Site: Sample 002 3/9/2021 6:00 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids(%) SM 2540 B 2.90% 03/09/2021
Fecal Density SM 0221C E MPN 24 hr 503 11380 M PN/g 03/09/2021
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-09534 Site: Sample 003 3/9/2021 6:00 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.82% 03/09/2021
Fecal Density SM 9221C E MPN 24 hr 503 3901 MPN/g 03/09/2021
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-09535 Site: Sample 004 3/9/2021 6:00 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.35% 03/09/2021
Fecal Density SM 9221C E MPN 24 hr 503 1915 MPN/g 03/09/2021
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-09536 Site: Sample 005 3/9/2021 6:00 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids(%) SM 2540 B 2.72% 03/09/2021
Fecal Density SM 9221C E MPN 24 hr 503 2868 MPN/g 03/09/2021
Report#:: 2021-03907 Page 1 of 5
Environmental Chemists, Inc.
envirochenl 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemists.com
Bio-Green Services, Inc Date of Report: Apr 06, 2021
383 Potts Road Customer PO#:
Advance NC 27006 Customer ID: 21030012
Attention: Ray Gambill Report#: 2021-03907
Project ID: Town of Cleveland
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-09537 Site:Sample 006 3/9/2021 6:00 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids(%) SM 2540 B 2.32% 03/09/2021
Fecal Density SM 9221C E MPN 24 hr 503 5604 MPN/g 03/09/2021
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-09538 Site: Sample 007 3/9/2021 6:00 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 3.03% 03/09/2021
Fecal Density SM 9221C E MPN 24 hr 503 7591 MPN/g 03/09/2021
Report# 2021.03907 Page 2 of 5
Environmental Chemists, Inc.
envirocheni 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
sn 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS info r@environnientalchetnists.com
Bio-Green Services,Inc Date of Report: Apr 06, 2021
383 Potts Road Customer PO#:
Advance NC 27006 Customer ID: 21030012
Attention: Ray Gambill Report#: 2021-03907
Project ID: Town of Cleveland
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
21-09794 Site: Sludge 3/9/2021 6:00 AM Solid/Sludge Client
Test Method Results Date Analyzed
Chlordane(TCLP) SW 846 Method 80131B/3510 <0.02 mg/L 03/22/2021
Endrin (TCLP) SW 848 Method 8081B/3510 <0.0005 mg/L 03/22/2021
Heptachlor(TCLP) SW 846 Method 8081B/3510 <0.0005 mg/L 03/22/2021
Heptachlor epoxide(TCLP) SW 848 Method 8081B/3510 <0.0005 mg/L 03/22/2021
Lindane(TCLP) SW 846 Method 8001B/3510 <0.0005 mg/L 03/22/2021
Methoxychlor(TCLP) SW 846 Method 8081B/3510 <0.0005 mg/L 03/22/2021
Toxaphene(TCLP) SW 846 Method 80816/3510 <0.05 mg/L 03/22/2021
1,4-Dichlorobenzene(TCLP) SW 848 method 8270/3510 <0.050 mg/L 03/19/2021
2,4,5-Trichlorophenol(TCLP) SW 846 method 8270/3510 <0.050 mg/L 03/19/2021
2,4,6-Trichlorophenol (TCLP) SW 846 method 8270/3510 <0.050 mg/L 03/19/2021
2,4-Dinitrotoluene(TCLP) SW 846 method 8270/3510 <0.050 mg/L 03/19/2021
Cresol(TCLP) SW 846 method B270/3510 0.113 mg/L 03/19/2021
Hexachloro-1,3-butadiene(TCLP) SW 846 method 8270/3510 <0.050 mg/L 03/19/2021
Hexachlorobenzene(TCLP) SW 846 method 8270/3510 <0.050 mg/L 03/19/2021
Hexachioroethane(TCLP) SW 846 method 8270/3510 <0.050 mg/L 03/19/2021
m +p-Cresol (TCLP) SW 846 method 8270/3510 0.113 mg/L 03/19/2021
Nitrobenzene(TCLP) SW 846 method 8270/3510 <0.050 mg/L 03/19/2021
o-Cresol(TCLP) SW 846 method 8270/3510 <0.050 mg/L 03/19/2021
Pentachlorophenol(TCLP) SW 846 method 8270/3510 <0.250 mg/L 03/19/2021
Pyridine (TCLP) SW 846 method 8270/3510 <0.050 mg/L 03/19/2021
2,4,5-TP (TCLP) SW846 Method 8151A <0.003 mg/L 03/18/2021
2,4-D(TCLP) SW846 Method 8151A <0.003 mg/L 03/18/2021
1,1-Dichloroethylene (TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/19/2021
1,2-Dichloroethane(TCLP) SW846 Method 8260/5030 <0,01 mg/L 03/19/2021
Benzene(TCLP) SW846 Method 8280/5030 <0.01 mg/L 03/19/2021
Carbon Tetrachloride(TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/19/2021
Report#. 2021-03907 Page 3 of 5
Environmental Chemists, Inc.
envirochem 6602 Windmill Way,Wilmington,NC 28405 0 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemists.com
Bio-Green Services,Inc Date of Report: Apr 06, 2021
383 Potts Road Customer PO#:
Advance NC 27006 Customer ID: 21030012
Attention: Ray Gambill Report#: 2021-03907
Project ID: Town of Cleveland
Chlorobenzene (TCLP) SWB48 Method 8260/5030 <0.01 mg/L 03/19/2021
Chloroform(TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/19/2021
Methyl ethyl ketone(TCLP) SW846 Method 8260/5030 <0.05 mg/L 03/19/2021
Tetrachloroethylene(TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/19/2021
Trichloroethylene(TCLP) SW846 Method 8260/5030 <0.01 mg/L 03/19/2021
Vinyl Chloride(TCLP) SW846 Method 8260/5030 <0.01 mglL 03/19/2021
RCI
Cyanide SM 4500 CND 1.10 mg/kg 03/11/2021
Sulfide SM 4500 S o 0.42 mg/kg 03/16/2021
Ignitability SW 846 method 1010 >175°F 03/22/2021
Sludge Residuals
Aluminum EPA200.7 26900mg/kg 03/11/2021
Arsenic EPA 200.7 <16.9 mg/kg 03/11/2021
Cadmium EPA 200.7 <16.9 mg/kg 03/11/2021
Calcium EPA 200.7 28200 mg/kg 03/11/2021
Chromium EPA200.7 28.9mg/kg 03/11/2021
Copper EPA 200.7 504 mg/kg 03/11/2021
Lead EPA 200.7 <16.9 mg/kg 03/11/2021
Magnesium EPA 200.7 2660 mg/kg 03/11/2021
Molybdenum EPA 200.7 <16.9 mg/kg 03/16/2021
Nickel EPA 200.7 19.5 mg/kg 03/11/2021
Potassium EPA 200.7 4030 mg/kg 03/16/2021
Selenium EPA200.7 <16.9mg/kg 03/18/2021
Sodium EPA 200.7 12700 mg/kg 03/16/2021
Zinc EPA 200.7 898 mg/kg 03/11/2021
Nitrate+Nitrite-Nitrogen EPA 353.2 5.34 mg/kg 03/16/2021
Total Solids (%) SM 2540 B 1.47% 03/10/2021
pH SM 4500 H B 6.54 units 03/10/2021
Ammonia Nitrogen SM 4500 NH3 C 982 mg/kg 03/15/2021
Total Kjeldahl Nitrogen(TKN) SM45004rgB 71600mg/kg 03/12/2021
Report# 2021-03907 Page 4 of 5
Environmental Chemists, Inc.
envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab a 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 . 252.473.5702 Lab/Fax
5M 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS info@environmentalchemists.com
environmentalchemists.com
Bio-Green Services,Inc Date of Report: Apr 06, 2021
383 Potts Road Customer PO#:
Advance NC 27006 Customer ID: 21030012
Attention: Ray Gambill Report#: 2021-03907
Project ID: Town of Cleveland
Total Phosphorus SM 4500 P F 40100 mg/kg 03/18/2021
Mercury SW846 7471E <1.03 mg/kg 03/12/2021
TCLP Metals
Arsenic EPA 200.7 <1.0 mg/L 03/22/2021
Barium EPA 200.7 <1.0 mg/L 03/22/2021
Cadmium EPA 200.7 <1.0 mg/L 03/22/2021
Chromium EPA 200.7 <1.0 mg/L 03/22/2021
Lead EPA 200.7 <1.0 mg/L 03/22/2021
Selenium EPA 200.7 <1.0 mg/L 03/22/2021
Silver EPA 200.7 <1.0 mg/L 03/22/2021
Mercury EPA 245.1 <0.0002 mg/L 03/19/2021
Comment: Sludge results, except pH, reported on a dry weight basis. pH reported on an as received basis.
Reviewed by: tO,j , idailL
Report#:: 2021-03907 Page 5 of 5
Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client:T3\0 6,E,Sat alb Date:3 9 i a_i Report Number: 1 ---- (;390
1 ' 7
Receipt of sample: ECHEM Pickup 0 Client Deliver* 'UPS 0 FedEx 0 Other 0
❑ YES +❑ NO ItA_ N/A 1. Were custody seals present on the cooler?
❑ YES 0 NO N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt V °C Corrected temperature upon receipt °C
How temperature taken: 0 Temperature Blank IX Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor°C: 0.0
❑ YES 0 NO 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
+'i YES 0 NO 4. Were proper custody procedures (relinquished/received) followed?
0. YES 0 ND 5. Were sample ID's listed on the COC?
Ni YES 0 NO 6. Were samples ID's listed on sample containers?
YES 0 NO 7. Were collection date and time listed on the COC?
. ' YES 0 NO 8. Were tests to be performed listed on the COC?
YES 0 NO 9. Did samples arrive in proper containers for each test?
IV YES 0 NO 10. Did samples arrive in good condition for each test?
IV YES 0 NO 11. Was adequate sample volume available?'
01 YES 0 NO 12. Were samples received within proper holding time for requested tests?
❑ YES 0 NO 13. Were acid preserved samples received at a pH of<2? *
❑ YES 0 NO 14. Were cyanide samples received at a pH>12?
❑ YES 0 NO 15. Were sulfide samples received at a pH>9? _
❑ YES 0 NO 16. Were NH3/TKN/Phenol received at a chlorine residual of<0.5 m/L? **
❑ YES 0 NO 17. Were Sulfide/Cyanide received at a chlorine residual of<0.5 m/L?
❑ YES 0 NO 18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note:Notify customer service immediately for incorrectly preserved samples.Obtain a new sample or
notify the state lab if directed to analyzed by the customer.Who was notified,date and rime:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
envirochem ENVIRONMENTAL CHEMISTS EMISTS I N C 6602 Windmill Way Wilmington, NC 28405
Analytical & Consulting Chemists NCDI=NR; DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 iOnfo@env FFICE: 1O-3g2 223 FAX 910-392-4424
COLLECTION AND CHAIN OF CUSTODY talchemists.com
Client: ? ` 0 _ r �-`
col c.c, --1--- PROJECT NAME. (9::,
ADDRESS: �� I �J �C) REPORT NO: -- 0 � '"
CONTACT NAME: , ;-ytlfq ( 1
(-Q.- YlC ��C�U REPORT TO: � PO NO:
COPY TO:
A. P /FAX: 3 -- gd 3
Sampled B email: } ( f ems, . �1e. 0�Cc'
SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Collection
Sample Identification C, PRESERVATION
aC7 :9 ` n en I LIJ re
w ma.r v
Date Time Temp U, ° a z z o z N z a w T ANALYSIS REQUESTED
� 3 � � P a z x x z � � o
w
a-. \ s C P
G G , 3)
MO II In ii 8 C P I 53_5
A ME p C P 96.37
G G Q s
111.11 C P
�. G G
C7-- --- -------- -
G G Q1 7 , yam-�
C P
6W0Gle. E .
C P
G G
NOTICE - DECHLORINATION: Samples for Ammonia, TKN, Cyanide, Phenol and Bacteria must be dechlorinated (0.5 ppm or less in the fie
) Id at the time of collection. See reverse for Instructions
Transfer Relinquished By:
1 Date/Time Received By:
Date/Time
2.
Temperature when R c 'ved °C: r
L Accepted: -� Rejects
Delivered By: Resample Requested:
Comments: Received By: --�
Date: 3 i Z Time: 1 L
`l' P L 1 Dbcv)a./
TURNAROUND:
ANNUAL PATHOGEN AND VECTOR FORMS
ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM(503 Rules)
Facility Name: Town of Cleveland WQ Permit Number: WQ0011431
WWTP Name: Cleveland WWTP NPDES Number: NC0049867
Monitoring Period: From 1/1/2021 To 12/31/2021
Pathogen Reduction (40 CFR 503.32)-Please indicate level achieved and alternative performed:
Class A: Alternative I 0 Alternative 2 0 Alternative 3 ❑
Alternative 4 ❑ Alternative 5 ❑ Alternative 6 0
If applicable to alternative performed(Class A only)indicate"Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ❑ Heat Treatment 0 Thetmophilic 0
Beta Ray 0 Gamma Ray 0 Pasteurization ❑
Class B: Alternative 1 I] IAlternative 2 CI
If applicable to alternative performed(Class B only)indicate"Process to Significantly Reduce Pathogens":
Lime Stabilization p Air Drying❑ Composting 0 (Aerobic Digestion 0
Anaerobic Digestion ❑
If applicable to alternative performed(Class A or Class B)complete the following monitoring data:
Number of
Allowable Level Pathogen Density Frequency Sample Analytical
Parameter Excee-
in Sludge Minimutr Geo. Mean Maximum Units _dencec of Analysis Type Tech-nique
z x 10 to the MPN 1,608 4,010 11,380 MPN/gram 0 Annual Grab SM 9221C E MPN
bth power
per gram of CFU
Fecal Coliform total solids
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria 3 MPN per 4 grams
(in lieu of fecal total solid(dry
coliform) weight)
Vector Attraction Reduction(40 CFR 503.33)-Please indicate option performed:
Alt.1 (VS reduction) ❑ Alt.2(40-day bench) ❑ Alt.3(30-day bench) 0 Alt.4(Spec.02 uptake) ❑
Alt.5(14-Day Aerobic) ❑ Alt.6(Alk.Stabilization p Alt 7(Drying-Stable) ❑ Alt.8(Drying-Unstable) 0
Alt.9(Injection) ❑ Alt. 10(Incorporation) ❑ No vector attraction reduction alternatives were performed 0
CERTIFICATION STATEMENT(please check the appropriate statement)
0 "I certify,under penalty of law,that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
El "I certify,under penalty of law,that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check this
statement attach an explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system designed
to ensure that qualified personnel properly gather and evaluate the information used to determine that the
pathogen and vector attraction reduction requirements have been met. I am aware that there are significant
penalties for false certification including fine and imprisonment."
Ray Gambill, President
Preparer Name and or print) Land Applier Name and Title(if applicable)(type or print)
2/42
Signature of Preparer* Date Signature of Land Applier(if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r)and 15A NCAC 2T.1102(26)
DENR FORM PVRF 503(12/2006)
BRUNSWICK COUNTY
ALKALINE STABILIZATION OF BIOSOLIDS
Facility Name: r.) c./ ..i. u'I"" �.ct y A hC; ' Operator: u,�
"' Lbs. or Gallons Used: / z 5 ( / t 1 Material Used For Stabilization: Lime
Batch Size (gallons): �r!• S "����
Initial pH >i 2 pH 2 Hour pH 24 Hour pH Operator
Date COrr. Corrected Corr_ Corrected COrf. Corrected Corr. Corrected Initials
pH Temp C Time pH Temp C Time pH Temp C Time pH Temp C Time
Factor + pH Factor + pH Factor + pH Factor + pH
5. 6. 7 z� . 03 11 �, o 12 ,. E , : 0 i Lz.i 1 /e� /2.14' U , 21 ; 2.7 I /ivy f��
S- Z / 1, Z ., r01 1Lc;? /U, rr.•..) ,•� .
A
I .
i '
l _____
c �, Ir) (NI a) (9 c`) G N . •7 r— rl) tC. N 01 Cr) C) 1C) C) C) '.1 COV r- 0 C') O C) r`� I
O O V' M Cr) M r7 N N N r0 O O •— •— N N IN r') in .^) I-) V
.— r O O 0 O O O O Q C] O O O C O G O O
sr
v V 0 0 0 0 0 Q Q 0 0 o L o C 0 L; V N y) _ � ; ',J1 ? ; U
A. V) V) V) V) V) V) V) Ce) 1.1 V) V) V) V) N V) 7
O 7 7 =. M .. .: — 0 > > > 7 7 7 c c c c c c a a cc `. $ cc c c
U �- C- 0_ a. C_ 0_ 0_ Q. C. 0_ 0_ a_ a_ a_ a 0. r 4 li
0
Cr_ p CD CO I- CO rn V• M N z- O 0) CO I-- CO to r c) N T- O O) c0 I--- CO in '' cr) N N-- O
E CI co co co CO co CO Co co co co N N N Cs., N N N N N N .- c- 1- c- ..- r r r c-
h
SOIL ANALYSIS REPORTS
Page 1 of 1
Report Number: 21-015-0935 • *; ! .
WAccount Number:46646alt ' - int r ¢ 7621 Whitepine Road, tticl;mond, VA 23237
�� Main 804-743-9401 ° Fax 804-271-6446
Send To: BIO-GREEN SERVICES INC
ANALYTICAL www.waypointanatyticral.com
383 POTTS RD "Every acre...Every year. Grower: Town of Cleavland
ADVANCE NC 27006
SOIL ANALYSIS REPORT Analytical Method(s): Mehlich 3 SMP Buffer pH Loss On Ignition Water pH
Date Received: 01/15/2021 Date Of Analysis: 01/18/2021 Date Of Report: 01/18/2021 NC = North Carolina Fertility Index Value
OM WN ENR Phosphorus Potassium Magnesium Calcium Sodium pH Acidity C.E.0
Sample ID Lab -
% Soil M3 K Mg Ca Na Soil Buffer H
Field ID Number Class lbs/A
Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate PH Index meq/100g meq/100g
BGCL1 1 22345 4.0 119 1 9 VL I 23 VL 248 VH 872 M 24 VL 5.9 6.79 1.4 1 8.0
M MIN NC = 7 LNc = 12I
Percent Base Saturation Nitrate Sulfur Zinc Manganese Iron Copper Boron Soluble Salts
SampleID K I Mg Ca Na l H — NO3N S Zn Mn Fe Cu B SS
FieldieldID
% Vo II o/a % % ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ms/cm Rate
BGCL1 0.7 25.8 54.5 1.3 17.5 11 L 2.3 M 90 VH 63 VH 1.6 H 0.2 VL
NC = 23 NC = 57.5 NC = 563 NC = 80.0
Values on this report represent the plant available nutrient;in the Explanation of symbols: % (percent). pprn(parts per million),lbs/A This report applies to samples)tested.Samples are retained a
soil. Rating alter each value: VL(Very Low), L(t.ow). M(Medium). (pounds per acre), ins/cm (milli-mhos per centimeter), meq/100g maxitnian of thirty days alter testing. by. tutri r 11 r r.,aWa,
H (High),VH(Very High). ENR -Estimated Nitrogen Release. (milli-equivalent per 100 grams). Conversions: ppm x 2=lbs/A. Soluble Analysis prepared by:Waypoint Analytical Virginia. Inc.
C.E.C. -Cation Exchange Capacity. Salts insrcm x 640 = ppm.
Pauric Mc Groary Ph.D., CPAg
Date Received: 01/15/2021
Date Of Report: 01/18/2021 SOIL FERTILITY RECOMMENDATIONS
Nitrogen Phosphate Potash Magnesium Sulfur Zinc Manganese Iron Copper Boron
Sample ID Yield Goal Lime N P O K O MgS Zn Mn Fe Cu B
Field ID Intended Crop Tons Tons/A z s
lb/A lb/A lb/A lb/A Ib/A lb/A Ib/A lb/A Ib/A lb/A
BGCL1 Fescue Hay 4 0.8 200 120 180 0 10 0 0 0 0 1.0
Comments:
"The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made."
Our reports and letters are for the exclusive and confidential use of our clients,. and may not be reproduced in whole or part, nor may any reference be made to the
work.the results,or the company in any advertising, news release,or other public anouncements without obtaining our prior written authorization.Copy right 1977.