WQ0006101_Permit Renewal_20160713

SYNAGR
(Ft
RECEIVEDINCDEd1DWR
JUL 1 8 2016
Non -Discharge
permitting Unit
APPLICATION FOR RENEWAL OF
PERMIT NO. WQ0006101
City of Dunn
Prepared by:
SYNAGRO CENTRAL, LLC
284 Boger Road
Mocksville, NC 27028
P 336.998.7150 F 336.998.8450
July 13, 2016

Water Resources
ENVIRONMENTAL QUALITY
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
July 26, 2016
RONALD AUTRY — CITY MANAGER
CITY OF DUNN
POST OFFICE BOX 1065
DuNN, NoRT' CAROLINA 28335,
Dear Mr. Autry:
Subject: Acknowledgement of
Application No. WQ0006101
City of Dunn RLAP
Residuals Management System
Harnett County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on July 18, 2016. Your application package has been assigned the
number listed above, and the primary reviewer is Troy Doby.
Central and Regional Office staff will perform a detailed review of the provided application, and ,
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistancein providing a timely and
complete response to any additional information requests.
Please note that processingstandard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Troy Doby at [phone] or [e-mail].
Sincerely,
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
cc: etteville Regional_Office, Water -Quality Regional_Operations-Section
Permit File WQ0006101
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting 1 Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919 807 6464

RECENEDINCDEQIDWR
6/22/16 JUL 1 8 2016.
NCDEQ-DWQ Non -Discharge
Land Application Permitting and Compliance Unit permitting Unit
Aquifer Protection Section
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
ATTENTION: Nathaniel Thornburg
REFERENCE: Renewal OF PERMIT NO. W00006101
City of Dunn
Dear Mr. Thornburg
Synagro is submitting, on behalf of the City of Dunn, an- application, to renew the City's residuals
land application permit. Listed below are the changes to the existing permit as they pertain to
land application sites: -
• Renewing 2 application sites (NC-HA-201, NC-CU-34) Acreage may change slightly
from old permit due to more precise mapping.
• Adding 1 application site (NC-CU-10)
• Deleting 6 application sites (NC-CU-23, NC-CU-33, NC-CU-26, NC-CU-27)(NC-SA-
21)(NC-SA-23)
No other modification to the permit is requested at this time. This package should contain all of
the information that is necessary to complete the requested modification of the Town's permit.
However, if you require additional information or have further questions about the included
information, please contact me immediately at 434-738-8002. I look forward to working with
you to insure that this is an efficient review process, and will be happy to provide any further
assistance if necessary.
Sincerely
Marshal
Technical Services Manager
Cc: City of Dunn
Enc: Application Package (4)

Permittee Owner/Officer Name:
Mailing Address:
City:
Email Address:
WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (WPCSOCC)
NCAC 15A 8G .0201
Press TAB to enter information
R DjJAA® Au 75 g c.; ►y �, iiu49eA
4 P, 0 g0, DG Phone:
Signature:
Facility Name: C ry o-c a UpN ry %/o
County:
144/Z, & r?
State: Ai Zip:
Permit #
/ji Qcoo /e/
YOU MUST SUBMIT A SEPARATE FORM FOR EACH TYPE AND CLASSIFICATION OF SYSTEM:
Facility Type:
LA
Facility Grade:
N/C
PERATOR IN RESPON_SIBLE:CHARGE, (ORC
Print Full Name: r'a?,/_aSAj,¢/) . PuRy�':
Certificate Type: LA Certificate Grade: Select Certificate #: L.4 9'g ' f y 65
Email Address: /'v/ P'A1,e4' P Syp4 ygo, G 7fr
Signature:
.. 7111
I certify that I agree to my designation as the Operator in Responsible Charge for the facility noted. 1 understand and will abide by the
rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Work Phone: 47/3Yj 739—B00Z
Date:
BACKUP. ORC.
Print Full Name: 'EryGte —Pic_c+.
Certificate Type: LA — iOO r% e1 v
Email Address: aScoadro CC%d"---
Certificate Grade: Select
Signature:
Work Phone: q/G - 5/ - ye8
Certificate #:
Date:
"I certify that I aee to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Mail, fax or email
ORIGINAL to:
Mail or Fax
a COPY to:
WPCSOCC, 1618 Mail Service Center,
Raleigh, NC 27699-1618
Asheville
2090 US Hwy 70
Swannanoa, NC2877.8
Fax: [phone]
Phone: [phone]
Washington
943 Washington Sq. Mall
Washington, NC 27889
Fax: [phone]
Phone: [phone]
Fax:[phone]
Fayetteville
225 Green St., Suite 714
Fayetteville, NC 28301-5043
Fax: [phone]
Phone: [phone]
Wilmington
127 Cardinal Dr.
Wilmington, NC 28405-2845
Fax: [phone]
Phone: [phone]
Email: [e-mail]
Mooresville
610 E. Center Ave., Suite 301
Mooresville, NC 28115
Fax: [phone]
Phone: [phone]
Winston-Salem
45 W. Hanes Mall Rd.
Winston-Salem, NC 27105
Fax: [phone]
Phone: [phone]
Raleigh
3800 Barrett Dr.
Raleigh, NC 27609
Fax: [phone]
Phone: [phone]
Revised 4/2016

Table of Contents
Section # Title
Section 1 Attachment Order 1: Non -Dedicated Residuals Land Application Programs
Form
Attachment Order la: Signing Official Delegation Letter
Section 2 Attachment Order 2: ResidualsSource Certification Attachment
Attachment Order 2-a: Vicinity Map
Attachment Order 2-b: Process Flow Diagram
Attachment Order 2-c: Quantitative Justification for Residuals Production
Attachment Order 2-d:• Sampling Plan
Attachment Order 2-e Laboratory Analytical Reports (where applicable)
Section 3 Attachment. Order 3: Site Specific Information
Section 4 Attachment Order 4: Copy of Current Permit

Attachment Order 1:
Non -Dedicated Residuals Land Application Programs Form
(NDRLAP form)

Division of Water Resources
RECEIVEDINCDEQJDWR
3UL .1 8 2016
15�►
OM' _lief
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
CAC 02T .1100, — RESIDUALS LAND APPLICATION PROGRAM
§ FOR FORM: RLAP 11-13 & SUPPORTING DOCUMENTATION
--Pleasemseihe -following ,instructions ,as -a -ehecidist -in --order -to-ensure-all required items .are 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 website at:
http://portaLnedenr.org/web/wq/aps/lau
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 11-13) Application: (All Application Packages):
El Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 11-13) 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 form shall be signed in accordance with 15A NCAC 02T .0106(b). An
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T .0106(b).
\ El 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 andMajorModification Application -Packages)
El Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environment and
Natural Resources (NCDENR).
• STANDARD REVIEW — Submit the appropriate fee for all new and major modification applications as listed in the table
below.
STANDARD APPLICATION REVIEW FEES:
Facility Classification
New Permit
Major Modification 1
Major (land are permitted for > 300 acres)
$1,310
$395
Minor (land are permitted for < 300 acres)
$810
$245
- A major modification sha11'be defined as any permit modification that: increases the generating facity's residuals dry tonnage;
adds additional land application areas not previously approved; adds additional residuals sources; or includes the addition of new
treatment or storage units/processes not previously permitted: There is no fee for minor permit modifications.
C. Cover Letter (All Application Packages)
▪ List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC 1C .0300)
-Sulimit-a -copy of the Findings .of No -Significant Itnpact-(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 11-13 Page 1 of 3

•E. flperation-and'M"aintenanee PYan (New and Renewal ApplicationPackages)
El For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
Submit the O&M Plan in accordance with 15A NCAC 02T .1110 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 equipments calibration, maintenance of signs, etc.
i®1
Safety measures; may include safety training program, manuals, signs, etc.
El Spill response plan; including control, containment, remediation, emergency contact information, etc.
Inspection plan including the following information;
Z Names and titles of personnel responsible for conducting the inspections.
El 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'etaifed-desi;ription of inspectibirprocednres -including record teeping and -actions -to he -taken -by-the -iihspector-in the
event that noncompliance is observed.
El Sampling and monitoring plan including the following information;
Z Names and titles of personnel responsible for conducting the sampling and monitoring.
Z Detailed description of monitoring procedures including parameters to be monitored.
Z Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
#lo v,-and-other- nperating _conditions„can-af€ect :the:quakhy.of-the-xesiduals 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.
-P. -Program-Determination
0 Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.1102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are
applicable:
0 Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
J Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultuia-1 crop production is of secondary importance.
Ei 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.
0 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
-0 Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
Q Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
O] Submit three (3) sets of standard size plans and two (2) sets of 11" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
0--Plans-must include -the following minimum items:-
0 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.
0 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).
-0-Delineation of the -review -and -compliance -Boundaries
0 Setbacks as required by 15A NCAC 02T .1108
0 Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
0 A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
0 Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT
FOR CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be
labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 11-13 Page 2 of 3

• eettvaluation,.and--Receiv-er Site Management Plan, (Alt New Application Packages -or Modifications-that-iiclude:-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.
. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: http://portai.ncdenr:org/web/wq/aps/lau/poiicies. 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)
EI 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 .1104(d)(2). For Modifications, submit an updated
site map specific to the modification(s) only.
O. 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
-- row-unitsar 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
0 Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
0 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 .1104(d)(5) and current Division Policy
available at http://portal.ncdenr.org/web/wq/aps/lau/policies.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
[ ` .Property ownership -documentation shall -consist of-oue of -the -following:
Legal documentation of ownership (i.e., GIS, deed or article Hof incorporation), or
Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An easement running ning 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 ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 11-13
Page 3 of 3

DivisioQa of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 11-13
1:--APPLICANT-INFORMATION:
1. Applicant's name: City of Dunn
Applicant type: 0 Individual 0 Corporation 0 General Partnership 0 Privately -Owned Public Utility-
0 Federal 0 State Municipal 0 County
Signature authority's name per 15A NCAC 02T .0106: Ronald Autry Title: City Manager
ppiicanrs-mailing-address: NA -Office -Box 1065
City: Dunn State: NC Zip: 28335-
Telephone number: [phone] Email Address: rautrya,dunn-nc.org
2. Consultant's name: License Number (for P.E.):
Affiliation: 0 On Staff 0 Retained (Firm:
Consultant'sina ng -address:.
City: State:Zip:
Telephone number: ( - :) .. Email Address:
3. Agronomist's name: Marshall Puryear License Number: 29442
Affiliation: 0 N/A El On Staff 0 Retained (Firm: 'r.. )
-i gron. st s-niailin address: 284 BogerR-oad•
City: Mocksville State: NC Zip: 27028- ;
Telephone number: [phone] Email Address: [e-mail]
4. Soil Scientist's name: G. Christopher Murray License Number: 1284
Affiliation: ❑ N/A ❑ On Staff ® Retained (Firm: Piedmont Environmental Associates, P.A)
Soil Scientist's mailing address: 8004 Linville Road, Suite C2
City: Oak Ridge State: NC Zip: 27310-
Telephone number: (336)-662-5487) Email Address: [e-mail]
5. Fee submitted: (See Instruction B)
- PERMIT INFORMATION:
1. Application is for (check all that apply): 0 new, El modified,
renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00006101
Date of most -recently issued permit: October 31, 2011
Date of most -recently certified Attachment A (if different than the permit): October 31, 2011
Date of most -recently certified Attachment B (if different than the permit): October 31, 2011
- - FORM: RLAP• 11=13 Page 1 of 5

- : l SIBUAl€ S-LA APPLICA IONIMOGRA WENFORMATION:
1. Residuals Processing Facility's physical address: 580 J.W. Edwards Lane
City: Dunn State: NC Zip: -28334
Coordinates: Latitude: 35° 17' 47" Longitude: 78° 38' 15"
Datum: NAD83 Level of accuracy: Seconds
Method -of measurement: Map.
2. County where residuals land application program is headquartered: Harnett
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
Bryan Pica
Synagro
994465
Back -Up ORC
Marshall Puryear
Synagro
1001675
Additional Back -Up
ORCs
(if applicable)
—
;
I€a r'-ORC and' -at -least o ie -Back-Up-ORC are not currently designatedfor'tl is --residuals laudtapplicatioir 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 €ollowing4able:
Maximum amount of residuals to be certified: 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
4.92
5.76
1721
2018
Five -Year Maximum Adjusted
7.11
7.95
2487
2784
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
0
Row Crops
103.4
Hay
31.7
,.
Pasture.
74.7
Total:
209.8
Methods
Surface
209.8
Incorporation or Injection
0
Total:
209.8
FORM: RLAP 11-13
Page 2 of 5

:-ResiddalsLand AppticatimrSummary: 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
34.4
40.4
49.7
55.7
100
17.2
20.2
24.9
27.8
150
11.5
13.5
16.6
18.6
200
8.6
10.1
12.4
13.9
- If applicable, irovide a plan -and a schedule to resoiveanyknown issuees-that wouldpreventland 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): El Non -dedicated Dedicated
If Dedicated, specify the following (check all that apply):
Residuals -program contains _any -land "application-site(s)- that -receives residuals at -rates or frequencies greater -than-
agronomic rates, explain;
0 Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
0 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; .'
-4V. • Sim:UALS SO.IiRCE-ENWORM TTON: quired -for-allaiew, .renewed;•_or-modified residuals -source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
AT. LAND`APPUICATLON SITE I iFORMATlONt-(Required-for -altnew; renewed; -ormodified land -application site)'
Complete and submit the following Land Applications Site Certification and all associated documentation.
f
Land Application Siite
Certification.doc
FORM: RLAP 11-13
Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
-TI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: 0 Spray El Drip
2. Disposal system -is: -E existing a 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?
El Yes or E] 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/yr)
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
0 Yes or El 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
(ft)
Number or
Nozzles
' Maximum App$catfon
Rate (gallons/hr)
' Design Annual Loading
Rate (gallons/yr)
..
.. .
Total
'
_
11111111111111111111111
Spray Irrigation Design Element
Plan Sheet
Number
Specification
PageNumber
Wetted diameter of nozzles
—
' ft
Wetted area of nozzles
, . ft2
Nozzle capacity
,, gpm
Nozzle manufacturer / model
'
/
Elevation of highest nozzle
: ft
FORM: RLAP 11-13
Page 4 of 5

- 1pplicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
a
--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.
Z Yes El No, Explain; . '. '.
I, Ronald Autry
(Signature Authority's Name — PLEASE PRINT)
attest that this application for . City of Dunn
(Facility Name)
City Manager
(Title)
has Teen 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
<;ilse statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
of to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date
FORM: RLAP 11-13 Page 5 of 5

Attachment Order 2:
Residuals Source Certification Attachment
(RSCA form)

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 11-13
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 website at:
http://portal.ncdenr. org/web/wq/aps/1au
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application,. distribution, or disposal in accordance with 15A NCAC 02T '.1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-13, FORM: DCAR 11-13, or FORM: SDR 11-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
® For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
'1. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum.amount expected to be generated by the facility for.the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction. reduction requirements.
® For new facility that may have not yet been constructed, and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 11-13 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City of Dunn
Status
Code a
Facility Permit Holder
_
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current b
Proposed
R
City of Dunn
City of Dunn WTP
Harnett
03-43-010
350
350
R
City of Dunn
City of Dunn WWI?
Harnett
NC0043176
300
300
•
•
a Status Code for source facility are: • N (New) ♦ R (Renewed) • M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 11-13
Page.1

DWR
Division of Water Resources
RECEIVEDI 0EQ D State of North Carolina
Department of Environment and Natural Resources
JUL 1 8 2016
Non-Disch rg t
Permitting
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 11-13
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: City of Dunn WTP
2. Facility permit holder is:
Federal, 0 State, M Local Government, or 0 Private.
Facility permit issued by: Div. of Water Resources, El Div. of Environmental Health,
or 0 Other (explain:
3. Facility contact person and title: Darryl Glover — Plant Superintendent
Complete mailing address: P.O. Box 1065
City: Dunn State: NC Zip: 28335_
Telephone number: [phone] E-mail address: [e-mail]
4. Facility physical address: 805 West E Street
City: Erwin State: NC Zip: 28339-[1
Coordinates: Latitude: 35° 19' 26" Longitude: 78° 41' 18"
Datum: NAD83 Level of accuracy: Seconds
Method of measurement: Map
5. Purpose of the facility:
0 treatment of municipal wastewater, 0 treatment of 100% domestic wastewater,
EI treatment of potable water, 0 treatment of 100% industrial wastewater,
El treatment of industrial. wastewater mixed with domestic wastewater,
(approximate percentages: 1 % industrial and P 1 % domestic)
other (explain: [I . i ).
6. Does the facility have an approved pretreatment program: ( Yes '21' No
7. Facility permitted/design flow: •MGD.and facility average daily flow: FF:-.:.71 MGD
8. Average amount of residuals being generated at this facility 132.87 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment:
Type and volume of residuals storage (i.e., outside of residuals treatment units): _ ..
IL RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
0: 40 CFR Part 503 or jEf 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFRPart257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
0 Biological P / Non -Biological
' Note: Biologicalresiduals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 11-13 Page 1 of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: 0 yes e1 no.
If yes, list the number(s): f'- �1
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: 0 yes no.
Fill in the following tables with the results of the latest toxicity characteristic 'leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Summit Environmental Laboratories and Date of analysis: 02/13/16
Passed corrosivity test: yes
[l no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ' 11 yes no: Flashpoint: >140 °F (> 140°F)
Passed reactivity test: I yes Ono. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0 '
ND
. Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND •
- Mercury
• 0.2
ND
Chlorobenzene
100.0.
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND'
m-Cresol
200.0
ND
.Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane '
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
. 2,4,5-Trichlorophenol
400,0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor andits Hydroxide
: 0.008
ND
Vinyl Chloride.
0.2
ND •
FORM: RSC 11-13
Page 2 of 5

0
4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals' do not
" violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the .latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waypoint Analytical Virginia, Inc and Date of analysis: 1/20/2016
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg) •
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
9.0
Cadmium
85
39
<2.0
Copper
4,300
1,500
38
Lead
840
300
13
Mercury
57
17
<0.4
Molybdenum
75
n/a
<5
Nickel
420
420
19 '
Selenium
100
100
<5.0
Zinc
7,500
2,800
78
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: _ and Date of analysis: L
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
El > 0 but < 25
30
200
210
E> 25 but < 50
34
220
240
E > 50 but < 75
39
260
270
fl >_ 75 but < 100
46
300
320
j >_ 100 but < 125
53
360
390
El > 125
62
450
420
Result (mg/kg)
FORM: RSC 11-13
Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 3.54 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Wavpoint Analytical Virginia, Inc and Date of analysis: 1/20/2016
Parameter
Result
(mg/kg)
Aluminum
116000
Ammonia -Nitrogen
•
. 847
Calcium
1010
Magnesium
1590
Nitrate -Nitrite Nitrogen
<2.0
pH (Standard Unit)
5.89
Phosphorus
1740
Potassium
924
Sodium
- 631
Total Kjeldahl Nitrogen
5930
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 1.10
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth]. ,
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 40 %.
This rate is a (check one):
default value, or
actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1st) Year PAN
(mg/kg)
Five -Year
Maximum Adjusted PAN
(mg/kg)
Surface
2459
3553
Injection/Incorporation
2882
3977
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: '3.=1
FORM: RSC 11-13 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:.
a. For Distribution/Land Application of Class A or Equivalent:
0 A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
0 A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
. Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment.
El Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
13 Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
0 Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: composting, 0 heat drying, 0: heat treatment,
thermophilic aerobic digestion, �1 '1 beta ray irradiation,
0 gamma ray irradiation, or t�.l pasteurization.
b ForLand Application of Class B:
El Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
Ei Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to SignificantlyReduce Pathogens (PSRP).
Specify one: aerobic digestion, air drying, Ej anaerobic digestion,
composting, or lime stabilization.
c. For Surface Disposal:
0 Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
0 Select One of the Class B or Equivalent Pathogen Reduction Alternatives in ItemII. 7b. above.
E] Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)].
Q Not Applicable -Non-Biological Residuals with•NO Domestic Wastewater Contribution:
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Ej Altemative 2 [15A NCAC 02T.1107(a)(2)] 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
0 Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
Altemative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
El Altemative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
Ej Alterative 8 [15A NCAC 02T,1107(a)(8)] - Drying ofUnstabilized Residuals.
ET Altemative 9 [15A NCAC 02T.1107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation.
l Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
►s1
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 11-13
Page 5 of 5

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 11-13
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 website at:
http://portal.ncdenr. org/web/wq/aps/lau
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-13, FORM: DCAR 11-13, or FORM: SDR 11-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
® For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
71. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the `,`Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and,operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
® For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 11-13 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City of Dunn
Status
Code'
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current b
Proposed
R
City of Dunn
City of Dunn WTP
Harnett
03-43-010
350
350
R
City of Dunn
City of Dunn WWTP '
Harnett
NC0043176
300
300
a Status Code for source facility are: • N (New) • R (Renewed) ♦ M (Modified) • D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 11-13
Page 1

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 11-13
L RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: City of Dunn WWTP
2. Facility permit holder is: El Federal, 0 State, Ei Local Government, or Q. Private.
Facility permit issued by: El Div. of Water Resources, 0 Div. of Environmental Health,
or Q Other (explain: [ .` ).
3. Facility contact person and title: Donrie Dukes / WWTP Superintendent
Complete mailing address: Post Office Box 1065
City: Dunn
Telephone number: [phone]
State: NC Zip: 28335-[
E-mail address: WastewaterAdunn-nc.org
4. Facility physical address: 580 J.W. Edwards Lane
City: Dunn State: NC Zip: 28334-f T1
Coordinates: Latitude: 35° 17' 47" Longitude: 78° 38' 15"
Datum: NAD83 Level of accuracy: Seconds
Method of measurement: Map
5. Purpose of the facility:
Z treatmentofmunicipal wastewater, D treatment of 100% domestic wastewater,
treatment of potable water, 0 treatment of 100% industrial wastewater,
[] treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: ' al % industrial and P- i % domestic)
El other (explain: r . i ).
6. Does the facility have an approved pretreatment program: Z Yes [] No
7. Facility permitted/design flow: 3.75 MGD and facility average daily flow: 2.895 MGD
8. Average amount ofresiduals being generated at this facility 142.11 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 130,000 gal. aerobic sludge digester
Type and volume ofresiduals storage (i.e., outside ofresiduals treatment units): 600,000 gal. Aerobic holding tank
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
40 CFR Part 503 or j] 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
Z. Biological =ar Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 11-13 Page 1 of 5

LJ
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: yes I: no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: D yes I no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Summit Environmental Laboratories and Date of analysis: 02/15/16
Passed corrosivity test: E yes [( no. pH: s.u. (2 <pH < 12.5)
Passed ignitability test: E yes f no. Flashpoint: >140 °F (> 140°F)
Passed reactivity test:
yes Ljno. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/l)
Result
img/l)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND •
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0 •
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol '
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
.ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
• 0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND ,
2,4,5-TP (Silvex)
1.0
- ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 11-13
Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waypoint Analytical Virginia, Inc and Date of analysis: 1/20/2016
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg) ,
Result
,
(mg/kg)
Arsenic
75
41
10.0
Cadmium
85
39 '
2.0
Copper
4,300
1,500
352
Lead
840
300
48
Mercury
57
17
1.1
Molybdenum
75
n/a
9 ,
Nickel
420
420
22
Selenium
100
100
<5.0
Zinc
7,500
2,800'
629
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: ter _'_ •i and Date of analysis: -{a
-
FORM: RSC 11-13.
Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 2.22 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Waypoint Analytical Virginia, Inc and Date of analysis: 1/20/2016
Parameter
Result
(mg/kg)
Aluminum
20600
Ammonia -Nitrogen '
4050
Calcium
10900
Magnesium
3390
Nitrate -Nitrite Nitrogen
11100
pH (Standard Unit)
3.5
• Phosphorus
23700
Potassium
4730
Sodium
2100
Total Kjeldahl Nitrogen
55000
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): .67
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium• application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d.. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %.
This rate is a (check one): Ig default value, or actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: Atta
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1st) Year PAN
(mg/kg)
Five -Year
Maximum Adjusted PAN
(mg/kg)
Surface
28,410
38,350.
Injection/Incorporation
30,435
40,375
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 11-13
• Page 4 of 5'

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
Q A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
[] Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment.
Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric VirusNiable Helminth Ova.
Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric VirusNiable Helminth Ova.
0 Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: composting, E heat drying, D heat treatment,
thermophilic aerobic digestion, 0 beta ray irradiation,
d gamma ray irradiation, or D pasteurization.
b. For Land Application of Class B:
El Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
[� Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: II aerobic digestion, 0 air drying, 0 anaerobic digestion,
0 composting, or 0 lime stabilization.
c. For Surface Disposal:
[] " Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
[] Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item, H. 7b. above.
Exempt - If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)].
0 Not Applicable -Non-Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
►a
Alternative 1 [15A NCAC 02T.1107(a)(1)]. - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
T] Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
31 Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
[( Alternative 5 [15A NCAC 02T.1107(a)(5)]`- 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.1107(a)(6)] -Alkaline Stabilization.
0 Alternative 7 [15A NCAC 02T.1107(a)(7)] Drying of Stabilized Residuals.
Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals.
E Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection. "
Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation.
E L Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 11-13 Page 5 of 5

Attachment Order 2-a:
Vicinity Map

4,000'
VICINITY MAP
GRAPHIC SCALE
1" = 4,000'
0 4,000'
e compliance boundary is established either 250 ft from the, residuals application area or 50 feet within
in 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.
WWTP
DUNN

Attachment Order 2-b:
Process Flow Diagram

• •
.0 4C.10.6/111.4I • •
)
11•17_H Mot 14. 2011 -
a
" CITY OF DUNN. NORTH CAROLINA
WATER TREATMENT PLANT

A
MREARY
TTRREMMl
3E4G
EQ BASIN
`; ` r
•.
stwc. i j\`.,�f vi
i,le
( ; �� ♦1 METERING
SUPERNATANT i �\
r-El
ILBLOWEo.o__-.H ROT I
�. -'"� o •Q fl .D a l_t—' FEED E
1 r SLUDGE , • ��" �. .
Ji 1z -
DDDDflm
oo�°o°
ooa0oaa❑
WASTEWATER TREATMENT
SLUDGE PROCESSING
e e e e e o e e
DAVIS41ARTUNPOINEU. 6 ASSOCIATES. GRAPHIC SCALE
miming ean�na.uassoc ss. INC.I •nK 50 30 0 e0 120 CITY OF OUNN, NORTH CAROLINIA
WS� `�1° SITE PLAN
�P Nux Poem: Nam mom 2,2e5 BLACK RIVER WWTP
-I - 60 FEET.
e e aWall e•••1•11.11. ®e r
® siuDGE
LOADING
s
1
EFFLUENT i,
PUMPING
SUPERNATANT •m.
EFFLUENT
CHLORINE p�
CONTACT b
3MI TO r
EFFLUENT
CASCADE o .y
AT CAPE
FEAR RIVER
pECHL
FEED �.
•

Attachment Order 2-c:
Quantitative Justification for Residuals Production

Quantitative Justification for Residuals Production
The City of Dunn's WTP is currently permitted for 350 dry tons per year of land applied
biosolids. There is no request at this time to change this amount. Based on the average
of dry tons over the past 3 years, at this time there is no need to change the permitted dry
tons a years.
2013: 212 Dry Tons
20.14: 65 Dry Tons
2015: 120 Dry Tons
Average: 133
C%

Quantitative Justification for Residuals Production
The City of Dunn's WWTP is currently permitted for 300 dry tons per. year of land
applied biosolids. There is no request at this time to change this amount. Based on the
average daily flows of 2,890,000 gallons per day, 300 dry tons per year should be
sufficient for any increase in volumes.
Total Dry Tons = gallons of residuals x % solids x 8.341bs/gallon
2,000 lbs/ton
= 2,890,000 gallons x 0.022 x 8.341bs/gallon
2,000 lbs/ton
265 dry tons

Attachment Order 2-d:
Sampling Plan
:1)

Residuals Sampling Plan
City of Dunn Land Application Program
Water Treatment Plant
Nutrients and Metals Analysis
Sampling Point: Lagoon
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Waypoint Analytical Virginia, Inc.
Pathogen
Vector
TCLP
Sampling Point: Lagoon
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Cameron Testing
Sampling Point: N/A
Sampling Frequency: N/A
Sample Type: N/A
Lab: N/A
Sampling Point: Lagoon
Sampling Frequency: Annually
Sample Type: Grab
Lab: Summit Environmental Technologies, Inc

Residuals Sampling Plan
City of Dunn Land Application Program
Wastewater Treatment Plant
Nutrients and Metals Analysis
Sampling Point: Holding Tank
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Waypoint Analytical Virginia, Inc.
Pathogen
Sampling Point: Holding Tank
Vector
TCLP
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Cameron Testing
Sampling Point: Holding Tank
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Dunn WWTP
Sampling Point: Holding Tank
Sampling Frequency: Annually
Sample Type: Grab
Lab: Summit Environmental Technologies, Inc

Quantitative Justification for Residuals Production
The City of Dunn's WWTP is currently permitted for 300 dry tons per year of land
applied biosolids. There is no request at this time to change this amount. Based on the
average daily flows of 2,890,000 gallons per day, 300 dry tons per year should be
sufficient for any increase in volumes.
Total Dry Tons = gallons of residuals x % solids x 8.34 lbs/gallon
2,000 lbs/ton
= 2,890,000 gallons x 0.022 x 8.34 lbs/gallon
2,000 lbs/ton
= 265 dry tons

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0006101 (City of Dunn)
Inspection Plan
Inspections for the land application of residuals will be conducted on a weekly basis at the land application site during the land
application activities of this project. The inspection frequency is based on the time frame that it is going to take to complete the
project and the amount of dry tons to be land applied;from this facility. The inspections will consist of inspecting a current field
that is being applied as well as inspecting random fields that have been completed. These inspections will consist of:
1. Verifying that the Pre -Operations Check List has been completed and signed by both Operations and Technical staff.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insure that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance
plan.
4. Insure that the field has been flagged properly and that all buffers are being adhered to.
5. Insure that the Crop and Landowner Verification form has been filled out.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the criteria for land
application.
7. The records will be kept in the project files in the respective office for the project.
8. The Permittee or Inspector shall report by telephone to the Fayetteville Regional Office by Telephone at 910-433-3300, as
soon as possible but no later than 24 hours after or the next working day following the occurrence or the first knowledge
of the occurrence of the following.
• Any occurrence with the distribution program resulting in the land application of significant amounts, of material
that is abnormal in quantity or characteristics.
• Any failure of the distribution system that results in the release to surface waters.
• Any time that self -monitoring indicates that the facility has gone out of compliance with the permit.
• Any process failure that results in the system not adequately treating the residuals. -
• Any spill or discharge from a vehicle or piping system during residuals transportation.
• Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 1-
800-662-7956,1-800-858-0368, or 1-919-733-3300. These numbers are to be called in the event of a release to
surface waters, imminent failure of a storage system when the event occurs outside of normal business hours.
• Within 5 days of the first notice of on occurrence a written response in the form of a letter shall be sent to DENR
outlining the actions taken or purposed actions taken to ensure that the problem does not recur. Persons '
responsible for inspections on this project are as follows:
Bryan Pica Operations Manager orhis designee -
Bryan Pica is the designated land application ORC for this project and his designees are the backup ORC's for this project.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0006101
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land application is occurring. This will
result in one round of sampling to occur before land application commences in order to insure that the residuals are
suitable for land application. Based on the dry tonnage of this plant this will be one sample for all parameters per
year.
The residuals shall be sampled annually for
Arsenic (5.0)
Barium (100.0)
Benzene (0.5)
Cadmium-(1.0)
Carbon tetrachloride (0.5)
Chlordane (0.03)
Chlorobenzene (100.0)
Chloroform (6.0)
Chromium (5.0)
M-Cresol (200.0)
o-Cresol. (200.0)
p-Cresol (200.0)
Cresol (200.0)
2,4-D (10.0)
(----�3he re
the following: (Regulatory level
1, 4-Dichlorobenzene (7.5 )
1, 2-Dichloroethane (0.5)
1, 1-Dichloroethylene (0.7)
2, 4-Dinitrotoluene (0.13)
in milligrams per liter in parentheses.)
Nitrobenzene (2.0)
Pentachlorophenol (100.0)
Pyridine (5.0)
Selenium (1.0)
Endrin (0.02) Silver (5.0)
Hexachlorobenzene (0.13 Tetrachloroethylene (0.7)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5)
Hexachlorethane (3.0) 2,4,5-Trichlorophenol (400.0)
Lead (5.0)
Lindane (0.4)
Mercury (0.2)
Methoxychlor (10.0)
Methyl ethyl ketone (200.0)
2,4,6-Trichlorophenol (2.0)
2,4,5 TP ( Silvex) (1.0)
Vinyl Chloride (0.2)
Dry Tons Generated
(short tons per year),
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
pH.
Plant Available Nitrogen (calculation)
Selenium
Sodium
Total Solids'
Total Kjeldahl Nitrogen
Zinc
In order to meet pathogen and vector requirements the material will be sampled for fecals to prove that the residuals have met
the pathogen requirements of the permit. The vector requirements forthis source will be met through the SOUR test method and
performed by the City lab. The samples will be pulled from the storage tank that is currently holding the residuals. The samples
that will be pulled are a TCLP, nutrient and metals sample, and a fecal sample to prove that the material is suitable for land
application. The nutrient and metal and TCLP sample will be collected randomly and consist of at least 30 individual samples
mixed together in order to get the composite sample for these parameters. Thismaterial is very consistent based on the fact that
the residuals will be mixed thoroughly with aerators and mixers. This should take care of any seasonal fluctuations in the
material.
The following people are responsible for sampling:
Marshall Puryear Technical Services Manager or his designee.

OPERATIONS AND. MAINTENANCE. PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0006101 (City of Dunn)
Operational Functions
The operation function of this project is going to involve
• Mixing the WTP lagoon with a tractor powered Houle pump to achieve a well -mixed and consistent material that
is suitable for land application
• Mixing the WWTP holding tank with aeration to achieve a well -mixed and consistent material suitable for land
application
The material is to be spread at agronomic rates that are determined by the nutrient and metal sample that is current for
that monitoring period. It is going to be spread with a liquid applicator that will use pressure to spread the material in
such a way to achieve a consistent spread pattern. The material is going to be land applied on fields that have grass
growing on them that are going to either be grazed or cut for hay for animal feed or row crops to be planted on them
and used for animal feed.
SAFETY MEASURES
Synagro believes in operating in a safety conscious manner and is has all employees participate in quarterly online safety
course that are designed to help its employees recognize safety issues and take steps to prevent accidents from
occurring. In addition all Synagro employees have the authority to stop operations if they think any aspect of the
operation is going to cause environmental or personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule as recommended by the Synagro fleet manager for the equipment
necessary to complete the job.

SPILL RESPONSE PLAN
PROJECT: City of Dunn Permit W00006101
iN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and equipment is to
be utilized. In the event additional labor and equipment is required, assistance may be requested from the City of Dunn,'
the NC Department of Transportation, and other private contractors as necessary.
2. HALT THE SOURCE OF '1111, SPILL:
Such as.a ruptured container or damaged transport unit.
3. CONTAIN THL SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
,Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
\'nuch of the spilled` material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
material. -The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEANUP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner and state regulatory representatives: The ultimate goal will be to restore the spill area to its original
condition if possible.
6. NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Fayetteville Regional Office by Telephone at 910-433-3300 as soon as possible, but
not more than 24 hours after, or on the next working day following the occurrence. The Operations Manager shall
provide a written report within 48 hours of the spill to the Technical Services Manager. The report shall list all relative
information and actions taken. Synagro Central personnel will file a written report to the Fayetteville Regional office of
the NCDENR within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be called
to report all incidences (800-662-7956 or 800-858-0368 or 919-733-3300)

Attachment Order 2-e:
Laboratory Analytical Reports

Report Number:
Page: 1 of 2
16-015-0209
Account Number: 46789
Submitted By: CREIGHTON BROWN
Send To: SYNAGRO CENTRAL LLC/DUNN
MARY BREWER
284 BOGER RD
MOCKSVILLE , NC 27028
Lab Number : 66282
Sample Id : DUNN WWTP
Waypoi nt.M
ANALYTICAL
Project DUNN WWTP
NC CERT#257
REPORT OF ANALYSIS
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalyttical.com
Date Sampled: 1/12/2016 13:30:00
Date Received: 01/15/2016 00:00
Date Reported: 01/20/2016 '
PARAMETER
RESULT RESULT QUANTITATION LIMIT
(%) ({ g/kg) (!ng('kg*)
ANALYST
AN4YSIS
DATE/TIME
METHOD
Total Solids *
Moisture *
Total Kjeldahl Nitrogen
Total Phosphorus
Total Potassium
Total Sulfur
Total Calcium
Total Magnesium
Total Sodium
Total Iron
Total Aluminum
Total Manganese
Total Copper
Total Zinc
Ammonia Nitrogen
Organic N
Nitrate+Nitrite-N
Total Cadmium
2.22 22200
97.78
5.50 55000
2.37 23700
0.47 ' 4730
1.15 11500
1.09 10900
0.34 3390
0.21 2100
29500
20600
345
352
629
0.41 4050
5.09 50950
'11100
2.0
100.0
100.0
10.0
100
100
100
100
100
100
100
100
5
5
5
10.0
10.0
2.00
2.0
JM
JM
JM
KM
KM
KM
KM
KM
KM
KM
KM
KM
KM
KM
JM
01/15/2016 15:00
01/15/2016 15:00
01/18/2016 08:30
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 08:30
01/18/2016 08:30
JM 01/18/2016 08:30
KM 01/18/2016 14:22
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part nor may any reference be made'
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
SM-2540G
SM-2540G
SM-4500-NH3C-TKN
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SM-4500-NH3C
CALCULATION
SM-4500NO3F
SW 6010C
g/Am
Debbie Holt

Report Number:
Page: 2 of 2
16-015-0209
Account Number: 46789
Submitted By: CREIGHTON BROWN
Send To: SYNAGRO CENTRAL LLC/DUNN
MARY.BREWER
284 BOGER RD
MOCKSVILLE , NC 27028
.Lab Number : 66282
Sample Id : DUNN WWTP
Waypoint
ANALYTICAL
Project : DUNN WWTP
NC CERT#257
REPORT OF ANALYSIS.
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointarialytical.com
Date Sampled:
Date Received:
Date Reported:
1/12/2016 13:30:00
01/15/2016 00:00
01/20/2016
PARAMETER
RESULT
(%)
QUANTITATIO.N. LIMIT
('mg/kg*')
ANALYST ANALYSIS
DATE/TIME
"METHOD
Total Chromium
Total Nickel
Total Lead
Total Arsenic
Total Mercury
Total Selenium
31
22
48
10.0
1.1
<5.0
pH (Standard Units)* 3.50
Total Volatile Solids 70.00 700000
Total Molybdenum 9
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "Fe", "P", AND "Se". ALL OTHER QC DATA IS ACCEPTABLE.
5
5
5
3.0
0.4
5.0
2.00
100.0
5
KM
KM
KM
KM
KM
KM
JM
JM
KM
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22'
01/18/2016 14:22
01/19/2016 09:00
01/18/2016 14:22
01/18/2016 08:30
01/15/2016 15:00
01/18/2016 14:22
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
SW 6010C
SW 6010C
SW 6010C,
SW 6010C
SW-7471 B
SW 6010C
SW-9045D
SM-2540G
SW 6010C
Debbie Holt

Page: 1 of 2
Report Number: 16-015-0208
Account Number: 46789
Submitted By: CREIGHTON BROWN
Send To: SYNAGRO CENTRAL LLC/DUNN
MARY BREWER
284 BOGER RD
MOCKSVILLE , NC 27028
Lab Number : 66281
Sample Id : DUNN WTP
PARAMETER.
Waypoi nt.
ANALYTICAL
i RESULT RESULT
(%) (mg/kg)
Project : DUNN WTP
NC CERT#257
REPORT OF ANALYSIS
QUANTITATION LIMIT
Itng/kg,r:)
ANALYST
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Date Sampled: 1/12/2016 14:15:00
Date Received: 01/15/2016 00:00
Date Reported: 01/20/2016
ANALYSIS
DATE/TIME
METHOD
Total Solids*
Moisture*
Total Kjeldahl Nitrogen
Total Phosphorus
Total Potassium
Total Sulfur
Total Calcium
Total Magnesium
Total Sodium
Total Iron
Total Aluminum
Total 'Manganese
Total Copper
Total Zinc
Ammonia Nitrogen
Organic N
Nitrate+Nitrite-N
Total Cadmium
3.54
96.46
0.59
0.17
0.09
1.01
0.10
0.16
0.06
0.08
0.51
35400
5930
1740.
924
10100
1010
1590
631
33100
116000
915
38
78
847
5083
<2.00
<2.0
All values are on a dry weight basis except as noted by asterisk.
100.0
100.0
10.0
100
100
100
100
100
100
100
100
5
5
5
10.0
10.0
2.00
2.0
JM
JM
JM
KM
KM
KM
KM
KM
KM
KM
KM
KM
KM
KM
JM
JM
KM
01/15/2016 15:00
01/15/2016 15:00
01/18/2016 08:30
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 14:22
01/18/2016 08:30
01/18/2016 08:30
01/18/2016 08:30
01/18/2016 14:22
Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Debbie Holt
SM-2540G
SM-2540G
SM-4500-NH3C-TKN
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SM-4500-NH3C
CALCULATION
SM-4500NO3F
SW 6010C

Page: 2 of 2
Report Number: 16-015-0208
Account Number: 46789
Submitted By: CREIGHTON BROWN
Send To: SYNAGRO CENTRAL LLC/DUNN
MARY BREWER
284 BOGER RD
MOCKSVILLE , NC 27028
Lab Number : 66281
Sample Id : DUNN WTP
Waypoint,
ANALYTICAL
Project : DUNN WTP
NC CERT#257
REPORT OF ANALYSIS
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Date Sampled: 1/12/2016 14:15:00
Date Received: 01/15/2016 00:00
Date Reported: 01/20/2016
PARAMETER
RESULT
(%)
RESULT QUANTITATION LIMIT
(mg/kg) (mglkg*)
ANALYST
ANA,LYSIS
DATE/TIME
METHD
Total Chromium 41 5
Total Nickel 19 5
13 5
9.0 • 3.0
<0.4 0.4
<5.0 5.0
pH (Standard Units) * 5.89 2.00
Total Volatile Solids 29.18 291800 100.0
<5 5
Total Lead
Total Arsenic
Total Mercury
Total Selenium
Total Molybdenum
KM 01/18/2016 14:22
KM 01/18/2016 14:22
KM 01/18/2016 14:22
KM 01/18/2016 14:22
KM 01/19/2016 09:00
KM 01/18/2016 14:22
JM 01/18/2016 08:30
JM 01/15/2016 15:00
KM 01/18/-201614:22
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "Fe", "P", AND "Se". ALL OTHER QC DATA IS ACCEPTABLE.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole orpart, nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Debbie Holt
SW 6010C
SW 6010C
SW-6010C
SW 6010C
S W-7471 B
SW 6010C
SW-9045D
SM-2540G
SW 6010C

r
Summit Environmental Technologies, Inc.
MASI 3310 Win St.
VINVIROKl£Rl IAL TEDHNOLO'GI__ ui°&i, Cuyahoga Falls, Ohio 44223
f:ra4-tuna7 Lgiaprolaad;rr0 TEL: [phone] FAX: [phone]
Website: http://www-settekcom
February 13, 2016
Nate Roth
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL: [phone]
FAX: [phone]
RE: Dunn WTP
Dear Nate Roth:
Order No.: 16020214
Summit Environmental Technologies, Inc. received 1 sample(s) on 2/3/2016 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results,please feel free to call the
laboratory.
Sincerely,
Bachar Najm
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
A2LA 0724.01, Alabama 41600, Arizona AZ0788, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC
E87688, Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank)
3, Kentucky 90146, Louisiana 04061 and LA12004, Maine 2012015, Maryland 339, Massachusetts M-OPH923, Minnesota 409711, Montana CERT0099,
New Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and 631, Ohio Drinking Water 4170, Ohio VAP CL0052, Oklahoma
9940, Oregon OH200001, Rhode Island LA000317, South Carolina 92016001, Tennessee TN04018, Texas T104704466-11-5, Region 8 8TMS-L,
USDA/APHIS P330-11-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and 1581, Washington C891, West Virginia 248 and 9957C
and E87688, Wisconsin 399013010
r
Page 1 of 8

Summit Environmental Technologies, Inc.
3310 Win St.
ENV IFEt_7Ft.I'C7` er9t3 LOME S,. 3, . Cuyahoga Falls, Ohio 44223
t . AneArticeri iaborotoriy TEL: [phone] FAX [phone]
Website: http://www.settekcom
Case Narrative
WO#: 16020214
Date: 2/13/2016
CLIENT: Synagro
Project: Dunn WTP
This report in its entirety consists of the documents listed below. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Paginated Report including Cover Letter Case Narrative, Analytical Results, Applicable Quality
Control Summary Reports, and copies of the Chain of Custody Documents are supplied with this
sample set.
Concentrations reported with a J-Flag in the Qualifier Field are values below the Limit of Quantitation
(LOQ) but greater than the established Method Detection Limit (MDL).
Method numbers, unless specified as SM (Standard Methods) or ASTM, are EPA methods.
Estimated uncertainty values are available upon request.
Analysis performed by DBM, VRM, or SFG were performed at Summit Labs 2704 Eatonton Highway
Haddock, GA 31033
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
Summit Environmental Technologies, Inc., holds the accreditation/certifications listed at the bottom of
the cover letter that may or may not pertain to this report.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
This report is believed to meet all of the requirements of NELAC"or the accrediting / certifying agency.
Any comments or problems with the analytical events associated with this report are noted below.
Original
- Page 2 of 8

ENVIROiNMEMTAL TECIE,10L04.3 :-$, tftC;
,%;745; ih:5i L5b.oral'or,co5
Summit Environmental Technologies, In.
3310 Win 5
Cuyahoga Falls, Ohio 4422
TEL: [phone] FAX? (330) 253-445
Website: http://www.settelcco.
Qualifiers and Acronyms
WO#: 16020214
Date: 2/13/2016
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
U The compound was analyzed for but was not detected.
J Thereported value is greater than the Method Detection Limit but less than the Reporting Limit.
H The hold time for sample preparation and/or analysis was exceeded.
D The result is reported from a dilution.
E The result exceeded the linear range of the calibration or is estimated due to interference.
MC The result is below the Minimum Compound Limit.
* The result exceeds the Regulatory Limit or Maximum Contamination Limit.
m Manual integration was used to determine the area response.
N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P The second column confirmation exceeded 25% difference.
C The result has been confirmed by GC/MS.
X The result was not confirmed when GC/MS Analysis was performed.
B/MB+ , The analyte was detected in the associated blank.
G The ICB or CCB contained reportable amounts of analyte.
QC-/+ The CCV recovery failed low (-) or high (+):
R/QDR The RPD was outside of accepted recovery limits.
QL-/+ The LCS or LCSD recovery failed low (-) or high (+).
QLR The LCS/LCSD RPD was outside of accepted recovery limits.
QM-/+ The MS or MSD recovery failed low (-) or high (+). •
QMR The MS/MSD RPD was outside of accepted recovery limits.
QV-/+ The ICV recovery failed low (-) or high (+).
S The spike result was outside of accepted recovery limits.
Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND
QC
MB
LCS
LCSD
QCS
DUP
MS
MSD
RPD
ICV
ICB
CCV
CCB
RLC
DF
Not Detected
Quality Control
Method Blank
LaboratoryControl Sample
Laboratory Control Sample Duplicate
Quality Control Sample
Duplicate
Matrix Spike
Matrix Spike Duplicate
Relative Percent Different
Initial Calibration Verification
Initial Calibration Blank
Continuing Calibration Verification
Continuing Calibration Blank
Reporting Limit Check
Dilution Factor
RL Reporting Limit
MDL Method Detection Limit
LOD Level of Detection
LOQ Level of Quantitation
PQL Practical Quantitation Limit
CRQL Contract Required Quantitation Limit
PL Permit Limit
RegLvl Regulatory Limit
MCL Maximum Contamination Limit
MinCL Minimum Compound Limit
RA Reanalysis
RE Reextraction
TIC Tentatively Identified Compound
RT Retention Tinie
CF Calibration Factor
RF Response Factor
This list of Qualifiers,and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative -for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 3 of 8

�1
Summit Environmental Technologies, Inc.
3310 Win St.
ENVIRONIaiE ITAL IFECIZ JO LOGI irit - Cuyahoga Falls, Ohio 44223
lime? tW! Laboraioal.? TEL: [phone] FAX [phone]
Website: http:/Iwww.settekcom
Workorder
Sample Summary
WO#: 16020214
13-Feb-16
CLIENT:
Project:
Synagro
Dunn WTP
Lab SamplelD Client Sample ID
16020214-001 Dunn WTP
Tag No Date Collected
2/1/2016 3:30:00 AM
Date Received
2/3/2016 12:00:00 PM
Matrix
Solid
Page 4 of 8

Summit Environmental Technologies, Inc.
3310 Win St.
isS, 1110tlMENTAL TEC NOLdO7_� iN . Cuyahoga Falls, Ohio 44223
Anair4•ir., P Lai;praa'r rkn TEL: [phone] FAX: [phone]
Website: http://www.settekcon:
Analytical Report
(base report)
WO/: 16020214
Date Reported: 2/13/2016
CLIENT:
Matrix:
Lab ID:
Project:
Synagro
SOLID
16020214-OO1A
Dunn WTP
Client Sample ID Dunn WTP
Tag Number:
Collection Date: 2/1/2016 3:30:00 AM
Analyses
Result RL Qual Units
DF Date Analyzed
RCI
PH (SW9045D)
pH
SW9045D
5.56 s.u.@19.1 C
1
Analyst: DHC
2/8/2016 2:20:00 PM
Qualifiers:
H
MC
ND
R
U
Value exceeds Maximum Contaminant LeveL
Holding times for preparation or analysis exceeded
Value is below Minimum Compound Limit
Not Detected at the Reporting Limit
Second column confirmation exceeds
RPD outside accepted recovery limes
Samples with CalcVal< MDL
E
M
N
0
PL
RL
I
Value above quantitation range
Manual Integration used to determine area response
Tentatively identified compounds
RSD is greater than RSDlimit
Permit Limit
Reporting Detection Limit
Analyte detected below quantitation limits
Original
Page 5 of 8

eviaommENTAL TECKCILQGIE
Art i,iap gtraigrie6
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: htty://www.settekcom
WO#:
Date Reported:
Company:
Address:
TCLP Metals Analysis (6010)
Received:
Project#:
16020214
2/13/2016
Synagro
284 Boger Rd.
Mocksville NC 27028
2/3/2016
Dunn WTP
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
001 2/1/2016 TCLP Arsenic(As)
001 2/1/2016 TCLP Barium(Ba)
001 2/1/2016 TCLP Cadmium(Cd)
001 2/1/2016 TCLP Chromium(Cr)
001 2/1/2016 TCLP Lead(Pb)
001 2/1/2016 TCLP Selenium(Se)
001 2/1/2016 TCLP Silver(Ag)
0.500 ND mg/L Solid EPA 6010 C 1 5.00 2/5/2016 WK
5.00 ND mg/L Solid EPA 6010 C 1 100 2/5/2016 , VVK
0.100 ND mg/L Solid EPA 6010 C 1 1.00 2/5/2016 WK
0.200 ND mg/L . Solid EPA 6010 C 1 5.00 2/5/2016 WK
0.500 ND mg/L Solid EPA 6010 C 1 5.00 2/5/2016 WK
0.500 ND mg/L Solid EPA 6019 C 1 1.00 2/5/2016 WK
0.500 ND mg/L Solid EPA 6010 C 1 5.00 2/5/2016 WK
TCLP Mercury Analysis (1311/7470)
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
Dunn. WTP
001 2/1/2016 TCLP Mercury
0.00200 ND mg/L
Solid EPA 7470 A 1 0.200 2/11/2016 MFW
SVOC SW-846: 8081-TCLP Pesticides
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
001
001
001
001
001
001
001
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
Chlordane, total
Toxaphene
Endrin
gamma-BHC
Heptachlor
Heptachlor epoxide
Methoxychlor
0.0250 ND mg/L Solid EPA 8081 B 1
0.0500 ND mg/L Solid EPA 8081 B 1
0.00250 ND mg/L Solid EPA 8081 B 1
0.00250 ND mg/L Solid EPA 8081 B 1
0.00250 ND mg/L Solid EPA 8081 B 1
0.00250 ND mg/L Solid EPA 8081 B 1
0.00250 ND mg/L Solid EPA 8081 B 1
VOC by GC/MS (8260)-TCLP
0.0300
0.500
0.0200
0.400
0.00800
0.00800
10.0
2/8/2016
2/8/2016
218/2016
2/8/2016
2/8/2016
2/8/2016
2/8/2016
JBN
JBN
JBN
JBN
JBN
JBN
JBN
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
Dunn WTP
001
001
001
001
001
001
001
001
001
001
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
1,1-Dichloroethene
1,2-Dichloroethane
MEK
Benzene
Carbon tetrachloride
Chlorobenzene
Chloroform
Tetrachloroethene
Trichloroethene
Vinyl chloride
0.100 ND mg/L Solid EPA 8260 B 1
0.100 ND mg/L Solid EPA 8260 B 1
2.00 ND mg/L Solid EPA 8260 B 1
0.100 , ND mg/L Solid EPA 8260 B 1
0.100 ND mg/L Solid EPA 8260 B 1
0.100 ND mg/L Solid EPA 8260 B 1
0.100 ND mg/L Solid EPA 8260 B 1
0.100 ND mg/L Solid EPA 8260 B 1
0.100 ND mg/L Solid EPA 8260-B 1
0.200 ND mg/L Solid EPA 8260 B 1
0.700
0.500
200
0.500
0.500
100
6.00
0.700
0.500
0.200
2/5/2016
2/5/2016
2/5/2016
2/5/2016
2/5/2016
2/5/2016
2/5/2016
2/5/2016
2/5/2016
2/5/2016
MES
MES
MES
MES-
MES
MES
MES
MES
MES
MES
Page 6 of 8

Summit Environmental Technologies, Inc.
3310 Win St.
t'alztStdP.7EtiTALIECH;NOLonl F.,.MC, Cuyahoga Falls, Ohio 44223
1.6 05-31Mi;rt; TEL: ?330) 253-8211 FAX: [phone]
Website: http://www.settelccom
WO#: 16020214
Date Reported: 2/13/2016
Company: Synagro
Address: 284 Boger Rd.
Mocksville NC 27028
Received: 2/3/2016
Project#: Dunn WTP
SVOC 8270 TCLP BNA List
Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
Dunn WTP 001 2/1/2016 1,4-Dichlorobenzene 0.200 ND mg/L Solid EPA 8270 C 2 7.50 2/9/2016 MO
Dunn WTP 001 2/1/2016 2,4,5-Trichlorophenol 0.500 ND mg/L Solid EPA 8270 C 2 400 2/9/2016 MO
Dunn WTP 001 2/1/2016 2,4,6-Trichlorophenol 0.500 ND mg/L Solid EPA 8270 C 2 2.00 2/9/2016 MO
Dunn WTP 001 2/1/2016 2,4-Dinitrotoluene ' 0.200 ND mg/L Solid EPA 8270 C 2 0.130 2/9/2016 MO
Dunn WTP 001 2/1/2016 Cresols, Total 10.0 ND mg/L Solid EPA 8270 C 2 200 2/9/2016 MO
Dunn WTP 001 2/1/2016 Hexachloro-1,3- 0.200 ND mg/L Solid EPA 8270 C 2 0.500 2/9/2016 MO
butadiene
Dunn WTP 001 2/1/2016 Hexachlorobenzene 0.200 ND mg/L Solid EPA 8270 C 2 0.130 2/9/2016 MO
Dunn WTP 001 2/1/2016 Hexachloroethane 0.200 ND mg/L Solid EPA 8270 C 2 3.00 2/9/2016 MO
Dunn WTP 001 2/1/2016 Nitrobenzene 0.200 ND mg/L Solid EPA 8270 C 2 2.00 2/9/2016 MO
Dunn WTP 001 2/1/2016 Pentachlorophenol 0.500 ND mg/L Solid EPA 8270 C 2 100 2/9/2016 MO
Dunn WTI? 001 2/1/2016 Pyridine 0.500 ND mg/L Solid EPA 8270 C 2 5.00 2/9/2016 MO
SVOC SW 846: 8321 Herbicides-TCLP
client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
Dunn WTP 001 2/1/2016 2,4-D 5.00 ND mg/L Solid EPA 8321 A 1 10.0 2/9/2016 BJH
Dunn WTP 001 2/1/2016 2,4,5-TP 0.500 ND mg/L Solid EPA 8321 A 1 1.00 2/9/2016 BJH
Page 7 of 8

,1 f UC IRON�a1E T L ECHN Lo
Summit Environmental Technologies, Inc.
3310 Win St.
MIC Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http://wwiv.settekcom
WO#:
Date Reported:
Company:
Address:
Received:
Project#:
16020214
2/13/2016
Synagro
284 Boger Rd.
Mocksville NC 27028
2/3/2016
Dunn WTP
Client ID# Lab ID# Collected Analyte Result Units
Matrix Method DF RL Run Analyst
Dunn WTP
Dunn WTP
Dunn WTP
001 2/1/2016 Flashpoint (140°F)
001 2/1/2016 Cyanide, Reactive
001 2/1/2016 Sulfide, Reactive
>140 °F
ND mg/Kg
ND mg/Kg
Solid EPA 1010 1 2/11/2016 TAH
Solid EPA 9014 1 0.500 2/9/2016 MS
Solid EPA 9034 1 25.0 2/9/2016 MS
Page 8 of 8

il
Summit Environmental Technologies, Inc. Analysis'Request/Chain of Custody
3310 Win Street For Summit Environmental Technologies, Inc. use only
Cuyahoga Falls, Ohio 44223 Tel: [phone] Fax: [phone] Page —..._.of--- s>~r No.
Company Name (Please Print) —
Project Name
LI
'
o
U
I
n
`3
Analytical Parameters
and .Methods
Company Address i
YI/t6Ckbs.n k l'VC
Project Address
c
. ;
s
+_3
i1
41a
4,c11
-
,
ar
i
1
Client Phone N
Report tof 40A,p
YeXASVI
Client Fax
No, - Pleas 0pp#
Client Email
rlease Email Results J
No.
j/Qnote
jvbwtnQ $4 wtr,"--.
Contact Perso J
p
Sampled by
Check if Ohio VAP samples ti''-
Sample Identificatioa
late
Collected
Time
Collected
5L
LC.
1
Date Time
AleeitA
—lece red by:
Received in lab by:
Time
4711
/( t/Zsea
Rtlab RequestedHy:
Mus be approved
Date try lath manager
Notes/Comments:
White and yellow pages should accompany samples to the laboratory The client retains the pink page.
81496

DC,7
•Rfric 14
DM el
' . Summit Environmental Technologies, Inc.
Cooler Receipt Form
InItiale of person inspecting boater and earnples:
ti
Client Order Numbec ota07,1q
Date Received. *lilt
Number of Coolers/Boxes: Time Recekred: 1140 on. cooler(*) ciperied end tramples Inspected:
N/A
MOW UPS OHL /Vborne US Postal Walk.in Pickup Other
Packaging: Peanuts Illiae Paper Foam None Other
Tope on cooler/box
Custody Seals intact
C-0-CJI plastic
Ice BIOS ice
gq3
N N/A
Crtte)
N N/A
present / absent / melted N/A
Semple Temperature IR Gtm 010020459 CF *C • 3i1 NIA
Radiological Testing instrument serial #35127 Y
(500 page 2 for scan results)
"Use 1 sheet per maple for Radiological Testing. if aamPie is HOT, the Radiological Safety Officer must be notified
Imnsedialaly.
C-0-C filled out property
Samples in separate bags •
'Sample containers intact*
'if no. list broken srunple(s):
N
N
N/A
WA
N/A
Sample !bet(s) complete.(lD. dale, etc.)
Labal(s)egree ;MTh C-O-C
Comet containers used
Sufficient sample received
Samples T *mind within baking time
Bubbles absent from 40 rra. vials"
" Simplex %OM bubblers c6mm are acceptable. Indicate bubble size if >6mm.
Was client contacted about simplesY
WU dient fiend pew samplesY
Client contact
OstefTimer
Logged in by.
Comma Ms:
N
N
N/A
• NA
N/A
WA
Page 1 of 2

UMMI
ENVIRONMENTAL Tr' tdOLOGIE , tl4y
�.-.; 4 s` T y°ik.va LAboraforks
February 15, 2016
Chris Brown
Synagro.
284 Boger Rd.
Mocksville, NC 27028
TEL: (336), 998-7150
FAX: [phone]
RE: Dunn WWTP
Dear Chris Brown:
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http://www.settekcom
Order No.: 16020216
Summit Environmental,Technologies, Inc. received 1 sample(s) on 2/3/2016 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
' except where noted.
If you have any questions regarding these tests results, please feel free to call the
laboratory.
Sincerely,
Bachar Najm
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
A2LA 0724.01, Alabama 41600, Arizona AZ0788, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC
E87688, Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank)
3, Kentucky 90146, Louisiana 04061 and LA12004, Maine 2012015, Maryland 339, Massachusetts M-OPH923, Minnesota 409711, Montana CERT0099,
New Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and 631, Ohio Drinking Water 4170, Ohio VAP CL0052, Oklahoma
9940, Oregon OH200001, Rhode Island LA000317, South Carolina 92016001, Tennessee TN04018, Texas T104704466-11-5, Region 8 STMS-L,
USDA/APHIS P330-11-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and 1581, Washington C891, West Virginia 248 and 9957C
and E87688, Wisconsin399013010
Page 1 of 8

3310 Win St.
ENVIRONMENTAL TECHNOLOGIES, INN. Cuyahoga Falls, Ohio 44223
Amid :ir, zl TEL: [phone] FAX [phone]
Website: http://www.settekcom
Summit Environmental Technologies, Inc.
MARI
Case Narrative
WO#:
Date:
16020216
2/15/2016
CLIENT:
Project:
Synagro
Dunn WWTP
This report in its entirety consists of the documents listed below. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Paginated Report including Cover Letter, Case Narrative, Analytical Results, Applicable Quality
Control Summary Reports, and copies of the Chain of Custody Documents are supplied with this
sample set.
Concentrations reported with a J-Flag in the Qualifier Field are values below the Limit of Quantitation
(LOQ) but greater than the established Method Detection Limit (MDL).
Method numbers, unless specified as SM (Standard Methods) or ASTM, are EPA methods.
Estimated uncertainty values are available upon request.
Analysis performed by DBM, VRM, or SFG were performed at Summit Labs 2704 Eatonton Highway
Haddock, GA 31033
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
Summit Environmental Technologies, Inc., holds the accreditation/certifications listed at the bottom of
the cover letter that may or may not pertain to this report.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
This report is believed to meet all of the requirements of NELAC or the accrediting / certifying agency.
Any comments or problems with the analytical events associated with this report are noted below.
Original
Page 2 of 8

Summit Environmental Technologies, In
3310 Win S.
l:>.WIRONVI t.IT.4LTECH OLGIal $,INC Cuyahoga Falls, Ohio4422
a _ ! A:.aiy. iicai 4.:71,7or,jk, v;:i TEL: [phone] FAX [phone]
Website: http://www.settekca
Qualifiers and Acronyms
WO#:
Date:
16020216
2/15/2016
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
J
13
D
E
MC
m Manual integration was used to determine the area response.
N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P The second column confirmation exceeded 25% difference.
C The result has been confirmed by GC/MS.
X The result was not confirmed when GC/MS Analysis was performed.
B/MB+ The analyte was detected in the associated blank.
G The ICB or CCB contained reportable amounts of analyte.
QG/+ The CCV recovery failed low (-) or high (+).
R/QDR The RPD was outside of accepted recovery limits.
QL-/+ The LCS or LCSD recovery failed low (-) or high (+).
QLR The LCS/LCSD RPD was outside of accepted recovery limits.
QM-/+ The MS or MSD recovery failed low (-) or high (+).
QMR The MS/MSD RPD was outside of accepted recovery limits.
QV -I+ The ICV recovery failed low (-) or high (+).
S The spike result was outside of accepted recovery limits.
Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
U The compound was analyzed for but was not detected.
The reported value is greater than the Method Detection Limit but less tlian the Reporting Limit.
The hold time for sample preparation and/or analysis was exceeded.
The result is reported from a dilution.
The result exceeded the linear range of the calibration or is estimated due to interference.
The result is below the Minimum Compound Limit.
The result exceeds the Regulatory Limit or Maximum Contamination Limit.
Acronyms
ND
QC
MB
LCS
LCSD
QCS
DUP
MS
MSD
RPD
ICV
ICB
CCV
CCB
RLC
DF
Not Detected
Quality Control
Method Blank
Laboratory Control Sample
Laboratory Control Sample Duplicate
Quality Control Sample
Duplicate
Matrix Spike
Matrix Spike Duplicate
Relative Percent Different
Initial Calibration Verification
Initial Calibration Blank
Continuing Calibration Verification
Continuing Calibration Blank
Reporting Limit Check
Dilution Factor
RL Reporting Limit
MDL Method Detection Limit
LOD Level of Detection
LOQ Level of Quantitation
PQL Practical Quantitation Limit
CRQL Contract Required Quantitation Limit
PL Permit Limit
RegLvl Regulatory Limit
MCL Maximum ContaminationLimit
MinCL Minimum Compound Limit
RA Reanalysis
RE Reextraction
TIC Tentatively Identified Compound
RT Retention Time
CF Calibration Factor
RF Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 3 of 8

3310 Win St.
ENVIROINIMPITALT2C tNt]LOgalfla, &Pt' Cuyahoga Falls, Ohio 44223
Anzlytical tabomfo'rkr: TEL: [phone] FAX: [phone]
Website: http://www.settekcom
Summit Environmental Technologies, Inc.
MMI
Workorder
Sample Summary
WO#: 16020216
15-Feb-16
CLIENT:
Project:
Synagro
Dunn WWTP
Lab SampleID Client Sample ID
16020216-001 Dunn WWTP
Tag No Date Collected
2/1/2016 4:10:00 PM
Date Received Matrix
2/3/2016 12:00:00 PM Solid
Page 4 of 8

Summit Environmental Technologies; Inc.
3310 Win St.
EN'arlrRChll+alEN lAL T-ECEMLOGL=5, Th r4a. Cuyahoga Falls, Ohio 44223
4,nety1b ter' { 013:Praivii05 TEL: [phone] FAX: [phone]
Website: http://www.settekcom
Analytical Report
(base report)
WO#: 16020216
Date Reported: 2/15/2016
CLIENT: Synagro
Matrix: SOLID
Lab ID: 16020216-OO1A
Project: Dunn WWTP
Client Sample ID Dunn WWTP
Tag Number:
Collection Date: 2/1/2016 4:10:00 PM
Analyses
Result RL Qual Units
DF Date Analyzed
RCI
PH (SW9045D)
pH
SW9045D
3.00 s.u.@18.7C
1
Analyst: DHC
2/9/2016 4:10:00 PM
Qualifiers:
H
MC
ND
P
R
U
Value exceeds Maximum Contaminant LeveL
Holding times for preparation or analysis exceeded
Value is below Minimum Compound Limit.
Not Detected at the Reporting Limit
Second column confirmation exceeds
RPD outside accepted recovery limits
Samples with CalcVal < MDL
M
N
0
PL
RL
I
Value above quantitation range
Manual Integration used to determine area response
Tentatively identified compounds
RSD is greater thanRSDlimit
Permit Limit
Reporting Detection Limit
Analyte detected below-quantitation limits
Original
Page 5 of 8

EaIROPINIENTALrEC'r'61OLoG1=:o,IhC
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http://www.settekcom
WO#:
Date Reported:
Company:
Address:
TCLP Metals Analysis (6010)
Received:
Project#:
16020216
2/15/2016
Synagro
284 Boger Rd.
Mocksville NC 27028
2/3/2016
Dunn WWTP
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Dunn WNTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
001 2/1/2016 TCLP Arsenic(As)
001 2/1/2016 TCLP Barium(Ba)
001 2/1/2016 TCLP Cadmium(Cd)
001 2/1/2016 TCLP Chromium(Cr)
001 2/1/2016 TCLP Lead(Pb)
001 2/1/2016 TCLP Selenium(Se)
001 2/1/2016 TCLP Silver(Ag)
0.500 ND mg/L Solid EPA 6010 C 1 5.00 2/5/2016 WK
5.00 ND mg/L Solid EPA 6010 C 1 100 2/5/2016 WK
0.100 ND mg/L Solid EPA 6010 C 1 1.00 2/5/2016 WK
0.200 ND mg/L Solid EPA 6010 C 1 5.00 2/5/2016 WK
0.500 ND mg/L Solid EPA 6010 C 1 5.00 2/5/2016 WK
0.500 ND mg/L Solid EPA 6010 C 1 1.00 2/5/2016 WK
0.500 ND mg/L Solid EPA 6010 C 1 5.00 2/5/2016 WK
TCLP Mercury Analysis (1311/7470)
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Dunn WWTP
001 2/1/2016 TCLP Mercury
0.00200 ND mg/L
Solid EPA 7470 A 1 0.200 2/11/2016 MFW
SVOC SW 846: 8081-TCLP Pesticides
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
001
001
001
001
001
001
001
2/1/2016
�/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
Chlordane, total
Toxaphene
Endrin
gamma-BHC
Heptachlor
Heptachlor epoxide
Methoxychlor
0.0250 ND mg/L Solid EPA 8081 B, 1 0.0300 2/8/2016 JBN
0.0500 ND mg/L Solid EPA 8081 B 1 0.500 2/8/2016 JBN
0.00250 ND mg/L Solid EPA 8081 B 1 0.0200 2/8/2016 JBN
0.00250 ND mg/L Solid EPA 8081 B 1 0.400 2/8/2016 JBN
0.00250 ND mg/L Solid EPA 8081 B 1 0.00800 2/8/2016 JBN
0.00250 ND mg/L Solid EPA 8081,E 1 0.00800 2/8/2016 JBN
0.00250 ND mg/L Solid EPA 8081 B 1 10.0 2/8/2016 JBN
VOC by GC/MS (8260)-TCLP
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
001
001
001
001
001
001
001
001
001
001
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
1,1-Dichloroethene
1,2-Dichloroethane
MEK
Benzene
Carbon tetrachloride
Chlorobenzene
Chloroform
Tetrachloroethene
Trichloroethene
Vinyl chloride
0.100 ND mg/L Solid EPA 8260 B 1 0.700 2/5/2016
0.100 ND mg/L Solid EPA 8260 B 1 0.500 2/5/2016
2.00 ND mg/L Solid EPA 8260 B 1 200 2/5/2016
0.100 ND mg/L Solid EPA 8260 B 1 0.500 2/5/2016
0.100 ND mg/L Solid EPA 8260 B 1 0.500 2/5/2016
0.100 ND mg/L Solid EPA 8260 B 1 100 2/5/2016
0.100 ND mg/L Solid EPA 8260 B 1 6.00 2/5/2016
0.100 ND mg/L Solid EPA 8260 B 1 ' 0.700 2/5/2016
0.100 ND mg/L Solid EPA 8260 B 1 0.500 2/5/2016
0.200 ND mg/L Solid EPA 8260 B 1 0.200 2/5/2016
MES
MES
MES
MES
MES
MES
MES
MES
MES
MES
Page 6 of 8

t;NV1ROT1?el £11TAL TEC:HMOL0131=5, 3i11C
Anziyiiczi i..abosaiosles TEL: [phone] FAX: [phone]
Website: http://www.settekcom
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
WO#:
Date Reported:
Company:
Address:
SVOC 8270 TCLP BNA List
16020216
2/15/2016
Synagro
284 Boger Rd.
Mocksville NC 27028
Received: 2/3/2016
Project#: Dunn WWTP
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
Dunn WWTP
001
001
001
001
001
001
001
001
001
001
001
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
2/1/2016
1,4-Dichlorobenzene
2,4,5-Trichlorophenol
2,4,6-Trichlorophenol
2,4-Dinitrotoluene
Cresols, Total
Hexachloro-1,3-
butadiene
Hexachlorobenzene
Hexachloroethane
Nitrobenzene
Pentachlorophenol
Pyridine
0.200
0.500
0.500
0.200
10.0
0.200
0.200
0.200
0.200
0.500
0.500
ND mg/L
ND mg/L
ND mg/L
ND mg/L
ND mg/L
ND mg/L
ND mg/L
ND mg/L
ND mg/L
ND mg/L
ND mg/L
Solid
Solid
Solid
Solid
Solid
Solid
Solid
Solid
Solid
Solid
Solid
SVOC SW-846: 8321 Herbicides-TCLP
EPA 8270 C
EPA 8270 C
EPA 8270 C
EPA 8270 C
EPA 8270 C
EPA 8270 C
EPA 8270 C
EPA 8270 C
EPA 8270 C
EPA 8270 C
EPA 8270 C
2
2
2.
2
2
2
2
2
2
2
2
7.50
400
2.00
0.130
200
0.500
0.130
3.00
2.00
100
5.00
2/9/2016 MO
2/9/2016 MO
2/9/2016 MO
2/9/2016 MO
2/9/2016 MO
2/9/2016 MO
2/9/2016 MO
2/9/2016 MO
2/9/2016 MO
2/9/2016 MO
2/9/2016 MO
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Dunn WWTP
Dunn WWTP
001 2/1/2016 2,4-D
001 2/1/2016 2,4,5-TP
5.00
0.500
ND mg/L
ND mg/L
Solid EPA 8321 A 1 10.0 2/9/2016 BJH
Solid EPA 8321 A 1 1.00 2/9/2016 BJH
Page 7 of 8

ENVIRONMENTAL ifEes-,NLaM=5, 9"ses
4r,sh•ccaiL,'.: ` rd' s
� aa0ti'C'•s
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http:/Avww.settekcom
WO#: 16020216
Date Reported: 2/15/2016
Company: Synagro
Address: 284 Boger Rd.
Mocksville NC 27028
Received: 2/3/2016
Project#: Dunn WWTP
Client ID# Lab ID# Collected Analyte Result Units
Matrix Method DF RL Run Analyst
Dunn WWTP
Dunn WWTP
Dunn WWTP
001 2/1/2016 Flashpoint (140°F)
001 2/1/2016 Cyanide, Reactive
001 2/1/2016 Sulfide, Reactive
>140 °F
ND mg/Kg
ND mg/Kg
Solid EPA 1010 1 2/11/2016 TAH
Solid EPA 9014 1 0.500 2/9/2016 MS
Solid EPA 9034 1 25.0 2/9/2016 MS
Page 8 of 8

Summit Environmental Technologies, Inc,
3310 Win Street
Cuyahoga Falls, Ohio 44223 Tel: [phone] Fax: [phone]
Analysis Request/Chain of Custody
8g For Summit Environmental Technologies, Inc. use only
Page of ICF.T .In
Com .any Name (please Print)
Y12
Project Name
�V
nitCorp
t,,1
E'
a
_—+ ..'
Analytical Parameters and Methods
' Add s
5S V " {
�SV t1
Project Address
-
Matrix: S=Solid, L=Liquid, 0=0i1
SL=Siudge, A=Air, DW=Dri�ug Water
'4
E
2
I
Client Phone No a
l
07� 49
Re to
Re
Client Fax
No
e Fa u cPait
Client Email qJ
CaStlll .►Quote
No.
Contact Pc iir
mgrtuolin
Sampled b
Check if Ohio VAP samples/
NI
-#
Sample identification
Date
• Collected
Time
Collected'
,PAewk WV"?
JMeow neck Anal)•iicui$m f�
i
tip
Z$Z1G• Oo 1
52rX.--Y:
date
2/911.
me,
Received by:
Dateti
lime
Time
Rush Requested By:
Date
MLA be approved
by lab manager •
Notes/Comments:
White and yellow pages should accompany samples to the laboratory The dicta retains the pink page,

Dc 7
R.fr 14
sins
Summit Environmental Technologies, Inc.
Cooler Receipt Form
Initiate of person inspecting cooler and eemples:, ext.
Client:. Order Number 1 (1)Q 2.
pate Received' �i l/ Tine Received: I WU Dab coals*) opened and aarnplea • inspekgsd;
Number of Coolers/Boxes: WA
:Shipper 1 , UPS OHt. Airborne US Postal Walk -In Pickup Other:
Packaging: Peanuts gabIS5IP Paper Foem None Other.
Tapp on coolerbox C1113N N/A
Custody Seale intact Y N
C-O.0 hi pluck "Z N WA
ice % Slue Ice present / absent / molted ' WA
Sample Temperature iR Gun d?16020459 CF 0 . °C. • lb& .0
•WA
Radiological Trading Instrument serial 495127 Y N
(see paps 2 for scan results)
'Nap i ghost per sample for Radlolopicsl Testing, It sample Is HOT, the Radiological Safely Officer must be nottlled
Immorality. •
C-04 fined ore property
Umpires In separate bags _
Sample containers intact*
'1f no. list broken sampls(e):
•
N
N
N
N/A
WA
WA
Sample libel(s) complete (D. date. etc.).
Label(e) agree with
cQrrect containers used
Suficientsampte received
Samples received within holding tine
Bubbles absent from 40 mt. vials"
" Garn131011 wish bubbles wemm are acceptable. Indicate bubble elze If>6mm.
Was client contacted about samples Y N
Wdl client send new samples Y N
Client contact:
pate/Time:
togged in by:
Comments:
N
N
N
N
N
WA
N/A
N/A
Page I of 2

Cameron Testing Services, inc. Laboratory Report
DENR #654
NC PITHS #37799
US EPIA#NC01918
,Client.::. Synagro CTS Prof: 160055
Project: Dunn WTP _ Regulatory Yes
Sample Information ,
Sampled W. Varner
Date. 01/12116 ReceivedJ. Cameron _Date 01/12/16
Analyses and Results
160055 01
a
b
C
d
e
f
9
BludgE Gr
Anatyte
Result
C..
Std ,1 :mods
=
Reference
Fee. Caliform-S <40900 crwg 40900 01/13/16 CSC 9222D - MF
<41500 CFUrg 41500
<43000 GFu/g 43000
<43600 cruse 43600
<42600 CEUrg 42600
<41300 crurg 41300
<43100 emus 43100
Geomeen <42300
TS (%) 2.26% 0.01 01/19/16 CSC 2540; G -TS
2.27% °�u 0,01
2.25% % 0,01
2.25% 0.a1
2.24% % 001
2.26% 0,4. 001
2.24% % 0.o1
Report
Review
219 S. Steele Sir.
Sanford NC 27330
o(/ 2 MI
Date
! 919 208-4240
chris(Jcanierontesting.com

219 S. Steele Str.
Sanford, NC 27330
Dhnnn• Cl4Q_9l1A_d7[
Cameron Testing Services, inc.
NC WW/GW Cert.#654 NC PHHS Cert#37799 US EPA NC01916
Chain of Custody
Page of
Company :
Synagr0 `Email:
agro.com
CTS lab;.USe�only
Fz.,....
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��,-,—t/
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336 909-8627 •
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Rush work will require prior approval. Additional charges will apply

JCameron Testing Services, Inc. L boratory Report
•
NC DENR #654
NC PHHS #37799
US Ei?A#NC01918
Client: - Synagro CTS1,3ro. 160056
Projeot'.. . Dunn WWTP Regulatory:. Yes
...,7 ,
e
Sample I formation
Sampled: W. Varner Pate - ' 0 112116 .Received j, Cameron Date. 01/12/16
Analyses nd Results
.. ..
. :
• . ,X Q. .0 ,
Lab:113 ••--f•Sample113:::.'.v...::•,-,-,-::.:•gor: -. g , •••-lu -f' ..
- • .... . ,..
"rf ••'.,•••. r,•••- '.••,••„•.f-r, ; .•• ',1."',e2;..-,-..p,.,!,.....:;:
. 'i: j:'..,t':i•P.:1„:.f,‘r; -, . , ..:- _
160056 01
160056 01
Report
Review
naly- te• • Result E E
15 0
ct
Std. Methods
• .Retemnce
. - •
i •
a SludgE Gr ,Fe Coliform-S <37300 CF0/0 37300 01/13/16 . CSC 922E) - MF
b <80200 CFUIg 80200
<49900 CFUrg 49900
<55800 OFU/g 55800
e <85400 CFU/g 85400
f <67000 cru/0 670009 . •
<46600 crufg 46600
eomean <58000
a 3ludgE Or TS (%) 5.11D/0 % 0.01 bin 9/16 CSC 2540 G -TS
b 2.33 °/0 % 0.01
3.97%
% 0.01
d 3.59% 001
2,19% % 0,01
f 2,87%
Lab Director
4.05% 001
o I/24 N
Date
219 S. Steele Str,
Sanford NC 27330
919-208-4240
chris2'ca0erontesting. cam

219 S. Steele St.
Sanford, NC 27330
Cameron Testing Services, Inc.
NC WW/GW Cert. #654 NC PHHS Cert # 37799 US EPA NC01918
Chain of Custody
Page of
Hnone: 1V-Z{..10-41•LLFU
900an
(-
Synag ro !Email:
-AwaffieFLasy,i4eFe,earn---
.
_ - CTVIab Use:only.;:,,. -.
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336-909-8627
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' -t-'-1-, -De effint
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•
'
Rush work will require prior approval. Additional charges will apply

Black River Wastewater Treatment Plant
City of Dunn
2015
April 2015 Vector Attraction
Rec.—..77
Holding Tank—..67
.77-.67 = 40%
.77-(.77x.67)
September 2015 Vector Attraction
Rec.—.72
Holding Tank—.60
. 72 - . 60 = 42
.72 - (.72 x.60)

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 11-13
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 website at:
http://portal.ncdenr.org/web/wq/aps/lau
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 .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 11-13 or FORM: SDR 11-13).
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 11-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) 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.
3. 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:
Required Item
Status Code
N
R
T
M
County Board
Notification.doc
kr
. =
✓
✓
✓
*
Land Owner
Agreement
(If applicable)
✓
If
✓
✓
Setback Waiver
Agreement ,
An updated
for Residuals
vicinity/setback map in accordance with the "Map Guidance
✓
✓
✓
Land Application Permits"
A soils and
agronomic evaluation in accordance with the "Soil Scientist
✓
*
Evaluation Policy"
An updated accounting of the land application site's cumulative
/
✓
pollutant loading rates (CPLRs) `
INSTRUCTIONS FOR FORM: LASC 11-13
Page 1 of 3

Required Item •
Status Code
N
. R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
✓
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted 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)
• Aerial Photography with Ground Control (AER)
• Cadastral Survey (SUR)
• Conversion from Coordinate Plane (CP)
• Conversion from Township -Section -Range (TSR)
• Conversion from Universal Trans Merc (UTM)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
• Digital or Raw Photo Extraction (EXT)
• Geodetic Quality GPS Survey (GEO)
• LORAN-C Navigation Device (LOR)
• Navigation Quality GPS (GPS)
• Remote Sensing (RS)
• Zip Code Centroid (ZIP)
® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
® Surface water body classifications information may be found at: http://portal.ncdenr.org/web/wq/ps/csu
® Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http://portal.ncdenr.org/web/wq/home/ro
® 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 11-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://h2o.enr.state.nc.us/bims/reports/reportsWB.html. If this link does not work, open
http://portal.ncdenr.org/web/wq/ps/csu/classifications and download weekly -updated classification lists for named
waterbodies.
® Stream Classification Process: One of the options below may be used depending on the known initial project information.
® KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
Neuse
1. Select proper basin from the List all Waterbodies in
Hydrologically
J
Basin sorted
report. Sort hydrologically as this will provide the proper location descriptions if multiple
runs.
INSTRUCTIONS FOR FORM: LASC 11-13
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 WATERIS LOCATED
Alamance
1. Select the proper county from the List all Waterbodies m — county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
® UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
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."
Pasquotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 11-13
Page 3 of 3

LAND A PLICATION SITE CERTIFICATION
Applicant's name: City of Dunn
Land application sites currently certified: 59L1 net acres and Total to be certified: 209.8 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status Site/Field
Codes ID
N CU-10-1
N CU-10-2
N CU-10-3
N CU-10-4
N CU-10-5
T HA-08-08
T HA-08-09
R CU-34-1
R CU-34-2
R CU-34-3
R CU-34-4
R CU-34-5
Landowner(s) Lessee(s) or Operator(s)
Edwards, Ray
Edwards, Ray
Edwards, Ray
Edwards, Ray
Edwards, Ray
Dixon, Harold
Dixon, Harold
Eldridge, Harold
Eldridge, Harold
Eldridge, Harold
Eldridge, Harold
Eldridge, Harold
Net Acres County
Crop(s)
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope'
7.6 Cumberland
23.5 Cumberland
6.3 Cumberland
11.0 Cumberland
_ 6.8 Cumberland
55.2 Cumberland
Hay and Pasture
_ Hay and Pasture
Hay and Pasture
Hay and Pasture
Hay and Pasture
Autryville
Autryville
Autryville
Autryville
Autryville
AuA
AuA
AuA
AuA
AuA
18.3
22.2
40.5
Harnett
Harnett
Harnett
Row Crop
Hay and Pasture
Norfolk NoB
Norfolk NoB
4.8 Cumberland
4.0 Cumberland
4.3 Cumberland
6.2 Cumberland
9.7 Cumberland
29 Cumberland
Hay and Pasture
Hay and Pasture
Hay and Pasture
Hay and Pasture
Hay and Pasture
Goldsboro
Goldsboro
Goldsboro
Norfolk
Goldsboro
GoA
GoA
GoA
NoA
GoA
R HA-201-4 Hamilton Jr, Carl Hamilton, Ronnie
85.1 . Harnett
Row Crop
Wahee We
85.1 Harnett
FORM: LASC 11-13
Page 1

•
LAND APPLICATION SITE CERTIFICATION
D
CU-23-1
Lamm, Carlton R
Lamm, K
D
CU-23-2
Lamm, Carlton R
Lamm, K
D
CU-23-3
Lamm, Carlton R
Lamm, I'
D
CU-23-4
Lamm, Carlton R
Lamm, F
D
CU-23-5
Lamm, Carlton R
Latnm,1
D
CU-23-6
Lamm, Carlton R
Lamm,1
D
CU-23-7
Lamm, Carlton R
Lamm,
D
CU-23-8
Lamm, Carlton R
Lamm,
D
CU-23-9
Lamm, Carlton R
Lamm,
D
CU-23-10
Lamm, Carlton R
Lamm,
D
CU-23-11
Lamm, Carlton R
Lamm,
D
CU-23-12
Lamm, Carlton R
Lamm,
. D
CU-23-13
Lamm, Carlton R
Lamm'
D
CU-23-14
Lamm, Carlton R
Lamm
Rye, Allan
-
U I rrr -;., _
eia,
ARM. LASC 11-13
Kemp
Kemp
Kemp
Kemp
Kemp
•

11
n Am,'
SA-21-4
leas
SA21-8
SA-23-2
S
RTIFICAATION
Barefoot, Done Franklin
Barefoot, Donnie Franklin
Barefoot, Donnie Franklin
Barefoot, Donnie Franklin
Barefoot, Donnie Franklin
Status SA-23-3 Herrinb, R Pope, Andy
b tus Code for land Po Pope, And
Soil Series Name (i.e.
application pe: Addyy
•
`Mapping Unit must be Applitig, Cecil are: ♦ N (New)
II: AZ, Y consistent with
i 'etc.) the ♦ R (Renewed) ♦ M (Modified)
W E BOD AIM CLASS those used in County soil Surve
S�ICATIONS y (i.e.(iefora 2-8 / slope
Site/Field ID INFORMATION (See Instruction
Latitude
CU 34-4
HA-201
rote: Please keep the site i.
12,11.' LASC 11-13 -
35° 9'28.15"
35° 24' 23"
35°24'IS"
35°14'5.79,,
35°14'15.38u
Location
Datum
7$°44 "
-.: 3001:.K�,
Sampson
Sampson
Sampson
Sampson
Sampson
Sampson
Sampson
Sampson
T (Transferred)
• D (Deleted)
Cecil in Anson County the mapping unit is CeB2)
C):
Location Method Code
Location Accuracy
Nearest Second
Nearest Second
Nearest Second
Nearest Second
Nearest Second
Nearest Second
Nearest Second
Nearest Second
78°41,32 " ADD Nearest Second
irriation (1.) aud-n'aterbody info ru D 83 _ ADD Nearest Second
(IL) ofthe same fireld on Oman Brame page-

of t°xtb Coup,
ralges°vrees
D
ent and o dater Resources
Department ofEnvironiv�sion
LAND FORM.I'®1���•1
l,;m.
Adherence to these
_fi- s are submitted. oust of additional
Resources
r of water R item am a for the
all required a and reduce the
'Division to ensure and review time checklist in order quicker review time al processing the a , ,lication and
the will help produce a q . lead to addition P co , ter of
instructions b a ores required items w�- one on roil and two the following the provided b all of a ca Shall submit please use and checking to submit the it
instructions Failure a noted Non-DischargeUnit website at:
tion requested. otherwise . ' permitting
informs Unless
permit application.entatibn Sections
su ort►n docum Quality permitting /�veb/�v /a Oafs d application o�
anon, visit the Water Q sites for land pp
ht :// ortat.ncdenr•or receiving 02T ,1100. Do not
For more inform of residuals l5A rICAO
d land ownex(s) accordance with
between the Applicant an Ap 11.13)•
agreement betty plant or other type residuals) i I actor
document is an agr ent p supporting doc�entation listed ; .
General —a corresponding apphcation form application and
residuals (may or reinclude water' treatment a copies of the app
Class B without o cop
ys agreement for review tone original and two ,
submit the Applicant shall submit
..form. Please do trot,
Unless otherwise noted, •' OA 11_13)• cation (FORM' LASC 11-13)
below. or due to space restrictions, attacbrnents to the
L refer.
Agreement (FORM: for clarity
A. Land Owner Ag riz and appropriately executed form. net Source
or
Submit the completed content changes to � enumbered to correspond to the section and item to which they
AS ed e, ents ar pirated b m. entity other than the
make any unauthorized as long as the attachments
lication sites that are owned or operated a be wades r
application m y ,
It Prepare a separate agreement for each set of lan app and the lessee/operator.
eement must be Provided to the landowner
Appheant' executed agr _. -- - ==•
A copy of the .completed and appropriately
PLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
NT FOR " -
•� AGREEMENT permits:
The undersigned landowner or his representative hereby p I ,
Applicant's name: 1 residuals from the following faeility(ies) onto ,the Following land
hereinafter referred to as the Permittee, to land app y
a lication site(s) (i.e., see attached setback maps) in accordance with the stipulations. and YeStPlCtion9 aS given in this
PP.
Agreement:
Special note
(no-seeil/
pasture)
The landowner or I'
Per land receives his representative rye receives, at. I
•This consideration, 1 ves
_ Ions the' ° 111 Cp1l9j r
Agreement shau uftbol$�d� atioI,i tuiI11
shall be renewe remain • ii
d each ti effectbilhe Apllentionij a
The ,undersberci
stipulations at1andowne r or his permit eeh etd"gt� of tit@ ®�9
FORM LOA 1.1 13 such time as written f`esebt�tj Div�1Bh iN p0 �er�b8�
e eild
too
_ gives 30 the
jePerhtiEtee a
dar d$ya to
a

Site ID:
Owners:
Operator:
Address:
Phone
Fields
!°
NC-CU
Ray Edwards
Ray Edwards
7001 Main Street'
Wade, NC 28395
[phone] (H)
Permitted
Acres
•
SITE SUMMARY
City of Dunn
Dunn, NC
[phone] (C)
Crop(s
Predominant
Brunswick RYE Soil Series
PAN/ac./yr. (map unit)
Latitude &
Longitude
1
7.6
Coastal
i Bermuda
270(H)
202(P)
Autryville
(AuA)
35° 09' 21" N
78° 44' 36" W
2
23.5
Coastal
Bermuda
270(H)
202(P)
Autryville
(AuA)
35° 09' 28" N
78° 44' 20" W
3
6.3
Coastal
Bermuda
270(H)
202(P)
Autryville
(AuA)
35° 09' 11" N
78° 44' 30" W
4
11.0
Coastal
Bermuda
270(H)
202(P)
Autryville
(AuA)
35° 09' 17" N
78° 44' 23" -W
5
6.8
Coastal
Bermuda '
!!
270(H)
202(P)
Autryville
(AuA)
35° 09' 13" N
78° 44' 21" W
ota
Notes:
55.2
Acres
Date: 5/15/16

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 11-13
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 website at:
http://portal.ncdenr.org/web/walaps/lau
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'tiis agreement for review without a corresponding application form (FORM: RLAP 11-13).
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 11-13):
V Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) 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.
tE 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: Or?" bg D
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 Parrttterns
Intended Use of Crops
N.
Residuals Source
(optional)
te
ote
no
no-tilllial seed/
pasture)
Chi/ �° - / ih
5-
xilo
it r N6feive
free( ii_di, jj►z e�
The landowner or his representative receives, in consideration, full use of' the nutrient value of the applied residuals while t
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 progra
-'shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide, with\ the following restri
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agre
FORM: LOA 11-13

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any'additional residuals appl•ication c n'tracts or agreements with another permitted
entity for the site(s) specified by this Agreement. 1 -
2. Should the landowner or his representative lease or otherwise permit the.use of the land'applicatioh site(s)_to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with theterms 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 dfff cancellation of this Agreement shall be immediately forwarded to NCDENR DWR, Non -Discharge Permitting Unit, 1636
Mail Service Center, Raleigh, NC 27699=1636.
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.
11
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 site1(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil p11 of at !least 6.0, unless an agrono °mist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop. 1
9. The landowner or his representative andithe 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.
RESTRICTIO S;
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 activiti-eIs 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 f 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.
DLALTERNATIVES FOR WATER SUPPLL YWELLS INSIDE ME COMPLIANCE BOUNDARY: (please check one)
15A NCAC 0211, .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 applications package)
gA re -defined compliance boundary is niot needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
f ❑ 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 11
13 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: 417, % d wavd s
Address: 706 ( {''(CI An 5+re -
City: bihtde
Phone:
Signature:
State:
)(
Zip: ggvG'0 6-
E-m address:
Date: 2 ^ /
NORTH CAROLINA,
I, the undersigned Notary Public do hereby certify that
COUNTY
w AY&
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of 't�L't3e tt,
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
, 20:. Ito
CREIGHTON Ka
4
NOTARY PURL 4n
FORSYTH COUNTY
NORTH CAROLINA
I certify that I have read this Agreement and do hereby agree to abide byy the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State: - Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this AA 'eement and do hereby agree to abide by the stipulations and restrictions as specified herein.
• /�pNA t4C 41-L
� y
Signing official n
Signature:
Date: 1p .2f 74
'FORM: LOA 11-13 Page,3 of 3

DWR
Division of Water Resources
State of North Carolina
Department of Environment mid Natural Resources
Division of Water Resources
SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
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 website at:
http://portal. ncdenr. org/web/wq/aps/lau
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2)[for habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form.(FORM: RLAP 11-13).
A. Setback Waiver Agreement:
Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) 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 property from which a waiver is being sought
12 Any other setbacks required by 15A. NCAC 02T .1108, other than those referenced above, cannot be waived through
execution of this agreement.
A copy. of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
undersigned property owner hereby permits:
Applicant's name: U14. - `31'3
Applicable Field ID:
,fsy/O .- 31 el f 3
hereinafter referred to, as the Permittee, to land apply residuals within /00 feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address
flofproperty: ((l (Si yC{r`vi g•{-4PPCT
City: INCl d c State: ( Zip: 2V39 5--
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner owns the property described herein..
The undersigned property owner agrees to abide by. this Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner name:
Signature:
uvi4 (4)131,fcxwisjtrFka
Date: — /% - 4
FORM: SWA 11-13
Page 1. of 1

>v v V<
AAAt
APPLICATION MAP
LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
FENCE
PROPERTY LINE
UNSUITABLE AREA
WATER
111 ONSITE HOUSE
• OFFSITE HOUSE
0
.OUTBUILDING
WELL
660'
GRAPHIC SCALE
1" = 660'.
0 660'
—tie compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whicheveris 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.
NC-CU-10
Fields 1-5

VICINITY MAP
4,000;
, GRAPHIC SCALE
1" '= 4,000'
0 4,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundaryand the perimeter of the residuals application area. All
locations are approximate.
NC-CU-10
Fields 1-5

800' •
GRAPHIC SCALE
1" = 800'
0 800
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in 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.
NC-CU-10
Fields 1-5

TOPOGRAPHIC MAP
ulaUFI1,llIi l CUrliijna tHU(1',
�•� t :
• ioirarte ( L:oinne
SIVS# sprsa
CollariL
SDT$1''
GRAPHIC SCALE
1"=800'
800' 0 800'
t;' �^, °`�' .- `tit - • t
d11LRL111C' 14
\ �}f t_eLrle�•
1
,
— `1'he compliance boundaryisestablished either 250 ft from the residuals application area or 50 feet within
in 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.
NC-CU-10
Fields 1-5

Soil Profile Descriptions in Pield Locations
Project:
Site:
Field:
Boring Coordinates:
c
0
0
Dunn
Edwards
1
35° 9' 20.63" N
78°'44' 37.13'' W
% Slope: 0-2%
Crop: Forage
Conducted By: GC Murray
Date: 6/6/201 0
Soil Series: Autryville
'N
W
w
O
w
N
U)
)
v
1
a+
w
}a
1.2
.F
[ETHErmINITETTAI1
neamerrEe. PA
A
0-4
10YR 5/2
-
-
-
-
moit
Is
wk• '
.med
gr
fr
ns
np
'
AE
4-11
2.5Y 3/3
; -
-
-
-
moiat
Is
wk
med '
- gr ,
fr
ns.
np
:
E
11-5
2.5Y 5/4
-
-
-
-
moist
Is
wk '
med
gr
fr
ns
np
,
Bt
25-38
10YR4/6
-,
-
-
- .
moist
sl
wk i
' med
gr,
fr
`
ns
np
,'
E'
38-48
10YR 5/4
-
-
-
-
moit
Is
wk
med
gr
fr
ns
np
Legend:
Texture
s sand
I loam
si silt
sil silt loam
c clay
cl clay loam
scl sandy clay loam
sl sandy loam
sicl silty clay loam
Structure Grade
wk: weak gr
m moderate pl
str strong pr
cpr
abk
sbk
sg
ma
Structure Tvpe
granular
platy
prismatic
columnar
angular blocky
subangular blocky
single grained
massive
Structure Size
f fine
med medium
Moist Consistency
fr friable
vfr very friable
fi firm
vfi very firm
Seasonal High Water Table:
Depth (") Type (apparent/perched)

Soil Profile Descriptions in Field Location$
Project: Dunn
Site: Edwards
Field: 2
Boring Coordinates: 35° 9' 25" N
78° 44' 25" W
N
O
2
d
a)
O
0
U
1
15
% Slope: 0-2%.
Crop: Forage •
Conducted By: GC Murray.
Date: 6/6/201 6
Soil Series: Autryville
N_
d
O
N
4-
4-
L
4-
N
.0
w
1
Structure - TYPE
NIAIE NJT L,
R91313011RE9. PR
. co
▪ 0• I
A
0-0
10YR 5/2
-
-
-
-
moi$t.
Is
wk
med
grfr
\ ns
np
E
6-38
10YR 5/4
` -
-
; -
-
moist
Is
. wk
med
gr
fr
ns .
np
Bt
38-48
10YR 5/6
-
-
-
-
moiat
sl.
,
wk
med.
- gr`
fr
- ns.
.np
4
Legend:
Texture
s sand
I loam
si silt
sil silt loam
•c
cl
scl
sl
sicl
clay
clay Zoom
sandy clay loam
sandy loam
silty clay loam
Structure Grade
wk weak gr
m moderate " pl
str strong pr
cpr
abk
abk
sg
ma
Structure Tvpq
granular
platy
prismatic
columnar
angular blocky
subangular blocky
single grained
massive
Structure Size
f fine
med medium
Moist Consistency
fr friable
vfr very friable
fi firm
vfi very firm.
Seasonal High Water Talile:
Depth (") Type (apparerlt/perched)

Soil Profile Descriptions in Field Locations
Project: Dunn
Site: Edwards
Field: 3
Boring Coordinates: 35° 40' 8" N
79° 0' 42" W
0
0
x
a)
C)
d
1
0
0
c.)
1
2
r.
0
0
0
a)
O
0,
c)
c
co
.0
a)
O
% Slope: 0-3%
Crop: Forage
Conducted By: GC Murray
Date: 6/6/201$
Soil Series: Autryvilla
N_
in
d
0
co
0)
0
W
0.
H
•
0
4-
ENmTONM[N1R1J
RRHOGlf#T'EH. P11
N
N
C
0
0
A
0-7
10YR 5/2
ti -
-
-
-
moist
Is
wk
med
gt
fr
, ns
np
E
7-22
10YR 6/4
-
,
-
-
-
moi$t
Is
wk
med
gr
fr
ns
np
Bt
22-43
10YR 4/6
-
-
-
-
moi;;t
sl
wk
med
gt. -
fr
, ns
np
BC
43-48
10YR 4/6
-
-
4 -
-
moi6t
sl
wk
med
gr
fr
ns
np `
Legend:
Texture
s sand
I loam
si silt
sil silt loam
c clay
cl clay loam
scl sandy clay loam
sl sandy loam
sicl silty clay loam
Structure Grade
wk weak
m moderate
str strong
gr
pi
pr
cpr
abk
sbk
sg
ma
Structure Type
granular
platy
prismatic
columnar
angular blocky
subangular blocky
single grained
massive
Structure Size
f fine
med medium
Moist Consistency
fr friable
vfr very friable
fi firm
vfi very firm
Seasonal.High Water Table:
Depth (") Type (apparent/perched)

Soil Profile Descriptions in Pield Locations
Project: Dunn
Site: Edwards
Field: 4
Boring Coordinates: 35° 9' 14" IV
78° 44' 26" W
0
0
H
0
c.
0
O
O
0
0
c.)
0
O
% Slope: 0-2%
Crop: Forage
Conducted By: GC Murray
Date: 6/6/2010
Soil Series: Autryville
N_
N
0
0
N
N
00-
O
a)
0
w
N
v
ENUIIDONTMTENITHL1
nesoair rEB. PR
0
0
en
O
0
O
2
0
0
c
N
A
0-7
10YR 5/2
` -
-
' -
-
moist
Is
wk `'
med
gr'
fr
ns
np '
E
7-28
10YR 6/4
-
-
-
-
moist
Is
wk
med
gr
fr
- ns
np
Bt
23-40
10YR 4/6
-
-
-
-
moist
sl
wk
med
gr,
fr
ris
np.
BC
40-48
1OYR 5/8
` -
-
-
-
moist
Is
wk
med
gr;
fr
ns
np '
Legend:
Texture
s sand
I loam
si silt
sil silt loam
c clay ..
cl clay loam
scl sandy -clay loam
sl sandy Ipam
sicl silty clay loam
Structure Grade
wk weak
m moderate
str strong
gr
pl
pr
cpr
abk
sbk
sg
ma
Structure Type,
granular
platy
prismatic
columnar
angular blocky
subangular blocky
single grained
massive
Structure Size
f fine
med medium
Moist Consistency
fr friable
vfr very friable
fi firm
vfi very firm)
Seasonal High Water Table:
Depth(") Type (apparent/perched).

Soil Profile D..escriptions in Pield LocationS
Project: Dunn
Site: Edwards
Field: 5 '
Boring Coordinates:. 35° 9' 13" N
78° 44' 20" W
d
v
.c
a
O
O
0
w
-c
d
0
% Slope: 0-2%
Crop: Forage
Conducted By: GC_Mu/;ray
Date: 6/6/201 0
SQiI Series: Autryville
d
ci
0
a)
-N
as
2
N
0
w
0
((9
d
L
L
w
N
CO
0
O
L
anutrinria PR
A
0- '
10YR 5/2
-
-
-
-
moist'
Is
wk
med
gr '
fr
` ns -
np ti
E
7-2
10YR 6/4
-
-
-
-
moist
Is
wk
med
gr
fr
ns .
np
Bt
23-40
10YR 4/6
-
-
_
-
-
moist
sl
wk
med-
gr'
fr
ns .
np
BC
40-48
10YR 5/8
-
-
-
-
moist
Is
wk
med
gr
fr
ns
np
Legend: .
Texture
s
si
sil
c
cl
scl
sl
sicl
sand
loam
silt
silt loam
clay
clay loam
sandy clayloam
sandy loam
silty clay loain
Structure Grade
wk weak
m moderate.
str strong
gr
PI
pr
cpr
abk
sbk
sg
ma
Structure Type,
granular
platy
prismatic
columnar
angular blocky
subangular blocky
single grained
massive
Structure, Size
f fine.
med medium,
Moist Consistency
fr friable
vfr very friable
fi firm
vfi very firm
Seasonal High -Water Table:
Depth (") Type (apparent/perched)

DUNN PROJECT
WQ0006101
SOIL SCIENTIST CERTIFICATION
This is to certify that soil profile evaluations were conducted on the proposed application
sites for the Dunn project by Piedmont Environmental Associates, P.A. on behalf of
Synagro Central, LLC'. The evaluations consisted of hand auger borings and
descriptions of the soils on the application sites. All hand auger borings included in this
package were either performed by me or uricfer my direct supervision. All other work
performed for this permit application was conducted by Synagro Central, LLC.
G. Christopher 1Vlurray, L.S.S.
No. 1284
Dunn Project, Various Fields

SITE SUMMARY
City of Dunn
Dunn, NC
Site ID: NC-HA-08
Owners: Harold Dixon
Operator: Harold Dixon
Address: PO Box 849
Coats, NC 27521
Phone [phone] (H) [phone] (W)
Fields
Permitted
Acres
Cr S
Predominant Latitude &
Brunswick RYE Soil Series Longitude
8
•
•
18.3
. • ,
Corn
Soybeans
Wheat
— -- „, - -
128
134(DC) /161(FS)
123
Norfolk
(NoB)
. •
35.24.24 N
7836.48 W
9
22.2
•BermUda
Coastal •
293 (H) •
• 219 (P) •
Norfolk
(NoB)
35.24.10 N
78.36.58 W
Notes:
cres.
Date:: 5/15/16

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 11-13
lase 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 website at:
http://portal.ncdenr.org/web/wq/aps/lau
General - rots 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 11-13).
!. 1
Uoicss otilclwime uutGti, tits Appiiv-aut simii ruin lit uuc utigiuui lull; twu cupics ui LUe appul:tttiuu auu suppuitiug Uuvumeutatiou iistCu
below.'
A. Land Owner Agreement (FORM: LOA 11-13):
XJ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
t}i lul.cKlu11 may U¢ 11161.6, as lung aD u1C altaU11111G11W YUG ;lull UGJGU lV UVll GSllV1lU lu ti1C SCUllu11 l2vU 1tC111 W W111ti11 U1Gj' 1G1t1.
j Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
i A copy oi'the completed and appropriately executed agreement musrbe provided to the landowner and iheiesseeioperator.
i CREEMENT FOR THE LANDAPPLICATION OFj RESIDUALS TO PRIVATELY OWNED LAND
The undersigned Lando per or his representative hereby permits:
fo...-,,
t� f�t1Yv✓4
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)
t` A' - 08 -0 8.
/)
teaeia ogrOf
1t>Ltsv t.f ga(
ff,A,-0 RI - ell
Al
fray etad iiisfwe,
1461 ct
r.. "i-w N...v nnw ..w Mtn . - .:l...w : -��-. tiv u .�..✓wwr: on. l..ii :..... :: :................ ........ :% tri.A ..:.�.isAa . w...r...0 .. ✓. .
Permittee receives, in consideration, the use of the land application sites) 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
chap he crl r e.— arc thir. r. rm as zrz......d.
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.
Page 1 of 3
FORM: LOA 11-13

1- The landowner or his lcule entative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
' •7 '+: H, ai-::i vwa �ao:w:�:�...a+ �u wa. +.aa�yaxaaasnt. pia ,a:.:,a et? .».wtai vista. ttttrittniittrm
be responsible to ensure that the third party agrees and complies with the terms and conditions ofthis 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,
-wa.,:s uer. n '.1.1*.erViet zh. NC 27699 a(136.
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 landdwner shall give a notice to the new landowner that gives full details of the residuals applied at the
�n'i1i1 +l.Nt1i . tiTn .tf2W
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program.
including an analysis of constituentst�of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
ttm,ect ::::a v et a iiv the i'ermftee_
7. The Permittee will provide the landowner or his representative with a cony of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis:
poll pi{ of at least .0. .nIe33 au aarvnomist prv;:dees .:atbrrnat:on indicating that ti, „u, rtt a rer 2 s and ,,,ne l re Is u t hlo -L.-
NAY •!�.'+t 4 A H.V.14. • lu a� s� _ .itt:.t1,A•.F rTnar
•
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
so11 satil1ies. and the berinitied application omits.
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).
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
t Mr. 1anrirwnar rsr },ice ranrrCPntatavf, hPrrhv anthnri7Re the Permittee. local officials. and State ofciaLL 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
tnat must oe Kept imam time terms auu-.co n1tioI1s•o11IIe penult; ume necessary reactant, suriatz water, grouttCtmitcr, or sou samples outing tfiir
Term of, and 12 months after Termination oI, Tuts Agreement.
II. RESTRICTIONS;
.�»..•..«.r..in .r.,n.+.«,r -,... tn.m.. .... .tip 1!v u .atoe wuwtva tiro .n....��...ow .,« .� wa,renentnr.:>e."tv_ conta`,,.i outg:w a=e to the lama
� - V ,aLa VVV YY swxVFS ,iI The, >.
application site(s) during active use and for the 12-month period following a residuals land application event Stich -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.
wailharvester.: that touch the won. iun1n/n.a.l re, ant anti totnity n e tie lcuxt Vm mane shall not he harveU ed tor a LL4
., •c V :eons > l rafts that touch tVNlMH441VlVVlIL iLLiaftMaV u[a M.tV MYV 1V
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 Iand 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.
111.ALTE1tNA11VLS FOR WATER SUPPLY WELLS INSIDE I'HH. 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
VVULLU(U V V1V ViU1.0 (UV Y.1VU11U▪ VVaWl SLf111UCUUS l..rn UV /44L tAa u.� uY..:-wk..,sr�,�.,...,a>uxI,i.lua„v.. .>Lzza,a..J.: n..a.. „.� aa.n• .,..,ix Tama<v.:.,n...b,
igj A re -defined compliance boundary is needed for field(s) ID: Ha " g"
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
W:_CL-___ i___._1___._ al__ ___•1 _-t'_-._ _.._I____\
ty.at1.t..., vs, ....a.au) w U. ul>y.ia.auvu pup a.)
A re -defined compliance boundary is not needed for this site.
1V.At:KtVVWLLi .EIVlLINt1 Ulf l/LLLJU iltAPSNili:�juneeueal
RI The land application field(s) ID: / T14^c, 6- t 8)9
residuals land application program; Permit Number WQ remove
• ,
:��ement he/she is requesting that the fie d(s) b from ezd
into the new program;
at e or
, is currently permitted under another
. The land owner hereby acknowledge that by signing this J
ously permitted residuals land application program and transferred
ame of the new program)
FORM: LOA 11-13
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: i`'lF.*vb �( a yeo fl"
Address: Po 60X H'
City: A*5
Phone:
State: tJ C Zip: frl \
Signature:
;mail address:
NORTH CAROLINA, I"tfzv'va�#F'
I, the undersigned Notary Public do hereby certify that
Date: �2�-22:41‘
COUNTY
afro
personally appeared before me this day and acknowledged thedue execution of the forgoing instrument.
WITNESS my hand and official seal this the 2
day of
n
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
, 20 f�f'
LREIGH1 ON BROWN
NOTARY PUBUO
FORSYTH COUNTY
NORTH CAROLINA
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agre nt and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official nam t ON,91
Signature:
Date:
FORM: LOA 08-13
Page 3 of 3

>V V V<
>
A A A ,
LEGEND
APPLICATION AREA
- PRIVATE ROAD
— — STREAM
DRAIN
x x x FENCE
PROPERTY LINE
vh.
0
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
• _ he compliance boundary is established either 250 ft from the residuals application area or 50'feet within
in the property boundary, whichever is closest to the OplicatiOn area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0
Immem9=NrE1191
NC-HA-08
Fields 8-9
660'

VICINITY
MAP
SYNAIA1
. . , •-s, -, V.
sw, •- ... -. a,„
2fl
•,
i 11
i
...-z--
1
,
..-,
., , ".•:,
.... -....,, jz... •:;.„.;•
„ r,. fn..,
.„;,,
, ,,
. ' ' .,1 "-- • ' :-. 4-,
1,1 .
i 158
, ,•,,
..
,
, . . ': ' '
'.
1551 , •
i .• r--` --,-":; q'. '..,,
1703
: , ,
..,
: ..*':' • • 4: , --
,,
'
' ') \
''',i
r.
It• 1 1 . •
•••••'',.
'• '
‘
I'
...,
..,/
..„ k.
- :
•
-,
11
,..,
I ,
; \V
• ; l'
..,.: , 1 -103
_I,,:,
'.
''
* -
..,r, - • — "
'
,
, 1
. ' ,r..
•-.. . ....•
'
.
GRAPHIC SCALE
• in = 2,000'
2,000• 0 2,000'
le compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
NC-HA-08
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 8-9

SOIL SURVEY
GRAPHIC SCALE
1" = 660'
660
660
he compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in 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.
NC-HA-08
Fields 8-9

TOPOGRAPHIC MAP
i — •
I
♦ •
♦ ►A
!II,'♦
S •
LI. y
i, _ _ ► ♦
. • :-...z.ri
•
rid .♦ ♦ ♦ ►, —'. — _ `r
♦
• ♦
4
�
„'
'I.' ill.
b
i•
_
I
r ..
._.
•✓• ,.
'-
u•
I -
SYN/-..iI
_
- , i
i°ill s 11 ''. 1.;2
r
I
1
r
p
•♦♦♦
r ♦► •,
I ♦
♦
♦ •
11
► ,, `S
1 ;f _
'„
= 11
♦ ♦
1II
V
d i ',, I
4S
v
GRAPHIC SCALE
1"=660'
660' 0 660'
le compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in 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.
N C-HA-08
Fields 8-9

SITE SUMMARY
City of Dunn
Dunn, NC
Site ID: NC-CU-34
Owners: Harold Eldridge
Operator: Harold Eldridge
Address: 8373 Rhodes Pond Rd.
Dunn, NC 28334
Phone [phone] (H) [phone] (C)'
Fields
Permitted
Acres
Crops
' Predominant Latitude &
Brunswick RYE Soil Series Longitude
1
4.8
Sorghum
Sudan
_ _--_--___�__
319 (H)
239 (P)
Goldsboro
(GoA)
35° 14' 01" N
78° 37' 40" W
2
4.0
Fescue
184 (H)
Goldsboro
35° 14' 04" N
138 (P)
(GoA)
78° 37' 47" W
3
4.3
Sorghum
319 (H)
Goldsboro
35° 14' 04" N
Sudan'
239 (P)
(GoA)-.-
78° 37' 39" W
4
6.2
Fescue
161 (H)
Norfolk
35° 14' 08" N
120 (P)
(NoA)
78° 37' 38" W
5
9.7
Fescue
184 (H)
Goldsboro
35° 14' 11" N
138 (P)
(GoA)
78° 37' 39" W
T_i_..
ww
Notes:
Acres
Date: 3/28/16

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 11-13
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 website at:
http: //portal. ncdenr. org/web/wq/aps/lau
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 11-13).
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 11-13):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) 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: City of Dunn
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)
CU-34-1-5
No
Hay and Pasture
Animal Feed and
Forage
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 11-13
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, 1636
Mail Service Center, Raleigh, NC 27699-1636.
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 tothe 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.
IL 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.
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE 1111 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;
0 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)
Jul. A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
0 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 11-13 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; Harold Eldridge
Address: 8373 Rhodes Pond Rd
City: Dunn State:NC Zip: 28334
Phone; E-mail address:
CignaDate;
NORTH CAROLINA, avLe. COUNTY
I, the undersigned Notary Public do hereby certify that
ItiCYLa
VI ico
L ,�advao
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of l
Signature and seal:
My commission expires: f l/ z / za v
Lessee's/Operator's Certification:
I3
,20 go
CREIGHTON BROWN
NOTARY PUBLIC
FORSYTH COUNTY
NORTH CAROLINA
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
State: • Zip:
E-mail address:
Signature: • Date:
Permittee's Certification:
I certify that I have read this Agregtnent and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official nam ty 40 D
Signature: c� /
Date:
FORM: LOA 11-13
Page 3 of 3

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
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 website at:
http://portaLnedenr.org/web/wq/aps/lau
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(21ffor habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Set ack Waiver Agreement:
Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity ordue 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.
liZr Prepare a separate agreement for each property from which a waiver is being sought.
"Any other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through
eecution of this agreement.
copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
—The undersigned property owner hereby permits:
Applicant's name:
Applicable Field ID:
hereinafter referred to as the Permittee, to land apply residuals within C (J. [i feet (i.e., cannot be Less than 100 feet) of
the residence or place of public assembl located at the Ilowi g:
,Location address of property:
-573 i''e.2 >2�
State: /VC
• _City: 1}00 In
i; This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
'land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
E;Kcertify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
N&4)'r ; c ( Rdb/.4.50,,
Property owner name:
Signature:
Zip:
I
Date: 3 b `' U 6,
FORM: SWA 11-13
Page 1 of 1

Location address of property:
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
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 website at:
http://portal.ncdenr.org/web/wq/aps/lau
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2) jfor habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreement:
14 Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) 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.
I Prepare a separate agreement for each property from which a waiver is being sought.
g Any other setbacks required by 15A NCAC 02T .1-108, other than those referenced above, cannot be waived through
execution of this agreement.
le A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: I D-i D„V1 v\
Applicable Field ID:
hereinafter referred to as the Permittee, to land apply residuals within /0 0 feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly locat d at the foll wing:
4 %7 L.) 5
City: State: N C Zip: 7'5 3
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be 'renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as s written notification, given 30 calendar
days in advance, modifies or cancels this Agreement
certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner name:
l�Y Signature:
Date: 3/t 311 LP
FORM: SWA 11-13
Page 1 of 1

>v v v<
> <
AAAP
x. x x
APPLICATION MAP
LEGEND
APPLICATION AREA
PRIVATE ROAD
STREAM
DRAIN
FENCE
PROPERTY LINE
%/i
UNSUITABLE AREA
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
660'.•
GRAPHIC SCALE
1"=660'
660'
The compliance boundary, is established either 250 ft from the residuals application area or 50 feet within
in 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.
NC-CU-34
Fields 1-5

4,000'
VICINITY MAP
GRAPHIC SCALE
1" = 4,000'
0 4,000'
ie compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in 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.
NC-CU-34
Fields 1-5

SOIL SURVEY
GRAPHIC SCALE
1"=660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in 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.
N C-C U-34
Fields 1-5

(
TOPOGRAPHIC MAP
800'
GRAPHIC SCALE
1" = 800'
0 800'
r
he compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in 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.
NC-CU-34
Fields 1-5

SITE SUMMARY
City of Dunn
Dunn, NC
Site ID: NC-HA=201
Owners Name: Carl Hamilton, Jr.
Address: 221 Hog Heaven Ln
Dunn, NC 28334
Phone: [phone] (H)
Operator Name: Ronnie Hamilton (son)
Phone: [phone] (H) [phone] (C)
Fields
Permitted
Acres
Croo(s)
Predominant
Brunswick RYE Soil Series
Latitude &
Longitude
4
85.1
Corn
Soybean
Wheat
116
134 DC / 161 FS
93
Wahee
(We)
35° 16' 31" N
78° 41' 29" W
T_1_1
.. .. • -
Notes:
Hores
Date: 3/28/16

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 08-13
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 Applicantshall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http://portal.ncdenr.org/web/wq/aps/lau
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 08-13).
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 08-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-13) 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: City of Dunn
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-HA-201-4
N
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.
his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
..Jail 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 08-13
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-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
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:
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.
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THL 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)
® 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 08-13
Page 2 of 3

Y. \.
Landowner's Certification:
1 1
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:
Ron ni r-)c v .1 I -01"
Address: f 7 3 ►(1 V �j l'Ii. eln
,
City: d/I it State: r A) C Zip: ,2 :33 of
Phone: E-mail address:
Signature: , �s�r/ Date: c?j/G! /(
NORTH CAROLINA, 14C.tlfvl eCOUNTY
I, the undersigned Notary Public do hereby certify that EF/1 v\,i c 140 Gu c 7
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of
Signature and seal:
My commission expires:
Ah_
212o t
Lessee's/Operator's Certification:
,20 /
e
CREIGHTON BROWN
NOTARY PUBLIC
FORSYTH COUNTY
NORTH CAROLINA
•
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
yi -
Lessee/operator name:
Address:
City: State:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agre
Signing official n
Signature:
Zip:
nt and do hereby agree to abide by the stipulations and restrictions as specified herein.
1
Yet -
Date: 7 4b
FORM: LOA 11-13 Page 3 of 3

Divisiara of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 08-13
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 or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http://portalncdenr.org/web/wq/aps/lau
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 08-13).
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 08-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-13) 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: City of Dunn
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
(yes/no)
Land Use or
Cropping Patterns
PP g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
NC-HA-201-4
N
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.
'his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
.;hall 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 08-13
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-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
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 Pennittee 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.
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.
III.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 .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 08-13 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: Carl Hamilton Jr.
Address: 221 Hog Heaven Ln
City: Dunn State: NC .. Zip: 28334
Phone:
Signature: ,/
NORTH CAROLINA,
E-mail address:7,6T
ifairre(f- co
I, the undersigned Notary Public do hereby certify that
Date:
�f // (14/7 732
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the /
day of 1114 d• 4 , 20
Signature and seal:
My commission expires: 0 j/ ovzot 7
Lessee's/Operator's Certification:
CREICI iTON BROWN
NOTARY PUBLIC
FORSYTH COUNTY
:NORTH CAROLINA
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and..restrictions as specified herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agret and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official n
Signature: �„�� �� Date: 6 2 -,6„.
FORM: LOA 11-1
Page 3 of 3

>v y v<
AA At
APPLICATION MAP
LEGEND
APPLICATION AREA
— — PRIVATE ROAD
STREAM
DRAIN
x x x FENCE
PROPERTY LINE
7,/74,7-4giv
o,,,,
;0
01 / -5-
..' 4
1 14 ;1.''S° , .
,..,,,,, ,,,e
' -.-1, 4'',
/S-14"1444H:" ''' " 7 ' :;" . '
. -
• 4' - ,'-',
oir
. . '
•
D.
UNSUITABLE AREA'
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
_. le compliance boundary is established either 250 ft from the residuals applicatiOn area or 50 feet within
in 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.
GRAPHIC SCALE
1" = 660'
660' 0 660'
HA-201
Field 4

VICINITY
1
MAP
Ci
{}ict
: e, .
I °� ,
tla um i
z
I 1
} y 5
1
j ad Nampo° i"= -
_ .
kc
OD e7 3. Rd
o
ca
G oo
Fa• i s, .
`�� - T ��1
tdc9�tl"'rRd - o , ..�,
i �SN13Y
r efea IN at $ A
, .
LOOP Rd. _ •of
bm+gin , e . 'a
s
GRAPHIC SCALE .
1" = 4,000'
4,000' 0 . 4,000'
. he compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
N C-HA-201
midway -between the compliance boundary and the perimeter of the residuals application area. All
. locations are approximate.
Field
4

1,aoo
GRAPHIC. SCALE
1"=1,000'
0 1,000'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in 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
Iodations are approximate.
N.C.-HA-201.
Field 4

©&VNAS
TOPOGRAPHIC MAP
t
i V
i, e
11f°
-... .fp ;�' �' ' ;.
y 1�
/
—r ' ' /I
- .___
a
i' _1 s • / t i ,s '
II t I
•
`Y i,� ri r
!f t . d %
%rFl eft .f
'I, • r 4- t•-.
i i
.I I (, ! Fr }
('r ts `,• _ . . i,`
s.
r
�` r
.t
I
.
;fr
, f
I .�
t
t r
+ f
; . : �'
_ _ -
,
•
GRAPHIC SCALE
1"= 1,000'
1,000' 0 1,000'
(, to compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in 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.
VA 1 C_HA-20 1
1
Field 4

Attachment Order 4
Copy of Current Permit

• North Carolina Department of Environment and Natural Resources
Division of Water Quality
,Beverly Eaves Perdue Coleen.H, Sullins Dee Freeman
Governor Director Secretary
October 31, 2011
MR. RONALD AUTRY — CITY MANAGER
CITY OF DUNN
POST OFFICE BOX 1065
DUNN, NORTH CAROLINA 28335
Dear Mr, Autry:
Subject: Permit No. WQ0006101
City of Dunn Residuals Land
Application. Program
Land Application of CIass B
Residuals
Non -Dedicated
Harnett County
In accordance with your permit major modification request received July 20, 2011, and
subsequent additional information received August 11, 2011 and October 17, 2011, we are forwarding
herewith Permit No. WQ0006101, dated October 31, 2011, to the City of Dunn for the „continued
operation of the subject residuals management program.
Modifications to the subject permit include the addition of land application fields and changes in
the acreage and predominant soil type associated with a number of fields. Specifically, fourteen new
fields have been added to permit (CU-23-1 through Ci1-23-14) and three fields have been transferred
from rescinded Permit No. WQ0020016 (HA-26-1, HA-27.4, and HA-27-5 formerly HA13-1, HA14-04,
and HA14-05). Additionally, please note two new permit conditions since the last permit issuance
including condition I.3. regarding the signage compliance schedule and condition III.7. regarding spill
control provisions required for residuals transport and application vehicles.
This permit shall be effective from the date of issuance until September 30; 2016, shall void
Permit No. WQ0006101 issued April 15, 2011, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements of this permit, Failure to
establish an adequate system for collecting and maintaining the required operational information shall
result in future compliance problems.
If any parts, requirements or limitations contained in this pernut are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon Written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed With the Office of Administrative Hearings at 6714 Mail
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh. North Carolina 27604
Phone: [phone] FAX is 919-715-0586; FAX 2: 919 715.60481 Customer Service:1-877-623.674E
Internet htto:l/oortal.ncdenr-orafv:eb(vrolaps
An Equar Opportunity 1 Affirmative Action Employer
One.
NOr tb Carolina
Naturally rall

Mr. Ronald Autry
October 31, 2011
Page 2 of 2
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact Cory Larsen. at (919)
715-6186 or [e-mail].
Sincerely,
Coleen H. Sullins
cc: Cumberland County Health Department
Harnett. County Health Department
Fayetteville Regional Office, Aquifer Protection Section
Eric Thompson, Soil Scientist — Synagro, 284 Boger Road, Mocksville, NC 27028
Technical Assistance and Certification. Unit
Permit File WQ000610I
Notebook File WQ0006101

L�
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF CLASS B RESIDUAL SOLIDS PERMIT (NON DEDICATED)
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
6ty
of Dunn
Harnett County
FOR THE
continued operation of a residuals management program for the City of Dunn and consisting of the land
application. of Class B residuals generated by the approved facilities listed in Attachment A to the
approved sites listed in Attachment B with no discharge of wastes to surface waters, pursuant to the
application received July 20, 2011, and subsequent additional information_ received by the Division of
Water Quality, and in conformity with other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit. The use and
disposal of residuals are regulated under Title 40 Code of Federal Regulations Part 503. This permit does
not exempt the Permittee fiom complying with the federal regulations.
This permit shall be effective from the date of issuance until September 30, 2016, shall void Permit No.
WQ0006101 issued April 15, 2011, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
1. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
i
2. The pennittee shall be in full ' compliance with the regional office notification requirements
established in Condition 111.3. within 90 days of permit issuance.
3. The permittee shall be in full compliance with the signage requirements established in Condition
M.13. within 180 days of permit issuance.
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II. PERFORMANCE STANDARDS
1. The subject residualsmanagement program shall be effectively maintained and operated at all times
so there is . no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, the Permittee shall inunediately cease land
applying residuals to the site, contact the Fayetteville regional office's Aquifer Protection Section
supervisor, and take any immediate corrective actions.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this residuals management program.
3. Only residuals generated by the facilities listed in Attachment A are approved for land application / in
accordance with this permit.
4. Only the sites listed in Attachment'B are approved for residuals land application.
5. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not
exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant
Loading Rates (CFLRs):
Parameter
Ceiling Concentration • ,
(milligrams per kilogram)
CPLR
(pounds per acre)
Arsenic
. 75
36
Cadmium
85
34
Copper
4,300
1,338
Lead
840
267
• Mercury
57
15 •
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
89
Zinc
7,500 ,
2,498
The Permittee shall determine compliance with the CPLRs using one of the following methods:
a. By calculating the existing cumulative level of pollutants using actual analytical data from all
historical land application events of residuals,. or
b, For land where residuals application have not occurred. or for which the required data is
incomplete, by determining background concentrations through representative soil sampling.
6. Residuals that are Iand applied shall meet Class B pathogen reduction requirements in 1SA NCAC
02T .1106 (a) and (c). Exceptions to this requirement shall be specified in Attachment A. .
7. Biological residuals (i.e. residuals generated during the treatment of domestic or animal processing
wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A)
that are land applied shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T
.1107(a). Exceptions to this requirement shall be specified in Attachment A.
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8. Setbacks for treatment and storage facilities shall be as follows:
Setback Description
Setback
(feet)
- Habitable residence or place of public assembly under separate ownership or not
to be maintained as part of the project site
100
Property lutes
50
Private or public water supply
100
Surface waters (streams — intermittent and perennial, perennial waterbodies, and
wetlands)
50
Wells with exception to monitoring wells
100
9. Setbacks for land application sites shall be as follows:
Setback by application type
(feet)
Setback Description
Vehicular
Surface
Application
Irrigation
Surface
Application
Injection /
In corporation
Habitable residence or place of public assembly
under separate ownership or not to be maintained as
part of the project site
400
400
200
Habitable residence or places of public assembly
owned by the Permittee, the owner of the land, or the
lessee/operator of the land to be maintained as part
of the project site
0
•
200
0
'
Property lines
50
150
50
Public right of way
50
50
50
Private or public water supply
100
100
100
Surface waters (streams — intermittent and perennial,
perennial waterbodies, and wetlands)
100
100
50
Surface water diversions (ephemeral streams,
waterways, ditches)
25
100
25
Groundwater lowering ditches (where the bottom of
the ditch intersects the SHWT)
25
I00.
25
Subsurface groundwater lowering system
0
100
0
Wells with exception to monitoring wells
100
100
100
Bedrock outcrops
25
25
25
Top of slope of embankments or cuts of two feet or
more in vertical height
15
15
15
Building foundations or basements
0
15
0
Water lines
0
10
0
Swimming pools
100
100
100
Nitrification fields
0
20
, 0
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10. Land application areas shall be clearly marked on each site prior to and during any residuals
application event.
11, Bulk residuals and other sources of Plant Available Nitrogen . (PAN) shall not be applied in
exceedance of agronomic rates. Appropriate agronomic rates ' shall • be calculated usingexpected"
nitrogen requirements based on the determined Realistic Yield Expectations (RYE) using any of the
following methods:
•
a. Division's pre -approved -"site specific historical data for specific crop or soil types by calculating.
the mean of the best three yields of the last five consecutive crop harvests for each field.
b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University. Department of Soil Science (http://www.soil.ncsu.edu/prOgrams/nmptyields./). A
copy shall be kept on file and reprinted every five years in accordance with Condition IV11:
c. If the RYE cannot be determined using methods (a) or (b) above, the Pemiittee May use the RYE
and appropriate nutrient application rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer . Services, the Natural Resource
• Conservation Service, or other agronomist.
H. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance
Document: Chapter 1(http://www.enr.state.nc.us/DSWC/pages/guidanceJocs.htm1).
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (NRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards(ffp://ftp-fc.sc.egov.usda.gov/NHO/practice-standards/standards/590.pdf).
d. If the RYE and 'appropriate. nutrient application rates cannot be determined, the. Permittee shall
contact the Division to determine' necessary action. '
12. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by
25% in accordance with the. USDA-NRCS 590 Nutrient Management ,Standards.
13. If land application sites are to be over -seeded or double-cropped-(e.g., bermuda grass in the summer '
and rye grass in the winter with both crops to receive residuals), then the second crop can receive an
application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may
be allowed as long as the second crop is to be harvested or grazed. If the second crop 18 to be planted
for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied.
14. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the ,
Permittee shall obtain and implement recommendations fiom at least one of the following: the local
Cooperative Extension Office; the Department of Agriculture and. Consumer Services; `the Natural
Resource Conservation Service; a North Carolina Licensed Soil Scientist; or an agronomist. The
recommendations shall address the sodium application rate; soil amendments (e.g., gypsum, etc.), or a
mechanism for maintaining site integrity and conditions conducive to crop growth. The Permittee
shall maintain written records of these recommendations and details of their implementation.
15. The compliance boundary residual land application sites shall be specified in accordance with 15A
NCAC 02L .0107(b). These , sites were individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established. at either 250 feet from the residual land application
area, or 50 feet within" the property boundary", whichever is closest to the residual land application
area. An exceedance of groundwater standards at or beyond the compliance boundary is subject to
remediation action according to 15A NCAC 02L .0106(d)(2) as well as . enforcement actions in
accordance with North Carolina General Statute 143-215.6A "through 143-215.6C, Any approved
relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B.
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16. In accordance with 15A NCAC 02L .0108, the review boundary shall be established midway between
the compliance boundary and the residual land application area. Any exceedance of groundwater
standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106.
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards.
2. The Fayetteville Regional Office, telephone number [phone], and the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at least
48 hours prior to the initial residuals land application to any new land application site. Notification to
the Aquifer Protection Section's regional .supervisor shall be made from 8:00 a.m. until 5:00 p.m. on
Monday through Friday, excluding State Holidays.
3. The Fayetteville Regional Office shall be notified via email or telephone, [phone], at least 24
hours prior to conducting any land application activity. Such notification shall indicate, at a
minimum, the anticipated application times, field IDs, and location of land application activities. If it
becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be
notified prior to commencing the application to those fields.
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T .1110. Modifications to the O&M Plan shall be approved by the Division prior to
utilization of the new plan. The O&M Plan, at the minimum, shall include:
a) Operational functions;
b) Maintenance schedules;
c) Safety measures;
d) Spill response plan;
e) Inspection plan including the following information:
i. Names and titles of personnel responsible for conducting the inspections;
ii. 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;
iii. Detailed description of inspection procedures including record keeping and actions to be
taken by . the inspector in the event that noncompliance is observed pursuant to the
noncompliance notification requirements under the monitoring and reporting section of the
permit;
f) Sampling and monitoring plan including the following information:
i. Names and titles of personnel responsible for conducting the sampling and monitoring;
ii. Detailed description of monitoring procedures including parameters to be monitored;
iii. Sampling frequency and procedures to assure that representative samples are being collected.
Fluctuation in temperature, flow, and other operating conditions can affect the quality of the
residuals gathered during a particular sampling event. The sampling plan shall account for
any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that
land apply multiple times per year but have an annual sampling frequency, may need to
sample during winter months when pathogen reduction is most likely to be negatively
affected by cold temperatures).
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5. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the facility, the Permittee shall designate and employ a certified operator in
responsible charge (ORC) and one or more certified operators as backup ORCs in accordance with
15A NCAC 08G .0201. The ORC or their back-up shall visit the facilities in accordance with 15A
NCAC 08G. 0204, or as specified in the most recently approved O&M plan (i.e., see Condition 111.
4.), and shall comply with all other conditions of 15A• NCAC 08G. 0204. For more information
regarding classification and designation requirements, please contact the Division of Water Quality's
Technical Assistance & Certification Unit at [phone].
6. When the Permittee land applies bulk residuals, a copy of this permit and a copy of O&M Plan shall
be maintained at the land application sites during land application activities.
7. When the Pemiittee transports or land applies bulk residuals, the spill control provisions shall be
maintained in all residuals transport and application vehicles.
8. Residuals shall not be stored at any land application site, unless written approval has,been requested
and received from the Division.
9. When the Permittee land applies bulk residuals, • adequate measures shall be taken to prevent wind
erosion and surface runoff from conveying residuals from the land application sites onto adjacent
properties or into surface waters.
10. When 'the Permittee land applies bulk residuals, a suitable vegetative cover shall be maintained on
land application sites onto which residuals are applied in accordance with the crop management plan
outlined by the local Cooperative Extension Office, the Department of Agriculture and Consumer
Services, the Natural Resource Conservation Service, or an agronomist and as' approved by the
Division.
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11. Bulk residuals shall not be land applied under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated within
a 24-hour period following a residuals land application event;
f. During a measurable precipitation event (Le., greater than 0.01 inch per hour), or within 24 hours
following a rainfall event of 0.5 inches or greater in a 24-hour period;
g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than
18% for injected or incorporated bulk liquid residuals;
h. If the soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to
achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the
pH of the soil, -residuals and lime mixture is suitable for the specified crop. Any approved
variations to the acceptable soil pH (6.0) will be noted in this permit;
L. If the land does not have an established vegetative cover unless the residuals are incorporated or
injected within a 24 hour period following a residuals land application event. Any field that is in
a USDA no -till program shall be exempted from meeting this vegetative cover requirement;
j. If the vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot;
k. If the vertical separation of bedrock and the depth of residuals application is less than one foot;
I. Application exceeds agronomic rates.
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g.,
1.5'. x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information, including the Permittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each land application site during a land
application event, and for as long as the public access restrictions required under 111.12 apply.
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14. The following harvesting and grazing restrictions -apply to residual land application sites after each
land application event:
Harvesting and Grazing Description
Restricted
Duration
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
prevent access after each land application event.
30 days
Food crops, feed crops and fiber crops shall not be harvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
shall not be harvested for:
14 months
When the residuals remain on the land surface for four months or longer prior to
incorporation into the soil, food crops with harvested parts belowthe land
surface (e.g., root crops such as potatoes, carrots, radishes,.etc.) shall not be
harvested for:
20 months
•
When the residuals remain on the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
surface shall not be harvested for:
38 months
15. The Permittee shall acquire from each landowner or lessee/operator a statement detailingthe volume
of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that
have been applied to the site, and. a copy of the most recent Nutrient Management Plan (NMP) for
those operations where a NMP is required by the US Department of Agriculture — National Resources
Conservation Service (NRCS) or other State Agencies. The Permittee shall calculate allowable
nutrient loading rates based on the providedinform.ation and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan.
16. No residuals shall be Iand applied unless the submitted Land Owner Agreement Attachment (LOAA)
between the Permittee and landowners or lessees/operators of the laud application site is in full force
and effect. These agreements shall be considered expired concurrent with the permit expiration date,
and shall be renewed during the permit renewal process.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sample reporting schedule shall be followed.
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2. Residuals shall be analyzed to demonstrate they are non -hazardous under the Resource Conservation
and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity, and toxicity
characteristic leaching procedure (TCLP)] shall be performed at the frequency specified
Attachment Aj and the Permittee shall maintain these results for a minimum of five years. Any
exceptions from the requirements in this condition shall be specified in Attachment A.
The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter
is in parentheses):
Arsenic (5.0)
1,4 Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1,1 Dichloroethylene (0.7)
- Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
. Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide)
(0.008)
Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3 butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
3. An analysis shall be conducted on residuals from each source generating facility at the frequency
specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years.
The analysis shall include the following parameters:
Aluminum
Mercury
Potassium
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
(SAR)
Calcium
Percent Total Solids
TKN
Copper
pH
Zinc
Lead
Phosphorus
Magnesium
Plant Available Nitrogen
(by calculation)
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4. Residuals shall be monitored for compliance with pathogen and vector • attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling
and monitoring sections of the approved O&M plan. The required data shall be specific to the
stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen
reductionrequirements in '15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction
requirement in 15A NCAC 02T .1107 (a) shall be met. Any exceptions from the requirements in this
condition shall be specified in Attachment A.
5. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B on whieh a residuals land application event will
occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instructions section of the NC Department of Agriculture &
Consumer Services' website (http:llwww.ncagr.gov/agronornifpubs.htm). The Permittee shall
maintain these results and a description of the sampling methodologies used to determine soil fertility
for a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium _
. Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 15A NCAC 02B .0505.
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7. The Permittee shall maintain records tracking all residual land application events. At a minimum,
these records shall include the following:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Approximate areas applied to (acres);
e. Method of land application;
f. Weather conditions (e.g., sunny, cloudy, raining, etc.);
g. Predominant Soil Mapping Unit (e.g., CbB2);
h. Soil conditions (e.g., dry, wet, frozen, etc.);
i. Type of crop or crops to be grown on. field;
j. Nitrogen Application Rate based on RYEs (if using data obtained from the North Carolina State
University Department of Soil Science Website, the printout page shall be kept on file and
reprinted every five years);
k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet
ton per acre;
1. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or
wet tons per acre;
m. Volume' of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, or wet tons per acre; and
n. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per
acre of phosphorus applied to each field.
8. Three copies of an annual report shall be submitted on or before March 1S`. The annual report shall
meet the requirements described in the instructions for Residuals Application Annual Reporting
Forms. instructions for reporting and annual report forms are available at
http://portal.nedenr.orghveb/wq/aps/lau/reporting, or can be obtained by contacting the Land
Application Unit directly. The annual report shall be submitted to the following address:
Division of Water Quality
Information Processing Unit
1617 Mail Service' Center
Raleigh, North Carolina 27699-1617
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9. Noncompliance Notification
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number (910)
433-3300, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence with the land application program resulting in the land application of significant
amounts of wastes that are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to surface waters.
c. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable 'of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan.
2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and application facilities to prevent malfunctions, facility deterioration
and operator errors resulting in discharges, which may cause the release of wastes to the
environment, a threat to human health or a public nuisance. The Permittee shall maintain an
inspection log that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance, repairs,or corrective actions taken. The Permittee shall maintain this inspection log
for a period_of five years from the date of inspection, and this log shall be made available to the
Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at any reasonable time for the purpose of determining compliance with this permit; may inspect or
copy any records required to be maintained under the terms and conditions of this permit; and may
collect groundwater,- surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the residuals _land application events are not carried out in
accordance with the conditions of this permit.
WQ0006101 Version 3.2
Shell Version 110113 • Page 12 of 14

3. This permit is effective only with respect to the nature and volume of residuals described in the
permit application and other supporting documentation,
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be unposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCG010000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. In the event the residuals program changes ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be' made on official
Division forms, and shall include appropriate documentation from the parties involved and other
supporting documentation as necessary. The Permittee of record shall remain fully responsible for
maintaining and operating the residuals program permitted herein until a permit is issued to the new
owner.
6. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 1SA NCAC 02T .0110.
7. Unless the Division Director grants a variance, expansion of the permitted residuals program
contained herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC
02T .0120(b).
8. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 31st day of October 2011.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
o1eenSullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0006101
WQ0006101 Veision.3.2 Shell Version 110I 13 Page 13 of 14

THIS PAGE BLANK
WQ0006I01 Version 3.2 Shell Version 110113 Page 14 of 14

ATTACHMENT A - Approved Residual Sources
City of Dunn
Certification Date: October 31, 2011
Permit Number: WQ0006101 Version: 3.2
Owner
.
FaciEi Name
tY
Coun
Permit
Number
Biological
Residuals
Maximum
Dry Tons
Per Year 1
Monitoring
Frequency for
Non -hazardous
Characteristics z
Monitoring.
)requency for
Metals and
Nutrients 3,s
Monitoring
Frequency for
Pathogen &
Vector Attraction
Reductions"' `.6
Approved
Mineralization
Rate
City of Dunn
City of Dunn WTP
Harnett
03-43-010
No
350
Once per permit
cycle
See Footnote 5
See Footnote 5
0.40
City of Dunn
City of Dunn WWTP
Harnett
NC0043176
Yes
300
Once per permit
c cle
See Footnote 5
See Footnote 5
0.30
Total
650
1. Maximum Dry Tons per Year is the amount of residuals approved. for land application from each permitted facility.
2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and.vector attraction reductions as stipulated under permit Condition IV.4. Permit application indicated that fecal Coliform Density Determination will be performed to
meet pathogen reduction requirements and 38% Volatile Solids Reduction will be performed to meet vector attraction reductions. However, other methods listed under 15A NCAC 02T .1106(b)
and .1107(a) can also be used to demonstrate compliance with this permit requirement
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below. unless specified above.
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T .1111)
<319
1/Year
=>319 - <1.650
I / Quarter (4 times per year)
=>1,650 - <16,500
1/60 Days (6 times per year)
=>16,500
1/month (12 times per year) •
6. Water Treatment Plant residuals are exempt from meeting the vector attraction reduction requirements in Condition IV.4, provided they are not mixed with residuals that have been generated
during the treatment of domestic wastewater, the treatment of animal processing wastewater, or the biological treatment of industrial wastewater. The Water Treatment Plant residuals must be
treated and processed in a manner as to not meet the definition of "Biological Residuals" as defined in I5A NCAC 02T .1102(6).
If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is
required), then no sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data.
Those required to submit the annual report to EPA may be required to.make up the missed sampling, contact the EPA for additional information and
clarification.
Page 1 of 2

•
ATTACHMENT A Approved Residual Sources
City of Dunn
THIS PAGE BLANK
Page 2 of 2
Certification Date: October 31, 2011
Permit Number: W00006101 Version: 32
1

ATTACHMENT B - Approved Land Application Sites
City of Dunn
Certification Date: October 31, 2011
Permit Number: WQ0006101 Version: 3.2
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net
Acrea_ge
Dominant Soil Series
Footnotes
CU-23-1
Lamm, Carlton R
Lamm, Kemp
Cumberland
35°I 1'53"
78°43'60"
8.70
. -
Roanoke and Wahee loams
CU-23-10
Lamm. Carlton R
Lamm, Kemp
Cumberland
35°11'41"
78°43'55"
19.70
Roanoke and Wahee loams
CU-23-1 !
Lamm, Carlton R
Lamm, Kemp
Cumberland
35°I 1'46"
78°43'45"
3.40
Roanoke and Wahee loams
CU-23-12
Lamm,Carlton R
Lamm. Kemp
Cumberlandslopes
35°I1'47"
78°43'47"
2.80
Wickham fine sandy loam. 1 to 6%
CU-23-I3
Lamm. Carlton R
Lamm, Kemp
Cumberland
35°l1'49"
78°43'49"
2.90
Roanoke and Wahee loams
CU-23-I4
Lamm, Carlton R
Lamm, Kemp
Cumberland
35°I1'49"
78°43'60"
21.00
Wickham fine sandy loam, 1 to 6%
slopes
CU-23-2
Lamm, Carlton R
Lamm, Kemp
Cumberland
35°11'58"
78'43'60"
2.90
Roanoke and Wahee loams
CU-23-3
Lamm. Carlton'R
Lamm, Kemp
Cumberland
35°12'03"
78°43'55"
3.30
Roanoke and Wahee loams
CU-23-4
Lamm, Carlton R
Lamm. Kemp
Cumberland
35° 12'00"
78°43'49"
16.20
Altavista fine sandy loam, 0 to 3% slope
CU-23-5
Lamm, Carlton R
Lamm, Kemp
Cumberland
35°11'55"
78°43'38"
6.70
Altavista fine sandy loam, 0 to 3% slope
CU-23-6
Lamm. Carlton R
Lamm. Kemp
Cumberland
35°1I'48"
78°43'34"
14.40
Wickham fine sandy loam, 1 to 6%
slopes
CU-23-7
Lamm, Carlton R
Lamm. Kemp
Cumberland
35°1 1'34"
78°43'42"
30.80
Tarboro loamy sand, 0 to 6% slopes
CU-23-8
Lamm, Carlton R
Lamm, Kemp
Cumberland
35°11'38"
78°43'50"
5.40
Wickham fine sandy loam, 1 to 6%
slopes
CU-23-9
Lamm, Carlton R
Lamm, Kemp
Cumberland
35'11'34"
78'43'42"
6.80
Wickham fine sandy Ioam, 1 to 6%
slopes
CU-33-0I
Rinne, Allan
Reid. Jamie
Cumberland
35°10'60"
78°44'28"
15,20
Tarboro
CU-33-02
Rinne. Allan
Reid. Jamie
Cumberland
35°11'03"
78°44'05"
37.50
Tarboro loamy sand, 0 to 6% slopes
CU-33-03
Rinne, Allan
Reid, Jamie
Cumberland
35°10'55"
78°44'12"
12.80
Altavista
CU-33-04
Rinne, Allan
Reid, Jamie
Cumberland
35°10'44"
78°43'57"
18.80
Wickham
CU-33-05
Rinne, Allan
Reid. Jamie •
Cumberland
35°10'34"
78°44'23"
16.70
Wickham
CU-33-06
Rinne, Allan
Reid, Jamie
Cumberland
35°10'36"
78°44'52"
13.50
Wickham
CU-34-01
Eldridge. Harold
Cumberland
35° 14'0I"
78°37'40"
6.20
Norfolk loamy sand, 2 to 6% slopes
CU-34-02
Eldridge, Harold
Cumberland
35°14'04"
78°37'47"
5.10
Norfolk loamy sand, 2 to 6% slopes
Page I of 2

ATTACHMENT B - Approved Land Application Sites
City of Dunn
Certification Date: October 31, 2011
Permit Number: WQ0006101 Version: 3.2
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Acreage
Dominant Soil Series
• Footnotes
CU-34-03
Eldridge, Harold .
Cumberland
35°14'04"
78°37'39"
5.00
Goldsboro loamy sand, 0 to 2% slopes
CU-34-04
Eldridge, Harold
Cumberland
35°14'08"
78°37'38"
7.40
Norfolk loamy sand, 2 to 6% slopes
CU-34-05
Eldridge. l•Iarold
Cumberland
35°14'11"
78°37'39"
9_10
Goldsboro loamy sand, 0 to 2% slopes
HA-20I-04
Hamilton, Carl
Harnett
35°16'24"
78°41'33"
90.10
Wahee fine sandy loam. occasionally
Boo
HA-26-1
Hayes, Gerald W
Taylor, Ed
Harnett
35°25'46"
78°40'17"
7.00
Norfolk loamy sand, 6 to 10% slopes
IIA-27-4
Hayes. Gerald W
Taylor, Ed
Harnett
35°25'51"
78°40'22"
7.80
Dothan .
HA-27-5
Hayes, Gerald W
Taylor, Ed
Harnett
35°25'38"
78°40'26"
18.30
Fuquay
SA21-0 i
Allen, John Carl
Barefoot, Donnie Franklin
Sampson
35°17'41"
78°31'42"
15.40
Norfolk .
SA-21-02
Allen, John Carl
Barefoot, Donnie Franklin
Sampson
35°17'42"
78°31'26"
6.30
Norfolk
SA-21-03
Alien, John Carl
Barefoot, Donnie Franklin
Sampson
35°17'35"
78°31'42"
18.30
Norfolk
SA-21-04
Allen, John Carl
Barefoot, Donnie Franklin
Sampson
35°17'36"
78°31'26"
6.80
Norfolk
SA-21-07
Alien, John Carl
Barefoot, Donnie Franklin
Sampson
- 35°17'23"
78°31'47"
18.60
Rains
SA-21-08
Allen, John Carl
Barefoot, DonnieFranklinSampson
35°17'34"
78°31'57"
19.10
Norfolk
SA-23-01
Raynor, Margaret
Pope, Andy
Sampson
35°06'55"
78°25'60"
20,10 -
Norfolk loamy sand, 0 to 2% slopes
SA-23-02
Herring, R
Pope, Andy
Sampson
35°07'22"
78°25'50"
48.30
Norfolk loamy sand, 0 to 2% slopes
SA-23-03
Pope. Andy . •
Sampson
35°07'27"_
78°24'49"
. 22.70
Norfolk loamy sand, 0 to 2% slopes
,3 1
--L-az
nr,n1C n p
Gumberland�-•
.— ..r.---,.-...'••2
1•60°...,,.-
_,,,..8..7,0....>-Roan
---
.1. ml Wehee tn'2YtF5'
_
na 1tou R
Total
591.10
r1
P.. of2

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM: CBN 11-13
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 website at:
http://portal.ncdenr.org/web/wq/aps/lau
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 11-13).
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 11-13):
® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-13). 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 11-13) for each county in which the proposed land application
sites are located.
B. Critical Watershed Areas Information:
® Under 15A NCAC 02B .0212, no new permitted, sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas.
® For more information regarding Water Supply Watershed Protection Program, please visit the Division website at:
http://p ortal.ncdenr.org/web/wq/swp/ws/wswp
® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone].
C. Notification Package Submission:
® Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to
the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the
notification package also be sent to the County Manager.
® The most current publication of the Directory of ' State and . County Officials may be downloaded at:
http://www.secretary.state.nc.us/pubsweb/direct. aspx
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http://portal.ncdenr. org/web/wq/home/ro.
El 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 an 8.5 by 11-inch copy of the return receipt to the back of this attachment prior to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 11-13 Page 1 of 1

ATA
NCDENR
North Carolina Department -of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
Date: 6/27/16
To: Name of Chairman to the Board of County Commissioners: W. Marshall Faircloth
Complete mailing address PO Box 1829
City: Fayetteville State: NC Zip: 28302-1
County where land application sites are located: Cumberland
From: Applicant's name: City of Dunn (on behalf of the Division of Water Resources in accordance with Session Law
2013-340)
Contact person and title: Ronald Autry, City Manager
Complete mailing address: Post Office Box 1065
City: Dunn State: NC Zip: 28335
Telephone number: [phone] E-mail address [e-mail]
—. 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:. Fayetteville Regional Office
Complete mailing address: 225 Green Street, Suite 714
City: Fayetteville State: NC Zip: 28301-5095
Telephone number: [phone]
Expected date of application submission: 6/30/16
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.
?nclosures: Source Facility Summary
Land. Application Site Summary
Maps
FORM: CBN 11-13 Page 1 of 1

WATERSHED MAP - _
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-i-sz-/
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LL_L_L_L_LL_LL_L_L•-L_L_LLL._L_L_L_LL_LL_L__
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. b L_ L_ L_ L_
. L_ L_ L- L_ L-
► L_ L_ L_ L_
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LL L_ L L_ L_. L_ L_ L_ L_ .
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LLL.
LLLLLL LLLL.
L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_-L_ L_ L- L_ L_ L_ L_ L_ L L_ L_
L_ L_ L_ L_ L_ L_ L_ L- L_ L_ L_ L_ L_ L_ H L_ L_ L_ L_ L_ L_LL_
L_ L= L_ L- L_ L- L_: L_ L_ L_ L_ L- L_ L_ L_ L_ L_ L_ L_ L_ L_ L_
L_ L_ L._ L_ L L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L
L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L L_ L_ L_ L_ L_ L_ L_ L_ L_ L_
L_ L_ L_ L- L_ L_ L_ L_ L_L_ L_ L_ L_ L_ L_ L_. L_ L_ L_ L_ L_ L_
L_ L- L_ L_ L-. L_ L_ L_ L_ L_ L-. L_ L_. L_ L_ L_ L. L- L_ L_ L_ L-
L_ L_ L_ L_ L_ L_ L_ L_ L_:L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_
L- L_ L L_
L L_ L_ L_ L-
L_ I_ L_ L_ L_
L_ I L_ L_ L_
L_ L_ L_
L_ I L L_ L_
L- L_ L_ L_
H L_ L_
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L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_ L_
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L_ L._ \L_ L_ L_ L_ L_ L_ L_.
L L_ L- L_ I _ L L_ L_
' -L_ L_ L L_
GRAPHIC SCALE LEGEND
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within 1" = 5,000'
in the property boundary, whichever Is closest to the application area, The review boundary Is established
midway between the compliance boundary and the per meter of the residuals application area, All 5,0c0' 0 5,000'
/
WS_I
WS_I I
\�\
WS—I I I
;CF
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locations are approximate. � � �
�
\`\\�

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Delivered, Individual FAYETTEVILLE, NC 28,
302 _._. _. _._.. _.__. _
Picked Up at Postal Facility
Your item was picked up at a postal facilityat 7:42 am on June 30, 2016 in FAYETTEVILLE., NC 28302.
June 30, 2016 , 6:23 am
June 30, 2016 , 12:03 am
June 29, 2016 , 10:53 am
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June 28, 2016 , 5:25pm
June 28, 2016 , 12:23 pm
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FAYETTEVILLE, NC 28302
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Acceptance RALEIGH, NC 27606
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