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Home My WebLink AboutWQ0004298_2003 Residuals Annual Report_20040216/4 A o ANNUAL LAND APPLICATION CERTIFICATION FORM County: i�ermit#:L�Qpd04-o"�9T-' Mcaa _-o Year: ��i�� Facility Name (as shown on permit): �� ' n1arS Land Application Operator _0ohQr+ M. Sa.me, Phone: aaD Land application of residual solids as allowed by the permit occurred during the past cal Yes 0 No If No, skip Part.A, and Part B and proceed to the certification. Also generated but not land applied, please attach an explanation on how the residuals were h a s were Part A: ' o Total number of application fields in permit: t Total number of fields land application occurred during the year: Total amount of dry tons applied during the year for all application sites: m � QW Total number of acres land application occurred during the year: /1/, Part B: o a Facility was compliant during calendar year 00 3 with all conditions of the land application permit (including but not limited to items 1-12 below) issued by the Division of Water Quality.. �' 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. u E 2. Soil pH was adjusted as specified in the permit and lime was applied (if needed) to acER— eVa �AIW of at least 6.0 or the limit specified in the permit. 3. Annual soils analysis were performed on each site receiving residuals during the past.cale dar„yeaLITY r ;anal., three (3) copies of laboratory results are attached. 4. Annual TCLP analysis was performed and three (3) copies of certified laboratory results are attached. 5. All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. .6. The facility did not exceed any of the Pollutant Concentration Limits in 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 the case 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." �Ar � �OrJ� bbvn/ i�'li9w Permittee Name and Title (type or print) Signa a of Permittee Date Signature of Preparer* Date Signiture of Land Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) DENR FORM ACF (7/2002) PERMIT #: Ct)kNNUAL DISTRIBUTION AND MARKETING/ SUR ,-..-'E DISPOSAL CERTIFICATION AND SUMMARY FOl � FACILITY NAME: , rd.,. (3 i PHONE: Ng 619 - g Y 5 0 COUNTY: OPERATO: R FACILITY TYPE (please check one): u w 1? ! S Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only Was the facilityp 0 Distribution and Marketing (complete Parts A, B, and C) �Y for in operation during the past calendar year? [] Yes (�No No If No skip pants A, B, C and certify Part A*: Part B*: Month Sources(s) (include NPDES # if Vol (dry tons) Rpninio..* r-4r une applicable) ber er 51 ing. Agent ! Residual In a Product Out I Names) tons) rl and Part C) below Intended use( T ix more space than given is required, please attach additional information sheets,J �a�Ca: '* ::= , ' ,.: Part C: () p Check ox if additional sheets) are attached Facility was compliant during calendar year a p0 2 with all conditions. of the permit (including but not limited Division of Water Quality. Ef Yes [� No If No, please provide a written description whythe facility s 1-3 below) issued by the 1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies f certified a as not eow'plia 2. All operation and maintenance requirements were compiled with or,'in the'case of a deviation, prior authorization 1 from th-jDints aretattacht. Quality. _ p nzation was received from the �Aivision of Wate 3. No contravention of Ground Water Quality Standards occurred at a monitoring well. "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate and c that ere are significant penalties for submitting false informaiton, includ' g th possibili of fines and im rison complete. I am aware i -o p ment for knowing;violatioits." Signature o Permittee ' Date 'Signature of Preparer* * D� I (if different from Pernuttee) **Preparer is defined in 40 CFR Part'S03.9(r) DENR FnR11A nencnr t-7~-. .,, LQI 111 LIN11UIIIIICIIl111 JCIV160 Michael Ladd 75 Bison Lane Murphy, NC 28906 Robbinsville Lab (828) 479.6428 Madison County Lab (828) 649-9250 Residence (828) 837.9543 Name and Address of Facility: Date: 12/22/03 Town of Mars Hill VW11TP Sample Collector: RS P.O. Box 368 Date and Time Sample Received: 11/12/03 11:30 AM Mars Hill, NC 28754 Date and Time Sample Collected: 11/11 & 12/03 Att: Robert Sams Date and Time Sample Analyzed: < MHT Land Application Analyses - Note: All results in mg/Kg Dry Basis unless othennrise noted. Test Dry Bed Sludge Soil Site #1 Soil Site #2 Report Limit Method Units ACIDITY 0.0 meq/100g 0.9 meq/100g 2.0 SM5210B mg/L TOTAL SUSPENDED RESIDUE __ 1.5 SM2540D mg/L CATION EXCHANGE CAPACITY 13.2 meq/100g 9.9 meq/100g 1 SM9222D per 100ml PH 6.6 7.1 6.4 0-14 SM4500H+ units AMMONIA NITROGEN 192 0.5 SM4500NH3F mg/L NO2 + NO3-n 1.30 1.0 SM6620B mg/L TOTAL KJELDAHL NITROGEN 9280 SCA mg/L TOTAL PHOSPHOROUS 3870 240 81 SCA mg/L PERCENT TOTAL RESIDUE 9.04% 80.5% 82.7% 1.0 SM2540B mg/L %HUMICMATTER 6.8% 4.8% 1.0 SM2130B NTU %BASE SATURATION - K 13.4 25.2 1.0 SM2540C mg/L - H 0.0 8.9 -Mg 37.0 27.5 -Ca 46.1 37.5 -Na 3.5 0.8 PLANT AVAILABLE (surface) 2823.7 10 SM2510B umhos/cm NITROGEN- PPM DRY WT (subsurf) 2919.7 0.1 SM4600CIG mg/L TEMPERATURE SM2550B deg C MIXED LIQUOR SUPSPENDED SOLIDS 1.0 NIA mg/L MAGNESIUM 6180 2070 3470 SCA mg/L SODIUM 1630 < 60.7 < 59.0 SCA mg/L CADMIUM < 10.8 < 1.22 < 1.19 SCA mg/L CHROMIUM 36.8 63.3 36.2 SCA mg/L COPPER 418 18.8 45.1 SCA mg/L LEAD 54.2 10.9 14.9 SCA mg/L NICKEL 26 13.7 8.03 SCA mg/L ZINC 861 46.0 103 SCA mg/L CALCIUM 15600 1180 6590 SCA mg/L POTASSIUM 5120 2670 2030 SCA mg/L ALUMINUM 18100 SCA mg/L ARSENIC < 10.8 < 1.22 < 1.41 SCA mg/L ='.ENIUM 23.9 < 2.43 2.36 SCA mg/L LYBDENUM < 10.8 < 1.22 < 1.19 SCA mg/L MERCURY 2.02 < 0.119 1 0.135 1 SCA mg/L N.C. Laboratory ID# 352 Analyzed By: SCA�Qpn/� Lab Supervisor: Michael J. Ladd; EES-Robbinsville Certified By:� 7042516452 .f 07. 22/1996 14: 57 I L aj �-�A-5 L c == 7 -oZ -q6 oo PAGE 01 C . Plant Available Nitrogen (PAN) calculations and land application area requiremeii#�."` CONSTITUENTS M - DRY WEIGWr TKN 0 AMMONIA, N Ice 2 NO3-NO2-N 1 , 3 1, 1. Mineralization Rate (MR) qa ('These values can be established for the specific residual or default values can be used for domestic wastewater uva meat residuals. If actual value's are establsbed, attach the documentation, The default values areas follows): Unstabilized Primacy and Secondary Residuals 40% AaOically Digested Residuals 30% Aaaewbically Digested Residuals 20% Composted Residuls 10% (If the default values are used, attach an explanation as to why the specific chosen default value is appropriate.) 2. Complete the following calculations for the application method proposed (Please note, the Mineralizadon Rate [MR] should be utilized in the following calculations as a.decimal): 4. PAN for Surface Application PAN = [(MR) x (MN - NH3)] + .5 x (M3) + (NO3-NO -N) PAN=( 13 `j x( q.)_g 0 /ce Z M+.5x( lc3-0 PAN =5 PPM Dry Weight PAN for Subsurface Application PAN - i(MR)x(TKN - NH3)] + (NH3) + (NO3-NO2-N) PAN=[ , , x( l�i� )l+C )+ PAN = _ ��[ 1 ,6� PPM Dry Weight 3. Total PAN to be land applied per year ,,..._ Tesuhmerica ANALYTICAL TESTING CORPORATION 2960 FOSTER CiREIGHTON DRIVE • NASHVILLE. TENNESSER 37204 800-765-0980 • 615-726-3404 FAX ANALYTICAL REPORT TESTAMERICA-ASHEVILLE 5781 �k 0 Lab Number: 03-A177895 DINAR TRAMMEL GnJ�` t, Sample ID: EES#110342-11/12/03 122 LYMAN STREET Q�,C '�`3 y Sample : Soil ASHEVILLE, NC 28801 t 03 b^,�l�`� �tl�, 1"V Date Collected: 11/12/03 Project•.Time Collected: 9:46 Project Name: EARTH ENV. SERVICES Date Received: 11/14/03 Sampler: Time Received: 9:45 Page: 1 Report Dil Analyte Result Units Limit Factor Date Time Analyst Method Batch ------------------------ ----------- ------ ------ ------ -------- ------------ ..Y,_ *METALS* Aluminum 18100 mg/kg 108. 1 11/15/03 8:33 G.McCord 6010B 8415 Arsenic ND mg/kg 10.8 1 11/15/03 8:33 G.McCord 6010B 8415 Cadmium ND mg/kg 10.8 1 11/15/03 8:33 G.McCord 6010B 8415 Calcium 15600 mg/kg 108. 1 11/15/03 8:33 G.McCord 6010B v6415 Chromium 36.8 mg/kg 10.8 1 11/15/03 8:33 G.McCord 6010B 8415 Copper Lead 418. 54.2 mg/kg mg/kg 10.8 10.8 1 1 11/15/03 11/-15/03 8:33 8:33 G.McCord G.McCord 6010B 6010B 8415 8415 Magnesium Mercury Molybdenum Nickel 6190 2.02 ND 26.0 mg/kg mg/kg mg/kg mg/kg 108. .1.09 10.8 10.8 1 1 1 1 11/15/03 11/15/03 11/15/03 11/15/03 8:33 9:35 8:33 8:33 G.McCord K. Ahmed G.McCord G.McCord 6010B 7471A 6010B 6010B 8415 8491 - 8415 8415 Potassium 5120 mg/kg 542.. 1 21/15/03 8:33 G.McCord 6010B 8415 Selenium 23.9 mg/kg 21.7 1 11/15/03 8:33 G.McCord 6010E 8415 Sodium 1630 mg/kg 542. 1 11/15/03 8:33 G.McCord 6010B 8415 Zinc 861. mg/kg 108. 1 11/15/03 8:33 G.McCord 6010B 8415 *GENERAL CHEMISTRY PARAMETERS* PH o Dry Weight 6.60 9.04 pH units s 11/18/03 11/14/03 11:10 13:01 B.Minor M. Ricke 9045 CLP 190 "01 Nitrite-N as N Nitrate-N as N ND 1.30 mg/kg mg/kg 1.0 1.00 1 1 11/17/03 11/17/03 12:21 12:21 S. Overton S. Overton 9056 9056 9133 9133 Ammonia Nitrogen as N 192. mg/kg 5.00 5 11/19/03 12:16 S. Prayter 350.1M 931 Phosphorus as P Kjeldahl Nitrogen as N 3870 9280 mg/kg mg/kg 100. :100. 10 10 11/17/03 11/17/03 10:03* 10:07 S. Prayter S. Prayter 365.4 M SM4500NC 8313 8310 Sample report continued . . . www.testamericaibc.com Testa merica ANALYTICAL TESTING CORPORATION 2960 FOSTER CREIGHTON DRIVE • NASHVILLR, TENNESSEE 37204 800-765-0980 • 615-726-3404 FAX ANALYTICAL REPORT Laboratory Number: 03-A1:77895 N, Sample ID: EES#k110342-11/12/03 Project: Page 2 LABORATORY COMMENTS: ND = Not detected at the report limit. B = Analyte was detected in the method blank. J = Estimated Value below Report Limit. E = Estimated Value above the calibration limit of the instrument. # = Recovery outside Laboratory historical or method prescribed limits. All reported results for metals or Organic analyses have been corrected for dry weight End of Sample Report. www.testamericainc.com Testi-imerica ANALYTICAL TESTING CORPORATION 2960 FOSTER CREIGHTON DRIVE • NASHVILLE, TENNESSEE 37204 800-765-0980 • 615-726-3404 FAN' ANALYTICAL REPORT TESTAMERICA-ASHEVILLE DINAH TRAMMEL 122 LYMAN STREET ASHEVILLE, NC 28801 578 0 4 aO Proj ect : Project Name: EARTH ENV. SERVICES Sampler: Lab Number: 03-A177896 Sample ID: EES#110340-11/11/03 Sample Type: Soil Site ID: Date Collected: 11/11/03 Time Collected: 10:05 Date Received: 11/14/03 Time Received: 9:45 Page: 1 Report Dil Analyte Result Units Limit Factor Date Time Analyst Method Batch ------------------------ ----------- ------ ------ -------------- ------------------------ ----- *METALS* Cadmium ND mg/kg 1.22 1 11/15/03 8:33 G.McCord 6010B Calcium 1180 mg/kg 12.1 1 11/15/03 8:33 G.McCord 6010B Chromium 53.3 mg/kg 1.22 1 11/15/03 8:33 G.McCord 6010B Copper 18.8 mg/kg 1.22 1 11/15/03 8:33 G.McCord 6010B Lead 10.9 mg/kg 1.22 1 11/15/03 8:33 G.McCord 6010B Magnesium 2070 mg/kg 12.1 1 11/15/03 8:33 G.McCord 6010E Mercury ND mg/kg 0.119 1 11/15/03 9:35 K. Ahmed 7471A Molybdenum ND mg/kg 1.22 1 11/15/03 8:33 G.McCord .6010B Nickel 13.7 mg/kg 1.22 1 11/15/03 8:33 G.McCord 6010B Potassium 2670 mg/kg 60.7 1 11/15/03 8:33 G.McCord 6010E Selenium ND mg/kg 2.43 1 11/15/03 8:33 G.McCord 6010E Silver ND mg/kg 1.22 1 11/15/03 8:33 G.McCord 6010B Sodium ND mg/kg 60.7 1 11/15/03 8:33 G.McCord 6010B Zinc 46.0 mg/kg 12.1 1 11/15/03 8:33 G.McCord 6010B *GENERAL CHEMISTRY PARAMETERS* PH 6.70 pH units 11/18/03 11:12 B.Minor 9045 "s Dry Weight 80.5 . 11/14/03 13:01 M. Ricke CLP Sample report continued . . . 8415 8415 8415 8415 8415 8415 8491 8415 8415 8415 8415 8415 8415 8415 190 8601 www.testamericainc.com Tellstl--.�merica ANALYTICAL TESTING CORPORATION 2960 FOSTER CREIGIITON DRIVE • NASIIVILLE, TENNESSEE 37204 _ 800-765-0980 • 615-726-3404 FAX ANALYTICAL REPORT Laboratory Number: 03-AL7,-7896 Sample ID: EES#110340-11/11/03 Project: Page 2 LABORATORY COMMENTS: ND = Not detected at the report limit. B = Analyte was detected in the method blank. J = Estimated Value below Report Limit. E = Estimated Value above the calibration limit of the instrument. # = Recovery outside Laboratory.historical or method prescribed limits. All reported results for metals or Organic analyses have been corrected for dry weight End of Sample Report. www.testamericainc.com TestAmerioca ANALYTICAL TESTING CORPORATION 2960 FOSTER CREIGHTON ORIvE • NASHVILLE, TENNESSEE 37204 800-765-0980 • 615-726-3404 FAX ANALYTICAL REPORT TESTAMERICA-ASHEVILLE 5781 Lab Number: 03-A177897 DINAR TRAMMEL` to Sample ID: EES#110341-11/11/03 122 LYMAN STREET ASHEVILLE, NC 28801 05 A -, �� 2 Sample Type: Soil Site ID: , Date Collected: 11/11/03 Project: Time Collected: 10:15 Project Name: EARTH ENV. SERVICES Date Received: 1.1/14/03 Sampler: Time Received-' 9:45 Page: 1 Report Dil Analyte ------------------------ Result Units Limit ----------- ------ ------ Factor Date Time ------ -------- ----- Analyst Method Batch ---------- --------- ----- *METALS* Cadmium ND mg/kg 1.19 1 11/15/03 8:33 G.McCord 6010B Calcium 6590 mg/kg 11.8 1 11/15/03 8:33 G.McCord 6010B Chromium 36.2 mg/kg 1.19 1 11/15/03 8:33 G.McCord 6010E Copper 45.1 mg/kg 1.19 1 11/15/03 8:33 G.McCord 6010B Lead 14.9 mg/kg 1.19 1 11/15/03 8:33 G.McCord 6010E Magnesium 3470 mg/kg 11.8 1 11/15/03 8:33 G.McCord 6010B Mercury 0.135 mg/kg 0.116 1 11/15/03 9:35 K. Ahmed 7471A Molybdenum ND mg/kg 1.19 1 11/15/03 8:33 G.McCord 6010B Nickel 8.03 mg/kg 1.19 1 11/15/03 8:33 G.McCord 6010B Potassium 2030 mg/kg 59.0 1 11/15/03 8:33 G.McCord 6010B Selenium ND mg/kg 2.36 1 11/15/03 8:33 G.McCord 6010B Silver 1.41 mg/kg 1.19 1 11/15/03 8:33 G.McCord 6010B Sodium ND mg/kg 59.0 1 11/15/03 8:33 G.McCord 6010B Zinc 103. mg/kg 11.8 1 11/15/03 8:33 G.McCord 6010B *GENERAL CHEMISTRY PARAMETERS* PH 6.90 % Dry Weight 82.7 Sample report continued . . . PH units 11/18/03 11:15 B.Minor 9045 11/14/03 13:01 M. Ricke CLP I 8415 8415 8415 8415 �8415 8415 8491 8415 8415 8415 8415 8415 8415 8415 190 .8601 www.testamericainc.com TostAmerica ANALYTICAL TESTING CORPORATION 2960 FOSTF,R CREIGHTON DRIVE • NASHVILLE, TENNESSEE 37204 800-765-0980 • 615-726-3404 FAX ANALYTICAL REPORT Laboratory Number: 03-A17.7897 Sample ID: EES#110341-11/11/03 Project: Page 2 LABORATORY COMMENTS: ND = Not detected at the report limit. B = Analyte was detected in the method blank. J = Estimated Value below Report Limit. E = Estimated Value above the calibration limit of the instrument. # ='Recovery outside Laboratory historical or method prescribed limits. All reported results for metals or Organic analyses have been corrected for dry weight End of Sample Report. www.testamericcinc.com 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: W Q O O D a 9 $ Laboratory: 1) Ela r-A Enyi- o n m edc Inc Facility Name: TO W A mars la l 2) T est A ►'i1 N r i c o� NPDES # or 3) WQ#: NC od 5 71 S r ' I 1 4) WWTP Name: T owv� o� mo•rs K.II ay 5) Residual Analysis Data or i Composite Date Percent Solids too Molybdenum Alleges. RIP--EL4 "I certify, under penalty of law,: that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." • l as d� Signature of Preparer Date nrrup i=rNPRfi mcQc rwonno% ANNUAL LAND APPLICATI FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED .FOR EACH APPLICATION _ PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: j d h CP Mgrs li J l Permit #: pOdy Annual D Tons Applied: g $ �Q a q$ Dry PP � _ - Owner: �a�ry Goa Operator: y 1 ,0 er_t M. Cation Exchange Capacity non 503 : SaYYtS g P t3' � ) 1, oZ vYl. �E00 Site #: p Field #: a Acres Utilized: I L} . C7 Acres Permitted: (la. .0 enPrifi• n yGal. Totals Solids Dry l u�« Cond. Inches Appli- Voli- Miner- z Cu.YRe S Per As Tons Per Sources Dry, Precip. cation tila- ala- TKN od. Totals Acre Deci- (Summarize) Wet Past 24 Meth- zation zation in Gal. mal Acre Moist Hrs. od** Rate* Rate 963 7500 536 9.oy 0.ao 3�lsl O 361'& Ib03 0 3a-i 4.64 0.1 j7h�fn &r�SI Q 5 �► D °d a 703 n e$�0,5 0. 5 30 3003 -7500 536 Q,0 U.aO ar�r B 51 C) 5 O.5 31i% 1 � -7 • 1/60`7 2urrent Cu ?rior Years Ammo Must Select nia- Ni-trate Crop 1 or Crop Ni- Ni- PAN 1 PAN 2 2 trogen trogen P Crop 2 0107-7 6.0005 1,13 cue 0104� ()'0003 0. 6 0•031 .080a O:ys . O.b1? 010005 1.13 Ur L:u Yb Hg I Mo Ni Se Zn P P D'64 0.501(. 65 4%00Q-J1 td.6Q9 a-Q3ra 6.6297 1.033 <l.136 3 059a 5a7 a.097 130 /9,33't 1,31 3.-7 .%0 o.o-7g Q r%IJJ ,66` l,a$ / 3 1 ?ermitted C. P. L. R. * * * 3 6 31 Al -A 1 338 6-7 .f 5 ,'V A 3 -7 -1 $ 9 ?ermit PAN Limit l st/2nd Crop I certify, under penalty of law, that this document was prepared 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 ignifcant penalties for submitting false information, including the possibility'of fines and imprisonment for knowing violations." Aaw'r, j9;?' Ja . A J ve acre 531 2 a 0� *Application Method: S -Surface, IN- Injection, INC -Incorporation Signature of Land Applier Date **Volitilization Rates Surf 0 5 I ace - . , nlecHOW-Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate Author Daryl D. Merritt DENR FORM FSF (7/2002) ANNUAL METALS FIELD LOADING SUMMARY FORM Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report . Facility Name: I own p, rfto,,, I ry � l 1 OJ w T ? Total Dry Tons Applied (Annual): 1- f Permit #: W 6 0ot+ a 9 Cation Exchange Capacity (non 503 only) Operator: i oI t- Ylrl ams Owner: L ........... . a Acres Used: i 04. t 0.rr Acres Permitted; � lj, �j Site #: U I Field #: O 1 Residual Analysis Data (Neaw Mafaia. --A •r, 4-1 Wti..__L _, _ t t II tt " 1 %1 i 11KI I) I I il W IF 1 1 , ENEM MENEENE Annual Heavy Metal Field Loadings (Calculated in lbs/acre): t •1. • 111 , under penalty of law, that this document was prepared under my direction or supervision in cordance with a system designed to assure that qualified personnel properly gathered and evaluated the - ;.formation submitted. I am aware that there are significant penalties for submitting false information, incluW*theossibility of fines and imprisonment for knowing violations" %�!• �� (� DEIdR FORM MFLSF (7120C Signature of Land Applier D 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 WREN NOT APPLICABLE. Facility Name: 000 h Ur Ma,r5 Ff � i Permit #: Gil 1064a9I Annual Dry Tons Applied: Owner: �carPV �� Operator: � ��,- wi, axmS Cation Exchange Capacity (non 503): 9,C) m �10t1� Site #: f Field #: Acres Utilized: L�± ` �) Q � _ Q Acres Permitted: `T o Specify o OlLe cGal. Totals Solids Dry. Residual Inches Appli- Voli- Miner- Ammo Must Select Cond. Ni-trate A Report Per As Sources Dry Precip. cation tila- ala- ma- Crop 1 or Crol ' Past 24 Meth- zation zation TKN Ni_ Ni- - PAN 1 PAN 2 21 Totals Acre Deci- Per (Summarize) Wet in Gal. oral Acre Moist His. od** Rate* Rate trogen trogen P I Crop 1 1 Crop.,. Current Cumulative 1 Prior Years Cumulati Permitted C. P. L. R.' MCI 2� i �e 31aali 1010 3.OQ4 oo a.6 `7 I G 565 a6` S9 7 .79 . •I_ ►i1 319, vxuuL 1 A1V L1.U11L INU611U l.IUp I "I certify, under penalty of law, that this. document was prepared under my direction or. supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �W ff //Q a/b i _ *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volitilization Rate: Surface - 0.5, Injection/Incorporation -1 0 ***C.P.L.R.: Cumulative Pollutant Loading Rate rlFnlp C:r-IO B CCU /71nnnnk ANNUAL METALS FIELD LOADING SUM IARY FORM Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Ta w r) nia ,rs 14 i b Total Dry Tons Applied (Annual): Permit #: W Q d0 0 42CIS Cation Exchange Capacity (non 503 only): (� ` Qj f2 O- 'Operator: , r-E -. Owner: , rr-v r�v Acres Used: Acres Permitted: , $ Site #: 0 ( Field #• Residual Analysis Data (Heave Metals and Total Phncnhnrna imp mcr im o/ C.,raW ,.0o -a- In. ,.�. N"-, MOW- Annual Heaw Metal Field LoadinLFs (Calculated in the/acre)• oy denum,1=====W7HM=MMMMM "t certny, under penalty of law, that this document was prepared under my direction or supervision in ccordance with a system designed to assure that qualified personnel properly gathered and evaluated the -,reformation submitted. I am aware that there are significant penalties for submitting false information, incluft the possibility o es and imprisonment for knowing violations" DENR FORM MFLSF (71200 Signature of Land Appher D to -- - -- -� �a= __"• • •�1• •,, v ja,%. i uarc A i 1-KAU'llUN REDUCTION FORM Facility Name: c w h C,Number: Permit Ner. i'�lov-s - �-i� ;1,1 WO OOO'� a9 8 WWTP Name: -i'owh o� NPI)ES Number: Nco Monitoring Period. From l 003 ToZ,00—e)5_ � � l _ Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed: Class A. Alternative 1 ❑ Alternative 2 ❑ Alternative 3 n Alternative applicable to alternative performed (Class A impost ElHeat Drying ❑ ,ta Ray ❑ Gamma Ray ❑ Class B: Alternative 1 applicable to alternative performed (Class B ne Stabilization. ❑ 1 Air Drying laerobic Digestion❑ applicable to alter ativ Parameter Level in 5 n indicate "Process to Further Reduce Pathoge t Treatment ❑ Thermophilic El teurization ernative 2 ❑ Alternative 3 ❑ . indicate "Process to Significantly Reduce Pat Composting ❑ I Aerobic Digestion ss A or Class B) i Pathogen Density the oninimu f Geo. Mean �naximu I Units Fecal Coliform L x 10 to the 6th power WN per gram of total solids or 2 x 10 to the 6th power i I,UEU� IarvvO CFU per gram of 1000 mpn per gram of total solid (dry weight) >almonella bacteria 3 NTN per 4 (in lieu of fecal grams total solid coliform) (dry weight) Following monitoring data: um w of IFF-Equecy Sample Excee- of dences Analysis Type O11,oa- " Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed: 1 ❑ Option 2 ❑Option 3 ❑ 4 Option P � Option 5 ❑ 6 ❑ 1Option 7 ❑ Option 8 ❑ Option 9 ❑ Option 10 vector attraction reduction options were Tech - 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." ❑ "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." Pre er N e and Title (type or print) a 0Y Signature of Preparer Date Land Applier Name and Title (if applicable)(type or print) Signature of Land Applier (if applicable) Date t- able) DENR FORM RF (7/2002 EARTH ENVIRONMENTAL SERVICES 75 Bison Lane Murphy, NC 28906 Residence — (828) 837-9543 Robbinsville Lab — (828) 479-6428 Marshall Lab — (828) 649-9250 Shelby Lab — (704) 482-5227' E-Mail — earthenvser@,webworkz.coml December, 8, 2003 NC ID#474, 4352 Mr. Robert Sams Town of Mars Hill P.O. Box 368 Mars Hill, NC 28754 Dear Mr. Sams: Following is a report of laboratory analyses for digester sludge samples received 11/12/03. Colony Counts Samt)le Date Coliform Densities (colonies/aam) % Total Solids 0.1 ml 0.01 mi 0.001 nil 1 11/6/03 12,000 Colonies/Gram 0.99% 122 9 0 2 11/7/03 12,000 Colonies/Gram 0.92% 114 7 1 3 11/8103 12,000 ColonieslGram 0.94% 123 6 0 4 11/9/03 12,000 Colonies/Gram 0.91% 113 9 0 5 11/10/03 12,000 Colonies/Gram 0.93% 112 7 2 6 11/11/03 11,000 Colonies/Gram 0.91% 106 9 1 7 11/12/03 12,000 Colonies/Gram 0.91% 105 13 0 Geometric mean for all seven samples: 12,000 colonies/gram Thank you for your business. If you have any question or need additional sample analyses performed, please call. Respectfully submitted, Michael J. Ladd Laboratory Director C OXY9M Uptake Rate SOUR Thne (MMI s) 0 1 2 3 4 5 6' 7 S 9 10 11 12 13 14 15 . Facility Biosolids Pern* N DigesterTemperatare: 14-, - Sampling Dat9w/M ne: 63 41f0- 1a 03 Sampled Ana"is D yne: a Analyzed 1 ke. � SampftVolume: i 0 0 0 Taal Solids: S 3 a Dry Soles winning Temperature: nes plus End Temperature: 1 , 1 Onreft Cesius �� i Oxygen Uptake Rate: mg Oxygenator Ambient Specific Oxygen Uptake Rate. m9 OxY9eW01hr Average Terre:: I degrees Celsius Tempsiftre Gaon Factor. •I1._. MILI Instructions: Enter Data in the Blue Boxes. The Cakxubtion =d the SpwfthM execute aubmatimlly. cry u4 un:jrp Earth Environmental Svcs 1-828-837-9543 p.3 Specific Oxygen Uptake Rate (SOUR) (l 2 7. SOUR mg Oz /hrfg - OUR Q /L/hr 0/. Tow Solids ' 1000 g/I. Note' e„fer total solids are as a decimal, see S.M. 2S40 G c SOUR = Mg 02 /Uhr m 02 /hr/ cl �o Total Solids *1000 WL 1 t32 /,•3•z, SOUR mg C� /hr/g OUR rneg 0 �/Uhr Total Solids g/L = ' c IS / /D A Note: S.M. 2540D, except use evaporaling dish instead of fiber filter, SOUR = mg Oa /L}hr T m 02 /hr/ tL Total Solids g/� = alal So ida / �' . 1 000 mg/g ti Temperature Adjustment SOUR = 0 20 °C : SOUR 0 Average Temp • Adjustment, or correction factor mg Og /hr/g ...�_Mg 0-7 Ihr/g ' a 20 °C oC NcXe: SeeAdjusts-ner t fornjula aIW CV,7eQ'L;0iA ibctois 001, tho next page. Jan erd o-4 Ub:a'!p Earzh Environmental Svcs 1-828-837-9543 p.2 Speciffe Oxygen Uptake Rags Temperature Adjustment SOUR is determined at the digesters ambient temperature and then adjusted as follows., - SOUR T 0 20 °C SOUR 0 Average Temp * Adjustment. or correction factor Where A = 7.05 above 200 =1.07 below 2011 T'h ��'_tC!e e7re 90=d he/weep and -30 Simplified SOUR = ® 200 C = SOUR G Average Temp ` Correctioh Correction = A ("'0- Ambient Tempel 'Temp* 'IC Correction 10 1.97 11 1, 4• 12 1.72 13 1.60 74 1.50 15 1.40 16 1.31 17 1.22 18 1.14 19 1.07 20 1.00 21 0.95 .. n.*0 23 0.86 24 0.82 25 0,78 29 0.75 27 0.71 28 0.68 29 0,64 30 0.61