WQ0031725_Application_20110302

me
Southern
soil
Builders, Inc.
Wednesday, March 02, 2011
Alice M. Wessner
Aquifer Protection
2728 Capital Boulevard
Raleigh, NC 27604
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 / DWG}
Aquifer Protection Secfion
MAR p 4 2011
P F.: � �mrm
VAR 10 2611
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 DP 1-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
MIAR Q 4 2011

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r7 UIFER PROTECTION SECTS r, «`'N
�J �f APPLICATION REVIEW REQUEST FORM
�LI
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 ELAU
E-Mail: [e-mail]
El David May, WaRO-APS
❑ Charlie Stehman,. WiRO-APS;
❑ Sherri Knight, WSRO-APS f
Telephone: [phone] Fax:[phone]
A. Permit Number: WQ0031725 B. Owner: Baxter Healthcare Corporation
C. Facility/Operation: Baxter Healthcare Corporation
❑ Proposed 0 Existing ❑ Facility ❑ Operation
D. Application:
I. 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 (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 Protection Section contact person listed above.
RO-APS Reviewer: h1%�'1r; r�� Date: "p
FORM: APSARR 03110 Page 1 of 1

�OF W A TF9Q
State of North Carolina
Department of Environment and Natural Resources
C Division of Water Quality
Aquifer Protection Section
Regional Staff Report
To: Aquifer Protection Section Central Office Application No.: W00031725
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
a. Date of site visit: 12/8/2010
b. Site visit conducted by: Bev Price, Brett Laverty (ARO AP) Patrick Mitchell (WS APS) Zack Key(SSE)
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 Clingman
Rd. Left at 4-way stop, still on Clingan, go approx 3 mi. to Hwy. 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? ® 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 attached 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 Page 1 of 3

III. EXISTING FACILITIES FOR DIFICATION 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. 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 , „
0 , H
0
0 , //
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
❑ Notice(s) of violation
❑ Current enforcement action(s) . ❑ Currently under JOC '
❑ 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 RECO] 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
This area is completely denuded while cattle are feeding, so no
located on ridge at Field
vegetation/crop for nutrient uptake. Crop should be established before applying
DPI -A prior to 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 )
r
6. Signature of report preparers 12
Signature of APS regional supervisor:
Date: 12— its u,lkz
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: APSRSR 04-10 Page 3 of 3.

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�OF W ATF9Q State of North Carolina
�O Department of Environment and Natural Resources
C C Division of Water Quality
o -c -
Aquifer Protection Section
Regional Staff Report
OX i Z -72, v 1 �~Li�/. z �!/U1�� I� `L1\, �-�/ cU ��i�j•r�C�%12�
T/ 1
To: Aquifer Protection Section Central Office 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
a. Date of site visit: 12/8/2010
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
�rn
d. Person contacted: Zack Key, SSB and their cunt +c in N rmati s (336) 957 - 8909 ext.
e. Driving directions: 01+- Gli:q ,�N 3 `
36 j=—
II. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS �"`^ (aJ�N D- a- � 1 -,-
tv t�s /-2c� L
1. Facility Classification: Already Classified — Land Application (Please attach completed ratingsheet 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? :; 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? IVYes ❑ 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. gee. boo`
8. Is the proposed or existing groundwater monitoring program adequate? ❑ Yes ❑ No n] 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 IN No ❑ N/A
,��`; �E 5��` "3tj
`
If yes, attach list of sites with restrictions
1 13-0T H — ��i�
(Certification B)
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F6RM: AP RSR 04-10
l
Page 1 of 3

III. EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLIUATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ® Yes ❑ No ❑ N/A
ORC: Dennis Key Certificate 4:15704 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 , //
0 II
0 , II
0 , It
0 , It
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

? v
IV. REGIONAL OFFICE RECOMI.--.gDATIONS
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 I 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 preparers
Signature of APS regional supervisor:
Date:
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: APSRSR 04-10 Page 3 of 3

AQUIFER PROTECTION SECTION
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]
❑ David May, WaRO-APS
❑ Charlie Stehman, WiRO-A]
❑ Sherri Knight, WSRO-APS
A
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C'
CD
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00
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Telephone: [phone] Fax:[phone]
A. Permit Number: W(j K31725D B. Owner:--Baxter`Healtlieafe Corporation ?
C. Facility/Operation: ,Baxter Healthcare Corporat►oni
❑ Proposed fLZDExisting ❑ 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 (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 Protection Section contact person listed above.
RO-APS Reviewer: Aevulli ib Date: 'J k7A O
FORM: APSARR 03/10
Page 1 of 1

IRECEWE©
ALIT
HICK
North Carolina Department of Environment and Natural
Beverly Eaves Perdue
Governor
Stephen Taylor
Baxter Healthcare Corporation
PO Box 1390
Marion, NC 28752
Division of Water Quality
Coieen H. Sullins
Director
November 17, 2010
Subject: Acknowledgement of Application No. WQ0031725
Baxter Healthcare Corporation
Land Application of Residual Solids (503)
McDowell
Asheville Regional Office
Sour=Lwaifer Protection
Dee Freeman
Secretary
Dear Mr. Taylor:
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'
�ievi�lle Regional Offte ,Aquifer 1?rotection Se�Jaott
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] i FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet: www.ncwatergualihr.org
An Equal Opportunity 1 Affirmative Action Employer
One
NoAliCarolilia
Natty"ally

S Southern
S Soil
$ Builders, Inc.
Wednesday, October,27, 2010
958 Hoots Road Roaring River, NC 28669
[phone] • Fax [phone]
MV 22 21UM
Asheville Regional Office
Aquifer Protection
North Carolina Department of Environmental and Natural Resources
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Division of Water Quality
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Land Application Unit
2728 Capital Boulevard
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Reference: Modification of Permit WQ0031725
N
=�
Baxter HealthcareCorporation
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 co
NON -DEDICATED RESIDUALS LAND APPLICATION PROGRA1Vl -C
(FORM: NDRLAP 070807)'11
The Division of Water Quality will not accept this application unless all the instructions are follaw�ed. Talnre to
submit all of the required items will lead to additional processing and review time:'—
For more information, visit our web site at. http.-Ah2o.enr.state.nc.us/lau/main.himl Wit=
�v n
-- ! IM
A. Application Form: (All Application Packages): 5­1
✓ 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.
B. 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 1C .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

I.
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 MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: (to be completed by DWQ)-
OWNERSHIP INFORMATION: - ,
77—
1. Specify whether the process facility is owned by:
r �r
❑ County; ❑ Federal; ❑ Municipal; ❑State; ®Non -Government. -�
2. Owner's name (please specify the name of the municipality, corporation, individual, etc.) eve
Baxter Healthcare Corporation
c-:
Mailing address: _
City: Marion
PO Box 1390
State: NC
Physical address: 65 Pitts Station Road
City: Marion
Telephone number: [phone]
E-mail address:
[e-mail].
[e-mail]
Zip: 28752
State: NC Zip: 28752
Facsimile number: ( 828) 756-4821
3. Signing official's name and title: (See Instruction A)
Stephen Taylor Waste Water Supervisor.
Mailing address: PO Box 1390
City: Marion State:
Physical address: 65 Pitts Station
City: Marion
Telephone number: (828) _756 6618
E-mail address:
stephen_d taylor@baxter
II. PERMIT INFORMATION:
NC Zip: 28752
State: NC Zip: 28752
Facsimile number: 828 7564821
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 WQ0031725
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:
M. 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:
Physical address: 958 Hoots Road
RN
Zip: 28669,
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
qbs 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, S 4, Own p� ) o r , attest that this application for
6 &y,)a r 1 � e 4 l f Le ar c- 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: 00 b()
r
rs
THE COMPLETED APPLICATION PACKAGE,`
INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
-
� t=7
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
-t�
M' �''
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
"
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
r
LAND APPLICATION UNIT
'
By U.S. Postal Service: By Courier/Special Delivery:
1636 MAIL SERVICE CENTER 2728 CAPITAL BOULEVARD
RALEIGH, NORTH CAROLINA 27699-1636 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [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 FORMMAYBE PHOTOCOPIED FOR USE ASANORIGINAL)
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.or /web/wgla 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 separate attachment form for each
residuals source -generating facility to be certified for this residuals program.
✓ For modified residuals programs in which any modification to the certified residuals -source generating
facilities is proposed, submit a sedate 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 FORM AMYBE PHOTOCOPIED FOR USE ASAN 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.
Facility permit number: NC0006564
Facility permit issued by (check one): ® Div. of Water Quality, ❑ Div. of Environmental Health, or
❑ other (explain: ).
3
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:
Facsimile number:
State:
and longitude:
Zip:
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 per 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 Part257.
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 H. 4a., 5., 7a., 7b., and 8.
***FORM: RSCA CONTINUES ON NEXT PAGE***
FORM: RSCA 070807 Page 3 of 8 1 Attachment Order 2

3. Hazardous `Haste 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) & HZS: 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
(C1assA & 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.Sb. 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
(mg/kg)
(mg/kg)
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 Virus/Viable 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 II.7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II.7b. above.
❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution.
FORM: RSCA 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

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Goosle
���� Notes Baxter Healthcare
65 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 MOD 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 MOD
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 MOD. 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.

1
WASTEWATER TREATMENT
PANT EVALUATION:
B XTER HEALTHCARE CORPORATION
MCDOVVELoljNTY,. NORTH CAROLINA
7 T
l
I ,
I 7 I ! 150,000 GALLON
I I CLARIFIER CLARIFIER N FILTER SLUDGE BASIN
I i N o. 3 N o. 4 a
• u � w � 10" /� i
AERATION BASIN Q
f N o. 2
— -- v
EQUALIZATION
.BASIN Y k J �
I I I I e dew I CONTACTCHLORINE
I AER aBIC
DI I CHAMBERS NESTER
s"cIP's CLARIFIER I
If
Not ill I I I .ore = �\ F— 4tv
• + .1 . % I ( i - I��\ � LI-I--I�._ 4`O �2"cIP--~-- ��_I I l
PUMP r 4CIP-- ' I III
i� .. BUILDING III
i I I rD,GE,TER
OBIC
A="RATION BASIN t' CLARIFIER 1
WATER
FILTER
WASHWATER
T
i
I
1
f
I
I
I
I
i
FILTER
No.1--,—No.1 J SLUDGE
I DRYING BEDS
� i III.
on
12"CIP TO
HOLDING
BASIN

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.

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
@D, A&L Eastem Laboratories, Inc.
7621 Whltepine Road Richmond, Virginia 23237 (804) 7434;401 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 r�` m` 60w
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. W� o
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
1.
C
0.31
%
SM2540G
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 NCOO9O9
P.O. Box 228 9 Statesville, North Carolina 28687 9 704/872/4697

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 .
SM9221 CE 5/6/10
MD
10055-18.1
'
Geometric Mean
1
166 MPN/g2. drywt bads 5/7/10 Cl_ r
.... .. ..... ...-
10055-18.10
Corrosivity
TCLP See Attached
SW-846
5/12/10
:PACE ;,
10055-18.10
Ignitability
TCLP See,Attached.
'
1010M
5/12/10
' PACE,`
.
10055-18.10
Reactivity
TCLP,, See Attached
:.
SW-846
: 5/12/10
PACE f
1,0055-18 10
TCLP
e
TCLP ' See Attacfed
1311
5/12/10
.. =
PACE
10055A 8.2
% Solids
2
2.35
%
SM25406
5/6/10
MD
10055-18 2 .
. Fecal Coliform MTF
:2
170
MPN/g
SM9221 CE
5/6/10
MD
'10055-18 3
%Solids
3
�3 t10 %
SM25406
5/6/10
MD
10055 98 3
Fecal Coliform MTF
:.3
�X z eF 968
MPN/ 9
SM92210E
5/6/10
.
MR
10055=18.4
% Solids
4
1.88 '
%
SM2540B
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
%
SM2540B
5/6/10
MD
10055-18.7
Fecal Coliform MTF
7
299
MPN/g
SM92210E
5/6/10
MD
10055-18.8
Total Solids
A
18,204
mg/L
SM2540B
5/7/10
MD
10055-18.8
Volatile Solids
A
11,736
mg/L
SM2540
5/8110
MD .l,
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 • 704/872/4697

r -
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
na.
Analyses Result ReportingLimit Qual Units BatchlD Factor Date Analyzed Analyst
PESTICWES,TCLP SW1311/8081B
(SW3510B)
Chlordane
BRL
0.0050
tng/L
129233
1 05/14/2010 12:44
KD
Endrin
BRL
0.0010
ntB/L
129233
1 05/14/2010 12:44
KD
gamma-BIiC
BRL
0.00050
ml/L
129233
1 05/14/2010 12:44
KD
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
BRL
0.0050
mg/L
129233
1 05/14/2010 12:44
KD
Methoxychlor
BRL
0.050
mg/L
129233
1 05/14/2010 12:44
KD
Toxaphene
Surr: Decachlorobiphenyl
62.4
35.5-128
%REC
129233
1 05/14/2010 12:44
KD
Surr; Tetrachloro-m-xylene
71.1
26.5-120
°iREC
129233
1 05/14/2010 12:44
KD
Ignitability SWI010
180
0
> T
R171711
1 05/141201011:00
AS
Ignitability
HERBICIDES,TCLP SW1311/8151A
(SW3510B)
BRL
0.20
ing/L
128920
1 05114/201007:10
AK
2,4,5=I'P (Silver)
BRL
0.20
Ing/L
128920
1 05/14/201007:10
AK
2,4-D
110
53.1-142
/REC
128920
1 05/141201007:10
AK
Surr: DCAA
Qualifwrs: Value exceeds maximum contaminant level
BRL Below reporting limit
H Holding times for preparation or analysis exceeded
N Analvtc not NELAC certified
B Analyte detected in the associated method blank
Greater than Result value
E
Estimated (value above quantimtion range)
S
Spike Recovery outside limits due to marrix
Narr
See case narrative
NC
Not confirmod
<
Less than Result value
6of11

ceAwlytical "
www.pac -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
0.025
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
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 16:39
106-46-7
2,4-Dinitrotoluene
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 16:39
121-14-2
Hexachloro-1,3-butadiene
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 16:39
87-68-3
Hexachlorobenzene
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 16:39
118-74-1
Hexachloroethane
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 16:39
67-72-1
2-Methylphenol(o-Cresol)
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 16:39
95-48-7
3&4-Methylphenol(m$p Cresol)
3610 ug/L
250
5
05/11/10 11:00
05/13/10 14:51
Nitrobenzene
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 16:39
98-95-3
Pentachlorophenol
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 16:39
87-86-5
Pyridine
2,4,5-Trichlorophenol
ND ug/L
50.0
1
05/11/10 11:00
05/12/10 16:39
110-86-1
2,4,6-THchlorophenol
ND ug/L
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
05/1.1/10 11:00
05/12/10 16:39
321-60-8
Phenol-d6 (S)
21-132
1
05/11/10 11:00
05/12/10 16:39
1718-51-0
2-Fiuorophenol (S)
21 %
22 %
10-110
1
05/11/10 11:00
05/12/10 16:39
13127-88-3
2,4,6-Tribromophenol (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
118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260
Benzene
ND ug/L
100
20
05/12/10 07:34
71-43-2
2-Butanone (MEK)
ND ug/L
200
20
05/12/10 07:34
78-93-3
Carbon tetrachloride
ND ug/L
100
20
05/12/10 07:34
56-23-5
Chlorobenzene
ND ug/L
100
20
05/12/10 07:34
108-90-7
Chloroform
ND ug/L
100
20
05/12/10 07:34
67-66-3
1,4-Dichlorobenzene
ND ug/L
100
20
05/12/10 07:34
106-46-7
1,2-Dichloroethane
ND ug/L
100
20
05/12/10 07:34
107-06-2
1. 1 -Dichloroethene
ND ug/L
100
20
05/12/10 07:34
75-35-4
Tetrachloroethene
ND ug/L
100
20
05/12/10 07:34
127-18-4
Trichloroethene
ND ug/L
100
20
05/12/10 07:34
79-01-6
Date: 05/28/2010 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..
.cco,

ZacAnalytical
wwvpaoefabs.am
Project: 10055
Pace Project No.: 9268841
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]
Sample: 10055-16 Lab ID: 9268841001 Collected: 05/05/10 08:30 Received: 05/O6/10 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 Sid. 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
ND mg/L 0.025 1
05/12/10 12:20
05/12/10 23:05
7440-38-2
Barium
0.86 mg/L 0.025 1
05/12/10 12:20
05/12/10 23:05
7440-39-3
Cadmium
ND mg/L 0.0050 1
05/12/10 12:20
05/12/10 23:05
7440-43-9
Chromium
0.27 mg/L 0.025 1
05/12/10 12:20
05/12/10 23:05
7440-47-3
Lead
ND mg/L 0.025 1
05/12/10 12:20
05/12/10 23:05
7439-92-1
Selenium
ND mg/L 0.050 1
05/12/10 12:20
05/12/10 23:05
7782-49-2
Silver
ND mg/L 0.025 1
05/12/10 12:20
05/12/10 23:05
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 13:43
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
05/1111011:00
05/12/10 17:06
106-46-7
2,4-Dinitrotoluene
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 17:06
121-14-2
Hexachloro-1,3-butadiene
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 17:06
87-68-3
Hexachlorobenzene
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 17:06
118-74-1
Hexachloroethane
ND ug/L
50.0 1
05111/1011:00
05/12/10 17:06
67-72-1
2-Methylphenol(o-Cresol)
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 17:06
95-48-7
3&4-Methylphenol(m&p Cresol)
ND ug/L
50.0 1
05/11/10 11:00
05/12/10 17:06
Date: 05/28/2010 04:03 PM 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..

ceAnalytical
a++WpacelabsxWn
Pace Analytical Services, Inc.
2225 Riverside Or.
Asheville, NC 28804
ANALYTICAL RESULTS
[phone]
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 10055
Pace Project No.: 9268841
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 OF 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
NO ug/L
50.0
1
05/11/10 11:00
05/12/10 17:06
98-95-3
Pentachiorophenol
NO ug/L
50.0
1
05/11/10 11:00
05/12/10 17:06
87-86-5
Pyridine
NO ug/L
50.0
1
05/11/10 11:00
05/12/10 17:06
110-86-1
2,4,5-Trichlorophenol
NO ug/L
50.0
1
05/11/10 11:00
05/12/10 17:06
95-95-4
2,4,6-Trichlorophenol
NO ug/L
50.0
1
05/11/10 11:00
05/12/10 17:06
88-06-2
Nitrobenzene-d5 (S)
52 %
12-102
1
05/11/10 11:00
05/12/10 17:06
4165-60-0
2-Fluorobiphenyl (S)
63 %
13-107
1
05/11/10 11:00
05/12/10 17:06
321-60-8
Terphenyl-d14 (S)
90 %
21-132
1
05/11/10 11:00
05/12/10 17:06
1718-51-0
Phenol-d6 (S)
28 %
10-110
1
05/11/10 11:00
05/12/10 17:06
13127-88-3
2-Fluorophenol (S)
39 %
10-110
1
05/11/10 11:00
05/12/10 17:06
367-12-4
2,4,6-Thbromophenol (S)
85 %
27-108
1
06/11/10 11:00
05/12/10 17:06
118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260
Benzene
ND ug/L
100
20
05/12/10 07:12
71-43-2
2-Butanone (MEK)
NO ug/L
200
20
05/12/10 07:12
78-93-3
Carbon tetrachloride
NO ug/L
100
20
05/12/10 07:12
56-23-5
Chlorobenzene
NO ug/L
100
20
05/12/10 07:12
108-90-7
Chloroform
ND ug/L
100
20
05/12/10 07:12
67-66-3
1,4-Dichlorobenzene
NO ug/L
100
20
05/12/10 07:12
106-46-7
1,2-Dichloroethane
NO ug/L
100
20
05/12/10 07:12
107-06-2
1. 1 -Dichloroethene
ND 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
ND ug/L
100
20
05/12/10 07:12
79-01-6
Vinyl chloride
NO ug/L
100
20
05/12/10 07:12
75-01-4
1,2-Dichloroethane-04 (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-Bromofluorobenzene (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
ND 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..
.«o,o
Page 6 of 23

�,2ce A-Mlyfical
WWW48caws.cnm
Project: 10055
Pace Project No.: 9268841
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
ANALYTICAL RESULTS
[phone]
Pace Analytical Services, Inc.
9800 Kinoey Ave. Suite 100
Huntersville, NC 2B078
[phone]
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 OF 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
NO mg/L
0.0050 1
05/12/10 12:20
05/12/10 23:09
1440-43-9
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
05/12/10 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
05/13/10 09:35
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
NO 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
NO ug/L
50.0 1
05/11/10 11:00
05/12/10 17:33
87-08-3
Hexachlorobenzene
NO 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
NO ug/L
50.0 1
05/11/10 11:00
05/12/10 17:33
98-95-3
Pentachlorophenol
NO ug/L
50.0 1
05/11/10 11:00
05/12/10 17:33
87-86-5
Pyridine
ND ug/L
50.0 1
05/11/10 11:00
06/12/10 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
NO 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
05/11/10 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-Tribromophenol (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
NO 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
NO ug/L
165 33
05/10/10 20:41
107-06-2
1. 1 -Dichloroethene
NO ug/L
165 33
05/10/10 20:41
75-35-4
Tetrachloroethene
NO ug/L
165 33
05/10/10 20:41
127-18-4
Trichloroethene
NO ug/L
165 33
05/10/10 20:41
79-01-6
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..

Pace Analytical Services, Inc. Pace Analytical Services, Inc.
lice2225 Riverside Dr. 9800 Kincey Ave. Suite 100
/i!!C! y uKt/ Asheville, NC 28804 Huntersville, NC 28078
wwwpacelabs.car+i
[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
75-014
1,2-Dichloroethane-d4(S)
99 %
79-120
33
05/10/10 20:41
17060-07-0
Toluene-d8 (S)
99 %
70-120
33
05/10/10 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
1868-53-7
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..
o,
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: hgp://portal.ncdenr.org/web/walaps/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 (1VI) ♦ 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 & 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).
• 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 `B")
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 Vicinity/Buffer Maps for North Carolina Residuals
Permitting Programs."
■ Attachment Order 3-a: 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.
FORM: LASCA 070807 Page 2 of 4 Attachment Order 3

Applicant's name: 84Y ie - H re, l Ihco<<
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
Landowners)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series
Name*
Mapping
Unit or Rep.
Slope **
N
DP1-A
Douglas Poplin
4.51
Wilkes
Fescue
Fairview
FcB2
N
DPI-B
Douglas Poplin
1.25
Wilkes
Fescue
Fairview
FcB2
N
DP1-C
Poplin
2.3
Wilkes
Fescue
Fairview
FcB2
N
DPI-D
—Douglas
Douglas 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
Dou las 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 (Modinea) ♦ -r (- ransrerrea)
* 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: RwtiTr Am0hCare.
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
DP1-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 at 1. t4 ��_ _ , attest that this attachment form has been prepared by me and is accurate and complete to the best
of my knowledge. I &derstand 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 retggnyd as incomplete.
Signature
Date W3 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. org/web/wps/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 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: ho://portal.ncdenr.or 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:
hffp://portal.ncdenr.org/web/Wq/smR/ws/WsmT/Maps.
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: bq://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: hq://portal.ncdenr.ora/wgb/Wg/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 he 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: [phone] Facsimile number: [phone]
E-mail address: stephen d [e-mail]
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: zkey(asouthernsoilbuilders.com
M 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:
A. Sig a
L
X p
B. R i '(Printed Name) C. Date of
D. Is del very address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
0 Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number . 7005 3110 0003 2507 7023
(Transfer from service /at
PS Form 3811, February 2004 Domestic Return Receipt 102e95-02-M-15a0

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LANDOWNER AGREEMENT ATTACHMENT
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at.
http://yortal.ncdenr.or /wg/ eb/wq/aps/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) 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
DPI-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 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:Ilportal. ncdenr. org/weblwglaps/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 Corporation
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
DP1-D
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DP2
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DP3
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
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.
lne unaersignea landowner or nls representative ana tue rermittee agree to aDiue wltn Zile 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/wq/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 Corporation
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
DP4
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DP5
PASTURE/HAY
ANIMALE FEED
BAXTER HEALTHCARE
DP6
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 FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not consider this attachment form to be complete
unless all the instructions are followed. Failure to follow the instructions or to submit all of the
required items will lead to additional processing and review time for the application.
For more information or for an electronic version of this form, visit our web site at.
http: //portal. ncdenr. org/web/wg/aps/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 ) -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
DP7
PASTUREIHAY
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

II. 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.
M. 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: ! ) O j
Landowner address:_ J 74 A,4 it h-e j%i71^ Iq a-/ City: 90 not'e, State: AIC zip: a �sn
r � a
Phone: WS`1-9 55$
Signature: Date:
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that D e as L Pop),, r\
personally appeared before me this day and acknowledged the due execution of the forgoing"instrument.
WITNESS my hand and official seal this theIlk—
�a \
dayof OC40bQr 20 / v
Public
Signature and seal: Wilkes County
on Expires
My commission ex Tres: y- -�J s� 0410912n13 Z
Q
fly CARONX
FORM: LOAA 090814 Page 3 of 4 Attachment

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. j
Signing official name: r ^ ��' !a r
Signature: Date:
*** END OF FORM: LOAA ***
FORM: LOAA 090814 Page 4 of 4 Attachment Order 3-c

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SRHAFFER S09L SERVICES, No.
P 6 p seaa9ipp'1RO, �/lv
$�e�Vrc�+�1�up`ep76v 12
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 map unit lines have been mapped on the site maps- aft areas
shown are the some soil type and thus the map just depicts the boring locations, field names, and
buffered areas forslope or surfacewaters. 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:
® General site location maps (2)
• Copy of the soil sample transmittal sheet
® Copy of the soil survey map for the area (1 small scale and 1 large scale)
® Copy of the Official Series Description for the Fairview soils found in the evaluation
® 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 PROPERTY
AUSTIN LITTLE MOUNTAIN ROAD
WILKES COUNTY, NC
JUKE 30,2010
MARL A. SHAFFER, L.S.S.
Ronda
-rig River

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Map Unit
Map Unit Name
Acres
Percent of ~'
Symbol
in AOI
AOI
BaB
Banister fine sandy
7.3
0.9%
loam, 1 to 6 percent
slopes, rarely
flooded
CoA
Codorus learn, 0 to
43.4
5.6%
2 percent slopes,
frequently flooded
DaA
Dan River and
2.1
0.3%
Corirus soils, 0 to 4
percent slopes,
occasionally flooded
DpC2
Danripple sandy clay
25.0
3.2%
loarn, d to 15
percent slopes,
moderately eroded
FaD
Fairview sandy
94.3
12.1%
loam, 15 to 25
percent slopes
FcB2
Fairvievr sandy clay
204.9
26.3%
loam, 2 to 3 percent
slopes, moderately
eroded
FcC2
Fairvievr+ sandy clay
292.5
37.5%
loam, ^o to 15
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! , Warning: Soil Map may not be valid at this scale.
I, 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.
tt P _ '
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1, KARL A. SHAFFER, L.S.S., DETERMINE THIS SOIL SURVEY MAP
1Q,
TO BE ACCURATE AND RELIABLE FOR THE LAND APPLICATION -Q,
OF RESIDUALS ONTO THIS SITE. '41

7`7 7; l 7. t. i 77 L ) t i
LOCATION FAIRVIEW NC+VA
l _ 1 77 i 1 = l 7 �1
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 nonfat 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 nonflat 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 nonfat 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 channers 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 1OYR, 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 IOYR, 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 M to I 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 1 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 1 OR 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
IIayesville soils --are on elevations above 2000 feet
Nathalie 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
Woolwine 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 ILz1ob 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
Winteroyee.n soils --formed in old alluvium; on adjacent high terraces
Woolwine 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
M1LRA 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 Apt 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 Mapurut 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.
Rol 'xf��n'a.

Submit Reset ;
Realistic Yields for FcB2: Fairview sandy clay loam., 2 to 8 percent slopes.,
moderately eroded in Wilkes County I
Crop
Yield
Nitrogen
Factor
Realistic
Nitrogen
Rate (lbs/acre)
Estimated Phosphorus
Removal
(lbs P20,S/acre)
Barley (Grain)
67Bushels1.49
.99
25
Corn (Grain)
108 Bushels
1.11
120
47
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)
Bushels
2.01
Small Grain (Silage)
8.8 Tons
98
48
Sorghum (Grain)
49 CWT
1.72
84
37
Soybeans (Double Cropped)
33 Bushels
27
Soybeans (Full Season)
39 Bushels
0
Soybeans (Double Cropped - Manured)
33 Bushels
--0
3.89
130
27
Soybeans (Full Season - Manured)
39 Bushels
3.89
152
31
Tobacco (Burley)
0 Pounds
0.074
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
25
-Bahiagrass (Hay)
3.4 Tons
44
151
39

Caucasion/Old World Bluestein (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
Timothy Grass (Hay) _--^---^---
0 Tons ------
—44
0
0
v, �
RN - I - -- 0-11

FIELDS DPI® ®P7

SITE EVALUATION FIELD MAP
SOUTHERN SOIL BUILDERS, INC.
LAND APPLICATION OF RESIDUALS
DOUGLAS POPLIN PROPERTY
AUSTIN LITTLE MOUNTAIN ROAD
A
WILKES COUNTY, NC
4t g!"
JUNE 30, 2010
KARL A. SHAFFER, L.S.S,
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This entire field, minus required setbacks from surface waters, property lines, and minus areas where
- slopes exceed 10 percent is sultable fear land application of residualsIbiaasolids. All walls classify as
Fairview sandy clay loom, 2 to 8 percent shapes, 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:
C
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
C 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.
Bt2: 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.
C Bt3: 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
on ped faces; gradual wavy boundary.
LC: 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
Lcemented, 10% consists of partially weathered schist that crushes with strong hand pressure; friable;
30% coarse fragments.
LC/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, 2010]
¢G4.; f+i ���� �- -�-;�� ;mot �^ K•M n�' Q't5
,fl

IThe following table gives the characteristics at each boring.
I
I
I
Soil boring
number
Soil Name
Depth to seasonal
high wateritable
I
Depth to
saprolite (C)
Depth to
bedrock
Landscape
position &
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
Fairview
>40 inches
>40 inches
>40 inches
Sideslope -4
10
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
DPI-D
7.95 acres
TOTAL AREA- FIELD DPI:
16.01 acres
FIELD ®P 2
CThis entire f<eld, minus required setbacks from property lines/highway rights -of -way, is suitable for
land application of residuals/blosolids. All soils classify as Fairview sandy clay loans, 2 to 8 percent
slopes, eroded
This is a corn silage field with a gentle ridge and sideslopes- slopes ranging from 2 to 8 percent. Three
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:
CFairview sand clay loarre y y , 2 to 8 percent slopes, eroded:
Ap: 0 — 7 inches: strong brown (7.5YR 4/6) sandy clay loam; moderate fine granular structure; friable;
slightly 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.
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, 20101
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
i

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Field No. P ��YI P Boring No. (with lat and long) Description y:
Vegetation 74F-S-cke, Cre Landscape position Sloe ' o
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Other relevant informatio
Horizon
Depth
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Structure
Consistence
Internal
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_ FIELD DP 3
This entire field, minus required setbacks from.property lines, is suitable for load application of
residuals/biosolids. All soils classify as Fairview clay loam, 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 Kanhapludults. 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.
Bt1: 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 day films on ped faces; gradual wavy boundary.
Bt3: 24-32 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; common mica flakes; gradual
wavy boundary.
BC: 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
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 -
controlled visual structure; massive; friable; common mica flakes; irregular wavy boundary.
Cr: 69 inches: medium hard chesty micaceous schist that constitutes auger refusal.
[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 (%)
9
Fairview
>56 inches
40 inches
>56 inches
Sideslope -4
10
Fairview
>48 inches
>48 inches
>48 inches
Sideslope -6
11
Fairview
>69 inches
40 inches
69 inches
Sideslope -5
18
Fairview
>36 inches
>36 inches
>36 inches
Sideslope -6
TOTAL AREA- FIELD DP3: 12.86 acres
FIELDS DP4, DPS, DP6, DP7
These fields are one common soil and crop type. It was segregated for purpose of soli 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,SYR 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 (SYR 5/6) clay loam; weak medium
subangular blocky structure; 10-15% mica flakes; 10% coarse fragments; moderately sticky; slightly
-z 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 DP1:
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

SaflDescripli
Ftoject. Name
FieId?,To.---P
Vegetation--L
Other relevant
county W / Ill - I I /
I (with I -at and long
Wscape pmiltilon
I
�4 I
Horizon
Depth
Texture
Matrix
Mottles
Stnicture
tonsistence
Intemal
Other (restrictive horizons, coarse
I Color
(grade, size, t)Te)
—j
Drainage
fragments., etc.)
12 A
Ter
5 5.,
V
0,-
2-
1 a,
4.. W.
04- 32
C-Z C
V
r-ka
;to L(9 0/1 ell
Cr
.4;
4qDeptb. to seasonal. wetness '7'
e
AI
M. 0 St restlictive holizon QLbr !:7t)
Other comments .57e Pa , r,
Type of -,,vater table, AfA

r°`_7- •- .`�; ` ti77) ` C= 7-7 77 !...._ 1 77 777 :7--1 7? - 7
Soil Description Sheet
Project Name S�✓�` .mac r` _
Field No. n ;P 5
Vegetation -I, "/e r'
Other relevant information
Date t�
County --0 %:� `-`' Soil Description by:
ing No. (with lat and long) (aa��
Landscape position cld S
a
Horizon
Depth
Texture
Matrix
Mottles
Structure
Consistence
Internal
Other (restrictive horizons, coarse
(inches)
Color
(grade, size, type)
Drainage
fragments, etc.)
d _4
SCt-
; , �
All-
V
1
F
-
.s'
4 J! "
2Ci
,tip
7.6 AMI
1,0 1-16 'T�
117
7Z
Auger
0�'?.. �uv
✓ M/i'
4 e
-'a
Depth to seasonal wetness > -
Most restrictive horizon (for Ksat),
Other comments .5C.f � f avoo
Type of water table AIX

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
i
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:
C 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
lbs 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
Cmonitor 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
Closses 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
amendment 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
rates. Liming is critical to the soil and crop health, but the soil pH should not be raised too high. Monitor
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
l..

NOWS Agronomic Division
Phone: [phone] Web site: www.ncagr.gov/agronomi/
Report No: 00478
Grower:
Poplin,
Doug
Copies
To:
Shaffer, Karl
_�
1`'�y =,
594 Austin Little Mtn
Ronda, NC 28670
Rd
Key, Zach
;.
=Soil rest Report
SERVING N.C. RESIDENTS FOR OVER 60 YEARS
Parm:
Received: 07/01/2010 Completed: 07/08/2010 Unks to Heipful 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/71m,M
0
120-200
0
0
0
0
0
0
.0 0
12
2nd Crop: Fes/OG/fim,M
0
120-200
0
0
0
0
0
0
.0 0
12
Test Results
Soil Class HM% WIV
CEC BS% Ac pH P-I K-I
Ca% Mg%
Mn-1
Mn-AI(1)
Mn-AI(2)
Zn-1
Zn AI
Cu-I
S-1
SS-1 NO3-N AW4-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
Lince
N
P205
K20
Mg
S
Cu
Zn
B Mn
See Note
2
1st Crop: Corn,Silage
.8T
180-220
0
0-20
0
0
0
0
.0 0
3
2nd Crop: Corn,Silage
0
180-220
0
0-20
0
0
0
0
.0 0
Test Results
Soil Class HMO W/V
CEC BS% Ac PH P-I K-1
Ca% Mg'16
Mn-1
Mn-AI(1)
Mn-AI(2)
Zn-I
Zn AI
Cu-1
S I
SS-1 NO3 N NH4-N
No
MIN 0.41 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
Zu
B Mn
See Note
3
1st Crop: Corn,Silage
1.3T
180-220
0
10-30
0
0
0
0
.0 0
2nd Crop: Corn,Silage
0
180=220
0
10-30
0
0
0
0
.0 0
.i
Test Results
Soil Class HM% WIV
CEC BS% Ac pH P-1 K I
Ca% Mg'-
Mu-1
Mn-Al(1)
Mn-At(2)
Zn-I Zn AI
Cu-I
S I
SS-1 NO3-N NH4-N
Na
MIN 0.32 1.10
7.2 72.0 2.0 5.0 log 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/71m,M
.8T
120-200
0
0-20
0
0
0
0
.0 0
12
2nd Crop: Fes/OG/T1m,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-1 K I
Ca% Mg•O
Mn-1
Mn-AI(i)
Mn-AI(2)
Zn-1 Zn-AI
Cu-1
S-I
SSI 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
K20
Mg
S
Cu
Zn
B Mn
See Note
5
1A Crop: Fes/OG/Pim,M
.9T
120-200
0
0
0
0
0
0
.0 0
12
2nd Crop: Fes/OG/Tim,M
0
120-200
0
0
0
0
0
0
.0 0
12
Test Results
Soil Class HM'� W/V
CEC BS%
Ac pH P-I K-I
Ca% Mg',6
Mn-I
Mn-AI(j)
Mn-AI(2)
Zn-I Zn-AL
Cu-1
S-I
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
Mo Yr T/A
Crop or Year
Lime
N
P205
K20
Mg
S
Cu
Zn
B Mn
See Note
6
1st Crop: Fes/OG/T rn,M
UT
120-200
0
0
0
0
0
0
.0 0
112
2nd Crop: Fes/OG/Tim,M
0
120-200
0
0
0
0
0
0
.0 0
12
Test Results
Soil Class HM% W/V
CEC BS%
Ac pH P-I KI
Ca% Mg'-6
Mn-1
Mn-AI(1)
Mn-AI(2)
Zn-I Zn-AI
Cu-1
S.1
SSI NO3-N N714-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/Tim,M
1T
120-200
0
10-30
0
0
0
0
.0 0
i2
2nd Crop: Fes/OG/Pim,M
0
120-200
0
10-30
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-Al(1)
Mn-AI(2)
Zn-I Zn=AI
Cu-I
S I
SS -I NO3-N NH4-N
Na
MIN 0.51 IA
9.5 80.0
1.9 5.4 164 63
60.0 16,0
133
97
97
608
608
864
42
0.1
fil:ar1:h Cairo ma
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
annually as residuals are applied to help with sodium monitoring.
-Z 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,
Karl Shaffer, L.S. .
Shaffer Soil Services, Inc.
Attachments: Invoice