WQ0000455_2022 Residual Annual Report_20230217 (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) * W00000455
Applicant/Permittee Lewis Farms and Liquid Waste, Inc.
Email Notifications
Does this need review by the hydrogeologist? * Yes No
Regional Office Wilmington
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* Martin Mabe
Email Address*
[e-mail]
Project Information
.........................
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
3363121396
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:*
WQ0000455
Has Current Existing permit number
Applicant/Permittee Address*
8155 Malpass Corner Road, Currie, NC28435
Facility Name*
Lewis Farms and Liquid Waste 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 [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
Lewis Farms - 2022 Annual Report WQ0000455.pdf 39.99MB
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
Submission Date 2/17/2023

2022 ANNUAL REPORT
LAND APPLICATION PROGRAM
LEWIS FARMS AND LIQUID WASTE, INC.
PERMIT #WQ0000455
Prepared For:
Lewis Farms and Liquid Waste, Inc.
8155 Malpass Corner Road
Currie, North Carolina 28435
Compiled By:
Willcox & Mabe Soil Solutions, PLLC
7231E Summerfield Road
Summerfeld, North Carolina 27358
February 2023

Willcox&mabe
SOIL SOLUTIONS
February 17, 2023
NCDEQ-DWR Non -Discharge Compliance Unit
512 North Salisbury Street
O' Floor, Office 942X
Raleigh, North Carolina 27604
Attention: Non -Discharge Compliance Unit
Reference: 2022 LAND APPLICATION ANNUAL REPORT
Lewis Farms and Liquid Waste, Inc.
Permit No. WQ0000455
WMSS Project No. 15-20 Ph: 01
Non -Discharge Compliance Unit:
Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting all monitoring and reporting
requirements as specified in the above referenced permit on behalf of Lewis Farms and Liquid
Waste, Inc. (Lewis Farms). WMSS compiled this report using data gathered during the
compliance year by Lewis Farms. This data includes: 1) certification form, 2) residuals
analyses and pathogen / vector data, 3) application summaries and field loading rate reports,
and 4) soil analyses.
If there is any further information required or questions regarding this annual report please do
not hesitate to contact Lewis Farms or WMSS for further assistance.
Sincerely,
Willcox & Mabe Soil Solutions, PLLC
Martin Mabe
NC Land Application/ResiduaIs Operator
#22753
Enclosures
Shared\WMSS Projects12015115-20 Lewis Farms12022 Annual Report12022 ANNUAL REPORT.doc
Willcox & Mabe Soil Solutions, PLLC / 7231 B Summerfield Road I Summerfield, NC 27358 / Rob336.339.9128 or
Martin 336.312,13961 www.wilicoxmabesoil.com

TABLE OF CONTENTS
SECTION NO. TITLE
Certification Form
II Residuals Analyses & Pathogen / Vector Attraction Data
III 2022 Application Summary and Field Loading Rate Reports
IV Soil Analysis

CERTIFICATION FORM

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit!#: WQ0000455 County: Pender Year: 2022
Facility'Name (as shown on permit):
Land Application Operator:
Lewis Farms and Liquid Waste, Inc.
Mr. Wesley Wooten Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes ElNo - If No, slip Part A, and Part R 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 ap plication fields in the errnit: 19
Total number of fields utilized for land application during the year:11
Total amount of dry tons applied during the year for all application sites: 1 798.95
Total number of acres utilizes for land application during the year. -I 298.40
Part B - Annual ComTaianee 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 Quality. 0 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 l 1 1 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 Quality.
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 and imprisonment for knowing violations."
Mr. Wesley Wooten, President 2/13/2023
Permittee Name and Title (type or print) Signature f Pennittee Date
Signature of Preparer* Date Signature of Land Applier Date
(if different from Pennittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

RESIDUAL ANALYSES
TCLP ANALYSES IF REQUIRED
AND PATHOGEN AND VECTOR ATTRACTION REDUCTION

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Attach this farm to the corresponding laboratory analysis.
Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form.
Permit Number
Facility Name
NPDES #
WWTP Name
W00000455
2022 DATA
Lewis Farms and Liquid Waste, Inc.
See Below
See Below
RESIDUAL ANALYSIS DATA
Laboratory 1 Envirochem
2 Environment 1
3
NPDES a
WQ0000193
NCO065480
WQ0033770
W00018755
VI-25-10
NCO021253
NCO021253
NCO021253
NCO021253
NC0003344
WWTP Name
Bald Head Island
Beau Rivage
Carolina Plant.
Castle Bay
Emerald Plantation
Havelock
Havelock
Havelock
Havelock
House of Raeford
Composited I Grab
02/09122
03/15/22
03122/22
02/03/22
06/01/22
01/27122
04105122
07/14/22
10105/22
02/14122
Percent Solids
2.87
4.90
2.49
1.57
1.73
4.14
4.23
4.19
3.96
2.33
METERS (mglkq dry weight)
Arsenic
33.10
22.20
19.60
42.40
18.40
2.50
2.50
2.60
2.50
21.10
Cadmium
33.40
22.20
19.60
42.40
18.40
1.50
1.30
1.40
1.70
21.10
Copper
533.00
214.00
68.30
301.00
535.00
592.00
563.00
654.00
662.00
236,00
Lead
33.40
22.20
19.60
42.40
18.40
10,00
12.00
12.00
15.00
21.10
Mercury
0.61
0.47
0.77
1.03
1.02
0.16
1.40
0.33
0.30
0.77
Molybdenum
33.40
22.20
19.60
42.40
18.40
5.00
5.00
6.00
6.40
21.10
Nickel
33.40
22.20
19.60
42.40
18.40
11.00
11.00
13.00
13.00
21.10
Selenium
33.40
22.20
19.60
42.40
18.40
5.00
5.00
5.00
5.00
21.10
Zinc
1.020.00
567.00
2,050.00
1,180.00
1,510.00
1,964.00
1,922.00
2,380.00
2,475.00
210.00
TKN
50,400.00
74,300.00
75,000.00
66,500.00
62,900.00
65,480.00
53,130.00
60,820,00
53,920.00
96,900,00
Ammonia -Nitrogen
3.48
4,870.00
4,380.00
6.37
6,560.00
3,071.00
3,112.00
7,887.00
2,828,00
7,250,00
Nitrate -Nitrogen
1.460.00
43.20
7.84
3.09
4.03
4.97
4.99
4.99
7.00
4.78
Total Phosphorus
46,700.00
15,000.00
35,700.00
19,500.00
16,600.00
39,700.00
59,380.00
44.590.00
37,420.00
20,200.D0
RESIDUAL ANALYSIS DATA
NPDES A
NCO062359
W00005849
NCO030406
WQ0035809
WQ0029476
NCO057703
NCO062642
WWTP Name
Horse Creek
North Topsail
Riverbend
Stateside
Sterling Farms
The Cape
Webb Creek
Composited I Grab
04/11/22
01113/22
08/23122
03/23/22
12/16/22
02121122
04/05122
Percent Solids
1.12
2.89
1.78
2.04
1.76
5.66
3.17
E7 ERS trriglkq dry weight!
Arsenic
40.00
29.10
35.10
24.10
63.60
20.10
9.59
Cadmium
40.00
29.10
17.50
24.10
12.70
20.10
9.59
Copper
423.00
161.00
713,00
94.10
156.00
237.00
109.00
Lead
40.00
29.10
17.50
24.10
12.70
20.10
0.96
Mercury
1.57
0.53
0.71
0.81
0.98
0.33
0.53
Molybdenum
40.00
29.10
17,50
24.10
12.70
20.10
9.59
Nickel
40.00
29.10
17.50
24.10
12.70
20.10
9.59
Selenium
40.00
29.10
17.50
24.10
12.70
20.10
9.59
Zinc
3,720.00
3,210.00
561.00
2,160.00
1,050.00
594.00
1,050.00
TKN
74,300.00
94,400.00
63,800.00
81,000.00
50,000,00
65,200.00
39,100.00
Ammonia -Nitrogen
8,860.00
3,830.00
8,020.00
10,600,00
1,480.00
6,900-00
2,140.00
Nitrate -Nitrogen
13.30
4.81
8.96
5.72
13.60
14.70
1.79
Total Phosphorus
912.00
1,130.00
16,100.00
20,600.00
1 22,400.00
1 13,000.00
1 13,700.00
X NIA due to number of sources Page 1 of 1
(SIGNATURE OF PREPARER) DATE
I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the passibility of fines and imprisonment for knowing violations.

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: February 9, 2022
Bald Head Island Permit No. WQ0000455
Mineralization Rate 0.30 2.87 % Solids
6.25 pH
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Mg/JKg (Mg/Kgx 0.002)
Nitrogen (TKN)
5,040
50,400,000
100.800
Phosphorus
4.670
46,700.000
93.400
Potassium
0,582
5,920.000
11.640
PAN (injected)*
1.658
16,582.436
33.165
PAN (surface)*
1.658
16,580.696
33.161
Ammonia Nitrogen
0.000
3.480
0.007
Calcium
2.190
21,900.000
43.800
Calcium Carbonate E .
---
---
Magnesium
---
5,230.000
10.460
Sodium
---
3,940.000
7.880
Sulfur
---
---
-_-
Nitrate N / Nitrite N
---
1,460.000
2.920
Barium
---
---
---
SAR
1.05
Chloride
---
---
---
Iron
---
---
---
Ceiling Concen.
(Mg/Korl
Aluminum
---
51,600.00
103.200
Arsenic
---
33.10
0.066
75
Cadmium
---
33.40
0.067
85
Chromium
---
57.500
---
---
Copper
---
533.00
1.066
4,300
Lead
---
33.40
0.067
840
Mercury
---
0.606
0.001
57
Molybdenum
---
33.40
0.067
75
Nickel
---
33.40
0.067
420
Selenium
---
33.40
0.067
100
Zinc
---
1,020.00
2.040
7,500
Environmental Chemists, Inc. # 2022-02452
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or a detection limits are listed as detection limits
for calculation purposes.

LEWIS FARMS
WQ0000455
Bald Head Island
02/09/22
77,420
4,8889
02/09/22
50,000
4.6990
02/09/22
110,760
5.0444
02/09/22
112,904
5.0527
02/09/22
113,637
5.0555
02/09/22
299,675
5.4767
02/09/22
8,743
3.9417
Total 1 34.1587
Average 1 4.
Geometric Mean Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen for Reduction
requirement.

�{. -Environmental Chemists Inc.
0 ® 6602 Windmill Way, Wilmington, NC 28105 ° 910.392.0223 Lab • 910.392.4,124 Fax
7101.3owsertoi+n Road, h4anleo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, ]acksonv.ille, NC 28540 • 910.347,5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS inro@,,cmironmentalcliamists.cam
The Village Of Bald Head Island Date of Report: Feb 21, 2022
106 Lighthouse Wynd Customer PO #:
Bald Head Island NC 28461 Customer ID: 08100149
Attention: Report #: 2022-02452
Project ID: Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-05811 Site: Sludge 2/9/2022 9:00 AM Solid/Sludge Nathan Lindsay
Test Method Results Date Analyzed
Total Solids (%) SM 2540 a 3.10 % 02/10/2022
Fecal Density SM 6221C E•2014 77420 MPNIg 02109/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-05812 Site: Sludge 2/9/2022 9.00 AM Solid/Sludge Nathan Lindsay
Test Method Results Date Analyzed
Total Solids (%) SM 2540 s 3.40 % 02I1012022
Fecal Density SM 9221C E-2014 50000 MPNIg 02/09/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-05813 Site: Sludge 219/2022 9:00 AM Solid/Sludge Nathan Lindsay
Test Method Results Date Analyzed
Total Solids M SM 2540 a 3.16 % 02/10/2022
Fecal Density SM92210E•2014 110760MPN/g 02/09/2022
Lab ID Sample ID: Collect Datefrime Matrix Sampled by
22-05814 Site: Sludge 2/9/2022 9:00 AM Solid/Sludge Nathan Lindsay
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 3.10 % 02/10/2022
Fecal Density SM 9221C E-2014 112904 MPNIg 02/09/2022
Lab 1D Sample ID: Collect DatelTime Matrix Sampled by
22-05815 Site: Sludge 2/9/2022 9:00 AM Solid/Sludge Nathan Lindsay
Test Method Results Date Analyzed
Total Solids (%) SM 2540 8 3.08 % 02/10/2022
Fecal Density SM 9221C E-20M 113637 MPNIg 02/09/2022
Report k 2022.02452 Page i of 3

fi -UnVIron mental Chemists, Inc.
T9 M' 6602 Windmill Way, Wilmington, NC 28405 o 910.392.02231-ab • 910.392.4424 Fax
710 llowsertown Road,-Manteo, NC 27954 • 252.473.5702 Lab/Fax
s,r 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL 8 CONSULTING CHEMISTS info@cnvironmcrit,,t[cliemists.com
environmcnta[clrcmists.com
The Village Of Bald Head Island bate of Report: Feb 21, 2022
106 Lighthouse Wynd Customer PO #:
Bald Head Island NC 28461 Customer ID: 08100149
Attention: Report #: 2022-02452
Project ID: Sludge
Lab ID Sample ID; Collect Date/Time Matrix Sampled by
22-05816 Site: Sludge 2/9/2022 9:00 AM Solid/Sludge Nathan Lindsay
Test Method Results Date Analyzed
Total Solids (%)
Fecal Density
Lab ID Sample ID;
22-05817 Site: Sludge
SM 2540 B
3.07 % 02/10/2022
SM 9221C E-2014 299675 MPN/g 02/09/2022
Collect DatelTime Matrix Sampled by
2/9/2022 9:00 AM Solid/Sludge Nathan Lindsay
Test Method Results Date Analyzed
Total Solids (%)
Fecal Density
SM 2540 B
SM 9221C E-2014
14.9 %
8743 MPN1g
02/10/2022
02/09/2022
Rapri if: 2022.02452 Page 2 013

rMvironmental Chemists, Inc.
# 0 6602 Windmill Way, Wilmington, NC 28405 a 910392.0223 Late a 910.392..4424 Fax
a,1 it F4 Ism 710 Bowsertown Road, Manteo, NC 27954 a 252,473.5702 Lab/Fax
255-A Wilmington I-lighway, Jacksonville, NC 29540 a 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info r@,,cnvironmentalchemists.cQm
The Village Of Bald Head Island
Date of Report: Feb 21, 2022
106 Lighthouse Wynd
Customer PO #:
Bald Head Island NC
28461
Customer ID: 08100149
Attention:
Report #: 2022-02452
Project ID: Sludge
Lab ID Sample 1D:
Collect DatelTime Matrix Sampled by
22-05818 Site: Sludge
2/9/2022
9:00 AM Solid/Sludge Nathan Lindsay
Test
Method
Results Date Analyzed
Sludge Residuals
Aluminum
EPA 200.7, Rev. 4.4, 1994
51600 mglkg
02/15/2022
Arsenic
EPA200.7, Rev. 4.4. 1994
<33.1 mg/kg
02/1512022
Cadmium
EPA 200.7, Rev. 4.4. 1994
<33.4 mg/kg
02/16/2022
Calcium
EPA 200.7. Rev. 4.4. 1994
21900 mglkg
02/1512022
Chromium
EPA 200,7, Rev. 4.4, 1994
57.5 mg/kg
02115/2022
Copper
EPA 200.7. Rev 4.4, 1994
533 mglkg
02/16/2022
Lead
EPA 200.7, Rev. 4.4, 1994
<33.4 mglkg
02/1512022
Magnesium
EPA 200.7. Rev. 4.4, 1094
5230 mglkg
02/15/2022
Molybdenum
EPA 200 7, Rev, 4.4, 1994
<33.4 mglkg
02/1512022
Nickel
EPA 200.7. Rev. 4.4, 1994
<33.4 mglkg
02/15/2022
Potassium
EPA 2001, Rev, 4.4, 1994
5820 mg/kg
02115/2022
Selenium
EPA 200.7. Rev. 4.4, 1994
<33.4 mg/kg
02/15/2022
Sodium
EPA 200.7, Rev. 4.4. 1994
3940 mg/kg
02/1512022
Zinc
EPA 200.7. Rev 4.4, 1994
1020 mg/kg
0211512022
Nitrate+ Nitrite-Nitroge n;
EPA353.2
1460mg/kg
02/1412022
Total Solids (%)
SM 2540 B
2.87 %
02/1012022
Ammonia Nitrogen
SM 4500 NH3 C-2011
<3.48 mg/kg
02/1012022
Total Kieldahl nitrogen (TKN)
SM 4500 Norg B-2011
50400 mglkg
02/10/2022
Total Phosphorous
5M 4500 P (F-H)-2011
46700 mg/kg
02/17/2022
pH
SW 040 Method 9045D
6.25 units
02/16/2022
Result estimated. Analyzed out
of 15 minutes hold time.
Mercury
sw-s4e 7471 B
<0.606 mg/kg
02/10/2022
Comment: Sludge residuals, except pH, reported on a dry weight basis. pH reported on an as received basis,
Reviewed by:
Report #;: 2022.02452 Page 3 4f 3

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
Sample Receipt Checklist 910.392.0223
Client:B��
�
Date: 2,Z Report Number: _ 2022- QJ
Receipt of sample:
El YES ❑ N0
ECHEM Pickup Client Delivery ❑ DP5 ❑
FedEx ❑ Other ❑ N/A
❑ YES ❑ NO
1. Were custody seals present on the cooler?
NIA
2. !f custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C
Corrected temperature upon receipt
Flow temperature taken. ❑ Temperature an Blk C
nst
IR Gun ID: Thomas Traceable S/N: 210835468 !R Gun Correcti ngFactor8C: ox
❑ YES ❑ NO
YES ❑ NO
3. if temperature of cooler exceeded VC, was project Mgr./QA notified?
4.
YES ❑ NO
Were proper custody procedures (relinquishedjreceived) followed?
5. Were sample 1D's listed on the COC?
YES ❑ NO
YES ❑ NO
6. Were samples ID's listed on sample containers?
YES ©
7. Were collection date and time listed on the COC?
NO
ES ❑ NO
Y-
8. Were tests to be performed listed on the COC?
''i
YES ❑ NO
0. Did samples arrive in proper containers for each test?
i� YES j❑ NO
10. Did samples arrive in good remc!itinn for narh s te?
t
111. Was 2dequate
YES ❑ N0
sample loium� available?'
12. Were samples received within
❑ YES ❑ NO
proper holding time for requested tests?
13. Were acid preserved samples
❑ YES ❑ NO
received at a pH of <2?
14, Were cyanide samples received
❑ YES ❑ NO
❑ YES Cl
at a pH >12.
15. Were sulfide samples received at a PH >g?
ND
❑ YES ❑ NO
1b. Were Kr, 3/TKN/Phenol received at a chlorine residual of <0.5 m fF, *#
❑ YES ❑ NO
17. Were Sulfide/Cyanide received at a chlorine residua! of <0.5 m/t?'
18, Were orthophosphate
samples filtered in the field within 15 minutes?
* TOC/Volatiles are AR checked at time of analysis and recorded on the benchsheet.
Bacteria
samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation:
Sample(s)
(Must be completed for any sample(s) incorrectly preserved or with headspace)
by adding (circle one):
were received incorrect)
H SO, HNO preserved and were adjusted accordingly
z HClNCl
Time of preservation:
3 NaOH
if more than one preservative is needed,
notate in comments below
Note. Notify customerservice immediately for incorrectly preserved samples. Obtain a new sample
or
nntifj the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sampie(s)
were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

MEMO chfflm
Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 26405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
CLIENT: The Village of Bald Head: Utilities
PROJECT NAME: VVVffP Sludge samples
REPORT NO: Z2-L-)ZL4 5 2—
ADDRESS.,
CONTACT NAME: David Suther
PO NO:
REPORT TO:
PHONEIFAX:
COPY TO:
email:
Sampled By: ltla4htrn SAMPLE TYPE: I = Influent, E = Effluent W = Well 5T = Stream SO = Soil SL = Sludge Other
Sample Identification
collection
CL C
ti'
.2
COL o
C
a
a
d
C J
`o E
ILI
m
,
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
z
_
z
o
Sludge
- L
.• by
C
P
x
nutrients/metals
G
G
I
2
8/ Z
x
x
I
fecal densi /%TS
fecal density!%TS
G
G
G
G
3
4
5
z
C
P
1.1
f
x
x
xI
fecal density/%TS
fecal density/%TS
fecal densi 1%TS
G
C
G
P
•60
G
C
Gj
P
G
G1596
6
L -goo
C
P
g C0
x
fecal density/%TS
G
G
7
•��
y ��
5� f 7
x
fecal density/%TS
G
G
C
P
x
fecal densit IP WS
G
G
Transfer
C
G
Relinquished By:
P
G
Datelfime
eceived By: Datefiime
�.
1-- q2-Z. rd3a
2.
i emperawre wnen Keceivea -t.:_ 5 , 4 _ Accepted: v R e Resarn le Requ s d;
Delivered By: Received By: Date. 9 ` � Time: - 14

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms & Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Bald Head Island NPD. S Number: WQ0000193
Monitoring Period: From I/1/2022 To 12/31/2022
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: AIt. A (time/teinp) ❑ I Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑
AII.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thannophilic ❑
Beta Ray ❑
Ganttua Ittty ❑
Pasteurizatiott ❑
k-1-7--.77
Class B: JAR. (0 Fecal Denst El_j
Alt. (2) Process to Significantly
Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ 1 Com osting ❑ jAcrobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in 51udQe
Pathogen Density
Number of
Exece
,p,ofAnal
Frequency
sis
Sample
Type
na yuca
Tech -
inimurr,
Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
8,743
75,826
299,675
MPN/g
0
Annual
Grab
SM 9221 CE
DFU
1600 mpn per gram
oftotal solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform) I
3 MPN per 4 grams
total solid (dry
Wright)
vec[or Attraction Reductton (15A NCAC 02T AIL07) - Irlease indicate alternative performed:
Alt.l (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt_ 3 (30-day bench) ❑
JAIL 4 (Spec. O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
]No
Alt 7 (Drying- Stable) ❑
Flt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) El
Alt. 10 (Incorporation) Ej
vector attraction reduction altematives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
D "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
David Suther, ORC Wesley Wooten, President
Preparer ZN a d Title (type or print) Land Applier Name and Title (if applicable)(type or print)
/ /22 3/18/22
Signature of Preparer* Date Signature of Land pplier (if applicable) Date
*Preparer is defined in 40 CFRPart 503.9(r) and 15A NCAC 2T .I 102 (26)
DENR FORM PVRF DZT (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled. March 15, 2022
Beaty Rivage
4.90 % Solids
5.8 pH
Permit No. WQ0000455
Parameter
%
lMg/KgDryWeight
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg(Mg/Kg x 0.002)
Nitrogen (TKN)
7.430
74,300.000
148.600
Phosphorus
1.500
15,000.000
30.000
Potassium
0.527
5,270.000
10.540
PAN injected)*
2.574
25,742,200
51.484
PAN surface)*
2.331
23,307.200
46.614
Ammonia Nitrogen
0.487
4,870.000
9.740
Calcium
L540
15,400.000
30.800
Calcium Carbonate E .
_..
___
---
Magnesium
---
2,200.000
4.400
Sodium
---
1,750.000
3.500
Sulfur
Nitrate N / Nitrite N
---
43.200
0.086
Barium
Chloride
---
---
---
---
---
---
SAR
0.77
Iron
---
---
---
Ceiling Concen.
�(Mg/Kg)
Aluminum
---
1,270.00
2.540
Arsenic
- -
22.20
0.044
75
Cadmium
---
22.20
0.044
85
Chromium
---
22.200
- -
Copper
---
214.00
0.428
4,300
Lead
---
22.20
0.044
840
Mercury
---
0.471
0.001
57
Molybdenum
---
22.20
0.044
75
Nickel
---
22.20
0.044
420
Selenium
---
22.20
0.044
100
Zinc
---
567.00
1.134
7,500
Environmental Chemists, Inc. 4 2022-03154
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

LEWIS FARMS AND LIQUID WASTE, INC.
WQ0000455
Beau Rivage WWTP
cog ..:..........
02/21/22
342,613
5.5348
02/21/22
341,152
5.5329
02/21/22
336,135
5.5265
02/21/22
316,832
5.5008
02/21/22
356,348
5.5519
02/21/22
328,543
5.5166
02/21/22
337,553
5.5283
Total 38.6919
Average 1 5.5274
Geometric Mean $ Fecal CoIiform MPN /ram
g
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab ° 910.392.4424 Fax
.^
710 t3owsertown Road, Manteo NC 27954 252.473.5702 Lab/Fax
Wilmington Highway, Jacksonville, NC 28540 ° 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info(4zenvironmentalchemists.coin
Lewis Farms & Liquid Waste, INC.
Date of Report: Mar 15. 2022
8155 Malpass Comer Road
Customer PO #:
Currie INC 28435
Customer ID: 14020008
Attention: Wesley Wooten
Report #: 2022-03154
Project ID: AquaNC-Beau Rivage Sludge
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
22-07457 Site: Sludge
2/21/2022
8:00 AM Solid/Sludge Kirkland Fields
Test
Method
Results
Date Analyzed
pH
SW 046 Method 9045D
5.80 units
03/14/2022
Sludge Residuals
Aluminum
EPA 200.7, Rev. 4.4, 1994
1270 mg/kg
02/22/2022
Arsenic
EPA 200.7, Rev, 4A, 1994
<22.2 mg/kg
02/22/2022
Cadmium
EPA 200.7, Rev. 4.4, 1994
<22,2 mglkg
02/22/2022
Calcium
EPA 200.7, Rev. 4.4, 1994
15400 mglkg
02/22/2022
Chromium
EPA20o.7, Rev. 4.4, 1994
<22,2 mg/kg
02/22/2022
Copper
EPA 200.7. Rev. 4.4. 1994
214 mglkg
02/22/2022
Lead
EPA 200.7, Rev. 4.4, 1994
<22.2 mglkg
02/22/2022
Magnesium
EPA 200.7, Rev. 4.4,1994
2200 mglkg
02/22/2022
Molybdenum
EPA 200.7, Rev 4.4, 1994
<22.2 mglkg
02/22/2022
Nickel
EPA 200.7. Rev, 4.4, 1994
<22.2 mglkg
02/22/2022
Potassium
EPA 200.7. Rev.4-4. 1994
5270 mg/kg
02/22/2022
Selenium
EPA 200.7. Rev, 4.4, 1994
<22.2 mglkg
02/22/2022
Sodium
EPA 200.7, Rev, 4A, 1994
1750 mg/kg
02122/2022
Zinc
EPA 200.7, Rev. 4.4. 1994
567 mg/kg
02/22/2022
Nitrate+Nitrite-Nitrogen
EPA 353 2
43.2 mglkg
02123/2022
Total Solids (%)
5M 2540 B
4.90 %
02/21/2022
Ammonia Nitrogen
SM 4500 NH3 C-2011
4870 mglkg
02/22/2022
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B•2011
74300 mglkg
02/22/2022
Total Phosphorus
SM 4500 P (F-H).2011
15000 mglkg
03/01/2022
Mercury
SW-8467471 B
0.471 mglkg
02/28/2022
Repor(#.' 2022M154
Pagel of 3

Environmental. Chemists, Inc.
s .
6602 Windmill Wa}; Wilmington, NC 28405 * 410.392.0223 Lab - 910.392.4424 Fax
smi
710 Bowsertown Road Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info(e environmentalchemists.com
Lewis Farms & Liquid Waste, INC. Date of Report: Mar 15, 2022
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention: Wesley Wooten Report #: 2022-03154
Project ID: AquaNC-Beau Rivage Sludge
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-07458 Site: Sludge 1 2/21/2022 8:00 AM Solid/Sludge Kirklyn Fields
Test Method Results Date Analyzed
Total Solids (%) SM 2540 8
Fecal Density SM 9221C E•2014
Lab ID Sample ID: Collect DatelTime
22-07459 Site: Sludge 2 2/21/2022 8:00 AM
Test Method
Total Solids (%) SM 254o a
Fecal Density SM 9221C E-2014
Lab ID Sample ID: Collect DatelTime
22-07460 Site: Sludge 3 2/21/2022 8:00 AM
Test Method
Total Solids (%) SM 2540 B
Fecal Density SM 9221C E•2014
Lab ID Sample ID: Collect Date/Time
22-07461 Site: Sludge 4 2/21/2022 &00 AM
Test Method
Total Solids (%) SM 2540 B
Fecal Density SM 9221C E-2014
Lab ID Sample lb: Collect Date/Time
22-07462 Site: Sludge 5 2/21/2022 &00 AM
Test Method
Total Solids (%)
Fecal Density
SM 2540 B
SM 9221 C E-2014
4.67 % 02/21/2022
342613 MPN/g 02/21/2022
Matrix Sampled by
Solid/Sludge Kirklyn Fields
Results Date Analyzed
4.69 %
341152 MPN/g
Matrix
Solid/Sludge
Results
02/21/2022
02/21/2022
Sampled by
Kirklyn Fields
Date Analyzed
4.76 % 02/21/2022
336135 MPN/g 02/21/2022
Matrix Sampled by
So[id/Sludge Kirklyn Fields
Results Date Analyzed
5.05 % 02/21/2022
316832 MPN/g 02121/2022
Matrix Sampled by
Solid/Sludge Kirklyn Fields
Results
4.49 %
356348 MPNIg
Date Analyzed
02121 /2022
02/21/2022
Report # 2022.03154
Page 2 of 3

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 ° 910-392.0223 Lab ' 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ° 252-473.5702 Lab/Fax
xcr 3
'SM 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS inlo(u,environmentalchemists.com
Lewis Farms & Liquid Waste, INC. Date of Report: Mar 15, 2022
8155 Malpass Corner Road
Customer PO #•
Currie NC
28435 Customer ID: 14020008
Attention: Wesley Wooten
Report #: 2G22-03154
Project ID: AquaNC-Beau Rivage Sludge
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
22-07463 Site: Sludge 6
2/21/2022 8:00 AM Solid/Sludge Kirklyn Fields
Test
Method Results Date Analyzed
Total Solids (°/a)
SM 254013 4 g7 % 02/21/2022
Fecal Density
SM 9221C E-2014 328543 MPNIg 02/21/2022
Lab lD Sample ID:
Collect Dateffime Matrix Sampled by
22-07464 Site: Sludge 7
2/21/2022 8:00 AM Solid/Sludge Kirklyn Fields
Test
Method Results Date Analyzed
Total Solids (%)
SM 2540 B 4 74 % 02/21/2022
Fecal Density
SM 9221C E-2014 337553 MPN/g 02121/2022
Comment: Sludge residuals, except pH, reported on a dry weight basis, pH reported on an as received basis,
Reviewed by:
�t ;
Reporl #:: 2022.03154
Page 3 of 3

Environmental Chemist, inc., Wilmington, NC Lab 494
6602 Windmill Way
Wilmington, NC 28405
Sample Receipt Check!' t 910.392.0223
rs
Client � �� 5
Date: Report Nurnber: 2022_�
Receipt ofsarnple. ECHEM Pickup ❑
IDYES p Np p Client Delivery UPS ❑
N/A 1• Were custodyseals present on the cooler? FedEx ❑ Other ❑
❑ YES ❑ NO �' NIA
2, if Custody seats tivere present, were they Pntact/unbroken?
Originaltemperature upon receipt ��
How tem e oC Corrected temperature upon receipt
p�rature taken: ❑ Temperature Blank
IR Gun M. Thomas Traceable S/N: 21Q835468 LinAgainst Bottles oC
❑ YES ❑ No 3. If temperature of cooleRr a ceeded 6C, Was Correction cProject Q Q
YES ❑ NO 4. Were proper custodyMgr /Q k notified?
YES ❑ NO p procedures (relinquished/received) followed?
5. Were sample ID s listed on the COC? YES ❑ NO 6. Were samples !D's listed on sample containers?
YES ❑ NO 7. Were collection date and time listed -on the Cp11
C?
YES ❑ NO 8. Were tests to be performed listed on the COC?
YES ❑ NO 9. Did samples arrive in proper containers for each test?
Y!'S f] i`yrl 1n Di -2
r� YE5 �l
_1- , ,_"'' bC)Vtj wrldiiiori for each test? ��`---
1Z--
f r . b'rasvadeq�u, -ate sample V7lUm2
YES El NO 12. Were samples received within Proper holding time f
❑ YES ❑ No 13. Were acid preserved samples received at a pH of <z orequested tests?
❑ YES ❑ NO 14. Were cyanide samples received at a pH >12?
❑ YES ❑ NO 15. Were sulfide samples received at a pH >9?
❑ YES ❑ No 16. Were NH3/TKN/phenol received at a chlorine residual of < Yx
❑ YES ❑ El No 17. Were Sulfide/Cyanide received at a chlorine residual of < 0'S m/L7
❑ YES NO 18. Were orthophosphate samples filtered in the field 4vithinQ 5 m/(_?
15 minutes?
* rOC/Volatile; are pal checked at time of analysis and recorded on the benchsheat.
Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: {Must be completed for any sample(s) incorrectly Y preserved or with headspace)
b adding were received incorrectly Preserved and were adjusted accordingly
Y d (circle one): H2504 HNO3 HCl
Time of preservation: NaOH
If More than one preservative is needed, notate in comments below
Va,e: Ptotifl custom-ar sproice irnrnedlateiy for incorrectr
no;iFr the state lab if directed to anal y Preserved same es. Obtain a neu sa•nple or
yzed by the custorner. Who was notified, date and time:
Volatiles Sample(s)
were received with headspace
CQMMENTS;
DaC. QA.OQ2 Rev 1

Analytical & Consulting Chemists
Client: Lewis Farms & Liquid Waste
ADDRESS: 91 <4' 1M,n A
Died Brr: I<.✓! tfu-m k�
ENVIRONMENTAL CHEMISTS, INC OFFICE:9 01392- 223Windmll WayIIFAXg9.103NC
92-44245
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: OLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
PROJECT NAME: reµ %t.`�� REPORT NO:
d CONTACT NAME: Wesley Wooten PO NO:
REPORT TO: Martin Mabe/Mabe-Wilcox PHONEIFAX:
COPY TO: email:
SAMPLE TYPE I = 1 fl t -
`
Sample Identification
Sludge
2
3
5
5 r
i 3�LI d '�
Collection
s
Date
Time
Temp
-�I '2A
B:Opa N,
-'f-.I�
!40of
�1-d -
' �a 0t%
A--,2 i-�
' coo a 14
2-2t-Jl
7a.
9.
Temperature when Received:
Delivered By:
Comments: I op
-- n uen , E - Effluent, W = Well, a = Stream, SO =
N
w
PRESERVATION
IL
0
o
N
o
a d
V
=
n
z
q
U
[7
Z
z
r
z
z
SL = Sludge, Other:
ANALYSIS REQUESTED
1"M
EMI
d Sy:
I]atelTime
Resamp
, Nutrients/Metals
ITS
.)TS
)TS
ITS
ITS
-TS
TS
ea:
r�Ti rrte:
UND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and I.'
iqu�d
WWTP Name: eau ltivage
Waste, Inc. WQ Permit Number: WQ0000455
B
Monitoring Period; From 1/1/2022 NPDES Number; NC0065480
To Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: Alt. A (timeltemp) ❑ Alt B (Alk Treatment} ❑ Alt. C
AIt.D (No prior Test) ❑ (Prior Testing) ❑
rf applicable to alternative performed (Class A Only) Indicate "Process to Further Reduce Pathogensuce ngs ❑
:ompost ❑ Heat D in ❑
Seta Ra ❑ Gamma Ra Heat Treatment ❑ TIler,111 is ❑
❑ Pasteurization ❑
Class B. Alt. (1) Fecal Densi Ej ,vt 2
JUL applicable to alternative perforn (}Process to Si t'b
Lime Stabilization ❑
Anaerobic Di estion ❑
If_ applicable to alternative perfu
Parameter Allowable Level
in Sludge
:2x10totheth power MPY
r grate ofCFUFecal Coliform tal solids
1000 mpn per gram
of total solid (dry
�4grams
almonella bacteria 3 MP(in lieu offecal tot
i Cc
B anly) indicate "Process to Sig
in ❑ Campos,
gss A or Class B) complete th
Pathogen Density
Geo. Mean Maximu Units
Reduce path
sntlyRe Reduce
LJ ! Aerc
e followir
um er
Fxcee,
316,8321 336,833 1 356,348 1 MPN/g 1 0
monitoring data;
Frequency Sample na ytf(
ofAnalysis Tvne I Tech -
Annual I Grab f s,A49221C
Vector Atti�actlan Reductior► (15A NCAC 02T .1107) -Please lndicate alternative performed:
Alt. I (VS reduction) ❑ Alt, 2 (40-day bench) ❑ Alt. 3 (30-day bench}
LJ Alt. 5 Q4-Day Aerobic) ❑ Alt. 6 (AIk. Stabilization ❑ Alt 7 (Drying -Stable A!t' 4 (Spot. O� uptake} ❑
Alt. 9 (Injection) 0 Alt. 10 (Incorporation) ) ❑ AJt. 8 (Drying - Unstable) ❑
CERTIFICATION STATEMENT (please check the appropriate statem suction alternatives were performed ❑
I] "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in I5A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .I106 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 ►vlty 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."
Kirklyn Fields, ORC
Preparer��Narp
me and Title (type or print)
Signature oparer* Date
Wesley Wooten, President
Land Applier Name and Title (if applicable)(type or print)
16/22
Signature of Lan Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: March 22, 2022
Carolina Plantation
2.49 % Solids
7.2 PH
Permit No. WQ0000455
E!ff77:
%
MgIKg Dry Weight
�Pounds/D Ton(%
x 10,000)
002)
]J
Nitrogen (TKN)
7,500
75,000.000
150.000
Phosphorus
3.570
35,700.000
71.400
Potassium
0.639
6,390.000
12.780
PAN (injected)*
2.557
25,573.840
51.148
PAN (surface)*
2,338
23,383.840
46.768
Ammonia Nitrogen
0.438
4,390.000
8.760
Calcium
1.820
18,200.000
36.400
Calcium Carbonate E .
---
---
Magnesium
---
3,560,000
7.120
Sodium
---
3,820.000
7.640
Sulfur
Nitrate N / Nitrite N
---
7.840
0.016
Barium
Chloride
---
--
---
---
---
--
SAR
1.07
Iron
---
---
--_
Ceiling Concen.
(Mg/Kg)
Aluminum
---
5,620.00
11.240
Arsenic
---
19.60
0.039
75
Cadmium
---
19.60
0.039
85
Chromium
---
19.600
---
--
Copper
---
68.30
0.137
4,300
Lead
---
19.60
0.039
840
Mercury
---
0.771
0.002
57
Molybdenum
---
19.60
0.039
75
Nickel
---
19.60
0.039
420
Selenium
---
19.60
0.039
100
Zinc
---
L1
2,050.00
4.100
7,500
Environmental Chemists, Inc. # 2022-05236
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

LEWIS FARMS
WQ0000455
Carolina Plantation.
03/22/22
599,251
5.7776
03/22/22
627,451
5.7976
03/22/22
577,618
5.7616
03/22/22
116,183
5.0651
03/22/22
106,061
5.0256
03/22/22
590,406
5.7712
03/22/22
106,195
5.0261
Total 3 8.2248
Average 5.4607
Geometric Mean $F773Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen for Reduction
requirement.

r'
ANALYTICAL $ CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 e 910.392.0223 Lab o 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info Cmenvironmentalchernists.corn
Lewis Farms & Liquid Waste, INC. Date of Report: Apr 07, 2022
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention_ Report #: 2022-05236
Project ID: Carolina Plantation
Lab ID Sample (D: Collect DatelTirne Matrix Sampled by
22-12575 Site: Sludge 3/22/2022 8:15 AM Solid/Sludge Client
Test
Sludge Residuals
Aluminum
Arsenic
Cadmium
Calcium
Chromium
Copper
Lead
Magnesium
Molybdenum
Nickel
Potassium
Selenium
Sodium
Zinc
Nitrate+Nitrite-Nitrogen
Total Solids N
Ammonia Nitrogen
Method
EPA 200.7. Rev, 4.4. 1994
EPA 200-7, Rev, 4.4, 1904
EPA 200.7. Rev, 4.4. 1994
EPA 200.7, Rev. 4.4. 1994
EPA 200,7, Rev. 4.4, 1994
EPA 200,7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7. Rev. 4.4. 1994
EPA 200.7. Rev. 4A. 1994
EPA 200-7, Rev. 4A, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7. Rev. 4.4, 1994
EPA 200.7, Rev. 4.4. 1994
EPA 353.2
SM 2540 B
SM 4500 NH3 C-2011
Total Kjeldahl Nitrogen (TKN) SM 4500 Norg B•201 f
Total Phosphorus SM 4500 P (F-H)-2011
pH SW 84s Method 9045D
Result estimated. Analyzed out of 15 minutes hold time.
Mercury
SW-846 7471 B
Results
5620 mg/kg
<19.6 mg/kg
<19.6 mg/kg
18200 mg/kg
<19.6 mg/kg
68.3 mg/kg
<19,6 mgtkg
3560 mg/kg
<19.6 mg/kg
<19.6 mg/kg
6390 mg/kg
<19.6 mg/kg
3820 mg/kg
2050 mg/kg
7.84 mg/kg
2.49 %
4380 mgtkg
75000 mg/kg
35700 mg/kg
7.17 units
<0,771 mg/kg
Date Analyzed
03/30/2022
03/30/2022
03/3012022
03/3012022
03/30/2022
03/30/2022
03/30/2022
03/30/2022
03/30/2022
03/30/2022
03/30/2022
03/30/2022
04/05/2022
03/30/2022
03/23/2022
03123/2022
03/23/2022
03/23/2022
03/29/2022
03131 /2022
04/04/2022
Reportk: 2022-05236
Page 1 of 3

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
71013owsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 ■ 910.347.5843 Lab/Fax
inform .envirortmentaicliemists.com
Lewis Farms & Liquid Waste, INC. Date of Report: Apr 07, 2022
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention: Report #: 2022-05235
Project ID: Carolina Plantation
Lab ID Sample ID: Collect Datefrime Matrix Sampled by
22-12576 Site: Sample 1 3/22/2022 8.15 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-12579 Site: Sample 2
Test
SM 2540 6
SM 9221C E-2014
Method
Collect Date/Time
3/22/2022 8:15 AM
2.67 % 03/23/2022
599251 MPNIg 03/22/2022
Matrix Sampled by
Solid/Sludge Client
Results Date Analyzed
Total Solids (%) SM 2540 B 2.55 % 03/23/2022
Fecal Density SM9221C E-2014 627451 MPNIg 03/22/2022
Lab ID Sample ID: Collect Date[Time Matrix Sampled by
22-12580 Site: Sample 3 3/22/2022 8:15 AM Solid/Sludge Client
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-12581 Site: Sample 4
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-12582 Site: Sample 5
Test
Total Solids (%)
Fecal Density
Method
SM 2540 6
SM 9221 C E-2014
Collect DatelTime
3/22/2022 8:15 AM
Method
SM 2540 B
SM 9221C E-2014
Collect Date[Time
3/22/2022 8:15 AM
Method
SM 2540 B
SM 9221C E-2014
Results Date Analyzed
2.77 % 03/23/2022
577618 MPNIg 03/22/2022
Matrix Sampled by
Solid/Sludge Client
Results Date Analyzed
2.41 % 03/23/2022
116183 MPN/g 03/22/2022
Matrix Sampled by
Solid/Sludge Client
Results
2.64 %
106061 MPNIg
Date Analyzed
03/23/2022
03122/2022
Report M: 2022-05236
Page 2 of 3

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 " 910.392.0223 Lab a 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 " 252.473.5702 Lab/Fax
^� 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info{uenvironmentalchemists.com
Lewis Farms & Liquid Waste,
INC. Date of Report: Apr 07, 2022
8155 Malpass Corner Road
Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention:
Report #: 2022-05236
Project ID: Carolina Plantation
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
22-12583 Site: Sample 6
3/22/2022 8:15 AM Solid/Sludge Client
Test
Method Results Data Analyzed
Total Solids {%)
SM 2540 B 2.71 % 03/23/2022
Fecal Density
SM 9221C E-2014 590406 MPN/g 03/22/2022
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
22-12584 Site: Sample 7
3/22/2022 8:15 AM Solid/Sludge Client
Test
Method Results Date Analyzed
Total Solids (%)
SM 2540 H 2.26 % 03/23/2022
Fecal Density
SM 9221C E-2014 106195 MPN/g 03/22/2022
Comment: Results, except pH,
reported on a dry weight basis. pH reported on an as received basis.
Reviewed by:
p
Report #:; 2022.05236
Page 3 of 3

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client:11:�15
—,-Date: 2 TL Report Number: 2022-
_ J23
Receipt of sample:
❑ YES ❑
ECHEM Pickup Client Delivery ❑ UPS ❑ FedEx ❑ Other ❑
NO
N/A I. Were custody seals present an the cooler?
❑ YES
❑ NO
N/A �. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank IX Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
YES
❑ NO
3. ' If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑ NO
5. Were sample ID's listed on the COC?
YES
❑ NO
6. Were samples ID's listed on sample containers?
YES
❑ NO
7. Were collection date and time listed on the COC?
YES
❑ NO
8. Were tests to be performed listed on the COC?
YES
❑ NO
9. Did samples arrive in proper containers for each test?
YES
❑ NO
10, Did samples arrive in good condition for each test?
YES
❑ NO
11 Was adequate sample volume available?'
YES
❑ NO
12. Were samples received within proper holding time for requested tests?
❑ YES
❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES
❑ NO
15. Were sulfide samples received at a pH >9?
❑ YES
❑
❑ NO
16. Were NH3/TKN/Phenol received it a chlorine residual of <0.5 m/L? **
YES
❑ NO
17. Were Sulfide/Cyanide received at a chlorine residual of c0,5 m/L?
❑ YES
❑ NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
:by adding (circle one): H2504 HNO3 HCI NaOH
Time of preservation. If more than one preservative is needed, notate in comments below
Note. Notify customerservice immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC, QA.002 Rev ].
"C

Way lmington, NC
dmill
ENVIRONMENTAL CHEMISTS, INC OFFICEIn 10392- 223FAX91tl3 2-44246
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: Lewis Farms & Liquid Waste PROJECT NAME: .,,� , ��,; REPORT NO: 2 2—
ADDRESS: CONTACT NAME W �c �--
esley Wooten .S la..n... PO NO:
REPORT TO: Martin Mabe/Mahe-Wilcox PHONE/FAX.-
COPY TO: email:
Sampled By:
SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Collection
y PRESERVATION
q
Sample Identification
T a s �;
m
c� a r E a z u m o io Q � ANALYSIS REQUESTED
at
Tune
Temp
o u
u c` " J z = z Z I- o
11'>
Sludge
G I K FF l-P, utrients/Metals
1
c P }a.�"I
G G X Fecal Density/%TS
42
G G ia5�� X Fecal Density/°!°TS
3
1
�a5
G G X Fecal Densi 1%TS ./
X Fecal Densi l%TS ✓
$
C P
���
G G X Fecal Density/%TS
6
C P
I
G G X Fecal Density/%TS
T
4
G G I�S
X Fecal Den .ty I
e '
s°
ime Received By: Datefrime
cted: Resample Reque ted:
Date: ; 29— Time:
TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name. Lewis Farms & Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Carolina Plantation NPDES Number: WQ0033770
Monitoring Period: From 1/l/2022 To 12/31/2022
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑
Alt. C (Prior Testing) ❑
AIt.D (No Prior Test) ❑ Process to Furtlier Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Patbogens":
Compost ❑
Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
'
Class B;
JAIt. (1) Fecal Density El
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying ❑
Composting ❑
Aerobic Digestion ❑
Anaerobic .
D1 estion
'(Class
If applicable to alternative performed
A or Class B) complete the
following monitoring data:
Allowable Level
Parameter
Pathogen Density
Number ° Frequency Sample na ynca
in Sludge
Excees Tech -
ofAnalysisTye
Minimu
Geo. Mean
aximu
Units
2 x 10 to the MPN
6th power
10,606
288,857
627,451
MPN/g
nique
0 Annual Grab SM92210E
per gram of
Fecal Coliform total solids CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria 3 MPN per 4 grams
(in lieu of fecal total solid (dry
coiiform) weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. Oz uptake) ❑
Alt, 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying- Stable) [IA]t. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) Cl
Alt. 10 (Incorporation) p
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
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."
Jeff Jarman, ORC Wesley Wooten, President
Preparer Name and Tit " ype or print) Land Applier Name and Title (if applicable)(type or print)
2/16/2023 4/8/22
Signature of f reparer* Date Signature of La Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment PIant
Date Sampled: February 3, 2022
Castle Bay
1.57 % Solids
7.03 pH
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg(Mg/Kg x 0.002)
Nitrogen (TEN)
6.650
66,500,000
133,000
Phosphorus
1.950
19,500.000
39.000
Potassium
0.439
4,390.000
8.780
PAN (injected)*
1.996
19,957.549
39.915
PAN (surface)*
1.995
19,954.364
39.909
Ammonia Nitrogen
0.001
6.370
0.013
Calcium
4.400
44,000.000
88.000
Calcium Carbonate E .
---
---
Magnesium
---
2,121.000
4.242
Sodium
---
13,000.000
26.000
Sulfur
--_
---
---
Nitrate N / Nitrite N
---
3.090
0.006
Barium
Chloride
--
---
---
---
---
---
SAR
2.05
Iron
I Ceiling Concen.
(M IK )
Aluminum
---
2,860.00
5.720
Arsenic
--
42.40
0.085
75
Cadmium
---
42.40
0.085
85
Chromium
---
42.400
---
--
Copper
---
301,00
0.602
4,300
Lead
---
42.40
0.085
840
Mercury
---
1.030
0.002
57
Molybdenum
---
42.40
0.085
75
Nickel
---
42.40
0.085
420
Selenium
---
42.40
0.085
100
Zinc
---
1,180.00
2.360
7,500
Environmental Chemists, Inc. # 2022-02084
*Determination of Plant Available Nitrogen (PAN):
Injected Application.
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Mot Detected) or < detection limits are listed as detection limits
for calculation purposes.

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 a 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info@envii-onint:ntalchemists.com
Lewis Farms & Liquid Waste, INC. Date of Report: Feb 18, 2022
8155 Malpass Corner Road Customer PO #:
Currie NC 25435 Customer 1D: 14020008
Attention: Wesley Wooten Report #: 2022-02084
Project ID: Aqua - Sludge
Lab lD Sample ID: Collect Date/Time Matrix Sampled by
22-04928 Site: Castle Bay Sludge 2/3/2022 11:20 AM Solid/Sludge Kirkland Fields
Test
Sludge Residuals
Aluminum
Arsenic
Cadmium
Calcium
Chromium
Copper
Lead
Magnesium
Molybdenum
Nickel
Potassium
Selenium
Sodium
Zinc
Nitrate+ Nitrite- N itroge n
Total Solids (%)
Ammonia Nitrogen
Method
EPA 200.7, Rev. 4A, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev, 4.4. 1994
EPA 2003, Rev. 4.4, 1994
EPA 200.7, Rev, 4.4, 1994
EPA 200,7, Rev. 4.4. 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4. 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4A. 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4, 19,34
EPA 353.2
SM 2540 B
SM 450o NH3 C-2011
Total Kjeldahl Nitrogen (TKN) SM 450o Norg B-2011
Total Phosphorous SM 4500 P (F-H)-2011
pal SW 646 Method 90450
Result estimated. Analyzed out of 15 minutes mold time.
Mercury
SW-646 7471 B
Results Date Analyzed
2860 mg/kg
<42.4 mg/kg
<42.4 mg/kg
44000 mg/kg
<42.4 mg/kg
301 mg/kg
<42.4 mg/kg
<2121 mg/kg
<42.4 mg/kg
<42.4 mg/kg
4390 mg/kg
<42.4 mg/kg
13000 mg/kg
1180 mglkg
3.09 mg/kg
1.57 %
<6.37 mg/kg
66500 mg/kg
19500 mg/kg
7.03 units
<1.03 mg/kg
02/09/2022
02/09/2022
02/09/2022
02/09/2022
02/09/2022
02/09/2022
02/09/2022
02/09/2022
02/09/2022
02/09/2022
02/09/2022
02/09/2022
02/11/2022
02/09/2022
02/07/2022
02/03/2022
02/08/2022
02/04/2022
02/16/2022
02/16/2022
02/0712022
Report #:: 2022-02084 Page 1 of 3

# eirochexn i.
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910-392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Lewis Farms & Liquid Waste, INC. Date of Report: Feb 17, 2022
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention: Wesley Wooten Report #: 2022-02084
Project ID: Aqua - Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-04930 Site: Castle Bay Sludge 1 2/3/2022 11:20 AM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%) SM25409 1,71 % 02/03/2022
Fecal Density SM 9221C E-2014 >9357 MPNIg 02/03/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-04931 Site: Castle Bay Sludge 2 2/3/2022 11:20 AM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-04932 Site: Castle Bay Sludge 3
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-04933 Site: Castle Bay Sludge 4
SM 2540 B 2.08
02/03/2022
SM 9221C E-2014 >7693 MPN/g 02/03/2022
Collect Date/Time Matrix Sampled by
2/3/2022 11.20 AM Solid/Sludge Kirkland Fields
Method
SM 2540 B
SM 9221C E-2014
Collect Date/Time
2/3/2022 11:20 AM
Results
1.93 %
>8291 MPNIg
Date Analyzed
Matrix Sampled by
Solid/Sludge Kirkland Fields
02/03/2022
02/03/2022
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 1.93 % 02/03/2022
Fecal Density SM 9221C E-2014 >8291 MPNIg 02/03/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-04934 Site: Castle Bay Sludge 5 2/3/2022 11:20 AM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.10 % 02/03/2022
Fecal Density SM 9221C E-2014 >7620 MPN/g 02103/2022
Report V 2022-02084 Page 2 of 3

env�roche'm
1
W s' , , . ( '(
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab + 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347,5843 Lab/Fax
[e-mail]
Lewis Farms & Liquid Waste, INC. Date of Report: Feb 17, 2022
8155 Malpass Corner Road Customer PO M
Currie NC 28435 Customer ID: 14020008
Attention: Wesley Wooten Report At: 2022-02084
Project ID: Aqua - Sludge
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-04935 Site: Castle Bay Sludge 6 2/3/2022 11:20 AM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 1.99 % 02/03/2022
Fecal Density SM 9221C E-2014 >8041 MPN/g 02/03/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-04936 Site: Castle Bay Sludge 7 2/3/2022 11:20 AM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.08 % 02/03/2022
Fecal Density SM 9221C E-2014 >7693 MPN/g 02/03/2022
Comment: Sludge residuals, except pH, reported on a dry weight basis. pH reported on an as received basis.
Reviewed by:
Report #:: 2022.02OB4
Page 3 of 3

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392,0223
Clienttslgl(5
3 Date: `"[3 Report
Number: 2022- �
ECHEM Pickup ❑ Client Delivery UP5 ❑ FedEx ❑ Other ❑
NO
❑ N/A 1. Were custody seals present on the cooler?NO
Eo5ae:
❑ N/A 2, if custody seals were present, were they intact/unbroken?
ure upon receipt "CCorrected temperature upon receipt
taken;
❑ Temperature Blank Against Bottles
IR Gun fD: Thomas Traceable S/N: 210835468 iR Gun Correction Factor'C: 0.0
❑ YES ❑ NO
3. If temperature of cooler exceeded VC, was Project Mgr./QA notified?
YE5 ❑ NO
4. Were proper custody procedures (relinquished/received) followed?
YES ❑ NO
5. Were sample ID's listed on the COC?
YES ❑ NO
6. Were samples ID's fisted on sample containers?
YES ❑ NO
7. Were collection date and time listed on the COC?
YES ❑ NO
8. Were tests to be performed listed on the COCe
YES ❑ NO
9. Did samples arrive in proper containers for each test?
YES ❑ NO
10. Did samples arrive in good condition for each test?
YES ❑ NO
11. Was adequate sample volume available?'
P( YES ❑ NO
12. Were samples received within proper holding time for requested tests?
❑ YES ❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES ❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES ❑ NO
15. Were sulfide samples received at a pH >9 e
❑ YES ❑ NO
❑
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
YES ❑ NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES ❑ NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet
Sample Preservation: {Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCi NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain anew sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
'C

:.� •,. =-�� ENVIRONMENTAL CHEMISTS INC 6602WindmillWay Wilmington, NC28406
} OFFICE: 910-382-0223 FAX [phone]
Analytical & Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: Lewis Fauns & Liquid Waste PROJECT NAME: REPORT NO: Z -p Z 0
ADDRESS: kfrj
CONTACT NAME: Wesley Wooten PO NO-
rz Al< • Z ,Sr[ fREPORT TO: Martin Mahe/Mabe Wilcox PHONEIFAX:
COPY TO: Cf�f email:
Sampled By: A-,fK r,�� r SAMPLE
Sample Identification
TYPE. I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other.
4
o _ is W PRESERVATION
c
° o a r E S 0 i oz o = ANALYSIS REQUESTED
z z = i z z iG C
SL. C P
G XI Nutrients/Metals
G G 34 K Fecal Density!%TS
c
G G `t �J r X Fecal Density/%TS
C P
G G X Fecal Density)°/nTS
C P
G G X Fecal Density/%TS
G G 493 X Fecal Density/%TS
G G 'c`1 X Fecal Density/%TS
C P
LG G T`1 x 9:--- I r,---;� .,o, Yn
DatelTime
4
Temperature when Received: Accepted; R 'ected: Resampl" uested:
Delivered By: l��k�_�f l Received By: Date: Time;
Comments:
TUR AROUND:
TYPE. I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other.
4
o _ is W PRESERVATION
c
° o a r E S 0 i oz o = ANALYSIS REQUESTED
z z = i z z iG C
SL. C P
G XI Nutrients/Metals
G G 34 K Fecal Density!%TS
c
G G `t �J r X Fecal Density/%TS
C P
G G X Fecal Density)°/nTS
C P
G G X Fecal Density/%TS
G G 493 X Fecal Density/%TS
G G 'c`1 X Fecal Density/%TS
C P
LG G T`1 x 9:--- I r,---;� .,o, Yn
DatelTime
4
Temperature when Received: Accepted; R 'ected: Resampl" uested:
Delivered By: l��k�_�f l Received By: Date: Time;
Comments:
TUR AROUND:
DatelTime
4
Temperature when Received: Accepted; R 'ected: Resampl" uested:
Delivered By: l��k�_�f l Received By: Date: Time;
Comments:
TUR AROUND:

LEWIS FARMS
WQ0000455
Castle Bay WWTP
03/09/22
198,530
5.2978
03/09/22
83,334
4.9208
03/09/22
78,176
4.8931
03/09/22
323,944
5.5105
03/09/22
193,549
5.2868
03/09/22
186,852
5.2715
03/09/22 1
317,242
5.5014
Total 1 36.6819
Average 5.2403
Geometric Mean $ Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

�:` env�rochem�F
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 0 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info[q+environmen to I Chem ists. corn
Lewis Farms & Liquid Waste, INC. Date of Report: Mar 15, 2022
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention: Wesley Wooten Report #: 2022-04346
Project ID: Castle Bay
LabID Sample ID: Collect Dateffirne Matrix Sampled by
22-10396 Site: Sample 1 3/9/2022 1:00 PM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%) SM 2540 8 2 72 % 0311012022
Fecal Density SM 9221C E-2014 198530 MPNIg 03/09/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-10397 Site: Sample 2 3/9/2022 1:00 PM SolidlSludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%) SM 2540 a 2.88 % 03/10/2022
Fecal Density SM 9221 C E-2014 83334MPN/g 03/09/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-10398 Site: Sample 3 3/9/2022 1:00 PM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-10399 Site: Sample 4
Test
SM 2540 B 3.07 % 0311012022
SM 9221 C E-2014 78176MPN/g 03/09/2022
Collect Date/Time Matrix Sampled by
3/9/2022 1:00 PM Solid/Sludge Kirkland Fields
Method
Results Date Analyzed
Total Solids (%) SM 2540 B 2.84 % 03/10/2022
Fecal Density SM 9221C E-2014 323944 MPN/g 03/09/2022
Lab ID Sample ID: Collect Daterrime Matrix Sampled by
22-10400 Site: Sample 5 3/9/2022 1:00 PM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.79 % 03/10/2022
Fecal Density SM 9221C E-2014 193549 MPNIg 03/09/2022
Report*,: 2022-04346 Page i of 2

� r _' ��' �Pa '✓�d �21
env ...... diem
3 c - • w ,-err
ANALYTICAL & CONSULTING CHEMISTS
Lewis Farms & Liquid Waste, INC.
8155 Malpass Corner Road
Currie NC 28435
Attention: Wesley Wooten
]Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab a 910.392.4424 Fax
710 $owsertown Road, Manteo, NC 27954 + 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5643 Lab/Fax
info(a'
Date of Report: Mar 15, 2022
Customer PO #:
Customer ID: 14020008
Report #: 2022-04346
Project ID: Castle Bay
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-10401 Site: Sample 6 3/9/2022 1:00 PM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%)
SM 2540 3
2.89 % 03/10/2022
Fecal Density SM 92210 E-2014 186852 MPN/g 03/09/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-10402 Site: Sample 7
3/9/2022 1:00 PM Solid/Sludge Kirkland Fields
Test Method Results Date Analyzed
Total Solids (%)
SM 2540 B
2, 90 % 03/10/2022
Fecal Density SM 9221C E-2014 317242 MPN1g 03/09/2022
Comment: Results reported on a dry weight basis.
Reviewed by: �fk d: X00i
Report #:: 2022-04346 Page 2 of 2

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910-392.0223
Sample Receipt Checklist
Client __ Date: J-9—]QA Report Number: _cZ_a6 `{ 3V �
Receipt of sample:
ECHEM Pickup ❑ Client Deliver UPS ❑ Fed Ex ❑ Other
❑
YES
10
NO
N/A
1. Were custody seals present on the cooler?
❑
YES
❑
NO
N/A
2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt
°C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank ❑ Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
❑
YES
❑
NO
3. if temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
j�l
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
J�1
YES
❑
NO
S. Were sample ID's listed on the COC?
YE5
❑
NO
6. Were samples ID's listed on sample containers?
LA
YE5
❑
NO
7. Were collection date and time listed on the COC?
YES
❑
NO
S. Were tests to be performed listed on the COC?
YESNO
9. Did samples arrive in proper containers for each test?
NO
10. Did samples arrive in good condition for each test?
YESNO
11. Was adequate sample volume available?'
NO
12. Were 5ampies received within proper holding time for requested tests?
NO
13. Were acid preserved samples received at a pH of <2?
NO
14. Were cyanide samples received at a pH >12?
NO
15. Weresulfide samples received at a pH>9?
NO
16, Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑
YES
JLJ
NO
118. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatifes are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
ample Preservation; {Must be completed for any sample(s) incorrectly preserved or with headspace)
ample(s) were received incorrectly preserved and were adjusted accordingly
y adding (circle one): 1-12504 HNO3 HCl NaOH
ime of preservation: If more than one preservative is needed, notate in comments below
cite: Notify customer service immediately for incorrectly pre served samples. obtain a new sample or
)tify the state lab if directed to analyzed by the customer. who was notified, date and time;
olatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

INC
- 6B02 Windmill Way Wilmington, NC 28405
ENVIRONMENTAL CHEMISTS
FFICE. 910-392-0223 PAX
Analytical & Consulting Chemists
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@ nv r nmenta chem sts com2-042a
COLLECTION AND C IN OF CUST DY
Client: Lewis Farms & Liquid Waste PROJECT NAME:
REPORT NO:
ADDRESS: 5,�a CONTACT NAME: Wesley Wooten PO NO: zZ-�(�C�
'r r' fe-' REPORT TO: Martin Mabe/Mabe-Wilcox AHONEIFAX:
COPY TO: small:
Sampled By: it ., : ; S SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Collection N Im o PRESERVATION
Sample Identification
jzw
2-
3
g
Date
Time
Temp
-2.2
3 -2-z
p
3 -q-22
i
,I.
2.
Temperature when
Delivered By:—K
Comments:
Ea
F.
ao 2
0
Re
$
orn
t E
min
U,
o
a
C7
V
C
P
G
G
C
gg>
G
o3�
C
0
457
G
C
�]
By:
lip
O_r•s a
e
z-j
T
o
z
o
o
ANALYSIS REQUESTED
S
=
?
h
Q
X
Full
TCLIs
X
Fecal Density/%TS
X
Fecal Density/%TS
X I
Fecal Density/%TS
IX
Fecal Density/%TS
X
Fecal Density/%TS
X
Fecal Densityl%TS
X
Fecal Density/%TS
I uatel l Ime
ample Re steel:
Date,
`�-� Time:
TURN ROUND:

F '1ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
act ity Name: Lewis Farms & Liquid Waste, Inc.
WWTP Name: WQ Permit Number: WQ0000455
Castle Bay NPI)ES Number: WQ0018755
Monitoring Period: From 1/1/2022 To 12131/2022
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: Alt. A (timeItem) ❑ AI# B (Alk Treatment} ❑ Alt. C (Prior Testing)❑
L:Al!!!iiIt.D (Na Prior Test) ❑ Process to Turtiter Reduce Pathogen ❑
If applicable to alternative performed (Class A only) Indicate "Process to Further Reduce Pathogens";
i_
Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thetntophilic ❑
Beta Ray ❑ Gatnnta Ray ❑ Pasteurization ❑
Class 13: Alt. (1) Fecal Densi p Alt- (2) process to Sign iftcantl Rsduce"Fatho 'ens ' ❑ „`
U applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ :•::.::. Air D in ❑ Com ostin ❑ Aerobic Digestion ElAnaerobic Di estion El--•::.>::.::,:>::_::>::.:;.::.:::< :.:.::;;:::<-:..........
If applicableto alter
native
ve erformed-
(Class A or Class 'S)complete
.the.follawin'r..monitorin,,j1.
g g data:
Parameter Allowable Level Pathogen Density riumbRer of Frequency Sample na ytIca
in Sludge Minimu Geo. Mean Maximu Units Excee- Analysis Tech -
of Anal Type
2 x 10 to the MPN 78,176 173,$87 323,944 MPN/g 0 Annual Grab sM 9221 CC
ninue
6th power
per gram of Fecal Coliform total solids CFC1
1000 mpn per gram
of total solid (dry
wei ht)
'salmonella bacteria 3 MPN per 4 grams
(in lieu of fecal total solid (dry
coliform) weight)
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. O, uptake) ❑
Alt, 5 (14-Day Aerobic) ❑ Alt. 6 (Alk, Stabilization ❑ Alt 7 (Drying -Stable} ❑ Alt. 8 D ma - Unstable
Alt. 4 (Injection) p Alt. 10 (incorporation) ( ry ) ❑
( ) ❑ 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 .II06 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met"
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment"
Kirklyn Fields, ORC Wesley Wooten, President
Preparer ame and Title (t a or print) Land Applier Name and Title (if applicable)(type or print)
3/16/22
Signature of Pr parer* Date Signature of Land pplier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: June 1, 2022
Emerald Plantation
1.73 % Solids
7.1 pH
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg(Mg/Kg x 0.002)
Nitrogen (TKN)
6.290
62,900.000
125.800
Phosphorus
1.660
1.6,600.000
33.200
Potassium
0.478
4,780.000
9.560
PAN (injected)*
2.347
23,466.030
46.932
PAN (surface)*
2.019
20,186.030
40.372
Ammonia Nitrogen
0.656
6,560.000
13.120
Calcium
1,250
12,500,000
25.000
Calcium Carbonate E .
---
---
Magnesium
3,410,000
6.820
Sodium
10,000.000
20.000
Sulfur
---
.--
_--
Nitrate N / Nitrite N
4,030
0.008
Barium
Chloride
---
---
---
---
---
---
SAR
2.68
Iron
---
---
---
Ceiling Concen.
(Mg/Kg)
Aluminum
---
2,740.00
5.480
Arsenic
---
18.40
0.037
75
Cadmium
---
18.40
0.037
85
Chromium
---
18.400
---
—
Copper
---
535.00
1,070
4,300
Lead
---
18.40
0,037
840
Mercury
---
1.020
0,002
57
Molybdenum
---
18.40
0.037
75
Nickel
---
18.40
0.037
420
Selenium
---
I8.40
0.037
101
Zinc
---
1,510.00
3.020
7,500
Environmental Chemists, Inc. # 2022-08671
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0, 5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are Iisted as detection limits
for calculation purposes.

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab . 910.392.4424 Fax
710 Bow5ertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
x >•..•r 'ip.4 255-A Wilmington Highway, Jacksonville, NC 28540 e 910-347,5843 Lab/Fax
ANALYTICAL 8 CONSULTING CHEWSTS [e-mail]
Lewis Farms
Date of Report: Jun 01, 2022
6455 Piney Woods Drive
Customer PO #:
Willard NC
26478
Customer ID: 09050006
Attention: Wesley Wooten
Report #: 2022-08671
Project ID: Emerald Plantation
Lab ID Sample ID:
Collect Daterrime Matrix Sampled by
22-20921 Site: Digester
5/11/2022
10:00 AM Solid/Sludge Raymond Braxton
Test
Method
Results
Date Analyzed
Sludge Residuals
Aluminum
EPA 200.7, Rev. 4.4. 1994
2740 mg/kg
05/16/2022
Arsenic
EPA200.7. Rev 4.4. 1994
<18.4 mg/kg
05/16/2022
Cadmium
EPA 200.7, Rev. 4.4, 1994
<18.4 mg/kg
05/16/2022
Calcium
EPA 200.7, Rev. 4.4, 1994
12500 mg/kg
05/16/2022
Chromium
EPA 200.7, Rev. 4.4, 1994
<18.4 mg/kg
05/16/2022
Copper
EPA 2001, Rev. 4.4, 1994
535 mglkg
05/16/2022
Lead
EPA 200.7, Rev. 4.4, 1994
<18.4 mg/kg
05/16/2022
Magnesium
EPA 200.7, Rev. 4.4, 1994
3410 mg/kg
05/16/2022
Molybdenum
EPA 200.7, Rev. 4.4, 1994
<18.4 mg/kg
05/16/2022
Nickel
EPA200.7, Rev. 4.4, 1994
<18.4 mg/kg
05/16/2022
Potassium
EPA 200.7, Rev. 4A. 1994
4780 mg/kg
05/16/2022
Selenium
EPA 200.7, Rev. 4.4. 1994
<18.4 mg/kg
05/16/2022
Sodium
EPA 200.7, Rev. 4.4,1994
10000 mg/kg
05/16/2022
ZIRC
EPA 200.7, Rev. 4.4, 1994
1510mg1kg
05/16/2022
Nitrate+ N itrite- Nitrogen
EPA353.2
4.03mg/kg
05/16/2022
Total Solids (%)
SM 2540 B
1.73 %
05/16/2022
Ammonia Nitrogen
5M 4500 NH3 C-2011
6560 mg/kg
05/12/2022
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B-2011
62900 mg/kg
05/12/2022
Total Phosphorus
SM 4500 P (F-H)-2011
16600 mg/kg
05/17/2022
PH
Result estimated. Analyzed out
SW 646 Method 9045D
of 15 minutes hold time.
7.10 units
05/24/2022
Mercury sW-8467471 B <1.02mg/kg 05/12/2022
Comment: Results, except pH, reported on a dry weight basis, pH reported on an as received basis.
Reviewed by:
Report k: 2022-OBB71
Page 1 of 1

Environmental Chemist, Inc., Wilmington, INC tab #94
6602 Windmilf Way
Wilmington, NC 28405
910.392-0223
Sample Receipt Checklist
Client�`\ii5 S Date: !,
ark, Report Number: _ a
Receipt of sample:
❑ YES ❑
ECH£M Pickup Client Delivery ❑ UPS ❑ FedEx ❑ Other
NO
N/A 1. Were custody seals present on the cooler?
❑ YES ❑ NO
N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt _ 'C Corrected temperature upon receipt
How temperature taken;
❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 lii Gun Correction Factor'C. 0.0
❑ YES ❑ NO
YES ❑
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
NO
J� YES ❑
4. Were proper custody procedures (relinquished/received) followed?
NO
5. Were sample ID's fisted on the COC?
YES ❑ NO
6. Were samples ID's listed on sample containers?
YES ❑ NO
7. Were collection date and time listed on the COC?
YES ❑ NO
8. Were tests to be performed listed on the COC?
YES ❑ NO
9. Did samples arrive in proper containers for each test?
_YES _ ❑ NO
10. Did samples arrive in good condition for each test?
YES ❑ NO
11. Was adequate sample volume available?'
I� YES ❑ NO
12. Were samples received within proper holding time for requested tests?
YES ❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES Cl NO
14. Were cyanide samples received at a pH >12?
❑ YES ❑ NO
15. Were sulfide samples received at a pH >9?
YES ❑ NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?
YES ❑ NO
❑
17, Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
YES ❑ NO
18, Were orthophosphate samples filtered in the field within 15 minutes?
* TaC/Volatiles are pH checked
at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked
for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation:
(Must be completed far any sample(s) incorrectly preserved or with headspace)
Sample(s)
by adding (circle one):
were received incorrectly preserved and were adjusted accordingly
H2504
HNO3 HCI NaOH
Time of preservation:
If more than one preservative is needed notate in comments b I
eow
Note: Notify customer service immediately for incorrectly preserved samples, Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS;
DOC. QA.002 Rev 1
"C

WIndmll Way
ENVIRONMENTAL CHEMISTS, INC OFFI OFFICE: 202 3'lFAX9103 2-4420�
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail] 4
COLLECTION AND CHAIN OF CUSTODY
PROJECT NAME:
IDRESS: CONTACT NAME: Ey4 e-/4/-/ �%,,.t� ft,'�F,r PO NREPORT NO:o� o� 8(p j
REPORT TO: PHONElFAX:
COPY TO:
m fed B : email:
CollectioSAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
n a w c c o w PRESERVATION
iample Identification
Date Time Tern' ~ ci n a E a s a s ANALYSIS REQUESTED
Effluent C p
G G X phi
C p
G G
C p
G G LL Chlorine =
C p
G G
Lagoon C p
G G TXLL Chlorine =
C p
G G
G /14e-
Lalvji
C P
G G t•U to �.i f��A 1,
C p
G G
Transfer Relinquished By:
DatefTime Req6bived By:
l3atelTime
r
Iperature wh a el Accepted: Re' ted:
vexed By: Resample—R q sated:
Received By: f f 1
iments: Date.Time:
TURNAROUND:

LEWIS FARMS
WQ0000455
Emerald Plantation
04/14/22
209,303
5.3208
04/14/22
124,114
5.0938
04/14/22
130,598
5.1159
04/14/22
127,273
5.1047
04/14/22
132,576
5.1225
04/14/22
143,443
5.1567
04/14/22
128,206
5.1079
Total 1 36.0223
Average 5.1460
Geometric Mean 9�;74- ;�' g
Fecal Coliform MPN 1 ram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen for Reduction
requirement.

Environmental Chemists, Inc.
8 56602 Windmill Way, Wilmington, NC 28405 •y � 'y g 910,392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
sM, 255-A Wilmington Highway, Jacksonville, NC 28540 a 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Lewis Farms
Date of Report: May 09, 2022
6455 Piney Woods Drive
Customer PO #:
Willard NC 28478
Customer ID: 09050006
Attention: Wesley Wooten
Report #• 2022-06860
Project ID: Emerald Plantation
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
22-16603 Site. Digester
4/14/2022
10:30 AM Solid/Sludge Raymond
Braxton
Test
Method
Results
Date Analyzed
Chlordane (TCLP)
SW-846 8081 a
<0.02 mg/L
04/27/2022
Endrin (TCLP)
SW-846 8081 a
<0.0005 mg/L
04/27/2022
Heptachlor (TCLP)
SW-846 8081 8
<0,0005 mg/L
04/27/2022
Heptachlor epoxide (TCLP)
SW-846 8001 8
<0.0005 mg/L
04/27/2022
Lindane (TCLP)
SW-846 6081 B
<0.0005 mg/L
04/27/2022
Methoxychlor (TCLP)
SW-846 8081 8
<0.0005 mg/L
04/27/2022
Toxaphene (TCLP)
SW-846 8081 a
<0.05 mg/L
04/27/2022
2,4,5-TP (TCLP)
SW-846 8151 A
<0.003 mg/L
05/03/2022
2,4-D (TCLP)
SW-8468151 A
<0.003 mg/L
05/03/2022
1,4-Dichlorobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
04/28/2022
2,4,5-Trichlorophenol (TCLP)
SW-645 8270 E
<0,050 mg/L
04/28/2022
2,4,6-Trichlorophenol (TCLP)
SW-846 8270 E
<0.050 mg/L
04/28/2022
2,4-Dinitrotoluene (TCLP)
SW-846 8270 E
<0.050 mglL
04/2812022
Cresol (TCLP)
SW-846 8270 E
<0.050 mg/L
04/28/2022
Hexachforo-1,3-butadiene (TCLP)
SW-846 6270 E
<0,050 mg/L
04/28/2022
Hexachlorobenzene (TCLP)
SW-846 8270 E
<0.05D mg/L
04/28/2022
Hexachloroethane (TCLP)
SW-646 8270 E
<0.050 mg/L
04/28/2022
m + p-Cresol (TCLP)
SW-846 8270 E
<0.050 mg/L
04/28/2022
Nitrobenzene (TCLP)
SW-8468270E
<0.050mg/L
04/28/2022
o-Cresol (TCLP)
SW-846 8270 E
<0,050 mg/L
04/28/2022
Pentachlorophenol (TCLP)
SW-846 8270 E
<0.250 mg/L
04/28/2022
Pyridine (TCLP)
SW-646 8270 E
<0.050 mg/L
04/28/2022
1, 1 -Dichloroethylene (TCLP)
SW-846 Method 8260D
<0.01mg/L
04/26/2022
1,2-Dichloroethane (TCLP)
5W-846 Method 8260D
<0.01 mg/L
04/26/2022
Benzene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
04/26/2022
Carbon Tetrachloride (TCLP)
SW-846 Method 8260D
<0.01 mg1L
04/26/2022
Report # : 2022-06860
Page 1 of 4

ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 a 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertovvn Road, ManteD, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
ii)fo@en%,ironmentalcliejTiists.com
em,ironrnentalchemists.com
Lewis Farms
Date of Report: May 09, 2022
6455 Piney Woods Drive
Customer PO #:
Willard NC 28478
Customer ID: 09050006
Attention: Wesley Wooten
Report #• 2022-06860
Project ID: Emerald Plantation
Chlorobenzene (TCLP)
SW-846 Methad826oD
<0.01 mg/L
04/26/2022
Chloroform (TCLP)
SW-846 Method8280D
<0.01 mg/L
04/26/2022
Methyl ethyl ketone (TCLP)
SW-846 Method 826oD
<0.05 mg/L
04/26/2022
Tetrachloroethylene (TCLP)
SW-846 Methad826oD
<0,01 mg/L
04/26/2022
Trichloroethylene (TCLP)
SW-B46 Method 8260D
<0.01 mg/L
04/26/2022
Vinyl Chloride (TCLP)
SW-846 Method 82600
<0.01 mg/L
04/26/2022
TCLP Metals
Arsenic
EPA 200.7, Rev.4.4. 1994
<1.0 mg/L 04/29/2022
Barium
EPA 200.7, Rev, 4,4, 1994
<1.0 mg/L 04/29/2022
Cadmium
EPA 200.7. Rev, 4A, 1994
<1.0 mg/L 04/29/2022
Chromium
EPA 200.7, Rev. 4.4,1994
<1.0 mg/L 04/29/2022
Lead
EPA 200.7, Rev. 4.4,1994
<1.0 mg/L 04/29/2022
Selenium
EPA 200.7, Rev. 4.4, 1994
<1.0 mg/L 04/29/2022
Silver
EPA 200.7, Rev. 4.4. 1994
<1.0 mglL 04/29/2022
Mercury
EPA 245.1
<0.0002 mg1L 04129/2022
Lab ID Sample ID:
Collect DatelTime
Matrix Sampled by
22-16649 Site: Sludge 1
4/14/2022 10:30 AM
Solid/Sludge Raymond Braxton
Test
Method
Results Date Analyzed
Total Solids (%) SM 2540 6 2.58 % 04/15/2022
Fecal Density SM 9221C E-2014 209303 MPN1g 04/14/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-16651 Site: Sludge 2 4/14/2022 10:30 AM Solid/Sludge Raymond Braxton
Test Method Results Date Analyzed
Total Solids (%)
Fecal Density
SM 2540 8
SM 9221C E-2014
2.82 % 04/15/2022
124114 MPN/g 0411412022
Report 4:: 2022-06B60 Page 2 of 4

e�nv�jroche'rn
u
•
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Sowsertown Road, Manteo, NC 27954 a 252.4715702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
info c@environmentalcllemists,com
Lewis Farms Date of Report: May 09, 2022
6455 Piney Woods Drive Customer Pt] #:
Willard NC 28478 Customer ID: 09050006
Attention: Wesley Wooten Report #: 2022-06860
Project ID: Emerald Plantation
Lau iv
aampte iu:
Collect Date/Time
Matrix
Sampled by
22-16652
Site: Sludge 3
4/1412022 10:30 AM
Solid/Sludge
Raymond Braxton
Test
Method
Results
Date Analyzed
Total Solids (%)
SM 2540 B
2.68 %
04/15/2022
Fecal Density
SM 9221C E-2014
130598 MPN/g
04/14/2022
Lab ID
Sample ID:
Collect Date/Time
Matrix
Sampled by
22-16653
Site: Sludge 4
4114/2022 10:30 AM
Solid/Sludge
Raymond Braxton
Test
Method
Results
Date Analyzed
Total Solids (%)
SM 2540 B
2.75 %
04/15/2022
Fecal Density
SM 9221C E-2014
127273 MPN/g 04/14/2022
Lab ID
Sample ID:
Collect DatelTime
Matrix
Sampled by
22-16655
Site: Sludge 5
4/14/2022 10:30 AM
Solid/Sludge
Raymond Braxton
Test
Method
Results
Date Analyzed
Total Solids (%) SM 2540 B 2.64 % 04/15/2022
Fecal Density SM 9221C E-2014 132576 MPNIg 04/14/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-16656 Site: Sludge 6 4/14/2022 10:30 AM Solid/Sludge Raymond Braxton
Test Method Results Date Analyzed
Total Solids (%) SM 254o B 2.44 % 04/15/2022
Fecal Density SM 9221C E-2014 143443 MPNIg 04/14/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-16657 Site: Sludge 7 4/14/2022 10:30 AM Solid/Sludge Raymond Braxton
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.73 % 04/15/2022
Fecal Density SM 9221C E-2014 128206 MPNIg 04/14/2022
Report M. 2022-06660 Page 3 of 4

ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910,392.0223 Lab • 910.392,4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Lewis Farms Date of Report: May 09, 2022
6455 Piney Woods Drive Customer PO #:
Willard NC 28478 Customer ID: 09050006
Attention: Wesley Wooten Report #: 2022-06860
Project ID: Emerald Plantation
Comment:
Reviewed by:'�= .
Report #:: 2022.GGB60 Page 4 of 4

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: L�W� S �, 5 Date: Report Number: _ e -- U �W
Receipt of sample:
❑
ECHEM Pickup 4Client Delivery ❑ UPS ❑ Fed Ex ❑ Other
YES
113
NOE
N/A 1. Were custody seals present on the cooler?
❑
YES
❑
NO
N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank ❑ Against Bottles
IR Gun ID: Thomas Traceable 5/N 192511657 IR Gun Correction Factor °C: 0.0
❑
YES
10
NO
3. If temperature of cooler exceeded 6'C, was Project Mgr./QA notified?
�J
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
110
YES
❑
NO
5. Were sample ID's listed on the COC?
YESd1l
❑
NO
6. Were samples ID's listed on sample containers?
YES❑
NO
7. Were collection date and time listed on the COC?
YES❑
NO
8. Were tests to be performed listed on the COC?
YES❑
NO
9. Did samples arrive in proper containers for each test?
Xl
YES
YES&NO18.
NO
10. Did samples arrive in good condition for each test?
. Was ade4uate sample volume availableT
CZ
YES.
Were samples received within proper holding time for requested tests?
❑
YES.
Were acid preserved samples received at a pH of <2?
❑
YES.
Were cyanide samples received at a pH >12?
❑
YES.
Were sulfide samples received at a pH >9?
❑
YES,
Were NH3/TKN/Phenol received at a chlorine residual of c0.5 m/L? **
❑
YES.
Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑
YE5.
Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any samples] incorrectly preserved Dr with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): HZSOp HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Mote: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
iotify the state lab if directed to analyzed by the customer. who was notified, date and time:
Jolatiles Sample(s) were received with headsoare
COMMENTS:
DOC. QA.002 Rev 1
08

°°a,i 4 ENVIRONMENTAL CHEMISTS, INC 6602 Windmill Way Wllminaton, NC 28405
�;,;a f OFFICE: 91U-392-0223 FAX 990-382-d424
Analytical B Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 3Tr29 irrfo(@�environmentalchemist-i.com
COLLECTION AND CHAIN OF CUSTODY
Client: zeaJ+f w-m; PROJECT NAME: FM W ILIA ?/7' n VW REPORT NO: Ra—
ADDRESS: CONTACT NAME: ICJ ' ZS�Ia PO NO:
REPORT TO: PHONEIFAX:
COPY TO- email:
Sampled By: -7 tj1Act rtn SAMPLE TYPE: I = InfluerrL E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Collection _ « PRESERVATION
Sample Identification to
d° t i is o ww ANALYSIS REQUESTED
Date Time Temp] u° u° ' '_ $ s I o
f PS C
Sid 7
Li,�D� G G �
z C P
G G
C P
G G
C P
G G
5. c P
G G
r C P
�C? G G
^� C P
J G G
C P
LI G G
Transfer Relinquished B OateMme R eived By: atelTl�m}e
2.
Temperature e Accepted: Rejected: Resample AM sted:
Delivered By: i Recelved By:_ Date: 1 Time:
Comments: TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Fartns & Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Emerald Plantation NPDES Number• V125 10
Monitoring Period:
Pathogen Reduction
Class A: I Al
If a
Beta
From 111 /2022 To 12/31/2022 - -
(15A NCAC 02T .1106) - Please indicate level achieved and alternative perforated:
t. A (time/temp) ❑ Alt B (Alk Treatment) ❑ 1 Alt. C (Prior Testing) ❑
t.D (No Prior Test) ❑ F Process to Further Reduce Pathorcngs ❑
toof#ernative performed (Class A only) indicate "Process to Fut4her Reduce Pathogens":
❑-1 Heat Drying ❑ HeatTreattnent ❑ Thennophilic ❑
❑ I Gattuna Ray ❑ I Pasteurization E
Class B: Alt. (1) FecaI DensiV El I Alt. (2) Process to Significan
If applicable to alternative performed (Class B only indicate "Process to Sign
Lime Stabilization ❑ Air Drying ❑ Com ostil
Anaerobic Di estion ❑
If ap2licable to alternative performed (Class A or Class B) complete the
Parameter Allowable Level Pathogen Density
in Sludge Minimurr Geo. Mean Maximu Units
x 0 to die MPN I24,114 139,974 209,303 MPN/g
power
per gram of Fecal Coliform total solids CPU
I uUu mpn per gram
of total solid (dry
u,iW„c„n OUCIUrla J mrN pCr4 grarn5
(in lieu of fecal total solid (dry
Reduce Pathogens ❑
cantly Reduce Pathogens":
❑ Aerobic Digestion ❑
Alowing monitoring data:
um er o Frequency Sample na ytuc
Excee- of Analysis Type
Tech-
yP
0 Annual Grab sm922ti
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
AIL (VS reduction) ❑ Alt. 2 (40-day bencli) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec, 0, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk Stabilization ❑ AR 7 (Drying -Stable) ElAlt. 8 (Drying - Unstablc) ❑
Alt. 9 (Injection) El Aft. 10 (incorporation) El 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
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. 1 am aware that there are
significant penalties for false certification including fine and imprisonment."
Raymond Braxton, ORC Wesley Wooten, President
Preparer Name and Title (type or print) Land Appl ier Name and Title (if applicable)(type or print)
Z-IG Z� rloaax
Signature of Preparer" Date Signature of L Appiier (if applicable) Date
•Preparer is defined in 40 Ci'R Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: January 27, 2022
Havelock
4.14 % Solids
61 nN
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
(% z 10,000)
Pounds/Dry Ton
(Mg/Kg(Mg/Kg x 0.002)
Nitrogen (TKN)
6.548
65,480.000
130.960
Phosphorus
3.970
39,700.000
79.400
Potassium
0.441
4,409.000
8.818
PAN (injected)*
2,180
21,798.670
43.597
PAN (surface)*
2.026
20,263.170
40.526
Ammonia Nitrogen
0.307
3,071.000
6.142
Calcium
3.563
35,625.000
71.250
Calcium Carbonate E .
---
---
---
Magnesium
2,622.000
5.244
Sodium
3,356.000
6.712
Sulfur
---
--_
Nitrate N / Nitrite N
4.970
0.010
Barium
---
---
_
Chloride
---
---
---
Iron
---
---
---
Aluminum
---
24,861.00
49.722
Arsenic
---
2.50
0.005
Cadmium
---
1.50
0.003
Chromium
---
23.000
---
Copper
---
592.00
L 184
Lead
---
10.00
0.090
Mercu
---
0.16
0.000
Molybdenum
---
5.00
0.010
Nickel
---
11.00
0.022
Selenium
---
5.00
0.010
Zinc
---
1,964.00
3.928
f
Environment 1, Inc. # 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
0.94
Ceiling Concen.
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
75
85
840
57
75
420
100

EmAr�c� mamU 11, Ors I,upTOW
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
SUE SAYGER
WASTEWATER TREATMENT PLANT
304 N. aACKSON DRIVE
HAVELOCK, NC 28532
Sludge
Analysis
Method
PARAMETERS
Sample
Date
Analyst
Code
PH, Units (Nan -Aqueous)
c 6.3
01/31/22
DIJ
450OBB-11
Aluminum, (dry wt. basis), mg/kg
24861
02/01/22
LFJ
EPA200.7
Arsenic (dry wt. basis), mg/kg
<2.5
02/01/22
MTM
3113B-04
Calcium (dry wt. basis), mg/Icg
35625
02/01/22
LFJ
EPA200.7
Cadmium (dry wt. basis), mg/kg
1.5
02102/22
N1T1v1
3113B-04
Copper (dry wt. basis), mgllcg
592
02/01/22
LFJ
EPA200.7
Chromium, T.(dry wt. basis),mg/kg
23
02/01/22
LFJ
EPA200.7
Lead (dry weight basis), mg/kg
10
02/03/22
MTM
3113B-04
Magnesium (dry wt. basis), mg/lcg
2622
02/01/22
LFJ
CPA200.7
Mercury (dry wt. basis), mg/kg
0.16
02/10/22
MTM
EPA7471B
Nickel (dry wt. basis), mgllcg
11
02/01/22
LFJ
EPA200.7
Potassium (dry wt. basis), nlglkg
4409
02/01/22
LFJ
EPA200,7
Selenium (dry wt. basis), nlg/lig
<5.0
02/04/22
MTM
311313-04
Sodium (dry wt. basis), mgllcg
3356
02/01/22
LFJ
EPA200.7
Zinc (dry wt. basis), mg/kg
1964
02/01/22
LFJ
EPA200.7
Sodium Adsorption Ratio (calc)
4.6
Total Solids, %
4.14
01/27/22
JMS
2540G-15
TKN (dry wt.), nlglkg
c 65480
02/01/22
TRJ
351.2 R2-93
Ammonia Nitrogen (dry wt.),mg/kg
c 3071
02/01/22
KES
350.1 R2-93
Phosphorus, T. (dry wt.), nlg/lig
c 39700
02/01/22
BMD
365.4-74
Nitrate+ Nitrite (dry wt,), mgllcg
c 4,97
02/02/22
TRJ
353.2 R2-93
Plant Available Nitrogen, mg/kg
20263
02/15/22
MAO
Molybdenum (dry wt, basis), mgllcg
5
02/01/22
LFJ
EPA200.7
Drinking Water ID: 37715
Waatawater ID: 10
PHONE [phone]
FAX [phone]
ID#: 414
DATE COLLECTED: 01./27/22
DATE REPORTED : 02/16/22
REVIEWED BY:
c Uncertified data. DWR does not offer non-ayueoue certification for thin analytical procedure.

Cnvironnienl 1. inc. CHAIN OF CUSTODY RECORD
P.U. Brix 708i, 114 Oakmont Dr. Paue 1 of 1
Greenville. INC 27858 `
environmcnt 1 inc.cum
DISINFECTION
Ph«nL (252) 756-620S • Fax [phone]
Ij CHLORINECHLORINE
NEUTRALIZED AT COLLECTION
CLIENT: 414 Week:8
pH CHECK (LAB)
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W N. JACKSON DRIVE
A
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CHEMICAL PRESERVATION
AVELOCK NC 28532
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WASTEWATER (NPDES)
DRINKING WATER
❑ DWR/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING HIPMENT/DELIVERY
`Y N
SAMPLES COLLECTED BY.
(Please Paint)
S�
SAMPLES RECEIVED IN LAB AT _ 'C
Rr-+ INOUISHED pY ISIG.) ( OPLER)
DATE-YrIME
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DATFaTTME
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RELINQUISHED BY 9SIG.)
DATETIME
RECEIVED BY (SIG.)
DATEMME
RELINQUISHED BY (SIG.)
DATEIl1ME
RECEIVED BY (SIG.)
DATI;Yi1ME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a `&' for N� 400181
FORM k5 Grab sample in Ilse blocks above for each parameter requested.

CITY OF HAVELOCK
WQ0000702
City of Havelock WWTP
O1/27/22
42,000
4.6232
01/27/22
44,000
4.6435
01/27/22
77,000
4.8865
01/27/22
160,000
5.2041
01/27/22
110,000
5.0414
01/27/22
110,000
5.0414
01/27/22
77,000
4.8865
Total 34.3266
Average 1 4.9038
Geometric Mean11t I Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

1'14 OAKMON I DRIVE
1311LE'ENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
SUE SAYGER
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
Drinking Water IV; 3773.5
WaeteWater SDi 20
PH0f,Il [phone]
FAX [phone]
ID#6: 414 B
DATE COLLECTED: 01/27/22
DATE REPORTED : 02/01/22
'/ '♦
REVIEWED BY:
Sample
Sample
Sample
Sample
Sample
Analysis
Method
PARAMETERS
#1
#2
#3
#4
#5
Date Analyst
Code
Total Residue, mg/l
30767
31467
31133
33467
30967
01127/22 dMS
254OB-15
Fecal Coliform (MPH /gram Solids
42000
44000
77000
160000
I10000
01/27/22 JMS
92211~-14

NEW'onn(W % hmpoobd
114 OAK1001NIT DRIVE
GHEENVILLF, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
SUE SAYGER
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
Sample
PARAMETERS #6
Total Residue, mg/l 31400
Fecal Coliform (MPI), /gram Solids 110000
Drinking Water ZDr 37725
waeteeater ZDs 16
PHONE f252) 756-6208
FAX [phone]
ID$: 414 8
DATE COLLECTED: 01/27/22
DATE REPORTED : 02/01/22
REVIEWED BY:
Sample Analysis Method
#7 Date Analyst Code
31333 01/27/22 JMS 2540B-15
77000 01/27/22 JMS 9221E-14

Er��irc►nment I, Inc. CHAIN Off' CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr.
Pale 1 of 1
Greenville, NC 27858
eriviranment 1 inc_com
DISINFECTION
Phone [phone] e Fax [phone]
CHLORINE NEUTREWZ�DATC01lECTION
CHLQRl1F1=.
pH CHECK (LAB)
CLIENT. 414 B Week: 7
FJ V
ITY OF HAVELOCK(SLUDGE)
NONE
p
P
CONTAINER TYPE, PIG
UE SAYGER
CHEMICAL PRESERVATION
IASTEWATER TREATMENT PLANT
34 N. JACKSON DRIVE
A
A
AVELOCK NC 28532
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CHAIN OF CUSTODY (SEAL) MAINTAINED
DURIFIG SHIPMENTMELIVERY
LJ N
SAMPLES COLLECTED BY.
(Please Print)
�i h ✓I
SAMPLES RECEIVED IN LAB AT °C
AMPLER)
DATEIiIME
RECEIVED BY (SIG.)
DATETIME
COMMENTS:
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RELINQUISHED BY (SIC,.)
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RECEIVED BY (SIG.)
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RELINQUISHED BY (SfG.)
0ATEMME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C' for composite sample or a `G' far FORM 45 Grab sample in the blocks above for each parameter requested, Ng
401947

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number:
WWTP Name: Havelock WWTP NPDES Number:
WQ0000455
NC0021253
Monitoring Period: From 1/l/2022 To Y31LZO2.2
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative Derformed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑ AIt. C (Prior Testing) ❑
Alt_D (No Prior Test) I Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermo hilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B: Alt. (1) Fecal Density p Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ composting Cl
Aerobic Di estion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in
in Sludge
Pathogen Density
g y
um er o
Excee-
rtPn� s
Frequency
of Analysis
Y
Sample
Type
Analytical
Tech -
nia ie
Minimu
Geo. Mean
Maximo
Units
Fecal Colifotm
2 x 10 to the
6th power
per gram of
total solids
MPN
42,000
80,131
160,000
MPN/ g
0
Quarterly
Grab
5M922 ] CE
C.FU
1000 mpn per gram
oflotalsolid (dry
weight)
Salmonella bacterial
(in lieu of fecal
colifom))
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction)
❑
Alt. 2 (40-day bench)
jAit. 3 (30-day bench) ❑ Alt. 4 (Spec. O, uptake)
Alt. 5 (14-Day Aerobic)
❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable)
jC131
Alt. 9 (injection)
El
Alt. 10 (incorporation) Efl
No vector attraction reduction altematives were performed
❑
C;1N;K'YWIC:A ION NFAl'EMENT (please check the appropriate statement)
<] "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Devin ns, ggc Wesley Wooten, President
Pteja er Name �d Tit pe or print) Land Applier Name and Title (if applicable)(type or print)
1/24/23 . 10/26/22
Signature o P e er* ~-- — Date Signature of La Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: April 5, 2022
Havelock
4.23 % Solids
6.3 pH
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg(Mg/Kg x 0.002)
Nitrogen (TKN)
5.313
53,130.000
106,260
Phosphorus
5938
59,380.000
118.760
Potassium
0.443
4,430.000
8.860
PAN (injected)*
1.812
18,122.390
36.245
PAN (surface)*
1.657
16,566.390
33.133
Ammonia Nitrogen
0.311
3,112.000
6,224
Calcium
3.406
34,062.000
68.124
Calcium Carbonate E .
---
---
---
Magnesium
2,625.000
5.250
Sodium
3,121,000
6.242
Sulfur
---
---
---
Nitrate N / Nitrite N
4.990
0.010
Barium
---
---
---
SAR
0.90
Chloride
---
---
---
Iron
- -
---
---
Ceiling Concen.
(M (K )
Aluminum
---
25,057.00
50.114
Arsenic
---
2.50
0.005
75
Cadmium
---
1.30
0.003
85
Chromium
---
26.000
---
---
Copper
---
56300
1.126
4,300
Lead
---
12.00
0.024
840
Mercury
---
1.40
0.003
57
Molybdenum
---
5.00
0.010
75
Nickel
---
11.00
0.022
420
Selenium
---
5.00
0,010
1 100
Zinc
---
1,922.00
3.844
7,500
Environment 1, Inc. # 414
Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application,
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

EMdUT(ORM O % hoo TP© b,d
114 OAKMONT DRIVE
GREENVILLE. N.C. 27858
CITY OF HAVELOCK(SLUDGE)
SUE SAYGER
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
PARAMETERS
PH, Units (Non -Aqueous)
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/lig
Copper (dry wt. basis), mglkg
Chromium, T.(dry wt. basis),mg/kg
Lead (dry weight basis), mg/kg
Magnesium (dry wt. basis), mg/kg
Mercury (dry wt. basis), mglkg
Nickel (dry wt. basis), mglkg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mglkg
Sodium (dry wt. basis), mg/kg
Zinc (dry wt. basis), mg/kg
Sodium Adsorption Ratio (talc)
Total Solids, %
TICN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/kg
Phosphorus, T. (dry wt.), mg/kg
Nitrate+Nitrite (dry wt.), mg/kg
Plant Available Nitrogen, mg/kg
Molybdenum (dry wt. basis), mg/kg
Sludge Analysis Method
Sample Date Analyst Code
c 6.9
04/08/22
CAW
4500HB-11
25057
04/18/22
LFJ
EPA200.7
C2.5
04/13/22
MTM
3113B-04
34062
04/18/22
LFJ
EPA200.7
1.3
04/14/22
MTM
3113E-04
563
04/18/22
LFJ
EPA200.7
26
04/18/22
LFJ
EPA200.7
12
04/12/22
MTM
3113E-04
2625
04/18/22
LFJ
EPA200.7
1.4
04/18/22
MTM
EPA7471B
11
04/18/22
LFJ
EPA200.7
4430
04/18/22
LFJ
EPA200.7
5.0
04/20/22
MTM
3113E-04
3121
04/18/22
LFJ
EPA200.7
1922
04/18/22
LFJ
EPA200.7
4.4
4.23
04/05/27,
JMS
254OG-15
c 53130
04/13/22
BMD
351.2 R2-93
c 3112
04/11/22
BMD
350.1 R2-93
c 59380
04/13/22
TRJ
365.4-74
c 4.99
04/12/22
RES
353.2 R2-93
16566
04/22/22
ICES
5
04/18/22
LFJ
EPA200.7
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 414
DATE COLLECTED: 04/05/22
DATE REPORTED : 04/27/22
REVIEWED BY:
c Uncertified data. ❑WR dose not offer non -aqueous certification for this analytical procedure.

Envh+ojinient 1. Ine. CM41N OF CUSTODY RECORD
P.O. Box 7085, 114 0a[tmonr tar. Page 1 or 1
f:rt>rnilla r�if''77R4R
env ironniew I inc.com
DTSINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] o Fax [phone]
CT-iLORCNE
CLIENT: 414 Week: 20
pH CHECK (LAB.)
UV
p
p
p
p
p
p
p
CONTAINERTYPE, P,`G
`ATY OF HAVELOCK(SLUDGE)
NIONE
UE SAYGER
VASTEWATER TREATMENT PLANT
CHEMICALPRESERVAT EON
44 N. JACKSON DRIVE
A
A
A
AlA
AlAlA
L&VELOCK NC 28532
A -NONE D-NAOH
E
3
252) 671-6373
z J
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n B-HNO, E-HCL
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COLLECTION
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SAMPLE LOCATION
DATE
TIME
Sludge Sam le
'.
..
CLASSIFICATfON:
WASTEWATER(NPDES)
DRINKENGWATER
DWRIGW
SOLID WASTE SEC IION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURINGIPMENT/DELIVERY
Y N
SAMPLES COLLECTED BY.
(Please Print)
SAMPLES RECEIVED IN LAB AT _'C.
RELINQUISHED 8 ' I SAMPLER)
DATEFTIME
RECEIVED BY (SIG.)
DATFFIME
COMMENTS:
.11
RELINQUISHED BY (SIG.)
DATF,1nME
RECEIVED BY (SIG.)
DATETIME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEITIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for FORM 45 Grab sample in the blocks above for each parameter requested. N20 402127

CITY OF HAVELOCK
WQ0000702
City of Havelock W WTP
.......ex..:.:.:.:.............:.................
..fig
04/05/22
11000
4.0414
04/05/22
26,000
4.4150
04/05/22
35,000
4.5441
04/05/22
24,000
4.3802
04/05/22
12,000
4.0792
04/05/22
79,000
4.8976
04/05/22
26,000
4.4150
Total 30.7724
Average 1 4.3961
Geometric Mean ILFecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

EDW,QQREM T, hCup mUd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
SUE SAYGER
WASTEWATER TREATMENT PLANT
304 N. aACKSON DRIVE
HAVELOCK, NC 28532
Drinking Water ID: 37715
Wastewater TD: 10
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 04/05/22
DATE REPORTED : 04/18/22
REVIEWED BY: �✓
Sample
Sample
Sample
Sample
Sample
Analysis
Method
PARAMETERS
#1
#2
113
#4
#5
Date Analyst
Code
Total Residue, mgll
30433
30400
3I600
32667
28733
04/05/22 JMS
254OB-15
Fecal Coliform (MPH /gram Solids
11000
26000
35000
24000
12000
04/05/22 HCE
9221E-14

Euwuhun&H t Rumpumbd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
SUE SAYGER
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 2B532
Drinking Water ID: 37715
wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 414 8
DATE COLLECTED: 04/05/22
DATE REPORTED : 04/18/22
REVIEWED BY:
Sample
Sample
Analysis
Method
PARAMETERS
#6
#7
Date Analyst
Code
Total Residue, mg/1
30200
30567
04/05/22 JMS
2540E-15
Fecal Culiform (MPH /gram Solids
79000
26000
04/05/22 HCE
9221E-14

Ensirtprnne,t I. Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085. 11-1Oaknuom Dr. Page I of
�Ik-r'III l'kI IF' N1r
em-i 011menrIinCCO,n
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone (252) 75h-6_'US + f=as (�ti- 75h-063,
Ij CHLORINE
CLIENT: 414 R Week- 20
FOf uv
pH CHECK (LAB)
;IT'Y OF RAVELOCK(SLUDGE)
❑ NODE
p
p
CONTAINER TYPE,P/G
UESAYGER
VASTEWATER TREATMENT PLANT
r'j
CHEMICAL PRESERVATION
04 N. 3ACKSON DRIVE
A
Al
I
I 1
11
1
1
— z
E Q
IAVELOCK NC 25532
A -NONE D-NAOH
252) 671-6373
a o
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COLLECTION
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V2¢
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< G-NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Sample #1
lU • �>C
9
2
CLASSIFICATION:
❑ WASTEWATER(NPDES)
Sample #2
�'�
f `f
�j
2
? '°
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Sam le ##3
[03)
)�
2
❑ DRINKING WATER
Sample #4
�>� ' .S
^
10 � 2
qq
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2
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❑ DWFiiGW
4�
Sample #5
'
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SOUD WASTE SECTION
-
{p ` (Z
2
<s
Sample #6
5
Sample #7
2
.
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please P610
De i
SAMPLES RECEIVED IN LAB AT : C
RE INQUISH BY (SIG.) (SAMPLER)
f DATEITIIMnE a
R=DB .)
DATEf IME
q Niz ' f
COMMENTS:
1' I o j4
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K
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG)
DATEMME
RELINQUISHED BY (SIG.)
DATETIME
RECEIVED BY (SIG.)
DATE71ME
PLEASE REAP) Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for �Q �0�� �6
FORM M5 Grab sample in the blocks above for each parameter requested,

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number:
WWTP Name: Havelock WWTP NPDES Number:
Monitoring Period: From 4/1/2022
To 6/30/2022
WQ0000455
NCO021253
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative Performed:
Class A:
Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑
Alt. C (Prior Testing) ❑
AILD (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ 1
Heat Drying ❑
Heat Treatment ❑
Thetntophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
JAit. (1) Fecal Density [r] Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying ❑ 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
Pathogeny Density
timbero
Exeee-
eiP„rPC
Frequency
of Analysis
Sample
Type
na )lca't
Tech -
ninilt-
Minimutr
Geo. Mean
Maximum
Units
Fecal Colifotm
2x 10 to the
6th power
per gram of
total solids
MPN
11,000
24,892
79,000
MPN/g
0
Quarterly
Grab
SM9221C1r
Ci-U
1000 mpn per gram
oftotal solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
colifoim)
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.I (VS reduction) ❑
Alt. 2 (40-day bench) ❑
JAR. 3 (30-day bench) ❑ JAIt.
4 (Spec. O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
JAIt 7 (Drying - Stable) ❑
Ait. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) p
Alt. 10 (Incorporation) El
JNo vector attraction reduction alternatives were perfonned ❑
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
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 f, a certification including fine and imprisonment."
)evXAdarn,Z ORC Wesley Wooten, President
land Tit1 (type or print) Land Applier Name and Title (if applicable)(type or print)
1/24/23 , 10/26/22
reparer* Date Signature of Land ppiier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DE19R FORM PVRF 02T (12/2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: July 14, 2022
Havelock
4.19 % Solids
6.6 pH
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg(Mg/Kg x 0.002)
Nitrogen (TKN)
6.082
60,820.000
121.640
Phosphorus
4.459
44,590.000
89.180
Potassium
0.500
4,996.000
9.992
PAN (injected)*
2.377
23,771.890
47.544
PAN (surface)*
1.983
19,828.390
39.657
Ammonia Nitrogen
0.789
7,887.000
15.774
Calcium
4.090
40,898.000
81.796
Calcium Carbonate E .
---
---
---
Magnesium
3,062.000
6.124
Sodium
4,606.000
9.212
Sulfur
-_-
Nitrate N /Nitrite N
4.990
0.010
Barium
---
---
---
SAR
1.21
Chloride
---
---
---
Iron
---
---
---
Ceiling Concen.
(Mg/Kg)
Aluminum
---
29,629.00
59.258
Arsenic
---
2.60
0.005
75
Cadmium
---
1.40
0.003
85
Chromium
---
28.000
---
---
Copper
---
654.00
1.308
4,300
Lead
---
12.00
0.024
840
Mercury
---
0.33
0.001
57
Molybdenum
---
6.00
0.012
75
Nickel
---
13.00
0.026
420
Selenium
---
5.00
0.010
100
Zinc
---
2,380.00
4.760
7,500
Environment 1, Inc. # 4I4
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or ¢ detection limits are listed as detection limits
for calculation purposes.

Eink0000 Ala hmpoobo
114 OAKf IONT DRIVE
GREENVILLE, NZ. 27858
CITY OF HAVELOCK(SLUDGE)
DEVIN ADAMS
WASTEWATER TREATMENT PLANT
304 N. aACKSOX DRIVE
HAVELOCK, NC 28532
PARAMETERS
PH, Units (Non -Aqueous)
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/kg
Chromium, T.(dry wt. basis),mglkg
Lead (dry weight basis), mglkg
Magnesium (dry wt. basis), mg/kg
Mercury (dry wt. basis), mg/kg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mgllig
Selenium (dry wt. basis), mg/kg
Sodium (dry wt. basis), mglkg
Zinc (dry wt. basis), mg/kg
Sodium Adsorption Ratio (talc)
Total Solids, %
TKN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/kg
Phosphorus, T. (dry wt.), mg/kg
Nitrate+Nitrite (dry wt.), mg/kg
Plant Available Nitrogen, mg/lig
Molybdenum (dry wt. basis), mg/kg
Sludge Analysis Method
Sample Date Analyst Code
c 6.6
07/18/22
JMS
4500HB-11
29629
08/04/22
LFJ
EPA200.7
2.6
07/26/22
MTM
3113B-04
40898
08/04/22
LFJ
EPA200.7
1.4
07/25/22
MTM
3113B-04
654
08/04/22
LFJ
EPA200.7
28
08/04/22
LFJ
EPA200.7
12
07/26/22
MTM
3113E-04
3062
08/04/22
LFJ
EPA200.7
0.33
08/02/22
MTM
EPA7471B
13
08/04/22
LFJ
EPA200.7
4996
08/04/22
LFJ
EPA200.7
C 5.0
07/27/22
MTM
3113B-04
4606
08/04/22
LFJ
EPA200.7
2380
08/04/22
LFJ
EPA200.7
5.9
4.19
07/14/22
JMS
254OG-15
c 60820
07/19/22
TRJ
351.2 R2-93
c 7887
07/20/22
KES
350.1 R2-93
c 44590
07/19/22
BMD
365.4-74
c 4.99
07/19/22
KES
353.2 R2-93
19828
08/01/22
ICES
6
08/04/22
LFJ
EPA200.7
Drinking Water ID: 37715
Wastewater IDi 10
PHONE [phone]
FAX (252) i56-0533
ID#: 414
DATE COLLECTED:
DATE REPORTED
REVIE D �. V
07/14/22
08/17/22
e Uncertified data. DWR does not offer non -aqueous certification for this analytical procedure.

i nvirnnnrent 1, Inc. CHAIN OF CUSTODY RECORD
PO. Rcv. 7085- 114 Oakmont Dr. Page 1 of 1
Gn,i-nville N(- "7R5R
cr.:;ronn;� nt 1 inc.4om
Phone [phone] • Fax (2>2) 756-0633
DISINFECTION
CIiLORINi3
CHLORINE NEUTRALIZED AT COLLECTION
CLIENT: 414 Week: 33
Li V
z
pH CHECK (LAB)
P
P
P
P
P
P
P
CONTAINER TYPE, P!G
ITY OF HAVELOCK(SLUDGE)
Q NONE
UESAYGER
VASTEWATER TREATMENT PLANT
04 N. JACKSON DRIVE
l
A
A
A
A
A
A
A
A
CHEMICAL PRESERVATION
LAVELOCK NC 28532
L52) 671-6373
COLLECTION
A - NONE D - NAOH
w
B- HNO3 E- HCL
r
C- HMSO, F- ZINC ACETATEJNAOH
G NATHI05ULFATE
— -Z
p o
EFLIT
J
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¢
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w z
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6 cc),o
¢
w
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x
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p
E�
F'
o.2
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>;
"�
m
Z
Z
SAMPLE LOCATION
DATE
I IME
Sludge Sample
5
CLASSIFICATION:
WASTEWATER(NPDES)
DRINKING WATER
DWRICW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING HIPMENTIDELIVERY
Y N
SAMPLES COLLECTED BY -
(Please Print)
5 l V
SAMP ES RECEIVED IN LAB AT__ _ _°C
BY (SIG.) (SAMPLER)
VEUUISHED
DATEMME
Vly 2� 130
RECEI BY {SIG,)
-
DATE PME
i�Y� 31
COMMENTS,
BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for FORM #5 Grab sample in the blocks above for each parameter requested. R—a
411323

CITY OF HAVELOCK
WQ0000702
City of Havelock WWTP
4, ... ..
07/14/22
16,000
4.2041
07/14/22
15,000
4.1761
07/14/22
4,200
3.6232
07/14/22
14,000
4.1461
07/14/22
40,000
4.6021
07/14/22
36,000
4.5563
07/14/22
22,000
4.3424
Total 1 29.6504
Average 1 4.2355
Geometric Mean 0I Fecal Coliform MPN / gram
1
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

Enw,romiooW alp hcmP(0TMNd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
SUE SAYGER
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
PARAMETERS
Total Residue, nig/l
Fecal Coliform (MPN), /gram Solids
Sample
Sample
#1
#2
30933
32400
16000
15000
Drinking water ID: 37715
Waatewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 07/14/22
DATE REPORTED : 07/20/22
REVIEWEV Y : 1 ✓ i�
Sample Sample
Sample
Analysis
Method
#3 #4
#5
Date Analyst
Code
30567 34333
32067
07/14/22 JMS
2540B-15
4200 14000
40000
07/14/22 BLV
9221E-14

EoQT(ONH(M 1, D000Tpumbd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
SUE SAYGER
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
PARAMETERS
Sample Sample
#6 #7
Drinking Water ID: 77715
Waatawater ID: 10
PHONE [phone]
FAX [phone]
iD#: 414 B
DATE COLLECTED: 07/14/22
DATE REPORTED : 07/20/22
e \.
REVIEWED AY
Analysis Method
Date Analyst Code
Total Residue, mg/l 30767 32033 07/14/22 JMS 2540B-15
Fecal Coliform (MPH /gram Solids 36000 22000 07/14/22 BL'V 9221E-14

Environment 1,1nc. CHAIN OF CUSTODY RECOWD
P.O. Box 7085, 114 Oakmont Dr. Page 1 of
�ncn
_1 reelI N f 114. 1 V 1. _ 10_1 O
211viron nlcnt'l inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
Q CHLORINE
CLIENT: 414 S Week: 33
pH CHECK (LAB)
UV
ITY OF HAVELOCK(SLUDGE)
NONE
P
P
CONTAINER TYPE: PIG
UF, SAYGER
VASTEWATER TREATMENT PLANT
I—h
CHEMICAL PRESERVATION
04 N. JACKSON DRIVE
l l
A
A
[AVELOCK 1\C 28532
A- NONE D - NAOH
_
C/)
t52) 571 b373
w w
_j
v
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c
Cr o
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COLLECTION
F
_j
t o
G - NATHIOSULFATE
o
B
F__ ¢
LL
E"
cc
a
SAMPLE LOCATION
DATE
F TIME
Sample #1
1/1
,�
2
�`
CLASSIFICATION:
UII WASTEWATER (NPDES)
DRINKING WATER
Sample #2
2
,�`k
'"
.
`
Sample #3
22
il'. @ T
x
}'
�y 22
2
Sample #4
DWRTIGW
!!�
2
Sample #5
1 !
SOLID WASTE SECTION
2
Sample #6
Sample #7
%��
�,j
p� l�
2
r'
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
T
(Please Pdnt)
I /
V
I
i
,
I
I
I
I
I
SAMPLES RECEIVED W LAB AT U . tC
B (SIG.) (SAMPLER)
-
DATE'TIME
'.
RECEIVED BY (SIG.)
_.�
DATEMME
�2
COMMENTS:
WHE
L.
�9 2 0�
SHED
BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
FtELINQUISHEQ BY (5lG.}
DATEITIME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for p�
FORM 95 Grab sample in the blocks above for each parameter requested. NP 411322

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number:
WWTP Name: Havelock WWTP NPDES Number:
Monitoring Period: From 7/l/2022
To 9/30/2022
WQ0000455
NCO021253
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: Alt. A (time/temp) ❑ I Alt B (AIk Treatment) ❑ I Alt. C (Prior Testing) ❑
Alt.D (No Prior Test) ❑
I Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B: Alt. (1) Fecal Density El
I Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑
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
g y
Number o
Excee-
Frequency
of Analysis
Sample
Type
Ana yt,ca
Tech -
nin 1
Minimun
Geo. Mean
aximu
Units
Fecal Coliform
2 x 10to the
6th power
per gram of
total solids
MPN
4,200
17,209
40,000
MPN/g
0
Quarterly
Grab
sM922tCF
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
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) -Please indicate alternative performed:
Alt.l (VS reduction)
jAlt. 2 (40-day bench)
jAlt. 3 (30-day bench) ❑ JAR.
4 (Spec. O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization [I
Alt 7 (Drying - Stable) [I
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) El 7Alt.
10 (Incorporation) ❑
INo vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Wesley Wooten, President
Land Applier Name and Title (if applicable)(type or print)
1 /24/23 .i 10/26/22
Date Signature of Land pplier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: October 5, 2022
Havelock
3.96 % Solids
6.9 pH
Permit No. WQ0000455
Parameter
% ]Mg/KgDryWeight
(% x 10,000)
Pounds/Dry Ton
(M z 0.002)
Nitrogen (TKN)
5.392
53,920.000
107.840
Phosphorus
3.742
37,420,000
74,840
Potassium
0.385
3,851,000
7.702
PAN (injected)*
1.816
18,162.600
36.325
PAN (surface)*
1.675
16,748.600
33.497
Ammonia Nitrogen
0.283
2,828.000
5.656
Calcium
4,043
40,431.000
80.862
Calcium Carbonate E .
---
---
Magnesium
2,735,000
5.470
Sodium
3,724.000
7.448
Sulfur
---
_--
---
Nitrate N / Nitrite N
T000
0.014
Barium
Chloride
---
---
---
---
---
---
SAR
0.96
Iron
---
---
---
Ceiling Concen.
(Mg/Kg)
Aluminum
---
28,846.00
57.692
Arsenic
---
2.50
0.005
75
Cadmium
---
1.70
0,003
85
Chromium
---
25.000
---
---
Copper
---
662.00
1,324
4,300
Lead
---
15.00
0,030
840
Mercury
---
0.30
0,001
57
Molybdenum
---
6.40
0.013
75
Nickel
---
13.00
0,026
420
Selenium
---
5.00
0.010
100
Zinc
---
2,475.00
4,950
7,500
Environment 1, Inc. 4 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits arc listed as detection limits
for calculation purposes.

Eflwohm@M T, hmpuMd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
DEVIN ADAMS
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
PARAMETERS
PH, Units (Non -Aqueous)
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mglltg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/kg
Chromium, T.(dry wt. basis),mglkg
Lead (dry weight basis), mg/kg
Magnesium (dry wt. basis), mg/kg
Mercury (dry wt. basis), mg/kg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/lcg
Selenium (dry wt. basis), mg/Icg
Sodium (dry wt. basis), mg/kg
Zinc (dry wt. basis), mg/kg
Sodium Adsorption Ratio (talc)
Total Solids, %
TICN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/kg
Phosphorus, T. (dry wt.), mgllcg
Nitrate+Nitrite (dry wt.), mg/kg
Plant Available Nitrogen, mglkg
Molybdenum (dry wt. basis), mg/kg
Sludge
Analysis
Method
Sample
Date Analyst Code
c 6.9
10/07/22
JMS 4500HB-11
28846
10/18/22
MTM EPA200.7
<2.5
10/21/22
MTM 3113E-04
40431
10/17/22
MTM EPA200.7
1.7
10/19/22
MTM 311313-04
662
10/17/22
MTM EPA200.7
25
10/17/22
MTM EPA200.7
15
10/18/22
MTM 3113E-04
2735
10/17/22
MTM EPA200.7
0.3
10/13/22
MTM EPA7471B
13
10/17/22
MTM EPA200.7
3851
10/18/22
MTM EPA200.7
<5.0
10/24/22
MTM 3113E-04
3724
10/17/22
MTM EPA200.7
2475
10/17/22
MTM E4 PA200.7
4.8
3.96
10/06/22
BNC 2540G-15
c 53920
10/11/22
TR.I 351.2 R2-93
c 2829
10/11/22
KES 350.1 R2-93
c 37420
10/11/22
BMD 365.4-74
c 7.00
10/11/22
KES 353.2 112-93
11639
10/18/22
KES
6.4
10/17/22
MTM EPA200.7
Drinking Water ID; 37715
Wastewater ID; 10
"I-IUNE [phone]
FAX [phone]
ID#i : 414
DATE COLLECTED: 10/05/22
DATE REPORTED : 10/25/22
REVIEWED BY:
C Uneertified data. DWR does not offer non -aqueous certification for this analytical procedure.

Environment i, Inc. CHAIN OF CUSTODY RECORD
RO. Box 7085. 114 Oakmont I)r- Pa�c _ I r}t
Greenville. NC: 278-58
environnteni I illexoIn
DISINFECTION
CHLORINE NEUTRALIZED ATCOLLFCTION
Phone [phone] • Fax [phone]
CHLORINE
CLIENT: 414 Week: 46
rX.pH
CHECK (LAB)
LI V
p
p
p
p
p
p
p
CONTAINER TYPE. PfG
:ITY OF HAVELOCK(SLUDGE)
NONF
)EVIN ADAMS
VASTEWATER TREATMENT PLANT
CHEMICAL PRESERVATION
,04 N. JACKSON DRIVE
A
AlA
A
A
AlA
a
IAVELOCK NC 28532
s, A NONE D I iAOH
252) 671�373
zLU
cccr
z
C B HNO E HCL
Q
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C
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"
M
o CC
0
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Q
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2
G- NATHIOSULFATE
a
SAMPLE LOCATION
DATE
TIME
Slud a Sample.
.�,5
i f.�
s
>..<''•
`- '
_
...
IN
CLASSIFICATION:
WASTEWATER (NPDESj
DRINK#NG WATER
f DWRIrW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVURY
0 N
SAMPLES COLLECTED BY:
(Please Print) ��^^
SAMPLES RECEIVED IN LAB AT
RELINQUISHED BY (SIG.) (BIER)
j �
REC IVE (� �
1101,7TETFIVE,5
COMMENTS:
f�,��A� .��
RELINQUISHED BY (SIG.)
DATE! RME
R EIVED BY (SIG.)
DATEITIME
RELINQUISHED BY (SIG.1
DATEIPME
RECEIVED BY (SIG)
DATETIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for FORM sb Grab sample in the blocks above for each parameter requested. NP 410556

CITY OF HAVELOCK
WQ0000702
City of Havelock WWTP
10/05/22
110,000
5.0414
10/05/22
40,000
4.6021
10/05/22
43,000
4.6335
10/05/22
32,000
4.5051
10/05/22
81,000
4.9085
10/05/22
120,000
5,0792
10/05/22
68,000
4.8325
Total 1 33.6022
Average L 4.8003
Geometric Mean 1[ Al 114-12, i 11 Fecal Coliform. MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen Reduction
requirement.

Frank @HH(Pid % hwpo @TMO
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
DEVIN ADAMS
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
Drinking Water ID; 37715
wastewater ID; 10
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 10/05/22
DATE REPORTED : 10/17/22
REVIEWED BY: / J
Sample
Sample
Sample
Sample
Sample
Analysis
Method
PARAMETERS #1
#2
#3
#4
#5
Date Analyst
Code
Total Residue, mgll 32767
32433
30500
34033
29633
10/06/22 BNC
2540B-15
Fecal Coliform (141PN), /gram Solids 110000
40000
43000
32000
81000
10/05/22 BLV
9221E-14

rMiAmpold % hCupw mUd
114 OAKMONT DERIVE
GREENVILLE, N,C. 27858
CITY OF HAVELOCK(SLUDGE)
DEVIN ADAMS
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
prinking water ID: 37715
wastewater in: 10
PHONE [phone]
FAX [phone]
ID# : 41.4 B
DATE COLLECTED: 10/05/22
DATE REPORTED : 10/17/22
REVIEWED BY
Sample
Sample
Analysis
Method
PARAMETERS #6
#7
Date Analyst
Code
Total Residue, mg/1 28533
35200
10/06/22 BNC
2540B-15
Fecal Coliform (MPN), /grain Solids 120000
68000
10/05/22 BLV
9221E-14

Environnxent 1, 11)c. CHAIN OF CUSTODY RECORD
P.O. I3ox 7085. 11L Oaknioot Di'.
C:rf•t n� il[r_ Nc' 27a519
erl-ivoi)n)ci)t I hic.com
DISINFECTION
CHLORINE NEUTRALIZEDATCCLLECTION
Phone (252) 7Sb-GZ()8 • Fax (252) 75(�-ilfi33
Ij C'FILORINI:
CLIENT: 414 8 Week: 46
pH CHECK (LAB)
L Lr��
P
p
CONTAINER TYPE, P/G
,,,ITY OF HAVELOCK(SLUDGE)
Ij NONF
)EVIN ADAMS
VASTEWA.TERTREATMENT PLANT
CHEMICAL PRESERVATION
,04 N. JACKSON DRIVE
-d' Z07
LWELOCK NC 28532
A - NONE D - HACH
252) 671-6373
�=
z L
Fr
tj o
cc
d
cn
B -HNO; E -HCL
0 0
z
w
cc
w C- H,50, F - ZINC ACETATE/NACH
COLLECTION
¢
a
w
a o
o
u
a G NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Sample #1
jt]1512z
1 I po
Z 7.7
2
vk<.:a
1
CLASSIFICATION:
WASTEVYATER (NPDES)
DRINKING WATEn
Sample #2
10 5)1-1.
11: D3
ZZ,1
21
1
1
1
3
oJ5 ay
11:Q6
Z1.6
2
n�
Sample #4
a! /22
DWR/GW
g>':€
Sam le #5
5
p y�
1Z
�Z•d
2
l
SOLID WASTE SECTION
Sample #6
)O/S/y'E-
: 15
2
' `
Sample #7
I�/SfZti
Z1 •%
2
CHAIN CF CUSTODY SEAL MAINTA1111
t }
DURING SHIPMENT/DELIVERY
0 N
SAMPLES COLLECTED BY:
(Please
)) Pdnl)
[9 i IP.VI f? GY'" Z—
SAMPLES RECEIVED INlABAT J Jr` C
RELINOl "SHED ED BY (SIG.) ('AMPLER)
DATEITIME
RECEIVED BY (SIG.)
i �� TEmME
CCMMENTS:
f (
/ 2-50
RELINQUISHED BY (SIG.)
DATE/TIME
REG I ED BY (SIG.)
DATErFME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
PLEASF READ Instructions for completing this form on the reverse side. Sampler must place a `C for composite sample or a "G" for FORM !is Grab sample in the blocks above for each parameter requested. N--o
4'10555

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number:
WWTP Name: Havelock W WTP NPDES Number:
WQ0000455
NCO021253
Monitoring Period: From 10/I/2022 TO MziL1 =
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative Derformed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑
Alt. C (Prior "Testing) ❑
AIt.D (No Prior Test) I
Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate"Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑ Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alt. (1) Fecal Density Q
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑
Anaerobic Digestion ❑
-.
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in
in Sludge
Pathogen Density
um er o
Excee-
p P�
Frequency
of Analysis
Y
Sample
Type
na y rca
Tech -
Minimum
Geo. Mean
Maximu
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
32,000
63,142
120,000
MPN/g
0
Quarterly
Grab
SM92210E
CFU
1000 mpn per gram
oftotal solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) -Please indicate alternative performed:
Alt.] (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
JAIt. 4 (Spec. O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
JAIL 8 (Drying - Unstable) ❑ 1
Alt. 9 (Injection) El
Alt. 10 (Incorporation)
INo vector attraction reduction alternatives were perfonned ❑
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
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."
_ Devin AdSiQ ORC Wesley Wooten, President
Pr Ifarer'Name nd'Title(type or print) Land Applier Name and Title (if applicabie)(type or print)
I/24/23 10/26/22
Signature of Preparer* Date Signature of Land pplier (if applicable) Date
*Preparer is defined in 40 CFR Part 503,9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

Ee
The results set t{lrth herein are provided by SGS North America Inc. e-HCdi*opy 2.0
Adtfp111ated Rej)a Y
Teclrilcal Reok
Environment 1, Inc
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
414
SGS Job Number: FA92764
Sampling Date: 01/27/22
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
abrown@environmentI inc. coal
ATTN: Ann Brown
Total number of pages in report: 14
Test results contained within this data package meet the requirements Norm Farmer
of the National Environmental Laboratory Accreditation Program Technical Director
and/or state specific certification programs as applicable
Client Service contact: Jean Dent -Smith 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), 14C(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AL, AK, AR, CT, IA, KY, MA, ML MS, ND. NH, NV, OK, OR, II., UT, VT, WA, WI, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SOS North America Inc. - 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] - fax: [phone]
S13S 's die sole. authority for authorizing edits or modifications to this document. Picrose share your ideas about � 1 of 14
Unauthorized modiiicatinn of this report is strictly prohihi(rd, hose we can serve you better at:
Rc1fuw Standard (ernes at: hitl7:i'tvwu.S 9.L'OnL`CniICTC17SYlnil-CUndillJnS Gl35.U$.Culton�Crt:Afc(cgE�d9,com �� FA92764

' Sections:
Table of Contents
Section1: Sample Summary.......................................................................1........................... 3
Section 2: Summary of Hits.................................................................................................... 4
Section3: Sample Results........................................................................................................ 5
3,1: FA92764-1: SLUDGE ,SAMPLE.................................................................................. 6
3.2: FA92764-IL: SLUDGE SAMPLE................................................................................ 7
Section4: Misc. Forms ............................................................................................................ 12
4.1: Chain of Custody........................................................................................................... 13
2 of '14
.. .
FA927fi4

E�
SGS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA92764
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Project No: 414
Sample
Collectedi',:: , ..:' ..: ;.::.,:
Matrix
Client
Number
Date Time By
Received Code Type
Sample ID
''Phis, report coons results �epbr#ed es ND �-y-No�det�t�d_T_}ie foIIo_w_ mg,s���es
Organics ND = Not detected above the MDL
FA927644..
01/27/22
12:17 SV
01/29/22
SO
Sludge
SLUDGE SAMPLE::::-
1~A92764=1L-
01/27/22
12:17 SV
01/29/22
SO
Sludge
SLUDG]✓ SAMPLE .:c.: <:::.` . °....`:.:.....
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
r_ 3 of 14
FA9276d

Summary of Hits
Job Number:
FA92764
Account:
Environment 1, Inc
Project:
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Collected:
01/27/22
Lab Sample ID Client Sample ID Result/
Analyte Qua] RL MDL Units Method
FA92764-1 SLUDGE SAMPLE
Corrosivity as pH :7-,5-
Ignitability (Flashpoint)
FA92764-1L SLUDGE SAMPLE
Mercury 0,010
(a) Not ignitable.
Page I of 1 N
su SW846 CHAP?
Deg. F SW846 1020C MOD
Mg/l SW846 7470A
4 of 14
FA92764

C?9a4�do,
S'am `le Results'`::
Report of Analysis
Section 3
$oP1a
h FA62764

5GS North America Inc,
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA92764-1 Date Sampled: 01/27/22
Matrix: SO - Sludge Date Received: 01/29/22
Percent Solids: 4.3
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
General Chemistry
Analyte
Corrosivity as pH
Cyanide Reactivity
Ignitability (Flashpoint) a
Solids, Percent
Sulfide Reactivity
(a) Not ignitable.
RL = Reporting Limit
Result
RL Units
DF
7.5.;
su
1
:<35:
35 mg/kg
I
Deg. F
i
4 3 :
%
1
<I20
120 mg/kg
1
Page 1 of I P
Analyzed By Method
02/01/2210:43 3B
SW846CHAP7
02/02/22 14:13 AC
SW846 CHAP?
02/01/22 11:30 PA
SW846 IG20C MOD
02/01/2217:18 RA
sM1925400
02/01/22 17:30 rc
SW846 CHAP7
M
6oP14
FA92764

SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA92764-11, Date Sampled: 01/27/22
Matrix: SO - Sludge Date Received: 01/29/22
Method: SW846 8260D SW846 1311 Percent Solids: 4.3
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Pile ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 173991.D 10 02/02/22 20:03 CIF 02/01/22 10:00 OP89496 V12467
Run #2
Purge Volume
Run #1 5.0 ml
Run #2
VOA TCLP List
CAS No.
Compound
71-43-2
Benzene
78-93-3
2-Butanone (ME.K)
56-23-5
Carbon, Tetrachloride
108-90-7
Chlorobenzene
67-66-3
Chloroform
106-46-7
1,4-Dichlorobenzene
107-06-2
1,2-Dichloroethane
75-35-4
I,[-Dichloroethylene
127-18-4
Tetrachloro ethylene
79-01-6
Trichloroethylene
75-01-4
Vinyl Chloride
CAS No.
Surrogate Recoveries
1868-53-7
Dibromofluoromethane
17060-07-0
1,2-Dichloroethane-D4
2037-26-5
Toluene-D8
460-00-4
4-Bromofluorobenzene
Result HW# MCL RL
D018 0.50 0.010
ND;;:::::;:; ;
` ; D035
200 0.050
DO 19
0.50 0.010
D021
100 0.010
D022
6.0 0.010
D027
7.5 0.010
:ND.;. ,,':.'`
'.:: D028
0.50 0.010
ND
D029
0.70 0.010
D039
0.70 0A10
D040
0.50 0.010
D043
0.20 0.010
Run# 1
Run# 2
Limits
83-118%
79-125%
85-112%
93-118 %
TCLP Leachate method SW846 1311
MDL
Units Q
0.0031
mg/l
0.020
mg/l
0.0036
mg/l
0.0020
mg/1
0.0030
mg/l
0.0026
mg/1
0.0031
mg/1
0.0032
mg/l
0.0022
mg/1
0.0035
mg/l
0.0041
mg/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
7of14
PAD2764

SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA92764-IL Date Sampled: 01/27/22
Matrix: SO - Sludge Date Received: 01/29/22
Method: SW846 8270E SW846 3510C Percent Solids: 4.3
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
File 1D DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 6FI3043A.D 1 02/02/22 20:03 WH 02/02/22 12:00 OP89544 S6F485
Run #2
Initial Volume Final Volume
.un #I 100 ml 1,0 ml
.un #2
ABN TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
95-48-7
2-Methyiphenol
ND;` <: ;;':
:. D023
200
0.050
0,0056
mg/l
3&4-Methylphenol
D024
200
0.050
0.0098
mg/1
87-86-5
Pentachlorophenol
ND;:;::,::.;
. . D037
100
0.25
0.050
mg11
95-95-4
2,4,5-Trichlorophenol
ND. `.:•; :;
:' D041
400
0.050
0.0074
mg/l
88-06-2
2,4,6-Trichlorophenol
ND:'...°: :,
:.: D042
2.0
0.050
0.0075
mg/1
106-46-7
1,4-Dichfarobenzene
ND:;
D027
7.5
0.050
0.0050
mg/l
12I-14-2
2,4-Dinitrotoluene
ND: ' . `:;_;
:; D030
0.13 0,050
0.0081
mg/l
118-74-1
Hexachlorobenzene
ND; ,:; :';::
,:: D032
0,13 0.050
0.0069
mg/I
87-68-3
Hexachlorobutadiene
ND'5:..: ;.':`:
D033
0.50 0.050
0.0050
mg/l
67-72-1
Hexachioroethane
ND:'-":::','::;
D034
3.0
0.050
0.016
mg/l
98-95-3
Nitrobenzene
:ND .:°::.
:: ; D036
2.0
0.050
0.0093
mg/l
110-86-1
Pyridine
ND-`.: '.;::::.
D038
5.0
0.10
0.020
mg/l
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
367-12-4
2-Fluorophenol
26%.:::: ,
14-67%
4165-62-2
Phenol-d5
21%:' .:
•
10-50%
118-79-6
2,4,6-Tribromophenol
58°/4:`:':' :
33-118%
4165-60-0
Nitrobenzene-d5
55%; l `'..'r
42-108%
321-60-8
2-Fluarabiphenyl
56%:: ;.:`:,
40-106°1°
1718-51-0
Terphenyl-d14
b5%; ;:::.:
39-121%
ND = Not detected MDL = Method Detection Limit ) = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/l/l1) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
8of14
FA92764

SGS North America Inc.
Report of Analysis Page I of I
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA92764-IL Date Sampled: 01/27/22
Matrix: SO - Sludge Date Received: 01/29/22
Method: SW846 8151A SW846 3510C Percent Solids: 4.3
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CC079713.D 1 02/03/22 20:33 AF 02/02/22 11:00 OP89546 GCC2006
Run #2
Initial Volume Final Volume
Run # 1 10.0 ml 5.0 ml
Run #2
Herbicide TCLP List
CAS No.
Compound
94-75-7
2,4-D
93-72-1
2,4,5-TP (Silvex)
CAS No.
Surrogate Recoveries
19719-28-9
2,4-DCAA
Result
HW#
MCL RL
ND :.
; :,': D016
10 0.050
ND°:`: ` :.::::
D017
1.0 0.0050
Run# 1
Run# 2
Limits
52%'.:: ,
39-135%
TCLP Leachate method SW846 1311
MOL Units Q
0.017 mg/l
0.0013 mg/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR261 7/1/11) H = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
9of14
FA92764

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA92764-IL Date Sampled: 01/27/22
Matrix: SO - Sludge Date Received: 01/29/22
Method: SW846 8081B SW846 3510C Percent Solids: 4.3
Project: City of Havelock WWTP; 304 N Jackson Dr; Havelock, NC
Page 1 of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 ST159484.11 1 02/03/22 0I:13 WH 02/02/22 09:40 OP89545 GST3876
Run #2
Initial Volume Final Volume
.un #1 100 ml 5.0 ml
un #2
Pesticide TCLP List
CAS No. Compound
58-89-9
gamma-BHC (Lindane)
12789-03-6
Chlordane
72-20-8
Endrin
76-44-8
Heptachlor
1024-57-3
Heptachlor epoxide
72-43-5
Methoxychlor
8001-35-2
Toxaphene
CAS No.
Surrogate Recoveries
877-09-8
Tetrachloro-m-xylene
2051-24-3
Decachlorobiphenyi
TCLP Leachate method SW846 1311
Result
HW#
MCL
RL
MDL
Units Q
ND::;:;; ;;::,.
D013
0.40
0.00010
0.000022
mg/l
:ND: `.:':':..:...'::
D020
0.030
0.0010
0.00038
mg/l
D012
0.020
0.00020
0.000021
mg/l
D031
0.0080 0.00010
0.000026
mg/1
ND: ',:.°,,:.;
D031
0.00800.00010
0,000020
mg/l
ND: ,.. `:.' ' '
` . D014
10
0.00020
0.000050
mg/1
D015
0.50
0.0050
0.0021
mg/l
Run# 1 Run# 2 Limits
42-127%
84 27-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1111) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
' 1Uof14
FA9276A

SGS North America Inc.
Report of Analysis
;Trent Sample ID: SLUDGE SAMPLE
,a6 Sample ID: FA92764-IL Date Sampled: 01/27/22
Matrix: SO - Sludge Date Received: 01/29/22
Percent Solids: 4.3
'roject: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Page I of l
Metals Analysis, TCLP Leachate SW846 1311
Analyte Result HW# MCL RL Units DF Prep Analyzed By Method Prep Method
Arsenic
< O'rIO: ;.:; r
D004
5.0
0.10
mg/I
1
02/05/22
02/07/22
LM
SW846 6010D 2 SW846 301aA 4
Barium
? 2.0 _:: ;: `.
D005
100
2.0
mg/I
1
02/05/22
02/07/22
LM
SW846 601OD 2 SW846 3010A 4
Cadmium
O';050<`.:=;.
D006
1.0
0.050
mg/I
1
02/05/22
02/07/22
LM
SW646 6010D 2 SW846 3010A 4
Chromium
�.p.e TO::;:.::.:
D007
5.0
0.10
mg/I
1
02/05/22
02/07/22
LM
SW846 601OD 2 SW846 3010A 4
Lead
°'< "50°° :
D008
5.0
0.050
mgll
1
02/05/22
02/07/22
LM
SW846 6010D SW846 3010A 4
Mercury
f1�:057':: ; `:"
D009
0.20
0.010
mg/I
2
02/02/22
02/02/22
Ic
SW846 7470A 1 SW846 7470A 3
Selenium
10
DOW
1.0
0.10
mg/l
1
02/05/22
02/07/22
LM
SW846 6010D 2 SW846 3010A 4
Silver
<01'0°-`'::°.DOII
5.0
0.10
mg/i
1
02/05/22
02/07/22
LM
SW8466010D2 SW946301oA4
(1) Instrument QC Batch: MA18433
(2) Instrument QC Batch: MA18447
(3) Prep QC Batch: MP40252
(4) Prep QC Batch: MP40266
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1111)
11 of 14
-- _
FA82764

Orlando,:FL
Custody Documents and Other Forms
Includes the Following where applicable:
• Chain of Custody
Section 4
1�
12 of 14
FAB2764

CnvirmimariL I, Inc.
Y.A. Bax 7085. 114 Oakmont 13r.
I—— ... :11. mr, 1.10 SG
CIiAIN OF CUSTODY RECORD FA$j
7 05 Page o€ 1
Cn YEl'artmCllr I II1C.00m
Phone [phone] - Fax [phone]
DISIN+EC'TION
CHLORINE NEIITiIAUZEDATCOLLEGiION
CREDITING
pH CHECII(l.AF))
CLIENT; 04 Week: B
U V
P
P
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COMAONF.nTYPE, PKI
ITYOFHAVELOCK(SLUDGE)
NONV
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A.
A
A
A
A
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CHEMICAL PRESERVATION
rASTL6VATLR'UREATNMNT PL A.NX
14 N. JACKSON DIUVL
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AVELOCIC NC 28532
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DATE
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CLASSIFICATION;
wASFEWhTkR(NPOEs)
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SWOWASTESECTION
CHAMI OF CUSTODY (SEAL) MAINTAINED
(LURING HIPMENTIDELEVERY
Y {�
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SAMPLES COU-EQTEpBY.
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DATEMME
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PLEASE READ Instructions far completing This form on the reverse side. Sampler muss place a'C" Tor composita sample ar a V for �s �QQ� $
-� Grdh 9amnla in Ihn hrnrkc ahmC.h rp Im annammplm rpni—Iod
FA92754: Chain of Custody
Page l of 2
13 of 14
FA62764

SGS Sample Receipt Summary
Job Number: FA92764
Client: ENVIRONMENT 1, INC. Project: CITY OF HAVELOCK(SLUDGE)
Date! Time Received: 1l2812022 10:00:00 AM Delivery Method: FX
Alrblll #'s: 523025084218
Therm ID: IR 1;
Therm CF: 0.4;
# of Coolers: 1
Cooler Temps (Raw Measured)
°C: Cooler 1: (3A);
Cooler Temps (Corrected)'C.
Cooler 1: (3.13);
Cooler Information
Y or N _
Sample Information
Y or
IL
NIA
1. Custody Seals Present
0 ❑
1. Sample labels present on boUlas
®
❑
2. Custody Seals Intact
0 ll
2. Samples preserved properly
®
❑
3, Temp arileria achleved
® Cl
3. Sufliclentvolumelconiainers recvd for analysis:
lia
❑
4. Cooler temp verirw.alian
IR Gun
4. Condition of sample
IDlac!
5. Cooler media
Icaffia
5. Sample recvd within HT
®
❑
6. DatenflimesAps an COC match Sample Label
®
❑
N— N!A
7. VOCs have headapace
❑
❑
1. Trip Blank present! cooler
❑ ❑ 0
6. Battles received for unspeeilled tests
❑
2. Trip Blank listed on COC
❑ ❑ La
9. Compositing Inslruclians clear
❑
W ar 5 N1A
10. Voa Soll KilsMars received past 48hrs?
❑
Cl
EZ
11. % Solids Jar received?
❑
❑
3. Type Of TB Received
El 21
12_ Residual Chlorine Present?
Cl
❑
❑r
Misc. jnformation
Number of Encores: 25-Gram "ram Number of5035 Field MIS: Number of Lab Filtered Metals:
Test Strip Lotfts: pH0.3 230315 pH10-12 219813A Other. (Specify)
Ras}dual Chlorine Test Strip Lot i9:
Comments
Rev. D. Q5RUf7 Technlcian: NATHANS Dale; V291202210:00:00 A Reviewer. Date:
Rev.
FA92764: Chain of Custody
Page 2 of 2
14 of 14
—343
FA92764

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: February 14, 2022
House of Raeford Permit No. WQ0000455
Wallace Plant 2.33 %Solids
6.79 pH
Parameter
%
Mg/Kg DryWeight
(% x 10,000)
Pounds/DryToil
(Mg/Kg(Mg/Kg x 0.002)
Nitrogen (TKN)
8.690
86,900.000
173.800
Phosphorus
2.020
20,200.000
40,400
Potassium
0.545
5,450.000
10.900
PAN (infected)*
3.911
39,114.780
78.230
PAN (surface)*
3.549
35.489.780
70.980
Ammonia Nitrogen
0.725
7,250.000
14.500
Calcium
I.350
13,500.000
27.000
Calcium Carbonate E .
---
--
Magnesium
- -
2,680.000
5.360
Sodium
---
5,490.000
10.980
Sulfur
...
...
Nitrate N / Nitrite N
---
4.730
1 0.010
Barium
Chloride
_--
---
___
---
---
---
SAR
1.72
Iron
---
---
---
Ceiling Concen.
(Mg/Kg)
Aluminum
---
19,800.00
39.600
Arsenic
---
21.10
0.042
75
Cadmium
Chromium
---
---
21.10
21.100
0.042
---
85
--
Copper
Lead
Mercury
Molybdenum
Nickel
---
---
---
---
---
236.00
21.10
0.773
21.10
21,10
0,472
0.042
0.002
0.042
0.042
4,300
840
57
75
420
Selenium
--
21.10
0.042
100
Zinc
---
270.00
0,540
7,500
Environmental Chemists 9 2022-02705
'Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note. Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

LEWIS FARMS
WQ0000455
House of Raeford - Wallace Plant
3f s'€OtCOlfS:tllS5a~
02/14/22
183,885
5.2645
02/14/22
213,439
5.3293
02/14/22
254,717
5.4061
02/14/22
106,195
5.0261
02/14/22
139,443
5.1444
02/14/22
145,834
5.1639
02/14/22 1
761,905
5.8819
Total 1 37.2161
Average 1 5.3166
Geometric Mean =G I Fecal Coliform MPN /gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen for Redaction
requirement.

J- I� a oPPL `r(. LO 1.6&,e4:s
IL RE, SIDUALS QUALITY INFORMATION:
1. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under RCRA: (Note -
this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat 100% non -municipal, domestic
wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ' no.
If yes, list the nu nber(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes N no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as well as those for
corrosiviry, ignitability, and reactivity:
Laboratory: and Date of analysis: 2"114-XZ �t q
Passed corrosiviry tes(: )O yes ❑ no. pH: s.u. (2 ¢ pH < 12.5) `� 1
Passed ignitability test:)g yes ❑ no. Flashpoin17f °F (I 140°F)
Passed reactivity test: 19 yes ❑no. HCN: mglkg (a250) & H2S:&'L mg/kg (<500)
TCLP Parameter
Limit
Result
TCLP Parameter
Limit
Result
(Mg/1)
(tug/1)
(n:g/1)
(ng/1)
Arsenic
5.0
Z )' 0
Hexachlorobenzene
0.13
,�O.050
Barium
100.0
L J. p
Hexachloro-1,3-Butadiene
0.5
[ Q, Os a
Benzene
0.5
�tO.�
Hexachloroethane
3.0
070O
Cadmium
1.0
4. �,�
Lead
5.0
Carbon Tetrachloride
0.5
4D.0
Lindane
0.4
[ ID. ooa!5
Chlordane
0.03
4
Mercury
0.2
<
Chlorobenzene
100.0
40.01
Methoxychlor
10.0
Co,d[XDS
Chloroform
6.0
CQ, p1
Methyl Ethyl Ketone
200.0
Z n,p5
Chromium
5.0
C J,C)
Nitrobenzene
2.0
0 050
m-Cresol
200.0
D.,p :14
Pentachiorophenol
100.0
C 0 D_ so
o-Cresol
200.0
Lt).OSp
Pyridine
5.0
<0,0.50
p-Cresol
200.0
QUO
Selenium
1.0
Cresol
200.0
�,(]
Silver
5.0
2,4-D
10.0
<a ob-i
Tetrachloroethylene
0.7
L D, O
114-Dichlorobenzene
7.5
L'a,O'!;a
Toxaphene
0.5
40.o5
1,2-Dichloroethane
0.5
�O.D�
Trichloroethylene
0.5
-4
1, 1 -Dichloroethylene
0.7
40.1)1
2,4,5-Trichlorophenol
400.0
10.050
2,4-Dinitrotoluene
0.13
LQ,DS,D
2,4,6-Trichlorophenol
2.0
-'acso
Endrin
0.02
< 0.1)00
2,4,5-TP (Silvex)
1.0
Heptachlor and its Hydroxide
0,008
t7,ODp�
Vinyl Chloride
0.2
1

ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
7I0 Bowsertowrt Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info raenvironmentalchemists.com
House of Raeford -Wallace Facility
Elate of Report: Mar 10, 2022
Post Office box 40
Customer PO 4:
Rose Hill NC 28458
Customer ID: 13030026
Attention: Chris Murray
Report #: 2022-02705
Project ID: Annual Sludge
Lab lD Sample ID:
Collect Date/Time Matrix Sampled by
22-06377 Site: Sludge
2/14/2022
9:50 AM Solid/Sludge jay batter/envirochem
Test
Method
Results
Date Analyzed
Chlordane (TCLP)
SW-8468081 B
<0.02mg/L
02/21/2022
Endrin (TCLP)
$W-846 B081 B
<0.0005 mg1L
02/21/2022
Heptachlor (TCLP)
SW-846 8081 B
<0,0005 mg1L
02/21/2022
Heptachlor epoxide (TCLP)
SW-846 8081 B
<0.0005 mg/L
02/21/2022
Lindane (TCLP)
SW-8468081 B
<0.0005mg/L
02/2112022
Methoxychlor (TCLP)
SW-646 8081 B
<0.0005 mg/L
02/2112022
Toxaphene (TCLP)
SW-8468081 B
<0.05mg/L
02/21/2022
2,4,5-TP (TCLP)
SW846 8151 A
<0.003 mg1L
02/21/2022
2, 4-D (TCLP)
SW-846 8151 A
<0-003 mg/L
02/21/2022
1,4-Dichlorobenzene (TCLP)
SW-6468270E
<0.050mg/L
02/24/2022
2,4,5-Trichlorophenol (TCLP)
SW-846 8270 E
<0.050 mg/L
02/2412022
2,4,6-Trichlorophenol (TCLP)
SW-048 8270 E
<0,050 mg/L
02/24/2022
2,4-Dinitrotoluene (TCLP)
SW-846 8270 E
<0.050 mg/L
0212412022
Cresol (TCLP)
SW-846 8270 E
0.077 mg/L
02/2412022
Hexachloro-1,3-butadiene (TCLP)
SW-846 8270 E
<0.050 mg/L
02/24/2022
Hexachlorobenzene (TCLP)
SW-8468270E
<0,050mg/L
02/24/2022
Hexachloroethane (TCLP)
SW-846 8270 E
<0,050 mg1L
02/2412022
m + p-Cresol (TCLP)
SW-B468270 E
0.077 mg1L
02/24/2022
Nitrobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
02/24/2022
o-Cresol (TCLP)
6W-846 8270 E
<0.050 mg1L
02/24/2022
Pentachlorophenol (TCLP)
Sw-846 0270 E
<0.250 mg/L
02/24/2022
Pyridine (TCLP)
sW-8468270 E
<0,050mg/L
02/24/2022
1,1-Dichloroethylene(TCLP)
SW-846 Method82600
<0.01mg/L
02/22/2022
1,2-Dichlaroethane (TCLP)
SW-846 Method9260D
<0,01 mg/L
02/22/2022
Benzene (TCLP)
SW-846 Method 62600
<0.01 mg1L
02/22/2022
Carbon Tetrachloride (TCLP)
SW-846 Method 8260D
<0.01 mg/L
02/22/2022
Report #.; 2022-02705
Page 1 of

ANALYTICAL & CONSULTING CHEMISTS
1171
sully ,ronmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 4 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infofu;environmentalctiemists.com
House of Raeford -Wallace Facility
Date of Report: Mar 10, 2022
Post Office box 40
Customer PO #:
Rose Kill NC
28458
Customer ID: 13030026
Attention, Chris Murray
Report #: 2022-02705
Project ID: Annual Sludge
Chlorobenzene (TCLP)
SW-846 Method NOD
<0,01 mglL
02/22/2022
Chloroform (TCLP)
SW-a46 Method 8260D
<0.01 mglL
02/2212022
Methyl ethyl ketone (TCLP)
SW-846 Method 0260D
<0.05 mg/L
02/22/2022
Tetrachloroethylene (TCLP)
SW-846 Meftwd 8260D
<0.01 mglL
02/22/2022
Trichloroethylene (TCLP)
SW-846 Method 8250D
<0.01 mg/L
02/2212022
Vinyl Chloride (TCLP)
SW-846 Method 8260D
<0.01 mglL
02/22/2022
RCI
Cyanide
SM 4500 cN D-2016
2.15 mg/kg
02/1512022
Sulfide
SM 4500 s D
6.20 mglkg
02/15/2022
Ignitability
SW 846 method 1010
?158 °F
02/1812022
pH SW 846 Method 90450
Result estimated. Analyzed out of 15 minutes hold time.
6.79 units
02/1612Q22
Sludge Residuals
Aluminum
EPA 200.7, Rev. 4.4. 1994
19800 mglkg
02/1512022
Arsenic
EPA 200.7. Rev, 4.4, 1924
<21.1 mglkg
02/15/2022
Cadmium
EPA 200.7, Rev. 4A, 1994
<21.1 mglkg
0211512022
Calcium
EPA 200.7, Rev. 4 4.1994
13500 mg/kg
02/15/2022
Chromium
EPA 200.7, Rev. 44, 1994
<21.1 mglkg
02/15/2022
Copper
EPA 200.7. Rov.4.4, 1994
236 mglkg
02115/2022
Lead
EPA 200.7, Rev. 4.4, 1994
<21.1 mglkg
02/15/2022
Magnesium
EPA 200.7, Rev 4 4, 1994
2680 mglkg
02/15/2022
Molybdenum
EPA 200.7, Rev. 4.4, 1994
<21 1 mglkg
02/15/2022
Nickel
EPA 2007, Rev. 44. 1994
<21 1 Inglkg
02115/2022
Potassium
EPA 200, 7. Rev, 4.4. 1994
5450 mglkg
02/15/2022
Selenium
EPA 200,7, Rev_ 4.4, 1994
<21.1 mglkg
02/15/2022
Sodium
EPA 200.7, Rev_ 4.4, 1994
5490 mglkg
02/1512022
Zinc
EPA 200.7, Rev, 4.4. 1991
270 mg/kg
02/15/2022
Nitrate+Nitrite-Nitrogen
EPA 353.2
4.78 mglkg
02/15/2022
Total Solids (%)
SM2540 B
2,33 %
02/14/2022
Ammonia Nitrogen
SM4500NH3C-2011
7250mg/kg
0211512022
Report A: 2022-02705
Page 2 of 4

ANALYTICAL & CONSULTING CHEMISTS
Envi ranmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab ■ 910.392.4-424 Fax
710 6owsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
environmentalellemists.com
House of Raeford -Wallace Facility
Date of Report. Mar 10, 2022
Post Office box 40
Customer PO #:
Rose Hill NC
28458
Customer ID: 13030026
Attention: Chris Murray
Report #: 2022-02705
Project ID: Annual Sludge
Total Kjeldahi Nitrogen (TKN )
SM 4500 NOM 8-2011
86900 mg/kg 02/1512022
Total Phosphorus
SM 4500 P (F-HI-2o11
20200mg/kg 02/22/2022
Mercury
SW-M 7471 B
<0,773 mg/kg 02/18/2022
TCLP Metals
Arsenic
EPA 200.7, Rev. 4.4. 1994
<1.0 mg/L 02/21/2022
Barium
EPA 200.7, Rev. 4.4.1994
<1-0mg/L 02/21/2022
Cadmium
EPA200,7, Rev. 4.4, 1994
<1.0 mg/L 02/21/2022
Chromium
EPA 200-7, Rev. 4.4. 1994
<1.0 mg/L 02/21/2022
Lead
EPA 200.7, Rev. 4.4, 1994
<1.0 mg/L 02/21/2022
Selenium
EPA 200.7, Rev. 4.4, 1994
<1.0 mg1L 02/2112022
Silver
EPA 200.7. Rev. 4.4,1994
<1.0 mg/L 02/22/2022
Mercury
EPA 245.1
<0.0002 mg/L 02124/2022
Lab ID Sample ID:
Collect DatelTime
Matrix Sampled by
22-06378 Site: 1
2/14/2022 9:52 AM
Solid/Sludge jay baker/envirochem
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
2.42 % 02/14/2022
Fecal Density
SM 9221C E-2014
183885 MPN/g 02/14/2022
Lab ID Sample ID:
Collect Daterrime
Matrix Sampled by
22-06379 Site: 2
2/1412022 9:52 AM
Solid/Sludge jay bakerlenvirochem
Test
Method
Results Date Analyzed
Total Solids (%)
SM25409
2.53% 0211412022
Fecal Density
SM 9221C E-2014
213439 MPN/g 02/14/2022
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
22-06380 Site: 3
2/14/2022 9.52 AM
Solid/Sludge jay bakerlenvirochem
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 s
2.12 % 02/14/2022
Fecal Density
SM 9221C E-2014
254717 MPNIg 02114/2022
Reparl 4:. 2022-02705
Page 3 of 4

ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 0 252,473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info rr environmentalchernists.com
House of Raeford -Wallace Facility Date of Report: Mar 10, 2022
Post Office box 40 Customer PO #:
Rose Hill NC 28458 Customer ID: 13030026
Attention: Chris Murray Report #: 2022-02705
Project ID: Annual Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-06381 Site: 4 2/14/2022 9:53 AM SolidlSludge jay baker/envirochem
Test Method Results Date Analyzed
Total Solids (%) SM25408
Fecal Density SM 9221C E-2014
Lab ID Sample ID: Collect DatelTime
22-06382 Site: 5 2/14/2022 9:53 AM
Test Method
Total Solids (%) SM 2540 B
Fecal Density SM 2221C E-2014
Lab ID Sample ID: Collect DatelTime
22-06383 Site: 6 2/14/2022 9:53 AM
Test Method
Total Solids (%) 5M2540 B
Fecal Density SM 9221C E-2014
Lab ID Sample ID: Collect DatelTime
22-06384 Site: 7 2/14/2022 9,54 AM
Test Method
Total Solids (%) SM25408
Fecal Density SM 9221C E-2014
Comment: Sludge residual reported on a dry weight basis.
Reviewed by:
2.26 % 02/14/2022
106195 MPN/g 02/14/2022
Matrix Sampled by
Solid/Sludge jay bakerlenvirochem
Results Date Analyzed
2.51 % 02/14/2022
139443 MPNIg 02/14/2022
Matrix Sampled by
Solid/Sludge jay baker/envirochem
Results Date Analyzed
2.40 % 02/14/2022
145834 MPNIg 02/14/2022
Matrix Sampled by
Solid/Sludge jay bakerlenvirochem
Results Date Analyzed
2.10 % 02/14/2022
761905 MPNIg 02/14/2022
Report 9 - 2022-027as
Page 4 of 4

Environmental Chemist, Inc" Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
Sample Receipt Checklist 910.392.0223
Client Date: `"'t1
Report Number:
Receipt of sample:
❑ YES ❑ NO
ECHEM Pickup 21li1 Client Delivery ❑ UPS ❑ FedEx El Other ❑
N/A
El YES ❑ NO
I. Were custody seals present an the cooler?
N/A
Original temperature upon
2. If custody seals were present, were they intact/unbroken?
receipt C
Haw temperature taken: ❑ Temperature Blank Corrected temperature upon recelpteC
IR Gun ID: Thomas Traceable S/N; 210835468 IR Gun Correction gFactor ainst R C: 0.0
❑ YES
❑ NO
YES El NO
3. If temperature of cooler exceeded 6°C was Project M r.
4. Were proper custody� � J; /� notified?
YES ❑ NO
procedures (relinquished/received) followed?
5. Were sample ID's listed on the COC?
YES ❑ NO
YES ❑ NO
6. Were samples fD's listed on sample containers?
YES ❑
7. Were collection date and time listed on the COC?
NO
YES ❑ NO
B. Were tests to be performed listed on the COC?
YES ❑ NO
9. Did samples arrive in proper containers for each test?
�F3 YES ❑ NO
10. Did samples arrive in good condition for earh test?
Ill. Was
YES ❑ NO
2dn e o
-.quat_ sample volume available?'
12. Were samples received within
❑ YES ❑ NO
proper holding time for requested tests?
13. Were acid preserved samples
❑ YES ❑ NO
received at a pH of <2?
14. Were cyanide samples received
❑ YES ❑ NO
❑ YES
at a pH >12?
1S. Were sulfide samples received at a pH >9?
❑ NO
❑ YES ❑ NO
15. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? *�
17. Were Sulfide/Cyanide
❑ YES ❑ NO
received at a chlorine residual Of <03 m/L?
18. Were orthophosphate samples filtered in the Field
Within 15 minutes?
* TOC/Volatiies are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria
samples are checked For Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation:
{Must be completed for any sample(s) incorrectly
Sample(s)
by adding (circle one):
preserved or with headspacej
were received incorrectly preserved and were adjusted accordingly
Hr50� HNO3
Time of preservation,
HCI NaOH
ne
re than osample4
s needed, notate in comments bePow
:Vote: Notify customerservice immediately for incorrectlypreserved
lw
Obtain la
notify the state lab if directed to analyzed
Volatffes Sample(s)
neve
sample or
by the customer. Who was notified, date and time:
were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

Analytical & Consulting Chemists
Client: House of Raeford Wallace
ADDRESS:
Samoled Sv- = cat c_ � ,
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
PROJECT
Sample Identification
Sludge
i
2
3
4
5
i
r'
Collection
Qatq
Time
Temp
q s•�
9 �L
9� L
i�
C
1.
6602 Windmill Way Wilmington, NC 213405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
NAME. Wallace Plant -sludge (annual) REPORT NO:
CONTACT NAME: CC " Ce.j: s -74zr , s PO NO:
REPORT TO: Chris Murray PHONE/FAX:
COPY TO: Brad Vann email:
SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO =
a m
a
u! ~
a
O O
u
C
cv
E;
0 4
to "
P
c
Z4
ot E
o W
aMm
-.1
b3�'
L 1: 'l
�'�'
6y� }
b
PRESERVATION
W
Zp
X
U
y
S
z
�!
0
x
G
C
G
P
G
C
G}
P
x
G
C
G
In
C
P
x
G
C
G
P
x
G
C
G
P
x
G
C
G
P
-7-
x
G
C
G
-T
P
G I
G
Received By:
LZ
SL = Sludge, Other:
ANALYSIS REQUESTED
Full TCLP, RCI,Nutrient/metals
fecal density!% TS
fecal density/% TS
fecal density/% TS
fecal density/% TS
fecal density/% TS
fecal density/% TS
fecal density/% TS
Temperature when Received: ccepted: R cted• Resample Requ sted:
Delivered By:. _ _ Received By.- Date: zt Time: /a �n
Comments
TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number: MLQ00m55
W%M. Name:_ Wallace ChickenTrocessina Plant NPMS- +iumher:. NEfXM3-"
Monitoring Period: From 1/1/2022 TO 12/3i12022
Pathogen Reduction 15A NCAC 02T .110t7 - Please indicate level achieved and alternative performed:
Class A:
Alt. A (timeltemv) ❑
1 Alt B (Alk Treatment) ❑ I Alt. C {Prior Testin p
Alt.D (No Prior Test) p
Process to Further Reduce Patho ❑
f —_-•'- -. _ _ . - . .fC4►ss.Aonly-).indicate'al?rocees.b-Fut#fuee)�luta-Qa#6eQeac":
Cotnt�ast ❑ Heat 1 i p Heat Treatment ❑ Thermoahilic p
Beta Ray ❑
Gantlna ltav ❑
Pasteurization ❑
Class B:
JAR. 1) Fecal Density Q
Alt. 2 Process to7i"Anificaittty Reduce Pathogens ❑
H applicable to alternative . _. ormed Class B only) indicate "Process to Sigaificantly Reduce Pathogens";
Lime Stabilization ❑- Air Drying_ [a romitaattag. El Atxub= Dige,9m. ❑
Anaerobic Di _
s[estion ❑
If ao ikable to alternative performed (Class A' or Class B) complete the
following. monitoring data:
Parameter
Allowable Level
Pathogen Density
Numtler ok
Frequency
Sample
naaytl
in Sludge
Minimun
Geo. Mean
aximutr
Units
of Analysis
'1
2 % 10 t0 fire MPN
1 AF IQ0;
'3A7 �0A
'r�41- GA4
1M{ MIa
p•
$th Flower
- - - • _
�
per of
[CFWtJ
Fecal Coliform
total solids
10GO mpn per gram
of total solid (dry
wet t)
aaitac miia 0g4 CT11l
3 i rim pera grams
(in lieu of fecal
total solid (dry
colifarm)
Wei At
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative perforated:
IAlt.l (VS reduction) ❑ ]Alt. 2 (44-day bench) ❑ JAIL 3 (30-day bench) ❑ JA1t 4 (Spec. 0., uptake) Q]
[Alt 5 (14-Day Aerobic) ❑. JAlt. f (Alk. Stabilization. []. JAl0 (Drying- Stable) [ 3 1AIL 8.(DM'n9--Un9table) ❑
AIL 9 TMn ection) p lAlt.10 (Incorporation) p INo vector attraction reduction alternatives were ncrformed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the Pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement In 15A NCAC 02T .1I07 have not been met " (Please note If
you check this statement attach an explanation why you have not met one or both of the
mquirements.)
"'Phis determination has been made under my direction and supervision in accordance with the system
designed to ensure that gnallfled personnel property gather and evaluate the information used to determine
_
dads aa�. jsrsanu6co U �ccivif aft■ P4tNtR 1 aout- iva i cquil rmvu%& unyrr nt=t 01Ct. .t am aware root there are
significant penalties for false certification including fine and Imprisonment."
Bradley Vann, ORC _ Wcs[SX Wooten, Presidemt
Preparer Name aAd Title (type or Tint) Land Applier Name and Title (if applicablextype or print)
2.17.23
Signature of Prep Date Signature of I�applicable) Date
*Preparer is defused in 40 CFR Part 503.9(r) and 15A NCAC 2T A 102 (26)
DENR FORM PVRF 02T (1212 W)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: April 11, 2022
Horse Creek Farms
1.12 % Solids
7.66 PH
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(MgLKg x 0.0021
Nitrogen (TKN)
7.430
74,300.000
148.600
Phosphorus
0.091
912.000
1.824
Potassium
0.451
4,510.000
9.020
PAN (injected)*
2.851
28,505.300
57.011
PAN surface)*
2,408
24,075.300
48.151
Ammonia Nitrogen
0.886
8,860.000
17.720
Calcium
3.090
30,900.000
61.800
Calcium Carbonate E .
---
---
---
Magnesium
---
2,000.000
4.000
Sodium
---
6,330.000
12.660
Sulfur
---
---
---
Nitrate N / Nitrite N
---
13.300
0.027
Barium
---
Chloride
---
---
Iron
---
---
---
Aluminum
---
2,380.00
4,760
Arsenic
---
40.00
0.080
Cadmium
---
40.00
0.080
Chromium
---
40.000
---
Copper
---
423.00
0.846
Lead
---
40.00
0.080
Mercury
---
1.57
0.003
Molybdenum
---
40.00
0.080
Nickel
---
40.00
0.080
Selenium
---
40.00
0.080
Zinc
---
3,720.00
7.440
Environmetal Chemists, Inc. 2022-06507
*Determination of Plant Available Nitrogen (PAN):
Injected Application.
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
1.00
Ceiling Concert.
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
75
85
840
57
75
420
100

:,enrochem v
ANALYTICAL & CONSULTING CHEMISTS
Lewis Farms
6455 Piney Woods Drive
Willard NC
Attention: Wesley Wooten
Lab ID Sample ID:
22-15798 Site: Sludge
Test
Sludge Residuals
Aluminum
Arsenic
Cadmium
Calcium
Chromium
Copper
Lead
Magnesium
Molybdenum
Nickel
Potassium
Selenium
Sodium
Zinc
Nitrate+Nitrite-Nitrogen
Total Solids (%)
Ammonia Nitrogen
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab e 910.392.4424 Fax
710 Sowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 d 910.347.5843 Lab/Fax
[e-mail]
Date of Report: May 04, 2022
Customer PO #:
28478 Customer ID: 09050006
Report #: 2022-06507
Project ID: Horse Creek
Collect DatelTime Matrix Sampled by
4/11/2022 9:00 AM Solid/Sludge Client
Method
EPA 200.7, Rev. 4A. 1994
EPA 200.7, Rev, 4.4. 1994
EPA 2007. Rev. 4.4, 1994
EPA 200.7, Rev, 4.4, 1994
EPA 200.7, Rev, 4.4, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 20D.7, Rev. 4.4, 1904
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev, 4.4, 1994
EPA 200.7, Rev, 4A, 1894
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4. 1994
EPA 200.7. Rev. 4.4, 1994
EPA 353.2
SM 2540 B
SM 4500 NH3 C-2011
Total Kjeldahl Nitrogen (TKN) SM 4500 Norg 8.2011
Total Phosphorus SM 4500 P (F-H).2011
pH SW 846 Method 9045D
Result estimated. Analyzed out of 15 minutes hold time.
Mercury
SW-B46 7471 B
Results
2380 mg/kg
<40.0 mg/kg
<40.0 mg/kg
30900 mg/kg
<40.0 mg/kg
423 mg/kg
<40.0 mg/kg
<2000 mg/kg
<40.0 mg/kg
<40.0 mg/kg
4510 mg/kg
<40.0 mg/kg
6330 mg/kg
3720 mg/kg
13.3 mg/kg
1.12%
8860 mg/kg
74300 mg/kg
912 mg/kg
7.66 units
<1.57 mglkg
Date Analyzed
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/14/2022
04/12/2022
04/12/2022
04/12/2022
04/21 /2022
05103/2022
04/25/2022
Comment. Sludge residuals, except pH, reported on a dry weight basis. pH reported on an as received basis.
i
Reviewed by:
Report ff.': 2022.06507 Page 1 of 1

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client:
LtA—&(7
AA3 Date: L 11 Q t;k Report Number: C�a -- V lf!
Receipt of sample:
ECHEM Pickup Client Delivery ❑ JUPS ❑ FedEx ❑ Other ❑
❑
YES
10
NO
N/A
1. Were custody seals present on the cooler?
❑
YES
❑
NO
JUkJ N/A
If custody seals were present, were they intact/unbroken?
2."C
Originaf temperature upon receipt Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank ❑ Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor "C: 0.0
❑
YES
❑
NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
)sal
YES
El
NO
4. Were proper custody procedures (relinquished/received) followed?
�]
YES
❑
NO
5. Were sample ID's listed on the COC?
YES
❑
NO
6. Were samples ID`s listed on sample containers?
YES
❑
NO
7. Were collection date and time listed on the COC?
YES
❑
NO
B. Were tests to be performed listed on the COC?
YES
❑
NO
9. Did samples arrive in proper containers for each test?
Lk
YES
❑
NO
10. Did samples arrive in good condition for each test?
YES
10
NO
11. Was adequate sample volume available?'
YES
❑
NO
12. Were samples received within proper holding time for requested tests?
❑
YES
❑
NO
13. Were acid preserved samples received at a pH of <2?
❑
YES
❑
NO
14. Were cyanide samples received at a pH >12?
❑
YES
❑
NO
15. Were sulfide samples received at a pH >9?
❑
YES
❑
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? *�
❑
YES
❑
NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0-S m/L?
YES
❑
NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatifes are pH checked at time of analysis and recorded an the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2504 HNO3 HCl NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Vote: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
iotify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Samples) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

ENVIRONMENTAL CHEMISTS, 'INC OFI En 10-392-o 31FAX9;00-3A24$
Analytical 8 Consulting Chemists NCDENR: DWQ CERTIFICATION 0 94 NCDHHS: DLS CERTIFICATION 0 3T729 Info@errvironmen alchemW-;,com
COLLECTION AND CHAIN OF CUSTODY
Client: _. t
ADDRESS:
Samnled Rv-
Sample Identification
l u
Collection
D to
Time
Temp
Transfer
PROJECT NAME: .f hSrz- eu�kr REPORT NO: Z Z --06 ,V-7
CONTACT NAME: )� I G�,u�©T, PO NO:
REPORT TO: �`I,o L� ,` na�� ��1, Go PHONEIFAX:
COPY TO: email'
SAMPLE TYPE: I = intlueM E = EfRuen% W = Well, ST = Stream, SO = Sall, SL = Sludge, Other
s I
_ PRESERVATION
R R e C U' C J 9 0:>a E o a = 3 iv a g o ANALYSIS REQUESTED
U U r U 2 2 S 2 S Zir
O
Cy G
C P
G G
C P
G G
C P
G G
C P
G G
C P
G G
C P
G G
C P
G G
C P
G G
Received By: I Dateffime
11. %(ao
2.
Temperature when Received: Y. Accepted: Reject Resamp' a uested:
Delivered By: Receives! By: _ -- Date: T t �,�`� Time:
Comments: TUR AROUND:

LEWIS FARMS
WQ0000455
Horse Creek
06/29/22
5,162
3.7128
06/29/22
2,341
3.3694
06/29/22
3,889
3.5898
06/29/22
2,821
3.4504
06/29/22
2,040
3.3096
06/29/22
6,172
3.7904
06/29/22
2,683
3.4286
Total 1 24.6511
Average 1 3.5216
Geometric Mean=3i Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen for Reduction
requirement.

a
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Whidmill Way, Wilmington, NC 28405 . 910.392-0223 Lab . 910.392,4424 Fax
710 $owsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910-347.5843 Lab/Fax
inrvCd,environmen ta Ichemists.com
Horse Creek Farm
Date of Report: Jul 06, 2022
Customer PO #:
Customer ID: 16070045
Attention: Jeff Jarman
Report #: 2022-12114
Project ID: Sludge
Lab ID Sample ID: Horse Creek Collect DatelTime Matrix Sampled by
22-29313 Site: 1
6/22/2022 10;00 AM Solid/Sludge Jeff Jarman
Test
Method Results Date Analyzed
Total Solids
SM 2540 B 1.24 % 06/30/2022
Fecal Density
SM 9221C E•2014 5162 MPN/g 06/29/2022
Lab iD Sample ID: Horse Creek Collect Daterrime Matrix Sampled by
22-29314 Site: 2
6/29/2022 10:01 AM Solid/Sludge Jeff Jarman
Test
Method Results Date Analyzed
Total Solids (%)
SM 2s40 B 1.41 % 06/30/2022
Fecal Density
SM 9221C E-2014 2341 MPN/g 06/29/2022
Lab ID Sample ID: Horse Creek
Collect Date[Time Matrix Sampled by
22-29315 Site: 3
6/29/2022 10:02 AM Solid/Sludge Jeff Jarman
Test
Method Results Date Analyzed
Total Solids (%)
SM 2540 a 1.26 % 06/30/2022
Fecal Density
SM 9221C E-2014 3889 MPN/g 06/29/2022
Lab ID Sample ID: Horse Creek
Collect DatelTime Matrix Sampled by
22-29316 Site: 4
6/29/2022 10:03 AM Solid/Sludge Jeff Jarman
Test
Method Results Date Analyzed
Total Solids (%)
SM 2540 B 1.17 % 06/30/2022
Fecal Density
SM 9221 C E-2014 2821 MPNIg 06/29/2022
Lab ID Sample ID: Horse Creek
Collect DatelTime Matrix Sampled by
22-29317 Site: 5
6/29/2022 10:04 AM Solid/Sludge Jeff Jarman
Test
Method Results Date Analyzed
Total Solids (%)
SM 2540 B 1.52 % 06/30/2022
Fecal Density
SM 9221C E-20M 2040 MPNIg 06/29/2022
Report #:: 2022-12114
Page 1 of 2

ANALYTICAL & CONSULTfNG CHEMISTS
.Environmental Chemists, Ines
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab e 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info(ci!envi ronmeittalchemists.com
Horse Creek Farm Date of Report: Jul 06. 2022
Customer PO #:
Customer ID: 16070045
Attention: Jeff Jarman Report #: 2022-12114
Project ID: Sludge
Lab ID Sample ID: Horse Creek Collect Date/Time Matrix Sampled by
22-29318 Site: 6 6/29/2022 10:05 AM Solid/Sludge Jeff Jarman
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 1.28 % 06/30/2022
Fecal Density SM 9221C E-2014 6172 MPNIg 06/29/2022
Lab ID Sample ID: Horse Creek Collect DatelTime Matrix Sampled by
22-29319 Site: 7 6/29/2022 10:06 AM Solid/Sludge Jeff Jarman
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 1.23 % 06/30/2022
Fecal Density SM 9221C E-2014 2683 MPNIg 06/29/2022
Comment: ti
Reviewed by:
Report #:: 2022-12114
Page 2 of 2

Environmental Chemist, Inc., Wilmington, NC Cab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
— _Date: _ �2 Report Number: _ 2022- � Z
Receipt of sample: ECHEM Pickup ❑ Client Delivery a
❑ YES ❑ NO UPS ❑ Fed& El
❑ YES ❑ NON/A 1. Were custody seals.present on the cooler?
N/A 2. !f custody seals were res t
Other ❑
Original temperature upon receipt... e p en , were they intact/unbroken?
C Corrected temperature upon receipt
How temperature taken: ❑ Tern e t
IR Gun 1I); Thomas Traceable S/N 192511657 ure 81ank Against Bottles
YES
❑
NO
p M Gun Correction Factor al 0.0
3. If tempera of cooler exceeded 6-C,
YES
❑
NO
was Project Mgr./QA notified?
4. Were proper custody
' YES
❑
NO
procedures {relinquishedjreceived) followed?
S. Were sample ID's listed
YES
YES
❑
❑
NO
on the COC?
6. Were samples 1D's listed on sample containers?
YES
❑
NO
7. Were collection date and time listed on the COC?
_
f 10
Were
8 =' s - r -r`c; ned lisiea on the COC? -
YE5
❑
1%10
10. Did samples
YES
I�
❑
nio
~_
arr;��e in good condition for each test?
11. �f1f�5 ar{o t)It�in c�•1-!'.71n
r YES
❑
NO
1`om n 5 e
- - a �ailabl.? `
12• Were samples received within
YES
❑
NO
proper holding time for requested tests?
13. Were acid preserved samples received k
YES
YES
❑
❑
NO
NO
at a pH of <2?
14, Were cyanide samples received at a pH >12?
YES
❑
NO
15. Were s.alfide ;ampler received at a PH >9?
YES
❑
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?
17.
YES
❑
NO
Were Sul Fide/Cyanide received at a chlorine residual of <Q.5 m/L?
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOUVolatile> a-e pH checked at time o- analY;�1, and recc) r-ded on the bench5heet.
** BaCt-268 SE!Mples are checked for Chlorine at time o`analysis and recorded on the benchsheet.
Sample Preservation, [Must be completed For any sample{s} incorrectly preserved or with headspace
Sample{si were received incorrect)
by adding {circle on y SO Y preserved and were adjusted accordingly
z 1 HNO3 HCl NaOH
Time of preser~ration: iFmore than one preservative is needed
Vim.' I�i-t!?y �JS`.^'?'?"5�rijr� �'; ?. - , notate in comments below
07C?a ne':f i=T1 ,a 0.
1014 tr2 lat j; d re-Ci@3 :3 -la" ZeJ r
Volatiles Sample(s) - -
were received with headspace
COMMENTS;
oC
DOC Q,s,.CC2 3e r 1

ti k ENVIRONMENTAL CHEMISTS INC ackAWiille,NonHWy
� Jacksonville, NC 21iS40
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 OFFICE: 910-347-5863 Lab/Fax
COLLECTION AND CHAIN OF CUSTODY
CLIENT:,
ADDRESS:
SamMed Bv:
Sample Identification
M
NOTICE - DECHLORINATION:
Transfer
1.
for Ammonia, TKN, C
Relinquished By:
lay ►mad �-V' 4
PROJECT NAME: H20Z
CONTACT NAME:
PO NO:
REPORT TO:
PHONEIFAX:
COPY TO:
E-MAIL:
SAMPLE
TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
am
_
cU'
c
OLu
PRESERVATION
Et
R
LO
m a
E U
c°
E
w
x
-+
4
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o
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ANALYSIS REQUESTED
o
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P
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Phenol and Bacteria must be dechlorinated (0.2 ppm or less) in the field at the time of collection.
Date/Time I w RarP_ivsarl Rv-
l -j
Temperature w iv c °C Accepted: Rejected: _ Resample Requested:
Delivered By: Received By: -' . "' t Date: 122:5� Time: :J�{✓
Comments: TUR AROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Horse Creek WWTP NPDES Number: NCO062359
Monitoring Period: From l/I/2022 To 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) ❑ I Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) ❑ Process to Further Reduce Patliogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermo hilic ❑
Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑
Class B: I Alt. (1) Fecal Density p Alt. (2) Process to Sign ificantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate `Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Coniposting ❑ Aerobic Digestion ❑
Anaerobic Digestion
If applicable to alternative performed (Class A. or Class ]3) .complete the following monitoring data:
Parameter AIlowable Level Pathogen Density Umber o Frequency Sample Analytical'
in Sludge Excee- Tech -
in Minimu Geo. Mean Maximo Units dences of Analysis Type
2 x 10 to the MPN 2,040 3,323 6,172 MPN/g 0 Annual Grab SM9221 C
6th power
per gram of
Fecal Coliform total solids CFU
Ivuv mpn per gram
of total solid (dry
Imonella bacterial 3 MAN per 4 grams
(in lieu of fecal I total solid (dry
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) ❑ JAIL 4 (Spec. O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ JAIL 8 (Drying -Unstable) ❑
Alt. 9 (Injection) El Alt. 10 (Incorporation) p lNo 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
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."
Jeff Jarmon, ORC Wesley Wooten, President
Preparer Name and . {type or print} Land Applier Name and Title (if applicable)(type or print)
7/11/2022
7/ 11122
Signatur of pare Date Signature of Land ypplier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and I5A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: January 13, 2022
North Topsail WWTF Permit No. WQ0000455
2.89 % Solids
7.31 pH
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg(Mg/Kg x 0.002
Nitrogen (TKN)
6.440
64,400.000
128.800
Phosphorus
0.113
1,130.000
2.260
Potassium
0.533
5,330.000
I0.660
PAN (injected)*
2,201
22,005.810
44.012
PAN (surface)*
2,009
20,090.810
40.182
Ammonia Nitrogen
0.383
3,830.000
7.660
Calcium
2.370
23,700.000
47.400
Calcium Carbonate E .
---
---
Magnesium
---
3,430.000
6.860
Sodium
---
5,470.000
10.940
Sulfur
---
---
---
Nitrate N / Nitrite N
---
4.810
0.010
Barium
---
---
---
SAR
1.49
Chloride
---
---
---
Iron
---
---
---
Ceiling Concen.
M /K )
Aluminum
---
20,700.00
41.400
Arsenic
---
29.10
0.058
75
Cadmium
---
29.10
0.058
85
Chromium
---
29.100
---
---
Copper
--
161.00
0.322
4,300
Lead
---
29.10
0.058
840
Mercury
---
0.526
0.001
57
Molybdenum
---
29.10
0.058
75
Nickel
---
29.10
0.058
420
Selenium
---
29.10
0.05$
100
Zinc
---
3,210.00
6.420
7,500
Environment I # 2022-00815
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 920.392.0223 Lab w 910.392,4424 Fax
710 Bowsertown Road, Manteo, NC 27954 a 252.473.5702 Lab/Fax
R. sr�, g g } Jacksonville, NC _9540 • 910.347.5843 Lab/Fax
� - 255-A Wilmington Hi hwa ; �
ANALYTICAL & CONSULTING CHEMISTS info a environmentalchemists.com
Pluris LLC. Date of Report: May 05, 2022
P. 0. Box 856 Customer PO #:
Sneads Ferry NC 28460 Customer ID: 09110001
Attention: Randy Hoffer Report #: 2022-06642
Project ID: North Topsail
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-16119 Site: Sludge 4/12/2022 10:58 AM Solid/Sludge Client
Test
Method
Results
Date Analyzed
Sludge Residuals
Aluminum
EPA 200.7, Rev. 4A, 1994
34400 mg/kg
04/14/2022
Arsenic
EPA 200.7, Rev. 4.4, 1994
<40.1 mglkg
04/14/2022
Cadmium
EPA 200.7, Rev. 4.4, 1994
<40.1 mglkg
04/14/2022
Calcium
EPA 200.7, Rev. 4.4, 1994
50700 mg/kg
04/14/2022
Chromium
EPA 200.7, Rev. 4.4, 1994
43.7 mglkg
04/14/2022
Copper
EPA 200.7, Rev. 4.4, 1994
371 mg/kg
04/14/2022
Lead
EPA 200.7, Rev. 4.4, 1994
<40.1 mglkg
04/14/2022
Magnesium
EPA 200.7, Rev. 4.4, 1994
8770 mglkg
04/14/2022
Molybdenum
EPA 200.7, Rev. 4.4. 1994
<40.1 mg/kg
04/14/2022
Nickel
EPA 200.7, Rev. 4.4, 1994
<40.1 mglkg
04/14/2022
Potassium
EPA 200.7, Rev. 4.4, 1994
15800 mg/kg
04/14/2022
Selenium
EPA 200.7. Rev. 4.4. 1994
<40.1 mg/kg
04/14/2022
Sodium
EPA 200.7, Rev. 4.4. 1994
10200 mg/kg
04/14/2022
Zinc
EPA 200.7, Rev, 4A, 1994
7000 mglkg
04/14/2022
Nitrate+Nitrite-Nitrogen
EPA853-2
49.2mg/kg
04/14/2022
Total Solids (%)
SM 2540 B
1.22 %
04/13/2022
Ammonia Nitrogen
SM4500 NH3 C-2011
23600 mg/kg
04/13/2022
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B-2011
215000 mg/kg
04/13/2022
Total Phosphorus
SM 4500 P (F-H)-2011
61900 mglkg
04/25/2022
pH
SW 846 Method 9045D
7.24 units
05/03/2022
Result estimated. Analyzed out of
15 minutes hold time.
Mercury
SW-0467471 B
<1.36 mg/kg
04/25/2022
Report #:: 2022.06642 Page 1 of 3

LEWIS FARMS AND LIQUID WASTE, INC.
WQ0000455
Pluris North Topsail WWTP
..........
:g
04/12/22
551,725
5.7417
04/12/22
317,242
5.5014
04/12/22
380,166
5.5800
04/12/22
565,372
5.7523
04/12/22
563,381
5.7508
04/12/22
319,445
5.5044
04/12/22
561,404
5.7493
Total 1 39.5799
Average 1 5.6543
Geometric Mean § Fecal Coliform MPN / gram
. ._ 1;0 _
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

-�K.Environmental Chemists, Inc
® B 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
" '_ s x� ` •' jr 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL R CONSULTING CHEMISTS into a environmeritalchemists.com
Pluris LLC. Date of Report. May 05, 2022
P. O. Box 856 Customer PO #:
Sneads Ferry NC 28460 Customer ID: 09110001
Attention: Randy Hoffer Report #: 2022-06642
Project ID: North Topsail
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-16120 Site: 001 4/12/2022 11:01 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 a 2.90 % 04/13/2022
Fecal Density SM 9221C I; MPN 24 hr 503 551725 MPN/g 04/12/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-16121 Site: 002 4/12/2022 11:04 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%)
SM 2540 B
2.90 % 04/13/2022
Fecal Density
SM 9221C E MPN 24 hr 503
317242 MPN/g 04/12/2022
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
22-16122 Site: 003
4/12/2022 11:06 AM
Solid/Sludge Client
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
2.42 % 04/13/2022
Fecal Density
SM9221C EMPN 24 hr 503
380166 MPN/g 04/12/2022
Lab ID Sample ID:
Collect Date[Time
Matrix Sampled by
22-16123 Site: 004
4/12/2022 11:10 AM
Solid/Sludge Client
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
2.83 % 04/13/2022
Fecal Density
SM 9221C E MPN 24 hr 503
565372 MPN/g 04/12/2022
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
22-16124 Site: 005
4/12/2022 11:14 AM
Solid/Sludge Client
Test
Method
Results Date Analyzed
Total Solids
SM 2540 B
2.84 % 04/13/2022
Fecal Density
SM 9221C E MPN 24 hr 503
563381 MPN/g 04/12/2022
Report #.: 2022-06642 Page 2 of 3

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 910.392.0223 Lab 910.392.4424 Fax
r ` '_`-r'. ;s'r �r + •• 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
environmentalchemists.com
Pluris LLC. Date of Report: May 05, 2022
P. O. Box 856 Customer PO #:
Sneads Ferry NC 28460 Customer ID: 09110001
Attention: Randy Hoffer Report #: 2022-06642
Project ID: North Topsail
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-16125 Site:006
4/12/2022 11:16 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%)
SM 2540 8
2.88 % 04/13/2022
Fecal Density SM 9221C E MPN 24 hr 503 319445 MPNIg 04/12/2022
Lab 1D Sample 1D: Collect Datefrime Matrix Sampled by
22-16126 Site: 007 4/12/2022 11:19 AM SolidlSludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.85 % 04/13/2022
Fecal Density SM 9221C E MPN 24 hr503 561404 MPNIg 04112/2022
Comment: Sludge residuals, except pH, reported on a dry weight basis. pH reported on an as received basis.
Reviewed by:
Report Ni: 2022-06642 Page 3 of 3

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
Sample Recelpt ChPAJ' f 910.392.0223
15
Client: s /�•,,, C
Date; �22
Report Number:QZ-
Receipt ofsampie: ECHEM Picku
❑ YES ❑ NO p Client Delivery ❑ UPS ❑
❑ YES NO ©- N/A 1 were custody seals present on the cooler? FedEx ❑ Other ❑
❑ ❑ NSA Z. If custodyseafs were present, were they intac
Original temperature upon receipt t/unbroke ?
— C
Corrected temperature upon receipt��
HOW temperature taken: ❑ Temperature Slant
IR Gun fD: Thomas Traceable SIN: 210835458 Against Bottles
❑ YES ❑ NO 3. If temperature of Coolerr exceeded 6'C �yas Project Mar
YES ❑ NO 4. Were proper custody procedures (relinquished/received/foAfovftrfr?d?
YES ❑ NO 5. Were sample Us listed on the COC? ) followed?
YES ❑ NO G. Were samples ID's fisted on sample containers?
YES ❑ NO 7. Were collection date an
YES ❑ NO d time listed on the COC?
B. Were tests to be performed listed an the COC?
YES ❑ NO 9. Did samples arrive in proper containers for each test?
YES ❑ i\1n
+ 1i � )a- ad=qua
`�
YES ❑ NO
12. Were samples received within proper holding
YES ❑ NO 13, time for requested tests?
❑ Were acid preserved samples received at a pH of <2?
❑ YES ❑ NO 114. Were cyanide samples received at a pH >17?
❑ YES �D NO 15. Were sulfide samples received at a pH >9?
❑ YES ❑ NO 16. Were NH3/TKN/Phenol receiv4
❑ YES El NO d at a chorine residual of <0.5 m/L? yk
17. Were Sulfide/Cyanide received at a YES chlorins residual of
❑ ❑ NO 18. +lere orthophosphate samples filtered in the field avithin 1 m/L.
5 mrnutes?
T-O'VV01'3,V-25 a. E ph checked at t'me 0Fan3!y53 and reca'd?d Oir tfle b�i7C tea+
*�
Ba_t�'ia s3:np'es a; e checked for �-�--
chlorine a: t; ne vFana:y,is and r=co} sled a, the bencrsh__t.
Sample Preservation: (Must be completed for a11 ny sa11 mple11 (s) incorrect)
Sampfe(s) y preserved or with headspace)
were received incorrectly preserved and were adjusted accordingly
by adding (circle one
H2504 HNO3 HCl NaOH
Time of preservation: if more than one preservative is �ayneeded, notate in comments 6e10!:'.,;'Otic�s:or"eenAce idia`ely for ir_arrect;y pre52: Yid say' pl QG:e 3 n�:ti 53 T16i� 0'
to a;1z'yzed by the tus:o raer. 5 4/nc a; a, raa:ified, d;`= a 1C tirr..:
Valatiles Sample(s)
were received with head ace
COMMENTS;
'C
DOC. Qa.002 Rey 1

Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION 9 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6502 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: Pluris-North Topsail
PROJECT NAME: Sludge analysis
REPORT NO: oZ2,a -- 666 `ice
ADDRESS:
CONTACT NAME: Randy Hoffer
PO NO:
REPORT TO:
PHONE/FAX:
COPY TO: Lewis Farms/Martin Mahe
email:
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent. W = Well. ST = Stream. SO = Soil. SL = Sludge. Other:
Sample Identification
Collection
am
.a
E `o CD
_
:[7
o a
"
cr
_o` E
"
OLu
�m 2
z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
o
z
U
y
o
G
o
Sludge
C
P
f��
X
Nutrients/Metals/Full TCLPIRCI
G
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C
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X
Fecal Density/% TS
G
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Fecal Densi /%TS
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Fecal Density/% TS
G
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Fecal Densi 1% TS
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Fecal Density/% TS
G
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7)
%{�
X I
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Densi /%TS
G
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_1
Transfer
ell quished 13y:
Date/Time
Received By:
Daterrime
1.
12 z7
2.
Temperature when Received °C: Accepted: ejected: Resampl Re uested:
Delivered By: Received By: Date: (>�a Time:
Comments: —TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc.
WWTP Name: Pluris North Topsail
Monitoring Period: From 1/1/2022
WQ Permit Number: WQ0000455
NPDES Number: WQ0005849
12/31 /2022
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
1 Alt B (Alk Treatment) ❑
Alt_ C (Prior Testing} ❑
Alt.D (No Prior Test) ❑
Process to Further Reduce Pathogens ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thennophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B.
Alt. (1) Fecal Density El
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying ❑
Composting ❑
jAerobic Digestion ❑
Anaerobic Digestion ❑
. ........ .. ......... .........
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in
in Sludge
Pathogen Density
Number ot
Excee-
Frequency
ofAnal sis
Y
Sample
Type
na ytica
Tech -
711
inimu
Geo. Mean
aximu
Unitsences
Fecal Coliform
2 x I0 to the
6th power
per gram of
total solids
MPN
317,242
451,098
565,372
MPN/g
0
Annual
Grab
SM92210E
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. O, uptake) ❑
Alt. 5 (I4-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
Alt. S (Drying - Unstable) ❑
Alt. 9 (Injection) El
Alt. 10 (Incorporation) El
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Dwight Peterson, ORC
Pre arer Natne and 1 it a(type or print)
Signatu of Preparer* Date
Wesley Wooten, President
Land Applier Name and Title (if applicable)(type or print)
I1�rV� I 1/2/2;
Signature of
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Applier (if applicable) Date
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: August 23, 2022
River Bend
1.78 % Solids
7.03 pH
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
M /K x OA02)
Nitrogen (TKN)
6.380
63,800.000
127.600
Phosphorus
1.610
16,100.000
32.200
Potassium
0.342
3,420.000
6.840
PAN (injected)*
2.476
24,762,960
49.526
PAN (surface)*
2.075
20,752.960
41.506
Ammonia Nitrogen
0.802
9,020.000
16,040
Calcium
2.990
29,900.000
59.800
Calcium Carbonate E .
---
---
Magnesium
---
2,510.000
5.020
Sodium
---
6,400.000
12.800
Sulfur
---
---
Nitrate N / Nitrite N
---
8.960
0.018
Barium
---
---
SAR
L 1.27
Chloride
---
---
---
Iron
---
---
---
Ceiling Concen.
(Mg/Kg)
Aluminum
---
2,240.00
4.480
Arsenic
---
35.10
0.070
75
Cadmium
---
17.50
0.035
85
Chromium
---
17.500
---
Copper
---
713.00
1.426
4,300
Lead
---
17.50
0.035
840
Mercury
---
0,71
0.001
57
Molybdenum
---
17.50
0.035
75
Nickel
---
17.50
0.035
1 420
Selenium
---
17.50
0.035
100
Zinc
---
561.00
1.122
7,500
Environmental Chemists, Inc: 2022-16425
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab ° 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
in fo@cnvi ron mcntaIchem ists. corn
Town of River Bend Date of Report: Sep 22, 2022
45 Shoreline Drive Customer PO #:
New Bern NC 28562 Customer ID: 12110004
Attention: Report #: 2022-16425
Project ID: Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-40204 Site: Sludge 8/23/2022 7:55 AM Solid/Sludge Brandon Mills
Test Method Results Date Analyzed
Sludge Residuals
Aluminum EPA 200 7, Rev 4 4, 1994 2240 mg/kg 09/07/2022
Arsenic EPA 200.7, Rev. 4 4, 1994 <35.1 mg/kg 09/14/2022
Cadmium EPA 200.7, Rev 4 4, 1994 <17.5 mg/kg 09/07/2022
Calcium EPA 200.7, Rev. 4 4, 1994 29900 mg/kg 09/07/2022
Chromium EPA 200.7,Rev 4 4. 1994 <17.5mg/kg 09/07/2022
Copper EPA 200 7, Rev 4.4, 1994 713 mg/kg 09/07/2022
Lead EPA 200 7, Rev 4 4, 1994 <17.5 mg/kg 09/07/2022
Magnesium EPA 200.7. Rev 4 4, 1994 2510 mg/kg 09/07/2022
Molybdenum EPA 200 7, Rev 4 4 1994 <17.5mg/kg 09/07/2022
Nickel EPA 200 7, Rev, 4 4, 1994 <17,5 rnglkg 09/07/2022
Potassium EPA 200 7, Rev 4 4, 1994 3420 mg/kg 09/07/2022
Selenium EPA 200 7, Rev 4 4, 1994 <17.5 mg/kg 09/07/2022
Sodium EPA 200 7, Rev 4 4, 1994 6400 mglkg 09/07/2022
Zinc EPA 200 7, Rev 4 4, 1994 561 mg/kg 09/07/2022
Nitrate+Nitrite-Nitrogen EPA 353.2 8.96 mg/kg 08/29/2022
Total Solids (%) 5M 2540 B 1.78 % 08/24/2022
Ammonia Nitrogen SM 4500 NH3 C-2011 8020 mglkg 08/24/2022
Total Kjeldahl Nitrogen (TKN) SM 4500 Norg B-2011 63800 mg/kg 08/24/2022
Total Phosphorus SM 4500 P (F-H)-2011 16100 mg/kg 08/29/2022
pH SW e46 Method 9045D 7.03 units 08/31/2022
Result estimated. Analyzed out of 15 minutes hold time.
Mercury $W-946 7471 B <0,713 mglkg 09/09/2022
Comment: Results, except pH, reported on a dry weight basis. pH reported on an as received basis.
Reviewed by:f
Report # . 2022-15425 Page 1 of 1

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client: i 'fV 1oe'n C l Date: 2 Z- Report Number: _ 2022-
Receipt of sample: ECHEM Pickup Client Delivery ❑ UPS ElFedEx ❑ Other ❑
❑ YES ID NO N/A 1. Were custody seals present on the cooler?
❑ YES 111 NO N/A 12. if custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR riin r'nrrPrtinn Pnrtnr °r • n n
YES
❑
NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
YES
❑
❑
NO
NO
4. Were proper custody procedures (relinquished/received) followed?
5. Were sample ID's listed on the COC?
YES
❑
NO
6. Were samples ID's listed on sample containers?
YES
YES
❑
❑
NO
NO
7. Were collection date and time listed on the COC?
8. Were tests to be performed listed on the COC?
YES
❑
NO
9. Did samples arrive in proper containers for each test?
YES
YES
❑
❑
NO
NO
10. Did samples arrive in good condition for each test?
11. Was adequate sample volume availableT
YES
❑
NO
12. Were samples received within proper holding time for requested tests?
❑
YES
❑
NO
13. Were acid preserved samples received at a pH of <2?
❑
YES 10
NO
14. Were cyanide samples received at a pH >12?
❑
YES
❑
NO
15. Were sulfide samples received at a pH >9?
❑
❑
YES
YES
❑
❑
NO
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
17, Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/0
❑
YES
ElNO
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation:
Sample(s)
by adding (circle one):
me of Preservation:
(Must be completed for any sample(s) incorrectly preserved or with headspace)
were received incorrectly preserved and were adjusted accordingly
H2504 HNO3 HCI NaOH
If more than one preservative is needed, notate in comments below
a: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
fy the state lab if directed to analyzed by the customer. Who was notified, date and time:
stiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

Analytical & Consulting Chemists
Client: Town of River Bend WWTP
ADDRESS: 45 Shoreline Drive
New Bern, NC 28562
Sampled Bv: ' �
o�-
ENVIRONMENTAL CHEMISTS, INC 6602Windmill Way Wilmington, NC28405
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: D.S CERTIFICATION # 37729 iinfo@ n ironme tatchem stts 223 FAX c om 4424
COLLECTION AND CHAIN OF CUSTODY 16 `I Z 5
PROJECT NAME: Wastewater REPORT NO: 2 �—
CONTACT NAME: Brandon M,IIs, ORC PO NO:
REPORT TO: PHONE/FAX: [phone]
COPY TO: email:
SAMPLE TYPE: I = Influont, E = Effluent, W = Well, ST = Stream, S❑ = Soil, SL = Sludge, Other:
on a PRESERVATION
m _ a
Sample Identification
Effluent (1/week)
Effluent -grab (1/week)
Effluent (2/month)
Influent (1/week)
Transfer
ra� E a , a { E s� z � o a p _o w ANALYSIS REQUESTED
U J 2 Z = N z z r
z ~ a
' x cZ
G G �.7 ip) 9] X X anri r��
ti
C
Transfer
ra� E a , a { E s� z � o a p _o w ANALYSIS REQUESTED
U J 2 Z = N z z r
z ~ a
' x cZ
G G �.7 ip) 9] X X anri r��
ti
C
G
P
G;
Gry
_4
�
G
G
_
EAOI�i�
�, y
X
X
G
C
G
P
G
C
C
.G.
.Gd
P
G
G
P
G
C
G
C
P
G
G
DatelTime
2.�
Temperature when Re cei d 'C: 3 . Z epted: Re e
Delivered By: Receives! [3y;
Comments:
Relinquished
x
X
Received
Total P (2/mo
TSS
r"e'- f5
ample Requested:
e: "-2 5 - Zz Time:
_TURNAROUND:
Date/Time

LEWIS FARMS
WQ0000455
River Bend WWTP
`:otffi
`L
06/21/22
43
1.6335
06/21/22
43
1.6335
06/21/22
105
2.0212
06/21/22
42
1.6232
06/21/22
41
1.6128
06/21/22
49
1.6902
06/21/22
403
2.6053
Total 1 12.8197
Average 1 1.8314
Geometric Mean
fi$ = Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B. - Alternative 1 Pathogen Reduction
requirement.

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
info@environmentalchemists,com
Town of River Bend Date of Report: Aug 05, 2022
45 Shoreline Drive Customer PO #:
New Bern NC 28562 Customer ID: 12110004
Attention: Brandon Mills Report #: 2022-11584
Project ID: Sludge
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-28108 Site: Sludge 6/21/2022 7:30 AM Solid/Sludge Brandon Mills
Test Method Results Date Analyzed
Chlordane (TCLP)
SW-846 8081 B
<0.02 mg/L
07/07/2022
Endrin (TCLP)
SW-846 8081 B
<0.0005mg/L
07/07/2022
Heptachlor (TCLP)
SW446 5081 B
<0.0005 mg/L
07/07/2022
Heptachlor epoxide (TCLP)
SW-B46 8081 B
<0.0005 mg/L
07/07/2022
Lindane (TCLP)
SW-846 8081 e
<0.0005 mg/L
07/07/2022
Methoxychlor (TCLP)
SW-846 8081 a
<0.0005 mg/L
07/07/2022
Toxaphene (TCLP)
SW-846 8081 8
<0.05 mg/L
07/07/2022
2,4,5-TP (TCLP)
SW-846 8151 A
<0.003 mg/L
07/08/2022
2,4-D (TCLP)
SW-846 8151 A
<0.003 mg/L
07108/2022
1,4-Dichlorobenzene(TCLP)
SW-8468270E
<0.050mg/L
07/08/2022
2,4,5-Trichlorophenol (TCLP)
SW-846 8270 E
<0.050 mg1L
07/08/2022
2,4,6-Trichlorophenol (TCLP)
SW-846 8270 E
<0.050 mg/L
07/08/2022
2,4-Dinitrotoluene (TCLP)
SW-845 0270 E
<0.050 mg/L
07/08/2022
Cresol (TCLP)
SW-e48 8270 E
<0.050 mg/L
07/08/2022
Hexachloro-1,3-butadiene (TCLP)
SW-848 8270 E
<0.050 mg/L
07/08/2022
Hexachlorobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
07/08/2022
Hexachloroethane (TCLP)
SW-846 8270 E
<0.050 mg/L
07/08/2022
m * p-Cresol (TCLP)
SW-845 8270 E
<0.050 mg/L
07/08/2022
Nitrobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
07/08/2022
o-Cresol (TCLP)
SW-846 8270 E
<0.050 mg1L
07/08/2022
Pentachlorophenol (TCLP)
SW-8468270E
<0.250rng/L
07/08/2022
Pyridine (TCLP)
SW-040 8270 E
<0.050 mg/L
07108/2022
1. 1 -Dichloroethylene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
07/07/2022
1,2-Dichloroethane (TCLP)
SW-846 Method 8260D
<0.01 mg/L
07/07/2022
Benzene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
07/07/2022
Carbon Tetrachloride (TCLP)
SW-646 Method 82600
<0.01 mg/L
07/07/202-2
Report #:: 2022.11584 Page i of 5

6
sM;
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910,392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 s 252.473,5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax
inforrenvironnientalcllemists.com
Town of River Bend
Date of Report: Aug 05, 2022
45 Shoreline Drive
Customer PO #:
New Bern NC 28562
Customer 10: 12110004
Attention: Brandon Mills
Report #• 2022-11584
Project ID: Sludge
Chlorobenzene (TCLP)
SW-848 Method 8250D <0.01 mg1L
07/07/2022
Chloroform (TCLP)
SW-846 Method 8260D <0.01 mg1L
07/07/2022
Methyl ethyl ketone (TCLP)
SW-a46 Method 8260D <0.05 mg/L
07/07/2022
Tetrachloroethylene (TCLP)
SW446 Method 8260D <0.01 mg/L
07/07/2022
Trichloroethylene (TCLP)
SW-846 Method 82600 <0.01 mg/L
07/07/2022
Vinyl Chloride (TCLP)
SW446 Method 8260D <0.01 mg/L
07/07/2022
IL+<19'
Cyanide
SM 4500 CN D-2016
0.0 mg/kg
06/24/2022
Sulfide
SM 4500 S D
0.17 mg/kg
06/24/2022
Ignitability
SW 846 method 1010
>158 OF
07/06/2022
Sludge Residuals
Aluminum
EPA 200.7, Rev, 4.4. 1994
—218086
Arsenic
EPA 200.7. Rev. 4.4. 1994
Cadmium
EPA 200.7, Rev. 4.4, 1994
Calcium
EPA 200.7. Rev. 4.4,1994
Chromium
EPA 200.7, Rev. 4.4. 1994
591 mg*g
Copper
EPA 200.7, Rev. 4.4, 1994
Lead
EPA 2007, Rev. 4.4, 1994
Magnesium
EPA 200.7, Rev. 4.4, 1994
Molybdenum
EPA 200.7, Rev. 4A 1994
Wig.-RRgllf'g
$7-/98{Z6zg
Nickel
EPA 200.7, Rev. 4.4,1994
494 m �k
g 9
97igg2G22
Potassium
EPA 200.7, Rev, 4.4, 1994
2
Selenium
EPA 200.7, Rev. 4.4, 1994
Sodium
EPA 200,7, Rev. 4.4, 1994
Zinc
EPA 200.7, Rev. 4.4, 1994
Nitrate+Nitrite-Nitrogen
EPA 353.2
Total Solids (%)
SM 2540 a
Ammonia Nitrogen
SM 4500 NFI3 C-2o11
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B-2011
Total Phosphorus
SM 4500 P (F-H)-2011
Report P: 2022-11564
Page 2 of 5

r�
;��enYarac ea�x����
i�
•
Environmental. Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392,0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
[e-mail]
Town of River Bend
Date of Report: Aug 05, 2022
45 Shoreline Drive
Customer PO #:
New Bern NC
28562
Customer ID: 12110004
Attention: Brandon Mills
Report #: 2022-11584
Project ID: Sludge
pH
SW 846 Method 9048D
7.61 units
06/28/2022
Result estimated. Analyzed out of 15 minutes hold time.
Mercury
S W-846 7471 8
TCLP Metals
Arsenic
EPA 200.7, Rev. 4A,1994
<1.0 mg/L
07/05/2022
Barium
EPA 200.7, Rev. 4.4, 1994
<1.0 mg1L
07/05/2022
Cadmium
EPA 2003, Rev. 4.4, 1994
<1.0 mg/L
07/05/2022
Chromium
EPA 200.7, Rev.4.4, 1994
<1.0 mg/L
07/05/2022
Lead
EPA 200.7, Rev. 4.4, 1994
<1.0 mg/L
07/05/2022
Selenium
EPA 200.7, Rev.4.4, 1994
<1.0 mg/L
07/05/2022
Silver
EPA 200.7, Rev.4.4, 1994
<1.0 mg/L
07/05/2022
Mercury
EPA 245.1
<0.0002 mg1L
07/08/2022
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
22-28108A Site: Sludge
6/21/2022 7:30 AM
Solid/Sludge Brandon Mills
Test
Method
Results Date Analyzed
Cadmium
EPA 200.7, Rev. 4.4, 1994
<0.249 mg/kg
07/25/2022
Molybdenum
EPA 200.7, Rev, 4A, 1994
<0.249 mg/kg
07/25/2022
Selenium
EPA 200.7. Rev. 4.4. 1994
0.319 mglkg
07/25/2022
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
22-28109 Site: Sludge #1
6/21/2022 7:32 AM
Solid/Sludge Brandon Mills
Test
Method
Results Date
Analyzed
Total Solids (%)
SM 2540 8
4.25 %
06/24/2022
Fecal Density
SM 9221C E-2014
<43 MPN/g
06/21/2022
Lab ID Sample ID:
Collect DatelTime
Matrix Sampled by
22-28110 Site: Sludge#2
6/21/2022 7:34 AM
SolidlSludge Brandon Mills
Test
Method
Results Date Analyzed
Total Solids (%) SM 2540 B 4.25 % 06/24/2022
Fecal Density SM 9221C E-2014 <43 MPNIg 06/21/2022
Report ft:: 2022-11584 Page 3 of 5

Town of River Bend
45 Shoreline Drive
New Bern NC 28562
Attention: Brandon Mills
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
[e-mail]
Date of Report: Aug 05, 2022
Customer PO #:
Customer ID: 12110004
Report #: 2022-11584
Project ID: Sludge
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
22-28111 Site: Sludge #3
6121/2022 7:36 AM
Solid/Sludge Brandon Mills
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
4.30 % 06/24/2022
Fecal Density
SM 9221C E-2014
105 MPNIg 06/21/2022
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
22-28112 Site: Sludge #4
6/21/2022 7:38 AM
Solid/Sludge Brandon Mills
Test
Method
Results Date Analyzed
Total Solids (%}
SM 2540 a
4-34 % 06/24/2022
Fecal Density
SM 9221C E-2014
<42 MPN/g 06/21/2022
Lab 1D Sample ID:
Collect DatelTime
Matrix Sampled by
22-28113 Site: Sludge #5
6/21/2022 7:40 AM
Solid/Sludge Brandon Mills
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
4.44 % 06/24/2022
Fecal Density
SM 9221 C E-2014
<41 MPNIg 06/21/2022
Lab ID Sample ID:
Collect DaterTime
Matrix Sampled by
22-28114 Site: Sludge #6
6/21/2022 7A2 AM
Solid/Sludge Brandon Mills
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
4.16 % 06/24/2022
Fecal Density
SM 9221C E-2014
49 MPN1g 06/21/2022
Lab ID Sample ID:
Collect DatelTime
Matrix Sampled by
22-28115 Site: Sludge #7
6/21/2022 7:44 AM
Solid/Sludge Brandon Mills
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
4.22 % 06/24/2022
Fecal Density
SM 9221C E-2014
403 MPNIg 06/21/2022
Report #:: 2022-11584 Page 4 or 5

"� virochem:
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc,
6602 Windmill Way, Wilmington, NC 28405 a 910.392.0223 Lab • 910,392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 a 910.347.5843 Lab/Fax
info(a environmentalchemists.com
Town of River Bend Date of Report: Aug 05, 2022
45 Shoreline Drive Customer PO #:
New Bern NC 28562 Customer ID: 12110004
Attention: Brandon Mills Report #: 2022-11584
Project ID: Sludge
Comment: Sludge residuals, expect pH, reported on a dry weight basis. pH reported on an as received basis.
Reviewed by: A
Report #:: 2D22-11594 Page 5 of 5

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client:1�'�
_
Date: ZI_ ,, ``
Report Nurnber: _ 2022- l 15P4
Receipt of sample..
❑ YES ❑ NO
HEM Pickup Client Delivery ❑ UPS ❑ FedEx ❑ Other ❑
N/A
❑ YES ❑ NO
1. Were custody seals present on the confer?
N/A
Original temperature upon
2. If custody seals were present, were they intact/unbroken?
receipt
Corrected temperature upon receipt
How temperature taken: ❑ Temperature Blank
es
M Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction gFactor ainst B Ct10 0
YES ❑ NO
YES ❑
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
NO
YES ❑
4. Were proper custody procedures (relinquished/received) followed?
NO
S. Were sample ID's listed on the COC?
YES ❑ NO
6. Were samples ID's listed on sample containers?
YES ❑ NO
7. Were collection date and time fisted on the COC?
YES ❑ NO
8. Were tests to be performed listed on the COC?
I
°C
-
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
* Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace]
Sample(s) were received incorrectly and were adjusted accordingly
by adding (circle one): H2504 HNO3 HCI N
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify custo-n=.-service immad ately for ircorrectly pr'served samples. Obtain a new sa ,ipie o-
lotify ilia state lab if &rected to 3-zaoyzed by t^e customer. Who was
notified,
Vola tiles Sample(s)
were received with headspace
COMMENTS:
DOC. QA.002 8e j 1

Wi, NC
ton
ENVIRONMENTAL CHEMISTS, INC OFFICE:9 Oita Way
223FAXg91p392-44245
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: Dl.S CERTIFICATION # 37729 [e-mail]
rn] I FC'TION ❑Nr1 r1 mki nP (-I1CTf%nV
Client: Town of Riverbend WWTP
PROJECT NAME: Annual Sludge
REPORT NO.
ADDRESS: 45 Shoreline Drive
CONTACT NAME: Brandon Mills, ORC
PO NO:
New Bern, NC 28562
REPORT TO:
PHONE/FAX: [phone]
COPY TO:
Email:
Samnled
- CA ■RBI C TVIJC. 1 — I
le Identification
Collection
6V
•N
U
....
_
C
a a.
......�.....1
C
c
E
._
Q w
zDate
�.......,.•.q .. — .ae. a, r.. — va. a.on.l
PRESERVATION
...ry — V—.., VL. — VIYVl,O. VLIIel.
ANALYSIS REQUESTED
Time
Temp
zE
o
cs
an
a=
z
a=
Z
=
oSam
Uj
Sludge
•
SI
C
25 d
X
Nutrientlmetals (sludge�analys�hs)
G
SI
C
-S C2
X
Full
G
G
r
SI
C
p
1`i
ZS40
X
ti
ecal densityl%
G
tr
,�
SI
C
I { G
X
ecal densityl%TS
G
d
� 3
SI
c
P
11w
G�6
X
Fecal densityl°/aTS
G
r
7: 38
SI
c
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X
Fecal dens) o
G
SI
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_
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G
SI
Z%"'��
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Fecal dense 1%TS
SI
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i IT
0
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Relinquished By:
DatelTime
McePd By:
PatelTime
1.
f R.�`�7
-a
2.
Sri
t emperacure
Delivered By:
Comments:
ResamplV
equF-Lnme-
ed:
-Date: 7iI
TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Fanns & Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: River Bend NPDES Number: NCO030406
Monitoring Period: From 1/1/2022 To 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) ❑ Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ❑ Hent Treattent ❑ Themrophilic ❑
Beta Ray 01 Gaminn Rny ❑ Pasteurization Cl
Class B: Alt. (1) Fecal Density El Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogeus":
Lime Stabilization ❑ Air Drying ❑ Coinposting ❑ Aerobic Digestion ❑
Anaerob
ic Digestion
on ❑
XX
If applicable
pp to alternative performod .(Class A.or Class �B)complete the 'following monitoringdata:
Allowable Level Pathogen Density um er o Analytical
Parameter in Sludge g Excee- Frequency Sample Tech-
g Minimu Geo. Mean Maximo Units ftnces of Analysis Type
nimin
2 x 10 to the MPN 41 68 403 MPN/g 0 Annual Grab SlYI9221Cs
6th power
per gram of Fecal Coliform total solids CF[3
1000 mpn per gram
l T
of total solid (dry
Imonella bacterial 3 MPN per 4 grams
(in lieu of fecal I total solid (dry
vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.l (VS reduction) ❑ Alt, 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. 03 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (A1k. Stabilization ❑ Alt 7 (Drying- Stable) ❑ Alt. 8 (Drying - Unstable) ❑
Alt, 9 (Injection) El I 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 I5A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Brandon Mills, ORC Wesley Wooten, President
Preparer Name and itle t pe or print) Land Applier Name and Title (if applicable)(type or print)
9130/22
giiature of Preparer* Date Signature of Land pplier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: March 23, 2022
Stateside
2.04 % Solids
7.2 nF1
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry WeigT
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg(Mg/Kg x 0.0021
Nitrogen (TKN)
8. t00
81,000.000
162.000
Phosphorus
2.060
20,600.000
41.200
Potassium
0.676
6,760.000
13.520
PAN (injected)*
3.173
31,725.720
63.451
PAN (surface)*
2.643
26,425.720
52.851
Ammonia Nitrogen
1.060
10,600.000
21.200
Calcium
1.220
12,200.000
24.400
Calcium Carbonate E .
---
---
Magnesium
---
4,040.000
8.080
Sodium
---
9,170.000
18.340
Sulfur
---
___
---
Nitrate N / Nitrite N
---
5.720
0.011
Barium
---
-__
Chloride
---
---
Iron
---
---
Aluminum
---
5,250.00
10.500
Arsenic
---
24.10
0.048
Cadmium
---
24.10
0.048
Chromium
---
24.100
---
Co er
---
94.10
0.188
Lead
---
24.10
0.048
Mercury
---
0.809
0.002
Molybdenum
---
24.10
0.048
Nickel
---
24.10
0.048
Selenium
---
24.10
0.048
Zinc
---
2,160.00
4.320
Environmental Chemists # 2022-05378
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
2.62
Ceiling Concert.
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or a detection limits are Iisted as detection limits
for calculation purposes.
75
85
840
57
75
420
100
7.501

LEWIS FARMS
WQ0000455
Stateside
03/23/22
515,874
5.7125
03/23/22
128,343
5.1084
03/23/22
118,227
5.0727
03/23/22
68,063
4.8329
03/23/22
94,973
4.9776
03/23/22
111,628
5.0478
03/23/22
69,519
4.8421
Total 35.5940
Average 1 5.0849
Geometric Mean Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen for Reduction
requirement.

metEnvironmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
SYA710 Bowsertown Road, Manteo, NC 27954 • 252,473.3702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS inroCa.':environmentalchemists.com
Lewis Farms R Liquid Waste, INC.
Date of Report: Apr 07, 2022
8155 Malpass Corner Road
Customer PO #:
Currie NC 28435
Customer ID: 14020008
Attention:
Report #: 2022-05378
Project ID: Stateside
Lab ID Sample ID:
Collect Datefiime Matrix Sampled by
22-12925 Site: Sludge
3/23/2022
7:45 AM Solid/Sludge Jeff Garmin
Test
Method
Results Date Analyzed
Sludge Residuals
Aluminum
EPA 200.7. Rev. 4.4, 1994
5250 mg/kg
03/30/2022
Arsenic
EPA 200.7, Rev. 4.4, 1994
<24.1 mg/kg
03/30/2022
Cadmium
EPA 200.7. Rev. 4.4, 1994
<24.1 mg/kg
03/30/2022
Calcium
EPA 200.7. Rev. 4.4. 1994
12200mg/kg
03/30/2022
Chromium
EPA 200.7, Rev. 4.4. 1994
<24.1 mg/kg
03/30/2022
Copper
EPA 200.7, Rev. 4.4, 1994
94.1 mg/kg
03/30/2022
Lead
EPA 200.7, Rev.4.4, 1994
<24.1 mgtkg
03/30/2022
Magnesium
EPA 200.7, Rev. 4.4, 1994
4040 mg/kg
03/30/2022
Molybdenum
EPA 200.7, Rev. 4.4, 1994
<24.1 mg/kg
03/30/2022
Nickel
EPA 2a0.7, Rev, 4.4, 1994
<24.1 mg/kg
03/30/2022
Potassium
EPA 200.7, Rev.4A, 1994
6760 mg/kg
03/30/2022
Selenium
EPA 200.7, Rev. 4.4, 1994
<24.1 mg/kg
03/30/2022
Sodium
EPA 200.7, Rev. 4.4, 1994
9170 mg/kg
04/05/2022
Zinc
EPA 200.7, Rev. 4.4, 1994
2160 mg/kg
03/30/2022
Nitrate+Nitrite-Nitrogen
EPA 353.2
5.72 mg/kg
03/25/2022
Total Solids (%)
SM 2540 B
2.04 %
03/25/2022
Ammonia Nitrogen
SM 4500 NH3 C-2011
10600mg/kg
03/24/2022
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B•2011
81000 mg/kg
03/24/2022
Total Phosphorus
SM 4500 P (F-H)-2011
20600 mg/kg
04/04/2022
PH
Result estimated. Analyzed out of 15 minutes
SW 846 Melhod 9045D
hold time.
7.20 units
03/31/2022
Mercury 5W-846 7471 B <Q.809 mg/kg 04/04/2022
Report;%: 2022-05378 Page 1 of 3

Environmental Chemists, Inc.
t 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab ■ 910.392,4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
M' 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS infoCd�environmentalcllemists.com
Lewis Farms & Liquid Waste, INC.
8155 Malpass Corner Road
Currie NC 28435
Attention:
Lab ID Sample ID:
22-12929 Site:1
Date of Report: Apr 07, 2022
Customer PO #:
Customer 1D: 14020008
Report #: 2022-05378
Project ID: Stateside
Collect DatelTime Matrix Sampled by
3/23/2022 7:45 AM Solid/Sludge Jeff Garmin
Test Method Results Date Analyzed
Total Solids (%) SM 2540 a 1,89 % 03/25/2022
Fecal Density SM 9221C E-2014 515874 MPN/g 03/23/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-12933 Site: 2 3/23/2022 7:45 AM Solid/Sludge Jeff Garmin
Test Method Results Date Analyzed
Total Solids (%) SM 2540 9 1.87 % 03/25/2022
Fecal Density SM 9221C E-2014 128343 MPN/g 03123/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-12934 Site: 3 3/23/2022 7:45 AM Solid/Sludge Jeff Garmin
Test Method Results Date Analyzed
Total Solids (%) SM 2540 a 2.03 % 03/25/2022
Fecal Density SM 9221C E-2014 118227 MPN/g 03/23/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-12935 Site: 4 3/23/2022 7:45 AM Solid/Sludge Jeff Garmin
Test Method Results Date Analyzed
Total Solids (%) SM 2540 s 1.91 % 03125/2022
Fecal Density SM 9221C E-2014 68063 MPN/g 03/23/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-12936 Site: 5 3/23/2022 7:45 AM Solid/Sludge Jeff Garmin
Test Method Results Date Analyzed
Total Solids (%) SM 2540 a 1.79 % 03/25/2022
Fecal Density SM 9221C E-2014 94973 MPNIg 03/23/2022
Report #:: 2022.05M Page 2 of 3

Lewis Farms & Liquid Waste, INC.
B155 Malpass Corner Road
Currie NC 28435
Attention:
Lab I❑ Sample ID:
22-12937 Site:6
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-12938 Site:7
Test
Total Solids (%)
Fecal Density
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 e 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 s 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
inforlenvironmentalchemists.com
Date of Report: Apr 07, 2022
Customer PO #:
Customer ID: 14020008
Report #: 2022-05378
Project ID: Stateside
Collect Date/Time
3/23/2022 7:45 AM
Method
SM 2540 6
SM 9221C E-2014
Collect Date/Time
3/23/2022 7:45 AM
Method
SM 2540 B
SM 9221C E-2014
Matrix Sampled by
Solid/Sludge Jeff Garmin
Results Date Analyzed
2.15 % 03/25/2022
111628 MPN/g 03/23/2022
Matrix Sampled by
Solid/Sludge Jeff Garmin
Results Date Analyzed
1.87 % 03/25/2022
69519 MPN/g 03/23/2022
Comment: Results, except pH, reported on a dry weight basis. pH reported on an as received basis.
Reviewed by: k)a�Au
Report #:: 2022.05370 Page 3 of 3

Environmental Chemist, inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: eA-o 5 Fnry t.s - �W Date: 23 i� Report Number: _ 2022-55-78
Receipt of sample:
E HEM Pickup ❑ Client Delivery
UPS ❑ FedEx ❑ Other ❑
S
EOY
❑
NO
N/A
1. Were custody seals present on the cooler?
S
❑
NO
N/A
2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
YES
❑
NO
3. if temperature of cooler exceeded 6'C, was Project Mgr./QA
YES
❑
NO
notified?
4. Were proper custody procedures (relfnquished/received) followed?
YES
❑
NO
5. Were sample ID's listed on the COV
YES
❑
NO
6. Were samples ID's listed on sample containers?
YES
❑
NO
7. Were collection date and time listed on the COC?
YES
❑
NO
S. Were tests to be performed fisted on the COC?
YES
❑
NO
9. Did samples arrive in proper containers for each test?
YE5
❑
NO
10. Did samples arrive in good condition for each test?
YES
❑
NO
111. Was adequate sample volume availableT
YES
❑
NO
112, Were samples received within proper holding time for requested tests?
❑ YES
❑
NO
113. Were acid preserved samples received at a pH of <2?
❑ YES
❑
NO
14, Were cyanide samples received at a pH >12?
❑ YES
-YES
❑
NO
115, Were sulfide samples received at a pH >9?
❑
❑
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑ YES
❑
NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
10
NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded an the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): 112SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
°C

6602 Win
Wilmington, NC
ENVIRONMENTAL CHEMISTS, INC OFFICE: 9m0-31 2 223FAX[phone]
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
rr)l I Pr-TlnKI enin f%14A[kl nr n ie rnnv
Client: Lewis Farms & Liquid Waste
PROJECT NAME: s-�b �, �� ,jr �►.�+K,•�
REPORT NO: 2d .�2 t 653 9�r
ADDRESS:
CONTACT NAME: Wesley Wooten
PO NO:
REPORT TO: Martin Mabe/Mabe-Wilcox
PHONE/FAX:
COPY TO:
email:
Sampled By:
SAMPLE
TYPE:
I = Influent,
E
= Effluent,
W
= Well,
5T
=
Stream,
SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
b
EV
0
"z
v a
2
u E
m°
g i
PRESERVATION
ANALYSIS REQUESTED
ate
Time
Temp
_
O
=
o
r
x
Z
o
w
o
Sludge
2�
12g�S
X
I Fu LP�I CNutrientslMetal�
G
G
C
P
�a5
G
G
��
X
Fecal Density/%TS
2
2533
X
Fecal Density/%TS ✓
G
G
3
c
p
1a�3`i
X
Fecal Density/%TS r/
G
G
4
C
P
119�
X
Fecal Density/%TS ✓
G
G
5
C
P
`2g3b
X
Fecal Density/%TS ✓
G
G
6
C
P
ia�
X
Fecal Density/%TS
G
G
7
C
P
1 a�gy
X
Fecal Density/%TS ./
G
G
Transfer
R&Vnquished
By-
DatefTime
Received
By.
Date/Time
2.
`1J
Temperature when Received: Accepted: Rej cted: Resample Reques ed:
Delivered By: Received ey: Date:
Comments: TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Fans 8c Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Stateside NPDES Number: WQ0035809
Monitoring Period: From 1/i/2022 To 12/31/2022
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternntivp narfnrmpri-
Class A: Alt. A (time/tem) ❑ Alt $ (Alit Treatment) ❑ Alt. C (Prior Testing) ❑
Alt.D (No Prior Test) ❑ I Process to Further Reduce Pathogen— ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thennophilic ❑
Seta Ray 01 Gamma Ray ❑ Pasteurization ❑ _
Class B. Alt. (1) FecaI Density El Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Signifienntly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑
Com ostin ❑
jAerobic Di estion ❑
Anaerobic Digestion
_ 71
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
Pathogen Density
Number o
Frequency
Sample
na yuca
in Sludge
g
Excee-
of AnalysisType
Tech-
Minimum
Geo. Mean
Maxitnu
Units
2 x 10 to the
6th power MPN
68,063
121,579
515,874
MPN/g
0
Annual
Grab
SM 9221 CE
per gram of
FecaI Colifortn
total solids CFU
1000 mpn per gram
of total solid (dry
wei ht)
Salmonella bacteria 3 MPN per 4 grams
(in lieu of fecal total solid (dry
coliform) I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) -
Please indicate alternative performed:
Alt.] (VS reduction) ❑ Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑ Alt. 4 (Spec, O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying -Unstable) ❑
Alt. 9 (Injection) El Alt. 10 (Incorporation) p
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Jeff Jarmon, ORC Wesley Wooten, President
Preparer Name and Ti (type or print) Land Applier Name and Title (if applicable)(type or print)
2/16/202 3 �,� j� 4/8/22
Signature o reparer Date Signature of Land pplier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: December 16, 2022
Sterling Farms WWTP Permit No. WQ0000455
1.76 % Solids
7.28 DH
Parameter
j %
JMg/KgDryWeightJPounds/Dry
(% x 10,000)
Ton
(Mg/Kg(Mg/Kg x 0.002)
Nitrogen (TKN)
1.000
50,000.000
100.000
Phosphorus
2.020
22,400.000
44.800
Potassium
1.010
8,410.000
16.820
PAN (injected)*
0.324
3,238.300
6.477
PAN (surface)*
0.308
3,077.800
6.156
Ammonia Nitrogen
0.032
1,480.000
2.960
Calcium
8.720
17,000.000
34.000
Calcium Carbonate E .
---
---
---
Magnesium
---
4,690.000
9.380
Sodium
---
7,390.000
14.780
Sulfur
---
---
---
Nitrate N / Nitrite N
---
13.600
0.027
Barium
---
---
---
SAR
1.71
Chloride
---
---
---
Iron
---
---
I Ceiling Concert.
M /K )
Aluminum
---
3,280.00
6.560
Arsenic
---
63.60
0.127
75
Cadmium
---
12.70
0.025
85
Chromium
---
12.700
---
--
Copper
---
156.00
0.312
4,300
Lead
---
12.70
0.025
840
Mercury
---
0.977
0.002
57
Molybdenum
---
12.70
0.025
75
Nickel
---
12.70
0.025
420
Selenium
---
12.70
0.025
100
Zinc
---
1,050.00
2.100
7,500
Environmental Chemists, Inc. 2022-25121
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

LEWIS FARMS
WQ0000455
Sterling Farms WWTP
po
12/16/22
625,851
5.7965
12/16/22
707,693
5.8498
12/16/22
250,000
5.3979
12/16/22
625,851
5.7965
12/16/22
661,871
5.8208
12/16/22
248,227
5.3948
12/16/22
415,385
5.6185
Total 1 39.
Average 5.6678
Geometric Mean 11
Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen Reduction
requirement.

r- 7 77 Environmental Chemists, Inc,
envir1 6602 Windmill Way, Wilmington, NC 28405 b 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 e 252.473.5702 Lab/Fax
sM, 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Lewis Farms & Liquid Waste, INC. Date of Report: Jan 09, 2023
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention: Report #: 2022-25121
Project ID: Sterling Farms
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-61798 Site: Sludge 12/16/2022 11:00 AM Solid/Sludge Lewis Farms
Test
Sludge Residuals
Aluminum
Arsenic
Cadmium
Calcium
Chromium
Copper
Lead
Magnesium
Molybdenum
Nickel
Potassium
Selenium
Sodium
Zinc
Nitrate+Nitrite-Nitrogen
Total Solids (%)
Ammonia Nitrogen
Method
EPA 200.7, Rev. 4A. 1994
EPA 2007, Rev. 4A, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7. Rev. 4.4, 1994
EPA 200.7, Rev, 4.4. 1994
EPA 200.7, Rev. 4.4. 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev, 4.4. 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4,4. 1994
EPA 200.7, Rev. 4.4. 1994
EPA 200.7, Rev. 4.4, 1994
EPA 200.7, Rev. 4.4, 1994
EPA 353.2
SM 2540 B
SM 4500 NH3 C-2011
Total Kieldahl Nitrogen (TKN) SM 4500 Norg B-2011
Total Phosphorus SM 4500 P {F-H)-2011
pH SW 646 Method 9045D
Result estimated. Analyzed out of 15 minutes hold time.
Mercury
SW-646 7471 B
Results
3280 mg/kg
<63.6 mg/kg
<12.7 mg/kg
17000 mg/kg
<12.7 mg/kg
156 mg/kg
<12.7 mg/kg
4690 mg/kg
<12.7 mg/kg
<12.7 mg/kg
8410 mg/kg
<12.7 mg/kg
7390 mg/kg
1050 mg/kg
13.6 mg/kg
1.76 %
1480 mg/kg
50000 mg/kg
22400 mglkg
7.28 units
<0.977 mglkg
Date Analyzed
01/04/2023
01 /06/2023
01/04/2023
01/04/2023
01/04/2023
01/04/2023
01/04/2023
01/04/2023
01/04/2023
01/04/2023
01 /04/2023
01/04/2023
01/04/2023
01/04/2023
12/21 /2 022
12/19/2022
12/19/2022
12/19/2022
12/28/2022
12/23/2022
12/30/2022
Report #.: 2022-25121 Page 1 of 3 i

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ^ 252.473.5702 Lab/Fax
sM' 255-A Wilmington Highway, Jacksonville, NC 28540 p 910.347,5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info [e-mail]
Lewis Farms & Liquid Waste, INC. Date of Report: Jan 09. 2023
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention: Report #: 2022-25121
Project ID: Sterling Farms
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-61799 Site: 1 12/16/2022 11:05 AM Solid/Sludge Lewis Farms
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 1.47 % 12/19/2022
Fecal Density SM 9221C E-2014 625851 MPN/g 12/16/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-61800 Site: 2 12/16/2022 11:06 AM Solid/Sludge Lewis Farms
Test Method Results Date Analyzed
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-61801 Site:3
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-61802 Site:4
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-61803 Site:5
SM 2540 B 1.30 % 12/19/2022
SM 9221C E-2o14 707693 MPN/g 12/16/2022
Collect Date/Time Matrix Sampled by
12/16/2022 11:07 AM Solid/Sludge Lewis Farms
Method Results Date Analyzed
SM 2540 B 1.40 % 12/19/2022
SM 9221C E-2o14 250000 MPN/g 12/16/2022
Collect DatelTime Matrix Sampled by
12/16/2022 11:08 AM Solid/Sludge Lewis Farms
Method
Results Date Analyzed
SM 254o B 1.47 % 12/19/2022
SM92210E-2014 625851MPN/g 12/16/2022
Collect DatelTime Matrix Sampled by
12/16/2022 11:09 AM Solid/Sludge Lewis Farms
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 1.39 % 12/19/2022
Fecal Density SM 9221C E-2014 661871 MPN/g 12/16/2022
I
Report 9-: 2022-25121 Page 2 of 3

Environmental Chemists, Inc.
1 9 t 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
LM 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
cnvironmentalchemists.com
Lewis Farms & Liquid Waste, INC. Date of Report: Jan 09, 2023
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer 1D: 14020008
Attention: Report #: 2022-25121
Project ID: Sterling Farms
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-61804 Site: 6 12/16/2022 11:10 AM Solid/Sludge Lewis Farms
Test Method Results Date Analyzed
Total Solids {%} SM2540 B 1.41 % 12/19/2022
Fecal Density SM 9221C E-2014 248227 MPN1g 12/16/2022
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
22-61805 Site: 7 12/16/2022 11.11 AM Solid/Sludge Lewis Farms
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 1.30 % 12/19/2022
Fecal Density SM 9221C E-2014 415385 MPN/g 12/16/2022
Comment: Results, except pH, reported on an dry weight basis, pH reported on a as received basis.
Reviewed by:
Reporl #:: 2022-25121 Page 3 of 3

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
client:i , � Date:l� 1(Qla, a, Report Number: _ 2022-0 5 )a
Receipt of sample:
ECHEM Pickup ❑ Client Delivery UPS ❑ FedEx ❑ Other ❑
❑ YES
❑
ND
N/A 1. Were custody seals present on the cooler?
❑ YES
❑
NO
N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt
How temperature taken:
❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 210886869 IR Gun Correction Factor °C: 0.0
❑
NO
3. If temperature of cooler exceeded 6"C, was Project Mgr./QA notified?
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
rYE
❑
NO
5. Were sample ID's listed on the COC?
❑
NO
6_ Were samples ID's listed on sample containers?
❑
NO
7. Were collection date and time listed on the COC?
❑
NO
8. Were tests to be performed listed on the CDC?
.11 YES
❑
NO
9. Did samples arrive in proper containers for each test?
YES
❑
NO
10. Did samples arrive in good condition for each test?
YES
❑
NO
11. Was adequate sample volume availableT
YES
❑
NO
12. Were samples received within proper holding time for requested tests?
❑ YES
❑
NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
❑
NO
14. Were cyanide samples received at a pH >12?
❑ YES
❑
NO
1S. Were sulfide samples received at a pH >9?
❑ YES
❑
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑ YES
❑
NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YE5
❑
NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
(Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headsoace
COMMENTS:
DOC. QA.002 Rev 1
'C

Analytical R Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
Client: Lewis Farms & Liquid Waste PROJECT NAME: REPORT NO:
ADDRESS: CONTACT NAME: Wesley Wooten PO NO:
REPORT TO: Martin Mabe/Mahe-Wilcox PHONE/FAX:
COPY TO: email.
Sampled Bv: S
Collection
Sample Identification
Date
Time
Temp
Sludge
1
ry�c
2
3
4
14as
5
Oro
5
r
Transfer
ished
ENVIRONMENTAL CHEMISTS, INC OFFICE:9 0iWindm1392- 2Way 23fIFAXg910392-44245
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
LL- Lsft.J
AMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
a H e Ix PRESERVATION
0LU
m ►= E° t7 ° ° E m i o' T o ANALYSIS REQUESTED
M
Im
milli
INN
me
is
I
2. f -
Temperature when Received: cr Accepted:
Delivered By:— ��� Received By:
Comments:
Recei
Nutrients/Metals
.iTS
)TS
)TS
,TS
,TS
TS
TS
mple Re nested:
ate: Time:
_TU N ROUND:
me

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms & Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Sterling Farms NPDES Number: WQ0029475
Monitoring Period: From I/l/2022 To 12/31/2022
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (tune/temp) ❑
Alt B (Alk Treatment) ❑
Alt. C (Prior Testing} ❑
Alt.D (No Prior Test)
I Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost 01
Heat Drying ❑
Heat Treatment ❑
Thennophilic Ej
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
-FA-It(l) Fecal Density E
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air D ing ❑
Composting ❑
jAerobic Digestion ❑
Anaerobic Digestion ❑
..............:.::...........:... .
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number ot
Excee-
Frequency
of Analysis
y
Sample
Type
AnaFyTEF
Tech -
Minimum
Geo. Mean
Maximo
Units
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
248,227
465,402
707,693
MPN/g
0
Annual
Grab
SM 9221 CE
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform) I
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC
02T .1107) - Please indicate alternative nerfnrmed-
A1t.I (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-daybench) ❑
jAlt. 4 (Spec. O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
I Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) El
Alt. 10 (Incorporation) 0
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
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."
Mike Cowell, ORC
Preparer Name and Title (type or print)
L d CoAlea
Michael Cowell (Jan 1 L 2023 09:43 CSTj
Signature of Preparer*
Wesley Wooten, President
Land Applier Name and Title (if applicable)(type or print)
Jan 11, 2023
1/11I23
Date Signature of La d Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

Sterling Farms WWTP '22 PVRF
Final Audit Report 2023-01-11
Created: 2023-01-11
By: Martin Mabe ([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAizzK7lrGXX6QWrafyEm4-npMoxeshEba
"Sterling Farms WWTP r22 PVRP History
J Document created by Martin Mabe ([e-mail])
2023-01-11 - 1:48A1 PM GMT- IP address: 173.94.169.164
U,2+ Document emailed to [e-mail] for signature
2023-01-11 - 1:49:15 PM GMT
!n Email viewed by [e-mail]
2023-01-11 - 2:43:00 PM GMT- IP address: 144.202.188.252
&o Signer [e-mail] entered name at signing as Michael Cowell
2023-01-11 - 2:43:32 PM GMT- IP address: 144.202.188.252
It Document e-signed by Michael Cowell ([e-mail])
Signature Date: 2023-01-11 - 2:43:34 PM GMT - Time Source: server- IP address: 144.202.188.252
Agreement completed.
2023-01-11-2:43:34 PM GMT
Q Adobe Acrobat Sign

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: February 21, 2022
The Cane
5.66 % Solids
6.44 pH
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
% x 10,000)
Pounds/Dry Ton
(Mg/Kg (Mg/Kgx 0.002)
Nitrogen (TKN)
6.520
65,200.000
130.400
Phosphorus
1.300
13,000.000
26.000
Potassium
0.306
3,060.000
6.120
PAN (injected)*
2.440
24,404,700
48.809
PAN (surface)*
2.095
20,954.700
41.909
Ammonia Nitrogen
0.690
6,900.000
13.800
Calcium
1.290
12,900.000
25.800
Calcium Carbonate E .
---
---
---
Magnesium
---
1,720,000
3.440
Sodium
---
2,300,000
4.600
Sulfur
---
-__
Nitrate N / Nitrite N
---
14.700
0.029
Barium
---
---
SAR
1.20
Chloride
---
---
---
Iron
---
---
---
Ceiling Concen.
(Mg/Kg)
Aluminum
---
2,050.00
4.100
Arsenic
---
20.10
0.040
75
Cadmium
---
20.10
0,040
85
Chromium
---
20.100
---
---
Copper
---
237.00
0.474
4,300
Lead
---
20.10
0.040
840
Mercury
---
0.327
0.001
57
Molybdenum
---
20.10
0,040
75
Nickel
---
20.10
0.040
420
Sclenium
---
20.10
0.040
100
Zinc
---
594.00
1.188
7,500
Environmental Chemists, Inc. # 2022-03153
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammon i a N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

COASTAL FARMS AND RESIDUALS, LLC
WQ0034806
The Cape WWTP
Wdt
02/21/22
336,843
5.5274
02/21/22
366,133
5.5636
02/21/22
336,135
5.5265
02/21/22
187,373
5.2727
02/21/22
106,300
5.0265
02/21/22
334,729
5.5247
02/21/22
329,219
5.5175
Total 1 37.9590 1
Average 1 5.4227
Geometric Mean ILE Ij I 1�j III 1� I Fecal Coliform MPN / gram
.X, I
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen Reduction
requirement.

. i.
F S+ .�Q
��envl�l71C�TP��1
ANALYTfCAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab 4 910.392A424 Fax
710 Bowsertown Road, Manteo, NC 27954 ' 252,473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 ' 910.347.5843 Lab/Fax
info Croenvi ronmen to Ichemists.com
Lewis Farms & Liquid Waste, INC.
Date of Report: Mar 15, 2022
8155 Malpass Corner Road
Customer PO #:
Currie NC 28435
Customer 1D: 14020008
Attention: Wesley Wooten
Report #: 2022-03153
Project ID: AquaNC-The Cape
Sludge
Lab lD Sample ID:
Collect DatelTime Matrix Sampled by
22-07449 Site: Sludge
2/21/2022
9:25 AM Solid/Sludge Kirkland Fields
Test
Method
Results
Date Analyzed
Chlordane (TCLP)
SW-846 8081 B
<0.02 mg/L
02/28/2022
Endrin (TCLP)
Sw-8468001 B
<0.0005 mg/L
02/28/2022
Heptachlor (TCLP)
SW-846 8081 B
<0.0005 mg/L
02/28/2022
Heptachlor epoxide (TCLP)
SW-845 8081 B
<0.0005 mg/L
02/28/2022
Lindane (TCLP)
SW-a468081 B
<0.0005mg/L
02/28/2022
Methoxychlor (TCLP)
sw-846 8081 B
<0.0005 mg/L
02/28/2022
Toxaphene (TCLP)
SW-845 8081 B
<0.05 mg/L
02/28/2022
2,4,5-TP (TCLP)
SW-646 8151 A
<0.003 mg/L
03/02/2022
2,4-D (TCLP)
SW-846 8151 A
<0.003 mg/L
03/02/2022
1,4-Dichlorobenzene (TCLP)
SW-8468270E
<0.050mg/L
03/01/2022
2,4,5-Trichlorophenol(TCLP)
SW-8468270E
<0.050mg/L
03/01/2022
2,4,6-Trichlorophenol (TCLP)
SW-846 8270 E
<0.050 mglL
03/01/2022
2,4-Dinitrotoluene(TCLP)
SWB458270E
<0.050mg/L
03/01/2022
Cresol (TCLP)
sW-8468270 E
<Q.050 mg/L
03/01/2022
Hexachloro-1,3-butadiene(TCLP)
SW-8468270E
<0.050mg/L
03/01/2022
Hexachlorobenzene (TCLP)
SW-8468270E
<0.050 mg/L
03/01/2022
Hexachloroethane (TCLP)
SW-846 8270 E
<0.050 mg/L
03/01/2022
m + p-Cresol (TCLP)
SW-846 8270 E
<0.050 m IL
g
03/01/2022
Nitrobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
03/01/2022
o-Cresol (TCLP)
SW-8465270 E
<0.050 mg/L
03101/2022
Pentachlorophenol (TCLP)
sW-846 6270 E
<0.250 mg/L
03/01/2022
Pyridine (TCLP)
SW-8468270 E
<0.050 m IL
9
03101I2022
1,1-Dichloroethylene (TCLP)
SW-846 Method82600
<0.01 mg/L
03/D2/2022
1,2-Dichloroethane (TCLP)
SW-846 Method 8260D
<0-01 mg/L
03/02/2022
Benzene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
03/02/2022
Carbon Tetrachloride (TCLP)
SW-846 Method 82600
<0,01 mg/L
03/02/2022
Report #. 2D22-03153
Page f of 4

enviracher
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab a 910.392,4424 Fax
710 Bowsertown Road, Manteo, NC 27954 a 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 a 920.347.5843 Lab/Fax
info(d-,environmentalchemists.com
Lewis Farms & Liquid Waste, INC.
Hate of Report: Mar 15, 2022
8155 Malpass Corner Road
Customer PO #:
Currie NC
28435
Customer ID: 14020008
Attention, Wesley Wooten
Report #: 2022-03153
Project ID: AquaNC-The Cape
Sludge
Chlorobenzene (TCLP)
SW-846 Method a260D
<0.01 mg/L
03/02/2022
Chloroform (TCLP)
SW-846 Method 8260D
<0.01 mg/L
03/02/2022
Methyl ethyl ketone (TCLP)
SW-846 Method 8260D
<0.05 mg/L
03/02/2022
Tetrachloroethylene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
03/02/2022
Trichloroethylene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
0310212022
Vinyl Chloride (TCLP)
SW-846 Method 8260D
<0.01 mg/L
03/02/2022
RCI
Cyanide
SM 4500 CN D-2016
4.55 mg/kg g 9
03101/2022
Sulfide
SM 4500 S D
7.01 mg/kg
03/03/2022
Ignitability
SW 846 method 1010
>158'F
02/25/2022
Sludge Residuals
Aluminum
EPA 200.7, Rev, 4A, 1994
2050 mglkg
02/22/2022
Arsenic
EPA 200.7, Rev. 4.4, 1994
<20.1 mg/kg
02/22/2022
Cadmium
EPA 200.7, Rev, 4A, 1994
<20.1 mglkg
02/22/2022
Calcium
EPA 200,7, Rev. 4.4, 1994
12900 mg/kg
02/22/2022
Chromium
EPA 200.7, Rev, 4.4,1994
<20.1 mg/kg
02/22/2022
Copper
EPA 200 7, Rev. 4A, 1994
237 mglkg
02122/2022
Lead
EPA 200.7, Rev, 4.4, 1994
<20.1 mg/kg
02/22/2022
Magnesium
EPA 200.7, Rev, 4.4, 1994
1720 mg/kg
02122/2022
Molybdenum
EPA 200.7, Rev. 4.4, 1994
<20.1 mg/kg
02/22/2022
Nickel
EPA 200.7, Rev, 4.4, 1994
<20.1 mglkg
02/2212022
Potassium
EPA 200.7, Rev. 4.4, 1994
3060 mg/kg
02/22/2022
Selenium
EPA 200.7. Rev. 4,4, 1994
<20.1 mg/kg
02/22/2022
Sodium
EPA 200.7, Rev. 4.4, 1994
2300 mg/kg
02/22/2022
Zinc
EPA 200.7, Rev. 4.4, 1994
594 mg/kg
02/22/2022
Nitrate* N itr ite- Nitrogen
EPA 353 2
14.7 mglkg
02/23/2022
Total Solids (%)
SM 2540 B
5.66 %
02/21/2022
Ammonia Nitrogen
SM 4500 NH3 C-2011
6900 mg/kg
02/22/2022
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B-2011
65200 mg/kg
02/22/2022
Total Phosphorus
SM 4500 P (F-H)-2011
13000 mg/kg
03/01/2022
Report A•.: 2022-03153
Paqe 2 of 4

Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 a 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 m 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 a 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS into(g+environmentalchemists.com
Lewis Farms & Liquid Waste, INC. Date of Report: Mar 15, 2022
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention: Wesley Wooten Report #: 2022-03153
Project ID: AquaNC-The Cape Sludge
pH SW 846 Method 90450 6.44 units 03/14/2022
Result estimated. Analyzed out of 15 minutes hold time.
Mercury
SW-B46 7471 B
TCLP Metals
Arsenic
EPA 200.7. Rev. 4 4.1994
Barium
EPA 200.7, Rev. 4.4, 1994
Cadmium
EPA 200,7. Rev. 4.4, 1994
Chromium
EPA 200 7, Rev. 4.4. 1994
Lead
EPA 200.7, Rev, 4.4, 1994
Selenium
EPA 2007, Rev- 4.4. 1994
Silver
EPA 200.7. Rev. 4.4, 1994
Mercury
EPA 245.1
Lab ID
Sample ID:
Collect DatelTime
22-07450
Site: Sludge 1
2/21/2022 9:25 AM
Test
Method
Total Solids (%)
SM 2540 B
Fecal Density
SM 9221C E-2014
Lab ID
Sample ID:
Collect Daterrime
22-07451
Site: Sludge 2
2/21/2022 9:25 AM
Test
Method
Total Solids (°/a)
SM 2540 B
Fecal Density
SM 9221C E-2014
Lab ID
Sample ID:
Collect Date/Time
22-07452
Site: Sludge 3
2/21/2022 9:25 AM
Test
Method
Total Solids (%)
Fecal Density
SM 2540 B
5M 9221C E-2014
<0.327 mglkg
e 1.0 mg/L
<1.O mg/L
<1.0 mg/L
<1.0 mg/L
<1.Omg/L
<1.OmglL
<1.0 mg/L
<0.0002 mg/L
Matrix
Solid/Sludge
Results
02/28/2022
02/28/2022
02/28/2022
02/28/2022
02/28/2022
02/28/2022
02/28/2022
02/28/2022
02/2 B/2 022
Sampled by
Kirklyn Fields
Date Analyzed
4.75 % 02/21/2022
336843 M PN/g 02/21 /2022
Matrix Sampled by
Solid/Sludge Kirklyn Fields
Results Date Analyzed
4.37 % 02121 /2022
-366133 MPN/g 0212l/2022
Matrix Sampled by
Solid/Sludge Kirklyn Fields
Results
4.76 %
336135 MPN/g
Date Analyzed
02/21 /2022
02121 /2022
Report #% 2022-03153
Page 3 of 4

ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 - 910,392.0223 Lab • 910.392,4424 Fax
710 Bowsertown Road, Manteo, NC 27954 a 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910-347.5843 Lab/Fax
info{g!environ men talchernists.coan
Lewis Farms & Liquid Waste, INC. Date of Report: Mar 15, 2022
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention: Wesley Wooten Report #: 2022-03153
Project ID: AquaNC The Cape Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-07453 Site: Sludge 4 2/21/2022 9:25 AM Solid/Sludge Kirklyn Fields
Test
Total Solids (°10)
Fecal Density
Lab ID Sample ID:
22-07454 Site: Sludge 5
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-07455 Site: Sludge 6
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-07456 Site: Sludge 7
Test
Method
Results Date Analyzed
SM 2540 B
4.91 %
SM 9221C E-2o14
187373 MPN/g
Collect DatelTime
Matrix
2/21/2022 9:25 AM
Solid/Sludge
Method
Results
SM 2540 B
5.08 %
SM 9221 C E-2014
1
02/21/2022
02/21/2022
Sampled by
Kirklyn Fields
Date Analyzed
6300 MPNIg
Collect Date/Time Matrix Sampled by
2/21/2022 9:25 AM Solid/Sludge Kirklyn Fields
02/21/2022
02/21/2022
Method Results Date Analyzed
SM 2540 B 4.76% 02/21/2022
SM 9221C E-2014 334729 MPN/g 02/21/2022
Collect Date/Time Matrix Sampled by
2/21/2022 9:25 AM Solid/Sludge Kirklyn Fields
Method Results Date Analyzed
Total Solids (%) SM 2540 B 4 86 % 02/21/2022
Fecal Density SM 9221C E-2014 329219 MPNIg 02/21/2022
Comment: Sludge residuals, except pH, reported on a dry weight basis. pH reported on an as received basis.
I
Reviewer} by:
Report #.: 2022-03153
Page 4 of 4

Environmental Chemist, Inc., Wilmington, NC Lab 494
6602 Windmill Way
Wilmington, NC 28405
Sample Receipt Chec[c(; 910.392.0223
IC � !St
Client:Leq
ts E--��-4�iC�
Date. � Report Number: 2QZz_
Re erc pt—of sanlple; -~ ECH Pick
u ❑
ID YES ❑ NO p Client Delivery UP5 ❑
N/A 1. Were custodyseals present on the cooler? FedEx ❑ Other ❑
❑ YES ❑ NO
N/A 2. if custody seals were present, were they intact/unbroken?
Original temperature upon receipt
How temperature taken: oC Corrected temperature upon receipt
!R Gun ID, Thomas Traceable S/N❑: 2 0835468 Uf a Blank aC
Against Bottles
lun
ElYES ❑ NO 3. if temperature of cooler exceeded 6tC, Was cPro ect M r
YES ❑ NO 4. Were proper custod J g /QA notified?
YES ❑ Were sample !0s fisted on the CO
NO p y procedures (relinquished/received} fallowed?
S• C? YES ❑ NO 6. Were sampleslisted on sample containers?
YES ❑ NO 7. Were collection date and time listed an the COC?
YES ❑ NO $. Were tests to be performed listed on the COC11 ?
YES ❑ NO 9. Did samples arrive in proper containers for each test?
VFS n ?n
1 _
h "r' ' i gJJ� wn�iiiorl for e=-rh t?cF?
YES J❑ NO11 �,".'asYadequaFp Sample volume 2Yai13�J!-27'
NO 12. Were samples received within proper hofding lime forrequested tests y
❑ YES ❑ NO 13. Were acid preserved samples received at a pH of <2?
❑ YES ❑ YES ❑ NO 14. Were cyanide samples received at a pH >12?
❑ NO 15. Were sulfide samples received at a pH >9?
❑ YES ❑ NO 16. Were NH3/iKN/PhenoJ received at a chlorine residual of <I7.5 a x
❑ YES ❑ NO 17. Were Sulfide "I received at a chlorine residual of c0.5 m7�
❑ YES ❑ NO 18. Were orthophosphate samples filtered in the field �m/C.
Within 15 minutes?
TOCNOfatiles are pH checked at time of analysis and recorded an the benchsheet.
Bacteria samples a"e checked For Chlorine at time of anafOs and record=_d an the benchsheet.
Sample Preservation: (Must be completed for any sample(sJ incorrectly preserved or with h
Sample(s} eadspace)
were received incorrectly preserved and were adjusted accordin-)y
by adding (circle one): H 50..
z , HNO3 HCl NaOH
Time of preservation: if more than one preservative is needed, notate in com
Note: rlotiry customer, service irnm_d,atel forincor ments below
Y rectly preserved samples. obtain a ne,v sa.'nple o,-
lotil f the;tate lab if dire�ed to analyzed by tik2 customer, bJi o was notiTied dale Vola tiles Samples} ' a,�e time:
were received with headspace
COMMEiVTS:
DOC. QA.002 Re+r 1

�w{ ENVIRONMENTAL CHEMISTS, INC
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
Client: Lewis Farms & Liquid Waste PROJECT NAME: Cqc.,j !
ADDRESS: V155 A41 C'nn-ey- fed CONTACT NAME: Wesley Wooten
,T. a P(.3 REPORT TO: Martin Mabe/Mabe-Wilcox
1
2
3
A
ampled By: f�,
Sample Identification
5Y�
Tn
Date I Time
'21<Aw
2-2I-21-
2-21- 2-2-1 r ,;gr, s
1.
2.
Temperature when Received:_
Delivered By: RIVII-fy H f
Comments:
COPY TO:
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
REPORT NO:
PO NO:
PHONE/FAX:
email•
_- 0
SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
d
N�
_�
�
c W
PRESERVATION
m
0
E
°_
iu
ANALYSIS REQUESTED
f1
Temp
N~
E
° a
U
t
V
5=
2
°
Z
"
x
n
i
z
4
hed
G
X
Full TCLP, RCI, Nutrients/Metals
L
c
�`
T:SD
G
X
Fecal Density/%TS
�L
c
�
1-7q5X
Q9
G
Fecal Density/%TS
C
15
t1
7
6'
G
X
Fecal Density/%TS
SL
c
0
�53
0
G
X
IFecal
Densi MTS
L
X
Fecal Density/ /oTS
SL
C
®
�
G
G
X
Fecal Density/%TS
'rL
C
(0
0
G
X
Fecal Density/%TS
By:
Daterrime
m
—Time:
D:
Date/Time

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORIvi (02T Rules)
Facility Name: Lewis Farms & Liquid Waste, Inc.
WWTP Name: The Cape WQ Permit Number: WQ0000455
Monitoring Period: From NPDES Number: N T057703
1/I/2022 To 12/31/2022
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate ievel achieved and alternative performed:
Class A; Alt. A (tithe/temp) ❑ Alt B (Alit Treatment
AIt.D ) ❑ Alt. C (Prior Testing} ❑
(No Prior Test) ❑ Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ❑ Heat Treatment ❑
Beta Ray ❑ Gamma Ra ❑ Themtophilic Q
Pasteurization ❑
Class B: AIt. Off -Kcal Density ES] Alt (2) Process to Si ifca
nt If applicable to alternative performed (Class B Ord )indicate "Process to Significantly dttRedoce P tbog11
lime Stabilization Aar in ❑ Com ostin
Anaerobic 0westion r1 < <:=:<> :,;;::::,:::::•:.:._ ❑ Aerobic Diaestion rt
It app icable to alternative performed (Class A or Class B) complete -the followin
Parameter
Allowable Level
Pathogen um er o
gen Density
monitoring'data:
in Sludge
Minimu
Geo. Mean Maximu Units Excee-
Frequency Sample
ofAnatysis
na yr"
Tech-
2x10tothe
Type
ypnicitle
6th power
MPN
106,300
264,676 366,133 MPN/g 0
Annual Grab
SM9221 [
Fecal Coliform
per gram of
total solids
CFU
1 DUD mpn per gram
of total solid (dry
.....- a� k� 114 a LYIrw per grams
(in lieu of fecal total solid (dry
Vector Attraction Reduction {15A NCAC 02T .1107) - Please indicate alternative performed: Alt.I (VS reduction) 0 Alt. 2 (40-day bench) ❑ Alt. 3 30-day bench
Alt. 5 14-Da Aerobic { y ) ❑ Alt. 4 {Spec. O� uptake) ❑
( Y ) ❑ Alt. 6 (Alk Stabilization ❑ Alt 7 (Drying - Stable) ❑ Alt. B (Drying -Unstable) ❑
Alt. 9 (Injection) �] Alt, 10 (Incorporation) p IVa vector attraction reduction alternatives were performed ❑
CERTI)F'ICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T _1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 anti the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"Tills 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."
Kirklyn Fields, ORC Wesley Wooten - President
Preparer Name and T' a (type r print) Land Applier Name and Title (if applicable)(type or print)
t'
Signature of reparer* 3/ 16/22
Date Signature of Land Appl'er (if applicable) Date
*Preparer is defined in 40 CI:R Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM AVRF 02T (12I2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: April 5, 2022
Pluris - Webb Creek Permit No. WQ0000455
3.17 % Solids
7.41 pH
Parameter
I %
lMg/KgDryWeight
(% x 10,000)
Pounds/Dry Ton
_(Mg/Kg x 0.002)
Nitrogen (TKN)
3.910
39,100.000
78.200
Phosphorus
1.370
13,700.000
27.400
Potassium
0.416
4,160.000
8.320
PAN (injected)*
1.323
13,229.790
26.460
PAN (surface)*
1.216
12,159.790
24.320
Ammonia Nitrogen
0.214
2,140.000
4.280
Calcium
0.950
9,500.000
M000
Calcium Carbonate E .
---
---
---
Magnesium
---
1,720.000
3.440
Sodium
---
2,420.000
4.840
Sulfur
---
...
---
Nitrate N / Nitrite N
---
1.790
0.004
Barium
---
---
---
SAR
1.07
Chloride
--
---
Iron
---
---
---
Ceiling Concen.
(Mg/Kg)
Aluminum
---
7,570.00
15.140
Arsenic
---
9.59
0.019
75
Cadmium
---
9.59
0.019
85
Chromium
---
9.590
---
---
Copper
---
109.00
0,218
4,300
Lead
---
0.96
0.002
840
Mercury
---
0.530
0.001
57
Molybdenum
---
9.59
0,019
75
Nickel
---
9.59
0.019
420
Sclenium
---
9.59
0.019
100
Zinc
---
1,050.00
2.100
7,500
Environmental Chemists 2022-06040
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

LEWIS FARMS
WQ0000455
Pluris Webb Creek WWTP
04/05/22
952,381
5.9788
04/05/22
557,576
5.7463
04/05/22
860,216
5.9346
04/05/22
295,082
5.4699
04/05/22
541,177
5.7333
04/05/22
310,345
5.4918
04/05/22
547,620
5.7385
Total 1 40.0933
Average 1 5.7276
Geometric Mean II I 11! 111 i �-- ".3-1141, Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen for Reduction
requirement.

a Environmental Chemists Inc.
V U B e i 6602 Windmill Way Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
se, 255 A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info a enrironmentalchemists.com
Pluris LLC,
Date of Report: May 02, 2022
P. 0. Box 856
Customer PO #:
Sneads Ferry NC 28460
Customer ID: 09110001
Attention: Randy Hoffer
Report #: 2022-06040
Project ID: Webb Creek Sludge
Lab ID Sample 10:
Collect Date/Time Matrix Sampled by
22-14673 Site: Sludge
4/5/2022
10:40 AM Solid/Sludge William Andrews
Test
Method
Results
Date Analyzed
Chlordane (TCLP)
SW-846 8081 S
<0.02 mg/L
04/15/2022
Endrin (TCLP)
SW-846 8081 8
<0.0005 mg/L
04/15/2022
Heptachlor (TCLP)
SW-846 8081 B
<0.0005 mg/L
04/15/2022
Heptachlor epoxide (TCLP)
SW-846 8081 B
<0.0005 mg/L
04/15/2022
Lindane (TCLP)
SW-846 B081 B
<0.0005 mg/L
04/15/2022
Methoxychlor (TCLP)
SW-646 8081 B
<0.0005 mg/L
04/15/2022
Toxaphene (TCLP)
SW-846 8081 B
<0.05 mg/L
04/15/2022
2,4,5-TP (TCLP)
SW-8468151 A
<0.003 mg/L
04/18/2022
2,4-❑ (TCLP)
SW-846 8151 A
<0.003 mg/L
04/18/2022
1,4-Dichlorobenzene (TCLP)
SW-846 6270 E
<0.050 mg/L
04/14/2022
2,4,5-Trichlorophenol (TCLP)
SW-8468270E
<0.050mg/L
04/14/2022
2,4,6-Trichlorophenol (TCLP)
SW-846 0270 E
<0.050 mg1L
04/14/2022
2,4-Dinitrotoluene (TCLP)
SW-846 8270 E
<0.050 mg/L
04/14/2022
Cresol (TCLP)
SW-846 8270 E
0.170 mg/L
04/14/2022
Hexachloro-1,3-butadiene (TCLP)
SW-8468270E
<0.050mg/L
04/14/2022
Hexachlorobenzene (TCLP)
SW-646 0270 E
<0.050 mg/L
04/14/2022
Hexachloroethane (TCLP)
SW-846 0270 E
<0.050 mg/L
04/14/2022
m + p-Cresol (TCLP)
SW-84B 8270 E
0.170 mg/L
04/14/2022
Nitrobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
04/14/2022
o-Cresol (TCLP)
SW-846 8270 E
<0.050 mg/L
04/14/2022
Pentachlorophenol (TCLP)
SW-846 8270 E
<0,250 mg/L
04/14/2022
Pyridine (TCLP)
SW-846 8270 E
<0.050 mg/L
04/14/2022
1,1-1)ichloroethylene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
04/19/2022
1,2-Dichloroethane (TCLP)
SW-846 Method 8260D
<0,01 mg/L
04/19/2022
Benzene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
04/19/2022
Carbon Tetrachloride (TCLP)
SW-846 Method 82600
<0.01 mg1L
04/19/2022
Report #.: 2022-06040
Page 1 of 4

A Environmental. Chemists, Inc.
g 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
r, w 710 Bowsertown Road, Manteo NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 o 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info rr environmentalchemists.com
Pluris LLC.
Date of Report: May 02, 2022
P. O. Box 856
Customer PO #:
Sneads Ferry NC
28460
Customer ID: 09110001
Attention: Randy Hoffer
Report #: 2022-06040
Project ID: Webb Creek Sludge
Chlorobenzene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
04/19/2022
Chloroform (TCLP)
SW-846 Method 62600
<0.01 mg/L
04/19/2022
Methyl ethyl ketone (TCLP)
SW-B46 Method 8260D
<0,05 mg/L
04/19/2022
Tetrachloroethylene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
04/19/2022
Trichloraethylene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
04/19/2022
Vinyl Chloride (TCLP)
SW-846 Method 8260D
<0.01 mglL
04/19/2022
RCI
Cyanide
SM 45aa CN 0-2016
1.30 mglkg
0410612022
Sulfide
SM 4500 S D
4.85 mg/kg
04/11/2022
Ignitability
SW 846 method 1010
>158 °F
04/12/2022
Sludge Residuals
Aluminum
EPA 200.7, Rev. 4.4. 1994
7570 mg/kg
04/14/2022
Arsenic
EPA 2a0.7, Rev. 4.4, 1994
<9.59 mg/kg
04/14/2022
Cadmium
EPA 200.7. Rev. 4.4, 1994
<9.59 mg/kg
04/14/2022
Calcium
EPA 200.7, Rev. 4.4, 1994
9500 mg/kg
04/14/2022
Chromium
EPA 200.7, Rev. 4.4, 1994
<9.59 mg/kg
04/14/2022
Copper
EPA 200.7, Rev. 4.4, 1994
109 mg/kg
04/14/2022
Lead
EPA 200.7, Rev. 4.4, 1994
<0.959 mg/kg
04/14/2022
Magnesium
EPA 200.7, Rev. 4.4, 1994
1720 mg/kg
04/14/2022
Molybdenum
EPA 200.7, Rev. 4.4. 1994
<9.59 mg/kg
04/14/2022
Nickel
EPA 200.7, Rev. 4.4. 1994
<9.59 mg/kg
04/14/2022
Potassium
EPA 200.7. Rev. 4.4, 1994
4160 mg/kg
04/14/2022
Selenium
EPA 200.7, Rev. 4.4, 1994
<9.59 mg/kg
04/14/2022
Sodium
EPA 200.7, Rev. 4.4, 1994
2420 mg/kg
04/14/2022
Zinc
EPA 200.7. Rev, 4.4. 1994
1050 mg/kg
04/14/2022
Nitrate+Nitrite-Nitrogen
EPA 353.2
1.79 mg/kg
04/06/2022
Total Solids (%)
SM 2540 B
3.17 %
04/07/2022
Ammonia Nitrogen
SM 4500 NH3 C-2011
2140 m !k
9 g
04/0612022
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B-2011
39100 mg/kg
04/07/2022
Total Phosphorus
SM 4500 P (F-H)-2011
13700 mg/kg
04/13/2022
Report Ni: 2022.06040
Page 2 of 4

Environmental Chemists, Inc
r ® 6602 Windmill Way, Wilmington, NC 28405 • 910,392.0223 Lab ■ 910.392.4424 Fax
s f4 LIB, y„` rr sA, 710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Pluris LLC. Date of Report: May 02, 2022
P. O. Box 856 Customer PO #:
Sneads Ferry NC 28460 Customer ID: 09110001
Attention: Randy Hoffer Report M 2022-06040
Project ID: Webb Creek Sludge
pH SW 846 Method 90450 7.41 units 04/12/2022
Result estimated. Analyzed out of 15 minutes hold time.
Mercury
TCLP Metals
Arsenic
Barium
Cadmium
Chromium
Lead
Selenium
Silver
Mercury
Lab ID Sample iD:
22-14674 Site:001
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-14575 Site:002
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
22-14676 Site:003
Test
SW-846 7471 B
<0.530 mg/kg 04/25/2022
EPA 200.7, Rev, 4.4, 1994
<1.0 mg/L 04127/2022
EPA 200.7, Rev. 4A. 1994
<1 mg/L 04/20/2022
EPA 200.7, Rev, 4A, 1994
<1 mg/L 04/20/2022
EPA 200.7, Rev. 4.4, 1994
<1 mg/L 04/20/2022
EPA 200.7. Rev. 4.4, 1994
<1 mg1L 04/20/2022
EPA 200.7, Rev. 4.4, 1994
<1.0 mg/L 04/27/2022
EPA 200.7, Rev, 4.4, 1994
<1 mg/L 04/20/2022
EPA 245.1
<0.0002 mg/L 04/22/2022
Collect Date/Time
Matrix Sampled by
4/5/2022 10:40 AM
Solid/Sludge William Andrews
Method
Results bate Analyzed
SM 2540 B
1.68 % 04/07/2022
SM 9221C E MPN 24 hr 503
952381 MPN/g 04/05/2022
Collect Date/Time
Matrix Sampled by
4/5/2022 10:40 AM
Solid/Sludge William Andrews
Method
Results bate Analyzed
SM 2540 B
1.65 % 04/07/2022
SM 9221C E MPN 24 hr 503
557576 MPN/g 04/05/2022
Collect DatelTime
Matrix Sampled by
4/5/2022 10:40 AM
Solid/Sludge William Andrews
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
1.86 %
04/07/2022
Fecal Density
SM 9221C E MPN 24 hr 503
860216 MPN/g
04105/2022
Report #;. 2022-06040 Page 3 of 4

�enu���roche�n .
} P
ANALVTtCAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 e 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 29540 • 910.347.5843 Lab/Fax
infoCaenvironmentalciiemists. con
Pluris LLC.
Date of Report: May 02, 2022
P. O. Box 856
Customer PO #:
Sneads Ferry NC
28460 Customer ID: 09110001
Attention: Randy Hoffer
Report #: 2022-06040
Project ID: Webb Creek Sludge
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
22-14677 Site: ON
4/5/2022 10:40 AM Solid/Sludge William Andrews
Test
Method Results Date Analyzed
Total Solids (%)
SM 2540 8 1.83 % 04/07/2022
Fecal Density
SM 9221 C E MPN 24 hr 503 295082 MPN/g 04/05/2022
Lab ID Sample ID:
Collect Date[Time Matrix Sampled by
22-14678 Site: 005
4/5/2022 10:40 AM Solid/Sludge William Andrews
Test
Method Results Date Analyzed
Total Solids (°/a)
SM 2540 s 1.70 % 04/07/2022
Fecal Density
SM 9221C E MPN 24 hr 503 541177 MPNIg 04/05/2022
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
22-14679 Site: 006
4/5/2022 10:40 AM Solid/Sludge William Andrews
Test
Method Results Date Analyzed
Total Solids (%)
SM 2540 8 1 74 % 04/07/2022
Fecal Density
SM 9221C E MPN 24 hr 503 310345 MPNIg 04/05/2022
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
22-14680 Site: 007
4/5/2022 10:40 AM Solid/Sludge William Andrews
Test
Method Results Date Analyzed
Total Solids (%)
SM 2540 8 1.68 % 04/07/2022
Fecal Density SM 9221C E MPN 24 hr 503 547620 MPNIg 04/05/2022
Comment: Sludge residuals, except pH, reported on a dry weight basis. pH reported on an as received basis.
Reviewed by:�'-
Report #;: 2022-06040 Page 4 of 4

Environmental Chemist, Inc., Wilmington, NC Lab ##94
6602 Windmill Way
Wilmington, NC 28405
91
Sam I R 0.392.0223
p e ece+pt Checklist
Clien ebb 1 1 Z2
Date: !T Report Number: _ 2022- D
Receipt of sample: ECHEM Pickup Client Delivery ❑ UP5 ❑
❑ YES ❑ NO FedEx ❑ Other ❑
N/A 1. Were custody seals present on the cooler?
❑ YES ❑ NO N/A custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C
How temperature taken: El Temperature, Corrected temperature upon receipt Blanknst °C
1R Gun ID: Thomas Traceable 5/N 192511657 iR Gun CorrectiongFactor C: 0.0
YES ❑ NO 3. if temperature of cooler exceeded C 6 , was Project M r, YES ❑ NO � J g /QA notified?
4. Were proper custody procedures(relinquished/received)fo
❑
YES NO 5. Were sample ID's listed an the COL? ][owed?
YES ❑ NO 6. Were samples iD's listed on sample containers?
YES ❑ NO 7. Were collection date and time listed on the COC?
YES ❑ NO $. Were tests to be performed listed on the COC?
YES ❑ NO 9. Did samples arrive in proper containers for each test?
YES ❑ NO 10. Did samples arrive in good condition for each test?
Yts u No 11. V/as adequate sample volume availableT
YES ❑ NO 12. Were samples received within proper holding time for requested tests?
❑ YES ❑ No 13. Were acid preserved samples received at a pH of <2?
❑ YES ❑ NO 14. Were cyanide samples received at a pH >12?
❑ YES ❑ NO S. Were sulfide samples received at a pH >9?
❑ YES ❑ No 16. Were NN3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑ YES ❑ NO 17. Were Sulfide/Cyanide received at a chlorine residual of <).5 m/L?
❑ YES ❑ NO 18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time oFanalysis and recorded on the benchsheet.
Sample preservation; (Must be completed for any samples) incorrectly preserved or with headspace)
Samples) were received incorrect)
by adding (circle one): H 50 HNO Y preserved and were adjusted accordingly
z a a HLI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. who was notified, date and time:
Volatiles Samples) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

Analytical & Consulting Chemists
Client: Pluris-Webb Creek
ADDRESS:
Sample Identification
1
2
3
4
2.
Temperature when
Delivered By:
Comments:
ton, NC
ENVIRONMENTAL CHEMISTS, INC aFFICEn910392-02 3ll Way'IFAX 910-392-4424$
NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
PROJECT NAME: Sludge analysis REPORT NO: 22 _ iv G `I
CONTACT NAME: Randy Hoffer PO NO:
REPORT TO: PHONE/FAX:
COPY TO: Lewis Farms/Martin Mahe email:
SAMPLE TYPE: i = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Collection
d
m —
m
a
PRESERVATION
a,m
a a
`o
C0
`o
a
.2rn
e
�11J
m
z
o
p
o
n
w
ANALYSIS REQUESTED
Date
Time
Tempy
U°
``
"
z
z
_
z
a
L
G
��
X
Nutrients/Metals/TCLP-full, RCI
C
G
jq
X
Fecal densi /%TS
l
Si.
G
���'
X
Fecal densi%TS
y �
G
I 9l
X
Fecal densi 1°/aTS
G
X
Fecal densi /%TS
1 �
a
G
X
Fecal densi /%TS
C
G
(A
X
Fecal densi /%TS
C
(a
G
j q L' �
Fx
Fecal density/%TS
a
C P
G
Relinquished By: DatelTime
i/
eived By:
Y Date/Time
10
ample Requested:
e• Y-�-ZZ Time:
TURNAROUND;

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms & Liquid Waste, Inc.
WWTP Dame: Pluris - Webb Creek
Monitoring Period:
Pathogen Reduction
Class A: I A]
From
1 / 112022
5A NCAC 02T.11
k (tinieltemp) ❑
AILD (No Prior Test)
If applicable to alternative performed (L'l�
Compost El at Drying ❑
Beta Ray ❑ Ganm�a Ra ❑
Class B: AR. (1) Fecal DensftZ
If applicnble to alternative performed (Cli
Lime Stabilization ❑
i Air
Anaerobic Digestion
nri
If applicable to alternative nerformerl i
Parameter
Fecal Coliforin
Salmonella bactel
(in lieu of fecal
Allowable Levcl
in Sludge
2 x 10 to the MPN
6th power
per gram of
Mal solids CFU
1000 mpn per gram
of total solid (dry
g 3 MPN per 4 ams
total solid (dry
To
WQ Permit Number: WQ0000455
NPDES Number: NCO062642
12131/2022
06) - Please indicate level achieved and alternative perfon
Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑
❑ Proms to hider Reduce Padio ens ❑
A only) indicate "Process to Further Reduce Pathogens":
Heat Treatment ❑ Thenno hilic ❑
Pasteurization ❑ : a:.rt::?:<` >=i''3ii....
]_j Alt. (2) Process to Significttn
ss B only) indicate ")Process to Sign
Drying ❑ Couzpostu
r:::
Class A or Class II) complete the
Pathogen Density
unto Geo. Mean lMax irnurri Units
Reduce Pathogens ❑
antly Reduce Pathogens":
❑ jAerDbic Di estion El
Ilowing monitorin data,
urnberol Frequency Sample na ync
>rxcee- Tech-
A— of Analysis Tvpe _ _ _
293,082 I 534,095 1952,3811 MPN/g I 0 I Annual I Grab I SM9221
Vector Attraction Reduction (15A NCAC 02T .1107) -Please indicate alternative performed -
Alt, I (VS reduction) ❑ Alt. 2 (40-day bench) El All. 3 (30-day bench) ElAlt. 4 (Spec. O, uptake) ❑
AIE. 5 (14-Day Aerobic) El Alt. 6 (Alk. 5tabilimltinn C1 Alt 7 (Drying - Stable) ❑ JAIL. 8 (Drying - Unstable) ❑
Alt. 9 (injertinn) E] Alt. 1t) (lncprporatioi;l) lZ11 No vector attraction reduction alternatives worc performed ❑
CERTIFICATION STATE, MENT (please check the appropriate statement)
El "I certify, under penalty of law, that the pathogen requirements In 15A NCAC 02T .1106 and tlle
vector attraction reduction requirement In 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision In accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
William Andrews, ORC Wesley Wooten, President
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Zx, S/2/22
Si8pature of Preparer* Date $ignaturg of Land pplier (ifapplicab[c) Date
*Picparci is dellmd in'40 CFR Pan 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVrlr- 02 r (1212Q06)

2022 APPLICATION SUMMARY

LEWIS FARMS
Permit # WQ 0000455
2022
RESIDUALS APPLICATIONS
APPLICATION SUMMARY
FIELD
NO.
ACRES
USED
TOTAL
GALLONS
TOTAL
WET TONS
TOTAL
DRY TONS
TOTAL PAN
Crop 1 Crop 2
L2
14.20
552,700
53.88
131.37
48.42
L3
1 &60
403,000
48,52
71.89
36.44
L4
24.50
897,500
89.90
146.90
48.27
L5
23.30
267,000
22.81
21.54
42.57
L9
36.70
556,500
131.35
125.72
48.97
W l
33.70
409,500
83.67
87.25
40.58
W2
36.70
765,500
91.98
94.67
45.68
W3
24.20
585,000
77.33
56.37
28.18
CFC11
20.70
325,000
20.95
49.09
30.09
CFC 12
29.50
468,000
36.55
65.97
30.96
AWF1
36.30
812,500
142.01
L115.59
48.52
Totals
298.4011
6,0429200 11
0
798.95
Metric Tons 724.65

FIELD LOADING RATE REPORTS

Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility dame: Lewis Farms
Lewis Farms Operator:
Site #: 1 Field #: L2
Application Method: S/1NC
Permit 4- WQ0000455
Lewis Farms
Acres Utilized: 14.20
Volatilization Rate**: 0.5/1.0
Annual Dry Tons Applied: 53.83
Acres Permitted: 14.20
Mineralization Rate: 30 %
Predominant Soil Goldsboro - GoA
House of Raeford 4001a
%af�Is
:.......
2022
.:..............
34,000
.,..
� ct�
..........
2,378
?��c'r:`
..
1.73
...
0.17
30
::::.......
Emernlel
' I`
G/D
_
`ii€ieiRli'fsc
A`
0.006
0.006
Gu :
:.....
0.184
ss'iy:.
0.006
=5
�.
0.000
ii14Yi1i:;
0.006
: i'•€i
0.006
et:
0.006
'i':
0.518
,4f......PA
3.46
...........1"...-....GYa
3.46
i:..:€
5.69
Soybean
Wheat
21.58
2.25
0.00
2022
2022
84,000
90,200
5,915
6,352
2.33
1.12
0.57
0.30
(Louse of Raeford
IIorse Creek
G/D
G/D
0.024
0.024
0.024
0.024
0.271
0.251
0.024
0.024
0.001
0.001
0.024
0.024
0.024
0.024
0.024
0.024
0.3I0
2.207
16.91
44.96
23.22
0.54
soybean
wbent
99.89
44.09
8.33
5.26
0.01
0.01
2022
2022
292,500
52,000
20,599
3,662
2.89
1.76
2.48
0.27
Yorllp't'olisnil
Ivty
Sterling farms
y
G/D
C/D
0.144
0.034
0.144
0.007
0.799
0.034
0.144
0.007
0.003
0.001
0.144
0.007
0.144
0.007
0.144
9.007
15.937
0.564
I09.25
1.74
1
5.61
12.04
Soybean
Soybean
319.73
26.88
19.02
0.80
0.02
0.01
Total
552,704
Annual Ibs/acre 0.233 0.206 1.589 0.206 0.005 0.2060.206 0.206 19.537 131.37 48.42
Current Cum illative Ibs/aere 0.77 0.66 77.62 4.14 0.07 0.83 2.25 0.84 1133.93 149 50
Prior Years Cumulative Ibs/aere 0.54 0.46 76.03 3.93 0.06 0.63 2.04 0.63 114.39
Permitt C.P.L-R.*** 36 34 1,339 267 15 n/a 374 1 89 2,498
"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."
47.11
Permit PAN Limt 1st/2nd Crop
Lime App.
Date
Lbs/Ac
X x 2/13/23
(Signatur f Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
[cold denotes Incorporation and Volatilization Rate of 1.0
WMMS, pLi.G DENR FORM FSF (7/2002) Mad.

Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455
Lewis Farms Operator: Lewis Farms
Site t!: 1 Field 4: L3 Acres Utilized: 18.6
Application Method*: SI1NC Volatilization Rate**: 0.511.0
Annual Dry Tons Applied: 48.52
Acres Permitted: 18.6
Mineralization Rate: 30 %
2022 1 123,500 1 6,640 1 2.87 0.79 G/D 0.053 0.053 0.847 0.053 0.001 0.053 0.053 0.053 1.621 12.18 1 13.87 74.2,
2022 1 253,500 1 13,629 1 2.89 1.64 G/D 0.096 0.096 0.529 0.096 0.002 0.096 0.096 0.096 10.545 53.75 1 18.54 3.71
2022 19,500 1,048 2.04 0.09 Stateside G1D 0.004 1 0.004 1 0.017 1 0.004 1 0.000 0.004 0.004 0.004 0.385 5.66 1 1 3.67
2022 6,500 349 5.66 0.08 Tltc CUR GID 0.003 L0.003 1 0.039 1 0.003 J 0.000 0.003 0.003 0.003 0.098 1 4.03 1 2.14
Total
Predominant Soil Goldsboro - GoA
House of Raeford 40%
whent
80.10
1 0.01
2.32
Wimit
211.55
12.58
0.02
14.45
1.89
0.00
►vheat
10.76
1.14
0.00
Annual lbs/acre
Current Cumulative lbs/Acre
Prior Years Cumulative lbs/acre
Permitt C.P.L.R.***
0.156 1
0.156 1
1.432
0.156 1
0.003
0.156 1
0.I56
1 0.156 112.649
71.89
36.44
83.75 1
Lime A
1.28
0.85
96.79
4.$3
0.05
1.17
2.80
1.1G
159.25
149
50
Permit PAN Limt Istl2nd Crop
Date L
1.12
O.G9
85.3G
4.G9
DA5
1.02
2.64
1.00
14G.G0
36
3d
1,338
2G7
15
n/n
374
89
2,498
"7 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."
X 4/ 2/13/23
(Signatur f Land Applier) Date
*Application Method: 5 - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
WMMS, PLLC
DFNR FORM FSF (7/2002) Mod.

Facility Name: Lewis rarms
Owner: Lewis I, arms Operator:
Site #:
ANNUAL LAND APPLICATION I+IFLD SUMMARY FORM
I Field #: 14
Application Method*: S/INC
Permit#; W00000455
Lewis Farms
Acres Utilized: 24.50
Volatilization Rate**: 0.5/I.0
Anndal Dry Tons Applied: 89.90
Acres Permitted: 24.50 Predominant Soil Goldsboro -GoA
Nlineralization Rate: 30 % house of Raeford 40%
Ej7isike's
` €iCsiilsi
s.(.:::.:.f.....31:y'1;
' _t1C'rciii€
olin
...� . ..�
...}.isii2iic:�Eiicf:i`::iiiS:i;::i:i2Ep:EcE�:'•i�
rEs
: . [ft.,i..
Nt:.:.:.:5>~:.::.:.:
� ::::::..At..1..PAi
}:.
7022
722,000
29,469
2.49
3.06
C aro ina
G/1)
0.120
0.120
0.418
0.120
0.005
0.120
0.120
0.120
12.546
123.99
32.52
218.48
Soybean
wheat
458.98
26.80
0.05
2022
175,500
7,163
2.04
0.61
Stateside
G1D
0.029
0.029
0,115
H29
0.001
0.029
0.029
0.079
2.632
22.9I
15.75
25.11
Soybean
wheat
93.72
12.92
0.01
Total
897,500
Annual lbs/ncre 0.149 0.149 0.533 0.149 0.0060.149 0.149 0.1491 15.178
Current Cumulative lbs/acre 1.18 0.89 66.21 1.35 0.33 57.60 4.54 0.78 85.36
Prior Years Cumulative lbslacre 1.03 0.74 65.68 1.20 0.32 57.43 4.39 0.63 70.19
Permitt C.P.L.R.*** 36 34 1,338 267 15 n/a 374 89 1 2,498
"I certify, under penalty of late, that this document was prepared under my direction or supervision in accordance wiili a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. 1 am aware that there are
significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
146.90 48.27 243.58
149 50 11ermit PAN Llmt Istl2rid Crop
Lime App.
Date JLbs1Ac
X 4� 2113/23
(Signature f Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
*"Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
WMMS, PLLC DENR FORM FSF (7/2002) Mod.

Facility ]dame: Lewis Farms
Owner: Lewis Farms
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Permit 0: W00000455
Operator: Lewis Farms
Site #: I Field 9: L5 Acres Utilized: 23.30
Application Method*: SANC Volatilization Rate**: 0.5/1.0
Annual Dry Tons Applied: 22.8I
Acres Permitted: 23.30 Predominant Soil Goldsboro -GoA
Mineralization Rate: 30 % House of Raeford 40%
G rs€€€€
ri
TS
..
€Ar
saa
tl t .
..{..
#-i;:<.:`"';;:•`:iii
-E '�E��E�E�E ic�iaEiiiEi
'
'-1�n
.11`]r.
. B..
2022
130,500
5,601
7.33
0.54
Crouse of Raeford
G/D
0.023
0.023
0.257
0.023
0.001
0.023
0.023
0.023
0.294
42.57
21.99
Wheat
94.58
7,89
0.01
2022
136,500
5,858
1.78
0.43
River Bend
G/D
0.031
0,0I5
0.620
0.015
0.001
0.015
0.015
0.015
0.488
21.54
14.00
Sayvenn
55.49
6.97
0.01
Total
267,000
Annual Ibs/acre 0.053 0.038 0.877 0.038 0.0011 0.03$ 0.038 0.038 0.782 21.54 42.57 35.99
Current Cumulative Ibslacre 0.68 0.45 33.65 2.55 0.12 0.50 2.44 0.63 73.58 149 50 Permit PAN Limt lst/2nd Crop
Prior Years Cumulative Ibslacre 0.63 0.42 32.77 2.51 0.12 0.47 2.40 0.59 72.80
Permitt C.P.L.R.*** 36 34 1,338 267 15 n1n 374 89 2,498
"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."
Lime App,
Date
LbslAc
X +t/ 2/13123
{Signature o and Applier} Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
hold denotes Incorporation and Volatilization Rate of 1.0
WMMS, PLLC
DENR FORM FSF (712002) Mod.

Owner:
Facility Name: Lewis Farms
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Permit #: W00000455
Lewis Farms Operator: Lewis Farms
Site #: I Field M L9
Application Method*: SIINC
Annual Dry Tons Applied: 131.35
Acres Utilized: 36.70 Acres Permitted: 36.70 Predominant Sail
Volatilization Rate**: 0.5/1.0 Mineralization Rate: 30 % House of Raeford
Grantham - Gr
40%
_
l DY
:`. I
'iGaLs�si-.:.lo.:::..a)`:�f
s?crei is
'•.<i`
_ `sre`
�` IZ�. hrrlaSt
�
€ iStiii
.
I
1`ert.5,,,..:.:r•:
.:.(..
;
.� ._is'i`=i°=iiisiiiiii=€
�€N�tiif"'f`=i.
�• ;-�.i's=;_::::::€;::=:
,.cEC.'-'t�E;•asp-.�'"-''UiiEci�'17.`'.ii�'EEi
..........
.....
.. N>F .
''s;isS:tks��ii€Pi3i1�I
�aarlr�2�
:;.:p.�;.:
:."'-'.':'
_."-`.'..€:.:..•..`
;-....::'
:: :... .
2022
556,500
15,163
5.66
3.58
TheCaPe
GID
0.144
0.144
1.69G
0.144
0.002
0.I44
0.144
0.144
4.252
125.72
48.97
93.05
Corn
Nlleot
466.69
49.39
0.11
Total
556,500
Annual Ibs/acre 0.144 0.144 1.696 0.144 0.002 0.I44 0.144 0.144 4.252 125.72
Current Cnmuintive Ibs/nere 0.75 0.54 59.61 3.60 0.06 0.88 2.01 0.83 98.07 136
Prior Years Cumulative Ibs/nere 0.60 0.39 57.91 3.46 0.06 0.73 1.87 0.69 93.82
Permitt C.P.L.R.*** 1 36 34 1 1,338 267 15 n1a 374 89 2,498
"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, 1 am aware that there are
significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
48.97 93.05
50 Permit PAN Limt Ist/2nd Crop
Lime A
Date
Lbs/Ac
X Z 2113/23
(Signature of ,and Applier) Date
*Application Method: S - Surface, IN- Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
WMMS, Pl_LC DENR FORM FSF (7/2002) Mod.

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Levis Farms Permit #: WOD000455 Annual Dry Tons Applied: 83.67
Owner.- Levis Farms Operator: Lewis Farms
site #: W
Field #: 1
Application Method": SIINC
Acres Utilized: 33.70 Acres Permitted: 33.70 Predominant Soil
Volatilization Rate*": 0.5/1.0 Mineralization Rate: 30 % I -louse of Raeford
Grantham - Gr
40%
ei:�.$ .
:E:.�-4:X�S:E:`:::ii1�C
1 '
•-:::
:•�f`¢;:i:
�:3'•T'Si''E'
�•''i :
•' •-!rI'.e
i�
IdlFal:icii
�� .0 •1•'•-':'Ei
i I�Cf:
i..•Q••
-
7.
_
cm
�:11Ys?ri_��'=�=itasis�;::;.;_ii����_~�i'=:=
;}t';
�
�E�.`��
' i E'
H .
•.a:::.
...�1�
i'
€Cry 'X`
� =�r�"�°
iN. .
2022
409,500
12,151
4.90
2.48
t3cao ltivage
G/D
0.110
0.110
1.063
0.110
0.002
0.110
0.110
0.110
2.816
87.25
40.58
74.49
Corn
Wheat
369.96
24.18
0.21
Total 409,500
Annual Ibslacre 0.110 0.110 1.06,31 0.110 0.002 0.110 0.110 0,110 2.816 87.25 1
Current Cumulative lbs/acre 0.42 0.39 75.31 4.07 0.04 0,55 2.18 0.52 120.35 136
0.41 117.53
Prior Years Cumulative lbs/acre 0.31 0.28 74.24 3.96 0.04[��t
PermittC.P.L.R.*** 36 34 1,338 267 15 89 2,498
"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 lines and imprisonment for knowing violations."
40.58 74.49
50 Permit PAN Limt lst/2nd Crop
Lime App.
Date
Lbs/A
X 2/13M
(Signature of d Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
WMMS, PLLC DENR FORM FSF (7/2002) Mod.

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms
Permit M WO0000455
Annual .Dry Tons Applied: 91.98
Owner: Lewis Farms
Operator:
Lewis Farms
Site #: W
Field #: 2
Acres Utilized: 36.70
Acres Permitted:
36.70
Predominant Soil
Grantham - Gr
Application Method*: S/INC
Volatilization Rnte**: 0.5/1.0
Mineralization Rate:
30 %
House of Raeford
40%
1
"Y f
_
S} C
Can ,
:€ €€Cii- ;C" ii•.1
:=i3`:=
:1�..
.I'il�I;
"'Ik,..
°it3�a''�7:�
: • f..:_ ,
.�.:4fx�:xT�il�'1.N'rT�3•
��
2022
279,500
7,616
3.96
1.26
Havelock
G/D
0.006 0.004 I.665
0.038
0,001
0.016 A033
0.013 6.225
45.68
94.12
Wheat
135.62 7.11
0.02
2022
44,000
1,199
1.57
0.08
CA511e Day
G/D
0.007 0.007 0.047
0.007
0.000�O0497
DA07
0.007 0.185
3.13
3.06
Corn
I0.44 0.00
0.00
2022
442,000
12,044
2.33
1.17
Home of Raeford
G/D
0.049
0.049
0.552
0.049
0.002
0.049
0.049
I 0.632
91.54
47.27
Cara
203.38
16.97
0.0I
Total
Annuallbslacre O.062 0.0601 2.265 0.0941 0.003 0.0721 0.089 0.0691 7.042 94.67 145.68 1 144.46 1 Lime
Current Cumulative lbs/acre 0.54 0.43 20.02 2.06 0.04 75.44 1 0.92 0.59 39.87 136 1 50 Permit PAN Limt 1stl2nd Crop Date
Prior Years Cumulative Ibslacre 0.48 0.37 17.75 1.96 0.04 75.37 0.$3 0.52 32.83
Permitt C.P.L.R'*** 36 34 1,338 267 15 n/n 374 89 2,498
"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. 1 am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
X 2/13123 *Application Method: S - Surface, IN - Injection, INC - Incorporation
(Signature land Applier) Date **Volatilization Rate. Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
WMMS, PLLC
DENR FORM FSF (712002) Mod.

l+acility Name: Lewis Farms
Owner: Lewis Farms
Site #: W
ANNUAL LAND APPLICATION I+IELD SUMMARY FORM
Operator:
Field #: 3
Application Method*: SIrNC
Permit #: WOO 000455
Lewis farms
Annual Dry Tons Applied: 77.33
Acres Utilized: 24.20 Acres Permitted: 24.20 Predominant Soil Woodington - Wo
Volatilization Rate"*: 0.5/1.0 Mineralization Rate: 30 % House of Raeford 40%
ake..`ri
2022
585,000
'€ill?-
..Tsa::..•aai±iU..
€'s"$i€:ice
24,174
3.17
m=-�.
f..-
re
3.20
€ Srrurciw<`
IurS-VChb
`::o `ij
G/D
-
'�i41 . elli•SE: Iliiili`�
0.061
0.061
0.697
0.006
0.003
0.061
€
0.061
0.061
6.711
56.37
28.18
87.56
Corn
Wheat
249.89
13.68
��
J
0.01
Total 585,000
Annual lbs/acre 0.061 0.061 0.697 0.006 0.003 0.061 0.061 0.061 6.711 56.37
Current Cumulative Ibs/acre 0.55 0.36 78.44 4.11 0.07 0.47 1.95 0.50 105.90 118
Prior Years Cumulative Ibs/acre 0.49 0.30 77.74 4.11 0.06 0.41 1.89 0.44 99.19
Permitt C.P.L.R.*** 36 34 1 1,338 267 1 15 n/a 374 89 2,498
"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."
28.18 37.56
50 Permit PAN Limt 1st/2nd Crop
Lime App.
Date
Lbs/Ac
x 2/13/23
(Signature of L nd Applier) Date
*Application Method: S - Surface, IN - Injection, rNC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
WMMS, PLLC DENR FORM FSF (7/2002) Mod.

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms
Owner: Corbett Farming Co. Operator:
Site #: CFC Field #; 11
Application Method*: INC
Permit#: W00000455
Lewis Farms
Annual Dry Tons Applied: 20.95
Acres Utilized: 20.70 Acres Permitted: 20.70 Predominant Soil
Volatilization Rate": 1.0 Minernlization Rate: 30 % House of Raeford
Murville - Mu
40%
1 a.
:Gist e...
`rids€f=:::::/n::::::Ik�`..
r
•.'fa...
's"
Xtiisiitu.1.=€5`f�
uii rc i i
= i !°
��
;l •:
snt�..
I�slt�
- ;;°
;.°r
C.
2022
325,000
10,417
2.33
I.01
Ilause of Rncford
C/D
0.043
0.043
0.478
0.043
0.002
0.043
0.043
0,043
0.547
49.09
30.09
40.89
Soyb,nn
Wbent
175.90
14.63
0.01
Total
325,000
Annual lbs/acre 0.043 0.043 0.478 0.043 0.002 0.043 0.043 0.043 0.547 49.09
Current Cumulative lbslacre 0.04 0.04 0.48 0.04 0.00 0.04 0.04 0.04 0.55 96
Prior Years Cumulative lbslacre 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Permilt C.P.L R.*** 36 34 1,338 267 15 n/a 374 89 2,498
9 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."
30.09 40.89
50 Permit PAN Limt 1st/2nd Crop
Lime App.
Date
Lbs/Ac
2/13/23
(Signature/Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of IA
WMMS, PLLC DENR FORM FSF (712002) Mod.

Facility Name: Lewis Farms
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Permit 0. }V00000455
Owner: Corbett Farmin Co. Operator: Lewis Farms
Site #: CFC Field 4. 12 Acres Utilized: 29.50
Application Method*: INC Volntilization Rate**: 1.0
Annual Dry Tons Applied: 36.55
Acres Permitted: 29.50 Predominant Soil
Mineralization Rate: 30 % House of Raeford
Murviile - Mu
40%
S'-D...:
'?E4 Bi-..
iC!&
ii?ikQj`fi'c
:::uis
°S`,i
€1 ..
EA. ";:
€J?sitXu„L=
_ •.tilil=C'
`Sifiia
`'
iNl".•'
�`t:x15iC
::1 .
:ei1�U1..
�tti4ii:
Y
II19�:Ct` .:`
t�1":
rE:.'1;�ii
e
�
2022
468,000
12,752
2.33
1.24
House of Raeford
GID
0.052
0.052
0.585
0.052
0.002
0.052
0.052
0.052
0.669
65.97
30.96
50.06
Saybenn
Wheat
215.34
17.97
0.01
1
Total
468,000
-T
Annual Ibs/acre 0.052 0.052 0.585 0.052 0.002 0.052 0.052 0.052 0.669 G5.97
Current Cumulative Ibs/acre 0.05 0.05 0.58 0.05 0.00 0.05 0.05 0.05 0.67 96
Prior Ycars Cumulative Ibs/acre 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 0.00 0.00
Permitt C.P.L.R.*** 36 34 1,338 267 I5 n/a 1 374 89
"I certify, under penalty of la►v, 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."
30.9G 50.06
50 Permit PAN Limt Istl2nd Crop
Lime App.
Date
Lbs/Ac
X 2113/23
(Signature o Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Inject ion/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
WMMS, PLLC
❑ENR FORM FSF (712002) Mod.

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms
Permit #: W00000455
Annual Dry Tons Applied:
142.01
Owner: Allen H. Wooten
Operator:
Lewis Farms
Site #: AW
Field #: FI
Acres Utilized: 36.30
Acres Permitted: 36.30
Predominant Soil
Goldsboro - GoA
Application Method*: INC
Volatilization Rate**:
1.0
Mineralization Rate: 30
% House of Raeford
40%
_ _ N t .. nisi` llie:
A£$.. ;ia! 9, . `'ia4�I9`ici 'fii is Eitie:
...... . . . :................... - - .............
a bTIMi`C`[ i i? ° YI`i E;Efi''scE p aE;;
-::_............... ................ - - - ..............,...........�:.:::�'...........N...........x.........�tia......i'�151.i�; �'�[1Y2 ;PaCris'']� ;:;- :�.-:::::•.•.:
2022
234,000
6,446
4.14
1.11
havelock
G/D
0.006
0.003
1.318
0.022
0.000
0.011
0.024
0.011
4.371
48.52
88.36
Wheat
145.74
6.84
0.01
2022
318,500
8,774
4.23
1.55
havelock
G„/g
0.008
0.004
1.743
0.037
0.004
0.015
0.034
0.015
5.949
56.10
183.80
Soybean
164.46
9.63
0.02
2022
260,000
7,163
4.19
1.25
Have
CID
0.007
0.004
1.637
0.03D
0.001
0.015
0.033
0.013
5.957
59.50
111.6I
Soybean
152.23
19.74 1
0.01
Total 1 812,500
Annuallbslacre
Current Cumulative lbslacrc
Prior Years Cumulative lbslacrc
PermittC.P.L.R.***
0.020
0.011
4.697
0.0891
0.006
0.042
0.091
0.039
16.278
115.59
49.52
383.77 1
Lirr
0.13
0.12
5.59
0.20
4.01
0.15
0.20
0.15
20.35
149 1
50
Permit PAN Limt 1st/2nd Crop
Date
0.11
0.11
0.90
D.11
0.01
0.11
0.11
0.11
4.07
36
34
1,338
267
i5
n/n
374
89 1
2,498
" 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."
Y 4/ 2/13/23
(Signature o and Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
WMMS, PLLC
DENR FORM FSF (7/2002) Mod.

SOIL ANALYSIS REPORTS

Page 1 of i
Report No: 22-046-1054
Account No: 08361
Advisor: Willcox a Made Soil Solutions, PLLC
7231 B. Summerfreld Rd
Summerfield NC 27358
a
Waypoint(
ANALYTICAL
Client: Lewis Farms
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax [phone]
www.waypointanalytical.com
Farm:
Date Received: 02/15/2022
Date of Report: 02/17/2022
Lab No Field ID
Sample 1D
Soil Class HM%
W/V pH
Ac
P-1
K-1
S-1
Mn-1
Mn-Alf Mn Al2
Zn-1
Zn Al
Cu-!
CEC
6S%
Ca%
Mg%
ESP
Ala
15689
L06
MIN
5.7
0.6
153
31
29
31
0
0
85
85
270
2.8
77
60
10
1.2
0
15690
L07
MIN
5.8
1.6
77
38
19
31
0
0
90
90
100
8.2
61
71
7
0.5
0
15691
L08
MIN
6.4
0.3
114
50
35
25
0
0
115
115
220
3.8
92
73
12
1.3
0
15692
L09
MIN
5.8
1.5
76
49
25
25
0
0
95
95
105
8.0
81
70
7
0.5
0
15693
Li0
MIN
6.0
0.8
87
50
29
25
0
0
115
115
165
5.2
85
69
10
1.0
0.1
15695
W01
MIN
5.9
0.8
109
44
29
38
0
0
113
113
200
4.4
83
66
11
1.1
0
15696
W02
MIN
6.0
0.7
115
34
27
31
0
0
160
160
235
4.6
84
72
8
0.8
0
15697
W03
MIN
5.7
0.7
136
32
31
25
0
0
85
85
270
3.3
80
63
11
1 A
0
15698
W04
MIN
5.9
0.9
79
58
27
25
0
0
125
125
120
5.3
84
67
10
1.0
0.1
15699
AW-F1
MIN
6.4
0.6
88
58
25
25
0
0
123
123
120
7.1
92
77
10
0.9
0.1
15700
CFC-11
MIN
5.7
0.6
166
32
29
25
0
0
78
78
245
2.8
79
62
10
1.2
0
15701
CFC-12
MIN
6.5
0.5
76
43
19
25
0
0
93
93
105
7.2
94
80
10
0.8
0.1
15702
JJ-01
MIN
5.8
1.0
98
71
27
25
0
0
150
150
145
5.1
81
fit
11
1.0
0.1
15703
JJ-02
MIN
5.9
0.7
131
42
35
25
0
0
93
93
210
4.2
84
66
12
1.2
0.1
15704
JR-F
MIN
7.0
0.0
77
37
25
31
0
0
83
83
115
7.7
100
86
11
0.7
0.1
15706
L02
MIN
5.7
1.1
96
68
27
31
0
0
148
148
135
5.1
79
fit
10
0.9
0
15707
L03
MIN
5.2
0.7
159
23
23
38
0
0
80
80
290
2.0
66
44
15
2.2
0
15708
L04
MIN
6.6
0.4
82
43
23
25
0
0
95
95
110
6.9
94
82
8
0.6
0
15709
L05
MIN
5.5
0.6
170
29
29
31
0
0
78
78
305
2.2
73
51
13
2.2
0
Comment:
Test result units = CEC and Na in meg1140om3; NO3 N in mgldm3; WIV in glom3
North Carolina Oivision of Water Quality Certification #257, Analysis and fertilily recommendations shown on this report are performed in accordance wilhln NCOA guidelines, Analysis prepared by: Waypoint Analytical Virginia, Inc.