WQ0001086_Residuals Land Application_20171210

ii
Willcox&mabe
SOIL SOLUTIONS
December -19,_2017
NCDEQ/DWR
Non-Discharge:Permitting
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Mr. Troy Doby .
Reference: ..Application for. Town of Spring Lake Residuals Land Application Program
Permit No. WQ0001086
Additional Information Request dated December 13, 2017
Cumberland County, North Carolina
Willcox & Mabe Soil Solutions, PLLC Project No.15-16
Dear Mr. Doby:
Willcox & Mabe Soil Solutions, .PLLC '(WMSS) is, submitting the enclosed Additional
Information Response for the referenced permit application for the Town of Spring Lake
Residuals Management System. Please accept this letter and the attachments asresponse
to the referenced items within the Additional Information Request from the North
Carolina Department of Environmental Quality (NCDEQ) - Division of Water Resources •
(DWR), Non -Discharge Permitting Unit (NDPU) dated December:13, 2017. WMSS is
providing response to thefollowing.items,.with the.request and response; given; below:
Question:
When the. Brinkley farm. fields were added to the Town of Spring Lake program,
the previous owner managed all fields-ina row crop rotation. Since entering the
Spring Lake program under the ownership -of Willie Brinkley, field 3-6 has two
different cropping activities. Field'3-6 is now a row crop field and a small portion
of 3-6 has been converted to Bermuda hay. (See attached figure.) Field 3-6.
should be subdivided between the row crop portion and the Bermuda hay portion:
Therefore, a revised buffer map and Land Application. Site Certification (LASC)
form are needed. Please provide a revised buffer map and LASC form.
Response: •
• Revised buffer map and updated LASC form attached.'
Willcox & Mabe Soil Solutions, PLLC / 7231 B Summerfield Road / Summerfield, NC 27358 / Rob 336.339.9128 or.
Martin 336.312.1396 / www.willcoxmabesoil.com ' .

Application for Town of Spring Lake RLAP
Additional Information Request — Application No. WQ0001086
WMSS Project No. 15-16
December '19, 2017
WMSS appreciates the opportunity to assist in responding to the Additional Information
Requestfor the Town of Spring Lake Residuals Management System. If after reviewing
the enclosed information you have any questions or require any additional information,
please ,contact us at your convenience.
Sincerely;
Willcox & Mabe Soil Solutions, PLLC
Martin E. Mabe
Agronomist
Rob Willcox,.L.S.S.:
Soil Scientist
Attachments: Revised Buffer Map
Updated LASC
cc: Town of Spring Lake
Shared\WMSS-Projects\2015\15-16 Town of Spring Lake\Phase 02-Land Transfer\15-16 Town of Spring Lake Add Info
12-19-17.doc
2

ATTACHMENTS
Revised Buffer Map
Updated LASC

Legend
• Well
■ Dwelling
A Structure
Pond
_ = = = Access Road
Butter.
Field Boundary.
Property Boundary
SCALE:
1°=500' -
DATE
12-14-17
DRAWN BY:
.MEM
REVIEW BOUNDARY shall be established around each land appbcation site
midway between the Compliance Boundary and the perimeter of the
residuals land application area. '
I
•
•
COMPLIANCE BOUNDARY: The Compliance Boundary for each land application site
is establishedat either 250 feet from the residuals land application area or 50 feet ' •
within the property boundary, whichever is closest to the residual land application area.
FIELD
3-4 .
3=5
3-6
3-7
. 3-8
•
TOTAL ACRES BUFFERED ACRES NETACRESI
33.5
37.7
23.7
29.9
17.5
4.0
4.2
0
0
0 -
.TOTAL
23.7
29.9
15.2
4•
106.3
REFERENCE:
GIS DATA LAYERS WERE OBTAINED FROM HARNETT COUNTY GIS WEBSITE..PLEASE NOTE THIS MAP IS FOR INFORMATIONAL
PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN. LEGAL, OR ANY OTHER USES. THERE ARE NO GUARANTEES ABOUT ITS •
ACCURACY. WMSS, PLLC ASSUMES NO RESPONSIBILITY FOR ANY DECISION MADE ORANY ACTIONS TAKEN BY THE USER BASED
UPON THIS INFORMATION.
BUFFER MAP , •
WILLIE BRINKLEY TRACT
TOWN OF SPRING LAKE
LAND APPLICATION PROGRAM.
.HARNETT COUNTY, NORTH CAROLINA
FIGURE NO. ,
4

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Town of Spring Lake
Land application sites currently certified: 159.6 net acres and Total to be certified: 106.3 net acres. (142.0 net acres to remain and 106.3 net acres being added)
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field
ID
Landowner(s)
,Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Nameb
Mapping Unic
or Rep. Slope
N
3-4
Willie Calvin Brinkley
33.5
Harnett
Row Crops
Fuquay
FaB
N
3-5
Willie Calvin Brinkley
_ -
23.7
Harnett
Row Crops
Fuquay
' FaB
Revised
3-6
Willie Calvin Brinkley
29.9
Harnett
Row Crops
Fuquay
FaB
N
3-7
Willie Calvin Brinkley
15.2
Harnett
Row Crops
Fuquay
FaB
Revised
3-8
Willie Calvin Brinkley
4.0
Harnett
Bermuda
Fuquay
FaB
D
3-1
Willie Calvin Brinkley
5.1
Harnett
Bermuda
Gilead
D
3-2
Willie Calvin Brinkley
-
8.2
Harnett
Bermuda
Vaucluse
D
, 4-2
Maybob E. Paye
4.3
Harnett
Bermuda
Gilead
b Soil Series Name (i.di Appling, Cecil, etc.)
'Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method_
Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
3-4
35° 17' 07"
78° 52' 26" "
NAD 83
MAP
Nearest Second
UT to N Prong Anderson Creek, (CPF14; 18-23-32-1)
C
C
3-5
35° 16' 17"
78° 52' 20"
NAD 83
MAP
Nearest Second
UT to N Prong Anderson Creek, (CPF14; 18-23-32-1)
C
C
3-6
35° 16' 48"
78° 52' 20"
NAD 83
MAP
Nearest Second
UT to N Prong Anderson Creek, (CPF14; 18-23-32-1)
C
C
3-7
35° 17' 00"
78° 52' 11"
NAD 83
MAP
Nearest Second
UT to N Prong Anderson Creek, (CPF14; 18-23-32-1)
C
C
3-8
35° 16' 48"
78° 52' 13
NAD 83
MAP
Nearest Second
UT to N Prong Anderson Creek, (CPF14;
18-23-32-1)
C
C
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 11-13
Page 1

Water Resources
ENVIRONMENTAL QUALITY
December 13, 2017
William A. Zell - Interim Town Manager
Town of Spring Lake
Post Office Box 617
Spring Lake, North Carolina 28390-0617
ROY COOPER'
Governor
MICHAEL S. REGAN`
Secretary
LINDA CULPEPPER
Interim Director
Subject: Application No. WQ0001086
Additional Information Request
Town of Spring Lake-RLAP..
Residuals Management System
Cumberland County
Dear Mr. Zell:
Division of Water Resources' Central and Regional staff has reviewed the application package received.
November 6, 2017. However, additional information is required before the review may be completed.
Please address the items below no later than the close of business On January 12, 2018.
• When the. Brinkley farm fields,were added to the Town of Spring Lake program, the previous owner
managed- all fields in a row crop rotation. Since entering the Spring. Lake ;program tinder the .
ownership of Willie Brinkley, field 3-6 has two. different cropping activities. Field 3-6 is now a
• row crop field and a small portion of 3-6 has been converted to Bermuda hay. (See attached figure.)
Field 3-6 should be subdivided between the row crop portion and the Bermuda hay portion.
Therefore, a revised buffer map and Land Application Site Certification (LASC) form are needed.
Please provide a revised buffer map- and LASC form.
Please be aware .that you are responsible for meeting all requirements set forth inNorth Carolina rules and •
regulations. Any oversights- that occurred in the review of the subject application package are still the
. Applicant's responsibility.. In -addition, any omissions made in responding to.the outstanding items above, ,
or failure to provide the' additional information on or before the, above requested date may result in your
application being returned as incomplete.
•
Please reference the subject application. number when providing the requested information:_All 'revised .
and/or additional- documentation shall be signed, sealed and dated (where needed), with three copies
submitted to my attention at the address below.
If you have any questions regarding this request; please do not hesitateto contact me at [phone] or
[e-mail]. Thank you for your cooperation.
Nothing Compares —
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I, Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

Mr. William A. Zell
December 13, 2017
Page 2 of 2
Sincerely,
Troy Doby, PE, Engineer
Division of Water Resources.
cc: Fayetteville Regional Office, Water Quality Regional Operations Section (Electronic Copy).
Rob Wilcox — Wilcox and Mabe. Soils Solutions (Electronic Copy).
Martin Mabe — Wilcox and Mabe Soils Solutions (Electronic Copy)
Permit Application File WQ0001086

Environmental
Quality
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Staff Report
To: El NPDES Unit ® Non -Discharge Unit Application No.: WQ0001086
Attn: Troy Doby, P.E.
From: Jim Barber
Fayetteville Regional Office
Facility name: Town of Spring Lake RLAP
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -
discharge and NPDES permit applications and/or renewals. Please complete .all, sections as they are applicable.
i
I. : GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
a. Date of site visit: 29 Nov 2017
b. Site visit conducted by: Jim Barber and Tony Honeycutt '
c. Inspection report attached? ❑ Yes or ® No (see Tony Honeycutt inspection in BIMS)
d. Person contacted: Richard Mendez and their contact information: (910) - ext.
e. Driving directions: From the intersection of Hwy 87 and Manchester Road, proceed north on Manchester Road
approx. 1 mile and turn right onto Harps Street. Follow Harps St. until it terminates at the Spring Lake WWTP. The
land application field is adjacent to the plant.
2. Discharge Point(s): Spring Lake wastewater plant discharges 'to Little River that is adjacent to the plant under
NPDES permit NC0030970.
Latitude: 35.194167 Longitude: -78.964444
Latitude: Longitude:
3. Receiving stream or affected surface waters: Little River
Classification: "C"
River Basin and Subbasin No.: Cape Fear/CPF14 [index #: 18-23- (24)1
Describe receiving stream features and pertinent downstream uses: Primarily agriculture/forestry with some
residential development prior to discharging into the Cape Fear River.
II. PROPOSED FACILITIES: NEW APPLICATIONS
1. Facility Classification: (Please attach completed rating sheet to be attached to issued permit)
Proposed flow:
Current permitted flow:
2. Are the new treatment facilities adequate for the type of waste and disposal system? n Yes or ❑ No
If no, explain:
3. Are site conditions (soils, depth to water table, etc) consistent with the submitted reports? ❑ Yes ❑ No ❑ N/A
If no, please explain:
4. Do the plans and site map represent the actual site (property lines, wells, etc.)? ❑ Yes ❑ No ❑ N/A
If no, please explain:
FORM: WQROSSR 04:14 Page 1 of 6

5. Is the proposed residuals management plan adequate? ❑ Yes 0 No n N/A
If no, please explain:
6. Are the proposed application rates (e.g., hydraulic, nutrient) acceptable? ❑ Yes ❑ No 0 N/A
If no, please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? 0 Yes or ❑ No
If yes, attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? ❑ Yes ❑ No 0 N/A
If no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals, will seasonal or other restrictions be required? 0 Yes D No 0 N/A
If yes, attach list of sites with restrictions (Certification B)
Describe the residuals handling and utilization scheme:
10. Possible toxic impacts to surface waters:
,11. Pretreatment Program (POTWs only):
III. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ® Yes ❑ No ❑ N/A
ORC: Richard Mendez Certificate #: LA-989275 Backup ORC: Mike Criscoe Certificate #:LA-15683
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or 0 No
If no, please explain:
Description of existing facilities: Municipal wastewater treatment plant. Flow is 80% residential, 20%
commercial/industrial.
Proposed flow: 1.50 MGD
Current permitted flow: 1.50 MGD (plant is operating at approx. 0.75 MGD at this time)
Explain anything observed during the site visit that needs to be addressed by the permit, or that may be important
for the permit writer to know (i.e., equipment condition, function, maintenance, a change in facility ownership,
etc.)
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or 0 No
If no, please explain:
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? 0 Yes or ® No
If yes, please explain:
5. Is the residuals management plan adequate? ® Yes or ❑ No
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? 0 Yes 0 No ® N/A
If no, .explain and recommend any changes to the groundwater monitoring -program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? 0 Yes or ® No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or 0 No
If no, please explain:
10. Were monitoring wells properly constructed and located? 0 Yes ❑-No ® N/A
If no, please explain:
FORM: WQROSSR 04-14 Page 2 of 6

FORM: WQROSSR 04-14 Page '3 of 6

11. Are the monitoring well coordinates correct in BIMS? ❑ Yes 0 No ® N/A
If no, please complete the following (expand table if necessary):
Monitoring Well
Latitude
O /
Longitude
O 1,
O I /1
0
O I 1I
0
O / /I
0
O 1 0
O I
12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? ® Yes or 0 No
Please summarize any findings resulting from this review:
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
13. Are there any permit changes needed in order to address ongoing BIMS violations? 0 Yes, or ® No
If yes, please explain:
14. Check all that apply:
® No compliance issues D Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC 0 Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
If the facility has had compliance problems during the permit cycle, please explain the status. Has the RO been
working with the Permittee? Is a solution underway or in place?
Have all compliance dates/conditions in the existing permit been satisfied? ❑ Yes 0 No N/A
If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ,
0 Yes 1 No El N/A
If yes, please explain:
16. Possible toxic impacts to surface waters: N/A
17. Pretreatment Program (POTWs only): N/A
FORM: WQROSSR 04-14
1
Page 4 of 6 1
1

IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? 0 Yes or ® No
If yes, please explain:
2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an
additional information request:
Item
Reason
A updated field
identification map and
buffer map is needed for
the Willie Brinkley farm on
Elliot Bridge Rd.
When the new Brinkley farm fields were added to the Town of Spring Lake
program; the previous owner managed all fields in a row crop rotation. Since
entering the Spring Lake program under the ownership of Willie Brinkley, field
3-6 has two different cropping activities. Field 3-6 is now a row crop field and a
small portion of 3-6 has been converted to bermuda hay. A revised buffer map
is needed to accurately represent cropping practices and to add a new field
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition
Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition
Reason
5. Recommendation:
❑ Hold, pending receipt and review of additional information by regional office
❑ Hold, pending review of draft permit by regional office
® Issue upon receipt of needed additional information
0 Issue
0 Deny (Please state reasons:
6. Signature of report preparer: J� /A
37M 4441/21-4 Fon 7ZEVT 4GLe
Signature of regio al supervisor:
Date: 1 0
FORM: WQROSSR 04-14
Page 5 of 6

V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
When transferring the farm fields of David Chatelllier from the Viridian permit (WQ0035881) to the Town of Spring
Lake permit (WQ0001086); the Fayetteville Regional Office requests that the Attachment B incorporate the following
outline in the attached spreadsheet. Justification for the R.Y.E value presented in the Attachment B table is provided
in theemail dated 27 May 2015 sent to the Washington Regional Office with the staff report prepared by FRO when
Viridian added the David Chatellier farm to their permit (reference email attached with staff report).
Please add a footnote #11 to the Attachment B for the Tom Brooks farm fields and the David Chatellier fields to
address reduction in nutrient application of 25% for fields that are grazed (cattle, horses, goats, etc.). The other
footnote references in the example Attachment B are from the current Spring Lake permit and Viridian permit.
In reviewing the last couple of annual reports, it was noted that Field 1-1 at the WWTP has high copper and zinc
values as reported in the annual soil samples. Spring Lake and their soils consultant (Wilcox & Mabe) are reviewing
sampling procedures and will re -sample Field 1-1 in 2015 and 2016 to try and isolate any anomolies in their sampling
procedure to insure that the copper and zinc levels are reflective of soil conditions. If the 2015 and 2016 soil sampling
results indicate that copper and zinc are still elevated (at or above the 3000 index); then Spring Lake will stop using
Field 1-1 and may submit a permit modification to remove Field 1-1 in the future.
FORM: WQROSSR 04-14
Page 6 of 6

Longitude
Net Acreage
Dominant Soil Series
Crop
Application (RYE)
Footnotes
-78.019247
13.6
VaB - Vaucluse
Fescue
131 Ibs
-78.873889
33.5
FaB - Fuquay
row crop
varies
1
-78.872222
23.7
FaB - Fuquay
row crop
varies
1
-78.872222
30.2
FaB - Fuquay
row crop
varies
1
-78.869722
15.2
FaB - Fuquay
bermuda
270 Ibs
1
-78.870362
3.7
FaB - Fuquay
bermuda
270 Ibs
1
-78.019828
4.5
VaB - Vaucluse
Fescue
131 Ibs
2
-78.999377
9.1
GaB - Gilead
Common Bermuda
160 Ibs
7,11
-78.998166
7.2
GaB - Gilead
Centiped
22 Ibs
8,11
-78.995965
12.3
GaB - Gilead
Centiped
22 Ibs
9,10,11

1V u611G111. Zvi uuigement In iNortn caroiina
Page 1 of 2
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 Consumer Services, 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 Interagency Nutrient Management Committee. 2014. Realistic yields and nitrogen application factors for
North Carolina crops. http://vields.soil.ncsu.edu 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 from the drop down menu below. Wait for list of soils.
• Select your soil
• Correct for slope by using the slope reported in the soil survey database or by entering the slope you measured in the field
A report will be generated showing a summary of currently available data for the county and soil you selected.
Need help determing the soil to select? You can use our map version of the RYE database, located at: htto://go.ncsu.edu/vields
Additional Guidance for speciality crops can be found at: http://nutrients.soil.ncsu.edu/crops/
Select Your County
Select Your Soil
Correct for Slope
Harnett
v
GO: Gilead loemv sand 2lto 8 oef �cenfislo
GaD: Gilead loamy sand, 8 to 15 percent slopes
GoA: Goldsboro loamy sand, 0 to 2 percent slopes
Gr: Grantham loam
V
O Use Representative Slope Typical of the Soil Mapunit
O Use my slope 0
Submit
Reset
http://yields.soil.ncsu.edu/index.php 12/7/2017

J. 1 1.1.1.1.1%0111. 1v1anas111G11L 111 1N 01 L11 k,uronna •
Page 2 of 2-
Realistic Yields for GaB: Gilead loamy sand, 2 to 8 percent slopes in Harnett
County
Crop
Barley (Grain)
Corh (Grain)7
Realistic Estimated Phosphorus
Nitrogen Nitrogen Removal
Yield Factor Rate (Ibs/acre) (Ibs P205/acre)
65 Bushels 1.44 93 , 25
10.4 0 0
Cotton' 570 Pounds 0.066 '38 17
114 Bushels 0.88 dod-I 50
Corn (Silage) 0 Tons
Sorghum (Silage)
0 Tons 7.3 0 0
Oats (Grain) 81 Bushels 1.07 86 20
Peanuts 2518 Pounds 0 0 14
Rye (Grain) 48 Bushels 1.86
Small Grain (Silage)
Sorghum (Grain)
88 16
7.6 Tons 10.6 81 41
43 CWT 1.61 69 32
Soybeans (Double Cropped)
28 Bushels 0 0 22
Soybeans (Full Season)
33 Bushels 0 0 27
Soybeans (Double Cropped - Manured) 28 Bushels 3.84 106 22
Soybeans (Full Season - Manured) 33 Bushels 3.84 128 27
Tobacco (Burley) 0 Pounds 0.06 0 0
Tobacco (Flue Cured) 2375 Pounds 0.024 57 12
Triticale (Grain) 67 Bushels 1.48 98 22
Tropical Corn (Silage)
0 Tons 6.2 0 0
Wheat (Grain) 48 Bushels 1.86 88 24
Bahiagrass (Hay)
3.8 Tons 42 160 43
Caucasion/Old World Bluestem (Hay)
-ComMon Bermudagrass(Hay)
Dallisgrass (Hay)
4.3 Tons 42 180 51
3.8 Tons 42 46
3.8 Tons 42 160 50
Fescue (Hay)
3.8 Tons 42 160 60
Hybrid Bermudagrass (Hay)
5.2 Tons 42 [T2141 64
Hybrid Bermudagrass overseeded with Rescuegrass 7.1 Tons 42 299 97
(Hay)
Mixed Cool Season Grass (Hay)
Orchardgrass (Hay)
2.6 Tons 42 110 37
2.6 Tons 42 110 38
Pearl Millet (Hay)
4.5 Tons 47 212 60
Rescuegrass (Hay)
3.8 Tons 42 160 - 43
Sorghum Sudan (Hay)
5 Tons 47 234 69
Timothy Grass (Hay)
0 Tons 42 0 0
Dr. David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
http://yields.soil.ncsu.edu/index.php 12/7/2017

Nutrient ivianagement m 1V.orth uarolma Page 1 of 2
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 Consumer Services, 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 Interagency Nutrient Management Committee. 2014. Realistic yields and nitrogen application factors for
North Carolina crops. http://vields.soil.ncsu.edu 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 from the drop down menu below. Wait for list of soils.
• Select your soil
• Correct for slope by using the slope reported in the soil survey database or by entering the slope you measured in the field
A report will be generated showing a summary of currently available data for the county and soil you selected.
Need help determing the soil to select? You can use our map version of the RYE database, located at: http://ao.ncsu.edu/vields
Additional Guidance for speciality crops can be found at: http://nutrients.soil.ncsu.edu/crops/
Select Your County
Select Your Soil
Correct for Slope
Harnett
v
FaB IOW -Wan t66. rceritreicTFs
FuB: Fuquay gravelly loamy sand, 0 to 6 percent slopes
GaA: Gilead loamy sand, 0 to 2 percent slopes
GaB: Gilead loamy sand, 2 to 8 percent slopes
0 Use Representative Slope Typical of the Soil Mapunit
0 Use my slope
Submit
0
Reset
http://yields.soil.ncsu.edu/index.php 11/15/2017

1 V uLL1 1J . 1victuagO111G11L 111 IN Ui L11 t...UI01111d
rage zorz
Realistic Yields for FaB: Fuquay loamy sand, 0 to 6 percent slopes in Harnett
County
Crop
Realistic Estimated Phosphorus
Nitrogen Nitrogen Removal
Yield Factor Rate (Ibs/acre) (lbs P20s/acre)
Barley (Grain54 Bushels 1.58
85
21
:Corn "(Grain) 1;
Corn (Silage)
102 Bushels 1.02 :=104 1 45.
0 Tons 11.8
0 0
Cotton' j 675 Pounds 0.112
20
Sorghum (Silage) 0 Tons
8.3 0
0
Oats (Grain) 68 Bushels 1.27
86
17
Peanuts 2900 Pounds 0
0 16
Rye (Grain
40 Bushels 2.32 93 ; - 13
Si -flail Grain (Silage)
6.5 Tons 12.2 79
35
Sorghum (Grain)
40 CWT 1.94 78
30
Soybeans (Double Cropped)
25 Bushels 0 0 20
Soybeans (Full Season)
30 Bushels 0 0 24
Soybeans (Double Cropped - Manured) 25 Bushels 3.98 100 20
Soybeans (Full Season - Manured) 30 Bushels 3.98 119 24
Tobacco (Burley)
0 Pounds 0.06 0 0
Tobacco (Flue Cured) 2600 Pounds 0.038 99 13
Triticale (Grain)
56 Bushels 1.6 90 19
Tropical Corn (Silage)
0 Tons 7.1 0 0
Wheat.(Gain)
40 Bushels 2.32 93;, 20
Bahiagrass (Hay)
4 Tons
49 196 46
Caucasion/Old World Bluestem (Hay)
4.5 Tons 49 221 54
Common Bermudagrass (Hay) 4 Tons 49 • 196 48
Dallisgrass (Hay)
4 Tons 49 196 52
Fescue (Hay.))
1.5 Tons 49 ' `,7,4-J 24
Hybrid" Bermudagrass'( Hay)"
5.5 Tons 49 270 68
Hybrid Bermudagrass overseeded with Rescuegrass 5.5 Tons 49 270 75
(Hay)
Mixed Cool Season Grass (Hay)
1 Tons 49 49 14
Orchardgrass (Hay)
1 Tons 49 49 15
Pearl Millet (Hay)
5 Tons 54 270 67
Rescuegrass (Hay)
2 Tons 49 98 23
Sorghum Sudan (Hay)
4.5 Tons 54 243 63
Timothy Grass (Hay)
0 Tons 49 0 0
Dr. David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
http://yields.soil.ncsu.edu/index.php 11/15/2017

1VULLIGLU ivianagement In 1Vortn uarolma
Page 1 of 2
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 Consumer Services, 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 Interagency Nutrient Management Committee. 2014. Realistic yields and nitrogen application factors for
North Carolina crops. http://vields.soil.ncsu.edu 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 from the drop down menu below. Wait for list of soils.
• Select your soil
• Correct for slope by using the slope reported in the soil survey database or by entering the slope you measured in the field
A report will be generated showing a summary of currently available data for the county and soil you selected.
Need help determing the soil to select? You can use our map version of the RYE database, located at: http://go.ncsu.edu/Yields
Additional Guidance for speciality crops can be found at: http://nutrients.soil.ncsu.edu/crops/
Select Your County
Select Your Soil
Correct for Slope •
Harnett
v
VABAVauclu'sa I6-a—mvisandR211618 percent slapes
VaD: Vaucluse loamy sand, 8 to 15 percent slopes
VeB: Vaucluse gravelly loamy sand, 2 to 8 percent slopes
VeD: Vaucluse gravelly loamy sand, 8 to 15 percent slopes
O Use Representative Slope Typical of the Soil Mapunit
O Use my slope
Submit
0
Reset
v
http://yields.soil.ncsu.edu/index.php 12/8/2017

+ ..sraavaar y.yµiyµVlll 011L 111 11 V11.11 V atv1111Q
rage 2 or 2
Realistic Yields for VaB; Vaucluse loamy sand, 2 to 8 percent slopes in Harnett
County
Crop
Barley (Grain)
Realistic Estimated Phosphorus
Nitrogen Nitrogen Removal
Yield Factor Rate (Ibs/acre) (lbs P205/acre)
58 Bushels 1.51 88 22
Corn (Grain)
Corn (Silage)
80 Bushels 0.95 76 35
0 Tons 11.1 0 0
Cotton 570 Pounds - 0.089 51 17
Sorghum (Silage)
0 Tons 7.8 0 0
Oats (Grain) 72 Bushels 1.17 84 18
Peanuts 2501 Pounds 0 0 14
Rye (Grain) 43 Bushels 2.09 89 14
Small Grain (Silage)
Sorghum (Grain)
7.1 Tons 11.4 81 38
29 CWT 1.78 51 21
'Soybeans (Double Cropped)
22 Bushels 0 0 17
Soybeans (Full Season)
27 Bushels 0 0 21
Soybeans (Double Cropped - Manured) 22 Bushels 3.91 85 17
Soybeans (Full Season - Manured) 27 Bushels 3.91 104 21
Tobacco (Burley)
0 Pounds 0.06 0 0
Tobacco (Flue Cured) - 2185 Pounds 0.031 68 11
Triticale (Grain) 60 Bushels 1.53 92 20
Tropical Corn (Silage)
0 Tons 6.7 0 0
Wheat (Grain) 43 Bushels 2.09 89 21
Bahiagrass (Hay) 3.8 Tons 46 175 43
Caucasion/Old World Bluestem (Hay)
Common Bermudagrass (Hay).
Dallisgrass (Hay)
,Fescue (Hay)-i
Hybrid Bermudagrass (Hay)
4.3 Tons 46 197 51
3.8 Tons 46 175 46
3.8 Tons 46 175 50
2.9 Tons 46 1-31 ?` , 45
5.2 Tons 46 240 64
Hybrid Bermudagrass overseeded with Rescuegrass 6.2 Tons 46 284 84
(Hay)
Mixed Cool Season Grass (Hay)
Orchardgrass (Hay)
1.9 Tons 46 87 27
1.9 Tons 46 87 28
Pearl Millet (Hay)
4.8 Tons 51 242 63
Rescuegrass (Hay)
2.9 Tons 46 131 32
Sorghum Sudan (Hay)
4.3 Tons 51 218 59
Timothy Grass (Hay)
0 Tons 46 0 0
Dr. David Crouse is responsible for the development and maintenance of the Realistic Yield reporting tool.
http://yields.soil.ncsu.edu/index.php 12/8/2017

Legend
• wen
Dwelling
• Structure
_ _ _ = Access Road
Buffer
_ Field Boundary
1"= 500'
10-19-15
Willcox&mabe
SOIL SOLUTIONS
REVIEW BOUNDARY shall be established around each land application site
midway between the Compliance Boundary and the perimeter of the
residuals land application area.
COMPUANCE BOUNDARY: -The Compliance Boundary for each land application site
tn establishod at either 260 feet from the residuals land application area or SO feet
within the property boundary, whichever is closest to the residual land application area.
FIELD TOTAL ACRES' BUFFEREDACRES_, NET ACRES
-...-3-4---' 37.7 - _-, 4.2 335
35 23.7 0.0 23.7_..
3-6 ri39 gti•2 0.0 3o•.._
3-7 17.5 2.3. 15.233 .,
e� 3.-1 TOTAL0:0 106.3�
REFERENCE:
GIS DATA LAYERS WERE OBTAINED FROM HARNE -OU GIS NEBSTE. PEASE NOTE THIS MAP IS FOR INFORMATIONAL
PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN. LEGAL ORANY OTHER USES. THERE ARE NO GUARANTEES ABOUT ITS
ACCURACY. MASS. PLLC ASSUMES NORESPONSIBUTY FOR ANY DECISION MADE OR ANY ACTIONS TAMN BY THE USER BASED
UPONTHIS INFORMATION -
BUFFER MAP
WILLIE BRINKLEY TRACT
TOWN OF SPRING LAKE
LAND APPLICATION PROGRAM
HARNETT COUNTY, NORTH CAROLINA
FIGURE NO.

Legend
• Well
■ • Dwelling
♦ Structure
a .��... Pond
= = -= = Access Road
Buffer
Field Boundary
e. t.•wr
.' Property Boundary.
WALE:
" 1 500'.
DATE
10-19-15 .
ERMAN St •
MEM
REVIEW BOUNDARY shall be established around each land application site
midway betwoon thti Compliance Boundary and the pedmetor of the -
_reslduals land applieatlon�area. -
COMPLIANCE BOUNDARY: -The Compliance Boundary far each land application she
is established at either250 feet froin the residuals land application area or 50 feet
within the property boundary, whichever Is closest to the residual land application area.
•
rr
(
FIELD ITOTALACRES BUFFEREDACRES NET ACRES
3-4 37.7 _ 4.2 33.5
3-5 23.7 j 0.0 . 23.7
3-6. , 33.9 - I 0.0
3-7 I 17.5 2 3 _ _
..� .I TOTAL- - —I. 106.3-
33.9
REFERENCE: •
OS DATA LAYERS WERE OBTAINED FROM HARNETT COUNTY GIS WEBSRE. PLEASE NOTE THIS AMP IS FOR INFORMATIONAL
PURPOSES ON.Y. R IS NOT MEANT FOR DESIGN. LEGAL. CRANY OTHER USES. THERE ARE NO GUARANTEES ABOUT ITS
ACCURACY. MUSS. PLLC ASSUMES NO RESPONSIBILITY FOR ANY DECISION MADE ORANY ACTIONS TAKEN BY THE USER BASED
UPONTNS INFORMATION
willcox&mabe
SOIL SOLUTIONS
• BUFFER MAP
WILLIE BRINKLEY TRACTI
TOWN OF.SPRING LAKE .
• LAND APPLICATION PROGRAM.
HARNETTCOUNT'E NORTH CAROLINA

PWL.
Division of Water. Resources
n 113 State of North .Carolina.
Department of Environmental Quality
Division of Water Resources
- WATER QUALITY REGIONAL OPERATIONS SECTION
NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
RCCERIED
DEQ/DWR
November 6, 2017
To: FRQ`WQROS Trent Allen
From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting Unit WQROS
FAYETTEVILLE REGIONAL OFFICE
Permit Type: Land Application of Residual: Solids (503)
Project Type: Major Modification
Owner in BIMS? Yes
Facility in BIMS? Yes
Title: Interim Town Manager
Permit Number: WQ0001086
Applicant: Town of Spring Lake
Owner Type: Municipal
Facility Name:. Town of Spring Lake RLAP
Signature Authority: William Zell
Address: PO Box 617, Spring Lake, NC 28390-0617
Fee Category: Non -Discharge Minor
NOV 0 8 2017
County: Cumberland
Fee Amount: $245 - Major Modification
Comments/Other Information: WQ0035881.will need to be modified to reflect the lost fields. - NT.
Attached, you will find .all. information. submitted in support of the above -referenced application for your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
® Return this form completed. Return a completed staff report.
❑ Attach an Attachment B for. Certification. ❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and
return it to the appropriate Central Office Water Quality Permitting Section contact person listed above.
RO-WQROS Reviewer:
:Date: /Z eA7
FORM: WQROSNDARR 09-15
Page 1 of 1

Veb 'Soil Survey
ISDA
United States _Department of AgrlcJ turd "
Nataral-Resaurces-Ounservation-Tervtce .�....
Contact Us Subscribe
• Archived Soil Surveys I Soil Survey Status I Glossary I Preferences I ' Link
Area of Interest (AOI)
Soil Map
•
Soil Data Explorer
Search
Area of Interest'
- IOpen All Close All
AOI Properties ..
Clear AOI
-
AOI Information .
j.
Name "
Map Unit Symbols O Use Soil Survey Area Map Unit
Symbols
0 Use National Map Unit Symbols
Area '(acres) - 3.54
Soil Data Available from Web Soil Survey .
Harnett County, North Carolina (NC085) -
Data Availability Tabular and Spatial, complete
Tabular Data Version 14, Sep 26, 2017
Spatial Data Version 5, Dec 16, 2013
IClear AOI
Import AOI
Export AOI
Quick Navigation
Address
State and County
View
. State North Carolina V
County (optional) Harnett V
View
Soil Survey Area .
Download Soils Data
Logout I Help.
Shopping Cart (Free)
IA AIA
Area of Interest Interactive Map
I View Extent
Contiguous U.S.
tttps://websoilsurvey.nres.usda:gov/app/WebSoilSurvey.aspx
12/7/201 i-

Hamett County GIS— Harnett ...
. - . .
msNi-oniA-tairnik JAL ,[gi
1"-c-'i Tax Parcel /GIS Viewer
ol x
https://gis.harnett.org/gisviewer/
• File Edit View fairoiitei Toole Urilp
GGiogTe ki0ei7ainggi.. 4ciaile;
Advanced
Search

ATTACHMENT B - Approved Land Application Sites
Viridian Residual Management Services, Inc.
Certification Date: June 17, 2015
3 5,2-7Z1396 Permit Niunber: WQ0035881 Version: 1.4.
9 . q9c3 37? cad°
Field /, Site
Owner
Lessee
County
Latitude
Longittide
Net Acreage
Dominant Sail Series
.Footnotes
-1494WAN8p•A
Cbatellier, David
Hamett
45 19 26"
- 789 P10"
.1F3F—P
Galli7
4-504HA1NSPAIL
Chatellier, David
3s— 273 7q Go
.... 7 8, 99 a ) (4, c,
Harnett
355' 16' 26"'
—*591-462..
IOW z .2_
GaB.
-
8
14ThRN8PAG.
Chatellier, David
Harnett
15" 16' 26
—7-8249L4§"
-,•94).2. 3
GaB,
9; 10
total for Harnett eounq,
....2,6143*g.G
Total
1. SeeFigure 1.
2. See Figure 2.
3. See Figure 3.
4. See Figure 4.
5: See Figure 5:
6. See Figure 6.
7: See Figure 7.
8: See Figure.8.
3.57 2? 3 6,7
„0 0TE. 6?-1) 25 Z Id) coo
v` I.) 6- .
9. See.Figure 9.
id: A reduced setback from a residence under separate ownership has been approved for this land application site. Residuals may be land applied within 100 feet of the residence owned by James D.
Keith chatellier of 5178 Nursery Road,'Spring Lake; NC 28390,:regardless of whether'a;suiface or a subsurface application method is used
WQ0035881 Version .14 Attachment B pge z'of 2

ATTACHMENT B - Approved Land Application Sites
Town of Spring Lake
Certification Date: March 8, 2016
Permit Number: WQ0001086. Version: 3.1
.Field
Owner
Lessee
County
Latitude
Longitude
Net
Acrage, '
DomiinautSoil'Series
Footnotes
1-1'
Town of Spring Lake
Cumberland'
35.197368°
-78.964357°
8.0
WmB - Wickham
2=1
.Brooks, Tom
Cumberland .
35.205340°'
-78.930570°
20.0 •
WaB:- Wagrarn
2-2
Brooks, Tom
Cumberland'
35210300°
-78:931290°
17.2
BaB -Blaney
2-3
Brooks, Tom
Cumberland
35.210350°
•-78.9346,50°
32.0
Dp - Duplin
--
2-4
Brook's; Tom
Cumberland'
35.207000°
-78.935600°:
8.0
WaB - Wagram
2-5
Brooks, Tom
Cumberland
35.205180°
-78:9,36450°
. 13.3
WitB - Wagram
-
2-6
Brooks, Tom
Cumberland
35.203700°'
-18.933610°
13.0
WaB - Wagram
2-8
Brooks, Tom
- Cumberland
35.187450°
-78:952470°
5.9'
CaB - Candor
.
2=9
Brooks, Toni
Cumberland
35.188000°
-78.956740°
6.5'
CaB _ Candor
Total or Cumberland Caunty
2%53 3 01 / 2-4
123.9
cRof
.3-3
Brinkley, Willie.Calvin
Harnett ✓
35.2464009
,
=79.02499O
13.6
VaB - Vaucluse
co e.
,
3=4
Brinkley,' Willie Calvin�
Harnett /
35.285278°
-78.873889°'
33.5 ,
FaB -:Fuquay
2
1
3-5
Brinkley, Willie Calvin
Harnett. J
35.271389° -
-78:872222°
23;7
FaB -Fuquay
1ZO1r0
1
3=6
Brinkley, Willie Calvin.
Harnett V
35 2279722°
-78:812222°'
33.9
FaB -Fuquay
Rots- .
1
3-7.
Brinkley, Willie Calvin:
Harnett
35.283333°
-78:869722°
15.2
FaB-Fuquay
f 270
.i
4-1
Paye,"Maybob E.
Harnett
35.244982°'
2 41414194,
-79.022515°
4.5
VaB - Vaucluse
Fescue.
2
a 14829-
Total for Harnett County
124.4
Total
248.3'
1. See:Figure 1.
2. A reduced buffer from a residence under separate ownership has been approved for°this land application site. Residuals may be land applied to within ,100. feet of the residenc owned by the
following individuals: Ms: Willie Mae Brinkley: of70-Brinkley Hill Ln, Cameron, NC 28326; Ms. Karen Johns'. of 66 Brinkley Hill Ln,Cameron,,NC 28326, and Ms.'Betty B y McMillan of
42 Brinkley Hill Ln, Cameron NC 28326,.regardless ofwhether a surface or subsurface application method is used.
3 -- g BR, u Y c-E y/ c) ( GLI r C. w'
W.Q0001086 Version 3.1
Attachmerit•B
Page 1 of .1

0
File
Home Send / Receive
Viridian Residuals Management W00035881 - Personal Folders - Outlook
Folder View McAfee E-mail Scan 0 Tell rnewhat you want to do
Ignore x 7 Q. r� 0. El. Meeting
din Clean Up- �\ rLta-- IM-
New New • Delete Archive Reply Reply Forward
Email Items- . 60Junk - All More
New Delete Respond
y . Move to: ? er; To Manager
DI Team Email • Done
Reply'& Delete 4i Create New
•
Quick Steps
Move Rules OneNote Unread/ Categorize Follow
Move
WI0600129
Ft'Bragg WWTP
Off site MW's
OW NORTH UTILITY SERVICES
Vehicle wash WQ0000487
Isaac residence WI0600150
Purolator'NOI\NI0600178 &179 1
Pwc
Bladen County issues
CROP issues
Emergency Approval
Hwy 24 Farm
LH27BH06 Run off/NOV
O8dv1 Plan •
PERMITS
Ronald Hammonds Rennert farm 1 ,
SANDERSON FARMS proposed plant Ce...
A SMIfTY'S CLEANERS WI0600068
Sm-itty's Cleaners NR0600173
Smitty's off site MW's
A Spring lake
2015 Permit Mod Brinkley land 1
Viridian Residuals Management WQO...
TEXFI INDUSTRIES IHSB SITE
UHAtiLInjection N01 WI0600171
UNIVAR/PRILLAMAN WI0600070
A VALLEY PROTEINS FAYETTEVILLE
Tax Certification email
WI0600043&114 Cumberland LF
WI0600181 Innovative Solar 42
HARNETT COUNTY
_ Blalock FINA
All Unread Mentions
!I R ltl IFROM ' (SUBJECT
r . Rob Taylor Re: FW: Land Application Notification - Permit WQ00345881
0 Barber, Jim FW: FW: Land Application Notification - Permit WQ00345881
lam (JJ Barber, Jim RE Fa LandApplication Notification - Permit WQ00345881 C
[-af (VJ David Crouse Re: RYE table for Cool Season Grass •
@J Barber, Jim RYEtable for Cool Season Grass . •
ea, 0 Williams, Ken... FW: Message from KMBT 423
Barber,Jim Viridian Residuals annual report: WQ0035881
- Barber, Jim. RE Verdian Residuals Management Services -
a ROB TAYLOR RE EW: Land Application Notification - Permit WQ00345881
Q • ROB TAYLOR RE Land application episode
Barber, Jim RE NCDA regional agronomist
• Wirehaar@a.:. Re: NCDA regional agronomist -
• ROB TAYLOR land appliation episode •
Barber, Jim - RE Land application eventwqo0345881 viridian
[a� (uJ Doby, Troy Viridian Residual Management5enrices, Inc. WQ0035881
Doby, Troy' Viridian Residual Management Services, Inc WQ0035981
• @ Rob:Taylorr W00035588I U3idated Maps
Hark, William RE 100 yrFloodptans,
[a.: (JJ Barber; Jim 1 oadplam•
• Barber Jim /adiiitional lnformationjy - •
• Barber Jim NCDA regional agronomist
a 0 Barber, Jim FW: Waiver updated map
[(;t!�J l3arber; hm ndlaniR'esiduals &are
Faitlake�.^rJfP
l_ RobTaylor Waiver updatedmap
Barber, Jim _ David Chatellier farm visit
Read - Up -
Tags
Search People
Address Book '
T Filter Email -
Find
•
s
Search Viridian Residuals Management W0003... Q
Current Fc
I RECEIVED I SIZE I CATEGORIES I MENTION .
Tue 3i6/2016.8:..' 56 KB ' ❑ 0.
Tue 3/8201612..: 2 MB ❑ lk
Tue3/8/201612... 2MB - ❑ 10
Tue3/8201612.- 78 KB ❑ 11.
Tue 3/8201612... 2 MB ❑ I.
Tue318201610..2MB ",❑ I.
- •_Mon3/7/20164... 15 KB ' ❑. - Ow
Mon 317/20/6 4... 30 KB ❑
Mon31/20161...34KB ❑ P.
Thu 9/102015 5... 41 KB . ❑
Thu 9/102015 5,.. 26 KB ❑ lw
Thu 9/10/2015 2... 45 KB ❑ 11.
Thu9/10/20151... 28 KB ❑ lio
Fri 7/10/2015.12... 14 KB ❑
Wed 6/172015 .:. 5 MB ❑ '
Wed 6/17/2015.... 42 KR ❑ • ,
Thu 5/28/20151... 1 MB = ❑ : .
Thu 5282015 9... 29 KB ❑ . • i
Wed 5/Z7/2015 ... 1 MB ❑ 10.
Wed 5/27/2015 ... 3 MB ❑
Wed 5/27/2015 ... 573 KB ❑ 0.
Wed 5272015 ... 3 MB ❑
Wed 5/27/2015 ... 2 MB ''?
Tire 526/2015 7... 883 KB r
• Tue 5/12/2015 9... 12 KB ' l 0.
Iv
f E Reply l Reply All et Forward IM
Wed 5/27201511:03 AM
BJ J .. Barber, Jim
jQ Viridian Residuals Management - Spring Lake WWTP
To 0 Hart, William
Cc 0 May, David; 0 Henson, Belinda (belinda.hensontancdenr.gov)
0 You forwarded this message on 9/6/2017 11:35 AM.
1 a P5210001.JPG
89 KB •
• b__: OS11 nrtt17 Ior
1111 P5210002JPG
93 KB
I I
oe- lnnnn :or:
P5210003JPG
90 KB
P5210004.JPG
91K8
- I mar, I 1171111.1.

Water Resources
ENVIRONMENTAL QUALITY
November 6, 2017
WILLIAM ZELL — INTERIM TOWN MANAGER
TOWN OF SPRING LAKE
PO BOX 617
SPRING LAKE, NORTH CAROLINA 28390-0617
Dear Mr. Zell:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject: Acknowledgement of
Application No. WQ0001086
Town of Spring Lake RLAP
Residuals Management System
Cumberland County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on November 6, 2017. Your application package has been assigned the
number listed above, and the primary reviewer is Troy Doby.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Troy Doby at [phone] or [e-mail].
Sincerely,
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
cc: ayettevill'e Reg>onal=0ffce Water Quality Regional Operahons‘Sect otl
Permit File WQ0001086
Nothing Compares -- .
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

RECEVEDIltDEUDIIR
Wit _62.017
Non-DisctiUnit
APPLICATION FOR
RESIDUALS LAND APPLICATION PROGRAM
PERMIT MODIFICATION — LAND TRANSFER
TOWN OF SPRING LAKE WWTP
PERMIT NO. WQ0001086
WMSS Project No. 15-16
Prepared for:
Town of Spring Lake
Post Office Box 617
Spring Lake, North Carolina 28390-0617
Prepared by:
Willcox & Mabe Soil Solutions, PLLC
7231 B Summerfield Road
Summerfield, North Carolina 27358
willcox&mabe
SOIL SOLUTIONS
October, 2017

.4
willcox&mabe
SOIL SOLUTIONS
October 17, 2017
NCDEQ/DWR
Water Quality Permitting Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Non -Discharge Permitting Unit
Reference: Application for Residuals Land Application Program
Permit Modification — Land Transfer
Town of Spring Lake WWTP
Permit No. WQ0001086
WMSS, PLLC Project No. 15-16, Phase: 02
Non -Discharge Permitting Unit:
REcE}V
1\10\1 - 6 2017
Nischarge
e�►itting unit
Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting the enclosed Residuals Land
Application Program Permit Modification Application for the Town of Spring Lake WWTP
(Spring Lake) on behalf of Spring Lake. The application package includes information for
the transfer of three fields (28.6 net acres)(Site 5, Fields 1-3). Each of the three fields was
previously permitted under Permit No. WQ0035881 for Veridian Residual Management
Services, Inc. No changes are requested for the currently permitted source for the Town of
Spring Lake, with current annual volume of 287 dry tons.
If there is any further information required or questions regarding this application please do
not hesitate to contact Spring Lake, Mr. Richard Mendez at [phone], or WMSS at
[phone] for further assistance.
Sincerely,
Willcox & Mabe Soil Solutions, PLLC
wimatiy
Martin Mabe i€P1✓ Rob Willcox, L.S.S.
Agronomist Soil Scientist
cc: Town of Spring Lake
WMSS Projects\2015\15-16 Town of Spring Lake\Phase 02-Land Transfer\15-16 Town of Spring Lake Residuals Land
Application Program - Modification Oct-2017.doc
Willcox & Mabe Soil Solutions, PLLC / 1205 W. Bessemer Avenue, Suite 202 / Greensboro, NC 27408 / Rob 336.339.9128 or
Martin 336.312.1396 /www.willcoxmabesoil.com

TABLE OF CONTENTS
Page 1
APPENDIX TITLE
I RESIDUALS LAND APPLICATION PROGRAM
APPLICATION FORM
(FORM: RLAP 06-16)
OPERATION AND MAINTENANCE PLAN (No Updates)
COPY OF EXISTING PERMIT
(PERMIT NO. WQ0001086)
II LAND APPLICATION SITE CERTIFICATION
(FORM: LASC 06-16)
Transfer Site
III DAVID CHATELLIER (SITE 5, FIELDS 1-3)
LANDOWNER AGREEMENT
(FORM: LOA 06-16)
SITE MAPS
SETBACK WAIVER — (SITE 5, FIELD 3)
CUMULATIVE POLLUTANT LOADING RATES (ALL FIELDS)

APPENDIX 1
RESIDUALS LAND APPLICATION PROGRAM
APPLICATION FORM
(FORM: RLAP 06-16)
OPERATION AND MAINTENANCE PLAN (No Updates)
COPY OF EXISTING PERMIT
(PERMIT NO. WQ0001086)

RESIDUALS LAND APPLICATION PROGRAM
APPLICATION FORM
(FORM: RLAP 06-16)

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
R C l15AT1RIf 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INST tf TIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
Non-UIscnal ye
Please use the following instructions as a check(ligtordjeklIlitensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
E Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An alternate
person may bedesignated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T .0106(b).
El If this project is for a modification of an existing permit, submit one copy of the existing permit.
ID Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
0r Submit a check, money order 'or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification
New Permit
Major Modification 1
Major (land are permitted for > 300 acres)
$1,310
$395
Minor (land are permitted for < 300 acres)
$810
$245
1 - A major modification shall be defined as any permit modification that: increases the generating facility's residuals 'dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC 1C .0300) N/A
O Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also,,include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16
Page 1 of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
lFor Modification Application, if there are any changes to the existing plan, submit an updated O&M plan. (No changes)
❑ Submit the O&M Plan in accordance with 15A NCAC 02T .1110 and include at a minimum:
❑ Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
❑ Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals, signs, etc.
❑ Spill response plan; including control, containment, remediation, emergency contact information, etc.
Q. Inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
[( Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles ofpersonnel responsible for conducting the sampling and monitoring.,
❑ Detailed description of monitoring procedures including parameters to be monitored.
Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination N/A
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.1102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
[[ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information N/A
0 Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages) N/A
❑ Submit three (3) sets of standard size plans and two (2) sets of 11" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within therland application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
D Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
O Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
O A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
N/A
Q Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity) N/A
El Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: http://www.ncwater.org/Rules Policies and Regulations/. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system) N/A
Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .1104(d)(2). For Modifications, submit an updated site map
specific to the modification(s) only.
Q - The design documents must include the following minimum items:
Q Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
Q Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
0 Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
Q Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems) N/A
Q Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy
available at: http://www.ncwater.org/Rules Policies and_Regulations/.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components) N/A
Q Property ownership documentation shall consist of one of the following:
Q Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
Q An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(f), or
Q A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16
Page 3 of 3

t•,
State of North Carolina
Department of Environmental Quality
DDivision of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Spring Lake
Applicant type: Q Individual ❑ Corporation ❑. General Partnership ❑ Privately -Owned Public Utility
Ej Federal 0 State [ Municipal Q County
Signature authority's name per 15A NCAC 02T .0106: William Zell Title: Interim Town Manager
Applicant's mailing address: P.O Box 617
City: Spring Lake State: NC Zip: 28390-0617
Telephone number: [phone] Email Address: [e-mail]
2. Consultant's name: Rob Willcox License Number (for P.E.): N/A
Affiliation: ❑ On Staff ® Retained (Firm: Willcox & Mabe Soil Solutions, PLLC)
Consultant's mailing address: 7231B Summerfield Road
City: Summerfield State: NC Zip: 27358
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name: Martin Mabe License Number: N/A
Affiliation: ❑ N/A ❑ On Staff ® Retained (Firm: Willcox & Mabe Soil Solutions,_PLLQ)
Agronomist's mailing address: 7231B Summerfield Road
City: Summerfield State: NC Zip: 27358
Telephone number: [phone] Email Address: [e-mail]
4. Soil Scientist's name: Rob Willcox License Number: 1098
Affiliation: ❑ N/A ❑ On Staff ® Retained (Firm: Willcox & Mabe Soil Solutions, PLLC)
Soil Scientist's mailing address: 7231B Summerfield Road
City: Summerfield State: NC Zip: 27358
Telephone number: [phone] Email Address: [e-mail]
5. Fee submitted: $245.00 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, ❑ renewed permit
RECEIVEDINCDEQIDWR
NOV - 6 2017
Non -Discharge
Permitting Unit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0001086
Date of most -recently issued permit: August 29, 2014
Date of most -recently certified Attachment A (if different than the permit): same
Date of most -recently certified Attachment B (if different than the permit): March 8, 2016
FORM: RLAP 06-16 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: Harps Street
City: Spring Lake State: NC Zip: 28392-0617
Coordinates: Latitude: 35° 11' 47" Longitude: 78° 57' 58"
Datum: NAD 83 Level of accuracy: nearest second
Method of measurement: MAP
2. County where residuals land application program is headquartered: Cumberland
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Richard E. Mendez
Town of Spring Lake
ORC-989275
Back -Up ORC
Michael Kevin Criscoe
Town of Spring Lake
Grade IV 14096 / LA 15683
Additional Back -Up
ORCs
(if applicable)
[
[
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test: 1 1
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 287 dry tons per year.
PAN
Pounds. of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
44.78
67.58
12,852
19,395
Five -Year Maximum Adjusted
58.32
81.12
16,738
23,281
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
Row Crops
106.3
r
Hay
151.1
Proposed Transfer - 9.1
Pasture
19.35
Proposed Transfer — 19.5
Total:
276.9
Methods
Surface
276.9
1
Incorporation or Injection
0
Total:
276.9
FORM: RLAP 06-16 Page 2 of 5

c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
(lbs PAN/ac-yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
257.0
387.9
334.8
465.6
100
128.5
194.0
167.4
232.8
150
85.7
129.3
111.6
155.2
200
64.3
97.0
83.7
116.4
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.): r 1
7. Specify type of residuals program (See Instruction F): lz Non -dedicated [] Dedicated
If Dedicated, specify the following (check all that apply):
0 Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain; I
Q Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain; l
[[ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain; l i
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source) (N/A)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.(Appendix II)
Land Application Siite
Certification. doc
FORM: RLAP 06-16
Page 3 of 5

i-�
jl
Li
t_)
Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM (N/A)
1. The irrigation system is: D Spray El Drip
2. Disposal system is: [l existing Q proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet
below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
[] Yes or [] No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified: [ 1
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
(in/hr)
- Recommended
Loading Rate
(in/yr)
l
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
Yes or No If No, explain why 15A NCAC 02T .0505(n) is not met: { 1
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field /Zone
Design Area
(ft2)
Number of
Nozzles
Maximum Application
Rate (gallons/hr)
Design Annual Loading
Rate (gallons/yr)
C
r
1-
I
r
l
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number.
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft2
1
Nozzle capacity
_ gpm
LJ
Nozzle manufacturer / model
/
1
Elevation of highest nozzle
-1 ft
I i
FORM: RLAP 06-16
Page 4 of 5

n
fl
Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
JYes E No, Explain;
I,
William Zell Interim Town Manager
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Town of Spring Lake -
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature:
,00011100
Date: // /-2-' it 7
FORM: RLAP 06-16 Page 5 of 5

SPRING LAKE WWTP
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: September 10, 2015
Spring Lake WWTP
Mineralization Rate 0.3
1.73 % Solids
8.2 pH
Permit No. WQ0001086
ininera ,
Nitrogen (TKN)
5.750
57,500.000
115.000
Phosphorus
2.170
21,700.000
43.400
Potassium
0.809
8,090.000
. 16.180
PAN (injected)*
3.379
33,788.000
67.576
PAN (surface)*
2.239
22,388.000
44.776
Ammonia Nitrogen
2.280
22,800.000
45.600
Calcium
7.980
79,800.000
159.600
Calcium Carbonate Eq.
---
---
---
Magnesium
---
6,010.000
12.020
Sodium
---
4,230.000
8.460
Sulfur
---
---
---
Nitrate N / Nitrite N
---
578.000
1.156
Barium
---
---
---
r:
Chloride
---
---
---
Iron
---
---
---
�kie
3 ncen:
Aluminum
---
6,180.00
12.360
r )
Arsenic
---
5.780
---
75
Cadmium
---
2.140
0.004
85
Chromium
---
10.200
---
-
Copper .
---
264.00
0.528
4,300
Lead
---
19.500
0.039
840
Mercury
---
1.300
---
57
Molybdenum
---
2.890
---
75
Nickel
---
15.30
0.031
420
Selenium
---
5.780
---
100
Zinc
---
1,100.00
2.200
7,500
Meritech # 09101593
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Richard Mendez
Client: Town of Spring Lake
300 Ruth Street
Spring Lake, NC 28390
Page 1
Report Date: 10/1/2015
NPDES #: WQ0030970
Date Sample Rcvd: 9/10/2015
Meritech Work Order # 09101593. Sample: Sludge Storage Tank Grab 9/10/15
Parameters Result Analysis Date Reporting Limit Method
% Solids 1.73 % 9/14/15 0.2 % SM 2540B
''' % Volatile Solids 0.78 % 9/14/15 0-100 % SM 2540E
Ammonia, Nitrogen 22,800 mg/kg 9/14/15 10 mg/kg EPA 350.1
TKN 57,500 mg/kg 9/17/15 20 mg/kg EPA 351.1
Nitrate/Nitrite, Nitrogen <578 mg/kg 9/10/15 578 mg/kg EPA-353.2
Nitrogen, total 57,500 mg/kg 9/17/15 20 mg/kg EPA 353.2
Aluminum, total 6,180 mg/kg 9/21/15 2.50 mg/kg EPA 200.7
Arsenic, total <5.78 mg/kg 9/21/15 5.78 mg/kg EPA 200.7
Cadmium, total 2.14 mg/kg 9/21/15 1.16 mg/kg EPA 200.7
Calcium, total 79,800 mg/kg 9/21/15 10 mg/kg EPA 200.7
Chromium, total 10.2 mg/kg 9/21/15 2.89 mg/kg EPA 200.7
Copper, total 264 mg/kg 9/21/15 1 mg/kg EPA 200.7
__J Lead, total 19.5 mg/kg 9/21/15 5.78 mg/kg EPA 200.7
Magnesium, total 6,010 mg/kg 9/21/15 10 mg/kg EPA 200.7
Mercury, total 1.30 mg/kg 9/14/15 0.02 mg/kg EPA 245.1
Molybdenum, total <2.89 mg/kg 9/21/15 2.89 mg/kg EPA 200.7
Nickel, total 15.3 mg/kg 9/21/15 2 mg/kg EPA 200.7
: Phosphorus, total 21,700 mg/kg 9/21/15 2.00 mg/kg EPA 200.7
--'Selenium,
Potassium, total 8,090 mg/kg 9/21/15 20.0 mg/kg EPA 200.7
Selenium, total <5.78 mg/kg, 9/21/15 5.78 mg/kg EPA 200.7
Silver, total 3.76 mg/kg 9/21/15 1.0. mg/kg EPA•200.7
Sodium, total 4,230 mg/kg- 9/21/15 20.0 mg/kg EPA 200.7
- Zinc, total 1,110 mg/kg 9/21/15 0.5 mg/kg EPA 200.7
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Richard Mendez
Client: Town of Spring Lake
300 Ruth Street
Spring Lake, NC 28390
Page 2
Report Date: 10/1/2015
Date Sample Rcvd: 9/10/2015
Meritech Work Order # 09101593
Sample: Sludge Storage Tank Grab
9/10/15
1311- TCLP Metals
Parameter
Arsenic
Barium
Cadmium
Chromium
Lead
Mercury
Selenium
Silver
Results
<0.100 mg/L
0.266 mg/L
<0.020 mg/L
<0.050 mg/L
<0.100 mg/L
<0.02 mg/L
<0.100 mg/L
<0.050 mg/L
Analysis Date Det. Limit Reg. Limit Method
9/18/15
9/18/15
9/18/15
9/18/15
9/18/15
9/21/15
9/18/15
9/18/15
0.100
0.050
0.020
0.050
0.100
0.02
0.100
0.050
5.0
100.0
1.0
5.0
5.0
0.2
1.0
5.0
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 245.1
EPA 200.7
EPA 200.7
Parameter
—,Volatiles 8260
!Semi Vol. 8270
Results
Attached
Attached
TCLP Organics
Analysis Date
9/21/15•
9/25/15
Method
8260
8270
Other Tests
Parameter
-:yanide, total
Flash Point
�gnitability
—Paint Filter Test
nH
sulfide, total
Results
<0.50 mg/L
>140 °F
Will Not Ignite
Free Liquids Present
8.2 S.U.
<10 mg/L
Analysis Date
9/17/15
9/21/15
9/21/15
9/15/15
9/15/15
9/17/15
Reporting Limit
0.50 mg/L
1.0 - 14.0 S.U.
10 mg/L
Method
EPA 335.4
EPA 1020B
EPA 1030
SW-846 9095B
SM 4500 HB
SM 4500 SD
642 Tarnco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Richard Mendez
Client: Town of Spring Lake
300 Ruth Street
Spring Lake, NC 28390
Page 3
Report Date: 10/1/2015
Date Sample Rcvd: 9/10/2015
Meritech Work Order # 09101593
Sample: Sludge Storage Tank
9/10/2015
1311- TCLP Pesticides & Herbicides
Pesticide - SW-846 8081A
Parameter Results
Endrin
Chlordane
Toxaphene
Methoxychlor
Heptachlor
Lindane
<0.002 mg/L
<0.003 mg/L
<0.050 mg/L
<1.00 mg/L
<0.0008 mg/L
<0.040 mg/L
Herbicides - SW-846 8151A
Parameter
Results
2,4-D <1.00 mg/L
2,4,5-TP (Silvex) <0.100 mg/L
Analysis Date Det. Limit Reg. LimitDilution Factor
,9/24/15 0.002 0.02 1
9/24/15 0.003, 0.03 , 1
9/24/15 0.050 0.5 1
9/24/15 1.00 10.0 1
9/24/15 0.0008 0.008 1
9/24/15 0.040 0.4 1
Analysis Date Det. Limit Reg. LimitDilution Factor
\-9/24/15
9/24/15
1.00
0.100
10.0
1.0
hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

MERITECH, INC.
Environmental Laboratories
Laboratory Certificate #165
Client: Town Of Spring Lake
Project: TCLP
'Client Sample ID: Sludge
Sample Collection: 09/10/15
Meritech Sample ID: 09101593
Volatiles: SW-846 8260
Analysis: 09/21 /15
Analyst: VWV
1311 - TCLP Organics
Extracted: 09/15/15
Parameter Result Units Det. Limit Reg. Limit Dilution Factor
- . Benzene < 0.0100 mg/L 0.0100 5.00 10
Carbon Tetrachloride < 0.0100 mg/L 0.0100 5.00 10
Chlorobenzene < 0.0100 mg/L 0.0100 100 10
--, Chloroform < 0.0100 mg/L 0.0100 6.0 10
1,2-Dichloroethane < 0.0100 mg/L 0.0100 0.50 10
j 1,1-Dichloroethene < 0.0100 mg/L 0.0100 0.70 10
Methyl Ethyl Ketone < 0.100 mg/L 0.100 200 10
Tetrachloroethylene < 0.0100 mg/L 0.0100 0.70 10
Trichloroethene < 0.0100 mg/L 0.0100 0.50 10
Vinyl Chloride < 0.0200 mg/L 0.020 0.20 10
-1 Semi-Volatiles: SW-846 8270
N Analysis: 09/25/15 Extracted: 09/15/15
Analyst: PM
Parameter Result Units Det. Limit Reg. Limit Dilution Factor
- 1,4-Dichlorobenzene <0.100 mg/L0.100 7.5 10
Hexachlorobenzene <0.100 mg/L 0.100 0.13 .10
Hexachloro-1,3-butadiene <0.100 mg/L 0.100 0.5 10.
Hexachloroethane <0.100 mg/L 0.100 3.00 10
o-cresol <0.100 mg/L 0.100 200 10
m&p-cresol <0.200 mg/L 0.200 200 10
Total cresols <0.300 mg/L 0.300 200 10
Nitrobenzene <0.100 mg/L 0.100 2.00 10
Pentachlorophenol <0.500 mg/L 0.500 100 10
r Pyridine <0.100 mg/L 0.100 5.0 10
2,4,5-Trichlorophenol <0.100 mg/L 0.100 400 10
2,4,6-Trichlorophenol <0.100 mg/L 0.100 2,00 10
2,4-Dinitrotoluene <0.100 mg/L 0.100 0.13 10
--I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [phone] Fax

Willcox & Mabe Soil Solutions, PLLC
Greensboro, North Carolina
RESIDUAL PAN CALCULATION
Spring Lake WWTP
TKN= 57,500 mg/kg
NH3= 22,800 mg/kg
NO3-NO2-N= 578.0 mg/kg
Min Rate= 0.30
PAN= [min.rate (TKN - NH3) + 0.5 (NH3) + NO3-NO2]
0.30 34,700 11,400
PAN= 22388.00 mg/kg
578.00
Calculate residual nitrogen for years 2,3,4 and 5 following the initial application to determine
the amount of PAN/DT remaining.
2ND YEAR RESIDUAL PAN
PAN= [min.rate (1st year org. - N 2nd year min. - N]
0.15 34,700 10,410
PAN= 3643.50 mg/kg remaining from 1st year application
3RD YEAR RESIDUAL PAN
PAN= [min.rate (2nd year org. - N 3rd year min. - N]
0.08 24,290 3,644
PAN= 1651.72 mg/kg remaining from 1st year application
4TH YEAR RESIDUAL PAN
PAN= [min.rate (3rd year org. - N 4th year min. - N]
0.05 20,647 1,652
PAN= 949.74 mg/kg remaining from 1st year application
5TH YEAR RESIDUAL PAN
PAN= [min.rate (4th year org. - N 5th year min. - N]
0.03 18,995 950
PAN= 524.57 mg/kg remaining from 1st year application
Residual PAN from years 2 thru 5 after the initial application = 6769.52 mg/kg
Application
Method
First Year PAN
(mllkg)
Five Year Maximum
Adjusted PAN
(mg/kg)
Surface
22,388
29,158
Incorporation
33,788
40,558

SAR
SAR Calculation
Na mg/I
Ca mg/I
Mg mg/I
_
73.179
1380.54
103.973
Na
Ca
Mg
SAR
3.182
69.027
8.664
0.510
Na mil eq
Ca mil eq
Mg mil eq
3.182
69.027
8.664
Enter
Enter .% TS.
1.73
Data
Na mg/kg
4230
Ca mg/kg
79800
Mg mg/kg
6010
Job Name:
Spring Lake WWTP
Page 1

Spring Lake WWTP
Permit # WQ0001086
RESIDUALS APPLICATION DATA
287 Dry Tons of residuals to be certified
PLANT AVAILABLE NITROGEN SUMMARY
PAN
Pounds of PAN per DT
(Weighted Average)
Pounds of PAN per Year
Surface -
Incorp. Or Inject.
Surface
Incorp. Or Inject.
First -Year
44.78
67.58
12,852
19,395
Five -Year Maximum Adjusted
58.32
81.12
16,738
23,281
Assumed Application Rate.
(lbs PAN/ac-yr)
Acres Required Using First -Year
PAN Concentrations
Acres Required Using Five -Year
Maximum Adjusted PAN
Surface
Incorp. Or Inject.
Surface
Incorp. Or Inject.
50
257.0
387.9
334.8
465.6
100
128.5
194.0
167.4
232.8
150
85.7
129.3
111.6
155.2
200
64.3
97.0
83.7
116.4

OPERATION AND MAINTENANCE PLAN (No Updates)

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0001086
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land application is occurring. This will
result in one round of sampling to occur before land application commences in order to insure that the residuals are
suitable for land application. Based on the dry tonnage of this plant this will be one sample for all parameters per
year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.)
Arsenic (5.0) 1, 4-Dichlorobenzene (7.5) Nitrobenzene (2.0)
Barium (100.0) 1, 2-Dichloroethane (0.5) Pentachlorophenol (100.0)
Benzene (0.5) . 1,1=Dichloroethylene (0.7) Pyridine (5.0)
Cadmium (1.0) 2, 4-Dinitrotoluene (0.13) Selenium (1.0)
Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0)
Chlordane (0.03) Hexachlorobenzene (0.13 Tetrachloroethylene (0.7)
Chlorobenzene (100.0) Heptachlor (and Its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5)
Chromium (5.0) Hexachlorethane (3.0) 2,4,5-Trichlorophenol (400.0)
M-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0) Lindane (0.4) 2,4,5 TP,( Silvex) (1.0)
p-Cresol (200.0) Mercury (0.2) Vinyl Chloride (0.2)
Cresol (200.0) Methoxychlor (10.0)
2,4-D (10.0) Methyl ethyl ketone (200.0)
The residuals will also be sampled based on the chart below for the following constituents
"'' • .,••a, w"'C' p'C°
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (5AR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
pH
Plant Available Nitrogen (calculation)
Selenium
Sodium
%Total Solids
Total Kjeldahl Nitrogen
Zinc
In order to meet pathogen and vector requirements the material will be sampled for pH to prove that the residuals have met the
pathogen requirements of the permit. The samples will be pulled from the lime stabilization tanks that are currently holding the
residuals. The TCLP, nutrient and metals sample to prove that the material is suitable for land application will be pulled from the
stabilized biosolids holding tanks. The nutrient and metal and TCLP sample will be collected randomly and consist of at least 15
individualsamples mixed together in order to get the composite sample for these parameters. This material is very consistent
based on the fact that it is residuals from the treatment of waste water so there should not be any seasonal fluctuations in these
residuals.
The following people are responsible for sampling:
Richard Mendez

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0001086 Town of Spring Lake
Inspection Plan
Inspections for the land application of residuals will be conducted on a weekly basis at the land application site during the land
application activities of this project. The inspection frequency is based on the time frame that it is going to take to complete the
project and the amount of dry tons to be land applied from this facility. The inspections will consist of inspecting a current field
that is being applied as well as inspecting random fields that have been completed. These inspections will consist of:
1. Verifying that the field loading rates have been done and are correct and completed.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insure that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance
plan.
4. Insure that the field has been flagged properly and that all buffers are being adhered to.
5. Insure that the landowner for the land is still the same as when permitted.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the criteria for land
application.
7. The records will be kept in the project files in the respective office for the project.
8. The Permittee or Inspector shall report bytelephone .to Fayetteville Regional Office at 910-433-3300 as soon as possible
but no later than 24 hours after or the next working day following the occurrence or the first knowledge of the
occurrence of the following.
• Any occurrence with the distribution program resulting in the land application of significant amounts of material
that is abnormal in quantity or characteristics.
• Any failure of the distribution system that results in the release to surface waters.
• Any time that self -monitoring indicates that the facility has gone out of compliance with the permit.
• Any process failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
• Any release that requires immediate reporting outside of normal business hours shall be called In to DENR at 1-
800-662-7956,1-800-858-0368, or;i-919.733-3300. These numbers are to be called in the event of a release to
surface waters, Imminent failure of a storage system when the event occurs outside of normal business hours.
• Within 5 days of the first notice of on occurrence a written response in the form of a letter shall be sent to DENR
outlining the actions taken or purposed actions taken to ensure that the problem does not recur. Persons
responsible for inspections on this protect are as follows:
Richard Mendez

Residuals Sampling Plan
Town of Spring Lake NC Permit WQ0001086
Nutrients and Metals Analysis
Sampling Point: Stabilized biosolids tanks
Sampling Frequency: Yearly
Sample Type: Composite
Lab: Meritech
Pathogen (Lime Stabilization )
Sampling Point: Lime Stabilization Tanks
Sampling Frequency: Per Event
Sample Type: Grab
Lab: Town of Spring Lake
Vector Attraction Reduction( Lime Stabilization)
Sampling Points: Lime Stabilization Tanks
Sampling Frequency: Per event
Sample Type: Grab
Lab: Town of Spring Lake
TCLP + RCI
Sampling Point: Stabilized biosolids tanks
Sampling Frequency: Annually
Sample Type: Composite
Lab: Meritech

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0001086 Town of Spring Lake
Operational Functions
The operation function of this project is going to involve removing the liquid from the stabilized biosolids holding tanks
holding the material and transporting it to the field in spreader trucks. It is going to be spread at agronomic rates that
are determined by the nutrient and metal sample that is current for that monitoring period. Spring Lake residuals are
going to be spread with a liquid applicator that will use pressure to spread the material in such a way to achieve a
consistent spread pattern. The material is going to be land applied on fields that have grass growing on them that are
going to either be grazed or cut for hay for animal feed, some fields may be in row crop production and rates will be
determined by RYE for the crop that is going to be grown for animal consumption.
SAFETY MEASURES
Spring Lake believes in operating in a safety conscious manner and is has all employees participate in quarterly online
safety course that are designed to help its employees recognize safety issues and take steps to prevent accidents from
occurring. In addition all Spring Lake employees have the authority to stop operations if they think any aspect of the
operation is going to cause environmental or personal harm.
Maintenance Schedule
Spring Lake will follow the maintenance schedule as recommended by the fleet manager for the equipment necessary to.
complete the job.

SPILL RESPONSE tPLAN
PROJECT: Town of Spring Lake W00001086
IN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEANUP ACTIVITIES:
The Town of Spring Lake shall take immediate charge and initiate clean-up activities.
2. HALT THE SOURCE OF. THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. 'Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Town of Spring Lake or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEANUP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.
6. NOTIFICATION:
As soon as possible after the spill has occurred.
7. REPORTING:
Spring Lake personnel will notify the Fayetteville Regional Office at 910 433-330 as soon as possible, but not more than
24 hours after, or on the next working day following the occurrence The report shall list all relative information and
actions taken. Spring Lake personnel will file a written report to the Fayetteville Regional office of the NCDENR within
5 days of the occurrence. For after hours reporting the Division's emergency number shall be called to report all
incidences (800-662-7956 or 800-858-0368 or 919-733-3300)

COPY OF EXISTING PERMIT
(PERMIT NO. WQ0001086)

Water Resources
EN V IRONMENTAL iQUA[tT Y
March 8, 2016
ADDISON D. DAVIS, IV — TOWN MANAGER
TOWN OF SPRING LAKE
POST OFFICE Box 617
SPRING LAKE,NORTH CAROLINA 28390-0617
Dear Mr. Davis:
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
Subject: Attachment.B Certification
Permit No. WQ0001086
Town of Spring Lake RLAP
Cumberland County
In accordance with your permit modification request received December 11, 2015, we are
forwarding herewith modified Attachment B, certified March 8, 2016 to Town of Spring Lake for the
subject residuals program.
This certification is being issued to modify Attachment B by:
1. Deletion of three fields in Harnett County totaling 17.6 acres, those sites being 3-1 and 3-2
belonging to Willie Calvin Brinkley and 4-2 belonging to Maybob E. Paye.
2. Addition of four fields in Harnett County totaling 106.3 acres, those sites being 3-4, 3-5, 3-6,
and 3-7 belonging to Willie Calvin Brinkley.
This modified Attachment B shall be effective from the date of certification until January 31, 2020
(i.e. expiration date of the current permit); shall void Attachment B of Permit No. WQ0001086 that was
previously certified on August 29, 2014, and shall be subject to the conditions and limitations as specified
therein and well as those specified in the above -referenced permit. Please replace the Attachment B of
Permit No. WQ0001086 that was issued on August 29, 2014 with this modified Attachment B.
Please note that only the maps for any new residuals -generating sources and/or land application
sites are attached to this letter. It is the Permittee's responsibility to ensure that a complete permit is
created by inserting these documents into the previously issued permit.
If any parts, requirements, and/or limitations contained in this certification or modified Attachment
B are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30
days following receipt of the certification. This request shall be in the form of a written petition, conforming
to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings
at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this
permit shall be fmal and binding.
State of North Carolina I Environmental Quality 1 Water Resources I Water QualityPennitting 1 Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919 807 6464

Mr. Addison D. Davis, IV
March 8, 2016
Page 2 of 2
If you need any additional information concerning this, matter, please contact Troy Doby at (919)
807-6336 or troy.doby(a�ncdenr-.gov. -
Sincerely,
Jay Zimmerman, P.G., Director-
Division of Water Resources
cc: Harnett County Health Department (Electronic Copy)
Fayetteville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Rob Wilcox, LSS — Wilcox& Mabe Soil Solutions, PLLC (Electronic Copy) - - -
Digital Permit Archive (Electronic Copy)
Central Files

ATTACHMENT B - Approved Land Application Sites
Town of Spring Lake.
Certification Date: March 8, 2016
Permit Number: WQ0001086 Version: 3.1 •
Field
1-1
2-1
Owner
Town of Spring Lake
Lessee
County
Cumberland
Latitude
35.197368°
Longitude
-78.964357°
Net
Acreage
8.0
Dominant Soil Series
2-2
2-3
Brooks, Tom
Cumberland
35.205340°
-78.930570°
20.0
WmB - Wickham
Brooks, Tom
Cumberland
35.210300°
-78.931290°
17.2
WaB - Wagram
2-4
Brooks, Tom
Cumberland
35.210350°
-78.934650°
32:0
BaB - Blaney
Brooks, Tom
Cumberland
35.207000°
-78.935600°
8.0
2-5
Brooks, Tom
Cumberland
35.205180°
-78.936450°
13.3
2-6
Brooks, Tom
Cumberland
35.203700°
-78.933610°
13.0
2-8
Brooks, Tom
Cumberland.
35.187450°
-78.952470
5.9
Dp - Duplin
Footnotes
WaB - Wagram
WaB - Wagram
WaB - Wagram
CaB Candor
2-9
Brooks, Tom
Cumberland
35.188000°
-78.956740°
6.5
CaB - Candor
Total for Cumberland County
123.9
3-3
Brinkley, Willie Calvin
Harnett
35.246400°
-79.021900°
13.6
VaB - Vaucluse
3-4
3-5
3-6
3-7
Brinkley, Willie Calvin
Brinkley, Willie Calvin
Brinkley, Willie Calvin -
Brinkley, Willie Calvin
Harnett
Harnett
Harnett
Harnett
35.285278°
35.271389°
35.2279722°
35.283333°
-78:873889°
-78.872222°
=78.872222°
-78:869722°
33.5
23.7
33:9
15.2
FaB - Fuquay
FaB -Fuquay
FaB -Fuquay
FaB -Fuquay
l
1
1
1
4-1
Paye, Maybob E.
Harnett
35.244982°
79:022515
4.5
VaB - Vaucluse
2
Total for Harnett County
124.4
Total
2483
See Figure 1.
2. A•reduced buffer from a residence under separate ownership has been approved for this land application site. Residuals may be land applied to within 100 feet of the residences owned by the
following individuals: Ms. Willie Mae Brinkley of 70 Brinkley Hill Ln, Cameron, NC 28326; Ms. Karen Johns of 66 Brinkley Hill Ln, Cameron, NC 28326; and Ms. Betty Brinkley McMillan of
42 Brinkley Hill Ln, Cameron, NC 28326, regardless of whether a surface or subsurface application method is used.
WQ0001086 Version 3.1
Attachment B
Page 1 of 1

Legend
o Well
■ Dwelling
• Structure
Pond
= _ _ = Access Road
Buffer
nField Boundary
• Property Boundary
SCALE.
I"_5.
DATE
10-19-15
DRAAN aY.
MEM
REVIEW BOUNDARY ehe1 be taUDl4hed arouhdadt Land applleauon mite
midway between the CompUance Boundary end the perimeter of the
Michels old application area.
COMPLIANCE BOUNDARY: The rCompliant* Boundary Nineveh Ian d.application .site
ti ratibllahad ii either 260 fast froie the is ildwh Land epplkiUon a»a retire feet
:w{MM th1'piop®itilircl rj0ary;whkr.La havaolosaat to the YnWUN Nand applkatlon area.
Y"
TOTALACRESBUFFERED ACRES NET ACRES
37J 4.2 335
R::ERE/WE:
C S CAM LAYERS WERE OBTAINEOFROM HARN TTCO.NTY040 WERIDTE. REASE NOTE Tea MAP 13 FOR R6ORRMAncWLL
FUR9031E3OtiY. R 6 NOT MEND FOR DESIGN, LEGAL ORAN' OMER USE& THERE ARE NO GUARANTEES ABOUT ITS
ACCURACY YOASS, PILL ASSJUES NO RESPONBBUTY FOR ANY CEDSOM MACE OR ANY ACTIONS TAKEN EY THE USER alSED
WIN( inSo=GRannoN
Willcox&mabe
SOIL. SOLUTIONS
BUFFER MAP
WILLIE BRINKLEY TRACT
TOWN OF SPRING LAKE
LAND APPLICATION PROGRAM
HARNETTCOUNTY, NORTH CAROUNA
1
0
a
1s
u

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
August 29, 2014
Kenneth L. Metcalf- Town Manager
Town of Spring Lake
Post Office Box 617
Spring Lake, North Carolina 28390-0617
Dear Mr. Metcalf:
[RECEIVED
SEP 16 2014
DENR -FAYETTEVILLE REGIONAL OFFICE
Subject: Permit No. WQ0001086
Town of Spring Lake Residuals
Land Application Program
Land Application of Class B
Wastewater Treatment Plant
Residuals (Non -Dedicated)
Cumberland County
John E. Skvarla, Ill
Secretary
In accordance with your permit renewal request received June 3, 2014, we are forwarding
herewith Permit No. WQ0001086 dated August 29, 2014, to the Town of Spring Lake for the continued
operation of the subject residuals management program, Please note that this renewed permit shall
become effective on February 1, 2015 (i.e. the day after the expiration date of the existing permit), which
differs from the date of this letter.
This permit shall be effective from February 1, 2015 until January 31, 2020, shall void Permit No.
WQ0001086 issued August 19, 2008, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A and B.for
they may differ from the previous permit issuance. Failure to establish an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
Please note that Site 2-7 has been removed from the program due to setbacks imposed on the site
by recent development on nearby properties.
Please also note that on September 1, 2006, North Carolina Administrative Code Title 15A
Subchapter 02T - Waste not Discharged to Surface Waters was adopted. Accordingly, this permit
incorporates the requirements of these rules; therefore, please take the time to review this permit
thoroughly. The following conditions have been added, modified or deleted from those in the last permit
issuance:
> Condition [.1. - describes the procedure and schedule for renewing the permit
> Condition I.2. - requires compliance with the regional office notification requirements
• Condition 1.3. - an Operation and Maintenance plan must be submitted
• Condition 1.4. - requires compliance with the site signage requirements
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] Internet- htto:Hnortal.nedenr.orolwebAvq
An Equal Opportunity lAifirmative Action Employer— Made in part with recycled paper

Mr. Kenneth Metcalf
August 29, 2014
Page 2 of 3
➢ Condition II.1. — the program shall be effectively maintained and operated
A. Condition II.5. — lists the ceiling concentrations and cumulative pollutant loading rates
A Condition 11.6. -pathogen reduction requirements are listed in Attachment A
A. Condition II.7. — vector attraction reduction requirements must also be met
➢ Condition II.10. — agronomic rates must be calculated using Realistic Yield Expectations
A. Condition II.11. — the rate of nitrogen uptake is reduced on grazed pasture application areas
A. Condition 11.12. — double -cropped fields shall have special nitrogen uptake calculations
9 Condition II.13. — residuals with a high sodium adsorption ratio require special application
➢ Condition 1171.1. — the program shall be properly and effectively maintained and operated
Condition 111.2. — notification is required 48 hours prior to initial application to a new site
A. Condition III.3. — notification is required 24 hours prior to any application event
A Condition 111.4. — an approved Operation and Maintenance plan must be maintained
> Condition I1I.5. — an ORC and backup ORC must be retained for the facility
> Condition 111.7. — spill control provisions must be in effect during application events
> Condition III.11. — lists conditions prohibiting the application of bulk residuals
➢ Condition I11.12. — lists the public access restrictions to the application areas
A. Condition II1.13. — lists the signage requirements for controlling public access
A Condition 111.15. — addresses the required information about other nutrient sources
> Condition IV.2. — addresses the testing of residuals for TCLP constituents
➢ Condition IV.3. — addresses the testing of residuals for metals and other constituents
A. Condition W.4. — addresses monitoring for pathogen and vector attraction reduction
➢ Condition IV.5. — addresses the annual soil testing requirements
➢ Condition IV.6. — lab analyses must be performed by approved laboratories
> Condition IV.7. — lists the minimal requirements for recording each land application event
> Condition IV.8. — three copies of an annual report shall be submitted each year
> Condition IV.9. -- addresses non-compliance events and actions to be taken
➢ Condition V.1. — adequate facility inspection and maintenance shall be provided

Li I
k t
Mr. Kenneth Metcalf
August 29, 2014
Page 3 of 3
• Condition V.2. — residuals storage, transport and application facilities shall be inspected
• Condition VI.5. — any change in ownership requires a permit modification
> Condition VI.7. — the permit is.subject to revocation or modification under certain conditions
Condition V1.8. — the program may not be expanded under certain. circumstances
Condition VI.9. — the annual permit fee is due thirty days after the billing date
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the fonn of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact David Goodrich at (919)
807-6352 or by email at [e-mail].
Sincerely,
j Thomas A. Reeder, Director
Division of Water Resources, NCDENR
cc: Cumberland County Health Department
Fayetteville Regional Office, Water QualityRegiional Operations Section
Zachary Fuller MacConriell & Associates, P.O. Box 129, Morrisville, NC 27560
Beth Buffington, Public Water Supply Section — Protection and Enforcement Branch
Permit File WQ0001086
Notebook File WQ0001 086

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF CLASS B WASTEWATER TREATMENT PLANT
RESIDUALS PERMIT (NON -DEDICATED)
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town of Spring Lake
Cumberland County
FOR THE
continued operation of a residuals management program for the Town of Spring Lake and consisting of
the land application of Class B Wastewater Treatment Plant residuals generated by the approved facilities
listed in Attachment A to the approved sites listed in Attachment B with no discharge of wastes to surface
waters, pursuant to the application received June 3, 2014, and in conformity with other supporting data
subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit. The use and disposal of residuals are regulated under Title 40 Code of
Federal Regulations Part 503. This permit does not exempt the Permittee from complying with the federal
regulations.
This permit shall be effective from February 1, 2015 until January 31, 2020, shall void Permit No.
WQ0001086 issued February 8, 2006, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
1. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit, renewal
application.
2. The permittee shall be in full compliance with the regional office notification requirements
established in 'Condition 111.3. within 90 days of the effective date of this perniit.
3. The permittee shall submit the Operation and Maintenance (O&M) plan as required in Condition
[II.4. to the Division within 90 days of the effective date of this pemiit.
4. The permittee shall be in full compliance with the signage requirements established in Condition
I1I.13. within 180 days of the effective date of this permit.
WQ0001086 Version 3.0
Shell Version 140324 Page 1 of 11

II. PERFORMANCE STANDARDS
1. The subject residuals management program shall be effectively maintained and operated at all times
so there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, the Pemiittee shall immediately cease land
applying residuals to the site, contact the Fayetteville regional office supervisor, and take any
immediate corrective actions.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this residuals management program.
3. Only residuals generated by the facilities listed in Attachment A are approved for land application in
accordance with this permit.
4. Only the sites listed in Attachment B are approved for residuals land application.
5. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not
exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant
Loading Rates (CPLRs):
Parameter
Ceiling Concentration
(milligrams per kilogram)
CPLR
(pounds per acre)
Arsenic
75
36
Cadmium
85
34
Copper
4,300
1,338
Lead
840
267
Mercury
57
15
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
89
Zinc
7,500
2,498
The Permittee shall determine compliance with the CPLRs using one of the following methods:
a. By calculating the existing cumulative level of pollutants using actual analytical data from all
historical land application events of residuals, or
b. For land where residuals application have not occurred or for which the required data is
incomplete, by determining background concentrations through representative soil sampling.
6. Residuals that are land applied shall meet Class B pathogen reduction requirements in 15A NCAC
02T .1106 (a) and (c). Exceptions to this requirement shall be specified in Attachment A.
7. Biological residuals (i.e. residuals generated during the treatment of domestic or animal processing
wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A)
that are land applied shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T
.1107(a). Exceptions to this requirement shall be specified in Attachment A.
WQ0001086 Version 3.0
Shell Version 140324 Page 2 of 11

8. Setbacks for Class B land application sites shall be as follows:
Setback Description
Setback by application type
(feet)
Vehicular
Surface
Application
Irrigation
Surface
Application
Injection 1
Incorporation
Habitable residence or place of public assembly
under separate ownership or not to be maintained as
part of the project site
400*
400*
200*
Property lines
50
50
50
Public right of way
50
50
50
Private or public water supply source, waters
classified as SA or SB, and any Class I or Class II
impounded reservoir used as a source of drinking
water
100
100
100
Surface waters (streams — intermittent and perennial,
perennial waterbodies, and wetlands), streams
classified as WS or B , or any other stream, canal,
marsh or coastal waters or any other lake or
impoundment
100
100
50
Upslope interceptor drains and upslope surface water
diversions (ephemeral streams, waterways, ditches)
10
10
10
Downslope interceptor drains, downslope surface
water diversions, downslope groundwater drainage
systems, or downslope surface drainage ditches
25
25
25
*Setback requirement tnay be reduced to a minimum of 100 feet upon written consent of the owner
and approval from the Water Quality Regional Operations Section of the appropriate Division's
regional office in Attachment B of this permit.
9. Land application areas shall be clearly marked on each site prior to and during any residuals
application event.
10. Bulk residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in
exceedance of agronomic rates. Appropriate agronomic rates shall be calculated using expected
nitrogen requirements based on the determined Realistic Yield Expectations (RYE) using any of the
following methods:
a. Division's pre -approved site specific historical data for specific crop or soil types by calculating
the mean of the best three yields of the last five consecutive crop harvests for each field.
b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department of Soil Science (http://nutrients.soil.ncsu.edu/yields/index.php).
A copy shall be kept on file and reprinted every five years in accordance with Condition IV.6.
c. If the RYE cannot.be determined using methods (a) or (b) above, the Permittee may use' the RYE
and appropriate nutrient application rates reported in any of the. following documents:
i. Crop management plan as outlined by "the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
WQ0001086 Version 3.0
Shell Version 140324 Page 3 of 11

ii. Waste Utilization Plan as outlined by the Senate Bi11 1217 Interagency Group - Guidance
Document: Chapter 1
(http://www.ncagr.gov/SWC/tech/documents/9th Guidance Doc 100109. df).
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards (ftp://ftp-fc.sc.egov.usda.gov%NHQ/practice-standards/standards/590.pdf).
d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall
contact the Division to determine necessary action.
11. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by
25% in accordance with the USDA-NRCS 590 Nutrient Management Standards.
12. If land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer
and rye grass in the winter with both crops to receive residuals), then the second crop can receive an
application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may
be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted
for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied.
13. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the
Pennittee shall obtain and implement recommendations from at least one of ;the following: the local
Cooperative Extension Office; the Department of Agriculture and Consumer Services; the Natural
Resource Conservation Service; a North Carolina Licensed Soil Scientist; or an agronomist. The
recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a
mechanism for maintaining site integrity and conditions conducive to crop growth. The Permittee
shall maintain written records of these recommendations and details of their implementation.
14. The compliance boundary for residual land application sites shall be specified in accordance with
15A NCAC 02L .0107(b). These sites were individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the residual land application
area, or 50 feet within the property boundary, whichever is closest to the residual land application
area. An exceedance of groundwater standards at or beyond the compliance boundary is subject to
remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C. Any approved
relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B.
15. In accordance with 15A NCAC 02L .0108, the review boundary shall be established midway between
the compliance boundary and the residual land application area. Any exceedance of groundwater
standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106.
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards.
2. The Fayetteville Regional Office, telephone number [phone], and -the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at feast
48 hours prior to the initial residuals land application to any new land application site. Notification to
the regional supervisor shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday,
excluding State Holidays.
WQ0001086 Version 3.0 Shell Version 140324 Page 4 of 11

3. The Fayetteville Regional Office shall be notified via email or telephone, [phone], at least 24.
hours prior to conducting any land application activity. Such notification shall indicate, at a
minimum, the anticipated application times, field IDs, and -location -of land application activities. If it
becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be
notified prior to commencing the application to those fields.
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T .1110. Modifications to the O&M Plan shall be approved by the Division prior to
utilization of the new plan. The O&M Plan, at the minimum, shall include:
a) Operational functions;
b) Maintenance schedules;
c) Safety measures;
d) Spill response plan;
e) Inspection plan including the following information:
i. Names and/or titles of personnel responsible for conducting the inspections;
ii. Frequency and location of inspections, including those to be conducted by the ORC, and
procedures to assure that the selected location(s) and inspection frequency are representative
1t of the residuals management program;
iii. Detailed description of inspectionprocedures including record keeping and actions to be
taken by the inspector in the event that noncompliance is observed pursuant to the
noncompliance notification requirements under the monitoring and reporting section of the
permit;
f) Sampling and monitoring plan including the following information:
Names and/or titles of personnel responsible for conducting the sampling and monitoring;
ii. Detailed description of monitoring procedures including parameters to be monitored;
iii. Sampling frequency and procedures to assure that representative samples are being collected.
Fluctuation in temperature, flow, and other operating conditions can affect the quality of the
residuals gathered during a particular sampling event. The sampling plan shall account for
any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that
land apply multiple tithes per year but have an annual sampling frequency, may need to
sample during winter months when pathogen reduction is most likely to be negatively
affected by cold temperatures).
5. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the facility, the Permittee shall designate and employ a certified operator in
responsible charge (ORC) and one or more certified operators as back-up ORCs in accordance with
15A NCAC 08G .0201. The ORC or their back-up shall visit the facilities in accordance with 15A
NCAC 08G. 0204, or as specified in the most recently approved O&M plan (i.e., see Condition
I11.4.), and shall comply with all other conditions of 15A NCAC 08G. 0204. For more information
regarding classification and designation requirements, please contact the Division of Water
Resources' Technical Assistance & Certification Unit at [phone].
6. When the Permittee land applies bulk residuals, a copy of this permit and a copy of O&M Plan shall
be maintained at the land applicationsites during land application activities,
7. When the Permittee transports or land applies bulk residuals, the spill control provisions shall be
maintained in all residuals transport and application vehicles.
8. ResiduaIs shall not be stored at any land application site, unless written approval has been requested
and received from the Division.
WQ0001086 Version 3.0 Shell Version 140324 Page 5 of 11

9. When the Permittee land applies bulk residuals, adequate measures shall be taken to prevent wind
erosion and surface runoff from_ conveying residuals from the land application sites onto adjacent
properties or into surface waters.
10. When the Permittee land applies bulk residuals, a suitable vegetative cover shall be maintained on
land application sites onto which residuals are applied, or application shall be in accordance with the
crop management plan outlined by the local Cooperative Extension Office, the Department of
Agriculture and Consumer Services, the Natural Resource Conservation Service, or an agronomist
and as approved by the Division.
11. Bulk residuals shall not be land applied under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance 'conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated within
a 24-hour period following a residuals land application event;
f. During a measurable precipitation event (i.e., greater than 0.01 inch per hour), or within 24 hours
following a rainfall event of 0.5 inches or greater in a 24-hour period;
g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than
18% for injected or incorporated bulk liquid residuals;
h. If the 'soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to
achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the
pH of the soil, residuals and lime mixture is suitable for the specified crop. Any approved
variations to the acceptable soil pH (6.0) will be noted in this permit;
i. If the land does not have an established vegetative cover unless the residuals are incorporated or
injected within a 24-hour period following a residuals land application event. Any field that is in.
a USDA no -till program shall be exempted from meeting this vegetative cover requirement;
j. If the vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot;
k. If the vertical separation of bedrock and the depth of residuals application is less than one foot;
I. Application exceeds agronomic rates.
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g.,
1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information,including the Permittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each Iand application site during a land
application event, and for as long as the public access restrictions required under III.12 apply.
WQ0001086 Version 3.0
Shell Version 140324 Page 6 of 11

14. The following harvesting and grazing restrictions apply to residual land application sites after each
land application event:
Harvesting and Grazing Description (
Restricted
Duration
Animals shall not be allowed to graze ducting land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
prevent access after each land application event.
30 days
Food crops, feed crops and fiber crops shall not be harvested for:
- 30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
shall not be harvested for:
14 months
When the residuals remain on the land surface for four months or longer prior to
incorporation into the soil, food crops with harvested parts below the land
surface (e.g., root crops such as potatoes, carrots, radishe, etc.) shall not be
harvested for:
20 months
When the residuals remain on the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
surface shall not be harvested for:
38 months
15. The Pennittee shall acquire from each landowner or lessee/operator a statement detailing the volume
of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal wasteproducts) that
have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for
those operations where a NMP is required by the US Department of Agriculture — National Resources
Conservation Service (NRCS) or other State Agencies. The Permittee shall calculate allowable
nutrient loading rates based on the provided information and use appropriate reductions.
.ti
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan.
16. No residuals shall be land applied unless the submitted Land Owner Agreement Attachment (LOAA)
between the Pernittee and landowners or lessees/operators of the land application site is in full force
and effect. These agreements shall be considered expired concurrent with the permit expiration date,
and shall -be renewed during the permit renewal process.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sample reporting schedule shall be followed.
2. Residuals shall be analyzed to demonstrate they are non -hazardous under the Resource Conservation
and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity, and toxicity
characteristic leaching procedure (TCLP)I shall be performed at the frequency specified in
Attachment A, and the Perrnittee shall maintain these results for a minimum of five years. Any
exceptions from the requirements in this condition shall be specified in Attachment A.
WQ0001086 Version 3.0 Shell Version 140324
Page 7 of 11

The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter
is in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1,1-Dichloroethylene (0,7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide)
(0.008)
Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0,2)
Vinyl l chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
Once the residuals have been monitored for two years at the frequency specified in Attachment A, the
Pennittee may submit a permit modification request to reduce the frequency of this monitoring
requirement. hi no case shall the monitoring frequency be less than once per perrnit cycle.
3. An analysis shall be conducted on residuals from each source generating facility at the frequency
specified in Attachment A, and the Pennittee shall maintainthe results for a minimum of five years.
The analysis shall include the following parameters:
Aluminum
Mercury
Potassium
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
(SAR)
Calcium
Percent Total Solids
TKN
Copper
pf1
Zinc
Lead
Phosphorus
Magnesium
•
Plant Available Nitrogen
(by calculation).
4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling
and monitoring sections of the approved O&M plan. The required data shall be specific to the
stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen
reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction
requirement in 15A NCAC 02T .1107 (a) shall be met. Any exceptions from the requirements in this
condition shall be specified in Attachment A.
WQ0001086 Version 3,0
Shell Version 140324 Page 8 of 11

5. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis),shall be conducted on
each land application site listed in Attachment B on which a residuals land application event will
occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instructions section of the NC Department of Agriculture &
Consumer Services' website (http://www.ncagr.gov/agronomi/pttbs.htm). The Permittee shall
maintain these results and a description of the sampling methodologies used to determine soil fertility
for a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium ,
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 1 SA NCAC 02B .0505.
7. The Permittee shall maintain records tracking all residual land application events. At a minimum,
these records shall include the following:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Approximate areas applied to (acres);
e. Method of land application;
f. Weather conditions (e.g., sunny, cloudy, raining, etc.);
g. Predominant Soil Mapping Unit (e.g., CbB2);
h. Soil conditions (e.g., dry, wet, frozen, etc.);
i. Type of crop or crops to be grown on field;
J•
J
Nitrogen Application Rate based on RYEs (if using data obtained from the North Carolina State
University Department of Soil Science Website, the printout page shall be kept on file and
reprinted every five years);
k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet
ton per acre; .
1. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or .
wet tons per acre;
m. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, or wet tons per acre; and
n. , Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per
acre of phosphorus applied to each field.
WQ0001086 Version 3.0 , Shell Version 140324 Page 9 of 11

8. Three copies of an annual report shall be submitted on or before March 14. The annual report shall
meet the requirements described in the Instructions for Residuals Application Annual Reporting
Forms. Instructions for reporting and annual report forms are available at
http://portal.nedenr.org/web/wq/aps/lau/reporting, or can be obtained by contacting the Land
Application Unit directly. The annual report shall be submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center - -
Raleigh, North Carolina 27699-1617
9. Noncompliance Notification
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number (910)
433-3300, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. My occurrence with the land application program resulting in the land application of significant
amounts of wastes that are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to surface waters.
c. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent. failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan.
2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and application facilities to prevent malfunctions, facility deterioration
and operator errors resulting in discharges, which may cause the release of wastes to the
environment, a threat to human health or a public nuisance. The Permittee shall maintain an
inspection log that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log
for a period of five- years from- the date of inspection, andl this log shall be made available to the
Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at any reasonable time for the purpose of determining compliance with this permit; may inspect or
copy any records required to be maintained under the terms and conditions of this permit; and may
collect groundwater, surface water or leachate samples.
WQ0001086 Version 3.0
Shell Version 140324 Page 10 of 11

VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the residuals land application events are not carried out in
accordance with the conditions of this permit.
3. This permit is effective only with respect to the nature and volume of residuals described in the
permit application and other supporting documentation.
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCG010000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. En the event the residuals program changes ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate documentation from the parties involved and other
supporting documentation as necessary. The Permittee of record shall remain fully responsible for
maintaining and operating the residuals program permitted herein until a permit is issued to the new
owner.
6. This permit may be modified, revoked, and/or reissued to incorporate any condition, limitations and
monitoring requirements the Division deems necessary in order to protect the environment and public
health adequately.
7. This permit is subject to revocation or unilateral modification upon 60 days' notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
8. Unless the Division Director grants a variance, expansion of the permitted residuals program
contained herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC
02T .0120(b).
9. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division torevoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 29th day of August 2014, effective February 1, 2015
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
j TEiias A. eeder, Director
Division of ter Resources
By Authority of the Environmental Management Commission
Permit Number WQ0001086
WQ0001086 Version 3.0
Shell Version 140324 Page I 1 of 11

V
ATTACHMENT A - Approved Residual Sources
Town of Spring Lake
Certification Date: February 1, 2015
Permit Number: WQ0001086 Version: 3.0
Owner
Town of Spring Lake
Facility Name
'Spring Lake WWTP
County
Cumberland
Permit
Number
NC0030970
Biological
Residuals
Yes
Maximum
Dry Tons
Per Year
287.00
Monitoring
Frequency for
Non -hazardous
Characteristics 2
Annually
Monitoring
Frequency for
Metals and
Nutrients a• s
Annually
Monitoring
Frequency for
Pathogen &
Vector Attraction
Redactions'•s
Total
287.00
Annually
Approved
Mineralization
Rate
(Raw = 0.4;
Aerobic = 0.3;
Anaerobic = 02;
Compost = 0.13
0.30
1.
2.
3.
4.
5.
Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility.
Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and con-osivity) as stipulated under permit Condition IV.2.
Testing of metals and nutrients as stipulated under permit Condition IV.3.
Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IV.4.
Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T .1111)
<319
I/Year
=>319 - <1,650
1/ Quarter (4 times per year)
=>1,650 - <16,500
1/60 Days (6 times per year)
=>I6,500
1/month (12 times per year)
U
If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is required), then no
sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data. Those required to submit the annual
report to EPA may be required to make up the missed sampling, contact the EPA for additional information and clarification.
Page 1 of 1

ATTACHMENT B - Approved Land Application Sites
Town of Spring Lake
Certification Date: February 1, 2015
Permit Number: W000- z n
. V
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Acreage
Dominant Soil Series
Footnotes
1-1
Town of Spring Lake
Cumberland•
35°11'51"
78°57'52"
8.00
Wickham
2-1
Brooks, Tom
Cumberland
35°12'19"
78°55'50"
20.00
Wagram loamy sand, 0 to 6% slopes
2-2
Brooks, Tom
Cumberland
35°12'3T'
78°55'53"
17.20
Blaney loamy sand, 2 to 8% slopes
2-3
Brooks, Tom -
Cumberland
35°12'37"
78°56'05°
32.00
Duplin sandy loam, 0 to 3% slopes
2-4
Brooks, Tom
Cumberland
35°12'25"
78°56'08"
8.00
Wagram loamy sand, 0 to 6% slopes
2-5
Brooks, Torn
Cumberland
35°12'19"
78°56'11"
13.30
Wagram loamy sand, 0 to 6% slopes
2-6
Brooks, Tom
Cumberland
35°12'13"
78°56'01"
13.00
Wagram loamy sand, 0 to 6% slopes
2-8
Brooks, Tom
Cumberland
35°11'15"
78°57'09"
5.90
Candor sand, 1 to 8% slopes
2-9
Brooks, Tom
Cumberland
35°11'17"
78°57'24"
6.50
Candor sand, 1 to 8% slopes
County Total
Cumberland
123.90
3-1
Brinkley, • Willie Calvin
Harnett
35°14'34"
79°01'41"
5.10
Gilead loamy sand, 2 to 8% slopes
3-2
Brinkley, Willie Calvin
Harnett
35°14'42"
79°01'33"
8.20
Vaucluse loamy sand, 2 to 8% slopes
3-38
Brinkley, Willie Calvin ,.
Hamett
35°14'47"
79°01'19"
13.60
Vaucluse loamy sand, 2 to 8% slopes
a
4-1a
Paye. Maybob E
Hamett
35°14'42"
79°01'21"
4.50
Vaucluse loamy sand, 2 to 8% slopes
a
4-2
Paye, Maybob E
Hamett
35°14'38"
79°01'45"
4.30
Gilead loamy sand, 2 to 8% slopes
County Total
Hamett
35.70
Program Total
•
159.60
a A reduced buffer from a residence under separate ownership has been approved for this land application site. Residuals may be
land applied to within 100 feet of the residences owned by the following individuals: Ms. Willie Mae Brinkley of 70 Brinkley Hill Ln,
Cameron NC 28326, Ms. Karen Johns of 66 Brinkley Hill Ln, Cameron NC 28326 and Ms. Betty Brinkley McMillan of 42 Brinkley
Hill Ln, Cameron NC 28326, regardless of whether a surface or a subsurface application method is used.
Page 1 of 1

APPENDIX 11
LAND APPLICATION SITE CERTIFICATION
(FORM: LASC 06-16)

LAND APPLICATION SITE CERTIFICATION
(FORM: LASC 06-16)

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in, accordance with 15A NCAC 02T .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
• Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ For new or renewed permits, submit the requested information for all land application sites.
® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
• New (N) • Renewed (R) • Modified (M) • Transferred (T) • Deleted (D)
❑ Attach the following in accordance with each status code:
Required Item
Status Code
N
R
T
M
•
doc
County Board
Notification.
✓
✓
✓
Land Owner
Agreement
(If applicable)
w_.4.
✓
✓
✓
✓
Setback Waiver
Agreement
An updated
for Residuals
vicinity/setback map in accordance with the "Map Guidance
✓
/
✓
*
Land Application Permits"
A soils and
Evaluation Policy"
agronomic evaluation in accordance with the "Soil Scientist
✓
*
INSTRUCTIONS FOR FORM: LASC 06-16
Page 1 of 3

An updated accounting of the land application site's cumulative
pollutant loading rates (CPLRs)
Required Item
Status Code
N
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
✓
✓
✓
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same time period)
✓
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
® Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
❑ Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only) (N/A)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: http://deq.nc.gov/about/divisions/water-
resources/planning/classification-standards/classifications
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http://deq.nc.gov/contact/regional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link http://deq.nc.gov/about/divisions/water-resources/planning/classification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
} 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
El Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301(i).
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
I(B) unnamed freshwaters tributary to tidal saltwaters willbe classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
r
f!
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pasquotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16
Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name:
Land application sites currently certified: * . ,: net acres and Total to be certified: NW net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field
ID
Landowner(s)
Lessee(s) Operator(s) or O s)
Net Acres
Countys)
Crop(
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope°
T
05-01
David Chatellier
9.1
Harnett
Bermuda - Hay
Gilead
GaB
T
05-02
David Chatellier
?a' ; ':
7.2
Harnett
Centipede - Pasture
Gilead
GaB
T
05-03
David Chatellier
12.3
Harnett
Centipede - Pasture
Gilead
GaB
N
N
S ,''
N
N
®
1�
N
®'
®?
a Status Code for land application sites are: • N (New) • R (Renewed) • M (Modified) • T (Transferred) • D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
° Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and
Class
Pro osed
p
05-01
35° 16' 22"
78° 59' 57"
NAD 83
MAP
Nearest Second
Unnamed trib to McLeod Creek/18-23-29-1
C
05-02
35° 16' 25"
78° 59' 53"
NAD 83
MAP
Nearest Second
Unnamed trib to McLeod Creek/18-23-29-1
C
05-03
35° 16' 25"
78° 59' 75"
NAD 83
MAP
Nearest Second
Unnamed trib to McLeod Creek/18-23-29-1
C
; ,,,.
b 0 i I II
��
�° �� '01I II
'K
NAD 83
ADD
Nearest Second
° " ' ' I
° ' J '
NAD 83
ADD
Nearest Second
0•'
° ' "
NAD 83
ADD
Nearest Second
{0 ' "
° ' "r "
NAD 83
ADD
Nearest Second
' r"'
° ' �:"
NAD 83
ADD
Nearest Second
® .
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 06-16
Page 1

(/
APPENDIX 111
Transfer Site
DAVID CHATELLIER (SITE 5, FIELDS 1-3)
LANDOWNER AGREEMENT
(FORM: LOA 06-16)
SITE MAPS
(Vicinity Map)
(USGS Topography Map)
(NRCS Soil Survey Map)
(Buffer/Setback Map)
SETBACK WAIVER — (SITE 5, FIELD 3)
CUMULATIVE POLLUTANT LOADING RATES

DAVID CHATELLIER (SITE 5, FIELDS 1-3)
LANDOWNER AGREEMENT
(FORM: LOA 06-16)

DWR
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This document is an agreement between the Applicant and land owner(s), of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with I5A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Town of Spring Lake
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
Site 5 / Field 1
No
Pasture/Hay
Cattle Feed
Spring Lake WWTP
Site 5 / Field 2
No
Pasture/Hay
Cattle Feed
Spring Lake WWTP
Site 5 / Field 3
No
Pasture/Hay
Cattle Feed
Spring Lake WWTP
The landowner or his representative receives, in consideration, full use of the nutr'ent value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16
Page 1 of 3

1. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636
Mail Service Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. if the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to,the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination o'f, this Agreement.
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for Tess than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
II1.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
I5A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
® The land application field(s) ID: 1504HARNSP-Fields A, AB and AC , is currently permitted under another residuals
land application program; Permit Number WQ: 0035881 . The land owner hereby acknowledge that by signing this agreement,
he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new
program; Town of Spring Lake
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that 1 have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the -compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address:
City:
David Frank Chatellier
Spring Lake
5162 Nursery Road
State: N.C. Zip: 28390
Phone: / E- ail address'
Signature: �� J� ,� tL/%%/ Date:
NORTH CAROLINA, COUNT'
1, the undersigned Notary Public do hereby certify that �Q.tfl (11 ci t d Ite,I'
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
Lessee's/Operator's Certification:
,tiviattr/ggv
day of ,J�,.t rItile e , 20 1 7 „db 0NSRIE y 'Pei,
d•
Signature and seal: CLAAt_e.¢.c7-( j Q ._L
P .0 m + O )
o
My commission expires: Z� 9u.2u O (9 y %4.c 0 1
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
l,J.,1 .r" 2a1
Signature:
Date: ot' p _aon
FORM: LOA 06-16 Page 3 of 3

n
DAVID CHATELLIER (SITE 5, FIELDS 1-3)
SITE MAPS
(Vicinity Map)
(USGS Topography Map)
(NRCS Soil Survey Map)
(Buffer/Setback Map)

REFERENCE:
GIS DATA LAYERS WERE OBTAINED FROM ESRI. PLEASE NOTE THIS MAP IS FOR INFORMATIONAL
PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN, LEGAL, OR ANY OTHER USES. THERE ARE NO
GUARANTEES ABOUT ITS ACCURACY. WMSS, PLLCASSUMES NO RESPONSIBILITY FOR ANY
DECISION MADE OR ANY ACTIONS TAKEN BY THE USER BASED UPON THIS INFORMATION.
8
_3I a11Ci1,
OVL1 IIII;
c` 0"1€ {,1
•
Esn HERE ibeL6rrne, USGS Interr,
=sri Japan,'METI,!Esri China, (Hong
,iia © OpenStreetMap contributors;
0 •
Field Boundary
SCALE:
1 "=0.5miles
DATE:
09-15-17
DRAWN BY:
MEM
PROJECT NO:
\` 15-16 Ph: 02
Willcox&mate
SOIL SOLUTIONS
VICINITY MAP
DAVID CHATELLIER
HARNETT COUNTY, NORTH CAROLINA
FIGURE NO.
1
1
C:\arcgis\2015\15-16 Town of Spring Lake\David Chantellier\Maps\Vcinity.mxd

USGS TOPOGRAPHY MAP
DAVID CHATELLIER PROPERTY
HARNETT COUNTY, NORTH CAROLINA
C:Larcgis12015115-16 Town of Spring Lake\David Chantellier1MapsLUSGS.mxd
„--
willcox&mabe
SOIL SOLUTIONS
ENGINEERING LICENSE NO.
DATE:
10.16.2017
DRAWN BY:
MEM
CHECKED BY:
MEM

L.
L.
wooer - 4.0•4.44.
• \\
-1- ,,,,
,.. . ..
. ,,,( j'r•L , ,4 1
1 ...• , „•.,..047* -Jr+, d.
L , , ,`„, . •• ,,
k...... 4,-,..., 4. .... .. A • • ..?
1,;• ... - 1 ' ;;4-.. 'e'
;.'" 'Il (-4 :.. ,1*
- •-+. 1 1 ' ''.--'
t4;,, .-
o
I
470
1. 4,
4f
'
r t • "
•
*- 4,
3
41.0.
4:1
•
`
REVIEW BOUNDARY shall be established around each land a
midway between the Compliance Boundary and the perimeter
residuals land application area.
COMPLIANCE BOUNDARY: The Compliance Boundary for eai.
is established at either 250 feet from the residuals land applic
within_the_property, boundary, whichever is closest to the resi
REFERENCE:
GIS DATA LAYERS WERE OBTAINED FROM ESRI AND HARNETT COUNTY GIS. PLE
NOT MEANT FOR DESIGN, LEGAL, OR ANY OTHER USES. THERE ARE NO GUARA
FOR ANY DECISION MADE OR ANY ACTIONS TAKEN BY THE USER BASED UPON Tf
•
"
,
1,
•
1. 4' 4
, )
I
Net Acres
9.1
7.2
12.3
28.6
r-ci
-
LU
§ 2
,,11 I, •
"
• )
• Well
• Structure
IN Dwelling
• Gate
= = = Access Road
•—•— Drain
—•••—• Streams
Pond
Buffer
Field Boundary
LmProperty Boundary
aomI ir
c\i
PROJECT NO.
ENGINEERING LICENSE NO.
BUFFER MAP
z
710
CL
W <
EL C.)
1:L
CL
re 0
W Z
-J
W
Z
0
o
or
ul
< z
FIGURE NO. '
4
2
c
0
0
ID
12.
a

DAVID CHATELLIER (SITE 5, FIELDS 1-3)
SETBACK WAIVER - (SITE 5 - FIELD 3)

"Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T .1108(b)(2)[for habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16).
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 06-16) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each property from which a waiver is being sought.
• Any other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Spring Lake
Applicable Field ID:
David Chatellier — Site 5, Field 3
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address of property: 5178 Nursery Road
City: Spring Lake
State: N.C. Zip: 28390
This Agreement shall remain in effect for the length of the Division of Water Resources' (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
® I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to lanc]rakply residuals to land application site(s) as specified herein.
FORM: SWA 06-16
Page 1 of 1

DAVID CHATELLIER (SITE 5, FIELDS 1-3)
CUMULATIVE POLLUTANT LOADING RATES

I
NEW FIELD — DAVID • CHATELLIER (SITE 5, FIELD 1),
.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: VIRIDIAN RESIDUAL MGMT SVC
Land Owner: DAVID CHATILLIER
Operator: DAVID CHATILLIER
WQ Permit #: WQ0035881
Annual Dry Tons Applied: 49056
Predominant Soil Series: GaB
Crop 1 Name: BERMUDAGRASS HAY 600004, rop 1 Max. PAN: 160
Field #: 15o4HARNSPA
Site #:
Crop 2 Name:
Acres Utilized: 7.39
Acres Permitted: 7.39
Cation Exchange Capacity (non 503):
Date or
Month
Volume
(enter one)
Liquid
Cu. Yds
applied
Solids/
Gallons
"�u
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
Application
Method*
Volatilization
Rate**
k m
=
g
TKN
mg/kg
Ammonia g
Nitrogen E
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/15
68000
1.73
0:664'•
NC0030970
DRY
0
S
0.5
0.3
57500
22800
578
; 291723'
;,29723;
0 000^r
'0 000° a
;.1..! 0
;Q00 . ..
• -0j000...
/� 1�11q�Qt.i
0 00.0.,,
;0,0Q0,,
is 0.000t_
0:000• .,
• 004A
0.000`
,i,,
,PO"000"
0 000_
,-
!0.000!.,
0.0Q0. .'
0 000}
Y0 000',,
,0 000
0400o
r o 000
rtrt
00_
..........%.....
= _:::_ -::
.
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form)
a„'' ;
:.:::
•= •. .'..'.'i.
TOTALS:
0
68000
.•:
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
29 723.
29 723
Lime
Date
Applied
lbs/ac
Annual
lbs/acre
0.0081
0.003 '
•. 0.014
, 0.351
0.026.
0 002''
'0 004;.
r •_0;020' "
0A08
1ti474'':
•:28.818
:. .::...: : .•-
• •
-•.::.:.:::
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.008'.
0:003
0.014
0.351
0.026.`
0:002;,,
0 004 `
0:020, F-
0.008 :
' ; E4?4 :
Permitted C. P. L. R.****
36
34
1338
NA
267
15
NA
374
89 -
2498
Permit PAN Limit lst/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."
Signatdre ofl,add Applier
/ � v x *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,
Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

NEW FIELD - DAVID CHATELLIER (SITE 5, FIELD 1)
ti
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: VIRIDIAN RESIDUAL MGMT SVCS Total Dry Tons Applied (Annual): 4.91
Permit #: WQ0035881 Cation Exchange Capacity (non 503 only):
Operator: DAVID CHATILLIER Owner: DAVID CHATILLIER Predominant Soil Series: GaB
Acres Used: 7.39 Acres Permitted: 7.39 Site #: Field #: 1504HARNSPA
Residual Analysis Data (Heavy Metals and Total Phosphorus use
°
...5....s,
•
Total
DT/Ac./
App.
Event
0.664
--
-- -,-
y
w
y
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
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
Copper
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
Chromium
,0.351
0.000
0.000.
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000.
0.000
0.35,1
Lead
0.026
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.00.0
0.026
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
0.004
. 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
' 0.000
.0.000
0.004
Nickel
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
Selenium
0.008
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
..0000.;
.0.008
Zinc
1.474
0.000
0.000
0.000
:0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
'1.474
Total
Phos-
phorus
"I certif
28.818
under
0.000
It
0.000
f 1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
28.818
y, pena y o aw, 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 thatthere are significan#penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of La4td Appfier

f
NEW FIELD — DAVID CHATELLIER (SITE 5, FIELD 2)
Facility Name: VIRIDIAN RESIDUAL MGMTSVC WQ Permit #: WQ0035881
Land Owner: DAVID CHATILLIER Annual Dry Tons Applied: 9.5226; -
Operator: DAVID CHATILLIER
Crop 1 Name: COOL SEASON GRASS
Predominant Soil Series: GaB
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.
Field #: 1504HARNSPB
Site #:
Crop 1 Max. PAN: 110
Crop 2 Name:
Acres Utilized: 7.83
Acres Permitted: 7.83
Cation Exchange Capacity (non 503):
•
Date or
Month
Volume
(enter one)
Liquid
Cu. Yds
applied
Solids/
Gallons
%
Solids
Volume
Applied per
Acre
D Tans/Ac
(Dry )
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Application
Method*
o
%d
, .
* N
m
i5
0
Mineralization
Rate***
TKN
mg/kg
Ammonia g
Nitrogen E
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of CropType
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/15
132000
1.73
.•1,20•::,,.
NC0030970
DRY
0
S
0.5
0.3
57500
22800
578
54.455;
t 54.455'
0.000 , .:
O opor-, ,
0 Ooot
:
•oOOa
.,0 OOO _.
0_000
0 000 '
i?.
;0000
0 000:
:' 0 000
: 01000
. 6.Q00 Y.r,.
.
0
0.000 `
0 000 -
0 000 .. ;
0.000
a 0 OQO; k
t0 O0o` ;
>01000t.4
t:;o.0007.
0 000= ';
{:v:000 ;
0 000:
9 000g,
,;;0000'
0 000
'0:000•, •:
,,,0:00C
Z0 000
.
: :::< :
•:.:.:_: • •
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this
form)
;
;
:'. _':':
' •:•:•;:'
TOTALS:
;: .0
132000
::
As
Cd
. Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
54 455
54455 `
Lime
Date
Applied
lbs/ac
Annual
lbs/acre
0.014•,. ; ;
:..0:005
"0.025 2.
, 0:642,
0.047
: 0 003, s,
: 0:007:
•0 037 ^;
; 0 0 L4 .
2.7,00
52 774
;•::::•:::•::
' ` '
_:; • :
Prior Years Cumulative lbs/ac
0
0-
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.014
0 005.
'0.025 `
0 642:
'0.047 :
0 003 <
0 007 ..
• .0:037 ..
; -°0:014
'2 700`
Permitted C. P. L. R****
36
34
1338
NA
267
15
NA
374
89
2498
"''
"
Permit PAN Limit lst/2nd Crop'
0: •
I certtfy, 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, includin2 the possibility of fines and imprisonment for knowing violations."
Signature of Land'Applier
co,‘
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

NEW FIELD - DAVID CHATELLIER (SITE 5, FIELD 2)
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: VIRIDIAN RESIDUAL MGMT SVCS Total Dry Tons Applied (Annual): 9.52
Permit #: WQ0035881 Cation Exchange Capacity (non 503 only):
Operator: DAVID CHATILLIER Owner: DAVID CHATILLIER Predominant Soil Series: GaB
Acres Used: 7.83 Acres Permitted: 7.83 Site #: Field #: 1504HARNSPB
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Ra
Sample
or Com-
posite
Date
10/1/15
% Solids
1.73
Arsenic
5.78
Cadmium
2.14
, Copper
10.2
Chromium
264
Lead
19.5
Mercury
1.3
Molyb-
denum
Nickel
15.3
Selenium
5.78
Zinc
1110
Total
Phos-
phorus
21700
nnual Heavy Metal Field Loadings (Calculated in Ibs/acre):
Total
DT/Ac./
App.
Event
1.216
Totals:
Arsenic
0.014
0:000.
0.000
0.000
0.000
0.000
0.000.
6.000
0.000
0.000
0.000
0,000
0.014
Cadmium
0:005
0:000'.
0.000.
'0.000
0.000
0.000
0.000
0.000
0:000
0:000
`0.000
0.000
0.005
Copper
0A25
0:000
0.000
0.0.00
0.000
0.000
0.000
0:000
0:000
0.000
0.0.00
0.000
0.025
Chromium
0 642
:0:000
„0 000.;
0:000 _
0000 .
0.000 .
0.000
" 0:0.00
0.000
0.000 .
_0 000
0.000
.0.642
Lead
0.047
' 0:0.00
0;000'.
, `6006.
0 000
0`000
_0:000.,
0 000
O 000
'0000
A.600,1
, 0:000-
0.047
Mercury
'0:003.
'{0 000
0:000
0 000
'0:000
0:000
0.000
0:000
'0:000 -:
'0:000.
0 000
0.003
Molyb-
denum
0:007
0.000
0.000
0.000
0:0.00 .
0:000
0.000
0 000 •
0.000
'0.000
'0 000'r
.'.0:000
0.000
0.0.07
Nickel
0.037:.,
0.000
0:000
0.000
0,000
0:000
0.000
0:000 :
0:000
0:000'
10 00,0.'
0:000
0,037
Selenium
0:0.14 =
0.000
0<000:
0:000
.;0:000"
0:000
0.000
0:000
0:000 '
0,000
0.0001
0 000
0.014
Zinc
2.700
.,.•0.000 .
0 000
.=0.000
'0:000
0:000 ,
0.000
.6:000`
0:000
.0,000,
0.000'
0:000
2.700
Total
Phos-
phorus
52.774
0.000
0.000
0.000
0.000
0.000
0:000
-0:000
0.000
0.000
0.000
0.000
52.774
"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
c2/01/Z_(
to

NEW FIELD — DAVID CHATELLIER (SITE 5, FIELD 3)
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: VIRIDIAN RESIDUAL MGMT SVC WQ Permit #: WQ0035881 Field #: 1504HARNPS( Acres Utilized: 9.8
Site #:
Land Owner: DAVID CHATILLTER
Operator: DAVID CHATILLIER
Crop 1 Name: )OL SEASON GRA
Annual Dry Tons Applied 4' 328$ N
Predominant Soil Series: GaB
Crop 1 Max. PAN: 110
Crop 2 Name:
Acres Permitted: 9.8
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Th
Date or
Month
Volume
(enter)
one
Liquid
Cu. Yds
applied
Solids/
Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NpDES it, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
Hrs,
inches
'.
4 n
'2_,
o w
o...
* n
Volatilization
Rate**
5
* w
TKN
mg/kg
Ammonia g
Nitrogen E
Nitrate
and
Nitrite
mg/kg
PAN Applied:
(lbs/acre)
Name of Crop' e
P Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
09/15
60000
1.73
;u
0.442 - •`
NC0030970
DRY
0
S
0.5
0.3
57500
22800
578
19 777
19 7+77<;
0000_! .; si
0i000 `
w<:0•Q00 ^
0 000
.U• 000„
0000 a
'0.000' .
t
,
0.0.00,
O.000 .
U•
0 000
�0A00 -
0 000
o 000.::
xo 000-
o 000
0:000 ' - ,
0 000
-
s -0 000
0.000' ..
0000y r
:'0 000a
•0 000,
0.000 ;:
0.000
0 000
0;000 * ;`
:
:•
.
A
Residuals Applications totals on FORM FSF supp ( attach
FORM
FSF supp
to this form)
' :•: ` :
•:•:::.•:.•
TOTALS:
0
60000
;;:::::::_:
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
19 777 1
19 777„
Lime
Applied
Annual lbs/acre
0:005.
0 002
;0 009
;-0 233 ?,
• .0 017' '
;_ 0 001 •,,
0 003; ,
, 0 014
'0:005
0:981
1991..83
_:
• _
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
.....?;=::'
Current Cumulative lbs/ac
0.005
k0:002
, :0;009 ;
: 0 233
. ,0 017:.
0 001;-;
0 003"
0 014>,
, 0:005 ,
. 0 981
Permitted C. P. L. R.***>k
-
Permit PAN Limit 1st/2ndCroA
`11
"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."
Signat
re of Land
pplier
/ *Application Method: S - Surface, IN - Injection, INC - Incorporation
o�i6 **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 (1212006)

NEW FIELD - UAVIV unot I G11.1.11Gfft AVM ■ rIc`u s)
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: VIRIDIAN RESIDUAL MGMT SVCS Total Dry Tons Applied (Annual): 4.33
Permit #: WQ0035881 Cation Exchange Capacity (non 503 only):
)erator: DAVID CHATILLER Owner: DAVID CHATILLIER Predominant Soil Series: GaB
Acres Used: 9.8 Acres Permitted: 9.8 Site #:
Field #: 1504HARNSPC
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw
Sample or
Com-
posite
Date
1 2 1
141
. J
6 f
1 18 1
6_1
10
11
12
10/1/15
% Solids
1.73
Arsenic
5.78
_
Cadmium
2.14
Copper
10.2
Chromium
264
Lead
19.5
Mercury
1.3
Molyb-
denum
2 89
Nickel
15.3
•
,
Selenium
5.78
Zinc
1110
Total
Phos-
phorus
21700
inual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
DT/Ac./
App.
Event
,�
21
6]
71
Al
9i
:al
11
12
c
E
0.44
Arsenic
'0.005
9,000
0,000.
0.0.00
:0.000
0,900:0.000
0.000
0,000
.0.000
0,000
0.000
0.005
Cadmium
0.002
0.000
0 000
0.000
;0.000
:0.000 :
, .0,000,
;0.0,09
: ;0.000.
, ,0:000
0.000.
.:0.00:0
0.002
Copper
=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
Chromium
'0.233
,`0',
0 000
0:0:00
;0 000
O'000
0:000
0 000
:0 000 .
0 000- _
0 000
I.0. 000
0.233
Lead
2 0.017 ,
0 000 .
0..000 .
0 000
0 000 ,
= 0.00.0
:0:000•
0 090 ;
9:000.
0199
9.99
0 000
-0.017
Mercury
0..001 :
0 000.„
0:0.0.0 .
0.000
,0.000,
;0 000.
0;000; '
0:'000
0 000:-
0 000:
0 000
0 000
0.001
Molyb-
denum
0.003
0.000
0 000
- .
0.000
- -
0.0.00
•
0 000
0.000
0.000
0.000
0.000
.
0.000 ,
....
0.000
0.003
Nickel
0.014„:.
0000::
- 0.00:0.:
-,0:000,
0000
;0.000
0;000...
. 0,090 .:
0,990
-0 000
0:009
.:0.000
0.014
Selenium
0005
Q,000 ;
; 0 Q.00
,0.000 '
,0.0.00
;0 000:
0 000
0000
0.000
;,;0000
`0 000
0:000
0.005
Zinc
0 981
0.00
0.000
0000
0:000
cy.boo
0.000
'0.000
0.000
0,000
0.000 .
0 000
0.981
Total
Phos-
phorus
19.183
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.00.0
0.000
-
0.000
_
0:000
19.183
"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
\prisonment for knowing violations".
Signature of Land Applie
to D to
DENR FORM MFLSF (12/2006)