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Home My WebLink AboutWQ0031725_2022 Residual Annual Report_20230224 (2)Initial Review Reviewer Nathaniel.Thornburg 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 Annual Report Year* 2022 Permit Number (IR) * WQ0031725 Applicant/Permittee Baxter Healthcare Corporation Email Notifications Does this need review by the hydrogeologist? * Yes No Regional Office Asheville 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* DEREK BOUCHARD Email Address* Derek—Bouchard@baxter.com 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* 8287566644 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. https://edoes.deq.nc.gov/Forms/NonDischarge_Monitoring_Report Permit Type:* Wastewater Irrigation High -Rate Infiltration Other Wastewater Reclaimed Water Closed -Loop Recycle Residuals Single -Family Residence Wastewater Other Irrigation Permit Number:* WQ0031725 Has Current Existing permit number Applicant/Permittee Address* 65 Pitts Station Rd. Marion, NC 28752 Facility Name* Baxter Healthcare Corporation Class B Residuals Program Please provide comments/notes on your current submittal below. At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here. (Application Form, Engineering Plans, Specifications, Calculations, Etc.) 2022 Annual Land Application Report - Signed.pdf 3.98MB 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 00W 9XUA0 Submission Date 2/24/2023 • F. i �"- February 9, 2023 Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, NC27699-1617 RE: 2022 Annual Land Application Report Permit No. WQ0031725 Baxter Healthcare Corporation McDowell County Please find the enclosed annual land application report for calendar year 2022. No non- compliance or other irregular events occurred in 2022. If you have any questions or require additional information, please contact me at 828-756-6644 or via email at derek—bouchard@baxter.com. Sincerely, Derek Bouchard Environmental Manager Attachment: 2022 Land Application Report ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0031725 County: McDowell Year: 2022 Facility Name (as shown on permit): Baxter Healthcare Corporation Land Application Operator: US Biosolids, Inc. Phone: 336-777-6909 Land application of residuals as allowed by the permit occurred during the past calendar year? 0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Application Summary. Total number of application fields in thepermit: 10 Total number of fields utilized for land application during the year: 7 Total amount of dry tons applied during the year for all application sites: 144.45 Total number of acres utilizes for land application during the year: 57.17 Part B - Annual Compiance Statement: Facility was compliant during calendar year 2022 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Resources. 2 Yes El No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. I ) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T . I I I I were complied with (applicable to 40 CFR Part 503 regulated facilities). 9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Resources. 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. I3) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C - Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Pe nmi ee Name and Title (t or print) Feb 33 Signar6e 6ePermittee Date P4 1-24-2023 Signature of Preparer* Date Signature of Land A lier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DFNR FORM ACF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B WQ Permit Number: WQ0031725 Facility Name: Baxter Healthcare Coporation Residual Source WQ # or NPDES #: WWTP Name: Residual Analysis Data NC0006564 Laboratory: 1) Waypoint Analytical 2) 3) 4) 5) Parameter (mg/kg) Conc. Limit m a Sam le or Composite Date 2-2-22 Percent Solids {%) NA 13.5 Arsenic 75 14.4 Cadmium 85 0.741 Copper 4,300 183 Chromium NA 58.8 Lead 840 3.39 Mercury 57 0.295 Molybdenum 75 7.7 Nickel 420 27.3 Selenium 100 3.7 Zinc 7,500 216 Total Phosphorus NA 14400 TKN NA 65300 Ammonia -Nitrogen NA 7850 Nitrate and Nitrite NA 36.8 'For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "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 infrmation, including the possibility of fines and imprisonment for knowing violations." Signature of Preparer * *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) /q-reb-P3 Date DENR FORM RSSF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar year. Use additional forms as needed. WQ Permit Number: WQ0031725 Laboratory: Facility Name: Baxter Healthcare Corporation Residual Source NPDES # or WQ#: WWTP Name: Residual Analvsis Data NCO006564 Baxter Healthcare Corporation 1) Waypoint Analytical 2) 3) 4) 5) Parameter CompositeSample or Date ------------ "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." 9-e,ae 1 F-P-b a 3 Signature of Prepuer * Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26) DENR FORM RSSF - B (1212006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual): 13.92 Permit #: WQ0031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FCC2 Acres Used: 5.5 Acres Permitted: 5.5 Site #: DP Field #: 1A Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): F101�10FROWE Com- posite Date 011MENIM Ma NINE Total Phos- phorusMENEENEENEEN Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12_ DT/Ac./ App. Event 2.53 Arsenic 0.073 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.073 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 0.926 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.926 Chromium 0.298 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.298 Lead 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 denum Nickel 0.138 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.138 Selenium 0.019 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.019 Zinc 1.093 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.093 Total Phos- 72.893 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 72.893 horus "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". Z�)aoz-� /l 1-24-2023 Signature of Land pplier Date DENR FORM MFLSF (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: Baxter Healthcare Land Owner: Douglas Poplin Operator: Douglas Poplin Crop 1 Name: Fescue WQ Permit #: WQ0031725 Field #: 1A Annual Dry Tons Applied: 13.9195 Site #: DP Predominant Soil Series: FcC2 Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 5.5 Acres Permitted: 5.5 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 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. (Dry, t' Moist) Precip. past 24 Hrs. inches a F S w o - N `; TKN mg/kg Z a o E3 ac o CD 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 8-2022 94.65 13.5 1.957 WQ0031725 DRY 0 S 0.5 0.3 1 65300 7850 1 36.8 82.946 NA Fescue 11-2022 27.78 13.5 0.574 WQ0031725 DRY 0 S 0.5 0.3 65300 7850 36.8 24.345 NA Fescue 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 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 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 122.431 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 107,290T 0.000 Lime Applied Annuallbs/acre 0.073 0.004 0.926 0.298 0.017 0.001 0.039 0.138 0.019 1.093 72.893 Date lbs/ac Prior Years Cumulative lbs/ac 0.238 0.059 3.959 2.516 0.113 0.011 0.187 0.896 0.153 5.708 0 Current Cumulative lbs/ac 0.311 0.063 4.885 2.814 0.130 0.012 0.226 1.034 0.172 6.801 Permitted C. P. L. R.**** 1 36 1 34 1 1338 1 NA 267 15 1 NA 374 1 89 1 2498 Permit PAN Limit lst/2nd Crop 158 "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 1-24-2023 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature o and 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 METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual): 4.31 Permit #: WQ00031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcC2 Acres Used: 1.6 Acres Permitted: 1.6 Site #: DP Field #: 113 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): F101�10FROWE Com- posite Date 011MENIM Ma NINE Total Phos- phorusMENEENEENEEN Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12_ DT/Ac./ App. Event 2.69 Arsenic 0.078 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.078 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 0.985 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.985 Chromium 0.317 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.317 Lead 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.041 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.041 denum Nickel 0.147 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.147 Selenium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.020 Zinc 1.163 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.163 Total Phos- 77.530 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 77.530 horus "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". ,7 1-24-2023 Signature of Land Ap ier Date DENR FORM MFLSF (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: Baxter Healthcare Corporation WQ Permit #: WQ0031725 Field #: I Land Owner: Douglas Poplin Annual Dry Tons Applied: 4.3078 Site #: DIP Operator: Douglas Poplin Crop 1 Name: Fescue Predominant Soil Series: FcC2 Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 1.6 Acres Permitted: 1.6 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 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. (Dry, t' Moist) Precip. past 24 Hrs. inches a F S w o - N `; TKN mg/kg Z a o E3 ac o CD 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 12-2022 37.89 13.5 2.692 WQ0031725 DRY 0 S 0.5 0.3 1 65300 7850 1 36.8 114.141 NA Fescue 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 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 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 37.891 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 114.141 0.000 Lime Applied Annuallbs/acre 0.078 0.004 0.985 0.317 0.018 0.002 0.041 0.147 0.020 1.163 77.530 Date lbs/ac Prior Years Cumulative lbs/ac 0.237 0.057 3.838 2.387 0.317 0.011 0.181 0.856 0.15 5.414 0 Current Cumulative lbs/ac 0.315 0.061 4.823 2.704 0.335 0.013 0.222 1.003 0.170 6.577 Permitted C. P. L. R.**** 1 36 1 34 1 1338 1 NA 267 15 1 NA 374 1 89 1 2498 Permit PAN Limit lst/2nd Crop 158 "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." vv *Application Method: S - Surface, IN - Injection, INC - Incorporation 1-24-2023 **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 LoadinI4 Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual): 8.28 Permit #: WQ00031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcC2 Acres Used: 3 Acres Permitted: 3 Site #: DP Field #: 1C Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): F101�10FROWE Com- posite Date 011MENIM Ma NINE Total Phos- phorusMENEENEENEEN Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12_ DT/Ac./ App. Event 2.76 Arsenic 0.079 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.079 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 1.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.010 Chromium 0.325 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.325 Lead 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.043 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.043 denum Nickel 0.151 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.151 Selenium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.020 Zinc 1.192 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.192 Total Phos- 79.488 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 79.488 horus "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". 1-24-2023 Signature of Land A lier Date DENR FORM MFLSF (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: Baxter Healthcare Corporation Land Owner: Douglas Poplin Operator: Douglas Poplin Crop 1 Name: Fescue WQ Permit #: WQ0031725 Field #: I Annual Dry Tons Applied: 8.2814 Site #: DP Predominant Soil Series: FcC2 Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 3 Acres Permitted: 3 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 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. (Dry, t' Moist) Precip. past 24 Hrs. inches a F S w o - N `; TKN mg/kg Z a o E3 ac o CD 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 12-2022 72.84 13.5 2.760 WQ0031725 DRY 0 S 0.5 0.3 1 65300 7850 1 36.8 117.026 NA Fescue 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 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 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 72.841 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 117,026T 0.000 Lime Applied Annuallbs/acre 0.079 0.004 1.010 0.325 0.019 0.002 0.043 0.151 0.020 1.192 79.488 Date lbs/ac Prior Years Cumulative lbs/ac 0.819 0.071 4.515 2.775 0.369 0.013 0.206 0.999 0.17 6.833 0 Current Cumulative lbs/ac 0.898 0.075 5.525 3.100 0.388 0.015 0.249 1.150 0.190 8.025 Permitted C. P. L. R.**** 1 36 1 34 1 1338 1 NA 267 15 1 NA 374 1 89 1 2498 Permit PAN Limit lst/2nd Crop 158 "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 1-24-2023 **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 LoadinI4 Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual): 17.91 Permit #: WQ00031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcC2 Acres Used: 9.6 Acres Permitted: 9.6 Site #: DP Field #: 1D Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): F101�10FROWE Com- posite Date 011MENIM Ma NINE Total Phos- phorusMENEENEENEEN Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12_ DT/Ac./ App. Event 1.87 Arsenic 0.054 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.054 Cadmium 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 0.683 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.683 Chromium 0.219 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.219 Lead 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 denum Nickel 0.102 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.102 Selenium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.014 Zinc 0.806 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.806 Total Phos- 53.741 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 53.741 horus "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". 1-24-2023 Signature of Land Appl r Date DENR FORM MFLSF (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: Baxter Healthcare Corporation Land Owner: Douglas Poplin Operator: Douglas Poplin Crop 1 Name: Fescue WQ Permit #: WQ0031725 Field #: I Annual Dry Tons Applied: 17.9101 Site #: DP Predominant Soil Series: FcC2 Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 9.6 Acres Permitted: 9.6 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 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. (Dry, t' Moist) Precip. past 24 Hrs. inches a F S w o - N `; TKN mg/kg Z a o E3 ac o CD 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 9-2022 70.3 13.5 0.833 WQ0031725 DRY 0 S 0.5 0.3 1 65300 7850 1 36.8 35.296 NA Fescue 10-2022 75.43 13.5 0.893 WQ0031725 DRY 0 S 0.5 0.3 65300 7850 36.8 37.871 NA Fescue 12-2022 11.8 13.5 0.140 WQ0031725 DRY 0 s 0.5 0.3 65300 7850 36.8 5.924 NA Fescue 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 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 157.531 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 79,091T 0.000 Lime Applied Annuallbs/acre 0.054 0.003 0.683 0.219 0.013 0.001 0.029 0.102 0.014 0.806 53.741 Date lbs/ac Prior Years Cumulative lbs/ac 0.231 0.055 3.72 2.338 0.332 0.009 0.174 0.819 0.13 5.121 12-2022 1000 Current Cumulative lbs/ac 0.285 0.058 4.403 2.557 0.345 0.010 0.203 0.921 0.144 5.927 Permitted C. P. L. R.**** 1 36 1 34 1 1338 1 NA 267 15 1 NA 374 1 89 1 2498 Permit PAN Limit lst/2nd Crop 158 "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 A1-24-2023 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Lan 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 LoadinI4 Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual): Permit #: WQ00031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: Acres Used: 5.887 Acres Permitted: 5.887 Site #: DP Field #: 22.82 FcC2 3-Corn Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): F101�10FROWE Com- posite Date 011MENIM Ma NINE Total Phos- phorusMENEENEENEEN Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12_ DT/Ac./ App. Event 3.88 Arsenic 0.112 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.112 Cadmium 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Copper 1.419 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.419 Chromium 0.456 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.456 Lead 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.060 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.060 denum Nickel 0.212 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.212 Selenium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.029 Zinc 1.674 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.674 Total Phos- 111.629 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 111.629 horus "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". ,7 1-24-2023 Signature of Land Ap er Date DENR FORM MFLSF (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: Baxter Healthcare Corporation WQ Permit #: WQ0031725 Field #: 3- Corn Land Owner: Douglas Poplin Annual Dry Tons Applied: 22.8205 Site #: DP Operator: Douglas Poplin Crop 1 Name: Corn Predominant Soil Series: FcC2 Crop 1 Max. PAN: 174 Crop 2 Name: Acres Utilized: 5.887 Acres Permitted: 5.887 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 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. (Dry, t' Moist) Precip. past 24 Hrs. inches a F S w o - N `; TKN mg/kg Z a o E3 ac o CD 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 3-2022 68.4 13.5 1.321 WQ0031725 DRY 0 S 0.5 0.3 1 65300 7850 1 36.8 56.001 NA Corn 4-2022 132.32 13.5 2.555 WQ0031725 DRY 0 s 0.5 0.3 65300 7850 36.8 108.335 NA c 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 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 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 200.72 o As Cd Cu Cr Pb H Mo Ni Se Zn P 164.336 0.000 Lime A lied Annuallbs/acre 0.112 0.006 1.419 0.456 0.026 0.002 0.060 0.212 0.029 1.674 111.629 Date lbs/ac Prior Years Cumulative lbs/ac 0.522 0.141 3.417 5.639 0.738 0.025 0.374 1.825 0.646 15.11 12-2022 2500 Current Cumulative lbs/ac 0.634 0.147 4.836 6.095 0.764 0.027 0.434 2.037 0.675 16.784 Permitted C. P. L. R.**** 36 1 34 1 1338 1 NA 1 267 1 15 1 NA 1 374 1 89 1 2498 Permit PAN Limit lst/2nd Crop 1 174 "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." vv *Application Method: S - Surface, IN - Injection, INC - Incorporation 1-24-2023 **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 METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual): Permit #: WQ00031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: Acres Used: 6.983 Acres Permitted: 6.983 Site #: DP Field #: 24.95 FcC2 3-Grass Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): F101�10FROWE Com- posite Date 011MENIM Ma NINE Total Phos- phorusMENEENEENEEN Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12_ DT/Ac./ App. Event 3.57 Arsenic 0.103 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.103 Cadmium 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 Copper 1.308 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.308 Chromium 0.420 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.420 Lead 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.055 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.055 denum Nickel 0.195 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.195 Selenium 0.026 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.026 Zinc 1.544 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.544 Total Phos- 102.902 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 102.902 horus "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". Z�)Z44z� 1-24-2023 Signature of Land A ier Date DENR FORM MFLSF (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: Baxter Healthcare Corporation WQ Permit #: WQ0031725 Field #: 3-Grass Land Owner: Douglas Poplin Annual Dry Tons Applied: 24.9466 Site #: DP Operator: Douglas Poplin Crop 1 Name: Fescue Predominant Soil Series: FcC2 Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 6.983 Acres Permitted: 6.983 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 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. (Dry, t' Moist) Precip. past 24 Hrs. inches a F S w o - N `; TKN mg/kg Z a o E3 ac o CD 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 3-2022 52.69 13.5 0.858 WQ0031725 DRY 0 S 0.5 0.3 1 65300 7850 1 36.8 36.368 NA Fescue 6-2022 95.99 13.5 1.563 WQ0031725 DRY 0 s 0.5 0.3 65300 7850 36.8 66.255 NA Fescue 7-2022 70.74 13.5 1.152 WQ0031725 DRY 0 s 0.5 0.3 65300 7850 36.8 48.827 NA Fescue 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 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 219.421 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 151,450T 0.000 Lime Applied Annuallbs/acre 0.103 0.005 1.308 0.420 0.024 0.002 0.055 0.195 0.026 1.544 102.902 Date lbs/ac Prior Years Cumulative lbs/ac 0.513 0.145 8.772 5.647 0.734 0.025 0.38 1.827 0.658 15.091 0 Current Cumulative lbs/ac 0.616 0.150 10.080 6.067 0.758 0.027 0.435 2.022 0.684 16.635 Permitted C. P. L. R.**** 1 36 1 34 1 1338 1 NA 267 15 1 NA 374 1 89 1 2498 Permit PAN Limit lst/2nd Crop 158 "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." v *Application Method: S - Surface, IN - Injection, INC - Incorporation D� /l 1-24-2023 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature o 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 METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual): Permit #: WQ00031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: Acres Used: 8.7 Acres Permitted: 8.7 Site #: DP Field #: 23.04 FcC2 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): F101�10FROWE Com- posite Date 011MENIM Ma NINE Total Phos- phorusMENEENEENEEN Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12_ DT/Ac./ App. Event 2.65 Arsenic 0.076 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.076 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 0.969 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.969 Chromium 0.311 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.311 Lead 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.041 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.041 denum Nickel 0.145 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.145 Selenium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.020 Zinc 1.144 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.144 Total Phos- 76.262 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 76.262 horus "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". ,7 1-24-2023 Signature of Land Ap er Date DENR FORM MFLSF (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: Baxter Healthcare Corporation WQ Permit #: WQ0031725 Field #: 4 Land Owner: Douglas Poplin Annual Dry Tons Applied: 23.0400 Site #: DP Operator: Douglas Poplin Crop 1 Name: Fescue Predominant Soil Series: FcC2 Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 8.7 Acres Permitted: 8.7 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 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. (Dry, t' Moist) Precip. past 24 Hrs. inches a F S w o - N `; TKN mg/kg Z a o E3 ac o CD 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 1-2022 79.38 13.5 1.037 WQ0031725 DRY 0 S 0.5 0.3 1 65300 7850 1 36.8 43.977 NA Fescue 2-2022 123.27 13.5 1.611 WQ0031725 DRY 0 s 0.5 0.3 65300 7850 36.8 68.293 NA Fescue 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 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 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 202.65 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 112,270T 0.000 Lime Applied Annuallbs/acre 0.076 0.004 0.969 0.311 0.018 0.002 0.041 0.145 0.020 1.144 76.262 Date lbs/ac Prior Years Cumulative lbs/ac 0.394 0.105 6.46 4.258 0.533 0.018 0.283 1.472 0.211 2.04 0 Current Cumulative lbs/ac 0.470 0.109 7.429 4.569 0.551 0.020 0.324 1.617 0.231 3.184 Permitted C. P. L. R.**** 1 36 1 34 1 1338 1 NA 267 15 1 NA 374 1 89 1 2498 Permit PAN Limit lst/2nd Crop 158 "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 1-24-2023 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of eand 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 LoadinI4 Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Corporation Total Dry Tons Applied (Annual): Permit #: WQ00031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: Acres Used: 15.9 Acres Permitted: 15.9 Site #: DP Field #: 29.22 FcC2 5 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): F101�10FROWE Com- posite Date 011MENIM Ma NINE Total Phos- phorusMENEENEENEEN Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12_ DT/Ac./ App. Event 1.84 Arsenic 0.053 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.053 Cadmium 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 0.673 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.673 Chromium 0.216 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.216 Lead 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 denum Nickel 0.100 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.100 Selenium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.014 Zinc 0.794 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.794 Total Phos- 52.934 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 52.934 horus "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". 1-24-2023 Signature of Land AoTier Date DENR FORM MFLSF (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: Baxter Healthcare Corporation WQ Permit #: WQ0031725 Field #: 5 Land Owner: Douglas Poplin Annual Dry Tons Applied: 29.2192 Site #: DP Operator: Douglas Poplin Crop 1 Name: Fescue Predominant Soil Series: FcC2 Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 15.9 Acres Permitted: 15.9 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 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. (Dry, t' Moist) Precip. past 24 Hrs. inches a F S w o - N `; TKN mg/kg Z a o E3 ac o CD 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 3-2022 124.7 13.5 0.892 WQ0031725 DRY 0 S 0.5 0.3 1 65300 7850 1 36.8 37.801 NA Fescue 5-2022 132.3 13.5 0.946 WQ0031725 DRY 0 s 0.5 0.3 65300 7850 36.8 40.105 NA Fescue 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 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 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 2571 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 77,906T 0.000 Lime Applied Annuallbs/acre 0.053 0.003 0.673 0.216 0.012 0.001 0.028 0.100 0.014 0.794 52.934 Date lbs/ac Prior Years Cumulative lbs/ac 0.329 0.087 5.317 3.363 0.457 0.015 0.233 1.21 0.161 9.279 12-2022 2000 Current Cumulative lbs/ac 0.382 0.090 5.990 3.579 0.469 0.016 0.261 1.310 0.175 10.073 Permitted C. P. L. R.**** 1 36 1 34 1 1338 1 NA 267 15 1 NA 374 1 89 1 2498 Permit PAN Limit lst/2nd Crop 158 "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 1-24-2023 **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 PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: Baxter Healthcare Corporation WQ Permit Number: WWTP Name: Baxter Healthcare Corporation NPDES Number: Monitoring Period: From l/l/2022 To 12/31/2022 WQ0031725 NC0006564 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) I Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ I Heat Drying ❑ Heat Treatment ❑ I Thermophilic ❑ Beta Ray 111 Gamma Ray ❑ Pasteurization ❑ Class B: jAlt. (1) Fecal Density ❑p Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ 1 Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g � Number o Excee- dences Frequency of Analysis Sample Type Analytical Tech - ni ue Minimu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN 198676 707302 3546099 MPN/g 0 7 grab sm9221 CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) Alt. 4 (Spec. Oz uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) `'❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Preparer Name and Title (type or print) Signature of Preparer* Dennis Key US Biosolids, Inc. Land Applier Name and Title (if applicable)(type or print) D� 1-24-2023 Date Signature of Land 4plier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) Analytical Results U.S. Biosolids Inc 958 Hoots Road Roaring River, NC 28669 Receive Date: 01/18/2022 Reported: 01/19/2022 For: Baxter Comments: GEOMETRIC MEAN: 707,302 MPN/g STATESY I LLE ANALYTICAL. Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 220118-12-01 Fecal Coliforms 131 500000 MPNIg SM92210E-2006 01/18/2022 MD 220118-12-01 Percent Solids 131 14.0 % SM254OB-2011 01/18/2022 MD 220118-12-02 Fecal Coliforms B2 198676 MPNIg SM92210E-2006 01/18/2022 MD 220118-12-02 Percent Solids B2 15.1 % SM25406-2011 01/18/2022 MD 220118-12-03 Fecal Coliforms B3 2127660 MPNIg SM92210E-2006 01/18/2022 MD 220118-12-03 Percent Solids B3 14.1 % SM254OB-2011 01/18/2022 MD 220118-12-04 Fecal Coliforms B4 3546099 MPNIg SM9221GE-2006 01/18/2022 MD 220118-12-04 Percent Solids B4 14.1 % SM254OB-2011 01/18/2022 MD 220118-12-05 Fecal Coliforms B5 208333 MPNIg SM92210E-2006 01/18/2022 MD 220118-12-05 Percent Solids B5 14.4 % SM264OB-2011 01/18/2022 MD 220118-12-06 Fecal Coliforms B6 1610738 MPN/g SM92210E-2006 01/18/2022 MD 220118-12-06 Percent Solids 136 14.9 % SM254OB-2011 01/18/2022 MD 220118-12-07 Fecal Coliforms B7 352113 MPNIg SM92210E-2006 01/18/2022 MD 220118-12-07 Percent Solids B7 14.2 % SM25406-2011 01/18/2022 MD Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 4 Condition of Receipt Sample Number 220118-12-01 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule. Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 220118-12-02 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 220118-12-03 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sam le Number 220118-12-04 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 220118-12-05 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 4 Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 220118-12-06 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thlosulfate Received on Ice Chemicals in containers, lab Sample Number 220118-12-07 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab PO Box 228 a Statesville, NC 28687 • 704/872/4697 Page 3 of 4 (D CD (D (D i %1 CD (D rr 0 CL EL C6 CL cn =r -u 7m, ' � � � � � � � � � \ a • : ; [ _`( � � 2 � �� r -0 V ( � \ / �3 �� n 3 ' � �� $� � � (D { � { � � � rr A) CL �^3 :-j 71 3 CD CD (D x J-i Irlb lu 3 IV CD 27 oo ° � � ) � ? I � ƒ \ ID CL N � �. �q-(/Z/ '� � | � =Erq PO Box 228 -Statesville, NC 28687 * 704/872/4697 Page 4 of 4 Analytical Results iSTATESVILLE ANALYTICAL U.S. Biosolids Inc 4 958 Hoots Road Roaring River, NC 28669 Receive Date: 01 /18/2022 Reported: 02/08/2022 For: Baxter Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 220118-13-01 TCLP BAXTER See Attached '5 Nct d 01/19/2022 PACE Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 30 aceAnalytical WWW.pscrslston I ANALYTICAL RESULTS Project: US BIO (BAXTER) Paee Project No-: 92583425 Pace Analytical Services, LLC 9800 Fincey Ave. Suite 100 Huntersville. NC 28078 (704)575-9092 Sample: 220118.13.01 Lab ID: 92583425001 Collected: 01118122 11:38 Received 01119122 13:07 Matrix: Solid Results reported on a 'dry weight" basis and are adjusted for percent moisture, sample sire and any dilutions. Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Dual 8082 GCS PCB Analytical Method: EPA 8082A Preparation Method: EPA 3546 Pace Analytical Services - Charlotte PCB-1016 (Aroclor 1016) NO uglkg 225 1 01120t22 10:07 01120122 16:39 12674-11-2 PCB-1221 (Arodor 1221) ND uglkg 225 1 0112012210:07 0112M216:39 11104-28-2 PCB-1232 (Arodor 1232) ND uglkg 225 1 01/20/22 10:07 01120/22 16:39 11141-16-5 PCB-1242 (Arodor 1242) ND uglkg 225 1 01120/22 10:07 01120/22 16:39 53469-21-9 PCB-1248 (Aroclor 1248) ND uglkg 225 1 01/20/22 10:67 01120/22 16:39 12672-29-6 PCB-1254 (Aroclor 1254) NO uglkg 225 1 01120/22 10:07 01/20/22 16:39 11097-69-1 PC8-1260 (Aroclor 1260) ND uglkg 225 1 01/20/22 10:07 01/20/22 16:39 110%-82-5 Surrogates ❑ecachlorobiphenyl(S) 68 % 10.160 1 01/20122 10:07 01/20/22 16:39 2051-24-3 8082 TCLP PCBs RVE Analytical Method: EPA 8082A Preparation Method: EPA 351OC Leachate Method/Oatw EPA 1311; 0112012215:00 Initial pH: 4.82: Final pHr 5 Pace Analytical Services - Charlotte PCB-1016 (Arodor 1016) NO uglL 1000 1 01123/22 17:23 01125/22 11:19 12674-11-2 PCB-1221 (Aroclor1221) ND ug1L 1000 1 0112312217;23 01125/2211:19 11104-28-2 PCB-1232 (Aroclor 1232) NO uglL 1000 1 01/2312217:23 01125/22 11:19 11141-16-5 PCB-1242 (Aroclor 1242) NO ug1L 1000 1 01/23122 17:23 01125122 11:19 53469-21-9 PCB-1248 (Arodor 1248) NO ug1L 1000 1 01123122 17:23 01125122 11:19 12672-29-6 PCB-1254 (Aroclor 1254) NO ugtL 1000 t 01/23122 17:23 01125122 11:19 11097-69-1 PCB-1260 (Arodor 12601 NO ug1L 1000 1 01123122 17:23 01125122 11:19 11096-82-5 Surrogates Decachlorobiphenyl (S) 100 % 10-181 1 01/23/22 17:23 01/25/22 11:19 2051-24-3 EPA 8151A Analytical Method: EPA 8151A Preparation Method: EPA 3550C Pace Analytical Gull Coast 2,4-0 NO uglkg 119 1 0112712214AS 01/28/2217:43 94-76-7 2,4,5-TP (Silvex) NO uglkg 119 1 01/27/22 14 15 01/28/22 17:43 93-72-1 Surrogates 2,4-DCAA(S) 64 % 27-122 1 011271221415 0112812217A3 19719-28.9 EPA 131118081E TCLP Analytical Method: EPA 8081 B Preparation Method: EPA 3510C Leachate MethodlDate: EPA 1311; 01/28/22 13:00 Pace Analytical Gull Coast Chlordane (Technical) ND mgiL 0.00250 1 02101122 06:00 02102122 21:22 57-74-9 Endrin ND mgfL 0.00100 1 0210V22 06:00 02102122 21:22 72.20.8 Heptachlor NO mg1L 0.000500 1 0210112206:00 02/0212221:22 76.44-8 Heptachlor epoxide ND mg1L O.DD0500 1 0210V22 06:00 02ID2122 21,22 1024-57-3 Melhoxychlor ND mg1L 0.000500 t 02101/22 06-00 02/02/22 21:22 72.43.5 Toxaphene ND mg1L 0.00250 1 02101122 06:00 02/02122 21:22 8001-35-2 gamma-BHC (Undane) ND mg1L 0-000500 1 02/01122 06:00 02102122 21:22 58-89-9 surrogates Tetrachlom-m-xylene (S) 82 % 44.124 1 021O1122 06:00 U2102122 21:2.2 877-09-8 Derachlorobiphenyl (S) 68 % 30-139 1 02/01/22 06:00 02J02/22 21:22 2051-24-3 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/07/2022 05:49 PM without the written consent of Pace Analytical Services, LLC Page 5 of 27 PO Box 228 e Statesville, NC 28687 e 704/872/4697 Page 8 of 30 aceAnalytical •srePaetl>tlsl.com f ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 Kincey Ave Suite 100 Humersville, NC 28078 (704)875-9092 Project US 810 (BAXTER) Pace Project No.: 92583425 Sample: 220118.13.01 Lab ID: 92583425001 Collected: 01118122 11:38 Received: U1119122 13:07 Matrix: Solid Results reported on a 'dry weight" basis and are adjusted for percent moisture, sample size and any dilutions. Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Oual 6010 MET ICP, TCLP Analytical Method EPA 601 oD Preparation Method: EPA 3010A Leachate MethodlDate: EPA 131t 01120t22 15:00 Initial pH: 4.82; Final pH' 2 Pace Analytical Services - Asheville Arsenic NO mg1L 0.050 1 01=22 00:50 01123/22 17:27 7440-38-2 Barium NO mglL 0.25 1 01/22/22 00:50 01123122 17:27 7440-39-3 Cadmium NO mg1L 0.0050 1 01122l2200:50 01123122 17:27 7440-43-9 Chromium NO mg1L 0-050 1 01122/22 00:50 01123122 17-27 7440-47-3 Lead ND mglL 0.025 1 01122t22 00:50 01123M 17:27 7439-92-1 Selenium NO mg1L 0.10 1 01/22/22 00:50 01/23/22 17:27 7782-49-2 Silver NO mg1L 0.025 1 01122/22 00:50 01123/22 17:27 7440-22.4 7470 Mercury, TCLP Analytical Method: EPA 7470A Preparation Method, EPA 7470A Leachate Method/Date: EPA 1311: 0 4120122 15:00 Initial pH: 4,82; Final pH: 2 Pace Aralyticat Services - Asheville Mercury NO mg1L 0.00020 1 011241220826 01125t221V47 7439-97-6 8270E TCLP RVE Analytical Method: EPA 8270E Preparation Method: EPA 351 OC Leachate Method/Dale: EPA 1311; 01/20122 15:00 Initial pH: 4.82. Final pH- 5 Pace Analytical Services - Charlotte 1,4-Dichlarobenzene NO ugtL 50.0 1 01/23122 17:24 01124122 22:05 106-46-7 2,4-Dinitrotoluene NA ug1L 50,0 1 01123122 17:24 01124122 22:05 121-14-2 Hexachloro-1,3-butadiene NO ug1L 50.0 1 01123122 17:24 01/24/2222:05 87-68.3 Hexachlorobenzene NO ug1L 50o 1 01 23122 17:24 01124122 22:05 118-74-1 Hexachloroethane NO ug1L 50-0 1 01/23122 17:24 01124t22 22:05 67-72-1 2-Methylphenol(o-Cresol) NO ug1L 50.0 1 01/23/22 17:24 01124122 22:05 95-48-7 384-Methylphenot(m&p Cresol) ND uglL 50.0 1 01123122 17:24 Oii24122 22:05 15831-104 Nitrobenzene NO ug11L 50.0 1 Ol 23f22 17:24 01124/22 22:05 98-95-3 Pentachlorophenol NO ugfL 100 1 01/23122 17:24 OV24122 22:05 67-86-5 Pyridine NO ugtL 50.0 1 01/23122 1714 01/24122 22:05 110.86-1 L2 2,4,5-Trichlorophenol NO ug1L 50.0 1 01/23122 1724 01/24222 22:05 95-95-4 2.4,6-Trichlorophenol NO ug1L 50.0 1 01123122 17:24 01124t22 22:05 68-06-2 Surrogates Nitrobenzene-d5 (S) 87 % 10-144 1 01123122 17:24 01124122 22:05 4165-%0 2-Fluorobiphenyl (S) 90 % 10-130 1 01123122 1T.24 01/24122 22o5 321-60-8 Terpheny1-d14 (S) 86 % 34-163 1 01123122 17:24 01124122 22:05 1718-51-0 Phenol-d6 (S) 47 % 10-130 1 01123122 17:24 01124122 22:05 13127-88-3 2-Fluorophenol(S) 60 % 10-130 1 01123/22 17:24 01124/22 22:05 367-12-4 2.4.6-Tribromophenol (S) 95 % 10-144 1 01/23/22 17:24 01124/22 22:05 118-79-6 82600 MSV TCLP Analytical Method: EPA8260D Leachate MethodiDate: EPA 1311; 01120122 12:06 Pace Analytical Services - Charlotte Benzene NO ugk 100 20 011211221120 71-43-2 2-Butanone (MEK) NO uglL 200 20 01121/22 13:20 78-93-3 Carbon tetrachloride NO ugiL 100 20 01121/22 13:20 56-23-5 Chlorobenzene NO ugtL 100 20 0112112213:20 108-90-7 Chloroform NO ug1L 100 20 01121/2213:20 67-66.3 REPORT OF LABORATORY ANALYSIS This report shall not be reprociuceo, except in full, Date: 02/0712022 05:49 PM without the written consent of Pace Anarylical Services. LLC Page 6 of 27 PO Box 228 a Statesville, NC 28687 • 704/872/4697 Page 9 of 30 ;aceAnalXical0 urw.pacelrhu ci s ANALYTICAL RESULTS Project: US BID (BAXTER) Pace Project No.- 92583425 Pace Analytical Services, L.LC $800KinceyAve. Suite 100 Hunterwille, NC 28078 (704)875-9092 Sample: 220118.13.01 LablD: 92583425001 Collected: 0Vl&2211:30 Received: D111912213:07 Mali Solid Results reported on a 'dry weight" basis and are adjusted for percent moisture, sample size and any dilutions. Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Quai 8260D MSV TCLP Analytical Method: EPA 8260D Leachate MethodiDate: EPA 1311: 01120122 12:06 Pace Analytical Services - Chadoite 1,4-Dichlorobenzene ND ui 100 20 0112112213:20 10646-7 11,2-Dichloroelhane NO ug1L 100 20 0112112213:20 107-06-2 1,1-Dichloroethene NO ug1L 100 20 01121/2213:20 75.354 Tetrachiorcethene NO uglL 100 20 01/21/22 13:20 127-18 4 Trichloraelhene NO ug1 100 20 0112V2213:20 79-0" Vinyl chloride NO ugk 100 20 01121122 13:20 75-01-4 v2 Surrogates 12-Dichloroethane-04 (S) 98 % 70-130 20 0112112213:20 17060-07-0 Toluene-d8(S) 98 % 67-135 20 01121122 13:20 2037-26-5 4-Bromofluorobenzene (S) 97 % 70-130 20 61121/22 13:20 460-00-4 Percent Moisture Analytical Method: SW-846 Pace Analytical Services - Charlotte Percent Moisture 85.8 % 0-10 1 01/19122 17:41 N2 1010 Flashpotnt,C4osed Cup Analytical Method: EPA 1010B Pace Analytical Services - Ashev4le Flashpoint >200 deg F 1 01120122 10:33 9045 PH Soil Analytical Method: EPA 9045D Pace Analytical Services -Asheville pH at 25 Degrees C 7.3 Sid. Units 0.10 1 01120122 17:46 H3 9095 Paint Filter Liquid Test Analytical Method. EPA 9095E Pace Analytical Services - Asheville Free Liquids PASS 1.0 1 01/20122 13-37 733C S ReacBve Cyanide Analytical Method: SW-846 7.3.3.2 Preparation Method: SW-846 7.3.3.2 Pace Analytical Services - New Orleans Cyanide, Reactive NO mglkg 25.0 1 02/02/22 14:49 02102122 15:59 734S Reactive Suttide Analytical Method: SM 4500-S2-F-2011 Preparation Method: SW-846 7.3.42 Pace Analytical Services - Greensburg Sulfide, Reactive NO mglkg 69.1 1 01127122 21:11 011271222118 H1,H2 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced. except in full. Date: 0210712022 05:49 PM without the written consent of Pace AnatyWal Services. LLC Page 7 al 27 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 10 of 30 Analytical Results U.S. Biosolids Inc 958 Hoots Road Roaring River, NC 28669 Receive Date: 03/10/2022 Reported: 04/14/2022 For: Baxter Comments: STATESVILLE ANALYTICAL Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 220310-27-01 30 Day Benchscale Baxter Respectfully submitted, Melissa Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 12.7 EPA625-R-92/0 03/10/2022 MD PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 4 =J 0:� _I 0 M JJ 33 79 O O m m m m n 9 -0 0 0 j D Q 0 co m m 3(D m 3 m :3 a =5 c m3 2) N � CCDD O Z) N O m m c G. UO o. EZ cQ w Q V Q W 1F � m Q a a o C 3 3 3 N i npp� 3 3 3 3 m m co m d '1 p� 03 s v� * E I 37 7 � m a O W ' o m c�J r0 a N CD CD m C Grab mp w m y 3 3 3 3 3 B x x q Q (D S Ic %u O Q N 7 Q o 0 � )CD Q 3 o a O 3 c a 0 m CDn N N m 19> k x PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 4 STATESVILLE ANALYTICAL Analytical Results US Biosolids 958 Hoots Rd Roaring River, NC 28669 Entered: 3/10/22 Reported: 4/14/22 Sample ID: 220310-27-01 PARAMETER: Vector Attraction Reduction/Aerobically Digested Sludge (30day) Total Solids Volatile Solids % Volatile Solids Week 1 0.99 0.82 0.8283 Week 2 0.99 0.81 0.8182 Week 3 0.99 0.81 0.8182 Week 4 0.99 0.81 0.8182 Week 5 0.99 0.79 0.7980 Week 6 0.99 0.80 0.8081 Volatile Solids Reduction: 0.8283 - 0.8081 X 100 = 12.7 % 0.8283 - (0.8283 X 0.8081) Respectfully submitted, Melissa Myers Statesville Analytical, Inc. NC WW Cert.# 440NC PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 4 30 Day Bench Worksheet Sample ID # 220310-27-01 WEEK 1 Samples Total Solids Volatile Solids %_Volatile Fraction 1 0.98 0.81 2 1.00 0.83 3 0.98 0.81 Average: 0.99 0.82 0.8283 WEEK 2 Samples Total Solids Volatile Solids % Volatile Fraction 1 0.98 0.81 2 0.99 0.82 3 0.99 0.81 Average: 0.99 0.81 0.8182 WEEK 3 Samples Total Solids Volatile Solids % Volatile Fraction 1 0.99 0.81. 2 0.98 0.81 3 0.99 0.80 Average: 0.99 0.81 0.8182 WF.F.K 4 Samples Total Solids Volatile Solids % Volatile Fraction 1 0.99 0.81 2 0.99 0.81 3 0.99 0.80 Average: 0.99 0.81 0.8182 U.8182 WEEK 5 Samples Total Solids Volatile Solids % Volatile Fraction 1 6.98 0.79 2 0.98 0.78 3 1.00 0.81 Average: 0.99 0.79 0.7980 19T10101 MO Samples Total Solids Volatile Solids % Volatile Fraction 1 0.99 0.80 2 0.99 0.80 3 1.00 0.80 Average: 0.99 0.80 0.8081 Van Kleeck Reduction: 0.8283 - 0.8081 X 100 = 12.7 % 0.8283 - ( 0.8283 X 0.8081) Final Result: 12.7% PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 4 of 4 Wavooint.0 ANALYTICAL 46381 US Biosolids Inc Dennis Key 958 Hoots Road Roaring River , NC 28669 Report Number: 22-034-0012 Lab No : 56500 Sample ID : Baxter Project Baxter Information : 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271.6446 www.waypointanalocal.com REPORT OF ANAL rSIS Report Date : 02/11/2022 Received : 02/03/2022 twin thi 6/0T Pauric Mc Groary Ph.D., CPA Agronomist Matrix: Solids Sampled: 2 / 2/ 2022 13: 05 Test Results Units MOL DF Date 1 Time By Analytical Analyzed Method Moisture 86.5 % 0.010 Sulfur 13400 mg/Kg - dry 74.1 Calcium 9110 mg/Kg - dry 370 Aluminum 1990 mg/Kg - dry 37.0 Manganese 110 mg/Kg - dry 3.70 Organic N 57410 mg/Kg - dry 1852 Nickel 27.3 mg/Kg - dry 1.85 Lead 3.39 mg/Kg - dry 2.22 Arsenic 14.4 mg/Kg - dry 3.70 Selenium <3.70 mg/Kg - dry 3.70 Test Results Units MOL 1 02/08/2217:16 FMM SM-254OG 1 02/10/22 00:45 TJS. 60100 1 02/10/22 00:45 TJS 6010D 1 02/10/22 00:45 TJS 6010D 1 02/10/22 00:45 TJS 6010D 1 02/10/22 09:00 CALCULATION 1 02/10/22 00:45 TJS 60100 1 02/10/22 00:45 TJS 6010D 1 02/10/22 00:45 TJS 6010D 1 02/10/22 00:45 TJS 6010D DF Date / Time By Analytical Analyzed Method Total Solids 13.5 0.010 1 02/08/2217:16 FMM SM-2540G Phosphorus 14400 mg/Kg - dry 37.0 1 02/10/22 00:45 TJS 6010D Copper 183 mg/Kg - dry 3.70 1 02/10/22 00:45 TJS 6010D Total Kjeldahl Nitrogen 65300 mg/Kg - dry 1850 1 02/10/22 09:00 JPJ �M-4500-NH3C-TKP Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit Definitions Waypointo. ANALYTICAL 46381 US Biosolids Inc Project Baxter Dennis Key 958 Hoots Road Information Roaring River , NC 28669 Report Number : 22-034-0012 Lab No : 56500 Sample ID : Baxter 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271.6446 www.waypointanalytical.com REPORT OF ANAL YSIS Report Date : 02/11/2022 Received rtt: 02/03/2022 TAW*C/ QO Pauric Mc Groary Ph.D., CPA Agronomist Matrix: Solids Sampled: 2 / 2/ 2022 13:05 Potassium 3590 mg/Kg - dry 74.1 1 02/10/22 21:29 TJS 6010D Magnesium 3470 mg/Kg - dry 37.0 1 02/10/22 00:45 TJS 6010D Sodium 3060 mg/Kg - dry 185 1 02/10/22 00:45 TJS 60100 Iron 7200 mg/Kg - dry 74.1 1 02/10/22 00:45 TJS 6010D Zinc 216 mg/Kg - dry 9.26 1 02/10/22 00:45 TJS 6010D Ammonia Nitrogen 7850 mg/Kg - dry 741 1 02/10/22 11,15 JPJ SM-4500-NH3C Nitrate+Nitrite- N <36.8 mg/Kg - dry 36.8 1 02/10/22 14:20 ZBD 4500NO3F-2011 Cadmium 0.741 mg/Kg - dry 0.741 1 02/10/22 00:45 TJS 6010D Chromium 58.8 mg/Kg - dry 1.85 1 02/10/22 00:45 TJS 6010D Mercury 0.295 mg/Kg - dry 0.108 1 02/09/22 15:46 JW2 SW-74718 pH 7.7 s•u• 1 02/10/2213:37 DRS 9045D Molybdenum 7.70 mg/Kg - dry 1.85 1 02/10/22 00:45 TJS 6010D Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit Definitions SAR Sodium Absorption Ratio Na M IL Ca M IL M MIL Na : Sodium (MgIL) Equivalent weight: 23 413.1 1229.85 468.45 Ca: Calcium (MgIL) Equivalent weight: 20 Mg : Magnesium (MgIL) Equivalent weight: 12 NaAM_E) CaIME) Mg.LME 17.96087 69.4925 39.0375 Milli Equivalent = MgIL 1 Equivalent weight The amour amount of r SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power 5AR = 2.53334fi (From MgIL entered above) SAR= 2.539244 (From ME entered below) Na (ME) CAME) Mq (ME) 18 1 61.5 1 39 Permitting PAN Mineralization as decimal ITotal dry tons/year lAcres Applied on 57.17 Rate 0.3 TKN 65300 NH3 7850 NO3 36.8 NO2 0 % Solids 0.135 144.45 PAN Surface 21196.8 mg/kg 42.3936 lbs/dry ton 6123.756 Ibs total PAN 107.1148 Ibs PAN/acre PAN Injection 25121.8 mg/kg 50.2436 lbs/dry ton 7257.688 Ibs total PAN 126.9492 Ibs PAN/acre Dry Tons/1000 gal. 0.56295 1st year PAN Surface lbs. 6123.75552 1 st year PAN Injected lbs. 7257.68802 lbs./acre Surface 107.1148421 lbs./acre Injected 126.9492395 MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 mg/kg x .002 MR(TKN-NH3) + 1(NH3)+NO3+NO2 mg/kg x .002 =mg/kg =Ibs/dry ton =mg/kg =Ibs/dry ton 1000 X 8.34 X %solids X sp. gravity "=dry tons/1000gal." 2000 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY23-SL012294 k5i I"14'4+;4 Client: Doug Poplin Advisor: Zach Key Predictive 594 Austin Little Mtn Rd Southern Soil Builders °± f' Ronda, NC 28670 958 Hoots Rd Soil Report Mehlich-3 Extraction Roaring River, NC 28669 Sampled County : Wilkes _1 Links to Helpful Information Sampled: 10/26/2022 Received: 10/31/2022 Completed: 11/17/2022 Farm: Client ID: 160157 Advisor ID: 231531 Sample ID: DP1A Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.76 0.94 14.7 90 1.4 6.4 397 166 64 21 40 150 101 528 528 1097 0.1 1 Sample ID: DP1 B Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.60 0.99 11.7 89 1.3 6.3 261 118 62 22 41 150 102 548 548 1164 0.1 1 North Carolina Tai wLm Truk f and Ctwinlsskm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY23-SL012294 Doug Poplin Page 2 of 5 Sample ID: DP1C Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.81 0.99 12.4 88 1.5 6.3 217 229 54 25 38 212 140 534 534 674 0.1 1 Sample ID: DP1 D Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.3 120-200 0 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.56 1.01 10.4 82 1.9 5.9 204 95 56 21 48 166 117 563 563 647 0.1 1 Sample ID: DP2 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Corn, silage 0.0 180-220 0 0 0 0 0 0 0 0 Note: 3 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.51 1.05 11.5 89 1.3 6.4 441 189 58 22 63 163 109 744 744 952 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY23-SL012294 Doug Poplin Page 3 of 5 Sample ID: DP3C Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Corn, silage 1.4 180-220 0 60 0 0 0 0 0 0 Note: 3 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.60 1.00 8.4 69 2.6 5.3 292 71 46 19 71 129 94 592 592 521 0.1 1 Sample ID: DP3G Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 100 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.46 0.97 9.6 86 1.4 6.3 77 20 57 28 34 99 72 355 355 426 0.1 1 Sample ID: DP4 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 20 0 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.81 0.95 11.6 92 1.0 6.7 54 82 56 32 35 142 91 421 421 473 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY23-SL012294 Doug Poplin Page 4 of 5 Sample ID: DP5 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.8 120-200 0 30 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.76 0.99 11.1 79 2.3 5.7 211 55 52 25 55 126 93 878 878 538 0.1 1 Sample ID: DP6 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 30 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.56 1.07 9.5 83 1.6 6.1 135 56 52 29 59 107 80 446 446 583 0.1 1 Sample ID: DP7 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 50 110 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.46 1.13 6.6 75 1.6 5.9 36 15 53 21 30 98 76 98 98 523 0.1 2 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY23-SLO12294 Doug Poplin Page 5 of 5 Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Report Abbreviations Lime Ac exchangeable acidity If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either B boron ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. BS% % CEC occupied by basic cations For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at onE Ca% % CEC occupied by calcium time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate CEC cation exchange capacity is applied. If MG is recommended and lime is needed, use dolomitric lime. Cu-I copper index ESP exchangeable sodium percent Fertilizer HM% percent humic matter Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of K-1 potassium index lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies K20 potash for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they Mg% % CEC occupied by magnesium are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is MIN mineral soil class an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear Mn manganese only on reports for greenhouse soil or problem samples. Mn-All Mn-availability index for crop 1 Mn-Al2 Mn-availability index for crop 2 Mn-I manganese index Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z Mn- mineral -organic soil class notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients_ In general, homeowners do not N nitrogen need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit Na sodium ncagr.gov/agronomi/pubs.htm. NO3-N nitrate nitrogen ORG organic soil class Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find pH current soil pH the exact fertilizer grade recommended on the report, visit www.ncagr.pov/apronomi/obpart4.htrntfsfind information that P-1 phosphorus index may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P205 phosphate S-1 sulfur index Test Results SS-1 soluble salt index W/V weight per volume The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI zinc availability index Zn-1 zinc index remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr.pov/agronomi/uyrst.htm