WQ0031725_Annual Report_20140307

Annual Report Review SOP Class B Land Application
Reporting Period: -ZCA
Permit Details:
• I 503.
Cla A orPry
Maximum Tons Per Year: 209
Number of acres permitted: I406,Z-
Number of fields in permit: (4
Counties that land is permitted for: W-av6o - I (��S
Monitoring Frequency for TCLP: %-A 11 v
Monitoring Frequency for Residuals Analysis: kjjnvA
Monitoring Frequency for Pathogen & Vector Attraction Reduction: w uci
Groundwater monitoring: N/A:
1. Annual Land Application Certification Form
as a certification form submitted? tj
Was land application conducted during the reported year?
Ho411w many dry tons and dry tons per acre were applied? (Ter- 1451
Were the applications within the permitted amount?
Verify PAN if more than 10 tons/acre? N A
Did it indicate compliance?
Was it signed by the appropriate people?
2. Monitoring
Were the analyses conducted at the required frequency?jam
Was an analyses taken for each source that was land applied?�-S
Were the metals analyses reported on the Residual Sampling ummary Form?
Were the results reported in mg/kg?�-e-S
Were the pH's 6.0 or greater for each residual sample? I "e 3
Were the heavy metals within ceiling concentration permit limits? -e.}
Were the lab analyses attached?
Were all the required parameters tested?'j 4-3
Was TCLP analysis conducted? u
Were the TLCP contaminants wAin regulatory limits?
Was a corrosivity, ignitability, and reactivity analysis conducted? y
3. Field Summary
Were the land application events recorded on the Field Summary Forms?
How many fields were applied on this year? -I i
Was a Field Summary Form submitted for each field? J-45' C Cq,bG
Were all the residuals applied to permitted land? 14-5
Were all the residuals applied from permitted sources?
i/ Were the field loading rates for each metal and PAN calculated (year to date)?�,&5
Were the cumulative pollutant loading rates calculated? 1,00
Were the calculations correct?
Were the PAN loading rates within permit limits? 0UC,- Owl"eA PAN crop oN r,4.( -bP'7
Were the heavy metal cumulative pollutant loading rates within permit limits? i,,P, S o
Were the residuals applied on a suitable crop? 4
,o,S wzker

Were the applications conducted during the crop's growing season? IDS
Were the Field Summary Forms complete?
Was lime application on Field Summary Form? No lime applied. V e. S
4. Pathogen and Vector Attraction Reduction
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?
• 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?
Class B Pathogen Review
pe Alternative 1 - Fecal Coliform Density
Was the sampling conducted at the required frequency? Cad OzcQ�l , /%L
-I-Were seven samples taken?
-was the geometric mean calculated and done correctly?
/>Sid 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)?
Alternative 2 - Use of Process to Significantly Reduce Pathogens (one of five)
• Was the sampling conducted at the required frequency?
1. Aerobic Digestion
Was it an aerobic process (Inspection)?
Were logs submitted showing time and temperature?
Were temperatures within range for complete time period?
Was the time and temperature between 40 days at 20°C (68T) and 60 days at 15°C
(597)?
2. Air Drying
Were the residuals on sand beds or pave or unpaved basins for three months?
Was the ambient temperature above 0°C (32T) for two months?
Were the residuals partially digested?
Were residuals exposed to atmosphere during two months above 0°C (not snow
covered)?
3. Anaerobic Digestion
-Was it an anaerobic process (Inspection)?
• Were logs submitted showing time and temperature?
• Were temperatures within range for complete time period?
Was the time and temperature between 15 days at 35°C (95T) to 55°C (131T) and 60
days at 20°C (68T)?
4. Composting (usually will be Class A when composting is used)
Was it a composting procedure (not natural decay under uncontrolled conditions)?
Were logs submitted showing time and temperature?
Was the temperature raised to 40
5. Lime Stabilization

• Was alkaline material added to residuals a form of lime (hydrated lime, quicklime, lime
containing kiln dust or fly ash)?
Were logs submitted showing time and temperature?
Was the pH raised to 12 after two hours of 'contact?
Were logs submitted showing time and pH? .
Was temperature corrected. to 25°C (777)?
Alternative 3 — Use of Processes Equivalent to RSRP
(Not commonly use. See White House Manual page 100-103, tables 11-1 and 11-2.)
Vector Attraction Reduction Review
• Was the sampling conducted at the required frequency?
Option 1 — 38% Volatile Solids Reduction
Was there 38% reduction?
Were lab sheets/calculations in report?
a Was the reduction on volatile solids (not total solids)?
-- Were the samples taken at beginning of digestion process and before application
(Inspection)?
•Were calculations correct?
Option 2 — 40-Day Bench Scale Test
Were residuals from anaerobically digested treatment (Inspection)?
Were residuals anaerobically digested in lab?
Was the test run for 40 days?
Was the test done between 30°C (86°F) and 37°C (99°F)?
Was the reduction of on volatile solids (not total solids)?
Was the reduction less than 17%?
Were lab sheets/calculations in report?
Were calculations correct?
Option 3 — 30-Day Bench Scale Test
Were residuals from aerobically digested treatment (Inspection)?
Were residuals aerobically digested in lab?
Were residuals 2% or less total solids?
If not 2% total solids, was the test ran on a sample diluted to 2% with unchlorinated
effluent?
Was the test run for 30 days?
Was the test done at 20°C (687)?
Was the reduction of on volatile- solids (not total solids)?
Was the reduction less than 15%?
Were lab sheets/calculations in report?
Were calculations correct?
Option 4 — Specific Oxygen Uptake Rate(SOUR)
Were residuals form aerobically digested treatment (Inspection)?
Were residuals 2% or less total solids (dry weight basis) (not diluted)?
Was the test done between 10°C (50°F) and 30°C (86°F)?
Was the temperature corrected to 20°C (68°F)?
Was the SOUR equal to or less than 1.5 mg of oxygen per hour per gram of total
residual solids (dry weight basis)?

Was the sampling holding time two hours?
Was the test started within 15 minutes of sampling or aeration maintained?
Option 5 — 14-Day Aerobic Process
Were the residuals from aerobically digested treatment (Inspection)?
Were the residuals treated for 14 days?
Was the residuals temperature higher than 40°C (104°F) for a 14-day period?
Was the average residuals temperature higher than 45°C (113°F)?
Option 6 — Alkaline Stabilization
Was the pH of the residuals raised to 12 or higher by the addition of alkali?
Did the pH of residuals remain at 12 or higher for two hours without the addition of
more alkali?
• Did the pH of residuals remain at 11.5 or higher for an additional twenty-two hours
without the addition of more alkali?
• Was the pH corrected to 25°C (77°F)?
Option 7 — Drying of Stabilized Residuals
Does the residuals contain any unstabilized residuals?
Were the residuals mixed with any other materials?
Were the residuals dried up to 75% total solids?
Option 8 — Drying of Unstabilized Residuals
Were the residuals mixed with any other materials?
Were the residuals dried to 90% total solids?
Option 9 —Injection
• Was there any significant amount of residuals on land surface one hour after injection
(Inspection)?
Was injection done on pasture or hay field?
Was injection done at time that crop was growing?
If Class A with respect to pathogen, were residuals injected with eight hours after
discharge from pathogen treatment?
5. Soil Tests e ( GN
Was a Standard Soil Fertility Analysis conducted for each application field? Y s,
Were the soil pH's 6.0 or greater for each application field? IJ�
• If no, was lime applied to those fields? YeS, I
Were the copper and zinc indexes in the soil 1 ss than 2000 for each application field? Yes,
Was sodium less than 0.5 meq/100 cm^3? yes,
Was the exchangeable sodium percentage (ESP) less than 15%? Yef,
6.General
Was the report in the proper format? Yes
Was the annual report complete? yeP
Was the report submitted on time? u o, z, YAa--c1� -71 2-0tJ

Baxter
Healthcare
Baxter Healthcare Corporation
2013 Annual Report
Land Application Program
NC Permit No. WQ0031725
MAR p 7 2014
vvA i CR UUAU i 7 6ECTION
INFORMATION PROCESSING UNIT
RECED
Division of Water
MAR 18 2014
Water Quality Regional Operations
Asheville Regional Office

Section 1 For ACF
Annual Land
Application
Certification Form

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0031725
County:
Facility Name (as shown on permit):
Land Application Operator:
McDowell
Year: 2013
Baxter Healthcare
Phone: _ 336-957-8909
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
A -
Southern Soil Builders, Inc.
Total number of application fields in the Di
14
Total number of fields utilized for land application during the year: 7
Total amount of dry tons applied during the year for all application sites: 95.2
Total number of acres utilizes for land application during the year: 44.56
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2013 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. 0 Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) 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 40 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 Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and 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 resi duals.
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."
L7 2_2�r1
Permittee Name and Title (typ or print) Signature of Permittee Date
./i 1-ao-M
Signature of Preparer* Date S' ature of LanApplier 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)

Section 2 For RSSF
Annual Residual
Sampling'
Summary
Form

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0031725
Facility Name:
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Analvsic Data
Baxter Healthcare
WQ0031725
Laboratory: 1) A&L Eastern Labs
2)
3)
4)
5)
Parameter®-
Conc.
-
• • • •• �.
-
Percent Solids (%)
ot
- .,- --...,,, ­r,,.,u- 1-1-111�a «,�, t Q11L1ls %AHWUttttattUn tittuts usteu in tnls corm are not appucame. xeterence 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 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 Prepares *
z-2-4?-(-y
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26) DENR FORM RSSF (12/2006)

Section 3 For MFLSF
Annual Metals Field
Loading Summary Form
For Sites — DPI -A. DPI-
B. DPI-C. DP2. DP31
DP4. DP5
January 9, 2013

Section 4 — Form FSF
Annual Land
Application Filed
Summary Form
For Sites — DPl-A,, DPI-
B., DPI-C., DP2., DP3.
DP4. DP5

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 Healhcare WQ Permit #: WQ0031725 Field #: DP3 Acres Utilized: 12.86
Land Owner: Douglas Poplin Annual Dry Tons Applied: 39.5852 Site M DP3 Acres Permitted: 12.86
Operator: Douglas Poplin
Crop 1 Name: Fescue
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 194
Crop 2 Name:
Cation Exchange Capacity (non 503):
Corn Crop 2 Max. PAN:
214
°
°
0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds G2110nS
��a
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
e '
Moist)
Precip,
Past 24
Hrs.
inches
>
c� b
a
o
;n iv
�,
*
9
;v
w
TKN
mg/kg
z 1
a
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
1-2013
55.11
11.16
0.403
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
22.428
NA :
Fescue
4-2013
80.53
11.16
0.589
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
32.773
NA
Fescue
7-2013
27.87
11.16
0.204
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
11.342.
NA
Fescue
8-2013
27.87
11.16
0.204
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
11.342
NA
Fescue
10-20131
57.87
11.16
0.423
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
23.551
NA,
Fescue
11-2013
171.93
11.16
L257
WQ0031725
dry
0
inc
1
0.3
87600
7800
2
Na'
.79.770
Corn
0.000
0.000,_
.0:000, .
0.000
0.000
.'0:000
0:000
0.000 :
0.000
0.000
0:000
0.000
0.000
0.000 :
0.060
0.000
0.000
-0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
421.181
0
As
Cd
Cu
Cr
Pb
Hgl
Mo
Ni
Se
Zn
P
1101.4361
79.770
Lime Applied
Annuallbs/acre
0.055
0.132
0.187
36
0.025
0.046
0.071
34
1.250
2.423
3.673
1338
0.690
1.753
2.443
NA 1
0.092
0.213
0.305
267 1
0.002
0.005
0.007
15
0.043
10.081
0.124
NA
0.259
0.433
0.692
374
0.031
0.012
0.043
1 89
2.747
5.439
8.186
2498
95.480
,M
L tea.
°
`
Date
lbs/ac
Prior Years Cumulative lbs/ac
11-2013
4000
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
'_
194
214
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
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."
SiXiature of Land Applier
"�)L -I
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
o.^I
LEA w�}Y
w f��
0
Lo ��
DENR FORM FSF (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):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 12.86 Acres Permitted: 12.86 Site #: DP3 Field #:
39.61
FcB2
DP_3
Residual Analysis Data (Heave Metals and Total Phocnhnrnc „eP ma/Ira of cls.le ,loo TD-,
Com-
posite
MENEMENNUM
MEMO
NONE
Date
OWN
a au�a.� v ♦ 1 1.1-w"I A. 1V1" L UeE 1■11Y\ \ . A117111i111:11 111 111WIMA.V"I.
Total
1
2j
3
4
L5J
L6J
L7j-
8
9
10
11
12
DT/Ac./
J
c
App.a
Event
3.08
14
Arsenic
0.055
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
10.055
Cadmium
0.025
0.000
0.000
0.000
0.000
0.000.__0.000
0.000
0.000
0.000
0.000
0.000
1 0.025
Copper
1.250
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.250
Chromium
0.690
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.690
Lead
0.092
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.092
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
0.043
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.043
Nickel
0.259
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.259
Selenium
0.031
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.031
Zinc
2.747
0.000
0.000
0.000
0.000
0.060
0.000
0.000
0.000
0.000
0.000
0.000
2.747
Total
Phos-
95.480
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
95.480
horus
nT..n..t;V.
-A-
..1,&. .rl..�.
_.17 __--- 1. _._..__1 , Musa., E-E uu-11GL1 yrna AlivP41-vu uuuer my ulrecnon or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier Date
DENR FORM MFLSF (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 Healhcare WQ Permit #: WQ0031725 Field #: DPI -A Acres Utilized: 4.51
Land Owner: Douglas Poplin Annual Dry Tons Applied: 10.1985 Site #: M-A Acres Permitted: 4.51
Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
°
y
Q 0
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.
D
Wet'
Moist)
Precip.
Past 24
Hrs.
inches
a
K '
0 b
a. �.
o a;
o
0
c
°_�',
*
°c
7y co
w
�,
*
TKN
mg/kg
z
=t
o
= 0
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
pP
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
3-2013
80.32
11.16
1.674
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
93.206
NA
Fescue
9-2013
28.19
11.16
0.587
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
32.713
NA
Fescue
0.000
0.000
0.000
0.000
0.000
-0.000
0.000
0.000
0.000.
0.000
0.000.
'0.000.
'0.000
0.000. -
-0.000
0.000
-0.000
0.000-
0.000
0.000-
0.000
0.000
0.000
0.000
0:000
0.000"'.
10.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
108.51
0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
125,9181
0.000
Lime Applied
Annuallbs/acre
0.041
0.018
0.918
0.506
0.068
0.002
0.032
0.190
0.023
2.017
70.091 1'
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.041 ✓
0.018
0.918
0.506
0.068 v
0.002 v
0.032
0.190 V1
0.023
2.017
Permitted C. P. L. R.****
36
34
1338
NA
267
1 15
NA
374
89
2498
Permit PAN Limit 1 st/2nd Crop
-- -
194
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system nesignen to assure tnat
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
v-1 **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)

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: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 4.51 Acres Permitted: 4.51 Site #: DPI -A Field #:
10.20. ' ..
FcB2
DPI -A
Residual
Analysis Data
(Heavy
Metals and Total Phosphorus
use mg/kg,
% Solids use
Raw Percent #):
Sample or
Com-
posite
Date
1 I
1/9/13
2 J
L3J
41
5
6
7j
8j
9
10
111
12
% Solids
11.16
Arsenic
9
Cadmium
4
Copper
203
Chromi
112
Lead
15
Mercury
0.4
Molyb-
denum
7
Nickel
42
Selenium
5
Zinc
446
Total
Phos-
horus
15500
Annual
Heavy Metal Field Loadings
(Calculated in lbs/acre):
Total
DT/Ac./
App.
Event
11
2.26
21
3
4j
5j
L6
7
8
9
10
11
12
Arsenic
0.041
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.041
Cadmium
0.018
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.018
Copper
0.918
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.918
Chromium
0.506
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.506
Lead
0.068
0.000
0.000
0.000
0.000
0.000
0.000.
0.000
6.000
0.000
0.000
0.000
0.068
Mercury
0.002
0.000
0.000
0.000
0.000
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.002
Molyb-
denum
0.032
0.000
0.000
0.000
0.000
0.000
0.060
0.000
0.000
0.000
0.000
0.000
0.032'
Nickel
0.190
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.190
Selenium
0.023
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.023
Zinc
2.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.017
Total
Phos-
horus
70.091
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
I
0.000
0.000
70.091
"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".
1 ,,,, %
Siglature of Land Applier
H U-1 `)
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):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 6.8 Acres Permitted: 6.8 Site #: DP4 Field #:
16.50 -
FcB2
DP4
Residual Analvsis Data (Heavv Metals and Total Phosvhorus use ma/ka. % Solids use Raw Percent ft
1M0VT_ "I
Com-
posite
Date
MEMNON
Total
Phos-
Annual Heavy Metal Field Loadings Walculated in lbs/acre):
Total
Ill
L2J3
4
L5J
L6
7
8
9
10
11
12
DT/Ac./
o
App.
✓
�'
Event
2.43
"
Arsenic
0.044
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.044
Cadmium
0.019
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.019
Copper
0.985
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.985
Chromium
0.544
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.544
Lead
0.073
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.073
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-
0.034
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.034
denum
Nickel
0.204
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.204
Selenium
0.024
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.024
Zinc
2.165
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
2.165
Total
Phos-
75.237
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
75.237
horus
••1 certiry, under penany of taw, teat tors 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 Apffier
Date
DENR FORM MFLSF (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 Healhcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crou 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP4
Annual Dry Tons Applied: 16.4993 Site #: DP4
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 6.8
Acres Permitted: 6.8
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
c
Q
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,
e '
Moist)
Precip.
Past 24
Hrs.
inches
a
4
cD 'd
a a
o
w
*
=
;v
?: -+
CD
* w
TKN
mg/kg
z
q
o �
aQ o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5-2013
57.56
11.16
0.796
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
44.300
NA
Fescue
7-2013
28.41
11.16
0.393
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
21.865
NA
Fescue
12-2013
89.58
11.16
1.238
W00031725
dry
0
s
0.5
0.3
87600
7800
2
68.944
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000.
0.000
0.000
0.000
-0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000.
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
175.551
01
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
135.110
0.000
Lime Applied
Annual lbs/acre
0.044
0.019
0.985
0.544
0.073
0.002
0.034
0.204
0.024
2.165
75.237 ` '
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.087
0.027
1.407
1.141
0.113
0.003
0.047
0.36
0.007
3.302
11-2013
2000
Current Cumulative lbs/ac
0.131 ✓
0.046
2.3927
1.685
0.186
0.005v
0.081
0.564
0.031
5.467
Permitted C. P. L. R.****
36
34
1338
NA
267
15
NA
374
89
2498
Permit PAN Limit 1 st/2nd Crop
194
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system aesignea 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."
,Z�
of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
a0-I `1 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (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):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
Acres Used: 11.82 Acres Permitted: 11.82 Site #: DP5 Field #:
' 5.43...
FcB2
DP5
Residual Analvsis Data (Heave Metals and Total Phosphorus use mp/kg. % Solids use Raw Percent ft
Com-
posite
Date
Total
Phos-
phorusMENEENEENEEN
Annual Heave Metal Yield LoadinLys (Calculated in lbs/acre):
Total
1 1
L2J
3
4
5
6j
7
8
9
10
11
12
DT/Ac./
o
App.
/
in
Event
0.46
Arsenic
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
Cadmium 1
0.004
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Copper
0.186
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.186
Chromium
0.103
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.103
Lead
0.014
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.014
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
denum
Nickel
0.039
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.039
Selenium
0.005
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
00005
Zinc
0.409
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.409
Total
Phos-
14.229
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0 000
0.000
14.229
horus
"I certity, 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
i-)uwl-1
Date
DENR FORM MFLSF (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 Healhcare WQ Permit #: WQ0031725 Field #: DP5 Acres Utilized: 11.82
Land Owner: Douglas Poplin Annual Dry Tons Applied: 5.4296 Site #: DP5 Acres Permitted: 11.82
Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
0 .�
°
°� o
Q
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,
Wet
Moist)
Precip.
�
Past 24
Hrs.
inches
a
� 'b
cM �_
� "
o o
o
w �:
*
5
70 �
w
* �:
w
TKN
mg/kg
z Y
q �
�o o
CD w•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
10-2013
57.77
11.16
0.459
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
25.579
NA -
Fescue
0.000
0.000
0.000
0.000
0.000
0.000..
0.000
0.000
'0.000,
0.000
0.000
0A00 .
0.000
0.000
0000 _
0.000
0.000
0000
0.000
'0.00.0
_0JOK-
0.000
0.000
0.000--
0.000
0.006
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:
57.77
0
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
25.579
0.000 .
Lime A lied
Annual lbs/acre
0.008
0.004
0.186
0.103
0.014
0.000
0.006
0.039
0.005
0.409
14.229 • `
-'
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.1
0.034
1.744
1.157
0.148
0.004
0.059
0.422
0.009
3.986
11-2013
2000
Current Cumulative lbs/ac
0.108 ✓
0.038
1.930v
1.260
0.162 v
0.004
0.065A
0.461 v
0.014
4.395
Permitted C. P. L. R.****
36
34
1338
NA
1 267
1 15
1 NA
1 374
89
1 2498
Permit PAN Limit 1st/2nd Crop
1
194
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system aesignea to assure tnat
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)
roc*frr:✓sm_•^s:x11_'3�7:;��%"r.

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): 2.41
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 1.25 Acres Permitted: 1.25 Site #: DP1-13 Field #: DPI-B
Residual Analvsis Data (Heave Metals and Total Phosnharlls Ilse mu/ku- %, 4nlirlc nce Raw PerrPnt ih-
..Ww
Com-
posite
Date
Emm
M
©
o
0
EMEIUM
'
11
tinuLI41 "V4VV 1VICL211 rlClll L1)iluinLFs it,alcnlaten in InC/acres,
Total
1
2
3
4
5]
L6J
L7
8
9
10
11
12
DT/Ac./
o
App.
>v
Event
1.93
y
Arsenic
0.035
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
1 0.000
0.035
Cadmium
0.015
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.015
Copper
0.783
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.783
Chromium
0.432
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.432
Lead
0.058
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.058
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
0.027
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.027
Nickel
0.162
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.162
Selenium
0.019
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.019
Zinc 1
1.720
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.720
Total
Phos-
59.768
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
59.768
horus
..T
X ..V, „iy, UllLLGI Punany L,l law, LuaL LUIS uocument was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANKFORM 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 Healhcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
WQ Permit #: WQ0031725 Field #: DP1-B
Annual Dry Tons Applied: 2.4098 Site #: DP1-13 Acres Permitted: 1.25
Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 1.25
Crop 2 Max. PAN:
o y
>~
Q )
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
D Tons/Ac
(Dry )
Residual Sources
(NPDES # WQ#
Fert., Animal
Waste, etc)
Soil
Cond.
(D
We
Moist)
Precip.
Past 24
Hrs.
inches
a
4 '%
cD ?
o a
* ]
o
'n 'm
* K'
o
o
w -,
*
c'
TKN
mg/kg
Z
o B
c0co E
�•
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 11
Crop 2
Crop 1
Crop 2
3-2013
25.64
11.161
1.928
WQ0031725
dry
0
s
0.5
0.3
1 87600
7800
1 2
107.350
- NA-:
Fescue
0.000
0.0:00
'0.000
0.000
0.000
- 0.000
0.000
.0.000-
'? 0..000
0.000
0.0001
0.000
: 0:000'>
- 0:000-
0 000 v
0 000:::
0:000
0 000 _
0.000
­0 0001-
_ 0 000 ;
0000.
0.000`
0.000--
0.000'-.'
_ A000-
0.000
0.000 �'
--0 0w,
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
25.64
o
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
107.350:
-'O.000
LimeAppliell
Annual lbs/acre
0.035
0.015
0.783'
0.432
0.058
0.062
0.017
0.162,
0.019
1.720
59 768
11
`
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.035
0.015
0.783
0.432
0.058
0.002 4
0.027
0.162
0.019
1.720
Permitted C. P. L. R.****
36
34
1338
NA
267
15
NA
374
89
2498
Permit PAN Limit Ist/2nd Crop
194 .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
- U--t:3 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (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): 7,78
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 2.3 Acres Permitted: 2.3 Site #: DP1-C Field #: DPI-C
.tu-my Mn+9ic and Tn+al Phncnhnrns mvp mafkL. % Solids use Raw Percent #):
com-
posite
-Date
Total
1 ,
..
��
r rlTlRT.7�. RTCT��T�RT1�fri - V. L7. I I.TifrM StVFUI1V.l CUM=I M
3j
4j
5
6
7
9
1 o
11
12
Total
1
_2j
_8j
y
DT/Ac./
f
°
�•
App.
tI'
y
Event
3.38
Arsenic
0.061 1
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.061
Cadmium
0.027
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.027
Copper
1.373
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.373
Chromi
0.758
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.758
Lead
0.101
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.101
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
0.047
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.047
denum
Nickel
0.284
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.284
Selenium
0.034
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.034
Zinc
3.018
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
3.018
Total
10.000
Phos-
104.873
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
104.873
horus
"I certify, under penalty oI law, that tins aocument was preps,-eu UHUVI u.y uaac.,.avaa va OLKVMa..oavu ,aa »...,...»....
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (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 Healhcare WQ Permit #: WQ0031725 Field #: DPI-C
Land Owner: Douglas Poplin ' Annual Dry Tons Applied: 7.7793 Site #: DPI-C
Operator: Douglas Poplin Predominant Soil Series: FcB2
Crop 1 Name: Fescue
Crop 1 Max. PAN: 194
Crop 2 Name:
Acres Utilized: 2.3
Acres Permitted: 2.3
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
°
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NPDES #, WQ#
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
b
cc �
� o'
o
°
o
*
°o
;a
w -,
P.
*
Z
TKN
mg/kg
z Y
a
o
CD 0
o �•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1 I
Crop 2
Crop 1
Crop 2
2-2013
55.96
11.16
2.287
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
127.3341
NA
Fescue
8-2013
26.81
11.16
1.096
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
61.005
NA
Fescue
0.000
0.000-
0:000
0.000
0.000
0.000
0.000
0.006
0.000 _
0.000
0000- 1-0.000
0.000
0 000
0;000
0.000
--.0.000,
0:000
0l000
0000
0.000
0.0001
, 0.000'
0.000
1
0.000.�
1-,.,0.000
0.,000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
82:77
o
As
Cd
Cu
Cr
Pb
Hg
Mo
I Ni
Se
Zn
P
188.339
0:000
Lime Applied
Annual lbs/acre
0.061
0.027
1.372
0.757
0.101
0.003
0.047
0.294
0.034
3.015
104 780 `:'° -
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.061 ✓
0.027
1.372
0.757
0.101
�0.003
0.047
0.28V
0.034V
3.015
Permitted C. P. L. R.****
36
34
1338
NA
267
15
NA
374
89
2498
Permit PAN Limit Ist/2nd Crop
°-` `. ". _: _ �° ;-:�`
194`
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
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
I - a 0 --( 4
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 (12/2006)

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): 13.27
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 5.02 Acres Permitted: 5.02 Site #: DP2 Field #: DP2
Residual
Analysis Data
(Heavy
Metals and Total Phosphorus
use mg/kg,
% Solids use
Raw Percent #):
Sample or
Com-
posite
Date
1
1/9/13
2
3
4
5
6
7
8 J
9
10
IIJ
12
% Solids
11.16
Arsenic
9
Cadmium
4
Copper
203
Chromium
112
Lead
15
Mercury
0.4
Molyb-
denum
7
Nickel
42
Selenium
5
Zinc
446
Total
Phos-
horus
15500
Annual
Heavy Metal Field Loadings
(Calculated in lbs/acre):
Total
DT/Ac./
App,
Event
11
2.64
2j
3
1 41
5j
6
_7j
8j
L9
10
11
12
14
Arsenic
0.048
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.048
Cadmium
0.021
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.021
Copper
1.073
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.073
Chromium
0.592
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.592
Lead
0.079
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.079
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
0.037
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.037
Nickel
0.222
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.222
Selenium
0.026
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.026
Zinc
2.358
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.358
Total
Phos-
horus
81.964
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
81.964
"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 A plier 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 Healhcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP2 Acres Utilized: 5.02
Annual Dry Tons Applied: 13.2888 Site #: DP2 Acres Permitted: 5.02
Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
Volume applied
Volume
Residual Sources
Soil
Precip,
o
c
z
Nitrate
PAN Applied
Name of Crop Type
(enter one) Solids/
%
Applied per
(NPDES #, WQ#,
Cond.
past 24
d
w `v*
w w
TKN
ao c
and
( lbs/acre)
Receiving Residual
o
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
c
*
- •
*
?.
Nitrite
Application
Q
Cu. Yds Gallons
(Dry TonslAc)
Waste, etc)
Wet
Moist)
inches
c
°
`7
0
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
2-2013
57.34
11.16
1.074
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
59.779
NA
Fescue
3-2013
54.69
11.16
1.024
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
57.016
NA
Fescue
9-2013
29.36
11.16
0.550
WQ0031725
dry
0
s
0.5
0.3
87600
7800
2
30.609
NA
Fescue
0.000
0.000
0.000
0.000
0.000
1 0.000
'0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
:,.
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
141.39
0
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
147.405
0.00o
Lime A lied
Annual lbs/acre
0.048
0.021
1.073
0.592
0.079
0.002
0.037
0.222
0.026
2.358
81.964
- a e ., ° ,,
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.022 •
0.011
0.553
0.3
0.057
0.001
0.019
0.101
0.003
1.126
Current Cumulative ibs/ac
0.070
0.032
1.626
0.892
0.136 tA
0.003v
0.056
0.323
0.029
3.484
Permitted C. P. L. R.****
36
34
1338
NA
267
15
NA
374
89
2498
Permit PAN Limit lst/2nd Crop
. - ,- �_ 194
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/incorporati:on - 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 (12/2006)
..._ .,..�: ._�,�. �.zm� .- -�-�-,T-r.-�-rr_--,.--rz�-.. .: rc�as..-r...�•�•.- a1s_.w:�cv�!.?x�r �i�i,. ....�.,. .`:?

Section 8 Calculations
PAN Calculations
SAR Calculations

PAN
Mineralization
as decimal
ITotal dry
tons/year
Acres
Applied on
1 44.56
Rate
0.3
TKN
87600
NH3
7800
NO3
2
NO2
0
% Solids
0.1116
1 95.2
PAN Surface
27842 1 mg/kgmg/kg 55.684 lbs/dry ton
5301.117 Ibs total PAN
118.9658 Ibs PAN/acre
PAN Injection
317421mg/kg 63.484 lbs/dry ton
6043.677 1 lbs total PAN
135.6301 lbs PAN/acre
Dry Tons/1000 gal.
0.465372
1st year PAN
Surface lbs.
5301.1168
1st year PAN
Injected lbs.
6043.6768
lbs./acre
Surface
118.9658169
lbs./acre
Injected
135.6300898
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
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L M M /L
344.84 1 1216.44 1 386.13
Na ME
14.99304
Ca ME
M ME
1 60.822
1 32.1775
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 2.198692 (From Mg/L entered above)
SAR = 2.189881 (From ME entered below)
Na (ME)
Ca ME
Ma (ME)
14.933
1 60.822
32.178
The amour
amount of E
Permitting I

Page: 1 of 2
Report Number: 13-011-0204
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
�rL A&L Eastern Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 (804) 743-901 Fax [phone]
wwvuleastem.com
Project: BAXTER
NC CERT#257
REPORT OF ANALYSIS Date Sampled: 1/9/2013 13:15:00
Lab Number: 91278 Date Received: 01/11/2013 00:00
Sample Id. BAXTER Date Reported: 01/17/2013
Total Solids
11.16
111600
100.0
KM
U1/ 1-1/zu 1J 1.+.-"
OIV1-4JYVV
Moisture"
88.84
100.0
KM
01/11/201314:44
SM-254OG
Total Kjeldahl Nitrogen
8.76
87600
10.0
JM
01/14/2013 08:05
SM-4500-NH3C-TKN
Total Phosphorus
1.55
15500
100
KM
01/14/2013 12:21
SW 6010C
Total Potassium
0.47
4730
100
KM
01/14/2013 12:21
SW 6010C
Total Sulfur
1.15
11500
100
KM
01/14/2013 12:21
SW 6010C
Total Calcium
1.09
10900
100
KM
01/14/2013 12:21
SW 6010C
/
Total Magnesium d
0.35
3460
100
KM
01/14/2013 12:21
SW 6010C
Total Sodium
0.31
3090
100
KM
01/14/2013 12:21
SW 6010C
Total Iron
6660
100
KM
01/14/2013 12:21
SW 6010C
Total Aluminum
1500
100
KM
01/14/2013 12:21
SW 6010C
Total Manganese
125
5
KM
01/14/2013 12:21
SW 6010C
Total Copper
203
5
KM
01/14/2013 12:21
SW 6010C
Total Zinc
446
5
KM
01/14/2013 12:21
SW 6010C
Ammonia Nitrogen
0.78
7800
10.0
JM
01/14/2013 08:05
SM-4500-NI3C
Organic N — - —
7.98
79800
10.0
01/14/2013 08:05
CALCULATION
Nitrate+Nitrite-N
<2.00
2.00
JM
01/14/201311:25
SM-450ONO3F
Total Cadmium
4.0
2.0
KM
01/14/2013 12:21
SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part. nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Debbie Holt

Page: 2 of 2
Report Number: 13-011-0204
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 91278
Sample Id : BAXTER
�x A&L Eastern Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 (804) 743-W1 Fax [phone]
www.aleastern.com
Project: BAXTER
NC CERT#257
REPORT OF ANALYSIS Date Sampled: 1/9/2013 13:15:00
Date Received: 01/11/2013 00:00
Date Reported: 01/17/2013
Total Chromium
112
5
KM
01/14/2013 12:21
SW 6010C
Total Nickel
42
5
KM
01/14/2013 12:21
SW 6010C
Total Lead
15
5
KM
01/14/2013 12:21
SW 6010C
Total Arsenic
9.0
3.0
KM
01/14/2013 12:21
SW 6010C
Total Mercury
<0.4
0.4
KM
01/14/2013 09:00
SW-7471B
Total Selenium
<5.0
5.0
KM
01/14/2013 12:21
SW 6010C
pH (Standard Units) *
7.70
2.00
JM
01/14/2013 08:05
SW-9045D
Total Molybdenum
7
5
KM
01/14/2013 12:21
SW 6010C
Comments:
QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "P". ALL OTHER QC DATA IS ACCEPTABLE.
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part. nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Debbie Holt

Section 5 Sample
Locations

Location of Samples
The Plant process diagram on the flowing page shows the location of where the following
samples were taken.
The Analysis from A&L Eastern Laboratories, Inc., report number 13-011-0204 was taken from
the Belt Filter Press, and is labeled with a red X W on the diagram.
The Fecal Coliform Samples from Statesville Analytical Sample IDs 130124-20.1, 130124-20.2,
130124-20.3, 130124-20.4, 13019-36.1, 13019-36.2, 13019-36.3 were taken from Aerobic
Digester No. 1 and is labeled with a blue X (J% on the diagram.
The Volatile Solids In Sample C2 Sample ID 130220-19 was taken from where the solids from
the clarifier are pumped to the aerobic digesters and is labeled with a green X ()0 on the
diagram.
The Volatile Solids Out Samples D2 Sample ID 130220-21 was taken from Aerobic Digester
No. 1 and is labeled with a blue X (W on the diagram.
The TCLP test Sample ID 13 019-3 5 was taken from Aerobic Digester No.I and is labeled with a
blue X (A on the diagram.

El
j
I
I
7
I
I
I
m
I
co
A
ZE
i
m
I
a
I
�
�
I
AERATION BASIN
No.2
--4TCIP- 6"CIP --
�i _j _�
AERATION BASIN
N o.1
- �VASTEV4.TER TREATMENT
PLANT 'EVAL IATION:
BAXTER HEALTHCARE CORPORATION
McDOUVELL C�t;�Y,. NORTH CAROLINA
T
! 150,000 GALLON Fl� ER
CLARIFIER CLARIFIER N FILTER SLUDGE BASIN WASHwATER
-No.3 No.4 T
I. r { I
I 1
r
> % 6'CIP-J I C IO !
rCHLORINE
I%,e/ I CONTACT DIGESTER
I CHAMBERS No.2 I
CLARIFIER JI I I 1
No.2 III I + i .aye �\ — �IJ I UV FILTER'
I�J �• I
L-- -4"CIP-� -� ----
— PUMP
6
12"CIP- ;~--
( -4"CIP-- I
I
r ( �t
-1�-4 I- ----------
I 1
III
UILDING
AEROBIC
III
DIGESTER =
j CLARIFIER `—'
SLUDGE
-- —M
N o.1
III DRYING BEDS
�
II O O
EINGI_N`EERING•PI V-I:NG®FINANCE rr ;
-_ASHEV'IL(828) 252-0575' `y -
v _ _.,_ -i
12"CIP TO'
HOLDING
BASIN
,�

Section 6 Realistic
Yield Expectations for
North Carolina Soils

Nutrient,Management in North Carolina http://nutrients.soil.ncsu.edu/yields/index.php#county
Realistic Yield Expectations for North Carolina Soils
The North Carolina Realistic Yield Database is the product of an extensive data gathering and review process conducted by NC State
University, the Natural Resource Conservation Service, the North Carolina Department of Agriculture and ConsurmerServices, and
the North Carolina Division of Soil and Water Conservation. In 1999, county -based representatives of each of the above -named
organizations were asked to collect yield data and make a reasoned judgement of the yields for various crops on each of the soils
occurring in their county. These data were collected from 87 responses, representing 93 counties. The data were then compared
with available research data and intensively reviewed by a panel of field agronomists, soil scientists and researchers familiar with the
soils, crops and climatic conditions in each region. In reviewing the data, the following assumptions were made:
1. Realistic Yield Expectations should be based on the average of the best 3 years in a 5 year period which could be achieved with
a high level of management (top 20% of growers)
2. For soils that may be mapped in multiple regions or in slightly different landscapes (for example, flood plains or stream
terraces), the Realistic Yields are based on the most common prevailing conditions for that soil rather than the most ideal site
for agricultural production.
3. For soils that are Somewhat Poorly, Poorly, or Very Poorly Drained, effective artificial drainage MUST be in place to achieve the
yields shown in the RYE tables.
4. For tobacco production in the Piedmont physiographic, irrigation was assumed to be available, whereas no irrigation was
assumed in the Coastal Plain physiographic region. This is in accordance with numerous surveys which show less than
15%-20% of tobacco in the Coastal Plain is irrigated, while 70 to 80% of tobacco in the Piedmont receives some irrigation
Citation: North Carolina Nutrient Management Workgroup. 2003. Realistic yields and nitrogen application factors for North Carolina
crops. http://nutrients.soil.ncsu.edu/yields/ North Carolina State University, North Carolina Department of Agriculture and Consumer
Services, North Carolina Department of Environment and Natural Resources, Natural Resources Conservation Service. Raleigh NC.
To access the database, select a county and at least one crop. Multiple crops may be selected by holding the Ctrl key when selecting
crops. A report will be generated showing a summary of currently available data for the county you selected.
Select Your County Wilkes
' EsD: Evard-Cowee complex, 8 to 25 percent slopes, stony
Select Your Soil EsE: Evard-Cowee complex, 25 to 60 percent slopes, stony
FaD: Fairview sandy loam, 15 to 25 percent slopes
FcB2: Fairview sandy clay loam, 2 to 8 percent slopes, moderately eroded
Use Representative Slope Typical of the Soil Mapunit
Correct for Slope
Use my slope 0
Submit Reset
1 of 2 1/20/2014 1:56 PM

Nutrient Management in North Carolina
http://nutrients.soil.ncsu.edu/yields/index.php#county
Realistic Yields for FcB2: Fairview sandy clay loam, 2 to 8 percent slopes,
moderately eroded in Wilkes County
Crop
Yield
Nitrogen
Factor
Realistic
Nitrogen
Rate (Ibs/acre)
Estimated Phosphorus
Removal
(Ibs P205/acre)
Barley (Grain)
67 Bushels
1.49
99
25
Corn (Grain)
108 Bushels
1.11
120
47
Corn (Silage)
19.6 Tons
10.9
214
67
Cotton
637 Pounds
0.081
52
18
Sorghum (Silage)
16.7 Tons
7.6
127
50
Oats (Grain)
83 Bushels
1.13
94
21
Peanuts
0 Pounds
0
0
0
Rye (Grain)
49 Bushels
2.01
98
16
Small Grain (Silage)
8.8 Tons
11.1
98
48
Sorghum (Grain)
49 CWT
1.72
84
37
Soybeans (Double Cropped)
33 Bushels
0
0
27
Soybeans (Full Season)
39 Bushels
0
0
31
Soybeans (Double Cropped - Manured)
33 Bushels
3.89
130
27
Soybeans (Full Season - Manured)
39 Bushels
3.89
152
31
Tobacco (Burley)
0 Pounds
0.074
0
0
Tobacco (Flue Cured)
2548 Pounds
0.029
74
13
Triticale (Grain)
69 Bushels
1.52
104
23
Tropical Corn (Silage) 19.6 Tons 6.5 127 67
Wheat (Grain)
49 Bushels
2.01
98
25
Bahiagrass (Hay)
3.4 Tons
44
151
39
Caucasion/Oid World Bluestem (Hay)
3.4 Tons
44
151
41
Common Bermudagrass (Hay)
3.4 Tons
44
151
42
Dallisgrass (Hay)
3.4 Tons
44
151
45
Fescue (Hay)
4.4 Tons
44
194
69
Hybrid Bermudagrass (Hay)
4.4 Tons
44
194
54
Hybrid Bermudagrass overseeded with Rescuegrass
(Hay)
0 Tons
44
0
0
Mixed Cool Season Grass (Hay)
3.2 Tons
44
140
45
Orchardgrass(Hay)
3.4 Tons
44
151
50
Pearl Millet (Hay)
3.7 Tons
49
180
49
Rescuegrass (Hay)
0 Tons
44
0
0
Sorghum Sudan (Hay)
4.2 Tons
49
204
58
Timothy Grass (Hay)
0 Tons
44
0
0
Additional Guidance for speciality crops can be found at: http://nutrients.soil.ncsu.edu/guidance/
2 of 2 1/20/2014 1:56 PM

Section 7 Analytical
Results
Sample 1—
January 9, 2013

Section 9 Volatile
Solids
%Volatile Solids
Analytical Results
%Volatile Solids
Calculations

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 2/20/2013
Reported: 2/28/2013
For: Baxter
Sample ID Parameter Cust ID Result
Date
Units Method Analyzed Analyst
130220-19 %Solids C2 .13
% SM2540B-1997 2/22/13 MD
130220-19 % Volatile Solids C2 0.93
% SM2540G 2/25/13 MD
Respectfully submitted,
` r)
' "n- jk -, ��
Dena Myers d
NC Cert #440,
NCDW Cert #37755,
EPA NCOO9O9
P.O. Box 228 9 Statesville, North Carolina 28687. 704/872/4697

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 2/20/2013
Reported: 2/28/2013
For: Baxter
6 CI:L
Date
Sample ID Parameter Cust ID Result Units Method Analyzed Analyst
130220-21 % Solids D2 0.66 % SM2540B-1997 2/22/13 MD
130220-21 % Volatile Solids D2 0.49 % SM2540G 2/25/13 MD
Respectfully submitttedd,,,
a&"a
-k")
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NC00909
P.O. Box 228 9 Statesville, North Carolina 28687. 704/872/4697

VS in 0.0093
VS out 0.0049
VSFR= 0.475448
VSFR=(in-out)/(in-(in" out))

Section 11 FORM PVRF
02T
Annual Pathogen and
Vector Attraction
Reduction Form

ANNUAL PATHOGEN AND VECTOR ATTRACTION. REDUCTION FORM (02T Rules)
Facility Name: Baxter Healthcare Corporation
WWTP Name: Baxter Healthcare Corporation
Monitoring Period: From 1/1/2013 To
WQ Permit Number:
NPDES Number:
12/31 /2013
WQ0031725
NC0006564
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative ne.rfnrmpd-
Class •A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑
Alt. C (Prior Testing) ❑
I
Alt.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 O
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
.......................
Class B:
171t. (1) Fecal Density p
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
F Air Drying ❑
Composting ❑
JAerobic Digestion ❑
Anaerobic
c Digestion
n
If applicable to alternative performed (Class A or Class B) complete the following monitoring
data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number o
Excee-
dencesof
Frequency
9 y
Analysis
Sample
p
Type
na ica
�
Tech -
niaue
MinimA
Ge6. Mean
Maximurr
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
4893
14359.62
79646
MPN/ g
0
7
grab
sm9221 e
CFU
1000 mpn per gram
of total solid (dry
. weight)
Salmonella bacteria
(in lieu of fecal
coliform)
tT..,.'s,. ♦ a4—_ _mot _
3 MPN per 4 grams
total solid (dry
weight)
" _ -1__ Z1
T caaw r&u.AaCuq.Pu INCUUCL1011 J1JA 1rl Al. UL1 .110/i - Ylease indicate. alternative nerfnrmode
Alt.1 (VS reduction) 21
Alt. 2 (40-day bench) ❑Alt.
3 (30-day bench) ❑
Alt. 4 (Spec. Oz uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
JAIt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
!"ITT TTTT!`TT11�1 t'r
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
%.r.n I it i%.A i iVIN a 1 A 1 r.ivlr N 1 (please check the appropriate statement)
0 "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 av�are that there are
significant penalties for false certification including fine and imprisonment."
&ikrif.&D
Preparer Name and Title (type o print)
Signature of Preparer*
Dennis Key Southern Soil Builders, Inc,
Land Applier Name and Title (if applicable)(type or print)
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)

Section 10 Analytical
Results
TCLP
Corrosivity
Ignitability
Reactivity
Solids
Fecal Coll"form

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 1/9/2013
Reported: 1 /24/2013
For: Baxter
Sample ID
Parameter
Cust ID
Result Units
Method
Date Analyzed
Analyst
13019-35
Corrosivity
Baxter
See Attached
SW-846
1/23/13
PACE
13019-35
Ignitability
Baxter
See Attached
101010
1/23/13
PACE
13019-35
Reactivity
Baxter
See Attached
SW-846
1/23/13
PACE
13019-35
TCLP
Baxter
See Attached
1311
1/23/13
PACE
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCO0909
P.O. Box 228 9 Statesville, North Carolina 28687. 704/872/4697

s
aceAnalytical
www.pecelsbs.com
Project: 13019-35
Pace Project No.: 9214441i8
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: 13019.35 Lab ID: 92144468001 Collected: 01/09/13 13:12 Received: 01/10/13 14:25 Matrix: Solid
Results reported on a "dry -Weight" basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8081 GCS Pesticides, TCLP SPE Analytical Method: EPA 8081 Preparation Method: EPA 3535
Leachate Method/Date: EPA 1311; 01/16/13 12:10
gamma-BHC (Lindane)
ND ug/L 0.50 1
01/18/13 10:00
01/23/13 18:45
58-89-9
Chlordane (Technical)
ND ug/L 3.0 1
01/18/13 10:00
01/23/13 18:45
57-74-9
Endrin
ND ug/L 0.50 1
01/18/13 10:00
01/23/13 18:45
72-20-8
Heptachlor epoxide
ND ug/L 0.50 1
01/18/13 10:00
01/23/13 18:45
1024-57-3
Methoxychlor
ND ug/L 1000 1
01118/1310:00
01/23/13 18:45
72-43-5
Toxaphene
ND ug/L 3.0 1
01/18/13 10:00
01/23/13 18:45
8001-35-2
Surrogates
Decachlorobiphenyl (S)
93 % 10-138 1
01/18/13 10:00
01/23/13 18:45
2051-24-3
Tetrachloro-m-xylene (S)
67 % 10-110 1
01/18/13 10:00
01/23/13 18:45
877-09-8
8151 Chlorinate Herbicide TCLP
Analytical Method: EPA 8151 Preparation Method: EPA 3510
2,4-D
ND mg/L 0.010 1
01/17/13 08:15
01/17/13 23:45
94-75-7
2,4,5-TP (Silvex)
ND mg/L 0.010 1
01/17/13 08:15
01/17/13 23:45
93-72-1
Surrogates
2,4-DCAA (S)
78 % 70-130 1
01/17/13 08:15
01/17/13 23:45
19719-28-9
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA 3010
Leachate Method/Date: EPA 1311; 01/14/13 20:00
Arsenic
ND mg/L 0.050 1
01/15/1318:40
01/16/1315:42
7440-38-2
Barium
0.62 mg/L 0.25 1
01/15/1318:40
01/16/1315:42
7440-39-3
Cadmium
ND mg/L 0.0050 1
01/15/1318:40
01/16/1315:42
7440-43-9
Chromium
ND mg/L 0.025 1
01/15/1318:40
01/16/1315:42
7440-47-3
Lead
ND mg/L 0.025 1
01115/1318:40
01/16/1315:42
7439-92-1
Selenium
ND mg/L 0.10 1
01/15/1318:40
01/16/1315:42
7782-49-2
Silver
ND mg/L 0.025 1
01/15/1318:40
01/16/1315:42
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 01/14/13 20:00
Mercury
ND ug/L 0.20 1
01/17/1315:50
01/18/1313:54
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 01/16/13 12:10
1,4-Dichlorobenzene
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
106-46-7
2,4-Dinitrotoluene
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
121-14-2
Hexachloro-1,3-butadiene
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
87-68-3
Hexachlorobenzene
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
118-74-1
Hexachloroethane
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
67-72-1
2-Methylphenol(o-Cresol)
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
95-48-7
3&4-Methylphenol(m&p Cresol)
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
Nitrobenzene
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
98-95-3
Pentachlorophenol
ND ug/L 100 1
01/18/13 09:10
01/23/13 16:03
87-86-5
Pyridine
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
110-86-1
2,4,5-Tdchlorophenol
ND ug/L 50.0 1
01/18/13 09:10
01/23/13 16:03
95-95-4
Date: 01/24/2013 01:17 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 21

r i t
aceAnalytica!®
wmpacelbbxcom
Project: 13019-35
Pace Project No.: 92144468
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: 13019.35 Lab ID: 92144468001 Collected: 01/09/13 13:12 Received: 01/10/13 14:25 Matrix: Solid
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
2,4,6-Tdchlorophenol
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
Terphenyl-d14 (S)
Phenol-d6 (S)
2-Fluorophenol(S)
2,4,6-Tribromophenol (S)
8260 MSV TCLP
Benzene
2-Butanone (MEK)
Carbon tetrachloride
Chlorobenzene
Chloroform
1,4-Dichlorobenzene
1,2-Dichloroethane
1,1-Dichloroethene
Tetrachloroethene
Trichloroethene
Vinyl chloride
Surrogates
1,2-Dichloroethane-d4 (S)
Toluene-d8 (S)
4-Bromofluorobenzene (S)
Dibromofluoromethane (S)
Percent Moisture
Percent Moisture
1010 Flash poi nt,Closed Cup
Flashpoint
Reactive Sulfide
Sulfide, Reactive
9045 pH Soil
pH at 25 Degrees C
733C S Reactive Cyanide
Cyanide, Reactive
Leachate Method/Date: EPA 1311; 01/16/13 12:10
ND ug/L 50.0 1 01/18/13 09:10 01/23/13 16:03 88-06-2
55 %
12-102
1
01/18/13 09:10
01/23/13 16:03 4165-60-0
60 %
13-107
1
01/18/13 09:10
01/23/13 16:03
321-60-8
85 %
21-132
1
01/18/13 09:10
01/23/13 16:03
1718-51-0
30 %
10-110
1
01/18/13 09:10
01/23/13 16:03,
13127-88-3
37 %
10-110
1
01/18/13 09:10
01/23/13 16:03
367-12-4
69 %
27-108
1
01/18/13 09:10
01/23/13 16:03
118-79-6
Analytical Method: EPA 8260
ND ug/L
5.0
1
01/19/13 14:08
71-43-2
37.0 ug/L
10.0
1
01/19/13 14:08
78-93-3
ND ug/L
5.0
1
01/19/13 14:08
56-23-5
ND ug/L
5.0
1
01/19/13 14:08
108-90-7
ND ug/L
5.0
1
01/19/13 14:08
67-66-3
ND ug/L
5.0
1
01/19/13 14:08
106-46-7
ND ug/L
5.0
1
01/19/13 14:08
107-06-2
ND ug/L
5.0
1
01/19/13 14:08
75-35-4
ND ug/L
5.0
1
01/19/13 14:08
127-18-4
ND ug/L
5.0
1
01/19/13 14:08
79-01-6
ND ug/L
5.0
1
01119/1314:08
75-01-4
104 %
70-130
1
01/19/13 14:08
17060-07-0
98 %
67-135
1
01/19/13 14:08
2037-26-5
98 %
70-130
1
01/19/13 14:08
460-00-4
104 %
70-130
1
01/19/13 14:08
1868-53-7
Analytical Method: ASTM D2974-87
99.8 %
0.10
1
01/11/1313:29
Analytical Method: EPA 1010
>200 deg F
70.0
1
01/15/13 19:30
Analytical Method: SW-846 7.3.4.2
ND mg/kg
100
1
01/16/1311:00
Analytical Method: EPA 9045
6.8 Std. Units
0.10
1
I
01/17/13 13:Ob
Analytical Method: SW-846 7.3.3.2
ND mg/kg
0.025
1
01/14/1314:50
Date: 01/24/2013 01:17 PM REPORT OF LABORATORY ANALYSIS Page 5 of 21
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

Section 12 Predictive
Soil Report
NCDA&CS Predictive
Soil Report

NCDABCS Agronomic Division Phone: [phone]
Predictive
Soil Report
Website: www.ncagr.gov/agronomi/
Client: Southern Soil Builders, Inc.
958 Hoots Rd
Roaring River, NC 28669
Mehlich-3 Extraction
Sampled County :Wilkes
Sampled: Received: 10/11/2013 completed: 10/21/2013 Farm:
Nutrients
Sample ID: DP1A Recommendations: Lime
t/ I
Crop (tons/acre) N P2O6 K2O Mg S
Lime History: 1- Fescue/OGrass/Tim, 1 0.0 120-200 0 0 0 0
2-
Report No. FY14-SL010307
Advisor:
Links -to Helpful Information
Mn Zn Cu B I Information
0 0 0 0 Note: 12
Test Results [units - WN in g/cd; CEC and Na in meq/100 cd; NO3-N in mgldm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu
0.71 1.00 15.1 92 1.3 6.4 262 289 57 25 38 97 70 495 495 900
Sample ID: DP1 B / Recommendations: Lime Nutrients (lb/acre)
V Crop (tons/acre) N P2O6 K2O Mg S Mn Zn
F /OG s/Tim 1 00 120-200 0 70 0 0 0 0
Lime History:
1 - escras
ue
2-
Test Results [units - WN in g/cd; CEC and Na in meq/100 crr?; NO3-N in mglda]:
HM% WN
CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1
0.60 1.07
12.5 88 1.5 6.2 214 34 68 19
39
Sample ID: DP1C
Recommendations: Lime
Crop (tons/acre) N P2O6
K
Lime History:
1 - Fescue/OGrassrrim, 1 0.0 120-200 0
2-
Test Results [units - WN in g/crr?; CEC and Na in meq/100 cd; NO3-N in mg/drrr ]:
HM% WN
CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1
0.66 1.03
11.8 86 1.6 6.0 216 49 64 20
33
North Carolina
1111"AW TRIM rulxl C *muu,uon
Na
0.1
Cu B
0 0
Soil Class: Mineral
Mn-I Mn-Ali Mn-AI2 Zn-I Zn-AI Cu-I Na
85 65 451 451 1291 0.1
Nutrients (lb/acre)
t0 Mg S Mn Zn Cu B
0 0 0 0 0 0 0
ESP SS-1 NO3-N
1
More
Information
Note: 12
ESP SS-1 NO3-N
1
More
Information
Note: 12
Soil Class: Mineral
Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
84 67 414 414 1253 0.1 1
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

NCDABCS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomU
Report No.
FY14-SLO10307
Page 2 of 4
Sample ID: DP2 ✓
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Fescue/OGrassfTim, 1 0.0
120-200 0
0
0
0
0
0
0 0
Note: 12
2 -
$pH
Test Results [units - WN in
g/cd; CEC and Na in meq/100 cd; NO3-N in mg/dd];
Soil Class:
Mineral
—
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.32 1.05 9.9
84 1.6 6.1 166 103
55 24 36
74
60
987
987
668 0.1
1
Sample ID: DP3 ✓
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Fescue/OGrass/Tim, 1 1.6
120-200 0
20
0
0
0
0
0 0
Note: 12
2 -
$pH
Test Results [units - WN in
g/cd; CEC and Na in meq/100 cd; NO3-N in mg/drr?]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-1
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.27 1.03 7.6
67 2.5 5.0 105 63
43 20 102
111
84
482
482
183 0.1
1
Sample ID: DP4 /
Recommendations: Lime
Nutrients (lb/acre)
More
V
Crop (tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Fescue/OGrasslTim, 1 0.5
120-200 10
0
0
0
0
0
0 0
Note: 12
2 -
$pH
Test Results [units - WN in
g/crrf; CEC and Na in meq/100 cd; NO3-N in mg/dd]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-I K-1
Ca% Mg% S-1
Mn-I
Mn-All
Mn AI2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.71 1.00 11.0
84 1.8 5.8 60 96
54 26 43
79
64
576
576
542 0.1
1
Sample ID: DP5 /
Recommendations: Lime
INutrients (lb/acre)
More
V
Crop (tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, 1 0.6
120-200 30
0
0
0
0
0
0 0
Note: 12
2 -
$pH
Test Results [units - WN in
g/cd; CEC and Na in meq/100 crrp; NO3-N in mg/dd]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-1
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.66 0.93 10.9
85 1.7 5.7 47 124
53 26 40
65
56
795
795
539 0.1
1

NCDABCS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No.
FY14-SL010307
Page 3 of 4
Sample ID: DP6
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 - Fescue/OGrass/Tim, 1 0.0
120-200 0
110
0
20
0
0
0 0
Note: 12
2 -
$pH
Test Results [units - WN in
g/crrP; CEC and Na in meq/100 cO; NO3-N in mg/dO]:
Soil Class:
Mineral
—
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-AI1
Mn AI2
Zn-1
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.66 1.05 8.1
84 1.3 5.9 64 15
62 21 22
46
45
470
470
847 0.1
1
Sample ID: DP7
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Fescue/OGrasslrim, 1 0.7
120-200 0
40
0
0
0
0
0 0
Note: 12
2 -
$pH
Test Results [units - WN in
g/cO; CEC and Na in meq/100 co; NO3-N in mg/drrP]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K4
Ca% Mg% S-1
Mn-I
Mn-All
MnAl2
Zn-1
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.66 0.98 8.3
79 1.7 5.6 156 54
58 17 27
59
52
433
433
764 0.1
1
Sample ID: DP10
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O6
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Fescue/OGrassfrim, 1 0.0
120-200 0
0
0
0
0
0
0 0
Note: 12
2 -
$pH
Test Results [units - WN in
g/cO; CEC and Na in meq/100 cO; NO3-N in mg/drrf]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K4
Ca% Mg% S-1
Mn-I
Mn-All
MnAl2
Zn-I
Zn-AI
Cu-I Na ESP SS4 NO3-N
0.61 1.00 11.1
87 1.4 6.0 204 130
57 24 44
96
74
768
768
830 0.1
1

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomU _ - _
Report No. FY14SL010307
Page 4 of 4
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a time recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at
Ca%
% CEC occupied by calcium
one time, even if the report recommends more. You can apply the rest in similar increments every six months until the
CEC
cation exchange. capacity
full rate is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or otherlarge areas are listed separately for each nutrient to be added (in units of
K-1
potassium index
lb/acre unless otherwise specified). Recommendations for N (arid sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is are
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-1
manganese index
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-
min anese nsoil class
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomitpubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot
pH
current soil pH
find the exact fertilizer grade recommended on the report, visit www.ncagr.gov/agronomi/obpart4.htm#fs to find
P-1
phosphorus index
information that may help you choose a comparable alternate. For more information, readA Homeowner's Guide to Fertilizer
P205
phosphate
S4
sulfur index
Test Results
SS-1
soluble salt index
WM
weight per volume
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-1, K-1, Ca%, Mg%, Mn-I, Mn-Ali, Mn-Al2, Zn-I, Zn-AI, Cu-I, S-1, SS -I, Na, ESP, SS-1, NO3-N (not
Zn4
zinc index
routinely available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaqr.-qovlaqronomiluyrst.htm
for more information.--.

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 1/24/2013
Reported: 1 /29/2013
For: Baxter
Sample ID
Parameter Cust ID
Result
Units
Method
Date Analyzed
Analyst
130124-20.1
% Solids B-1
1.17
%
SM2540B
1/25/13
CL
130124-20.1
Fecal Coliform MTF B-1
25,641
MPN/g
SM92210E
1/25/13
CL
130124-20.2
% Solids B-2
1.10
%
SM2540B
1/25/13
CL
130124-20.2
Fecal Coliform MTF B-2
8,182
MPN/g
SM92210E
1/25/13
CL
130124-20.3
% Solids B-3
1.13
%
SM2540B
1/25/13
CL
130124-20.3
Fecal Coliform MTF B-3
79,646
MPN/g
SM92210E
1/25/13
CL
130124-20.4
% Solids B4
1.21
%
SM2540B
1/25/13
CL
130124-20.4
Fecal Coliform MTF B4
28,926
MPN/g
SM92210E
1/25/13
CL
Respectfully submitted,
&UNA..
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
958 Hoots Road
Roaring River NC 28669
Entered 1/9/2013
Reported: 1/11/2013
For: Baxter
Sample ID
Parameter Cust ID
Result
Units Method
Date Analyzed
Analyst
13019-36.1
% Solids 1
2.09
% SM2540B
1/9/13
CL
13019-36.1
Fecal Coliform WW 1
7656
CFU/100mL SM9222D
1/9/13
CL
13019-36.2
% Solids 2
3.27
% SM2540B
1/9/13
CL
13019-36.2
Fecal Coliform WW 2
4893
CFU/100mL SM9222D
1/9/13
CL
13019-36.3
% Solids 3
2.18
% SM2540B
1/9/13
CL
13019-36.3
Fecal Coliform WW 3
7339
CFU/100mL SM9222D
1/9/13
CL
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NC00909
P.O. Box 228 9 Statesville, North Carolina 28687. 704/872/4697