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HomeMy WebLinkAboutWQ0006906_Annual Report_20230419ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0006906 County: Facility Name (as shown on permit): Land Application Operator: Alexander Year: 2022 Town of Tavlorsvil le Phone: _ 336-777-6909 Land application of residuals as allowed by the permit occurred during the past calendar year? i Yes LJ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Anplication Summary: US Biosolids. Inc. Total number of apElication fields in thepermit: 7 Total number of fields utilized for land application during the year: 5 Total amount of dry tons applied during the year for all application sites: 1 92.19 Total number ofacres utilizes for land application during the year: Part B A 77.6 - nnual Comoiance Statement Facility was compliant during calendar year 2022 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Resources. 1A 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 pl I 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 021 .1 105(a) or the Pollutant Loading Rates in 15A NCAC 021' .I 105(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 021-.1 111 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 ofa deviation, prior authorization was received from the Division of Water Resources. 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals. as specified in the permit. 12) No runoffof 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." Permittee Name and Title (type or print) Signature of Prcparer* Date Signature of Permittee of Lanlili"Applier Date 1-t Date (if different from Permittee) (ifdifferent from Permittee and Preparer) * Preparer is defined in 40 CPR Part 503.9 (r) and I5A NCAC 02T .1102 (26) DENR FORM ACF (12/2006) i uI I I --------------- y cs a: O R. c 0 u 0 f ---------------- c7 ------------ N 0 r. r1 .� tit N N N V1 00 .-• .-. �O �D � � rt ^ f1 tc z z z' ------------------- Cl. 13 L v o OD o � a+ N R _ w y O U) R y = R p 3 w u a u � z w u y bD R R •_ C •� r L o " E G � E � E _ tQ y E v a C a s oTT � Y � R R L y � m C u R- 3 o tc - c i •° N 6! y •U' E � a � ¢ aLi o O R � O O d y � C O aLa � C aoD z v 2 4+ C 7 n u O a 40 w O � u R O r• :'. C. (n R g E _ s ± \ � \ \ + + � \ \ } \ ( \ \ 10 CD �z E9E J\0V) ANNUAL METALS FIEI,D LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Town of'I aylorsville Total Dry Tons Applied (Annual): 8.98 Permit #: WQ0006906 Cation Exchange Capacity (non 503 only): Operator: Phillip I loover Owner: Phillip I loover Predominant Soil Series: PcB2 Acres Used: 14.7 Acres Permitted: 14.7 Site #: PH 01 Field #: PH 01 Residual Analvsis Data (Heavv Metals and Total Phosphorus use me/kQ.'Yo Solids use Raw Percent ill - Sample or Com- posite Date 1 II/9/22 2 _3., 4 5 6 7 8 9 '., 10, 11 12 . %Solids 3.01 Arsenic 16.7 Cadmium 3.33 Copper 252 Chromiuml 27.5 Lead 1 21.9 Mercury 5.23 Molyb- denum 8.33 Nickel 17.7 Selenium 16.7 Zinc 663 Total Plies- horus 36700 Annual tieavv Metal Nleld Loadmffs (Calculated in Ibs/acre): lbta I 1 '., 2 ',. 3 4 ',. 5 ',. 6 7 8 9 10 '',. 11 ',. 12 Dl7Ac./ c App. a' Event 0.61 Arsenic 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Coppei 1 0.308 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.308 Chromiuml 0.034 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.034 Lead 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Mercury 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Molyb- 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 denum Nickel 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Selenium 0.020 0.000 0.000 0.000 1 0.000 1 0.000 1 0.000 1 0.000 0,000 1 0.000 0.000 1 0.000 1 0.020 /inc 0.810 0.000 0.000 0.000 0.000 1 0.000 1 0.000 0.000 0.000 0.000 0.000 F oo-o o7 0.810 Total Plies- 44.847 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 L44.847 horus f certify, under penany of taw, tnat tms 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". l%1 "r �� - _ _ ?-I T -X;V Sigma ure of Land Applier Date DENR FORM MFLSF (12/2006) N y E. G N U G'J - 7 ti - N O O O 0 0 0 0 0 0 0 O c � O C O O O O C O O O O O O• _ o rn n E G, x Ammonia OO. C O N � fr x rn Nitrogen Q N x a lL % rn C O n N S z M incralizalion n � ri ,c z -+ Rale*** R R .. Volatilization •n O a c < Rate** c o0 r % a 0 Application Method* F z o 0 O _ _ s O R O V P N M _, v< r' � < 'o o c o 0 o c o 0 0 0 0 0 -a a ..• < o N c C - _ O r x ri f J L 7 O.. .E > ` N = u z LIMONl .lo JJ6(] R ,y' W Y L y i N 4iQ. R C G � CL � � L v d H R R y r 6 R U U !i. C C R � o u U L U R R - u c o _ R L d 6 i � R L ° R C C E p oR •- L � E � 3 •D � C C C Y � O L .. o L E C R L Y � c c v � c y E Y � 7 E � � R R U Y � C C v � L = u = c3a � o L. Q i bL c �.5 G e � � C u 9 h •C C L � c o Y CR L G• ` U R F c ANNUAL. METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Town of'I'aylorsville Total Dry Tons Applied (Annual): 13.06 Permit #: W00006906 Cation Exchange Capacity (non 503 only): Operator: Clyde Hendren Owner: Clyde I lendren Predominant Soil Series: FcB2 Acres Used: 9.3 Acres Permitted: 9.3 Site #: C11 02 Field #: CH 02 Residual Analysis Data (Heavy Metals and "total Phosphorus use mg/kg, I% Solids use Raw Percent #): Sample or Corn - polite Date 1 _ II/9/22 21 3 1, 4 5 6 7. 1 a _I. 9 10 11 ,.. 12 ''.. %Solids 3.01 Arsenic 16.7 Cadmium 1 3.33 Copper 1 252 Chromium 27.5 Lead 21.9 Mercury 5.23 Molyb- denim 833 Nickel 1 T7 Selenium 16.7 Zinc 663 Total Phos- horus 36700 Annual Heavy Metal Field Loadings (Calculated in Ibs/acre): Total 1 '.. 2 '.. 3 41 5 '... 6 7 8 '... 9 10 11 12 '.. o Dl7Ac.� App. Event 1.40 y Arsenic 0.047 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Cadmium 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Copper 1 0.708 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.708 Chronniuml 0.077 1 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.077 Lead 0.061 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.061 Mercury 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Molyb- 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 denum Nickel 0.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.050 Selenium 0.047 0.000 1 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Zinc 1.862 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 1.862 total Phos- 103.054 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 103.054 horus -[cc rlitv, 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". Signature of ]_.and Applier Date DENR FORM MFLSF (12/2006) lk E. m 'J — G C G J < G � G J T77 _ � J O C C C C O C O O C C O G <� m Ammonia C c ry Z4 Nitrogen F Z4 G h Mineralization I Rate". v R w V Uatll/at10❑ Rate** H Ls Application C Method* � C _ o _ R V C R z OC G x = 3 E E _ f C N S 1 < 7 J X l C U c— ,� < — c < T- o 0 0 0 0 o c o o d o G e � _ s � h a O i) C = O G T c) A U h > = d i U F n :� j a m ytuoW o < C L E = < L J H F R C O— � E v c L ou � 'v, m d L 'fl o E h 4J y m 'L n � R yi y C. R U u tS = G R � L h O y V L U q C L v c s 0 L Y a L c R " 3 L :y = E o O R — L_ � •' E = c c = Y � ? L - o L E C R L Ci v L4 E L c c y L L R O. 3 � E u � 9 E _ � R R C u m e= s tQ `o GQ L ,- L v � L >' G F" L O y Gi q � � v G C p � = u 9 h C = L � a o R L u R O' .0 CA `v m 0 0 N N U) cLL G 0 O z z W 0 ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Town of Taylorsville Total Dry Tons Applied (Annual): W00006906 Cation Exchange Capacity (non 503 only): Owen Icenhour Owner: Owen 1ee11110ur Predominant Soil Series: 19.3 Acres Permitted: 19.3 Site #: 0801 Field #: 26.11 CeB2 0801 Residual Analysis Data (Heavy Metals and Total Phosphorus use me/ke. "/0 Solids use Raw Percent #): Sample or COn1- posite Date 1' II/9,/22 2', 31 41 5 6. 7; 8: 9_ 10', 111. _ 12 %Solids 3.01 Arsenic 16.7 CadloiLuol 3.33 Copper 252 Chromium 27.5 Lead 21.9 Mercury 5?3 Molyb dcnum 8. 33 Nickel 17.7 Selenium 16.7 Zinc 663 Total Phos- horus 36700 Annual Heavy Metal Field Loadings (Calculated in Ibs/acre): l ota 1 '.. 2 3 4 5 6 7; 8 '.. 9 10 '.. 11 12 1)'f/Ac.i _ o App. Fvcnt 1.35 -' Arsenic 0.045 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 Cadmium 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Copper 1 0.682 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.682 ChrorniL11111 0.074 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.074 Lead 0.059 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.059 Mercury 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Molyb- 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 denum Nickel 0.048 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Selenium 0.045 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 Zinc 1.794 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.794 total Phos- 99.310 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 99.310 hot -us "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". l% -`- Signature of Land Applier Z IF_2.aj Date DENR FORM MFLSF (12/2006) Iq 9 v m u 11 T Ei U N 9 _ J C G c _ < G N 0 0 0 0 0 0 0 0 0 0 0 N D\ 0 0 0 0 0 G V r O O O O O O O O O O O r\ N — _ n a Ammonia � = Nitrogen N S a' Mincrali/a iun _ r hilly". V Volazili/atio11 Rate** Application Method* — C L M O — — O R O Y I 5 C J �.•� f� — lT`I — 7. T CY � q ! � , R p L � J < q n N x • N c ri i6 U CC — > p a E — = E' .lo oleo — 2 d U a a R N Y L 3 N F R C v E c � b0 � N N 1 L Q E ` v Y h y' R R y ,p G 3 c R U U !F C O R � L N o u U L U .Q R G � C t O R L +r•. d G L N > L JR O C C � O OR •— V R L � ' E o 0 N C C 44 � O L a. O L y 40. E L G C c •- o N GI N R L L r.� 3 � � C '— d � O E ° � R R u i N O v � � c N C L « R C v i R L — t 3 � O y u It. u c u c L R u :a h R C ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 28.55 Permit #: W00006906 Cation Exchange Capacity (non 503 only): Operator: Clyde Hendren Owner: Clyde I Iendren Predominant Soil Series: PcB2 Acres Used: 23.4 Acres Permitted: 23.4 Site #: CH 01 Field #: CH 01 Residual Analvsis Data (Heavy Metals and Total Phosnhorus use mn/kf3- % Solids use Raw Pereent ttl- Sample or Com- posite Date 1 _ 1 1 /9/22 Z_i 3 ! ... 4 _ 5 6 7 8', 9 10 _ 11 12 __.. % Solids 3.01 Arsenic 16.7 Cadnin-anj 3.33 Copper 1 252 Chronliuml 27.5 Lead 21.9 Mercury 5.23 Molyb- denum 8.33 Nickel 17.7 Selenium 16.7 Zinc 1 663 Total Phos- horns 36700 Annual 11eavv Metal Field Loadings (Calculated in Ibs/acrel: Total 1 2 3'. 4_'.. 5 6 7 8 ',, 9 '.. 10 '... 11 12 D"L/Ac./ _.' c App m Event 1.22 Arsenic 0.041 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.041 Cadmium 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Copper 1 0.615 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 1 0.000 0.000 1 0.615 Chronniun-1 0.067 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.067 Lead 0.053 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.053 Mercury 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 Molyb 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.043 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.043 Selenium 0.041 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 0.041 Zinc 1.618 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.618 total Phos- 89.548 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 89.548 horns i cermy, unuer penany of taw, tnat tms aocument 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". Signature of Land Applicr Date DENR FORM MFLSF (12/2006) a. w a C �7EL 7E N � N 0. c a _ - oGo 0 0 0 o c o 0 0 0 0 0 oco Z s F In Lp b Ammonia °r Nitrogen E r2 0 �O 4 CX O r� rvKi x F N N z Mineralization I- O �z Y x _N Rate,#• s R Volatilization Rate" y Application ❑, — - r^., v Method' — — re O � fT`1 M - •S •G _ _ U - - O S O.. C N C 7 < 5 o V G o � m - a x In In C r o o 0 o o 6 0 0 0 o In j Q< T- G G- < o � N a J ry �Np 77 N y1uoW a = R L `n H L. R C c E u G L 00 � d L 'n o E` u i y R R y s G 3 0 :C U u !C O G R � L Vi o d U y U R R c 61 L U c 0 _ a L � U G L L c E c u R .. wl E � a � c O L Q L E c R L U E L C G R G 3 $ E_ E _ a O � U 9 9 C D O R L •- ,c u - z 3 � h it, C L. O y d q O Of G O G C i c u 9 h a c_ L G O R c H 0 ANNUAL. METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name - Permit #: Operator: Acres Used: Town of W00006906 Yolanda Prince Owner: 10.9 Acres Permitted: ille Total Dry Tons Applied (Annual): Cation Exchange Capacity (non 503 only): Tim Keever Predominant Soil Series: 10.9 Site #: YP 01 Field #: 15.50 CeB2 YP 01 Residual Analvsis Data (Heavv Metals and 'rotal Phosnhorus use mn/kn. "% Solids use Raw Percent #1- Sample of Con1- posite Date 1 1 I /9/22 2 3 4 '... 5 6 7, 81 9 10 . 11 ',. 12 . %Solids 3.01 Arsenic 16.7 Cadmium 3.33 Copper 252 Chromium 27.5 Lead 21.9 Mercury 5.23 Molyb- denunl R.33 Nickel 17.7 Selenium 16.7 Zinc 663 Total Phos- horuS 36700 Annual Heavy Metal Field Loadings (Calculated in Ibs/acre): Total 1 2 3 4 '.. 5 6 7 1 8 1 9-. 10 '.. 11 12 '.. D'FAc c App. Event 1.42 H Arsenic 0.047 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Cadmium 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Copper 1 0.717 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 1 0.000 0.000 0.000 0.000 0.717 Chromiuml 0.078 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.078 Lead 0.062 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.062 Mercury 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Moll 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 denum Nickel 0.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.050 Selenium 0.047 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Zinc 1.886 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.886 Total Phos- 104.375 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 104.375 horns 1 ceriny, under penalty of law, that thus 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". Sigi of Land Applier Date DENR FORM MFLSF (12/2006) T of O n 2 c 0 E U 11.E Q A < E _ < ry 0 o 0 0 0 0 0 0 0 0^ 0 `o o o 0 c o o U — � d 4 x Ammonia c rn Nitrogen o N x o x m Mineralization �- O _ o 0 Rate"* 4 j. O 0 0 ems. Volatilization o Rate*' ry n y 4 Application Method* ` C O 0 T Y a L CY � 4 - a c •! •S Z 'o _J y ad M c o ¢ � n G m 'O > > L x tv _ o _ E C v v y N J z V v a -TT yluoW � s ro � > c �, • = I t E ao;wa _ c Q .`o d U n a F l7 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: Town of Faylorsville WWTPName: TownofTaylcrsville WWTP Monitoring Period: From Pathogen Reduction /15A NCAC 021' I/l/2022 To WQ Permit Number: NPDES Number: 12/31 /2022 W00006906 NCO026271 1106) - Please indicate level nehieVed and altrrnativr rra . o r. Class A: Alt. A (time/temp) ❑ Alt 13 (Alk Treatment) ❑ — ------------ All. C (Prior Testing)❑ Alt.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (( .lass A only) indicate "Process to Further Reduce Pathogens": Compost ❑ heat Drying ❑ heat Treatment ��3. Ilicnnophilic ❑ Bela Ray ❑ I 6anuna Ray ❑ Pasteurization Class B: jAh. (1) Fecal Density ❑ AIL (2) Process to Significantly Reduce Pathogens 2 If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization R1 Air Drying ❑ Conn posting ❑ Aerobic Digestion Ll Anaerobic Digestior If applicable to alternative performed (('lass A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge S Pathogen Density Number oAnalytical Hxcee- Frequency of Analysis Sample Tvpe Fech- Minimal Geo. MeanMaximui Unitsences Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN mace CI.0 1000 mpn per gram oftotalsolid (dry weight) Salmonella bacteria (in lieu of fecal coliform 3 MPN per 4 •rams total solid (dry weight J-F vu au.vn ZXVUUCt!Ull r 101\ 1\\_Ak, "Z 1 A rn / r - Pivn Ce inairatr aot.r..tmv ..�.r,..-..,,.,r. Alt.I (VS reduction) ❑ lAlt. 2 (40-day bench) L_j jAlt. 3 (30-day bench) ❑ Alt. 4 (Spec. O, uptake) Li Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization i?j Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying- Unstable) Alt. 9 (Injection) LJ JAIt. 10 (Incorporation) ❑ INo vector attraction reduction alternatives were performed ❑ • ..-.­%..v11 o t �, t r.lrtr.li r 1picase CneCK the appropriate statement) "1 certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Preparer Name and Title (type or print) Dennis Key US Biosolids. Inc. Land Applier Name and Title (if applicable)(type or print) Signature of Preparer* Date Signature of La d Applier (if applicable) Date *Preparer is defined in 40 CFR Pan 503.9(r) and 15A NCAC 21' .1102 (26) DENR FORM PVRF 02T (12/2006) 0Waypoint, 7621 -7 Road, Richmond, ain 80 Main 804-743-9401 0Fax 804-271-6446 27 -6446 ANALYTICAL www.waypointanalytical.com 46381 US Biosolids Inc Project Taylorsville Dennis Key Report Date : 11/23/2022 958 Hoots Road Information : Received : 11/10/2022 Roaring River , NC 28669 qq / Report Number : 22-314-0006 REPORT OFANALY575 Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 59845 Matrix: Solids Sample ID : Taylorsville Sampled: 11/9/2022 13:30 Test Results Units MQL DF Date / Time By Analytical Analyzed Method Moisture 97.0 % 0.010 1 11/14/2216:37 FMM SM-254OG Sulfur 6800 mg/Kg - dry 333 1 11/16/22 19:41 TJS 6010D Calcium 10000 mg/Kg - dry 1670 1 11/16/22 02:12 TJS 6010D Aluminum 61000 mg/Kg - dry 167 1 11/16/22 02:12 TJS 6010D Manganese 347 mg/Kg - dry 16.7 1 11/16/22 02:12 TJS 6010D Organic N 189000 mg/Kg - dry 8333 1 11/16/22 12:00 CALCULATION Nickel 17.7 mg/Kg - dry 8.33 1 11/16/22 02:12 TJS 6010D Lead 21.9 mg/Kg - dry 10.0 1 11/16/22 02:12 TJS 6010D Arsenic <16.7 mg/Kg - dry 16.7 1 11/16/22 02:12 TJS 6010D Selenium <16.7 mg/Kg - dry 16.7 1 11/16/22 02:12 TJS 6010D Test Results Units MQL DF Date / Time By Analytical Analyzed Method Total Solids 3.01 % 0.010 1 11/14/22 16:37 FMM SM-2540G Phosphorus 36700 mg/Kg - dry 167 1 11/16/22 02:12 TJS 6010D Copper 252 mg/Kg - dry 16.7 1 11/16/22 02:12 TJS 6010D Total Kjeldahl Nitrogen Qualifiers/ OF Dilution Factor Definitions 194000 mg/Kg - dry 8330 1 11/16/22 12:00 JPJ ;M-4500-NH3C-TKf MQL Method Quantitation Limit Page 3 of 7 Waypoint ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypoiiitanalytical.com 46381 US Biosolids Inc Project Taylorsville Dennis Key Report Date : 11/23/2022 958 Hoots Road Information : Received : 11/10/2022 Roaring River , NC 28669 qq tavz Plc G/oa�y% Report Number :22-314-0006 REPORT 0FANAL Y575 Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 59845 Matrix: Solids Sample ID : Taylorsville Sampled: 11/9/2022 13:30 Potassium 5300 mg/Kg - dry 333 1 1 L/16/22 02:12 TJS 6010D Magnesium 4070 mg/Kg - dry 167 1 11/16/22 02:12 TJS 6010D Sodium 2190 mg/Kg - dry 833 1 11/16/22 02:12 TJS 6010D Iron 24500 mg/Kg - dry 333 1 11/16/22 02:12 TJS 60101) Zinc 663 mg/Kg - dry 41.7 1 11/16/22 02:12 TJS 6010D Ammonia Nitrogen 4630 mg/Kg - dry 3330 1 11/17/22 06:00 JPJ SM-4500-NH3C Nitrate+Nitrite-N 380 mg/Kg - dry 153 1 11/23/22 11:33 ZBD 4500NO3F-2011 Cadmium <3.33 mg/Kg - dry 3.33 1 11/16/22 02:12 TJS 6010D Chromium 27.5 mg/Kg - dry 8.33 1 11/16/22 02:12 TJS 6010D Mercury <5.2.3 mg/Kg - dry 5.23 1 11/15/22 11:58 JTR SW-74716 PH 6.8 S.u. 1 11/22/22 15:41 DRS 904SD Molybdenum <8,33 mg/Kg - dry 8.33 1 11/16/22 02:12 TJS 6010D Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit Definitions Page 4 of 7 - O O 0 0 41 O m Z m � X N Y Y n Ol N m \D N a E -2 E o II II II II y 0 X N O N p V O x x co Z m N m X + _Y OZ Y O O m E m E o Z + + M O Z 2 + Z M 2 + Z T 2 2 Z Z Z Z Y Y F- F � K o ^ o p O W) Q y Q y s a c a s a c o d ~ d V T d w T d d c SAR Sodium Absorption Ratio Na: Sodium (Mg/L) Equivalent weight: 23 Ca: Calcium (Mg/L) Equivalent weight: 20 Mg : Magnesium (Mg/L) Equivalent weight: 12 Milli Equivalent = Mg/L / Equivalent weight Na M /L Ca M /L M M /L 65.919 301 126.17 Na (ME) 2.866043 Ca -ME) Mg_(MEl 1 10.51417 15.05 SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power SAR = 0.801645 (From Mg/L entered above) SAR= 0.802817 (From ME entered below) Na (ME) Ca (ME) Mg (ME) 2.87 1 15.05 10.51 The amour amount of i Permitting d) Z 9 V Q L d � �0z 0k6 �z 2 - ! 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