WQ0014868_Permit Application_20190403

i/ �A
Resources, Inc.
Permit Renewal Application
For. The,
Land Application of Residuals
From
Smithfield Fresh Meats Corp.
WQ0014868
EMA Resources Inc.
Apri.13, 2019
Phone 336*751.1441 — Fax 336*751.1442 .
755 Yadkinville Road—' Mocksville, NC 27028

s; Inc.
April 3, 2019
RECEIVEDINCD�, IDWR
NC Dept. Water Quality APR. 5 2019
Division of Water Resources
Water Quality Permitting Section 'Non -Discharge
Non -Discharge Permitting Unit
Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
RE: Permit Renewal Application, Permit No. WQ0014868
Mr..Nathanial Thornburg, Unit Supervisor
On behalf of ' C ii - =tlLfi idsncluded in this permit renewal
application tl,
Operations L14
Please note 1
clearly ideni,' U /�� L41-0 3 U 7(,
If you have' i f 1�../1_ v/=
office: 336 w '2 LA /3, Zo l
Respectful h ✓4- /j Z�3
EMA Res;
ICE
I
Roy L. Whitaker
Director Business Development/Operations
.
y
Phone 336*751*1441 —Fax [phone]
755 Yadkinville Road — Mocksville, NC 27028

EXISTING PERMIT
ANALYTICAL DATA
cl
STEVE DUNHAM / JOHN W. DUNHAM
• WANDA HERRING / BONNIE MEEKER
MURDOCK BUTLER
HINTON McCALL KING, JR.
VANCE TYSON
LINDA KING / SHELIA SELLERS
H. McCALL KING, SR. & ELIZABETH C. KING
HINTON McCALL KING, JR.
MUSSELWHITE FAMILY TRUST
�_� �� 600300

C)
10
11
12
13
14
15

BN VIRON14ENTAL GUALMY
June 18, 2018
DONOVAN OWENS — GENERAL MANAGER
SMITHFIELD FRESH MEATS CORP.
POST OFFICE BOX 99
TAR HEEL, NORTH CAROLINA28392-0099
ROY COOPER
Governor
MICHAEL S. RE.GAN
Secretary
LINDA CIJLPEPPER
Interim Director
Subject: Permit No. WQ0014868
Smithfield Fresh Meats
Corp. RLAP
Land Application of Class B
Industrial Byproduct
Residuals
Bladen County
Dear Mr. Owens:
In accordance with your permit change of ownership request received February 21, 2018, and
subsequent additional information received May 1, 2019, we are forwarding herewith Permit No.
WQ0014868 dated June 18, 2018, to Smithfield Fresh Meats Corp. for the continued operation of the
subject residuals management program.
C\ Please note the Permittee has been changed from Smithfield Farmland Corp. to Smithfield Fresh
Meats Corp.
In addition, several of the fields have changed ownership since the permit was last issued on
July 22, 2014. To utilize these fields, new land owner agreements must be obtained from the current
owners and submitted to the Fayetteville Regional Office prior to land application. Rather than
removing these fields from the permit, a note has been placed to this effect. This issue should be
completely resolved in the permit renewal application that should be submitted by January 31, 2019.
This permit shall be effective from the date of issuance until July 31, 2019, shall void Permit No.
WQ0014868 issued July 22, 2014, and shall be subject to the conditions and limitations as specified therein.
PIease pay particular attention to the monitoring requirements listed in Attachment A. Failure to establish
an adequate system for collecting and maintaining the required operational information shall result in future
compliance problems.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
^':::!P° Noth1ng Compares
1 State ofNorth Carolina I Environmental Quality I Water Resources I Water Miry Permitting I Non -Discharge Permitting
- 1617 NO service Center I Raleigh, North Carolina 27699-I617
919-807-6332

Mr. Donovan Owens
June 18, 2018
Page 2 of 2
If you need additional information concerning this permit, please contact Troy Doby at (919) 807.
6336 or Uoy.dobyancdenr.gov.
Sincerely,
Au��eMc�-0'09
-?Lmda Culpepper, Interim Director
U Division of Water Resources
cc: Bladen County Health Department (Electronic Copy)
Fayetteville Regional Office, Water Quality Regional Operations Section (Electronic CoP3)
Beth Buffington — Protection and Enforcement Branch (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

NORTH CAROLINA
� ENVIRONNUff TAL MANAGEMENT
DEPARTMENT OF ENVIRONMXNTAL QUALITY
LAND APPLICATION OF CLASS B INDUSTRIAL BYPRODUCT RESIDUALS PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Smithrield Fresh Meats Corp.
Bladen County
FOR THE
continued operation of a residuals management program for Smithfield Fresh Meats Corp. and consisting
of the land application of Class B industrial byproduct residuals generated by the approved facility listed in
Attachment A to the approved fields listed in Attachment B with no discharge of wastes to surface waters,
pursuant to the application received February 21, 2018, and subsequent additional information received by
the Division of Water Resources, and in conformity with other supporting data subsequently filed and
approved by the Department of Environmental Quality and considered a part of this permit. The use and
disposal of residuals are regulated under Title 40 Code of Federal Regulations Part 257. This permit does
not exempt the Permittee from complying with the federal regulations.
This permit shall be effective from the date of issuance until July 31, 2019, shall void Permit No.
WQ0014868 issued July 22, 2014, and shall be subject to the following specified conditions and limitations:
L SCDEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application.
[15A NCAC 02T .0108(bX2), 02T .0105(d), 02T .01091
IL PERFORMANCE STANDARDS
1. The subject residuals management program shall be effectively maintained and operated at all times so.
there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of prolonged
nuisance conditions due to improper operation and maintenance, the Permittee shall immediately cease
land applying residuals, contact the Fayetteville Regional Office supervisor, and take any immediate
corrective actions. [G. S. 143-215.1 ]
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2. This permit shall not relieve the Permittee of responsibility for damages to groundwater or surface
water resulting from the operation of this residuals management program. [15A NCAC 02B .0200,
02L .0100]
3. Only residuals generated by the facility listed in Attachment A are approved for land application in
accordance «7th this permit. [G.S. 143-215.1]
4. Only the fields listed in Attachment B are approved for residuals land application. [G.S. 143-215.1)
5. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not
exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant
Loading Rates (CPLRs):
Parameter
Ceiling Concentration
(inilligrains per kilogram)
CPLR
(pounds per acre)
Arsenic
75
36
Cadmium
85
34
Copper
4,300
1,338
j Lead
840
267
Imercury.
57
i
15 t
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
99
Zinc
7,500
2,498
The Permittee shall determine compliance -%*h the CPLRs using one of the following methods:
a. By calculating the existing cumulative level of pollutants using actual analytical data from all
historical land application events of residuals, or
b. For land where residuals application has not occurred or for which the required data is incomplete,
by determining background concentrations through representative soil sampling.
[15ANCAC 02T .1105]
6. Residuals that are land applied shall meet Class B pathogen reduction requirements in 15A NCAC 02T
.1106j a) and (c). Exceptions to this requirement shall be specified in Attachment A. [ 15A NCAC 02T
7. Biological residuals (i.e. residuals generated during the treatment of domestic or animal processing
wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A)
that are land applied shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T
.1107(a). Exceptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1107]
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8. Setbacks for treatment and storage facilities shall be as follows:
Setback Description
Setback
feet
Habitable residence or place of public assembly under separate ownership or not to
be maintained as part of the pLoject site
100
]Property lines
50
Private or public water supply
100
Surface waters (streams — intermittent and perennial, perennial waterbodies, and
wetlands
50
Wells with exception to monitoring wells
100
* All treatment and storage facilities were originally permitted prior to September 1, 2006
[15A NCAC 02T .1108]
9. Setbacks for Class B land application sites shall be as follows:
Setback by application type
(feet)
Setback Description
Vehicular
Irrigation
Surface
Surface
Injection /
Application
Application
Incorporation
Habitable residence or place of public assembly under
separate ownership or not to be maintained as part of
400
400
200
the project site
Habitable residence or places of public assembly
owned by the Permittee, the owner of the land, or the
lessee/operator of the land to be maintained as part of
0
200
0
the project site
Property lines
50
150
50
Public right of way
50
50
50
Private or public water supply
100
100
100
Surface waters (streams — intermittent and perennial,
100
100
50
perennial waterbodies, and wetlands)
Surface water diversions (ephemeral streams,
waterways, ditches
25
100
25
Groundwater lowering ditches (where the bottom of
the ditch intersects the SHWD
25
100
25
Subsurface groundwater lowering system
0
100
0
Wells with exception to monitoring wells
100
100
100
Bedrock outcrops
25
25
25
Top of slope of embankments or cuts of two feet or
15
15
15
more in vertical height
Building foundations or basements
0
15
0
Water lines
0
10
0
Swimming pools
100
100
100
Nitrification fields
0
20
0
[15A NCAC 02T .1108]
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10. Land application areas shall be clearly marked on each site prior to and during any residuals application.
event. [15A NCAC 02T .0108(b)(1)]
11. Bulk residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in exceedance
of agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen
requirements based on the determined Realistic Yield Expectations (RYE) using any of the following
methods:
a. Division's pre -approved site specific historical data for specific crop or soil types by calculating
the mean of the best three yields of the last five consecutive crop harvests for each field.
b. Forth Carolina Historical Data for specific crop and soil types as provided by North Carolina State
University Department of Soil Science Chap://nutrients.soil.ncsu.edu/yields/index nhn). A copy
shall be kept on file and reprinted every five years in accordance with Condition IVA.
c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE
and appropriate nutrient application rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
Carolina Department -of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
H. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance
Document: Chapter 1
Oft: //*wwncaSL. ov/SW9 tech/documents/9th Guidance Doc 100109 pdf).
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-A'RCS 590 Nutrient Management
Standards ($t://ftn-fc.sc.e ov.usda gov/�THO/practice-standards/standards/590 ndit
d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall
contact the Division to determine necessary action.
- [l5A NCAC 02T .1109(b)(1)(k)]
12. When residuals are land applied to grazed pasture, -bay crop realistic nitrogen rate shall be reduced by
25% in accordance with the USDA-ATRCS 590 Nutrient Management Standards. [15A NCAC 02T
.0108(b)(1)]
13. If land application sites are to be .over -seeded or double -cropped (e.g., bermuda grass in the summer
and rye .grass in the winter with both crops to receive residuals), then the second crop can receive an
application of PAN at a rate not to exceed 50 pounds per acre per year (lbs!aa/yr). This practice may
be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted
for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied. [15A
NCAC 02T .0108(b)(1)]
14. Prior to laud application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the
Permittee shall obtain and implement recommendations from at least one of the following: the local
Cooperative Extension Office; the Department of Agriculture and Consumer Services; the Natural
Resource Conservation Service; a North Carolina Licensed Soil Scientist; or an agronomist. The
recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a
mechanism for maintaining site integri4, and conditions conducive to crop growth. The Permittee shall
maintain written records of these recommendations and details of their implementation. [15A NCAC
02T .0108(b)(1))
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15: These residuals land application sites were individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the residual land application
area, or 50 feet within the property boundary, whichever is closest to the residual land application area.
An exceedance of groundwater standards at or beyond the compliance boundary is subject to
` remediation action according to 15A NCAC 02L .0106(dx2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C. Any approved
relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B. [15A NCAC 02L
.0107(a)]
16. 'I he review boundary shall be established midway between the compliance boundary and the residual
land application area. Any exceedance of groundwater standards at the review boundary shall require
action in accordance with 15A NCAC 02L .0106. [15A NCAC 02L .0108]
19L OPERATION AND 1NIARMNANCE REQUIREMENTS
1. The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards. [15A NCAC 02T .1110]
2. The Fayetteville Regional Office, telephone number [phone], and the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at least 48
hours prior to the initial residuals land application to any new land application site. Notification to the
regional supervisor shall be made from 8:00 am. until 5:00 p.m. on Monday through Friday, excluding
State Holidays. [ 15A NCAC 02T .0108(b)(1)]
3: The Fayetteville Regional Office shall be notified via email or telephone, [phone], at least 24
hours prior to conducting any land application activity. Such notification shall indicate, at a minimum,
the anticipated application times, field IDs, and location of land application activities. If it becomes
necessary to apply to additional fields due to unforeseen events, the Regional Office shall be notified
prior to commencing the application to those fields. [15A NCAC 02T .0108(b)(1)]
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) Modifications
to the O&M Plan shall be approved by the Division prior to utilization of the new plan. The O&M Plan,
at the minimum, shall include:
a. Operational functions;
b. Maintenance schedules;
c. Safety measures;
d. Spill response plan;
e. Inspection plan including the following information:
L Names and/or titles of personnel responsible for conducting the inspections;
ii. Frequency and location of inspections, including those to be conducted by the ORC, and
procedures to assure that the selected location(s) and inspection frequency are representative
of the residuals management program;
iii. Detailed description of inspection procedures including record keeping and actions to be taken
by the inspector in the event that noncompliance is observed pursuant to the noncompliance
notification requirements under the monitoring and reporting section of the permit;
f Sampling and monitoring plan including the following information:
i. Names and/or titles of personnel responsible for conducting the sampling and monitoring;
I Detailed description of monitoring procedures including parameters to be monitored;
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iii. Sampling frequency and procedures to assure that representative samples are being collected.
Fluctuation in temperature, flow, and other operating conditions can affect the quality of the
residuals gathered during a particular sampling event. The sampling plan shall account for any
foreseen fluctuations in residuals quality and indicate the most limiting times for residuals to
!I meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply
multiple times per year but have an annual sampling frequency, may need to sample during
winter months when pathogen reduction is most liken to be negatively affected by cold
temperatures).
[15A NCAC 02T .1100]
5. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the facility, the Permittee shall designate and employ a certified operator in responsible
charge (ORC) and one or more certified operators as back-up ORCs in accordance with 15A NCAC
08G .0201. The ORC or his back-up shall visit the facilities in accordance t%zth I SA NCAC 08G. 0204,
or as specified in the most recently approved O&M plan (i.e., see Condition lII. 4.), and shall comply
with all other conditions of 15A NCAC 08G. 0204. For more information regarding classification and
designation requirements, please contact the Division of Water Resources' Protection and Enforcement
Branch at [phone]. [15A NCAC 02T .0117]
6. When the Permittee land applies bulk residuals, a copy of this permit and a copy of O&M Plan shall be
maintained at the land application sites during land application activities. [15A NCAC 02T
.0108(b)(1)]
7. When the Permittee transports or land applies bulk residuals, the spill control provisions shall be
maintained in all residuals transport and application vehicles. [15A NCAC 02T .1110]
S. Residuals shall not be stored at any land application site, unless written approval has been requested
and received from the Division. [G.S. 143-215.1]
9. When the Permittee land applies bulk residuals, adequate measures shall be taken to prevent wind
erosion and surface runoff from conveying residuals from the land application sites onto adjacent
properties or into surface waters. [G.S.143-215.1]
10. When the Permittee land applies bulk residuals, a suitable vegetative cover shall be maintained on land
application sites onto which residuals are applied, or application shall be in accordance nZth the crop
management plan outlined by the local Cooperative Extension Office, the Department of Agriculture
and Consumer Services, the Natural Resource Conservation Service, or an agronomist and as approved
by the Division. [1SANCAC 02T .1109(b)(1)]
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11. Bulk residuals shall not be land applied under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under section
4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of surface
water or groundwater standards;
d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of the
residuals would occur;
e. Within the 100 year flood elevation, unless the bulk residuals are injected or incorporated within a
24-hour period following a residuals land application event;
f. During a measurable precipitation event (i.e., greater than 0.01 inch per hour), or within 24 hours
following a rainfall event of 0.5 inches or greater in a 24-hour period;
g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than
18% for injected or incorporated bulk liquid residuals;
h. If the land does not have an established vegetative cover unless the residuals are incorporated or
injected within a 24-hour period following a residuals land application event. Any field that is in a
USDA no -till program shall be exempted from meeting this vegetative cover requirement;
i. If the vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot
j. If the vertical separation of bedrock and the depth of residuals application is less than one foot;
k. Application exceeds agronomic rates.
[I5A NCAC 02T .11091
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
[15A NCAC 02T .I 109(b)(2)]
13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g.,
1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information, including the Permittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each land application site during a land
application event, and for as long as the public access restrictions required under Condition IM12.
apply. [15ANCAC 02T .0108(b)(1)]
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14. The following harvesting and grazing restrictions apply to residual land application sites after each
land application event:
Harvesting and Grazing Description
` Restricted
Duration 1
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
30 days
prevent access after each land application event.
Food crops, feed crops and fiber crops shall not be harvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
14 months
shall not be harvested for:
When the residuals remain on the land surface for four months or longer prior to
i incorporation into the soil, food crops with harvested parts below the land
surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be
20 months
harvested for:
When the residuals remain on the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
38 months
surface shall not be harvested for:
[15A NTCAC 02T .1109(bx3)]
15. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume
of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that
have been applied to the site, and a copy of the most recent \'utrietit Management Plan (NMP) for those
operations where a NW is required by the US Department of Agriculture — National Resources
Conservation Service (NRCS) or other State Agencies. The Permittee shall calculate allowable nutrient
loading rates based on the provided information and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (Cw), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CN-MP) shall also be considered a Nutrient
Management Plan. [15A NCAC 02T .0108(b)(1), 02T .1104(c)(3)]
16. No residuals shall be land applied unless the submitted Land Owner Agreement between the Permittee
and landowners or lessees/operators of the land application site is in full force and effect. These
agreements shall be considered expired concurrent with the permit expiration date, and shall be renewed
during the permit renewal process. [15A NNCAC 02T .1104(c)(4)]
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IV. MONITORING AND REPORTING RES
1. Any Division -required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sample reporting schedule shall be followed. [15A NCAC 02T .0108(c)]
2. Residuals shall be analyzed to demonstrate they are non -hazardous under the Resource Conservation
and Recovery Act (RCRA). Residuals that tests or is classified as a hazardous or toxic waste under 40
CFR Part 261 shall not be used or disposed under this permit. The analyses [corrosivity, ignitability,
reactivity, and toxicity characteristic leaching procedure (TCLP)l shall be performed at the
frequency specified in Attachment A, and the Pernuttee shall maintain these results for a minimum of
five years. Any exceptions from the requirements in this condition shall be specified in Attachment A.
The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter
is in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1,1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide)
0.008)
Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Triehlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
Once the residuals have been monitored for two years at the frequency specified in Attachment A, the
Permittee may submit a permit modification request to reduce the frequency of this monitoring
requirement. In no case shall the monitoring frequency be less than once per permit cycle.
[15A NCAC 13A .0102(b), 02T .1101, 02T .1105]
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3. An analysis shall be conducted on residuals from each source generating facility at the frequency
specified in Attachment A. and the Perm ittee shall maintain the results for a minimum of five years.
The analysis shall include the following parameters:
Aluminum
Mercury
Potassium
Ammonia -'Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
(SAR)
Calcium
Percent Total Solids
TKN
Copper
PH
Zinc
Lead
Phosphorus
Magnesium
Plant Available Nitrogen
(by calculation) '
[15A NTCAC 02T. 1101]
4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling and
monitoring sections of the approved O&M plan. The required data shall be specific to the stabilization
process utilized, and .sufficient to demonstrate compliance with the Class B pathogen reduction
requirements in 15A NCAC 02T .1106 (a) and (c) , and one vector attraction reduction requirement in
15A NCAC 02T .1107 (a). shall be met. Any exceptions from the requirements in this condition shall
be specified in Attachment A. [15A NCAC 02T .1106, 02T .1107, 02T .1111(c)]
_ 5. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B on which a residuals land application event will occur
in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instructions section of the NC Department of Agriculture &
Consumer Services' website (http^/%www.nca¢r gov/agrongmjjgubs.htm). The Permittee shall maintain
these results and a description of the sampling methodologies used to determine soil fertility for a period
of no less than five years, and .shall be made available to the Division upon request. At a minimum, the
Standard Soil Fertility- Analysis shall include the following parameters:
Acidity
Exchangeable Sodium PercentagePhosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
[15A NCAC 02T .0108(c),1SANCAC 02T .1111(d)]
6. Laboratoryparameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 15A NCAC 0213.0505. [15A NCAC 02B .0505]
WQ0014868 Version 3.1 Shell Version 171103 Page 16 of 13

7. The Permittee shall maintain records tracking all residual land application events. At a minimum, these
records shall include the following:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Approximate areas applied to (acres),
e. Method of land application;
E Weather conditions (e.g., sunny, cloudy, raining, etc.);
g. Predominant Soil Mapping Unit (e.g., CbB2);
h. Soil conditions (e.g., dry, wet, frozen, etc.);
i. Type of crop or crops to be grown on field;
j. Nitrogen Application Rate based on RYES (if using data obtained from the North Carolina State
University Department of Soil Science Website, the printout page shall be kept on file and reprinted
every five years),
k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet
ton per acre;
1. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or
wet tons per acre;
in. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per acre,
or wet tons per acre; and
n. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other
sources ofnutrients (e.g., ifapplicable), annual and cumulative pounds per acre of each heavy metal
(e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel; selenium, and zinc), annual pounds per acre of PAN, and annual pounds per
acre of phosphorus applied to each field.
[15A NCAC 02T .0109(a)]
8. Three copies of an annual report shall be submitted on or before March 111. The annual report shall
meet the requirements described in the Instructions for Residuals Application Annual Reporting Forms.
Instructions for reporting and annual report forms are available at
htta://deg.ne.aov/about/divisionstwater-resources/water-resources-permits/wastewater-branch/non-
dischar�germitting unit/reporting-forms, or can be obtained by contacting the Non -Discharge
Permitting Unit directly. The annual report shall be submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .1111(a)]
WQ0014869 Version 3.1 Shell Version 171103 Page 11 of 13

9. Noncompliance Notification
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number (910)
433-3300, as soon as possible, but in no case more than 24 hours or on the next working day following
the occurrence or f rst knowledge of the occurrence of any of the following:
a. Land application of residuals abnormal in quantity or characteristic.
b. Any failure of the land "application program resulting in a release of material to surface waters.
c. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported,to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure that the problem does not recur. [15A NcCAC 02T .0105(I), 02T .0108(b)(1)]
V. W SPECTIONS
1. The Permittee shall provide adequate. inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan. [15A NCAC 02T .0108(b)]
2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and application facilities to identify malfunctions, facility deterioration and
operator errors that could result in discharges to the environment, a threat ;human health or a public
nuisance. The Permittee shall maintain an inspection log that includes, at a minimum, the date and time
of inspection, observations made, and any maintenance, repairs, or corrective actions taken. The
Permittee shall maintain this inspection log for a period of five years from the date of inspection, and
this log shall be made available to the Division upon request. [15A NINCAC 02T .0108(b)].
3. Any duly authorized Division representative may, upon presentation of credentials; enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at any reasonable time for the purpose of determining compliance with this permit; may inspect or copy
any records required to be maintained under the terms and conditions of this permit, and may collect
groundwater, surface water or leachate samples. [G.S. 143-215.3(ax2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statutes 143-215.6A to
143-215.6C. [G.S.143-215.6A to 143-215.6C]
2. This permit shall become voidable if the residuals land application events are not carried out in
accordance -with the conditions of this permit. [15A IiCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of residuals described in the permit
application and other supporting documentation. [G.S.143 215.1]
WQ0014869 Version 3.1 Shell Version 171103 Page 12 of 13

4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules in
15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and
- under the Division's General Permit NCG010000; any requirements pertaining to wetlands under 15A
NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter
143 of the General Statutes. [15A NCAC 02T .0105(c)(6)]
5. In the event the residuals program changes ownership or the Permittee changes his name, a formal
permit modification request shall be submitted to the. Division. This request shall be made on official
Division forms, and shall include appropriate documentation from the parties involved and- other
supporting documentation as necessary. The Permittee of record shall remain fully responsible for
maintaining and operating the residuals program permitted herein until a permit is issued to the new
owner. [15A NCAC 02T .0104]
6. This permit is subject to revocation or unilateral modification upon 60-day notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110. [15A NCAC 02T .0110]
7. Unless the Division Director grants a variance, expansion of the permitted residuals program contained
herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).
[ 15A NCAC 02T .0120]
8. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay
the annual fee accordingly shall be cause for the Division to revoke this permit. [I SA NCAC 02T
.0105(e)(3)]
Permit issued this the 18' day of June 2018
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
0da Culpepper, Interim Director
Division of Water Resources U ,
By Authority of the Environmental Management Commission
]Permit Number WQ0014868
WQ0014868 Version 3.1 - Shell Version 171103 Page 13 of 13

THIS PAGE BLANK

l
A — Approved ResidwaD Souvices
SM tbZe d Presh Meats Corp.
Ceafiflcation Dsteo dta'ne 18, 2018
Permit Number.- WQ0914968 Version: 3.1
Owner
Facility Name
County
Permit
Biological
Maximum
Dry Tons
Monitoring
Frequency for
Monitoring
Frequency for
Monitoring
Frequency for
Approved
Number
Residuals
Per Year r
a-ha�rdons
Metals and
Pathogen &
Mineralization
Characteristics a
Nntri® s
Vector Attraction
Rate
Redactions 4-s
Smithfield Fresh Meats Corp.
Tar heel WQVTP
Bladen
NC0079344
Yes
2,050
Annually
See Table Below
See Table Below
0.2
Total
2,050
1. Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility.
2. Analyses to demonstrate that residuals are non hazardous (i e., TCLP, ignitability, reactivity, and con osivity) as stipulated under permit Condition 1V.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA.
5. Monitoring frequencies are based on the actual dty tons applied per year using the table below, unless specified above.
Dry Tons Applied
short tons per ear(Established
Monitoring Frequency
in 40 CFR 503 and 15A NCAC 02T .1111
<319
1/Year
>319 - <1650
1/ Quartet 4 times per ear
>1,650 - <16 500
1160 pays (6 times per ear
>16 500
1/month 12 tunes per ear
if no land application events occur during a required sampling period (e g. no land application occur during an entire'yenr when annual monitoring is required), then no sampling data is
required during the period of inactivity. The annual report shall include an explanation for missing sampling data. Those required to submit the annual report to F.PA may be required to
matte up the missed sampling, contact the ]EPA for additional information and clarification.
WQ0014868 Version 3.1 Attezhment A Page 1 of 1

TH S PAGE BLANK
Cam' � � .�'

B — Approved Land Application Sites
-_J Certification fl)atrr�.i�-e 18, ZOgB
Smithfield Fmh Meats Corp. Permit Number. WQ0014= Version: 3.1
45. To utilize this land for residuals application, a signed, notarized Land Owners Agreement must first be obtained from Bonnie M. Meeker of 19850 NC 87 Hwy West, Tar Heel, NC
28392. This is PIN 038500167816 according to Bladen County GIS and no longcr belongs to I F. Burney as listed on the permit of W2=014.
46. To utilize this land for residuals application, a signed, notarized Land Owners Agreement must first be obtained from Linda Lou King and Sheila Ann King Sellers of 906 Kings Road, St. Pauls,
NC 28384. This is PIN 080401020 according to the Robeson County GIS and no longer belongs to Hinton McCall King as listed on the permit of 7/22/2014.
47. To utilize this land for residuals application, a signed, notarized Land Owners Agreement must first be obtained from Wayland P. Musselwhite, Trustee of the Musselwhite Family Trust, address
7819 Fisher Lane, Wilmington, NC 28412. This is PIN 032709039500 according to the Robeson County GIS and no longer belongs to Douglas and Melba Musselwhite.
48. To utilize this land for residuals application, a signed, notarized Land Owners Agreement must first be obtained from Wayland P. Musselwhite, Trustee of the Musselwhite Family Trust, address
7819 Fisher Lane, Wilmington, NC 28412. This is PIN 032716396940 according to the Robeson County GIS and no longer belongs to Douglas and Melba Musselwhite,
WQ0014968 Version 3.1 Attachment B

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Div" Ision of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
L.
Applicant's name: Smithfield Fresh Meats Corp
Applicant type: 2 Individual Corporation E] General Partnership) Privately -Owned Public Utility
El Federal State 0 Municipal l County
Signature authority's name per 15A NCAC 02T .0106: Donovan Owens Title: General Manager
Applicant's mailing address: Post Office Box 99
City: Tarheel State: NC Zip:28392-0099
Telephone number: 910 862-7675 Email Address: [e-mail]
2.
Consultant's name: Roy Whitaker_ License Number (for P.E.): NA
701DWT
Affiliation: On Staff 0 Retained (Firm: EMA Resources, Inc.)
RECEIVEDINC[� �-.
Consultant's mailing address: 755 Yadkinville Road
APR - 5 2019
City: Mocksville State: NC Zip: 27028 ar
Non -Discharge
Telephone number: (a6j 751-1441 Email Address: roy.whitakerna,emaresourcesinc.com
Permitting Unit
3.
Agronomist's name: Roy Whitaker License Number: NA
Affiliation: E9 N/A 0 On Staff ig Retained (Firm: EMA Resources, Inc.)
CAgronomist's
mailing address: 755 Yadkinville Road
City: Mocksville State: NC- Zip: 27028 T'�"41,il
Telephone number: 336 751-1441 Email Address: [e-mail]
4.
Soil Scientist's name: µ5_,K' ;P-N License Number:: i
Affiliation: N/A E9 On Staff E Retained (Firm:
Soil Scientist's mailing address:
City: fy,'sx;�,� State f.`y Zip:��
Telephone number ;: ! r ♦L {r4 =*
p (_) r Email Address. n
5.
Fee submitted: $0.00 (See Instruction B)
H. PERMIT INFORMATION:.
1. Application is for (check all that apply): E" new, 2 modified, 9. renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00014868
Date of most -recently issued permit: June 18, 2018
Date of most -recently certified Attachment A (if different than the permit): June 18, 2018
Date of most -recently certified Attachment B (if different than the permit): June 18, 2018
FORM: RLAP 06-16 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
L Residuals Processing Facility's physical address: 15855 NC-87
City: Tarheel State: NC Zip: 28392
,i Coordinates: Latitude: 340 44' 50" Longitude: 78' 48' 17"
Datum: NAD83
Method of measurement: GPS
Level of accuracy: Nearest Second
2. County where residuals land application program is headquartered: Bladen
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Dwayne Russ
Smithfield Fresh Meats
LA1004586
Corp.
Back -Up ORC
Tim Weaver
Smithfield Fresh Meats
LA13281
Corp.
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::`i
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 2050 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
29.745
43.045
60977
88242
Five -Year Maximum Adjusted
39.605
52.905
81190
108455
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
-.
Row Crops
910.5
Hay
29.5
Pasture
222.3
Some Pastures are also cut for hay.
Total:
1162.3
Methods
Surface
1098.8
Incorporation or Injection
63.5
Site SF09 Fields 01 & 02
Total:
1162.3
FORM: RLAP 06-16 Page 2 of 5

c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
abs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
1219.54
1764.84
1623.80
2169.10
100
609.77
882.42
811.90
1084.55
150
406.51
588.28
541.27
723.03
200
304.89
441.21
405.95
542.28
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.): NA
7. Specify type of residuals program (See Instruction F): EJ Non -dedicated 0 Dedicated
If Dedicated, specify the following (check all that apply):
El Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain; `'6t irk
E, .Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain; eF.
E' Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
IN%
Land Application Siite
Certification. doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item V1. Applicable to Dedicated Program with fixed irrigation system only.
VL DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
I. The irrigation system is: Q Spray Drip
2. Disposal system is: ED existing E9 proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: 49ki, feet
below ground surface. Rules 15A NCAC 02T.0505(p) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
El Yes or 2 No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified: �VHR
5. Loading rates recommended by the Soil Scientist Evaluation:
Recommended
Recommended
Soil Series
Fields within Soil Area
Loading Rate
Loading Rate
(in/hr)
(in/yr)
E ON
�U.22 J,
ONE
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
ED Yes or 0 No If No, explain why 15A NCAC 02T.0505(n) is not met: FaFR'1111­.`tlt
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field / Zone
Design Area
Number of
Maximum Application
Design Annual Loading
UP)
Nozzles
Rgt1gallons/hr
Rate (gallons/. r)
N
� MEN
07
M-0111111
Qi_K
75
�MIIMT
12
Total
is
Spray Irrigation Design Element
I
Plan
Plan Sheet
Specification
I
Page Number
Wetteddiameter of nozzles
ft
2 T-21121 I
Wetted area of nozzles
ft2
""0
I
;151EV
� ".
Nozzle capacity
m
11215A
53
g p
Nozzle manufacturer / model
R 21
ME
'0EP5-
Elevation of highest nozzle
r ft
M
Mn
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
-71e applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
Iosure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
A;ompliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
0 Yes M No, Explain; 2M
I, Donovan Owens — General Manager
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for S FA T? 4 r Zt lb 8 � L S H A Erk-rs O o eP .
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
i
Signature: Date: �� �Z 0 5
FORM: RLAP 06-16 Page 5 of 5

Standard Operating Procedure and Operation and
Maintenance Plan for Smithfield Fresh Meats Corp.
P
Land Application Program
1. Purpose
a. Ensure the requirements of the Smithfield Fresh Meats Corp. WWTP Non -
Discharge Residuals Permit# WQ0014868 are met.-
2. Personnel
a. The following is a list of personnel in order they are to be contacted when
information needs to be shared.
i. EMA Resources Inc.
1. Boger Hartsell - Project Manager
2. Roy Whitaker - Director of Business Development
3. Brent Collins - Director of Technical Services
ii. Smithfield -Tar Heel WWTP
- 1. Robert Harris - WWTP & WTP Manager
2. Dwayne Russ - Land Application ORC
3. Tim Weaver - WWTP Supervisor
3. Operational Functions
a. The operational function of this project it going to involve removal of residuals
from the anaerobic lagoons via vacuum assist pumps. It is going to be spread
at agronomic rates that are determined using the Realistic Yield Expectations
(RYE) as outlined in the permit, the amount of other nutrient sources the
landowner and operator has applied, and the residuals nutrient and metal
sample that is current for that monitoring period. It is going to be spread with
a liquid applicator that will use pressure to spread the material in such a way
as to achieve a consistent spread pattern. The material is going to be land
applied on fields that have a crop growing on them that are going to either
be grazed or cut for animal feed. Application rates will be reduced by 25%
on fields that are primarily used for grazing in accordance with USDA-NRCS

590. Grazed fields will be determined by the farmers and EMA project
managers.
4. Maintenance Schedule
a. EMA Resources Inc. will follow the maintenance schedule as recommended
by the EMA Resources Operations Director (Roy Whitaker) for the equipment
necessary to complete the job.
5. Safety Measures.
a. Smithfield -Tar Heel and EMA Resources Inc. believe in operating in a safety
conscious manner and all employees participate in safety training that is
designed to help employees recognize safety issues and take steps to prevent
accidents from occurring. In addition, EMA Resources employees have the
authority to stop operations if they think any aspect of the operation is going
to cause environmental or personal harm.
6. Spill Response Plan
a. In the unlikely event of a spill, the following action shall betaken immediately.
i. Management of Spill Clean-up Activities: The EMA Resources Project
Manager shall take immediate charge and initiate clean-up activities.
EMA Resources labor and equipment is to be utilized. In the event
additional labor and equipment is required, assistance may be
requested from Smithfield -Tar Heel, The NC Department of
Transportation, and other private contractors as necessary.
ii. Halt the Source of the Spill: Such as a ruptured container or damaged
transport unit.
iii. Contain the Spill. Form a barrier. Sufficient quantities of straw shall be
used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations
Manager or the person in charge on the spill site will be advise the
clean-up personnel where to get the straw, lime, and other items
necessary to complete the clean-up operation. ie. local farmers, farm
supply centers, nurseries.
iv. Initial Clean -Up: Employ front-end loaders, vacuum equipment,
sludge application vehicles, and/or local septic tank service to remove
as much of the spilled material as possible. Straw and/or sand should
be scattered in the spill area to soak up the remaining material. The
.� straw and sand soaked material will be collected and removed to a

disposal area approved by representatives of the state regulatory--� agency.
v. Final Clean-up: Employ rotary brush sweeper if needed and apply
lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property,
the clean-up will be completed to the satisfactory of the property
owner and state regulatory representatives. The ultimate goal will be
restore the spill area to its original condition if possible.
vi. Notification: As soon as possible after the spill occurs, the EMA
Resources Project Manager or designee will notify the Smithfield -Tar
Heel staff and the EMA Resources main office. EMA Resources office
staff is then responsible for notifying other key EMA Resources
personnel.
vii. Reporting_ EMA Resources staff will notify the Fayetteville Regional
office of the NCDENR by telephone [phone] as soon as
possible, but not more than 24 hours after, or on the next working day
following the occurrence. The EMA Project Manager shall provide a
written report with 48 hours of the spill to the EMA Resources Director
of Technical Services and Smithfield -Tar Heel staff. The report shall list
all relative information and actions taken. With the assistance of EMA
Resources personnel, and the Smithfield -Tar Heel personnel, a written
report will be filed with the Fayetteville Regional office within 5 days of
the occurrence. For after-hours reporting, the Division's emergency
number shall be called to report all incidences [phone].
7. Inspection Plan
a. Inspection for the land application of residuals will conducted on a minimum
of a weekly basis at the land application site during land application activities.
The inspection frequency is based on the time frame that it is going to take to
complete the project and the amount of dry tons to be land applied from this
facility. The inspections will consist of inspecting a current field that is being
applied as well as inspecting random fields that have been completed.
Inspections will be conducted by Dwayne Russ (Permit ORC) and Boger
Hartsell - Project Manager. These inspections will consist of the following:
i. Verifying the application rates for each field that plan on receiving
material.

ii. Checking the calculated loads to ensure the correct amount of residuals
are being land applied.
iii. Ensure that all manned equipment has a copy of the permit and the
operation and maintenance plan.
iv. Ensure that the field has been flagged properly and that all buffers are
being adhered to.
v. Ensure proper signage has been posted
vi. Verify that the proper number of samples of the residuals has been
taken and that it meets the criteria for land application.
vii. The records will be kept in the EMA Resources project files in the main
office.. Copies of all analyses and records will be forwarded to
Smithfield -Tar Heel and kept on file.
viii. EMA Resources and Smithfield -Tar Heel staff will immediately inform
the other party if any of the following conditions are noted.
1. Any occurrence with the distribution program resulting in the
land application of significant amounts of material that is
abnormal in quantity or characteristics.
2. Any failure of the distribution system that results in the release to
surface waters.
3. Any time that self -monitoring indicates that the facility has gone
out of compliance with the permit.
4. Any process failure that results in the system not adequately
treating the residuals.
5. Any spill or discharge from a vehicle or piping system during
residuals transportation.
6. Any release that requires immediate reporting outside normal
business hours shall be called in by EMA Resources staff to
DENR at [phone]. This number is to be called in the
event of a release to surface waters or imminent failure of a
storage system when the event occurs outside of normal
business hours.
8. Sampling and Monitoring Plan

a. Sampling for this project consists of sampling the residuals prior to land
application occurring in order to ensure that the residuals are suitable for land
application.
b. The samples will be collected from the anaerobic lagoons that holds the
residuals
c. Roy Whitaker, Boger Hartsell, Brent Collins, or other designee will be
responsible for sample collection for nutrient and metal, TCLP, and fecal
coliform.
d. Nutrient, metal and TCLP sample aliquots will be collected randomly and
consist of at least 7 individual aliquots mixed together in order to get the
composite sample for these parameters.
e. The residuals will be sampled annually for TCLP including the RClls.
f. Metal and nutrient parameters will be collected and analyzed based on the
requested dry ton numbers in the permit application.
g. Residuals will be sampled for fecal coliform to demonstrate pathogen
requirements have been met. Seven separate samples will be collected and
analyzed.
h. Vector Attraction Reduction compliance is demonstrated by 38% Volatile
Solids Reduction.
9. Environmental Impacts
a. The environmental impacts for residuals may be affected by this procedure.
b. This procedure helps assure that land application is conducted in a safe and
efficient manner while ensuring compliance with the laws and regulations and
to minimize exposure, negative environmental impacts and public relation
concerns.

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Smithfield Fresh Meats Cora.
Land application sites currently certified: 1179.8 net acres and Total to be certified: 1162.3 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
StatuCodes
e
Site/Field
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope°
R
SF03-01
Steve Dunham
Steve Dunham
21.6
Bladen
Bermuda Grass
Lakeland
LaB
R
SF03-02
Steve Dunham
Steve Dunham
13.3
Bladen
Rye Grass
Centenary
Cc
R
SF03-03
Steve Dunham
Steve Dunham
21.3
Bladen
Rye Grass
Centenary
Ce
R
SF03-04
Steve Dunham
Steve Dunham
19.0
Bladen
Row Crops
Wanda
Wh
R
SF03-05
Steve Dunham
Steve Dunham
8.0
Bladen
Bermuda Grass
Lakeland
LaB
R
SF03-06
Steve Dunham, John Dunham
Steve Dunham
16.5
Bladen
Bermuda Grass
Lakeland
LaB
R
SF03-07
Steve Dunham
Steve Dunham
37.2
Bladen
Bermuda Grass
Wickham
WmB
R
SFU7-'.01
Wanda He n
: 3
Steve Dunh
s
___ladeen
a
Bermuda Grass
4.
�+lta a
qg
R
SF07 0;
Wanda B Meriting
Stieve amunhamunh
12'3
Bl e
Rid
Alta toa
R
507,OC.
Waicla B Herring
Steve . amunhamunh
1f9 3
Bl da en
berm_ uda Gras `
i khcriB
R
SFO Q8
Wanda B Ierti`
g
S�teve�Dunham
,'
1r21,
Bladen
ermuda G=a s
Altasta
a
R
-F0
SF7 09
Bonnie aB . Meeke
SteveStieve D amunhamunh
-
213'
1B .
ow Croy
L ,1
gTmB'
9 - ,
R
SF07 14
onriie B� _
B� T�T1yIee rk
Steve amunh
�/- ,
5
1 n
ermuda.Gr ash
aka ela d
'' I;aB
R
SFU7415onne
B •iVieekea
S.'feve amunh
0 0
Bl dea nermud
a
Augusta
A
R
SF1U 01
MurockYu retl retl
1Vlurdock_B. utlen
53 0
ladenoEPA
R
5�10 02
Murdock Feu rtlViurdock
Butle"5
B'1 d
wGr o
.. ctr7yv
" =
R
SF10 03
Mu d ck B:ntle
urdock B;iitler
VI _10
� � 'R'
"l�"�'
• aden
RbwSCrops
oifol
o
R
SF12 0=1Imto�irMcCall.g,
7
HintoncCa11.m rg T
49 0'
_.1 a
oN,
N
ER
R
SF -
°�
Vance Vpton so� n
Vance Jptdn- Tyson, J ;
5 5
Cuinberlan l
ermud Grass
R
SF06' 02
Vance p on Ty n �J 3
Vance,Upton Tyson Jr:
31a1
"emu nberland
Berm d ass
Au 1RUR
R
SFo6 03'
`%anCe Upton Tyson'xJr;
'trance U to on{Tyson_)
64 5
Ciurib lance d
Row C O= pS
Rig
be
R
SF06 0
Vanc�rU� TyAos J
Vance.IJpton Tyson
35 0
Cum
ow"Cr p
Dew 1os'
je'
FORM: LASC 06-16 Page 1

LAND APPLICATION SITE CERTIFICATION
R
0
Cumberland
KO—W—c—ims
K616s
Ed
R
yg,qn,
LE5eLU
Cumberland
oCrops
5!e=rq9§
Da
R
�U h'Jr.
E
KO=W- UoTis
=06ss
561
*
5 F =08,-#, 1
jLmdhLkAiig!
PLW, Crops
)I
G=qA
*
*
WQJ8�=02,
�Fo$
-M.03,
Shefiq&�HaAf
Holton-.McCalf.K
_�r
_"Lbetsdn
io
KORK�s
K11641 �5543_9
sbord
Goldsboro
U ljld= -L
6_7
=ir
J�f
_—McCall King
X Jn4
R
--------
Q!
Hinton McCall Sk�.ElizgbethL
n L7
Cl
Kini
81149lb- , c-Ca-11, I i . f. iNattif
A &W 0
Hidf6d
CrO7P-s
K0:W=
91orfed
N�
•
K �.08-
r4L-6,3,
ko=befsoij
MA
•
KF =081' 96,
IfifitdidM6Cill'King,5�rJ
intoff McCall King Jr,Matfliey�C
kfild
EL�5
kobLe
RowCrops
RR-:01
I V-O—Al
R
:_
KF08r07
=M&O9,
H"tonKkiniSr.ElizabetfC
-- _
H 1 K.1n kabitk'Q
a
Jr 'Matthew
—
,LQjj1 Kigji Maitk6m�
Q
kin' d
_
�
U5j_0
oberson
Eob=*ofi'
ow Crops
Koi =Ciop-9
�•
Goldsboro
- =6xvflle
=GoA
-A!
R
it =ffie: j,=C, .:King �hg
Kq=be6r:&6`n'
W=aB
R
SF 90SF
Mu sse
7:5-
E7�
q�
6ersq�
Row Cr
GoldsGod
R
KfQ9' ,rO3
=FigibpgyLT�
5
XQbqr go
KORCioRg
LW4j r n i
R
a v�_Z. fl�A­V__
SF09-04
1--A
Musselwhite Family Trust
Matthew C. King
25.0
Roberson
Row Crops
Wagrarn
WAB
u "­ .vu� lul Imlu ajJU11%,CLL1LPU bItUb Mr— v N knew) + R kRenewed) 4 Ivi kMoalliea) ♦ I t1ransterred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
I Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
FORM: LASC 06-16 Page 2

LAND APPLICATION SITE CERTIFICATION
H. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction Q:
Site/Field ID
Latitude
Longitude
g
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
P
Class
SF03-01
340 44' 06.0"
780 43' 07.0"
NAD 83
GPS
Nearest Second
SF03-02
340 44' 17.4"
780 43' 09.1"
NAD 83
GPS
Nearest Second
11, ;`�;;`�:
.s
SF03-03
340 44' 21.2"
780 43' 17.9"
NAD 83
GPS
Nearest Second
`� �`
?�
SF03-04
340 44' 15.8"
780 43' 28.0"
NAD 83
GPS
Nearest Second
SF03-05
340 44' 12.5"
780 43' 16.5"
NAD 83
GPS
Nearest Second
SF03-06
340 44' 00.1"
780 43' 29.7"
NAD 83
GPS
Nearest Second
SF03-07
340 43' 24.6"
780 44' 24.4"
NAD 83
GPS
Nearest Second
SFU �-Ol;
340 43' 09.7"
780 44' 25.2"
NAD 83
GPS
Nearest Second
SFU7'-O
34' 43' 15.7"
780 44' 08.9"
NAD 83
GPS
Nearest Second
SF07.-06
340 43' 30.0"
780 43'52.4"
NAD 83
GPS
Nearest Second
SFO7„='O8
340 43' 37.7"
780 43'44.1"
NAD 83
GPS
Nearest Second
ON "`
SF�07k09
340 43' 44.7"
780 43'47.4"
NAD 83
GPS
Nearest Second
MM
340 43' 56.0"
780 43'26.4"
NAD 83
GPS
Nearest Second
SF07 �1'S.
340 43' 51.6"
780 43'38.8"
NAD 83
GPS
Nearest Second
F1O U1?
340 46' 33.6"
780 49'09.2"
NAD 83
GPS
Nearest Second
SF10' p2
340 47' 31.3"
780 49'36.0"
NAD 83
GPS
Nearest Second
1'
�F10=03
�
340 47' 24.9"
780 49'46.6"
NAD 83
GPS
Nearest Second
lI 1
340 48' 20.3"
780 51'37.7"
NAD 83
GPS
Nearest Second
SF06�0�I
340 55' 49.5"
780 50'58.6"
NAD 83
GPS
Nearest Second
F06 02
340 55' 42.4"
780 50'59.8"
NAD 83
GPS
Nearest Second
g�S 06=03,
340 55' 38.5"
780 50'20.7"
NAD 83
GPS
Nearest Second
SF06 4
y
340 55' 44.5"
78° 50' 12.2"
NAD 83
GPS
Nearest Second
SF0RON,
340 55' 49.0"
780 49'59.1"
NAD 83
GPS
Nearest Second
SF
340 55' 30.0"
780 49'55.8"
NAD 83
GPS
Nearest Second
Q6�07
340 55' 46.3"
780 49'30.7"
NAD 83
GPS
Nearest Second
rutuvE LAbc U6-16 Page 3

LAND APPLICATION SITE CERTIFICATION
SFSF l
340 44' 50.6"
780 53'14.6"
NAD 83
GPS
Nearest Second
SF08-U2
340 44' 45.2"
780 53'04.5"
NAD 83
GPS
Nearest Second
SFQ8:=Q3
340 45' 05.2"
780 52'50.5"
NAD 83
GPS
Nearest Second
SFU8
340 43' 19.6"
780 55'05.6"
NAD 83
GPS
Nearest Second
340 43' 24.0"
780 55'48.4"
NAD 83
GPS
Nearest Second
SF0,8 d
340 43' 50.9"
780 55'52.2"
NAD 83
GPS
Nearest Second
SF,wQ807
34° 43' 19.0"
78° 56'36.1"
NAD 83
GPS
Nearest Second
SFO 08F0
340 46' 36.8"
780 57'54.7"
NAD 83
GPS
Nearest Second
5SF09 -j
340 47' 41.5"
780 55'50.9"
NAD 83
GPS
Nearest Second
SF 090SF
340 47' 49.5"
780 56'06.9"
NAD 83
GPS
Nearest Second
SF09=0
340 47' 22.0"
780 55'43.2"
NAD 83
GPS
Nearest Second
SF09-64
340 47' 10.8"
780 55' 54.5"
NAD 83
ADD
Nearest Second
f 4 Z-214 1;"
nccY uic „M uuviivauu,i ki.) and waterooay information t11.) or me same field on the same page.
FORM: LASC 06-16 Page 4

Standard Operating Procedure and Operation and
-- Maintenance Plan for Smithfield Fresh Meats Corp.
Land Application Program
1. Purpose
a. Ensure the requirements of the Smithfield Fresh Meats Corp. WWTP Non -
Discharge Residuals Permit# WQ0014868 are met.-
2. Personnel
a. The following is a list of personnel in order they are to be contacted when
information needs to be shared.
i. EMA Resources Inc.
1. Boger Hartsell - Project Manager
2. Roy Whitaker - Director of Business Development
3. Brent Collins - Director of Technical Services
i" ii. Smithfield -Tar Heel WWTP
1. Robert Harris - WWTP & WTP Manager
2. Dwayne Russ - Land Application ORC
3. Tim Weaver - WWTP Supervisor
3. Operational Functions
a. The operational function of this project it going to involve removal of residuals
from the anaerobic lagoons via vacuum assist pumps. It is going to be spread
at agronomic rates that are determined using the Realistic Yield Expectations
(RYE) as outlined in the permit, the amount of other nutrient sources the
landowner and operator has applied, and the residuals nutrient and metal
sample that is current for that monitoring period. It is going to be spread with
a liquid applicator that will use pressure to spread the material in such a way
as to achieve a consistent spread pattern. The material is going to be land
applied on fields that have a crop growing on them that are going to either
be grazed or cut for animal feed. Application rates will be reduced by 25%
on fields that are primarily used for grazing in accordance with USDA-NRCS

590. Grazed fields will be determined by the farmers and EMA project
managers.
4. Maintenance Schedule
a. EMA Resources Inc. will follow the maintenance schedule as recommended
by the EMA Resources Operations Director (Roy Whitaker) for the equipment
necessary to complete the job.
5. Safety Measures
a. Smithfield -Tar Heel and EMA Resources Inc. believe in operating in a safety
conscious manner and all employees participate in safety training that is
designed to help employees recognize safety issues and take steps to prevent
accidents from occurring. In addition, EMA Resources employees have the
authority to stop operations if they think any aspect of the operation is going
to cause environmental or personal harm.
6. Spill Response Plan
a. In the unlikely event of a spill, the following action shall betaken immediately.
i. Management of Spill Clean-up Activities: The EMA Resources Project
Manager shall take immediate charge and initiate clean-up activities.
EMA Resources labor and equipment is to be utilized. In the event
additional labor and equipment is required, assistance may be
requested from Smithfield -Tar Heel, The NC Department of
Transportation, and other private contractors as necessary.
ii. Halt the Source of the Spill: Such as a ruptured container or damaged
transport unit.
iii. Contain the Spill. Form a barrier. Sufficient quantities of straw shall be
used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations
Manager or the person in charge on the spill site will be advise the
clean-up personnel where to get the straw, lime, and other items
necessary to complete the clean-up operation. ie. local farmers, farm
supply centers, nurseries.
iv. Initial Clean -Up: Employ front-end loaders, vacuum equipment,
• sludge application vehicles, and/or local septic tank service to remove
as much of the spilled material as possible. Straw and/or sand should
be scattered in the spill area to soak up the remaining material. The
straw and sand soaked material will be collected and removed to a

disposal area approved by representatives of the state regulatory
-� agency.
J v. Final Clean-up: Employ rotary brush sweeper if needed and apply
lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property,
the clean-up will be completed to the satisfactory of the property
owner and state regulatory representatives. The ultimate goal will be
restore the spill area to its original condition if possible.
vi. Notification: As soon as possible after the spill occurs, the EMA
Resources Project Manager or designee will notify the Smithfield -Tar
Heel staff and the EMA Resources main office. EMA Resources office
staff is then responsible for notifying other key EMA Resources
personnel.
vii. Reporting_ EMA Resources staff will notify the Fayetteville Regional
office of the NCDENR by telephone [phone] as soon as
possible, but not more than 24 hours after, or on the next working day
following the occurrence. The EMA Project Manager shall provide a
written report with 48 hours of the spill to the EMA Resources Director
of Technical Services and Smithfield -Tar Heel staff. The report shall list
all relative information and actions taken. With the assistance of EMA
Resources personnel, and the Smithfield -Tar Heel personnel, a written
report will be filed with the Fayetteville Regional office within 5 days of
the occurrence. For after-hours reporting, the Division's emergency
number shall be called to report all incidences [phone].
7. Inspection Plan
a. Inspection for the land application of residuals will conducted on a minimum
of a weekly basis at the land application site during land application activities.
The inspection frequency is based on the time frame that it is going to take to
complete the project and the amount of dry tons to be land applied from this
facility. The inspections will consist of inspecting a current field that is being
applied as well as inspecting random fields that have been completed.
Inspections will be conducted by Dwayne Russ (Permit ORC) and Boger
Hartsell - Project Manager. These inspections will consist of the following:
i. Verifying the application rates for each field that plan on receiving
material.

ii. Checking the calculated loads to ensure the correct amount of residuals
are being land applied.
t _ % iii. Ensure that all manned equipment has a copy of the permit and the
operation and maintenance plan.
iv. Ensure that the field has been flagged properly and that all buffers are
being adhered to.
v. Ensure proper signage has been posted
vi. Verify that the proper number of samples of the residuals has been
taken and that it meets the criteria for land application.
vii. The records will be kept in the EMA Resources project files in the main
office.. Copies of all analyses and records will be forwarded tc
Smithfield -Tar Heel and kept on file. _
viii. EMA Resources and Smithfield -Tar Heel staff will immediately inform
the other party if any of the following conditions are noted.
1. Any occurrence with the distribution program resulting in the
land application of significant amounts of material that is
abnormal in quantity or characteristics.
2. Any failure of the distribution system that results in the release to
surface waters.
3. Any time that self -monitoring indicates that the facility has gone
out of compliance with the permit.
4. Any process failure that results in the system not adequately
treating the residuals.
5. Any spill or discharge from a vehicle or piping system during
residuals transportation.
6. Any release that requires immediate reporting outside normal
business hours shall be called in by EMA Resources staff to
DENR at [phone]. This number is to be called in the
event of a release to surface waters or imminent failure of a
storage system when the event occurs outside of normal
business hours.
8. Sampling and Monitoring Plan

a.
Sampling for this project consists of sampling the residuals prior to land
-,
application occurring in order to ensure that the residuals are suitable for land
application.
b.
The samples will be collected from the anaerobic lagoons that holds the
residuals
c.
Roy Whitaker, Boger Hartsell, Brent Collins, or other designee will be
responsible for sample collection for nutrient and metal, TCLP, and fecal
coliform.
d.
Nutrient, metal and TCLP sample aliquots will be collected randomly and
consist of at least 7 individual aliquots mixed together in order to get the
composite sample for these parameters.
e.
The residuals will be sampled annually for TCLP including the RClls.
f.
Metal and nutrient parameters will be collected and analyzed based on the
requested dry ton numbers in the permit application.
g.
Residuals will be sampled for fecal coliform to demonstrate pathogen
requirements have been met. Seven separate samples will be collected and
analyzed.
h.
Vector Attraction Reduction compliance is demonstrated by 38% Volatile
Solids Reduction.
9. Environmental Impacts
a. The environmental impacts for residuals may be affected by this procedure.
b. This procedure helps assure that land application is conducted in a safe and
efficient manner while ensuring compliance with the laws and regulations and
to minimize exposure, negative environmental impacts and public relation
concerns.

I /
RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Smithfield Fresh Meats COm.
status Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year
Code a Current b Proposed
R Smithfield Fresh Meats Smithfield Fresh Meats Corp. Bladen NCO078344 2050 2050
Cnm
a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16
Page 1

State of North Carolina
Department of Environmental Quality
D,--W.Division of Water Resources R
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Smithfield Fresh Meats Corn.
2. Facility permit holder is: E] Federal, 0 State, 0 Local Government, or M Private.
Facility permit issued by: Div. of Water Resources, f:p Div. of Environmental Health,
or C( Other (explain:
3. Facility contact person and title: Robert Harris, Environmental Manager
Complete mailing address: P.O. Office Box 99
City: Tar Heel State: NC Zip: 28392-0099
Telephone number: 910 862-7675 E-mail address: [e-mail]
4. Facility physical address: 15855 Highway 87 West
City: Tar Heel State: NC Zip: 283924
Coordinates: Latitude: 34' 44' 46.65" Longitude: 78' 48' 32.68"
Datum: NAD83 Level of accuracy:
Method of measurement: GPS
5. Purpose of the facility:
[( treatment of municipal wastewater, E3 treatment of 100% domestic wastewater,
`i treatment of potable water, Q( treatment of 100% industrial wastewater,
v treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: �"�' % industrial and L: `� % domestic)
0 other (explain: ).
6. Does the facility have an approved pretreatment program: 0 Yes No
7. Facility permitted/design flow: 3 MGD and facility average daily flow: 2.61 MGD
8. Average amount of residuals being generated at this facility 1000 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Two 13MG Anaerobic Digesters (Covered Lagoons)
Type and volume of residuals storage (i.e., outside of residuals treatment units): The large capacity of the Anaerobic
Lagoons also serve as the residuals storage of the solids. Note: Waste Activated Sludge is sent to a separate tank and
dewatered and hauled to the landfill.
H. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
[] 40 CFR Part 503 or 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under.] 5A NCAC 02T.1102(6) as:
Biological -fit Non -Biological
FORM: RSC 06-16 Pagel of 5

Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is 'a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: i" 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: Ej 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: ESC Lab Sciences and Date of analysis: 4/5/2018
Passed corrosivity test: yes a$ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: yes [] no. Flashpoint: >170 IF (> 140°F)
Passed reactivity test: M yes Uno. HCN: ND mg/kg (<250) & HZS: 42.5 mg/kg (<500)
TCLP Parameter
Limit
NO)
Result
NO)
TCLP Parameter
Limit
(m9/1)
Result
NO)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1, 1 -Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.01
ND
Vinyl Chloride
0.2
ND
r''GRM: RSC 06-16
Page 2 of 5

—� 4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waypoint AnW3tcal and Date of analysis: 5/4/2018
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(m91k9)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
3.19
Cadmium
85
39
2.0
Copper
4,300
1,500
1210
Lead
840
300
7.61
Mercury
57
17
0.4
Molybdenum
75
n/a
14.2
Nickel
420
420
32.5
Selenium
100
100
5.51
Zinc
7,500
2,800
2440
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
E] > 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
62
450
420
Result (mg/kg)
y �
i
-FORM: RSC 06-16
Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 2.47 %.
/- b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Waypoint Anal 'cal and Date of analysis: 5/4/2018
Parameter
Result
(mg/kg)
Aluminum
5640
Ammonia -Nitrogen
13300
Calcium
12300
Magnesium
1390
Nitrate -Nitrite Nitrogen
2.35
pH (Standard Unit)
7.8
Phosphorus
12400
Potassium
3410
Sodium
8100
Total Kjeldahl Nitrogen
54400
c. Using the results listed in Item H. 5b. above, calculate the sodium adsorption ration (SAR): 2.895
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals:'-20: .. %.
This rate is a (check one): S default value, or El 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: Anaerobic Digestion
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (V9 Year PAN
Five -Year
Maximum Adjusted PAN
(mSik�
(m9/k9)
Surface
14,872
4,930
Injection/Incorporation
21,522
4,930
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: NA
- FORM: RSC 06-16
Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent.
[] A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
- [] A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
[] Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
El Alternative 2 [15A NCAC 02T. I 106(b)(3)(B)] - Alkaline Treatment.
[� Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 15A NCAC 02T.1106 li 3 K -Process to Further Reduce Pathogens PFRP .
Specify one: ;"i composting, Q heat drying, Qheat treatment,
thermophilic aerobic digestion, 0 beta ray irradiation,
Q' gamma ray irradiation, or 0 pasteurization.
b. For Land Application of Class B:
S Alternative 1 [15A NCAC 02T.1106(c)(1)] -Fecal Coliform Density Demonstration.
?' Alternative 2 [15A NCAC 02T.1106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP).
Specify one: Q aerobic digestion, i ` air drying, 0 anaerobic digestion,
0 composting, or [] lime stabilization.
c. For Surface Disposal:
EJ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II.7a. above.
'.:J Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
�- Q Exempt - IfDaily Cover Alternative is chosen in Item H.8. below:[15A NCAC 02T.1106(a)(2)].
EJ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107. specify how residuals will meet the VAR requirements:
Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
w3 Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T. 1 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion);
�W Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
E] Alternative 8 [15A NCAC 02T. 1 107(a)(8)] - Drying of Unstabilized Residuals.
Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.1107(a)(10)].- Incorporation.
Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
rORM: RSC 06-16
Page 5 of 5

1
i
Data use subject to license. n+
© DeLorme. XMap® 8.
www.delorme.com

Kill Facility
Methanol
Tjaddition
A�.A.B..,-..(3)
Chlorine Addition
Emergency Storage
Kill Facility
Primary Lift Station Internally fec
(3)
Aerobic basins (4) 1
Re -Air Basin -
Sanitary EQ Basin
V Ram Process Pump
DAF
Clarifiers (4) "Fuzzy Filters" (4)
Sludge Wasting to
Storage basin
Reuse feed to Refrigeration
condensors
UV Disinfection
DAVCO package
Plant
—� Rendering
Anaerobic Lagoons Land Applied Solids
Centrifuge Fat and
Water Reuse (1MM Kill Facility
Belt Press Landfill - electrical
generation
Primary Lift Station to
River
Sludge Haul to PWC

Smit&Id Fresh Meats Corp. 0
" e �
YWWTP Process Flow .WAS'Storage & Dewatering
i' ,
S M
T'1 JJ �1:.�„ Y „yam• 6 ,� .., y ��--•.
� Clarifiers 1�
13MG An'ae-obic Lagoons - Anoxic'Zone+ j u sY = —=:.• " 4� _''
Aen tlo Basins: 3 n,�,
tist�` ^ "'�'�'(•' `LiT}- t' �_,. 4 - t✓.,1
Equalization Basin p'
4
F-T'F t vd'� Y•'
Goo le Earth
Co 2018 Goo le

t
Smithfield Surface
TKN
NH3
Organic N
NO2NO3
1st yr min. rateL::Amg/kg
54400
mg/kg
mg/kg
mg/kg
mg/kg
13300
41100
2nd yr min. rate
3rd yr min. rate
4th yr min. rate
5th yr min. rate
1st year PAN Calculation (surface)
Lbs/DT PAN = [min. rate x (TKN - NH3) + (.5NH3) + NO2NO31 x .002
Lbs/DT =1 0.2 41100 6650 2.35 1 x .002
Lbs/DT = 1 29.745
2nd year Residual PAN Calculation
Lbs/DT PAN = [min. rate yr 2 x (1st yr organic N - 2nd yr mineralized organic N)] x .002
Lbs/DT = 0.10 41100 12330 x .002
Lbs/DT = 6.754
3rd year Residual PAN Calculation
Lbs/DT PAN = [min. rate yr3x 2nd yr organic N - 3rd yr mineralized organic N)] x .002
Lbs/DT = 0.05 28770 4315.5 x .002
Lbs/DT = 2.45
4th year Residual PAN Calculation
Lbs/DT PAN = [min. rate yr 4 x 3rd yr organic N - 4th yr mineralized organic N)] x .002
Lbs/DT =1 0.025 24464.5 1956 x .002
Lbs/DT =1 1.12
5th year Residual PAN Calculation
Lbs/DT PAN = [min. rate yr 5 x 4th yr organic N - 5th yr mineralized organic N)] x .002
Lbs/DT = 0.0125 22498 1125 x .002
Lbs/DT = 0.53
Residual PAN for years 2 through 5 = 9.86 Lbs/DT
0.1
0.05
0.025
0.0125

Smithfield Injection
TKN
NH3
Organic N
NO2NO3
1st yr min. rate
54400
mg/kg 2nd yr min. rate
mg/kg 3rd yr min. rate
mg/kg 4th yr min. rate
mg/kg 5th yr min. rate
mg/kg
13300
41100
2.35
0.2
1st year PAN Calculation (injection)
Lbs/DT PAN = [min. rate x (TKN - NH3) + (.5NH3) + NO2NO31 x .002
Lbs/DT = 0.2 41100 13300 2.35 x .002
Lbs/DT = 43.045
2nd year Residual PAN Calculation
Lbs/DT PAN = [min. rate yr 2 x (1 st yr organic N - 2nd yr mineralized organic N)] x .002
Lbs/DT = 0.10 41100 12330 x .002
Lbs/DT = 5.754
3rd year Residual PAN Calculation
Lbs/DT PAN = [min. rate yr 3 x 2nd yr organic N - 3rd yr mineralized organic N)] x .002
Lbs/DT = 0.05 28770 4315.5 x .002
Lbs/DT = 2.45
4th year Residual PAN Calculation
Lbs/DT PAN = [min. rate yr 4 x (3rd yr organic N - 4th yr mineralized organic N)] x .002
Lbs/DT = 0.026 24464.6 1966 x .002
Lbs/DT = 1.12
5th year Residual PAN Calculation
Lbs/DT PAN = [min. rate yr 5 x 4th yr organic N - 5th yr mineralized organic N)] x .002
Lbs/DT = 0.0125 22498 1125 x .002
Lbs/DT = 0.53
Residual PAN for years 2 through 5 = 9.86 Lbs/DT
0.1
0.05
0.025
0.0125

SAR
SAR Calculation
Na mg/l
Ca mg/l
Mg mg/l
200.07
303.81
34.333
Na
Ca
Mg
SAR
8.699
15.191
2.861
2.895
Na mil eq
Ca mil eq
Mg mil eq
8.699
15.191
2.861
Enter
Enter % TS
"
2,47.
8100
300
Data
Na mg/kg
Ca mg/kg
Mg mg/kg
Job Name:
Smithfield Fresh
Meats Corp.
Page 1

Page: 1 of 2
Report Number: 18-114-0207
Account Number: 46245
Send To: EMA Resources Inc
755 Yadkinville Road
Mocksville , NC 27028
•
Waypoi, mANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Project: Smithfield Tar Heel
REPORT OF ANALYSIS Date Sampled: 4/23/2018 11:55:00
Lab Number: 60200 Date Received: 04/24/2018 00:00
Sample Id : Smithfield Tar Heel Date Reported: 05/04/2018
Total Solids *
2.47
24700
100.0
R D
04/24/2018 14:30
SM-2540G
Moisture *
97.52
100.0
R D
04/24/2018 14:30
SM-2540G
Total Kjeldahl Nitrogen
5.44
54400
50.0
JM
04/26/2018 09:00
SM-4500-NH3C-TKN
Total Phosphorus
1.24
12400
100
BKN
05/04/2018 00:00
6010C
Total Potassium
0.34
3410
100
SMC
04/26/2018 19:04
6010C
Total Sulfur
1.56
15600
100
SMC
04/26/2018 19:04
6010C
Total Calcium
1.23
12300
500
BKN
05/04/2018 00:05
6010C
Total Magnesium
0.14
1390
100
SMC
04/26/2018 19:04
6010C
Total Sodium
0.81
8100
100
SMC
04/26/2018 19:04
6010C
Total Iron
14200
100
SMC
04/26/2018 19:04
6010C
Total Aluminum
5640
100
SMC
04/26/2018 19:04
6010C
Total Manganese
288
5.00
BKN
05/04/2018 00:00
6010C
Total Copper
1210
25.0
BKN
05/04/2018 00:05
6010C
Total Zinc
2440
25.0
BKN
05/04/2018 00:05
6010C
Ammonia Nitrogen
1.33
13300
50.0
R D
04/25/2018 09:00
SM-4500-NH3C
Organic N
4.11
41100
50.0
04/25/2018 09:00
CALCULATION
Nitrate+Nitrite-N
<2.35
2.35
MMT
04/27/2018 09:28
4500NO3F-2011
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
pof�r- Pic
our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part nor may any reference be made p
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Pauric McGroary
Agronomist_

Page: 2 of 2
Report Number: 18-114-0207
Account Number: 46245
Send To: EMA Resources Inc
755 Yadkinville Road
Mocksville , NC 27028
•
Waypoint
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Project: Smithfield Tar Heel
REPORT OF ANALYSIS Date Sampled: 4/23/2018 11:55:00
Lab Number: 60200 Date Received: 04/24/2018 00:00
Sample Id : Smithfield Tar Heel Date Reported: 05/04/2018
Total Cadmium
<2.00
2.00
BKN
05/04/2018 00:00
6010C
Total Chromium
37.5
5.00
BKN
05/04/2018 00:00
6010C
Total Nickel
32.5
5.00
BKN
05/04/2018 00:00
6010C
Total Lead
7.61
5.00
BKN
05/04/2018 00:00
6010C
Total Arsenic
3.19
3.00
BKN
05/04/2018 00:00
6010C
Total Mercury
<0.400
0.400
SMC
04/25/2018 16:39
SW-7471B
Total Selenium
5.51
5.00
BKN
05/04/2018 00:00
6010C
pH*
7.8
1.0
R D
04/25/2018 09:00
9045D
Total Volatile Solids
83.87 838700
100.0
R D
04/24/201814:30
SM-2540G
Total Molybdenum
14.2
5.00
BKN
05/04/2018 00:00
6010C
Comments:
NC CERT#257
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all .N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made
to the work, the results, or the company in any advertising, news release. or other public announcements without obtaining our prior written authorization.
pw« Pic 60wr
Pauric McGroary
Agronomist

SMSE 3 T WA Mv, T'
Aw
IUI 18-114-0207
A&L EasteiIII�Il46245
04-24-2018
7621 Whitepine Road Richmond VA 23237 Tel: a EIMIResourcestric 13:19:17
S111ithrield Tor Heel
EMA Resources Inc
755 Yadkinville Rd
Mocksvffle, NC 27028
EMA Resources Inc
755 Yadkinville Rd
F 7 __7 "­ _u
�7
r—owiRRA
-LY-
4111'1f"�Z' _4
'gew i.'q '0
I N-1•
Volatile; 919
t
_ZGrab
Composite
Glasn oz
per
=qt
Grab
—Glass
oz
Composite
Plastic
_—_pint
_qt
Grab
— oz
Composite
—Glass
Plastic
____pint
t
Grab
Glass
Composite
Plastic
a,U,
--pintz
_
11F_1_171Z�1_7 7,•IF
17 -
2�.,i,.,� gesmrmm
-1 T.A Remar
SLI.- Total Solids (Moisture) Total Kjefdahl Nitto&n, Phosphorus and Potassium
SL2: Basic Test SL I plus Sul fur, Calci . um, Magnesitun,Sodium, Iron, Aluminum, Manganese, Copper And Zinc
603 Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, Selenium.
(Copper & Zinc included in SL2)
Nitrogen Series; Total Kjeldahl, Ammonium, Nitrate & Organic Nitrogen.
-IPCE- Calcium Carbonate Equivalent or Total neutralization Value (For Lime Treated Sludge)

Analytical Results
MA Resources, Inc.
755 Yadkinville Rd.
Mocksville, NC 27028
Receive Date: 04/23/2018
Reported: 04/25/2018
For: Smithfield Tarheel
Comments: Geometric Mean 8,515 MPN/g
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
180423-08-01
Fecal Coliforms
1
8014
MPN/g
SM92210E-2006
04/24/2018
WC,
180423-08-01
Percent Solids
1
2.87
%
SM2540B-1997
04/24/10:00
WC
180423-08-02
Fecal Coliforms
2
9275
MPN/g
SM9221cE-2006
04/24/2018
WC
180423-08-02
Percent Solids
2
2.48
%
SM2540B-1997
04/24/10:00
WC
180423-08-03
Fecal Coliforms
3
8303
MPN/g
SM92210E-2006
04/24/2018
WC
180423-08-03
Percent Solids
3
2.77
%
SM254OB-1997
04/24/10:00
WC
180423-08-04
Fecal Coliforms
4
7958
MPN/g
SM92210E-2006
04/24/2018
WC
—.180423-08-04
Percent Solids
4
2.89
%
SM254OB-1997
04/24/10:00
WC
\ 80423-08-05
Fecal Coliforms
5
8333
MPN/g
sM9221cE-2006
04/24/2018
WC
= °:80423-08-05
Percent Solids
5
2.76
%
SM254OB-1997
04/24/10:00
WC
180423-08-06
Fecal Coliforms
6
8519
MPN/g
sM9221cE-2006
04/24/2018
WC
180423-08-06
Percent Solids
6
2.70
%
SM254OB-1997
04/24/10:00
WC
180423-08-07
Fecal Coliforms
7
9311
MPN/g
SM92210E-2006
04/24/2018
WC
180423-08-07
Percent Solids
7
2.47
%
SM254OB-1997
04/24/10:00
WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 o Statesville, NC 28687 ® 704/872/4697
Page 1 of 2

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STATISVIUZANALYTICAL
122Cour[St=t • Po.eox228
Statesville, NC 28687
Chain df
Custody Record
11
Address:
AR
%SS �� K�ifV2c-ZC `,
Contact Person: s 1Phone #
FAX# ? 7S/ /VV1 Z
PO # �!Z ��C �W� d� Regtitsitioned by:
(nma oats)
customer
SampleIDB
Lab-IDF
Time Sampled
(efmbonty)
Date Sampled
(Grab Oft)
wc•
Matrix
w
M
Pmumnera uestedfor aasl sis
"� Y
113
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Air✓
✓
c03.M
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Relinquished by:
Time J -�� an(pp t Date ✓� Sampled by: D
Received by
TimIr e � io
amp,,/Date _I� Transported by: b
! Relinquished by:
Time
am, pm Date _/ bolding times met:
Received by:
Time
am, pm Date Compliance work:
Composite sampling
#1:
Time begin am, pm Date
Non-compliance work:
Time end am, pm Date __J__J_
Lab Comments:
Samples Transported On Ice:
COmPON to Samaling
t..
Time begin am, pm Date
Time end am,.pm Date _i /
Initials:
11

\� Land App ANL Volatile Solids In
7j'Q7j
",93M
94-89
ORYMME:':
PQ
------
4,13
.96150
Q�tt'2o� §
=�W§Q
1571;4
7--95:44
MciAllu
",'ArAMP
d 7. 0[2d2."65
L59-.,'99Z
'QO
Laml;,959

Volatile Solids Out
Volatile Solids IN average
% Reduction
4/4/18 North
83.33
94.21
69.28
4/23/18 North
83.87
94.21
68.04

;R[:,A,L TIME. IS/.Y7jF\CGG SS
*ESC ANALYTICAL REPORT
L•A•6 9:—,—E•IVC—E April 13, 2018
/y_ oa�nuaa.ro/��,�yyy
f �
i
EMA Resources
Sample Delivery Group:
Samples Received:
Project Number:
Description:
L983488
04/05/2018
Smithfield Tar Heel
Report To: Mr. Brent Collins
755 Yadkinville Road
Mocksville, NC 27028
Entire Report Reviewed By:z 0� rr�
Cassandra Foster
Technical Service Representative
Results relate only to the items tested or calibrated and are reported as. rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by ESC Is F
performed per guidance provided in laboratory standard operating procedures: 060302, 060303, and 060304.

TABLE OF CONTENTS
ONE LAB. NATIONWIDE.
Cp: Cover Page
1
Tc: Table of Contents
2
1CP1
Ss: Sample Summary
3
Cn: Case Narrative
4
Sr: Sample Results
5
3
SS
SMITHFIELD TAR HEEL L983488-01
5
Qc: Quality Control Summary
7
rCn
Wet Chemistry by Method 9012 B
7
Fri
Wet Chemistry by Method 9034-9030B
8
Wet Chemistry by Method 9045D
9
rQC
Wet Chemistry by Method D93/1010A
10
Mercury by Method 7470A
11
rGI
Metals (ICP) by Method 6010D
12
FAI
Volatile Organic Compounds (GC/MS) by Method 8260B
13
Acid Herbicides (GC) by Method 8151A
15
FSChlorinated
Pesticides (GC) by Method 8081B
16
Semi Volatile Organic Compounds (GC/MS) by Method 8270D
17
GI: Glossary of Terms
19
Al: Accreditations & Locations
20
Sc: Sample Chain of Custody
21
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L983488 04/13/1816:19 2 of 21

SAMPLE
SUMMARY
ONE LAB. NATIONWIDE.
Collected by
Collected date/time
Received date/time
SMITHFIELD TAR HEEL L983488-01 Waste
Roy Whitaker
04/04A808:30
04/05/1808.45
HP
neo}hod
Batch
Dilution
Preparation
Analysis
Analyst
date/time-
date/time
c.: Paration by Method 1311
WG1095373
- ---
1
-
04/08AS 13:45
-- ---
04/0811813:45
-- ----
KK
FTC]
Preparation by Method 1311
WG1095939
1
04/10/1811:15
04/1011811:15
RT
Wet Chemistry by Method 9012 B
WG1095472
1
04/10/18 09:39
04111/1810:53
KK
Wet Chemistry by Method 9034-9030B
WG1096347
1
04/11/18 23:20
04/11A8 23:20
JU
Wet Chemistry by Method 9045D
WG1094518
1
04/06/18 09:45
04/06/1811:30
MLW
rCn]
Wet Chemistry by Method D93/1010A
WG1095365
1
04/10/1810:10
04/10/1810:10
TH
Mercury by Method 7470A
WG1095542
1
04/09/1811:16
04/09/1817:05
EL
Metals (ICP) by Method 6010D
WG1095571
1
04/09/1811:20
04109t1815:39
ST
FSr
Volatile Organic Compounds (GC/MS) by Method 8260B
WG1096448
1
04/11/1816:18
04/1V1816:18
JBE
Chlorinated Acid Herbicides (GC) by Method 8151A
WG1096408
1
04/11/18 08:36
04/1211812:09
KLM
e
QC
Pesticides (GC) by Method 8081B
WG1096466
1
04/12/18 07:14
04/12/1817:33
TD
Semi Volatile Organic Compounds (GC/MS) by Method 8270D
WG1095680
1
04109/1818:12
04/10/18 08:01
AO
�GI
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L983488 04/13/1816:19 3.of 21

CASE NARRATIVE ONE LAB. NATIONWIDE.
All sample aliquots were received at the correct temperature, in the proper containers, with the Rp
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples �Tc
have been corrected for the dilution factor used in the analysis. All radiochemical sample results for
solids are reported on a dry weight basis with the exception of tritium, carbon-14 and radon, unless wet s
weight was requested by the client. All Method and Batch Quality Control are within established Ss
criteria except where addressed in this case narrative, a non-conformance form or properly qualified
within the sample results. By my digital signature below, I affirm to the best of my knowledge, all
problems/anomalies observed by the laboratory as having the potential to affect the quality of the data
have been identified by the laboratory, and no information or data have been knowingly withheld that
would affect the quality of the data. Fr
r
J(� QC
F11
Cassandra Foster rAl
Technical Service Representative
9
Project Narrative Sc
All Reactive Cyanide results reported in the attached report were determined as totals using method 9012B.
All Reactive Sulfide results reported in the attached report were determined as totals using method 9034/903013.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L983488 04/13/1816:19 4 of 21

SMITHFIELD TAR HEEL
SAMPLE
RESULTS
- 01
ONE LAB. NATIONWIDE. *
Collected date/time: 04/04/18 08:30
L983488
Preparation by Method 1311
Result Qualifier
Prep
Batch
Cp
~�lyte
P Extraction
date / time
4/8/20181:45:21 PM
WG1095373
TC
TCLP ZHE Extraction
4/10/201811:15:32 AM
WG1095939
Fluid 1
418/20181:45:21 PM
WG1095373
3
Initial pH 7.54
4/8/20181:45:21 PM
WG1095373
$S
Final pH 4.88
4/8/20181:45:21 PM
WG1095373
a
Cn
Wet Chemistry by Method 9012 B
Result Qualifier
RDL Dilution
Analysis Batch
Analyte mg/kg
ing/kg
date / time
--------------------------------
Reactive Cyanide ND
-- -------
0.250 1
--------- ------------:.---- ----- - -------------------
04/11/201810:53 WG1095472
12ic
Wet Chemistry by Method 9034-9030B
GI
Result Qualifier
RDL Dilution
Analysis Batch
Analyte mg/kg _ _
Reactive Sulfide 42.5
mg/kg -
25.0 1
date / time
04/11/2018 23:20 WG1096347
Al
Wet Chemistry by Method 9045D
9Sc
Result Qualifier Dilution Analysis Batch I I
Analyte su date / time
Corrosivity, by pH 7.08 T8 1 04106/201811:30 WG1094518
Sample Narrative:
L983488-01 WG1094518: 7.08 at 20.9C
%" yet Chemistry by Method D93/1010A
Result Qualifier Dilution Analysis Batch
Analyte Deg. F date / time
Ignitability -—-----_- DNI at170 - -_—_-- 1 - 04/10/201810:10-_._- -_--- WG1095365_--
Mercury by Method 7470A
Result Qualifier RDL Limit Dilution Analysis Batch
Analyte mg/I mg/I mg/I ------date/time
--------------------_--------------------------------- ---- ---------•- ------------- ---- ---------------
Mercury ND 0.0100 0.20 1 04/09/201817:05 WG1095542
Metals (ICP) by Method 6010D
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
Arsenic
ND
0.100
5
1 04109/201815:39
WG1095571
Barium
ND
0.100
100
1 04/09/201815:39
WG1095571
Cadmium
ND
0.100
1
1 04/09/201815:39
WG1095571
Chromium
ND
0.100
5
1 04/09/201815:39
WG1095571
Lead
ND
0.100
5
1 04/09/201815:39
WG1095571
Selenium
ND
0.100
1
1 04/09/201815:39
WG1095571
Silver
ND
0.100
5
1 04/09/201815:39
WG1095571
Volatile Organic Compounds (GC/MS) by Method 8260B
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/l
mg/I
mg/I
date / time
_-?�gzene
lbon tetrachloride
ND
ND
0.0500
0.0500
0.50
0.50
1 04/11/201816:18
1 04/11/201816:18
WG1096448
WG1096448
--,Abrobenzene
ND
0.0500
100
1 04/11/201816:18
WG1096448
Chloroform
ND
0.250
6
1 04111/201816:18
WG1096448
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L983488 04/13/1816:19 5 of 21

SMITHFIELD TAR HEEL
SAMPLE RESULTS
- 01
ONE LAB, NATIONWIDE.
Collected date/time: 04/04/18 08:30
L983488
Volatile Organic Compounds (GC/MS) by Method 8260B
Result
FP1
Qualifier RDL
Limit Dilution
Analysis
Batch
on3lyte mg/I
mg/I
mg/I
date/time
iDichloroethane ND
0.0500
0.50 1
04/11/201816:18
WG1096448
ZTC
-„ ,y3lchloroethene ND
0.0500
0.70 1
04/111201816:18
WG1096448
2-Butanone (MEK) ND
0.500
200 1
04/11/201816:18
WG1096448
Tetrachloroethene ND
0.0500
0.70 1
041111201816:18
WG1096448
rss]
Trichloroethene ND
0.0500
0.50 1
04/11/201816:18
WG1096448
Vinyl chloride. ND
0.0500
0.20 1
04A1/201816:18
WG1096448
Fn
(S)Toluene-d8 98.8
80.0-120
120
041111201816.18
WG1096448
(S) Dlbromofluoromethone 104
76.0-123
123
041111201816:18
WG1096448
(S) a a, a-Trifluorotoluene 97.5
80.0-120
120
041111201816:18
WG1096448
(S) 4-Bromo#uorobenzene 94.2
80.040
120
041111201816:18
WG1096448
Chlorinated Acid Herbicides (GC) by Method 8151A
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/l
date / time
2,4,5-TP (Silvex)
ND
0.00200
1
1 04/12/201812:09
WG1096408
2,4-D
ND
0.00200
10
1 04/12/201812:09
WGIO96408
(S)2,4-DlchlorophenylAceticAcid
75.6
14.0-158
158
041121201812:09
WG1096408
Pesticides (GC) by Method 8081E
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
Chlordane
ND
0.00500
0.03
1 04/12/201817:33
WG1096466
Endrin
ND
0.00500
0.02
1 04/121201817:33
WG1096466
Heptachlor
ND
0.00500
0.0080
1 04/12/201817:33
WG1096466
Lindane
ND
0.00500
0.40
1 04/12/201817:33
WG1096466
-'-r0oxychlor
ND
0.00500
10
1 04112/201817:33
WG1096466
r?aphene
ND
0.0100
0.50
1 04/12/201817:33
WG1096466
(S) Decachlorobiphenyl
72.0
10.0-144
144
041121201817:33
WG1096466
(S) Tetrachloro-m-xylene
53.1
10.0-135
135
041121201817:33
WG1096466
Semi Volatile Organic Compounds (GC/MS) by Method 8270D
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/l
date/time
1,4-Dichlorobenzene
ND
0.100
7.50
1 04/16f2018 08:01
WG1095680
2,4-Dinlirotoluene
ND
0.100
0.13
1 04/10/2018 08:01
WG1095680
Hexachlorobenzene
ND
0.100
0.13
1 04/10/2018 08:01
WG1095680
Hexachloro-1,3-butadiene
ND
0.100
0.50
1 04/10/2018 08:01
WG1095680
Hexachloroethane
ND
0.100
3
1 04/10/2018 08:01
WG1095680
Nitrobenzene
ND
0.100
2
1 04/10/2018 08:01
WG1095680
Pyridine
ND
0.500
5
1 04/10/2018 08:01
WG1095680
3&4-Methyl Phenol
ND
0.100
400
1 04/10/2018 08:01
WG1095680
2-Methylphenol
ND
0.100
200
1 04/10/2018 08:01
WG1095680
Pentachlorophenol
ND
0.100
100
1 04/10/2018 08:01
WG1095680
2,4,5-Trichlorophenol
ND
0.100
400
1 04/10/2018 08:01
WG1095680
2,4,6-Trichlorophenol
ND
0.100
2
1 04/10/2018 08:01
WG1095680
(S) 2-Fluorophenol
45.9
10.0-120
120
0411012018 08:01
WG1095680
(S) Phenol-d5
26.1
10.0-120
120
0411012018 08:01
WG1095680
(SJ Nitrobenzene-6
59.6
10.0-126
126
0411012018 08.01
WG1095680
(S) 2-Fluoroblphenyl
65.0
22.0-127
127
0411012018 08:01
WG1095680
(S) 2,4,6-Tribromophenol
55.7
10.0-153
153
0411012018 08:01
WG1095680
(S) p-Terphenyl-d14
65.0
29.0-141
141
0411012018 08:01
WG1095680
x
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L983488 04/13/1816:19 6 of 21

WG10 172 QUALITY CO", i20L SUMMARY ONELAI�' �DNWIDE.
WetChem'is''iry by Method 9012 B L3488-01
Method Blank (MB)
(MB) R3300807-1 04/11/1810:37
FC
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
F
Reactive Cyanide U 0.0390 0.250
FS
L983429-01 Original Sample (OS) • Duplicate (DUP)
(OS) L983429-01 04/11/1810:50 • (DUP) R3300807-4 04/1111810:51
FC
Original Result DUP Result Dilution DUP RPD DUP Qualifier
DUP RPD
Limits
sSr
Analyte mg/kg mg/kg %
%
Reactive Cyanide 0.311 0.473 1 41.4 P1
20
L983914-05 Original Sample (OS) • Duplicate (DUP)
7GI
(OS) L983914-05 04/11/1811:02 • (DUP) R3300807-7 04/11/1811:03
Original Result DUP Result Dilution DUP RPD DUP Qualifier
DUP RPD
Limits
a
AI
Analyte mg/kg mg/kg %
%
Reactive Cyanide ND 0.000 1 0.000
20
E
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3300807-2 04/1V1810:39 • (LCSD) R3300807-3 04/11/1810:40
Spike Amount
LCS Result
LCSD Result
LCS Rec. LCSD Rec, Rec. Limits
LCS Qualifier LCSD Qualifier RPD
RPD Limits
Analyte mg/kg
mg/kg
mg/kg
% % %
%
%
Reactive Cyanide 2.50
2.57
2.68
103 107 50.0-150
4.20
20
L983493-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L983493-01 04/11/1810:54 • (MS) R3300807-5 04/1111810:55 • (MSD) R3300807-6 04/11/1810:56
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec.
Dilution Rec. Limits MS Qualifier
MSD Qualifier RPD RPD Limits
Analyte mg/kg
mg/kg
mg/kg
mg/kg °% %
%
% %
Reactive Cyanide 1.67
ND
0.776
0.928 46.6 55.7
1 75.0-125 J6
J6 17.7 20
ACCOUNT: PROJECT: SDG:
EMA Resources L983488
DATEMME:
04/13/1816:19
.PAGE:
7of21

WG10
Wet Chem
Method Blank (MB)
(MB) R3301064-1 04/11/18 23:20
MB Result
Analyte mg/kg
Reactive Sulfide U
MB Qualifier MB MDL MB ROL
mg/kg mg/kg
7.63 25.0
L984329-02 Original Sample (OS) • Duplicate (DUP)
(OS) L984329-02 04/11/18 23:20 • (DUP) R3301064-4 04/11/18 23:20
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte mg/kg mg/kg % %
Reactive Sulfide ND ND 1 0.000 20
Laboratory. Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3301064-2 04/11/18 23:20 • (LCSD) R3301064-3 04/11/18 23:20
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mglkg % % % % %
Reactive Sulfide 100 72.9 72.9 72.9 72.9 70.0-130 0.000 20
ACCOUNT: PROJECT: SDG:
EMA Resources L983488
DATEMME:
04/13/1816:19 -
PAGE:
8of21

WGIC 18
Wet Chem`sYry oy Method 9045D
L983492-02 Original Sample (OS) • Duplicate (DUP)
(OS) L983492-02 04/06/1811:30 • (DUP) R3299676-4 04/06/1811:30
Original Result DUP Result Dilution DUP RPD
Analyte su su %
Corrosivity by pH 6.24 6.20 1 0.643
Sample Narrative:
OS: 6.24 at 20.9C
DUP: 6.2 at 21C
DUP Qualifier DUP RPD
Limits
1
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3299676-1 04/06/1811:30 • (LCSD) R3299676-2 04/0611811:30
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD
Analyte su su su % % % %
Corrosivity by pH 10.0 9.98 9.98 99.8 99.8 99.0-101 0.000
Sample Narrative:
LCS: 9.98 at 19.6C
LCSD: 9.98 at 19.6C
RPD Limits
o�
1
ACCOUNT: PROJECT: SDG:
EMA Resources L983488
DATEMME:
04/13/1816:19
PAGE:
9of21

WG1a;� -365 QUALITY CC
Wet 'Chemistiry'by Method D93/1010A
L983409-01 Original Sample (OS) • Duplicate (DUP)
(OS) L983409-01 04/10/1810:10 • (DUP) R3300424-3 04/10/1810:10
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte Deg. F Deg. F % %
Ignitability DNI at 170 DNI at 170 1 0.000 10
L983488-01 Original Sample (OS) • Duplicate (DUP)
(OS) L983488-01 04110/1810:10 • (DUP) R3300424-4 04/1011810:10
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte Deg. F Deg. F % %
Ignitability DNI at 170 DNI at 170 1 0.000 10
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
OL SUMMARY
(LCS) R3300424-1 04/10/1810:10 • (LCSD) R3300424-2 04/10/1810:10
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte Deg. F Deg. F Deg. F % % % % %
Ignitability 82.0 83.5 83.5 102 102 96.0-104 0.000 10
ONE
D
ACCOUNT: PROJECT: SDG:
EMA Resources L983488
DATEMME
04/13A816.19
PAGE:
10 of 21

WG1C; �542
Mercury b}�'me4hod 7470A
Method Blank (MB)
(MB) R3300323-1 04/09/1816:26
MB Result
Analyte mg/1
Mercury U
MB Qualifier MB MDL
mg/l
0.00333
MB RDL
mg/l
0.0100
QUALITY CO'
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
OL SUMMARY
(LCS) R3300323-2 04/09/1816:28 • (LCSD) R3300323-3 04/0911816:37
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/l mg/l mg/l % % °% % %
Mercury 0.0300 0.0307 0.0309 102 103 80.0-120 0.678 20
L982896-04 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
ONE LAE
(OS) L982896-04 04/09/1816:40 • (MS) R3300323-4 04/09/1816:42 • (MSD) R3300323-5 04/09/1816:44
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec.
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/1
mg/1
mg/l
mg/l % %
%
% %
Mercury 0.0300
ND
0.0318
0.0320 106 107
1 75.0425
0.884 20
ACCOUNT:
PROJECT:
SDG:
DATEITIME: PAGE:
EMA Resources
L983488
04A3/181619 11 of 21
0

WG1C 571
QUALITY
C� ,ROL
SUMMARY
ONE LA(
ONWIDE .
�
Metals (10-1 oy'Metho-d 6010D
L983488-01
�
Method Blank (MB)
(MB) R3300298-1 04/09/1814:27
Rp
MB Result
Analyte mg/I
MB Qualifier
MB MDL
mg/I
MB RDL
mg/1
z
TC
Arsenic U
0.0333
0.100
Barium U
0.0333
0.100
FS]
Cadmium U
0.0333
0.100
Chromium U
0.0333
0.100
Lead U
0.0333
0.100
Fn
Selenium 0.0339
J
0.0333
0.100
Silver U
0.0333
0.100
Sr
r
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3300298-2 04/09/1814:30 • (LCSD) R3300298-3 04/09/1814:33
Spike Amount
LCS Result
LCSD Result
LCS Rec. LCSD Rec.
Rec. Limits LCS Qualifier LCSD Qualifier
RPD
RPD Limits
GI
Analyte mg/I
mg/1
mg/l
q° %
%
°k
°h
Arsenic 10.0
9.86
9.77
98.6 97.7
80.0-120
0.914
20
Barium 10.0
10.3
10.2
103 102
80.0-120
1.01
20
FAI
Cadmium 10.0
9.81
9.69
98.1 96.9
80.0-120
1.18
20
e
Chromium 10.0
9.87
9.79
98.7 97.9
80.0-120
0.768
20
SC
Lead 10.0
10.1
9.90
101 99.0
80.0-120
1.49
20
Selenium 10.0
9.85
9.77
98.5 97.7
80.0-120
0.829
20
Silver 2.00
1.84
1.83
92.2 91.5
80.0-120
0.729
20
L982896-04 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L982896-04 04/09/1814:37 • (MS) R3300298-5 04/09/1814:44 • (MSD) R3300298-6 04/09/1814:47
Spike Amount
Original Result
MS Result
MSD Result MS Rec.
MSD Rec. Dilution Rec. Limits MS Qualifier
MSD Qualifier
RPD
RPD Limits
Analyte mg/I
mg/1
mg/I
mg/1 %
%
%
%
%
Arsenic 10.0
ND
10.3
10.1 103
101 1
75.0-125
1.29
20
Barium 10.0
0.117
10.0
9.98 99.2
98.7 1
75.0425
0.547
20
Cadmium 10.0
ND
10.0
9.95 99.4
98.8 1
75.0425
0.618
20
Chromium 10.0
ND
9.77
9.72 97.7
97.2 1
75.0-125
0.465
20
Lead 10.0
ND
10.1
10.0 101
100 1
75.0-125
0.823
20
Selenium 10.0
ND
10.4
10.3 103
103 1
75.0-125
0.412
20
Silver 2.00
ND
1.89
1.88 94.5
94.1 1
75.0-125
0.416
20
ACCOUNT: PROJECT: SDG:
EMA Resources L983488
DATEITIME:
04/13A816:19
PAGE:
12 of 21

WG1C," /448
Volatile Urganic'Compounds (GC/MS) by Method 8260B
Method Blank (MB)
QUALITY CC( )ROL SUMMARY
L983488-01
(MB) R3300881-3 04/11/1812:10
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
Benzene
U
0.0167
0.0500
Carbon tetrachloride
U
0.0167
0.0500
Chlorobenzene
U
0.0167
0.0500
Chloroform
U
0.0833
0.250
1,2-Dichloroethane
U
0.0167
0.0500
1,1-Dichloroethene
U
0.0167
0.0500
2-Butanone (MEK)
U
0.167
0.500
Tetrachloroethene
U
0.0167
0.0500
Trichloraethene
U
0.0167
0.0500
Vinyl chloride
U
0.0167
0.0500
(S) Toluene-&
101
80.0-120
(S) Dibromofluoromethane
100
76.0-123
(S) a, a, a-Trifluorotoluene
99.8
80.0-120
(S) 4-Bromofluorobenzene
92.8
80.0-120
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3300881-1 04/11/1810:54 • (LCSD) R3300881-2 04/11/1811:13
Spike Amount
LCS Result
LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
LCS Qualifier LCSD Qualifier RPD
RPD Limits
Analyte
mg/I
mg/I
mgA
%
%
%
%
%
Benzene
0.0250
0.0261
0.0259
104
104
69.0-123
0.575
20
Carbon tetrachloride
0.0250
0.0259
0.0251
104
100
63.0-122
3.04
20
Chlorobenzene
0.0250
0.0287
0.0275
115
110
79.0-121
4.19
20
Chloroform
0.0250
0.0256
0.0256
103
102
72.0-121
0.0114
20
1,2-Dichloroethane
0.0250
0.0255
0.0255
102
102
67.0426
0.165
20
1,1-Dichloroethene
0.0250
0.0246
0.0245
98.3
97.8
64.0-129
0.509
20
2-Butanone (MEK)
0.125
0.119
0.122
95.5
97.8
37.0458
2.39
20
Tetrachloroethene
0.0250
0.0302
0.0288
121
115
70.0-127
4.48
20
Trichloroethene
0.0250
0.0296
0.0290
118
116
78.0420
2.09
20
Vinyl chloride
0.0250
0.0267
0.0265
107
106
64.0433
0.981
20
(S) Toluene-d8
98.9
96.8
80.0-120
(S)Dibromofluoromethane
93.9
93.3
760-123
(S) a, a, a-Trifluorotoluene
104
102
80.0-120
(S) 4-Bromofluorobenzene
84.6
85.7
80.0-120
ONE
ACCOUNT: PROJECT. SDG: DATE/TIME: PAGE:
EMA Resources L983488 04/13/1816:19 13 of 21

WVoleG1(; 448����d� (GC/MS) by Method 82606 QUALITY CC )ROL "SUMMARY
Com
L983661-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L983661-01 04/11/1818:12 • (MS) R3300881-4 04/11/1818:31 • (MSD) R3300881-5 04/11/1818:51
ONE LA;
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
MS Qualifier MSD Qualifier
RPD
RPD Limits
Analyte
mg/I
mg/I
mgll
mg/I
%
%
%
%
%
Benzene
1.25
ND
0.716
0.874
57.3
69.9
1 34.0147
19.9
20
Carbon tetrachloride
1.25
NO
0.698
0.795
55.8
63.6
1 41.0438
13.0
20
Chlorobenzene
1.25
ND
0.887
1.02
71.0
81.9
1 52.0-141
14.3
20
Chloroform
1.25
NO
0.815
0.940
65.2
75.2
1 50.0439
14.2
20
1,2-Dichloroethane
1.25
NO
0.895
1.00
71.6
80.3
1 47.0-141
11.4
20
1,1-Dichloroethene
1.25
NO
0.553
0.691
44.2
H.3
1 31.0-148
J3
22.3
20
2-Butanone (MEK)
6.25
NO
5.40
5.40
86.4
86.3
1 12.0449
0.142
24
Tetrachloroethene
1.25
ND
0.723
0.857
57.8
68.5
1 38.0-147
16.9
20
Trichloroethene
1.25
NO
0.721
0.892
57.6
71.3
1 32.0456
J3
21.2
20
Vinyl chloride
1.25
ND
0.534
0.669
42.7
53.5
1 24.0-153
J3
22.5
20
(S) Toluene-d8
99.8
99.6
80.0-120
(S) Dibromotluoromethone
98.7
99.1
76.0-123
(S) a, a, a-Trifluorotoluene
97.1
97.0
80.0-120
(S) 4-Bromofluorobenzene
86.9
87.0
80.0-120
ACCOUNT: PROJECT:
EMA Resources
SDG:
L983488
DAT&TIME:
04113A816:19
PAGE:
14 of 21

i
WC10 �4-08 QUALITY CC�iIROL SUMMARY ONELA(
Chlorinate& Acid Herbicides (GC) by Method 8151A L�g3Qgg_pt
Method Blank (MB)
(MB) R3301342-1 04/12/18 09:57
MB Result
MB Qualifier MB MDL
MB RDL
•Analyte mg/1
mg/l
mg/1
2,4-D U
0.000667
0.00200
2,4,5-TP (Silvex) U
0.000667
0.00200
(S) 2,4-Dichlorophenyl Acetic 77.9
14.0-158
Acid
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3301342-2 04/12/1810:10 • (LCSD) R3301342-3 04/12/1810:23
Spike Amount
LCS Result
LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
LCS Qualifier LCSD Qualifier RPD
RPD Limits
Analyte mg/I
mga
mgm
%
%
%
%
%
2,4-1) 0.00500
0.00429
0.00444
85.8
88.8
56.0420
3.48
20
2,4,5 TP (Silvex) 0.00500
0.00466
0.00412
93.2
82.4
55.0-120
12.3
20
(S) 2,4-Dichlorophenyl Acetic
91.1
104
14.0-158
Acid
ACCOUNT:
PROJECT:
SDG:
DATE/TIME: PAGE:
EMA Resources
L983488
04/1311816:19 15 of 21

WG10., J466
Pesticides-CGC) by Method 8081E
Method Blank (MB)
(MB) R3301393-1 04/12/1815:40
MB Result
Analyte
mg/l
Gamma BHC
U
Endrin
U
Heptachlor
U
Methoxychlor
U
Chlordane
U
Toxaphene
U
(S) Decachlorobiphenyl
72.3
(S)Tetrachloro-m*ene
50.1
QUALITY CC,
MB Qualifier MB MDL
MB RDL
mgA
mg/I
0.00167
0.00500
0.00167
0.00500
0.00167
0.00500
0.00167
0.00500
0.00167
0.00500
0.00333
0.0100
10.0-144
10.0-135
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
ROL SUMMARY
88-01
(LCS) R3301393-2 04/1211815:52 • (LCSD) R3301393-3 04/12/1816:05
Spike Amount
LCS Result
LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
LCS Qualifier LCSD Qualifier RPD
RPD Limits
Analyte
mg/1
mgA
mgA
%
%
%
%
%
Gamma BHC
0.00100
0-000850
0.000825
85.0
82.5
56.0433
2.93
20
Endrin
0.00100
0.000976
0.000939
97.6
93.9
58.0435
3.82
20
Heptachlor
0.00100
0.000555
0.000482
55.5
48.2
37.0-134
14.0
24
Methoxychlor
0.00100
0.00108
0.00103
108
103
44.0-160
4.36
22
(S) Decachlorobiphenyl
78.9
72.6
10.0-144
(S) Tetrachloro-m-xylene
48.2
34.8
10.0-135
ONE
ACCOUNT: PROJECT- SDG: DATEMME: PAGE:
EMA Resources L983488 04/13/181619 16 of 21

Semi GV �iazne u.688nOlc Compounds (GC/MS) by Method 8270D QUALITY CC ROL SUMMARY
_/
Method Blank (MB)
(MB) R3300441-3 04/10/18 00:55
MB Result
Analyte
mg/I
1,4-Dichlorobenzene
U
2,4-Dinitrotoluene
U
Hexachlorobenzene
U
Hexachloro-1,3-butadiene
U
Hexachloroethane
U
Nitrobenzene
U
Pyridine
U
2-Methylphenol
U
3&4-Methyl Phenol
U
Pentachlorophenol
U
2,4,5-Trichlorophenol
U
2,4,6-Trichlorophenol
U
(S) Nitrobenzene-d5
56.8
(S) 2-Fluorobiphenyl
6L8
(S) p-Terphenyl-d14
65.0
(S) Phenol-6
27.5
(S) 2-Fluorophenol
47.5
(5) 2,4,6-Tribromophenol
62.1
ONE LA, �ONWIDE.
FP
MB Qualifier MB MDL
mgA
MB RDL
mg/I
E
0.0333
0.100
0.0333
0.100
0.0333
0.100
FS
0.0333
0.100
0.0333
0.100
rqn
0.0333
0.100
0.0333
0.100
Sr
0.0333
0.100
r
0.0333
0.100
0.0333
0.100
0.0333
0.100
0.0333
0.100
FGI
10.0-126
22.0-127
29.0-141
FAI
10.0-120
10.0-120
F
10.0-153
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3300441-1 04/09/18 23.44 (LCSD) R3300441-2 04/10/18 00:08
Spike Amount
LCS Result
LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
LCS Qualifier LCSD Qualifier RPD
RPD Limits
Analyte
mg/I
mgA
mgll
%
%
%
%
%
1,4-Dichlorobenzene
0.0500
ND
ND
63.0
60.6
26.0-120
3.87
30
2,4-Dinitrotoluene
0.0500
0.0456
0.0406
91.3
81.3
47.0-127
11.6
21
Hexachlorobenzene
0.0500
0.0387
ND
77.4
66.4
41.0-124
15.4
21
Hexachloro-1,3-butadiene
0:0500
ND
ND
66.0
61.3
26.0-120
7.43
31
Hexachloroethane
0.0500
ND
ND
60.9
64.6
22.0420
5.86
34
Nitrobenzene
0.0500
ND
ND
63.5
58.2
31.0-120
8.79
28
Pyridine
0.0500
ND
ND
31.2
31.4
10.0-120
0.596
39
2-Methylphenol
0.0500
ND
ND
59.5
55.0
26.0-120
7.94
27
3&4-Methyl Phenol
0.0500
ND
ND
56.9
58.7
27.0420
3.10
28
Pentachlorophenol
0.0500
0.0383
0.0372
7i .5
74.4
20.0-126
2.78
32
2,4,5-Trichlorophenol
0.0500
0.0415
0.0376
83.0
75.2
44.0424
9.87
24
2,4,6-Trichlorophenol
0:0500
0.0409
0.0388
81.9
77.5
40.0-122
5.47
24
(S) Nitrobenzene-d5
72.7
57.3
10.0-126
(S) 2-Fluorobiphenyl
83.9
74.5
22.0-127
(S) p-Terphenyl-d14
77.5
70.7
29.0-141
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L983488 04m/181619 17 of 21

WGX*,� �6$0 QUALITY CC � )ROL SUMMARY
Semi VolaYYl6 organic Compounds (GC/MS) by Method' 8270D L f488-01
Laboratory. Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R33004414 04/09/18 23:44 • (LCSD) R3300441-2 04/10/18 00:08
Spike Amount LCS Result LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/I mg/I mg/I
%
%
% % %
(S) Phenol-d5
31.7
25.6
10.0-120
(S) 2-Fluorophenol
53.3
41.7
10.0-120
(S) 2.4.6-Tribromophenol
76.2
69.0
10.0-153
L981398-01 Original Sample (OS) a Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
bNE LAB
(OS) L981398-01 04/10/18 04.28 • (MS) R3300441-4 04/10/18 04:52 • (MSD) R3300441-5 04/10/18 05:16
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
Analyte
mg/I
mg/l
mgA
mg/I
%
%
%
%
%
1,4-Dichloiobenzene
0.500
ND
0.332
0.308
66.3
61.6
1
12.0-125
7.34
23
2.4-Dinitrotoluene
0.500
ND
0.409
0.394
81.9
78.7
1
30.0-156
3.94
29
Hexachlorobenzene
0.500
ND
0.357
0.342
71.5
68.5
1
29.0-144
4.27
33
Hexachloro4,3-butadiene
0.500
ND
0.357
0.329
71.5
65.8
1
18.0-122
8.33
35
Hexachlorcethane
0.500
ND
0.337
0.316
67.4
63.2
1
12.0420
6.35
36
Nitrobenzene
0.500
ND
0.319
0.306
63.8
61-3
1
14.0-134
4.13
32
Pyridine
0.500
ND
0.153
0.155
30.6
31.1
1
10.0-120
1.61
40
2-Methylphenol
0.500
ND
0.271
0.267
54.2
53.4
1
14.0-120
1.47
29
3&4-Methyl Phenol
0.500
ND
0.277
0.269
55.4
53.8
1
13.0124
2.91
26
Pentachlorophenol
0.500
ND
0.385
0.374
77.0
74.8
1
10.0-160
2.96
40
2,4,5-Trichlorophenoi
0.500
ND
0.404
0.376
80.9
75.2
1
15.0-160
7.22
27
2.4,6-Trichlorophenol
0.500
ND
0.421
0.372
84.2
74.5
1
10-0-153
12.2
29
(S) Nitrobenzene-d5
67.8
61.2
10.0-126
(S) 2-Fluorobiphenyl
72.8
72.7
22.0-127
(S) p-Terphenyl-d14
66.4
56.5
29.0-141
(S) Phenol45
27.3
24.7
10.0-120
(S) 2-Fluorophenol
47.2
38.9
10.0-120
(S)2,4,6-Tribromophenol
66.5
62.3
10.0-153
ACCOUNT:
PROJECT:
SDG:
DATEITIME:
PAGE:
EMA Resources
L983488
04/13/1816:19
18 of 21

GLOSSARY OF TERMS
ONE LAB. NATIONWIDE.
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is riot Fp
intended as a comprehensive explanation, and if you have additional questions please contact your project representative.
Abbreviations and Definitions z7C
MDL
ND
Method Detection Limit.
Not detected at the Reporting Limit (or MDL where applicable).
rs
RDL
Reported Detection Limit.
Rec.
Recovery.
4
RPD
Relative Percent Difference.
Cn
SDG
Sample Delivery Group.
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and
Fr
(S)
Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be
detected in all environmental media.
U
Not detected at the Reporting Limit (or MDL where applicable).
e
QC
Analyte
The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
If the sample matrix contains an Interfering material, or if concentrations of analytes in the sample are higher than the
Dilution
highest limit of concentration that the laboratory can accurately report, the sample may be diluted for analysis. If a value
different than 1 Is used In this field, the result reported has already been corrected for this factor.
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
F11
duplicated within these ranges.
Original Sample
The hon-spiked sample In the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be Included within the reported SDG.
rs
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable.
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was
no measurable result returned for a specific analyte, the result in this column may state "ND" (Not Detected) or "BDL"
Result
(Below Detectable Levels). The Information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. if present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
This section of the report includes the results of the laboratory quality control analyses required by procedure or
Summary (Qc)
analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This is the document created in the field when your samples were initially collected. This is used to verify the time and
Sample Chain of
date of.collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
This section of your report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported:
Sample Summary (Ss)
This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier Description
J The identification of the analyte is acceptable; the reported value is an estimate.
J3 The associated batch QC was outside the established quality control range for precision.
J6 The sample matrix interfered with the ability to make any accurate determination; spike value is low.
P1 RPD value not applicable for sample concentrations less than 5 times the reporting limit.
T8 Sample(s) received past/too close to holding time expiration.
ACCOUNT: PROJECT: SDG: DATEMME: PAGE:
EMA Resources L983488 04/13/1816:19 19'of 21

ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. 40
ESC Lab Sciences is the only environmental laboratory accredited/certified to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other lab
is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the network
laboratories in our industry. The most significant benefit to our one location design is the design of our laboratory campus. The model Is conducive to accelerated productivity, decreasing
tum-around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE.
' Not all certifications held by the laboratory are applicable to the results reported in the attached report.
' ' Accreditation Is only applicable to the test methods specified on each scope of accreditation held by ESC Lab Sciences.
State Accreditations
_Alabama_
4066_0 _
Nebraska
NE-OS-15-05
Alaska
17.026
Nevada
TN-03-200.2-34
Arizona
AZ0612
New Hampshire
2975
Arkansas
8_8-046_9
New Jersey-NELAP
TNO0.2
California
2932_
New Me_xic_o'
n/a
Colorado
TN00003
New York
11742
Connecticut
PH_-0197
North Carolina
Env375
Florida
E874_87
North Carolina'
DW21704_
Georgia
NELAP
North Carolina
41
Georgia'
923
North Dakota
R440
Idaho
TN00003
Ohio-VAP-
CLOO6.9
Illinois
200_00B
Oklahoma
9915
Indiana
C-TN-0_ _1
Oregon
TN200002
Iowa
364
Pennsylvania
68-02979
-
Kansas
E-10_277
Rhode Island
LA000356
Kentucky' a
90010
South Carolina_
8400.4
16
South
_Kentucky'
Louisiana
A13079_2
_Dakota -
Tennessee 14
2006
_
Louisiana'
LA180010_
Texas_
T 10470424.5-17-14
Maine
TN0002
Texas 3
LABO152
Maryland
324
Utah
TNO_0003_
_Massachusetts
y- -
M_-TNO03
--_ --
Vermont_
VT2006
Michigan
9958-
Virginia
460132
Minnesota
047.999-395
Washington
C847
Mississippi
TN00003
West Virginia
233
Missouri
340
Wisconsin
9980939910
Montana
CERT0086
Wyoming
qLA
Third Party
Federal Accreditations
_ A2LA - ISO 17025
1461.01
AIHA-LAP,LLC EMLAP
100789
A2LA - ISO 17025 s
1461,02
DOD
1461.01
Canada_
1461.01
USDA_
P33.0-15-0_ 0234
EPA-Crypto
TNOOOD3
' Drinking Water i Underground Storage Tanks 3 Aquatic Toxicity ° Chemical/Microblological s Mold 'Wastewater n/a Accreditation not applicable
Our Locations
ESC Lab Sciences has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices, please
contact our main office. ESC Lab Sciences performs all testing at our central laboratory.
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KS
NM
4 A
HI
ACCOUNT:
EMA Resources
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T Tx T
T
PROJECT:
MN
T WI NY
MI T
IA T PA 4
T IL Ift KY OH WV
MO VAT ,
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SDG: DATE/TIME:
L983488 04/13/18 16:19
ME
PAGE:
20 of 21

11
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Billing Informatlom
Anal
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serv.
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Chain Cl cust Re
AMA Resources
Mr. Brent Collins Pros
OESC
755 Yadkinville Road
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755 Yadkinville Road
Mocksville, NC 27028
Mocksville, NC 27028
I qI
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MU. Labir-qr. Rd
Email TO: brentcomnspernaf esaurcesint.comYir
Report to:
NnPr
mr. Brent Coilins NMI,,
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Is
AT+ -- �. MUENT B — Approved Land Appiicoiion Sites
Smithfield Fresh Mesta Corp.
Cerfcation Dati ue 18, 2018
Perm t Number: WQN1068 . Version: 3.1
Field
Owner
Lessee
County
Latitude
Longitude
Asr1®t ®
Dominant Soil Series
Footnotes
SF03-01
Dunham, Steven H.
Bhu➢on
34.7355920
-78.7183970
21.6
LaB - Lakeland
1, 2, 4
SF03-02
Dunham, Steven H.
Bladen
34.7378000
-78.719692°
13.3
Cc - Centenary
1, 2, 5,43
SF03-03
Dunham, Steven R
Bhiden
34.738925°
-78.721558°
21.3
Cc - Centenary
1, 2, 5
SF03-04
Dunham, Steven H.
Bladen
34.7375310
-78.7244470
19.0
Wh - Wasda
1, 2, 6
SF03.05
Dunham, Steven H.
Bladen
34.7357250
-78.7219420
8.0
Ce - Centenary
1, 2, 5
SF03-06
Dunham, SteveneA Rogers, Lindsay Dunham;
Dunham, John
haW.•Brak Brenda IL
Bladen
34.7333670
-78.725781°
32.0
LaB - Lakeland
1, 2, 7, 44
SF03-07
Dunham, Steven H.
Bladen
34.7239110
-78.739514"
37.2
WmB - Wickham
1, 3, 8, 43
SF07-01
VJaB;�,A Burney, J. W., Jr. N.r-2 p)/1
Dunham, Steven H
Bladen
34.7192990
-78.7399830
21.8
Aa - Altavista
9, 10, 11, 43
SF07-03
W A P, Burney, J. W., Jr. 14ri2jL� ()L
Dunham, Steven H.
Bladen
34.7208610
-78.7357580
12.3
Aa - Altavista
9, 10, 12, 43
SF07-06
WA00,4 Burney, L W., Jr. 14 F IZQ t�
Dunham, Steven H.
Bladen
34.7260310
-78.7311830
19.3
WmB - Wickham
9,10, 13
SF07-08
N D Burney, L W., Jr. - Q j0(,,
Dunham, Steven H.
Bladen
34.727225°
-78.728797°
12.1
Aa -Altavista
9, 14,15
SF074 9
Meeker, Bonnie M.
Dunham, Richard
Blades
34.7288580
-78.729756°
21.3
WmB — Wickham
9, 14,16, 45
SF07-14
Meeker, Bonnie M.
Dunham, Richard
Bladen
34.7320970
-78.7240170
7.5
LaB - Lakeland
9, 14,17, 45
SF07-15
Meeker, Bonnie, M.
Dunham, Richard
Bladen
34.730969°
-79.7274190
3.0
At - Augusta.
9, 14,18, 45
SF10-01
Butler, Murdock M., Jr.
Bladen
34.7754690
-78.8196280
53.0
NoA - Norfolk
19
SF10-02
Butler, Murdock M., Jr.
Bladen
34.7921280
-78.8265670
45.0
AuA — Autryville
20
SF10-03
Butler, Murdock M., Jr.
Bladen'
34.7898569
-78.829272°
31.0
NoA - Norfolk
21
SF 12-01
Kin& Hinton McCall, Jr.
Bladen
34.8056530
-78.8606080
49.0
NoA - Norfolk
22
Total for Bladen Cmniy
427.7
SF06-01
Tyson, Vance U., Jr.
Cumberland
34,9302940
-78.8495500
5.5
AuA - AutryviUc
23,24
SF06.02
Tyson, Vance U., Jr.
Cumberland
34.9286360
•-78.849744°
31.1
AuA — Autryville
23,24
SF06-03
Tyson, Vance U., Jr.
Cumberland
34.9272610
-78.93998911
64.5
De - Deloss
23, 24, 43
SF06-04
Tyson, Vance U., Jr.
Cumberland
34.9282970
-78.8365670
35.0
De—Deloss
23, 24, 43
SF06-05
Tyson, Vance U., Jr.
Cumberland
34.930656°
-78.832564°
34.0
De — Deloss
23, 24, 43
WQ0014868 Version 3.1
aoocP (.-2-cn-7 E (,-A
Attachment B
Page 1 of 3
�Zoi,,►Jnf,l ("-> br?At`Z -Tn ?can La

ATTACHNMNT .B — Apparoved Land Application Sites Certification Date: June 18, 2018
Smithfield mesh Meats Corp. Permit Number: WQ0014868 Version: 3.1
- 8I106-06 Tyson, Vance U., Jr. - — Cumberland 34.9246640-78.8322190 79.0 De • •- Delos 23, 24, 43
SF06-07 Tyson, Vance d7., Jr.
Cumberland
34.931061°
-78.82384r
77.0
1)e - Deloss
23, 24, 43
Total fi r Cumberland County
326.1
SF08-01
King, Linda Lou; Sellers, Sheila Ann King
Robeson
34.7474080
-78.8972970
7.5
GoA - Goldsboro
29,46
SF08-02
King, Linda Lou; Sellers, Sheila Ann King
Robeson
34.7456810
-78.8943580
17.0:(:IoA-
Goldsboro
30,46
SF08-03'
Elm �& won McCall; King,
Hinton McCall, Jr.
Robeson
34.7503920
-78.881100°
89.5A
- Marlboro
NoA - Norfolk
31
SF08-04
King, Hinton McCall; King, Elizabeth C.
Robeson
34.7222890
-78.9174.500
64.5
32
SF08-05
King, Hinton McCall
Robeson
34.722322°
-78.9296190
46.0
GoA—Goldsboro
33
SFOS-06
King, Hinton McCall
Robeson
34.7307670
-78.9311060
21.5
NoA -'Norfolk-
34
SF08-07
King, Hinton McCall; King, Elizabeth C.
Robeson
34.7224080
-78.9429670
37.0
GoA— Goldsboro
35
Sr08-09
U09-01
King, Iiinton Mc(W; King, FUzaboth C.
MusselwMte Family Trust; Wayland P. Musselwhite Trustee
King Hinton McCall
Robeson
Robeson
34.7791060
34.7947440
-78.965144°
-78.9305190
45.0
36.0
Co -- Coxville
WaB - Wagram
36,43
37, 41, 47
Sp 09-02
Musselwhite Family Trust; Wayland P.
Musselwhite Trustee
King, Hinton McCall
Robeson
34.7969060
-78.9351130
27.5
9.5
GoA — Goldsboro
38, 42, 47
SF09-03
Musselwhite Family Trust; Wayland P.
Musselwhite Trustee
King, Minton McCall
Robeson
34.7890720
-78.9289360
Wall - Wagram
39,48
SF09-04
Musselwhite Family Trust; Wayland P.
Musselwhite Trustee
King, Hinton McCall
Robeson
34.7873140
-78.9319290
25.0
Wail - Wagmm
40,49
Total for Robeson County
'.s..i+�:ri- Tm.uwUsn. �'a,. ___.�___... _. ...•.Lea.GY`:.•l:i:-'..._�.s.CiN.:ea. •.!+aw..�a•+2L.�i�..t-,••^
�.I .-Y.'aaa•�.Y.a....s�•+.Y.(: 4 ssi.
am
426.0
— u_.Lw
I,179.8
Suv-..+. +.Cltir .aaaVLv-n_
r4.m.-'vT
vwT.� — tmY.uarL.
1 to 40. See Figure 1 to 40, respectively.
41. A reduced setback from a residence under separate ownership has been approved for this land application site. Residuals may be land applied within 2(10 feet of the residences along Barker Ten
Mile Road regardless of whether a surface or a subsurface application method is used.
42. A���ced they m a residence
n a subsurface er separate
ownership
� been approved for this land application site. Residuals may be land applied within 200 feet of the residences along highway 20
regardless application method is used.
43. Residual land application events on these fields shall be prohibited from December through March, inclusive. No residuals shall be hand applied to these fields when the vertical separation
between the depth of the residuals land application and the water table is less Huai three feet..
44. This field has multiple owners according to liladen County Cr3S. To utilize this field for residuals application, a signed, notarized baud Owners Agreement must first be obtained fr)m John W.
lhmharn and Brenda K. Drake of 707 Lilliput Drive, New Bern, NC 28562 (PIN 038500935079); and a second from Lindsay Dunham Rogers of 2467 Burney Road, White Oak, NC' 28309 (PIN039500396415).
WQ0014868 Version 3:1
Attachment B
Pagb 2 of 3

U
OWNERS:
OPERATOR:
Steve Dunham
2467 Burney Road
White Oak, NC 28399
Phone: (H) 910-866-4222
(M) 910-876-5669
Steve Dunham
John W. Dunham
708 Lilliput Dr.
New Bern, NC 28562
(M) 252-670-8530
Site ID
Field #
Crop
Total
Acres
Net
Acres
Predominant
Soil Series
Mapping
Unit
SF03
01
Bermuda
21.6
21.6
Lakeland
LaB
SF03
02
Rye Grass
13.3
13.3
Centenary
Ce
SF03
03
Rye Grass
21.3
21.3
Centenary
Ce
SF03
04
Corn,SB,Sm.Gr.
19.0
19.0
Wasda
Wh
SF03
05
Bermuda
8.0
8.0
Lakeland
LaB
SF03
06
Bermuda
32.0
16.5 ��,,.1
Lakeland
LaB
SF03
07
Bermuda
37.2
37.2
Wickham
WmB
TOTALS=
152.4
136.9

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
r FORM: LOA 06-16
i4ase use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
ie undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cropping Patterns
PP� g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
Aw r
r
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.
--T`iis Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
)all be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section I1)' are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions. or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
\`> RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
IMALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .010500 allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
`, residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM; LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR .that I am otherwise authorized, through
-� a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
j deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein. I
Landown6r name: ��l�t l PJ A 4*A,%
Address: ,,,, // GZC�a P,,7 �,2,
City: dVLL,.) �e-Ari State: �C Zip:
Phone: 5 6 Z 0 �i 330 /�E-mail address:
Signature: L e &G�-- Date:
H CAROLINA, C (-a 02 /-1 COUNTY
1, the undersigned Notary Public do hereby certify that A/-t L"A kr, Ivy
personally appeared before me this day and acknowledged/the due execution of the forgoing instrument.
WITNESS my hand and official seal this the Vr
day of V" �� V�I 120 9
r
Signature and seal:
My commission expires: l �Vi�uS f t%{ pZ/ l�
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.
Lessee/operator name: _ , j�&ef ui✓1i1,¢ vP.t.
Address: 7 -7--� Le �'n/T —"� %q, � / �y
City: l/� �?Gs �/'C State: aY C— Zip:
Phone: ' T 76 'sG 6 E- ail address:
Signature:Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: Donovan Owens —
Signature:
Date: 3 L a / 9
FORM: LOA 06-16 Page 3 of 3

D�, W
Divls➢on of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 -LAND OWNER AGREEMENT
FORM: LOA 06-16
Ease use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 0646).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
Ike undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
Ro 0 1
WO
77Z-C--1X06c-
,SEE-0 3 - 09,
mo
,
C.;?rrer ra c
6F.03 - 0 3
-- y
-r,014466r
sr= -03 - o �
z E
c4-r-rzZ, XRAe.,C-
51=.03 - 05'
AO
C-,;4 fr fTrt*&d
gt=- D3 - o 7
Ato
EA -ft.
co7Ta- AA;e46 6--
S f � 03 -. o (
*Aj
�Gc%
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's permit for the residuals land application program and
�1a11 be renewed each time this permit is renewed.
'rne undersigned landowner or has representative and the Permittee agree to abide with the following. restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. -
FORM: LOA 06-16 Page I of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
\ 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
IMALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0I07(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
TV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application fields) ID: . is currently permitted _under another
- - residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this.Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: �� � f JU A/ 17"A Pt-(
Address: �` y 6 7 /J C-4S Iy /�0 $� /
City: ,Gf Dlf e State: / V c- Zip:
Phone: /o TZ` - ,y 9 E-mail address:
Signature: ZLDate:
NORTH CAROLINA, a Q d en COUNTY
I, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due execution of the forgoing instrum;®A0101901,
NT tC��` ©�
WITNESS my hand and official seal this the
day ofe� �07Aq� NdIP
20 / 9 � ,R
p
ca
Signature and seal: '61JBUG �+ o
My commission expires: Tw. 7 2,.) '& 4P,,,,
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.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
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: Donovan Owens —
Signature:
Date:
FORM: LOA 06-16 Page 3 of 3

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� �p i�� I` � II �� f + ��P AREA
i �� MAPS 19 �,{ PRODUCED
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101,11 MiteHouse(SWAA) Q SoilDescription
Ofl:SiteHouse unsuitable :~
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Phone 336®751©1441 —Fax 336075I e 1442
755 Yadkinville Road — Mocksville, NC 27028

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Jt
STEVE DUNHAM / JOHN W. DUNHAM
SITE: SF03
FIELDS: 01, 02, 03; 04 & 05
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Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Smithfield Farmland Corp.
Steve Dunham
Steve Dunham
Crop 1 Name: Bermuda -Pasture
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: f 23;5.0 i Site #:
Predominant Soil Series: LaB
Crop 1 Max. PAN: 147 Crop 2 Name:
SF03
Acres Utilized: 21.6
Acres Permitted: 21.6
Cation Exchange Capacity (non 503): 8.5
Crop 2 Max. PAN:
O
A
Volume applied
PP
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Wte, etc)
as
Soil
Cond.
Wet'
Moist)
Precip.
Past 24
Hrs..
inches
Y
'2
� '�?
8•
a w
* -�
o
%v w
*
;n
�, y
CD e
0
TKN
mg/kg
69400
Y.
Q °
R.
mg/kg
1 12600
Nitrate
and
Nitrite
mg/kg
.2.31
PAN Applied
PP
( lbs/acre)
Name of Crop Type
P
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
4/26
188500
2.99
+ - 4:088
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
' 39.436
NA
Bermuda
0:000.
0:000:
A 000
:OA00
" 05000
;o:oo0
0:000 "
aPoo"
0000
-0.000
0000.
- _ o :000 __
0000
0.000 _
0:000
0:000
0:000'
0!000'
' .0.000.
_01.000 -
,_ 0_000
0,000
-0:000
`0`000
_ A000 :
- -
_ _ -
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
..........
TOTALS:
- 0
___ 188500
::;:.: :::::
As
Cd
Cu
Cr
Pb -
H&
Mo
Ni
Se
Zn
P
38.436 ,
. 0:000 `
Lime Applied
Annual Ibs/acre
0:0..07 _
_ 0.183
_
0.190
gs004 ;
0.084
'_ r05088 `
9
2.557
38.475
41.032
250
0.086
2.17
2'.256 -
0:017
0.596
! _ Os6_13_1;
1000
0.00.1, ,
0.021
0.022 ;
0:032
1.184
1;21b
0.072
3.486
1558
0:012 _
0.257
0.269'
5277 ,
163.314
1,68.591
, 29.485 ::
=:::::::::::::::::::::::::
.........................
•••
............................
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
PermrtPAN Limit lst/2ndCroP
.
4� - -- -
17
"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
2/5/2019 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*'�Y Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Farmland Corp.
Land Owner: Steve Dunham
Operator: Steve Dunham
Crop 1 Name: Bermuda -Pasture
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: �3LIf1° Site #:
Predominant Soil Series: Ce
Crop 1 Max. PAN:
168 Crop 2 Name:
2
Acres Utilized: 13.3
SF03 Acres Permitted: 13.3 .
Cation Exchange Capacity (non 503): 8.6
Crop 2 Max. PAN:
' L. �
Q :
Volume applied
PP �
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#
Fert., Animal
Waste, etc)
Soil
Cond.
M
W
Moist)
Precip.
Past 24
Hrs.
inches
vy
54m
n
*
o
�y w
o
4
;v
.,
, N
o
TKN
mg/kg
69400
z �
o El
g
mg/kg
1 12600
Nitrate
and
Nitrite
mg/kg
2.31
PAN Applied
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop I
Crop 2
4/21
65000
2.99
0:609
Tarheel WWTP
Dry
<.5"
S
1 0.5
0.2
21 525
NA
Bermuda
4/22
132500
2.99
1.242
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
69400
12600
2.31
43:878, 1
' :NA
Bermuda
4/23
52000
2.99
_ _ ,PA97 _ -
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
69400
12600
2.31
17 Z20.'
NA
Bermuda
0.000
0:000
'Oi000'
0 000 i
0:000.
O:000-
--
- —0:000
0:000
0:000.
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
TOTALS:
,. - "`- _ 0
- 24950Q.
::.:::::.:::::
As
Cd
Cu
Cr
Pb
Ha
Mo
Ni
Se
Zn
P
�� 82.0 ;
-. 0.-000 '
Lime Applied
Annual lbs/acre
_ _ 0;015-
0.009 °
, 5•.497
0.185
, '0's037
0.002 -
-' --
OA69
_ _
-
, '0.;154 _ i
0.025
11.344 •
63.387
:::::. . .......:::::'::::::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.175
o. i90
0.063
0 072 ,
_. _
9
37.819
43 3.16
250
1.665
1850`
_
0.651
_ Oi688
1000
0.019
Q 021 1
_
1.041
• _1 110
3.751
3905
250
0.218
0.243
153.511
164.853
_. _.:.............:...:.:
500
:::::::::........•
:::::::::::::::::::::::• :::::::::;:::
::< ::<-' ' ' ' '
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lsd2nd Crop P
...•........................•.
168
"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
2/5/2019 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier '�** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Farmland Corp.
Land Owner: Steve Dunham
Operator: Steve Dunham
Crop 1 Name: Bermuda -Pasture
WQ Permit #: WQ0014868 Field #: 3 Acres Utilized: 21.3
Annual Dry Tons Applied: J 5,1.06 4 Site #: SF03 Acres Permitted: 21.3
Predominant Soil Series: Ce Cation Exchange Capacity (non 503): 5.7
Crop 1 Max. PAN: 168 Crop 2 Name: Crop 2 Max. PAN:
O Y
y
+� o
Q
Volume applied
PP
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SO1I
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
co b
5' F5'
o0 w
� _
C
o
7y w
�' _,
co
* �'
o
%�
m -�
cc ?
# N
?'
�
TKN
mg/kg
69400
Z Y
o
g w.
mg/kg
12600
Nitrate
and
Nitrite
mg/kg
2.31
PAN Applied
(lbs/acre)
Name of Crop Type
p yp
Receiving Residua]
g
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/18
71500
2.99
- "0:419
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
14`785;'
NA-
Bermuda
4/19
201500
2.99
1:180,
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
69400
12600
2.31
4'l;46j 1
_ NA-
Bermuda
4/20
136500
2.99
4 0:799 !
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
69400
12600
2.31
28,L75 i
:NA,__ ;Bermuda
0:000 _
70000; ;
_OS000.7
0,000 -
-0:00.0
0 000
- '0 000 —
O600 VI
00.0.
6000
o:000' ;
0:00o y
0:006
g000;
-- -
_ _ -
- --- ........
_....
Residuals Applications.totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
--
..:.:..............:
........
..........
TOTALS:
' -._ _- - 0
^" 4l)9500'
;:;:?;:.:.':
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
84:6,7,6 ;
', _Ot00q ,
Lime A lied
Annual lbs/acre
:.__
o'.0.15
0.143
0:138-
0 010 _
0.071
r. 0:081
9
5 633
30.22
35:853 1
250
0.190
1.215
_ 1.405�;
.O:Q37_
0.491
,Oc528 _
1000
0 002_
0.015
0 O>a7 .
_
0 070 ;
0.82
". 0 890
. 0:158. f
2.849
3 Q0,7
250
_ 0:626.
0.173
0 199 .
11:625
123.082
134.707'
500
4.959 :::::. , ... • • .:. • • .....
:'*" :**""'*"""""...... "'*"*............
.....................
�::::::=:>::::::`•: ::::::::::::::::::
... ............. .
Date
lbs/ac
Prior Years Cumulative lbs/ac
2000
Current Cumulative lbs/ac
Permitted C. P.L. R.****
Permit P AN Limit 1st/2nd Crop
168
"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
2/5/2019 **Volatilization Rate: Surface - 0.5 Injection/Incorporation - 1.0
Signature of Land Applier
Date
x** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Farmland Corp.
Land Owner: Steve Dunham
Operator: Steve Dunham
Crop 1 Name: Wheat
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: 9 4,43 Site #:
Predominant Soil Series: Wh
Crop 1 Max. PAN: 121 Crop 2 Name:
4 Acres Utilized:
SF03 Acres Permitted:
19
19
Cation Exchange -Capacity (non 503): 4.9
Crop 2 Max. PAN:
9�
°
° °
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
- Cond.
(Dry,
Wet,
Moist )
Precip.
Past 24,
Hrs.
inches
Y
a 2'
o C,
a o
o
o
2
�, -
D N'
*
�
o
N
p'
O
a
TKN
mg/kg
9
95500
Z a
;
o
o
m /k
g g
63600
Nitrate
and
Nitrite
m /k
g g
1.94
PAN Applied
(ibs/acre)
Name of CropT
Type
Receiving Residual
Application
PP
Crop 1
P
Crop 2
P
Crop 1
P
Crop 2
P
10/25
13000
0.43
_
O'012
Tarheel WWTP
Dry
<31
S
0.5
0.2
0,937
,. NA_
Bermuda
10/26
234000
0.43
6-221
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
95500
63600
1.94
1;6'864
NA _'
Bermuda
Di
O'Q.QO
0-060
0:060,
0.00Q_ '--
U:000 __
Oi000
,0— 1
' 0:600 _
.0661i
.000
_ _ A:0.0.0-
0 000_
0_000. _._
0:000
0:000
i0�000
' 000'
Jo! 6661
_
77.7717
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
--
_ !
.
::::::::::::::;::=::::::::
..........
TOTALS:
— " - 0
247000
.:.:.:..:
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
:17 sof-I
-0MO-i
Lime Applied
Annual lbs/acre
.0.001
0.0993
i_ _ �Q:1L01 __,
0 001 _,
0.0485
L Q049, ,
9
0 4,1, 8 .
15.9461
16 364 ,
250
:0:015 ;
1.5398
1'. -- ;
, O.Q03.
0.2884
: ,0:291,_
1000 1
" "
0:00•0
0.0104
0 011
CW041
0.6275
0 ;631,
1
.0:008, ;
1.8858
14894 '
250 1
6.602
0.1254
_
�0128_
1
0 7.92
85.1038
85:896
500
4.576_ ..:.:.:..`•......
::::........'
....;:•:•:•:•:•:... • ..•..:...•......: .
..... ........
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2 nd Crop
121 •'
"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
2/6/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading .Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Farmland Corp.
Land Owner:
Operator:
Steve Dunham
Steve Dunham
Crop 1 Name: Bermuda -Hay
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: i, _ 20.26 Site #:
Predominant Soil Series: LaB
Crop 1 Max. PAN: 196 Crop 2 Name:
SF03
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
9.7
S.
° 15
° �
i °
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/a
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(1.1pDES #, W #,
Q
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet
Moist)
Precip.
Past 24
Hrs.
inches
>
a
cc 'b
0 o
a
c
%� °:
CD
* N
o'
C CD
CO .,
`D
w
"
0
TKN
mg/kg
69400
z >
� o
�
❑ w.
mg/kg
12600
Nitrate
and
Nitrite
mg/kg
2.31
PAN Applied
PP
(Ibslacre)
Name of Crop Type
Receiving Residual
Application -
Crop I
Crop 2
Crop 1
Crop 2
4/20
32500
2.99
0507
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
1,7.893
_ _ NA _
Bermuda
4/21
130000
2.99
2:026
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
1 69400
12600
1 2.31
71.571 _
NA _
Bermuda
0000
i 0;0,00,
'0:606
6.000
0.000
0:000 4
0.060
O:000T
6.00B60..
0.060
0.0 10:000-6.60O.000
_:
0.00..........
_- - -
------
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
TOTALS:
0,
- -tb soo
;:;:....:.
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
89.464,_;
' 0.000 ,
Lime Applied
Annual lbs/acre
Q 016
0.099
; _;4`145 -_
0s010 _
0.052
_ :0!062
9�
5953 _
19.406
25359 :
�250
_ OJOI.
0.984
- t.183 _ !
0.040
0.286
• 0:326 _
1000
.0.002
0.011
, 0:013
0.074
0.581
0.655
0.4.67
1.932
2i099-_
250
04021
0.129
0.156
- 12:285
86.717
99d002_
500
- 68:644_ :::;:::?::::::::::::::<=:::::
:........ ................
Date
lbs/ac
Prior.Years Cumulative lbs/ac
Current Cumulative lbs/ac
(Permitted C. P. L. R.****
Permit
mt PAN Limitlsb2nd Crop
16
9
"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
2/5/2019 **Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0
Signature of Land Applier Date x** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Farmland Corp.
Land Owner: Steve Dunham
Operator: Steve Dunham
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied:. 56.10 Site #:
Acres Utilized: 32
SF03 Acres Permitted: 32
Predominant Soil Series: LaB Cation Exchange Capacity (non 503): 4.9
Crop 1 Name: Bermuda -Pasture Crop 1 Max. PAN: 147 Crop 2 Name:
Crop 2 Max. PAN:
°
° °
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
oho
Solids
Volume
A lied er
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
r;...;
� o
o
0.
-
o
Pt
w _
�; -
N
7� �
w
cc w
w
7
TKN
mg/kg
Z Y
.;
o
oa o
cl
mglkg
Nitrate
and
Nitrite
mglkg
PAN Applied
( lbs/acre)
Name of CropT
Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/16
312000
2.62
` 1'065
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
104625
39947.5
2
70.116'
_ NA
Bermuda
6/17
201500
2.62
__0:688 _
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
104625
39947.5
2
. 45:283',
Bermuda
�Os000'
0.000
_NA
�Oi000' '
0000_
0:000
Os000
0000
0.000.
i0.000
_ 0 000.
0.000
0.006'
0 000,
LL 6 000'
;0:000
_.0:000,
0:000
0.000•
0:000
0:000
_ :0:000
_
0000, .
0.000
0.600_ -'
0.000_ _
0 000 .
_b.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
_ .
.............................
TOTALS:
0
,- Si3soo
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
115.399,
- 0.000.`
Lime Applied
Annual lbs/acre
0.011
,0:007
2.514
0._I
0.027.
0A01. f
0.055,
6.f61
0:0.18_
:_ 8:467
63.634
:::::::::?;:::::::? :::::::.'•
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.1263
0138,__
0.0612
0:06$
9
20.6947
232_69
250
1.0213
1_.204 j
0.3998
; 0:42Z_.;
1000
0.0138
_
0.01'S
0.8184
O'874: _
2.4481
2:"609
250
0.1674
0.186 ;
110.947
119:414,.:::>::::::::::::::::
500
:::::::::::::::::::::::::::::::::::::::::::::
...........................
::::::::::::::::::::::::.:.:.:::::
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Pe rmit PAN Limit N 1 st/_nd Crop
-
4
"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."
zyz 4;2` *Application Method: S - Surface, IN - Injection, INC - Incorporation
1/12/2016 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** Mineralization Rates: Compost -0.1 anaerobiall digested -0.2
Signature of Land Applier Date p y g '
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Farmland Corp.
Land Owner:
Operator:
Steve Dunham
Steve Dunham
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied:. 77.04• �� Site #:
Predominant Soil Series: WmB
Crop 1 Name: Bermuda -Pasture Crop 1 Max. PAN: 210 Crop 2 Name:
7 Acres Utilized:
SF03 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
37.2
37.2
7.2
°
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
oho
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
(�'
We
Moist
Precip.
Past 24
Hrs.
inches
Y
c4
o
a o•
°
o
�;
_
C, -
N'
>~�
;n �
w -,
�'
w
o
0
TKN
m Ik
99
Z B
o
w'
m /k
99
Nitrate
and
Nitrite
m /k
99
PAN Applied
( Ibs/acre)
Name of CropType
yP
ReceivingResidual
Application
PP
Crop 1
P
Crop 2
P
Crop 1
P
Crop 2
P
4/19
117000
3.79
0..497
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
91700
11635
2
21.705
NA '
Bermuda
4120
136500
3.79
0.580
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
91700
11635
2
25:322
NA
Bermuda
4/21
136500
3.79
0:580,
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
91700
11635
2
25.322,
' NA
Bermuda
4/22
52000 -
3.79
'0 221
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
91700
11635
2
9.64"6
NA
Bermuda
4/24
19500
3.79
-0.083 _
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
91700
11635
2
3:617 ,
_ NA
Bermuda
4/26
26000
3.79
- 01.10 y
Tarheel WWTP
Dry
<,5"
S
0.5
0.2
91700
11635
2
4'.823
NA
Bermuda
0:000
'0•:0.Q0 '
�000
_;0.000 _
OsOQO_
0.000,
�0! 000
4:066
6.000
b:006
- O'000.
0:000
O..00Q_
0.000
0.00
O.Q00`_
1 ,m00
.-O'.000_
_
Residuals Applications totals on FORM
FSF supp (Attach FORM FSF supp
to this form):
TOTALS:
� - t 'o
-- _ 4s7500%
;:;:::::::::
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
90:436
0,000.
Lime A lied
Annual--
lbs/acre
A011 ,
0.095
0:107_
• 0 008_ ,
0.048
0:056
=9
4.426
19.692
24:418 '
250
6i327-
3.174
_- . 3301
_ 0.035: _
0.62
0:655. ,
1000
•0.60-2
0.011
, 0.013.
0.07.4
0.604
0:678
,0 2.12.
2.294
.2.506.
250
0 021
0.131
` 0.152'
11.7.74
95.354
107.128`
500
70:414 »>::::::'.':::::::::::::::::
::
:::?:::::.::::::::::::..::::::::::::'::::::;:::::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
2000
Current Cumulative Ibs/ac
Permitted C. P. L. R.****
Permit
tP AN Limit d2 1 s nd 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."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2017 **Volatilization Rate: Surface - 0.5, Injection/incorporation -1.0
Signature of Land Applier Date x** Mineralization Rates: Compost-0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

OLD 13uRvEY
OWNER: Wanda B. Herring
2025 Burney Road
White Oak, NC 28399
Phone: (M) 910-866-4176
OPERATOR: Steve Dunham
2467 Burney Road
White Oak, NC 28399
(H) 910-866-4222
Bonnie B. Meeker
19850 Hwy 87W
Tar Heel, NC 28392
(M) 910-862-3401
(M) 910-8765669
Site ID
Field #
Crop
Total
Acres
Net
Acres
Predominant
Soil Series
Mapping
Unit
SF07
01
Bermuda/Rye
Gr
21.8
21.8
Altavista
AaA
SF07
03
Fescue
12.3
12.3
Altavista
AaA
SF07
06
Bermuda/Rye
Gr
19.3
19.3
Wickham
WmB
SF07
08
Bermuda/Rye
Gr
12.1
12.1
Altavista
AaA
SF07
09
Bermuda/Rye
Gr
21.3
21.3
Wickham
WmB
SF07.
14
Coast. Bermuda
7.5
7.5
Lakeland
LaB
SF07
15
Coast. Bermuda
3.0
3.0
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LaB
TOTALS=
97.3
97.3

D_ � 1.11
7�
Division of Water Resources
state of ivortn uaronna
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
--Ilitease use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Von -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
ike undersigned landowner or his representative hereby permits:
i
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
5F 8 7 - 01
VC, 5
0 3
%S
105'r42E Xmv
-uJ Orowe�-
VC-5
d wy
C mzr rx
0
ycs
A,,i
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's permit for the residuals land application program and
Mall be renewed each time this permit is renewed.
ite undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWI, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water,, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
I11ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0I 07(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page.2 of

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
` agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein. (�
Landowner name: J�-nl7 r4 C� r✓ 1�)�3'
Address: 020 Sf Gzy °Q�f
City:%Uhl ,k [ otk State: /��� Zip: q `�
Phone: 2/0 E-mail address: �1�n.ta-Y-rrw , V �
Signature: Date: l .mod l 9
NORTH CAROLINA, a of rn COUNTY
I, the undersigned Notary Public do hereby certify that PJan d a
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the 9A ®0e
day of F_e f u a,l , 20) 9 �00�
Signature and seal:
My commission expires: 7, Z o z-
/
Lessee's/Operator's Certification:
lot
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: �I L,/ jt,�,q AA_
Address: � �; !Y6 %
City: State:
Phone:
Signature:
Permittee's Certification:
E-mail address:
C
Zip: ;:�_ 9,3 `/ i
Date: / P o
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:
Signature:
r �
FORM: LOA 06-16
Date: 12
Page 3 of 3

D-,7-,R
Division of W Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 0646
iaase use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitthzg Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
�e undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-tilUoverseedl
pasture))
(-'o 7
RA:
o7
ye-'5
ice'
LC z
lot
fx,�r
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's permit for the residuals land application program and
all be renewed each time this permit is renewed.
�--'hhe undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

1. STIPULATIONS:
L The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 1I) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s),
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
RESTRICTIONS:
i 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0I05(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new nrosram:
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: O A/,011` Z'L i
Address: ,)5,L) , City: A v State: Zip: �2 S'_? / c
2.
Phone: a, 1 J 3��0 E-mail address:
Signature: Date: 2 - / °l
All V/V_Je�_
NORTH CAROLINA, 314 d en COUNTY
1, the undersigned Notary Public do hereby certify that X_on%e_ /netil<.,-,
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the C
day of Fsbr✓o.� 2019 �� �000101
,
Signature and seal:
My commission exp
Lessee's/Operator's CerLUMUuvu:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator/name: j G��/�� %�i��/�f�f ^4
Address: d yG 7 ?1 4,a / 7 z ✓�o,•� ,, /
City: 4,4—x ?Cs _ State: - !�V Zip: % g3
Phone: V t o- T 7 6- E-mail address:
Signature:
Permittee's Certification:
Date:. ,:2� s g
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: Donovan Owens —
Signature:
Date: 3 hS / - 512
FORM: LOA 06-16 Page 3 of 3

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ALL APPLICATION AREA MAPS PRODUCEBY EMI A RESGURCES9 INC. Irk
STAFF �` I` USE I'. THE
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Phone 336eM e 1441— Fax [phone] s 1442
755 Yadkinville Road — Mocksville, NC 27028

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f s
k
3
�, (Y kLN Vw
~
.., ^a� S it 5
'1•.iS
.. lfL t? fF
1F�.t .t. - "�` 5 a'� Y, s" r~ � a � iy ...
.•+
rsf`,.� �{.�
t
F,:
s
� t
;
A
r : it
d! •a t F ry F
MV W A Jar
r� ..
"k
f � T
e t' 1 �
e �
_.f•� �r . mti
�
14
��'vry ,�7 �rx
x i "?,. 9✓q Wt�yFy`,._ !^ 7.c -1M"j9� v i I _,.
VS
n.

t
� 1
1 '
r
F
1

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Smithfield Farmland Corp.
JW Burney
Operator: Steve Dunham
WQ Permit #: WQ0014868 Field #:
Annual Dry -Tons Applied: 54.4.E Site #:
Predominant Soil Series: AaA
Crop 1 Name: Bermuda -Pasture Crop 1 Max. PAN: 207 Crop 2 Name:
SF07
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
21.8
21.8
13.5
°; o
c�
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
oho
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
( rY�
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
_
o� m
o
o
w
r
#
o
LE:.
�,
k w
a
TKN
mglkg
Z
o o
CD �
� w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/14
136500
3.79
_ 0.990
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
91700
11635
2
43:210
NA
Bermuda
4/15
130000
3.79
0.942
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
91700
11635
2
41;1'S2 _
_ NA _
Bermuda
4/18
78000
3.79
0.565 -
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
91700
11635
2
2091
NA
Bermuda
b.000_
00
_
O,OQO
Oi000
_0:000
_0.000 •;
_ 00000.
0 000
-_ 0; 000
_
0,000 -
0.000- -
_ 6.6000
o_doo
---0:000 -
0.000.
-o o09
.0.066
.- 0;000
-:0 000
o:000
�0_ 000
0:006
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
TOTALS:
;, .__0
"-344500;:;:::::::::::
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn I
P
109:054
O'000
Lime Applied
Annual
lbs/acre
O:O1S
0.15
�0.165
0:010
0.223
A233
9
5:338
93.79
99:128'
250
Os395.
0.882
b:277
0042 _
1.255
1'.299
1000
0002
0.019
'0:020
0.089:
1.008
1:097
0.256,
2.255
2.31'1- .:
250
0.025
0.239
0.264 ;
14.20,1
284.041
,298.2'42,,
500
84:932 :: _:;
.......,.•.....•.....,.. .
.........
:::_:::-'-'-'-'-'-':'-'-'-:::?::?::::::?.'.'.::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1 p
-
"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
1/30/2017 **Volatilization Rate: Surface - 0.5, Injection/incorporation -1.0
** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANKFORMTO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Smithfield Farmland Corp.
JW Burney .
Steve Dunham
Crop 1 Name:
Fescue -Pasture
WQ Permit#: WQ0014868 Field #:
Annual Dry Tons Applied:.` 2765! i Site #:
Predominant Soil Series: AaA
Crop 1 Max. PAN
138 Crop 2 Name:
Acres Utilized:
SF07 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
12.3
12.3
8.6
`" °
° +,
0
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
DES # W #
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Moist)
Precip.
Past 24
Hrs.
inches
Y
7a b
c� 'b
w
o
%° w
#
4
"o �
w ?r
N
m
* 0
TKN
mg/kg
75025
z a
q �
0 c
alp
,
mg/kg
10797.5
Nitrate
and
Nitrite
mg/kg
35.45
PAN Applied
(]bs/acre)
Name of Crop Type
Receivin Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/12
117000
4.25
1686 _
Tarheel WWTP
Dry
<.5"
S
0.5
0.2 -
61:632_
. NA _'
Fescue
4/13
39000
4.25
0:562._
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
75025
10797.5
35.45
20:544'
NA,
Fescue
_
0:0007y
0000'.
0` 000
0:000
0000 '
0:000 ?
:Ob000
0:000:_
-0.000 ,
Ou00Q
0:000
OY000
ma
0.000
y0:000 _ _
O:0_00'
,0:000
0 1190
Eli
I
1
960
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp.to
this form):.............
TOTALS:
— �0
_ ti=s6000
::::::::::::::
As
Cd
Cu
Cr
Pb
H
Mo
Ni7Se
Zn
P
82:176;
:0000_
Lime A liedAnnual
lbs/acre
^0 013
�0009:
0.0247
_ _0.434 ,
12.9188
.1414
0
0.278
0.2381
0 002�
0.0075
; 0`:085 ;
0.4302
6.278_
1.4473
_14'.365
66.6504
;129 822.:;'::::::::::::::':;:::::<:::
:=:=:::::::::::::::::::::::::::::: ::
...........................
............................
.............•.•...•.•.•..•.•.•Current
:::::::: - : - :::: :
==
' Date
lbs/ac
Prior Years Cumulative lbs/ac
0.061
2000
Cumulative lbs/ac
Oi074
0 034,
13 353
2414
0 516
0 009
` 0 516
,1725
81t0!15
Permitted C. P. L. R.****
9
250
1000
250
500
PermitPAN Limit 1 st/2nd Crop
- -
138s
"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
1/22/2015 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Smithfield Farmland Corp.
JW Burney
Operator: Steve Dunham
Crop 1 Name: Bermuda -Pasture
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: 45:82 Site #:
Predominant Soil Series: WmB
Crop 1 Max. PAN:
210 Crop 2 Name:
6 Acres Utilized: 19.3
SF07 Acres Permitted: 19.3
Cation Exchange Capacity (non 503): 16.2
Crop 2 Max. PAN:
o
Cu �
Q 0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/AC)
Residual Sources
(NPDES # WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
W
Moist)
Precip.
Past 24
Hrs.
inches
Y
n
c'o t3
A o
o
o
w A'
CD
�
K
:n =
w .,
*
TKN
mg/kg
Z �
q
o 9
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5/19
149500
2.755
Or890'.
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
83450
20000
2.35
40:388.
• 'NA _
Bermuda
5/20
182000
2.755
1:.083
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
83450
20000
2.35
49a68
NA 'Bermuda
5/21
39000
2.755
'; •0:232 __
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
83450
20000
2.35
10536 .
' _NA
Bermuda
10/27
182000
0.43
0:'169
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
95500
63600
1.94
12.912 •
` NA 1
Bermuda
0:000
0.990 '
91000
,610001
0.000 -
_.0400_
0000
0:000
'0:0.00 ^
-
-
_ _ _ _ •
:::::::::::::..
.
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
TOTALS:
AS
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
1=1'_3;004
'0.0.00'
Lime A lied
Annual lbs/acre
_ 10:014 _ -
0.247
:0:261 -
0':009 -,
0.242
0 25d ";
9
_ 5.286 -
105.018
1.10.304
250
0.222 `
6.176
6.39'9
0.648
1.783
_f.' - i
1000
O:OQ2 ,
0.027
: _6 029- -
70:125
1.552
; 'L677 .
O. -52
14.846
, 14.998
250
0:025
0.331
0:3,56
. 12.856
366.291
379.14T
500
!85.U5 ::=
::::::::::::::::::::::::::::::::::
...........................
............................
::::.............. :
... ........................
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Crop
210
"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
2/6/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Smithfield Farmland Corp.
JW Burney
Steve Dunham
Crop 1 Name: Bermuda -Pasture
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: 27'.59, i Site #:
-Predominant Soil Series: AaA
Crop 1 Max. PAN:
207 Crop 2 Name:
Acres Utilized: 12.1
SF07 Acres Permitted: 12.1
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
12.7
°
°
4
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
/o
Solids
Volume
Applied per
p p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, W #
Q ,
Fert., Animal
Waste, etc)
Soil
Cond.
W
Moist)
Precip.
Past 24
Hrs.
inches
a 410
0 w
* o
n
o
w
* 4
a
:" ��,
CD
K
TKN
mg/kg
z a
0 3
o 3
El.
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5/17
39000
2.755
0;370
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
83450
20000
2.35
16:805'
i NA ;Bermuda
5/18
182000
2.755
1.728
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
83450
20000
2.35
78:423
NA :Bermuda
5/19
13000
2.755
:0:123:
Tarheel WWTP
Dry
<.5"
S
0.5 -
0.2
83450
20000
2.35
5.602 ,
NA J
Bermuda
10/28
39000
0.43
0:058,
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
95500
63600
1.94
4.313
= NA
Bermuda
1
07040
' 0:000'.
0 000
0.000
�0.000
0:000
0.000
0:000
0:000
0:000
`0.000'
0.000'
0.000'
'0:000 -
__ _� 0 000 _ _
0.000
* 0'000
.0i000 _
0.000'
0.o.00
Residuals' Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
TOTALS:-
---- --- v0.
273y000:;:;:;:;:;:.:;:
-
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
J 5.245`,
_0°000:•
Lime A lied
Annual lbs/acre
- -
_ 0:014_ . - ,
-
0_ :009
5.�126
6.2,16
-
0:047,
0:002 :
0.,124
0.149_.
-.0.024 -.
' 1,2.574
,P.79.& :::::........:.:.:...:.:..
::::::::::::::::::::::::::::::::
............................
::.:.:.:.;:.;:.:.....:;:.:::.:.:. _;:.:.... .
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.142
0.06.
26.648
4.144
0.666
0.016
0.87
2.692
0.207
119.293
Current Cumulative lbs/ac
,_ __0;156 - . - _
_ 0,069
3 t.774
4,360
--
0.713 ,'
_
0:018
:0:994
2{841
0..231
,131.867;
Permitted C. P. L. R.****
9
250
1000
250
500
Permit P Limit 1 st/2nd Cro
o p
p
207
"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
2/6/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Smithfield Farmland Corp.
JW Burney
Operator: Richard Dunham
Crop 1 Name: Bermuda -Pasture
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: { 37.98,, 1 Site #:
Predominant Soil Series: WmB
Crop 1 Max. PAN:
210 Crop 2 Name:
9
Acres Utilized:
SF07 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
21.3
21.3
4.7
_
Y
5
O
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
PP P
Acre
(Dry TonslAc)
Residual Sources
(NPDES #, Wn#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
past 24
Hrs.
inches
a
b
o
ao
o
%� °:
'Y _
N'
w ti
* N
TKN
mg/kg
Z Y
F 9
M O
g
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
5/21
123500
2.755
0.666-
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
83450
20000
2.35
30231
NA
Bermuda
5/22
175500
2.755
_ 0:947
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
83450
20000
2.35
42960
NA
Bermuda
10/27
45500
0.43
0:038
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
95500
63600
1.94
2.925_
_ NA
Bermuda
10/28
156000
0.43
:0.131
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
95500
63600
1.94
10:029-.
^NA
Bermuda
0:000
0.000
_A,000
:0000
0.000
0:0001
;0.000-
0.000
0:000 ___
0%000 _
..0.000
0.000.
0.000
.0.0.00
0:000
0.000'
6. 00
0:000
_,0.000
6.60,0,
-
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
TOTALS:
,- _:_O
SOQ500
::.:::::::::::
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
I Zn
P
'88.145
. '0.000'
Lime Applied
Annual lbs/acre
0.,011
0.067 _
3.056
! _ 0A6_
0!036
b.601 J
%02,',
0.1'13..
0!040
9:562
..63342:::::::?::::::::::::::::::::::`;
::::::::::::::::::::::::::::::::::::::::
............................
::::::::::::::::::::::::::::::::::::::>:::.:_:,:::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.164
0.094
28.289
3.742
0.721
0.017
0.946
3.101
0.201
138.145
2000
Current Cumulativelbs/ac
_ 0�175
0_101_
9
32.239
250
+ 3�.907_
0.757
1000
O:Ol8
t038
3.214
250
0.220
,147:707i
500
Permitted C. P. L. R.****
P Limit 1 s 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." -
*Application Method: S - Surface,.IN - Injection, INC - Incorporation
2/6/2018 **V 1 4;1' t• IDt• S f O S I' f n/I c r oration - 1 0
Signature of Land Applier
Date
o a i �za ion a e6 ur ace - . , nJec �o n o p
*xY Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.%: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Farmland Corp.
Land Owner: JW"Burney
Operator: Steve Dunham
Crop 1 Name: Bermuda -Pasture
WQ Permit #: WQ0014868 Field #: 14 Acres Utilized: 7.5
Annual Dry Tons -Applied: l`7 83' t Site #: SF07 Acres Permitted: 7.5
Predominant Soil Series: LaB Cation Exchange Capacity (non 503): 7.2
Crop 1 Max. PAN:
147
Crop 2 Name:
Crop 2 Max. PAN:
o
Ca o
A
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
-Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, W #
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Moist)
Preci P•
Past 24
Hrs.
inches
Y
cu �
Er rt
*
o
�;
�' �.
:b
? n
* w
TKN
mg/kg
69400
z
o
mg/kg
12600
Nitrate
and
Nitrite
mg/kg
2.31
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
4/23
71500
2.99
l.. b89
Tarheel WWTP ,
Dry
<.5"
S
0.5
0.2
41988 '
NA
Bermuda
4/26
71500
2.99
: 1.189.
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
69400
12600
2.31
41 988-
_NA • .
Bermuda
0000' _
U:000
0:000''
if OF"
i 0:000 ,_
_ 0.000
0.000
tOi000
0l000 �
' 0:000' _ i
OtOQO _
Abw
0 000.:
6.000' 1
:.:::...
- -
_._ . _.........
, - - _._
Residuals Applications totals on FORM
FSF su attach FORM FSF su
to this form):
_.. _..
- ._.._ ..........
..........
TOTALS:
, _ _ _ _-0.
M_ _:143000
::;:::;:::>;:
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
83;97T;
. 6,000. _:
Lime Applied
Annual lbs/acre
0_015 _ :
_ 0.0.10 .
; .5.586,
0.188
_0:037
._0 002__
' i0.070. !
07"6
0,026
1_].528
; .64 4I7 .: ::
....................... :
...........................
............................
..:.:.:.:::.:..:: ..`.:..`......-:.....::.._
Date
]bs/ac
Prior Years Cumulative Ibs/ac
0.144
0.065
33.907
2.333
0.626
0.017
0.967
3.011
0.208
134.708
Current Cumulative lbs/ac
16.4,59 _ (;
05075
39 493,
, 2.521
_ Q.663
05019 ,
. 1037 ;
3 l67
0 234
,146 236
Permitted C. P. L. R.****
9
250
1000
250
500
Permit P t/ AN Limit m t l s 2 nd Crop
147
"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. Lam' aware that1here 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
2/5/2019 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier
Date
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4 -
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

SITE MONITORING REPORT
In pounds per sere
Project: Smithfield
Owner: J.W. Burney
Permit #:
WQ0014868
Crop:
Corn
Weather Code
2
Operator: Same
Field #:
SF7-15
Acres:
3.0
Site Code
2
Application Method
Surface
- Date
Gallons % Solids
Gal/Ac
Dt/Ac
PAN
NO3-NO2
NH3
P
K
Pb
Zn
Cu
Ni
Cd As
Hg
Se
Mo
04/23/08
58,500 4.00
19500
3.2526
107.5960
0.0065
54.6437
199.0591
37.7302
0.0683
18.8326
3.8804
0.4066
0.0072 0.0286
0.0026
0.0377
0.1464
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000 0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
o.000o
o.0000
o.oaoo
o.0000
o.0000
a.0000
o.00oo 0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000 0.0000
0.0000
0.0000
0.0000
Totals:
Annual:
58,500
19500
3.2526
1 107.5960
0.0065
54.6437
199.0591
37.7302
0.0683
18.8326
3.8804
0.4066
0.0072 0.0286
0.0026
0.0377
0.1464
Total Cumulatives:
0.1934
41.6767
8.5553
0.9423
0.0181 0.0465
0.0048
0.0736
0.2824
Prior Years Cumulatives:
0.1251
22.8441
4.6749
0.5357
0.0109 0.0179
0.0022
0.0359
0.1360
Annual Dry
Tons
9,7578
SOIL MONITORING
Soil pH Lime Appl. Ton/AC
Weather Code: 1) >90F 2) 70-90F 3)32-70F -A) Less than 1/2 inch rainfall B) Greater than 112 inch rainfall in past 24 hours
Site Condition Code: 1) Excessively Dry 2) Dry 3) Moist 4) Wet
representative of EMA Resources, Inc., hereby certify that this site was operated in compliance with the conditions of Nondischarge Permit No. W00014868.

OWNER: Murdock Butler
19461 NC Hwy. 87 West
Tar Heel, NC 28392
Phone: (H) 910-862-2846
(M) 910-494-9665
OPERATOR: Murdock Butler
Site ID
Field #
Crop
Total
Acres
Net
Acres
Predominant
Soil Series
Mapping
Unit
SF10
01
Corn,SB,Sm.Gr.
80.0
53.0
Norfolk
NoA
SF10
02
Corn,SB,Sm.Gr.
48.5
45.0
Autryville
AuA
SF10
03
Corn,SB,Sm.Gr.
34.0
31.0
Norfolk
NoA
TOTALS=
162.5
129.0

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
lease use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 1.5A NCAC.02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
-ie undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
V" C)
i y)
a
/� /� ,,/�
d tv `P
I C E -y L•Y�
r -0
No
) C " 5
G43e'P-
F o -C)3
Ou'sCROPS
, e -
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's permit for the residuals land application program and
all be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Pagel of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Uni41617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Pernmittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15ANCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: . is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a.deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
- a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:�2�
Address: /� �f <o I /N C w
Al
/z,37
City: �r2 f�C�L State: A C Zip: �2 9 3 ?I
Phone: 6 - Li `1 L/ ' ?6 6 57 E-mail address:
Signature: Date:
NORTH CAROLINA, 13I17 d"en COUNTY
I, the undersigned Notary Public do hereby certify that M wd o cV— 6 v +Ie ,-
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the ��ti ®®01o�000a08pe
day of F-_eb1L,4n„ , 2019 ®�`® •� o��
Signature and seal: - /�%• 9��F� ; `�
�aorg9� U
\ My commission expires: �y • 7, ZJz / AU�L1�
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.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
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:
Signature:
Date: 3%S Lc/ �_
FORM: LOA 06-16 Page 3 of 3

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Projection is UTM Zone 17 NAD83 Datum
T®PO MAP
MURDOCK BUTLER
SF 10-01

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340 47' 32"iV, 780 49' 35"W (NAD831WGS84)
Projection is UTM Zone 17 NAD83 Datum
TOP® M"
NlURD.00K BUTLER
SF1_Q- .2,03

al C. JF.LV

a �.. t. „I� : R��+( �?titFr, r�'2'K •Y`I, i G: :.ems e '
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ALL ' lr; lrsLI Q `iTI(DAREA 1SPRO
DUCED
BY EM, A RESGURCES9 INC. STAFF USE THE
' OL, O: Na p c s 4D . THE C}ra rra Ih' hn .� f��
AREA ARE . ALL ORIENTED yA,`
NORTH BEING UP.
Legend
cacaumacm Stream
l Drain
ApplicationArea
onSite'House
L...j SurfaceWater IN MiteHouse(SWAA)
x ® x - Fence
Proper#yLine
MlteHouse
Outbuilding
Phone 336e751 a 1441 —Fax 336o751 a 1442
755 Yadkinville Road — Mocksville, NC 27028
onSiteweii
-'
offSiteWell
(D
SoilDescription
Unsuitable :-

ti
.... �. TN
FIELDS: 01 MN„M,"A„

JI 1 C: ar-Lu TM
FIELDS: 02 & 03 MN 9.1-M

OWNER:
OPERATOR:
Hinton McCall King, Jr.
770 King Road
St. Pauls, NC 28384
Phone: (H) 910-865-2438
(M) 910-740-243 8
Hinton McCall King, Jr.
Site ID
Field #
Crop
Total
Acres
Net
Acres
Predominant
Soil Series
Mapping
Unit
SF 12
01
Corn,SB,Sm.Gr.
53.0
49.0
Norfolk
NoA
TOTALS=
53.0
49.0

�
WzR��
DIv ID -
on of Water Resources
State of North Carolina
]Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 0646
::ease use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested: Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permittlag Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare.a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
�e undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Mended Use of Crops
p
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
®�
No
R U CROPS
F—C
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's permit for the residuals land application program and
fall be renewed each time this permit is renewed.
The undersigned .landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page I .of 3

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
� Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee; Iocal officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
IH.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0I 07(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0I05(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted - under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
i agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new Droffam:
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
- a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: -/ 7o 14, zw c iK J r
City: ��(�Farc..LS State: �V C- Zip: 2 13 ' 9-
Phone: NO o/?�� �Y E-mail address:
Signature: �= G Date:'©l �7
NORTH CAROLINA, COUNTY
1, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the 5VA
day of Lb/uo !:l
Signature and seal:
My commission exp
Lessee's/Operator's Certifi�_____.
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
r
State:
E-mail address:
Date:
Zip:
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: Donov Owens — General Manager
Signature: Sr (,,�� Date:
FORM:_ LOA 06-16 Page 3 of 3

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0 0.3 0.6 0.9 1.2 1.5 km
0.2 0.4 0.6 0.8 1 mi
340 48' 19"N, 780 51' 37"W (NAD83/WGS84)
Projection is UTM Zone 17 NAD83 Datum
TOPO N1AP
, JAA *,Ciff-c K-C-46-/
SF12-01

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Tr } ` ♦ _ 'a Y' �}p hF Tt `{ J..'.�l l - ' ` $„ iY �,
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1 , [/ �/ yf,,�.'(� ,•} 4 {i1i,}3,, fffr ry,• y .
_ _ , R, ,2v.. �.� _ f{'i •Ftr� ' mow- W /` �•. ���.� r ,_�*�+ �-h. vt ~. ��c.l +, � n}'� fi.,? � � ..., � f i �, �/-' ff

Hintoft'cCall
King, Jr.
Pages La
cam/ m '7 .ii" ...\
-
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Inc.
'fieLL APlea . l CAO" AREA
R4 MAPS
lrDS PRODUCED
ODUC 1 D
By EMA RESOURCES, WC.S@ . • G 1 USE
l . 1 i
�( d p �j r �j r J� p 8�� � .
0. l.,Y �' �t 8 L t p 6 1�1� brl� ` �� `rDrD �f �4 .� �/1N
AREA
'i AlrD ` ARE
ICY 4 ALL
4'a i ,' ORIENTED v 1 1.11� �' h
.,��
S
NORTH
a O4 l'fl BEING c l'D
Legend
aCMAGMU e m Stream
zm;=11 [gain
SurfaceWater
x — x m Fence
PropertyLine
ApplicationArea
\(Sk,
OnSiteW811
®nSiteHouse
c-r�
Miteill/ell
MiteHouse(SWAA)
Q
SoilDescription
MiteHouse
E2
unsuitable
A
Outbuilding
Phone [phone] e 1441— Fax 336o751 e 1442
755 Yadkinville Road — Mocksville, NC 27028

YY
f• i - r 1"4i �k � I�r , � ��� "5-F ,j
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ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Farmland Corp. WQ Permit #: WQ0014868 Field #: 1 Acres Utilized: 49
Land Owner: Hinton King Annual Dry Tons Applied: 1'71.OG j Site #: SF12 Acres Permitted: 49
Operator: Hinton King Predominant Soil Series: NoA Cation Exchange Capacity (non 503): 4.5
Crop 1 Name: Corn -Grain Crop 1 Max. PAN: 131 Crop 2 Name: Wheat Crop 2 Max. PAN: 50
o
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
� S
�-
p
o
-.
w
CD --
0
4
w
Q
* N
0
TKN
mg/kg
75025
z
� o
mg/kg
10797.5
Nitrate
and
Nitrite
mg/kg
35.45
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
I Crop 2
Crop 1
Crop 2
13000
4.25
0:047
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
1,.719 •
NA
Corn
208000
4.25
_ 0!752
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
75025
10797.5
35.45
27:50.4''
NA
Corn
F4/
273000
4.25
A987 _-
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
75025
10797.5
35.45
36:099�;
NA•
Corn
123500
5.6
0`589,
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
48700
7775
2
Na
14:Z13'
Wheat
234000
5.6
1 �l.115 _
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
48700 "
7775
2
NaA
26:930
Wheat
�0.000
0:000 '
' 0:000
0 000
0.000.-.
,. O.- -6 ;
i0:000
0:000�_
0:000"
A000 •.
`0000:
y
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
_
_
TOTALS:
-_0
, _ _8515 .
.:.:.:.:.:.:
AS
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
65:321 `
' 41.;144
Lime Applied
Annual lbs/acre
:0 021-
0:014
2.811 :
' 2.270
0.262
' V003
0.129_ `
0:493_:
0.635
_23.108
'222,138
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.0181
A.039 _
0.0062
_.
,0:020' :
9
3.8059
_ 6.61'6^
250
0.1278
2.398
0.0652
.0:327_
1000
0.0025
_.
0.005
0.1532
-
0, 282
0.3627
0:856 _
250 1
0.0338
-
_ 0,069 .
20.3725
-
_ 43.481+. ;
500
::::::::::::::::::::::::::::::
...........................
............................
.:,:::::::::::: ":: - ::< :::: :
•. •.•.
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PA Crop N Limit 1 st/ 2nd
........................
.13� . _ - 50
"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. Tam 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
1/22/2015 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

OWNER: Vance Tyson
4925 NC Hwy. 87 South
Fayetteville, NC 28306
Phone: [phone]
(M) 910-308-4057
OPERATOR: Vance Tyson
Site ID
Field #
Crop
Total
Acres
Net
Acres
Predominant
Soil Series
Mapping
Unit
SF06
01
Bermuda
5.5
5.5
Autryville
AuA
SF06
02
Bermuda
31.1
31.10
Autryville
AuA
SF06
03
Corn,SB,Sm.Gr.
64.5
64.50
Deloss
De
SF06
'CQ�
Corn,SB,Sm.Gr.
38.0
35.0
Deloss
De
SF06
05
Corn,SB,Sm.Gr.
37.0
34.0
Deloss
De
SF06
06 ]
Corn,SB,Sm.Gr.
94.0
79.0
Deloss
De
SF06
07
Corn,SB,Sm.Gr.
83.0
77.0
Deloss
De
TOTALS=
353.1
326.1

/��.--"
Dives ision of Water Resources
State of North Carolina
Department of Environmental Qqp .fty
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
—Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to. additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA .06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
1 ' ,he undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cropping Patterns
pP S
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
6pot.— D 1
No
CCiTA�e
G=o - o
proc
r
F-0- 03
lea
6a clws
o - 04
ffo
NO -
1?olX9P PS
r ev—
6(o
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's permit for the residuals land application program:and
`all be renewed each time this permit is renewed.
- Erie undersigned. landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. .
FORM: LOA 06-16 Page 1 of:3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15ANCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, _15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
—`\ residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
j\\\ agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal -delegation, to make decisions regarding the use of the land application site(s) on. behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: _ g A/C- #W f?
City: State: OV Zip: a 8 30
Phone: o - o S- E-mail address:
Signature:,r� Date: ` 5 - ao l ?
NORTH CAROLINA, _�u m J er I0,d COUNTY
I, the undersigned Notary Public do hereby certify that Ito,, /,e
personally appeared before me this day and acknowledged the due execution of the forgoing instrumi�eHT
WITNESS my hand and official seal this the 57 o% lb
day of boar, , 20 / 9 � � %.OTAq�e N
Signature and seal:
My commission exp
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.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
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: Donovan Owens .
Signature:
Date: 3ZcAUi �
FORM: LOA 06-16
Page 3 of 3

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ALL 1 P , a QID �'� RE.REA MAPS 1" PRODUCED
BY1 . 'RESOURCES, INC. STAFF
1 AF USE H
FOLLOWE'qG LEGEND. THE APPLICATION
AREA MAPS ARE ALL ORIENTED AS
NORTH 1 l:i ]BEING 11D
Legend
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°M, l-I, Drain
=1 SurfaceWater
x x - Fence
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SoilDescription
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CPhone 336®751®1441 —Fax 336o751e1442
755 Yadkinville Road — Mocksville, NC 27028

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�. APPLICATION AREA MAP
1,VANCE TYSON
`SITE: SF06
,FIELDS: 07
ry
•xf
A
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�
ry
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Scale 1:5,280
I
ft
4'
0 180
360 540
720 900
1 - 440.0 ft . Data Zoom 14-7

SITE MONITORING REPORT
In pounds per acre
Project:
Smithfield
Owner:
Vance Tyson
Permit #:
W00014868
Crop:
Bermuda
Weather Code
2
Operator:
Same
Feld #:
SF6-02
Acres:
31.1
Site Code
2
Application Method
Surface
Date
Gallons
% Solids
GaVAc
Dt/Ac
PAN
NO3-NO2
NH3
P
K
Pb
Zn
Cu
Ni
Cd
As
Hg
Se
Mo
10/11/06
19,500
3.69
627.0096
0.0965
3.9740
0.0029
3.4733
8.1429
1.0806
0.0036
0.8336
0.2134
0.0282
0.0004
0.0010
0.0001
0.0001
0.0051
10/12/06
78,000
3.69
2508.039
0.3859
15.8960
0.0114
13.8931
32.5716
4.3223
0.0143
3.3343
0,8537
0.1128
0.0015
0.0039
0.0003
0.0005
0.0205
10/13/06
117,000
3.69
3762.058
0.5789
23.8440
0.0171
20.8396
48.8574
6.4834
0.0214
5.0015
1.2806
0.1691
0.0022
0.0058
0.0005
0.0008
0.0308
10/14/06
6,500
3.69
209.0032
0.0322
1.3247
0.0010
1.1578
2.7143
0.3602
0.0012
0.2779
0.0711
0.0094
0.0001
0.0003
0.0000
0.0000
0.0017
0
0.0000
0.0000
0,0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
Totals:
Annual:
221,000
7106.109
1.0934
1 45.0387
0.0324
39.3638
92.2862
12.2465-1
0.0405
9.4473
2.4189
0.3195
0.0042
0.0109
0.0009
0.0015
0.0582
Total Cumulatives:
0.2805
70.0673
35.9589
5.7795
0.0742
0.0109
0.0009
0.0015
0.0582
Prior Years Cumulatives:
0.2400
60.6200
33.5400
5.4600
0.0700
0.0000
0.0000
0.0000
0.0000
Annual Dry
Tons
34.0059
(Lifetime
SOIL MONITORING
Soil pH Lime Appl. Ton/AC
5.4 1 T/acre
Weather Code: 1) >90F 2) 70-90F 3)32-70F -A) Less than 1/2 inch rainfall B) Greater than 112 inch rainfall in past 24 hours
Site Condition Code: 1) Excessively Dry 2) Dry 3) Moist 4) Wet
I, representative of EMA Resources, Inc., hereby certify that this site was operated in compliance with the conditions of Nondischarge Permit No. WQ0014868.

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:. Smithfield Packirig'Co: Permit #: ` WQ0014868 _ Annual Dry Tons Applied: 203.21
Owner: Vance7yson. Operator: Vance Tyson Cation Exchange Capacity (non 503):
Site #: SF06" ' ' Field #: 3 ' -. Acres Utilized: 64.5 " Acres Permitted: 64:5
oPer
Acre
%o •
Solid
s;(Summarize)
Dry Tons Per
Acre
Residual .
Sources " -
:,
ite
Cond.
Dry,
Wet,,
Inches
Precip.
Past 24
Hrs.
Appli-
cation
Meth-
od*
. Vold-
tili-
zation
Rate**
Miner-
: ali-
zation
Rate:
TKN
:
Ammo
ma-.
Ni.
trogen
Ni-
trate
. -and
Nitrite
PAN 1
PAN 2
Must.SelectoyTotals
Cro 1 or Cro
p p
2;
-
rRe
Crop 1
Crop 2
%.4/17
.-32500. -
MIN
4.9
0.1030
Tarheel Plant
Dry
<•5"
S
0.5
0.2
•'82225
9267.5
2
3.95916
#######
`Corn
1
4/18
:240500
'3728.7
4.9'.
0.7619
Tarheel Plant
Dry"
<•5"
S
0.5
0.2
82225
9267.5
2•'
29.2978
#######,
born,.
-2
4/19.
.156000'
24186'
'•4.9
0.4942" :
Tarheel Plant
Dry
<-5"
S-- ..
0.5
0.2
82225
9267.5
2
19.004
#####
••_Corn
3
4/22
188500 `
2922.6•
4.9
0.5972 " .
" ..Tarheel Plant.
.. Dry
.<.51!.
' ,.
S--
0;5
0.2
82225
9267.5 •
2.
22:963.1
#######
"Corn
4'
4/23-
• 214500:
3325.61'
; 4.9
_ "0.6795'
Tarheel Plant
- -...,Dry
-- :S'
S-- -: -
0:5' ...
0.2
82225.
1 - 9267.5
2`
26:1304
#######
. -Com"
5.
4/24..
162500
2519A
�:4.9
- "0.5148 .
Tarheel Plant
Dry
<5"
- .. S
0.5
0.2 =
82225
9267.5
2
:193958
##
Corn
b
0
0.0000
0._
0
7
0.0000
0.0000
0
0.0000 .
.0
I1
0
0.0000
_ ,...
- 0'
0
12
TOTALS-' -'
15419
:::::::`•:
�As.
Cd
Cr.
:Cu
Pb
Ha
Mo
Ni',
Se
: Zn
P
PAN 1
PAN 2
Lime A
' lied
Annual "lbs/acre
0.0189 .
0.0126
0.4663 .
3:0056
A.0662
- 0.0025
0.1370
0.4253
0.0315
16.8552
116.726
:121.15
0' -
'Date
Ibs/ac
:'`
Current Cumulative lbs/ac
- 0.0580 " 0.0375 0.4665' 14.6122 0.2286' .,0.0069 .. 0.3959- 1.8841 . U792 58.5055:.:.:.:.::.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:
.':-_--:
: 0.0391 , .. 0:0249 ' 0.0000 . 11-66066. 0.1624 , 0.0044 " 0.2589- : 1.4588 0.0477 41.6503 ..........................................
- - , 9 .. 250 ` _: 1000 250 . "500 ....•.......... . ....... ... .
200
" "
2000
Prior Years Cumulative lbs/ac _
Permitted`-C P_`:L. R.***
Permit PAN Limit 1st/2nd C o r P
"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 -properly -gathered -and evaluated the -information submitted. I am aware that.there.are
significant penalties.for: submitting false.'information, including the possibility of fines and imprisonment for`knowing.violations."
1/15/2014 *Application Method: S - Surface, IN - Injection,.INC --Incorporation.,--`
Signature of Land Applier. 'Date **Volatilization Rate: Surface - 0.5,,Iniection/Incor-poration_ -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)

SITE MONITORING REPORT
In pounds peracm
Project:
Smithfield
Owner:
Vance Tyson
Permit M
WQ0014868
Crop:
Corn
Weather Code
2
Operator:
Same
Field #:
SF6-04
Acres:
35.0
Site Code
2
Application Method
Surface
Date
Gallons
% Solids
Gal/Ac
Dt/Ac
PAN
NO3-NO2
NH3
P
K
Pb
Zn
Cu
Ni
Cd
As
Hg
Se
Mo
04/05/10
110,500
5.02
3157.143
0.6609
27.5198
0.0145
15.2006
29.0795
7.0055
0.0119
3.7275
0.7732
0.1110
0.0013
0.0040
0,0005
0.0059
0.0330
04/06/10
117,000
5.02
3342-857
0.699E
29.1386
0.0154
16.0948
30.7900
7.4176
0.0126
3.9467
0.8187
0.1176
0.0014
0.0042
0.0006
0.0063
0.0350
04/12/10
78,000
5.02
2228.571
0.4665
19,4257
0.0103
10.7299
20.5267
4.9451
0.0084
2.6311
0.5458
0.0784
0.0009
0.0028
0.0004
0.0042
0.0233
04/13/10
71.500
5.02
2042.857
0.4276
17.8069
0.0094
9.8357
18.8161
4.5330
0.0077
2.4119
0.5003
0.0718
0.0009
0.0026
0.0003
0.0038
0.0214
04/14/10
39,000
5.02
1114.286
0.2333
9.7129
0,0051
5.3649
10.2633
2.4725
0.0042
1.3156
0.2729
0.0392
0.0005
0.0014
0.0002
0.0021
0.0117
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.00W
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0
0.0000
0:0000
0,0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
Totals:
-
Annual:
416,000
11885.71
2.4881
1 103.6038
0.0547
57.2259
109.4757
26.3737
0.0448
14.0328
2.9111
0.4180
0.0050
0.0149
0.0020
0.0224
0.1244
Total Cumulatives:
0.0864
27.5592
5.3551
0.7001
0.0101
0.0302
0.0038
0.0437
0.2354
Prior Years Cumulatives:
0.0416
13.5264
2.4440
0.2821
0.0051
0.0153
0.0018
0.0213
0.1110
Annual Dry
Tons
87.0829
SOIL MONITORING
Soil pH Lime Appl. Ton/AC
Weather Code: 1) >90F 2) 70-90F 3)32-70F --A) Less than 1/2 inch rainfall 8) Greater than 112 inch rainfall in past 24 hours
Site Condition Code: 1) Excessively Dry 2) Dry 3) Moist 4) Wet
representative of EMA Resources, Inc., hereby certify that this site was operated in compliance with the conditions of Nondischarge Permit No. WQ0014868.

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Smithfield Farmland Corp.
Vance Tyson
Operator: Vance Tyson
Crop 1 Name: Small Grain
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied:! 162:42 Site #:
Predominant Soil Series: De
Crop 1 Max. PAN: 100 Crop 2 Name:
SF06
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
79
79
11.5
�,
°� o
Q
Volume applied
PP
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NP Q
DES #, W #,
Fert., Animal
Waste, etc)
Soil
Cond.
D
(Dry,
Wet,
Moist)
Dry
Precip.
Past 24
Hrs.
inchesZ3
<.5"
y
c� b
o� w
C
o
m
2
r
*
0.5
;
w ,
� �
� N
0.2
TKN
mg/kg
1 48700
z y
- El
o
�.
mg/kg
7775
Nitrate
and
Nitrite
mg/kg
2
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/22
208000
5.6
'0.615
Tarheel WWTP
S
14'.848 ;
_ NA
SG
10/23
182000
5.6
- 0:538'
Tarheel WWTP
Dry
<3"
S
0.5
0.2
48700
7775
2
12:992•
" NA _.
SG
10/24
195000
5.6
v '0:5:76 _
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
48700
7775
2
13.920'
NA
SG
10/25
110500
5.6
0:327 E
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
48700
7775
2
7:888 ;!
NA�
SG
:0.000
0.000
0?000.
_ 0.000
6.000
0:.000
0.000
_ O.,OOQ .
- 0.000'
0:000 _
0.000.
0.00.0
0.00p
0:000
0:000
0.000
0.000
0:00.0
0.600 ..
U60
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
TOTALS:
0
6§ssoo
::::::::::::::
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
49 647 ;
- 0-000 -
Lime Applied
Annual lbs/acre
0:012
0:008, _
_ 2;975
A:424,_ ,
,-0.,049.:
,. 0.002
0.07.4 ,
' 0.329, ;
; 0,021', '
. •14.104
141509::.:::::::::::::
::=::::=:::::::::::...............:
:::;:::::>::::=:::::`::::::>:::::`::::5:::::`::::
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.0396
0.0224
10.4789
0
0.1529
0.0037
0.2314
1.3362
0.0365
35.6488
2000
Current Cumulative Ibs/ac
0:052 _ -
:.Oe031 ;
_ 13,454.!'
_ 0.424.
0:202 _
0.005
; ;0.305
f,665
_0.057 _:
49:753
Permitted C. P. L. R.****
9
250
1000
250
500
Permit P AN Limit 1 sd2nd Crop
1 00. ,
"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
1/22/2015 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
**" Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM _
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD:
PLACE A "N/A" IN A BLANK.OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Packing Co. Permit #:, - WQ0014868 - Annual Dry Tons Applied: 199.22
Owner: Vance Tyson, Operator: Vance Tyson Cation Exchange Capacity (non 503):
Site#: SF06 • Field #: 7 Acres Utilized: 77 ' Acres Permitted:" 77
13.7
o
o
A
Specify
Totals
Per ..:Solid
Acre
%
s...
Dry Tons Per
Acre
Residual
Sources
(Summarize)
Site
Cond.
Dry,.
Wet,
Inches
Precip:
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 Cro
p p
2
*.
Gal.
Cu.Yd.
Report'
Totals
in Gal.
Crop I
.-
Crop 2
4/11
13000
168.83
4.9
0.0345
Tarheel Plant
Dry
<.5"
S .
0.5
0.2
82225,
9267.5
2
1.32658
#######
Corn
1
4/12
39000
506.49
.4.9
0.1035
Tarheel Plant
Dry
<.5"
S
0.5.
0.2
82225
9267.5
2
3.97973
NNW
Corn
2
4/13
156000 '
2026.
4.9
0.4140 -
Tarheel Plant
Dry
<.51:
S
0.5
0.2
82225
9267.5-
2
15.9189
#######
Corn-
3
4/14
123500
1,603.9
4.9
6.3277
Tarheel Plant -
Dry
<.5"
S
0.5
0.2
82225
9267.5
2
12.6025
#######
`-Corn
4
4115
195000
2532.5
4.9
0.5175
Tarheel Plant
Dry
<.5"
S
0.5 ..
0:2
82225
1 9267.5
2
19.8986
#######
Corn
5
4116
253500
3292.2
4.9
0.6727
Tarheel Plant
Dry
<.5"
S
0.5
'0.2
82225
9267.5
2
25.8682
#######
Corn
6
4/17
195000
2532.5
4.9
0:5175
Tarheel Plant
Dry
- <•5" .
S
0.5
0.2
82225
9267.5
2
19.8986.
#######
Corn
7
0.0000
0 -
0
8
-0
0.0000 .
0
0
9
0
0.0000
0
0
10
0
0.0000
0
0
11
0
0.0000
.-0
0
12
TOTALS:
12662
::::::::::::::::
As
Cd
Cr
Cu
Pb'-
H
Mo
Ni
Se
Zn
P
PAN 1
PAN 2
Lime Applied
Annual lbs/acre
0.0155
0.0103
03829
2.4683
0.0543
0.0021
0.1125
0.3493
0.0259
13.8421
95.8595
99.4932
0
Date
lbs/ac
Current Cumulative Ibs/ac
0.0155 :0.0103 0.3829 2.4683 0.0543 0.0021 0.1125 1 0.3493-0.0259 113.8421 ::::::::::::::::::::::::::::::::::::::::::::::::::::
- 0.0000 00000. '0:0060 0.0000 0.0000. 0.0000 0.0000 0.0000. 0.0000 0.0000 :`:
9 250 1000 1250 500 •• ........... _ .................
200
2000'
Prior Years Cumulative lbs/ac
Permitted C. P.'-L. R.* * *
Permit P mt lst/2nd.Crop
AN Limit
• 1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
-designed to assure that qualified personnel properly gathered and evaluated "the information submitted. I am aware that there are
_significant penalties for submitting false information, including the possibility of fines and imprisonmentfor knowing violations."
1/15/2014 *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 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)

OWNER: Linda King
906 King Road
St. Pauls, NC 28384
Phone: (M) 910-865-5584
OPERATOR: Hinton McCall King, Jr.
770 King Road
St. Pauls, NC 28384
Phone: (M) 910-740-2438
Shelia Sellers
312 James Avenue
Hamlet, NC 28345
(M) 910-582-2323
Site ID
Field #
Crop
Total
Acres
Net
Acres
Predominant
Soil Series
Mapping
Unit
SF08
01
Com,SB,Sm.Gr.
8.5
7.5
Goldsboro
GoA
SF08
02
Corn,SB,Sm.Gr.
19.0
17.0
Goldsboro
GoA
TOTALS=
27.5
24.5

Division of Water Resources
NIX
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
l� 1
:,,,ase use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class S residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
e undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
G(--
Fo - 0A
Yes
c.�cgo s
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's permit for the residuals land application program and
r - fall be -renewed each time this permit is renewed.
"—ine undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Pagel of 3

I. STIIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste,. etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the, residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on.the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
l 5A NCAC 02L .0I07(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0I05(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new nrogram:
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
r� a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor; or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:15�'9Z> �C-`C :7', f CC�%n.S°
Address: L+n�G ^ �( in4 go( 5%e_: �e ky-5 IMPS Qn. ' -4viinki, IIJG a233f(5
City: �. ea'As State: Zip: a 3Fst(
Phone (M96 6-99 r( 1/ `?/0) SS,9-a303 E-mai address:
Signature: OAADate: — j '" 19
NORTH CAROLINA, COUNTY
1, the undersigned Notary Public do hereby certify that L.' a/a
Flo@9a®A
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.®v®e�V4T C<
�
WITNESS my hand and official seal this the
day of iebrua
Signature and seal:
My commission exp
Lessee's/Operator's Certification:
I certify that I have read this Agree ent and do hereb:
Lessee/operator name: �; ✓ (/ "' o
+oTAq$-
agree to abide by the stipulations and restrictions as specified herein.
Address: �� Alhr Rce I
City: 57 ( U State: % Zip: '1 �3 5> L(
Phone: _ �/o ZVC? a V 3 5 E-mail address: A' e" ri cr/ 9h df ao
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
r �
FORM: LOA 06-16
Date: ) /3 / Z
Page 3 of 3

M MMA= XMap® 8 .
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SITE: SF08
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0 0.3 0.6 0.9 1.2 1.5 km
0 0.2 0.4 0.6 0.8 1mi
340 45' 00"N, 780 52' 52"W (NAD83/WGS84)
US(GS Northeast Lumberton (MCA) Quedsang0e
Projection is UTM Zone 17 NAD83 Datum TOPO MAP
LINDA KING / SHELIA SELLERS
SITE: SF08

r � •
'� r.
� � f/fir/
�
• •
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Inc.
ALL APPL'CAT1(C)NAREA MAPS PRODUCED
By EMA 1' I S GRE . S q E�TC. STAFF . C' l USE THE
1 1
1OE.E:OW1aG LEGEND. THE APPLICATION
AREA .°. P °a . l' ALL l _ ORIENTED S
NORTIRT BEING UI"
Legend
seaae=at= Stream
ApplicationArea OnSiteWe11
j Drain OnSiteH®use MlteWell
E= urfaceWater FM MiteHouse(SWAA) Q SoilDescription
x — x - Fence 0 OftteHouse unsuitable1= :r
PropertyLine Outbuilding
Phone 336®75191441 —Fax 336©751e1442
755 Y'adkinville Road — Mocksville, NC 27028

SITE: SF08 TM
FIELDS: 01 & 02 "a" e'""

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
-PLEASE MAKEA COPY OF,THIS BLANKFORM TO BE COMPLETED AND SUBMITTED FOR-EACI3`APPLICATION FIELD".
PLACEA`N/A" IN.ABLANK OR BOX.WHEN NOT APPLICABLE`. :.
Facility Name: Smithfield Packing Co. Permit #: WQ0014868 Annual Dry Tons Applied:, 17.301
Owner: Hinton McCall King •Operator: _ , - ; Hinton McCal1 King, Cation Exchange Capacity.(non 503): 3.9: .
Site #: SF8 Field;#: 1 Acres Utilized 7.5 Acres Permitted: 7:5
i
%
itel.
the
In s
Apple
Vola,'
Miner-,
Ammo
Ni-Mus
-tSelectResidual
Totals
Dry Tons.Per
"
Cond.
Precip.
cation
till ,
ali=, .
nia-
trate•
Cro 1 or Cro_5.Nd.
P - p
F
oPer
Solid
;.'=Acre
Sources
(Summarize)
Dry
Past 24
1Vleth=
zation
zation
T KN
Ni-
,
and.
AN -1.
P
PAN"2
2
ort
:
Crop 1"
_Crop 2
al's.
Acre
s
f
Wet;
-Hrs.
od*" .
Rate**
Rate
_-
trogen
Nitrite
.,
*.al:
10/27
:' ;91000
-121'33"
4.56.
2.3072•
Tarheel-Plant
". Dry'
<.5"'
S
0.5
0.2
..70400
9650
1
•78.3333
#######
Wheat=,
. • _
1-
:0
0.0000
0
0,
3
0
0'.0000
0
0
5
' 0
..
0.0000
0.
-0
:6
0"
0.00'00
0
0..
7.
0 -
- . 0.0000
:.
-
0
-0.0000
_
..,
0 .,
0
10
TOTALS:
12133
........:
As
Cd
Cr
Cu
Pb `
H
Mo _
Ni
Se •
"Zn
T.
PAN, 1
PAN 2
Lime Applied
Annual lbs/acre
0.0138
.0.0046
0:3645,
:3.4147
0.0554
, 0.00l&.
0.1061
0:3461'
0.0277
14.5354
106.593
78.3333
0
Date .:
Ibs/ac.
Current Cumulative lbs/ac
0.0296 ," 0.0093 0.730 •- 5.9376 " 0.0973 ' 0.0031'- " 0.2085 0.6114'• 0.0505 28.7325
0.0158 0.0047- 0.3724 2:3229= 0.0419 0:0019 0,1024 0.2653 0:0228 14:1971
9 . 250 1000 _ 250 : ` " - :500 . ......... :_•
:........:... : :.. ...;
•....•.-.•._.•. -
::::::::::::: :::::: .:}::::.:::::.: 100
Prior Years Cpmulative�lbs/ac,
Permitted C. P. L." R: * * *
Permit -PAN Lima 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 ant aware that -there are
significant penalties fnr cuhmitting false,information' including the- possibility of fines.and�imprisonment;for knowing violations."
Lv " f-
1/9/2012 _ *Application Method: S - Surface,'IN Injection', INC'- Incorporation
Signature of Land Applies 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-Acreare to be•entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information ne'eds-to tie entered into'
the same numbered column on the MFLSF as is entered on the identicallynumbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column #1'
: DENR FORM FSF (5/2003)

i
OWNER: Hinton McCall King, Sr. &
Elizabeth C. King
831 King Road
St. Pauls, NC 28384
Phone: (H) 910-865-5254
(M) 910-740-5255
OPERATOR: Hinton McCall King, Jr.
770 King Road
St. Pauls, NC 28384
Phone: (M) 910-740-2438
Hinton McCall King, Jr.
770 King Road
St. Pauls, NC 28384
(M) 910-740-2438
Matthew C. King
515 King Road
St. Pauls, NC 28384
(M) 910-322-4423
Site ID
Field #
Crop
Total
Acres
Net
Acres
Predominant
Soil Series
Mapping
Unit
SF08
03
Corn,SB,Sm.Gr.
97.0
89.5
Marlboro
MaA
SF08
04
Corn,SB,Sm.Gr.
69.0
64.5
Norfolk
NoA
SF08
05
Corn,SB,Sm.Gr.
50.0
46.0
Goldsboro
GoA
SF08
06
Corn,SB,Sm.Gr.
26.0
21.5
Norfolk
NoA
SF08
07
Corn,SB,Sm.Gr.
41.0
35.0
Goldsboro
GoA
SF08
09
Corn,SB,Sm.Gr.
49.0
45.0
Coxville
Co
TOTALS=
332.0
301.5

+ State of North Carolina
10
n Department of Environmental Quality
Division of Water Resources
Divislon of Water Resources i " 15A NCAC 02T .1100 — LAND OWNER AGREEMENT
S FORM: LOA 06-16
r7
__,-kease use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of 'additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for.:the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application .and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
tie undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following fhMity(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
'C430Z-
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's permit for the residuals land application program and
fall be renewed each time this permit is renewed.
_,1.4e undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of and 12 months after termination of, this Agreement.
RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T.0I05(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the -compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: . is currently permitted under another
—� residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
\_ into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized; through
a power of attorney or other legal =delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
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 /'C.�7r''O`� . 20
Signature and seal:
My commission exp
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.
Lessee/operator name: " HV1aYVJ.0 +41VJ�tg
Address: -5 (Jj K -1 1 tj 0 Q 11 /1 I�
Zip: a�3��1
K(� ao(.��Yr
Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified' herein.
Signing off
Signature:
FORM: LOA 06-16
Page 3 of 3
HC-4

WA,.
Dlv°� ision of Waterlosources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
i
cease use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's .Non -Discharge Permittf Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .l 100. Do not submit
this agreement for review without a corresponding application forth (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. PIease do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/6peraton
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
►e undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
6F0.3- 04
YcS
oLDc2o45
IRm
ell
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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.
'"'pis Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
all be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
- Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
r \ RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
I11.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
�\ agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new Droeram:
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
--� a power of attorney or other legal delegation, to make decisions regarding the use of the land application sites) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: O 41� qc�
City: . �ct.u.� _S .� / �[ G 2Y
q State: zip: e2 3� �l
Phone: _ / �� 2�6 ' Ja''SS/ E-mail address:
Signature: Date: 24r1l i
NORT CA LIMA, COUNTY
1, the undersigned Notary Public do hereby certify that 91ti �on A • Z.5 Jar 'ae
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the Qo®®�04T e
day of rrl;iUal 2019
Signature and seal: z//. Z
My commission expires: Foy
Lessee's/Operator's Certification:
z
I certify that I have read this Agreement and do hereby agree to abide bythestipulations ands restrictions as specified herein.
Lessee/operator name: 1 qW1P_( SD . Ki)c 4- of 11--9i7 fq qn, I � I�l ,d ,
Address:
City: JA , P(A <_
Phone: (0 "
Signature:
er
Permittee's Certification:
51� �
State: _ �. zip:
E-mail address: 00 C(a ao ( . Cesrn
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:
Signature:
FORM: LOA 06-16 Page 3 of 3

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r 4 °,�tr ,r>ra,. '�.q�.J Y�`� �. t;' - � qc �`:n�u'���^ �,a"K w• •'�- ]] I �, - z s c a(f � � � �'-
i t3 �'viti P o w,- *, •r t-e,. s �
r r 't• v.{r r1J4 , > • J! X �trt a t 7f•Yi p
ter
.4
f wy J t C M € t��R �. s r n tw b✓� , ,Y -� zt•c rx c
i ',n ✓ ,
� y i•F;"C. „ A ..r""_'"� cZ J y7eS r' �,,s a wY � i
at t f.�Dx r�' x•:. � 1 E � rf'� t � T �. ""•1 i u -aN rx t� .
fi I ,•Y c r+!" iJ�': Sy ratz ,� ' a GJ.. x,yr .,-y,.L`+Yl�•�'.4s� - r�� 'iF• .
' � �.. T t i 7f."ak�} I ' .; r � x� .y �`it`•taKF'J � a �is � y rdkr
0 0.3 0.6 0.9 1.2 1.5 km
0 0.2 0.4 0.6 0.8 1 mi
340 43' 21"N, 780 55' 46"W (NAD83/WGS84)
Projection is UTM Zone 17 iliAD83 Datum
T®PO MAP
HNT®N McCALL KING
SF08-05

Fq �yqp
ILn� / it i, as
a�Vpozo; •'� �'�'` •�
o!� 32U.3r4{�amn: �C
Ily
i 74Jr 1
6932
Lp
yfj
x
J '•4� 4 't
� �• t t 1 �l11 ^i � '' S . � 'i (fin'' _.
•' e♦ +, 'y f gym. f , i. - 1 _•� ''ba•' -�' �;:..,,�IL+%
\\ 6111 1
4 r ,� •. s � t i I �_� 11
is � �.•�•. ��UJ - � �.. •:
��. _��' r;�r' yr= /, �~�' Y `•.'�f .,�?;< ,p
`i •F S , {�r i _••� ti ._Iu f I t .,�.% y,_ ..F.
1 {tpt{�� � � it 1 � ' � • � '• �T. D . ` � / (
/��., � „.�, `j '�SY . �.+,,e• �COS)
1
tl .ice
� I� •�• t _ R � b } ,t � f s icy `. J.!•f
t �Y•• .r'� b �g1i�.�i _—�y1�•�. +••iM i \. �1 G +.'-. �..�.// i'ti� ' f tr� { ..-'.:,
0 0.3 0.6 0.9 1.2 1.5 km
0 0°2 0°4 0.6 0.8 1 mi
340 43' 51"N, 780 55' 52"W (NAD83/WGS84)
USGS Northeast Lumberton (MC) Quadra6ngge
Projection is UTM Zone 17 NAD83 Datum
T®PO MAP
HINTON NlcCALL KING
SF08-06

{:r3,�'! ;4�•�:r�tlL•p3a{ate 1-c ( � � � '� •`
x
- -••.� _ I _ ilk. .- � ' a __�.,-__=r--rx.--�.
j�fl.' -�/�" �, %y. ,'�'�=..=sue. ' �. `Fr'i.� I `_•• .. /� �� '
� ti3 I +1 y{ t i •• � •� �� .
•+'!e._. t
yf--•�-.•--- Y----� .. �.__..-- •'' t xf +,{ cK __ b .-..--•i-:—.- v ri s�+• w Y x .� ' . '
i - r l A ii'1✓ ,a^7 y � _ *' � � �
�RF �}���.�"f �to n..�� -r � Fi • Z �� �. r,'tC' i>sF I`r. 5 -
�I�e +p,�p I } �Iti dF t ` l
{ 1'F.j l �. S- Yr ' .ItiYtyliCrlr 4 Y S a r Y 79TN h L
lYY _
Lj
0 0.3 0.6 0.9 1.2 1.5 km
0 0.2 0.4 0.6 0.8 1 mi
340 43' 20"N; 780 56' 35"W (NAD83/WGS84)
USGS Northeast Lumberton (MC) (Quadrang0e
Projection is UTM Zone 17 NAD83 Datum
TOP® MAP
HWT®N McCALL KING
SF'08-07,08

" 'k
0 0.3 0.6 0.9 1.2 1.5 km
0 0.2 0.4 0.6 0.8 1 Mi
340 46' 38"N, 780 57' 55"W (NAD83/WGS84)
USGS Sa"Ont.Paugs (MC) Quadrang0e
Projection is UTM Zone 17 NAD83 Datum
TOP® MAP
HINTON McCALL KING
SF08-09

H. Uc�--41:
King, Sr.
& Elizabeth
C. King
I/
a-
l
r-le7
m
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-r ---- -' _..
•, -'- --- -. � � _ _ � - -- - -ice �' .,
i
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4ti
,
e
r

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CT
CD
CD
OVERVIEW
MAP
1.cCALL,
SR. & ELIZABETH
C. KING
SF08
30,00 ft
m
":)k

Inc.
ALL PP i*, l l OAREA
MAP
PRODUCE
IrRODC. I
Byi ' . �� l'� l `� �� C. l°w INC.STAFF •; i ' l 8 r ay yp
FOLLOWING
�,� �7 ll \/� y�i � LEGEND.
� t � d ��Y 1
AREA MAPS AR-E ALL ORENTED AS
NORTH G l I.i 1:D i . 11", u i" .
IMMU macro t ea 11
Drain
SurfaceWater
Fence
PropertyLine
ApplicationArea
E9
OnSiteHouse
MiteHouse(swAA)
OffSiteHouse
Outbuilding
.{ Phone [phone]a1441 —Fax 336o75101442
755 Yadkinville Road — N.focksville, NC 27028
i
OnSiteWeil
MiteWell
SoilDescription
Unsuitable :.

HINTON MCCALL KING, JR.
SITE: SF08
FIELD: 03

•
I

r
c i'
� �"'� �' � ! r' ,���7!r 1 I•i ra. � y rp+ Syr '�F '.
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i.
1 0

'yV
jkl,-

JI I C. Jruo TN
FIELD: 09 WN�e.o

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: SmitlTield Farmland Corp.
Land Owner: Hinton King
Operator: Hinton King
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: 59.0.7_J Site #:
Predominant Soil Series: Map,
Crop 1 Name: Wheat Crop 1 Max. PAN: 121 Crop 2 Name:
SF08
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
89.5
89.5
3.2
°
° °
Q
Volume applied
PP •
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
lied per
Applied p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES # WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
wry'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
,Y
E -
o 0
a 8
o
�'
'~
�,
X. 1
?;
�
w g
* -••
0
TKN
mg/kg
1 54900
z >
:,
o
ac o
C, E
�,
mg/kg
13900
Nitrate
and
Nitrite
mg/kg
1 1.05
PAN Applied
( Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
11/16
123500
1.21
'- 0.070
Tarheel WWTP
Dry
<.5"
S
1 0.5
0.2
2.1'1�0
NA=_
Wheat
H/17
117000
1.21
0;066 _
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
1.999
NA
Wheat
11/18
110500
1.21
0:062
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
1.888
NA
Wheat
11/21
136500
1.21
0077 "
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05�NA
Wheat
11/22
117000
1.21
0:066 - -
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
d.9A9
-N
Wheat
11/23
117000
1.21
0.066
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
f1 §.99
;NA
Wheat
11/28
104000
1.21
6!059
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
1.77:7- _
NA
Wheat
11/29
136500
1.21
Q:077
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
2,33-
NA
Wheat
11/30
117000
1.21
'_ 0:066
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
J.999 _.
^2.452
"NA _
Wheat
12/1
]49500
0.44
0:031
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
80000
80000
1.07
NA
Wheat
12/2
104000
0.44
0:021
Tarheel WWTP
Dry
<,5"
S
0.5
0.2
80000
80000
1.07
1.706
-'NA
Wheat
i0:000
0.0.00
NA
Wheat
_
_
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
_
-
.........
..........
TOTALS:
0
77-i332"sob
;>::::5.'..
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
22:59q
0:000'_
Lime Applied
Annual lbs/acre
'6:004 , ..
0.003 _
0.096
0.012
_0.007
0.'001
0:017
, '."007 i
_ 0. 07 '
_ 0.1154.
. '25.411
1:::::­­ ;::::::::::::::::::::::::::
Date
lbs/ac
Prior Yeats Cumulative lbs/ac
0.049
_ _
0.053
0.023
0 026.
9
10.477
' 10 573. _
250
1.365
-
_!1.377-
0.18
OJ87_
1000
0.606
OiO07 _,
0.323
... - ..
, _ 0.340- ;
1.125
-
. 1.132' i
250
0.084
_ ..
; _0.091 _r.
50.13
_50' 284
500
:=:
:.:.:.:•:•:.;:•:•:•:•:.:.:.:.:.:.:.:..:. • ..... .
::.:.:_;:.:.:::.:.:.:.:.:.:.::..::.:.:..::.:.:.:.:.
:.....................•........ .
2000
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PLimit
AN L mit stl2nd r 1 Co P
121
"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
1/30/2017 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of.Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TOBE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Farmland Corp.
Land Owner: Hinton King
Operator: Hinton King
Crop I Name: Wheat
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: i 59.02 Site #:
Predominant Soil Series: NoA
Crop 1 Max. PAN: 125 Crop 2 Name:
4
SF08
Acres Utilized:
Acres Permitted:
64.5
64.5
Cation Exchange Capacity (non 503): 2.9
Crop 2 Max. PAN:
°
° °
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume
A lied per
Applied p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste etc)
Soil
Cond.
(D�'
Wet,
Moist)
Precip.
�4
Past _
Hrs.
inches
>
�,
0
o ?�'
o
;,y
w _
c, _-
o
v
co
o
TKN
mg/kg
54900
z �
-
o S
o
cl R.
mg/kg
13900
Nitrate
and
Nitrite
mg/kg
1.05
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/31
78000
1.21
0061
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
1.849
NA•
Wheat
11/1
-136500
1.21
'0j07,
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
3,.236.
NA.
Wheat
11/2
136500
1.21
0.107
Tarheel WWTP
Dry
<.5"
S
OS
0.2
54900
13900
1.05
3:236
! NA
Wheat
11/3
136500
1.21
0107'
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
313'6
NA
Wheat
11/4
45500
1.21
0-036
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
1.07,9.
;_^NA
Wheat
11/7
104000
1.21
=0081�_
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
2.465
NA
Wheat
11/8
97500
1.21
' V06076 _
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
2.3T1 _
NA
'Wheat
11/9
130000
1.21
_0:101
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
3.082.
NA i
-'
Wheat
11/10
136500
1.21
_ 0.107 -_
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
3.2_36
_ -.A. :
Wheat
11/12
78000
1.21
0.061
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
1.849
NA
Wheat
11/14
6500
1.21
0:00$ . �
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
0.1'54 .
NA j
Wheat
11115
84500
1.21
- _0:06G:
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
54900
13900
1.05
2.003
_ NA
Wheat
_-
_
_
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
_ ...
TOTALS:
0
1470000:
::::::::.:.:::
As
Cd
Cu
Cr
Pb
H
Mo
� Ni
Se
Zn
P
27:734.
-;0 000; 1
Lime A lied
Annual lbs/acre
0:005
0.033
.0:038
_ 0.004 _
0.015
0.019_
9
0:115
7.219
,-:7.3-34
250
0,017-
0.55
0:567
1
0.009
0.122
0:13;1 _
1000 1
_0:00'1^
0.004
0-.005,-
0,024_
0.247
0:271
0.01`0
0.731
0.74:P
250
0:009
0.059
0:068
0.183
36.926
500
34.770 :::::::::::::?`::::::::::::
:"**"*:�:�""*':':�:':*:"*".'**"'******"""**,:,:
...........................
...........
Date
lbs/ac
Prior Years Cumulative lbs/ac
2000
Current Cumulative Ibs/ac
Permitted C. P. L. R.****
rmit PAN Limit 1 st/2nd
PeCrop-
- -
2
15
"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
1/30/201 / **
Signature of Land Applier
Date
Volatilizat►on Rate. Surface - 0.5, Infection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

SITE MONITORING REPORT
In pounds per acre
Project: Smithfield
Owner: Hinton McCall King
Permit #:
WQ0014868
Crop:
Wheat
Weather Code
2
Operator: Same
Field #:
SF8-06
Acres:
21.5
Site Code
2
Application
Method
Surface
Date
Gallons
% Solids
GaMo
Dt1Ac
PAN
NO3•NO2
NH3
P
K
Pb
Zn
Cu
Ni
Cd
As
Hg
Se
Mo
10/15/08
6,500
4.14
302.3256
0.0522
1.7109
0.0093
1.0856
3.8101
0.5846
0.0010
0.3434
0.0611
0.0056
0.0001
0.0003
0.0000
0.0006
0.0026,
10/16/08
156,000
'4.14
7255.814
1.2526
41.0612
0.2230
26.0547
91.4419
14.0294
0.0251
8.2423
1.4656
0.1353
0.0025
0.0073
0.0010
0.0150
0.0626
10/17/08
39,000
4.14
1813.953
0.3132
10.2653
0.0557
6.5137
22.8605
3.5074
0.0063
2.0606
0.3664
0.0338
0.0006
0.0018
0.0003
0.0038
0.0157
4.14
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
4.14
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
4.14
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
4.14
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
4.14
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
4.14
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
4.14
0
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000.
0.0000
Totals:
Annual:
201.500
9372.093
1.6180
r 53.037
00,2880
33.6540
118.1125
18.1214
0.0324
10.6463
1.8930
0.1747
0.0032
0.0094
0.0013
0.0194
0.0809 '
Total Cumulatives:
0.0324
10.6463
1.8930
0.1747
0.0032
0.0094
0.0013
0.0194
0.0809
Prior Years Cumulatives:
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
Annual Dry
Tons
34.7866
SOIL MONITORING
Soil pH Lime Appl. Ton/AC
Weather Code: 1) >90F . 2) 70-90F 3)32-70F "" ' A) Less than 1/2 inch rainfall B) Greater than 1/2 inch rainfall in past 24 hours
Site Condition Code: 1) Excessively Dry 2) Dry 3) Moist 4) Wet
I, . representative of EMA Resources, Inc., hereby certify that this site was operated in compliance with the conditions of Nondischarge Permit No. WQ0014868.

\ . ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKER COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH.APPLICATION FIELD.
PLACE A "N/A INA BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Packing Co.- Permit #: WQ0014868 Annual Dry Tons Applied: 13.60
Owner: Hinton McCall King Operator: Hinton -McCall King Cation Exchange,Capacity (non 503): 5.1
Site #:. _ SF8 Field #: ' , 7. Acres Utilized: 35 Acres Permitted: 35 .
_~
o
0
A
SpeciN
Totals
Per
Acre
-
o
/o
Solid_
s
Dry Tons Per
Acre
Residual
Sources.
(Summarize)
Site,
Cond.
D
Wet'
Inches
Precip.
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
" 2
*:
Gat.
CuNd..
:::
:=
Report
Totals
in Gal.
Crop 1
Crop 2
71/7
71500
2042.9
4.56 '
0.3885
Tarheel Plant
Dry
<,5"
S
0.5
0.2
70400
9650
1
13.1888
#######
Wheat
1
0
0
0
0
2
0
0
0
0
3
0
p
0
0 :.
4
0
0 :
0
0
5
0
0-
0
0
6
0
0
0
0
7
0
0
0:
8
0
0.1 ..
0
0
9
0
0
10
0
0
0
0 °
11
0
0
0
0
12
TOTALS:'
2043
::::::::::::::
As
Cd
Cr : '
Cu
Pb
H .
Mo
'Ni -
Se'
Zn
P
PAN 1
PAN 2
Lime A lied
Annual lbs/a6re
0.0023
0.0008
0.0614 1
0.5750.
0.0093
0.0003
0.0179
0.0583
0.0047
2.4476
17.9487
13.1888
0
Date
lbs/ac .:::::
Current Cumulative lbs/ac
0.0023 0.0008 6.0614 0.5750 .0.0093 0.0003 0.0179. 0.0583 0.0047 2.4476::::::::::::::::::::::::::::::::::::::::::::::::
'0.0000 0.0000 0.0000 0.0000- 0.0000 0.0000 0.0000 0.0000 0.00.00 0.0000 ::::
9 250 1000 250 500
10 0
2000
Prior Years�Cumulative lbs/ac
Permitted• C. P. L. R.***
Pe nett P Limit
AN unit 1 st/2nd Crop
p
-JL ceruiy, uuuer penalty of law, tnat ims aocument was preparea unaer my airection 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 snhmitting.false`information,-including the possibility of fines and imprisonment for knowing violations."
1/9/2012 *Application Method: S - Surface, IN -Injection, INC - Incorporation ..
Signature of Land Applier Date **Volatilization Rate: Surface 4.5, Iniection/Incornoration - to
***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)

OWNER: Musselwhite Family Trust
Wayland P. Musselwhite, Trustee
7819 Fisher Lane
Wilmington, NC 28412
Phone: (N) 910-200-4674
OPERATOR: Matthew C. King
515 King Road
St. Pauls, NC 28384
Phone: (H) 910-865-5254
(M) 910-740-5255
Site ID
Field #
Crop
Total
Acres
Net
Acres
Predominant
Soil Series
Mapping
Unit
SF09
01
Corn,SB,Sm.Gr.
40.0
36.0
Wagram
WaB
SF09
02
Corn,SB,Sm.Gr.
31.0
27.5
Goldsboro
GoA
SF09
03
Corn,SB,Sm.Gr.
10.5
9.5
Wagram
WaB
SF09
04
Corn,SB,Sm.Gr.
26.0
25.0
Wa ram
WaB
TOTALS=
107.5
98.0

D5,--__-
D117,-ttt
lvision of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
c
l 10 — vZ DO — -f 6 C ORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General —This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .l 100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
'ie undersigned landowner or his representative hereby permits:
Applicant's name: Smithfield Fresh Meats Corp.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or.
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
FDA - O I
0-5
� o,a
c r0aeZ
root -,> 2
Ye--5
�6 �' CR a
t- - e6-
r
/p�
O
Lli _5
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.
r-71ais Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
Mall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. .
FORM: LOA 06-16 Pagel of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement. '
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
— 3. The landowner or his representative shall adhere to the. provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWIZ, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
RESTRICTIONS:
-' 1. Appropriate measures must be taken by the Permittee and/or the Iandowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0I07(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized
/- a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalt of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: a SS C ti,�7l{�7GC r/i4 ruZ� Zec
Address:, r 7Y % �'/ C=R5/few C oz/e
City: State: !b Zip:
Phone: 2/0 - - / % E-mail address: 9' '-
Signature:
I
NORTH CAROLINA, /U e-a 146 noV 1 / COUNTY
I, the undersigned Notary Public do hereby certify that Wci r
personally appeared before me this day and acknowledged the due execution of the forgoing instrument. p® T
WITNESS my hand and official seal this the
day of i =t5�. �,, , 20 / 9
0
Signature and seal:
My commission exp
Lessee's/Operator's Certification:
I certify that I have read this Agreemand d hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
f
Address: 6 lz;A` s
City: 2a.� CS State: C Zip:
'.9 �3s�
Phone: /6 o - 5�9 E-mail address:
,.
Signature: !�� � , Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
Date:
FORM: LOA 06-16 Page 3 of 3

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0.2 0• mi
• 4.

ALL . i . i, P d . i A i OAREA MAPS PRODUCED
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E AppmcATION
AREA
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NO
i'� i:l B .HQ n ii;
Legend
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Drain
SurfaceWater
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Fence
PrcpertyLine
AppiicaticnArea
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OnSiteHcuse
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Off8iteHcuse
>_ Outbuilding
Phone 336oMeI441 —Fax 336e75I©I442
755 Yadkinville Road — Mooksvilie, NC 27028
ScilDescripticn
Unsuitable :.

SITE: SF09
FIELDS: 01 & 02

x
' ,G,..! , r`-- - a., "' ` � �� \ _ y tab .F.••,'
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1 180 860 540 1
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APPLICATION, . 1
�.

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: Smithfield,Packing Co. Permit #:. WQ0014868 Annual Dry Tons Applied: 6733
Owner:
Douglas Musselwhite
Operator:
Douglas Musselwhite
Cation Exchange Capacity (non 503):
Site #:
SF09 " Field #:
1
Acres Utilized:
36 Acres Permitted:` 36
3.2 ..
o
o
A �
Specify
Totals
Per
Acre
%
Solid
s
Dry Tons Per
Acre
Residual
Sources.
(Summarize)
Site
Cond:
Dry,
Wet,
Inches
Precip.
Past 24
Hrs.
A 11
pp -
cation
Meth-
od*
Vola-
tili-
zation
Rates*
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
Gal.
Cu.Nd.
::
:=
Report
Totals
in Gal.
Crop 1
Crop 2
4/8'
58500 -
1625
4.9
0.3320
Tarheel Plant
Dry
<.5"
Inj
1
0.2
82225
9267.5
2
15.8454
#######
Beans
1
4/9. ,
91000
2527.8
4.9
0.5165 ,
Tarheel Plant
Dry
<.5" '
-Inj
. 1
0.2
82225
9267.5
2
24.6485
#######
. Beans
2
4/10
104000
2888.9
4.9
0.5903
Tarheel Plant
Dry
<,5"
Inj
1
0.2
82225
9267.5
2
28.1697
#
"Beans
3
4/11
78000
2166.7
4.9'
0.4427 -
Tarheel Plant
.Dry
<.51,-
Inj
1
0.2
82225
9267.5
2
21.1272
#######
Beans"
4
0
0.0000
0
0
7
0."
0.0000
0
T 0-
6
0
0.0000
_
0
0,
7
0
0.0000
0
0
8
0
0.0000 '•
O ' -•
0­
9
0
0.0000
0
0
10
0
0.0000
0
0 '
11
0
0.0000
0
0
12
TOTALS:
9208
::::::::::
As
Cd
Cr
Cu
Pb
Hg
Mo
Ni
Se
Zn
P
PAN 1
PAN 2
Lime AMied
Annual lbs/acre
0.0113
0.0075
0.2785
1.7950
0.0395
0.0015
0.0818
0.2540
0.0188
10.0660
-69.7096
189.79081
0
Date""
lbs/ac
Current 'Cumulative lbs/ac
. 0.0113 0.0075 . 0.2785 1.7950 0.0395 0.0015 0.0818 0.2540 0.0188 10.0660:':::::::::::::::::::::::;::::::::::::::::::
o o ::0 - 0 0 0 0 0 0 0
9 250 1000 250 500 ..........•.•....................
200
:•.
Prior Years Cumulative .ibs/ac
Permitted-C. P. L. R:***
Permit P ' it 2
AN Lim 1st/ nd Cro P
661 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 penaltieq for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1/15/2014 *Application Method: S - Surface, IN - Injection, INC - Incorporation
`Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incoru_ oration -1.0
.***C.P.L.R.: Cumulative Pollutant LoadinLy '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 BLANKYORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A.."N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Smithfield Packing Co. Permit #: WQ0014868 Annual Dry Tons Applied: 8.13
Owner:' Douglas- Mu' sselwhite Operator: Douglas Musselwhite Cation Exchange'Capacity (non 503): 3A -
Site #: - SF09 Field-#:3 _ Acres Utilized: 9.5 Acres Permitted: : 9.5
oPer
Totals
Acre
%
-Solid
s ' .
Dry Tons.Per
Acre..
,: •.
Sources•
(Summarize)
ite.
Cond.
Dry,
Wet,
Inches
Precip.
Past 24
_
Hrs.:
Appli-
cation
Meth-
`od*
Vola_ .
tili-
zation
Rate**
Miner-
-ali'
zation
Rate
TKN,
Ammo
nia-
Ni-
trogen
Ni-Residual
trate '
and
Nitrite"
PAN 1
PAN'2
Must Select;
Cro 1 or Cro
p p
2
r-Report
Crop 1
Crop 2
- 3/7
39000
4105.3.
2
0.3424.
Tarheel Plant
Dry ,
<.5"
S
0.5
0.2
48433
9027
91 •
8.54968
0#00
" Beans
'1
3/8
58500,
6157.9
2
0.5136
:Tarheel Plant
Dry
<.51t--'
S__
0.5
0.2.
48433
9027
91'
12.8245
#M####
Beans
2
0 . `
. 0.0000
0
U
3.
0
0.0000
0
0 .
4
0
0.0000.
0
.0 ..
,
5
0
0.0000
0
0
6.
0..--'
-0.0000-
0
: p
'.
7
0
0.0000 ;
,
0
0'
9
.0-
0.6000.
F0
0
10
0_1
0.0000
0
0_
1 l
TOTALS:
"10263
::::: ::::::
As
Cd ..
Cr
Cu' '
. Pb
H
Mo
Ni
Se "
Zn
P.
PAN 1
PAN 2
Lime A
'lied
Annual lbs/acre =
0.0051
0.0017.
• 0.1318
' 1.1897
0,0205
0.0007
0.0411
0.1215
0.0068
5.6267
45;0768
21.3742
0 .
Date
lbs/ac
Current Cumulative lbs/ac' :
0.0051 0.0017 0.1318 1.1897-0.0205-0.0007 0.0411 0.1215 0.0068 5.6267 `:::
0 0, o 0 0 0` 0 0 0,' 0'"
9 250 1000 250 50.0
= 180
Prior Years Cumulative lb's/ac
Permitted C. P. L. R.***
Permit PAN Limit 1 st/2nd Cro P.
"I"certify, under penalty of law, that this document was prepared under my direction or supervision in accordance.with asystem :
designed to assure that qualified personnel properly gathe vd•and evaluated the information submitted: ham aware that there -are"
significant penalties for submitting false .information, including the"possibility of fines- and imprisonment -for -knowing violations."
1/14/2013 *Application Method: S='Surface,•IN - Injection,'INC - Incorporation
Signature of Land 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 thee-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)_

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Smithfield Farmland Corp.
Douglas Musselwhite
Operator: Douglas Musselwhite
WQ Permit #: WQ0014868 Field #:
Annual Dry Tons Applied: Y 56.45 ! Site #:
4
SF09
Acres Utilized:
Acres Permitted:
25
25
Predominant Soil Series: WaB Cation Exchange Capacity (non 503): 4.0
Crop 1 Name: Soybeans Crop 1 Max. PAN:
109 Crop 2 Name:
Crop 2 Max. PAN:
0
Q
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
ova
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wei
Moist)
Precip.
Past 24
Hrs.
inches
>o
o $n
0.
?»
�'
*
�
w
`� R
a
TKN
mg/kg
75025
z
o
co 0
w
mg/kg
1 10797.5
Nitrate
and
Nitrite
mglkg
35.45
PAN Applied
( )Receiving
lbs/acre
Name of Crop Type
Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/4
260000
4.25
LM
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
67 384•
NA
Beans
4/5
58500
4.25
6 415
Tarheel WWTP
Dry
<.5"
S
0.5
0.2
75025
10797.5
35.45
15.161
'NA
Beans
0.0001
Oi000
'0.000
0.000 '
0.000
6.000 •;
,0,900
;0000
0:000
0:0007•
Os000'
6.660
0.000
Oi000'
0:000
0:000
A000 _
#--.,
0.000 _
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
TOTALS:
- '0
-3,18500:::::':::::::
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
_,82.546
0:000 _.
Lime A lied
Annual lbs/acre
0.014
0.0154
- -
�6M9 _
0.009
0.0051
0:044. ''
9
0:43.6
3.5566
-
_.02
250
2.425
0.394
-2:819 _
0.279
0.0614
_
-_0340 ;
1000
'0:002
0.002
_
�- 0.004
0 086
0.1228
0.209
0.279._
0.3633
6649,,
250
0.623
0.0205
_
0.043
14.429 :.,130.,400
16.8209
-
3t1;.250
500
:::::::::<":::::""*-:55::::::::
:::::::::::::::::::::::: ::::::::::::::::::::
...........................
.......................•....
.:.:.:.:.:.:.:.:.:.::.:.:.:.:.:.:.:.:.:.:.:.:.
.............................
Date
lbs/ac
Prior Years Cumulative lbs/ac
2000
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1 st/2nd Crop
109
"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
1/22/2015 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)