HomeMy WebLinkAboutWQ0001086_2022 Residual Annual Report_20230222 (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) * WQ0001086
Applicant/Permittee Town of Spring Lake
Email Notifications
Does this need review by the hydrogeologist? * Yes No
Regional Office Fayetteville
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* Annie Foxworth (or Gary MacConnell)
Email Address*
annie.foxworth@macconellandassoc.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*
(919)467-1239
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:* WQ0001086
Has Current Existing permit number
Applicant/Permittee Address* PO Box 617, Spring Lake, NC 28390
Facility Name* Town of Spring Lake 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.)
Al0012.00 - Town of Spring Lake - 2022 Annual Biosolids
32.39M6
Report.pdf
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
(gin �ii i S • ��l�l�tw.rit�/
Submission Date 2/22/2023
February 20, 2022
Nathaniel Thornburg, Branch Chief
NC DEQ - Division of Water Resources - Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Annual Report of Land Application of Biosolids
Town of Spring Lake, North Carolina
Permit No. WQ0001086
Spring Lake, North Carolina, Cumberland County
Dear Mr. Thornburg:
We are pleased to submit for your review, the following electronic copy of the annual report for
the Town's biosolids land application program. During 2022, 51.4 tons (46.7 metric tons) of sludge
or Biosolids were land applied from the Town's Wastewater Treatment Plant to various permitted
fields as presented in the report. The following permitted fields did not receive residuals for the
entire calendar year of 2022:
Town of Spring Lake Field 1-1: Latitude 35.197368°, Longitude-78.964357'
Brinkley, Willie C. Field 3-4: Latitude 35.285278°, Longitude 78.873889'
Brinkley, Willie C. Field 3-5: Latitude 35.283383°, Longitude 78.872272'
Brinkley, Willie C. Field 3-6: Latitude 35.279617°, Longitude-78.872460'
Chattellier, David and Diana Field 5-1: Latitude 35.272644 °, Longitude-78.999303'
Chattellier, David and Diana Field 5-2: Latitude 35.274089 °, Longitude-78.998108'
Chattellier, David and Diana Field 5-3: Latitude 35.273578 °, Longitude-78.996653'
If you should have any questions please contact Richard Mendez, Land Application Operator at
(910) 436-0241 or Gary S. MacConnell, PE of MacConnell & Associates, P.C. at (919) 467-1239.
Mr. MacConnell has assisted the Town with the preparation of this report. Your assistance is
appreciated.
Sincerel ,
c.
Ms. Kia Anthony
Mayor
cc: Mr. Gary S. MacConnell, PE, MacConnell & Associates, P.C.
Mr. Richard Mendez, Town of Spring Lake
Town of Spring Lake, North Carolina
2022
Annual Biosolids Report
_ SEAL '
17069 '
r
/C"Z
Permit # WQ0001086
NPDES Permit # NCO030970
Prepared By
MacConnell & Associates, P.C.
P.Q. Box 129
Morrisville, NC 27560
Phone. (919) 467-1239
Fax: (919) 319-6510
Town of Spring Lake, North Carolina
2022 Annual Biosolids Report Summary
Facility Name: Town of Spring Lake Wastewater Treatment Plant
Address: P.O. Box 617, Spring Lake, North Carolina 28390-0617
Telephone: (910) 436-0241
Land Application Permit No.: WQ0001086
Facility's NPDES Permit No.: NCO030970
Responsible Official: Ms. Kia Anthony, Mayor
Address: P.O. Box 617, Spring Lake, North Carolina 28390-0617
Telephone: (910) 436-0241
Facility Operator: Mr. Richard E. Mendez, ORC
Address: P.O. Box 617, Spring Lake, North Carolina 28390-0617
Telephone: (910) 436-0241
Report Preparer: Mr. Gary S. MacConnell, PE
Address: MacConnell & Associates, P.C., P.O. Box 129, Morrisville— NC 27560-0129
Telephone: (919) 467-1239
Dry Tons Land Applied: 51.4 Tons (46.7 Metric Tons), Town Permitted Fields.
Sludge Land Applied to Three Contractor Sites as Noted
Brinkley, Willie Calvin Field 3-3: Latitude 35.245681°, Longitude-79.019306'
Brinkley, Willie Calvin Field 3-7: Latitude 35.283333°, Longitude -78.869722'
Brinkley, Willie Calvin Field 3-8: Latitude 35.279939°, Longitude-78.870632'
Operational Data: On Site
Laboratory Methods Used: As required by regulations
Description of Sludge Processes: Class B, Alkaline
Prepared By:
MacConnell & Associates, P.C.
P.O. Box 129
Morrisville, North Carolina 27560-0129
Phone: (919) 467-1239
Fax: (919) 319-6510
Town of Spring Lake, North Carolina
2022
Annual Biosolids Report
NCDEQ-DWR Forms
Permit # WQ0001086
NPDES Permit # NCO030970
Prepared By
MacConnell & Associates, P.C.
P.O. Box 129
Morrisville, NC 27560
Phone: (919) 467-1239
Fax: (919) 319-6510
Q C) U N to (D M
Q a 0 O O O p O 0 0 pnp
J. m r r r M
J
C1 N i
` O m O O O f- m 0 0 O
Q7 N ++ O mt O d d I- r CD d d
Q Oo 'r000C*)CQ000
=
� L
Q U O d 0 0 0 M W 0 0 0
r Q d M d d 0 CD 1'- O Q O
d r L) 0 Q r N Ca p 0
Q CD
0 0 r r 0 0 O
a+ O O O O N O O O O
E Ca Cl)r Q O O� Q 0 0 0
N
EQ O O d d d d d
OC14 r 0 0 0
- d m d d d CA CA CA m CA
i .O LO W) LO LO Li] LLB LO LO LO LO
L
d
a. d Ln Ln
CU O CS) N
0 O Oct 0 0 0 cl d d d
O Q m Ln .-
CV CN
co
N d
Ca d
d� d d d � a d d
coCL
(7 N
CO co i
co
cQ
tD
cM
LO
N
N 0 0 m m O r N O 0 o d
c0 V d d It 1-- CD 0'cr 0 C] 0 O
cc L 0 0 co m w O Lri r 0 0 0 C7
O)
CD
� N
C
Q d O r tt d r- d d d 0
F O O r U-) O m O O O O
cc O O"l- d d Lf7 T d d d d
t� ❑
Ln
N O O CDO
� d m CDU-)N cis M w N C d O d O 0 O
N O co U.) r Cfl 0q m 0 O O d O O 0 Lr0 0 0 CDC
�mri�aircOrriCV� w N�� W
Cti
_ (} V r N
O d O p q q P q p p 4 p
L O M O r O Cn CD O) m m m 0) m m m 0) 0)
U C7 CA Liz N LO L •O Ln LO LO Ln LO Li) LO Ln u) u) LO LC)
Q V) N N r to CD r T ac-
L
(
a) w �
r C? "T LI? CQ 1 00 r N c?
C
lti U3 U
r C'7 CY) C'7 ('7 m MLC) U") LOQ
Q
` U 4S 3 .wi p N N
m d m Q m 3 3 O V O 4))
-,) IL 2 < E -,) (1) 0 Z 0
ANNUAL LAND APPLIUA"1'10N C ER11FIC;A'HON FORM
WQ Permit#: WQ0001086 County: Cumberland Year:
2022
Facility Name (as shown on permit): Spring Lake WWTP
Land Application Operator: Richard E. Mendez Phone: (910) 497-5748
Land application of residuals as allowed by the permit occurred during the past calendar year?
l 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:
3
Total amount of dry tons applied during the year for all application sites:
51.4
Total number of acres utilizes for land application during the year:
26.7
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. i] Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) 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 .1 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.
13) 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 aqd Imprisonment for knowing violations."
Permittee Name and TitlWype or print) Signature of Permittek Date
Signature of Preparer*
Date Signature of Land Applier 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 .I 102 (26) DENR FORM ACF (12/2006)
A
m
a
IM
04
O
rn
O
M
O
O
i'
a
a�
Q
G
O
Q..
O
U
0
a�
C�
U]
N
--
V
--
--
-- --
--
�p
l-
V) 00
O
O's
V
N l--
rq
p Z
n
CIO
O
Z
oho n
<D
o
z z
z
Z
+�
o
o
0E!
Q
o
U
o
"
z
�a�i
N
0�4
`6
o
Aa 0
U
U
o
N
0
a
T
LL
Ui
0
LL
w
z
L1
Nd
N 1-1
� to � kn
04
a
F
�IIrIYI�IYI
�Il�lrl�l,l
�IIN�I�I
a
0
N
N
Y
W
L,L
^
'V'^J
VNJ
L.L
a�
0
LL
w
z
w
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Spring Lake WWTP Total Dry Tons Applied (Annual): 0.00
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Spring Lake Predominant Soil Series: Wmb - Wickham
8.4 Acres Permitted: 8.4 Site #: I Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
11
12/15/22
L2]3
12/15/22
12/15/22
4
12/15/22
5
12/15/22
6
12/15/22
7
12/15/22
8
12/15/22
9
12/15/22
10
12/15/22
11
12/15/22
i2
12/15/22
% Solids
1.59
1.59
1.59
1.59
1 1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
Arsenic
3.55
3.55
3.55
3.55
3.55
3.55
3.55
1 3.55
3.55
3.55
1 3.55
3.55
Cadmium
1.79
1.79
1.79
1.79
I.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
191
I91
191
191
19I
191
191
191
191
191
191
191
Chromium
12.2
12.2
I2.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
Lead
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
Mercury
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1 1.06
1.06
1.06
1 1.06
1.06
Molyb-
denum
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
Nickel
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05
6.05
6.05
6.05 1
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27
27
27
27
27
27
27 1
27
27
27 1
27
27
Total
Phos-
horus
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbslacre):
Total
11
L2J3j
5
6
7
8
9
10
11
12
DT/Ac./
o
App
Event
Arsenic
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
1 0.000
0.000
0.000
0.000
Cadmium
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Copper
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
Chromium
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
Lead
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
O.D00
0.000
0.000
0.000
Mercury 1
0.000
0.000
0.000 1
0.000
0.000
0.000
1 0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
Molyb-
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
denum
Nickel
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
Selenium
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
Zinc
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
Total
Phos-
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
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".
Signature of Land Applier
2-21-2b23
Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dry Tons Applied (Annual):
Permit #: WQO001086 Cation Exchange Capacity (non 503 only):
Operator: Richard E. Mendez Owner: Willie Calvin .Brinkley Predominant Soil Series:
Acres Used: 7.5 Acres Permitted: 7.5 Site #: 3 Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
14.81
VaB-Vaucluse
Sample
or Com-
posite
Date
1 11
12/15/22
2
12/15/22
3j
12/15/22
4
12/15/22
5
12/15/22
6
12/15/22
7
12/I5/22
8
12/15/22
9
12/15/22
10
12/15/22
11
12/15/22
12
12/15/22
%Solids
1.59
I.59
1.59
1.59
I.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
Arsenic
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
Cadmium
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
191
191
191
191
191
191
191
191
191
191
191
191
Chromium
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
Lead
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
Mercury
1.06
1.06
1.06
1 1.06
I.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
Molyb-
denum
5.9
5.9
5.9
59
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
Nickel
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27
27
27
27
27
27
27
27
27
27
27
27
Total
Phos-
horus
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
2
3j
4j
S
6
7j
8
9
10
Li12
DT/Ac./
qy
App.
y
Event
0.04
0.35
0.72
0.80
0.08
Arsenic
0.000
0.000
0.000
0.002
0.005
0.000
0.006
0.001
0.000
0.000
0.000
0.000
0.0I4
Cadmium
0.000
0.000
0.000
0.001
0.003
0.000
0.003
0.000
0.000
0.000
0.000
0.000
0.007
Copper
0.000
0.000
0.014
0.133
0.274
0.000
0.304
0.030
0.000
0.000
0.000
0.000
0.755
Chromium
0.000
0.000
0.001
0.009
0.017
0.000
0.019
0.002
0.000
0.000
0.000
0.000
0.048
Lead
0.000
0.000
0.001
0.008
0.016
0.000
0.018
0.002
0.000
0.000
0.000
0.000
0.045
Mercury
0.000
0.000
0.000
0.001
0.002
0.000
1 0.002
0.000
0.000
0.000
0.000
0.000
1 0.004
Molyb-
0.000
0.000
0.000
0.004
0.008
0.000
0.009
0.001
0.000
0.000
0.000
0.000
0.023
denum
Nickel
0.000
0.000
0.001
0.011
0.022
0.000
0.024
0.002
0.000
0.000
0.000
0.000
0.060
Selenium
0.000
0.000
0.000
0.004
0.009
0.000
0.010
0.001
0.000
0.000
0.000
0.000
0.024
Zinc
0.000
0.000
0.002
0.019
0.039
0.000
0.043
0.004
0.000
0.000
0.000
0.000
O.I07
Total
Phos-
0.000
0.000
1.825
18.019
36949
0.000
41.055
4.105
0.000
0.000
0.000
0.000
101.953
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".
ALZ omj --21 Zo1.3
Signature of Land Applier Date
DENR FORM MFLSF (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:
Permit #:
Operator:
Acres Used:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series:
34.3 Acres Permitted: 34.3 Site #: 3 Field #:
0.00
FaB-Fuquay
Residual Analysis Data (Heavy Metals and Total Phosphorus use mglkg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
12/15/22
2
12/15/22
3
12/15/22
4
12/15/22
5
12/15/22
6
I2/15/22
7
12/15/22
8
I2/15/22
9
12/15/22
iQ
12/15/22
11
12/15/22
12
12/15/22
% Solids
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
Arsenic
1 3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
1 3.55
3.55
Cadmium
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
191
191
191
191
191
191
191
191
191
191
191
191
Chromium
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
Lead
11.3
11.3
11.3
11.3
11.3
1I.3
11.3
11.3
11.3
11.3
11.3
11.3
Mercury
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
Molyb-
denum
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
Nickel
15.3
15.3
15.3
15.3
15.3
15.3
I5.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05 1
6.05
6.05
6.05
1 6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27
27
27
27
27
27
27
27
27
27
27
27
Total
Phos-
horus
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
L2J
3
41
5
6
7
8
9
10
11
12
DT/Ac./
o
App.
Event
Arsenic
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
Cadmium
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
Copper
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
Chromium
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
Lead
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
Mercury
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
Molyb-
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
denum
Nickel
0.000
0.000
0.000
0.000
0.000
0.000
0.004 1
0.000
0.000
0.000
0.000
0.000
0.000
Selenium
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
Zinc
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000 1
0.000
Total
Phos-
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
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".
:A� Auvtj Z-4 Zaz3
Signature of Land Applier v Date
DENR FORM MFLSF (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:
Permit #:
Operator:
Acres Used:
Spring Lake WWTP Total Dry Tons Applied (Annual): 0.00
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: FaB - Fuquay
23.7 Acres Permitted: 23.7 Site #: 3 Field #: 5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mglkg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
12/15/22
_2j
12/I5/22
3
12/15/22
4
12/I5/22
5
12/15/22
6j
I2/15/22
7
I2/15/22
8
12/15/22
9
12/15/22
10
12/15/22
11
12/15/22
12
12/15/22
% Solids
1.59
I.59
1.59
1.59
1 1.59
1.59
1.59
1.59
1.59
1.59
1 1.59
1.59
Arsenic
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
Cadmium
1.79
1.79
1.79
1.79
1.79
1 1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
191
191
191
191
191
191
191
191
191
191
191
191
Chromium
12.2
12.2
12.2
12.2 1
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
Lead
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
Mercury
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
Molyb-
denum
59
5.9
5.9
5.9
5.9
5.9
5.9
5.9
59
5.9
5.9
5.9
Nickel
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05 1
6.05
6.05
6.05 1
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27
27
27
27
27
27
27 1
27
27
27
27
27
Total
Phos-
horus
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
o
App.
Event
"
Arsenic 1
0.000
0.000
0.000 1
0.000
0.000
1 0.000
0.000
1 0.000
0.000
1 0.000
0.000
0.000
1 0.000
Cadmium
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
Copper
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
Chromium
0.000
j 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Lead
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
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
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
denum
Nickel
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
Selenium
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
Zinc
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
Total
Phos-
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
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 knowin violations".
I'La
Signature of Land Appl er Date
DENR FORM MFLSF (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:
Permit #:
Operator:
Acres Used:
Spring Lake WWTP Total Dry Tons Applied (Annual): 0.00
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: FaB-Fuquay
29.9 Acres Permitted: 29.9 Site #: 3 Field #: 6
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample
or Com-
posite
Date
12/15/22
12/I5/22
3
12/15/22
4
12/15/22
5
12/15/22
6
12/15/22
L7J
12/15/22
L8J9
12/15/22
12/15/22
10 J
12/15/22
12/15/22
12
12/15/22
% Solids
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1 1.59
1.59
1.59
1.59
Arsenic
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
Cadmium
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
191
191
191
191
19I
191
191
191
191
191
191
191
Chromium
12.2
12.2
12.2
I2.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
Lead
11.3
11.3
1I.3
11.3
11.3
11.3
11.3
1I.3
11.3
11.3
11.3
11.3
Mercury
1.06
1.06
1.06
1.06
I.06
1.06
I.06
1.06
1.06
1.06
1.06
1.06
Molyb-
denum
5.9
5.9
5.9
5.9
5.9
5.9
59
5.9
5.9
5.9
5.9
5.9
Nickel
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27
27
27
27
27
27
27
27
27
27
27
27
Total
Phos-
horus
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
L 1 j
L2]3
4
5
6j
L7J
Bj
L9]1
D
11
12
DTIAc./
c
App.
c
Event
Arsenic
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
Cadmium
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
Copper
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
Chromium
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
Lead
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
denum
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Nickel
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
Selenium
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Zinc
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000 j
0.000
Total
Phos-
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
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".
Signature of Land App r
Zd2Z
Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dry Tons Applied (Annual):
Permit #: WQ0001086 Cation Exchange Capacity (non 503 only):
Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series:
Acres Used: 15.2 Acres Permitted: 15.2 Site #: 3 Field #:
25.58
FaB-Fuquay
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
12/15/22
2
12/15/22
3j
12/15/22
4
12/15/22
L 5
12/I5/22
L6J
12/15/22
7
I2/15/22
8 j
12/15/22
9
12/15/22
10
12/15/22
11
12/15/22
12
12/15/22
% Solids
1.59
1.59
1.59
1.59
I.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
Arsenic
3.55
1 3.55
3.55
3.55
1 3.55
3.55
3.55
1 3.55
3.55
3.55
1 3.55
3.55
Cadmium
1.79
1.79
1.79
1.79
I.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
191
191
191
191
191
191
191
191
191
191
191
191
Chromium
I2.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
Lead
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
Mercury
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1 1.06
1.06
Molyb-
denum
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
Nickel
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05
1 6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27
27
27
27
27
27
27
27
27
27
27
27
Total
Phos-
horus
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
LiJ2
3
4
5
6
7
8
9
10
11
12
DTIAc./
rt
App.
Event
0.60
1.08
"
Arsenic
0.000
0.000
0.004
0.000
1 0.000
0.000
0.000
0.008
0.000
0.000
1 0.000
0.000
0.012
Cadmium
0.000
0.000
0.002
0.000
0.000
0.000
0.000
0.004
0.000
0.000
0.000
0.000
0.006
Copper
0.000
0.000
0.231
0.000
0.000
0.000
0.000
0.412
0.000
0.000
0.000
0.000
0.643
Chromium
0.000
0.000
0.015
0.000
0.000
0.000
0.000
0.026
0.000
0.000
0.000
0.000
0.041
Lead
0.000
0.000
0.014
0.000
0.000
0.000
0.000
0.024
0.000
0.000
0.000
0.000
0.038
Mercury
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.002
0.000
0.000
0.000
0.000
0.004
Molyb-
0.000
0.000
0.007
0.000
0.000
0.000
0.000
0.013
0.000
0.000
0.000
0.000
0.020
denum
Nickel
0.000
0.000
0.018
0.000
0.000
0.000
0.600
0.033
0.000
0.000
0.000
0.000
0.052
Selenium
0.000
1 0.000
0A07
0.000
1 0.000
0.000
0.000
0.013
0.000
0.000
1 0.000
0.000
0.020
Zinc
0.000
1 0.000
0.033
0.000
0.000
0.000
0.000
0.058
0.000
0.000
0.000
0.000
0.091
Total
Phos-
0.000
0.000
31.174
0.000
0.000
0.000
0.000
55.708
0.000
0.000
0.000
0.000
86.881
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".
ignature of Land Ap er
TA1 -TZaz3
Date
DFNR FORM MFLSF (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:
Permit #:
Operator:
Acres Used:
Lake WWTP
WQ0001086
Richard E. Mendez Owner:
4 Acres Permitted:
Total Dry Tons Applied (Annual):
Cation Exchange Capacity (non 503 only):
Willie Calvin Brinkley Predominant Soil Series:
4 Site #: 3 Field #:
11.04
FaB-Fuquay
8
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
12/15/22
2
12/15/22
3
12/15/22
12/15/22
5
12/15/22
s
12/15/22
L7J
12/15/22
8
12/15/22
9
12/15/22
10
12/15/22
11
12/15/22
12
12/15/22
% Solids
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
Arsenic
1 3.55
3.55
3.55
1 3.55
3.55
3.55
1 3.55
3.55
1 3.55
3.55
3.55
1 3.55
Cadmium
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
1.91
191
191
191
191
191
191
191
191
191
191
191
Chromium
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
Lead
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
Mercury
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
Molyb-
denum
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
Nickel
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27
27
27
27
27
27
27
27
27
27
27
27
Total
Phos-
horus
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
Lil
2
3
4
5
E
7
Bj
1 91
10
11
12
y
DT/Ac./
0
App•
14
Event
1.34
0.37
1.04
Arsenic
1 0.000
0.000
0.010
0.003
0.007
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.020
Cadmium
0.000
0.000
0.005
0.001
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
Copper
0.000
0.000
0.513
0.142
0.399
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.054
Chromium
0.000
0.000
0.033
0.009
0.025
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.067
Lead
0.000
0.000
0.030
0.008
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.062
Mercury
0.000
0.000
0.003
0.001
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Molyb-
0.000
0.000
0.016
0.004
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.033
denum
Nickel
0.000
0.000
0.041
0.011
0.032
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.084
Selenium
0.000
1 0.000
0.016
0.005
0.013
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.033
Zinc
0.000
1 0.000
0.073
0.020
0.056
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.149
Total
Phos-
0.000
0.000
69.280
19.244
53.884
0.000
0.000
0.000
0.000
0.000
0.000
0.000
142.409
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
imprisonm`entt for knowing violations".
Signature of Land Applier- Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dry Tons Applied (Annual):
Permit #: WQ0001086 Cation Exchange Capacity (non 503 only):
Operator: Richard E. Mendez Owner: David Chatellier Predominant Soil Series:
Acres Used: 9.1 Acres Permitted: 9.1 Site #: 5 Field #:
0.00
GaB-Gilead
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
12/15/22
2
12/15/22
3
12/15/22
4]
12/15/22
151
12/15/22
B
12/15/22
7
12/15/22
8
12/15/22
9
22/15/22
10
12/15/22
11
12/15/22
12
12/15/22
% Solids
1.59
1.59
1.59
1.59
1.59
1.59
1 1.59
1.59
1.59
1 1.59
1.59
1.59
Arsenic
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
Cadmium
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
191
191
191
191
191
191
191
191
191
191
191
191
Chromium
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
Lead
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
Mercury
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
Molyb-
denum
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
Nickel
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27
27
27
27
27
27
27
27
27
27
27
27
Total
Phos-
horus
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
L1J
L2J3
4
5
L6J
L7J
L8J
9
10
11
12
DT/Ac./
o
App.
as
Event
14
Arsenic
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
Cadmium
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
Copper
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
Chromium
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
Lead
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
Mercury
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
Molyb-
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
denum
Nickel
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
Selenium
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
Zinc
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
Total
Phos-
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
horus
"I certify, under penalty of law, that this document was prepared under my directions 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".
IF
Signature of Land Applier
Z -2 x " Z6 Z3
Date
DENR FORM MFL.SF (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:
Permit #:
Operator:
Acres Used:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: David Chatellier Predominant Soil Series:
6 Acres Permitted: 6 Site #:
0.00
GaB-Gilead
Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
12/15/22
2
12/15/22
3
12/15/22
4
12/15/22
5 j
12/15/22
6
12/15/22
7
I2/15/22
8
12/15/22
9
12/15/22
10
12/15/22
11
12/15/22
12
12/15/22
% Solids
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
1.59
Arsenic
1 3.55
3.55
3.55
1 3.55
3.55
3.55
3.55
1 3.55
3.55
3.55
1 3.55
3.55
Cadmium
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
191
191
191
191
191
191
191
191
191
191
191
191
Chromium
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
I2.2
12.2
Lead
1I.3
1 11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
I1.3
11.3
Mercury
1.06
1.06
I.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
Molyb-
denum
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
5.9
Nickel
15.3
15.3
15.3
1 15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05
6.05
6.05
6.05 1
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27 1
27
27
27
27
27
27
27
27
27
27
27
Total
Phos-
horus
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
LJ1
2
3
4
5
L6J
7
8
9
10
11
12
DT/Ac./
o
App.
Event
14
Arsenic
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
Cadmium
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
Copper
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
Chromium
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
Lead
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
Mercury
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
Molyb-
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
denum
Nickel
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
Selenium
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
Zinc
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
Total
Phos-
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
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".
c
Signature of Land Appl'
r21 -24a3
Date
DENR FORM MFLSF (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:
Permit #:
Operator:
Acres Used:
WQ0001086
Richard E. Mendez
Lake WWTP
Total Dry Tons Applied (Annual):
Cation Exchange Capacity (non 503 only):
Owner: David Chatellier Predominant Soil Series:
12.3 Acres Permitted: 12.3 Site #:
Field #:
0.00
GaB-Gilead
3
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 I
12/15/22
L2]3
12/15/22
12/15/22
4
12/15/22
L5J
12/15/22
6
12/15/22
7
12/15/22
B
12/15/22
9
12/15/22
10
12/15/22
11
12/15/22
12
12/15/22
% Solids
1 1.59
1.59
I.59
1.59
1.59
1.59
1.59
1.59
1.59
1 1.59
1.59
1 1.59
Arsenic
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
3.55
Cadmium
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
1.79
Copper
191
191
191
191
191
191
191
191
191
191
191
191
Chromium
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
12.2
Lead
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
11.3
Mercury
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
1.06
Molyb-
denum
5.9
5.9
5.9
5.9
5.9
5.9
59
5.9
5.9
5.9
5.9
59
Nickel
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
15.3
Selenium
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
6.05
Zinc
27
27
27
27 1
27
27
27 1
27
27
27
27
27
Total
Phos-
horns
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
25800
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6j
7
8
9
10
11
12
DT/Ac./
o
App.
14
Event
Arsenic
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
Cadmium
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
Copper
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
Chromium
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
Lead
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
Mercury
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
Molyb-
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
denum
Nickel
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
Selenium
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
1 0.000
0.000
Zinc
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
Total
Phos-
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
horns
"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".
A�4 M9,_J
Signature of Land Applier
Z zl-26z3
Date
DENR FORM MFLSF (12/2006)
d•
00
N
[V
h
Ci
Q
IW
N
3 �
LLI
C,3 V! R
Cj i i
E
Z 3
'C p
_
6 .a
tS
.a
ca
-0CL
-
7
7
7
7
3
7
N
w
00'.
•�
7
y
rq
U
M
mix
Im
M
W
M
W
M
W
7
W
N
O
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
C
Q
UZZZZZZZZZZZZ
po
w
Z A
o
0
0
0
C.
0
0
0
0
0
0
0
0
V
O
O
O
O
O
O
O
O
O
O
O
0
O
C
O
O
O
O
a❑.
0
0
0
0
0
0
0
0
0
N
O
O
O
O
O
O
O
O
O
CDO
O
CD
p
�G '4 Y
Ch
a
a
O�
a
CT
a�
6+
U
D�
T
U
z m z
0
n
0
n
0
n
0
n
0
n
0
n
o
n
c
n
O
n
0
n
0
n
n
o
c
o a o
Ammonia Y
c
o
o
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
C
a
C
a
4
a
C
a,
O
a,
CD
rn
G
a,
O
a�
O
D,
O
a+
O
D,
O
a
O
+•
N
° o cr
Nitrogen E
P,
N
N
N
N
N
N
N
N
N
N
N
N
Q
C n n N
a
7
Z .
O
O
O
O
O
O
C
O
C
O
C
O
C
O
O
O
O
O
O
O
O
0
O
0
u'
L'+
y
CD
O
�
Ch
SG rn
n
n
n
n
n
n
n
n
n
n
r-
[h
Cn
p
D`
a
Cn
m
F- E
ao
n
00
n
00
n
00
n
00
n
=
n
.
n
ao
n
00
n
00
n
00
n
0o
n
k,
o
N
ri
x
Mineralization
_
M
M
o
o
o
c
a
c
o
o
2
n
Rate***
p
p
p
p=
o
N
C
_
Volatilization
.
v
v
+n
Rate**
o
0
0
0
0
a
Application
Method*CD
L.,
n
N y
Xu
O
C
D
C
D
C
n
N
o
o- n S
y
-
s
'a
CDn
v
Ra
C6
3Ei 2
0.
P.
A,
0.
0.
4
0..
4
0.
4
Q
u
C
M
v
t
Ch
w 3
a
v
g
M
M
O
U
U
C
O
Q
Q
Q
Q
p
Q
0
0
O
O
O
N
O
O
O
ND
U O
CDO
0
0
0
0
O
0
0
0
0
0
¢
O
�C
.D
M
RQ
O
O
CD
O
O
O
O
0
0
0
0
0
CD
�
V
Q
0
9F
OO
C
O
O
O
O
O
O
O
O
0
0
>
*
N
7.v� C U
U
0.
?
�UZ
a
v
s.,
.a
y
<
gjuOw
v
C
G
-
=o
N$
G
O
C
30 2jt:Q
Q
O
ar
s
w
� �
o
O
r=
C
U a
Cc,
L a
OrA
y
� •� O
as
L w
= ea U ca 4
L d
VW
L
Ku e7
un ar
G L
9 y Q�i Q a
•.y. Cd
p N � CJ
iC
L6
CO
QQ
# C3 iF
w
0
0
N
{V
ZI
LL
(0
LL
Q
(Y
z
w
0
C)
0
T
%i
c
C7
i�
E
0
N
N
x
G
p
0
s.
V
U
C
C
C
C
C
E
E
E
_
U y
v�
vn
rn
V)
�;O
¢
U
CL
O
_
N
b
id c�
"
�j
�
❑
N
z�
mcncornaaw
N
o
0
0
o
p
o
M
r^'S
4
p• U
{j
O
O
N
0
0
0
N
¢N
C,
00
a
d
�
O
2
N
C1
N
7
V'
M
U N
•.
N •D }' t
C1
o
C,
b
ON
o
T
0
O
0
CU
0
a,
0
a<
O,
a,
a+
a,
E
n
n
^
p1
Ammonia �'
b
O
b
b
O
b
b
CCD
0
0
0
CCD
0
C
n
b^
.--.
^
N
cc
o
a'
O
a'
O
O
C,
O
D,
O
Q+
b
O,
O
C
O
T
d
0,
d
Q�
d
�
O
w'
N
^
Nitrogen E
N
N
N
N
N
N
N
N
N
ry
N
N¢
O
n
v�i
N
a
p�
o
0
0
{-
[-
M !J
O
N
C!
pp
F' E
ep
n
r
n
p
n
oo
n
eo
n
oa
n
m
n
00
n
w
�
n
Mineralization
0
tq
O
M
o
M
0
C
0
Ci
0
C11
0
M
0
Cl1
0
r!
0
C11
0
rl1
0
C
0
C,1
0=
z
o
0
o
n
Rate
94
Volatilization
cc
O
N
P
o
Rate"
c
o
o
d
o
0
0
0
0
0
0
0=�
6
o
0
0^
C
G>;
ApplicationLn
"Ic
�
M
o
c-
o
Method*
LA
rA
x
o
a
°
b
b^
a'
U N y
C
G
CD
�u.. A ','� u
=
C
a
T
Chi
N
y
O
C
O
^ •� in
y
i..
W
o
o0
m
[�
3 a
o
v
rq
N
R
R
O
v1
1
00
M
a 3 E �
0.
0.
0.
0.
L' �
0.
0.
0.
In_
0.
0-Cl,
�
[„)
n
o^
N
r+1
V2�y
3333333
d^
y
333333333
33
O W r
❑ •�j
a
CIO
.a
L n
.�
(/n
.-a
Vn
U7
w
Dn
.•3
U)
..�
Vn
.-7
.�
w
.�
.=
n
In
N
00
M
p
p
d] Q
U ¢
E
O
O
Vl
Q.
O
O
'C
O
O
0
0
0
O a o
o
O
d
M
b
v
r1
n
o
o
a
n
00
o
o
0
d
0
C)
0
C,
o
vs
o
n
N
n
p
o
0
0
0
6
o
c
o
0
0
0
0
Q
o
b
o
r•-,
¢
v
a+
a
a
QI
a+
a
a,
a,
a,
a
o�
C
V/
h
In
r
h
V1
Vl
Wl
V'�
kq
W/
n
In
fn
o
O
O
O
O
en
*
'6
0
0
0
�I
y
o ^, b rn
M
e0
C,
G�
o,
C,
CC
V
W
O
c� C _O'
'7
a
O L. -
E
p
U
tj
a �
ca
=
U
U
}�.¢
`JUOI Y
E
C
of
GL
a
U
U
Q
C
O
l✓
e
O
w
O
N
P3
a
0
0
N
N
r_
LL
w
k
2
Ir
O
LL
z
LU
Q
Z
M
=
N
a
C
O
E Q ¢
o
a
5
U
a
Q
N
z
N
Q
Q
C.O
O
O
CD
O
O
CDO
O
CD
yC
O
o
O
0
O
CD
O
O
O
Q
CD
Q
Q
0
0
0
0
0
0
o
0
Q
0
o
O
Q
_
ti
z
C.
O
C.
O
O
C.
O
O
O
CD
O
O
� U
❑.
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
Q
o
Q
0
O
o
O
Q
z
u
o
Q
C
p
C
p
O
O
O
O
O
O
O
p
ar b Y
a1
o
T
O1
Q
01
o
0,
0
ON
0
T
0
01
0
01
0
01
0
O,
O,
••
p
Z Z E
n
o
.O
*'
Ammonia
0
o
0
0
0
o
0
c
0
o
0
0
0
o
0
0
0
0
0
0
0
o
0
o
O
°O
Y
o
Q
CD
O
C.
o
0
0
0
CD
O
c
CDF
N
Q
Q
QO
Nitrogen E
ry
N
N
N
N
N
N
N
N
N
N
a'a
02
N
z Y
O
o
O
0
O
0
O
o
o
a
o
o
O
c
o
o
o
a
O
o
O
0
o
0
O
Q
O
o
o0
0o
ar
ar
ar
ar
ar
ar
ar
ar
war
C�
o
00
F- E
�'
o
0
Mineralization
00
o
0
Rate***
o
M
o
M
c
r,
o
r
0
Cn
0
M
0
M
o
M
Q
M
Q
M
o
M
o
L
Z
CD
0
co
j.
n
i+
Volatilization
n
„„„
en
o
0
0
CD
0
Rate**
CD
0
CDc
o
o
Q
Q
o
0
0
0
o
o
o
0
Application
rs
o
o
v
Method*
C4
h
ti
Cn
o
Q
a
�N N
c
O
O
{L
Q
ry
0
d
U
O
o
U G
L
O
OCD
N
u
G
U CY —
O
o
O
M
33
33
o
Q
M
¢y
aw �,
aaaaa.aa.a
aaa�
o
0
ty 3
rn
En
u5
v
v1
Crv7
y
V
o
O
co
M
Cie
4
4
V
a a
N
C
O
Q
O
0
O
0
O
C.
O
O
O
O
O
O
O
O
O
0
O
0
C
0
O
0
O
O
O
O
�p
7
0
0
0
0
0
0
0
0
0
0
0
0
o
O
Q �
v
01
a,
01
D,
0�
01
01
0,
01
C,
C,
01
c
o
�/l
'n
Vl
Vi
'n
h
�1
N
wl
N
O
(�
U
�
V
CIF
O
U
.0
y
O
0
O
O
O
O
O
o
0
0
0
0
0
C.
E c
�+
y
o
U
U
U
a
c
V
'o
Q
p
d
.p
c0�i
¢
U
❑-
F
R
P,
a,
4>
0
fi.
a
4
N
a
Cn
O
U-
of
Z
w
0
Q
z
3 s
U
b
G
O
C
m
y
N
m U
N
❑.
o
d
0
o
o
CDO
g
Q
o
Q
o
O
O
Q
O
0
o
0
4
0
Q
0
Q
O
Q
Q
O
O
6
o
O
o
o
O
o
0
0
Z
d V
U
Q
Q
O
O
O
O
O
O
O
O
O
O
O
d �
0
0
0
0
0
0
0
0
0
0
O
G1
O
O
CD
O
O
O
O
O
d
O
o
d
�
O
O
O
O
O
O
O
O
O
O
O
O
Z
4
Q
CD
0
0
0
O
y
tl
tv '•.• Y
Q,
O 1
a,
O+
O,
a%
a`
D\
U
a1
O+
p
0
4
Q
4
Q
Q
o
0
'D
0�
0.
d
Z� Z E
n
n
n
n
n
n
n
n
r
r
r
r
o
0
w
a
Ammonia �
o
o
0
0
0
0
0
0
0
0
0
0
o
o
d
c
d
o
O
0
d
0
d
0
o
o
m
76,
CD
0`
CDQ
a`
rn
Q
a,
p
a,
0
rn
0
a,
0
rn
0
a,
0
a`
0
a%
0
rn
tV
p
O
Q
Nitrogen 1
cV
N
N
N
o
o
N
Ci
p�
O
r
O
O
d
6
d
O
O
O
O
o
CDp
o
CD
o
a
00
r
00
n
00
r
00
n
00
r
00
r
00
n
oa
r
o0
n
0o
n
n
rn
rj�
0
0C
n
n
n
n
r
r
r
r
r
r
W
n
00
t~
Ln
o
a
Mineralization
`n
o
0
Rate***
n
o
o
r,
c
M
o
n
c
rn
o
M
0
r,
0
��
0
0
M
0
M�
o
r
Z
o
d
o
o
r-
u
CO
Volatilization
h
In
.
h
n
r
v,
Ln
h
k,
h
0
0
**
Ratc
O
O
C
O
o
6
0
o
q
Cj
Q
O
0.`
o
O
0
0
�
4
Application
vs
cn
�
�
�
u7
v3
rn
cn
�
En
�
A (t:.
o
a
Method*
0x o
0
a
�O
o
r'
o p o
o
V
o
d
o
fq
N
CL
a 3
C..
0.
0.
0.
4
0.
0.
0.
0.
L`
a
a
Q
u
0
0
o
M
un
o-
6
�
C/]
V]
i7
V]
U]
VJ
[/]
U]
u)
i/1
V]
V]
Fy
/GG
V
N R Q
W H
C
O
o
Q
0
O
o
O
Q
O
O
O
Q
O
Q
O
Q
O
0
O
0
C.
0
O
0
O
O
¢
?
O
o
0
0
0
0
0
d
d
O
d
d
O
O
a
a
a,
a,
a,
a,
o,
a,
a•
a
01
o1
rn
a,
c
h
�n
Vl
V1
h
h
h
h
h
h
h
Vl
O
r,
O
En
C]
dF
U
C)
p
O
O
O
O
C
O
O
d
0
0
0
0
'
iF
fa
N
d a
>
L)
U
=
y
4
c"
Z
quoy�
Q
•�
cm
y
10 OIL'(]
w
2
¢
v
O
o
ai
O
C
u
r
Q
A-UaC,
L �
c
M w
N
R b
p d O
.a �+
O F �+
F
�
y d
w bL
O
�
� p.
•o, u ,: �
w
O
L r/^j
CE
uU
yCd
L.
rd
V7
w A U
p
o
> -x C5
C
O e0
-- F
2
w
O
C3
F-
c
M
a
0
0
N
N
LL
CO
CL
[Y
0
LL
a
z
uU
in
i0
0
A
2
a � N
L
Cr
� U
w
o f� o
CZ O in N
0 0 •67
30
C �
k E
E L. c C a
ar Q = re
U
Q
'O
7
CO
F=
N
ca
S
V
G
p
C7
CJ
C7
CJ
o
o
U
E
E
E
E
E
EPL
U rn .�
va
rn
cn
rn
o aa.
ON
m
J
N
u
U
0
v
N
a
I --I
z
w
co
ca
ca
ca
ra
N
Q¢
Q
Q
Q
d
0
0
O
C
.0
U
U
o
C
0
O
d
0
0
Q
Q0.
4
�v
ro
O
0
O
0
d
0
d
O
o
O
o
O;K_
m
m
z
m
Z
O
O
O
Ly
o
p
C
o
0
o
C
o
N
y
•
C
O
O
p
p
0
p
0
p
0
CollCD
0
p
,
a0
O,
0
_
E
p
p
L
p�
Amrrko[1ia
O
c
O
o
O
0
O
o
O
d
0
d
0
d
0
d
o
O
do
O
o
G
d
o
o
rn
Nitrogen
Co
CC
a.
N
N
N
N
N
N
N
N
N
N
N
y
o
N
n.
7
d
d
d
o
oo
co
m
x
E� E
n
n
n
n
op
r
n
r
r
r
oo
r
co
r
00
r�
C
C
o
Mineralization
M
M
r-
M
c�
r,
r-
M.
M
M
rm
m
o
a°
Rate***
o
O
C
C
o
0
o
C
p
p
C
o=
z
n
O
C
O
Volatilization
„
v
v
,,
v-
o
p
0
Rate **
O
C
d
o
o
p
p
C
C
O
o
CDQ
y
o
o
o
O
o
0
Application
V]
V]
V]
t=
c
C,
O
Method*
Cn
CAcn
Cn
W/
c�
W)
VJ
V]
r
o
o
.--
0
❑• N
L x
0
C:)
N
do
y
o
h
U
3 Y
a
w
a
a
a
a,
a,
a.
a.
a.
a.
a,
Q
U
o
oC�
M
Y
om
Q
W
3
a
QC
a
un
a
a
3
n
3�
3
3
a20a
au000"'
d
o
d
�vw
u
N 4
�
O N O
o
O
p
p
p
O
C0
0
0
0
0
0
Q
j
O
o
C
0
o
o
0
C
0
C
o
o
c
0
a
CD
0
0
0
0
0
Q Q
o
v
C,
a,
01
a,
o,
a,
a,
a,
o,
a•
o,
o
C
In
In
11)
L'y
1n
wl
N
111
111
InCL
O
—
*
q
U
c
b73 o
—*
b
v —
.0.
O
O
O
O
C
d
C
o
C
O
O
O
U
Ca
(Yi
u N C
o v
_
E
Cj
a
a
4juOW
R
U
c>
>
s
3
�¢ti�
°
F
G•°
��,�
10OIt'Q
0�
4
G,
U
P.
r
R
R
E
0
O
N
N
LL
(0
LL
O
LL
Z
w
Q
tx CO
V E
to
E'_' b a
C7
C7
C7
C7
C7
C7
�
�
oa
U
o
o
E
E
E
E
Ir
lr
U
�n
UO
h
CIO
C4
CA
O
d
.-.
cd
N
eEa aUi
z �
�
w
ca
co
co
co
oa
Q
N
0
Z
Z
Z
Z
Z
Z
C0
0
C!
��`'.
U
Q
p
Z
o
0
0
CD
o
M
0.
Z
Z
Z
C0
O
O
Oo
O
Z
Z
Z
O11�
o
U
o
0
0
0
fl
c
N
i m
C� 'C •� Y .�
".• �„
p
G+
0
C=
0
Cp
0
p
0
O1
0
0
LA
0
Cp
o
C=
c
O
o
p
E
p.
z Z
Z
O
a,
O
O
O
C,
C,
C,
C,
C,
O
O
Ammonia y
o
o
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
o
o
c
o
M
v
E
a
o,
N
y
p•
NO
O
o
o
cPitrogen
o
N
¢
0
r
0
0
0
4
0
0
0
C
O
O
O
r
Ory
F E
n
n
oo
n
n
Do
n
0000
n
n
0000
n
n
00
n
0000
r
r
o
0
0
s
Mineralization
M
M
M
M
M
M
M
M
M
M
M
M
O
O
"It
rq
ID
t
o
0
0
0
0
0
0
0
0
0
0
0
Rate***
Volatilization
w,
,.,
�
�.,
�
u,
�
v,
v,
�
v,
•.,
o
o
�
�
�
Rate"
0
0
0
0
0
0
0
C.
0
0
CDQ
Q
o
o
7
h
Application
va
cn
m
cn
n
vs
u
CD
Method*
x
o 0
o
a-
�•GC
0
L N
W
M
M
O
00
*O
N
a)
r
N
_
a C
O
w
a
_
n
o
V} ❑ 3 G
0
u
O
N
ea
6
�
U fl•
�
M
00
U
3 E 4
a
a
a
a
c
c
a
o
n
n
a
U
`t
M
CDN
NNE
��Qy
33333333333�3
�
�s
333333333333'
�
oo
r3
W)
va
44�
En
ul
C,
d
U
d
710
�
a
o
6
6
U
QO
ItO
O
O
Qo
0040
0
0
0
00
00
G
_�? o 0
0
o
a
o
o
a
o
0
0
0
0
0
¢
CDv
o
M
?� d
0
0
0
0
o
0
0
0
0
0
0
¢ n
M
-
-
-
—
-
--
o
h
�
n
-n
a
U
a
o
Qo
'U b O
O
O
C
0,01
O
O
O
O
o
n
O
0
0
O
n C N
M
rq
rq
cV a
v � �
7
a
aoaJeQ
u
L"
O
T.
N
0
cn
0
0
N
tV
iL
0
LL
0
L.L
z
L17
O
O
r
a
0.
O
Cq
CD
00 1 M
�IO
0. ~ N
C C
3 �
� U
CZ v
M
U
Ln R
y
C
C
C
C
G
C
C}
C 7
C
C
C
O
C
q
N
z
p]
q
m
m
p7
CS
N
n<CDD
C2
C2n
Z
Z
Z
z
z
z
~
O
O
O
0
E �
C
z
z
c,
O
O
O
O
Z
Z
fn
N
a
U
N
o
0
0
0
N
y y
�C '7 YC,T
01
O�
01
�
.
�
Q�
Q+
.
U
�O
CCDC
z z E
CDC:,o
o
P
0
0
0
0
0
0
140.1
�
•,L.
0
Ammonia
C
o
C
0
O
0
C
0
O
0
O
0
O
0
O
0
O
0
C
0
C
0
O
o
G
��
n
�
O
O
a
C
a
O
o
o
a
o
c
P
a
P
rn
P
Q
o
P
a
P
rn
P
a
N
.-.
�.
Nitrogen E
N
N
N
c.s
N
N
N
N
N
N
N
N
o
h
h
r+
p,
a
7
,•,�
p�
z y
O
O
G
C
O
CD
O
O
CS
C
O
C:,
O
O
O
O
O
C
C)
O
C)
O
CD
O
GTw
y
M
'd'
pp
X rn
n
n
n
i+
n
n
n
n
n
n
n
n
rn
Vj
p��
F- E
o0
n
00
n
00
n
0o
n
co
n
00
n
00
n
0o
n
ao
n
00
n
00
n
00
n
o
Q
o
4'
Mineralization
�
�
0
n
m
rn
m
Ii
M
rr,
ri
In
M
rn
0°0
�
Rate***
Volatilization
W
Rate**
o
o
c
c
o
0
0
0
0
0
0
o
a
o
0
0
Application
V1
U]
[/]
[/�
c/�
r/�
VJ
✓�
V]
r/1
Vl
r/)
�Cc
ter+
Method*
N
P
o
�
P
0
,--
0
0. N w
Lz
n
�D
n
M
4
rn a p 3 o
=
U
c
cnr,
a
w
U �.-J �
•,00
G
O
O
N
W
Q
a
yUU.,
u
n
C
chi 3
rn
n
Us
v
zn
v
v
v
n
o
M
L y
7 v U Q
O
4
O
0
M
Al
n
'7
O
0
0
0
0
0
0
G
0
O
0
O
0
C.
h
O
N
N
N
M
�p
o
0
o
0—
M
M
o
O
O
0
O
0
P
0
O
0
P
0
O
0
o
0
¢
O
0
V]
0
V1
0
twj
Vi a¢
Q Q
U
r1
CN
C,
a,
01
a,
CN
a,
0%
a,
C,
01
o72
e
h
h
h
h
h
+n
h
h
h
h
h
h
�
�
�
U
x
O
U
N
E
o
O M
•--
N
N
M
10
•Cd
SX
N
�
G ?
N
0.
>v
vL)
O
u
Uz
0
U
aa>i
Q
gIuOW
a
2
0
cd
0.
c
C
>
CA
8
y
y
U
Q
K
0
JO ajt?Q
�
�
¢
�
�
a
�
g
�
o
-Z:
H
¢4-CU4,a,
_
O
14
Y
c�
?A
a
0
0
N
CV
LL
LL
LL
0
4L
Z
LU
5
L
Q.1
L.
u
d
6S
—41 kn
it at
m
w
0
Q
Z
0
N
CV
d -
N
O
U
�
G
O
o � c3
U
C
U oD .0
<a
w
cc
of
ca
m
ca
w
w
w
<O
w
Q
n>>
a
a
a
N
ry
U
Q
Z
N
O
'Q
U
Z
Z
Z
Z
Z
Z
Z
z
z
z
z
0
U
Z
C,
cD
0
0
0
0
0
0
0
0
0
0
O
V
O
O
O
O
In
O
O
O
b
b
b
0
b
0
O
O
O
O
O
O
O
O
O
O
O
O
O
N
{�
b
cD
O
b
p
p
Q
Q
Q
Q
O
CD
O
p
U U
0
0
1
0
aD
0
1
0
c.
"
Z m z E
n
n
n
n
n
n
n
n
n
n
n
n
o
0
m
Z
pp
Ammonia .
O
o
O
0
O
0
O
0
O
o
O
p
O
o
O
0
O
cD
b
0
b
C.
b
0
>=
q
Q
M
M
�
o
O
b
q
O
b
q
0
0
0
0
0
t�1
p
V
Nitrogen E
i
a`
N
a`
N
a,
N
a
N
a,
N
a,
N
rn
N
a,
N
rn
N
o,
N
rn
N
o,
N
o
of
r-4
N
Q,
Y
O
O
O
O
O
O
b
O
b
O
b
O
b
O
b
O
b
O
b
O
b
b
cD
0
ii
Qy
p
q
O,
U
[�
n
n
[�
n
l�
I
V]
O
N
N
pp
0o
n
co
n
co
n
co
n
r�
n
n
r
n
m
n
rZ
n
rZ
r
r-
n
co
n�
b
O
G
Mineralization
�-
o
o
a
r^
c
c
M
o
b
M
c
r
o
r
b
r
o
M
0
M
o
Z
m
ro0-�
It
Rate***
r
u
b
b
o
Volatilization
R
cO
Op
rn
m
Rate**
o
0
cD
o
c
o
cD
0
0
tz
Application
rn
n
va
r."z
o
0
0
'r
Method*
ci
On
cn
x
o
0
0
N
g
4y
0. 0.
C
b
b
N
w
O
M
M
u
-
O
C
b
N
CL
Cq
bnn^
333
Cq
�ce�R
3
Cn('o
i
Ja33a�333.n
Vn
Vn
cn
C'�
C
v2
cn
in
c
bnn
aa
a
p 4
W c
V O
o
o
p
b
4
o
,
o
C
b
4
o
4
p
0
C
0
O
0
O
00
b
0
0
Q'
O
O
r
O
n
O
M
O
O
O
O
O
O
O
b
b
b
b
b
b
b
b
Q �
v
rn
a
o,
G�
a
a,
a,
al
a,
a,
rn
a+
�
o
o
'n 0
G
C
O
O
O
O
O
O
b
b
b
b
C,
;
*
C
�p
2, CD
(V
�"
U
C
U
LI
�
z
C
-0
cc �
r5
U
�
b21
¢
R
L[�UOj/�j
m
7
v
cd
ei
C
a
E
a
�
O
E
J
<
L.
la
A-
Q
''
=
u
F
c
O
'i-
ao ajecj
B.
o
o
F-
¢
R.,
U
_0
N
N
Q
a
0
0
tv
tz
to
tL
O
LL
Of
Z
w
a
ro
c�
0
z
Q
0
N
d
0
U
.--
s x ro
CL
U c0 .I-?
Q
Z
U
C
ra
❑
N
M
M
M
x
C3
07
rn
M
N
n•
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
d
Q
a
'
U
Z
z
2
z
Z
z
Z
Z
Z
Z
Z
z
C N
Z
a
0
0
0
0
0
0
0
6
b
b
o
b
O
A,
O
q
a
a
O
O
O
O
O
O
O
O
O
O
N
U
C)o
CD
CD
CD
0
0
o
c
o
0
0
0
p
Q+
a
O,
O,
O,
O,
CD
CDg
p
q
p
p
0
0
0
p
�
p.,
o
z a z E
M
=
O
Ammonia
O
o
O
0
0
0
0
0
0
0
0
0
0
0
0
0
O
08
b
b
0
b
0
C..*
O
00
Nitrogen E
O
C,
O
a
q
c�
q
C,
a
a
O
o,
a
01
O
o,
O
0,
0
o,
0
7,
0
o,
N
p
oo
b
v
N
N
N
N
N
N
N
N
N
N
N
N
a
h
a
n
00
r-
n
n
n
n
n
n
n
n
n
00
Exr E
00
n
co
n
co
r
00
n
0000
n
r
w
n
00
n
07
r
va
r
oo
r
ca
n�
[sIL .
c
o
o
Mineralization
r,
r,
U
co
Rate***
o
0
M
0
M
C)c
r
r,
o
M
0
r,
0
0
M
o
M
g
M
o
s
z
o
O
�r
t!
O
�r
�+
O
n
4
Z'.
Volatilization
v
w
v
w
,,
v
In
In�-
o
0
0
0
Rate**
o
c
a
o
b
b
c
CD
o
c
o
o
o
c
0
c
0
o
o
Gz.
Application
v,
Cn
LI)
v;
a
[:
c
a
o
,
cn
UO
rr
Cn
un
Le;
cn
x
Method*
o
c
o
O
C N
•� .•
O
O
00
Cq
00
N
N
L
s
b
b
c
Op
�
r-
N
oo
U
4
.
.-
CJ
y
o
0
o
N
V
y d ...
W
00
0tv
°'
3333
3
3�3F333�33
^
Ca Q
3
3
3
3
3
3
3
3
3
a
o
o
r
Q
rn
ri
un
ri
V
ri
ri
W
ci
En
ci
En
v p w
U
o
p
A
a ..
q
q
0
U
G7 0. 4
C
U o
O
b
O
b
O
b
O
b
O
b
g
b
a
O
O
g
O
q
O
O
O
a
O
0
¢'
O
O
M
O
M
O
,q
M
O
O
O
O
O
O
O
G
C
O
0
0
O
c
o
Q O
b
a
o,
a,
a
a
a,
a
o,
C,
C,
o,
C,
O
Cn
(a
cC
R
a v o
—
7F,C M
C,
O
C,?+
7
*
N
cr a 0
d
>
^
u c c
o
a
o
m
_
rZ
�
C
p.
gjt1O
10 Ple(I
v
v
•,
Q
a,
O
o
O
Q
U
w
)
si
31
YA
Pa
a
I
0
N
N
eL
❑.CL
-
�
_
U CD.
:>
W
G3
CC
o7
01
[�
GO
W
[q
�q
C4
CC
N
O•
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
O
z
z
z
z
z
Z
Z
Z
Z
z
z
z
c
U
�
�
Q
Z
g
a
o
0
0
0
0
0
0
o
a
a
o
Q
a
o
0
00
0
0
0
0
0
o
g
q
o
0
O
O
O
O
O
O
O
O
O
O
o
O
O
N
v
o
0
o
g
o
0
0
0
0
0
0
o
c
p
y
y
U
o
O�
o
O,
g
T
q
O�
o
6,
0
O�
0
O+
0
Ol
0
c%
0
Cn
0
O,
o
z �
n
n
r
n
r
r
n
r
r
r
n
r
z
o
t
Ammonia
O
0
O
0
O
0
O
0
O
0
O
0
CDo
0
0
O
6
O
0
q
0
q
0
O
^
7
`D
p�
Q
rn
O
c
O
c
O
o
O
rn°°
O
O
O
rn
O
v'
O
°°°
O
O
y
N
p
V
0
Nitrogen
N
N
N
N
N
N
N
N
N
N
N
N
a
O
N
N
N
7
Z �[
O
O
O
O
O
O
O
O
O
O
o
O
0
o
o
o
q
O
q
O
0
Q
C.
q
Lw
6
r
r
r
n
r
n
n
n
n
n
n
n
r�
o
a,
[x� E
00
n
0o
n
m
r
ao
n
'0
n
00
n
00
r
00
r
oo
r
00
n
00
00
o
0
0
c-
r-
Mineralization
n
Ili
rn
rl
0�
G
Rate***
O
O
rl�
O
o
CD
CZ)
M
q
M
O
M
a
M
0
rl
0
M
0J.
g
O
M
p�
n
V
O
O
O
v
Volatilization
lf�
t!�
1n
h
vl
Y'Y
Vl
Yl
V'Y
Yl
Vl
Vl
O
O
rs
M
Rate**
o
CDc
g
q
q
o
0
0
0
0
0
Application
Method*
x
c
c
o
O
N
NC
r
CD
O
p v
y
a
o
v
n
Ln a p 3 a
o
U
a
N
cy
U
w•
G
O
O
N
m
2 Cy
r
a
O
o
q
r
4
0c
�Q�
33
33
3
3
=
r
w3a33333a3a�
;
IZ
o��,r
V]
Val
V)
En
Val
&0
VD
Ua
V5
on
[/]
y
U
q
q
q
raj
u
R ¢
U
O
a
0
0
0
0
0
0
0
0
q
_
v1
vl
O
Q
O
O
p
q
O
O
o
O
O
O
O
Q
O
p
¢
O
O
O
M
ia
O
O
O
G
O
CD
0
0
CD
q
0
0
0
Q �
a
a,
o•
rn
o`
o,
a,
o%
o.
Ol
a,
a ,
a,
e
V'>
Y1
lf)
V!
V)
Vl
V'i
vl
W'
V']
o
O
*
U
o
q
q
O
O
O
]
C
N
a
>v
O
c.
gjuOW
ao
o
o
r.�
¢
a
U
c.
a
Cd
Q
a
0
0
N
CY
LL
U)
LL
O
!1
[Y
Z
LU
0
ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Spring Lake WWTP
WWTP Name: Spring Lake
Monitoring Period: From 1/l/2022 To
WQ Permit Number: WQ0001086
NPDES Number: NCO030970
12/31 /2022
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑ 7AIL
C (Prior Testing)❑
Alt.D (No Prior Test) ❑
1 Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
ThennophiIic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
JAIt. (1) Fecal Density ❑
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization R1
Air Drying ❑
Composting ❑
jAerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the following monitorin
data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number o
Excee-
Frequency
of Anal Ysus
Sample
Type
na ytica
Tech -
woue
MinimumGeo.
Mean
Maximu
Unitsences
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
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
wei ht
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt. I (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization RI
Alt 7 (Drying - Stable) ❑
1 Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
0 "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
reo uirements.)
"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."
Richard E. Mendez, ORC
Preparer Name and Title (type or print)
i
Signature of Preparer*
Richard E. Mendez, ORC
Land Applier Name and Title (if applicable)(type or print)
Date Signature of Land Appli ' applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .I 102 (26)
DENR FORM PVRF 02T (1212006)
ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: Spring Lake WWTP
WWTP Name: Spring Lake
WQ Permit Number: WQ0001086
NPDES Number: NCO030970
Monitoring Period: From 1/1/2022 To 12/31/2022
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A:
Alternative 1 ❑
Alternative 2 ❑
Alternative 3 ❑
Alternative 4 ❑
Alternative 5 ❑
Alternative 6 ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alternative I ❑
Alternative 2 ❑
If applicable to alternative
performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization
I Air Drying❑
Composting ❑
Aerobic 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
Number ot
Excee-
Frequency
of Analysis
Sample
Tencesype
Analytical
Tech -
njoue
Minimu
Geo. Mean
aximu
Units
Fecal Coliform
2 x ] 0 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in Iieu of fecal
colifonn)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed:
Alt.] (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization p
Alt 7 (Drying - Stable) ❑
Alt. S (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 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 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."
Richard E. Mendez, ORC
Richard E. Mendez, ORC
Preparer Name and Title (type or print) Land AAppliier Name and Title (if applicable)(type or print)
Signature of Preparer* Date Signature of Land Applie if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)
DENR FORM PVRF 503 (12/2006)
Town of Spring Lake, North Carolina
2022
Annual Biosolids Report
EPA Forms
Permit # WQ0001086
NPDES Permit # NCO030970
Prepared By
MacConnell & Associates, P.C.
P.O. Box 129
Morrisville, NC 27560
Phone: (919) 467-1239
Fax: (919) 319-6510
Town of Spring Lake, North Carolina
2022
Annual Biosolids Report
Additional Information
Permit # WQ0001086
NPDES Permit # NCO030970
Prepared By
MacConnell & Associates, P.C.
P.O. Box 129
Morrisville, NC 27560
Phone: (919) 467-1239
Fax: (919) 319-6510
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.1.65
Contact: Richard Mendez
Client: Town of Spring Lake
300 Ruth Street
Spring Lake, NC 28390
Report Date:
NPDES #:
Date Sample Rcvd:
Page 1
1/10/2023
NCO030970
12/15/2022
Meritech Work Order # 12152268 Sample: Digester Composite
12/15/22
Parameters
Result
Analysis Date
$gporting Limit
Method
%Total Solids
1.59 %
12/20/22
0-100 %
SM 2540E
% Volatile Solids
1.18 %
12/20/22
0-100 %
SM 2540E
Ammonia, Nitrogen
29000 mg/kg
12/20/22
10 mg/kg
EPA 350.1
TKN
78700 mg/kg
12/21/22
20 mg/kg
EPA 351.1
Nitrate/Nitrite, Nitrogen
<709 mg/kg
12/16/22
709 mg/kg
EPA 353.2
Nitrogen, total
78700 mg/kg
12/21/22
20 mg/kg
EPA 353.2
Aluminum, total
4940 mg/kg
12/20/22
2.50 mg/kg
EPA 200.7
Arsenic, total
<3.55 mg/kg
12/20/22
3.55 mg/kg
EPA 200.7
Cadmium, total
1.79 mg/kg
12/20/22
0.200 mg/kg
EPA 200.7
Calcium, total
38400 mg/kg
12/20/22
10.0 mg/kg
EPA 200.7
Chromium, total
12.2 mg/kg
12/20/22
0.250 mg/kg
EPA 200.7
Copper, total
191 mg/kg
12/20/22
1.00 mg/kg
EPA 200.7
Lead, total
11.3 mg/kg
12/20/22
0.500 mg/kg
EPA 200.7
Magnesium, total
5260 mg/kg
12/20/22
10.0 mg/kg
EPA 200.7
Mercury, total
1.06 mg/kg
12/20/22
0.02 mg/kg
EPA 245.1
Molybdenum, total
5.90 mg/kg
12/20/22
0.500 mg/kg
EPA 200.7
Nickel, total
15.3 mg/kg
12/20/22
0.500 mg/kg
EPA 200.7
Phosphorus, total
25800 mg/kg
12/20/22
2.00 mg/kg
EPA 200.7
Potassium, total
10100 mg/kg
12/20/22
20.0 mg/kg
EPA 200.7
Selenium, total
605 mg/kg
12/20/22
0.500 mg/kg
EPA 200.7
Silver, total
<1.77 mg/kg
12/20/22
1.77 mg/kg
EPA 200.7
Sodium, total
8370 mg/kg
12/20/22
20.0 mg/kg
EPA 200.7
Zinc, total
27.0 mg/kg
12/20/22
0.5 mg/kg
EPA 200.7
SAR
0.808 -
12/21/22
-
-
pH
8.5 S.U.
12/16/22
1.0 - 14.0 S.U.
SM 4500 HB
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)3422-1522
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Richard Mendez
Client: Town of Spring Lake
300 Ruth Street
Spring Lake, NC 28390
Page 2
Report Date: 1/10/2023
NPDES #: NCO030970
Date Sample Rcvd: 12/15/2022
Meritech Work Order## 12152268 Sample: Digester Composite 12/15/22
1311 - TCLP Metals
Parameter
Results
Analysis Date
Det. Limit
Reg. Limit
Method
Arsenic
<0.100 mg/L
12/21/22
0.100
5.0
EPA 200.7
Barium
0.239 mg/L
12/21/22
0.005
100.0
EPA 200.7
Cadmium
<0.020 mg/L
12/21/22
0.020
1.0
EPA 200.7
Chromium
<0.050 mg/L
12/21/22
0.050
5.0
EPA 200.7
Lead
<0.100 mg/L
12/21/22
0.100
5.0
EPA 200.7
Mercury
<0.02 mg/L
12/20/22
0.02
0.2
EPA 245.1
Selenium
<0.100 mg/L
12/21/22
0.100
1.0
EPA 200.7
Silver
<0.050 mg/L
12/21/22
0.050
5.0
EPA 200.7
TCLP Orzanics
Parameter
Results
Analysis Date
ReportingLimit
Method
Volatiles 8260
Attached
12/20/22
-
8260
Semi Vol. 8270
Attached
12/27/22
-
8270
Other Tests
Pararr- eke
ResulU
Analysis Date
Reporting Limit
M,gthod
Cyanide, total
<0.500 mg/L
12/20/22
0.500 mg/L
EPA 335.4
Flash Point
>140 OF
12/19/22
-
EPA 1020C
Paint Filter Test
Free Liquid Present
12/20/22
- -
SW-846 909SB
pH
8.5 S.U.
12/16/22
1.0 - 14.0 S.U.
SM 4500 HB
Sulfide, total
<10.0 mg/L
12/19/22
10.0 mg/L
SM 4500 SD
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
Meritech, Inc,
Environmental Laboratory
Laboratory Certification No. 165
Contact: Richard Mendez
Client: Town of Spring Lake
300 Ruth Street
Spring Lake, NC 28390
Meritech Work Order # 12152268 Sample: Digester Composite
Pesticide - W- 4
Page 3
Report Date: 1/10/2023
NPDES #: NC0030970
Date Sample Rcvd: 12/15/2022
1311 - TCLP Pesticides & Herbicides
12/15/22
Paramete
Results Analysis Date Dvt Lim' i Reg. Urni Dilution Factor
Endrin
Attached -
Chlordane
Attached - - -
Toxaphene
Attached - - -
Methoxychlor
Attached - _ -
Heptachlor
Attached - - _
Lindane
Attached - - _
Herbicides - W- 46 81
Parameter
2,4-D
2,4,5-TP (Silvex)
Results Analy-sjs Date Det. Limit Reg. Limit Dilution Factor
Attached
Attached
hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
'"'S
UMMIIF
LijEbfirHlO4slhi> NIALTFCrlNat:t7a1LS,sNr.
Analyric.11 abcrrG�fn ra.
Sunuml Envirorunenial Technologies. Inc.
3310 frig Si.
Cuyahoga falls. Ohio 44223
TEL: (330) 253-8211 FAA- (33o) 253-4489
We6silc:
W09: 22121406
Date Reported: 1/9/2023
Company. Meritech Environmental Laboratories
Address: 642 Tamco Rd,
Reidsville NC 27320
Received: 12/21/2022
Project#:
TCLP Pesticides Analysis (SW1311/8081)
Client ID#
Lab ID# Collected Analyte
Rep Lint Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
121522-68
121522-68
001
12/15/2022 Chlordane, total
2.50
NO pg/L
Solid
EPA 8081 B
1
30.0
1/4/2023
CSS
121522-68
001
12/15/2022 Toxaphene
5.00
NO N911-
Solid
EPA 8081 8
1
500
1/4/2023
CSS
121522-68
001
12/15/2022 Endrin
0.500
NO pg/L
Solid
EPA 8081 B
1
20.0
1/4/2023
CSS
121522-68
001
12115/2022 gamma-BHC
0.500
NO pg1L
Solid
EPA 8081 B
1
400
114/2023
CSS
121522-68
001
12/15/2022 Heptachlor
0.500
ND
121522-68
001
12/15/2022 Heptachlor epoxide
0.500
NO pg/L
Solid
EPA 8081 B
1
8.00
1/4/2023
CSS
001
12/1512022 Methoxychlor
0,500
ND pg/L
Solid
EPA 8081 B
1
10000
1/7/2023
PGP
TCLP Herbicides by EPA 8321A
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
121522-68
121522-68
001 12/15120222A-D
0.500 NO mg1L
Solid
EPA 8321 A
50
10.0
12/28/2022
SRA
001 12/15/2022 2,4,5-TP
0.500 NO mg/L
Solid
EPA 8321 A
50
1.00
12/2812022
SRA
Page 4 of 13
b, MERITECH, INC.
Environmental Laboratories
Laboratory Certificate #165
Client. Spring Lake
Project: Digester
Client Sample ID: Digester
Sample Collection: 12/I5/22
Meritech Sample 1D: 12152268
1311 - TCLP Organics
Volatiies: SW-846 8260
Analysis: 12/20/22
Extraction;
12/19/22
Analyst: V W V
Report Date:
12/26/22
Parameter
Result
[lnits
Det. Limit
Reg. Limit
Dilution Factor
Benzene
< 0.0100
mg/L
0.0100
0.50
10
Carbon Tetrachloride
< 0.0100
mg/L
0.0100
0.50
10
Chlorobenzene
<0.0100
mg/L
U100
100
10
Chloroform
< 0.0100
mg/L
0.0100
6.0
10
1.2-Dichloroethane
< 0.0100
mg/L
0,0100
0.50
10
1, 1 -Dichloroethene
< 0.0100
mg/L
0.0100
0.70
10
Methyl Ethyl Ketone
< 0.100
mg/L
0.100
200
10
Tetraohloroethylene
< 0,0100
mg/L
0.0100
0.70
10
Trichloroethene
<0.0100
mg/L
0.0100
MID
t0
Vinyl Chloride
< 0.0200
mg/L
0.020
0.20
10
Semi-Volatiies: SW-8468270
Analysis: 12/27/22
Extraction:
12/19/22
Analyst: PM
Report Date:
01 /03/23
Parameter
Result
Units
Det. Lind
Re , Limit
Dilution Factor
1,4-Dichlorobenzene
<0.100
mg/L
0.100
7.5
10
Hexachlorobenzene
<0.100
mg/L
0.100
0.13
10
HexachIoro-1,3-butadiene
<0.100
mg/L
0.100
0.5
10
Hexachloroethane
<0.100
mg/L
0.100
3.00
10
o-cresol
<0.100
mg/L
0.100
200
10
m&p-cresol
<0.200
mg/L
0.200
200
10
Total cresols
<0.300
mg/L
0.300
200
10
Nitrobenzene
<0.100
mg/L
0.100
2.00
10
Pentachlorophenol
<0.500
mg/L
0,500
100
10
Pyridine
<0.100
mg/L
0.100
5.0
10
2,4,5-Trichlorophenol
<0.100
mg/L
0.100
400
10
2,4,6-Trichlorophenol
<0,100
mg/L
0.100
2.00
10
24-Dinitrotoluene
<0,10o
mg/L
0.100
0.13
10
I hereby certify that I have reviewed and approve these
data.
y� /
�LtZ� L✓. l�ir�l ,
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
(336) 342-4748 * infot7a meritechlabs.com
Meritech, Inc,
a. Environmental Laboratory
`- Laboratory Certification No.165
Page 1
Contact: Richard Mendez Revised ReponDate: 211612023
Client: Town of Spring Lake Report Date: 1/10/2023
300 Ruth Street NPDES #: NCO030970
Spring Lake, NC 28390 Date Sample Rcvd: 12/15/2022
Meritech Work Order # 12152268 Sample: Digester Composite 12/15/22
Parameters Result Analysis Date Reporting limit Method
Total Solids
1.59 %
12/20/22
0-100 %
SM 2540B
* Volatile Solids
1.18 %
12/20/22
0-100 %
SM 2540E
Ammonia, Nitrogen
29000 mg/kg
12/20/22
10 mg/kg
EPA 350.1
TKN
78700 mg/kg
12/21/22
20 mg/kg
EPA 351.1
Nitrate/Nitrite, Nitrogen
<709 mg/kg
12/16/22
709 mg/kg
EPA 353.2
Nitrogen, total
78700 mg/kg
12/21/22
20 mg/kg
EPA 353.2
Aluminum, total
4940 mg/I<g
12/20/22
2.50 mg/kg
EPA 200.7
Arsenic, total
<3.55 mg/kg
12/20/22
3.55 mg/kg
EPA 200.7
Cadmium, total
1.79 mg/kg
12/20/22
0.200 mg/kg
EPA 200.7
Calcium, total
38400 mg/kg
12/20/22
10.0 mg/kg
EPA 200.7
Chromium, total
12.2 mg/kg
12/20/22
0.250 mg/kg
EPA 200.7
Copper, total
191 mg/kg
12/20/22
1.00 mg/kg
EPA 200.7
Lead, total
11.3 mg/kg
12/20/22
0.500 mg/kg
EPA 200.7
Magnesium, total
5260 mg/kg
12/20/22
10.0 mg/kg
EPA 200.7
Mercury, total
1.06 mg/]<g
12/20/22
0.02 mg/kg
EPA 245.1
Molybdenum, total
5.90 mg/kg
12/20/22
0,500 mg/kg
EPA 200.7
Nickel, total
15.3 mg/kg
12/20/22
0.500 mg/leg
EPA 200.7
Phosphorus, total
25800 mg/kg
12/20/22
2.00 mg/kg
EPA 200.7
Potassium, total
10100 mg/kg
12/20/22
20.0 mg/I<g
EPA 200.7
Selenium, total
6,O5 mg/kg
12/20/22
0.500 mg/kg
EPA 200.7
Silver, total
<1.77 mg/kg
12/20/22
1.77 mg/kg
EPA 200.7
Sodium, total
8370 mg/kg
12/20/22
20.0 mg/kg
EPA 200.7
Zinc, total
27.0 mg/kg
12/20/22
0.5 mg/kg
EPA 200.7
SAR
0.808 -
12/21/22
-
-
pH
8.5 S.U.
12/16/22
1.0 - 14.0 S.U.
SM 4500 HB
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
. Meritech, Inc.
Environmental Laboratory
-r Laboratory Certification No.165
:v
Page 2
Contact: Richard Mendez Revised Rep oft Date; 211612023
Client: Town of Spring Lake Report Date: 1/10/2023
300 Ruth Street NPDES #: NCO030970
Spring Lake, NC 28390 Date Sample Rcvd: 12/15/2022
Meritech Work Order # 12152268 Sample: Digester Composite 12/15/22
1311 - TCLP Metals
Paraynete Results An81Ysis—Date Det. Limit Reg. Limit Method
Arsenic
<0A00 mg/L
12/21/22
0.100
5.0
EPA 200.7
Barium
0.239 mg/L
12/21/22
0.005
100.0
EPA 200.7
Cadmium
<0.020 mg/L
12/21/22
0.020
1.0
EPA 200.7
Chromium
<0.050 mg/L
12/21/22
0.050
5.0
EPA 200.7
Lead
<0.100 mg/L
12/21/22
0.100
5.0
EPA 200.7
Mercury
<0.02 mg/L
12/20/22
0.02
0.2
EPA 245.1
Selenium
<0.100 mg/L
12/21/22
0.100
1.0
EPA 200.7
Silver
<0.050 mg/L
12/21/22
0.050
5.0
EPA 200.7
TCLP Or anics
Paramete
Results
p0,illysis Date
Reporting
Limit
Metbod
Volatiles 8260
Attached
12/20/22
-
8260 s
Semi Vol. 8270
Attached
12/27/22
-
8270
Other Tests
Paramete
Resvilts
Analysis Date
R arting Limit
Method
Cyanide, total
<0.500 mg/L
12/20/22
0.500 mg/L
EPA 335.4
Flash Point
>140 OF
12/19/22
- -
EPA 1020C
Paint Filter Test
Free Liquid Present
12/20/22
- -
SW-846 9095B
pH
8.5 S.U.
12/16/22
1.0 - 14.0 S.U.
SM 4500 HB
Sulfide, total
<10.0 mg/L
12/19/22
10.0 mg/L
SM 4500 SD
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
Merxtech, Inc.
_ Environmental Laboratory
k. Laboratory Certification No. 165
Page 3
Contact: Richard Mendez Revised Report Date: 211612023
Client: Town of Spring Lake Report Date: 1/10/2023
300 Ruth Street NPDES ##; NC0030970
Spring Lake, NC 28390 Date Sample Rcvd: 12/15/2022
Meritech Work Order # 12152268 Sample: Digester Composite 12/15/22
13 11 - TCLP Pesticides & Herbicides
Pesticide - SW-846 8O81A
ratnete
Results Analysis Date Det. Limit Reg, Limit Dilution Factor
Endrin
Attached - - -
Chlordane
Attached - - -
Toxaphene
Attached - - -
Meth oxychlor
Attached - - -
Heptachlor
Attached - -
Lindane
Attached - -
Herbicides - SW-846 8151A
)Parameter
2,4-D
2,4,5-TP (Silvex)
Results Analysis Date Det. Limit Reg, LimitDilution Factor
Attached
Attached
1 hereby certify that 1 have reviewed and approve these data. Qk=acLA �
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
` s Ai.
MERITECH INC:
Environmental Laboratories
Laboratory Certificate #165
Client: Spring Lake
Project: Digester
Client Sample ID: Digester
Sample Collection: 12/15/22
Meritech Sample ID. 12152268
1311 - TCLP Organics
Volatiles: SW-846 8260
Analysis. 12/20/22
Extraction:
12/19/22
Analyst: VWV
Report Date:
12/26/22
Parameter
Result
Units
Det. Limit
Reg. Limit
Dilution Factor
Benzene
<0.0100
mg/L
0.0100
0.50
I0
Carbon Tetrachloride
< 0.0100
mg/L
0.0100
0.50
10
Chlorobenzene
< 0.0100
mg/L
0.0100
100
10
Chloroform
< 0.0100
mg/L
0.0100
6.0
10
1,2-Dichloroethane
<0.0100
mg/L
0.0100
0.50
10
1,1-Dichloroethene
<0.0I00
mg/L
0.0100
0.70
10
Methyl Ethyl Ketone
< 0.100
mg/L
0.100
200
10
Tetrachloroethylene
< 0.0100
mg/L
0.0100
0.70
10
Trichlaroethene
<0.0100
mg1L
0.0100
0.50
10
Vinyl Chloride
<0.0200
mg/L
0.020
0.20
10
Semi-Volatiles: SW-846 8270
Analysis: 12127/22
Extraction:
12/19/22
Analyst: PM
Report Date:
01/03/23
Parameter
Result
UM its
Det. Limit
hell. Limit
Dilution Factor
1,4-Dichlorobenzene
<0.100
mg/L
0.100
7.5
10
Hexachlorobenzene
<0.100
mg/L.
0,100
0.13
10
Hexachloro-1,3-butadiene
<0.100
mg/L
0.100
0.5
10
Hexachloroethane
<0.I00
mg/L
0.100
3.00
10
o-cresol
<0.100
mg/L
0.100
200
10
m&p-cresol
<0.200
rng/L
0.200
200
10
Total cresols
<0.300
mg/L
0.300
200
10
Nitrobenzene
<0.100
mg/L
0.100
2.00
10
Pentachlorophenol
<0.500
mg/L
0.500
100
10
Pyridin6
<0.100
mg/L
0.100
5.0
10
2,4,5-Trichlorophenol
<0.100
mg/L
0.100
400
10
2,4,6-Trichlorophenol
<0.100
mg/L
0,100
2.00
10
2,4-Dinitrotoluene
<0.100
mg/L
0.100
0.13
10
I hereby certify that I have reviewed and approve these data. a✓ ,
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
(336) 342-4748 * info@meritechiabs.com
e e s sub
Sranmit Environmental Technologies, Inc.WO#:
22121406
t kfit
3
3310 Win St.
�,#hS l rottrft 7n TFr atirJ{ nr,=
Cuyahoga Falls, Ohio 44223
Date Reported:
1/9/2023
TEL: (330) 253-8211 Ff1X.- (330) 253-4489
Company:
Meritech Environmental Laboratories
Website: httn://wwty senekcom
Address:
642 Tamco Rd.
Reidsville NC 27320
Received:
12/21 /2022
Project#:
TCLP Pesticides Analysis (SW1311/8081)
Client ID#
Lab ID# Collected Analyte
Rep Lint Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
121522-68
001
12/15/2022 Chlordane, total
2.50
NO pg/L
Solid
EPA 8081 B
1
30.0
1/4/2023
CSS
121522-68
001
12/16/2022 Toxaphene
5.00
NO pg/L
Solid
EPA 8081 B
1
500
1/4/2023
CSS
121522-68
001
12/15/2022 Endrin
0.500
NO ug/L
Solid
EPA 8081 B
1
20.0
1/4/2023
CSS
121522-68
001
12/15/2022 gamma-SHC
0.500
NO pg/L
Solid
EPA 8081 B
1
400
1/4/2023
CSS
121522-68
001
12/15/2022 Heptachlor
0.500
NO pg/L
Solid
EPA 8081 B
1
8.00
1/4/2023
CSS
121522-68
001
12/16/2022 Heptachlor epoxide
0.500
NO pg/L
Solid
EPA 8081 B
1
8.00
1/4/2023
CSS
121522-68
001
12/15/2022 Methoxychl or
0.500
NO pg/L
Solid
EPA 8081 B
1
10000
1/7/2023
PGP
TCLP Herbicides by EPA 8321A
Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
121522-68 001 12/15/2022 2,4-D 0.500 NO mg/L Solid EPA 8321 A 50 10.0 12/2W022 SRA
121522-68 001 12/15/20222,4,5-TP 0.500 ND mg/L Solid EPA 8321 A 50 1.00 12/28/2022 SRA
Page 4 of 13
Name:
Vehicle No•
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity: Hub Meter -Start:
Yes ❑ No ❑
>90 70-90 32-70
Dry Moist Wet
<I/ r ff
Date:
_Hub Meter -Stop:
<32 Miles to Field
ram all > z rainfall
Load WWTP Time Time At Gallons LandownerApi
No. Out Field Site No. Field Acres Crop Method
No. (S/S UI)
1
2 3
3
4
5
6
7
8
9
10
11
12
13
14
IS
16
17
18
19
20
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; [=Injection
OCertified Operator
Inspected ignature icense o.
White —Office / Yellow -Client / Pink —Trucker Aerator's ignature
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No
>90
Dry
<%" rainfall
❑
70-90
Moist
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Api
Method
(S/SI/1)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Comments:
*Application method: S=Surface; S/I=Surface with Incorporation; 1=Injection
OCertified Operator
Inspected ignature License No.Operator's Signature
White —Office / Yellow —Client / Pink —Trucker
I GL
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
<%" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Al
Method
(S/SIM
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
❑Certified Operator
Inspected License No. Operator's Signature
White —Office / Yellow —Client / Pink —Trucker
am
Transportation/Application Log
For Liquid Biosolids
Name:A�k� Project: G Date: ����
Vehicle No: v ✓
Quantity: Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ❑ No ❑
Temperature: >90 70-90 32-70 <32 Miles to Field
Site Conditions: Dry Moist Wet
Rainfall:
<%:" rainfall
>%# rainfall
t-omments: 'Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected ignature icense o.
White —Office / Yellow —Client / Pink —Trucker perator s tgnature
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity: Hub Meter -Start:
Ves ❑ No ❑
>90 70-90 32-70
Dry Moist Wet
<i" rainf II
Date:
_Hub Meter -Stop:_
<32 Miles to Field
a > rainfall
Load WW'TP Time Time At Gallons Landowner
No. Out Field Site No. Field Acres Crop Method
1 No. (S/S 1/I)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 t he r 'I ,
t-omments: *Application method: S=Surface; S/I=Surface with Incorporation; [=Injection
OCertified Operator
Inspected ignatureLicense No.
Aerator s tgnature
White —Office / Yellow —Client / Pink —Trucker
Transportation/Application Log
For Liquid Biosolids
Name:
Project:
Date:
Vehicle No:
__
Quantity:
Alkaline Stabilization:
Hub Meter -Start: Hub Meter -Stop:
Yes ❑
No ❑
`'—
Temperature:
Site Conditions:
>90
70-90
32-70 <32 Miles to Field
Dry
Moist
Wet
Rainfall:
<%"
rainfall
> V2 IF rainfall
Load WWTP Time
No. Out
Time At Gallons
Field
Landowner
Site No. Field A
Acres
Crop
No. P Shod
1
S/ l/1)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Comments:
'Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
❑Certified Operator
Inspected License No. perator's ignature
White -Office / Yellow —Client / Pink —Trucker
CL
Transportation/Application Log
For Liquid Biosolids
Name:
Project: Date:
Vehicle No:
Quantity: Hub Meter -Start:
Alkaline Stabilization: Hub Meter -Stop:
Yes ❑ No ❑
Temperature: >90
70-90 32-70 <32 Miles to Field
Site Conditions:
Dry Moist Wet
Rainfall: < ;" rainfall rainfall
Load WWTP Time Time At Gallons
No. Out Field Landowner Site No. Field Acres Crop P Me hod
1 (S/SI/I)
2
3
4
5
6
7
8
9
10
1!
12
13
14
15
16
17
18
19
20 ""�oj"al� �O677
Comments: 'Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected -ignature License No. Operator's Signature
White -Office / Yellow -Client / Pink -Trucker
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
<t/2" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
>1/'
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Appl
Method
(S/SUI)
1
J,J
2
3
4
5
6
7
8
9
10
, t/
11
12
13
14
15
16
17
18
19
20
L
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
Certified Operator
Inspected Signature icense o. Aerator's ignature
White —Office / Yellow -Client / Pink —Trucker
I IL -- _.r' `.:
Name:
Vehicle No:10�_
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
<%:" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Ai
Method
(S/S"
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Comments: *Application method: S=Surface; SII=Surface with Incorporation; [=Injection
OCertified Operator
Inspected ignature License No.Operator's Signature
White —Office / Yellow —Client / Pink —Trucker
OL
Transportation/Application Log
For Liquid Biosolids
Name: Project:
Date:
Vehicle No: Quantity: Hub Meter -Start: Hub Meter -Stop:_
Alkaline Stabilization: Yes ❑ No ❑
Temperature: >90 70-90
32-70 <32 Miles to Field
Site Conditions: Dry Moist Wet
Rainfall: <y2„ rainfall >r
�# rainfall
Load WWTP Time Time At Gallons LandownerAl
Site No. Field Acres Crop Mephod
No. Out Field
1 No. (S/SI/I)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
L11917
�Ol�t_ 1 Luc
Lomments: *Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
[]Certified Operator
Inspected �gnatureLicense No. perator's ignature
White -Office / Yellow -Client / Pink -Trucker
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90
Dry
<'/" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
70-90 32-70 <32
Moist Wet
>V2` rainfall
Miles to Field
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Ai
Method
(S/SI/I)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
,
CTL
i3 56 c
Comments:
`Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected Signiture icense No. Aerator s Signature
White —Office / Yellow —Client / Pink —Trucker
44t*-,
ML Transportation/Application Log
For Liquid Biosolids
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
<'/2" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
>'/:'
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Appl
Method
(S/SI/I)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected Signature License No.Operator's Signature
White —Office / Yellow -Client / Pink —Trucker
-2L
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
< z" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
>1/"
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Method
(S/Shod
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
':o
Comments: `Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
❑Certified Operator
Inspected tgnature icense o. Aerators 4pature
White --Office / Yellow —Client / Pink —Trucker
&L
Transportation/Application Lo
For Liquid Biosoli ds g
Name:
Project.: Date:
Vehicle No:_______ Quantity:
Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ElNo El---
Temperature: >90
70-90 32-70 <32 Miles to Field
Site Conditions:
Dry Moist Wet
Rainfall: <W' rainfall
>/z" rainfall
Load WWTP Time Time At Gallons
NO Out Field Landowner Site No. Field Acres CropApl
I No. S/SMethod
( IJI)
2
3
4
5
6
7
S
9
10
11
12
13
14
15
16
17
18
19
20 I0(L Ci
Comments: *Application method: S--Surface; SR=Surface with Incorporation; [=Injection
❑Certified Operator
Inspected License No. Signature
White —Office / Yellow —Client / Pink —Trucker
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project•
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
<'/2" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
>'/2 r
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
7Field
Gallons
Landowner
Site No.
Field
No
Acres
Crop
Method
(S/SUI)
1
2
3
P4
5
7
8
c_
9
i
10
,..
11
12
13
14
15
16
17
18
19
20
Comments: }Application method: S--Surface; Sll=Surface with Incorporation; I=Injection
OCertified Operator
Inspected License No.Operator's Signature
White —Office / Yellow —Client / Pink —Trucker
aim Transportation/Application Log
For Liquid Biosolids
Name: Project: Date:
Vehicle No: Quantity: Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ❑ No ❑
Temperature: >90 70-90 32-70
<32 Miles to Field_
Site Conditions: Dry Moist Wet
Rainfall: <Y2" rainfall >%Z' rainfall
Load WWTP Time Time At Gallons th
No. Out Field Site No. Field Acres Crop Method
od
1 No. (S/S 1/I)
2
3
4
5
6
7
S
9
10
11
12
13
14
15
16
17
18
19
20
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; i=Injection
OCertified Operator
Inspected ignature icense o.
White —Office / Yellow --Client / Pink —Trucker Aerator s i8nature
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
4
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
<%:" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
<32 Miles to Field
rainfall
Load
No.
WWTP
TimeNTimeGallons
Out
Landowner
Site No.
Field
No.
Acres
Crop
Method
(S/SI/n
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
D1
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected tgnature icense o. Aerator's Signature
White —Office / Yellow —Client / Pink —Trucker
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
<'/z" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Ai
Method
(S/SI/I)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
�I �l 1-2 l
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
❑Certified Operator
Inspected ignature License No. Operator's Signature
White —Office / Yellow —Client / Pink —Trucker
Name-
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No
>90
Dry
<%." rainfall
70-90
Moist
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
> Y2'
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Ai
Method
(S/SUI)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Comments:
*Application method: S=Surface; S/I=Surface with Incorporation; [=Injection
OCertified Operator
Inspected ignature License o.Operator's Signature
White —Office / Yellow —Client / Pink —Trucker
aim Transportation/Application Log
For Liquid Biosolids
Name: Project: Date:
Vehicle No: - Quantity: Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ❑ No ❑
Temperature: >90 70-90 32-70 <32 Miles to Field
Site Conditions: Dry Moist Wet
Rainfall: <'/:" rainfall >%' rainfall
Load WWTP Time Time At Gallons Landowner Site No. Field Acres Crop Ap od
No. Out Field
No. (S/SI/I)
1
2
3
4
5
i
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 U� f L
Comments: ;Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected----Signature'License o.
White -Office / Yellow -Client / Pink -Trucker Aerator's ignature
Transportation/Application Log
For Liquid Biosolids
Name: Project: Date:
Vehicle No: Quantity: Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ❑ No ❑
Temperature: >90 70-90 32-70 <32 Miles to Field
Site Conditions: Dry Moist Wet
Rainfall: <Yz" rainfall >%7. rainfall
Load WWTP Time Time At Gallons Landowner Site No. Field Acres Crop
No. Out Field Method
1 No (S/SUI)
Z
3
i
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 i `l5 cw
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected tgnature tcense o. Aerator s ignature
White —Office / Yellow -Client / Pink —Trucker
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90
Dry
<y2" rainfall
70-90
Moist
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
>y2•
<32 Miles to Field
rainfall
Load
No.
W
WTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
od
Metth
(S/SI/I)
1
�h
2
3
4
5
6
7
8
9
10
1
11
12
13
14
15
16
17
18
19
20
Comments:
*Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
ElCertified Operator
Inspected tgnature License No. perator s Signature
White —Office / Yellow -Client / Pink —Trucker
Transportation/Application Log
For Liquid Biosolids
Name:
Project: Date:
Vehicle No:
Quantity:
Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization:
Yes ❑
No ❑
Temperature:
>90
70-90 32-70 <32 Miles to Field
Site Conditions:
Dry
Moist Wet
Rainfall:
<%:"
rainfall >2° rainfall
Load WWTP Time
No. Out
Time At Gallons
Field
Landowner Site No. Field Acres Crop
No.
qpp
1
-r
2
3
4 li
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Comments:
*Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
❑Certified Operator
InspectedSignature'License o.
White —Office / Yellow —Client / Pink —Trucker Aerator's ignature
Name:
Vehicle No•
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
may.,
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
ff
<32 Miles to Field
Z ra[nfall >%2 rainfall
Load W 1 p Time Time At GallonsAi
Landowner Site No. Field Acres Crop Meth
pp
od
No. Out Field
No. (S/S I/n
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 r 36 ao�
t 0[nments: *Application method: S=Surface; S/I=Surface with Incorporation; [=Injection
OCertified Operator
Inspected ignature icense o. erator s 19nature
White —Office / Yellow —Client / Pink —Trucker
GL
Name:
Vehicle No:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
<%:" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
>YAF
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Appl
Method
(S/Sui)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
ibTaE_
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected Signature License o.Operator's Signature
White —Office / Yellow —Client / Pink —Trucker
Udgamf y � 7;3n� 'ransportation/Application Log
For Liquid Biosolids
Name:
Project: Date:
Vehicle No:
Quantity:
Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ❑
No ❑
Temperature:
>90
70-90 32-70 <32 Miles to Field
Site Conditions:
Dry
Moist Wet
Rainfall:
<%:"
rainfall >'/2 rainfall
Load WWTP Time
No. Out
Time At Gallons
Field
Landowner Site No. Field Acres Crop Method
No. (S/SI/I)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
-
Comments:
*Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected ignature icense o. perator's ignature
. White —Office / Yellow --Client / Pink —Trucker
Name:
Vehicle No:
Alkaline Stabilization
Temperature:
Site Conditions:
Rainfall:
Transportation/Application Log
For Liquid Biosolids
Project:
Quantity:
Yes ❑ No ❑
>90 70-90
Dry Moist
<Y2" rainfall
Date:
Hub Meter -Start: Hub Meter -Stop:
32-70
Wet
>rz°
<32 Miles to Field
rainfall
Load
No.
WWTP
Time
Out
Time At
Field
Gallons
Landowner
Site No.
Field
No.
Acres
Crop
Appl
Method
(S/S1/I)
2
3
4
r
�J
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Comments: 'Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
t]Certtfed Operator
Inspected Signature icense o,Operator's Signature
White --Office / Yellow —Client / Pink —Trucker