WQ0010689_Annual Report_20090225

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Annual Report Review Class A Distribution
1. Class A Annual Distribution and Marketing/Surface Disposal Certification Form
® Was a certification form submitted? �IeS
® Was distribution conducted during- the reported year? yes
® How many, dry tons were distributed? Z2 a'^� . 04'
o Were the distributions within the permitted amount? Y "-f
® Were recipients information listed? .
® Did it indicate compliance? y e S
® Was form complete? y'e,S
® Was it signed by the appropriate people? Yes
2. -Monitoring
® Were the analyses conducted at the required frequency? �� S
® Were the metals analyses reported on the Residual. Sampling Summary Form? y es
® Were the results reported in mg/kg? yeS
® Were the metals within ceiling concentration permit limits? Ye-s
m Were the metals within monthly average concentration. permit limits? ye-5
® If no, were the lab analyses attached?
® Were all the required parameters tested? y �'
® Was TCLP analysis conducted? AS + 1_ 1 Corfos (R-O�.
o Were the TCLP contaminants within regulatory limits? V g
3. Pathogen and Vector Attraction Reduction VA
Was a signed -copy of the Pathogen and Vector Attraction Reduction Form submitted?
® Did the form indicate the period of coverage, the residual class, and the pathogen reduction alternative and the
vector attraction reduction option used?
® Wag the appropriate documentation to show pathogen and vector attraction reduction included in the report?
® Was pathogen and vector attraction reduction demonstrated according to 40 CFR Part 503 or 2T?
4. General
® Was the report in the proper format? l es
® Were any parts of the annual report missing? t4 o
® Was the report submitted on time? I es

Permit: WQ0010689 Owner - Facility: Suez Energy Biopower Inc
Inspection Date: 03/23/2009 Inspection Type: Compliance Evaluation Reason for Visit: Follow-up
Inspection Summary:
This inspection was a follow-up to the on -site inspection conducted on 10/29/08 and included a review of the 2008 Annual
Report. Data appeared to be correct and complete. No site visit required.
Type Yes No NA NE
Land Application 0
Distribution and Marketing 0
Page- 2

Energy Generation NA
February 25, 2009
VIA FEDERAL EXPRESS # 7963 7610 5805
NCDENR-DWQ
Aquifer Protection Section
Land Application Unit
2728 Capital Boulevard
Raleigh, NC 27604
RE: 2008 Annual Ash report
Permit No. WQ0010689
SUEZ Energy BioPower, Inc — North Cove, NC
MAR 0 3 2C09
Enclosed is the annual ash distribution report for calendar year 2008, using the forms
provided by NCDENR-DWQ. During 2008, ash was distributed in two forms:
1. Flyash that settled into the scrubber ponds was mixed with flyash from the
multicyclone, bottom ash, and dry wood to reduce the moisture content.
The ash was distributed for land application in this form. See the ash
distribution records for a list of recipients.
2. Bottom ash from the boiler grate was distributed starting December 1lth.
This ash was hauled in a very dry form (0.43% moisture) and used as a
soil amendment in a commercial operation. A composite sample was
collected in October. Total metals and a TCLP were performed before
distribution. The rest of the year the bottom ash was mixed with the pond
ash to help reduce the moisture content.
All samples were analyzed by Pace Analytical Services, Inc., a North Carolina -certified
laboratory.
RECEIVED / DENR / DWQ
Aquifer Protection Section
FEB 27 2009

If you have questions or require additional information, please contact Summer Barber at
713-636-1639 or Tony Leopard at 828-287-8834.
Sincerely,
0�7 I
Tony Leopard
Plant Manager
SUEZ Energy Generation NA, Inc.
SUEZ Energy BioPower, Inc.
302 Duke Street
Forest City, NC 28043
Tel. [phone] - Fax [phone]
Email — tony.leopardCag dfsue7ria.com
www.gdfsuezna.com
Enclosures - DWQ Reporting Forms
Ash Distribution Records
Pace Analytical Laboratory reports
cc: NC Division of Water Quality (3 additional copies w/ enclosures)
Ricky Styles
Summer Barber

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0010689 FACILITY NAME: SUEZ Energy BioPower, Inc. - North Cove
PHONE: [phone] COUNTY: McDowell OPERATOR: SUEZ Energy BioPower, Inc.
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
0 Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes 0 No ❑ --► If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources s include NPDES # if
() (
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
See Attached Distribution Records
February
March
April
May
June
July
August
September
October
November
December
Total from FORM DMSDF (sup)
Totals:
Annual (dry tons):
0
0
0
.........................
0
...................
Amendments used: Bulking Agent(s) used:
* If more space is required„ attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit 0 Yes
(including but not limited to items 1-3 below) issued by the Division of Water Quality: ❑ No ► If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Quality.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
a
Signature of ermitta Date
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Signature of Preparer**
(if different from Permittee)
Date
DENR FORM DMSDF (12/2006)

Ash Inventory 2008
Date
Estimated
WET Tons
Ash Reused
Type Ash
Recipient
Ash Moisture as Hauled
(measured)
Intended Use
Dry Tons
2/19/08
180
SOUTH SCRUBBER POND
TERRY ENGLISH
57.40%
Land Application
76.68
2/19/08
84
SOUTH SCRUBBER POND
DEAN McCLURE
57.40%
Land Application
35.78
2/20/08
312
SOUTH SCRUBBER POND
TERRY ENGLISH
57.40%
Land Application
132.91
2/20/08
240
SOUTH SCRUBBER POND
MAX HOLLAND
57.40%
Land Application
102.24
2/20/08
60
SOUTH SCRUBBER POND
DEAN McCLURE
57.40%
Land Application
25.56
2/21/08
180
SOUTH SCRUBBER POND
MAX HOLLAND
57.40%
Land Application
76.68
4/17/08
90
NORTH SCRUBBER POND
WILLIAM PENLAND
65.00%
Land Application
31.50
4/18/08
320
NORTH SCRUBBER POND
WILLIAM PENLAND
65.00%
Land Application
112.00
4/17/08
150
NORTH SCRUBBER POND
RICK WILLIAMS
65.00%
Land Application
52.50
4/18/08
50
NORTH SCRUBBER POND
MARK COLE
65.00%
Land Application
17.50
4/21/08
250
NORTH SCRUBBER POND
BILL SMITH
65.00%
Land Application
87.50
4/22/08
170
NORTH SCRUBBER POND
BILL SMITH
65.00%
Land Application
59.50
4/24/08
50
NORTH SCRUBBER POND
BOBBY BOONE
65.00%
Land Application
17.50
4/25/08
70
NORTH SCRUBBER POND
BOBBY BOONE
65.00%
Land Application
24.50
4/29/08
240
NORTH SCRUBBER POND
BOBBY BOONE
65.00%
Land Application
84.00
6/17/08
240
SOUTH SCRUBBER POND
JOE QUINN
51.15%
Land Application
117.24
6/18/08
528 _
SOUTH SCRUBBER POND
TERRY ENGLISH
51.15%
Land Application
257.93
6/19/08
84
SOUTH SCRUBBER POND
DALE TENNANT
51.15%
Land Application
41.03
6/20/08
84
SOUTH SCRUBBER POND
MIKE HUGHES
51.15%
Land Application
41.03
6/23/08
16
SOUTH SCRUBBER POND
ROGER BANKS
51.15%
Land Application
7.82
6/25/08
312
SOUTH SCRUBBER POND
JIM PHILLIPS
51.15%
Land Application
152.41
10/20/08
48
NORTH SCRUBBER POND
RANDY CLARK
39.70%
Land Application
28.94
10/20/08
132
NORTH SCRUBBER POND
ROGER BANKS
39.70%
Land Application
79.60
10/21/08
264
NORTH SCRUBBER POND
TERRY ENGLISH
39.70%
Land Application
159.19
10/21/08.
264
NORTH SCRUBBER POND
TERRY ENGLISH
39.70%
Land Application
159.19
10/22/08
276
NORTH SCRUBBER POND
TERRY ENGLISH
39.70%
Land Application
166.43
10/23/08
48
NORTH SCRUBBER POND
MICHAEL BANKS
39.70%
Land Application
28.94
10/24/08
12
NORTH SCRUBBER POND
MIKE HUGHES
39.70%
Land Application
7.24
10/24/08
36
NORTH SCRUBBER POND
MARK COLE
39.70%
Land Application
21.71
Total Wet Tons
4790
ITotal DryTons
2205.06

Bottom Ash Tracking
To Wallace Farms 2008
Date
Tons as Hauled
Ash Type
Recipient
Intended Use
Dry Tons
12/11/2008
14.79
Bottom Ash
Wallace Farms
Soil Amendment
14.73
12/18/2008
14.90
Bottom Ash
Wallace Farms
Soil Amendment
14.84
12/19/2008
15.21
Bottom Ash
Wallace Farms
Soil Amendment
15.14
12/22/2008
14.35
Bottom Ash
Wallace Farms
Soil Amendment
14.29
12/29/2008
14.14
Bottom Ash
Wallace Farms
Soil Amendment
14.08
12/30/2008
15.10
Bottom Ash
Wallace Farms
Soil Amendment
15.04
12/31/2008
15.53
Bottom Ash
Wallace Farms
Soil Amendment
15.46
Total
104.02
1
Total Dry Tons
103.57
Ash moisture 0.43%

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0010689
Facility Name: SUEZ Energy BioPower, Inc. - North Cove
Residual Source WQ # or WQ0010689
NPDES #:
WWTP Name:
Residual Analvsis Data
Laboratory:
1)
2)
3)
4)
5)
Pace Analytical Services, Inc.
Parameter
(mg/kg)
Cone.
Limit
m /k a
Sample or Composite Date
Pond
01/29/08
Pond
02/14/08
Pond
03/26/08
Pond
04/23/08
Pond
05/27/08
Pond
10/06/08
Bottom
10/10/08
Percent Solids (%)
NA
43.2
41.7
40.9
73.5
48.8
60.3
99.57
Arsenic
75
22.5
26.9
5.1
2.8
10.4
12.2
9.5
Cadmium
85
2.3
1.9
0.86
0.58
1.1
2.2
0.95
Copper
4,300
117
89.4
41.4
30.2
59.8
86.3
135
Chromium
NA
18.5
15.7
8.5
6.4
16.9
24
23.2
Lead
840
49.8
34.4
18.2
13.1
31.1
19.4
8.6
Mercury
57
0.033
0.037
0.012
0.012
0.014
<0.0080
<0.0033
Molybdenum
75
<0.84
<0.97
1.6
<0.47
0.96
<0.52
<0.28
Nickel
420
13.7
12.3
8.4
5.5
11.5
11.3
7.4
Selenium
100
2.7
<1.9
<1.5
<0.93
<1.9
<1.0
<0.56
Zinc
7,500
238
193
105
70.6
141
109
.59.5
Total Phosphorus
NA
104
10
1210
36
55.3
189
ill
TKN
NA
Ammonia -Nitrogen
NA
Nitrate and Nitrite
NA
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified pe sonnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for subnAitting Ise information, including the possibility of fines and imprisonment for knowing violations."
Signature of Y, e�ardlr *
oZ -z4-oY
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0010689 Laboratory: 1)
Facility Name: SUEZ Energy BioPower, Inc. - North Cove 2)
Residual Source WQ0010689 3)
NPDES # or WQ#: 4)
WWTP Name: 5)
Residual Analysis Data
Pace Analytical Services, Inc.
Parameter
(mg/kg)
Sample or Composite Date
Pond
01/29/08
Pond
02/14/08
Pond
03/26/08
Pond -
04/23/08
Pond
05/27/08
Pond
10/06/08
Bottom
10/10/08
pH
8.8
9
8.2
8.2
8.7
10.6
10.01
Barium
1310
1160
658
464
750
823
917
Calcium
110000
72900
.51400
40000
59500
56100
63100
Iron
10500
11360
6310
4390
12200
17500
14800
Magnesium
11900
9200
6830
4580
9680
8800
16500
Manganese
2740
1830
1170
791
1400
1440
1150
Potassium
19800
18500
<14500
8210
18500
21700
15400
Silver
<0.84
<0.97
<0.73
<0.47
<.97
0.71
0.32
Sodium
7000
5100
4740
2790
5320
6530
4960
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for,4ubmitting false information, including the possibility of fines and imprisonment for knowing violations."
iipat&e of P pKrer 'Y
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Date
DENR FORM RSSF - B (12/2006)

aceh7alytical
r www.pacerabs.com
1 '
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: Pond Ash 1129
Pace Project No.: 9212546
Sample: S-24-29-08 Lab ID: 9212546002 Collected: 01/29/08 09:45 Received: 01/30/08 10:10 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
toll) MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA 3050
Arsenic
22.5 mg/kg
0.84
1
02/05/08 10:55
02/05/08 22:24 7440-38-2 -
Barium
1310 mg/kg
0.84
1
02/05/08 10:55
02/05/08 22:24 7440-39-3
2.3 mg/kg
0.17
1
02/05/08 10:55
02/05/08 22:24 744043-9
Cadmium
110000 mg/kg
168
10
02/05/08 10:55
02/06/08 11:27 74.40-70-2
Calcium
18.5 mg/kg
0.84
1
02/05/08 10:55
02/05/08 22:24 7440-47-3
Chromium
117 mg/kg
0.84
1
02/05/08 10:55
02/05/08 22:24 7440-50-8
Copper
10500 mg/kg
8.4
1
02/05/08 10:55
02/05/08 22:24 7439-89-6
Iron
49.8 mg/kg
0.84
1
02/05/08 10:55
02/05/08 22:24 7439-92-1
Lead
Magnesium
11900 mg/kg
16.8
1
02/05/08 10:55
02/05/08 22:24 7439-95-4
'Manganese
2740 mg/kg
8.4
10
02/05/08 10:55
02/06/0811:27 7439-96-5
ND mg/kg
0.84
1
02/05/08 10:55
02/05/08 22:24 7439-98-7
Molybdenum
13.7 mg/kg
0.84
1
02/05/08 10:55
02/05/08 22:24 7440-02-0
Nickel
19800 mg/kg
8390
10
02/05/08 16:55
02/06/0811:27 7440-09-7
Potassium
2.7 mg/kg
1.7
1
02/05/08 10:55
02/05/08 22:24 7782-49-2
Selenium
ND mg/kg
0.84
1
02/05/08 10:55
02/05/08 22:24 7440-224
Silver
7000 mg/kg
839
1
02/05/08 10:55
02/05/08 22:24 7440-23-5
Sodium
238 mg/kg
1.7
1
02/05/08 10:55
02/05/08 22:24 7440-66-6
Zinc
6010 MET ICP, TCLP Analytical Method: EPA 6010 Preparation Method: EPA 3010
Arsenic
J Barium
,Cadmium
Chromium
lead
:Selenium
Silver
0.028 mg/L
0.86 mg/L
ND mg/L
ND mg/L
ND mg/L
ND mg/L
ND mg/L
0.025
0.025
0.0050
0.025
0.025
0.050
0.025
1
1
1
1
1
1
1_
02/04/08 09:30
02/04/08 09:30
02/04/08 09:30
02/04/08 09:30
02 /04/08 09`30
02/04/08 09:30
02/04/08 09:30
02/04/08 15:05 7440-38-2
02/04/08 15:05 7440-39-3
02/04/08 15:05 7440-43-9
02/04/08 15:05 7440-47-3
02/04/08 15:05 7439-92-1
02/04/08 15:05 7782 49-2
02/04/08 15:05 7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Mercury
0.23 ug/L
0.20
1
02/04/08 11:49
02/04/0813:07
7439-97-6
7471 Mercury
Analytical Method: EPA 7471 Preparation Method: EPA
7471
Mercury
0.033 mg/kg
0.011
1
02/01/0812:22
02/01/0816:21
7439-97-6
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
56.8 %
0.10
1
02/01/08 09:14
9045 pH Soil.
Analytical Method: EPA 9045
'pH at 25 Degrees C
8.8 Std. Units
0.10
1
02/13/08 08:48
365.1Phosphorus, Total
Analytical Method: EPA 365.1
Phosphorus
104 mg/kg
9.3
2
02/01/0818:45
7723-14-0
Date: 02/18/2008 11:29 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 15

Pace Analytical Services, Inc. Pace Analytical Services, Inc.
® 2225 Riverside Dr. 9800 Kincey Ave. Suite 100
aceAnalytical Asheville, NC 28804 Huntersville, NC 28078
www.pacelabs.com
[phone] [phone]
ANALYTICAL RESULTS
Project: POND ASH
Pace Project No.: 9213593
Sample: MA-S-3-2-14-08 Lab ID: 9213593001 Collected: 02/14/08 11:00
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF
Received: 02/14/08 13:13 Matrix: Solid
Prepared Analyzed CAS No. Qual.
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA 3050
Arsenic
26.9 mg/kg
0.97
1
02/15/08 14:45
02/16/08 02:28
7440-38-2
Barium
1160 mg/kg
0.97
1
02/15/08 14:45
02/16/08 02:28
7440-39-3
Cadmium
1.9 mg/kg
0.19
1
02/15/08 14:45
02/16/08 02:28
7440-43-9
Calcium
72900 mg/kg
193
10
02/15/08 14:45
02/18/08 13:02
7440-70-2
Chromium
15.7 mg/kg
0.97
1
02/16/08 14:45
02/16/08 02:28
7440-47-3
Copper
89.4 mg/kg
0.97
1 .
02/15/08 14:45
02/16/08 02:28
7440-50-8
Iron
11300 mg/kg
9.7
1
02/15/08 14:45
02/16/08 02:28
7439-89-6
Lead
34.4 mg/kg
0.97
1
02115/0814:45
02/16/08 02:28
7439-92-1'
Magnesium
9200 mg/kg
19.3
1
02/15/08 14:45
02/16/08 02:28
7439-95-4
'Manganese
1830 mg/kg
0.97
1
02/15/08 14:45
02/16/08 02:28
7439-96-5
Molybdenum
ND mg/kg
0.97
1
02/15/08 14:45
02/16/08 02:28
7439-98-7
Nickel
12.3 mg/kg
0.97
1
02/15/08 14:45
02/16/08 02:28
7440-02-0
Potassium
18500 mg/kg
967
1
02/15/08 14:45
02/16/08 02:28
7440-09-7
Selenium
ND mg/kg
1.9
1
02/15/08 14:45
02/16/08 02:28
7782-49-2
Silver
ND mg/kg
0.97
1
02/15/08 14:45
02/16/08 02:28
7440-22-4
Sodium
5100 mg/kg
967
1
02/15/08 14:45
02/16/08 02:28
7440-23-5
Zinc
193 mg/kg
1.9
1
02/15/08 14:45
02/16/08 02:28
7440-66-6
7471 Mercury
Analytical Method: EPA 7471
Preparation Method: EPA 7471
Mercury
0.037 mg/kg
0.012
1
02/19/08 12:10
02/19/08 16:38
7439-97-6
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
58.3 %
0.10
1
02/18/0810:09
9045 pH Soil
Analytical Method: EPA 9045
pH at 25 Degrees C
9.0 Std. Units
0.10
1
02/14/08 21:24
365.1 Phosphorus, Total
Analytical Method: EPA 365.1
Phosphorus
10 mg/kg
9.6
2
02/25/08 20:34
7723-14-0
Date: 02/28/2008 03:36 PM
REPORT OF LABORATORY ANALYSIS
Page 4 of 11
This report shall
not be reproduced, except in
full,
without the written consent of Pace Analytical Services,
Inc..
�CCOgO
i /l_.. lk z

,
ceAnalytical
wwwpacelabs.com
Project: SAMPLING 3/26
Pace Project No.: 9216524
Pace Analytical Servles, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: NORTH POND ASH Lab ID: 9216524001 Collected: 03126/08 13:30 Received: 03/28/0811:00 Matrix: Solid
32608NI
Results reported on a "dry-weight^basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3050
Arsenic
5.1 mg/kg
0.73
1
04/04/0813:26 04/05/08 00:56 7440-38-2
Barium
658 mg/kg
0.73
1
04/04/0813:26 04/05/08 00:56 7440-39-3
Cadmium
0.86 mg/kg
0.15
1
04/04/08 13:26 04/05/08 00:56 7440-43-9
Calcium
51400 mg/kg
291
20
04/04/0813:26 04/07/0812:05 7440-70-2
Chromium
8.5 mg/kg
0.73
1
04/04/08 13:26 04/05/08 00:56 7440-47-3
Copper
41.4 mg/kg
0.73
1
04/04/0813:26 04/05/08 00:56 7440-50-8
Irony
6310 mg/kg
7.3
1
04104/0813:26 04/05/08 00:56 7439-89-6
Lead
18.2 mg/kg
0.73
1
04/04/0813.26 04/05/08 00:56 7439-92-1
Magnesium
6830 mg/kg
14.5
1
04/04/08 13:26 04/05/08 00:56 7439-95-4
Manganese
1170 mg/kg
0.73
1
04/04/0813:26 04/05/08 00:56 7439-96-5
Molybdenum
1.6 mg/kg
0.73
1
04/04/0813:26 04/05/08 00:56 7439-98-7
Nickel
8.4 mg/kg
0.73
1
04/04/0813:26 04/05/08 00:56 7440-02-0
Potassium
ND mg/kg
14500
20,
04/04/0813:26 04/0710812:05 7440-09-7
Selenium
ND mg/kg
1.5
1
04/04/08 13:26 04/05/08 00:56 7782-49-2
Silicon
8620 mg/kg
291
20
04/04/0813:26 04107/0812:05 7440-21-3
Silver
ND mg/kg
0.73
1
04/04/08 13:26 04/05/08 00:56 7440-22-4
Sodium
4740 mg/kg
727
1
04/04/08 13:26 04/05/08 00:56 7440-23-5
Zinc
105 mg/kg
1.5
1
04/0410813:26 04/05/08 00:56 7440-66-6
6010 MET ICP, TCLP Analytical Method: EPA6010 Preparation Method: EPA 3010
Arsenic
ND mg/L
0.026
1
04/04/08 18:15 04/07/0814:25 7440-38-2
Barium
1.4 mg/L
0.025
1
04/04/08 18:15 04/07/08 14:25 7440-39-3
Cadmium
ND mg/L
0.0050
1
04/04/0818:15 04/07/0814:25 7440-43-9
Chromium
ND mg/L
0.025
1
04/04/0818`:15 04/07/0814:25 7440-47-3
Lead
ND mg/L
0.025
1
04/04/08 18:15 04/07/08 14:25 7439-92-1
Selenium
ND mg/L
0.050
1
04/04/08 18:15 04/07/0814:25 7782-49-2
Silver
ND mg/L
0.025
1
04104/0818:15 04107/0814:25 7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA7470 Preparation Method: EPA7470
Mercury
ND ug/L
0.20
1
0410710811:30 04/07/0816,41 7439-97-6
7471 Mercury
Analytical Method: EPA7471 Preparation Method: EPA7471
Mercury
0.012 mg/kg
0.012
1
04/04/0812:21 04/04/0817:12 7439-97-6
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
59.1 %
0.10
1
04/10/0815:00
365.1 Phosphorus, Total
Analytical Method: EPA365.1
Phosphorus
1210 mg/kg
97.7
20
04/0410814:30 7723-14-0
Date: 04/10/2008 04:39 PM REPORT OF LABORATORY ANALYSIS Page 4 of 13
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
paj

Date: 3 - 2 (o—yS
Facility; /%i h-Af)aA/
Analyst:
Calibration
Calibration 7
Time
Cal Buffer
4.0
Cal Buffer
10.0
Check
Buffer 7.0*
Comments
�o.01
* pH buffer checks are to be within t 0.1 pH units of the standard's true value
pH Analyses
Sam le ID
Time
Sampled
Time
Analyzed
pH Result
Buffer
Check**
Comments
3-24.49 J
l : 5s ►�
�.
7- r�
ewve, . e214 / c
A� k:�s
** Indicates a recommended drift check using Buffer 7.0 at the end of testing or every 4 hours minimum.
Results should be within t 0.1 pH units of the standard's true value.
q

_ aceAnalyticat
-pacelabs.com
Project: ASH SAMPLING
Pace Project No.: 9217966
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Sample: S42308 Lab ID: 9217966001 Collected: 04/23/08 13:30 Received: 04/23/08 16:25 Matrix: Solid
Results reported on a "dry -weight' basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA 3050
Arsenic
2.8 mg/kg
0.47
1
04/25/08 15:25
04/28/08 15:32
7440-38-2
Barium
464 mg/kg
0.47
1
04/25/08 15:25
04/28/08 15:32
7440-39-3
Cadmium
0.58 mg/kg
0.093
1
04/25/08 15:25
04/28/08 15:32
7440-43-9
Calcium
40000 mg/kg
93.2
10
04/25/08 15:25
04/29/08 13:27
7440-70-2
Chromium
6.4 mg/kg
0.47
1
04/25/08 15:25
04/28/08 15:32
7440-47-3
Copper
30.2 mg/kg
0.47
1
04/25/08 15:25
04/28/08 15:32
7440-50-8
Iron
4390 mg/kg
4.7
1
04/25/08 15:25
04/28/08 15:32
7439-89-6
Lead
13.1 mg/kg
0.47
1
04/25/08 15:25
04/28/08 15:32
7439-92-1
Magnesium
4580 mg/kg
9.3
1
04/25/08 15:25
04/28/08 15:32
7439-95-4
Manganese
791 mg/kg
0.47
1
04/25/08 15:25
04/28/08 15:32
7439-96-5
Molybdenum
ND mg/kg
0.47
1
04/25/08 15:25
04/28/08 15:32
7439-98-7
Nickel
5.5 mg/kg
0.47
1
04/25/08 15:25
04/28/08 15:32
7440-02-0
Potassium
8210 mg/kg
4660
10
04/25/08 15:25
04/29/0813:27
7440-09-7
Selenium
ND mg/kg
0.93
1
04/25/08 15:25
04/28/08 15:32
7782-49-2
Silver
ND mg/kg
0.47
1
04/25/08 15:25
04/28/08 15:32
7440-22-4
Sodium
2790 mglkg
466
1
04/25/08 15:25
04/28/08 15:32
7440-23-5
Zinc
70.6 mg/kg
0.93
1
04/25/08 15:25
04/28/08 15:32
7440-66-6
7471 Mercury Analytical Method: EPA7471 Preparation Method: EPA7471
Mercury 0.012 mg/kg 0.0057 1 04/2510812:00 04/2510814:45 7439-97-6
Percent Moisture Analytical Method: ASTM D2974-87
Percent Moisture 26.5 % 0.10 1 04/25/08 13:16
365.1 Phosphorus, Total Analytical Method: EPA 365.1
Phosphorus 36.0 mg/kg 13.1 5 04/29/0813:52 7723-14-0
R1
Sample: B4208 Lab ID: 9217966002 Collected: 04/02/08 00:00 Received: 04/23/08 16:25 Matrix: Solid
Results reported on a "dry -weight' basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA3050
Arsenic 3.8 mg/kg 0.28 1 04/25/08 15:25 04/28/08 15:37 7440-38-2
Percent Moisture Analytical Method: ASTM D2974-87
Percent Moisture 0.49 % 0.10 1 04/25/08 13:16
Date: 04/30/2008 05:04 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Ao
V z
Page 4 of 10

pH Field Parameter Worksheet
Trigen-BioPower, Inc.
ro c
Date: y'ZJ�a� Analyst:
Facility:
Calibration
Calibration
Cal Buffer
Cal Buffer
Check
Time
4.0
to. 6 i2XP4—
Buffer 7.0*
Slope
Comments
_JIB
• pH buffer checks are to be within t 0.1 pH units or the sn tauai u s L, ue value
pH Analyses
Sample ID
Time
Sam led
Time
Analyzed
pH Result
Buffer
Check**
Comments
S�z3oQ
a: as �,
�:zo M
�.z
�• 9
A I-- MiniMIlM
'* Indicates a recommended drift check using butter 7.0 at the enu ui tGau,19 vl crclr
Results should be within t 0.1 pH units of the standard's true value.
M

® Pace Analytical Services, Inc.. Pace Analytical Services, Inc.
1eAnaOcal 2225 Riverside Dr. 9800 Kincey Ave. Suite 100
xnnvpacefabs Asheville, NC 28804 Huntersville, NC 28078
[phone] [phone]
ANALYTICAL RESULTS
Project: SOUTH POND ASH
Pace Project No.: 9220350
Sample: SOUTH POND ASH
Lab ID: 9220350001
Collected: 05/27/08 09:30
Received: 05/29/08 00:00Matrix: Solid
Results reported on a "dry -weight' basis
Parameters
Results Units
Report Limit
DF
Prepared Analyzed, CAS No. Qual
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA 3050
Arsenic
10.4 mg/kg
0.97
_ 1
06/03/08 13:15 06/04/08 15:18 7440-38-2
Barium
750 mg/kg
0.97
1
06/03/08 13:15 06/04/08 15:18 7440-39-3
Cadmium
1.1 mg/kg
0.19
1
06/03/08 13:15 06/04/08 15:18 7440-43-9
Calcium
69500 mg/kg
193
10
06/03/08 13:15 06/008 06:39 7440-70-2
Chromium
16.9 mg/kg
0.97
1
06/03/08 13:15 06/04/08 15:18 7440-47-3
Copper-
69.8 mg/kg
0.97
1
06/03/08 13:15 06/04/08 15:18 7440-50-8'
Iron
12200 mg/kg
9.7
1
06/03/08 13:15 06/04/08 15:18 7439-89-6
Lead
31.1 mg/kg
0.97
1
06/03/08 13:15 06/04/08 15:18 7439-92-1
Magnesium
9680 mg/kg
19.3
1
06/03/08 13:15 06/04/08 15:18 7439-95-4
Manganese
1400 mg/kg
0.97
1
06103/0813:15 06/04/08 15:18 7439-96-5
Molybdenum
0.96 mg/kg
0.97
1
06/03/08 13:15 06/04/08 15:18 7439-98-7
Nickel
11.6 mg/kg
0.97
1
06/03/08 13:15 06/04/08 15:18 7440-02-0
Potassium
18500 mg/kg
9670
10
06/03/08 13:15 06/05/08 06:39 7440-09-7
Selenium
ND mg/kg
1.9
1
06/03/08 13:15 06/04/08 15:18 7782-49-2
Silver
ND mg/kg
0.97
1
06/03/08 13:15 06/04/08 15:18 7440-22-4
Sodium
5320 mg/kg
967
1
06/03/08 13:15 06/04/08 15:18 7440-23-5
Zinc
141 mg/kg
1.9
1
06/03/08' 13:15 06/04/08 15:18 7440-66-6
7471 Mercury Analytical Method: EPA 7471 Preparation Method: EPA 7471
Mercury 0.014 mg/kg 0.0090 1,' 05/30/08, 09:06 05/30/08 11:07 7439-97-6
Percent Moisture Analytical Method: ASTM D2974-87
Percent Moisture 51.2 % 0.10 1 06/03/08 08:33
9045 pH Soil. Analytical Method: EPA 9046
pH at 25 Degrees C 8.7 Std. Units 0.10 1 06/11/08 14:59
365.1 Phosphorus, Total Analytical Method: EPA 365.1
Phosphorus 65.3 mg/kg 8.5 1 06/10/08 21:25 7723-14-0
Date: 06/12/2008 10:27 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
CCago'
4L11V8a�rlJ z
Page 4 of 11

77�6
7acl
®
Pace Analytical Services, Inc.
Analytical
2225 Riverside Dr.
wwwpacelabscom
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Project: ASH SAMPLING
Pace Project No.: 9229335
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: NP100608 NORTH POND
Lab ID: 9229336001
Collected: 10/06/08 10:00
Received: 10/06/08 11:58 Matrix: Solid
ASH
Results reported on a "dry -weight' basis
Parameters
Results Units
Report Limit
DF
Prepared
Analyzed
CAS No. Qua]
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method:
EPA 3050
Arsenic
12.2 mg/kg
0.52
1
10/08/08 12:50
10/08/08 21:02
7440-38-2
Barium
823 mg/kg
0.52
1
10/08/08 12:50
10/08/08 21:02
7440-39-3
Cadmium
2.2 mg/kg
0.10
1
10/08/08 12:50
10/08/08 21:02
7440-43-9
Calcium
56100 mg/kg
104
10
10/08/08 12:50
10/09/0811:15
7440-70-2
Chromium
24.0 mg/kg
0.52
1
10/08/08 12:50
10/08/08 21:02
7440-47-3
Copper
86.3 mg/kg
0.52
1
10/08/08 12:50
10/08/08 21:02
7440-50-8
Iron
17600 mg/kg
51.8
10
10/08/08 12:50
10/09/08 11:15
7439-89-6
Lead
19.4 mg/kg
0.52
1
10/08/08 12:50
10/08/08 21:02
7439-92-1
Magnesium
8800 mg/kg
10.4
1
10/08/08 12:50
10/08/08 21:02
7439-95-4
Manganese
1440 mg/kg
5.2
10
1010810812:50
10/09/0811:15
7439-96-5
Molybdenum
ND mg/kg
0.52
1
10/08/08 12:50
10/08/08 21:02
7439-98-7
Nickel
11.3 mg/kg
0.52
1
10/08/08 12:50
10/08/08 21:02
7440-02-0
Potassium
21700 mg/kg
5180
10
10/08/08 12:50
10/09/0811:15
7440-09-7
Selenium
ND mg/kg
1.0
1
10/08/08 12:50
10/08/08 21:02
7782-49-2
Silver
0.71 mg/kg
0.52
1
10/08/08 12:50
10/08/08 21:02
7440-22-4
Sodium
6530 mg/kg
518
1
10/08/08 12:50
10/08/08 21:02
7440-23-5
Zinc
109 mg/kg
1.0
1
10/08/08 12:50
10/08/08 21:02
7440-66-6
7471 Mercury
Mercury
Percent Moisture
Percent Moisture
9045 pH Soil
pH at 25 Degrees C
365.1 Phosphorus, Total
Phosphorus
Date: 10/20/2008 05:36 PM
Analytical Method: EPA 7471 Preparation Method: EPA 7471
ND mg/kg 0.0080 1 10/17/08 09:45 10/20/08 15:33 7439-97-6 MO
Analytical Method: ASTM D2974-87
39.7 % 0.10 1
Analytical Method: EPA 9045
10.6 Std. Units 0.10 1
Analytical Method: EPA 365.1
189 mg/kg 16.6 5
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
11 n
10/08/08 14:34
10/07/08 10:52
10/19/0813:45 7723-14-0 MO
Page 3 of 11

,,41yaweAnalytical
www.pacelabs.com
Ms. Annette Scott
Lab Project ID:
Pace Analytical Services, Inc
Lab Sample ID:
Charlotte Laboratory
Client Sample ID:
9800 Kincey Avenue, Suite 100
Sample Matrix:
Huntersville, NC 28078
Date Sampled:
Client Site: Charlotte Laboratory
Date Received:
Client Ref.: 9212546/Suez
rZanaral (hnmicfry
Pace Analytical Services, Inc.
5203 Triangle Lane
Export, PA 15632
Phone., 724,733.1161
Fax:724,327.7793
08-0858
0802-0398
9212546001/81-29-08
Solid
01/29/2008
01/30/2008
^ Test
Method
Result
Reporting
Limit
Units
Analyst
Analysis
Date
Method
Blank ID
Blank
Result
Cyanide (Reactive)
Sulfide (Reactive)
7.3.3.2/90140)
90300)
<2 4:
<24
2.41
241
mg/kg
mg/kg
SAB
SAB
02/11/2008
02/07/2008
? 007051441
0070517 1
<1.0
<10
Irinretanic Extraction
Test
Method
Result
Reporting Units
Limit
Analyst
Analysis
Date
Method
BlankPercent
MNIA
Solids % Solids 41 N/A % DAB 02/04/2008 NIA
(1) U.S. Environmental Protection Agency, 1996, Test Methods for Evaluating Solid Waste, SW-846, 3rd ed., Office of Solid Waste and
Emergency Response, Washington, DC.
Sample Comments: Results reported in dry weight equivalence.
REPORT OF LABORATORY .ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
,p nCCOA
Page 2 of 3
FOJ

SGS ENVIRONMENTAL SERVICES, INC.
Results for ignitability
by EPA 1030
Client Sample ID:
9212546001 S1-29-08
Client Project ID:
9212546
Lab Sample ID:
G150-430-1A
Lab Project ID:
G150-430
Parameter
Ignitablility
Comments:
Result Units
< 0.8 mm/sec
Analyzed By: BAO
Date Collected: 1/29/2008 09:45
Date Received: 2/1/08
Matrix: Soil
N.C. CERTIFICATION #481
Date
Analyzed
2/5/08
Reviewed By:
3of5
1
.r0
-.'L.% .s

aceAnal0cal
www.pacelabs.com
Project: BA101008 BOTTOM ASH 10/10/08
Pace Project No.: 9229758
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: BA101008 BOTTOM ASH Lab ID: 9229768001 Collected: 10/10/08 13:00 Received: 10/10/08 14:18 Matrix: Solid
Results reported on a "drrweight" basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA 3050
Arsenic
9.5 mg/kg
0.28
1
10/29/08 11:35
10/30/08 01:03 7440-38-2
Barium
917 mg/kg
5.6
20
10/29/08 11:35
10/30/08 15:09 7440-39-3
MO
Cadmium
0.96 mg/kg
0.056
1
10/29/08 11:35
10/30/08 01:03 7440-43-9
MO
Calcium
63100 mg/kg
112
20
10/29/08 11:35
10/30/08 15:09 7440-70-2
MO
Chromium
23.2 mg/kg
0.28
1
10/29/08' 11:35
10/30/08 01:03 7440-47-3
MO
Copper
135 mg/kg
0.28
1
10/29/08 11:35
10/30/08 01:03 7440-60-8,
MO
Iron
14800 mg/kg
55.8
20
10/29/08 11:35
10/36/08 15:09 7439-89-6
M0
Lead
8.6 mg/kg
0.28
1 .
10/29/08 11:35
10/30/08 01:03 7439-92-1
Magnesium
16500 mg/kg
112
20
10/29/08 11:35
10/30/08 15:09 7439-95-4
MO
Manganese
1150 mg/kg
5.6
20
10/29/08 11:35
10130/0815:09 7439-96-5
M0
Molybdenum
ND mg/kg
0.28
1
10/29/08 11:35
10/30/08 01:03 7439-98-7
MO
Nickel
7.4 mg/kg
0.28
1
10/29/08 11:35
10/30/08 01:03 7440-02-0
MO
Potassium
15400 mg/kg
5580
20
10/29/08 11:35
10/30/08 15:09 7440-09-7
MO
Selenium
ND mg/kg
0.56
1,
10/29/08 11:35
10/30/08 01:03 7782-49-2
MO
Silver
0.32 mg/kg
0.28
1
10/29/08 11:35
10/30/08 01:03 7440-22-4
Sodium
4960 mg/kg
279
1
10/29/08 11:35
10/30/08 01:03 7440-23-5
MO
Zinc
59.5 mg/kg
0.56
1
10/29/08 11:35
10/30/08 01:03 7440-66-6
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA 3010
Arsenic
0.058 mg/L
0.025
1
10/29/08 10:35
10/29/08 12:57 7440-38-2
Barium
4.0 mg/L
0.025
1
10/29/08 10:35
10/29/08 12:57 7440-39-3
Cadmium
ND mg/L
0.0050
1
10/29/08 10:35
10/29/08 12:57 7440-43-9
Chromium
0.084 mg/L
0.025
1'
10/29/08 10:35
10/29/08 12:57 7440-47-3
Lead
ND mg/L
0.025
1
10/29/08 10:35
10/29/08 12:57 7439-92-1
Selenium
ND mg/L
0.050
1
10/29/08 10:35
10/29/08 12:57 7782-49-2
Silver
ND mg/L
0.025
1
10/29/08 10:35
10/29/08 12:57 7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Mercury
0.45 ug/L
0.20
1
10/14/08 16:50
10/15/08 11:08 7439-97-6
7471 Mercury
Analytical Method: EPA 7471 Preparation Method: EPA 7471
Mercury
ND mg/kg
0.0033
1
10/30/08 10:00
10/30/0814:16 7439-97-6
Percent Moisture
Analytical Method: ASTM D2974-87
Percent Moisture
0.43 %
0.10
1
11/12/08 14:52'
365.1 Phosphorus, Total Analytical Method: EPA 365.1
Phosphorus 111 mg/kg 10.0 2 . 11104/0811:10 7723-14-0 MO
Date: 11/12/2008 04:28 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
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Page 3 of 5
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, ZDate: Analyst: /Cz �4 t2-
Facility; 0,V
Calibration
allbration
Cal Imer
suffer
Check
Time
4.0
10.0
Suffer 7' .00
Comments
T
C)
. LoOn --
P. —110, -1-^s cue to be within x0.1, pri units ofthestandard
pH Analyses
--Sample ID
Time
Time
Analyzed_
�H Result
Suffer
Check-
Comments
--- T It L %IjiVVIA uzgjitv OUNur
—WI x at the end of testing or every 4 hours minimum.
Results should be within* 0.1 pH units of the standard's true value.

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name:
WWTP Name:
Monitoring Period: From
To
WQ Permit Number:
NPDES Number:
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment)❑
Alt. C (Prior Testing)❑
A1t.D (No Prior Test) ❑
Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alt. (1) Fecal Density ❑
Alt. (2) Process to Significantly R duce Pathogens ❑
If applicable to alternative
performed (Class
B only) indicate "Process to Signific n ly Reduce Pathogens":
Lime Stabilization ❑
FAir Drying ❑
Composting,
Aerobic Digestion ❑
Anaerobic Digestion estion
If applicable to alternative performed (Class A or Class B) complejelhe following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
umber of
e-
Frequency
of Analysis
Sample
Type
Analytical
Tech -
MinimumGeo.
Me n
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
XZ
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Preparer Name and Title (type or print)
Land Applier Name and Title (if applicable)(type or print)
Signature of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)