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WQ0019960_Application_20070416
AvhPvipe RGL� AioP�e?! Office c��ai��v5� F'r•r�g�ciic� APPLICATION FOR PERMIT MODIFICATION AND RENEWAL CITY OF MARION PERMIT NO. WQ0019960 Prepared For: City of Marion Post Office Drawer 700 Marion, North Carolina 28752 Prepared By: Branch Residuals & Soils, LLC 311 B South Westgate Drive Greensboro, North Carolina 27407 March 2007 BRANCH RESIDUALS & SOILS, LLC 311 B South Westgate Drive • Greensboro, NC 27407 PHONE (336) 510-0340 • FAX (336) 510-0341 March 29, 2007 NCDENR -Division of Water Quality Aquifer Protection Section Non -Discharge Permits 2728 Capital Boulevard Raleigh, North Carolina 27604 Attention: Mr. Ed Hardee Reference: MODIFICATION OF PERMIT NO. WQ0019660 City of Marion Residual Solids Management Program BR&S Job No. 2006-51 Dear Mr. Hardee: Branch Residuals & Soils, LLC is under contract with the City of Marion to provide assistance in the preparation of a permit renewal and modification to the above referenced permit. The city of Marion request modifications on the following areas: 1. increase acreage of two previously permitted fields, 2. decrease TCLP monitoring from annually to once per permit cycle, and 3. remove the lime tower from the current wastewater treatment plant. The purpose of the lime tower was as a back up in case volatile solids reduction requirements were not met. Currently, the City of Marion has an air permit for this structure, but it no longer has any lime in the tower. If there are 'notifications that should be made to' other agencies other than air quality, please let me know. Your attention in the review of this application would be greatly appreciated. Please contact me immediately if you require additional information or have questions in the review of the permit application. Sincerely, rr , Robert T. Branch, L. S. S. Project Manager cc: Mr. Robert Boyette — City Manager City of Marion, North Carolina Va.MOR CITY OF NARION WATER AND SEWER FUND 10274 - Aquifer Protection Divisi Mm 03/26/z o07 CHECN NUMBFA 304015 NVOICE NUMBER NVOICE MTE INVOICE MOUNT DISCOUNT FMOUw RAU 032107 3/26/2007 325.00 325.OD 10274 Aquifer Protection Division N Invoice # Inv Date PO Number Description 032107 3/26/2007 Check Total 325.00 03/26/2007 Check Total 304015 Amount 325.00 325.00 TABLE OF CONTENTS Section No. Title I NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAM II RESIDUALS SOURCE CERTIFICATION ATTACHMENT Ha Facility vicinity map Hb Process flow diagram and map He Justification for residuals production rate Ild Residuals sampling plan III LAND APPLICATION SITE CERTIFICATION ATTACHMENT IIIb County Manager Notification Attachment IV JAMES C. FISHER Landowner Agreement Attachment Buffer Waiver Agreement Attachment Vicinity and Buffer Maps Soils Evaluation for Modified Site Cumulative pollutant loading rates and analysis of soil samples to include heavy metals V MARIO DELUCA Landowner Agreement Attachment Buffer Waiver Agreement Attachment Vicinity and Buffer Maps Cumulative pollutant loading rates and analysis of soil samples to include heavy metals VI NANCY ROSS Landowner Agreement Attachment Vicinity and Buffer Maps Soils Evaluation for Modified Site Cumulative pollutant loading rates and analysis of soil samples to include heavy metals NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAM State of North Carolina Department of Environment and Natural Resources Division of Water Quality NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAM (FORM: NDRLAP 10-06) -- The Division of Water Quality will not accept this application unless all the instructions are followed. Failure to submit all of the required items will lead to additional processing and review time. For more information, visit our weh site at. http://h2o.enr.state.nc.us/7aulmain.hhnl A. Application Form: (All Application Packages): ✓ Submit one original and two copies of the completed application package. Any changes made to this form will result in the application being returned. The Division of Water Quality will only accept application packages that have been fully completed and all applicable items are addressed. ✓ Non -dedicated residuals land application programs are ones in which all land application sites do not meet the criteria in 15A NCAC 2T .1102(12). Specifically, a residuals land application program cannot be designated as non -dedicated if any of the following is applicable: ♦ Any land application site certified for ,the residuals land application program that receives residuals at rates or frequencies greater than agronomic rates. ♦ Any land application site certified for the residuals land application program that is used primarily for residuals disposal, and agricultural crop production is of secondary importance. ♦ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system. ✓ The signing official must meet the criteria stipulated in 15A NCAC 2T .0106(b). An alternate person may be designated as the signing official, provided that a delegation letter from a person who meets the referenced criteria is submitted. The delegation letter does not have to be resubmitted if the signing official has not changed since the last permitting action associated with this residuals land application program. ✓ If this project involves 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): ✓ For new permits submit a check in the amount of $1,090 if over or equal to 300 acres of land required or $675 if less than 300 acres of land required, made payable to: North Carolina Department of Environment and Natural Resources (NCDENR). Major modification fee are $325 and $205, respectively C. Cover Letter (All Application Packages) Submit a cover letter, which lists all items and attachments included in the application package as well as a brief project description. ✓ If necessary for clarity, include attachments to the application form. Such attachments will be considered part of the application package and should be numbered to correspond to the section to which they refer. D. Environmental Assessments (May be Required — See 15A NCAC 1 C .0300): ✓ Submit one 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. E. Submission of Application Packages: ✓ To determine which attachment forms and supplemental attachments are required to make a complete application package, read the instructions of each attachment form carefully. Application packages should be organized and bound (i.e., stapled, placed in three-ring binder, etc.) in the following order prior to submission: ♦ Cover letter and application fee. ♦ Attachment Order 1: Non -Dedicated Residuals Land Application Programs (FORM: NDRLAP 10-06). Attachment Order 1-a: Signing official delegation letter. ♦ Attachment Order 2: Residuals Source Certification Attachment (FORM: RSCA 10-06). ♦ Attachment Order 3: Land Application Site Certification Attachment (FORM: LASCA 10-06). ✓ The application package should be sent to the address at the end of this application form. Do not submit this application package to any Division regional office. FORM: NDRLAP 10-06 Page 1 of 6 Attachment Order 1 State of North Carolina Department of Environment and Natural Resources Division of Water Quality NON -DEDICATED RESIDUALS LAND APPLICATION PROGRAMS (THIS FORMMAYBE PHOTOCOPIED FOR USE ASANORIGINAL) ! Application Number: (to be completed by DWQ) AQUIx�A fl � �� NR /DIIV I. OWNERSHIP INFORMATION: MAR �� 'FCT/QN 1. Specify whether the process facility is owned by: 0 2007 ❑ County: ❑ Federal: ❑ Municipal; ❑ State: ❑ Non -Government 2. Owners name (please specify the name of the municipality, corporation, individual, etc). Mr. J. Robert Boyette, City Manager Mailing address: P.O. Drawer 700 City: Marion State: NC Zip: 28752 Physical address: 194 N. Main Street City: Marion State: NC Zip: 28752 Telephone number. ( 828 ) 652-3551 Facsimile number. (828 ) 652-1983 E-mail address: bboyette@wnclink.com 3. Signing official's name and title: (See Instruction A) Mr. J. Robert Boyette, City Manager Mailing address: P.O. Drawer 700 City: Marion State: NC Zip: 28752 Physical address: 194 N. Main Street City: Marion State: NC Zip: 28752 Telephone number. ( 828 ) 652-3551 Facsimile number: ( 828 ) 652-1983 E-mail address: bboyette@wnclink.com H. PERMIT INFORMATION: i. Application is for ❑ new, ® modified, ® renewed permit (check all that apply). 2. Fee Submitted: $ 325.00 (See Instruction B) 3. If this application is being submitted to renew or modify an existing permit, provide the following: Permit number WQ0019960 , Most recent issuance date April 24, 2002 , and the expiration date June 30, 2006 Date of most -recently certified Attachment A: April 24„ 2002 Date of most -recently certified Attachment B: July 12, 2005 FORM: NDRLAP 10-06 Page 2 of 6 Attachment Order 1 4. Check all that apply to the requested permit modification: the maximum permitted annual dry tonnage for existing residuals ❑ INCREASE ❑ DECREASE source -generating facility(ies) certified for this residuals land application program. ❑ ADD ❑ DELETE residuals source -generating facility(ies) to/from those certified for this residuals land application program. ® INCREASE ❑ DECREASE the net acreage associated with land applications site(s) currently certified for this residuals land application program. ❑ ADD ® DELETE land application site(s) to/from those certified for this residuals land application program. N OTHER. Explain: Renewal, Remove Lime Tower from WWTP, Reduce TCLP 115 yrs. M. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. County where residuals land application program is headquartered: McDowell 2. Count(ies) where residuals source -generating facilities are located McDowell 3. Count(ies) where land application sites are located: McDowell 4. Program Contact person and/or consulting firm who prepared application: Branch Residuals & Soils, LLC Mailing address: 311 B South Westgate Drive City: Greensboro State: NC Zip: 27407 Physical address: 311 B South Westgate Drive City: Greensboro State: NC Zip: 27407 Telephone number: ( 336 ) 510-0340 Facsimile number: ( 336 ) 510-0341 E-mail address: bbranchObranchrs.com 5. Who will be responsible for the day-to-day management of the residuals land application program: ❑ Permittee or ® residuals management firm. If a residuals management firm, complete the following: Firm contact person and title: Mr. Dennis Key- President- Southern Soil Builders, Inc. Firm name: Southern Soil Builders, Inc. Mailing address: 958 Hoots Road City: Roaring River State: NC Physical address: 958 Hoots Road Zip: 28669 City: Roaring River State: NC Zip: 28669 Telephone number: ( 336 ) 957-8909 Facsimile number: (_336 ) 957-8940 E-mail address: ssdi@wilkes.net FORM: NDRLAP 10-06 Page 3 of 6 Attachment Order I 6. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application prog ram, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC Dennis Key Southern Soil Builders, Inc. 13532 Back -Up ORC David Key Southern Soil Builders, Inc. 23629 Additional Back -Up ORCs (if applicable) If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: 7. 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: 290 dry tons ner vear_ PAN First - Year Pounds of PAN per Dry Ton (Weighted Average) Pounds of PAN per Year Surface Incorporation or Injection Surface Incorporation or Injection 1 35.57 36.17 10,314.72 10,488.72 Five Year Maximum Adjusted 1 56.47 57.07 16,376.53 16,550.53 b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation 0.00 Row Crops 0.00 Hay 35.60 Pasture 96.10 Total. 131.70 Methods Surface 131.70 Incorporation or Injection 0.00 Total.- 131.70 Restrictions Year -Round 131.70 Seasonal 0.00 Total: 131.70 FORM: NDRLAP 10-06 Page 4 of 6 Attachment Order 1 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 abs PAN/ac yr) Acres Required Using First -Year PAN Concentration Acres Required Using Five -Year Maximum Adjust PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 70 147.35 149.84 233.95 236.44 150 68.76 1 69.92 109.18 110.34 250 1 41.26 1 41.95 65.51 66.20 8. Identify and provide a plan as well as a schedule to resolve any 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.) FORM: NDRLAP 10-06 Page 5 of 6 Attachment Order 1 Applicant's Certification: 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 active compliance schedule, and do not have any overdue annual fees under Rule 2T .0105. ❑ Yes ® No, Explain: I, Mr. L Robert Boyette, City Manager , attest that this application for City of Marion Land Application Permit Renewal and Modification I has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Quality 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 Quality 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. I further certify that 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 2T .0105. 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: - V Date: RECEIVED / DENR / DWQ AQUIFFR :oRnTFCTrnN cf:CTIQN NAR 0 2007 THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY AQUIFIER PROTECTION SECTION LAND APPLICATION UNIT By U.S. Postal Service: 1636 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1636 3202007 5:37 PM. By Courier/Special Delivery: 2727CAPITAL BOULEVARD RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 733-3221 FORM: NDRLAP 10-06 Page 6 of 6 Attachment Order 1 RESIDUALS SOURCE CERTIFICATION ATTACHMENT State of North Carolina Department of Environment and Natural Resources Division of Water Quality RESIDUALS SOURCE CERTIFICATION ATTACHMENT (FORM: RSCA 10-06) (MS FORMMA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed. Failure to submit all required items will lead to additional processing and review time. For more information, visit our web site at: hQ.-Ilh2o.enr.state.nc.us/7au/main.html INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: _ _� ✓ Do not submit this attachment form for review without a corresponding residuals program application form (FORM: NDRLAP 10-06, FORM: DRS 10-06, or FORM: SDRS 10-06). ✓ Any changes to this attachment form will result in the application package being returned. ✓ For new residuals programs or renewed residuals programs, submit a separate attachment form for each residuals source -generating facility to be certified for this residuals program. ✓ For modified residuals programs in which any modification to the certified residuals -source generating facilities is proposed, submit a separate attachment form for only those residuals source -generating facilities that are affected by the proposed modification. ✓ The attachment should be organized prior to submission in the following order (i.e., by facility): ♦ Attachment Order 2: Residuals Source Certification Attachment (FORM: RSCA 10-06). ➢ Attachment .Order 2-a: Vicinity map. ➢ Attachment Order 2-b: Process flow diagram and/or narrative. ➢ Attachment Order 2-c: Quantitative justification for residuals production rate. ➢ Attachment Order 2-d: Sampling plan. ➢ Attachment Order 2-e: Laboratory analytical reports and operational data. B. Residuals Source -Generating Facility Information: ✓ Attach a vicinity map that shows the location of the facility and meets all of the criteria in the latest version of the document entitled "Guidance for the Preparation of Vicinity/Buffer Maps for North Carolina Residuals Permitting Programs." ✓ Attach a detailed narrative and/or process flow diagram that describes how the residuals are to be generated, treated, processed, and stored at the facility. ✓ Attach 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. C. Residuals Quality Information: - ✓ Attach 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. ✓ Attach reports for all laboratory analyses used to complete this attachment form Attach documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector attraction reduction requirements. ✓ Item II. 3. 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. FORM: RSCA 10-06 Page 1 of 8 Attachment Order 2 State of North Carolina Department of Environment and Natural Resources Division of Water Quality RESIDUALS SOURCE CERTIFICATION ATTACHMENT (FORM: RSCA 10-06) (THIS FORMMAYBE PHOTOCOPIED FOR USE ASAN ORIGINAL) Applicant's name: City of Marion Check all that apply: ❑ NEW RESIDUALS PROGRAM ® RENEWED RESIDUALS PROGRAM ❑ INCREASE ❑ DECREASE the maximum permitted annual dry tonnage for this residuals source -generating facility certified for this residuals program. Current: 290 Dry Tons/yr. and proposed: 290 ❑ ADD ❑ DELETE this residuals source -generating facility to/from those certified for this residuals program. ® OTHER Explain: Reduce TCLP from annually to once per permit cycle I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Name of facility: Corpening Creek WWTP 2. Facility permit holder: City of Marion Facility permit holder is (check one): ❑ federal, ❑ state, 0 local government, or ❑ private. Facility permit number: NCO019660 Facility permit issued by (check one): ® Div. of Water Quality, ❑ Div. of Environmental Health, or ❑ other (explain: ). 3. If the facility permit is not issued by the Div. of Water Quality, complete the following: a. Facility contact person and title: Facility complete mailing address: H a City: State: Zip: Telephone number: ( ) Facsimile number: ( ) E-Mail address: b. Facility complete location address: City: State: Zip: County: Latitude: and longitude: County where facility is located: McDowell Purpose of the facility (check one): ® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater, ❑ treatment of potable water, ❑ treatment of 100% industrial wastewater, ❑ treatment of industrial wastewater mixed with domestic wastewater, or (approximate percentages: % industrial and % domestic) ❑ other (explain: FORM: RSCA 10-06 Page 2 of 8 Attachment Order 2 State of North Carolina f Department of Environment and Natural Resources Division of Water Quality RESIDUALS SOURCE CERTIFICATION ATTACHMENT (FORM: RSCA 10-06) (THIS FORMMAYBEPHOTOCOPIED FOR USEASANORIGINAL) 1 6. Is the facility required to have an approved pretreatment program: ® yes ❑ no. 7. Facility permitted/design flow: 3.0 MGD and facility average daily flow: 0.8 MGD. 8. Average amount of residuals to be .certified for this facility: 290 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: Type and volume of residuals storage (i.e., outside of residuals treatment units): None H. RESIDUALS QUALITY INFORMATION (See Instruction C.): I. Specify if residuals are regulated under (check one): ® 40 CFR Part 503 or ❑ 40 CFR Part 257. 2. Specify if residuals are intended for (check one): ❑ Land Application/Distribution (Class A or Equivalent). Complete all items EXCEPT Items II. 4b., 7b., and 7c. ® Land Application (Class B or Equivalent). Complete all items EXCEPT Items II. 4b., 7a., and 7c. ❑ Surface Disposal. Complete all items EXCEPT Items II. 4a., 5., 7a., 7b., and 8. ***FORM: RSCA 10-06 CONTINUES ON NEXT PAGE*** FORM: RSCA 10-06 Page 3 of 8 Attachment Order 2 State of North Carolina Department of Environment and Natural Resources Division of Water Quality RESIDUALS SOURCE CERTIFICATION ATTACHMENT (FORM: RSCA 10-06) (THIS FORMMAYBE PHOTOCOPIED FOR USE ASANORIGINAL) 3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non- hazardous under RCRA: a. Are the residuals are listed in 40 CFR §261.31-§261.33: ❑ 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: ❑ yes ® 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. PAR Laboratories and date of analysis: 4/28/04 Passed corrosivity test: ® yes ❑ no. pH: 6.3 s.u. (2 < pH < 12.5). Passed ignitability test: N yes Elno. Flashpoint: >200 °F (> 140°F). - Passed reactivity test: ® yes ❑ no. HCN: N' mg/kg (<250) & HZS: Non mg/kg (<500) TCLP Parameter Limit mg/L) Result (mg/L) TCLP Parameter Limit mg/L Result m97L) Arsenic 5.0 <0.5 Hexachlorobenzene 0.13 <0.013 Barium 100..0 <10.0 Hexachloro-1,3-Butadiene 0.5 <0.05 Benzene 0.5 <0.05 Hexachloroethane 3.0 <0.3 Cadmium 1.0 <0.1 Lead 5.0 <0.5 Carbon Tetrachloride 0.5 <0.05 Lindane 0.4 <0.04 Chlordane 0.03 <0.003 Mercury 0.2 <0.02 Chlorobenzene 100.0 <10.0 Methoxychlor 10.0 <1.0 Chloroform 6.0 <0.6 Methyl Ethyl Ketone 200.0 <20.0 Chromium 5.0 <0.5 Nitrobenzene 2.0 <0.2 m-Cresol 200.0 <20.0 Pentachlorophenol 100.0 <10.0 o-Cresol 200.0 <20.0 Pyridine 5.0 <0.5 p-Cresol 200.0 <20.0 Selenium 1.0 <0.1 Cresol 200.0 <60.0 Silver 5.0 <0.5 2,4-D 10.0 <1.0 Tetrachloroethylene 0.7 <0.07 1,4-Dichlorobenzene 7.5 <0.75 Toxaphene 0.5 <0.05 1,2-Dichloroethane 0.5 <0.05 Trichloroethylene - 0.5 <0.05 1,1-Dichloroethylene 0.7 <0.07 2,4,5-Trichlorophenol 400.0 <40.0 2,4-Dinitrotoluene 0.13 <0.013 2,4,6-Trichlorophenol 2.0 <0.2 Endrin 0.02 <0.002 2,4,5-TP (Silvex) 1.0 <0.1 Heptachlor and its Hydroxide 0.008 <0.0008 Vinyl Chloride 0.2 <0.02 FORM: RSCA 10-06 Page 4 of 8 Attachment Order 2 State of North Carolina Department of Environment and Natural Resources Division of Water Quality RESIDUALS SOURCE CERTIFICATION ATTACHMENT (FORM: RSCA 10-06) (TIHSFORMMAYBE PHOTOCOPIED FOR USEASANORIGINAL) 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'40 CFR Part 503 or 40 CFR Part 257: a. For Class A or Class B: 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 A&L Eastern Agricultural Labs and date of analysis: 1/19/05 Parameter Ceiling Concentration Limits (Class A & Class B) (mg1kg) Monthly Average Concentration Limits (Class A Only) (mg1kg) Result (mg1kg) Arsenic 75 41 1.94 Cadmium 85 39 3.60 Copper 4,300 1,500 506.00 Lead 840 300 22.00 Mercury 57 14 2.04 Molybdenum 75 n/a 67.00 Nickel 420 420 22.00 Selenium 100 1 100 5.10 Zinc 7,500 1 2,800 1,092.00 C. For Surface Disposal: 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 and date of analysis: Closest Distance to Property Lines (meters) Arsenic (mg/kg) Chromium (mg/k� Nickel (mg/kg) > 0 but < 25 30 200 210 > 25 but < 50 34 220 240 > 50 but < 75 39 260 270 > 75 but < 100 46 300 320 > 100 but < 125 53 360 390 > 125 but < 150 62 450 420 > 150 1 73 1 600 420 FORM: RSCA 10-06 Page 5 of 8 Attachment Order 2 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 3.21 %. 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. A & L Agricultural Labs and date of analysis: January 19, 2005 Parameter Result (mg/kg, dry weight) Aluminum 24,053.00 Ammonia -Nitrogen 600.00 Calcium 1.61 Magnesium 0.47 Nitrate Nitrite Nitrogen 84.00 pH 6.50 Phosphorus 23,000.00 Potassium 4,700.00 Sodium 0.17 Total Kjeldahl Nitrogen 58,600.00 c. Using the results listed in Item H. 5b. above, calculate the sodium adsorption ration (SAR): 0.005 d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This rate is a 0 default value or ❑ 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: Default value for aerobic digestion. Calculate the PAN for the residuals (i.e., on a dry weight basis) and list the results in the following table: Application Method First Year Fire -Year PAN Maaumum Adjusted PAN (mg/kg) (mg/kg) Surface 17,784 28,235 Injection/Incorporation 18,084 28,535 e. Are the residuals are a registered fertilizer with the NC Department of Agriculture and Consumer Services: ❑ yes g no. If yes, provide date of registration approval: , the current registration number: and the fertilizer equivalent: %, %, and %. FORM: RSCA 10-06 Page 6 of 8 Attachment Order 2 6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and list the results of the latest analyses: 7. Pathogen Reduction Determination: Specify which alternative(s) will be used to meet the pathogen reduction requirements: a. For 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 ❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids. AND one of the following (except for residuals regulated under 40 CFR Part 257 that are to be distributed): ❑ Alternative 1 [40 CFR §503.32 (a)(3)] - Time/Temperature Compliance. ❑ Alternative 2 [40 CFR §503.32 (a)(4)] - Alkaline Treatment. ❑ Alternative 3 [40 CFR §503.32 (a)(5)] - Prior Testing for Enteric Virus/Viable Hehninth Ova. ❑ Alternative 4 [40 CFR §503.32 (a)(6)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. ❑ Alternative 5 [40 CFR §503.32 (a)(7)] - Process to Further Reduce Pathogens (PFRP). Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment, ❑ pasteurization, ❑ thermophilic aerobic digestion, ❑ beta ray irradiation, or ❑ gamma ray irradiation. ❑ Alternative 6 [40 CFR §503.32 (a)(8)] - PFRP-Equivalent Process. Explain: b. For Class B or Equivalent: ® Alternative 1 [40 CFR §503.32 (b)(2)] - Fecal Coliform Density Demonstration. ❑ Alternative 2 [40 CFR §503.32 (b)(3)] - Process to Significantly Reduce Pathogens (PSRP). Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion, ❑ composting, or ❑ lime stabilization. ❑ Alternative 3 [40 CFR §503.32 (b)(4)] - PSRP-Equivalent Process. Explain: ❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. c. For Surface Disposal: ❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover. ❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item H. 7a. above. ❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II.7b. above. ❑ Not Applicable - Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. FORM: RSCA 10-06 Page 7 of 8 Attachment Order 2 8. Vector Attraction Reduction Determination: Specify which alternative(s) will be used to meet the vector attraction reduction requirements: ® Alternative 1 [40 CFR §503.33 (b)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). ❑ Alternative 2 [40 CFR §503.33 (b)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). ❑ Alternative 3 [40 CFR §503.33 (b)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). ❑ Alternative 4 [40 CFR §503.33 (b)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). ❑ Alternative 5 [40 CFR §503.33 (b)(5)] - 14-Day Aerobic Processes. ❑ Alternative 6 [40 CFR §503.33 (b)(6)] - Alkaline Stabilization. ❑ Alternative 7 [40 CFR §503.33 (b)(7)] - Drying of Stabilized Residuals. ❑ Alternative 8 [40 CFR §503.33 (b)(8)] - Drying of Unstabilized Residuals. ❑ Alternative 9 [40 CFR §503.33 (b)(9)] - Injection. ❑ Alternative 10 [40 CFR §503.33 (b)(10)] - Incorporation. ❑ Alternative for Surface Disposal Units Only [40 CFR §503.33 (b)(11)] - Soil/Other Material Cover. ❑ Alternatives for Animal Processing Residuals Only: Specify one: ❑ injection, ❑ incorporation, or ❑ lime addition to raise pH to 10. ❑ Not Applicable - Non -Animal Processing Residuals Regulated under 40 CFR Part 257 with NO Domestic Wastewater Contribution. 3/15/2007 3:28 PM I o � du , :39 lin FORM: RSCA 10-06 Page 8 of 8 Attachment Order 2 Facility vicinity map Process flown diagram and map WASTEWATER TREATMENT PLANT PROCESS The City of Marion operates a 3.0 million gallon capacity aerobic wastewater treatment plant. After grit collection, the influent is pumped to one of two 400,000 gallon primary clarifiers. Liquids are pumped to a 780,000 gallon aeration basin and continues to one of two 400,000 gallon secondary clarifiers. Return activated sludge (RAS) is sent back to the aeration basin. Solids are sent to one of two 65,000 gallon sludge thickening tanks. After thickening, solids are sent to a 780,000 aerated sludge holding lagoon. Decant from the secondary clarifiers are sent to tertiary sand filters and on to a chlorine contact chamber, re -aerated and dechlorinated before discharge. Liquids generated from the thickening are sent to the head of the plant. Total storage for the facility is 780,000 gallons. Once storage is approached, a land application event is performed. City of Marion Wastewater Treatment Plant Solids Plow Path City of Marion Wastewater Treatment Plant Effluent Flow Path RM Justification for residuals production rate JUSTIFICATION FOR RESIDUALS PRODUCTION RATE Over the past several years the dry ton production has been below 290 dry tons. A review of past applications indicate that this is a reasonable dry ton value. I have seen no reason to think this facility will exceed the dry tons stated. Residuals sampling plan SAMPLING PLAN Prior to application, a multiple samples are collected from the sludge holding lagoon. These samples as grabs are analyzed for fecal coliform. Grab fecal samples are collected over a two week period prior to an application event. Multiple samples are collected, composited from the sludge holding lagoon. These samples are submitted for analyses for: nutrient, metal, volatile solids and TCLP. Inflow volatile solids samples are collected prior to entering the aeration basin. Exit volatile solids samples are collected from the sludge holding lagoon. Volatile solids reduction is calculated from these values. Annually, a composite residual solid sample from each of these sources will be analyzed for: Cadmium, Copper, Lead, Nickel, Zinc, Aluminum, Ammonia — Nitrogen, Calcium, Nitrate -Nitrite, Nitrogen, Magnesium, % Total Solids, pH, Phosphorus, Potassium, T .N, and Sodium. From this information, the Plant Available Nitrogen (PAN) will be calculated. Currently Marion collects a TCLP analysis annually but, has requested that this be reduced to once every permit cycle. A full TCLP inccludes: Arsenic Hexachlorobenzene pH for Corrosivity Barium Hexachloro-1,3-Butadiene Benzene Hexachloroethane Flash point for ignitability Cadmium Lead Carbon Tetrachloride Lindane Sulfides and Cyanides for reactivity Chlordane Mercury 1,2-Dichloroethane Chlorobenzene Methoxychlor 1,1-Dichloroethylene Chloroform Methyl Ethyl Ketone 2,4-Dinitrotoluene Chromium Nitrobenzene Endrin m-Cresol Pentachlorophenol Heptachlor and its Hydroxide o-Cresol Pyridine Trichloroethylene p-Cresol Selenium 2,4,5-Trichlorophenol Cresol Silver 2,4,6-Trichlorophenol 2,4-D Tetrachloroethylene 2,4,5-TP (Silvex) 1,4-Dichlorobenzene Toxaphene Vinyl Chloride LAND APPLICATION SITE CERTIFICATION ATTACHMENT State of North Carolina Department of Environment and Natural Resources Division of Water Quality LAND APPLICATION SITE CERTIFICATION ATTACHMENT (FORM: LASCA 10-06) (THIS FORMMAYBE PHOTOCOPIED FOR USEASAN ORIGINAL) The Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed. Failure to submit all required items will lead to additional processing and review time. For more information, visit our web site at: hgp.Ilh2o.enr.state.nc.us/7aulmain.html INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (FORM: NDRLAP 10-06). ✓ Any changes to this attachment form will result in the application package being returned. ✓ For new residuals land application programs or renewed residuals land application programs, submit the requested information for all land application sites to be certified for this residuals land application program. ✓ For modified residuals land application programs in which any new/transferred land application sites or modification to the certified land application sites are proposed, submit the requested information for only those land application sites that are new/transferred or affected by the proposed modification. B. Land Application Site Information: ✓ Additional copies of Page 2 of 2 of this attachment form may be used if necessary. ✓ The status of the land application site with respect to this residuals land application program must be provided in the table in Item I. 1. The status categories and their corresponding codes are as follows: ♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ✓ If this is the first time that an application package is being submitted using Form NDRLAP, then a Watershed Classification Attachment (FORM: WSCA 10-06) must be completed for all existing land application sites. ✓ For each land application site with a status code of N attach the following in the order specified: ♦ Attachment Order 3: Land Application Site Certification Attachment (FORM: LASCA 10-06). ➢ Attachment Order 3-a: Watershed Classification Attachment (FORM: WSCA 10-06). ➢ Attachment Order 3-b: County Manager Notification Attachment (FORM: CMNA 09-06). ➢ By Land Application Site: ■ Attachment Order 3-c: Landowner Agreement Attachment (FORM: LOAA 09-06). ■ Attachment Order 3-d: Setback Waiver Agreement Attachment (FORM: SWAA 10-06). ■ Attachment Order 3-e: An updated vicinity/buffer map that meets all of the criteria in the latest version of the document entitled "Guidance for the Preparation of Vicinity/Buffer Maps for North Carolina Residuals Permitting Programs." ■ Attachment Order 3-f. A soils and agronomic evaluation that meets all of the criteria in the latest version of the document entitled "Guidance for the Preparation of Soils and Agronomic Evaluations for North Carolina Residuals Permitting Programs." ✓ For each land application site with a status code of Pil attach the following in the order specified: ♦ Attachment Order 3: Land Application Site Certification Attachment (FORM: LASCA 10-06). ➢ By Land Application Site: ■ Attachment Order 3-c: Landowner Agreement Attachment (FORM: LOAA 09-06). ■ Attachment Order 3-d: Buffer Waiver Agreement Attachment (FORM: SWAA 10-06). ■ Attachment Order 3-e: An updated vicinity/buffer map (i.e., see above for criteria guidance). ■ Attachment Order 3-g: An updated accounting of the land application site's cumulative pollutant loading rates (CPLRs) that are required by the permit of the residuals land application program from which the site is being transferred. ✓ For each land application site with a status code of M, contact the appropriate Division's regional office to determine attachment requirements. ✓ For each land application site with a status code of T attach the following in the order specified: ♦ Attachment Order 3 through 3-f Everything required for land application sites with a status code of N. ➢ Attachment Order 3-g: An updated accounting of the CPLRs (i.e., see above for criteria guidance). FORM: LASCA 10-06 Page 1 of 2 Attachment Order 3 Applicant's name: City of Marion Check all that apply: ❑ NEW RESIDUALS LAND APPLICATION PROGRAM ® RENEW RESIDUALS LAND APPLICATION PROGRAM ❑ ADD ® DELETE this/these land application site(s) to/from those certified for this residuals land application program. ® INCREASE ❑ DECREASE the net acreage associated with this/these land application site(s) currently certified for this residuals land application program. ❑ OTHER Explain: Land application sites currently certified: 344.8 net acres and Total to be certified: 131.7 net acres. I. LAND APPLICATION SITE INFORMATION (See Instruction B.): 1. Complete the following table with the requested information: Status Codea Site/Field ID Landowner(s) Leasee(s) or Operators County Net Acres Predominant Soil Series Soil CEC D C-01 Curtis Causby Curtis Causby McDowell 9.5 D Q-01 Frank Queen Frank Queen Burke 22 D Q-02 Frank Queen Frank Queen Burke 18 D Q-10 Frank Queen Frank Queen McDowell 9.8 -7 D Q-13A Frank Queen Frank Queen McDowell 28 D Q-13B Frank Queen Frank Queen McDowell 13.7 D Q-15 Frank Queen Frank Queen McDowell 32.3 D Q-16 Frank Queen Frank Queen McDowell 41.8 D Q-20 Frank Queen Frank Queen McDowell 18.7 D Q-21 Frank Queen Frank Queen McDowell 17.6 D Q-23 Frank Queen Frank Queen McDowell 13.4 D Y-01 Voua Yang Voua Yang McDowell 12 FORM: LASCA 09-06 Page 2 of 3 Attachment Order 3 I. LANK APPLICATION SITE INFORMATION (See Instruction B.): 2. Complete the following table with the requested information: (continued from previous page) Status Codea Site/Field ID Landowner(s) Leasee(s) or Operators County Net Acres Predominant Soil Series Soil CEC R K-01 Anna Sindoni Deebold Mario DeLuca McDowell 16 Hayesville 11.8 R K-02 Anna Sindoni Deebold Mario DeLuca McDowell 3% 35.8 Hayesville 13.4 R F-1 James C. Fisher James C. Fisher McDowell 13.7 Braddock Var 8.4 R F-2 James C. Fisher James C. Fisher McDowell 4.3 Braddock Var 6.3 M F-3 James C. Fisher James C. Fisher McDowell 11.4 /, .; A Hayesville 7.8 R F-4 James C. Fisher James C. Fisher McDowell 8.2 Hayesville 8.4 M R-01 Nancy Hice Ross Nancy Hice Ross McDowell 19.4 .,/ Hayesville 8.7 R R-02 Nancy Hice Ross Nancy Hice Ross McDowell o;- 22.9 Hayesville 12.6 � pis 3.q 'Status Code for land application sites are: ♦ N (New) ♦ R (Renew) ♦ M (Modified) ♦ T (Transferred) *** END OF FORM LASCA 09-06 *** FORM: LASCA 09-06 Page 3 of 3 Attachment Order 3 County Manager Notification Attachment State of North Carolina Department of Environment and Natural Resources Division of Water Quality COUNTY MANAGER NOTIFICATION ATTACHMENT (THIS FORMMAYBE PHOTOCOPIED FOR USE ASANORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to submit all of the required items will lead to additional application processing and review time. For more information or for an electronic version of this form, visit our web site at: http://`h2o.enr.state.nc.uslaulapplications.html INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without a corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each county in which the land application sites for which the applicant is seeking certification are located. C. Mail the attachment form to the .appropriate county manager by certified mail with a return receipt requested. ✓ The most current publication of the Directory of State and County Officials may be downloaded from the web site at: http://www.secretary.state.nc.us/pubsweb/direct.asp. ✓ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at: http://www.enr.state.nc.us/htmVregionaloffices.html D. Attach an 8.5-inch by 11-inch copy of the return receipt to the back of this attachment form prior to submission of the application to the Division for review. To: County where land application sites are located: Name and complete address of county manager: 60 East Court Street City: Marion McDowell Mr. Charles R Abernathy State: NC Zip: 28752 This is to notify you that the applicant listed in Item I(1) of this attachment form will be submitting an application for the land application of residual solids to land in your county to the Division for review. During this review, the Division will ensure that all federal and state regulations are enforced. Maps of the land application sites included in this application will be available at the following location no later than the listed expected application date: Name and complete address of appropriate regional office: NCDENR-DWQ Asheville Regional Office 2096 US Highway 70 City: Swannanoa State: NC Zip: 28778 Telephone number. ( 828 ) 2964500 Facsimile number: ( 828 ) 299-7043 Expected date of application submission: April 1, 2007 Actual date of application submission (to be completed by DWQ): Deadline for county manager response (to be completed by DWQ): Should you desire to comment on this application as it related to your interests, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification or if you would like more information, please contact the Aquifer Protection Supervisor of the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. FORM: CMNA 09-06 Page 1 of 2 Attachment Order 3-b I. GENERAL INFORMATION: 1. Applicant's name: City of Marion 2. Signing official's name and title: Mr. J. Robert Boyette 3. Complete mailing address of applicant: Post Office Drawer 700 0 City: Marion State: NC Zip: 28752 Telephone number: ( 828 ) 652-3551 Facsimile number: ( 828 ) 652-1983 E-mail address: bboyette@wnclink.com Name and complete mailing address of contact person and consulting firm who prepared application: Bob Branch — Branch Residuals & Soils, LLC — 311 B South Westgate Drive City: Greensboro State: NC Zip: 27407 Telephone number: ( 336 ) 510-0340 Facsimile number. ( 336 ) 510-0341 E-mail address: bbranch@branchrs.com IL PERMIT INFORMATION: 1. Application is for (check all that apply): ❑ new, ® modified, and/or ® renewed permit. 2. If this application is being submitted to renew or modify an existing permit, provide: the permit number WQ0019960 , the most recent issuance date April 24, 2002 and the expiration date June 30, 2006 Date of most -recently certified Attachment A: April 24, 2002 Date of most -recently certified Attachment B: July 12, 2005 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION 1. County(ies) where residuals source -generating facilities are located: McDowell 2. Purpose of the residual source -generating facilities (check all that apply): ® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater, ❑ treatment of potable water, ❑ treatment of 100% industrial wastewater, ❑ treatment of industrial mixed with domestic wastewater, and/or (approximate percentages: % industrial and % domestic) ❑ other (explain: 3. Are land application sites currently certified for this residuals land application program in this county: ® yes ❑ no. If yes, provide the total number of acres (i.e., excluding buffers that are certified 304.8 acres (approximate percentages: 0 % forested, 100 % agricultural, and 0 % reclamation sites). Addition of acres to currently permitted sites. 4. This application, if approved by the Division, will certify 10 additional acres (i.e., excluding buffers) in this county for this residuals land application program (approximate percentages: 100 % agricultural, and 0 % reclamation sites). *** END OF FORM CMNA 09-06 *** 0 % forested, FORM: CMNA 09-06 Page 2 of 2 Attachment Order 3-b BRANCH RESIDUALS & SOILS, LLC 311 B South Westgate Drive • Greensboro, NC 27407 PHONE (336) 510-0340 • FAx (336) 510-0341 March 21, 2007 Mr. Charles R. Abernathy 60 East Court Street Marion, NC 28752 REFERENCE: County Manager Notification Form for City of Marion Dear Mr. Abernathy, Please find attached the County Manager Notification Attachment for the City of Marion Land Application Permit. Additional land is proposed to existing sites that are permitted in McDowell County in the Dysartsville area. This notification is required by the North Carolina Department of Environment and Natural Resources — Division of Water Quality and will allow the continued operation of this permit. I am under contract with the City of Marion modify this permit. If you have any questions regarding this please call Robert Boyette with the City of Marion at (828) 652-3551 or myself at (336) 510-0340. Sincerely, Robert T. Branch, L.L.S Project Manager/ Soil Scientist Ur o uLLUMUL 01UPIMIg. JluputCui JWCUIpt Page 1 of 1 Shipment Receipt Transaction Date 21 Mar 2007 Address Information Ship To: MCDOWELL COUNTY MANAGER CHARLES ABERNATHY 8286527121 60 EAST COURT STREET MARION NC 28752-404i Shipment Information Service: (Keep this for your records.) Shipper: BRANCH RESIDUALS & SOILS BOB BRANCH 3365100340 311 B SOUTH WESTGATE DR. GREENSBORO NC 27407 UPS Ground Service Ship From: BRANCH RESIDUALS & SOILS BOB BRANCH. 3365100340 311 B SOUTH WESTGATE DR. GREENSBORO NC 27407 Shipping: **5.68 Package Information Package 1 of 1 Tracking Number: 1ZY9884YO398258309 Package Type: Your Packaging Actual Weight: 1.0 Ibs Billable Weight: 1.0 Ibs Reference# 1: 2006-51 Billing Information Bill Shipping. Charges to: Total: Shipper's Account Y9884Y All Shipping Charges in USD Note: Your invoice may vary from the displayed reference rates. * *5.68 * For delivery and guarantee information, see the UPS Service Guide. To speak to a customer service representative, call 1-800-PICK-UPS for domestic services and 1-800-782-7892 for international services. ** Rate includes a fuel surcharge. Responsibility for Loss or Damage Unless a greater value is recorded in the declared value field as appropriate for the UPS shipping system used, the shipper agrees that the released value of each package covered by this receipt is no greater than $100, which is a reasonable value under the circumstances surrounding the transportation. 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All shipments are subject to the terms and conditions contained in the UPS Tariff and the UPS Terms and Conditions of Service, which can be found at www.ups.com. https://www.ups.com/uis/create?ActionOriginPair=Print PrinterPage&PrinterID=SVM... 3/26/2007 ura: lracxing imormation rage i o>t i Close Window Tracking Summary Tracking Numbers Tracking Number: Type: Status: Delivered on: Delivered to: Signed by: Service Type: 1Z Y98 84Y 03 9825 830 9 Package Delivered 03/22/2007 10:07 A.M. MARION, NC, US T DEPOYSTER GROUND Tracking results provided by UPS: 03/26/2007 3:01 P.M. EST (USA) NOTICE: UPS authorizes you to use UPS tracking systems solely to track shipments tendered by or for you to UPS for delivery and for no other purpose. Any other use of UPS tracking systems and information is strictly prohibited. Close Window Copyright © 1994-2007 United Parcel Service of America, Inc. All rights reserved. https://wwwapps.ups.cornVebTracking/printSummary?loc—en US&page=summary&su... 3/26/2007 John Fisher Farm State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information orfor an electronic version of this form, visit our web site at. htip://h2o.enr state.nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being retumed. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lesseeloperator (i.e., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: Mr. J. Robert Boyette, City Manager Complete mailing address of applicant: City of Marion P. O. Drawer 700 City: Marion State: NC Zip: 28752 Telephone number. (828) 652-3551 Facsimile Number: (828) 652-1983 E-mail address: bboyette@wnclink.com hereinafter referred to as the Permittee, to land apply residuals from the following residuals source - generating facility(ies) onto the following land application site(s) (i.e., see attached buffer maps) in accordance with the stipulations and restrictions as given in this AarE.amant• Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition o� Crops Residuals Source -Generating Facilities See Row Crops Animal Feed Marion WWTP Attached Hay/Pasture The landowner or lus 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 length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Pagel of 3 Attachment Order 3-c L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. S. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. 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. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. 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, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will famish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish 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). 14. 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. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. 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). 17. Animals shall not be grazed on the land application site(s) for a 30-dav 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. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, 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 Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. II. RESTRICTIONS: 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 and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. c Landowner name: I --� o 6 C-. o- Signature: ��, /V�.-=� Date: I n � b NORTH CAROL A, ClafCOUNTY I, the undersigned Notary Public do hereby certify that �es rS personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNTSS my hand and official seal this the ' day of Signature aril seal: _My,conirnission expires: Les e's/Operator's Certification: I certify that I have read this A specified herein. Lessee/operator name: To Signature: Permittee's 4 ' 20 0 0 I do hereby agree to abide by the stipulations and restrictions as 's Date: glolo� ® I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing offickal name: Mr. J. Robert Boyette, City Manager Signature: Date: ** OF FORM LOAA 02/02 *** State of North Carolina Department of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THISFORMMAYBEPHOTOCOPIED FOR USEASANORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of thisform, visit our web site at: http.11h2o.enr.state.nc.us/ndpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2H .0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 2H .0219 6)(5), other than those referenced above, cannot be waived through execution of this attachment form. ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 2H .0219 (j)(5)(A)(ii) and (iii) The undersigned property owner hereby permits: Applicant's name: City of Marion Complete mailing address of applicant: P. O. Drawer 700 City: Marion NC Zip 28752 Telephone number: ( 828 ) 652-3551 Facsimile number: ( 828 ) 652-1983 E-mail address: bboyette(awnclink.com hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less than 100 feet) of the residence or place of public assembly located at the following: Location address of property: 3 c, 7 & , City: State: %%1 C, Zip: 2 This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. ® I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this property on behalf of other deeded property owners Furthermore, I certify that I have read and understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land application site(s) as specifieltherein. Property c Signature: s L :. _ *** END OF FORM BWAA 02/02*** Date: —as ( -" 71; :,�_ e_,— FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d srindTTo.o OGL � SOf�TFf MOUNTAINS GAME LATM Loam DYSAMValir Q. � ` GAME iA-' / \ ' .-r� ,DGL Fm qD I Dysartsviil RuaT ` T\ o\EI` \Llo G t i uad° o-Ro;rt 1 EW 4• _ opo O ,/__✓ '\ `y 60 � elute? a '. yo�� �,i ;, ,d�9 `3.: I I �� -•-_ `:.�, _4 in 226 i6layN sville 'I C v--6YSAATSVILt•E i •+. - e . 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NF PO nU�ny_,�p'�•1 � �Y YOGO, ' UVFH d1Q� °gfEX PD _ W7 •. wrSS Try tyM � v 1 - •' "0 9O�.,t\ .E.66 y .._ � I qq wr• 106 � ' • . \ E,i Y Sptndale'-1 . � � .. T J TEntt -{..) a.� , /� � 1 ° � N•'4 4'° ° � ° Elr aEp � `'/° /'� . 11 .. l�alg '�"�' till i � CHllmrd ,.J s s Pr _. fwl!° •'L cN R pO ' " srouEw i 1 I. Water ua Pe\- .-�6.. f' -o a - -rcq __ S\r3� xo:�. %t \ N F•Qo ~) �..,./� •�1 l , i -,� 1.. F°9FFq � •Ellentwmy,. �/y'tEt' b wx a° 1j!"F.., . a - . � g 1 �." ,, ;� , _�F••nres�. J lfEw, � _ ., ' ''. . ` WXSEP RB ' PO •°N Pw °'lOw - _ � 1 � S � Ili SCALE: 1rr = 2 miles City of Marion Site CHECKED BY: Land Application Program Vicinity DRAWN BY: RTB BRANCH John Fisher Farm Map REsmuALs DATE: Dec-04 & SOI LS, LLC moil:« No. 2004-41 Pal N- 41- 101 "cC2 EIrB2 3 2 -0 5KZ HCC2......... ....... ? ;EWE n J F -1� N h, 5M� cc �Vt g: 22 A, �Tj ze— IOA v, I.A a - ;C2 Field F-I 1602 VE12 13rc Field VF-3 Field F-2 Z ill Z. J.- -H= IP7 2 NEI " *5 ',117761 6A', 9i, at x1"6D HrTr E �ffi 14 -5" --Y x x- WE ' S %XA L MIN INK, SCALE: V 2000 City of Marion Soil CHECKED BY: Land Application Program Survey DRAWN BY: RTB BRANCH John Fisher Farm Map RESIDUALS DATE: Dec-04 & SOILS, LLC Project No. 200441 JOHN FISHER FARM TRACT F SOILS AND AGRONOMY REPORT Field 3 has been modified to add 1.8 acres to this field. This field has been buffered to exclude areas of slope, property lines, houses, creeks, drainage, wells, and roads. Field investigations performed by a BR&S soil scientist concurred for the most part with the mapping published in the McDowell County Soil Survey. The added area to the east of Field 3, has soils consistent with the majority of Field 3 which is the Hayesville soil series. A detailed soil profile description from the investigation has been attached. Soil samples from North Carolina Department of Agriculture NCDA are attached. These fields should receive nitrogen applications in accordance with the predominant soil series indicated and the corresponding realistic yield estimation (RYE) as available from http://www.soil.ncsu.edu/mn /ncnmwgZyields/. t%Ss'"NOMI I SOIL EVALUATION FORM I I I J, I I I BRANCH RESIDUALS & SOILS, LLC 311 B South Westgate Drive - Greensboro, NC 27407 PHONE (336) 510-0340 — FAX (336) 510-0341 Project Name City of Marion Owner John Fisher Operator John Fisher Slope 4-10 Sample No. 3 Project Number Tract/Site Field Crop 2004-41 Added to Field 3 Fescue 'D Wil !!r ...... Ap 0-5 Lt. CL 5 YR 4/4 wk med gr fr n/a Btl 5-21 CL 2.5 YR 4/8 mo med sbk fr n/a Bt2 21-32 C 2.5 YR 5/8 mo med sbk fr n/a BC 32-40+ CL 2.5 YR 5/8 wk med sbk fr 7.5 YR 5/6 some miceous saprolite Additional Comments Depth to Apparent Water Table (in.) >40+ Depth to Seasonal Water Table (in. >40+ Depth to Restrictive Horizon (in.) n/a Type of Restrictive Horizon n/a Boring needed prior to application: no Attached map with boring location no Most Closely Related Soil Series Hayesville Discussion of Site Good year round site - ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. ?acility Name: City of Marion Permit #: WQ0019960 Annual Dry Tons Applied: 30.184128 1wner: James Fisher Operator: James Fisher Cation Exchange Capacity (non 503): to #: F-01 Field #: F-01 Acres Utilized: 13.7 Acres Permitted: 13.7 # l S ci per Acre o /o Solids Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, WA'st Inches Precip. past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- all- zation Rate TICT�1 Ammo- nia- Ni- trogen Ni-trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p 2 Gal.Totals Cu.Yd. Report - Totals Gal Crop 1 Crop 2 m of 2006 208,000 15182 3.48 2.203221022 WWTP dry 0 s 0.5 30% 48300 3700 1 67.1145 ####### Fescue 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OTALS: 15182 As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied muallbs/acre 0.0083714 0.00881 0.18946 2.18097 0.25555 0.01718 0.10574 0.13659 0.0163 4.97878 121.606 67.11451 0 Date lbs/ac urrent Cumulative lbs/ac 0.0083714 0.00881 0.18946 2.18097 0.25555 0.01718 0.10574 0.13659 0.0163 4.97878 zor Years Cumulative lbs/ac 0 1 0 0 1 0 0 0 0 0 0 0 ;rmitted C. P. L. R.*** 36 34 NA 1338 267 15 1 NA 374 89 2498 ` ;unit PAN Limit l st/2nd Crop 250 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system ,signed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are gnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." t 2-," Z - 2-07 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of fiand Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate ** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. 'acility Name: City of Marion Permit #: WQ0019960 Annual Dry Tons Applied: 6.602778 caner: James Fisher Operator: James Fisher Cation Exchange Capacity (non 503): to #: F-02 Field #: F-02 Acres Utilized: 4.3 Acres Permitted: 4.3 o S ec' Totals Per Acre o /o Solids Dry D Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, Moist Inches Preci p Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo- nia- Ni- trogen Ni-trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p 2 • cu.Yd. Report '>_ Totals in Gal. Crop 1 Crop 2 2006 45,500 10581 3.48 1.535529767 WWTP dry 0 s 0.5 30% 48300 3700 1 46.7753 ####### Fescue 1 0 0 0 0 2 0 0 0 0 3 0 0 0 0 4 0 0 0 0 5 0 0 0 0 6 0 0 0 0 7 0 0 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 12 3TALS: 10581 <> As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied mual lbs/acre 0.005833 0.00614 0.13201 1.51965 0.17806 0.01197 0.07368 0.09517 0.011361 3.4691 84.732 146.7753 0 Date lbs/ac >< irrent Cumulative lbs/ac 0.005 33 5 8 0.00614 0.13201 1.5196 0.17806 0.01197 0.07 368 0.09517 0.0 3 3 4 11 6 691 >' 0 0 0 0 0 0 1 0 0 0 0 36 34 NA 1 1338 267 15 NA 1 374 89 2498 ::. 250 for Years Cumulative lbs/ac .rmitted C. P. L. R.*** rmit PAN Limit l st/2nd Crop certity, under penalty of law, that tins document was prepared under my direction or supervision in accordance with a system .signed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are ;nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of LanZI Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loadine Rate ** The RSSF Data and the Dry Tons per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) Grower: Fisher, John ... 113 Linville St Morganton, NC 28655 oil Te., Report Farm: i2/5/2006 SERVING N.C. RESIDENTS FOR OVER 60 YEARS McDowell County Agronomist Comments The heavy metal report is found on a separate page. Using Mehlich 3 as a soil test extractant, background levels of these metals typically seen In NC soils when analyzed are as follows: arsenic (As)- 5.0 ppm, cadmium (Cd)- 0.2 ppm, chromium (Cr)- 0.3 ppm, lead (Pb)- 4.0 ppm, nickel (Ni)- 0.7 ppm, & selenium (Se)- 0.2 ppm (FY2003-2005). Although the above metals here are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels: Copies To: Branch. Residuals & Soils C - 12 Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Mg S Cu Zn B Mn See Note F-1 1st Crop: Fes/OG/1'im,M 0 120-200 60-80 10-30 0 0 0 0 .0 0 12 2nd Crop: Fes/OG/fim;M 0 120-200 60-80 10-30 0 0 0 0 •0 0 12 Test Results Soil Class HM'0 W/V CBC BS•rb Ae pH P-I K-1 Ca% Mgr6 Mn-1 Mn-AI(1) Mn-AI(2) Zn-1 Zn-Al Cu-I S-I SS -I NO3-N NH4-N Na MIN 0.56 0 97 9.2 89.0 1.0 6.3 30 68 55.0 30.0 323 206 206 114 114 127 48 0.1 Irleld In%rmation W elpplied Lime.... Recorawendation a Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Mg S Cu Zn B' Mn See Note F-2 1st Crop: Fes/OG/Tim,M 0 120-200 30-50 60-80 0 0 0 0 .0 pH$ 12 2nd Crop: Fes/OG/fim,M 0 120-200 30-50 60-80 0. 0 0 0 •0 pH$ 12 Test Results Soil Class HM% W/V 1.11 CEC BS% Ac pH P-1 K 1 Ca% Mr,b Mn-I Mn-AI(1) Mn-AI(2) Zn-1 Zn-AI Cu-1 S-I SS -I NO3-N NH4-N N_ a MIN 0.56 8.9 910 0.8 6.7 41 36 56.0 33.0 282 176 176 98 98 185 42 0.1 Field In%rmatiun j Apg)lied Lime ,Recommendations Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 M g S Cu Zn B Mn See Note 3 1st Crop. Fes/OG/I'Im,M 0 120-200 0 40-60 0 0 0 0 .0 pH$ 12 2nd Crop: Fes/OG/Pim,M 0 120-200 0 40-60 0 0 0 0 •0 pH$ 12 Test Results Soil Class HAP16 W/V CBC BS% Ae pH P-I K.I Ca% Mg',S Mn-1 Mn-AI(1) Mn-AI(2) Zn-I Zn AI Cu-I S-I SS -I NO3-N AWN Na MIN 0.66 1.07 10.8 93.0 0.8 6.7 96 42 58.0 - 33.0 235 147 147 182 182 219 45 0.1 Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Mg S Cis Zn B Mn See Note F-4 1st Crop: Fes/OG/rim,M 0 120-200 20-40 30-50 0 0 0 0 .0 pH$ 12 2nd Crop: Fes/OG/rfm,M 0 120-200 20-40 30-50 0 0 0 0 .0 pH$ 12 Test Results Soil Class HM% W/V CEC BS•.6 Ac pH P-I K-I Ca% Mg% Mn-I Mn-AI(1) Mn-AI(2) Zn-1 Zn-AI Cu-I S-I SS -I NO3-N NH4-N Na MIN 0.86 1.07 9.6 90.0 1.0 6.5 49 54 55.0 32.0 420 261 261 107 107 158 42 0.1 Heavy Metal Soil Test Re on fisher, John Report #: 03375 113 Linville St MEHLICH-3 EXTRAC'TION McDowell County Questians oancernine these analvses should be referred to the Agronomic Division, Soil Testing Sample Cadmium Arw*ef Lead Selenium Ckyomium Arsenic Aluminum num iron --------- --------- —------ ----------- -------------------rnq/cirr�3 f�D 1----------------------------------------------------on 1<-1 F-2 0.10 0.40 1.60 0.00 0.20 F-4 0.10 0.40 1.00 0.00 0.20 F-3 0.10 0.50 0.00 0.00 0.20 {1.10 0.50 0.00 0.00 0.20 2.90 761.30 195.40 320 886.70 165.40 4.30 1,307.00 104.70 3.80 1,101.00 133.70 Report Number: R06263-0069 A&L EASTERN LABORATORIES, INC. Acount Number: 7621 Whitepine Road ® Richmond, Virginia 23237 • (804) 743-9401 46368 Fax No. (804) 271-6446 ° Email: office@al-labs-eastern.com TO: BRANCH RESIDUALS & SOILS LLC RE: JOHN FISHER 2006-51 BOB BRANCH 311 B S WESTGATE DR GREENSBORO, NC 27407 ATTN: BOB BRANCH Date Received: 9/19/06 Date Reported: 09/22/2006 NC CERT #257 REPORT OF ANALYSIS 18060 F-1 Mercury - Mehlich-3 < 0.2 mg/kg SW 846-7471A Molybdenum (Mo)- Mehlich 3 0.4 ppm NCR-13 No. 221, 1998 Page: 1 18061 F-2 Mercury - Mehlich-3 < 0.2 mg/kg SW 846-7471A Molybdenum (Mo)- Mehlich-3 0.3 ppm _NCR-13 No. 221, 1998 18062 F-3 Mercury - Mehlich-3 < 0.2 mg/kg SW 846-7471A Molybdenum (Mo)- Mehlich-3 0.3 ppm NCR13 No. 221, 1998 18063 F-4 Mercury - Mehlich-3 < 0.2 mg/kg SW 846-7471A Molybdenum (Mo)- Mehlich-3 0.3 ppm NCR-13 No. 221, 1998 ALE- ISC Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part nor may any reference be made ,)ajd to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Paul Chu, Ph.D. Mario DeLuca Farm State of North Carolina Department of Environment and Natural Resources IDivision of Water Quality LANDOWNER AGREEMENT ATTACHMENT (THIS FORM AM Y BE PHOTOCOPIED FOR USE ASAN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless ' all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additionalprocessing and review time for the application. ' For more information or for an electronic version of thisform, visit our web site at: h ttp: //h2o. enr. state. nc. us/ndpu/ INSTRUCTIONS TO THE APPLICANT: ' A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form,NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (Le., if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: City of Marion Complete mailing address of applicant: PO Box 700 City: Marion State: NC Zip: 28752 Telephone number: ( 828 ) 652-8843 Facsimile number: ( 828 ) 659-1943 E-mail address: hereinafter referred to as the Permittee, to land apply residuals from the following residuals source - generating facility(ies) onto the following land application site(s) (Le., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities Kl Fescue Hay Marion WWTP K2 Fescue Hay Marion WWTP 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 length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c 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. L STIPIILATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference. to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. 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. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. The Permittee has provided the landowner or his representative with information and data conceming the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will finish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will finish 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). 14. 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. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowneror his representative prior to and during a residuals land application event. 16. 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 12month 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). 17. 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. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. FORM: LOAA 02/02 Page 2 of.3 Attachment Order 3-c 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, 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 Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. FORM: LOAA 02/02 Page 3 of 3 Attachment Order 3-c K RESTRICTIONS: ;Icerdo ner's Certification: tify 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 and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner Signature: NORTH CAROLINA, /'YIC=D01JE LA- COUNTY I, the undersigned Notary Public do hereby certify that , /} Ito A010 C /3 personally appeared before me this day and acknowledged the due execution of the forgoing ;instrument:._ WITNESS my hand and official seal this the day of . tQ 2006 ? Signature and seal: / LeA '7 My commission expires: hoU0 �r Lessee's/Operator's Certification: ❑ I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions 'as specified herein. Lesseetoperator rime: nj Oak / o V Signature: Date: Perini" eels Certification: certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing offi ' e: r Signature: Date: FORM: LOAA 02/02 Page 4 of 3 Attachment Order 3-c State of North Carolina �F Department of Environment and Natural Resources Division of Water Quality BUFFER WAIVER AGREEMENT ATTACHMENT (THIS FORMMAYBE PHOTOCOPIED FOR USEASAN ORIGINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of this form, visit our web site at.• http: //h2o. enr. state. nc. usln dpu/ INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 211.0219 (j)(5)(A)(ii) or (iii) is being sought. ✓ Any other buffers required by 15A NCAC 211 .0219 6)(5), other than those referenced above, cannot be waived through execution of this attachment form. ✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner. AGREEMENT TO WAIVE THE BUFFER REQUIRED BY 15A NCAC 211.0219 (j)(5)(A)(ii) and (iii) The undersigned property owner hereby permits: Applicant's name: C 1 % tj VP )T A ICI O JJ Complete mailing address of applicant: {� �% Z+ x -7 O O City: f)9A9l 0-Ai State: 0 G zip: -aP 7 5— Telephone number: (F,),5P ) &,:� S W Zl -3 Facsimile number: ( 8a 29) (3 E-mail address: hereinafter referred to as the Permittee, to land apply residuals within J60 feet (Le., cannot be less than 100 feet) of the residence or place of public assembly located at thefollowing: Location address of property: 1,2 9 �i �RCC City: 60 /AF,812' State: zip: 02 27(o I This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the. property described herein. The undersigned property owner agrees to abide by this Agreement until such time as written notification, giiven30 calendar days in advance, modifies or cancels this Agreement. El n3I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this property on behalf of other deeded property owners Furthermore, I certify that I have read and understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein- „ n A --\ 0 Property owner name: FORM: BWAA 02/02 Page 1 of 1 Attachment Order 3-d Signature: 1.4x . v, c c *** END OF FORM LOAA 02/02 *** i FORM: LOAA 02/02 Page 2 of 3 Attachment Order 3-c N n. �4 t Brim .r'f /f r` 1 ?261 �, r ❑GL 1 �`•: �\ '� t r" t r. i ? )rJrvt./ )1 5 'Fa _` /`F N�UI.7IAIN$ TAME :. S "^v „5�� Jj f 1>+... ..°..:, ': J ....iF `1. 1r�• J x •` r r{ .,r$Y Y>(v' I - Z- FAT 3-1 DY3SVIl1£' „ ♦P i Y., I f ��.r .,i t L >;" S F�a: uti•h ,GAME Ingo rM Q %iT`AtN.S �G.. �• r DPwnavW oAa '3 t .. f' a 1f f,.� Y a � 1"11 J vVP t: I oar°xe RIB` L t •'\ -.� you* [:d �'aoi r ��p5 �4' PIER ,.. PO r� ✓ t L' ! JJ/ _ Y P° 1 • i .:I ©�O GO I'3: It t tr{p ~ r'f" /i, 53.7" i�1 pGZ-FNOMaw3n� Mario DeLucca Farm q J 7, ``i' + � i-r 4 ,;-+, y { i ,i P �o �! •�` .. I 1 � i' RO -< a � � 777 r r �..t 3., Gt I .rye tt I / '�\ i t r f- ? I i; �� "r3�� a. ' r' / � 7 ,;� It..� '.. %i d a, , • �yro � t 2 onW "1.�.�'7.� - - j nPe•` tcP o� i s r t-�a �� F ,�� s�' t Y .�J +� ,'� £ '�'J•'.v♦ ✓. l MJ t ` 1'y5 S/7 X 1.. iJ� Ye]lourtnp �P- t fi < dwi°o core fo�`�c _✓' r t / ._ Ra \ i y a S�..'G 3'¢yd a°, �i Yj;{ T.,..., 1 .r u t°7° t s %t• t :.� Rant• A �y trt t so '� C �. t' V -. 'J ._w_ �J a _ q�Yf�;iJ .0 ,''• r so °�17, '{ S 1 �)j ` $ ��yR eak �xr � �' � I J° 'b / 7 ,n,r• •y1 Aloe .. t 7 1 a, t � t, Q `� r � 5 : q " � � ` r �•� zx ,•'' ,C' . ` watiwasmr _ �� 1 • su,ssm ! � � � � L j r v � �.,-� l v UMANOy 10 y46rd, ` �r g t y 5— �, Vemc ,s e� - . I J.. _ I ro / ° m� > { ' < ♦, � ,nP,ow i � ,ora , � a: Pry �•-^-_ c � _ t i• "�t+ra� J �' l t•�� "` .�t f` ""fr,. � �an-� MG _: I .c•. ly ; ��m � f }� '� t sure ca°aW q�°'S� flj�/)• s"`I�P P I7GL o-Ya S-xo ~ # �P ,_-\' oa LEA a •' DYS LEE ? J „� � t. o•.`., i 3. R9 �`b �., �, Y p 'by � : �. Uy : a�tax �L � 15 a Washbure 4. 0>9 � / � � a' l }. �o Nev Ho �' P � • � �. s , �� } , � " � � .� �,� t_° � naL� � t • •� Q 'fit 1 `" � �Rq� � � : � �-' _ 40-. f ,_� �� . _ s � �4b•�p�{ -i � °r ,� � HoPealpll., 1 Qo_ Y g i� r . � * � �� J � a055 PD J �� �_ t I 'y I INN15 � � :-•< . _ J ' I 4 1 °y r •� " � . iP S� P � � .,l i i' wpreq =i � e 4 T $ 1 ... 'r`-, .I a � ' �( � s `� s o 'C� I a `�*P '\. € •s ~' Ley° �` _cPrY°� \ .. »`\ t Xy 1. r � g�q ' - _ .. { �.` Po � R°. I 1 �• J SNP 4 P° $ � �° M[ �tl t. c ��y} 40Qi � � '�'�£' '• � 1, r ..r � F plP � �,PO I i $ l�//l Y�4 }� � JJ� a d u74A (. (te to F unuaa ao T a0 MOfE (S� Pp {� 1 6 SCALE: V = 2.4 miles City of Marion Site CHECKED BY: Land. Application Program Vicinity DRAWN BY: RTB BRANCH Mario DeLuca Farm Map RESIDUAI.,S DATE: Feb-07 I & SOILS, LLC Projea No. 2006-51 N EwG d ' �oLil%1 GoA 0 BrC2 N loq HCC2 IoX � Y y a a r HeD r s' 226 HCC2; 1769 _ a � HcC2 t' DysartvrlleBrC2 loA ` '.� � Y� `_ HcC2 BrC2 x t"- i 10 1 C2 r BIC2 w HcC2 1777 HCC2 H612 s IoA HCC2 a c) r a Ss BrB 2 -HeD v s r HeDfe 7 n 1773 A Apb " a s s Q HcC2 HeD 1cC2 x o iR, Hccz 4 , = Feld K 1 '�eD 3 F 1777 � e .HCC'�� a ECF i Field K 2 P ~x EwE EwE ", AOCC Q Ed wE a� 00 � a �. � x � EwE fir✓. x HeD HeD ECF t 5 EWE 's 417751 IoA f y 4 CJ 'He v HeD eD EwE O HcCP 1 } SCALE: 1 ^ = 2000' City of Marion Soil CHECKED BY: Land Application Program Survey DRAWN BY: RTB BRANCH Mario DeLuca Farm Map RESIDUALS DATE: Feb-07 & SOILS, LLC Project No. 2006-51 r=== m m m� s_ m ■ Dwelling A Structure (Barn) Pond Well Buffer Area W Wet Area Legend AMA Wooded Area - • - -► Drainageway = Access Road — — — Property Line x-x-x Fence ® Hand Auger B M M' M m m m M - lllllllll>e -_ __ ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Marion Permit #: WQ0019960 Annual Dry Tons Applied: 92.96 Owner: Toua & Tong Khang Operator: Toua & Tong Khang Cation Exchange Capacity (non 503): ;ite #: Kl Field #: K1 Acres Utilized: 16 Acres Permitted: 16 F-1 specify 1 Inches Appli- Voli- Miner- Ammo- Ni- Must Select Totals �3' Tons Per Residual Cond.Crop Precip. cation tila- ala- TKN nia- trate PAN 1 PAN 2 1 or Crop 2 Gal. cr292,500 d. Per Solids Acrels Sources (Summarize) Dry, Wet, Past 24 Meth- zati ** zation Ni- and ort A Acre His. od Rate Rate trogen Nitrite Crop 1 Crop 2 al.3-05 18281 3.21 2.447073281 WWTP Moist dry 0 s 0.5 30%58600 600 84 87.0375 /{###### Fescue10-OS0 25188 3.21 3.371523188 WWTP dry 0 s 0.5 30% 58600 600 84 119.918 ####### Fescue 2 .5 0 0 0 0 0 0 0 0 0 43469 Current Cumulative lbs/ac Prior Years Cumulative lbs/ac 0 0 0 3 0 0 0 4 0 0 0 5 0 0 0 E 0 0 0 i 0 0 0 f 0 0 0 S 0 0 0 1 0 0 0 1 0 0 0 1 As Cd Cr Cu Pb HR Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied 0.0225428 0.04183 0 5.87972 0.255641 0.0237 0.77854 0.25564 0.05926 12.689 267.26 1206.956 0 Date lbs/ac 0.0694694 0.07654 0 9.11732 1.20438 0.06218 2.2682 0.56278 0.13769 24.1697 0.0469266 0.03471 0 3.2376 0.94874 0.03848 1.48966 0.30714 0.07843 .11.4807 Permitted C. P. L. R*** 36 34 NA 2338 267 15 NA 1 374 89 2498 xwa Permit PAN Limit 1 st/2nd Crop :...: :.. 250 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature f Land Applier Date **Volitilization Rate: Surface - 0.5. Iniection/Incoruoration - 1.0 ***C.P.L.R.: Cumulative Pollutant Loadine Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered Into the some numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF DENR FORM FSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. Pi .ArF A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Marion Permit #: WQ0019960 )wner: Toua & Tong Khang Operator: Toua & Tong Khang U. VI) Field #: K2 Acres Utilized: 38 Annual Dry Tons Applied: 124.37 Cation Exchange Capacity (non 503): Acres Permitted: 38 11lC tt: 1 Inches Appli- Voli- Miner- Ammo- Ni- Must Select i:s S eci o �sEN Totals o �� Dry Tons Per Residual Cond. Preci p cation tila- ala- TKN nia- trace PAN 1 PAN 2 Crop 1 or Crop 2 �• 0 c Cu.Yd. Per Solids Acre Sources (Summarize) Dry, Wet,Past 24 Meth- zation zation Ni- and `: Report a '< Totals AcreMoist Hrs. od* Rate** Rate trogen Nitrite 1 Eip Crop 2 in Gal. 0.251862513 WW'f? dry 0 s 0.5 30% 58600 600 84 9.95825 ####### Fescue 1 71,500 1881.61 3.21 -27-05 1.648554632 WWTP dry 0 s 0.5 30% 58600 600 84 58.6358 ####### Fescue 2 3-05 469000 12316 3.21 1.373795526 WWTP dry 0 s 0.5 30% 58600 600 84 48.8632 ####### Fescue 3 10-05 390000 10263 3.21 0 0 0 0 0 0 0 0 0 0 0 4 5 6 7 0 0 0 0 0 0 0 0 0 0 0 0 0 8 9 0 0 10 0 0 0 0 11 0 0 0 0 12 0 TOTALS: 24461 ; 0 As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied X Annual lbs/acre 0.012687E 0.02354 0 3.30924 0.14388 0.01334 0.43818 0.14388 0.03335 7.14168 150.42 116.457, 0 Date lbs/ac Current Cumulative lbs/ac 0.033137E 0.04501 0 6.73484 0.73548 0.03961 1.18968 0.31814 0.0724 14.3453 > 0.02045 0.02147 0 3.425E 0.5916 0.02627 0.7515 0.17426 0.03905 7.2036 36 34 NA 1338 267 15 NA 374 89 2498 1 .. . :. 250 ,.'. Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit l st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a systehl designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Lan' Applier -24-v-- Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volitilization Rate: Surface - 0.5. Iniection/Incornoration - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. Ile. FSF row # 1 to MFLSF DENR FORM FSF (5/2003) www.nc com/h mi :NCDAC&'A '5 .Web' 7 3,206: a Re , rt No ;O337G gr gr. no - Grower: Deluca, Mario Copies TO: Branch Residuals & soils 460 Wilson Valley Dr Marion, NC 28752 3 oil Test Report ,R Farm: 12/5/2006 SERVING N.C. RESIDENTS FOR OVER 60 YEARS McDowell County Agronomist Comments The heavy metal report is found on a separate page. Using Melillch 3 as a soil test extractant, background levels of these metals typically seen In NC soils when analyzed are as follows: arsenic (As)- 5.0 ppm, cadmium (cd)- 0.2 ppm, chromium (Cr)- 0.3 ppm, lead (Pb)- 4.0 ppm, nickel (Ni)- 0.7 ppm, & selenium (Se)- 0.2 ppm (FY2003-2005). Although the above metals here are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. C -- 12 Sample No. Last Crop Mo Yr TIA Crop or Year Lime IV P205 K20 Mg S Cu Zu B Mn See Note K-1 1st Crop: Fes/OG/rim,M 0 120-200 60-80 10-30 0 0 0 0 .0 0 12 2nd Crop: Fes/OG/Tim,M 0 120-200 60-80 10-30 0 0 0 0 .0 0 12 Test Results Soil Class Im WIV CEC BS916 Ac PH P-I K-I Ca% Mg% Mn-I Mn-AI(1) Mn-AI(2) Zn-I Zn-Al Cu-I S-I SS -I NO3-N NH4-N Na MIN o.6 1.02 11.8 90.0 1.2 6.3 30 62 66.0 21.0 374 237 237 116 116 85 32 0.0 Tie PP vtecpmmen ati R" Sample No. Last Crop MO Yr TIA Crop or Year Lime N P205 K20 Mg S Cie Zn B Mn See Note K-2 1st Crop: Fes/OG/rim,M 0 120-200 0 10-30 0 0 0 0 .0 0 12 2nd Crop: Fes/OG/rim,M 0 120-200 0 10-30 0 0 0 0 .0 0 12 Test Results Soil Class ZW% W/V CEC BS% Ae PH P-1 K-I Ca% Mgl".1 Mn-1 Mn-AI(1) Mn-AI(2) Zn-1 Zn-Al Cu-1 S-I SS -I NO3-N NH4-N Na MIN 0.86 1.04 13.4 87.0 1.8 6.2 223 66 70.0 14.0 174 118 118 542 542 294 59 0.1 `'$K3€ si'''_k3{:l.>L'+Tt€T•?•7lFai*_rnrsR.r�,-T. c��-_�sm+�aeee*�. - -- - - - - - .� ;., cr,3 o -r. Is.= `.3 ii.'..:r_�}kr_u.l-, ,�-- 1E>�.._r -w. •,cr c-€n' \e?;?o�a4F i.. :�Th sIl i-1..-,-:kl,�l.#`-k ' � Eli. �..�" �' .•�� :���. II., € €1 �p;i-:P L.... 4J,1•:i�` € C.�..- .-ti�kl �.,,,.._ 4,. .r,_ r ��� k..i :.' r r;li5� ill...:,. . .: e.€! ,ti, �.#...i- ,-4r..i ,�..,+� .��i�� 1 - -`I�. s,i. �{ Y1ta...l a'�, �_�_�.1 �,.�4I'�V-y lu<r.��i.. r .,,?s.�.�l�:::uex�€ -.:5: .�. I.F•�iit.��.. ,-il-. �a _ _._€z. ,i.L �„,�I l"' i r�l .„ [.I, ,.I.I�`Lb.�_.,,1. SI . rF1€..::.al...Its..•=....�..4:_`:-f�;.r��;�;i Heavy Metal Soil Test Repo Report#: 03376 Deluca, Mario 460 Wilson Valley Dr MEHLICH-3 EXTRACT ION 3mon, McDowell County Questions concerning these analyses should be referred to the Agronomic Divisions, Soil Testing Cd Ni P h Se Gr As At Fe Sampk Cadmium Nickel Lead Selenium Chromium Arsenk Aluminum Iron ID------------------------------ ------- -------- --------------------meq/drn3(ppm)--------------------------------_------_---------- K-1 0.10 0.50 1.00 0.10 0.20 3.10 833.70 82.00 K-2 0.10 0.40 7.20 0.00 0.10 3.90 1,045.00 137.20 Report Number: R06263-0067 A&L EASTERN LABORATORIES, INC. Acount Number: 7621 Whitepine Road • Richmond, Virginia 23237 , (804) 743-9401 46368 Fax No. (804) 271-6446 - Email: office@al-labs-eastern.com TO: BRANCH RESIDUALS & SOILS LLC RE: MARIO DELUCCA 2006-51 BOB BRANCH 311 B S WESTGATE DR NC CERT #257 GREENSBORO, NC 27407 ATTN: BOB BRANCH Date Received: 9/19/06 Date Reported: 09/22/2006 REPORT OF A N A LYS I S 18056 K-1 Mercury - Mehlich-3 < 0.2 mg/kg SW 846-7471A Molybdenum (Mo)- Mehlich-3 0.4 ppm NCR-13 No. 221 1998 ___...._..._._. ____-..._..._._.. _._..._.___.........._ 18057 K-2 Mercury - Mehlich-3 < 0.2 mg/kg SW 846-7471A Molybdenum (Mo)- Mehlich-3 0.4 ppm NCR-13 No. 221, 1998 GI F_lA1— Page: 1 Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made ,)� eL— to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. V Paul Chu, Ph.D. Nancy Ross Farm State of North Carolina Department of Environment and Natural Resources Division of Water Quality LANDOWNER AGREEMENT ATTACHMENT (HRS FORMMA YBE PHOTOCOPIED FOR USEASANORMINAL) The Division of Water Quality (Division) will not consider this attachment form to be complete unless all the instructions are followed. Failure to follow the instructions or to submit all of the required items will lead to additional processing and review time for the application. For more information or for an electronic version of thisform, visit our web site at: http://li2o.enr.state.nc.uslndpul INSTRUCTIONS TO THE APPLICANT: A. Attachment Form: ✓ Do not submit this attachment form for review without its corresponding residuals program application form (Form NDRLAP). ✓ Any changes to this attachment form will result in the application package being returned. B. Prepare a separate attachment form for each set of land application sites that are owned by a landowner and operated by a lessee/operator (i.e.; if applicable) other than the applicant. ✓ A copy of the completed and appropriately executed attachment form must be provided to the landowner and the lesseeoeperator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY -OWNED LAND APPLICATION SITES The undersigned landowner or his representative hereby permits: Applicant's name: Mr. J. Robert Boyette, City Manager Complete mailing address of applicant: City of Marion City: Marion P. O. Drawer 700 State: NC Zip: 28752 Telephone number: (828) 652-3551 Facsimile Number: (828) 652-1983 E-mail address: bboyette@wnclink.com hereinafter referred to as the Permittee, to land apply residuals from the following residuals source - generating facility(ies) onto the following land application site(s) (Le., see attached buffer maps) in accordance with the stipulations and restrictions as given in this Agreement-, Site/Field ID Land Use or Cropping Patterns Intended Use or Disposition of Crops Residuals Source -Generating Facilities See Row Crops Animal Feed Marion WWTP Attached Hay/Pasture 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 length of the Division of Water Quality's (Division) permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days. in advance, modifies or cancels this Agreement. FORM: LOAA 02/02 Page 1 of 3 Attachment Order 3-c I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional waste disposal contracts or agreements with another municipality, contractor, or other permitted entity for the land application site(s) specified by this Agreement. The land application of any additional residuals or waste, other than that generated by the residuals source -generating facilities specified by the Division's residuals land application program permit, is prohibited. 2. The existing lessee or operator, if any, of the land application site(s) agrees, by execution of this Agreement, to comply with all provisions of this Agreement. 3. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) by 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. 4. This Agreement shall be binding on the grantees, the successors, and assigns of the parties hereto with reference to the subject matter of this Agreement. 5. The landowner or his representative or successors shall adhere to the provisions of this Agreement for a period of 18 months from the date of the most recent residuals land application event. 6. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 7. 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. The request shall contain the appropriate forms and agreements. In addition, a notice shall be given by the current landowner to the new landowner that gives full details of the residuals applied or incorporated at the land application site(s). 8. 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, and a description of the equipment used by the Permittee. 9. The Permittee will provide the landowner or his representative with a copy of the residuals land application program permit that has been most -recently issued by the Division prior to commencement of any residuals land application event. This permit will specify maximum application rates, limitations, and other restrictions prescribed by the laws and regulations. 10. The land application site(s) shall be adequately limed to a soil pH of at least 6.0 prior to residuals land application. The only exception is that residuals may be land applied when the land application site has a pH of less than 6.0, provided that a sufficient amount of lime is also applied to achieve a final pH of the lime, residuals, and soil mixture of at least 6.0. 11. The Permittee will furnish the landowner or his representative with a copy of the results of each soil analysis. 12. Within the limits of the Division's residuals land application program permit, the landowner or his representative and the Permittee will determine residuals application rates and schedules based on crop patterns and the results of soil samples. 13. The landowner or his representative will furnish 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). 14. 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. 15. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee and/or the landowner or his representative prior to and during a residuals land application event. 16. 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). 17. 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. 18. Crops for direct human consumption shall be harvested in accordance with the conditions of the Division's residuals land application program permit. 19. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to inspect the land application site(s) prior to, during, and after any residuals land application event and to established monitoring facilities on or near the land application site(s) as required by the residuals land application program permit. 20. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, 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 Division's residuals land application program permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or leachate. 21. The landowner or his representative authorizes the Permittee, local officials, and State officials or their representatives to take necessary soil, surface water, and groundwater samples during the term of, and for 12 months after termination of, this Agreement. II. RESTRICTIONS: 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 and restrictions, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: Man(iv H Pci-P Q S S Signature: Date: NORTH CAROLIN4 C e COUNTY I, the undersigned Not Public do hereby certify thatAlAlVCQ . PO S5 personally appeared before me this day and acknowledged the due executi of the forgoing instrument. WITNESS my hand and official seal this the day Signature an&seal: My commission expires: Lessee's/Operator's Certification: ❑ I certify that I have read this specified herein. Lessee/operator name: Signature: Permittee's Certification: -A-- , 20 06 and do hereby agree to abide by the stipulations and restrictions as Date: ® I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: Mr. J. Robert Boyette, City Manager Signature: Date: **� OF FORM LOAA 02/02 *** N w oGUIBrl`dleJaam ', t F 1 `� '� fRo of �•: �c \. ! /� \ il,�y$OUfH MQUNiAINS"GAME LAND. wN`. ao J F t A�t r -,e �� i '� f �� r � � ,,• 6�,n36�'T � 5 . Ai & DGL ,ter Y s t ; K u nfa�nlAM L ' ' �T its SOl3Fii MOUfIT�A1Pj3 pd ao r�0� otl� t "1 rly� a's''r77 ct I d f O � � }_ �_` �1 !!!✓ J t j`4 G,Q e, i.�-$ t��n rr �4pE j t �WP' PM1' G�/1GE � PO �/�-.f ; �✓ ....� '�'�'r F 1� fi .l J/41 V�'COSA GL� y7. � 1 L /.R ' Nancy Ross Farm tr t .r_. 'c YF 1 $ T�Wn t,v 5 ,�ha l i - - 1 ' �. ♦. ; C } S 1, t. 1 �s.tf1J 7r- Vr lq S L ,r�44rk.L >t "�3 1, ,� -�4 l F -� r -i I �� \. IY y� 1... �1\��_:$2 a `'✓ire & `�V �: I 64 f t 1 YetlNNdpa c�' y f \, i � _ ^ vsarrtEs � �,,,, qO.. ` ~••�• v�.� � � ty ; �i-,�.• n 4 1 �, +;; .. J I untear '. � .t ey 1 `� � � .�-v� c"�'9a1, :•'g� s�.✓3 y ' " � , � 1 r ' PV, 4' � ao r' % k+ � �' � x� l; T � 4 '.:: � '-; � �. �M UN1AR75 \,�-. 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HeD H z �5� Nip a , WEr ty t r t i 44 ` HCC2 Z �i b y 7 r� EwEHeD s }IeD r4 Sn `� EwE �z � �z �n �O i`x' s S. j Fd �i'!.•;��• � S S.�wE �` � � K/ F K,Y x �•3�� .{ * x� HeD y `jieD a C0) ` �tt� "3. t�Ci :�. ` � * *-t " d � :� x r`� - r+ � NV '� ��• °�,'+l�v \''Ji � '9 x., � **- � ra �� a .7 � m sa }� -s• e '� ,x� a..' '' !,r°`i z '`� ; � ?�,� cr z,i�r � �� ?'1>� HCC� i p }Yn. xY 6 ty`i r•-i ka t -.. es �..y N,t "-.y, �a _.. �,�sa'��"t...-. rt.�•�'.,. •.emu-c+1 "'„�;. EWE �'t t c� �c^�?t"._.� } . . SCALE: 1"=2000' City of Marion Soil CHECKED BY: Land Application Program Survey DRAWN BY: R'1'g BRANCH Nancy Ross Farm Map ]RESIDUALS DATE: Feb-07 Sl SOILS, LLC Fmject No. 2006-51 NANCY ROSS FARM TRACT R SOILS AND AGRONOMY REPORT Field 1 has been modified to add 3.4 acres to this field. This field has been buffered to exclude areas of slope and property lines. Field investigations performed by a BR&S soil scientist concurred for the most part with the mapping published in the McDowell County Soil Survey. The added area to the north of Field 1, has soils consistent with the majority of Field 1 which is the Hayesville soil series. A detailed soil profile description from the investigation has been attached. Soil samples from North Carolina Department of Agriculture NCDA are attached. These fields should receive nitrogen applications in accordance with the predominant soil series indicated and the corresponding realistic yield estimation (RYE) as available from http://www.soil.ncsu.edg Limp/ncnmwg/yields/. SOIL EVALUATION FORM Project Name Owner Operator Slope BRANCH RESIDUALS & SOILS, LLC '311 B South Westgate Drive - Greensboro, NC 27407 PHONE (336) 510-0340 —FAX (336) 510-0341 City of Marion Nancy Ross Nancy Ross 10-Jun Sample No. 1 Project Number Tract/Site Field 'Crop 2004-41 Added to. Field I Fescue NX, Ni! N'M--0 Ap 0-4SCL 5 YR 4/4 wk med gr fr n/a Btl 4-18 CL 25 YR 4/8 mo med sbk fr n/a W 18-30 C 2.5 YR 5/8 mo med sbk fr n/a B/C 30-40+ CL 2.5 YR 5/8 wk med sbk fr 7.5 YR 5/6 Grading to saprolite with veins of parent material. Additional Comments Depth to Apparent Water Table (in.) >40+ Depth to Seasonal Water Table (in. >40+ Depth to Restrictive Horizon (in.) n/a Type of Restrictive Horizon n/a Boring needed prior to application: no , Attached map with boring location no Most Closely Related Soil Series Hayesville Discussion of Site Good year round site ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Marion Permit #: WQ0019960 Annual Dry Tons Applied: 41.503176 3wner: Wayne Ross Operator: Wayne Ross Cation Exchange Capacity (non 503): Re #: Rl Field #: RI Acres Utilized: 16 Acres Permitted: 16 Specify site Inches Appli- Vola- Miner- Ammo- Must Select o Gal. Totals Residual Cond. Ni-trate Crop 1 or Crop D Tons Per Precip. cation tili- ali= nia- N oRe Per Dry Sources Dry, TKN and PAN 1 PAN 2 2 Solids Acre Past 24 Meth- nation nation Ni- Ca Acre (Summarize) Wet, Hrs*** Rate trogen Nitrite Crop 1 Crop 2 in Gal. I 2.5939485 WWTP Moist dry 0 s 0.5 30% 48300 3700 1 79.0169 ####### Fescue 6-206 286,000 17875 3.48 0 0 0 0 0- 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 L 0 0 0 0 1 0 0 TOTALS: 17875 < >><> As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annual lbs/acre 0.0098572 0.01038 0.22308 2.56806 0.3009 10.02023 0.12451 0.16083 0.0192 5.86244 143.189 79 0169 0 Date lbs/ac Current Cumulative lbs/ac 0.0346572 0.02929 0.22308 5.6879 0.85263 0.03871 1.14636 0.33764 0.0718 12.321 0.0526 6.45904 89 2498 250 Prior Years Cumulative lbs/ac 0.0248 0.01891 0 3.11984 0.55173 0.01848 1.02185 0.17681 Permitted C. P. L. R.*** 36 34 NA 1338 267 15 NA 374 Permit PAN Limit 1 st/2nd Crop _ "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." -0 '� *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of tirnd Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorvoration - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Marion Permit #: WQ0019960 Annual Dry Tons Applied: 27.354366 Dwner: Wayne Ross Operator: Wayne Ross Cation Exchange Capacity (non 503): Re #: R2 Field #: R2 Acres Utilized: 12 Acres Permitted: 12 Specify site Inches Appli- Vola- Miner- Ammo- Ni-trate Must Select * o Gal. Totals o /o Dry Tons Per Residual Cond. Preci . p cation tili- ali- TKN ma- and PAN 1 PAN 2 Crop 1 or Crop oE:in Yd. ort Per Solids Acre Sources (Summarize) Dry, Past 24 Meth- nation nation Ni- Nitrite 2 A als Acre Wet Hrs. od* Rate** Rate trogen Crop 1 Crop 2 -2006 al. 188,500 15708 3.48 2.2795305 WWTP. Moist dry 0 s 0.5 30% 48300 3700 1 69.4391 ####### Fescue 1 0 0 0 0 2 0 0 0 0 3 0 0 0 0 4 0 0 0 0 5 0 0 0 0 E 0 0 0 0 7 0 0 0 0 F 0 0 0 0 S 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1. TOTALS: 15708 <« As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0086602 0.00912 0.19599 2.25621 0.26436 0.01778 0.10939 0.1413 0.01.686 5.15054 125.801 69.4391 0 Date lbs/ac Current Cumulative lbs/ac 0.0293841 0.03354 0.19599 5.72237 0.69837 0.32423 0.70069 0.31196 0.05016 12.5973 Prior Years Cumulative lbs/ac 0.0207239 10.02442 0 13.46616 0.43401 0.30645 0.5913 0.17066 0.0333 7.44676 Permitted C. P. L. R.*** 36 34 NA 1338 267 15 NA 374 89 2498 Permit PAN Limit 1 st/2nd Crop 250 >: "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." P14, --0 2�2 - %-11 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) NCDA&CS-A `ono�lic'-Division Phot a .g19 733..2655 W,eb Site www.ticacoma onoRe o'rt No. -03374 . ';' Grower Ross, David Copies To: Branch Residuals & Soils 2545 Pax Hill Rd Morganton, NC 28655 3 oil Test Report Farm: 12/5/2006 SERVING N.C. RESIDENTS FOR OVER 60 YEARS McDowell County Agronomist Comments The heavy metal report Is found on a separate page. Using Mehlich 3 as a soil test extractant, background levels of these metals typically seen In NC soils when analyzed are as follows: arsenic (As)- 5.0 ppm, cadmium (Cd)- 0.2 ppm, chromium (Cr)- 0.3 ppm, lead (Pb)- 4.0 ppm, nickel (Ni)- 0.7 ppm, & selenium (Se)- 0.2 ppm (FY2003-2005). Although the above metals here are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. C -- 12 Sample No. Last Crop Mo Yr T/A Crop or Year Lime N P205 K20 Mg S Cu Zn B Mn See Note R-1 1st Crop: Fes/OG/Pim,M .6T 120-200 40-60 60-80 0 0 0 0 •0 0 12 2nd Crop: Fes/OG/rim,M 0 120-200 40-60 60-80 0 0 0 0 .0 0 12 Test Results Soil Class HM106 iV/V CSC BS% Ac pH P-I K-1 Ca% Mg'06 Mn-I Mn-AI(1) Mn-AI(2) Zn-I Zn-AI Cu-I S-I SS -I NO3-N NH4-N Na MIN 1.43 1.05 8.7 78.0 1.9 5.7 38 34 50.0 27.0 87 69 69 87 87 78 50 0.1 Field"Information = -Applied Lime Recommendations Sample No. Last Crop No Yr T/A Crop or Year Lime N P2O5 K2O Mg S Cu Zn B Mn See Note R-2 1st Crop: Fes/OG/PIm,M 0 120-200 20-40 0 0 0 0 0 .0 0 12 2nd Crop: Fes/OG/ lm,M 0 120-200 20-40 0 0 0 0 0 •0 0 12 Test Results Soil Class IBM% 1V/V CSC BS106 Ac pH P-1 K-1 Ca% MgS6 Mn-I Mn-AI(1) Mn-AI(2) Zn-I Zn-AI Cu-I S-1 SS -I NO3-N NH4-N Na MIN 1.19 0.98 12.6 89.0 1.4 6.3 50 93 56.0 29.0 144 99 99 104 104 87 47 0.1 Heavy Metal Soil Test Report Rom, David ReuorM 43374 2545 Pax UjU Rd HLIeH-3 EXTRACTION MOTganfon, NC 28655 McDowell County Questions concerning these analyses should be referred to the Aerono Cd N, Sarnp[e Cadnrlum. Nickel P6 lead Se .0 � � Fe - --- ----------------------__-----_-- Selenium Chromium /rlrrp3 �niurn --------------------- Arsen k Alumfnwn --- ------ iron R-2 0.10 0,40 0.00 0.30 0.00 0.20 4.70 1,274.00 179.90 0.00 0.20 3.40 1,026.00 I64. I0 Report Number: R06263-0068 A&L EASTERN LABORATORIES, INC. Acount Number: 7621 Whitepine Road • Richmond, Virginia 23237 • (804) 743-9401 46368 Fax No. (804) 271-6446 - Email: office@al-labs-eastern.com U TO: BRANCH RESIDUALS & SOILS LLC RE: DAVID ROSS - 2006-51 BOB BRANCH 311 B S WESTGATE DR NC CERT #257 GREENSBORO, NC 27407 ATTN: BOB BRANCH Date Received: 9/19/06 Date Reported: 09/22/2006 REPORT OF ANALYSIS Page: 1 18058 R-1 Mercury - Mehlich-3 < 0.2 mg/kg SW 846-7471A Molybdenum (Mo)- Mehlich-3 0.3 ppm NCR-13 No. 221, 1998 18059 R-2 Mercury - Mehlich-3 < 0.2 mg/kg SW 846-7471A Molybdenum (Mo)- Mehlich-3 0.3 ppm NCR-13 No. 221, 1998 Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or in part, nor may any reference be made � C� — to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. v Paul Chu, Ph.D.