WQ0014452_Permit Renewal_20170801

State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Environmental Staff Report
Quality
To: ❑ NPDES Unit ® Non -Discharge Unit Application No.: WQ0014452
Facility name: Town of Bladenboro RLAP
Attn: Troy Doby
From: Jim Barber
Fayetteville Regional Office
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. GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
a. Date of site visit: 08/01/2017
b. Site visit conducted by: Jim Barber
c. Inspection report attached? ❑ Yes or ® No
d. Person contacted: Lynn Brisson and their contact information: [phone] ext.
e. Driving directions: From the intersection of Hwy 211 and Hwy 242 in Bladenboro proceed south approx. 1/2 mile
and turn right onto W. Bladen Street. Follow W. Bladen St. until it terminates at the Bladenboro WWTP. The land
application fields are on both sides of W. Bladen St.
2. Discharge Point(s): Bladenboro WWTP (NC0026352) discharges to Bryant Swamp Canal.
Latitude: Longitude: -
Latitude: Longitude:
3. Receiving stream or affected surface waters: -
Classification: C-Swamp
River Basin and Subbasin No.: Lumber River (03-07-53)
Describe receiving stream features and pertinent downstream uses: primarily agriculture.
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? ❑ Yes or n No
If no, explain:
•
3. Are site conditions (soils, depth to water table, etc) consistent with the submitted reports? n 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 ❑ No ❑ N/A
If no, please explain:
6. Are the proposed application rates (e.g., hydraulic, nutrient) acceptable? ❑ Yes ❑ No ❑ N/A
If no, please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? ❑ Yes or ❑ No
If yes, attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? ❑ Yes ❑ No ❑ N/A
if no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals, will seasonal or other restrictions be required? ❑ Yes ❑ No ❑ 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 El N/A
ORC: Lynn Brisson Certificate #: LA-14734 Backup ORC: Brian Pica Certificate #: LA-1001675
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
If no, please explain:
Description of existing facilities: 0.500 MGD wastewater plant that primarily treats domestic wastewater with
minimal industry with typical commercial flow (fast food, laundry, etc.).
Proposed flow: 0.500 MGD (NPDES)
Current permitted flow: 0.500 MGD (with current average flow of 0.200 MGD).
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 ❑ No
If no, please explain. All fields used in the Bladenboro residuals land application program are adjacent to the
wastewater treatment plant. A local farmer manages the fields for the town and has all fields in a corn, soybean,
wheat rotation- Thu -current -crop -in -all fields-is-soybeans.-Land..appl.ication_of_residuals_ty_pically_takes._place. in
February, March or April depending on intended first crop of the growing season.
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.)? ❑ Yes or ® No
If yes, please explain: The current buffer maps prepared by Synagro during the last permit renewal are acceptable
and represent the area around the wastewater plant and farm fields. No new residences have been constructed
since the last permit renewal, nor are there any encroachments that would change the land application field
acreages.
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: The Bladenboro WWTP is permitted for 0.500 MGD, but currently averages approx.. 0.200
MGD and therefore residual generation is well below the permitted amount.
7. Is the existing groundwater monitoring program adequate? ® Yes ❑ No n N/A
If no, explain and recommend any changes to the groundwater monitoring program: Groundwater monitoring at
the Bladenboro land application fields is related to the conjunctive spray irrigation permit issued to Bladenboro
FORM: WQROSSR 04-14 Page 2 of 6

for managing a portion of their wastewater on the same fields used for residuals application. Spray irrigation only
happens during the months of May thru September (depending on when a fall wheat crop is planted) on an as -
needed basis when the farmer managing the fields needs additional water.
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ®No
If yes, attach a map showing conflict areas. Areas around the Town of Bladenboro WWTP have not changed since
the last permit renewal, nor have any new residences been constructed since the last permit renewal that would
require buffer modification.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No
If no, please explain:
10. Were monitoring wells properly constructed and located? ® Yes ❑-No ❑ N/A
If no, please explain: See comments in item- 7 above.
FORM: WQROSSR 04-14 Page 3 of 6

11. Are the monitoring well coordinates correct in BIMS? ® Yes ❑ No ❑ N/A
If no, please complete the following (expand table if necessary):
Monitoring Well
Latitude
• Longitude
r
0
I
1l
_ "0
1
II
0
I
If
0
I
If
•
0
I
II
0
I
If
0
I
11
_ 0
1
If
o
I
it
0
1
If
12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? ® Yes or ❑ 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? ❑ Yes or ® No
If yes, please explain:
14. Check all that apply:
® No compliance issues ❑ Current enforcement action(s) n Currently under JOC
- - — -❑ Notiee(s)-of-violation ❑ Currently-under-SOC--- El -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/conditionsin the existing permit been satisfied? n Yes ❑ No ❑ N/A
If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolvedbefore issuing this permit?
❑ Yes ®No❑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 Page 4 of 6

IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee'any problems with issuance/renewal of this permit? ❑ 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
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: C 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
Z Issue
❑ Deny (Please state reasons: )
6. Signature of report preparer:
Signature of regional supervisor:
Date:
i
FORM: WQROSSR 04-14
Page 5 of 6

V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
Buffer maps supplied with the renewal application are acceptable and represent the field dimensions and surrounding
areas accurately.
r
7
FORM: WQROSSR 04-14 Page 6 of 6

Division of Water Resources
State of North .Carolina.
Department of Environmental Quality
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
NON=DISCHARGE APPLICATION REVIEW REQUEST FORM
July 18, 2017
To: FARO WQROS.fTienttAl1
From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting Unit
RECEIVED
DEQ/DWR
JUL 21 2017
WQROS
FAYETTEVILLE REGIONAL OFFICE
Permit Number: WQ0014452 Permit Type: Land Application of Residual. Solids (503)
Applicant: Town of Bladenboro Project Type: Renewal'
Owner Type: Municipal Owner in:BIMS? Yes
Facility Name: Town of Bladenboro RLAP Facility in BIMS? Yes
Signature Authority: John O'Daniel Title: Town Administrator
Address: Post Office Box 455, Bladenboro, North Carolina 28320 County: Bladen
Fee Category: Non -Discharge Minor Fee Amount: $0
Comments/Other Information:
Attached, you will fmd 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. (E]. Return a completed staff report.
❑ Attach an Attachment B for Certification. 111 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:
FORM: WQROSNDARR 09-15 Page 1 of 1

Water Resources
ENVIRONMENTAL QUALITY
July 18, 2017
JOHN O'DANIEL — TOWN ADMINISTRATOR
TOWN OF BLADENBORO
POST OFFICE BOX 455
BLADENBORO, NORTH CAROLINA 28320
Dear Mr. O'Daniel:
'ROY COOPER
Governor
MICHAEL S. REGAN •
Secretary
S. JAY ZIMMERMAN
Director
Subject: Acknowledgement of
Application No. WQ0014452
Town of Bladenboro RLAP
Residuals Management System
Bladen County
The Water _Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on July 18, 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: Wayettevilfe.Regional4,Office,''Water ®.uality Regional __Operatioris-Secfion
Permit File WQ0014452
Not}�irig Compares1=k,
State of North Carolina! Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center 1 Raleigh, North Carolina 27699-1617
919-807-6332

RECEIVED It4CDE \NR
JUL 1 8 2.017
Non -Discharge
Perrnitung Unit

6/28/17
NbDENR-DWQ
Land Application Permitting and Compliance Unit
Aquifer Protection Section
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
ATTENTION: Mr. Nathaniel Thornburg
RECEIVED/NCDEQ/DWR
JUL 1 8 2017
Non -Discharge
Permitting Unit
REFERENCE: RENEWAL OF PERMIT NO. W00014452
Town of Bladenboro WWTP
Dear Mr. Thornburg:
Synagro is submitting, on behalf of the Town of Bladenboro, an application to renew the
County's residuals land application permit. Listed below are the request for the existing permit
as they pertain to land application sites:
• Renewing 1 application sites (NC-BL-3)
• Renewing the permitted Dry Tons 50
No other modification to the permit is requested at this time. This package should contain all of
the information that is necessary to complete the requested modification of the County's permit.
However, if you require additional information or have further questions about the included
information, please contact me immediately at 919-799-0766. I look forward to working with
you to insure that this is an efficient review process, and will be happy to provide any further
assistance if necessary.
Sincerely,
Chad M. Hayes
Technical Services Manager
Cc: Andy Coleman ; Town of Bladenboro WWTP
Enc: Application Package (4)

Division of Water Resources
RECEIVEDINCDEQID�R
State of North Carolina
Il II 1 2017 Department of Environment and Natural Resources
Division of Water Resources
ftiV9 9 t
pert 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 11-13 & SUPPORTING DOCUMENTATION
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 website at:
http://portal.ncdenr.org/web/wq/aps/lau
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 11-13) Application: (All Application Packages):
El Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 11-13) 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.
M. 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 be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T .0106(b).
If this project is for a modification of an existing permit, submit one copy of the existing permit.
® 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)
E Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environment and
Natural Resources (NCDENR). _
• STANDARD REVIEW — Submit the appropriate fee for all new and major modification applications as listed in the table
below.
STANDARD APPLICATION REVIEW FEES:
Facility Classification
New Permit
Major Modification
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; adds additional residuals sources; or includes the addition of new
treatment or storage units/processes not previously permitted. There is no fee for minor permit modifications.
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 1 C .0300)
® 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 11-13 Page 1 of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
® For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
® 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 equipments calibration, maintenance of signs, etc.
Safety measures; may include safety training program, manuals, signs, etc.
El Spill response plan; including control, containment, remediation, emergency contact information, etc.
® Inspection plan including the following information;
® Names and titles of personnel responsible for conducting the inspections.
E 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.
E 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 of personnel responsible for conducting the sampling and monitoring.
El 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
❑ D• edicated 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:
El 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.
❑ P• lease 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
Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
P• rovide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ 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.
❑ P• lans 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 the land application area.
J 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).
❑ Delineation of the review and compliance boundaries
'El' as required by 15A NCAC 02T .1108
❑l Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ 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.
INSTRUCTIONS FOR FORM: RLAP 11-13 Page 2 of 3

❑ 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 theyare anything other than final plans. However, the plans may be
labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new
sites)
El 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)
Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: http://portal.ncdenr.org/web/wq/aps/lau/policies. 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)
El 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.
El The design documents must include the following minimum items:
❑ 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;
❑ 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.
❑ 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)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy
available at: http://portal.ncdenr.org/web/wq/aps/lau/policies.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
El Property ownership documentation shall consist of one of the following:
❑ 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
0 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
❑ 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 ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 11-13
Page 3 of 3

ram"
0„
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 11-13
I. APPLICANT INFORMATION:
1. Applicant's name: Town of Bladenboro
Applicant type: ❑, Individual ❑ Corporation ❑ General Partnership
El Federal 0 State ® Municipal
❑ Privately -Owned Public Utility
❑ County
Signature authority's name per 15A NCAC 02T .0106: John O'Daniel Title: Town Administrator
Applicant's mailing address: Post Office Box 455
City: Bladenboro State: NC Zip: 28320-
Telephone number: [phone] Email Address: [e-mail]
2. Consultant's name:
1
License Number (for P.E.):
Affiliation: ❑ On Staff ❑ Retained (Firm: )
Consultant's mailing address: 1
City:1 1 State: L Zip:1 1-11 1
Telephone number: (i I)1 1-1-1 Email Address: 1 1
3. Agronomist's name:. _ License Number:
Affiliation: ® N/A ❑ On Staff 0 Retained (Firm:1 1)
Agronomist's mailing address:
City: _ State: _ Zip: !u!
Telephone number: Email Address:
4. Soil Scientist's name: License Number:
Affiliation: ❑ N/A 0 On Staff 0 Retained (Firm: I. 1)
Soil Scientist's mailing address:
City: State: Zip: -1 1
Telephone number: Email Address:
5. Fee submitted: (See Instruction B)
II. PERMIT INFORMATION:
RECEIVEDINCDEOJDWR
JUL 1 8 2017
Non-Disch Un
Permitting Unit
L / i-) R' s °.0 1�'-
1. Application is for (check all that apply): El new, ❑ modified, renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0014452
Date of most -recently issued permit: April 29, 2008
Date of most -recently certified Attachment A (if different than the permit): April 29, 2008
Date of most -recently certified Attachment B (if different than the permit): April 29, 2008
FORM: RLAP 11-13 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 417 West Bladen Street
City: Bladenboro State: NC Zip: -28320
Coordinates: Latitude: 34 32 12 Longitude: 78 47 52
Datum: NAD83 Level of accuracy: Seconds
Method of measurement: Map
2. County where residuals land application program is headquartered: Harnett
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
Lynn Brissom
Town of Bladenboro
14734
Back -Up ORC
Brain Pica
Synagro
1001675
Additional Back -Up
ORCs
(if applicable)
[ i
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
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: 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
19.06
29.26
640
982
Five -Year Maximum Adjusted
24.79
34.99
832
1174
b. Land Application Site Use Sunnnary: 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
0
Row Crops
69.3
Hay
0
Pasture
0
Total:
69.3
Methods
Surface
69.3
Incorporation or Injection
0
Total:
69.3
FORM: RLAP 11-13
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
12.8
19.6
16.6
23.5
100
6.4
9.8
8.3
11.7
150
4.3
6.5
5.5
7.8
200
3.2
4.9
4.2
5.9
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.):
7. Specify type of residuals program (See Instruction F): ® Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than
agronomic rates, explain; I 1
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
❑ 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;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals
source)
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.
Land Application Siite
Certification.doc
FORM: RLAP 11-13
Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: 0Spray 0 Drip
2. Disposal system is: 0 existing :0 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?
0 Yes or No No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified: I-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)
[
1
f Tl
L
]
[
1
1
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
0 Yes or D No If No, explain why I5A 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)
L
[
1
L
1
]
1
1
[
1
L
[
4 !
L_J
Total
1-1
I
IMIIIIIIMIM
Spray Irrigation Design Element
Plan Sheet.
Number
Specification
Page a Number
Wetted diameter of nozzles
ft
(--]
Wetted area of nozzles
ft2
1
J
Nozzle capacity •
gpm
1
1
Nozzle manufacturer / model
/ 1 _]
1
1
Elevation of highest nozzle
ft
L
FORM: RLAP 11-13
Page 4 of 5

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.
El Yes CI No, Explain;
I,
3ehr A. gO m e-I
I i 1„.44 Wli A 5,4-(c .1
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for
13(aiero v✓WTP
(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:
Date: / - I 7 - 1D f %
FORM: RLAP 11-13
Page 5 of 5

SYNAGIV
VICINITY MAP
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COUNTY 6L—a OWNER 78 lA)Y\ c7P e-Lt-GLe-v\b-C7\b

W ATF
�4Q State of North Carolina
7 Department of Environment and Natural Resources
Division of Water Quality
'c" RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 08-11
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 or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http://portal.ncdenr.org/web/wq/aps/lau
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 08-11, FORM: DCAR 08-11, or FORM: SDR 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 08-11):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 08-11) 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.
Ei For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
El Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot beobtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 08-11 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Town of Bladenboro
Status
Codes
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current b
Proposed
R
Town of Bladenboro
Bladenboro WWTP
B laden
WQ0014452
50
50
Status Code for source facility are: ❑ N (New) ❑ R (Renewed) 0 M (Modified) ❑ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 08-11
Page 1

�pF W A TF9Q State of North Carolina
-- v Department of Environment and Natural Resources
r Division of Water Quality
—►
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 08-11
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Town of Bladenboro WWTP
2. Facility permit holder is: ❑ Federal, E State, El Local Government, or E Private.
Facility permit issued by: ® Div. of Water Quality, ❑ Div. of Environmental Health,
or ❑ Other (explain:
3. Facility contact person and title: Lynn Brissom, Supervisor/ORC
Complete mailing address: Post Office Box 455
City: Bladenboro
State: NC Zip: 28320
Telephone number:[phone] E-mail address:
4. Facility physical address: 417 West Bladen Street
City: Bladenboro State: NC Zip: 28320
Coordinates: Latitude: 34° 320 120 Longitude: 78° 470 520
Datum: NAD84 Level of accuracy: Second
Method of measurement: MAP
5. Purpose of the facility:
El treatment of municipal wastewater, [] treatment of 100% domestic wastewater,
❑ treatment of potable water, r] treatment of 100% industrial wastewater, ,
0 treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: and I % domestic)
❑ other (explain: I _ _ I ).
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow:.50 MGD and facility average daily flow:.380 MGD
8. Average amount of residuals being generated at this facility 33.56 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 1 Aeration Lagoon total capacity .60 million gallons
Type and volume of residuals storage (i.e., outside of residuals treatment units):Aerobic Digestors and Holding Tanks
Totally roughly .60 million gallons
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
® 40 CFR Part 503 or 1=1 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
®' Biological ❑ Non -Biological
FORM: RSC 08-11 Page 1 of 5

Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: 0 yes ® no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: E yes E no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Summit Environmental Technologies, Inc. and Date(s) of analysis: 9/9/2016
Passed corrosivity test: ® yes M no. pH: 6.96 s.u. (2 < pH < 12.5)
Passed ignitability test: E yes 0. no. Flashpoint: >140 °F (> 140°F)
Passed reactivity test: E yes Gno. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/I)
Result
(mg/1)
TCLP Parameter
Limit
(mg/l)
Result
(mg/l)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 08-11
Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waypoint Analytical and Date of analysis: 08/18/2016
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
6.0
Cadmium
85
39
2.0
Copper
4,300
1,500
614
Lead
840
300
40
Mercury
57
17
<0.7
Molybdenum
75
n/a
5
Nickel
420
420
41
Selenium
100
100
<5.0
Zinc
7,500
2,800
770
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: I and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
30
200
210
■ > 0 but < 25
34
220
240
III > 25 but < 50
> 50 but < 75
39
260
270
E] > 75 but < 100
46
300
320
53
360
390
■ > 100 but < 125
62
450
420
IN >_ 125
Result (mg/kg)
FORM: RSC 08-11
Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 6.47 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Waypoint Analytical. and Date of analysis: 08/18/2016
Parameter
Result
(mg/kg)
Aluminum
24600
Ammonia -Nitrogen
10200
Calcium
16100
Magnesium
1840
Nitrate -Nitrite Nitrogen
18.5
pH (Standard Unit)
7.55
Phosphorus
18900
Potassium
1370
Sodium
533
Total Kjeldahl Nitrogen
24900
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.61
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from 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, prior to land application of residuals. 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].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): El default value, or 0 actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: This is a default value for
water treatment plant alum residuals.
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1St) Year PAN
(mg/kg)
Five -Year
Maximum Adjusted PAN
(mg/kg)
Surface
640
982
Injection/Incorporation
832
1,174
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: No
FORM: RSC 08-11
Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
�] A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
LI A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
0 A• lternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
0 - Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment.
El Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ A• lternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
• A• lternative 5 [15A NCAC 02T.1106O(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: p composting, ❑ heat drying, 0 heat treatment,
❑ thermophilic aerobic digestion, p beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
® Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ®, aerobic digestion, 0' air drying, ❑ anaerobic digestion,
t]' composting, or ® lime stabilization.
c. For Surface Disposal:
• Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
[] Exempt - If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
0- A• lternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
• Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
O} Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
O Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
p Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
0 Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals.
O Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection.
® A• lternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation.
ri A• lternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
❑ N• ot Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 08-11 Page 5 of 5

SPILL RESPONSE PLAN
PROJECT: Town of Bladenboro Permit W00014452
IN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Synagro Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and
equipment is to be utilized. In the event additional labor and equipment is required, assistance may be requested from the
Town of Bladenboro NC or the NC Department of Transportation, and other private contractors as necessary.
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 Synagro Operations Manager 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
Y 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 CLEAN-UP:
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 occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Fayetteville Regional office at (910)-433-3300 for the Town of Bladenboro as
soon as possible, but not more than 24 hours after, or on the next working day following the occurrence. The Operations
Manager shall provide a written report within 48 hours of the spill to the Technical Services Director. The report shall list
all relative information and actions taken. Synagro Central personnel will file a written report to the Fayetteville Regional
office of the NCDEQ within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be
called to report all incidences (1-800-858-0368) or (910-433-3300).

Quantitative Justification for Residuals Production
The Town of Bladenboro's WWTP is currently permitted for 50 dry tons per year of land
applied biosolids. There is no request at this time to change this amount.
Requested Permitted Dry Ton Rate:
Current: 50 Dry Tons
Requested: 50 Dry Tons
Justification: Based off Past 3 years Dry Tons
2016: 42.43 DT
2015: 0.0 DT
2014: 58.26 DT
Average: 33.56 DT
Statement:
Based on the amount of material that is currently being generated at the facility it
is estimated that the dry tons do not need to be increased.

Residuals Sampling Plan
Synagro Residuals Land Application for WQ0014452
Town of Bladenboro NC WWTP
Nutrients and Metals Analysis
• Sampling Point: Basin
• Sampling Frequency: Based on Dry Tons Land Applied
• Sample Type: Composite
• Lab: Waypoint Analytical
Pathogen Reduction (Fecal Coliform Density Demonstration)
• Sampling Point: Basin
• Sampling Frequency: Based on Dry Tons Land Applied
• Sample Type: Grab
• Lab: Cameron Testing Services, Inc.
Vector Attraction Reduction (30-Day Bench)
• Sampling Point: Basin
• Sampling Frequency: Based on Dry Tons Land Applied
• Sample Type: Composite
• Lab: Cameron Testing Services, Inc.
TCLP
• Sampling Point: Basin
• Sampling Frequency: Annually
• Sample Type: Composite
• Lab: Summit Environmental Technologies, Inc

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0014452 (Town of Bladenboro NC WWTP)
Operational Functions
The operational function of this project involves land application of residuals for the Town of
Bladenboro's wastewater treatment facility. This material will be loaded onto tractor trailers or
"spreader trucks" and hauled to land application sites. Tractor trailers will be off loaded to liquid
applicators and spread in a uniform manner. The residuals will be spread at agronomic rates, as
determined by a recently analyzed nutrients and metals sample. The material will be land applied with a
liquid applicator that will use pressure to achieve a consistent spread pattern. The fields applied will
have a crop, either established or planted soon after application, which is to be utilized for animal
consumption.
Safety Measures
Synagro believes in operating in a safety -conscious manner and has all employees participate in
quarterly online safety courses. These courses are designed to help employees recognize safety issues
and take steps to prevent accidents from occurring. In addition, all Synagro employees have the
authority to stop operations if they think any aspect of the operation could cause environmental or
personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule specified by their fleet management section for the
equipment necessary to complete the job.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0014452 (Town of Bladenboro)
Inspection Plan
Inspections will be conducted on a weekly basis at the land application site during activities of this project. Inspection
frequency is based on the time frame to complete the project and the amount of dry tons to be land applied from the
facility. The inspections will consist of inspecting a field that is currently being applied as well as inspecting random
fields that have been completed. These inspections will consist of:
1. Verifying that the "Pre -Operations Check List" has been completed and signed by both operational and technical
staff.
2. Checking the calculated Toads to insure the correct amount of residuals are being land applied.
3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and
maintenance plan.
4. Insuring that the field has been flagged properly and that all buffers are being adhered to.
5. Insuring that the "Crop and Landowner Verification" form has been filled out.
6. Verifying that the residuals have been adequately sampled to confirm compliance.
The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall
report by telephone to the NCDEQ/DWQ 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 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 program that results in a release of material to surface waters.
• Any time that self -monitoring information indicates that the program has gone out of compliance with
the permit.
• Any process unit 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 NCDEQ at 800-858-
0368, or 910-433-3300. These numbers are to be called in the event of a release to surface waters or the 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 NCDEQ outlining the actions taken or proposed
actions taken to ensure that the problem does not recur.
Persons responsible for inspections on this project are as follows:
Chad M. Hayes, Technical Services Specialist, or his designee.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0014452 (Town of Bladenboro)
Sampling Plan
Sampling for this project consists of sampling the residuals just before land application is to occur. Based on
the dry tonnage of this plant, there will be four samples for each parameter 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)
Chlordane (0.03)
Chlorobenzene (100.0)
Chloroform (6.0)
Chromium (5.0)
m-Cresol (200.0)
o-Cresol (200.0)
p-Cresol (200.0)
Cresol (200.0)
2,4-D (10.0)
Endrin (0.02) . Silver (5.0)
Hexachlorobenzene (0.13 Tetrachloroethylene (0.7)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5)
Hexachlorethane (3.0) 2,4,5-Trichlorophenol (400.0)
Lead (5.0) 2,4,6-Trichlorophenol (2.0)
Lindane (0.4)
Mercury (0.2)
Methoxychlor (10.0)
Methyl ethyl ketone (200.0)
2,4,5 TP ( Silvex) (1.0)
Vinyl Chloride (0.2)
The residuals will also be sampled, based on the chart below, for the following constituents
Dry Tons Generated
(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 (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
pH
Plant Available Nitrogen (calculation)
Selenium
Sodium
Total Solids
Total Kjeldahl Nitrogen
Zinc
All samples will be taken from the covered storage pad or the adjacent drying beds. Additional samples will be taken for
TCLP/RCI and nutrients and metals analysis. Methods of sampling will follow the conditions of the permit and applicable
regulations.
The following people are responsible for sampling:
Chad M. Hayes, Technical Services Specialist, or his designee.

19,S: Steele St.
SarifOrb, Ne-.27330'
Cameron Testing Services, Inc.
1)1d,iliMi/GV4 tert..#654NC43,HHSterlitS7,799 US EPA, 'NQ01918
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Chain of Custody
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Phone: [phone]u.
Company:$ynagro
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284 Boger Rd •
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Cameron Testing Services, Inc.
Laboratory Report
Synag
Bladenboro
Sample Information
. Varner "ti3V1 08/09/16 ii014.6
Analyses and. Results
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161'119.9
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US EPA#N.P01:91'8,
161199
Yes
C. Cameron 08/09/16
<17300 Cfftg 17300 08/10116 9222p -10
39473 0FU+9' 1.9790
35800 CFU g 17960
18900 CrUig 18900
63200 CFP,g, 15890
24000 71149 24006
<16300 CF g 16390
27300
526% d811 5/16 2540 G -TS
4-.78%: 0.01
4.781%
495% % o.cm
6.09%
3:97%. Ph 6.61
a-14W °A 0.01
631/6/46
Date
Steele Sty,
SAi.iford NC 27330
9 1 92084240
•[e-mail]

SAMPLING LOG #
7A & L'F STERN aad 111111111111111111111111111111111111811111111111111111111111111 016' SEIS
7621 Whitepine Road,
GI
�+�/p�A SYNAGRO
Richmond, VA 23237' svnanro Central LLC/ Bladenboro 14:36:21
CUSTOMER: S 11� NAG1 " 804/743-9401 FAX: BladenboroWWTPPIant 1
11/�5 �� 1 A �ha 4 )a pr caper ne►o samp►ing procedures
MANAGER: / i were used during the collection of these samples.
Phone. ("/) 73 S - 8 Q D�
'30 A‘r
SA R
A &t CUSTOMER SAMPLING SAMPLE # OF SAMPLING METHOD METHOD
LAB # SAMPLE I.D. LOCATION TYPE CONTAINERS DATE TIME PRESERVED SHIPPED
P41Pidbvad /f t% 5L l D844 2 20 7T -e
-e,N1a:>Y'o
lG P
Relinquisjj/S1pI Dat Time Recieved by: REMARKS:
/--------- 08 iv!/
Relingf y ✓v 1D to Time Recieved by: ,..__
Q
Recieved by:
Relinquished by: Date Time
SPECIAL INSTRUCTIONS:
For monitoring purposes.
POth:
SAMPLE
I.D.
SO IAl t)
ANALYSISREQUEST
SL1
SL2
NH -N
4
NO -N
a
Organic
N
Cd
Cr
NI
Pb
As
Hg
Se
pH
CaCO3
equiv
Volatile
Solids..
RN.,CI
NO2-N
tow 1e
ki
100
1�
1#r
i#
P41-
`1 #
fr
Yif
bO‘r
.
SL1: Total Sol ds (Moisture), Total Kjeldahl Ni rogen, Phosphorus, and Potassium
SL2: Basic Test SL1 plus Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zinc

Page: 1 of 2
Report Number: 16-224-0207
Account Number: 46437
Send To: Synagro Central. LLC/ Bladenboro
Marshal Puryear
284 Boger Road
Mocksville , NC 27028
Lab Number : 58906
Sample Id : Bladenboro WWTP
Waypol nt.
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Project :Bladenboro WWTP Plant
REPORT OF ANALYSIS
NC Cert #257
Date Sampled: 8/10/2016 15:30:00
Date Received: 08/11/2016 00:00
Date Reported: 08/18/2016
PARAMETER
RESULT RESULT QUANTITATION LIMIT
(%) (mg/kg) (mg/kg*)
ANALYST
ANALYSIS
DATE/TIME
METHOD
Total Solids *
Moisture *
Total Kjeldahl Nitrogen
Total: Phosphorus
Total Potassium
Total Sulfur
Total Calcium
Total Magnesium
Total Sodium
Total. Iron
Total Aluminum
Total Manganese
Total Copper
Total Zinc
Ammonia Nitrogen
Organic N
Nitrate+Nitrite-N
6.47 64700 100.0 RD 08/11/201614:50
93.53 100.0 RD 08/11/2016 14:50
2.49 24900 10.0 SB 08/12/2016 08:50
1.89 18900 100 KM 08/12/201614:14
0.14 1370 100 KM 08/12/201614:14
0.87 8700 100 KM 08/12/201614:14
1.61 16100 100 KM 08/12/20.1614:14
0.18 1840 100 KM 08/12/201614:14
0.05 533 100 KM 08/12/201614:14
24000 100 KM 08/12/201614:14
24600 100 KM 08/12/201614:14
233 5 KM 08/12/2016 14:14
614 5 KM 08/12/201614:14
770 5 KM 08/12/201614:14
1.02 10200 10.0 SB 08/12/2016 08:50
1.47 14700 10.0 08/12/2016 08:50
18.5 2.00 SB 08/12/2016 08:50
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not he reproduced in whole or part, nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
SM-2540G
SM-2540G
SM-4500-NH3C-TKN
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SM-4500-NH3C
CALCULATION
SM-4500NO3F
kluata
Debbie Holt
Laboratory Supervisor

Report Number:
Page: 2 of 2
16-224-0207
Account Number: 46437
Send To: Synagro Central LLC/ Bladenboro
Marshal Puryear
284 Boger Road
Mocksville , NC 27028
Lab Number : 58906
Sample Id : Bladenboro WWTP
Waypol nt.
ANALYTICAL.
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Project : Bladenboro WWTP Plant
REPORT OF ANALYSIS
NC Cert #257
Date Sampled: 8/10/2016 15:30:00
Date Received: 08/11/2016 00:00
Date Reported: 08/18/2016
PARAMETER
RESULT RESULT QUANTITATION LIMIT
(%) (mg/kg) (mg/kg*)
ANALYST
ANALYSIS
DATE/TI M E
METHOD
Total Cadmium 2.0
Total Chromium 100
Total Nickel 41
Total Lead 40
Total Arsenic 6.0
Total Mercury 0.7
Total Selenium <5.0
pH (Standard Units) * 7.55
Total Molybdenum
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE LRB WAS OUT OF LIMITS FOR "Na". THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "Fe", AND "S". ALL OTHER QC DATA IS
ACCEPTABLE.
2.0 KM
5 KM
5 KM
5 KM
3.0 KM
0.4 KKM
5.0 KM
SJB
5 5 KM
08/12/2016 14:14
08/12/2016 14:14
08/12/2016 14:14
08/12/2016 14:14
08/12/2016 14:14
08/16/2016 14:55
08/12/2016 14:14
08/12/2016 08:50
08/12/2016 14:14
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW 6010C
SW-7471 B
SW 6010C
SW-9045D
SW 6010C
Debbie Holt
Laboratory Supervisor

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Ctiyahtwa Falls, Oliio +121,3 Tel: 3,30,253.8211 Fax: 33,0.253-441s:9
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Prt'iject Name
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Project Addresx
Report to
POft
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Cheek if ,Oltio l' samples' I
Summit Environmental treelmOlOgies, Inc.
3310 Win Street: Analysis Request/Chain of Custody
Summit, Environtnettha
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Sample tdeptification ,
be,to tz.a.d77)
1at. : Time
Date
lime,
Date,
Collected
444
mo.
lime
Collected
2:3o
1
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Ts:
v.
3
SET -No,
Analytical meters and Methods
1q.:1,4417`1.1 71: :71:17:4111 14fo.
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Date . Time
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4.144 4 644 ,•.4,

ENVIFiOt•it+ltNTALTiCt NO Vi1g r6
Arr4I ti al L abOrai9Fie;7,
September 09, 2016
Marshall Puryear
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL: [phone]
FAX: [phone]
RE: Bladenboro
Dear Marshall Puryear:
Summit Environmental Technologies, Inc. received 1 sample(s) on 8/12/2016 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http://www.settek.corn
Order No.: 16080799
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results, please feel free to call the
laboratory.
Sincerely,
)77.4•64420"1.-
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
Alabama 41600, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC E87688, Georgia E87688, Idaho
OH00923, Illinois 200061, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Louisiana 04061, Maryland
339, Massachusetts M-OPH923, Minnesota 409711, New Hampshire 2996, New Jersey 0H006, New York 11777, North Carolina 39705 and 631, North
Dakota R-201, Ohio Drinking Water 4170, Ohio VAP CL0052, Oklahoma 9940, Oregon OH200001, Rhode Island LA000317, South Carolina 92016001,
Texas T104704466-11-5, Region 8 8TMS-L, USDA/APHIS P330-11-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and 1581,
Washington C891, West Virginia 248 and 9957C and E87688, Wisconsin 399013010
Page 1 of 9
Page 1 of 11

Summit Environmental Technologies, Inc.
3310 Win St.
rWIROWME 1TALTEC4$dClk.CiGIaSottp. Cuyahoga Falls, Ohio 44223
I t#cal I bdrat Q#'Ie _ TEL: [phone] FAX: [phone]
Website: http://www.settek.com
Case Narrative
WO#: 16080799
Date: 9/9/2016
CLIENT: Synagro
Project: Bladenboro
WorkOrder Narrative:
16080799: This report in its entirety consists of the documents listed below. All documents contain the
Summit Environmental Technologies, Inc., Work Order Number assigned to this report.
Paginated Report including Cover Letter, Case Narrative, Analytical Results, Applicable Quality
Control Summary Reports, and copies of the Chain of Custody Documents are supplied with this
sample set.
Concentrations reported with a J-Flag in the Qualifier Field are values below the Limit of Quantitation
(LOQ) but greater than the established Method Detection Limit (MDL).
Method numbers, unless specified as SM (Standard Methods) or ASTM, are EPA methods.
Estimated uncertainty values are available upon request.
Analysis performed by DBM, VRM, or SFG were performed at Summit Labs 2704 Eatonton Highway
Haddock, GA 31033
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry designation on the reporting units.
Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of
the cover letter that may or may not pertain to this report.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
This report is believed to meet all of the requirements of NELAC or the accrediting / certifying agency.
Any comments or problems with the analytical events associated with this report are noted below.
Original
Page 2 of 9
Page 2 of 11

Summit Environmental Technologies, Inc.
3310 Win St.
Efi vilIONPA EMILTE I-INIOl iG3gs;: i & . Cuyahoga Falls, Ohio 44223
Ai-r /ytit^al LabpraIarTe : TEL: [phone] FAX: [phone]
Website: http://www.settek.com
Case Narrative
WO#: 16080799
Date: 9/9/2016
CLIENT: Synagro
Project: Bladenboro
Prep Sample QC Comments:
16080798-001A 266358: Prep Comments for SVPrep_TCLP(8151), Sample 16080798-O01A: Matrix
caused excessive emulsion to form
Analytical Sequence QC Comments:
ccv 20ppb ccv081 940678: Analytical Comments for VOC-MSTR_NPW(8260), Sample ccv 20ppb
ccv081, Batch ID R57971 : The VOC CCV (Batch R57971) exhibited outlying recoveries for
Bromomethane(low) and 2-Hexanone(high); The method is in control as demonstrated by method -
specified SPCCs and CCCs meeting Acceptance Criteria. DETL check shows adequate instrument
sensitivity.
BNACCV 40 ug/mL 944188: Analytical Comments for svoc-MSTR_NPW(8270), Sample BNACCV
40 ug/mL, Batch ID R58168 : The SVOC CCV (Batch R58168) exhibited slightly poor recoveries for
Aniline (75.1%) and N-Nitrosodimethylamine (76.2%) (Acceptance Limits: 80-120%); Data may be
biased slightly low for these compounds.
No sample for flash point -report without per phone call w/Marshall-jmw 9/9/16
Original
Page 3 of 9
Page 3 of 11

Er tJ 1,1E f4TAL Ti ECHNO LtiGlES� lI
Arr;Vyircoi 1.00.14tor•fes
Summit Environmental Technologies, In
3310 Win c
Cuyahoga Falls, Ohio 4422
TEL: [phone] FAX: [phone]M
Website: http://www.settek.co
Qualifiers and Acronyms
WO#: 16080799
Date: 9/9/2016
These commonly used Qualifiers and Acronyms may or may not be present in this report.
Qualifiers
U
J
H
D
E
MC
m
N
P
C
X
B/MB+
G
QC-/+
R/QDR
QL-/+
QLR
QM-/+
QMR
QV-/+
S
z
The compound was analyzed for but was not detected.
The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
The hold time for sample preparation and/or analysis was exceeded.
The result is reported from a dilution.
The result exceeded the linear range of the calibration or is estimated due to interference.
The result is below the Minimum Compound Limit.
The result exceeds the Regulatory Limit or Maximum Contamination Limit.
Manual integration was used to determine the area response.
The result is presumptive based on a Mass Spectral Library search assuming a 1:1 response.
The second column confirmation exceeded 25% difference.
The result has been confirmed by GC/MS.
The result was not confirmed when GC/MS Analysis was performed.
The analyte was detected in the associated blank.
The ICB or CCB contained reportable amounts of analyte.
The CCV recovery failed low (-) or high (+).
The RPD was outside of accepted recovery limits.
The LCS or LCSD recovery failed low (-) or high (+).
The LCS/LCSD RPD was outside of accepted recovery limits.
The MS or MSD recovery failed low (-) or high (+).
The MS/MSD RPD was outside of accepted recovery limits.
The ICV recovery failed low (-) or high (+).
The spike result was outside of accepted recovery limits.
Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND
QC
MB
LCS
LCSD
QCS
DUP
MS
MSD
RPD
ICV
ICB
CCV
CCB
RLC
DF
Not Detected
Quality Control
Method Blank
Laboratory Control Sample
Laboratory Control Sample Duplicate
Quality Control Sample
Duplicate
Matrix Spike
Matrix Spike Duplicate
Relative Percent Different
Initial Calibration Verification
Initial Calibration Blank
Continuing Calibration Verification
Continuing Calibration Blank
Reporting Limit Check
Dilution Factor
RL
MDL
LOD
LOQ
PQL
CRQL
PL
RegLvl
MCL
MinCL
RA
RE
TIC
RT
CF
RF
Reporting Limit
Method Detection Limit
Level of Detection
Level of Quantitation
Practical Quantitation Limit
Contract Required Quantitation Limit
Permit Limit
Regulatory Limit
Maximum Contamination Limit
Minimum Compound Limit
Reanalysis
Reextraction
Tentatively Identified Compound
Retention Time
Calibration Factor
Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 4 of 9
Page 4 of 11

ElreiRONP+lENTALTECHIMLOC11 -SHIN
Atth jcat t.Rharatorles
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http://www.settek.com
Workorder
Sample Summary
WO#: 16080799
09-Sep-16
CLIENT:
Project:
Synagro
Bladenboro
Lab SamplelD Client Sample ID Tag No Date Collected
16080799-001 Bladenboro WWTP
8/9/2016 2:30:00 PM
Date Received Matrix
8/12/2016 9:50:00 AM Sludge
Page 5 of 9
Page 5 of 11

Summit Environmental Technologies, Inc.
3310 Win St.
FE VI1101,1 MENTALTECHdi01,01GJE$; Cuyahoga Falls, Ohio 44223
Aria/yticA1t z Oralorlies. TEL [phone] FAX: [phone]
Website: http://www.settek.corn
1
Analytical Report
(base report)
WO#: 16080799
Date Reported: 9/9/2016
CLIENT:
Matrix:
Lab ID:
Project:
Synagro
SLUDGE
16080799-OO1A
Bladenboro
Client Sample ID Bladenboro WWTP
Tag Number:
Collection Date: 8/9/2016 2:30:00 PM
Analyses
Result RL Qual Units
DF Date Analyzed
RCI
PH (SW9045D)
pH
6.96
SW9045D
s.u.@21.3°C 1
Analyst: CXS
8/26/2016 4:00:00 PM
Qualifiers:
H
ND
R
w
Holding times for preparation or analysis exceeded
Not Detected at the Reporting Limit
RPD outside accepted recovery. limits
Sample container temperature is out of limit as specified at testcode
M
PL
RL
Manual Integration used to determine area response
Permit Limit
Reporting Detection Limit
Original
Page 6 of 9
Page 6of11

Summit Environmental Technologies, Inc.
3310 Win St.
EMIR ONMENTALT£CWJO1 G t .S,.JPI+ Cuyahoga Falls, Ohio 44223
Anal ttu31 lailivra vrtes TEL: [phone] FAX: [phone]
Website: http://www.settek.com
WO#:
Date Reported:
Company:
Address:
TCLP Metals Analysis (6010)
16080799
9/9/2016
Synagro
284 Boger Rd.
Mocksville NC 27028
Received: 8/12/2016
Project#: Bladenboro
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
001 8/9/2016 TCLP Arsenic(As)
001 8/9/2016 TCLP Barium(Ba)
001 8/9/2016 TCLP Cadmium(Cd)
001 8/9/2016 TCLP Chromium(Cr)
001 8/9/2016 TCLP Lead(Pb)
001 8/9/2016 TCLP Selenium(Se)
001 8/9/2016 TCLP Silver(Ag)
0.500 ND mg/L Sludge EPA 6010 C 1
5.00 ND mg/L Sludge EPA 6010 C 1
0.100 ND mg/L Sludge EPA 6010 C 1
0.200 ND mg/L Sludge EPA 6010 C 1
0.500 ND mg/L Sludge EPA 6010 C 1
0.500 ND mg/L Sludge EPA 6010 C 1
0.500 ND mg/L Sludge EPA 6010 C 1
TCLP Mercury Analysis (1311/7470)
5.00
100
1.00
5.00
5.00
1.00
5.00
8/16/2016 VVK
8/16/2016 VVK
8/16/2016 VVK
8/16/2016 VVK
8/16/2016 VVK
8/16/2016 VVK
8/16/2016 VVK
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Bladenboro WWTP 001 8/9/2016 TCLP Mercury
0.00200 ND mg/L
Sludge EPA 7470 A 1 0.200 8/16/2016 ALJ
SVOC SW-846: 8081-TCLP Pesticides
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
Bladenboro WWTP
001
001
001
001
001
001
001
8/9/2016
8/9/2016
8/9/2016
8/9/2016
8/9/2016
8/9/2016
8/9/2016
Chlordane, total
Toxaphene
Endrin
gamma-BHC
Heptachlor
Heptachlor epoxide
Methoxychlor
0.0100 ND mg/L Sludge EPA 8081 B 1
0.0200 ND mg/L Sludge EPA 8081 B 1
0.00100 ND mg/L Sludge EPA 8081 B 1
0.00100 ND mg/L Sludge EPA 8081 B 1
0.00100 ND mg/L Sludge EPA 8081 B 1
0.00100 ND mg/L Sludge EPA 8081 B 1
0.00100 ND mg/L Sludge EPA 8081 B 1
SVOC SW-846: 8151 Herbicides-TCLP
0.0300
0.500
0.0200
0.400
0.00800
0.00800
10.0
8/16/2016 JBN
8/16/2016 JBN
8/16/2016 JBN
8/16/2016 JBN
8/16/2016 JBN
8/16/2016 JBN
8/16/2016 JBN
Client ID# Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix Method DF RegLvl Run Analyst
Bladenboro WWTP 001
Bladenboro WWTP 001
8/9/2016 2,4-D
8/9/2016 2,4,5-TP
1.00
0.100
ND mg/L
ND mg/L
Sludge EPA 8151 A 1 10.0 8/23/2016 JBN
Sludge EPA 8151 A 1 1.00 8/23/2016 JBN
Pam 'Off191

M'iI
IE`WlR0NMENTAL:1'gCHNOLOG if S,INO
Analyticgf 1.41iprafories
Sunnnit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Website: http://www.settek.com
WO#: 16080799
Date Reported: 9/9/2016
Company: Synagro
Address: 284 Boger Rd.
Mocksville NC 27028
Received: 8/12/2016
Project#: Bladenboro
VOC by GC/MS (8260)-TCLP
Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
Bladenboro WWTP 001 8/9/2016 1,1-Dichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 8/16/2016 MES
Bladenboro WWTP 001 8/9/2016 1,2-Dichloroethane 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/16/2016 MES
Bladenboro WWTP 001 8/9/2016 MEK 2.00 ND mg/L Sludge EPA 8260 B 1 200 8/16/2016 MES
Bladenboro WWTP 001 8/9/2016 Benzene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/16/2016 MES
Bladenboro WWTP 001 8/9/2016 Carbon tetrachloride 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/16/2016 MES
Bladenboro WWTP 001 8/9/2016 Chlorobenzene 0.100 ND mg/L Sludge EPA 8260 B 1 100 8/16/2016 MES
Bladenboro WWTP 001 8/9/2016 Chloroform 0.100 ND mg/L Sludge EPA 8260 B 1 6.00 8/16/2016 MES
Bladenboro WWTP 001 8/9/2016 Tetrachloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 8/16/2016 MES
Bladenboro WWTP 001 8/9/2016 Trichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/16/2016 MES
Bladenboro WWTP 001 8/9/2016 Vinyl chloride 0.200 ND mg/L Sludge EPA 8260 B 1 0.200 8/16/2016 MES
SVOC 8270 TCLP BNA List
"Ent ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
\:::.:.lenboro WWTP 001 8/9/2016 1,4-Dichlorobenzene 0.0800 ND mg/L Sludge EPA 8270 C 2 7.50 8/19/2016 CxA
Bladenboro WWTP 001 8/9/2016 2,4,5-Trichlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 400 8/19/2016 CxA
Bladenboro WWTP 001 8/9/2016 2,4,6-Trichlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 2.00 8/19/2016 CxA
Bladenboro WWTP 001 8/9/2016 2,4-Dinitrotoluene 0.100 ND mg/L Sludge EPA 8270 C 2 0.130 8/19/2016 CxA
Bladenboro WWTP 001 8/9/2016 Cresols, Total 4.00 ND mg/L Sludge EPA 8270 C 2 200 8/19/2016 CxA
Bladenboro WWTP 001 8/9/2016 Hexachloro-1,3- 0.100 ND mg/L Sludge EPA 8270 C 2 0.500 8/19/2016 CxA
butadiene
Bladenboro WWTP 001 8/9/2016 Hexachlorobenzene 0.100 ND mg/L Sludge EPA 8270 C 2 0.130 8/19/2016 CxA
Bladenboro WWTP 001 8/9/2016 Hexachloroethane 0.0800 ND mg/L Sludge EPA 8270 C 2 3.00 8/19/2016 CxA
Bladenboro WWTP 001 8/9/2016 Nitrobenzene 0.0800 ND mg/L Sludge EPA 8270 C 2 2.00 8/19/2016 CxA
Bladenboro WWTP 001 8/9/2016 Pentachlorophenol 0.200 ND mg/L Sludge EPA 8270 C 2 100 8/19/2016 CxA
Bladenboro WWTP 001 8/9/2016 Pyridine 0.200 ND mg/L Sludge EPA 8270 C 2 5.00 8/19/2016 CxA
Pagle bf1

Summit Environmental Technologies, Inc.
3310 Win St.
WIR0:N ENi'ALTE'~FisNQtA.rO 5 iiv Cuyahoga Falls, Ohio 44223
Arralytkcal Gshgr pries. TEL: [phone] FAX: [phone]
Website: httn://www.settek.com
WO#:
Date Reported:
Company:
Address:
Received:
Project#:
16080799
9/9/2016
Synagro
284 Boger Rd.
Mocksville NC 27028
8/12/2016
Bladenboro
Client ID# Lab ID# Collected Analyte
Result Units
Matrix Method DF RL Run Analyst
Bladenboro WWTP 001 8/9/2016 Cyanide, Reactive
Bladenboro WWTP 001 8/9/2016 Sulfide, Reactive
ND mg/Kg
Sludge EPA 9014 1 0.500 8/17/2016 MS
ND mg/Kg Sludge EPA 9034 1 25.0 8/17/2016 MS
PagtiO Sttf191

Doe,:
:I 7(. ,11.il ',I •.'. 1, , I'. ,
• initials faT person inspectino ceder and samplEts:
,1 t• a cl4D kccLi_P_/K c( q
C.ierti:
Order Number:
oate F.,,,cspe0d: .." 12 I (I' Tirra: Re'r.:clve:-i: 0 cl rt)coo;c-qt:i,a7lened end samr.4.•=. in,,przc-,ted: 15C--(1--
Number of Cociers/Doxes: NIA
Shippsi1 , 0 UPS DI -IL ,eirborna US Postal Walk-in PICI:uC Othar:
Packaging: Peanuts' 4t Papal- 'Foam
Cuslotg Seals intact
C-0-i.: in plasto
N .11/P%
Blue. ice
:' msif-ed NiA
SeMple Temperature tR Gun F'.15020459, CF 0 .°T: / 9
NIA
Raeologicat Tes,Vng instr..iment E.:fill-al 42.5.i27: Y (see, paga 2 for-smn Cults)
'-"Ose.-1 sheet. per earnple for P.acliological, TeisZ40:. !, oanipla is HOT, the ilacliolc9i:;s1 :rastli (*i;i6sr mar ;„-- be irnmedfately,
C-O-C fgeci.JUi prop elly
Saripies in sajlarate bags (..._..." ,, I•4', NiA
Semple writafriers- Intact'
If no, iist broken sarnpfefs):
SaMple,fabe.1(s) camp. e, (tD, dsts,
Label(s) agree
Correct cOnialnerslissd
Safficlent sample rsbeived
Samples, rer,e1,ted within hoidinc.; limo
BubbfeS'abserit from 40 rnL \Oars"
N
NIA
N NIi
N/A.
N,
N/A
" Samples with bubbles <6mm are acceptable, Inicate bubble size if
Was citsnt amfacteci about samplesY
Wtfi client send, new samples Y
Client contact
Dsterhme:'
Logged in bif
CoMmenty
Page. 1 of 2
Page 11 of 11

W A TE'7Q State of North Carolina
-. 6 Department of Environment and Natural Resources
r Division of Water Quality
--1
-< LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 08-11
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 or for an electronic version of this form, visit the Land Application Unit (LA U) web site at:
http://portalncdenr.org/web/wq/aps/lau
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 08-11 or FORM: SDR 08-11).
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 08-11):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) 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) 1 Deleted (D)
® Attach the following in accordance with each status code:
Required Item
Status Code
N
R
T
M
7.
County Manager
Notification
lio
✓
✓
✓
Land Owner
Agreement
(If applicable)
ir
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
✓
*
An updated accounting of the land application site's cumulative
pollutant loading rates (CPLRs)
✓
✓
INSTRUCTIONS FOR FORM: LASC 08-11
Page 1 of 3

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 Permittee relinquishing field
✓
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.
E 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:
El 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%.
E 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)
• Aerial Photography with Ground Control (AER)
• Cadastral Survey (SUR)
• Conversion from Coordinate Plane (CP)
• Conversion from Township -Section -Range (TSR)
• Conversion from Universal Trans Merc (UTM)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
• 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://portal.ncdenr.org/web/wq/ps/csu
® 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://portal.ncdenr.org/web/wq/home/ro
® 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://h2o.enr.state.nc.us/bims/reports/reportsWB.html. If this link does not work, open
http://portal.ncdenr.org/web/wq/ps/csu/classifications and download weekly -updated classification lists for named
waterbodies.
® 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
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.
• Digital or Raw Photo Extraction (EXT)
• Geodetic Quality GPS Survey (GEO)
• LORAN-C Navigation Device (LOR)
• Navigation Quality GPS (GPS)
• Remote Sensing (RS)
• Zip Code Centroid (ZIP)
INSTRUCTIONS FOR FORM: LASC 08-11 Page 2 of 3

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.
El 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.
❑ 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;
(B) unnamed freshwaters tributary to tidal saltwaters will be 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:
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 08-11
Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Town of Bladenboro
Land application sites currently certified: 88.0 net acres and Total to be certified: 69.3 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codea
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)Mapping
Predominant Soil
Series Nameb
Unit
or Rep. Slope
R
BL-3-1
Town of Bladenboro
Same
33.0
Bladen
Row Crop
Goldsboro
GbA
R
BL-3-2
Town of Bladenboro
Same
20.3
Bladen
Row Crop
Goldsboro
GbA
R
BL-3-3
Town of Bladenboro
Same
6.1
Bladen
Row Crop
Goldsboro
GbA
R
BL-3-4
Town of Bladenboro
Same
9.9
Bladen
Row Crop
Goldsboro
GbA
'Status Code for land application sites are: • N (New) • R (Renewed) • M (Modified) ♦ T (Transferred) • D (Deleted)
n 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 Pro osed
p
Class
BL-3-1
34° 32'12"
78° 47' 52"
NAD 83
ADD
Nearest Second
L 3-2
34° 32' 02"
78° 48' 01"
NAD 83
ADD
Nearest Second
BL-3-3
34° 32' 17"
78° 47' 41"
NAD 83
ADD
Nearest Second
BL-3-4
34° 32' 12"
78° 48' 13"
NAD 83
ADD
Nearest Second
j
0
' 1"
NAD 83
ADD
Nearest Second
i
i I. '
II
0�' "
NAD 83
ADD
Nearest Second
L_
° i '' "
"
"
NAD 83
ADD
Nearest Second
° , .<,
„
no ' ; ' "
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 08-11
Page 1

LAND APPLICATION SITE CERTIFICATION
FORM: LASC 08-11 Page 2

SITE SUMMARY
Town of Bladenboro
Bladenboro NC
Site ID: NC- BL-3
Owner: Town of Bladenboro
Address: PO Box 455
Blabenboro NC 28320
Phone: [phone]
Operator:
Total
same
Estimated
Aoolicable
yarrieus Co. Predominant Latitude &
Soil Series Longitude
RYE
1
42.5
J 33cipCorn,-
�Pw
OP-)
-. Soybean,(GbA)
Wheat- (r(1A'
148,149,136
Goldsboro
34.32.12 N
78.47.52 W
2
26
J20.3
Corn,
Soybean,
Wheat
148,149,136
Goldsboro
(GbA)
34.32.02 N
78.48.01 W
3
9.0
j 6.1
Corn,
Soybean,
Wheat
148,149,136
Goldsboro
(GbA)
34.32.17 N
78.47.41 W
4
10.5
J 9.9
Corn,
Soybean,
148,149,136
Goldsboro
Wheat
(GbA)
34.32.12 N
78.48.13 W
TOTALS
Notes:
88.0
69.3
Date: 07/06/17

''Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
1SA NCAC 02T .1100 — 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 15A 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):
El- 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.
I1 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: To �� 3 I�j �C•a v
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
p
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
!3 L- `S — 1, a,3,
mo
w
Fecc6s
The landowner or his representative receives, in consideration, full use of the nutrient 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 Iength 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.

I. 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, 1617
Mail Service Center, Raleigh, NC 27699-1617.
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 of, this Agreement.
11. 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 less 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
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE 1111. COMPLIANCE BOUNDARY: (please check one)
15A 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.
f<j
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: ., is currently permitted under another
residuals land application program; Permit Number WQ: . The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the fields) be removed from the previously permitted residuals land application program and transferred
into the new program;
(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 I 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: I©WA f5E UlaAen ©fa
Address: L! I I:Ivey 6t-tce:\-
City: t3\ t\lc
Phone:
Signature:
4(0_ ( -3_ 3b s s
'D7A1
NORTH CAROLINA, f "S 6 -16
State: 14 Zip: 116 3 X i
E-mail address: 121,6. r6,raJ I' I -Z EC_ i r, C blv/
I, the undersigned Notary Public do hereby certify that
Date: 114/26 %
COUNTY
` e 0
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the (A
day of 4 '014-
Signature and seal:
My commission expires: C do./
Lessee's/Operator's Certification:
i 2O 2.
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 Agr ment and do hereby agreelIto abide by the stipulations and restrictions as specified herein.
Signing official name: U 1,4 Thu dLc (Jk\ r
t� iL DiAr- -i ,
Signature:
Date:
7 -1 3- l)
FORM: LOA 06-16-
Page 3 of 3

APPLICATION MAP
.40't
'74ir,d0j
,,A01 ; p''.10110.:AW4
JF.GEND
APPLICATION AREA
--- STREAM
• — • — • DRAIN
PUBLIC ROAD
PRIVATE ROAD ® SOIL DESCRIPTION
PROPERTY LINE
UNSUITABLE AREA
OFFSITE HOUSE
® MONITORING WELL
1 inch = 660 feet
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
All locations are approximate.
0 215 430
Fect
860 1,290 1,720
NC-BL-03
Fields 1-4

VICINITY MAP
NC-BL-03
Fields 1-4
1 inch = 4,000 feet
Feet
0 1,300 2,600 5,200 7,800
10,400
All locations are approximate.

SOIL SURVEY
NC-BL-03
Fields 1-4
0 215 430
1 inch = 660 feet
Feet
860
1,290 1,720
All locations are approximate.

TOPOGRAPHIC MAP
NC-BL-03
Fields 1-4
1 inch = 660 feet
Feet
0 215 430 860 1,290
1,720
All locations are approximate.

Find Participants
Participant Details
PIN:
Honorarium:
First Name:
-
Middle Nam:
Last Name:
Suffix:
Mailing Address:
Address Line1:
Address Line2:
Certificates
Exams Classes r FacilityDesignations Billing Comments
Birth mmiyyyy:
Mr
10-1957
Alton
Lynn
Brisson -
9724.61d Whitevit le, Rd '
City: Lumberton fl State: 1,1\1C
ZIP:
28358-
County: Robeson
Country:
United States
Admin Region: Fayetteville - 11-~
Home Phone:
Work Phone:
Fax:
Cellular:
Pager:
Email:
Physical Address:
AddressLinel:
AddressLine2:
City:
ZIP:
County:
Country:
.Ready
[phone]
[phone]
Ext.:
Ext.:
[e-mail],
State: • ;,
OK
SID:
Send Mail ...
. .
Close

w
Permit History
oil AAn lysis
i Residual Analysis i Comments Inspections Incidents r Enforcements l\ Violations I
Related Permits
.dells Fields Sites
- Residual Sources ? I Ceiling Concentration i' TCLP
Details 1
' Details 2 if Billing
jf Class.;Desi Events ar Reg. Activities \,
r Structures V Affiliations
Reviewers
Permit:
O0014452
version:
3.0
i Status: 'Expired
Expired
1\\
Classifications: —
Location
"Classification
*Effective Dt Expiration Dt
Modification Dt
I Modified By
Lam.
03;3111998 j
04/1-1;2007
greg.wolfe
Designated Operators:
*Location Class.
Operator CO
Marne i Status;
*Role
`Effective Dt
Expiration Dt
Notification Dt
Contractor
LA
LA;14734
Brisson, Alton L. lAc:tive
ORC
07;2912005
10/15; 2007
■
ILA
Lam,; 2n990
Gooch. Michael S. Active
Backup
0 129;2005 1
10115?2007 ❑
ShowHistorical1
1--
,-anticipant°.
i
Details Faits.; _:�t
. E v ?.. _ li:li
Close 1
2 Designated operators found. Ready a SID: Pfv1CL

' ' -.' ... -, ,, - , ----, ' ---' ' =•7::.,f' ,',7„,u , - , ' ' -4,7:`, ' '74, „1-4Inet;4,1PF:::,,,:ii ‘,. , , 't „.,, J., - ., ,7--- , - : -- - -
Permit History : ' ' . " .•:. - - -,_ wi, ' `tr ' t - '. ,,.. '..... .k: .1'-' .` '7 '''..' '''. '
,,:z.„-,',, ,
"'.-j-._
, ..., ::- _
, ,,,
/ S o i I AnalySis
Residual Analysis
Comments
Inspections
' Incidents -
" Enforcements
" Violations
----".
-
,
'Related Permits
L Wells
F11616: i''.'
' Sites .
Residual Sources
Ceilin-g Concentration '
TCLP
Details 1
Details' 2
Billing
ClassiDesig.
' Events
" Reg. Activities
" • Structures
' Affiliations
Reviewers
.
Permit:.
.
0,100014452 ,
App. Version:
3.0
Status:
Expired
A
. .
. .
" . " • .
l'
Owner '
Lessee
Tra...
Field.+Zone #
Acreage
Dorninant Soil Series
Plat Rating
.
Town of Bladenboro
NC-BL-3-1
33
GOA- Goldsboro sandy loam, 0 to 3% slopes
. .
Town of Bladenboro
NC-BL-3-2"
20.3
GOA- Goldsboro sandy loam, 0 to 3% slopes
Town of Bladenboro
NC-BL-3-3
6.1
GbA - Goldsboro sandy loam, 0 to 3% slopes
.
Town of Bladenboro
NC-BL-3-4
9.9 •
GbA - Goldsboro sandy loarn, 0 to 3% slopes
. ,
. .
, .
. .,
, . .
.
. . ,
, . . . . - .
. _.,. .
DOpil.s.
.
...
..
. .,
_
. -•-
.
-,kemove
. .
, __
. . .
. , . , .
' -
. Reootts _
.
. ,
. ,
.
. , , . . .
. .
.
.
.
. .
. .
. .-
,,. - • .
--' Bat i; -
I Net ,-
F,'-h 1
. , Close
.. - . . .,...
. . .
. ,. .
4 Fields found. , Ready . [SID: PMFLD
' . .

Find Owner
Owner Incidents
Owner Details
Owner Enforcements
Owner Delegations
f
Owner Violations '` Owner Projects
Owner Affiliations Il Owner Facilities
Owner History
:GwnsrPertnits �Owner Inspections
Owner:
Town of.8ladenboro,-
-
Permit
Version
"Status
- Type
, Facility
II ICC%tD �tx 52
4 '=
f
tive �4 ,
�
ttun kI?. r ,wyrat 1r �hs'cha'rg,e -1
iffgat e.n�3 r`o 1"'z"1TPJ
W00000713
1.0
Active
Gravity Sewer Extension, Pump Stati...
Bladenboro Town -Hwy 410&.242
0.0004459
1.0
Active
Gravity Sewer Extension, Pump Stati...
Bladenboro Town -Town Ext}s
wQ0007250
1.0
Active
Gravity Sewer Extension, Pump Stati...
Bladenboro Town-Subdivikleat
,Aw00009575
1.0
Active
Gravity Sewer Extension, Pump Stati...
Bladenboro Town-Hardees Site
O:001215.8
1.0
.
Active
Gravity Sewer Extension, Pump Stati...
Bladenboro Town-Cdbg 951Busi
"100012503
1.0
•
Active
Gravity Sewer Extension, Pump Stati...
Bladenboro Town-King's Plant
C:1001382g
1.0
Active
Gravity Sewer Extension, Pump Stati...
Bladenboro Town-Ashe St Repl
: O0014452
1.0
Inactive
Land Application of Residual Solids (...
Town of Bladenboro Residuals L...
-
: Q0014452
2.0
Inactive
Land Application of Residual Solids (...
Town of Bladenboro Residuals L...
.
WQ0014452
3.0
Expired
Land Application of Residual Solids (...
Town of Bladenboro Residuals L...
1
'' C WI„. V 4;;
,
'
Jin ti'reaft "
fga,' d . p ,Ilia t�i �� { �fi'Re i�dual `li s (
Town of Bladenboro Residuals L...
_.
WO0015532
1.0
.Active
Gravity Sever Extension, Pump Stati...
Bladenboro Town -Industrial D
W0.0017626
1.0
Active
Gravity Sewer Extension, Pump Stati...
Bladenboro Town -East Poplar
WQ0021311
1.0
Inactive
Wastewater Irrigation
Bladenboro Wastewater Treatme...
1�i,i
,t' ?1p511 -�11
•
&ce y
`
p;a t9v�aerg.ati
Bladenboro WastewaterTreatme.-_
'.' 0111l2 :311
A.
Reti irnac!
Wastewafer Icriaa:inn jaLadenhamjaas ewate.r Treattna
Details...
Close
28 Permits faun
Ready
rPage 111
SID: O AIPT

Nutrient Management in North. Carolina 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 scientistsand 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 Carolinacrops. 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 •
o 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://cio.ncsu.edu/vields
Additional Guidance for speciality crops can be found at: htto://nutrients.soil.ncsu.edu/crops/
Select Your County
Select Your Soil
Correct for Slope
Bladen
GdA: Goldsboro -Urban land complex, 0 to 3 percent slopes
Gh: Grantham very fine sandy loam • - v
Gm: Grifton-Meggett complex, occasionally flooded
® Use Representative Slope Typical of the Soil Mapunit
O Use my slope
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http://yields.soil.ncsu.edu/index.php 7/27/2017

. Nutrient Management in North.Caroliria Page 2 of 2
Realistic Yields for GbA:• Goldsboro sandy loam, 0 to 3 percent slopes in Bladen
County
Crop
Realistic Estimated Phosphorus
Nitrogen Nitrogen Removal
'Yield Factor Rate (Ibs/acre) (Ibs P205/acre)
Barley (Grain)
88 Bushels 1.51 133 33
Corn (Grain)
156 Bushels 0.95 148 69
• Corn (Silage)
24 Tons 11.1 266 82
Cotton 925 Pounds 0.089 82 27
Sorghum (Silage) 20.5 Tons 7.8 160 62
Oats (Grain) • 110 Bushels 1.17 129 28
Peanuts '
4000 Pounds 0 0 22
Rye (Grain)
• 65 Bushels • 2.09
136 -21
Small Grain (Silage)
10.5 Tons 11.4. 120. 57
Sorghum (Grain)
65 CWT 1.78 116 49
Soybeans (Double Cropped) 38 Bushels 0 0 .30
Soybeans (Full Season) 45 Bushels -0 0 -36
Soybeans (Double Cropped - Manured) 38 Bushels . 3.91 _ 149 . 30
Soybeans (Full Season - Manured) - 45 Bushels - 3.91 176 36
Tobacco (Burley)
0 Pounds .0.06 0 :0
Tobacco (Flue Cured) 3400 Pounds 0.029 99 • 17
Triticale (Grain) 91 Bushels 1.53 139 30
Tropical Corn (Silage)
24 Tons 6.7 161 82
Wheat (Grain)
65 Bushels 2.09 136 ‘33
Bahiagrass (Hay)
5 Tons 46 230 57
Caucasion/Old World Bluestem (Hay) 5.3 Tons 46 242 62
Common Bermudagrass (Hay)
5 Tons 46. 230 61
Dallisgrass (Hay)
5 Tons 46 230 66
Fescue (Hay)
4 Tons 46 184 63
Hybrid Bermudagrass (Hay) 6.5 Tons 46 299 80
•• Hybrid Bermudagrass overseeded with' Rescuegrass . 8.3 Tons • 46 380 112
• • - (Hay) • .•
Mixed Cool. Season Grass, (Hay)
2.8 Tons 46 127 39
Orchardgrass (Hay) 2.8 Tons 46 127 40
•Pearl Millet (Hay) 5.5 Tons 51 281 73
Rescuegrass (Hay) • 4 Tons 46 184 45
Sorghum Sudan (Hay) 6.3 Tons 51 319 1 87
Timothy Grass (I -la?) •
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 7/27/2017