WQ0031725_Annual Report_20150223

Annual Report Review SOP Class B Land Application
Reporting Period: l �P A01 L /Z/31 lao/y
Permit Details: 13OX- e- La.�d DPP_ to Q 00 3 l 7,2
Is 503? . P--S
Class A or B?
Maximum Dry Tons Per, Year: 200
• Number of acres permitted: l Ito •&),2
Number of fields in permit: I L-[
Counties that land is permitted for: ` lkgf
Monitoring Frequency for TCLP: llh
Monitoring Frequency for Residuals Analysis: e ay4 ©'' P T
Monitoring Frequency for Pathogen & Vector Attraction -Reduction: z,"a-8 - d -' .D T.
Groundwater monitoring: N/A:.
1. Annual Land Application Certification Form
• Was a certification form submitted? y-P 5
Was land application conducted during the reported year? V -e:.S
How many dry tons and dry tons per acre were applied? td to S
Were the applications within the permitted amount? Y. —&X
Verify PAN if more than 10 tons/acre?:
• -Did it indicate compliance? �(
Was it signed by the appropriate people? ye-f
2. Monitoring f
Were the analyses conducted at the required frequency? y 41r,
Was an analyses taken for each source that was land applied? y e-5
Were the metals analyses reported on the Residual Sampling Summary Form? YES
Were the results'reported in mg/kg? y
Were the pH's 6.0 or greater for each residual sample?,/el}'
Were the heavy metals within ceiling concentration permit limits? y.,QS
Were the lab analyses attached?
Were all the required parameters tested? y e F
Was TCLP analysis conducted? Xj
Were the TLCP contaminants wn regulatory limits? yes
Was a corrosivity, ignitability, and reactivity analysis conducted? y C5
3. Field Summary
_Were_the._landapplication events_recorded;on_theF-ieldSummarXForms?it?=.X.--=.-.------ -.------•---,----
How many fields were applied on. this year?
Was a Field Summary Form submitted for each field?e.5 .
Were all the residuals applied to permitted land?, �'
Were all the residuals applied from permitted sources? y-'-5
Were the field loading. rates for each metal and PAN calculated (year to date)? y�
Were the cumulative pollutant loading rates calculated? Yle S,
Were the calculations correct? 5
Were the PAN loading rates within permit limits? y�r
Were the heavy metal cumulative pollutant loading rates within permit limits? ',f S ^
Were the residuals applied on a suitable crop? BAN I 61hIA
p P 2 - cor, oc-_
L
0 �_
`C^ C_ U � .

(" LOi 0' V 1
4n
3
Were the applications conducted during the crop's growing season? DP. 2
Were the Field Summary Forms complete?�-5
Was lime application on Field Summary Form? No lime applied.
OP 2- PP3 (cow., 4_1M5s' bPf C)PC2 DP7
4. Pathogen and Vector Attraction Reduction
Was a signed copy of the Patho e and Vector Attractio Reduction Form submitted? x� s Pre�� `
Did the form indicate the perio of�verage; the resi ual class, and the pathogen reduction SN
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
Alternative 1 -Fecal Coliform Density
Was the sampling conducted at the required frequency? Y'r
Were seven samples taken? y ,11f
Was the geometric mean calculated and done correctly? S
Did the results show compliance (less than either 2,000 00 MPN/gram of total solids or
2,000,000 Colony Forming Units/gram of total solids)? y 2 T
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. andtemperature?
Were temperatures within range for,completetime period?
Was the time and temperature between 40 days at 20°C (68T) and 60 days at 15°C
(59°F)?
2. Air Drying
• Were the residuals on sand beds or pave or unpaved basins -for three months?
Was the ambient temperature above 0°C (32T) for two months?
Were the residuals partially digested?
Were residuals exposed to atmosphere during two months above 0°C (not snow
covered)?
3, Anaerobic Digestion
• Was it an anaerobic process (Inspection)?
• Were logs submitted .showing time and temperature? - - -Were temperatures within range for complete time period?
Was the time and temperature between 15 days.at 35°C (95T) to 55°C (131T) and 60
days at 20°C (68°F)?
4. Composting (usually will be; Class'A when composting is used)
Was it a composting procedure (riot natural decay under. uncontrolled conditions)?
Were logs submitted showing time and temperature?
Was the temperature raised to 40
5. Lime Stabilization

• Was alkaline material -added to residuals a form of lime (hydrated lime, quicklime, lime
containing kiln dust or fly ash)?
Were logs submitted showing time and temperature?
Was the pH raised to 12 after two hours of contact?
Were logs submitted showing time and pH?
Was temperature corrected to 25°C (77°F)?
Alternative 3 Use of Processes Equivalent to RSRP
(Not commonly use. See White House Manual page 100-103, tables 11-1 and 11-2.)
Vector Attraction Reduction Review
• Was the sampling conducted at the required, frequency?
Option 1 — 38% Volatile Solids Reduction
Was there 38%o reduction? Ye s
Were lab sheets/calculations in report?� s
Was the reduction on volatile solids (not total solids)?,I-
Were the samples taken at beginning of digestion process and before application
(Inspection)? YES
• Were calculations correct? j'
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 iri 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 (68°F)?
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 300C (86°F)?
Was the temperature corrected to 20°C (680F)?
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 thez 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 (771F)?
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?
Soil Tests
Was a Standard Soil Fertility Analysis conducted for each application field? Y_5
Were the'soil pH's 6.0 or greater for each application field? 1Jo DP2-, 3C, 3CV,'410 6, 7 = a L( 46
If no, was lime applied to those fields? jleS
Were the copper and zinc indexes in the soil les§than 2000 for each application.field? y.. S
Was sodium less than 0.5 meq/100 cm^3? �-e'S -
Was the exchangeable sodium percentage (ESP) less than 15%? 1,65
6.General
• Was the report in the proper format? Y14e.,5
• Was the annual report complete?Yl"
Was the report submitted on time?�

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Baxter
Healthcare
Baxter Healthcare Corporation
2014 Annual Report
Land Application Program
NC Permit No. WQ0031725
EOF- it E®
FEB 21 '2015
DWR SECTION
INFORMATION PROCESSING UNIT
RECENED
Division of Water Resources
MAR - 9 2015
Water Quality Regional Operations
Asheville Regional Office

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0031725
County:
McDowell
Year: 2014
Baxter Healthcare
Facility Name (as shown on permit):
Land Application Operator: Southern Soil Builders, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
21"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.
Part A - Residuals Application Summary.
Total number of application fields in thepermit:
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:
108.5
Total number of acres utilizes for land application during the year:
43.81
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2014 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. U1110yes El No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
I ) 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 . I I I I 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 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."
Permittee Name and Title (type or print)
a-y�) Z i 15
'k!knature of Permittee Date
0-.7-IT
Signature of Preparer*
Date
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 .l 102 (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
Facility Name: Baxter Healthcare
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Annlvcic data
WQ0031725
Baxter Healthcare
Laboratory:
1)
2)
3)
4)
5)
A&L Eastern Labs.
Parameter
(mg&g)
Cone.
Limit
m a
Sample or Composite Date
1-22-14
Percent Solids (%)
NA
9.75✓
Arsenic
75
8 ✓
Cadmium
85
2
Copper
4,300
118 L
Chromium
NA
74 v
Lead
840
12
Mercury
57
0.6
Molybdenum
75
5
Nickel
420
25
Selenium
100
5 s/
Zinc
7,500
305
Total Phosphorus
NA
14800
TKN
NA
111000
Ammonia -Nitrogen
NA
7900
Nitrate and Nitrite
NA
18.5
- -1 - -- --- - Wb �� ��•.�..�..,u ..... .."«u iu ulib tv1u1 a1G nun appucame. xeierence ttie mdlvldual 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."
(1 n 1-
of Preparer
z /1 7 // 5-
Date
L
*Preparer is defined in 40 CFR Part-503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)

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:
Permit #:
Operator:
Acres Used:
Baxter Healthcare
WQ0031725
Total Dry Tons Applied (Annual):
Cation Exchange Capacity (non 503 only):
9.93
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
5.02 Acres Permitted: 5.02 Site #: DP2 Field #: DP2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg. % Solids nse Raw PerePnt M-
...a
Com-
posite
Date,
©
I
d
Total
Phos-�MEEEEEEEEEEE
Annual heavy ivletai riela Loadings (Calculated in lbs/acre):
Total
121
L3J
4
151
6
L7
8
9
10
11
12
DT/Ac./
App.
✓
a
Event
1.98
v.y
Arsenic
0.032/
1 0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.032
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
0.467
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.467
Chromium
0.293
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.293
Lead
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
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
0.020
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.020
Nickel
0.099
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.099
Selenium
0.020
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.020
Zinc
1.207
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
1.207
Total
Phos-
58.578
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
58.578
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".
/;�I_ A�-
Si ature of La Applier
' -)-I S
Date
nr:klo ar1DKA hACI CC !4nl0nn0\

it, 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): 16.05
Permit #:
Operator:
Acres Used:
WQ0031725
Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
5.877 Acres Permitted: 5.877 Site #: DP3-Corn Field #: DP3-Corn
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg,mg/kg, % Solids use Raw Percent #):
Com-
posite
Total
Phos-
phorusMENEEMENEENE
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
LjJ
1 21
3
4
5
6
1 7j
8
9
10
11
12
DT/Ac./
App.
5,
W
Event
2.73
n
Arsenic
0.044
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.044
Cadmium
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Copper
0.645
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.645
Chromium
0.404
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0'.404
Lead
0.066
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.066
Mercury
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
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
0.137
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
0.027
0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.027
Zinc
1.666
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.666
Total
Phos-
80.838
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
80.838
horus
"1 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 Lan pplier
a-3�►s
Date
DENR FORM MFLSF (12/2006)

X
ANNUAL MKFALS FIELD LOADING SUMMARY FORY1*1'
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): 19.25
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
6.983 Acres Permitted: 6.983 Site #: DP3-Grass Field #: DP3-Grass
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
...
.:��
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
/
App.
J
Event
2.76
Arsenic
1 0.044
0.000
0.000
1 0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.044
Cadmium
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Copper
0.651
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.651
Chromium0.408
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.408
Lead
0.066
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.066
Mercury
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
Molyb-
0.028
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.028
denum
Nickel
0.138
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.138
Selenium
0.028
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.028
Zinc
1.682
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.682
Total
Phos-
81.607
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
.81.607
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 tore of Land Applier
�-j-I S-
Date
DENR FORM MFLSF (12/2006).

b, A1V1VUAL 1V1.NTALN FIELD LVAJ_ENV NUl IMNKY 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 #:
15.65
FcB2
DP4
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
posite
Date,
r�---
o
Total
h
..
�;��
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
l
0
App.
J
y
Event
2.30
Arsenic
0.037
1 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
0.037
Cadmium
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.0'00
0.000
0.000
0.000
0.009
Copper
0.543
0.000
0.000
0.000
0.000
'0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.543
Chromium
0.341
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.341
Lead
0.055
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.055
Mercury
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
Molyb-
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
denum
Nickel
0.115
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.115
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
1.404
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.404
Total
Phos-
68.110
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
68.110
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".
Signature of LandApplier Date
V
DENR FORM MFLSF (12/2006)

4k 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): 30.31
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FCB2
11.82 Acres Permitted: 11.82 Site #: DP5 Field #: DP5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Non
Total
Phos-
phorusMENEENEENE00-
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
I 1 1
1 21
3
4
5
6
7
8
9
10
11
12
DT/Ac./
J
App.
y
Event
2.56
Arsenic
0.041 1
0.000
0.000
0.000 1
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
1 0.041
Cadmium
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.010
Copper
0.605
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.605
Chromium
0.379
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.379
Lead
0.062
1 0.000
0.000
0.000
0.000
0.000
0.000
0'.000
0.000
0.000
0.000
0.000
0.062
Mercury
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
Molyb-
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
denum
Nickel
0.128
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.128
Selenium
0.026
1 0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.026
Zinc
1.564
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.564
Total
Phos-
75.894
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
75.894
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".
�- ).- is -
Signature of La Applier
Date
DFNR FORM MFI SF (19/2008)

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
Permit #: WQ0031725
Operator: Douglas Poplin Owner:
Acres Used: 3.97 Acres Permitted:
Total pry Tons Applied (Annual): 9.80
Cation Exchange Capacity (non 503 only):
Douglas Poplin Predominant Soil Series: FcB2
3.97 Site #: DP6 Field #: DP6
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg,mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
•
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
1819
10
11
112
DT/Ac./
o
App.
y
Event
2.47
Arsenic
0.040
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.040
Cadmium
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
Copper
0.583
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.583
Chromium
0.365
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.365
Lead
0.059
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.059
Mercury
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
Molyb-
0.025
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.025
denum denum
Nickel
0.123
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.123
Selenium
0.025
0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0:000
0.000
0.000
0.025
Zinc
1.506
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.506
Total
Phos-
73.082
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
73.082
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".
Siature of Lan Applier
?-')-I 5,
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:
Permit #:
Operator:
Acres Used:
Baxter Healthcare
WQ0031725
Douglas Poplin Owner:
3.34 Acres Permitted:
Total Dry Tons Applied (Annual): 7.67
Cation Exchange Capacity (non 503 only):
Douglas Poplin Predominant Soil Series: FcB2
3.34 Site #: DP7 Field #: DP7
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
. • • •
Com-
posite
�.
a
,
d
11
100
WIN 11
Total
•
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
2
L 3
4
_ 5
61
1 7j
L 8
9
10
11
12
DT/Ac./
o
App.
Event
2.30
Arsenic
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
Cadmium
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Copper
0.542
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.542
Chromium
0.340
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.340
Lead
0.055
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.055
Mercury
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
Molyb-
denum
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
Nickel
0.115
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.115
Selenium
0.023
1 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
1.400V
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.400
Total
Phos-
67.932
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
67.932
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".
Signature of Land pplier
�•3-15
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 Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Corn
WQ Permit #: WQ0031725
Annual Dry Tons Applied: 9.9364
Predominant Soil Series: FcB2
Crop 1 Max. PAN:
214
Field #: DP2 Acres Utilized: 5.02
Site #: DP2 Acres Permitted: 5.02
Cation Exchange Capacity (non 503):
Crop 2 Name:
Crop 2 Max. PAN:
S.
y
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#
Fert., Animal
Waste, etc)
Soil
Cond.
W
Moist)
Precip.
Past 24
Hrs.
inches
Y
4 b
,..
o K.
�
*
o
7y
#
� �,
o'
4
� 0
w .,
r,'
� w-
o
a
TI{N
mg/kg
Z
-
o
0° 2
� w•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
g
Application
Crop 1
Crop 2
Crop 1
Crop 2
10-2014
121.01
9.75
1.979
WQ0031725
dry
0
Inc
1
0.3
111000
7900
18.5
153.790
NA
Corn
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
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:
121.01
01..
.
.._.... _.....
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
153.790
0.000
Lime A lied
Annuallbs/acre
0.032
0.07
0.102
36
0.008
0.032
0.040
34
0.467
1.626
2.093
1338
0.293
0.892
1.185
NA
0.047
0.136
0.183
267
0.002
0.003
0.005
15
0.020
0.056
0.076
NA
0.099
0.323
0.422
374
0.020
0.029
0.049
89
1.207
3.484
4.691
2498
58.578
Date
lbs/ac
Prior Years Cumulative lbs/ac
10-2014
2500
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
_ .... _ F_ _.._.
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."
of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
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
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Corn
WQ Permit #: WQ0031725 Field #: DP3-Corn
Annual Dry Tons Applied: 16.0504 Site #: DP3-Corn
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 214 Crop 2 Name:
Acres Utilized: 5.877
Acres Permitted: 5.877
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
0
Q 0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
oho
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
We '
Moist)
Precip.
Past 24
Hrs.
inches
Y
CD
a o
o
CD
�:
4
7d �
w
w
* P.
�
TKN
mgfkg
Z
ct
o
ac o
w•
mglkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
1-2014
57.67
9.75
0.806
WQ0031725
dry
0
INC
1
0.3
111000
7900
18.5
62.604
NA
Corn
2-2014
87.13
9.75
1.217
WQ0031725
dry
0
INC
1
0.3
111000
7900
18.5
94.585
NA
Com
3-2014
50.67
9.75
0.708
WQ0031725
dry
0
INC
1
0.3
111000
7900
18.5
55.005
NA
Corn
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
-0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
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:
195.47
0
AS
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
212.195
0.000
Lime A lied
Annuallbs/acre
0.044
0.011
0.645
0.404
0.066
0.003
0.027
0.137
0.027
1.666
80.838
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.187
0.071
3.673
2.443
0.305
0.007
0.124
0.692
0.43
8.186
10-2014
1000
Current Cumulative lbs/ac
0.231
0.082
4.318
2.847
0.371
0.010
0.151
0.829
0.457
9.852
Permitted C. P. L. R.****
36
34
1 1338
1 NA
1 267
1 15
1 NA
1 374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
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."
Signature of Land Applier
9- P- )j
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 LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP3-Grass
Annual Dry Tons Applied: 19.2437 Site #: DP3-Grass
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 6.983
Acres Permitted: 6.983
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
�,
° y
°
°
Q
Volume applied
Pp �
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
PP P
Acre .
(Dry Tons/Ac)
Residual Sources
(NPDES # WQ#
> >
Fert. Animal
Waste, etc)
Soil
Cond.
(DrY>
We
Moist)
Precip.
Past 24
Hrs.
inches
y
0 �
oc
o
o w
* 5
o
�,
w �,
* �'
*
°
o
9
�
w •t
° ^
* �'
* K
0
TKN
mg/kg
z >
.;
o
0° °
�•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of CropType
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
3-2014
113.84
9.75
1.339
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
93.432
NA
Fescue
4-2014
60.52
9.75
0.712
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
49.671
NA
Fescue
11-2014
60
9.75
0.706
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
49.244
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:
234.36
0
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
192.346
ro.000
Lime Applied
Annuallbs/acre
0.044
0.187
0.231
36
0.011
0.071
0.082
34
0.651
3.673
4.324
1338
0.408
2.443
2.851
NA
0.066
0.305
0.371
267
0.003
0.007
0.010
15
0.028
0.124
0.152
NA
0.138
0.692
0.830
374
0.028
0.43
0.458
89
1.684
8.186
9.870
2498
81.696j
Date
lbs/ac
Prior Years Cumulative lbs/ac
10-2014
2500
Current Cumulative lbs/ac
Permitted C. P. L.R.****
Permit AN Limit 1st/2nd Crop
194
641 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/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 LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP4
Annual Dry Tons Applied: 15.6563 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:
°
y o
Q
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(D
Wet,a
Moist
Preci .
p
Past 24
Hrs.
inches
Y
r; b
o w
c
�
C
c
;�
K'
t�.
;n �
P n
,*
w.
o
TKN
mg/kgm
Z t
Gt
o 6
°°
0 E.
g/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
4-2014
25.93
9.75
0.313
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
21.854
A
Fescue
5-2014
53.04
9.75
0.640
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
44.703A
Fescue
6-2014
29.68
9.75
0.358
W00031725
dry
0
s
0.5
0.3
111000
7900
18.5
25.015
LNA
Fescue
7-2014
82.02
9.75
0.990
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
69.128A
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
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
190.671
0 1
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
160.700
0.000
u
Lime A lied
Annuallbs/acre
0.037
0.131
0.168
36
0.009
0.046
0.055
34 1
0.543
2.392
2.935
1338
0.341
1.685
2.026
NA
0.055
0.186
0.241
267
0.003
0.005
0.008
15
0.023
0.081
' 0.104v
NA 1
0.115
0.564
0.679
374 1
0.023
0.031
0.054
89 1
1.404
5.467
6.871
2498
68.110
Date
lbs/ac
Prior Years Cumulative lbs/ac
10-2014
1000
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1 stJ2nd 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."
Signature of Land Applier
9-a-)f
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 LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP5
Annual Dry Tons Applied: 30.3190 Site #: DP5
Predominant Soil Series: Fc1132
Crop i Max. PAN: 194 Crop 2 Name:
Acres Utilized: 11.82
Acres Permitted: 11.82
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o y
N o
ce
A
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
fir',
We
Moist)
Precip.
Past 24
Hrs.
inches
o
0 b
o
n o•
C
o
%o Iv
�,
CD C'
01
���
w
CD
TKN
mg/kg
�
o
°;
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
PP
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
PP
Crop 1
Crop 2
Crop 1
Crop 2
5-2014
59.49
9.75
0.413
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
28.845
NA
Fescue
6-2014
53.33
9.75
0.370
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
25.858
NA
Fescue
8-2014
140.8
9.75
0.978
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
68.270
1 NA
Fescue
9-2014
115.62
9.75
0.803
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
56.061
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
1
1
0.000
0.000
0.000
1
1
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
369.24
o
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
179.033
0.000
Lime Applied -
Annual lbs/acre
0.041
0.108
0.149
36
0.010
0.038
0.048
34
0.605
1.93
2.535
1338
0.379
1.26
1.639
NA
0.062
0.162
0.224
267
0.003
0.004
0.007
15
0.026
0.065
0.091
NA
0.128
0.461
0.58
374
0.026
0.014
0.040
89
1.564
4.395
5.959
2498
75.894
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
,Permit PAN Lnnrt is 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."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
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
Facility Name: Baxter Healthcare
Land Owner: Douglas. Poplin
Operator: Douglas Poplin
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0031725 Field #: DP6
Annual Dry Tons Applied: 9.8025 Site #• DP6
Predominant Soil Series: FcB2
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 3.97
Acres Permitted: 3.97
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Volume applied
PP
Volume
Residual Sources
Soil
Precip.
Y
o
Z
Nitrate
Name of CropType
0 o
N �
(enter one) Solids/
%
A hed er
PP P
�p Q
DES #, W #,
Cond.
Past 24
cg
w :v
�,
w .�
w
TKN
o
and
PAN Applied
Receiving Residual
co
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
-
a.
�
w
ao o
� w.
Nitrite
lbs/acre
( )
Application
Q
Cu. Yds Gallons
(Dry Tons/Ac)
Waste etc )
We
Moist)
inches
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
11-2014
62.16
9.75
1.286
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
89.735
NA
Fescue
12-2014
57.22
9.75
1.183
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
82.604
NA
Fescue
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
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:
119.381
01
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
172.3391
0.000
_
Lime Applied
Annuallbs/acre
0.040
0.161
0.201
36
0.010
0.059
0.069
34
0.583
3.045
3.628
1338
0.365
2.142
2.507
NA 1
0.059
0.273
0.332
267
0.003
0.005
0.008
15
0.025
0.103
0.128
NA
0.123
0.491
0.614
374
0.025
0.015
0.040A48.272
89
1.506
6.766
2498
73.082
Date
lbs/ac
Prior Years Cumulative lbs/ac
10-2014
1000
Current Cumulative lbs/ac
Permitted C. P. L. R.**** 1
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
2-2-1 -
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 LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP7
Annual Dry Tons Applied: 7.6651 Site #: DP7
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 3.34
Acres Permitted: 3.34
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
�.
° Y
o
Q
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
D Tons/Ac
(Dry )
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
4 b
�
o� m
c
� �;
-
*
O
7y
i
* w
* o
TKN
mg/kg
z
ct
�o 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
5-2014
32.85
9.75
0.808
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
56.368
NA
Fescue
10-2014
60.5
9.75
1.487
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
103.813
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
93.35r
o
As
Cd _
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
160.181
0.000
Lime Applied
Annuallbs/acre
0.037
0.108
0.145
36 ;
0.009
0.038
0.047
34
0.542
1.93
2.472
1338
0.340
1.26
1.600
NA 1
0.055
0.162
0.217
267 1
0.003
0.004
0.007
15 1
0.023
0.065
0.088
NA 1
0.115
0.461
0.576
374 1
0.023
0.014
0.037
89 1
1.400
4.395
5.795
2498
67.932 _
Date
lbs/ac
Prior Years Cumulative lbs/ac
10-2014
2500
Current Cumulative lbs/ac
Permitted C. P. L. R.****
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
d-a-t
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)

"i""`ii'•"""b"""'u"'-' iI—Ll1 ""Lv U 11LLV.//11UL1 IUULJ.Jl111.ULiJU.GUulylulUJ/ U1UUA.IluPrrwu11L
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 ieIds 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 PN

i uLi1V11L 1 1U11UCV Vlll V3141111\Vl Lll �.r U1 V1111U
uu.Y.iiuuU icuw.Z)Uii.uusu.UUU/ yiciuZSi uiucx.PujJrtwuiuy
Realistic Yields for FcB2: Fairview sandy clay loam, 2 to 8 percent slopes,
moderately eroded in Wilkes County
Crop
Yield
Nitrogen
Factor
Realfistic
Nitrogen
Rate (lbs/acre)
Estimated Phosphorus
Removal
(lbs PZOs/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/Old World Bluestem (Hay)
3.4 Tons
44
151
41
Common Bermudagrass (Hay)
3.4 Tons
44
151
42
Dallisgrass (Hay)
_
3.4 Tons
44
151
45
Fescue (Hay)
4.4 Tons
_
44
194
69
Hybrid Bermudagrass (Hay)
4.4 Tons
44
194
54
Hybrid Bermudagrass overseeded with Rescuegrass
0 Tons
44
0
0
(Hay)
Mixed Cool Season Grass (Hay)
3.2 Tons
44
140
45
Orchardgrass (Hay) _ _
3.4 Tons_
44
151
50
Pearl Millet (Hay)
3.7 Tons
49
180
49
Rescuegrass (Hay)
_ 0 Tons
44
0
0
Sorghum Sudan (Hay)
4.2 Tons
49
204
58
Timothy Grass (Hay)
0 Tons
44
0
0
Additional Guidance for speciality crops can be found at: http://nutrients.sol1.n(;su.edu/ciuIdance/­
2 of 2 1 /20/2014 1: 5F PM

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 14-028-0210 was taken from
the Belt Filter Press, and is labeled with a red X * on the diagram.
The Fecal Coliform Samples from Statesville Analytical Sample IDs 14019-20.1, 14019-20.2,
14019-20.3, 140122-27.1, 140122-27.2, 140122-27.3, 140122-27.4 were taken from Aerobic
Digester No. 1 and is labeled with a blue X ( on the diagram.
The Volatile Solids In, Sample ID 140122-25.1 was taken from where the solids from the
clarifier are pumped to the aerobic digesters and is labeled with a green X V ) on the diagram.
The Volatile Solids Out, Sample ID 140122-25.2 was taken from Aerobic Digester No. 1 and is
labeled with a blue X (A on the diagram.
The TCLP test Sample ID 14019-18was taken from Aerobic Digester No.I and is labeled with a
blue X ( on the diagram.

4
co
i
v
D
In
WASTE
WATER TREATMENT'
PLANT tVAIWATION
BARTER HEALTHCARE CORPORATION
McDOWELL COUNTY, NORTH CAROLINA
T T
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CLARIFIER CLARIFIER N
N o.3 N o. 4
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AERATION BASIN fG�e 1T
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I I 4.� --12"CIP-
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150,000 GALLON
WATER
FILTER SLUDGE BASIN
WASHwATER
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.000
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12"' UNFILTERED &
• BACKWASH LINE
A S. S Q.. C I. A T E S
ENGINEERING PVOi ' - NG• FINANCE
�SHEV'ILLE �C [phone]
11.0
�. ez'=yp.=" .:.< _ . P �'L teM _ ..,.. -. �:•.. .. ;, `;: 1 i_'d"55:� .t . i". �:�-t �. T t I .i - .. � t t 4. I ,. .

Page: 1 of 2 /-
Report Number: 14-028-0210 r1L A&L EasternLaboratories, Inc.
Account Number: 46381 7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
Submitted By: ZACH KEY wwwaleastem.com
Send To: SOUTHERN SOIL BUILDERS Project: BAXTER
DENNIS KEY NC CERT#257
958 HOOTS ROAD
ROARING RIVER NC 28669
REPORT OF ANALYSIS Date Sampled: 1/22/2014 12:55`00
Lab Number: 97673 Date Received: 01/28/2014 00:00
Sample Id : BAXTER Date Reported: 02/03/2014
Total Solids *
9.75
97500
100.0
JM
01/28/2014 15:00
SM-2540G
Moisture *
90.25
100.0
JM
01/28/2014 15:00
SM-2540G
Total Kjeldahl Nitrogen
11.10
111000
10.0
JM
01/29/2014 09:29
SM-4500-NH3C-TKN
Total Phosphorus
1.48
14800
100
KM
01/29/2014 13:31
SW 6010C
Total Potassium
0.42
4160
100
KM
01/29/2014 13:31
SW 6010C
Total Sulfur
1.14
11400
100
KM
01/29/2014 13:31
SW 6010C
Total Calcium
0.93
9280
100
KM
01/29/2014 13:31
SW 6010C
Total Magnesium
0.40
4010
100
KM
01/29/2014 13:31
SW 6010C
Total Sodium
0.48
4780
100
KM
01/29/2014 13:31
SW 6010C
Total Iron
9150
100
KM
01/29/2014 13:31
SW 6010C
Total Aluminum
1300
100
KM
01/29/2014 13:31
SW 6010C
Total Manganese
119
5
KM
01/29/2014 13:31
SW 6010C
Total Copper
118
5
KM
01/29/2014 13:31
SW 6010C
Total Zinc
305
5
KM
01/29/2014 13:31
SW 6010C
Ammonia Nitrogen
0.79
7900
10.0
JM
01/29/2024 00:00
SM-4500-NH3C
Organic N
10.31
103100
10.0
01/29/2014 09:29
CALCULATION
Nitrate+Nitrite-N
18.5
2.00
JM
01/29/2014 09:30
SM-450ONO3F
Total Cadmium
2.'0
2.0
KM
01/29/2014 13:31
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.
Ourreports and letters ere.,or-the e ;dash e and conf.deraial use of our clients. and may rot be reproduced m whole orpart. ror may arry: e:erer;ce be made `�`�?
to the o"crk. the resu?ts, cr the company ir, any advertising, .news release. or other public anno:nicements without obtain;ng our prior written authonzatior.
Debbie Holt

Page: 2 of 2
Report Number: 14-028-0210
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 97673
Sample Id: BAXTER
v' A&L Eastern Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 804 743-9401 Fax [phone]
P 9 ( I ( 1
www.aleastern.coln
Project: BAXTER
NC CERT#257
REPORT OF ANALYSIS Date Sampled: 1/22/2014 12:55:00
Date Received: 01/28/2014 00:00
Date Reported: 02/03/2014
Total Chromium
74
5
KM
01/29/2014 13:31
SW 6010C
Total Nickel
25
5
KM
01/29/2014 13:31
SW 6010C
Total Lead
12
5
KM
01/29/2014 13:31
SW 6010C
Total Arsenic
8.0
3.0
KM
01/29/2014 13:31
SW 6010C
Total Mercury
0.6
0.4
KM
01/29/2014 09:00
SW-7471B
Total Selenium
<5.0
5.0
KM
01/29/2014 13:31
SW 6010C
pH (Standard Units)
7.93
2.00
JM
01/29/2014 09:29
SW-9045D
Total Molybdenum
5
5
KM
01/29/2014 13:31
SW 6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE LRB WAS OUT OF LIMITS FOR "Mn". THE MATRIX SPIKE WAS OUT OF LIMITS
FOR "Al". ALL
OTHER QC DATA IS ACCEPTABLE.
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 report is and letters are for.1he exclusive and confidential use of our clients, and may not be reproduced in v✓hole or part. nor inay any reference bemade
to the work. the results. or the company in any advertising, ne a retaase. or other public announcements Lvithou, oot?inmg our pr for written authorization.
Debbie Holt

PAN
Mineralization
as decimal
Total dry
tons/year
Acres
Applied on
43.81 —`
Rate
0.3
TKM�
111000
IIH3
7900
NO3
18.5
NO2
0
% Solids
0.0975 --'
180.67
PAN Surface
34893.51 mg/kg 69.797 lbsIchry top.
-12610.221lbs total PAN
287.83-391lbs PAIIII—acre
PAN Injection
38348.5 1 mgfkg 77.697 lbsldry tort
14037.52libs total PAN
320.41311 lbs PANlacre.
Dry Tons/1000 gal.
0.406575
1st year PAN
Surface lbs.
12610.22399
1st year PAN
Iniected lbs.
1 14037.516991
lbs./acre
Surface
287.8389407
lbs./acre
Iniected
320.4181007
MR(TKN-NH3)+ +.5(NH3)+NO3+NO2 =mg/kg
mg/kg x.002 =Ibs/dry ton
MR(TKN-NH3) + I (NH3)+NO3+NO2 =mg/kg
mg/kg x.002 =Ibs/dry ton
1000 X 8.34 X %solids X sp. gravity "=dry tons/1 000gal."
2000

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 1/9/2014
Reported: 1/16/2014
For: Baxter
Sample ID
Parameter
Cust ID
Result
Units
Method
Date
Analyzed Analyst
14019-20.1
% Solids
1
1.31
%
SM2540B-1997
1/10/14
CL
14019-20.1
Fecal Coliform MTF
1
8397
MPN/g
SM92210E-2006
1/10/14
CL
14019-20.2
% Solids
2
1.31
%
SM2540B-1997
1/10/14
CL
14019-20.2
Fecal Coliform MTF
2
129,771
MPN/g
SM92210E-2006
1/10/14
CL
14019-20.3
% Solids
3
1.34
%
SM2540B-1997
1/10/14
CL
14019-20.3
Fecal Coliform MTF
3
82,090
MPN/g
SM92210E-2006
1/10/14
CL
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCO0909
P.O. Box 228 9 Statesville, North Carolina 28687 • 704/872/4697

Client:
-
STATESVII.LEANALYTICAL
122 Court Street • P.O. Box 228
Statesville, NC 8687
Chain of
Custody Record
Address ( { v 4E{Q�
0
w
wr• .tf
ContactPerson`!Gt� ljt Phone #�" ��� FAX# j�;.c�,���/p
L
�,
PO # Requisitioned by: (rme Date)
i
Customer
Sample ID#
P
Lab ID #
Time Sampled
Grab On{
t Y)
Date Sampled
Grab Only)
i Y) -
n
6
c�
o.
0
a
Matrix
Parameters requested for analysis
1
sludge
w
ww
! t� � J
t-
f e7-1'
i
)
Err-)
r��`
L.C.'S.
t
- O �i " �
Gi V4
.(CIA
-
i
X
Relinquished by:
Received by:
Y
Relinquished by:
Received by:
Composite Sampling
Time begin
Time end
Composite Sampling
Time begin
Time end
r '1 jz '
I �
C.�i�—�-"
t-
,.,
#1:
am, pm Date / /
am, pm Date / /
#2:
am, pm Date
am, pm Date / /
Time -E ��
Time 1V
Time
Time
Lab Comments:
till, J�M�rF�
Ire 01Ae
am,®(;;Date
am m Date
p
� ,
am, pm Date
am, pm Date
M57
V'4
/ 2 / f ��
% /� �/
/ /
Sampled by:
�
Transported by: iW -L f/-
Holding times met:
Compliance work:
Non-compliance work:

Client: :1 E
ID � ri
—
STATESVILLE ANALYTICAL
122 Court Street • P.O. Box 228
Statesville, NC 28687.
[phone]
Address: ( t (�
C't
_-
O^
_ —fir
o a ,-- t T ►�/ rJ1
Contact Person: —',�\l �!
Phone # 3 _ z ft {
FAX# 3 S tl yu
Chain of
Custody Record
PO # Requisitioned by: (Time Date)
Customer
Sample ID#
Lab ID #
Time Sampled
(Grab Only)
Date Sampled
(Grab Only)
Matrix
Parameters requested for analysis
sways
y�
NN
1,105
Relinquished by: `; /�\`� f%
Received by: ° �`_�..
Relinquished by:
Received by:
Composite Sampling #1:
Time begin am, pm Date /_/
Time end am, pm Date _/ /
Composite Sampling #2:
Time begin am, pm Date
Time end am, pm Date / /
' c�
Time ��.�i`� am, Date
Time G : 7 am,(pm Date
Time am, pm Date
Time am, pm Date
Lab Comments:
LW ��
M-5)I _rn,rr S
1 /dal
Z/ < <"�
Sampled by:
Transported by: frs L
Holding times met:
Compliance work:
Non-compliance work:

Condition of Receipt
Sample ID 140122-27.1-27.4 Client Southern Soil Builders
Temp on Arrival 1
pH upon Arrival
Parameter Schedule Fecal Colifomi WW
❑
HNO3
❑
HCl
❑
NaOH
❑
112SO
0
Na2S2O
❑
Dechlorinated
❑ Chemicals in containers, client
❑ Chemicals upon receipt
FV1 Received on Ice
❑ Samples chilled upon receipt
❑d Chemicals in containers, lab
Page 1 of 1

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 1/22/2014
Reported: 1/31/2014
For: Baxter
Sample ID
Parameter'
Cust ID
Result
Units
Method
Date
Analyzed Analyst
140122-25.1
% Total Solids
In
1.23
%
SM2540B-1997
1/22/14 CL
140122-25.1
% Volatile Solids
In
1.04
%
SM2540G
1/23/14 CL
140122-25.2
% Total Solids
Out
0.57
%
SM2540B-1997
1/22/14 CL
140122-25.2
% Volatile Solids
Out
0.38
%
SM2540G
1/23/14 CL
Respectfully submitted,
``-
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCO0909
P.U, Box 228 • Statesville, North Carolina 28687 • 704/872/4697

Client:
i
0
STATESVILLE ANALYTICAL
122 Court Street • P.O. Box 228
Statesville, NC 28687
[phone]
Address: _ r a
C(; r (�;�� 35 {TC�
Contact Person: (J j) // Phone # 7
q
FAX# -; t/oChain
of
PO #
U Requisitioned by:
(Time
Date)
Custody Record
Customer
Sample ID#
Lab -ID #
Time Sampled
(Grab Only)
Date Sampled
(Grab Only)
@
E
D
Matrix
Parameters requested for analysis
Sludge
W
WW
J� v — Try
r
I l'1/� 1. �'` l / s _5. !(
e' .C,
Relinquished by:
Received by:
Relinquished by:
Received by:
Composite Sampling
Time begin
Time end ..
Composite Sampling
Time begin
Time end
A} '� ' r r
#1:
am, pm Date / /
am, pm Date / /
#2:
am, pm Date / /
am, pm Date / /
Time `t1 am, p m Date I / `/ f `( Sampled by:�/�
Time L11 am m :Date / / Transported by: rl-- ,
Time am, pm Date / Holding times met: V
Time am, pm Date / /
Compliance work:
Non-compliance work:
Lab Comments:
<^;>1 t t u'�� I 0�Teri Jc,
P o �� c� r� I, ;, �,, �� v� l.,$ $

Condition of Receipt
Sample ID 140122-25.1-25.2 Client Southern Soil Builders
Temp on Arrival
pH upon Arrival Parameter Schedule
% volatile solids
❑
HNO3
❑
HCl
❑
NaOH
❑
112SO
❑
Na2S2O
❑'
Dechlorinated
❑ Chemicals in containers, client
❑ Chemicals upon receipt
FV-1 Received on Ice
❑ Samples chilled upon receipt
❑ Chemicals in containers, lab
Page 1 of 1

VS in 0.0104
VS out 0.0038
VSFR= 0.637036
VSFR=(IN-OUT)/(IN-(IN*OUT))
,ol©q- , (Do3R
otoq — (.O(O�
o IQ
�370
,a�o3CQ

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 1/9/2014
Reported: 1/28/2014
For: Baxter TCLP
Sample ID Parameter Cust ID
Result Units Method
14019-18
Corrosivity
Baxter See Attached
SW-846
14019-18
Ignitability
Baxter See Attached
1010M
14019-18
Reactivity
Baxter See Attached
SW-846
14019-18
TCLP
Baxter See Attached
1311
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCO0909
Date
Analyzed Analyst
1/23/14
PACE
1/23/14
PACE
1/23/14
PACE
1/23/14
PACE
P.O. Box 228 • Statesville, North Carolina 28687. 7041872/4697

aceAnalytical
www.pacelabs.com
Project: 14019-18
Pace Project No.: 92186027
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: 14019-18 Lab ID: 92.186027001 Collected: 01/09/14 13:30 Received: 01/10/14 14:55 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF Prepared
8081 GCS Pesticides, TCLP
gamma-BHC (Lindane)
Chlordane (Technical)
Endrin
Heptachlor epoxide
Methoxychlor
Toxaphene
Surrogates
Decachlorobiphenyl (S)
Tetrachloro-m-xylene (S)
Analytical Method: EPA 8081 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 01/16/14 14:00
Analyzed CAS No. Qual
ND ug/L
0.50
1
01/21/14 10:40
01/23/14 14:55
58-89-9
ND ug/L
3.0
1
01/21/14 10:40
01/23/14 14:55
57-74-9
ND ug/L
0.50
1
01/21/14 10:40
01/23/14 14:55
72-20-8
ND ug/L
0.50
1
01/21/14 10:40
01/23/14 14:55
1024-57-3
ND ug/L
1000
1
01/2111410:40
01/23/14 14:55
72-43-5
ND ug/L
3.0
1
01/21/14 10:40
01/23/14 14:55
8001-35-2
68 %
10-138
1
01/21/14 10:40
01/23/14 14:55
2051-24-3
59 %
10-110
1
01/21/14 10:40
01/23/14 14:55
877-09-8
8151 Chlorinate Herbicide TCLP Analytical Method: EPA 8151 Preparation Method: EPA 3510
2,4-D
ND mg/L 0.010 1
01/16/14 08:00
01/18/14 21:00
94-75-7
2,4,5-TP (Silvex)
ND mg/L 0.010 1
01/16/14 08:00
01/18/14 21:00
93-72-1
Surrogates
2,4-DCAA (S)
94 % 70-130 1
01/16/14 08:00
01/18/14 21:00
19719-28-9
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA 3010
Leachate Method/Date: EPA 1311; 01/13/14 10:49
Arsenic
ND mg/L 0.050 1
01/14/14 11:10
01/14/14 23:13
7440-38-2
Barium
0.74 mg/L 0.25 1
01/14/14 11:10
01/14/14 23:13
7440-39-3
Cadmium
ND mg/L 0.0050 1
01/14/14 11:10
01/14/14 23:13
7440-43-9
Chromium
ND mg/L 0.025 1
01/14/14 11:10
01/14/14 23:13
7440-47-3
Lead
ND mg/L 0.025 1
01/14/14 11:10
01/14/14 23:13
7439-92-1
Selenium
ND mg/L 0.10 1
01/14/14 11:10
01/14/14 23:13
7782-49-2
Silver
ND mg/L 0.025 1
01/14/14 11:10
01/1411423:13
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 01/13/14 10:49
Mercury
ND ug/L 0.20 1
01/14/14 11:45
01/15/1416:02
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 01/16/14 14:00
1,4-Dichlorobenzene
ND ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
106-46-7
2,4-Dinitrotoluene
ND ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
121-14-2
Hexachloro-1,3-butadiene
ND ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
87-68-3
Hexachlorobenzene
ND ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
118-74-1
Hexachloroethane
ND ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
67-72-1
2-Methyl phenol (o-Cresol)
ND ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
95-48-7
3&4-Methyl phenol(m&p Cresol)
313 ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
Nitrobenzene
ND ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
98-95-3
Pentachlorophenol
ND ug/L 100 1 01/21/14 09:40
01/22/14 16:04
87-86-5
Pyridine
ND ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
110-86-1
2,4,5-Trichlorophenol
ND ug/L 50.0 1 01/21/14 09:40
01/22/14 16:04
95-95-4
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 01 /28/2014 11:40 AM
without the written consent of Pace Analytical Services, Inc..
Page 4 of 21

aCMnalytical
www.pacelabs.com
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2226 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 KinceVAve. Suite 100
Huntersville, NC 28078
[phone]
Project: 14019-18
Pace Project No.: 92186027
Sample: 14019-18 Lab ID: 92186027001 Collected: 01/09/14 13:30 Received: 01/10/14 14:55 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
Leachate Method/Date: EPA 1311; 01/16/14 14:00
2,4,6-Trichlorophenol
ND Ug/L
50.0
1
01/21/14 09:40
01/22/14 16:04
88-06-2
Surrogates
Nitrobenzene-d5 (S)
56 %
12-102
1
01/21/14 09:40
01/22/14 16:04
4165-60-0
2-Fluorobiphenyl (S)
56 %
13-107
1
01/21/14 09:40
01/22/14 16:04
321-60-8
Terphenyl-d14 (S)
69 %
21-132
1
01/21/14 09:40
01/22/14 16:04
1718-51-0
Phenol-d6 (S)
35 %
10-110
1
01/21/14 09:40
01/22/14 16:04
13127-88-3
2-Fluorophenol (S)
41 %
10-110
1
01/21/14 09:40
01/22/14 16:04
367-12-4
2,4,6-Tribromophenol (S)
77 %
27-108
1
01/21/14 09:40
01/22/14 16:04
118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260
Benzene
ND ug/L
5.0
1
01/15/14 13:08
71-43-2
2-Butanone (MEK)
52.5 ug/L
10.0
1
01/15/14 13:08
78-93-3
Carbon tetrachloride
ND t.ig/L
5.0
1
01/15/14 13:08
56-23-5
Chlorobenzene
ND ug/L
5.0
1
01115/1413:08
108-90-7
Chloroform
ND ug/L
5.0
1
01/15/14 13:08
67-66-3
1,4-Dichlorobenzene
ND ug/L
5.0
1
01/15/14 13:08
106-46-7
1,2-Dichloroethane
ND ug/L
5.0
1
01/1511413:08
107-06-2
1,1-Dichloroethene
ND ug/L
5.0
1
01/15/14 13:08
75-35-4
Tetrachloroethene
ND ug/L
5.0
1
01/15/14 13:08
127-18-4
Trichloroethene
ND ug/L
5.0
1
01/15/14 13:08
79-01-6
Vinyl chloride
ND ug/L
5.0
1
01/15/14 13:08
75-01-4
Surrogates
1,2-Dichloroethane-d4 (S)
109 %
70-130
1
01/15/14 13:08
17060-07-0
Toluene-d8 (S)
98 %
67-135
1
01/15/14 13:08
2037-26-5
4-Bromofluorobenzene (S)
98 %
70-130
1
01/15/14 13:08
460-00-4
1010 Flash point,Closed Cup
Analytical Method: EPA 1010
Flashpoint
>200 deg F
70.0
1
01/13/14 00:00
734S Reactive Sulfide
Analytical Method: SW-846 7.3.4.2
Modified
Sulfide, Reactive
ND rrig/L
10.0
1
01/15/14 14:00
9045 pH Soil
Analytical Method: EPA 9045
pH at 25 Degrees C
6.9 Std. Units
0.10
1
01/21/14 15:45
733C Reactive Cyanide
Analytical Method: SW-846 7,3.3.2
Modified
Cyanide, Reactive
ND mg/L
0.0050
1
01/15/14 12:45
Date: 01/28/2014 11:40 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 21

Client: Gr
;u�.
a. ,� '��� �t'�i'j �+'�C.'
�a�
_._._.
IM
�—
STATESVILLE ANALYTICAL
122 Court Street • 1'.O. Box 229
Statesville, NC 28687
[phone]
Chain of
Custody Record
Address
[� f1 s5 ue•C
Contact Person: = Phone # �' S - -� FAX" •Z�•���� is
PO # / Requisitioned by: (Time Date)
Customer
Sample ID#
Lab -ID #
Time Sampled
(Grab Only)
Date Sampled
(Grab Only)
a
a
E
0
Matrix
Parameters requested for analysis
si�a9a
w
ww
�j
C�j
TfLP
\ '
V
Relinquished by: I Time �`
Received by: ,lj� '�—�, Time ;
Relii squished by. Time
Received by: Time
Composite Sampling #1:
Time begin am, pm Date / /
Time end am, pm Date / / Lab Comments: .,
.-Composite Sampling #2: ` ?
Time begin am, pm Date
Time end am, pm Date / _/
am, m ate
am, &ate
am, pm Date
am, pm Date
e,� �p f{
/ `4 � `� Sampled by: It"A
l l l Transported b:: �. t
p ��
Holding times met:
/ /
Compliance work:
Non-compliance work:
m .s b d

-- AN ANN UAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Baxter Healthcare WQ Permit Number: WQ0031725
WWTP Name: Baxter Healthcare NPDES Number: NC0006564
Monitoring Period: From 1/1/2014 To 12/31/2014
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ®
Alt. C (Prior Testing)
PE-fl
I
A1t.D (No Prior Test) ❑
Process to Further Reduce
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ElPasteurization
El
Class B:
jAlt. (1) Fecal Density 7
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 ®
I composting ❑
Aerobic Digestion ❑
Anaerobic i D estion El
g
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
in
Pathogen Density
Number o
Excee-
d ces
Frequency
ofanal sis
y
Sample
Type
a ytica
Tech -
niaue
Minim
Geo. Mean
axim
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
'8397
225,349
1280000
MPN/g
0
7
grab
sm9221c
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) Ed
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) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
53' "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signature of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No.
FY15-SL007224
Client:
Southern Soil Builders, Inc.
Advisor:
Predictive
958 Hoots Rd
t-
Roaring River, NC 28669
�
r Mehlich-3 Extraction
,.:�: �. �}, of Report
Sampled County: Wilkes
Sampled: Received: 09/3012014 Completed: 10/08/2014 Farm:
Links to Helpful Information
Sample ID: DP1A
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 0.0 120-200 0
0
0 0 0
0
0 0
Note: 12
2-
Test Results [units - WN in g/cO; CEC and Na in meq/l00 cO; NO3-N in mg/drrr3]:
Soil Class: Mineral
HM% WN CEC BS%t, Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-1
Zn-AI
Cu-I Na ESP
SS-1 NO3-N
0.41 0.93 12.9 86 1.8 6.1 231 185 55 24 36
ill
82 435 _
435
932 0.1 1
Sample ID: DP1B
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 0.0 120-200 0
10
0 0 0
0
0 0
Note: 12
2-
Test Results [units - WN in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dlm3]:
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
0.46 0.86 12.2 88 1.4 6.1 150 72 62 23 43
65
54 539
539
659 0.1 1
Sample ID: DP1C
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 0.5 120-200 0_
10
0 0 0
0
0 0
Note: 12
2-
Test Results [units - WN in 9/cnr3; CEC and Na in meq/100 cm3; NO3-N in mg/drn3]:
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
0.51 0.92 11.7 83 2.0 5.8 202 75 60 20 45
131
96 607
607
1003 , 0.2 2
North Carolina
1,,;,a4;;, iur,; I�:r:lt�:•rnaa�t.�t•:
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No.
FY15-SL007224
Page 2 of 4
Sample ID: DP1D
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P205
K20
Mg
S
Mn Zn
Cu
B
Information
Lime History:
1-Fescue/OGrasslTim, 1 0.9
120-200 0
0
0
0
0 0
0
0
Note: 12
2-
Test Results [units - WN in g/crr?; CEC and Na in meq/100 cO; 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-Al2
Zn-1 Zn-AI
Cu-I
Na ESP' SS-1 NO3-N
0.60 0.90 11.4 81 2.2 5.6 208 116
56 20 49
95
74
697 697
785
0.1
1
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- Corn, silage 1.3
180-220 0
80
0
0
0 0
0
0
Note: 3
2-
Test Results [units - W/V in a/cO; CEC and Na in meq/100 cnT3; NO3-N in mriW.l d-31-
Soil Class;
"vlincral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-1
Mn-All
Mn-Al2
Zn-1 Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.36 0.96 8.8 72 2.5 5.3 190 59
48 20 60
67
57
666✓ 666
745 L/
0.1
1
Sample ID: DP3C
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P205
K20
Mg
S
Mn Zn
Cu
B
Information
Lime History:
1 -Corn, silage 0.8
180-220 0
100
0
0
0 0
0
0
Note: 3
2-
Test Results [units - W/V in g/crn3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
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
0.13 0.87 9.3 79 1.9 L56 91 50
46 31 142
61
54
419 ✓ 419
378 LI/
0.1
1
Sample ID: DP3G ✓
Recommendatio . 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 1.4
120-200 0
10
0
0
0 0
0
0
Note: 12
2-
Test Results [units - WN in g/cnr3; CEC and Na in meq/100 cnr3; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% W/V CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Cu-1
Na ESP SS-1 NO3-N
0.32 0.85 9.2 73 2.4 5. 95 70
45 24 87
79
64
/Zn-Al
510 ✓ 510
351
0.1 1

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY1 F-Ci nm99a
Page 3 of 4
Sample ID: DP4 /
�/
Lime History:
Recommendations: Lime
Crop (tons/acre) N P205
1- Fescue/OGrass/Tim, 1 0.6 120-200 0
2-
K20
50
Nutrients (lb/acre)
Mg S Mn Zn
0 0 0 0
Cu
0
B
0
More
Information
Note: 12
Test Results [units - WN in g/cO; CEC and Na in meq/100 crn3; NO3-N in mg/dnr3]:
Soil Class:
Mineral
HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
0.60 0.91 11.6 81 2.2 5. 93 44 53 26 45
Sample ID: DP5 / Recommendations:. Lime
Crop I (tons/acre) N P205
Lime History: 1- Fescue/OGrass/Tim, 1 0.0 120-200 0
2-
Mn-I
87
K20
0
Mn-All Mn-Al2 Zn-1 Zn-AI
69 686/ 686
Nutrients (lb/acre)
Mg S Mn Zn
0 0 0 0
Cu-1
63
Cu
0
Na
0.1
ESP SS-1 NO3-N
1
More
B Information
0 Note: 12
Test Results [units - W/V in a/crrr3; CEC and Na in meq/100 cm3; NO-%-N in mg/rrrrr3];
$ ;il vla$S:
^ire^c ra^i
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 "
0.41 0.86 11.8 88 1.4 6.2 95 113 55 28 49
Sample ID: DP6 / Recommendations: Lime
I/ Crop (tons/acre) N P205
Lime History: 1- Fescue/OGrass/Tim, 1 0.6 120-200 40
2-
83
K20
50
65 805 805
Nutrients (lb/acre)
Mg S Mn Zn
0 0 0 0
532
Cu
0
0.1
1
More
B Information
0 Note: 12
Test Results [units - W/V in g/cd; CEC and Na in meq/100 cO; NO3-N in mg/dnr3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
0.41 0.95 7.5 77 1.7 5.7 41 47 54 20 32
Sample ID: DP7 Recommendations: Lime
Crop (tons/acre) N P205
Lime History: 1-Fescue/OGrass/Tim, 1 1.4 120-200 0
2-
Mn-I
75
K20
10
Mn-All Mn-AI2 Zn-I ✓Zn-AI
62 188 188
Nutrients (lb/acre)
Mg S Mn Zn
0 0 0 0
Cu-I
94 `�/
Cu
0
Na
0.1
ESP SS-1 NO3-N
1
More
B Information
0 Note: 12
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cd; NO3-N in mg/drff]:
Soil Class:
Mineral
HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
I
0.51 0.94 7.4 68 2.4 (5� 99 77 47 16 39
Mn-I
77
Mn All Mn-AI2
63
Zn-I Zn-AI
305 ✓ 305
Cu-I
573
Na
0.1
ESP SS-1 NO3-N
1

NCDA&C&Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY15-SL007224 <
r
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
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.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 tonlacre (50 Ib/1000 sq ft) at
one time, even if the report recommends more. You can apply the rest in similar increments every six months until the
full rate is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer.
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on researdI/"He ld studies
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
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients• In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.aovi'agronomi/pubs.htm.
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot
find the exact fertilizer grade recommended on the report, visit V,rww.rc6ar.aov/a4ronomi/obpart4.htm#fs to find
information that may help you choose a comparable alternate. For more information, readR Homeownei's Guide to Fer,
Test ResuitS
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not
routinely available)] indicate levels of plant nutrients or other fertility measurement. Visit w ww..ncaor.gov/aaronomituvrst_htm
for more information.
Page 4 of 4
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-I
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-1
potassium index
K2^v
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Mn-I
manganese index
M-O
mineral -organic soil class
N
nitrogen
Na
sodium
NO3-N
nitrate nitrogen
ORG
organic soil class
pH
current soil pH
P-1
phosphorus index
P205
phosphate
S-1
sulfur index
SS -I
soluble salt index
WN
weight per volume
Zn-AI
zinc availability index
Zn-I
zinc index

k, 9 ANA UAL PAT110GEN ANIV VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Fil-ility Name: Baxter Healthcare
WWTP Name: Baxter Healthcare
WQ Permit Number: . WQ0031725
NPDES Number: NC0006564
Monitoring Period: From 1/1/2014 To 12/31/2014
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative nprfarmPd-
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑
Alt. C (Prior Testing) ❑
AID (No Prior Test) ❑
Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
...................
Class B:
lAlt. (1) Fecal Density
Alt. (2) Process to Significantly Reduce Pathogens El
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying ❑
Composting ❑
Aerobic Digestion ❑
Anaerobic
aero b Digestion g
e on
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-
n s
Frequency
9 si
of Analysis
Sample
P
Type
Analytical
Tech -
i e
inim
Geo. Mean
axim
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
WN
8397
225,349
1280000
MPN/ g
0
7
grab
sm9221 c
CFU�F
!FfT
1000 mpn per gram
of total solid (dry
weight)
Liwsion
of Mate;
b n_ 0
resources
1
NNPpR
e
I DER c
4 015
Salmonella bacteria
(in lieu of fecal
coliform
XT_
3 WN per 4 grams
total solid (dry
weight)
Water
" ^'
Qualityai Re
ninnar
s
p
RQC�
N
S/N
GUN/%
v eciur rAttracnon iceaueTlon tl'A IN AU ul-"4U-4j z_'LlcaSe- sti - e- alternative performed:
Alt.l (VS reduction) 5d
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). ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
l;ER-Hirl(;A ION SIATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an -explanation why you have not met one or both' of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
HiAv ii ii %Z— Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signs of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)