Loading...
HomeMy WebLinkAboutWQ0031725_Annual Report_20110221S0P I. Annual Land Application Certification Form • Was a certification form submitted? �1�.5 • Was land application conducted during the reported year? YES • How many dry tons and dry tons per acre were applied? v.32 • Were the applications within the permitted amount? yeS. • Verify PAN if more than 10 tons/acre . • Did it indicate compliance? e5 • Was it signed by the appropriate people? �.eS 2. ItiIonitoring • Were the analyses conducted at the required frequency?1,�,5 • Were the metals analyses reported,on the Residual Sampling Summary Form? �,e s • Were the results reported in mg/kg?, e.s • . Were the heavy metals within ceiling concentration permit limits?*7.0-f • If no, were the lab analyses attached? • Were all the required parameters tested)i,,-s • Was TCLP analysis conducted?%/ -e-S' --5 /Cents / 12----4. 3. Field Summary • Were the land application. events recorded on the Field Summary Forms? yes • Was a Field Summary Form submitted for each field? VA J' • Were all the residuals applied to permitted land?q(&5" • Were all the residuals applied from permitted sources? y Es • Were the field Ioading rates for each metal and PAN calculated (year to date)? y2 y f-,•0a 71 S, 4e Tr • Were the cumulative pollutant loading rates calculated? yeS PAW Wa-s f-o kl%�, • Were the calculations correct? bwi- dui • Were the PAN loading rates.within permit limits?yes 14N3_14 value ;N Pilo • Were the heavy metal cumulative pollutant loading rates within permit limits? c.4\c t T;oni . i re-cA1cwW`d • Were the residuals applied on a suitable crop?Ye-S PA N — ; c +,tt= w ks tower!°, • Were the applications conducted during the crop's growing season?�es cz,�d �; t(,t'/% r -e I • Were the Field Summary Forms complete?yO-.s }ki ,.�-�, , SQ I ¢Ype 4. Pathogen and Vector Attraction Reduction • Was a signed copy of the Pathen and Vector Attraction Reduction Form submit ed? y'-e_x • Did the form indicate the period of coverage, the residual class, and the pathogen reduction alternative and the vector attraction reduction option used'? •. Was the appropriate documentation to show pathogen and vector attraction reduction included in the report? • Was pathogen and vector attraction reduction demonstrated according to 40 CFR Part 503? L-5�- Y-C,5 tz—,L, see ila 44s 5. Soil 'Pests • Was a Standard Soil Fertility Analysis conducted for each application field? Y es • Were the soil pH's 6.0 or greater for each application field? No 6 l _ .S.Of TZ S 7 1 ', ,�� 1t • Were the copper and zinc indexes in the soil less than 3000 for each application field? 6 #4, C�t1Zr%� ik.^ tnoti554r,5,-o So-19 /ln�S' als49�Cen,ber.20I0. 6. General • Was the report in the proper format? V,9 • Were. any parts of the annual report missing? N 0 • Was the report submitted on time?y.e5 � Q�o�•u,e,5�r. tr. A�l�,�,Jt^ol �✓��%• �,e,��r,aS . * Any violations of ceiling concentrations shouldtie reported toTretreatmentfor....municipalities. only. Res�orne ��•� SSt1 ;��u��i1 —Tip,-sue {��2:�w..u.�•,en.S'.. w.c..� �c-k- ��lh•Z� c4-�,-f�S;�•� �.n C,o:c. Class B Pathogen Review Alternative 1 - Fecal Coliform Density • Was the sampling conducted at the required frequency? PrO, • Were seven samples taken?favy y' S • Was the geometric mean calculated and done correctly?`2s • Did the results show compliance (less than either 2,000,000 MPN/gram of total solids or 2,000,000 Colony Forming Units/gram of total solids) I-e,5 Alternative 2 - Use of Process to Significantly Reduce Pathogens (one of five) • Was the sampling conducted at the required frequency? Aerobic Digestion • Was it an aerobic process (Inspection)? Were logs submitted showing time and temperature? • Were temperatures within range for complete time period? • Waste time and temperature between 40 days at 20°C (68°F) and 60 days at 15°C (59°F)? Air Drying • Were residuals on sand beds or pave or unpaved basins for three months? • Was theambient. temperature above 0°C (32T) for two months? • Were the residuals partially, digested? • Were residuals exposed to atmosphere during two months above 0°C (not snow covered)? Anaerobic Digestion • Was it an anaerobic process (Inspection)? • Were logs submitted showing time and temperature? Were temperatures within range for complete time period? • Was the time and temperature between 15 days at 35°C (95T) to 55°C (131T) and 60 days at 200C (680F)? Composting • Was it a. composting procedure (not natural decay under uncontrolled conditions)? • Were logs submitted showing time and temperature? • Was the temperature. raised to 40°C (104T) or higher and remained at 40°C (104T) for five days? • Did the temperature exceed 55°C (131T) for four hours during the five-day period? Lime Stabilization • Was alkaline material added to residuals a form of lime (hydrated lime, quicklime, lime containing kiln dust or fly ash)? • Were logs submitted showing time and temperature? • Was the pH raised to 12 after two hours of contact? • Were logs submitted showing time and pH? • Was the temperature corrected to 25°C (77°F)? Vector Attraction Reduction Review' • Was the sampling conducted at the required frequency? 38% Volatile Solids Reduction bJ„ac • Was there 38% reduction? 4&5 (6e" � • Were lab sheets/calculations in report? i��— �I� • Was the reduction on volatile solids (not -total solids)? Its btk4 zp- V_45 • Was the samples taken at beginning of digestion process and before application (Inspection)? ckeck (a n spe_c-l',o m • Were calculations correct? ye 40-Day Bench Scale Test _ • Were residuals from anaerobically digested treatment (Inspection)? • Were residuals anaerobically digested in lab? • Was the test run for 40 days? • `Was the test done between 30°C (86°F) and 37°C (99°F)? • Was the reduction on volatile solids (not total solids)? • Was the reduction less than 17%? • Were lab sheets/calculations in report? • Were calculations correct?' 30-Day Bench Scale Test • Were residuals from aerobically digested treatment (Inspection)? • Were residuals aerobically digested in lab? • Were residuals 2% or less total solids? • Was the test run for 30 days? • Was the test done at 201C (68°F)? • Was the reduction on volatile solids- (not total solids)? • Was the reduction less than 15%? • Were lab sheets/calculations in report? • Were calculations correct? o V5 do 4o— f Specific Oxygen Uptake Rate (SOUR) • Were residuals from aerobically digested treatment (Inspection)? • Were residuals 2% or less total solids (dry weight basis) (not diluted)? • Was the test done between 10.1C (50°F) and 30°C (86°F)? • Was the temperature corrected to 20°C (68°F)? • Was the -SOUR equal to or less than 1.5 mg of oxygen per hour per gram of total residual solids (dry weight basis)? • Was the sample holding time under two hours? • Was the test started withinl5 minutes of sampling or aeration maintained? 14-Day Aerobic Process • , Were residuals from aerobically digested treatment (Inspection)? • Were the residuals treated for 14 days? • Was the residuals temperature higher than 400C (104°F) for the 14-day period? • Was the average residuals temperature higher than 450C (1130F)? Alkaline Stabilization • Was the pH of the residuals raised to 12 or higher by the addition of alkali? • Did the pH of residuals remain at 12 or higher for two hours without the addition of more alkali? • Did the pH of residuals remain at 11.5 or higher for an additional twenty-two hours without the addition of more alkali? • , Was the pH corrected to 250C (770F)? Drying of Stabilized Residuals • Does the residuals contain any unstabilized residuals? • Were the residuals mixed with any other materials? • Were the residuals dried to 75% total solids? J . Drying of Unstabilized Residuals Were the residuals mixed with any other materials? • Were the residuals dried to 90% total solids? Injection • Was there any significant. amount of residuals on land surface one hour after injection (Inspection)? • Was injection done on pasture or hay field? • Was injection done at time that crop was growing? • If Class A with respect to pathogen, were residuals inj ected within eight hours after discharge from pathogen treatment? Incorporation • Were the residuals incorporated into the soil within six hours after application? • Was incorporation done on pasture or hay field? • Was incorporation done at time that crop was growing? • If Class A with respect to pathogen, were residuals incorporated within eight February 21, 2011 NCDENR - DWQ Information Processing Unit 1617 Mail Service Center Raleigh, NC 27699-1617 RE: 2010 Annual Land Application Report Permit No. WQ0031725 Baxter Healthcare Corporation McDowell County Enclosed is the annual land application report for the calendar year 2010. FEB 2 8 2611 Asheville Regional Office If you have any questions or require additional information, please contact Anita Jensen at 828.756.6734 or Stephen Taylor at 828.756.6618. Sincerely est Shephard EHS Manager Baxter Healthcare PO Box 1390 65 Pitts Station Rd. & Hwy 221 N Marion, NC 28752 T 828.756.4151 F 828.756.4821 Cc: NC Division of Water Quality (3 copies with enclosures) WWTP File Copy EHS File Copy rbr"'arro �011 n Pr 0�,Q/,& 88"6V Veit Baxter Healthcare Corporation PO Box 1390, Marion, NC 28752 T 828.756.4151 Baxter Healthcare Corporation 2010 Annual Report Land Application Program NC Permit No. WQ0031725 ANNUAL LAND APPLICATION CERTIFICATION FORM ` ir',Q Permit#: WQ0031725 County; McDowell Year: 2010 Facility Name (as shown on permit): Baxter Healthcare Land Application Operator: Southern Soil Builders, Inc. Phone: 336-957-8909 Land application of residuals -as allowed by the permit occurred during the past calendar year? 0 Yes ❑ No - If No, slap Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Application Summary: Total number of'a plication fields in thepermit: 4 Total number of fields utilized for land application during the year: 4 Total amount of dry tons applied during the year for all application sites: 87.82 Total number of acres utilizes for land application during the year: 80.8 Part B - Annual Compiance Statement: Facility was compliant during calendar year 2010 with all couditions 'of the land application permit (including but not limited to items 1-13 below) issued by the Division ,of Water Quality. Yes ❑ No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3) Annual. soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of 11boratory results are attached. 4) Anrival TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 4.0 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503 regulated facilities). 9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Quality. 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." f EXAJEN�-Ve 1&ad Permittee N.We and Title (type or print) -/(-/I �f Se. Sign a of Permittee Date 1011■ Signature of Preparer /' Date gignature ofEand Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B WQ Permit Number: WQ0031725 Laboratory: 1) Facility Name: Baxter Healthcare Corporation 2) Residual Source WQ # or NC0006564 3) NPDES #: 4) WWTP Name: 5) Residual Analvsis Data A&L Eastern Laboratories, Inc. Parameter Limit • _ _ 1 1 F "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 fo . mittin�lse information, including the possibility of fines and imprisonment for knowing violations." Signature of Preparer ,*, --e'11 —// Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006) - - , ' 14 ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding- Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Baxter Healthcare Total Dry Tons Applied (Annual): WQ0031725 Cation Exchange Capacity (non 503 only): Derek Teague Owner: Trilby Setzer Predominant Soil Series: 18.43 ' CmB2 19.8 Acres Permitted: 19.8 Site #: 5-01 Field #: S-01 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date ism Total Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 _8j 8 9 101 Ill I 12 DT/Ac./ APP• 14 Event 0.93 Arsenic 1 0.022 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1,0.000 '0.000 0.000 1 0.022 Cadmium 0.009 0.000 0.000 0.000 woe 000 0.000 0.000 0.000 ' 0,000 0.000 0:000 0.000 0.009 Copper 0.596 0.000 0.006 0.000 0.000 "6.000 0.000 0.000 0.000 0.000 0.000 0.000 0.596 Chromium 0.285 0.000 0.000 0.000 0.000'- 0.000: 0.060 0.000 , 0.000 0.000 0.000 0.000 0.285 Lead 0.063 0.000 0.000 0.000 0.000 .0.000 -0.000- 0,000 0.000. 0.000 0.000 0.000 0.063 Mercury 0.001 0.000 0.060 0.000 0.600 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001, Molyb- 0.017 0.000 0.000 0.000 0,000 0.000 ., 0.000 0.000 . 0.000 ='0.000 0.000 0.0'00 0.017 denum Nickel 0.097 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.097 Selenium 1 0.002 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Zinc 0.857 0.000 0.000. 0.000 0.060 0.000 0.000 0.000 0.000 .0.000 .'0.000 0.000 0.857 Total is Phos- 31.095 0.000 0.000 0.000 0.000.: ,`6.000' 0,000, 0.000. 0.000 '0.000' 0.000 0.000- 31.095 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Si ature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report T acility Name: Baxter Healthcare Total Dry Tons Applied (Annual): : 36.50 'ermit #: WQ0031725 Cation Exchange Capacity (non 503 only): 3perator: Derek Teague Owner: Trilby Setzer Predominant Soil Series: HsB2 kcres Used: 25 Acres Permitted: 25 Site #: S-02 Field #: S-02 tesidual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): 'ample or Com- posite Date 1J 4/27/10 2 s 4{ 5 6 7 8 9 .101 11 J 12 Yo Solids 11.27 Arsenic 12 �admium 5 Copper 320 'hromium 153 Lead 34 Mercury 0.8 Molyb- denum 9 Nickel 52 Selenium •- 1 Zinc , 460 Total Phos- horus 1 16700 knnual Heavy Metal Field Loadings (Calculated in lbs/acre): Total DT/Ac./ App. Event _ 1 1 1.46 AJ _4J 5 J 6 7J 8 9 10J 11 l 12 y m W Arsenic 0.035 0.000 1 0.000 0.000 1 ' 0.000 0.000 0.000 1 0.000 0.000. 0.000 0.000. 0.000 0.035 Cadmium 0.015 0.000 1 0.000. 0.000 0.000 0.000 0.000 1 0.000 0.060 ' 0.000 0.000 0.000 0.015 Copper 0.934 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.934 �hromium 0.447 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.447 Lead 0.099 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.099 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- denum 0.026 0.000 0.000 0.000 0.000 0.000 0'.000 0.000 0.000 0.000 0.000 0.000 0.026 Nickel 0.152 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.152 Selenium 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.003 Zinc 1.343 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.343 Total Phos- horus 48.764 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 48.764 ITT ..o.-t;f r nnrlar nanalty "flaw that thk nc�ument was nrenared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". i .� . l� T t • f • T ' � Ur-I'M rvnivi iwrwr k'itu/_uuo) • ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Total' Dry Tons Applied (Annual): Permit #: WQ0031725 Cation Exchange Capacity (non 503 only): - Operator: Derek Teague Owner: Larry Teague Predominant Soil Series: HsB2 Acres Used: 26 Acres Permitted: 26 Site #: T1 Field #: TI Residual Analvsis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): 7 8 - I -TMW Com- posite Date How MEMO no 0 Total Phos- Annual Heavv Metal Field Loadings (Calculated in lbs/acre): Total 1 1 21 3 4j 5 6 7 8 9 10 11 12 DT/Ac./ App. in Event 0.76✓ Arsenic 0.018 0.000 `0.000`0.000'' "`0000 " ; 0,000' '°-A.000' 0:000- '0.000. 0.000 0.018 Cadmium 0.008 0.000 0.000 0:000 0.000 0.000 0:000.' . 0.000 . .'0.000 0:000>' 0.000 0:000 ` 0.008 Copper 0.484 0.000 0.000 0.000' • 0.000 0,000 0.000 0.000 . 0.000 0.000 0.000 0.000 . 0.484: Chromium 0.232 0.000 0.000 0,000 -0.000 .0.000 .0.000 0.000 .0.000: 0:000 0.000'.0.000 0'.232 Lead 0.051 0.000 0.000 0.000 . ;:'0.000 ; ' A. 0.0.00 `. 0.000 0.900 � 0,0.00 0;000 0,000 0.051 : Mercury 0.001 0.000 0.000 0.000 0.000 ' ; 0.000 0.000Molyb- 0.0.00.... 0.000 ' 0.000 0.000 0,000 0.001 0.014 0.000 0.000 0 000 0.00.0 ..Q.000 0.000: 0.000 0.000 0.'000' 0.000 0.000 0.014 deInum um 1 . Nickel 0,079 0.000 0.000 '0.000. :0.000 -0.000.. , 0.000 0.000 . - 0.000. 0.000 ::. 0.000 f 0.000 • • '0.079 Selenium 0.002 0.000 0.000'- 0.000:• :-.0,000 0:000.. 0.000 .0.000. 0.000'-.:0.000 0:0.00 0.000. 0.002 Zinc 0.69.6 0.000 0.000 0.060 ,�"0.000 -.0.000 . 0.000: , .0.000 . . 0.000 0.000' 0.000 0.000. 0.696 Total Phos- 25.284 0.000 0.000 0.000 0.000 0.000 0.000 0.000. 0.000 '0.000 0.000 0.000 25.284 horus "1 cernly, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". V Signtore of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual): Permit #: WQ0031725 Cation Exchange Capacity (non 503 only): Dperator: Derek Teague Owner: Larry Teague Predominant Soil Series: kcres Used: 10 Acres Permitted: 10 Site #: T2 Field #: MgC2 T2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #); 'ample or Com- posite Date 1 4/27/10 2 3 4 5 6 7 8 9 10 11 12 % Solids 11.27 Arsenic 12 Cadmium 5 Copper 320 Mromium 153 Lead 34 Mercury 0.8 Molyb- denum 9 Nickel 52 Selenium ._ 1 Zinc , 460 Total Phos- horus i. 16700 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total DT/Ac./ App. Event 1 1.32✓ 2 3 4 5 6 7 8 9 10 LIJ 12 H Arsenic 0.032 0.000 0.000 `0.0,00: 0.000' -;0:000' .-0.000 0,000. 0:000. ..0;000 `0.0.00.• ' 0.00.0 '0.032' Cadmium 0.013 '0.000 .:0 000:.. 0.000. 0:000 9. 0:000;' ' O.000 0.000 ` 0.0.00: 0,000' 0:000 0.013 Copper 0.846 0.000 0.000 0.000 '0.000. 0,000 0.000 0.000 0.000 0.0.00 0.000:. ' 0.000 0.846 Chromium 0.405 0.000 0.000. 0.000' -0.000 1 : 0,000 :0.000 0,000 0,000. 0.000 0.000. 0.000 0.405 Lead 0.090 0.000 0.000' 0.000 ..0.000. . 0.000 A.000 . 0.000 ' 0.000 '0.000 0.000 0.000 0.090 Mercury 0.002 0.000 :0.000 0.000 0.000: .0.000• "0:000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- denum 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Nickel 0.137 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.137 Selenium 0.003 0.000 0.000 0.000 0.000 0.000 '0.000 0.000 0.000 0.000 0.000 0.000 0.003 Zinc 1.216 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.216 Total Phos- horus 44.155 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 44.155 III now4 w nndar nPnalty of law_ that thiic daeument was nrenared under my direction or suAervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are.significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". I Signature of Land Applier Date DENR FORM MFLSF (1212006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: S-01 Acres Utilized: 19.8 Land Owner: Trilby Setzer Annual Dry Tons Applied: 18.4283 " Site #: S-01 Acres Permitted: 19.8 Operator: Derek Teague Crop 1 Name: Fescue Predominant Soil Series: CmB2 Crop 1 Max. PAN: 216 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: C) = y O C1 Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. D (Dry, Wei Moist) Precip. Past 24 Hrs. inches a K a _, " 9 o� w * c o ay w w ,_ CD # « > Z CD w -+ c, * > TKN mg/kg _ Z El Y 4 a°o o g �• mg/kg Nitrate and Nitrite mg/kg PAN Applied 1 (bs/acre) Name of Crop Type Receiving Residual Application Crop 1 1 Crop 2 Crop 1 Crop 2 4-2010 70.84 11.27 : - `-- -'0.340 WQ0031725 dry 0 s 0.5 0.3 78400 3640 115 -.46 54:6 `=' _NA Fescue 5-2010 21.84 11.27 :<Y- O.TOS =:: WQ0031725 dry 0 s 0.5 0.3 78400 3640 115 :.S.1OI=> -sNA' Fescue 6-2010 52.39 11.27 ° `::° 0.251::: :-= WQ0031725 dry 0 s 0.5 0.3 78400 3640 115 12.237 == NA Fescue 7-2010 49.09 11.27 ;='_ ;0.235 - W00031725 dry 0 s 0.5 0.3 78400 3640 115 -11A4 6% ' -NA Fescue `.0:000 ' ` 0:000.`: '0.000. . 0.000...," 0.000. = . '.0.-000 0:000 =` : :0:000 =" ' :0:000 ='% •0.000 -.'.°: .0:000.: :�- 0:000 .. . -..., ,z._•,- =-...__- ._ . . = ons totals on FORM FSF sup ( attach FORM Residuals Applications FSF supp to this form): - L=: TOTALS: ;?:194:16't:"' 0 AS Cd Cu Cr Pb H Mo Ni Se Zn P :453'50:.::0:000. Lime A lied Annual lbs/acre =10'0:022 -q - `0.009 0.596' -A.285n: '0.063 0:001� 0.017 : :0:097 0.002 0185T' `31.005' == = Date lbs/ac Prior Years Cumulative lbs/ac 0.12 0.053 9.378 0.718 1.493 0.044 0.188 0.499 0.081 12.651 Current Cumulative lbs/ac =• 0.142'1:. ' 0.062 9.974 1:003 . 1.556 ` 0.045 0.205 0.596 ' '.0:083 13:508 Permitted C. P. L. R.**** 36 34 138 NA 267 15 NA 374 89 1 2498 Permit PAN Limit 1st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting, false information, including the possibility of fines and imprisonment for knowing violations." of Land Applier M& Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2008 ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: S-02 Acres Utilized: 25 Land Owner: Trilby Setzer Annual Dry Tons Applied: 36.5177 Site #: S-02 Acres Permitted: 25 Operator: Derek Teague Predominant Soil Series: HsB2 Cation Exchange Capacity (non 503): Crop 1 Name: Fescue Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN: o c *� a) � Q0 Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES # WQ#, Fert., Animal Waste, etc) Soil Cond. Dry, W Moist) Precip. Past 24 Hrs. inches Y 3 -0 T' �• o o � o w w * 7� ?; -+ �, w * 0 TKN mg/kg Z a a o a ao o g �• mglkg Nitrate and Nitrite mg/kg PAN Applied ( Ibs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 8-2010 77.8 11.27 •:. •:0.295'•..: ; W00031725 dry 0 s 0.5 0.3 78400 3640 115 14.392. NA Fescue 9-2010 93.5 11.27 "0:355 =; .- W00031725 dry 0 s 0.5 0.3 78400 3640 115 17.296 ;'; NA Fescue 10-2010 110.37 11.27 :: 0.419 W00031725 dry 0 s 0.5 0.3 78400 3640 115 20.417 °I ,NA Fescue 11-2010 76.4 11.27 :: ,: 0.290 " W00031725 dry 0 s 0.5 0.3 78400 3640 115 14.133 - NA Fescue 12-20101 26.68 1 11.27 ::.: 0:101• `: W00031725 dry 0 s 0.5 0.3 78400 3640 115 4.936:..• ; .:NA Fescue ::- 0:000:_s_01- 0.000: `:0:000 •: :.. --0.000%-._--. 0.000 " `=fl:000 . :0.000: :0.000 0:000:` :0:000 0:000 0:000 c°: 0:000 0:000 0.000 --�, .0.000 -• ".0.000 = Residuals Applications totals on FORM FSF supp (attach FORM FSF supp to this form): TOTALS: =;3s4:7s: vol As Cd Cu Cr Pb Hg Mo Ni Se Zn P 71.175 = o:oo0 Lime Applied Annual lbs/acre 0.035'I/ ' 0.015 A.934 '0.447� 0.099 ''0:002J 0:026 =0.152 0.003 '1:343 48:764 Date lbs/ac Prior Years Cumulative lbs/ac 0 0 0.794 0.282 0 0.007 0 0.117 0 0.891 Current Cumulative Ibs/ac 0.035 - 0.015 1.728 0.729 .-,0.099 =. --0.009 � .. 0.026." ".:.0.269 ',-:'0.003 > . "2.234 ... Permitted C. P. L. R:**** 36 34 138 NA 267 15 NA 374 89 2498 Permit PAN Limit lst/2nd Crop 216` "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false .information, including the possibility of fines and imprisonment for knowing violations." Signature of Land Applier t—A Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant LoadinE Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. #• Acres Utilized• 26 Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Fleld Land Owner: Larry Teague Annual Dry Tons Applied:'- .9.6754' ;,-: Site #: TI Acres Permitted: 26 Operator: Derek Teague Predominant Soil Series: HsB2 Cation Exchange Capacity (non 503): Cron 1 Name! Fescue Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN: Volume applied Volume Residual Sources Soil Precip. c Nitrate PAN Applied Name of Crop Type o (enter one) Solids/ o /o Applied per (NPDES #, WQ#, Cond. past 24 5 'R w _w, r. ?: a TKN ao o and Ibs/acre ( ) Receiving Residual a3 0 Liquid Solids Acre Fert., Animal (Dry, o �, * �• w. Nitrite Application Crop 1 Crop 2 Crop 1 I Crop 2 Q Cu. Yds Gallons (Dry TonslAc) Waste, etc) Wet, Moist) inches ] o mg/kg mg/kg mg/kg 1-2010 48.5 11.27 `_- ° ;0:177 _ .: W00031725 dry 0 s 0.5 0.3 78400 3640 115 8.627"= =NA ;r: Fescue 11.27 "M O.S80'= :. W00031725 dry - 0 s 0.5 0.3 78400 640 115 35:84 =>> Fescue 3-2010 158.8 {7]](A�� 000: kw 0:000 0.000 Residuals Applications totals on FORM FSF supp (attach FORM FSF supp to this form): =-• : As Cd Cu Cr Pb Hg Mo Ni Se Zn P 44.470 = 0 000 < Lime Applied, TOTALS . �_: 207 3 =� w o • {: = 0.0086 484 '"0.232 °; 0:05:1:: 0 001 :` : 0:0.14 ..: 0 �79 °' ` , .OA02 ° : 0:696 25284 3 �, �� Date lbs/ac 12-2010 1,000 Annual lbs/acre Prior Years Cumulative lbs/ac ,,0.018 .0 0.148 0.023 2.834 0.353 0.254 0.011 0.0172 0.259 0.023 2.776 V Current Cumulative lbs/ac 0;166:-:J-*3180'-;0.585" `--0;305�: 0.012' ':'Q.031, :,0:338 0;025_ `3: 72 - Permitted C. P. L. R.**** 36 34 138 NA 267 15 NA 374 89 2498 216 Permit PAN Limit 1st/2nd Crop "I certify, under penalty of law, that this document was prepares unaer my uirecuvu .,. au.pul V RDIUM ,u a-- _ - - -- ••---- - ____ ___�___ __ ____- qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation v7-1 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Date *** Mineralization Rates: Compost-0.1, anaerobially digested -0.2, Signature of Land Applier aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Fie #: T2 Acres Utilized: 10 Land Owner: Larry Teague Annual Dry Tons Applied: 13.2195 Site #: T2 Acres Permitted: 10 Operator: Derek Teague Predominant Soil Series: MgC2 Cation Exchange Capacity (non 503): Cron 1 Name: Fescue Crop 1 Max. PAN: 162 Crop 2 Name: Crop 2 Max. PAN: 1.Cond. Volume applied Volume Residual Sources soil Precip. X b R. Z Nitrate PAN Applied Name of Crop Type (enter one) Solids/ % Applied per (NPDES #, W #, Q Past 24 .b c� w �, u w , T1CN as o and (Ibs/acre) Receiving Residual g o Li uid q Solids Acre Fert Animal (Dry' Hrs. o m « * w• Nitrite Application Q Cu Yds Gallons (Dry Tons/Ac) Waste, etc) Wet, Moist) inches o o mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2 1-2010 1 139.28 11.27 =:': 1.322 WQ0031725 dry 0 s 0.5 1 0.3 78400 3640 115 64.413 NA Fescue 0:000 0.000 -0;000 0.000 =i 0.000 =A:000 0.000 .=,0.000 . `0.090 : 0.000 <` 0.000 .. .0.000 . 0.000 0 060 0.000 - `0.000 :-:0:000 0.000 ::0.000 0.000 :0:000 --0.000 0.000 •0.000 '•.0:000 0.000 .. .:.; ...; •: • <: _ Residuals Applications totals on FORM FSF supp (attach FORM FSF supp to this form): _ '. TOTALS: •-='-13928. :.+ 'M 0 AS Cd Cu Cr Pb H Mo Ni Se Zn P 64.413 0.000 Lime A lied Annual Ibs/acre 0:032 ,j 0.013 ;. 0.846 :0.405.'. ' 0:090 0.002 : ".. 0.024 0137 : .•'0.003v 1r216-` .44:155 Date lbs/ac Prior Years Cumulative lbs/ac 0.044 0.015 1.438 0.518 0.107 0.007 0.029 0.21 0.008 1.591 - - 12-2010 1000 Current Cumulative lbs/ac ;''0:076 ,i . 0.028 2.284 : 0.923 '0.197 .0.009 ° -0.053.. - ; 0:347• ` 0.011 ` ' 2:807a _ Permitted C. P. L. R.**** 36 34 138 1 NA 267 15 1 NA 374 89 2498 Permit -PAN Limit "l st/2nd Crop _ - -••4 r �' 162- ;.. "I certify, under penalty of law, that this document was prepared under my direction or supervision in accoruance wiau at by5LUM ucbigucu LV aDOUA cr wwk qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) J PAN Mineralization as decimal ITotal.dry tons/year lAcres Applied on 1 80.8 Rate 0.3 TKN 78400 NH3 1 3 440 NO3 115 NO2 0 % Solids 0.1127 1 87.82 PAN Surface 24363 1 mg/kgmg/kg 48.726 Ibs/d ton 4279.1171 Ibs total PAN 52.95937 Ibs PAN/acre PAN In ection 26183 m /k 52.366 Ibs/d . ton 4598.7821bs total PAN 56.91562 lbs PAN/acre Dry Tons11000. al. 0.469959 1st year PAN Ibs./acre Surface Ibs. Surface 4279.11732 52.95937277 1st year PAN Ibs./acre Injected lbs. Injected 4598.78212 56.9156203 MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg mg/kg x .002 =Ibs/dry ton MR(TKN-NH3) + l(NH3)+NO3+NO2 =mg/kg mg/kg x .002 =Ibs/dry ton 1000 X 8.34 X %solids X sp. gravity .'!---dry tons/1000gal." 2000 SAR Sodium Absorption Ratio NafMg/L) Ca M /L Mg(Mg/L) Na: Sodium (Mg/L) Equivalent weight: 23 353.88 2625.91 21.41 Ca: Calcium (Mg/L) Equivalent weight: 20 Mg : Magnesium (Mg/L) Equivalent weight: 12 Na ME 115.3860871 Ca (ME) M ME 1 131.2955 1.7841667 Milli Equivalent = Mg/L / Equivalent weight The amount of exchangeable sodium ions versus the amount of exchangeable calcium & magnesium ions in a given material. SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power Permitting guidance is if greater than 10 require ESP in permit. SAR = 1.8861982 . (From Mg/L entered above) SAR= 1.8855205 (From ME entered below) Na ME Ca ME M ME 1 15.38 13129 1.78 Page: 1 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 A01C-1- Eastem Laboratories, Inc. 7621 Whiteone Road Richmond. Virginia 23237 (804) 743-W1 Fax (8041271-6446 www.al-labs-eastem.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 Solids' 11.27 ✓ 112700 100.0 .BB 04/28/201015:29 SM-254OG Moisture 88.73 100.0 BB 04128/201015:29 SM-254OG Total Kjeldahl Nitrogen 7.84 78400 10.0 JM 04/30/2010 08:39 SM-4500-NH3C-TKN Total Phosphorus 1.67 16700 100 KM 04/29/2010 08.50 SW-6010B Total Potassium 0.36 3570 100 KM 04/29/2010 08:50 SW=601013 Total Sulfur 1.68 16800 100 KM. 04/29/2010 08:50 SW-6010B Total Calcium 2.33 23300 100 KM 04/29/2010 08:50 SW-601013 Total Magnesium 0.43 4250 100 KM 04/29/2010 08:50 SW-6010B Total Sodium 0.31 3140 100 KM 04/29/2010 08:50 SW-6010B Total Iron 12200 1 KM 04/29/2010 08:50 SW-6010B Total Aluminum 3000 10 KM 04/29/2010 08:50 SW-6010B Total Manganese 190 1 KM 04/29/2010 08:50 SW-6010B- Total Copper 320 1 KM 04/29/2010 08:50 SW-6010B Total Zinc 460 1 KM 04/29/2010 08:50 SW-60106 Ammonia Nitrogen 0.36 3640 10.0 JM 04/29/2010 09:49 SM-4500-NH3C Organic N 7.48 74760 10.0 04/29/2010 09:49 CALCULATION Nitrate+Nitrite-N 115 1.00 JM 04/29/2010 09:50 SM-450ONO3F Total Cadmium 5.0 1.0 KM 04/29/2010 08:50 SW-6010B 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 or our clients, and may not be reproduced in whole or part. nor may any reference be made �I,,,�L 1 C to the work. the results. or the company in any advertising. news release. or other public announcements without obtaining our prior written authorization Q4W o Pauric McGroary 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 L A&L Eastern Laboratories, Inc. 7621 Whitepine Road Richmond, Virginia 23237 (804) 743-9401 Fax (8041271-6446 www.al4abs-eastem.com Project : BAXTER NC CERT #257 REPORT OF ANALYSIS Date Sampled: 4/27/2010'10:30:00 Lab Number: 76196 Date Received: 04/28/2010 00:00 Sample Id : BAXTER Date Reported: 05/04/2010 Total Chromium 153 5 KM 04rZ9rzu1u WMU 5w-bulub Total Nickel 52 5 KM 04/29/2010 08:50 SW-60106 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 04/29/201010:00 SW 7471A Total Selenium 1.0 1.0 KM 04/29/2010 08:50 SW-60106 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=601013 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 or our clients. and may not be reproduced in whole or part. nor may any reference be made O fir, W r' ?Of to the work, the results, or the company in any advertising. news release, or other public announcements without obtaining our prior written authorization Pauric McGroary Volatile Solids Reduction Calculation VS in- VS out = Vs in -(VS in X VS out) 0.9 - 0.31 0.9 - (0.9 X 0.31) 0.9 — ° aJct = 0.59 = 0.95 0.621 Or 95% Volatile Solids Reduction Analytical Results Southern Soil Builders For: Baxter 958 Hoots Road Roaring River NC 28669 Entered 8/25/2010 Reported: 8/30/2010 Sample Remark ;ample ID Parameter Cust ID Result Units Method Date Analyzed Analyst 100825-5.1 % Volatile Solids A 0.9 % SM254OG 8/26/10 MD 100825-5.2 % Volatile Solids B 0.83 % SM254OG 8/26/10 MD 100825-5.3 % Volatile Solids C 0.31 % SM254OG 8/26/10 MD 100825-5.4" % Volatile Solids D 0.75 % SM2540G 8/26/10 MD Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA NC00909 P.O. Box 228 Statesville, North Carolina 28687. 704/872/4697 Analytical Results Southern Soil Builders For Baxter 958 Hoots Road Roaring River NC 28669 Entered 5/5/2010 Reported: 6/1/2010 Sample Remark Sample ID Parameter Cust ID Result Units Method Date Analyzed. Analyst 10055-18.1 % Solids 1 3.32 % SM2540B 5/6/10 MD 10055-18.1 Fecal Coliform MTF 1 <60 MPN/g SM92210E 5/6/10 MD 10055-18.1 Geometric Mean 1 166 MPN/g dry wt. basis 5/7/10 CL 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 10055-18.10 TCLP TCLP See Attached 1311 5/12/10 PACE 10055-18.2 % Solids 2 2.35 % SM2540B 5/6/10 MD 10055-18.2 Fecal Coliform MTF 2 170 MPN/g SM92210E 5/6/10 MD 10.055-18.3 % Solid's 3 3.10 % SM2540B 5/6/10 MD 10055-18.3 Fecal Coliform MTF 3 968 MPN/g SM92210E 5/6/10 MD 10055-18.4 % Solids 4 1.88 % 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 SM9221 CE 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/'f0 MD 10055-18.7 % Solids 7 2.68 % SM2540B 5/6/10 MD 10055-18.7 Fecal Coliform MTF 7 299 MPN/g SM92210E 516/10 MD 10055-18.8 Total Solids A 18,204 mg/L SM2540B 5/7110 MD 10055-18.8 Volatile Solids A 11,736 mg/L SM2540 5/8/10 MD 10055-18.9 Total Solids B 3258 mg/L SM2540B 5/7/10 MD 10055-18.9 Volatile Solids B 2180 mg/L SM2540 5/8/10 MD P.O. Box 228 9 Statesville, North Carolina 28687. 704/872/4697 Southern Soil Builders 958 Hoots Road Roaring -River Entered 5/5/2010 Reported: 6/1 /2010 Sample Remark NC 28669 Sample ID Parameter Cust ID Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA NC00909 For Result Units Method Date P.O. Box 228 . Statesville, North Carolina 28687 a 704/872/4697 Date: 19-May-10 Analytical Environmental Services, Inc Client: Pace Analytical Services, Inc. Client Sample ID: 10055-18.10 Collection Date: 5/5/2010 12:15:00 PM Project: 9268841 Lab ID: 1005781-003 Matrix: Solid Result Reporting Dilution Qual Units BatcblD Date Analyzed Analyst Analyses Limit Factor PESTICIDES, TCLP SW1311/8081B (SW3510B) BRL 0.0050 ing/L 129233 ' 1 05/141201012:44 KD Chlordane BRL 0.0010 mg/L 129233 1 05/14/2010 12:44 KD Endrin BRL 0.00050 mg/L 129233 1 05/14/201012:44 KD gamma-BHC BRL 0.00050 mg/I. 129233 1 05/141201012:44 KD Heptachlor BRL 0.00050 mg/L 129233 1 05/14/2010 12:44 KD Heptachlor epoxide 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 62.4 35.5-128 %REC 129233 1 05/14/2010 12:44 KD Surr: Decachlorobiphenyl 71.] 26.5-120 %REC 129233 1 05/14l2010 12:44 KD Surr: Tetrachloro-m-xylene Ignitability SW 1010 180 0 > T R171711 1 05/14/201011:00 AS Ignitability HERBICIDES; TCLP SW1311/8151A (SW351OB) BRL 0.20 mglL 128920 1 05/14/2010 07:10 AK 2,4,5-TP (Silvex) BRL 0.20 mg/L 128920 1 05/14/2010 07:10 AK 2,4-D 110 53.1-142 %REC 128920 1 05/14/2010 07:10 AK SuDCAA Qualirm": • Value exceeds maximum contaminant level BRL Below reporting limit H Holding times for preparation or analysis exceeded N Analyte not NELAC certified B Analyte detected in the associated method blank > Greater than Result value E Estimated (value above quantitation range) S Spike Recovery outside limits due to matrix Narr See case narrative NC Not confirmed < ' less than Result value 6of11 Pace Analytical Services, Inc. Pace Analytical Services, Inc. ceAnalytical a 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 Asheville, NC 28$04 Huntersville, NC 28078 wrrwpacalebr om+ (828)254-7176 (704)675-9092 . ANALYTICAL RESULTS Project: 10055 Pace Project No.: 9268841 Lab ID: 9268841001 Collected: 05/05/10 08:30 Received: 05/06/10 12:50 Matrix: Solid Sample: 10055-16 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 ND mg/L 0.026 1 05/12/10 12:20 05/12/10 23:02 7440-38-2 Arsenic 0.20 mg/L 0.025 1 05/12/10 12:20 05/12/10 23:02 7440-39-3 Barium ND mg/L 0.0050 1 05/12/10 12:20 05/12/10 23:02 7440-43-9 Cadmium ND mg/L 0.025 1 05/12/10 12:20 05/12/10 23:02 7440-47-3 Chromium ND mg/L 0.025 1 05/12/10 12:20 05/12/10 23:02 7439-92-1 Lead ND mg/L 0.050 1 05/12/10 12:20 05/12/10 23:02 7782-49-2 Selenium ND mg/L 0.025 1 05/12/10 12:20 05/12/10 23:02 7440-22-4 Silver Analytical Method: EPA 7470 Preparation Method: EPA 7470 7470 Mercury, TCLP Leachate Method/Date: EPA 1311; 05/11/10 16:35 ND ug/L 0.20 1 05/13/10 09:35 05/13/10 13:41 7439-97-6 Mercury 8270 MSSV TCLP Sep Funnel Analytical Method: EPA 8270 Preparation Method: EPA 3510 Leachate Method/Date: EPA 1311; 05/10/10 14:00 ND ug/L 50.0 1 05/11110 11:00 05/12/10 16:39 10646-7 1,4-Dichlorobenzene ND ug/L 50.0 1 05/11/10 11:00 05/12/10 16:39 121-14-2 2,4-Dinitrotoluene ND ug/L 60.0 1 05111/1011:00 05/12/10 16:39 87-68-3 Hexachloro-1,3-butadiene 50.0 1 05/11/10 11:00 05/12/10 16:39 118-74-1 Hexachlorobenzene ND ug/L ND ug/L 50.0 1 05/11/10 11:00 05/12/10 16:39 67-72-1 Hexachlorobenze ND ug/L 50.0 1 05/11/10 11:00 05/12/10 16:39 95-48-7 2-MethylphethaneCresol) 250 5 05/11110 11:00 05113/10 14:3 3&4-Methylphenol(m8,p Cresol) 3610 ug/L �j (wr�1 t— 50.0 1 05/11/10 11:00 05/12/10 16:39 98 95-3 Nitrobenzene ND ug/L ND ug/L 50.0 1 05/11/10 11:00 05/1211016:39 87-86-5 Pentachlorophenol ND ug/L 50.0 1 05/11/10 11:00 05/12/10 16:39 110-86-1 Pyridine ND u /L 50.0 1 9chlorophenol 05/11/10 11:00 05/12/10 16:39 95-95-4 2,4,5-T ND ug/L 50.0 1 05/11/10 11:00 05/12/10 16:39 88-06-2 2,4,6-Tdchlorophenol 12-102 1 05/11/10 11:00 05/12/10 16:39 4165-60-0 N4robenzene-d5 (S) 27 % % 13-107 1 05/11/10 11:00 05/12/10 16:39 321-60-8 2-Fluorobiphenyl (S) 40 % 21-132 1 05/11/10 11:00 05/12/10 16:39 1718-51-0 Terphe nyl d14 (S) 51 21 % 10-110 1 05/11/1011:00 05/12/10 16:39 13127-88-3 Phenolnyl (S) 22 % 10-110 1 05/11/10 11:00 05/12/10 16:39 367-12-4 2-Fluorophenol (S) 70 % 27-108 1 05/11/10 11:00 05/12/10 16:39 118-79-0 2,4,6-Tdbromophenol (S) 8260 MSV TCLP Analytical Method: EPA 8260 ND ug/L 100 20 05/12/10 07:34 71-43-2 Benzene ND ug/L 200 20 05/12/10 07:34 78-93-3 2-Butanone (MEK) 100 20 05/12/10 07:34 56-23-5 Carbon tetrachloride ND ug/L 100 20 05/12/10 07:34 108 90-7 Chlorobenzene ND ug/L 100 20 05/12/10 07:34 67-66-3 Chloroform ND ug/L 100 20 05/12/10 07:34 106-46-7 1,4-Dichlorobenzene ND ug/L 100 20 . 05/12/10 07:34 107-06-2 1,2-Dichloroethane ND ug/L 100 20 05/12/10 07:34 75-35-4 1,1-Dichloroethene ND ug/L 100 20 05/12/10 07:34 127-1.8� Tetra chloroethene ND ug/L 100 20 05/12/10 07:34 79-01-6 Trichloroethene ND ug/L REPORT OF LABORATORY ANALYSIS Page 4 of 23 Date: 05/28/2010 04:03 PM 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. G+eAwlytj +ar 2225 Riverside Dr. 9800 Kin ey Ave. Suite 100 J `"' Asheville, NC 2880.4 Huntersville, NC 28078 www.Pecelebr•cam (828)254-7176 (704)875-909.2 ANALYTICAL RESULTS Project: 10055 Pace Project No.: 9268841 Sample: 10055-16 Lab ID: 9268841001 Collected: 05/05/10 08:30 Received: 05/06/10 12:50 Matrix: Solid Results reported on a "dry -weight" basis Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8260 MSV TCLP Analytical Method: EPA 8260 Vinyl chloride ND ug/L 100 20 05/12/10 07:34 75-01-4 1,2-Dichloroethane-d4 (S) 103 % 79-120 20 05/12/10 07:34 17060-07-0 Toluene-d8 (S) 103 % 70-120 20 05/12/10 07:34 2037-26-5 4-Bromofluorobenzene (S) 97 % 87-109 20 05/12/10 07:34 460-00-4' Dibromofluoromethane (S) 100 % 85-115 20 05/12/10 07:34 1868-53-7 9045 pH Soil Analytical Method: EPA9045 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 Reac ive Sulfide Analytical Method: SW-846 7.3.4.2 Sulfide, Reactive ND mg/L 1.0 1 05/11/10 15:03 Sample: 10065-17 Lab ID: 9268841002 Results reported on a "dry -weight" basis Parameters Results Units Collected: 05/05/10 09:00 Report Limit DF Received: 05/06/10 12:50 Matrix: Solid 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 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 05/11/10 11:00 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.. e Pace Analytical Services, Inc. Pace Analytical Services, Inc. C@ ^ ,,,,'ikiln,� j 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 i U kl l Asheville, NC 28804 Huntersville, NC 28078 www.p�com (828)254.7176 (704)875-9092 ANALYTICAL RESULTS Project: 10055 Pace Project No.: 9268841 Collected: 05/05/10 09:00 Received: 05/06/10 12:50 Matrix: Solid Sample: 10055-17 Lab ID: 9268841002 Results reported on a "dry -weight" basis Parameters Results Units Report Limit DF 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 ND ug/L 50.0 1 05/1111011:00 05/12/10 17:06 98-95-3 Nitrobenzene ND ug/L 50.0 1 05/11/10 11:00 05/12/10 17:06 87486-5 Pentachlorophenol ND ug/L 50.0 1 05/11/10 11:00 06/12/10 17:06 110-86-1 Pyridine ND ug/L 50.0 1 05/11/1011:00 05/12/10 17:06 95-95-4 2,4,5-Trichlorophenol ND ug/L 50.0 1 05111/1011:00 05112/1017:06 88-06-2 2,4,6-Tdchlorophenol 52 % 12-102 1 05/11/10 11:00 05/12/10 17:06 4165-60-0 Nitrobenzene-d5 (S) 63 % 13-107 1 05/11/10 11:00 05/12/10 17:06 321-60-8 2-Fluorobiphenyl (S) 90 % 21-132 1 05/11/10 11:00 05/12/10 17:06 1718-51-0 Terphenyl-ll4 (S) 28 % 10-110 1 05/11/10 11:00 05/12/10 17:06 13127-88-3 Phenol-d6 (S) 39 % 10-110 1 05/11/10 11:00 05/12110 17:06 367-12-4 2-Fluorophenol (S) 85 % 27-108 1 05/11/10 11:00 05/12/10 17:06 118-79-6 2,4,6-Tribromophenol (S) F 8260 MSV TCLP Analytical Method: EPA 8260 ND ug/L 100 20 05/12/10 07:12 71-43-2 Benzene ND ug/L 200 20 05/12/10 07:12 78-93-3 2-Butanone (MEK) ND ug/L 100 20 06/12/10 07:12 56-23-5 Carbon tetrachloride ND ug/L 100 20 05/12/10 07:12 108-90-7 Chlorobenzene ND ug/L 100 20 05/12/10 07:12 67-66-3 Chloroform ND ug/L 100 20 05/12/10 07:12 106-46-7 1,4-Dichlorobenzene ND ug/L 100 20 05/12/10 07:12 107-06-2 1,2-Dichloroethane ND u L 100 20 05/12/10 07:12 75-35-4 1,1-Dichloroethene ND ug/L 10.0 20 05/12/10 07:12 127 18 4 Tetrachloroethene ND ug/L 100 20 05/12/10 07:12 79-01-6 Trichloroethene ND ug/L 100 20 05/12/10 07:12 75-01-4 Vinyl chloride 99 % 79-120 20 05/12/10 07:12 17060-07-0 1,2-Dichioroethane-d4 (S) % 70-120 20 05/12/10 07:12 2037-26-5 Toluene-d8 (S) 100 98 % 87-109 20 05/12/10 07:12 460-00-4 4-Bromofluorobenzene (S) a 98 /o 85-115 20 05/12/10 07:12 1868-53-7 Dibromofluoromethane (S) 9045 pH Soil Analytical Method: EPA 9045 pH at 25 Degrees C 6.9 Std. Units 0.10 1 05/26/10 14:54 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 ND mg/L 1.0 1 05/11/1015:03 Sulfide, Reactive 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.. IN Page 6 of 23 ceAnalytical www.pacabbs.com Project: 10055 Pace Project No.: 9268841 Pace Ana"cal Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 1(incey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 10055-18.10 Lab ID: 9268841003 Collected: 05/05/10 12:15 Received: 05/06/10 12:50 Matrix: Solid Results reported on a "dry -weight" basis Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 6010 MET ICP, TCLP Analytical Method: EPA 6010 Preparation Method: EPA 3010 Leachate Method/Date: EPA 1311; 05/11/10 16:36 ND mg/L 0.025 1 05/12/10 12:20 05/12/10 23:09 7440-38-2 Arsenic 0.060 mg/L 0.025 1 05/12/10 12:20 05/12/10 23:09 7440-39-3 Barium ND mg/L 0.0050 1 05/12/10 12:20 05/12/10 23:09 7440-43-9 Cadmium ND mg/L 0.025 1 05/12/10 12:20 05/12/10 23:09 7440-47-3 Chromium ND mg/L 0.025 1 05/12/10 12:20 05/12/10 23:09 7439-92-1 Lead ND mg/L 0.050 1 05/12/10 12:20 05/12/10 23:09 7782-49-2 Selenium ND mg/L 0.025 1 06/12/10 12:20 05/12/10 23:09 7440-22-4 Silver 7470 Mercury, TCLP Analytical Method: EPA 7470 Preparation Method: EPA 7470 Leachate Method/Date: EPA 1311; 05/11/10 16:35 ND ug/L 0.20 1 05/13/10 09:35 05/13/10 13:46 7439-97-6 Mercury 1 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 05111/1011:00 05/12/10 17:33 10646-7 2,4-Dinftrotoluene ND ug/L 50.0 1 06/11/10 11:00 05/12/10 17:33 121-14-2 Hexachloro-1,3-butadiene ND ug/L 50.0 1 06/11/10 11:00 05/12/10 17:33 87-68-3 ND ug/L 50.0 1 05/11/10 11:00 05/12/10 17:33 118-74-1 Hexachlorobenzene ND ug/L 50.0 1 05/11/10 11:00 05/12/10 17:33 67-72-1 Hexachloroethane ND ug/L 50.0 1 05/11/10 11:00 05/12/10 17:33 95-48-7 2-Methyl phenol (o-Cresol) ND ug/L 50.0 1 05/11/10 11:00 05/12/10 17:33 3&4-Methylphenol(m&p Cresol) ND ug/L 50.0 1 05/11/1011:00 05112/1017:33 98-95-3 Nitrobenzene ND ug/L 50.0 1 05/11/10 11:00 05/12/10 17:33 87-86-5 Pentachlorophenol ND ug/L 50.0 1 05/11/10 11:00 05/12/10 17:33 110-86-1 Pyridine ND ug/L 50.0 1 05/11/10 11:00 05/12/10 17:33 95 95 4 2,4,5-Tdchlorophenol ND ug/L 50.0 1 05/11/1011:00 05/12/10 17:33 88-06-2 2,4,6-Tdchlorophenol 61 % 12-102 1 05/11/10 11:00 05/12/10 17:33 4165-6D-0 Nitrobenzene-d5 (S) 78 % 13-107 1 05/11110 11:00 05/12/10 17:33 321-60-8 2-Fluorobiphenyl (S) 85 % 21-132 1 05/11/10 11:00 05/12/10 17:33 1718-51-0 Terphenyl-d14 (S) 33 % 10-110 1 05/11/10 11:00 05/12/10 17:33 13127-88-3 Phenol-d6 (S) 45 % 10-110 1 05/11 /10 11:00 05/12/10 17:33 367-12-4 2-Fluorophenol (S) 95 % 27-108 1 05/11/10 11:00 05/12/10 17:33 118-79-6 2,4,6-Tribromophenol (S) 8260 MSV TCLP Analytical Method: EPA 8260 ND ug/L 165 33 05/10/10 20:41 71-43-2 Benzene ND ug/L 330 33 05/10/10 20:41 7&93-3 2-Butanone (MEK) ND ug/L 165 33 05/10/10 20:41 56-23-5 Carbon tetrachloride ND ug/L 165 33 05/10/10 20:41 108-90-7 Chlorobenzene ND ug/L 165 33 05/10/10 20:41 67 66-3 Chloroform ND ug/L 165 33 05/10/10 20:41 106-46-7 1,4-Dichlorobenzene ND ug/L 165 33 05/10/10 20:41 107-06-2 1,2-Dichloroethane ND ug/L 165 33 05/10/10 20:41 75-35-4 1,1-Dichloroethene ND ug/L 165 33 05/10/10 20:41 127-18-4 Tetra chloroethene ND ug/L 165 33 05/10/10 20:41 79-01-6 Tdchloroethene 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, I nc..- 1 aceAnalytical . www.pawlabsx= Project: 10055 Pace Project No.: 9268841 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvilie, NC 28078 (704)875-9092 Sample: 10055-18.10 Lab ID: 9268841003 Collected: 05/05/10 12:15 Received: 05/06/10 12:50 Matrix: Solid Results reported on a "dry -weight" basis Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8260 MSV TCLP Analytical Method: EPA 8260 Vinyl chloride ND ug/L 165 33 05/10/10 20:41 75-01-4 1,2-Dichloroethane-d4 (S) 99 % 79-120 33 05/10/10 20:41 17060-07-0 Toluene-d8 (S) 99 % 70-120 33 05/10/10 20:41 2037-26-5 4-Bromofluorobenzene (S) 100 % 87-109 33 05/10/10 20:41 460-00-3 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 is Sulfide, Reactive • ND mg/kg 10 1 05/12/10 11:67 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:. y(1..1Qa>s.lc Page 8 of 23 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: Baxter Healthcare WWTP Name: Baxter Healthcare Monitoring Period: From WQ Permit Number: WQ0031725 NPDES Number: NC0006564 l /l /2010 To 12/31 /2010 Pathoeen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and, alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatineiit) ❑ TO. C (Prior Testing) Q Alt.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thetmophilic Beta Ray 01 Gamma Ray ❑ Pasteurization ❑ Class B: JAII. (1) Fecal Density R1 Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion C7 If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Allowable Level Pathogen Density Number ot Excee- Frequency Sample na y ica Tech- Parameter in Sludge Minim Geo. Mean axim Units of Analysis -type niaue 2 x 10 to the MPN 60 166 968 MPN/g 0 7 grab sm9221 e 6th power per gram of Fecal Coliform total solids CFU 1000 mpn per gram J of total solid (dry weight) Salmonella bacteria 3 MPN per 4 grams (in lieu of fecal total solid (dry colifomm) weight) Vantnr e+rraotinn Rediietinn (1 SA NCAC 02T .11071 - Please malcate alternative performed: Alt.1 (VS reduction) 0 Alt. 2 (40-day bench) G] Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. 02 uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) El Alt. 8 (Drying - Unstable) 0- Alt. 9 (Injection) [_ 1 Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) Ll "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." .wl "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." Prep arer e and Title (type or print) Dennis Key Southern Soil Builders, Inc. Land Applier Name and Title (if applicable)(type or print) Signature of Prepa * Date Signature of nd 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) Page 1 of 1 Report Number: 10-349-0567� A&L Eastem Laboratories, Inc. Account Number: 46381 7621 Whitepine Road RlchmondeVirglnia 23237 (804) 7435401 Fax (804) 271-5446 Send To: SOUTHERN SOIL BUILDERS wuvwaleastern.com Grower: Submitted By: ZACH KEY DENNIS KEY BAXTER Farm ID: 958 HOOTS ROAD ROARING RIVER NC 28669 SOIL ANALYSIS REPORT Analytical Method(s): Mehlich 3 Date Received: 12/15/2010 Date Of Analvsis: 12/16/2010 / Date Of Renort: 12/17/2010 / e " :Organic'Metter"'"" -Phosphorus .�otassium ' ':`.Magnesium .:Calcium.: " "Sodium pH ::'.". "-Acidity :": Sample ID Lab .-'ENR % Rate.'=:,Ili§!A "Mehlich 3 :. Reserve :::., K :Mg Ca Na Soil Buffet" H " Field ID Number m ..: pp Rate" ppm :Rate ppm -Rate ppm Rate. ppm Rate' 'ppm..:. Rate_ PH. ;index . . meq/t00g megM00g-. S 1 00737 3.6 M 110 48 M 73 L 324 H 874 M 16 VL 6.0 6.80 1.3 8.7 NC = 40 NC = 37 S2 00738 2.6 M 92 47 M 53 VL 281 H 841 M VL NC=39 NC=27 113 6.6 6.89 0.4 7.2 T1 00739 8.1 M 104 165 H 39 VL 143 H 647 M III VL 5.9 6.84 0.9 5:5 NC=54 NC=20 T2 00740 3.1 M 103 133 M 41 VL 138 H 674 M 117 VL 5.7 6.80 i.3 6.0 NC=27 NC=21 Percent Base Saturation Nitrate Sulfur Mangane's'e Iron:' Solubleattsc' ::Chloride `a4ltiminiim Sample ID Field ID K' �. Mg Ca %. :.Na ":;°Y° ; H :: - NO S : Zn t =; Mn Fe:.". CI :'%... •"% :% PPm" Rate-:ppm• : • Ra ppm Ra t PPm a ppm' Ra pp'm R i Ppm Rate ms/cm 'Rate :pP m ..Rate PPm S1 2.2 31.0 50.2 0.8 15.3 0.12 VL S2 1.9 32.5 58.4 0.8F5_9 0.09 VL T1 1.8 21.7 58.8 0.9T17.2 0.08 VL T2 1.8 19.2 56.2 1.2 1 20.9 0.07 VL va uee on ims report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli-equivatent.per 100 grams). Conversions: ppm x 2 = Ibs/A, C.E.C. - Cation Exchange Capacity. Soluble Sags ms/cm x 640 = ppm. This report applies to sample(s) tested. Samples are retained a maximum of thirty days after testing. Analysis prepared br. A&L Eastern laboratories, Inc. by: PWZ,. OF G � Pauric McGroary -