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HomeMy WebLinkAboutWQ0000701_2008 Annual Report_20090129`7-Resources, Inc. January 28, 2009 DENR/Water Quality Section Non -Discharge Compliance Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 2008 Annual Report - Tyson Treatment and Land Application of Residuals Permit No. WQ0000701 Dear Sir or Madam: .(; r` ao ! DEIARSDWI Pe, b 2Q(19 RFCE VED MAR 0 5 2009 OENR-FAYETTEVILLE REGIONAL OFFICE Enclosed are three copies of the 2008 Annual Report for the above referenced land application permit. During 2008 EMA Resources, Inc. land applied 163.41 dry tons of biosolids to 136.6 acres of private farmland. Please contact Brent Collins -Director of Technical Services if you have any further questions concerning this report. Sincerely Brent Collins Director of Technical Services brent.collins@emaresourcesinc.com 29 Court -Square Mocksville, NC 27028 ANNUAL LAND APPLICATION CERTIFICATION FORM Permit#: WQ0000701 County: Iredell _ Year: 2008 Tyson Foods Facility Name (as shown on permit): Land Application Operator: EMA Resources Inc. Phone: 336-751-1441 —Land application of residual solids as allowed by the permit occurred during the past calender year? n Yes ❑ No If No, skip Part A, and Part B and proceed to the certification. Also, if residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A: Total number of application fields in permit: 65 Total number of fields land application occurred duringthe year: 4 . Total amount of dry tons applied during the year for all application sites: 163.41 Total number of acres land application occurred during the year: 136.6 Part B: Facility was compliant during calendar year 2008 with all conditions of the land application permit (including but not limited to items 1-12 below) issued by the Division of Water Quality. • CI Yes ® No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. . 1. Only residuals approved for this permit were applied to the permitted sites. 2. Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 orthelimit specified in the permit. 3. Annual soils analysis were performed on each site receiving residuals during the past calendar year and -three (3) copies of laboratory results are attached. " 4. Annual TCLP analysis was performed and three (3) copies of certified laboratory results are attached. . All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. . The facility did not exceed any of the Pollutant Concentration Limits in Table 1 of 40 CFR Part 503.13 or the Pollutant Loading Rates in Table 2 of 40 CFR part 503.13 (applicable to 40 CFR Part 503 regulated facilities). 7. All general requirements in 40 CFR Part 503.12 and management practices in 40 CFR Part 503.14 were complied with (applicable to 40 CFR Part 503 regulated facilities). 8. All operations and maintenance requirements in the permit were complied with or, in thecase of a deviation, prior authorization was received from the Division of Water Quality. 9. No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions' and remediations. - 10. Vegetative cover as specified in the permit was maintained on this site and the crops grown were removed in accordance with the crop management plan. 11. No- runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 12: All buffer requirements as specified on the permit were maintained during each application of residuals. "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Dan Crowe.- Plant Manager Permittee Name and Title (type or print) Signature P rrmitte Date / Zll0 • Signature of Preparer* (if different from Permittee) * Preparer is defined in 40 CFR Part 503.9 (r) Date Signiture of Land Applier (if different from Permittee and Preparer) Date DENR FORM ACF:(5/2003) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Attach this form to the corresponding Annual Report Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form. Permit Number: WQ0000701 Laboratory: 1) A&L Labs Facility Name: NPDES # or WQ#: WWTP Name: Tyson Poultry NC0005126 Harmony NC Rendering Plant 2) 3) 4) 5)' 1\GDiuual c- Ita A, .710 Sample or Composite Date LflbN 2/11/08 4/1/08 - Percent Solids 5.78 5.13 Parameters (mg/kg) Arsenic 2.9 2.2 Cadmium .. 1 1 Chromium 7 8. Copper 19 25 Lead 8 5 Mercury 0.7 ..0.4 Molybdenum 5 5 = Nickel 6 ' 6 Selenium 4 2.7 `Zinc. 313 226 Total Phosphorus 14000 14200 TKN 55500 58300 Ammonia -Nitrogen 20400 26700 Nitrate and Nitrite 1 1 "I certify, under penalty of law, that this document was prepared under my direction or supervision inaccordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant : na .' ' for s . bmitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Preparer Date DENR FORM RSSF (5/2003) ANNUAL RESIDUAL SAM4I:ING SUMMARY FORM Attach this form to the corresponding Annual Report Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form. Permit Number: Facility Name: NPDES # or WQ#: WWTP Name: WQ0000701 Tyson Poultry NC0005126 Harmony Rendering Plant Laboratory: 1) A&L Labs 2) 3) 4) 5) .tflL t a4Na nn aa, On% Sample or p Composite Date Yrtw 2/11/08 4/1/08 Aluminum 11100 11200. Parameters (mg/kg) Calcium 49400 58500 Magnesium 2100 2200 pH 7.07 • 6.42 Potassium 3400 2800 ' Sodium 17100 ' 13000 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significa p s for ' . itting false information, including the possibility of fines and imprisonment for knowing violations." r Signature of Preparer Date DENR FORM RSSF-B (5/2003) Report Nil008 r: R08043-806-8 Account Number: 46245 TO: EMA RESOURCES INC 29 COURT SQ MOCKSVILLE, NC 27028 LAB NUMBER: 40835 SAMPLE ID: TYSON Solids, Total (As is) Nitrogen, Total Kjeldahl Phosphorus Potassium Sulfur 'Calcium Magnesium Sodium Iron Aluminum Manganese Copper Zinc. Nitrogen, Ammonia (as N) Nitrogen, Organic (N) Nitrogen, NO3+NO2 Cadmium Chromium ih A&L EASTERN LABORATORIES, INC. 7621 Whitepine Road • Richmond, Virginia 23237 (804)'743-9401 • Fax No. (804) 271-6446 FOR: TYSON NC CERT #257 REPORT OF ANALYSIS 5.78 5.55 1.40 0.34 0.39 4.94 0.21 ., 1.71 57800 55500 14000 3400 3900 49400 2100 17100 2690 11100 70 19 313 2.04 20400 3.51 35100 <1 <•1 7 coPv: BRENT COLLINS. DATE SAMPLED:. 2/11/2008 1000 DATE RECEIVED: 2/12/2008 1000 DATE REPORTED: 2/18/2008 PAGE: 1 100 10 100 100 100 100 100 100 1 KM MW, KM KM KM KM KM KM KM 10 KM 1 KM 1 KM 1 KM 10 MW 100 DCH 1 DH 1 KM 5 KM 02/12/08 02/13/08 02/13/08 02/13/08 02/13/08 02/13/08 02/13/08 02/13/08 02/13/08 02/1.3/08. 02/13/08 02/13/08 02/13/08 02/13/08 02/13/08 02/13/08 02/13/08 16:00 16:00 16:00 16:00 16:00 16:00 16:00 16:00 16:00 16:00 16:00 15:00 16:00 14:00 15:00 16:00 16:00 All values are on a dry weight basis 'except as noted. *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 in 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 EPA 351.3 . SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B - SW 846-3051/6010B SW 846-3051/6010B. EPA 350.2 CALCULATION SM 4500-NO3F SW 846-3051/6010B SW 846-3051/6010B • 1 `i (+b. PAUL C. H. CHU Report Nu, r: R08094-8006 Account Number: 46245. TO: EMA RESOURCES-INC 755 YADKINVILLE RD MOCKSVILLE, NC 27028 LAB NUMBER: 41880 SAMPLE ID: TYSON Solids, Total (As is) Nitrogen, Total Kjeldahl Phosphorus Potassium Sulfur Calcium Magnesium Sodium Iron Aluminum Manganese. Copper Zinc Nitrogen, Ammonia (as N) Nitrogen, Organic (N) Nitrogen, NO3+NO2 Cadmium Chromium 5.13 5.83 1.42 0.28 0.45 5.85 0.22 1.30 A&L EASTERN` LABORATORIES, INC. 7621 Whitepine Road • Richmond, Virginia 23237 (804) 743-9401. • Fax No. (804) 271-6446 FOR: TYSON NC CERT #257 REPORT OF ANALYSIS DETECTION -I IMIT'• COPY: BRENT COLLINS DATE SAMPLED: 4/1/2008 0800 DATE RECEIVED: 4/3/2008 1100 DATE REPORTED: 4/7/2008 PAGE: 1 51300 100 JM 04/03/08 16:00 58300 10 JM ' 04/04/08 16:00 14200 100 KM 04/04/08 16:00, 2800 100 KM 04/04/08 . 16:00 4500 100' . KM 04/04/08 16:00 58500 100 KM 04/04/08 16:00 2200 100 'KM 04/04/08 16:00 13000 ' 100 KM 04/04/08 16:00 2410 1 KM 04/04/08 .16:00 11200 10 KM 04/04/08 16:00 95 1 KM 04/04/08 16:00 25 1 KM 04/04/08 15:00 226 1 KM 04/04/08 ' 16:00 2.67 26700 . 10 JM 04/04/08 14:00 3.16 31600 100. DCH < 1 .1 KS 04/04/08, 15:00 < 1 1 KM 04/04/08 16:00 8 5 KM 04/04/08. 16:00 All values are on a dry weight basis except as noted. *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 in 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 EPA 351.3 SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B SW 846-3051/6010B EPA 350.2 CALCULATION SM 4500-NO3F SW 846-3051/6010B SW 846-3051/6010B 714 PAUL C. H. CHU Report Nd\ r: R08094-8606 Account Number: 46245 TO: EMA"RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE, NC 27028 LAB NUMBER: 41880 SAMPLE ID: • TYSON Nickel Lead Arsenic Mercury Selenium pH (Std. Unit, As is) Molybdenum 6.42 A&L EASTERN LABORATORIES, INC. 7621 Whitepine Road • Richmond, Virginia 23237 (804) 743-9401 • Fax No. (804) 271-6446 • FOR: TYSON. NC CERT #257 REPORT OF ANALYSIS 4R1=8U1: DETTIa�!' POW, LI90;(rni4osg).' AFW.YST 6 5 2.2 <0.4 2.7 <5 5 5 1.0 0.4 1.0 0.01 5 KM KM KM KM KM RD KM 04/04/08 04/04/08 04/04/08 04/04/08 04/04/08 04/04/08 04/04/08 copy: BRENT COLLINS DATE SAMPLED: 4/1/2008 0800 DATE RECEIVED: 4/3/2008 1100 DATE REPORTED: 4/7/2008 PAGE: 2 16:00 16:00 15:00 15:00 15:00 12:30 16:00 All values are on a dry weight basis except as noted. *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 in 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 obtainingourprior written authorization. SW 846-3051/6010B SW 846-3051/60.10B SW 846-6010B SW 846-7471A SW 846-6010B SW 846-9045C SW 846-3051/6010B ef�n- •, i� -- PAUL C. H. CHU ENVIRONMENTAL SCIENCE CORP. Mr. Brent Collins EMA Resources 29 Court Square Mocksville, NC 27028 12065 Lebanon Rd. Mt. Juliet, TN 37122 (615) 758-5858 1-800-767-5859 Fax (615) 758-5859 Tax Z.D. 62-0814289 Est. 1970 Report Summary Thursday February 07, 2008 Report Number: L329412 Samples Received: 01 / 2 9 / 0 8 Client Project: TYSON ' Description: Tyson The analytical results in this report are based upon information supplied by you, the client, and are for your exclusive use. If you have . y questions regarding this data package, please do no hesitate . all. Entire Report Reviewed By: Ter e uepres a ive Laboratory Certification Numbers A2LA - 1461-01, AIHA - 09227, AL - 40660, CA - I-2327,'CT - PH-0197, FL - E87487 GA - 923, IN - C-TN-01, KY - 90010, KYUST - 0016, NC - ENV375,DW21704, ND - R-140 NJ - TN.0.02, SC - .84004, TN - 2006, VA - 00109, WV - 233 - AZ - 0612, MN - 047-999-395, NY - 11742, WI - 998093910 This report may not be reproduced, except in full, without written approval from Environmental Science Corp.. 2 Samples Reported: 02/07/08 11:47 Printed: 02/07/08 12:51 Page 1.o£ 6 ENVIRONMENTAL SCIENCE CORP. Mr. Brent Collins EMA Resources 29 Court Square Mocksville,'NC 27028 Date Received January 29, 2008 Description Tyson Sample ID TYSON 6 FT Collected By Boger Borisell Collection Date : -01/28/08 09:20 Parameter TCLP Extraction Mercury, Arsenic_ BariumCadmium Chromium Lead Selenium Silver TCLP ZHE Extraction TCLP Volatiles Benzene Carbon tetrachloride Chlorobenzene Chloroform 1,2-Dichloroethane 1,1-Dichloroethene 2-Butanone (MEK) Tetrachloroethene Trichloroethene Vinyl chloride Surrogate Recovery Dibromo£luoromethane Toluene-d8 4-Bromofluorobenzene TCLP Pesticides Chlordan 'e Endrin Heptachlor Lindane Methoxychlor Toxaphene Surrogate Recovery Decachlorobiphenyl Tetrachloro-m-xylene TCLP Herbicides 2,4,5-TP (Silvex) REPORT OF ANALYSIS. 12065 Lebanon Rd. Mt. Juliet, TN'37122 (615) 758-5858 1-800-767-5859 Fax (615) 758-5859 Tax I.D. 62-0814289 Est. 1970 February 07, 2008 &SC Sample 4 : Site I-D Project : TYSON Result Det. Limit Units Limit Method 1311 BDL 0.0010 mg/1 .0.2D 7470A BDL 0.050 mg/1 5.0 6010B BDL 0.050 mg/1 100 6010B BDL 0.050 mg/1 1.0 6010E BDL 0.050 mg/1 5.0 6010E BDL 0.050 mg/1 5.0 '6010B BDL 0.050 mg/1 1.0 6010B BDL 0.050 mg/1 5.0 6010B 1311 BDL 0.050 mg/1 0.50 8260B BDL 0.050 mg/1- 0.50 8260B BDL 0.050 mg/1 100 8260B BDL 0.25 mg/1 6.0 8260B BDL 0.050 mg/1 0.50 8260B BDL 0.050 mg/1 0.70 8260B BDL 0.50 mg/1 200 8260B BDL 0.050 mg/1 0.70 8260B BDL 0.050 mg/1 0.50 8260B BDL 0.050 mg/1 0.20 82608 115. % Rec. 8260B 102. % Rec. 82608 103. % .Rec. 8260B BDL 0.0050 mg/1 0.030 8081A BDL 0.0050 mg/1 0.02D 8081A BDL 0.0050 mg/1 0.0080 8081A BDL 0.0050 mg/1 0.40 8081A BDL 0.0050 mg/1 10. 8081A BDL 0.010 mg/1 0.50 8081A 78.6 % Rec. 8081A 72.1 % Rec. 8081A BDL 0.0.02D mg/1 1.0 8151A L329412-01 • Date/Time By Dil 01/30/08 0946 LJN 1 01./31/08 2033 1{BW .1 01/30/08 1726 ICO 1 01/30/08 1726 ICO 1 01/30/08 1726 ICO 1 01/30/08 1726 ICO 1 01/30/08 1726 ICO 1 01/30/08 1726 ICO 1 01/30/08 1726 ICO 1 01/31/0.8 02/01/08 02/01/08 02/01/08 02/01/08 02/01/08 02/01/08 02/01/08 02/01/08 02/01/08 02/01/08 02/01/08 02/01/08 02/01/08 0937 LJN 1 1711 1711 1711 1711 1711 1711 1711 1711 1711 1711 1711 1711 1711 02/05/08 2222 02/05/08 2222 02/05/08 2222 02/05/08 2222 02/05/08 2222 02/05/08 2222 ACG 1 ACG 1 ACG 1 ACG 1 ACG 1 ACG 1 ACG 1 ACG 1 ACG 1 ACG 1 ACG 1 ACG 1 ACG 1 JSW 1 JSW 1 JSW 1 JSW 1 JSW 1 JSW 1 02/05/08 2222. JSW 1 02/05/08 2222 JSW 1 02/05/08 1657 JSW 1 Page 2 of 6 ENVIRONMENTAL SCIENCE CORP . Mr. Brent Collins EMA Resources ' 29 Court Square Mocksville, NC 27028 Date Received Description Sample ID January Tyson 29, 2008 TYSON 6 FT Collected By Boger Hortsell Collection Date : 01/28/08 09:20 Parameter 2,4-D 'Surrogate Recovery 2,4-Dichlorophenyl Acetic Acid TCLP Semi-Volatiles 1,4-Dichlorobenzene 2,4-Dinit.rotoluene Hexachlorobenzene Hexachloro-1,3-butadiene Hexachloroethane Nitrobenzene Pyridine msp-Cresol o-Cresol Pentachlorophenol 2,4,5-Trichlorophenol 2,4,6-Trichlorophenol Surrogate Recovery Nitrobenzene-d5 2-Fluorobiphenyl p-Terphenyl-d14 Phenol-d5 2-Fluorophenol 2,4,6-Tribromophenol REPORT OF ANALYSIS :12065 Lebanon Rd. Mt. Juliet, TN 37122 (615) 758-5858 1-800-767-5859 • Fax (615) 758-5859 Tax I.D. 62-0814289 Est. 1970 February 07, 2008 ESC Sample .# : , .L323412-01 Site ID : Project : Result Det. Limit Units Limit BDL - 0.0020 mg/1 10. 75.D % Rec. BDL BDL BDL BDL BDL BDL BDL 2.3 2.1 BDL BDL BDL 3.0 . 7 77.9 96.2 32.9 44.9 91.1 TYSON Method Date/Time By Dil 8151A 02/05/08 1657 JSW 1 8151A 0.2./.051DB .1657 JS.W 1 0.10 mg/1 '7.5 8270C 0.10 mg/1 0.13 8270C 0.10 mg/1 0.13 8270C 0.10 mg/1 0.50 8270C 0.10 mg/1 3.0 8270C 0.10 -mg/1 2.0 8270C 0.10 mg/1 .5.0 8270C D.10 mg/1 40D 8270C 0.10 mg/1 . 200 8270C 0.10 mg/1 100 8270C 0.10 mg/1 400 8270C 0.10 mg/1 2.0 .8270C Rec. -8270C % Rec. 8270C % Rec. 8270C % Rec. 8270C % Rec. 8270C Bec.. . 8270C 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02/04/08 2051 02'/04/08 2051 BDL - Below Detection Limit Det. Limit - Estimated•Quantitation Limit(EQL) Limit - Maximum Contaminant Level as established by the US EPA Note: The reported analytical results relate only to the sample submitted. This report shall not be reproduced, except in full, without the written approval from ESC. Reported: 02/07/D8 1.1:47 Printed: 02./07/08 12:.52 Page 3 of 6 CBM CBM CBM CBM CBM CBM CBM CBM CBM CBM CBM CBM CBM CBM CBM CBM CBM CBM 1 1 1 1 1 1. 1 1. 1 1 1 1 1 1 1 1 1 1 ENVIRONMENTAL SCIENCE CORP. REPORT OF ANALYSIS Mr. Brent Collins EMA Resources 29 Court Square Mocksville, NC 27028 Date Received : " January 29; 2008 Description Tyson Sample ID . - TYSON 6 FT Collected By Boger Borts.e J. Collection Date : 01/28/08 09:20 12065 Lebanon Rd. Mt. Juliet, TN 37122 (615) 758-5858 1-800-767-5859 Fax (615) 758-5859 -Tax Z.D. 62-0814289 Est. 1970 February 07, 2008 ESC Sample # : L329412-D2 Site ID . Project # : TYSON Parameter Result Det. Limit Units Method Date Dil. Corrosivity Non -Corrosive 9040C 02/02/08 1 Ignitability .See Footnote Deg. F D93 02./01/D.8 1 Reactive CN (SW846 7.3.3.2) BDL 0.125 mg/kg 9012B 02/04/08 1 Reactive Sulf.(SW846 7.3.4.1) BDL 25. mg/kg 9034/9030B 02/03/D8 1 BDL - Below Detection Limit Det. Limit-- Practical Quantitation Limit(PQL) Note: The reported analytical results relate only -to the sample submitted. This report shall not be reproduced, except in full, without the written approval from ESC. Reported: 02/07/08 11:47 Printed: 02/07/08 12:52 L329412-02 (IGNI.TABILITY) - Did Not -Ignite.@ 17.0 Page 4 .of 8 Sample # L329412-01 Attachment A .List of Analytes with QC Qualifiers Analyte Qualifier 2,4,5-TP (Silvex) J4 Endrin J3 -_Heptachlor J3 Lindane J3 Methox.y.chl.or J3J4 Page 5 of b Qualifier Meaning J3 J4 Attachment B Explanation of QC Qualifier Codes The associated batch QC was outside the established quality control range for precision. The associated batch QC was outside the established quality control range for accuracy. - Qualifier Report Information ESC utilizes sample and result qualifiers as set forth by the EPA Contract Laboratory Program and as required by most certifying bodies including NELAC. In addition to the EPA qualifiers adopted by ESC, we have implemented ESC qualifiers to provide more information pertaining to our analytical results. Each qualifier is .designated in the qualifier explanation as either EPA or ESC. Data qualifiers are intended to provide the ESC client with more detailed information concerning the potential bias of reported data. Because of the wide range of constituents and variety'of matrices incorporated by most EPA methods,it is common for some compounds to fall outside of established ranges. These exceptions are evaluated and all reported data is valid and useable unless qualified.as''R' (Rejected). Definitions Accuracy - The relationship of the observed value of a known sample to the true value of a known sample. Represented by percent recovery and relevant to samples such as: control samples, matrix spike recoveries, surrogate recoveries, etc. Precision -_The agreement between a set of samples or between duplicate samples. Relates to how close together the results are and is represented by Relative Percent Differrence. Surrogate - Organic compounds that are similar in chemical composition, extraction, and chromotography to analytes of interest. The surrogates are used to determine the.probable response of the group of analytes that are chem- ically related to the surrogate compound. Surrogates are added to the sample and carried through all stages of preparation and analyses. TIC - Tentatively Identified Compound: Compounds detected in samples that are not target compounds, internal standards, system monitoring compounds, or surrogates_ Page b of 6 Summary of Remarks For Samples Printed 02/07/08 at 12:52:19 TSR Signing Reports: 064 R5 - Desired TAT Sample: L329412-01 Account: EMARES Received: 01/29/08 09:00 Due Date: 02/05/08 00:00 RPT Date: 02/07/08 11:47 Sample: L329412-02 Account: EMARES Received: 01/29/08 09:00 Due Date: 02/05/08 00:00 RPT Date: 02/07/08 11:47 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM. Facility Name: WWTP Name: Monitoring Period: From 1/1/2008 To 2/29/2008 Tyson Foods Harmony NC -Rendering Plant Permit Number: -. . WQ000701 NPDES Number: NC0005126 .Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed: Class A: Alternative 1 ■ - 'Alternative 2 • Alternative -3 ■ Alternative 4 Alternative 5 • - Alternative 6 • If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost • Heat Drying ■ Heat Treatment • Thermophilic U Beta Ray 1 Gamma Ray ■ Pasteurization • Class B: - Alternative Alternative 2 Alternative 1 o • 3 • If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization- ■ .. Air Drying Composting - • Aerobic Digestion • Anaerobic Digestion •I - I' If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter - Allowable Level Sludge g - - Pathogen Density, - Number of Excee- Frequency of Sample , Type Analytical' Tech- - Minimum Geo. Mean Maximum Units - Fecal Coliform - 2,x 10 to the 6th power MPN per gram of total solids or 2 x 10 to _ the 6th power CFI J ner cram of 162749 263409.2 297952 , MPN/g 0 Quarterly Grab SM92210E - 1000 mpn per gram of total solid (dry weight) - Salmonella bacteria , (in lieu of fecal ' coliform) 3.MPN per 4`- grams total solid ' (dry weight) - ' - - Vector Attraction. Reduction (40 CFR 503.33) - Please indicate option performed: Option 1 ' ❑ Option 6 ❑ Option 2 Option Option 3 ❑' - Option 8 Option 4 ❑ Option 9 p No vector_ attractionreduction options were performed ❑ Option 5 Option 10 0 CERTIFICATION STATEMENT (please check the appropriate statement) - . "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have been met." 0 "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision -in accordance with the " systemdesigned to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been -met. I - am aware that there are significant. penalties for false certification including fine and imprisonment." Dan Crowe -Plant Manager Prep . �r e • s d Title (type or print) Signature of Preparer Brent Collins -.Director of Technical Services Land Ap N e and 't1e ' .applicable)(type or print) Date Signature of Land Applier (if applicable) Date DENR FORM RF (5/2003) Feb OG 2009 5:40PM Statesville Finalytical 704-878-2787 p.. 1 Analytical Results EMA Resources, Inca 755 Yadkinville Rd. Mocksville Entered 1/28/2008 Reported: 2/6/2009 Sample Remark NC 27028 For Tyson STATESVILLE ANALYTICAL Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst 080128-6.1 % Solids 1 080128-6.1 Fecal Coliform MTF 1 080128-6.2 % Solids 2 080128-6.2 Fecal Coliform MTF 2 080128-6.3 % Solids 3 OE j8-6.3 Fecal Coliform MTF 3 380128-6.4 % Solids 4 380128-6.4 Fecal Coliform MTF 4 380128-6.5 % Solids 5 380128-6.5 Fecal Coliform MTF 5 380128-6.6 % Solids 6 380128-6.6 Fecal Coliform MTF 6 380128 6.7 % Solids 7 )80128-6.7 Fecal Coliform MTF 7 )80128-6.7 Geometric Mean 7 Respectfully submitted, err, Dena Myers NC Cert #440, NCDW Cert #37755, EPA NC00909 5.83 % SM2540B 1/28/08 MD >274,443 MPN/g SM92210E 1/28/08 MD 5.65 % SM254013 1/28/08 MD >283,186 MPN/g SM92210E 1/28/08 MD 5.79 % SM2540B 1/28/08 MD >276,339 MPN/g SM92210E 1/28/08 MD 5.44 % SM2540B 1/28/08 MD >294,118 MPN/g SM92210E 1/28/08 MD 5.37 % SM2540B 1/28/08 MD >297,952 MPN/g SM92210E 1/28/08 MD 5.57 % SM25408 1/28/08 MD >287,253 MPN/g SM92210E 1/28/08 MD 5.53 % SM25406 1/28/08 MD 162,749 MPN/g SM92210E . 1/28/08 MD >263409 MPN/g dry wt. basis 1/29/08 MD P.O. Box 228 • Statesville, North Carolina 28687 • 704/872/4697 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM Facility Name: WWTP Name: Tyson Foods Permit Number: WQ000701 Harmony NC Rendering Plant NPDES Number: NC0005126 Monitoring Period: From 3/1/2008 To 4/30/2008 Pathogen Reduction (40 CFR 503:32) - Please indicate level achieved and alternative performed: Class A: Alternative 1 ■ Alternative 2 • Alternative 3 • Alternative 4 ■ , Alternative 5 ■ Alternative 6. ■ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ■ Heat Drying ■ Heat Treatment ■ Thermophilic • Beta Ray ■ Gamma Ray ■ Pasteurization ■ Class B: Alternative Alternative 2 Alternative 1 o ■ 3 • If applicable to alternative performed (Class B only) indicate "Process to. Significantly Reduce Pathogens": Lime Stabilization _ ■ Air Drying • Composting ■ Aerobic Digestion ■ Anaerobic Digestion■ 4 x xn ry % P- SY : ' If applicable to alternative. performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level , . in Sludge Pathogen Density Number of Excee- ,,p,,,,p,, Frequency of A,.,i.,a.. Sample Type Analytical Tech - .,,,, Minimum Geo. Mean Maximum Units Fecal Coliform 2x10tothe 6th power MPN per gram of total solids or 2 x 10 to the 6th power CFT T ner Aram of 177515 290309 322580 . MPN/g 0 Quarterly Grab SM92210E . 1000 mpn per gram of total solid (dry weight) - . Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed: Option 1 ❑ Option 6 ❑ Option 2 ❑ Option 7 ❑ Option 3 ❑ Option 8 ❑ Option 4 ❑ Option 9 ❑p No vector attraction reduction options were performed ❑ Option 5 ❑ Option.10 ❑ CERTIFICATION STATEMENT (please check the appropriate statement) "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have been met." 0 "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have not been met." (Please, note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Dan Crowe - Plant Manager Prepare ed T' a (type or print) Signature o Preparer Brent Collins - Director of Technical Services Land Ap applicable)(type or print) //,27/09 Date Date Signature of Land Applier (if applicable) DENR FORM RF (5/2003) Analytical Results EMA Resources, Inc. 755 Yadkinville Rd. Mocksville Entered 3/31 /2008 Reported; 4/4/2008 Sample Remark NC 27028 For: Tyson Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst 080331-8.1 % Solids 1 _ 5.01 % SM2540B 4/1/08 MD 080331-8.1 Fecal Coliform MTF 1 319,361 MPN/g SM92210E 4/1/08 MD 08033148.2 % Solids 2 5.02 - % . SM2540B 4/1/08 MD. 080331-8.2 Fecal Coliform MTF 2 318,725 MPN/g SM92210E .. 4/1/08 MD 080331-8.3 % Solids 3 5.11 % SM2540B 4/1/08 MD '331-8.3 Fecal Coliform MTF 3 313,111 MPN/g SM92210E 4/1/08 MD '086331-8.4 % Solids 4 521 % SM2540B 4/1/08 MD 080331-8.4 Fecal Coliform MTF 4 307,102 MPN/g SM92210E . 4/1/08 MD 080331-8.5 % Solids 5 5.16 % SM2540B 4/1/08 MD 080331-8.5 Fecal Coliform MTF 5 310,077 MPN/g SM92210E 4/1/08 MD 080331-8.6 % Solids 6 5.07 % SM2540B 4/1/08 MD. 080331-8.6 Fecal Coliform MTF 6 177,515 MPN/g SM92210E 4/1/08 MD 080331-8.7 % Solids 7 4.96 % SM2540B 4/1/08 MD 080331-8.7 Fecal Coliform MTF 7 .322,580 MPN/g SM92210E 4/1/08 MD 080331-8.7 Geometric Mean 7 290,309 MPN/g dry wt basis 4/2/08 MD. Respectfully submitted, :F< Dena Myers NC Cert #440, NCDW Cert #37755, EPA NC00909 P.O. Box 228 • Statesville, North Carolina 28687 c 704/872/4697 ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form. to the corresponding. Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: (? "-9fator: A .: es Used: Tyson Foods Inc Total Dry Tons Applied (Annual): WQ0000701 „ Cation Exchange Capacity (non 503 only): 81.46512 Ralin Matthews Owner: Ralin Matthews 66.6.- Acres Permitted: 66.6 Site #: M08 Field #: 1 Residual Analysis Data (Heavy Metals and Total .Phosphorus use mglkg, % Solids use Raw Percent #): Sample or Com- posite Date 1" 2 3 4 5 6 7 9 10 11 12 2/11 4/1 % Solids 5.78 5.13 Arsenic 2.9 ' 2.2T. Cadmium 1 1. Chromium 7 ". 8 Copper 19 . 25 Lead. -. 8 5 Mercury 0.7 0.4 Molyb- dennm 5 5 " Nickel ' 6 6 Selenium 4 ` 2.7 , Zinc 313 226 Total Phos- chorus 14000 14200 ,lual Heavy Metal Field Loadings (Calculated in lbs/acre): Total DT/Ac./ Yr./Applicatio n Event 1 1.2232 2 3j 4 5. 6 7 8_ 9 10 11 12 Totals: Arsenic 0.0071 0 0 0 0 0 0 0 0 0 0 0 0.0071 Cadmium 0.0024 0 0 0 0 0 0 0 0. .0 .0 0 0.0024 - Chromium 0.0171 0. 0 0 0 0 0 0 0 0 . 0 . 0 .0.0171 Copper 0.0465 - 0 0 0 0 0 0 0' 0 0 0 0 0.0465 Lead 0.0196 0 0 `0 . 0 0 0 0 0 0 0 0 0.0196 Mercury- 0.0017 0 0 0 0 0 0 0 0 0 0 0 0.0017 Molyb- dennm 0.0122 0"" 0 0 0 0 0 0 0 0 0. 0 0.0122 Nickel 0.0147 0 0 0 ' 0 0 . 0 0 0, 0 0 0. 0.0147 Selenium 0.0098 0 .- 0 - 0 0 0 0 0-. 0 0 0 " 0 0.0098 . Zinc 0.7657 0 .0 ' 0 0. 0 0 0 - 0 •0 0'- 0 0.7657 Total Phos- phorus - 34.25 0 0 0 0 .. 0. 0 0 0 0. 0 0 34.25 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the "-rmation submitted. I am aware that thereare significant penalties for submitting false information, Aiding the possibility of fines and imprisonment for knowing violations" • 1/12/2009 Signature of Land Applier ' . . _ Date * See bottom of FSF Form for helpful instructions for. this MFLSF Form and the mathematically linked FSF-Form DENR FORM MFLSF (5/2003) Facility Name: Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD: PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Tyson Foods Inc Permit #: WQ0000701 Annual Dry Tons Applied: Ralin Matthews Site #: M08 Field #: Operator: 1 .. 81.466788 Ralin Matthews Cation Exchange Capacity (non 503): Acres Utilized: 66.6 Acres Permitted: 66.6 Date or Month Specify Totals per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) . Site Cond. Dry ' Wet, ,r-:.,,- Inches preci Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TIC Ammo- nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop 2 * * ❑� Gal. e Cu.Yd. Report Totals in Gal. Crop 1 Crop 2 1/23 26000 390.39 5.78 0.094094234 Tyson Foods Inc .3% Dry S 1 0.4 55500- 20400 1 6.4814 ####### SG 1 1/24 58500 878.38 5.78 0.211712027 Tyson Foods Inc Dry S 1 0.4 55500 20400 1 14.5831 ####### SG 2 1/25 .45500 683.18 5.78 0.16466491 Tyson Foods Inc Dry S 1 . 0.4 55500 20400 1 • 11.3424 ####### SG 3 1/28 39000 585.59 5.78 0.141141351 Tyson Foods Inc Dry '.S 1 0.4 55500 20400 1 9.7221 ####tilt# SG 4 1/29 39000 585.59 5.78 ' 0.141141351 Tyson Foods Inc Dry S 1 0.4 55500 20400 1 9.7221 ####### SG 5 1/30 39000 585.59 5.78 0.141141351 Tyson Foods Inc Dry S 1 0.4 55500 20400 1 9.7221 ####### SG 6 1/31 39000 585.59 5.78 0.141141351 Tyson Foods Inc Dry S 1 0.4 55500 20400 1 9.7221 ####### SG 7 2/1 , 19500 292.79 5.78 0.070570676 Tyson Foods Inc Dry S : 1 0.4 55500 20400 1 4.86105 ####### SG 8 2/5 32500 487.99 5.78 0.117617793 Tyson Foods Inc Dry S 1 ' 0.4 55500 20400 1 8.10175 ####### SG 9 0 0 0 0 10 0 0 0 • 0 11 0 0 0 0 12 COTALS: 5075,. As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1, PAN 2 Lime Applied .nnua1 lbs/acre 0.00709456 0.00245 0.01712 ' 0.04648 0.01957 0.00171 0.01223 0.01468 0.00979 0.76572 34.2496 84.2582 0 Date lbs/ac :urrent Cumulative 1bs/ac 0.02189456 '0.02285 0.01712 1.06808 0.16117 0.00431 0.05353 0.11568 0.01729 2.59452 ¢ -?� �: 'rior Years Cumulative lbs/ac 0.0148 0.0204 1.0216 0.1416 0.0026 0.0413 0.101 0.0075 1.8288'::; 'ermitted C. P. L. R.*** 36 34 1338 267 15 374 89 2498 z _. Ill100 'ermit PAN Limit lst/2nd Crop k � ...:x �� . .. .� certify, under penalty of law, that this document was prepared under my direction or'supervision in accordance with a system lesigned to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are ignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Land Applier 1/12/2009 *Application Method: S - Surface, IN - Injection, INC - Incorporation' Date **Vnlatili7atinn Rate: Surface - 0.5. Iniectinn/Inenrnnratinn - 1.0 ***(''.P.L.R.: Cumulative Pnlhitant I,nadina Rate * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: j Permit #• Tyson Foods Inc Total Dry Tons Applied (Annual): WQ0000701 Cation Exchange Capacity (non 503 only): 23.49956 P- 'Tutor: Is Used: 16.4 Acres Permitted: 16.4 Site #: MO8 Field #: . . 2 Ralin Matthews Owner: Ralin Matthews Sample or Com- posite Date 1 21 3 4 5 6� 7 8 9 10 11 12 2/I1 4/1 ` - - % Solids 5.78 5.13 . Arsenic 2.9 2.2 Cadmium 1 1 Chromium 7 8 Copper 19 25 Lead 8 5 Mercury 0.7 . 0.4, Molyb- dennm 5 - 5 Nickel 6 6 Selenium " 4 2.7 Zinc 313 226. Total Phos- chorus 14000 °14200 • Li dual Heavy Metal Field Loadings (Calculated in 1bs/acre): Total DT/Ac./ Yr./Applicatio n Event 1 " 1.4329 2 _ 4 56 7 8 10 11 12 o a ra .. Arsenic 0.0083 0 0 0 0• 0 0 0 0 0 . 0 0 '0.0083 Cadmium 0.0029 0 - 0 0 0 0 0 0 0 0 0 0 0.0029 Chromium 0.0201 0 0 0 0 . 0. 0 • 0 - 0 0 -0 0 0.0201 Copper 0.0545 0- .0 0 0.' 0 0 0 . 0 . '0 0 - .0 0.0545 Lead 0.0229 0•: 0 0, 0 0 0 0 0 ` 0 0 0 0.0229 Mercury 0.002 0 0 0 0 0. 0 0 0 0 0 0• 0.002 Molyb- denim 0:0143 - 0 0 0 0 0 0 0= 0 0 0 0 0.0143 Nickel 0.0172 .0.. 0 0 •0- 0 0 0 0 0. . 0 0 0.0172 Selenium 00115 0 0 0 0 0 0 0 0 = 0 0 0" 0.0115 Zinc -. 0.897 0 " 0 0 0 0" - 0 • 0 0 0 0- 0 .0.897 Total Phos- phorus ' 40.121 0 -" 0 0 0 0 0 0 0 0 0 0 40.121. "I certify, under penalty of law, that this document was prepared under my direction or supervision in -accordance with a system designed to assure that qualified personnel properly gathered and evaluated the ,rmation submitted. I am aware that there are significant penalties for submitting false information, i,.._.ading.the possibility of fines and imprisonment for knowing violations" 1/12/2009 Signature of Land Applier - Date . • * See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) Facility Name: Owner: Site #: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Tyson Foods Inc Permit #: WQ0000701 Annual Dry Tons Applied: Ralin Matthews MO8 Field #: Operator: 2 Ralin Matthews Acres Utilized: 16.4 23.500035 Cation Exchange Capacity (non 503): Acres Permitted: 16.4 Date or I Month Specify Totals Per Acre % Solid s Dry Tons Per Acre , Residual Sources(Summarize) - SiteMust' Cond. Dom' Wet, xA,.:„+ Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola-� tili- zation Rate** Miner- a1i- zation Rate TKN Ammo- nia- • Ni- trogen Ni- � trate and Nitrite. PAN 1 PAN 2 Select Crop 1 or Crop 2 * Gal. • Cu.Yd. Report Totals in Gal. Crop 1 Crop 2 2/6 26000' 1585.4 5.78 0.38211439 Tyson Foods Inc Dry S 1 0.4 55500 20400 1 26.3208 ####### SG 1 2/7 26000 1585.4 5.78 0.38211439 . Tyson Foods Inc Dry S 1 0.4 55500 20400 1 26.3208 ####### SG 2 2/8 19500 1189 5.78 0.286585793 Tyson Foods Inc Dry S 1 0.4 55500 20400 1 19.7406 ####### SG 3 2/12 6500 396.34 5.78 0.095528598 Tyson Foods Inc Dry S 1 0.4 55500 20400 1 6.5802 ####### SG 4 2/14 19500 1189 5.78 0.286585793 Tyson Foods Inc Dry S 1 0.4 55500 20400 1 19.7406 ####### SG 5 0 0 0 0 6 0 0 0 0 ) 7 0 0 0 0 8 0 0 0 0 9 0 0 . ' - . . 0 0 ' 10 0 0 0 0 11 0 0 0 0 12 TOTALS: 5945 x As . Cd Cr Cu Pb Hg Mo Ni Se . Zn P PAN 1 PAN 2 Lime.Anplied Annuallbs/acre 0.00831082 0.00287 0.02006 0.05445 0.02293 0.00201 0.01433 0.01719 0.01146 0.897 40.1212 98.703 0 Date lbs/ac �urrent Cumulative lbs/ac 0.01511082 0.01327 0.02006 0.84545 0.14913 0.00361 0.05553 0.10529 0.02486 2.2592" Prior Years Cumulative 1bs/ac 0.0068 0.0104 0.791 0.1262 0.0016 0.0412 0.0881 0.0134 1.3622 Permitted C. P. L. R.*** 36 34 1338 267 15 374 89 2498 ?emit PAN Limit 1 st/2nd Crop � � � � � s � , �� � S -100 .6r ..Prtifi......Jar ninalty of law- that this document was nrenared under my direction or supervision in accordance with a system Iesigned 'to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Land Applier 1/12/2009 *Application Method: S - Surface, IN - Injection, INC = Incorporation Date **Volatilization Rate: Surface - 0.5. IniectinnfIneornnratinn - 1.0 ***C'.P.T,.R.. Cumulative Pollutant T.oadinu Rate K*** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Facility Name: i Permit #: WQ0000701 Cation.Exchange Capacity (non 503 only): P---rator: Ralin Matthews Owner: Ralin Matthews i._.s Used: 21 Acres Permitted: 21 Site #: M09 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 2j 4/1 3 4 5 6 7 S 9 . 10 11 12 -- 2/11 = % Solids 5.78 5.13 Arsenic 2.9 2.2 Cadmium 1 1 Chromium 7 $ Copper 19 25 Lead 8 5 Mercury 0.7 0.4 Molyb- denum 5 5 Nickel 6 6 Selenium - 4 2.7 Zinc 313 226 Total Phos- phorus 14000 14200 Dual Heavy Metal• Field Loadings (Calculated in lbs/acre): Attach this form to the. corresponding Field Loading Summary Form to be submitted in Annual Report Tyson Foods Inc . Total Dry Tons Applied (Annual):- 25.0677 Total DT/Ac./ Yr./Applicatio n Event 1j t_2_, 3I 4 5 - 6 - 8� 9 10 11 12 Totals: 1.1937 Arsenic 0.0069 0' 0 0 0` 0 0 0 0 0 0 0 0.0069 Cadmium 0.0024 0 0 0 0 0 0 0 , 0 0 0 ' 0 0.0024 Chromium 0.0167 0 0 . 0 0 ' 0 0. 0; 0- 0 0 0 0.0167 Copper 0.0454 0 0 . 0 0 0 0 0. 0 0 0 0 0.0454 Lead 0.0191 0 0 0 0 0 0 0 0 0 0 ,. 0 `0.0191 Mercury 0.0017 0 0 - 0 0 0 0 0 0 0 0 0 0.0017 Molyb- denum 0.0119 0' 0 0 0 0 0 0 -0 0 0 0 0.0119 Nickel 0.0143 0 - 0 0 0 0 0 0 0 0 0 0 0.0143 Selenium '0.0095 0 0 0 0 0 0 - 0- 0 0 0 0 0.0095 Zinc 0.7473 0 0 0 0 0-: 0 0 0 0 0 0 0.7473 Total Phos- phorus 33.424 0 - 0 0 :'' 0. 0. 0 0 0 0- 0 0 33.424 1.] "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to• assure that qualified personnel properly gathered and evaluated the "-rmation submitted. I am aware that there aresignificant penalties for submitting false information, .riding the possibility of fines and imprisonment for knowing violations" Signature of Land Applier 1/12/2009 - Date * See bottom of FSF Form for helpful instructions for this MFLSF _Form and the mathematically linked FSF Form ` DENR FORM MFLSF (5/2003) Facility Name: )caner: site #: 4\ o 4 10 l I `-...1 PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Tyson Foods Inc Permit #:. WQ0000701 Annual Dry Tons Applied: 25.066704 Ralin Matthews •.. Cation Exchange Capacity (non 503): ANNUAL LAND APPLICATION FIEID SUMMARY FORM Ralin Matthews M09 2/14, 2/15 Specify Gal. Cu.Yd. Report Totals in Gal. 6500 52000 Totals Per Acre Solid s. Field #: Dry Tons Per Acre Operator: 1 Residual Sources (Summarize) Site Cond. Dry, Wet, Acres Utilized: Inches. Precip. Past 24 Hrs. Appli- cation Meth- od* 21 Acres Permitted: Vola- tili- zation Rate* * Miner- ali- zation Rate TKN Ammo- nia- Ni- trogen Ni- trate and Nitrite PAN 1 21 PAN 2 Must Select Crop 1 or Crop 2. Crop 1 :Crop 2 * * * * 309.52 2476.2 5.78 5.78 0.074603286 0.596826286 -2/18 2/19 39000 6500 1857.1 `309.52 5.78 5.78 0.447619714 0.074603286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COTALSc 'nnual lbs/acre urrent Cumulative lbs/ac 'rior Years Cumulative lbs/ac ' 4952 ?ermitted C. P. L. R.*** ',ermit PAN Limit 1 st/2nd Crop I certify, under penalty of law, that this document was prepared under my direction or supervision in' accordance with a system lesigned to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Tyson Foods Inc 'Tyson Foods Inc Dry Tyson Foods Inc Tyson Foods Inc 1 0.4 55500 20400. 1 5.13882 Dry Dry 1 0.4 55500 20400 1 41.1106 ####### ######## Rye 1 Rye 2 s 1 0.4 55500 20400 1 30.8329 ####### Rye 3 Dry s 1 0.4 55500 20400 1 5.13882 0 0 0 0 0 ####### 0 0 0 0 0 Rye 4 •5 0 0 0 0 0 0 As 0.00692346 0.01262346 0.0057 Cd 0.00239 0.01959 0.0172 Cr 0.01671 0.01671 Cu 0.04536 0.69336 0.648 Pb 0.0191 0.1089 0.0898 Hg 0.00167 0.00507 0.0034 Mo 0.01194 0.09754 0.0856 Ni 0.01432 0.09992 0.0856 Se 0.00955 0.01655 0.007 n 0.74726 1.86826 1.121 P 33.4236 0 PAN 1 82.2212 0 PAN 2 36 • 34 k*** Signature of Land Applier 1338 267 - 1/12/2009 Date 15 - 374 89 2498 200 0 Lime Applied Date 6 7 8 9 10 11 12 lbs/ac *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Snrface - 0.5_ Tnieetinn/Inenrnnratinn - 1.0 ***C'._P_T,_R.: Cumulative Pollutant Loading Rate The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be, submitted in Annual Report .: Facility Name: Tyson Foods Mc Total Dry Tons Applied (Annual): 33.37262 Permit #: n--rator: A. .is Used: 32.6 Acres Permitted: 32.6 Site #: SU1 . - Field #: 9 WQ0000701 Cation Exchange Capacity (non 503 only): Walter Johnson ' Owner: Walter Johnson Sample 1 2 3 4 5 6.; 7 8 9 10 11 12 or Com- posite Date 2/11 4/1 % Solids 5.78 5.13 Arsenic 2.9 2.2 Cadmium 1 1 Chromium '7 8 Copper 19 25. ; Lead 8 5 Mercury 0.7 0.4 Molyb- denim 5- 5 .., Nickel 6 6 Selenium 4 2.7 ' Zinc 313 226 Total Phos- rhorus 14000 14200 'ual Heavv Metal Field Loadings (Calculated in lbs/acre): Total DT/Ac./, Yr./Applicatio n Event 2. 3 4 5 ' 6- S J 9Q 11 12 Totals: 1.0237 Arsenic . 0 0.0045 0 0- . 0,' 0 0 0 0 0' 0' 0 0.0045 Cadmium 0 : 0.002 - 0 0 . 0• 0 0' - 0 0 0 0- 0 ' -0.002 Chromium . 0 0.0164 0 . 0 0 0 0 .0 0 0 0 0 0.0164 Copper 0• 0.0512 0 0 0 0 0 0 0 0 0 0 ' 0.05.12 Lead 0 0.0102 0 0 -' 0. 0 0 0 0 0. 0- 0 0.0102 Mercury 0 0.0008 0 0 0- 0 0 0 0 0 0 0 0.0008 Molyb- denim 0 0.0102 0 0 0 - 0 , 0 0- 0 0 ' 0 0 0.0102 Nickel 0' 0.0123 ' 0 0 ' 0, , 0 0- 0 0 0 0 0 .0.0123 Selenium 0 0.0055 0 0 0 0 0 0 0 0 0 0. 0.0055 Zinc 0 0.4627 0 0 0 0 0 0 0 0 0 0 0.4627 Total Phos- '' phorus 0 29.073 0 0 0. 0 0 0' 0' 0 0 0 29.073 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the i ""rmation submitted. I am aware that there are significant penalties for submitting' false information, . ,.ding the possibility of fines and imprisonment forknowing violations" 1/12/2009 Signature of Land Applier Date * See bottom of FSF Form for helpful instructions forthisMFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) j Facility Name: Dwner: iite #: ANNUAL LAND APPLICATION Frr;LD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Tyson Foods Inc Permit #: WQ0000701 Annual Dry Tons Applied: Walter Johnson SU1 Operator: Field #: . 9 33.371676 Walter Johnson Cation Exchange Capacity (non 503): Acres Utilized: 32.6 Acres Permitted: 32.6 0 Q Specify Gal. Cu.Yd. 3/26 3/27 3/28 4/1 Report Totals in Gal. 13000 52000 39000 52000 Totals Per Acre Solid s Dry, Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, Inches Precip. Past 24. Hrs. Appli- cation Meth- od*.; Vola- tili- zation Rate* * Miner ali- zation Rate TKN Ammo- nia- Ni trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop 2 Crop 1 Crop 2 398.77 1595.1 1196.3 1595.1 5.13 5.13 5.13 5.13 0.08530592 0.341223681 0.255917761 0.341223681 Tyson Foods Inc Tyson Foods Inc Tyson Foods Inc Tyson Foods' Inc Dry Dry Dry Dry 1 1 1 1 0.4 '0.4 0.4 0.4 58300 58300 58300 58300 26700 26700 26700 26700 1 1 1 1 6.71204 26.8482 20.1361 26.8482 ##/##### ####### ####### ####### Rye Rye • Rye Rve 1 2 3 4 0 0 0 0 5 0 0 0 0. 6 0 0 0 0" 7 0 0 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0' 11 0 4785 COTALS: tnnual lbs/acre :urgent Cumulative lbs/ac 'rior Years Cumulative lbs/ac 'ermitted C. P. L. R. * * * 0 As 0.00450428 0.00860428 0.0041 36 Cd 0.00205 0.01285 0.0108 34 Cr 0.01638 0.01638 Cu 0.05119' 0.45199; 0.4008 1338 Pb 0.01024 0.12654 0.1163 267 Hg 0.000821 '0.00702, 0.0062 15 Mo 0.01024 0.08624 0.076 Ni 0.01228 '0.11758. 0.1053 374 Se 0.00553 0.01493 0.0094 89 Zn 0.46271 1.38661 0.9239 2498 'ermit PAN Limit 1 st/2nd Crop 'I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system lesigned to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are ignifiicant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/12/2009 ' . *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5. Inieetinn/Incnrnnratinn - 1.0 Cumulative Pollutant I,nadinu Rate The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into. the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. P 29.0731 0 PAN 1' 80.5445 200 0 PAN 2 0 Lime Mplied Date lbs/ac 12 Signature of Land Applier *** Date DENR FORM FSF (5/2003) i i,3** Aisici:. Phone: .:.1 334055' ; s Web;: Site wvvw.nca coma ;.onomi . , ; epos o . k s - xta s -�„ on, i` ° 4/17/2008. . • SERVING Growl - . )Matthews, Ralin L. 5913 Hoffman Rd. Hoffman, NC 28347 Parr: M08 Moore County . Copies To: EMA Resou 'Inc ..J EMA Resources Inc 29 Court Square Mocksville, NC 27028 il e ort oTest N.C., RESIDENTS FOR OVER 60 YEARS . Agronomist Comments Fiel�l,Ynforma�on � t_ a .;; i e_ App i d 1. R commendations < � ,. , �. ..:. ... ... ...� Sample No ,Last Crop 00001 Mo Yr T_IA • Crop or Year 1st Crop: Small Grains 2nd Crop: - Lime .7T N P205 IC20 Mg S, 80-100 0 90-110 0 20-25 20-25 ' Cu 0 Zn B 0 .0 Mn See Note 0. 3 Test Results Soil Class HM% W/V CEC BS%. _ Ac pH P-I K I MIN 0.71 1.61 3.5 57.0 1.5 5,5 158 20 Ca% Mg% 40.0 12.0 Mn-I Mn-AI(1)Mn-AI(2) Zn-I Zn-AI 93 66 .94 94 Cu-I 100 S-I 22 SS -I NO3-N NH4-N Na , 0.1 FIe1d::Infor11114 I :��_1.�:.: �.,_, ,,.... le . WC DPP. _..::.....,, . ;Recommell,— .9 s ,,, :...,, _w_ ., F:.,. .�_ ,.... .. _ w. ..:. , , , , , ..... £ , ..•t .. ,., •• ... , .:.,.....:.. Sample No. Last Crop 00002 Mo . Yr T/A Crop or Year 1st Crop: .Small Grains 2nd Crop: Lime 0 . N P205 . IC20 Mg S 80-100 . 0 90-110 0 20-25 20-25 Cu 0 Zn B. 0- .0 Mn See Note 0 • 3 Test Results Soil Class HM% W/V CSC BS% Ac pH P-I K-I MIN 0.36 1.62 3.6 78.0 0.8 . 6,1 130 21 Ca% Mg% 55.0 ' 20.0 Mn-I Mn-AI(1)Mn-AI(2) Zn-I . Zn-AI 71 51 126 126 Cu-I 121 S-I 17 SS I NO3-N NH4-N Na 0.0 n .nea -:coma onom� Re 0(1vo 34132 NCDA&CS Agron nuc Divlsion Pone (919)7332655 :Site. www:. /,'._.. , . .• ,`Web _..gr.. Grow( ; Johnson, Walter/James Copies To: EMA Resou(� nc. o 204 BreezyRidge Way c A }3. Mount Airy, NC 27030 t 1 ` EMA Resources Inc. ' •' oilTestReport .\ Farm: SU1 755 Yadkinville Rd J"" ` ° 1 Mocksville, NC 27028 4/17/2008 SERVING N.C. RESIDENTS FOR OVER 60 YEARS Surry County Agronomist Comments ..ton£ iel�Informa s , _ i._ � :. :..... A lied .1 .:.. rc:..:. gym .. pp :Recomme (.,4., ns .: '.y. - ? . . _ ,. .... . , .... .. ,, . ....: ... .., ,........ ......, . _ , .. ..:..., :... ez.e .. Sample No. Last Crop 00009 _ Mo Yr T/A Crop or Year Lime N P203 IC20 Mg S Cu Zn. B Mn n See Note 1st Crop: Corn Grain 0 120-160 . 0-20 " 10-30 • 0 0 0 0 .0 pH$ 3 2nd Crop; .' 0 Test Results Soil Class HM% ., W/V CEC. BS% Ac . pH . P-I , K-I Ca% Mg% Mn-I Mn-AI(1)Mn-AI(2) Zn-I Zn-AI Cu-I S-I SS I NO3-N NH4-N Na ,MIN 0.71 1.21 7.9 89.0 0.9 6.6 59 64 59.0 26.0 100 68 407 407 224. 30 ' 0.1.