WQ0003919_Modification_20220310

Initial Review
Reviewer Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
Yes No
Permit Number (IR) * WQ0003919
Applicant/Permittee City of Kinston
Applicant/Permittee Address 2101 Becton Farm Rd, Kinston, NC 28501
Is the owner in BIMS? Yes No Is the facility in BIMS?
Owner Type
Facility Name
County
Fee Category
Is this a complete application?*
Yes No
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Municipal
City of Kinston Class B Residuals Program
Lenoir
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer
llr�ore
Fee Amount $395
Complete App Date 03/10/2022
Below list any additional email address that need notification about a new project.
... ... ..
Email Address
Comments to be added to email notfication
Comments for Admin
Comments for RO

Comments for Reviewer
Comments for Applicant

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Name* Chris Wynne
Email Address*
[e-mail]
Project Information
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
13369098627
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
hftps://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Perm it Type:*
Wastewater Irrigation
High -Rate Infiltration
Other Wastewater
Reclaimed Water
Closed -Loop Recycle
Residuals
Single -Family Residence Wastewater
Other
Irrigation
Permit Number: *
WQ0003919
Has Current Existing permit number
Applicant/Permittee*
City of Kinston
Applicant/Permittee Address*
2101 Becton Farm Rd, Kinston, NC 28501
Facility Name*
City of Kinston Class B Residuals Program
Please provide comments/notes on your current submittal below.
See attached all the required documentation for the modification of WQ0003919. We hope to
have the permit issuance by the beginning of May to utilize the cropland for land application.
The modification fee was sent out today and should arrive tomorrow. Thanks for your time and
effort during the review process.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here. *
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
Kinston WRF mod ification_03092022.pelf 59.12MB
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 3/9/2022

YNAGRO
YOUR PARTNER FOR A CLEANER. GREENER WORLD
2/28/2022
NCDENR-DWQ
Land Application Permitting and Compliance Unit
Aquifer Protection Section
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
ATTENTION: Mr. Nathaniel Thornburg
REFERENCE: Modification OF PERMIT NO. M0003919
City of Kinston
Dear Mr. Thornburg,
Synagro is submitting, on behalf of the City of Kinston, an application to modify the residuals
land application permit. Listed below are the changes to the existing permit as they pertain to
land application sites:
• Adding 2 application sites (NC-LN-09) (NC-LN-12), totaling 336.35 acres
This package should contain all the information necessary to complete the requested
modification of the City's permit. If you require additional information or have any further
questions, please contact me immediately at [phone]. Thank you for your time and I look
forward to working with you to ensure that this is an efficient review process.
Sincerely,
Chris Wynne
Technical Services Specialist

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

E. Operation and Maintenance Plan (New and Renewal Application Packages)
For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
El Submit the O&M Plan in accordance with 15A NCAC 02T .1 l 10 and include at a minimum:
El Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
El Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals, signs, etc.
Spill response plan; including control, containment, remediation, emergency contact information, etc.
Inspection plan including the following information;
0Names and titles of personnel responsible for conducting the inspections.
Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
d Detailed description. of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
D Names and titles of personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
El Sampling frequency and procedures to assure that representative samples are being collected. FIuctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.110202). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
0 Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
Plans must include the following minimum items:
A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
Delineation of the review and compliance boundaries
Setbacks as required by 15A NCAC 02T .1108
El Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s)_
A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase_ FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

1. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
0 Submit a detailed hydrogeologic evaluation in accordance with 15A 'NCAC 02T .1104(d)(4) and current Division Policy
available at: httu://www.ncwatenoralRules Policies and Regulations/. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
0 Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T J 104(d)(2). For Modifications, submit an updated site map
specific to the modification(s) only.
The design documents must include the following minimum items:
Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
Q Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
[] Submit a completed and accurate water balance in accordance with 15A NCAC 02T.. I 104(d)(5) and current Division Policy
available at: http://www.ncwater.org/Rules Policies and Regulations/.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
El Property ownership documentation shall consist of one of the following:
Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑, An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(f), or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS .FOR FORM: RLAP 06-16 Page 3 of 3

State of North Carolina
D W­
Department of Environmental Quality
� IWIWR' Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
1. APPLICANT INFORMATION:
1. Applicant's name: City of Kinston
Applicant type: Individual Q Corporation n General Partnership ❑ Privately -Owned Public Utility
Federal ❑ State Q Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Kenneth R. Stevens Title: WRF Superintendent
Applicant's mailing address: P.O. Box 339
City: Kinston State: NC Zip: 28502-
Telephone number: [phone] Email Address: Kenneth. Stevensna ci.kinston.nc.us
2. Consultant's name: License Number (for P.E.):
Affiliation: ❑ On Staff Q Retained (Firm: )
Consultant's mailing address:
City: State: Zip:
Telephone number: (!) ___- Email Address:
3. Agronomist's name: ,.. Chris Wynne License Number:
Affiliation: 0 N/A Q On Staff ❑ Retained (Firm:.
Agronomist's mailing address: _ 284 Boger Rd
City: Mocksville State: NC Zip: 27208 -
Telephone number: (} ` Email Address: cwynne^,=rr synagro.com
4. Soil Scientist's name: Eric Thompson License Number: 1238
Affiliation: EN/A Q On Staff Q Retained (Firm:. )
Soil Scientist's mailing address:
City: State: Zip: -
Telephone number: [phone] Email Address: [e-mail]
5. Fee submitted: $395.00 (See Instruction B)
H. PERMIT INFORMATION:
1. Application is for (check all that apply): Q new, modified,] renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0003919
Date of most -recently issued permit: 2/6/2020
Date of most -recently certified Attachment A (if different than the permit):
Date of most -recently certified Attachment B (if different than the permit)
FORM: RLAP 06-16 Pagel of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 2101 Becton Farm Rd
City: Kinston State: NC Zip: 28501-
Coordinates: Latitude: 350 77' 17" Longitude: 77' 30 48"
Datum: Man Level of accuracy: Second
Method of measurement: Map
2. County where residuals land application program is headquartered: Lenoir
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Swindell Flowers
City of Kinston
99071.4
Back -Up ORC
Kenneth Ray Stevens
City of Kinston
994589
Additional Back -Up
ORCs
if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 1500 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
26.4
30.9
39,600
46,350
Five -Year Maximum Adjusted
40.6
45.I4
60,962
67,712
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
Row Crops
572.95
Hay
Pasture
304.2
Totak
877.15
Methods
Surface
877.15
Incorporation or Injection
Total:
877.15
FORM: RLAP 06-16 Page 2 of 5

c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
(lbs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
792
927
1219.2
1354.2
100
396
463.5
609.6
677.1
150
264
309
406.4
451A
200
198
231.8
304.8
338.6
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): M Non -dedicated E] Dedicated
If Dedicated, specify the following (check all that apply):
El Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain;
Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
sus
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Site
Certification.doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
L The irrigation system is: 0 Spray [I Drip
2. Disposal system is: ❑ existing 0 proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet
below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
0 Yes or 0 No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
(in/hr)
Recommended
Loading Rate
in/jr)
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field /Zone
Design Area
(ftz}
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ftz
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
0 Yes 0 No, Explain;
1,
Name — PLEASE PRINT)
attest that this application for Johnnie Mosley Regional Water Reclamation Facility
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143 215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: `-
FORM: RLAP 06-16 Page 5 of 5

State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supportinLy documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permigitig Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T . I100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ For new or renewed permits, submit the requested information for all land application sites.
® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
* New (N) * Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
County Board
✓
Notification. doc
Land Owner
Agreement
(If applicable)
��
l
I/
V
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Man Guidance
for Residuals Land Application Permits'"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
Evaluggq "
✓
INSTRUCTIONS FOR FORM: LASC 06-16 Pagel of 3

An updated accounting of the land application site's cumulative j t)ollutant loading rates (CPLRs) I
Required Item Status Code
N R T I M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly ✓ ✓
indicate the location of the land application site and in accordance with
the soil rnap requirements in the "Soil Scientist Evaluation Policv"
Acknowledgement of field transfer from Land Owner (Fields may not
be pennitted to multiple Permittees over the same time period)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
® For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USES Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
® Surface water body classifications information may be found at: http:Hdeq ne.2ov/about/divisions/water-
resources/planning/classification-standards/classification s
® Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
hq://deq.nc.-yov/contact/regional-offices
® General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x I I -inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link http_//deq.nc.g ov/about/divisions/water-resources/planning/classification-standards/classifications.
® Stream Classification Process: One of the options below may be used depending on the known initial project infonnation.
® KNOWN BASIN WBERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

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

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Application Map
0 0.05 0.1 0.2 Miles
I I I I I I I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
LEGEND
— Property Boundary [�] Onsite House
Offsite House
Well/Pond
® Unsuitable Area
n n Application Area
(�) Soil Bore
— Stream/Ditch
ons
Field -- NC-LN-9-(1-3&7-9) I

Soil Map
0 0.05 0.1 0.2 Miles
I I I I I I I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area_
All locations are approximate.
LEGEND
-� Property Boundary 0
Onsite House
Offsite House /
Application Area
Well/Pond
Soil Bore
® Unsuitable Area —
Stream/Ditch
Field --
NC-LN-9-(1-3&7-9)

Topography Map
"
i
PI
4
r-
t
0 0.225 0.45 0.9 Miles
f 1 1 I 1 I 1
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
All locations are approximate.
LEGEND
Property Boundary 0
Onsite House
Offsite House A A
Application Area
Well/Pond 0
Soil Bore
Unsuitable Area —
Stream/Ditch
Field --
NC-LN-9-(1-3&5-9)

Vicinity Map
ado Qa
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State 1703 m
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LL
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0 0.225 0.45 0.9 Miles
I I I 1 1 1 1 1
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
All locations are approximate.
LEGEND
-s Property Boundary E Onsite House
Offsite House A n Application Area
A Well/Pond Soil Bore
® Unsuitable Area — Stream/Ditch
Field -- NC-LN-9-(1-3&5-9)

Application Map
0 0.05 0.1 0.2 Miles
I I 1 I I I I I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
All locations are approximate.
LEGEND
Property Boundary
Offsite House A Application Area
Well/Pond (�) Soil Bore
® Unsuitable Area -- Stream/Ditch
Field -- NC-LN-9-(5-6)

Soil Map
0 0.05 0.1 0.2 Miles
I I 1 I I 1 I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
All locations are approximate.
LEGEND
�= Property Boundary
Offsite House A A Application Area
Well/Pond Soil Bore
® Unsuitable Area --- Stream/Ditch
Field -- NC-LN-9-(5-6)

Application Map
0 0.075 0.15 0.3 Miles
I 1 I I I I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
All locations are approximate.
LEGEND
Property Boundary
Offsite House A Application Area
Well/Pond (�) Soil Bore
® unsuitable Area — Stream/Ditch
Field -- NC-LN-9+-&j j

Soil Map
0 0.075 0.15 0.3 Miles
L I I I I I I I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
LEGEND
Property Boundary
OfFsite House A Application Area
Well/Pond G) Soil Bore
® unsuitable Area — Stream/Ditch
Field -- NC-1-1\1-9-4-4r i
(10, (1, is, (t)

Topography Map
t
' Z: tate E
{ �' a• •ram — -
f..-._ ` -
j-_ '--- ��-
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0 0.15 0.3 0.6 Miles
1 1 1 I I 1 I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
All locations are approximate.
LEGEND
Property Boundary
Offsite House A A Application Area
Well/Pond 0 Soil Bore
® Unsuitable Area — Stream/Ditch
Field -- NC-LN-9-(4-3}
10,11,13,
If

Vicinity Map
0.0.6 Miles I LEGEND
I I -1 I l l l 1 1
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area_
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
— Property Boundary
Offsite House
Well/Pond
Application Area
Soil Bore
® unsuitable Area — Stream/Ditch
I All locations are approximate. Field -- NC-LN-9-(4--3-)
/D, 11,13' l`F

Application Map
0 0.05 0.1 0.2 Miles
I I I l I 1 1 I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
Legend
�— Property Boundary
Offsite House A Application Area
Well/Pond 0 Soil Bore
® Unsuitable Area — Stream/Ditch
are a
Field -- NC-LN-12-1 I

Soil Map
0 0.05 0.1 0.2 Miles
11 I I I I I 1 I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
LEGEND
Property Boundary
OfFsite House A Application Area
Well/Pond 0 Soil Bore
® Unsuitable Area — Stream/Ditch
Field -- NC-I-N-e-(�
-12."1

Topography Map
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S
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0 0.225 0.45 0.9 Miles
1 I I I 1 1 I I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
All locations are approximate.
LEGEND
Property Boundary
Offsite House A Application Area
Well/Pond Soil Bore
® Unsuitable Area — Stream/Ditch
Field -- NC-LN 9-(-}

Vicinity Map
I Grifton Huqo Rd
are Rd
l 910
sate Rd 17aa
o` g
n
state Rd17�a
StaeR
a
state Ra 1801
Sa L
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Ufa
0 0.175 0.35 0.7 Miles
1 I 1 I I I I
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
All locations are approximate.
Robe Dr
j
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18\
i
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era
won
0
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LEGEND
Property Boundary
Offsite House A A Application Area
Well/Pond Soil Bore
® Unsuitable Area — Stream/Ditch
Field -- NC-LN-12-1

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c
11 /10/2021
Synagro Central LLC/ Technical
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 21-306-0002
Project Description: Mike Ginn
Field ID LN-09
7521 Whitepine Roast, Richmond, VA 23237
Main 804-743-9401 O Fax [phone]
www,way ointanalytical.com
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 11/2/2021 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information
Sincerely,
i }'c MC (float+''"
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 15

Waypoint.7621,
Whitepine Road, Richmond,
VA 23237
Main 804 743 9401 P Fax [phone]
ANALYTICAL
www aypo ntanal cal.com
Sample Summary Table
Report Number:
21-306-0002
Client Project Description:
Mike Ginn
Field ID LN-09
Lab No
Client Sample ID
Matrix
Date Collected Date Received
Method
Lab ID
55394
1
Solids
11/02/2021
SW-7471B
WP MTN
55395
2
Solids
11/02/2021
SW-7471B
WP MTN
55396
3
Solids
11/02/2021
SW-7471B
WP MTN
55397
5
Solids
11/02/2021
SW-7471B
WP MTN
55398
6
Solids
11/02/2021
SW-7471B
WP MTN
55399
7
Solids
11/02/2021
SW-7471B
WP MTN
55400
8
Solids
11/02/2021
SW-7471B
WP MTN
55401
9
Solids
11/02/2021
SW-7471B
WP MTN
55402
10
Solids
11/02/2021
SW-7471B
WP MTN
55403
11
Solids
11/02/2021
SW-7471B
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Dacxa ? of l G

Waypoint(D
ANALYTICAL
46622
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 o fax [phone]
www-waypo inta nalytical.com
Synagro Central LLC/ Technical Project Mike Ginn
Mary Brewer Report Date : 11/10/2021
284 Boger Road Information : Field ID LN-09 Received : 11/02/2021
Mocksville , NC 27028
Report Number: 21-306,0002 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPAAgronomist
Lab No : 55394 Matrix: Solids
Sample ID : 1
Sampled:
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0301 mg/Kg 0.0149 1 11/08/2116:36 7W2 SW-7471B
Qualifiers/ *
Outside QC Limit
B
Analyte detected in blank
Definitions C
GCMS Confirmation Analysis
E
Result above cal range
g
GGA Outside QC Limits
M
Beyond holding time
I
Estimated value
M
Minimum value
NA
Not on Scope of Accreditation
NC
Not confirmed
Q
RPD >409/0 dual column results
T
Sample exhibits toxicity
U
Unconfirmed
Refer to cover letter.
Page 3 of 15

•
Waypoint
ANALYTICAL
46622
Synagro CentralLLC/ Technical Project Mike Ginn
Mary Brewer
284 Boger Road Information : Field ID LN-09
Mocksville , NC 27028
Report Number:21-306-0002
Lab No : 55395
Sample ID : 2
Mercury 0.0264
Qualifiers/ B Analyte detected in blank
Definitions H Beyond holding time
REPORT OFANAL YSIS
76211+ hitepine Road, Richmond, VA 2 237
Main 804-748-9401 * Fax [phone]
www.waypointa,nat)ftical.com
Report Date: 11/10/2021
Received : 11/02/2021
,it jit tvw'
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
mg/Kg 0.0157 1 11/08/2116:37 JW2 SW-7471B
DF Dilution Factor
MQL Method Quantitation Limit
Page 4 of 15

Waypoint.
�6622 ANALYTICAL
7621 Whitepine Road, Richmond,VA232 7
Main 804-743-9401 9 Fax [phone]
www.waypointanalytical.com
ynagro en ra ec mca
roject Mike Ginn
Mary Brewer
Report Date : 11/10/2021
284 Boger Road
Information : Field ID LN-09
Received : 11/02/2021
Mocksville , NC 27028
CQQ
Pauric Mc Groary Ph.D., PA
Report Number: 21-306-0002
REPORT OFANACYSIS
Agronomist
Lab No : 55396
Matrix: Solids
Sample ID: 3
Sampled:
Test
Results Units MQL
DF Date I Time By Analytical
Analyzed Method
Mercury 0.0253 mg/Kg 0.0139 1 11/08/2116:38 IW2 SW-7471B
Qualifiers/ *
Outside QC Limit
B
Analyte detected in blank
Definitions C
GCMS Confirmation Analysis
E
Result above cal range
g
GGA Outside QC Limits
H
Beyond holding time
Estimated value
M
Minimum value
NA
Not on Scope of Accreditation
NC
Not confirmed
Q
RPD >40% dual column results
T
Sample exhibits toxicity
U
Unconfirmed
N
Refer to cover letter.
Page 5 of 15

Waypoin
ANALYTICAL
46622
7621. Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax [phone]
vv w.waypointan lyticai,corn
y agro en ra recrwnacai roject Mike Ginn
Mary Brewer
284 Boger Road Information : Field ID LN-09
Mocksville , NC 27028
Report Number:21-306-0002
Lab No : 55397
Sample ID : 5
Mercury
REPORT OFANAL PSIS
0.0279 mg/Kg 0.0135
Report Date: 11/10/2021
gg Received : 11/02/2021
i tj'c Mf �/Ow
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
1 11/09/2115:55 JW2 SW-7471B
Qualifiers/ B Analyte detected in blank DF Dilution Factor
Definitions H Beyond holding time MQL Method Quantitation Limit
Page 6 of 15

Waypointo
ANALYTICAL
46622
Synagro Central LLC/ Technical Project Mike Ginn
Mary Brewer Report Date : 11/10/2021
284 Boger Road Information : Field ID LN-09 Received : 11/02/2021
Mocksville , NC 27028
Autft fTIAA+
Report Number: 21-306-0002 REPOIeTOFANALYSIS Pauric Mc Groary Ph,D., CPA
Agronomist
Lab No : 55398 Matrix: Solids
Sample ID : 6 Sampled:
Test
Mercury
Results Units
0.0210 m9/K9
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 Q Fax [phone]
www.waypointanalytical.com
MQL DF Date / Time By Analytical
Analyzed Method
0.0150 1 11/09/2115:57 JW2 SW-7471B
Qualifiers/ *
Outside QC Limit
B
Analyte detected in blank
Definitions C
GCMS Confirmation Analysis
E
Result above cal range
9
GGA Outside QC Limits
H
Beyond holding time
J
Estimated value
M
Minimum value
NA
Not on Scope of Accreditation
NC
Not confirmed
Q
RPD >40% dual column results
T
Sample exhibits toxicity
U
Unconfirmed
r
Refer to cover letter.
Page 7 of 15

ANALYTICAL
Waypoint
46622
7621 Whitepine Road, Ri'chroond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Synagro Central LLC/ Technical Project Mike Ginn
Mary Brewer Report Date : 11/10/2021
284 Boger Road Information : Field ID LN-09 Received : 11/02/2021
Mocksville , NC 27028r
Report Number: 21-306-0002 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPA
Agronomist
Lab No : 55399 Matrix: Solids
Sample ID : 7 Sampled:
Mercury <0.0154 mg/Kg 0.0154 1 11/09/2115:58 JW2 SW-7471B
Qualifiers/ B Analyte detected in blank DF Dilution Factor
Definitions H Beyond holding time MQL Method Quantitation Limit
Page 8 of 15

Waypdint
ANALYTICAL
46622
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 4 fax 8 4-27I-644
www.waypointanalyticali eom
ynagro Cen ra ec h pica I Project Mike Ginn
Mary Brewer
284 Boger Road Information : Field ID LN-09
Mocksville , NC 27028
Report Number: 21-306-0002
Lab No : 55400
Sample ID : 8
Test
REPORT OFANAL YSIS
Results Units MOL
Report Date : 11/10/2021
Received : 11/02/2021
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
DF Date I Time By Analytical
Analyzed Method
Mercury 0.0226 mg/Kg 0.0151 1 11/09/2116:00 7W2 SW-7471B
Qualifiers/ *
Outside QC Limit
B
Analyte detected in blank
Definitions C
GCMS Confirmation Analysis
E
Result above cal range
g
GGA Outside QC Limits
H
Beyond holding time
Estimated value
M
Minimum value
NA
Not on Scope of Accreditation
NC
Not confirmed
Q
RPD >40% dual column results
T
Sample exhibits toxicity
U
Unconfirmed
Refer to cover letter.
Page 9 of 1S

46622
Synagro Central LLC/ Technical
Mary Brewer
284 Boger Road
Mocksville , NC 27028
Report Number: 21-306-0002
Lab No : 55401
Sample ID : 9
7621. Whitepine Road, Richmond, VA 23237
Main 804-743-9401. o Fax [phone]
www.waypointanalytital.com
Project Mike Ginn
Information : Field ID LN-09
REPORT OFANALYSIS
Report Date : 11/10/2021
Received ; 11/02/2021
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
Mercury 0.0230 mg/Kg 0.0154 1 11/09/2116:01 JW2 SW-7471B
Qualifiers/ B Analyte detected in blank DF Dilution Factor
Definitions H Beyond holding time MQL Method Quantitation Limit
Page 10 of 15

Waypointo
ANALYTICAL
AL
46622
7621. Whitepine Road, Richmond, VA 23237
Main 804-743-9401 s0 Fax [phone]
www,waypointanalytical.com
Synagro Central LLC/ Technical Project Mike Ginn
Mary Brewer Report Date : 11/10/2021
284 Boger Road Information : Field ID LN-09 Received : 11/02/2021
Mocksville , NC 27028
Report Number: 21-306-0002 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPAAgronomist
Lab No ; 55402 Matrix: Solids
Sample ID : 10 Sampled:
Test Results units MQL DF Date / Time By Analytical
Analyzed Method
Mercury 0.0489 mg/Kg 0.0137 1 11/09/2116:03 JW2 SW-7471B
Qualifiers/ *
Outside QC Limit
B
Analyte detected in blank
Definitions C
GCMS Confirmation Analysis
E
Result above cal range
g
GGA Outside QC Limits
H
Beyond holding time
J
Estimated value
M
Minimum value
NA
Not on Scope of Accreditation
NC
Not confirmed
Q
RPD >40% dual column results
T
Sample exhibits toxicity
U
Unconfirmed
Refer to cover letter.
Page 11 of 15

a .
ANALYTICAL
46622
Synagro Central LLC/ Technical
Mary Brewer
284 Boger Road
Mocksville , NC 27028
Report Number: 21-306-0002
Lab No : 55403
Sample ID : 11
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-94010 fax [phone]
www.waypointanalytical.com
Project Mike Ginn
Information : Field ID LN-09
REPORT OFANAL YSrS
Report Date 11/10/2021
Received 11/02/2021
TAW4 M, fpq(y"
Pauric Mc Groary WD., CPA
Agronomist
Matrix: Solids
Sampled:
Mercury 0.0472 mg/Kq 0.0153 1 11/09/21 16;04 JW2 SW-7471B
Qualifiers/ B Analyto detected in blank DF Dilution Factor
Definitions H Beyond holding time MQL Method Quantitation Limit
Page 12 of 15

Waypoint-(D
ANALYTICAL
Client: Synagro Central LLC/ Technical
Project: Mike Ginn
Lab Report Number: 21-306-0002
Date: 11 /10/2021
7621 Whitepine Road, Richmond, VA 23237
-lain 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
CASE NARRATIVE
Solids Total Mercury Analysis - CVAA Method 7471A
Sample 55396 (3)
QC Batch No: 1-583589/1-583357
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected.
Page 12 of 15

0 0
waypoint-
ANALYTICAL
7621. Whitepine Road, Richmond, VA 23237
Bain 04-743-9401 ° Fax [phone]
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46622
Customer Name: Synagro Central LLC/ Technical
Report Number: 21-306-0002
Shipping Method
O Fed Ex O US Postal C) Lab
UPS 0 Client 0 Courier
O Other: -----��
Thermometer ID:
Shipping container/cooler uncompromised?
Yes
O No
Number of coolers/boxes received
1
Custody seals intact on shipping container/cooler?
0 Yes
0 No
# Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
# Not Present
Chain of Custody (COC) present?
(0) Yes
0 No
COC agrees with sample label(s)?
# Yes
0 No
COC properly completed
0 Yes
0 No
Samples in proper containers?
# Yes
O No
Sample containers intact?
# Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
O No
All samples received within holding time?
# Yes
0 No
Cooler temperature in compliance?
0 Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
a No
Water - Sample containers properly preserved
0 Yes
0 No
N/A
Water - VOA vials free of headspace
0 Yes
0 No
N/A
Trip Blanks received with VOAs
0 Yes
0 No
Q N/A
Soil VOA method 5035 — compliance criteria met
n Yes
O No
# N/A
r High concentration container (48 hr)
High concentration pre -weighed (methanol -14 d)
Special precautions or instructions included?
Comments: F_.-_ _..__
Low concentration EnCore samplers (48 hr)
F_ Low conc pre -weighed vials (Sod Bis -14 d)
0Yes *No
Signature: Brandi Watson _= Date & Time: 11/02/2021.11:229 7:
Page 14 of 15

Agot
waypoint
hxount
'jfw xi s k ,s , .._-,
. Bi P%s any tows rat the tosiowiRa' Sodium.
. S1tx4 rr4�ts �� of the taliowlnrr�Szsdlurrr Bu1ft
M
i. BadaY
5, Carla
%
Com
11, GornisoybsM$ Rotation
i2, Corn -No Tilt
13. com silage
20. Cown t4oiJl
2i.
, Grain Sorghum
m
. Ools
32, peanuts
34. Potent.
. MOO
30. Rye
45, WeIrns
45. SOYWBIM -Ito Tit
5t Sugarcane _ Plant
n ss r - Stubble
62. Tom - Surts
e3. TobOOW - Dark
£4. Tobac - Flue Cured
75, wheat
.,a. wiwat Bitagocortt Sitagat
3
Road
(80,41743�.< $# _
4.4
IE
er pt i r, each additional test (Soave two)
Boron. zinc, Manganese, lrcart,
141. Matto HSY
1, Aitiail Season Grass flay
!06. Alfal€aMWM meson Gross Hate
lie, Segagr Pastors
W. t iagr€r
i21. common Bermuda May
12Z common Sermuda ft�as� Hay
i23. ,,'moo Sermu( t,as O cony,
is not two-t3e W_cr��
tt, Coastal Bermuda Hay
162. Coastal Bermuda P Slum
172. Coal Season Graff Pastors
173. Goal Seawn Gt ss Ney
itii, FwueHAY
ISI Fescue Pasture
183, FOVOUSILOgumo "Oy
184, FWWOILSOLne Pam
_ VEGLV ` M V T`-w­
Sat, S
400. AWOS
30T. Beans - Luria
382. S
410� Blueberries
309, Beans - Snap
383. Sweat Cam
420, Citrus
320, Cabbage
P�n�
43t1. Grapes
322, Cantaloupe
Po4to{au7
470. teas
330. cvcurnbefl
34d. Garden
385.1 c�rrratoss
39& watermelons
4M Paeans
490. Strr#wterri GS
3W POWs
Nc P -;Y4v
Tw
51Z, Betrfegress
513, Pahirss
$17. SOMgmas
621, BermuosgMss
s Fe y r
5a Sermu
523. 8srrruadagsat+a
524, Barnard
525. trudatss Sod ProtiuOO
n
528. SermudagrSSs Tee
833, Bluagrass Urwn
534. Bluegrass � p , n
548_ Cane Lawn
547, C.entipede Sod PrOduetion
561. FeSCU9 A ntalic Field
663, Fescue LOWn
s" Fescue and Pr Mn
5i`S. St. AttgwWne Lawn
67T St Aug lb' $00 Product on
581 ZbOORMSS Lawn
5. Zaystagsss Sod PMdcrcaan
low i}i tyfiMl 1, Inc t� �r i'tPW"- v. x=-
trtittonal f4 be Cnar9 10 uu10't a sarrg "'L a" additional
Page 15 of 15
i E .

7621 Whitepine Road, Richmond, VA 23237
Main 804-74 -9401 ° Fax [phone]
www.waypointanalytical.com
11 /10/2021
Synagro Central LLC/ Technical
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 21-306-0004
Project Description: Mike Ginn
Field ID LN-09
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 11/2/2021 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information
Sincerely,
JT M t Iaat
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 6

Waypointo
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main $04-743-94010 Pax 804-271-6446
wwwwraypointanalytical.com
Sample Summary Table
Report Number: 21-306-0004
Client Project Description: Mike Ginn
Field ID LN-09
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
55405 13 Solids 11/02/2021 SW-7471B WP MTN
55406 14 Solids 11/02/2021 SW-7471B WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Pats 9 of r,

Waypointo
ANALYTICAL
46622
7621 Whitepine [load, Richmond, VA 23237
Main 804-743-94011 Fax [phone]
www.waypointanalytical.com
Synagro Central LLC/ Technical Project Mike Ginn
Mary Brewer Report Date : 11/10/2021
284 Boger Road Information : Field ID LN-09 Received : 11/02/2021
Mocksville , NC 27028
Report Number : 21-306-0004 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPA
Agronomist
Lab No : 55405 Matrix: Solids
Sample ID : 13 Sampled:
Test Results Units MQL DF Date I Time By Analytical
Analyzed Method
Mercury 0.0161 mg/Kg 0.0152 1 11/09/2116:10 JW2 SW-7471B
Qualifiers/ *
Outside QC Limit
B
Analyte detected in blank
Definitions C
GCMS Confirmation Analysis
E
Result above cal range
g
GGA Outside QC Limits
H
Beyond holding time
J
Estimated value
M
Minimum value
NA
Not on Scope of Accreditation
NC
Not confirmed
Q
RPD >40% dual column results
T
Sample exhibits toxicity
U
Unconfirmed
Refer to cover letter.
Page 3 of 6

Waypointo
ANALYTICAL
46622
Synagro Central LLC/ Technical
Mary Brewer
284 Boger Road
Mocksville , NC 27028
Report Number: 21-306-0004
Lab No : 55406
Sample ID: 14
Mercury
Project Mike Ginn
7621 Whitepine Road, Richmond, VA 23237
Win 804-743-94010 fax [phone]
www.waypointanalytical.com
Information : Field ID LN-09
REPORT OFANALYSIS
0.0196 mg/Kg 0.0143
Report Date: 11/10/2021
Received 11/02/2021
Pauric Mc Groary Ph.D., CPA
Agronomist
Matrix: Solids
Sampled:
1 11/09/21 16:11 JW2 SW-7471B
Qualifiers/ B Analyte detected in blank DF Dilution Factor
Definitions H Beyond holding time MQL Method Quantitation Limit
Page 4 of 6

7621 Whitepine Roast, Richmond, VA 23237
Main 804-°743-9401"Fax [phone]
www.waypointanalytical,com
Shipment Receipt Form
Customer Number: 46622
Customer Name: Synagro Central LLC/ Technical
Report Number: 21-306-0004
Shipping Method
0 Fed Ex 0 US Postal 0 Lab
UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
Shipping container/cooler uncompromised?
0 Yes
0 No
Number of coolers/boxes received
1
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
Not Present
Chain of Custody (COC) present?
(# Yes
0 No
COC agrees with sample label(s)?
(0) Yes
0 No
COG properly completed
# Yes
0 No
Samples in proper containers?
Yes
0 No
Sample containers intact?
Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
© Yes
0 No
Cooler temperature in compliance?
0 Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
No
Water - Sample containers properly preserved
0 Yes
0 No
N/A
Water - VOA vials free of headspace
0 Yes
0 No
N/A
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 - compliance criteria met
0 Yes
0 No
0 N/A
(— High concentration container (48 hr) [_ Low concentration EnCore samplers (48 hr)
High concentration pre -weighed (methanol -14 d) F_ Low cone pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes (0) No
Comments: (-- -
Signature: IBrandi Watson Date & Time: L11102/2021 11:31:52 j
Page 5 of 6

.r
z gym. .. -
.. `Im Plusanyt o.
I. Bar*
5, canots
ta. Cam
11. BIDa RottOn
$2, C n-NO"
13- Coin SA
20. Cotton
21. Gouon -13a Til
2, Ctain Sorghum
30. Gats
32. Peanuts
34. PQPcoin
e
36, Fuca
3ga Rye
45.
465. SSo � No Till
S1. supmane - Plant
62. Supmana, aumulo
i, aalaec ea - Burley
63, Tom - ark
, Tobuf - Flue Cured
7B. wheat
7s, wheat atlagelGt ?1 1
odiuM,
k -1621 Wiltepine # tad
Rieiltitc ndt VA 23237
(804) 743- 01 Fax t 1 1
r ,W, It tattlsi - tan"
Ott _ �a Sfzifer Pit _ r Bair ar3diftottat test {atxsys
Won, ii c, Manganese.Icon, CepPe
101, Atfatfa Hay1 Samson r may1t13, mewcos2
106, AtlalW arm $eason G Ha
Iie. Sahtsg "Hay
#17. sawagl-ss P tufa
121. commit it Bwmwa tday
12Z COMMn Seffttuda Pastuft
123, Con M1l B�WMud�8_U._9_m_eAHaYP8s',
16 Coastal Bermuda Hay
162_ Co l Sennuds posture
it2, Cool Season PBSttlrs
171. Gaol Sawn Gross Hay
iBi, Fescue Hay
182. Fastue Pa$WM
183. FOSCUSt egurne t-tay
1i84. Fescuedi.,09"me Pasture
s � dti• Apples
TASae C,,
30-1, Seam - Lima 38t.SAinach 410. St eb mas
3. Ss ^ to
Snap 362- estzsh 42t}. Citrus
324, Cate 363. Sv�sat Ccatrt 4wg Gropes
322, CatttaltataRa �. Sit P bttx 470. c�eaehes
322, antaslt� 391.3 et f 47r, €rem
3#p c�atdan 3SS, �o °" b90- Strawbecfies
36s. Poppers
398.;Atata[etcsrfs
ortalt sir or or o
{
IM
r�
a
YL
512, 5shisgras
513, Sshinms
5i7, Bents
621, germudac
2_ 30fud---
523. ggtfnuda9
52�5, Bstrrouudag O Sod PrOductlot�
526, warm ss Too
26, 6artrafat Ls
.i33. 31u� Rrodu
g34, Btu
546. Casttip a Lav"'
47. Centipede Sod pr ductlOn
55i. Fescue A htattc Field
563, 1=e0sc+4 Lawn
564. s ue Sod Production
SM St. Augusune l.e Sw Produ'tton
677. St lugust!ne
58 Zo, lagra town
58C Zuplaga S-i Produetictrf
arcs at <x�r iOrms ar+ct cc+rsditirtc. Ail prime are sums
c tyttoai, its pm,,duras,
at to waywn10 Otani it sample r lui sst
ltttsCtat �
A4dtrtrar-t tae� may"ettffr t
Page 6 of 6

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ANALYTICAL
11/10/2021
Synagro Central LLC/ Technical
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 21-306-0003
Project Description: Mike Ginn
Field ID LN-12
7621 Whitapine Road, Richmond, VA 23237
Main 804-743-94010 Fax [phone]
www.waypointanalytical.com
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 11/2/2021 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information
Sincerely,
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of saiO analysis.
Page 1 of 5

aWhitepine Road, Richmond, VA 23237
Waypoint 7621 Main 804-743-9401 " fax [phone]
ANALYTICAL www.waypointanalytical-corn
Sample Summary Table
Report Number: 21-306-0003
Client Project Description: Mike Ginn
Field ID LN-12
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
55404 1 Solids 11/02/2021 SW-74718 WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 5

ANALYTICAL
Waypoin
46622
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 * Fax [phone]
wawa.wraypoiintanaiyti ai.corn
ynagro CenLr Icai Project Mike Ginn
Mary Brewer Report Date ; 11/10/2021
284 Boger Road Information : Field ID LN-12 Received : 11/02/2021
Mocksville , NC 27028
Report Number: 21-306-0003 REPORT OFANALYSIS
Pauric Mc Groary Ph.D., CPA
Agronomist
Lab No : 55404 Matrix: Solids
Sample ID : 1 Sampled:
Test Results Units MQL DF Date I Time By Analytical
Analyzed Method
Mercury <0.0148 mg/Kg 0.0148 1 11/09/2116:08 JW2 SW-74718
Qualifiers/ *
Outside QC Limit
B
Analyte detected in blank
Definitions C
GCMS Confirmation Analysis
E
Result above cal range
g
GGA Outside QC Limits
H
Beyond holding time
J
Estimated value
M
Minimum value
NA
Not on Scope of Accreditation
NC
Not confirmed
Q
RPD >40% dual column results
T
Sample exhibits toxicity
Page 3 of 5

7621 Whitelaine Road, Richmond, VA 23237
Main $04-743-9401 ° Fax $04-271-6446
www.waypointanalyticai.coni
Shipment Receipt Form
Customer Number: 46622
Customer Name: Synagro Central LLC/ Technical
Report Number: 21.306-0003
Shipping Method
Fed Ex 0 US Postal0 Lab
UPS 0 Client 0 Courier
0 Other
Thermometer ID:
Shipping container/cooler uncompromised?
0 Yes
O No
Number of coolers/boxes received
1
Custody seals intact on shipping container/cooler?
0 Yes
O No
CO) Not Present
Custody seals intact on sample bottles?
O Yes
O No
# Not Present
Chain of Custody (COC) present?
(* Yes
0 No
COC agrees with sample label(s)?
# Yes
0 No
COG properly completed
0 Yes
O No
Samples in proper containers?
# Yes
0 No
Sample containers intact?
0 Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
© Yes
ONO
Cooler temperature in compliance?
0 Yes
* No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Q Yes
# No
Water - Sample containers properly preserved
0 Yes
0 No
N/A
Water - VOA vials free of headspace
0 Yes
0 No
C N/A
Trip Blanks received with VOAs
O Yes
O No
00 N/A
Soil VOA method 5035 — compliance criteria met
O Yes
0 No
U N/A
High concentration container (48 hr)
High concentration pre -weighed (methanol -14 d)
F Low concentration EnCore samplers (48 hr)
F_ Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? O Yes (#) No
Comments: [--
Signature: irandi Watson ] Date &Time: 111/02/2021 t1:30:34
Page 4 of 5

7S2'i WhhaPirma Flood
Richrwrid VA 23237
{$0}43*1 • Fast
ay
poinL
ANAL}�ateat#YtiKiti,�4 ti�?•r�c�#�?
I . SAMPLE INFORMATION SHEET
ALI'��AON
CtfST ati� l l WDRMA'�`t�t+l i 1►t
V
NINE
x i3tga Art it€s€, F rusPkw us, P raesst rn, s m, Magnesium, pH. der P" � Each € dditional test (above two),
S11t Pius e€ry two Of the rulrrs J S- Sodium, Suttats uilti€, �+� �. ttiianganar�. i€s�n, CoPPe
c..�rara cAhfr- 'A oron. iim, a m- trcrrt, ., ,,,, � x t:iCF11-.ek
I. softy
S. Cantata
10'
com
11.ComfSoybeens Rolotiloff
Com -NO Till
1, Com $itage
a Grattckt
-No Till
25, min Sorghum
30.
32. peanuts
34. Pnperrrn
35, Rapeseed
3s. Pico
. "
& SoYbOfinlr
46, Soybeans -No Till
51. S na - } lent
52. supmans, _ Stubwe
$ Towco - Suday
Tobacco - Dark
. Tobacco -Flue Cofed
76, wheat
7 , wheat Sl's9wC*
101. Alfalfa Hay
103, Anal Coast fi seen C Hay
VC Aliatiea'w91m, aar1c" Grass Hay
`l1tl. Sa%iagrass say
117, Balliagress, Pasture
121. Common Bermuda May
122. Common Bemmds Pasture _.
123_ Common Ber muda�.6gurne May
1m
151, coestalBermu"Hay
1. Vital Bermuda Pasture
IT2,taial easran ragas stxare
173. Cool Sea -son Grass 148Y
^i81. Fescue Hay
1112_ Fescue Restu-
'1i3 . Fescuskagums Hay
164, FescuelLegume Pestu€e
vests r+s_... -* -
17. Beans. Urea 361. Spinach
382, uash
400. Appple$
4% Btucsbarrkes
3w, Beans - SAP
383=met Cam
42Lk, C ihm&
320. hob
22. C#lkitetoul
B4. Bwtot Pototoitonj
391. Sweet PotaWbu)
4 k. Grapar*
470, Peaa s
330, cucumbers
4ti' men
385. Tomatoes
475. Pecans,
490, Strast ales
365. peppers
398, watermelons
t €ifl sa 4€Other
am`t
TURI
cra o
512. Baatriagr'asa 4.
�S"13. Bshitass � w
517, SgntWM C
521. Ermudagrs
522 Sermudagm
523. Sarmudasgra
$24, Sarrnud Wass Lawn
526. earmudegma Sod Fm4ucdc o
526, Balmilliagrov Tea
533, Bluegrass Wwn
534, 5jUegrass Sod Production
sA6- centipede Lowe
547. Centdpade Sod Production
561. Fescue Athletic Field
W. Fescue Lawn
W. Fescue Sod Production
57e. St. AtaUustrre Lawn
611, St, Augustine Sod Production
5 . zoystagnass, Lam
58C Zoystagr s Sod proctu 40ft
All prtc are
sum -point Anatykier k, Inc, is eree�fRtarnrs oa 4u£ 4a m� aarsk �trtrjilicrn�.
c nkorr� to ri�nt It ddill oral €tr
sample requires aePesaikon prx�er3du
Page 5 of 5

SYNAGRO, KINSTON WRF
WQ0003919
SOIL SCIENTIST CERTIFICATION
This is to certify that soil profile evaluations were conducted on the proposed application sites
for the permit, referenced above, by myself, on behalf of Synagro Central, LLC. The evaluations
consisted of hand auger borings and descriptions of the soils on each application site. All
borings were performed by me_ All additional work performed for this permit application was
conducted by Synagro Central, LLC.
For each application field site, representative soil borings were conducted to confirm the soil
series designation provided by US©AfNRCS soil survey data. It was assumed that areas
unsuitable due to slope or seasonal high water table are not included in the application area for
any of these fields.
Table 1. lists the dominant soil series mapped for each of the fields listed, as well as the soil
series determined.
Table 1. Soil Profile Descriptions Data; Proposed Sites, WQ0003919
Field NRCS Mapped Series
LN-09-1
Norfolk
LN-09-2
Norfolk
LN-09-3
Norfolk
LN-09-5
Goldsboro
LN-09-6
Goldsboro
LN-09-7
Norfolk
LN-09-8
Norfolk
LN-09-9
Norfolk
LN-09-10
Lynchburg
LN-09-11
Goldsboro
LN-09-13.
Goldsboro
LN-09-14
Goldsboro
LN-12-1
Kalmia
Sincerely,
Eric Thompson, L.S.S. NO. 1238
Field Identified Series
Norfolk
Norfolk
Norfolk
Goldsboro
Goldsboro
Norfolk
Norfolk
Norfolk
Lynchburg
Goldsboro
Goldsboro
Goldsboro
Kalmia

DESCMPTION SIMET S. YNAGRO
t'*ctt
Site- L9 Field: Se ple Slope,
Acres (gross), Acres (not), Crap.
UI M Ill A A
HorizonDepthi
lu
Depth to SH1l T; > 0 t
Depth & type of restrictive layer. No
—
oil Series: T
s
Horizon Depth Texture
Color Structure Mottles
PROFILE l
a
o �
Depth to SHWT-
�
Depth & type of restrictive layer:
Soil Series,
.$
!dotes
Described By:
Legend
Texture
Structure Grade
Structure Tyge
s Sand
I Weak
gr
Granular
able Angular Blocky
l Loam
2 Moderate
pl
Platy
sbk Sul angular Blocky
si Silt
3 Strong
pr
Prismat►c
Sg Slagle Grained
c clay
cpr
Columnar
rn Massive

Field:Site: Lwol
� WN
ample Slope:
Acres (gross): w.. Acre(net)R Crop: „
Horizon Depth Texture Cato Srct€�re Mottles
AP
ju
s Vk
F
'6 .
Depth to 1
Depth & type of res tctive Tyer:
Soil Series.
Horizon Depth rmottli
PROFILE B ` C
Depth to SHWT:
Depth & type of restrictive layor:
Soil Series:
e * 4j` •
i.►1
.'..
Described Bv,
Mete.
Lectand
Texture
Structure Grade
Structure lype
s Sand
'I Weak
gr
Granular
abk Angular Blocky
I Loom
federate
Pl
Platy
sbK Subangular Blocky
t silt
3 Strong
Pr
Prismatic
scg Single Grained
0 Clark
cpr
Columnar
rn Wass k+e

9
SOII, DESCRIPTION SHE ET
Project.
;;ite: 01 - 3 Field: 3
'Awl. UT w —Isk Nt JA
a
Sample Slope:
Acres (gross): i Acres (net): _ Grop-, C)'J
Ho q n Depth TLerure 4Co S r tore Mottles
PROFILE A 0
I t�
Depth to SHWT:
Depth & type of restrictive layer; 1A
Soil Series:
Horizon
PROFILE 8
LW--nd
Depth Texture
Color Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer.
De'schbed By:
Texture
Structure Grade
Structure jyj2e
s Sand
I Weak
gr
Granular
abk
Angular Blocky
I Loam
2 Moderate
P1
platy
sbk
Subangutar Blocky
si silt
3 Strong
Pi-
Prismatic
sg
Single Grained
c Clay
cpr
Columnar
m
Massive

SOIL DESCRIPTION SHEET SYNAGRO
Project: (�I, A, PJ9- F Landowner:
Site: LJ -(A—S Field; Sample #: slope:
Acres (gross)- Acres (not): Crop: 15,01
H9rizon Depth TOYture Color Mottles
PROFILE A 0
Erl 7-2-1 941- Site
_tzcz I to
2.5 - s ZT
Depth to SHWT.
Depth & type of restrictive layer:
Soil Series- L4s:Lovo
Horizon
PROFILE B
Notes:
IMM-AU OuWaft. I
Depth Texture
Color Structure
Depth to SHWT:
Depth & type of restrictive layer:
Described By: —2�- D6te- . Z.-Zl Z-S/Z--,7
Texture
Structure Grade
Structure Type
8 Send
I Weak
gr
Granular abk
Angular Blocky
I Loam
2 Moderate
P1
Platy sbk
Subangular Blocky
%i silt,
3 StrQnq
pr
Prismatic eq
Single Grained
G Clay
cpr
Columnar m
Massive

SOIL DESCRIPTION SHEET
Project: WF
Site: Field-
Acres (gross): Acres
Horizon pt Structure Mottles
PROFILE A
Landowner:
Sample #: slope:
Crop:
Depth to SHWT'. > I
Depth & type of restrictive layer:
Soil Series: r i te4 ,I �;-f?je
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
8 it Series;
--7'7-
Desqibed By:
,Le2end
Teyture Structure Grade
6 Sand I Weak
I Loam 2 Moderate
si Silt 3 Strong
c Clay
Date:
Structure Iype
gr Granular abk Angular Blocky
pf Platy sbk Subangular Blocky
pr Priematir, 159 Single Grained
cpr Columnar m Massive

cvNAGR(O
SOM D SC TION SHEET
Project: Landowner:
Site: - -0 field: J_ Sample #: Slope:
Acres (gross): Acres (net): Crop: t
SOIL PROFILE DESCRIPTIONS
Depth
r MottlesI
,„a
rsit
Depth to SH T: > too -
Depth & type of restrictive layer:
Soil Series:
Horizon Depth Texture Color
PROFILE S
Depth to SHWT:
Depth & type of r stri�ctive layer: ,
Sail Series:
Described By -
Legend 100,
Texture Structure Grade
s Sand 1 Weak
i Loam 2 Moderate
Ui Silt 3 $trQn
c Clay
Structure Mottles
Cate: 6 t, IZ$,
Structure Type
gr Granular abk Angular Blocky
Pl Platy sbk SLtbancqular Blocky
pr Prismatic sg Single Grainod
cpr Columnar m Massive

SOIL DESCMPTION SHEET a T NAGH"10
Project:
f � A 9-4 W Landowner.
Site: " 13- Field: Semple . Slope:
Acres (grass) -- -- acres (net):Crop;
Horizon Depth Te ure re Mottles
PROFILE A AP
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series: v
Horizon Depth Texture
Color Structure Mottles
PROFILE l
SOIL
Depth to SHWT:
Depth & type 4f restrictive
Dyer..
i[ Series:
Notes:
--77
DescribedBy-
Date:
ICI`
Texture
Structure Grade
Structure Type
s Sand
`i Weak
c r Granular
abk Angular Blocky
� Loam
2 Moderate
pl Platy
sbk Subangular Blocky
si Silt
3 Strong
pr Prismatic
sg Single Grained
c clay
cpr Golumnar
m Massive

SOIL DESCRIPTION SHEET NAG RO
Project, --6ptf-6- -W Landowner:
Site: Field: Sample Slope:
Acres(grossj- Crop: t7 11
SOIL PROFILE DESCRIPTIONS
HArpon ZLf TO ture Color S Mure Mottles
PROFILE A r
0 Ir
Depth to SHWT; > 60
Depth & type of restrictive lay r: 14 1A
Soil Series, 17-
Horizon Depth Texture Color Structure
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer
Soil $Orios:
Notes- Lr-+Iforte, — 3S -903"Isi-f[ . 1-7.
Described By: Date:
P—MM
Texture Structure Grade
9 qq n d I Weak
I Loam 2 Moderate
81 silt 3 Strong
0 Clay
Mottles
W M,
Structure lyge
g, r Granular abk Anoular Mooky
pi Platy sOK Subangular Blocky
pr Prismatic Sg Single Grained
cpr Columnar rn Massive

I
SOIL DESCRIPTION SHEET
Project:yi
Site: 0 'JO Field' to
Acres (grass): _ _ __ Acres (net):
Landowner: 4
Sample #: Sleaze: �N
Crap: r Vrpi
MottlesHorizon Depth To ture C I Structure
PROFILE0 or, I., I
19
-7 1
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series: t
, , ,. tote
y,�yy
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Sail Series;
,.
Notes:
-35. T I _5
Q' 1238 '�
r
Described By:
late: a.�
Legend
Texture
Structure Crude
Structure Type
Sand
1 Weak gr
Granular abk ,angular Blocky
l Loam
2 Moderate Pl
Platy sbk Suban ular Blocky
Si silt
3 Strong pr
Prismatic so Single Grained
c Clay
cpr
Columnar m Massive

:,.,YNAGRO
SOIL DESCRIPTION SHEET
Project: �� VV - Landowner:
Site: W — Field- Sample R _ Slope:
. res (c rc ss� ,Acres (net): _ Crop. � �}
Horizon Depth Texture Colo Stru tore !Mottles
PROFILE A � � c
L*
Depth to SHWT: >
Depth & type of restrictive layer,
Soil Series: 0.5 boto
foiill1.- is
Dates:
Horizon depth Texture
Color Structure
Depth to SHWT,
Depth & type of restrictive layer:
q
il Series:
Described By:
Legend.
Texture Structure Grade
Band I Weak
I loam 2 Moderate
Si Silt 3 Strang
o Clay
Date: t�
Mottles
Structure Ty
gr Granular abk Angular Blocky
pl platy sbk Subangular Blocky
pr Pefematic sq Single Grained
cpr Columnar m Massive

SOIL DESCRIEPTTON SHEET
I'll,
Project:
Field -
Landowner:
Sample 4: Slope.*
Acres (gross)- _ Acres (not): _ Crop: 5'0 1 s
I
s
Hoymon Depth TeXture Colo- I ture Mottles
PROFILE A 10,1V 4/1 r- C wool
374,
Depth to SHWT-.
Depth & type of restrictive laver:
Soil Series,
Horizon Depth Texture Color
PROFILE B
Depth to SHWT-
Depth & type of restrictive layer:
Sol Series:
Notes: Pv n . g 5, 2,14 0-. --77.' S51
Described By:
Leaend
Texture Structure Grade
s Sand I Weak
I Loam 2 Moderate
Si silt 3 Strang
C Clay
12
Date:
Strug1qEg_DM
gr Granular abk Angular Blocky
pf Platy sbk Subangular Blocky
Pr PrisrnatiQ sq Single gained
cpr Columnar m Massive

I
Proier't..
site: Field'
Landowner:
Sample #: Slope:
ell
Acres (gross)- _ Acres (not): _ Crop: >,,� ILd-o,
— - ---- ----------- I ----
Horizon Depth Texture Color Structure Mottles
PROFILE A A f! 0-1 iA vif q1q 0 A
- -
Zv-
lih, I:A. wzf-A
-5T-L Mi.
Depth to SHWT-. 23 —
Depth & type of restrictive layer.
Soil Series- 4PtA& 's
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: I,tk 1 .
Described By:
Lgg_end '00
Texture Structure Grade
S 8and I Weak
I Loam 2 Moderate
ai Silt 3 Strong
0 Clay
R
Date:
Structure Ty
ke
gr Granular able Angular Blocky
pf Platy sbk Subangular Blocky
Pr Prj*rnatio ;59 Single Grained
cpr Columnar rn Massive

I
SOIL DESCRIPTION SHEET
Project: i��44P, WI?F
Landowner:
Sample #.
Slope.
Acres (gross): Acres (not): _ Crop: .50
SOIL PROFILE DESCRIPTIONS
Horizon
PROFILE A A-F
Depth
Te ture
Color
Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer.- K11-1 10 LI-)
Soil Series: " f -f V 7-4
Horizon Depth Texture Color
PROFILE 8
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series;
Notes-,
Described By:
Legend
Texture Structure Grade
s Sand I Weak
I Loam 2 Moderate
Sl silt 3 StrQnq
G clay
Structure
Structure Type
gr Granular abk Angular Blocky
P1 platy sbk Subangular Blocky
pr Priarndtir, ;5g 3ingle Orained
cpr Columnar m Massive

Cwxf AnRO
a T N,,,,
YOUR PARTNER FOR A CLEANER, GREENERwopw
March 9th, 2022
NCDENR-DWQ
Land Application Permitting and Compliance Unit
Aquifer Protection Section
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
ATTENTION: Mr. Nathaniel Thornburg
REFERENCE: Modification OF PERMIT NO. WQ0003919, Land owner agreements
City of Kinston
Nathaniel,
I am addressing the clarification of the Carter Sitterson Trustee for the new acreage. Sonia Myers
(daughter) and David Herring (son) are under the Carter Sitterson Trustee and you will find both
Land Owner Agreement (06-16) forms in the modification package. David Herring (son) and
Joyce Herring (mother) own land separately and that is outlined in LASC (06-16). You will not
see Sonia Myers on any of the land records but she falls under the Carter Sitterson Trustee.
Please let me know if you have any questions or concerns.
Best regards,
Chris Wynne
Technical Services Specialist

State of North Carolina
1 14
Division of Water Resources
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise_ noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Kinston WRF
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
Special note
(no-till/over-seed!
Pp� g
(optional)
pasture)
NC-LN-09-1
Y
Row Crop
Animal Feed
NC-LN-09-2
y
Row Crop
Animal Feed
NC-LN-09-3
y
Row Crop
Animal Feed
NC-LN-09-10
y
Row Crop
Animal Feed
NC-LN-09-11
y
Row Crop
Animal Feed
NC-LN-12-1
y
Row Crop-7
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals,
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWP, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application sites) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12_ Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Penmittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
M. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0I 05(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another residuals land
application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program:
(Name of the new program)
FC)P U• r nA n6-1 ti pn ffP ? n f ;

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name. <= q 1
Address:
City: 1 �,+-j State: C Zip: �j, b k
Phone: 3 3- `—t '` 1,1 E-mail
Signature:
NORTH CAROLINA, I ell 0 l r COUNTY
I, the undersigned Notary Public do hereby certify thatt'i
personally appeared before me this day and acknowledged the due execution of the forgoing instrument. J
WITNESS my hand and official seal this the L ✓? r4
day of 6 V_e M Lc1— , 20 U
Signature and seal: +�-
My commission expires: 30 2 C7 ZS i
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
t i
Lessee/operatorname: !"6<C4g0l GI C.i
qAddress: -73 Z ���'+ VS �� o
City: q&l aa--a
qPhone: (I 17 2-
Signature:
Permittee's Certification:
Inh
State: I v (, Zip
ns_51
E-mail address:
Date:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
s
Signing official name:
Signature. Date: /�/z Z
FORM: LOA 06-16 Page 3 of 3

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Kinston WRF
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cropping Patterns
pp g
Intended Use of Crops
Residuals Source
o tional
(optional)
Special note
(no-till/over-seed/
pasture)
NC-LN-09-5
Y
Row Crop
Animal Feed
NC-LN-09-6
Y
Row Crop
Animal Feed
NC-LN-09-7
Y
Row Crop
Animal Feed
NC-LN-09-9
Y
Row Crop
Animal Feed
NC-LN-09-9
Y
Row Crop
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
4. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permtttcc, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
sites) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
HLALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
0 A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another residuals land application
program; Permit Number WQ: . The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
PC) RNA• I C)A of - IA pncra I nf2

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: bA Y l 0 M E MW b ` utf-
Address: _ R b• 3 0'X 1 3 9
City: K j N 5Ta 0 State: /0 t- Zip: 2 8 , 63
Phone:
Signature:
�SZ• S7.3 -A, I ob E-mail address: / l
Date: 1,-I
NORTH CAROLINA, Le 10, r COUNTY
I, the undersigned Notary Public do hereby certify that low (r • M
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
Cal
WITNESS my hand and official seal this the
day of ���V�1rUyr 11111i1i
Signature and seal: Q. 0
0
1ssolj.•a9G'�s
My commission expires: U (Jl! { V►'1, �� ig� �OTA,� o
Lessee's/Operator's Certification: ���� •R ;24/20`Z6' •_ ���
I certify that I have read this Agreement and do hereby agree to abide by the stipi�lia Mhs and restrictions as specified herein.
Lessee/operator name: tG � U ►n vi
Address: - q -7 3 2- I'� kS S4
City G — �' State: N Zip: 1-4
q
Phone: (I / 2✓ E-mail address:
Signature: `� 7� Date: Z Z '� �It-
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
GAe,^
Date:
FORM: LOA 06-16
Page 3 of 3

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T 1100 - LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Kinston WRF
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
NC-LN-09-13
y
Row Crop
Animal Feed
NC-LN-09-14
y
Raw Crop
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third parry, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
L Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
M. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC o2L .01 07(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another residuals land application
program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address:
L
City: i e c1► LLe State: Zip: 21 �G 3
Phone: o? 5::2 — 93 9 —6 d a X E-mail
Date:
U
NORTH CAROLINA, �'y� COUNTY
I, the undersigned Notary Public do hereby certify that V Ce—LJ
personally appeared before me this day and acknowledged the due execution of the forgoing instrument,
WITNESS my hand and official seal this the V +'
day of
Signature and seal:
My commission expires: `/30/ Za ZS
Lessee's/Operator's Certification:
Christopher C. Wynne
Wake County, NC
My Commission Expires August 30, 2=
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operatoo�r name: M (6, I1 I
Address: l -73 Z
City: -A e State: I" C, Zip:
Phone: f �� 3 �� Z- _ E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
G/?,
Date:
FORM: LOA 06-16 Page 3 of 3

1
State of North Carolina
Department of Environmental Quality
Division of Water Resources
COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM: CBN 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to Submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the A Iicant shall submit one on iml and two copies of the application for
and
SnDtlortin documentation
For more information, visit the later Quality Permitting Section's Non -Discharge permittinc Unit
General — This notification is intended to provide the county board in which the land application site is proposed to be located with
general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an
Opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for
fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review
without a corresponding residuals program application form (FORM: RLAP 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below,
A. County Board Notification (FORM: CBN 11-15):
Submit the completed and appropriately exccuted County Board Notification (FORM: CBN l I-15). Please do not make any
unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may
be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
Prepare a separate County Board Notification (FORM: CBN 11-15) for each county in which the proposed land application
sites are located.
B. Critical Watershed Areas Information:
® Under 15A NCAC 02B .0212 no new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas.
® For more information regarding Water Supply Watershed Protection Program, please visit the Division website at:
hops:/ldec�.a�c.� ovlabout/divisians/water-resources/water resources rules/water supMly watershed protection nra ram
® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call (9I9) 807-6337.
C. Notification Package Submission:
® Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to
the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the
notification package also be sent to the County Manager.
The most current publication of the Directory of State and County Officials may be downloaded at:
https://www.sosnc.gov/iiblication-,/direct npx
A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
httn://deg nc govlcontact/reeional of ces.
The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage
(i.e., a copy of "Residuals Source Facility Summary" is adequate but not required).
The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a
copy of "Land Application Site Certification" is adequate but not required).
D. Proof of Submission:
Attach all 8.5 by I I -inch copy 0f the return receipt to the back of this attachment pjior to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 06-16 Page I of I

North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
Date: 03/2/2022
To: Name of Chairman to the Board of County Commissioners: Linda Rouse Sutton
Complete mailing address: 1028 Woodington Rd
City: Kinston State: NC Zip: 28504-
County where land application sites are located: Lenoir
From: Applicant's name: City of Kinston (on behalf of the Division of Water Resources in accordance with Session Lave
2013-340)
Contact person and title: Kenneth Stevens, Water Reclamation Superintendent
Complete mailing address: 2101 Becton Farm Rd
City: Kinston State: NC Zip: 28501-
Telephone number: [phone] F-mail address: kenneth.stevensaci kinston nc us
Subject: Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -
generating sources and locations of the proposed land application sites. Please forward this letter and its associated
attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and
Planning Department) if applicable.
More information of the land application sites included in this application will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regional office: Washington Regional Office
Complete mailing address: 943 Washington St
City: Washington State: NC Zip: 27889
Telephone number: [phone]
Expected date of application submission: 3/4/2022
Should you desire to comment on this application, please do so no later than 30 calendar days following the
expected application submission date. If you have any questions or comments about this notification, or if you would like
more information, please contact the appropriate regional office at the telephone number provided above. Thank you in
advance for your attention to this matter.
Enclosures: Land Application Site Summary
Maps
Non-Dtchsrge Permit ing Unit
1617 Mail Service Center, Rate�h, North Carolina 27699-1617
Phone! 919-807-64641 Internet ht#p://Dor1al.ncdenr.Pr41wybJw
An Equal Opportunity t Affirmative Action Employer - Made in part with recycled paper FORM: CBN 06-16

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