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.