WQ0031725_Application_20101118

s Southern
s Soil
$ Builders, Inc.
Wednesday, March 02, 2011
Alice M. Wessner
Aquifer Protection
2728 Capital Boulevard
Raleigh, NC 2760.4
Subject: Additional Information Request
Permit No. WQ0031725
Baxter Healthcare Corporation
Dear Ms. Wessner
958 Hoots Road Roaring River, NC 28669
[phone] 9 Fax [phone]
RECEIVED / DENR / DWQ
Aquifer Protection Section
MAR 0 4 2011
Asheville Regional Office
In a letter dated January 28, 2011, the Aquifer Protection Section requested additional
information for the permit application of Baxter Healthcare. This letter had three iteams that
needed to be addressed.
The first item was that the Asheville Regional Office requested topographical maps for all the
fields in the permit application; enclosed you will find three copies of topographical maps for
each field.
The second issue was that the form LASCA had 7.95 acres listed for field DP1-D and the map
listed 5.51 acres for field DPI-D. The acreage on the map for field DPI-D was listed incorrectly.
This map has been corrected to show the correct acreage of 7.95 and three copies of it has
been included with this letter.

The third issue was that fields DP4, DP5, DP6, and DP7 needed to have some buffers clarified. The
maps have been updated to show the buffers that were requested to be added to each field
and have also been included in triplicate with this letter.
If you have any questions or concerns, please contact me at [e-mail] or
at [phone].
Sincerely,
Zach Key
Southern Soil Builders, Inc.
RECEIVED / DENR / DWQ,
Aquifer Protection Section
AAR 0 4 2011

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MAR 0 4 2011
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41 W
- _ Y UIFER PROTECTION SECT.. N
r7
APPLICATION REVIEW REQUEST FORM '.
Date: November 18, 2010
To: ® Landon Davidson, ARO-APS
❑ Art Barnhardt, FRO-APS
❑ Andrew Pitner, MRO-APS
❑ Jay Zimmerman, RRO-APS
From: Alice M. Wessner ®LAU
E-Mail: [e-mail]
t�
❑ David May, WaRO-APS
❑ Charlie Stehman, WiRO-AP,S,
❑ Sherri Knight, WSRO-APS
4
Telephone: [phone] Fax:[phone]
A. Permit Number: WQ0031725 B. Owner: Baxter Healthcare Corporation
C. Facility/Operation: Baxter Healthcare Corporation
❑ Proposed ® Existing ❑ Facility ❑ Operation
D. Application:
1. Permit Type: . ❑ Animal ❑ Surface Irrigation ❑ Reclaimed ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
❑ UIC - (5A7) open loop geothermal ❑ Single Family Residence
® Residuals
2. Project Type: ❑ New ®Major Mod. ❑ Minor Mod. ❑ Renewal . ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
® Return a Completed APSARR Form.
❑ BIMS indicates monitoring wells locations are not complete. Please update monitoring well
locations not currently in BIMS.
❑ BIMS indicates ongoing ❑ NDMR ❑NDAR ❑ GW monitoring violations. Please investigate
reoccurring compliance issues and summarize results in staff report.
❑ Attach Well Construction Data Sheet.
❑ Process Attachment B for Certification by the Land Application Unit (LAP.
❑ Issue an Attachment B Certification from the RO.*
*coordinating site visits and reviews, as 'well as additional information requests with other RO-APS
representatives in order to prepare a complete Attachment B for certification. -Refer to the RPP SOP for
additional detail.
Please indicate the name and date assigned in the spaces below, make a copy of this sheet, and return it to
the appropriate Central Office -Aquifer Protection Section contact person listed above..
RO-APS Reviewer: rr �i�� Date: �l0
FORM: APSARR 03/10 Page 1 of 1

�F WATF
0 Q State of North Carolina
Department of Environment and Natural Resources
COr Division of Water Quality
Aquifer Protection Section
Regional Staff Report
To: Aquifer Protection Section Central Office
Attn: Alice Wessner
From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
a. Date of site visit: 12/8/2010
Application No.: W00031725
Regional Login No.:
b. Site visit conducted by: Bev Price, Brett Laverty (ARO AP) Patrick Mitchell (WS APS) Zack Key (SSB)
c. Inspection report attached? ® Yes or ❑ No
d. Person contacted: Zack Key, SSB and their contact information: (336) 957 - 8909 ext.
e. Driving directions: From Statesville: I-77 north to Hwy. 421 (toward Boone). Exit 272 off 421 to Cling an
Rd. Left at 4-wav stop, still on Clinaman, ao aimrox 3 mi. to Hwv. 268 turn left, 0.2 mi. to Hoots Rd. on rt.
Fields approx. 1 mi. on rt.
H. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
1. Facility Classification: Already Classified — Land Application (Please attach completed rating sheet to be
attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system? Z Yes or ❑ No
If no, explain:
3. Are site conditions (soils, depth to water table, etc) consistent with the submitted reports? ® Yes ❑ No ❑ N/A
If no, please explain:
4. Do the plans and site map represent the actual site (property lines, wells, etc.)? ® Yes ❑ No ❑ N/A
If no, please explain:
5. Is the proposed residuals management plan adequate? ® Yes ❑ No ❑ N/A
If no, please explain:
6. Are the proposed application rates (e.g., hydraulic, nutrient) acceptable? ® Yes ❑ No ❑ N/A
If no, please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? ® Yes or ❑ No
If yes, attach a map showing conflict areas. See lattached and comments
8. Is the proposed or existing groundwater monitoring program adequate? ❑ Yes ❑ No ® N/A
If no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals, will seasonal or other restrictions be required? ❑ Yes ® No ❑ N/A
If yes, attach list of sites with restrictions (Certification B)
FORM: APSRSR 04-10 Pagel of 3

M. EXISTING FACILITIES FOR . , _ D11FICATION AND RENEWAL APPI MONS
1. Are there appropriately certified Operators in. Charge-(ORCs) for the facility? ❑ Yes ❑ No ❑ N/A
ORC: Certificate # Backup ORC: Certificate #
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ❑ Yes or ❑ No
If no, please explain,:
3. 1 Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ❑ Yes or ❑ No
If no, please explain:
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ❑ No
If yes, please explain:
5. Is the residuals management plan adequate? ❑ Yes or ❑ No
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ❑ Yes or ❑ No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑ No ❑ N/A.
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ❑ No
If yes, attaches a map showing conflict areas. see map
9. Is the description of the facilities as written in the existing permit correct? ❑ Yes or ❑ No
If no, please explain:
10. Were monitoring wells properly constructed and located? ❑ Yes ❑ No ❑ N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑ No ❑ N/A
If no, please complete the following (expand table if necessary):
Monitoring Well
Latitude
Longitude
0 , 11
O
0 , „
0
o
o �,
0
O
12. Has a review of all self -monitoring data been conducted (e.g., NDMR, NDAR, GW)? ❑ Yes or ❑ No
Please summarize any findings resulting from this review:
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ❑ No
If yes, please explain:
14. Check all that apply:
❑ No compliance issues ❑ Current enforcement action(s) . - ❑ Currently under JOC '
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? ❑ Yes ❑ No ❑ N/A
If no, please explain:
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ❑ No ❑ N/A
If yes, please explain:
FORM: APSRSR 04-10 Page 2 of 3

IV. REGIONAL OFFICE RECOI ENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
If yes, please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item
Reason
Topographical map of
fields
It was not included in the original packet submitted to the regional office.
application
Buffer on Field DP-7
The field is terraced nicely but the lowest terrace is just above a head cut
and should be buffered out. See ma
Buffer on Field DP-5
The map does not show a buffer at the lower end of the field adjacent to
streams (intermittent &perennial). See ma
Buffer on Field DP-4
The ditch should be buffered. See maps (your copy is a little clearer)
Field DP-6
Should probably be removed all together. It could be buffered but might
not be worth the effort once buffers are in place.
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition
Reason
Re -seed feeding area
located on ridge at Field
This area is completely denuded while cattle are feeding, so no
DPI -A prior to applying
vegetation/crop for nutrient uptake. Crop should be established before applying
sludge.
residuals.
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
❑ Hold, -pending review of draft permit by regional office
® Issue upon receipt of needed additional information'
❑ Issue
❑ Deny (Please state reaso )
i 1' ,jJ f`
6. Signature of report preparer: i"1�-UL
Signature of APS regional supervisor:
Date: 1 2-,
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: APSRSR 04-10 Page 3 of 3

APPLICATION AREA 14A.P
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W YC f l ^yam Total Acres _ _ _ _ _ _ PRIVATE ROAD
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FORESTED AREA
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SURFACE HATER
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FENCE SUITABLE FOR
OSTORAGE AREA O SOIL DESCRIPTION INCORPORATION,
S B•l:% SLOPE
PROPERTY LINE
vim. d„L

�OF W ATF9Q State of North Carolina
�O G Department of Environment and Natural Resources
Division of Water Quality
P 'S
Aquifer Protection Section
Re ional Staff Re ort
y
To: Aquifer Protection Section Central Office rL Application No.: WQ0031725
Attn: Alice Wessner Regional Login No.:
From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
5q V
a. Date of site visit: 12/8/2010
b. Site visit conducted by: Bev Price Brett Lavegy (ARO AP) Patrick Mitchell (WS APS) Zack Kgy (SSB)
c. Inspection report attached? ® Yes or ❑ No
d. Person contacted: Zack Key, SSB and their contac in ormation: (336) 957 - 8909 ext.
e. Driving directions: CJ ��. /L�Z �( cv �t L �� o -q- G 1-,'73 -� . 4 3 mf1oj 6
II. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS �" �"`^
1. Facility Classification: Already Classified -Land Application (Please attach completed rating s eet to be
attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system? ❑ Yes or ❑ No
If no, explain:
3. Are site conditions (soils, depth to water table, etc) consistent with the submitted reports? 0 Yes ❑ No ❑ N/A
If no, please explain:
4. Do the plans and site map represent the actual site (property lines, wells, etc.)? t Yes ❑ No ❑ N/A
If no, please explain:
5. Is the proposed residuals management plan adequate? 9/ Yes ❑ No ❑ N/A
If no, please explain:
6. Are the proposed application rates (e.g., hydraulic, nutrient) acceptable? � Yes ❑ No ❑ N/A
If no, please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? 10 Yes or ❑ No
If yes, attach a map showing conflict areas. Se e. 6z10 -
8. Is the proposed or existing groundwater monitoring program adequate? ❑ Yes ❑ No N/A
If no, explain and recommend any changes to the groundwater monitoring program: f
9. For residuals, will seasonal or other restrictions be required? ❑ Yes No ❑ N/A r,��'� S(���vtl
If yes, attach list of sites with restrictions (Certification B)
14
W *- D 1- `J s 41 bw 134f CA LO
J D Ck lk 6c),:fe-
FORM: APSRSR 04-10 �� sfe�`M d l dI © Page 1

III. EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLILUATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ® Yes ❑ No ❑ N/A
ORC: Dennis Key Certificate #:15704 Backup ORC: Zack Key Certificate #:27660
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ❑ Yes or ❑ No
If no, please explain:
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ❑ Yes or ❑ No
If no, please explain:
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ❑ No
If yes, please explain:
5. Is the residuals management plan adequate? ❑ Yes or ❑ No
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ❑ Yes or ❑ No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑ No ❑ N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ❑ No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ❑ Yes or ❑ No
If no, please explain:
10. Were monitoring wells properly constructed and located? ❑ Yes ❑ No ❑ N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑ No ❑ N/A
If no, please complete the following (expand table if necessary):
Monitoring Well
Latitude
Longitude
0 , it
0 , „
0 , It
0 , it
0
0 ,
0 , „
0 ,
0 , „
0 ,
12. Has a review of all self -monitoring data been conducted (e.g., NDMR, NDAR, GW)? ❑ Yes or ❑ No
Please summarize any findings resulting from this review:
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ❑ No
If yes, please explain:
14. Check all that apply:
® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? ❑ Yes ❑ No ® N/A
If no, please explain:
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ® No ❑ N/A
If yes, please explain:
FORM: APSRSR 04-10 Page 2 of 3

IV. REGIONAL OFFICE RECO1%4-- —dDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ❑ No
If yes, please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
❑ Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑ Issue
❑ Deny (Please state reasons: )
6. Signature of report preparer:
Signature of APS regional supervisor:
Date:
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: APSRSR 04-10 Page 3 of 3

AQUIFER PROTECTION SECTIONCn
APPLICATION REVIEW REQUEST FORM �.
Date: November 18, 2010
To: Z
Landon Davidson, ARO-APS
❑
Art Barnhardt, FRO-APS
❑
Andrew Pitner, MRO-APS
❑
Jay Zimmerman, RRO-APS
From: Alice M. Wessner ®LAU
E-Mail: [e-mail]
�U
(�
❑ David May, WaRO-APS (D �
❑ Charlie Stehman, WiRO
❑ Sherri Knight, WSRO-APS On Q
CD
Telephone: [phone] Fax:[phone]
A. Permit Number: [WQU031_7. 5- B. Owner: fflaxter-ffd-althcare Corporation
C. Facility/Operation: Baxter_Healthcar_e_C_orporahon
❑ Proposed �__ZDExisting ❑ Facility ❑ Operation
D. Application:
1. Permit Type: ❑ Animal ❑ Surface Irrigation ❑ Reclaimed ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
❑ UIC - (5A7) open loop geothermal ❑ Single Family Residence
Residual0
2. Project Type: ❑ Newer®_Major-ModD ❑ Minor Mod. El Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
4C
d\^
i'D
C=
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
® Return a Completed APSARR Form.
❑ BIMS indicates monitoring wells locations are not complete. Please update monitoring well
locations not currently in BIMS.
❑ BIMS indicates ongoing ❑. NDMR ❑NDAR ❑ GW monitoring violations. Please investigate
reoccurring compliance issues and summarize results in staff report.
❑ Attach Well Construction Data Sheet.
❑ Process Attachment B for Certification by the Land Application Unit (LAU).
❑ Issue an Attachment B Certification from the RO.*
*coordinating site visits and reviews, as well as additional information requests with other RO-APS
representatives in order to prepare a complete Attachment B for certification. Refer to the RPP SOP for
additional detail.
Please indicate the name and date assigned in the spaces below, make a copy of this sheet, and return it to
the appropriate Central Office -Aquifer Pr t cation Section contact person listed above.
RO-APS Reviewer: Date: H zz O
FORM: APSARR 03/10 Page 1 of 1

G E C E 9 YE0
A �ffls
North Carolina Department of Environment and Natural
Division of Water Quality
Beverly Eaves Perdue Coieen H. Sullins
Governor Director
November 17, 2010
Stephen Taylor
Baxter Healthcare Corporation
PO Box 1390
Marion, NC 28752
Subject: Acknowledgement of Application No. WQ0031725
Baxter Healthcare Corporation
Land Application of Residual Solids (503)
McDowell
Dear Mr. Taylor:
MV 2? 2610
Asheville Regional Office
3oUroesifer Protection
Dee Freeman
Secretary
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on November 4, 2010. This application package has been assigned the number listed above and will be reviewed
by Alice Wessner. .
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.
If you have any questions, please contact Alice Wessner at 919-715-5208, or via e-mail at [e-mail]. If the reviewer
is unavailable, you may leave a message, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
ou�
for Jon Risgaard
LAU Supervisor
cc:
s ev4'le Regional Offtce, Aquifer Protection Secti_gl
Southern Soil Builders, Inc. (Zach Key) 958 Hoots Road, Roaring River, NC 28669
Permit Application File WQ0031725
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet: www.ncwatergualhi.org
One
No tiir'aroiina
An Equal Opportunity 1 Affirmative Action Employe.

S Southern
S Soil
$ Builders, Inc.
Wednesday, October.27, 2010
958 Hoots Road Roaring River, NC 28669
[phone] 9 Fax [phone]
OV 22 2610
At:,hm,,iille Regional Office
North Carolina Department of Environmental and Natural Resources
—
' ter,
Division of Water Quality��,,'
Aquifer Protection Section''
Land Application Unit
v'
2728 Capital Boulevard
;ice
Raleigh, NC 27604
ry
Reference: Modification of Permit WQ0031725
Cn
Baxter Healthcare Corporation
Southern Soil Builders, Inc. is under contract with Baxter Healthcare to provide
assistance in the preparation of a permit modification for Permit WQ0031725.
This modification package is for addition of 59.82 acres to the permit and to raise the
allowed dry tons per year from 184 to 200 dry tons.
Your attention in the review of this permit application will be greatly appreciated. Please
contact me with any questions or concerns at [e-mail] or at
[phone].
Sincerely,
Zach Key
Southern Soil Builders, Inc.

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
NON -DEDICATED RESIDUALS LAND APPLICATION PROD AML-4-
(FORM: NDRLAP 070807)
The Division of Water Quality will not accept this application unless all the instructions are follawed. raifare to
submit all of the required items will lead to additional processing and review time `-- i�
For more information, visit our web site at. htW://h2o.enr.state.nc.us/lau/main.html
N) ,3
rn—
A. Application Form: (All Application Packages):
✓ Submit one original and two copies of the completed application package. Any changes made to this form will result in the
application being returned. The Division of Water Quality will only accept application packages that have been fully
completed and all applicable items are addressed.
✓ Non -dedicated residuals land application programs are ones in which all land application sites do not meet the criteria in 15A
NCAC 2T .1102(12). 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 agronomic rates.
♦ Any land application site certified for the residuals land application program that is used primarily for residuals
disposal, and agricultural crop production is of secondary importance.
♦ Any land application site certified for the residuals land application program that receives residuals through fixed
irrigation facilities or irrigation facilities fed through a fixed supply system.
✓ The signing official must meet the criteria stipulated in 15A NCAC 2T .0106(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.
✓ If this project involves a modification of an existing permit, submit one copy of the existing permit.
✓ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
D. Application Fee (New and Major Modification Application Packages):
✓ For new permits submit a check in the amount of $1,310 if over or equal to 300 acres of land are being permitted for
application (Major Permit), or $810 if less than 300 acres of land are being permitted for application (Minor Permit), made
payable to: North Carolina Department of Environment and Natural Resources (NCDENR). Major modification fee are $395
and $245, respectively.
C. Cover Letter (All Application Packages)
✓ Submit a cover letter, which lists all items and attachments included in the application package as well as a brief project
description.
✓ If necessary for clarity, include attachments to the application form. Such attachments will be considered part of the
application package and should be numbered to correspond to the section to which they refer.
D. Environmental Assessments (Maybe Required— See 15A NCAC 1 C .0300):
✓ Submit one copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
E. Submission of Application Packages:
✓ 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,
placed in 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.
FORM: NDRLAP 070807 Page 1 of 6 Attachment Order 1

L
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS
(FORM: NDRLAP 070807)
(THIS FORM AMYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: (to be completed by DYYQ)I.
to m..
OWNERSHIP INFORMATION: =a ,
o :0 Fo
4--
�f ��
1. Specify whether the process facility is owned by:
❑ County; ❑ Federal; ❑ Municipal; ❑ State; ® Non -Government. -
2. Owner's name (please specify the name of the municipality, corporation, individual, etc.) [`?'
N cr .
Baxter Healthcare Corporation"
Mailing address: _
City: Marion
PO Box 1390
State: NC Zip: 28752
Physical address: 65 Pitts Station Road
City: Marion State: NC Zip: 28752
Telephone number: [phone] Facsimile number: ( 828) 7564821
E-mail address:
[e-mail]
3. Signing official's name and title: (See Instruction A)
Stephen Taylor Waste Water Supervisor
Mailing address: PO Box 1390
City:
Marion
State: NC Zip: 28752
Physical address: 65 Pitts Station
City: Marion State: NC Zip: 28752
Telephone number: (828) _756 6618 Facsimile number: 828 7564821
E-mail address:
stepheri,[e-mail]
U. PERMIT INFORMATION:
1. Application is for: ❑ new, ® modified, ❑ renewed permit (check all that apply).
2. Fee Submitted: $ 245.00 (See Instruction B)
3. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number W00031725
Most recent issuance date 9-18-2007 , and the expiration date 8-31-2012
Date of most -recently certified Attachment A: 9-18-2007
FORM: NDRLAP 070807 Page 2 of 6 Attachment Order 1

Date of most -recently certified Attachment B: 9-18-2007
4. 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.
❑
ADD
❑
DELETE
residuals source -generating facility(ies) to/from those certified.
®
INCREASE
❑
DECREASE
the acreage associated with land applications site(s).
❑
ADD
❑
DELETE
land application site(s) to/from those certified.
❑ OTHER Explain:
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. County where residuals land application program is headquartered: McDowell
2. County(ies) where residuals source -generating facilities are located:
McDowell
3. County(ies) where land application sites are located: Catawba
4. Program contact person and/or consulting firm who prepared application:
Zach Key Southern Soil Builders, Inc.
Mailing address: 958 Hoots Road
City: Roaring River
State: NC
Zip: 28669.
Physical address: 958 Hoots Road
City: Roaring River State: NC Zip: 28669
Telephone number: [phone] Facsimile number: 336) 957-8940
E-mail address:
[e-mail]
5. 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: Dennis Key -President
Firm name: Southern Soil Builders. Inc.
Mailing address: 958 Hoots Road
City: Roaring River State: NC Zip: 28669
Telephone number: [phone] Facsimile number: [phone]
E-mail address: [e-mail]
FORM: NDRLAP 070807 Page 3 of 6 Attachment Order 1

6. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application
program, their certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification
Number
ORC
Dennis Key
Southern Soil Builders, Inc.
15704
Back -Up ORC
Zach Key
Southern Soil Builders, Inc.
27660
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:
7. 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: 200 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
48.726
52.36
9745.2
10473.2
Five -Year Maximum Adjusted
51.64
55.5
10329.9
11101.59
b. Land Annlicadon Site Use Summary: Summarize information regarding the land application sites as
currently certified and proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
0
Hay
0
Pasture
140.62
Total:
140.62
Methods
Surface
140.62
Incorporation or Injection
0
Total:
140.02
Restrictions
Year -Round
140.62
Seasonal
0
Total:
140.62
FORM: NDRLAP 070807 Page 4 of 6 Attachment Order 1

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
Application Rate
abs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
195.04
209.44
206.56
222
100
97.452
104.72
103.28
111
150
64.968
69.81
68.85
74
200
48.726
52.36
51.64
55.5
8. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application
of the proposed residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage,
not enough land, vector reduction practices not in place, etc.)
***FORM: NDRLAP CONTINUES ON NEXT PAGE***
FORM: NDRLAP 070807 Page 5 of 6 Attachment Order 1

Applicant's Certification:
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or
abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees under Rule
2T .0105.
® Yes ❑ No, Explain;
I, J, { n p i d r . attest that this application for
1 9-)r- c r• N e 4 Ake ar e- 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: /0 /X? //'()
'r,-
•ems 6 f 1 S
Tr-
THE
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: [phone]
FORM: NDRLAP 070807 Page 6 of 6 Attachment Order 1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
RESIDUALS SOURCE CERTIFICATION ATTACHMENT
(FORM: RSCA 070807)
(THIS FORM AMYBE PHOTOCOPIED FOR USEASAN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are
followed. Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at: http://portal.ncdenr.org/web/w la sp /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, FORM: DRS, or FORM: SDRS).
✓ Any changes to this attachment form will result in the application package being returned.
✓ For new residuals programs or renewed residuals programs, submit a sgparate 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.
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.
✓ Item H. 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 070807 Page 1 of 8 Attachment Order 2

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
RESIDUALS SOURCE CERTIFICATION ATTACHMENT
(FORM: RSCA 070807)
(THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Applicant's name: Baxter Healthcare Corporation
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: 184 Dry Tons/yr. and proposed: 200 Dry Tons/yr.
❑ ADD ❑ DELETE this residuals source -generating facility to/from those certified for this
residuals program.
® OTHER Explain: Addition of acreage
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Name of facility: Baxter Healthcare Corporation
2. Facility permit holder: Baxter Healthcare Corporation
Facility permit holder is (check one): ❑ federal, ❑ state, ❑ local government, or ® private.
3
Facility permit number: NC0006564
Facility permit issued by (check one): ® Div. of Water Quality, ❑ Div. of Environmental Health, or
❑ other (explain: I
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:
Telephone number:
E-mail address:
b. Facility complete location address:
City:
Latitude:
4. County where facility is located: McDowell
State:
Zip:
Facsimile number: ( )
State:
and longitude:
Zip:
5. 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: _81 % industrial and 19 % domestic)
❑ other (explain:
FORM: RSCA 070807 Page 2 of 8 Attachment Order 2

6. Does the facility have an approved pretreatment program: ® yes ❑ no
7. Facility permitted/design flow: _1.2 MGD and facility average daily flow: _0.8 MGD.
8. Average amount of residuals being generated at this facility 70 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 149,000 gallons per day of domestic, 651,000 gallons ep r day
of industrial through aerobic digesters
Type and volume of residuals storage (i.e., outside of residuals treatment units):
2 digesters-307.000 gallons
H. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under (check one): ® 40 CFR Part503 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., 7b., and 7c.
® Land Application (Class B or Equivalent).
Complete all items EXCEPT Items II.4b., 7a., and 7c.
❑ Surface Disposal.
Complete all items EXCEPT Items II.4a., 5., 7a., 7b., and 8..
***FORM: RSCA CONTINUES ON NEXT PAGE***
FORM: RSCA 070807 Page 3 of 8 Attachment Order 2

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: Pace and date of analysis: May 19, 2010
Passed corrosivity test: ® yes ❑ no. pH: -
int: _180 T (> 140-F).
Passed reactivity test: ® yes ❑ no. HCN: ND_ mg/kg (<250) & 112S: ND_ mg/kg (<500).
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
TCLP Parameter
Limit
(mg/L)
Result
(mg/L)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
0.86
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
0.27
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1, 1 -Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSCA 070807 Page 4 of 8 Attachment Order 2

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the
residuals do not violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Class A or Class B: 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: A&L Eastern Laboratories, Inc, and date of analysis: 4-27-2010
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(For Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
12
Cadmium
85
39
5
Copper
4,300
1,500
320
Lead
840
300
34
Mercury
57
17
0.8
Molybdenum
75
n/a
9
Nickel
420
420
52
Selenium
100
100
1
Zinc
7,500
2,800
460
b. 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:
Closest Distance
to Property Lines
(meters)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
> 0 but < 25
30
200
210
> 25 but < 50
34
220
240
> 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
> 125 but < 150
62
450
420
> 150
73
600
420
FORM: RSCA 070807 Page 5 of 8 Attachment Order 2

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 11.27 %.
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: A&L Eastern Laboratories. Inc.
and date of analysis: 4-27-2010
Parameter
Result
(mg/kg, dry weight)
Aluminum
3000
Ammonia -Nitrogen
3640
Calcium
23300
Magnesium
4250
Nitrate -Nitrite Nitrogen
115
pH (Standard Unit)
6.77
Phosphorus
16700
Potassium
3570
Sodium
3140
Total Kjeldahl Nitrogen
78400
c. Using the results listed in Item II.5b. above, calculate the sodium adsorption ration (SAR): _5.6
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: default for aerobic digestion
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
(mglkg)
(mg1kg)
Surface
24363
25824.78
Injection/Incorporation
26183
27753.98
e. Are the residuals 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 070807 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:
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 Virus/Viable Helminth Ova.
❑ Alternative 5 [40 CFR §503.32 (a)(7)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ 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:
® 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 1I.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 070807 Page 7 of 8 Attachment Order 2

8. Vector Attraction Reduction Determination: Specify which alternative(s) 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 -Biological Residuals with NO Domestic Wastewater Contribution.
FORM: RSCA 070807 Page 8 of 8 Attachment Order 2

Google Maps http://maps.google.com/maps?client--firefox a&h1=en&ie=UTF8&11=...
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Notes Baxter Healthcare oosle maps65 Pitts Station Road
Marion, NC 28752
1 of 1 10/27/2010 10:19 AM

BAXTER NORTHCOVE WASTEWATER TREATMENT PLANT PROCESS
NARRATIVE
The wastewater treatment plant was originally designed to treat a capacity of
600,000 gallons per day. In 1973, due to increased production levels, the wastewater
plants' capacity was doubled to its current 1.2 MGD capacity. Other improvements,
such as the ultraviolet disinfection system, filter press, and solution dump system,.
were made throughout the 1970's, 1980's, and 1990's.
Currently, the existing wastewater treatment plant is permitted at 1.2 MGD
capacity. Wastewater is pumped from the manufacturing plant on the east side of the
North Fork Catawba River to the wastewater plant on the west side of the river by the
influent pumping station. Preliminary physical treatment of the wastewater consists of
three static fine screens for the removal of any solid materials received at the plant,
such as pieces of plastic IV and PD solution bags, paper or plastic products, cafeteria
scraps, or other large non -degradable objects. Each screen is rated at 450 gallons per
minute capacity, for a total capacity of 1350 gallons per minute. The solid materials
are collected in a trough and removed by the operators into a dumpster for ultimate
disposal at the landfill.
The influent wastewater flows through the static screens and falls into a flow
equalization basin with a capacity of 1,324,000 gallons. At this point, a minimal
amount of air and mixing energy is added by high speed floating surface aerators to
prevent any solids from settling in the basin.
From the flow equalization basin, the influent is pumped to a flow splitter box
that divides flow between the two (2) aeration basins. The aeration basins are
equipped with eight (8) low speed fixed mechanical aerators, four (4) in each basin.
Total design retention time in the aeration basins is approximately 18 hours.
Nutrients, in the form of granular fertilizer (18-46-0), are also added at this point to
provide the necessary levels of nitrogen and potassium for proper biological activity.
Hydrated lime is also added to maintain the proper wastewater alkalinity levels, as
well as provide some carbon source for the biological process. Both of the additions
are made by hand and require monitoring by plant staff to maintain appropriate levels
for biological growth.
The aeration process is followed by clarification in four (4) center -feed, suction
header type sludge draw off secondary clarifiers. There are two (2) 32.5-foot
diameter, 8-foot side water depth units rated at 300,000 gallons each, and two (2)
42.5-foot diameter, 10-foot side water depth units rated at 600,000 gallons per day
each, for a total clarification capacity of 1.8 MGD. While modern clarification
equipment is normally designed with deeper side water depths than those found in the
existing clarifiers (normally no less than 12 feet), the existing clarifier performance
has been historically adequate.

Solids captured by the secondary clarifiers are then collected and subsequently
treated in two (2) aerobic digesters with a total volume of approximately 307,000
gallons. Class "B" biosolids are generated by the digestion process, which are then
dewatered by a 2.0 meter belt filter press and disposed of by Foothills Environmental,
Inc, in Lenoir, NC.
The Baxter Wastewater Treatment Facility is.also equipped with three (3) tertiary
upflow sand filters; each rated at 425 gpm each, as a final polishing step prior to
disinfection and discharge. Effluent from the secondary clarifiers and autoclave
cooling water excess is mixed together in a holding pond and applied to the filters, as
well as used to provide water for filter backwash operations.
Disinfection is accomplished with two (2) ultraviolet (UV) disinfection units.
These units destroy bacteria in the effluent by exposure to ultraviolet radiation instead
of oxidation by addition of free chlorine ions (chlorination). This creates a less toxic
discharge into the receiving stream and eliminates the need to monitor chlorine
residual in the effluent. Because the receiving stream is classified as designated trout
waters, the facility does have very stringent chlorine limits. A process diagram of the
wastewater treatment facility is included.

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Quantitative Justification for Residuals Production Rate
In the three years that Baxter Healthcare has had a land application program it has produced
the following dry tons of residuals: ,
2007: 0 DT
2008:151.72 DT
2009: 69.9 DT
This is a three year average of 73.87DT, or a 2 year average of 110.81 DT using years 2008 and
2009. The 200 dry tons requested in this permit modification should be more than sufficient to
handle the amount of residuals being produced by Baxter Healthcare.

SAMPLING PLAN
Prior to application, residual solids samples are collected from the sludge holding tank.
The grab samples that are taken will be composted for nutrient and metal analysis. The
composted sample is mixed to keep the solids suspended and containers filled for the
analysis. Volatile solids are collected from the sludge holding tank and the clarifier for
calculation of volatile reduction.
Annually, if a land application event occurs; a TCLP samples will be taken. This TCLP
will consist of:
Arsenic Hexachlorobenzene Barium
Hexacloro-1,3-Butadiene Benzene Hexachloroethane
Cadmium Lead Carbon Tetrachloride
Lindane
Chlorobenzene.
Methyl Ethyl Ketone
m-cresol
Pyridine
Cresol
Tetrachloroethylene
1,2-Dichloroethane
2,4, 5 -Trichlorophenol
Endrin
Heptachlor and its Hydroxide
Chlordane
Methoxychlor
Chromium
Pentachlorophenol
p-Cresol
Silver
1,4-Dichlorobenzene
Trichloroethylene
2,4-Dinitrotoluene
2,4,5-TP(Silvex)
Mercury
Cholorform
Nitrobenzene
o-cresol
Selenium
2,4-D
Toxaphene
1, 1 -Dichloroethylene
2,4,6-Trichlorophenol
Vinyl Chloride
Annually or when residuals solids are to be land applied, the residual solids will be
analyzed for: Arsenic, Cadmium, Copper, Mercury, Molybdenum, Nickel, Selenium,
Zinc, Aluminum, Ammonia -Nitrogen, Calcium, Nitrate -Nitrite Nitrogen, Magnesium, %
total solids, pH, Phosphorus, Potassium, TKN, and Sodium. From this information the
Plant Available Nitrogen (PAN) will be calculated.
Volatile solids analysis will be conducted annually, when residuals solids are land
applied. Fecal coliform samples will be collected prior to a land application event to
ensure class B compliance.

Page: 2 of 2
Report Number: 10-118-0205
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 76196
Sample Id: BAXTER
A&L Eastern► Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
www.al4abs-eastern.com
Project: BAXTER
NC CERT #257
REPORT OF ANALYSIS
Date Sampled: 4/27/2010 10:30:00
Date Received: 04/28/2010 00:00
Date Reported: 05/04/2010
Total Chromium
153
5
KM
04/29/2010 08:50
SW-6010B
Total Nickel
52
5
KM
04/29/2010 08:50
SW-6010B
Total Lead
34
5
KM
04/29/2010 08:50
SW-6010B
Total Arsenic
12.0
1.0
KM
04/29/2010 08:50
SW-6010B
Total Mercury
0.8
0.4
KM
04/29/2010 10:00
SW-7471A
Total Selenium
1.0
1.0
KM
04/29/2010 08:50
SW-6010B
pH (as received) "
6.77
0.01
JM
04/29/2010 09:50
SW-9045D
Total Molybdenum
9
5
KM
04/29/2010 08:50
SW-6010B
Comments
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. ../
Our reports and letters are for the exclusive and confidential use of our clients. and may not be reproduced in whole or part, nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Pauric McGroary

� Analytical Results
Southern Soil Builders For: Baxter
958 Hoots Road
Roaring River NC 28669
Entered 8/25/2010
Reported: 8/30/2010
Sample Remark
Sample ID
Parameter
Cust ID
Result
Units
Method
Date Analyzed
Analyst
100825-5.1
% Volatile Solids
A
0.9
%
SM2540G
8/26/10
MD
100825-5.2
% Volatile Solids
B
0.83
%
SM2540G
8/26/10
MD
100825-5.3
% Volatile Solids
C
0.31
%
SM254OG
8/26/10
MD
100825-5.4
% Volatile Solids
D
0.75
%
SM2540G
8/26/10
MD
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCOO909
P.O. Box 228 9 Statesville, North Carolina 28687 • 704/872/4697

VS in 0.9
VS out 0.31
VSFR= 0.950081

Analytical- Results
Southern Soil Builders For Baxter
958 Hoots Road
Roaring River NC 28669
Entered 5/5/2010
Reported: 6/1/2010
Sample Remark
Sample ID
Parameter
Cust ID Result Units
Method
Date Analyzed
Analyst
10055-18.1
% Solids
1 3.32
%
SM2540B .
5/6/10
MD
10055-18.1 " `Fecal
Coliform MTF
1 <60
MPN/g
SM92210E
5/6/10
MD
10055-18.1
Geometric Mean
1 166
MPN/g dry wt basis 5/7/.10
CL sy
10055-18.10
Corrosivity
TCLP See Attached
.'
SW-846 5/12/10 :''.
PACE i 't
,
10055-18.10
Ignitability
TCLP See Attached,
1010M
5/12/10
PACE
10055-18.10 -
Reactivity
TCLP. See Attached.
_ _
SW-846
5/12/10
1 f;
PACE
;.
,
10055 18.10 ;
TCLP
TCLP See Attached
'' .
13.11
5/12/10
PACE
10055.18.2
%Solids
2 2 35
%
SM25406
5/6/10
MD
.10055-18 2 `:
Fecal Coliform MTF
:2 _ 170
MPN/g
SM92210E
5/6/10
MD
10055-18 3
% Solids
; 3 310
%
SM25406
5/6/10
MD .. `
10055-18 3 ;Fecal
Coliform MTF
. 3 968:
MPN/g
SM92210E
5/6/10
MD
10055-18 4
% Solids ?
'.'4 '. 1.88,
%
SM25406
5/6/10
MD .
10055-18.4
Fecal Coliform MTF
4 <106
MPN/g
SM92210E;.
5/6/10
MD
10055-18.5
% Solids
5 3.26
%
SM2540B
5/6/10
MD
10055-18.5
Fecal Coliform MTF
5 123
MPN/g
SM92210E
5/6/10
MD
10055-18.6
% Solids
6 2.26
%
SM2540B
5/6/10
MD
10055-18.6
Fecal Coliform MTF
6 <88
MPN/g
SM92210E
5/6/10
MD
10055-18.7
% Solids
7 2.68
%
S.M2540B
5/6/10
MD
10055-18.7
Fecal Coliform MTF
7 299
MPN/g
SM9221 CE
516/10
MD
10055-18.8
Total Solids
A 18,204
mg/L
SM25406
5/7/10
MD
10055-18.8
Volatile Solids
A 11,736
mg/L
SM2540
5/8/10
MD
,.
10055-18.9
Total Solids
B 3258
mg/L
SM2540B
5/7/10
MD
10055-18.9
Volatile Solids
B 2180
mg/L
SM2540
5/8/10
MD
P.O. Box 228 9 Statesville, North Carolina 28687 9 704/872/4697

Analvtical Environmental Services, Inc
Date: 19-May-10
Client:
Pace Analytical Services, Inc.
Client Sample ID:
10055-18.10
Project:
9268941
Collection Date:
5/5/2010 12:15:00 PM
Lab ID:
1005781-003
Matrix:
Solid
Analyses
Result
Reporting
Limit Qual
Units
vnuuun
BatchlD Factor
Date Analyzed
Analyst
PESTICIDES,TCLP SW1311/8081B
(SW3510B)
Chlordane
BRL
0.0050
mg/L
129233 1
05/14/2010 12:44
KD
E:ndrin
BRL.
0.0010
mg/L
129233 1
05/141201012:44
KD
BRL
0.00050
mg/L
129233 1
05/14/2010 12:44
KD
gamma-BIiC
Heptachlor
BRL
0.00050
mg/L
129233 1
05/14/2010 12:44
KD
Heptachlor epoxide
BRL
0.00050
mg/L
129233 1
05/14/2010 12:44
KD
Methoxychlor
BRL
0.0050
mg/L
129233 1
05/14/2010 12:44
KD
Toxaphene
BRL
0.050
mg/L
129233 1
05/14/2010 12:44
KD
Surr: Decachlorobiphenyl
62.4
35.5-128
%REC
129233 1
05/14/2010 12:44
KD
Surr:'I'etrachloro-m-xylene
71.1
26.5-120
%REC
129233 1
05/14/2010 12:44
KD
Ignitability SW1010
180
0 >
T
R171711 1
05/141201011:00
AS
Ignitability
HERBICIDES,TCLP SW1311/8151A
(SW3510B)
BRL
0.20
ing/L
128920 1
05/14/201007:10
AK
2,4,5-TI) (Silvex)
BRL
0.20
mg/L
128920 1
05/14/2010 07:10
AK
2,4-D
-Surr:
110
53.1-142
%REC
128920 1
05/141201007:10
AK
DCAA
Qualirien: • Value exceeds maximum contaminant level
BRL Below reporting limit
H HrAding times for preparation or analysis exceeded
Analm not NELAC certified
B Analyte detected in the associated method blank
C,=tcr than Result value
E
Estimated (value above quandtation range)
S
Spike Recovery outside limits due to marrix
Narr
See case narrative
NC
Not confirmed
<
Less than Result value
6of11

ceAnalytical "
wvr pacelabs.cam
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 10055
Pace Project No.: 9268841
Sample: 10055-16 Lab ID: 9268841001 Collected: 05/05/10 08:30 Received: 05/06/10 12:50 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters
Results Units
Report Limit DF
Prepared
Analyzed
CAS No. Qua]
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA 3010
Leachate Method/Date: EPA 1311; 05/11/10 16:35
Arsenic
Barium
ND mg/L
0.025 1
05/12/10 12:20
05/12/10 23:02
7440-38-2
Cadmium
0.20 mg/L
0.026 1
05/12/10 12:20
05/12/10 23:02
7440-39-3
Chromium
ND mg/L
0.0050 1
05/12/10 12:20
05/12/10 23:02
7440-43-9
Lead
ND mg/L
0.025 1
05/12/10 12:20
05/12/10 23:02
7440-47-3
Selenium
ND mg/L
0.025 1
05/12/10 12:20
05/12/10 23:02
7439-92-1
Silver
ND mg/L
0.050 1
05/12/10 12:20
05/12/10 23:02
7782-49-2
ND mg/L
0.025 1
05/12/10 12:20
05/12/10 23:02
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470
Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 05/11/10 16:35
Mercury
ND ug/L
0.20 1
05/13/10 09:35
05/13/10 13:41
7439-97-6
8270 MSSV;TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 05/10/10 14:00
1,4-Dichlorobenzene
2,4-Dinitrotoluene
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 16:39
106-46-7
Hexachloro-1,3-butadiene
ND ug/L
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 16:39
121-14-2
Hexachlorobenzene
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 16:39
87-68-3
Hexachloroethane
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 16:39
118-74-1
2-Methylphenol(o-Cresol)
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 16:39
67-72-1
3&4-Methylphenol(m&p Cresol)
3610 ug/L
50.0 1
250
05111/1011:00
05/12/10 16:39
95-48-7
Nitrobenzene
ND ug/L
5
05/11/10 11:00
05/13/10 14:51
Pentachlorophenol
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 16:39
98-95-3
Pyridine
50.0 1
05/11/10 11:00
05/12/10 16:39
87-86-5
2,4,5-Tdchlorophenol
ND ug/L
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 16:39
110-86-1
2,4,6-Trichlorophenol
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 16:39
95-95-4
Nitrobenzene-d5 (S)
27 %
50.0 1
05/11/10 11:00
05/12/10 16:39
88-06-2
2-Fluorobiphenyl (S)
40 %
12-102 1
05/11/10 11:00
05/12/10 16:39
4165-60-0
Terphenyl-d14 (S)
51 %
13-107 1
05/11/10 11:00
05/12/10 16:39
321-60-8
Phenol-d6 (S)
21 %
21-132 1
05/11/10 11:00
05/12/10 16:39
1718-51-0
2-Fluorophenol (S)
22 %
10-110 1
05/11/10 11:00
05/12/10 16:39
13127-88-3
2,4,6-Thbromophenol (S)
70 %
10-110 1
05/11/10 11:00
05/12/10 16:39
367-12-4
27-108 1
05/11/10 11:00
05/12/10 16:39
118-7M
8260 MSV TCLP
Analytical Method: EPA 8260
Benzene
2-Butanone (MEK)
ND ug/L
ND ug/L
100 20
05/12/10 07:34
71-43-2
Carbon tetrachloride
ND ug/L
200 20
100 20
05/12/10 07:34
78-93-3
Chloroberizene
ND ug/L
100 20
05/12/10 07:34
56-23-5
Chloroform
ND ug/L
100 20
05/12/10 07:34
108-90-7
1,4-Dichlorobenzene
ND ug/L
100 20
06/12/10 07:34
67-66-3
1,2-Dichloroethane
ND ug/L
100 20
05/12/10 07:34
106-46-7
1. 1 -Dichloroethene
ND ug/L
100 20
05/12/10 07:34
107-06-2
Tetrachloroethene
ND ug/L
100 20
05/12/10 07:34
75-35-4
Trichloroethene
ND ug/L
100 20
05/12/10 07:34 127-18-4
05/12/10 07:34
79-01-6
Date: 05/282010 04:03 PM
REPORT OF LABORATORY ANALYSIS
Page 4 of 23
This report shall
not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
dry.: tcp"

ZX�Analytical
wrw.pacelabs.ocm
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 10055
Pace Project No.: 9268841
Sample: 10055-16 Lab ID: 9268841001 Collected: 05/05/10 08:30 Received: 05/06/10 12:50 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8260 MSV TCLP
Analytical Method: EPA 8260
Vinyl chloride
ND ug/L
100
20
05/12/10 07:34
75-01-4
1,2-Dichloroethane-d4 (S)
103 %
79-120
20
05/12/10 07:34
17060-07-0
Toluene-d8 (S)
103 %
70-120
20
05/12/10 07:34
2037-26-5
4-Bromofluorobenzene (S)
97 %
87-109
20
05/12/10 07:34
460-004
Dibromofluoromethane (S)
100 %
85-115
20
05/12/10 07:34
1868-53-7
9045 pH Soil
Analytical Method: EPA 9045
pH at 25 Degrees C
6.9 Std. Units
0.10
1
05/14/10 19:08
733C Reactive Cyanide
Analytical Method: SW-846 7.3.3.2 Modified
Cyanide, Reactive
ND mg/L
0.0050
1
05/11/10 14:39
734S Reactive Sulfide
Analytical Method: SW-846 7.3.4.2
Sulfide, Reactive
ND mg/L
1.0
1
05/11/10 15:03
Sample: 10055-17 Lab ID: 9268841002 Collected: 05/05/10 09:00 Received: 05/06/10 12:50 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
6010 MET ICP, TCLP Analytical Method: EPA 6010 Preparation Method: EPA 3010
Leachate Method/Date: EPA 1311; 05/11/10 16:35
Arsenic
Barium
Cadmium
Chromium
Lead
Selenium
Silver
7470 Mercury, TCLP
Mercury
8270 MSSV TCLP Sep Funnel
1,4-Dichlorobenzene
2,4-Dinitrotoluene
Hexachloro-1 ,3-butadiene
Hexachlorobenzene
Hexachloroethane
2-Methylphenol(o-Cresol)
3&4-Methylphenol(m&p Cresol)
Date: 05/28/2010 04:03 PM
ND mg/L
0.025
1 05/12/10 12:20
05/12/10 23:05
7440-38-2
0.86 mg/L
0.025
1 05/12/10 12:20
05/12/10 23:05
7440-39-3
ND mg/L
0.0050
1 05/12/10 12:20
05/12/10 23:05
7440-43-9
0.27 mg/L
0.025
1 05/12/10 12:20
05/12/10 23:05
7440-47-3
ND mg/L
0.025
1 05/12/10 12:20
05/12/10 23:05
7439-92-1
ND mg/L
0.050
1 05/12/10 12:20
05/12/10 23:05
7782.49-2
ND mg/L
0.025
1 05/12/10 12:20
05/12/10 23:05
7440-22-4
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 05/11/10 16:35
ND ug/L
0.20
1 05/13/10 09:35
05/13/10 13:43
7439-97-6
Analytical Method: EPA 8270
Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 05/10/10 14:00
ND ug/L
50.0
1 05/11/10 11:00
05/12/10 17:06
106-46-7
ND ug/L
50.0
1 05/11/10 11:00
05/12/10 17:06
121-14-2
ND ug/L
50.0
1 05/11/10 11:00
05/12/10 17:06
87-68-3
ND ug/L
50.0
1 05/11/10 11:00
05/12/10 17:06
118-74-1
ND ug/L
50.0
1 05/11/10 11:00
05/12/10 17:06
67-72-1
ND ug/L
50.0
1 05/11/10 11:00
05/12/10 17:06
95-48-7
ND ug/L
50.0
1 05/11/10 11:00
05/12/10 17:06
REPORT OF LABORATORY ANALYSIS Page 5 of 23
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, Inc..

d/7a f Pace Analytical Services, Inc. Pace Analytical Services, Inc.
2225 Riverside Dr. 9800 Kincey Ave. Suite 100
NwN�^ Asheville, NC 28804 Huntersville, NC 28078
[phone] [phone]
ANALYTICAL RESULTS
Project: 10055
Pace Project No.: 9268841
Sample: 10055-17 Lab ID: 9268841002
Results reported on a "dry -weight" basis
Parameters Results Units
Collected: 05/05/10 09:00
Report Limit OF
Received: 05/06/10 12:50 Matrix: Solid
Prepared Analyzed CAS No. Qual
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA
1311; 05/10/10 14:00
Nitrobenzene
Pentachlorophenol
NO ug/L
50.0
1
05111/10 11:00
05/12/10 17:06
98-95-3
Pyridine
NO ug/L
50.0
1
05/11/10 11:00
05/12/10 17:06
87-86-5
2,4,5-Trichlorophenol
NO ug/L
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:06
110-86-1
2,4,6-Trichlorophenol
NO ug/L
50.0
1
05/11/10 11:00
05/12/10 17:06
95-95-4
Nitrobenzene-d5 (S)
52 %
50.0
1
05/11/10 11:00
05/12/10 17:06
88-06-2
2-Fluorobiphenyl (S)
63 %
12-102
1
05/11/10 11:00
05/12/10 17:06
4165-60-0
Terphenyl-d14 (S)
90 %
13-107
1
05/11/10 11:00
05/12/10 17:06
321-60-8
Phenol-d6 (S)
28 %
21-132
1
05/11/10 11:00
05/12/10 17:06
1718-51-0
2-Fluorophenol(S)
39 %
10-110
1
05/11/10 11:00
05/12/10 17:06
13127-88-3
2,4,6-Tdbromophenol (S)
85 %
10-110
1
05/11/10 11:00
05/12/10 17:06
367-12-4
27-108
1
05/11/10 11:00
05/12/10 17:06
118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260
Benzene
2-Butanone (MEK)
NO ug/L
NO ug/L
100
20
06/12/10 07:12
7143-2
Carbon tetrachloride
NO ug/L
200
100
20
20
05/12/10 07:12
78-93-3
Chlorobenzene
NO ug/L
100
20
05/12/10 07:12
56-23-5
Chloroform
NO ug/L
100
20
05/12/10 07:12
108-90-7
1,4-Dichlorobenzene
NO ug/L
100
20
05/12/10 07:12
06/12/10 07:12
67-66-3
106-46-7
1,2-Dichloroethane
ND ug/L
100
20
05/12/10 07:12
107-06-2
1,1-Dichloroethene
NO ug/L
100
20
05/12/10 07:12
75-35-4
Tetrachloroethene
NO ug/L
100
20
05/12/10 07:12
127-18-4
Trichloroethene
NO ug/L
100
20
05/12/10 07:12
79-01-6
Vinyl chloride
ND ug/L
100
20
06/12/10 07:12
75-01-4
1,2-Dichloroethane-d4 (S)
99 %
79-120
20
05/12/10 07:12
17060-07-0
Toluene-d8 (S)
100 %
70-120
20
05/12/10 07:12
2037-26-5
4-Bromolluorobenzene (S)
98 %
87-109
20
05/12/10 07:12
460-00-4
Dibromofluoromethane (S)
98 %
85-115
20
05/12/10 07:12
1868-53-7
9045 PH Soil
Analytical Method: EPA 9045
PH at 25 Degrees C
6.9 Sid. Units
0.10
1
05/26/1014:54
H1
733C Reactive Cyanide
Analytical Method: SW-846 7.3.3.2 Modified
Cyanide, Reactive
NO mg/L
0.0050
1
05/11/10 14:39
734S Reactive Sulfide
Analytical Method: SW-846 7.3.4.2
Sulfide, Reactive
NO mg/L
1.0
1
05/11/10 15:03
Date: 05/28/2010 04:03 PM REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
. wgo,e _
Page 6 of 23

1�2ce Analyfical
W1NY.PB .Mn
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kinoey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 10055
Pace Project No.: 9268841
Sample: 10055-18.10 Lab ID: 9268841003 Collected: 05/05/10 12:15 Received: 05/06/10 12:50 Matrix; Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
6010 MET ICP, TCLP Analytical Method: EPA 6010 Preparation Method: EPA 3010
Leachate Method/Date: EPA 1311; 05/11/10 16:35
Arsenic
ND mg/L
0.025
1
05/12/10 12:20
05/12/10 23:09
7440-38-2
Barium
0.060 mg/L
0.025
1
05/12/10 12:20
05/12/10 23:09
7440-39-3
Cadmium
ND mg/L
0.0050
1
05/12/10 12:20
06/12/10 23:09
7440-43-9
Chromium
ND mg/L
0.025
1
05/12/10 12:20
05/12/10 23:09
7440-47-3
Lead
ND mg/L
0.025
1
05/12/10 12:20
05/12/10 23:09
7439-92-1
Selenium
ND mg/L
0.050
1
05/12/10 12:20
06/12/10 23:09
7782-49-2
Silver
ND mg/L
0.025
1
05/12/10 12:20
05/12/10 23:09
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA
1311; 05/11/10 16:35
Mercury
ND ug/L
0.20
1
06/13/10 09:36
05/13/10 13:46
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA
1311; 05/10/10 14:00
1,4-Dichlorobenzene
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
106-46-7
2,4-Dinitrotoluene
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
121-14-2
Hexachloro-1,3-butadiene
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
87-68-3
Hexachlorobenzene
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
118-74-1
Hexachloroethane
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
67-72-1
2-Methylphenol(o-Cresol)
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
95-48-7
3&4-Methylphenol(m&p Cresol)
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
Nitrobenzene
ND ug/L
50.0
1
06/11/1011:00
05/12/10 17:33
98-95-3
Pentachlorophenol
ND ug/L
50.0
1
05/11/10 11:00
05112/1017:33
87-86-5
Pyridine
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
110-86-1
2,4,5-Tdchlorophenol
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
95-95-4
2,4,6-Tdchlorophenol
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 17:33
88-06-2
Nitrobenzene-d5 (S)
61 %
12-102
1
05/11/10 11:00
05/12/10 17:33
4165-60-0
2-Fluorobiphenyl (S)
78 %
13-107
1
05/11/10 11:00
05/12/10 17:33
321-60-8
Terphenyl-d14 (S)
85 %
21-132
1
06/11/10 11:00
05/12/10 17:33
1718-51-0
Phenol-d6 (S)
33 %
10-110
1
05/11/10 11:00
05/12/10 17:33
13127-88-3
2-Fluorophenol(S)
45 %
10-110
1
05/11/10 11:00
05/12/10 17:33
367-12-4
2,4,6-Tdbromophenol (S)
95 %
27-108
1
05/11/10 11:00
05/12/10 17:33
118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260
Benzene
ND ug/L
165
33
05/10/10 20:41
71-43-2
2-Butanone (MEK)
ND ug/L
330
33
05/10/10 20:41
78-93-3
Carbon tetrachloride
ND ug/L
165
33
05/10/10 20:41
56-23-5
Chlorobenzene
ND ug/L
165
33
05/10/10 20:41
108-90-7
Chloroform
ND ug/L
165
33
05/10/10 20:41
67-66-3
1,4-Dichlorobenzene
ND ug/L
165
33
05/10/10 20:41
106-46-7
1,2-Dichloroethane
ND ug/L
165
33
05/10/10 20:41
107-06-2
1. 1 -Dichloroethene
ND ug/L
165
33
05/10/10 20:41
75-35-4
Tetrachloroethene
ND ug/L
165
33
05/10/10 20:41
127-18-4
Trichloroethene
ND ug/L
165
33
05/10/10 20:41
7M1-6
Date: 05/28/2010 04:03 PM
REPORT OF LABORATORY
ANALYSIS
Page 7 of 23
This report shall
not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

e Pace Analytical Services, Inc. Pace Analytical Services, Inc.
C8A nn'�+7 j 2225 Riverside Dr. 9800 Kincey Ave. Suite 100
(i /�yj J(� Vul Asheville, NC 28804 Huntersville, NC 28078
w*ww.pacelabs.cam
[phone] [phone]
ANALYTICAL RESULTS
Project: 10055
Pace Project No.: 9268841
Sample: 10055-18.10
Lab ID: 9268841003 Collected:
05/05/10 12:15
Received: 05/06/10 12:50 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters
Results Units Report Limit
DF
Prepared Analyzed
CAS No. Qual
8260 MSV TCLP
Analytical Method: EPA 8260
Vinyl chloride
ND ug/L
165
33
05/10/10 20:41
75-01-4
1,2-Dichloroethane-d4(S)
99 %
79-120
33
05/10/10 20:41
17060-07-0
Toluene-d8 (S)
99 %
70-120
33
05110/10 20:41
2037-26-5
4-Bromofluorobenzene (S)
100 %
87-109
33
05/10/10 20:41
460-00-4
Dibromofluoromethane (S)
101 %
85-115
33
05/10/10 20:41
1868-63-7
9045 pH Soil
Analytical Method: EPA 9045
pH at 25 Degrees C
7.2 Std. Units
0.10
1
05/14/10 19:08
733C S Reactive Cyanide
Analytical. Method: SW-846 7.3.3.2
Cyanide, Reactive
ND mg/kg
1.0
1
05/12/10 14:50
735S Reactive Sulfide
Analytical Method: SW-846 7.3.4.2
Sulfide, Reactive
ND mg/kg
10
1
05/12/10 11:57
Date: 05/28/2010 04:03 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 8 of 23

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND APPLICATION SITE CERTIFICATION ATTACHMENT
(FORM: LASCA 070807)
(THIS FORM AM Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed.
Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at: hyp://portal.ncdenr.or /w� eb/wg/las/lay
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.
B. Land Application Site Information:
✓ Additional copies of Page 4 of 4 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 (iVi) ♦ Transferred (T)
✓ If this is the first time that an application package is being submitted using Form NDRLAP, then a Watershed Classification
Attachment (FORM: WSCA) 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 (FORM: WSCA).
➢ 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: Setback Waiver Agreement Attachment (FORM: SWAA).
■ 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", including review and compliance boundaries.
■ Attachment Order 3-f. A soils and agronomic evaluation that meets all of the criteria in the latest version of
the document entitled "Soil Scientist Evaluation Guidance Document."
✓ 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: Setback Waiver Agreement Attachment (FORM: SWAA).
o 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.
***INSTRUCTIONS CONTINUE ON NEXT PAGE***
FORM: LASCA 070807 Page 1 of 3 Attachment Order 3

Attachment Order 3-h: (For sites without a previously permitted soil series name indicated in Attachment's")
County Soil Survey Map (or equivalent) clearly indicating the location and name of the all land application
sites without a previously permitted soil type. The map must be legible and to a scale where the sites can be
easily identified and differentiated from adjacent sites. The predominant soil -mapping units must be shown
for each site. The map must include the mapping unit legend, the County name, the Applicants name, and the
permit number. The Permittee must note in the narrative and provide documentation supported by a licensed
soil scientist for approval of any soil -mapping unit submitted in this form that has not been previously
approved and differs from that shown in the County Soil Survey.
✓ 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: Land Application Site Certification Attachment (FORM: LASCA).
➢ Attachment Order 3-a: Watershed Classification Attachment (FORM: WSCA).
➢ 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: Setback Waiver Agreement Attachment (FORM: SWAA).
■ 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 VicinityBuffer Maps for North Carolina Residuals
Permitting Programs."
■ Attachment Order 3-s: An updated accounting of the CPLRs (i.e., see above for criteria guidance).
■ Attachment Order 3-i: Acknowledgement of field transfer from Permittee relinquishing field.
■ Attachment Order 3-i: Acknowledgement of field transfer from Land Owner. Fields may not be permitted to
multiple Permitees over the same time period.
✓ Crop Type should include the most likely crop types for the life of the permit (5 years).
✓ Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
✓ Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site
must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note
that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping
unit. If a representative slope is provided, it must be determined accordingly:
♦ Sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), may determine the representative slope by using
the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8% would
have a representative slope of 6%.
♦ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil
scientist.
'J
ill
FORM: LASCA 070807 Page 2 of 4
Attachment Order 3

Applicant's name: l %V Ter H ra 13hcat f—
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.
❑ OTHER Explain:
Land application sites currently certified: 80.8 net acres and Total to be certified: 140.62 net acres.
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)
Net Acres
County
Crop(s)
Predominant Soil
Series
Name*
Mapping
Unit or Rep.
Slope **
N
DPl-A
Douglas Poplin
4.51
Wilkes
Fescue
Fairview
FcB2
N
DPI-B
Douglas Poplin
1.25
Wilkes
Fescue
Fairview
FcB2
N
DPI-C
Douglas Poplin
2.3
Wilkes
Fescue
Fairview
FcB2
N
DPI-D
Dou las Poplin
7.95
Wilkes
Fescue
Fairview
FcB2
N
DP2
Douglas Poplin
5.02
Wilkes
Corn
Fairview
FcB2
N
DP3
Douglas Poplin
12.86
Wilkes
Fescue
Fairview
FcB2
N
DP4
Douglas Poplin
6.8
Wilkes
Fescue
Fairview
FcB2
N
DP5
Douglas Poplin
11.82
Wilkes
Fescue
Fairview
FcB2
N
DP6
Douglas Poplin
3.97
Wilkes
Fescue
Fairview
FcB2
N
DP7
Douglas Poplin
3.34
Wilkes
Fescue
Fairview
FcB2
"Status Code for land application sites are: ♦ N (New) ♦ R (Renew) ♦ M (Mowned) ♦ T (lransterred)
* Soil Series Name (i.e Cecil)
** Mapping Unit must be consistent with those used in the County Soil Survey (ie for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
FORM: LASCA 070807 Page 3 of4 Attachment Order 3

WATERSHED CLASSIFICATION ATTACHMENT (FORM: WSCA 10-06)
Applicant's name: �A,c}tr Nre,4heA*e.
Site/Field
ID
County
Latitude
Longitude
Location
Datum
Location
Method
Code
Location
Accuracy
Waterbody Subbasin and
Stream Index No.
Current and
Proposed Class
DPI -A
Wilkes
36.23486
-80.94436
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
DPI-B
Wilkes
36.23486
-80.94324
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
DP1-C
Wilkes
36.23667
-80.94547
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
DP1-D
Wilkes
36.23847
-80.94436
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
DP2
Wilkes
36.23667
-80.94769
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
DP3
Wilkes
36.24207
-80.94102
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
DP4
Wilkes
36.24027
-80.93879
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
DP5
Wilkes
36.23666
-80.94102
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
DP6
Wilkes
36.23847
-80.94324
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
DP7
Wilkes
36.24027
-80.94324
NAD83
MAP
.00001
Hughes Branch 12-50
WS-IV
I, Z aC 1. I It attest that this attachment form has been prepared by me and is accurate and complete to the best
of my knowledge. I uAerstand that if all required parts of this attachment are not completed and that if all required supporting information is not included, this
application package will be retgnyd as incomplete.
Signature
Date to - 2 S A 0
FORM: WSCA 10-06 Page 5 of 5

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
COUNTY MANAGER NOTIFICATION 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 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://portal. ncdenr. or�,/web/wg/aps/lau
INSTRUCTIONS TO THE APPLIC NT:
A. Attachment Form:
✓ Do not submit this attachment form for review without a corresponding residuals program application
form (FORM: NDRLAP or DRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each county in which the land application sites for which the
applicant is seeking certification are located.
C. Under 15A NCAC 02B.0212, no new permitted sites for land application of residuals are allowed within
the critical watersheds areas. It is the applicant's responsibility to make sure that the proposed land
application sites are not located within these areas.
✓ For more information regarding Water Supply Watershed Protection Program, please call [phone] or
visit the website at: http://portal.ncdenr.org/web/wq/swp/ws/wswp.
✓ Attach watersheds critical areas maps for each county to this form. The map must include location of the
proposed land application sites and clearly show that the proposed fields are not located within the critical
areas. DWQ's Water Supply Watersheds Critical Areas maps may be downloaded from the website at:
hq://portal.ncdenr.org/web/wq/syM/Ws/WM/Mgps.
D. Mail the attachment form, a copy of the completed Watershed Classification Attachment (form WSCA),
and maps to the appropriate county manager by certified mail with a return receipt requested.
✓ The most current publication of the Directory of State and County Officials may be downloaded from the web
site at: http://www.secretary.state.nc.us/pubsweb/direct.asp.
✓ Fill out regional office information (item C.) under the Instructions to the county manager/official section. A
list of the Division's regional offices, their county coverage, and their contact information may be downloaded
from the web site at: bM://portal.nedenr.org/web/wq/home/ro.
E. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form prior to
submission of the application to the Division for review.
To: County where land application sites are located: Wilkes
Name and complete address of county manager: John Yates
Wilkes County Managers Office, Room 100, 110 North Street
City: Wilkesboro State: NC Zip: 28697
A. This is to notify you that the applicant listed in Item I(1) of this attachment form will be submitting an
application for the land application of residual solids to land in your county to the Division for review.
During this review, the Division will ensure that all federal and state regulations are enforced.
B. Please forward this attachment form and its associated maps to an appropriate Department within your
County (Le., Health or Environmental Health Department and Planning Department).
FORM: CMNA 090814 Page 1 of 2 Attachment Order 3-b

C. More information of the land application sites included in this application will be available at the
following location no later than the listed expected application date:
Name and complete address of appropriate regional office: NCDENR-Asheville Regional office
2090 US Hwy 70
City: Swannanoa State: NC Zip: 28778
Telephone number: (_828_) 296-4500 Facsimile number: ( 828 ) 299-7043
Expected date of application submission: 11-01-2010
Actual date of application submission (to be completed by DWQ):
Deadline for county manager response (to be completed by DWQ):
D. Should you desire to comment on this application as it relates to your interests, please do so no later than
30 calendar days following the expected application submission date. If you have any questions or
comments about this notification or if you would like more information, please contact the Aquifer
Protection Supervisor of the appropriate regional office, at the telephone number provided above. Thank
you in advance for your attention to this matter.
FORM: CMNA 090814 Page 2 of 3 Attachment Order 3-b

I. GENERAL INFORMATION:
1. Applicant's name: Baxter Healthcare Corporation
2. Signing official's name and title: Stephen D Taylor -Waste Water Treatment Plant Supervisor
3. Complete mailing address of applicant: PO Box 1390
City: Marion State: NC Zip: 28752
Telephone number: ( 828) 756-6618 Facsimile number: [phone]
E-mail address: stephen d taylor(abaxter.com
4. Name and complete mailing address of contact person and consulting firm who prepared application:
Zach Key Southern Soil Builders, Inc.
City: Roaring River State: NC Zip: 28669
Telephone number: [phone] Facsimile number: [phone]
E-mail address: [e-mail]
IL PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, and/or ❑ renewed permit. .
2. If this application is being submitted to renew or modify an existing permit, provide:
the permit number WQ0031725
the most recent issuance date 9-18-2007 , and the expiration date 8-31-2012
Date of most -recently certified Attachment A: 9-18.2007
Date of most -recently certified Attachment B: 9-18-2007
III, RESIDUALS LAND APPLICATION PROGRAM INFORMATION
1. County(ies) where residuals source -generating facilities are located:
McDowell
2. Purpose of the residual source -generating facilities (check all that apply):
❑ treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
® treatment of industrial mixed with domestic wastewater, and/or
(approximate percentages: _81 % industrial and _19 % domestic)
❑ other (explain: �.
3. Are land application sites currently certified for this residuals land application program in this county:
❑ yes ® no. If yes, provide the total number of acres (i.e., excluding
buffers) that are certified: acres (approximate percentages: % forested, %
agricultural, and % reclamation sites).
4. This application, if approved by the Division, will certify _59.82 additional acres (i.e., excluding
buffers) in this county for this residuals land application program (approximate percentages: 0 %
forested, _100 % agricultural, and 0 % reclamation sites).
*** END OF FORM: CMNA ***
FORM: CMNA 090814 Page 3 of 3 Attachment Order 3-b

■ Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
W;IY"'y lGvn� mLnye:i (J�1 r�
54ra.�
A. Sig a
X ❑,
B. R (Printed Name) C. Date of
.i 0 .1 —1
D. I delivery address different from Item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 1
7.005 3110 0003 2507 7023
(1Pansfer from service lam- - -- - —
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM AMY 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 thisform, visit our web site at:
Lap. //
portal. ncdenr.orp/web/wq/a s/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, and FORM: LASCA).
✓ 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.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Baxter Healthcare CgMoration
Complete mailing address of applicant: PO Box 1390
City: Marion State: NC Zip: 28752
Telephone number: (_828_) 756-6618 Facsimile number: ( 828) 756-4821
E-mail address:
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
DPI -A
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DP1-B
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DPl-C
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied
residuals while the Permittee receives, in consideration, the use of the land application site(s) described above
for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application
program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following
restrictions and stipulations until such time as written notification, given 30 calendar days in advance,
modifies or cancels this Agreement.
FORM: LOAA 090814 Pagel of 3 Attachment Order 3-c

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORMA" YBE 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 portal.ncdenr.org/web/wg/aps/lay
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP, and FORM: LASCA).
✓ 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.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Baxter Healthcare CgMoration
Complete mailing address of applicant: PO Box 1390
City: Marion State: NC Zip: 28752
Telephone number: (_828_) 756-6618 Facsimile number: ( 828) 756-4821
E-mail address:
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
DPI-D
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DP2
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DP3
PASTURE/HAY
ANLMALE FEED
BAXTER HEALTHCARE
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
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application
program and shall be renewed each time this permit is renewed.
ine undersigneu fanuowner or nfs representative anu ine rermiuce agree to aasue warn ine roilowmg
restrictions and stipulations until such time as written notification, given 30 calendar days in advance,
modifies or cancels this Agreement.
FORM: LOAA 090814 Pagel of 3 Attachment Order 3-c

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORMAMYBE 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://portal.ncdenr.or web/wg/a sp /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, and FORM: LASCA).
✓ 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.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Baxter Healthcare Corporation
Complete mailing address of applicant: PO Box 1390
City: Marion State: NC Zip: 28752
Telephone number: (_828 ) 756-6618 Facsimile number: (_828 ) 7564821
E-mail address:
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
DP4
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DP5
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DP6
PASTURE/HAY
ANiIVIALE FEED
BAXTER HEALTHCARE
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied
residuals while the Permittee receives, in consideration, the use of the land application site(s) described above
for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application
program and shall be renewed each time this permit is renewed:
The undersigned landowner or his representative and the Permittee agree to abide with the following
restrictions and stipulations until such time as written notification, given 30 calendar days in advance,
modifies or cancels this Agreement.
FORM: LOAA 090814 Pagel of 3 Attachment Order 3-c

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM AMYBE 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://
portal. ncdenr.or /web/wc�/a sp /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, and FORM: LASCA).
✓ 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.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS
TO PRIVATELY OWNED LAND APPLICATION SITES
The undersigned landowner or his representative hereby permits:
Applicant's name: Baxter Healthcare Corporation
Complete mailing address of applicant: PO Box 1390
City: Marion State: NC Zip: 28752
Telephone number: (_828_) 756-6618 Facsimile number: (_828 ) 7564821
E-mail address:
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) (Le., 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
DP7
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied
residuals while the Permittee receives, in consideration, the use of the land application site(s) described above
for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application
program and shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following
restrictions and stipulations until such time as written notification, given 30 calendar days in advance,
modifies or cancels this Agreement.
FORM: LOAA 090814 Pagel 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 until all
of the site restrictions (under Section III) are met.
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, the current landowner shall give a notice 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. Residuals may be applied to the sites with a pH of less than 6 provided that sufficient amounts
of lime is also applied to achieve a final pH of the soil mixture of at least 6.0, or if an agronomist provides
information indicating that the pH of the soil, residuals, and lime mixture is suited for the specified crop
type.
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. 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.
17. 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.
18. 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 090814 Page 2 of 4 Attachment Order 3-c

H. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY:
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC
02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water
supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the
newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map
showing the newly proposed compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
III. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control
public access to the land application site(s) during active use and for the 12-month period following a
residuals land application event. Such controls may include the posting of signs that indicate the activities
being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land
application event. Land application sites that are to be used for grazing shall have fencing that will be used
to prevent access during these periods after such residuals land application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land
application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface
shall not be harvested for a 14-month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period
following a residuals land application event when the residuals remain on the land surface for four months
or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period
following a residuals land application event when the residuals remain on the land surface for less than four
months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a
residuals land application event.
Landowner's Certification:
dI 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, alternatives for water supply wells inside the compliance boundary, 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 ) O j
Landowner address: S iq A,q �fn lr ilk Min /I a -V City: Rn notc, State: ,/C zip: a �sn
c � 0
Phone: q 59 -9 S5_9
Signature: Date:
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that D c ) as L Po ` n
personally appeared before me this day and acknowledged the due execution of the forgoing"instrument.
— -- �; a%uu1niirry
WITNESS my hand and official seal this the
dayof Qcgober
Signature and seal:
My commission ex ffes: �,y'
FORM: LOAA 090814
&L
Page 3 of 4
20 / D
Attachment
�10l`Gf V Public
Wilkes County ,
emon Expires
CARO�'`�

Lessee's/Operator's Certification:
❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as
specified herein.
Lessee/operator name:
Lessee/operator address:
City: State: Zip:
Phone:
Signature: Date:
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 official name: S �� c ^ TA h f'
Signature: Date: n /= /D
*** END OF FORM: LOAA ***
FORM: LOAA 090814 Page 4 of 4 Attachment Order 3-c

►ogle Maps
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Notes
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SITE EVALUATION AND SOIL REPORT
SOUTHERN SOIL BUILDERS, INC.
POPLIN TRACT
AUSTIN LITTLE MT. ROAD
WILKES COUNTY, NC
J ULY J, 2010
SHAFFER SOM SERVICES, #hve.
Prp rssORO, tie co 27312
919-542-5803

685 SARIFORD ROAD
P117SBORO, ivx� 273,12
919-54 2-68 3
July 9, 2010
Mr. Zach Key
Southern Soil Builders, Inc.
958 Hoots Road
Roaring River, NC 28669
Subject: Site Evaluation for Wastewater Residuals Application Fields
Douglas Poplin Property -Intersection of Hoots Road & Austin Little Mountain Road
Parcel Number
Wilkes County, NC
On June 29 and 30, 2010, 1 evaluated all of the cleared fields on the above named property for potential
for cake wastewater residuals application. The property is owned by Mr. Douglas Poplin of 594 Austin
Little Mountain Road, Ronda, NC. The property is approximately 1.5 miles north of Ronda and lies east
of Hoots Road and south of Austin Little Mountain Road.
The purpose of this evaluation was to review the soils for suitability for residuals application as required
by 15 A NCAC 02T and the subsequent site evaluation policies found in the Soil Scientist Evaluation
Policy document from September, 2008. This report will document the site evaluation details and
includes all required reporting information therein. I also took soil fertility samples from each of the
proposed fields and these samples were analyzed by the NCDA&CS soils lab for the required fertility
analysis.
Overall, these fields are well suited to residuals application. As you mentioned that surface application
of residuals would be used, I flagged off the field areas where slopes exceed ten (10) percent as required
by the rules. Soil borings were completed over the remainder of the areas that were deemed potentially
useable. All soil characteristics on all fields are well -drained, with a clayey subsoil and soil depth
exceeding 24 inches to parent material. Most soil borings exceed 36 inches to parent material. None of
the areas evaluated is in a floodplain or contains jurisdictional wetlands. With the exception of required
setbacks, and the areas segregated out for slopes, the remainder of the fields are suitable for residuals
application. There is a high level of consistency among all the soil borings in all fields, with only slight
variability in depth to highly weathered parent material and depth to the restrictive Cr horizon. The soil
evaluation confirmed the soil mapping by the National Cooperative Soil Survey, and this map is attached
in this report. Because of this, no distinct scrap emit limes have been mapped on the site wraps- am areas
shown are the same soil type and thus the map just depicts the boring locations, field names, and
buffered areas for slope or surface waters. The slopes exceeding 10 percent and the surface water
buffers will need to be reflagged at the time of residuals application. Flags were not left in the fields as
the grazing cattle would remove them.
I numbered the fields solely for purpose of submitting the soil samples. The fields may be numbered
however you wish for purpose of your permitting. I have the acreage assessed by the field notation I
have used here, with a segregation of 7 fields. This represents 2 fields on the western side of the
property adjacent to Hoots Road: 1 field for the corn and 1 field for the pasture; and 5 fields on the
eastern section: the row crop area is one field and the pasture has been segregated into 4 sections. In
terms of site management, the property can be subdivided into 2 large categories- the pasture fields
and the corn silage fields. The soils are consistent throughout the property, with slopes ranging from 2

to 10 percent in the proposed residuals application areas. Thus the report has 4 detailed soil
descriptions: 1 each for the pasture and corn silage for each of the two large cleared areas.
The first section of this report will include information common to the entire project. It includes:
m General site location maps (2)
a Copy of the soil sample transmittal sheet
a Copy of the soil survey map for the area (1 small scale and 1 large scale)
a Copy of the Official Series Description for the Fairview soils found in the evaluation
a Nutrient management RYE tables for nitrogen loading rate as per 2T rules
The following section will show the field evaluation details with soil descriptions, field summaries, and
field sketch maps.

GENERAL SITE LOCATION MAP
SOUTHERN SOIL BUILDERS, INC.
LAND APPLICATION OF RESIDUALS
DOUGLAS POPLIN PROPER' lit
AUSTIN; LITTLE MOUNTAIN ROAD
WILKEZ COUNTY, NC
JUNE 30, 2010
KARL A. SHAFFER, L.S.S.
Ronda
rig Riyer
>' �i°. 'ss44

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Map Unit
Map Unit Name
Acres
Percent of h
Symbol
in AC+I
AOI
BaB
Banister fine sandy
7.3
0.9%
loam, 1 to 6 percent
slopes, rarely
flooded
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43.4
5.6%
2 percent slopes,
frequently flooded
DaA
Dan Diver and
2.1
0.3%
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percent slopes,
occasionally flooded
DpC2
Danripple sandy clay
25.0
3.2%
loam, 8 to 15
percent slopes,
moderately eroded
FaD
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94.3
12.1%
loam, 15 to 25
percent slopes
FcB2
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204.9
26.3%
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slopes, moderately
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I Warning. Soil Map may not be valid at this scale.
1, KARL A. SHAFFER, L.S.S., DETERMINE THIS SOIL SURVEY MAP
TO BE ACCURATE AND RELIABLE FOR THE LAND APPLICATION
OF RESIDUALS ONTO THIS SITE.
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1, KARL A. SHAFFER, L.S.S., DETERMINE THIS SOIL SURVEY MAP
TO BE ACCURATE AND RELIABLE FOR THE LAND APPLICATION
OF RESIDUALS ONTO THIS SITE.

LOCATION FAIRVIEW NC+VA
Established Series
RJL-DCC/Rev. JAK/DTA
02/2008
FAIRVIEW SERIES
MLRA(s): 136 (mesic part)
MLRA Office Responsible: Raleigh, North Carolina
Depth Class: Very deep
Drainage Class (Agricultural): Well drained
Internal Free Water Occurrence: Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
Landscape: Piedmont upland
Landform: Hill, ridge, interfluve
Geomorphic Component: Crest, interfluve, side slope, nose slope, head slope
Hillslope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum from felsic metamorphic or igneous rock
Slope: 2 to 60 percent
Elevation (type location): 1260 feet
Frost Free Period (type location): 174 days
Mean Annual Air Temperature (type location): 57 degrees F.
Mean Annual Precipitation (type location): 44 inches
TAXONOMIC CLASS: Fine, kaolinitic, mesic Typic Kanhapludults
TYPICAL. PEDON: Fairview sandy clay loam (in an area of Fairview sandy clay loam, 8 to 15 percent slopes, moderately eroded), on a convex
11 percent slope in pastureland. (Colors are for moist soil)
Ap1--0 to 10 centimeters (0.0 to 3.9 inches); brown (7.5YR 4/4) crushed sandy clay loam; weak medium granular structure; friable, slightly sticky,
slightly plastic; low excavation difficulty; many fine roots throughout; 1 percent nonflat angular indurated 2- to 75-millimeter schist fragments and

4 percent nonflat angular indurated 2- to 75-millimeter quartz fragments; moderately acid, pH 5.7; clear wavy boundary
Apt--10 to 23 centimeters (3.9 to 9.1 inches); strong brown (7.5YR 4/6) crushed sandy clay loam; weak fine subangular blocky structure, and
weak medium subangular blocky structure; friable, slightly sticky, slightly plastic; low excavation difficulty; common fine roots throughout;
common fine moderate -continuity tubular pores; 1 percent fine red (2.5YR 4/8), moist, clay bodies and 1 percent fine mica flakes; 1 percent
nonflat angular indurated 2- to 75-millimeter schist fragments and 4 percent nonflat angular indurated 2- to 75-millimeter quartz fragments;
moderately acid, pH 5.7; (Ap horizon is typically 2 to 30 centimeters thick); clear wavy boundary.
Bt--23 to 61 centimeters (9.1 to 24.0 inches); red (2.5YR 4/8) broken face clay; moderate medium subangular blocky structure; firm, slightly
sticky, moderately plastic; moderate excavation difficulty; common fine roots throughout; common fine moderate -continuity tubular pores; 25
percent discontinuous faint red (2.5YR 5/8), moist, clay films on all faces of peds; 10 percent fine mica flakes; 1 percent nonflat angular indurated
2- to 75-millimeter quartz fragments; strongly acid, pH 5.3; (Bt horizon is typically 20 to 60 centimeters thick); gradual wavy boundary.
BCt--61 to 74 centimeters (24.0 to 29.1 inches); red (2.5YR 4/8) broken face clay loam; moderate medium subangular blocky structure; friable,
slightly sticky, slightly plastic; moderate excavation difficulty; 1 percent discontinuous faint red (2.5YR 5/8), moist, clay films on vertical faces of
peds; 10 percent fine mica flakes; 2 percent nonflat angular indurated 2- to 75-millimeter schist fragments and 4 percent nonfat angular indurated
2- to 75-millimeter quartz fragments and 5 percent flat very angular weakly cemented 2- to 150-millimeter schist fragments; strongly acid, pH 5.3;
(BC horizon is typically 0 to 75 centimeters thick); gradual wavy boundary.
C--74 to 200 centimeters (29.1 to 78.7 inches); red (I OR 5/6) broken face loam; massive; friable, slightly sticky, slightly plastic; low excavation
difficulty; common fine roots throughout; common fine moderate -continuity tubular pores; 10 percent fine mica flakes; 1 percent nonflat angular
indurated 2- to 75-millimeter schist fragments and 2 percent nonflat angular indurated 2- to 75- millimeter quartz fragments and 10 percent flat
very angular weakly cemented 2- to 150-millimeter schist fragments; strongly acid, pH 5.3.
TYPE LOCATION: Surry County, North Carolina; about 2.5 miles west of Dobson, 1000 feet northwest of the intersection of Secondary Roads
1001 and 1124, in a pasture; USGS Bottom topographic quadrangle; lat. 36 degrees 24 minutes 03 seconds N. and long. 80 degrees 46 minutes 25
seconds W.
RANGE IN CHARACTERISTICS:
Depth to top of Argillic horizon: 1 to 15 inches
Depth to base of Argillic horizon: 15 inches or more
Depth to Bedrock: Greater than 60 inches
Rock Fragment Content: 0 to 40 percent in the A and E horizons and 0 to 30 percent in the B and C horizons; mostly gravel, cobbles or stones, but
may include charmers and flagstones
Pararock Fragment Content: 0 to 15 percent, throughout; mostly paragravel or paracobbles, but may include parachanners and paraflagstones
Soil Reaction: Extremely acid to moderately acid throughout. Limed soils are typically moderately acid or slightly acid in the upper part.
Mica Content: 0 to 20 percent, by volume mica flakes in the A, E and B horizons, and 0 to 30 percent in the BC and C horizons
Other Features: Clayey part (greater than 35 percent clay) of the argillic horizon is less than 24 inches thick and typically extends to a depth of less
than 30 inches

RANGE OF INDIVIDUAL HORIZONS:
A horizon (if it occurs):
Color --hue of 5YR to 1 OYR, value of 3 to 6, chroma of 2 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
Ap horizon:
Color --hue of 5YR to 1 OYR, value of 3 to 6, chroma of 2 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam. Eroded phases include sandy clay loam or clay loam.
E horizon (if it occurs):
Color --hue of 5YR to 1 OYR, value of 4 to 6, chroma of 3 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
BE or BA horizons (if they occur):
Color --hue of 2.5YR to 7.5YR, value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --fine sandy loam, loam, sandy clay loam, or clay loam
Bt horizon:
Color --hue of l OR to 5YR, value of 4 or 5, chroma of 4 to 8
Texture (fine -earth fraction) --clay loam, sandy clay, or clay
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
BC horizon or BCt or CB horizon (if they occur):
Color --hue of 1 OR to 7.5YR, value of 4 or 6, chroma of 4 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, loam, sandy clay loam, or clay loam
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
C horizon:
Color --hue of 10R to 7.5YR, value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, loam, sandy clay loam, or clay loam saprolite
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
COMPETING SERIES:
Clifford soils --clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60 inches thick
IIayesvill.e soils --are on elevations above 2000 feet
Na.thalie soils --clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60 inches thick and have Bt horizons with
browner hue
Toast soils --have subsoils with browner hue

Westfield soils --have paralithic contact at 40 to 60 inches
Woohvine soils --have paralithic contact at 20 to 40 inches
GEOGRAPHIC SETTING:
Landscape: Piedmont upland
Landform: Hill, ridge, interfluve
Geomorphic Component: crest, Interfluve, side slope, nose slope, head slope
Hillslope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum from felsic metamorphic or igneous rock such as mica schist, gneiss, granite gneiss, mica gneiss, granodiorite, and
granite
Slope: 2 to 60 percent
Elevation: 300 to 1400 feet
Frost Free Period: 160 to 205 days
Mean Annual Air Temperature: 52 to 57 degrees
Mean Annual Precipitation: 40 to 55 inches
GEOGRAPHICALLY ASSOCIATED SOILS:
Braddock soils --formed in old alluvium; on adjacent high terraces
Buckhall soils --have mixed mineralogy and a browner subsoil; on similar landforms
Clifford soils --the clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60 inches thick; on similar landforms
Elioak soils --have more mica in the subsoil and formed in residuum from micaceous.crystalline rock such as muscovite schist; on similar landforms
Minnieyil.le soils --formed in residuum from hornblende gneiss or hornblende schist and have moderate shrink -swell potential; on similar landforms
Rhodhiss soils --have a fine -loamy particle -size class; on similar landforms
Stott Knob soils -have paralithic contact at a depth of 20 to 40 inches and have a fine -loamy particle -size class; on similar landforms
Toast soils --have subsoils with browner hue; on similar landforms
Westfield soils --have paralithic contact at a depth of 40 to 60 inches; on similar landforms
W intergueen soils --formed in old alluvium; on adjacent high terraces
Wools vine soils --have paralithic contact at a depth of 20 to 40 inches; on similar landforms
DRAINAGE AND PERMEABILITY:
Depth Class: Very deep
Drainage Class (Agricultural): Well drained
Internal Free Water Occurrence: Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low

USE AND VEGETATION:
Major Uses: Cultivated crops, pasture, and woodland
Dominant Vegetation: Where cultivated --corn, tobacco, small grain, hay, and apples. Where forested --Eastern white pine, Virginia pine, red oak,
white oak, post oak, hickory, blackgum, red maple, yellow poplar, and dogwood.
DISTRIBUTION AND EXTENT:
Distribution: Virginia and North Carolina
Extent: Moderate
MLRA OFFICE RESPONSIBLE: Raleigh, North Carolina.
SERIES ESTABLISHED: Surry County, North Carolina; 2003.
REMARKS: Fairview soils were previously mapped as Pacolet soils. The April 1997 relocation of the mesic/thermic line in North Carolina and
Virginia necessitated the establishment of the Fairview series as a mesic counterpart. The 2008 revision is intended to limit the amount of mica
allowed in the Fairview series. Fairview is not intended to replace Madison soils in the mesic region.
Diagnostic horizons and features recognized in this pedon:
Ochric epipedon--the zone from the surface to 9 inches (Ap 1 and Ap2 horizons)
Argillic horizon --the zone from 9 to 24 inches (Bt horizon)
Kandic horizon --the zone from 9 to 29 inches (Bt & BC horizons).
Other soil features identified with this pedon:
Series control section--0 to 60 inches
ADDITIONAL DATA:
Laboratory Data: No laboratory data available.
Database Information:
Typical Pedon Data Mapunit ID82665
User Pedon ID--88NC171001
TABULAR SERIES DATA:
Slope
Airtemp
FrFr/Seas Precip
Elevation
2-60
52-57
160-205 40-55
300-1400
SOI-5
F1oodL
F1oodH Watertable Kind
Months
Bedrock
Hardness
NONE
>6.0
>60
SOI-5
Depth
Texture
3-Inch
No-10
Clay%
-CEC-
0-9
SL FSL L
0-10
75-100
8-20
4-10
0-9
SCL CL
0-10
75-100
20-35
2-10
9-24
SC CL C
0-10
55-100
35-60
2-12
24-60
SL FSL L SCL CL
0-10
55-100
10-30
1-10

SOI-5 Depth
-pH-
O.M. Salin
Permeab
Shnk-Swll
0-9
3.6-6.0
0.5-2
2.0-6.0
LOW
0-9
3.6-6.0
0.5-1
0.6-2.0
LOW
9-24
3.6-6.0
0-0.5
0.6-2.0
LOW
24-60
3.6-6.0
0-0.5
0.6-6.0
LOW
National Cooperative Soil Survey
U.S.A.

Submit Reset :
Realistic Yields for FcB2: Fairview sandy clay loam., 2 to 8 percent slopes,
moderately eroded in Wilkes County
Crop
Yield
Nitrogen
Factor
Realistic
Nitrogen
Rate (lbs/acre)
Estimated Phosphorus
Removal
(Ibs P205/acre)
Barley (Grain)
67 Bushels
1.49
99
25
Corn (Grain)
108 Bushels_
120
47
Corn (Silage)
19.6 Tons '
10.9
214
67
Cotton
637 Pounds
0.081
52
Sorghum (Silage)
16.7 Tons
7.6
127
so
Oats (Grain)
83 Bushels
1.13
94
21
Peanuts
0 Pounds
0
0
Rye (Grain)
49 Bushels
2.01
98
16
Small Grain (Silage)
8.8 Tons
11.1
98
48
Sorghum (Grain)
49 CWT
1.72
84
37
Soybeans (Double Cropped)
Bushels
Soybeans (Full Season)
39 Bushels
0
31
Soybeans (Double Cropped - Manured)
33 Bushels
3.89
130
27
Soybeans (Full Season - Manured)
__39 Bushels
3.89
152
31
Tobacco (Burley)
0 Pounds
0.074
0
0
Tobacco (Flue Cured)
2548
Pounds
0.029
74
13
Triticale (Grain)
69 Bushels
1.52
104
23
Tropical Corn (Silage) _19.6
Tons
6._5
127
67
Wheat (Grain)
49 Bushels
_
2.01
98
.Bahiagrass (Hay)
3.4 Tons
44
151
39

I I I l i l { 1 l d t 4 a i- —} J i ! l.. I 1 !
Caucasion/Old World Bluestein (Hay) - -
3.4 Tons
44
151
41
Common Bermudagrass (Hay)
Dallisgrass (Hay) _- - - _- _ --
3.4 Tons
_ 3.4 Tons
`-�
44
44
T-
151
4_- T-
42
45
Fescue (Hay)_.__._. `- -
�-
4.4 Tons
44
__-151
194
_
69
Hybrid Bermudagrass (Hay) --__ ----- --
4.4 Tons
44
194
54
Hybrid Bermudagrass overseeded with Rescuegrass
(Hay)
Mixed Cool Season Grass (Hay)-
-^
0 Tons
_ 3.2 Tons-_`
-- --
44
44
-- =----^--�}-`
0
140
--
0
45
Orchardgrass (Hay) _
-- 3.,4 Tons
—
` 4
�—
151
_-
50___--
Pearl Millet (Hay)
_
3,7 Tons
___--
49
180-----
Rescuegrass (Hay)
0 Tons
- _,--
44
0
0
Sorghum Sudan (Hay)
4.2 Tons
49
204
58
Timothy Grass (Hay) -+ - -`_
u 0 Tons
44
0
0
soft
,x4e�rN
/ .G'_ �•.�—Flu.\�•i'".•R ��

FIELDS DPI® DP7

s
ty
.10
SITE EVALUATION FIELD MAP
•rSOUTHERN SOIL BUILDERS, INC.
• r-1tit•1 1. f l i r�i -`.,J i i; APPLICATION
tl
DOUGLAS POPLIN PROPERTY
AUSTIN L17TLE MOUNTAIN ROAD
r r u =f t d
it rWILKES COUNTY, NC
h,fi" ..
1 % 'I �.rt-y¢i 4 +€, hw! �3#1, ,,.h, 31;i!i a u«..t ;. i (- • l
A A. SHAFFER,
tT Y .t , sY :.r cif Y 1fi.'•'�yyy t� r�•f. y"v 4 ,,^,. 4 r�7",; m �,>.'y
r
Iht
P,
01 j "Wr �k �a ,• +ryr^P" �,cFhc�y���.Fr.-,i
`7S`gth
4;

This entire field, minus required setbacks from surface waters, property lines, and Minus areas where
slopes exceed 10 percent is suitable for land application of residualsIbloso/ids. All soils classify as
Fairview sandy clay loam, 2 to 8 percent slopes, eroded except where noted in table below. This field is
split into 4 subfields for wrapping and area measurements, however, the soils, vegetation, and
management recommendations for residuals application are the same across all areas.
This is a fescue pasture with a gentle ridge and sideslopes- slopes ranging from 2 to 10 percent. Seven
soil borings were performed. The attached site map shows the location of the soil borings that were
completed. The soils all classify in the Fairview soil series- 2-8 percent slopes, eroded, and related
variants or similar series. Taxonomic class: Fine, kaolinitic, mesic, Typic Kanhapludults. Following is a
representative description of the soils in this field:
Fairview sandy clay loam, 2 to 8 percent slopes, eroded:
- Ap: 0 - 3 inches: brown (7.5YR 4/4) sandy clay loam; moderate fine granular structure; friable; slightly
sticky, non- plastic; common fine roots; abrupt smooth boundary.
Bt1: 3-8 inches: yellowish red (5YR 5/6) clay loam; moderate fine subangular blocky structure; firm;
slightly sticky; slightly plastic; few fine roots; clear smooth boundary.
St2: 8-20 inches: red (2.5YR 4/8) clay; moderate medium subangular blocky structure; firm; moderately
sticky; moderately plastic; few fine roots; common clay films on ped faces; gradual wavy boundary.
St3: 20 -31 inches: red (2.5YR 4/8) clay; moderate medium subangular blocky structure; firm;
moderately sticky; moderately plastic; 10-20% mica flakes by volume; few fine roots; common clay films
J on ped faces; gradual wavy boundary.
C: 31-38 inches: weathered mica schist saprolite that crushes to sandy clay loam; variegated colors with
no consistent color pattern- colors include phases of yellowish brown, reddish brown, light gray, and
-• dark gray. Where quartz crystals exist, colors include white and clear. 90% of the saprolite is not
cemented, 10% consists of partially weathered schist that crushes with strong hand pressure; friable;
30% coarse fragments.
L
C/Cr: 38 inches: auger refusal -cannot tell if floater rock or indurated parent material. No other borings in
the area reflected shallow Cr horizons. Soft to medium hard weathered mica schist that constitutes
auger refusal.
[Soil description completed by Karl A. Shaffer, L.S.S. —June 30, 20101
�Q v»f �. Ulu{� :.e ♦�!"�i41 ]. `stf-. 5�'N

The following table gives the characteristics at each boring.
Soil boring
number
Soil Name
Depth to seasonal
high water table
Depth to
saprolite (C)
Depth to
bedrock
Landscape
position lie
slope (%)
1
Fairview
>48 inches
31 inches
>48 inches
Ridge -2
2
Fairview
>42 inches
28 inches
>42 inches
Sideslope -6
3
Fairview -
variant
>36 inches
30 inches
36 inches.
Sideslope -5
4
Fairview
>58 inches
36 inches
>58 inches
Sideslope -7
5
Fairview-
variant
>38 inches
31 inches
38 inches
Sideslope -8
6 1
Fairview
>40 inches
>40 inches
>40 inches
Sideslope -4
10 1
Fairview
>50 inches
32 inches
>50 inches
Sideslope -6
Field zones useable areas for residuals application:
DPI -A
4.51 acres
DPI-B
1.25 acres
DPI-C
2.30 acres
DP1-D
7.95 acres
L TOTAL AREA- FIELD DP1:
16.01 acres
FIELD ®P 2
LThis entire field, minus required setbacks from property lines/highway rights -of -way, is suitable for
land application of residuals/biosolids. All soils classify as Fairview sandy clay looms, 2 to 8 percent
r- slopes, eroded
This is a corn silage field with a gentle ridge and sideslopes- slopes ranging from 2to 8 percent. Three
Csoil borings were performed. The attached site map shows the location of the soil borings that were completed. The soils all classify in the Fairview soil series- 2-8 percent slopes, eroded. Taxonomic class:
Fine, kaolinitic, mesic, Typic Kanhapludults. Following is a representative description of the soils in this
field:
Fairview sandy clay loam, 2 to 8 percent slopes, eroded:
Ap: 0-7 inches: strong brown (7.5YR 4/6) sandy clay loam; moderate fine granular structure; friable;
Cslightly sticky, non- plastic; common fine roots; 10% coarse fragments 1-3 inches in size; abrupt smooth
boundary.
BA: 7-10 inches: yellowish red (5YR 5/6) clay loam; moderate fine subangular blocky structure; friable;
slightly sticky, non- plastic; common fine roots; 5-10% coarse fragments; clear smooth boundary.
C_ Bt1:10-32 inches: red (2.5YR 4/8) clay; moderate medium subangular blocky structure; firm; moderately
sticky; moderately plastic; few fine roots; common clay films on ped faces; gradual wavy boundary.
BCt: 32-38 inches: mixed pockets of red (2.5YR 4/8) clay loam (80%) and weathered parent material of
mica schist (20%) which breaks into sandy clay loam and is mottled in shades of yellowish red and

reddish brown; weak coarse subangular blocky structure; 20% saprolite with mica flakes; moderately
sticky; moderately plastic; gradual irregular boundary.
C: 38-86 inches: weathered mica schist saprolite that crushes to sandy clay loam and loam; variegated
colors with matrix of yellowish red (5YR 5/6) but otherwise no consistent color pattern- colors include
phases of yellowish brown, reddish brown, light gray, and dark gray. Where quartz crystals exist, colors
include white and clear. The saprolite is soft and not cemented, few Bt clay lenses isolated in C horizon;
friable; massive.
[Soil description completed by Karl A. Shaffer, L.S.S. —June 30, 2010]
The following table gives the characteristics at each boring.
Soil boring
number
Soil Name
Depth to seasonal
high water table
Depth to
saprolite (C)
Depth to
bedrock
Landscape
position &
slope (%)
7
Fairview
>40 inches
>40 inches
>40 inches
Sideslope -4
8
Fairview
>86 inches
38 inches
>86 inches
Sideslope -4-5
9
Fairview
>50 inches
40 inches
>50 inches
Sideslope -4
TOTAL AREA- FIELD DP2: 5.02 acres

S
L-55-
Soil Description Sheet
n Date
Project Name re) County
Soil Description by:
Field No. 12 !� I Boring No. (with lat and long)
Sloe Vegetation -(�ts7��E Landscape
Other relevant information 'Sill-;��--'/ 7,. --ti If,
7
Horizon
Depth
Texture
Matrix
Mottles
Structure
Consistence
Internal
Other (restrictive horizons, coarse
(inches)
Color
(grade, size, type)
Drainage
fragments, etc.)
Ap
5Y9 5/76
CLL
A
5",
_70
J
C7,
V
o4l
Z0- D7
51--7 .5p
A
:;q ---�
Depth to seasonal wetness �
Most restrictive horizon (for Ksat)
/4
Other comments S'u;.! -'Y ,
ZA --�A6 ON
M
Type of water table—,A,/A

rl L
�I i�.f � , t .�-d �. I`;.� I ��'7 �? � ��/tt�"(., f 'f-° � [� U ��r � ��.-'�-•t r-� r �_- �1 �v
Soil Description Sheet Date f '�
Project Name 80; We,-5 - �� �.�;� Count ���' !d�
Y Soil Description by:
Field No. D P Boring No. (with lat and long)
Vegetation C o kvt -,31'la,5te Landscape position 51 de"16 4e Slope �' o
Other relevant informatio
Horizon
Depth
Texture
Matrix
Mottles
Structure
Consistence
Internal
Other (restrictive horizons, coarse
(inches)
Color
(grade, size, type)
Drainage
fragments, etc.)
4 P
Q--
SCL
7� 5YM
•�r
f
`
� F
C
2. 5
--
2 w, SEE
ff
_
pp f�+ gg
( %�
r
5,? irk
s
p
3
�SCL
/
!
!
� � �Sips �!
!/ � (.,,F
9 L.•n�a'i_ � � .�� i �C[f n �'L�g7� �i i'�
el
a Jf I; S
Depth to seasonal wetness_
Most restrictive horizon (for
Other comments 5 u;
;L A-F s 6 0 (4. � Z
e.o'Q6 Eb 0
56,
Type of water table N A
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This entire field, minus required setbacks from property lines, is suitable for land application of
residuals/blosolpds. All soils classify as Fairview clay loom, 2 to 8 percent slopes, eroded
This is a stripped corn silage/fescue hay field with a gentle ridge and sideslopes- slopes ranging from 2 to
6 percent. Four soil borings were performed. The attached site map shows the location of the soil
borings that were completed. The soils all classify in the Fairview soil series- sandy clay loam - 2-8
percent slopes, eroded. Taxonomic class: Fine, kaolinitic, mesic, Typic Kanhapiudults. Following is a
representative description of the soils in this field:
Fairview clay loam, 2 to 8 percent slopes, eroded:
-- Ap: 0 — 5 inches: brown (7.5YR 5/4) sandy clay loam; moderate fine granular structure; friable; slightly
sticky, slightly plastic; common fine roots; 5% coarse fragments; abrupt smooth boundary.
8t1: 5-10 inches: yellowish red (5YR 5/6) clay loam; moderate fine subangular blocky structure; friable;
slightly sticky; slightly plastic; few fine roots; clear smooth boundary.
Bt2: '10-24 inches: red (2.5YR 4/8) clay; moderate medium subangular blocky structure; firm; moderately
sticky; moderately plastic; few fine roots; common clay films on ped faces; gradual wavy boundary.
Bt3: 24-32 inches: red (2.5YR 4/8) clay; moderate medium subangular blocky structure; firm; moderately
Csticky; moderately plastic; few fine roots; common clay films on ped faces; common mica flakes; gradual
wavy boundary.
6C: 32-40 inches; red (2.5YR 4/8) clay (80%) and with pockets of yellosih brown (10YR 6/8) clay loam
weathered parent material; weak medium and coarse subangular blocky structure;10-15% mica flakes;
moderately sticky; moderately plastic; gradual wavy boundary.
C1: 40-58 inches: weathered mica schist saprolite that crushes to clay loam; variegated colors with no
consistent color pattern- colors include phases of yellowish brown, reddish brown, light gray, and dark
gray. The saprolite is not cemented but easily augered and firm; massive; common mica flakes; irregular
wavy boundary.
C2: 58-69 inches: weathered mica schist saprolite that crushes to sandy clay loam; variegated colors
L with no consistent color pattern- colors include phases of yellowish brown, reddish brown, light gray,
and dark gray. The saprolite is not cemented but easily augered and firm, yet maintains a rock-
Ccontrolled visual structure; massive; friable; common mica flakes; irregular wavy boundary.
Cr: 69 inches: medium hard cherty micaceous schist that constitutes auger refusal.
[Soil description completed by Karl A. Shaffer, L.S.S. —June 30, 2010]
�yX•.N'�'�qz"" _ ���.,1. +;rye

The following table gives the characteristics at each boring.
Soil boring
number
Soil Name
Depth to seasonal
high water table
Depth to
saprolite (C)
Depth to
bedrock
Landscape
position &
slope (%)
9
Fairview
>56 inches
40 inches
>56 inches
Sideslope -4
10
Fairview
>48 inches
>48 inches
>48 inches
I Sideslope -6
11
Fairview
>69 inches
40 inches
69 inches A
Sideslope -5
18
Fairview
>36 inches
>36 inches
>36 inches ISideslope
-6
TOTAL AREA- FIELD DP3: 12.86 acres
FIELDS ®P4, ®P5, ®P6, ®P7
These fields are one common soil and crop type. It was segregated for purpose of soil fertility
sampling. The entire area, minus required setbacks from surface waters, property lines, and minus
areas buffered for slopes exceeding 10 percent, is suitable for land application of residuals/biosolids.
All soils classify as Fairview clay loam, 2 to 8 percent slopes, eroded.
This is a fescue pasture with a gentle ridge and sideslopes- slopes ranging from 2 to 10 percent. Seven
soil borings were performed. The attached site map shows the location of the soil borings that were
completed. The soils all classify in the Fairview soil series- 2-8 percent slopes, eroded. Taxonomic class:
Fine, kaolinitic, mesic, Typic Kanhapludults. Following is a representative description of the soils in this
- field:
Fairview sandy clay loam, 2 to 8 percent slopes, eroded:
Ap: 0 — 4 inches: brown (7.5YR 5/4) sandy clay loam; moderate fine granular structure; friable; slightly
sticky, slightly plastic; common fine roots; abrupt smooth boundary.
Bt1: 4-16 inches: red (2.5YR 4/8) clay; moderate medium subangular blocky structure; firm; moderately
sticky, moderately plastic; few fine roots; common clay films on ped faces; gradual wavy boundary.
Bt2: 16-24 inches: red (2.5YR 4/8) clay; moderate medium subangular blocky structure; firm; moderately
sticky; moderately plastic; few fine roots; common clay films on ped faces; 20% coarse fragments
(gravels) ;gradual wavy boundary.
BC: 24-36 inches: mixed pockets of red (2.5YR 4/8) and yellowish red (5YR 5/6) clay loam; weak medium
subangular blocky structure; 10-15% mica flakes; 10% coarse fragments; moderately sticky; slightly
plastic; gradual wavy boundary.
C: 36-72 inches: weathered mica schist saprolite that crushes to loam; variegated colors with no
consistent color pattern- colors include phases of yellowish brown, red, reddish brown, light gray, and
yellowish red. Saprolite is not cemented.
Auger refusal — 72 inches. Cannot tell if Cr horizon or a floater gravel.
[Soil description completed by Karl A. Shaffer, L.S.S. —June 30, 2010]

The following table gives the characteristics at each boring.
Soil boring
number
Soil Name
Depth to seasonal
high water table
Depth to
saprolite (C)
Depth to
bedrock
Landscape
position &
slope (%)
12
Fairview
>40 inches
>40 inches
>40 inches
Ridge -2
13
Fairview
>48 inches
34 inches
>48 inches
Sideslope -6
14
Fairview
>40 inches
38 inches
>40 inches
Sideslope -8
15
Fairview
>72 inches
36 inches
72 ?? inches
Sideslope -7
16
Fairview
>36 inches
32 inches
>36 inches
Sideslope -6
17
Fairview
>48 inches
Winches
>48 inches
Sideslope -4
19
Fairview
>40 inches
27 inches
>40 inches
Sideslope -6
TOTAL AREA- FIELD DP4:
6.80 acres
TOTAL AREA- FIELD DPI:
11.82 acres
TOTAL AREA- FIELD DPI:
3.97 acres
TOTAL AREA- FIELD DPI:
3.34 acres
TOTAL AREA- THIS SECTION: 25.93 acres
TOTAL CLEARED, BUFFERED FARM ACREAGE FOR RESIDUALS APPLICATION:
16.01 + 5.02 + 12.86 + 25.93 = 59.82

S-
rr"; V
So R Des ciption, Sheet Date
0 Uer Co
Project Name 50 a oo 80,1 unty Soil Descriptio by: Cap
Field INT6. �Borin lat and long No. (with
T —11s
%Axp, F%ha xxu
Other relevant information
Horizon
Depth.
Texture
I&trix
Mottles
Stnicture
cbmistence
Interim
Other (restriedve horizons, coarse
(imhes)
Color
(grade, size, type)
Drainage
bra emits, etc.)
10-5
-Lr-
05.
2- W-3
-7
rr'J
3 2
it
A
I&u-
P,
P4- 32
C
41�
C" e-
I <71 7 41
ro cAra
C Z
5ct-
!to Y9 Olt ell
X/t
Iled 5:
Cr
16q
U%'5
Depth to seasonal. wetness _7 Type of iNrater table
M, strestriaivehorizoo 'LDF!C?I
Other comments 'O'er ;/,z -tb-
0
"I'll, iDO9
00-�
Z'A

7_" 7" -77'V Sri 7-71 77 77 7-7 7---j 1
SUS /C' a�'�, � eI4IV Ail e. I /' -�
Soil Description Sheet`'`
-' Date
Pro ect Na Sa `,� ,, t , . .-;' _ '. f,
j me =� �. Fi: County ` = Soil Description by:
Field No. 5 Boring No. (with lat and long) -5 36,1110 145 f go o 5c , - -q11
Vegetation , ,; f r 11 nS i-e Landscape position S' Slope 7 'p2p
Other relevant information
Horizon
Depth
Texture
Matrix
Mottles
Structure
Consistence
Internal
Other (restrictive horizons, coarse
(inches)
Color
(grade, size, type)
Drainage
fragments, etc.)
3cl-
Z41-
-
Wf
?
-72
(J
7Z
i-
U
y✓.�
1: {
Depth to seasonal wetness > -72 "/
Most restrictive horizon (for Ksat),
Other comments -T41lr°""L7i4
Type of water table 1\1,4

F
I
I
a
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is
PROJECT EVALUATION AND SITE MANAGEMENT PLAN
As shown at the end of the field summaries, a total of 59.82 acres is suitable for residuals application.
All fields currently exist in established fescue pasture, fescue hay, or corn silage. Crop health is
adequate. Addition of residuals must be monitored such that the known application rates of nitrogen,
phosphate, potash, and lime equivalent are taken into account with respect to the soil test
recommendations, or the RYE limit as given from the nutrient management tables. The permanent
hay/pasture supplies adequate erosion control for those fields, however, judgment must be applied
when applying liquid biosolids to fields where slopes exceed 6 percent as runoff may occur. The corn
silage is either planted in strips or is on gently sloping land with plenty of vegetative cover downslope
such that residuals loss from the row -crop corn silage land poses little concern.
All fields have the soil type of Fairview clay loam, 2 to 8 percent slopes, eroded. Some of the fields that
are included for residuals application have slopes up to 10 percent, and thus are in the Fairview C class
slope phase with slopes of 8 to 15 percent. 2T rules require the use of nutrient management RYE
guidance when defining application rates of residuals.
The nutrient management tables are shown in a previous section. The soil test results are applicable for
all nutrients, and lime, EXCEPT NITROGEN. For nitrogen loading, the following applies:
1) For fescue hay, a maximum of 194 pounds per acre of nitrogen maybe applied. Reduce this rate
by 25% (to 145 Ibs N/acre) where fields are grazed. You should also monitor additional nutrient
sources that may be used such as starter fertilizer or other organic amendments. The rate of 194
Ibs N/acre and 145 Ibs N/acre grazed is the maximum that should be applied from ALL nutrient
sources.
2) For corn silage, a maximum of 214 pounds per acre of nitrogen may be applied. You should also
monitor additional nutrient sources that may be used such as starter fertilizer or other organic
amendments. The rate of 214 Ibs N/acre is the maximum that should be applied from ALL
nutrient sources.
The soil test results are on the following page. For each field, either a minimal amount or no potash is
recommended. I have not seen the waste analysis but it is likely that the potash requirement will be met
by applying the material at a N-based rate. None of the fields require phosphorus. Even though some
supplemental P will likely be added with the residuals, no additional commercial P should be added. The
soil test P indexes are all high or very high. However, with adequate erosion control as currently exists, P
losses should not be a concern.
All but field 1 require the addition of lime or a liming agent to raise soil pH. The permit may require this
Camendment before the application of residuals, or at the time of residuals application. If the residuals
are handled in a manner that would render them as a liming source, then the residuals should be tested
for their liming equivalency (also called calcium carbonate equivalency) and applied based on those
jrates. Liming is critical to the soil and crop health, but the soil pH should not be raised too high. Monitor
L lime requirement annually and adjust as required by the permit and agronomic recommendations.
All soil tests are very high in copper and zinc. These levels indicate past addition of other amendments,
likely poultry litter. You should coordinate with the landowner to insure that additional amendments are
monitored and accounted for. There are no soil test regulatory limits for copper and zinc for residuals

NCDA&CS Agronomic Division
Phone: [phone] Web site: www.ncagr.gov/agronomi/
Report No: 00478
Grower:
Poplin, Doug
Copies To:
Shaffer, Karl
oil Test Rport
594 Austin Little Mtn
Ronda, NC 28670
Rd
Key, Zach
SERVING N.C. RESIDENTS FOR OVER 60 YEARS
Farm:
Received: 07/01/2010 Completed: 07/08/2010 Links to Helpful Information
Wilkes County
Agronomist Comments
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year
Lime
N
P205
K20
Mg
S
Cu
Zn
B Mn
See Note
1
1st Crop: Fes/OG/P1m,M
0
120-200
0
0
0
0
0
0
.0 0
12
2nd Crop: Fes/OG/Pim,M
0
120-200
0
0
0
0
0
0
.0 0
13
Test Results
Soil Class HM% W/V
CEC BS% Ac pH P-I K-I
Ca%
Mg%
Mn-1
Mn-AI(1)
Mn-AI(2)
Zn-I Zn-AC
Cu-1
SI
SS-1 NO3-N NH4-N
Na
MIN 0.71 1.03
11.7 86.0 1.6 5.9 206 158
59.0
21.0
122
92
92
861
861
1070
41
0.1
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year
Lime
N
P205
K20
Mg
S
Cu
Zu
B Mn
See Note
2
1st Crop: Corn,Silage
.8T
180-220
0
0-20
0
0
0
0
.0 0
2nd Crop: Corn,Silage
0
180-220
0
0-20
0
0
0
0
.0 0
Test Results
Soil Class HM% W/V
CEC BS% Ac PH P-I &I
Ca%
Mg'O6
Mn-I
Mn-AI(d)
Mn-AI(2)
Zn I Zn-AI
Cu-I
S-I
SS I NO3 N NH4-N
Na
MIN o.41 1.05
10.5 83.0 1.8 5.5 218 119
56.0
21.0
153
109
109
1089
1089
936
52
0.1
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year
Lime
N
P205
K20
Mg
S
Cu
Zn
B Mn
See Note
3
1st Crop: Corn,Silage
1.3T
180-220
0
10-30
0
0
0
0
.0 0
i
2nd Crop: Corn,Silage
0
180=220
0
10-30
0
0
0
0
.0 0
i
Test Results
Soil Class HM% W/V
CEC BS% Ac pH P-I K I
Ca%
Mg%
Mn-1
Mn-AI(1)
Mn-AI(2)
Zn-I Zn-AI
Cu-1
S I
SS-1 NO3 N NH4-N
Na
MIN 0.32 1.10
7.2 72.0 2.0 5.0 109 100
47.0
18.0
146
105
105
549
549
283
61
0.1
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year
Lime
N
P205
K20
Mg
S
Cu
Zu
B Mn
See Note
4
1st Crop: Fes/OG/Tim,M
.8T
120-200
0
0-20
0
0
0
0
.0 0
12
2nd Crop: Fes/OG/ Irn,M
0
120-200
0
0-20
0
0
0
0
.0 0
12
Test Results
Soil Class HM% W/V
CEC BS% Ac pH P-I K-I
Ca%
Mg%
Mn-1
Mn-AI(T)
Mn-AI(2)
Zn-I Zn-AI
Cu-1
S I
SS -I NO3 N NH4-N
Na
MIN 0.97 0.91
11.3 82.0 2.0 5.6 100 73
59.0
20.0
152
108
108
1146
1146
767
37
0.1

NCDAKS Agronomic Division
Phone: [phone] Web site: www.neagr.gov/agronomi/
Grower: Poplin, Doug
Report No: 00478
Pg 2
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year
Lime
N
P205
IlzO
Mg
S
Cu
Zn
B Mn
See Note
5
1st Crop: Fes/OG/Pim,M
.9T
120-200
0
0
0
0
0
0
.0 0
12
2nd Crop: Fes/OG/Pim,M
0
120-200
0
0
0
0
0
0
.0 0
12
Test Results
Soil Class IIM% WIV
CEC BS%
Ac pH P-I K-I
Ca%
Mg'16
MO-1
Mn-AI(1)
Mn-AI(2)
Zn-I Zn-AI
Cu-I
S.1
SS I NO3-N NH4-N
Na
MIN 0.71 0.96
10.7 81.0
2.0 5.5 93 95
55.0
22.0
117
87
87
975
975
544
35
0.1
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
No Yr T/A
Crop or Year
Lime
N
P205
K20
Mg
S
Cu
Zn
B Mn
See Note
6
1st Crop: Fes/OG/Tim,M
1.1T
120-200
0
0
0
0
0
0
.0 0
12
2nd Crop: Fes/OG/1'im,M
0
120-200
0
0
0
0
0
0
.0 0
12
Test Results
Soil Class IIM% W/V
CEC BS%
Ac pH P-I K I
Ca%
Mg'06
Mu-1
Mn-AI(1)
Mn-AI(2)
Zn-I Zn AI
Cu-I
S-I
SS- I NO3 N NH4-N
Na
MIN 0.76 0.97
10.8 80.0
2.2 5.4 93 123
53.0
21.0
122
90
90
859
859
508
36
0.1
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year
Lime
N
P205
K20
Mg
S
Cu
Zn
B Mn
See Note
7
1st Crop: Fes/OG/71m,M
1T
120-200
0
10-30
0
0
0
0
.0 0
is
2nd Crop: Fes/OG/rim,M
0
120-200
0
10-30
0
0
0
0
.0 0
i2
Test Results
Soil Class HM% W/V
CEC BS%
Ac pH P-I K-I
Ca%
Mg'-6
Ma-1
Mn-AI(1)
Mn-AI(2)
Zn-I Zn=Ai
Cu-1
S-I
SSI NO3-N NH4-N
Na
MIN 0.51 1.06
9.5 80.0
1.9 5.4 164 63
6o.o
16.o
133
97
97
6o8
608
864
42
0.1
North, Carofina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

and biosolids, but you will have to adhere to lifetime loading limits for your residuals. As a guidance, the
NCDA&CS soil test section recommends a copper and zinc index cutoff at 3,000 for each. This helps
insure no long-range soil and crop issues for most common forage and row crops.
The hay should be cut or grazed using sound agronomic practices. Removal of the crop is required to
insure continued nutrient uptake and removal from the system. If the fescue crop appears damaged or
diseased, soil and plant tissue samples may be used to diagnose the problem. You should not apply
residuals on any fields/crops where plant tissue appears unhealthy or lacks sufficient density to hold the
residuals in place on the field. The application permit will specify the set -out time for grazing animals,
and this must be coordinated with the landowner. Typically, grazing requires 3 or more management
areas: one where the animals are, one where residuals have recently been applied and waiting the set -
out time, and one where residuals are actively being applied.
The sodium levels are all very low. The ESP is a calculated value from the soil test. The following table
shows each field ESP:
Soil test number
Calculated ESP value
1
0.85
2
0.95
3
1.39
4
0.88
5
0.93
6
0.93
7
1.05
ESP levels above 15 generate a level of concern for sodium. None of these fields shows any concern, and
sodium will not be limiting for residuals application. ESP is a parameter that should be calculated
y annually as residuals are applied to help with sodium monitoring.
SUMMARY
All soils and sites as shown in this report are suitable for residuals application. The soils are consistent
and meet all required separations to bedrock and seasonal high water table. Slopes exceeding 10
percent have been flagged out.
I appreciate the opportunity to perform this service for you. Please contact me if you have any
questions.
Sincerely,
i
Karl Shaffer, L.S. .
Shaffer Soil Services, Inc.
Attachments: Invoice
500
Alr

2018
Baxter Healthcare Corporation
2018 Annual Report
Land Application Program
Permit No. WQ0031725
Fl� 7- Q, E U'V 41 =- D
ne Ova , ,
Divisir, 'or Resources
MAR 1 1 2019
Water Ous!lty Ragional Operations

ANNUAI.a LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0031725 County:
Facility Name (as shown on permit):
Land Application Operator:
McDowell
Baxter Healthcare Co
Southern Soil Builders, Inc
Year: _ 2018
rporation
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?'
2 Yes 0 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summarv:
Total number of application fields in the ermit:
10
Total number of fields utilized for land application during the year:
10
Total amount of dry tons applied during the year for all application sites:
167.51
Total number of acres utilizes for land application during the year:
69.6
Fart is - Annual Compiance Statement:
Facility was compliant during calendar year 2018 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. 0 Yes 0 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 (if required) 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) 'File facility did not exceed any of the P011utant Concentration Limits in 15A NCAC 02T .1 105(a) or the P011utant
Loading Rates in 15A NCAC 02T .l 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1 1 1 1 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) 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 Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediatioils.
1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"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 fa , e information, including the
possibility of fines and
imprisonment for knowing violations."
t� 9s"InatUre
_ 7
Permittee Name and Tile (type or print) of Permittee Date
/7 e
2 K4 '/C)
Signatwre of Preparer*
(if different fi•om Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r) and
'_Iti-)QI
Date
Si
re of Land
pplier
Date
(if different fi•om Permittee and Preparer)
15A NCAC 02T. 1102 (26) I)FNR FORM AC'.F (19/,)nnrN

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0031725
Facility Name: Baxter Healthcare Corporation
Residual Source WQ # or
NPDES #:
WWTP Name
Residual Analvsis Data
WQ0031725
Baxter Healthcare Corporation
Laboratory:
1)
2)
3)
4)
5)
Waypoint
Parameter
(mg/kg)
Conc.
Limit
(mQ/kQ)a
Sample or Composite Date
l-4-2018
Percent Solids (%)
NA
13.56
Arsenic
75
4.96
Cadmium
85
2."
Copper
4,300
99
Chromium
NA
81.2.
Lead
840
7.83 .
Mercury
57
0.4
Molybdenum
75
5.43 I
Mickel
420
24 v
Selenium
100
5 V
Zinc
7,500
81.5
Total Phosphorus
NA
13300
TKN
NA
82500'
Ammonia -Nitrogen
NA
7300
Nitrate and Nitrite
NA
23.5
For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure tI1lt- — qualified personnel properly gat„erect 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."
Signaturec6f PrL`�arer
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26) r rnIM rr%nnn M��-

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Baxter Healthcare Corporation Total Dry Tons Applied (Annual):
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas .Poplin Owner: Douglas Poplin Predominant Soil Series:
5.5 Acres Permitted: 5.5 Site #: DP Field #:
Residual Analvsis Data (Heavy Metals anti 'rntal Phne-h.,-- .— ...,_n— of o-
12.09
FcC2
IA
Sample or
C0n1-
posite
Date
1
I/4/18
2
5J
6
7j
8...�
/V VVllua
_9..�
Uau
10�
JLA,4 ' 3"Cf
91
t.ettt ff):
12
-__.
% Solids
13.56
Arsenic
4.96
Cadmium
2
Copper
99
C111-01llll1111
81.2
Lead
7.83
Mercury
0.4 v
Molyb-
denum
5.43 v
Nickel
24
Selenium
5
Zinc
81.5 v
Total
PI1os-
horus
Annnnl I-IPnvv
13300
Mafal
V-1.1
i
A --
Total
App.
Event
1
I
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1 111
1 11•
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1 111
••
1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1 111
•
�
1 111
1 111
1 111
1 111
®®®®�
1 110
1 111
1 111
1 11
1 111
1 111
1 111 I
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1 111 I
••
1 11
1 1
1 111
1 111
0.000
0.000
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
®
0.000
1 111 I
0.0
1 111
®I
®®1 1•
1 111
1 111
1 111
®®
1 111
1 111
1 111
1 111
1 111
1 111
0.0
1 111 I
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.0
1 111 I
®
Total
•
•
I
•
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
1 111
111
1 111
1 111
1 111
1 111
1 Ile
1 111
1 111
0.000
1 111 I
1 111
1 111
1 1
rg
0.022
0.009 1/
0.43 5
0.3571r,
0.034 r/
0.002
0.024
0.106
0.022
0.3581
58.493
-d -1- ---. - - , rvna 1„uhal-eu untier my au-ectlon 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".
Sign use of Land Applies'
1�%5 C
-�- J-
--.._Date ---- -
DENR MRM MFI RF (1?1')nnF\

ANNUAL, METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual): 3.53
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcC2
Acres Used: 1.6 Acres Permitted: 1.6 Site #: DP Field #: 1B _
Residual Analysis Data (Heavv Metals and Total Phnsnhnrnc nse malira °/ Cnrrlc ..eo T2.t,., P. - —+ 441.
Sample or
I
1 2-I
3
4
_J
1 61
7 J
8 j
9-1
—J
11 j
12
Com-
posite
Date
1 /4/ 18
% Solids
13.56
Arsenic
4.96
Cadmiu n
2
Copper
99
Chromium
81.2
Lead
7.83
Mercury
0.4
Molyb-
5.43
denum
Nickel
24
Selenium
5
Zinc
81.5
Total
Phos-
13300
horns
A -- 1
T T _ _ _ _ _ _ 7t
T _ c _ . r.� •
t t r
a TIV=YI5MR.r.I&J. Y. Y. o(:I���i�.iTV47•lY9C
• ,
Event
®
1 1
1 111
111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1 1
1 111
1 1
®
1 11•
1 111
111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1 1
1 111
1 11
•• --
®
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1 1
1 111
1
171fNi11fsli{I
1 °
1111
1 111
1 111
1111
1 111
1111
1 111
1 111
1111
0.000
1 111
1
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1 111
1 1
®
1 11
1 111
0.000 111
111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1 111
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 1.
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 1
1 111
0.000
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
®
1 •1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
1 111
1 •1
Total
•
:
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
•
- -- . - ---� --- .--••, .•,... Y—a p-1-11 cu uuuer my uu•ecnon or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
1 am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Z/d�Applier Date
9
J
�l
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual):
Permit #: WQ003 1725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 3 Acres Permitted: 3 Site #: .DP Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use in
Sample or ? 2� _ y 1 i.4 5� 6 �.
Com-
posite
Date 1 /4/ 18
% Solids 13.56
Arsenic 4.96
Cadmium 2
Copper 99
Chromium 81.2
Lead 7.83
Mercury 0.4
Molyb-
5.43
Nickel 24
Selenium 5
Zinc 81.5
Total
Phos- 13300
horus
Annual Heavv Metal Field Lnadinuc Wnlr„larad
6.65
FcC2
IC
% Solids use Raw Percent #):
Total
Event
'
•
��
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
'
1 11•
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1' '
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1 •1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000 I
- �'
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111 I
1 11
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000 I
1 111
®
0.000
I
®®®®®1 1.
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.00 1 I
KIT,
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000Total I
®
' •
•
1 •
•�.
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000 '
1 111
1 111
12!
0
w
0.000
0.022
0.000
0.009
✓
0.000
0.439
v
0.000
0.360
v
0.000
0.035
✓
0.000
0.002
✓
0.000
0.024
0.000
0.106
0.000
0.022
0.000
0.361�
0.000 1 58.946
-- ---��' ------ --- -- -.�... rvaL5 In cjim-cu unuer my airection 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".
Signature of Land pplil� er
Date
DFNR FnRnn RAPT czP iioionna,

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Baxter Healthcare Corporation Total Dry Tons Applied (Annual):
WQ0031725 Cation Exchange Capacity (non 503 only):
DoLtglas .Poplin Owner: Douglas Poplin Predominant Soil Series:
9.6 Acres Permitted: 9.6 Site #: DP Field #:
Residual Analvsis Data (Heavy MP4alc and irn+nd pl,-1.,.....- .. n,
19.98
FcC2
ID
Raw Percent #):
11 ,121
Sample or
Con1-
posite
Date
�.!
1/4/18
2
-3J
4
-- --
5 i
-
6
7
,. ,,.b,nb�
8 J
iu ouijun
�9�
uNr
10�
% Solids
13.56
Arsenic
4.96
Cadmium
2
Copper
99
-
011'0111 i L1n1
81.2
-
Lead
7.83
Mercury
0.4
Molyb-
denum
5.43
Nickel
24
Selenium
5
Zinc
81.5
'('otal
P11os-
horus
Anneal
13300
unavx, N4f
+.,1 U.-Ja
T
--- ---- . - -... �.,,..u...�, `,-amul4m 111 ><us/acreJ:
Total 1( 21 3 a I r I
DT/Ac./
App.
Event
Arsenic
Cadnliunl
Copper
-hronliun-
Lead
Mercury
Molyb-
2.08
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11:
1 111
1 111
1 111
1 111
1 Ile
1 111
1 111
1 111
1�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
Nickel
0.100
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Selenium
0.021
0.000
0.000
0.0.00
0.000
0.000
0.000
0.000
0.000
Zinc
Total
P11os-
horus
"I certify,
0.339
55.355
under penalty
0.000
0.000
of
0.000
0.000
law that
0.000
0.000
this d
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
® 1 111 0.000 1 111 0.02
® 1 111 0.000 1 111 0.008
® 1 111 0.000 1 111 1
.4121
® 1 111 0.000 1 111 1
® 1 111 0.000 1 111 1 1
® 1 111 0.000 1 111 1 11
1 111 0.000
1 111 1 1
1 111 1 111 1 111 1 11
1 111 1 111 1 111 1 1
1 111 1 111 1 111 1 •
1 111 1 111 1 111
ocument was pi epared 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".
Signa ire of Lan Applies'
Date
�J
b%
z
nFNR FnRAA RAP[ QP liomnna�
ocument was pi epared 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".
Signa ire of Lan Applies'
Date
�J
b%
z
nFNR FnRAA RAP[ QP liomnna�

ANNUAL, METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Baxter Healthcare Corporation Total Dry Tons Applied (Annual):
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
5.877 Acres Permitted: 5.877 Site #: DP Field #:
Residual Analvsis Data (Heavy Uptale and 'r„+-]
Sample or
C0111-
posite
Date
�a
1/4/18
2
3�
`! j
5 1(
. ,,
6�
.,�....�,
7
�
S
�„ ovi,us
9
use
naw re
% Solids
13.56
Arsenic
4.96
-
Cadnliunl
2
-
Copper
99
-
Chroiniurnl
81.2
-
Lead
7.83
-
Mcrcury
0.4
-
Molyb-
denunl
5.43
Nickel
24
-
Seleniunl
5
Zinc
81.5
"Total
Phos-
horus
Anneal
13300
Maay., N4.+
l] !'..-TA
7 _►_�_
ice_._
-
Total
Event
1
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1� '��
1 .
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
►71fN' ffW' W
1 '
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
-''
1 1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
••
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
Nickel
0.153
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Selenium
0.032
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
7_i11c
0.521
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Total
Phos-
horus
"I certify,
85.040
under penalty
0.000
of
0.000
law that
0.000
this d
0.000
0.000
0.000
0.000
0.000
18.79
FcB2
3-Corn
reent #):
12i
10
11
12
0
cv
0.000
0.000
0.000
0.032
0.000
0.000
0.000
0.013
0.000
0.000
0.000
0.633`f
0.000
0.000
0.000
0.510
0.000
0.000
0.000
0.050
0.000
0.000
0.000
0.003
0.000
0.000
0.000
0.035
0.000
0.000
0.000
0.153`� ,
0.000
0.000
0.000
0.032
0.000
0.000
0.000
0.52 1� E
0.000
0.000
0.000
85.040
ocument "as prepared ❑nder my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
1 am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier ^
Date
I
DENR FORM MFI qF (1w9nnF1

ANNUAL METALS FIEI_,D WADING SUMMARY FORM?
Attach this form to the corresponding Field I,oading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 6.983 Acres Permitted: 6.983 Site #: DP Field #:
25.00
FcB2
3-Grass
Residual Analvsis Data (Heavv Metals and 'T ntal Phnsnhnrns vise ►via/lra °/..Cnl;rle nevi Paxu nnvnn-t 44l-
Sample or
Com-
posite
Date
;
1 /4/ 18
?�
3
? i
_5 1
_6.
7j
8
10
1-1mm
12
% Solids
13.56
Arsenic
4.96
Cadmium
2
Copper
99
Chromium
81.2
Lead
7.83
Mercury
0.4
Molyb-
denum
5.43
Nickel
24
Selenium
5
Zinc
81.5
Total
Phos-
horns
13300
r�uttum ntenvv iviLeLni riexu -uoauinLjs Ik1aleuiaren in inciaerPi�
1 1 .
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 1 �
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1 1
1 111
1 1
•.
1 1•
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1 1
1 111
0.709
®
1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 y
1 1 .
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
•
1 1 •
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1 111
1 1 •
��
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
of
1 1 •
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
0.000
1 111
1 1
®
1 :�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 111
1
•.
' •
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
111
1 111
•
•
... j, ....... t—......T......,., ..a.a, uua utIctuttcut wio In epareu unuer my utrection 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".
Signature of Land Applier
Date
DENR FORIVI MFLSF (12/2006)

ANNUAL, METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 8.7 Acres Permitted: 8.7 Site #: DP Field #:
Residual Analvsis Data (Heavy Metnlc and 'rntal Ph.., .h.,.-..n ... .,.,.n. of c_IL _I_ ____ T, r
24.09
FcB2
4
Sample or-
_
121
3
4j
----
5
-- ----I
1,
-•-- --., •.-,,•,
...b.,,.b,
.v vva.ua
uac
1\aw 1 Gl
l:G1lt tt):
-1._!
J
61
7-
8
9;
10J
11
12
Com-
posite
Date
1/4/18
% Solids
13.56
-
Arsenic
4.96
-
Cadmium
2
Copper
99
-
Chromium
81.2
--
Lead
7.83
--
MerCm•y
0.4
Molyb-
denum
5.43
Nickel
24
Selenium
5
-
Zinc
-
Total
-
Phos-
13300
horus
Anneal T-Teo.,.,
1%4-+..l
V-1A
T
Total
_?
D"T/A c./
App.
Event
2.77
Arsenic
0.027
Cadmium
0.011
Copper
0.548
Chromiffln
0.450
Lead
0.043
Mercury
0.002
Molyb-
-
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
111
fill
1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
111
1 111
0.011.
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
111
1 ;
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1110.000M
1� 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
111
1 111
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
denum
0.030
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.030
Nickel
0.133
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.133
Selenium
0.028
0.000
0.000 .
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.028
Zinc 0.451 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
0.000 0.000 0.451Z
Total
-- - _
Plios- 73.655 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000
0.000 0.000 73.655
horus
13 b�a
"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".
Signature of Land Applier
Date
DENR FORM MFI .F (i?ionnF)

ANNUAL, METALS FIEI,D I.,OADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healtheam Corporation Total Dry Tons Applied (Annual): 35.20
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcC2
Acres Used: 15.9 Acres Permitted: 15.9 Site #: DP Field #: 5
Residual AnnlyQic Mafa fir-Y .., nR F r
Sample or
I
----
2
.--I-
-.� ��•.•�
.•X" A ULM
A ,1wljrlorus
use
Mg/Kg,
'/e Solids
use
Raw Percent
#):
_3 J
4
5._1
6
7
'_$
9 1
12
Com-
posite
Date
% Solids
13.56
--
Arsenic
4.96
-
Cadmium
2
-
Copper
99
Clll'0n11Un1
81.2
-
Lead
7.83
---
Merciuy
0.4
-
Molyb-
denum
5.43
-
Nickel
24
_--
Selenium
5
-.
Zinc
81.5
-
Total
-
Phos-
13300
horus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):Total
-7
--
DT/Ac./ -
1 i
2�
3
51
6
7 8J 91 10 11 12
App,
y
o
Event
2.21
iv
y
Arsenic
Cadm;W,01
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0,022
Cop
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Chro
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.438
Lead
.
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.360
Mercury
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0,000
0.000
0.035
Molyb-
0.000
0.000
0.002
denum
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Nickel
Selenium
0.106
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.106
Zinc
0.361
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0. 222
Total
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.361ti
Phos- 58.892
horus
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 58.892
"I certify, under penalty of law, that this document was nrnnararl --I- ,.... a..__-.c
ision in accoraance
with a system designed to assure that qualified personnel properly gathered and evaluated the Vinformation submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
%r
Signa--ptuie �ofL'and Applies ------------�-
Date
I
nFNR FnRnn RAM Q� tiolo ,moan

ANNUAL, METALS FIELD LOADING SUMMARY .FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 5.5 Acres Permitted: 5.5 Site #: DP Field #:
12.31
FcC2
6
>Resruuar
Sample or
com-
posite
Date
Anaiysis
.._.� i
114 118
uata
?
(H.Ieavy
Metals and Total
Phosphorus
6_
7
use mg/kg,
_8�
°/, Solids
9J
use
10
Raw Percent
1
#):
1�
% Solids
13.56
--
Arsenic
4.96
-
CadllliL1111
2
-
Copper
99
CI11'01111u111
81.2
--
Lead
7.83
--
Mercury
0.4
-
Molyb-
denum
5.43
-
Nickel
24
-
Seleniu111
5
Zinc
81.5
-
Total
Phos-
h0rus
13300
-
"-
Annual
Heavy
Metal Field
Loadings
(Calculated
in lbs/acre):
Totaln�2.24
App.
Event
3Jn15
6
7
9l
�
12'DT/Ac.[_�j
H
o
�
Arsenic
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
Cadmium
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Copper-
0.443
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.443
Chromium
Lead
Mercury
Molyb-
dEll11111
0.364
0.035
0.002
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
-
0.000
0.000
0.000
0.000
0.000
0.364;�
0.035
0.002
0.024
Nickel
SeleniL1111
0.107
0.0 22
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
--
0.000
0.000
0.107� a
0.022
Zinc
0.365
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.365
Total
Pllos-
horns
"I certify,
59.557
under penalty
0.000
of
0.000
law. that
0.000 0.000
this dnrnm,-nt "lao
0.000
.,
0.000
a ..a,._.
0.000
-
0.000
0.000
_._...
0.000
--
0.000
59.557
ision in accoruance
with a system designed to assure that qualified personnel properly gathered and evaluated,puj the vinlfor�mation submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature A�alier -
pp
Date
i
DFNR FnRnn NAP1 cP liomnnaN

ANNUAL, METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual):
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 4.4 Acres Permitted: d.4 Site #: DP Field #:
Residual Analvsis Data (Heave Metnla and ph-h,,. - ..-- n, n-.• ,
9.85
FcC2
7
Sample or
Co111-
posite
Date
?_I
1 /4/ 1 g
2
4
5 1
6
7J
-8
9'
_
10
11 ?
12
% Solids
13.56
-
Arsenic
4.96
--
Cadmium
2
Copper
99
-
Chro111iun1
81.2
-
Lead
7.83
-
Mercury
0.4
denum
5.43)
Molyb-
Nickel
24
-
Selelliuln
5
-
Zinc
81.5
-
Tota I
Phos-
1101•LIS
Annnnl TTPay.,
13300
Mo+.l
Ti';�,1�1
T .a:._._
ir_,--_,-.
-
-�
Total
DT/Ac./
App.
Event
2.24
4
5
all
6
7
8
9'
10
11
-
✓
t✓
121
i
Arsenic
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
Cad111iu111
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Copper
0.443
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.443
0.364
0.035
111•0Ill iuIll
0.364
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Lead
0.035
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Mercul•y
Molyb-
denu111
0.002
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
_
0.000
0.002
0.000
0.000
0.000
0.024
Nickel
0.107
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.107
Selelliunl
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
Zinc
0.365
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.365
Total
----
�,✓
Pllos-
59.557
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
59.557
horns
"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".
Signature of Land Applier
Date
DENR FORM MFI-SF (191gnnm

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" 1N A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit #• WQ0031725 Field #• 1A Acres Utilized: 5.5 V*'
Land Owner: Douglas Poplin Annual Dry Tons Applied: 12.0971 ✓ Site #• DP Acres Permitted: 5.5
Operator: Douglas Poplin Predominant Soil Series: FcC2 Cation Exchange Capacity (non 503):
Crop l Name: Fescue Crop 1 Max. PAN: 158 ✓ Crop 2 Name: Crop 2 Max. PAN:
=
a) c
0
Volume applied
PP
(enter one) Solids/
Li Liquid
9
Cu. Yds Gallons
a/o
Solids
Volume
A lied er
PP P
Acre
'Dry Tens/Ac)
Residual Sources
(NPDES #_ WQ#,
Fert., Animal
Waste. etc)
Soil
Cord.
(Dry.
Wet.
Moist)
Precip.
Past 24
Hrs.
inches
D
K -a
-
- o'
o m
o
R
_
�, -
N'
-
ti
9 R
* N
C
�
TKN
m /k
9 9
z D
a
d
ao g
CD
m /k
9 9
Nitrate
and
Nitrite
m /k
9 9
PAN Applied
( Ibs/acre)
Name of Crop Type
Receiving Residual
Application
PP
Crop 1
P
Crop 2
P-
Crop 1
P
Crop 2
P-
9-2018
57.37
13.56
1..191
W00031725
dry
0
s ✓
0.5 �/
0.3 ✓
82500
7300
23.5
62.498V
NA
Fescue
10-2018
48.56
13.56
1:008 •
W00031725
dry
0
s
0.5
0.3
82500
7300
23.5
52.904
NA
Fesuce .
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
o:000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
105.93
o
As
Cd
Cu
Cr
Pb
Fig
Mo
Ni
Se
Zn
P_
] u_399
0.000
Lime Applied
Annual
lbs/acre
0.022 V
0.009 V
0.435,
0.357
0.034
0.002
0.024
0.106'
0.022
0.358r
A.40,_J
V
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.138 0.042 2.359 1.5 0.208 0.007 0.1 0.537 /0.084' 4.149
0.160 0.051 2.79411 1.857 0.242 0.009 0.124 0.643V 0.106 4.507
36 ,/ 34 V 1338 1 NA 267 < 15 NA 374 89 2498
158
0
Current Cumulative Ibs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Crop
i certtiy, under penairy or taw, tnat tnis aocument was prepared under my direction or supervision in accordance with a system designed to assure that
uualified personnel p-rODerly gathered and evaluated the i.nforma.tion submitted, i am aware that thPra are cianifirant nanaitine fnr �,ivhmirtin false
b_.__._ .., t....._.� - g .
information, including the possibility of fines and imprisonment for knowing violations."
' *Application Method: S - Surface, IN - Injection, INC - Incorporation
.24tC) **Volatilization Rate: Surface- 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop I Name: Fescue
WQ Permit #: WQ0031725 Field #: 1B
Annual Dry Tons Applied: 3.5333 Site #• DP
Predominant Soil Series: FCC2�
Crop I Max. PAN: 158 Cron 2 Nnme-
Acres Utilized: 1.6 ✓
Acres Permitted: 1.6
Cation Exchange Capacity (non 503):
o t
o
CZ 7
C]
0-2018
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
30.94
o
/o
Solids
13.56
Volume
Applied per
Acre
Dry Tons/Ac)
2.211
Residual Sources
(NPDES #. WQ#.
Fert.. Animal
Waste. etc)
WQ0031725
Soil
Cond.
(Dry'
Wet,
Moist)
dry
Precip.
Past 24
Hrs.
inches
0
D
T
o T
-•
o
s
<
P
N
0.5
?
-
7 CD
`-
x w
o
0.3
TKN
mg/kg
82500
z ?
o
�,
mgtkg
7300
Nitrate
and
Nitrite
mg/kg
23.5
,
PAN Applied
(]bs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1)Crop
2
Crop 1
Crop 2
115.864
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
omo
0.000
0.000
o.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0-000
0.000
0.000
o-oo0
TOTALS:
Annual
30.94101
lbs/acre
As
0.022 ✓
Residuals Applications totals on FORM FSF supp ( attach FORM
Cd I Cu Cr I Pb I Ha Mo Ni I
0.009 0.437r 0.359 0.035 v 0.002 , - 0.024v" 0.106
FSF supp to this form):
Se Zn - -P--_
0.022 0.360 58.733
/115.864 0.000
Lime Applied
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.136 0.04 1 2.218 1.375 0.192 0.007 0.094 0.497 0.081 3.833
0.158 ✓ 0.049 2.655 1.734 0.227 0.009" 0.118 0.603 0.103V 4.193
36 34 1338 NA 267 15 NA 374 89 2498
158
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
t----
_ t........., ,, «,u< <,,,a uU%_U11,C11, rva, p, epareu unaer my atrection or supervision in accordance with a system designed to assure that
mation submitted. 1 am aware that there are significante_
penalties for submitting fals
qualified personnel properly gathered and evaluated the infor
information, including the possibility of tines and imprisonment for knowing violations."
r
1 Z:, 1/�� [-lS-aoic,
Signature of Land Applier Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*'* Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit #: W 0031725 Field # 1/ Q - 1C Acres Utilized: 3
Land Owner: Douglas Poplin Anneal Dry Tons Applied: 6-6486 Site #
DP Acres Permitted: 3
Operator: Douglas Poplin Predominant Soil Series: FcC2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 158 IJ Crop 2 Name: Crop 2 Max. PAN:
Volume applied V Soil .
o Y olume
(enter one) Solids/ u
c /o Applied per
Residual Sources Precip. D
Cond. K -o
(NPDES #, WQ#, Past 24
o � z D Nitrate Name of Crop Type
L Z ? PAN Applied
(Z O Liquid Solids Acre
r�
(Dry. -
Fert.. Animal Hrs. 2
_ a: TKN and 1bs/acre Receiving Residual
( )
Cu. Yds Gallons
Wet, T
Waste. etc) x o
� X. F CD �. Nitrite
J Application
x
(DryTons/Ac)
12-2018 58.22 13.56 2.216
Moist) ;aches
WQ0031725
o mglkg mg/kg mglkg Crop 1 rop 2 Crop 1 Crop 2
dry 0 s
0.5 0.3 82500 7300 23.5 116.278 NA Fescue
0.000
0.000 0.000
0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.00
0.000 0.000
0.000
0.000 0.000
o.000
0.000 0.000
o.000
0.000 0.000
0.000 0.000
Residuals Applications totals on FORM FSF supp ( attach FORMFSF supp to this form):
POTALS1 58.221 01 1 As
Annual lbs/acre
Cd I Cu I Cr Pb I Hg
Mo Ni I Se I Zn �P-� 116278 0.000 Lime Applied
0.022. v
'rior Years Cumulative ]bs/ac
0.009 0.439" 0.360 0.035 0.002
0.024 0.106 0.022 ` 0.36 1f 58.946/ Date lbs/ac
0.71.7
0.054 2-889 ].75 0.243 U.009
0. ] 18 0.638 0.1 5 247 '�� 0
-urrenT Cumulative lbs/ac 0.739 ✓
0.063 3.328 2.1 ]0 0.011
0.142 0.638 0.122ermitted
C- P. L. R.**** 36
34 1338 NA 15
E%tt
NA 89 2498
'ermit PAN Limit 1st/2nd Crop
158
`l certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
lualified personnel properly gathered and evaluated
the information
to assure that
nformation, including the possibility of fines
submitted. i
and imprisonment for
am aware that there are significant penalties for subna trip L-Ne
knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization
Rate: Surface- 0.5, Injection/Incorporation - 1.0
Signature of Land Applier
Date
Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE
Facility Name: Baxter Healthcare WQ Permit #• WQ0031725 Field #- 1D
Acres Utilized: 9.6
Land Owner: Douglas Poplin Annual Dry Tons Applied: 19.9802 Site #:
DP Acres Permitted: 9.6
Operator: Douglas Poplin Predominant Soil Series: FcC2!
Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Cron t Ma,r PANT. 1 SR
Volume applied
`o r (enter one) Solids/ %
Q Liquid Solids
Cu. Yds Gallons
11-2018 174.96 13.56
Volume
Applied per
Acre
,
DyTons/Ac,
2.081 t/
"' �Y ....,. • t-rop
Soil
Residual Sources Precip. D o z ? Nitrate
(NPDES #, WQ#, Cond. past 24 � %� X
(Dry. = = _ F a TKN Oo o and
Fert., Animal Hrs. o o N y.
Waste, etc)Wet' x N �` Nitrite
Moist inches m g/kg mg/kg mg/kg
WQ0031725 dry 0 s 0.5 0.3 82500 7300 23.5
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
Cd 1, Cu Cr I Pb I Ha I Mo I Ni I Se 1, Zn P
0.008 0-412✓ 0.338 0.033 0.002 0.023 0.100, 0.021 0.339-/ 55.355
0.039 2.194 1.378 0.214 0.005 0.092 0.48 0.066 3.633
0.047 2.606, 1.716 0.247 0.007 0.115, 0.580� 0.087 3.972
34 1338 NA 267 15 NA 374 89 2498
L Max.
PAN:
PAN Applied
(]bs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
rop 2
Crop 1
Crop 2
109.198
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
-OTALS: 174.96 o As
annual lbs/acre 0.021 ✓
109.198
0.000
Lime Applied
Date
lbs/ac
'rior Years Cumulative lbs/ac 0.135•
urrent Cumulative lbs/ac 0.156
'ermitted C. P. L. R.**** 36
'ermit PAN Limit 1 st/2nd Crop
0
I certify, under penalty of law_ that this rl„g,,,,,o„+...,�
158
- ---- r r- ---- --y ,.,, ULL,V„ Ur- supervision to accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. 1 am aware that there are signi ;cant penalties for submitting fa]sP
uiiri,7ation, including the possibility of lines and imprisonment for knowing violations.,,
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
- ls**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH
FIELD APPLIED ON
' 1
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
WQ Permit #: WQ0031725 Field #: 3-Corn
Acres Utilized: 5.877
Land Owner: Douglas Poplin
Annual Dry Tons Applied: 18.7845 Site #• DP
Acres Permitted- 5.877
Operator: Douglas Poplin
Predominant Soil Series: Fc132 �%YyJ U% Cation Exchange Capacity (non 503):
�Q1 ,
Crop 1 Name: Corn
("Ynn t M- PA V. ')I A
- - -r - ••--- • - , . --• • v .,,up a ivame: Crop 2 Max. PAN:
Volume applied Volume
o s (enter one) Solids/ o
c /o Applied
Soil
Residual Sources Precip. D z ? Nitrate
Cond. K -0 - = rAppliedName of Crop Type
P YP
0 per
I_i Liquid
q Solids Acre
(NPDES #, WQ#, Past 24 a - -
(Dry.
Dry. - �- ry TKN �- o and PAN Receivina Residual
7
Fert.- Animal Hrs. o_ ^'_ �. Nitrite ( lbs/acre)
- Application
Cu. Yds Gallons (p Tcns�Ac)
(Dry ��
Waste, etc) * g
Moist) riches55rig/kg
3-2018 54.64 13.56 1.062
mgikg mg/kg Crop 1 Crop 2 Crop 1 Crop 2
WQ0031725 dry 0 Inc
4-2018 109.85 13.56 2.135
1 0.3 82500 7300 23.5 63.457 NA Co
rn82500
WQ0031725 dry 0 Inc
0.000
] 0.3 7300 23.5 i27.575 NA Corn
0.000
0.000 0.000 -
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
00 0.
0.000 0.000
o.o0o
0.000 0.000
0.000 0-000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF
LOTALS.-r 164.491 01 1 As
supp to this form):
Cd Cu Cr , Pb H Mo Ni Se
Annual lbs/acre 0.032 . ✓
Prior Years Cumulative lbs/ac 0.363
/ Zn �-� 91.03 0.000 Lime Applied
0.013 0.633. 0.519-1 0.050� 0.003 0.035 0.153 0.032 - 0.521 5.040
0.11.3 0.879 4.09 0.546 � Date lbs/ac
Current Cumulative lbs/ac 0.395
0.017 0.236 1.268 0.536 12:b23 10-2018 4000
0-126 1,512 4.609 0.596. 0.020 0.271
Permitted C. P. L. R.**** 36
1.421 0.56,8 v ]3.144
34 1338 NA 2 67
Permit PANT Limit 1st/2nd Crop
15 NA 374 89 2498
214
`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
Iualified personnel properly gathered and evaluated the information submitted. I am aware that there are si„
including the possibility of fines
nificant penalties for submitting falsereformation,
and imprisonment for knowing violations.,,
e
*Application Method: S - Surface, 1N - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0
Signature of Land Applier
Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Date
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE
Facility Name: Baxter Healthcare
Q
WQ Permit #: W 0031725
Q
Field # 3-Grass
Land Owner: Douglas Poplin
Annual Dry Tons Applied: 25.0118
•
Site #: DP
Acres Utilized: 6.983
Operator: Douglas Poplin
Predominant Soil Series: FcB2
Acres Permitted: 6.983
Crop 1 Name:
Fescue
Cation Exchange Capacity (non 503):
Crop V
l Max. PAN: 194
Crop 2 Name:
Crop 2 Max. PAN-
o =
Y c
Volume applied
(enter one) Solids/
/o
Volume
Applied per
pp p
Residual Sources
(NPDES #, WQ#•
Soil
Cond.
Precip.
Past 24
D
C �
<
c
a
D
z �
=
Nitrate
PAN Applied
Name of Crop T
p Type
0
Liquid
Solids
Acre
Fert.. Animal
(Dry.
Hrs.
o
-
h
"
--
TKN
d
`c°
and
/
( lbs/acre)
Receiving Residual
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Wet.
o
�. y
y•
Nitrite
Application
Moist)
inches
o
mg/kg
mg/kg
mg/kg
Crop ]
Crop 2
Crop ]
Crop 2
2-2018
57.07
13.56
0.933 i/
WQ0031725
dr;y
0
3-2018
1 161.95
13 56
2 649
W Onll -
s
0.5
0.3
82500
7300
23.5
48.968
A
Fescue
TOTALS: 219.021 01
Annual Ibs/acre
Prior Years Cumulative Ibs/ac
�urrent Cumulative lbs/ac
?ermitted C. P. L. R.****
72� dry 0 s 0.5 0.3 82500 7300 23.5 138.959 NA Fescue
0.000
0.000
0.000 0.000
0.000 0.000
o.000 0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000 0.000 0-000
0.000 0.000 0.000
0.000 0.000 0.000
0.000 0.000 0.00a
O.000
As
Residuals Applications totals on FORM FSF supp ( attach FORM
Cd Cu Cr Pb HQ I Mo Ni
FSF supp to this form):
0.000
0.000
Se
0.036
Zn
0.584 ;
,--P , ' 187.927 . 0.000
95.228 j
Lime Applied
Date Ibs/ac .
U.036 ✓
0.014
0.117
0.581 O.o56� 0.003
0.536 0.017
0.039
0.172
0.351
0.242
1.248
0.545'
] 2.584-
0
0.387
0.131
0.592 0.020
E76
0.281✓
1.420
0.581
13.]68
36
34
13384NA
267 15
NA
�74 89 2498
'ermit PAN Limit 1st/2nd Crop
194
`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
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant Denalties for submitting f?lse
r,forma'tion, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
•d (-IL 7`iC) **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** !Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit #: W 0031725 Field # ✓
Q - 4 Acres Utilized: 8,7
Land Owner: Douglas Poplin Annual Dry Tons Applied: 24.0925 Site #: IMP Acres Permitted: 8.7
Operator: Douglas Poplin Predominant Soil Series: F¢B2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
o -
Volume applied
Volume
Residual Sources
Soil
Precip.
D
<
_
z
Nitrate
0 c
(enter one) Solids/
o
/o
Applied per
(NPDES #, WQ#,
Cond.
Past 24
K
ro
-
C°
TKN
T
o
PAN Applied
Q
Liquid
Solids
Acre
Fert., Anima]
(Dry,
Hrs.
-
o
F _
W
(M o
�
and
Nitrite
( lbs/acre)
Cu. Yds Gallons
D Tors/Ac
ry )
Waste, etc)
Wet.
o
o
p 2
Moist)
inches
o
mg/kg
mg/kg
mg/kg
5-2018
137.53
.56
1.805
WQ0031725
dry
0
82500
7300
23.5
W50.57NA
A
6-2018
73.44
]3.56
0.964 %/
WQ0031725
dry
0
s
0.5
0.3
82500
7300
23.5
s
0.5
0.3
rOTALSI 210.971 01
Annual Ibs/acre
Prior Years Cumulative lbs/ac
-urrent Cumulative lbs/ac
'ermitted C. P. L. R.****
0.000
0.000
0.000
0.000
0.000
0.000
0.000
o.000
o.000
o.000
Residuals Applications totals on FORM
FSF supp ( attach FORM
FSF supp to this form):
As
0.027
Cd
0.011y
I Cu
0.548.
I Cr
0.450
I Pb I
0.043K(MOQ2Lf.030
Hg
Mo
I Ni
0.133
Se
0.028'
I Zn
/P-,
0.451
73.65'
0.268•
0.083
4-151
2.975
0.377
.
0.
89
/9.08]
9.53236
0295
.999.
3.425
0.420
1.]56
34
1338
NA
2677
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
Name of Crop Type
Receiving Residual
Application
Crop 1 Crop 2
Fescue
Fesuce
145.294.r 0.000 Lime A lied
Date lbs/ac
0
'ermit PAN Limit ]st/2nd Crop
_498
194
`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
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for subnr,itting fa ice
nformation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
V` Y 15 -2iN U **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit #- WQ0031725 Field #- 5 Acres Utilized- 15.9
Land Owner: Douglas Poplin Annual Dry Tons Applied: 35.1972 Site #- DP Acres Permitted- 15.9
Operator: Douglas Poplin Predominant Soil Series: FcC2 Cation Exchange Capacity (non 503):
Crop l Name: Fescue Cron 1 Max. PAN- 158 ✓ Cron 2 Nnmp- r.., 'I "I'l--. n . M-
Y
Ca
6-2018
7-2018
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
81.96
114.77
%
Solids
]3.56
13.56
Volume
A lied er
PP P
Acre
Dry Tons/Ac)
0.589.
0.824
Residual Sources
(NPDES #. WQ#,
Fen., Anima]
Waste, etc)
j
WQ0031725
WQ0031725
Soil
Cond.
(D�-
Wet.
Moist)
dry
dry
Precip.
Past 24
Hrs.
inches
0
0
>
� �
� _
-
0- T
x- -
s
s
<
O
_
-
_
o.
=
0.5
0.5
_
�;
CD "
x- T
x
0.3
0.3
TKN
mg/kg
82500
82500
z y
=
d
'ro
J G.
mg/kg
7300
7300
Nitrate
and
Nitrite
mg/kg
23.5
23.5
,
PAN Applied
(lbs/acre)
Name of Crop Type
P yp
Receiving Residual
Application
Crop ]
rop 2
Crop ]
Crop 2
30-885
NA
Fescue
43.249
/ A
Fesuce
8-2018
111.48
13.56
0.801
WQ0031725
dry
0
s
0.5
0.3
82500
7300
23.5
42.009
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
o.000
0.000
0.000
0.000
0.000
0.000
F01"ALS: 308.21 01
Annual lbs/acre
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
As Cd 1, Cu Cr I Pb I Hg _ Mo I Ni Se Zn -P,_l 116.144 /0.000
0.022 V 0.009 0.438 0.360 0.035 0.002 0.024 ✓ 0.106 V 0.022� 0.361 /58.892
0.235 0.07' 3.778 2.44 0.338 0.012 0.15 , 0.876 0.095 7.776
0.257 ✓ 0.079 4.216 2.800 0.373 0.014 0.174 1/ 0.982V 0.117 ✓ 8.137
36 34 1338 NA 267 15 NA 374 89 2498
158
Lime Applied
Date
lbs/ac
10-2018
2000
?ermined C. P. L. R.****
'ermit PAN Limit Ist/2nd Crop
- --- -- , - - �• r•-_•, �_ ...u....., UV%-U111C11L was prepareu unaer my airection or supervision in accordance with a system designed to assure that
jualified personnel properly gathered and evaluated the information submitted. 1 am aware that there are significant penalties for s» mittina faicn
n ormation, including the possibility of fines and i- -risonme=n=t for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
/ �IS'�c1Gj **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE
Facility Name: Baxter Healthcare WQ Permit #• W0003172S Field #• ( Acres Utilized: V-
zed: 5.5
Land Owner: Douglas Poplin Annual Dry Tons Applied: 12.3129 '
Site #: DP Acres Permitted: 5.5
Operator: Douglas Poplin Predominant Soil Series: FcC2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 lMca PAN 158 ,/
•
Crop
2 Name:
Crop 2 Max. PAN:
o Y
Volume applied
Volume
Residual Sources
Soil
Precip.
D
o
Z D
Nitrate
Y =
(enter one) Solids/
%
Applied per
(NPDES #, WQ#,
Cond.
Past 24
K �
" ry
= -3
PAN Applied
Name of Crop Type
Q 3
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
c �•
o
=
ry ,
TKN
o
and
( lbs/acre)
Receiving Residual
`
Cu. Yds Gallons
(DryTons/Ac)
J Waste, etc)
Wet.
inches
�.
= _N
z.
-
�° �-�
Nitrite
Application
1-2018
89.73
13.56
1.863 V WQ0031725
Moist)
-
c
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
2-2018
18.09
13.56
0.376
WQ0031725
dry
dry
0
0
s
0.5
0.3
82500
7300
23.5
97.751
t NA
Fescue
0.000
s
0.5
0.3
82500
7300
23.5
]9.707
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
o.000
0.000
0.000
0.000
0.000
0.000
o.000
-
o.000
o.000
roT
Residuals Applications totals on FORM FSF supp
( attach FORM FSF supp to this form):
0.000
0.000
Al.s: 107.82 o
Annual lbs/acre
As
0.022' ✓
Cd I Cu I
0 009 0 443
Cr I
0 364
Pb I
0 0� -
Ha
Mo
/
Ni
Se
Zn
��
�P ,
117.45�
0.000
Lime Applied
Cumulative lbs/ac 0.327 0.097
�o 0.002 0.024 0.107 0&0169.557! Date Ibs/ac'riorYears
5.373 3.682 0.497
Cumulative lbs/ac 0.349 0.106
0.014 0.207 1.028 0urrent
5.816
.�
C. P. L. R.****3615
4.00.016' 0.23IJ 1.135 00ermitted
'ermiT PAN Limit 1st/2nd Crop
NA 374
158
`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
lualified personnel properly gathered and evaluated the information
nif)rm?tinn inch.:.... +h- . i n_�_ e r
-.•..•.,..
submitted. I am aware that there are significant penalties nalties for submitting false
s rvaa;Um„Ly of fines and imprisonment
for knowing violations."
_ *Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization
Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier
Date "' Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare WQ Permit 4: WQ0031725
Land Owner: Douglas Poplin Annual Dry Tons Applied: 9.8519
Operator: Douglas Poplin Predominant Soil Series: FcC2 %
Crop 1 Name: Fescue
Field #: 7 Acres Utilized
Site #: DP Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: 158 ✓ Crop 2 Name:
Crop 2 Max. PAN:
:
4.4
4.4
,/
Volume applied
Volume
Residual Sources
Soil
Preci P
D
o
K
z D
_
Nitrate
Name of CropType
yP
c
(enter one) Solids/
%
Applied per
PP P
(NPDES #. WQ#.
Cond.
Past _4
� �
rD -
_
TKN
= j
d
and
PAN Applied
Receiving Residual
o
0
Li Liquid
p
Solids
Acre
Fert._ Animal
(Dry,
Hrs.
- �'
o C.
-
'=
-
M g
y
Nitrite
( lbs/acre)
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste_ etc )
Wet,
Moist)
inches
� -•
T
�5
g
mglkg
mg/kg
mg/kg
Crop I
Crop 2
Crop 1
Crop 2
1-2018
86.27
]3.56
2.239NJ
W00031725
dry
0
s
0.5
0.3
82500
7300
23.5
117.477
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
86.271
As
Cd
Cu
Cr
Pb
Htr
Mo
Ni
Se
Zn->?
,
117.477
0.000
Lime Applied
Annual
lbs/acre
0.022
0.009
0.443
0.364
0.035
0.002
0.024
0.107
0.022
0.365
f 59.55,7
✓
Date
lbs/ac
Prior Years Cumulative Ibs/ac
0.267
0.289
36
0.075
0.084
34
4.168
4.61 IV
1338
, 2.74
3.104
NA
0.378
0.413
267
0.013
0.015
15
0.166
0.190
NA
.978
1.085
374
0.109
0.131 V
89
8.312
8.677
2498
10-2018
2000
;Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Crop
158
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designedto assure that
qualified personnel properly gatherers and eYal„ated the inform ion submitted. I am aware that there are significant penalties for submitting false
infnrmatinn_ inrinrding the pnccihilifi of fines and imPr tssonment for knowing, ing, violations."
,� J *Application Method: S - Surface, 1N - Injection, INC - Incorporation
r ��y«j **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
xrx Mineralization Rates: Compost -0.1, anaerobially digested -0.2, Signature of Land Applier Date
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

112ul2u1b
Nutrient Management in North Carolina
Realistic Yields for FCC2: Fairview sandy clay loam, 8 to 15 per<:ent slopes,
moderately eroded in Wilkes County
Realistic
Estimated Phosphorus
Nitrogen
Nitrogen
Removal
Crop
Yield
Factor
Rate (Ibs/acre)
(Ibs P205/acre)
Barley (Grain)
............................................................................................................................................................................................
54 Bushels
...... .................................. .....................................................................................................................................................................................................................
1.49
81
21
Corn (Grain)
........................................................................................................................................................................................
106 Bushels
.
0.92
97
46
Corn (Silage)
16 Tons
10.9
..................................................................................................................................
174
54
Cotton
520 Pounds
0.081
42
15
Sorghum (Silage)
13.6 Tons
7.6
103
41
Oats (Grain)
68 Bushels
1.13
77
17
Peanuts
0 Pounds
0
0
0
Rye (Grain)
40 Bushels
2.01
80
13
Small Grain (Silage)
7.2 Tons
11.1
80
39
Sorghum (Grain)
.......................................................................................................................................................................................................................................................................................................................................................................................................................................:...
40 CWT
1.72
69
30
Soybeans (Double Cropped)
............................................................................................................................................................................................................................................................................................................................................................................................................................................................
27 Bushels
0
0
22
Soybeans (Full Season)
.........................................................................................................................................................................................................................................................................................................................................................................................................................................................
32 Bushels
0
0
26
Soybeans (Double Cropped - Manured)
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................
27 Bushels
3.89
106
22
Soybeans (Full Season - Manured)
...................................................................................................................................................................................................
32 Bushels
. ......................0.074.......................................0........................................................................................................:....................................
3.89
124
26
Tobacco Burle
( Y)
...............................................................................................................................................................................................................................................................................................................................................................................................
0 Pounds
0......................................................
Tobacco (Flue Cured)
...............................................................................................................................................................................................................................................................................................................................................................................................
2080 Pounds
0,029
60
10
Triticale (.Grain)
....................................................................................................................................................................................................................................................................................................
56 Bushels
1.52
85
19
Tropical Corn (Silage)
....................................................................................................................................................................................................I.......
16 Tons
..................................................................................................................................................................................................................................
6.5
.
104
54
Wheat (Grain)
11 ..................................................................................................................................I......................
40 Bushels
2.01
80
20
Bahiagrass (Hay)
2.8 Tons
44
123
32
Caucasion/Old World Bluestem (Hay)
2.8 Tons
44
123
33
Common Bermudagrass (Hay)
2,8 Tons
44
123
34
Dallisgrass (Hay)
2.8 Tons
44
123
37
Fescue (Hay)
3,6 Tons
44
158
57
Hybrid Bermudagrass (Hay)
3.6 Tons
44
158
44
Hybrid Bermudagrass overseeded with Rescuegrass
0 Tons
44
0
0
(Hay)
Mixed Cool Season Grass (Hay)
2.6 Tons
44
114
37
Orchardgrass (Hay)
2.8 Tons
44
123
41
Pearl Millet (Hay)
3 Tons
49
147
40
Rescuegrass (Hay)
0 Tons
44
0
0
Sorghum Sudan (Hay)
.......................................................................................................................................................................................................
3.4 Tons
...................................................................................................................................................................................................................................................
49
167
47
Timothy Grass (.H.ay)
_.........................................................................................................................................................................................................
0 Tons
44
0
0
Dr. .David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
http://yields.soil.ncsu,edLdindex.php#county 0

'11MA Id
Nutrient Management in North Carolina
Realistic Yields for Fc132: Fairview sandy clay loam, 2 to 8 percent slopes,
moderately eroded in Wilkes County
Realistic
Estimated Phosphorus
Nitrogen
Nitrogen
Removal
Crop
Yield
Factor
Rate (Ibs/acre)
(Ibs P205/acre)
Barley (Grain)
..........................................................................................................................................................
67 Bushels
1.49
99
_ 25
Grain Corn
(Grain)
...................................................................................................................................................................................................................................................................................................................................................................................................................................................
129 Bushels
0.92
119
57
Corn (Silage)
19.6 Tons
10.9
214
67
Cotton
637 Pounds
0,081
52
18
Sorghum (Silage)
16.7 Tons
7.6
127
50
Oats (Grain)
83 Bushels
1.13
94
21
Peanuts
0 Pounds
0
0
0
Rye (Grain)
49 Bushels
2.01
98
16
Small Grain (Silage)
8.8 Tons
11.1
98
48
Sorghum (Grain)
.............................................................................................................................................................................................................................................................................................................................................................................................................................................
49 CWT
1.72
84
37
Soybeans (Double Cropped)
.................................................................................................................................................................................................................................................................................................................................................................................................................................................
33 Bushels
0
0
27
Soybeans (Full Season)
........................................................................................................................................................................................
39 Bushels
.................................................................................................................................................................................................................................................................
0
0
31
Soybeans (Double Cropped - Manured)
............................................................................................................................................................................................................................................................................................................................................................................................................................................................
33 Bushels
3.89
130
27
Soybeans (Full Season - Manured)
.............................................................................................................................................................................................................................................................................................................................................................................................................................................
39 Bushels
3.89
152
31
Tobacco (Burley)
...................................................................................................................................................................................................................................................................................................................................................................................................................................................
0 Pounds
0.074
0
...............
0
Tobacco (Flue Cured)
.................................................................................................................................................................................................................................................................................................................................................................................I.............:..............
2548 Pounds
0.029
74
13
Triticale (.Grain)
.....................................................................................................................................................................................................................................................................................................................................................................................................................................................
69 Bushels
1.52
104
23
Tropical Corn (Silage)
................................................................................................................................................................................................................................................................................................................................................................................................................................
19.6 Tons
6.5
127
67
Wheat (Grain)
.......................................................................................................................................................................................................................................................................................................................................................................................................................
49 Bushels
2.01
98
25
Bahiagrass (Hay)
3A Tons
44
151
39
Caucasion/Old World Bluestem (Hay)
3.4 Tons
44
151
41
Common Bermudagrass (Hay)
3.4 Tons
44
151
42
Dallisgrass (Hay)
3.4 Tons
44
151
45_
Fescue (Hay)
4.4 Tons
44
194
69
Hybrid Bermudagrass (Hay)
4.4 Tons
44
194
54
Hybrid Bermudagrass overseeded with Rescuegrass
0 Tons
44
0
0
(Hay)
Mixed Cool Season Grass (Hay)
3.2 Tons
44
140
45
Orchardgrass (Hay)
3.4 Tons
44
151
50
Pearl Millet (Hay)
3.7 Tons
49
180
49
Rescuegrass (Hay)
0 Tons
44
0
0
Sorghum Sudan (Hay)
.........................................................................................................................................................................................................................................................................................................
4.2 Tons
49
204
58
TimothyGrass (.Hay) ............................................................................................................................................................................................................................................................................................................................................................
0 Tons
44
0
Dr. David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
http://yields.soil.ncsu.edu/index.php#county 2/2

SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
N1 O G(PI.0 �?qb
Na(Mg/L) Ca M /L Mq(Mg/L) .
288.82 1 768.85 1 321.37
Na ME
i Ca ME
I Mq (iVIE�
126.78083
1 12.55739
1 38.4425
SAR= Na Milli Equivalen 0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 2.198938 (From Mg/L entered above)
SAR= 2.199451 (From ME entered below)
Na (ME)
Ca ME
Mq (ME)
12.56
38.44
26.78
The amount of exchangeable sodium ions ver
amount of exchangeable calcium & magnesiu
Permitting guidance is if greater than 10 requi

''►
Mineralization
Rate I TKN �� NH3 -, ✓ NO2
G.3 I 82500 7300 23.5 0
k/ PAN Surface
26233.5 mglkg 52.467 lbs/dry ton
0 Ibs total PAN
/ #DIV/0! Ibs PAN/acre
�/ PAN Injection
29883.5 mg/kg t4DIV/U.!
9.767 Ibs/dry ton
0 Ibs total PAN
jibs PAN/acre
Dry Tons/1000 gal.
0,565452
1st year PAN
Surface lbs.
0
1st year PAN
Injected lbs.
0
lbs./acre
Surface
#DIV/0±
lbs./acre
Injected
#D1V/0±
Y Lc., n a1 Total uII
Hcres
SOldtonshyea n I; -,a
NN�IGIJ VII
0.1356 'J
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2
mg/kg x .002
MR(TKN-NH3) + l (NH3)+NO3+NO2
mg/kg x .002
=mg/kg
=Ibs/dry ton
=mg/kg
=Ibs/dry ton
1000 X 8.34 X %solids X sp gravity "=dry tons/1000gal."
2000

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0031725
Facility Name: Baxter Healthcare Corporation
Residual Source
NPDFS # or WQ#:
WWTP Name:
Residual Analvsis Data
WQ0031725
Baxter Healthcare Corporation
Laboratory:
1)
2)
3)
4)
5)
Waypoint
Sample or Composite Date
Parameter
(mg/kg)
1-4-2018
Moisture
86.43
Potassium
3030
Sulfur
9600
Calcium
5670
Magnesium
2370
Sodium
2130
Iron
5910
Aluminum
1100
Manganese
44.4
Organic N
75200
SAR
2.199
PAN
26233.5
"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
significant .penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
2 _ � ' l9
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
DENR FORM RSSF - B (12/2006)

Page: 1 of 2
Report Number: 18-008-0201
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 57974
Sample Id : Baxter
A0`•4AMICAL
Proiect : Baxter
REPORT OFANALYSIS
fOG ,':r:•8 ;:Gum•"., iC^ Ond.., V 23237
l�iit 4�i . ?y -tj[jLZry ° i'<`.r_ ; i:C,G? 1_pC£
:y �s+v�v.vw a•;%r�pf rcTc?i? i �•c; e21. c�: n
Date Sampled: 1/4/2018 12:45:00
Date Received: 01/08/2018 00:00
Date Reported: 01/15/2018
Total Solids *
13.56
135600
100.0
R D
01/08/2018 15:15
SM-2540G
Moisture *
86.43
100.0
R D
01/08/2018 15:15
SM-2540G
Total Kjeldahl Nitrogen
8.25
82500
50.0
R D
01/09/2018 09:00
SM-4500-NH3C-TKN
Total Phosphorus
1.33
13300
100
MOS
01/11/2018 13:47
6010C
Total Potassium
0.30
3030
100
MOS
01/11/2018 13:47
6010C
Total Sulfur
0.96
9600
100
MOS
01/11/2018 13:47
6010C
Total Calcium
0.57
5670
100
MOS
01/11/2018 13:47
6010C
Total Magnesium
0.24
2370
100
MOS
01/11/2018 13:47
6010C
Total Sodium
0.21
2130
100
MOS
01/11/2018 13:47
6010C
Total Iron
5910
100
MOS
01/11/2018 13:47
6010C
Total Aluminum
1100
100
MOS
01/11/2018 18:45
6010C
Total Manganese
44.4
5.00
MOS
01/11/2018 13:47
6010C
Total Copper
99.0
5.00
MOS
01/11/2018 13:47
6010C
Total Zinc
81.5
5.00
MOS
01/11/2016 13:47
6010C
Ammonia Nitrogen
0.73
7300
50.0
R D
01/09/2018 09:00
SM-4500-NH3C
Organic N
7.52
75200
50.0
01/09/2018 09:00
CALCULATION
Nitrate+Nitrite-N
<23.5
23.5
MMT
01/15/201813:02
4500NO3F-2011
All values are on a dry weight
basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
pw«
OF owr
Pauric McGroary
Agronomist

Page: 2 of 2
Report Number: 18-008-0201
Account Number: 46381
Sa-'-u �: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 57974
Sample Id : Baxter
Total Cadmium
Total Chromium
Total Nickel
Total Lead
Total Arsenic
Total Mercury
Total Selenium
pH *
Total Molybdenum
5.81
<2.00
81.2
24.0
7.83
4.96
<0.400
<5.00
Comments: 5.43
NC CERT#257, SC CERT#9300 7001
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
ANALYTICAL
Pr--i--Ct : Saxter
REPORT OFANALYSIS
ItsG? W!;tc-
i. �rPhlf?:ir,2d..'d=ie.'_..L.:if
a
.".�La LV.L^d$�7 �'.?!n'Cr i1�?�.`:.!•?S.C^v� F?
Date Sampled: 1/4/2018 12:45:00
Date Received: 01/08/2018 00:00
Date Reported: 01/15/2018
2.00
MOS
01/11/201813:47
6010C
5.00
MOS
01/11/201818:45
6010C
5.00
MOS
01111/201818:45
6010C
5.00
MOS
01/11/201818:45
6010C
3.00
MOS
01/11/201813:47
6010C
0.400
MOS
01/11/201816:36
SW-7471 B
5.00
MOS
01/11/201813:47
6010C
1.00
R D
01/09/2018 09:00
SW-9045D
5.00
MOS
01/11/201818:45
6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
aw« m` G04"t�
Pauric McGroary
Agronomist

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 16S
Contact: C. Little
Client-: Statesville Analytical
122 Court St
Statesville, NC 28677
MOrlteCll Wor1C Order # I.1061.8130 Sample: 181101.21.01. Grab
1311 - TCLP Metals
Page 1 {
Report Date: 11/30/2018 i
i
Project: Southern Soil (Baxter)
Date Sample Rcvd: 1.1/6/2018
11/1/201.8
Parameter
Results
Analysis Date
Det, Min! t
Reg, Limit
Method
Arsenic
<0,100 mg/l.,
1.1./8/201.8
U.:LUO
5.0
1
FiPA 200.7 �
Barium
<0.050 mg/L
a a./8/2018
0.050
100.0
EPA 200.7
Cadmium
<0.020 mg/L
11/8/2018
0.020
1.0
EPA 200.7
Chromium
<0.050 mg/l,
11/8/201.8
0.050
5.0
EPA 200.7
Lead
<0.1:00 rng/L
11/8/2018
0.100
5.0
EPA 2;00.7
Mercury
<0,02 'mg/l,
11/1.3/2018
0.02
0.2
EPA 245.1 4
Selenium
0.116 mg/L
1.:1/8/2018
0.100
1.0
EPA 200.7 t
Silver
<O,U5U mg/L
11/15/2018
0.050
5.0
EPA 200.7 s
TCLP Organics
i
Parameter
Results
Analysis Date
Reporting
Limit
Method
Volatiles 8260
Attached
11/13/2018
8260
Semi Vol. 8270
Attached
11/2-0/2018
8270
Other Tests
Parameter Results Analysis Date Reporting Limit Met
hod
Cyanide, total
Sulfide
<0.500 mg/kg
11/14/'2018 0.500 mg/kg
EPA 335.4•
Ignitahility
1.84 mg/kg
Will Not Ignite
11./12/2018 10.0 mg/lcg
11/14/2018
SW 846 9038
Corrositivity (PH)
7.7 S.U.
11/18/20`18 1.0 - 141.0 S.U.
EPA 1030 i
SM 4500 FIIi i
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 4 of 7

Meritech, Inc.
t Environmental Laboratory
Laboratory Certification No. 165
Contact: C, Little Page 2
Client: Statesville Analytical
Report Date: 11/30/20:1.8
122 Court St
Statesville, NC 28677 Project: Southern Soil (Baxter)
Date Sample Rcvd: 11/6/2018
Merited) Wot'lCOrder# 11.0618130 Sample: 181101.21,01 Grab
11/1/2018
1311 - TCLP Pesticides & Herbicides
Pesticide - SW-84Ei 8081A
Parameter Results Analysis Date Det. Limit Red. Limit Dilution Factor
Endrin
Chlordane
<0.002 m L
11/14-16/18
0.002
0.02
1
Tomphene
<0.003 mg/L
<0.050 mg/L
11/14-16/18
11/14-1.6/18
0.0U3
0.050
0.03
1
Methoxychlor
<1.OU mg/L
11/19-16 18
0.5
1
Heptachlor
Lintlane
<0.0008 mg/l..
11/14-16/18
0.0008
0.008
1
<0.040 mg/L.
1.1/14-16/18
0.040
014
1
Herbicides - S4tI-�4?
6 8151A
Parameter
Results
Analysis Date
MA, Limit
Rely, Limit
Dilution Facto
2,4-1)
2,9•,5-TP (Silvex)
<1.0 mg/1.,
<0.'1.0 mg/L
11/14-1.6/18
1.1/14-:1.6/18
1A
10.0
1
.0,10
:1..0
1
y I
i lierefiy certi%y that I i':ave reviewed and approve these data. _/ I
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 5 of 7
u

IVIERI TLeCN
INC.
Environmental Laboratories
Laboratory Certificate #165
Client: Statesville Analytical
Project: Southeril Soil (Baxter)
Client Sample ID: 181101-21-0.1
Sample Collection: 11/01/18
Writech Sample Ill: 110618130
1311 - TCLP Organics
volntiles: S1_ Y-fl4G 8260
Analysis: 1 1/13118
Extraction:
11/07/18
Analyst: VWV
Report Date:
11/19/18
pill-An1eter
Result
Unit:
Dd. T.,itnil'
Reg, 1.,11nit
Dilution hnclor
Benzene
<OAIOb
mg/L
010100
0.50
10
Carbon'1'elrluhloridc
<0:0100
ing/L
010100
0.50
10
Chlorabenzene
<0.01,00
mg/L,
0.0100
IUD
IU
Chlo ol'ornl
<0.0100
111b/1-
0.0100
6.'0
10
1,2-I)ichloroetllane
<0•0100
mgil.,
0.0100
0.50
10
I,1-Dichloroedlene
<0.0100
mb'L.
0.0100
0.70
10
iilethYl Ethyl Ketone
0.864'
tng/L
0.100
200
'Petrachloroelh leue
Y
< 0.0100
Ing/L
0.0100
0.70
10
10
Triehloraculenc
<0.0100
ntg/L
0.0100
0.50
to
Vinyl C11101'1(le
<0.0200
tile..
0.020
0.20
10
S-VOIIIMCs: SW-846 8270
Analysis: 11 /20/18
Extraction:
11/ 07/18
Analyst: PM
Report Dale:
11/21/18
Parameter
1,4-Dichlorobenzene
Result
❑Ells
Det. Llnlil
ReV. Limit
Dilutionl Ractur
Hexachlorobenzone
<0.100
<0.100
Ing/1..
mg/L
0.100
0.100
7.5
10
Ilexachloro-1,3-butadicne
<0,100
Ing/I.,
0.100
0.13
0•i
10
10
1-Iexac111oroethnne
<0.100
mp/L
0.100
3.00
10
o-cresol
<0.too
Iug/L
0.100
200
10
m&p•cresol
<0.200
111911
0.200
200
10
Toull cresols
<0.300
mg/L
0.300
200
10
Nitrobenzene
•<o.loo
mgjL
0.100
2.00
10
Pen ladlIOrophenal
..0.500
Ing/L
0.500
100
10
Pyridine
O.IU(1
nlg/L
0.100
5.0
10
2,4,5-'I'rich1oropllentsl
<0.100
rng/L
0,100
400
10
2:A6-'1Yichlorophenol
<0.100
nig/L
0.100
2.00
10
1,4-DinItrololuwe
<0.100
Mg/L
0,100
0.13
10
/ tram V certify that I /lave reviewed and approve these data.
/
Laborrrlorp Represenl(Itlpe
642 Tamco Road * Reidsville, NC 27320
[phone] * lnfo tneritechlabs.com
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 6 of 7

ssr,a Chain of Custody Record (COC)
NPDES#:
Address~ 2.CCUCT >�;T- I Fa :
tST71 �— V Z[ c IF—, IBC Z F'lG-77 Email: i r�
Project:%�1��Q irn!' Sn I
P.O.#:
Attention: Turn Around Time*
'RUSH work needs prior approval,
How would you like your report sent? / char es Aooiv
Std(1D s) 3-5 Da- 24-4811rs
Circle all that apply: Email (preferred) , Fax, Mail
ERIT'ECH, INC.
'. ENVIRONMENTAL LABORATORIES
y 1' 642 Tamco Rd. Phone: [phone]
Reidsville NC 27324 Fax: [phone]
Email: [e-mail]
www.meritechiabs.com
Sample Location and/or ID #
Sampling Dates &Times
Person Taking Sample (Sign/Print):
Lab use Only
Start
End
comp,
-
Grab?
#of
Cont.
Test(s) Required
�
Onlce.
On
/ No
�
pH OK.
Cl OK?
Date
Time
Date
Time
��I}}ppi1i�i.l.
Temperature Upon
Receipt: ,,
Method of
" ° Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. "'
')5? '
Shipment:
Comments:
ljug#
Compositor it
UPS
=.4 Fed Ex
Are t ese roults for regulat purposes? Yes No (
Report results in: mg/L mg/kg C
u L
g/
Hand Delivery
Relinquished'oy: 1' ( ! n
J
Date - ime: '7
Received ` Aat'-f1f ' Time: --7—C
U
/Date: /
Other
Relinqu shed h , j�� Vie: T
/�
Received by. Time:
Relinquished by: Date: Ti e:
Received f D e: 7i ey
r\
00
00
N
01
y
L0
00
rV
N
X
0
m

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Baxter Healthcare Corporation WQ Permit Number: WQ0031725
WWTP Name: Baxter Healthcare Corporation
Monitoring Period: From 1/1/2018
NPDES Number: NC0006564
To 12/ 31 /2018
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (tine/temp) [
Alt B (Alk TreaItment)Q
Alt. C (Prior Testing)[]
AILD (No Prior Test) Q
Process to Further Reduce Pathogengs 0
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost
I-Ieat Dtying 0
Heat Treatment. Cl
_
Thermophilic
Beta Ray [
Gamma Ray CI
Pasteurization L 1
Class B:
jAlt. (1) Fecal Density
Alt. (2) Process to Significantly Reduce. Pathogens 0
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization El
Air Drying C
Composting 0
jAerobic Digestion CI
Anaerobic Digestion
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
ParameterAllowable
Level
in
in Sludge
Pathogen Density
um er o
Benncce-
Frequency
of Analysis
Sample
Type
yP
tic
Analytical
y
Tech -
niciue
Minimum
Geo. Mean
Maximu
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
593
2025
3650
MPN/g
0
_
7
grab
srn9221
CFU
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 (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) 0
Alt. 2 (40-day bencli) 0
Alt. 3 (30-day bench) [
Alt. 4 (Spec. O, uptake) �1
Alt. 5 (14-Day Aerobic) Cl
Alt. 6 (Alk. Stabilization 0
Alt 7 (Drying- Stable)
JAIt. 8 (Drying- Unstable) l
Alt. 9 (Injection) (l
Alt. 10 (incorporation) L-1
No vector attraction reduction alternatives were performed
CERTIFICATION STATEMENT (please check the appropriate statement)
FYI "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 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 informatiion 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."
,a 601r�at"�,4e- E/6' Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signatt e of Pt parer* Date Sign tore of Land Applier (if applicable) Date
'`Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
DENR FORM PVRF 02T (12/2006)

VS in 0.0156 v
VS out 0.0076 V
VSFR= 0.516748
VSFR= (0.0156 - 0.0076) / (0.0156 - (0.0156 * 0.0076))

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/04/2018
Reported: 08/22/2013
For: Baxter
Comments: Geometric Mean 2025 MPN/g
Sample Number
180104-15-01
180104-15-01
180104-15-02
180104-15-02
180104-15-03,
180104-15-03
180104-15-04
180104-15-04
180104-15-05
180104-15-05
180104-15-06
180104-15-06
180104-15-07
180104-15-07
180104-15-08
180104-15-09
Parameter
Fecal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
FE:Cal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
% Volatile Solids
% Volatile Solids
Sample ID
1
1
2
2
3
3
4
4
5
5
6
6
7
7
A
B
Result
3623
13.8
593
13.5
3546
14.1
2500
13.6
809
13.6
3650
13.7
2481
13.3
0.76
1.56
Unit
MPN/ 9
°
�0
MPN/ 9
°
�0
MPN/ 9
%
MPN/ 9
%
MPN/ 9
%
MPN/ 9
°
�0
MPN/ 9
°
�°
%
%
Method
Analyzed
Analyst
SM92210E-2006
SM254OB-1997
SM92210E-2006
SM2540B-1997
SM92210E-200s
SM254OB-1997
SM92210E-2006
SM254OB-1997
SM92210E-2006
SM254OB-1997
SM92210E-2006
SM254OB-1997
SM92210E-200s
SM2540B-1997
SM2540c
SM2540c
01 /05/2018
01/05/2018
01/05/2018
01/05/2018
01/05/2018
01/05/2018
01/05/2018
01/05/2018
01/05/2018
01/05/2018
01/05/2018
01 /05/2018
01/05/2018
01/05/2018
01/05/2018
01/05/2018
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 5

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY19-SL004329
Predictive Client:
Doug Poplin
Advisor:
Zach Key
594 Austin Little Mtn Rd
Southern Soil Builders, Inc.
Mehlich-3 Extraction
Soil Report
Ronda, NC 28670
958 Hoots Rd
a� ;F
Roaring River, NC 28669
Links to Helpful Information Sampled: 09/05/2018
Sampled County: Wilkes
Received: 09/10/2018
Farm: Not Provided Completed: 09/20/2018.
Client ID: 160157
Advisor ID: 231531
Sample ID: DP 1A 1/
Recommendations: Lime
Nutrients (ib/acre)
More
Crop (tons/acre) N P2O5
K2O Mg S
Mn Zn
Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.0 120-200 0
0 0 0
0 0
0 0
Note: 12
2 - 0.0
Test Results [units - WN in g/crnP; CEC and Na in meq/100 cm3; NO3-N in mg/drrP]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1 Mn-I Mn-All Mn-Al2
Zn-1 Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.66 0.96 15.2 89 1.6 6.3 551 334 58 20
49 185 124
513 513
1409 0.2 11/
l Sample ID; DP1B ✓
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre) N P2O5
K2O Mg S
Mn Zn
Cu B
Information
j Lime History:
1- Fescue/OGrass/Tim, M 0.0 120-200 0
0 0 0
0 0
0 0
Note: 12
2 - 0.0
i
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cnr3; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH / P-1 K-1 Ca% Mg%
S-1 Mn-I Mn-All Mn-Al2
Zn-I
Cu-1 f Na J ESP / SS-1 NO3-N
✓Zn-Al
v ✓
0.46 0.95 13.5 90 1.4 6.4 286 151 59 25
52 155 104
727 727
879 0.2 1
I Sample ID: DP1C /
Recommendations: Lime
Nutrients (lb/acre)
More
I/
Crop (tons/acre) N P2O5
K2O Mg S
Mn Zn
Cu B
Information
Lime History:
1- Fescue/OGrass/Tim, M 0.0 120-200 0
0 0 0
0 0
0 0
Note: 12
2 - 0.0
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]:
Soil Class:
Mineral
i-iivi io VVIV %1M,, as io AC pi i/ P-i K-i is io ivtg °
S-i ivin-i ivin-Aii ivin-Ai2
Zn-i Zn-Ai
%u-i Na car SS-i iMOs-iv j
0.56 1.01 12.0 86 1.6 6.2 226 80 60 23
43 271 176
641 /641
1366 0.2 "' 2 �
North Carolina
I
Tobacco Trust Fund Commission
Reprogramming of the laboratory -information -management system that makes this report possible is
being funded through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division
Doug Poplin
Phone: [phone]
Website: www.ncagr
Sample ID: DP1D
I Recommendations: Lime
V
Crop (tons/acre)
N
Lime History:
1 - Fescue/OGrass/T!m, M 0.0
120-200
2- 0.0
Test Results [units -wni;. -/,... • r•EC and,.,,., ,_
C and Na in iiieci cm3; NO3-N in
yam••• , 100
mgidrrYf:
HM i° vvi v i CEC
BS ° Ac pH P-! K4
Ca%
0.51 1.01 10.7
85 1.6 6.2 201 77
57 25
Sample ID: DP2
Recommendations: Lime
Crop (tons/acre)
N I
Lime History:
1 -Corn, silage 0.8
180-220
2- 0.0
Test Results [units - W/V in g/crr>3; CEC and Na in meq/100 cmr3; NO3-N in mg/dnt3]:
HM% W/V CEC BS% Ac OpH P-1 K-1
Ca% Mg%
0.46 0.99 7.8
75 2.0 ! 5.6 , 179 136
48 18
Sample ID: DP3C v
Recommendations Lime
Crop (tons/acre)
N F
Lime History:
1 _ Fescue/OGrass/Tim, M 1.8
120-200
2- 0.0
Test Results [units - W/V in
g/crrr3; CEC and Na in meq/100 crrr3; NO3-N in mg/drrr3]:
P-1 K-1
HM% W/V CEC BS% Ac r5..�(O
Ca% Mg%
0.71 0.93 8.0
63 2.9 , 332 109
37 19
Sample ID: DP3G /
Recommenda'' o Lime
V
Crop (tons/acre)
N R
Lime History:
1 -Corn, silage 0.0
180-220
2 - 0.0
Test Results [units - W/V in g/crrr3; CEC and Na in meg1100 crn3; NO3-N in mg/dr63]:
HM% W/V CEC BS%
Ac pH P-1 K-1
Ca% Mg%
/�
0.41 0.94 9.7 83 1.7 6.1 '✓ 89 22
51 31
omi/
Report No. FY19-SL004329
Page 2 of 4
Nutrients (lb/acre) More
P205 K20 Mg S Mn Zn Cu B Information
0 10 0 0 0 0 0 0 Note:12
Soil Class: Mineral
S-i Mn-1 Mn-Ali Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
50 246 162 522 '_522 647 ' 0.2✓ 2 Al
Nutrients (lb/acre) More
K20 Mg S Mn Zn Cu B Information
0 0 0 0 0 0 0 Note:3
Soil Class: Mineral
S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
64 163 115 208 208 638 0.2 3
Nutrients (lb/acrb) More
K20 Mg S Mn Zn Cu B Information
0 0 0 0 0 0 0 Note:12
Soil Class:
Mineral
S-1 Mn-I
Mn-All Mn-Al2
Zn-I Zn-AI
Cu-I Na
ESP SS -I NO3-N
133 123
91
507 '. 507
554 0.2
3 '�/
Nutrients (lb/acre)
More
K20
Mg S
Mn Zn
Cu B
Information
160
0 0
0 0
0 0
Note:3
Soil Class: Mineral
S-1 Mn-I Mn-All Mn-Al2 Zn-I ,/Zn-AI Cu-I Na . ESP ;`SS -I NO3-N
68 94 71 424 " 424 449 �02 2L//

NCDA&CS Agronomic Division Phone: [phone]
Doug Poplin
Website: www.ncagr.gov/agronomi/
Report No. FY19-SI nnai94
Page 3 of 4
Sample ID: UF'4 / Recommendations: Lime Nutrients (lb/acre) l/ More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information
Lime History: 1- Fescue/OGrass/Tim, M 0.0 120-200 0 80 0 0 0 0
0 0 Note:12
2 - 0.0
Test Results [units - WN in g/crm3; CEC and Na in meq/100 cn-P; NO3-N in mg/drrrPj: Soil Class: Mineral
HMS/ wni CEC M�-O/
io Al: pl'1r'-I r(_I u A7 go i Ca/0 /o , S-Iv17i-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS -I NO3-N
�
v.� ■
0.46 1.03 13.5 90 1.4 6.5 175 31 56 33 58 98 69 ,/ tZ ✓1
Sample ID: DP5 1025 1025 690 0.2 1
J Recommendations: Lime Nutrients (lb/acre)
Crop tons/acre More
( ) N P205 K20 Mg S Mn Zn Cu B Information
Lime History: 1- Fescue/OGrass/Tim, M 0.8 120-200 0 60 0 0 0 0
0 0 Note:12
2- 0.0
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]:
_ Soil Class: Mineral
I-IM% WN CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-1 Na ESP SS-1 NO3-N
0.46 1.02 9.9 79 2.1 5.6 130 40 51 26 59 104 79
✓ 531 ✓ 531 510 0.2 2 Sample ID: DP6
Recommendations Lime Nutrients (lb/acre) �
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information
Lime History: 1- Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 0 0 0 0 Note: 12
2- 0.0
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 crrr3; NO3-N in mg/drrt ]: Soil Class: Mineral i
HM% WN CEC BS% Ac pH / P-1 K-I Ca% Mg% S-1 Mn-1 Mn-All Mn-Al2 Zn-1 Zn-AI Cu-1 Na ESP SS-1 NO3-N
0.51 1.05 11.2 88 1.4 6.2 73 89 58 26 49 138 97 640 1/ 640 481 0.2 � 2
Sample 1D: DP7 / Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B More
Lime History: 1- Fescue/OGrass/Tim, M 110 120-200 0 10 0 0 0
0 0 0 Note:12
2 - 0.0
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cm3; NO3-N in mg/dr173]:
Soil Class: Mineral
HM% WN CEC BS% Ac !( pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-1 Zn-AI Cu-I /Na ESP SS-1 NO3-N
0.56 1.05 9.4 77 2.1 5 55 302 78 57 17 52 155 110 513 513 998 02� 2 1/ l�

Condition of Receipt
Sample Number 180104-15-01 Temp on Arrival: 3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 180104-15-02 Temp on Arrival: 3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
s
Sodium Thiosulfate Received on Ice
Sample Number 180104-15-03 Temp on Arrival: 3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 180104-15-04 Temp on Arrival: 3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 1801CI4-15-05 Temp on Arrival: 3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number 180104-15-06 Temp on Arrival: 3
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 5

Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Sample Number '180104-15-07 Temp on Arrival: 3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3 of 5

�6aiAPrtn
Address.
939 Ne:l� Kof-
Contact Person:
PO #
Customer
Sample ID# Lab -ID # Time Sampled
(Grab Only)
Relinquished by: ` I
Received by:
Relinquished by:
Received by:
Composite Sampling #1-
Time begin am, pm Date
Time end am, pm Date i/_/
Composite sampjjQg#2:
Time begin am, pm Date
Time end am, pm Date
#
Date Saml
(Grab Onq
/- v-
by:
® AL
MCourVftct - .O.BO 22S
l22 Court Strect P.O. Box 228
sf-tesY;ll_ t.,C 286-37
[phone]
Chain of
Date) Custody Record
Parameters requested for analysis
>�p r •. /
Time j U am, m�Date ''l /p^ Sampled by: �r
Time `Y o am, pm Date l / ,I/
. Transported by: 2, � Y�
Time am, pm Date _,/ J_ /
Holding times met: V
Time am, pm Date _J_/
Compliance work:
Non-compliance work:
Lab Comments: Samples Transported On Ice:
�b--
Initials:
rn
N o
00
rn
0 Ry
O d
r\
00
lD
00
N
U
Z
N
tv
00
N
N
X
0
co
a

6.,14-
AddreSs: o c o .. n
rJ9 n
NCo13c
®
T oILLANALYTICAL
Cst PO t8I
I
h
KJOr
Contact Person:
_
PO #
Customer
Sample IDM
, vt. NL ds CG C
'7 �
G+�c Phone # FAX#
33G 9s1- ���j
Requisitioned by: (Time
Lab -ID M Time Sampled Date Sampled m Matrix
(Grab Only) (Grab Only) H, ww
l �
Statesville, NC 28687
(704) 8724697
Chain of
Date) Custody Record
Parameters requested for anolysis
Relinquished by:
Time : ?V am, omDate
€ /L
Sampled by: �20.t
Received by:
Time j l `— am, pm Date
Transported by:
Relinquished by:
Time am, pm Date
_/ /
Holding times met:
Received by:
Composlte Sampling
#1-
Time am, pm Date�—
Compliance work:
Time begin
am, pm Date _/_/
Non; compliance work:
Time end
am, pm Date
Composite SamplLrE9
#2:
Lab Comments:
Samples
Transported On Ice:
Time begin
am, pm Date_/ /_
Time end
am, pm Date
Initials:
r.
rn
Lo
N o
r� '0
00
0
O
r\ a
00
rV
r4
X
O
m
O
a

Analytical Results
Southern Soiil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 11/01/2018
Reported: 12/03/2018
For: Baxter
Comments:
`s
A '
�1
�f`,
�a
Sample Number
Parameter
Sample ID
Result
Unit Method
Analyzed
Analyst
181101-21-01
Corrosivity
Baxter
See Attached
SW-846
11/07/2018
Meritech
181101-21-01
Ignitability
Baxter
See Attached
1010M
11/07/2018
Meritech
181101-21-01
Reactivity
Baxter
See Attached
SW-846
11/07/2018
Meritech
181101-21-01
TCLP
Baxter
See Attached
as Noted
11/07/2018
Meritech
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 7

Condition of Receipt
Sample Number 181101-21-01 Temp on Arrival: 2.3
Parameter Schedule: Reactivity
Received on Ice
Parameter Schedule: Corrosivity
Received on Ice
Parameter Schedule: Ignitability
Received on Ice
Parameter Schedule: TCLP
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 7

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STATESVILLEANALPTICN.,
122 Coun Street • P.O. Bos 228
Address: r --
-
Statesville, NC
t"var
Contact Person: U
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Phone # Z 2r-r
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Requisitioned by:
FAX# •77 a
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(Time -' — Date) Custody Record
rtnh,ent.;,e
Customer--
Sam G IN Lab -ID n
W "
Time Sampled
(Grab Only)
Date Sampled n
(Grab Only)
M_ atdx
st.,a�r W unv Parncnrrers reyuc>ted rnr
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Relinquished by: —
Time 5
am, pm Date ALJ8
Sampled by: Zk
Received by:�
Time (3J�J�am,
pm Date
-7 !�
Transported by: Z� �
Relinquished by:
Time
am, pm Date _( /
Holding times met: �-
Received by:
_Composite Sampling #1•
— Time
am, pm Date
Compliance work:
Time begin__.._. am, pm Date _J_J_
Non-compliance work:
Timeend am, pm Date _/_/—
---..................................__._.._.__...-._.._.._...._..--_-.
Cpmposite Sampling #2•
Lab Comments:
Samples Transported On Ice:
Time begin am, pm Date _J
Time end ..._.....—_ am, pm Date _I_I_
Initials:
I

;—SEMOW-EWRONNIEN E tW
6RP6 6'N"
.MARI 'NORTIPCAk-0 2-8-731
TAX,,, V!WK
UQXALDI;IC�V"MR 'VAART
W10,013-17
'Owft6r.kTealthca'rc Corporation MA)�
land Application f
IMcDowell 1(.aPpfy,
In accordance with dour permit renewal request recerued March 9, 2016, and snbsequent.addYtional
irr W
lido Pd, ,,,0 _72 14
_Pol 9,9", ZZ9,10 for Ag,
Healthcare _.,Cs,,or or-ation', bbr':-fhccontinued operAOM ofthe subJe6i­,resfdbals­. mans-91pin Wilt;
thig--re the
.pgr Pleaso-tote that t �pe qewqd, Ofte'g oft, t:t,�, �t, th day'
_MA shall September
ovitoioioate oth
Thjs,,penpi§hgj'le_ e,of f4"oun I.Aupsct.-_2
'
WQ
i$'�'Otiff April 211,2011,�,and shall.
2-5 004 90Pin - �et A. 446-0,
'beiubj,,,eci,la the conditions` -and iiiniiations as speciSed tbprein, P%ace pad, pa
rticular attentran tci the;
mon torrpg igqp eql(s 1n, Axt,�,t�a.(,q ep -6v Ons� 0 of v'fo
-,--'', I 4� Fait Ibfs is,an adequdte*sygfd.frtol�ctiig,andmaiiiiiihih.therequircdpper
10nal,
A*ptCq, ce,�p
dte the haveeen removed S`htce the
September
.. 0' 0 t'D e
ocbii �ofavvq'.�Lxn� ndii nwh -rccords;
to bekqpj-speqifip4,
Fie se Mite t1Ele foalowiamg ,00wift, ediiditi6jigarse ,,na,w,-or�.have:,-.than.go, shiceithe last pierm
issuagce dated Sf-p*mOer., 1,8;,l
1. �C Qo-i d iti-6 11.14.''arid R l,5`,.'bdt: noNv. 48-:Maur f flofificaitibm
r,ather,thanZ.4"4hour�noti',ficat'i'on't'p. be ggiyq".
:Condition RL3. — N tb- be $i'veir, A'Adville RegPhA. Offic" each. time, xesiduAN,
applied,i,
(O&M),Plan-.taibc,.ftidiiatained,.,

A
O&MIOULAo-be
k6&iofi site,.(Mtherbail in each manned vehfclo
A 1, Sid 4W 'd d-
(� b,
gr ioxcee e,
6; Condition 1V.74-.'Addffional recor&'o app f ro, 9 gq
I 'Condition VIA-i, Similarlo.-,O-ld'Con difloff Vl-'.&bqfpqw, 00day�qq
S. Eoriditi6nV,1.7.—Expansidit,of-fa,-iliiy.notallowed,:wittiouf:variance--if'lleqni4oc'
bphayW4*k(qental to environment..
It Jlinitatiohs,.-,�'� t ed' -- is: e-
any., fits 6f, n aih in this; M pe i are the ft
has: the. right, o-,,req.�esr-.",a4judicaior,,y-,.he ngupon wrTtteu request,-,.w-
ifb
this -hermit. fb�s qoo$tsh
liften eiff
.Carolina General: Statutes, -and,fled; Avith lhe.- Offioel: of A-di-riinisirafivef ffearjnp -k 67"1
4 Center, JW,�Jgh .. onl4i�swkdemands are made, the permit snail he final 4W-binding.
lf,-you ,gibed ,;i-dditiohd,,fnfdrinaii6w.,coneeming,,thi' ,perm i't;,, please-',c.onta6f.
Troy Doby*"(9- J',1;0l-
6 3b or trov.a&,v?@,ncdenUov,
in,, —Protection'-and Enforce
Archive (Vtpqrpnip i--'ppy
'S. Jay -Zimmerman, ,:P;G.. Director
b ilvi
son of Wit Re Farces,

t",
ffm
E NVIRONMENTAL MAN MENT COMMISSION
Fay
]1,A�0AP-'fL JIFO -1I USID :1�109MU(K I FW
as
in, ,, J'1131-0`00 N.. I...s,,',,,,-"P,�.,.,.,C.,arojoa�,,. ,
Owvk'oW 4,� C-,'-* J4
amended,. and .,ate er-applicable Laws, Rules �., and-RegulatiQn�
T A 6k-ANTE
FOR TBE
cantsnued 'btailpli
-Ofaird 4449CPapp MI. grxn,,Pr, PN" r a�
ofthd4ah04"Oi4""CIass R-re id'uals generated bthe�apprvedfddilitk§ listed-
. ., -, iTAttach=nt.A.to
491e.'�O,;Va qo�rw,, Puts
lsq— _�tp, A f" T4161
�pplcatka received Moir 'A
OW T Tv of-
drot
'Wafer Resources;, and in,conformity
with f
Y.,
"
'nt, �ironth 141 acid cans dered a start aftlzis.permrt.`ThOse,na 401 Codo OA Ve&r4 Reg4lailbAs,'NA501 This .permit, does'not, exempt: the:
Pertnxtt Oro ,c
per milt.-shat, ijt,dite-&tiv.&4Qm- Septenu err 1.1, 2Q,14 Aifitil: Aitj4ik 3TY2,02"1=, Aill void` Perm
0`611725'issqe, Sqp�vl�rqberj,,��#O, $j andAhe Afta A-an4! 'prilp 2--,-,'QI:I, rid shall.
be sl b1ect to the ons 4n%li� 9 �-O,condtffl i
�WHOUILE'g
1. 'N6.;F6tex``tltau smk'm—onin: sTporto, -eexpha:tjbft--;ofthis O e'e§h8[1't,request renewal cif
this permit on,= oietal .4 farms. Jp90 receipt -of #� tlie. IUt!tsicii will ;reyie the;
adequacy rkiiltit thereat;:aod,lf of,
,-timearia', under such-, conditions, andlitnifations.,, as .;if may deem, ap r?n"H
propriaie,'Please- noW�,k6t&-, 11,4,
�Q)
I,
there_ is -40-, 60*tpto i)ri"acO waters; AMARY-1 qPIA t on C
" `-
standards In 'thee erit file 'faciliti_es fail
to.ofform satisfactorily, in
nqjs4ncecpqdiy- d,qe�jpiproper-perati.ox m q 4p ia-rthe A
,con c,- eg.
irme.d'i'a-'teco'rrecti-veaciions.
tied aa41 times :.
of,sus lace hater"'
,e creation praianed
shall mmed%ate�y,,'cease
d-take,
uor�,, fid�, - -
any
P* I,ofjl

This p "'Oftov"C41 Wlity for g,es. to 9,rbufidw4ter- or,,suiffice."
wvater residuals
w the Oordfi.66 4"th resulting,,� u s management program.. CAC " 2
02L 4,160].
3;. On1y residuals generated lay the. factlzties.ltsteel' is tfA h-A 6mmiAare.ap approved 'for. land application i
,prov
.accordance wiffi, this-permiti jp<& 1434MJ
4. 43 I t Elie listed. ' A
lood in t` 4 application. -J icafion. [GS, 143 '2,
residuals applied Ojom in, land -application -,'§i -is A"tt" hffi` "B'shalt '.. ficirt.
emceed` tl�e folio-vii Ceiling Cotaceztratioiis. Freight basis)or Camutafive, Paqutgxjf
.'Load fikg,Rate&(.P-p
Param"t r
Vogei* AigT p kz
g
re.
do A"
Arsenic
%5
85,
34
Cbpper-
4,300
Lead;
840
267
Mercury," I
,Uqjyb, num
fi/a.
4�1
Mickel
2-1
4 '0
Selenium..
1,00.
89
pine
7,50.0
2 498
Tbe!.,Pbrmitfee shall determine: corfipliance.vnfh�fheCPtRs,-
�Usmg W-.:0040 Wtowftg, Me ods
By c4f4ti4g: the 4 og°cptfitilMjyt, level Of Ooflqtdfits using. actual, analytical data from, all
Historical' I'arLd.',Iapplicdi'ion:CV'ertts of residuals,, Or.
For land' hAp 4p
residuals p -Adataisincompl6te,
,fji:�gio# require
by"dote, in" centr ing 6adkj#,ouifd On ations through representativesoilsampling-,
ff $A' NCA'_Q, 02-T 11.051
6. R`64diials thdt are drstribufecl shall biect Class R pithogenxeducf ion- reQuiremeats:-ihJSA-'N, C,'ACt2T
""tA, [L�ANCAC.,
:1106 and (b)(2)�: req -f shalfbi irwdllff A-michib
ell 1 1q. ­
i
7. B iqlpgical: residudg, (Le,. residuals' prtprafpd 4ujrjqg the treof or:an
iodustri L wastewater, and, as identified iii.Atta6hment,4 w, -o biOl,gicaf '' - - --..of, J ,OtOWAt z Or th b �qeatmft
that are: land.4polied shall, meei oneof ihev ector, attractionmdup6on alternatives; in J'5�A NQAG` OjT
`
Excgons,tethis: ". [I'5A,N, CAC 02T,-116711
1.725-V-ersiqn 2 1 �,O Sfieffv_ersibn. 1,60,210, ae -of r2S

� , �etlzaelcs fix' tre�mety,t and stage �'acxlrtes s�a1�;be a� fa1ltt�v5; ;
9:, Seti�acl�s £ar Class 13";1and a�pl�catxox s�tes;shali E�� as foow�:
S�tl��ck ��sea��itx�ri'
�ehxeular
IrLgatxarL
.
Inecti�i,l'
Surface:
Application
Surface.
I�tort
Incorporation-,
Hal itable5Vesidence or place v£ ptablic assein lv`
uxlder separate oWriershls or not fc lie majptaixed as
440
404
Zak;
Iab table iesidenEe or, places of�ublk'assembiy
o�vared b ,tote Persnxtteetthe o riser otthe fr:—' or tie
'
'd
.lessee�operator.af theLand"to'be:;rrtalrifatneil:":ss�"pant:
.:a`
of th rc eet sft
Prapexy"lines
50
Privater;publie Water, supply
I.C10'
1011:
1:,00
Surface waters {streams>— rrxtermitten� a�xd.pesenntai�:
,
100
1 UCH;
50
reel" wate�bndte�;, �d v+�etlan�is°
Surface water diversxans'.(eplxemi ra streams
l U
2
cuaterwa ; s, c��te�e�°.
Groundwater lowenmg..ditches (where -the bo tom.o""f`
25
Al.
the ttttctt intersects the SH[VVT)
Subsur€ace groundwaier lowering" system,
t}s
1"OQ
:0
eC1s whl; eeepsvn fills
IQEl
10(
10_.0
Bedzocte autctops
255'25
Tap; of slope ofemba"nl menu, or cuts OtwgAotor
1.
I S
TS
inre M'Vertteal lien
}3pzldarig fo g*oogs ctr basements"
Water �ltries:
0:
L0
6..
S�?inrnu�g pools
" IOt}
10C1;
1Q(1
N�trrficatoi� fields
' 4°
20'
,0'>
C�� �IeAc.:o2�r rl;osj�,
'*QQO 025'Verslo i 2 4}
�1iell Version 1btf2:I;Q
Page-3' of; t

Land 4P Rio marked.on.each site prior to. and'd
p
Y'ko*Ws vp oatrori
evefif... NCAC, G21T'6l68(b(T')1
11,04*4es! i6affi­'A­th'" "s 4pd ` e?�op
p ,or .p . t Im
of 'agronotntc. rates. - Appropriate agronomic: rates 9'4shall.Oxo
rqqq_itp
- e� "041j _Yield-koect4twASIRYE) using:
granyof the.,,f6lloWing
E
4140sion�s preapprovedRpad_" -fp-r, ""PO -0P, Otg-0il"'V es -by, calculatffig,
ft mean OftWthft"Wds ,of theJast, fiv, e.. consecutiio
£are eh _f
NNorth ,. -Carolina,-Mstqncal.Data ,far ,-sp-ec M. d'' d-b"N fthCarcilina Sfate,=
Crop an. �!� tnpO as proyt, e� - Y o d
Otvas,it bop)w4'igwdf7Sol Science
cl qCO, sueduk"felds/in exp A
qo_q
shdll',bokept ,o file,and-reprinted,,every.
five. years in, ac"'C'q�',dda­n nth c"k ik�'4 'co
ifithe ,RYE oanrot bq determined u
ot (b),-ahov'e'the P - "tt ce-lmay'use the, RYE,
and or o alloing
L C, -rop managiemenf;- pi44 as 9!40 jne&b Cibi local, .CooperativeE
V ,e Oc4_-A006 Of5ce,the forth
Carolina,, ]RppA of Agfii u400, and, Consumer: Services;
thq Yatural Res
Conservation. -Service, orother-agm. nomis ' t.
V the SOxate Bfft 1217'Interagency - Group, - Quidance
btq2-//vww..ncajzr.gov ch/dominwrit0th, Guidance&j"DQQjO9.,pdf)'.
i , u. C ObAW NutHOWVIM"gigcmeat Plan as outlined by the Naturat
OtiQik
P" USDA, Services (NRCS es � plans must meet the V. Management
These` 1, D 5 59.0( Nutrient
d. 1f-Ahe.1RYYE,.,and _appropriatenutri6nt- appt.f6ation '
rates. -'mwt be, shall
colift(cf., tl eDivi on to eletermfj action,,
Wigh,
pqqS'XY" I
_[15-A NCAC 02T J, I 09(b)k1)(k)]
sidq4A1s, 0qpapplied, to grazed rate
shall, be. reduced by
2,59/ 10;aQQQr, allce...With,-ilhe,-TjSDA-NRCS,,S,.9.0,,.Nutffent-, Management Standards [I�Ak'N C 02T
pi
,00(b)(TA
ff"land applkatio-iisitosafe,to beaver seeded..or,double=cropped(6rg.­." berm An
'wd-gvimO
and rye. grass; .wjbotcrovs' rpe ,ry 'ethe, canre�,e an.
t 56, pounds qpAq�kuo,OITAAI�' kvarato',no_'to. =acrc!,-p,er:year-�'(1bs/ac/�r,,
I , ),'. This; praqficp may-,
be -Allowed as -long as the wcond. cropA8 to be � r ^gr#7,pd to b - -l'
(s- gplanted;
aptpd].
for erosion contt.of only --and is tqlJe tilled into the, soil_thenno additional -PAN shall 6eapplied' [1 5A
NCA OZT.,QJ-08(�)
1-4 Prior- to land, application-,-qf-'residua*l9 04 a sodiumadsorption ratio�'(SAR)-'�,of 16 or-, higher;. th-aPermit,
tee 5Iia110 iiiiplemelit.,,.,rccomme-adations, `from at least one:ofth6 fAqwIng.. the Beat
Cooperati,ve Extension Ozffice,! tlie.,Popartpjq"t of
jA r C, lture an Cans ivaO-r-services., 6 Natural-
OtopCb#sery $0Nidt­aNorth, h,Caro aLicensed. S6il S6iedtist.� .or' an Vho.
'r,ie'QoniiTiejidatioiis,�§hdil.-addr.,ess the. sodium applicatioff, rate;�;sofl amendments Ogi}
f 004" qCV-0-1 to op, ,o -'e.Peri
ainingsiteintegrit pism or ma y,. and :zqnaiti' d c
r gr,,,wth�. Th nittee shall,
-'ati' h§ anddotails-,-of their, m&tAin,Vtte inV*- ii.-r660r6, of these:ec rlommOnd, ,o implementation. [) SA 14W
02T:-.0108(b)(I)l
WQOOJ,72�`Vofsidp Z40 SheflNersion 160210, PAon-4 4114

, 15, These,resxduafs,A &,#pficava si es vvrere yndzrtduayp enaift " d ,Ddc6i6j,'WJ
aver
iheref6ref, the,, compliance boundkW_;is: f helesidual land -application
sfdr
o0f w'�4 Wh OY-W VW Ot jO f6� ­ , land applEatzori:'area.
An -exueda&-ei of.groundwater'" staif&r& at or beyond thd compli4ri J � I - to
ce 'boundary. subject,
ze iat . ion, geii'011 4pgordibg, to 15A, XCA-c 02L (n 66'(d")'0,._ as well as enf6me .4
--froAt , POPS tal
General; StAt4t&, 1, :�.04 through 143� 5 0"" accordance with -i"o"A .6 - �K. Any approved
,app ma
relocation.ofthe 'COMPLIANCTAOUNDAR Y'will be noited'in Attachment. 13. [1"5A.NQ
16. Theo,,;rvvi` m-vboundarysball be. established ;mid, midway the -compliance -Boundary and the residual [and applcation area., An &d
Ye�xceP __,11'0e o. 'grpundwater standards at tfe reyiery ie?uriiiarybaltreqiaife°
Ac"ti6tviii accordance with 15AWCAC 02,"L.0106. [r5A;NCAC 02L,.'01Oa]
CWMA T16N, AND: StkMENAN0E-jkE'_q
1. The.residuals managements program shall ,be propefly, maintained and operated, at all,,, The.
program shall be, effectively - maintained, and operated; as 4-,non­discharge sysystemem To - p W.Vpat ao),
coi,*,avehOdn of surface wafer or-gr.,ounjd-v yAiej standards. '[15AN, CAQ 02T .41 tqj,
2­ The A's*.,Yiflq Regional b `929) 0641'_�
:2 the appr�?pzate local
ROW f;.Oitymanager; or health directory dll-be notified at leasf,49.
hours prior: to -the initial residuals;.'fand qpplicafiorLto pyne*land application sire_ NpOfcqt1on taffi6
tegionat=supervisor shall be ad
S.fate.,146fida'ys., [BANCAC-02T-0108 11
J The Asheville Regional NTIC'� shall bo,, hdtifi
*4500, dt.64:14,
ho&g prior-lo,,conducting any land,4pplkatidri activity.: Such--t16tificaiibIL'shall' ndicatel. at &minimum,_
the ant a imes, Ws, go tq�qA o-of laM.q -tiv, �s- Ifit bpoffie�, application t "pp �164 10:4 40.
shall' b , o if ed.
COSSar to --�Atie to �dtMtOsOdfi 000s,. the�R �&n t I .
''Y PY' fields,
pnor'i,o:,commencingthq,,applica nibAhose rklds..
4, The Pef-mi 'eo!sWj.ftiAfh 40 approved Qp -_Ofatf606ndA4m-.ewqeP1,an.(O&M_Pldfi) l' bdi&,6tioils, to..-the-,O&MPtaii.Ishall lie; approved-,bythe,Division,priorto: utilization of't.he-ne-w,plan.TheO&-M,*Pfanj
at the p*imq4;, S'Nol rrzelude-1
ai C(Perational fdnetiong;-,
Wety. rnea§Urtsi�
lhs.Pccti6n pl'an,ificludhig the: f6lrc,*.iiig,t.thf,-Or'-ma''tion..
I
PIT.
L 164=es, qowpor titles -of personnel responsible for 440�tiii t
WMI, 9�.,Qr conducting
Ji. Ffequehcy diid'W46fi, of insp&ti&ihc'Wdifig, those -fu, be .conducted -by, the OR"Q and:
p - assure that the selected- locaijoti(s), aqxd' - p c
Ins �p frequency
,rece(fures to n' y
of the rbgidtidls. rnanaaement program;
iii. Detaileddescrio tak'
�,fon.of��i"nspectionprocediires:includniz-record�.keep�ma.,,andaotiorts,�io.lbe 'en.
by the .inspector i4the, event that np&ftpl 11%, -W;p 'lianc,,e,
0A 0 $qjy VisW W..
,notificatioh requirement,§ under.-the.rnonitoriing, and, reporting secti"On.,of, Ih e, permit;
f., .. Sampling and n onrtaring-pla4 including the %llow'' d
i. Names And/or, titles of pets6nneLresponsible f6r conducting the-samplffig, and monitoring;
.
d s ioqf)44�i ",ona' -t t I bie Deta to rpig procedures 'M(�i PTS11: P . �CJyiwift P
WQ,0,051.72-5 Versjorf 2,.'0 SfieU Version 16M16 Page 5'--Of-

q­90iqy4ft.d,Pr.6ccd4e§ :to .assure fihaf representative: satnple5°'are being
Fluctuafion in -temp ,Jlow, and, qthg qper#ipgg,­,,00 difiog's- dS, e q i . ty-11 o
prat�qre _cgn . edt th' - "iWit fih&
-residuals ggMfOd 4uring,�:, OtdCuldtgit ingevelit.- The. gajppjing�,. plan shall acco
unt for
ifibieseen-41u6tuation& in residuals quality e most I res y- and indicate -the �tiJ fax regidoalg-td
and y Ofr TeducTiOn Yeojr'00100ts: fad[ Uti'd§ that,. land' apply,
;,oeli path ,,t p i�per Ytar but hait6,;. Afi - uAl' sampling -frequency need to - u
ann p. mqy sample luring:
winter months-, when pathogen :reduz bon is� most, likely to be negativelyby: o6ld,
6066W
feihpqr-at4rqsj
[Y5ANCAG"02T .110,0]
'Upon; the Water pollution Opqtrbi "S_YMhA '006tatbrs C6,tiflaatio'n Co'mmissioW-,& .(-W.PCS0C-
ol;issificatioii-Q'ft'he-...facitit,y,the:Permitieeshaft designiifeand-emplo -ac, Ai�O-,.ON
Y nrft Mgpoosible,
chargq'(ORC) and :one orm,OrP`certifiqd. operators'b' - k
9 W _1qP accordance i- with
ith, 15A NCAC
aj _!OT .hq-ORGor-h! 'Wq"Lups.,r i k- f, ha11Vig t1h.e facilities in, accordance with 15A NQAC086x-. 62ii74,1
-or�asspedj'fibd.inthe.,mosi:recently.
- ,approve-dO&M' plan-(i.e.,, see. On hall cqmply
with -allot qoq4i of NOAC QG. 0294, For more information togatdihg-Aassifcation and,
desination -reqiikonieiWpleoe;c6nfact.the Division of Water Resources'_Pr6iection 4nc(Enfor-cemdrif
'-Branch-at'(9' - 7,67-9,105. '[l5A`NCAC'O_ ­ " . '
19) 2T --41 17]e
6:,. Ylieiz'the Permitted 1'and applies bulk residuals; acq-py of ihis�,periiift and a,.cppy qf., 'Plans all"66.
maintained at the 'land a'ppficatioff sites during- land, application activities. 15A NCAC 02T
T. -When the Penn kttee: transports or land applies, bulk resjdqal§,,:.the spill control provisions. s4411 be
maintainedmaintainedu all _t.q8id'9q'19 transport and. 4ppli4afiory vehicf6s. [i.-SANCAU 02T.1,11%,
S. Resid-uals.:shall not be, stored. at any land' application sites unless written ApprvaI tas bqdfjequested -
-aiidtcc.e-i.vedfrom the Division. [Q;SA43­i,BAj
9. 'When the Permitted land applies bulk, residuals, adequate; measures shalt
a be; taken to prevent wind
erosion and, surface- runoff- from conveying residuals from
the tdnd; dpoljc466fi 6nto, adjacent
-
properties, (it [GS. 143-215A ]1
j.Q. When'the Pprmifteejamd applies bulk residuals. A.-saitablovegetigive cover §hall be maintained dnJand
application sites onto whicl% residuals. or ao
areapplied..Lbe in accordance., withthe crop
plication shal
management plan, outlined:by,tfie local. Cooperative Extension Office.. the.Degartment, Of .A _gficultufe
and q,biis_uffer.Services;.the Natural Resource !C"- dn*idn�-S�drvic6, or­dmagronomis�t, and as approved
proved
W0,003 -1725i, VO§.i6n ZO; SheU`Versioft, 160210. Page--K of I-f-1:

l l Bulls c es�duals shall not he lend applied uradcr tik►e alaouc? rlg condI tons :
A, If.tl e resiclu is ace liIceiy to ad' er$ety-'affeci:a:thteaten d bf eudangered pecze l sfcd �iui t er se ti izt;
4 oMe lsndangered Speeies:ActovitIs designated'criticaI habitat;_,
V, x Die, ppi cat:causes "gro� d;nnce Cc ndlttatt
e., iftl e.land;fads.teassimilafel ebiilkre idudFs,or,ftieappl catianeaases:;tt e.con zayention,ofsurfa+ .
water sir groun4gq ,> daaxdsz
d. If th6,44— i'da flciodedx frozen arwsnow covered} or es:,othercv se zn,.a tonditidn such thatrunaf "af the
resduals; �vauld�oe�ur,
e Within the--100 year flood elevafi11
m, unless the but t�. res�duats are in1eatec ar ►z�ctirlaorated wt#lain a
2_4 hourperiod following a residuals -land application event
f Du"r",ing a:zr easitrable pze ip taticn evenlR (1 e;; greater than f t11 iri h pex Hour}, ar itlin..4 tidurs
l'6lIbmang a, xainfall;.event of0.5. inchesor.,�reater:in a 24'-haur period,
g ithe slope is greater"than 10°f` far surface applied (�quTd xesiduIsy ar %PPeJS.,9PP_aqr than:
18 for iA ected. ar. etc tporated.bulk tiquid'rosidivals,
h: if tte sail
ac.eve a
W
a>F
sail pH:r(6 0) ��zll, be; noted..m this permit
€�� lime are
Any approved variations
r. lf{tl e Iand.does_,notthave an established vegetative cover�unl'ess oche residuals are: incorporated .oar
inj;ec d sv thushour period font uxg a residuals Xancl ap t> eation went. An
y, 1 10. a':
USDA, iio=tW,pio&n shad be:;exernpted f dt meeting this vegetative. c over Ce` luireirrent .
t Tf the rtXertical separation befween3c seasaxta[ high :meter fable and the depth of resa duals
appt><cato�z �s le�s� than tine forty; .
fc. if the {vertical separation ofbedrocl, and the .depth of:residuals applicat ota is less 'ihan opeAvt}
l� Apptieaton exceeds agronarn; rates,.
[4,5ANCAC]02T I1091,.
follavu.irig'publ eaccess resin'cttogs ap�I fo:�res ,duAI land applicattcan sites;
a Public access to publier contact sites ;(e g , gatf caurses�,parks, batt ftel4et41t 6e restricted;
fvr 300 after a residuals:land applzcat an event;;;
b. Public access` -to: non, public: contact<,Tsites-:shafl .be .restricted far. 30. 4ys :after w residuals` land`
applfcaQnfeverit<,
[ 5. A:IvcAc: enT .:1- l agEb),( '
13 , Publ><e- access: controls. shalt include the;posting of sagas with ;a mlrt>num aca of square
lr 5' x,T),. Each sign shrill>indxcate`--tla<e,activities eanclucfeel.at each=.site, perm€t namberx and name and
contact informafiop; including the,Permittee �ar applicator's teZephane numl7er Signs shall be posted
t i a clearly vi ibie an c�nsptcudds matindr at ft entxat ce to each.IAnd appl cat�o %site durzrag a land;
appheation event# and for= as lang.as the public access.:restrictions required under Condahon
p13t [LA,NtC QT 41.Q8(b(1:'
Wf 0031725`Vers�on 2;Q Shell V ez n 1402,13E Page °cif 1 x,

pjy -sites,, after each,
g Wpg,tqA 006p, �Jdifa;_ eation
g.,an- rammg",-, egenption.
OfiA 400­­ D
tended
Animals shall not be allo�sredto':graze during larad.,applic�tron,act[�it[es aiaci
restricted period. Sjtes'fttdre-16be tised,fbngazing* shall-havel6neingio,
34 days:
afl'.
prevefifaccess, after each -land Appiconevent,
Food �,-shall "ilo,tb-e,,harvested for,
_top, �'cfo *rdfiber��Wp§
3"U'd
Turf gowii-61flAnd�where residuals have. been applied shall: not be.h
Tactd crops W,i harvestedp 144t, the
If6tal Ve,-,tfie,,Jafid gurface.(L-.Z,,,,t6bacco;,inelons�.-cuoumb,ersij sqyqsh,,et
14
shall ,not, b e:,harested for
When the residuals _remain 46', q land surface for fonr moi tfis of longer prior. to
,iii6efpdrlgflb,li-.Iirit�'o,'the sQil,'-f(oQd,cro'p's.wiih-,�hai-vested parts.belowthe Iona
A-) 'hall surface (e�g -.2ropt crops s,,49h� a� pqt'g t=' es; etc,) s, e.
Ots, radishes;,
harvested fad:
W'46 thOigidiidlg teinMit-6n-the land suffac& f6r less-ilian. four,'moidihs-
'prierto
incorporation parts below tland:
3:$ m4hths
surface IIAR w"ed Forst:
Mhar-v.e§ 4
1;5,. The l?ermrttee shall AoqiAr&,,f m, each. kmdowner-lor. lessee/operator wsiate men a Ofecyot rhe
ofoiher nutrioni, Waste products) I at:
tb, :a copy �Q Plan
,e Been applied siti�.,ffiid -f the ih6st,.recdfttNutA ent, forihose-
operafi6ns where a'NMP isreqWrea'by, the, U-S Ijepq*qnt, 'ok.f Agr:­fcuft-&
.P— atianal Resources.
Agencies, The,Pertntttee shall calculatd-alowablc,tri t,
loAdiii9.4i'ates,based 6t0he-,*6v.ided iii-forblation anduse-t.appropriate -reducti"oiis-.
poi the p:g,rpqse% of''this pe-rfm j:QOP'M afi#gpfnOot Plan:, (CNIP),Util za io Pha
n.
of, Cdrtij5ejd.,Niitci6fif, Management Plam. (,CNN shall' also> be, considered a, X4*
'Managernerit'Rfan.. '[1.5A.NGACUIT 9, -0 . ff _4 AIM (b),(I T" .10- H
16. o resduahs's shall ,b " lane( ­­ H and'Owner..
�e an app Agreement: Aft"achment (LOAA
-between,the Permittee and.-Iandownersor, lewesto-perators, of the land appSca,40g.,940 isll'uil ffill force
and effect„ These dgfno�eOt5 ftll be 000-8idprej,d - ekpiTod One, *4fi the permit ex 'iration', Aatea
.64d shall ,bjeli',eneWcdduring:th,,pe'nniitrenewaI -process;.., Ii 5,A.,x6Ac 62-T. 6,44(c)(4-A
W0063.1,12,5 Versiun,.Ur `Shell: Version ,.1661'10 Nre;R of"13.

IV GAN - D . REPORTTING-REOUMEMENT&
Divi,Sio.n"re ed -n­p_m�rf,o'rin- g'4n- Iq Av&.iIn, g gf.1 bun-tw
atpt, P14AV Cis$Xe; §6d and surface
wafer
,analysed),necessaryIo--ensure,grouwaferandsurfam-water-profectionshall -be. -esfablished, and any
-adqi-qp...q sgMpjg_repqj96d
We
I., Residuals, shall be. analyzed: tod'
&hidhsfrAf&Ah,cY tibii-hazaiYiotis'under the Resource Coriseruation
4n weryA6-k0 �es �p�%s�qjs classy as_,.g. bazar.dqqs-qipxip, a4under 0;
A
CFFUhlf26.1, shall Adv66--." e, or. iis-pb $pdIu-�-&f'p�rmj . Jh�AmqfyOeS[edfto9i itib4k t ifity'j.,
Peatity i and toxicity characteristic: leaching procedure_ .(TCLP)j; shalt be: periormedt at the:
�equen�cy specified tri: Attachment A, arid. the I'ermrttee,shall,mainfan these results fora minimum of
five,yeats'.. Any exeeoticihs fibm %the-te" ft' c quiremen. s Wthis-. 6,ndifi6a,,shdIf be. specified iii-Attachtn6lif-A..
The TCI.P analysis Wit, 1 A the foIlowing,parameters (the regulaforq jgvof uI fig. mmsgor'Wr
Arsenic V
Nftr661kzeqe ab),
:Uaoutvi poo, ✓
2?-D f r,
1, Upf Wh
'FdhtaM6rbpb:etfbl'(IOG*V
v
Carbowf6trachlodde(Q.5). vl
Efi&in.(O.��2 v/"
fq tie Y/
FIOXAC,
Chlorobenzene (100.0,
H�ptklAb�-(Ania ftshydro'xide)
TO`Pphene-(0 5)
Chior6ferM(O.-O)", ✓
Hexabdhl'Oro4,3-buUdie6ex
Tfi6M6roethyf6h:et_(0,
t- ✓14exadhbroeffi
bane _0
6ch G�tqp, j461
V
0 v
o,L.Cresol (2q0,0) V
V
-TPA-TP (S:Uvev)
p-Ciqg& (ZOQ.0 v
rd
Mercury ifry 94
in�,Uhlof e�(. .2)
V. 0 ✓
�Cresol ,(200-.O I
methoxydilgr`('ITO),
v
Methyl ethyj j�etoriL
Oncelhe�residudls have.,been--moni.tbred-,f6r.,fwo.years.at-.,,the *epemy.,specified inAnsel ment-A,,iliel
Vqftiitwqmay -submit g(. pextitt modification tq, 4 9 frequency of this rhqqitqppgz
fepirein&nt: r tcycle-_
pc -permi
r!.5A-T-,4j0AC 11A.M.0 M_02TAW' I 10$1:
I--, ­ I I ­ -1111-11.%.0, �2T!­
W-0001315Yersiou.2.0 Shell Version 1:60'216 Page 9,"Of'13;

I 1.. An, analysis; shall
lies &� c6ndWt&d :on 'eu-a111s1-.,_r ok:e:ea
chsourcegenerating facility at the #eqpengy
specified in Attachment A. and the-Permitfee. shall maintain -the, results for "a minimum 0.. ifflft' .
ve-Wais.
The anttl i :shafl.incitide-thefoll'bw.i'n'g parari &tets<:
Aluminum ✓
Mercury
Moly, 4044 . M
Ni6kel.
Sodium
C✓
.4dmium,
11-11
Nitrate -Nitrite Nitrogen.
Sodium-Adsor0on.Ratia-
'CAI,MUM✓
Percenadf,al Solids, V
T,
Copper
'Pit
zin16,
Ph6gohdits
Magnesium✓-
a0t,.
4- Available Nittb$en
(b
ny. calculation)
[IS A--NCALC OTT : I 10 11
4,-- Residuals, s40 be. thofift6feJ for 'compliance with, pailiggen and vector attratti.on.. 'redui*on
requirements di -fi -the 'equency speci ied,ih -Attachment Ai 4nd at the time ln' dicate.!OJ I ji.the sampling a-
rnoRjtprihg,sectj-n$, of theapproved08,M, plan. There4uiied ddAd shall be.specific' to the-stabilizailon
process utilised, and., sufficient. to demonstrate: .compliance with, the- Class-, -0 pathogen reduction.
reql4irelAentsjh15A NW 62T I 106(4)and (b)(2) and- atie vector attraction r&dudtiod.reqyircm ent
in 15A NCA01"021 .1 ' 107 (9) shall be met.. Any.e;k�ceptions from the-requRements-in, this-, condition shall
bespeciffli6dinAttaohmenfA, [15ANCAC,,'02T.I.16C,02T',.I:,1*07,02T.,1;. 1.11(c)"]
An, annual representative: soils; analysis (ix , Standaf-d-, Soil' Fertilitye.Analysis)'shall be conducted on
each land application,site listed-inAftactiment"Ron Which asesiduals land h qppqqatiq_ event vill'
occur
in the_ respective, calendar year -.� This analysi� shall be fiiAccor&h&&, Witt the "Guidance on, Soil
Sampling" located- in the Sampling lmtructibn§ section, of the NC Department of' Agriculture- 4.
Consumer ServIcesWebsite, (htti):'/,,vi"v.nojzr.goviitarononii_Ipubs.hM),- The, Permittee,atlmaihtaih
these results acid ,,.fth-' -s'mpiffig.rnethod logiesii'
�p iono a 0 d to�deterininessoil fertility. for: a period
'of no. less than five years, and shAltbe made available4o the Diyf�ion upqwreque%, At,"wimini-Mum, the
Standard goll Fertility Analy§is shall include the�follow gp4r4mdters:;
Aciclit
Exchangeable, Sodium Percentaap
Phosphords
B4sO Saturation (by -Calculation),
Magnesium
Potassium,
calcium.
Manganese:
Sodium
Cation CAI ge-Cap4�ity qn�Exchan,
Zino
Capper
PH
[15A XCAC 02T A 11 10A
6. Laboraforyj)arameter analyses shall be performed on.>the residuals as. they are; laqd a - and. - ­.J."
ppli0d, a cl,sh�If
be in.Accordance-with the monitoring rdquifdmenbsin,15ANCAC 0213.0545, [155ANCAC.0213.0505];
WQQQ31725 Ver§;0A` ',ZO $hO11,'VdrsiOn 1,602 10,
­ . palzelo of 13�,

-7,.., The-Penniitee,,.shall.mainiain-.recorda,,trackingvifrresidu4LYand -ap kation,evvnts-., Atlaminimum,'these, ph
Kftoro shmall,"filp,44 the 09414g,
a.. SQurce`of"re�rduaIss;
b';j j)6ic-4,1404 4ppjk4fjqjg
' -inB:
Approximate areas ap
F plfed to (acres);,
'e.. Tvidtho"d oflarid4ppil.Oofon-;
weather cond�tai�ns {e.g; sunny cloud},
,.rautm
Pi W.
046 ihafir.
h.Soil conditions dry,1 weizlfrozen, efc-.);
Nitrogen: Application Rate based on RYES -,-(jf --using, data obtained, from., the Nor-tht-Arplina; State,,
'UniVeisitybdp of Soil 9 idceVebiite,Ad-T­ tM pageshallt on - file —aril
reprint6d.
eWry'eyeks), "gqO�..dr p 6,� Qt, w
OOTe #ftPq4Ua4 land pplfied in gallgio.,p _y
AW`y4T per
topper acre;
1.: N, ..of an-imal,wasle ortother nutrient -source applied #igallons per acre; dry tori tser -wren Q
W., 0 Lt ` Ws per acre;,
,
m:., VGliamep of.-satif amendmetft§,(e.g., lime;:gyps
um; etc:) ,app
lie
d ,,-ing#11omper. , *re;,, dry:,t',qri per_ acre;
or wet toils per acre; and
a. Annuat and cumulative totals in drytons per acre; of residuals -as well as animAl" wastezand"OtheT
d -a_'hl­ jneatt.
wo, ja� potiq �, p T Aprp of e c, _
(6.g shall J rlud 'b­`ut shall i! be� limjW to; Eoeritd, c,adffiW' Icopper, leads mercury ,
e -a r f' A -,rnolybd' num- nickel, selenium, andzinc); annual -poun&per acre o PAN annual poun
ds pqr
41crbbfpK(jgp§ONs applied -to q 5
apptt _a*Id. e
[15A NCAC 02TA1.0900T
'Tlree&pi'e—sof 'a, ft annual .report sha
ll. 6e §66
ffiannual report §hall.
meethe.-reqpiremerits described -in -the Instructions for Residuals App 1-icat-ibnAnnualSepor.t-,inp-,.',Forms:
Instructions for reporting ing an e A annual report: forms- are dvqjjdblv at
h or, can be obtAinedby contacting the_ Land.
Applicatioff,Uifit-ditectly, The annual'reportshall ebe subiriifte&tqthe ,�
f0ow,
OiA,00if of-woot'Ad % sources
hiformafiow,P'rocessing Unit.
116f7'Mail Service-Center
-R,,aletgh;.Nb,rth-,,Carolina..2.,-7699--�r.6�l,-7
WQ001.1725 V6:rsion,10 Shell Ve"Mon 1602,10 Page 11 of'.13,

TheTbrmitfee. shall report byielephoneiio: theAsh6vil1e.R.'egfOiW OMO,44PMjlellt bdx (k&) 296--
�
0Q6iA§sb6ftA&;PdssibI in
but ­.h6 hi ,,pase-ore ffi, iin-2,4-.,b-dUr-gor-6'n:the.--next-.-.-w.orkingday-fblloiN;iiig�.t'hep
'he o op, occurrence: or first knowledge oft c currence- f any ofthe following:
L- qg4,qppiiaAdpvof tosjoudtsa�nb1- it ityo f,chArAdt&ri9fio.
b. An, failure of-ft-landappl
ication program.resulting, in a release of mate-ria,l.tosurface waters:
'c -A!IYz time geOr-MoOoriII& indicates the 60_14Y liar _Ptie but of cbh�pliaftce, with; As permit
d. Any, procesgs unit failure, -date to known or unknown reasons, render 4 the facility Incapable, of
a4Oqq4td residualtreatffilerit.
Any spill or discharge-from-a.vohicte or-p' g e residual- tr'-
�Pip system 4, ,� uri ospq ..aton..
gith
A)W'0WPFk9q0PY,T4-i iqg.,Imm Mia to, surface -Waters, imminent failure of'
;i-storage structure; etc) outside normal business hours, shall, be. reporfed.te-the, Divis 's Emergency
Response: personnel - --at-Aelephone number ("0).66249 -5 0) 858 -636' .f- (919) 73543.0.0-Tergons.
S�'d
reporting such occurrences byfelophan6`shdff.,dlko file -a written repori. in letter form-w. - fthinfivedus,,
following first knowledge -of 'ihe:occurrenca. Thisreport shall outline theactionstaken 'd se to
be ta �9_ qqswq t4atthe problpm-d` -t- [1�A NC-AC,.02T .0105,(�)
icon, 02T.01,08(b)(1)],
V, DZSPECTIONS'
The, PO inspection and . hiAirOn Ani"ce , proper- -operation, of the>
on to ensure
subje&t facilffiesand.. shall he4w accordance with-, the approved C*M'Plan, ['1, 5 ' NCAC 62 _ , T'
X -)]
2 Prior to each: bulk tesidua% land -tippfkai6ii, event, the Pekmittec of, his designee -shall inspecii. the
,residual's prodessing;, storage, transport and iappli6ation, &eilfti6s, to idc.ntify malfunctions, faciliy
Veteri6flatuon and Operator errors that could result in discharge
s to the enVirOpment, a thteat-to human,
'health ot-4046ti'C'Iitii§anc6. The-Pktihitteeshall ,rh8Liiitainan,ihspectionloge} atinclud-es;.ai:ami'ni-mum
the date and time ofinspectioff, observations, made, and_anym.aintonanc.e,, repa,irs, or c6trective, acti Qns
taken. -The Pqrtnittee, shall maintain. this: insotetion, 10g, fo
­14 , maintain _ A inspection � - - _r 4. period 6f "fine - years from the date of
inspection,, and thfi log shall 'be: made available to the, Division upon, request: "[t6A.TWAC'62T
3. Any duly' aiithorized,.Division re ' sentative-May- upon presentation -of credentials,.. enter and inspect
pre
any property, premises. or place on or -related -to -the land application sites..bf facilities. permitted herein
at any reasonable or tae p 'r'o'*Se.-ofde.termffiijig.,,c,'omp.1-ta' with.this permit-- may inspector copy.
�'uP
any records, required_' -to: be maintained, under the terms and. conditions of this. perm:jt; -aiid *Eiy., qcillcct
grpuAdwqtqr, sw%,ep water or feachAte samples. [01S. 143_2_-15,3,(a)(2)j
V1. :GENE - CONDITIONS
f. FAijAte, tacoftiplyvith the c6nditi6hs ahid'Jun.itAtibris, d6jitAifted herein may -subject the Permittee to an
enfbreement.acii on by the Divisibn-in accord'ance-wii.h,Nor-thCarolina Ge�fleTa,). statutes 143-2115,6A to
141-2_15.6c'i, fOS. 143-215.6A to 143-215.6C
2: This, permit shall 'become- voidable,, if the residuals land application events are, not carried out in
c - a oT4app he conditions NCAC.Q2T .011.0]
p e with t­ ofthispermit, [!,�'A
1 This permit is -effective only Arithrespedt. to4he, nature andTO'lume of 'residuals described. -in the permit
4pplizatibn and othqrsupporting, documentation., t G S. 143-21.5AT
WQ003J 725 Vet9ion Z.0 ShellV6itibfi, 16021,01
Page 12 of f

4, The is;sV*O ofairsp 411'
wi' ,, 4IRY *0
rules, regu'lations,-,or'ordintices which m"a"'y-ie-':'IMd b jbrls� dtf6hal
Post
Cal --j��OA goapplic-able river buffer 'rute-�� v af"partibularconceni, d�ebi'
15ANU WC Q2j3-OZ0O' bro�s J, UX ,'.0 i p 4
i. 9d' � ... ... t fi ik
,jgd,pr� eDivision-1sG"eneral Per='tNC.60'100'00�-,any�requiremenis,,periaining,tG w-eil4ndsunder"I
iiE .9200-04 02, - --hap
".6$06, ag 4ip�i 9 W, A
M., - IWO
[15A, N-CAC 02T,01-001Y rer
In N event the residuals prggrqg.changesOwo,N or, th-
e 'erm ttee, ch@ffgpshis'name, a fqnq4t
pefinit-modificatib S
Nsu6mDivision: This; eclue`st shall, bemade
.pkdffildal
Oi*isiop fbqW and: '5hill inoludeapprop�4ie&cumenfationfrom.the, parties :involved" and other,
gn ffill,
portf�g -docil ghtotiofi,-.d�, ndde�g�a TU Vdt 0 of-ToOrO shall y resp6.n§ibW.-fbf
mail iftin,mg,andoperating ,the -,residual's,.prGVam-perfiii'tfed.h6rein untila-perailtis. issued to the new
[115ANWA' t-,02T , 04]'
6'i. This. -permit is, subject- to. revocation ori unilateral. rhodi-fication-upori'60-day notice from .the Divisi'On. Duectox� �n whole or -T
rqqL q�A, ( 62,
part for 0"
'T. U. '6sst -nl -the--aVdriaii6e,-,eipdfi'sibn,ofthe p.etbaitt'e.d,f6sidual§progain--coniaiae.d-.
ter, -5A' -T,AW`-'.9ZT-ff.';Q{b
Herein I C
[15 N-C AQ,'027T .012 01
The ,PlgtMiitee-shall:pay.,-the-annual , - f6e wiihin-I O:daysafter being billed by, the. Ojvision. FAWe..tpa
y
t pal
fee the ,annual DivisionDivisionPohli� U SA MCA C'. ,
.0,10
Permit ;.is§ u--dd.t I s th flip day-b I
idly -26, 6 .
E li�` �-' (NY ON . 'AL "NA T
a.yZirxix& aw P,a,. IN
rector -
Division of,'W-dter Resources
$-y,A-,,u i I y of 'ihg l8nvop '-Manqge C'mmission,
Permit NumberWQ0031725.
W,Q0031725—Wrsich.4 Shell Ve iPA 1'60210-
, � - Pagp,, 13 t.of '13

ATTWCHWNT A- Appro*td,Residu.al,,,$,00kc-es.
CerMeehan D J,`u�y 144016
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-2,Analyses tq clerrtijnstrate that residuals -are: non hazaTdo�as (1 t , TCLP; tgn�taliility, reacfxyityxandprrps?vity)` as. �tipuleci, under peztmf;Gon�tioi► IV 2r,
3, T�Sling,dfmeials, - opdifioOM-1,
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Annual Report Review SOP Class B/ Land Application
Reporting Period: l ltb " ^ /P/31 //(1, �
Permit Details: W(Q 003 � -'2,5 jq�,�vt L %-PP,
Is 503?y
Class A or
Maximum Dry Tons Per Year: pM
Number of acres permitted: A 4
Number of fields in permit: to
Counties that land is permitted for:
Monitoring Frequency for TCLP: Annll0.
Monitoring Frequency for Residuals Analysis: {} nn vc �11
Monitoring Frequency for Pathogen & Vector Attraction Reduction: Annu.&-I
Groundwater monitoring: N
1. Annual Land Application Certification Form
Was a certification form submitted? Y Was land application conducted duri g the reported year?
How many dry tons and dry tons per acre were applied? �• �/ .
Were the applications within the permitted amount? y
Verify PAN if more than 10 tons/acre? PJ Pr
Did it indicate compliance? Y
Was it signed by the appropriate people? \/
2. Monitoring r]
Were the analyses conducted at the required frequency? y
Was an analyses taken for each source that was land applied?'�
Were the metals analyses reported on the Residual Sampling Summary Form? �)
Were the results reported in mg/kg? I
A• Were the pH's 6.0 or greater for each residual sampleTQ0 pH'S•`.
Were the heavy metals within ceiling concentration permit limits?
Were the lab analyses attached? "I
M',
Were all the required parameters tested-!- I O
Was TCLP analysis conducted?'`%
Were the TLCP contaminants within re ulg atory limits?f-
r'
Was a corros vity, ignitabili , and reacttty analysis conducted?
3. Field Summary �s 1,),+ ClIPprov2-A
Were the land application events recorded on the Field Summary Forms?
How many fields were applied on this year? 1
Was a Field Summary Form submitted for each field?k�
Were all the residuals applied to permitted land? \(
Were all the residuals applied from permitted sources? e�
Were the field loading rates for each metal and PAN calculated (year to date)? �I
Were the cumulative pollutant loading rates calculated?
Were the calculations correct?
Were the PAN loading rates within permit limits?
Were the heavy metal cumulative pollutant loading rates within permit limits?
Were the residuals applied on a suitable crop?

Were the applications conducted during the crop's growing season?
Were the Field Summary Forms complete?
• Was lime application on Field Summary Fo ?•No lime applied.
4. Pathogen and Vector Attraction Reduction D 9 3 L
Was a signed copy of the Pathogen aqd Vector Attractir Reduction Form submitted?
Did the form indicate the period of coverage, the residual class, and the patHeen reduction
alternative and the vector attra ion reduction option used?
Class B Pathogen Review
Alternative 1 — Fecal Coliform Density
Was the sampling conducted at the required frequency?
Were seven samples taken? \l ` Not ov t 2-w16 °
Was the geometric mean calculated and done correctly? 'A
Did the results show compliance (less than either 2,000,000 MPN/gram of total solids or
2,000,000 Colony Forming Units/gram of total solids)? �1
Alternative 2 — Use of Process to Significantly Reduce Pathogens (one of five)
• Was the sampling conducted at the required frequency?
1. Aerobic Digestion
Was it an aerobic process (Inspection)?
Were logs submitted showing time and temperature?
Were temperatures within range for complete time period?
Was the time and temperature between 40 days at 20°C (687) and 60 days at 15°C
(59°F)?
2. Air Drying
Were the residuals on sand beds or pave or unpaved basins for three months?
Was the ambient temperature above 0°C (32T) for two months?
Were the residuals partially digested?
Were residuals exposed to atmosphere during two months above 0°C (not snow
covered)?
3. Anaerobic Digestion
Was it an anaerobic process (Inspection)?
Were logs submitted showing time and temperature?
Were temperatures within range for complete time period?
Was the time and temperature between 15 days at 35°C (95°F) to 55°C (13IT) and 60
days at 20°C (687)?
4. Composting (usually will be Class A when composting is used)
Was it a composting procedure (not natural decay under uncontrolled conditions)?
Were logs submitted showing time and temperature?
Was the temperature raised to 40
5. Lime Stabilization
• Was alkaline material added to residuals a form of lime (hydrated lime, quicklime, lime
containing kiln dust or fly ash)?
• Were logs submitted showing time and temperature?

Was the pH raised to 12 after two hours of contact?
Were logs submitted showing time and pH?
Was temperature corrected to 25°C (77°F)?
Alternative 3 — Use of Processes Equivalent to RSRP
(Not commonly use. See White House Manual page 100-103, tables 11-1 and 11-2.)
Vector Attraction Reduction Review
• Was the sampling conducted at the required frequency?
Option 1 — 38% Volatile Solids Reductio
Was there 38% reduction? Y 511 (0 �o
Were lab sheets/calculations in report? N
Was the reduction on volatile solids (not total solids)?
Were the samples taken at beginning of digestion process and before application
(Inspection)? '/
• Were calculations correct?
Option 2 — 40-Day Bench Scale Test
Were residuals from anaerobically digested treatment (Inspection)?
Were residuals anaerobically digested in lab?
Was the test run for 40 days?
Was the test done between 30°C (867) and 37°C (99°F)?
Was the reduction of on volatile solids (not total solids)?
Was the reduction less than 17%?
Were lab sheets/calculations in report?
Were calculations correct?
Option 3 — 30-Day Bench Scale Test
Were residuals from aerobically digested treatment (Inspection)?
Were residuals aerobically digested in lab?
Were residuals 2% or less total solids?
If not 2% total solids, was the test ran on a sample diluted to 2% with unchlorinated
effluent?
Was the test run for 30 days?
Was the test done at 20°C (687)?
Was the reduction of on volatile solids (not total solids)?
Was the reduction less than 15%?
Were lab sheets/calculations in report?
Were calculations correct?
Option 4 — Specific Oxygen Uptake Rate(SOUR)
Were residuals form aerobically digested treatment (Inspection)?
Were residuals 2% or less total solids (dry weight basis) (not diluted)?
Was the test done between 10°C (50°F) and 30°C (86°F)?
Was the temperature corrected to 20°C (68°F)?
Was the SOUR equal to or less than 1.5 mg of oxygen per hour per gram of total
residual solids (dry weight basis)?
Was the sampling holding time two hours?
Was the test started within 15 minutes of sampling or aeration maintained?

Option 5 — 14-Day Aerobic Process
Were the residuals from aerobically digested treatment (Inspection)?
Were the residuals treated for 14 days?
Was the residuals temperature higher than 40°C (1047) for a 14-day period?
Was the average residuals temperature higher than 45°C (113°F)?
Option 6 — Alkaline Stabilization
Was the pH of the residuals raised to 12 or higher by the addition of alkali?
Did the pH of residuals remain at 12 or higher for two hours without the addition of
more alkali?
• Did the pH of residuals remain at 11.5 or higher for an additional twenty-two hours
without the addition of more alkali?
• Was the pH corrected to 25°C (77 17)?
Option 7 — Drying of Stabilized Residuals
Does the residuals contain any unstabilized residuals?
Were the residuals mixed with any other materials?
Were the residuals dried up to 75% total solids?
Option 8 — Drying of Unstabilized Residuals
Were the residuals mixed with any other materials?
Were the residuals dried to 90% total solids?
Option 9 —Injection
• Was there any significant amount of residuals on land surface one hour after injection
(Inspection)?
Was injection done on pasture or hay field?
Was injection done at time that crop was growing?
If Class A with respect to pathogen, were residuals injected with eight hours after
discharge from pathogen treatment?
• Was the appropriate -documentation to show pathogen and vector attraction reduction included
in the report?
• Was pathogen and vector attraction reduction demonstrated according to 40 CFR Part 503?
5. Soil Tests 5 _yam
Was a Standard Soil Fertility Analysis conducted for each application field? Lirn�- �I
Were the soil pH's 6.0 or greater for each application field? No [3 = P pe 3c :.
If no, was lime applied to those fields? D P 5 = P� 5, Cp 6
Were the copper and zinc indexes in the soil less than 2000 for each application field?
Was sodium less than 0.5 meq/100 cm1\39
Was the exchangeable sodium percentage ( SP) less than 15%?
6.General I
Was the report in the proper format? �(
Was the annual report complete?
Was the report submitted on time? o _ D� � S � ev"' f