Loading...
HomeMy WebLinkAboutWQ0004298_Permit Application_20060518Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality May, 18, 2006 Darhyl Boone Town of Mars Hill P.O. Box 368 Mars Hill, NC 28754 Subject: Acknowledgement of Application No. WQ0004298 Residuals Land Application Program Land Application of Residual Solids (503) Madison Dear Mr. Boone: The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and supporting materials on May 3, 2006. This application package has been assigned the number listed above and will be reviewed by Chonticha McDaniel. The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure the maximum efficiency in processing permit applications, the Division requests your assistance in providing a timely and complete response to any additional information requests. Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to final action by the Division. Please also note at this time, processing permit applications can take as long as 60 - 90 days after receipt of a complete application. To check on the status of your application, you can visit http•//h2o enr state nc usibims/reports/reportsPermits.html. If you have any questions, please contact Chonticha McDaniel at 919-715-6188, or via e-mail at chonticha.mcdaniel@ncmail.net. If the reviewer is unavailable, you may leave a message, and they will respond promptly. Also note that the Division has reorganized. To review our new organizational chart, :go to http•//h2o enr state nc us/documents/dwg orgchart.pdf. PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT. Sincerely, W for Kim H. Colson, P.E. Supervisor cc:Zevi11ce'�q�trifePr�oectonS�ctfon M. Keith Webb, P.E. - McGill Associates, P.A. Permit Application File WQ0004298 NorthCarolina ,Vatimall� Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone: (919) 733-3221 Internet: www.ncwatercivality.org Location: 2728 Capital Boulevard Raleigh, NC 27604 Fax 1: (919) 715-0588 Fax 2: (919) 715-6048 An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Customer Service: (877) 623-6748 Nortlitarolina Department of Environment And Natural Resources Division of Water Quality Land Application Unit 2728 Capital Boulevard Raleigh, North Carolina 27604 0 Dear Mr. Colson: i AQUIFER PRO EDCT ON 3 CTION MAY 0 3 2006 Re: Town of Mars Hill Mars Hill Wastewater Treatment Plant Residuals Land Application Permit Renewal On behalf of the Town of Mars Hill please find enclosed permit renewal forms for the Mars Hill WWTP Residuals Land Application Program. These forms are being submitted 6 months in advance of the current permit expiration date of October 31, 2006 as required. Please note that we have revised the land application site boundaries and are requesting a minor increase in dry tonnage. The Town will be constructing improvements to the existing wastewater treatment plant which we expect to begin prior to the land application permit expiration. We have therefore filled out the application for the plant as it will operate once these improvements are completed. The improvements include an additional digester, new belt filter press and enclosed storage for dewatered sludge which will replace the existing sand drying beds. If you have any questions regarding this submittal please give me a call at (828) 252- 0575 or email at davidhnmc ig llengineers.com. Sincerely, McGill Associates, P.A. DAVID L. HONEYCUTT, E.I. Engineering Associate Enclosure cc: Darhyl Boone w/enclosure L:hssers/projects/02733/letters/kc28apr06.doe E n g i n e e r i n g P l a n n i n g F i n a n c e McGill Associates, P.A. • P.O. Box 2259, Asheville, NC 28802 • 55 Broad Street, Asheville, NC 2880/ 828-252-0575 • Fax: 828-252-25/8' --� State of North Carolina Department of Environment and Natural Resources Division of Water Quality INSTRUCTIONS FOR FORM: NDRLAP 11/05 (NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS) The Division of Water Quality (Division) will not consider this application form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.us/lau/ INSTRUCTIONS TO THE APPLICANT: A. Application Form: ✓ This application form must be submitted for any permitting action involving a non -dedicated residuals land application program. ✓ Non -dedicated residuals land application programs are ones in which all land application sites do not meet the criteria in 15A NCAC 2H .0203 (11)(a) and (b). Specifically, a residuals land application program cannot be designated as non -dedicated if any of the following is applicable: ♦ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies greater than agronomically justifiable. ♦ Any land application site certified for the residuals land application program that is used primarily for residuals disposal alone (i.e., versus crop production). ♦ Any land application site certified for the residuals land application program that is designated as dedicated by the Division's Director. ✓ Any changes to this application form will result in the application package being returned. ✓ All forms and guidance documents referred to in this application form may be downloaded from the web site at http://h2o.enr.state.nc.us/lau/ B. General Information: ✓ The applicant is either the existing Permittee or the entity that is to be responsible for the operation of the residuals land application program and compliance with the resultant permit. If the applicant is a corporation, ensure that that applicant's name as listed in Item I. 1. corresponds with the name under which the corporation is registered with the NC Department of the Secretary of State. ✓ The signing official must meet the criteria stipulated in 15A NCAC 2H .0206 (b). An alternate person may be designated as the signing official, provided that a delegation letter from a person who meets the referenced criteria is submitted. The delegation letter does not have to be resubmitted if the signing official has not changed since the last permitting action associated with this residuals land application program. ✓ The submitted fee should be in accordance with the Division's most recently -adopted fee schedule. This fee schedule as well as a detailed explanation of its application may be downloaded from the web site at: http://h2o.enr.state.nc.us/lau/ Checks are to be made payable to: North Carolina Department of Environment and Natural Resources (NCDENR). C. Submission of Application Packages: ✓ Submit one original and three copies of the entire application package, including the cover letter, the completed and appropriately executed application form, as well as all required attachment forms and supplemental attachments. The instructions (Pages 1 of 5) do not need to be submitted. ✓ To determine which attachment forms and supplemental attachments are required to make a complete application package, read the instructions of each attachment form carefully. Application packages should be organized and bound (i.e., stapled, three-ring binder, etc.) in the following order prior to submission: ♦ Cover letter and application fee. ♦ Attachment Order 1: Non -Dedicated Residuals Land Application Programs (Form NDRLAP). ➢ Attachment Order 1-a: Signing official delegation letter. ♦ Attachment Order 2: Residuals Source Certification Attachment (Form RSCA). ♦ Attachment Order 3: Land Application Site Certification Attachment (Form LASCA). ✓ The application package should be sent to the address at the end of this application form. Do not submit this application package to any Division regional office. Attachment Order 1 FORM: NDRLAP 11105 Page 1 of 6 State of North Carolina Department of Environment and Natural Resources Division of Water Quality NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) Application Number: I. GENERAL INFORMATION (See Instruction B.): 1. Applicant's name: Town of Mars Hill 2. Signing official's name and title: Darhyl Boone Manager 3. Complete mailing address of applicant: Post Office Box 368 (to be completed by DWQ) City: Mars Hill State: NC Zip: 28754 Telephone number: (828_) 689-2301 Facsimile number: (_828 ) 689-3333 E-mail address: darhylb@madison.main.nc.us 4. Name and complete mailing address of contact person and/or consulting firm who prepared application: M. Keith Webb P.E. McGill Associates P.A. Post Office Box 2259 City: Asheville State: NC Zip: 28802 Telephone number: (_828_) 252-0575 Facsimile number: ( _828_ ) 252-2518 E-mail address: keithw@mcgillengineers.com 5. County where residuals land application program is headquartered: Madison 6. County(ies) where residuals source -generating facilities are located: Madison 7. County(ies) where land application sites are located: Madison 8. Fee submitted: $ N/A II. PERMIT INFORMATION: 1. Application is for: ❑ new, ® modified, ® renewed permit (check all that apply). 2. If this application is being submitted to renew or modify an existing permit, provide the following: the permit number W 0004298 ' the most recent issuance date November 2, 2001, and the expiration date October 31, 2006 Date of most -recently certified Attachment A: Date of most -recently certified Attachment B: RECEIVED I DENR I DWQ AQUIFER PROTECTION SECTION MAY 0 3 2006 FORM: NDRLAP 11105 Page 2 of 6 Attachment Order 1 3. Check all that apply to the requested permit modification: ® INCREASE ❑ DECREASE the maximum permitted annual dry tonnage for existing residuals source -generating facility(ies) certified for this residuals land application program. ❑ ADD ❑ DELETE residuals source -generating facility(ies) to/from those certified for this residuals land application program. ❑ INCREASE ❑ DECREASE the net acreage associated with land applications site(s) currently certified for this residuals land application program. ❑ ADD ❑ DELETE land application site(s) to/from those certified for this residuals land application program. ❑ OTHER. Explain: III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Who will be responsible for the day-to-day management of the residuals land application program: ® Permittee or ❑ residuals management firm. If a residuals management firm, complete the following: Firm -contact person and title: Firm name and complete mailing address: City: State: Zip: Telephone number: ( ) - Facsimile number: ( ) E-mail address: 2. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application iwopzram, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC Robert Sams Mars Hill 14793 Back -Up ORC Michael Ladd Earth Environmental 15707 Additional Back -Up ORCs (if applicable) If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: FORM: NDRLAP 11/05 Page 3 of 6 Attachment Order 1 3. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 62 dry tons per year. PAN Pounds of PAN per Dry Ton (Weighted Average) Pounds of PAN per Year Surface Incorporation or Injection Surface Incorporation or Injection First -Year 33.6 - 2083.2 - Five -Year Maximum Adjusted 52.62 - 3262.4 - b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation - Row Crops - Hay 18.3.0 Fescue Pasture - Total: 18.30 Methods Surface 18.30 Site No. 1-1 and 1-2 Incorporation or Injection - Total: 18.30 Restrictions Year -Round - Seasonal - Total: - c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Acres Required Using Acres Required Using Application Rate First -Year PAN Concentrations Five -Year Maximum Adjusted PAN (Ibs PAN/ac yr) Concentrations Surface Incorporation or Surface Incorporation or Injection Injection 70 29.16 - 46.60 - 150 13.89 - 21.75 - 250 8.33 - 13.05 - FORM: NDRLAP 11105 Page 4 of 6 Attachment Order 1 Identify and provide a plan as well as a schedule to resolve any issues that would prevent all of the residuals currently certified and proposed for certification to be land applied without exceeding agronomic rates or violating any of North Carolina's standard permit conditions .governing residuals land application programs (e.g., not enough storage, not enough land, etc.):, Applicant's Certification: I, Darhyl Boone attest that this application for Town of Mars Hill has been reviewed by me and is accurate :and complete to the best of my knowledge. I understand that the Division of Water Quality may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Quality should a condition of this permit be violated. I also understand that if, all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. Signature: Date: THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY AQUIFER PROTECTION SECTION LAND APPLICATION UNIT By U.S.'Postal Service: By Courier/Special Delivery:. 1636 MAIL SERVICE CENTER 2728 CAPITAL BOULEVARD RALEIGH, NORTH CAROLINA 27699-1636 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 733-3221 *** END OF FORM NDRLAP 11105 *** FORM: NDRLAP 11105 Page 5 of 6 RECEIVED/ DENRIDMQ AMIFER PROTECT01, getTI"ON MAY 0 3 2W6 Attachment Order 1 I; State of North Carolina bb Department of Environment and Natural Resources Division of Water Quality LAND APPLICATION SITE CERTIFICATION ATTACHMENT (THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional application processing and review time. For more information orfor an electronic version ofthis form, visit our web site at: http:11h2o.enr.state.nc.us/lau/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. ✓ For new residuals land application programs or renewed residuals land application programs, submit the requested information for all land application sites to be certified for this residuals land application program. ✓ For modified residuals land application programs in which any new/transferred land application sites or modification to the certified land application sites are proposed, submit the requested information for only those land application. sites that are new/transferred or affected by the proposed modification. ✓ All forms and guidance documents referred to in this attachment form may be downloaded from the web site at http://h2o.enr.state.nc.us/lau/ B. Land Application Site Information: ✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary. ✓ The status of the.land application site with respect to this residuals land application program must be provided in the -table in Item I. 1. The status categories and their corresponding codes are as follows: ♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ✓ If this is the first time that an application package is being submitted using Form NDRLAP, then a Watershed Classification Attachment for Residuals Programs (Form RWSCA) must be completed for all existing land application sites. ✓ For each land application site with a status code of N, attach the following in the order specified: ♦ Attachment Order 3: Land Application Site Certification Attachment. (Form LASCA). ➢ Attachment Order 3-a: Watershed Classification Attachment for Residuals Programs (Form RWSCA). ➢ Attachment Order 3-b: County Manager Notification Attachment (Form CMNA). ➢ By Land Application Site: ■ Attachment Order 3-c: Landowner Agreement Attachment (Form LOAA). ■ Attachment Order 3-d: Buffer Waiver Agreement Attachment (Form BWAA). • Attachment Order 3-e: An updated vicinity/buffer map that meets all of the criteria in the latest version of the document entitled "Guidance for the Preparation of Vicinity/Buffer Maps for North Carolina Residuals Permitting Programs." . ■ Attachment Order 3-f: A soils and agronomic evaluation that meets all of the criteria in the latest version of the document entitled "Guidance for the Preparation of Soils and Agronomic Evaluations for North Carolina Residuals Permitting Programs." ✓ For each land application site with a status code of R, attach the following in the order specified: ♦ Attachment Order 3: Land Application Site Certification Attachment (Form LASCA). ➢ By Land Application Site: ■ Attachment Order 3-c: Landowner Agreement Attachment (Form LOAA). ■ Attachment Order 3-d: Buffer Waiver Agreement Attachment (Form BWAA). ■ Attachment Order 3-e: An updated vicinity/buffer map (i.e., see above for criteria guidance). ■ Attachment Order 3-g: An updated accounting of the land application site's cumulative pollutant loading rates (CPLRs) that are required by the permit of the residuals land application program from which the site is being transferred. ✓ For each land application site with 'a status code of M contact the appropriate Division's regional office to determine attachment requirements. ✓ For each land application site with a status code of T; attach the following in the order specified: ♦ Attachment Order 3 through 3-f: Everything required for land application sites with a status code ofN. > Attachment Order 3-g: An updated accounting of the CPLRs (i.e., see above for criteria guidance). FORM: LASCA 11105 Page I of 2 Attachment Order 3 Applicant's name: Town of Mars Hill Check all that apply: ❑ NEW RESIDUALS LAND APPLICATION PROGRAM ® RENEWED RESIDUALS LAND APPLICATION PROGRAM ❑ ADD ❑ DELETE this/these land application site(s) to/from those certified for this residuals land application program. ❑ INCREASE ® DECREASE . the net acreage associated with this/these land application site(s) currently certified for this residuals land application program. ❑ OTHER Explain: Land application sites currently certified: 18.8 net acres and proposed for certification: _18.3_ net acres. Total to be certified: -0.5 net acres. Approximate percentages: 0 % forested, 100 % agricultural, and 0 % reclamation sites. I. LAND APPLICATION SITE INFORMATION (See Instruction B.): 1. Complete the following table with the requested information: Status Code Site/Field ID Landowner(s) Lessee(s) or Operator(s) County Net Acres Predominant Soil Series Soil CEC 1-1 Larry Cody Town of Mars Hill Madison 14.5 8.5 1-2 Larry Cody Town of Mars Hill Madison 3.80 7.9 *** END OF FORM LASCA 11/05 *** RECEIVED J DENR f DWQ AQUIFER PROTECTION SECTION MAY 0 3 2006 FORM: LASCA 11105 Page 2 of 2 Attachment Order 3 4 State of North Carolina Department of Environment and Natural Resources Division of Water Quality RESIDUALS SOURCE CERTIFICATION ATTACHMENT (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state. nc. us/lau/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. ✓ For new residuals programs or renewed residuals programs, submit a separate attachment form for each residuals source -generating facility to be certified for this residuals program. ✓ For modified residuals programs in which any modification to the certified residuals -source generating facilities is proposed, submit a separate attachment form for only those residuals source -generating facilities that are affected by the proposed modification. ✓ The attachment should be organized prior to submission in the following order (i.e., by facility): ♦ Attachment Order 2: Residuals Source Certification Attachment (Form RSCA). ➢ Attachment Order 2-a: Vicinity map. ➢ Attachment Order 2-b;. Process flow diagram and/or narrative. ➢ Attachment Order 2-c: Quantitative justification for residuals production rate. - ➢ Attachment Order 2-d: Sampling plan. ➢ Attachment Order 2-e: Laboratory analytical reports and operational data. ✓ All forms and guidance documents referred to in this attachment form may be downloaded from the web site at http://h2o.enr.state.nc.us/lau/ B. Residuals Source -Generating Facility Information: ✓ Attach a vicinity map that shows the location of the facility and meets all of the criteria in the latest version of the document entitled "Guidance for the Preparation of Vicinity/Buffer Maps for North Carolina Residuals Permitting Programs." ✓ Attach a detailed narrative and/or process flow diagram that describes how the residuals are to be generated, treated, processed, and stored at the facility. ✓ Attach a quantitative justification for the value provided in Item I. 8. Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed, and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during processing. C. Residuals Quality Information: ✓ Attach a detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition, ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as they are to be land applied, distributed, and/or disposed. ✓ Attach reports for all laboratory analyses used to complete this attachment form. Attach documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector attraction reduction requirements. Renewed residuals programs and modified residuals programs are exempt from this requirement as long as the facility is (i) currently certified for this residuals program; (ii) no changes in the generation, treatment, processing, and/or storage are proposed; and (iii) a land application/distribution/disposal event has taken place in the last three years. This exemption will not be allowed unless all three of these criteria are met. ✓ Item II. 3. does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat 100% non -municipal, domestic wastewater only. FORM: RSCA 11/05 Page 1 of 8 Attachment Order 2 Applicant's name: Town of Mars Hill Check all that apply: ❑ NEW RESIDUALS PROGRAM ® RENEWED RESIDUALS PROGRAM ® INCREASE ❑ DECREASE the maximum permitted annual dry tonnage for this residuals source - generating facility certified for this residuals program. Current: : 50_ and proposed: _62 dry tons per year. ❑ ADD ❑ DELETE this residuals source -generating facility to/from those certified for this residuals program. I. ❑ OTHER Explain: 1. 2. 3 4. G 6. 7 RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): Name of facility: Town of Mars Hill WWTP Facility permit holder: Town of Mars Hill Facility permit holder is (check one): ❑ federal, ❑ state, ® local government, or ❑ private. Facility permit number: NCO057151 Facility permit issued by (check one): ® Div. of Water Quality, ❑ Div. of Environmental Health, or ❑ other (explain: If the facility permit is not issued by the.Div. of Water Quality, complete the following: a. Facility contact person and title: Facility complete mailing address: City: - State: ZIP: Telephone number: ( ) Facsimile number: ( ) E-mail address: b. Facility complete location address: City: State: Zip: County: Latitude: and longitude: Purpose of the facility (check one): ® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater, ❑ treatment of potable water, ❑ treatment of 100% industrial wastewater, ❑ treatment of industrial wastewater mixed with domestic wastewater, or (approximate percentages: % industrial and % domestic) ❑ other (explain: ) Is the facility required to have an approved pretreatment program: ❑ yes ® no. If yes, please specify whether or not such a pretreatment has been approved: ❑ yes ❑ 110. Facility permitted/design flow: _0.425_ MGD and facility average daily flow: 0.30 MGD. Maximum amount of residuals to be certified for this facility: 62 dry tons per y§tEIVED/ DENR I DWQ AQUIFER PROTECTION SECTION MAY 0 3 2006 Page 2 of 8 Attachment Order 2 FORM: RSCA 11105 8. Specify the following regarding treatment and storage volumes available'at the facility: Type and volume of residuals treatment: Two aerobic Digesters with a total volume of 82,135 gal. Type and volume of residuals storage (i.e., outside of residuals treatment units): Belt filter press (1.0 meter) with building for the storage of dewatered solids II. RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under (check one): ® 40 CFR Part 503 or ❑ 40 CFR Part 257. 2. Specify if residuals are intended for (check one): ❑ Land Application/Distribution (Class A or Equivalent). Complete all items EXCEPT Items II.4b.; 4c., 7b., and 7c. ® Land Application (Class B or Equivalent). Complete all items EXCEPT Items II.4a., 4c., 7a., and 7c. ❑ Surface Disposal. Complete all items EXCEPT Items II.4a., 4b., 5., 7a., 7b., and 8. 3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non- hazardous under RCRA: a. Are the residuals are listed in 40 CFR §261.31-§261.33: ❑ yes ® no. If yes, list the number(s): b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- §261.24: ❑ yes ® no. Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as well as those for corrosivity, ignitability, and reactivity: laboratory: Test America and date of analysis: 2/08/06 Passed corrosivity test: ® yes ❑ no. pH: 6.90 s.u. (2 < pH < 12.5). Passed ignitability test: ® yes ❑ no. Flashpoint: >200 °F (> 140°F). Passed reactivity test: ❑ yes ❑ no. HCN: <20 mg/kg (<250) & HZS: <100 mg/kg (<500). TCLP Parameter Limit (mg/L) Result (mg/L) TCLP Parameter Limit (MgIL) Result (mglL) Arsenic 5.0 0.0120 Hexachlorobenzene 0.13 0.00162 Barium 100.0 0.0510 Hexachloro-1,3-Butadiene 0.5 0.00138 Benzene 0.5 0.0029 Hexachloro ethane 3.0 0.0013 Cadmium 1.0 0.001 Lead 5.0 <0.05 Carbon Tetrachloride 0.5 0.0048 Lindane 0.4 0.000130 Chlordane 0.03 0.000120 Mercury 0.2 0.005 Chlorobenzene 100.0 0.0032 Methoxychlor 10.0 0.00 *** TABLE CONTINUES ON NEXT PAGE *** FORM: RSCA 11105 Page 3 of 8 Attachment Order 2 a *** TABLE CONTINUED FROM PREVIOUS PAGE *** TCLP Parameter Limit (mg/L) Result (mg/L) TCLP Parameter Limit (mg/L) Result (mg/L) Chloroform 6.0 0.00380 Methyl Ethyl Ketone 200.0 0.0509 Chromium 5.0 <0.0500 Nitrobenzene 2.0 0.00158 m-Cresol 200.0 Pentachlorophenol 100.0 0.00144 o-Cresol 200.0 Pyridine 5.0 0.00174 p-Cresol 200.0 Selenium 1.0 <0.100 Cresol 200.0 0.00204 Silver 5.0 <0.0500 2,4-D 10.0 0.0700 Tetrachloroethylene 0.7 0.00390 1,4-Dichlorobenzene 7.5 0.00146 Toxaphene 0.5 0.000590 1,2-Dichloroethane 0.5 0.00280 Trichloroethylene 0.5 _ 0.00450 1, 1 -Dichloroethylene 0.7 0.00450 2,4,5-Trichlorophenol 400.0 0.00142 2,4-Dinitrotoluene 0.13 0.00244 2,4,6-Trichlorophenol 2.0 0.00216 Endrin 0.02 0.000110 2,4,5-TP (Silvex) 1.0 0.00400 Heptachlor and its Hydroxide<:. 0.008 0.000270 Vinyl Chloride 0.2 0.00430 4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not violate the ceiling concentrations for metals regulated under 40 CFR Part 503 or 40 CFR Part 257: a. For Class A or Equivalent: Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: laboratory: and date of analysis: Parameter Analysis Required for Permitting by NC if Residuals are Regulated Under... Parameter Ceiling Concentration (mg/kg) Monthly Average Concentration (mg/kg) Result (mg/kg) 40 CFR Parts 257 and 503 Arsenic 75 41 40 CFR Parts 257 and 503 Cadmium 85 39 40 CFR Parts 257 and 503 Copper 4,300 1,500 40 CFR Parts 257 and 503 Lead 840 300 40 CFR Parts 257 and 503 Mercury 57 17 40 CFR Parts 257 and 503 Molybdenum 75 n/a 40 CFR Parts 257 and 503 Nickel 420 420 40 CFR Parts 257 and 503 Selenium 100 100 40 CFR Parts 257 and 503 Zinc 7,500 2,800 FORM: RSCA 11105 Page 4 of 8 Attachment Order 2 b. For Class B or Equivalent: Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: laboratory:. Earth Environmental Services and date of analysis: 2/6/2006 c Parameter Analysis Required for Permitting by NC if Residuals are Regulated Under... Parameter Ceiling Concentration (mg/kg) Result (mg/kg) 40 CFR Parts 257 and 503 Arsenic 75 <0.10 40 CFR Parts 257 and 503 Cadmium 85 <0.10 40 CFR Parts 257 and 503 Copper 4,300 402 40 CFR Parts 257 and 503 Lead 840 <0.05 40 CFR Parts 257 and 503 Mercury 57 0.005 40 CFR Parts 257 and 503 Molybdenum 75 <37.2 40 CFR Parts 257 and 503 Nickel 420 28 40 CFR Parts 257 and 503 Selenium 100 <0.100 40 CFR Parts 257 and 503 Zinc 7,500 1110 For Surface Disposal. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: laboratory: and date of analysis: Parameter Analysis Required for Permitting by NC if Residuals are Regulated Under... Closest Distance to Property Lines (meters) Arsenic (mg/kg) Chromium (mg/kg) Nickel (mg/kg). 40 CFR Parts 257 and 503 > 0 but < 25 30 200 210 40 CFR Parts 257 and 503 >_ 25 but < 50 34 220 240 40 CFR Parts 257 and 503 >_ 50 but < 75 39 260 270 40 CFR Parts 257 and 503 > 75 but < 100 46 300 320 40 CFR Parts 257 and 503 > 100 but < 125 53 360 390 40 CFR Parts 257 and 503 > 125 but < 150 62 450 420 40 CFR Parts 257 and 503 >_ 150 73 600 420 FORM: RSCA 11105 1 Page 5 of 8 Attachment Order 2 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: _7.76 %. b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and micronutrient parameters: laboratory: Earth Environmental Services and date of analysis: 9/14/05 Parameter Result (mg/kg Aluminum 13,100 Ammonia -Nitrogen 12,300 Calcium 14,700 Magnesium 4,620 Nitrate -Nitrite Nitrogen 72.1 pH 7.1 Phosphorus 24,800 Potassium 2,450 Sodium <2,480 Total Kjeldahl Nitrogen 47,600 c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: _30 %. This rate is a ® default value or ❑ actually established. If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical justification as to why the selected default value is appropriate to be applied to these residuals: Calculate the PAN for the residuals (i.e., on a dry weight basis) and list the results in the following table: Application Method First Year Five -Year ,PAN Maximum Adjusted PAN (mg/kg) (mg/kg) Surface 16,800 27,810 Injection/Incorporation - - e. Are the residuals are a registered fertilizer with the NC Department of Agriculture and Consumer Services: ❑ yes ® no. If yes, provide date of registration approval: the current registration number: and the fertilizer equivalent: %, %, and %. FORM: RSCA 11105 Page 6 of 8 Attachment Order 2 6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and list the results of the latest analyses : No known other_ pollutants of concern. 7. Pathogen Reduction Determination: Specify which alternative(s) will be used to meet the pathogen reduction requirements: a. For Class A or Equivalent: ❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids. OR ❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids. AND one of the following (except for residuals regulated under 40 CFR Part 257 that are to be distributed): ❑ Alternative 1 [40 CFR §503.32 (a)(3)] - Time/Temperature Compliance. ❑ Alternative 2 [40 CFR §503.32 (a)(4)] - Alkaline Treatment. ❑ Alternative 3 [40 CFR §503.32 (a)(5)] - Prior Testing for Enteric VirusNiable Helminth Ova. ❑ Alternative 4 [40 CFR §503.32 (a)(6)] - No Prior Testing for Enteric VirusNiable Helminth Ova. ❑ Alternative 5 [40 CFR §503.32 (A)(7)] - Process to Further Reduce Pathogens (PFRP). Specify one: ❑ composting, i❑ heat drying, ❑ heat treatment, ❑ pasteurization, ❑ thermophilic aerobic digestion, ❑ beta ray irradiation, or ❑ gamma ray irradiation. ❑ Alternative 6 [40 CFR §503.32 (a)(8)] - PFRP-Equivalent Process. Explain: b. For Class B or Equivalent: i ® Alternative 1 [40 CFR §503.32 (b)(2)] - Fecal Coliform Density Demonstration. ❑ Alternative 2 [40 CFR §503.32 (b)(3)] - Process to Significantly Reduce Pathogens (PFRP). Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion, ❑ composting, or ❑ lime stabilization. ❑ Alternative 3 [40 CFR §503.32 (b)(4)] - PSRP-Equivalent Process. Explain: ❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. c. For Surface Disposal: ❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover. ❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above. ® Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above. ❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. FORM: RSCA 11105 Page 7 of 8 Attachment Order 2 8. Vector Attraction Reduction Determination: Specify which alternatives) will be used to meet the vector attraction reduction requirements: ❑ Alternative 1 [40 CFR §503.33 (b)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). ❑ Alternative 2 [40 CFR §503.33 (b)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). ❑ Alternative 3 [40 CFR §503.33 (b)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). ® Alternative 4 [40 CFR §503.33 (b)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). ❑ Alternative 5 [40 CFR §503.33 (b)(5)] - 14-Day Aerobic Processes. ❑ Alternative 6 [40 CFR §503.33 (b)(6)] - Alkaline Stabilization. ❑ Alternative 7 [40 CFR §503.33 (b)(7)] - Drying of Stabilized Residuals. ❑ Alternative 8 [40 CFR §503.33 (b)(8)] - Drying of Unstabilized Residuals. ❑ Alternative 9 [40 CFR §503.33 (b)(9)] - Injection. ❑ Alternative 10 [40 CFR §503.33 (b)(10)] - Incorporation. ❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover. ❑ Alternatives for Animal Processing Residuals Only: Specify one: ❑ injection, ❑ incorporation, or ❑ lime addition to raise pH to 10. ❑ Not Applicable - Non -Animal Processing Residuals Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. ***-END OF FORM RSCA 11/05 *** FORM: RSCA 11105 Page 8 of 8 Attachment Order 2 ,RESI LS LAND APPLICATION VICINITY MAP TOWN OF MARS HILL 7, ljo� MADISON COUNTY, NORTH CAROLINA 25J J v No j At 's" '2243' 4 0w �, --y-1 I -A k A EA4 X I/x % A N-1 ;SITZ'_ -10 10CAT N Kv— q o., it OF V IRE A N, 1?9 la j ,j a'O X N C%A C/ 7" Z Qcn It "i =7_7 0, SCALE: 1 200 kz 7 f C I A E S A S S 0 -FINANCE ING-PLANNING ENGINEER Pit. (82S) 2252-0575 55 BROAD STREET ASHEVILLE, NC Residuals Source Certincation Attachment Attachment 2-b: Process Narrative The Town of Mars Hill WWTP is a municipal wastewater treatment plant serving the Town of Mars Hill and Mars Hill College. The facility is a 425,000 gpd activated sludge wastewater treatment plant. Flow enters the plant through a mechanical screen that removes large solids and conveys them into a dumpster. The plant flow continues into three aeration basins that are typically operated in series. After completing the extended aeration process the flow is transferred to a clarifier where solids are settled out and the effluent is conveyed to chlorine contact prior to discharge. The solids removed in clarification are either recycled to the head of the treatment plant or wasted into an aerobic digester where they are further treated. Solids are then pumped to a belt filter press for dewatering and stored in an enclosed area until disposal at the land application site. Residuals Source Certification Attachment Attachment 2-c: Quantitative justification for residuals production rate Solids produced at average flow of 425,000 GPD at 0.8 lbs solids per 1000 gallons of wastewater (ref. Metcalf and Eddy, Wastewater Engineering P Edition, pg 773) 425,000 GPD x 0.8 lbs solids / 1000 gal. = 340 lbs solids / day 3401bs solids / day * 365 days / year / 2000 lbs / ton = 62 tons Residuals Source Certification Attachment Attachment 2-d: Sampling Plan The following sampling will be performed: Type Frequency Parameters Residuals Analysis Annual Arsenic, Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia -Nitrogen, Nitrate -Nitrite Nitrogen, Total Solids Percentage (%), pH, Phosphorus, Calcium, Magnesium, Sodium, Potassium, TKN, Plant Available Nitrogen Toxicity Characteristics Once per Arsenic (5.0), Barium (100.0), Benzene (0.5), Leaching Procedure (TCLP) permit cycle Cadmium (1.0), Carbon tetrachloride (0.5), Chloradane (0.03), Chlorobenzene (100.0), Chloroform (6.0), Chromium (5.0), o-Cresol (200.0), m-Cresol (200.0), p-Cresol (200.0), Cresol(200.0), 2,4-D (10.0), 1,4-Dichlorobenzene (7.5), 1,2-Dichloroethane (0.5), 1,1- Dichloroethylene (0.7), 2,4-Dinitrotoluene (0.13), Endrin (0.02), Heptachlor (and its hydroxide) (0.008), Hexachlorobenzene (0.13), Hexachloro- 1,3-butadiene (0.5), Hexachloroethane (3.0), Lead (5.0), Lindane (0.4), Mercury (0.2), Methoxychlor (10.0), Methyl ethyl ketone (200.0), Nitrobenzene (2.0), Pentachlorophenol (100.0), pyridine (5.0), Selerium (1.0), Silver (5.0), Tetrachloroethylene (0.7), Toxaphene (0.5), Trichloroethylene (0.5), 2,4,5-Trichlorophenol (400.0), 2,4,6-Trichlorophenol (2.0), 2,4,5-TP (Silvex)(1.0), Vinyl chloride (0.2) Vector Attraction, and Annual Fecal Coliform Density Demonstration, Sour Test Pathogen. Requirements for Vector Attraction Mar 15 06 11:21a Darhyl Boone (828)689-3333 p.2 Testjv-- ------ ANALYTICAL CGcsat: TcatAmorica A.,,,,, 1- 122LYMAN STREET WILL E, NC 28801 Aim: D1NAF1 TR.P.Xu M CAS 4 Aaelyte Cenct�I hyparameten 1'tu lgaitaulky AtmtFiltar Pairs:FilrerUgWdz PH PH C*ifdcs RcU iv0Cy11t &83Tas1 swiadm Rcudive Sulfide as Total TCLP MeixLs by 6000.100 Seijes M 7440-39.2 Ask 7440.39-3 Bantam 744043-9 Catmlum 744047-3 chmahim 7439.921 Lead 7792.49-2 Selenium 7440.=4 Silver 7439-97-6 Mveury TCLP Chlaiinatrd Herbicides by EPA Metl1 94-75-7 Z4-D 93.72-1 2.4.5-TP(Sily«) Surrogore: DkkbruwcHcAcid (17-130y TCLP Volaffie 04.92mc Compormds by EPA 75414 Ymyl chlcridi 75-35-4 I.1-Didilonx Ihen': 107-Orr 2 1.2-Dichlarmdme 79-93-3 2-Buisnam 67-6r�3 chlowl'oim 56-23-5 Carbon Tetrachloride 71.43.2 Benzene 19-01.6 Trichloroe'dwne 27-la-4 Tetrathloroctlterw )8-90-7 Chlcraheazme u-9- fc: 1.2-Dhidoroe&an,,,* (TO I30ft� Vm9ale: Dr3rzanoJluaramerhane 179.122%) TeaatAm-iao Analytical - Orltandc, Enid Ortiz For Judith A. Beato Project Manager -EBS ri ca CORPOM-noN 4810 &-to ,A Raw orww", R MM2 • lSOQ851-2560 • Fix 407 86g U101*Order OMMI62 Project: TCLP SamPlcd: WAR/06 Proloet Number: [nonr] _ .. _. R«L 0Zr1a9 mpte ID: ESS rrpZ�01ORATORY REPORT �✓ !v C�tj� - 'r�L Lab Number. OPSO1b2-01-Matrir: Soild/5od2 ......•..... Q Units Dil MDL AnWmd '---•-----•�1----Factor Y _Daterimo ............ 13 Y Method >300 v of 80.0 80.0 _ .. . I '-................ Aft U 1'resent/Ataune I.00 O'rJ15/06 09;00 TCB AS12.1 6022332 6.90 NA I 02/20'061354 D4982B_ _ TCH StV846 6023MS 20.00 PH Units 0.00 NA U malka �� 1 OZr1,Y06 15:21 9WSA SLW SWW9045C 6=178 100 70.00 I Ov17ro5 10.43 MLM IV&46 6022755 U mg4w 100 100 ! 02/16W 18:Os 9012A lilt 1 SW84690308 60G:Y159 0.0120 *.Oslo 0.00100 ®-00M A0150 0.00920 0.00300 0.00500 Id 8151 0.0700 0.00400 44f% I mg/L 0.00500 0.100 1 OV15106 14;30 CLO sw346 6022530 1 m8%I. 0.00700 O.t00 1 07/15/06 14;30 CLO 131116010B SWE46 60=0 r 0.0007w 0.0100 I 0?/15/06 1430 CLO 1311/60tOH SW846 6022S8G .I mg/L 0.00250 0.0500 I �J15/06 14:30 CLO13 1116010a SUB46 6022580 r mg/L 0.00300 0.0500 1 02/15/061430 G20 1311/60108 SW646 - 6022580 o mg/L O.00$20 0.100 1 0?11SW 1430 CLO 1311/601013 sWW 602Z580 U mg,7, 0.00900 0.0500 I 02/15106 14:30 CLO 1311/6014B SW846 6022580 U mg2 O.00500 0.0100 1 02/15+061321 JtvII2 1311/4010B SW&le 60=590 1311 f7470A u mgIL 0.0700 0.100 1 02/18/06 09.04 u mP/L 0.004W D.0100 l OVIN06 09:04 let]lod 1311/8260B 0.00430 Ll mg/i. 0.00430 t10100 10 O2/22/06 35:25 0.00450 U m8/L. 0.00450 0.0300 10 0227/06 15:25 0.00290 u mPJL 0.00230 0.0100 10 02/22/06 15:25 0.0509 U mg/L 0.0509 0.250 10 D7/'r1J0515:25 D.00380 U mEVL 0.00380 0.0100 10 02/,22,06 1525 0.OD480 u m&Z 0.00490 0.0I00 10 02r22)06 15:25 0.00290 V mg/L 0.00290 0.0100 10 02l-_7106 1525 0.004.50 u mg/L 0.00450 0.0t00 10 02/21JO61525 mow u mgr1. 0.00390 0.0100 IO OD72(06 15:25 ).00320 u m&•L 0.00320 0.0100 10 021'2?/06 15:25 V% - BES SM46 131118151A BBS SW846 131 U9151A -UP- SW946 13114260/3 HP- SWB46 1311/8260B 1iP- SW846 1311/8260B i7F- SW846 131U8260B ILP- SW846 1311IB260B HF- SW846 1311 S260B .AP- SM46 13111026CIB HI'- =846 1311/82602 HP. SW846 1311/8MD .Hp- SW846 I311/8260B 6022786 6022786 6D24428 6024428 6024429 6024423 6424428 6024428 6024423 60?A-029 6024429 6024428 Page 2of15 03/15/2006 WED 11:19 [TX/RX NO 84861 2 002 Mar 15 06 11:21a Tes Darhyl Boone A�YTtCA!_ T T11 Client TestAm,.;,, Analytu,l - 122 LYNL4N STRELrT ASIMI E- NC 21t801 AUn: DJNAU 7RAND IM - EES ricer CORP46RATION (828)689-3333 4310 EaetAndmaon lZOad Defandq Ft. 3ZB1?' 800.851-2ag0' Fax 40745"ggg Work Order. OPBO)62 Project: TCLP Pkq-t Number: [uono3 p.3 S-Pled: 02/o& 06 Reeaived o2/09/06 aalple ID: EES LA REPORT 206074 - Lab Number: OPB0162-01 CAS 3BORATORY _ htd,,: AlAnalyte TC- - - - • • V..... • . • .... • • - "' LP ol,Itt2e Or�Inic C Rmdt Q Units - - a _ MDL PQL Dd Analygd Factor O Mpourlds by ' - - - - - - EPA Method 131p/SZ60B -C Coat - Eme rime BY ]Method Satoh Surro : ,t 5, ly�roben ere (78I76%) l0090 TTI f 9enli"latiie Org"We CO nPOMM by s 13I S 77_3 Cr-oks) EPA Method 13I1l8Z70C _ ] 06-467 1.4Diehlorulxnaene 0.00204 U mg2 0.002N 0.0200 2 OW17/06 07:22 MES SW846 6Q-2r 530 121-142 0.001 �6 U mF/L 0.00146 0.0200 2 a2/17106 07:22 82 MES 131 L/70C 2.4-Diru�xolucm 0.00244 SW846 6022530 I18-74-1 H��� v mg/L 0-00244 0.0200 2 02I70607M 1311/82C SW846 60=30 87.653 rovradiene 0.00162 mg 0,00162 0.02 2 07/l?/06 072 1311270C ES SW846 6=30 0.00138 U mg/L O.00L39 0.0200 2 02/17/06 07;22 MES 1353111 OC 67-721 Hexaehlococthmte 6022530 0.00130 U m8R• 0.00130 0.02002 0WMP6 07:ZZ 1311/8270C MES SW046 6=30 48 95S ISitrob msne _ _ OA0158 U mg/L 0.00158 0-0=0 131 IJ8270C _ t 87-865 Peamdilorophenol131IA270C- . _ .2 02/17/W-07:22 1S.S SW846 6022530 , mg/L 0.00144 0.0200 2 02JI7106 07:72 MES = ' 110-86-1 Pyridine SWU6 - 602253G 0.00174 U m8i1- 0.00174 0.0200 2 02/17/06 07.22 1311/827oC MES SW346 6022530 89-06-2 2,4,6-Trichlcrophrnol 0.00216 U mg/L 0.00216 0-0200 131118270C 2 OT117106 07:2< MES SW846 6022530 45 95-4 2,4,5 Tsic}I[o[ophcnn! 0.00I42 U mg/L 0.00142 0.0200 2 OJ17106 01:22 �S S1311/82 W8466 60=30 SWFOXaft: 7"erpheay4rl14 (31-IIPM 7894 131118270C SUrrugale; 2.4.6-Tribromophenol (31-J18.LJ V V. S-7vgale: Nwml-d9 (]"&A) 48 % S--&ale: 2-P7aarvbiphciryl (33-lot%) 76 % S--gaM-,2-Flv-phen°l (10.64%J 60 Sm7m9are: Nrbvbaylw-d5 (31-112") 77% TC Le Pesdddes by EPA Method 1311/> 58-89-9 gamma-HHC (Ux�) 0.000130 v mg/L 0.000130 0.000500 1 0211 W06 13:43 KMR SW846 6022781 57-74-9 Ch1mItme 0.000120 t1 nl FiL 0.000120 0.000500 1 02/18106 13:42 1311/8081A KMR 72 20 Bdrtn SW846 6022791 0.OWI10 U mgL 0.000110 0.000500 1 02/194M 13.42 1311/8081A KMR S1V846 •6022781 76114 S OC 0.000120 U mB/L 0.000120 O.OM50D 1 02AM613W2 131118081A KMR 2024-57-3 Hrytochlorcpuxlde 0.000I50 U mg/L 0.000150 SW846 1311180SIA 6022791 0-000500 I VJ19106 13:42 KMR SWE46 6022731 72 5 Mct}x+xychlor 0.000140 u mg/L 0.000140 0.000500 1 02/19/06 13:42 131 l.� I A KMR 8001-35-2 TO -Photo s%vs46 6022781 0.000590 U mg/L 0.000590 0.0l00 7 02/18/QS 13:42 1311I80811. KMR fr<+rogMe: relrarirloro-meta-xy/rac (SB..Il7y) 63 ya S1V846 13111M lA 5CP�781 lrmaga-�: Decadrlambipheayl (224MI..) 64 % T-tArnerica AnMytid - Odando Enid Ortiz For Judith A. Doato Project Manager Page 3 of 15 03/15/2006 WED 11:19 [TX/RX NO 84861 Q 003 Mar 15 00 . 11:21 a Darhyl Boone (828)689-3333 p.4 Test�s e� LYri "T, ANACAt T1 1'4G CORPORATION 4310 EWAN—,,,, lld Qt,,,dq 161, AWytj— ��- F32312.MOW51 -2WW *F_� 4U7 ZSS.0aWC3kntTOBA=a -UIM;E- 122LYMS7rMET Wwck OW,,�ASM' Vnly- NC 28W] P-ject TCLP Sampla- 02MIU06 Affm DDIAZI 1p AAApM ft9joa Numb, aoaa]0=9106 SAAWLE EXTRACTION DATA i's .......opwiw-ol ............w...m.a.l .......................Labmu=b,, TCLPP-d"d-&........ -dSUSIA ................... Rftame.d .v.w.... TPC�lorumtedfcrbici'c by EPA Method 81sl ................... .ey..s. .I&Aod PBDI62-01 ...TCLP%'� —X-h by EPA Method 8270 TCLP s=ioha, 0,8j. Campa=ds OPB0162-02 . EPA �t 1311181-7000PBO162-01 5W.0 ML I-OraL 2006 P.TB - EPA 3510C Lmdme, Testli=crica Analytical - orimdo Enid Ortiz For Judith A. Beata Project Manager Page 4 of 35 03/15/2006 WED 11:19 [TX/RX NO 84861 Q 004 Mar 15 06 11:21a Darhyl Boone Name and Address of Facility: Town of Mars Hill P.O. Box 368 Mars Hill, NC 28754 Aft: Robert .Sams TCLP - Drvina Bed Sludne (828)689-3333 p.5 ..:cti.. i-::1::Uii.i:'n:l3%: •✓:: a;Jl- Michael Ladd 75 Bison Lane Murphy. NC 28906 Robbinsville Lab (828) 479-6428 . " Madison County Lab (828) 649-9250 Residence (828) 837-9543 Date: 3J6/Y006 Sample Collector: ' RS Date and Time Sample Recelved: 21S12006 11:50 AM Date and Time Sample Collected: 202006 8:00 AM Date and Time Sample Analyzed: < MHT Test Influent Q.B. Sludge Upstream Downstream Report Ltmlt Method Units BOO 2.0 SM5210B mg/L TOTAL SUSPENDED RESIDUE 1.0 SM2540D mgfL FECAL COLIFORM ' 1 SM9222D per 100ml 6.90 0-14 SCA units AMMONIA NITROGEN 0.5 SM4500NH3F mg/L OM AND GREASE 1.0 SM55208 mg/L TOTAL. NfPROCEN SCA mg/L TOTAL PHOSPHOROUS SCA mg/L TOTAL RESIDUE 1.0 SM2540B mg/L TURBIDITY = - = 1.0 - SM2130B NTU EPA - 9151 = = " < 0.100 0.100 SCA mg/L EPA - 8260 B < 0.250 0.250 SCA M90- A2270 C < 0.0200 0.0200' SCA mg/l EPA 8081 A < 0.0100 0.0106 SCA mg/l CORROSIVITY NOT CORROSIVE SCA 16NITABILITY NOT IGNITABLE UP TO 200 DEG F. SCA PAINT FH-TER TEST NO FREE LIQUIDS SCA TOTAL REACTIVE CYANIDE < 20 mglKg 20.0 SCA mg/Kg CADMIUM < 0.0100 0.0100 SCA mgfL CHROMIUM < 0.0500 0.0500 SCA mg/L COPPER SCA mg/L LEAD < 0.0500 0.0500 SCA mg/L NICKEL SCA mg/L ZINC SCA mg/L SILVER < 0.0500 0.0500 SCA mgfL REACTIVE SULFIDE < 100 mg/Kg 100.0 SCA mg/Kg BARIUM < 0.100 0.100 SCA mglL ARSENIC < 0.100 0.100 SCA mgfL SELENIUM < 0.100 0.100 SCA mg/L MOLYBDENUM SCA mgfL MERCURY < 0.0100 r 0.0100 SCA mg/L E.C. Laboratory 10# 352 .ab Supervisor. Michael J. Ladd: EES-RobbinsN Ile Analyzed By: MB Certified By: 03/.15/2006 WED 11:19 [TX/RX NO 84861 Q 005 ANNU7 - ,AND APPLICATION CERTIFIC "'''ION FORM Permit#: WQ0004298 l.ounty: Facility Name (as shown on permit): Land Application Operator: Land application of residual solids as allowed by the permit occurred during the past calendar year? 21 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. Madison Year:, 2005 Town Of Mars Hill Land Application Robert M. Sams Phone: (828)689-9850 Part A: Total number of application fields in permit: 2 Total'number of fields land application occurred during the year: 1 Total amount of dry tons applied during the year for all application sites: 17.48 Total number of acres land application occurred during the year: 14 Part B: Facility was compliant during calendar year 2005 with all conditions of the land application permit (including but not limited to items 1-12 below) issued by the Division of Water Quality. 0 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 or the limit 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. 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." Darhyl Boone -Town Manager Permitt ame and Title (type or print) Signature of Preparer* (if different from Permittee) * Preparer is defined in 40 CFR Part 503.9 (r) Signature �ofPer�mittee�� Date Signature of Land Applier Date (if different from Permittee and Preparer) DENR FORM ACF (5/2003) ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM 'ERMIT #: WQ0004298 FACILITY NAME: Town of Mars Hill PHONE: (828)689-9850 COUNTY: Madison OPERATOR: Robert M. Sams FACILITY TYPE (please check one): 9 Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C) ❑ Distribution and Marketing (complete Parts A, B, and C) Vas the facility in operation during the past calendar year? 0 Yes ❑No No If No skip parts A, B, C and certify form below Part A*: I I Part B*: Month lanuar +ebrua March Tune Sources(s) (include NPDES # if applicable) August Drying Bed S1 September Drying Bed Sl October November December Volume (dry tons Amendment/ Residual In Product Out Name(s) Bulking Agent I NC0057151 3.88 3.88 Larry Co NC0057151 13.6 13.6 Larry Co al (dry tons): 0 17.48 17.48 Information Volume (dry tons) Intended use(s) 3.88 fescue 13.6 fescue 17.48 ::;::::::::: Amendments) used I Bulking Agents) usea: I i * If more space than given is required, please attach additional information sheet(s). ❑ Check box if additional sheet(s) are attached Part C: Facility was compliant during calendar year 2005 with all conditions of the permit (including but not limited to items 1-3 below) issued by the Division of Water Quality. Ri Yes ❑ No If No, please provide a written description why the facility was not compliant. 1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached. 2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Quality. 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 complete. I am aware th a are s' nific �enalti�esfor submitting false information, includ' e p ssibi ' of i es and i prisonment fo We violations." Signature o ittee Date Signature of Preparer** (if different from Permittee) **Preparer is defined in 40 CFR Part 503.9(r) DENR FORM DMSDF (11/2005) 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: WQ0004298 Laboratory: 1) Earth Environmental Inc. Facility Name: Town of Mars Hill 2) NPDES # or WQ#: WWTP Name: Residual Analvsis Data Sample or Composite Date 9/14/O5 Percent Solids 7.76% Arsenic <12.4 Cadmium <12.4 Chromium 21.5 ,b Copper 402 Lead 42.4 Mercury 2.61 Molybdenum <37.2 Nickel 28 Selenium <24.8 Zinc 1110 Total Phosphorus 24800 TKN 47600 Ammonia -Nitrogen 12300 Nitrate and Nitrite - 72.1 NC0057151 Town of Mars Hill WWTP 3) 4) 5) "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 signific t penalties for submitting false information, including the possibilityof fines and imprisonment for knowing violations." Signature of Preparer ;;.; ;l?te n�hln Fr1Rnn RS4F (r)/,)n q) Feb 07 06 10i37a Name and Address of FodIRf. Town of Mars Hill WWTP P.O. Box 368 Mars Hill; NC 28754 Att Robert Sams Ear," Environmental Svcs Earth Epknmet Services Michael Ladd 7S Bison lane Murphy. NO 28906 Rebbinsville Lab (828) 4rc9 Z8 IHadlson Coumy Lab (828)84"250 Ro:iden- (828) 837-9543 r�w+- 1-8?�.A�.\837-9543 Sample Collector: RS Daly and Time sample Received: 9/1 a200g Dab and Tlma Sample Collected; 9r9 & 12/05 Dwta rnrl 7l— e..._,,_ .�,. ,.. —14uxy Iva .ID[ Anslyzod By: SCA - Lab Supervisor. "Ch.el J. Lmdd; EES-Robbinsvil4 Carp 6ea Br i) � ,w `v�C P.1 ANI,4U�%v -wIL lALA V1L' AY 1LVAUlIVh JUIVIIVIAKY V VKIV1 Attach this form to the corrending Field Loading Summary Form i __ ; submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Town of Mars Hill WWTP Total Dry Tons Applied (Annual): 17.48 WQ0004298 Cation Exchange Capacity (non 503 only): 8.5 meq/100g Robert M. Sams Owner: Larry Cody 14 Acres Permitted: 14 Site #: 1 Field #: 1 ., _• �___i . __l_.�n T -�. !LT ..,... 1%4-+-1. .-fl Tn+-a1 Phncnhnrnc 774P ma/ku_ 0�n Solids use Raw Percent #): L\%,0A"_ as 7 8 9 10 11 12 Sample 1 2 3 4 5 6 or Com- posite Date 8/31/05 9/9/05 % SoIids 0.0776 0.0776 Arsenic 12.4 12.4 Cadmium 12.4 12.4 Chromium 21.5 21.5 Copper 402 402 Lead 42.4 42.4 Mercury 2.61 2.61 Molyb- 37.2 37.2 denum Nickel 28 28 Selenium 24.8 24.8 Zinc 1110 1110 Total Phos- 24800 24800 horus L-lullual LLGQ.V j 11L�CF A L- __ - -- ----- -- -. 8 9 10 11 12 .� -o 1 2 3 4 5 6 7 y a� o <b d 1 0.277 0.971 Arsenic 0 0 0 0 0 0 0 0.0069 0.0241 0 0 0 0.031 Cadmium 0 0 0 0 0 0 0 0.0069 0.0241 0 0 0 0.031 hromiu 0 0 0 0 0 0 0 0.0119 0.0418 0 0 0 0.0537 Copper 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.2227 0.0235 0.7807 0.0823 0 0 0 0 0 0 1.0034 0.1058 Lead Mercury 0, 0 0 0 0 0 0 0 0 0 0 0 0 0.0014 0.0206 0.0051 0.0722 0 0 0 0 0 0 0.0065 0.0929 Molyb- 0 denum 0 0 0 0 0 0 0.0155 0.0544 0 0 0 0.0699 Nickel 0 0 0 0 0 0 0 0.0137 0.0482 0 0 0 0.0619 Selenium 0 0 0 0 0 0 0 0.6149 2.1556 0 0 0 2.7706 Zinc 0 Total Phos- 0 0 0 0 0 0 0 13.739 48.162 0 0 0 61.901 horus "I certify, under penalty of law, tnat tors aocumen t way plcpalcu uuu- ...J --- -- -,- -'-r-- - ---- -- -- 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, includingAlip possibility of fines and imprisonment for knowing violations" /_�� R /� - e- 0 C', 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 (512003) 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., Facility Name: Town of Mars Hill WWTP Permit #: WQ0004298 Annual Dry Tons Applied: 17.473968 Owner: Larry Cody Operator: Robert M. Sams Cation Exchange Capacity (non 503): 8.5 meq/100g ite #: S - 01 Field #: 01 Acres Utilized: 14 Acres Permitted: 14.0 Dry Tons Per Acre Residual Sources (Summarize) 1 e Cond. Dry, Wet _ _ ,' Inches Precip. past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- �zation Rate I TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 5 eci Totals Per Acre % Solid -s Gal. Cu.Yd. Report Totals 131/05 w vai. 12000 857.14 7.76 0.277364571 Drying Bed Sludge dry 0 S 0.5 30% 26.4051 6.82317 0.04 0.00517 ####### (01105 9000 642.86 7.76 0.208023429 Drying Bed Sludge dry 0 S 0.5 30% 19.8038 5.117381 0.03 0.00291 ####### (06105 7500 535.711 7.76 0.173352857 Drying Bed Sludge dry 0 S 0:5"'' 30% 16.5031 4.26448 0.025 0.00202 ####### .07/05 6000 428.571 7.76 0.138682286 Drying Bed Sludge dry 0 S 0.5 30% 13.2025 3.41158 0.02 0.00129 ####### 108105 12000 857.14 7.76 0.277364571 Drying Bed Sludge Drying. Bed Sludge 'dry dry 0 0 S S 0.5 0.5 30% 126.4051 30% 16.5031 6.82317 4.26448 0.04 0.025 10.00517 10.00202 ####### ####### 109105 7500 535.71 7.76 0.173352857 0 0 . 0 0 0 0 0 0 0, 0 - 0 0 0 0. 0 0 0 0 0 0 Cd Cr Cu Pb H Mo Ni Se Zn P _ 0 PAN 1 0 PAN 2 0 -0 0 As COTALS: 3857 ::::;::::::: annual lbs/acre 0.0309504 0.03095 0.05366 1.00339 0.10583 0.00651 0.09285 0.06989 0.0619 2.77056 61.9008 J 0.01859 :urrent Cumulative lbs/ac 'rior Years Cumulative lbs/ac 'ermitted C. P. L. R.*** 0.7893504 0.7584 36 0.55435 0.5234 34 1.46556 1.4119 NA 46.0634 45.06 1338 5.08083 4.975 267 0.09571 0.0892 15 2.65085 2.558 NA 2.22289 2.153 374 1.4333 1.3714 89 24.2316 21.461 2498 ::::«:::::::::::::::'::::>::::::::: 'ermit PAN Limit 1st/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 ;ignifWfFqt penalties for submitting false information, including the pos ibility of fines -and imprisonment for knowing violations." Must Select Crop I or Crop 2 Crop 1 I Crop 21 * fescue fescue fescue fescue fescue fescue ,ime Applied Date lbs/ac 10/6/05 5000,' *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of and Applies Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation = 1.0 ***C.P.L.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 # L s!qi - DENR FORM FSF (5/2003) AININUA'- '"1L' 1AL� 1'lL' LL LVAUl1Vl> �V1V11VLAt(Y_ t'VtClvl' Attach this form to the corresY .ding Field Loading Summary Form tr submitted in Annual Report Facility Name: Permit #: Operator: Acres -Used: Town of Mars Hill Total Dry Tons Applied (Annual): 0 WQ0004298 Cation Exchange Capacity (non 503 only): . 7.9 Robert M. Sams Owner: Larry Cody 0 Acres Permitted: 4.8 Site #: 1 Field #: 2 1 1r%-- !7T I%Ar—t. lv ..., 4 rrn+ol Phnenhnrnc ncp mulku- % Solids use Raw Percent #): AL Total Phos- / • Annual Heavy Metal Field Loa(IlMgs <<:aicuiateu in iusiata V). 2 3 4 5 6 7 8 9 10 11 12 CD d y o- ; 0 0 0 0 0 0 0 0 0 0 0 0 Arsenic 0 0 0 0 0 0 0 0 0 0 0 0 0 Cadmium 0 Ch-romiurr, 0 0 0 0 0 0 0 0 0 0 0 0 0 Copper 0 0 0 0 0 0 0 0 0 0 0 0 0 Lead 0 0 0 0 0 0 0 0 0 0 0 0 0 Mercury 0 0 0 0 0 0 0 0. 0 0 0 0 0 Molyb- 0 0 0 0 0 0 0 0 0 0 0 0 0 denum 0 0 0 0 0 0 0 0 0 0 0 Nickel 0 0 Selenium 0 0 0 0 0 0 0 0 0 0 0 0 0 ,. 0 0 0 0 0 0 0 0 0 0 0 Zinc 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 0 Phos- 0 horus .,__� 1L7 .1 ..._. ...,,.,� � .,..onarafl 11ndi-r my direction or supervision in "I certity, under penaity ui iaw, MaL .,,.D .............. .... i,... ---- -- --- --I - 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, includ' g the possibility of fin and imprisonment for knowing violations" �42a 4-vr-, 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) 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. Facility Name: Town of Mars Hill . Permit #: WQ0004298 Annual Dry Tons Applied: #VALUE! )wner: Larry Cody Operator: Robert M. Sams Cation Exchange Capacity (non 503): 7.9 ite #: 01 Field #: 02 Acres Utilized: na Acres Permitted: 4.8 bite - Inches Appli- Vola- Miner- Ammo Ni- Must Select :::I S eci o Y Gal.. Totals % Dr Tons Per y Residual Cond. preci p cation tili- ali- TKN nia- trate PAN 1 PAN 2 Crop I or Crop 2 0 Report Per Solid Acre Sources Dry, past 24 Meth- zation zation Ni- and a :;: :. Totals Acre s (Summarize) Wet, Hrs. od* Rate** Rate trogen Nitrite Crop 1 Crop 2 in Gal. Moist L ####### ####### ###### #VALUE! ####### ####### 2 ###### #VALUE! ####### ####### 3 ###### #VALUE! ####### ####### 4 ###### #VALUE! ####### ####### 5 ###### #VALUE! ####### ####### 6 ###### #VALUE! ####### ####### 7 ###### #VALUE! ####### ####### 8 ###### #VALUE! ####### ####### 9 ###### #VALUE! ####### ####### 10 ###### #VALUE! ####### ####### 11 ###### #VALUE! ####### ####### 12 ###### #VALUE! Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied TOTALS: ##### ::::::::: As 0 0 . 0 0 0 0 0 0-- 0 Date Ibs/ac Annual Ibs/acre 0 0 0 0 0.2795 0.9902 25.582 3.024 0.0725 1.5085 1.1565 0.6469 15.722 :: 10/6/O5 5000 i X. �urrent Cumulative lbs/ac 0.222 Prior Years Cumulative lbs/ac. 0.222 0.2795 1 0.9902 25.582 3.024 1 0.0725 1.5085 1.1565 0.6469 15.722 Permitted C. P. L. R.*** 36 34 NA 1338 267 15 NA 374 89 2498 ...................... Permit PAN Limit 1 s t/2n dC ro P ' "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 in submitted. I am aware that there are signific t p ]ties for submittin Ise information, including the possibility of fines and imprisonment for knowing violations." a' Q *Application Method: S - Surface, IN -- Injection, INC - Incorporation Date **Volatilization Rate: Surface - 0.5, In i ection/Incorno ration - 1.0 Signature of Land App ier ***C.P.L.R.: Cumulative Pollutant Loadine 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 # *** 1. is on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column the same numbered column on the MFLSF as entered nFNR FORM FSF (5/2003) ANNUAL PATS-""LXN AND VECTOR ATTRACTION- Klau(:'1'jON ruK1Vl Facility Name: Towil �"Mars Hill Land Application ermit Number: WQ0004298 WWTP Name: Town of Mars Hill WWTP NPDES Number: NCO057151 Monitoring Period: From January 12005 To December 312005 Pathozen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed: Class A: Alternative 1 ❑ Alternative 2 ❑ Alternative 3 ❑ Alternative 40 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 IS Alternative 2 ❑ Alternative 3 ❑ ::;:::! If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": s Lime Stabilization ❑ Air Drying ❑ Composting ❑ lAerobic Digestion 0 f gestion[] D ❑ Anaerobic An Dig If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density Number ot Excee- dences Frequency of Analysis Sample Type Analytical' Tech-nique. inimu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power MPN per gram of total solids or 2 x 10 to the 6th power CFU . pergram of 421,000 6177000 803,000 lonies/gr, 0 1/year Grab 9222 d - i 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 2 ❑ Option 3 ❑ Option 4 0 Option 5 ❑ Option 6 ❑ Option 7 ❑ Option 8 ❑ Option 9 0 Option 10 ❑ ::: No vector attraction reduction options were pe rformed rme d 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." Robert M.Sams 7Preaparme and Title (type r print) lye Signature .of Preparer Date Robert M. Sams Land Applier Name and Title (if applicable)(type or print) Signature of Land Applier (if applicable) Date DENR FORM RF (5/2003) 1-eb. U't Ub Ue:blp Ear! -,-"Environmental Svcs 1-82P-A37-9543 EAWM ENVTRONMENTAL'SERVICES 75 Bison Line Murphy, NC 28906 Residence- (828) 837-9543 Robbincville Lab - (828) 479-6428 Marshall Lab - (828) 649-9250 Shelby Lab - (704) 482-5227' E-Mai) _ cstttltcnvscr�f��!«_cbworkr..can�1 February 6.2006 NC 1*474. #352 Mr. Roberl Sams Town ofMars.Nill P.O. Box 368 Mars. Hill. NC 28754 Dcat-Mr. Sams: Folldwing is a report of laboratory analyses for digester sludge samples received 9114105. N Sum le Date Coliforynl)enn$ies eaian n 1 9n705 '�Total9olids t.o ml COLOR CO,In1 t m1 o.pt 803,000 Colonies/Gmm 1.3296 TNTC TNTC 10E 2 9/8105 712,000 ColonieslGram 1.32% TNTC TNTC 94 3 9/9105 695,000 ColonledGram 1.31% TNTC TNTC 91 4 9/10105 59ii,00D CdorneslGram 1.32% TNTC' TNTC 79 5 9/12/05 752,000 Cdonlos/Gram 1.33% TNTC TNTC 100 5 9/13/05 452,000 CdonieslGram 1.35% TNTC TNTC 61 0 9/14lOS 421,000 CdonieslGram 1.33% TNTC TNTC' 56 Geometric mean for all seven samples: 6.17,000 colonies/gram. Thank you for your business. If you bave any question or need additional sample analyses performed, call. please Respectfully submitted, Michael J. Ladd Laboratory Director Feb-•,13 Ub U31 J'bP Eartn Environmental bvcs 1-aCa=ae r-tib-to P. 1 Time (minutes) 0 1 2 3 4 5 6 7 S 9 10 11 12 13 14 15 Facility Nam Biosolids Permit Number. Date:l Digester Temperature: Sampling Date/Time: Sampled By: Analysis Datefrime: Analyzed By: Sample Volume: Total Solids: Beginning Temperature: End Temperature: Dissolved Oxygen Level E2.216 2.1 Specific Oxygen Uptake Rate SOUR elmars Hill 14.1 2/27/05-1:10PM arth Environmental ?/27/05-1:10-1:25PM ichael Ladd 1000 milliliters 1.44 % Dry Solids 14.1 degrees Celsius 13.7 degrees Celsius Slope: 0.1 Intercept: 3.1 Correlation Coefficient: 1.0 Oxygen Uptake Rate: 4.46 mg Oxygen/hr Ambient Specific Oxygen Uptake Rate: 0.31 mg Oxygen/g/hr Average Temperature: 14 degrees Celsius Temperature Correction Factor: 1.500730352 Temperature Corrected Specific Oxygen Uptake Rate:;; 0.47mg Oxygen/g/hr Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute -automatically. m State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at: http://h2o.enr.state.nc.us/lau/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. ""CEIV NR f DWQ TFCTION SECTIO MAY 0 3 2006 The undersigned landowner or his,representative hereby permits: AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES Applicant's name: Town of Mars Hill Complete mailing address of applicant: Post Office Box 368 City: Mars Hill State: NC Zip: 28754 Telephone number: (_828_) 689-2301 Facsimile number: (_828_) 689-3333 E-mail address: darhylb@madison.main.ne.us hereinafter referred to as the Permittee, to land apply residuals from the following residuals source - generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or' Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities 1-1 Fescue Hay Mars Hill WWTP 1-2 Fescue Hay Mars Hill WWTP The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 11105 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 7. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his, representative will furnish the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 14. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 17. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 11105 Page 2 of 3 Attachment Order 3-c II. RESTRICTIONS: Landowner's Certification: ❑ I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: L od Signature:9-0 Date: NORTH CAROLKA, MADISON C9UNTY I, the undersigned Notary Public do hereby certify`that personally appeared before me this day and acknowledged /the ' due execution of the forgoing instrument. WITNESS my hand and official seal this the day of Signature and My commissi, Lessee's/Operator's Certification: 20. e Ll ❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/opei Signature: Permittee's Certification: ❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing of Signature: FORM: LOAA 11105 / Red�v-( Date: y t y'd � *** END OF FORM LOAA 11/05 *** Page 3 of 3 Attachment Order 3-c A LAN[ 'PLICATION ATTACHMENT 3-E- MAP 1 TOWN OF MARS HILL rA °rg sa MADISON COUNTY( NORTH CAROLINA APM S.RI d,tk I t7F h k� " a �z T y y e:'s x r E �I �"n s�� '� :1. � .; 'N� ,� - ,� 'r r✓�� yvTr ' � 'V'. - :' .�,..."' "� PERIMETER OF 5 5 df r ry 400 BUFFER COMPLIANCE -r�L �� . �� ) � '' S z-..+~� +�{S`� a �, �,�•�` r y5 f{a' �, ,� wl v . � � ��� .. , � t r'`r ,�rQ hf � `�a �x'� t,� `'�• i,,,a *ss `�� � k � a ' I« � � - � r3k % I a 1 IELD M1� ,,3 �;'1���'r •as!?2 a�,�;�Y u F s` 1.5 ACRES ' `•t 1Y,, � r �Ut� n �. .I r ' �9:' t .a a ? ,_,Ui r v ,ra "t C zr ,�,I� {' ,.✓ � t 'k y.,t r � +frj .F{ v. fftr�s�dt� ' f tfr 7 }y .." b�. � M J�, CXC q'�� �X,i� ��. '1 f A'_ i'Y x•�i �� '+y�t�`�� - ' 4WR❑PERTY LIN -'� a is <fY .r 3 t t "� o.• !_.� i :. Y u4r�- ,y, h �'r'i � r tla aS''" 'aah°. E "S- r r•;. rr f(y ta.",�} FIELD #2 e. I 3.8 ACRES i�4. ,, �� h 1 was �•�� � 7 � .. 6 .:� � '; .' _:. lief.. 4 Z2 .� k RR' f "� ... x ( �+ nor f = r ,'}'°`' { Yp`' •�^ its a �, s a} u ,.i _rr. `� � � 6 �,-. a rw ,� feo-,�t� Y� � cx�, rx �r�•.� p�f� _ '+ � �.�,,�t� �� f.4 y�O ! r r; b .�ev v. M'p�..oE �1 S.R. 15 i y O SCALE V= 300 - N ky j'( McG ASS O C I AT Sa�� ENGINEERING -PLANNING -FIN ANCE 55 BROAD STREET ASHEVILLE, NC PH. (828) 252-0575 ¢ -P"� v�• C ' �ti ill q. i+ }� 74lrLT'Al ®E FIELD #1 14.5 ACRES� FIELD #2 - 3,8 ACRES LANL...'PLICATION ATTACHMENT 3-E- MAP 2 ................... TOWN OF MARS HILL MADISON COUNTY, NORTH CAROLINA PERIMETER COMPLIANCE / If C.1001 BUFFER R. P. -"Pon koki SCALE: 1 00. g' LANNING F INANCE'': 2k-0 575 mm jw