WQ0023306_More Information Received_20230118

Initial Review
Reviewer
Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.) *
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other
Permit Number (IR) * WQ0023306
Applicant/Permittee City of New Bern
Email Notifications
...............................................................................
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Name* Jordan Hughes
Email Address*
[e-mail]
Project Information
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
2526397527
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
hftps://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Perm it Type:*
Wastewater Irrigation
High -Rate Infiltration
Other Wastewater
Reclaimed Water
Closed -Loop Recycle
Residuals
Single -Family Residence Wastewater
Other
Irrigation
Permit Number: *
WQ0023306
Has Current Existing permit number
Applicant/Permittee Address*
PO Box 1129, New Bern, NC 28563
Facility Name*
City of New Bern Class A Residuals Program
Please provide comments/notes on your current submittal below.
Additional information for permit renewal review as requested by Mr. Erick Saunders on
9/7/2022.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
20230117191321788.pdf 5.55MB
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order and
made payable to the North Carolina Department of Environmental Quality (NCDEQ).
I also confirm that the uploaded document is a single PDF with all parts of the
application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
011i= :0- W,001.1
Submission Date 1/17/2023

AW-
NEW BERM
CITY OF NEW BERN
Department of Public Utilities
Water Resources
527 NC Highway 55 West, P.O. Box 1129
New Bern, NC 28563-1129
[phone]
January 17, 2023
Mr. Erick Saunders
NCDEQ
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Application No. WQ0023306
Request for Additional Information
Dear Mr. Saunders,
Pursuant to your letter dated December 5, 2022, below please find the responses to your request for additional
information that are needed for completing the review of the subject application.
A. Cover Letter:
In the cover letter submitted by Mr. Tony Hawkins on September 7, 2022, Mr. Hawkins listed the
tonnage of biosolids that were hauled from the New Bern facility in 2021; however; he had inadvertently
listed the wet weight of the biosolids, not the dry ton weight as indicated. The correct dty tonnage for
biosolids for 2021 is 1,793.4 Tons, which is well within the existingpermit limits. 777is same error was
also made in the City's 2021 and 2022 annual reports, which have now both been updated to reflet the
dry weight.
B. Application Fee:
There is no requested increase in dry tonnage for this renewal cycle, therefore no application fee is
necessary.
C. Distribution of Class A Residuals(FORM: DCAR 06-16 Application:
Unclosed please find a revised FORM: DCAR 06-16, which includes updates in Section IV. Supporting
calculations for volumes are also enclosed.
D. Operations and Maintenance Plan:
No comments were noted.
E. Residuals Source Certification FORM: RSC 06-16 Form:
Enclosed please find a revised FORM: RSC 06-16 for each residual source. The quantitate justification
for each residuals source is included ivith the enclosed supporting calculations.
Everything Comes Together Here

Mr. Erick Saunders
January 17, 2023
Page 2
Enclosed please find the supporting documentation for this request and please feel free to contact me at (252)
639-7527 or Mr. Hawkins at [phone] if there should be any questions or if additional information is
needed.
Sincerely,
Jordan 13. Hughes, P.E.
City Engineer
Everything Comes Together Here

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — DISTRIBUTION OF CLASS A RESIDUALS
INSTRUCTIONS FOR FORM: DCAR 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website
General —This application is for treatment, storage, transport, distribution, land application, and/or marketing of Class A (or Equivalent)
residuals under 15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Distribution of Class A Residuals (FORM: DCAR 06-16):
® Submit the completed and appropriately executed Distribution of CIass A Residuals (FORM: DCAR 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® The project name should be consistent on the plans, specifications, etc.
® The Applicant's Certification on Page 3 of this form shall be signed in accordance with ISA NCAC 02T .0106(b). An alternate
person may be designated as the signing official if a delegation Ietter is provided from a person who meets the criteria in 15A
NCAC 02T .0106(b).
® if this project is for a modification of an existing permit, submit one copy of the existing permit.
® Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ics) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classit-ication
Major (residuals permitted for distribution > 3,000 dry tons/year)
Minor (residuals permitted for distribution < 3,000 dry tons/year)
New Permit � Major Modification
$1,310 1 $395
$810 I $245
- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional residuals sources; or includes the addition of new treatment or storage units/processes not previously permitted.
There is no fee for minor permit modifications.
C. Cover Letter (All Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
INSTRUCTIONS FOR FORM: DCAR 06-16 Page] of 3

D. Program Information (All Application Packages)
❑ Provide a narrative explaining the following:
❑ How the materials will be handled and transported from where the residuals were produced to where it will be treated,
❑ How the residuals will be processed/treated (attach process flow diagram).
❑ How leachate collection will be handled.
❑ Where the residuals will be stored until processed.
❑ How the final product will be distributed (packaging, bulk, etc.)
❑ What nutrients or other constituents (i.e. nitrogen, phosphorous, aluminum, calcium, etc.) are used or recommended as the
limiting parameter for determination of residuals loading rate to ensure that it does not overload the soil and cause
contravention of surface water or groundwater standards, limit crop growth, or adversely impact soil quality.
❑ Attach a marketability statement detailing destinations and approximate amounts of the final product to be distributed.
❑ Provide either a label that shall be affixed to the bagged processed residual or an information sheet that shall be provided to the
person who receives the processed residual. The label or information sheet shall contain, at a minimum, the following
information:
❑ Name and address of the person who prepared the residual that is sold or given away.
❑ A statement that application of the residuals to the land shall be in accordance with the instructions on the label or
information sheet.
❑ A statement that the residuals shall not be applied to any site that is flooded, frozen or snow-covered.
❑ A statement that adequate procedures shall be provided to prevent surface runoff from carrying any disposed or stored
residuals into any surface waters.
❑ Information on all applicable setbacks in accordance with 15A NCAC 02T. I 108(b .
❑ A statement that the residuals shall be applied at agronomic or recommended rates for intended uses.
E. Detailed Plans and Specifications (Application Involving New or Changes to Treatment or Storage Units)
❑ Submit detailed plans and specifications that have been signed, sealed, End dated by a NC Professional Engineer per 15A
NCAC 02T .1104(a}. Specifications for standard equipment may only be omitted for municipalities with approved standard
specifications, but use of the standard specifications must be noted on each sheet of the plans.
❑ Plans must include the following minimum items: a general location map, a topographic map, plan and profile view of the
residuals treatment and storage units as well as the proximity of the residuals treatment and storage units to other utilities and
natural features within 500 feet of all treatment and storage facilities, and detail drawings of all items pertinent to the residuals
treatment and storage units. Depict minimum separations required in 15A NCAC 02T .1108(a) on the plans.
❑ Specifications must include, at a minimum, the following for all items pertinent to residuals treatment and storage units:
description of materials to be used, methods of construction, quality of construction testing procedures to ensure the integrity
of the final product in accordance with 15A NCAC 02T .1104W(2 B), including leakage and pressure testing as appropriate.
❑ Plans and specifications must not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans and specifications. However, the plans and
specifications may be labeled with the phrase: FINAL DESIGN —NOT RELEASED FOR CONSTRUCTION.
F. Engineering Calculations (Application Involving New or Changes to Treatment or Storage Units)
❑ Submit all design calculations that have been signed, sealed, and dated by a NC Professional Engineer per 15A NCAC 02T
.1 104a .
G. Environmental Assessments (Maybe Required —See 15A NCAC 1C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: DCAR 06-16 Page 2 of 3

H. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
❑ Submit the O&M Plan in accordance with 15A NCAC 02T .l 110 and include at a minimum:
❑ Operational functions; describe the operation of the program to show what operations are necessary for the program to function
and by whom the functions are to be conducted.
❑ Maintenance schedules; may include equipments calibration, maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals, signs, etc.
® Spill response plan; including control, containment, remediation, emergency contact information, etc.
❑ Inspection plan including the following information;
N Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the selected
location(s) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles of personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature, flow,
and other operating conditions can affect the duality of the residuals gathered during a particular sampling event. The sampling
plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for residuals to meet
pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per year but have an annual
sampling frequency, may need to sample during winter months when pathogen reduction is most likely to be negatively affected
by cold temperatures.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: DCAR 06-16
Page 3 of 3

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 -- DISTRIBUTION OF CLASS A RESIDUALS
FORM: DCAR 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: City of New Bern
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ® Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Jordan Hughes, P. Title: City Engineer
Applicant's mailing address: PO Box 11.29
City: New Bern State: NC Zip: 28563-
Telephone number: 252) 639-7527 Email Address: [e-mail]
2. Consultant's name: Jordan B. Hughes, PE License Number (for P.R.): 036229
Affiliation: ® On Staff ❑ Retained (FilTa: )
Consultant's mailing address: PO Box 1129
City: New Bern State: NC Zip: 28563-
Telephone number: C252) 639-7527 Email Address: [e-mail]
3. Fee submitted: $NIA (See Instruction B)
H. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ❑ modified, ® renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00023306
Date of most -recently issued permit: 2/l/2019
Date of most -recently certified Attachment A (if different than the permit): 2/1/2018
III. FACILITY INFORMATION:
1. Name of residuals processing facility: CjV of New Bern Class A EQ Residual Management Program
City: New Bern State: NC Zip: 28563-
Coordinates: Latitude: 35' 8' 20" Longitude: 77' 3' 37"
Datum: NA083 Level of accuracy: +- lft
Method of measurement: RTK/GPS
County where facility is located: Craven
2. Facility contact (person familiar with residuals preparation):
Name: Tony Hawkins Title: Plant Manager
Mailing address: 307 Glenburnie Dr
City: New Bern State: NC Zip: 28560-
Telephone number: 252) 639-7555 E-mail address: [e-mail]
FORM: DCAR 06-16 Pagel of 3

3. is the residual process facility also the generator? Z Yes; El No
If No, please specify delivery frequency and quantity of residual to be processed: NIA
4. Length of residuals storage at facility: >120 days (Note: the Division requires minimum 30 days storage in units that are separate
fi•om treatment system, i.e. not in clarifiers, aeration basins, etc.)
IV. RESIDUALS QUALITY INFORMATION:
1. Specify how these residuals will be distributed:
0 sold or given away in bags or other containers; ® lawn (bulk); 0 home garden (bulk);
® other (explain); hauled with city owned truck
Note: Bulk residuals shall mean residuals that are transported and not sold or giving away in a bag or other receptacles with a
load capacity of one metric ton or less.
I Complete the following if residuals are to be mixed with other materials:
Type of Materials
Amounts to be added
of 1.0 dry ton of residuals (dry ton
Lime
500 lbs
3. Approximate amounts of the residuals received and processed at the facility: 1,284 dry tons per year.
4. Approximate amounts of the final product (processed residuals) to be distributed: 1,605 dry tons per year.
5. Provide a description of the onsite storage management plan for the treated residuals (including estimated average and
maximum storage times prior to distribution): Storage for biosolids will be provided at a covered concrete storage facility.
Biosolids will be discharged adjacent to a reinforced concrete push wall for pickLip and transport by rubber tie front loader. At
design conditions, approximately 10,250 cubic feet of biosolids will be produced each week. Based on an average storage
height of six feet, approximately four months of covered storage is provided. The roof and door_openings of the covered sludge
storage facility have been designed to a height that will accommodate loading to transfer from inside or outside of the facility.
6. Does the facility have a stormwater management plan? 0 Yes; El No
Explain whether the treatment and storage areas are under roof or how stormwater runoff will be handled: Floor drains inside
the covered storage facility, run to a plant internal pump station. All runoff pumps into treatment process.
V. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the attached Residuals Source Certification and all associated documentation.
FORM: DCAR 06-16 Page 2 of 3

Professional Engineer's Certification: (Application Involving New or Changes to Treatment or Storage Units)
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I further attest that to the best of my knowledge
the proposed design has been prepared in accordance with the applicable regulations. Although certain portions of this submittal package
may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that I have reviewed
this material and have judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Seal, Signature, and Date:
Applicant's Certification:
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
® Yes ❑ No, Explain;
I, Jordan Hughes Ch Engineer
(Signature Authority's Name —PLEASE PRINT) (Title)
attest that this application for City of New Bern Class A EQ Residual Management Fro -am has been reviewed by me and is accurate
and complete to the best of my knowledge. I understand that the Division of Water Resources may not conduct a technical review of
this program and approval does not constitute a variance to any rules or statutes unless specifically granted in the permit. Further, any
discharge of residuals to surface waters or the land will result in an immediate enforcement action, which may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this
permit be violated. I also understand that if all required parts of this application are not completed and that if all required supporting
information and attachments are not included, this application package will be returned to me as incomplete.
Note: In accordance with North Carolina General Statutes §143-215.6A and §143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: - - Date:
FORM: DCAR 06-16 Page 3 of 3

DWR
Dlvlsloyn of IVxter Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 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
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be Iand applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1

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DWR
Division of water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: City of New Bern Seven WRF
2. FaciIity permit holder is: ❑ Federal, ❑ State, ® Local Government, or ❑ Private.
Facility permit issued by: ® Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: ).
3. Facility contact person and title: Jordan Hughes / City Engine
Complete mailing address: PO Box 1129
City: New Bern State: NC Zip: 28563
Telephone number: [phone] E-mail address: hughes @newbernnc.gov
4. Facility physical address: 1610 Old Airport Road
City: New Bern State: NC Zip: 28560-
Coordinates: Latitude: 35.07054 Longitude:-77.02856
Datum: NCO83 Level of accuracy: +- 1tt
Method of measurement: RTICIGPS
5. Purpose of the facility:
® treatment of municipal wastewater, ® treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow: 0.469 MGD and facility average daily flow: 0.30 MGD
8. Average amount of residuals being generated at this facility 32 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Approximately 5,000 gallons of sludge is wasted from the lagoon system to an
aerobic digester lagoon. The digester is settled and su ernated daily. The suoernate goes back to the headwords. The
digester volume is 860,000 gallons. The sludge is hauled by a pump truck owned and operated by -the Cily. It is added to
the aerobic digesters at the City on New Bern Class A E , Residuals Processing Facility_.
Type and volume of residuals storage (i.e., outside of residuals treatment units): There is no additional storge avilabe at
this facility.
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
M 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 15A NCAC 02T.1102(6) as:
FORM: RSC 06-16 Page 1 of 5

0 Biological Non -Biological
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
RCP -A: (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: El yes 0 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: 0 yes Z 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: Environment I and Date of analysis: 8/19/2022
Passed corrosivity test: Z yes no, pH: s.u. (2 < pH < 12.5)
Passed ignitability test: 0 yes Elno. Flashpoint OF (> 140°F)
Passed reactivity test: N yes [[no. HCN: mg/kg (<250) & H2& mg/kg (<500)
TCLP Parameter
Limit
(n7g/l)
Result
(nzg/l)
TCLP Parameter
Limit
(ingll)
Result
(Ing/1)
Arsenic
5.0
<10
Hexachlorobenzene
0.13
ND
Barium
100.0
<2
Hexachloa'o-1,3-Butadiene
0.5
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
<0.05
Lead
5.0
<0.05
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
0.005
Chlorobenzene
100.0
ND
Metboxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
0.0352 j
Chromium
5.0
<0.1
Nitrobenzene
2.0
76%.
m-Cresol
200.0
Pentachlorophenol
100.0
ND
o-Cresol
200.0
Pyridine
5.0
ND
p-Cresol
200.0
Selenium
1.0
<0.1
Cresol
200.0
Silver
5.0
<0.1
2,4-D
10.0
Tetrachloroethylene
0.7
ND
1,4-Dicblorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dicliloroethane
0.5
ND
Trichloroethylene
0.5
ND
1, 1 -Dich loroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinilh-otoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
88%
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 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 Iatest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Environment 1 and Date of analysis: 12/1/2022
Parameter
Ceiling
Concentration Limits
(ClassA & CtassB)
(mg4g)
Monthly Average
Concentration Limits
(Class A Only)
(ing/kg)
Result
(inglkg)
Arsenic
75
41
<2.5
Cadmium
85
39
<0.5
Copper
4,300
1,500
99
Lead
840
300
4.6
Mercury
57
17
0.12
Molybdenum
75
n/a
<5
Nickel
420
420
<5
Selenium
100
100
<5
Zinc
7,500
2,800
232
b. For Surface Disposal Unit [anrlfr�: 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: Environment 1 and Date of analysis: 12/1/2022
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(ilag/kg)
Chromium
(rng/kg)
Nickel
(mg4g)
X❑ > 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)
<2.5
4
<5
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 25.21 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micron atrient parameters:
Laboratory: Environment l and Date of analysis: 12/1/2022
Parameter
Result
{1ng/kg)
Aluminum
2224
Ammonia -Nitrogen
211.7
Calcium
287670
Magnesium
5637
Nitrate -Nitrite Nitrogen
49.93
pH (Standard Unit)
7.1
Phosphorus
21090
Potassium
3887
Sodium
1659
Total Kjeldahl Nitrogen
25620
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 4.33
[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): ED default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: NIA
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 (11� Year PAN
Five -Year
Maximum Adjusted PAN
{ITJg%kg�
(1120g)
Surface
5,277
6,150
Injection/Incorporation
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: NIA
7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribiitioit/Laitd A )lication of Class A or E nivaleiit:
FORM: RSC 06-16 Page 4 of 5

® 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 NON per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
Z Alternative I [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
❑ 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.I I06(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
❑ Alternative I [15A NCAC 02T. 1106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T. 1 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ time stabilization.
c. For Srrr ace Disposal. -
Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the CIass B or Equivalent Pathogen Reduction Alternatives in Item I1. 7b. above.
❑ Exempt -If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC. 02T. 1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
Z Alternative I [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T. 1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T. 1107 (a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.] 107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T. 1 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
❑ Alternative 10 [I5A NCAC 02T.I 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(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.
FORM: RSC 06-16 Page 5 of 5

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 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 wiII help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General -- This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC I I-45) Farm. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the Iife of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1

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Dlvlslon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
1. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: City of New Bern WWTP
2. Facility permit holder is: ❑ Federal, ❑ State, ® Local Government, or ❑ Private.
Facility permit issued by: M Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: ).
3, Facility contact person and title: Jordan Hughes / City En ineer
Complete mailing address: PO Box 1129
City: New Bern State: NC Zip: 28563-;
Telephone number: 252 639-7527 E-mail address: [e-mail]
4. Facility physical address: 307 Glenburnie Dr
City: New Bern State: NC zip: 28560=
Coordinates: Latitude: 3_5' 8' 20" Longitude: 77' 3' 37"
Datum: NCO83 Level of accuracy: +- lft
Method of measurement: RTK/GPS
5. Purpose of the facility:
Z treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
® treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: I % industrial and 99 % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: ED Yes ❑ No
7. Facility permitted/design flow: 6.5 MGD and facility average daily flow: 4.25 MGD
S. Average amount of residuals being generated at this facility 1,284 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Sludge is pumped to 3 aerated digesters with a total volume of 1.0 MG. It then
goes to a two -meter belt press. The two -meter belt press normally operates at 160 gpm -using liquid polymer. The current
flow requires one (1) eight -hour shift per day. The press would need to operate 20 hours per day in order to meet design
flow conditions of 6.5MGD for 18% solids. The lime pasteurization system is comprised of a series of screw conveyors,
dolomitic lime/sludge cake bin heating elements, lime feed systems, pasteurization vessel, discharge conveyor and odor
control system. The thickened sludge and associated additives are conveyed through the stabilization system by screw and
belt conveyors. Beating elements are provided to raise the temperature of the biosolids as they are transported. The lime
feed system provides the means to adjust the pH of the biosolids. The pasteurization vessel provides a minimum of thiriy
minutes detention in order to comply with CFR 40 Part 503 for a Class A sludge.
Type and volume of residuals storage (i.e., outside of residuals treatment units): Storage for biosolids will be provided at a
covered concrete storage facility, which is adject to the processing facile. Biosolids will be discharged adjacent to a
reinforced concrete push wall for pickup and transport by a rubber -tire loader. At max design conditions, approximately
10,250 cubic feet of biosolids will be produced each week. Based on an average storage height of six feet, approximately
four months of covered storage is provided. The roof and door openings of the sludge storage facility have been designed
to a height that will accommodate loading to transfer trucks for the inside or outside of the facilit .
FORM: RSC 06-16 Pagel of 5

II. 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 15A NCAC 02T.1102(6) as:
® Biological ❑ Non -Biological
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: ❑ yes ® no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ® no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Environment 1 and Date of analysis: 8/19/2022
Passed corrosivity test: yes ❑ no. pH: sm. (2 <pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: ; °F (> 140°F)
Passed reactivity test: N yes Ono. HCN: mg/kg (<250) & H2S: mg/kg (<500)
TCLP Parameter
Limit
(ing/l)
Result
(mg/1)
TCLP Parameter
Limit
(mg/1)
Result
NO)
Arsenic
5.0
<4 0
Hexachlorobenzene
0.13
ND
Barium
100.0
<2
Hexachloro-1,3-Butadiene
0.5
Benzene
0.5
ND
Hexachloroetbane
3.0
ND
Cadmium
1.0
<0.05
Lead
5.0
<0.05
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
0.005
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
0.0352 j
Chromium
5.0
<0.1
Nitrobenzene
2.0
76%.
m-Cresol
200.0
Pentachlorophenol
100.0
ND
o-Cresol
200.0
Pyridine
5.0
ND
p-Cresol
200.0
Selenium
1.0
<0,1
Cresol
200.0
Silver
5.0
<0.1
2,4-D
10.0
Tetrachloroethylene
0.7
ND
FORM: RSC 06-16 Page 2 of 5

1,4-Dichlorobenzene
7.5
ND
Taxaphene
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
88%
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
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 Distributioir/Laiid 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: Environment 1 and Date of analysis: 12/1/2022
Parameter
Ceiling
Concentration Limits
(ClassA & C1assB)
Ong/kg)
Monthly Average
Concentration Limits
(Class A Only)
Ong/kg)
Result
(ing/kg)
Arsenic
75
41
<2.5
Cadmium
85
39
<0.5
Copper
4,300
1,500
99
Lead
840
300
4.6
Mercury
57
17
0.12
Molybdenum
75
n/a
<5
Nickel
420
420
<5
Selenium
100
100
<5
Zinc
7,500
2,800
232
b. For Surface Disposal Unit (landrill): 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: Environment I and Date of analysis: 12/1/2022
Distance from Disposal
Arsenic
Chromium
Nickel
Unit to Boundary to
Closest Property Line
(meters, check one)
(mg/kg)
Ng/kg)
(nng/kg)
X❑ > 0 but < 25
30
200
210
[ ] > 25 but < 50
34
220
240
FORM: RSC 06-16 Page 3 of 5

El > 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
125
62
450
420
Result (ing4g)
<2.5
4
<5
5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 25.21 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Environment 1 and Date of analysis: 12/1/2022
Parameter
Result
(rngft)
Aluminum
2224
Ammonia -Nitrogen
211.7
Calcium
287670
Magnesium
5637
Nitrate -Nitrite Nitrogen
49.93
pH (Standard Unit)
7.1
Phosphorus
21090
Potassium
3887
Sodium
1659
Total KjeldahI Nitrogen
25620
c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 4.33
[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): Z default value, or El actually established.
If the residuals are not generated fi•orn the treatment of municipal or domestic wastewater, explain or provide technical
justification as to wiry the selected default value is appropriate to be applied to these residuals: NIA
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 (111) Year PAN
Five -Year
Maximum Adjusted PAN
(ing/kg)
(rng/kg)
Surface
5,277
6,150
FORM: RSC 06-16 Page 4 of 5

lnj ection/Incorporation
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: NIA
7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the patbogen reduction requirements:
a. For Distribution/Larrd Applicatioirr of Class A or EE Bivalent:
Z 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):
M Alternative 1 [15A NCAC 02T.I I06(b)(3)(A)] - Time/Temperature Compliance.
❑ 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 Helm intb Ova.
❑ AIternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Laiid Application of Class B:
❑ Alternative I [I5A NCAC 02T. 1 106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Surface Disposal:
0 Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 1I. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11.7b. above.
❑ Exempt -If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
® Alternative I [I5A NCAC 02T. 1107(a)(I)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T. I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion),
❑ Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T. 1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
® Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T. I 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T. 1107(a)(9)] - Injection.
❑ Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [I5A NCAC 02T.I 107(b)(2)].
FORM: RSC 06-16 Page 5 of 5

El 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.
FORM: RSC 06-16 Page 6 of 5

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Charlotte Plant Thomasville Plant Wilson Plant Columbia Plant Myrtle Beach Plant Stockbridge Plant
2268 Speedrail Dr. 208 Randolph St. 1600 Thorne Avenue 300 Rill Street 5802 Valley Forge Rd. (Atlanta)
Harrisburg, NC 28075 Thomasville, NC 27360 Wilson, NC 27893 Columbia, SC 29209 Aynor, SC 29511 148 Rock Quarry Rd.
(P) 704.455.1100 (P) 336.475.1371 (P) 252.243.6153 (P) 803.776.6769 (P) 843,756.6614 Stockbridge, GA 30281
(F) 704.455.1105 (F) 336.475.9200 (F) 252,243.0409 (F) 803.776.2382 (F) 843.756.6698 (P) 770.474.5252
(F) 770.389.0543
HCO02

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Charlotte Plant Thomasville Plant Wilson Plant Columbia Plant Myrtle Beach Plant Stockbridge Plant
2268 Speedrall Dr. 208 Randolph St. 1600 Thorne Avenue 300 Bill Street 5802 Valley Forge Rd. (Atlanta)
Harrisburg, NC 28075 Thomasville, NC 27360 Wilson, NC 27893 Columbia, SC 29209 Aynor, SC 29511 148 Rock Ouarry Rd.
(P) 704.455.1100 (P) 336.475.1371 (P) 252.243.6153 (P) 803.776.6769 (P) 843.756.6614 Stockbridge, GA 30281
(F) 704.455.1105 (F) 336.475.9200 (F) 252,243.0409 (F) 803.776.2382 (F) 843.756.6698 (P) 770.474.5252
(F) 770.389,0543
HC002

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A QUIICRETE® COMPANY
DATE. U t-7
PROJECT Ir.J 0 Z 11 CJ - Z 02 z w PAGE 3 OF PAGES
North Carolina
Charlotte Plant
2268 Speedrail Dr.
Harrisburg, NC 28075
(P) 704.455.1100
(F) 704.455,1105
Thomasville Plant
208 Randolph St.
Thomasville, NC 27360
(P) 336.475.1371
(F) 336.475,9200
Wilson Plant
1600 Thorne Avenue
Wilson, NC 27893
(P) 252.243.6153
(F) 252.243.0409
South Carolina
Columbia Plant
300 Bill Street
Columbia, SC 29209
(P) 803.776.6769
(F) 803.776.2382
Myrtle Reach Plant
5802 Valley Forge Rd.
Aynor, SC 29511
(P) 843.756.6614
(F) 843.756.6698
Georgia
Stockbridge Plant
(Atlanta)
148 Rock Quarry Rd.
Stockbridge, GA 30281
(P) 770.474,5252
(F) 770.389.0543
HCO02